US616672A - kelling - Google Patents
kelling Download PDFInfo
- Publication number
- US616672A US616672A US616672DA US616672A US 616672 A US616672 A US 616672A US 616672D A US616672D A US 616672DA US 616672 A US616672 A US 616672A
- Authority
- US
- United States
- Prior art keywords
- tube
- sections
- section
- instrument
- ears
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 210000001503 Joints Anatomy 0.000 description 12
- 238000003780 insertion Methods 0.000 description 12
- 210000003238 Esophagus Anatomy 0.000 description 6
- 210000003128 Head Anatomy 0.000 description 2
- 238000005299 abrasion Methods 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 230000000875 corresponding Effects 0.000 description 2
- 238000007689 inspection Methods 0.000 description 2
- 150000002500 ions Chemical class 0.000 description 2
- 239000000314 lubricant Substances 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000000717 retained Effects 0.000 description 2
- 210000001519 tissues Anatomy 0.000 description 2
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T74/00—Machine element or mechanism
- Y10T74/20—Control lever and linkage systems
- Y10T74/20396—Hand operated
- Y10T74/20402—Flexible transmitter [e.g., Bowden cable]
- Y10T74/2042—Flexible transmitter [e.g., Bowden cable] and hand operator
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T74/00—Machine element or mechanism
- Y10T74/20—Control lever and linkage systems
- Y10T74/20396—Hand operated
- Y10T74/20402—Flexible transmitter [e.g., Bowden cable]
- Y10T74/20456—Specific cable or sheath structure
Definitions
- This invention relates to improvements in surgical instruments of that class designed for insertion into the natural passages of the human or animal body forinspect'ion of the diseased or injured parts preparatory to further medical or surgical treatment.
- the invention consists of a surgical instrument for insertion into the body, consisting of a flexible insertion-tube, a straighteningwire attached to said tube, and means for pulling the latter for straightening said insertiontube, and, further, in the specific construction of the insertion-tube itself.
- FIG. 1 represents a side elevation, partly in section, of an esophagoscope embodying my invention, showing the tube of the instrument in curved condition.
- Fig. 2 is a side elevation, partly in section, showing the instrument with the tube straightened.
- Fig. 3 is an end view.
- Fig. 4 is a top view of a portion of the esophagoscope, and
- Fig. 5 is a cross-section of the tube through one of the joints of the same.
- 9 g represent short tube sections, preferably of circular cross-section, which are each provided at one end with diametrically opposite ears 1.
- the end of the tube-section, at one side of the ears, is not cut squarely off, but is cut back at a slant, as indicated at u u to, Fig. 2.
- the exterior of the tube-section is flattened, as indicated in Fig. 5, whereby the rear ends of each section are adapted to fit between the ears of the adjacent section.
- the tube-sections are movably connected to each other by pivots passed through the ears and flattened portions, as shown in Fig. 5, and when connected form the insertion-tube of the instrument, which it will be seen is capable of bending in one direction.
- the forward edge of the first or entering section D is preferably cut squarely off and the edge rounded to prevent abrasion of the tissues when the tube is inserted into the esophagus.
- the main tube-section H at the opposite end of the tube is preferably longer than the intermediate tube-sections and is provided with a longitudinal slot in its upper portion.
- a short sleeve H is mounted on this section and is provided with a guide-screw S, the lower end of which enters the slot, thereby guiding the sleeve H and preventing its rotation on the main tubesection H.
- To the outer end of the main tubesection is attached a lever 13, to which is pivoted a lever A, the upper end of which is movably attached to the sleeve H in any suitable manner.
- the lower ends of said levers A and B form handles, by the movement of which the sleeve is moved longitudinally on the main tube-section.
- Each of the tube-sections g is provided at its upper portion with an internal wire guide or eye 6, as shown in Fig. 5.
- a straightening-wire D is attached at one end to the entering-section D of the insertiontube and passes through the guides 0' of the successive tube-sections, as shown in Fig. 1 and is attached at its opposite end to the sleeve 1-1
- This wire is of such length that when the sleeve is drawn back by the levers the insertion-tube will be straightened, as indicated in Fig. 2, while if the lever-handles be separated the tube will be free to bend in one direction until the abutting of the rear ends of the tube-sections upon the slanting portions of the adjacent sections prevents further curvature.
- an adjustable catch device For retaining the tube in straightened condition an adjustable catch device is used, which consists of a set-screw extending transversely through the handle of the lever A and provided with a lock-nut K and a latch t, which is hinged at one end to the inner end of the set-screw and provided with a notch E in its upper side, which is adapted to be engaged by the catch N.
- a spring attached to the lever B and indicated in dotted lines in Fig. 1 serves to keep the latch in contact with the catch.
- a flanged stop prevents accidental withdrawal of the latch from the lever B.
- a sheath G of rubber or similar material, extends upon the tube from the entering end to the main tube-section.
- the exterior is coated with a suitable lubricant and the entering end closed by means of a small rubber ball or sponge S attached to a wire or rod F, as shown in Fig. l.
- the tube in flexible condition is then gently inserted in the esophagus, the patient throwing his head back to bring the mouth in line therewith.
- the tube is inserted with the. curvature toward the front.
- the levers A and B are brought together and at the same time the instrument is given a quarter turn, so that the levers are in the direction of the patients side.
- the levers are pressed together until the catch N enters the notch E.
- the sponge is then withdrawn and by means of a small incandescent lamp inserted into the instrument the examination of the parts below the end of the esophagoscope may be made.
- my device may be inserted without causing pain by reason of its flexibility in the direction of the natural curve of the passage into which it is inserted, and, further, that the joints of the instrument are so constructed that the quarter-turning of the same brings the strain when the instrument is straightened largely upon the pivots of the joints and not so much upon the straightening-wire or other parts of the instrument.
- the tube is thus retained in a perfectly straight condition without danger of breakage, and the surgeon is enabled to look directly through the tube to make the examination.
- a surgical instrument for insertion into the body consisting of a flexible insertiontube, a sleeve on said tube, a straightening wire attached at one end to said tube and at the opposite end to said sleeve, and means for shifting said sleeve, substantially as set forth.
- an insertion-tube composed of end sections and a series of intermediate tube-sections, each of said intermediate tubesections being provided at one of its ends with ears and at the other end with flattened portions adapted to fit between the ears of the next adjacent tube-section, pivots passing through said ears and flattened portions, wire guides in said tube-sections, and a sheath ex tending upon said tube and closing the joints between said tube-sections, substantially as set forth.
- an insertion-tube composed of end sections and a series of intermediate tube sections, each of said tube-sections being provided at one of its ends with ears and at the other end with flattened portions adapted to fit between the ears of the next adjacent tubesection, and having its ear-bearing end at one side of said ears out back at an angle, pivots passing through said ears and flattened p01.- tions, and a sheath extending upon said tube and closing the joints between said tube-sections, substantially as set forth.
Description
N0. 6l6,672. Patented Dec. 27, I898. G. E. KELLING. SURGICAL INSTRUMENT.
(Application filed Dec. 30, 1897.]
2 Sheets-Sheet I.
(No Modei.)
W/ TN E SSE S A 770R E Y8.
N0. 6l6,672. Patented Dec. 27, I898. G. E. KELLING. SURGICAL INSTRUMENT.
(Application filed Dec. 30, 1897.1
2 Sheets-Sheet 2.
(No Model.)
INVENTOH f4 WITNESSES lJNrrn STATES ATENT SURGICAL INSTRUMENT.
SPECIFICATION forming part of Letters Patent No. 616,672, dated December 27, 1898.
Application filed December 30, 1897. Serial No. 664,556. (No model.)
To all whom it may concern.-
Be it kn own that I, Gnone EMIL KELLING, a citizen of Germany,residing at Dresden,in the Kingdom of SaXony,Ger1nan Empire, have invented certain new and useful Improvements in Surgical Instruments, of which the following is a specification.
This invention relates to improvements in surgical instruments of that class designed for insertion into the natural passages of the human or animal body forinspect'ion of the diseased or injured parts preparatory to further medical or surgical treatment.
The invention consists of a surgical instrument for insertion into the body, consisting of a flexible insertion-tube, a straighteningwire attached to said tube, and means for pulling the latter for straightening said insertiontube, and, further, in the specific construction of the insertion-tube itself.
XVhile the improvements forming the subject-matter of my invention may be applied to a tube of suitable size and shape for insertion into any of the passages of the body for the purpose stated, the invention will be described in connection with an esophagoscope designed to facilitate inspection of the human esophagus, as the instrument is illustrated in the accompanying drawings, in which Figure 1 represents a side elevation, partly in section, of an esophagoscope embodying my invention, showing the tube of the instrument in curved condition. Fig. 2 is a side elevation, partly in section, showing the instrument with the tube straightened. Fig. 3 is an end view. Fig. 4 is a top view of a portion of the esophagoscope, and Fig. 5 is a cross-section of the tube through one of the joints of the same.
Similar letters of reference indicate corresponding parts.
Referring to the drawings, 9 g represent short tube sections, preferably of circular cross-section, which are each provided at one end with diametrically opposite ears 1. The end of the tube-section, at one side of the ears, is not cut squarely off, but is cut back at a slant, as indicated at u u to, Fig. 2. At its opposite end the exterior of the tube-section is flattened, as indicated in Fig. 5, whereby the rear ends of each section are adapted to fit between the ears of the adjacent section. The tube-sections are movably connected to each other by pivots passed through the ears and flattened portions, as shown in Fig. 5, and when connected form the insertion-tube of the instrument, which it will be seen is capable of bending in one direction. The forward edge of the first or entering section D is preferably cut squarely off and the edge rounded to prevent abrasion of the tissues when the tube is inserted into the esophagus. The main tube-section H at the opposite end of the tube is preferably longer than the intermediate tube-sections and is provided with a longitudinal slot in its upper portion. A short sleeve H is mounted on this section and is provided with a guide-screw S, the lower end of which enters the slot, thereby guiding the sleeve H and preventing its rotation on the main tubesection H. To the outer end of the main tubesection is attached a lever 13, to which is pivoted a lever A, the upper end of which is movably attached to the sleeve H in any suitable manner. The lower ends of said levers A and B form handles, by the movement of which the sleeve is moved longitudinally on the main tube-section. Each of the tube-sections g is provided at its upper portion with an internal wire guide or eye 6, as shown in Fig. 5. A straightening-wire D is attached at one end to the entering-section D of the insertiontube and passes through the guides 0' of the successive tube-sections, as shown in Fig. 1 and is attached at its opposite end to the sleeve 1-1 This wire is of such length that when the sleeve is drawn back by the levers the insertion-tube will be straightened, as indicated in Fig. 2, while if the lever-handles be separated the tube will be free to bend in one direction until the abutting of the rear ends of the tube-sections upon the slanting portions of the adjacent sections prevents further curvature.
For retaining the tube in straightened condition an adjustable catch device is used, which consists of a set-screw extending transversely through the handle of the lever A and provided with a lock-nut K and a latch t, which is hinged at one end to the inner end of the set-screw and provided with a notch E in its upper side, which is adapted to be engaged by the catch N. A spring attached to the lever B and indicated in dotted lines in Fig. 1 serves to keep the latch in contact with the catch. At its outer end a flanged stop prevents accidental withdrawal of the latch from the lever B. To close the joints between the tube-sections and render the tube water-tight and provide a smooth exterior, a sheath G, of rubber or similar material, extends upon the tube from the entering end to the main tube-section.
To insert the tube, the exterior is coated with a suitable lubricant and the entering end closed by means of a small rubber ball or sponge S attached to a wire or rod F, as shown in Fig. l. The tube in flexible condition is then gently inserted in the esophagus, the patient throwing his head back to bring the mouth in line therewith. The tube is inserted with the. curvature toward the front. To straighten the tube, the levers A and B are brought together and at the same time the instrument is given a quarter turn, so that the levers are in the direction of the patients side. The levers are pressed together until the catch N enters the notch E. The sponge is then withdrawn and by means of a small incandescent lamp inserted into the instrument the examination of the parts below the end of the esophagoscope may be made.
The advantages of my device are that it may be inserted without causing pain by reason of its flexibility in the direction of the natural curve of the passage into which it is inserted, and, further, that the joints of the instrument are so constructed that the quarter-turning of the same brings the strain when the instrument is straightened largely upon the pivots of the joints and not so much upon the straightening-wire or other parts of the instrument. The tube is thus retained in a perfectly straight condition without danger of breakage, and the surgeon is enabled to look directly through the tube to make the examination.
Having thus described my invention, I claim as new and desire to secure by Letters Patent V 1. A surgical instrument for insertion into the body, consisting of a flexible insertiontube, a sleeve on said tube, a straightening wire attached at one end to said tube and at the opposite end to said sleeve, and means for shifting said sleeve, substantially as set forth.
2. In a surgical instrument for insertion into the body, an insertion-tube composed of end sections and a series of intermediate tube-sections, each of said intermediate tubesections being provided at one of its ends with ears and at the other end with flattened portions adapted to fit between the ears of the next adjacent tube-section, pivots passing through said ears and flattened portions, wire guides in said tube-sections, and a sheath ex tending upon said tube and closing the joints between said tube-sections, substantially as set forth.
3. In a surgical instrument for insertion into the body, an insertion-tube composed of end sections and a series of intermediate tube sections, each of said tube-sections being provided at one of its ends with ears and at the other end with flattened portions adapted to fit between the ears of the next adjacent tubesection, and having its ear-bearing end at one side of said ears out back at an angle, pivots passing through said ears and flattened p01.- tions, and a sheath extending upon said tube and closing the joints between said tube-sections, substantially as set forth.
In witness whereof I have hereunto set my hand in presence of two Witnesses.
GEORG EMIL KELLING.
lVitnesses:
W ILLY KELLING, J OHANNES KELLING.
Publications (1)
Publication Number | Publication Date |
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US616672A true US616672A (en) | 1898-12-27 |
Family
ID=2685281
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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US616672D Expired - Lifetime US616672A (en) | kelling |
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US (1) | US616672A (en) |
Cited By (45)
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---|---|---|---|---|
US2917944A (en) * | 1955-08-31 | 1959-12-22 | Rca Corp | Control means |
US3040137A (en) * | 1958-07-17 | 1962-06-19 | John A Simmons | Adjustable microphone stand |
US3190286A (en) * | 1961-10-31 | 1965-06-22 | Bausch & Lomb | Flexible viewing probe for endoscopic use |
US3854473A (en) * | 1973-05-29 | 1974-12-17 | Olympus Optical Co | Stilet for endoscopes |
US5656011A (en) * | 1994-04-28 | 1997-08-12 | Epflex Feinwerktechnik Gmbh | Endoscope tube system |
US6248088B1 (en) * | 1990-07-24 | 2001-06-19 | Inbae Yoon | Methods for performing endoscopic procedures |
US20030171650A1 (en) * | 2000-04-03 | 2003-09-11 | Tartaglia Joseph M. | Endoscope with adjacently positioned guiding apparatus |
US20030233066A1 (en) * | 2002-06-13 | 2003-12-18 | Ewers Richard C. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US20040186350A1 (en) * | 2003-01-13 | 2004-09-23 | Usgi Medical Corp. | Apparatus and methods for guiding an endoscope via a rigidizable wire guide |
US20040249367A1 (en) * | 2003-01-15 | 2004-12-09 | Usgi Medical Corp. | Endoluminal tool deployment system |
US20050107663A1 (en) * | 2003-01-15 | 2005-05-19 | Usgi Medical Inc. | Endoluminal tool deployment system |
US20050103179A1 (en) * | 2003-11-19 | 2005-05-19 | Makoto Mori | Multifunction punch apparatus |
US20050137454A1 (en) * | 2002-06-13 | 2005-06-23 | Usgi Medical Corp. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US6974411B2 (en) | 2000-04-03 | 2005-12-13 | Neoguide Systems, Inc. | Endoscope with single step guiding apparatus |
US20060058582A1 (en) * | 2002-06-13 | 2006-03-16 | Usgi Medical Inc. | Disposable shapelocking system |
US7041052B2 (en) | 2002-06-13 | 2006-05-09 | Usgi Medical Inc. | Shape lockable apparatus and method for advancing an instrument through unsupported anatomy |
US20060178562A1 (en) * | 2005-02-10 | 2006-08-10 | Usgi Medical Inc. | Apparatus and methods for obtaining endoluminal access with a steerable guide having a variable pivot |
US20080091170A1 (en) * | 2003-09-12 | 2008-04-17 | Vargas Jaime S | Cannula system for free-space navigation and method of use |
US20080154288A1 (en) * | 2002-01-09 | 2008-06-26 | Neoguide Systems, Inc. | Apparatus and method for endoscopic colectomy |
US7571729B2 (en) | 2004-03-09 | 2009-08-11 | Usgi Medical, Inc. | Apparatus and methods for performing mucosectomy |
US20090275798A1 (en) * | 2008-05-01 | 2009-11-05 | Olympus Medical Systems Corp. | Overtube and endoscope system suitable for treatment such as submucosal dissection |
US7704264B2 (en) | 1999-06-25 | 2010-04-27 | Usgi Medical, Inc. | Apparatus and methods for forming and securing gastrointestinal tissue folds |
US20100116081A1 (en) * | 2008-11-11 | 2010-05-13 | Intuitive Surgical, Inc. | Robotic linkage |
US7918869B2 (en) | 2004-05-07 | 2011-04-05 | Usgi Medical, Inc. | Methods and apparatus for performing endoluminal gastroplasty |
US7942898B2 (en) | 2002-12-11 | 2011-05-17 | Usgi Medical, Inc. | Delivery systems and methods for gastric reduction |
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US8182418B2 (en) | 2008-02-25 | 2012-05-22 | Intuitive Surgical Operations, Inc. | Systems and methods for articulating an elongate body |
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US8568299B2 (en) | 2006-05-19 | 2013-10-29 | Intuitive Surgical Operations, Inc. | Methods and apparatus for displaying three-dimensional orientation of a steerable distal tip of an endoscope |
US8721530B2 (en) | 2000-04-03 | 2014-05-13 | Intuitive Surgical Operations, Inc. | Tendon-driven endoscope and methods of use |
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0
- US US616672D patent/US616672A/en not_active Expired - Lifetime
Cited By (89)
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---|---|---|---|---|
US2917944A (en) * | 1955-08-31 | 1959-12-22 | Rca Corp | Control means |
US3040137A (en) * | 1958-07-17 | 1962-06-19 | John A Simmons | Adjustable microphone stand |
US3190286A (en) * | 1961-10-31 | 1965-06-22 | Bausch & Lomb | Flexible viewing probe for endoscopic use |
US3854473A (en) * | 1973-05-29 | 1974-12-17 | Olympus Optical Co | Stilet for endoscopes |
US6248088B1 (en) * | 1990-07-24 | 2001-06-19 | Inbae Yoon | Methods for performing endoscopic procedures |
US5656011A (en) * | 1994-04-28 | 1997-08-12 | Epflex Feinwerktechnik Gmbh | Endoscope tube system |
US7955340B2 (en) | 1999-06-25 | 2011-06-07 | Usgi Medical, Inc. | Apparatus and methods for forming and securing gastrointestinal tissue folds |
US7744613B2 (en) | 1999-06-25 | 2010-06-29 | Usgi Medical, Inc. | Apparatus and methods for forming and securing gastrointestinal tissue folds |
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US8721530B2 (en) | 2000-04-03 | 2014-05-13 | Intuitive Surgical Operations, Inc. | Tendon-driven endoscope and methods of use |
US9808140B2 (en) | 2000-04-03 | 2017-11-07 | Intuitive Surgical Operations, Inc. | Steerable segmented endoscope and method of insertion |
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US10327625B2 (en) | 2000-04-03 | 2019-06-25 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
US8888688B2 (en) | 2000-04-03 | 2014-11-18 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
US6974411B2 (en) | 2000-04-03 | 2005-12-13 | Neoguide Systems, Inc. | Endoscope with single step guiding apparatus |
US6984203B2 (en) | 2000-04-03 | 2006-01-10 | Neoguide Systems, Inc. | Endoscope with adjacently positioned guiding apparatus |
US8845524B2 (en) | 2000-04-03 | 2014-09-30 | Intuitive Surgical Operations, Inc. | Steerable segmented endoscope and method of insertion |
US8834354B2 (en) | 2000-04-03 | 2014-09-16 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
US10105036B2 (en) | 2000-04-03 | 2018-10-23 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
US8226546B2 (en) | 2000-04-03 | 2012-07-24 | Intuitive Surgical Operations, Inc. | Steerable endoscope and improved method of insertion |
US20030171650A1 (en) * | 2000-04-03 | 2003-09-11 | Tartaglia Joseph M. | Endoscope with adjacently positioned guiding apparatus |
US11026564B2 (en) | 2000-04-03 | 2021-06-08 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
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US8517923B2 (en) | 2000-04-03 | 2013-08-27 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
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US8361090B2 (en) | 2002-01-09 | 2013-01-29 | Intuitive Surgical Operations, Inc. | Apparatus and method for endoscopic colectomy |
US20080154288A1 (en) * | 2002-01-09 | 2008-06-26 | Neoguide Systems, Inc. | Apparatus and method for endoscopic colectomy |
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