CA2387945C - Trocar with reinforced obturator shaft - Google Patents

Trocar with reinforced obturator shaft Download PDF

Info

Publication number
CA2387945C
CA2387945C CA2387945A CA2387945A CA2387945C CA 2387945 C CA2387945 C CA 2387945C CA 2387945 A CA2387945 A CA 2387945A CA 2387945 A CA2387945 A CA 2387945A CA 2387945 C CA2387945 C CA 2387945C
Authority
CA
Canada
Prior art keywords
shaft
obturator
obturator according
handle
distal end
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CA2387945A
Other languages
French (fr)
Other versions
CA2387945A1 (en
Inventor
Mark Tsonton
Robert J. Hughes
Saleem Qureshi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CA2387945A1 publication Critical patent/CA2387945A1/en
Application granted granted Critical
Publication of CA2387945C publication Critical patent/CA2387945C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454Details of tips
    • A61B2017/3456Details of tips blunt
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454Details of tips
    • A61B2017/346Details of tips with wings

Abstract

In accordance with the present invention there is provided an obturator for penetrating body tissue which contains a handle and a shaft. The shaft has a proximal end attached to the handle and a distal end extending from it. The handle and shaft are formed from a single piece of molded polymer. A substantially rigid reinforcing member which is formed from a material having a greater rigidity than the molded polymer is disposed along the shaft.

Description

TROCAR WITH REINFORCED OBTURATOR SHAFT
Field of the Invention This invention generally relates to surgical instruments; and more particularly, the invention relates to trocar devices for providing communication to the abdominal cavity. Trocar devices in accordance with the present. invention include a substantially reinforced obturator shaft which adds rigidity to overcome unwanted deflection during penetration.

Background of the Invention A trocar is a surgical instrument that is used to gain access to the abdominal cavity. A trocar generally comprises two major components, a cannula and an obturator. In order to penetrate the skin, a small incision is made by the surgeon where the trocar is to be inserted. The distal end of the trocar is then inserted into the tissue.
The obturator has a point or cutting edge at its distal end. By applying pressure against the proximal end of the obturator, the point is forced through the tissue until it enters a target location, such as the abdominal cavity. The cannula is inserted through the perforation made by the obturator and the obturator is withdrawn, leaving the cannula as an access to the abdominal cavity.

Because trocars include sharp blades, inadvertent tissue or organ puncture was a concern. One of the first technical challenges in connection with the design and manufacture of the trocar was the incorporation of features to enhance safety.
Specifically, it was important to develop a safety trocar which could substantially lessen the possibility of unintentional tissue or organ puncture. A trocar which includes a safety shield on the obturator was developed to lessen the possibility of unintentional puncture. The shield is biased in an extended position to cover the penetrating tip of the obturator. When the surgeon desires to penetrate tissue with the trocar, the safety shield retracts and exposes the penetrating tip. The shield remains in the retracted position so long as pressure is continuously applied. When the surgeon fully punctures the body wall, the pressure is relieved and the safety shield returns to its extended position covering the penetrating tip. Therefore, inadvertent puncture of bodily tissue and organs within. the body cavity can be avoided. An example of a trocar having a safety shield is disclosed in U.S. Patent 5,709,671 issued to Stephens et al. on January 20, 1998, While numerous trocars have been designed to prevent inadvertent puncture, l0 there was still clearly room for improvement. Regardless of the safety mechanisms built into these instruments, there were concerns of accidental puncture to body organs.
Therefore, other mechanisms for protecting tissues and organs from inadvertent puncture during surgery were developed. One such development in the design of trocars relates to the incorporation of visualization concurrently with penetration. An example of a patent which discloses a surgical penetration instrument adapted for visualization during penetration is U.S. Patent 5,271,380 issued to Riek, et al. on issued Dec. 21, 1993. This patent describes a penetrating instrument including a hollow, cylindrical sleeve and an imaging element attached to the sleeve at its distal end. In a preferred embodiment, it is a conical non-bladed penetrating tip to facilitate the advancement of the instrument into body tissue. The non-bladed obturator separates rather than cuts tissue while penetrating to gain access to a body cavity. In this way, the incorporation of a safety shield or another mechanism to protect tissue or organs from inadvertent puncture during insertion is unnecessary.

The advancement of the optical non-bladed obturator reduced safety concerns and inadvertent tissue punctures encountered with early trocars; however, there was still opportunity for improvement. The trocars in the prior art are constructed of a large number of elements requiring various techniques in assembling the optical non-bladed obturator, creating manufacturing challenges. For example, manufacturers assemble the obturator by gluing the penetrating tip on the shaft of the obturator, or by using other mechanical means known in the art. Not only is the large number of elements a challenge to assemble, there is also a significant cost associated with assembling all of these elements.

Many of the surgeons using the optical non-bladed obturator began using it without the aid of the imaging device. The surgeons found that they were comfortable performing the surgical procedures using tactile feed back.

This surgical preference and the desire to reduce manufacturing challenges and 1o costs led to the development of a one-piece solid plastic non-bladed obturator. The one-piece solid plastic non-bladed obturator enabled the use of conventional plastic processing methods such as injection molding, thus reducing manufacturing and assembly costs. Using injection molding, the one-piece.solid plastic obturator had a straight injected molded plastic shaft. However, tests showed that the force required to penetrate tissue was great enough to cause unwanted deflection of the molded obturator shaft, especially on small diameter devices. This flexibility would be problematic during tissue penetration. This invention overcomes the obturator shaf3 deflection problem.

Summarv of the Invention In accordance with the present invention there is provided an obturator for penetrating body tissue which contains a handle and a shaft. The shaft has a proximal end attached to the handle and a distal end extending from it. The handle and shaft are fornled from a single piece of molded polymer. A substantially rigid reinforcing member which is formed from a material having a greater rigidity than the molded polymer is disposed along the shaft.
In accordance with a further aspect, there is provided a trocar comprising:

a. a cannula comprising a tubular sleeve having a proximal end, a distal end and a passageway therethrough, said cannula having a housing attached to said proximal end of said sleeve, said housing having an opening at a proximal end thereof which is in communication with said passageway of said sleeve;

b. an obturator insertable into said cannula, said obturator comprising a handle and a shaft, said shaft having a proximal end attached to said handle and a distal end extending therefrom, said handle and said shaft formed from single piece of molded polymer; and c. a substantially rigid reinforcing member disposed along said shaft, said member formed from a material having a greater rigidity than said molded polymer.

3a Brief Description of the DrawinQs FIG. 1 is a perspective view of a trocar assembly including the obturator of the present invention.

FIG. 2 is an exploded perspective view of the trocar showing the obturator and cannula separated.

FIG. 3 is a plan view of the obturator of the present invention.
FIG. 4 is an enlarged view of the penetrating tip of the obturator.

FIG. 5 is an enlarged view of the penetration tip, shown in FIG. 4 rotated 90 .

FIG. 6 is a cross-sectional view taken along line 6-6 of FIG. 5 of the preferred embodiment of the reinforced shaft of the obturator in the present invention.

FIG. 7 is a cross-sectional view taken along line 6-6 of FIG. 5 of a second, alternate embodiment of the reinforced shaft of the obturator in the present invention.

FIG. 8 is a cross-sectional view taken along line 6-6 of FIG. 5 of a third, alternate embodiment of the reinforced shaft of the obturator in the present invention.

Detailed Description of the Preferred Embodiment Reference numerals are used in this description to desigriate the various components and elements of the instrument of this invention. Identical reference numerals designated in the various drawings refer to the identical element or component of the surgical penetration instrument. As used in this description, "proximal" or "proximally" refers to that portion of the instrument, component, or element which I

extends toward the user. Conversely, "distal" or "distally" refers to that portion of the instrument, component, or element which extends away from the user.

Referring to FIGS. 1 and 2, there is shown trocar 2 which incorpoirates obturator 20 and cannula 8 of the present invention. As illustrated in FIG. 2, obturator 20 is inserted into and through valve 10 and into sleeve housing 14 and sleeve 12.
During insertion, an intemal. valve (not shown) connected to -valve lever 18 is opened. Seal 10 is preferably a septum valve which surrounds shaft 22 preventing any fluid or gas from escaping through cannula 8. When shaft 22 is fully inserted into cannula 8, hub 24 is i o secured to sleeve housing 14 by handle 26. Penetrating tip 32 of obtui-ator 20, and a portion of the distal end of shaft 22, extend distally from sleeve 12.

In an actual surgical procedure utilizing the device of the present invention, a surgeon, using a scalpel, makes a small incision where trocar 2, shown in FIG.
1, is to be positioned during the surgical procedure. The distal end of trocar 2 is then inserted into the tissue exposed by the small incision. After insertion into the tissue, trocar 2 is oscillated back and forth around its axis to facilitate penetration.
Separators 34 and 36 on penetrating tip 32 help to separate tissue during oscillation to facilitate the advancement of trocar 2 into the abdominal cavity.

After penetration into the abdominal cavity is complete, obturator 20 is removed from cannula 8 by pressing buttons 51 and 52 (not shown) which releases handle from sleeve housing 14. When obturator 20 is removed an internal valve (not shown) connected to valve lever 18 closes preventing any fluid or gas from escaping cannula 8.
If desired, a pressurizing gas such as carbon dioxide can be selectively pumped through sleeve 12 via stopcock 16. Surgical instruments, such as linear staplers, graspers, clip appliers, scopes etc. can now be inserted through cannula 8 to perform a procedure at the surgical site.
Referring again to FIGS. 1 and 2, cannula 8 includes sleeve 1.2 and sleeve housing 14. Sleeve 12 extends distally from sleeve housing 14. Sleeve housing includes stopcock 16, valve lever 18, and seal 10.

Obturator 20, as shown in FIG. 3, has a shaft 22 having a proximal end 42 attached to handle 26, and a distal end 44 extending therefrom. Handle 26 and shaft 22 are formed from single piece of molded polymer. Shaft 22 preferably includes a conical penetrating tip 32 which is integrally molded to shaft 22 at its distal er,Ld 44. Tip 32 includes first and second separators 34 and 36 which extend outwardly from penetrating io tip 32. Handle 26 has a cap 46 attached to the proximal end 42 of shaft 22.
Cap 46 is snapped onto handle 26 and is secured thereon by an interference fit.

Referring now to FIGS. 4 and 5, penetrating tip 32 is molded integrally to shaft 22 at distal end 44. Penetrating tip 32 has circular base 40 and blunt poir,it 38 extending distally from base 40. Base 40 is positioned adjacent to the distal end 44 of shaft 22.
First and second separators 34 and 36, respectively, have generally straight, linear edge surfaces. Each first and second separator 34 and 36 extends longitudinally from adjacent to base 40 toward point 38 of penetrating tip 32. First and second separators 34 and 36 are spaced about 180 from each other, and are positioned proximally to point 2o 38.

Referring again to FIG. 3, shaft 22 further includes a reinforcing member 30 disposed thereon. In the embodiment illustrated in FIG. 6, member 30 is a rigid reinforcing hollow tube made of stainless steel, titanium or any other suitable material known to those skilled in the art. Using manufacturing methods like injection molding, a polymer such as polycarbonate, or any other suitable polymer known to those skilled in the art, can be injected through member 30 wile forming shaft 22 and handle 26.
Other manufacturing methods, readily apparent to those skilled in the art, could also be used to make the present invention.
An alternate embodiment of the present invention is shown in FIG. 7. In this embodiment, shaft 122, similar to shaft 22, includes a reinforcing member 130 disposed within the shaft 122. Member 130 is a solid cylindrical rod made of a reinforcing material such as stainless steel, aluminum or any other material known to those skilled in the art. Using manufacturing methods like injection molding, shaft 122 and handle 126 (not shown) can be integrally molded as a single piece around member 130.

FIG. 8 shows another alternate embodiment, similar to that shown in Figure 7, wherein shaft 222 includes of a member 230 disposed therein. Member 230 is similar to member 130 but has a plus shaped cross-section. As will be appreciated by those skilled in the art, many other suitable cross-sectional configurations other than circular and plus, can be used in the present invention.

Although particular embodiments of the present invention have been shown and described, other embodiments will become apparent to those skilled in the art without departing form the spirit and scope of the present invention. The terms used in describing the invention are used in their descriptive sense and nc-t as terms of limitations.

Claims (18)

1. An obturator for penetrating body tissue, said obturator comprising:

a. a handle and a shaft, said shaft having a proximal end attached to said handle, and a distal end extending therefrom, said handle and said shaft formed from single piece of molded polymer; and b. a substantially rigid reinforcing member disposed along said shaft, said member formed from a material having greater rigidity than said molded polymer.
2. The obturator according to claim 1, wherein said distal end has a penetrating tip thereon.
3. The obturator according to claim 2, wherein said penetrating tip is generally conical.
4. The obturator according to claim 2, wherein said penetrating tip has at least one separator extending outwardly therefrom.
5. The obturator according to claim 1, wherein said member is a hollow cylindrical tube disposed around said shaft.
6. The obturator according to claim 1, wherein said member is a solid rod embedded within said shaft.
7. The obturator according to claim 6, wherein said rod is cylindrical.
8. The obturator according to claim 6, wherein said rod has a plus shaped cross-section.
9. The obturator according to claim 1, wherein said member comprises a metal.
10. A trocar comprising:
a. a cannula comprising a tubular sleeve having a proximal end, a distal end and a passageway therethrough, said cannula having a housing attached to said proximal end of said sleeve, said housing having an opening at a proximal end thereof which is in communication with said passageway of said sleeve;

b. an obturator insertable into said cannula, said obturator comprising a handle and a shaft, said shaft having a proximal end attached to said handle and a distal end extending therefrom, said handle and said shaft formed from single piece of molded polymer; and c. a substantially rigid reinforcing member disposed along said shaft, said member formed from a material having a greater rigidity than said molded polymer.
11. The obturator according to claim 10, wherein said distal end has a penetrating tip thereon.
12. The obturator according to claim 11, wherein said penetrating tip is generally conical.
13. The obturator according to claim 11, wherein said penetrating tip has at least one separator extending outwardly therefrom.
14. The obturator according to claim 10, wherein said member is a hollow cylindrical tube disposed around said shaft.
15. The obturator according to claim 10, wherein said member is a solid rod embedded within said shaft.
16. The obturator according to claim 15, wherein said rod is cylindrical.
17. The obturator according to claim 15, wherein said rod has a plus shaped cross-section.
18. The obturator according to claim 10, wherein said member comprises a metal.
CA2387945A 2001-06-01 2002-05-29 Trocar with reinforced obturator shaft Expired - Fee Related CA2387945C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/871,922 2001-06-01
US09/871,922 US6656198B2 (en) 2001-06-01 2001-06-01 Trocar with reinforced obturator shaft

Publications (2)

Publication Number Publication Date
CA2387945A1 CA2387945A1 (en) 2002-12-01
CA2387945C true CA2387945C (en) 2010-02-23

Family

ID=25358448

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2387945A Expired - Fee Related CA2387945C (en) 2001-06-01 2002-05-29 Trocar with reinforced obturator shaft

Country Status (9)

Country Link
US (1) US6656198B2 (en)
EP (1) EP1262150B1 (en)
JP (1) JP4290388B2 (en)
CN (1) CN1232227C (en)
AU (1) AU781610B2 (en)
CA (1) CA2387945C (en)
DE (1) DE60200308T2 (en)
ES (1) ES2215971T3 (en)
MX (1) MXPA02005541A (en)

Families Citing this family (221)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11229472B2 (en) 2001-06-12 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with multiple magnetic position sensors
JP4287273B2 (en) 2001-09-24 2009-07-01 アプライド メディカル リソーシーズ コーポレイション Bladeless obturator
WO2003096879A2 (en) * 2002-05-16 2003-11-27 Applied Medical Resources Corporation Cone tip obturator
EP2543329B1 (en) * 2003-10-03 2014-02-12 Applied Medical Resources Corporation Bladeless optical obturator
US7297141B2 (en) * 2004-01-20 2007-11-20 Ethicon Endo-Surgery, Inc. Method for accessing an operative space
US7585290B2 (en) * 2004-01-20 2009-09-08 Ethicon Endo-Surgery, Inc. Medical device for providing access
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US7320694B2 (en) * 2004-03-11 2008-01-22 Coopersurgical, Inc. Obturator tip
US20050209607A1 (en) 2004-03-22 2005-09-22 John Lipchitz Medical cannula assembly
AU2005260071B2 (en) 2004-06-29 2011-06-30 Applied Medical Resources Corporation Insufflating optical surgical instrument
JP5009159B2 (en) 2004-10-08 2012-08-22 エシコン・エンド−サージェリィ・インコーポレイテッド Ultrasonic surgical instrument
JP2007069329A (en) * 2005-09-08 2007-03-22 Japan Science & Technology Agency Manufacturing method of three-dimensional microstructure operational tool, and three-dimensional microstructure operational tool manufactured by it
US7794644B2 (en) * 2005-10-05 2010-09-14 Applied Medical Resources Corporation Thin-walled optical obturator
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
EP1933733A2 (en) 2005-10-14 2008-06-25 Applied Medical Resources Corporation Surgical access port
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
US8287560B2 (en) * 2006-07-19 2012-10-16 Richard Spaide Sharp trochar for insertion of a cannula in vitrectomy surgery
US7806870B2 (en) * 2006-10-06 2010-10-05 Surgiquest, Incorporated Elastically deformable surgical access device having telescoping guide tube
US7798998B2 (en) 2006-10-06 2010-09-21 Surgiquest, Inc. Elastically deformable surgical access device
WO2010042913A2 (en) * 2006-10-06 2010-04-15 Surgiquest, Incorporated Devices for and methods of performing minimally-invasive surgical procedures through a single incision
EP3581116A1 (en) 2006-10-06 2019-12-18 Applied Medical Resources Corporation Visual insufflation port
JP5327748B2 (en) * 2006-12-15 2013-10-30 コヴィディエン リミテッド パートナーシップ Design of trocar assembly with obturator
US20080171988A1 (en) 2007-01-17 2008-07-17 Erblan Surgical, Inc. Double-cone sphincter introducer assembly and integrated valve assembly
AU2008219113B2 (en) * 2007-02-20 2013-05-09 Covidien Lp Surgical apparatus with annular penetrator
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US8940007B2 (en) 2007-04-18 2015-01-27 Covidien Lp Trocar assembly with obturator dissector
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8623027B2 (en) 2007-10-05 2014-01-07 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
US8282663B2 (en) * 2007-10-05 2012-10-09 Tyco Healthcare Group Lp Bladeless obturator for use in a surgical trocar assembly
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
EP2837343B1 (en) 2008-01-25 2016-09-14 Applied Medical Resources Corporation Insufflating access system
US8911463B2 (en) * 2008-06-10 2014-12-16 Covidien Lp Bladed/bladeless obturator for use in a surgical trocar assembly
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
WO2010037099A1 (en) 2008-09-29 2010-04-01 Applied Medical Resources Corporation First-entry trocar system
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8491533B2 (en) 2009-10-08 2013-07-23 Ethicon Endo-Surgery, Inc. Trocar assembly
US8932249B2 (en) 2009-10-08 2015-01-13 Ethicon Endo-Surgery, Inc. Trocar assembly
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8574231B2 (en) 2009-10-09 2013-11-05 Ethicon Endo-Surgery, Inc. Surgical instrument for transmitting energy to tissue comprising a movable electrode or insulator
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US10172669B2 (en) 2009-10-09 2019-01-08 Ethicon Llc Surgical instrument comprising an energy trigger lockout
US8906016B2 (en) 2009-10-09 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical instrument for transmitting energy to tissue comprising steam control paths
US8747404B2 (en) 2009-10-09 2014-06-10 Ethicon Endo-Surgery, Inc. Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions
US8939974B2 (en) 2009-10-09 2015-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism
US8986302B2 (en) 2009-10-09 2015-03-24 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US9226774B2 (en) 2009-12-17 2016-01-05 Covidien Lp Visual obturator with tip openings
US8979883B2 (en) 2009-12-17 2015-03-17 Covidien Lp Obturator tip
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
US8696665B2 (en) 2010-03-26 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical cutting and sealing instrument with reduced firing force
US8834518B2 (en) 2010-04-12 2014-09-16 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
US8623044B2 (en) 2010-04-12 2014-01-07 Ethicon Endo-Surgery, Inc. Cable actuated end-effector for a surgical instrument
US8496682B2 (en) 2010-04-12 2013-07-30 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
US8709035B2 (en) 2010-04-12 2014-04-29 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion
US8535311B2 (en) 2010-04-22 2013-09-17 Ethicon Endo-Surgery, Inc. Electrosurgical instrument comprising closing and firing systems
US8685020B2 (en) 2010-05-17 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instruments and end effectors therefor
GB2480498A (en) 2010-05-21 2011-11-23 Ethicon Endo Surgery Inc Medical device comprising RF circuitry
US8790342B2 (en) 2010-06-09 2014-07-29 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing pressure-variation electrodes
US8926607B2 (en) 2010-06-09 2015-01-06 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing multiple positive temperature coefficient electrodes
US8795276B2 (en) 2010-06-09 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing a plurality of electrodes
US8888776B2 (en) 2010-06-09 2014-11-18 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing an electrode
US8753338B2 (en) 2010-06-10 2014-06-17 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing a thermal management system
US9005199B2 (en) 2010-06-10 2015-04-14 Ethicon Endo-Surgery, Inc. Heat management configurations for controlling heat dissipation from electrosurgical instruments
US8764747B2 (en) 2010-06-10 2014-07-01 Ethicon Endo-Surgery, Inc. Electrosurgical instrument comprising sequentially activated electrodes
DE102010023420A1 (en) * 2010-06-11 2011-12-15 Olympus Winter & Ibe Gmbh Surgical instrument with end effector
WO2012006306A2 (en) 2010-07-08 2012-01-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an articulatable end effector
US8834466B2 (en) 2010-07-08 2014-09-16 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an articulatable end effector
US9149324B2 (en) 2010-07-08 2015-10-06 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an articulatable end effector
US20120016413A1 (en) 2010-07-14 2012-01-19 Ethicon Endo-Surgery, Inc. Surgical fastening devices comprising rivets
US8453906B2 (en) 2010-07-14 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical instruments with electrodes
US8795327B2 (en) 2010-07-22 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument with separate closure and cutting members
US9192431B2 (en) 2010-07-23 2015-11-24 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8979843B2 (en) 2010-07-23 2015-03-17 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US9011437B2 (en) 2010-07-23 2015-04-21 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8979844B2 (en) 2010-07-23 2015-03-17 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8702704B2 (en) 2010-07-23 2014-04-22 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8961552B2 (en) 2010-09-21 2015-02-24 Covidien Lp Bladeless obturators and bladeless obturator members
US8979890B2 (en) 2010-10-01 2015-03-17 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
US8628529B2 (en) 2010-10-26 2014-01-14 Ethicon Endo-Surgery, Inc. Surgical instrument with magnetic clamping force
US9101315B2 (en) 2010-11-11 2015-08-11 Specialty Care, Inc. Cannula system
US8821526B2 (en) 2010-11-11 2014-09-02 Specialtycare, Inc. Trocar
US8715277B2 (en) 2010-12-08 2014-05-06 Ethicon Endo-Surgery, Inc. Control of jaw compression in surgical instrument having end effector with opposing jaw members
WO2012151276A2 (en) 2011-05-02 2012-11-08 Applied Medical Resources Corporation Low-profile surgical universal access port
US9259265B2 (en) 2011-07-22 2016-02-16 Ethicon Endo-Surgery, Llc Surgical instruments for tensioning tissue
US9044243B2 (en) 2011-08-30 2015-06-02 Ethcon Endo-Surgery, Inc. Surgical cutting and fastening device with descendible second trigger arrangement
WO2013059175A1 (en) 2011-10-18 2013-04-25 Covidien Lp Optical trocar system
US9314292B2 (en) 2011-10-24 2016-04-19 Ethicon Endo-Surgery, Llc Trigger lockout mechanism
CN111281457B (en) * 2011-11-15 2023-10-20 直观外科手术操作公司 Surgical instrument with retracting blade
EP2811932B1 (en) 2012-02-10 2019-06-26 Ethicon LLC Robotically controlled surgical instrument
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9186173B2 (en) 2012-04-27 2015-11-17 Specialty Care, Inc. Optical obturator system
US9402532B2 (en) * 2012-06-26 2016-08-02 Covidien Lp Optical obturator
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US20140005640A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical end effector jaw and electrode configurations
US9326788B2 (en) 2012-06-29 2016-05-03 Ethicon Endo-Surgery, Llc Lockout mechanism for use with robotic electrosurgical device
US20140005702A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with distally positioned transducers
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
BR112015007010B1 (en) 2012-09-28 2022-05-31 Ethicon Endo-Surgery, Inc end actuator
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
US9295514B2 (en) 2013-08-30 2016-03-29 Ethicon Endo-Surgery, Llc Surgical devices with close quarter articulation features
US9814514B2 (en) 2013-09-13 2017-11-14 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US9861428B2 (en) 2013-09-16 2018-01-09 Ethicon Llc Integrated systems for electrosurgical steam or smoke control
US9265926B2 (en) 2013-11-08 2016-02-23 Ethicon Endo-Surgery, Llc Electrosurgical devices
US9526565B2 (en) 2013-11-08 2016-12-27 Ethicon Endo-Surgery, Llc Electrosurgical devices
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US9795436B2 (en) 2014-01-07 2017-10-24 Ethicon Llc Harvesting energy from a surgical generator
US9408660B2 (en) 2014-01-17 2016-08-09 Ethicon Endo-Surgery, Llc Device trigger dampening mechanism
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US10524852B1 (en) 2014-03-28 2020-01-07 Ethicon Llc Distal sealing end effector with spacers
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
US9757186B2 (en) 2014-04-17 2017-09-12 Ethicon Llc Device status feedback for bipolar tissue spacer
US9545264B2 (en) * 2014-06-06 2017-01-17 Surgiquest, Inc. Trocars and obturators
US9700333B2 (en) 2014-06-30 2017-07-11 Ethicon Llc Surgical instrument with variable tissue compression
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
US9877776B2 (en) 2014-08-25 2018-01-30 Ethicon Llc Simultaneous I-beam and spring driven cam jaw closure mechanism
US10194976B2 (en) 2014-08-25 2019-02-05 Ethicon Llc Lockout disabling mechanism
US10194972B2 (en) 2014-08-26 2019-02-05 Ethicon Llc Managing tissue treatment
CN104188713B (en) * 2014-09-11 2016-12-07 常州健瑞宝医疗器械有限公司 Puncturing lever and there is the perforator of described puncturing lever
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
US10092348B2 (en) 2014-12-22 2018-10-09 Ethicon Llc RF tissue sealer, shear grip, trigger lock mechanism and energy activation
US10111699B2 (en) 2014-12-22 2018-10-30 Ethicon Llc RF tissue sealer, shear grip, trigger lock mechanism and energy activation
US9848937B2 (en) 2014-12-22 2017-12-26 Ethicon Llc End effector with detectable configurations
US10159524B2 (en) 2014-12-22 2018-12-25 Ethicon Llc High power battery powered RF amplifier topology
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10314638B2 (en) 2015-04-07 2019-06-11 Ethicon Llc Articulating radio frequency (RF) tissue seal with articulating state sensing
US10117702B2 (en) 2015-04-10 2018-11-06 Ethicon Llc Surgical generator systems and related methods
US10130410B2 (en) 2015-04-17 2018-11-20 Ethicon Llc Electrosurgical instrument including a cutting member decouplable from a cutting member trigger
US9872725B2 (en) 2015-04-29 2018-01-23 Ethicon Llc RF tissue sealer with mode selection
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
US11033322B2 (en) 2015-09-30 2021-06-15 Ethicon Llc Circuit topologies for combined generator
US10959771B2 (en) 2015-10-16 2021-03-30 Ethicon Llc Suction and irrigation sealing grasper
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10675009B2 (en) 2015-11-03 2020-06-09 Ethicon Llc Multi-head repository for use with a surgical device
US10912543B2 (en) * 2015-11-03 2021-02-09 Ethicon Llc Surgical end effector loading device and trocar integration
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10959806B2 (en) 2015-12-30 2021-03-30 Ethicon Llc Energized medical device with reusable handle
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US11051840B2 (en) 2016-01-15 2021-07-06 Ethicon Llc Modular battery powered handheld surgical instrument with reusable asymmetric handle housing
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10856934B2 (en) 2016-04-29 2020-12-08 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting and tissue engaging members
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10987156B2 (en) 2016-04-29 2021-04-27 Ethicon Llc Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US10828056B2 (en) 2016-08-25 2020-11-10 Ethicon Llc Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations
US10751117B2 (en) 2016-09-23 2020-08-25 Ethicon Llc Electrosurgical instrument with fluid diverter
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US11033325B2 (en) 2017-02-16 2021-06-15 Cilag Gmbh International Electrosurgical instrument with telescoping suction port and debris cleaner
US10799284B2 (en) 2017-03-15 2020-10-13 Ethicon Llc Electrosurgical instrument with textured jaws
US11497546B2 (en) 2017-03-31 2022-11-15 Cilag Gmbh International Area ratios of patterned coatings on RF electrodes to reduce sticking
US10603117B2 (en) 2017-06-28 2020-03-31 Ethicon Llc Articulation state detection mechanisms
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
US11033323B2 (en) 2017-09-29 2021-06-15 Cilag Gmbh International Systems and methods for managing fluid and suction in electrosurgical systems
US11484358B2 (en) 2017-09-29 2022-11-01 Cilag Gmbh International Flexible electrosurgical instrument
US11490951B2 (en) 2017-09-29 2022-11-08 Cilag Gmbh International Saline contact with electrodes
US11357542B2 (en) 2019-06-21 2022-06-14 Covidien Lp Valve assembly and retainer for surgical access assembly
US11612445B2 (en) 2019-06-27 2023-03-28 Cilag Gmbh International Cooperative operation of robotic arms
US11547468B2 (en) 2019-06-27 2023-01-10 Cilag Gmbh International Robotic surgical system with safety and cooperative sensing control
US11723729B2 (en) 2019-06-27 2023-08-15 Cilag Gmbh International Robotic surgical assembly coupling safety mechanisms
US11607278B2 (en) 2019-06-27 2023-03-21 Cilag Gmbh International Cooperative robotic surgical systems
US11413102B2 (en) 2019-06-27 2022-08-16 Cilag Gmbh International Multi-access port for surgical robotic systems
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US20210196361A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with monopolar and bipolar energy capabilities
US11744636B2 (en) 2019-12-30 2023-09-05 Cilag Gmbh International Electrosurgical systems with integrated and external power sources
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
USD963851S1 (en) 2020-07-10 2022-09-13 Covidien Lp Port apparatus
USD956219S1 (en) 2020-07-10 2022-06-28 Covidien Lp Port apparatus
US11931026B2 (en) 2021-06-30 2024-03-19 Cilag Gmbh International Staple cartridge replacement

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3613684A (en) 1969-09-19 1971-10-19 David S Sheridan Trocar catheters
US3994287A (en) 1974-07-01 1976-11-30 Centre De Recherche Industrielle Du Quebec Trocar
JPH0630776B2 (en) 1990-04-03 1994-04-27 荏原インフイルコ株式会社 Organic wastewater treatment method
US5685820A (en) 1990-11-06 1997-11-11 Partomed Medizintechnik Gmbh Instrument for the penetration of body tissue
DE4035146A1 (en) 1990-11-06 1992-05-07 Riek Siegfried INSTRUMENT FOR PENETRATING BODY TISSUE
US5334150A (en) 1992-11-17 1994-08-02 Kaali Steven G Visually directed trocar for laparoscopic surgical procedures and method of using same
US5389077A (en) 1993-03-03 1995-02-14 Uresil Corporation Minimally invasive body cavity penetrating instruments
US5569291A (en) * 1995-02-01 1996-10-29 Ethicon Endo-Surgery, Inc. Surgical penetration and dissection instrument
CA2168694A1 (en) * 1995-03-20 1996-09-21 Wayne P. Young Trocar assembly with electrocautery penetrating tip
US5797946A (en) 1995-07-13 1998-08-25 Origin Medsystems, Inc. Method for arterial harvest and anastomosis for coronary bypass grafting
US5709671A (en) 1995-10-16 1998-01-20 Ethicon Endo-Surgery, Inc. Trocar having an improved tip configuration
US5817061A (en) * 1997-05-16 1998-10-06 Ethicon Endo-Surgery, Inc. Trocar assembly
US5916233A (en) 1998-03-05 1999-06-29 Origin Medsystems, Inc. Vessel harvesting method and instrument including access port
US5895353A (en) 1998-06-22 1999-04-20 Origin Medsystems, Inc. Vessel isolating retractor cannula and method

Also Published As

Publication number Publication date
DE60200308D1 (en) 2004-05-06
CA2387945A1 (en) 2002-12-01
CN1389180A (en) 2003-01-08
AU781610B2 (en) 2005-06-02
MXPA02005541A (en) 2002-12-09
CN1232227C (en) 2005-12-21
JP2003019140A (en) 2003-01-21
ES2215971T3 (en) 2004-10-16
EP1262150A3 (en) 2002-12-11
US20020183775A1 (en) 2002-12-05
US6656198B2 (en) 2003-12-02
JP4290388B2 (en) 2009-07-01
EP1262150B1 (en) 2004-03-31
DE60200308T2 (en) 2005-05-04
AU3435702A (en) 2002-12-05
EP1262150A2 (en) 2002-12-04

Similar Documents

Publication Publication Date Title
CA2387945C (en) Trocar with reinforced obturator shaft
EP1269926B1 (en) Trocar having an improved seal design
US5104383A (en) Trocar adapter seal and method of use
US5137509A (en) Surgical insufflation instrument
US5674237A (en) Safety trocar
CA2640388C (en) Bladeless obturator for use in a surgical trocar assembly
US5620456A (en) Trocar assembly
US5776156A (en) Endoscopic cutting instrument
EP2984998B1 (en) Insufflating optical surgical instrument
EP0807414B1 (en) Trocar assembly with springloaded mechanism
EP2768409B1 (en) Optical trocar system
US5776110A (en) Thoracic port
US5554167A (en) Tissue piercing members
US5554137A (en) Tissue piercing members
US8133245B2 (en) Surgical apparatus with annular penetrator
CA2026286C (en) Trocar adapter seal
EP1799284B1 (en) Surgical system for laparoscopic surgery

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20220301

MKLA Lapsed

Effective date: 20200831