WO1992006638A1 - Instrument chirurgical de laparoscopie - Google Patents

Instrument chirurgical de laparoscopie Download PDF

Info

Publication number
WO1992006638A1
WO1992006638A1 PCT/US1991/007425 US9107425W WO9206638A1 WO 1992006638 A1 WO1992006638 A1 WO 1992006638A1 US 9107425 W US9107425 W US 9107425W WO 9206638 A1 WO9206638 A1 WO 9206638A1
Authority
WO
WIPO (PCT)
Prior art keywords
surgical
length
instrument
prosthetic
sheet
Prior art date
Application number
PCT/US1991/007425
Other languages
English (en)
Inventor
Thomas M. O'hara
David W. Jansen
Original Assignee
W.L. Gore & Associates, Inc.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by W.L. Gore & Associates, Inc. filed Critical W.L. Gore & Associates, Inc.
Publication of WO1992006638A1 publication Critical patent/WO1992006638A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
    • A61F2002/0072—Delivery tools therefor

Definitions

  • This invention relates to the field of surgical instruments, and in particular to a surgical instrument for use in laparoscopy surgeries to implant prosthetic sheet repair materials when surgical repair of body membranes is required.
  • the repair is typically accomplished by suturing the perimeter of the prosthetic sheet repair material to the body membrane in such a manner that the defective portion of the body membrane is covered by the prosthetic sheet repair material.
  • the mechanical stresses normally carried by the body membrane or wall structure are largely transferred to the sheet of prosthetic repair material and to the sutures or other surgical fasteners used to retain that material in place. It is apparent that an incision adequate to allow access by a surgeon's hands so that the prosthetic sheet repair material may be properly sutured into place will have to be of substantial length. The resulting surgical trauma and time required for healing are also substantial.
  • This invention relates to a surgical instrument for use in implanting prosthetic sheet repair materials for the repair of defective body membranes or wall structures via incisions of reduced length.
  • the inventive surgical instrument comprises in its simplest embodiment a length of rod having an outside diameter and first and second ends, wherein said rod has adjacent to the first end a short length of reduced outside diameter in comparison to the rod outside diameter.
  • a sheet of prosthetic repair material may be wrapped around the portion of the rod having the short length of reduced diameter, then inserted through a trocar sleeve previously placed into the appropriate body cavity via a small incision, to a position in close proximity to the defective body membrane or wall structure requiring repair.
  • the prosthetic sheet material By rotating the rod in the direction appropriate to cause the rolled-up prosthetic sheet material to unroll, the prosthetic sheet material is presented to the site requiring repair. Forceps may be used to aid in unrolling the prosthetic sheet repair material from the rod.
  • the tip of the inventive surgical instrument may be used to maneuver the sheet of prosthetic repair material as necessary into place over the defect site.
  • the prosthetic sheet repair material may be fastened into place over the defect site by the use of various types of surgical fasteners, for example, as described in U.S. Patent 4,873,976.
  • Other embodiments of the present invention include the use of a flexible shaft or handle portion and an embodiment wherein the shaft or handle portion is separately rotatable from the reduced diameter portion.
  • the shaft or handle portion may also be made to be removable from the reduced diameter portion; the reduced diameter portion may incorporate a slot through its diameter.
  • Figure 1 shows a perspective view of the surgical instrument of the present invention and a sheet of prosthetic repair material for use with the surgical instrument.
  • Figure 2 shows a cross section of the reduced diameter portion of the surgical instrument of the present invention
  • Figure 3 shows a perspective view of the surgical instrument of the present invention during surgical use wherein a sheet of prosthetic repair material is shown wrapped around the reduced diameter portion of the instrument.
  • Figure 4 shows a cross section of the reduced diameter portion of the surgical instrument of the present invention during surgical use wherein a sheet of prosthetic repair material is shown wrapped around the reduced diameter portion of the instrument.
  • Figure 5 shows a cross section of the reduced diameter portion of an alternative embodiment of the surgical instrument wherein a slot exists through the length of the reduced diameter portion.
  • Figure 6 shows the cross section of the surgical instrument of Figure 5 in use, wherein a sheet of prosthetic repair material is shown wrapped around the reduced diameter portion of the instrument with one edge of the prosthetic sheet inserted through the slot in the instrument.
  • Figure 7 shows a perspective view of one embodiment of the surgical instrument wherein the shaft portion of the instrument is a flexible shaft.
  • Figure 8 shows a perspective view of one embodiment of the surgical instrument wherein the shaft portion of the instrument comprises a removable handle.
  • Figure 9 shows a longitudinal cross section of one embodiment of the surgical instrument wherein the shaft portion and the reduced diameter portion incorporate mating rotating means so that the two portions are rotatable relative to each other.
  • the surgical instrument 10 of the present invention comprises a length of rod having a second end ⁇ and a first end 1_2 having a portion 14 of said length with a reduced diameter adjacent to the first end ⁇ _Z .
  • the tip 13 of the instrument __0 is radiused to allow smooth entry via an incision into the body cavity.
  • the remaining length 15 of the rod-like instrument 10 will be referred to as the shaft.
  • a piece of prosthetic sheet repair material 16 is shown adjacent to the
  • Figure 2 shows the round cross section, taken at A-A', of the cylindrical form of the reduced diameter portion 14- Figure 3 describes the appearance of the instrument JJ) during use at which time the piece of prosthetic sheet repair material 16 . is rolled up around the reduced diameter portion 14. The same appearance is shown in the cross section of Figure 4 taken at B-B'.
  • FIG. 5 An alternative embodiment is described in the cross section of Figure 5 wherein the reduced diameter portion has a slot 17 cut through the reduced diameter portion 14 for the entire length of that portion.
  • the slot 17 is typically centered over a diameter of the reduced diameter portion 14 and is of width slightly greater than the thickness of the prosthetic repair material.
  • an edge 18 of the prosthetic sheet repair material ]_6 may be inserted into the slot 17 prior to rolling the repair material around the reduced diameter portion 14 of the instrument.
  • a piece of prosthetic sheet repair material 16 is shown in the cross section of Figure 6, wherein the sheet is shown rolled-up around the reduced diameter portion 14 of the surgical instrument of this embodiment with one edge 18 of the prosthetic sheet material 16 inserted through the slot 17 in the instrument.
  • Figure 7 shows another alternative embodiment wherein the shaft portion 15 adjacent to the second end of the instrument comprises a flexible shaft.
  • flexible is meant that the shaft is bendable or incorporates a swivel to allow the instrument to be used with the handle or shaft portion set at an angle to the reduced diameter portion. This may be advantageous for certain applications.
  • Figure 8 shows still another alternative embodiment wherein the shaft portion adjacent to the second end of the instrument is removable from the remainder of the instrument and so comprises a removable handle __9. This may be accomplished by the use of a threaded connection or any other means for removing and reattaching. This may be useful for applications wherein a single handle may be provided for use with various types of instruments including the surgical instrument of the present invention.
  • Figure 9 shows a longitudinal cross section of still another alternative embodiment wherein the shaft portion or handle 19 adjacent to the second end of the instrument and the reduced diameter portion 14 of the instrument incorporate mating rotating means such as the ball and socket joint 20 shown.
  • the shaft portion or handle 19 may or may not be made to be removable from the reduced diameter portion 1_4 at the mating rotating means ___ . .
  • This embodiment allows the reduced diameter portion of the instrument to be separately rotated from the shaft portion of the instrument. This may be useful for applications wherein it is desired to unroll the prosthetic sheet repair material from the reduced diameter portion 14 of the instrument while the shaft portion or handle 19 is held stationary.
  • the surgical instrument of the present invention may be made of any suitable material that possesses adequate rigidity, is bioco patible, easily cleaned and is sterilizable. Stainless steels suitable for surgical instruments are preferred.
  • the surgical instrument is intended for use primarily with GORE- TEX ® Surgical Membrane (W. L. Gore & Associates, Inc., Flagstaff, Arizona) or the thicker GORE-TEX® Soft Tissue Patch material (W. L. Gore & Associates, Inc., Flagstaff, Arizona) which is intended primarily for reconstruction of hernias. Both of these products are comprised of porous polytetrafluoroethylene. This material has almost no memory, so that when it is rolled-up around the reduced diameter of the inventive surgical instrument it has almost no tendency toward unrolling. Conversely, when unrolled from the instrument at a surgical site requiring repair, it displays almost no tendency to want to resume its rolled-up form.
  • the inventive surgical instrument is typically used as follows. A laparoscopy incision is made convenient to the defect site. A suitable trocar sleeve is then inserted into the incision. A piece of prosthetic repair material of a suitable type is cut to the necessary shape, rolled-up around the reduced diameter portion of the instrument, and delivered to the defect site through the bore of the trocar sleeve. The surgical instrument is then rotated in such a way as to unroll the prosthetic sheet repair material and present it in flat form to the defect site. Forceps, introduced via another trocar sleeve, may be used to unroll or aid in unrolling the prosthetic repair material from the surgical instrument.
  • the tip of the surgical instrument and the forceps may subsequently be used to position the prosthetic repair material as required over the defect site.
  • the repair material may then be attached to the defect site by any suitable surgical fastening means.
  • the procedure may be viewed as necessary with a suitable laparoscope.
  • the abdomen of a female, foxhound-cross dog was implanted with a GORE-TEX Surgical Membrane, using only laparoscopy.
  • a standard 10mm trocar sleeve was emplaced near the abdominal midline via a 2 cm long incision.
  • a standard 5mm trocar sleeve was emplaced at the right lateral abdominal sidewall via a second incision.
  • a 10mm operating laparoscope was introduced through the 10mm sleeve.
  • a 3 x 3cm GORE- TEX Surgical Membrane was wrapped around a surgical instrument of the present invention.
  • the instrument made of stainless steel, was of 57 cm length, 5 mm outside diameter, with a reduced length segment of 3 mm diameter and 8.5 mm length beginning 10 mm from the end of the instrument.
  • the instrument was then introduced to the abdominal cavity through the operating channel of the laparoscope.
  • An atrau atic forceps passed through the 5mm sleeve, was used to grasp the GORE-TEX Surgical Membrane and unwrap it. The forceps was then used to place the Surgical Membrane along the left abdominal sidewall.
  • a tack was then placed into the abdominal wall, through the GORE-TEX Surgical Membrane, securely pinning the surgical membrane to the abdominal wall.
  • Three tacks were thus used to implant the GORE-TEX Surgical Membrane.
  • the GORE-TEX Surgical Membrane became slightly wrinkled as tension was not applied to the repair material with the forceps during placement of the tacks. It appeared that wrinkling would be avoided by the use of tension via forceps.

Abstract

Instrument chirurgical (10) s'utilisant en chirurgie laparoscopique et efficace pour réaliser l'implantation d'une prothèse réparatrice en matériau en feuille (16), quand il est nécessaire d'effectuer une réparation chirurgicale de structures membranes ou de parois corporelles. L'utilisation de l'instrument chirurgical décrit par l'invention (10) réduit la longueur de l'incision nécessaire pour implanter la pièce de matériau prothétique.
PCT/US1991/007425 1990-10-10 1991-10-07 Instrument chirurgical de laparoscopie WO1992006638A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US59846590A 1990-10-10 1990-10-10
US598,465 1990-10-10

Publications (1)

Publication Number Publication Date
WO1992006638A1 true WO1992006638A1 (fr) 1992-04-30

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1991/007425 WO1992006638A1 (fr) 1990-10-10 1991-10-07 Instrument chirurgical de laparoscopie

Country Status (1)

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WO (1) WO1992006638A1 (fr)

Cited By (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0535506A1 (fr) * 1991-10-02 1993-04-07 Wisap Gesellschaft Für Wissenschaftlichen Apparatebau Mbh Instrument pour appliquer une prophylaxie d'adhésion, notamment une feuille, pour interventions endoscopiques
EP0581036A1 (fr) * 1992-06-30 1994-02-02 United States Surgical Corporation Dispositif pour déplier d'un élément chirurgical
EP0573273A3 (fr) * 1992-06-02 1994-03-23 Gen Surgical Innovations Inc
WO1994013210A1 (fr) * 1992-12-10 1994-06-23 Howmedica Inc. Bouchon hemostatique
EP0625334A1 (fr) * 1993-05-21 1994-11-23 Ethnor Ensemble de mise en place de prothèse en tissu souple par endoscopie
FR2705225A1 (fr) * 1993-05-21 1994-11-25 Ethnor Ensemble de mise en place de prothèse en tissu souple par endoscopie.
EP0664689A1 (fr) * 1992-10-13 1995-08-02 Boston Scientific Corporation Dispositif d'expansion pour passages corporels a mouvement peristaltique
EP0706778A1 (fr) * 1994-10-13 1996-04-17 Ethicon, Inc. Applicateur pour introduire des implants flexibles plats par un canal opératoire
US5540711A (en) * 1992-06-02 1996-07-30 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization
EP0748613A1 (fr) * 1995-06-15 1996-12-18 Ethicon, Inc. Clou chirurgical
WO1996039964A1 (fr) * 1995-06-07 1996-12-19 Cardiogenesis Corporation Sonde pour formation de canaux myocardiques
EP0750885A2 (fr) * 1995-05-16 1997-01-02 Hafslund Nycomed Pharma AG Appareil pour l'utilisation en endoscopie et laparoscopie
US5607443A (en) * 1992-06-02 1997-03-04 General Surgical Innovations, Inc. Expansible tunneling apparatus for creating an anatomic working space with laparoscopic observation
WO1997021383A1 (fr) * 1995-12-13 1997-06-19 Nycomed Arzneimittel Gmbh Instrument destine a l'application d'une matiere chirurgicale
DE19546434A1 (de) * 1995-12-13 1997-06-19 Nycomed Arzneimittel Gmbh Gerät zur Einbringung von wundeilendem oder wundversiegelndem Material zur Anwendung in der minimal invasiven Chirurgie
US5662713A (en) * 1991-10-09 1997-09-02 Boston Scientific Corporation Medical stents for body lumens exhibiting peristaltic motion
DE19610542A1 (de) * 1996-03-18 1997-09-25 Nycomed Arzneimittel Gmbh Gerät zur Einbringung von wundheilendem oder wundversiegelndem Material zur Anwendung in der minimal-invasiven Chirurgie
US5876445A (en) * 1991-10-09 1999-03-02 Boston Scientific Corporation Medical stents for body lumens exhibiting peristaltic motion
FR2771622A1 (fr) * 1997-11-28 1999-06-04 Richard Cancel Dispositif pour la mise en place d'une prothese dans le traitement des hernies de l'aine par voie coelioscopique
US6015421A (en) * 1997-05-15 2000-01-18 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic procedures
WO2001091644A1 (fr) 2000-06-01 2001-12-06 Genzyme S.A. Applicateur laparoscopique
US6364892B1 (en) 1992-06-02 2002-04-02 General Surgical Innovations, Inc. Ballon dissector with improved visualization
US6432121B1 (en) 1992-06-02 2002-08-13 General Surgical Innovations, Inc. Apparatus and method for guiding placement of a minimally invasive surgical instrument
US6562056B2 (en) 1992-06-02 2003-05-13 General Surgical Innovations, Inc. Balloon device for use in surgery and method of use
US6592515B2 (en) 2000-09-07 2003-07-15 Ams Research Corporation Implantable article and method
US7025063B2 (en) 2000-09-07 2006-04-11 Ams Research Corporation Coated sling material
US7947054B2 (en) * 2007-02-14 2011-05-24 EasyLab Ltd. Mesh deployment apparatus
US7963975B2 (en) 2003-05-08 2011-06-21 Tyco Healthcare Group Lp Balloon dissector with balloon tip cannula
JP2013066671A (ja) * 2011-09-26 2013-04-18 Genzyme Japan Kk 医療器具
US8454645B2 (en) 2002-10-04 2013-06-04 Covidien Lp Balloon dissector with cannula
EP2644159A1 (fr) 2012-03-28 2013-10-02 Cousin Biotech Plaque viscérale destinée à la coelioscopie
JP2014138727A (ja) * 2013-12-04 2014-07-31 Genzyme Japan Kk 医療器具
JP2015180328A (ja) * 2015-06-18 2015-10-15 ジェンザイム・ジャパン株式会社 医療器具
US10070853B2 (en) 2013-08-14 2018-09-11 Covidien Lp Expandable balloon desufflation assembly
US10166376B2 (en) 2013-06-11 2019-01-01 Covidien Lp Restricted expansion dissector
US11369400B2 (en) 2019-03-20 2022-06-28 Covidien Lp Balloon dissector
US11376037B2 (en) 2020-05-08 2022-07-05 Covidien Lp Surgical access device including dual lumen cannula for anchor inflation and deflation
US11432846B2 (en) 2020-05-05 2022-09-06 Covidien Lp Surgical access device including alternating cutout fluid flow pathway for anchor inflation and deflation
US11439430B2 (en) 2020-05-11 2022-09-13 Covidien Lp Surgical access device with air release mechanism
US11471189B2 (en) 2020-10-29 2022-10-18 Covidien Lp Surgical access device with fixation mechanism and illumination mechanism
US11484337B2 (en) 2020-02-06 2022-11-01 Covidien Lp Surgical access device including anchor with rachet mechanism
US11547441B2 (en) 2020-02-20 2023-01-10 Covidien Lp Retention anchor for surgical access devices
US11564708B2 (en) 2020-06-15 2023-01-31 Covidien Lp Cannula assembly including an adjustable elongate shaft assembly
US11583315B2 (en) 2020-11-09 2023-02-21 Covidien Lp Surgical access device including variable length cannula
US11672563B2 (en) 2020-02-07 2023-06-13 Covidien Lp Surgical access device with rotatably actuated fixation mechanism
US11717322B2 (en) 2020-08-17 2023-08-08 Covidien Lp Flexible cannula having selective rigidity
US11751907B2 (en) 2021-04-13 2023-09-12 Covidien Lp Surgical access device with self-inflating balloon
US11751906B2 (en) 2020-10-29 2023-09-12 Covidien Lp Adapter for use with surgical access device for evacuation of smoke
US11786233B2 (en) 2020-03-27 2023-10-17 Covidien Lp Retention anchor with suture tie down for surgical access devices
US11839404B2 (en) 2020-07-28 2023-12-12 Covidien Lp Surgical access assembly having pre-filled air chamber
US11844549B2 (en) 2020-10-15 2023-12-19 Covidien Lp Surgical access device including a universal fluid flow valve
US11849969B2 (en) 2020-12-04 2023-12-26 Covidien Lp Cannula with smoke evacuation housing
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US11896263B2 (en) 2020-05-11 2024-02-13 Covidien Lp Surgical access device with fixation mechanism
US11944348B2 (en) 2021-04-07 2024-04-02 Covidien Lp Surgical access device including an anchor having a suture retention mechanism

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4291694A (en) * 1979-10-29 1981-09-29 Chai S Apparatus and method for performing a thoracic operation
DE3217006A1 (de) * 1982-05-06 1983-11-10 Günter Dr.med 4400 Münster Kautz Kunststoff-tubusplazierstab
DE8900439U1 (fr) * 1989-01-17 1989-03-23 Mueller, Hans-Richard, Dipl.-Ing., 5902 Netphen, De
US5007895A (en) * 1989-04-05 1991-04-16 Burnett George S Wound packing instrument

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4291694A (en) * 1979-10-29 1981-09-29 Chai S Apparatus and method for performing a thoracic operation
DE3217006A1 (de) * 1982-05-06 1983-11-10 Günter Dr.med 4400 Münster Kautz Kunststoff-tubusplazierstab
DE8900439U1 (fr) * 1989-01-17 1989-03-23 Mueller, Hans-Richard, Dipl.-Ing., 5902 Netphen, De
US5007895A (en) * 1989-04-05 1991-04-16 Burnett George S Wound packing instrument

Cited By (89)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0535506A1 (fr) * 1991-10-02 1993-04-07 Wisap Gesellschaft Für Wissenschaftlichen Apparatebau Mbh Instrument pour appliquer une prophylaxie d'adhésion, notamment une feuille, pour interventions endoscopiques
US5350387A (en) * 1991-10-02 1994-09-27 Wisap Gesellschaft Fur Wissenschaftlichen Apparatebau Mbh Instrument for applying an adhesion prophylaxis for endoscopic surgery
US5662713A (en) * 1991-10-09 1997-09-02 Boston Scientific Corporation Medical stents for body lumens exhibiting peristaltic motion
US6505654B1 (en) 1991-10-09 2003-01-14 Scimed Life Systems, Inc. Medical stents for body lumens exhibiting peristaltic motion
US6355070B1 (en) 1991-10-09 2002-03-12 Scimed Life Systems, Inc. Medical stents for body lumens exhibiting peristaltic motion
US6305436B1 (en) 1991-10-09 2001-10-23 Scimed Life Systems, Inc. Medical stents for body lumens exhibiting peristaltic motion
US6146416A (en) * 1991-10-09 2000-11-14 Boston Scientific Corporation Medical stents for body lumens exhibiting peristaltic motion
US5876445A (en) * 1991-10-09 1999-03-02 Boston Scientific Corporation Medical stents for body lumens exhibiting peristaltic motion
US6562056B2 (en) 1992-06-02 2003-05-13 General Surgical Innovations, Inc. Balloon device for use in surgery and method of use
US6364892B1 (en) 1992-06-02 2002-04-02 General Surgical Innovations, Inc. Ballon dissector with improved visualization
US5496345A (en) * 1992-06-02 1996-03-05 General Surgical Innovations, Inc. Expansible tunneling apparatus for creating an anatomic working space
EP0573273A3 (fr) * 1992-06-02 1994-03-23 Gen Surgical Innovations Inc
US5540711A (en) * 1992-06-02 1996-07-30 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization
US6432121B1 (en) 1992-06-02 2002-08-13 General Surgical Innovations, Inc. Apparatus and method for guiding placement of a minimally invasive surgical instrument
US6368337B1 (en) 1992-06-02 2002-04-09 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith
US6755845B2 (en) 1992-06-02 2004-06-29 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith
US6004337A (en) * 1992-06-02 1999-12-21 General Surgical Innovations, Inc. Apparatus for developing an anatomic space for laparoscopic procedures with laparoscopic visualization
US5607443A (en) * 1992-06-02 1997-03-04 General Surgical Innovations, Inc. Expansible tunneling apparatus for creating an anatomic working space with laparoscopic observation
US6264604B1 (en) 1992-06-02 2001-07-24 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization
US5817123A (en) * 1992-06-02 1998-10-06 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization
US5836961A (en) * 1992-06-02 1998-11-17 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith
US8157831B2 (en) 1992-06-02 2012-04-17 Tyco Healthcare Group Lp Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization
US5702416A (en) * 1992-06-02 1997-12-30 Genral Surgical Innovations, Inc. Apparatus for developing an anatomic space for laparoscopic hernia repair and patch for use therewith
EP0581036A1 (fr) * 1992-06-30 1994-02-02 United States Surgical Corporation Dispositif pour déplier d'un élément chirurgical
US5304187A (en) * 1992-06-30 1994-04-19 United States Surgical Corporation Surgical element deployment apparatus
EP0664689A1 (fr) * 1992-10-13 1995-08-02 Boston Scientific Corporation Dispositif d'expansion pour passages corporels a mouvement peristaltique
EP0664689A4 (fr) * 1992-10-13 1997-02-26 Boston Scient Corp Dispositif d'expansion pour passages corporels a mouvement peristaltique.
WO1994013210A1 (fr) * 1992-12-10 1994-06-23 Howmedica Inc. Bouchon hemostatique
US5449375A (en) * 1992-12-10 1995-09-12 Howmedica Inc. Method of making a hemostatic plug
FR2705225A1 (fr) * 1993-05-21 1994-11-25 Ethnor Ensemble de mise en place de prothèse en tissu souple par endoscopie.
EP0625334A1 (fr) * 1993-05-21 1994-11-23 Ethnor Ensemble de mise en place de prothèse en tissu souple par endoscopie
EP0706778A1 (fr) * 1994-10-13 1996-04-17 Ethicon, Inc. Applicateur pour introduire des implants flexibles plats par un canal opératoire
EP0750885A3 (fr) * 1995-05-16 1999-04-28 Nycomed Austria GmbH Appareil pour l'utilisation en endoscopie et laparoscopie
EP0750885A2 (fr) * 1995-05-16 1997-01-02 Hafslund Nycomed Pharma AG Appareil pour l'utilisation en endoscopie et laparoscopie
US6132451A (en) * 1995-06-07 2000-10-17 Eclipse Surgical Technologies, Inc. Optical fiber for myocardial channel formation
WO1996039964A1 (fr) * 1995-06-07 1996-12-19 Cardiogenesis Corporation Sonde pour formation de canaux myocardiques
US5895396A (en) * 1995-06-15 1999-04-20 Ethicon, Inc. Surgical pins
EP0748613A1 (fr) * 1995-06-15 1996-12-18 Ethicon, Inc. Clou chirurgical
DE19546434A1 (de) * 1995-12-13 1997-06-19 Nycomed Arzneimittel Gmbh Gerät zur Einbringung von wundeilendem oder wundversiegelndem Material zur Anwendung in der minimal invasiven Chirurgie
WO1997021383A1 (fr) * 1995-12-13 1997-06-19 Nycomed Arzneimittel Gmbh Instrument destine a l'application d'une matiere chirurgicale
US6156045A (en) * 1995-12-13 2000-12-05 Nycomed Arzneinittel Gmbh Instrument for the application of surgical material
DE19610542A1 (de) * 1996-03-18 1997-09-25 Nycomed Arzneimittel Gmbh Gerät zur Einbringung von wundheilendem oder wundversiegelndem Material zur Anwendung in der minimal-invasiven Chirurgie
US6168608B1 (en) 1997-05-15 2001-01-02 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic procedures
US6015421A (en) * 1997-05-15 2000-01-18 General Surgical Innovations, Inc. Apparatus and method for developing an anatomic space for laparoscopic procedures
FR2771622A1 (fr) * 1997-11-28 1999-06-04 Richard Cancel Dispositif pour la mise en place d'une prothese dans le traitement des hernies de l'aine par voie coelioscopique
WO1999027869A1 (fr) * 1997-11-28 1999-06-10 Richard Cancel Dispositif pour la mise en place d'une prothese dans le traitement des hernies de l'aine par voie coelioscopique
WO2001091644A1 (fr) 2000-06-01 2001-12-06 Genzyme S.A. Applicateur laparoscopique
US9211177B2 (en) 2000-09-07 2015-12-15 Ams Research Corporation Implantable article and method
US7025063B2 (en) 2000-09-07 2006-04-11 Ams Research Corporation Coated sling material
US6884212B2 (en) 2000-09-07 2005-04-26 Ams Research Corporation Implantable article and method
US7517313B2 (en) 2000-09-07 2009-04-14 Ams Research Corporation Implantable article and method
US9987113B2 (en) 2000-09-07 2018-06-05 Astora Women's Health, Llc Implantable article and method
US8147478B2 (en) 2000-09-07 2012-04-03 Ams Research Corporation Coated sling material
US9022921B2 (en) 2000-09-07 2015-05-05 Ams Research Corporation Implantable article and method
US8905912B2 (en) 2000-09-07 2014-12-09 Ams Research Corporation Implantable article and method
US6592515B2 (en) 2000-09-07 2003-07-15 Ams Research Corporation Implantable article and method
US8702586B2 (en) 2000-09-07 2014-04-22 Ams Research Corporation Implantable article and method
US8540745B2 (en) 2002-10-04 2013-09-24 Covidien Lp Balloon dissector with cannula
US8454645B2 (en) 2002-10-04 2013-06-04 Covidien Lp Balloon dissector with cannula
US8328839B2 (en) 2003-05-08 2012-12-11 Covidien Lp Balloon dissector with balloon tip cannula
US7963975B2 (en) 2003-05-08 2011-06-21 Tyco Healthcare Group Lp Balloon dissector with balloon tip cannula
US7947054B2 (en) * 2007-02-14 2011-05-24 EasyLab Ltd. Mesh deployment apparatus
JP2013066671A (ja) * 2011-09-26 2013-04-18 Genzyme Japan Kk 医療器具
EP2644159A1 (fr) 2012-03-28 2013-10-02 Cousin Biotech Plaque viscérale destinée à la coelioscopie
US10166376B2 (en) 2013-06-11 2019-01-01 Covidien Lp Restricted expansion dissector
US10070853B2 (en) 2013-08-14 2018-09-11 Covidien Lp Expandable balloon desufflation assembly
US10835229B2 (en) 2013-08-14 2020-11-17 Covidien Lp Expandable balloon desufflation assembly
JP2014138727A (ja) * 2013-12-04 2014-07-31 Genzyme Japan Kk 医療器具
JP2015180328A (ja) * 2015-06-18 2015-10-15 ジェンザイム・ジャパン株式会社 医療器具
US11369400B2 (en) 2019-03-20 2022-06-28 Covidien Lp Balloon dissector
US11484337B2 (en) 2020-02-06 2022-11-01 Covidien Lp Surgical access device including anchor with rachet mechanism
US11672563B2 (en) 2020-02-07 2023-06-13 Covidien Lp Surgical access device with rotatably actuated fixation mechanism
US11547441B2 (en) 2020-02-20 2023-01-10 Covidien Lp Retention anchor for surgical access devices
US11786233B2 (en) 2020-03-27 2023-10-17 Covidien Lp Retention anchor with suture tie down for surgical access devices
US11432846B2 (en) 2020-05-05 2022-09-06 Covidien Lp Surgical access device including alternating cutout fluid flow pathway for anchor inflation and deflation
US11376037B2 (en) 2020-05-08 2022-07-05 Covidien Lp Surgical access device including dual lumen cannula for anchor inflation and deflation
US11439430B2 (en) 2020-05-11 2022-09-13 Covidien Lp Surgical access device with air release mechanism
US11896263B2 (en) 2020-05-11 2024-02-13 Covidien Lp Surgical access device with fixation mechanism
US11564708B2 (en) 2020-06-15 2023-01-31 Covidien Lp Cannula assembly including an adjustable elongate shaft assembly
US11839404B2 (en) 2020-07-28 2023-12-12 Covidien Lp Surgical access assembly having pre-filled air chamber
US11717322B2 (en) 2020-08-17 2023-08-08 Covidien Lp Flexible cannula having selective rigidity
US11844549B2 (en) 2020-10-15 2023-12-19 Covidien Lp Surgical access device including a universal fluid flow valve
US11751906B2 (en) 2020-10-29 2023-09-12 Covidien Lp Adapter for use with surgical access device for evacuation of smoke
US11471189B2 (en) 2020-10-29 2022-10-18 Covidien Lp Surgical access device with fixation mechanism and illumination mechanism
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US11849969B2 (en) 2020-12-04 2023-12-26 Covidien Lp Cannula with smoke evacuation housing
US11944348B2 (en) 2021-04-07 2024-04-02 Covidien Lp Surgical access device including an anchor having a suture retention mechanism
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US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism

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