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Numéro de publicationUS3552626 A
Type de publicationOctroi
Date de publication5 janv. 1971
Date de dépôt4 avr. 1968
Date de priorité2 févr. 1968
Autre référence de publicationDE1766398B
Numéro de publicationUS 3552626 A, US 3552626A, US-A-3552626, US3552626 A, US3552626A
InventeursPavel Iosifovich Androsov, Georgy Vasilievich Astafiev, Svetoslav Ivanovich Babkin, Tatiana Lukianovna Ivanova, Anatoly Nikolaevich Ozhgikhin
Cessionnaire d'origineAnatoly Nikolaevich Ozhgikhin, Georgy Vasilievich Astafiev, Pavel Iosifovich Androsov, Svetoslav Ivanovich Babkin, Tatiana Lukianovna Ivanova
Exporter la citationBiBTeX, EndNote, RefMan
Liens externes: USPTO, Cession USPTO, Espacenet
Instrument for circular suturing of hollow body organs
US 3552626 A
Résumé  disponible en
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Description  (Le texte OCR peut contenir des erreurs.)

United States Patent lnventors INSTRUMENT FOR CIRCULAR SUTURING OF HOLLOW BODY ORGANS 4 Claims, 11 Drawing Figs.

[51] Int. Cl... B3lb l/00; B27f 7/00 [50] Field olSearch 128/305. 334, 335, 337; 227/8, 19, 76, 109

[56] References Cited UNITED STATES PATENTS 3,193,165 7/1965 Arhalaya et al 227/8 3,252,643 5/1966 Strekopytov et a1. 227/109 3,388,847 6/1968 Kasulin et al. 227/19 Primary Examiner-Dalton L. Pruluck Attorney-Waters, Roditi, Schwartz & Nissen PATENTEU JAN 51971 $552,626

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INSTRUMENT FOR CIRCULAR SUTURING OF HOLLOW BODY ORGANS The present invention relates to surgical instruments for ap plying circular staple sutures when placing anastomoses on hollow organs, and particularly to instruments for placing circular anastomoses between the organs of the alimentary canal.

There are known in present day surgical practice instruments for placing circular anastomoses between hollow organs (cf. USSR Authors Certificates Nos. 195,041 and l4l,589; Patents: British No. 942,122, Canadian No. 736,256, U.S. No. 3,l93,l 65, Swiss No. 407,407, French Nos. 1,349,201 and l,46l,464, Italian Nos. 674,175 and 724,978, Japanese No, 456,544, Belgian No. 668,917). Said instruments feature a tubular body which houses a central stem and a hollow movable rod carrying a cylindrical-shaped knife and a staple ejector, a staple portion, a detachable head with radial depressions for the staples to bend and with a recess for a replaceable semirigid washer.

A principal disadvantage inherent in the known surgical instruments of the character set forth hereinabove resides in the fact that each particular instrument is only suitable for applying circular staple sutures to the organs of a certain diameter, which depends upon the diameter of the tubular body of the instrument involved, in whose end face are provided grooves for staples.

It is common knowledge that tubular organs that constitute make the human alimentary canal (i.e. the esophagus, large and small intestines) feature different diameters at various levels even in the same man. Variationsin the diameters of said organs take place in dependence of the age and habitus of a man, etc.

In order to place circular anastomoses between the organs of the alimentary canal, both the instrument body and its supporting head are introduced into the inner space of the organs being sutured. It is evident that the diameter of the instrument must correspond to that of the organs to be sutured.

Another disadvantage of the known surgical instruments for placing circular staple sutures is that the bodies of said instruments are fixed in length.

However, the experience of clinical application of the known instruments has proven that for placing anastomoses on the organs situated in deep operational wounds, instruments of greater length are required as compared to those to be employed for placing anastomoses on the organs located in shallow wounds.

In connection with the above, a necessity arises for a complete set of instruments incorporating tubular bodies of different diameters and lengths which is inexpedient from the economical viewpoint, especially for users to whom the acquisition of a number of such instruments will be rather costly.

In keeping with all set forth her'einabove, an object of the present invention is to devise a surgical instrument for placing circular anastomoses on all the organs of the human alimentary canal irrespective of the diameter thereof.

Another object of the present invention is to provide an instrument capable of placing a suture at any depth of the operational field.

Said objects are achieved in that in the surgical instrument for placing circular anastomoses, according to the present invention, the staple portion thereof is made as an individual structural component, i.e. a staple head with a built-in slidable staple ejector, and is adapted to be mounted with the possibility of rapid removal at the end of an extension tube which connects the staple head to the body, said tube being provided with a device enabling the staple body, the stem and the tubular rod to be aligned with respect to one another, whereby staple heads of different size can be mounted on said extension tube so that the staple slots be positioned strictly opposite to the depressions in the supporting heads.

For insuring simple and reliable operation of the instrument, said aligning device incorporates a double-headed key fixed in position at the end of said extension tube and adapted to fit into the longitudinal guide slots of the staple head, tubular rod and stem.

In order to provide for a quick removal or mounting of the staple head, according to the invention, its tailpiece is threaded, whereas on the extension tubea union nut is loosely set which is screwable onto the tailpiece of the staple head.

According to the invention, the slidable staple ejector built in into the staple head, is fixed to the tubular rod directly via a knife screwed onto the rod end projecting from the hole in the bottom of the staple ejector.

With the purpose of varying the length of the instrument, according to the invention, the replaceable extension tube is made fast on the body by a union nut loosely set on said tube and screwable onto the threaded end' of the body.

In order to accurately align the extension tube with the body, a groove is cut in the threaded portion thereof, whereas the corresponding end of the tube carries a key to fit into said groove.

Other objects and advantages of the present invention will become evident upon considering an embodiment thereof described hereinafter by way of examplewith reference to the accompanying drawings, wherein: 5

FIG. I is a diagrammatic side view of the surgical instrument for placing circular anastomoses, according to the present invention;

FIG. 2 is a longitudinal sectional view of the working portion of the instrument represented in FIG. 1;

FIG. 3 is a section on line A-A of FIG. 2;

FIG. 4 is a diagrammatic side view of the staple ejector;

FIG. 5 is a section on line B-B of FIG. 2;

FIG. 6 is a diagrammatic bottom view ofthe tubular rod;

FIG. 7 is a section on line C-C of FIG. 2;

FIG. 8 is a schematic diagram of the arrangement ofthe organs to be sutured, prior to placing an anastomosis;

FIG. 9 is a cross-sectional view of an anastomosis placed by the instrument of the invention;

FIG. 10 is a diagrammatic view of the instrument for placing circular anastomoses provided with interchangeable tubes; and

FIG. 11 is a portion of the instrument shown in section at the place where an interchangeable tube is coupled to the in strument body. I

In describing the particular embodiment of the present invention illustrated in the appended drawings, specific terminology has been resorted to for the sake of clarity. It should be understood, however, that the present invention is in no way limited to the terms so selected and that each such term covers all equivalent elements operating in a similar manner and employed for solving similar problems.

Now referring to FIG. 1, the instrument of the invention comprises a body 1 rigidly secured to an extension tube 2, a movable handle 3 articulated to said body and a fixed handle 4 rigidly coupled thereto.

A replaceable staple head 6 (FIGS. 1, 2) is fastened at the end of the extension tube 2 by means ofa union nut 5.

The staple head 6 incorporates a cylindrical sleeve 7 inside which a splined ring 8 is fixed in position to form staple slots 9 (FIGS. 2, 3) in association with the sleeve surface.

Furthermore, accommodated inside the sleeve 7 is a slidable cylindrical staple ejector 10 (FIG. 4) provided with a hole 11 at its bottom and with peripherally spaced toothlike tabs 12 to drive the staples out of the slots 9. The ejector 10 is held in place inside the head 6 by means of a cover 13 (FIG. 2) which has a tubular tailpiece 14 provided with male thread for threadably engaging the union nut 5.

A groove 15 is provided in the tailpiece 14. In order to insure that the replaceable heads assume a definite position with respect to the extension tube, the latter is provided with an aligning device made as a double-headed key 16 fixed in place at the end of the extension tube 2. When mounting a staple head onto the extension tube, the outer head ofthe key 16 engages the groove 15 in the tubular tailpiece 14 of the staple head cover (FIGS. 2,5).

Thus, a strong and reliable fastening of the replaceable staple head 6 at the end of the extension tube 2 in a strictly definite position is attained. It is evident, that the staple heads may be made for both recurrent and single use, i.e. of metal or plastic, respectively.

Extending inside the extension tube 2 and the body 1 is a tubular rod 17 (FIGS. 2, 6) provided with a front threaded portion 18 and a longitudinal groove 19 which serves for passage of the innerhead of the key 16, whereby the rod 17 is fixed to assume only its definite position.

A replaceable cylindrical knife 20 is screwed onto the threaded end 18, said knife forcing the ejector 10 against a projection 21 of the tubular rod, thus preventing its spontaneous movement towards the staple slots 9, whereby a premature staple ejection is obviated.

A stem 22 passes inside the tubular rod 17, said stern being provided with a longitudinal groove 23 for the passage of the inner head of the double-headed key 16.

The pointed front end of stem 22 is provided with a thread 24 onto which a replaceable supporting head 25 (FIG. 2) is screwed.

The supporting head is a composite of three portions: a cylindrical portion 26, a taper portion 27 and a die portion 28.

The cylindrical and taper portions are interconnected with the possibility of independent rotation of the taper portion around its axis when the cylindrical portion remains immovable. 1

The cylindrical portion 26 has a hole 29so profiled as to suit the shape of the cross-sectional area of that portion of the stem 22 whereon the supporting head is mounted (FIG. 7).

The provision of such a shape of hole makes it possible to set a replaceable supporting head in a strictly definite position with respect to the stem 22.

A cylindrical depression 30 is made in the supporting head 25 for accommodating a single-use semirigid washer 31, said washer protecting the cutting edge of the knife 20 from becoming blunt and contributing to the complete excision of the tissues during operation (FIG. 2).

An annular recess 32 is provided at the bottom of the depression 30, the diameter of said recess being equal to that of the cutting edge of the knife 20 (FIG. 2).

The die 28 has thrust depressions 33 for the staple ends to bend when suturing (FIG. 2).

A nut 34 (FIG. 1) is mounted at the end of the body 1, whereby the stem 22 together with the supporting head 25 is moved. The end of the stem facing the instrument body is provided with a thread 35 which corresponds to that of the nut 34.

In order to displace the tubular rod 17 and, consequently, the staple ejector 10 together with the knife 20, use is made of the movable handle 3. A shorter effective arm of the handle 3 is made as a fork so as to enter the body 1 through a port 37 and to straddle flat side surfaces 38 of the rod 17 (FIG. 6). When moving the handle 3, its arm 36 presses upon projections 39 or 40 on the tubular rod 17, thereby causing the latter to travel'in either direction along the instrument depending upon the direction of movement of the handle 3.

INSTRUMENT APPLICATION TECHNIQUE Prior to making use of the instrument of the invention, it should be prepared for operation, for which purpose the diameter of the supporting and staple heads with the knife required for the operation should be determined. Then, the slots 9 in the staple head are loaded with staples and a semirigid replaceable washer is placed into the depression 30 in the supporting head, whereupon the staple head and the knife, as well as the supporting head are mounted in position on the instrument. This done, both heads are brought together as far as they will go. In that position, the instrument is sterilized.

Intestinal walls 41 and 42 (FIG, 8) to be sutured are placed between the end-face portions of the supporting head 25 and the staple head 6 spaced fully apart.

For the purpose ofjuxtaposing the tissues being sutured, the stem 22, together with the supportinghead, is moved with respect to the body 1 by rotating the nut 34 (FIG. 1).

Then, by pressing the handles 3 and 4 together, the rod 17 is made to move, as a result of which the toothlike tabs 12 of the moving ejector 10 act upon the staples so as to move them out of the slots 9; while moving, the pointed ends of the staples pierce the tissues being sutured and, upon meeting the thrust depressions 33 in the head 25, are bent to assume a B-shaped form.

ture, then reaches the semirigid washer 31,,enters the same and cuts out the tissues, thus forming a circular anastomotic aperture 43(FIGS.2and 9).

The instrument of the invention is applicable for placing end-to-end, end-to-side, side-to-side" and "side-to end anastomoses.

An alternative embodiment of the present invention is the same instrument but provided with the replaceable extension tubes, rods and stems, which allow the length of the instrument to be varied so as to be practicable for placing anastomoses at any depth of location of the operational field (FIG. 10).

The principal component part of such instrument is its body 44 on which a replaceable extension tube 46 is fixed in place by means of a union nut 45. Each replaceable tube corresponds to its particular replaceable tubular rod 47 and a replaceable stem 48.

An accurate setting of the intermediate tube on the instrument body is attainable by a key 49 (FIG. 11) fixed in position on the extension tube and engaging a groove 50 provided on a threaded cylindrical portion 51, said groove being provided with a thread for threadably engaging the union nut 45.

As to all other respects, the design of the instrument is entirely similar to that considered herein'above.

Though this invention has been described hereinabove with reference to the preferred embodiment thereof, it will be understood that various alterations and modifications may be made without departing from the spirit and scope of the invention, as will be readily understood by those skilled in the art.

Such alterations and modifications are to be considered as falling within the limits of the spirit and scope of the invention and the appended claims.

We claim:

1. An instrument for placing circular anastomoses between organs of the alimentary canal, said instrument comprising a body with a cylindrical threaded portion having a groove and a detachable extension tube provided thereon, said tube having ends with aligning means constituted as keys, one being a oneheaded key at one end of the tube and the other a doubleheaded key at the opposite end of the tube, a detachable tubular rod in said extension tube and body and having threads on the forward end thereof and a longitudinal groove receiving the inner end of said double-headed key; a stem including a pointed threaded forward end, said stem having a longitudinal groove receiving the inner end of said double-headed key, said stem being slidable longitudinally within said rod; a replaceable supporting head including two parts coupled so that one part is capable of rotating with respect to the other and having in one of its parts a shaped opening corresponding to the shape of the cross section of said threaded end of the stem, and a central threaded opening in its other part which is detachably secured in a definite position on said end of the stem, said other of the parts of the head having depressions for bending the staples; a replaceable staple head having slots for U-shaped staples and a threaded tailpiece having a longitudinal groove receiving the outer end of said double-headed key for securing said staple head at the end of the extension tube in a definite position with respect to said supporting head so that said staple slots are aligned exactly opposite said depressions; and a slidable cylindrical ejector slidably mounted in said staple head and having a bottom portion with an opening therein for passage of said rod; a cylindrical knife mounted on said rod; and means for moving said ejectorand knife.

The knife 20, while moving togetherjwith the rod 17, forces the tissues being sutured inside the alreadyformed circular suthrough the opening in the bottom portion of the ejector.

4. An instrument as claimed in claim 1 comprising a nut securing the detachable extension tubeto the body, said nut being freely mounted on said tube and screwed to the cylindrical threaded portion of the body.

Citations de brevets
Brevet cité Date de dépôt Date de publication Déposant Titre
US3193165 *27 août 19626 juil. 1965Akhalaya Mikhail GueorguievichInstrument for suturing esophagus to intestine or stomach
US3252643 *24 déc. 196224 mai 1966Strekopytov Alexey AlexcevichInstrument for suturing living tissue
US3388847 *26 août 196518 juin 1968Gambashidze Galina MikhailovnaSurgical instrument for suturing hollow organs
Référencé par
Brevet citant Date de dépôt Date de publication Déposant Titre
US3638652 *1 juin 19701 févr. 1972James L KelleySurgical instrument for intraluminal anastomosis
US3789847 *19 août 19715 févr. 1974Lehmann ATool for lower colon surgery
US4198982 *31 mars 197822 avr. 1980Memorial Hospital For Cancer And Allied DiseasesSurgical stapling instrument and method
US4207898 *27 mars 197817 juin 1980Senco Products, Inc.Intralumenal anastomosis surgical stapling instrument
US4289133 *28 févr. 198015 sept. 1981Senco Products, Inc.Cut-through backup washer for the scalpel of an intraluminal surgical stapling instrument
US4304236 *10 avr. 19808 déc. 1981United States Surgical CorporationStapling instrument having an anvil-carrying part of particular geometric shape
US4319576 *26 févr. 198016 mars 1982Senco Products, Inc.Intralumenal anastomosis surgical stapling instrument
US4351466 *16 oct. 198028 sept. 1982United States Surgical CorporationDisposable instrument for surgical fastening
US4379457 *17 févr. 198112 avr. 1983United States Surgical CorporationIndicator for surgical stapler
US4466436 *23 déc. 198121 août 1984Sukoo LeeSurgical stapler
US4473077 *28 mai 198225 sept. 1984United States Surgical CorporationSurgical stapler apparatus with flexible shaft
US4476863 *9 mars 198116 oct. 1984Kanshin Nikolai NSurgical instrument for establishing circular coloanastomoses
US4485817 *28 mai 19824 déc. 1984United States Surgical CorporationSurgical stapler apparatus with flexible shaft
US4505272 *22 févr. 198319 mars 1985Vsesojozny Naucho-Issledovatelsky i Ispytatelny Institut Meditsinskoi TekhnikiSurgical suturing instrument for performing anastomoses between structures of the digestive tract
US4576167 *3 sept. 198118 mars 1986United States Surgical CorporationSurgical stapler apparatus with curved shaft
US4592354 *11 oct. 19833 juin 1986Senmed, Inc.Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods
US4603693 *7 déc. 19815 août 1986United States Surgical CorporationInstrument for circular surgical stapling of hollow body organs and disposable cartridge therefor
US4606343 *18 août 198019 août 1986United States Surgical CorporationSelf-powered surgical fastening instrument
US4607637 *22 juil. 198326 août 1986Anders BerggrenSurgical instrument for performing anastomosis with the aid of ring-like fastening elements and the fastening elements for performing anastomosis
US4624257 *21 févr. 198425 nov. 1986Anders BerggrenSurgical instrument for performing anastomosis
US4646745 *22 nov. 19853 mars 1987United States Surgical CorporationSurgical stapler apparatus with curved shaft
US4917090 *19 janv. 198817 avr. 1990Unilink, Inc.Method for performing an anastomosis
US4930674 *24 févr. 19895 juin 1990Abiomed, Inc.Surgical stapler
US5197649 *29 oct. 199130 mars 1993The Trustees Of Columbia University In The City Of New YorkGastrointestinal endoscoptic stapler
US5333773 *16 nov. 19922 août 1994Ethicon, Inc.Sealing means for endoscopic surgical anastomosis stapling instrument
US5350104 *12 janv. 199427 sept. 1994Ethicon, Inc.Sealing means for endoscopic surgical anastomosis stapling instrument
US5376098 *9 oct. 199227 déc. 1994United States Surgical CorporationFragmentable anastomosis ring applier
US5411508 *30 mars 19932 mai 1995The Trustees Of Columbia University In The City Of New YorkGastrointestinal approximating and tissue attaching device
US5443198 *7 juil. 199422 août 1995United States Surgical CorporationSurgical fastener applying apparatus
US5454824 *22 sept. 19933 oct. 1995United States Surgical CorporationFragmentable ring applier
US5474223 *5 juil. 199412 déc. 1995United States Surgical CorporationSurgical fastener applying apparatus
US5609285 *6 avr. 199511 mars 1997Ethicon, Inc.Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5628762 *17 janv. 199613 mai 1997Al-Tameem; MoshinMethod of using a device for excision of a fistula
US5643305 *18 nov. 19941 juil. 1997Al-Tameem; MoshinDevice for excision of a fistula
US5662259 *9 avr. 19962 sept. 1997Yoon; InbaeMethod of stapling anatomical tissue
US5662260 *9 avr. 19962 sept. 1997Yoon; InbaeSurgical staple cartridge
US5709335 *31 oct. 199520 janv. 1998Heartport, Inc.Surgical stapling instrument and method thereof
US5732872 *6 févr. 199631 mars 1998Heartport, Inc.Surgical stapling instrument
US5758814 *27 mai 19972 juin 1998United States Surgical CorporationAnvil for circular stapler
US5817113 *23 janv. 19976 oct. 1998Heartport, Inc.Devices and methods for performing a vascular anastomosis
US5881943 *20 nov. 199716 mars 1999Heartport, Inc.Surgical anastomosis apparatus and method thereof
US5915616 *10 oct. 199729 juin 1999United States Surgical CorporationSurgical fastener applying apparatus
US5947363 *20 mars 19987 sept. 1999Heartport, Inc.Surgical stapling instrument and method thereof
US5957363 *19 juin 199728 sept. 1999Elf Atochem S.A.Method of performing vascular anastomosis
US5976159 *8 févr. 19962 nov. 1999Heartport, Inc.Surgical clips and methods for tissue approximation
US6126058 *19 juin 19983 oct. 2000Scimed Life Systems, Inc.Method and device for full thickness resectioning of an organ
US617132118 mai 19999 janv. 2001Heartport, Inc.Devices and methods for performing a vascular anastomosis
US617641320 janv. 200023 janv. 2001Heartport, Inc.Surgical anastomosis apparatus and method thereof
US617919521 mai 199930 janv. 2001Scimed Life Systems, Inc.Method and device for full thickness resectioning of an organ
US62097737 sept. 19993 avr. 2001Heartport, Inc.Surgical stapling instrument and method thereof
US624114025 oct. 20005 juin 2001Scimed Life Systems, Inc.Method and device for full-thickness resectioning of an organ
US628046013 févr. 199828 août 2001Heartport, Inc.Devices and methods for performing vascular anastomosis
US63151842 juin 199913 nov. 2001Powermed, Inc.Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US63719658 janv. 200116 avr. 2002Gifford, Iii Hanson S.Devices and methods for performing a vascular anastomosis
US639879530 nov. 20004 juin 2002Scimed Life Systems, Inc.Stapling and cutting in resectioning for full thickness resection devices
US6443965 *8 janv. 20013 sept. 2002Heartport, Inc.Devices and methods for performing a vascular anastomosis
US64439732 juin 19993 sept. 2002Power Medical Interventions, Inc.Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US64503908 janv. 200117 sept. 2002Hearport, Inc.Surgical anastomosis apparatus and method thereof
US645103428 sept. 200117 sept. 2002Gifford, Iii Hanson S.Devices and methods for performing a vascular anastomosis
US646136515 mai 20018 oct. 2002Heartport, Inc.Surgical clips and methods for tissue approximation
US646470731 mars 200015 oct. 2002David B. BjerkenVacuum-assisted remote suture placement system
US648819722 févr. 20003 déc. 2002Power Medical Interventions, Inc.Fluid delivery device for use with anastomosing resecting and stapling instruments
US649120122 févr. 200010 déc. 2002Power Medical Interventions, Inc.Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US649170426 juil. 200110 déc. 2002Heartport, Inc.Devices and methods for performing a vascular anastomosis
US65057684 juin 200114 janv. 2003Power Medical Interventions, Inc.Expanding parallel jaw device for use with an electromechanical driver device
US651756522 févr. 200011 févr. 2003Power Medical Interventions, Inc.Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft
US652097127 nov. 200018 févr. 2003Scimed Life Systems, Inc.Full thickness resection device control handle
US653315722 févr. 200018 mars 2003Power Medical Interventions, Inc.Tissue stapling attachment for use with an electromechanical driver device
US654427118 juil. 20008 avr. 2003Scimed Life Systems, Inc.Device for full-thickness resectioning of an organ
US65886432 févr. 20018 juil. 2003Hearport, Inc.Surgical stapling instrument and method thereof
US660174930 mars 20015 août 2003Scimed Life Systems, Inc.Multi fire full thickness resectioning device
US662963017 juil. 20017 oct. 2003Scimed Life Systems, Inc.Non-circular resection device and endoscope
US663183728 août 200114 oct. 2003Heartport, Inc.Surgical stapling instrument and method thereof
US665932731 juil. 20029 déc. 2003Heartport, Inc.Surgical anastomosis apparatus and method thereof
US667667820 sept. 200113 janv. 2004Heartport, Inc.Devices and methods for performing a vascular anastomosis
US668197925 nov. 200227 janv. 2004Power Medical Interventions, Inc.Fluid delivery device for use with anastomosing stapling, and resecting instruments
US669864313 janv. 20032 mars 2004Power Medical Interventions, Inc.Expanding parallel jaw device for use with an electromechanical driver device
US670944123 avr. 200123 mars 2004Heartport, Inc.Devices and methods for performing vascular anastomosis
US6716222 *26 févr. 20026 avr. 2004Scimed Life Systems, Inc.Stapling and cutting in resectioning for full thickness resection devices
US671623021 nov. 20016 avr. 2004Power Medical Interventions, Inc.Vessel and lumen expander attachment for use with an electromechanical driver device
US671623322 févr. 20006 avr. 2004Power Medical Interventions, Inc.Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US676399320 mai 200320 juil. 2004Bolduc Lee RSurgical stapling instrument and method thereof
US679365228 nov. 200021 sept. 2004Power Medical Interventions, Inc.Electro-mechanical surgical device
US684340313 nov. 200118 janv. 2005Power Medical Interventions, Inc.Surgical clamping, cutting and stapling device
US684630727 sept. 200225 janv. 2005Power Medical Interventions, Inc.Electro-mechanical surgical device
US684630826 sept. 200225 janv. 2005Power Medical Interventions, Inc.Electro-mechanical surgical device
US684630926 sept. 200225 janv. 2005Power Medical Interventions, Inc.Electro-mechanical surgical device
US684907126 sept. 20021 févr. 2005Power Medical Interventions, Inc.Electro-mechanical surgical device
US689971823 avr. 200431 mai 2005Heartport, Inc.Devices and methods for performing avascular anastomosis
US69577584 oct. 200225 oct. 2005Tyco Healthcare Group, LpTilt top anvil for a surgical fastener device
US695985116 juil. 20041 nov. 2005Tyco Healthcare Group LpSurgical stapling device with tissue tensioner
US696259614 mars 20038 nov. 2005Bolduc Lee RSystem for performing vascular anastomoses
US69669179 nov. 200022 nov. 2005Innovation Interventional Technologies B.V.Deformable connector for mechanically connecting hollow structures
US698194117 avr. 20013 janv. 2006Power Medical InterventionsElectro-mechanical surgical device
US698423823 avr. 200410 janv. 2006Gifford Iii Hanson SDevices and methods for performing avascular anastomosis
US70183871 avr. 200328 mars 2006Innovative Interventional Technologies B.V.Mechanical anastomosis system for hollow structures
US70221271 avr. 20034 avr. 2006Innovative Interventional Technologies BvMechanical anastomosis system for hollow structures
US703279822 juin 200125 avr. 2006Power Medical Interventions, Inc.Electro-mechanical surgical device
US707785620 janv. 200418 juil. 2006Power Medical Interventions, Inc.Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US71122119 janv. 200326 sept. 2006Heartport, Inc.Devices and methods for performing avascular anastomosis
US711464220 janv. 20043 oct. 2006Power Medical Interventions, Inc.Expanding parallel jaw device for use with an electromechanical driver device
US712204428 avr. 200417 oct. 2006Heartport, Inc.Surgical stapling instrument and method thereof
US716860421 juin 200430 janv. 2007Tyco Healthcare Group LpSurgical stapling device
US723508927 oct. 200026 juin 2007Boston Scientific CorporationSurgical apparatus and method
US73031066 oct. 20034 déc. 2007Tyco Healthcare Group LpSurgical stapling device with visual indicator
US73257139 juin 20055 févr. 2008Tyco Healthcare Group LpTilt top anvil for a surgical fastener device
US733521216 déc. 200326 févr. 2008Edrich Vascular Devices, Inc.Multiple stapling device for narrow blood vessels
US736406018 oct. 200429 avr. 2008Tyco Healthcare Group LpSurgical stapling device with tiltable anvil head
US739930528 juil. 200615 juil. 2008Tyco Healthcare Group LpSurgical stapling device with tissue tensioner
US743119120 avr. 20077 oct. 2008Tyco Healthcare Group LpSurgical stapling device with tiltable anvil head
US749403816 mars 200524 févr. 2009Tyco Healthcare Group LpAnvil assembly with improved cut ring
US751687718 mai 200714 avr. 2009Tyco Healthcare Group LpTilt top anvil for a surgical fastener device
US75376022 oct. 200626 mai 2009Power Medical Interventions, Inc.Expanding parallel jaw device for use with an electromechanical driver device
US754694029 oct. 200716 juin 2009Tyco Healthcare Group LpPivoting anvil assembly for surgical stapling device
US755618614 avr. 20087 juil. 2009Tyco Healthcare Group LpSurgical stapling device having trigger lock and associated lockout mechanism
US765151012 janv. 200126 janv. 2010Heartport, Inc.System for performing vascular anastomoses
US766619822 mars 200423 févr. 2010Innovative Interventional Technologies B.V.Mechanical anastomosis system for hollow structures
US769548530 nov. 200113 avr. 2010Power Medical Interventions, LlcSurgical device
US774396011 juin 200329 juin 2010Power Medical Interventions, LlcSurgical device
US775861317 juil. 200620 juil. 2010Power Medical Interventions, LlcElectromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US776304129 juil. 200327 juil. 2010Heartport, Inc.Surgical clips and methods for tissue approximation
US780271220 mars 200928 sept. 2010Tyco Healthcare Group, LpSurgical stapling device
US78031514 déc. 200228 sept. 2010Power Medical Interventions, LlcSystem and method for calibrating a surgical instrument
US784553826 mai 20097 déc. 2010Power Medical Interventions, LlcExpanding parallel jaw device for use with an electromechanical driver device
US785718718 juin 200928 déc. 2010Tyco Healthcare Group LpSurgical stapler with tiltable anvil assembly
US791823022 sept. 20085 avr. 2011Tyco Healthcare Group LpSurgical device having a rotatable jaw portion
US79351291 mars 20043 mai 2011Heartport, Inc.Device for engaging tissue having a preexisting opening
US794230211 juil. 200817 mai 2011Tyco Healthcare Group LpSurgical stapling device with coated knife blade
US795107115 mars 200231 mai 2011Tyco Healthcare Group LpMoisture-detecting shaft for use with an electro-mechanical surgical device
US796343322 sept. 200821 juin 2011Tyco Healthcare Group LpSurgical device having multiple drivers
US797589530 avr. 201012 juil. 2011Tyco Healthcare Group L.P.Tissue tensioner assembly and approximation mechanism for surgical stapling device
US799275815 févr. 20119 août 2011Tyco Healthcare Group LpSurgical device having a rotatable jaw portion
US80115546 janv. 20096 sept. 2011Tyco Healthcare Group, LpRaised boss for staple guide
US80168558 mars 200213 sept. 2011Tyco Healthcare Group LpSurgical device
US801685819 juil. 201013 sept. 2011Tyco Healthcare Group IpElectromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US802137330 mars 201020 sept. 2011Tyco Healthcare Group LpSurgical device
US802519923 févr. 200427 sept. 2011Tyco Healthcare Group LpSurgical cutting and stapling device
US805678614 mai 201015 nov. 2011Tyco Healthcare Group LpSurgical device
US80567916 déc. 201015 nov. 2011Tyco Healthcare Group LpExpanding parallel jaw device for use with an electromechanical driver device
US80667239 nov. 200129 nov. 2011De Vries & MetmanConnector, applicator and method for mechanically connecting hollow structures, in particular small blood vessels, as well as auxiliary devices
US81182083 oct. 201121 févr. 2012Tyco Healthcare Group LpExpanding parallel jaw device for use with an electromechanical driver device
US812310329 nov. 201028 févr. 2012Tyco Healthcare Group LpAdaptor for anvil delivery
US814176327 mars 200727 mars 2012Tyco Healthcare Group LpAnvil assembly with improved cut ring
US814679017 mai 20103 avr. 2012Tyco Healthcare Group LpSurgical instrument with safety mechanism
US818183831 août 200922 mai 2012Tyco Healthcare Group LpSurgical stapling device
US818184016 mars 200522 mai 2012Tyco Healthcare Group LpTissue tensioner assembly and approximation mechanism for surgical stapling device
US81824984 juin 200222 mai 2012Innovative International Technologies B.V.Mechanical anastomosis system for hollow structures
US818655918 janv. 201229 mai 2012Tyco Healthcare Group LpExpanding parallel jaw device for use with an electromechanical driver device
US823104220 oct. 200931 juil. 2012Tyco Healthcare Group LpSurgical stapler
US826730121 juin 201018 sept. 2012Tyco Healthcare Group LpSurgical stapler
US827255420 avr. 201125 sept. 2012Tyco Healthcare Group LpSurgical device having multiple drivers
US82725557 mars 200725 sept. 2012Tyco Healthcare Group LpStapler for mucosectomy
US82819747 janv. 20109 oct. 2012Tyco Healthcare, Group LPSurgical stapler with suture locator
US83130136 avr. 200620 nov. 2012Synovis Life Technologies, Inc.Method and assembly for anastomosis
US83170751 août 201127 nov. 2012Covidien LpRaised boss for staple guide
US83225906 oct. 20104 déc. 2012Covidien LpSurgical stapling instrument
US834237919 avr. 20111 janv. 2013Covidien LpSurgical device having multiple drivers
US83431852 mai 20121 janv. 2013Covidien LpSurgical stapling device
US83481225 sept. 20068 janv. 2013Tyco Healthcare Group LpSurgical stapling device
US835344017 juin 201115 janv. 2013Covidien LpSurgical device having a rotatable jaw portion
US83571441 févr. 200522 janv. 2013Covidien, LPElectro-mechanical surgical device
US836029521 mai 201229 janv. 2013Covidien LpSurgical stapling device
US836597426 janv. 20125 févr. 2013Covidien LpSurgical stapling device
US84245355 juil. 201223 avr. 2013Covidien LpCircular surgical stapler with mating anvil and shell assembly
US84302927 oct. 201030 avr. 2013Covidien LpSurgical fastening apparatus
US845391118 août 20124 juin 2013Covidien LpSurgical stapler
US845391316 janv. 20104 juin 2013Covidien LpAnvil for surgical stapler
US845952326 avr. 201211 juin 2013Covidien LpExpanding parallel jaw device for use with an electromechanical driver device
US851235911 août 201120 août 2013Covidien LpSurgical device
US851807425 août 201127 août 2013Covidien LpSurgical device
US854013216 mai 200624 sept. 2013Covidien LpTilt anvil assembly
US85407333 oct. 201124 sept. 2013Covidien LpSurgical method and device having a first jaw and a second jaw in opposed correspondence for clamping, cutting, and stapling tissue
US857993731 juil. 200312 nov. 2013Covidien LpTool member cover and cover deployment device
US85907634 janv. 201326 nov. 2013Covidien LpSurgical stapling device
US861719028 mars 201131 déc. 2013Heartport, Inc.Device for engaging tissue having a preexisting opening
US862846725 avr. 201114 janv. 2014Covidien LpMoisture-detecting shaft for use with an electro-mechanical surgical device
US868424829 févr. 20121 avr. 2014Covidien LpSurgical instrument with safety mechanism
US868425124 août 20121 avr. 2014Covidien AgStapler for mucosectomy
US86842522 nov. 20121 avr. 2014Covidien LpSurgical stapling instrument
US869091327 juil. 20118 avr. 2014Covidien LpElectromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US870821218 oct. 201129 avr. 2014Covidien LpTilt top anvil with torsion spring
US874093212 août 20133 juin 2014Covidien LpSurgical device
US875274810 févr. 201117 juin 2014Covidien LpSurgical device having a rotatable jaw portion
US87816041 avr. 200915 juil. 2014Cardiac Pacemakers, Inc.Method of implanting stimulation lead with biased curved section through the interatrial septum
US883363014 févr. 201416 sept. 2014Covidien LpSurgical instrument with safety mechanism
US8858579 *2 janv. 200914 oct. 2014Innovative International Technologies, B.V.Method for performing a vascular anastomosis
US885858931 juil. 201314 oct. 2014Covidien LpSurgical device
US887597421 févr. 20144 nov. 2014Covidien AgStapler for mucosectomy
US889394813 mars 201425 nov. 2014Covidien LpTilt top anvil with torsion spring
US890528917 févr. 20149 déc. 2014Covidien LpSurgical stapling instrument
US893168013 août 201413 janv. 2015Covidien LpSurgical instrument with safety mechanism
US901060512 janv. 201221 avr. 2015Covidien LpSliding sleeve for circular stapling instrument reloads
US901654726 oct. 201128 avr. 2015Covidien LpEEA tilt top anvil with ratchet/locking mechanism
US901737119 avr. 201128 avr. 2015Covidien LpSurgical device having multiple drivers
US902227415 févr. 20125 mai 2015Covidien LpCircular stapler with increased lumen diameter
US903386825 avr. 201119 mai 2015Covidien LpCouplings for interconnecting components of an electro-mechanical surgical device
US907865421 mai 201414 juil. 2015Covidien LpSurgical device
US91138479 janv. 201325 août 2015Covidien LpElectro-mechanical surgical device
US911387118 déc. 201225 août 2015Covidien LpSurgical stapling device
US911387811 août 201125 août 2015Covidien LpPinion clip for right angle linear cutter
US911388627 oct. 201425 août 2015Covidien LpTilt top anvil with torsion spring
US911960429 mai 20131 sept. 2015Covidien LpTool member cover and cover deployment device
US911962129 sept. 20141 sept. 2015Covidien AgStapler for mucosectomy
US920487731 déc. 20128 déc. 2015Covidien LpSurgical device having a rotatable jaw portion
US924171627 févr. 201426 janv. 2016Covidien LpElectromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US924794030 juin 20152 févr. 2016Covidien LpSurgical cutting and stapling device
US928296123 avr. 201515 mars 2016Covidien LpSurgical device having multiple drivers
US93454826 avr. 201524 mai 2016Covidien LpSliding sleeve for circular stapling instrument reloads
US935172411 janv. 201331 mai 2016Covidien LpCircular stapling instrument
US935173426 avr. 201331 mai 2016Covidien LpSpring loaded anvil retainer
US935800627 juil. 20157 juin 2016Covidien LpSurgical stapling device
US936420027 juil. 201514 juin 2016Covidien LpElectro-mechanical surgical device
US94210131 avr. 201323 août 2016Covidien LpSurgical Fastening Apparatus
US946301820 mai 201311 oct. 2016Covidien LpAnvil for surgical stapler
US949216823 oct. 201315 nov. 2016Covidien LpSurgical stapling device
US951707013 nov. 201313 déc. 2016Covidien LpAnvil assembly and delivery system
US953278012 juin 20133 janv. 2017Covidien LpEEA anvil snap ring activator
US955480213 nov. 201331 janv. 2017Covidien LpAnvil assembly with frangible retaining member
US95725729 nov. 201221 févr. 2017Covidien LpCircular stapler mechanical lockout
US95920517 nov. 201414 mars 2017Covidien LpSurgical stapling instrument
US95920558 sept. 201014 mars 2017Covidien LpSurgical stapling device
US95920565 mars 201414 mars 2017Covidien LpPowered stapling apparatus
US95970833 mai 201621 mars 2017Covidien LpCircular stapling instrument
US962962421 mars 201325 avr. 2017Covidien LpCircular surgical stapler with mating anvil and shell assembly
US96621093 avr. 201530 mai 2017Covidien LpElectromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US966874014 juin 20136 juin 2017Covidien LpAnvil assembly with sliding sleeve
US96753574 août 201413 juin 2017Innovative Interventional Technologies, B.V.Apparatus for performing vascular anastomosis
US967535910 oct. 201213 juin 2017Covidien LpSurgical instrument with preload assembly
US968187113 janv. 201720 juin 2017Covidien LpCircular stapler mechanical lockout
US969377311 sept. 20134 juil. 2017Covidien LpAnvil assembly with sliding sleeve
US971346829 oct. 200925 juil. 2017Ethicon Endo-Surgery, Inc.Surgical stapler for applying a large staple through a small delivery port and a method of using the stapler to secure a tissue fold
US97134716 juin 201325 juil. 2017Ethicon Endo-Surgery, Inc.Surgical device with tandem fasteners
US974392724 août 201029 août 2017Covidien LpSystem and method for calibrating a surgical instrument
US975050311 juil. 20135 sept. 2017Covidien LpMethods and devices for performing a surgical anastomosis
US97571339 juil. 201412 sept. 2017Covidien LpMethods and devices for performing a surgical anastomosis
US978217211 janv. 201610 oct. 2017Covidien LpElectromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US20010001826 *12 janv. 200124 mai 2001Heartport, Inc.System for performing vascular anastomoses
US20010031975 *17 avr. 200118 oct. 2001Whitman Michael P.Electro-mechanical surgical device
US20020082616 *26 févr. 200227 juin 2002Mcalister GaryStapling and cutting in resectioning for full thickness resection devices
US20020084304 *13 nov. 20014 juil. 2002Whitman Michael P.Surgical clamping, cutting and stapling device
US20030055441 *4 juin 200220 mars 2003Suyker Wilhelmus Joseph LeonardusMechanical anastomosis system for hollow structures
US20030105478 *30 nov. 20015 juin 2003Whitman Michael P.Surgical device
US20030114867 *17 juil. 200219 juin 2003Bolduc Lee R.Surgical clips and methods for tissue approximation
US20030125717 *4 déc. 20023 juil. 2003Whitman Michael P.System and method for calibrating a surgical instrument
US20030130677 *8 mars 200210 juil. 2003Whitman Michael P.Surgical device
US20030176878 *11 avr. 200318 sept. 2003Bolduc Lee R.Devices and methods for performing vascular anastomosis
US20030191482 *1 avr. 20039 oct. 2003Suyker Wilhelmus Joseph LeonardusMechanical anastomosis system for hollow structures
US20030195534 *1 avr. 200316 oct. 2003Suyker Wilhelmus Joseph LeonardusMechanical anastomosis system for hollow structures
US20040073240 *29 juil. 200315 avr. 2004Bolduc Lee R.Surgical clips and methods for tissue approximation
US20040094597 *11 juin 200320 mai 2004Whitman Michael P.Surgical device
US20040111081 *15 mars 200210 juin 2004Whitman Michael P.Electro-mechanical surgical device
US20040149802 *20 janv. 20045 août 2004Whitman Michael P.Expanding parallel jaw device for use with an electromechanical driver device
US20040153124 *20 janv. 20045 août 2004Whitman Michael P.Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US20040167551 *1 mars 200426 août 2004Gifford Hanson S.Devices and methods for performing a vascular anastomosis
US20040186490 *31 mars 200423 sept. 2004Gifford Hanson S.Devices and methods for performing avascular anastomosis
US20040195289 *4 oct. 20027 oct. 2004Ernie AranyiTilt top anvil for a surgical fastener device
US20040199188 *23 avr. 20047 oct. 2004Gifford Hanson S.Devices and methods for performing avascular anastomosis
US20040200876 *28 avr. 200414 oct. 2004Bolduc Lee R.Surgical stapling instrument and method thereof
US20040215221 *22 mars 200428 oct. 2004Suyker Wilhelmus Joseph LeonarMechanical anastomosis system for hollow structures
US20050006433 *21 juin 200413 janv. 2005Milliman Keith L.Surgical stapling device
US20050096675 *29 nov. 20045 mai 2005Gifford Hanson S.IiiDevices and methods for performing avascular anastomosis
US20050096676 *29 nov. 20045 mai 2005Gifford Hanson S.IiiDevices and methods for performing a vascular anastomosis
US20050149077 *16 févr. 20057 juil. 2005Gifford Hanson S.IiiDevices and methods for performing a vascular anastomosis
US20050187576 *23 févr. 200425 août 2005Whitman Michael P.Surgical cutting and stapling device
US20050205639 *16 mars 200522 sept. 2005Tyco Healthcare Group, LpAnvil assembly with improved cut ring
US20050205640 *16 mars 200522 sept. 2005Tyco Healthcare Group, LpSurgical stapling device
US20050236459 *31 juil. 200327 oct. 2005Gresham Richard DTool member cover and cover deployment device
US20050251164 *4 févr. 200510 nov. 2005Gifford Hanson S IiiDevices and methods for performing avascular anastomosis
US20050279803 *9 juin 200522 déc. 2005Ernest AranyiTilt top anvil for a surgical fastener device
US20050288693 *12 août 200529 déc. 2005Suyker Wilhemus J LConnector, applicator and method for mechanically connecting hollow structures, in particular small blood vessels
US20060006198 *5 janv. 200512 janv. 2006L'orealLockable dispensing head
US20060036268 *16 sept. 200516 févr. 2006Tyco Healthcare Group, LpSurgical stapling device with tissue tensioner
US20060097025 *6 oct. 200311 mai 2006Tyco Healthcare Graoup LlpSurgical stapling device
US20070038248 *28 juil. 200615 févr. 2007Russell HeinrchSurgical stapling device with tissue tensioner
US20070055304 *17 juil. 20068 mars 2007Whitman Michael PElectromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US20070060952 *2 sept. 200515 mars 2007Roby Mark SSurgical stapling device with coated knife blade
US20070075116 *2 oct. 20065 avr. 2007Whitman Michael PExpanding parallel jaw device for use with an electromechanical driver device
US20070075117 *5 sept. 20065 avr. 2007Milliman Keith LSurgical stapling device
US20070078486 *20 nov. 20065 avr. 2007Tyco Healthcare Group LpSurgical stapling device
US20070239180 *6 avr. 200611 oct. 2007Synovis Life Technologies, Inc.Method and assembly for anastomosis
US20070257082 *20 avr. 20078 nov. 2007Tyco Healthcare Group LpSurgical stapling device with tiltable anvil head
US20080054045 *29 oct. 20076 mars 2008Tyco Healthcare Group LpSurgical stapling device
US20080190991 *14 avr. 200814 août 2008Tyco Healthcare Group LpSurgical stapling device
US20080210739 *20 mai 20084 sept. 2008Tyco Healthcare Group LpSurgical Stapling Device
US20080277448 *11 juil. 200813 nov. 2008Roby Mark SSurgical stapling device with coated knife blade
US20090112304 *2 janv. 200930 avr. 2009Kevin WeadockMethod for performing a vascular anastomosis
US20090173767 *6 janv. 20099 juil. 2009Milliman Keith LRaised Boss for Staple Guide
US20090179063 *20 mars 200916 juil. 2009Tyco Healthcare Group LpSurgical stapling device
US20090198297 *1 avr. 20096 août 2009Yongxing ZhangTranseptal lead
US20090250502 *18 juin 20098 oct. 2009Tyco Healthcare Group LpSurgical stapling device
US20100089971 *31 août 200915 avr. 2010Milliman Keith LSurgical stapling device
US20100213239 *7 mars 200726 août 2010Carlo RebuffatStapler for mucosectomy
US20100219227 *14 mai 20102 sept. 2010Power Medical Interventions, LlcSurgical device
US20100249816 *30 mars 201030 sept. 2010Power Medical Interventions LlcSurgical device
US20100276471 *19 juil. 20104 nov. 2010Power Medical Interventions, LlcElectromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US20100282813 *30 avr. 201011 nov. 2010Milliman Keith LTissue tensioner assembly and approximation mechanism for surgical stapling device
US20100324541 *24 août 201023 déc. 2010Power Medical Interventions, LlcSystem and method for calibrating a surgical instrument
US20110042443 *21 juin 201024 févr. 2011Milliman Keith LSurgical stapler
US20110095069 *7 oct. 201028 avr. 2011Nihir PatelSurgical fastening apparatus
US20110095070 *6 oct. 201028 avr. 2011Nihir PatelSurgical stapling instrument
US20110101065 *29 nov. 20105 mai 2011Tyco Healthcare Group LpAdaptor for anvil delivery
US20110108606 *6 déc. 201012 mai 2011Whitman Michael PExpanding parallel jaw device for use with an electromechanical driver device
US20110132960 *15 févr. 20119 juin 2011Tyco Healthcare Group LpSurgical device having a rotatable jaw portion
US20110132961 *10 févr. 20119 juin 2011Tyco Healthcare Group LpSurgical device having a rotatable jaw portion
US20110172686 *28 mars 201114 juil. 2011Gifford Iii Hanson SDevice For Engaging Tissue Having a Preexisting Opening
US20110192884 *20 avr. 201111 août 2011Tyco Healthcare Group LpSurgical device having multiple drivers
US20110198385 *19 avr. 201118 août 2011Tyco Healthcare Group LpSurgical device having multiple drivers
US20120193394 *21 juin 20112 août 2012Holcomb Matthew DSurgical Stapler Having an Adjustment Feature
CN102783981A *12 oct. 201121 nov. 2012伊西康内外科公司Circular stapling instrument having a breakaway washer attachment member
CN102783981B *12 oct. 201130 mars 2016伊西康内外科公司具有分离式垫圈附接构件的圆形缝合器械
DE2822803A1 *24 mai 19787 déc. 1978United States Surgical CorpChirurgisches instrument und einwegpatrone zum herstellen von runden klammernaehten in hohlen koerperorganen
DE2851144A1 *25 nov. 19784 oct. 1979Senco ProductsChirurgisches klammerinstrument
DE2858032C2 *24 mai 197822 août 1985United States Surgical Corp., Norwalk, Conn., UsTitre non disponible
DE3106490A1 *21 févr. 198118 févr. 1982Senco ProductsChirurgisches klammerinstrument
DE3107159A1 *26 févr. 198121 janv. 1982Senco ProductsDruckelement fuer ein chirurgisches klammerninstrument
DE3152411C2 *21 sept. 198121 août 1986United States Surgical Corp., Norwalk, Conn., UsTitre non disponible
DE3152428C2 *9 oct. 198114 août 1986United States Surgical Corp., Norwalk, Conn., UsTitre non disponible
EP0050553A1 *9 oct. 198128 avr. 1982United States Surgical CorporationDisposable surgical stapler for performing anastomosis
EP0074878A2 *1 sept. 198223 mars 1983United States Surgical CorporationSurgical stapler apparatus with curved shaft
EP0074878A3 *1 sept. 198221 déc. 1983United States Surgical CorporationSurgical stapler apparatus with curved shaft
EP0539762A1 *5 oct. 19925 mai 1993American Cyanamid CompanyLinear surgical stapling instrument
EP2524655A1 *21 mai 201221 nov. 2012Ethicon Endo-Surgery, Inc.Circular stapling instrument having a breakaway washer attachment member
WO1981000668A1 *5 sept. 198019 mars 1981A JansenMedical device for connecting two portions of the intestine,ancillary device for use therewith,and method for insertion of an intestinal button suture with the aid of this device
WO1981001958A1 *15 janv. 198123 juil. 1981S LeeSurgical cutter stapler
WO1982001307A1 *9 oct. 198129 avr. 1982States Surgical Corp UnitedDisposable instrument for surgical fastening
WO1983000807A1 *25 juin 198217 mars 1983United States Surgical CorpSurgical stapler apparatus with curved shaft
WO1983004173A1 *11 mai 19838 déc. 1983United States Surgical CorporationSurgical stapler apparatus with flexible shaft
WO2014139440A1 *13 mars 201418 sept. 2014Covidien LpSurgical stapling apparatus
Classifications
Classification aux États-Unis227/76, 227/19
Classification internationaleA61B17/115, A61B17/03
Classification coopérativeA61B17/115, A61B17/1155
Classification européenneA61B17/115