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    • 2. 发明申请
    • TESTING TISSUE VIABILITY FOR AN ANASTOMOSIS
    • WO2019135681A1
    • 2019-07-11
    • PCT/NL2019/050008
    • 2019-01-07
    • VEENHOF MEDICAL DEVICES B.V.
    • VEENHOF, Alexander Arnold Frederik Adriaan
    • A61B5/00A61B5/026A61B5/022A61B17/11A61B5/1455
    • A61B5/0261A61B5/0053A61B5/02233A61B5/14551A61B5/42A61B5/4848
    • A method is described for testing the viability of a tissue of a patient for an anastomosis using a perfusion measuring device wherein the method may comprise: controlling at least one actuating structure of the perfusion measuring device to rapidly ramp up a force exerted on at least one test area of the tissue selected for an anastomosis, the force exerted on the at least one test area defining a local (systolic) perfusion pressure; and, during the ramp up of the force, the computer receiving a sensor signal from at least one sensor of the perfusion measuring device and a signal from a blood pressure device, the sensor signal being indicative of perfusion of blood through the micro vascularization in the first test area and the blood pressure signal being indicative of a general (systolic) blood pressure of the patient; controlling the first actuating structure to slowly ramp down the force exerted on the first test area, when the sensor signal signals the computer that the perfusion of the blood in the tissue of the first test area has stopped; and, during the ramp down of the force, the computer determining the local perfusion pressure at which the sensor signal indicates a start of perfusion of blood through the micro vascularization, the determined local perfusion pressure defining a reperfusion pressure value of the first test area; and, determining a prediction whether or not the tissue of the at least one test area is viable for an anastomosis on the basis of the local reperfusion pressure value of the at least one test area and the general systolic blood pressure value.