|Publication number||US3726279 A|
|Publication date||10 Apr 1973|
|Filing date||8 Oct 1970|
|Priority date||8 Oct 1970|
|Publication number||US 3726279 A, US 3726279A, US-A-3726279, US3726279 A, US3726279A|
|Inventors||C Barefoot, B Williams|
|Original Assignee||Carolina Medical Electronics I|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (6), Non-Patent Citations (2), Referenced by (169), Classifications (8)|
|External Links: USPTO, USPTO Assignment, Espacenet|
1451 Apr. 10, 1973 United States Patent 1191 Barefoot et al.
[ HEMOSTATIC VASCULAR CUFF  Inventors: Charles A. Barefoot OTHER PUBLICATIONS In Vivo Metric Systems Bulletin, March 1968-2 sheets of Bulletin ,Winston-Salem, NC; Bryn T. Williams, Birmingh mtEng anq Kolin-Review of Scientific Instr. v01. 23, No. 5 M
k C .m m T LV. um m0 mm CKMm 21 Appl. No.: 79,115
[ ABSTRACT A hemostatic vascular cuff for controllin 128/327 g hemorrhage ..--....--.A6lb 17/ 12 to induce tissue healing and reinforcing vessel walls /32 2 32 embodying preferably an open section and resilient 303 A annulus which is non-reactive to biological tissues.
The cuff can be constructed to encircle and remain  Int.  Field of 128/337, 334 C,
secured to blood vessels and organs during expansion and contraction and yet continually exert gentle pressure thereagainst. The cuff may be provided with an S m MM CS w m we s H N U m B.
inner antiskid surface for contact with slippery vessel or organ walls and may be further secured about the vessel or organ by connecting the free ends of the annulus with dissolvable sutures or other suitable means.
5567 2222 MMBBBB 33 3 WHOM]! 22 H u n S m mr .m e w ek M088 RES 9670 64674 99999 nwwuw 533 70 9207 2 1 1 556988 539435 1. 3335 332332 3 Claims, 10 Drawing Figures PATHEHS L $726,279
INVENTOR CHARLES A.BAREFO0T BRYN T. WILLIAMS HEMOSTATIC VASCULAR CUFF BACKGROUND, BRIEF SUMMARY AND OBJECTIVES OF THE INVENTION very difficult to control particularly since the stitches along the suture line tend to pucker and thus gap open and permit blood seepage.
It is oftentimes desirable to reinforce vessel walls along an old closed suture line or when the vessel tissue is weak. Failure to take such precautions can result in subsequent vessel rupture.
Conventional techniques to control the numerous jets and seepage of blood passing between and about sutures include placement of packing or direct digital pressure until clotting occurs. This, of course, increases operative time and blood loss in high-risk patients. Additionally, subsequent hemorrhage may occur from such areas.
The present invention is a hemostatic vascular cuff formed of a resilient material which is non-reactive with and non-disruptive to biological tissues and which is positioned to encircle the anastomosis temporarily or permanently in such a way as to control the suture line blood seepage problem.
The cuff consists preferably of an open section annulus having a body portion constructed preferably, but not necessarily, of silicone rubber, a good material because of its non-reactivity. Resilience may be induced by a semi-rigid core within the silicone rubber body portion. The ends of the open cuff may be slightly everted and joined by sutures if more retentive characteristics are necessary. This design feature also relieves the high local pressures which may be exerted on the vessel walls by straight-cut ends. The inner surfaceof the cuff may be provided with slippage resistant means such as Dacron fabric which provides an antiskid surface for contact with vessel or organ walls.
Other cuff designs include a convoluted embodiment capable of completely encircling the vessel without additional securing means, a substantially flat embodiment especially suited for longitudinal vascular sutures and a substantially linear embodiment suited to be wrapped and secured about a vessel.
The cuff may be used on a variety of vessel or organ suture lines, and its natural resilience allows it to expand and contract with the pulsations of the vessel or organ which it encircles while still providing constant pressure on the suture line. This resilience also permits the cuff to remain in position for long periods of time without erosion of the vessel wall as might otherwise occur if a more rigid device were used. Extra pressure maybe temporarily achieved by tightening the cuff using sutures or other equally acceptable means. The duration of increased pressure may be limited by using absorbable sutures or cuff material.
It is therefore an object of the present invention to provide a hemostatic vascular cuff for preventing or controlling bleeding about vascular suture lines.
Another object of the present invention is to provide a vascular cuff of the type described which is designed for short-term or long-term implantation within a patient and as an acute operative device.
Yet another object of the present invention is to provide a vascular cuff of the type described which is designed to encircle a vessel or organ and exert constant pressure to control vessel hemorrhage.
Yet still another object of the present invention is to provide a cuff of the type described having antislippage means included along its inner, vessel-engaging surface.
A further object of the present invention is to provide a cuff of the type described which can function to reinforce previously sutured or weakened vessel walls.
Yet still another object of the present invention is to provide a cuff of the type described which may be made to conform to suture lines where bleeding is to be controlled.
These and other objects of the present invention will become more apparent after a consideration of the following detailed specification taken in conjunction with the accompanying drawings wherein like characters of reference designate like parts throughout the several views.
FIGURE DESCRIPTION FIG. I is a perspective view of the hemostatic vascular cuff embodying the present invention showing the annulus and its interior slippage resistant surface.
FIG. 2 is a perspective view of the hemostatic vascular cuff embodying the present invention in position on a vessel suture line.
FIG. 3 is a perspective view of an alternative embodiment of the cuff constituting the present invention utilizing an external sleeve movable over a resilient annular core.
FIG. 4 is a perspective view of another embodiment of the cuff comprising the present invention suitably shaped to partially encircle a vessel for those applications wherecircumferential encirclement is not desired.
FIG. 5 is a perspective view of yet another embodiment of the cuff comprising the present invention having pronounced everted annular ends adapted for securement by sutures or other suitable means.
FIG. 6 is a perspective view of yet still another embodiment of the cuff comprising the present invention which has a spiral configuration adaptable for positioning on oblique vessel suture lines.
FIG. 7 is a plan view of the cuff illustrated in FIG. 1 showing the positioning of the inner slippage resistant material.
FIG. 8 is an enlarged plan and fragmentary view of an antiskid material such as Dacron mesh material which can be joined to the inner surface of the annulus.
FIG. 9 is a plan view of a convoluted embodiment of the cuff comprising the present invention which completely encircles the vessel.
FIG. 10 is a perspective view of another embodiment of the cuff comprising the present invention which is particularly adapted for use with longitudinal vascular sutures.
DETAILED DESCRIPTION OF THE DISCLOSURE Referring now to the drawings and particularly to FIG. 1, the hemostatic cuff comprising the present invention is shown generally as It) and is fabricated in preferred form from an open section annulus 12 having a body portion formed from a material which is nonreactive to biological tissues such as silicone rubber. The annulus 12 may be held to a generally circular configuration by a core 14 preferably formed within the body portion and from a resilient material such a nylon or polypropolene. The annulus formed is thus suitable to encircle and remain secured to blood vessels and organs since the resilience achieved from the core 14 or by utilizing the natural properties of the rubber generally permits the expansion and contraction caused by pulsations of the encircled vessel or organ while still providing a constant and gentle pressure thereagainst.
Because the arterial and vessel walls are slippery, it is sometimes advantageous to provide the inner surface 16 of the body portion of the annulus 12 with some means to resist slippage once the cuff is positioned for use. A lining 18 of an antiskid material such as Dacron mesh (FIG. 8) may be used to enhance the frictional characteristics of the cuff. Certainly a number of other materials such as Teflon, silicone or the like can be used as an interface to regulate and maintain the cuffs position, and it is possible to corrugate or groove the inner face of the annulus body portion to overcome slippage without using a separate lining.
the annulus 12 may be formed with slightly everted ends 20 and 22 which may be contiguous with each other when the cuff is positioned about a vessel or organ. These ends may be used to hold sutures that further contain or regulate pressure of the cuff about the vessel wall, and this design feature is effective to relieve the high local pressures which may be exerted on the vessel wall by cuffs having straight-cut ends. A more pronounced illustration of this design is shown in FIG. 5 wherein the everted ends 24 and 26 may be held together by sutures 27, medical adhesives or other suitable means. Additionally, suturing eyelets 28 can be provided for chronic applications.
A very successful construction is achieved by placing a polypropolene pre-shaped resilient core between two layers of Dacron mesh sleeving and filling the remaining air space inside the sleeving with silicone rubber. The outside of the core and sleeving is then covered and shaped with additional silicone rubber. Obviously the cuff normally has a substantially circular configuration, but as the application requires, it can be shaped ovally, spirally, angularly or substantially linearly as desired. FIGS. 4, 6 and 7 illustrate various configurations attainable with the present inventive concept.
Another variation of cuff design is shown in FIG. 3 wherein a resiliently shaped core 30 is covered by flexible tubing 32 in such a way that the tubing will be movable to close the open section of the core and form a completely closed circular cuff. This embodiment obviously eliminates the need of any suture or other endsecuring means to regulate the attachment and pressure of the cuff about the vessel.
A further variation in cuff design is shown in FIG. 9 wherein a convoluted and tapering body portion 34 permits a total encirclement of a vessel without the need for additional means to secure the ends 36 and 38 of the cuff together. The natural characteristics of the silicon rubber can be used in this embodiment by heat treatment to maintain the cuff in a vessel-encircling configuration.
One additional design variation is shown in FIG. 10 wherein a cuff having substantially flat portions 40 and terminal vessel-encircling portion 42 has been particularly fabricated for use along longitudinal vascular sutures. In many instances, vascular surgery is required to remove clots or other foreign bodies, and the most convenient incision in those instances is one made parallel to the axis of the vessel. This cuff design is very well suited to control hemorrhage and reinforce the vessel wall along the suture line of such incisions.
Other areas of application for this invention include reinforcing the walls of diseased or damaged vessels with appropriate cuff designs, fabricating the cuffs from radio opaque materials to permit X-rays to be made, and premedicating the cuffs with antibiotics, anticoagulants or other medications which expedite the healing process.
Because of the importance of the present invention in preventing continued bleeding from vascular suture lines, laboratory results have indicated that it is acceptable for long-term implantation and perhaps permanent securement about the damaged vessel. A spongy sheet of tissue forms around the cuff, and no deleterious effects have been observed from long-term implantation experiments.
Several embodiments of a hemostatic vascular cuff have been described in detail, and it is obvious that the many designs of suitable cuffs could be built of varying sizes depending upon the requirements of a particular application. Materials having varying degrees of resiliency and texture can be used interchangeably in the present inventive concept, and sheets or tubes of suitable material could be provided at the time of surgery so that a cuff of sufficient size and shape would be available when needed. Such changes in design and materials in the construction of the cuffs disclosed are contemplated and are considered to be within the claimed inventive concept.
1. A hemostatic vascular cuff for reinforcing the sutured junction line of the two free abutting ends of a severed blood vessel and controlling hemorrhage to induce coactive tissue healing therealong comprising: an annulus having an annularly shaped substantially flat core of semi rigid material, and a body portion of softer, resilient material enveloping said core, said body portion adapted to contiguously and at least partially encircle the sutured junction line of the two vessel abutting ends and said core also having resilient properties which permit expansion and contraction of said core and said enveloping body portion while exerting constant and uniform pressure along the junction line as the vessel pulsates without damage to the vessel wall; and means integrally associated with the vessel contacting portion of said annulus body portion to resist slippage thereof along the exterior surface of the sutured vessel abutting ends, said annulus body portion having a substantially uniform and linear width sufficient to cover completely the width of the encircled sutured junction line and thereby discouraging hemorrhaging there-along.
2. The hemostatic vascular cuff as claimed in claim 1 wherein said core and said body portion are movable relative each to the other so that said body portion and said core completely encircle the sutured junction line.
3. The hemostatic vascular cuff as claimed in claim 1 wherein said core is formed of nylon and said body portion is formed of silicone rubber.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US2258720 *||30 Dec 1938||14 Oct 1941||Saighman Edward S||Tourniquet|
|US2396203 *||31 Mar 1944||5 Mar 1946||Robinson David S||Gum clamp|
|US3155095 *||7 Feb 1961||3 Nov 1964||Brown Adolph M||Anastomosis method and means|
|US3349771 *||29 Dec 1964||31 Oct 1967||Samuel Baer||Nasal clamp|
|US3435823 *||11 Apr 1966||1 Apr 1969||Edwards Miles Lowell||Anastomotic coupling with anti-pulse ring means|
|US3538917 *||12 Apr 1968||10 Nov 1970||Robert G Selker||Balloon occlusion clip|
|1||*||In Vivo Metric Systems Bulletin, March 1968 2 sheets of Bulletin|
|2||*||Kolin Review of Scientific Instr. Vol. 23, No. 5 May 1952, pp. 235 242.|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3878849 *||17 Dec 1973||22 Apr 1975||Clara L Muller||Surgical tube supporter|
|US4485814 *||5 Sep 1979||4 Dec 1984||Yoon In B||One-piece compound elastic occluding member|
|US4794927 *||21 Oct 1985||3 Jan 1989||Inbae Yoon||Elastic ligating ring clip|
|US4904254 *||13 Jul 1987||27 Feb 1990||Vaso Products Australia Pty. Limited||Correction of incompetent venous valves|
|US4950276 *||10 Oct 1989||21 Aug 1990||Vince Dennis J||Prosthesis for banding of an artery capable of dilation by a balloon dilator|
|US5147389 *||8 Nov 1991||15 Sep 1992||Vaso Products Australia Pty Limited||Correction of incompetent venous valves|
|US5443483 *||20 Apr 1994||22 Aug 1995||Axel Kirsch||Appliance for accelerating the healing of a bone surgery site|
|US5584879 *||27 Jul 1995||17 Dec 1996||Brigham & Women's Hospital||Aortic valve supporting device|
|US5843170 *||24 Apr 1997||1 Dec 1998||Ahn; Sam Seunghae||Apparatus and method for performing aneurysm repair|
|US6030394 *||26 Feb 1998||29 Feb 2000||Applied Medical Resources Corporation||Vessel loop with traction-enhancing surface|
|US6197050 *||14 Sep 1998||6 Mar 2001||Heartstent Corporation||Transmyocardial implant with compliance collar|
|US6511506 *||1 Jun 2001||28 Jan 2003||B. Braun Celsa||Medical set for intervention on an anatomical duct, sealing ring pertaining to said set and use of said ring|
|US6579304||4 Sep 1997||17 Jun 2003||Applied Medical Resources Corporation||Surgical clamp with improved traction|
|US6648911||20 Nov 2000||18 Nov 2003||Avantec Vascular Corporation||Method and device for the treatment of vulnerable tissue site|
|US6986751||31 Oct 2003||17 Jan 2006||Cabg Medical, Inc.||Grafted network incorporating a multiple channel fluid flow connector|
|US6991615||2 Aug 2004||31 Jan 2006||Cabg Medical, Inc.||Grafted network incorporating a multiple channel fluid flow connector|
|US6994722 *||3 Jul 2001||7 Feb 2006||Scimed Life Systems, Inc.||Implant having improved fixation to a body lumen and method for implanting the same|
|US7011643||5 Aug 2003||14 Mar 2006||Cabg Medical, Inc.||Grafted network incorporating a multiple channel fluid flow connector|
|US7056550||7 Aug 2003||6 Jun 2006||Ethicon, Inc. - Usa||Medical devices, drug coatings and methods for maintaining the drug coatings thereon|
|US7108701||21 Oct 2002||19 Sep 2006||Ethicon, Inc.||Drug releasing anastomosis devices and methods for treating anastomotic sites|
|US7500944 *||19 Dec 2003||10 Mar 2009||Ethicon Endo-Surgery, Inc.||Implantable band with attachment mechanism|
|US7608104||25 Oct 2004||27 Oct 2009||Archus Orthopedics, Inc.||Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces|
|US7635365 *||27 Aug 2004||22 Dec 2009||Ellis Thomas J||Bone plates|
|US7674293||2 Mar 2005||9 Mar 2010||Facet Solutions, Inc.||Crossbar spinal prosthesis having a modular design and related implantation methods|
|US7691145||25 Oct 2004||6 Apr 2010||Facet Solutions, Inc.||Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces|
|US7695501||16 Jun 2006||13 Apr 2010||Ellis Thomas J||Bone fixation system|
|US7776082 *||28 Feb 2003||17 Aug 2010||Valcor Ltd.||Method and extravenous corrector for simultaneous repair of multiple incompetent valves|
|US7862502||8 Jun 2007||4 Jan 2011||Ellipse Technologies, Inc.||Method and apparatus for adjusting a gastrointestinal restriction device|
|US7914556||20 Dec 2006||29 Mar 2011||Gmedelaware 2 Llc||Arthroplasty revision system and method|
|US7947019 *||18 Aug 2006||24 May 2011||Angio Dynamics, Inc||Catheter retention assembly and method of use|
|US7951067||19 Dec 2003||31 May 2011||Ethicon Endo-Surgery, Inc.||Implantable band having improved attachment mechanism|
|US7981025||28 Oct 2008||19 Jul 2011||Ellipse Technologies, Inc.||Adjustable implant and method of use|
|US7981103 *||19 Dec 2003||19 Jul 2011||Aortic Wrap Pty Ltd.||Method of treating a stiffened blood vessel|
|US8021426 *||15 Jun 2005||20 Sep 2011||Ouroboros Medical, Inc.||Mechanical apparatus and method for artificial disc replacement|
|US8066740||21 Oct 2005||29 Nov 2011||Gmedelaware 2 Llc||Facet joint prostheses|
|US8066771||9 Sep 2003||29 Nov 2011||Gmedelaware 2 Llc||Facet arthroplasty devices and methods|
|US8070811||9 Sep 2003||6 Dec 2011||Gmedelaware 2 Llc||Facet arthroplasty devices and methods|
|US8092532||9 Sep 2003||10 Jan 2012||Gmedelaware 2 Llc||Facet arthroplasty devices and methods|
|US8163017||9 Jul 2003||24 Apr 2012||Gmedelaware 2 Llc||Facet arthroplasty devices and methods|
|US8187303||22 Apr 2004||29 May 2012||Gmedelaware 2 Llc||Anti-rotation fixation element for spinal prostheses|
|US8221461||24 Oct 2005||17 Jul 2012||Gmedelaware 2 Llc||Crossbar spinal prosthesis having a modular design and systems for treating spinal pathologies|
|US8231655||28 Jul 2006||31 Jul 2012||Gmedelaware 2 Llc||Prostheses and methods for replacement of natural facet joints with artificial facet joint surfaces|
|US8246533||8 Jun 2007||21 Aug 2012||Ellipse Technologies, Inc.||Implant system with resonant-driven actuator|
|US8303609||28 Sep 2001||6 Nov 2012||Cordis Corporation||Coated medical devices|
|US8388616 *||27 Feb 2006||5 Mar 2013||Endosmart Gesellschaft Für Medizintechnik MbH||Compression sleeve|
|US8398681||17 Aug 2005||19 Mar 2013||Gmedelaware 2 Llc||Adjacent level facet arthroplasty devices, spine stabilization systems, and methods|
|US8409254||27 Jun 2008||2 Apr 2013||Gmedelaware 2 Llc||Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces|
|US8425557||30 Nov 2007||23 Apr 2013||Gmedelaware 2 Llc||Crossbar spinal prosthesis having a modular design and related implantation methods|
|US8465507||7 Dec 2009||18 Jun 2013||Idx Medical, Ltd.||Apparatus and methods for occluding a hollow anatomical structure|
|US8491635||30 Nov 2007||23 Jul 2013||Gmedelaware 2 Llc||Crossbar spinal prosthesis having a modular design and related implantation methods|
|US8496686||7 May 2007||30 Jul 2013||Gmedelaware 2 Llc||Minimally invasive spine restoration systems, devices, methods and kits|
|US8496687||14 Dec 2007||30 Jul 2013||Gmedelaware 2 Llc||Crossbar spinal prosthesis having a modular design and related implantation methods|
|US8523907||3 Jan 2006||3 Sep 2013||Gmedelaware 2 Llc||Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces|
|US8568417||20 Sep 2010||29 Oct 2013||Charles River Engineering Solutions And Technologies, Llc||Articulating tool and methods of using|
|US8632573||13 Apr 2010||21 Jan 2014||Thomas J. Ellis||Bone fixation system|
|US8675930||5 Aug 2008||18 Mar 2014||Gmedelaware 2 Llc||Implantable orthopedic device component selection instrument and methods|
|US8702755||10 Aug 2007||22 Apr 2014||Gmedelaware 2 Llc||Angled washer polyaxial connection for dynamic spine prosthesis|
|US8715159||10 Jun 2011||6 May 2014||Ellipse Technologies, Inc.||Adjustable implant and method of use|
|US8808163||11 Oct 2012||19 Aug 2014||Ellipse Technologies, Inc.||Adjustable implant and method of use|
|US8821523 *||3 Mar 2011||2 Sep 2014||Covidien Lp||Structure for applying sprayable wound treatment material|
|US9056016||28 Mar 2008||16 Jun 2015||Gmedelaware 2 Llc||Polyaxial adjustment of facet joint prostheses|
|US9179996 *||1 May 2006||10 Nov 2015||Dtherapeutics, Llc||Tissue engineering of blood vessels|
|US9198766||7 Feb 2008||1 Dec 2015||Gmedelaware 2 Llc||Prostheses, tools, and methods for replacement of natural facet joints with artificial facet joint surfaces|
|US9237910||28 Jan 2013||19 Jan 2016||Acute Innovations Llc||Clip for rib stabilization|
|US9271857||25 Mar 2015||1 Mar 2016||Ellipse Technologies, Inc.||Adjustable implant and method of use|
|US9433722 *||9 Aug 2011||6 Sep 2016||Abbott Cardiovascular Systems Inc.||Vascular shield and delivery system|
|US9526650||10 Jul 2014||27 Dec 2016||Nuvasive Specialized Orthopedics, Inc.||Adjustable implant and method of use|
|US20030065346 *||21 Oct 2002||3 Apr 2003||Evens Carl J.||Drug releasing anastomosis devices and methods for treating anastomotic sites|
|US20040006391 *||9 Jul 2003||8 Jan 2004||Archus Orthopedics Inc.||Facet arthroplasty devices and methods|
|US20040049275 *||9 Sep 2003||11 Mar 2004||Archus Orthopedics, Inc.||Facet arthroplasty devices and methods|
|US20040049276 *||9 Sep 2003||11 Mar 2004||Archus Orthopedics, Inc.||Facet arthroplasty devices and methods|
|US20040049278 *||9 Sep 2003||11 Mar 2004||Archus Orthopedics, Inc.||Facet arthroplasty devices and methods|
|US20040049281 *||9 Sep 2003||11 Mar 2004||Archus Orthopedics, Inc.||Facet arthroplasty devices and methods|
|US20040102758 *||7 Aug 2003||27 May 2004||Davila Luis A.||Medical devices, drug coatings and methods for maintaining the drug coatings thereon|
|US20040228411 *||16 Sep 2003||18 Nov 2004||Sony Corporation||Method and system for decoder clock control in presence of jitter|
|US20040230201 *||14 May 2003||18 Nov 2004||Archus Orthopedics Inc.||Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces|
|US20040267288 *||19 Dec 2003||30 Dec 2004||Byrum Randal T.||Implantable band having improved attachment mechanism|
|US20040267292 *||30 Sep 2003||30 Dec 2004||Byrum Randal T.||Implantable band with transverse attachment mechanism|
|US20040267293 *||19 Dec 2003||30 Dec 2004||Byrum Randal T.||Implantable band with attachment mechanism|
|US20050002984 *||23 Jun 2004||6 Jan 2005||Byrum Randal T.||Implantable band with attachment mechanism having dissimilar material properties|
|US20050033218 *||31 Oct 2003||10 Feb 2005||Villafana Manuel A.||Grafted network incorporating a multiple channel fluid flow connector|
|US20050033219 *||2 Aug 2004||10 Feb 2005||Villafana Manuel A.||Grafted network incorporating a multiple channel fluid flow connector|
|US20050119748 *||25 Oct 2004||2 Jun 2005||Reiley Mark A.||Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces|
|US20050137705 *||23 Sep 2004||23 Jun 2005||Reiley Mark A.||Facet arthroplasty devices and methods|
|US20050137706 *||23 Sep 2004||23 Jun 2005||Reiley Mark A.||Facet arthroplasty devices and methods|
|US20050143818 *||25 Oct 2004||30 Jun 2005||Hansen Yuan||Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces|
|US20050234552 *||17 Jun 2005||20 Oct 2005||Reiley Mark A||Facet arthroplasty devices and methods|
|US20050240265 *||25 Oct 2004||27 Oct 2005||Kuiper Mark K||Crossbar spinal prosthesis having a modular design and related implantation methods|
|US20050251256 *||9 Sep 2003||10 Nov 2005||Archus Orthopedics, Inc.||Facet arthroplasty devices and methods|
|US20060009847 *||9 Sep 2005||12 Jan 2006||Reiley Mark A||Facet arthroplasty devices and methods|
|US20060009848 *||9 Sep 2005||12 Jan 2006||Reiley Mark A||Facet arthroplasty device and methods|
|US20060009849 *||9 Sep 2005||12 Jan 2006||Reiley Mark A||Facet arthroplasty devices and methods|
|US20060041311 *||18 Aug 2005||23 Feb 2006||Mcleer Thomas J||Devices and methods for treating facet joints|
|US20060052785 *||17 Aug 2005||9 Mar 2006||Augostino Teena M||Adjacent level facet arthroplasty devices, spine stabilization systems, and methods|
|US20060052866 *||19 Dec 2003||9 Mar 2006||Unisearch Limited||Method of treating a stiffened blood vessel|
|US20060058791 *||17 Aug 2005||16 Mar 2006||Richard Broman||Implantable spinal device revision system|
|US20060079895 *||26 May 2005||13 Apr 2006||Mcleer Thomas J||Methods and devices for improved bonding of devices to bone|
|US20060085075 *||4 Oct 2005||20 Apr 2006||Archus Orthopedics, Inc.||Polymeric joint complex and methods of use|
|US20060100707 *||3 Jan 2006||11 May 2006||David Stinson||Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces|
|US20060135946 *||8 Dec 2005||22 Jun 2006||C. R. Bard, Inc.||Hemostasis cuff for catheter securement|
|US20060149348 *||27 Feb 2006||6 Jul 2006||Bernd Vogel||Compression sleeve|
|US20060235503 *||15 Jun 2006||19 Oct 2006||Cordis Corporation||Local drug delivery devices and methods for maintaining the drug coatings thereon|
|US20060287726 *||15 Jun 2005||21 Dec 2006||Jerome Segal||Mechanical apparatus and method for artificial disc replacement|
|US20070027536 *||5 Jun 2006||1 Feb 2007||Tomislav Mihaljevic||Aortic Valve Annuloplasty Rings|
|US20070088358 *||22 Mar 2006||19 Apr 2007||Hansen Yuan||Minimally Invasive Spine Restoration Systems, Devices, Methods and Kits|
|US20070123883 *||16 Jun 2006||31 May 2007||Ellis Thomas J||Bone fixation system|
|US20070168029 *||8 Dec 2006||19 Jul 2007||Yuan Hansen A|
|US20070179526 *||11 Apr 2003||2 Aug 2007||Hart Charles C||Surgical clamp with improved traction|
|US20070239195 *||17 May 2005||11 Oct 2007||Nocca David J||Adjustable Prosthetic Band|
|US20070255411 *||18 May 2007||1 Nov 2007||Reiley Mark A||Facet arthroplasty devices and methods|
|US20070265706 *||8 May 2007||15 Nov 2007||Reiley Mark A||Facet arthroplasty devices and methods|
|US20070282445 *||15 Aug 2007||6 Dec 2007||Reiley Mark A||Facet arthroplasty devices and methods|
|US20070293877 *||28 Feb 2003||20 Dec 2007||Edward Shifrin||Method and Extravenous Corrector for Simultaneous Repair of Multiple Incompetent Valves|
|US20080015583 *||9 Jul 2007||17 Jan 2008||Reiley Mark A||Facet arthroplasty devices and methods|
|US20080015585 *||7 May 2007||17 Jan 2008||Philip Berg||Minimally invasive spine restoration systems, devices, methods and kits|
|US20080015696 *||29 Jun 2007||17 Jan 2008||Reiley Mark A||Facet arthroplasty devices and methods|
|US20080045894 *||18 Aug 2006||21 Feb 2008||Angiodynamics, Inc.||Catheter retention assembly and method of use|
|US20080045954 *||31 Jul 2007||21 Feb 2008||Reiley Mark A||Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces|
|US20080086213 *||20 Nov 2007||10 Apr 2008||Reiley Mark A||Facet arthroplasty devices and methods|
|US20080091200 *||30 Nov 2007||17 Apr 2008||Kuiper Mark K||Crossbar spinal prosthesis having a modular design and related implantation methods|
|US20080091202 *||14 Dec 2007||17 Apr 2008||Reiley Mark A||Facet Arthroplasty Devices and Methods|
|US20080091210 *||2 Nov 2007||17 Apr 2008||Archus Orthopedics, Inc.||Facet arthroplasty devices and methods|
|US20080091268 *||13 Nov 2007||17 Apr 2008||Archus Orthopedics, Inc.||Facet arthroplasty devices and methods|
|US20080097437 *||30 Nov 2007||24 Apr 2008||Archus Orthopedics, Inc.||Facet arthroplasty devices and methods|
|US20080097438 *||14 Dec 2007||24 Apr 2008||Reiley Mark A||Facet Arthroplasty Devices and Methods|
|US20080097439 *||14 Dec 2007||24 Apr 2008||Reiley Mark A||Facet Arthroplasty Devices and Methods|
|US20080097440 *||14 Dec 2007||24 Apr 2008||Reiley Mark A||Prostheses, Systems and Methods for Replacement of Natural Facet Joints With Artificial Facet Joint Surfaces|
|US20080097487 *||8 Jun 2007||24 Apr 2008||Scott Pool||Method and apparatus for adjusting a gastrointestinal restriction device|
|US20080097609 *||30 Nov 2007||24 Apr 2008||Archus Orthopedics, Inc.||Facet arthroplasty devices and methods|
|US20080097612 *||14 Dec 2007||24 Apr 2008||Reiley Mark A||Facet Arthroplasty Devices and Methods|
|US20080119845 *||25 Sep 2007||22 May 2008||Archus Orthopedics, Inc.||Facet replacement device removal and revision systems and methods|
|US20080132951 *||30 Nov 2007||5 Jun 2008||Reiley Mark A||Prostheses systems and methods for replacement of natural facet joints with artificial facet joint surfaces|
|US20080177309 *||2 Nov 2007||24 Jul 2008||Archus Orthopedics, Inc.||Polymeric joint complex and methods of use|
|US20080177310 *||17 Jan 2008||24 Jul 2008||Archus Orthopedics, Inc.||Facet arthroplasty devices and methods|
|US20080177332 *||28 Mar 2008||24 Jul 2008||Archus Orthopedics, Inc.||Polyaxial adjustment of facet joint prostheses|
|US20080236297 *||22 Jan 2008||2 Oct 2008||Geoff Van Fleet||Acoustically compatible insert for an ultrasonic probe|
|US20080249568 *||24 Oct 2005||9 Oct 2008||Kuiper Mark K||Crossbar Spinal Prosthesis Having a Modular Design and Systems for Treating Spinal Pathologies|
|US20080275505 *||27 Jun 2008||6 Nov 2008||Hansen Yuan||Prostheses, Tools and Methods for Replacement of Natural Facet Joints With Artificial Facet Joint Surfaces|
|US20080287959 *||7 Apr 2008||20 Nov 2008||Archus Orthopedics, Inc.||Measurement and trialing system and methods for orthopedic device component selection|
|US20080304710 *||8 Jun 2007||11 Dec 2008||Lijie Xu||Method and apparatus for processing image of at least one seedling|
|US20090012350 *||16 May 2008||8 Jan 2009||Claude Tihon||Partial cuff|
|US20090012545 *||14 Jul 2006||8 Jan 2009||Idx Medical, Ltd.||Apparatus and Methods for Occluding a Hallow Anatomical Structure|
|US20090018585 *||18 Jul 2008||15 Jan 2009||Reiley Mark A||Facet arthroplasty devices and methods|
|US20090062825 *||28 Oct 2008||5 Mar 2009||Scott Pool||Adjustable implant and method of use|
|US20090306770 *||1 May 2006||10 Dec 2009||Kassab Ghassan S||Tissue engineering of blood vessels|
|US20100082047 *||7 Dec 2009||1 Apr 2010||Idx Medical, Ltd.||Apparatus and methods for occluding a hollow anatomical structure|
|US20110147432 *||3 Mar 2011||23 Jun 2011||Tyco Healthcare Group Lp D/B/A Covidien||Structure for applying sprayable wound treatment material|
|US20110152867 *||20 Sep 2010||23 Jun 2011||Joseph Petrzelka||Articulating Tool and Methods of Using|
|US20110224618 *||19 May 2011||15 Sep 2011||Perchik Joel E||Catheter retention assembly and method of use|
|US20110237861 *||10 Jun 2011||29 Sep 2011||Ellipse Technologies, Inc.||Adjustable implant and method of use|
|US20120059400 *||29 Jul 2011||8 Mar 2012||Idx Medical, Ltd||Apparatus and methods for occluding a hollow anatomical structure|
|US20130041453 *||9 Aug 2011||14 Feb 2013||Abbott Cardiovascular Systems, Inc.||Vascular Shield and Delivery System|
|US20140261446 *||14 Mar 2014||18 Sep 2014||Ams Research Corporation||Reversible Contraceptive Implant System and Method|
|EP0263360A2 *||23 Sep 1987||13 Apr 1988||Waldemar Dr.Med. Bleier||Clip to close an oviduct, a vas deferens, or a blood vessel|
|EP0263360A3 *||23 Sep 1987||20 Jul 1988||Waldemar Dr.Med. Bleier||Clip to close an oviduct, a vas deferens, or a blood vessel|
|EP0405429A2 *||26 Jun 1990||2 Jan 1991||Euroresearch S.R.L.||Phosthesis consisting of a heterologous collagen tube for use in hollow organ sutures|
|EP0405429A3 *||26 Jun 1990||14 Aug 1991||Euroresearch S.R.L.||Phosthesis consisting of a heterologous collagen tube for use in hollow organ sutures|
|EP1372491A1 *||21 Mar 2002||2 Jan 2004||LANE, Rodney James||Improvements in design of external venous valve stents for the correction of incompetent venous valves|
|EP1372491A4 *||21 Mar 2002||28 May 2008||Rodney James Lane||Improvements in design of external venous valve stents for the correction of incompetent venous valves|
|EP1696826A1 *||3 Dec 2004||6 Sep 2006||The Brigham And Women's Hospital, Inc.||Aortic valve annuloplasty rings|
|EP1696826A4 *||3 Dec 2004||27 Jun 2007||Brigham & Womens Hospital||Aortic valve annuloplasty rings|
|WO1988000454A1 *||13 Jul 1987||28 Jan 1988||Quotidian No. 100 Pty. Limited||Correction of incompetent venous valves|
|WO1991007918A1 *||30 Nov 1990||13 Jun 1991||Milos Evic Zeljko||Implantable occluder|
|WO1995005122A1 *||18 Aug 1994||23 Feb 1995||Mind-E.M.S.G. Ltd.||Device and method for external correction of insufficient valves in venous junctions|
|WO1995016407A1 *||5 Dec 1994||22 Jun 1995||Brigham And Women's Hospital||Aortic valve supporting device|
|WO1999011179A1 *||3 Sep 1998||11 Mar 1999||Applied Medical Resources Corporation||Surgical clamp with improved traction|
|WO2001022888A1 *||27 Sep 2000||5 Apr 2001||Laboratoire Innothera||Retaining structure for anatomical canal, in particular a vessel|
|WO2004093943A2 *||17 Mar 2004||4 Nov 2004||Applied Medical Resources Corporation||Surgical clamp with improved traction|
|WO2004093943A3 *||17 Mar 2004||21 Jul 2005||Applied Med Resources||Surgical clamp with improved traction|
|International Classification||A61B17/12, A61B17/11|
|Cooperative Classification||A61B17/12, A61B2017/12004, A61B17/11|
|European Classification||A61B17/12, A61B17/11|