WO1999005958B1 - Medical instrument system for piercing through tissue - Google Patents

Medical instrument system for piercing through tissue

Info

Publication number
WO1999005958B1
WO1999005958B1 PCT/US1998/015582 US9815582W WO9905958B1 WO 1999005958 B1 WO1999005958 B1 WO 1999005958B1 US 9815582 W US9815582 W US 9815582W WO 9905958 B1 WO9905958 B1 WO 9905958B1
Authority
WO
WIPO (PCT)
Prior art keywords
guide
cannula
obturator
assembly
needle
Prior art date
Application number
PCT/US1998/015582
Other languages
French (fr)
Other versions
WO1999005958A2 (en
WO1999005958A3 (en
Inventor
Ivo Brosens
Stefan Gordts
Rudi Campo
Richard P Muller
Amelio Frank D
Raymond Ainger Iii
Gregory S Konstorum
Michael H Redler
Original Assignee
Circon Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from BE9700651A external-priority patent/BE1011828A3/en
Application filed by Circon Corp filed Critical Circon Corp
Priority to EP98939099A priority Critical patent/EP0929253A2/en
Priority to JP51108599A priority patent/JP3342021B2/en
Publication of WO1999005958A2 publication Critical patent/WO1999005958A2/en
Publication of WO1999005958A3 publication Critical patent/WO1999005958A3/en
Publication of WO1999005958B1 publication Critical patent/WO1999005958B1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3474—Insufflating needles, e.g. Veress needles

Abstract

This invention is a medical instrument including a Veress needle (18), a dilating obturator (28), and a cannula (26). The needle has a tubular safety obturator (22) with an opening in its front section at a needle tip (20). A guide (10) with a guide slot can be positioned in a patient's vagina against the posterior fornix to guide the needle through the vaginal and peritoneal walls. A guide wire (24) may be passed through the needle, and through the hole (30) in the peritoneum wall formed by the needle to guide the obturator through the hole.

Claims

45AMENDED CLAIMS[received by the International Bureau on 12 February 1999 (12.02.99); original claims 1-21 replaced by new claims 1-21; remaining claims unchanged (8 pages)]
1. A medical instrument system comprising:
a first cannula;
a first assembly comprising a first dilating obturator and a first Veress needle assembly, the Veress needle assembly extending through the dilating obturator, and the first assembly being positionable through the cannula;
a second assembly comprising a first working sheath and a telescope, the telescope extending through the working sheath, the working sheath having an accessory device inlet, and the second assembly being positionable through the cannula,
wherein the first and second assemblies are alternatively positionable through the cannula, and wherein the first assembly is first used with the cannula to position the cannula through tissue of a patient, the first assembly is then removed from the cannula, and the second assembly is then positioned into the cannula to enable viewing and interaction with the patient beyond the tissue.
2. A system as m Claim 1 further comprising a second cannula, a second dilating obturator, and a guidewire, wherein the second dilating obturator is used to position the second cannula through the tissue, and the guidewire can be inserted through the second cannula to allow the second cannula to be removed from the tissue with the first dilating obturator and the first cannula then being inserted into the tissue over the guidewire.
3. A system as in Claim 2 further comprising a second sheath, wherein the second sheath does not include an accessory device inlet.
4. A system as m Claim 1 wherein the first Veress needle assembly has a first tubular needle shaft and a first needle tip obturator slidmgly located m the first needle shaft with a closed blunt front end; and the system further comprises a second Veress needle assembly having a second tubular needle shaft and a second needle tip obturator slidably located in the second needle shaft with a tubular shape having an open front end,
wherein the first and second Veress needle assemblies are alternatively slidably located in the dilating obturator.
5. A system as in Claim 4 wherein the second Veress needle assembly further comprises a handle with a rear end of the second tubular needle shaft fixed thereto, a tubular spring stop connected to the handle and coaxially telescopingly connected to a rear end of the second obturator, and a spring connected between the second obturator and the spring stop to bias the second obturator m an extended position.
6. A system as m Claim 5 further comprising a gas pressure sensor connected to the handle.
7. A system as m Claim 1 wherein the dilating obturator has retractable laterally extending cutters at a front end thereof.
8. A system as in Claim 1 wherein the first assembly comprises a combined Veress needle and dilator assembly having a tube shaped frame with a needle tip 47
section and an integral dilating outwardly expanding section behind the needle tip section, and a spring loaded safety obturator located at the needle tip section;
wherein the frame of the combined Veress needle and dilator assembly is adapted to both pierce a small hole through tissue and expand the hole m the tissue to about a same size as the cannula.
9. An instrument as m Claim 8 wherein the spring loaded safety obturator has a tube shaped member with an open front end located at the needle tip section.
10. An instrument as in Claim 8 wherein the tube shaped frame has a first section with a first diameter m front of the dilating outwardly expanding section and a second section with a second larger diameter behind the dilating outwardly expanding section.
11. An instrument as in Claim 8 wherein the tube is a one-piece member having the needle tip section and dilating section.
12. A system as in Claim 1 wherein the first Veress needle assembly comprises:
a frame having a general tubular shape with a center channel, a needle shaped open front end, and an open rear end into the center channel; and
a pressure signaler connected to the open rear end,
wherein the pressure signaler is adapted to signal a user of a difference in gas pressure 48
at the open front end relative to atmospheric pressure .
13. An assembly as m Claim 12 further comprising a spring loaded safety tip obturator mounted to the frame, the safety tip obturator having an opening therethrough .
14. A medical instrument guide comprising:
a leading end having a general rounded shape and a guide channel therethrough, the leading end being sized and shaped to seat in a posterior fornix of a vagina of a patient;
a shaft extending from the leading end; and
a rear end connected to the shaft which is sized and shaped to be held and manipulated by the user;
wherein the guide can be inserted into the patient' s vagina and positioned against the posterior fornix such that a medical instrument can be inserted through the guide channel to a position against the vaginal wall below the patient's cervix.
15. A guide as in Claim 14 wherein the guide channel is a slot extending into the leading end from a top surface of the leading end.
16. A guide as m Claim 14 wherein the guide has a section for removably mounting the guide to a cannula . 49
17. A guide as in Claim 14 wherein the leading end has a top surface with a recess to accommodate the cervix .
18. A guide as in Claim 14 further comprising a stop for preventing the medical instrument from advancing past a front of the leading end a predetermined distance.
19. A guide as in Claim 18 wherein the medical instrument is a Veress needle and the predetermined distance is about 15 mm.
20. A medical instrument for piercing through tissue comprising:
a Veress needle;
a positioner having a locator section sized and shaped to be inserted in a vagina of a patient and located against a posterior fornix of the patient, the positioner having the Veress needle movably mounted thereto, and means for moving the Veress needle forward on the positioner a predetermined limited longitudinal distance from a home position on the positioner.
21. An instrument as in Claim 20 wherein the means for moving comprises a spring for pushing the Veress needle forward relative to the positioner and a stop ledge on the positioner for stopping forward movement of the Veress needle at a predetermined position relative to the positioner.
22. A method of inserting a cannula through a peritoneum wall of a patient comprising steps of: 50
inserting a Veress needle assembly into a vagina of the patient and through the peritoneum wall to form a hole in the peritoneum wall;
expanding the size of the hole; and
sliding the cannula into the expanded size hole .
23. A method as in Claim 22 wherein the step of expanding the size of the hole comprises a tubular frame piece of the Veress needle assembly having a first section witn a first diameter, a second section with a larger second diameter, and a dilating expanding section between the first and second sections, wherein the dilating section expands the size of the hole as the tubular frame piece is passed through the hole.
24. A method as n Claim 22 wherein the step of expanding the size of the hole comprises sliding a dilating obturator over the Veress needle assembly through the hole and thereby 'wedging the hole wider.
25. A method as m Claim 24 wherein the step of sliding the cannula slides the cannula over the dilating obturator into the hole.
26. A methoα as m Claim 22 further comprising inserting a guide wire through the Veress needle assembly and out a front end of the Veress needle assembly.
27. A method as in Claim 26 further comprising removing the Veress needle assembly from the peritoneum wall and the vagina while the guide wire stays in the hole . 51
28. A method as m Claim 2""1 wnerem the step of expanding comprises inserting a dilating obturator over the guide wire and into the hole and wedging the hole wider.
29. A method as m Claim 2« wherein tne step of expanding the size of the hole comprises lateral cutters on the dilating obturator cutting slits on the sides of the hole.
30. A method as m Claim 29 wherein the cutters comprise blades that are moved between extended and retracted positions on the dilating obturator.
31. A method as m Claim 22 further comprising inserting a guide into the vagina, the guide having a guide slot therein, wherein the step of inserting the Veress needle assembly comprises placing the Veress needle assembly into the guide slot of the guide.
32. A method as in Claim 22 wherein the step of inserting the Veress needle assembly comprises actuating a drive mechanism on a guide to insert the Veress needle assembly through the peritoneum wall at high velocity.
33. A method as in Claim 32 wherein the step of actuating comprises releasing a compressed spring and the step of inserting further comprises limiting forward motion of the Veress needle assembly relative to the guide to a predetermined position.
34. A method as in Claim 22 further comprising determining if a needle tip of the Veress needle assembly has properly penetrated the peritoneum wall by sensing a change m gas pressure at the needle t p and signaling a user of the change in gas pressure. 52
35. A method of penetrating through a peritoneum wall of a patient comprising steps of:
positioning a guide against tissue of the patient proximate the peritoneum wall, the guide having a guide slot and an ultrasound probe tip;
generating an ultrasound picture at an ultrasound base unit connected to the ultrasound probe tip of a portion of the patient's body in front of the ultrasound probe tip; and
advancing a Veress needle through the tissue and the peritoneum wall and into a field of view of the ultrasound probe tip.
PCT/US1998/015582 1997-07-31 1998-07-24 Medical instrument system for piercing through tissue WO1999005958A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP98939099A EP0929253A2 (en) 1997-07-31 1998-07-24 Medical instrument system for piercing through tissue
JP51108599A JP3342021B2 (en) 1997-10-17 1998-07-24 Medical device system that penetrates tissue

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
BE970065 1997-07-31
BE9700651A BE1011828A3 (en) 1997-07-31 1997-07-31 Needle hydroculdoscopy or mini-culdoscopy and the necessary technical instrumentation
US6253697P 1997-10-17 1997-10-17
US60/062,536 1998-06-29
US09/106,675 1998-06-29
US09/106,675 US6293952B1 (en) 1997-07-31 1998-06-29 Medical instrument system for piercing through tissue

Publications (3)

Publication Number Publication Date
WO1999005958A2 WO1999005958A2 (en) 1999-02-11
WO1999005958A3 WO1999005958A3 (en) 1999-04-08
WO1999005958B1 true WO1999005958B1 (en) 1999-05-14

Family

ID=27159861

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1998/015582 WO1999005958A2 (en) 1997-07-31 1998-07-24 Medical instrument system for piercing through tissue

Country Status (3)

Country Link
US (1) US6293952B1 (en)
EP (1) EP0929253A2 (en)
WO (1) WO1999005958A2 (en)

Families Citing this family (188)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6506208B2 (en) 2000-03-06 2003-01-14 Robert B. Hunt Surgical instrument
US6358268B1 (en) 2000-03-06 2002-03-19 Robert B. Hunt Surgical instrument
GB2390305B (en) * 2001-02-20 2004-08-11 Heerden Marcus Vincent Van A uterine manipulator device
US7618430B2 (en) * 2002-02-28 2009-11-17 Biosense Webster, Inc. Retractable dilator needle
US6793678B2 (en) 2002-06-27 2004-09-21 Depuy Acromed, Inc. Prosthetic intervertebral motion disc having dampening
US7166120B2 (en) * 2002-07-12 2007-01-23 Ev3 Inc. Catheter with occluding cuff
EP2314691A3 (en) * 2002-11-14 2012-01-18 Dharmacon, Inc. Fuctional and hyperfunctional siRNA
US7534245B2 (en) * 2002-12-02 2009-05-19 Chappuis James L Flexible tap apparatus and method of use
US20050234305A1 (en) * 2004-04-15 2005-10-20 Frederick Licciardi Medical device and system for providing an image
US9387313B2 (en) 2004-08-03 2016-07-12 Interventional Spine, Inc. Telescopic percutaneous tissue dilation systems and related methods
US20060030872A1 (en) * 2004-08-03 2006-02-09 Brad Culbert Dilation introducer for orthopedic surgery
US7329233B2 (en) 2004-10-05 2008-02-12 Tyco Healthcare Group Lp Surgical system for laparoscopic surgery
US9265523B2 (en) 2011-10-24 2016-02-23 Nico Corporation Surgical access system with navigation element and method of using same
WO2006050047A2 (en) * 2004-10-28 2006-05-11 Wilson Jeffrey A Apparatus and methods for performing brain surgery
US9161820B2 (en) 2004-10-28 2015-10-20 Nico Corporation Surgical access assembly and method of using same
US9770261B2 (en) 2004-10-28 2017-09-26 Nico Corporation Surgical access assembly and method of using same
US20080109026A1 (en) * 2004-10-28 2008-05-08 Strategic Technology Assessment Group Apparatus and Methods for Performing Brain Surgery
US9387010B2 (en) 2004-10-28 2016-07-12 Nico Corporation Surgical access assembly and method of using same
US9216015B2 (en) 2004-10-28 2015-12-22 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9186175B2 (en) 2004-10-28 2015-11-17 Nico Corporation Surgical access assembly and method of using same
US7963941B2 (en) * 2005-04-12 2011-06-21 Wilk Peter J Intra-abdominal medical method and associated device
US20060287583A1 (en) 2005-06-17 2006-12-21 Pool Cover Corporation Surgical access instruments for use with delicate tissues
US8216158B2 (en) * 2005-07-20 2012-07-10 Medtronic, Inc. Implantation of a medical device within a lumen
US7850686B2 (en) * 2006-03-30 2010-12-14 Ethicon Endo-Surgery, Inc. Protective needle knife
WO2008007355A1 (en) * 2006-07-13 2008-01-17 Stark Med Gmbh Trans-douglas endoscopical surgical device (ted)
US20080097469A1 (en) * 2006-10-18 2008-04-24 Gruber William H Intrauterine access and procedure system with laterally deflectable sheath
US20080146872A1 (en) 2006-11-07 2008-06-19 Gruber William H Mechanical distension systems for performing a medical procedure in a remote space
US8025656B2 (en) 2006-11-07 2011-09-27 Hologic, Inc. Methods, systems and devices for performing gynecological procedures
US8025670B2 (en) * 2006-11-22 2011-09-27 Minos Medical Methods and apparatus for natural orifice vaginal hysterectomy
US8551139B2 (en) 2006-11-30 2013-10-08 Cook Medical Technologies Llc Visceral anchors for purse-string closure of perforations
US8105382B2 (en) 2006-12-07 2012-01-31 Interventional Spine, Inc. Intervertebral implant
US7655004B2 (en) 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
ATE514386T1 (en) 2007-02-28 2011-07-15 Wilson Cook Medical Inc INTESTINAL BYPASS USING MAGNETS
US7815662B2 (en) 2007-03-08 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical suture anchors and deployment device
EP2134283B1 (en) 2007-04-06 2014-06-11 Hologic, Inc. System and device for tissue removal
US20090270898A1 (en) 2007-04-06 2009-10-29 Interlace Medical, Inc. Tissue removal device with high reciprocation rate
US9095366B2 (en) 2007-04-06 2015-08-04 Hologic, Inc. Tissue cutter with differential hardness
US9259233B2 (en) 2007-04-06 2016-02-16 Hologic, Inc. Method and device for distending a gynecological cavity
US8075572B2 (en) 2007-04-26 2011-12-13 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US8100922B2 (en) 2007-04-27 2012-01-24 Ethicon Endo-Surgery, Inc. Curved needle suturing tool
US8900307B2 (en) 2007-06-26 2014-12-02 DePuy Synthes Products, LLC Highly lordosed fusion cage
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
BRPI0817421A2 (en) 2007-10-05 2015-06-16 Tyco Healthcare Sealing fastener for use in surgical procedures
US8480657B2 (en) 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
US20090112059A1 (en) 2007-10-31 2009-04-30 Nobis Rudolph H Apparatus and methods for closing a gastrotomy
CN101909548B (en) 2008-01-17 2014-07-30 斯恩蒂斯有限公司 An expandable intervertebral implant and associated method of manufacturing the same
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
WO2009124269A1 (en) 2008-04-05 2009-10-08 Synthes Usa, Llc Expandable intervertebral implant
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US8679003B2 (en) 2008-05-30 2014-03-25 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8317806B2 (en) 2008-05-30 2012-11-27 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US8114072B2 (en) 2008-05-30 2012-02-14 Ethicon Endo-Surgery, Inc. Electrical ablation device
US8070759B2 (en) 2008-05-30 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical fastening device
US8652150B2 (en) 2008-05-30 2014-02-18 Ethicon Endo-Surgery, Inc. Multifunction surgical device
US8906035B2 (en) 2008-06-04 2014-12-09 Ethicon Endo-Surgery, Inc. Endoscopic drop off bag
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8361112B2 (en) 2008-06-27 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US8262563B2 (en) 2008-07-14 2012-09-11 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US8529563B2 (en) 2008-08-25 2013-09-10 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8241204B2 (en) 2008-08-29 2012-08-14 Ethicon Endo-Surgery, Inc. Articulating end cap
US8480689B2 (en) 2008-09-02 2013-07-09 Ethicon Endo-Surgery, Inc. Suturing device
US8409200B2 (en) 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8114119B2 (en) 2008-09-09 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical grasping device
FI20080524A0 (en) 2008-09-17 2008-09-17 Bayer Schering Pharma Oy An inserter
MX2011002670A (en) 2008-09-17 2011-04-12 Bayer Oy An inserter.
FI20080523A0 (en) 2008-09-17 2008-09-17 Bayer Schering Pharma Oy An inserter
US8337394B2 (en) 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
USD738500S1 (en) 2008-10-02 2015-09-08 Covidien Lp Seal anchor for use in surgical procedures
US8157834B2 (en) 2008-11-25 2012-04-17 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
US8172772B2 (en) 2008-12-11 2012-05-08 Ethicon Endo-Surgery, Inc. Specimen retrieval device
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8828031B2 (en) 2009-01-12 2014-09-09 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US8252057B2 (en) 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US9226772B2 (en) 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US9526620B2 (en) 2009-03-30 2016-12-27 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
US11903602B2 (en) 2009-04-29 2024-02-20 Hologic, Inc. Uterine fibroid tissue removal device
JP5674775B2 (en) * 2009-06-26 2015-02-25 クック メディカル テクノロジーズ エルエルシーＣｏｏｋ Ｍｅｄｉｃａｌ Ｔｅｃｈｎｏｌｏｇｉｅｓ Ｌｌｃ Linear clamp for anastomosis
US9173677B2 (en) * 2009-07-08 2015-11-03 Covidien Lp Apparatus and method for transvaginal surgery
US20110098704A1 (en) 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Electrical ablation devices
WO2011056445A1 (en) 2009-11-03 2011-05-12 Wilson-Cook Medical Inc. Planar clamps for anastomosis
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US9393129B2 (en) 2009-12-10 2016-07-19 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9005198B2 (en) 2010-01-29 2015-04-14 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8603121B2 (en) 2010-04-14 2013-12-10 Cook Medical Technologies Llc Systems and methods for creating anastomoses
EP2579786B1 (en) 2010-06-09 2017-11-01 C.R. Bard Inc. Instruments for delivering transfascial sutures and transfascial suture assemblies
US9907560B2 (en) 2010-06-24 2018-03-06 DePuy Synthes Products, Inc. Flexible vertebral body shavers
US8979860B2 (en) 2010-06-24 2015-03-17 DePuy Synthes Products. LLC Enhanced cage insertion device
TW201215379A (en) 2010-06-29 2012-04-16 Synthes Gmbh Distractible intervertebral implant
US9402732B2 (en) 2010-10-11 2016-08-02 DePuy Synthes Products, Inc. Expandable interspinous process spacer implant
US8608738B2 (en) 2010-12-06 2013-12-17 Soulor Surgical, Inc. Apparatus for treating a portion of a reproductive system and related methods of use
US8753267B2 (en) 2011-01-24 2014-06-17 Covidien Lp Access assembly insertion device
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features
US9314620B2 (en) 2011-02-28 2016-04-19 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9254169B2 (en) 2011-02-28 2016-02-09 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9233241B2 (en) 2011-02-28 2016-01-12 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9049987B2 (en) 2011-03-17 2015-06-09 Ethicon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
US9826972B2 (en) 2011-10-24 2017-11-28 C.R. Bard, Inc. Instruments for delivering transfascial sutures, transfascial suture assemblies and methods of transfascial suturing
US9039721B2 (en) 2011-11-07 2015-05-26 C.R. Bard, Inc. Instruments for delivering transfascial sutures and methods of transfascial suturing
US9078648B2 (en) 2011-11-07 2015-07-14 C.R. Bard, Inc. Instruments for delivering transfascial sutures and methods of transfascial suturing
US9924938B2 (en) * 2011-11-07 2018-03-27 C.R. Bard, Inc. Instruments for delivering transfascial sutures and methods of transfascial suturing
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
US9320507B2 (en) 2012-03-26 2016-04-26 Covidien Lp Cannula valve assembly
US9757147B2 (en) 2012-04-11 2017-09-12 Nico Corporation Surgical access system with navigation element and method of using same
US9211141B2 (en) * 2012-04-13 2015-12-15 Boston Scientific Scimed, Inc. Vaginal manipulator
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
WO2014018098A1 (en) 2012-07-26 2014-01-30 DePuy Synthes Products, LLC Expandable implant
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US10314649B2 (en) 2012-08-02 2019-06-11 Ethicon Endo-Surgery, Inc. Flexible expandable electrode and method of intraluminal delivery of pulsed power
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US20140067069A1 (en) 2012-08-30 2014-03-06 Interventional Spine, Inc. Artificial disc
US10022520B2 (en) 2012-12-17 2018-07-17 Nico Corporation Surgical access system
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US20140257098A1 (en) * 2013-03-05 2014-09-11 Giuseppe Del Priore Systems and methods for detection of cancer in women
US9522070B2 (en) 2013-03-07 2016-12-20 Interventional Spine, Inc. Intervertebral implant
WO2015027009A1 (en) * 2013-08-21 2015-02-26 MKT Enterprises, LLC Apparatus and method for ovarian cancer screening
CA2866035A1 (en) 2013-10-04 2015-04-04 Tidi Products, Llc Sheath for a medical or dental instrument
US9615847B2 (en) * 2013-11-21 2017-04-11 Boston Scientific Scimed, Inc. Devices and methods for soft tissue hydro dissection
US9993263B2 (en) * 2013-12-12 2018-06-12 Catalin Esanu Method and device for ultrasound guided minimal invasive access of a bodily cavity
US10314647B2 (en) 2013-12-23 2019-06-11 Medtronic Advanced Energy Llc Electrosurgical cutting instrument
USD731652S1 (en) 2014-02-19 2015-06-09 Tidi Products, Llc Dental curing light sleeve
US10813686B2 (en) 2014-02-26 2020-10-27 Medtronic Advanced Energy Llc Electrosurgical cutting instrument
WO2015175635A1 (en) 2014-05-13 2015-11-19 Vycor Medical, Inc. Guidance system mounts for surgical introducers
KR101592100B1 (en) * 2014-05-27 2016-02-04 이제범 Catheter for cone biopsy
US10064649B2 (en) 2014-07-07 2018-09-04 Covidien Lp Pleated seal for surgical hand or instrument access
US9707011B2 (en) 2014-11-12 2017-07-18 Covidien Lp Attachments for use with a surgical access device
US10456061B2 (en) 2014-11-12 2019-10-29 Nico Corporation Holding arrangement for a surgical access system
US11426290B2 (en) 2015-03-06 2022-08-30 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US10357280B2 (en) 2015-04-30 2019-07-23 Nico Corporation Navigating introducer for tissue access system
US10251662B2 (en) 2015-06-04 2019-04-09 Covidien Lp Surgical instruments for blunt and sharp tissue dissection
US9913727B2 (en) 2015-07-02 2018-03-13 Medos International Sarl Expandable implant
US10463492B2 (en) 2015-11-17 2019-11-05 Edwards Lifesciences Corporation Systems and devices for setting an anchor
US10765450B2 (en) 2016-03-15 2020-09-08 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US10543057B2 (en) 2016-03-15 2020-01-28 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US11413066B2 (en) 2016-03-15 2022-08-16 Nico Corporation Selectively lockable holding arrangement for a surgical access system
US10433822B2 (en) 2016-04-22 2019-10-08 Welch Allyn, Inc. System and method for medical diagnostics
JP7019616B2 (en) 2016-06-28 2022-02-15 イーアイティー・エマージング・インプラント・テクノロジーズ・ゲーエムベーハー Expandable and angle adjustable intervertebral cage with range of motion joints
JP6995789B2 (en) 2016-06-28 2022-01-17 イーアイティー・エマージング・インプラント・テクノロジーズ・ゲーエムベーハー Expandable and angle adjustable intervertebral cage
US10537436B2 (en) 2016-11-01 2020-01-21 DePuy Synthes Products, Inc. Curved expandable cage
US10543016B2 (en) 2016-11-07 2020-01-28 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
US10376258B2 (en) 2016-11-07 2019-08-13 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
US10888433B2 (en) 2016-12-14 2021-01-12 DePuy Synthes Products, Inc. Intervertebral implant inserter and related methods
US10398563B2 (en) 2017-05-08 2019-09-03 Medos International Sarl Expandable cage
US11344424B2 (en) 2017-06-14 2022-05-31 Medos International Sarl Expandable intervertebral implant and related methods
US11160682B2 (en) 2017-06-19 2021-11-02 Covidien Lp Method and apparatus for accessing matter disposed within an internal body vessel
US10940016B2 (en) 2017-07-05 2021-03-09 Medos International Sarl Expandable intervertebral fusion cage
US10828065B2 (en) 2017-08-28 2020-11-10 Covidien Lp Surgical access system
US10675056B2 (en) 2017-09-07 2020-06-09 Covidien Lp Access apparatus with integrated fluid connector and control valve
US11135062B2 (en) 2017-11-20 2021-10-05 Valtech Cardio Ltd. Cinching of dilated heart muscle
CN108742492A (en) * 2018-06-29 2018-11-06 辛琰琰 Non-porous Fornixscope
US11389193B2 (en) 2018-10-02 2022-07-19 Covidien Lp Surgical access device with fascial closure system
US11457949B2 (en) 2018-10-12 2022-10-04 Covidien Lp Surgical access device and seal guard for use therewith
US11446156B2 (en) 2018-10-25 2022-09-20 Medos International Sarl Expandable intervertebral implant, inserter instrument, and related methods
CN109637321B (en) * 2018-12-27 2021-10-29 东莞市第三人民医院（东莞市石龙人民医院） Ovum-taking model and application thereof
US10792071B2 (en) 2019-02-11 2020-10-06 Covidien Lp Seals for surgical access assemblies
US11166748B2 (en) 2019-02-11 2021-11-09 Covidien Lp Seal assemblies for surgical access assemblies
US20200306004A1 (en) 2019-03-27 2020-10-01 GYRUS ACMI, INC.,d/b/a Olympus Surgical Technologies America Surgical protection system
US11000313B2 (en) 2019-04-25 2021-05-11 Covidien Lp Seals for surgical access devices
US11413068B2 (en) 2019-05-09 2022-08-16 Covidien Lp Seal assemblies for surgical access assemblies
US11259841B2 (en) 2019-06-21 2022-03-01 Covidien Lp Seal assemblies for surgical access assemblies
US11259840B2 (en) 2019-06-21 2022-03-01 Covidien Lp Valve assemblies for surgical access assemblies
US11357542B2 (en) 2019-06-21 2022-06-14 Covidien Lp Valve assembly and retainer for surgical access assembly
US11413065B2 (en) 2019-06-28 2022-08-16 Covidien Lp Seal assemblies for surgical access assemblies
US11399865B2 (en) 2019-08-02 2022-08-02 Covidien Lp Seal assemblies for surgical access assemblies
US11432843B2 (en) 2019-09-09 2022-09-06 Covidien Lp Centering mechanisms for a surgical access assembly
US11523842B2 (en) 2019-09-09 2022-12-13 Covidien Lp Reusable surgical port with disposable seal assembly
US11812991B2 (en) 2019-10-18 2023-11-14 Covidien Lp Seal assemblies for surgical access assemblies
US11464540B2 (en) 2020-01-17 2022-10-11 Covidien Lp Surgical access device with fixation mechanism
US11576701B2 (en) 2020-03-05 2023-02-14 Covidien Lp Surgical access assembly having a pump
US11426286B2 (en) 2020-03-06 2022-08-30 Eit Emerging Implant Technologies Gmbh Expandable intervertebral implant
US11642153B2 (en) 2020-03-19 2023-05-09 Covidien Lp Instrument seal for surgical access assembly
US11541218B2 (en) 2020-03-20 2023-01-03 Covidien Lp Seal assembly for a surgical access assembly and method of manufacturing the same
US11446058B2 (en) 2020-03-27 2022-09-20 Covidien Lp Fixture device for folding a seal member
US11717321B2 (en) 2020-04-24 2023-08-08 Covidien Lp Access assembly with retention mechanism
US11622790B2 (en) 2020-05-21 2023-04-11 Covidien Lp Obturators for surgical access assemblies and methods of assembly thereof
US11751908B2 (en) 2020-06-19 2023-09-12 Covidien Lp Seal assembly for surgical access assemblies
US11850160B2 (en) 2021-03-26 2023-12-26 Medos International Sarl Expandable lordotic intervertebral fusion cage
US11752009B2 (en) 2021-04-06 2023-09-12 Medos International Sarl Expandable intervertebral fusion cage

Family Cites Families (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US341142A (en) * 1886-05-04 Jonathan eobinson hamilton
US2705949A (en) 1953-08-25 1955-04-12 Silverman Irving Biopsy needle
US3330268A (en) * 1963-12-18 1967-07-11 Goldsmith Sidney Biopsy needle
US3469580A (en) * 1967-03-09 1969-09-30 Sierra Eng Co Introducer for epidural needle
US3698396A (en) * 1970-12-04 1972-10-17 Abbott Lab Catheter assembly for peritoneal cavity insertion
US4610663A (en) * 1984-12-18 1986-09-09 The Kendall Company Nephrostomy catheter with side connector
US4787892A (en) * 1984-12-18 1988-11-29 The Kendall Company Nephrostomy catheter with formed tip
DE8609189U1 (en) * 1986-02-24 1986-05-15 Tsai, Joy Yih-Chiou, Tung Shih, Taichung DUCKBILL SPECTRUM
JPS6431701U (en) * 1987-08-20 1989-02-27
US5232442A (en) 1989-12-11 1993-08-03 Brigham And Women's Hospital Method and apparatus for inducing anesthesia
US4966130A (en) * 1990-01-26 1990-10-30 Montaldi David H One-piece disposable speculum
AT397911B (en) * 1990-07-04 1994-08-25 Avl Verbrennungskraft Messtech TWO TUMBLE NEEDLE FOR BODY LIQUIDS
US5188630A (en) * 1991-03-25 1993-02-23 Christoudias George C Christoudias endospongestick probe
US5098388A (en) * 1991-05-02 1992-03-24 Richard Kulkashi Veress needle assembly
US5273545A (en) 1991-10-15 1993-12-28 Apple Medical Corporation Endoscopic cannula with tricuspid leaf valve
US5334150A (en) * 1992-11-17 1994-08-02 Kaali Steven G Visually directed trocar for laparoscopic surgical procedures and method of using same
US5250036A (en) 1992-11-24 1993-10-05 Mohammad Farivar Intravenous catheter placement system
US5370623A (en) 1993-03-01 1994-12-06 Kreamer; Jeffry W. Catheter with protective cover and method of catheterization
US5681325A (en) 1993-05-13 1997-10-28 Hasson; Harrith M. Support for surgical instrument
US5406939A (en) * 1994-02-14 1995-04-18 Bala; Harry Endoscope sheath
US5454790A (en) * 1994-05-09 1995-10-03 Innerdyne, Inc. Method and apparatus for catheterization access
US5840077A (en) * 1994-10-18 1998-11-24 Blairden Precision Instruments, Inc. Uterine manipulating assembly for laparoscopic hysterectomy
US5759150A (en) * 1995-07-07 1998-06-02 Olympus Optical Co., Ltd. System for evulsing subcutaneous tissue
US5685856A (en) 1996-02-27 1997-11-11 Lehrer; Theodor Coaxial blunt dilator and endoscopic cannula insertion system

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US6293952B1 (en) 2001-09-25
WO1999005958A2 (en) 1999-02-11
WO1999005958A3 (en) 1999-04-08
EP0929253A2 (en) 1999-07-21

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