Recherche Images Maps Play YouTube Actualités Gmail Drive Plus »
Connexion
Les utilisateurs de lecteurs d'écran peuvent cliquer sur ce lien pour activer le mode d'accessibilité. Celui-ci propose les mêmes fonctionnalités principales, mais il est optimisé pour votre lecteur d'écran.

Brevets

  1. Recherche avancée dans les brevets
Numéro de publicationUS3763860 A
Type de publicationOctroi
Date de publication9 oct. 1973
Date de dépôt26 août 1971
Date de priorité26 août 1971
Numéro de publicationUS 3763860 A, US 3763860A, US-A-3763860, US3763860 A, US3763860A
InventeursH Clarke
Cessionnaire d'origineH Clarke
Exporter la citationBiBTeX, EndNote, RefMan
Liens externes: USPTO, Cession USPTO, Espacenet
Laparoscopy instruments and method for suturing and ligation
US 3763860 A
Résumé
An improved combined laparoscopic needle and forceps comprising an elongated parallelogram type of linkage suitable for insertion through a trocar and having first and second ends, a needle, means for mounting said needle on said first end for movement from a position in substantial alignment with said linkage, which permits it to pass through a trocar, to a position transverse to said linkage, handle means on said second end of said linkage for actuating said linkage to effect movement of said needle, and a forceps construction including jaw means mounted proximate said first end of said needle linkage and being formed from a portion of said linkage and a portion of the holder of the needle. An improved combined laparoscopic forceps, suture guide and cutter comprising an elongated parallelogram type of linkage which is sufficiently slender for passage through a trocar and having first and second ends, jaw means on said first end, and handle means on said second end for actuating said linkage to move said jaws, groove means associated with said jaws for receiving a suture to thus act as a suture guide, and cutter means mounted on said jaws for cutting a suture. An improved laparoscopic ligator comprising an elongated stem having first and second ends, a handle at said first end and suture guiding means at said second end, said suture guiding means being of substantially the same cross sectional dimension as said elongated stem for guiding a suture through a trocar. An improved method of performing a surgical operation by laparoscopy comprising the steps of inserting at least first and second trocars through the body of a patient at spaced locations, inserting a first instrument comprising the above described combined laparoscopic needle and forceps through said first trocar, inserting a second instrument comprising the above described laparoscopic forceps, suture guide and cutter through said second trocar, manipulating said first and second instruments in cooperating relationship with each other in a predetermined area to bring the central portion of a suture in position, withdrawing one of said instruments to bring the end of the suture outside of the patient's body, tying a knot in the suture outside of the body, and bringing the knot into the desired position by means of said laparoscopic ligator.
Images(3)
Previous page
Next page
Revendications  disponible en
Description  (Le texte OCR peut contenir des erreurs.)

United States Patent 1 Clarke 7 1 Oct. 9, 1973 LAPAROSCOPY INSTRUMENTS AND METHOD FOR SUTURING AND LIGATION [76] Inventor: Henry C. N. Clarke, 100 High St., Buffalo, N.Y. 14203 [22] Filed: Aug. 26, I971 [21] Appl. No.: 175,163

OTHER PUBLICATIONS Muller Instrument Catalogue 1956, Pages 82, 106, 124.

Primary Examiner-Aldrich F. Medbery Attorneyl(enneth R. Sommer et al.

[57] ABSTRACT An improved combined laparoscopic needle and forceps comprising an elongated parallelogram type of linkage suitable for insertion through a trocar and having first and second ends, a needle, means for mounting said needle on said first end for movement from a position in substantial alignment with said linkage, which permits it to pass through a trocar, to a position transverse to said linkage, handle means on said second end of said linkage for actuating said linkage to effect movement of said needle, and a forceps construction including jaw means mounted proximate said first end of said needle linkage and being formed from a portion of said linkage and a portion of the holder of the needle. An improved combined laparoscopic forceps, suture guide and cutter comprising an elongated parallelogram type of linkage which is sufficiently slender for passage through a trocar and having first and second ends, jaw means on said first end, and handle means on said second end for actuating said linkage to move said jaws, groove means associated with said jaws for receiving a suture to thus act as a suture guide, and cutter means mounted on said jaws for cutting a suture. An improved laparoscopic ligator comprising an elongated stem having first and second ends, a handle at said first end and suture guiding means at said second end, said suture guiding means being of substantially the same cross sectional dimension as said elongated stem for guiding a suture through a trocar. An improved method of performing a surgical operation by laparoscopy comprising the steps of inserting at least first and second trocars through the body of a patient at spaced locations, inserting a first instrument comprising the above described combined laparoscopic needle and forceps through said first trocar, inserting a second instrument comprising the above described laparoscopic forceps, suture guide and cutter through said second trocar, manipulating said first and second instruments in cooperating relationship with each other in a predetermined area to bring the central portion of a suture in position, withdrawing one of said instruments to bring the end of the suture outside of the patients body, tying a knot in the suture outside of the body, and bringing the knot into the desired position by means of said laparoscopic ligator.

4 Claims, 25 Drawing Figures sum 1 0r 3 PATENTEB OCT 91973 I'l |IIII|II Illllllllu INVENTOR,

HENRY C. N. CLARKE AZW I rwhaze.

ATTORNEYS PATENTEDBBT 91915 SHEET 2 U 3 INVENTOR HENRY C. N. CLARKE ATTORNEYS PATENTED 9m 9 SHU 3L"- 3 INVENTOR HENRY C. N. CLARKE ATTORNEYS LAPAROSCOPY INSTRUMENTS AND METHOD FOR SUTURING AND LIGATION The present invention relates to improved laparoscopy instruments for suturing and ligationand to an improved method of laparoscopy.

By way of background, recently there has been an increasing use of laparoscopy in pelvic surgery. The most common uses of laparoscopy are for diagnosis of pelvic disease and tubal electrocoagulation and cutting. Among the operations performed with a great degree of safety and less morbidity for the patient than be laparotomy are: biopsy and electrocoagulation; lysis of adhesions with electrocoagulation; fertility studies by intrauterine dye injection; ovarian follicle aspiration; biopsy of the ovary; extended post coital aspiration tests; tuboplasty by opening the fimbriated ends of closed tubes; cul-de-sac aspiration; ovarian cyst aspiration; electrocoagulation of bleeding points such as bleeding corpus luteum or bleeding secondary to instrumentation; electrocoagulation of endometriosis; electrocoagulation of tumor implants; biopsies in general; and excision of small tumors with electrocoagulation.

In certain of the foregoing procedures difficulty has been encountered when blood vessels are cut and hemostatis cannot be maintained by electrocoagulation. This bleeding has been an especially troublesome'problem in tubal electrocoagulation and cutting. When bleeding difficulties have been encountered, laparotomy has become necessary because of the past inability to suture and ligate with laparoscopic procedures.

It is accordingly one important object of the present invention to provide an improved series of instruments which increase the ability to suture and ligate in laparoscopy. A related object of the present invention is to provide a combined laparoscopic needle and foreceps. Another related object of the present invention is to provide a combined laparoscopic tissue forceps, suture guide and cutter. A further related object of the present invention is to provide an improved laparoscopic ligator.

Another object of the present invention is to provide a new and improved surgical method of laparoscopy. Other objects and attendant advantages of the present invention will readily be perceived hereafter.

The improved combined laparoscopic needle and forceps of the present invention comprises an elongated linkage portion having first and second ends, a needle, means for mounting said needle on said first end for movement from a position in substantial alignment with said linkage, which permits it to pass through a trocar, to a position transverse to said linkage, means on said second end of said linkage for actuating said linkage to effect said movement of said needle, and a forceps construction including jaw means mounted proximate said first end of said linkage.

The improved combined laparoscopic forceps, suture guide and cutter comprises an elongated linkage having first and second ends, jaw means mounted on said first end and handle means on said second end for actuating said linkage to move said jaws, groove means associated with said jaws for receiving a suture to thus act as a suture guide, and cutter means mounted on said jaws for cutting a suture.

The improved laparoscopic ligator of the present invention comprises an elongated stem having first and second ends, a handle at said first end, and suture guiding means at said second end, said suture guiding means being of substantially the same cross sectional dimension as said elongated stem for guiding a suture through a trocar.

The improved method of performing a surgical operation by laparoscopy, in its broadest aspect, comprises the steps of inserting at least first and second trocars through the body at spaced locations, inserting a first instrument through said first trocar, inserting a second instrument through said second trocar and manipulating said first and second instruments in cooperating relationship with each other in a predetermined area to perform said operation.

The various aspects of the present invention will be I more fully understood when the following portions of the specification are read in conjunction with the accompanying drawings wherein:

FIG. 1 is a side elevational view of a trocar of the type suitable for use in a laparoscopy;

FIG. 2 is a fragmentary cross sectional view thereof taken substantially along line 2-2 of FIG. 1;

FIG. 3 is a side elevational view of a combined laparoscopic tissue forceps, suture guide, and suture cutter;

FIG. 4 is an enlarged fragmentary top plan view thereof taken substantially in the direction of arrows 4-4 of FIG. 3;

FIG. 5 is a fragmentary longitudinal sectional view thereof taken substantially along line 5-5 of FIG. 4 and showing the suture guide and cutter associated with the jaws; I

FIG. 6 is an enlarged fragmentary longitudinal sectional view of the rear portion thereof taken substantially along line 6-6 of FIG. 9 and showing the linkage associated with the handles;

FIG. 7 is a cross sectional view thereof taken substantially along line 7-7 of FIG. 5 and showing the suture cutter structure;

FIG. 8 is a cross sectional view thereof taken substantially along line 8-8 of FIG. 5 and showing the jaw mounting linkage;

FIG. 8A is an enlarged cross sectional view thereof taken substantially along line 8A-8A of FIG. 3 and showing details of the spring structure for biasing the links together;

FIG. 9 is a fragmentary cross sectional view thereof taken substantially along line 9-9 of FIG. 6 and showing the linkage associated with the handles;

FIG. 10 is a side elevational view of a combined laparoscopic needle and forceps;

FIG. 11 is an enlarged fragmentary top plan view thereof taken substantially in the direction of arrows 11-11 of FIG. 10;

FIG. 12 .is a fragmentary longitudinal sectional view thereof taken substantially along line 12-12 of FIG. 11 and showing the linkage for moving the needle and the jaws;

FIG. 13 is a fragmentary view similar to FIG. 12 but showing the forcep jaws open;

FIG. 14 is a cross sectional view thereof taken substantially along line 14-14 of FIG. 12;

FIG. 15 is an enlarged fragmentary longitudinal sectional view thereof taken substantially along line 15-15 of FIG. 16 and showing the linkage associated with the handles;

FIG. 16 is a fragmentary cross sectional view thereof taken substantially along line 16-16 of FIG. 15;

FIG. 17 is a side elevational view of a laparoscopic ligator with an open ended circular tip;

FIG. 18 is a fragmentary enlarged view of the ligator of FIG. 17 with the handle portion of the ligator illustrated in section;

FIG. 19 is a fragmentary cross sectional view thereof taken substantially along line 19-19 of FIG. 18 and showing the tip of the ligator in greater detail;

FIG. 20 is a fragmentary perspective view showing the first step of s surgical operation wherein a tissue tube is clamped by the forceps and the needle is brought into the clamped area;

FIG. 21 is a view showing the needle deflected around the tube with the forceps released from the tube and grasping the end of the suture;

FIG. 22 is a fragmentary perspective view showing the suture being held in the suture guide portion of the forceps with the forceps associated with the needle pulling the suture;

FIG. 23 is a fragmentary perspective view showing the ligator pushing the suture knot toward the tube; and

FIG. 24 is a fragmentary perspective view showing the cutter portion of the forceps severing the suture after tying has been completed.

By way of introduction, the laparoscopy which is performed with the instruments of the present'invention consists of the steps of inserting first and second sheathed trocars approximately 4 centimeters above the lower third of the inguinal ligament on each side of the patient. A third trocar is inserted through the naval for receiving an endoscope. A tissue forceps is inserted through the first trocar to hold the tissue which is to be sutured-ligated. Through the second trocar, the laparoscopic needle threaded with suture is introduced and brought into the area of the tissue forceps. Thereafter the instruments are manipulated as will be described hereafter after their structure has been described.

The trocars which are used are shown in FIGS. 1 and 2. In assembled condition the trocar includes a stem 1 1 having a pointed end 12 at one end and a head 13 at the other end. A sheath 14 is located on stem 11 and mounts an enlarged portion 15 which includes a diaphragm member 16 mounted thereon. As is well understood by those skilled in the art, the assembled stem and sheath are inserted through the skin and thereafter stem 11 is withdrawn leaving sheath 14 in place. The laparoscopic instruments are inserted through tube 14 and a seal is maintained with them by means of diaphragm 16, to prevent the escape of gas which has been pumped into the abdominal cavity to separate the abdominal wall from body organs. This sealing is effected in the manner shown in FIG. 2 by having the circular diaphragm 16 engage the instrument.

The combined laparoscopic tissue forceps, suture guide and cutter 17 is shown in FIGS. 3-9. Basically, it includes a pair of elongated slender links 18 and 19 which lie in side-by-side relationship and are attached at one end to each other by means of cross link 20 which is pivotally mounted on pin 21 secured to the bifurcated end 22 of link 18, and is also pivotally mounted on pin 23 on bifurcated end 24 of link 19. The opposite ends of links 18 and 19 are secured to each other by cross link 25 which has the end thereof pivotally mounted on pin 26 attached to opposite side portions 26' of link 19 and an adjacent portion pivotally mounted on pin 27 mounted on bifurcated end 18' of link 18, as can be seen from FIGS. 6 and 9. Link 25 is essentially an extension of handle 28 having finger receiving opening 29 therein. Located proximate handle 28 is handle 30 which is an extension of link 18 and has finger receiving opening 31 therein.

Links 18, 19, 20 and 25 essentially define a parallelogram type of linkage so that when handle portions 28 and 30 are spread apart from the position shown in FIG. 3 link 19 will move essentially in the direction of arrow 32 relative to link 18 which moves essentially in the direction of arrow 33 relative to link 19. The foregoing action will cause link 20 to pivot in a clockwise direction as viewed in FIG. 5 about pin 21 which in turn will cause jaw 34 which is formed integrally with link 20 to pivot in a clockwise direction about pin 21 to thereby move away from jaw 35 which is an extension of link 18 and formed integrally therewith. It will be appreciated that jaws 34 and 35, when closed, can be inserted through trocar sheath 14 and links 18 and 19, in all positions thereof, can be moved relative to sheath 14, as is required during surgery. A spring structure 19 (FIGS. 3 and 8A) biases links 18 and 19 together to maintain jaws 34 and 35 biased to a closed position. Spring 19 includes a longitudinally extending strip 20' from which U shaped portions 21, 22' and 23 extend, with portions 21' and 23 embracing link 19 and portion 22 embracing link 18. A plastic sheath, not shown, can be used to cover spring 19' so that it will not snag in the trocar.

The combined laparoscopic tissue forceps, suture guide and cutter l7 performs a plurality of functions. First of all, jaws 34 and 35 have serrations 34 and 35' on their opposing surfaces to provide a good grip on either the tissue or the suture which is to be held. In addition jaws 34 and 35 have opposing grooves 36 and 37, respectively, in their opposing surfaces intermediate the ends of the serrated portions 34' and 35'. When the jaws are closed grooves 36 and 37 provide an opening or hole 38 having a continuous periphery. As will become more apparent hereafter, a suture can be received in opening 38 and guided therethrough during a suturing operation. In addition, jaws 34 and 35 have shear blades-39 and 40, respectively, secured thereon to provide a suture cutting action as will also become more apparent hereafter. Because of the fact that the combinated laparoscopic forceps, suture guide and cutter performs a plurality of functions, it is not necessary to insert a plurality of individual instruments through a particular trocar sheath because the same instruments can be maintained in position therein to perform a plurality of functions, as desired, thereby lessening the number of times that entry need be made through the trocar.

The combined laparoscopic needle and forceps 41 of the present invention, shown in FIGS. 10-16, includes a pair of elongated slender links 42 and 43 which are maintained in side-by-side relationship by cross links which provide a parallelogram type of linkage. More specifically, cross link 44 is pivotally connected to link 42 by pin 45, to link 43 by pin 46. Pin 45 is secured to the bifurcated end portion of link 42, and pin 46 is secured to opposite sides 47 of link 43. The lower end of link 44 lies within depression 47 in link 43. Needle holder portion 48, which supports needle 49 at its outer end, is fonned integrally as an extension of link 44. The ends of links 42 and 43 which are remote from needle 49 are fastened together by link 50 which is pivotally mounted on pin 51 carried by opposite side portions 51' of link 42 and on pin 52 mounted on bifurcated end 52' of link 43. Link 50 is an extension of and integral with handle 53 having finger-receiving opening 54 at the end thereof. Handle 55 having finger-receiving opening 56 at the end thereof is integral with and an extension of link 43.

By suitable manipulation of handles 53 and 55 link 42 can be caused to move in the direction of arrow 57 (FlG. 13) relative to link 43 which moves in the directionof arrow 58 relative to link 42. This will cause link 44 and needle holder 48 to pivot from the position shown in FIG. 12 to the position shown in FIG. 13. A detent tab 59 is rigidly attached at portion 60 to handle 53, and handle 55 slides across tab 59 in frictional engagement therewith. Thus when handles 53 and 55 are released, the needle holder 48 will remain in the position in which it was last placed until the handles are again manipulated. Because needle 49 can move from a position shown in FIG. 12 to the position shown in FIG. 13, it can be moved essentially through a right angle after it is placed in position within the body, as will become more apparent hereafter. It will be appreciated that because of the slender nature of links 42 and 43, and further because needle 49 is in substantially longitudinal alignment therewith, the needle can be inserted through the trocar and thereafter be movedto any desired position therein, as required.

It is also to be noted that a pair of opposing jaws 61 and 62 are provided. Jaw 61 is located on'one side of needle holder 48 and jaw 62 is located at the end of link 43 (FIG. 13). It can thus be seen that the combined laparoscopic needle and forceps can be used to provide both a sewing action and a clamping action as required to obviate the necessity of using two separate instruments, thereby lessening the number of times that entry and withdrawal of instruments need be made through the trocar.

The laparoscopic ligator 63 of the present invention, shown in FlGS. 17-19, includes an elongated stem 64 having an enlarged end 65 which is embedded in handle 66. The opposite end of ligator 63 is formed into a pair of curved integral arms 67 separated by slot 68. The end of stem 64 between the arms is formed into grooved portions 69. The suture is received in opening 70 for ligating, as will be described in greater detail hereafter.

The laparoscopy is performed by the above described instruments in the following manner. Firstly, as noted above, two sheathed trocars 14 are inserted'approximately 4 centimeters above the lower third of the inguinal ligaments on each side of the patient, in the event the operation is for the purpose of tying ofi' the Fallopian tubes. A third trocar is inserted through the naval for the purpose of receiving an endoscope. Through one lateral trocar sheath, the tissue forceps 17 is inserted and the tissue to be suture ligated, namely, the tube 71, is clamped and held between jaws 34 and 35. Through the other lateral trocar sheath the laparoscopic needle 41 is introduced. This needle prior to insertion is threaded with suture 72 which is held on needle 49 by being wedged into a crotch formed between the needle proper and protuberance 73 thereon. After the needle is brought to the proper position, such as shown in H0. 21, and while the tube is still clamped as shown in FIG. 20, handles 53 and 55 are manipulated to move needle 49 from its in-line position to a lateral position where it extends transversely to links 42 and 43, this lateral position being illustrated in FIG. 21. After the needle has been so flexed, the tissue 74 is pierced to bring the suture 72 through the tissue. Thereafter handles 28 and 30 of the tissue forceps are manipulated so as to cause jaws 34 and 35 to release tube 71 and to grasp the end 75 of suture 72, as shown in FIG. 21, and disengage it from needle 49 which is then withdrawn from tissue 74.-Next, the suture 72 is carried around tube 71 by forceps 17 and end 75 of suture 72 is clamped between the jaws 61 and 62 of laparoscopic forceps 41. The opening 38 formed between the jaws of forceps 17 may be closed around suture 72, as shown in FIG. 22, to provide a guide for suture 72 to prevent suture-pull on delicate tissue as needle 49 is being withdrawn through trocar 14 to bring the free end 75 of suture 72 outside of the body. The diaphragm 16 at the end of trocar 14 prevents the escape of gas from the inflated abdominal cavity and externally of this diaphragm free end 75 of the suture is tied with end 76 thereof to provide a first tie. This tie is then introduced by ligator 63 through sheath 14 (FlG. 23), with the tie being held in groove of the ligator. This tie is carried down to the central portion 77 of the suture to close off tube 71. Thereafter second and third ties may be formed at ends and 76 and brought down into position with ligator 63 in the same manner as just described. A surgical knot has been found to be most convenient to provide the type of tie at 78 which is desired. Thereafter the shear blades 39 and 40 which are located on forceps 17 are used to cut the free ends of suture 72 to complete the tying operation.

It will be appreciated that because each of the instruments 17 and 41 performs a plurality of functions, there is no necessity to keep reinserting different instruments through the trocars to effect the various functions which are required. Furthermore, because the links which form the main central body portions of the instruments are extremely slender and do not spread apart appreciably when the instruments are manipulated, they can be conveniently inserted and removed through the trocars and manipulated while therein as required.

lclaim:

1. A laparoscopic forcepneedle comprising elongated linkage having first and second ends, a needle, means for mounting said needle on said first end of said linkage for movement between a first position in substantial alignment with said linkage and a second position transverse to said linkage, said linkage with said needle in said first position being sized as to be insertable into a trocar, and manually operated means on said second end of said linkage for actuating said linkage to effect said movement of said needle.

2. A laparoscopic forcepneedle as set forth in claim 1 wherein said linkage includes first and second elongated links located in side-by-side relationship, and said needle mounting means includes first and second pivots on said first and second links, respectively, on said first end of said linkage, a cross link coupled to said first and second pivots and means supporting said needle on said cross link.

3. A laparoscopic forcepneedle as set forth in claim 2 wherein said manually operated means includes third and fourth pivots on said first and second elongated links, respectively, at said second end, a second crosslink coupled to said third'and fourth pivots and a pair 7 8 of handles one of which is connected to said second 4. A laparoscopic forcep needle as set forth in claim cross-link and the other of which is connected to one 1 wherein Said needle includes a crotch portion for of said elongated links to cause said first and second elongated links to move longitudinally relative to each other.

wedgingly receiving a suture.

* IR IF

Citations de brevets
Brevet cité Date de dépôt Date de publication Déposant Titre
US3006344 *24 févr. 195931 oct. 1961Isaac J VogelfangerSurgical ligator and cutter
US3090386 *20 juil. 196121 mai 1963Curtis Scott CompanySurgical suturing instrument
US3139089 *16 nov. 196130 juin 1964George S SchwerinNeedle manipulating device
Citations hors brevets
Référence
1 *Muller Instrument Catalogue 1956, Pages 82, 106, 124.
Référencé par
Brevet citant Date de dépôt Date de publication Déposant Titre
US3856016 *3 nov. 197224 déc. 1974H DavisMethod for mechanically applying an occlusion clip to an anatomical tubular structure
US3882854 *23 août 197313 mai 1975Research CorpSurgical clip and applicator
US3989049 *29 oct. 19742 nov. 1976In Bae YoonMethod of applying an elastic ring to an anatomical tubular structure
US3994287 *1 juil. 197430 nov. 1976Centre De Recherche Industrielle Du QuebecTrocar
US4085756 *30 sept. 197625 avr. 1978Kenneth WeaverMethod and apparatus for performing an electrosurgical procedure
US4493323 *13 déc. 198215 janv. 1985University Of Iowa Research FoundationSuturing device and method for using same
US4949717 *17 mars 198821 août 1990Shaw Edward LSurgical instrument with suture cutter
US5112344 *4 oct. 198912 mai 1992Petros Peter ESurgical instrument and method of utilization of such
US5289963 *18 oct. 19911 mars 1994United States Surgical CorporationApparatus and method for applying surgical staples to attach an object to body tissue
US5318578 *17 mars 19927 juin 1994Harrith M. HassonApparatus for delivering a suture into a body cavity and method of using the apparatus
US5334198 *9 oct. 19922 août 1994Innovasive Devices, Inc.Surgical instrument
US5356064 *23 sept. 199218 oct. 1994United States Surgical CorporationApparatus and method for applying surgical staples to attach an object to body tissue
US5364002 *31 mars 199215 nov. 1994United States Surgical CorporationApparatus and method for applying surgical staples to attach an object to body tissue
US5382258 *30 août 199317 janv. 1995LinvatecArthroscopic knot tying device
US5383877 *8 oct. 199224 janv. 1995Clarke; Henry C.Instruments and method for suturing and ligation
US5392978 *15 oct. 199328 févr. 1995United States Surgical CorporationSurgical staple and endoscopic stapler
US5405354 *6 août 199311 avr. 1995Vance Products Inc.Suture driver
US5454791 *7 sept. 19933 oct. 1995United States Surgical CorporationTrocar with tissue penetration pressure indicator
US5470316 *4 mars 199428 nov. 1995United States Surgical CorporationBody tissue penetrating device having a vacuum indicator
US5497933 *8 oct. 199312 mars 1996United States Surgical CorporationApparatus and method for applying surgical staples to attach an object to body tissue
US5564615 *31 oct. 199515 oct. 1996Ethicon, Inc.Surgical instrument
US5577654 *23 mai 199626 nov. 1996Ethicon Endo-Surgery, Inc.Surgical instrument
US5588580 *23 mai 199631 déc. 1996Ethicon Endo-Surgery, Inc.Surgical instrument
US5588581 *23 mai 199631 déc. 1996Ethicon Endo-Surgery, Inc.Surgical instrument
US5601224 *10 juin 199411 févr. 1997Ethicon, Inc.Surgical instrument
US5618304 *18 janv. 19948 avr. 1997Innovasive Devices, Inc.Surgical instrument
US5626587 *18 mai 19956 mai 1997Ethicon Endo-Surgery, Inc.Method for operating a surgical instrument
US5634584 *23 mai 19963 juin 1997Ethicon Endo-Surgery, Inc.Surgical instrument
US5662662 *16 sept. 19962 sept. 1997Ethicon Endo-Surgery, Inc.Surgical instrument and method
US5741281 *7 mai 199621 avr. 1998Smith & Nephew, Inc.Suture securing apparatus
US5759189 *25 févr. 19972 juin 1998Smith & Nephew Inc.Knot pusher
US5817109 *17 sept. 19966 oct. 1998United States Surgical CorporationApparatus and method for applying surgical staples to attach an object to body tissue
US64917038 oct. 199610 déc. 2002Ethicon, Inc.Surgical instrument for treating female urinary incontinence
US661297727 juil. 20012 sept. 2003American Medical Systems Inc.Sling delivery system and method of use
US664152521 nov. 20014 nov. 2003Ams Research CorporationSling assembly with secure and convenient attachment
US665245027 juil. 200125 nov. 2003American Medical Systems, Inc.Implantable article and method for treating urinary incontinence using means for repositioning the implantable article
US680280727 juil. 200112 oct. 2004American Medical Systems, Inc.Surgical instrument and method
US69110033 mars 200328 juin 2005Ams Research CorporationTransobturator surgical articles and methods
US693275931 oct. 200223 août 2005Gene W. KammererSurgical instrument and method for treating female urinary incontinence
US697198625 oct. 20026 déc. 2005American Medical Systems, Inc.Sling delivery system and method of use
US697699216 juil. 200220 déc. 2005Suturecut, LlcDual-function medical instrument
US698423722 mai 200210 janv. 2006Orthopaedic Biosystems Ltd., Inc.Suture passing surgical instrument
US704868225 oct. 200223 mai 2006American Medical Systems, Inc.Surgical articles and methods
US707055627 nov. 20024 juil. 2006Ams Research CorporationTransobturator surgical articles and methods
US708356811 juil. 20031 août 2006American Medical SystemsImplantable article for treatment of urinary incontinence
US70836377 juin 20001 août 2006Tannhauser Robert JMethod and apparatus for adjusting flexible areal polymer implants
US70870653 oct. 20028 août 2006Ethicon, Inc.Mesh for pelvic floor repair
US709419923 juil. 200322 août 2006Sherwood Services AgIvs obturator instrument and procedure
US710494930 août 200212 sept. 2006Ams Research CorporationSurgical articles for placing an implant about a tubular tissue structure and methods
US711217111 juil. 200326 sept. 2006Ams Research CorporationSling assembly with secure and convenient attachment
US71219974 juin 200117 oct. 2006Ethicon, Inc.Surgical instrument and method for treating female urinary incontinence
US71319436 févr. 20037 nov. 2006Ethicon, Inc.Surgical instrument and method for treating organ prolapse conditions
US715685821 févr. 20012 janv. 2007Ethicon G.M.B.H.Implant
US72264079 juil. 20025 juin 2007Ethicon, Inc.Surgical instrument and method for treating female urinary incontinence
US722945331 déc. 200212 juin 2007Ams Research CorporationPelvic floor implant system and method of assembly
US726764511 juil. 200311 sept. 2007American Medical Systems Inc.Surgical instrument and method
US728508627 juil. 200523 oct. 2007Ethicon, Inc.Minimally invasive medical implant and insertion device and method for using the same
US728806314 juil. 200630 oct. 2007Sherwood Services AgIVS obturator instrument and procedure
US729110430 sept. 20036 nov. 2007American Medical Systems Inc.Surgical articles and methods
US729710227 juil. 200520 nov. 2007Ethicon, Inc.Minimally invasive medical implant and insertion device and method for using the same
US734781219 mars 200425 mars 2008Ams Research CorporationProlapse repair
US73511977 mai 20041 avr. 2008Ams Research CorporationMethod and apparatus for cystocele repair
US735777318 déc. 200315 avr. 2008Ams Research CorporationHandle and surgical article
US736454114 août 200329 avr. 2008Boston Scientific Scimed, Inc.Systems, methods and devices relating to delivery of medical implants
US740748025 avr. 20035 août 2008Ams Research CorporationMethod and apparatus for correction of urinary and gynecological pathologies, including treatment of incontinence cystocele
US74135409 févr. 200419 août 2008Boston Scientific Scimed, Inc.Devices for minimally invasive pelvic surgery
US74813142 févr. 200527 janv. 2009Ethicon, Inc.Packaging assembly for surgical mesh implants
US749449526 mars 200424 févr. 2009Coloplast A/SMethod and implant for curing cystocele
US750094530 avr. 200410 mars 2009Ams Research CorporationMethod and apparatus for treating pelvic organ prolapse
US752758815 sept. 20045 mai 2009Ethicon, Inc.System and method for surgical implant placement
US75276335 juin 20015 mai 2009Boston Scientific Scimed Inc.Methods and devices for the treatment of urinary incontinence
US75473168 nov. 200516 juin 2009Ethicon, Inc.Method and apparatus for adjusting flexible areal polymer implants
US758859829 mars 200415 sept. 2009Coloplast A/SImplant for treating rectocele and a device for putting said implant into place
US761499928 juil. 200610 nov. 2009Boston Scientific Scimed, Inc.Systems, devices, and methods for minimally invasive pelvic surgery
US761505924 mai 200210 nov. 2009Ams Research CorporationSurgical suture passers and methods
US762186421 janv. 200524 nov. 2009Coloplast A/SMethod for treating urinary incontinence in women and implantable device intended to correct urinary incontinence
US762186526 juil. 200624 nov. 2009Boston Scientific Scimed, Inc.Systems, devices, and methods for minimally invasive pelvic surgery
US76249038 janv. 20041 déc. 2009Green David TApparatus for applying surgical fastners to body tissue
US765874325 juin 20029 févr. 2010Ethicon, Inc.Surgical instrument and method for treating female urinary incontinence
US768177230 oct. 200723 mars 2010Green David TApparatus for applying surgical fasteners to body tissue
US76910509 févr. 20046 avr. 2010Boston Scientific Scimed, Inc.Devices for minimally invasive pelvic surgery
US769105210 sept. 20046 avr. 2010Boston Scientific Scimed, Inc.Devices for minimally invasive pelvic surgery
US776294227 juin 200527 juil. 2010Ams Research CorporationImplantable article for the treatment of incontinence
US782818726 août 20099 nov. 2010Tyco Healthcare Group LpApparatus for applying surgical fasteners to body tissue
US786652626 août 200911 janv. 2011Tyco Healthcare Group LpApparatus for applying surgical fasteners to body tissue
US786716115 août 200511 janv. 2011Ams Research CorporationSling delivery system and method of use
US78713671 août 200618 janv. 2011Ams Research CorporationSurgical articles for placing an implant about a tubular tissue structure and methods
US792734224 mars 200919 avr. 2011Boston Scientific Scimed, Inc.Methods and devices for the treatment of urinary incontinence
US797226225 sept. 20065 juil. 2011Ams Research CorporationSling assembly with secure and convenient attachment
US797569823 mai 200512 juil. 2011Coloplast A/SImplant for treatment of vaginal and/or uterine prolapse
US798517317 mars 200626 juil. 2011Ethicon, Inc.Method and apparatus for treating pelvic organ prolapses in female patients
US79886155 oct. 20052 août 2011Ams Research CorporationTransobturator surgical articles and methods
US799326131 mars 20089 août 2011Ams Research CorporationMethod and apparatus for cystocele repair
US800743016 juil. 201030 août 2011Coloplast A/SApparatus and method for treating female urinary incontinence
US802943323 juin 20064 oct. 2011Sheila SalterIlluminated IVS tunneling device
US803859428 janv. 200818 oct. 2011Ams Research CorporationProlapse repair
US804320427 janv. 201025 oct. 2011Ams Research CorporationTransobturator surgical articles and methods
US80479827 mai 20041 nov. 2011Ethicon, Inc.Mesh tape with wing-like extensions for treating female urinary incontinence
US80479834 avr. 20111 nov. 2011Coloplast A/SSurgical system for supporting pelvic anatomy
US808813124 sept. 20093 janv. 2012Ams Research CorporationSurgical suture passers and methods
US811872714 juin 201121 févr. 2012Coloplast A/SMethod for supporting pelvic anatomy
US811872821 juin 201121 févr. 2012Coloplast A/SMethod for implanting an adjustable surgical implant for treating urinary incontinence
US812367321 juin 201128 févr. 2012Coloplast A/SAdjustable surgical implant for treating urinary incontinence
US812855414 juin 20116 mars 2012Coloplast A/SSystem for introducing a pelvic implant
US81628181 juin 201124 avr. 2012Coloplast A/SAdjustable surgical implant for pelvic anatomy
US816778528 févr. 20081 mai 2012Coloplast A/SUrethral support system
US81727446 avr. 20108 mai 2012Boston Scientific Scimed, Inc.Devices for minimally invasive pelvic surgery
US818241217 juin 201122 mai 2012Coloplast A/SPelvic implant with fibrous anchor
US818241317 juin 201122 mai 2012Coloplast A/SMethod for fibrous anchoring of a pelvic support
US820628113 août 201026 juin 2012Ams Research CorporationMethod and apparatus for treating pelvic organ prolapse
US821100522 janv. 20093 juil. 2012Ams Research CorporationMethod and apparatus for treating pelvic organ prolapse
US821531028 avr. 201110 juil. 2012Coloplast A/SImplant for treatment of vaginal and/or uterine prolapse
US82730111 juin 201125 sept. 2012Coloplast A/SAdjustable surgical implant and method for treating urinary incontinence
US830862912 janv. 201113 nov. 2012Ams Research CorporationSurgical articles for placing an implant about a tubular tissue structure and methods
US831665119 juil. 200627 nov. 2012Bruker Biospin GmbhSuperconducting magnet system with radiation shield disposed between the cryogenic fluid tank and a refrigerator
US838851426 oct. 20075 mars 2013Ams Research CorporationSurgical articles and methods for treating pelvic conditions
US84494501 juin 201128 mai 2013Coloplast A/SPass through introducer and sling
US844957328 août 200928 mai 2013Boston Scientific Scimed, Inc.Insertion device and method for delivery of a mesh carrier
US84544921 juin 20114 juin 2013Coloplast A/SAbsorbable anchor and method for mounting mesh to tissue
US846016922 juin 200711 juin 2013Ams Research CorporationAdjustable tension incontinence sling assemblies
US846017014 juin 201111 juin 2013Ethicon, Inc.Method and apparatus for treating pelvic organ prolapses in female patients
US846987526 août 200925 juin 2013Coloplast A/SMethod and device for treating urinary incontinence
US846987727 janv. 201225 juin 2013Coloplast A/SSystem for introducing a pelvic implant
US84753574 janv. 20112 juil. 2013Ams Research CorporationSling delivery system and method of use
US848055614 juin 20119 juil. 2013Ethicon, Inc.Method and apparatus for treating pelvic organ prolapses in female patients
US848055912 sept. 20079 juil. 2013C. R. Bard, Inc.Urethral support system
US85122231 juin 201120 août 2013Coloplast A/SPelvic implant with selective locking anchor
US853521725 juil. 200617 sept. 2013Ams Research CorporationMethods and systems for treatment of prolapse
US85741481 juin 20115 nov. 2013Coloplast A/SSystem for introducing soft tissue anchors
US857414915 juin 20125 nov. 2013C. R. Bard, Inc.Adjustable tissue support member
US86029651 févr. 200810 déc. 2013Boston Scientific Scimed, Inc.System, methods and devices relating to delivery of medical implants
US862303419 oct. 20077 janv. 2014Ethicon, GmbhSoft tissue repair implant
US863664131 oct. 200728 janv. 2014Boston Scientific Scimed, Inc.Devices for minimally invasive pelvic surgery
US866863523 févr. 201211 mars 2014Coloplast A/SPelvic implant with suspending system
US869089824 juin 20058 avr. 2014Smith & Nephew, Inc.Suture passing surgical instrument
US870258531 oct. 200722 avr. 2014Ams Research CorporationPelvic health implants and methods
US87094716 oct. 200829 avr. 2014Coloplast A/SMedicament delivery device and a method of medicament delivery
US872796220 août 200720 mai 2014Boston Scientific Scimed, Inc.Devices for minimally invasive pelvic surgery
US872796331 juil. 200920 mai 2014Ams Research CorporationMethods and implants for treating urinary incontinence
US875326019 sept. 201117 juin 2014Ams Research CorporationProlapse repair
US87778367 nov. 200715 juil. 2014Ams Research CorporationPelvic health implants and methods
US87778374 févr. 201315 juil. 2014Ams Research CorporationSurgical articles and methods for treating pelvic
US878429525 mai 201122 juil. 2014Ams Research CorporationSling assembly with secure and convenient attachment
US879023814 juil. 201129 juil. 2014Boston Scientific Scimed, Inc.Systems, devices, and methods for minimally invasive pelvic surgery
US880159614 juin 201112 août 2014Coloplast A/SSling with support and suspending members formed from same polymer
US880816228 mars 201219 août 2014Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US881477731 oct. 200726 août 2014Boston Scientific Scimed, Inc.Devices for minimally invasive pelvic surgery
US88213691 juin 20112 sept. 2014Colorplast A/SMethod for soft tissue anchoring with introducer
US882137014 août 20132 sept. 2014Coloplast A/SDevice, system and methods for introducing soft tissue anchors
US883435015 juin 200716 sept. 2014Ams Research CorporationSurgical implants, tools, and methods for treating pelvic conditions
US88455126 janv. 201230 sept. 2014C. R. Bard, Inc.Sling anchor system
US885207512 juin 20117 oct. 2014Coloplast A/SPelvic implant systems and methods with expandable anchors
US885207728 mai 20137 oct. 2014Ams Research CorporationSling delivery system and method of use
US88585751 avr. 201114 oct. 2014Boston Scientific Scimed, Inc.Methods and devices for the treatment of urinary incontinence
US886464612 août 200521 oct. 2014Ams Research CorporationSurgical articles and methods
US886464819 sept. 201121 oct. 2014Ams Research CorporationTransobturator surgical articles and methods
US886465020 juin 200621 oct. 2014Ams Research CorporationMethods and apparatus for securing a urethral sling to a pubic bone
US888867812 juin 201118 nov. 2014Coloplast A/SPelvic implant with suspending system
US89113471 juin 201116 déc. 2014Coloplast A/SSystem and method for treating urinary incontinence
US891592714 août 200323 déc. 2014Boston Scientific Scimed, Inc.Systems, methods and devices relating to delivery of medical implants
US892030415 déc. 201130 déc. 2014Coloplast A/SMethod and device for treating urinary incontinence
US89203081 juin 201130 déc. 2014Coloplast A/SSurgical implant with anchor introducer channel
US893220214 juin 201113 janv. 2015Coloplast A/SIncontinence implant with soft tissue anchors and length not allowing abdominal wall penetration
US894499027 oct. 20093 févr. 2015Ams Research CorporationSurgical needle and anchor system with retractable features
US895118518 mai 200910 févr. 2015Ams Research CorporationSurgical articles and methods for treating pelvic conditions
US8961558 *30 nov. 201124 févr. 2015Olympus Medical Systems Corp.Treatment tool for endoscope
US900522213 janv. 201214 avr. 2015Coloplast A/SSelf-anchoring sling and introducer system
US901724322 déc. 201128 avr. 2015Ams Research CorporationMinimally invasive implant and method
US902292227 mars 20145 mai 2015Ams Research CorporationMethods and implants for treating urinary incontinence
US906083820 avr. 201223 juin 2015Coloplast A/STissue supported implantable device
US906083913 sept. 201323 juin 2015Ams Research CorporationMethods and systems for treatment of prolapse
US908466421 mai 200721 juil. 2015Ams Research CorporationMethod and articles for treatment of stress urinary incontinence
US908939328 mars 201228 juil. 2015Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US908939410 janv. 201428 juil. 2015Coloplast A/SPelvic implant with suspending system
US908939614 août 201328 juil. 2015Coloplast A/SUrinary incontinence treatment and devices
US91139923 sept. 201425 août 2015Coloplast A/SApparatus and method for treating urinary incontinence
US914926114 août 20036 oct. 2015Boston Scientific Scimed, Inc.Systems, methods and devices relating to delivery of medical implants
US917999218 août 201410 nov. 2015Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US918648910 mars 201417 nov. 2015Coloplast A/SImplantable delivery device system for delivery of a medicament to a bladder
US91924588 févr. 201324 nov. 2015Ams Research CorporationImplants, tools, and methods for treatments of pelvic conditions
US922680910 févr. 20105 janv. 2016Ams Research CorporationSurgical articles and methods for treating urinary incontinence
US928306418 juin 201515 mars 2016Ams Research CorporationMethods and systems for treatment of prolapse
US92892047 mai 201322 mars 2016Boston Scientific Scimed, Inc.Insertion device and method for delivery of a mesh carrier
US93017503 nov. 20105 avr. 2016Boston Scientific Scimed, Inc.Device and method for delivery of mesh-based devices
US931432325 juil. 201419 avr. 2016Boston Scientific Scimed, Inc.Systems, devices and methods for minimally invasive pelvic surgery
US934547330 déc. 201024 mai 2016Astora Women's Health, LlcImplantable sling systems and methods
US934586714 oct. 201524 mai 2016Coloplast A/SDevice implantable in tissue of a prostate gland or a bladder
US935172329 juin 201231 mai 2016Astora Women's Health, LlcImplants, tools, and methods for treatments of pelvic conditions
US936430830 déc. 201014 juin 2016Astora Women's Health, LlcImplant systems with tensioning feedback
US938107623 févr. 20115 juil. 2016Boston Scientific Scimed, Inc.Surgical articles and methods
US941490323 juil. 201216 août 2016Astora Women's Health, LlcPelvic implant system and method
US942724612 juil. 201230 août 2016Karl Storz Gmbh & Co. KgMedical cutting instrument for cutting muscles and tendons
US943348720 oct. 20146 sept. 2016Astora Women's Health, LlcTransobturator surgical articles and methods
US944588116 déc. 201120 sept. 2016Boston Scientific Scimed, Inc.Surgical articles and methods
US94921913 août 201215 nov. 2016Astora Women's Health, LlcTools and methods for treatment of pelvic conditions
US949225930 mars 201215 nov. 2016Astora Women's Health, LlcExpandable implant system
US95328619 mai 20143 janv. 2017Coloplast A/SSelf-anchoring sling and introducer system
US95328629 mai 20143 janv. 2017Coloplast A/SSelf-anchoring sling and introducer system
US95497993 juil. 201324 janv. 2017Boston Scientific Scimed, Inc.Surgical kit for securing an implantable sling in a pubic region
US955516818 avr. 201631 janv. 2017Coloplast A/SSystem for delivery of medication in treatment of disorders of the pelvis
US957264821 déc. 201121 févr. 2017Justin M. CrankImplantable slings and anchor systems
US95857396 juin 20147 mars 2017Ams Research CorporationSurgical articles and methods for treating pelvic conditions
US971758030 mai 20071 août 2017Astora Women's Health, LlcPelvic floor implant system and method of assembly
US973738823 juil. 201522 août 2017Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US975059028 mars 20125 sept. 2017Andrew P. VanDeWegheImplants, tools, and methods for treatment of pelvic conditions
US20020077526 *4 juin 200120 juin 2002Kammerer Gene W.Surgical instrument and method for treating female urinary incontinence
US20020117534 *20 sept. 200129 août 2002Green David T.Apparatus and method for applying surgical staples to attach an object to body tissue
US20020165566 *25 juin 20027 nov. 2002Ulf UlmstenSurgical instrument and method for treating female urinary incontinence
US20030023138 *26 sept. 200230 janv. 2003Luscombe Brian H.Surgical instrument and method for treating female urinary incontinence
US20030023250 *24 mai 200230 janv. 2003Watschke Brian P.Surgical suture passers and methods
US20030055313 *30 août 200220 mars 2003Anderson Kimberly A.Surgical articles for placing an implant about a tubular tissue structure and methods
US20030089586 *15 nov. 200115 mai 2003Abroy Hamid S.Switch mechanism housing
US20030100954 *21 févr. 200129 mai 2003Barbara Schuldt-HempeImplant
US20030114866 *3 oct. 200219 juin 2003Ulf UlmstenMesh for pelvic floor repair
US20030176762 *6 févr. 200318 sept. 2003Kammerer Gene W.Surgical instrument and method for treating organ prolapse conditions
US20030220538 *28 févr. 200327 nov. 2003Bernard JacquetinMethod and apparatus for treating pelvic organ prolapses in female patients
US20040015057 *11 juil. 200322 janv. 2004Ams Research CorporationSling assembly with secure and convenient attachment
US20040015181 *16 juil. 200222 janv. 2004Sachatello Charles R.Dual-function medical instrument
US20040106845 *11 juil. 20033 juin 2004American Medical SystemsSurgical instrument and method
US20040220613 *2 juin 20044 nov. 2004Peter PetrosSurgical instrument
US20040230207 *9 févr. 200418 nov. 2004Scimed Life Systems, Inc.Devices for minimally invasive pelvic surgery
US20040267088 *28 juil. 200430 déc. 2004Kammerer Gene WSurgical instrument and method for treating organ prolapse conditions
US20050065395 *19 mars 200424 mars 2005Ams Research CorporationProlapse repair
US20050090706 *10 sept. 200428 avr. 2005Scimed Life Systems, Inc.Devices for minimally invasive pelvic surgery
US20050250978 *7 mai 200410 nov. 2005Ethicon, Inc.Mesh tape with wing-like extensions for treating female urinary incontinence
US20060025649 *27 juil. 20052 févr. 2006Smith Daniel JMinimally invasive medical implant and insertion device and method for using the same
US20060025783 *27 juil. 20052 févr. 2006Smith Daniel JMinimally invasive medical implant and insertion device and method for using the same
US20060058574 *8 nov. 200516 mars 2006Jorg PrieweMethod and apparatus for adjusting flexible areal polymer implants
US20060058575 *15 sept. 200416 mars 2006Vincenza ZaddemSystem and method for surgical implant placement
US20060173237 *17 mars 20063 août 2006Bernard JacquetinMethod and apparatus for treating pelvic organ prolapses in female patients
US20060196788 *2 févr. 20057 sept. 2006Peter KomarnyckyPackaging assembly for surgical mesh implants
US20060258897 *14 juil. 200616 nov. 2006Peter PetrosIVS obturator instrument and procedure
US20060293555 *23 juin 200628 déc. 2006Sherwood Services AgIlluminated IVS tunneling device
US20070021686 *28 juil. 200625 janv. 2007Boston Scientific Scimed, Inc.Systems, devices, and methods for minimally invasive pelvic surgery
US20070162054 *26 oct. 200412 juil. 2007Nihon UniversitySuture thread shifting device
US20070185372 *1 août 20069 août 2007Ams Research CorporationSurgical Articles for Placing an Implant about a Tubular Tissue Structure and Methods
US20080125621 *31 oct. 200729 mai 2008Scimed Life Systems, Inc.Devices for minimally invasive pelvic surgery
US20080125791 *31 oct. 200729 mai 2008Scimed Life Systems, Inc.Devices for minimally invasive pelvic surgery
US20080146867 *31 oct. 200719 juin 2008Scimed Life Systems, Inc.Devices for minimally invasive pelvic surgery
US20080221386 *20 août 200711 sept. 2008Gellman Barry NDevices for minimally invasive pelvic surgery
US20090105731 *19 oct. 200723 avr. 2009Priewe JoergSoft tissue repair implant
US20090123522 *6 oct. 200814 mai 2009James BrowningMedicament Delivery Device and a Method of Medicament Delivery
US20090221867 *25 oct. 20063 sept. 2009Ams Research CorporationIntegral Sling Connection System and Method
US20100023027 *24 sept. 200928 janv. 2010Watschke Brian PSurgical suture passers and methods
US20100056856 *26 août 20094 mars 2010Coloplast A/SMethod for treating urinary incontinence in women and implantable device intended to correct urinary incontinence
US20100234681 *12 sept. 200716 sept. 2010C.R. Bard Inc.Urethral support system
US20100240947 *6 avr. 201023 sept. 2010Scimed Life Systems, Inc.Devices for minimally invasive pelvic surgery
US20100298817 *23 nov. 200925 nov. 2010Boston Scientific Scimed, Inc.Systems, devices, and methods for minimally invasive pelvic surgery
US20100324357 *28 août 200923 déc. 2010Chu Michael S HInsertion Device and Method for Delivery of a Mesh Carrier
US20110105832 *12 janv. 20115 mai 2011Ams Research CorporationSurgical Articles for Placing an Implant about a Tubular Tissue Structure and Methods
US20110106108 *3 nov. 20105 mai 2011Boston Scientific Scimed Inc.Device and method for delivery of mesh-based devices
US20110201872 *28 avr. 201118 août 2011Coloplast A/SImplant for treatment of vaginal and/or uterine prolapse
US20110230705 *1 juin 201122 sept. 2011Coloplast A/SMethod for soft tissue anchoring with introducer
US20110230708 *1 juin 201122 sept. 2011Coloplast A/SAdjustable surgical implant for pelvic anatomy
US20110230709 *1 juin 201122 sept. 2011Coloplast A/SPass through introducer and sling
US20110237865 *14 juin 201129 sept. 2011Coloplast A/SSling with support and suspending members formed from same polymer
US20110237866 *14 juin 201129 sept. 2011Coloplast A/SMethod for supporting pelvic anatomy
US20110237867 *14 juin 201129 sept. 2011Coloplast A/SSystem for introducing a pelvic implant
US20110237868 *17 juin 201129 sept. 2011Coloplast A/SMethod for fibrous anchoring of a pelvic support
US20110237869 *21 juin 201129 sept. 2011Coloplast A/SAdjustable surgical implant for treating urinary incontinence
US20110237870 *21 juin 201129 sept. 2011Coloplast A/SMethod for implanting an adjustable surgical implant for treating urinary incontinence
US20110237873 *1 juin 201129 sept. 2011Coloplast A/SPelvic implant with selective locking anchor
US20110237875 *1 juin 201129 sept. 2011Coloplast A/SSurgical implant with anchor introducer channel
US20110237876 *1 juin 201129 sept. 2011Coloplast A/SMethod for implanting with an anchor introducer channel
US20110237877 *12 juin 201129 sept. 2011Coloplast A/SPelvic implant with suspending system
US20110237878 *12 juin 201129 sept. 2011Coloplast A/SPelvic implant systems and methods with expandable anchors
US20110237879 *17 juin 201129 sept. 2011Coloplast A/SPelvic implant with fibrous anchor
US20110238095 *1 juin 201129 sept. 2011Coloplast A/SAbsorbable anchor and method for mounting mesh to tissue
US20120123201 *30 nov. 201117 mai 2012Olympus Medical Systems Corp.Treatment tool for endoscope
DE102011107178A1 *13 juil. 201117 janv. 2013Karl Storz Gmbh & Co. KgMedizinisches Schneidinstrument zum Schneiden von Muskeln und Sehnen
EP2226017A224 mai 20028 sept. 2010AMS Research CorporationSurgical suture passer
EP2545857A3 *7 juil. 201228 août 2013Karl Storz GmbH & Co. KGMedical cutting instrument for cutting muscles and tendons
WO1990003766A1 *4 oct. 198919 avr. 1990Peter Emanuel PetrosSurgical instrument prosthesis and method of utilisation of such
WO2005039420A1 *26 oct. 20046 mai 2005Nihon UniversitySuture thread shifting device
Classifications
Classification aux États-Unis128/830
Classification internationaleA61B17/04, A61B17/28
Classification coopérativeA61B17/29, A61B17/0469, A61B2017/0474
Classification européenneA61B17/04E, A61B17/29