|Publication number||US3858586 A|
|Publication date||7 Jan 1975|
|Filing date||1 Jun 1973|
|Priority date||11 Mar 1971|
|Publication number||US 3858586 A, US 3858586A, US-A-3858586, US3858586 A, US3858586A|
|Original Assignee||Martin Lessen|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (9), Referenced by (241), Classifications (15)|
|External Links: USPTO, USPTO Assignment, Espacenet|
United States Patent 11 1 Lessen 1 Jan.7,l975
 Inventor: Martin Lessen, 9 ldlewood Rd.,
Rochester, N.Y. 14618  Filed: June 1, 1973  Appl. No.: 366,011
Related US. Application Data  Continuation-impart of Ser. No. 123,194, March 11,
3,163,165 12/1964 lsikawa 128/303.17 3,294,085 12/1966 Wallace 128/6 3,357,433 12/1967 Fourestier et a1 l28/303.17
Primary Examiner-Aldrich F. Medbery Attorney, Agent, or Firm-Frank A. Steinhilper; Alfred H. Rosen  ABSTRACT A surgical electrode is described. This instrument is adapted to fit into a body cavity, to be directed by the surgeon to an operative area in the cavity and then to emit a cauterizing electric current, Several embodiments are disclosed. In one, a blind electrode is positioned and pulsed. In another, an electrode is coupled with optics to permit directing it by sight or by CRT display. In another, a forked or dual electrode is shaped to the body cavity and can be properly positioned with excellent reliability. Preferably, at least the portion of the instrument inserted in the body cavity is disposable. The present invention includes method and apparatus for female sterilization using the electrode for cauterization of fallopian tubes.
7 Claims, 15 Drawing Figures TO FLUID 4g SUPPLY I45 L TO CAUTERY POWER SUPPLY I44 TO LIGHT /43 SOURCE PATENTEDJAN SHEET 20F 4 /4 I I I I I I I I I I I! PATENTED 3,858,586
SHEET 3 or a E TOF'D SUP Y/45 TO CAUTERY POWER SUPPLY /44 SURGICAL METHOD AND ELECTRODE THEREFOR CROSS-REFERENCE TO CO-PENDING APPLICATION This present application is a continuation-in-part of co-pending US. Pat. Application Ser. No. 123,194
filed Mar. 11, 1971 and now abandoned.
BACKGROUND OF THE INVENTION This invention relates to a new surgical instrument and to its use and operation.
This is a continuation-in-part of application Ser. No. 123,194 wherein it was disclosed that a fine electrode member is placed into a natural body cavity, the tip of the electrode positioned 'at a constricted point of such cavity, and that the electrode tip then is energized to cause a cauterizing spark. A consequence of the cauterizing spark is the cleaning or sterilization of the constriction or fine passageway. One specific consequence of such spark well within a fine passage is that scar tissue forms, thus sealing, healing or blocking the passageway. Thus, if the passage is the consequence of an injury or other physical or physiological defect, illness, infection or the like, the electrode can be a healing mechanism. In one embodiment of the invention,'a natural passageway can be blocked by proper use of this electrode. In particular, fallopian tubes can be blocked by use of this electrode with the consequence that female sterilization can be brought about. The present invention is directed to such female sterilization.
At the present time, there is a great need for a quick, easy and effective mechanism for female sterilization. This need is abundantly clear in the United States and is perhaps even more pressing in other countries, particularly, poverty striken countries. Birth control and population reduction are easily and non-surgically accomplished by a wide variety of means dependent on continual cooperation by the people involved. Sterilization, however, has generally been a serious surgical operation requiring hospitalization and use of a surgical operating room. Obviously, therefore, the need is clear for a sterilization procedure which can be carried out for example, in the doctors office. Even more pressing is the need for some form of mass sterilization techniques in which a doctor or a team of medical personnel can operate a sterilization technique at temporary field quarters. The present invention provides such a technique.
GENERAL NATURE OF THE INVENTION The present invention comprises a surgical electrode adapted to be operated for female sterilization by insertion of an electrode tip well within the walls of the fallopian tubes. When properly positioned, the electrode is energized, causing a spark which in turn causes scar tissue, blocking the fallopian tube. A high percentage of success can be achieved, and within a few days of the operation, a clinical or medical test can be performed to determine whether it was or was not successful. No hospital visit is required and the operation can be carried out in a few minutes essentially painlessly in the doctors office. If desired, clinic or field operations can be carried out to treat a large number of people quickly, easily, painlessly and effectively.
Operations intended to block fine passages such as fallopian tubes have been employed previously with a substantial lack of success, at least for the purpose of human sterilization. The problem is that side effects may result and also that sterilization is uncertain. In particular, if blockage of the passage occurs essentially at the mouth of the passage, then there is too large a likelihood that the passage will not be effectively blocked and that physiological disorders will result. Accordingly, in use of the electrode according to the present invention, it is essential that the tip of the electrode be sufficiently fine to fit well within the passage being blocked and it is essential that it be so positioned.
' SPECIFIC DESCRIPTION OF THE INVENTION The nature of the invention is more particularly set forth and apparent from the drawings, in which:
FIG. 1 is a diagrammatic view of a surgical instrument according to one embodiment of the invention;
FIG. 2 is an enlarged fragmentary view in crosssection of one form of an electrode for the device of FIG. I;-
FIG. 3 is an enlarged fragmentary view in crosssection of another form of an electrode for the device of FIG. 1;
FIG. 4 is a side view of an electrode according'to an other embodiment of the invention;
FIG. 5 is a front view of the electrode of FIG. 4 in partly closed position;
FIG. 6 is a front view of the electrode of FIG. 4 in open position;
FIG. 7 is a diagrammatic view of an electrode according to another embodiment of the invention;
FIG. 8 is a diagrammatic view of another form of an electrode;
FIG. 9'is a diagrammatic view of three electrode portions of an electrode according to another electrode embodiment;
FIG. 10 is a view of a surgical electrode for sterilization according to another embodiment of the invention;
FIG. 11 is a diagrammatic view of the operating end of the electrode of FIG. 10;
FIG. 12 is the electrodev of one embodiment of the invention positioned to perform cautery inside a fallopian tube;
FIG. 13 is an enlargement in section of the end of the electrode of FIG. 12;
FIG. 14 is an enlargement in section of the eyepiece efid of the electrode of FIG. 12;
FIG. 15 is a cross section view of the assembly of FIG. 13.
The surgical instrument according to this invention may be a general purpose instrument, but preferably, it has shape and configuration specifically adapting it to a single preferred type of application. The presently.
preferred device is adapted to sterilization of the female human being or female animal, as the present invention now is believed to have as its most important aspects a method and instrument for sterilizatiomln certain instances, it is desired to have simply a surgical electrode which can be manipulated to position its operative electrode tip at a desired position within a body cavity, which position can be readily determined by a practiced and experienced surgeon from a position external to the body. In this situation, the experienced surgeon need merely employ a single elongated electrode such as that shown in FIGS. 1, 2 and 3 which he can, by practice, and experience, manipulate to the desired position within the body cavity. In many instances, the manipulation can be assisted visually either by looking into the body cavity from an external position or by optical means. In this way, for example, it is possible to employ the surgical instrument for many. forms of corrective surgery where a relatively large body cavity is being treated or where a passage is accessible directly from outside the body. Certain cysts and infected channels can be treated in this manner and it is observed that electrical cauterization not only produces healing scar tissue, but also cleans or sterilizes the passage being treated.
In many instances, however, it is necessary to treat a fine passage positioned well within a cavity in the human body at a position which cannot be readily located with accuracy from outside the body. In such instances, it may be desirable to employ the electrode combination illustrated in FIG. 7. In this figure is illustrated a surgical instrument including a flexible maneu-.
verable electrode having an operable electrode tip and including flexible optical means such as the fiber optics member illustrated in the figure. The surgeon employing such an instrument can direct it to a precise position within the body cavity and can with confident assurance,.position the operable electrode tip at precisely the right location for electric cauterization to produce the desired scar tissue. The surgical electrode according to this embodiment of the invention has universal application and can be employed in the simplest of operations at or near the surface of the body and in the most difficulty accessible positions within the most tortuous body cavities. It is to be observed in particular that this electrode can be employed deeply within nasal passages or within the throat and even to the extent of being employed in the stomach or abdominal passages. Although certain embodiments of surgical electrodes according to this invention may be specifically designed for common surgical procedures repeatedly employing essentially a standard technique, it is still possible to employ this embodiment of the invention including both operative electrode tip and optical means in essentially any and all surgical procedures contemplated by the present invention.
In FIGS. 4, 5 and 6, there is also shown a special purpose surgical electrode which may be appropriately designed for an operation requiring two (or more than two) electric cauterizations in a standardized surgical operation which may be carried out time and time again. Such an operation typically may be animal sterilization in which a predetermined size and shape electrode including at least two operative electrode tips is appropriately positioned to trigger simultaneously two or more electric cauterization discharges which will produce scar tissue appropriately sealingfine body passages at uniformly predictable positions within a body cavity. It is possible according to this embodiment of the invention to produce simple, inexpensive surgical electrodes having a plurality of operable electrode tips and to produce these electrodes at a cost essentially the same as or perhaps even less than the cost of sterilization after use. Accordingly, a new and unused, and therefore sterilized, electrode may be employed on one animal and immediately thrown away to permit the use of another new, and therefore sterilized, electrode for at least those portions of surgical apparatus which are employed within a body cavity.
' The use of the electric cauterization instrument and technique according to the present invention has many obvious advantages. The primary advantage is that a surgical result can be achieved at a difficultly accessible or otherwise inaccessible portion of the body without cutting or surgically opening body tissue. In this way, it is possible to accomplish surgery without hospitalization for operations which might otherwise require several or many days recuperation in a hospital.
Certain specific embodiments-of devices according to this invention are illustrated in the drawings accompanying this description. It is to be understood, of course, that various modifications will be obvious to one skilled in the art.
FIG. 1 is a schematic representation'in very simple form of an electrode according to the concept of this invention. As illustrated in FIG. 1, the device includes a handle 11 having an elongated flexible electrode tip 12. The handle may for example, have'gripping means 13 to permit it to be conveniently held in the hand of the surgeon. It may have an external electric cord 14 adapted to be plugged into a conventional electric outlet or it may have self-contained electric circuitry suitable mounted within the handle. The flexible electrode 12 may consist of a double electrode wire as illustrated in other figures orthere may be a ground lead 15 extending from the deviceand terminating in a ground plate or clamp (not shown) adapted to be positioned against the skin of the animal or patient as close as possible to the point of surgery.
Conventionally mounted on the handle 11 is an electric switch or button which is adapted to be thrown or pressed to operate the electric circuitry to produce a pulse at the tip of electrode 12 when desired. It is understood that the circuitry to produce the pulse is completely conventional and may comprise any desired electrical mechanism to produce a pulse or spark at a tip of the electrode. A conventional high frequency or a capacitance circuit may be triggered by switch or button 16 to produce such a pulse and the circuit can be energized by an internal battery-operated electric means or by electric means connectable to a conventional and convenient power outlet.
In FIG. 2 is shown in enlarged partial cross-section one form of electrode 12 of the device of FIG. 1. This flexible electrode comprises an electrically conductive wire 21 terminating in a tip 22 and surrounded by a plastic sheath 23. Desirably, the wire 21 is longitudinally moveable within the sheath and in such case, it is also desired that the wire 21 have a thin coating of plastic or other insulator along its length except the tip 22. In use and operation, the flexible electrode 12 is inserted into the body cavity until it is at the desired position. Electrode wire 21 is then advanced in sheath 23, or sheath 23 is then retracted from the tip to assure proper mechanical contact with the tissue to be cauterized. When the tip is properly positioned, switch or button 16 is activated to create an electric pulse or electric spark at tipp 22 of electrode 12.
In FIG. 3 is shown a modified and presently preferred embodiment of flexible electrode 12. According to this embodiment, a pair of insulated wires 31 and 32 terminate in tips 33 and 34 and are encased in a plastic shield or sheath 35. The wires may or may not be longitudinally movable in the sheath 35. The electrode according to this embodiment of the invention is employed in the same way as the electrode according to FIG. 2. It
is inserted into the body cavity properly positioned and then an electric pulse is generated to produce a spark or similar pulse between electrode tip 33 and electrode tip 34 that produces electric cauterization of the tissue. The insulated conductors 31, 32 and tips 33, 34 may be coaxial in geometry.
Size and shape of the flexible electrode 12 is material to the function of the device, inasmuch as it relates significantly to size and shape of a natural body cavity of a human or other animal. A purpose to be achieved by the present inventionis to permit easy and simple operation within a body cavity of an animal or human being and generally speaking, it is expected that such operations will be carried out within a tightly confined cavity or at a precisely positioned location within the cavity. Accordingly, the electrode 12 generally will be long enough to reach into the body cavity and to the right location therein and to extend completely outside the cavity. For most purposes, the electrode will be roughly six to twelve inches long. Also, obviously, longer or shorter may be acceptable or necessary for certain purposes. In addition, the electrode 12 generally will be quite thin and it will be only unusual cases that the width or diameter'of the electrode will exceed /8 inch or at the most A inch. Obviously, thicker electrodes can be used for certain purposes, but the convenience of the present surgical instrument generally will not be realized except with an extremely thin electrode which can reach positions within a body cavity where conventional instruments cannot find access. Likewise, electrode tips 33 and 34 (where a dual electrode is used) should be positioned as close together as possible consistent with producing a workable and effective electric spark or electric pulse by the tips. Generally speaking, the electrode tips will be spaced a small fraction of an inch apart to produce a highly concentrated localized pulse or spark, thus permitting accurate position and location of the electric cauterization.
Generally speaking, the electrode 12 will have a spring-like resiliency permitting it to be positioned within a body cavity without bending out of shape and without being'so rigid as to harm the tissue which it contacts. This result can be achieved with'the use of conventionally available spring steel electrode wires. The wires together with an electrically insulating coating canbe appropriately thin and still have the desired degree of strength and flexibility. Accordingly, it is to be realized that the sections of electrode 12 illustrated in FIGS. 2 and 3 have been distorted in shape and do not represent a reasonable depiction of the preferred electrode length or preferred electrode dimensions.
In FIGS. 4 and 5 and 6 are illustrated another embodiment of the invention employing a forked electrode adapted to cauterize locations within a body cavity. This form of the electrode is presently preferred for an operation in which cauterization is desired at two predictably spaced locations within a single body cavity. One preferred purpose of the instrument is cauterization of fallopian tubes and, accordingly, for this purpose, the preferred instrument is that shown schematically in FIGS. 4, 5 and 6.
FIG. 4 illustrates the sideview of a bifurcated electrode generally designated 41. The electrode has a single body section 42 from which extend two divergent electrode 43 terminating at electrode tips 44. The electrode illustrated in FIG. 4 tapers slightly from the body 42 to the tip 44 and generally curves gradually to conform with a typical body cavity. As seen in FIG. 5, and FIG. 6, a sheath preferably a plastic sheath 46 retractably covers the two electrode sections 43 and can extend close to or if desired over electrode tips 44. The insulated conductors are longitudinally movable within the electrodes 43 to advance the tips 44 to their desired position.
In operation, the device according to FIG. 4 is first closed and protected with sheath 46 extending essentially to the electrode tips. It is then inserted into the body cavity after which sheath 44 is withdrawn to permit electrodes 43 to spread apart to their natural position. The device is then manipulated by the skilled operator until electrode tips 44 are both at the desired position and then the two electrodes 43 are simultaneously or sequentially pulsed to produce a cauterizing electric pulse or spark at tips 44. Generally, it will be preferred to have individual operating electric circuits for each of electrodes 43 and to employ dual wires in each as shown in FIG. 3. In this way, a first electrode 43 is energized to produce a cauterizing pulse and the pulse preferably will be indicated by suitable dials, gauges or other signals externally positioned. After the first pulse has been produced at one electrode, a second pulse is produced at another electrode and again is signaled appropriately externally.
The device of FIG. 1 in conjunction with the electrodes shown in FIGS. 2 through 6 can be extremely inexpensively manufactured particularly in moderate or large quantities. Accordingly, their cost can be so low as to make it economically feasible for the electrodes to be used once and thrown away. Disposable electrodes, accordingly, are contemplated and it is to be expected thatat least that portion of the device which operates within the body cavity may be disposable to permit a single use, although, of course, the device may be sterilized and reused if so desired.
In FIG. 7 is illustrated another embodiment of the invention including self-contained optical means to permit a skilled operator or surgeon to position the operating tip of the electrode by sight or by other visual means. As schematically illustrated in FIG. 7, a flexible protective sheath 71 encases a plurality of electrode wires 72 suitably insulated and positioned in generally the same manner as shown in the other figures. Also positioned within the sheath 71 is a fiber optics bundle 73 for viewing the position of the electrode tips, optionally with a second fiber optics bundle 73A to carry light into the body cavity to illuminate the field of vision. Optionally, bundle 73 can operate to carry light both ways and to serve both the illumination and viewing purposes. Near the end of the fiber optics bundle 73 is an optical imaging means such as a maneuverable mirror 74 which may, for example, be rotatable around pivot 75. A control mechanism such as a control wire 76 can adjust the mirror 74. Optionally, an outer disposable sheath 78 permits a flow of water or other fluid to the end of the electrode to flush out the field of vi- SlOn.
Associated with the electrode of FIG. 7 can be extremely small light sources or other devices to assist in viewing and positioning the electrode tip. In use and operation, after the electrode of FIG. 7 is properly positioned, sheath 71 may be partially retracted to bring electrode 72 into the proper location and the electrode may then be pulsed.
The surgical instrument according to the present invention can be employed for any desired electrical cauterization operation within the body cavity of a human being or other animal. The presently preferred purpose, however, is in connection with female sterilization for birth control where it is expected that a simple and convenient operation can be performed in a few minutes withoutthe necessity for incision with other surgical instruments. It is also expected that a careful, skilled operator can achieve a successful result in excess of 95 percent of the occasions of use. Furthermore, with a medical check after the operation to detect incomplete success, it is expected that essentially 100 percent effectiveness can result from a single or once-repeated operation. It is also expected that the cost of such operation both in terms of money and in terms of patient care can be reduced perhaps at least to about 1 percent of the time and cost of conventional operations. 7
In FIG. 8 is shown another form of electrode probe according to this invention including an elongated electrode body 81 which may be one of the electrodes of a previous figure such as the electrode of FIG. 7. The electrode body 81 has electrode tips 82 at the point thereof and means (not shown) for pulsing the tips. An outer sheath 83 retractably covers electrode body 81. At the end of the sheath furthest from the tip is a ring or handle 84 forming a finger grip to retract the sheath from the electrode tip and a cooperating base or finger grip 85 on the electrode body forms convenient means associated with the electrode to expose the electrode tips in operative position for a cauterizing electric pulse.
in FIG. 9 is shown diagrammatically a portion of an electrode adapted to be positioned within a disposable plastic sheath like, for example, the electrode of FIG. 7, or adapted to be encased in a plastic shield like, for example, the electrode structure-of FIG. 3. In FIG. 9, a pair of electrodes 91 and 92 are positioned on each side of a central electrode 93. The tip of central electrode is a ring tip 94. All but the tips of electrodes 91 and 92 are insulated, preferably being covered with plastic insulators 95 and 96 which may, if desired, be a single unitary elongated plastic body in which are embedded the three electrodes 91, 92 and 93. If electrode 93 is not embedded in a plastic body, it is covered along its length with insulator 97.
in FIGS. and 11 is illustrated a specific electrode structure expressly designed for a surgical or medical method or process of rendering the human female sterile. In FIG. 10 is illustrated a fiber optic core, generally designated 101 for a surgical electrode specifically adapted for sterilization of the human female. The point 101A of this fiber optic core 101 in combination with other structures as will be described in connection with FIG. 11 is adapted to be maneuvered to a position proximate to the fallopian tube opening. The other end 101B is mounted into a handle 102 on which is an eyepiece 103, as for example, a rubber eyepiece. The entire instrument is approximately 24 inches long and the fiber optic core approximately A inch in diameter.
In FIG. 11, the fiber optic core 101 is sheathed within a plastic sheath 105 to form a surgical electrode generally designated 106 and a lens 107 optionally of glass or plastic is mounted at the end of the core 101 and adapted to focus an image onto the ends of the optical fibers. Mounted piggy back on sheath 105 is an electrode sheath 108 in which is positioned an electrode wire 109 terminating in an electrode tip 110. The wire 109 is easily slidable within the electrode sheath 108 so that the electrode tip may be withdrawn into resting contact with the end of the electrode sheath or, as shown, may be extended from the electrode sheath 109 into an operating position.
In use and operation, the electrode 106 is inserted within the uterus and guided by the doctors eye into position at the entrance to the fallopian tube. The electrode tip 110 is then extended from its sheath 108 and maneuvered with optical guidance a short distance into the tube. The electrode is then energized causing electrical cauterization wholly within the fallopian tube. Scarring results, causing complete sealing of the tube. When the purpose of the treatment is individual and when it is important to know with certainty whether sterilization has been achieved, it is important to maintain post-operative tests and to be preapred for hospitalized surgery if the treatment was not .effective. However, if the purpose of the treatment is solely economic, or if the patients are not willing or able to be checked subsequently, it is still possible to achieve a high ratio of success and to avoid in many instances the need for hospitalization.
In FIGS. 12, 13, 14, and 15, is illustrated another specific electrode structure expressly designed for a surgical or medical method or process of rendering the human female sterile. I
Referring-now to FIG. 12 in particular, the electrode or fiber optic scope including sheath assembly 141, electrode 142, light source 143, power 144 and fluid supplies 145, eyepiece focusing lenses 146 is shown in place in the uterus with electrode 140 extended as in use for cauterizing a fallopian tube 148 via the cervix 147.
Referring now to FIG. 13 in particular, there is shown the cauterizing and objective end of the sheath assembly 141 which consists of an outer sheath 149, an electrode sheath 150 containing a retractable and advanceable electrode 151 which is coated with electrical insulating material along its length but not at the tip, a fiber optics sheath 152 and an objective lens or lens assembly 153. In the case where the fiber optics 154 consists of a coherent bundle, a single objective lens will distribute the light from the bundle to the field of view and also conduct the image back to the eyepiece 146. In the case where an incoherent bundle is used to light the field and a separate coherent bundle is used to conduct the image, a more complex lens 153 or lens assembly would be used. The electrode sheath, fiber optics sheath and outer sheath are made of tubing and may be bonded or fused together. The objective lens is fabricated separately and bonded or fused to the fiber optics sheath. The objective lens is so designed that when the fiber optics are in place, they abut the edge of the lens protruding into the fiber optics sheath 152 to so provide for the proper separations between the end of the fiber optics and the optical surface of the lens. The space 158 between the fiber optics sheath 152, the electrode sheath 150 and the outer sheath 149 may be used to conduct a solution into the uterus to clean the visual field at the objective lens 153. In order to prevent fiuid leakage about the electrode, a fluid-tight seal 155 may be provided concentric to the electrode and its sheath after the electrode sheath emerges through the outer sheath proximate to the eyepiece end of the sheath assembly. A seal 156 is also provided to close off the water conducting space between the fiber optic sheath 152 and the outer sheath 149 at the eyepiece end of the sheath assembly.
It is possible, according to this embodiment of the invention, to produce simple, inexpensive surgical electrode sheath assemblies at a cost essentially comparable to the cost of sterilizing these sheaths. Accordingly, a new and unused and therefore sterilized electrode sheath assembly 141 may be employed on one human or animal and immediately thereafter thrown away to permit the immediate use ofa new, and therefore sterilized electrode sheath assembly 141. Since the electrode sheath assembly encloses that portion of the fiber optics core inserted into the body cavity, the fiber optics need not be sterilized.
1. A method of sterilization of a female human being, comprising guiding a source of electric discharge under direct vision to the fallopian tubes of said female, generating a cauterizing electric discharge essentially completely, within the fallopian tubes removed'from the uterus proper and allowing interior scar tissue to form, thus sealing said tubes.
2. A method of sterilization of a female human being, comprising inserting a fine electrode tip from the uterus into each fallopian tube in a manner to locate said active electrode tip within said tube essentially at the narrowest portion of said tube, and generating a cauterizing electric discharge from said electrode tip to cauterize the tissue within said tube, and allowing scar tissue to form.
3. A method of sterilization of a female animal comprising guiding a source of electric discharge under direct vision to the fallopian tubes of said female, gener ating a cauterizing electric discharge essentially completely within the fallopian tubes, avoiding the uterus wall with said discharge and sealing said tube by allowing scar tissue to form.
4. A surgical instrument for female sterilization by sealing the fallopian tubes, means for providing a cauterizing electric generated discharge wholly within the fallopian tube to cause tissue wall scarring and permanent blocking of said fallopian tubes comprising an elongated electrode ofa size to fit well within said fallopian tubes, means for providing direct vision of the tip of said electrode to guide said electrode to a precise position adjacent the entrance of said tube, means to insert said tip into said tube, and means to supply an electric discharge pulse to said electrode tip, essentially completely within said tube.
5. A surgical instrument according to claim 4, wherein said means to guide said electrode comprises a fiber optics bundle for optical illumination and observation of the position of said electrode tip and said electrode includes means for maneuvering said electrode tip in response to said optical observation, said maneuvering being from a position outside the body.
6. A surgical instrument according to claim 5, wherein said instrument includes means to flush the op tical tip and visual field.
7. In a surgical instrument according to claim 5, including a removable sheath completely surround said fiber optics device to protect said fiber optics device from contamination and containing a movable electrode and an optical tip positionable adjacent to the fiber optics tip and means in said sheath for fluid flush ing of said optical tip and field of observation.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US1945327 *||30 Jun 1932||30 Jan 1934||Morse Willis B||Combined tongue depressor and electrode for electrocoagulation of tonsils|
|US2008526 *||3 Nov 1932||16 Jul 1935||Charles Wappler Frederick||Method and means for treating living tissue|
|US2022065 *||7 Jul 1932||26 Nov 1935||Frederick C Wappler||Therapeutic applicator device|
|US2047535 *||7 Oct 1932||14 Jul 1936||Frederick C Wappler||Surgical electrodes|
|US2102270 *||29 Nov 1935||14 Dec 1937||Mortimer N Hyams||Electrosurgical device|
|US2382109 *||6 Aug 1943||14 Aug 1945||William J Cameron||Diagnostic and electrosurgical appliance|
|US3163165 *||12 Sep 1960||29 Dec 1964||Humio Islkawa||Uterotube-closing instrument|
|US3294085 *||27 Sep 1963||27 Dec 1966||American Cystoscope Makers Inc||Endoscope|
|US3357433 *||3 Dec 1963||12 Dec 1967||Centre Nat Rech Scient||Endoscope for illumination and observation of contacting distal regions|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3938527 *||13 Jul 1973||17 Feb 1976||Centre De Recherche Industrielle De Quebec||Instrument for laparoscopic tubal cauterization|
|US3970088 *||24 Apr 1975||20 Jul 1976||Valleylab, Inc.||Electrosurgical devices having sesquipolar electrode structures incorporated therein|
|US3987795 *||28 Aug 1974||26 Oct 1976||Valleylab, Inc.||Electrosurgical devices having sesquipolar electrode structures incorporated therein|
|US4003380 *||29 Aug 1975||18 Jan 1977||F.L. Fisher||Bipolar coagulation instrument|
|US4011872 *||28 Mar 1975||15 Mar 1977||Olympus Optical Co., Ltd.||Electrical apparatus for treating affected part in a coeloma|
|US4033351 *||14 Sep 1976||5 Jul 1977||Siemens Aktiengesellschaft||Bipolar cutting electrode for high-frequency surgery|
|US4057063 *||27 Feb 1976||8 Nov 1977||U.S. Philips Corporation||Device for sterilization by transuterine tube coagulation|
|US4103688 *||29 Apr 1976||1 Aug 1978||John Edwards||Method and apparatus for sterilization|
|US4161950 *||1 Aug 1975||24 Jul 1979||The United States Of America As Represented By The United States Department Of Energy||Electrosurgical knife|
|US4245623 *||6 Jun 1978||20 Jan 1981||Erb Robert A||Method and apparatus for the hysteroscopic non-surgical sterilization of females|
|US4269174 *||6 Aug 1979||26 May 1981||Medical Dynamics, Inc.||Transcutaneous vasectomy apparatus and method|
|US4374517 *||3 Jun 1981||22 Feb 1983||Olympus Optical Co., Ltd.||Endoscope type high frequency surgical apparatus|
|US4474174 *||23 Feb 1983||2 Oct 1984||American Hospital Supply Corporation||Surgical instrument for an endoscope|
|US4557272 *||9 Feb 1981||10 Dec 1985||Microwave Associates, Inc.||Microwave endoscope detection and treatment system|
|US4643186 *||30 Oct 1985||17 Feb 1987||Rca Corporation||Percutaneous transluminal microwave catheter angioplasty|
|US4654028 *||29 Jan 1986||31 Mar 1987||Hisayoshi Suma||Incision opening expansion holder for inosculation|
|US4658816 *||14 Nov 1984||21 Apr 1987||Concept Incorporated||Lighted canaliculus intubation sets|
|US4919147 *||27 Oct 1987||24 Apr 1990||Josef Reinhardt||Esophagus probe|
|US5009656 *||17 Aug 1989||23 Apr 1991||Mentor O&O Inc.||Bipolar electrosurgical instrument|
|US5041108 *||9 Jun 1989||20 Aug 1991||Pillco Limited Partnership||Method for laser treatment of body lumens|
|US5103804 *||3 Jul 1990||14 Apr 1992||Boston Scientific Corporation||Expandable tip hemostatic probes and the like|
|US5147353 *||23 Mar 1990||15 Sep 1992||Myriadlase, Inc.||Medical method for applying high energy light and heat for gynecological sterilization procedures|
|US5158086 *||20 Jul 1990||27 Oct 1992||W. L. Gore & Associates, Inc.||Invasive probe system|
|US5207675 *||15 Jul 1991||4 May 1993||Jerome Canady||Surgical coagulation device|
|US5224477 *||25 Oct 1991||6 Jul 1993||Hamamatsu Photonics K.K.||Current-assisted nerve cell connection|
|US5246440 *||13 Sep 1990||21 Sep 1993||Noord Andrew J Van||Electrosurgical knife|
|US5271385 *||28 Feb 1992||21 Dec 1993||United States Surgical Corporation||Abdominal cavity organ retractor|
|US5303719 *||25 Jun 1993||19 Apr 1994||Wilk Peter J||Surgical method and associated instrument assembly|
|US5322507 *||11 Aug 1992||21 Jun 1994||Myriadlase, Inc.||Endoscope for treatment of prostate|
|US5364393 *||30 Dec 1993||15 Nov 1994||Heart Technology, Inc.||Tissue dissipative recanalization catheter|
|US5401272 *||16 Feb 1994||28 Mar 1995||Envision Surgical Systems, Inc.||Multimodality probe with extendable bipolar electrodes|
|US5419312 *||20 Apr 1993||30 May 1995||Wildflower Communications, Inc.||Multi-function endoscope apparatus|
|US5437664 *||18 Jan 1994||1 Aug 1995||Endovascular, Inc.||Apparatus and method for venous ligation|
|US5441498 *||8 Sep 1994||15 Aug 1995||Envision Surgical Systems, Inc.||Method of using a multimodality probe with extendable bipolar electrodes|
|US5449356 *||18 Oct 1991||12 Sep 1995||Birtcher Medical Systems, Inc.||Multifunctional probe for minimally invasive surgery|
|US5486154 *||8 Jun 1993||23 Jan 1996||Kelleher; Brian S.||Endoscope|
|US5507744 *||30 Apr 1993||16 Apr 1996||Scimed Life Systems, Inc.||Apparatus and method for sealing vascular punctures|
|US5536267 *||12 Aug 1994||16 Jul 1996||Zomed International||Multiple electrode ablation apparatus|
|US5554112 *||8 Jul 1994||10 Sep 1996||Birtcher Medical Systems, Inc.||Minimally invasive irrigator/aspirator surgical probe and method of using same|
|US5556396 *||28 Mar 1995||17 Sep 1996||Endovascular, Inc.||Method for tubal electroligation|
|US5593404 *||8 Mar 1994||14 Jan 1997||Myriadlase, Inc.||Method of treatment of prostate|
|US5643257 *||28 Mar 1995||1 Jul 1997||Endovascular, Inc.||Apparatus and method for venous ligation|
|US5658282 *||7 Jun 1995||19 Aug 1997||Endovascular, Inc.||Apparatus for in situ saphenous vein bypass and less-invasive varicose vein treatment|
|US5669934 *||5 Jun 1995||23 Sep 1997||Fusion Medical Technologies, Inc.||Methods for joining tissue by applying radiofrequency energy to performed collagen films and sheets|
|US5700262 *||16 Oct 1995||23 Dec 1997||Neuro Navigational, L.L.C.||Bipolar electrode with fluid channels for less invasive neurosurgery|
|US5749895 *||6 Sep 1994||12 May 1998||Fusion Medical Technologies, Inc.||Method for bonding or fusion of biological tissue and material|
|US5766166 *||21 Feb 1996||16 Jun 1998||Enable Medical Corporation||Bipolar Electrosurgical scissors|
|US5782747 *||22 Apr 1996||21 Jul 1998||Zimmon Science Corporation||Spring based multi-purpose medical instrument|
|US5807239 *||17 May 1996||15 Sep 1998||Conceptus, Inc.||Transcervical ostium access device and method|
|US5807389 *||18 Oct 1994||15 Sep 1998||Myriadlase, Inc.||Laterally reflecting tip for laser transmitting fiber|
|US5810810 *||6 Jun 1995||22 Sep 1998||Scimed Life Systems, Inc.||Apparatus and method for sealing vascular punctures|
|US5824015 *||5 Jun 1995||20 Oct 1998||Fusion Medical Technologies, Inc.||Method for welding biological tissue|
|US5827276 *||12 Dec 1996||27 Oct 1998||Board Of Regents Of Univ Of Nebraksa||Apparatus for volumetric tissue ablation|
|US5855576 *||12 Dec 1996||5 Jan 1999||Board Of Regents Of University Of Nebraska||Method for volumetric tissue ablation|
|US5868740 *||24 Mar 1995||9 Feb 1999||Board Of Regents-Univ Of Nebraska||Method for volumetric tissue ablation|
|US5897551 *||21 Nov 1994||27 Apr 1999||Myriadlase, Inc.||Medical device for applying high energy light and heat for gynecological sterilization procedures|
|US5913855 *||3 Nov 1997||22 Jun 1999||Rita Medical Systems, Inc.||Multiple antenna ablation apparatus and method|
|US5919189 *||13 May 1997||6 Jul 1999||Benderev; Theodore V.||Electrosurgical instrument and method of use|
|US5925042 *||3 Nov 1997||20 Jul 1999||Rita Medical Systems, Inc.||Multiple antenna ablation apparatus and method|
|US5925045 *||2 Apr 1997||20 Jul 1999||Mentor Corporation||Bipolar electrosurgical instrument|
|US5928229 *||30 Oct 1997||27 Jul 1999||Rita Medical Systems, Inc.||Tumor ablation apparatus|
|US5951547 *||3 Nov 1997||14 Sep 1999||Rita Medical Systems, Inc.||Multiple antenna ablation apparatus and method|
|US5954715 *||20 Apr 1998||21 Sep 1999||Adiana, Inc.||Method and apparatus for tubal occlusion|
|US5972416 *||23 Jan 1996||26 Oct 1999||Mentor Corporation||Bipolar electrosurgical instrument and method for making the instrument|
|US5980517 *||25 Mar 1998||9 Nov 1999||Rita Medical Systems, Inc.||Cell necrosis apparatus|
|US6030365 *||10 Jun 1998||29 Feb 2000||Laufer; Michael D.||Minimally invasive sterile surgical access device and method|
|US6030383 *||26 Oct 1998||29 Feb 2000||Benderev; Theodore V.||Electrosurgical instrument and method of use|
|US6059780 *||4 Nov 1997||9 May 2000||Rita Medical Systems, Inc.||Multiple antenna ablation apparatus and method with cooling element|
|US6063085 *||22 Oct 1993||16 May 2000||Scimed Life Systems, Inc.||Apparatus and method for sealing vascular punctures|
|US6066139 *||14 May 1996||23 May 2000||Sherwood Services Ag||Apparatus and method for sterilization and embolization|
|US6068626 *||10 Aug 1999||30 May 2000||Adiana, Inc.||Method and apparatus for tubal occlusion|
|US6071280 *||14 Feb 1997||6 Jun 2000||Rita Medical Systems, Inc.||Multiple electrode ablation apparatus|
|US6080150 *||24 Feb 1998||27 Jun 2000||Rita Medical Systems, Inc.||Cell necrosis apparatus|
|US6090105 *||17 Nov 1997||18 Jul 2000||Rita Medical Systems, Inc.||Multiple electrode ablation apparatus and method|
|US6132425 *||6 Feb 1998||17 Oct 2000||Gough; Edward J.||Cell necrosis apparatus|
|US6145505 *||28 May 1999||14 Nov 2000||Conceptus, Inc.||Electrically affixed transcervical fallopian tube occlusion devices|
|US6176240 *||7 Jun 1995||23 Jan 2001||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and their delivery|
|US6179837||7 Mar 1995||30 Jan 2001||Enable Medical Corporation||Bipolar electrosurgical scissors|
|US6267758 *||28 Jan 1997||31 Jul 2001||Esc Medical Systems Ltd.||Apparatus for in situ saphenous vein bypass and less-invasive varicose vein treatment|
|US6309384 *||1 Feb 1999||30 Oct 2001||Adiana, Inc.||Method and apparatus for tubal occlusion|
|US6346102||26 May 2000||12 Feb 2002||Adiana, Inc.||Method and apparatus for tubal occlusion|
|US6350264||23 Oct 2000||26 Feb 2002||Enable Medical Corporation||Bipolar electrosurgical scissors|
|US6352549 *||26 Jan 1996||5 Mar 2002||Myriadlase, Inc.||Medical device for applying high energy light and heat for gynecological sterilization procedures|
|US6391029||29 Sep 2000||21 May 2002||Enable Medical Corporation||Bipolar electrosurgical scissors|
|US6454765||9 Feb 2000||24 Sep 2002||The Board Of Regents Of The University Of Nebraska||Methods for volumetric tissue ablation|
|US6464701||29 Sep 2000||15 Oct 2002||Enable Medical Corporation||Bipolar electrosurgical scissors|
|US6468273||9 Feb 2000||22 Oct 2002||The Board Of Regents Of The University Of Nebraska||Methods for volumetric tissue ablation|
|US6526979||12 Jun 2000||4 Mar 2003||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US6575967||9 Feb 2000||10 Jun 2003||The Board Of Regents Of The University Of Nebraska||Method and systems for volumetric tissue ablation|
|US6634361||1 Jun 1999||21 Oct 2003||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US6684884||23 Jul 2001||3 Feb 2004||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US6705323||8 Jun 1998||16 Mar 2004||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US6709667||22 Aug 2000||23 Mar 2004||Conceptus, Inc.||Deployment actuation system for intrafallopian contraception|
|US6712810||16 Mar 2001||30 Mar 2004||Adiana, Inc.||Method and apparatus for tubal occlusion|
|US6726682||12 Feb 2002||27 Apr 2004||Adiana, Inc.||Method and apparatus for tubal occlusion|
|US6763833||22 Aug 2000||20 Jul 2004||Conceptus, Inc.||Insertion/deployment catheter system for intrafallopian contraception|
|US6958062||3 Nov 1997||25 Oct 2005||Rita Medical Systems, Inc.||Multiple antenna ablation apparatus and method|
|US7160295 *||9 Aug 2004||9 Jan 2007||Garito Jon C||Flexible electrosurgical electrode for treating tissue|
|US7220259||26 Apr 2004||22 May 2007||Adiana, Inc.||Method and apparatus for tubal occlusion|
|US7237552 *||15 Jul 2004||3 Jul 2007||Conceptus, Inc.||Insertion/deployment catheter system for intrafallopian contraception|
|US7428904||14 May 2004||30 Sep 2008||Alien Technology Corporation||Contraceptive transcervical fallopian tube occlusion devices and their delivery|
|US7506650||23 Feb 2004||24 Mar 2009||Conceptus, Inc.||Deployment actuation system for intrafallopian contraception|
|US7582085||24 Aug 2004||1 Sep 2009||Cytyc Corporation||Catheter placement detection system and operator interface|
|US7591268||15 Jun 2005||22 Sep 2009||Conceptus, Inc.||Deployment actuation system for intrafallopian contraception|
|US7674260||28 Apr 2005||9 Mar 2010||Cytyc Corporation||Emergency hemostasis device utilizing energy|
|US7686020||31 Aug 2006||30 Mar 2010||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US7731712||20 Dec 2004||8 Jun 2010||Cytyc Corporation||Method and system for transcervical tubal occlusion|
|US7842035||29 Mar 2004||30 Nov 2010||Cytyc Corporation||Method and apparatus for tubal occlusion|
|US7846160||21 Dec 2006||7 Dec 2010||Cytyc Corporation||Method and apparatus for sterilization|
|US7905880||22 May 2007||15 Mar 2011||Cytyc Corporation||Method and apparatus for tubal occlusion|
|US7921848||13 Aug 2003||12 Apr 2011||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US7934504||21 Jul 2009||3 May 2011||Conceptus, Inc.||Deployment actuation system for intrafallopian contraception|
|US7975697||11 May 2006||12 Jul 2011||Conceptus, Inc.||Methods and apparatus for occluding reproductive tracts to effect contraception|
|US8048086||24 Feb 2005||1 Nov 2011||Femasys Inc.||Methods and devices for conduit occlusion|
|US8048101||29 Sep 2008||1 Nov 2011||Femasys Inc.||Methods and devices for conduit occlusion|
|US8052669||29 Sep 2008||8 Nov 2011||Femasys Inc.||Methods and devices for delivery of compositions to conduits|
|US8066007||31 Jul 2006||29 Nov 2011||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and their delivery|
|US8079364||28 Mar 2011||20 Dec 2011||Conceptus, Inc.||Deployment actuation system for intrafallopian contraception|
|US8100129||28 Aug 2007||24 Jan 2012||Conceptus, Inc.||Methods and devices for occluding an ovarian pathway|
|US8171936||20 Oct 2010||8 May 2012||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US8226645||26 Oct 2010||24 Jul 2012||Cytyc Corporation||Apparatus for tubal occlusion|
|US8231619||22 Jan 2010||31 Jul 2012||Cytyc Corporation||Sterilization device and method|
|US8267931||24 Oct 2008||18 Sep 2012||Tyco Healthcare Group Lp||Method of ligating hollow anatomical structures|
|US8292888||22 Apr 2002||23 Oct 2012||Tyco Healthcare Group Lp||Bipolar or ultrasonic surgical device|
|US8316853||17 Jul 2009||27 Nov 2012||Femasys Inc.||Method and devices for conduit occlusion|
|US8316854||31 Oct 2011||27 Nov 2012||Femasys Inc.||Methods and devices for conduit occlusion|
|US8324193||31 Oct 2011||4 Dec 2012||Femasys Inc.||Methods and devices for delivery of compositions to conduits|
|US8327852||11 Nov 2011||11 Dec 2012||Conceptus, Inc.||Occlusion devices and methods|
|US8336552||31 Oct 2011||25 Dec 2012||Femasys Inc.||Methods and devices for conduit occlusion|
|US8356599||11 Nov 2011||22 Jan 2013||Conceptus, Inc.||Occlusion devices and methods|
|US8366706||15 Aug 2008||5 Feb 2013||Cardiodex, Ltd.||Systems and methods for puncture closure|
|US8372072||22 Nov 2011||12 Feb 2013||Cardiodex Ltd.||Methods and apparatus for hemostasis following arterial catheterization|
|US8381733||11 Nov 2011||26 Feb 2013||Conceptus, Inc.||Deployment actuation system|
|US8435236||21 Nov 2005||7 May 2013||Cardiodex, Ltd.||Techniques for heat-treating varicose veins|
|US8486060||18 Sep 2006||16 Jul 2013||Cytyc Corporation||Power ramping during RF ablation|
|US8506563||19 Oct 2009||13 Aug 2013||Cytyc Surgical Products||Moisture transport system for contact electrocoagulation|
|US8523890||12 Sep 2012||3 Sep 2013||Covidien Lp||Bipolar or ultrasonic surgical device|
|US8550085||30 Jun 2011||8 Oct 2013||Conceptus, Inc.||Methods and apparatus for occluding reproductive tracts to effect contraception|
|US8550086||4 May 2010||8 Oct 2013||Hologic, Inc.||Radiopaque implant|
|US8551082||19 Mar 2012||8 Oct 2013||Cytyc Surgical Products||Radio-frequency generator for powering an ablation device|
|US8584679||8 Feb 2012||19 Nov 2013||Conceptus, Inc.||Deployment actuation system|
|US8613282||7 May 2012||24 Dec 2013||Conceptus, Inc.||Occlusion devices and methods|
|US8679110||28 Jul 2008||25 Mar 2014||Covidien Lp||Expandable vein ligator catheter having multiple electrode leads, and method|
|US8695604||10 May 2012||15 Apr 2014||Bayer Essure Inc.||Deployment actuation system|
|US8695606||24 Nov 2012||15 Apr 2014||Femasys Inc.||Methods and devices for conduit occlusion|
|US8702727||22 Nov 2006||22 Apr 2014||Hologic, Inc.||Delivery catheter with implant ejection mechanism|
|US8726905||20 Jan 2012||20 May 2014||Bayer Essure Inc.||Methods and devices for occluding an ovarian pathway|
|US8726906||25 Nov 2012||20 May 2014||Femasys Inc.||Methods and devices for conduit occlusion|
|US8733360||20 Aug 2012||27 May 2014||Bayer Essure Inc.||Occlusion devices and methods|
|US8733361||19 Nov 2012||27 May 2014||Bayer Essure Inc.||Occlusion devices and methods|
|US8734439||4 Mar 2008||27 May 2014||Angiodynamics, Inc||Ablation apparatus and method|
|US8845665||15 Aug 2013||30 Sep 2014||Covidien Lp||Bipolar or ultrasonic surgical device|
|US8998898||15 May 2014||7 Apr 2015||Cytyc Surgical Products||Moisture transport system for contact electrocoagulation|
|US9034053||24 Nov 2012||19 May 2015||Femasys Inc.||Methods and devices for conduit occlusion|
|US9095348||8 Aug 2013||4 Aug 2015||Cytyc Surgical Products||Moisture transport system for contact electrocoagulation|
|US9138289 *||28 Jun 2010||22 Sep 2015||Medtronic Advanced Energy Llc||Electrode sheath for electrosurgical device|
|US9220880||25 Nov 2012||29 Dec 2015||Femasys Inc.||Methods and devices for delivery of compositions to conduits|
|US9238127||19 Sep 2013||19 Jan 2016||Femasys Inc.||Methods and devices for delivering to conduit|
|US9247989||2 Mar 2015||2 Feb 2016||Cytyc Surgical Products||Moisture transport system for contact electrocoagulation|
|US9308023||6 May 2015||12 Apr 2016||Femasys Inc.||Methods and devices for conduit occlusion|
|US9402762||31 Mar 2014||2 Aug 2016||Femasys Inc.||Methods and devices for conduit occlusion|
|US9498250 *||27 Nov 2013||22 Nov 2016||Daryoosh Samimi||Apparatus and method for performing intrastromalabdominal hysterectomy as bloodless nerve sparing method|
|US9554826||27 Aug 2011||31 Jan 2017||Femasys, Inc.||Contrast agent injection system for sonographic imaging|
|US9554853||4 Oct 2013||31 Jan 2017||Hologic, Inc.||Radio-frequency generator for powering an ablation device|
|US9597224||4 Apr 2014||21 Mar 2017||Bayer Healthcare Llc||Deployment actuation system|
|US9662514||23 Sep 2014||30 May 2017||Covidien Lp||Bipolar or ultrasonic surgical device|
|US20020165541 *||22 Apr 2002||7 Nov 2002||Whitman Michael P.||Bipolar or ultrasonic surgical device|
|US20040079377 *||20 Jun 2003||29 Apr 2004||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US20040127918 *||13 Aug 2003||1 Jul 2004||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US20040147828 *||22 Apr 2002||29 Jul 2004||Gibson Charles A.||Telescoping tip electrode catheter|
|US20040159324 *||12 Feb 2004||19 Aug 2004||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and their delivery|
|US20040163650 *||23 Feb 2004||26 Aug 2004||Conceptus, Inc.||Deployment actuation system for intrafallopian contraception|
|US20040163651 *||23 Feb 2004||26 Aug 2004||Conceptus, Inc.||Transcervical fallopian tube occlusion devices and their delivery|
|US20040200483 *||3 May 2004||14 Oct 2004||Faries Durward I.||Surgical drape and method of detecting fluid and leaks in thermal treatment system basins|
|US20040204720 *||26 Apr 2004||14 Oct 2004||Adiana, Inc.||Method and apparatus for tubal occlusion|
|US20040206358 *||14 May 2004||21 Oct 2004||Conceptus, Inc., A California Corporation||Contraceptive transcervical fallopian tube occlusion devices and their delivery|
|US20040211429 *||14 May 2004||28 Oct 2004||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices and their delivery|
|US20040255958 *||29 Mar 2004||23 Dec 2004||Adiana, Inc.||Method and apparatus for tubal occlusion|
|US20050033281 *||24 Aug 2004||10 Feb 2005||Adiana, Inc.||Catheter placement detection system and operator interface|
|US20050045184 *||15 Jul 2004||3 Mar 2005||Conceptus, Inc.||Insertion/deployment catheter system for intrafallopian contraception|
|US20050061329 *||18 Sep 2003||24 Mar 2005||Conceptus, Inc.||Catheter for intrafallopian contraceptive delivery|
|US20050232961 *||15 Jun 2005||20 Oct 2005||Conceptus, Inc.||Deployment actuation system for intrafallopian contraception|
|US20060015093 *||20 Sep 2005||19 Jan 2006||Endocare, Inc.||Open system heat exchange catheters and methods of use|
|US20060135956 *||20 Dec 2004||22 Jun 2006||Sampson Russel M||Method and system for transcervical tubal occlusion|
|US20060144406 *||2 Mar 2006||6 Jul 2006||Nikolchev Julian N||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US20060235376 *||21 Jun 2006||19 Oct 2006||Cardiodex Ltd.||Methods and apparatus for hemostasis following arterial catheterization|
|US20060247614 *||28 Apr 2005||2 Nov 2006||Sampson Russel M||Hemostasis device|
|US20070000496 *||31 Aug 2006||4 Jan 2007||Nikolchev Julian N||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US20070023534 *||24 Jul 2006||1 Feb 2007||Mingsheng Liu||Water-source heat pump control system and method|
|US20070044808 *||31 Jul 2006||1 Mar 2007||Conceptus, Inc., A California Corporation||Contraceptive transcervical fallopian tube occlusion devices and their delivery|
|US20070055223 *||3 Feb 2004||8 Mar 2007||Cardiodex, Ltd.||Methods and apparatus for hemostasis following arterial catheterization|
|US20070062542 *||20 Nov 2006||22 Mar 2007||Nikolchev Julian N||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US20070144528 *||26 Feb 2007||28 Jun 2007||Julian Nikolchev||Contraceptive transcervical fallopian tube occlusion devices and their delivery|
|US20070213710 *||2 May 2007||13 Sep 2007||Hayim Lindenbaum||Methods and apparatus for hemostasis following arterial catheterization|
|US20070215163 *||22 May 2007||20 Sep 2007||Adiana, Inc.||Method and Apparatus for Tubal Occlusion|
|US20070250051 *||25 Apr 2006||25 Oct 2007||Gaston Kerry R||Heating via microwave and millimeter-wave transmission using a hypodermic needle|
|US20070261699 *||11 May 2006||15 Nov 2007||Callister Jeffrey P||Methods and Apparatus for Occluding Reproductive Tracts to Effect Contraception|
|US20080071257 *||18 Sep 2006||20 Mar 2008||Cytyc Corporation||Power Ramping During RF Ablation|
|US20080071269 *||18 Sep 2006||20 Mar 2008||Cytyc Corporation||Curved Endoscopic Medical Device|
|US20080154259 *||4 Mar 2008||26 Jun 2008||Angiodynamics, Inc.||Ablation apparatus and method|
|US20080167643 *||21 Nov 2005||10 Jul 2008||Cardiodex Ltd.||Techniques for Heating-Treating Varicose Veins|
|US20090036840 *||25 Sep 2008||5 Feb 2009||Cytyc Corporation||Atraumatic ball tip and side wall opening|
|US20090054884 *||24 Oct 2008||26 Feb 2009||Farley Brian E||Method of ligating hollow anatomical structures|
|US20090056722 *||28 Aug 2007||5 Mar 2009||Betsy Swann||Methods and devices for occluding an ovarian pathway|
|US20090125023 *||13 Nov 2007||14 May 2009||Cytyc Corporation||Electrosurgical Instrument|
|US20090137998 *||28 Jul 2008||28 May 2009||Zikorus Arthur W||Expandable vein ligator catheter having multiple electrode leads, and method|
|US20090277463 *||21 Jul 2009||12 Nov 2009||Conceptus, Inc., A California Corporation||Deployment Actuation System for Intrafallopian Contraception|
|US20100036372 *||19 Oct 2009||11 Feb 2010||Csaba Truckai||Moisture transport system for contact electrocoagulation|
|US20100063360 *||28 Nov 2006||11 Mar 2010||Adiana, Inc.||Side-arm Port Introducer|
|US20100086492 *||3 Oct 2008||8 Apr 2010||Kathy Lee-Sepsick||Methods and devices for sonographic imaging|
|US20100094074 *||10 Oct 2008||15 Apr 2010||Hologic Inc.||Brachytherapy apparatus and methods employing expandable medical devices comprising fixation elements|
|US20100094075 *||10 Oct 2008||15 Apr 2010||Hologic Inc.||Expandable medical devices with reinforced elastomeric members and methods employing the same|
|US20100228241 *||2 Feb 2005||9 Sep 2010||Cardiodex Ltd.||Methods and apparatus for hemostasis following arterial catheterization|
|US20100228245 *||21 May 2010||9 Sep 2010||Sampson Russel M||Method and System for Transcervical Tubal Occlusion|
|US20110030696 *||20 Oct 2010||10 Feb 2011||Nikolchev Julian N||Contraceptive transcervical fallopian tube occlusion devices and methods|
|US20110180073 *||22 Jan 2010||28 Jul 2011||David Callaghan||Sterilization Device and Method|
|US20110319889 *||28 Jun 2010||29 Dec 2011||Salient Surgical Technologies, Inc.||Electrode Sheath For Electrosurgical Device|
|US20150148799 *||27 Nov 2013||28 May 2015||Daryoosh Samimi||Apparatus and method for performing intrastromalabdominal hysterectomy as bloodless nerve sparing method|
|US20170020595 *||7 Oct 2016||26 Jan 2017||Daryoosh Samimi||System for performing intrastromalabdominal hysterectomy as bloodless nerve sparing method|
|USRE37772||20 Jan 1998||25 Jun 2002||Endonetics, Inc.||Endoscope|
|USRE40863 *||22 Oct 1993||21 Jul 2009||Boston Scientific Scimed, Inc.||Apparatus and method for sealing vascular punctures|
|EP0070309A1 *||25 Jan 1982||26 Jan 1983||William S Walker||Electrosurgery instrument.|
|EP0070309A4 *||25 Jan 1982||28 Feb 1985||William S Walker||Electrosurgery instrument.|
|EP0315730A2 *||6 May 1988||17 May 1989||Peter Dr. Ing. Osypka||Device for dilating and/or opening blood vessels|
|EP0315730A3 *||6 May 1988||7 Feb 1990||Peter Dr. Ing. Osypka||Device for dilating and/or opening blood vessels|
|EP0465449A2 *||28 Jun 1991||8 Jan 1992||Heart Technology, Inc.||Tissue dissipative recanalization catheter.|
|EP0465449A3 *||28 Jun 1991||18 Mar 1992||Heart Technology, Inc.||Tissue dissipative recanalization catheter|
|EP0486177A1 *||25 Oct 1991||20 May 1992||Hamamatsu Photonics K.K.||Apparatus for current-assisted nerve cell connection|
|EP0637218A1 *||21 Apr 1993||8 Feb 1995||St. Jude Medical, Inc.||Electrosurgical apparatus and method|
|EP0637218A4 *||21 Apr 1993||6 Dec 1995||St Jude Medical||Electrosurgical apparatus and method.|
|EP0646361A1 *||18 May 1994||5 Apr 1995||DELMA ELEKTRO-UND MEDIZINISCHE APPARATEBAU GESELLSCHAFT mbH||Electrosurgical high-frequence instrument|
|EP0908156A1 *||11 Aug 1995||14 Apr 1999||Rita Medical Systems, Inc.||Multiple electrode ablation apparatus|
|EP1366725A1 *||11 Aug 1995||3 Dec 2003||Rita Medical Systems, Inc.||Multiple electrode ablation apparatus|
|EP1366729A2 *||21 May 1996||3 Dec 2003||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices having mechanical fallopian tube attachment|
|EP1366729A3 *||21 May 1996||10 Dec 2003||Conceptus, Inc.||Contraceptive transcervical fallopian tube occlusion devices having mechanical fallopian tube attachment|
|WO1993001758A1 *||14 Jul 1992||4 Feb 1993||Jerome Canady||Surgical coagulation device|
|WO1996004860A1 *||11 Aug 1995||22 Feb 1996||Rita Medical Systems, Inc.||Multiple electrode ablation apparatus|
|WO1997043944A1 *||15 May 1997||27 Nov 1997||Conceptus, Inc.||Transcervical ostium access device and method|
|WO2000044323A1 *||28 Jan 2000||3 Aug 2000||Adiana, Inc.||Method and apparatus for tubal occlusion|
|WO2002085205A3 *||22 Apr 2002||1 May 2003||Bard Inc C R||Telescoping tip electrode catheter|
|WO2006068808A1 *||5 Dec 2005||29 Jun 2006||Cytyc Corporation||Method and system for transcervical tubal occlusion|
|U.S. Classification||606/49, 128/831, 600/104|
|International Classification||A61B17/42, A61B18/14, A61M3/02|
|Cooperative Classification||A61B17/42, A61B18/1402, A61M3/0279, A61B18/1485, A61B2017/4233, A61B2217/007, A61B2018/1226|
|European Classification||A61B17/42, A61B18/14S|