CA2454154A1 - Radially dilatable percutaneous access apparatus with introducer seal in handle - Google Patents

Radially dilatable percutaneous access apparatus with introducer seal in handle Download PDF

Info

Publication number
CA2454154A1
CA2454154A1 CA002454154A CA2454154A CA2454154A1 CA 2454154 A1 CA2454154 A1 CA 2454154A1 CA 002454154 A CA002454154 A CA 002454154A CA 2454154 A CA2454154 A CA 2454154A CA 2454154 A1 CA2454154 A1 CA 2454154A1
Authority
CA
Canada
Prior art keywords
access
expansion member
handle portion
delivery system
dilation assembly
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002454154A
Other languages
French (fr)
Other versions
CA2454154C (en
Inventor
Thomas Wenchell
Robert C. Smith
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CA2684439A priority Critical patent/CA2684439C/en
Publication of CA2454154A1 publication Critical patent/CA2454154A1/en
Application granted granted Critical
Publication of CA2454154C publication Critical patent/CA2454154C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3474—Insufflating needles, e.g. Veress needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/349—Trocar with thread on outside

Abstract

Access system for forming and enlarging a percutaneous penetration are disclosed. The apparatus includes a radially expandable dilation assembly having a radially expandable sleeve body and a handle portion operatively coupled to the proximal end of the radially expandable sleeve body. The acce ss system further includes an expansion assembly having an expansion member configured and adapted to radially expand the sleeve body upon insertion therein of the expandable member. The handle portion including a seal dispos ed across an aperture formed therein for creating a fluid-tight seal around a proximal end of the expansion member. The handle portion including a valve stem operatively and fluidly coupled thereto for delivering a fluid into the aperture of the handle portion. The expansion member including means for reducing the force required to slidably insert the expansion member into the sleeve body of the dilation assembly.

Claims (51)

1. A surgical access system for forming and enlarging a percutaneous penetration, the surgical access system comprising:
a radially expandable dilation assembly having a radially expandable sleeve body defining a lumen having a first cross-sectional area and a handle portion coupled to a proximal end of the sleeve body, the handle portion defining an aperture formed therein, the handle portion including an introducer seal disposed across the aperture formed in the handle portion and defining an opening formed therein;
an expansion assembly including an expansion member having an axial lumen with a second cross-sectional area, wherein the expansion member is configured and dimensioned to be selectively receivable within the aperture formed in the handle portion and the lumen of the sleeve body; and a polymeric layer encasing the sleeve body.
2. The access and delivery system according to claim 1, wherein the radially expandable dilation assembly further includes a valve stem operatively coupled to the handle portion, the valve stem defining an injection lumen extending into the aperture formed in the handle portion.
3. The access and delivery system according to claim 2, wherein the sleeve body comprises a mesh of individual non-elastic filaments, wherein radial expansion of sleeve body causes axial shortening of sleeve body.
4. The access and delivery system according to claim 3, wherein the polymeric layer includes at least one radially oriented hole formed near a distal end thereof.
5. The access and delivery system according to claim 4, wherein the handle portion of the radially expandable dilation assembly includes a seal extending across the aperture and disposed at a location proximal of the valve stem, wherein the seal forms a fluid-tight seal around the expansion member upon insertion of the expansion member into the handle portion of the dilation assembly.
6. The access and delivery system according to claim 4, wherein the polymeric layer includes a plurality of radially oriented holes formed near a distal end thereof, wherein the plurality of holes are oriented in at least one of along a single side, along diametrically opposed sides, along multiple sides and randomly dispersed around the periphery thereof.
7. The access and delivery system according to claim 1, wherein the expansion member includes at least one radially projecting element provided on an outer surface thereof, wherein the at least one radially projecting element tents the sleeve body radially outward upon insertion of expansion member through the handle portion and into the sleeve body of the dilation assembly.
8. The access and delivery system according to claim 7, wherein the at least one radially projecting element includes a plurality of longitudinal ribs extending the length of the expansion member.
9. The access and delivery system according to claim 8, wherein each of the plurality of longitudinal ribs has a cross-sectional profile selected from the group consisting of triangular, hexagonal, polygonal and hemi-spherical.
10. The access and delivery system according to claim 7, wherein the at least one radially projecting element includes a plurality of bumps projecting radially outward from an outer surface of the expansion member.
11. The access and delivery system according to claim 10, wherein each of the plurality of bumps has a cross-sectional profile selected from the group consisting of hemi-spherical, conical, pyramidal and polygonal.
12. The access and delivery system according to claim 7, wherein the at least one radially projecting element is a helical thread.
13. The access and delivery system according to claim 12, wherein the helical thread extends along the length of expansion member.
14. The access and delivery system according to claim 7, wherein the at least one radially projecting element defines a channel extending along the length of the expansion member when the expansion member is inserted in the dilation assembly.
15. The access and delivery system according to claim 14, wherein the radially expandable dilation assembly further includes a valve stem operatively coupled to the handle portion, the valve stem defining an injection lumen extending into the aperture formed in the handle portion, wherein a fluid injected into the aperture of the handle portion, through the valve stem, will be forced distally through the channel.
16. The access and delivery system according to claim 1, wherein the dilation assembly includes at least one engaging member integrally formed with the handle portion and projecting radially inward, and wherein the expansion member includes at least one corresponding engaging element formed in an outer surface thereof for co-operable engagement with a respective engaging member of the dilation assembly, wherein the at least one engaging member of the dilation assembly cooperate with the corresponding engaging element of the expansion member to axially advance the expansion member through the dilation assembly upon a rotation of the expansion member.
17. The access and delivery system according to claim 16, wherein the engaging members of the dilation assembly include at least one boss projecting radially inward from the handle portion.
18. The access and delivery system according to claiml7, wherein the engaging elements of the expansion assembly include at least one helical groove formed in an outer surface of the expansion member.
19. The access and delivery system according to claim 18, wherein at least one of the bosses includes a lumen extending from an exterior of the handle portion of the dilation assembly through to the aperture formed in the handle portion.
20. The access and delivery system according to claim 19, wherein the distal end of the lumen formed in the boss is oriented in a direction which is substantially co-linear with a pitch of a respective helical groove.
21. The access and delivery system according to claim 20, wherein the radially expandable dilation assembly further includes a valve stem operatively coupled to the handle portion and being in fluid communication with the lumen formed in the boss.
22. The access and delivery system according to claim 21, wherein the handle portion of the radially expandable dilation assembly includes a seal extending across the aperture and disposed at a location proximal of the valve stem, wherein the seal forms a fluid-tight seal around the expansion member upon insertion of the expansion member into the handle portion of the dilation assembly.
23. The access and delivery system according to claim 1, wherein the introducer seal forms a fluid-tight seal around a proximal portion of the expansion member when the expansion member is inserted through the handle portion and into the sleeve body of the dilation assembly.
24. The access and delivery system according to claim 23, wherein the introducer seal is made of a resilient polymeric material.
25. The access and delivery system according to claim 24, wherein the resilient polymeric material is polyisoprene.
26. The access and delivery system according to claim 23, wherein the introducer seal further includes a rim portion integrally formed around the periphery of the opening formed therein.
27. The access and delivery system according to claim 23, wherein the introducer seal further includes a toroidal rim integrally formed around the inner periphery of the opening formed therein.
28. The access and delivery system according to claim 23, wherein the introducer seal is provided with at least one layer of fabric.
29. The access and delivery system according to claim 28, wherein the introducer seal is provided with a layer of fabric disposed on at least one of a distal and a proximal surface thereof.
30. The access and delivery system according to claim 28, wherein the introducer seal includes at least one layer of fabric enveloped between an upper layer and a lower layer of polyisoprene.
31. The access and delivery system according to claim 28, wherein the at least one layer of fabric is spandex.
32. The access and delivery system according to claim 1, wherein the polymeric layer extends distally beyond the distal end of the sleeve body and defines a cuff seal configured and adapted to create a fluid-tight seal around the distal end of the expansion member when the expansion member extends through the dilation assembly.
33. A surgical access system for forming and enlarging a percutaneous penetration, the surgical access system comprising:
a radially expandable dilation assembly having a radially expandable sleeve body defining a lumen having a first cross-sectional area and a handle portion coupled to a proximal end of the sleeve body, the handle portion defining an aperture formed therein, and at least one engaging member integrally formed with the handle portion and projecting radially inward;
an expansion assembly including an expansion member having an axial lumen with a second cross-sectional area, wherein the expansion member is configured and dimensioned to be selectively receivable within the aperture formed in the handle portion and the lumen of the sleeve body, and at least one engaging element formed in an outer surface thereof for co-operable engagement with a respective engaging member of the dilation assembly, wherein the at least one engaging member of the dilation assembly cooperates with the corresponding engaging element of the expansion member to axially advance the expansion member through the dilation assembly upon a rotation of the expansion member; and a polymeric layer encasing the sleeve body.
34. The access and delivery system according to claim 33, wherein the engaging members of the dilation assembly include at least one boss projecting radially inward from the handle portion.
35. The access and delivery system according to claim 34, wherein the engaging elements of the expansion assembly include at least one helical groove formed in an outer surface of the expansion member.
36. The access and delivery system according to claim 35, wherein at least one of the bosses includes a lumen extending from an exterior of the handle portion of the dilation assembly through to the aperture formed in the handle portion.
37. The access and delivery system according to claim 36, wherein the distal end of the lumen formed in the boss is oriented in a direction which is substantially co-linear with a pitch of a respective helical groove.
38. The access and delivery system according to claim 37, wherein the radially expandable dilation assembly further includes a valve stem operatively coupled to the handle portion and being in fluid communication with the lumen formed in the boss.
39. The access and delivery system according to claim 38, wherein the handle portion of the radially expandable dilation assembly includes a seal extending across the aperture and disposed at a location proximal to the valve stem, wherein the seal forms a fluid-tight seal around the expansion member upon insertion of the expansion member into the handle portion of the dilation assembly.
40. A method of forming and enlarging a percutaneous penetration, the method comprising the steps of:
providing a radially expandable dilation assembly having a needle assembly removably inserted in an axial lumen thereof, the radially expandable dilation assembly having a radially expandable sleeve body defining a lumen and an introducer seal disposed across the lumen and defining an opening formed therein;
penetrating the radially expandable dilation assembly and needle assembly through tissue to a target surgical site;
withdrawing the needle assembly from the radially expandable dilation assembly;
and inserting an expansion assembly through the opening formed in the introducer seal and into the axial lumen of the radially expandable dilation assembly.
41. The method according to claim 40, wherein the radially expandable dilation assembly includes a handle assembly operatively coupled to a proximal end of the sleeve body, the handle assembly defines an aperture formed therein, and wherein the sleeve body is made up of a radially expandable tubular braid.
42. The method according to claim 41, wherein the sleeve body includes a polymeric layer encasing the tubular braid.
43. The method according to claim 42, wherein the dilation assembly includes a valve stem operatively coupled to the handle portion, the valve stem defining an injection lumen extending into the aperture formed in the handle portion.
44. The method according to claim 43, wherein the polymeric layer includes at least one radially oriented delivery hole formed therein.
45. The method according to claim 44, wherein the seal forms a fluid-tight seal around the expansion member upon insertion of the expansion member into the radially expandable dilation assembly.
46. The method according to claim 45, further including the step of injecting a fluid into the aperture of the handle portion after the expansion member is inserted into the dilation assembly, wherein the seal prevents the fluid from escaping from the proximal end of the dilation assembly and forces the fluid to flow distally through the dilation assembly.
47. The method according to claim 46, wherein the expansion member includes at least one radially projecting element provided on the outer surface thereof, wherein the at least one radially projecting element tents the sleeve body radially outward upon insertion of expansion member through the handle portion and into the sleeve body of the dilation assembly, wherein the radially projecting element defines at least one channel extending along the length of the expansion member when the expansion member is inserted in the dilation assembly, whereby the fluid flows along the at least one channel when the fluid is injected into the aperture of the handle portion.
48. The method according to claim 46, wherein the dilation assembly includes at least one engaging member integrally formed with the handle portion and projecting radially inward, and wherein the expansion member includes at least one corresponding engaging element formed in an outer surface thereof for co-operable engagement with a respective engaging member of the dilation assembly, wherein the at least one engaging member of the dilation assembly cooperates with the corresponding engaging element of the expansion member to axially advance the expansion member through the dilation assembly upon a rotation of the expansion member.
49. The method according to claim 48, wherein the engaging elements of the expansion assembly include at least one helical groove formed in an outer surface of the expansion member.
50. The method according to claim 49, further including the steps of:
coupling the engaging member of the handle portion with the helical groove of the expansion member; and rotating the expansion member relative to the dilation assembly in order to axially advance the expansion member through the dilation member.
51. The method according to claim 50, wherein the fluid is injected through at least one of the engaging members into the corresponding helical groove such that the fluid flows out the distal end of the sleeve body via the helical groove.
CA2454154A 2001-08-01 2002-07-31 Radially dilatable percutaneous access apparatus with introducer seal in handle Expired - Fee Related CA2454154C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA2684439A CA2684439C (en) 2001-08-01 2002-07-31 Radially dilatable percutaneous access apparatus with introducer seal in handle

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US30925201P 2001-08-01 2001-08-01
US60/309,252 2001-08-01
PCT/US2002/024308 WO2003011154A2 (en) 2001-08-01 2002-07-31 Radially dilatable percutaneous access apparatus with introducer seal in handle

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA2684439A Division CA2684439C (en) 2001-08-01 2002-07-31 Radially dilatable percutaneous access apparatus with introducer seal in handle

Publications (2)

Publication Number Publication Date
CA2454154A1 true CA2454154A1 (en) 2003-02-13
CA2454154C CA2454154C (en) 2010-02-09

Family

ID=23197391

Family Applications (2)

Application Number Title Priority Date Filing Date
CA2454154A Expired - Fee Related CA2454154C (en) 2001-08-01 2002-07-31 Radially dilatable percutaneous access apparatus with introducer seal in handle
CA2684439A Expired - Fee Related CA2684439C (en) 2001-08-01 2002-07-31 Radially dilatable percutaneous access apparatus with introducer seal in handle

Family Applications After (1)

Application Number Title Priority Date Filing Date
CA2684439A Expired - Fee Related CA2684439C (en) 2001-08-01 2002-07-31 Radially dilatable percutaneous access apparatus with introducer seal in handle

Country Status (8)

Country Link
US (2) US7449011B2 (en)
EP (1) EP1418850B1 (en)
JP (2) JP4279138B2 (en)
AU (2) AU2002317605B2 (en)
CA (2) CA2454154C (en)
DE (1) DE60237899D1 (en)
ES (1) ES2352422T3 (en)
WO (1) WO2003011154A2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2004234014B2 (en) * 2003-04-25 2010-01-28 Covidien Lp Surgical access apparatus

Families Citing this family (107)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE60331463D1 (en) * 2002-11-22 2010-04-08 Tyco Healthcare Medical system with pods
US8398656B2 (en) * 2003-01-30 2013-03-19 Integrated Vascular Systems, Inc. Clip applier and methods of use
US7338473B2 (en) * 2003-04-08 2008-03-04 Surgiquest, Incorporated Pneumoseal trocar arrangement
US7854724B2 (en) * 2003-04-08 2010-12-21 Surgiquest, Inc. Trocar assembly with pneumatic sealing
US7182752B2 (en) 2003-04-08 2007-02-27 Surgiquest, Incorporated Continuous gas flow trocar assembly
US7285112B2 (en) * 2003-04-08 2007-10-23 Surgiquest, Incorporated Gas flow trocar arrangement
US8012167B2 (en) 2003-08-14 2011-09-06 Loma Linda University Medical Center Vascular wound closure device and method
WO2005023132A2 (en) * 2003-09-05 2005-03-17 Buchanan L Stephen Improved obturators
US7479150B2 (en) * 2003-09-19 2009-01-20 Tyco Healthcare Group Lp Trocar insertion apparatus
US7892170B2 (en) 2003-10-17 2011-02-22 Tyco Healthcare Group Lp Surgical access device and manufacture thereof
US8241251B2 (en) * 2004-08-25 2012-08-14 Tyco Healthcare Group Lp Gel seal for a surgical trocar apparatus
US20060135981A1 (en) * 2004-09-09 2006-06-22 Jay Lenker Expandable transluminal sheath
US20060135962A1 (en) * 2004-09-09 2006-06-22 Kick George F Expandable trans-septal sheath
US8007517B2 (en) 2004-10-25 2011-08-30 Lanx, Inc. Interspinous distraction devices and associated methods of insertion
US7918875B2 (en) * 2004-10-25 2011-04-05 Lanx, Inc. Interspinous distraction devices and associated methods of insertion
US9055981B2 (en) 2004-10-25 2015-06-16 Lanx, Inc. Spinal implants and methods
US8241330B2 (en) 2007-01-11 2012-08-14 Lanx, Inc. Spinous process implants and associated methods
US7811253B2 (en) * 2004-12-09 2010-10-12 Applied Medical Resources Corporation Insufflation gas warmer and humidifier
US20060212062A1 (en) * 2005-03-16 2006-09-21 David Farascioni Radially expandable access system including trocar seal
US20060253197A1 (en) * 2005-05-09 2006-11-09 Napier Bradford Shape-memory port-access tube
US8147453B2 (en) * 2006-03-13 2012-04-03 Applied Medical Resources Corporation Balloon trocar
US7766937B2 (en) * 2006-03-13 2010-08-03 Mini-Lap Technologies, Inc. Minimally invasive surgical assembly and methods
EP1839600A1 (en) * 2006-03-30 2007-10-03 Levitronix LLC Expandable conduit-guide
EP1839601A1 (en) * 2006-03-30 2007-10-03 Levitronix LLC Self-expanding cannula
US8357085B2 (en) 2009-03-31 2013-01-22 Ethicon Endo-Surgery, Inc. Devices and methods for providing access into a body cavity
US8579807B2 (en) 2008-04-28 2013-11-12 Ethicon Endo-Surgery, Inc. Absorbing fluids in a surgical access device
US8690831B2 (en) 2008-04-25 2014-04-08 Ethicon Endo-Surgery, Inc. Gas jet fluid removal in a trocar
CA2842217C (en) * 2006-09-08 2016-09-06 Surgiquest, Incorporated Trocar assembly with pneumatic sealing
DE602006020193D1 (en) * 2006-09-08 2011-03-31 Surgiquest Inc TROCAR ASSEMBLY WITH PNEUMATIC CLOSURE
US8795223B2 (en) 2011-03-08 2014-08-05 Surgiquest, Inc. Trocar assembly with pneumatic sealing
AU2007334420B2 (en) * 2006-12-15 2013-03-14 Covidien Lp Trocar assembly with obturator design
US8337518B2 (en) 2006-12-20 2012-12-25 Onset Medical Corporation Expandable trans-septal sheath
US9265532B2 (en) 2007-01-11 2016-02-23 Lanx, Inc. Interspinous implants and methods
WO2008103305A1 (en) * 2007-02-20 2008-08-28 Tyco Healthcare Group Lp Flexible cannula with seal
WO2008103306A1 (en) 2007-02-21 2008-08-28 Tyco Healthcare Group Lp Expandable surgical portal
CA2631274A1 (en) 2007-05-18 2008-11-18 Tyco Healthcare Group Lp Flexible cannula with associated seal
US7927309B2 (en) * 2007-05-29 2011-04-19 Cordis Corporation Expandable sheath introducer
US8100929B2 (en) 2007-06-29 2012-01-24 Ethicon Endo-Surgery, Inc. Duckbill seal with fluid drainage feature
US8357123B2 (en) 2007-09-17 2013-01-22 Covidien Lp Surgical portal with gel and fabric seal assembly
US20090076465A1 (en) * 2007-09-17 2009-03-19 Tyco Healthcare Group Lp Composite seal and method for manufacturing
US8795326B2 (en) 2007-10-05 2014-08-05 Covidien Lp Expanding seal anchor for single incision surgery
US8224417B2 (en) * 2007-10-17 2012-07-17 Neuronexus Technologies, Inc. Guide tube for an implantable device system
US8337412B2 (en) * 2007-11-29 2012-12-25 Terumo Cardiovascular Systems Corporation Integral fluid regulator for endoscopic vessel dissection/harvesting device
US7976501B2 (en) 2007-12-07 2011-07-12 Ethicon Endo-Surgery, Inc. Trocar seal with reduced contact area
US7828775B2 (en) 2008-04-11 2010-11-09 Tyco Healthcare Group Lp Telescoping cannula
US11235111B2 (en) 2008-04-28 2022-02-01 Ethicon Llc Surgical access device
US8273060B2 (en) 2008-04-28 2012-09-25 Ethicon Endo-Surgery, Inc. Fluid removal in a surgical access device
US8636686B2 (en) 2008-04-28 2014-01-28 Ethicon Endo-Surgery, Inc. Surgical access device
USD700326S1 (en) 2008-04-28 2014-02-25 Ethicon Endo-Surgery, Inc. Trocar housing
US8870747B2 (en) 2008-04-28 2014-10-28 Ethicon Endo-Surgery, Inc. Scraping fluid removal in a surgical access device
US9358041B2 (en) 2008-04-28 2016-06-07 Ethicon Endo-Surgery, Llc Wicking fluid management in a surgical access device
WO2010042204A2 (en) 2008-10-10 2010-04-15 Surgiquest, Incorporated System and method for improved gas recirculation in surgical trocars with pneumatic sealing
KR20110079885A (en) 2008-10-10 2011-07-11 서지퀘스트, 인코포레이티드 Low-profile surgical access devices with anchoring
US8075528B2 (en) * 2008-10-30 2011-12-13 Ethicon Endo-Surgery, Inc. Surgical access port with flexible sealing cannula
US20100249521A1 (en) 2009-03-31 2010-09-30 Shelton Iv Frederick E Access Device Including Retractor And Insert
US8876710B2 (en) 2009-04-07 2014-11-04 Covidien Lp Surgical portal apparatus with expandable cannula
US8137267B2 (en) 2009-04-08 2012-03-20 Ethicon Endo-Surgery, Inc. Retractor with flexible sleeve
US8257251B2 (en) 2009-04-08 2012-09-04 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US8419635B2 (en) 2009-04-08 2013-04-16 Ethicon Endo-Surgery, Inc. Surgical access device having removable and replaceable components
JPWO2010126076A1 (en) * 2009-04-30 2012-11-01 マニー株式会社 Ophthalmic surgery cannula and method of manufacturing the same
US8475490B2 (en) 2009-06-05 2013-07-02 Ethicon Endo-Surgery, Inc. Methods and devices for providing access through tissue to a surgical site
US8241209B2 (en) 2009-06-05 2012-08-14 Ethicon Endo-Surgery, Inc. Active seal components
US8361109B2 (en) 2009-06-05 2013-01-29 Ethicon Endo-Surgery, Inc. Multi-planar obturator with foldable retractor
US8795163B2 (en) 2009-06-05 2014-08-05 Ethicon Endo-Surgery, Inc. Interlocking seal components
US8465422B2 (en) 2009-06-05 2013-06-18 Ethicon Endo-Surgery, Inc. Retractor with integrated wound closure
US8033995B2 (en) 2009-06-05 2011-10-11 Ethicon Endo-Surgery, Inc. Inflatable retractor with insufflation and method
US20100312189A1 (en) * 2009-06-05 2010-12-09 Ethicon Endo-Surgery, Inc. Flexible cannula devices and methods
US9078695B2 (en) 2009-06-05 2015-07-14 Ethicon Endo-Surgery, Inc. Methods and devices for accessing a body cavity using a surgical access device with modular seal components
US8568308B2 (en) * 2009-08-14 2013-10-29 Alan M. Reznik Customizable, self holding, space retracting arthroscopic/endoscopic cannula system
US9198797B2 (en) * 2009-09-22 2015-12-01 Doheny Eye Institute Adjustable cannula systems and devices
US8926508B2 (en) 2009-12-17 2015-01-06 Covidien Lp Access assembly with dual anchor and seal capabilities
US9326757B2 (en) 2009-12-31 2016-05-03 Teleflex Medical Incorporated Surgical instruments for laparoscopic aspiration and retraction
CN101966099A (en) * 2010-11-03 2011-02-09 上海理工大学 Simple single-hole surgical platform
US9179969B2 (en) * 2011-06-03 2015-11-10 Cook Medical Technologies Llc Sphincterotome orientation
WO2012170805A2 (en) * 2011-06-09 2012-12-13 Knee Creations, Llc Instruments and devices for subchondral joint repair
US11812923B2 (en) 2011-10-07 2023-11-14 Alan Villavicencio Spinal fixation device
ES2536951T3 (en) * 2011-11-02 2015-06-01 Ami Agency For Medical Innovations Gmbh Medical device for the introduction of endoscopic instruments into a body cavity
US9439653B2 (en) 2011-12-07 2016-09-13 Traumatek Solutions B.V. Devices and methods for endovascular access and therapy
US10118020B2 (en) 2011-12-07 2018-11-06 Traumatek Solutions B.V. Devices and methods for endovascular access and therapy
US20130204270A1 (en) * 2012-02-06 2013-08-08 Boston Scientific Neuromodulation Corporation Insertion assembly for an electrical stimulation system and related methods of use
US8746075B2 (en) 2012-02-16 2014-06-10 7-Sigma, Inc. Flexible electrically conductive nanotube sensor for elastomeric devices
US9357930B2 (en) * 2012-03-19 2016-06-07 Welch Allyn, Inc. Temperature measurement system
EP2695581B1 (en) 2012-08-07 2019-03-13 Critical Innovations, LLC Device for simultaneously documenting and treating tension pneumothorax and/or hemothorax
US10646690B2 (en) * 2012-11-20 2020-05-12 University Of Massachusetts Flexible surgical sheath and multi-part insertion cannula
US9498249B2 (en) * 2012-11-21 2016-11-22 P Tech, Llc Expandable access systems and methods
US11129964B2 (en) 2013-03-13 2021-09-28 The Board Of Regents Of The University Of Texas System Trapping sheaths and guide catheters
WO2014143150A1 (en) * 2013-03-14 2014-09-18 7-Sigma, Inc. Responsive device with sensors
US9408631B2 (en) * 2013-09-27 2016-08-09 Depuy Mitek, Llc Flexible cannula and obturator
US9788944B2 (en) * 2013-10-21 2017-10-17 St. Jude Medical, Cardiology Division, Inc. Transcatheter valve implantation access sheaths
US10046147B2 (en) 2013-12-26 2018-08-14 Critical Innovations, LLC Percutaneous access pathway system and method
JP2017515593A (en) * 2014-05-13 2017-06-15 ビコール メディカル，インコーポレイティド Guide system attachment for a surgical introducer
US9999542B2 (en) 2014-07-16 2018-06-19 Doheny Eye Institute Systems, methods, and devices for cannula insertion
EP3313289B1 (en) 2015-06-23 2021-03-17 Traumatek Solutions B.V. Vessel cannulation device
US10010344B2 (en) * 2015-07-13 2018-07-03 Dennis L Steffen Self-dilating catheter introducer with obturator and method of use
US10940060B2 (en) * 2016-01-04 2021-03-09 Brownmed, Inc. Seal ring cast protector
WO2017120313A1 (en) * 2016-01-06 2017-07-13 Boston Scientific Scimed, Inc. Percutaneous access device
US20170265736A1 (en) * 2016-03-18 2017-09-21 James K. Brannon Biflow spinal cannula
US10376258B2 (en) 2016-11-07 2019-08-13 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
US10543016B2 (en) 2016-11-07 2020-01-28 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
US10874426B2 (en) 2017-02-10 2020-12-29 Covidien Lp Seal assembly with integral filter and evacuation port
US10987128B2 (en) 2017-03-22 2021-04-27 Covidien Lp Cannula assembly
US10814119B2 (en) 2017-09-22 2020-10-27 Critical Innovations, LLC Percutaneous access pathway system
US11576560B2 (en) * 2017-10-19 2023-02-14 Ottek Ltd. Hollow probe with sleeve
US20210169522A1 (en) * 2017-12-13 2021-06-10 Conmed Corporation Hip access portal saver
DE102018218429A1 (en) 2018-10-29 2020-04-30 Heraeus Medical Gmbh Device for the temporary, local application of fluids
US11357542B2 (en) 2019-06-21 2022-06-14 Covidien Lp Valve assembly and retainer for surgical access assembly
EP4106608A1 (en) * 2020-02-18 2022-12-28 Boston Scientific Scimed, Inc. Instrument accessory

Family Cites Families (121)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US668879A (en) 1900-07-19 1901-02-26 Wilber L Miller Vein-dilator for embalmers' use.
US1213001A (en) 1916-05-02 1917-01-16 Ralph S Philips Therapeutic apparatus.
US1248492A (en) 1917-04-10 1917-12-04 A D Haskell Paracentesis needle or trocar.
US2548602A (en) 1948-04-09 1951-04-10 Greenburg Leonard Inflatable dilator
US3509883A (en) 1967-11-29 1970-05-05 Gen Electric Expanding cannula
US3545443A (en) 1968-09-26 1970-12-08 Amir H Ansari Suprapubic cystostomy needle
US3742958A (en) 1971-04-21 1973-07-03 C Rundles Suprapubic catheter inserter
US3788318A (en) 1972-06-12 1974-01-29 S Kim Expandable cannular, especially for medical purposes
US3789852A (en) 1972-06-12 1974-02-05 S Kim Expandable trochar, especially for medical purposes
GB1443828A (en) 1973-05-14 1976-07-28 Greenhalgh R M Catheters
JPS5239596B2 (en) 1974-04-04 1977-10-06
US4141364A (en) 1977-03-18 1979-02-27 Jorge Schultze Expandable endotracheal or urethral tube
US4411655A (en) 1981-11-30 1983-10-25 Schreck David M Apparatus and method for percutaneous catheterization
SE445884B (en) 1982-04-30 1986-07-28 Medinvent Sa DEVICE FOR IMPLANTATION OF A RODFORM PROTECTION
US4447237A (en) 1982-05-07 1984-05-08 Dow Corning Corporation Valving slit construction and cooperating assembly for penetrating the same
US4479497A (en) 1982-11-12 1984-10-30 Thomas J. Fogarty Double lumen dilatation catheter
US4610688A (en) 1983-04-04 1986-09-09 Pfizer Hospital Products Group, Inc. Triaxially-braided fabric prosthesis
US4753636A (en) 1983-08-02 1988-06-28 Endocon, Inc. Subcutaneous implant kit
US4774091A (en) 1983-10-14 1988-09-27 Sumitomo Pharmaceuticals Company, Ltd. Long-term sustained-release preparation
US4581025A (en) 1983-11-14 1986-04-08 Cook Incorporated Sheath
US4589868A (en) 1984-03-12 1986-05-20 Dretler Stephen P Expandable dilator-catheter
GB8424436D0 (en) 1984-09-27 1984-10-31 Pratt Int Ltd Burnerd Surgical appliance
GB8513702D0 (en) 1985-05-30 1985-07-03 Gill S S Expansible trocar
US4738666A (en) 1985-06-11 1988-04-19 Genus Catheter Technologies, Inc. Variable diameter catheter
US4710181A (en) 1985-06-11 1987-12-01 Genus Catheter Technologies, Inc. Variable diameter catheter
US4601713A (en) 1985-06-11 1986-07-22 Genus Catheter Technologies, Inc. Variable diameter catheter
US4650466A (en) 1985-11-01 1987-03-17 Angiobrade Partners Angioplasty device
US4733665C2 (en) 1985-11-07 2002-01-29 Expandable Grafts Partnership Expandable intraluminal graft and method and apparatus for implanting an expandable intraluminal graft
GB2199247B (en) 1986-11-29 1990-06-20 Femcare Ltd Improvements in or relating to subcutaneous implantation equipment
DE3641285A1 (en) * 1986-12-03 1988-06-09 Schott Glaswerke METHOD FOR MEASURING (ALPHA) AND SS RAYS OF LOW INTENSITY
US4762128A (en) * 1986-12-09 1988-08-09 Advanced Surgical Intervention, Inc. Method and apparatus for treating hypertrophy of the prostate gland
JPS63158064A (en) 1986-12-23 1988-07-01 テルモ株式会社 Blood vessel dilating catheter
US4772266A (en) 1987-05-04 1988-09-20 Catheter Technology Corp. Catheter dilator/sheath assembly and method
US4798193A (en) 1987-05-18 1989-01-17 Thomas J. Fogarty Protective sheath instrument carrier
GB2205751A (en) 1987-06-04 1988-12-21 Femcare Ltd Insertion of catheters
US4865593A (en) 1987-06-25 1989-09-12 Sherwood Medical Company Splittable cannula
DE3802158A1 (en) 1987-08-11 1989-02-23 Hoechst Ag DEVICE FOR APPLICATION OF IMPLANTS
US4921479A (en) 1987-10-02 1990-05-01 Joseph Grayzel Catheter sheath with longitudinal seam
US5487739A (en) 1987-11-17 1996-01-30 Brown University Research Foundation Implantable therapy systems and methods
US4869717A (en) 1988-04-25 1989-09-26 Adair Edwin Lloyd Gas insufflation needle with instrument port
US4896669A (en) 1988-08-31 1990-01-30 Meadox Medicals, Inc. Dilatation catheter
US4846791A (en) 1988-09-02 1989-07-11 Advanced Medical Technology & Development Corp. Multi-lumen catheter
US5484442A (en) 1988-10-24 1996-01-16 Cook Incorporated Intraosseous needle
US5601559A (en) 1988-10-24 1997-02-11 Cook Incorporated Intraosseous needle
US4972827A (en) 1989-02-06 1990-11-27 Fuji Photo Optical Co., Ltd. Guide device for percutaneous insertion of endoscope
US5234425A (en) 1989-03-03 1993-08-10 Thomas J. Fogarty Variable diameter sheath method and apparatus for use in body passages
EP0385920A3 (en) 1989-03-03 1991-10-09 Thomas J. Fogarty Variable diameter sheath apparatus for use in body passages
US5112304A (en) 1989-03-17 1992-05-12 Angeion Corporation Balloon catheter
US5116318A (en) 1989-06-06 1992-05-26 Cordis Corporation Dilatation balloon within an elastic sleeve
US5100388A (en) 1989-09-15 1992-03-31 Interventional Thermodynamics, Inc. Method and device for thermal ablation of hollow body organs
US5045056A (en) 1989-09-15 1991-09-03 Behl Robert S Method and device for thermal ablation of hollow body organs
US5222938A (en) 1989-09-15 1993-06-29 Interventional Thermodynamics, Inc. Method for thermal ablation of hollow body organs
US4986830A (en) 1989-09-22 1991-01-22 Schneider (U.S.A.) Inc. Valvuloplasty catheter with balloon which remains stable during inflation
US5122122A (en) 1989-11-22 1992-06-16 Dexide, Incorporated Locking trocar sleeve
GB2240718A (en) 1990-02-09 1991-08-14 Hundon Forge Ltd Implanting device with needle cover
GB2240926A (en) 1990-02-14 1991-08-21 Steven Streatfield Gill An expansible cannula
US5078736A (en) 1990-05-04 1992-01-07 Interventional Thermodynamics, Inc. Method and apparatus for maintaining patency in the body passages
US5201756A (en) 1990-06-20 1993-04-13 Danforth Biomedical, Inc. Radially-expandable tubular elements for use in the construction of medical devices
US5188602A (en) 1990-07-12 1993-02-23 Interventional Thermodynamics, Inc. Method and device for delivering heat to hollow body organs
US5250025A (en) 1990-08-15 1993-10-05 Intramed Laboratories Percutaneous access catheter and method of use
US5391183A (en) 1990-09-21 1995-02-21 Datascope Investment Corp Device and method sealing puncture wounds
US5222971A (en) 1990-10-09 1993-06-29 Scimed Life Systems, Inc. Temporary stent and methods for use and manufacture
CA2096651A1 (en) 1990-11-20 1992-05-21 Robert S. Behl Tension guide and dilator
US6325789B1 (en) 1990-12-27 2001-12-04 Datascope Investment Corporation Device and method for sealing puncture wounds
US5104382A (en) 1991-01-15 1992-04-14 Ethicon, Inc. Trocar
US5158545A (en) 1991-05-02 1992-10-27 Brigham And Women's Hospital Diameter expansion cannula
US5542928A (en) 1991-05-17 1996-08-06 Innerdyne, Inc. Method and device for thermal ablation having improved heat transfer
US5183464A (en) 1991-05-17 1993-02-02 Interventional Thermodynamics, Inc. Radially expandable dilator
EP0766533A1 (en) 1991-05-17 1997-04-09 InnerDyne, Inc. Method and device for thermal ablation
WO1992020400A1 (en) 1991-05-24 1992-11-26 Sumitomo Pharmaceuticals Company, Limited Instrument for applying pharmaceutical to inside of brain
US5290276A (en) 1992-02-06 1994-03-01 Sewell Jr Frank Rotatable laparoscopic puncturing instrument
US5246424A (en) 1992-03-13 1993-09-21 Wilk Peter J Device and method for use in obtaining access to an internal body organ
US5403278A (en) 1992-04-15 1995-04-04 Datascope Investment Corp. Device and method for treating hematomas and false aneurysms
US5250033A (en) 1992-10-28 1993-10-05 Interventional Thermodynamics, Inc. Peel-away introducer sheath having proximal fitting
US5316360A (en) 1993-01-05 1994-05-31 Feikema Orville A Automobile sun visor
US5527276A (en) 1993-01-12 1996-06-18 Arthroscopic Assistants, Inc. Flexible inflow/outflow cannula
US5320611A (en) 1993-02-04 1994-06-14 Peter M. Bonutti Expandable cannula having longitudinal wire and method of use
US5961499A (en) 1993-02-04 1999-10-05 Peter M. Bonutti Expandable cannula
US5674240A (en) 1993-02-04 1997-10-07 Peter M. Bonutti Expandable cannula
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
US5437644A (en) 1993-05-26 1995-08-01 Visioneering, Inc. Method and apparatus for replacing a cannula
US5304119A (en) 1993-06-24 1994-04-19 Monsanto Company Instrument for injecting implants through animal hide
US5453094A (en) 1993-09-17 1995-09-26 Minnesota Mining And Manufacturing Company Kit assembly for use during a laparoscopic surgical procedure
US5392766A (en) 1993-10-06 1995-02-28 Innerdyne Medical, Inc. System and method for cleaning viewing scope lenses
US5797886A (en) * 1994-02-18 1998-08-25 Merit Medical Systems, Inc. Catheter apparatus with means for subcutaneous delivery of anesthetic agent or other fluid medicament
US5407430A (en) 1994-03-21 1995-04-18 Peters; Michael J. Intravenous catheter
US5484403A (en) 1994-04-05 1996-01-16 Avid Marketing, Inc. Hypodermic syringe for implanting solid objects
US5454790A (en) * 1994-05-09 1995-10-03 Innerdyne, Inc. Method and apparatus for catheterization access
US5540658A (en) 1994-06-27 1996-07-30 Innerdyne, Inc. Transcervical uterine access and sealing device
US6162236A (en) * 1994-07-11 2000-12-19 Terumo Kabushiki Kaisha Trocar needle and expandable trocar tube
US5460170A (en) 1994-08-23 1995-10-24 Hammerslag; Julius G. Adjustable surgical retractor
US5601591A (en) * 1994-09-23 1997-02-11 Vidamed, Inc. Stent for use in prostatic urethra, apparatus and placement device for same and method
US5662614A (en) 1995-05-09 1997-09-02 Edoga; John K. Balloon expandable universal access sheath
AT824U1 (en) 1995-08-23 1996-06-25 Golser Karl Dr WORKING CANNULAS FOR ARTHROSCOPY
CA2184958A1 (en) 1995-09-22 1997-03-23 John S. Gentelia Improved trocar-cannulla device
US5746720A (en) 1995-10-18 1998-05-05 Stouder, Jr.; Albert E. Method and apparatus for insertion of a cannula and trocar
US5843050A (en) 1995-11-13 1998-12-01 Micro Therapeutics, Inc. Microcatheter
US5971960A (en) 1996-03-12 1999-10-26 Heartport, Inc. Trocar with expandable members for retaining the trocar
US5713867A (en) 1996-04-29 1998-02-03 Medtronic, Inc. Introducer system having kink resistant splittable sheath
US5827319A (en) * 1996-05-20 1998-10-27 Innerdyne, Inc. Radially expandable access system having disposable and reusable components
US5882345A (en) 1996-05-22 1999-03-16 Yoon; Inbae Expandable endoscopic portal
US5782811A (en) * 1996-05-30 1998-07-21 Target Therapeutics, Inc. Kink-resistant braided catheter with distal side holes
US5827227A (en) * 1996-07-17 1998-10-27 Delago; Augustin J. Catheter having a radially adjustable sheath
AU5000297A (en) * 1996-11-04 1998-05-29 Sherwood Medical Company Coated radially expandable dilator for use with gastrointestinal-type tubes
US5944691A (en) 1996-11-04 1999-08-31 Cordis Corporation Catheter having an expandable shaft
US5873854A (en) 1996-12-23 1999-02-23 Datascope Investment Corp. Method for percutaneous insertion of catheters
US5902282A (en) 1996-12-26 1999-05-11 Johnson & Johnson Medical, Inc. Step-down catheter
DE19701546C1 (en) * 1997-01-17 1998-05-14 Rolf Dr Med Zumschlinge Puncture set as used in medical practice
US5836913A (en) 1997-05-02 1998-11-17 Innerdyne, Inc. Device and method for accessing a body cavity
US6030364A (en) * 1997-10-03 2000-02-29 Boston Scientific Corporation Apparatus and method for percutaneous placement of gastro-intestinal tubes
US6095967A (en) * 1998-03-25 2000-08-01 Manan Medical Products, Inc. Isotope seeding system that releases radioactive seeds for treatment of cancerous cells
DE19814576C2 (en) * 1998-04-01 2000-06-08 Siegfried Riek Used as an instrument channel for minimally invasive surgery
US6283950B1 (en) * 1998-06-11 2001-09-04 Angiodynamics, Inc. Occluding wire assembly
US6063060A (en) * 1998-06-15 2000-05-16 Moenning; Stephen P. Minimally invasive medical apparatus for dispensing a biologically active compound and an associated medical procedure for dispensing a biologically active compound
US6245052B1 (en) * 1998-07-08 2001-06-12 Innerdyne, Inc. Methods, systems, and kits for implanting articles
US5916145A (en) * 1998-08-07 1999-06-29 Scimed Life Systems, Inc. Device and method of using a surgical assembly with mesh sheath
US6033420A (en) 1998-09-02 2000-03-07 Embol-X, Inc. Trocar introducer system and methods of use
US5957902A (en) * 1998-09-28 1999-09-28 Teves; Leonides Y. Surgical tool for enlarging puncture opening made by trocar
US6210376B1 (en) * 1999-04-08 2001-04-03 New York University Cannulated delivery pin
JP2001112770A (en) * 1999-10-18 2001-04-24 Olympus Optical Co Ltd Trocar outer tube

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2004234014B2 (en) * 2003-04-25 2010-01-28 Covidien Lp Surgical access apparatus
AU2004234014C1 (en) * 2003-04-25 2010-09-16 Covidien Lp Surgical access apparatus

Also Published As

Publication number Publication date
EP1418850A2 (en) 2004-05-19
ES2352422T3 (en) 2011-02-18
JP2004536658A (en) 2004-12-09
DE60237899D1 (en) 2010-11-18
CA2684439A1 (en) 2003-02-13
CA2454154C (en) 2010-02-09
JP2009018175A (en) 2009-01-29
AU2008261145A1 (en) 2009-01-22
JP4279138B2 (en) 2009-06-17
WO2003011154A2 (en) 2003-02-13
US20090287147A1 (en) 2009-11-19
US8591466B2 (en) 2013-11-26
EP1418850B1 (en) 2010-10-06
US20040199121A1 (en) 2004-10-07
WO2003011154A3 (en) 2003-05-22
CA2684439C (en) 2013-03-26
US7449011B2 (en) 2008-11-11
AU2002317605B2 (en) 2008-09-25
AU2008261145B2 (en) 2011-04-28

Similar Documents

Publication Publication Date Title
CA2454154A1 (en) Radially dilatable percutaneous access apparatus with introducer seal in handle
DE4401227C2 (en) Endoprosthesis implantable percutaneously in a patient's body
JP2004536658A5 (en)
DE602004011905T2 (en) HARDENING TUBE AND RELATED METHODS
US5672158A (en) Catheter introducer
DE69433354T2 (en) TROCAR SYSTEM WITH EXPANDABLE ELEMENT
US5041093A (en) Catheter with foraminous anchor
DE69935875T2 (en) Perfusion catheter with flow blocking
EP0442072B1 (en) Connector for medical conduits
US5207644A (en) Device with implantable infusion chamber and a catheter extending therefrom
US20020010427A1 (en) Endoscopic infusion needle having dual distal stops
US20050015107A1 (en) Anchored PTCA balloon
US20070161956A1 (en) Catheter introducer system
DE69932616T2 (en) MEDICAL DEVICE WITH ELASTOMERBALG
AU2002317605A1 (en) Radially dilatable percutaneous access apparatus with introducer seal in handle
EP1407727A1 (en) Subcutaneous, intra-muscular coupling for a rigid transcutaneous implant
DE69630397T2 (en) DEVICE FOR SELECTIVELY DELIVERING A LIQUID IN A BODY LUMEN
DE3834600C1 (en) Puncturing and introduction device for elongate articles
DE3837779C2 (en)
EP0824929B1 (en) Percutaneous eneteral feeding catheter
WO1993013822A1 (en) Catheter introducer
WO2001089398A1 (en) Reliable surgical access cannula system and related methods
WO2004000410A1 (en) Dilator
EP2589349B1 (en) Medical device for inserting endoscopic instruments into a bodily cavity
AT404426B (en) TOUCH PROTECTION FOR THE NEUTRAL ELECTRODE HF SURGICAL DEVICES

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20160801

MKLA Lapsed

Effective date: 20160801