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 publicaciónUS3777538 A
Tipo de publicaciónConcesión
Fecha de publicación11 Dic 1973
Fecha de presentación15 Mar 1972
Fecha de prioridad15 Mar 1972
También publicado comoCA1006782A, CA1006782A1
Número de publicaciónUS 3777538 A, US 3777538A, US-A-3777538, US3777538 A, US3777538A
InventoresBack P, Weatherly G
Cesionario originalWeck & Co Edward
Exportar citaBiBTeX, EndNote, RefMan
Enlaces externos: USPTO, Cesión de USPTO, Espacenet
Surgical clip applicator
US 3777538 A
Resumen
A surgical instrument specifically constructed for the application of fluid duct strangulation clips in human body locations which were heretofore substantially inaccessible for this type of surgical procedure. The applicator comprises an elongated barrel mounted to a pistol grip actuating handle with the applicator jaws acting cooperatively at the distal end of the barrel.
Imágenes(2)
Previous page
Next page
Reclamaciones  disponible en
Descripción  (El texto procesado por OCR puede contener errores)

United States Patent [1 1 Weatherly et a1.

[4 1 Dec. 11, 1973 SURGICAL CLIP APPLICATOR [75] Inventors: Gilbert L. Weatherly, Port Jefferson, N.Y.; Paul Back, St. Louis, Mo.

[73] Assignee: Edward Weck & Company, Inc.,

Long Island City, N.Y.

[22] Filed: Mar. 15, 1972 [21] Appl. No.: 234,936

[52] US. Cl. 72/410, 128/325 [51] Int. Cl B21d 9/08 [58] Field of Search 72/410, 409, 407,

72/416; 227/19; 128/325, 326; 29/200 H, 203 H, 203 HC, 203 HM, 212 R; 81/345 [56] References Cited UNITED STATES PATENTS 7/1970 Blake 72/410 3,631,707 1/1972 Miller 72/410 3,687,138 8/1972 Jarvik 2,885,764 5/1959 Shulters et a1. 29/203 H FOREIGN PATENTS OR APPLICATIONS 116,653 3/1943 Australia 81/345 66,539 3/1948 Denmark 81/345 Primary Examiner-Richard J. Herbst Assistant Examiner-Michael J. Keenan Attorney-Joseph Weingarten et a1.

[57] ABSTRACT A surgical instrument specifically constructed for the application of fluid duct strangulation clips in human body locations which were heretofore substantially inaccessible for this type of surgical procedure. The applicator comprises an elongated barrel mounted to a pistol grip actuating handle with the applicator jaws acting cooperatively at the distal end of the barrel.

5 Claims, 6 Drawing Figures PATENIEO BEE 1 1 I973 SHEET NF 2 FIG.4

PATENIEDBEI: 1 1 I975 SHEET 2 0F 2 FIG. 6

SURGICAL CLIPAPPLICATOR FIELD OF THE INVENTION This invention relates generally to surgical instru- .ments and more particularly involves instruments which are used for the application of surgical clips for such purposes as strangulation of flexible tubular members in the human body.

DISCUSSION OF THE PRIOR ART Surgical clip applicators of the forceps type have been available for medical use for some time. Suchan applicator is shown in U.S. Pat. No. 3,631,707, issued Jan. 4, i972, and owned by the assignee of the present invention. That patent discloses how forceps type surgical clip applicators normally operate. It may be observed that any type of forceps has a general shape of increasing width from the tips toward the handles and require a significant amount of space for proper operation. In order for these types of devices to be used within the human body, especially deep within the body, the opening through which they must pass is of necessity relatively large. It has been medically established that for any surgical operation, the smaller the body opening created and the less time involved between the initial incision and the final suturing, the better the patients chances are for recovery without complications. Furthermore, if the surgical opening can be made small, there is less physiological repair for the body to perform.

SUMMARY OF THE INVENTION normal condition, the jaws are held a predetermined distance apart by proper engagement of the outwardly biased portion of the jaws with the distal end of the barrel. This surgical clip applicator is also structured so that the jaws, which have their working tips formed at an angle with the rod to which they are attached, may

be Oriented at an r d99ist rral,str tatiqaut respect to the ba rre l That is, the jaws may be directed leftward, rightward, upward or downward.

The structure of this invention has several advantages over prior surgical clip applicators. It may be used for acoustical surgery or neurosurgery in that a relatively small hole is required in the skull in order to reach and clip off the necessary blood or other vessels therein. Furthermore, during thoracic surgery fluid ducts deep within the chest cavity may easily be reached by means of this instrument without disturbing other organs. With other types of instruments which tend to expand toward the handles, a greater opening and disturbance of adjacent organs is normally necessary for such surgical procedures. Otologic surgery cannot presently make full use of the surgical clips of the type shown in the previously mentioned patent because of the relative size of the applicators involved. It has been medically proven that use of such clips has shortened and simplified many operations and the present invention permits an expansion of their applicability.

It is expected that one of the significant uses for the applicator of this invention is as an instrument for birth control through simplified female tubectomy procedures. Through the use of this instrument, the present tubectomy operation which requires entry into the body through the stomach wall, may now be performed as an out-patient or office procedure. By making a small incision adjacentthe cervix in the vaginal cavity, surgical clips may be applied to the Fallopian tubes by inserting this instrument through the vagina. The incision may be very small and the surgical procedure thus .very greatly simplified.

BRIEF DESCRIPTION OF THE DRAWING The objects, features and the advantages of this invention will be readily understood when the following detailed description thereof is read in conjunction with the drawing wherein:

FIG. 1 is a perspective view of a surgical clip applicator constructed in accordance with the principles of the present invention;

FIG. 2 is an enlarged partially broken away perspective of the barrel, rod and jaws of this applicator;

DESCRIPTION OF THE PREFERRED EMBODIMENT With reference now to the drawing, there is shown a surgical clip applicator ill comprising a stationary handlemember 12 including a cylindrical housing M, triggermember l3 pivotably mounted to the handle member, a barrel IS, an internal rod to and jaws l7. Trigger 13 is pivoted to handle member M by means of pivot pin 21, and is biased away from handle member 112 by cooperating leaf springs 22, 23. These springs are shown for purposes of example only and include a tongue and groove engagement at their common point, the other ends being secured to the respective handle and trigger portions. Any other type of effective biasing device could be used as an alternative to that shown in the drawing. Trigger portion 113 is provided with a yoke extension 24 (FIG. 3) which passes through a slot 25 in housing 14 and a second slot 26 in barrel I5 which is aligned with slot 25. Extension 2% pivotally engages pivot pin 27 which is secured across barrel near the rearward end thereof. From the structure described it is evident that if one grasps the instrument pistol grip handle below rearward projection 31 of handle portion 12, and squeezes so that trigger portion 13 moves rearwardly toward handle 12, barrel 15 will move forward withinhousing l4. Slot 25 in housing 14 is longer than slot 26 in order to permit the necessary forward movement of extension 24 of trigger member l3.

Rod 16 is mounted within barrel I5 and is adjustably secured to housing 114 by means of screw 32. This rod is formed with a bore 34 therethrough adjacent its proximal end and a second bore 35 spaced forward and angularly displaced 90 therefrom. One side of housing 14 is formed with two holes 36, 37 which are longitudinally spaced from one another by the same distance as are bores 34, 35 in rod 16. The holes 36, 37 shown in the drawing and the bores 34, 35 through rod 16 are clear holes, while there are mating tapped holes (not shown) opposite holes 36, 37 in housing 14 adapted to receive the threads of screw 32. The purpose and advantages of these openings will be discussed in greater detail hereinbelow.

Rod 16 is formed with grooves 41 on either side extending rearwardly from the forward end thereof as is clearly shown in FIGS. 2 and 5. Jaws 17 are preferably formed of spring steel and have rearwardly extending shanks 42 which are configured to fit within grooves 41, the outward facing surfaces thereof being rounded to substantially correspond with the size and shape of the rod. These jaws are secured to rod 16 by suitable means such as by brazing or through the use of pin 43, or both. Grooves 41 in rod 16 form U-shaped channels for guiding the position of the shanks 42 of jaw members 17. The forward lip portions 45 of the jaw members are formed with V-shaped grooves 46 and lateral slots 47 similar to those disclosed in US. Pat. No. 3,631,707, previously identified. At the rearward end of each of lips 45 is enlarged portion 51. As shown in FIG. 2, jaw members 17 are biased outwardly at forward portions 53, the outside surfaces of which make contact with the inner surfaces of barrel end 52. It should be noted that the rearward shanks of jaws 17 are undercut as at 54 in order to accommodate the thickness of rod 16 between grooves 41. Forward of undercuts 54 the inner faces of the jaws are substantially parallel and in confronting contact or nearly so when the jaws are closed.

As previously described, when the pistol grip of this applicator is squeezed, barrel 15 moves longitudinally forward. It is now apparent that when this happens, the inner surface of end 52 of the barrel makes sliding contact with surfaces 53, thereby causing the jaws to move toward one another. When the pistol grip is released, springs 22, 23 cause handle members 12, 13 to separate, thereby moving barrel 15 rearwardly and allowing jaws 17 to open again due to the biasing which is built into these elements. It is evident from FIG. that jaws 17 are relatively wide apart when unconstrained by end 52 of the barrel. These jaw members, being made of spring steel or other suitable material, are formed to normally separate from one another until acted upon by outside means such as the distal end of barrel 15.

Because rod 16 fits within barrel but is secured to housing 14 by means of screw 32, slot 55 is provided through both sides of the barrel to allow longitudinal motion thereof.

Certain dimensional relationships exist between the various elements of the invention which permit proper operation of the instrument. With reference to FIGS. 1, 3 and 6, it may be seen that when the instrument is in its normal position with the jaws open under the influence of springs 22, 23, rearward end 56 of barrel 15 rests positively against the inner surface of the closed end 57 of housing 14. In this position the total length of barrel 15 is such that end 52 confines the forward portions 53 of the jaws to separate lips 45 by a distance which is slightly. less than the distance between the two parallel arms 61 of clip 62. Although the jaws themselves are biased so that they would separate farther in the absence of any constraining forces, the length of barrel 15 is properly calibrated to provide the proper normal opening between the jaws. The spread of the jaws and the inside diameter of the distal end 52 of the barrel are such that normal forward movement of the barrel will cause the jaws to close and substantially flat ten clip 62.

The clips are preferably mounted in a cartridge such as shown in the aforementioned patent so that they are readily accessible for engagement by jaws 17. When it is desired to engage such a clip, jaws 17 are forced over the V-shaped end of clip 62 until the clip snaps into place within grooves 46. The structure is such that the jaws may spring apart sufficiently to engage the clip. Of course, the clips may have other cross-sectional shapes and the grooves in the jaws would thereby have a correspondingly modified configuration. In order to strangulate a fluid duct such as a blood vessel, the clip which has been engaged by jaw 17 is placed in a position to surround the duct. Handle members 12, 13 are then squeezed together moving tube 15 forward, sliding along forward portions 53 and causing the jaws to close the clip upon the vessel. The clip first captures the vessel by closing at its tips, then flattening for full strangulation. Releasing the handles allows the jaws to spring open and the instrument to be removed from the area of operation. It is important to note that when the jaws are fully opened as shown in FIG. 1, rearwardly extending shanks 42 still reside within grooves 41, confined by the confronting sides thereof so that when the jaws are forced together, they always meet squarely and without any tendency to scissor. Without the sides of grooves 41, it is possible that the jaws would not meet properly and the clip could become unintentionally disengaged.

Another feature of the invention is that with the placement of the pivot 21 as shown, if the instrument is grasped in the vicinity of pivot 21 above rearward extension 31, there is no danger whatever of applying a closing force to the jaws. This is the way the instrument should be grasped when it is desired to engage a clip and when transporting the instrument from the time of engaging the clip until the clip is surgically employed.

In the drawing, the jaws 17 extend at an angle toward the right as the instrument would normally be held. If it is desired to use the instrument in such an area that it would be advantageous to have the jaws angled toward the left, screw 32 may be removed, rod 16 rotated 180 and screw 32 reinserted into hole 36 and through bore 34 in the rod. The jaws would then angle toward the opposite direction. If, however, it is desired that the jaws be upwardly oriented, screw 32 is removed from hole 36, rod 16 and the jaws are rotated and the screw is then inserted into hole 37 and through bore 35 in the rod. The same procedure would be followed if it was desired to have the jaws oriented downward for a certain surgical procedure.

It is important to note that there are relatively complex inter-relationships which determine the normal opening between jaws 17 and which determine the amount of forward motion of the barrel necessary to close the jaws. For example, with a predetermined inner diameter of the barrel and a specific spread angle of forward portions 53, the amount of opening between the jaws may be changed by substituting a barrel of different length. Alternatively, when assembly takes place a modification could be made in the distance between forward portions 53 and bores 34, 35 in rod 16. Also, the amount of bias built into jaws 17 and their shanks is easily adjustable to make the proper jaw separation in the normal condition. The fact that these interrelationships exist leads to a positive advantage in the manufacture of this instrument. Tolerances need not be as strict as might be expected because each instrument can easily be adjusted in its final assembly stage by modifying any of the dimensions and configurations referred to above.

Having described a preferred embodiment of the present invention, many changes and improvements are likely to occur to those skilled in the art which are within the scope of this invention.

What is claimed is:

l. A surgical clip applicator comprising:

a handle member;

a housing fixed to said handle member;

a trigger member pivotally connected to said handle member and extending within said housing; means for biasing said trigger member in one direction with respect to said handle member;

an elongated tubular barrel having the proximal end within said housing, said proximal end being engaged by said trigger member, said barrel being longitudinally movable and non-rotatable;

a rod removably secured to said housing and extending forward through said barrel, said rod being longitudinally and rotationally fixed with respect to said housing; and

jaws secured to the distal end of said rod a predetermined distance from said housing and extending forward of said barrel at a predetermined angle to the axis of said rod, said jaws being adapted to receive and maintain a surgical clip therebetween; said jaws being normally biased apart at the forward end and including outwardly facing portions adapted to be engaged by the distal end of said barrel, said jaws being separated by a first predetermined distance when normally engaged by the distal end of said barrel, whereby upon longitudinal motion of said barrel said jaws are forced together.

2. The surgical clip applicator recited in claim 1 wherein:

said housing has two clear holes through the wall on one side longitudinally spaced a second predetermined distance apart, and two tapped holes in the wall on the opposite side in respective registration with said clear holes;

said barrel having elongated slots through opposite sides of the wall spaced forwardly from the proximal end thereof;

said rod having first and second bores therethrough adjacent the proximal end thereof, said bores being longitudinally spaced by said second predetermined distance and being angularly displaced from each other;

said applicator further comprising a screw adapted to selectively pass through one of said holes and bores and said slots to engage the respective tapped hole;

whereby said rod is secured to said housing by said screw, said slots permitting longitudinal movement of said barrel with respect to said housing and said rod.

3. The surgical clip applicator recited in claim 1 wherein:

the rearward end of said housing is substantially V closed, the proximal end of said barrel normally resting against the inner surface of said closed end of said housing, the distal end of said barrel engaging the biased forward portions of said jaws so as to permit said jaws to be separated only by said predetermined distance.

4. The surgical clip applicator recited in claim 1 wherein:

wherein said jaws are formed with undercuts in confronting inner surfaces starting at a point just forward of said distal end of said rod and extending rearwardly therefrom, said undercuts permitting said jaws to come substantially together in confronting relationship.

Citas de patentes
Patente citada Fecha de presentación Fecha de publicación Solicitante Título
US2885764 *18 Abr 195512 May 1959Gardner Denver CoTool for preparing and applying wires to terminals
US3518993 *1 May 19677 Jul 1970American Hospital Supply CorpSurgical clip applicator
US3631707 *13 Jun 19694 Ene 1972Weck & Co Inc EdwardHemostatic clip applicator
US3687138 *17 Ago 197029 Ago 1972Jarvik Robert KRepeating ligature gun
AU116653A * Título no disponible
DK66539A * Título no disponible
Citada por
Patente citante Fecha de presentación Fecha de publicación Solicitante Título
US3882854 *23 Ago 197313 May 1975Research CorpSurgical clip and applicator
US3899914 *9 Ene 197419 Ago 1975Akiyama TaichiroApparatus for closing a cut end of a blood vessel
US3954108 *27 Ago 19744 May 1976Davis Hugh JOcclusion clip and instrument for applying same
US4027510 *15 May 19747 Jun 1977Siegfried HiltebrandtForceps
US4064881 *1 Jun 197627 Dic 1977Rocket Of London LimitedSurgical clip applicator
US4152920 *17 Oct 19778 May 1979United States Surgical CorporationSystem for applying surgical clips
US4201213 *30 Ene 19786 May 1980Codman & Shurtleff, Inc.Surgical tool
US4241734 *27 Nov 197830 Dic 1980Kandel Eduard IDevice for putting clips on blood vessels
US4242902 *11 May 19786 Ene 1981United States Surgical CorporationSurgical clip applicator
US4299224 *6 Jun 197910 Nov 1981United States Surgical CorporationDisposable clip applier
US4316468 *29 Ago 198023 Feb 1982Charles H. KliemanSurgical stapler
US4325376 *2 Sep 198020 Abr 1982Charles H. KliemanHemostatic clip applicator
US4440170 *6 Mar 19793 Abr 1984Ethicon, Inc.Surgical clip applying instrument
US4483562 *16 Oct 198120 Nov 1984Arnold SchoolmanLocking flexible shaft device with live distal end attachment
US4557263 *23 Ene 198410 Dic 1985United States Surgical CorporationApparatus for applying surgical clips
US4562839 *6 Ene 19837 Ene 1986Blake Joseph W IiiSurgical instrument
US4616650 *27 Jul 198414 Oct 1986United States Surgical CorporationApparatus for applying surgical clips
US4635634 *12 Jul 198513 Ene 1987Santos Manuel VSurgical clip applicator system
US4997436 *7 Dic 19895 Mar 1991Oberlander Michael AArthroscopic clip insertion tool
US5004469 *7 Mar 19892 Abr 1991Ricerche Biomediche S.R.L.Improvements in automatic mechanical suturing guns
US5030226 *27 Dic 19909 Jul 1991United States Surgical CorporationSurgical clip applicator
US5084057 *30 May 199028 Ene 1992United States Surgical CorporationApparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5100420 *18 Jul 198931 Mar 1992United States Surgical CorporationApparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5104394 *5 Nov 199014 Abr 1992Knoepfler Dennis JAutomatic stapler for laparoscopic procedure with selective cutter and suction irrigator
US5104395 *11 Abr 199114 Abr 1992Edward Weck IncorporatedAutomatic hemostatic clip applicator
US5156608 *1 Jul 199120 Oct 1992Hans TroidlClip applicator for ligature clips
US5156609 *3 May 199120 Oct 1992Nakao Naomi LEndoscopic stapling device and method
US5170926 *5 Ago 199115 Dic 1992Edward Weck IncorporatedSurgical stapler
US5171249 *4 Abr 199115 Dic 1992Ethicon, Inc.Endoscopic multiple ligating clip applier
US5192288 *26 May 19929 Mar 1993Origin Medsystems, Inc.Surgical clip applier
US5197970 *28 Jun 199130 Mar 1993United States Surgical CorporationSurgical clip applicator
US5222961 *8 Ene 199229 Jun 1993Naomi NakaoEndoscopic stapling device and related staple
US5282808 *4 Feb 19931 Feb 1994Origin Medsystems, Inc.Closure prevention apparatus for surgical clip applier
US5289963 *18 Oct 19911 Mar 1994United States Surgical CorporationApparatus and method for applying surgical staples to attach an object to body tissue
US5300081 *9 Oct 19925 Abr 1994United States Surgical CorporationSurgical clip applier having clip advancement control
US5318221 *10 Sep 19927 Jun 1994United States Surgical CorporationApparatus and method for placing staples in laparoscopic or endoscopic procedures
US5354304 *13 Oct 199211 Oct 1994American Cyanamid Co.Modular ligation clip applicator
US5356064 *23 Sep 199218 Oct 1994United States Surgical CorporationApparatus and method for applying surgical staples to attach an object to body tissue
US5364002 *31 Mar 199215 Nov 1994United States Surgical CorporationApparatus and method for applying surgical staples to attach an object to body tissue
US5382254 *30 Oct 199217 Ene 1995United States Surgical CorporationActuating handle for surgical instruments
US5382255 *8 Ene 199317 Ene 1995United States Surgical CorporationApparatus and method for assembly of surgical instruments
US5383881 *22 Sep 199324 Ene 1995United States Surgical CorporationSafety device for use with endoscopic instrumentation
US5392978 *15 Oct 199328 Feb 1995United States Surgical CorporationSurgical staple and endoscopic stapler
US5395381 *23 Jun 19937 Mar 1995United States Surgical CorporationApparatus and method for applying latchless surgical clips
US5413268 *30 Sep 19939 May 1995United States Surgical CorporationApparatus and method for placing stables in laparoscopic or endoscopic procedures
US5425745 *29 Oct 199320 Jun 1995United States Surgical CorporationApparatus and method for placing staples in laparoscopic or endoscopic procedures
US5431667 *4 Mar 199311 Jul 1995Origin Medsystems, Inc.Gas-sealed instruments for use in laparoscopic surgery
US5431668 *29 Abr 199311 Jul 1995Ethicon, Inc.Ligating clip applier
US5441509 *9 Nov 199415 Ago 1995Minnesota Mining And Manufacturing CompanyVessel clips
US5445167 *28 Sep 199229 Ago 1995Yoon; InbaeMethods of applying surgical chips and suture tie devices to bodily tissue during endoscopic procedures
US5486185 *28 Jun 199123 Ene 1996Dexide, Inc.Surgical apparatus
US5497933 *8 Oct 199312 Mar 1996United States Surgical CorporationApparatus and method for applying surgical staples to attach an object to body tissue
US5514149 *22 Jul 19947 May 1996United States Surgical CorporationSurgical clip applicator
US5527319 *5 Ago 199418 Jun 1996United States Surgical CorporationSurgical fastener applying instrument for ligating and dividing tissue
US5547474 *9 Oct 199220 Ago 1996Origin Medsystems, IncorporatedSurgical clip closure apparatus with safety stop
US5554169 *6 Jun 199510 Sep 1996United States Surgical CorporationMethod for placing staples in laparoscopic or endoscopic procedures
US5564615 *31 Oct 199515 Oct 1996Ethicon, Inc.Surgical instrument
US5577654 *23 May 199626 Nov 1996Ethicon Endo-Surgery, Inc.Surgical instrument
US5584844 *13 Abr 199417 Dic 1996Aesculap AgInstrument for surgical purposes
US5588580 *23 May 199631 Dic 1996Ethicon Endo-Surgery, Inc.Surgical instrument
US5588581 *23 May 199631 Dic 1996Ethicon Endo-Surgery, Inc.Surgical instrument
US5591178 *13 Sep 19957 Ene 1997United States Surgical CorporationSurgical clip applier
US5601224 *10 Jun 199411 Feb 1997Ethicon, Inc.Surgical instrument
US5601574 *20 Abr 199511 Feb 1997Ethicon, Inc.Sterile clips and instrument for their placement
US5607436 *8 Oct 19934 Mar 1997United States Surgical CorporationApparatus for applying surgical clips
US5618291 *2 Jun 19958 Abr 1997Origin Medsystems, Inc.Gas-sealed instruments for use in laparoscopic surgery
US5626587 *18 May 19956 May 1997Ethicon Endo-Surgery, Inc.Method for operating a surgical instrument
US5634584 *23 May 19963 Jun 1997Ethicon Endo-Surgery, Inc.Surgical instrument
US5643291 *3 Sep 19961 Jul 1997United States Surgical CorporationSurgical clip applicator
US5662662 *16 Sep 19962 Sep 1997Ethicon Endo-Surgery, Inc.Surgical instrument and method
US5695502 *15 Ago 19959 Dic 1997United States Surgical CorporationSurgical clip applicator
US5700271 *20 Oct 199523 Dic 1997United States Surgical CorporationApparatus for applying surgical clips
US5720756 *13 Sep 199624 Feb 1998United States Surgical CorporationSurgical clip applier
US5725537 *13 Sep 199610 Mar 1998United States Surgical CorporationMethod of performing a vessel anastomosis using a surgical clip applier
US5725538 *13 Sep 199610 Mar 1998United States Surgical CorporationSurgical clip applier
US5772673 *7 Mar 199630 Jun 1998United States Surgical CorporationApparatus for applying surgical clips
US5779718 *13 Sep 199614 Jul 1998United States Surgical CorporationMethod of anastomosing a vessel using a surgical clip applier
US5792150 *7 Jun 199511 Ago 1998United States Surgical CorporationApparatus for applying surgical clips with improved jaw and closure mechanisms
US5817109 *17 Sep 19966 Oct 1998United States Surgical CorporationApparatus and method for applying surgical staples to attach an object to body tissue
US5820009 *20 Feb 199613 Oct 1998Richard-Allan Medical Industries, Inc.Articulated surgical instrument with improved jaw closure mechanism
US5833696 *3 Oct 199610 Nov 1998United States Surgical CorporationApparatus for applying surgical clips
US5833700 *31 Oct 199610 Nov 1998Ethicon Endo-Surgery, Inc.Sterile occlusion fasteners and instrument and method for their placement
US5868761 *15 Ago 19969 Feb 1999United States Surgical CorporationSurgical clip applier
US5921997 *19 Sep 199713 Jul 1999Ethicon Endo-Surgery, Inc.Sterile occlusion fasteners and instrument and method for their placement
US5993465 *12 Dic 199630 Nov 1999Apollo Camera, LlcMethod of ligating a vessel or duct
US6059799 *25 Jun 19989 May 2000United States Surgical CorporationApparatus for applying surgical clips
US6165204 *11 Jun 199926 Dic 2000Scion International, Inc.Shaped suture clip, appliance and method therefor
US621759015 Jul 199917 Abr 2001Scion International, Inc.Surgical instrument for applying multiple staples and cutting blood vessels and organic structures and method therefor
US622809722 Ene 19998 May 2001Scion International, Inc.Surgical instrument for clipping and cutting blood vessels and organic structures
US63061502 Oct 200023 Oct 2001Scion International, Inc.Surgical clips for surgical instrument for stapling and cutting blood vessels and organic structures
US63502691 Mar 199926 Feb 2002Apollo Camera, L.L.C.Ligation clip and clip applier
US64607492 Oct 20008 Oct 2002Scion International, Inc.Surgical instrument for stapling and cutting blood vessels and organic structures
US649488622 Jun 200017 Dic 2002Granit Medical Innovation, Inc.Off-set clamp mechanism and associated method for minimally invasive surgery
US650882930 Ago 200021 Ene 2003Melvin E. LevinsonShaped suture clip, appliance and method therefor
US660754017 Nov 199919 Ago 2003Surgicon, Inc.Pre-clamping method
US663828010 Oct 200128 Oct 2003Codman & Shurtleff, Inc.Rongeur with drainage
US665253925 Feb 200225 Nov 2003Surgicon, Inc.Method for applying a ligation clip
US665254525 Feb 200225 Nov 2003Surgicon, Inc.Ligation clip and clip applier
US668571010 Oct 20013 Feb 2004Codman & Shurtleff, Inc.Rongeur with detachable crossbar
US6991633 *31 Mar 200331 Ene 2006Codman & Shurtleff, Inc.Rongeur with detachable crossbar
US704435314 Dic 200416 May 2006United States Surgical CorporationSurgical stapler
US707785620 Ene 200418 Jul 2006Power Medical Interventions, Inc.Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US70870719 Nov 20018 Ago 2006United States Surgical CorporationArticulating endoscopic surgical apparatus
US711464220 Ene 20043 Oct 2006Power Medical Interventions, Inc.Expanding parallel jaw device for use with an electromechanical driver device
US712204115 Abr 200317 Oct 2006Wilson-Cook Medical Inc.Clip device
US712825320 Jul 200531 Oct 2006United States Surgical CorporationSurgical stapler
US714440531 Oct 20035 Dic 2006Cardica, Inc.Tissue punch
US717260826 Jun 20036 Feb 2007Cardica, Inc.Sutureless closure and deployment system for connecting blood vessels
US7175637 *4 Sep 200113 Feb 2007Cardica, Inc.Sutureless closure and deployment system for connecting blood vessels
US720799725 Nov 200324 Abr 2007Shipp John ILigation clip and clip applier
US722596423 Mar 20065 Jun 2007Tyco Healthcare Group LpSurgical stapler
US725826223 Mar 200621 Ago 2007Tyco Healthcare Group LpSurgical stapler
US727856230 Oct 20069 Oct 2007United States Surgical CorporationSurgical stapler
US73089984 Ene 200718 Dic 2007United States Surgical CorporationSurgical stapler
US730934331 Oct 200318 Dic 2007Cardica, Inc.Method for cutting tissue
US735780727 Feb 200415 Abr 2008Cardica, Inc.Integrated anastomosis tool with graft vessel attachment device and cutting device
US742496512 Ene 200716 Sep 2008Tyco Healthcare Group LpSurgical stapling device
US746806625 Feb 200523 Dic 2008Cardica, Inc.Trocar for use in deploying an anastomosis device and method of performing anastomosis
US747281424 Sep 20076 Ene 2009United States Surgical CorporationSurgical stapler
US749403920 Ago 200724 Feb 2009Tyco Healthcare Group LpSurgical stapling device
US75376022 Oct 200626 May 2009Power Medical Interventions, Inc.Expanding parallel jaw device for use with an electromechanical driver device
US757226620 Oct 200411 Ago 2009Young Wayne PClip applier tool having a discharge configuration
US758209512 Jun 20031 Sep 2009Apollo Camera, L.L.C.Surgical ligation clip and method for use thereof
US758488031 Oct 20078 Sep 2009Tyco Healthcare Group LpSurgical stapling device
US759723020 Ago 20076 Oct 2009Tyco Healthcare Group LpSurgical stapling device
US761152318 Sep 20033 Nov 2009Cardica, Inc.Method for sutureless connection of vessels
US762490228 Ago 20081 Dic 2009Tyco Healthcare Group LpSurgical stapling apparatus
US76249038 Ene 20041 Dic 2009Green David TApparatus for applying surgical fastners to body tissue
US76374106 Oct 200629 Dic 2009Tyco Healthcare Group LpSurgical instrument including a locking assembly
US767812512 Nov 200316 Mar 2010Apollo Camera, L.L.C.Surgical ligation clip
US768177230 Oct 200723 Mar 2010Green David TApparatus for applying surgical fasteners to body tissue
US769548530 Nov 200113 Abr 2010Power Medical Interventions, LlcSurgical device
US77219353 Oct 200625 May 2010Tyco Healthcare Group LpSurgical stapling device
US774396011 Jun 200329 Jun 2010Power Medical Interventions, LlcSurgical device
US775861317 Jul 200620 Jul 2010Power Medical Interventions, LlcElectromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US777077412 May 200810 Ago 2010Tyco Healthcare Group LpSurgical stapler
US7776040 *4 Sep 200317 Ago 2010Stryker SpineSystem for use in spinal stabilization
US77892836 Jun 20087 Sep 2010Tyco Healthcare Group LpKnife/firing rod connection for surgical instrument
US77938141 Dic 200814 Sep 2010Tyco Healthcare Group LpSurgical stapling device
US78031514 Dic 200228 Sep 2010Power Medical Interventions, LlcSystem and method for calibrating a surgical instrument
US782818726 Ago 20099 Nov 2010Tyco Healthcare Group LpApparatus for applying surgical fasteners to body tissue
US78455356 Oct 20067 Dic 2010Tyco Healthcare Group LpSurgical instrument having a plastic surface
US784553826 May 20097 Dic 2010Power Medical Interventions, LlcExpanding parallel jaw device for use with an electromechanical driver device
US786652527 Ago 200811 Ene 2011Tyco Healthcare Group LpSurgical instrument having a plastic surface
US786652626 Ago 200911 Ene 2011Tyco Healthcare Group LpApparatus for applying surgical fasteners to body tissue
US7875040 *15 Oct 200425 Ene 2011Femcare LimitedVisual indication of a trigger intermediate position on an applicator
US78915326 Ago 200822 Feb 2011Tyco Healthcare Group LpSurgical stapler
US789621423 Sep 20081 Mar 2011Tyco Healthcare Group LpTissue stop for surgical instrument
US791389322 Dic 200929 Mar 2011Tyco Healthcare Group LpSurgical stapler
US791823022 Sep 20085 Abr 2011Tyco Healthcare Group LpSurgical device having a rotatable jaw portion
US79423036 Jun 200817 May 2011Tyco Healthcare Group LpKnife lockout mechanisms for surgical instrument
US795107115 Mar 200231 May 2011Tyco Healthcare Group LpMoisture-detecting shaft for use with an electro-mechanical surgical device
US795468530 Oct 20087 Jun 2011Tyco Healthcare Group LpArticulation and firing force mechanisms
US796343322 Sep 200821 Jun 2011Tyco Healthcare Group LpSurgical device having multiple drivers
US799275815 Feb 20119 Ago 2011Tyco Healthcare Group LpSurgical device having a rotatable jaw portion
US80115537 Jun 20106 Sep 2011Mastri Dominick LSurgical stapler
US80159764 Abr 201113 Sep 2011Tyco Healthcare Group LpKnife lockout mechanisms for surgical instrument
US80168558 Mar 200213 Sep 2011Tyco Healthcare Group LpSurgical device
US801685819 Jul 201013 Sep 2011Tyco Healthcare Group IpElectromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US802137330 Mar 201020 Sep 2011Tyco Healthcare Group LpSurgical device
US802519923 Feb 200427 Sep 2011Tyco Healthcare Group LpSurgical cutting and stapling device
US803343813 Oct 200611 Oct 2011Tyco Healthcare Group LpSurgical stapling device
US805678614 May 201015 Nov 2011Tyco Healthcare Group LpSurgical device
US805678813 Ene 201115 Nov 2011Tyco Healthcare Group LpSurgical stapler
US80567916 Dic 201015 Nov 2011Tyco Healthcare Group LpExpanding parallel jaw device for use with an electromechanical driver device
US806157616 Oct 200922 Nov 2011Tyco Healthcare Group LpSurgical instrument
US807486214 May 201013 Dic 2011Tyco Healthcare Group LpKnife/firing rod connection for surgical instrument
US811820721 Abr 201021 Feb 2012Tyco Healthcare Group LpSurgical stapling device
US81182083 Oct 201121 Feb 2012Tyco Healthcare Group LpExpanding parallel jaw device for use with an electromechanical driver device
US81279768 May 20096 Mar 2012Tyco Healthcare Group LpStapler cartridge and channel interlock
US81327065 Jun 200913 Mar 2012Tyco Healthcare Group LpSurgical stapling apparatus having articulation mechanism
US815282228 Nov 200710 Abr 2012Cook Medical Technologies LlcCombination therapy hemostatic clip
US816219716 Ago 201124 Abr 2012Tyco Healthcare Group LpSurgical stapler
US816718621 Jun 20101 May 2012Tyco Healthcare Group LpSurgical stapling device
US81728709 Jun 20048 May 2012Microline Surgical, Inc.Ligation clip applier
US818655918 Ene 201229 May 2012Tyco Healthcare Group LpExpanding parallel jaw device for use with an electromechanical driver device
US819175230 Nov 20105 Jun 2012Tyco Healthcare Group LpSurgical instrument having a plastic surface
US821553223 Nov 201010 Jul 2012Tyco Healthcare Group LpTissue stop for surgical instrument
US823527414 Oct 20117 Ago 2012Tyco Healthcare Group LpSurgical instrument
US82459008 Dic 201021 Ago 2012Tyco Healthcare Group LpSurgical instrument having a plastic surface
US82725537 Mar 201225 Sep 2012Tyco Healthcare Group LpSurgical stapler
US827255420 Abr 201125 Sep 2012Tyco Healthcare Group LpSurgical device having multiple drivers
US827659430 Ago 20112 Oct 2012Tyco Healthcare Group LpKnife lockout mechanisms for surgical instrument
US829214827 Abr 201123 Oct 2012Tyco Healthcare Group LpArticulation and firing force mechanisms
US830804110 Nov 201013 Nov 2012Tyco Healthcare Group LpStaple formed over the wire wound closure procedure
US83280659 Nov 201111 Dic 2012Covidien LpKnife/firing rod connection for surgical instrument
US83423782 Jun 20101 Ene 2013Covidien LpOne handed stapler
US834237919 Abr 20111 Ene 2013Covidien LpSurgical device having multiple drivers
US83481277 Abr 20108 Ene 2013Covidien LpSurgical fastener applying apparatus
US835344017 Jun 201115 Ene 2013Covidien LpSurgical device having a rotatable jaw portion
US84138686 Jul 20129 Abr 2013Covidien LpSurgical instrument
US84189076 Oct 201016 Abr 2013Covidien LpSurgical stapler having cartridge with adjustable cam mechanism
US842541211 Jul 200723 Abr 2013Cook Medical Technologies LlcPapilla spreader
US845391224 Ago 20124 Jun 2013Covidien LpSurgical stapler
US845952326 Abr 201211 Jun 2013Covidien LpExpanding parallel jaw device for use with an electromechanical driver device
US8475473 *30 Mar 20042 Jul 2013Applied Medical Resources CorporationConvertible surgical clip applier system
US849615220 Sep 201230 Jul 2013Covidien LpArticulation and firing force mechanisms
US851235911 Ago 201120 Ago 2013Covidien LpSurgical device
US851807425 Ago 201127 Ago 2013Covidien LpSurgical device
US85407333 Oct 201124 Sep 2013Covidien LpSurgical method and device having a first jaw and a second jaw in opposed correspondence for clamping, cutting, and stapling tissue
US856187428 Jun 201122 Oct 2013Covidien LpSurgical instrument with articulating tool assembly
US856843016 Mar 201029 Oct 2013Microline Surgical, Inc.Surgical ligation clip
US85734607 Mar 20135 Nov 2013Covidien LpSurgical instrument
US85849216 Oct 200619 Nov 2013Covidien LpSurgical instrument with articulating tool assembly
US858571826 Ago 201119 Nov 2013Aesculap AgCartridge with a plurality of C-shaped ligature clips
US86080436 Oct 200617 Dic 2013Covidien LpSurgical instrument having a multi-layered drive beam
US862846725 Abr 201114 Ene 2014Covidien LpMoisture-detecting shaft for use with an electro-mechanical surgical device
US862854423 Sep 200814 Ene 2014Covidien LpKnife bar for surgical instrument
US863676630 Nov 201228 Ene 2014Covidien LpSurgical stapling apparatus including sensing mechanism
US86687184 Jun 201011 Mar 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US869091327 Jul 20118 Abr 2014Covidien LpElectromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US87019596 Jun 200822 Abr 2014Covidien LpMechanically pivoting cartridge channel for surgical instrument
US87082105 Oct 200629 Abr 2014Covidien LpMethod and force-limiting handle mechanism for a surgical instrument
US874003530 May 20133 Jun 2014Covidien LpSurgical stapler
US87400361 Dic 20113 Jun 2014Covidien LpSurgical instrument with actuator spring arm
US874003928 Ene 20113 Jun 2014Covidien LpTissue stop for surgical instrument
US874093212 Ago 20133 Jun 2014Covidien LpSurgical device
US874653418 Ene 201110 Jun 2014Covidien LpTissue stop for surgical instrument
US875274810 Feb 201117 Jun 2014Covidien LpSurgical device having a rotatable jaw portion
US876387630 Jun 20111 Jul 2014Covidien LpSurgical instrument and cartridge for use therewith
US87638784 Jun 20101 Jul 2014Rotation Medical, Inc.Methods and apparatus having bowstring-like staple delivery to a target tissue
US87647747 Nov 20111 Jul 2014Cook Medical Technologies LlcClip system having tether segments for closure
US877045810 Jul 20128 Jul 2014Covidien LpSurgical instrument having a plastic surface
US88215364 Jun 20102 Sep 2014Rotation Medical, Inc.Methods and apparatus for delivering staples to a target tissue
US88215378 May 20132 Sep 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US882713513 Sep 20109 Sep 2014Transenterix, Inc.Hernia stapler with integrated mesh manipulator
US88406424 Feb 201423 Sep 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US885858931 Jul 201314 Oct 2014Covidien LpSurgical device
US886401020 Ene 201221 Oct 2014Covidien LpCurved guide member for articulating instruments
US886478015 Feb 201221 Oct 2014Rotation Medical, Inc.Methods and apparatus for delivering and positioning sheet-like materials
US8870049 *21 Mar 201228 Oct 2014Transenterix, Inc.Hernia stapler
US888797914 Feb 201418 Nov 2014Covidien LpSurgical stapler
US888881424 Oct 201318 Nov 2014Covidien LpSurgical instrument
US88939509 Oct 201225 Nov 2014Covidien LpSurgical apparatus for applying tissue fasteners
US889466625 Feb 201025 Nov 2014Aesculap AgSurgical instrument for applying ligating clips
US889946112 Ago 20112 Dic 2014Covidien LpTissue stop for surgical instrument
US8900253 *11 Mar 20042 Dic 2014Covidien LpClip applying apparatus with angled jaw
US892046418 Feb 201430 Dic 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US893168113 May 201413 Ene 2015Covidien LpSurgical instrument and cartridge for use therewith
US89316839 Jul 200913 Ene 2015Covidien LpSurgical stapling device
US893934331 Dic 201327 Ene 2015Covidien LpSurgical stapling apparatus including a drive beam
US897982714 Mar 201217 Mar 2015Covidien LpSurgical instrument with articulation mechanism
US90043403 Jul 201414 Abr 2015Covidien LpSurgical instrument having a plastic surface
US90052243 Oct 201414 Abr 2015Rotation Medical, Inc.Methods and apparatus for delivering and positioning sheet-like materials
US900523930 Abr 201414 Abr 2015Aesculap AgMedical instrument
US901653925 Oct 201128 Abr 2015Covidien LpMulti-use loading unit
US901737119 Abr 201128 Abr 2015Covidien LpSurgical device having multiple drivers
US902227113 Jul 20095 May 2015Covidien LpSurgical instrument having a plastic surface
US902781715 Dic 201412 May 2015Covidien LpSurgical stapling apparatus including sensing mechanism
US90278196 Jun 201412 May 2015Rotation Medical, Inc.Methods and apparatus having bowstring-like staple delivery to a target tissue
US903320115 Feb 201219 May 2015Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US90332027 May 201219 May 2015Covidien LpSurgical instrument having a plastic surface
US903386825 Abr 201119 May 2015Covidien LpCouplings for interconnecting components of an electro-mechanical surgical device
US907865421 May 201414 Jul 2015Covidien LpSurgical device
US90953378 May 20134 Ago 2015Rotation Medical, Inc.Methods and apparatus for delivering staples to a target issue
US91014608 Feb 201311 Ago 2015Rotation Medical, Inc.Implantable tendon protection systems and related kits and methods
US910766117 Dic 201218 Ago 2015Rotation Medical, Inc.Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US910766411 Jun 201218 Ago 2015Covidien LpTissue stop for surgical instrument
US911386316 Oct 201225 Ago 2015Covidien LpSurgical fastening assembly
US911387811 Ago 201125 Ago 2015Covidien LpPinion clip for right angle linear cutter
US91139778 May 201325 Ago 2015Rotation Medical, Inc.Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
US91256508 May 20138 Sep 2015Rotation Medical, Inc.Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US915553711 Jul 201213 Oct 2015Covidien LpSurgical fastener applying apparatus
US917991022 Mar 201010 Nov 2015Rotation Medical, Inc.Medical device delivery system and method
US91799614 Jun 201010 Nov 2015Rotation Medical, Inc.Methods and apparatus for deploying sheet-like materials
US919875011 Mar 20111 Dic 2015Rotation Medical, Inc.Tendon repair implant and method of arthroscopic implantation
US919875120 Dic 20121 Dic 2015Rotation Medical, Inc.Methods and apparatus for delivering and positioning sheet-like materials in surgery
US920487731 Dic 20128 Dic 2015Covidien LpSurgical device having a rotatable jaw portion
US92049408 May 20138 Dic 2015Rotation Medical, Inc.Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US92329442 May 201312 Ene 2016Covidien LpSurgical instrument and bushing
US924171627 Feb 201426 Ene 2016Covidien LpElectromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US924794030 Jun 20152 Feb 2016Covidien LpSurgical cutting and stapling device
US924797817 Dic 20122 Feb 2016Rotation Medical, Inc.Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US925922023 Dic 201416 Feb 2016Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US927172617 Dic 20121 Mar 2016Rotation Medical, Inc.Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US927172816 May 20121 Mar 2016Covidien LpSurgical fastener applying apparatus
US928296123 Abr 201515 Mar 2016Covidien LpSurgical device having multiple drivers
US928920916 May 201222 Mar 2016Covidien LpSurgical fastener applying apparatus
US928921121 Jun 201322 Mar 2016Covidien LpSurgical stapling apparatus
US929546530 Nov 201229 Mar 2016Covidien LpTissue stop for surgical instrument
US931431420 Dic 201219 Abr 2016Rotation Medical, Inc.Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US93143318 May 201319 Abr 2016Rotation Medical, Inc.Methods and apparatus for delivering and positioning sheet-like materials in surgery
US932677628 Sep 20063 May 2016Applied Medical Resources CorporationManually actuated surgical clip applier
US934548018 Ene 201324 May 2016Covidien LpSurgical instrument and cartridge members for use therewith
US936421716 Oct 201214 Jun 2016Covidien LpIn-situ loaded stapler
US936422322 May 201314 Jun 2016Covidien LpSurgical instrument having a multi-layered drive beam
US936422712 Dic 201414 Jun 2016Covidien LpSurgical instrument and cartridge for use therewith
US936423222 Jul 201514 Jun 2016Covidien LpTissue stop for surgical instrument
US937035617 Dic 201221 Jun 2016Rotation Medical, Inc.Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US937035918 Mar 201321 Jun 2016Covidien LpSurgical stapler having cartridge with adjustable cam mechanism
US938101618 Jul 20135 Jul 2016Covidien LpArticulation and firing force mechanisms
US93931038 May 201319 Jul 2016Rotation Medical, Inc.Tendon repair implant and method of arthroscopic implantation
US93931042 Sep 201419 Jul 2016Rotation Medical, Inc.Tendon repair implant and method of arthroscopic implantation
US941484126 May 201516 Ago 2016Rotation Medical, Inc.Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US944581012 Jun 201320 Sep 2016Covidien LpStapling device with grasping jaw mechanism
US944581119 Dic 201320 Sep 2016Covidien LpKnife bar for surgical instrument
US945195916 May 201227 Sep 2016Covidien LpSurgical fastener applying apparatus
US946844019 Jul 201318 Oct 2016Aesculap AgSurgical clip applicator
US949821630 Abr 201422 Nov 2016Covidien LpSurgical instrument with actuator spring arm
US951082725 Mar 20136 Dic 2016Covidien LpMicro surgical instrument and loading unit for use therewith
US952649725 Mar 201327 Dic 2016Covidien LpSurgical instrument with articulation mechanism
US952649921 Abr 201527 Dic 2016Covidien LpMulti-use loading unit
US953900711 Jul 201210 Ene 2017Covidien LpSurgical fastener applying aparatus
US95660638 May 201314 Feb 2017Rotation Medical, Inc.Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US956606421 Jun 201314 Feb 2017Covidien LpSurgical stapling apparatus
US95660679 Abr 201514 Feb 2017Covidien LpSurgical stapling apparatus including sensing mechanism
US961582920 May 201611 Abr 2017Covidien LpTissue stop for surgical instrument
US962962823 Ene 201425 Abr 2017Covidien LpSurgical stapling apparatus
US96361285 Feb 20142 May 2017Covidien LpMethod and force-limiting handle mechanism for a surgical instrument
US965561717 Oct 201423 May 2017Covidien LpSurgical instrument
US966210830 Ago 201330 May 2017Covidien LpSurgical stapling apparatus
US96621093 Abr 201530 May 2017Covidien LpElectromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US966872821 Jun 20136 Jun 2017Covidien LpSurgical stapling apparatus
US966872921 Jun 20136 Jun 2017Covidien LpSurgical stapling apparatus
US966873321 Abr 20146 Jun 2017Covidien LpStapling device with features to prevent inadvertent firing of staples
US96753465 Ene 201613 Jun 2017Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US971749831 Ene 20141 Ago 2017Covidien LpSurgical stapling apparatus
US972409317 Ene 20148 Ago 2017Covidien LpSurgical instrument and loading unit for use therewith
US972409511 Jul 20128 Ago 2017Covidien LpSurgical fastener applying apparatus
US974392724 Ago 201029 Ago 2017Covidien LpSystem and method for calibrating a surgical instrument
US97439705 Nov 201529 Ago 2017Rotation Medical, Inc.Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US975712631 Mar 201412 Sep 2017Covidien LpSurgical stapling apparatus with firing lockout mechanism
US20020117534 *20 Sep 200129 Ago 2002Green David T.Apparatus and method for applying surgical staples to attach an object to body tissue
US20030167072 *10 Mar 20034 Sep 2003Oberlander Michael A.Multi-anchor suture
US20030187450 *31 Mar 20032 Oct 2003Agbodoe Victor BanfordRongeur with detachable crossbar
US20040049191 *4 Sep 200311 Mar 2004Stryker SpineSystem for use in spinal stabilization
US20040092978 *15 Abr 200313 May 2004Surti Vihar C.Clip device
US20040167548 *23 Feb 200426 Ago 2004Bonutti Peter M.Magnetic suturing system and method
US20050222588 *30 Mar 20046 Oct 2005Frans VandenbroekConvertible surgical clip applier system
US20080015416 *11 Jul 200717 Ene 2008Wilson-Cook Medical, IncPapilla spreader
US20080109016 *15 Oct 20048 May 2008Charles Edward BrightApplicator
US20100016873 *28 Nov 200721 Ene 2010Gayzik Caroline MCombination therapy hemostatic clip
US20100274262 *25 Feb 201028 Oct 2010Aesculap AgSurgical instrument for applying ligating clips
US20100274264 *31 Mar 201028 Oct 2010Aesculap AgSurgical instrument for the placement of ligature clips
US20120175401 *21 Mar 201212 Jul 2012Alan BachmanHernia stapler
US20140039524 *7 Ago 20136 Feb 2014Aesculap AgSurgical clip applicator
USRE35525 *31 May 19953 Jun 1997Ethicon Endo-Surgery, Inc.Endoscopic multiple ligating clip applier
USRE36720 *7 Mar 199730 May 2000United States Surgical CorporationApparatus and method for applying latchless surgical clips
USRE4051419 Dic 200523 Sep 2008United States Surgical CorporationSurgical stapler
DE2845213A1 *17 Oct 197819 Abr 1979United States Surgical CorpKlammergeraet fuer chirurgische zwecke
DE2903471A1 *30 Ene 19792 Ago 1979Codman & ShurtleffChirurgisches instrument
DE3115960A1 *22 Abr 198114 Ene 1982Senco ProductsLigaturgeraet
DE4316768A1 *19 May 199324 Nov 1994Aesculap AgInstrument für chirurgische Zwecke
DE4323584A1 *14 Jul 199319 Ene 1995Delma Elektro Med AppZerlegbares medizinisches Instrument
DE19513572A1 *19 Abr 199524 Oct 1996Rudolf Gmbh MedizintechnikSurgical instrument with shaft, carriage, slide piece and handles
DE19513572C2 *19 Abr 199515 Oct 1998Rudolf Gmbh MedizintechnikChirurgisches Instrument
DE19742112A1 *24 Sep 199725 Mar 1999Raible Cnc TechnikSurgical slide shaft instrument for cutting
DE102009018818A124 Abr 200928 Oct 2010Aesculap AgChirurgisches Instrument zum Anlegen von Ligaturklammern
DE202009006113U124 Abr 20092 Jul 2009Aesculap AgChirurgisches Instrument zum Anlegen von Ligaturklammern
EP1293166A3 *21 Sep 199526 Nov 2003United States Surgical CorporationSurgical clip applicator
EP2243434A119 Ene 201027 Oct 2010Aesculap AgSurgical instrument for the placement of ligating clips
WO1992011812A1 *3 Ene 199223 Jul 1992Heidmueller HaraldClamp applicator
WO1993014701A1 *27 Ene 19925 Ago 1993Knoepfler Dennis JClip applier with cutter and suction irrigator
WO1997047245A1 *2 Jun 199718 Dic 1997Smith & Nephew, Inc.Ligating instrument
WO2002011622A1 *8 Ago 200014 Feb 2002Scion International, Inc.Shaped suture clip, appliance and method therefor
WO2012130590A1 *9 Mar 20124 Oct 2012Aesculap AgSurgical clip applicator
Clasificaciones
Clasificación de EE.UU.72/409.1, 606/142
Clasificación internacionalA61B17/128, A61B17/12
Clasificación cooperativaA61B17/1285
Clasificación europeaA61B17/128E