WO2002078549A2 - Method and apparatus for the detection and ligation of uterine arteries - Google Patents
Method and apparatus for the detection and ligation of uterine arteries Download PDFInfo
- Publication number
- WO2002078549A2 WO2002078549A2 PCT/US2002/009775 US0209775W WO02078549A2 WO 2002078549 A2 WO2002078549 A2 WO 2002078549A2 US 0209775 W US0209775 W US 0209775W WO 02078549 A2 WO02078549 A2 WO 02078549A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- clamping device
- clamping
- blood flow
- artery
- uterine
- Prior art date
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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips 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
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/41—Detecting, measuring or recording for evaluating the immune or lymphatic systems
- A61B5/414—Evaluating particular organs or parts of the immune or lymphatic systems
- A61B5/415—Evaluating particular organs or parts of the immune or lymphatic systems the glands, e.g. tonsils, adenoids or thymus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/41—Detecting, measuring or recording for evaluating the immune or lymphatic systems
- A61B5/414—Evaluating particular organs or parts of the immune or lymphatic systems
- A61B5/418—Evaluating particular organs or parts of the immune or lymphatic systems lymph vessels, ducts or nodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/06—Measuring blood flow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
-
- 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
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- 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
- A61B2017/4216—Operations on uterus, e.g. endometrium
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/026—Measuring blood flow
Definitions
- the invention relates generally to the field of treatment of diseases and conditions by regulation of blood flow; in particular, the treatment of a uterus by regulating blood flow thereto.
- Hysterectomy surgical removal of the uterus
- hysterectomy is probably the best current therapeutic choice for the treatment of their diseases (uterine cancer, endometriosis, menorrhagia, and prolapse).
- diseases uterine cancer, endometriosis, menorrhagia, and prolapse.
- dysfunctional uterine bleeding abnormal menstrual bleeding that has no discrete anatomic explanation such as a tumor or growth
- newer endometrial ablation techniques may be an alternative to hysterectomy.
- hysterectomy includes a known mortality rate of 0.5 deaths per 1000 hysterectomies. Stated another way, the risk of death within 30 days of hysterectomy is thirty times greater for women who have had a hysterectomy than for women of similar ages and backgrounds who have not had a hysterectomy.
- Morbidity (medical symptoms and problems short of death) associated with hysterectomy include possible injury to adjacent organs (the bladder, the ureters, and bowel), hospital stay of approximately one week, five to six weeks of slow recovery to normal activity, three weeks of absence from work, direct medical expenses of at least $10,000, indirect cost of time away from work, a future three-fold increase in the incidence of cardiovascular disease, decreased sexual pleasure in approximately thirty percent of women, and depression and anxiety for many years after the hysterectomy for approximately eight percent of women.
- the endometrium is a glandular mucous membrane of the uterus, the thickness and structure of which varies with the phase of the menstrual lining. It is normal for portions of the lining to slough off and bleed during menstruation, but many women suffer from painful dysfunctional uterine bleeding or endometritis. Thus, endometrial ablation (removal or destruction of the endometrium) may be an alternative to hysterectomy for approximately 60,000 women. A great many new devices have been invented to perform endometrial ablation to treat dysfunctional uterine bleeding. To distinguish the present invention and its applications from endometrial ablation devices, the endometrial ablation devices will be briefly described.
- Endometrial devices can be categorized into two major groups: devices which require direct visualization of the endometrium to apply an energy source to ablate the endometrium; and those that do not require visualization for their application.
- Direct visualization of the lining of the uterus is accomplished by placing a hysteroscope through the vagina and into the uterus via the cervical os (opening). The hysteroscope image is then displayed as a color image on a TV monitor adjacent to the patient. The gynecologist then manipulates the hysteroscope and endometrial ablation instrument to ablate the lining of the uterus.
- Endometrial lining ablation instruments directed by hysteroscope include radiofrequency or electrosurgery loops, roller-balls, and lasers.
- the goal of all of these hysteroscopic endometrial ablation instruments is to transfer heat energy to the endometrium sufficiently to heat and thereby destroy it.
- An ablated endometrium cannot respond physiologically or pathologically to hormonal stimulation and cannot, therefore, proliferate and bleed.
- To treat all of the endometrium it must be entirely visible through the hysteroscope. However, visualization of all of the endometrium is difficult. The uterus must be distended like a water balloon to allow adequate visualization. In this distension process, some women become water intoxicated and hyponatremic.
- the uterine cavity is an awkward shape, somewhat triangular and often angulated. Directly visualizing each and every square millimeter of endometrial surface and ablating each and every square millimeter is seldom achieved. Consequently, portions of the dysfunctional endometrium may persist and dysfunctional bleeding may continue. [0008] Because of these hysteroscopic visualization and ablation limitations, alternative methods have been invented to destroy the lining of the uterus without the need at all for visualization of the uterine lining. On such method uses a prototypic instrument, the ThermaChoice.TM. balloon, which is produced by GyneCare, a division of Ethicon, Inc. (see U.S. Pat. No. 5,776,129, incorporated in its entirety herein).
- This device is inserted through the vagina into the uterus via the cervical os.
- the balloon is shaped like a triangle to conform to the shape of the uterus.
- hot fluid is added to the balloon to heat and destroy the uterine lining. Treatment only occurs where the balloon is in adequate contact with the uterine lining.
- hot fluids can be directly introduced into the uterus (e.g., ENABL brand system manufactured by Innerdyne, Inc., and marketed by U.S. Surgical Corporation). [0009] Endometrial destruction can also be brought about with chemical damage, photochemical injury, or thermal damage (heat or cold).
- Surgically removing fibroids or in situ ablation of uterine fibroids is a bit like eradicating ants in the pantry-they are not all seen from one perspective and there may be a lot of them.
- a diagnosis of uterine fibroids involves the presence of multiple fibroids, often averaging ten fibroids or more per afflicted uterus. Consequently, it is difficult to know which fibroid is causing symptoms to the patient (bleeding, pain, and bulk effects on adjacent organs). Furthermore, fibroids occur at different layers in the uterus.
- Uterine fibroids can occur adjacent to the lining of the uterus (submucosal fibroid), in the myometrium (intramural fibroid), or adjacent to the outer layer of the uterus (subserosal fibroid). Consequently, if one is directly observing the uterus from the peritoneal cavity, only subserosal fibroids would be seen. If one is directly observing the uterus from the endometrial surface of the uterus, only the submucosal would be seen. Fibroids deep within the wall of the uterus are poorly visualized from either surface. Finally, since fibroids come in all sizes, only the larger fibroids will be seen in any case.
- uterine artery embolization This technique is known as "uterine artery embolization".
- the technique uses standard interventional radiology angiographic techniques and equipment, whereby the uterine arteries are accessed via a transvascular route from a common femoral artery into the left and right uterine arteries.
- uterine artery embolization Three facts explain the success of uterine artery embolization.
- pelvic bleeding from a wide variety of sources e.g., auto accidents, surgical errors, and post partum hemorrhage
- embolization techniques using coils placed in arterial and venous lumens (U.S. Pat. No.
- fibroids live a tenuous vascular life with very little ability to recruit a new blood supply from the host when the primary blood supply is compromised.
- the uterus has a dual (or redundant) blood supply, the primary blood supply being from the bilateral uterine arteries, and the secondary blood supply from the bilateral ovarian arteries.
- the uterine arteries can be occluded bilaterally and fibroid disease treated through a 2 mm hole in the right groin and through the right common femoral artery. Following the procedure, the arterial puncture site is held with manual pressure for fifteen minutes. While post-procedural pain is often significant, and requires intravenously delivered pain medication, the patient is typically fully recovered in a few days.
- the invention is directed to devices, systems and methods for occluding arteries such as the uterine arteries.
- the invention is directed to devices, systems and methods for occluding arteries from outside the arteries; that is, to devices, systems and methods configured to be applied to arteries externally of the arteries.
- Occlusion may be temporary or permanent, and may be partial or complete.
- One method of occluding an artery comprises clamping the artery so that blood flow through the artery is reduced, or is completely stopped. Such clamping of an artery may be direct or may be indirect.
- clamping of an artery may be accomplished by applying a clamping device directly onto an artery effective to compress the artery, or may be accomplished by applying a clamping device to tissue near to an artery effective to compress the artery.
- Clamping devices embodying features of the invention include clamping devices having a clamping member configured to apply pressure to a blood vessel and a blood flow sensor.
- a clamping member may have a distal portion configured to engage tissue.
- Clamping devices embodying features of the invention may have two, or more, clamping members. Two clamping members maybe disposed opposite each other and configured to move or apply pressure towards each other, such as to close together, effective to engage tissue and to clamp a blood vessel between them.
- a blood flow sensor preferably includes doppler ultrasound sensor.
- a blood flow sensor may be disposed on a clamping member, preferably on a distal portion configured to engage tissue, more preferably near the middle of the distal portion.
- a blood flow sensor disposed on a clamping member may be configured to detect blood flow in a blood vessel near said clamping member, and may be configured to detect blood flow in a blood vessel clamped by a clamping member.
- Clamping devices embodying features of the invention may include more than one blood flow sensor.
- Clamping devices may be configured to be held by a clamping device applicator.
- a clamping device applicator embodying features of the invention may be used to deliver a clamping device to a desired location.
- a clamping device applicator includes an engagement member configured to hold and to release a clamping device, and a delivery member configured to deliver a clamping device to a desired location.
- a clamping device applicator may be used to close together clamping members of a clamping device, to apply pressure to clamping members, and to apply pressure to tissue disposed between clamping members of a clamping device.
- a clamping device applicator may include an elongated arm or arms effective to place a clamping device at a desired location within a patient's body, such as adjacent a vaginal wall within a vagina near to a uterine artery.
- Clamping device embodying features of the invention may be configured to lock into a clamping position. Such a locked configuration may be temporary and releasable, or may be permanent. Clamping devices embodying features of the invention may have a ratchet mechanism configured to hold at least one clamping member in a clamping position; such ratchet mechanisms may be releasable ratchet mechanisms.
- Clamping devices embodying features of the invention may include a release mechanism configured to release a locking mechanism such as a ratchet effective to release the clamping of a blood vessel.
- Clamping devices embodying features of the invention may include a recovery member configured to aid the removal of the clamping device from a patient and the recovery of the device after release of the clamping of a blood vessel.
- a recovery member may include a lanyard or other cord or cable device.
- the invention further provides systems for occluding a blood vessel, including a clamping device having a clamping member configured to apply pressure to a blood vessel, and a blood flow sensor, and a clamping device applicator configured to engage a clamping device.
- the blood flow sensor in such systems is preferably a doppler ultrasound sensor.
- Methods and devices embodying features of the invention may be used to occlude any artery; in the following discussion, the uterine artery is used as an example. It will be understood that the methods and devices discussed in regard to this example may also be applied to any other artery.
- One method of occluding a uterine artery includes applying a clamping device to the artery so that blood flow through the artery is reduced, or is completely stopped. Such clamping of a uterine artery may be direct or may be indirect.
- Clamping of the artery may be accomplished by applying a clamping device directly onto a uterine artery effective to compress the uterine artery, or may be accomplished by applying a clamping device to tissue near to a uterine artery effective to compress the uterine artery.
- a method of occluding an artery includes sensing an artery, and compressing an artery with a clamping device having a blood flow sensor.
- Sensing an artery may include sensing blood flow, such as blood flow in an artery.
- Compressing an artery may include grasping tissue near to an artery, and may include compressing tissue surrounding an artery effective to compress the artery.
- a method of occluding a uterine artery includes sensing a uterine artery, and compressing a uterine artery with a clamping device having a blood flow sensor.
- Accessing a uterine artery may include accessing a uterine artery via the vagina of a patient with a uterine artery.
- Compressing a uterine artery may include grasping tissue near to a uterine artery, and may include compressing tissue surrounding a uterine artery effective to compress the uterine artery.
- a method of occluding a uterine artery includes accessing a uterine artery via a vagina, and compressing a portion of a vagina wall with a clamping device having a blood flow sensor.
- a method of occluding uterine artery may also include sensing blood flow in a uterine artery. Sensing blood flow in a uterine artery may include sensing blood flow in a uterine artery through a wall of a vagina.
- a method of occluding blood flow in a uterine artery may include sensing a reduction or cessation of blood flow following application of a clamp.
- a method of occluding a uterine artery includes applying a clamping device having a blood flow sensor to the artery so that blood flow through the artery is reduced, or is completely stopped, and the reduction or cessation of blood flow is sensed by the blood flow sensor.
- a blood flow sensor is also effective to locate the artery by sensing blood flow before application of the clamping device.
- a particularly suitable blood flow sensor is a doppler ultrasound sensor.
- a uterine artery may be clamped effective to compress the uterine artery by applying a clamping device directly onto a uterine artery, or by applying a clamping device to tissue near to a uterine artery.
- a method of occluding a uterine artery of a patient includes compressing a portion of a uterine artery with a clamping device comprising a blood flow sensor, and sensing a level of blood flow in the artery with said blood flow sensor.
- the method may include sensing blood flow in a uterine artery effective to locate a uterine artery.
- a uterine artery may be accessed via the vagina of a patient, and compressing a uterine artery may be accomplished by compressing a portion of the vaginal wall around a portion of a uterine artery.
- a clamping device suitable for use in a method embodying features of the invention may be a releasable clamping device, so that a uterine artery may remain occluded for only a limited time.
- a suitable limited time may be between about 0.2 hours and about 12 hours, or preferably between about 0.5 hours and about 4 hours.
- the devices, systems and methods of the present invention may be used to occlude blood flow in arteries without need for invasive procedures such as puncturing skin or vessel walls. For example, clamping a vaginal wall around a uterine artery is effective to occlude blood flow in that uterine artery without puncturing the skin or a blood vessel of the patient.
- Such occlusion may be used to treat uterine disorders such as, for example, uterine fibroids, dysfunctional uterine bleeding, and other uterine disorders.
- the devices, systems and methods of the present invention provide the advantages of allowing for the occlusion of an artery without puncture of bodily tissue, and allowing for arterial occlusion without need for radiographic equipment or skill in the use of radiographic techniques.
- the devices and methods are simpler and more readily used and removed than other methods and devices, and provide improved treatments for serious conditions and diseases.
- Figure 1 is a perspective view of a system embodying features of the invention including a clamping device and a clamping device applicator embodying features of the invention.
- Figure 2 is a perspective view of a two portions of a clamping device embodying features of the invention.
- Figure 3 is a perspective view of a clamping device embodying features of the invention.
- Figure 4A is a plan view of a portion of a clamping member of the clamping device of Figure 3 embodying features of the invention.
- Figure 4B is a transverse cross-sectional view of the clamping device of Figure 3 taken at line 4B-4B.
- Figure 1 shows a system 10 embodying features of the invention including a clamping device 12 and a clamping device applicator 14 embodying features of the invention.
- the clamping device shown in Fig. 1 is a clamp 12 having clamp jaws 14 which act as clamping members.
- the clamp jaws 16 are shown separated, but may be locked together by action of the clamp device applicator 14 bringing together locking mechanism components detent 18 and catch 20 effective to lockjaws 16 together.
- Fig. 1 further illustrates blood flow sensor 24 located on a jaw 16 where it may sense blood flow in an artery within tissue near a clamp 12.
- Blood flow sensor cable 26 is effective to carry electrical power and electrical signals to and from power apparatus 27, sensing apparatus 29 and control apparatus 31 all of which are operably connected to the blood flow sensor 24 via a cable 26.
- such power, sensing and control apparatus are effective to operate a blood flow sensor 24 and to provide an operator with blood flow information sensed by a blood flow sensor 24.
- Release and recovery of the clamp 12 may be effected by a lanyard 28, as illustrated in Fig. 1 , or by other suitable means.
- a clamp device applicator 14 is configured to hold a clamp 12 and to deliver it to a desired location, and optionally to apply force effective to compress tissue and optionally to lock a clamp 12 into a desired configuration.
- the clamp applicator 16 shown in Fig. 1 has clamp holders 30 configured to engage a clamp 12, mounted on arms 32 which are operably connected to handles 34, as by applicator pivot 36 shown in Fig. 1 , to provide mechanical support for and to allow the application of force to a clamp 12.
- a clamp device applicator may be locked into a desired configuration with an applicator lock, such as the applicator lock 38 illustrated in Fig. 1.
- Figure 2 is a perspective view of a two portions of a clamping device
- Jaws 16 are configured to engage and hold tissue, and may be locked together by a locking mechanism shown here comprising detent 18 and catch 20. Also shown are guide members 40 and 42 configured to guide the engagement of jaws 16 together. Extending guide member 40 is configured to fit within enclosing guide member 42 and to aid in the proper location and fitting of jaws 16 when jaws 16 approach one another in a compressing engagement effective to compress tissue, including vascular tissue, between jaws 16.
- FIG. 3 illustrates an alternative embodiment of a clamp 16 embodying features of the invention.
- This clamp 16 comprises a single clamp 16 with two jaws 16 connected by clamp pivot 48.
- a locking mechanism including a pawl 44 and a ratchet 46 are configured to engage with each other to lockjaws 16 in a desired configuration.
- a blood flow sensor 24 with cable 26, and a lanyard 28 are also shown.
- Figure 4A is a plan view of a portion of a portion of a jaw 16 of the clamping device 12 illustrated in Figure 3 embodying features of the invention.
- a clamping surface 50 is shown, with a blood flow sensor 24 disposed on the clamping surface 50.
- FIG. 4B is a transverse cross-sectional view of the clamping device 12 of Figure 3 taken at line 4B-4B showing portions of the jaws 16, clamping surface 50 and blood flow sensor 24 in side-view.
- Clamping devices embodying features of the invention include clamps, ratchets, jaws, clips, wires, sutures, coils, or other structures or devices.
- Clamping devices preferably include at least one clamping member configured to directly or indirectly apply pressure to a blood vessel or to urge movement of a blood vessel.
- Clamping devices may also include a clamping surface, such as an anvil, against which a blood vessel may be directly or indirectly urged.
- a clamping member may serve as a clamping surface for another clamping member.
- a clamping member may be configured to urge a blood vessel towards a clamping surface or towards another clamping member.
- Methods for applying clamping devices include grasping, probing, penetrating, deflecting, invaginating, and dilating tissue or vessels.
- Clamping devices embodying features of the invention may also include at least one blood flow sensor configured to sense blood flow in vessels.
- a blood flow sensor is preferably disposed on a clamping member, such as a jaw of a clamp, in a position to sense blood flow near a clamping member when the clamping device is near to a blood vessel, and in a position to contact a blood vessel when the clamping device is applied directly to a blood vessel.
- a blood flow sensor may be disposed on a clamping surface, or other location on a clamping device effective to sense blood flow in vessels near the clamping device and to aid in guiding the clamping device to a desired location near a blood vessel.
- a particularly suitable blood flow sensor is a doppler ultrasound sensor.
- a clamping device may be applied alone, or may be applied with a clamping device applicator.
- a clamping device that is applied to a blood vessel using a clamping device applicator may be configured to be received by the applicator, and to be applied by it.
- a clamping device applied by an applicator may have a clamping member configured to move under the influence of a clamping device applicator. Where a clamping device has a plurality of clamping members, some clamping members may be configured to close or to close together under the influence of a clamping device applicator.
- Clamping devices embodying features of the invention may be made from any suitable material or combination of materials, including metals such as stainless steel and shape memory alloys such as nickel titanium alloys, plastics, ceramics, and other biocompatible materials known in the art.
- Biocompatible polymers such as for example, polycarbonate, polysulfone, polyester, polyacetal, and other polymers may be particularly suitable for embodiments of the invention.
- Blood flow sensors may be any blood flow sensor. Preferred blood flow sensors include doppler or near infra-red blood flow sensors.
- a sensing box may be included to receive and process data in the analysis of blood flow.
- a clamping system may be configured to provide Doppler, near infra-red spectrometric imaging of arteries to non-destructively locate and ligate or occlude identified arteries.
- the device or system may be designed for single use (disposable) or may be sterilizable and capable of multiple use.
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2002576820A JP4227415B2 (en) | 2001-03-28 | 2002-03-27 | Method and apparatus for detecting and ligating uterine arteries |
EP02736522A EP1377223A2 (en) | 2001-03-28 | 2002-03-27 | Method and apparatus for the detection and ligation of uterine arteries |
CA002442362A CA2442362C (en) | 2001-03-28 | 2002-03-27 | Method and apparatus for the detection and ligation of uterine arteries |
US10/113,096 US7229465B2 (en) | 2001-03-28 | 2002-03-28 | Method and apparatus for the detection and ligation of uterine arteries |
AU2007203115A AU2007203115B2 (en) | 2001-03-28 | 2007-07-04 | Method and apparatus for the detection & ligation of uterine arteries |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US27947701P | 2001-03-28 | 2001-03-28 | |
US60/279,477 | 2001-03-28 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2002078549A2 true WO2002078549A2 (en) | 2002-10-10 |
WO2002078549A3 WO2002078549A3 (en) | 2003-01-03 |
Family
ID=23069136
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2002/009775 WO2002078549A2 (en) | 2001-03-28 | 2002-03-27 | Method and apparatus for the detection and ligation of uterine arteries |
PCT/US2002/009549 WO2002078522A2 (en) | 2001-03-28 | 2002-03-28 | Uterine artery characterization, and occlusion device |
PCT/US2002/009548 WO2002078521A2 (en) | 2001-03-28 | 2002-03-28 | Device for uterine compression |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2002/009549 WO2002078522A2 (en) | 2001-03-28 | 2002-03-28 | Uterine artery characterization, and occlusion device |
PCT/US2002/009548 WO2002078521A2 (en) | 2001-03-28 | 2002-03-28 | Device for uterine compression |
Country Status (6)
Country | Link |
---|---|
US (4) | US7229465B2 (en) |
EP (3) | EP1377223A2 (en) |
JP (3) | JP4227415B2 (en) |
AU (3) | AU2002254414B2 (en) |
CA (3) | CA2442362C (en) |
WO (3) | WO2002078549A2 (en) |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2004045422A2 (en) * | 2002-11-19 | 2004-06-03 | Vascular Controls Systems, Inc. | Deployable constrictor for uterine artery occlusion and introduction device |
JP2009501029A (en) * | 2005-06-30 | 2009-01-15 | アラゴン サージカル インク | Transvaginal uterine artery occlusion |
US8357176B2 (en) | 2006-07-24 | 2013-01-22 | Fibro Control, Inc. | Fibroid treatment apparatus and method |
US8403953B2 (en) | 2009-07-27 | 2013-03-26 | Fibro Control, Inc. | Balloon with rigid tube for occluding the uterine artery |
CN108814679A (en) * | 2018-05-07 | 2018-11-16 | 邵智勇 | A kind of multi-functional general surgery department surgical hemostatic pincers |
Families Citing this family (181)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6254601B1 (en) | 1998-12-08 | 2001-07-03 | Hysterx, Inc. | Methods for occlusion of the uterine arteries |
US7223279B2 (en) | 2000-04-21 | 2007-05-29 | Vascular Control Systems, Inc. | Methods for minimally-invasive, non-permanent occlusion of a uterine artery |
US6550482B1 (en) * | 2000-04-21 | 2003-04-22 | Vascular Control Systems, Inc. | Methods for non-permanent occlusion of a uterine artery |
US20030120306A1 (en) * | 2000-04-21 | 2003-06-26 | Vascular Control System | Method and apparatus for the detection and occlusion of blood vessels |
US6635065B2 (en) * | 2000-11-16 | 2003-10-21 | Vascular Control Systems, Inc. | Doppler directed suture ligation device and method |
CA2442362C (en) | 2001-03-28 | 2009-08-11 | Vascular Control Systems, Inc. | Method and apparatus for the detection and ligation of uterine arteries |
US20030120286A1 (en) * | 2001-03-28 | 2003-06-26 | Vascular Control System | Luminal clip applicator with sensor |
US7354444B2 (en) * | 2001-03-28 | 2008-04-08 | Vascular Control Systems, Inc. | Occlusion device with deployable paddles for detection and occlusion of blood vessels |
US7846096B2 (en) | 2001-05-29 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Method for monitoring of medical treatment using pulse-echo ultrasound |
US20030032898A1 (en) | 2001-05-29 | 2003-02-13 | Inder Raj. S. Makin | Method for aiming ultrasound for medical treatment |
US7207996B2 (en) | 2002-04-04 | 2007-04-24 | Vascular Control Systems, Inc. | Doppler directed suturing and compression device and method |
WO2003090630A2 (en) | 2002-04-25 | 2003-11-06 | Tyco Healthcare Group, Lp | Surgical instruments including micro-electromechanical systems (mems) |
US6786931B2 (en) * | 2002-08-27 | 2004-09-07 | Depuy Products, Inc. | Device, system and method for separation of modular orthopaedic elements |
US20040097961A1 (en) * | 2002-11-19 | 2004-05-20 | Vascular Control System | Tenaculum for use with occlusion devices |
AU2003291110A1 (en) * | 2002-11-27 | 2004-06-23 | Michigan State University | Process for the assembly of ultrastable mesostructured organofunctional silica compositions |
US7404821B2 (en) * | 2003-01-30 | 2008-07-29 | Vascular Control Systems, Inc. | Treatment for post partum hemorrhage |
EP1587432A4 (en) * | 2003-01-30 | 2008-12-31 | Vascular Control Systems Inc | Uterine artery occlusion clamp |
US7651511B2 (en) * | 2003-02-05 | 2010-01-26 | Vascular Control Systems, Inc. | Vascular clamp for caesarian section |
EP3170459A1 (en) | 2003-03-11 | 2017-05-24 | Covidien LP | Clip applying apparatus with angled jaw |
RU2005129555A (en) * | 2003-03-23 | 2007-04-10 | Эс Васкуляр Лтд (Il) | ADDITIONAL VASCULAR CLAMP FOR KIT OPEN VESSEL SUSPENSION TOOL TOOL |
US7333844B2 (en) * | 2003-03-28 | 2008-02-19 | Vascular Control Systems, Inc. | Uterine tissue monitoring device and method |
US20040202694A1 (en) * | 2003-04-11 | 2004-10-14 | Vascular Control Systems, Inc. | Embolic occlusion of uterine arteries |
US7325546B2 (en) * | 2003-11-20 | 2008-02-05 | Vascular Control Systems, Inc. | Uterine artery occlusion device with cervical receptacle |
US7686817B2 (en) | 2003-11-25 | 2010-03-30 | Vascular Control Systems, Inc. | Occlusion device for asymmetrical uterine artery anatomy |
US7883468B2 (en) | 2004-05-18 | 2011-02-08 | Ethicon Endo-Surgery, Inc. | Medical system having an ultrasound source and an acoustic coupling medium |
US7951095B2 (en) | 2004-05-20 | 2011-05-31 | Ethicon Endo-Surgery, Inc. | Ultrasound medical system |
US7695436B2 (en) | 2004-05-21 | 2010-04-13 | Ethicon Endo-Surgery, Inc. | Transmit apodization of an ultrasound transducer array |
US7806839B2 (en) | 2004-06-14 | 2010-10-05 | Ethicon Endo-Surgery, Inc. | System and method for ultrasound therapy using grating lobes |
US20060015144A1 (en) * | 2004-07-19 | 2006-01-19 | Vascular Control Systems, Inc. | Uterine artery occlusion staple |
US7819886B2 (en) | 2004-10-08 | 2010-10-26 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
US9763668B2 (en) | 2004-10-08 | 2017-09-19 | Covidien Lp | Endoscopic surgical clip applier |
JP4783372B2 (en) | 2004-10-08 | 2011-09-28 | タイコ ヘルスケア グループ エルピー | Device for applying a surgical clip |
EP2641549B1 (en) | 2004-10-08 | 2015-08-12 | Covidien LP | An endoscopic surgical clip applier |
US8409222B2 (en) | 2004-10-08 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier |
US7875036B2 (en) | 2004-10-27 | 2011-01-25 | Vascular Control Systems, Inc. | Short term treatment for uterine disorder |
US8696662B2 (en) | 2005-05-12 | 2014-04-15 | Aesculap Ag | Electrocautery method and apparatus |
US9339323B2 (en) | 2005-05-12 | 2016-05-17 | Aesculap Ag | Electrocautery method and apparatus |
US7942874B2 (en) | 2005-05-12 | 2011-05-17 | Aragon Surgical, Inc. | Apparatus for tissue cauterization |
US8728072B2 (en) | 2005-05-12 | 2014-05-20 | Aesculap Ag | Electrocautery method and apparatus |
US20090043295A1 (en) * | 2005-06-06 | 2009-02-12 | Ams Research Corporation | Fibroid Treatment Methods and Devices |
WO2006133289A1 (en) * | 2005-06-06 | 2006-12-14 | Ams Research Corporation | Devices and methods for ligating uterine arteries |
US20060276808A1 (en) * | 2005-06-06 | 2006-12-07 | Arnal Kevin R | Minimally Invasive Methods and Apparatus for Accessing and Ligating Uterine Arteries with Sutures |
US7641651B2 (en) * | 2005-07-28 | 2010-01-05 | Aragon Surgical, Inc. | Devices and methods for mobilization of the uterus |
US20070049973A1 (en) * | 2005-08-29 | 2007-03-01 | Vascular Control Systems, Inc. | Method and device for treating adenomyosis and endometriosis |
US8574229B2 (en) | 2006-05-02 | 2013-11-05 | Aesculap Ag | Surgical tool |
WO2007131110A2 (en) | 2006-05-03 | 2007-11-15 | Raptor Ridge, Llc | Systems and methods of tissue closure |
US8216133B2 (en) * | 2006-05-23 | 2012-07-10 | Chappuis James L | Doppler retractor |
EP1913881B1 (en) | 2006-10-17 | 2014-06-11 | Covidien LP | Apparatus for applying surgical clips |
US20080114382A1 (en) * | 2006-11-03 | 2008-05-15 | Ams Research Corporation | Uterine Artery Ligation Devices and Methods |
US20080188863A1 (en) * | 2007-02-07 | 2008-08-07 | Chu Michael S H | Uterine artery occlusion |
CA2679523C (en) | 2007-03-26 | 2015-06-23 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
CN101677813B (en) | 2007-04-11 | 2012-12-05 | Tyco医疗健康集团 | Surgical clip applier |
US20090157064A1 (en) * | 2007-05-11 | 2009-06-18 | Hodel Michael R | RFID System and Method Therefor |
US9486286B2 (en) | 2007-05-14 | 2016-11-08 | Boston Scientific Scimed, Inc. | Medical laser user interface |
US20090054915A1 (en) * | 2007-08-23 | 2009-02-26 | Peter Meier | Obstruction of uterine arteries to treat uterine fibroids using mechanical instruments to twist the vessels |
US20090054916A1 (en) * | 2007-08-23 | 2009-02-26 | Peter Meier | Clip-based method for treatment of uterine fibroids by obstruction of the uterine arteries |
US20090062827A1 (en) * | 2007-08-31 | 2009-03-05 | Peter Meier | Vacuum-based method for obstruction of uterine arteries to treat uterine fibroids |
US20090105720A1 (en) * | 2007-10-19 | 2009-04-23 | Boone Brenda J | Non-invasive surgical tenaculum |
US8870867B2 (en) | 2008-02-06 | 2014-10-28 | Aesculap Ag | Articulable electrosurgical instrument with a stabilizable articulation actuator |
US20110208212A1 (en) | 2010-02-19 | 2011-08-25 | Zergiebel Earl M | Surgical clip applier |
US8465502B2 (en) | 2008-08-25 | 2013-06-18 | Covidien Lp | Surgical clip applier and method of assembly |
US8056565B2 (en) | 2008-08-25 | 2011-11-15 | Tyco Healthcare Group Lp | Surgical clip applier and method of assembly |
US9358015B2 (en) | 2008-08-29 | 2016-06-07 | Covidien Lp | Endoscopic surgical clip applier with wedge plate |
US8267944B2 (en) | 2008-08-29 | 2012-09-18 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier with lock out |
US8409223B2 (en) | 2008-08-29 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier with clip retention |
US8585717B2 (en) | 2008-08-29 | 2013-11-19 | Covidien Lp | Single stroke endoscopic surgical clip applier |
US20100249498A1 (en) * | 2009-03-24 | 2010-09-30 | Tyco Healthcare Group Lp | Endoscopic Apparatus for Manipulating Tissue |
WO2011006067A1 (en) | 2009-07-09 | 2011-01-13 | Ams Research Corporation | Apparatus and methods of treatment of pathologic proliferative conditions uterine tissue |
US8403837B2 (en) * | 2009-08-13 | 2013-03-26 | Covidien Lp | Deployable jaws retraction device |
US8734469B2 (en) | 2009-10-13 | 2014-05-27 | Covidien Lp | Suture clip applier |
US9186136B2 (en) | 2009-12-09 | 2015-11-17 | Covidien Lp | Surgical clip applier |
US8545486B2 (en) | 2009-12-15 | 2013-10-01 | Covidien Lp | Surgical clip applier |
KR20120139661A (en) | 2010-02-04 | 2012-12-27 | 아에스쿨랍 아게 | Laparoscopic radiofrequency surgical device |
TW201129344A (en) * | 2010-02-23 | 2011-09-01 | Ying-Jie Su | Disease search device |
US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
US8419727B2 (en) | 2010-03-26 | 2013-04-16 | Aesculap Ag | Impedance mediated power delivery for electrosurgery |
US8827992B2 (en) | 2010-03-26 | 2014-09-09 | Aesculap Ag | Impedance mediated control of power delivery for electrosurgery |
US10010345B2 (en) * | 2010-04-07 | 2018-07-03 | Miriam Mackovic Basic | Instrument for occlusion of uterine blood vessels |
US8465496B2 (en) * | 2010-04-07 | 2013-06-18 | Miriam Mackovic Basic | Method and instrument for occlusion of uterine blood vessels |
US8968337B2 (en) | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US8403946B2 (en) | 2010-07-28 | 2013-03-26 | Covidien Lp | Articulating clip applier cartridge |
US9173698B2 (en) | 2010-09-17 | 2015-11-03 | Aesculap Ag | Electrosurgical tissue sealing augmented with a seal-enhancing composition |
US9974545B2 (en) * | 2010-10-15 | 2018-05-22 | Surgiclamp Pty Ltd | Surgical clamping devices and tools for use therewith |
US9011464B2 (en) | 2010-11-02 | 2015-04-21 | Covidien Lp | Self-centering clip and jaw |
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 |
US9186153B2 (en) | 2011-01-31 | 2015-11-17 | Covidien Lp | Locking cam driver and jaw assembly for clip applier |
WO2012137894A1 (en) * | 2011-04-08 | 2012-10-11 | Kariya Isao | Hemostatic tool, hemostatic device, and hemostatic method for uterine bleeding |
US9775623B2 (en) | 2011-04-29 | 2017-10-03 | Covidien Lp | Surgical clip applier including clip relief feature |
CN102793581A (en) * | 2011-05-25 | 2012-11-28 | 西安同享医疗科技有限公司 | Novel gynaecologic numerical control navigation system |
US9339327B2 (en) | 2011-06-28 | 2016-05-17 | Aesculap Ag | Electrosurgical tissue dissecting device |
US20130131697A1 (en) | 2011-11-21 | 2013-05-23 | Covidien Lp | Surgical clip applier |
US9364239B2 (en) | 2011-12-19 | 2016-06-14 | Covidien Lp | Jaw closure mechanism for a surgical clip applier |
US9364216B2 (en) | 2011-12-29 | 2016-06-14 | Covidien Lp | Surgical clip applier with integrated clip counter |
US9408610B2 (en) | 2012-05-04 | 2016-08-09 | Covidien Lp | Surgical clip applier with dissector |
US9532787B2 (en) | 2012-05-31 | 2017-01-03 | Covidien Lp | Endoscopic clip applier |
BR122020022677B1 (en) | 2012-09-26 | 2023-01-10 | Aesculap Ag | ELECTRO SURGICAL DEVICE FOR CUTTING AND SEALING TISSUES |
NL2010046C2 (en) * | 2012-12-21 | 2014-06-24 | Basiq B V | Surgical cutter. |
US9968362B2 (en) | 2013-01-08 | 2018-05-15 | Covidien Lp | Surgical clip applier |
US9113892B2 (en) | 2013-01-08 | 2015-08-25 | Covidien Lp | Surgical clip applier |
US9750500B2 (en) | 2013-01-18 | 2017-09-05 | Covidien Lp | Surgical clip applier |
KR101477887B1 (en) * | 2013-01-23 | 2014-12-31 | 동국대학교 산학협력단 | Cervical Consistometer |
KR101435135B1 (en) | 2013-06-17 | 2014-08-29 | 동아대학교 산학협력단 | Clip type medical device for spleen hemostasis |
US9775624B2 (en) | 2013-08-27 | 2017-10-03 | Covidien Lp | Surgical clip applier |
US10485545B2 (en) | 2013-11-19 | 2019-11-26 | Datascope Corp. | Fastener applicator with interlock |
US10702278B2 (en) | 2014-12-02 | 2020-07-07 | Covidien Lp | Laparoscopic surgical ligation clip applier |
US9168061B1 (en) | 2014-12-15 | 2015-10-27 | Robert J. DiBenedetto | Uterine clamp for treating postpartum hemorrhage and facilitating uterine repairs |
US9931124B2 (en) | 2015-01-07 | 2018-04-03 | Covidien Lp | Reposable clip applier |
US10368876B2 (en) | 2015-01-15 | 2019-08-06 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10292712B2 (en) | 2015-01-28 | 2019-05-21 | Covidien Lp | Surgical clip applier with integrated cutter |
US10159491B2 (en) | 2015-03-10 | 2018-12-25 | Covidien Lp | Endoscopic reposable surgical clip applier |
CN108601580B (en) * | 2015-11-03 | 2021-05-11 | 皇家飞利浦有限公司 | Ultrasound probe, system and method for measuring arterial parameters using non-imaging ultrasound |
WO2017075752A1 (en) | 2015-11-03 | 2017-05-11 | Covidien Lp | Endoscopic surgical clip applier |
US10390831B2 (en) | 2015-11-10 | 2019-08-27 | Covidien Lp | Endoscopic reposable surgical clip applier |
CA2999906A1 (en) | 2015-11-10 | 2017-05-18 | Covidien Lp | Endoscopic reposable surgical clip applier |
JP6609699B2 (en) | 2015-11-10 | 2019-11-20 | コヴィディエン リミテッド パートナーシップ | Partially disposable surgical clip applier for endoscope |
US10624616B2 (en) | 2015-12-18 | 2020-04-21 | Covidien Lp | Surgical instruments including sensors |
WO2017120734A1 (en) | 2016-01-11 | 2017-07-20 | Covidien Lp | Endoscopic reposable surgical clip applier |
CN108472027B (en) | 2016-01-18 | 2020-12-29 | 柯惠有限合伙公司 | Endoscopic surgical clip applier |
CA2958160A1 (en) | 2016-02-24 | 2017-08-24 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10806464B2 (en) | 2016-08-11 | 2020-10-20 | Covidien Lp | Endoscopic surgical clip applier and clip applying systems |
JP2019524326A (en) | 2016-08-25 | 2019-09-05 | コヴィディエン リミテッド パートナーシップ | Endoscopic surgical clip applier and clip application system |
US10639044B2 (en) | 2016-10-31 | 2020-05-05 | Covidien Lp | Ligation clip module and clip applier |
US10660651B2 (en) | 2016-10-31 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10492795B2 (en) | 2016-11-01 | 2019-12-03 | Covidien Lp | Endoscopic surgical clip applier |
US10426489B2 (en) | 2016-11-01 | 2019-10-01 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10610236B2 (en) | 2016-11-01 | 2020-04-07 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10709455B2 (en) | 2017-02-02 | 2020-07-14 | Covidien Lp | Endoscopic surgical clip applier |
US10758244B2 (en) | 2017-02-06 | 2020-09-01 | Covidien Lp | Endoscopic surgical clip applier |
CN110267606B (en) | 2017-02-06 | 2022-06-03 | 柯惠有限合伙公司 | Surgical clip applier with user feedback feature |
US10660725B2 (en) | 2017-02-14 | 2020-05-26 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10638944B2 (en) | 2017-02-22 | 2020-05-05 | Covidien Lp | Methods of determining tissue viability |
US10603038B2 (en) | 2017-02-22 | 2020-03-31 | Covidien Lp | Surgical clip applier including inserts for jaw assembly |
US11583291B2 (en) | 2017-02-23 | 2023-02-21 | Covidien Lp | Endoscopic surgical clip applier |
US10548602B2 (en) | 2017-02-23 | 2020-02-04 | Covidien Lp | Endoscopic surgical clip applier |
US10687811B2 (en) | 2017-03-08 | 2020-06-23 | Covidien Lp | Surgical instruments including sensors |
US10675043B2 (en) | 2017-05-04 | 2020-06-09 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10722235B2 (en) | 2017-05-11 | 2020-07-28 | Covidien Lp | Spring-release surgical clip |
US10945616B2 (en) | 2017-05-12 | 2021-03-16 | Covidien Lp | Blood pressure measuring surgical instrument |
US10660723B2 (en) | 2017-06-30 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10639032B2 (en) | 2017-06-30 | 2020-05-05 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10675112B2 (en) | 2017-08-07 | 2020-06-09 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10932790B2 (en) | 2017-08-08 | 2021-03-02 | Covidien Lp | Geared actuation mechanism and surgical clip applier including the same |
US10863992B2 (en) | 2017-08-08 | 2020-12-15 | Covidien Lp | Endoscopic surgical clip applier |
US10786262B2 (en) | 2017-08-09 | 2020-09-29 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10786263B2 (en) | 2017-08-15 | 2020-09-29 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10835341B2 (en) | 2017-09-12 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10758245B2 (en) | 2017-09-13 | 2020-09-01 | Covidien Lp | Clip counting mechanism for surgical clip applier |
US10653429B2 (en) | 2017-09-13 | 2020-05-19 | Covidien Lp | Endoscopic surgical clip applier |
US10835260B2 (en) | 2017-09-13 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10828036B2 (en) | 2017-11-03 | 2020-11-10 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US11376015B2 (en) | 2017-11-03 | 2022-07-05 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10932791B2 (en) | 2017-11-03 | 2021-03-02 | Covidien Lp | Reposable multi-fire surgical clip applier |
US11116513B2 (en) | 2017-11-03 | 2021-09-14 | Covidien Lp | Modular surgical clip cartridge |
US10945734B2 (en) | 2017-11-03 | 2021-03-16 | Covidien Lp | Rotation knob assemblies and surgical instruments including the same |
US10722236B2 (en) | 2017-12-12 | 2020-07-28 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10959737B2 (en) | 2017-12-13 | 2021-03-30 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10849630B2 (en) | 2017-12-13 | 2020-12-01 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10743887B2 (en) | 2017-12-13 | 2020-08-18 | Covidien Lp | Reposable multi-fire surgical clip applier |
US11051827B2 (en) | 2018-01-16 | 2021-07-06 | Covidien Lp | Endoscopic surgical instrument and handle assemblies for use therewith |
AU2019243731A1 (en) | 2018-03-28 | 2020-10-08 | Datascope Corp. | Device for atrial appendage exclusion |
US10993721B2 (en) | 2018-04-25 | 2021-05-04 | Covidien Lp | Surgical clip applier |
MX2018008202A (en) | 2018-06-29 | 2019-12-30 | Viretec Gestion Y Desarrollo S A De C V | Device for blood vessel occlusion and haemorrhage control and method for placement and removal thereof. |
US10786273B2 (en) | 2018-07-13 | 2020-09-29 | Covidien Lp | Rotation knob assemblies for handle assemblies |
US11259887B2 (en) | 2018-08-10 | 2022-03-01 | Covidien Lp | Feedback mechanisms for handle assemblies |
US11344316B2 (en) | 2018-08-13 | 2022-05-31 | Covidien Lp | Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same |
US11246601B2 (en) | 2018-08-13 | 2022-02-15 | Covidien Lp | Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same |
US11051828B2 (en) | 2018-08-13 | 2021-07-06 | Covidien Lp | Rotation knob assemblies and surgical instruments including same |
US11033256B2 (en) | 2018-08-13 | 2021-06-15 | Covidien Lp | Linkage assembly for reusable surgical handle assemblies |
US11253267B2 (en) | 2018-08-13 | 2022-02-22 | Covidien Lp | Friction reduction mechanisms for handle assemblies |
US11278267B2 (en) | 2018-08-13 | 2022-03-22 | Covidien Lp | Latch assemblies and surgical instruments including the same |
US11219463B2 (en) | 2018-08-13 | 2022-01-11 | Covidien Lp | Bilateral spring for surgical instruments and surgical instruments including the same |
CN112770680A (en) | 2018-08-17 | 2021-05-07 | 安普列斯医疗公司 | Device and method for compression of tumors |
US11419610B2 (en) | 2018-08-17 | 2022-08-23 | Empress Medical, Inc. | Device and method for passing tension member around tissue mass |
US11147566B2 (en) | 2018-10-01 | 2021-10-19 | Covidien Lp | Endoscopic surgical clip applier |
US11524398B2 (en) | 2019-03-19 | 2022-12-13 | Covidien Lp | Gear drive mechanisms for surgical instruments |
US11877833B2 (en) | 2019-07-26 | 2024-01-23 | Covidien Lp | Systems and methods for monitoring blood pressure with a powered linear drive |
US20230056943A1 (en) * | 2019-12-13 | 2023-02-23 | Dinesh Vyas | Stapler apparatus and methods for use |
US11589864B2 (en) * | 2019-12-13 | 2023-02-28 | Dinesh Vyas | Stapler apparatus and methods for use |
US11779340B2 (en) | 2020-01-02 | 2023-10-10 | Covidien Lp | Ligation clip loading device |
US11723669B2 (en) | 2020-01-08 | 2023-08-15 | Covidien Lp | Clip applier with clip cartridge interface |
DE102022104089A1 (en) | 2022-02-22 | 2023-08-24 | FUJIFILM medwork GmbH | Medical clip and device for its application in a gastrointestinal tract and method for endoscopic application of a clip |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0598579A1 (en) | 1992-11-16 | 1994-05-25 | Ethicon, Inc. | Methods and apparatus for performing ultrasonic-assisted surgical procedures |
Family Cites Families (159)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US412313A (en) * | 1889-10-08 | Skylight | ||
US105901A (en) * | 1870-08-02 | Improved egg-holder | ||
US18270A (en) * | 1857-09-29 | Improvement in compositions for covering meats | ||
US319954A (en) * | 1885-06-16 | Egg and fruit holding implement | ||
US591084A (en) * | 1897-10-05 | Manifold letter-writer | ||
US1789524A (en) * | 1927-03-26 | 1931-01-20 | Matilda M Hall | Spring-tensioned egg tongs |
US1715089A (en) * | 1928-08-14 | 1929-05-28 | Edward R Jones | Socket-cap remover |
US1806441A (en) * | 1930-03-27 | 1931-05-19 | Bauer Karl | Universal kitchen tong |
US2400251A (en) * | 1943-07-29 | 1946-05-14 | Charles E Nagel | Gynecological instrument |
US2522293A (en) * | 1948-11-30 | 1950-09-12 | Noble Bert | Charging chute |
US2583892A (en) * | 1950-12-26 | 1952-01-29 | Shellhouse Michael | Hysterectomy forceps |
US2723666A (en) * | 1954-08-12 | 1955-11-15 | Emanuel M Greenberg | Laminated mitten for surgical and obstetrical instruments |
US3063455A (en) | 1960-04-07 | 1962-11-13 | Raymond L Markley | Cervical tourniquet instrument |
US3392727A (en) * | 1965-09-15 | 1968-07-16 | Johnson & Johnson | Thumb forceps |
US3411505A (en) | 1965-12-15 | 1968-11-19 | Paul D. Nobis | Device for interrupting arterial flow |
US3779248A (en) | 1971-10-18 | 1973-12-18 | Medical Concepts Inc | Forceps |
US3777740A (en) | 1971-10-21 | 1973-12-11 | Administrator For Veterans Aff | Method and apparatus for non-invasively visualizing blood vessels |
US4073533A (en) * | 1976-03-19 | 1978-02-14 | Brey Robert J De | Food handling tongs |
US4120302A (en) | 1976-10-08 | 1978-10-17 | American Hospital Supply Corporation | Disposable pads for surgical instruments |
US4192313A (en) * | 1977-02-10 | 1980-03-11 | Noboru Ogami | Forceps designed to facilitate insertion of a laminaria tent into the uterine cervix |
FI55439C (en) * | 1977-12-15 | 1979-08-10 | Medholding Oy | SAOKALLAT ANKNAEBBSPEKULUM TILL GYNEKOLOGISK ENDOSKOPI FOER ENGAONGSBRUK |
JPS5563638A (en) * | 1978-11-09 | 1980-05-13 | Olympus Optical Co | Renal pelvis forceps |
US4428374A (en) * | 1978-12-20 | 1984-01-31 | Auburn Robert M | Umbilical cord clamping assembly |
US4292960A (en) * | 1979-04-30 | 1981-10-06 | Rca Corporation | Apparatus and method for application of radioactive and microwave energy to the body |
US4226240A (en) | 1979-05-30 | 1980-10-07 | Walker Jr William E | Surgical foreceps |
US4454767A (en) * | 1980-03-25 | 1984-06-19 | Fuji Electric Co., Ltd. | Ultrasonic metering device |
US4509528A (en) * | 1981-12-16 | 1985-04-09 | Harvinder Sahota | Hemostat with blood flow sensor |
US4428379A (en) * | 1982-01-07 | 1984-01-31 | Technicare Corporation | Passive ultrasound needle probe locator |
US4475544A (en) * | 1982-02-23 | 1984-10-09 | Reis Norman I | Bone gripping forceps |
US4413629A (en) * | 1982-04-22 | 1983-11-08 | Cryomedics, Inc. | Portable ultrasonic Doppler System |
US5370675A (en) * | 1992-08-12 | 1994-12-06 | Vidamed, Inc. | Medical probe device and method |
US4589419A (en) * | 1984-11-01 | 1986-05-20 | University Of Iowa Research Foundation | Catheter for treating arterial occlusion |
US4650466A (en) | 1985-11-01 | 1987-03-17 | Angiobrade Partners | Angioplasty device |
US5037430A (en) | 1986-01-06 | 1991-08-06 | Hasson Harrith M | Clamp for gynecological instruments |
US4771788A (en) * | 1986-07-18 | 1988-09-20 | Pfizer Hospital Products Group, Inc. | Doppler tip wire guide |
US4768288A (en) * | 1986-08-25 | 1988-09-06 | World Tableware International, Inc. | Salad tongs |
US4770175A (en) * | 1986-10-22 | 1988-09-13 | Western Clinical Engineering Ltd. | Occlusive cuff |
US4757823A (en) | 1987-01-27 | 1988-07-19 | Hofmeister John F | Method and apparatus for measuring uterine blood flow |
US4994069A (en) * | 1988-11-02 | 1991-02-19 | Target Therapeutics | Vaso-occlusion coil and method |
US4945896A (en) * | 1989-01-24 | 1990-08-07 | Gade George F | Surgical retractor assembly having tissue viability sensor embedded therein |
US5289831A (en) * | 1989-03-09 | 1994-03-01 | Vance Products Incorporated | Surface-treated stent, catheter, cannula, and the like |
US5201314A (en) * | 1989-03-09 | 1993-04-13 | Vance Products Incorporated | Echogenic devices, material and method |
US5081997A (en) | 1989-03-09 | 1992-01-21 | Vance Products Incorporated | Echogenic devices, material and method |
US5108408A (en) * | 1990-04-20 | 1992-04-28 | Lally James J | Uterine-ring hysterectomy clamp |
US5100423A (en) | 1990-08-21 | 1992-03-31 | Medical Engineering & Development Institute, Inc. | Ablation catheter |
US5197972A (en) * | 1991-03-25 | 1993-03-30 | Hakki A Hamid | Arterial manometric dressing |
US5207702A (en) * | 1991-08-14 | 1993-05-04 | Pearl Michael L | Method and apparatus for handling hygroscopic dilators |
US5226911A (en) * | 1991-10-02 | 1993-07-13 | Target Therapeutics | Vasoocclusion coil with attached fibrous element(s) |
US5662680A (en) * | 1991-10-18 | 1997-09-02 | Desai; Ashvin H. | Endoscopic surgical instrument |
US5713896A (en) * | 1991-11-01 | 1998-02-03 | Medical Scientific, Inc. | Impedance feedback electrosurgical system |
SE469432B (en) * | 1991-11-22 | 1993-07-05 | Nordiskafilt Ab | WOVEN CLOTHING FOR PAPER MACHINES AND LIKE |
US5277181A (en) * | 1991-12-12 | 1994-01-11 | Vivascan Corporation | Noninvasive measurement of hematocrit and hemoglobin content by differential optical analysis |
US5562680A (en) * | 1992-01-03 | 1996-10-08 | Hasson; Harrith M. | Apparatus for assisting the performance of pelvic endoscopic procedures |
JPH07506991A (en) * | 1992-04-23 | 1995-08-03 | シメッド ライフ システムズ インコーポレイテッド | Apparatus and method for sealing vascular punctures |
US5336231A (en) * | 1992-05-01 | 1994-08-09 | Adair Edwin Lloyd | Parallel channel fixation, repair and ligation suture device |
US5443470A (en) | 1992-05-01 | 1995-08-22 | Vesta Medical, Inc. | Method and apparatus for endometrial ablation |
NL9201118A (en) | 1992-06-24 | 1994-01-17 | Leuven K U Res & Dev | TOOL KIT FOR LAPAROSCOPIC VAGINAL HYSTERECTOMY. |
US5672153A (en) * | 1992-08-12 | 1997-09-30 | Vidamed, Inc. | Medical probe device and method |
US5368034A (en) * | 1992-09-04 | 1994-11-29 | Boston Scientific Corporation | Method and apparatus for thrombolytic therapy |
US5772597A (en) * | 1992-09-14 | 1998-06-30 | Sextant Medical Corporation | Surgical tool end effector |
WO1994006460A1 (en) | 1992-09-21 | 1994-03-31 | Vitaphore Corporation | Embolization plugs for blood vessels |
CA2102084A1 (en) * | 1992-11-09 | 1994-05-10 | Howard C. Topel | Surgical cutting instrument for coring tissue affixed thereto |
US5315231A (en) | 1992-11-16 | 1994-05-24 | Hughes Aircraft Company | Symmetrical bipolar bias current source with high power supply rejection ratio (PSRR) |
US5383922A (en) | 1993-03-15 | 1995-01-24 | Medtronic, Inc. | RF lead fixation and implantable lead |
US5447351A (en) * | 1993-03-19 | 1995-09-05 | Klunder; Joyce A. | Safety tongs |
CH688538A5 (en) * | 1993-04-01 | 1997-11-14 | Armin Bollinger | Ultraschallortungsgeraet with Nadelfuehrung. |
US5542944A (en) * | 1993-04-19 | 1996-08-06 | Bhatta; Krishan M. | Surgical device and method |
US5643316A (en) * | 1993-04-27 | 1997-07-01 | The Trustees Of The University Of Pennsylvania | Method of thoracoscopic surgery using hinged tissue grasping forceps |
US5289821A (en) * | 1993-06-30 | 1994-03-01 | Swartz William M | Method of ultrasonic Doppler monitoring of blood flow in a blood vessel |
GB9314641D0 (en) | 1993-07-15 | 1993-08-25 | Salim Aws S M | Tunnelling umbrella |
GB9314640D0 (en) | 1993-07-15 | 1993-08-25 | Salim Aws S M | Tunnellimg catheter |
US5582617A (en) | 1993-07-21 | 1996-12-10 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
JP3313841B2 (en) | 1993-09-24 | 2002-08-12 | 興和株式会社 | Blood flow measurement device |
JPH09507645A (en) * | 1994-01-18 | 1997-08-05 | エンドバスキュラー・インコーポレイテッド | Vein ligation device and vein ligation method |
US5447515A (en) * | 1994-02-08 | 1995-09-05 | Pilling Co. | Coronary bypass clamp |
ATE157275T1 (en) * | 1994-03-07 | 1997-09-15 | Maurer A Sa | DEVICE FOR FILTRATION OF FLUID MEDIA |
US5458596A (en) * | 1994-05-06 | 1995-10-17 | Dorsal Orthopedic Corporation | Method and apparatus for controlled contraction of soft tissue |
US5707349A (en) | 1994-05-09 | 1998-01-13 | Somnus Medical Technologies, Inc. | Method for treatment of air way obstructions |
US5549624A (en) * | 1994-06-24 | 1996-08-27 | Target Therapeutics, Inc. | Fibered vasooclusion coils |
JP2965283B2 (en) * | 1994-07-13 | 1999-10-18 | ヒュンダイ エレクトロニクス インダストリーズ カムパニー リミテッド | Method for manufacturing thin film transistor |
US5591173A (en) | 1994-07-28 | 1997-01-07 | Michael Schifano | Schifano obstetric scissors |
US5697942A (en) * | 1994-07-31 | 1997-12-16 | Palti; Yoram | Internal vascular clamp |
US6032673A (en) | 1994-10-13 | 2000-03-07 | Femrx, Inc. | Methods and devices for tissue removal |
US5520698A (en) * | 1994-10-19 | 1996-05-28 | Blairden Precision Instruments, Inc. | Simplified total laparoscopic hysterectomy method employing colpotomy incisions |
US5588960A (en) * | 1994-12-01 | 1996-12-31 | Vidamed, Inc. | Transurethral needle delivery device with cystoscope and method for treatment of urinary incontinence |
US5614204A (en) * | 1995-01-23 | 1997-03-25 | The Regents Of The University Of California | Angiographic vascular occlusion agents and a method for hemostatic occlusion |
US6019724A (en) * | 1995-02-22 | 2000-02-01 | Gronningsaeter; Aage | Method for ultrasound guidance during clinical procedures |
US5715832A (en) * | 1995-02-28 | 1998-02-10 | Boston Scientific Corporation | Deflectable biopsy catheter |
US5968076A (en) * | 1995-03-03 | 1999-10-19 | United States Surgical Corporation | Channel-bodied surgical needle and method of manufacture |
US5766135A (en) * | 1995-03-08 | 1998-06-16 | Terwilliger; Richard A. | Echogenic needle tip |
US5817022A (en) | 1995-03-28 | 1998-10-06 | Sonometrics Corporation | System for displaying a 2-D ultrasound image within a 3-D viewing environment |
US5899861A (en) * | 1995-03-31 | 1999-05-04 | Siemens Medical Systems, Inc. | 3-dimensional volume by aggregating ultrasound fields of view |
US5626607A (en) * | 1995-04-03 | 1997-05-06 | Heartport, Inc. | Clamp assembly and method of use |
US5601323A (en) * | 1995-06-05 | 1997-02-11 | Kaiser; Armond A. | Cooking tong apparatus |
GB2302025A (en) | 1995-06-10 | 1997-01-08 | Mark Steven Whiteley | Vascular doppler forceps |
US5713371A (en) * | 1995-07-07 | 1998-02-03 | Sherman; Dani | Method of monitoring cervical dilatation during labor, and ultrasound transducer particularly useful in such method |
DE19528440C2 (en) | 1995-08-02 | 1998-09-10 | Harald Dr Med Kuebler | Surgical cutting instrument |
US5674243A (en) * | 1995-08-03 | 1997-10-07 | Hale; Theodore Mark | Obstetrical forceps |
US5747637A (en) * | 1995-09-07 | 1998-05-05 | Mitsui Toatsu Chemicals, Inc. | Bioabsorbable polymer and process for preparing the same |
US5979453A (en) | 1995-11-09 | 1999-11-09 | Femrx, Inc. | Needle myolysis system for uterine fibriods |
US5716389A (en) | 1995-11-13 | 1998-02-10 | Walinsky; Paul | Cardiac ablation catheter arrangement with movable guidewire |
CA2197614C (en) | 1996-02-20 | 2002-07-02 | Charles S. Taylor | Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery |
US5697937A (en) * | 1996-02-23 | 1997-12-16 | Toma; Doina | Surgical clamp with manipulable guide means |
AU733465B2 (en) * | 1996-03-05 | 2001-05-17 | Tyco Healthcare Group, Lp | Vascular catheter-based system for heating tissue |
US5691314A (en) | 1996-03-18 | 1997-11-25 | The Medical College Of Hampton Roads | Adjunctive therapy |
DE19706751A1 (en) | 1996-03-27 | 1997-10-02 | Valleylab Inc | Electrosurgical device for removing tissue in body areas |
US6152874A (en) | 1996-04-26 | 2000-11-28 | Genzyme Corporation | Adjustable multi-purpose coronary stabilizing retractor |
US6077257A (en) * | 1996-05-06 | 2000-06-20 | Vidacare, Inc. | Ablation of rectal and other internal body structures |
US6066139A (en) * | 1996-05-14 | 2000-05-23 | Sherwood Services Ag | Apparatus and method for sterilization and embolization |
US5911691A (en) * | 1996-05-21 | 1999-06-15 | Aloka Co., Ltd. | Ultrasound image processing apparatus and method of forming and displaying ultrasound images by the apparatus |
JPH09313487A (en) * | 1996-05-29 | 1997-12-09 | Ge Yokogawa Medical Syst Ltd | Method and device for ultrasonic three-dimensional photographing |
US5720743A (en) | 1996-06-07 | 1998-02-24 | Bischof; John C. | Thermally insulating surgical probe |
US5776129A (en) | 1996-06-12 | 1998-07-07 | Ethicon Endo-Surgery, Inc. | Endometrial ablation apparatus and method |
US6106473A (en) * | 1996-11-06 | 2000-08-22 | Sts Biopolymers, Inc. | Echogenic coatings |
CA2271205A1 (en) | 1996-11-06 | 1998-05-14 | Sts Biopolymers, Inc. | Echogenic coating containing gaseous spaces for ultrasonography |
US6035238A (en) * | 1997-08-13 | 2000-03-07 | Surx, Inc. | Noninvasive devices, methods, and systems for shrinking of tissues |
US5797397A (en) * | 1996-11-25 | 1998-08-25 | Hewlett-Packard Company | Ultrasound imaging system and method using intensity highlighting to facilitate tissue differentiation |
US5792059A (en) * | 1996-11-26 | 1998-08-11 | Esaote S.P.A. | Intraoperative probe, specifically intended for direct-contact observations |
US5895386A (en) | 1996-12-20 | 1999-04-20 | Electroscope, Inc. | Bipolar coagulation apparatus and method for arthroscopy |
US5759154A (en) | 1996-12-23 | 1998-06-02 | C. R. Bard, Inc. | Print mask technique for echogenic enhancement of a medical device |
US6579304B1 (en) | 1997-02-03 | 2003-06-17 | Applied Medical Resources Corporation | Surgical clamp with improved traction |
US5916173A (en) * | 1997-02-26 | 1999-06-29 | Kirsner; Vaclav | Methods and apparatus for monitoring fertility status in the mammalian vagina |
US6045508A (en) * | 1997-02-27 | 2000-04-04 | Acuson Corporation | Ultrasonic probe, system and method for two-dimensional imaging or three-dimensional reconstruction |
US5910484A (en) | 1997-05-30 | 1999-06-08 | The General Hospital Corporation | Treatment of ischemic cardiac malfunction |
US5928249A (en) | 1997-07-11 | 1999-07-27 | Gynecare, Inc. | Cervical dam |
US5922008A (en) * | 1997-08-28 | 1999-07-13 | Gimpelson; Richard J. | Surgical forceps |
US5941889A (en) * | 1997-10-14 | 1999-08-24 | Civco Medical Instruments Inc. | Multiple angle disposable needle guide system |
US6015541A (en) * | 1997-11-03 | 2000-01-18 | Micro Therapeutics, Inc. | Radioactive embolizing compositions |
US6280441B1 (en) * | 1997-12-15 | 2001-08-28 | Sherwood Services Ag | Apparatus and method for RF lesioning |
CN1127752C (en) * | 1997-12-16 | 2003-11-12 | 皇家菲利浦电子有限公司 | High-pressure discharge lamp |
AU2318599A (en) * | 1998-01-13 | 1999-08-02 | Urometrics, Inc. | Devices and methods for monitoring female arousal |
US6261234B1 (en) * | 1998-05-07 | 2001-07-17 | Diasonics Ultrasound, Inc. | Method and apparatus for ultrasound imaging with biplane instrument guidance |
US5921933A (en) * | 1998-08-17 | 1999-07-13 | Medtronic, Inc. | Medical devices with echogenic coatings |
US6013088A (en) * | 1998-11-17 | 2000-01-11 | Karavidas; Theocharis | Surgical clamp with removable tips |
US6254601B1 (en) * | 1998-12-08 | 2001-07-03 | Hysterx, Inc. | Methods for occlusion of the uterine arteries |
US6231515B1 (en) * | 1999-01-13 | 2001-05-15 | Scimed Life Systems, Inc. | Safety mechanism and method to prevent rotating imaging guide device from exiting a catheter |
JP3556503B2 (en) * | 1999-01-20 | 2004-08-18 | 沖電気工業株式会社 | Method for manufacturing resin-encapsulated semiconductor device |
US6080118A (en) * | 1999-02-25 | 2000-06-27 | Blythe; Cleveland | Vaginal probe and method of using same |
US6175751B1 (en) | 1999-03-16 | 2001-01-16 | Allen Maizes | Apparatus and method for sensing oxygen levels in a fetus |
US6299621B1 (en) | 1999-06-18 | 2001-10-09 | Novare Surgical Systems, Inc. | Surgical clamp pads with elastomer impregnated mesh |
US6293954B1 (en) | 1999-06-21 | 2001-09-25 | Novare Surgical Systems, Inc. | Surgical clamp with replaceable clamp members |
EP1072282A1 (en) * | 1999-07-19 | 2001-01-31 | EndoArt S.A. | Flow control device |
US6210330B1 (en) * | 1999-08-04 | 2001-04-03 | Rontech Medical Ltd. | Apparatus, system and method for real-time endovaginal sonography guidance of intra-uterine, cervical and tubal procedures |
US6371973B1 (en) * | 1999-08-04 | 2002-04-16 | Ron-Tech Medical Ltd. | Forceps useful for intrabody guiding and/or positioning of a medical instrument |
US6635017B1 (en) * | 2000-02-09 | 2003-10-21 | Spentech, Inc. | Method and apparatus combining diagnostic ultrasound with therapeutic ultrasound to enhance thrombolysis |
US6610074B2 (en) * | 2000-02-10 | 2003-08-26 | Albert N. Santilli | Aorta cross clamp assembly |
US7223279B2 (en) * | 2000-04-21 | 2007-05-29 | Vascular Control Systems, Inc. | Methods for minimally-invasive, non-permanent occlusion of a uterine artery |
US20030120306A1 (en) | 2000-04-21 | 2003-06-26 | Vascular Control System | Method and apparatus for the detection and occlusion of blood vessels |
US6635065B2 (en) * | 2000-11-16 | 2003-10-21 | Vascular Control Systems, Inc. | Doppler directed suture ligation device and method |
US6709430B2 (en) * | 2000-12-12 | 2004-03-23 | Transoma Medical, Inc. | Adjustable flow probe |
CA2442362C (en) | 2001-03-28 | 2009-08-11 | Vascular Control Systems, Inc. | Method and apparatus for the detection and ligation of uterine arteries |
US7354444B2 (en) * | 2001-03-28 | 2008-04-08 | Vascular Control Systems, Inc. | Occlusion device with deployable paddles for detection and occlusion of blood vessels |
US20030032898A1 (en) | 2001-05-29 | 2003-02-13 | Inder Raj. S. Makin | Method for aiming ultrasound for medical treatment |
US6494517B1 (en) * | 2001-08-17 | 2002-12-17 | Madeline G. Durant | Eating implement |
US7207996B2 (en) * | 2002-04-04 | 2007-04-24 | Vascular Control Systems, Inc. | Doppler directed suturing and compression device and method |
US7172603B2 (en) | 2002-11-19 | 2007-02-06 | Vascular Control Systems, Inc. | Deployable constrictor for uterine artery occlusion |
US7404821B2 (en) | 2003-01-30 | 2008-07-29 | Vascular Control Systems, Inc. | Treatment for post partum hemorrhage |
US7325546B2 (en) | 2003-11-20 | 2008-02-05 | Vascular Control Systems, Inc. | Uterine artery occlusion device with cervical receptacle |
US7686817B2 (en) | 2003-11-25 | 2010-03-30 | Vascular Control Systems, Inc. | Occlusion device for asymmetrical uterine artery anatomy |
-
2002
- 2002-03-27 CA CA002442362A patent/CA2442362C/en not_active Expired - Fee Related
- 2002-03-27 WO PCT/US2002/009775 patent/WO2002078549A2/en active Application Filing
- 2002-03-27 EP EP02736522A patent/EP1377223A2/en not_active Withdrawn
- 2002-03-27 JP JP2002576820A patent/JP4227415B2/en not_active Expired - Lifetime
- 2002-03-28 JP JP2002576796A patent/JP4227413B2/en not_active Expired - Lifetime
- 2002-03-28 EP EP02723646A patent/EP1387642A4/en not_active Withdrawn
- 2002-03-28 WO PCT/US2002/009549 patent/WO2002078522A2/en active IP Right Grant
- 2002-03-28 EP EP02725389A patent/EP1381318A4/en not_active Withdrawn
- 2002-03-28 US US10/113,096 patent/US7229465B2/en not_active Expired - Fee Related
- 2002-03-28 US US10/107,800 patent/US7594890B2/en not_active Expired - Fee Related
- 2002-03-28 US US10/107,810 patent/US6905506B2/en not_active Expired - Fee Related
- 2002-03-28 AU AU2002254414A patent/AU2002254414B2/en not_active Revoked
- 2002-03-28 CA CA002442338A patent/CA2442338C/en not_active Expired - Fee Related
- 2002-03-28 WO PCT/US2002/009548 patent/WO2002078521A2/en active Search and Examination
- 2002-03-28 CA CA002442341A patent/CA2442341C/en not_active Expired - Fee Related
- 2002-03-28 JP JP2002576797A patent/JP4227414B2/en not_active Expired - Lifetime
- 2002-03-28 AU AU2002255955A patent/AU2002255955B2/en not_active Revoked
-
2005
- 2005-06-13 US US11/151,808 patent/US20050228416A1/en not_active Abandoned
-
2007
- 2007-07-04 AU AU2007203115A patent/AU2007203115B2/en not_active Revoked
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0598579A1 (en) | 1992-11-16 | 1994-05-25 | Ethicon, Inc. | Methods and apparatus for performing ultrasonic-assisted surgical procedures |
Non-Patent Citations (1)
Title |
---|
RAVINA: "Arterial Embolization to Treat Uterine Myomata", LANCET, vol. 346, 9 September 1995 (1995-09-09), pages 671 - 672, XP002946829, DOI: doi:10.1016/S0140-6736(95)92282-2 |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2004045422A2 (en) * | 2002-11-19 | 2004-06-03 | Vascular Controls Systems, Inc. | Deployable constrictor for uterine artery occlusion and introduction device |
WO2004045422A3 (en) * | 2002-11-19 | 2004-08-26 | Vascular Controls Systems Inc | Deployable constrictor for uterine artery occlusion and introduction device |
JP2009501029A (en) * | 2005-06-30 | 2009-01-15 | アラゴン サージカル インク | Transvaginal uterine artery occlusion |
US8357176B2 (en) | 2006-07-24 | 2013-01-22 | Fibro Control, Inc. | Fibroid treatment apparatus and method |
US8403953B2 (en) | 2009-07-27 | 2013-03-26 | Fibro Control, Inc. | Balloon with rigid tube for occluding the uterine artery |
CN108814679A (en) * | 2018-05-07 | 2018-11-16 | 邵智勇 | A kind of multi-functional general surgery department surgical hemostatic pincers |
Also Published As
Similar Documents
Publication | Publication Date | Title |
---|---|---|
AU2007203115B2 (en) | Method and apparatus for the detection & ligation of uterine arteries | |
CA2354000C (en) | Devices and methods for occlusion of the uterine arteries | |
US7223279B2 (en) | Methods for minimally-invasive, non-permanent occlusion of a uterine artery | |
EP1691697B1 (en) | Uterine artery occlusion device with cervical receptacle | |
US7404821B2 (en) | Treatment for post partum hemorrhage | |
US20070005061A1 (en) | Transvaginal uterine artery occlusion | |
US20060015144A1 (en) | Uterine artery occlusion staple | |
US7875036B2 (en) | Short term treatment for uterine disorder | |
AU2004210130B2 (en) | Uterine artery occlusion clamp | |
AU2002309522A1 (en) | Method and apparatus for the detection and ligation of uterine arteries |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AK | Designated states |
Kind code of ref document: A2 Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NO NZ OM PH PL PT RO RU SD SE SG SI SK SL TJ TM TN TR TT TZ UA UG US UZ VN YU ZA ZM ZW |
|
AL | Designated countries for regional patents |
Kind code of ref document: A2 Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG |
|
121 | Ep: the epo has been informed by wipo that ep was designated in this application | ||
AK | Designated states |
Kind code of ref document: A3 Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NO NZ OM PH PL PT RO RU SD SE SG SI SK SL TJ TM TN TR TT TZ UA UG US UZ VN YU ZA ZM ZW |
|
AL | Designated countries for regional patents |
Kind code of ref document: A3 Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG |
|
DFPE | Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101) | ||
WWE | Wipo information: entry into national phase |
Ref document number: 2002736522 Country of ref document: EP |
|
WWE | Wipo information: entry into national phase |
Ref document number: 2442362 Country of ref document: CA |
|
WWE | Wipo information: entry into national phase |
Ref document number: 2002309522 Country of ref document: AU Ref document number: 2002576820 Country of ref document: JP |
|
WWP | Wipo information: published in national office |
Ref document number: 2002736522 Country of ref document: EP |
|
REG | Reference to national code |
Ref country code: DE Ref legal event code: 8642 |