DE2330182A1 - PLIERS FOR SETTING TANTALUM CLIPS - Google Patents
PLIERS FOR SETTING TANTALUM CLIPSInfo
- Publication number
- DE2330182A1 DE2330182A1 DE19732330182 DE2330182A DE2330182A1 DE 2330182 A1 DE2330182 A1 DE 2330182A1 DE 19732330182 DE19732330182 DE 19732330182 DE 2330182 A DE2330182 A DE 2330182A DE 2330182 A1 DE2330182 A1 DE 2330182A1
- Authority
- DE
- Germany
- Prior art keywords
- pliers
- handle
- shaft
- jaws
- forceps
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
- A61B1/3132—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
-
- 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
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F6/00—Contraceptive devices; Pessaries; Applicators therefor
- A61F6/20—Vas deferens occluders; Fallopian occluders
- A61F6/202—Means specially adapted for ligaturing, compressing or clamping of oviduct or vas deferens
- A61F6/204—Clamp applying devices
Description
Dr. Hugo Wilcken
Dipi.-lng. Thomas Wilcken 13.Juni 1973Dr. Hugo Wilcken
Dipi.-lng. Thomas Wilcken June 13, 1973
Patentanwälte " Dr. W./Al.Patent attorneys "Dr. W./Al.
24 Lübeck, Breite Straße 52-64
Fernruf 7688824 Lübeck, Breite Strasse 52-64
Telephone 76888
Anmelder.: Richard Wolf GmbH, 7134 Knittlingen, PforzheimerApplicant: Richard Wolf GmbH, 7134 Knittlingen, Pforzheimer
Straße 22Street 22
Zange zum Setzen von Tantal-ClipsPliers for setting tantalum clips
Die Erfindung bezieht sich auf eine Zange zum Setzen von Tantal-Clips zur Unterbindung der Eileiter von Frauen, bestehend aus einem Schaft mit proximaler Handhabe zum öffnen und Schließen einer distalen Clipzange unter Beobachtung mittels einer Optik.The invention relates to pliers for setting Tantalum clips for ligating the fallopian tubes in women, consisting of a shaft with a proximal handle that can be opened and closing a distal clip forceps under observation by means of an optical system.
Zur Unterbindung der Eileiter von Frauen werden zwecks Schwangerschaftsverhütung sogenannte Clips aus Tantal mittels einer Spezialzange unter optischer Sicht bei der sogenannten, gynäkologischen Laparoskopie angelegt. Dabei verwendete man zwei Zangeneinheiten, nämlich die eigentliche Zange zum Setzen der Clips und eine kleinere "Zange oder einen beweglichen Haken, um den Eileiter besser in den Bereich der eigentlichen Clipzange zu bringen und ihn besser erfassen zu können. Bei diesen bekannten Geräten sitzt die Optik in einem gesonderten Rohr neben der Clipzange, was nachteilig ist, weil nicht unmittelbar in den Bereich des Operationsfeldes geblickt werden kann, obgleich die Optik dieses Feld mit einer Blickrichtung von 160° ansteuert und weil dadurch der Durchmesser des Gerätes vergrößert wird.To tie the fallopian tubes in women, so-called clips made of tantalum are used to prevent pregnancy a special forceps under optical sight in the so-called, gynecological laparoscopy. One used two pliers units, namely the actual pliers for setting the clips and a smaller "pliers" or a movable one Hooks to better bring the fallopian tube into the area of the actual clip forceps and bring it better to be able to capture. In these known devices, the optics sit in a separate tube next to the clip pliers, what is disadvantageous because it is not possible to look directly into the area of the operating field, although the optics controls this field with a viewing direction of 160 ° and because this increases the diameter of the device.
— 2 —- 2 -
409381/0675409381/0675
23o018223o0182
Die Aufgabe derErfindung besteht darin, einmal den Durchmesser der Zange mit Optik so gering wie möglich zu halten und zum anderen die Optik so anzuordnen, daß unmittelbar in das Zangenmaul bzw. in das Operationsfeld geblickt werden kann.The object of the invention is on the one hand to keep the diameter of the forceps with optics as small as possible and on the other hand to arrange the optics so that one can look directly into the forceps jaws or into the operating field.
der
Diese Aufgabe wird nach/Erfindurgdadurch gelöst, daß bei der eingangs erwähnten Clipzange die Beobachtungsoptik mit Führungsrohr
zentral durch einen zum öffnen und Schließen der Zangenbacken längsverschieblichen Schaft verläuft und Gisxal einen
zwischen die Zangenbacken gerichteten Geradausblick aufweist. Dadurch v/ird gegenüber bekannten Clipzangen eine kleinere
Querschnittsfora erreicht, was für die Patientin wesentlich ist, und das Operationsfeld kann nunmehr direkt beobachtet
werden.the
According to the invention, this object is achieved in that, in the above-mentioned clip pliers, the observation optics with guide tube runs centrally through a shaft which is longitudinally displaceable for opening and closing the pliers jaws and Gisxal has a straight outlook between the pliers jaws. As a result, compared to known clip forceps, a smaller cross-sectional shape is achieved, which is essential for the patient, and the operating field can now be observed directly.
derthe
Die Clipzange nach/Erfindungwird nachstehend anhand der Zeichnung im einzelnen erläutert. Es zeigen:The clip pliers according to / invention is described below with reference to the drawing explained in detail. Show it:
Figur 1 eine Seitenansichtkder Clipzange nach der Neuerung,Figure 1 is a side view k of the clip pliers according to the innovation,
Figur .2 einen unterbrochenen Längsschnitt durch die Clipzange nach Figur 1s FIG. 2 shows an interrupted longitudinal section through the clip pliers according to FIG. 1 s
Figur 3 einen vergrößerten Querschnitt nach der Linie A-B der Figur 2,Figure 3 is an enlarged cross-section along the line A-B of Figure 2,
Figur 4 einen vergrößerten Querschnitt nach der Linie C-D der Figur 2.FIG. 4 shows an enlarged cross section along the line C-D in FIG.
Die Clipzange besteht aus dem Schaftrohr feiner Überflutungshülse 2, einem Zangenbackenpaar 3, 4, einem Scherengriff 5 und The clip pliers consist of the shaft tube of the fine flooding sleeve 2, a pair of pliers jaws 3, 4, a scissor handle 5 and
- 3 4 0 9881/0675- 3 4 0 9881/0675
einem inneren Optikführungsrohr 6, welches distal mit einem Zylinderring 7 durch Lötung oder dergl. festverbunden ist. Proximal ragt in die Überflutungshülse 2 ein Kegeldrehteil 8 mit seinem Ringbund 9» und zwischen letzterem und dem Führungsrohr 6 lagert eine Distanzbuchse 10. Madenschrauben 11 und 12 fixieren die Teile 2, 6, 8, 9 und 10 zu einer festen Einheit.an inner optics guide tube 6, which is firmly connected distally to a cylinder ring 7 by soldering or the like. A conical rotating part 8 with its annular collar 9 »and between the latter and the guide tube protrudes proximally into the flooding sleeve 2 6 supports a spacer bush 10. Grub screws 11 and 12 fix parts 2, 6, 8, 9 and 10 to a fixed unit.
Der Zylinderring 7 ist distalwärts mit zwei längsgerichteten Ausnehmungen 13 versehen, in welchen die beiden Zangenbacken 3 und 4 mit ihren Schenkeln 3a bzw. 4a lagern. In einer entsprechenden rechteckigen Ringnut im Zylinderring 7 und in beiden Zangenschenkeln 3a, 4a ist ein Fixierring 14 satt eingelegt, der zwecks Einbringung in die Ringnut geschlitzt ist und der mit zv/ei kleinen Nieten 15 mit dem Zylinderring 7 zu einer festen Einheit verbunden ist.The cylinder ring 7 is provided distally with two longitudinal recesses 13 in which the two forceps jaws 3 and 4 store with their legs 3a and 4a, respectively. In a corresponding rectangular ring groove in the cylinder ring 7 and in a fixing ring 14 is inserted snugly into both pliers legs 3a, 4a, which is slotted for the purpose of insertion into the annular groove and which is fixed with two small rivets 15 with the cylinder ring 7 Unit is connected.
Die Zangenbacken 3, 4 mit ihren Schenkeln 3a, 4a sind nach außen federnd ausgebildet entsprechend der dargestellten Form. Um eine Abdichtung im Instrument gegen austretendes Gas, z.B. CO2, aus der Eauchliöhle zu gewährleisten, sind distal und proximal in entsprechenden Ringnuten in den Teilen 7 und 10 Dichtungsringe 16, 17 eingelegt.The jaws 3, 4 with their legs 3a, 4a are designed to be resilient towards the outside in accordance with the shape shown. In order to ensure a seal in the instrument against escaping gas, eg CO 2 , from the eau-de-sac, sealing rings 16, 17 are inserted distally and proximally in corresponding annular grooves in parts 7 and 10.
Der Scherengriff 5 besteht in bekannter V/eise aus einem Paar Griffen 18 und 19, die durch den Gelenkbolzen 20 miteinander verbunden sind. Eine Blattfeder, die am Griffschenkel 18 durch eine Rändelschraube fixiert und mit dem anderen Ende mit einemThe S c here handle 5 is composed in a known V / else of a pair of handles 18 and 19 which are interconnected by the hinge pin 20th A leaf spring that is fixed to the handle leg 18 by a knurled screw and the other end with a
- 4 4 ι, ·:. ο 8 1 / 0 6 7 5- 4 4 ι, · :. ο 8 1/0 6 7 5
?:?;. 01 8 ? :?;. 01 8
-A--A-
Auge 22 des Griffteiles 19 scharnierähnlich, also gelenkig, verbunden ist, hält die Zange stets in geöffneter Stellung. Das Zangengriffstück 18 ist fest durch Lötung mit der Überflutungshülse 2 verbunden.Eye 22 of the handle part 19 hinge-like, that is, articulated, is connected, the pliers always hold in the open position. The pliers grip 18 is fixed by soldering to the flooding sleeve 2 connected.
Griffteil 19 greift mit einer Vierkantausnehiaung am freien Ende (Fig.4) über den Ansatz 23a des U-förmig gestalteten Schlosses (Schiebers) 23 ein und ist mit diesem durch Lötung fest verbunden. Die innere Ausnehmung des Schlosses ist so gewählt, daß Platz für das Innenrohr 6 ist, dieses also umgriffen wird. Der Außenform des Schlosses angepaßt ist die Überflutungshüise 2, die auf einer dem Zangenhub entsprechenden Länge bei 24 ausgefräst ist. Durch die Schloßgestaltung ist ein Verdrehen der axial beweglichen Einheit der Zange (Zangengriff 19 mit Schloß 23 und Schaftrohr 1) unmöglich.Handle part 19 engages with a square recess at the free end (Fig. 4) over the extension 23a of the U-shaped lock (slide) 23 and is firmly connected to this by soldering. The inner recess of the lock is chosen so that there is space for the inner tube 6, so that it is encompassed. The outer shape of the lock is adapted to the flooding sleeve 2, which is milled out at 24 to a length corresponding to the stroke of the pliers is. The design of the lock means that the axially movable unit of the pliers (pliers handle 19 with lock 23 and shaft tube 1) impossible.
Der Scherengriff 5 und das Zangenmaulteilpaar 3,4 brauchen aber nicht in gleicher Ebene, wie gezeichnet, liegen. Es ist sogar vorteilhaft, den Griff etwa um 30 - 4-5° gegenüber dem Zangenmaulpaar versetzt anzuordnen, weil der Operateur beim Blick durch die Optik den Griff am Kopf hält und somit bei abgelenktem Griff besser hantieren kann.The scissors handle 5 and the pair of pliers jaws 3, 4, however, need do not lie in the same plane as drawn. It is even advantageous to position the handle about 30 - 4-5 ° in relation to the pair of pliers jaws to be staggered because the surgeon holds the handle on the head when looking through the optics and thus when distracted Handle better.
Die Optik 25 mit dem Okulartrichter 26 und vor diesem seitlich angeordneten Stutzen 27 (90° oder schräg nach hinten gerichtet) für den Anschluß eines Licb&eitkabels greift mit ihrem nicht dargestellten Kegelstumpf in den Konus des Kegeldrehteils 8The optics 25 with the eyepiece funnel 26 and in front of this laterally arranged nozzle 27 (90 ° or obliquely directed backwards) for the connection of a licb & eitkabel does not work with your truncated cone shown in the cone of the conical rotating part 8
409881 /0675409881/0675
OHiGINAL INSPECTiOOHiGINAL INSPECTiO
2:::;0182 2:::; 0182
und wird mittels einer Überwurfmutter 28 und einer Schraube 29 fest mit der Zange verbunden. Damit der Lichtanschlußstutzen die gewünschte I.zge bekommt, also das zum Lichtprojektor abgehende Lichtleitkabel den Arzt möglichst wenig behindert, ist die Verriegelung entsprechend gestaltet. Zur genauen Justierung hat deshalb die Distansbuchse 10 eine spitzwinkelige Umlaufnut 30, in die die Fixierschraube 11 eingreift. Diese Justiermöglichkeit kann auch dazu verwendet werden, das zuvor geschilderte Zangenmaulpaar 3,4 in die entsprechende Lage zum Griff 5 zu bringen,and is firmly connected to the pliers by means of a union nut 28 and a screw 29. The lock is designed accordingly so that the light connection piece gets the desired pull, i.e. the fiber optic cable going to the light projector hinders the doctor as little as possible. For precise adjustment, the spacer sleeve 10 therefore has an acute-angled circumferential groove 30 in which the fixing screw 11 engages. This adjustment option can also be used to bring the pair of jaws 3, 4 described above into the appropriate position for the handle 5,
Die Optik hat eine Blickrichtung von 180°, um genau ins Operationsfeld, also zwischen die Zangenbacken 3,4 schauen zu können. Sie steht distal im Zylinderring 7 etwas zurück (Fig.2), um nicht beschädigt zu werden.The optics have a direction of view of 180 °, in order to be able to So to be able to look between the jaws 3, 4. It stands back somewhat distally in the cylinder ring 7 (FIG. 2) to not to be damaged.
Die Y/irkungsweise ist folgende: Zwischen die beiden geöffneten Zangenbacken 3,4 wird der Tantal-Clip 31 eingelegt. Hiernach wird die Zange mit Optik in die Bauchhöhle in bekannter Weise eingeführt und unter optischer Sicht der Eileiter umfaßt. Den erfaßten Griffteil 19 bewegt der Arzt gegen den Druck der Feder in Richtung zum Zangengriffteil 18. Der Schaft 1 bewegt sich dabei gegenüber der Optik distalwärts, gleitet über die federnden Zangenmaulteile 3,4 und schließt dabei das Zangenbackenpaar und damit auch den Clip 31. Der Eileiter ist abgeklemmt und der Durchgang im Eileiter gesperrt. Übt der Arzt jetzt keinen Druck mehr auf das Zangengriffteil 19 aus, dann drückt die Feder den Griff in seine Ausgangslage, wobei gleichzeitig der SchaftThe way it works is as follows: Between the two open ones The tantalum clip 31 is inserted into jaws 3, 4. The forceps with optics are then inserted into the abdominal cavity in a known manner and includes the fallopian tubes from an optical point of view. The doctor moves the gripped part 19 against the pressure of the spring in the direction of the forceps grip part 18. The shaft 1 moves distally with respect to the optics, slides over the resilient ones Forceps jaw parts 3, 4 and thereby closes the pair of forceps jaws and thus also the clip 31. The fallopian tube is clamped and the passage in the fallopian tube is blocked. If the doctor no longer exerts any pressure on the forceps grip part 19, the spring presses the handle in its starting position, at the same time the shaft
409881/0675409881/0675
2c J01822c J0182
zurückgleitet und die Zangenbacken 3,4 sich infolge ihrer Federwirkung gleichfalls wieder öffnen.slides back and the jaws 3.4 as a result of their Also open the spring action again.
A09881 /0675A09881 / 0675
Claims (5)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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DE19732330182 DE2330182A1 (en) | 1973-06-14 | 1973-06-14 | PLIERS FOR SETTING TANTALUM CLIPS |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19732330182 DE2330182A1 (en) | 1973-06-14 | 1973-06-14 | PLIERS FOR SETTING TANTALUM CLIPS |
Publications (1)
Publication Number | Publication Date |
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DE2330182A1 true DE2330182A1 (en) | 1975-01-02 |
Family
ID=5883904
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE19732330182 Pending DE2330182A1 (en) | 1973-06-14 | 1973-06-14 | PLIERS FOR SETTING TANTALUM CLIPS |
Country Status (1)
Country | Link |
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DE (1) | DE2330182A1 (en) |
Cited By (58)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE2848548A1 (en) * | 1978-11-09 | 1980-05-14 | Nii Nevrologii Akademii Medici | Clip fitting equipment to blood vessel - has tubular housing sliding in bracket and has sleeve with locking screw |
US4471766A (en) * | 1977-11-24 | 1984-09-18 | Inbae Yoon | Ring applicator with an endoscope |
EP0156472A1 (en) * | 1984-02-28 | 1985-10-02 | MICRA Ltd. | Forceps |
US4919152A (en) * | 1987-03-02 | 1990-04-24 | Ralph Ger | Method of closing the opening of a hernial sac |
US4944443A (en) * | 1988-04-22 | 1990-07-31 | Innovative Surgical Devices, Inc. | Surgical suturing instrument and method |
US5084057A (en) * | 1989-07-18 | 1992-01-28 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5100420A (en) * | 1989-07-18 | 1992-03-31 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5125553A (en) * | 1987-03-02 | 1992-06-30 | Stryker Sales Corporation | Surgical suturing instrument and method |
US5156609A (en) * | 1989-12-26 | 1992-10-20 | Nakao Naomi L | Endoscopic stapling device and method |
US5190541A (en) * | 1990-10-17 | 1993-03-02 | Boston Scientific Corporation | Surgical instrument and method |
US5217472A (en) * | 1991-05-07 | 1993-06-08 | United States Surgical Corporation | Surgical fastening device |
US5220928A (en) * | 1983-08-22 | 1993-06-22 | Stryker Sales Corporation | Surgical procedure for joining tissue in an internal body cavity |
US5222961A (en) * | 1989-12-26 | 1993-06-29 | Naomi Nakao | Endoscopic stapling device and related staple |
US5257713A (en) * | 1991-05-07 | 1993-11-02 | United States Surgical Corporation | Surgical fastening device |
US5289963A (en) | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5300081A (en) | 1992-10-09 | 1994-04-05 | United States Surgical Corporation | Surgical clip applier having clip advancement control |
US5318221A (en) * | 1989-05-26 | 1994-06-07 | United States Surgical Corporation | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
DE4308627A1 (en) * | 1993-03-18 | 1994-09-22 | Eisold Wolfgang | Medical endoscopic instruments with sliding mechanism for opening and closing the bit parts designed, in particular, as tubular shaft instruments for surgical instruments for endoscopic interventions |
US5356064A (en) | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5382255A (en) | 1993-01-08 | 1995-01-17 | United States Surgical Corporation | Apparatus and method for assembly of surgical instruments |
US5382254A (en) | 1989-07-18 | 1995-01-17 | United States Surgical Corporation | Actuating handle for surgical instruments |
US5383881A (en) | 1989-07-18 | 1995-01-24 | United States Surgical Corporation | Safety device for use with endoscopic instrumentation |
US5392978A (en) | 1991-02-08 | 1995-02-28 | United States Surgical Corporation | Surgical staple and endoscopic stapler |
US5395381A (en) * | 1990-12-13 | 1995-03-07 | United States Surgical Corporation | Apparatus and method for applying latchless surgical clips |
US5413268A (en) * | 1989-05-26 | 1995-05-09 | United States Surgical Corporation | Apparatus and method for placing stables in laparoscopic or endoscopic procedures |
US5445167A (en) * | 1987-05-14 | 1995-08-29 | Yoon; Inbae | Methods of applying surgical chips and suture tie devices to bodily tissue during endoscopic procedures |
US5485952A (en) * | 1992-09-23 | 1996-01-23 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5497933A (en) | 1991-10-18 | 1996-03-12 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5564615A (en) | 1992-10-09 | 1996-10-15 | Ethicon, Inc. | Surgical instrument |
US5573169A (en) * | 1992-10-02 | 1996-11-12 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures |
US5601574A (en) * | 1992-09-14 | 1997-02-11 | Ethicon, Inc. | Sterile clips and instrument for their placement |
US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
DE29705871U1 (en) * | 1997-04-04 | 1997-06-26 | Bartels Mikrotechnik Gmbh | Micro gripping device |
US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
US5833700A (en) | 1995-03-15 | 1998-11-10 | Ethicon Endo-Surgery, Inc. | Sterile occlusion fasteners and instrument and method for their placement |
US5833696A (en) | 1996-10-03 | 1998-11-10 | United States Surgical Corporation | Apparatus for applying surgical clips |
EP0893969A1 (en) * | 1996-04-18 | 1999-02-03 | Applied Medical Resources Corporation | Malleable clip applier and method |
US5993465A (en) * | 1993-08-25 | 1999-11-30 | Apollo Camera, Llc | Method of ligating a vessel or duct |
USRE36720E (en) * | 1990-12-13 | 2000-05-30 | United States Surgical Corporation | Apparatus and method for applying latchless surgical clips |
US6494886B1 (en) | 2000-06-22 | 2002-12-17 | Granit Medical Innovation, Inc. | Off-set clamp mechanism and associated method for minimally invasive surgery |
US6652545B2 (en) | 1999-03-01 | 2003-11-25 | Surgicon, Inc. | Ligation clip and clip applier |
EP1293166A3 (en) * | 1994-09-29 | 2003-11-26 | United States Surgical Corporation | Surgical clip applicator |
US7122041B2 (en) | 2002-04-15 | 2006-10-17 | Wilson-Cook Medical Inc. | Clip device |
US7678125B2 (en) | 2002-11-12 | 2010-03-16 | Apollo Camera, L.L.C. | Surgical ligation clip |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US7758613B2 (en) | 1999-06-02 | 2010-07-20 | Power Medical Interventions, Llc | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US7803151B2 (en) | 2001-12-04 | 2010-09-28 | Power Medical Interventions, Llc | System and method for calibrating a surgical instrument |
US7845538B2 (en) | 1999-07-12 | 2010-12-07 | Power Medical Interventions, Llc | Expanding parallel jaw device for use with an electromechanical driver device |
US7918230B2 (en) | 2007-09-21 | 2011-04-05 | Tyco Healthcare Group Lp | Surgical device having a rotatable jaw portion |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US7963433B2 (en) | 2007-09-21 | 2011-06-21 | Tyco Healthcare Group Lp | Surgical device having multiple drivers |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US8056786B2 (en) | 2002-06-14 | 2011-11-15 | Tyco Healthcare Group Lp | Surgical device |
US8152822B2 (en) | 2006-12-05 | 2012-04-10 | Cook Medical Technologies Llc | Combination therapy hemostatic clip |
US8172870B2 (en) | 2003-06-09 | 2012-05-08 | Microline Surgical, Inc. | Ligation clip applier |
US8425412B2 (en) | 2006-07-14 | 2013-04-23 | Cook Medical Technologies Llc | Papilla spreader |
US9113878B2 (en) | 2002-01-08 | 2015-08-25 | Covidien Lp | Pinion clip for right angle linear cutter |
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DE1266446B (en) | 1964-02-24 | 1968-04-18 | Fischer Fa F L | Micro instrument for operations in body cavities |
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Cited By (105)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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