US1916722A - Diathermy - Google Patents

Diathermy Download PDF

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Publication number
US1916722A
US1916722A US544491A US54449131A US1916722A US 1916722 A US1916722 A US 1916722A US 544491 A US544491 A US 544491A US 54449131 A US54449131 A US 54449131A US 1916722 A US1916722 A US 1916722A
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tips
electrodes
application
distance
diathermy
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US544491A
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Frank M Ende
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1402Probes for open surgery

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  • ⁇ My invention relates to diathermy appaend of the apparatus shown in Fig. 1 with ratus and particularly to improved adjustthe electrode tips in a differently adjusted able electrodes for the local coagulation of position.
  • the present invention is an improve- Fig. 3 is an enlarged plan end view of the ment on the apparatus of my prior co-pendapparatus of Figs. 1 and 2.
  • Fig. 5 is an enlarged top or plan view of In accordance with my said application Fig. 4.
  • de- Fi 6 is a view similar to Fig. 4 but wlth .60
  • FIG. 7 is a side view of one of the tlps such mined distance from each other, which disas shown in Figures 1, 2 and 3.
  • electrodes to complete the output circuit of extending parallel to one another througha source of high frequency electrical current out its length, for receivlng the non-corros ve through tissue intervening between and in conducting rods or heavy wlres 14, 14 which contact with the electrodes, and which is proare secured .
  • placein the handle 10 as by vided with anon-conducting handle by which being molded in place therein or by being it may be manipulated. inserted with a force fit-in the passages 12, With the apparatus of my said application 12 or thehandle 10.
  • the rods or Wires 12 55 the particular arrangement shown for securproject beyond each end of the handle 10 ing adjustment of distance by the electrodes as indicated at 16,16 and 18,18 and these ends consisted in jack replacement, the several may be interchangeable if desired.
  • This system is effective but is expensive
  • the cylindrical rod ends 16, 16 receive the and requires a number of extra parts and the adjustable electrode tips such as 22, 22 and spacing obtained is successive rather than 24, 24.
  • the tips shown at 22 are-provided finely calibrated. with terminal balls 26 adapted for surface
  • I make application of the diathermy treatment and either one, or both, of the electrodes adjustthe tips 24 are provided with needles 28, and able, thereby eliminating need for a large the form of the tip ends may be variously number of jacks containing bipolar elecmodified according to the particular thera- 43 trodes and securing more closely accurate Treatment -to be made.
  • the balls, adjustment of the distance between the elecneedles and the like are preferably eccentric trodes.
  • My invention further provides a deto the longitudinal axes of the tips.
  • the several tips comprise hollow shank R cleaned, and which is in no way injured by portions 30 of a size to have a forced fit on 4 application thereto of sterilizing, disinfectthe cylindrical projecting shanks 16, and are ing, etc., treatment. u preferably slitted at their base ends for a.'
  • the distance between the cylindrical shanks 16 is a small fraction of an inch and by reason of their eccentricity the distance between the electrode tips as balls 26, 26, can
  • Fig. 2 a minimum distance such as shown in Fig. 2, for example, where they are very close together, to such increased distance apart as may be required for theparticular diathermy application.
  • T erapeutic apparatus for local application of high frequency electrical current to tissue comprising an insulating handle, conductors carried by said handle and insulated thereby, and separate electrodes electrically connected to said conductors and supported thereby in spaced relation to each other, said electrodes being connected to said conductors so as to be attachable and detachable and also relatively adjustable to vary the spacing therebetween.

Description

F. M. ENDE DIATHERMY July 4, 1933.
Filed June 15 1931 5 2 m un A k "M ma Patented July 4, 1933 1,916,722
UNITED STATES PATENT OFFICE FRANK M. ENDE, LOS ANGELES, CALIFORNIA DIATHEBMY Application filed June 15, 1931. Serial No. 544,491.
\ My invention relates to diathermy appaend of the apparatus shown in Fig. 1 with ratus and particularly to improved adjustthe electrode tips in a differently adjusted able electrodes for the local coagulation of position.
tissue. The present invention is an improve- Fig. 3 is an enlarged plan end view of the ment on the apparatus of my prior co-pendapparatus of Figs. 1 and 2.
ing application Serial N 0. 275,154, filed May Fig. 4 is a side view similar to Figure 2 4, 1928, which application matured into Patbut with a'difierent form of electrode tip.
ent No. 1,814,? 91, dated July 14, 1931. Fig. 5 is an enlarged top or plan view of In accordance with my said application Fig. 4.
u a therapeutic apparatus is provided for de- Fi 6 is a view similar to Fig. 4 but wlth .60
struction of tissue by high frequency current the tips in a position of differently predetercomprising bipolar electrodes together With mined adjustment. means for supportingthe same at a predeter- Fig. 7 is a side view of one of the tlps such mined distance from each other, which disas shown in Figures 1, 2 and 3.
15 tance is a small fractional part of an inch, The insulated handle 10 of porcelaln or so that such distance remains fixed during equivalent non-conducting material is prouse, and with means for connecting up said vided witha pair of channel passages 12, 12,
electrodes to complete the output circuit of extending parallel to one another througha source of high frequency electrical current out its length, for receivlng the non-corros ve through tissue intervening between and in conducting rods or heavy wlres 14, 14 which contact with the electrodes, and which is proare secured .in placein the handle 10, as by vided with anon-conducting handle by which being molded in place therein or by being it may be manipulated. inserted with a force fit-in the passages 12, With the apparatus of my said application 12 or thehandle 10. The rods or Wires 12 55 the particular arrangement shown for securproject beyond each end of the handle 10 ing adjustment of distance by the electrodes as indicated at 16,16 and 18,18 and these ends consisted in jack replacement, the several may be interchangeable if desired. On the jacks provided being fitted with bipolar elecshanks or extensions 18, 18 at one end are r trodes spaced apart at varying distance, and connected the two sides of the source of high a particular jack being chosen for use having frequency current, such connection being the desired electrode spacing. made, for example, by means of a jack 20. This system is effective but is expensive The cylindrical rod ends 16, 16 receive the and requires a number of extra parts and the adjustable electrode tips such as 22, 22 and spacing obtained is successive rather than 24, 24. The tips shown at 22 are-provided finely calibrated. with terminal balls 26 adapted for surface According to the present invention I make application of the diathermy treatment, and either one, or both, of the electrodes adjustthe tips 24 are provided with needles 28, and able, thereby eliminating need for a large the form of the tip ends may be variously number of jacks containing bipolar elecmodified according to the particular thera- 43 trodes and securing more closely accurate peutic application -to be made. The balls, adjustment of the distance between the elecneedles and the like are preferably eccentric trodes. My invention further provides a deto the longitudinal axes of the tips. vice which is entirely sanitary, readily The several tips comprise hollow shank R cleaned, and which is in no way injured by portions 30 of a size to have a forced fit on 4 application thereto of sterilizing, disinfectthe cylindrical projecting shanks 16, and are ing, etc., treatment. u preferably slitted at their base ends for a.'
In the drawing F igure 1, is a side view part of their length as indicated at 32, Fig. partly in sectionof a preferred form of ap 7, to enable a spring clamping action to be paratus. obtained, so that when they are forced on the 50 Fig. 2 is a side elevation of the electrode projecting cylindrical shanks 16 they can be adjusted to any desired position by rotatin them axially through a suitable angle, an I in which position they will be rigidly retained and held during use. I have shown both tips of the pair adjustable and this is the preferred construction because of the simplicity and interchangeability tained, but, if desired, only one instead of both of the tips of the pair may be made adjustable.
The distance between the cylindrical shanks 16 is a small fraction of an inch and by reason of their eccentricity the distance between the electrode tips as balls 26, 26, can
be varied from a minimum distance such as shown in Fig. 2, for example, where they are very close together, to such increased distance apart as may be required for theparticular diathermy application.
20 It will be seen that the separable tips and the entire apparatus is highly simple, there so obthe conductors to which they are attached the spacin between the electrodes may be varied.
2. T erapeutic apparatus for local application of high frequency electrical current to tissue comprising an insulating handle, conductors carried by said handle and insulated thereby, and separate electrodes electrically connected to said conductors and supported thereby in spaced relation to each other, said electrodes being connected to said conductors so as to be attachable and detachable and also relatively adjustable to vary the spacing therebetween.
In testimony whereof, I have signed. my
name hereto.
' FRANK M. ENDE.
US544491A 1931-06-15 1931-06-15 Diathermy Expired - Lifetime US1916722A (en)

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Cited By (74)

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US3970088A (en) * 1974-08-28 1976-07-20 Valleylab, Inc. Electrosurgical devices having sesquipolar electrode structures incorporated therein
US4033351A (en) * 1974-06-14 1977-07-05 Siemens Aktiengesellschaft Bipolar cutting electrode for high-frequency surgery
EP0455321A1 (en) * 1990-04-30 1991-11-06 Everest Medical Corporation Percutaneous laparoscopic cholecystectomy instrument
US5084045A (en) * 1990-09-17 1992-01-28 Helenowski Tomasz K Suction surgical instrument
WO1995029644A1 (en) * 1994-04-28 1995-11-09 Willmen Hans Rainer Electrosurgical instrument for therapeutic treatment of varices
US5531743A (en) * 1994-11-18 1996-07-02 Megadyne Medical Products, Inc. Resposable electrode
US5810805A (en) * 1996-02-09 1998-09-22 Conmed Corporation Bipolar surgical devices and surgical methods
US5846237A (en) * 1994-11-18 1998-12-08 Megadyne Medical Products, Inc. Insulated implement
US5885280A (en) * 1995-11-08 1999-03-23 Megadyne Medical Products, Inc. Electrosurgical electrode connector
US5921993A (en) * 1997-05-01 1999-07-13 Yoon; Inbae Methods of endoscopic tubal ligation
US5925045A (en) * 1993-11-10 1999-07-20 Mentor Corporation Bipolar electrosurgical instrument
US5954733A (en) * 1996-11-27 1999-09-21 Yoon; Inbae Suturing instrument with rotatably mounted needle driver and catcher
US5954731A (en) * 1997-07-29 1999-09-21 Yoon; Inbae Surgical instrument with multiple rotatably mounted spreadable end effectors
US5957937A (en) * 1996-11-27 1999-09-28 Yoon; Inbae Suturing instrument with spreadable needle holder mounted for arcuate movement
US5993466A (en) * 1997-06-17 1999-11-30 Yoon; Inbae Suturing instrument with multiple rotatably mounted spreadable needle holders
US5993467A (en) * 1996-11-27 1999-11-30 Yoon; Inbae Suturing instrument with rotatably mounted spreadable needle holder
US6004332A (en) * 1997-05-01 1999-12-21 Yoon; Inbae Suturing instrument with multiple rotatably mounted offset needle holders and method of using the same
US6086601A (en) * 1998-04-29 2000-07-11 Yoon; Inbae Instrument and method for suturing anatomical tissue and tying suture material
US6090107A (en) * 1998-10-20 2000-07-18 Megadyne Medical Products, Inc. Resposable electrosurgical instrument
US6143005A (en) * 1997-05-01 2000-11-07 Yoon; Inbae Suturing instrument with rotatably mounted offset needle holder and method of using the same
US6358273B1 (en) 1999-04-09 2002-03-19 Oratec Inventions, Inc. Soft tissue heating apparatus with independent, cooperative heating sources
US6379350B1 (en) 1999-10-05 2002-04-30 Oratec Interventions, Inc. Surgical instrument for ablation and aspiration
US6391028B1 (en) 1997-02-12 2002-05-21 Oratec Interventions, Inc. Probe with distally orientated concave curve for arthroscopic surgery
US6461357B1 (en) 1997-02-12 2002-10-08 Oratec Interventions, Inc. Electrode for electrosurgical ablation of tissue
US6544260B1 (en) 1996-08-20 2003-04-08 Oratec Interventions, Inc. Method for treating tissue in arthroscopic environment using precooling and apparatus for same
US6620156B1 (en) * 2002-09-20 2003-09-16 Jon C. Garito Bipolar tonsillar probe
US6645203B2 (en) 1997-02-12 2003-11-11 Oratec Interventions, Inc. Surgical instrument with off-axis electrode
US20030216752A1 (en) * 2000-11-14 2003-11-20 Esd Medical L.L.C. Device for laparoscopic tubal ligation
US20040030330A1 (en) * 2002-04-18 2004-02-12 Brassell James L. Electrosurgery systems
US6695839B2 (en) 2001-02-08 2004-02-24 Oratec Interventions, Inc. Method and apparatus for treatment of disrupted articular cartilage
US6699244B2 (en) 1997-02-12 2004-03-02 Oratec Interventions, Inc. Electrosurgical instrument having a chamber to volatize a liquid
US6939346B2 (en) 1999-04-21 2005-09-06 Oratec Interventions, Inc. Method and apparatus for controlling a temperature-controlled probe
US20050288662A1 (en) * 2004-06-23 2005-12-29 Uchida Andy H Electrosurgical generator
US6997941B2 (en) 1996-08-13 2006-02-14 Oratec Interventions, Inc. Method and apparatus for treating annular fissures in intervertebral discs
US20090306683A1 (en) * 2008-06-04 2009-12-10 Ethicon Endo-Surgery, Inc. Endoscopic drop off bag
US7655003B2 (en) 2005-06-22 2010-02-02 Smith & Nephew, Inc. Electrosurgical power control
US20100257850A1 (en) * 2007-11-21 2010-10-14 Hino Motors Ltd. Exhaust emission control device
US20110306971A1 (en) * 2007-02-15 2011-12-15 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US20110313413A1 (en) * 2005-07-15 2011-12-22 Atricure, Inc. Ablation device with sensor
EP2398416A1 (en) * 2009-02-23 2011-12-28 Salient Surgical Technologies, Inc. Fluid-assisted electrosurgical device and methods of use thereof
US8348938B2 (en) 2008-05-06 2013-01-08 Old Dominian University Research Foundation Apparatus, systems and methods for treating a human tissue condition
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8409200B2 (en) 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8480657B2 (en) 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US8679003B2 (en) 2008-05-30 2014-03-25 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US8939897B2 (en) 2007-10-31 2015-01-27 Ethicon Endo-Surgery, Inc. Methods for closing a gastrotomy
US9005198B2 (en) 2010-01-29 2015-04-14 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9011431B2 (en) 2009-01-12 2015-04-21 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9220526B2 (en) 2008-11-25 2015-12-29 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
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US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
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Cited By (110)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4033351A (en) * 1974-06-14 1977-07-05 Siemens Aktiengesellschaft Bipolar cutting electrode for high-frequency surgery
US3970088A (en) * 1974-08-28 1976-07-20 Valleylab, Inc. Electrosurgical devices having sesquipolar electrode structures incorporated therein
US3987795A (en) * 1974-08-28 1976-10-26 Valleylab, Inc. Electrosurgical devices having sesquipolar electrode structures incorporated therein
EP0455321A1 (en) * 1990-04-30 1991-11-06 Everest Medical Corporation Percutaneous laparoscopic cholecystectomy instrument
US5084045A (en) * 1990-09-17 1992-01-28 Helenowski Tomasz K Suction surgical instrument
WO1993009839A1 (en) * 1991-11-18 1993-05-27 Helenowski Tomasz K Suction surgical instrument
US5972416A (en) * 1993-11-10 1999-10-26 Mentor Corporation Bipolar electrosurgical instrument and method for making the instrument
US5925045A (en) * 1993-11-10 1999-07-20 Mentor Corporation Bipolar electrosurgical instrument
WO1995029644A1 (en) * 1994-04-28 1995-11-09 Willmen Hans Rainer Electrosurgical instrument for therapeutic treatment of varices
US5868744A (en) * 1994-04-28 1999-02-09 Willmen; Hans-Rainer Electrosurgical instrument for therapeutic treatment of varices
US5846237A (en) * 1994-11-18 1998-12-08 Megadyne Medical Products, Inc. Insulated implement
US5531743A (en) * 1994-11-18 1996-07-02 Megadyne Medical Products, Inc. Resposable electrode
US5885280A (en) * 1995-11-08 1999-03-23 Megadyne Medical Products, Inc. Electrosurgical electrode connector
US5810805A (en) * 1996-02-09 1998-09-22 Conmed Corporation Bipolar surgical devices and surgical methods
US7282061B2 (en) 1996-08-13 2007-10-16 Oratec Interventions, Inc. Method of treating intervertebral disc
US6997941B2 (en) 1996-08-13 2006-02-14 Oratec Interventions, Inc. Method and apparatus for treating annular fissures in intervertebral discs
US7400930B2 (en) 1996-08-13 2008-07-15 Oratec Interventions, Inc. Method for treating intervertebral discs
US7647123B2 (en) 1996-08-13 2010-01-12 Oratec Interventions, Inc. Method for treating intervertebral discs
US8187312B2 (en) 1996-08-13 2012-05-29 Neurotherm, Inc. Method for treating intervertebral disc
US8226697B2 (en) 1996-08-13 2012-07-24 Neurotherm, Inc. Method for treating intervertebral disc
US7267683B2 (en) 1996-08-13 2007-09-11 Oratec Interventions, Inc. Method for treating intervertebral discs
US6544260B1 (en) 1996-08-20 2003-04-08 Oratec Interventions, Inc. Method for treating tissue in arthroscopic environment using precooling and apparatus for same
US5957937A (en) * 1996-11-27 1999-09-28 Yoon; Inbae Suturing instrument with spreadable needle holder mounted for arcuate movement
US5954733A (en) * 1996-11-27 1999-09-21 Yoon; Inbae Suturing instrument with rotatably mounted needle driver and catcher
US5993467A (en) * 1996-11-27 1999-11-30 Yoon; Inbae Suturing instrument with rotatably mounted spreadable needle holder
US6461357B1 (en) 1997-02-12 2002-10-08 Oratec Interventions, Inc. Electrode for electrosurgical ablation of tissue
US6699244B2 (en) 1997-02-12 2004-03-02 Oratec Interventions, Inc. Electrosurgical instrument having a chamber to volatize a liquid
US6645203B2 (en) 1997-02-12 2003-11-11 Oratec Interventions, Inc. Surgical instrument with off-axis electrode
US6391028B1 (en) 1997-02-12 2002-05-21 Oratec Interventions, Inc. Probe with distally orientated concave curve for arthroscopic surgery
US5921993A (en) * 1997-05-01 1999-07-13 Yoon; Inbae Methods of endoscopic tubal ligation
US6143005A (en) * 1997-05-01 2000-11-07 Yoon; Inbae Suturing instrument with rotatably mounted offset needle holder and method of using the same
US6004332A (en) * 1997-05-01 1999-12-21 Yoon; Inbae Suturing instrument with multiple rotatably mounted offset needle holders and method of using the same
US5993466A (en) * 1997-06-17 1999-11-30 Yoon; Inbae Suturing instrument with multiple rotatably mounted spreadable needle holders
US5954731A (en) * 1997-07-29 1999-09-21 Yoon; Inbae Surgical instrument with multiple rotatably mounted spreadable end effectors
US6086601A (en) * 1998-04-29 2000-07-11 Yoon; Inbae Instrument and method for suturing anatomical tissue and tying suture material
US6090107A (en) * 1998-10-20 2000-07-18 Megadyne Medical Products, Inc. Resposable electrosurgical instrument
US6358273B1 (en) 1999-04-09 2002-03-19 Oratec Inventions, Inc. Soft tissue heating apparatus with independent, cooperative heating sources
US6939346B2 (en) 1999-04-21 2005-09-06 Oratec Interventions, Inc. Method and apparatus for controlling a temperature-controlled probe
US6379350B1 (en) 1999-10-05 2002-04-30 Oratec Interventions, Inc. Surgical instrument for ablation and aspiration
US20030216752A1 (en) * 2000-11-14 2003-11-20 Esd Medical L.L.C. Device for laparoscopic tubal ligation
US6695839B2 (en) 2001-02-08 2004-02-24 Oratec Interventions, Inc. Method and apparatus for treatment of disrupted articular cartilage
US20040030330A1 (en) * 2002-04-18 2004-02-12 Brassell James L. Electrosurgery systems
US6620156B1 (en) * 2002-09-20 2003-09-16 Jon C. Garito Bipolar tonsillar probe
US7226447B2 (en) 2004-06-23 2007-06-05 Smith & Nephew, Inc. Electrosurgical generator
US20050288662A1 (en) * 2004-06-23 2005-12-29 Uchida Andy H Electrosurgical generator
US20100121317A1 (en) * 2005-06-22 2010-05-13 Smith & Nephew, Inc. Electrosurgical Power Control
US8348934B2 (en) 2005-06-22 2013-01-08 Smith & Nephew, Inc. Electrosurgical power control
US8052675B2 (en) 2005-06-22 2011-11-08 Smith & Nephew, Inc. Electrosurgical power control
US8603082B2 (en) 2005-06-22 2013-12-10 Smith & Nephew, Inc. Electrosurgical power control
US7655003B2 (en) 2005-06-22 2010-02-02 Smith & Nephew, Inc. Electrosurgical power control
US20110313413A1 (en) * 2005-07-15 2011-12-22 Atricure, Inc. Ablation device with sensor
US8348939B2 (en) * 2005-07-15 2013-01-08 Atricure, Inc. Ablation device with sensor
US8449538B2 (en) 2007-02-15 2013-05-28 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US10478248B2 (en) 2007-02-15 2019-11-19 Ethicon Llc Electroporation ablation apparatus, system, and method
US9375268B2 (en) 2007-02-15 2016-06-28 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US20110306971A1 (en) * 2007-02-15 2011-12-15 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US8425505B2 (en) * 2007-02-15 2013-04-23 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US8939897B2 (en) 2007-10-31 2015-01-27 Ethicon Endo-Surgery, Inc. Methods for closing a gastrotomy
US8480657B2 (en) 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
US20100257850A1 (en) * 2007-11-21 2010-10-14 Hino Motors Ltd. Exhaust emission control device
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
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