Wintermantel E
Acta Neurochir (Wien). 1979;50(3-4):237-42. doi: 10.1007/BF01808520.
A new gearing approximator for microsurgical vascular anastomoses is described. A highly precise and smoothly working robust gearing in connection with an asymmetrically notched key allows quick application of the approximator and an exactly adjustable interclip distance. By means of a combined handling and gearing screw and exchangeable 30 degrees-angled clips the instrument can easily be applied in narrow operating fields, and it can be handled under vision through the operating microscope without change in magnification adjustment. A quickly increasing platelt aggregation at the suture line and an early "slow flow" can be achieved by gradual opening of the clips. The ease of approximator application may contribute to shortening operation times.
描述了一种用于显微外科血管吻合的新型齿轮式吻合器。一种高精度、运行平稳且坚固的齿轮装置与一个不对称开槽的键相结合，可实现吻合器的快速应用和精确可调的夹间距。通过组合的操作和齿轮螺杆以及可更换的30度角夹，该器械可轻松应用于狭窄的手术视野，并且可以在手术显微镜下直视操作，而无需改变放大倍数调节。通过逐渐打开夹子，可以在缝合线处快速增加血小板聚集并实现早期“慢血流”。吻合器应用的简便性可能有助于缩短手术时间。
