WO2009146402A1 - Endoscopic suturing tension controlling and indication devices - Google Patents
Endoscopic suturing tension controlling and indication devices Download PDFInfo
- Publication number
- WO2009146402A1 WO2009146402A1 PCT/US2009/045597 US2009045597W WO2009146402A1 WO 2009146402 A1 WO2009146402 A1 WO 2009146402A1 US 2009045597 W US2009045597 W US 2009045597W WO 2009146402 A1 WO2009146402 A1 WO 2009146402A1
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- Prior art keywords
- suture
- locking
- tensioning
- locking element
- handle
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
- A61B2017/0488—Instruments for applying suture clamps, clips or locks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
Definitions
- the present invention relates, in general, to surgical fasteners and devices for approximating and fastening tissue and, more particularly, to devices and methods relating to identifying and limiting the amount of tension experienced by an endoscopically applied suture.
- Endoscopic microsurgery including procedures performed by way of endoscopic instruments such as gastroscopes, colonoscopes, laparoscopes, and the like, may be preferred as an alternative to open surgery due to the many advantages attributed to such "minimally invasive" techniques such as shortened hospital stays, reduced recovery time, reduced risk of complications, and diminishment of the amount of and/or visibility of scarring caused by a surgical intervention.
- endoscopic procedures as in open surgery, there are instances where a surgeon may desire to repair damaged or diseased tissues by apposing the tissues together using a suture.
- suturing devices, stapling devices, and other fastener applicators that have been developed to aid surgeons in performing open surgery generally cannot be easily redesigned to be passed through a flexible endoscopic instrument, which may have a working channel having an internal diameter in the range of about 2.5 to about 4.0 millimeters.
- Suture coupled fasteners offer the advantage of allowing the fasteners to be applied to each wall of the stomach separately and then to be cinched together using the suture after the fastener applying device is removed.
- staples In order to apply staples, on the other hand, folds must be created in each wall to engage and pull the tissue together, thus requiring that the staples be inserted through four walls of tissue.
- various suture anchors and applicator devices have been developed to permit surgeons to endoscopically emplace sutures within tissues.
- Such suture anchors may be deployed using applicator devices that are inserted within and extended through the working channel of an endoscope, carrying a suture anchor to the site of the repair.
- applicators typically include a cannulated needle portion which permits the surgeon to penetrate the tissues adjacent to diseased or damaged tissue and deploy the suture anchor within, or preferably onto a distal surface of, the tissue to be apposed in repair.
- the suture anchor is generally attached to a distal end of a suture, with the bulk of the suture extending alongside or within a portion of the applicator device, and with a proximal end of the suture trailing outside the endoscopic instrument.
- the surgeon may appose the tissue by applying tension to the proximal ends of the sutures, thereby manipulating the suture anchors and the surrounding tissues, and secure the apposed tissue by advancing a series of half hitches towards the repair site using a knot pusher device.
- the surgeon may thread the trailing ends of the sutures through one of a number of types of knotting elements and associated knotting element applicators, feed the applicator through the flexible endoscope towards the apposed tissue, and "fire" the applicator to fix or "knot” the sutures in place with the knotting element.
- suture locking and knotting devices are disclosed in U.S. Patent Application Publication No. US 2007/0270907 Al, to Michael J. Stokes et al, entitled “Suture Locking Device", filed May 19, 2006, and U.S. Patent Application Publication No. US 2007/0270889 to Sean P. Conlon et al., entitled “ Combination Knotting Element and Suture Anchor Applicator", filed May 19, 2006, the disclosures of each said published applications being herein incorporated by reference in their respective entireties.
- suture-coupled fasteners may be more advantageous than staples in some applications
- slack or loops of excess suture can form as the surgeon is attaching the fasteners to the opposed walls of the stomach.
- the suture For a gastric restriction procedure to be successful, for example, the suture must be tightly cinched to pull the gastric walls together so that the reduced volume of the patient's stomach can be maintained. If any slack or loose loops of suture are present, the stomach will expand and the restriction will not be effective. Thus, the surgeon must maintain tension on the suture as the fasteners are being applied and the sutures are "knotted” or otherwise fastened together.
- a suture tensioning device may comprise a housing and a movable tensioning member that is constrained to move axially within the housing.
- the movable tensioning member may be configured to have a portion of a suture wound therearound such that a distal portion of the suture extends in a distal direction from the movable tensioning member to be anchored to tissue.
- a proximal portion of the suture may protrude from the movable tensioning member to have tension applied thereto.
- Various embodiments may further include a first resilient member for applying a first resistive force to the movable tensioning member in a first direction and a second resilient member for applying a second resistive force to the movable tensioning member in a second direction that is opposite to the first direction.
- a suture application device may include a handle assembly and a cannula that is operably supported by the handle assembly and is configured to be operably coupled to an end effector for applying a suture to a surgical site.
- the device may further include a movable tensioning member that is constrained to move axially within a portion of the handle assembly.
- the movable tensioning member may be configured to have a portion of a suture wound therearound such that a distal portion of the suture extends in a distal direction from the movable tensioning member to be anchored to tissue and a proximal portion of the suture protrudes from the movable tensioning member to have tension applied thereto.
- the device may also include a first resilient member for applying a first resistive force to the movable tensioning member in a first direction and a second resilient member for applying a second resistive force to the movable tensioning member in a second direction that is opposite to the first direction.
- a suture locking device may include a housing member and a first locking element that is operably supported within the housing member and has a suture extending therethrough.
- a second locking element may be supported relative to the first locking element and be configured to retainingly engage the first locking element upon application of a firing motion to the first locking element to thereby cause a portion of the suture extending through the first locking element to be locked between the first and second locking elements.
- An indicator member may be supported within the housing member and be configured to only be viewable through an external wall thereof when an excessive amount of tension has been applied to the suture material prior to applying the firing motion to the first locking member.
- a drive cable may extend through the elongated catheter and operably interface with the handle member for transmitting the firing motion to a first locking element that is operably coupled thereto.
- the first locking element may have a suture extending therethrough.
- a second locking element may be supported relative to said the first locking element and be configured to retainingly engage the first locking element upon application of a firing motion to the first locking element to thereby cause a portion of the suture extending through the first locking element to be locked between the first and second locking elements.
- An indicator member may be supported within the catheter and may be arranged to interface with the drive cable such that the indicator member is only be viewable through an external wall of the catheter when an excessive amount of tension has been applied to the suture material prior to applying the firing motion.
- FIG. 1 is a side view of a handle assembly of a suturing device for delivering a suture to a surgical site that includes a suture tensioning device embodiment of the present invention, with portions thereof shown in cross-section for clarity;
- FIG. 2 is a cross-section of the handle assembly of FIG.1 taken along line 2-2 in FIG. 1;
- FIG. 3 is a cross-section of the handle assembly of FIG.1 taken along line 3-3 in FIG. 1;
- FIG. 4 is a bottom view of a portion of the handle assembly of FIGS. 1-3;
- FIG. 5 is an enlarged cross-sectional view of a suture tensioning device of various embodiments of the present invention.
- FIG. 6 is a side view of a handle assembly of a suturing device for delivering a suture to a surgical site and another suture tensioning device embodiment of the present invention
- FIG. 7 is a top view of the suture tensioning device embodiment of FIG. 6;
- FIG. 8 is a side view of a handle assembly of another suturing device for delivering a suture to a surgical site with another suture tensioning device embodiment of the present invention incorporated therein;
- FIG. 9 is a cross-sectional view of the handle assembly of FIG. 8;
- FIG. 10 is a cross-sectional view of a handle assembly of another suturing device for delivering a suture to a surgical site and another suture tensioning embodiment of the present invention;
- FIG. 11 is a side view of a handle assembly of another suturing device for delivering a suture to a surgical site with another suture tensioning device embodiment of the present invention incorporated therein;
- FIG. 12 is a top view of a handle assembly of another suturing device for delivering a suture to a surgical site with another suture tensioning device embodiment of the present shown in cross-section;
- FIG. 13 is bottom view of another suturing device for delivering a suture to a surgical site with another suture tensioning device embodiment of the present invention incorporated therein;
- FIG. 14 is a side view of another suturing device for delivering a suture to a surgical site with another suture tensioning device embodiment of the present invention incorporated therein;
- FIG. 15 is a cross-section of another handle assembly that may be employed with various embodiments of the present invention.
- FIG. 16 is a cross-sectional view of a suture locking device embodiment of the present invention, showing the device threaded with suture material prior to firing;
- FIG. 17 is a cross-sectional view of a portion of another handle assembly embodiment of the present invention.
- proximal and distal are used herein with reference to a clinician manipulating an end of the instrument that protrudes out of a patient's natural orifice, e.g., mouth, anus, vagina, etc.
- proximal referring to the portion closest to the clinician and the term “distal” referring to the portion located away from the clinician.
- distal referring to the portion located away from the clinician.
- spatial terms such as “vertical”, “horizontal”, “up” and “down” may be used herein with respect to the drawings.
- surgical instruments are used in many orientations and positions, and these terms are not intended to be limiting and/or absolute.
- FIGS. 1-5 illustrate one exemplary embodiment of a suture tensioning device 10 as used in connection with a suturing device for delivering a suture to a surgical site of the type described in Published U.S. Patent Application No. US 2007/0270907 Al, to Michael J. Stokes et al, entitled “Suture Locking Device", filed May 19, 2006, the disclosure of which has been herein incorporated by reference in its entirety.
- the suture tensioning device 10 may being incorporated into a handle 100 for deploying a knotting element from a suture locking device.
- Handle 100 may be attached at the proximal end of drive cable 102.
- Handle 100 may comprise a longitudinal body portion 104, as well as a grip portion 106 for engaging the surgeon's fingers during operation of the suture locking device.
- a thumb guide 108 may be located at the proximal end of handle 100.
- the distal end of handle 100 may include an outer clamp 110 that has a center bore for passage of catheter 120.
- a ring 146 may be welded to the proximal end of catheter 120 and retained between clamp 110 and handle body 104 to secure the catheter.
- Drive cable 102 may extend proximally beyond clamp 110 and catheter 120 into a center bore 112 of handle body 104.
- a retaining member 114 may be longitudinally disposed in bore 112 of handle body 104.
- Grip 106 may be attached to retaining member 114 to move the retaining member within handle body 104 in response to pressure applied to the grip by the surgeon.
- Drive cable 102 is locked within retaining member 114 so as to move with the retaining member along the longitudinal axis "A-A" of handle body 104.
- a resilient member 116 extends about drive cable 102 between the proximal end of handle body 104 and retaining member 114.
- Resilient member 116 serves to bias a cable connector portion of the suture locking device into a proximal position within an adaptor thereof.
- An attachment mechanism 118 is lodged in the proximal end of handle body 104 to attach thumb guide 108 to the handle body 104, and to allow for rotation of the guide relative to the handle body 104. Tension is applied to drive cable 102 by pulling proximally on grip 106.
- retaining member 114 moves proximally within bore 112 of handle body 104, due to the connection between the grip and retaining member.
- the length of drive cable 102 is pulled proximally, increasing the tension on the cable 102.
- the increased tension on drive cable 102 is transferred to a launching member portion of the suture locking device.
- Handle body bore 112 is sized to allow drive cable 102 to be pulled a sufficient distance to so as to actuate the suture locking device as described in U.S. Patent Publication No. US2007/0270907, which has been herein incorporated by reference in its entirety.
- the suture material 150 that has been externalized out of the patient's mouth is threaded into suture locking mechanism and thereafter, the ends of the suture 150 are retrieved by the surgeon.
- the surgeon reintroduces the endoscope into the patient, and advances the scope to the suture site using the suture strands as a guide.
- tension is applied to suture material 150, as well as to handle 132, to fire the device as described in the aforementioned U.S. Published Patent Application US2007/0270907.
- the handle housing 100 may include a suture tensioning device 10 embodiment of the present invention.
- the suture tensioning device 10 may include a housing 12 that has an axially extending passage 114 therein.
- the passage 114 may have an axis "B-B" that is substantially parallel to the handle axis "A-A" as shown.
- the housing 12 comprises an integral part of the grip 106.
- the housing 12 and grip 106 may be integrally molded from a polymer material as a single piece or, in other embodiments, the housing 12 may be fabricated apart from the grip 106 and then attached thereto by, for example, an appropriate adhesive material or other suitable fastener arrangement.
- the suture tensioning device 10 may further comprise a movable tensioning member 20 that may comprise, for example, a movable mounting block 22 that has a tensioning spool 24 attached thereto or otherwise protruding therefrom.
- the mounting block 22 may be movably mounted within the axial passage 14 in the housing 12 such that it can axially move therein in the proximal direction "PD" and the distal direction "DD".
- the tensioning spool 24 may be rotatably affixed to the mounting block 22 by a shaft 26 that protrudes through an axial slot 18 provided in the housing 12.
- the tensioning spool 24 may be rigidly affixed to the mounting block 22 and, in still other embodiments, for example, the tensioning spool 24 may be omitted such that only shaft 26 protrudes out through the axial slot 18.
- the shaft 26 and mounting block 22 may comprise an integral component.
- the mounting block 22 is centrally disposed between a first resilient member 30A and a second resilient member 30B.
- members 30A and 30B may, for example, each comprise a coil spring as shown.
- the coil springs 3OA and 3OB may be substantially identical (i.e., they have the same size and spring constant) or in alternative embodiments, the coil springs 3OA and 3OB are not substantially identical.
- X is the distance that the spring has been stretched or compressed away from the equilibrium position, which is the position where the spring would naturally come to rest;
- F is the restoring force exerted by the material
- k is the force constant or spring constant.
- the constant has units of feree per unit length.
- the suture 150 is wound or wrapped around the tensioning spool 24 at least one time or more than one time such that a distal portion 152 of the suture 150 extends to the stitch inside the patient and a proximal portion 154 of the suture 150 is outside of the patient wherein it may be grasped by the surgeon.
- the spool 24 may be provided with a retention notch (not shown) into which a portion of the suture may be inserted to temporarily affix the suture to the spool 24.
- the mounting block 22 Prior to any tension being applied to the suture 150, the mounting block 22 is centrally disposed between the biasing members 30A and 30B.
- the first resilient member 30A and the second resilient member 30B may be substantially uncompressed or one resilient member may be in compression while the other resilient member is uncompressed or one resilient member may be in compression while the other one is in tension.
- Tl represents the amount of tension applied to the proximal portion 152 of the suture 150 by the surgeon and ultimately to the stitch (i.e., the distal end of the suture 150 that is anchored to the tissue, organ, etc.).
- the first resilient member 3OA applies a first resistive force 31 to the mounting block 22 in the proximal direction "PD" and the second resilient member 3OB applies a second resistive force 32 to the mounting block 22 in the distal direction "DD".
- T2 Tl - kX
- the first and second resilient members 3OA and 30B enable the surgeon to control the amount of tension ultimately applied to the anchored end of the suture 150.
- the first and second resilient members 30A and 30B may be the same size. However, in alternative embodiments, the first and second resilient members are not the same size.
- FIGS. 6 and 7 illustrate another suture tensioning device 10' that is substantially similar to the tensioning device 10 described above except that the housing 12' is separate and apart from the grip portion 106.
- the housing 12' may be fabricated in two pieces 12A' and 12B' that may be hinged together by hinge 15 or otherwise may be releasably coupled together. When coupled together, a lumen 13 is formed therein that is sized to lock onto catheter 120 as shown.
- the suture tensioning device 10' otherwise operates the same as the tensioning device 10 described above. In use, the surgeon may support the housing 12' on the catheter 120.
- the housing 12' may be configured to retaining mate with the outer clamp 110 and/or body portion 104.
- FIGS. 8 and 9 illustrate the incorporation of a suture tensioning device 10 of an embodiment of the present invention into a known handle assembly 200 for of a suturing device for delivering a suture to a surgical site.
- FIG. 10 illustrates use of a suture tensioning device 10' embodiment of the present invention used in connection with the handle assembly 200.
- the person of ordinary skill in the art will appreciate that the devices 10, 10' may be used in connection with the handle assembly 200 in the same manners as were described above.
- FIG. 11 illustrates the incorporation of a suture tensioning device 10 of an embodiment of the present invention into another known handle assembly 300 for a suturing device for applying suture anchors.
- handle assembly 300 may be similar in construction and operation to those handle assemblies disclosed in U.S. Patent Publication No. 2008/0103527 Al to David T. Martin et al., entitled “Flexible Endoscopic Suture Anchor", filed October 27, 2006 and pending co-owned U.S. Patent Application Serial No. 11/796,035 to David Stefanchik et al., entitled “Surgical Suturing Apparatus", filed April 26, 2007, the disclosures of each said application being herein incorporated by reference in their respective entireties.
- FIG. 12 illustrates use of a suture tensioning device 10' embodiment of the present invention used in connection with the handle assembly 300.
- the person of ordinary skill in the art will appreciate that the devices 10, 10' may be used in connection with the handle assembly 300 in the same manners as were described above.
- FIGS. 13 and 14 illustrate use of a suture tensioning device 400 embodiment of the present invention that may be effectively used to apply tension to two or more sutures 150 when employing a suture knotting and anchor applying device 500 of the type disclosed in published U.S. Patent Application Publication No. US 2007/0270889.
- two spools 24 and 24 A are mounted to the mounting block 22 to facilitate receipt of two separate sutures 150 and 150'. That is, suture 150 may be wrapped around spool 24 and suture 150' may be wrapped around spool 24A.
- the spools 24, 24A are essentially parallel to each other.
- the spools 24, 24A are aligned along a transverse axis C-C that is substantially transverse to the sutures 150, 150'.
- the spools 24, 24A are coaxially aligned in a "stacked" arrangement along a vertically extending axis D-D.
- the suture tensioning device 400 may be used in connection with the knotting and anchor applying device 500 in the same manners as described above. Such "parallel" and "stacked" arrangements may also be successfully employed with the devices 10' described above.
- two spools 24, 24A have been depicted, more than two spools could conceivably be employed to match the numbers of sutures.
- FIGS. 15 and 16 depict a suture locking device 610 of the type described in U.S. Patent Application Publication No. US2007/0270907 with suture tension indication embodiment 600 of the present invention incorporated therein.
- FIG. 15 illustrates the proximal end of a catheter 680 and an exemplary handle 611 for deploying a knotting element from suture locking device 610.
- Handle 611 may be attached at the proximal end of drive cable 612 for applying tension to the cable.
- Handle 611 may comprise a longitudinal body portion 616, as well as a grip portion 630 for engaging the surgeon's fingers during operation of device 610.
- a thumb guide 626 may be located at the proximal end of handle 611.
- the distal end of handle 611 may include an outer clamp 613 having a center bore for passage of catheter 680.
- a ring 615 may be welded to the proximal end of catheter 680 and retained between clamp 613 and handle body 616 to secure the catheter 680.
- Drive cable 612 may extend proximally beyond clamp 613 and catheter 680 into a center bore 632 of handle body 616.
- a retaining member 614 may be longitudinally disposed in bore 632 of handle body 616.
- Grip 630 may be attached to retaining member 614 to move the retaining member within handle body 616 in response to pressure applied to the grip by the surgeon.
- drive cable 612 extends into a center bore within a retaining member 614 located in a handle 611.
- the proximal end of drive cable 612 may be secured within retaining member 614 by an attachment mechanism, such as, for example, a piece of metal tubing crimped to the end of the cable.
- Drive cable 612 may be locked within retaining member 614 so as to move with the retaining member 614 along the longitudinal axis of handle body 616.
- a resilient member 618 may extend about drive cable 612 between the proximal end of handle body 616 and retaining member 614. Resilient member 618 serves to bias cable connector 620 into a proximal position within adaptor 622. See FIG. 17.
- An attachment mechanism 624 is lodged in the proximal end of handle body 616 to attach thumb guide 626 to the handle body, and to allow for rotation of the guide relative to the handle body.
- Tension is applied to drive cable 612 by pulling proximally on grip 630.
- grip 630 moves proximally, retaining member 614 moves proximally within bore 632 of handle body 616, due to the connection between the grip and retaining member.
- the length of drive cable 612 is pulled proximally, increasing the tension on the cable.
- the increased tension on drive cable 612 is transferred to launching member 640 via the interconnection between cable connector 620, adaptor 622, and launching member 640.
- Handle body bore 632 is sized to allow drive cable 612 to be pulled a sufficient distance to pull inner locking member 650 into outer locking member 652 as well as separate the knotting element from launching member 640.
- the device is introduced into the working channel of an externalized endoscope in an initial, unfired position.
- Suture locking device 610 is advanced through the working channel of the endoscope until inner and outer locking members 650, 652 are visible beyond the distal end of the scope.
- the suture locking device 610 is advanced out of the working channel at least until the indicator windows 670 are viewable with a camera as will be discussed in further detail below.
- Suture material 150 that has been externalized out the patient's mouth (or other orifice or incision) is threaded into the distal end of inner locking member 650.
- the suture material is passed through bore 654 of inner locking member 650 and out through opening 656 of launching member 640.
- the surgeon reintroduces the endoscope into the patient, and advances the scope to the suture site using the suture strands as a guide.
- In-line tension "Tl" is maintained on suture material 150 while device 610 is passed towards the suture site by holding the externalized ends of the suture material 150.
- at least one indication window 670 is provided through the housing 660.
- the windows 670 are located relative to the adapter 622 in an unfired position such that when too much tension is applied to the suture 150, the suture will cause the launching member 640 and adapter 622 to move proximally in the housing 660.
- the surgeon knows that excessive tension is being applied to the suture material 150.
- the surgeon may view the indicator windows 670 by the video camera (not shown) inserted through the endoscope (not shown).
- the adapter may be provided in one or more bright colors.
- drive cable 612 is pulled proximally through handle 611, catheter 680 and housing 660.
- the movement of drive cable 612 applies tension to adaptor 622, which in turn pulls launching member 640 proximally.
- inner locking member 650 is drawn into outer locking member 652 to lock the suture material 150 therebetween.
- FIG. 17 An alternative suture tension indication device 600' is depicted in FIG. 17.
- a housing segment 682 is coupled to the outer clamp 613 or is otherwise supported adjacent to the handle, and extends around a portion of the catheter 680.
- an indicator block 690 is attached to the drive cable 612 for movement within the catheter 680.
- At least one indicator window 684 is provided through the catheter 680 that is aligned with a corresponding window 686 in the housing 682 so that the indicator block 690 is viewable therethrough when excessive tension has been applied to the suture material 150 (not shown in FIG. 17).
- the windows 684, 686 are so located relative to the distal end of the indicator block 690 such that when a desired amount of tension is applied to the suture material, the indicator block 690 is not viewable through the windows 684, 686, yet when an excessive amount of tension is applied to the suture material, the drive cable 612 and indicator block 690 move proximally to a position wherein the surgeon can view the indicator block through those windows 684, 686.
- the suture locking device used with this embodiment may be identical to the suture locking device 610 described above - so that the surgeon would be able to detect when excessive tension has been applied to the suture material in two places (distally and proximally), or the device 600' may be used in connection with a suture locking device of the type disclosed in U.S. Patent Publication No. US2007/0270907.
- the various embodiments of the present invention described above represent a vast improvement over prior devices and methods used to deliver and install sutures and/or apply an appropriate amount of tension to sutures as they are installed by the surgeon.
- the unique and novel features of the present invention may be effectively incorporated into a host of different known suturing devices that are used to deliver and/or install sutures through a natural orifice in the patient and thereby avoid several disadvantages associated with other conventional surgical methods and procedures that require incisions to be made into the abdomen. While the some embodiments of the present invention may be effectively incorporated into the handles of existing suturing devices, other embodiments may be separate from the handle assemblies and may be used in connection with several different types of suturing devices.
- the devices disclosed herein can be designed to be disposed of after a single use, or they can be designed to be used multiple times. In either case, however, the device can be reconditioned for reuse after at least one use. Reconditioning can include a combination of the steps of disassembly of the device, followed by cleaning or replacement of particular pieces, and subsequent reassembly. In particular, the device can be disassembled, and any number of particular pieces or parts of the device can be selectively replaced or removed in any combination. Upon cleaning and/or replacement of particular parts, the device can be reassembled for subsequent use either at a reconditioning facility, or by a surgical team immediately prior to a surgical procedure.
- the reconditioning of a device can utilize a variety of different techniques for disassembly, cleaning/replacement, and reassembly. Use of such techniques, and the resulting reconditioned device, are all within the scope of the present application.
- the invention described herein will be processed before surgery.
- the instrument can then be sterilized.
- the instrument is placed in a closed and sealed container, such as a plastic or TYVEK® bag.
- the container and instrument are then placed in a field of radiation that can penetrate the container, such as gamma radiation, x-rays, or higher energy electrons.
- the radiation kills bacteria on the instrument and in the container.
- the sterilized instrument can then be stored in the sterile container.
- the sealed container keeps the instrument sterile until it is opened in the medical facility.
Abstract
Various exemplary methods and devices are provided for tensioning sutures. The methods and devices are particularly useful in surgical suturing applications in which it is desirable to maintain tension on a suture being delivered. In various embodiments, the device is incorporated into the handle of a suture device configured to deliver a suture to a surgical site. Other embodiments comprise a device that is separate from, but may be used in connection with, a suture device configured to deliver a suture to a surgical site. A suture locking device is also provided which enables the surgeon to ascertain when a desired amount of tension has been applied to a suture prior to affixing knotting tying elements thereto.
Description
ENDOSCOPIC SUTURING TENSION CONTROLLING AND INDICATION DEVICES
FIELD OF THE INVENTION
[0001] The present invention relates, in general, to surgical fasteners and devices for approximating and fastening tissue and, more particularly, to devices and methods relating to identifying and limiting the amount of tension experienced by an endoscopically applied suture.
BACKGROUND OF THE INVENTION
[0002] Endoscopic microsurgery, including procedures performed by way of endoscopic instruments such as gastroscopes, colonoscopes, laparoscopes, and the like, may be preferred as an alternative to open surgery due to the many advantages attributed to such "minimally invasive" techniques such as shortened hospital stays, reduced recovery time, reduced risk of complications, and diminishment of the amount of and/or visibility of scarring caused by a surgical intervention. In many endoscopic procedures, as in open surgery, there are instances where a surgeon may desire to repair damaged or diseased tissues by apposing the tissues together using a suture. However, the suturing devices, stapling devices, and other fastener applicators that have been developed to aid surgeons in performing open surgery generally cannot be easily redesigned to be passed through a flexible endoscopic instrument, which may have a working channel having an internal diameter in the range of about 2.5 to about 4.0 millimeters.
[0003] Some gastric restriction procedures utilize a series of fasteners that are coupled together by a suture used to cinch and pull the fastened tissue together. Suture coupled fasteners offer the advantage of allowing the fasteners to be applied to each wall of the stomach separately and then to be cinched together using the suture after the fastener applying device is removed. In order to apply staples, on the other hand, folds must be created in each wall to engage and pull the tissue together, thus requiring that the staples be inserted through four walls of tissue.
[0004] To address these problems, various suture anchors and applicator devices have been developed to permit surgeons to endoscopically emplace sutures within tissues. Such suture anchors may be deployed using applicator devices that are inserted within and extended through the working channel of an endoscope, carrying a suture anchor to the site of the repair. Such applicators typically include a cannulated needle portion which permits the surgeon to penetrate the tissues adjacent to diseased or damaged tissue and deploy the suture anchor within, or preferably onto a distal surface of, the tissue to be apposed in repair.
[0005] The suture anchor is generally attached to a distal end of a suture, with the bulk of the suture extending alongside or within a portion of the applicator device, and with a proximal end of the suture trailing outside the endoscopic instrument. After deploying the suture anchors, the surgeon may appose the tissue by applying tension to the proximal ends of the sutures, thereby manipulating the suture anchors and the surrounding tissues, and secure the apposed tissue by advancing a series of half hitches towards the repair site using a knot pusher device. Alternately, the surgeon may thread the trailing ends of the sutures through one of a number of types of knotting elements and associated knotting element applicators, feed the applicator through the flexible endoscope towards the apposed tissue, and "fire" the applicator to fix or "knot" the sutures in place with the knotting element. Examples of such suture locking and knotting devices are disclosed in U.S. Patent Application Publication No. US 2007/0270907 Al, to Michael J. Stokes et al, entitled "Suture Locking Device", filed May 19, 2006, and U.S. Patent Application Publication No. US 2007/0270889 to Sean P. Conlon et al., entitled " Combination Knotting Element and Suture Anchor Applicator", filed May 19, 2006, the disclosures of each said published applications being herein incorporated by reference in their respective entireties.
[0006] While suture-coupled fasteners may be more advantageous than staples in some applications, slack or loops of excess suture can form as the surgeon is attaching the fasteners to the opposed walls of the stomach. For a gastric restriction procedure to be successful, for example, the suture must be tightly cinched to pull the gastric walls together so that the reduced volume of the patient's stomach can be maintained. If any slack or loose loops of suture are present, the stomach will expand and the restriction will not be effective. Thus, the surgeon must
maintain tension on the suture as the fasteners are being applied and the sutures are "knotted" or otherwise fastened together. Moreover, because of the relatively long distances traveled by endoscopic devices, user forces are not generally transmitted in a one-to-one fashion with respect to time and magnitude. As a result, tactile feedback to the surgeon is generally poor. This makes tension control of resulting stitches difficult. Too much tension can cause tissue necrosis, while insufficient tension can cause peritonitis or other issues associated with a loose stitch, such as malfunction of the suturing device. These problems are also encountered when suturing within the gastrointenstinal ("GI") tract wherein two pieces of sutures are locked together, during general tissue approximation.
[0007] Consequently a need exists for devices that can manage and/or indicate the amount of tension applied to a suture prior to the sutures being locked together.
[0008] The foregoing discussion is intended only to illustrate some of the shortcomings present in the field of the invention at the time, and should not be taken as a disavowal of claim scope.
SUMMARY
[0009] In one aspect of the invention, there is provided a suture tensioning device. Various embodiments of the device may comprise a housing and a movable tensioning member that is constrained to move axially within the housing. The movable tensioning member may be configured to have a portion of a suture wound therearound such that a distal portion of the suture extends in a distal direction from the movable tensioning member to be anchored to tissue. A proximal portion of the suture may protrude from the movable tensioning member to have tension applied thereto. Various embodiments may further include a first resilient member for applying a first resistive force to the movable tensioning member in a first direction and a second resilient member for applying a second resistive force to the movable tensioning member in a second direction that is opposite to the first direction.
[0010] In another general aspect of various embodiments of the present invention, there is provided a suture application device that may include a handle assembly and a cannula that is operably supported by the handle assembly and is configured to be operably coupled to an end effector for applying a suture to a surgical site. The device may further include a movable
tensioning member that is constrained to move axially within a portion of the handle assembly. The movable tensioning member may be configured to have a portion of a suture wound therearound such that a distal portion of the suture extends in a distal direction from the movable tensioning member to be anchored to tissue and a proximal portion of the suture protrudes from the movable tensioning member to have tension applied thereto. The device may also include a first resilient member for applying a first resistive force to the movable tensioning member in a first direction and a second resilient member for applying a second resistive force to the movable tensioning member in a second direction that is opposite to the first direction. [0011] In still another general aspect of various embodiments of the present invention, there is provided a suture locking device. Various embodiments may include a housing member and a first locking element that is operably supported within the housing member and has a suture extending therethrough. A second locking element may be supported relative to the first locking element and be configured to retainingly engage the first locking element upon application of a firing motion to the first locking element to thereby cause a portion of the suture extending through the first locking element to be locked between the first and second locking elements. An indicator member may be supported within the housing member and be configured to only be viewable through an external wall thereof when an excessive amount of tension has been applied to the suture material prior to applying the firing motion to the first locking member. [0012] In accordance with another general aspect of the present invention there is provided a suture locking device. Various embodiments may include a handle member that is configured to generate a firing motion and an elongated catheter that extends from the handle member. A drive cable may extend through the elongated catheter and operably interface with the handle member for transmitting the firing motion to a first locking element that is operably coupled thereto. The first locking element may have a suture extending therethrough. A second locking element may be supported relative to said the first locking element and be configured to retainingly engage the first locking element upon application of a firing motion to the first locking element to thereby cause a portion of the suture extending through the first locking element to be locked between the first and second locking elements. An indicator member may be supported within the catheter and may be arranged to interface with the drive cable such that the indicator member is only be viewable through an external wall of the catheter when an
excessive amount of tension has been applied to the suture material prior to applying the firing motion.
BRIEF DESCRIPTION OF THE FIGURES
[0013] The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the invention, and, together with the general description of the invention given above, and the detailed description of the embodiments given below, serve to explain various principles of the present invention.
[0014] FIG. 1 is a side view of a handle assembly of a suturing device for delivering a suture to a surgical site that includes a suture tensioning device embodiment of the present invention, with portions thereof shown in cross-section for clarity;
[0015] FIG. 2 is a cross-section of the handle assembly of FIG.1 taken along line 2-2 in FIG. 1; [0016] FIG. 3 is a cross-section of the handle assembly of FIG.1 taken along line 3-3 in FIG. 1; [0017] FIG. 4 is a bottom view of a portion of the handle assembly of FIGS. 1-3;
[0018] FIG. 5 is an enlarged cross-sectional view of a suture tensioning device of various embodiments of the present invention;
[0019] FIG. 6 is a side view of a handle assembly of a suturing device for delivering a suture to a surgical site and another suture tensioning device embodiment of the present invention;
[0020] FIG. 7 is a top view of the suture tensioning device embodiment of FIG. 6;
[0021] FIG. 8 is a side view of a handle assembly of another suturing device for delivering a suture to a surgical site with another suture tensioning device embodiment of the present invention incorporated therein;
[0022] FIG. 9 is a cross-sectional view of the handle assembly of FIG. 8;
[0023] FIG. 10 is a cross-sectional view of a handle assembly of another suturing device for delivering a suture to a surgical site and another suture tensioning embodiment of the present invention;
[0024] FIG. 11 is a side view of a handle assembly of another suturing device for delivering a suture to a surgical site with another suture tensioning device embodiment of the present invention incorporated therein;
[0025] FIG. 12 is a top view of a handle assembly of another suturing device for delivering a suture to a surgical site with another suture tensioning device embodiment of the present shown in cross-section;
[0026] FIG. 13 is bottom view of another suturing device for delivering a suture to a surgical site with another suture tensioning device embodiment of the present invention incorporated therein;
[0027] FIG. 14 is a side view of another suturing device for delivering a suture to a surgical site with another suture tensioning device embodiment of the present invention incorporated therein;
[0028] FIG. 15 is a cross-section of another handle assembly that may be employed with various embodiments of the present invention;
[0029] FIG. 16 is a cross-sectional view of a suture locking device embodiment of the present invention, showing the device threaded with suture material prior to firing; and
[0030] FIG. 17 is a cross-sectional view of a portion of another handle assembly embodiment of the present invention.
DETAILED DESCRIPTION
[0031] Certain exemplary embodiments will now be described to provide an overall understanding of the principles of the structure, function, manufacture, and use of the devices and methods disclosed herein. One or more examples of these embodiments are illustrated in the accompanying drawings. Those of ordinary skill in the art will understand that the devices and
methods specifically described herein and illustrated in the accompanying drawings are non- limiting exemplary embodiments and that the scope of the various embodiments of the present invention is defined solely by the claims. The features illustrated or described in connection with one exemplary embodiment may be combined with the features of other embodiments. Such modifications and variations are intended to be included within the scope of the present invention.
[0032] It will be appreciated that the terms "proximal" and "distal" are used herein with reference to a clinician manipulating an end of the instrument that protrudes out of a patient's natural orifice, e.g., mouth, anus, vagina, etc. The term "proximal" referring to the portion closest to the clinician and the term "distal" referring to the portion located away from the clinician. It will be further appreciated that, for convenience and clarity, spatial terms such as "vertical", "horizontal", "up" and "down" may be used herein with respect to the drawings. However, surgical instruments are used in many orientations and positions, and these terms are not intended to be limiting and/or absolute.
[0033] The present invention generally relates to devices and methods that may be used in connection with controlling an amount of tension applied to a suture when employing a device used to knot or otherwise attach sutures together. FIGS. 1-5 illustrate one exemplary embodiment of a suture tensioning device 10 as used in connection with a suturing device for delivering a suture to a surgical site of the type described in Published U.S. Patent Application No. US 2007/0270907 Al, to Michael J. Stokes et al, entitled "Suture Locking Device", filed May 19, 2006, the disclosure of which has been herein incorporated by reference in its entirety. However, those of ordinary skill in the art will also readily appreciate that the features of various embodiments of the present invention may also be successfully employed, for example, in connection with those suturing devices disclosed in Published U.S. Patent Application No. US 2007/0270889 to Sean P. Conlon et al., entitled " Combination Knotting Element and Suture Anchor Applicator", filed May 19, 2006, the disclosure of which is herein incorporated by reference in its entirety, as well as other know suture locking devices.
[0034] In various embodiments, the suture tensioning device 10 may being incorporated into a handle 100 for deploying a knotting element from a suture locking device. Handle 100 may be
attached at the proximal end of drive cable 102. Handle 100 may comprise a longitudinal body portion 104, as well as a grip portion 106 for engaging the surgeon's fingers during operation of the suture locking device. A thumb guide 108 may be located at the proximal end of handle 100. As shown in greater detail in FIG. 2, the distal end of handle 100 may include an outer clamp 110 that has a center bore for passage of catheter 120. A ring 146 may be welded to the proximal end of catheter 120 and retained between clamp 110 and handle body 104 to secure the catheter. Drive cable 102 may extend proximally beyond clamp 110 and catheter 120 into a center bore 112 of handle body 104. A retaining member 114 may be longitudinally disposed in bore 112 of handle body 104. Grip 106 may be attached to retaining member 114 to move the retaining member within handle body 104 in response to pressure applied to the grip by the surgeon.
[0035] Drive cable 102 is locked within retaining member 114 so as to move with the retaining member along the longitudinal axis "A-A" of handle body 104. A resilient member 116 extends about drive cable 102 between the proximal end of handle body 104 and retaining member 114. Resilient member 116 serves to bias a cable connector portion of the suture locking device into a proximal position within an adaptor thereof. An attachment mechanism 118 is lodged in the proximal end of handle body 104 to attach thumb guide 108 to the handle body 104, and to allow for rotation of the guide relative to the handle body 104. Tension is applied to drive cable 102 by pulling proximally on grip 106. As grip 106 moves proximally, retaining member 114 moves proximally within bore 112 of handle body 104, due to the connection between the grip and retaining member. As retaining member 114 moves proximally, the length of drive cable 102 is pulled proximally, increasing the tension on the cable 102. The increased tension on drive cable 102 is transferred to a launching member portion of the suture locking device. Handle body bore 112 is sized to allow drive cable 102 to be pulled a sufficient distance to so as to actuate the suture locking device as described in U.S. Patent Publication No. US2007/0270907, which has been herein incorporated by reference in its entirety.
[0036] As also described in that published application, the suture material 150 that has been externalized out of the patient's mouth (or other orifice or incision) is threaded into suture locking mechanism and thereafter, the ends of the suture 150 are retrieved by the surgeon.
Following threading of suture material 150 into the suture locking device, the surgeon reintroduces the endoscope into the patient, and advances the scope to the suture site using the suture strands as a guide. In various procedures, it is desirable to maintain in-line tension on the suture material 150 while the suture locking device is passed towards the suture site by holding the externalized ends of the suture material. Once the suture locking device is in position at the suture site, tension is applied to suture material 150, as well as to handle 132, to fire the device as described in the aforementioned U.S. Published Patent Application US2007/0270907.
[0037] To facilitate the application of a desirable amount of tension to the suture material, the handle housing 100 may include a suture tensioning device 10 embodiment of the present invention. As can be seen in FIG. 1, the suture tensioning device 10 may include a housing 12 that has an axially extending passage 114 therein. The passage 114 may have an axis "B-B" that is substantially parallel to the handle axis "A-A" as shown. In the embodiment depicted in FIGS. 1-4, the housing 12 comprises an integral part of the grip 106. For example, the housing 12 and grip 106 may be integrally molded from a polymer material as a single piece or, in other embodiments, the housing 12 may be fabricated apart from the grip 106 and then attached thereto by, for example, an appropriate adhesive material or other suitable fastener arrangement.
[0038] As can be most particularly seen in FIGS. 1 and 3, the suture tensioning device 10 may further comprise a movable tensioning member 20 that may comprise, for example, a movable mounting block 22 that has a tensioning spool 24 attached thereto or otherwise protruding therefrom. The mounting block 22 may be movably mounted within the axial passage 14 in the housing 12 such that it can axially move therein in the proximal direction "PD" and the distal direction "DD". The tensioning spool 24 may be rotatably affixed to the mounting block 22 by a shaft 26 that protrudes through an axial slot 18 provided in the housing 12. In other embodiments, the tensioning spool 24 may be rigidly affixed to the mounting block 22 and, in still other embodiments, for example, the tensioning spool 24 may be omitted such that only shaft 26 protrudes out through the axial slot 18. In other embodiments, the shaft 26 and mounting block 22 may comprise an integral component. In various embodiments, the mounting block 22 is centrally disposed between a first resilient member 30A and a second resilient member 30B. In various embodiments, members 30A and 30B may, for example, each comprise
a coil spring as shown. As will be discussed in further detail below, the coil springs 3OA and 3OB may be substantially identical (i.e., they have the same size and spring constant) or in alternative embodiments, the coil springs 3OA and 3OB are not substantially identical.
[0039] Operation of various embodiments of the suture tensioning device 10 may be understood from reference to FIG. 5. In mechanics and physics, Hooke's law of elasticity is an approximation that states that the amount by which a material body is deformed (the strain) is linearly related to the force causing the deformation (the stress). With respect to springs, such relationship is represented by the following equation:
F = kX
[0040] Where:
[0041] X is the distance that the spring has been stretched or compressed away from the equilibrium position, which is the position where the spring would naturally come to rest;
[0042] F is the restoring force exerted by the material; and
[0043] k is the force constant or spring constant. The constant has units of feree per unit length.
[0044] Returning to FIG. 5, as can be seen in that Figure, the suture 150 is wound or wrapped around the tensioning spool 24 at least one time or more than one time such that a distal portion 152 of the suture 150 extends to the stitch inside the patient and a proximal portion 154 of the suture 150 is outside of the patient wherein it may be grasped by the surgeon. In alternative embodiments, the spool 24 may be provided with a retention notch (not shown) into which a portion of the suture may be inserted to temporarily affix the suture to the spool 24. Prior to any tension being applied to the suture 150, the mounting block 22 is centrally disposed between the biasing members 30A and 30B. The first resilient member 30A and the second resilient member 30B may be substantially uncompressed or one resilient member may be in compression while the other resilient member is uncompressed or one resilient member may be in compression while the other one is in tension. Tl represents the amount of tension applied to the proximal portion 152 of the suture 150 by the surgeon and ultimately to the stitch (i.e., the distal end of the
suture 150 that is anchored to the tissue, organ, etc.). The first resilient member 3OA applies a first resistive force 31 to the mounting block 22 in the proximal direction "PD" and the second resilient member 3OB applies a second resistive force 32 to the mounting block 22 in the distal direction "DD". Thus:
T2 +Kx = Tl
T2 = Tl - kX
Therefore: T2 « Tl
Thus, the first and second resilient members 3OA and 30B enable the surgeon to control the amount of tension ultimately applied to the anchored end of the suture 150. In various embodiments, the first and second resilient members 30A and 30B may be the same size. However, in alternative embodiments, the first and second resilient members are not the same size. After the desired amount of tension has been applied to the suture 150, the suture locking device is fired to install the suture knotting element as described in the aforementioned published U.S. Patent Application.
[0045] FIGS. 6 and 7 illustrate another suture tensioning device 10' that is substantially similar to the tensioning device 10 described above except that the housing 12' is separate and apart from the grip portion 106. Thus, as can be seen in that Figure, the housing 12' may be fabricated in two pieces 12A' and 12B' that may be hinged together by hinge 15 or otherwise may be releasably coupled together. When coupled together, a lumen 13 is formed therein that is sized to lock onto catheter 120 as shown. The suture tensioning device 10' otherwise operates the same as the tensioning device 10 described above. In use, the surgeon may support the housing 12' on the catheter 120. In other embodiments, the housing 12' may be configured to retaining mate with the outer clamp 110 and/or body portion 104.
[0046] FIGS. 8 and 9 illustrate the incorporation of a suture tensioning device 10 of an embodiment of the present invention into a known handle assembly 200 for of a suturing device for delivering a suture to a surgical site. FIG. 10 illustrates use of a suture tensioning device 10' embodiment of the present invention used in connection with the handle assembly 200. The
person of ordinary skill in the art will appreciate that the devices 10, 10' may be used in connection with the handle assembly 200 in the same manners as were described above.
[0047] FIG. 11 illustrates the incorporation of a suture tensioning device 10 of an embodiment of the present invention into another known handle assembly 300 for a suturing device for applying suture anchors. Such handle assembly 300 may be similar in construction and operation to those handle assemblies disclosed in U.S. Patent Publication No. 2008/0103527 Al to David T. Martin et al., entitled "Flexible Endoscopic Suture Anchor", filed October 27, 2006 and pending co-owned U.S. Patent Application Serial No. 11/796,035 to David Stefanchik et al., entitled "Surgical Suturing Apparatus", filed April 26, 2007, the disclosures of each said application being herein incorporated by reference in their respective entireties. FIG. 12 illustrates use of a suture tensioning device 10' embodiment of the present invention used in connection with the handle assembly 300. The person of ordinary skill in the art will appreciate that the devices 10, 10' may be used in connection with the handle assembly 300 in the same manners as were described above.
[0048] FIGS. 13 and 14 illustrate use of a suture tensioning device 400 embodiment of the present invention that may be effectively used to apply tension to two or more sutures 150 when employing a suture knotting and anchor applying device 500 of the type disclosed in published U.S. Patent Application Publication No. US 2007/0270889. As can be seen in those Figures, two spools 24 and 24 A are mounted to the mounting block 22 to facilitate receipt of two separate sutures 150 and 150'. That is, suture 150 may be wrapped around spool 24 and suture 150' may be wrapped around spool 24A. In FIG. 13, the spools 24, 24A are essentially parallel to each other. That is, the spools 24, 24A are aligned along a transverse axis C-C that is substantially transverse to the sutures 150, 150'. In FIG. 14, the spools 24, 24A are coaxially aligned in a "stacked" arrangement along a vertically extending axis D-D. The suture tensioning device 400 may be used in connection with the knotting and anchor applying device 500 in the same manners as described above. Such "parallel" and "stacked" arrangements may also be successfully employed with the devices 10' described above. In addition, although use of two spools 24, 24A have been depicted, more than two spools could conceivably be employed to match the numbers of sutures.
[0049] Other embodiments of the present invention comprise a suture tension indication device 600 for indicating when excessive tension has been applied to a suture prior to firing the suture knotting device. While the various embodiments of the suture tension indicating device 600 may be incorporated into any of the suture handle arrangements referenced herein, FIGS. 15 and 16 depict a suture locking device 610 of the type described in U.S. Patent Application Publication No. US2007/0270907 with suture tension indication embodiment 600 of the present invention incorporated therein.
[0050] FIG. 15 illustrates the proximal end of a catheter 680 and an exemplary handle 611 for deploying a knotting element from suture locking device 610. Handle 611 may be attached at the proximal end of drive cable 612 for applying tension to the cable. Handle 611 may comprise a longitudinal body portion 616, as well as a grip portion 630 for engaging the surgeon's fingers during operation of device 610. A thumb guide 626 may be located at the proximal end of handle 611. The distal end of handle 611 may include an outer clamp 613 having a center bore for passage of catheter 680. A ring 615 may be welded to the proximal end of catheter 680 and retained between clamp 613 and handle body 616 to secure the catheter 680. Drive cable 612 may extend proximally beyond clamp 613 and catheter 680 into a center bore 632 of handle body 616. A retaining member 614 may be longitudinally disposed in bore 632 of handle body 616. Grip 630 may be attached to retaining member 614 to move the retaining member within handle body 616 in response to pressure applied to the grip by the surgeon.
[0051] As can be further seen in FIG. 15, drive cable 612 extends into a center bore within a retaining member 614 located in a handle 611. The proximal end of drive cable 612 may be secured within retaining member 614 by an attachment mechanism, such as, for example, a piece of metal tubing crimped to the end of the cable. Drive cable 612 may be locked within retaining member 614 so as to move with the retaining member 614 along the longitudinal axis of handle body 616. A resilient member 618 may extend about drive cable 612 between the proximal end of handle body 616 and retaining member 614. Resilient member 618 serves to bias cable connector 620 into a proximal position within adaptor 622. See FIG. 17. An attachment mechanism 624 is lodged in the proximal end of handle body 616 to attach thumb guide 626 to the handle body, and to allow for rotation of the guide relative to the handle body. Tension is
applied to drive cable 612 by pulling proximally on grip 630. As grip 630 moves proximally, retaining member 614 moves proximally within bore 632 of handle body 616, due to the connection between the grip and retaining member. As retaining member 614 moves proximally, the length of drive cable 612 is pulled proximally, increasing the tension on the cable. The increased tension on drive cable 612 is transferred to launching member 640 via the interconnection between cable connector 620, adaptor 622, and launching member 640. Handle body bore 632 is sized to allow drive cable 612 to be pulled a sufficient distance to pull inner locking member 650 into outer locking member 652 as well as separate the knotting element from launching member 640.
[0052] To deploy a knotting element from suture locking device 610, the device is introduced into the working channel of an externalized endoscope in an initial, unfired position. Suture locking device 610 is advanced through the working channel of the endoscope until inner and outer locking members 650, 652 are visible beyond the distal end of the scope. To enable the surgeon to ascertain whether excessive tension has been applied to the suture 150, the suture locking device 610 is advanced out of the working channel at least until the indicator windows 670 are viewable with a camera as will be discussed in further detail below. Suture material 150 that has been externalized out the patient's mouth (or other orifice or incision) is threaded into the distal end of inner locking member 650. The suture material is passed through bore 654 of inner locking member 650 and out through opening 656 of launching member 640. [0053] Following threading of suture material 150 into device 610, the surgeon reintroduces the endoscope into the patient, and advances the scope to the suture site using the suture strands as a guide. In-line tension "Tl" is maintained on suture material 150 while device 610 is passed towards the suture site by holding the externalized ends of the suture material 150. During this process, there is a risk that the surgeon may apply excessive tension to the suture material 150 prior to firing the device 610. Accordingly, to provide the surgeon with an indication that excessive tension is being applied to the suture material 150, at least one indication window 670 is provided through the housing 660. The windows 670 are located relative to the adapter 622 in an unfired position such that when too much tension is applied to the suture 150, the suture will cause the launching member 640 and adapter 622 to move proximally in the housing 660. When the distal end of the adapter 622 becomes visible through the windows 670, the surgeon knows
that excessive tension is being applied to the suture material 150. The surgeon may view the indicator windows 670 by the video camera (not shown) inserted through the endoscope (not shown). To assist the surgeon in detecting the proximal end of the adapter, the adapter may be provided in one or more bright colors.
[0054] As grip 614 is drawn proximally, drive cable 612 is pulled proximally through handle 611, catheter 680 and housing 660. The movement of drive cable 612 applies tension to adaptor 622, which in turn pulls launching member 640 proximally. As launching member 640 moves proximally along the device axis, inner locking member 650 is drawn into outer locking member 652 to lock the suture material 150 therebetween.
[0055] An alternative suture tension indication device 600' is depicted in FIG. 17. As can be seen in that Figure, a housing segment 682 is coupled to the outer clamp 613 or is otherwise supported adjacent to the handle, and extends around a portion of the catheter 680. In this embodiment, an indicator block 690 is attached to the drive cable 612 for movement within the catheter 680. At least one indicator window 684 is provided through the catheter 680 that is aligned with a corresponding window 686 in the housing 682 so that the indicator block 690 is viewable therethrough when excessive tension has been applied to the suture material 150 (not shown in FIG. 17). In particular, the windows 684, 686 are so located relative to the distal end of the indicator block 690 such that when a desired amount of tension is applied to the suture material, the indicator block 690 is not viewable through the windows 684, 686, yet when an excessive amount of tension is applied to the suture material, the drive cable 612 and indicator block 690 move proximally to a position wherein the surgeon can view the indicator block through those windows 684, 686. The suture locking device used with this embodiment may be identical to the suture locking device 610 described above - so that the surgeon would be able to detect when excessive tension has been applied to the suture material in two places (distally and proximally), or the device 600' may be used in connection with a suture locking device of the type disclosed in U.S. Patent Publication No. US2007/0270907.
[0056] As can be readily appreciated from the foregoing, the various embodiments of the present invention described above represent a vast improvement over prior devices and methods used to deliver and install sutures and/or apply an appropriate amount of tension to sutures as
they are installed by the surgeon. The unique and novel features of the present invention may be effectively incorporated into a host of different known suturing devices that are used to deliver and/or install sutures through a natural orifice in the patient and thereby avoid several disadvantages associated with other conventional surgical methods and procedures that require incisions to be made into the abdomen. While the some embodiments of the present invention may be effectively incorporated into the handles of existing suturing devices, other embodiments may be separate from the handle assemblies and may be used in connection with several different types of suturing devices.
[0057] While several embodiments of the invention have been described, it should be apparent, however, that various modifications, alterations and adaptations to those embodiments may occur to persons skilled in the art with the attainment of some or all of the advantages of the invention. For example, according to various embodiments, a single component may be replaced by multiple components, and multiple components may be replaced by a single component, to perform a given function or functions. This application is therefore intended to cover all such modifications, alterations and adaptations without departing from the scope and spirit of the disclosed invention as defined by the appended claims.
[0058] The devices disclosed herein can be designed to be disposed of after a single use, or they can be designed to be used multiple times. In either case, however, the device can be reconditioned for reuse after at least one use. Reconditioning can include a combination of the steps of disassembly of the device, followed by cleaning or replacement of particular pieces, and subsequent reassembly. In particular, the device can be disassembled, and any number of particular pieces or parts of the device can be selectively replaced or removed in any combination. Upon cleaning and/or replacement of particular parts, the device can be reassembled for subsequent use either at a reconditioning facility, or by a surgical team immediately prior to a surgical procedure. Those of ordinary skill in the art will appreciate that the reconditioning of a device can utilize a variety of different techniques for disassembly, cleaning/replacement, and reassembly. Use of such techniques, and the resulting reconditioned device, are all within the scope of the present application.
[0059] Preferably, the invention described herein will be processed before surgery. First a new or used instrument is obtained and, if necessary, cleaned. The instrument can then be sterilized. In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK® bag. The container and instrument are then placed in a field of radiation that can penetrate the container, such as gamma radiation, x-rays, or higher energy electrons. The radiation kills bacteria on the instrument and in the container. The sterilized instrument can then be stored in the sterile container. The sealed container keeps the instrument sterile until it is opened in the medical facility.
[0060] Any patent, publication, or other disclosure material, in whole or in part, that is said to be incorporated by reference herein is incorporated herein only to the extent that the incorporated materials does not conflict with existing definitions, statements, or other disclosure material set forth in this disclosure. As such, and to the extent necessary, the disclosure as explicitly set forth herein supersedes any conflicting material incorporated herein by reference. Any material, or portion thereof, that is said to be incorporated by reference herein, but which conflicts with existing definitions, statements, or other disclosure material set forth herein will only be incorporated to the extent that no conflict arises between that incorporated material and the existing disclosure material.
[0061] The invention which is intended to be protected is not to be construed as limited to the particular embodiments disclosed. The embodiments are therefore to be regarded as illustrative rather than restrictive. Variations and changes may be made by others without departing from the spirit of the present invention. Accordingly, it is expressly intended that all such equivalents, variations and changes which fall within the spirit and scope of the present invention as defined in the claims be embraced thereby.
Claims
1. A suture tensioning device, comprising: a housing; a movable tensioning member constrained to move axially within said housing, said movable tensioning member configured to have a portion of a suture wound therearound such that a distal portion of the suture extends in a distal direction from the movable tensioning member to be anchored to tissue and a proximal portion of the suture protrudes from the movable tensioning member to have tension applied thereto; a first resilient member for applying a first resistive force to said movable tensioning member in a first direction; and a second resilient member applying a second resistive force to said movable tensioning member in a second direction opposite to said first direction.
2. The suture tensioning device of claim 1 wherein said first resilient member comprises a first coil spring and wherein said second resilient member comprises a second coil spring.
3. The suture tensioning device of claim 2 wherein said first coil spring has a first spring constant and wherein said second coil spring has a second spring constant that is substantially equal to said first spring constant.
4. The suture tensioning device of claim 1 wherein said housing comprises a portion of a handle of a suturing device configured to deliver a suture to a surgical site.
5. The suture tensioning device of claim 1 wherein said housing has a passage therethrough for receiving a catheter of a suturing device.
6. The suture tensioning device of claim 1 wherein said movable tensioning member comprises: a mounting block constrained to move axially within an axial passage in said housing; and a shaft portion protruding from said mounting block and configured to have a portion of the suture wound therearound.
7. The suture tensioning device of claim 6 further comprising a spool attached to said shaft portion such that the portion of the suture may be wound therearound.
8. The suture tensioning device of claim 6 wherein said mounting block is centrally disposed between said first and second resilient members.
9. A suture application and management kit, comprising: a suturing device configured to deliver a suture to a surgical site; and a suture tensioning device of claim 1.
10. The suture application and management kit of claim 9 wherein the suturing device includes at least one end effector configured to apply at least one fastener to tissue, the suture being coupled to the at least one fastener.
11. The suture application and management kit of claim 9 wherein the suture tensioning device is coupled to the suturing device configured to deliver a suture to a surgical site.
12. A method for processing an instrument for surgery, the method comprising: obtaining the suture tensioning device of claim 1 ; sterilizing the suture tensioning device; and storing the suture tensioning device in a sterile container.
13. A suture locking device, comprising: a housing member; a first locking element operably supported within said housing member and having a suture extending therethrough; a second locking element supported relative to said first locking element and configured to retainingly engage said first locking element upon application of a firing motion to said first locking element to thereby cause a portion of the suture extending through said first locking element to be locked between said first and second locking elements; and an indicator member supported within said housing member and configured to only be viewable through an external wall thereof when an excessive amount of tension has been applied to the suture material prior to applying the firing motion to said first locking member.
14. The suture locking device of claim 13, further comprising: a handle; and a drive cable operably coupled to said handle and said first locking element for applying said firing motion thereto.
15. The suture locking device of claim 14 wherein said drive cable is coupled to said indicator member and wherein said indicator member operably interfaces with said first locking element.
16. The suture locking device of claim 13 further comprising at least one indicator window in said external wall of said housing such that when an excessive amount of tension has been applied to the suture prior to the application of said firing motion, said indicator member is viewable through said at least one indicator window.
17. The suture locking device of claim 16 wherein said indicator member has a color that is readily viewable through said at least one indicator window.
18. The suture locking device of claim 14 wherein said drive cable extends through a catheter extending between said handle and said housing member and wherein said suture locking device comprises a second indicator member interfacing with said drive cable and configured to only be viewable through said catheter adjacent said handle when an excessive amount of tension has been applied to the suture material prior to applying the firing motion to said first locking member.
19. A suture locking device, comprising: a handle member configured to generate a firing motion; an elongated catheter extending from said handle member; a drive cable extending through said elongated catheter and operably interfacing with said handle member for transmitting said firing motion to a first locking element operably coupled thereto, said first locking element having a suture extending therethrough; a second locking element supported relative to said first locking element and configured to retainingly engage said first locking element upon application of a firing motion to said first locking element to thereby cause a portion of the suture extending through said first locking element to be locked between said first and second locking elements; and an indicator member supported within said catheter and interfacing with said drive cable, said indicator member configured to only be viewable through an external wall of said catheter when an excessive amount of tension has been applied to the suture material prior to applying the firing motion.
20. A suture application device, comprising: a handle assembly; a catheter operably supported by said handle assembly and configured to be operably coupled to an end effector for applying a suture to a surgical site; a movable tensioning member constrained to move axially within a portion of said handle assembly, said movable tensioning member configured to have a portion of a suture wound therearound such that a distal portion of the suture extends in a distal direction from the movable tensioning member to be anchored to tissue and a proximal portion of the suture protrudes from the movable tensioning member to have tension applied thereto; a first resilient member for applying a first resistive force to said movable tensioning member in a first direction; and a second resilient member applying a second resistive force to said movable tensioning member in a second direction that is opposite to said first direction.
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US12/129,784 | 2008-05-30 | ||
US12/129,784 US8317806B2 (en) | 2008-05-30 | 2008-05-30 | Endoscopic suturing tension controlling and indication devices |
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Cited By (7)
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US9173645B2 (en) | 2010-04-27 | 2015-11-03 | DePuy Synthes Products, Inc. | Anchor assembly including expandable anchor |
US9451938B2 (en) | 2010-04-27 | 2016-09-27 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
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US9743919B2 (en) | 2010-04-27 | 2017-08-29 | DePuy Synthes Products, Inc. | Stitch lock for attaching two or more structures |
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US10433830B2 (en) | 2009-07-24 | 2019-10-08 | DePuy Synthes Products, Inc. | Methods and devices for repairing meniscal tissue |
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---|---|---|---|---|
US8137382B2 (en) | 2004-11-05 | 2012-03-20 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
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US8608797B2 (en) | 2005-03-17 | 2013-12-17 | Valtech Cardio Ltd. | Mitral valve treatment techniques |
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US8951285B2 (en) | 2005-07-05 | 2015-02-10 | Mitralign, Inc. | Tissue anchor, anchoring system and methods of using the same |
US8936621B2 (en) | 2006-02-03 | 2015-01-20 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US8771352B2 (en) | 2011-05-17 | 2014-07-08 | Biomet Sports Medicine, Llc | Method and apparatus for tibial fixation of an ACL graft |
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US8506597B2 (en) | 2011-10-25 | 2013-08-13 | Biomet Sports Medicine, Llc | Method and apparatus for interosseous membrane reconstruction |
US9538998B2 (en) | 2006-02-03 | 2017-01-10 | Biomet Sports Medicine, Llc | Method and apparatus for fracture fixation |
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US11311287B2 (en) | 2006-02-03 | 2022-04-26 | Biomet Sports Medicine, Llc | Method for tissue fixation |
US8652171B2 (en) | 2006-02-03 | 2014-02-18 | Biomet Sports Medicine, Llc | Method and apparatus for soft tissue fixation |
US8801783B2 (en) | 2006-09-29 | 2014-08-12 | Biomet Sports Medicine, Llc | Prosthetic ligament system for knee joint |
US8597327B2 (en) | 2006-02-03 | 2013-12-03 | Biomet Manufacturing, Llc | Method and apparatus for sternal closure |
US8652172B2 (en) | 2006-02-03 | 2014-02-18 | Biomet Sports Medicine, Llc | Flexible anchors for tissue fixation |
US8562647B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for securing soft tissue to bone |
US9078644B2 (en) | 2006-09-29 | 2015-07-14 | Biomet Sports Medicine, Llc | Fracture fixation device |
US8562645B2 (en) | 2006-09-29 | 2013-10-22 | Biomet Sports Medicine, Llc | Method and apparatus for forming a self-locking adjustable loop |
US8251998B2 (en) | 2006-08-16 | 2012-08-28 | Biomet Sports Medicine, Llc | Chondral defect repair |
US11259792B2 (en) | 2006-02-03 | 2022-03-01 | Biomet Sports Medicine, Llc | Method and apparatus for coupling anatomical features |
US11259794B2 (en) | 2006-09-29 | 2022-03-01 | Biomet Sports Medicine, Llc | Method for implanting soft tissue |
US8500818B2 (en) | 2006-09-29 | 2013-08-06 | Biomet Manufacturing, Llc | Knee prosthesis assembly with ligament link |
US8672969B2 (en) | 2006-09-29 | 2014-03-18 | Biomet Sports Medicine, Llc | Fracture fixation device |
US9918826B2 (en) | 2006-09-29 | 2018-03-20 | Biomet Sports Medicine, Llc | Scaffold for spring ligament repair |
CA2671966A1 (en) | 2006-12-05 | 2008-06-12 | Valtech Cardio, Ltd. | Segmented ring placement |
WO2010004546A1 (en) | 2008-06-16 | 2010-01-14 | Valtech Cardio, Ltd. | Annuloplasty devices and methods of delivery therefor |
US11259924B2 (en) | 2006-12-05 | 2022-03-01 | Valtech Cardio Ltd. | Implantation of repair devices in the heart |
US9883943B2 (en) | 2006-12-05 | 2018-02-06 | Valtech Cardio, Ltd. | Implantation of repair devices in the heart |
US7655004B2 (en) | 2007-02-15 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US7815662B2 (en) | 2007-03-08 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Surgical suture anchors and deployment device |
US11660190B2 (en) | 2007-03-13 | 2023-05-30 | Edwards Lifesciences Corporation | Tissue anchors, systems and methods, and devices |
JP5411125B2 (en) | 2007-03-29 | 2014-02-12 | ノーブルズ メディカル テクノロジーズ、インコーポレイテッド | Suture device and system for closing a patent foramen ovale |
US8075572B2 (en) | 2007-04-26 | 2011-12-13 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus |
US8100922B2 (en) | 2007-04-27 | 2012-01-24 | Ethicon Endo-Surgery, Inc. | Curved needle suturing tool |
US8579897B2 (en) | 2007-11-21 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8568410B2 (en) | 2007-08-31 | 2013-10-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation surgical instruments |
US8262655B2 (en) | 2007-11-21 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8480657B2 (en) | 2007-10-31 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ |
US20090112059A1 (en) | 2007-10-31 | 2009-04-30 | Nobis Rudolph H | Apparatus and methods for closing a gastrotomy |
US8262680B2 (en) | 2008-03-10 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Anastomotic device |
US8382829B1 (en) | 2008-03-10 | 2013-02-26 | Mitralign, Inc. | Method to reduce mitral regurgitation by cinching the commissure of the mitral valve |
US8771296B2 (en) | 2008-05-09 | 2014-07-08 | Nobles Medical Technologies Inc. | Suturing devices and methods for suturing an anatomic valve |
US8652150B2 (en) | 2008-05-30 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Multifunction surgical device |
US8679003B2 (en) | 2008-05-30 | 2014-03-25 | Ethicon Endo-Surgery, Inc. | Surgical device and endoscope including same |
US8771260B2 (en) | 2008-05-30 | 2014-07-08 | Ethicon Endo-Surgery, Inc. | Actuating and articulating surgical device |
US8114072B2 (en) | 2008-05-30 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Electrical ablation device |
US8070759B2 (en) | 2008-05-30 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical fastening device |
US8906035B2 (en) | 2008-06-04 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Endoscopic drop off bag |
US8403926B2 (en) | 2008-06-05 | 2013-03-26 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
US8361112B2 (en) | 2008-06-27 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical suture arrangement |
US8888792B2 (en) | 2008-07-14 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Tissue apposition clip application devices and methods |
US8262563B2 (en) | 2008-07-14 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal articulatable steerable overtube |
US8211125B2 (en) | 2008-08-15 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Sterile appliance delivery device for endoscopic procedures |
US8529563B2 (en) | 2008-08-25 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8241204B2 (en) | 2008-08-29 | 2012-08-14 | Ethicon Endo-Surgery, Inc. | Articulating end cap |
US8480689B2 (en) | 2008-09-02 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Suturing device |
US8409200B2 (en) | 2008-09-03 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8114119B2 (en) | 2008-09-09 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8337394B2 (en) | 2008-10-01 | 2012-12-25 | Ethicon Endo-Surgery, Inc. | Overtube with expandable tip |
US8157834B2 (en) | 2008-11-25 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Rotational coupling device for surgical instrument with flexible actuators |
EP2384148B1 (en) * | 2008-12-05 | 2015-01-14 | Cook Medical Technologies LLC | Fixture for maintaining the tension applied to a suture during intracorporeal procedures |
US8172772B2 (en) | 2008-12-11 | 2012-05-08 | Ethicon Endo-Surgery, Inc. | Specimen retrieval device |
US8911494B2 (en) | 2009-05-04 | 2014-12-16 | Valtech Cardio, Ltd. | Deployment techniques for annuloplasty ring |
US8147542B2 (en) | 2008-12-22 | 2012-04-03 | Valtech Cardio, Ltd. | Adjustable repair chords and spool mechanism therefor |
US9011530B2 (en) | 2008-12-22 | 2015-04-21 | Valtech Cardio, Ltd. | Partially-adjustable annuloplasty structure |
US8241351B2 (en) | 2008-12-22 | 2012-08-14 | Valtech Cardio, Ltd. | Adjustable partial annuloplasty ring and mechanism therefor |
EP2379008B1 (en) | 2008-12-22 | 2021-02-17 | Valtech Cardio, Ltd. | Adjustable annuloplasty devices |
US10517719B2 (en) | 2008-12-22 | 2019-12-31 | Valtech Cardio, Ltd. | Implantation of repair devices in the heart |
US8715342B2 (en) | 2009-05-07 | 2014-05-06 | Valtech Cardio, Ltd. | Annuloplasty ring with intra-ring anchoring |
US8808368B2 (en) * | 2008-12-22 | 2014-08-19 | Valtech Cardio, Ltd. | Implantation of repair chords in the heart |
US8828031B2 (en) | 2009-01-12 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Apparatus for forming an anastomosis |
US8361066B2 (en) | 2009-01-12 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8252057B2 (en) | 2009-01-30 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US9226772B2 (en) | 2009-01-30 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical device |
US8037591B2 (en) | 2009-02-02 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Surgical scissors |
US8353956B2 (en) | 2009-02-17 | 2013-01-15 | Valtech Cardio, Ltd. | Actively-engageable movement-restriction mechanism for use with an annuloplasty structure |
WO2013069019A2 (en) | 2011-11-08 | 2013-05-16 | Valtech Cardio, Ltd. | Controlled steering functionality for implant-delivery tool |
US9968452B2 (en) | 2009-05-04 | 2018-05-15 | Valtech Cardio, Ltd. | Annuloplasty ring delivery cathethers |
US8343227B2 (en) | 2009-05-28 | 2013-01-01 | Biomet Manufacturing Corp. | Knee prosthesis assembly with ligament link |
WO2010138919A2 (en) | 2009-05-28 | 2010-12-02 | Angiodynamics, Inc. | System and method for synchronizing energy delivery to the cardiac rhythm |
US9895189B2 (en) | 2009-06-19 | 2018-02-20 | Angiodynamics, Inc. | Methods of sterilization and treating infection using irreversible electroporation |
US20110098704A1 (en) | 2009-10-28 | 2011-04-28 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US9011520B2 (en) | 2009-10-29 | 2015-04-21 | Valtech Cardio, Ltd. | Tissue anchor for annuloplasty device |
US9180007B2 (en) | 2009-10-29 | 2015-11-10 | Valtech Cardio, Ltd. | Apparatus and method for guide-wire based advancement of an adjustable implant |
US8940042B2 (en) | 2009-10-29 | 2015-01-27 | Valtech Cardio, Ltd. | Apparatus for guide-wire based advancement of a rotation assembly |
US10098737B2 (en) | 2009-10-29 | 2018-10-16 | Valtech Cardio, Ltd. | Tissue anchor for annuloplasty device |
US8608652B2 (en) | 2009-11-05 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Vaginal entry surgical devices, kit, system, and method |
WO2011067770A1 (en) | 2009-12-02 | 2011-06-09 | Valtech Cardio, Ltd. | Delivery tool for implantation of spool assembly coupled to a helical anchor |
US8870950B2 (en) | 2009-12-08 | 2014-10-28 | Mitral Tech Ltd. | Rotation-based anchoring of an implant |
US8496574B2 (en) | 2009-12-17 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Selectively positionable camera for surgical guide tube assembly |
US8353487B2 (en) | 2009-12-17 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | User interface support devices for endoscopic surgical instruments |
US9028483B2 (en) | 2009-12-18 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US8506564B2 (en) | 2009-12-18 | 2013-08-13 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US9005198B2 (en) | 2010-01-29 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US8790394B2 (en) | 2010-05-24 | 2014-07-29 | Valtech Cardio, Ltd. | Adjustable artificial chordeae tendineae with suture loops |
US11653910B2 (en) | 2010-07-21 | 2023-05-23 | Cardiovalve Ltd. | Helical anchor implantation |
WO2012051433A2 (en) | 2010-10-13 | 2012-04-19 | Angiodynamics, Inc. | System and method for electrically ablating tissue of a patient |
EP2567667B1 (en) * | 2010-11-01 | 2014-04-16 | Olympus Medical Systems Corp. | Treatment apparatus |
US10092291B2 (en) | 2011-01-25 | 2018-10-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with selectively rigidizable features |
US9314620B2 (en) | 2011-02-28 | 2016-04-19 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9254169B2 (en) | 2011-02-28 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
US9233241B2 (en) | 2011-02-28 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices and methods |
WO2012125785A1 (en) | 2011-03-17 | 2012-09-20 | Ethicon Endo-Surgery, Inc. | Hand held surgical device for manipulating an internal magnet assembly within a patient |
EP2697721B1 (en) | 2011-04-15 | 2019-09-18 | Heartstitch, Inc. | Suturing devices for suturing an anatomic valve |
US10792152B2 (en) | 2011-06-23 | 2020-10-06 | Valtech Cardio, Ltd. | Closed band for percutaneous annuloplasty |
US9078665B2 (en) | 2011-09-28 | 2015-07-14 | Angiodynamics, Inc. | Multiple treatment zone ablation probe |
US9357991B2 (en) | 2011-11-03 | 2016-06-07 | Biomet Sports Medicine, Llc | Method and apparatus for stitching tendons |
US8858623B2 (en) | 2011-11-04 | 2014-10-14 | Valtech Cardio, Ltd. | Implant having multiple rotational assemblies |
US9370350B2 (en) | 2011-11-10 | 2016-06-21 | Biomet Sports Medicine, Llc | Apparatus for coupling soft tissue to a bone |
US9357992B2 (en) | 2011-11-10 | 2016-06-07 | Biomet Sports Medicine, Llc | Method for coupling soft tissue to a bone |
US9381013B2 (en) | 2011-11-10 | 2016-07-05 | Biomet Sports Medicine, Llc | Method for coupling soft tissue to a bone |
US9345465B2 (en) * | 2012-01-13 | 2016-05-24 | Dallen Medical, Inc. | Actuator for band tensioning system |
US8986199B2 (en) | 2012-02-17 | 2015-03-24 | Ethicon Endo-Surgery, Inc. | Apparatus and methods for cleaning the lens of an endoscope |
WO2013170081A1 (en) | 2012-05-11 | 2013-11-14 | Heartstitch, Inc. | Suturing devices and methods for suturing an anatomic structure |
US9427255B2 (en) | 2012-05-14 | 2016-08-30 | Ethicon Endo-Surgery, Inc. | Apparatus for introducing a steerable camera assembly into a patient |
US9078662B2 (en) | 2012-07-03 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Endoscopic cap electrode and method for using the same |
US9545290B2 (en) | 2012-07-30 | 2017-01-17 | Ethicon Endo-Surgery, Inc. | Needle probe guide |
US10314649B2 (en) | 2012-08-02 | 2019-06-11 | Ethicon Endo-Surgery, Inc. | Flexible expandable electrode and method of intraluminal delivery of pulsed power |
US9572623B2 (en) | 2012-08-02 | 2017-02-21 | Ethicon Endo-Surgery, Inc. | Reusable electrode and disposable sheath |
US9277957B2 (en) | 2012-08-15 | 2016-03-08 | Ethicon Endo-Surgery, Inc. | Electrosurgical devices and methods |
WO2014052818A1 (en) | 2012-09-29 | 2014-04-03 | Mitralign, Inc. | Plication lock delivery system and method of use thereof |
EP3517052A1 (en) | 2012-10-23 | 2019-07-31 | Valtech Cardio, Ltd. | Controlled steering functionality for implant-delivery tool |
WO2014064695A2 (en) | 2012-10-23 | 2014-05-01 | Valtech Cardio, Ltd. | Percutaneous tissue anchor techniques |
US9730793B2 (en) | 2012-12-06 | 2017-08-15 | Valtech Cardio, Ltd. | Techniques for guide-wire based advancement of a tool |
US9681952B2 (en) | 2013-01-24 | 2017-06-20 | Mitraltech Ltd. | Anchoring of prosthetic valve supports |
WO2014134183A1 (en) | 2013-02-26 | 2014-09-04 | Mitralign, Inc. | Devices and methods for percutaneous tricuspid valve repair |
US10098527B2 (en) | 2013-02-27 | 2018-10-16 | Ethidcon Endo-Surgery, Inc. | System for performing a minimally invasive surgical procedure |
US9757119B2 (en) | 2013-03-08 | 2017-09-12 | Biomet Sports Medicine, Llc | Visual aid for identifying suture limbs arthroscopically |
US9918827B2 (en) | 2013-03-14 | 2018-03-20 | Biomet Sports Medicine, Llc | Scaffold for spring ligament repair |
US10449333B2 (en) | 2013-03-14 | 2019-10-22 | Valtech Cardio, Ltd. | Guidewire feeder |
EP2968847B1 (en) | 2013-03-15 | 2023-03-08 | Edwards Lifesciences Corporation | Translation catheter systems |
EP3016598B1 (en) | 2013-07-02 | 2018-10-10 | Med-venture Investments, LLC | Suturing devices for suturing an anatomic structure |
US10070857B2 (en) | 2013-08-31 | 2018-09-11 | Mitralign, Inc. | Devices and methods for locating and implanting tissue anchors at mitral valve commissure |
US10299793B2 (en) | 2013-10-23 | 2019-05-28 | Valtech Cardio, Ltd. | Anchor magazine |
EP3079602B1 (en) | 2013-12-06 | 2020-01-22 | Med-venture Investments, LLC | Suturing apparatuses |
US10136886B2 (en) | 2013-12-20 | 2018-11-27 | Biomet Sports Medicine, Llc | Knotless soft tissue devices and techniques |
US9610162B2 (en) | 2013-12-26 | 2017-04-04 | Valtech Cardio, Ltd. | Implantation of flexible implant |
US9615822B2 (en) | 2014-05-30 | 2017-04-11 | Biomet Sports Medicine, Llc | Insertion tools and method for soft anchor |
US9700291B2 (en) | 2014-06-03 | 2017-07-11 | Biomet Sports Medicine, Llc | Capsule retractor |
US10178993B2 (en) | 2014-07-11 | 2019-01-15 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to-side anastomosis |
US10039543B2 (en) | 2014-08-22 | 2018-08-07 | Biomet Sports Medicine, Llc | Non-sliding soft anchor |
EP4331503A2 (en) | 2014-10-14 | 2024-03-06 | Edwards Lifesciences Innovation (Israel) Ltd. | Leaflet-restraining techniques |
CA3162308A1 (en) | 2015-02-05 | 2016-08-11 | Cardiovalve Ltd. | Prosthetic valve with axially-sliding frames |
US9955980B2 (en) | 2015-02-24 | 2018-05-01 | Biomet Sports Medicine, Llc | Anatomic soft tissue repair |
US20160256269A1 (en) | 2015-03-05 | 2016-09-08 | Mitralign, Inc. | Devices for treating paravalvular leakage and methods use thereof |
US9974534B2 (en) | 2015-03-31 | 2018-05-22 | Biomet Sports Medicine, Llc | Suture anchor with soft anchor of electrospun fibers |
CN114515173A (en) | 2015-04-30 | 2022-05-20 | 瓦尔泰克卡迪欧有限公司 | Valvuloplasty techniques |
US10751182B2 (en) | 2015-12-30 | 2020-08-25 | Edwards Lifesciences Corporation | System and method for reshaping right heart |
US10828160B2 (en) | 2015-12-30 | 2020-11-10 | Edwards Lifesciences Corporation | System and method for reducing tricuspid regurgitation |
US10531866B2 (en) | 2016-02-16 | 2020-01-14 | Cardiovalve Ltd. | Techniques for providing a replacement valve and transseptal communication |
EP3442437B1 (en) * | 2016-04-11 | 2020-11-11 | Nobles Medical Technologies II, Inc. | Tissue suturing device with suture spool |
US10702274B2 (en) | 2016-05-26 | 2020-07-07 | Edwards Lifesciences Corporation | Method and system for closing left atrial appendage |
US10265157B2 (en) | 2016-06-30 | 2019-04-23 | Medos International Sarl | Methods and devices for tensioning grafts |
GB201611910D0 (en) | 2016-07-08 | 2016-08-24 | Valtech Cardio Ltd | Adjustable annuloplasty device with alternating peaks and troughs |
US10856975B2 (en) | 2016-08-10 | 2020-12-08 | Cardiovalve Ltd. | Prosthetic valve with concentric frames |
US10905492B2 (en) | 2016-11-17 | 2021-02-02 | Angiodynamics, Inc. | Techniques for irreversible electroporation using a single-pole tine-style internal device communicating with an external surface electrode |
US11045627B2 (en) | 2017-04-18 | 2021-06-29 | Edwards Lifesciences Corporation | Catheter system with linear actuation control mechanism |
EP3641663B1 (en) | 2017-06-19 | 2022-03-02 | Heartstitch, Inc. | Suturing systems and methods for suturing body tissue |
US11839370B2 (en) | 2017-06-19 | 2023-12-12 | Heartstitch, Inc. | Suturing devices and methods for suturing an opening in the apex of the heart |
EP3668415B1 (en) | 2017-08-18 | 2023-10-25 | Nobles Medical Technologies II, Inc. | Apparatus for applying a knot to a suture |
US10835221B2 (en) | 2017-11-02 | 2020-11-17 | Valtech Cardio, Ltd. | Implant-cinching devices and systems |
US11135062B2 (en) | 2017-11-20 | 2021-10-05 | Valtech Cardio Ltd. | Cinching of dilated heart muscle |
WO2019145947A1 (en) | 2018-01-24 | 2019-08-01 | Valtech Cardio, Ltd. | Contraction of an annuloplasty structure |
WO2019145941A1 (en) | 2018-01-26 | 2019-08-01 | Valtech Cardio, Ltd. | Techniques for facilitating heart valve tethering and chord replacement |
EP3820406B1 (en) | 2018-07-12 | 2023-12-20 | Edwards Lifesciences Innovation (Israel) Ltd. | Annuloplasty systems and locking tools therefor |
KR20220122966A (en) | 2019-10-29 | 2022-09-05 | 에드워즈 라이프사이언시스 이노베이션 (이스라엘) 리미티드 | Annuloplasty and Tissue Anchor Techniques |
WO2022265863A1 (en) * | 2021-06-16 | 2022-12-22 | Edwards Lifesciences Corporation | Suture clip deployment devices with suture tensioning systems |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0464479A1 (en) * | 1990-07-02 | 1992-01-08 | American Cyanamid Company | Bone anchor |
US5817107A (en) * | 1995-12-28 | 1998-10-06 | Schaller; Guenter | Grasping instrument with a guided-on, attachable modified knot pusher |
WO2005018467A2 (en) * | 2003-08-20 | 2005-03-03 | Promedics Limited | Suturing device |
WO2006060405A2 (en) * | 2004-12-01 | 2006-06-08 | Gildenberg Philip L | System and method for tensioning a suture |
US20070270907A1 (en) * | 2006-05-19 | 2007-11-22 | Stokes Michael J | Suture locking device |
Family Cites Families (1090)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2493108A (en) | 1950-01-03 | Akticle handler | ||
US645576A (en) | 1897-09-02 | 1900-03-20 | Nikola Tesla | System of transmission of electrical energy. |
US787412A (en) | 1900-05-16 | 1905-04-18 | Nikola Tesla | Art of transmitting electrical energy through the natural mediums. |
US1127948A (en) | 1914-12-31 | 1915-02-09 | Reinhold H Wappler | Cystoscope. |
US1482653A (en) | 1923-01-16 | 1924-02-05 | William E Lilly | Gripping device |
US1625602A (en) * | 1926-04-06 | 1927-04-19 | Harold G Gould | Surgical appliance |
GB330629A (en) | 1929-03-14 | 1930-06-16 | Edward Baron | Improvements in and connected with vaginal specula and like instruments |
US2028635A (en) | 1933-09-11 | 1936-01-21 | Wappler Frederick Charles | Forcipated surgical instrument |
US2113246A (en) | 1937-05-17 | 1938-04-05 | Wappler Frederick Charles | Endoscopic forceps |
US2155365A (en) | 1938-03-07 | 1939-04-18 | Kearney James R Corp | Pick-up tongs |
US2196620A (en) | 1938-10-25 | 1940-04-09 | Sarkis T Attarian | Hook attaching device and spreader |
US2191858A (en) | 1939-06-09 | 1940-02-27 | William H Moore | Paper and trash picker tongs and the like |
US2388137A (en) | 1945-05-07 | 1945-10-30 | George D Graumlich | Device for installing and removing tubular lamps and the like |
US2504152A (en) | 1945-12-14 | 1950-04-18 | Robert T Riker | Gripper |
US2938382A (en) | 1955-04-29 | 1960-05-31 | Vloeistofmeetapp Nfabriek Nv | Fluid meter |
US2952206A (en) | 1957-05-10 | 1960-09-13 | Austin Powder Co | Fuse connector |
US3069195A (en) | 1959-05-18 | 1962-12-18 | Buck Frank | Device for changing tubular lights |
US3170471A (en) | 1962-04-23 | 1965-02-23 | Schnitzer Emanuel | Inflatable honeycomb |
US3470876A (en) | 1966-09-28 | 1969-10-07 | John Barchilon | Dirigible catheter |
US3435824A (en) | 1966-10-27 | 1969-04-01 | Herminio Gamponia | Surgical apparatus and related process |
US3669487A (en) | 1970-11-09 | 1972-06-13 | Lonnie D Roberts | Tool |
US3746881A (en) | 1971-02-16 | 1973-07-17 | Maxwell Lab | Marx generator and triggering circuitry therefor |
US3799672A (en) | 1972-09-15 | 1974-03-26 | Us Health Education & Welfare | Oximeter for monitoring oxygen saturation in blood |
US3948251A (en) | 1972-10-25 | 1976-04-06 | Olympus Optical Co., Ltd. | Flexible tube endoscope |
US3854473A (en) | 1973-05-29 | 1974-12-17 | Olympus Optical Co | Stilet for endoscopes |
DE2513868C2 (en) | 1974-04-01 | 1982-11-04 | Olympus Optical Co., Ltd., Tokyo | Bipolar electrodiathermy forceps |
US3946740A (en) | 1974-10-15 | 1976-03-30 | Bassett John W | Suturing device |
US3994301A (en) | 1975-04-14 | 1976-11-30 | S & S Medical Products Co., Inc. | Submammary dissector |
US4012812A (en) | 1976-03-11 | 1977-03-22 | Wade Industries, Inc. | Double lock tufting button |
US4207873A (en) | 1977-05-16 | 1980-06-17 | American Cystoscope Makers, Inc. | Endoscope deflection control |
US4461281A (en) | 1977-06-15 | 1984-07-24 | Carson Robert W | Arthroscopic surgical apparatus and method |
US5133727A (en) | 1990-05-10 | 1992-07-28 | Symbiosis Corporation | Radial jaw biopsy forceps |
US4178920A (en) | 1977-10-03 | 1979-12-18 | American Hospital Supply Corporation | Urological instrument with deflecting element |
US4164225A (en) | 1977-12-28 | 1979-08-14 | Johnson & Lorenz, Inc. | Surgical suturing instrument |
US4258716A (en) | 1978-02-06 | 1981-03-31 | The University Of Melbourne | Microsurgical instruments |
US4235238A (en) | 1978-05-11 | 1980-11-25 | Olympus Optical Co., Ltd. | Apparatus for suturing coeliac tissues |
JPS5519124A (en) | 1978-07-27 | 1980-02-09 | Olympus Optical Co | Camera system for medical treatment |
JPS5552748A (en) | 1978-10-12 | 1980-04-17 | Olympus Optical Co | Highhfrequency incising tool |
US4329980A (en) | 1979-03-06 | 1982-05-18 | Olympus Optical Co., Ltd. | Flexible sheath for an endoscope |
JPH0127762Y2 (en) | 1979-06-30 | 1989-08-23 | ||
US4527564A (en) | 1980-02-06 | 1985-07-09 | Janome Sewing Machine Co. Ltd. | Suturing needle for medical operation |
US4285344A (en) | 1980-02-21 | 1981-08-25 | Marshall Warren S | Surgical scissors |
SU980703A1 (en) | 1980-05-16 | 1982-12-15 | Иркутский Государственный Медицинский Институт | Device for dissection of tissues |
US4396021A (en) | 1980-12-15 | 1983-08-02 | Baumgartner George C | Surgical instrument and process |
US4406656A (en) | 1981-06-01 | 1983-09-27 | Brack Gillium Hattler | Venous catheter having collapsible multi-lumens |
US4452246A (en) | 1981-09-21 | 1984-06-05 | Bader Robert F | Surgical instrument |
AU9143982A (en) | 1982-01-20 | 1983-07-28 | Sorenson Research Co. Inc. | Translating and positioning a catheter |
US4527331A (en) | 1982-01-26 | 1985-07-09 | Lasner Jeffrey I | Suture remover and continuous band scissors |
US4823794A (en) | 1982-07-12 | 1989-04-25 | Pierce William S | Surgical pledget |
US4491132A (en) | 1982-08-06 | 1985-01-01 | Zimmer, Inc. | Sheath and retractable surgical tool combination |
USD281104S (en) | 1982-09-27 | 1985-10-22 | Adler Instrument Company | Serrated surgical scissors |
US4491135A (en) | 1982-11-03 | 1985-01-01 | Klein Harvey A | Surgical needle holder |
GB2130889B (en) | 1982-11-26 | 1986-06-18 | Wolf Gmbh Richard | Rectoscope |
US5190546A (en) | 1983-10-14 | 1993-03-02 | Raychem Corporation | Medical devices incorporating SIM alloy elements |
US4712545A (en) | 1984-04-05 | 1987-12-15 | Acufex Microsurgical, Inc. | Surgical instrument |
US4569347A (en) | 1984-05-30 | 1986-02-11 | Advanced Cardiovascular Systems, Inc. | Catheter introducing device, assembly and method |
GB2161389B (en) | 1984-07-05 | 1988-06-08 | Wolf Gmbh Richard | Instrument insert for a uretero-renoscope |
US4938214A (en) | 1984-09-10 | 1990-07-03 | Micrins Surgical Instruments, Ltd. | Hand held surgical tool |
US4580551A (en) | 1984-11-02 | 1986-04-08 | Warner-Lambert Technologies, Inc. | Flexible plastic tube for endoscopes and the like |
US4646722A (en) | 1984-12-10 | 1987-03-03 | Opielab, Inc. | Protective endoscope sheath and method of installing same |
US4685447A (en) | 1985-03-25 | 1987-08-11 | Pmt Corporation | Tissue expander system |
US4721116A (en) | 1985-06-04 | 1988-01-26 | Schintgen Jean Marie | Retractable needle biopsy forceps and improved control cable therefor |
USD295894S (en) | 1985-09-26 | 1988-05-24 | Acme United Corporation | Disposable surgical scissors |
US5020535A (en) | 1985-09-26 | 1991-06-04 | Alcon Laboratories, Inc. | Handpiece drive apparatus for powered surgical scissors |
US4669470A (en) | 1985-11-20 | 1987-06-02 | Brandfield Robert T | Surgical forceps/scissors |
US4763669A (en) | 1986-01-09 | 1988-08-16 | Jaeger John C | Surgical instrument with adjustable angle of operation |
FR2595938A1 (en) | 1986-03-18 | 1987-09-25 | Hanna Khalil | MICROSURGICAL INSTRUMENT FOR THE USE OF CLAMPS OR SCISSORS |
US5066295A (en) | 1986-05-13 | 1991-11-19 | Mill-Rose Laboratories, Inc. | Rotatable surgical snare |
US4711240A (en) | 1986-05-15 | 1987-12-08 | Duke University Patents Foundation | Surgical dissector |
US5123914A (en) | 1986-05-19 | 1992-06-23 | Cook Incorporated | Visceral anchor for visceral wall mobilization |
US5010876A (en) | 1986-06-02 | 1991-04-30 | Smith & Nephew Dyonics, Inc. | Arthroscopic surgical practice |
US4671477A (en) | 1986-06-12 | 1987-06-09 | Cullen Thomas J | Device for handling a workpiece such as a container for chemotherapy drugs or the like |
US4733662A (en) | 1987-01-20 | 1988-03-29 | Minnesota Mining And Manufacturing Company | Tissue gripping and cutting assembly for surgical instrument |
GB8708481D0 (en) | 1987-04-09 | 1987-05-13 | Wickham J E A | Tissue disintegrator |
US5065516A (en) | 1987-05-11 | 1991-11-19 | Andrew Tool Company | Disassemblable scissors means |
US4898156A (en) | 1987-05-18 | 1990-02-06 | Mitek Surgical Products, Inc. | Suture anchor |
US4829999A (en) | 1987-07-17 | 1989-05-16 | E. R. Squibb And Sons, Inc. | Side mount guidewire gripping device |
US4950273A (en) | 1987-10-26 | 1990-08-21 | Briggs Jeffrey M | Cable action instrument |
US4815450A (en) | 1988-02-01 | 1989-03-28 | Patel Jayendra I | Endoscope having variable flexibility |
US4926860A (en) | 1988-02-05 | 1990-05-22 | Flexmedics Corporation | ARthroscopic instrumentation and method |
JPH01244732A (en) | 1988-03-28 | 1989-09-29 | Asahi Optical Co Ltd | Endoscope with sheath |
US5052372A (en) | 1988-04-05 | 1991-10-01 | Shapiro Jerome J | Vaginal speculum having a unique single control |
US4880015A (en) | 1988-06-03 | 1989-11-14 | Nierman David M | Biopsy forceps |
US4984581A (en) | 1988-10-12 | 1991-01-15 | Flexmedics Corporation | Flexible guide having two-way shape memory alloy |
US4960133A (en) | 1988-11-21 | 1990-10-02 | Brunswick Manufacturing Co., Inc. | Esophageal electrode |
US5222362A (en) | 1989-01-10 | 1993-06-29 | Maus Daryl D | Heat-activated drug delivery system and thermal actuators therefor |
US4911148A (en) | 1989-03-14 | 1990-03-27 | Intramed Laboratories, Inc. | Deflectable-end endoscope with detachable flexible shaft assembly |
JPH0640874B2 (en) | 1989-04-07 | 1994-06-01 | ザ ユニバーシティー オブ メルボルン | Improvement of surgical instruments |
JPH0651018B2 (en) | 1989-05-02 | 1994-07-06 | 株式会社東芝 | Endoscope |
US5033169A (en) | 1989-05-22 | 1991-07-23 | Straight Line Water Sports, Inc. | Rope fastener |
DE3923851C1 (en) | 1989-07-19 | 1990-08-16 | Richard Wolf Gmbh, 7134 Knittlingen, De | |
US5301061A (en) | 1989-07-27 | 1994-04-05 | Olympus Optical Co., Ltd. | Endoscope system |
US6004330A (en) | 1989-08-16 | 1999-12-21 | Medtronic, Inc. | Device or apparatus for manipulating matter |
US5203380A (en) | 1989-10-13 | 1993-04-20 | Kabushiki Kaisha Machida Seisakusho | Bending device |
JPH03128028A (en) | 1989-10-13 | 1991-05-31 | Machida Seisakusho:Kk | Angle for curving operation device |
US5123913A (en) | 1989-11-27 | 1992-06-23 | Wilk Peter J | Suture device |
US4950285A (en) | 1989-11-27 | 1990-08-21 | Wilk Peter J | Suture device |
US5665100A (en) | 1989-12-05 | 1997-09-09 | Yoon; Inbae | Multifunctional instrument with interchangeable operating units for performing endoscopic procedures |
US5797939A (en) | 1989-12-05 | 1998-08-25 | Yoon; Inbae | Endoscopic scissors with longitudinal operating channel |
US5984938A (en) | 1989-12-05 | 1999-11-16 | Yoon; Inbae | Surgical instrument with jaws and movable internal scissors and method for use thereof |
US6277136B1 (en) | 1990-03-02 | 2001-08-21 | General Surgical Innovations, Inc. | Method for developing an anatomic space |
US5007917A (en) | 1990-03-08 | 1991-04-16 | Stryker Corporation | Single blade cutter for arthroscopic surgery |
US5976131A (en) | 1990-03-13 | 1999-11-02 | The Regents Of The University At California | Detachable endovascular occlusion device activated by alternating electric current |
US5025778A (en) | 1990-03-26 | 1991-06-25 | Opielab, Inc. | Endoscope with potential channels and method of using the same |
US5439478A (en) | 1990-05-10 | 1995-08-08 | Symbiosis Corporation | Steerable flexible microsurgical instrument with rotatable clevis |
US5331971A (en) | 1990-05-10 | 1994-07-26 | Symbiosis Corporation | Endoscopic surgical instruments |
US5203785A (en) | 1990-05-10 | 1993-04-20 | Symbrosis Corporation | Laparoscopic hook scissors |
US5482054A (en) | 1990-05-10 | 1996-01-09 | Symbiosis Corporation | Edoscopic biopsy forceps devices with selective bipolar cautery |
US5234453A (en) | 1990-05-10 | 1993-08-10 | Symblosis Corporation | Cobalt base alloy end effectors for laparoscopic surgical scissors |
US5395386A (en) | 1990-05-10 | 1995-03-07 | Symbiosis Corporation | Endoscopic pericardial scissors |
US5037433A (en) | 1990-05-17 | 1991-08-06 | Wilk Peter J | Endoscopic suturing device and related method and suture |
US5219357A (en) | 1990-05-31 | 1993-06-15 | Tnco, Inc. | Micro-instrument |
US5041129A (en) | 1990-07-02 | 1991-08-20 | Acufex Microsurgical, Inc. | Slotted suture anchor and method of anchoring a suture |
US5843017A (en) | 1990-07-24 | 1998-12-01 | Yoon; Inbae | Multifunctional tissue dissecting instrument |
US5201752A (en) | 1990-09-27 | 1993-04-13 | Pod, Inc. | Cholecystectomy dissector instrument |
US5478347A (en) | 1990-10-05 | 1995-12-26 | United States Surgical Corporation | Endoscopic surgical instrument having curved blades |
CA2050868C (en) | 1990-10-05 | 2002-01-01 | Ernie Aranyi | Endoscopic surgical instrument |
US5685820A (en) | 1990-11-06 | 1997-11-11 | Partomed Medizintechnik Gmbh | Instrument for the penetration of body tissue |
US5203787A (en) | 1990-11-19 | 1993-04-20 | Biomet, Inc. | Suture retaining arrangement |
US5209747A (en) | 1990-12-13 | 1993-05-11 | Knoepfler Dennis J | Adjustable angle medical forceps |
US5312416A (en) | 1991-10-18 | 1994-05-17 | Endomedix Corporation | Method and system for enclosing, manipulating, debulking and removing tissue through minimal access incisions |
DE4101472C2 (en) | 1991-01-19 | 1995-07-13 | Winter & Ibe Olympus | Endoscope for transurethral resection |
US5370647A (en) | 1991-01-23 | 1994-12-06 | Surgical Innovations, Inc. | Tissue and organ extractor |
AU1416392A (en) | 1991-02-06 | 1992-09-07 | Laparomed Corporation | Electrosurgical device |
US5217003A (en) | 1991-03-18 | 1993-06-08 | Wilk Peter J | Automated surgical system and apparatus |
US5217453A (en) | 1991-03-18 | 1993-06-08 | Wilk Peter J | Automated surgical system and apparatus |
US5320636A (en) | 1991-04-04 | 1994-06-14 | Symbiosis Corporation | Endoscopic scissors instrument with cammed surface end effectors |
US5392789A (en) | 1991-04-04 | 1995-02-28 | Symbiosis Corporation | Endoscopic scissors having scissor elements loosely engaged with a clevis |
US5174300A (en) | 1991-04-04 | 1992-12-29 | Symbiosis Corporation | Endoscopic surgical instruments having rotatable end effectors |
US5383877A (en) | 1991-05-01 | 1995-01-24 | Clarke; Henry C. | Instruments and method for suturing and ligation |
US5330496A (en) | 1991-05-06 | 1994-07-19 | Alferness Clifton A | Vascular catheter assembly for tissue penetration and for cardiac stimulation and methods thereof |
AU666310B2 (en) | 1991-06-06 | 1996-02-08 | Meditech International Pty Ltd. | Speculum |
US5330471A (en) | 1991-06-07 | 1994-07-19 | Hemostatic Surgery Corporation | Bi-polar electrosurgical endoscopic instruments and methods of use |
US5386817A (en) | 1991-06-10 | 1995-02-07 | Endomedical Technologies, Inc. | Endoscope sheath and valve system |
US5503616A (en) | 1991-06-10 | 1996-04-02 | Endomedical Technologies, Inc. | Collapsible access channel system |
US5201908A (en) | 1991-06-10 | 1993-04-13 | Endomedical Technologies, Inc. | Sheath for protecting endoscope from contamination |
EP0526115B1 (en) | 1991-07-29 | 1997-04-02 | Smith & Nephew Richards Inc | Forceps |
US5383888A (en) | 1992-02-12 | 1995-01-24 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5219358A (en) | 1991-08-29 | 1993-06-15 | Ethicon, Inc. | Shape memory effect surgical needles |
US5222965A (en) | 1991-09-06 | 1993-06-29 | Donald Haughton | Teat knife |
US5275607A (en) | 1991-09-23 | 1994-01-04 | Visionary Medical, Inc. | Intraocular surgical scissors |
CA2075241A1 (en) | 1991-10-03 | 1993-04-04 | Stephen W. Gerry | Handle for manipulating a laparoscopic tool |
US5273524A (en) | 1991-10-09 | 1993-12-28 | Ethicon, Inc. | Electrosurgical device |
CA2380683C (en) | 1991-10-28 | 2006-08-08 | Advanced Cardiovascular Systems, Inc. | Expandable stents and method for making same |
US5374273A (en) | 1992-10-05 | 1994-12-20 | Nakao; Naomi L. | Method for retrieval of retained common bile duct stones |
US5190050A (en) | 1991-11-08 | 1993-03-02 | Electro-Catheter Corporation | Tip deflectable steerable catheter |
US5242456A (en) | 1991-11-21 | 1993-09-07 | Kensey Nash Corporation | Apparatus and methods for clamping tissue and reflecting the same |
US5308327A (en) | 1991-11-25 | 1994-05-03 | Advanced Surgical Inc. | Self-deployed inflatable retractor |
US5524633A (en) | 1991-11-25 | 1996-06-11 | Advanced Surgical, Inc. | Self-deploying isolation bag |
US5391174A (en) | 1991-11-29 | 1995-02-21 | Weston; Peter V. | Endoscopic needle holders |
US5147374A (en) | 1991-12-05 | 1992-09-15 | Alfredo Fernandez | Prosthetic mesh patch for hernia repair |
US5235964A (en) | 1991-12-05 | 1993-08-17 | Analogic Corporation | Flexible probe apparatus |
US5290299A (en) | 1991-12-11 | 1994-03-01 | Ventritex, Inc. | Double jaw apparatus for attaching implanted materials to body tissue |
US5234437A (en) | 1991-12-12 | 1993-08-10 | Target Therapeutics, Inc. | Detachable pusher-vasoocclusion coil assembly with threaded coupling |
US5190555A (en) | 1991-12-13 | 1993-03-02 | Unisurge, Inc. | Device for collection and removal of body parts during laparoscopic surgery |
US5643283A (en) | 1992-01-03 | 1997-07-01 | Younker; Marlin E. | Surgical pouch |
US6183469B1 (en) | 1997-08-27 | 2001-02-06 | Arthrocare Corporation | Electrosurgical systems and methods for the removal of pacemaker leads |
US5192284A (en) | 1992-01-10 | 1993-03-09 | Pleatman Mark A | Surgical collector and extractor |
US5433721A (en) | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
ATE155059T1 (en) | 1992-01-21 | 1997-07-15 | Stanford Res Inst Int | TELEOPERATOR SYSTEM AND TELEPRESENCE METHOD |
GB9201214D0 (en) | 1992-01-21 | 1992-03-11 | Mcmahon Michael J | Surgical retractors |
US5284128A (en) | 1992-01-24 | 1994-02-08 | Applied Medical Resources Corporation | Surgical manipulator |
US5514157A (en) | 1992-02-12 | 1996-05-07 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5555883A (en) | 1992-02-24 | 1996-09-17 | Avitall; Boaz | Loop electrode array mapping and ablation catheter for cardiac chambers |
US5352184A (en) | 1992-03-12 | 1994-10-04 | Uresil Corporation | Reservoir for enclosing and retrieving body specimens |
US5246424A (en) | 1992-03-13 | 1993-09-21 | Wilk Peter J | Device and method for use in obtaining access to an internal body organ |
US5312333A (en) | 1992-04-03 | 1994-05-17 | United States Surgical Corporation | Endoscopic material delivery device |
US5263958A (en) | 1992-04-08 | 1993-11-23 | Microline Inc. | Microsurgical instrument |
US5470320A (en) | 1992-04-10 | 1995-11-28 | Tiefenbrun; Jonathan | Method and related device for obtaining access to a hollow organ |
US5254130A (en) | 1992-04-13 | 1993-10-19 | Raychem Corporation | Surgical device |
EP0680282A1 (en) | 1992-04-16 | 1995-11-08 | MICHALOS, Peter | Surgical cutting instrument |
US5522829A (en) | 1992-04-16 | 1996-06-04 | Arthur D. Little Enterprises, Inc. | Surgical cutting instrument |
US5403328A (en) | 1992-04-22 | 1995-04-04 | United States Surgical Corporation | Surgical apparatus and method for suturing body tissue |
US5417203A (en) | 1992-04-23 | 1995-05-23 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5484451A (en) | 1992-05-08 | 1996-01-16 | Ethicon, Inc. | Endoscopic surgical instrument and staples for applying purse string sutures |
US5389098A (en) | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
DE4217202C2 (en) | 1992-05-23 | 1994-06-23 | Kernforschungsz Karlsruhe | Surgical sewing instrument |
US5325845A (en) | 1992-06-08 | 1994-07-05 | Adair Edwin Lloyd | Steerable sheath for use with selected removable optical catheter |
DE69316894T2 (en) | 1992-06-24 | 1998-09-24 | Microsurge Inc | REUSABLE ENDOSCOPIC, SURGICAL INSTRUMENT |
US5478351A (en) | 1992-06-24 | 1995-12-26 | Microsurge, Inc. | Endoscopic surgical tool with handle and detachable tool assembly |
CA2098896C (en) | 1992-06-30 | 2005-03-29 | H. Jonathan Tovey | Specimen retrieval pouch and method for use |
US5368606A (en) | 1992-07-02 | 1994-11-29 | Marlow Surgical Technologies, Inc. | Endoscopic instrument system |
US5366466A (en) | 1992-07-09 | 1994-11-22 | Unisurge, Inc. | Surgical scissors |
US5284162A (en) | 1992-07-14 | 1994-02-08 | Wilk Peter J | Method of treating the colon |
US5366467A (en) | 1992-07-15 | 1994-11-22 | Linvatec Corporation | Endoscopic scissors |
US5330486A (en) | 1992-07-29 | 1994-07-19 | Wilk Peter J | Laparoscopic or endoscopic anastomosis technique and associated instruments |
US5511564A (en) | 1992-07-29 | 1996-04-30 | Valleylab Inc. | Laparoscopic stretching instrument and associated method |
US5470308A (en) | 1992-08-12 | 1995-11-28 | Vidamed, Inc. | Medical probe with biopsy stylet |
US5540648A (en) | 1992-08-17 | 1996-07-30 | Yoon; Inbae | Medical instrument stabilizer with anchoring system and methods |
US5458131A (en) | 1992-08-25 | 1995-10-17 | Wilk; Peter J. | Method for use in intra-abdominal surgery |
US5297536A (en) | 1992-08-25 | 1994-03-29 | Wilk Peter J | Method for use in intra-abdominal surgery |
CA2143639C (en) | 1992-09-01 | 2004-07-20 | Edwin L. Adair | Sterilizable endoscope with separable disposable tube assembly |
US5704892A (en) | 1992-09-01 | 1998-01-06 | Adair; Edwin L. | Endoscope with reusable core and disposable sheath with passageways |
US5630782A (en) | 1992-09-01 | 1997-05-20 | Adair; Edwin L. | Sterilizable endoscope with separable auxiliary assembly |
US6010515A (en) | 1993-09-03 | 2000-01-04 | University College London | Device for use in tying knots |
US5364408A (en) | 1992-09-04 | 1994-11-15 | Laurus Medical Corporation | Endoscopic suture system |
CA2106128A1 (en) | 1992-09-23 | 1994-03-24 | Ernie Aranyi | Endoscopic surgical instrument |
US5312423A (en) | 1992-10-01 | 1994-05-17 | Advanced Surgical Intervention, Inc. | Apparatus and method for laparaoscopic ligation |
US5374277A (en) | 1992-10-09 | 1994-12-20 | Ethicon, Inc. | Surgical instrument |
US5330502A (en) | 1992-10-09 | 1994-07-19 | Ethicon, Inc. | Rotational endoscopic mechanism with jointed drive mechanism |
US5334198A (en) | 1992-10-09 | 1994-08-02 | Innovasive Devices, Inc. | Surgical instrument |
US5431696A (en) | 1992-10-13 | 1995-07-11 | Atlee, Iii; John L. | Esophageal probe for transeophageal cardiac stimulation |
US5350391A (en) | 1992-10-19 | 1994-09-27 | Benedetto Iacovelli | Laparoscopic instruments |
US5259366A (en) | 1992-11-03 | 1993-11-09 | Boris Reydel | Method of using a catheter-sleeve assembly for an endoscope |
US5354302A (en) | 1992-11-06 | 1994-10-11 | Ko Sung Tao | Medical device and method for facilitating intra-tissue visual observation and manipulation of distensible tissues |
US20020095164A1 (en) | 1997-06-26 | 2002-07-18 | Andreas Bernard H. | Device and method for suturing tissue |
US5417699A (en) | 1992-12-10 | 1995-05-23 | Perclose Incorporated | Device and method for the percutaneous suturing of a vascular puncture site |
US5460168A (en) | 1992-12-25 | 1995-10-24 | Olympus Optical Co., Ltd. | Endoscope cover assembly and cover-system endoscope |
ES2160118T3 (en) | 1993-01-07 | 2001-11-01 | Medical Innovations Corp | CATETER SYSTEM FOR GASTROSTOMY. |
US5312351A (en) | 1993-01-29 | 1994-05-17 | Gerrone Carmen J | Combined pneumo-needle and trocar apparatus |
EP0613661B1 (en) | 1993-01-29 | 1998-04-15 | Smith & Nephew, Inc. | Rotatable curved instrument |
US5643294A (en) | 1993-03-01 | 1997-07-01 | United States Surgical Corporation | Surgical apparatus having an increased range of operability |
US5814058A (en) | 1993-03-05 | 1998-09-29 | Innerdyne, Inc. | Method and apparatus employing conformable sleeve for providing percutaneous access |
US5431676A (en) | 1993-03-05 | 1995-07-11 | Innerdyne Medical, Inc. | Trocar system having expandable port |
US5344428A (en) | 1993-03-05 | 1994-09-06 | Auburn International, Inc. | Miniature surgical instrument |
US5368605A (en) | 1993-03-09 | 1994-11-29 | Miller, Jr.; Herman A. | Laparoscopic surgical instrument |
US5330488A (en) | 1993-03-23 | 1994-07-19 | Goldrath Milton H | Verres needle suturing kit |
US5374275A (en) | 1993-03-25 | 1994-12-20 | Synvasive Technology, Inc. | Surgical suturing device and method of use |
US5496347A (en) | 1993-03-30 | 1996-03-05 | Olympus Optical Co., Ltd. | Surgical instrument |
US5468250A (en) | 1993-04-01 | 1995-11-21 | Ethicon, Inc. | Endoscopic mechanism with friction maintaining handle |
US5613975A (en) | 1993-04-28 | 1997-03-25 | Christy; William J. | Endoscopic suturing device and method |
US5295977A (en) | 1993-05-11 | 1994-03-22 | Symbiosis Corporation | Trocar catheter for drainage |
US5403348A (en) | 1993-05-14 | 1995-04-04 | Bonutti; Peter M. | Suture anchor |
US5456667A (en) | 1993-05-20 | 1995-10-10 | Advanced Cardiovascular Systems, Inc. | Temporary stenting catheter with one-piece expandable segment |
US5364410A (en) | 1993-05-28 | 1994-11-15 | Ethicon, Inc. | Percutaneous suture externalizer |
US5480404A (en) | 1993-06-16 | 1996-01-02 | Ethicon, Inc. | Surgical tissue retrieval instrument |
WO1995001751A1 (en) | 1993-07-01 | 1995-01-19 | Boston Scientific Corporation | Imaging, electrical potential sensing, and ablation catheters |
US5569243A (en) | 1993-07-13 | 1996-10-29 | Symbiosis Corporation | Double acting endoscopic scissors with bipolar cautery capability |
US5527321A (en) | 1993-07-14 | 1996-06-18 | United States Surgical Corporation | Instrument for closing trocar puncture wounds |
DE4323585A1 (en) | 1993-07-14 | 1995-01-19 | Delma Elektro Med App | Bipolar high-frequency surgical instrument |
US5356408A (en) | 1993-07-16 | 1994-10-18 | Everest Medical Corporation | Bipolar electrosurgical scissors having nonlinear blades |
US5792165A (en) | 1993-07-21 | 1998-08-11 | Charles H. Klieman | Endoscopic instrument with detachable end effector |
DE69429350T2 (en) | 1993-07-21 | 2002-08-22 | Klieman Charles H | SURGICAL INSTRUMENT FOR ENDOSCOPIC AND GENERAL OPERATIONS |
US5582617A (en) | 1993-07-21 | 1996-12-10 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
US5507755A (en) | 1993-08-03 | 1996-04-16 | Origin Medsystems, Inc. | Apparatus and method for closing puncture wounds |
US5462561A (en) | 1993-08-05 | 1995-10-31 | Voda; Jan K. | Suture device |
US5469863A (en) | 1993-08-11 | 1995-11-28 | Polygenex International, Inc. | Polyurethane condom of welded polyurethane film |
US5827299A (en) | 1993-08-25 | 1998-10-27 | Inlet Medical, Inc | Insertable suture passing grasping probe and methodology for using same |
US5496333A (en) | 1993-10-20 | 1996-03-05 | Applied Medical Resources Corporation | Laparoscopic surgical clamp |
US5690660A (en) | 1993-10-27 | 1997-11-25 | Stryker Corporation | Arthroscopic cutter having curved rotatable drive |
US5405359A (en) | 1994-04-29 | 1995-04-11 | Pierce; Javi | Toggle wedge |
US6569159B1 (en) | 1993-11-08 | 2003-05-27 | Rita Medical Systems, Inc. | Cell necrosis apparatus |
US5405073A (en) | 1993-12-06 | 1995-04-11 | Ethicon, Inc. | Flexible support shaft assembly |
CA2138076A1 (en) | 1993-12-17 | 1995-06-18 | Philip E. Eggers | Monopolar electrosurgical instruments |
US5439471A (en) | 1994-01-05 | 1995-08-08 | Kerr; Harry D. | Combined surgical needle holder and scissors |
DZ1761A1 (en) | 1994-01-13 | 2002-02-17 | Haack Karl Warner An | A device for closing wounds. |
IL108352A (en) | 1994-01-17 | 2000-02-29 | Given Imaging Ltd | In vivo video camera system |
US5423821A (en) | 1994-01-18 | 1995-06-13 | Pasque; Michael K. | Sternal closure device |
US5501692A (en) | 1994-01-28 | 1996-03-26 | Riza; Erol D. | Laparoscopic suture snare |
US5638827A (en) | 1994-02-01 | 1997-06-17 | Symbiosis Corporation | Super-elastic flexible jaws assembly for an endoscopic multiple sample bioptome |
US5441059A (en) | 1994-02-02 | 1995-08-15 | Dannan; Patrick A. | Method of minimally invasive surgery |
US5645083A (en) | 1994-02-10 | 1997-07-08 | Essig; Mitchell N. | Peritoneal surgical method |
US5501698A (en) | 1994-02-14 | 1996-03-26 | Heartport, Inc. | Endoscopic microsurgical instruments and methods |
US5401248A (en) | 1994-02-22 | 1995-03-28 | Ethicon Endo-Surgery | Seal for trocar assembly |
US5681330A (en) | 1994-03-02 | 1997-10-28 | Ethicon Endo-Surgery, Inc. | Sterile occlusion fasteners and instrument and method for their placement |
US5833700A (en) | 1995-03-15 | 1998-11-10 | Ethicon Endo-Surgery, Inc. | Sterile occlusion fasteners and instrument and method for their placement |
CA2143560C (en) | 1994-03-02 | 2007-01-16 | Mark Fogelberg | Sterile occlusion fasteners and instrument and method for their placement |
US5352222A (en) | 1994-03-15 | 1994-10-04 | Everest Medical Corporation | Surgical scissors with bipolar coagulation feature |
GB9405790D0 (en) | 1994-03-23 | 1994-05-11 | Univ London | Sewing device |
CA2145232A1 (en) | 1994-03-24 | 1995-09-25 | Arie Avny | Viewing method and apparatus particularly useful for viewing the interior of the large intestine |
US5653677A (en) | 1994-04-12 | 1997-08-05 | Fuji Photo Optical Co. Ltd | Electronic endoscope apparatus with imaging unit separable therefrom |
AU681247B2 (en) | 1994-04-15 | 1997-08-21 | Smith & Nephew, Inc. | Curved surgical instrument with segmented inner member |
US5569298A (en) | 1994-05-02 | 1996-10-29 | Schnell; William J. | Resposable scissors |
US5505686A (en) | 1994-05-05 | 1996-04-09 | Imagyn Medical, Inc. | Endoscope with protruding member and method of utilizing the same |
GB9409625D0 (en) | 1994-05-13 | 1994-07-06 | Univ London | Surgical cutting tool |
US5824041A (en) | 1994-06-08 | 1998-10-20 | Medtronic, Inc. | Apparatus and methods for placement and repositioning of intraluminal prostheses |
US5573540A (en) | 1994-07-18 | 1996-11-12 | Yoon; Inbae | Apparatus and method for suturing an opening in anatomical tissue |
EP0694289B1 (en) | 1994-07-29 | 2003-05-07 | Olympus Optical Co., Ltd. | Medical instrument for use in combination with endoscopes |
IT1274589B (en) | 1994-08-05 | 1997-07-18 | Nuovo Pignone Spa | IMPROVED SYSTEM OF GRIPPING AND TIGHTENING THE WEFT IN THE TRACTION GRIPPER OF A TEXTILE FRAME |
US5573542A (en) | 1994-08-17 | 1996-11-12 | Tahoe Surgical Instruments-Puerto Rico | Endoscopic suture placement tool |
US5584845A (en) | 1994-08-18 | 1996-12-17 | Innovasive Devices, Inc. | Surgical scissor blade and method for making the same |
JP2802244B2 (en) | 1994-08-29 | 1998-09-24 | オリンパス光学工業株式会社 | Endoscope sheath |
US5456684A (en) | 1994-09-08 | 1995-10-10 | Hutchinson Technology Incorporated | Multifunctional minimally invasive surgical instrument |
DE19501752A1 (en) | 1994-09-20 | 1996-07-25 | Stefan Koscher | Surgical instrument |
US5554151A (en) | 1994-09-27 | 1996-09-10 | United States Surgical Corporation | Specimen retrieval container |
JP3614943B2 (en) | 1994-09-29 | 2005-01-26 | オリンパス株式会社 | Endoscopic puncture needle |
US5938668A (en) | 1994-10-07 | 1999-08-17 | United States Surgical | Surgical suturing apparatus |
US5893875A (en) | 1994-10-07 | 1999-04-13 | Tnco, Inc. | Surgical instrument with replaceable jaw assembly |
US5578030A (en) | 1994-11-04 | 1996-11-26 | Levin; John M. | Biopsy needle with cauterization feature |
US5595562A (en) | 1994-11-10 | 1997-01-21 | Research Corporation Technologies, Inc. | Magnetic enteral gastrostomy |
US5695511A (en) | 1994-11-29 | 1997-12-09 | Metamorphic Surgical Devices | Surgical instruments for minimally invasive procedures |
US5976130A (en) | 1994-12-13 | 1999-11-02 | Symbiosis Corporation | Bipolar push rod assembly for a bipolar endoscopic surgical instrument and instruments incorporating the same |
US6447511B1 (en) | 1994-12-13 | 2002-09-10 | Symbiosis Corporation | Bipolar endoscopic surgical scissor blades and instrument incorporating the same |
US5653722A (en) | 1995-01-03 | 1997-08-05 | Kieturakis; Maciej J. | Anterograde/retrograde spiral dissector and method of use in vein grafting |
US5643292A (en) | 1995-01-10 | 1997-07-01 | Applied Medical Resources Corporation | Percutaneous suturing device |
JP3798838B2 (en) | 1995-01-20 | 2006-07-19 | オリンパス株式会社 | Ligation device |
CA2168404C (en) | 1995-02-01 | 2007-07-10 | Dale Schulze | Surgical instrument with expandable cutting element |
US5593420A (en) | 1995-02-17 | 1997-01-14 | Mist, Inc. | Miniature endoscopic surgical instrument assembly and method of use |
US6179837B1 (en) | 1995-03-07 | 2001-01-30 | Enable Medical Corporation | Bipolar electrosurgical scissors |
US6391029B1 (en) | 1995-03-07 | 2002-05-21 | Enable Medical Corporation | Bipolar electrosurgical scissors |
US6464701B1 (en) | 1995-03-07 | 2002-10-15 | Enable Medical Corporation | Bipolar electrosurgical scissors |
US5665096A (en) | 1995-03-07 | 1997-09-09 | Yoon; Inbae | Needle driving apparatus and methods of suturing tissue |
US5695505A (en) | 1995-03-09 | 1997-12-09 | Yoon; Inbae | Multifunctional spring clips and cartridges and applicators therefor |
DE19509116C2 (en) | 1995-03-16 | 2000-01-05 | Deutsch Zentr Luft & Raumfahrt | Flexible structure |
FR2731610B1 (en) | 1995-03-16 | 1997-06-20 | Amp Dev | ANCHOR FOR INSERTION INTO A BONE CAVITY. |
JPH11503041A (en) | 1995-03-31 | 1999-03-23 | ボストン・サイエンティフィック・コーポレーション | Biopsy sampler |
DE19512559A1 (en) | 1995-04-04 | 1996-10-10 | Aesculap Ag | Scissors-shaped tool for a surgical instrument and method for its manufacture |
US5591179A (en) | 1995-04-19 | 1997-01-07 | Applied Medical Resources Corporation | Anastomosis suturing device and method |
US6090108A (en) | 1995-04-27 | 2000-07-18 | Symbiosis Corporation | Bipolar endoscopic surgical scissor blades and instrument incorporating the same |
US5779701A (en) | 1995-04-27 | 1998-07-14 | Symbiosis Corporation | Bipolar endoscopic surgical scissor blades and instrument incorporating the same |
JP3633032B2 (en) | 1995-05-26 | 2005-03-30 | 佐々木 寛 | Puncture device |
US6132438A (en) | 1995-06-07 | 2000-10-17 | Ep Technologies, Inc. | Devices for installing stasis reducing means in body tissue |
US5964740A (en) | 1996-07-09 | 1999-10-12 | Asahi Kogaku Kogyo Kabushiki Kaisha | Treatment accessory for an endoscope |
JP3729861B2 (en) | 1995-06-07 | 2005-12-21 | メッドトロニック・インコーポレイテッド | Wound closure device |
US5702438A (en) | 1995-06-08 | 1997-12-30 | Avitall; Boaz | Expandable recording and ablation catheter system |
US5690656A (en) | 1995-06-27 | 1997-11-25 | Cook Incorporated | Method and apparatus for creating abdominal visceral anastomoses |
US5562693A (en) | 1995-08-11 | 1996-10-08 | Alcon Laboratories, Inc. | Cutting blade assembly for a surgical scissors |
US5716326A (en) | 1995-08-14 | 1998-02-10 | Dannan; Patrick A. | Method for lifting tissue and apparatus for performing same |
US6562052B2 (en) | 1995-08-24 | 2003-05-13 | Sutura, Inc. | Suturing device and method |
US6117144A (en) | 1995-08-24 | 2000-09-12 | Sutura, Inc. | Suturing device and method for sealing an opening in a blood vessel or other biological structure |
US6001120A (en) | 1995-09-07 | 1999-12-14 | Levin; John M. | Universal dissector |
US5860995A (en) | 1995-09-22 | 1999-01-19 | Misener Medical Co. Inc. | Laparoscopic endoscopic surgical instrument |
US5624399A (en) | 1995-09-29 | 1997-04-29 | Ackrad Laboratories, Inc. | Catheter having an intracervical/intrauterine balloon made from polyurethane |
US5810715A (en) | 1995-09-29 | 1998-09-22 | Olympus Optical Co., Ltd. | Endoscope provided with function of being locked to flexibility of insertion part which is set by flexibility modifying operation member |
US5810876A (en) | 1995-10-03 | 1998-09-22 | Akos Biomedical, Inc. | Flexible forceps device |
AU7255896A (en) | 1995-10-06 | 1997-04-28 | Brian S. Kelleher | Steerable, flexible forceps device |
US5779716A (en) | 1995-10-06 | 1998-07-14 | Metamorphic Surgical Devices, Inc. | Device for removing solid objects from body canals, cavities and organs |
US5853374A (en) | 1995-10-11 | 1998-12-29 | Applied Medical Resources Corporation | Tissue collection and retrieval bag |
ATE275880T1 (en) | 1995-10-13 | 2004-10-15 | Transvascular Inc | DEVICE FOR BYPASSING ARTERIAL Narrowings AND/OR FOR PERFORMING OTHER TRANSVASCULAR PROCEDURES |
US5882344A (en) | 1995-10-18 | 1999-03-16 | Stouder, Jr.; Albert E. | Adjustable length cannula and trocar |
US5730740A (en) | 1995-11-09 | 1998-03-24 | Ethicon Endo-Surgery, Inc. | Latch mechanism for surgical instruments |
US5827281A (en) | 1996-01-05 | 1998-10-27 | Levin; John M. | Insulated surgical scissors |
US5628732A (en) | 1996-01-19 | 1997-05-13 | Ethicon Endo-Surgery, Inc. | Trocar with improved universal seal |
US5791022A (en) | 1996-01-29 | 1998-08-11 | Bohman; Lars | Cord locking mechanism |
CA2244066A1 (en) | 1996-02-02 | 1997-08-07 | Transvascular, Inc. | A device, system and method for interstitial transvascular intervention |
US5749889A (en) | 1996-02-13 | 1998-05-12 | Imagyn Medical, Inc. | Method and apparatus for performing biopsy |
US5957953A (en) | 1996-02-16 | 1999-09-28 | Smith & Nephew, Inc. | Expandable suture anchor |
US5702390A (en) | 1996-03-12 | 1997-12-30 | Ethicon Endo-Surgery, Inc. | Bioplar cutting and coagulation instrument |
US5649372A (en) | 1996-03-14 | 1997-07-22 | American Dryer Corporation | Drying cycle controller for controlling drying as a function of humidity and temperature |
US5813976A (en) | 1996-04-02 | 1998-09-29 | Filipi; Charles J. | Stabilizing instrumentation for the performing of endoscopic surgical procedures |
US5669875A (en) | 1996-04-16 | 1997-09-23 | United States Surgical Corporation | Endoscopic surgical apparatus with longitudinal actuation |
WO1997039689A1 (en) | 1996-04-19 | 1997-10-30 | Applied Medical Resources Corporation | Grasping clip applier |
US5700275A (en) | 1996-04-25 | 1997-12-23 | United States Surgical Corporation | Articulating endoscopic surgical instrument |
WO1997042889A1 (en) | 1996-05-10 | 1997-11-20 | Emmanuil Giannadakis | System of laparoscopic-endoscopic surgery |
US5893846A (en) | 1996-05-15 | 1999-04-13 | Symbiosis Corp. | Ceramic coated endoscopic scissor blades and a method of making the same |
US5860913A (en) | 1996-05-16 | 1999-01-19 | Olympus Optical Co., Ltd. | Endoscope whose distal cover can be freely detachably attached to main distal part thereof with high positioning precision |
US5792135A (en) | 1996-05-20 | 1998-08-11 | Intuitive Surgical, Inc. | Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US5855585A (en) | 1996-06-11 | 1999-01-05 | X-Site, L.L.C. | Device and method for suturing blood vessels and the like |
EP0912140B1 (en) | 1996-06-24 | 2004-08-25 | Karl Storz GmbH & Co. KG | Endoscopic instrument which can be bent |
US5925052A (en) | 1996-06-26 | 1999-07-20 | Simmons; Paul L. | Umbilical surgical scissors |
US5752951A (en) | 1996-07-02 | 1998-05-19 | Yanik; Gary W. | Shielded monopolar electrosurgical apparatus |
US5728133A (en) | 1996-07-09 | 1998-03-17 | Cardiologics, L.L.C. | Anchoring device and method for sealing percutaneous punctures in vessels |
US5782748A (en) | 1996-07-10 | 1998-07-21 | Symbiosis Corporation | Endoscopic surgical instruments having detachable proximal and distal portions |
US5902254A (en) | 1996-07-29 | 1999-05-11 | The Nemours Foundation | Cathether guidewire |
US5993447A (en) | 1996-08-16 | 1999-11-30 | United States Surgical | Apparatus for thermal treatment of tissue |
US5718717A (en) | 1996-08-19 | 1998-02-17 | Bonutti; Peter M. | Suture anchor |
US5810806A (en) | 1996-08-29 | 1998-09-22 | Ethicon Endo-Surgery | Methods and devices for collection of soft tissue |
EP0942765A1 (en) | 1996-09-16 | 1999-09-22 | Philip S. Green | System and method for endosurgery employing conjoint operation of an endoscope and endosurgical instrument |
US6152936A (en) | 1996-09-23 | 2000-11-28 | Esd Medical, Llc | Surgical loop delivery device |
JP2957134B2 (en) | 1996-10-08 | 1999-10-04 | 株式会社八光電機製作所 | Valve and valved trocar mantle |
US6371956B1 (en) | 1996-10-28 | 2002-04-16 | Endoscopic Concepts, Inc. | Monopolar electrosurgical end effectors |
US5954720A (en) | 1996-10-28 | 1999-09-21 | Endoscopic Concepts, Inc. | Bipolar electrosurgical end effectors |
US5976178A (en) | 1996-11-07 | 1999-11-02 | Vascular Science Inc. | Medical grafting methods |
ATE320217T1 (en) | 1996-11-18 | 2006-04-15 | Univ Massachusetts | SYSTEMS AND INSTRUMENTS FOR MINIMALLY INVASIVE SURGERY |
US6165184A (en) | 1996-11-18 | 2000-12-26 | Smith & Nephew, Inc. | Systems methods and instruments for minimally invasive surgery |
US6102926A (en) | 1996-12-02 | 2000-08-15 | Angiotrax, Inc. | Apparatus for percutaneously performing myocardial revascularization having means for sensing tissue parameters and methods of use |
US5792113A (en) | 1996-12-12 | 1998-08-11 | Ethicon Endo-Surgerym Inc. | Universal seal for a trocar |
US5951549A (en) | 1996-12-20 | 1999-09-14 | Enable Medical Corporation | Bipolar electrosurgical scissors |
US6708066B2 (en) | 1999-12-10 | 2004-03-16 | Ewa Herbst | Electrochemical treatment of tissues, especially tumors |
US5709708A (en) | 1997-01-31 | 1998-01-20 | Thal; Raymond | Captured-loop knotless suture anchor assembly |
US5916213A (en) | 1997-02-04 | 1999-06-29 | Medtronic, Inc. | Systems and methods for tissue mapping and ablation |
US5893874A (en) | 1997-02-07 | 1999-04-13 | Smith & Nephew, Inc. | Surgical instrument |
US5779727A (en) | 1997-02-18 | 1998-07-14 | Orejola; Wilmo C. | Hydraulically operated surgical scissors |
US5957943A (en) | 1997-03-05 | 1999-09-28 | Ethicon Endo-Surgery, Inc. | Method and devices for increasing ultrasonic effects |
US6152944A (en) | 1997-03-05 | 2000-11-28 | Scimed Life Systems, Inc. | Catheter with removable balloon protector and stent delivery system with removable stent protector |
US5876411A (en) | 1997-03-11 | 1999-03-02 | X-Site L.L.C. | Device and method for locating and sealing a blood vessel |
US5830231A (en) | 1997-03-19 | 1998-11-03 | Geiges, Jr.; John J. | Handle and actuating mechanism for surgical instruments |
US5782866A (en) | 1997-03-25 | 1998-07-21 | Ethicon, Inc. | System for anchoring tissue to bone |
US5936536A (en) | 1997-04-08 | 1999-08-10 | Medicor Corporation | Electrical insulation testing device and method for electrosurgical instruments |
US6033399A (en) | 1997-04-09 | 2000-03-07 | Valleylab, Inc. | Electrosurgical generator with adaptive power control |
US5921993A (en) | 1997-05-01 | 1999-07-13 | Yoon; Inbae | Methods of endoscopic tubal ligation |
US5817061A (en) | 1997-05-16 | 1998-10-06 | Ethicon Endo-Surgery, Inc. | Trocar assembly |
US5810849A (en) | 1997-06-09 | 1998-09-22 | Cardiologics, L.L.C. | Device and method for suturing blood vessels and the like |
US6183420B1 (en) | 1997-06-20 | 2001-02-06 | Medtronic Ave, Inc. | Variable stiffness angioplasty guide wire |
US6322578B1 (en) | 1997-07-14 | 2001-11-27 | Heartport, Inc. | Endoscopic microsurgical instruments |
US5954731A (en) | 1997-07-29 | 1999-09-21 | Yoon; Inbae | Surgical instrument with multiple rotatably mounted spreadable end effectors |
US6293952B1 (en) | 1997-07-31 | 2001-09-25 | Circon Corporation | Medical instrument system for piercing through tissue |
US5904702A (en) | 1997-08-14 | 1999-05-18 | University Of Massachusetts | Instrument for thoracic surgical procedures |
US5803903A (en) | 1997-08-15 | 1998-09-08 | Mist, Inc. | Surgical retractor and method of use with balloon dissection |
US6024744A (en) | 1997-08-27 | 2000-02-15 | Ethicon, Inc. | Combined bipolar scissor and grasper |
US5922008A (en) | 1997-08-28 | 1999-07-13 | Gimpelson; Richard J. | Surgical forceps |
US6149653A (en) | 1997-09-05 | 2000-11-21 | Deslauriers; Richard J. | Self-retaining anchor track and method of making and using same |
US6149662A (en) | 1997-09-08 | 2000-11-21 | Miltex Technology Corporation | Medical scissor sharpener |
US6267761B1 (en) | 1997-09-09 | 2001-07-31 | Sherwood Services Ag | Apparatus and method for sealing and cutting tissue |
US5916147A (en) | 1997-09-22 | 1999-06-29 | Boury; Harb N. | Selectively manipulable catheter |
US5868762A (en) | 1997-09-25 | 1999-02-09 | Sub-Q, Inc. | Percutaneous hemostatic suturing device and method |
WO1999017661A1 (en) | 1997-10-02 | 1999-04-15 | Board Of Regents, The University Of Texas System | Subcutaneous endoscopic dissector |
US5908420A (en) | 1997-10-03 | 1999-06-01 | Everest Medical Corporation | Surgical scissors with bipolar distal electrodes |
EP0927543B1 (en) | 1997-10-08 | 2005-04-20 | Ethicon, Inc. | Bipolar electrosurgical scissors for fine or delicate surgical dissection |
US6171316B1 (en) | 1997-10-10 | 2001-01-09 | Origin Medsystems, Inc. | Endoscopic surgical instrument for rotational manipulation |
DE19745157A1 (en) | 1997-10-14 | 1999-06-10 | Storz Karl Gmbh & Co | Instrument or forceps for medical and especially endoscopic applications |
US20020055717A1 (en) | 1997-10-20 | 2002-05-09 | Philippe Poncet | Fluid-based agent delivery device with self-expanding delivery element |
JP4121615B2 (en) | 1997-10-31 | 2008-07-23 | オリンパス株式会社 | Endoscope |
US6019770A (en) | 1997-12-04 | 2000-02-01 | Christoudias; George C. | Versatile endoscopic retrieval bag |
US6168570B1 (en) | 1997-12-05 | 2001-01-02 | Micrus Corporation | Micro-strand cable with enhanced radiopacity |
US5976075A (en) | 1997-12-15 | 1999-11-02 | University Of Massachusetts | Endoscope deployment apparatus |
WO1999030622A2 (en) | 1997-12-17 | 1999-06-24 | Surgical Insight, Inc. | Low profile endoscopic surgical instruments |
US5989182A (en) | 1997-12-19 | 1999-11-23 | Vista Medical Technologies, Inc. | Device-steering shaft assembly and endoscope |
DE19757056B4 (en) | 1997-12-20 | 2008-08-28 | Aesculap Ag & Co. Kg | Surgical instrument |
US6626919B1 (en) | 1997-12-29 | 2003-09-30 | Lee L. Swanstrom | Method and apparatus for attaching or locking an implant to an anatomic vessel or hollow organ wall |
DE19800917A1 (en) | 1998-01-14 | 1999-07-15 | Storz Karl Gmbh & Co | Instrument for insertion during endoscopic operations |
US6068648A (en) | 1998-01-26 | 2000-05-30 | Orthodyne, Inc. | Tissue anchoring system and method |
US6352543B1 (en) | 2000-04-29 | 2002-03-05 | Ventrica, Inc. | Methods for forming anastomoses using magnetic force |
JP4157183B2 (en) | 1998-02-17 | 2008-09-24 | オリンパス株式会社 | Endoscopic treatment tool |
US6454727B1 (en) | 1998-03-03 | 2002-09-24 | Senorx, Inc. | Tissue acquisition system and method of use |
US5971995A (en) | 1998-03-30 | 1999-10-26 | Ethicon, Inc. | Surgical pouch instrument |
US7208010B2 (en) | 2000-10-16 | 2007-04-24 | Conor Medsystems, Inc. | Expandable medical device for delivery of beneficial agent |
US6139562A (en) | 1998-03-30 | 2000-10-31 | Agilent Technologies, Inc. | Apparatus and method for incising |
JPH11285502A (en) | 1998-04-03 | 1999-10-19 | Asahi Optical Co Ltd | High frequency treatment tool for endoscope |
US6296630B1 (en) | 1998-04-08 | 2001-10-02 | Biocardia, Inc. | Device and method to slow or stop the heart temporarily |
US6383195B1 (en) | 1998-04-13 | 2002-05-07 | Endoline, Inc. | Laparoscopic specimen removal apparatus |
US5997555A (en) | 1998-05-01 | 1999-12-07 | X-Site, L.L.C. | Device and method for suturing blood vessels |
US5980539A (en) | 1998-05-06 | 1999-11-09 | X-Site L.L.C. | Device and method for suturing blood vessels and the like |
JP2000037388A (en) | 1998-05-20 | 2000-02-08 | Osamu Yoshida | Organ housing bag and organ housing bag inserter |
EP1079740B1 (en) | 1998-05-21 | 2007-08-29 | Christopher J. Walshe | A tissue anchor system |
US6027522A (en) | 1998-06-02 | 2000-02-22 | Boston Scientific Corporation | Surgical instrument with a rotatable distal end |
US6030365A (en) | 1998-06-10 | 2000-02-29 | Laufer; Michael D. | Minimally invasive sterile surgical access device and method |
US6096046A (en) | 1998-06-24 | 2000-08-01 | Weiss; Sol | Surgical instrument |
US6537248B2 (en) | 1998-07-07 | 2003-03-25 | Medtronic, Inc. | Helical needle apparatus for creating a virtual electrode used for the ablation of tissue |
US6148222A (en) | 1998-07-10 | 2000-11-14 | Cardiocommand, Inc. | Esophageal catheters and method of use |
US6352503B1 (en) | 1998-07-17 | 2002-03-05 | Olympus Optical Co., Ltd. | Endoscopic surgery apparatus |
MY130456A (en) | 1998-07-30 | 2007-06-29 | David Lubowski | Sigmoidoscope |
IT1301986B1 (en) | 1998-07-31 | 2000-07-20 | Valerio Cigaina | LAPAROSCOPIC FORCEPS FOR SUTURE. |
US5916145A (en) | 1998-08-07 | 1999-06-29 | Scimed Life Systems, Inc. | Device and method of using a surgical assembly with mesh sheath |
US6786913B1 (en) | 1999-02-01 | 2004-09-07 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
JP4225624B2 (en) | 1998-08-27 | 2009-02-18 | オリンパス株式会社 | High frequency treatment device |
US6454783B1 (en) | 1998-09-15 | 2002-09-24 | Gregory Piskun | Laparoscopic instruments and trocar systems for trans-umbilical laproscopic surgery |
US6402689B1 (en) | 1998-09-30 | 2002-06-11 | Sicel Technologies, Inc. | Methods, systems, and associated implantable devices for dynamic monitoring of physiological and biological properties of tumors |
US6074408A (en) | 1998-10-13 | 2000-06-13 | Freeman; Kenneth V. | Modular medical instrument and method of using same |
US6053927A (en) | 1998-10-15 | 2000-04-25 | Rsh-Gs Trust | Apparatus and method for implant removal |
US7137980B2 (en) | 1998-10-23 | 2006-11-21 | Sherwood Services Ag | Method and system for controlling output of RF medical generator |
US6086530A (en) | 1998-10-30 | 2000-07-11 | Mack; Michael | Adjustable sleeve for endoscopes |
US6066160A (en) | 1998-11-23 | 2000-05-23 | Quickie Llc | Passive knotless suture terminator for use in minimally invasive surgery and to facilitate standard tissue securing |
DE19855812C2 (en) | 1998-12-03 | 2001-05-03 | Aesculap Ag & Co Kg | Surgical bipolar scissors |
WO2000033909A1 (en) | 1998-12-09 | 2000-06-15 | Cook Incorporated | Hollow, curved, superelastic medical needle |
US6346092B1 (en) | 1998-12-14 | 2002-02-12 | Datascope Investment Corp. | Intra-aortic balloon catheter and insertion sheath |
JP4096325B2 (en) | 1998-12-14 | 2008-06-04 | 正喜 江刺 | Active capillary and method for manufacturing the same |
US6110183A (en) | 1998-12-22 | 2000-08-29 | Cook Incorporated | Suture anchor device |
US6306159B1 (en) | 1998-12-23 | 2001-10-23 | Depuy Orthopaedics, Inc. | Meniscal repair device |
US6780352B2 (en) | 1999-01-11 | 2004-08-24 | 2Phase Technologies, Inc. | Use of state-change materials in reformable shapes, templates or tooling |
US7172714B2 (en) | 1999-01-11 | 2007-02-06 | 2Phase Technologies, Inc. | Use of state-change materials in reformable shapes, templates or tooling |
US6170130B1 (en) | 1999-01-15 | 2001-01-09 | Illinois Tool Works Inc. | Lashing system |
US6896683B1 (en) | 1999-01-25 | 2005-05-24 | Applied Material Resources Corporation | Surgical instrument with improved handle assembly |
US20030171747A1 (en) | 1999-01-25 | 2003-09-11 | Olympus Optical Co., Ltd. | Medical treatment instrument |
US6113593A (en) | 1999-02-01 | 2000-09-05 | Tu; Lily Chen | Ablation apparatus having temperature and force sensing capabilities |
GB9902647D0 (en) | 1999-02-05 | 1999-03-31 | Minop Ltd | Actuating and locking mechanism for a surgical tool |
DE19906191A1 (en) | 1999-02-15 | 2000-08-17 | Ingo F Herrmann | Mouldable endoscope for transmitting light and images with supplementary device has non-round cross section along longitudinal section for inserting in human or animal body opening |
US8636648B2 (en) | 1999-03-01 | 2014-01-28 | West View Research, Llc | Endoscopic smart probe |
US6149535A (en) | 1999-03-12 | 2000-11-21 | Acushnet Company | Golf ball with spun elastic threads |
US6179776B1 (en) | 1999-03-12 | 2001-01-30 | Scimed Life Systems, Inc. | Controllable endoscopic sheath apparatus and related method of use |
US6328730B1 (en) | 1999-03-26 | 2001-12-11 | William W. Harkrider, Jr. | Endoluminal multi-luminal surgical sheath and method |
US6228096B1 (en) * | 1999-03-31 | 2001-05-08 | Sam R. Marchand | Instrument and method for manipulating an operating member coupled to suture material while maintaining tension on the suture material |
WO2000059376A1 (en) | 1999-04-07 | 2000-10-12 | Endonetics, Inc. | Implantable monitoring probe |
US6491626B1 (en) | 1999-04-16 | 2002-12-10 | Nuvasive | Articulation systems for positioning minimally invasive surgical tools |
WO2000067649A1 (en) | 1999-05-07 | 2000-11-16 | Andrews Emmet Joseph Howard Pe | A surgical forceps |
US6673088B1 (en) | 1999-05-18 | 2004-01-06 | Cardica, Inc. | Tissue punch |
JP2000325301A (en) | 1999-05-18 | 2000-11-28 | Asahi Optical Co Ltd | Auxiliary tool for inserting endoscope in large intestine |
US6692462B2 (en) | 1999-05-19 | 2004-02-17 | Mackenzie Andrew J. | System and method for establishing vascular access |
US6214007B1 (en) | 1999-06-01 | 2001-04-10 | David G. Anderson | Surgical fastener for fixation of a soft tissue graft to a bone tunnel |
US6699256B1 (en) | 1999-06-04 | 2004-03-02 | St. Jude Medical Atg, Inc. | Medical grafting apparatus and methods |
US6890329B2 (en) | 1999-06-15 | 2005-05-10 | Cryocath Technologies Inc. | Defined deflection structure |
US7813789B2 (en) | 1999-06-15 | 2010-10-12 | Given Imaging Ltd. | In-vivo imaging device, optical system and method |
WO2000076570A2 (en) | 1999-06-15 | 2000-12-21 | Cryocath Technologies, Inc. | Steerable catheter |
SE519023C2 (en) | 1999-06-21 | 2002-12-23 | Micromuscle Ab | Catheter-borne microsurgical tool kit |
FR2795301B1 (en) | 1999-06-25 | 2001-08-31 | Prec | ENDOSCOPIC SURGERY INSTRUMENT |
US7744613B2 (en) | 1999-06-25 | 2010-06-29 | Usgi Medical, Inc. | Apparatus and methods for forming and securing gastrointestinal tissue folds |
US7416554B2 (en) | 2002-12-11 | 2008-08-26 | Usgi Medical Inc | Apparatus and methods for forming and securing gastrointestinal tissue folds |
US7637905B2 (en) | 2003-01-15 | 2009-12-29 | Usgi Medical, Inc. | Endoluminal tool deployment system |
US6117158A (en) | 1999-07-07 | 2000-09-12 | Ethicon Endo-Surgery, Inc. | Ratchet release mechanism for hand held instruments |
US6168605B1 (en) | 1999-07-08 | 2001-01-02 | Ethicon Endo-Surgery, Inc. | Curved laparoscopic scissor having arcs of curvature |
US6692445B2 (en) | 1999-07-27 | 2004-02-17 | Scimed Life Systems, Inc. | Biopsy sampler |
US6767352B2 (en) | 1999-08-03 | 2004-07-27 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
US6326177B1 (en) | 1999-08-04 | 2001-12-04 | Eastern Virginia Medical School Of The Medical College Of Hampton Roads | Method and apparatus for intracellular electro-manipulation |
US6235026B1 (en) | 1999-08-06 | 2001-05-22 | Scimed Life Systems, Inc. | Polypectomy snare instrument |
US6246914B1 (en) | 1999-08-12 | 2001-06-12 | Irvine Biomedical, Inc. | High torque catheter and methods thereof |
JP3901421B2 (en) | 1999-08-19 | 2007-04-04 | 有限会社 パックス オプティカ ジャパン | Organ anastomosis device |
US6685724B1 (en) | 1999-08-24 | 2004-02-03 | The Penn State Research Foundation | Laparoscopic surgical instrument and method |
US6368328B1 (en) | 1999-09-16 | 2002-04-09 | Scimed Life Systems, Inc. | Laser-resistant medical retrieval device |
US6231561B1 (en) | 1999-09-20 | 2001-05-15 | Appriva Medical, Inc. | Method and apparatus for closing a body lumen |
US6258064B1 (en) | 1999-10-04 | 2001-07-10 | Syntheon, Llc | Helically advanceable endoscopic needle device |
US6491691B1 (en) | 1999-10-08 | 2002-12-10 | Intuitive Surgical, Inc. | Minimally invasive surgical hook apparatus and method for using same |
US6780151B2 (en) | 1999-10-26 | 2004-08-24 | Acmi Corporation | Flexible ureteropyeloscope |
US6749560B1 (en) | 1999-10-26 | 2004-06-15 | Circon Corporation | Endoscope shaft with slotted tube |
US20030093104A1 (en) | 1999-10-29 | 2003-05-15 | Bonner Matthew D. | Methods and apparatus for providing intra-pericardial access |
US6402735B1 (en) | 1999-11-19 | 2002-06-11 | University Of Florida | Medical tube collar |
WO2001041627A2 (en) | 1999-12-02 | 2001-06-14 | Scott Resnick | Speculum |
US7887551B2 (en) | 1999-12-02 | 2011-02-15 | Smith & Nephew, Inc. | Soft tissue attachment and repair |
US6428487B1 (en) | 1999-12-17 | 2002-08-06 | Ethicon Endo-Surgery, Inc. | Surgical biopsy system with remote control for selecting an operational mode |
US6989028B2 (en) | 2000-01-31 | 2006-01-24 | Edwards Lifesciences Ag | Medical system and method for remodeling an extravascular tissue structure |
WO2001058360A2 (en) | 2000-02-08 | 2001-08-16 | Medsource Technologies, Llc | Endoscopic tool restraint |
US6493590B1 (en) | 2000-02-09 | 2002-12-10 | Micronet Medical, Inc. | Flexible band electrodes for medical leads |
US6610074B2 (en) | 2000-02-10 | 2003-08-26 | Albert N. Santilli | Aorta cross clamp assembly |
MXPA00001922A (en) | 2000-02-24 | 2002-03-08 | De Hayos Garza Andres | Percutaneous intra-gastric balloon catheter for obesity treatment. |
US7993368B2 (en) | 2003-03-13 | 2011-08-09 | C.R. Bard, Inc. | Suture clips, delivery devices and methods |
IL177381A0 (en) | 2000-03-08 | 2006-12-10 | Given Imaging Ltd | A device for in vivo imaging |
US6264664B1 (en) | 2000-03-10 | 2001-07-24 | General Science And Technology Corp. | Surgical basket devices |
WO2001074260A1 (en) | 2000-03-24 | 2001-10-11 | Johns Hopkins University | Peritoneal cavity device and method |
US6984203B2 (en) | 2000-04-03 | 2006-01-10 | Neoguide Systems, Inc. | Endoscope with adjacently positioned guiding apparatus |
US6800056B2 (en) | 2000-04-03 | 2004-10-05 | Neoguide Systems, Inc. | Endoscope with guiding apparatus |
US6974411B2 (en) | 2000-04-03 | 2005-12-13 | Neoguide Systems, Inc. | Endoscope with single step guiding apparatus |
US20050085693A1 (en) | 2000-04-03 | 2005-04-21 | Amir Belson | Activated polymer articulated instruments and methods of insertion |
US6837846B2 (en) | 2000-04-03 | 2005-01-04 | Neo Guide Systems, Inc. | Endoscope having a guide tube |
US6485411B1 (en) | 2000-04-12 | 2002-11-26 | Circon Corporation | Endoscope shaft with superelastic alloy spiral frame and braid |
US8518062B2 (en) | 2000-04-29 | 2013-08-27 | Medtronic, Inc. | Devices and methods for forming magnetic anastomoses between vessels |
US6569091B2 (en) | 2000-05-04 | 2003-05-27 | Ananias Diokno | Disconnectable vaginal speculum with removeable blades |
DE10023534A1 (en) | 2000-05-13 | 2001-11-22 | Aesculap Ag & Co Kg | Scissors-shaped or forceps-shaped surgical instrument |
JP2003533257A (en) | 2000-05-15 | 2003-11-11 | シー・アール・バード・インク | Endoscope accessory mounting mechanism |
US6709387B1 (en) | 2000-05-15 | 2004-03-23 | Given Imaging Ltd. | System and method for controlling in vivo camera capture and display rate |
US6485503B2 (en) | 2000-05-19 | 2002-11-26 | Coapt Systems, Inc. | Multi-point tissue tension distribution device, a brow and face lift variation, and a method of tissue approximation using the device |
WO2001089596A2 (en) | 2000-05-23 | 2001-11-29 | Given Imaging Ltd. | Device for positioning object in a body lumen |
DE10026847A1 (en) | 2000-05-31 | 2002-01-10 | Engelbert Gmeilbauer | Tool for tensioning or releasing / opening spring clamping elements |
US6602262B2 (en) | 2000-06-02 | 2003-08-05 | Scimed Life Systems, Inc. | Medical device having linear to rotation control |
US20020023353A1 (en) | 2000-06-06 | 2002-02-28 | Wu. Ting-Kung | Surgical scissors |
EP1345754A4 (en) | 2000-06-09 | 2006-04-19 | Fiberliner Networks | Method and apparatus for lining a conduit |
US7727242B2 (en) | 2000-06-29 | 2010-06-01 | Concentric Medical, Inc. | Systems, methods and devices for removing obstructions from a blood vessel |
US6340344B1 (en) | 2000-07-18 | 2002-01-22 | Evergreen Medical Incorporated | Endoscope with a removable suction tube |
US6652551B1 (en) | 2000-07-21 | 2003-11-25 | Frederick W. Heiss | Biliary sphincter scissors |
WO2002007611A2 (en) | 2000-07-21 | 2002-01-31 | Atropos Limited | A surgical instrument |
US6921361B2 (en) | 2000-07-24 | 2005-07-26 | Olympus Corporation | Endoscopic instrument for forming an artificial valve |
AU2001279026B2 (en) | 2000-07-25 | 2005-12-22 | Angiodynamics, Inc. | Apparatus for detecting and treating tumors using localized impedance measurement |
US6572629B2 (en) | 2000-08-17 | 2003-06-03 | Johns Hopkins University | Gastric reduction endoscopy |
US6795728B2 (en) | 2001-08-17 | 2004-09-21 | Minnesota Medical Physics, Llc | Apparatus and method for reducing subcutaneous fat deposits by electroporation |
US6551270B1 (en) | 2000-08-30 | 2003-04-22 | Snowden Pencer, Inc. | Dual lumen access port |
JP4249479B2 (en) | 2000-09-27 | 2009-04-02 | ギブン イメージング リミテッド | Immobilizable in vivo detection device |
JP2002112946A (en) | 2000-10-11 | 2002-04-16 | Olympus Optical Co Ltd | Hood for endoscope |
US6679889B1 (en) * | 2000-11-13 | 2004-01-20 | Hs West Investments, Llc | Apparatus and methods for independently conditioning and pretensioning a plurality of ligament grafts during joint repair surgery |
US6638286B1 (en) | 2000-11-16 | 2003-10-28 | Vascular Control Systems, Inc. | Doppler directed suture ligation device and method |
US6431500B1 (en) | 2000-11-28 | 2002-08-13 | Gregory J. Jacobs | Flexible tube or cord anchoring apparatus |
US6716226B2 (en) | 2001-06-25 | 2004-04-06 | Inscope Development, Llc | Surgical clip |
US7232445B2 (en) | 2000-12-06 | 2007-06-19 | Id, Llc | Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD) |
US20020068945A1 (en) | 2000-12-06 | 2002-06-06 | Robert Sixto | Surgical clips particularly useful in the endoluminal treatment of gastroesophageal reflux disease (GERD) |
US7727246B2 (en) | 2000-12-06 | 2010-06-01 | Ethicon Endo-Surgery, Inc. | Methods for endoluminal treatment |
US6569085B2 (en) | 2001-08-16 | 2003-05-27 | Syntheon, Llc | Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen |
US20020138086A1 (en) | 2000-12-06 | 2002-09-26 | Robert Sixto | Surgical clips particularly useful in the endoluminal treatment of gastroesophageal reflux disease (GERD) |
US6673087B1 (en) | 2000-12-15 | 2004-01-06 | Origin Medsystems | Elongated surgical scissors |
US6592603B2 (en) | 2000-12-15 | 2003-07-15 | Michael Lasner | Manually adjustable scissors or forceps |
US6350267B1 (en) | 2000-12-21 | 2002-02-26 | Ethicon Endo-Surgery, Inc. | Method of use of an improved specimen retrieval bag |
US6406440B1 (en) | 2000-12-21 | 2002-06-18 | Ethicon Endo-Surgery, Inc. | Specimen retrieval bag |
US20060025781A1 (en) | 2001-01-17 | 2006-02-02 | Young Wayne P | Laparoscopic instruments and methods utilizing suction |
US7131980B1 (en) | 2001-01-18 | 2006-11-07 | Dvl Acquisitions Sub, Inc. | Surgical suturing instrument and method of use |
US6652521B2 (en) | 2001-01-24 | 2003-11-25 | Ethicon, Inc. | Surgical instrument with a bi-directional cutting element |
US6554829B2 (en) | 2001-01-24 | 2003-04-29 | Ethicon, Inc. | Electrosurgical instrument with minimally invasive jaws |
US7105005B2 (en) | 2001-01-29 | 2006-09-12 | Scanlan International, Inc. | Arteriotomy scissors for minimally invasive surgical procedures |
US6997931B2 (en) | 2001-02-02 | 2006-02-14 | Lsi Solutions, Inc. | System for endoscopic suturing |
US8313496B2 (en) | 2001-02-02 | 2012-11-20 | Lsi Solutions, Inc. | System for endoscopic suturing |
JP3939158B2 (en) | 2001-02-06 | 2007-07-04 | オリンパス株式会社 | Endoscope device |
US7699835B2 (en) | 2001-02-15 | 2010-04-20 | Hansen Medical, Inc. | Robotically controlled surgical instruments |
US7842050B2 (en) | 2001-02-26 | 2010-11-30 | Diduch David R | Suture passing devices |
JP3905320B2 (en) | 2001-02-28 | 2007-04-18 | オリンパス株式会社 | Endoscopic high-temperature high-pressure steam sterilization container and endoscope cleaning and sterilization system |
US20020133115A1 (en) | 2001-03-13 | 2002-09-19 | Pharmaspec Corporation | Apparatus and methods for capture of medical agents |
US20030181900A1 (en) | 2002-03-25 | 2003-09-25 | Long Gary L. | Endoscopic ablation system with a plurality of electrodes |
US7352387B2 (en) | 2001-04-05 | 2008-04-01 | Scaler Corporation | Camera with positioning device used to capture magnified and demagnified images |
US7118587B2 (en) | 2001-04-06 | 2006-10-10 | Sherwood Services Ag | Vessel sealer and divider |
US7101373B2 (en) | 2001-04-06 | 2006-09-05 | Sherwood Services Ag | Vessel sealer and divider |
US7101372B2 (en) | 2001-04-06 | 2006-09-05 | Sherwood Sevices Ag | Vessel sealer and divider |
US7090673B2 (en) | 2001-04-06 | 2006-08-15 | Sherwood Services Ag | Vessel sealer and divider |
US7101371B2 (en) | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
US6994708B2 (en) | 2001-04-19 | 2006-02-07 | Intuitive Surgical | Robotic tool with monopolar electro-surgical scissors |
US6562035B1 (en) | 2001-04-19 | 2003-05-13 | Levin John M | Insulated surgical scissors including cauterizing tip |
US7020531B1 (en) | 2001-05-01 | 2006-03-28 | Intrapace, Inc. | Gastric device and suction assisted method for implanting a device on a stomach wall |
US20080065169A1 (en) | 2001-05-01 | 2008-03-13 | Intrapace, Inc. | Endoscopic Instrument for Engaging a Device |
US6535764B2 (en) | 2001-05-01 | 2003-03-18 | Intrapace, Inc. | Gastric treatment and diagnosis device and method |
US7422579B2 (en) | 2001-05-01 | 2008-09-09 | St. Jude Medical Cardiology Divison, Inc. | Emboli protection devices and related methods of use |
US6685715B2 (en) | 2001-05-02 | 2004-02-03 | Novare Surgical Systems | Clamp having bendable shaft |
WO2002089686A1 (en) | 2001-05-10 | 2002-11-14 | Rita Medical Systems, Inc. | Rf tissue ablation apparatus and method |
US6575988B2 (en) | 2001-05-15 | 2003-06-10 | Ethicon, Inc. | Deployment apparatus for supple surgical materials |
US6814739B2 (en) | 2001-05-18 | 2004-11-09 | U.S. Endoscopy Group, Inc. | Retrieval device |
US6808491B2 (en) | 2001-05-21 | 2004-10-26 | Syntheon, Llc | Methods and apparatus for on-endoscope instruments having end effectors and combinations of on-endoscope and through-endoscope instruments |
US7083629B2 (en) | 2001-05-30 | 2006-08-01 | Satiety, Inc. | Overtube apparatus for insertion into a body |
US7560006B2 (en) | 2001-06-11 | 2009-07-14 | Boston Scientific Scimed, Inc. | Pressure lamination method for forming composite ePTFE/textile and ePTFE/stent/textile prostheses |
JP2002369791A (en) | 2001-06-14 | 2002-12-24 | Pentax Corp | Endoscopic system and insertion assist instrument for endoscope |
US6673058B2 (en) | 2001-06-20 | 2004-01-06 | Scimed Life Systems, Inc. | Temporary dilating tip for gastro-intestinal tubes |
US7090685B2 (en) | 2001-06-25 | 2006-08-15 | Ethicon Endo-Surgery, Inc. | Surgical tool having a distal ratchet mechanism |
US7727248B2 (en) | 2001-06-25 | 2010-06-01 | Ethicon Endo-Surgery, Inc. | Surgical clip |
US6383197B1 (en) | 2001-06-29 | 2002-05-07 | Ethicon Endo-Surgery, Inc. | Self disengaging anti-backup mechanism for specimen retrieval bag deployment |
US8241309B2 (en) | 2001-06-29 | 2012-08-14 | World Heart Corporation | Cannulation apparatus and method |
US6409733B1 (en) | 2001-06-29 | 2002-06-25 | Ethicon Endo-Surgery, Inc. | Specimen retrieval bag |
AT411144B (en) | 2001-08-03 | 2003-10-27 | Ami Gmbh | MEDICAL INSTRUMENT FOR INTRODUCING SURGICAL IMPLANTS |
EP1281356A3 (en) | 2001-08-03 | 2003-08-13 | Terumo Kabushiki Kaisha | Blood vessel connecting instrument |
DE10138356A1 (en) | 2001-08-04 | 2003-02-27 | Aesculap Ag & Co Kg | Scissors, in particular for surgical purposes |
US7112208B2 (en) | 2001-08-06 | 2006-09-26 | Morris John K | Compact suture punch with malleable needle |
US7208005B2 (en) | 2001-08-06 | 2007-04-24 | The Penn State Research Foundation | Multifunctional tool and method for minimally invasive surgery |
US20040249394A1 (en) | 2001-08-06 | 2004-12-09 | Arthrex, Inc. | Compact suture punch with malleable needle |
US20040249443A1 (en) | 2001-08-20 | 2004-12-09 | Shanley John F. | Expandable medical device for treating cardiac arrhythmias |
US6719764B1 (en) | 2001-08-24 | 2004-04-13 | Scimed Life Systems, Inc. | Forward deploying suturing device and methods of use |
US6945472B2 (en) | 2001-09-04 | 2005-09-20 | Boehringer Ingelheim International Gmbh | Locking-stressing mechanism for a miniaturised high pressuriser |
US6761718B2 (en) | 2001-09-06 | 2004-07-13 | Children's Medical Center Corp. | Direction-oriented and spatially controlled bipolar coagulator for in-situ cauterization of adherent cranial tissue occluding a ventricular catheter previously implanted in-vivo |
US20030050603A1 (en) | 2001-09-12 | 2003-03-13 | Todd Erik F. | Cannula that provides bi-directional fluid flow that is regulated by a single valve |
US6489745B1 (en) | 2001-09-13 | 2002-12-03 | The Boeing Company | Contactless power supply |
EP1476088B1 (en) | 2001-09-17 | 2008-06-25 | HydroCision, Inc. | Surgical rotary abrader |
US6773434B2 (en) | 2001-09-18 | 2004-08-10 | Ethicon, Inc. | Combination bipolar forceps and scissors instrument |
JP2003088494A (en) | 2001-09-19 | 2003-03-25 | Pentax Corp | Flexibility varying device for flexible tube part of endoscope |
DE10147145C2 (en) | 2001-09-25 | 2003-12-18 | Kunz Reiner | Multi-function instrument for micro-invasive surgery |
US6866669B2 (en) | 2001-10-12 | 2005-03-15 | Cordis Corporation | Locking handle deployment mechanism for medical device and method |
US6592594B2 (en) | 2001-10-25 | 2003-07-15 | Spiration, Inc. | Bronchial obstruction device deployment system and method |
CA2363473C (en) | 2001-11-20 | 2010-10-19 | Marc G. Morin | Anoscope |
GB2369797B (en) | 2001-11-20 | 2002-11-06 | Tayside Flow Technologies Ltd | Helical formations in tubes |
US6830578B2 (en) | 2001-11-26 | 2004-12-14 | Neosurg Technologies, Inc. | Trocar |
AU2002360540A1 (en) | 2001-12-04 | 2003-06-17 | University Of Southern California | Method for intracellular modifications within living cells using pulsed electric fields |
US6706018B2 (en) | 2001-12-04 | 2004-03-16 | Cardiac Pacemakers, Inc. | Adjustable length catheter assembly |
US20040193186A1 (en) | 2003-03-25 | 2004-09-30 | Kortenbach Juergen A. | Flexible housing element for a surgical tool |
US7367939B2 (en) | 2004-06-14 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Rotational, translational and torqueing control members for an endoscopic instrument |
US7131978B2 (en) | 2001-12-11 | 2006-11-07 | Dvl Acquisition Sub, Inc. | Surgical suturing instrument and method of use |
US20030114732A1 (en) | 2001-12-18 | 2003-06-19 | Advanced Cardiovascular Systems, Inc. | Sheath for guiding imaging instruments |
US6908476B2 (en) | 2001-12-21 | 2005-06-21 | Alcon Grieshaber Ag | Micro surgical cutting instrument configured as scissors |
IL147324A0 (en) | 2001-12-26 | 2002-08-14 | Sergey Popov | Minimally invasive device |
US6814743B2 (en) | 2001-12-26 | 2004-11-09 | Origin Medsystems, Inc. | Temporary seal and method for facilitating anastomosis |
US6740030B2 (en) | 2002-01-04 | 2004-05-25 | Vision Sciences, Inc. | Endoscope assemblies having working channels with reduced bending and stretching resistance |
US6695791B2 (en) | 2002-01-04 | 2004-02-24 | Spiration, Inc. | System and method for capturing body tissue samples |
US6878110B2 (en) | 2002-01-14 | 2005-04-12 | Seung Choul Yang | Surgical instruments and method for creating anatomic working space in minilaparotomy procedure |
US6752822B2 (en) | 2002-01-23 | 2004-06-22 | Chris A. Jespersen | Body tissue retrievel bag arrangement |
US6749609B1 (en) | 2002-02-05 | 2004-06-15 | Origin Medsystems, Inc. | Electrocautery scissors |
JP3826045B2 (en) | 2002-02-07 | 2006-09-27 | オリンパス株式会社 | Endoscope hood |
JP3893065B2 (en) | 2002-02-15 | 2007-03-14 | 有限会社 パックス オプティカ ジャパン | Organ anastomosis device |
US6736822B2 (en) | 2002-02-20 | 2004-05-18 | Mcclellan Scott B. | Device and method for internal ligation of tubular structures |
US20030158521A1 (en) | 2002-02-21 | 2003-08-21 | Ameri Darius M. | Trocar placement guide needle |
US20050215858A1 (en) | 2002-03-07 | 2005-09-29 | Vail William B Iii | Tubular personal pelvic viewers |
US6921408B2 (en) | 2002-03-12 | 2005-07-26 | Lsi Solutions, Inc. | Apparatus for sewing tissue and method of use |
US7060025B2 (en) | 2002-03-15 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Method for controlling position of medical instruments |
GB0206208D0 (en) | 2002-03-15 | 2002-05-01 | Gyrus Medical Ltd | A surgical instrument |
US7261728B2 (en) | 2002-03-15 | 2007-08-28 | Ethicon Endo-Surgery, Inc. | Biopsy forceps device and method |
US7060024B2 (en) | 2002-03-15 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Apparatus for guiding an instrument used with an endoscope |
US6988987B2 (en) | 2002-03-18 | 2006-01-24 | Olympus Corporation | Guide tube |
JP4351458B2 (en) | 2002-03-18 | 2009-10-28 | オリンパス株式会社 | Endoscope insertion system |
US7137981B2 (en) | 2002-03-25 | 2006-11-21 | Ethicon Endo-Surgery, Inc. | Endoscopic ablation system with a distally mounted image sensor |
JP3869291B2 (en) | 2002-03-25 | 2007-01-17 | オリンパス株式会社 | Capsule medical device |
US7588585B2 (en) | 2002-03-26 | 2009-09-15 | Novare Surgical Systems, Inc. | Handleless clamping device |
EP1487348B1 (en) | 2002-03-27 | 2010-01-06 | Tyco Healthcare Group Lp | Minimally invasive removal device with breakaway sheath |
US6926725B2 (en) | 2002-04-04 | 2005-08-09 | Rex Medical, L.P. | Thrombectomy device with multi-layered rotational wire |
US6699263B2 (en) | 2002-04-05 | 2004-03-02 | Cook Incorporated | Sliding suture anchor |
US8774913B2 (en) | 2002-04-08 | 2014-07-08 | Medtronic Ardian Luxembourg S.A.R.L. | Methods and apparatus for intravasculary-induced neuromodulation |
US7653438B2 (en) | 2002-04-08 | 2010-01-26 | Ardian, Inc. | Methods and apparatus for renal neuromodulation |
US7146984B2 (en) | 2002-04-08 | 2006-12-12 | Synecor, Llc | Method and apparatus for modifying the exit orifice of a satiation pouch |
JP4131011B2 (en) | 2002-04-09 | 2008-08-13 | Hoya株式会社 | Endoscopic sputum treatment device |
JP3930757B2 (en) | 2002-04-10 | 2007-06-13 | 有限会社 パックス オプティカ ジャパン | Organ anastomosis device |
US7648515B2 (en) | 2002-04-16 | 2010-01-19 | Tyco Healthcare Group Lp | Method and apparatus for anastomosis including an expandable anchor |
US6887255B2 (en) | 2002-04-19 | 2005-05-03 | Peter Shimm | Laparoscopic specimen extraction port |
US6939327B2 (en) | 2002-05-07 | 2005-09-06 | Cardiac Pacemakers, Inc. | Peel-away sheath |
US7632250B2 (en) | 2002-05-10 | 2009-12-15 | Tyco Healthcare Group Lp | Introducer seal assembly |
US6685628B2 (en) | 2002-05-15 | 2004-02-03 | Dinh Q. Vu | Endoscopic balloon for spill-proof laparoscopic ovarian cystectomy |
JP3831683B2 (en) | 2002-05-16 | 2006-10-11 | ペンタックス株式会社 | Bending prevention of flexible tube insertion part of endoscope with outer sheath |
JP2005525866A (en) | 2002-05-17 | 2005-09-02 | オーナックス・メディカル・インコーポレーテッド | Surgical suture instrument and method of use thereof |
US6852078B2 (en) | 2002-05-22 | 2005-02-08 | Pentax Corporation | Outer sheathed endoscope |
US6543456B1 (en) | 2002-05-31 | 2003-04-08 | Ethicon Endo-Surgery, Inc. | Method for minimally invasive surgery in the digestive system |
JP2004000336A (en) | 2002-05-31 | 2004-01-08 | Olympus Corp | Ultrasonic treatment apparatus |
US20030229269A1 (en) | 2002-06-05 | 2003-12-11 | Humphrey Robert N. | Scope sleeve |
DE60307465T2 (en) | 2002-06-06 | 2007-08-02 | Sherwood Services Ag | BIPOLAR ELECTRO-SURGICAL LAPAROSCOPE INSTRUMENT |
US20030229273A1 (en) | 2002-06-06 | 2003-12-11 | Mulac Anthony J. | Universal scissors joint apparatus |
US20030229371A1 (en) | 2002-06-10 | 2003-12-11 | Whitworth Warren A. | Offset surgical scissors |
US7041052B2 (en) | 2002-06-13 | 2006-05-09 | Usgi Medical Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US20060058582A1 (en) | 2002-06-13 | 2006-03-16 | Usgi Medical Inc. | Disposable shapelocking system |
US20050137455A1 (en) | 2002-06-13 | 2005-06-23 | Usgi Medical Corp. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US6790173B2 (en) | 2002-06-13 | 2004-09-14 | Usgi Medical, Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US7762959B2 (en) | 2002-06-18 | 2010-07-27 | Tyco Healthcare Group Lp | Tissue removal device |
US7510560B2 (en) | 2002-06-20 | 2009-03-31 | Tyco Healthcare Group Lp | Method and apparatus for anastomosis including an anchoring sleeve |
US20040002683A1 (en) | 2002-06-26 | 2004-01-01 | Nicholson Thomas J. | Percutaneous medical insertion device |
US6932834B2 (en) | 2002-06-27 | 2005-08-23 | Ethicon, Inc. | Suture anchor |
GB2406523B (en) | 2002-07-03 | 2006-05-31 | Ganendra Coomer Bose | Improvements in and relating to the formation of knots |
JP4373146B2 (en) | 2002-07-11 | 2009-11-25 | オリンパス株式会社 | Endoscopic suturing device |
WO2004006789A1 (en) | 2002-07-12 | 2004-01-22 | Cook Urological, Incorporated | Flexible cannula shaft |
US6976992B2 (en) | 2002-07-16 | 2005-12-20 | Suturecut, Llc | Dual-function medical instrument |
US20040210245A1 (en) | 2002-07-26 | 2004-10-21 | John Erickson | Bendable needle with removable stylet |
US7294139B1 (en) | 2002-07-26 | 2007-11-13 | C.M. Wright, Inc. | Controlled - motion endoscopic grasping instrument |
JP4172966B2 (en) | 2002-08-08 | 2008-10-29 | Hoya株式会社 | Endoscope hardness variable sheath adapter |
NL1021295C2 (en) | 2002-08-19 | 2004-02-20 | Monti Ind B V | Container, especially for foodstuffs, can be torn along line of weakness using tab to separate it into different parts |
AU2003272277A1 (en) | 2002-09-06 | 2004-03-29 | C.R. Bard, Inc. | Endoscopic accessory mounting adaptor |
US7947000B2 (en) | 2003-09-12 | 2011-05-24 | Intuitive Surgical Operations, Inc. | Cannula system for free-space navigation and method of use |
US7115092B2 (en) | 2002-09-18 | 2006-10-03 | The Board Of Trustees Of The Leland Stanford Junior University | Tubular compliant mechanisms for ultrasonic imaging systems and intravascular interventional devices |
US6966919B2 (en) | 2002-09-20 | 2005-11-22 | Id, Llc | Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD) |
US7118531B2 (en) | 2002-09-24 | 2006-10-10 | The Johns Hopkins University | Ingestible medical payload carrying capsule with wireless communication |
EP1402922B1 (en) | 2002-09-27 | 2007-02-07 | Nucletron B.V. | Device for radiation treatment of proliferative tissue surrounding a cavity in an animal body |
ES2398459T3 (en) | 2002-10-04 | 2013-03-19 | Covidien Lp | Tool set for a surgical stapling device |
JP3791916B2 (en) | 2002-10-11 | 2006-06-28 | オリンパス株式会社 | End hood member for endoscope |
US6958035B2 (en) | 2002-10-15 | 2005-10-25 | Dusa Pharmaceuticals, Inc | Medical device sheath apparatus and method of making and using same |
US20040092970A1 (en) | 2002-10-18 | 2004-05-13 | Xavier Alfredo F. | Prosthetic mesh anchor device |
US6960209B2 (en) | 2002-10-23 | 2005-11-01 | Medtronic, Inc. | Electrosurgical methods and apparatus for making precise incisions in body vessels |
US6861250B1 (en) | 2002-10-25 | 2005-03-01 | Pmt Corporation | Tissue dissecting board assembly |
US6656194B1 (en) | 2002-11-05 | 2003-12-02 | Satiety, Inc. | Magnetic anchoring devices |
US20050004515A1 (en) | 2002-11-15 | 2005-01-06 | Hart Charles C. | Steerable kink resistant sheath |
US7211092B2 (en) | 2002-11-19 | 2007-05-01 | Pilling Weck Incorporated | Automated-feed surgical clip applier and related methods |
JP2004173850A (en) | 2002-11-26 | 2004-06-24 | Olympus Corp | Transporter for steam sterilization |
US7037290B2 (en) | 2002-12-16 | 2006-05-02 | Medtronic, Inc. | Multi-lumen steerable catheter |
TW589170B (en) | 2002-12-25 | 2004-06-01 | De-Yang Tian | Endoscopic device |
US6908427B2 (en) | 2002-12-30 | 2005-06-21 | PARÉ Surgical, Inc. | Flexible endoscope capsule |
US6869398B2 (en) | 2003-01-06 | 2005-03-22 | Theodore G. Obenchain | Four-blade surgical speculum |
US20040186350A1 (en) | 2003-01-13 | 2004-09-23 | Usgi Medical Corp. | Apparatus and methods for guiding an endoscope via a rigidizable wire guide |
US20040136779A1 (en) | 2003-01-13 | 2004-07-15 | Vishal Bhaskar | Connector |
US20040138587A1 (en) | 2003-01-15 | 2004-07-15 | Lyons William Lawrence | Specimen collection instrument with inflatable bag |
US20040249367A1 (en) | 2003-01-15 | 2004-12-09 | Usgi Medical Corp. | Endoluminal tool deployment system |
US20040225186A1 (en) | 2003-01-29 | 2004-11-11 | Horne Guy E. | Composite flexible endoscope insertion shaft with tubular substructure |
JP4197965B2 (en) | 2003-01-31 | 2008-12-17 | オリンパス株式会社 | High frequency snare and medical equipment |
CA2519445C (en) | 2003-03-17 | 2012-06-12 | Tyco Healthcare Group, Lp | Endoscopic tissue removal apparatus and method |
US9486241B2 (en) | 2003-03-21 | 2016-11-08 | Ethicon Endo-Surgery, Llc | Trocar seal assembly |
US7105000B2 (en) | 2003-03-25 | 2006-09-12 | Ethicon Endo-Surgery, Inc. | Surgical jaw assembly with increased mechanical advantage |
US20040193188A1 (en) | 2003-03-25 | 2004-09-30 | Inscope Development, Llc | Laminated surgical clip |
US20040193189A1 (en) | 2003-03-25 | 2004-09-30 | Kortenbach Juergen A. | Passive surgical clip |
US20060041188A1 (en) | 2003-03-25 | 2006-02-23 | Dirusso Carlo A | Flexible endoscope |
US7001369B2 (en) | 2003-03-27 | 2006-02-21 | Scimed Life Systems, Inc. | Medical device |
WO2004091377A2 (en) | 2003-03-28 | 2004-10-28 | Downey Earl C | Surgical instrument with trigger control |
US7591783B2 (en) | 2003-04-01 | 2009-09-22 | Boston Scientific Scimed, Inc. | Articulation joint for video endoscope |
US20040199052A1 (en) | 2003-04-01 | 2004-10-07 | Scimed Life Systems, Inc. | Endoscopic imaging system |
US7008375B2 (en) | 2003-04-03 | 2006-03-07 | Surgical Solutions Llc | Articulating shaft |
GB0307826D0 (en) | 2003-04-04 | 2003-05-07 | Univ London | A device for transfixing and joining tissue |
WO2005048827A1 (en) | 2003-04-22 | 2005-06-02 | Campos Jorge A | System, apparatus, and method for viewing a visually obscured portion of a cavity |
JP2004350938A (en) | 2003-05-29 | 2004-12-16 | Olympus Corp | Forceps for endoscope |
US20050143690A1 (en) | 2003-05-01 | 2005-06-30 | High Kenneth A. | Cystotomy catheter capture device and methods of using same |
EP1620019B1 (en) | 2003-05-08 | 2018-10-31 | Covidien LP | Balloon dissector with balloon anchor cannula |
US7815565B2 (en) | 2003-05-16 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Endcap for use with an endoscope |
CA2525275C (en) | 2003-05-16 | 2012-02-07 | C.R. Bard, Inc. | Single intubation, multi-stitch endoscopic suturing system |
US7615003B2 (en) | 2005-05-13 | 2009-11-10 | Ethicon Endo-Surgery, Inc. | Track for medical devices |
US7431694B2 (en) | 2003-05-16 | 2008-10-07 | Ethicon Endo-Surgery, Inc. | Method of guiding medical devices |
US6978921B2 (en) | 2003-05-20 | 2005-12-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an E-beam firing mechanism |
US7413563B2 (en) | 2003-05-27 | 2008-08-19 | Cardia, Inc. | Flexible medical device |
JP3854946B2 (en) | 2003-05-30 | 2006-12-06 | オリンパス株式会社 | Endoscope |
US6967462B1 (en) | 2003-06-05 | 2005-11-22 | Nasa Glenn Research Center | Charging of devices by microwave power beaming |
JP4145200B2 (en) | 2003-06-06 | 2008-09-03 | オリンパス株式会社 | Suture device |
US7561916B2 (en) | 2005-06-24 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Implantable medical device with indicator |
US7862546B2 (en) | 2003-06-16 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Subcutaneous self attaching injection port with integral moveable retention members |
US8007474B2 (en) | 2003-06-16 | 2011-08-30 | Ethicon Endo-Surgery, Inc. | Implantable medical device with reversible attachment mechanism and method |
US6918871B2 (en) | 2003-06-19 | 2005-07-19 | Ethicon Endo-Surgery, Inc. | Method for accessing cavity |
DE10328512A1 (en) | 2003-06-20 | 2005-01-13 | Aesculap Ag & Co. Kg | Surgical instrument |
JP4398184B2 (en) | 2003-06-24 | 2010-01-13 | オリンパス株式会社 | Endoscope |
GB0315479D0 (en) | 2003-07-02 | 2003-08-06 | Paz Adrian | Virtual ports devices |
US8684967B2 (en) | 2003-07-15 | 2014-04-01 | Medtronic, Inc. | Kink resistant cannula having buckle resistant apertures |
US7066879B2 (en) | 2003-07-15 | 2006-06-27 | The Trustees Of Columbia University In The City Of New York | Insertable device and system for minimal access procedure |
US8308682B2 (en) | 2003-07-18 | 2012-11-13 | Broncus Medical Inc. | Devices for maintaining patency of surgically created channels in tissue |
DE112004001398T5 (en) | 2003-07-29 | 2006-06-29 | Pentax Corp. | Apparatus for the internal treatment of a patient and system for the internal treatment of a patient |
US8216252B2 (en) | 2004-05-07 | 2012-07-10 | Usgi Medical, Inc. | Tissue manipulation and securement system |
DK1662971T3 (en) | 2003-09-15 | 2011-08-29 | Allergan Inc | Fastening system for an implantable device |
DE10342759A1 (en) | 2003-09-16 | 2005-04-14 | Campus Gmbh & Co. Kg | Stent with improved durability |
US20060200005A1 (en) | 2003-09-17 | 2006-09-07 | Levahn Intellectual Property Holding Company, Llc | Low profile, handle-in-between surgical scissors clamp |
US7035680B2 (en) | 2003-09-23 | 2006-04-25 | Cardiac Pacemakers, Inc. | Catheter lead placement system and method |
JP4533695B2 (en) | 2003-09-23 | 2010-09-01 | オリンパス株式会社 | Treatment endoscope |
US7588557B2 (en) | 2003-09-24 | 2009-09-15 | Granit-Medical Innovations, Llc | Medical instrument for fluid injection and related method |
US7955355B2 (en) | 2003-09-24 | 2011-06-07 | Stryker Spine | Methods and devices for improving percutaneous access in minimally invasive surgeries |
US7169115B2 (en) | 2003-09-29 | 2007-01-30 | Ethicon Endo-Surgery, Inc. | Endoscopic mucosal resection device with overtube and method of use |
US7708756B2 (en) | 2003-09-29 | 2010-05-04 | Ethicon Endo-Surgery, Inc. | Actuation mechanism for flexible endoscopic device |
US6994705B2 (en) | 2003-09-29 | 2006-02-07 | Ethicon-Endo Surgery, Inc. | Endoscopic mucosal resection device with conductive tissue stop |
US7789825B2 (en) | 2003-09-29 | 2010-09-07 | Ethicon Endo-Surgery, Inc. | Handle for endoscopic device |
US7452327B2 (en) | 2003-09-30 | 2008-11-18 | Boston Scientific Scimed, Inc. | Through the scope tension member release clip |
US7549990B2 (en) | 2003-10-07 | 2009-06-23 | Jerome Canady | Surgical scissors with argon plasma coagulation capability |
US7029435B2 (en) | 2003-10-16 | 2006-04-18 | Granit Medical Innovation, Llc | Endoscope having multiple working segments |
US7150713B2 (en) | 2003-10-16 | 2006-12-19 | Smith & Nephew, Inc. | Endoscopic device |
US7270663B2 (en) | 2003-10-16 | 2007-09-18 | Granit Medical Innovations, Llc | Medical snare loop with indentations for changing effective size of loop and associated method |
JP2005121947A (en) | 2003-10-17 | 2005-05-12 | Olympus Corp | Object lens insertion fixture, microscope and microscope system |
US20050143774A1 (en) | 2003-10-21 | 2005-06-30 | Polo Oscar R. | Laparoscopic needle manipulator |
US7329383B2 (en) | 2003-10-22 | 2008-02-12 | Boston Scientific Scimed, Inc. | Alloy compositions and devices including the compositions |
US7147650B2 (en) | 2003-10-30 | 2006-12-12 | Woojin Lee | Surgical instrument |
US7338513B2 (en) | 2003-10-30 | 2008-03-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
CA2543792A1 (en) | 2003-11-05 | 2005-07-14 | Applied Medical Resources Corporation | Multiple-angle scissor blade |
US20050101838A1 (en) | 2003-11-12 | 2005-05-12 | Camillocci Philip L. | Endoscope cover |
EP1696803B1 (en) | 2003-11-17 | 2016-09-28 | Boston Scientific Limited | Systems relating to associating a medical implant with a delivery device |
WO2005053517A1 (en) | 2003-12-01 | 2005-06-16 | Olympus Corporation | Endoscope system |
US7052489B2 (en) | 2003-12-05 | 2006-05-30 | Scimed Life Systems, Inc. | Medical device with deflecting shaft and related methods of manufacture and use |
US20050131457A1 (en) | 2003-12-15 | 2005-06-16 | Ethicon, Inc. | Variable stiffness shaft |
US7524302B2 (en) | 2003-12-17 | 2009-04-28 | Numed, Inc. | Prenatal balloon catheter |
US20050149096A1 (en) | 2003-12-23 | 2005-07-07 | Hilal Said S. | Catheter with conduit traversing tip |
US20050143803A1 (en) | 2003-12-24 | 2005-06-30 | Medtronic Vascular, Inc. | Protective sheath for drug coated stent |
US20050171574A1 (en) | 2003-12-24 | 2005-08-04 | The Regents Of The University Of California | Electroporation to interrupt blood flow |
JP4286127B2 (en) | 2003-12-25 | 2009-06-24 | オリンパス株式会社 | In-subject position detection system |
US7320695B2 (en) | 2003-12-31 | 2008-01-22 | Biosense Webster, Inc. | Safe septal needle and method for its use |
US7951073B2 (en) | 2004-01-21 | 2011-05-31 | Boston Scientific Limited | Endoscopic device having spray mechanism and related methods of use |
US20050165429A1 (en) | 2004-01-23 | 2005-07-28 | Peter Douglas | Surgical clamp possessing a combined parallel and scissor style clamp head |
JP2007519489A (en) | 2004-01-30 | 2007-07-19 | エヌエムティー メディカル, インコーポレイティッド | Welding system for closure of cardia |
DE102004005709A1 (en) | 2004-02-05 | 2005-08-25 | Polydiagnost Gmbh | Endoscope with a flexible probe |
US7798960B2 (en) | 2004-02-09 | 2010-09-21 | John C. Jaeger | Speculum |
US7637903B2 (en) | 2004-02-09 | 2009-12-29 | Cryocor, Inc. | Catheter articulation segment with alternating cuts |
JP4436698B2 (en) | 2004-02-25 | 2010-03-24 | オリンパス株式会社 | High frequency treatment tool |
EP1718224B1 (en) | 2004-02-27 | 2009-01-21 | Applied Medical Resources Corporation | System for actuating a laparoscopic surgical instrument |
US20050192478A1 (en) | 2004-02-27 | 2005-09-01 | Williams James P. | System and method for endoscopic optical constrast imaging using an endo-robot |
US6932824B1 (en) | 2004-03-02 | 2005-08-23 | St. Jude Medical Puerto Rico B.V. | Three-needle closure device |
US7179254B2 (en) | 2004-03-09 | 2007-02-20 | Ethicon, Inc. | High intensity ablation device |
JP2005261514A (en) | 2004-03-17 | 2005-09-29 | Pentax Corp | Beak-like high frequency hemostatic forceps for endoscope |
US20050209624A1 (en) | 2004-03-22 | 2005-09-22 | Venkataramana Vijay | Scissors for piercing and cutting anatomical vessels |
EP1737335B1 (en) | 2004-03-23 | 2013-05-15 | Boston Scientific Limited | In-vivo visualization system |
US20060142790A1 (en) | 2004-03-23 | 2006-06-29 | Michael Gertner | Methods and devices to facilitate connections between body lumens |
FR2867964B1 (en) | 2004-03-24 | 2007-08-10 | Pentax Corp | HIGH FREQUENCY TREATMENT INSTRUMENT FOR ENDOSCOPE |
US7323006B2 (en) | 2004-03-30 | 2008-01-29 | Xtent, Inc. | Rapid exchange interventional devices and methods |
AU2005231843B2 (en) | 2004-04-05 | 2010-09-16 | Covidien Lp | Surgical hand access apparatus |
US7393322B2 (en) | 2004-04-05 | 2008-07-01 | Tyco Healthcare Group Lp | Surgical hand access apparatus |
US8277373B2 (en) | 2004-04-14 | 2012-10-02 | Usgi Medical, Inc. | Methods and apparaus for off-axis visualization |
US20050272977A1 (en) | 2004-04-14 | 2005-12-08 | Usgi Medical Inc. | Methods and apparatus for performing endoluminal procedures |
WO2006033671A2 (en) | 2004-04-15 | 2006-03-30 | Wilson-Cook Medical Inc. | Endoscopic surgical access devices and methods of articulating an external accessory channel |
US8517921B2 (en) | 2004-04-16 | 2013-08-27 | Gyrus Acmi, Inc. | Endoscopic instrument having reduced diameter flexible shaft |
US7534228B2 (en) | 2004-04-27 | 2009-05-19 | Applied Medical Technology, Inc. | Bridle catheter with umbilical tape |
US7301250B2 (en) | 2004-05-04 | 2007-11-27 | Stangenes Industries, Inc. | High voltage pulsed power supply using solid state switches |
US7435257B2 (en) | 2004-05-05 | 2008-10-14 | Direct Flow Medical, Inc. | Methods of cardiac valve replacement using nonstented prosthetic valve |
US20060135971A1 (en) | 2004-05-07 | 2006-06-22 | Usgi Medical Inc. | System for treating gastroesophageal reflux disease |
EP1750595A4 (en) | 2004-05-07 | 2008-10-22 | Valentx Inc | Devices and methods for attaching an endolumenal gastrointestinal implant |
US7736374B2 (en) | 2004-05-07 | 2010-06-15 | Usgi Medical, Inc. | Tissue manipulation and securement system |
US20050251176A1 (en) | 2004-05-07 | 2005-11-10 | Usgi Medical Inc. | System for treating gastroesophageal reflux disease |
US7918869B2 (en) | 2004-05-07 | 2011-04-05 | Usgi Medical, Inc. | Methods and apparatus for performing endoluminal gastroplasty |
US7837615B2 (en) | 2004-05-10 | 2010-11-23 | Usgi Medical, Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US20050267492A1 (en) | 2004-05-12 | 2005-12-01 | Philippe Poncet | Surgical instrument for specimen retrieval |
WO2005110241A1 (en) | 2004-05-14 | 2005-11-24 | Ethicon Endo-Surgery, Inc. | Devices for locking and/or cutting a suture |
WO2005112810A2 (en) | 2004-05-14 | 2005-12-01 | Ethicon Endo-Surgery, Inc. | Rf ablation device and method of use |
WO2005112786A2 (en) | 2004-05-14 | 2005-12-01 | Ethicon Endo-Surgery, Inc. | T-type suture anchoring devices and methods of using same |
US7658738B2 (en) | 2004-05-14 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Medical devices for use with endoscope |
WO2005120376A2 (en) | 2004-06-02 | 2005-12-22 | Medtronic, Inc. | Ablation device with jaws |
WO2005120363A1 (en) | 2004-06-03 | 2005-12-22 | Mayo Foundation For Medical Education And Research | Obesity treatment and device |
US7828808B2 (en) | 2004-06-07 | 2010-11-09 | Novare Surgical Systems, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
US7066936B2 (en) | 2004-06-07 | 2006-06-27 | Ethicon, Inc. | Surgical cutting and tissue vaporizing instrument |
US7931661B2 (en) | 2004-06-14 | 2011-04-26 | Usgi Medical, Inc. | Apparatus and methods for performing transluminal gastrointestinal procedures |
US8216255B2 (en) | 2004-06-14 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Endoscopic clip applier actuator |
US7241290B2 (en) | 2004-06-16 | 2007-07-10 | Kinetic Surgical, Llc | Surgical tool kit |
AU2005262460B2 (en) | 2004-06-16 | 2011-12-15 | Smith & Nephew, Inc. | Suture passing |
US20050288555A1 (en) | 2004-06-28 | 2005-12-29 | Binmoeller Kenneth E | Methods and devices for illuminating, vievwing and monitoring a body cavity |
US20060074413A1 (en) | 2004-06-28 | 2006-04-06 | Kamran Behzadian | Method and apparatus for substantial and uniform ablation about a linear bipolar array of electrodes |
WO2006005061A2 (en) | 2004-06-30 | 2006-01-12 | Sitzmann James V | Medical devices for minimally invasive surgeries and other internal procedures |
JP2006014960A (en) | 2004-07-01 | 2006-01-19 | Olympus Corp | Endoscope |
US20060004406A1 (en) | 2004-07-05 | 2006-01-05 | Helmut Wehrstein | Surgical instrument |
US7497867B2 (en) | 2004-07-12 | 2009-03-03 | Jeffrey Lasner | Handles and shafts for manually adjustable scissors and forceps |
US20060025812A1 (en) | 2004-07-28 | 2006-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism |
US7857183B2 (en) | 2004-07-28 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
US20060036267A1 (en) | 2004-08-11 | 2006-02-16 | Usgi Medical Inc. | Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastro-intestinal lumen |
US20060135962A1 (en) | 2004-09-09 | 2006-06-22 | Kick George F | Expandable trans-septal sheath |
US7195631B2 (en) | 2004-09-09 | 2007-03-27 | Sherwood Services Ag | Forceps with spring loaded end effector assembly |
EP1791476B1 (en) | 2004-09-20 | 2015-12-23 | Endoevolution, Llc | Apparatus for minimally invasive suturing |
US20060069424A1 (en) | 2004-09-27 | 2006-03-30 | Xtent, Inc. | Self-constrained segmented stents and methods for their deployment |
AU2005290341B2 (en) | 2004-09-28 | 2012-01-19 | Surgical Solutions Llc | Suture anchor |
US7628792B2 (en) | 2004-10-08 | 2009-12-08 | Covidien Ag | Bilateral foot jaws |
DE102004052515B4 (en) | 2004-10-22 | 2019-01-03 | Aesculap Ag | Surgical scissors and method for making a surgical scissors |
DE602004010276D1 (en) | 2004-11-10 | 2008-01-03 | Creganna Technologies Ltd | Introducer catheter assembly for stents |
US20060217665A1 (en) | 2004-11-18 | 2006-09-28 | Laparoscopic Partners Llc | Surgical instrument seal assembly and triple lead thread |
US20060111704A1 (en) | 2004-11-22 | 2006-05-25 | Rox Medical, Inc. | Devices, systems, and methods for energy assisted arterio-venous fistula creation |
CA2587857C (en) | 2004-11-23 | 2017-10-10 | Pneumrx, Inc. | Steerable device for accessing a target site and methods |
US9700334B2 (en) | 2004-11-23 | 2017-07-11 | Intuitive Surgical Operations, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
US7559887B2 (en) | 2004-12-08 | 2009-07-14 | Patrick Dannan | Tool insertion device for use in minimally invasive surgery |
GB0427506D0 (en) | 2004-12-15 | 2005-01-19 | George Samuel | Improvements in or relating to specula |
DE602005015358D1 (en) | 2004-12-15 | 2009-08-20 | Cook Ireland Ltd | X-RAY DENSITY MANIPULATION DEVICES |
US7163525B2 (en) | 2004-12-17 | 2007-01-16 | Ethicon Endo-Surgery, Inc. | Duckbill seal protector |
US20060142798A1 (en) | 2004-12-27 | 2006-06-29 | Holman Thomas J | Device and method for closing an opening in a body cavity or lumen |
US20060142652A1 (en) | 2004-12-28 | 2006-06-29 | Erick Keenan | Concepts using the improved "composite flexible and conductive catheter electrode bands" and their method of construction |
US20060149132A1 (en) | 2004-12-30 | 2006-07-06 | Given Imaging Ltd. | Device and method for in vivo illumination |
US20060161190A1 (en) | 2005-01-19 | 2006-07-20 | Gadberry Donald L | Disposable laparoscopic instrument |
GB2423269A (en) | 2005-02-16 | 2006-08-23 | Samuel George | Scissors with laterally restrained blades |
US20060184161A1 (en) | 2005-02-16 | 2006-08-17 | Usgi Medical Inc. | Flexible shaft system having interchangeable end effectors |
US7559450B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating a fluid transfer controlled articulation mechanism |
US7654431B2 (en) | 2005-02-18 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument with guided laterally moving articulation member |
US9089323B2 (en) | 2005-02-22 | 2015-07-28 | P Tech, Llc | Device and method for securing body tissue |
US20060200169A1 (en) | 2005-03-07 | 2006-09-07 | Kevin Sniffin | Specimen retrieval apparatus and method of use |
US20060200170A1 (en) | 2005-03-07 | 2006-09-07 | Ernest Aranyi | Specimen retrieval apparatus and method of use |
US7918848B2 (en) | 2005-03-25 | 2011-04-05 | Maquet Cardiovascular, Llc | Tissue welding and cutting apparatus and method |
US7621927B2 (en) | 2005-03-28 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Medical instrument with a mechanical coupling |
US20060217742A1 (en) | 2005-03-28 | 2006-09-28 | Messerly Jeffrey D | Mechanical coupling method |
US7547310B2 (en) | 2005-03-29 | 2009-06-16 | Tyco Healthcare Group Lp | Specimen retrieval apparatus |
US7670346B2 (en) | 2005-03-29 | 2010-03-02 | Tyco Healthcare Group Lp | Specimen retrieval apparatus |
US7195612B2 (en) | 2005-03-31 | 2007-03-27 | Gordis Corporation | Esophageal balloon catheter with visual marker |
US7931624B2 (en) | 2005-04-05 | 2011-04-26 | Tyco Healthcare Group Lp | Introducer seal assembly with low profile gimbal seal |
IL174531A0 (en) | 2005-04-06 | 2006-08-20 | Given Imaging Ltd | System and method for performing capsule endoscopy diagnosis in remote sites |
US20060247516A1 (en) | 2005-04-08 | 2006-11-02 | Hess Christopher J | Tissue marker and method for use |
US8333777B2 (en) | 2005-04-22 | 2012-12-18 | Benvenue Medical, Inc. | Catheter-based tissue remodeling devices and methods |
US20060241570A1 (en) | 2005-04-22 | 2006-10-26 | Wilk Patent, Llc | Intra-abdominal medical method |
US8663236B2 (en) | 2005-04-26 | 2014-03-04 | Usgi Medical Inc. | Transgastric abdominal access |
DE602006003120D1 (en) | 2005-04-26 | 2008-11-27 | Niti On Co Ltd | Endoscopic surgical instrument |
US20060237023A1 (en) | 2005-04-26 | 2006-10-26 | Usgi Medical Inc. | Transgastric tubal ligation |
US20060264752A1 (en) | 2005-04-27 | 2006-11-23 | The Regents Of The University Of California | Electroporation controlled with real time imaging |
US7645288B2 (en) | 2005-05-05 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Anastomotic ring applier with inflatable members |
US20060264904A1 (en) | 2005-05-09 | 2006-11-23 | Kerby Walter L | Medical device |
US20060259010A1 (en) | 2005-05-13 | 2006-11-16 | David Stefanchik | Feeding tube |
US7762960B2 (en) | 2005-05-13 | 2010-07-27 | Boston Scientific Scimed, Inc. | Biopsy forceps assemblies |
US7905830B2 (en) | 2005-05-13 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Sheath for use with an endoscope |
US7846107B2 (en) | 2005-05-13 | 2010-12-07 | Boston Scientific Scimed, Inc. | Endoscopic apparatus with integrated multiple biopsy device |
US7813590B2 (en) | 2005-05-13 | 2010-10-12 | Given Imaging Ltd. | System and method for displaying an in-vivo image stream |
US7648457B2 (en) | 2005-05-13 | 2010-01-19 | Ethicon Endo-Surgery, Inc. | Method of positioning a device on an endoscope |
JP2006314703A (en) | 2005-05-16 | 2006-11-24 | Fujinon Corp | Apparatus for supporting laparoscope |
DE102006023696B4 (en) | 2005-05-20 | 2019-10-17 | Kaneka Corporation | High-frequency incision instrument for an endoscope |
US7666180B2 (en) | 2005-05-20 | 2010-02-23 | Tyco Healthcare Group Lp | Gastric restrictor assembly and method of use |
US20080208213A1 (en) | 2005-05-25 | 2008-08-28 | Elad Benjamin | Devices and methods for the controlled formation and closure of vascular openings |
CN101184445B (en) | 2005-05-25 | 2010-05-19 | 佳乐医疗公司 | Surgical instrument |
US8932208B2 (en) | 2005-05-26 | 2015-01-13 | Maquet Cardiovascular Llc | Apparatus and methods for performing minimally-invasive surgical procedures |
US7553278B2 (en) | 2005-06-01 | 2009-06-30 | Cannuflow, Inc. | Protective cap for arthroscopic instruments |
US8641728B2 (en) | 2005-06-13 | 2014-02-04 | Ethicon Endo-Surgery, Inc. | Attachment apparatus for coupling with an endoscope |
US20060287666A1 (en) | 2005-06-15 | 2006-12-21 | Usgi Medical Inc. | Apparatus and methods for endoluminal advancement |
US7651483B2 (en) | 2005-06-24 | 2010-01-26 | Ethicon Endo-Surgery, Inc. | Injection port |
US7918844B2 (en) | 2005-06-24 | 2011-04-05 | Ethicon Endo-Surgery, Inc. | Applier for implantable medical device |
JP2007000463A (en) | 2005-06-24 | 2007-01-11 | Terumo Corp | Catheter assembly |
WO2007007648A1 (en) | 2005-07-08 | 2007-01-18 | Olympus Medical Systems Corp. | Apparatus for placing capsule type medical device, apparatus for placing capsule endoscope in the body and capsule type medical device for placement |
US20070015965A1 (en) | 2005-07-13 | 2007-01-18 | Usgi Medical Inc. | Methods and apparatus for colonic cleaning |
US7618437B2 (en) | 2005-07-15 | 2009-11-17 | Granit Medical Innovation, Llc | Endoscope retrieval instrument assembly |
US8083787B2 (en) * | 2005-07-18 | 2011-12-27 | Tearscience, Inc. | Method and apparatus for treating meibomian gland dysfunction |
CN102225023B (en) | 2005-07-21 | 2014-04-02 | 泰科医疗集团有限合伙公司 | Systems and methods for treating a hollow anatomical structure |
US7548040B2 (en) | 2005-07-28 | 2009-06-16 | Zerog Wireless, Inc. | Wireless battery charging of electronic devices such as wireless headsets/headphones |
JP2007054125A (en) | 2005-08-22 | 2007-03-08 | Olympus Medical Systems Corp | Endoscope |
US8052597B2 (en) | 2005-08-30 | 2011-11-08 | Boston Scientific Scimed, Inc. | Method for forming an endoscope articulation joint |
US7998132B2 (en) | 2005-09-02 | 2011-08-16 | Boston Scientific Scimed, Inc. | Adjustable stiffness catheter |
US20070051375A1 (en) | 2005-09-06 | 2007-03-08 | Milliman Keith L | Instrument introducer |
US8114113B2 (en) | 2005-09-23 | 2012-02-14 | Acclarent, Inc. | Multi-conduit balloon catheter |
US20070073102A1 (en) | 2005-09-27 | 2007-03-29 | Kiyotaka Matsuno | Endoscope apparatus |
US7722631B2 (en) | 2005-09-28 | 2010-05-25 | Olympus Medical Systems Corporation | Method for suturing perforation |
US8702753B2 (en) | 2005-09-28 | 2014-04-22 | Olympus Medical Systems Corp. | Method for suturing perforation and suture instrument |
CA2561034C (en) | 2005-09-30 | 2014-12-09 | Sherwood Services Ag | Flexible endoscopic catheter with an end effector for coagulating and transfecting tissue |
US7520950B2 (en) | 2005-10-06 | 2009-04-21 | Usgi Medical Inc. | Flexible tubular liner coating system |
WO2007048085A2 (en) | 2005-10-14 | 2007-04-26 | Applied Medical Resources Corporation | Tissue retrieval system |
US20070173870A2 (en) | 2005-10-18 | 2007-07-26 | Jaime Zacharias | Precision Surgical System |
US20070123840A1 (en) | 2005-10-18 | 2007-05-31 | Usgi Medical, Inc. | Instrument assisted abdominal access |
US20070106219A1 (en) | 2005-10-31 | 2007-05-10 | Andreas Grabinsky | Cleveland round tip (CRT) needle |
CN101355901B (en) | 2005-11-08 | 2011-10-05 | 纽约市哥伦比亚大学理事会 | Apparatuses and methods for delivering one or more deliverables into a body |
EP1949844A4 (en) | 2005-11-14 | 2011-10-05 | Olympus Medical Systems Corp | Method of endoscopical diagnosis or treatment and medical device |
US7850712B2 (en) | 2005-11-15 | 2010-12-14 | Ethicon Endo-Surgery, Inc. | Self-shielding suture anchor |
US8876772B2 (en) | 2005-11-16 | 2014-11-04 | Boston Scientific Scimed, Inc. | Variable stiffness shaft |
US20070118115A1 (en) | 2005-11-22 | 2007-05-24 | Sherwood Services Ag | Bipolar electrosurgical sealing instrument having an improved tissue gripping device |
WO2007063550A2 (en) | 2005-12-02 | 2007-06-07 | Given Imaging Ltd. | System and device for in vivo procedures |
US7751869B2 (en) | 2005-12-09 | 2010-07-06 | Boston Scientific Scimed, Inc. | Radiation ablation tracking system and method |
JP2007167302A (en) | 2005-12-21 | 2007-07-05 | Olympus Medical Systems Corp | Overtube for endoscope and endoscopic system |
WO2007092101A2 (en) | 2005-12-29 | 2007-08-16 | Boston Scientific Limited | Foam electrode for tissue resection |
US20070161855A1 (en) | 2006-01-06 | 2007-07-12 | Olympus Medical Systems Corp. | Medical procedure through natural body orifice |
WO2007078003A1 (en) | 2006-01-06 | 2007-07-12 | Olympus Medical Systems Corp. | Trans-natural opening based or transcutaneous medical system |
US9308049B2 (en) | 2006-01-13 | 2016-04-12 | Olympus Corporation | Medical treatment endoscope |
US20070173872A1 (en) | 2006-01-23 | 2007-07-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument for cutting and coagulating patient tissue |
US7628797B2 (en) | 2006-01-31 | 2009-12-08 | Edwards Lifesciences Corporation | System, apparatus, and method for fastening tissue |
US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US20070198057A1 (en) | 2006-02-21 | 2007-08-23 | Daniel Gelbart | Method and device for closing holes in tissue |
JP5131951B2 (en) | 2006-02-21 | 2013-01-30 | 富士フイルム株式会社 | Body cavity observation device |
CN101389282B (en) | 2006-02-24 | 2011-03-09 | 泰尔茂株式会社 | Pfo closing device |
JP4425227B2 (en) | 2006-02-28 | 2010-03-03 | Hoya株式会社 | Endoscopic high-frequency treatment instrument |
US8092374B2 (en) | 2006-03-02 | 2012-01-10 | Kevin Smith | Variably flexible insertion device and method for variably flexing an insertion device |
US20070213754A1 (en) | 2006-03-08 | 2007-09-13 | Olympus Medical Systems Corp. | Incision instrument, incision apparatus, and organ incision method |
US8715281B2 (en) | 2006-03-09 | 2014-05-06 | Olympus Medical Systems Corp. | Treatment device for endoscope |
WO2007109171A2 (en) | 2006-03-17 | 2007-09-27 | Microcube, Llc | Devices and methods for creating continuous lesions |
US7815652B2 (en) | 2006-03-21 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Surgical fastener and instrument |
US7918783B2 (en) | 2006-03-22 | 2011-04-05 | Boston Scientific Scimed, Inc. | Endoscope working channel with multiple functionality |
US7771396B2 (en) | 2006-03-22 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Intubation device for enteral feeding |
US7850686B2 (en) | 2006-03-30 | 2010-12-14 | Ethicon Endo-Surgery, Inc. | Protective needle knife |
US7579550B2 (en) | 2006-03-31 | 2009-08-25 | Boston Scientific Scimed, Inc. | Flexible device shaft with angled spiral wrap |
US20070233040A1 (en) | 2006-03-31 | 2007-10-04 | Boston Scientific Scimed, Inc. | Flexible endoscope with variable stiffness shaft |
DE102006027873B4 (en) | 2006-06-16 | 2009-10-15 | Erbe Elektromedizin Gmbh | Endoscopic multifunction surgery device |
US8202265B2 (en) | 2006-04-20 | 2012-06-19 | Boston Scientific Scimed, Inc. | Multiple lumen assembly for use in endoscopes or other medical devices |
US8518024B2 (en) | 2006-04-24 | 2013-08-27 | Transenterix, Inc. | System and method for multi-instrument surgical access using a single access port |
US7691103B2 (en) | 2006-04-29 | 2010-04-06 | Board Of Regents, The University Of Texas System | Devices for use in transluminal and endoluminal surgery |
US8328836B2 (en) | 2006-05-01 | 2012-12-11 | Ethicon Endo-Surgery, Inc. | Flexible endoscopic safety needle |
US7846087B2 (en) | 2006-05-01 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Endoscopic rotation |
US20070255303A1 (en) | 2006-05-01 | 2007-11-01 | Ethicon Endo-Surgery, Inc. | Integrated Guidewire Needle Knife Device |
US7862582B2 (en) | 2006-05-02 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Suture management |
EP2019632B1 (en) | 2006-05-03 | 2015-07-01 | Indiana University Research and Technology Corporation | Apparatus for reshaping the esophagus and other body lumens |
US7963912B2 (en) | 2006-05-08 | 2011-06-21 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal surgical methods using a sheath |
US20070260121A1 (en) | 2006-05-08 | 2007-11-08 | Ethicon Endo-Surgery, Inc. | Endoscopic Translumenal Surgical Systems |
US20070260273A1 (en) | 2006-05-08 | 2007-11-08 | Ethicon Endo-Surgery, Inc. | Endoscopic Translumenal Surgical Systems |
US7959642B2 (en) | 2006-05-16 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Medical instrument having a needle knife |
US20070270629A1 (en) | 2006-05-19 | 2007-11-22 | Charles Filipi J | System and techniques for magnetic manipulation of internal organs during minimally invasive surgery |
US7758598B2 (en) | 2006-05-19 | 2010-07-20 | Ethicon Endo-Surgery, Inc. | Combination knotting element and suture anchor applicator |
US7635373B2 (en) | 2006-05-25 | 2009-12-22 | Ethicon Endo-Surgery, Inc. | Absorbable gastric restriction devices and methods |
US7615067B2 (en) | 2006-06-05 | 2009-11-10 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
BRPI0602735A (en) | 2006-06-06 | 2008-01-29 | Luiz Gonzaga Granja Jr | anastomosis prosthesis |
BRPI0602379A (en) | 2006-06-06 | 2008-01-22 | Luiz Gonzaga Granja Jr | anastomosis prosthesis |
ATE545374T1 (en) | 2006-06-30 | 2012-03-15 | Bovie Medical Corp | SURGICAL INSTRUMENT WITH REMOVABLE TOOL ARRANGEMENT |
JP4546424B2 (en) | 2006-07-04 | 2010-09-15 | オリンパスメディカルシステムズ株式会社 | Endoscopic treatment tool |
WO2008007355A1 (en) | 2006-07-13 | 2008-01-17 | Stark Med Gmbh | Trans-douglas endoscopical surgical device (ted) |
DE102006000382A1 (en) | 2006-08-01 | 2008-02-07 | Novineon Healthcare Technology Partners Gmbh | Medical instrument |
US7789827B2 (en) | 2006-08-21 | 2010-09-07 | Karl Storz Endovision, Inc. | Variable shaft flexibility in endoscope |
WO2008030788A1 (en) | 2006-09-05 | 2008-03-13 | Wilson-Cook Medical Inc. | Hood member for use with an endscope |
US7722606B2 (en) | 2006-09-14 | 2010-05-25 | LaZúre Technologies, LLC | Device and method for destruction of cancer cells |
US8348131B2 (en) | 2006-09-29 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical indicator to show levels of tissue compression |
WO2008041227A2 (en) | 2006-10-03 | 2008-04-10 | Virtual Ports Ltd | Interchangeable tips and tool box for assisting surgical procedures |
US7674275B2 (en) | 2006-10-05 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Suture anchor |
WO2008048572A2 (en) | 2006-10-16 | 2008-04-24 | Medtronic, Inc. | Cutting device and method of vessel harvesting |
IL178801A (en) | 2006-10-22 | 2013-11-28 | Jonathan Agmon | Episiotomy aid device |
GB2456681B (en) | 2006-10-26 | 2009-11-11 | Starbridge Systems Ltd | Pump |
US20080103527A1 (en) | 2006-10-27 | 2008-05-01 | Martin David T | Flexible endoscopic suture anchor applier |
EP2086426B1 (en) | 2006-11-10 | 2013-07-31 | Cook Medical Technologies LLC | Ring magnets for surgical procedures |
US7935130B2 (en) | 2006-11-16 | 2011-05-03 | Intuitive Surgical Operations, Inc. | Two-piece end-effectors for robotic surgical tools |
US20100286791A1 (en) | 2006-11-21 | 2010-11-11 | Goldsmith David S | Integrated system for the ballistic and nonballistic infixion and retrieval of implants |
WO2008066920A2 (en) | 2006-11-28 | 2008-06-05 | Stryker Development Llc | Gastrotomy closure device |
US8715270B2 (en) | 2006-12-01 | 2014-05-06 | Boston Scientific Scimed, Inc. | Multi-part instrument systems and methods |
JP2008142410A (en) | 2006-12-12 | 2008-06-26 | Olympus Corp | Device introduced inside subject |
US8062306B2 (en) | 2006-12-14 | 2011-11-22 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
US20100016878A1 (en) | 2006-12-15 | 2010-01-21 | Tyco Healthcare Group Lp | Trocar assembly with obturator and retractable stylet |
US20080171907A1 (en) | 2007-01-12 | 2008-07-17 | Ethicon Endo-Surgery, Inc. | Magnetic Tissue Grasping |
US20080200755A1 (en) | 2007-02-15 | 2008-08-21 | Bakos Gregory J | Method and device for retrieving suture tags |
US20080200911A1 (en) | 2007-02-15 | 2008-08-21 | Long Gary L | Electrical ablation apparatus, system, and method |
US7655004B2 (en) | 2007-02-15 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Electroporation ablation apparatus, system, and method |
US20080200934A1 (en) | 2007-02-15 | 2008-08-21 | Fox William D | Surgical devices and methods using magnetic force to form an anastomosis |
US20080200933A1 (en) | 2007-02-15 | 2008-08-21 | Bakos Gregory J | Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body |
US20080200762A1 (en) | 2007-02-16 | 2008-08-21 | Stokes Michael J | Flexible endoscope shapelock |
GB0703417D0 (en) | 2007-02-22 | 2007-04-04 | Eschmann Holdings Ltd | Electro-surgical systems |
US7815662B2 (en) | 2007-03-08 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Surgical suture anchors and deployment device |
US20080221587A1 (en) | 2007-03-09 | 2008-09-11 | Jeremy Schwartz | Two-stage snare-basket medical device |
US20080228213A1 (en) | 2007-03-15 | 2008-09-18 | Terumo Cardiovascular Systems Corporation And Olympus Medical Systems Corporation | Variable size trocar |
US8075567B2 (en) | 2007-03-22 | 2011-12-13 | Anchor Products Company | Surgical tissue retrieval instrument |
US20080230972A1 (en) | 2007-03-23 | 2008-09-25 | Ganley Robert F | Pipe holding or manipulating tool |
US8377044B2 (en) | 2007-03-30 | 2013-02-19 | Ethicon Endo-Surgery, Inc. | Detachable end effectors |
US20080262540A1 (en) | 2007-04-19 | 2008-10-23 | Searete Llc, A Limited Liability Corporation Of The State Of Delaware | Systems and methods for approximating surfaces |
WO2008147603A2 (en) | 2007-04-19 | 2008-12-04 | S.D.M.H.Pty. Ltd. | Devices and methods for thermal ablation of biological tissue using geometric ablation patterns |
US9596980B2 (en) | 2007-04-25 | 2017-03-21 | Karl Storz Endovision, Inc. | Endoscope system with pivotable arms |
US8075572B2 (en) | 2007-04-26 | 2011-12-13 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus |
US8100922B2 (en) | 2007-04-27 | 2012-01-24 | Ethicon Endo-Surgery, Inc. | Curved needle suturing tool |
US8821520B2 (en) | 2007-05-04 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Loader for knotting element |
US7875042B2 (en) | 2007-05-04 | 2011-01-25 | Ethicon Endo-Surgery, Inc. | Suture anchor loader |
US9125631B2 (en) | 2007-05-17 | 2015-09-08 | Boston Scientific Scimed, Inc. | Tissue securing and sealing apparatus and related methods of use |
JP2009006128A (en) | 2007-05-25 | 2009-01-15 | Kazuya Akaboshi | High-frequency treatment instrument |
US7549564B2 (en) | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
US20080300461A1 (en) | 2007-05-31 | 2008-12-04 | Ethicon Endo-Surgery, Inc. | Endoscopic Device |
US7967842B2 (en) | 2007-06-01 | 2011-06-28 | Ethicon Endo-Surgery, Inc. | Integrated securement and closure apparatus |
US8348827B2 (en) | 2007-06-12 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Specimen removal pouch |
JP4472727B2 (en) | 2007-06-14 | 2010-06-02 | オリンパスメディカルシステムズ株式会社 | Endoscope device |
JP4472728B2 (en) | 2007-06-14 | 2010-06-02 | オリンパスメディカルシステムズ株式会社 | Endoscope system |
JP2008307226A (en) | 2007-06-14 | 2008-12-25 | Olympus Medical Systems Corp | Endoscope system |
US7771416B2 (en) | 2007-06-14 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Control mechanism for flexible endoscopic device and method of use |
JP5349852B2 (en) | 2007-06-25 | 2013-11-20 | テルモ株式会社 | Medical device |
US20090048486A1 (en) | 2007-08-08 | 2009-02-19 | Wilson-Cook Medical Inc. | Distal Tip for an Endoscope |
US20090054728A1 (en) | 2007-08-21 | 2009-02-26 | Trusty Robert M | Manipulatable guide system and methods for natural orifice translumenal endoscopic surgery |
WO2009029065A1 (en) | 2007-08-24 | 2009-03-05 | Hazem Ezzat | A surgical device and method |
DE102007040358A1 (en) | 2007-08-27 | 2009-03-05 | Technische Universität München | Trocar tube, trocar, obturator or rectoscope for transluminal endoscopic surgery over natural orifices |
US8579897B2 (en) | 2007-11-21 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
WO2009032623A2 (en) | 2007-08-31 | 2009-03-12 | Ethicon Endo-Surgery, Inc | Electrical albation surgical instruments |
US20090062788A1 (en) | 2007-08-31 | 2009-03-05 | Long Gary L | Electrical ablation surgical instruments |
US20090062795A1 (en) | 2007-08-31 | 2009-03-05 | Ethicon Endo-Surgery, Inc. | Electrical ablation surgical instruments |
US8262655B2 (en) | 2007-11-21 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US8568410B2 (en) | 2007-08-31 | 2013-10-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation surgical instruments |
US8118738B2 (en) | 2007-09-06 | 2012-02-21 | Daniel Larkin | Vaginal speculum including collapsible and expandable frame |
US8562602B2 (en) | 2007-09-14 | 2013-10-22 | Lazure Technologies, Llc | Multi-layer electrode ablation probe and related methods |
JP2009072368A (en) | 2007-09-20 | 2009-04-09 | Olympus Medical Systems Corp | Medical apparatus |
US8097001B2 (en) | 2007-09-24 | 2012-01-17 | Granit Medical Innovations Llc | Medical instrument with stop motion override and associated method |
US8096998B2 (en) * | 2007-09-26 | 2012-01-17 | Ebi, Llc | External fixation tensioner |
US8480657B2 (en) | 2007-10-31 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ |
US20090112059A1 (en) | 2007-10-31 | 2009-04-30 | Nobis Rudolph H | Apparatus and methods for closing a gastrotomy |
US20090112063A1 (en) | 2007-10-31 | 2009-04-30 | Bakos Gregory J | Endoscopic overtubes |
US20090131751A1 (en) | 2007-11-20 | 2009-05-21 | Spivey James T | Anal surgical instrument guides |
US20090143794A1 (en) | 2007-11-29 | 2009-06-04 | Conlon Sean P | Tissue resection device |
US20090143649A1 (en) | 2007-11-30 | 2009-06-04 | Physion Srl | Speculum for the electropharmacological treatment of vaginal diseases |
US20090198231A1 (en) | 2007-12-06 | 2009-08-06 | Massachusetts Institute Of Technology | Methods to treat unwanted tissue with electric pulses |
US9066655B2 (en) | 2007-12-07 | 2015-06-30 | Ethicon Endo-Surgery, Inc. | Selective stiffening devices and methods |
EP2230987B1 (en) | 2008-01-03 | 2013-02-27 | Cook Medical Technologies LLC | Medical systems for endoscopically suturing perforations |
US20090177219A1 (en) | 2008-01-03 | 2009-07-09 | Conlon Sean P | Flexible tissue-penetration instrument with blunt tip assembly and methods for penetrating tissue |
US20090182332A1 (en) | 2008-01-15 | 2009-07-16 | Ethicon Endo-Surgery, Inc. | In-line electrosurgical forceps |
US20090192344A1 (en) | 2008-01-24 | 2009-07-30 | Ethicon Endo-Surgery, Inc. | Surgical devices for manipulating tissue |
US8262680B2 (en) | 2008-03-10 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Anastomotic device |
WO2009121009A2 (en) | 2008-03-27 | 2009-10-01 | The Regents Of The University Of California | Irreversible electroporation device for use in attenuating neointimal |
US8540744B2 (en) | 2008-04-01 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Tissue penetrating surgical device |
US20090281559A1 (en) | 2008-05-06 | 2009-11-12 | Ethicon Endo-Surgery, Inc. | Anastomosis patch |
US20090287236A1 (en) | 2008-05-16 | 2009-11-19 | Ethicon Endo-Surgery, Inc. | Endoscopic rotary access needle |
US8562513B2 (en) | 2008-05-20 | 2013-10-22 | Olympus Medical Systems Corp. | Endoscope device |
US8679003B2 (en) | 2008-05-30 | 2014-03-25 | Ethicon Endo-Surgery, Inc. | Surgical device and endoscope including same |
US8771260B2 (en) | 2008-05-30 | 2014-07-08 | Ethicon Endo-Surgery, Inc. | Actuating and articulating surgical device |
US8070759B2 (en) | 2008-05-30 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical fastening device |
US8114072B2 (en) | 2008-05-30 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Electrical ablation device |
US8652150B2 (en) | 2008-05-30 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Multifunction surgical device |
US8906035B2 (en) | 2008-06-04 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Endoscopic drop off bag |
US8403926B2 (en) | 2008-06-05 | 2013-03-26 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
US8361112B2 (en) | 2008-06-27 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical suture arrangement |
JP5204564B2 (en) | 2008-06-30 | 2013-06-05 | オリンパスメディカルシステムズ株式会社 | Medical equipment |
US20100010303A1 (en) | 2008-07-09 | 2010-01-14 | Ethicon Endo-Surgery, Inc. | Inflatable access device |
US8357170B2 (en) | 2008-07-09 | 2013-01-22 | Ethicon Endo-Surgery, Inc. | Devices and methods for placing occlusion fasteners |
US20100010294A1 (en) | 2008-07-10 | 2010-01-14 | Ethicon Endo-Surgery, Inc. | Temporarily positionable medical devices |
US20100010298A1 (en) | 2008-07-14 | 2010-01-14 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal flexible overtube |
US8888792B2 (en) | 2008-07-14 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Tissue apposition clip application devices and methods |
US8262563B2 (en) | 2008-07-14 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Endoscopic translumenal articulatable steerable overtube |
US8211125B2 (en) | 2008-08-15 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Sterile appliance delivery device for endoscopic procedures |
US20100048990A1 (en) | 2008-08-25 | 2010-02-25 | Ethicon Endo-Surgery, Inc. | Endoscopic needle for natural orifice translumenal endoscopic surgery |
US8529563B2 (en) | 2008-08-25 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8241204B2 (en) | 2008-08-29 | 2012-08-14 | Ethicon Endo-Surgery, Inc. | Articulating end cap |
US8480689B2 (en) | 2008-09-02 | 2013-07-09 | Ethicon Endo-Surgery, Inc. | Suturing device |
US20100056862A1 (en) | 2008-09-03 | 2010-03-04 | Ethicon Endo-Surgery, Inc. | Access needle for natural orifice translumenal endoscopic surgery |
US8409200B2 (en) | 2008-09-03 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US8114119B2 (en) | 2008-09-09 | 2012-02-14 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
US20100076451A1 (en) | 2008-09-19 | 2010-03-25 | Ethicon Endo-Surgery, Inc. | Rigidizable surgical instrument |
US8337394B2 (en) | 2008-10-01 | 2012-12-25 | Ethicon Endo-Surgery, Inc. | Overtube with expandable tip |
US9370341B2 (en) | 2008-10-23 | 2016-06-21 | Covidien Lp | Surgical retrieval apparatus |
US8157834B2 (en) | 2008-11-25 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Rotational coupling device for surgical instrument with flexible actuators |
US20100331622A2 (en) | 2008-11-25 | 2010-12-30 | Ethicon Endo-Surgery, Inc. | Tissue manipulation devices |
US8172772B2 (en) | 2008-12-11 | 2012-05-08 | Ethicon Endo-Surgery, Inc. | Specimen retrieval device |
US20100152539A1 (en) | 2008-12-17 | 2010-06-17 | Ethicon Endo-Surgery, Inc. | Positionable imaging medical devices |
US8828031B2 (en) | 2009-01-12 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Apparatus for forming an anastomosis |
US8361066B2 (en) | 2009-01-12 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US20100191050A1 (en) | 2009-01-23 | 2010-07-29 | Ethicon Endo-Surgery, Inc. | Variable length accessory for guiding a flexible endoscopic tool |
US20100191267A1 (en) | 2009-01-26 | 2010-07-29 | Ethicon Endo-Surgery, Inc. | Rotary needle for natural orifice translumenal endoscopic surgery |
WO2010088481A1 (en) | 2009-01-30 | 2010-08-05 | The Trustees Of Columbia University In The City Of New York | Controllable magnetic source to fixture intracorporeal apparatus |
US9226772B2 (en) | 2009-01-30 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical device |
US8252057B2 (en) | 2009-01-30 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US8037591B2 (en) | 2009-02-02 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Surgical scissors |
US20100198248A1 (en) | 2009-02-02 | 2010-08-05 | Ethicon Endo-Surgery, Inc. | Surgical dissector |
US20100249700A1 (en) | 2009-03-27 | 2010-09-30 | Ethicon Endo-Surgery, Inc. | Surgical instruments for in vivo assembly |
US20100298642A1 (en) | 2009-05-19 | 2010-11-25 | Ethicon Endo-Surgery, Inc. | Manipulatable guide system and methods for natural orifice translumenal endoscopic surgery |
US20100312056A1 (en) | 2009-06-03 | 2010-12-09 | Gyrus, ACMI, Inc. | Endoscope shaft |
US20110093009A1 (en) | 2009-10-16 | 2011-04-21 | Ethicon Endo-Surgery, Inc. | Otomy closure device |
US20110098694A1 (en) | 2009-10-28 | 2011-04-28 | Ethicon Endo-Surgery, Inc. | Methods and instruments for treating cardiac tissue through a natural orifice |
US20110098704A1 (en) | 2009-10-28 | 2011-04-28 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US8608652B2 (en) | 2009-11-05 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Vaginal entry surgical devices, kit, system, and method |
US20110112434A1 (en) | 2009-11-06 | 2011-05-12 | Ethicon Endo-Surgery, Inc. | Kits and procedures for natural orifice translumenal endoscopic surgery |
US20110115891A1 (en) | 2009-11-13 | 2011-05-19 | Ethicon Endo-Surgery, Inc. | Energy delivery apparatus, system, and method for deployable medical electronic devices |
US20110152878A1 (en) | 2009-12-17 | 2011-06-23 | Ethicon Endo-Surgery, Inc. | Interface systems for aiding clinicians in controlling and manipulating at least one endoscopic surgical instrument and a cable controlled guide tube system |
US8496574B2 (en) | 2009-12-17 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Selectively positionable camera for surgical guide tube assembly |
US20110152610A1 (en) | 2009-12-17 | 2011-06-23 | Ethicon Endo-Surgery, Inc. | Intralumenal accessory tip for endoscopic sheath arrangements |
US8353487B2 (en) | 2009-12-17 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | User interface support devices for endoscopic surgical instruments |
US9028483B2 (en) | 2009-12-18 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US20110152923A1 (en) | 2009-12-18 | 2011-06-23 | Ethicon Endo-Surgery, Inc. | Incision closure device |
US8506564B2 (en) | 2009-12-18 | 2013-08-13 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US20110160514A1 (en) | 2009-12-31 | 2011-06-30 | Ethicon Endo-Surgery, Inc. | Electrical ablation devices |
US9005198B2 (en) | 2010-01-29 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
US20110190764A1 (en) | 2010-01-29 | 2011-08-04 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an electrode |
-
2008
- 2008-05-30 US US12/129,784 patent/US8317806B2/en active Active
-
2009
- 2009-05-29 WO PCT/US2009/045597 patent/WO2009146402A1/en active Application Filing
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0464479A1 (en) * | 1990-07-02 | 1992-01-08 | American Cyanamid Company | Bone anchor |
US5817107A (en) * | 1995-12-28 | 1998-10-06 | Schaller; Guenter | Grasping instrument with a guided-on, attachable modified knot pusher |
WO2005018467A2 (en) * | 2003-08-20 | 2005-03-03 | Promedics Limited | Suturing device |
WO2006060405A2 (en) * | 2004-12-01 | 2006-06-08 | Gildenberg Philip L | System and method for tensioning a suture |
US20070270907A1 (en) * | 2006-05-19 | 2007-11-22 | Stokes Michael J | Suture locking device |
Cited By (17)
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US11141149B2 (en) | 2009-07-24 | 2021-10-12 | DePuy Synthes Products, Inc. | Methods and devices for repairing and anchoring damaged tissue |
US10433830B2 (en) | 2009-07-24 | 2019-10-08 | DePuy Synthes Products, Inc. | Methods and devices for repairing meniscal tissue |
US9743919B2 (en) | 2010-04-27 | 2017-08-29 | DePuy Synthes Products, Inc. | Stitch lock for attaching two or more structures |
US9173645B2 (en) | 2010-04-27 | 2015-11-03 | DePuy Synthes Products, Inc. | Anchor assembly including expandable anchor |
US9597064B2 (en) | 2010-04-27 | 2017-03-21 | DePuy Synthes Products, Inc. | Methods for approximating a tissue defect using an anchor assembly |
US9713464B2 (en) | 2010-04-27 | 2017-07-25 | DePuy Synthes Products, Inc. | Anchor assembly including expandable anchor |
US9724080B2 (en) | 2010-04-27 | 2017-08-08 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
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US11116492B2 (en) | 2010-04-27 | 2021-09-14 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
US9451938B2 (en) | 2010-04-27 | 2016-09-27 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
US10820894B2 (en) | 2010-04-27 | 2020-11-03 | DePuy Synthes Products, Inc. | Methods for approximating a tissue defect using an anchor assembly |
US10595839B2 (en) | 2010-04-27 | 2020-03-24 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
JP2014507981A (en) * | 2011-01-14 | 2014-04-03 | シンセス・ゲーエムベーハー | Insertion tool for fixed part assembly |
EP3219391A1 (en) * | 2011-01-14 | 2017-09-20 | Synthes GmbH | Insertion instrument for anchor assembly |
CN103347452A (en) * | 2011-01-14 | 2013-10-09 | 新特斯有限责任公司 | Insertion instrument for anchor assembley |
WO2012096706A1 (en) * | 2011-01-14 | 2012-07-19 | Synthes Usa, Llc | Insertion instrument for anchor assembley |
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