JP5781590B2 - 外科用アクセス装置 - Google Patents
外科用アクセス装置 Download PDFInfo
- Publication number
- JP5781590B2 JP5781590B2 JP2013269391A JP2013269391A JP5781590B2 JP 5781590 B2 JP5781590 B2 JP 5781590B2 JP 2013269391 A JP2013269391 A JP 2013269391A JP 2013269391 A JP2013269391 A JP 2013269391A JP 5781590 B2 JP5781590 B2 JP 5781590B2
- Authority
- JP
- Japan
- Prior art keywords
- seal
- housing
- access device
- surgical access
- port
- 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
Links
- 238000007789 sealing Methods 0.000 claims description 91
- 230000007246 mechanism Effects 0.000 description 50
- 238000000034 method Methods 0.000 description 27
- 210000001519 tissue Anatomy 0.000 description 27
- 238000003780 insertion Methods 0.000 description 21
- 230000037431 insertion Effects 0.000 description 21
- 241000405070 Percophidae Species 0.000 description 13
- 230000008859 change Effects 0.000 description 12
- 239000000463 material Substances 0.000 description 11
- 230000001681 protective effect Effects 0.000 description 11
- 238000010168 coupling process Methods 0.000 description 10
- 238000001356 surgical procedure Methods 0.000 description 10
- 230000002093 peripheral effect Effects 0.000 description 9
- 230000008878 coupling Effects 0.000 description 8
- 238000005859 coupling reaction Methods 0.000 description 8
- 229920002725 thermoplastic elastomer Polymers 0.000 description 8
- 238000007667 floating Methods 0.000 description 7
- JOYRKODLDBILNP-UHFFFAOYSA-N Ethyl urethane Chemical compound CCOC(N)=O JOYRKODLDBILNP-UHFFFAOYSA-N 0.000 description 5
- 229920001296 polysiloxane Polymers 0.000 description 5
- 239000000853 adhesive Substances 0.000 description 4
- 230000001070 adhesive effect Effects 0.000 description 4
- 230000008901 benefit Effects 0.000 description 4
- 239000002537 cosmetic Substances 0.000 description 4
- 238000002357 laparoscopic surgery Methods 0.000 description 4
- 230000005855 radiation Effects 0.000 description 4
- 210000001015 abdomen Anatomy 0.000 description 3
- 210000003815 abdominal wall Anatomy 0.000 description 3
- 238000004891 communication Methods 0.000 description 3
- 229920001971 elastomer Polymers 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 239000012528 membrane Substances 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 239000004677 Nylon Substances 0.000 description 2
- 206010053692 Wound complication Diseases 0.000 description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 2
- 238000004140 cleaning Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 239000013536 elastomeric material Substances 0.000 description 2
- 229920002313 fluoropolymer Polymers 0.000 description 2
- 239000004811 fluoropolymer Substances 0.000 description 2
- 238000013110 gastrectomy Methods 0.000 description 2
- 229920001903 high density polyethylene Polymers 0.000 description 2
- 239000004700 high-density polyethylene Substances 0.000 description 2
- 238000005286 illumination Methods 0.000 description 2
- 238000003973 irrigation Methods 0.000 description 2
- 229920001778 nylon Polymers 0.000 description 2
- 239000004417 polycarbonate Substances 0.000 description 2
- 229920000515 polycarbonate Polymers 0.000 description 2
- 229920000728 polyester Polymers 0.000 description 2
- 229920000098 polyolefin Polymers 0.000 description 2
- 239000000565 sealant Substances 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 241001631457 Cannula Species 0.000 description 1
- IAYPIBMASNFSPL-UHFFFAOYSA-N Ethylene oxide Chemical compound C1CO1 IAYPIBMASNFSPL-UHFFFAOYSA-N 0.000 description 1
- RYECOJGRJDOGPP-UHFFFAOYSA-N Ethylurea Chemical compound CCNC(N)=O RYECOJGRJDOGPP-UHFFFAOYSA-N 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 206010036410 Postoperative wound infection Diseases 0.000 description 1
- 208000031650 Surgical Wound Infection Diseases 0.000 description 1
- 239000004433 Thermoplastic polyurethane Substances 0.000 description 1
- 229920000690 Tyvek Polymers 0.000 description 1
- 239000004775 Tyvek Substances 0.000 description 1
- 241000544076 Whipplea modesta Species 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 238000002679 ablation Methods 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 239000000806 elastomer Substances 0.000 description 1
- 210000000232 gallbladder Anatomy 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000002262 irrigation Effects 0.000 description 1
- 208000011379 keloid formation Diseases 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000001012 protector Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000004513 sizing Methods 0.000 description 1
- 238000007682 sleeve gastrectomy Methods 0.000 description 1
- 239000000779 smoke Substances 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 229920002803 thermoplastic polyurethane Polymers 0.000 description 1
- 230000017105 transposition Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 210000001113 umbilicus Anatomy 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
Images
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
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
-
- 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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
-
- 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
- A61B2017/3445—Cannulas used as instrument channel for multiple instruments
- A61B2017/3447—Linked multiple cannulas
-
- 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
- A61B2017/3445—Cannulas used as instrument channel for multiple instruments
- A61B2017/3449—Cannulas used as instrument channel for multiple instruments whereby the instrument channels merge into one single channel
-
- 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
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
- A61B2017/3466—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals for simultaneous sealing of multiple instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
- A61M2039/0626—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof used with other surgical instruments, e.g. endoscope, trocar
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Anesthesiology (AREA)
- Pulmonology (AREA)
- Hematology (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
Description
本発明は、体腔内への外科的アクセスをもたらす、外科用アクセス装置に関する。
腹部腹腔鏡手術は、胆嚢の腹腔鏡的除去の、従来(切開)手術に対する利点が明らかになってきた1980年代後半には好評を博した。術後の回復期間の減少、術後の痛みおよび創傷感染の著しい減少、ならびに、美容的結果(cosmetic outcome)の改善は、体腔壁のより小さな切開部を用いて手術を行う腹腔鏡外科医の能力から主に得られる、腹腔鏡手術の確立した利益である。
本発明は、概して、患者の身体の内部への外科的アクセスを可能にする装置を提供する。一実施形態では、外科用アクセス装置が提供され、この外科用アクセス装置は、開創器を含んでよく、開創器は、体腔内へと組織を貫通する通路を形成するため、この開創器を通って延びる開口部を有する。ハウジングが、開創器に連結されていてよく、また、ハウジングを通って延びる長さ方向軸を定めることができる。ハウジングは、開創器の開口部と連絡している、複数の剛性シールポートを含むことができる。いくつかの実施形態では、各シールポートは、シール要素を内部に有してよく、ハウジングの長さ方向軸と、ゼロより大きい角度を成す中心軸を有してよい。各シールポートの中心軸は、他のすべてのシールポートの中心軸と異なっていてよい。
本明細書に開示される装置および方法の構造、機能、製造、および使用の原理の総合的理解を提供するため、特定の例示的実施形態を説明する。これらの実施形態の1つ以上の例が、添付図面に示される。当業者は、本明細書で特に説明され添付図面に示される装置および方法が、非限定的な例示的実施形態であり、本発明の範囲が請求項によってのみ定められることを理解するであろう。例示的な一実施形態と関連して示されるかまたは説明される特徴は、他の実施形態の特徴と組み合わせられてよい。このような改変および変形体は、本発明の範囲内に含まれることを意図している。
(実施の形態1)
外科用アクセス装置において、
シール基部を有するハウジングと、
前記シール基部内部に回転可能に設置され、前記シール基部と実質的に同一平面に延びる、ステージと、
外科器具を受容するために前記シール基部を通って延びる複数のシールポートであって、前記ステージ内部に設置される第1のシールポート、および前記シール基部内部に設置され、前記ステージから間隔をあけて置かれる第2のシールポートを有する、複数のシールポートと、
を含む、外科用アクセス装置。
前記ステージは、前記シール基部に形成された開口部内部に回転可能に配される、外科用アクセス装置。
前記シール基部は、前記ハウジング内部に回転可能に設置される、外科用アクセス装置。
前記ハウジングから遠位に延び、前記複数のシールポートを通して挿入された外科器具を受容するための開口部を有する、開創器、
をさらに含む、外科用アクセス装置。
各シールポートは、外科器具を受容するために前記シールポートの内腔にわたって延びるシール要素を有する、外科用アクセス装置。
前記複数のシールポートは、前記ステージ内部に設置される第3のシールポートを含み、
前記ステージは、前記第1、第2、および第3のシールポートを、実質的に直線に並んだ構成と実質的に三角形の構成との間で動かすように回転可能である、外科用アクセス装置。
外科用アクセス装置において、
シール基部を有するハウジングと、
前記シール基部を通って延び、内部を通して外科器具を受容するように構成された、第1のシールポートと、
前記シール基部を通って延び、内部を通して外科器具を受容するように構成された、第2のシールポートと、
を含み、
前記第1のシールポートは、前記シール基部の中央地点を通って延びる中心軸を中心に前記第1のシールポートが回転する第1の回転通路に沿って移動可能であり、前記第2のシールポートは、前記シール基部の中心点から半径方向外側に離間した第2の軸を中心に前記第2のシールポートが回転する第2の回転通路に沿って移動可能であり、前記第1のシールポートと前記第2のシールポートとの間の距離が変化することができる、外科用アクセス装置。
前記第2のシールポートは、前記シール基部内部に回転可能に設置されたステージ内部に設置され、
前記ステージは、前記第2の軸を中心に回転する、外科用アクセス装置。
前記シール基部を通って延び、内部を通して外科器具を受容するように構成された、第3のシールポート、
をさらに含み、
前記第3のシールポートは、前記第2の回転通路に沿って移動可能であり、前記第1のシールポートと前記第3のシールポートとの間の距離が調節可能となる、外科用アクセス装置。
前記ハウジングから延び、前記第1および第2のシールポートを通して挿入された外科器具を受容するための開口部を有する、開創器、
をさらに含む、外科用アクセス装置。
前記第1および第2のシールポートはそれぞれ、外科器具を受容するために前記第1および第2のシールポートそれぞれの内腔にわたって延びるシール要素を有する、外科用アクセス装置。
前記シール基部は、前記ハウジング内部に回転可能に設置される、外科用アクセス装置。
外科用アクセス装置において、
シール基部を有するハウジングと、
外科器具を受容するために前記シール基部を通って延びる第1、第2、および第3のシールポートと、
を含み、
前記第1のシールポートおよび前記第2のシールポートは、前記ハウジングに対して同時に回転することができ、前記第1、第2、および第3のシールポートは、実質的に直線に並んだ構成と実質的に三角形の構成との間で動くことができる、外科用アクセス装置。
前記ハウジングから延び、前記第1、第2、および第3のシールポートを通して挿入された外科器具を受容するための開口部を有する、開創器、
をさらに含む、外科用アクセス装置。
前記シール基部は、前記ハウジング内部に回転可能に設置される、外科用アクセス装置。
前記シール基部内部に回転可能に設置されるステージ、
をさらに含み、
前記第1および第2のシールポートは、前記ステージ内部に設置される、外科用アクセス装置。
前記ステージは、前記シール基部内に形成された開口部内部に配される、外科用アクセス装置。
Claims (14)
- 外科用アクセス装置において、
シール基部を有するハウジングと、
前記シール基部内部に回転可能に設置され、前記シール基部と実質的に同一平面に延びる、ステージと、
外科器具を受容するために前記シール基部を通って延びる複数のシールポートであって、前記ステージ内部に設置される第1のシールポート、および前記シール基部内部に設置され、前記ステージから間隔をあけて置かれる第2のシールポートを有する、複数のシールポートと、
を含み、
前記シール基部は、前記ハウジング内部に回転可能に設置される、外科用アクセス装置。 - 請求項1に記載の外科用アクセス装置において、
前記ステージは、前記シール基部に形成された開口部内部に回転可能に配される、外科用アクセス装置。 - 請求項1に記載の外科用アクセス装置において、
前記ハウジングから遠位に延び、前記複数のシールポートを通して挿入された外科器具を受容するための開口部を有する、開創器、
をさらに含む、外科用アクセス装置。 - 請求項1に記載の外科用アクセス装置において、
各シールポートは、外科器具を受容するために前記シールポートの内腔にわたって延びるシール要素を有する、外科用アクセス装置。 - 請求項1に記載の外科用アクセス装置において、
前記複数のシールポートは、前記ステージ内部に設置される第3のシールポートを含み、
前記ステージは、前記第1、第2、および第3のシールポートを、実質的に直線に並んだ構成と実質的に三角形の構成との間で動かすように回転可能である、外科用アクセス装置。 - 外科用アクセス装置において、
シール基部を有するハウジングと、
前記シール基部を通って延び、内部を通して外科器具を受容するように構成された、第1のシールポートと、
前記シール基部を通って延び、内部を通して外科器具を受容するように構成された、第2のシールポートと、
を含み、
前記第1のシールポートは、前記シール基部の中央地点を通って延びる中心軸を中心に前記第1のシールポートが回転する第1の回転通路に沿って移動可能であり、前記第2のシールポートは、前記シール基部の中心点から半径方向外側に離間した第2の軸を中心に前記第2のシールポートが回転する第2の回転通路に沿って移動可能であり、前記第1のシールポートと前記第2のシールポートとの間の距離が変化することができる、外科用アクセス装置。 - 請求項6に記載の外科用アクセス装置において、
前記第2のシールポートは、前記シール基部内部に回転可能に設置されたステージ内部に設置され、
前記ステージは、前記第2の軸を中心に回転する、外科用アクセス装置。 - 請求項6に記載の外科用アクセス装置において、
前記シール基部を通って延び、内部を通して外科器具を受容するように構成された、第3のシールポート、
をさらに含み、
前記第3のシールポートは、前記第2の回転通路に沿って移動可能であり、前記第1のシールポートと前記第3のシールポートとの間の距離が調節可能となる、外科用アクセス装置。 - 請求項6に記載の外科用アクセス装置において、
前記ハウジングから延び、前記第1および第2のシールポートを通して挿入された外科器具を受容するための開口部を有する、開創器、
をさらに含む、外科用アクセス装置。 - 請求項6に記載の外科用アクセス装置において、
前記第1および第2のシールポートはそれぞれ、外科器具を受容するために前記第1および第2のシールポートそれぞれの内腔にわたって延びるシール要素を有する、外科用アクセス装置。 - 請求項6に記載の外科用アクセス装置において、
前記シール基部は、前記ハウジング内部に回転可能に設置される、外科用アクセス装置。 - 外科用アクセス装置において、
シール基部を有するハウジングと、
外科器具を受容するために前記シール基部を通って延びる第1、第2、および第3のシールポートと、
を含み、
前記第1のシールポートおよび前記第2のシールポートは、前記ハウジングに対して同時に回転することができ、前記第1、第2、および第3のシールポートは、実質的に直線に並んだ構成と実質的に三角形の構成との間で動くことができ、
前記シール基部は、前記ハウジング内部に回転可能に設置され、
前記シール基部内部に回転可能に設置されるステージ、をさらに含み、
前記第1および第2のシールポートは、前記ステージ内部に設置され、前記第3のシールポートは前記シール基部内部に設置され、前記ステージから間隔をあけて置かれる、外科用アクセス装置。 - 請求項12に記載の外科用アクセス装置において、
前記ハウジングから延び、前記第1、第2、および第3のシールポートを通して挿入された外科器具を受容するための開口部を有する、開創器、
をさらに含む、外科用アクセス装置。 - 請求項12に記載の外科用アクセス装置において、
前記ステージは、前記シール基部内に形成された開口部内部に配される、外科用アクセス装置。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/242,726 | 2008-09-30 | ||
US12/242,726 US8328761B2 (en) | 2008-09-30 | 2008-09-30 | Variable surgical access device |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009224191A Division JP2010082452A (ja) | 2008-09-30 | 2009-09-29 | 可変の外科用アクセス装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2014111136A JP2014111136A (ja) | 2014-06-19 |
JP5781590B2 true JP5781590B2 (ja) | 2015-09-24 |
Family
ID=41495969
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009224191A Pending JP2010082452A (ja) | 2008-09-30 | 2009-09-29 | 可変の外科用アクセス装置 |
JP2013269391A Expired - Fee Related JP5781590B2 (ja) | 2008-09-30 | 2013-12-26 | 外科用アクセス装置 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009224191A Pending JP2010082452A (ja) | 2008-09-30 | 2009-09-29 | 可変の外科用アクセス装置 |
Country Status (9)
Country | Link |
---|---|
US (1) | US8328761B2 (ja) |
EP (1) | EP2168509B1 (ja) |
JP (2) | JP2010082452A (ja) |
KR (1) | KR101600281B1 (ja) |
CN (1) | CN101711690B (ja) |
AU (1) | AU2009222424B2 (ja) |
BR (1) | BRPI0905167B1 (ja) |
CA (1) | CA2680949C (ja) |
MX (1) | MX2009010643A (ja) |
Families Citing this family (302)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE60142978D1 (de) | 2000-10-19 | 2010-10-14 | Applied Med Resources | Chirurgisches zugangsgerät und -verfahren |
US6942671B1 (en) | 2000-11-06 | 2005-09-13 | Tyco Healthcare Group Lp | Surgical sealing apparatus |
US10835307B2 (en) | 2001-06-12 | 2020-11-17 | Ethicon Llc | Modular battery powered handheld surgical instrument containing elongated multi-layered shaft |
US20050033246A1 (en) | 2002-05-14 | 2005-02-10 | Ahlberg Russell E. | Surgical device with tack-free gel and method of manufacture |
EP1416981B1 (en) | 2001-08-14 | 2013-07-24 | Applied Medical Resources Corporation | Access sealing apparatus |
US6958037B2 (en) | 2001-10-20 | 2005-10-25 | Applied Medical Resources Corporation | Wound retraction apparatus and method |
EP1534201B1 (en) | 2002-06-05 | 2011-05-25 | Applied Medical Resources Corporation | Wound retractor |
US20050020884A1 (en) | 2003-02-25 | 2005-01-27 | Hart Charles C. | Surgical access system |
US7163510B2 (en) | 2003-09-17 | 2007-01-16 | Applied Medical Resources Corporation | Surgical instrument access device |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US20060079879A1 (en) | 2004-10-08 | 2006-04-13 | Faller Craig N | Actuation mechanism for use with an ultrasonic surgical instrument |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US7909760B2 (en) | 2005-10-14 | 2011-03-22 | Applied Medical Resources Corporation | Split hoop wound retractor with gel pad |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US20100081864A1 (en) * | 2008-09-30 | 2010-04-01 | Ethicon Endo-Surgery, Inc. | Methods and devices for performing gastrectomies and gastroplasties |
US20100081883A1 (en) * | 2008-09-30 | 2010-04-01 | Ethicon Endo-Surgery, Inc. | Methods and devices for performing gastroplasties using a multiple port access device |
US8251900B2 (en) * | 2009-03-06 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Surgical access devices and methods providing seal movement in predefined paths |
US8926506B2 (en) | 2009-03-06 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
US20100228096A1 (en) * | 2009-03-06 | 2010-09-09 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
US8485970B2 (en) | 2008-09-30 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US8425410B2 (en) * | 2008-09-30 | 2013-04-23 | Ethicon Endo-Surgery, Inc. | Surgical access device with protective element |
US8357085B2 (en) | 2009-03-31 | 2013-01-22 | Ethicon Endo-Surgery, Inc. | Devices and methods for providing access into a body cavity |
US8821391B2 (en) * | 2009-03-06 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
US8961406B2 (en) | 2009-03-06 | 2015-02-24 | Ethicon Endo-Surgery, Inc. | Surgical access devices and methods providing seal movement in predefined movement regions |
US8430811B2 (en) * | 2008-09-30 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Multiple port surgical access device |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8109873B2 (en) | 2007-05-11 | 2012-02-07 | Applied Medical Resources Corporation | Surgical retractor with gel pad |
WO2008141302A1 (en) | 2007-05-11 | 2008-11-20 | Applied Medical Resources Corporation | Surgical retractor |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US20090093752A1 (en) * | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Seal anchor for use in surgical procedures |
AU2008308606B2 (en) | 2007-10-05 | 2014-12-18 | Ethicon Endo-Surgery, Inc. | Ergonomic surgical instruments |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
EP2237815B1 (en) | 2008-01-22 | 2020-08-19 | Applied Medical Resources Corporation | Surgical instrument access device |
EP2259733B1 (en) * | 2008-03-06 | 2014-07-23 | Cook Medical Technologies LLC | Medical systems for accessing an internal bodily opening |
MX2011004209A (es) * | 2008-03-27 | 2011-05-24 | Wom Ind Srl | Equipo de instrumental quirurgico apto para cirugia mini invasiva. |
AU2009246137B2 (en) * | 2008-05-15 | 2013-10-10 | Cook Medical Technologies Llc | Systems, devices and methods for accessing a bodily opening |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US8328761B2 (en) | 2008-09-30 | 2012-12-11 | Ethicon Endo-Surgery, Inc. | Variable surgical access device |
USD738500S1 (en) | 2008-10-02 | 2015-09-08 | Covidien Lp | Seal anchor for use in surgical procedures |
EP2349032B1 (en) | 2008-10-13 | 2017-12-06 | Applied Medical Resources Corporation | Single port access system |
US20100113883A1 (en) * | 2008-10-30 | 2010-05-06 | Widenhouse Christopher W | Surgical access port with adjustable ring geometry |
WO2010088509A1 (en) * | 2009-01-30 | 2010-08-05 | Wilson-Cook Medical, Inc. | Expandable port for accessing a bodily opening |
US9737334B2 (en) * | 2009-03-06 | 2017-08-22 | Ethicon Llc | Methods and devices for accessing a body cavity |
US9078697B2 (en) * | 2009-03-18 | 2015-07-14 | Covidien Lp | Surgical portal apparatus including movable housing |
US20100249521A1 (en) | 2009-03-31 | 2010-09-30 | Shelton Iv Frederick E | Access Device Including Retractor And Insert |
US8945163B2 (en) * | 2009-04-01 | 2015-02-03 | Ethicon Endo-Surgery, Inc. | Methods and devices for cutting and fastening tissue |
US8419635B2 (en) | 2009-04-08 | 2013-04-16 | Ethicon Endo-Surgery, Inc. | Surgical access device having removable and replaceable components |
US8137267B2 (en) * | 2009-04-08 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Retractor with flexible sleeve |
US8257251B2 (en) * | 2009-04-08 | 2012-09-04 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
US20100268162A1 (en) * | 2009-04-15 | 2010-10-21 | Ethicon Endo-Surgery, Inc. | Cannula with sealing elements |
US20100274093A1 (en) * | 2009-04-22 | 2010-10-28 | Ethicon Endo-Surgery, Inc. | Methods and devices for identifying sealing port size |
US20100280327A1 (en) * | 2009-05-04 | 2010-11-04 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access through tissue to a surgical site |
US8968189B2 (en) * | 2009-05-07 | 2015-03-03 | Covidien Lp | Flexible access assembly with multiple ports |
US8834361B2 (en) * | 2009-05-15 | 2014-09-16 | Cook Medical Technologies Llc | Systems, devices and methods for accessing a bodily opening |
US20100298646A1 (en) * | 2009-05-19 | 2010-11-25 | Tyco Healthcare Group Lp | Flexible access assembly with reinforced lumen |
US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US9078695B2 (en) * | 2009-06-05 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Methods and devices for accessing a body cavity using a surgical access device with modular seal components |
US8475490B2 (en) * | 2009-06-05 | 2013-07-02 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access through tissue to a surgical site |
US8361109B2 (en) * | 2009-06-05 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Multi-planar obturator with foldable retractor |
US8465422B2 (en) | 2009-06-05 | 2013-06-18 | Ethicon Endo-Surgery, Inc. | Retractor with integrated wound closure |
US8241209B2 (en) * | 2009-06-05 | 2012-08-14 | Ethicon Endo-Surgery, Inc. | Active seal components |
US8795163B2 (en) * | 2009-06-05 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Interlocking seal components |
US8033995B2 (en) | 2009-06-05 | 2011-10-11 | Ethicon Endo-Surgery, Inc. | Inflatable retractor with insufflation and method |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
JP6247003B2 (ja) * | 2009-08-31 | 2017-12-13 | アプライド メディカル リソーシーズ コーポレイション | 多機能手術用アクセスシステム |
US8932212B2 (en) * | 2009-10-01 | 2015-01-13 | Covidien Lp | Seal anchor with non-parallel lumens |
US20110082370A1 (en) * | 2009-10-02 | 2011-04-07 | Wilson-Cook Medical Inc. | Endoscopic fascia tunneling |
US9232962B2 (en) * | 2009-10-02 | 2016-01-12 | Cook Medical Technologies Llc | Apparatus for single port access |
US9339264B2 (en) | 2010-10-01 | 2016-05-17 | Cook Medical Technologies Llc | Port access visualization platform |
US9474540B2 (en) | 2009-10-08 | 2016-10-25 | Ethicon-Endo-Surgery, Inc. | Laparoscopic device with compound angulation |
US8574231B2 (en) * | 2009-10-09 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising a movable electrode or insulator |
US8747404B2 (en) | 2009-10-09 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions |
US8939974B2 (en) | 2009-10-09 | 2015-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US8906016B2 (en) | 2009-10-09 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising steam control paths |
US8956349B2 (en) | 2009-10-09 | 2015-02-17 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US10172669B2 (en) * | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US8376938B2 (en) | 2009-11-20 | 2013-02-19 | Ethicon Endo-Surgery, Inc. | Discrete flexion head for single port device |
US20110124971A1 (en) * | 2009-11-20 | 2011-05-26 | Tyco Healthcare Group Lp | Portal assembly with multi-seal system |
US8500633B2 (en) | 2009-12-11 | 2013-08-06 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing surgical access through tissue to a surgical site |
US8357088B2 (en) | 2009-12-11 | 2013-01-22 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
US8414483B2 (en) | 2009-12-11 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
US8231570B2 (en) * | 2009-12-11 | 2012-07-31 | Ethicon Endo-Surgery, Inc. | Inverted conical expandable retractor |
US8282546B2 (en) | 2009-12-11 | 2012-10-09 | Ethicon Endo-Surgery, Inc. | Inverted conical expandable retractor with coil spring |
US8517932B2 (en) | 2009-12-11 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access through tissue to a surgical site |
US8444557B2 (en) | 2009-12-11 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access through tissue to a surgical site |
US8435174B2 (en) | 2009-12-11 | 2013-05-07 | Ethicon Endo-Surgery, Inc. | Methods and devices for accessing a body cavity |
US8353873B2 (en) | 2009-12-11 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access through tissue to a surgical site |
US8460186B2 (en) | 2009-12-11 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access through tissue to a surgical site |
US8409086B2 (en) * | 2009-12-18 | 2013-04-02 | Covidien Lp | Surgical portal with rotating seal |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8696665B2 (en) | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
US8496682B2 (en) | 2010-04-12 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8623044B2 (en) | 2010-04-12 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Cable actuated end-effector for a surgical instrument |
US8709035B2 (en) | 2010-04-12 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
US8834518B2 (en) | 2010-04-12 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8535311B2 (en) | 2010-04-22 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising closing and firing systems |
US9226760B2 (en) | 2010-05-07 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Laparoscopic devices with flexible actuation mechanisms |
US8562592B2 (en) | 2010-05-07 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Compound angle laparoscopic methods and devices |
US20110282237A1 (en) * | 2010-05-14 | 2011-11-17 | Ethicon Endo-Surgery, Inc. | Trocar with specimen retrieval feature |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
GB2480498A (en) | 2010-05-21 | 2011-11-23 | Ethicon Endo Surgery Inc | Medical device comprising RF circuitry |
US8795276B2 (en) | 2010-06-09 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a plurality of electrodes |
US8888776B2 (en) | 2010-06-09 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing an electrode |
US8460337B2 (en) | 2010-06-09 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Selectable handle biasing |
US8790342B2 (en) | 2010-06-09 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing pressure-variation electrodes |
US8926607B2 (en) | 2010-06-09 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing multiple positive temperature coefficient electrodes |
US8764747B2 (en) | 2010-06-10 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising sequentially activated electrodes |
US9005199B2 (en) | 2010-06-10 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Heat management configurations for controlling heat dissipation from electrosurgical instruments |
US8753338B2 (en) | 2010-06-10 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a thermal management system |
US20140066704A1 (en) * | 2010-06-18 | 2014-03-06 | Vantage Surgical Systems Inc. | Stereoscopic method for minimally invasive surgery visualization |
US8834466B2 (en) | 2010-07-08 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
WO2012006306A2 (en) | 2010-07-08 | 2012-01-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US9149324B2 (en) | 2010-07-08 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US8613383B2 (en) | 2010-07-14 | 2013-12-24 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8453906B2 (en) | 2010-07-14 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8795327B2 (en) | 2010-07-22 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US9011437B2 (en) | 2010-07-23 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8979843B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US9192431B2 (en) | 2010-07-23 | 2015-11-24 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8979844B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8702704B2 (en) | 2010-07-23 | 2014-04-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US9289115B2 (en) | 2010-10-01 | 2016-03-22 | Applied Medical Resources Corporation | Natural orifice surgery system |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
ES2743503T3 (es) * | 2010-10-01 | 2020-02-19 | Applied Med Resources | Sistema quirúrgico para orificio natural |
US8628529B2 (en) | 2010-10-26 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument with magnetic clamping force |
US8715277B2 (en) | 2010-12-08 | 2014-05-06 | Ethicon Endo-Surgery, Inc. | Control of jaw compression in surgical instrument having end effector with opposing jaw members |
US9119664B2 (en) * | 2010-12-20 | 2015-09-01 | Covidien Lp | Integral foam port |
USD666717S1 (en) * | 2010-12-27 | 2012-09-04 | Karl Storz Gmbh & Co. Kg | Rectoscope |
US9119666B2 (en) * | 2011-03-25 | 2015-09-01 | Covidien Lp | Access port with integrated flexible sleeve |
WO2012154845A1 (en) | 2011-05-10 | 2012-11-15 | Applied Medical Resources Corporation | Wound retractor |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US9044243B2 (en) | 2011-08-30 | 2015-06-02 | Ethcon Endo-Surgery, Inc. | Surgical cutting and fastening device with descendible second trigger arrangement |
GB2495534B (en) * | 2011-10-13 | 2014-04-23 | Neosurgical Ltd | Laparoscopic system |
WO2013062978A2 (en) | 2011-10-24 | 2013-05-02 | Ethicon Endo-Surgery, Inc. | Medical instrument |
JP6377530B2 (ja) * | 2012-01-10 | 2018-08-22 | ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ | 外科的挿入装置 |
WO2013119545A1 (en) | 2012-02-10 | 2013-08-15 | Ethicon-Endo Surgery, Inc. | Robotically controlled surgical instrument |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
BR112015007010B1 (pt) | 2012-09-28 | 2022-05-31 | Ethicon Endo-Surgery, Inc | Atuador de extremidade |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
JP5596217B2 (ja) * | 2012-11-28 | 2014-09-24 | 日機装株式会社 | 液体注入器具 |
JP6311146B2 (ja) * | 2012-12-28 | 2018-04-18 | 東レ・メディカル株式会社 | 単孔式腹腔鏡手術用装置 |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
KR102544812B1 (ko) * | 2013-03-15 | 2023-06-20 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 회전 보조 포트 |
US10070887B2 (en) * | 2013-03-15 | 2018-09-11 | Intuitive Surgical Operations, Inc. | Sealing multiple surgical instruments |
ES2768612T3 (es) | 2013-03-15 | 2020-06-23 | Applied Med Resources | Dispositivo mecánico de gel para acceso quirúrgico |
US9629681B2 (en) | 2013-03-15 | 2017-04-25 | Intuitive Surgical Operations, Inc. | Sealing multiple surgical instruments |
ES2806266T3 (es) | 2013-03-15 | 2021-02-17 | Applied Med Resources | Junta de sellado quirúrgica de trocar |
US9888941B2 (en) | 2013-03-15 | 2018-02-13 | Intuitive Surgical Operations, Inc. | Sealing multiple surgical instruments |
US10492825B2 (en) | 2013-03-15 | 2019-12-03 | Intuitive Surgical Operations, Inc. | Sealing multiple surgical instruments |
US10292730B2 (en) | 2013-03-15 | 2019-05-21 | Intuitive Surgical Operations, Inc. | Sealing multiple surgical instruments |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US9861428B2 (en) | 2013-09-16 | 2018-01-09 | Ethicon Llc | Integrated systems for electrosurgical steam or smoke control |
US9265926B2 (en) | 2013-11-08 | 2016-02-23 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9526565B2 (en) | 2013-11-08 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
GB2521229A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
GB2521228A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10524852B1 (en) | 2014-03-28 | 2020-01-07 | Ethicon Llc | Distal sealing end effector with spacers |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US10064649B2 (en) | 2014-07-07 | 2018-09-04 | Covidien Lp | Pleated seal for surgical hand or instrument access |
KR102444866B1 (ko) | 2014-07-18 | 2022-09-19 | 어플라이드 메디컬 리소시스 코포레이션 | 영구적인 점착성-없는(tack free) 코팅을 갖는 겔 및 그의 제조 방법 |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
ES2930777T3 (es) | 2014-08-15 | 2022-12-21 | Applied Med Resources | Sistema de cirugía por orificios naturales |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US10194972B2 (en) | 2014-08-26 | 2019-02-05 | Ethicon Llc | Managing tissue treatment |
US10188583B2 (en) * | 2014-11-07 | 2019-01-29 | Baxter International Inc. | Port configurations for a fluids container |
US9707011B2 (en) | 2014-11-12 | 2017-07-18 | Covidien Lp | Attachments for use with a surgical access device |
US9949730B2 (en) | 2014-11-25 | 2018-04-24 | Applied Medical Resources Corporation | Circumferential wound retraction with support and guidance structures |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
WO2017048512A1 (en) | 2015-09-15 | 2017-03-23 | Applied Medical Resources Corporation | Surgical robotic access system |
US10194973B2 (en) | 2015-09-30 | 2019-02-05 | Ethicon Llc | Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments |
ES2951168T3 (es) | 2015-10-07 | 2023-10-18 | Applied Med Resources | Retractor de heridas con anillo exterior multisegmento |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
US10779849B2 (en) | 2016-01-15 | 2020-09-22 | Ethicon Llc | Modular battery powered handheld surgical instrument with voltage sag resistant battery pack |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
CN106264683A (zh) * | 2016-08-16 | 2017-01-04 | 章正富 | 可变径的穿刺器 |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US10420580B2 (en) | 2016-08-25 | 2019-09-24 | Ethicon Llc | Ultrasonic transducer for surgical instrument |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
AU2017324450B2 (en) | 2016-09-12 | 2022-09-29 | Applied Medical Resources Corporation | Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
CN110325122B (zh) * | 2017-02-28 | 2024-03-19 | 波士顿科学国际有限公司 | 铰接针 |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
US10828065B2 (en) * | 2017-08-28 | 2020-11-10 | Covidien Lp | Surgical access system |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
PH12017000281A1 (en) * | 2017-10-02 | 2019-06-24 | Asis Edwin Francis De | MAGNETICALLY MANEUVERABLE LAPAROSCOPIC CAMERA SYSTEM 360ø |
US10413324B2 (en) | 2017-10-23 | 2019-09-17 | Conmed Corporation | Devices for performing minimally invasive surgery having foam support housing |
US10405884B2 (en) | 2017-10-23 | 2019-09-10 | Conmed Corporation | Devices for performing minimally invasive surgery having rotating multiport access |
US10463396B2 (en) * | 2017-10-23 | 2019-11-05 | Conmed Corporation | Devices for performing minimally invasive surgery having bellows support housing |
USD851246S1 (en) * | 2018-01-19 | 2019-06-11 | West Pharmaceutical Services, Inc. | Multi-part collar |
CN108634998B (zh) * | 2018-05-04 | 2021-11-19 | 杜军 | 一种用于腹腔镜手术的多功能穿刺扩张装置 |
CN108888359A (zh) * | 2018-08-20 | 2018-11-27 | 苏州法兰克曼医疗器械有限公司 | 一种可调节角度的手术通道装置 |
CN109124742A (zh) * | 2018-10-08 | 2019-01-04 | 欣瑞德(江苏)医疗科技有限公司 | 多通道穿刺器用连接结构 |
US11376082B2 (en) | 2019-06-27 | 2022-07-05 | Cilag Gmbh International | Robotic surgical system with local sensing of functional parameters based on measurements of multiple physical inputs |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US20210196359A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instruments with electrodes having energy focusing features |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11937866B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Method for an electrosurgical procedure |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US12082808B2 (en) | 2019-12-30 | 2024-09-10 | Cilag Gmbh International | Surgical instrument comprising a control system responsive to software configurations |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US11986201B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Method for operating a surgical instrument |
US12023086B2 (en) | 2019-12-30 | 2024-07-02 | Cilag Gmbh International | Electrosurgical instrument for delivering blended energy modalities to tissue |
US12064109B2 (en) | 2019-12-30 | 2024-08-20 | Cilag Gmbh International | Surgical instrument comprising a feedback control circuit |
US12076006B2 (en) | 2019-12-30 | 2024-09-03 | Cilag Gmbh International | Surgical instrument comprising an orientation detection system |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
US12053224B2 (en) | 2019-12-30 | 2024-08-06 | Cilag Gmbh International | Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction |
US20210196357A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with asynchronous energizing electrodes |
US11759251B2 (en) | 2019-12-30 | 2023-09-19 | Cilag Gmbh International | Control program adaptation based on device status and user input |
US11957862B2 (en) * | 2020-02-25 | 2024-04-16 | Titan Medical Inc. | Apparatus for providing instrument access through a surgical access device |
US11950806B2 (en) * | 2020-09-28 | 2024-04-09 | Livsmed Inc. | Trocar |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
US11974829B2 (en) | 2021-06-30 | 2024-05-07 | Cilag Gmbh International | Link-driven articulation device for a surgical device |
US11957342B2 (en) | 2021-11-01 | 2024-04-16 | Cilag Gmbh International | Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation |
Family Cites Families (168)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2129391A (en) * | 1936-04-09 | 1938-09-06 | Wappler Frederick Charles | Endoscopic instrument |
US3402710A (en) | 1966-06-27 | 1968-09-24 | Hydra Power Corp | Self-closing valve device for implantation in the human body |
US3654965A (en) * | 1967-06-23 | 1972-04-11 | Pneumatiques Caoutchouc Mfg | Closure members for pipe sections |
US4112932A (en) * | 1977-02-24 | 1978-09-12 | Chiulli Robert D | Laparoscopic cannula |
CA1139176A (en) | 1980-07-11 | 1983-01-11 | Micheal Ivan | Re-entrant cannula device |
US4417888A (en) | 1982-03-15 | 1983-11-29 | Renal Systems, Inc. | Percutaneous implant |
US4402683A (en) * | 1981-12-28 | 1983-09-06 | Kopman Ercument A | Cannula introducer |
US5308336A (en) * | 1982-09-28 | 1994-05-03 | Applied Medical Resources | Seal protection mechanism |
US5676657A (en) | 1990-07-26 | 1997-10-14 | Yoon; Inbae | Endoscopic portal having multiluminal trumpet valve |
US5990382A (en) | 1990-08-29 | 1999-11-23 | Biomedical Enterprises, Inc. | Method and implant for surgical manipulation of bone |
US5207213A (en) * | 1991-02-01 | 1993-05-04 | Circon Corporation | Laparoscope having means for removing image impeding material from a distal lens |
US5183464A (en) * | 1991-05-17 | 1993-02-02 | Interventional Thermodynamics, Inc. | Radially expandable dilator |
US5209741A (en) * | 1991-07-08 | 1993-05-11 | Endomedix Corporation | Surgical access device having variable post-insertion cross-sectional geometry |
US5385553A (en) * | 1991-07-18 | 1995-01-31 | Applied Medical Resources Corporation | Trocar with floating septum seal |
GR920100358A (el) * | 1991-08-23 | 1993-06-07 | Ethicon Inc | Οργανο συρραφής χειρουργικής αναστομώσεως. |
US5489274A (en) | 1992-10-09 | 1996-02-06 | Boston Scientific Corporation | Rotatable medical valve closure |
US5197955A (en) * | 1991-10-18 | 1993-03-30 | Ethicon, Inc. | Universal seal for trocar assembly |
US5176648A (en) * | 1991-12-13 | 1993-01-05 | Unisurge, Inc. | Introducer assembly and instrument for use therewith |
US5269772A (en) | 1992-01-24 | 1993-12-14 | Wilk Peter J | Laparoscopic cannula assembly and associated method |
US5183471A (en) * | 1992-01-24 | 1993-02-02 | Wilk Peter J | Laparoscopic cannula |
CA2095064A1 (en) | 1992-05-01 | 1993-11-02 | Stephen J. Failla | Sealing mechanism for surgical trocar |
US5443484A (en) * | 1992-06-16 | 1995-08-22 | Loma Linda University Medical Center | Trocar and method for endoscopic surgery |
US5443452A (en) * | 1992-07-02 | 1995-08-22 | Applied Medical Resources | Seal assembly for access device |
US5496280A (en) * | 1992-07-02 | 1996-03-05 | Applied Medical Resources Corporation | Trocar valve assembly |
US5395367A (en) * | 1992-07-29 | 1995-03-07 | Wilk; Peter J. | Laparoscopic instrument with bendable shaft and removable actuator |
US5366748A (en) | 1992-09-14 | 1994-11-22 | The Procter & Gamble Company | Method of production of extruded cereal grain-based food products having improved qualities |
DE4234452C2 (de) * | 1992-10-13 | 1994-08-18 | Ethicon Gmbh | Reduzierstück für Trokarhülsen |
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 |
US5492304A (en) * | 1993-06-16 | 1996-02-20 | United States Surgical Corporation | Seal assembly for accommodating introduction of surgical instruments |
US5366478A (en) | 1993-07-27 | 1994-11-22 | Ethicon, Inc. | Endoscopic surgical sealing device |
US5391154A (en) * | 1993-08-30 | 1995-02-21 | United States Surgical Corporation | Trocar seal system |
ATE188364T1 (de) | 1993-09-06 | 2000-01-15 | Encoret Ltd | Vorrichtung zur verwendung in der chirurgie |
FR2710270B1 (fr) | 1993-09-24 | 1997-05-09 | Jean Claude Sgro | Dispositif pour l'introduction d'instruments dans un trocart de chirurgie cÓoelioscopique. |
SE9303253D0 (sv) | 1993-10-05 | 1993-10-05 | Siemens Elema Ab | Instrument för titthålskirurgi |
US5330437A (en) * | 1993-11-12 | 1994-07-19 | Ethicon Endo-Surgery | Self sealing flexible elastomeric valve and trocar assembly for incorporating same |
US5480410A (en) * | 1994-03-14 | 1996-01-02 | Advanced Surgical, Inc. | Extracorporeal pneumoperitoneum access bubble |
US6162196A (en) * | 1994-07-14 | 2000-12-19 | Applied Medical Resources Corporation | Multiport access device |
US5569205A (en) * | 1994-07-14 | 1996-10-29 | Hart; Charles C. | Multiport trocar |
JP2802244B2 (ja) | 1994-08-29 | 1998-09-24 | オリンパス光学工業株式会社 | 内視鏡用シース |
US5672168A (en) | 1994-10-07 | 1997-09-30 | De La Torre; Roger A. | Laparoscopic access port for surgical instruments or the hand |
US5653705A (en) * | 1994-10-07 | 1997-08-05 | General Surgical Innovations, Inc. | Laparoscopic access port for surgical instruments or the hand |
WO1996023536A1 (en) * | 1995-02-03 | 1996-08-08 | Inbae Yoon | Cannula with distal end valve |
US5569254A (en) | 1995-04-12 | 1996-10-29 | Midas Rex Pneumatic Tools, Inc. | Surgical resection tool having an irrigation, lighting, suction and vision attachment |
US5634911A (en) * | 1995-05-19 | 1997-06-03 | General Surgical Innovations, Inc. | Screw-type skin seal with inflatable membrane |
US5997515A (en) | 1995-05-19 | 1999-12-07 | General Surgical Innovations, Inc. | Screw-type skin seal with inflatable membrane |
US5634937A (en) * | 1995-05-19 | 1997-06-03 | General Surgical Innovations, Inc. | Skin seal with inflatable membrane |
US5584850A (en) | 1995-05-25 | 1996-12-17 | Applied Medical Resources Corporation | Trocar having an anti-inversion seal |
US5643301A (en) * | 1995-06-07 | 1997-07-01 | General Surgical Innovations, Inc. | Cannula assembly with squeeze operated valve |
US6605063B2 (en) * | 1998-09-21 | 2003-08-12 | Gerald G. Bousquet | Transcutaneous access device |
US5545179A (en) * | 1995-07-21 | 1996-08-13 | Ethicon Endo-Surgery, Inc. | Endoscopic access assembly |
US5662615A (en) * | 1995-09-01 | 1997-09-02 | Blake, Iii; Joseph W. | Valve and valve cartridge for trocar |
US5891013A (en) * | 1996-02-07 | 1999-04-06 | Pinotage, Llc | System for single-puncture endoscopic surgery |
US6706050B1 (en) * | 1996-05-10 | 2004-03-16 | Emmanuil Giannadakis | System of laparoscopic-endoscopic surgery |
US5827319A (en) | 1996-05-20 | 1998-10-27 | Innerdyne, Inc. | Radially expandable access system having disposable and reusable components |
US5820606A (en) * | 1996-06-11 | 1998-10-13 | Origin Medsystems, Inc. | Reusable cannula with disposable seal |
US5972020A (en) * | 1997-02-14 | 1999-10-26 | Cardiothoracic Systems, Inc. | Surgical instrument for cardiac valve repair on the beating heart |
US5906577A (en) * | 1997-04-30 | 1999-05-25 | University Of Massachusetts | Device, surgical access port, and method of retracting an incision into an opening and providing a channel through the incision |
JP4647727B2 (ja) * | 1997-05-02 | 2011-03-09 | ユナイテッド ステイツ サージカル コーポレイション | トロカール密封装置 |
US6066090A (en) * | 1997-06-19 | 2000-05-23 | Yoon; Inbae | Branched endoscope system |
US6099506A (en) | 1997-09-26 | 2000-08-08 | Macoviak; John A. | Introducer and perfusion cannula |
US6589167B1 (en) * | 1997-10-08 | 2003-07-08 | Hakko Electric Machine Works Co., Ltd. | Valve and valved trocar jacket tube |
US6004303A (en) | 1997-12-10 | 1999-12-21 | Phillips Plastics Corporation | Choker catheter |
US6277064B1 (en) * | 1997-12-30 | 2001-08-21 | Inbae Yoon | Surgical instrument with rotatably mounted offset endoscope |
US6120513A (en) * | 1998-01-09 | 2000-09-19 | Bailey; Robert W. | Laparoscopic surgery instrumentation and method of its use |
US5989224A (en) * | 1998-02-23 | 1999-11-23 | Dexide Corporation | Universal seal for use with endoscopic cannula |
JP3019150B2 (ja) * | 1998-04-07 | 2000-03-13 | 株式会社八光メディカル | 弁付トラカール外套管 |
CN1311877C (zh) * | 1998-06-03 | 2007-04-25 | 斯科特实验室公司 | 为患者缓解与内科或外科处理相关的痛苦的设备和方法 |
US6245052B1 (en) * | 1998-07-08 | 2001-06-12 | Innerdyne, Inc. | Methods, systems, and kits for implanting articles |
US6352503B1 (en) * | 1998-07-17 | 2002-03-05 | Olympus Optical Co., Ltd. | Endoscopic surgery apparatus |
US6454783B1 (en) | 1998-09-15 | 2002-09-24 | Gregory Piskun | Laparoscopic instruments and trocar systems for trans-umbilical laproscopic surgery |
US7344547B2 (en) * | 1998-09-15 | 2008-03-18 | Phavel Systems, Inc. | Laparoscopic instruments and trocar systems and related surgical method |
US20050192483A1 (en) | 1998-12-01 | 2005-09-01 | Frank Bonadio | Device |
US8177762B2 (en) | 1998-12-07 | 2012-05-15 | C. R. Bard, Inc. | Septum including at least one identifiable feature, access ports including same, and related methods |
US6086603A (en) * | 1998-12-14 | 2000-07-11 | Syntheon, Llc | Luminal port device having internal and external sealing mechanisms |
IES990220A2 (en) | 1999-03-18 | 2000-11-15 | Gaya Ltd | A surgical device |
IES990219A2 (en) | 1999-03-18 | 2000-11-15 | Gaya Ltd | A surgical device |
IES990218A2 (en) * | 1999-03-18 | 2000-11-15 | Gaya Ltd | A surgical device |
US6328730B1 (en) | 1999-03-26 | 2001-12-11 | William W. Harkrider, Jr. | Endoluminal multi-luminal surgical sheath and method |
DE19935725C2 (de) | 1999-07-29 | 2003-11-13 | Wolf Gmbh Richard | Medizinisches Instrument, insbesondere Rektoskop |
IE990795A1 (en) * | 1999-07-30 | 2001-03-07 | Gaya Ltd | Hand Access Port Device |
US6706033B1 (en) * | 1999-08-02 | 2004-03-16 | Edwards Lifesciences Corporation | Modular access port for device delivery |
MXPA02003651A (es) | 1999-10-14 | 2002-08-30 | Atropos Ltd | Un retractor de herida. |
US7540839B2 (en) | 1999-10-14 | 2009-06-02 | Atropos Limited | Wound retractor |
US6447489B1 (en) * | 2000-01-18 | 2002-09-10 | Ethicon Endo-Surgey, Inc. | Laparoscopic access tool with gas seal |
US6440061B1 (en) * | 2000-03-24 | 2002-08-27 | Donald E. Wenner | Laparoscopic instrument system for real-time biliary exploration and stone removal |
US20040230160A1 (en) | 2000-06-22 | 2004-11-18 | Erblan Surgical Inc. | Safety trocar including sealing member |
US6551270B1 (en) * | 2000-08-30 | 2003-04-22 | Snowden Pencer, Inc. | Dual lumen access port |
DE10050648C2 (de) * | 2000-10-12 | 2003-11-06 | Fraunhofer Ges Forschung | Chirurgisches Instrument |
US20060020281A1 (en) * | 2000-10-13 | 2006-01-26 | Smith Robert C | Valve assembly including diameter reduction structure for trocar |
DE60142978D1 (de) * | 2000-10-19 | 2010-10-14 | Applied Med Resources | Chirurgisches zugangsgerät und -verfahren |
US6942671B1 (en) * | 2000-11-06 | 2005-09-13 | Tyco Healthcare Group Lp | Surgical sealing apparatus |
US6939296B2 (en) | 2001-10-17 | 2005-09-06 | Applied Medical Resources Corp. | Laparoscopic illumination apparatus and method |
US7052454B2 (en) * | 2001-10-20 | 2006-05-30 | Applied Medical Resources Corporation | Sealed surgical access device |
CA2466929A1 (en) * | 2001-11-13 | 2003-05-30 | Applied Medical Resources Corporation | Multi-seal trocar system |
US7235062B2 (en) * | 2002-01-24 | 2007-06-26 | Applied Medical Resources Corporation | Surgical access device with floating gel seal |
DE10214552A1 (de) | 2002-04-02 | 2003-10-16 | Pajunk Ohg Besitzverwaltung | Trokarhülse |
US7083626B2 (en) | 2002-10-04 | 2006-08-01 | Applied Medical Resources Corporation | Surgical access device with pendent valve |
US7390317B2 (en) * | 2002-12-02 | 2008-06-24 | Applied Medical Resources Corporation | Universal access seal |
US20060024500A1 (en) * | 2003-01-23 | 2006-02-02 | Gon Seo | Network silica for enhancing tensile strength of rubber compound |
US20050020884A1 (en) * | 2003-02-25 | 2005-01-27 | Hart Charles C. | Surgical access system |
US9486241B2 (en) | 2003-03-21 | 2016-11-08 | Ethicon Endo-Surgery, Llc | Trocar seal assembly |
US8147457B2 (en) * | 2003-03-21 | 2012-04-03 | Ethicon Endo-Surgery, Inc. | Conical trocar seal |
US20040199181A1 (en) | 2003-04-02 | 2004-10-07 | Knodel Bryan D. | Surgical device for anastomosis |
US7338473B2 (en) * | 2003-04-08 | 2008-03-04 | Surgiquest, Incorporated | Pneumoseal trocar arrangement |
US7285112B2 (en) * | 2003-04-08 | 2007-10-23 | Surgiquest, Incorporated | Gas flow trocar arrangement |
US7591832B2 (en) * | 2003-04-24 | 2009-09-22 | Medtronic, Inc. | Expandable guide sheath and apparatus with distal protection and methods for use |
JP4460576B2 (ja) | 2003-04-25 | 2010-05-12 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 外科用ハンドアクセス装置 |
DE602004018342D1 (de) | 2003-08-26 | 2009-01-22 | Zimmer Spine Inc | Zugangssysteme für die minimal invasive chirurgie |
US7163510B2 (en) * | 2003-09-17 | 2007-01-16 | Applied Medical Resources Corporation | Surgical instrument access device |
US7753901B2 (en) * | 2004-07-21 | 2010-07-13 | Tyco Healthcare Group Lp | Laparoscopic instrument and cannula assembly and related surgical method |
US7850600B1 (en) * | 2003-09-23 | 2010-12-14 | Tyco Healthcare Group Lp | Laparoscopic instrument and trocar system and related surgical method |
US6905057B2 (en) * | 2003-09-29 | 2005-06-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission |
US8029475B2 (en) * | 2003-09-30 | 2011-10-04 | Ethicon Endo-Surgery, Inc. | Reinforced seal assembly |
US20050148823A1 (en) * | 2003-10-15 | 2005-07-07 | Trevor Vaugh | Surgical sealing device |
WO2005044111A2 (en) * | 2003-11-05 | 2005-05-19 | Atropos Limited | A surgical sealing device |
US20050137609A1 (en) * | 2003-12-17 | 2005-06-23 | Gerald Guiraudon | Universal cardiac introducer |
JP4701164B2 (ja) | 2004-03-12 | 2011-06-15 | 財団法人新産業創造研究機構 | 手指補助下腹腔鏡手術用アクセスデバイス |
US7118528B1 (en) | 2004-03-16 | 2006-10-10 | Gregory Piskun | Hemorrhoids treatment method and associated instrument assembly including anoscope and cofunctioning tissue occlusion device |
US8100822B2 (en) | 2004-03-16 | 2012-01-24 | Macroplata Systems, Llc | Anoscope for treating hemorrhoids without the trauma of cutting or the use of an endoscope |
US20050209608A1 (en) | 2004-03-22 | 2005-09-22 | O'heeron Peter T | Trocar seal |
WO2005097019A2 (en) * | 2004-04-05 | 2005-10-20 | Tyco Healthcare Group Lp | Surgical hand access apparatus |
JP2008504051A (ja) | 2004-04-05 | 2008-02-14 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 外科手術用ハンドアクセス装置 |
US20050277946A1 (en) | 2004-06-15 | 2005-12-15 | Secant Medical, Llc | Access port for laparoscopic surgery |
US20060019723A1 (en) * | 2004-06-29 | 2006-01-26 | Pieter Vorenkamp | Automatic control of power save operation in a portable communication device utilizing historical usage information |
US7018287B2 (en) * | 2004-07-22 | 2006-03-28 | Minel Kupferberg | High velocity and high dilution exhaust system |
US8075476B2 (en) | 2004-07-27 | 2011-12-13 | Intuitive Surgical Operations, Inc. | Cannula system and method of use |
US20060071432A1 (en) * | 2004-09-29 | 2006-04-06 | Staudner Rupert A | Seal for trocar |
EP1799119A4 (en) | 2004-09-30 | 2010-11-17 | Duocure Inc | DEVICE AND METHOD FOR TREATING WEIGHT DISTURBANCES |
US20060212062A1 (en) | 2005-03-16 | 2006-09-21 | David Farascioni | Radially expandable access system including trocar seal |
WO2006100658A2 (en) * | 2005-03-22 | 2006-09-28 | Atropos Limited | A surgical instrument |
US7766824B2 (en) | 2005-03-31 | 2010-08-03 | Tyco Healthcare Group Lp | Surgical hand access apparatus |
US8545450B2 (en) | 2005-04-08 | 2013-10-01 | Ethicon Endo-Surgery, Inc. | Multi-port laparoscopic access device |
US20060241671A1 (en) | 2005-04-20 | 2006-10-26 | Stout Medical Group, Llc | Self-sealing surgical access port |
US20060241651A1 (en) | 2005-04-22 | 2006-10-26 | Wilk Patent, Llc | Surgical port device and associated method |
US7717878B2 (en) | 2005-04-25 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical portal with seal system |
ITMI20051004A1 (it) | 2005-05-27 | 2006-11-28 | Ethicon Endo Surgery Inc | Strumentazione e metodo per seguire un by-pass gastro-intestinale |
DE102005026467A1 (de) | 2005-06-09 | 2006-12-14 | University Of Dundee | Vorrichtung zum Schaffen eines transkutanen Zuganges zu einem endoskopischen Operationsgebiet |
US20070060939A1 (en) * | 2005-09-02 | 2007-03-15 | Zimmer Spine, Inc. | Expandable and retractable cannula |
US7909760B2 (en) * | 2005-10-14 | 2011-03-22 | Applied Medical Resources Corporation | Split hoop wound retractor with gel pad |
WO2007048083A2 (en) * | 2005-10-14 | 2007-04-26 | Applied Medical Resources Corporation | Surgical access port |
US20070118021A1 (en) * | 2005-11-22 | 2007-05-24 | Pokorney James L | Anatomical cavity implant transport device and method |
US9820771B2 (en) | 2006-03-03 | 2017-11-21 | Axcess Instruments Inc. | Apparatus and method for minimally invasive surgery |
US8485970B2 (en) | 2008-09-30 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical access device |
US8430811B2 (en) | 2008-09-30 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Multiple port surgical access device |
US8425410B2 (en) | 2008-09-30 | 2013-04-23 | Ethicon Endo-Surgery, Inc. | Surgical access device with protective element |
US20100081864A1 (en) | 2008-09-30 | 2010-04-01 | Ethicon Endo-Surgery, Inc. | Methods and devices for performing gastrectomies and gastroplasties |
US20100081883A1 (en) | 2008-09-30 | 2010-04-01 | Ethicon Endo-Surgery, Inc. | Methods and devices for performing gastroplasties using a multiple port access device |
US8961406B2 (en) | 2009-03-06 | 2015-02-24 | Ethicon Endo-Surgery, Inc. | Surgical access devices and methods providing seal movement in predefined movement regions |
US8206294B2 (en) | 2008-09-30 | 2012-06-26 | Ethicon Endo-Surgery, Inc. | Surgical access device with flexible seal channel |
US7789861B2 (en) | 2006-04-18 | 2010-09-07 | Ethicon Endo-Surgery, Inc. | Pleated trocar seal |
EP2010071A2 (en) | 2006-04-19 | 2009-01-07 | Atropos Limited | An instrument access device |
US20070260121A1 (en) | 2006-05-08 | 2007-11-08 | Ethicon Endo-Surgery, Inc. | Endoscopic Translumenal Surgical Systems |
US20070260273A1 (en) | 2006-05-08 | 2007-11-08 | Ethicon Endo-Surgery, Inc. | Endoscopic Translumenal Surgical Systems |
JP4148973B2 (ja) | 2006-08-07 | 2008-09-10 | アプライド メディカル リソーシーズ コーポレイション | 密閉式外科用アクセス装置 |
WO2008024502A2 (en) | 2006-08-25 | 2008-02-28 | Teleflex Medical Incorporated | Caged floating seal assembly |
GB2441501A (en) * | 2006-09-07 | 2008-03-12 | Gyrus Medical Ltd | Surgical instrument with sealing mechanism to retain pressurised gas |
US20080119821A1 (en) * | 2006-11-17 | 2008-05-22 | Warsaw Orthopedic, Inc. | Multiport Cannula |
WO2008093313A1 (en) | 2007-02-01 | 2008-08-07 | Atropos Limited | An instrument insertion device |
AU2008233166B2 (en) | 2007-03-30 | 2013-05-16 | Covidien Lp | Laparoscopic port assembly |
CA2631274A1 (en) * | 2007-05-18 | 2008-11-18 | Tyco Healthcare Group Lp | Flexible cannula with associated seal |
EP2152175B1 (en) | 2007-06-05 | 2015-10-28 | Atropos Limited | An instrument access device |
US8100929B2 (en) * | 2007-06-29 | 2012-01-24 | Ethicon Endo-Surgery, Inc. | Duckbill seal with fluid drainage feature |
US20090227843A1 (en) * | 2007-09-12 | 2009-09-10 | Smith Jeffrey A | Multi-instrument access devices and systems |
US8092430B2 (en) | 2008-03-03 | 2012-01-10 | Tyco Healthcare Group Lp | Single port device with multi-lumen cap |
US8328761B2 (en) | 2008-09-30 | 2012-12-11 | Ethicon Endo-Surgery, Inc. | Variable surgical access device |
-
2008
- 2008-09-30 US US12/242,726 patent/US8328761B2/en active Active
-
2009
- 2009-09-25 AU AU2009222424A patent/AU2009222424B2/en not_active Ceased
- 2009-09-29 JP JP2009224191A patent/JP2010082452A/ja active Pending
- 2009-09-29 EP EP09252296A patent/EP2168509B1/en active Active
- 2009-09-29 KR KR1020090092192A patent/KR101600281B1/ko active IP Right Grant
- 2009-09-29 CA CA2680949A patent/CA2680949C/en not_active Expired - Fee Related
- 2009-09-30 CN CN200910174119.XA patent/CN101711690B/zh active Active
- 2009-09-30 MX MX2009010643A patent/MX2009010643A/es active IP Right Grant
- 2009-09-30 BR BRPI0905167A patent/BRPI0905167B1/pt not_active IP Right Cessation
-
2013
- 2013-12-26 JP JP2013269391A patent/JP5781590B2/ja not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
JP2014111136A (ja) | 2014-06-19 |
KR101600281B1 (ko) | 2016-03-07 |
JP2010082452A (ja) | 2010-04-15 |
AU2009222424A1 (en) | 2010-04-15 |
CA2680949A1 (en) | 2010-03-30 |
EP2168509B1 (en) | 2012-08-08 |
CN101711690A (zh) | 2010-05-26 |
KR20100036990A (ko) | 2010-04-08 |
MX2009010643A (es) | 2010-06-17 |
CA2680949C (en) | 2018-02-06 |
BRPI0905167B1 (pt) | 2019-08-13 |
EP2168509A1 (en) | 2010-03-31 |
US8328761B2 (en) | 2012-12-11 |
US20100081995A1 (en) | 2010-04-01 |
AU2009222424B2 (en) | 2015-06-11 |
CN101711690B (zh) | 2014-03-05 |
BRPI0905167A2 (pt) | 2011-02-15 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP5781590B2 (ja) | 外科用アクセス装置 | |
JP5697321B2 (ja) | 保護要素を備えた外科用アクセス装置 | |
JP5913778B2 (ja) | 外科用アクセス装置 | |
JP5468342B2 (ja) | 複数ポートの外科用アクセス装置 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20141118 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20150113 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20150630 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20150715 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 5781590 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
LAPS | Cancellation because of no payment of annual fees |