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descargarrexunpoliciadiferentetorrent advertizioni noi l’ultimo risultato.in the field of surgical instruments, there is a need for surgical instruments having a minimum of moving parts which are constructed to be disposable after a single surgical use. it would be preferred that such disposable surgical instruments be constructed of a single material, with the material selected to be compatible with body fluids. most prior art disposable surgical instruments have a sharp, pointed end or device which is intended to contact tissue or a body cavity, as in a tracheostomy tube or a cystoscope. a cauterizing device, such as a cauterizing catheter, is another example of such a surgical instrument. examples of such devices are described in the following: gross et al, u.s. pat. no. 4,120,402; gross et al., u. 4,321,066; ullmann et al. 5,122,121; gibson, u. 5,201,782; and behlke et al. 5,269,780. these devices generally comprise a pointed or elongated surgical instrument having a laser or a radiofrequency emitting device therein. there is a need for a surgical instrument which incorporates both radiofrequency and laser emitting devices, so that the co-ordinated action of the two radiations may be more effectively used by a surgeon in an operating room environment. this need has been addressed by providing a surgical instrument that incorporates two laser fiber assemblies. such instruments are described in the following: kiel et al. 5,383,851, kiel et al. 5,190,542; ledbetter et al. 5,419,761; belotti, u. 5,383,622; and hamm et al. 5,430,238. however, the prior art does not provide a surgical instrument which is suitable for single use and which is suitable for use in anatomical cavities, such as a tracheostomy tube or a cystoscope. typically, the prior art devices have been constructed in the form of a shaft with a pointed or sharp end device. such devices are inadequate when trying to cauterize body tissue or to communicate with the body cavity with laser radiation, since these devices are not capable of achieving the combination of focused, non-collimated, tissue-penetrating, and precise radiation required for these applications. thus, there is still a need for a surgical instrument with two optical devices of sufficient power and sufficient output to accomplish the desired surgical procedure. in addition, there is a need for a surgical instrument which may be operated and which may be more easily cleaned. by way of example, a tracheostomy tube is used to provide air or oxygen to the patient during the surgical procedure.

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