Búsqueda Imágenes Maps Play YouTube Noticias Gmail Drive Más »
Iniciar sesión
Usuarios de lectores de pantalla: deben hacer clic en este enlace para utilizar el modo de accesibilidad. Este modo tiene las mismas funciones esenciales pero funciona mejor con el lector.

Patentes

  1. Búsqueda avanzada de patentes
Número de publicaciónUS20070288055 A1
Tipo de publicaciónSolicitud
Número de solicitudUS 11/725,327
Fecha de publicación13 Dic 2007
Fecha de presentación19 Mar 2007
Fecha de prioridad4 May 2005
También publicado comoUS7320687, US20060264993, WO2006119238A2, WO2006119238A3
Número de publicación11725327, 725327, US 2007/0288055 A1, US 2007/288055 A1, US 20070288055 A1, US 20070288055A1, US 2007288055 A1, US 2007288055A1, US-A1-20070288055, US-A1-2007288055, US2007/0288055A1, US2007/288055A1, US20070288055 A1, US20070288055A1, US2007288055 A1, US2007288055A1
InventoresThomas Lee
Cesionario originalLee Thomas H
Exportar citaBiBTeX, EndNote, RefMan
Enlaces externos: USPTO, Cesión de USPTO, Espacenet
Tendon stripper
US 20070288055 A1
Resumen
The invention includes a tendon stripper comprising: (a) a frame, including a cautery, that is adapted to separate surrounding tissue along a length of a tendon; (b) a handle mounted to the frame that is adapted to reposition the frame with respect to the tendon; and (c) an actuator in communication with the cautery and operative to activate the cautery, where activation of the cautery is adapted to sever the tendon. The invention also includes a method of stripping a tendon comprising: (a) exposing a tendon; (b) aligning a tendon stripper guide with respect to a first location to the tendon; (c) repositioning the tendon stripper guide along the tendon from the first location of the tendon to a second location of the tendon, where the act of repositioning of the tendon stripper guide is operative to separate surrounding tissue from the tendon between the first location and the second location; (d) activating a cautery to sever the tendon approximate the second location; and (e) cutting the tendon at a location other than the second location to provide a tendon segment.
Imágenes(5)
Previous page
Next page
Reclamaciones(9)
1. A tendon stripper comprising:
a frame, including a cautery, that is adapted to separate surrounding tissue along a length of a tendon;
a handle mounted to the frame that is adapted to reposition the frame with respect to the tendon; and
an actuator in communication with the cautery and operative to activate the cautery, where activation of the cautery is adapted to sever the tendon.
2. The tendon stripper of claim 1, wherein the frame includes a distal guide adapted to at least partially circumscribe at least a portion of the tendon, where the distal guide is adapted to guide the frame along the length of the tendon.
3. The tendon stripper of claim 1, wherein:
the cautery includes an electrical cautery wire;
the frame includes a housing along which the electrical cautery wire extends, the electrical cautery wire is adapted to be longitudinally repositionable along a length of the housing; and
the electrical cautery wire is mounted to the distal guide to at least partially circumscribe a portion of the tendon in a pre-severance position.
4. The tendon stripper of claim 3, wherein:
the electrical cautery wire is mounted to the actuator; and
the actuator is operative to reposition the electrical cautery wire between the pre-severance position and a post-severance position, the repositioning of the electrical cautery wire between the positions includes repositioning the electrical cautery wire along the length of the housing.
5. The tendon stripper of claim 1, wherein:
the distal guide is arcuately shaped; and
a distal end of the distal guide is tapered.
6. The tendon stripper of claim 2, wherein:
the distal guide includes a cylindrical portion;
an aspect of the cylindrical portion is repositionable between an open position and a closed position, where the cylindrical portion circumscribes the tendon in the closed position; and
the cylindrical portion includes a latch operative to maintain the cylindrical portion in the closed position when engaged, and operative to allow the cylindrical portion to be positioned in the open position when disengaged.
7. The tendon stripper of claim 6, wherein:
the electrical cautery wire is mounted to the cylindrical portion;
the electrical cautery wire at least partially circumferentially lines a portion of an interior wall of the cylindrical portion in a U-shaped pre-severance position; and
the electrical cautery wire is displaced from the U-shaped pre-severance position to a more taught post-severance position in order to sever the tendon.
8. The tendon stripper of claim 1, wherein:
the handle includes a cavity adapted to house a portable power source; and
the handle includes electrical leads adapted to be in electrical communication with the portable power source and the cautery.
9. The tendon stripper of claim 1, wherein:
the actuator is repositionably mounted to the handle;
the cautery includes an electrical cautery wire; and
the actuator is mounted to the electrical cautery wire so that movement of the actuator from a first position to a second position is operative to reposition the electrical cautery wire from a pre-severance position with respect to the tendon to a post-severance position with respect to the tendon.
Descripción
    CROSS REFERENCE TO RELATED APPLICATIONS
  • [0001]
    The present application claims priority under 35 U.S.C. §§ 120, 121 to, and is a divisional of, U.S. patent application Ser. No. 11/121,747 filed on May 4, 2005, now U.S. Pat. No. ______.
  • RELATED ART
  • [0002]
    1. Field of the Invention
  • [0003]
    The present invention is directed to orthopedic surgical devices and associated methods of Minimally Invasive Surgery (MIS) and, more specifically, to tendon strippers and associated methods of harvesting tendons for use with MIS.
  • [0004]
    2. Brief Discussion of Related Art
  • [0005]
    The human body can frequently be impaired through dysfunction of an extremity commonly caused by loss of tendon or ligament function. Although repair of the ligament or tendon can be accomplished if the injury is recognized early, delayed treatment of these types of injuries or conditions may require a tendon transfer.
  • [0006]
    Tendon transfer utilizes the power and function of a normal tendon by surgically moving the tendon to another area of the body to substitute or supplement the function of an injured or diseased tendon. The surgical procedure involved with tendon transfer includes exposing both the diseased tendon and the normal tendon, as well as re-routing the origin or insertion of both tendons. A large incision is utilized with this technique to facilitate accurate placement of the transferred tendon. The tendon, once exposed, is transected under clear view of the surgeon and thereafter implanted in the desired location. Implantation may include anchoring the tendon to bone to mimic a new function, or include suturing and weaving the harvested tendon to the diseased tendon to supplement its strength.
  • [0007]
    The complications associated with conventional tendon transfer include the rather large surgical incision and resulting exposure. Scarring will frequently occur after surgery in a proportionate amount to the size and length of the incision and exposure. This scarring has been known to limit the function of the newly transferred tendon by adhering to the newly transferred tendon to its surrounding structure.
  • [0008]
    An exemplary tendon transfer may involve a torn tendon in the foot. The posterior tibial tendon is a critical tendon structure on the medial (inner border) side of the ankle. The ankle and foot will deviate in an outward direction as the posterior tibial posterior tibial tendon fails to function properly, thereby causing a progressive flatfoot deformity. If the posterior tibial tendon is near failure, the appropriate surgical intervention involves harvesting a neighboring tendon (flexor digitorum longus) and transferring the harvested tendon to the navicular bone to reestablish the normal function of the posterior tibial tendon. Harvesting the flexor digitorum longus tendon (as well as any other harvested tendon) generally requires extensive surgical dissection into the depths of the foot. The most common complication associated with this surgery is not the failure of the transferred tendon, but rather the pain and swelling associated with surgery around the critical veins and nerves in the foot. Thus, there is a need in the relevant art for surgical equipment and associated techniques for reducing the complications associated with tendon harvesting.
  • INTRODUCTION TO THE INVENTION
  • [0009]
    The present invention is directed to orthopedic surgical devices and associated methods of Minimally Invasive Surgery (MIS) and, more specifically, to tendon strippers and associated methods of harvesting tendons for use with MIS.
  • [0010]
    It is a first aspect of the present invention to provide a tendon stripper comprising: (a) a frame, including a cautery, that is adapted to separate surrounding tissue along a length of a tendon; (b) a handle mounted to the frame that is adapted to reposition the frame with respect to the tendon; and (c) an actuator in communication with the cautery and operative to activate the cautery, where activation of the cautery is adapted to sever the tendon.
  • [0011]
    In a more detailed embodiment of the first aspect, the frame includes a distal guide adapted to at least partially circumscribe at least a portion of the tendon, where the distal guide is adapted to guide the frame along the length of the tendon. In yet another more detailed embodiment, the cautery includes an electrical cautery wire, the frame includes a housing along which the electrical cautery wire extends, the electrical cautery wire is longitudinally repositionable along a length of the housing, and the electrical cautery wire is mounted to the distal guide to at least partially circumscribe a portion of the tendon in a pre-severance position. In a further detailed embodiment, the electrical cautery wire is mounted to the actuator, and the actuator is operative to reposition the electrical cautery wire between the pre-severance position and a post-severance position, where the repositioning of the electrical cautery wire between the positions includes repositioning the electrical cautery wire along the length of the housing. In still a further detailed embodiment, the distal guide is arcuately shaped, and a distal end of the distal guide is tapered. In a more detailed embodiment, the distal guide includes a cylindrical portion, an aspect of the cylindrical portion is repositionable between an open position and a closed position, where the cylindrical portion circumscribes the tendon in the closed position and the cylindrical portion includes a latch operative to maintain the cylindrical portion in the closed position when engaged and is operative to allow the cylindrical portion to be positioned in the open position when disengaged.
  • [0012]
    In yet another more detailed embodiment of the first aspect, the electrical cautery wire is mounted to the cylindrical portion, the electrical cautery wire at least partially circumferentially lines a portion of an interior wall of the cylindrical portion in a U-shaped pre-severance position, and the electrical cautery wire is displaced from the U-shaped pre-severance position to a more taught post-severance position in order to sever the tendon. In still another more detailed embodiment, the handle includes a cavity adapted to house a portable power source, and the handle includes electrical leads adapted to be in electrical communication with the portable power source and the cautery. In a further detailed embodiment, the actuator is repositionably mounted to the handle, the cautery includes an electrical cautery wire, and the actuator is mounted to the electrical cautery wire so that movement of the actuator from a first position to a second position is operative to reposition the electrical cautery wire from a pre-severance position with respect to the tendon to a post-severance position with respect to the tendon.
  • [0013]
    It is a second aspect of the present invention to provide a method of stripping a tendon comprising: (a) exposing a tendon; (b) aligning a tendon stripper guide with respect to a first location to the tendon; (c) repositioning the tendon stripper guide along the tendon from the first location of the tendon to a second location of the tendon, where the act of repositioning of the tendon stripper guide is operative to separate surrounding tissue from the tendon between the first location and the second location; (d) activating a cautery to sever the tendon approximate the second location; and (e) cutting the tendon at a location other than the second location to provide a tendon segment.
  • [0014]
    In a more detailed embodiment of the second aspect, the act of aligning the tendon stripper guide includes opening the tendon stripper guide to allow insertion of the tendon and thereafter closing the tendon stripper guide to circumscribe the tendon to inhibit egress of the tendon in a radial direction. In yet another more detailed embodiment, the act of aligning the tendon stripper guide includes aligning the tendon stripper guide with respect to a tendon connected to bodily tissue at each end. In a further detailed embodiment, the act of aligning the tendon stripper guide includes providing a direct line of sight to the first location, and the act of repositioning the tendon stripper guide along the tendon includes discontinuing the direct line of sight prior to reaching the second location. In still a further detailed embodiment, the act of aligning the tendon stripper guide includes providing a direct line of sight to the first location, and the act of repositioning the tendon stripper guide along the tendon includes discontinuing the direct line of sight prior to reaching the second location. In a more detailed embodiment, the act of activating the cautery includes repositioning an actuator to provide electrical communication with a power source to energize the cautery.
  • [0015]
    In yet another more detailed embodiment of the second aspect, the cautery includes an electrical wire cautery, the electrical wire cautery is operatively coupled to the actuator, and the act of repositioning the actuator is operative to reposition the electrical wire cautery from a pre-severance position to a post-severance position. In still another more detailed embodiment, the cautery is mounted to an interior surface of the tendon stripper guide that at least partially circumscribes the tendon, and the tendon stripper guide is operative to inhibit destruction of the surrounding tissue when the cautery is activated.
  • [0016]
    It is a third aspect of the present invention to provide a method of stripping a tendon comprising: (a) exposing a tendon; (b) aligning a tendon stripper guide with respect to a first location to the tendon; (c) repositioning the tendon stripper guide along the tendon from the first location of the tendon to a second location of the tendon, where the act of repositioning of the tendon stripper guide is operative to separate surrounding tissue from the tendon between the first location and the second location; (d) tensioning a cutting wire to sever the tendon approximate the second location; and (e) cutting the tendon at a location other than the second location to provide a tendon segment.
  • [0017]
    The aforementioned aspects should not be considered a completely inclusive summary of the present invention. Reference is had to the Detailed Description for a more accurate and inclusive understanding of the invention.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • [0018]
    FIG. 1 is an overhead view of a first exemplary embodiment of the present invention;
  • [0019]
    FIG. 2 is a left side perspective view of the first exemplary embodiment of FIG. 1, shown with a cut-away view of the exemplary handle;
  • [0020]
    FIG. 3 is a frontal elevated perspective view of the first exemplary embodiment of FIG. 1;
  • [0021]
    FIG. 4 is an elevated perspective view of the exemplary barrel of the first exemplary embodiment of FIG. 1, shown in the open position;
  • [0022]
    FIG. 5 is a cross-sectional view of the exemplary barrel of FIG. 4 in the closed position, where the cautery wire is shown in the pre-severance position; and
  • [0023]
    FIG. 6 is a cross-sectional view of the exemplary barrel of FIG. 4 in the closed position, where the cautery wire is shown in the post-severance position.
  • DETAILED DESCRIPTION
  • [0024]
    The exemplary embodiments of the present invention are described and illustrated below to encompass orthopedic surgical devices and associated techniques that are applicable in areas such as, without limitation, tendon harvesting and Minimally Invasive Surgery (MIS). Of course, it will be apparent to those of ordinary skill in the art that the preferred embodiments discussed below are exemplary in nature and may be reconfigured without departing from the scope and spirit of the present invention. However, for clarity and precision, the exemplary embodiments as discussed below may include optional steps, methods, and features that one of ordinary skill should recognize as not being a requisite to fall within the scope of the present invention.
  • [0025]
    Referencing FIGS. 1-3, a first exemplary tendon stripper 10 includes a handle 12 mounted to a semiflexible plastic connecting rod 14 at a proximal end 16. The connecting rod 14 extends outward from the handle 12 and is mounted to a plastic barrel 18 at a distal end 20. The handle 12 includes a cavity 22 adapted to house a portable power source 24 such as, without limitation, batteries. Electrical leads 26 housed within the cavity 22 provide electrical communication between one of a set of contact plates (not shown) and the batteries 24, while a second contact plate is in electrical communication with an electrically powered cautery 28. For purposes of explanation only, the electrically powered cautery 28 of the first exemplary embodiment is described as an electrical monofilament wire cautery. Those of ordinary skill will readily understand that other cautery devices may be used in lieu of or in addition to the electrical monofilament wire cautery 28 such as, without limitation, monopolar/bipolar cautery, radiofrequency probe, optical filament, or laser energy.
  • [0026]
    In exemplary form, the handle 12 of the stripper 10 is intended to be seated within the palm of the user's hand, with the user's finger wrapping around the handle 12 and the user's thumb facing the barrel 18. An actuator 30 repositionably mounted to the handle 12 is intended to be engaged by a user's thumb in order to reposition the actuator and activate the electrical wire cautery 28. The actuator 30 rides within a channel 32 formed within the surface of the handle 12 that provides linear travel forward and backward (as shown by the arrow of FIG. 2). A forward depression 34 within the actuator 30 includes a plurality of horizontal plateaus 36 that are adapted provide a gripping surface for user's thumb to engage while moving the actuator backward. In addition, the actuator 30 includes a second, reward depression 38 adapted to receive a user's thumb when moving the actuator 30 forward.
  • [0027]
    The underside of the actuator 30 includes a corresponding set of contact plates (not shown) that provide electrical communication between the batteries 24 and the electrical wire cautery 28 after the actuator is moved rearward beyond a predetermined point. Those of ordinary skill will realize that the precise point at which the contact plates close the circuit to provide electric current to the cautery 28 is within the purview of one of ordinary skill and may be changed without departing from the scope and spirit of the present invention. Likewise, it is within the scope of the invention to provide a separate actuator (other than the actuator 30 mounted to the electrical wire cautery 28) that is responsible for establishing electrical communication between the cautery 28 and batteries 24.
  • [0028]
    A frontal aspect 40 of the actuator 30 is coupled to the electrical wire cautery 28, which extends through a cylindrical conduit 42 extending substantially the entire length of the connecting rod 14. The electrical wire cautery 28 exits the distal end of the connecting rod 14 through a hole 44 connecting the interior of the conduit 42 with the interior of the barrel 18.
  • [0029]
    Referring to FIG. 4, the barrel 18 includes a first semiannular section 46 that is repositionable with respect to a second semiannular section 48 by way of a hinge 50 and catch 52. The hinge 50 may be a living hinge or mechanical hinge operative to allow an opening 54 between the sections 46, 48 to accommodate a linear section of a tendon to be lowered into the interior of the barrel 18. It is to be understood that the hinged barrel 18 of the first exemplary tendon stripper 10 accommodates tendons that are either detached from bodily tissue at one or both ends, as well as tendons attached to bodily tissue at opposing ends. Exemplary manually operative catches or fasteners 52 may be snap-fit or any other type of catch/fastener that provides for selective opening and closing of the sections 46, 48. It is also within the scope of the invention that the catch be automatically operated. In the closed position, the sections 46, 48 provide a cylindrical barrel 18 that includes a circular cross-section. Nevertheless, it is to be understood that the dimensions and contours of the barrel 18 are exemplary in nature and may be reconfigured to include, without limitation, rectangular cross-sections and oblong circular cross-sections. As will be discussed in more detail below, the distal end 20 of each of the sections 46, 48 and the distal end 20 of the connecting rod 14 are beveled to decrease the resistance to longitudinal movement of the barrel 18 in the proximal direction to strip the tissue surrounding the tendon as the barrel 18 progresses along the length of the tendon.
  • [0030]
    Referring to FIGS. 4-6, the electrical wire cautery 28 is anchored within a cavern 58 of the first semiannular section 46. The electrical wire cautery 28 extending beyond the cavern 58 is seated within a circumferential recess 60 of the interior of the barrel 18 (formed by the two semiannular interior surfaces of the sections 46, 48) to circumferentially line the interior until reaching the hole 44 leading out of the barrel 18 in the “slacked position.” This slacked position (see FIGS. 3 and 4) corresponds with the position of the actuator 30 in the most forward position or in pre-severance position where the electrical wire cautery 28 accommodates the shape of the tendon. In contrast, when the actuator 30 is repositioned rearward (see FIG. 2), the length of the electrical wire cautery 28 within the barrel 18 is substantially decreased resulting in a “taught position” or post-severance position (see FIG. 6). A return wire 62, in electrical communication with anchored aspect of the wire cautery 28, runs parallel to the cautery wire in a separate recess 64 within the interior of the barrel 18. The return wire 62 exits the barrel 18 through the hole 44 and extends through the cylindrical conduit 42 of the connecting rod 14 until reaching the interior of the handle and into electrical communication with one of the electrical contact plates. As discussed above, when the actuator 30 is repositioned rearward to an extent to allow for contact between the electrical contact plates, the electrical circuit is closed and the electrical wire cautery 28 is energized resulting in the wire becoming heated to a sufficient degree to burn through the tendon within the barrel 18.
  • [0031]
    The stripper 10 is manufactured in variable sizes to precisely allow various diameters and lengths of tendons to be harvested. By matching the diameter of the barrel 18 to the prospective tendon to be harvested, the surrounding soft tissue is protected from inadvertent entry. Exemplary measurements for components of the tendon stripper 10 include an overall length of 40 cm. The handle 12 includes a length of 15 cm and a diameter of 2 mm diameter. The handle 12 may be fabricated from plastic. The electrical wire cautery 28 is commercially available from Malin Company, Inc., 5400 Smith Road, Cleveland, Ohio 44142 and may be tailored to match the preferred length of the rod 14 and circumference of the barrel 18. The connecting rod 14 is flexible and commercially available from The MedTech Group, Inc., 6 Century Road, South Plainfield, N.J. 07080. The barrel 18 is fabricated from a surgically acceptable plastic and includes a length of approximately 1.5 cm and a diameter ranging between approximately 4.0 mm. to about 9.0 mm.
  • [0032]
    The electrical wire cautery 28 of the present invention may comprise at least two aspects. A first aspect of the wire cautery 28, positioned within the barrel 18 as shown in FIGS. 4 and 5, may be comprised of a high resistance filament, whereas a second aspect comprising the remainder of the wire cautery 28 may be comprised of a low resistance wire. The lengths of the first and second aspects of the electrical wire cautery 28 are well within the purview of one of ordinary skill.
  • [0033]
    The exemplary tendon stripper 10 may be utilized for accurate and atraumatic harvesting of a tendon failing to include a detached free end. A small 3 cm incision is made to expose a subcutaneous portion of a tendon. The catch 52 is released to allow the semiannular sections 46, 48 of the barrel 18 to be separated via movement of the hinge 50 to create the opening 54 through which the viewed tendon is longitudinally repositioned to pass through and lie on the interior of the barrel 18. After the tendon is located in the interior of the barrel 18, the sections 46, 48 are brought together to close the opening 54 and the catch 52 is secured.
  • [0034]
    The barrel 18 is advanced within the tissue plane of the tendon until reaching a predetermined location, while concurrently avoiding exposure of companion neurovascular structures. Movement of the barrel 18 along the tendon is operative to separate the tendon from surrounding bodily tissue. Once the barrel 18 is advanced to a predetermined location along of the tendon, the actuator 30 is repositioned rearward away from the barrel 18 to provide contact between the metal plates to close the circuit and energize the electrical wire cautery 28 positioned underneath of the tendon. As actuator 30 is moved further away from the barrel 18, portions of the electrical wire cautery 28 are drawn out of the barrel 18 through the hole 44, thereby reducing the length of the electrical wire cautery 28 remaining within the barrel 18. The tendon in the path of the moving electrical wire cautery 28, while energized, is cauterized. Eventually, enough of the electrical wire cautery 28 is withdrawn from the barrel 18 to arrive at the taught position shown in FIG. 6. At this point, any tendon within the barrel 18 is completely severed by the action of the electrical wire cautery 28. The tendon is pulled away from the barrel 18 and delivered to the incision. The actuator 22 is pushed to an off position and the stripper 10 is withdrawn.
  • [0035]
    The exemplary stripper 10 is advantageous in both arthroscopy and MIS applications to minimally disrupt surround soft tissue structures. The body responds to less injury and heals faster as the incision and wound is smaller by using a stripper 10 that does not require line of sight prior to cauterizing the tendon, nor requires that one end of the tendon be free prior to cauterization. Moreover, the surrounding tissue is protected from the heat of the cauterization by the barrel 18 of the tendon stripper 10.
  • [0036]
    It is also within the scope of the present invention to exchange the cautery 28 for a razor wire. In this manner, the actuator might be rearwardly repositioned to withdraw a portion of the razor wire from the barrel in a manner that would be operative to sever the tendon. It is also within the scope of the invention to provide a delivery system for optical cable to deliver laser energy or to use the barrel to deliver a probe for radiofrequency energy or monopolar/bipolar electrocautery.
  • [0037]
    Following from the above description and invention summaries, it should be apparent to those of ordinary skill in the art that, while the methods and apparatuses herein described constitute exemplary embodiments of the present invention, the invention contained herein is not limited to this precise embodiment and that changes may be made to such embodiments without departing from the scope of the invention as defined by the claims. Additionally, it is to be understood that the invention is defined by the claims and it is not intended that any limitations or elements describing the exemplary embodiments set forth herein are to be incorporated into the interpretation of any claim element unless such limitation or element is explicitly stated. Likewise, it is to be understood that it is not necessary to meet any or all of the identified advantages or objects of the invention disclosed herein in order to fall within the scope of any claims, since the invention is defined by the claims and since inherent and/or unforeseen advantages of the present invention may exist even though they may not have been explicitly discussed herein.
Citas de patentes
Patente citada Fecha de presentación Fecha de publicación Solicitante Título
US4773417 *5 Ene 198727 Sep 1988Moore Robert RMethod for using a tendon stripper and leader set
US5139520 *31 Ene 199018 Ago 1992American Cyanamid CompanyMethod for acl reconstruction
US5522827 *22 Abr 19944 Jun 1996Zimmer, Inc.Apparatus and method for harvesting a tendon graft
US5911719 *5 Jun 199715 Jun 1999Eggers; Philip E.Resistively heating cutting and coagulating surgical instrument
US6056735 *26 Sep 19972 May 2000Olympus Optical Co., Ltd.Ultrasound treatment system
US6165175 *2 Feb 199926 Dic 2000Ethicon Endo-Surgery, Inc.RF bipolar mesentery takedown device including improved bipolar end effector
US6193653 *5 Feb 199927 Feb 2001Ethicon Endo-Surgery, Inc.Methods and devices for visualizing, dissecting and harvesting vessels and the like
US6217599 *27 May 199917 Abr 2001Mcguire David A.Device and method for tendon harvesting
US6453906 *26 Jul 200024 Sep 2002Cardiothoracic Systems, Inc.Method for facilitating the detachment of an artery and the like
US6936069 *1 Feb 200030 Ago 2005Olarewaju James OladipoMuscle stripping device
US20010039429 *13 Abr 20018 Nov 2001Mcguire David A.Device and method for tendon harvesting
US20030009085 *3 Jun 20029 Ene 2003Olympus Optical Co., Ltd.Treatment apparatus for endoscope
US20030036679 *16 Ago 200120 Feb 2003Syntheon, LlcMethods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen
US20030069576 *29 Jul 200210 Abr 2003Tanrisever Naim ErturkQuantum energy surgical device and method
US20030125735 *23 Dic 20023 Jul 2003Herzon Garrett D.Thermal cautery surgical forceps
US20040034340 *28 Feb 200319 Feb 2004Spineco, Inc., An Ohio CorporationSmart dissector
US20040049251 *14 Jul 200311 Mar 2004Knowlton Edward W.Method and apparatus for surgical dissection
Citada por
Patente citante Fecha de presentación Fecha de publicación Solicitante Título
US910770031 Oct 201418 Ago 2015Paul Burroughs, IIIQuadriceps tendon stripper
US928304529 Jun 201215 Mar 2016Ethicon Endo-Surgery, LlcSurgical instruments with fluid management system
US933928918 Jun 201517 May 2016Ehticon Endo-Surgery, LLCUltrasonic surgical instrument blades
US939303729 Jun 201219 Jul 2016Ethicon Endo-Surgery, LlcSurgical instruments with articulating shafts
US941485325 Mar 201316 Ago 2016Ethicon Endo-Surgery, LlcUltrasonic end effectors with increased active length
US942724910 May 201330 Ago 2016Ethicon Endo-Surgery, LlcRotatable cutting implements with friction reducing material for ultrasonic surgical instruments
US947453529 Jun 201525 Oct 2016Paul Leach Burroughs, IIIQuadriceps tendon stripper
US950485520 Mar 201529 Nov 2016Ethicon Surgery, LLCDevices and techniques for cutting and coagulating tissue
US951085011 Nov 20136 Dic 2016Ethicon Endo-Surgery, LlcUltrasonic surgical instruments
US962323728 Sep 201518 Abr 2017Ethicon Endo-Surgery, LlcSurgical generator for ultrasonic and electrosurgical devices
US963613510 Nov 20142 May 2017Ethicon Endo-Surgery, LlcUltrasonic surgical instruments
US964264412 Mar 20159 May 2017Ethicon Endo-Surgery, LlcSurgical instruments
US96491266 Ene 201516 May 2017Ethicon Endo-Surgery, LlcSeal arrangements for ultrasonically powered surgical instruments
US970033920 May 200911 Jul 2017Ethicon Endo-Surgery, Inc.Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US97003432 Nov 201511 Jul 2017Ethicon Endo-Surgery, LlcDevices and techniques for cutting and coagulating tissue
US970700412 Mar 201518 Jul 2017Ethicon LlcSurgical instruments
US9707027 *20 May 201118 Jul 2017Ethicon Endo-Surgery, LlcMedical device
US97135074 Ene 201625 Jul 2017Ethicon Endo-Surgery, LlcClosed feedback control for electrosurgical device
US972411815 Mar 20138 Ago 2017Ethicon Endo-Surgery, LlcTechniques for cutting and coagulating tissue for ultrasonic surgical instruments
US973732623 Oct 201522 Ago 2017Ethicon Endo-Surgery, LlcHaptic feedback devices for surgical robot
US97439479 Dic 201529 Ago 2017Ethicon Endo-Surgery, LlcEnd effector with a clamp arm assembly and blade
US9763651 *15 Abr 201519 Sep 2017E-Da HospitalTendon stripper
US976416420 Dic 201319 Sep 2017Ethicon LlcUltrasonic surgical instruments
US979540518 Feb 201524 Oct 2017Ethicon LlcSurgical instrument
US979580813 Mar 201524 Oct 2017Ethicon LlcDevices and techniques for cutting and coagulating tissue
US980164828 Oct 201431 Oct 2017Ethicon LlcSurgical instruments
US984890117 Ago 201526 Dic 2017Ethicon LlcDual purpose surgical instrument for cutting and coagulating tissue
US98489024 Feb 201426 Dic 2017Ethicon LlcErgonomic surgical instruments
US20130345689 *20 May 201126 Dic 2013David Ian RuddenklauMedical device
US20160270771 *15 Abr 201522 Sep 2016E-Da HospitalTendon Stripper
Clasificaciones
Clasificación de EE.UU.606/209, 606/32
Clasificación internacionalA61B17/32
Clasificación cooperativaA61B17/00008, A61B18/08, A61B17/32053, A61B17/32075
Clasificación europeaA61B17/00B, A61B17/3207P