CA2481967A1 - Trocar insertion apparatus - Google Patents

Trocar insertion apparatus Download PDF

Info

Publication number
CA2481967A1
CA2481967A1 CA002481967A CA2481967A CA2481967A1 CA 2481967 A1 CA2481967 A1 CA 2481967A1 CA 002481967 A CA002481967 A CA 002481967A CA 2481967 A CA2481967 A CA 2481967A CA 2481967 A1 CA2481967 A1 CA 2481967A1
Authority
CA
Canada
Prior art keywords
handle
arm
assembly
dilation
expansion
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.)
Granted
Application number
CA002481967A
Other languages
French (fr)
Other versions
CA2481967C (en
Inventor
Csaba L. Rethy
Kourosh Azarbarzin
Thomas Wenchell
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of CA2481967A1 publication Critical patent/CA2481967A1/en
Application granted granted Critical
Publication of CA2481967C publication Critical patent/CA2481967C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3476—Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3474—Insufflating needles, e.g. Veress needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00407—Ratchet means
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A61B2017/3405—Needle locating or guiding means using mechanical guide means

Abstract

Apparatus for forming and enlarging a percutaneous penetration are disclosed.
The apparatus includes an elongate dilation member including a radially expandable member having a first cross-sectional area; and an elongate expansion member including a tubular element having a second cross-sectional area which is larger than the first cross-sectional area. The apparatus further includes an advancing apparatus having a first arm with a first engaging feature for engaging the handle of the dilation member;
a second arm with a second engaging feature for engaging the handle of the expansion member;
and an operation member; the first arm and the second arm being connected so that operation of the operation member approximates the first engaging feature and the second engaging feature together.

Claims (20)

1. Apparatus for forming and enlarging a percutaneous penetration, the apparatus comprising:
an elongate dilation member including a radially expandable member having a proximal end with a handle, a distal end, and an axial lumen with a first cross-sectional area;
an elongate expansion member including a tubular element having a distal end, a proximal end with a handle, and an axial lumen with a second cross-sectional area which is larger than the first cross-sectional area;
the distal end of the expansion member being configured for facilitating insertion of the tubular element through the axial lumen of the dilation member; and an advancing apparatus having:
a first arm with a first engaging feature for engaging the handle of the dilation member;
a second arm with a second engaging feature for engaging the handle of the expansion member; and an operation member;

the first arm and the second arm being connected so that operation of the operation member approximates the first engaging feature and the second engaging feature together.
2. The apparatus of claim 1, wherein the radially expandable member comprises a braided sleeve.
3. The apparatus of claim 2, wherein the radially expandable member comprises a splittable sheath.
4. The apparatus of claim 1, wherein the operation member is attached to the second arm.
5. The apparatus of claim 4, wherein the second arm includes a passage for receiving the first arm.
6. The apparatus of claim 5, wherein the operation member is pivotally attached to the second arm and has a pivotal link engaging the first arm so that upon pressing the operation member, the link moves the first arm proximally.
7. The apparatus of claim 6, wherein the first arm extends parallel to the longitudinal axes of the dilation member and the expansion member.
8. The apparatus of claim 6, wherein the first arm and the second arm comprise inter-engaging ratchet teeth.
9. The apparatus of claim 4, wherein the first arm and the second arm are pivotally attached so that pressing the operation member toward the first arm approximates the first engaging feature and second engaging feature together.
10. An apparatus for facilitating the insertion of an expansion assembly distally through a radially expandable dilation assembly into a body cavity of a patient, the apparatus comprising:
a handle;
a trigger operatively coupled to the handle, the trigger being pivotable between a first position, spaced a distance from the handle, and a second position, in close proximity to the handle;
a spine member having a proximal end and a distal end, the spine member being slidably received within the handle, the spine member being axially moveable relative to the handle upon a manipulation of the trigger from the open position to the closed position;
an actuation mechanism inoperative engagement with the handle, the trigger and the spine member, the actuation mechanism being releasably engagable with the spine member and, when engaged with the spine member, axially moves the spine member relative to the handle upon movement of the trigger to the closed position;
a retaining structure operatively coupled to the handle for holding the expansion assembly in place; and a yoke provided at the distal end of the spine member for maintaining the dilation assembly aligned with the expansion assembly.
11. The apparatus of claim 10, wherein manipulation of the trigger towards the handle incrementally approximates he yoke toward the retaining structure.
12. The apparatus of claim 11, wherein the yoke defines a distal clevis and a proximal clevis, wherein tabs extending from opposite sides of a handle of the dilation assembly are positionable between the distal clevis and the proximal clevis.
13. The apparatus of claim 12, wherein the retaining structure includes at least one C-shaped cuff configured to operatively engage a handle of the expansion assembly in a snap-fit manner.
14. The apparatus of claim 13, wherein the actuation mechanism includes:
a driving lever operatively supported on the spine member;
a linkage member having a first end pivotally connected to the trigger and a second end slidably received within the handle and pivotally connected to the driving lever; and a compression spring disposed between the driving lever and an inner surface of the handle, the compression spring biasing the driving lever to an orientation orthogonal to the spine member;
wherein actuation of the trigger toward the handle causes the driving lever to pivot and bind against the spine member.
15. The apparatus of claim 14, wherein the actuation mechanism further includes:
a braking lever operatively supported on the spine member, a first end of braking lever is pivotally positioned within a recess formed in the handle; and a spring member disposed between braking lever and a surface formed in the handle, wherein the spring member biases a free end of the braking lever in a distal direction.
16. The apparatus of claim 15, wherein the proximal end of the spine member extends from a proximal end of the handle.
17. The apparatus of claim 16, further comprising:
an elongate dilation assembly operatively associatable with the yoke, the elongate dilation assembly including a handle, a radially expandable tubular sheath having a proximal end connected to the handle, a distal end, and defining an axial lumen with a first cross-sectional area.
18. The apparatus of claim 17, further comprising:
an elongate expansion assembly operatively connectable to the at least one cuff, the expansion assembly including a tubular element having a distal end, a proximal end with a handle, and an axial lumen with a second cross-sectional area which is larger than the first cross-sectional area of the elongate dilation assembly.
19. A kit for providing access to a target surgical site, comprising:

a radially expandable dilation assembly;
a pneumoperitoneum needle assembly;
a stylet;
an expansion assembly;
an obturator;
an expansion assembly insertion apparatus for forming and enlarging a percutaneous penetration; and a package for enclosing the radially expandable dilation assembly, the pneumoperitoneum needle assembly, the stylet, the expansion assembly, the obturator, and the expansion assembly insertion apparatus.
20. The kit according to claim 19, further comprising:
a package insert including at least one of instructions on use and warnings of use.
CA2481967A 2003-09-19 2004-09-17 Trocar insertion apparatus Expired - Fee Related CA2481967C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US50450603P 2003-09-19 2003-09-19
US60/504,506 2003-09-19

Publications (2)

Publication Number Publication Date
CA2481967A1 true CA2481967A1 (en) 2005-03-19
CA2481967C CA2481967C (en) 2012-12-18

Family

ID=34193394

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2481967A Expired - Fee Related CA2481967C (en) 2003-09-19 2004-09-17 Trocar insertion apparatus

Country Status (7)

Country Link
US (2) US7479150B2 (en)
EP (1) EP1516592B1 (en)
JP (3) JP5025899B2 (en)
AU (1) AU2004212570B2 (en)
CA (1) CA2481967C (en)
DE (1) DE602004005116T2 (en)
ES (1) ES2279270T3 (en)

Families Citing this family (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090132021A1 (en) * 2005-02-01 2009-05-21 Shifrin Edward G Apparatus and method for delivery, spreading and double-ended fixation of vascular grafts
WO2010042913A2 (en) * 2006-10-06 2010-04-15 Surgiquest, Incorporated Devices for and methods of performing minimally-invasive surgical procedures through a single incision
US8372131B2 (en) * 2007-07-16 2013-02-12 Power Ten , LLC Surgical site access system and deployment device for same
US20090024158A1 (en) * 2007-07-16 2009-01-22 Zimmer Spine, Inc. Access Port Expander And Method
US20090082731A1 (en) * 2007-09-20 2009-03-26 Ethicon Endo-Surgery, Inc. Dilating trocar cannula
WO2010064062A1 (en) * 2008-04-08 2010-06-10 A.S.S.O. Hospital S.N.C. Guiding device for ophthalmic mininvasive surgery
US20090264709A1 (en) 2008-04-21 2009-10-22 Plexus Biomedical, Inc. Method and Apparatus for Retention of Adipose Tissue
DE102009060377B4 (en) * 2009-12-24 2016-10-20 Richard Wolf Gmbh trocar
US8870849B2 (en) * 2010-04-08 2014-10-28 BiO2 Medical, Inc. Catheter hub
US9918723B2 (en) * 2011-09-23 2018-03-20 Depuy Mitek, Llc Glenoid anchor guide
WO2013065292A1 (en) * 2011-10-31 2013-05-10 住友ベークライト株式会社 Medical dilating instrument and medical dilating instrument set
EP2695581B1 (en) 2012-08-07 2019-03-13 Critical Innovations, LLC Device for simultaneously documenting and treating tension pneumothorax and/or hemothorax
US8684954B1 (en) 2013-03-14 2014-04-01 Plexus Biomedical, Inc. Labor management devices for decreasing the incidence of Cesarean childbirth
EP2986233B1 (en) 2013-04-16 2022-06-15 Teleflex Medical Incorporated Needlescopic instrument with reusable handle and detachable needle assembly
DE102013104789A1 (en) * 2013-05-08 2014-11-13 Karl Storz Gmbh & Co. Kg Dilatation device and expandable cover for a dilatation instrument
CA2924097C (en) 2013-09-18 2018-03-06 Teleflex Medical Incorporated Exchanger surgical access port assembly
US10046147B2 (en) 2013-12-26 2018-08-14 Critical Innovations, LLC Percutaneous access pathway system and method
CN106659375A (en) * 2014-05-13 2017-05-10 Vycor医学有限责任公司 Guidance system mounts for surgical introducers
EP3071131B1 (en) 2014-07-15 2019-02-27 Teleflex Medical Incorporated Exchanger surgical access port assembly
US10080520B2 (en) 2015-02-27 2018-09-25 Stetrix, Inc. Labor monitoring of pelvic floor
WO2017161311A1 (en) * 2016-03-18 2017-09-21 The Feinstein Institute For Medical Research Introducer and methods of use thereof
US10376258B2 (en) 2016-11-07 2019-08-13 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
US10543016B2 (en) 2016-11-07 2020-01-28 Vycor Medical, Inc. Surgical introducer with guidance system receptacle
US9993382B1 (en) 2017-07-10 2018-06-12 Stetrix, Inc. Tissue retention systems and methods
US10814119B2 (en) 2017-09-22 2020-10-27 Critical Innovations, LLC Percutaneous access pathway system
CN110856664B (en) * 2018-08-23 2022-03-25 武汉联影智融医疗科技有限公司 Surgical robot and puncture mechanism thereof
US11406806B2 (en) * 2018-02-21 2022-08-09 Charles P. Virden Atraumatic trocar apparatus, system and kit
US10856907B2 (en) 2018-02-21 2020-12-08 Charles P. Virden Atraumatic trocar medication delivery method
WO2023086587A1 (en) * 2021-11-15 2023-05-19 Conmed Corporation Access ports for use with surgical robots

Family Cites Families (136)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US319296A (en) * 1885-06-02 Peters
US219296A (en) * 1879-09-02 Improvement in machines for slicing logs into strips
US668879A (en) * 1900-07-19 1901-02-26 Wilber L Miller Vein-dilator for embalmers' use.
US702789A (en) * 1902-03-20 1902-06-17 Charles Gordon Gibson Dilator.
US1213001A (en) * 1916-05-02 1917-01-16 Ralph S Philips Therapeutic apparatus.
US1248492A (en) 1917-04-10 1917-12-04 A D Haskell Paracentesis needle or trocar.
US2548602A (en) * 1948-04-09 1951-04-10 Greenburg Leonard Inflatable dilator
US2566499A (en) * 1950-02-14 1951-09-04 Richter Bruno Expansile surgical needle
US3509883A (en) * 1967-11-29 1970-05-05 Gen Electric Expanding cannula
US3545443A (en) 1968-09-26 1970-12-08 Amir H Ansari Suprapubic cystostomy needle
US3742958A (en) * 1971-04-21 1973-07-03 C Rundles Suprapubic catheter inserter
US3811449A (en) * 1972-03-08 1974-05-21 Becton Dickinson Co Dilating apparatus and method
US3789852A (en) * 1972-06-12 1974-02-05 S Kim Expandable trochar, especially for medical purposes
US3788318A (en) * 1972-06-12 1974-01-29 S Kim Expandable cannular, especially for medical purposes
GB1443828A (en) * 1973-05-14 1976-07-28 Greenhalgh R M Catheters
JPS5239596B2 (en) * 1974-04-04 1977-10-06
US3968800A (en) * 1974-09-17 1976-07-13 Vilasi Joseph A Device for insertion into a body opening
US4320762A (en) * 1975-03-10 1982-03-23 Bentov Itzhak E Dilator
US4141364A (en) * 1977-03-18 1979-02-27 Jorge Schultze Expandable endotracheal or urethral tube
US4461281A (en) * 1977-06-15 1984-07-24 Carson Robert W Arthroscopic surgical apparatus and method
US4183102A (en) * 1977-09-08 1980-01-15 Jacques Guiset Inflatable prosthetic device for lining a body duct
US4630609A (en) 1981-05-14 1986-12-23 Thomas J. Fogarty Dilatation catheter method and apparatus
DE8132839U1 (en) * 1981-11-10 1982-03-11 B. Braun Melsungen Ag, 3508 Melsungen REINFORCING CORE FOR A CATHETER TUBE
US4411655A (en) 1981-11-30 1983-10-25 Schreck David M Apparatus and method for percutaneous catheterization
SE445884B (en) * 1982-04-30 1986-07-28 Medinvent Sa DEVICE FOR IMPLANTATION OF A RODFORM PROTECTION
US4447237A (en) * 1982-05-07 1984-05-08 Dow Corning Corporation Valving slit construction and cooperating assembly for penetrating the same
US4493701A (en) * 1982-08-19 1985-01-15 American Hospital Supply Corporation Wound drainage device of resilient sidewalls with a constant rate of recovery
US4479497A (en) 1982-11-12 1984-10-30 Thomas J. Fogarty Double lumen dilatation catheter
US4610688A (en) 1983-04-04 1986-09-09 Pfizer Hospital Products Group, Inc. Triaxially-braided fabric prosthesis
US4753636A (en) * 1983-08-02 1988-06-28 Endocon, Inc. Subcutaneous implant kit
US4601710B1 (en) * 1983-08-24 1998-05-05 United States Surgical Corp Trocar assembly
US4774091A (en) * 1983-10-14 1988-09-27 Sumitomo Pharmaceuticals Company, Ltd. Long-term sustained-release preparation
US4581025A (en) * 1983-11-14 1986-04-08 Cook Incorporated Sheath
US4589868A (en) * 1984-03-12 1986-05-20 Dretler Stephen P Expandable dilator-catheter
GB8424436D0 (en) * 1984-09-27 1984-10-31 Pratt Int Ltd Burnerd Surgical appliance
GB8513702D0 (en) * 1985-05-30 1985-07-03 Gill S S Expansible trocar
US4601713A (en) * 1985-06-11 1986-07-22 Genus Catheter Technologies, Inc. Variable diameter catheter
US4738666A (en) * 1985-06-11 1988-04-19 Genus Catheter Technologies, Inc. Variable diameter catheter
US4706670A (en) 1985-11-26 1987-11-17 Meadox Surgimed A/S Dilatation catheter
US4610668A (en) * 1985-10-02 1986-09-09 Fleig John A Preselected multiple dosage syringe
US4650466A (en) * 1985-11-01 1987-03-17 Angiobrade Partners Angioplasty device
US4733665C2 (en) * 1985-11-07 2002-01-29 Expandable Grafts Partnership Expandable intraluminal graft and method and apparatus for implanting an expandable intraluminal graft
US4654030A (en) * 1986-02-24 1987-03-31 Endotherapeutics Trocar
US4719825A (en) * 1986-03-24 1988-01-19 Lahaye Peter G Metering needle assembly
JPS63158064A (en) 1986-12-23 1988-07-01 テルモ株式会社 Blood vessel dilating catheter
US4772266A (en) * 1987-05-04 1988-09-20 Catheter Technology Corp. Catheter dilator/sheath assembly and method
US4798193A (en) * 1987-05-18 1989-01-17 Thomas J. Fogarty Protective sheath instrument carrier
GB2205751A (en) 1987-06-04 1988-12-21 Femcare Ltd Insertion of catheters
JPS642662A (en) * 1987-06-25 1989-01-06 Nippon Sherwood Kk Easy split plastic cannula excellent in stability
DE3802158A1 (en) * 1987-08-11 1989-02-23 Hoechst Ag DEVICE FOR APPLICATION OF IMPLANTS
US4921479A (en) * 1987-10-02 1990-05-01 Joseph Grayzel Catheter sheath with longitudinal seam
US4931042A (en) * 1987-10-26 1990-06-05 Endotherapeutics Trocar assembly with improved latch
US5487739A (en) * 1987-11-17 1996-01-30 Brown University Research Foundation Implantable therapy systems and methods
FR2624747A1 (en) * 1987-12-18 1989-06-23 Delsanti Gerard REMOVABLE ENDO-ARTERIAL DEVICES FOR REPAIRING ARTERIAL WALL DECOLLEMENTS
US4846812A (en) * 1988-03-22 1989-07-11 Menlo Care, Inc. Softening catheter
US4869717A (en) * 1988-04-25 1989-09-26 Adair Edwin Lloyd Gas insufflation needle with instrument port
US5556376A (en) 1988-07-22 1996-09-17 Yoon; Inbae Multifunctional devices having loop configured portions and collection systems for endoscopic surgical procedures and methods thereof
US4896669A (en) * 1988-08-31 1990-01-30 Meadox Medicals, Inc. Dilatation catheter
US4846791A (en) * 1988-09-02 1989-07-11 Advanced Medical Technology & Development Corp. Multi-lumen catheter
US4985022A (en) 1988-11-23 1991-01-15 Med Institute, Inc. Catheter having durable and flexible segments
US4972827A (en) 1989-02-06 1990-11-27 Fuji Photo Optical Co., Ltd. Guide device for percutaneous insertion of endoscope
US4996583A (en) * 1989-02-15 1991-02-26 Matsushita Electric Industrial Co., Ltd. Stack type semiconductor package
US5234425A (en) * 1989-03-03 1993-08-10 Thomas J. Fogarty Variable diameter sheath method and apparatus for use in body passages
US5112304A (en) * 1989-03-17 1992-05-12 Angeion Corporation Balloon catheter
US5116318A (en) * 1989-06-06 1992-05-26 Cordis Corporation Dilatation balloon within an elastic sleeve
US5535755A (en) * 1989-07-22 1996-07-16 Heske; Norbert Tissue sampler
US5009643A (en) * 1989-08-09 1991-04-23 Richard Wolf Medical Instruments Corp. Self-retaining electrically insulative trocar sleeve and trocar
US5045056A (en) 1989-09-15 1991-09-03 Behl Robert S Method and device for thermal ablation of hollow body organs
US5222938A (en) * 1989-09-15 1993-06-29 Interventional Thermodynamics, Inc. Method for thermal ablation of hollow body organs
US5100388A (en) * 1989-09-15 1992-03-31 Interventional Thermodynamics, Inc. Method and device for thermal ablation of hollow body organs
US4986830A (en) * 1989-09-22 1991-01-22 Schneider (U.S.A.) Inc. Valvuloplasty catheter with balloon which remains stable during inflation
US5122122A (en) * 1989-11-22 1992-06-16 Dexide, Incorporated Locking trocar sleeve
US5041093A (en) * 1990-01-31 1991-08-20 Boston Scientific Corp. Catheter with foraminous anchor
GB2240718A (en) * 1990-02-09 1991-08-14 Hundon Forge Ltd Implanting device with needle cover
GB2240926A (en) * 1990-02-14 1991-08-21 Steven Streatfield Gill An expansible cannula
US5197971A (en) * 1990-03-02 1993-03-30 Bonutti Peter M Arthroscopic retractor and method of using the same
US5226899A (en) * 1990-03-26 1993-07-13 Becton, Dickinson And Company Catheter tubing of controlled in vivo softening
US5201756A (en) * 1990-06-20 1993-04-13 Danforth Biomedical, Inc. Radially-expandable tubular elements for use in the construction of medical devices
US5188602A (en) * 1990-07-12 1993-02-23 Interventional Thermodynamics, Inc. Method and device for delivering heat to hollow body organs
US5250025A (en) 1990-08-15 1993-10-05 Intramed Laboratories Percutaneous access catheter and method of use
US5391183A (en) * 1990-09-21 1995-02-21 Datascope Investment Corp Device and method sealing puncture wounds
US5222971A (en) * 1990-10-09 1993-06-29 Scimed Life Systems, Inc. Temporary stent and methods for use and manufacture
US5147316A (en) * 1990-11-19 1992-09-15 Castillenti Thomas A Laparoscopic trocar with self-locking port sleeve
EP0558642B1 (en) * 1990-11-20 1997-01-02 InnerDyne, Inc. Tension guide and dilator
US5350393A (en) * 1992-01-06 1994-09-27 Inbae Yoon Safety trocar penetrating instrument
US5230702A (en) * 1991-01-16 1993-07-27 Paradigm Biotechnologies Partnership Hemodialysis method
US5115816A (en) * 1991-01-24 1992-05-26 Peter F. Lee, Inc. Single-hand controlled fine needle aspiration device
US5144942A (en) * 1991-03-21 1992-09-08 United States Surgical Corporation Endoscopic instrumentation kit and package therefor
US5158545A (en) 1991-05-02 1992-10-27 Brigham And Women's Hospital Diameter expansion cannula
US5244619A (en) * 1991-05-03 1993-09-14 Burnham Warren R Method of making catheter with irregular inner and/or outer surfaces to reduce travelling friction
US5542928A (en) * 1991-05-17 1996-08-06 Innerdyne, Inc. Method and device for thermal ablation having improved heat transfer
EP0766533A1 (en) * 1991-05-17 1997-04-09 InnerDyne, Inc. Method and device for thermal ablation
US5183464A (en) * 1991-05-17 1993-02-02 Interventional Thermodynamics, Inc. Radially expandable dilator
US5458579A (en) * 1991-12-31 1995-10-17 Technalytics, Inc. Mechanical trocar insertion apparatus
US5246424A (en) 1992-03-13 1993-09-21 Wilk Peter J Device and method for use in obtaining access to an internal body organ
US5403278A (en) * 1992-04-15 1995-04-04 Datascope Investment Corp. Device and method for treating hematomas and false aneurysms
US5380290A (en) * 1992-04-16 1995-01-10 Pfizer Hospital Products Group, Inc. Body access device
US5312417A (en) * 1992-07-29 1994-05-17 Wilk Peter J Laparoscopic cannula assembly and associated method
US6090072A (en) * 1992-10-15 2000-07-18 Scimed Life Systems, Inc. Expandable introducer sheath
US5250033A (en) 1992-10-28 1993-10-05 Interventional Thermodynamics, Inc. Peel-away introducer sheath having proximal fitting
US5409498A (en) * 1992-11-05 1995-04-25 Ethicon, Inc. Rotatable articulating endoscopic fastening instrument
US5316360A (en) * 1993-01-05 1994-05-31 Feikema Orville A Automobile sun visor
US5320611A (en) * 1993-02-04 1994-06-14 Peter M. Bonutti Expandable cannula having longitudinal wire and method of use
US6338730B1 (en) * 1993-02-04 2002-01-15 Peter M. Bonutti Method of using expandable cannula
US5814058A (en) 1993-03-05 1998-09-29 Innerdyne, Inc. Method and apparatus employing conformable sleeve for providing percutaneous access
US5431676A (en) * 1993-03-05 1995-07-11 Innerdyne Medical, Inc. Trocar system having expandable port
US5304119A (en) * 1993-06-24 1994-04-19 Monsanto Company Instrument for injecting implants through animal hide
US5453094A (en) * 1993-09-17 1995-09-26 Minnesota Mining And Manufacturing Company Kit assembly for use during a laparoscopic surgical procedure
US5392766A (en) * 1993-10-06 1995-02-28 Innerdyne Medical, Inc. System and method for cleaning viewing scope lenses
US5407430A (en) * 1994-03-21 1995-04-18 Peters; Michael J. Intravenous catheter
US5526822A (en) * 1994-03-24 1996-06-18 Biopsys Medical, Inc. Method and apparatus for automated biopsy and collection of soft tissue
US5484403A (en) * 1994-04-05 1996-01-16 Avid Marketing, Inc. Hypodermic syringe for implanting solid objects
US5454790A (en) 1994-05-09 1995-10-03 Innerdyne, Inc. Method and apparatus for catheterization access
US5540658A (en) * 1994-06-27 1996-07-30 Innerdyne, Inc. Transcervical uterine access and sealing device
US5460170A (en) 1994-08-23 1995-10-24 Hammerslag; Julius G. Adjustable surgical retractor
US5885217A (en) * 1995-01-20 1999-03-23 Tyco Group S.A.R.L. Catheter introducer
US5938645A (en) * 1995-05-24 1999-08-17 Boston Scientific Corporation Northwest Technology Center Inc. Percutaneous aspiration catheter system
US5766201A (en) * 1995-06-07 1998-06-16 Boston Scientific Corporation Expandable catheter
US5938587A (en) * 1996-04-25 1999-08-17 Modified Polymer Components, Inc. Flexible inner liner for the working channel of an endoscope
US5713867A (en) * 1996-04-29 1998-02-03 Medtronic, Inc. Introducer system having kink resistant splittable sheath
US5827319A (en) * 1996-05-20 1998-10-27 Innerdyne, Inc. Radially expandable access system having disposable and reusable components
US6261241B1 (en) * 1998-03-03 2001-07-17 Senorx, Inc. Electrosurgical biopsy device and method
US6331166B1 (en) * 1998-03-03 2001-12-18 Senorx, Inc. Breast biopsy system and method
US6875182B2 (en) * 1998-03-03 2005-04-05 Senorx, Inc. Electrosurgical specimen-collection system
US6095967A (en) * 1998-03-25 2000-08-01 Manan Medical Products, Inc. Isotope seeding system that releases radioactive seeds for treatment of cancerous cells
US6245052B1 (en) * 1998-07-08 2001-06-12 Innerdyne, Inc. Methods, systems, and kits for implanting articles
US6280417B1 (en) * 1999-02-23 2001-08-28 Needberg Technologies, Inc. Trocar
US6428550B1 (en) * 1999-05-18 2002-08-06 Cardica, Inc. Sutureless closure and deployment system for connecting blood vessels
WO2000069350A1 (en) * 1999-05-19 2000-11-23 Innerdyne, Inc. System and method for establishing vascular access
US7083618B2 (en) * 2001-04-06 2006-08-01 Sherwood Services Ag Vessel sealer and divider
CA2449705A1 (en) * 2001-05-11 2002-11-21 Applied Medical Resources Corporation Traction trocar apparatus and method
EP1418850B1 (en) * 2001-08-01 2010-10-06 Tyco Healthcare Group LP Apparatus for providing percutaneous access and medicament to a target surgical site
US6605098B2 (en) * 2001-09-28 2003-08-12 Ethicon, Inc. Surgical device for creating an anastomosis between first and second hollow organs
US7022085B2 (en) * 2002-11-20 2006-04-04 Scimed Life Systems, Inc. Medical instrument
US7217275B2 (en) * 2003-01-14 2007-05-15 Crabtree John H Tunnel port apparatus with serial gas-check assembly
US7329227B2 (en) * 2004-10-21 2008-02-12 Inter-V-Manan Forward-fired automatic tissue sampling apparatus with safety lock

Also Published As

Publication number Publication date
JP2005087744A (en) 2005-04-07
DE602004005116D1 (en) 2007-04-19
US20050203565A1 (en) 2005-09-15
EP1516592A2 (en) 2005-03-23
US7479150B2 (en) 2009-01-20
EP1516592A3 (en) 2005-05-04
AU2004212570B2 (en) 2009-05-07
EP1516592B1 (en) 2007-03-07
DE602004005116T2 (en) 2007-10-31
JP2010279709A (en) 2010-12-16
CA2481967C (en) 2012-12-18
JP5025899B2 (en) 2012-09-12
ES2279270T3 (en) 2007-08-16
AU2004212570A1 (en) 2005-04-07
JP2010279710A (en) 2010-12-16
US20090131871A1 (en) 2009-05-21

Similar Documents

Publication Publication Date Title
CA2481967A1 (en) Trocar insertion apparatus
US11918231B2 (en) Articulating endoscopic surgical clip applier
CN109381240B (en) Gear actuation mechanism and surgical clip applier including same
US11622783B2 (en) Single port instruments
US20190046202A1 (en) Geared actuation mechanism and surgical clip applier including the same
US6733514B2 (en) Jaw assembly for endoscopic instruments
US8382789B2 (en) Handle for surgical instruments
AU2004212963B2 (en) Transmitting an actuating force along a curved instrument
US8092489B2 (en) Tissue grasping apparatus
US5743880A (en) Side load tolerant instruments for use in laparoscopic surgery
EP1958572B1 (en) Mid-point lock suture cutter
EP1340465A1 (en) Surgical device with malleable shaft
JP2008531207A5 (en)
WO2005037329A3 (en) Surgical stapling device with independent tip rotation
US11219463B2 (en) Bilateral spring for surgical instruments and surgical instruments including the same
JP2004510487A (en) Endoscope instruments
CA2676038C (en) Tunnel tool for soft tissue

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20150917

MKLA Lapsed

Effective date: 20150917