WordNet

equip with instruments for measuring, recording, or controlling
the means whereby some act is accomplished; "my greed was the instrument of my destruction"; "science has given us new tools to fight disease" (同)tool
a device that requires skill for proper use
a person used by another to gain an end (同)pawn, cat''s-paw
write an instrumental score for (同)instrumentate
address a legal document to
of or relating to or having vessels that conduct and circulate fluids; "vascular constriction"; "a vascular bundle"

PrepTutorEJDIC

(主として精密な)『器具』,器械,計器・(また『musical instrument』)『楽器』) / 手段,方便（means）;(人の)手先 / 法律文書(証書・遺書・協定書・約束手形など)
(血液・樹液などを運ぶ)管の,導管の,血管の

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1. 慢性腎臓病の小児に対する血液透析 hemodialysis for children with chronic kidney disease
2. 下肢跛行患者の手術の適応 indications for surgery in the patient with lower extremity claudication
3. 動脈疾患の非侵襲的診断 noninvasive diagnosis of arterial disease
4. 重度の四肢外傷の外科的マネージメント surgical management of severe extremity injury
5. 血管新生阻害剤の概要 overview of angiogenesis inhibitors

English Journal

Refinement of a surgical technique using angulated needle holders and surgical instruments.

Hodge J.AbstractSurgical techniques can be refined and dexterity improved by using angulated needle holders and instruments. This allows the surgeon to place his or her hand in the position of function while suturing either retrograde or antegrade, thus permitting flexion, extension, abduction, adduction, pronation and supination with circumduction to occur without restriction. Under normal circumstances abduction, pronation and extension are limited by anatomic factors, such as the greater mulitangular abutting the longer styloid process of the radius and the stronger ulnar collateral ligament restricting abduction. The chief indication for using angulated needle holders is in retrograde suturing, such as placing posterior row sutures in anastomosing blood vessels, intestine and the ureter. These instruments are not substitutes for straight needle holders but are chiefly an adjunct that permit the surgeon to perform movements with his hand at the wrist joint that are not allowed with the use of straight needle holders which require greater torque in performing operative procedures. They allow better exposure by improving visibility to the area being sutured since the surgeon is not looking down the barrel of the needle holder and has a clear unobstructed view. The instruments permit clamping and suturing of tissues and vessels in small deep wounds that do not readily admit nonangulated hemostats and needle holders, such as those in urologic and gynecologic operations. Instrument tying is easily accomplished because of the short shaft of the instrument, especially in plastic or surface surgical procedures. Furthermore, with angulation, one is able to grasp the needle holder between the thumb and volar aspect of the second and third digits, thus allowing easy retrograde movements that one experiences in grasping a thumb forceps. From the standpoint of medical egonometrics, hand fatigue is reduced since the needle holder does not have to be locked by closing the rings and engaging the serations each time the needle is handed to the surgeon for placement of sutures.
Surgery, gynecology & obstetrics.Surg Gynecol Obstet.1986 Jan;162(1):56-9.
Surgical techniques can be refined and dexterity improved by using angulated needle holders and instruments. This allows the surgeon to place his or her hand in the position of function while suturing either retrograde or antegrade, thus permitting flexion, extension, abduction, adduction, pronation
PMID 3510034

AN ANASTOMOSING INSTRUMENT FOR DUCTAL REPAIRS.

HEALEY JE Jr, MOORE EB.
American journal of surgery.Am J Surg.1965 May;109:689-90.
PMID 14281903

Japanese Journal

神経吻合器による末梢神経離断例に対する端々吻合の臨床経験について(<特集>脳と神経の研究III)

牧野博安 [他],秋元駿一,小高通夫,前田和嘉一,黄雅俊
千葉医学会雑誌 42(4), 325-332, 1966-11-28
… Russians have developed a new suture technique using an instrument based on stapling device but this method leaves metallic foreign bodies at the anastomosis which can develop into a neurinoma. … Nakayama's vascular anastomosis instrument, composed of two bisected rings, was first tried for the amputated nerve anastomosis on dogs. …
NAID 110007348209

新静脈吻合器の考案

泉宏重
千葉医学会雑誌 40(1/2), 1-19, 1964-07-28
… With the progress in technique of vascular anastomosing method, the problem of organ transplantation is getting more attention from the various medical point of view. … Key to the success of an organ-transplantation is on the vascular anastomosing method and the venous anastomsis is just as important as the arterial anastomosis which had so much emphasis stressed on in the past. …
NAID 110007347453