| 摘要 |
A hand-held instrument coagulates suture knots for enhanced security, preferably applying heat to thermoplastic materials. The instrument includes a proximal end adapted for gripping by a user, and a distal tip with a heating element activated by a user control. A knot-retaining feature is provided which allows the tool to function as a knot slider or pusher prior to sealing. The retaining feature may be a fork-shaped element, or may including a surface in communication with a tube, channel or groove, tube, enabling one or more strands of suture material to be dressed away from the tip when heated. The electrical conductors used to activate the heating element at the tip of the tool may be bipolar or unipolar, in which case the body of the patient is utilized as the return electrical path through a grounding pad. The tool may be entirely self-contained and battery operated, and the distal portion of the tool may be provided as a removable insert to existing Bovie instruments.
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