JP4949624B2 - 胃食道逆流症(gerd)の腹腔鏡治療に特に有用な外科用クリップ - Google Patents
胃食道逆流症(gerd)の腹腔鏡治療に特に有用な外科用クリップ Download PDFInfo
- Publication number
- JP4949624B2 JP4949624B2 JP2004506667A JP2004506667A JP4949624B2 JP 4949624 B2 JP4949624 B2 JP 4949624B2 JP 2004506667 A JP2004506667 A JP 2004506667A JP 2004506667 A JP2004506667 A JP 2004506667A JP 4949624 B2 JP4949624 B2 JP 4949624B2
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- Japan
- Prior art keywords
- clip
- arm
- tissue
- surgical
- retainer
- 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 - Fee Related
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/06—Biopsy forceps, e.g. with cup-shaped jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00296—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
- A61B2017/00827—Treatment of gastro-esophageal reflux
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B2017/320064—Surgical cutting instruments with tissue or sample retaining means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00577—Ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/1253—Generators therefor characterised by the output polarity monopolar
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/151,529 US20020138086A1 (en) | 2000-12-06 | 2002-05-20 | Surgical clips particularly useful in the endoluminal treatment of gastroesophageal reflux disease (GERD) |
| US10/151,529 | 2002-05-20 | ||
| PCT/US2003/013354 WO2003099139A1 (en) | 2002-05-20 | 2003-04-30 | Surgical clips particularly useful in the endoluminal treatment of gastroesophageal reflux disease(gerd) |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2011205316A Division JP2012045397A (ja) | 2002-05-20 | 2011-09-20 | 胃食道逆流症(gerd)の腹腔鏡治療に特に有用な外科用クリップ |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2005525904A JP2005525904A (ja) | 2005-09-02 |
| JP4949624B2 true JP4949624B2 (ja) | 2012-06-13 |
Family
ID=29582051
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2004506667A Expired - Fee Related JP4949624B2 (ja) | 2002-05-20 | 2003-04-30 | 胃食道逆流症(gerd)の腹腔鏡治療に特に有用な外科用クリップ |
| JP2011205316A Pending JP2012045397A (ja) | 2002-05-20 | 2011-09-20 | 胃食道逆流症(gerd)の腹腔鏡治療に特に有用な外科用クリップ |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2011205316A Pending JP2012045397A (ja) | 2002-05-20 | 2011-09-20 | 胃食道逆流症(gerd)の腹腔鏡治療に特に有用な外科用クリップ |
Country Status (7)
| Country | Link |
|---|---|
| US (4) | US20020138086A1 (enExample) |
| EP (3) | EP1505914A4 (enExample) |
| JP (2) | JP4949624B2 (enExample) |
| CN (2) | CN102274061A (enExample) |
| AU (2) | AU2003245248B2 (enExample) |
| CA (2) | CA2790078A1 (enExample) |
| WO (1) | WO2003099139A1 (enExample) |
Families Citing this family (420)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6663639B1 (en) | 1999-06-22 | 2003-12-16 | Ndo Surgical, Inc. | Methods and devices for tissue reconfiguration |
| US6821285B2 (en) | 1999-06-22 | 2004-11-23 | Ndo Surgical, Inc. | Tissue reconfiguration |
| US8287554B2 (en) | 1999-06-22 | 2012-10-16 | Ethicon Endo-Surgery, Inc. | Method and devices for tissue reconfiguration |
| US7846180B2 (en) * | 1999-06-22 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Tissue fixation devices and methods of fixing tissue |
| US6835200B2 (en) * | 1999-06-22 | 2004-12-28 | Ndo Surgical. Inc. | Method and devices for tissue reconfiguration |
| US20020082621A1 (en) | 2000-09-22 | 2002-06-27 | Schurr Marc O. | Methods and devices for folding and securing tissue |
| JP5073895B2 (ja) | 2001-09-25 | 2012-11-14 | オリンパス株式会社 | 内視鏡用処置具 |
| US20050277956A1 (en) * | 2004-06-14 | 2005-12-15 | Francese Jose L | Clip storage for endoscopic clip applier |
| US6869438B2 (en) * | 2003-01-27 | 2005-03-22 | Seh-Huang Chao | Gastric partition clip |
| US7105000B2 (en) * | 2003-03-25 | 2006-09-12 | Ethicon Endo-Surgery, Inc. | Surgical jaw assembly with increased mechanical advantage |
| US20040193189A1 (en) * | 2003-03-25 | 2004-09-30 | Kortenbach Juergen A. | Passive surgical clip |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
| US20040260337A1 (en) | 2003-06-18 | 2004-12-23 | Scimed Life Systems, Inc. | Endoscopic instruments and methods of manufacture |
| US8469993B2 (en) | 2003-06-18 | 2013-06-25 | Boston Scientific Scimed, Inc. | Endoscopic instruments |
| US7347863B2 (en) | 2004-05-07 | 2008-03-25 | Usgi Medical, Inc. | Apparatus and methods for manipulating and securing tissue |
| EP1699366A4 (en) * | 2003-12-12 | 2011-01-26 | Usgi Medical Inc | APPARATUS AND METHOD FOR FORMING AND FIXING GASTROINTESTINAL TISSUE PLIERS |
| US8257394B2 (en) | 2004-05-07 | 2012-09-04 | Usgi Medical, Inc. | Apparatus and methods for positioning and securing anchors |
| US8216255B2 (en) * | 2004-06-14 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Endoscopic clip applier actuator |
| US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
| US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
| US7585310B2 (en) * | 2005-01-14 | 2009-09-08 | Boston Scientific Scimed, Inc. | Minimally invasive clamp |
| US20060212049A1 (en) * | 2005-03-16 | 2006-09-21 | Mohiuddin Mohammed M | Pyeloplasty clip |
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| US8523882B2 (en) | 2005-04-14 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Clip advancer mechanism with alignment features |
| US7686820B2 (en) | 2005-04-14 | 2010-03-30 | Ethicon Endo-Surgery, Inc. | Surgical clip applier ratchet mechanism |
| US8038686B2 (en) | 2005-04-14 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Clip applier configured to prevent clip fallout |
| US7731724B2 (en) | 2005-04-14 | 2010-06-08 | Ethicon Endo-Surgery, Inc. | Surgical clip advancement and alignment mechanism |
| US7297149B2 (en) | 2005-04-14 | 2007-11-20 | Ethicon Endo-Surgery, Inc. | Surgical clip applier methods |
| US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
| US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
| US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
| US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
| WO2007064906A2 (en) * | 2005-12-01 | 2007-06-07 | Ndo Surgical, Inc. | Devices and methods for endoluminal gastric restriction and tissue manipulation |
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| US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
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2002
- 2002-05-20 US US10/151,529 patent/US20020138086A1/en not_active Abandoned
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2003
- 2003-04-30 EP EP03738884A patent/EP1505914A4/en not_active Withdrawn
- 2003-04-30 JP JP2004506667A patent/JP4949624B2/ja not_active Expired - Fee Related
- 2003-04-30 CN CN2011101301977A patent/CN102274061A/zh active Pending
- 2003-04-30 CA CA2790078A patent/CA2790078A1/en not_active Abandoned
- 2003-04-30 WO PCT/US2003/013354 patent/WO2003099139A1/en not_active Ceased
- 2003-04-30 EP EP11007906A patent/EP2401972A2/en not_active Withdrawn
- 2003-04-30 EP EP11007908A patent/EP2401973A2/en not_active Withdrawn
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|---|---|
| US20110071554A1 (en) | 2011-03-24 |
| CA2486595A1 (en) | 2003-12-04 |
| EP1505914A4 (en) | 2009-07-15 |
| JP2012045397A (ja) | 2012-03-08 |
| US20110071555A1 (en) | 2011-03-24 |
| WO2003099139A1 (en) | 2003-12-04 |
| EP2401972A2 (en) | 2012-01-04 |
| AU2003245248A1 (en) | 2003-12-12 |
| CN102274061A (zh) | 2011-12-14 |
| JP2005525904A (ja) | 2005-09-02 |
| AU2009243404B2 (en) | 2011-04-21 |
| EP1505914A1 (en) | 2005-02-16 |
| AU2003245248B2 (en) | 2009-08-27 |
| AU2009243404A1 (en) | 2009-12-17 |
| US20020138086A1 (en) | 2002-09-26 |
| CN1655725B (zh) | 2011-07-13 |
| EP2401973A2 (en) | 2012-01-04 |
| CA2790078A1 (en) | 2003-12-04 |
| CN1655725A (zh) | 2005-08-17 |
| US20110071547A1 (en) | 2011-03-24 |
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