JPH11500642A - 血管吻合を行なう装置および方法 - Google Patents
血管吻合を行なう装置および方法Info
- Publication number
- JPH11500642A JPH11500642A JP8525725A JP52572596A JPH11500642A JP H11500642 A JPH11500642 A JP H11500642A JP 8525725 A JP8525725 A JP 8525725A JP 52572596 A JP52572596 A JP 52572596A JP H11500642 A JPH11500642 A JP H11500642A
- Authority
- JP
- Japan
- Prior art keywords
- vessel
- wall
- anastomotic
- flange
- target
- 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.)
- Ceased
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Landscapes
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Abstract
Description
Claims (1)
- 【特許請求の範囲】 1.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を目標血管の壁に連結するための吻合ステープル付 け装置において、 アンカー部材を有し、該アンカー部材は、これを前記目標血管の前記壁に取 り付ける手段を備えており、 カップリング部材を有し、該カップリング部材は、前記移植血管の前記自由 端を前記カップリング部材に取り付けるように形状決めされており、 前記移植血管の前記端部が前記目標血管の前記壁にシール連結されかつ前記 移植血管の前記管腔が目標血管の前記壁の開口を通って前記目標血管の管腔と流 体連通するように、前記カップリング部材を前記アンカー部材に取り付けるため のカップリング手段を更に有することを特徴とする吻合ステープル付け装置。 2.前記カップリング部材が、前記移植血管の外径に適合する充分な寸法をもつ 内部管腔を備えた管状本体を有し、該管状本体は遠位端を備え、該遠位端は、前 記移植血管の前記端部を前記管状本体の前記遠位端上で外翻することにより前記 移植血管の前記自由端を前記カップリング部材に取り付けることができるように 形状決めされていることを特徴とする請求の範囲第1項に記載の吻合ステープル 付け装置。 3.前記移植血管は、前記中央管腔を通って延びている導管部分と、前記カップ リング部材の前記遠位端上で外翻される外翻部分とを有し、前記移植血管の前記 自由端を前記カップリング部材に取り付ける前記手段が、前記移植血管の少なく とも前記導管部分に対して非外傷性であることを特徴とする請求の範囲第2項に 記載の吻合ステープル付け装置。 4.前記アンカー部材を前記目標血管の前記壁に取り付ける前記手段が、前記ア ンカー部材を、前記目標血管の前記管腔に対して外部位置で前記目標血管の前記 壁の外面に取り付けることができるように形状決めされていることを特徴とする 請求の範囲第1項に記載の吻合ステープル付け装置。 5.前記カップリング部材が、前記移植血管に対して非外傷性であるアタッチメ ントを形成するように形状決めされていることを特徴とする請求の範囲第1項に 記載の吻合ステープル付け装置。 6.前記アンカー部材を前記目標血管の前記壁に取り付ける前記手段が、前記目 標血管の前記壁を穿刺するように形状決めされた複数の取付脚を備えていること を特徴とする請求の範囲第1項に記載の吻合ステープル付け装置。 7.前記複数の取付脚の各々が初期形状から配備形状に変形でき、初期形状が、 前記アンカー部材からほぼ半径方向に延びた第1セグメントと、該第1セグメン トを前記アンカー部材に対して軸線方向に延びた遠位セグメントに連結する移行 セグメントと、前記目標血管の前記壁を穿刺できるように形状決めされた遠位端 とを有することを特徴とする請求の範囲第6項に記載の吻合ステープル付け装置 。 8.前記配備形状において、前記複数の取付脚の各々が、前記目標血管の前記壁 の内面と接触する前記遠位セグメントにより、前記目標血管の前記壁を穿刺する ことを特徴とする請求の範囲第7項に記載の吻合ステープル付け装置。 9.前記配備形状において、前記複数の取付脚の各々の前記遠位セグメントが、 前記第1セグメントに対してほぼ平行であることを特徴とする請求の範囲第7項 に記載の吻合ステープル付け装置。 10.前記配備形状において、前記複数の取付脚が、前記目標血管の前記壁を、該 壁の前記開口に向かって半径方向に圧縮するように形状決めされていることを特 徴とする請求の範囲第7項に記載の吻合ステープル付け装置。 11.前記配備形状において、前記複数の取付脚が、前記移植血管を、前記目標血 管の前記壁に対して軸線方向に圧縮するように形状決めされていることを特徴と する請求の範囲第7項に記載の吻合ステープル付け装置。 12.前記アンカー部材は、前記カップリング部材を、前記リング形本体内の中央 開口内に受け入れるように形状決めされていることを特徴とする請求の範囲第1 項に記載の吻合ステープル付け装置。 13.前記カップリング部材は、前記移植血管の外径に適合する充分な寸法をもつ 内部管腔を備えた管状本体を有し、該管状本体は遠位端を備え、該遠位端は、 前記移植血管の前記端部を前記管状本体の前記遠位端上で外翻することにより前 記移植血管の前記自由端を前記カップリング部材に取り付けることができるよう に形状決めされていることを特徴とする請求の範囲第12項に記載の吻合ステー プル付け装置。 14.前記カップリング部材は、最初は、前記アンカー部材から分離でき、前記カ ップリング部材は、前記アンカー部材が前記目標血管の前記壁に取り付けられた 後に前記アンカー部材に連結できるように形状決めされていることを特徴とする 請求の範囲第1項に記載の吻合ステープル付け装置。 15.前記カップリング部材は、該カップリング部材が前記アンカー部材に連結さ れると、前記移植血管の外翻端を前記目標血管の前記壁の外面と接触した状態に 保持できるように形状決めされていることを特徴とする請求の範囲第2項に記載 の吻合ステープル付け装置。 16.前記カップリング部材は、該カップリング部材が前記アンカー部材に連結さ れると、前記目標血管の前記壁の前記開口内に延入できかつ前記開口内の前記移 植血管の外翻端を前記開口内の内面と接触した状態に保持できるように形状決め されていることを特徴とする請求の範囲第2項に記載の吻合ステープル付け装置 。 17.前記アンカー部材は、前記カップリング部材を、前記リング形本体内の中央 開口内に受け入れるように形状決めされており、 前記アンカー部材を前記目標血管の前記壁に取り付ける前記手段は、前記リ ング形本体から延びている複数の取付脚を有し、該複数の取付脚が、前記目標血 管の前記壁を穿刺できかつ前記リング形本体を、前記目標血管の前記管腔に対し 外部の位置で前記目標血管の前記壁の外面に取り付けることができるように形状 決めされており、 前記カップリング部材は、前記移植血管の外径に適合する充分な寸法をもつ 内部管腔を備えた管状本体を有し、該管状本体は遠位端を備え、該遠位端は、前 記移植血管の前記端部を前記管状本体の前記遠位端上で外翻することにより前記 移植血管の前記自由端を前記カップリング部材に取り付けることができるように 形状決めされており、 前記カップリング部材は、最初は、前記アンカー部材から分離でき、前記カ ップリング部材は、前記アンカー部材が前記目標血管の前記壁に取り付けられた 後に前記アンカー部材に連結できるように形状決めされていることを特徴とする 請求の範囲第1項に記載の吻合ステープル付け装置。 18.前記カップリング部材は、前記アンカー部材の前記リング形本体に連結され る少なくとも1つの保持クリップを有し、該保持クリップは、前記カップリング 部材の前記管状本体の近位端と係合できるように形状決めされていることを特徴 とする請求の範囲第17項に記載の吻合ステープル付け装置。 19.前記アンカー部材は、前記カップリング部材を、前記リング形本体内の中央 開口内に受け入れるように形状決めされており、 前記アンカー部材を前記目標血管の前記壁に取り付ける前記手段は、前記管 状延長部の遠位端から延びているフランジと、該フランジに連結された複数の取 付脚とを有し、該複数の取付脚が、前記目標血管の前記壁を穿刺できかつ前記フ ランジおよび前記管状延長部を、前記目標血管の前記管腔に対し外部の位置で前 記目標血管の前記壁の外面に取り付けることができるように形状決めされており 、 前記カップリング部材は、前記移植血管の外径に適合する充分な寸法をもつ 内部管腔を備えた管状本体を有し、該管状本体は遠位端を備え、該遠位端は、前 記移植血管の前記端部を前記管状本体の前記遠位端上で外翻することにより前記 移植血管の前記自由端を前記カップリング部材に取り付けることができるように 形状決めされており、 前記カップリング部材は、最初は、前記アンカー部材から分離でき、前記カ ップリング部材は、前記アンカー部材が前記目標血管の前記壁に取り付けられた 後に前記アンカー部材に連結できるように形状決めされていることを特徴とする 請求の範囲第1項に記載の吻合ステープル付け装置。 20.前記カップリング手段は、前記管状延長部の前記中央開口内の砂時計形内部 輪郭と、前記カップリング部材の前記管状本体の対応する砂時計形外部輪郭とを 有し、前記カップリング部材は、前記管状本体の砂時計形外部輪郭を、前記管状 延長部の前記中央開口内の砂時計形内部輪郭内に挿入することにより前記 アンカー部材に連結されることを特徴とする請求の範囲第1項に記載の吻合ステ ープル付け装置。 21.前記カップリング部材に取り付けられる移植血管を更に有し、該移植血管は 、同種移植片、異種移植片および人工移植片からなる群から選択されることを特 徴とする請求の範囲第1項に記載の吻合ステープル付け装置。 22.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を目標血管の壁に連結するための吻合ステープル付 け装置において、 前記移植血管の外径に適合する充分な寸法をもつ内部管腔を備えた管状部材 を有し、該管状部材は、前記移植血管の前記自由端を前記管状部材に取り付ける ことができるように形状決めされており、 前記管状部材から延びている複数の取付脚を更に有し、該複数の取付脚は、 前記目標血管の前記壁を少なくとも部分的に穿刺することができるように形状決 めされていることを特徴とする吻合ステープル付け装置。 23.前記管状部材は遠位端を有し、該遠位端は、前記移植血管の前記自由端を前 記管状部材の前記遠位端上で外翻することにより前記移植血管の前記自由端を前 記カップリング部材に取り付けることができるように形状決めされていることを 特徴とする請求の範囲第22項に記載の吻合ステープル付け装置。 24.前記カップリング部材は、前記目標血管の前記壁の前記開口内に延入できか つ前記開口内の前記移植血管の外翻端を前記開口内の内面と接触した状態に保持 できるように形状決めされていることを特徴とする請求の範囲第23項に記載の 吻合ステープル付け装置。 25.前記複数の取付脚は、前記目標血管の前記壁を前記管状部材に向かって圧縮 するように形状決めされていることを特徴とする請求の範囲第22項に記載の吻 合ステープル付け装置。 26.前記管状部材の遠位端に連結されたフランジを更に有し、該フランジは前記 目標血管の前記壁の内面と係合できるように形状決めされていることを特徴とす る請求の範囲第22項に記載の吻合ステープル付け装置。 27.前記管状部材の遠位端に連結されたフランジを更に有し、該フランジは、前 記移植血管の前記自由端を前記フランジ上で外翻することにより前記移植血管の 前記自由端を前記カップリング部材に取り付けることができるように形状決めさ れていることを特徴とする請求の範囲第22項に記載の吻合ステープル付け装置 。 28.前記管状部材は、前記目標血管の前記壁の前記開口内に延入できるように形 状決めされ、前記フランジは、前記移植血管の外翻端を前記目標血管の前記壁の 内面と接触した状態に保持できるように形状決めされていることを特徴とする請 求の範囲第27項に記載の吻合ステープル付け装置。 29.前記複数の取付脚は、前記目標血管の前記壁を前記管状部材に向かって半径 方向に圧縮するように形状決めされていることを特徴とする請求の範囲第28項 に記載の吻合ステープル付け装置。 30.前記複数の取付脚は、前記移植血管を前記目標血管の前記壁に対して軸線方 向に圧縮するように形状決めされていることを特徴とする請求の範囲第28項に 記載の吻合ステープル付け装置。 31.前記複数の取付脚の各々が、取付点で前記管状部材に取り付けられる第1セ グメントと、該第1セグメントに連結される第2セグメントとを有し、該第2セ グメントは、前記取付点の近くに回転中心をもつ或る曲率半径を有する弧を描き 、前記第2セグメントは、前記目標血管の前記壁を穿刺できるように形状決めさ れた先端を有し、 前記第1セグメントが前記取付点の回りで回転されると、前記第2セグメン トの前記先端が前記目標血管の前記壁を穿刺しかつ前記第2セグメントが弧状通 路内で前記壁を横行することを特徴とする請求の範囲第22項に記載の吻合ステ ープル付け装置。 32.前記複数の取付脚の各々が、取付点で前記管状部材に取り付けられる第1セ グメントと、前記取付点の近くに回転中心をもつ或る曲率半径を有する弧を描く 第2セグメントと、第1セグメントと第2セグメントとを連結する移行セグメン トとを有し、該移行セグメントは、前記第2セグメントの曲率半径より小さい曲 率半径をもつ弧を描き、前記第2セグメントは、前記目標血管の前記壁を穿刺で きるように形状決めされた先端を有し、 前記第1セグメントが前記取付点の回りで回転されると、前記第2セグメン トの前記先端が前記目標血管の前記壁を穿刺しかつ前記第2セグメントが弧状路 内で前記壁を横行し、その後、前記移行セグメントが前記目標血管の壁を横行し て、前記目標血管の前記壁を前記管状部材に向かって半径方向に圧縮することを 特徴とする請求の範囲第22項に記載の吻合ステープル付け装置。 33.前記複数の取付脚の各々が、取付点で前記管状部材に取り付けられる第1セ グメントを有し、前記取付点は1次回転中心を形成し、前記第1に連結された第 2セグメントを有し、該第2セグメントは前記取付点の近くに回転中心をもつ或 る曲率半径を有する弧を描き、前記第1セグメントは、前記管状部材と第2セグ メントとの中間で前記第1セグメント上に2次回転中心を形成する曲がり点を有 し、前記第2セグメントは、前記目標血管の前記壁を穿刺できるように形状決め された先端を有し、 前記第1セグメントが前記1次回転中心の回りで回転されると、前記第2セ グメントの前記先端が前記目標血管の前記壁を穿刺しかつ前記第2セグメントが 弧状通路内で前記壁を横行し、その後、前記第1セグメントが前記2次回転中心 の回りで曲がり、前記目標血管の前記壁を前記管状部材に向かって半径方向に圧 縮することを特徴とする請求の範囲第22項に記載の吻合ステープル付け装置。 34.前記管状本体の外面から延びておりかつ前記管状部材と第2セグメントとの 中間での前記第1セグメント上の前記曲がり点で前記各第1セグメントと接触す る棚部を更に有し、これにより前記2次回転中心を形成し、該2次回転中心の回 りで前記第1セグメントが曲がって前記目標血管を前記管状部材に向かって半径 方向に圧縮することを特徴とする請求の範囲第33項に記載の吻合ステープル付 け装置。 35.前記管状部材に取り付けられる移植血管を更に有し、該移植血管は、同種移 植片、異種移植片および人工移植片からなる群から選択されることを特徴とする 請求の範囲第22項に記載の吻合ステープル付け装置。 36.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を目標血管の壁に連結する吻合を遂行する方法に おいて、 前記目標血管の外面にアンカー部材を取り付け、 前記目標血管の前記壁に開口を創成し、 カップリング部材を前記移植血管の前記自由端に取り付け、 前記目標血管の前記壁の近くに前記カップリング部材を保持して、前記移植 血管の前記端部が前記目標血管の前記壁にシール連結されかつ前記移植血管の前 記管腔が前記目標血管の前記壁の前記開口を通して前記目標血管の前記管腔と流 体連通するように、前記カップリング部材を前記アンカー部材に連結することを 特徴とする方法。 37.前記アンカー部材は、該アンカー部材に連結された複数の取付脚を前記目標 血管の前記壁に穿刺することにより前記目標血管の前記外面に取り付けられるこ とを特徴とする請求の範囲第36項に記載の方法。 38.前記アンカー部材は、該アンカー部材に連結された複数の取付脚を前記目標 血管の前記壁に穿刺し、次に前記取付脚を変形させて前記アンカー部材を前記目 標血管の前記外面に取り付けることにより前記目標血管の前記外面に取り付けら れることを特徴とする請求の範囲第36項に記載の方法。 39.前記カップリング部材は、前記移植血管に対して非外傷性であるアタッチメ ントにより、前記移植血管の自由端に取り付けられることを特徴とする請求の範 囲第36項に記載の方法。 40.前記カップリング部材を前記移植血管の自由端に取り付けるステップが、前 記移植血管の自由端を前記カップリング部材の内部管腔を介して通し、かつ前記 移植血管の前記端部を前記カップリング部材の遠位表面上で外翻するサブステッ プからなることを特徴とする請求の範囲第36項に記載の方法。 41.前記目標血管の前記壁に対して前記移植血管の外翻端を軸線方向に圧縮して 吻合シールを創成するステップを更に有することを特徴とする請求の範囲第40 項に記載の方法。 42.前記アンカー部材はリング形本体を有し、該リング形本体はこれを貫通する オリフィスを備えており、前記カップリング部材を前記アンカー部材に連結する ステップが、前記カップリング部材を前記アンカー部材の前記オリフィス内 に挿入するサブステップを有することを特徴とする請求の範囲第36項に記載の 方法。 43.前記アンカー部材は、これに連結される管状延長部を有し、前記カップリン グ部材を前記アンカー部材に連結するステップが、前記カップリング部材を前記 アンカー部材の前記管状延長部内に挿入するサブステップを有することを特徴と する請求の範囲第36項に記載の方法。 44.前記アンカー部材は、前記目標血管の前記壁に前記開口を創成する前に前記 目標血管の外面に取り付けられ、前記目標血管の前記壁の前記開口は、前記アン カー部材内のオリフィスに血管穴あけ器を挿通しかつ前記アンカー部材内の前記 オリフィスと整合するように前記目標血管の前記壁に開口をカッティングするこ とにより創成されることを特徴とする請求の範囲第36項に記載の方法。 45.目標血管の外面にアンカー部材を取り付けるステップが、アンカー部材を患 者の大動脈の外面に取り付けることからなることを特徴とする請求の範囲第36 項に記載の方法。 46.カップリング部材を移植血管の自由端に取り付けるステップが、冠状動脈バ イパス移植片の自由端に前記カップリング部材を取り付けることからなることを 特徴とする請求の範囲第36項に記載の方法。 47.患者の肋骨または胸骨を全く切断することなくまたは大きく変位させること なく、患者の肋間空間を介して胸腔内に少なくとも1つのアクセスポートを創成 し、 前記アクセスポートを介して前記アンカー部材を前記胸腔内に挿入し、 前記アクセスポートを介して前記カップリング部材を前記胸腔内に挿入する ことを特徴とする請求の範囲第36項に記載の方法。 48.アクセスポートを通り、患者の肋間空間を介して胸腔内に挿入される内視鏡 撮像機器により前記目標血管を撮像するステップを更に有することを特徴とする 請求の範囲第47項に記載の方法。 49.前記移植血管の前記自由端にカップリング部材を取り付けるステップが、患 者の胸部の外部にある前記移植血管の前記自由端を、少なくとも1つのアクセス ポートに通し、前記カップリング部材を、患者の胸部の外部にある前記移植 血管の自由端に取り付け、カップリング部材に取り付けられた前記移植血管の自 由端を、前記少なくとも1つのアクセスポートを通して患者の胸部内に再挿入す るサブステップからなることを特徴とする請求の範囲第47項に記載の方法。 50.前記カップリング部材を前記アンカー部材に連結するステップが、前記移植 血管の外翻端を前記目標血管の前記外面に近置するサブステップからなることを 特徴とする請求の範囲第40項に記載の方法。 51.前記カップリング部材を前記アンカー部材に連結するステップが、前記移植 血管が取り付けられた前記カップリング部材を、前記目標血管の前記壁の前記開 口内に挿入し、前記移植血管の外翻端を前記目標血管の内面に近置するサブステ ップからなることを特徴とする請求の範囲第40項に記載の方法。 52.前記目標血管の前記壁を前記カップリング部材の回りで半径方向に圧縮して 、前記移植血管の外翻端と前記目標血管の前記壁との間に吻合シールを創成する ことを特徴とする請求の範囲第51項に記載の方法。 53.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を目標血管の壁に連結する吻合を遂行する方法にお いて、 前記移植血管の端部を吻合ステープルの内部管腔に挿通しかつ前記吻合ステ ープルの遠位端上で前記移植血管の自由端を外翻させることにより、前記移植血 管の前記自由端を前記吻合ステープルに取り付け、 前記移植血管の外翻端が取り付けられた前記吻合ステープルの前記遠位端を 、前記目標血管の前記壁の開口を通して挿入し、 前記移植血管の前記端部が前記目標血管の前記壁にシール連結されかつ前記 移植血管の前記管腔が前記目標血管の前記壁の前記開口を通して前記目標血管の 前記管腔と流体連通するように、前記吻合ステープルに連結された複数の取付脚 により前記目標血管の前記壁を穿刺して前記目標血管の前記壁の開口内に前記吻 合ステープルを保持することを特徴とする方法。 54.前記目標血管の前記壁の前記開口内の前記吻合ステープルの前記遠位端に向 かって前記目標血管の前記壁を半径方向に圧縮するステップを更に有すること を特徴とする請求の範囲第53項に記載の方法。 55.前記吻合ステープルの遠位端上で前記移植血管の前記自由端を外翻させるス テップが、前記吻合ステープルの前記遠位端に連結されたフランジ上で前記移植 血管の自由端を外翻させるサブステップからなることを特徴とする請求の範囲第 53項に記載の方法。 56.前記目標血管の前記壁に対して前記移植血管の外翻端を軸線方向に圧縮して 、吻合シールを創成することを特徴とする請求の範囲第55項に記載の方法。 57.前記移植血管の前記自由端を吻合ステープルに取り付けるステップが、冠状 動脈バイパス移植片の自由端を吻合ステープルに取り付けることからなることを 特徴とする請求の範囲第53項に記載の方法。 58.前記移植血管の外翻端が取り付けられた前記吻合ステープルの前記遠位端を 、前記目標血管の前記壁の開口に挿通するステップが、前記移植血管の外翻端が 取り付けられた前記吻合ステープルの前記遠位端を、患者の前記胸腔内の冠状動 脈の壁の開口に挿通することからなることを特徴とする請求の範囲第53項に記 載の方法。 59.前記移植血管の外翻端が取り付けられた前記吻合ステープルの前記遠位端を 、前記目標血管の前記壁の開口に挿通するステップが、前記移植血管の外翻端が 取り付けられた前記吻合ステープルの前記遠位端を、患者の前記胸腔内の大動脈 の壁の開口に挿通することからなることを特徴とする請求の範囲第53項に記載 の方法。 60.前記吻合ステープルに連結された複数の取付脚により前記目標血管の前記壁 を穿刺するステップが、前記複数の取付脚に遠位方向の力を加え、前記複数の取 付脚の遠位部が前記目標血管の前記壁を穿刺するように、前記複数の取付脚を変 形させることからなることを特徴とする請求の範囲第53項に記載の方法。 61.前記複数の取付脚に遠位方向の力を加え、前記複数の取付脚を変形させるス テップが、前記複数の取付脚の弧状遠位部が弧状通路内の前記目標血管の前記壁 を穿刺するように、前記複数の取付脚の各々を枢着点の回りで回転させることか らなることを特徴とする請求の範囲第60項に記載の方法。 62.前記複数の取付脚の移行部が弧状通路内の前記目標血管の前記壁を穿刺し、 前記目標血管の前記壁を、前記目標血管の前記壁の前記開口内の前記吻合ステー プルの前記遠位端に向かって半径方向に圧縮するように、前記複数の取付脚の各 々を前記枢着点の回りで更に回転させるステップを更に有することを特徴とする 請求の範囲第61項に記載の方法。 63.前記複数の取付脚の各々を前記枢着点の回りで更に回転させ、前記目標血管 の壁を、該目標血管の前記壁の開口内で前記吻合ステープルの前記遠位端に向か って半径方向に圧縮するステップを更に有することを特徴とする請求の範囲第6 1項に記載の方法。 64.患者の肋骨または胸骨を全く切断することなくまたは大きく変位させること なく、患者の肋間空間を通って胸腔内に至る少なくとも1つのアクセスポートを 創成し、 前記吻合ステープルを、前記アクセスポートを通して前記胸腔内に挿入する ステップを更に有することを特徴とする請求の範囲第53項に記載の方法。 65.アクセスポートを通り、患者の肋間空間を介して胸腔内に挿入される内視鏡 撮像機器により前記目標血管を撮像するステップを更に有することを特徴とする 請求の範囲第64項に記載の方法。 66.前記移植血管の前記自由端を吻合ステープルに取り付けるステップが、患者 の胸部の外部にある前記移植血管の前記自由端を、少なくとも1つのアクセスポ ートに通し、前記移植血管の前記自由端を、患者の胸部の外部にある前記吻合ス テープルに取り付け、吻合ステープルが取り付けられた前記移植血管の自由端を 、前記少なくとも1つのアクセスポートを通して患者の胸部内に再挿入するサブ ステップからなることを特徴とする請求の範囲第64項に記載の方法。 67.吻合ステープルを取り付ける装置において、 吻合ステープルを取り付けるためのステープル付け機構を有し、該ステープ ル付け機構はこれを貫通する内部管腔を備え、 中空器官の壁に開口を創成する穴あけ手段を有し、該穴あけ手段は、前記ス テープル付け機構の前記内部管腔内に着脱自在に受け入れられ、 前記吻合ステープル取付装置は、前記開口と整合して、前記目標血管の前記 壁に前記吻合ステープルを取り付ける前記穴あけ手段に連結されることを特徴 とする装置。 68.前記ステープル付け機構は、第1中空器官の端部と、前記第1中空器官の少 なくとも前記端部が外翻される第2中空器官の側壁との間に吻合を創成すべく、 前記吻合ステープルを取り付けることができるように形状決めされており、前記 装置が、前記穴あけ手段とステープル付け機構との間の環状空間を更に有し、前 記環状空間は、該環状空間内に第1中空器官を充分に収容できる大きさを有する ことを特徴とする請求の範囲第67項に記載の装置。 69.移植片挿入器具を更に有し、該移植片挿入器具は、前記穴あけ手段と交互に 前記ステープル付け機構の中央管腔内に着脱自在に受け入れられ、前記移植片挿 入器具は、カップリング部材を着脱自在に保持する手段を備えた遠位端をもつ細 長い軸を有し、前記カップリング部材は、移植血管を、前記目標血管の前記壁の 外面に取り付けられるアンカー部材に接合できるように形状決めされていること を特徴とする請求の範囲第67項に記載の装置。 70.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を目標血管の壁に連結するための吻合継手において 、 内側フランジを有し、該内側フランジは、近位面、遠位面および前記移植血 管の外径を収容する充分な寸法の中央オリフィスを備え、前記内側フランジは、 前記移植血管の前記端部が前記中央オリフィスに挿通されかつ前記内側フランジ 上で外翻されるときに、前記移植血管の前記端部の非外傷性取付を行い、前記内 側フランジは前記目標血管の前記壁の開口を通って挿入でき、 外側フランジを有し、該外側フランジは、近位面、遠位面および前記移植血 管の外径を収容する充分な寸法の中央オリフィスを備え、前記外側フランジの前 記遠位面は、前記開口に近い前記目標血管の前記壁の外面に接触できるように形 状決めされており、 前記移植血管の前記外翻端が前記目標血管の前記壁にシール連結されかつ前 記移植血管の前記管腔が目標血管の前記壁の開口を通って前記目標血管の管腔と 流体連通するように、前記外側フランジを、前記内側フランジに対して選択位置 に維持する手段を更に有することを特徴とする吻合継手。 71.前記内側フランジは、該内側フランジが前記目標血管の前記管腔および前記 移植血管の前記管腔から流体的に隔絶すべく、前記移植血管の外翻端が前記内側 フランジの少なくとも前記遠位面を実質的に覆うことができるように形状決めさ れていることを特徴とする請求の範囲第70項に記載の吻合継手。 72.近位端および遠位端を備えた管状本体を更に有し、前記内側フランジは前記 遠位端に連結され、前記管状本体は、前記移植血管の外径を収容する充分な寸法 の中央管腔を備えていることを特徴とする請求の範囲第70項に記載の吻合継手 。 73.前記管状本体の近位部分は前記外側フランジの前記中央オリフィス内に摺動 自在に受け入れられるように形状決めされており、前記外側フランジを、前記内 側フランジに対して選択位置に維持する前記手段が、前記管状本体に対して前記 外側フランジを係止する係止手段からなることを特徴とする請求の範囲第72項 に記載の吻合継手。 74.前記係止手段が、前記管状本体の外面上に摺動自在に位置決めされる自己係 止保持ワッシャからなることを特徴とする請求の範囲第73項に記載の吻合継手 。 75.前記外側フランジは、前記外側フランジの前記遠位面が前記目標血管の前記 壁の外面に接触しない初期形状から、前記外側フランジの前記遠位面が前記目標 血管の前記壁の外面に接触する展開形状へと変化することを特徴とする請求の範 囲第71項に記載の吻合継手。 76.前記外側フランジを、前記内側フランジに対して選択位置に維持する前記手 段が、前記外側フランジを前記内側フランジに連結する変形自在手段からなり、 該変形自在手段が、前記外側フランジを前記内側フランジに対して選択位置に位 置決めしかつ保持すべく変形できることを特徴とする請求の範囲第70項に記載 の吻合継手。 77.前記外側フランジが複数のフランジセクタに分割されており、各フランジセ クタが少なくとも1つの変形自在手段を介して前記内側フランジに連結されるこ とを特徴とする請求の範囲第70項に記載の吻合継手。 78.前記変形自在手段が管状本体を介して前記内側フランジに連結され、前記管 状本体が、前記移植血管の外径を収容する充分な寸法の中央管腔を備えているこ とを特徴とする請求の範囲第77項に記載の吻合継手。 79.前記外側フランジは前記内側フランジに連結される管状本体からなり、該管 状本体は、非変形形状から拡張形状へと変形して前記外側フランジを形成できる ことを特徴とする請求の範囲第70項に記載の吻合継手。 80.前記管状本体は複数の長手方向セグメントに分割され、該長手方向セグメン トは、軸線方向に圧縮されると外方に拡張されるように予め配置されることを特 徴とする請求の範囲第79項に記載の吻合継手。 81.前記内側フランジは、 前記内側フランジがつぶれ直径を有するつぶれ位置と、 前記内側フランジが前記つぶれ直径より大きい拡張直径を有する拡張位置と を含む少なくとも2つの作動位置を有することを特徴とする請求の範囲第70項 に記載の吻合継手。 82.前記内側フランジが複数のフランジセクタからなり、該フランジセクタは、 前記内側フランジが前記つぶれ位置にあるとき、互いに近づく方向につぶされて 、前記つぶれ直径に等しい直径を占め、前記フランジセクタは、前記内側フラン ジが前記拡張位置にあるとき、互いに離れる方向に拡張して、前記拡張直径に等 しい直径を占めることを特徴とする請求の範囲第81項に記載の吻合継手。 83.前記内側フランジを前記つぶれ位置から前記拡張位置へと拡張させる拡張手 段を更に有することを特徴とする請求の範囲第82項に記載の吻合継手。 84.前記拡張手段は管状部材からなり、該管状部材は、前記フランジセクタ間で 前記中央オリフィス内に挿入されると、前記フランジセクタを前記つぶれ位置か ら拡張位置に押圧することを特徴とする請求の範囲第83項に記載の吻合継手。 85.前記内側フランジが、長手方向に配向された複数のセグメントからなり、該 セグメントが、軸線方向に圧縮されることに応答して半径方向に拡張できるよう に形状決めされていることを特徴とする請求の範囲第70項に記載の吻合継手。 86.前記最初に長手方向に配向されたセグメントは、前記外側フランジに連結さ れた近位端および遠位端を有し、前記セグメントは、前記遠位端が前記近位端に 向かって軸線方向に圧縮されると半径方向に拡張できるように形状決めされてい ることを特徴とする請求の範囲第85項に記載の吻合継手。 87.前記セグメントは、前記近位端と前記遠位端との中間の曲がり部分を有し、 該曲がり部分は、前記遠位端が近位端に向かって軸線方向に圧縮されると半径方 向に拡張するように前記セグメントを予め配置することを特徴とする請求の範囲 第86項に記載の吻合継手。 88.前記セグメントの前記遠位端を、前記セグメントの前記近位端に向かって軸 線方向に圧縮する手段を更に有することを特徴とする請求の範囲第86項に記載 の吻合継手。 89.前記圧縮手段が管状部材からなり、該管状部材が半径方向に延びる複数のタ ブを有し、該タブが前記セグメントの前記遠位端と係合して、前記セグメントの 前記遠位端を、前記セグメントの前記近位端に向かって軸線方向に圧縮すること を特徴とする請求の範囲第88項に記載の吻合継手。 90.前記管状部材上で半径方向に延びる複数のタブは、前記外側フランジの対応 する複数のスロットを通り、かつ該スロットと整合する前記複数のセグメント間 の複数の空間を通って位置決めされ、前記半径方向に延びる複数のタブを備えた 前記管状部材が、前記セグメントの前記遠位端と係合すべく前記複数のセグメン ト間に着脱自在に挿入できることを特徴とする請求の範囲第89項に記載の吻合 継手。 91.前記内側フランジの少なくとも前記中央オリフィスが、円形、楕円形、卵形 および涙滴形からなる群から選択される幾何学的形状を有することを特徴とする 請求の範囲第70項に記載の吻合継手。 92.第2内側フランジを更に有し、該第2内側フランジは、前記内側フランジの 外径より大きい外径と、前記内側フランジの外径より小さくかつ前記内側フラン ジの前記中央オリフィスより大きい内径とを有することを特徴とする請求の範囲 第70項に記載の吻合継手。 93.第2内側フランジを更に有し、該第2内側フランジは、前記内側フランジの 外径より大きい外径と、中央穴とを有し、該中央穴は、前記内側フランジの前記 外径の近くの複数の別々の位置で前記内側フランジと係合する内方を向いた複数 のタブに特徴を有することを特徴とする請求の範囲第70項に記載の吻合継手。 94.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を目標血管の壁に連結する吻合を遂行する方法にお いて、 前記移植血管の前記自由端を吻合継手の内側フランジに取り付け、 前記移植血管の前記自由端が取り付けられた前記内側フランジを、前記目標 血管の前記壁の前記開口を通して挿入しかつ前記目標血管の内面と前記内側フラ ンジとを係合させ、 前記吻合継手の外側フランジを、前記開口の近くで前記目標血管の前記壁の 外面と接触するように位置決めし、 前記移植血管が前記目標血管の前記壁にシール連結されかつ前記移植血管の 前記管腔が前記目標血管の前記壁の前記開口を通して前記目標血管の前記管腔と 流体連通するように、前記内側フランジと外側フランジとをカップリングするこ とを特徴とする方法。 95.前記移植血管の前記自由端は、前記移植血管の自由端を、前記内側フランジ 内のオリフィスに通しかつ移植血管の前記自由端を前記内側フランジ上で外翻さ せることにより前記内側フランジに取り付けられることを特徴とする請求の範囲 第94項に記載の方法。 96.前記内側フランジを前記移植血管の外翻端で覆い、前記内側フランジを、前 記目標血管の前記管腔および前記移植血管の前記管腔から隔絶することを特徴と する請求の範囲第95項に記載の方法。 97.前記目標血管の前記壁を、前記内側フランジと外側フランジとの間で圧縮す るステップを更に有することを特徴とする請求の範囲第94項に記載の方法。 98.前記目標血管の前記壁および前記移植血管の外翻端を、前記内側フランジと 外側フランジとの間で圧縮するステップを更に有することを特徴とする請求の範 囲第94項に記載の方法。 99.前記吻合継手の前記内側フランジが圧縮状態および拡張状態を有し、前記移 植血管の前記自由端が、圧縮状態にある前記内側フランジに取り付けられ、前記 移植血管の前記自由端が取り付けられた前記内側フランジが、前記内側フランジ を前記圧縮状態にして前記目標血管の壁の前記開口を通して挿入され、前記内側 フランジを前記拡張状態に拡張することにより、前記内側フランジが前記目標血 管の前記内面と係合することを特徴とする請求の範囲第94項に記載の方法。 100.前記吻合継手の前記外側フランジは、前記外側フランジを、前記目標血管の 前記壁の前記外面に接触しない初期位置から、前記目標血管の前記壁の外面に接 触する展開位置へと変形させることにより、前記目標血管の前記壁の前記外面と 接触するように位置決めされることを特徴とする請求の範囲第94項に記載の方 法。 101.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を目標血管の壁に連結するための吻合装置において 、 締結フランジを有し、該締結フランジは、遠位面および前記移植血管の外径 に適合する充分な寸法をもつ中央オリフィスを備え、前記締結フランジは、前記 移植血管の前記端部を前記中央オリフィスに通しかつ前記移植血管の前記端部を 前記締結フランジ上で外翻することにより前記移植血管の前記端部を取り付ける アタッチメントを形成し、 前記締結フランジに対して移動できる複数のステープル部材を更に有し、該 ステープル部材は、前記移植血管の外翻端および前記目標血管を穿刺して、前記 締結フランジおよび前記移植血管の外翻端を、前記目標血管の壁に取り付けるこ とができるように形状決めされていることを特徴とする吻合装置。 102.前記締結フランジは、該締結フランジを貫通する複数の穴を有し、該穴は前 記締結フランジの前記遠位面と連通しており、前記ステープル部材は前記穴内に 摺動自在に受け入れられることを特徴とする請求の範囲第101項に記載の吻合 装置。 103.前記各ステープル部材は予め定めた曲がり部を有し、該曲がり部は、前記穴 内に配置されるとほぼ直線状の形状になり、前記予め定めた曲がり部は、前記穴 の外部に配置されると曲がり形状になることを特徴とする請求の範囲第102項 に記載の吻合装置。 104.前記ステープル部材の前記予め定めた曲がり部は、該曲がり部が前記穴の外 部に配置されると前記締結フランジの外径を超えて外方に曲がるように、前記ス テープル部材の遠位部を配置することを特徴とする請求の範囲第103項に記載 の吻合装置。 105.前記ステープル部材は、該ステープル部材を予め定めた形状に付勢する弾性 材料で作られていることを特徴とする請求の範囲第103項に記載の吻合装置。 106.前記弾性材料は、超弾性ニッケル−チタン合金であることを特徴とする請求 の範囲第105項に記載の吻合装置。 107.前記各ステープル部材は少なくとも1つの取付脚を有し、該取付脚は、ほぼ 直線状の中央セグメントと、該中央セグメントに対して鋭角を形成する近位セグ メントと、前記中央セグメントに対して鋭角を形成する遠位セグメントとを有す ることを特徴とする請求の範囲第101項に記載の吻合装置。 108.前記取付脚は、該取付脚の近位セグメントが前記締結フランジの近位面に対 し当接しかつ前記取付脚の前記遠位セグメントが目標血管の壁の内面に当接して 、前記締結フランジを前記目標血管の壁に取り付けることができるように形状決 めされていることを特徴とする請求の範囲第107項に記載の吻合装置。 109.前記取付脚は弾性記憶をもつ弾性材料で作られており、該弾性材料は、前記 締結フランジの前記近位面に対して前記近位セグメントを押圧し、かつ目標血管 の壁の内面に対して前記取付ラグの前記遠位セグメントを押圧することを特徴と する請求の範囲第108項に記載の吻合装置。 110.前記複数のステープル部材の各々が2つの取付脚を備え、前記2つの取付脚 の近位セグメントが一体に取り付けられていることを特徴とする請求の範囲第1 07項に記載の吻合装置。 111.前記締結フランジはこれを貫通する複数の穴を有し、該穴は、前記締結フラ ンジの前記遠位面と連通しかつ前記ステープル部材の2つの取付脚が摺動自在に 受け入れられるように対をなして配置されていることを特徴とする請求の範 囲第110項に記載の吻合装置。 112.前記各ステープル部材が少なくとも1つの取付脚を有し、該取付脚が近位セ グメントおよび変形自在の遠位セグメントを有し、前記近位セグメントは、その 変形に抵抗するように遠位セグメントより大きな剛性を有することを特徴とする 請求の範囲第101項に記載の吻合装置。 113.前記ステープル部材は、前記遠位セグメントが、前記目標血管の前記壁の内 部に当接する位置まで変形できるように形状決めされていることを特徴とする請 求の範囲第112項に記載の吻合装置。 114.前記各ステープル部材は2つの取付脚を有し、各取付脚は近位セグメントお よび変形自在の遠位セグメントを備え、前記近位セグメントは、その変形に抵抗 するように遠位セグメントより大きな剛性を有し、前記2つの取付脚の近位セグ メントは一体に取り付けられていることを特徴とする請求の範囲第101項に記 載の吻合装置。 115.前記近位セグメントは、該近位セグメントを包囲しかつ補強する管状部材か らなる補剛手段を有することを特徴とする請求の範囲第114項に記載の吻合装 置。 116.前記近位セグメントは、前記遠位セグメントより大きい断面積を有すること を特徴とする請求の範囲第114項に記載の吻合装置。 117.前記各ステープル部材は、近位セグメントと、該近位セグメントに連結され た曲がりセグメントと、該曲がりセグメントに連結された遠位先端とを有し、前 記曲がりセグメントは、前記遠位先端が目標血管壁の内面を穿刺するように配向 させることができるように形状決めされていることを特徴とする請求の範囲第 102項に記載の吻合装置。 118.前記ステープル部材の前記遠位先端は、目標血管の内面から外面へと目標血 管の壁を横断できるように形状決めされ、前記吻合装置は、前記遠位先端を締結 フランジに連結する手段を更に有することを特徴とする請求の範囲第117項に 記載の吻合装置。 119.前記遠位先端を前記締結フランジに取り付ける前記手段が、前記遠位セグメ ントに取り付けられたとげ部を備え、該とげ部は前記締結フランジのリッジと 係合するように形状決めされていることを特徴とする請求の範囲第118項に記 載の吻合装置。 120.前記遠位先端を前記締結フランジに取り付ける前記手段は、前記遠位先端を 前記締結フランジに締結する手段を備えた、前記締結フランジに連結できる係止 キャップを有することを特徴とする請求の範囲第118項に記載の吻合装置。 121.前記ステープル部材は、前記曲がりセグメントおよび遠位セグメントを目標 血管の壁の開口に用意に挿通できるようにするため、前記曲がりセグメントおよ び遠位セグメントが前記締結フランジの外径により形成される円内にある挿入位 置まで、前記締結フランジの前記穴内で回転できることを特徴とする請求の範囲 第117項に記載の吻合装置。 122.前記ステープル部材は、前記曲がりセグメントおよび遠位セグメントが前記 締結フランジの外径により形成される円の外部に出る第2位置まで回転できるこ とを特徴とする請求の範囲第121項に記載の吻合装置。 123.前記ステープル部材は、超弾性金属合金で作られていることを特徴とする請 求の範囲第101項に記載の吻合装置。 124.前記締結フランジに連結された複数の外側取付脚を更に有し、該外側取付脚 は前記目標血管の外面を穿刺できるように形状決めされていることを特徴とする 請求の範囲第101項に記載の吻合装置。 125.前記外側取付脚は、前記取付脚が前記目標血管に接触しない第1位置および 前記取付脚が前記目標血管の外面を穿刺する第2位置から変形できることを特徴 とする請求の範囲第124項に記載の吻合装置。 126.前記目標血管の外面と接触するように形状決めされた遠位面を備えた外側フ ランジを更に有することを特徴とする請求の範囲第101項に記載の吻合装置。 127.前記外側フランジを、前記締結フランジに対して選択された位置に係止させ る係止手段を更に有することを特徴とする請求の範囲第126項に記載の吻合装 置。 128.前記係止手段は、前記締結フランジから近位側に延びている管状延長部上に 摺動自在に受け入れられる中央オリフィスを備えた自己係止保持ワッシャからな ることを特徴とする請求の範囲第127項に記載の吻合装置。 129.前記締結フランジの少なくとも前記中央オリフィスが、円形、楕円形、卵形 および涙滴形からなる群から選択される幾何学的形状を有していることを特徴と する請求の範囲第101項に記載の吻合装置。 130.管状カッタに対して軸線方向に移動できるアンビルを有し、該アンビルが、 前記管状カッタの内部管腔内に摺動自在に受け入れられて、前記アンビルと管状 カッタとの間に介在される組織に貫通穴をあけることができるように形状決めさ れた形式の改良形組織穴あけ器において、 前記組織穴あけ器により切断される組織をクランプするための、前記組織穴 あけ器に連結されたクランピング手段を有することを特徴とする改良形組織穴あ け器。 131.前記クランピング手段は、前記管状カッタの内部管腔内に摺動自在に受け入 れられ、前記クランピング手段は、前記アンビルの近位面に対向する遠位面を有 し、組織が前記遠位面と近位面との間にクランプされることを特徴とする請求の 範囲第130項に記載の改良形組織穴あけ器。 132.前記組織穴あけ器に連結されるステープル付け機構を更に有し、該ステープ ル付け機構は、前記クランピング手段によりクランプされる前記組織穴あけ器を 包囲する組織に少なくとも1つのステープルを付けることができるように形状決 めされていることを特徴とする請求の範囲第130項に記載の改良形組織穴あけ 器。 133.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を目標血管の壁に連結するための吻合継手において 、 前記移植血管の外径を収容する充分な寸法の内部管腔を備えた管状部材を有 し、該管状部材は遠位端を有し、該遠位端から複数の取付脚が延びており、該取 付脚は、前記目標血管の管腔内から前記移植血管の少なくとも前記壁に穿刺でき るように形状決めされており、 外側フランジを有し、該外側フランジは、遠位面および前記移植血管の外径 を収容する充分な寸法の中央オリフィスを備え、前記外側フランジの前記遠位面 は、前記開口に近い前記目標血管の前記壁の外面に接触できるように形状決 めされており、 前記外側フランジを、前記管状部材に対して選択位置に維持する手段を更に 有することを特徴とする吻合継手。 134.前記複数の取付脚の各々が、前記管状部材の前記遠位端から半径方向に延び ている第1セグメントと、該第1セグメントから近位側に延びている第2セグメ ントとを有することを特徴とする請求の範囲第133項に記載の吻合継手。 135.前記外側フランジの前記中央オリフィスは、前記管状部材の外面上に摺動自 在に受け入れられ、前記外側フランジを、前記管状部材に対して選択された位置 に維持する前記手段が、前記管状部材の外面上に摺動自在に位置決めされる自己 係止保持ワッシャからなることを特徴とする請求の範囲第133項に記載の吻合 継手。 136.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を目標血管の壁に連結する吻合を遂行する方法にお いて、 前記移植血管を、管状部材の内部管腔に通し、 前記移植血管の前記自由端を外翻させ、 前記管状部材の遠位端から延びている複数の取付脚により、前記移植血管の 外翻端を穿刺させ、 前記複数の取付脚を、前記目標血管の前記壁の前記開口に挿通し、 前記複数の取付脚により、前記目標血管の前記壁の内面を穿刺させ、 外側フランジの遠位面を、前記開口の近くで前記目標血管の前記壁の外面と 接触するように位置決めし、 前記外側フランジを、前記管状部材に対して選択された位置に係止させるこ とを特徴とする方法。 137.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を連結するための吻合手段と、 該吻合手段から延びている可撓性管状延長部とを有し、該可撓性管状延長部 が前記移植血管の少なくとも一部を包囲しかつ支持することを特徴とする吻合装 置。 138.前記可撓性管状延長部が、前記吻合手段に近い遠位端と、前記吻合手段から 離れている近位端とを有し、前記可撓性管状延長部は、前記遠位端から近位端に 向かって可撓性が徐々に大きくなっており、前記可撓性管状延長部は、前記遠位 端から近位端に向かって徐々にしなやかになっており、前記可撓性管状延長部の 直径は、前記遠位端から近位端に向かって徐々に大きくなっていることを特徴と する請求の範囲第137項に記載の吻合装置。 139.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を目標血管の壁に連結するための吻合装置において 、 遠位端を備えた第1リングを有し、前記遠位端からは複数のステープル部材 が垂下しており、 前記第1リングに対して同心状に配置される第2リングを有し、該第2リン グは遠位端を備え、該遠位端からは複数のステープル部材が垂下していることを 特徴とする吻合装置。 140.前記第1リングから垂下するステープル部材は時計回り方向に傾斜しており 、前記第2リングから垂下するステープル部材は反時計回り方向に傾斜している ことを特徴とする請求の範囲第139項に記載の吻合装置。 141.前記第1リングは前記第2リングに対して回転でき、前記吻合装置は、前記 第1リングを、前記第2リングに対して所望の回転方向に係止する係止手段を更 に有することを特徴とする請求の範囲第139項に記載の吻合装置。 142.管状器官の一セクションを前記管状器官内の流路から非閉鎖的に隔絶するカ テーテル装置において、 遠位バルーンおよび該遠位バルーンを膨張させる手段と、 近位バルーンおよび該近位バルーンを膨張させる手段と、 灌流チューブとを有し、該灌流チューブには遠位バルーンおよび近位バルー ンが互いに間隔を隔てた位置において取り付けられ、前記灌流チューブは、前記 近位バルーンより近位の近位開口と、前記遠位バルーンより遠位の遠位開口と、 これらの間の灌流管腔とを備え、 前記近位バルーンと遠位バルーンとの間で、T字形をなして前記灌流チュー ブに連結された細長いカテーテルを更に有することを特徴とするカテーテル装置 。 143.移植血管の一端を、選択された部位で目標血管の壁に吻合する形式の血管吻 合を遂行する改善された方法において、 カテーテルを前記目標血管の管腔内に挿入し、前記吻合部位の上流側で前記 カテーテルの第1バルーンを膨張させかつ前記吻合部位の下流側で前記カテーテ ルの第2バルーンを膨張させることにより、前記目標血管内の吻合部位を血流か ら隔絶し、 前記カテーテルの灌流管腔を通して得られる血液で、前記第2バルーンの下 流側の前記目標血管を灌流させ、 前記第1バルーンと第2バルーンとの間の前記吻合部位で吻合を遂行するこ とを特徴とする改善された方法。 144.前記第2バルーンの下流側の前記目標血管が、前記第1バルーンの上流側の 前記目標血管の位置で前記カテーテルの灌流チューブに流入する血液で灌流され ることを特徴とする請求の範囲第143項に記載の血管吻合を遂行する改善され た方法。 145.前記目標血管が患者の心臓に連結された大動脈であり、前記吻合が、患者の 心臓が鼓動している間に遂行されることを特徴とする請求の範囲第143項に記 載の血管吻合を遂行する改善された方法。 146.移植血管の管腔が目標血管の壁の開口を通って目標血管の管腔と流体連通す るように、移植血管の自由端を、目標血管の壁に連結する吻合ステープル手段と 、 前記移植血管の前記端部が前記目標血管の前記壁にシール連結されかつ前記 移植血管の前記管腔が前記目標血管の前記壁の前記開口を通って前記目標血管の 前記管腔と流体連通するように、前記吻合ステープル手段をつけるステープル付 け手段とを有することを特徴とする吻合システム。 147.前記ステープル付け手段は、前記吻合ステープルを保持するステープル保持 手段と、該ステープル保持手段に対して軸線方向に変位できる環状ステープル変 形面を備えた同心状ステープルドライバとを有することを特徴とする請求の 範囲第146項に記載の吻合システム。 148.前記ステープル付け手段は、前記吻合ステープルを保持するステープル保持 手段と、該ステープル保持手段に対して軸線方向に変位できる環状ステープル変 形面を備えた同心状ステープルドライバとを有することを特徴とする請求の範囲 第146項に記載の吻合システム。 149.前記吻合ステープル手段は、前記移植血管の前記自由端を前記吻合ステープ ル手段に取り付ける非外傷性手段と、前記非外傷性手段の回りで周方向に配置さ れた複数の取付脚とを有し、前記複数の取付脚は、前記目標血管の前記壁を穿刺 できるように形状決めされていることを特徴とする請求の範囲第146項に記載 の吻合システム。 150.前記非外傷性手段は、前記移植血管の外径を収容する充分な寸法の中央管腔 を備えた管状本体と、該管状本体の前記遠位端上で前記移植血管の前記自由端を 外翻させることにより前記移植血管を受け入れることができるように形状決めさ れていることを特徴とする請求の範囲第149項に記載の吻合システム。 151.前記非外傷性手段は、前記管状本体の前記遠位端に連結されるフランジを有 し、該フランジは、この上で前記移植血管の前記自由端を外翻させることにより 前記移植血管を受け入れることができるように形状決めされていることを特徴と する請求の範囲第150項に記載の吻合システム。 152.前記非外傷性手段は、前記移植血管を、前記目標血管の前記壁の外面に取り 付けられるアンカー部材に接合することができるように形状決めされたカップリ ング部材を有することを特徴とする請求の範囲第149項に記載の吻合システム 。 153.前記カップリング部材を前記アンカー部材に接合するための移植片挿入手段 を更に有することを特徴とする請求の範囲第152項に記載の吻合システム。 154.前記目標血管の壁に開口を創成する穴あけ手段を更に有し、該穴あけ手段は 、前記ステープル付け手段の内部管腔内に着脱自在に受け入れられることを特徴 とする請求の範囲第146項に記載の吻合システム。 155.前記目標血管の壁上の吻合部位を、前記目標血管内の血流から隔絶する管内 手段を更に有することを特徴とする請求の範囲第146項に記載の吻合システ ム。 156.前記目標血管の壁上の吻合部位を、前記目標血管内の血流から隔絶しかつ前 記目標血管を前記吻合部位の下流側の血液で灌流する管内手段を更に有すること を特徴とする請求の範囲第146項に記載の吻合システム。 157.前記吻合ステープルに取り付けられる移植血管を更に有し、該移植血管が、 同種移植片、異種移植片および人工移植片からなる群から選択されることを特徴 とする請求の範囲第146項に記載の吻合システム。
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US08/394,333 US5695504A (en) | 1995-02-24 | 1995-02-24 | Devices and methods for performing a vascular anastomosis |
US08/394,333 | 1995-02-24 | ||
PCT/US1996/001890 WO1996025886A1 (en) | 1995-02-24 | 1996-02-13 | Devices and methods for performing a vascular anastomosis |
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EP (1) | EP0957775B1 (ja) |
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Cited By (48)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2002320620A (ja) * | 2001-04-25 | 2002-11-05 | Inprest Co Ltd | 外科用ステープル及び外科用ステープラ |
JP2004141660A (ja) * | 2002-10-21 | 2004-05-20 | Cordis Corp | 吻合部位を治療するための薬物放出型吻合装置および方法 |
JP2005529675A (ja) * | 2002-06-17 | 2005-10-06 | タイコ ヘルスケア グループ エルピー | 環状支持構造体 |
JP2007505696A (ja) * | 2003-09-15 | 2007-03-15 | イナムド メディカル プロダクツ コーポレーション | 植込み式デバイス締付けシステムおよび使用方法 |
JP2007508054A (ja) * | 2003-10-08 | 2007-04-05 | デービッド ダブリュ. ライト, | 吻合装置とその配置及び製造方法 |
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JP2010524649A (ja) * | 2007-04-24 | 2010-07-22 | エモリー ユニヴァーシティ | 導管装置および導管装置を組織壁内に移植するためのシステム |
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US8905937B2 (en) | 2009-02-26 | 2014-12-09 | Integrated Vascular Systems, Inc. | Methods and apparatus for locating a surface of a body lumen |
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US9050068B2 (en) | 2005-07-01 | 2015-06-09 | Abbott Laboratories | Clip applier and methods of use |
US9060769B2 (en) | 2000-09-08 | 2015-06-23 | Abbott Vascular Inc. | Surgical stapler |
US9089674B2 (en) | 2000-10-06 | 2015-07-28 | Integrated Vascular Systems, Inc. | Apparatus and methods for positioning a vascular sheath |
US9138228B2 (en) | 2004-08-11 | 2015-09-22 | Emory University | Vascular conduit device and system for implanting |
US9149276B2 (en) | 2011-03-21 | 2015-10-06 | Abbott Cardiovascular Systems, Inc. | Clip and deployment apparatus for tissue closure |
US9271707B2 (en) | 2003-01-30 | 2016-03-01 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US9295469B2 (en) | 2002-06-04 | 2016-03-29 | Abbott Vascular Inc. | Blood vessel closure clip and delivery device |
US9320522B2 (en) | 2000-12-07 | 2016-04-26 | Integrated Vascular Systems, Inc. | Closure device and methods for making and using them |
US9320875B2 (en) | 2011-02-01 | 2016-04-26 | Emory University | Systems for implanting and using a conduit within a tissue wall |
US9332976B2 (en) | 2011-11-30 | 2016-05-10 | Abbott Cardiovascular Systems, Inc. | Tissue closure device |
US9364209B2 (en) | 2012-12-21 | 2016-06-14 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device |
US9398914B2 (en) | 2003-01-30 | 2016-07-26 | Integrated Vascular Systems, Inc. | Methods of use of a clip applier |
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US9456811B2 (en) | 2005-08-24 | 2016-10-04 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
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US9498196B2 (en) | 2002-02-21 | 2016-11-22 | Integrated Vascular Systems, Inc. | Sheath apparatus and methods for delivering a closure device |
US9532773B2 (en) | 2011-01-28 | 2017-01-03 | Apica Cardiovascular Limited | Systems for sealing a tissue wall puncture |
US9579091B2 (en) | 2000-01-05 | 2017-02-28 | Integrated Vascular Systems, Inc. | Closure system and methods of use |
US9585647B2 (en) | 2009-08-26 | 2017-03-07 | Abbott Laboratories | Medical device for repairing a fistula |
US9962144B2 (en) | 2006-06-28 | 2018-05-08 | Abbott Laboratories | Vessel closure device |
US10028741B2 (en) | 2013-01-25 | 2018-07-24 | Apica Cardiovascular Limited | Systems and methods for percutaneous access, stabilization and closure of organs |
US10111664B2 (en) | 2000-01-05 | 2018-10-30 | Integrated Vascular Systems, Inc. | Closure system and methods of use |
JP2019506268A (ja) * | 2016-02-05 | 2019-03-07 | セアッシュユ ドゥ ニースChu De Nice | 吻合コネクタ |
US10413295B2 (en) | 2008-05-16 | 2019-09-17 | Abbott Laboratories | Engaging element for engaging tissue |
US10485909B2 (en) | 2014-10-31 | 2019-11-26 | Thoratec Corporation | Apical connectors and instruments for use in a heart wall |
US10518012B2 (en) | 2013-03-15 | 2019-12-31 | Apk Advanced Medical Technologies, Inc. | Devices, systems, and methods for implanting and using a connector in a tissue wall |
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KR20200143451A (ko) * | 2018-05-17 | 2020-12-23 | 마이크로-테크 (난징) 코., 엘티디. | 소화관용 셀프 문합 클램프 및 그 방출 장치 |
JP2021520947A (ja) * | 2018-04-17 | 2021-08-26 | ルーベック, デビッドRUEBECK, David | 管状構造物を接続するための装置および方法 |
US11439378B2 (en) | 2009-01-09 | 2022-09-13 | Abbott Cardiovascular Systems, Inc. | Closure devices and methods |
Families Citing this family (1221)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5735290A (en) | 1993-02-22 | 1998-04-07 | Heartport, Inc. | Methods and systems for performing thoracoscopic coronary bypass and other procedures |
US6355050B1 (en) | 1992-12-10 | 2002-03-12 | Abbott Laboratories | Device and method for suturing tissue |
US6494211B1 (en) | 1993-02-22 | 2002-12-17 | Hearport, Inc. | Device and methods for port-access multivessel coronary artery bypass surgery |
US5527322A (en) | 1993-11-08 | 1996-06-18 | Perclose, Inc. | Device and method for suturing of internal puncture sites |
US6110187A (en) * | 1995-02-24 | 2000-08-29 | Heartport, Inc. | Device and method for minimizing heart displacements during a beating heart surgical procedure |
US5904697A (en) | 1995-02-24 | 1999-05-18 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
US5976159A (en) * | 1995-02-24 | 1999-11-02 | Heartport, Inc. | Surgical clips and methods for tissue approximation |
US5888247A (en) * | 1995-04-10 | 1999-03-30 | Cardiothoracic Systems, Inc | Method for coronary artery bypass |
IL124037A (en) | 1995-10-13 | 2003-01-12 | Transvascular Inc | Device and system for interstitial transvascular intervention |
EP0932426A4 (en) | 1996-02-02 | 2003-07-30 | Transvascular Inc | METHOD AND DEVICE FOR CONNECTING OPENINGS IN NEIGHBORHOOD BLOOD VESSELS OR IN OTHER ANATOMIC STRUCTURES |
US6579311B1 (en) | 1996-02-02 | 2003-06-17 | Transvascular, Inc. | Method for interstitial transvascular intervention |
US5925054A (en) * | 1996-02-20 | 1999-07-20 | Cardiothoracic Systems, Inc. | Perfusion device for maintaining blood flow in a vessel while isolating an anastomosis |
US5716370A (en) * | 1996-02-23 | 1998-02-10 | Williamson, Iv; Warren | Means for replacing a heart valve in a minimally invasive manner |
US6402780B2 (en) * | 1996-02-23 | 2002-06-11 | Cardiovascular Technologies, L.L.C. | Means and method of replacing a heart valve in a minimally invasive manner |
US6273912B1 (en) | 1996-02-28 | 2001-08-14 | Impra, Inc. | Flanged graft for end-to-side anastomosis |
ES2236729T3 (es) * | 1996-02-28 | 2005-07-16 | Bard Peripheral Vascular Inc | Injerto de collarin para anstomosis termino-lateral. |
CA2244221C (en) * | 1996-02-29 | 2002-08-13 | Bernafon Ag | Method and anastomotic instrument for use when performing an end-to-side anastomosis |
KR100298040B1 (ko) * | 1996-04-30 | 2001-10-29 | 닐스 자코브슨 | 단부대측면문합을수행할때사용하기위한방법및문합기구 |
DK0914102T3 (da) * | 1996-05-24 | 2006-01-09 | Angiotech Pharm Inc | Præparater og fremgangsmåder til behandling eller forebyggelse af syddomme i legemskanaler |
US6007544A (en) * | 1996-06-14 | 1999-12-28 | Beth Israel Deaconess Medical Center | Catheter apparatus having an improved shape-memory alloy cuff and inflatable on-demand balloon for creating a bypass graft in-vivo |
US20020019642A1 (en) * | 1996-07-23 | 2002-02-14 | Keith Milliman | Anastomosis instrument and method for performing same |
US6440146B2 (en) | 1996-07-23 | 2002-08-27 | United States Surgical Corporation | Anastomosis instrument and method |
US7169158B2 (en) | 1996-07-23 | 2007-01-30 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
US7223273B2 (en) | 1996-07-23 | 2007-05-29 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
SE509389C2 (sv) * | 1996-07-24 | 1999-01-18 | Solem Jan Otto | Anordning för anslutning av änden av ett första blodkärl till sidan av ett andra blodkärl |
US5755682A (en) * | 1996-08-13 | 1998-05-26 | Heartstent Corporation | Method and apparatus for performing coronary artery bypass surgery |
US6811555B1 (en) * | 1996-09-16 | 2004-11-02 | Origin Medsystems, Inc. | Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue |
US6565581B1 (en) | 1996-09-16 | 2003-05-20 | Origin Medsystems, Inc. | Apparatus and method for performing an anastomosis |
US5868763A (en) | 1996-09-16 | 1999-02-09 | Guidant Corporation | Means and methods for performing an anastomosis |
US6488692B1 (en) | 1996-09-16 | 2002-12-03 | Origin Medsystems, Inc. | Access and cannulation device and method for rapidly placing same and for rapidly closing same in minimally invasive surgery |
US6293955B1 (en) | 1996-09-20 | 2001-09-25 | Converge Medical, Inc. | Percutaneous bypass graft and securing system |
US6036702A (en) * | 1997-04-23 | 2000-03-14 | Vascular Science Inc. | Medical grafting connectors and fasteners |
US5976178A (en) | 1996-11-07 | 1999-11-02 | Vascular Science Inc. | Medical grafting methods |
US5972017A (en) | 1997-04-23 | 1999-10-26 | Vascular Science Inc. | Method of installing tubular medical graft connectors |
US6120432A (en) * | 1997-04-23 | 2000-09-19 | Vascular Science Inc. | Medical grafting methods and apparatus |
EP1011458A2 (en) * | 1996-11-08 | 2000-06-28 | Russell A. Houser | Percutaneous bypass graft and securing system |
US5957879A (en) * | 1997-01-24 | 1999-09-28 | Heartport, Inc. | Methods and devices for maintaining cardiopulmonary bypass and arresting a patient's heart |
US5893369A (en) * | 1997-02-24 | 1999-04-13 | Lemole; Gerald M. | Procedure for bypassing an occlusion in a blood vessel |
US20010051794A1 (en) * | 1997-03-26 | 2001-12-13 | Gilberto Bestetti | Port body for the administration of drugs |
US20020087046A1 (en) * | 1997-04-23 | 2002-07-04 | St. Jude Medical Cardiovascular Group, Inc. | Medical grafting methods and apparatus |
GB9709967D0 (en) * | 1997-05-17 | 1997-07-09 | Harris Peter L | Prosthetic grafts |
US6936057B1 (en) | 1997-05-19 | 2005-08-30 | Cardio Medical Solutions, Inc. (Cms) | Device and method for partially occluding blood vessels using flow-through balloon |
US6730103B2 (en) | 1997-05-19 | 2004-05-04 | Pepi Dakov | Connector system and methods for cutting and joining hollow anatomical structures |
US6143015A (en) * | 1997-05-19 | 2000-11-07 | Cardio Medical Solutions, Inc. | Device and method for partially occluding blood vessels using flow-through balloon |
US6056762A (en) * | 1997-05-22 | 2000-05-02 | Kensey Nash Corporation | Anastomosis system and method of use |
DE19725739C1 (de) * | 1997-06-18 | 1999-04-15 | Aesculap Ag & Co Kg | Instrument zur Handhabung eines Verbindungselementes für zwei rohrförmige Gefäße |
US6001110A (en) | 1997-06-20 | 1999-12-14 | Boston Scientific Corporation | Hemostatic clips |
US6071292A (en) | 1997-06-28 | 2000-06-06 | Transvascular, Inc. | Transluminal methods and devices for closing, forming attachments to, and/or forming anastomotic junctions in, luminal anatomical structures |
US6248118B1 (en) * | 1997-06-30 | 2001-06-19 | Eva Corporation | Heat activated surgical fastener |
US6063114A (en) * | 1997-09-04 | 2000-05-16 | Kensey Nash Corporation | Connector system for vessels, ducts, lumens or hollow organs and methods of use |
US6017352A (en) * | 1997-09-04 | 2000-01-25 | Kensey Nash Corporation | Systems for intravascular procedures and methods of use |
FR2768324B1 (fr) | 1997-09-12 | 1999-12-10 | Jacques Seguin | Instrument chirurgical permettant, par voie percutanee, de fixer l'une a l'autre deux zones de tissu mou, normalement mutuellement distantes |
WO1999015088A1 (en) * | 1997-09-26 | 1999-04-01 | Duke University | Perfusion-occlusion catheter and methods |
US5993464A (en) * | 1998-01-23 | 1999-11-30 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US6066144A (en) * | 1997-10-07 | 2000-05-23 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis method |
US6074416A (en) | 1997-10-09 | 2000-06-13 | St. Jude Medical Cardiovascular Group, Inc. | Wire connector structures for tubular grafts |
US6001124A (en) * | 1997-10-09 | 1999-12-14 | Vascular Science, Inc. | Oblique-angle graft connectors |
NL1007349C2 (nl) | 1997-10-24 | 1999-04-27 | Suyker Wilhelmus Joseph Leonardus | Systeem voor het mechanisch vervaardigen van anastomoses tussen holle structuren; alsmede inrichting en applicator voor gebruik daarbij. |
DE69818302D1 (de) * | 1997-12-15 | 2003-10-23 | Cardeon Corp | Perfusionsverbindungsvorrichtung |
US6254563B1 (en) | 1997-12-15 | 2001-07-03 | Cardeon Corporation | Perfusion shunt apparatus and method |
US6068654A (en) * | 1997-12-23 | 2000-05-30 | Vascular Science, Inc. | T-shaped medical graft connector |
US6193734B1 (en) * | 1998-01-23 | 2001-02-27 | Heartport, Inc. | System for performing vascular anastomoses |
DE69833882T2 (de) * | 1998-01-30 | 2006-08-17 | St. Jude Medical ATG, Inc., Maple Grove | Medizinischer transplantatverbinder oder stopfen sowie verfahren zu ihrer herstellung |
US6994713B2 (en) * | 1998-01-30 | 2006-02-07 | St. Jude Medical Atg, Inc. | Medical graft connector or plug structures, and methods of making and installing same |
WO1999039643A1 (en) * | 1998-02-06 | 1999-08-12 | Evans David K | Method and apparatus for establishing anastomotic passageways |
US20070276363A1 (en) * | 1998-02-12 | 2007-11-29 | Boris E. Paton | Instrument and method for the end-to-end reconnection of intestinal tissues |
US6280460B1 (en) * | 1998-02-13 | 2001-08-28 | Heartport, Inc. | Devices and methods for performing vascular anastomosis |
US6352543B1 (en) | 2000-04-29 | 2002-03-05 | Ventrica, Inc. | Methods for forming anastomoses using magnetic force |
US6808498B2 (en) | 1998-02-13 | 2004-10-26 | Ventrica, Inc. | Placing a guide member into a heart chamber through a coronary vessel and delivering devices for placing the coronary vessel in communication with the heart chamber |
US20050192604A1 (en) * | 1998-02-13 | 2005-09-01 | Carson Dean F. | Methods and devices for placing a conduit in fluid communication with a target vessel and a source of blood |
US20020144696A1 (en) | 1998-02-13 | 2002-10-10 | A. Adam Sharkawy | Conduits for use in placing a target vessel in fluid communication with a source of blood |
US6651670B2 (en) | 1998-02-13 | 2003-11-25 | Ventrica, Inc. | Delivering a conduit into a heart wall to place a coronary vessel in communication with a heart chamber and removing tissue from the vessel or heart wall to facilitate such communication |
US6015416A (en) * | 1998-02-26 | 2000-01-18 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis instrument |
US6235054B1 (en) | 1998-02-27 | 2001-05-22 | St. Jude Medical Cardiovascular Group, Inc. | Grafts with suture connectors |
US6095997A (en) | 1998-03-04 | 2000-08-01 | Corvascular, Inc. | Intraluminal shunt and methods of use |
US6176864B1 (en) | 1998-03-09 | 2001-01-23 | Corvascular, Inc. | Anastomosis device and method |
US6241741B1 (en) | 1998-03-09 | 2001-06-05 | Corvascular Surgical Systems, Inc. | Anastomosis device and method |
US6110188A (en) * | 1998-03-09 | 2000-08-29 | Corvascular, Inc. | Anastomosis method |
US5926318A (en) * | 1998-04-06 | 1999-07-20 | Optimize Incorporated | Biocular viewing system with intermediate image planes for an electronic display device |
US6219186B1 (en) | 1998-04-06 | 2001-04-17 | Optimize Incorporated | Compact biocular viewing system for an electronic display |
FR2777446B1 (fr) | 1998-04-17 | 2000-12-01 | Perouse Implant Lab | Organe de liaison pour l'anastomose, dispositif de mise en place d'attaches et implant les comportant |
FR2778082B1 (fr) * | 1998-05-04 | 2000-11-10 | Internova Int Innovation | Clou d'agrafage de tissus vivants a verouillage dynamique, son dispositif de conditionnement et son appareil de mise en place |
US6508777B1 (en) | 1998-05-08 | 2003-01-21 | Cardeon Corporation | Circulatory support system and method of use for isolated segmental perfusion |
US7063711B1 (en) * | 1998-05-29 | 2006-06-20 | By-Pass, Inc. | Vascular surgery |
US20030060876A1 (en) * | 2000-09-28 | 2003-03-27 | Amir Loshakove | Graft delivery system |
AU4056499A (en) * | 1998-05-29 | 1999-12-20 | By-Pass, Ltd. | Vascular port device |
WO2000056228A1 (en) * | 1999-03-19 | 2000-09-28 | By-Pass, Inc. | Low profile anastomosis connector |
WO2003026475A2 (en) * | 2001-09-25 | 2003-04-03 | By-Pass, Inc. | Anastomotic delivery system |
US20050283188A1 (en) * | 1998-05-29 | 2005-12-22 | By-Pass, Inc. | Vascular closure device |
US6726704B1 (en) | 1998-05-29 | 2004-04-27 | By-Pass, Inc. | Advanced closure device |
US7060084B1 (en) | 1998-05-29 | 2006-06-13 | By-Pass, Inc. | Vascular closure device |
EP1083835A4 (en) * | 1998-05-29 | 2004-06-02 | By Pass Inc | TECHNIQUES AND DEVICES FOR VASCULAR SURGERY |
US6979338B1 (en) | 1998-05-29 | 2005-12-27 | By-Pass Inc. | Low profile anastomosis connector |
WO2001070090A2 (en) | 2000-03-20 | 2001-09-27 | By-Pass, Inc. | Graft and connector delivery |
WO2000056227A1 (en) | 1999-03-19 | 2000-09-28 | By-Pass, Inc. | Advanced closure device |
WO2001041623A2 (en) * | 1999-05-30 | 2001-06-14 | By-Pass, Inc. | Anastomotic devices and methods |
US6641593B1 (en) | 1998-06-03 | 2003-11-04 | Coalescent Surgical, Inc. | Tissue connector apparatus and methods |
US6613059B2 (en) | 1999-03-01 | 2003-09-02 | Coalescent Surgical, Inc. | Tissue connector apparatus and methods |
US6945980B2 (en) | 1998-06-03 | 2005-09-20 | Medtronic, Inc. | Multiple loop tissue connector apparatus and methods |
US6361559B1 (en) | 1998-06-10 | 2002-03-26 | Converge Medical, Inc. | Thermal securing anastomosis systems |
EP1105049A4 (en) * | 1998-07-22 | 2007-10-17 | Angiolink Corp | VASCULAR SUCTION CANNULA, DILATOR AND SURGICAL STAPLER |
US6461320B1 (en) * | 1998-08-12 | 2002-10-08 | Cardica, Inc. | Method and system for attaching a graft to a blood vessel |
US6206913B1 (en) * | 1998-08-12 | 2001-03-27 | Vascular Innovations, Inc. | Method and system for attaching a graft to a blood vessel |
US6325813B1 (en) | 1998-08-18 | 2001-12-04 | Scimed Life Systems, Inc. | Method and apparatus for stabilizing vascular wall |
US6261304B1 (en) | 1998-09-10 | 2001-07-17 | Percardia, Inc. | Delivery methods for left ventricular conduit |
US6152937A (en) | 1998-11-06 | 2000-11-28 | St. Jude Medical Cardiovascular Group, Inc. | Medical graft connector and methods of making and installing same |
US6475222B1 (en) | 1998-11-06 | 2002-11-05 | St. Jude Medical Atg, Inc. | Minimally invasive revascularization apparatus and methods |
US6508252B1 (en) | 1998-11-06 | 2003-01-21 | St. Jude Medical Atg, Inc. | Medical grafting methods and apparatus |
US6113612A (en) | 1998-11-06 | 2000-09-05 | St. Jude Medical Cardiovascular Group, Inc. | Medical anastomosis apparatus |
US7025773B2 (en) | 1999-01-15 | 2006-04-11 | Medtronic, Inc. | Methods and devices for placing a conduit in fluid communication with a target vessel |
US7578828B2 (en) | 1999-01-15 | 2009-08-25 | Medtronic, Inc. | Methods and devices for placing a conduit in fluid communication with a target vessel |
US8118822B2 (en) | 1999-03-01 | 2012-02-21 | Medtronic, Inc. | Bridge clip tissue connector apparatus and methods |
US7235087B2 (en) | 1999-03-04 | 2007-06-26 | Abbott Park | Articulating suturing device and method |
US7842048B2 (en) | 2006-08-18 | 2010-11-30 | Abbott Laboratories | Articulating suture device and method |
US20040092964A1 (en) | 1999-03-04 | 2004-05-13 | Modesitt D. Bruce | Articulating suturing device and method |
US8137364B2 (en) | 2003-09-11 | 2012-03-20 | Abbott Laboratories | Articulating suturing device and method |
US6964668B2 (en) | 1999-03-04 | 2005-11-15 | Abbott Laboratories | Articulating suturing device and method |
US7001400B1 (en) | 1999-03-04 | 2006-02-21 | Abbott Laboratories | Articulating suturing device and method |
EP1161185A2 (en) | 1999-03-09 | 2001-12-12 | St. Jude Medical Cardiovascular Group, Inc. | Medical grafting methods and apparatus |
AU768923B2 (en) * | 1999-03-19 | 2004-01-08 | By-Pass, Inc. | Vascular surgery |
US6695859B1 (en) | 1999-04-05 | 2004-02-24 | Coalescent Surgical, Inc. | Apparatus and methods for anastomosis |
US7811296B2 (en) | 1999-04-09 | 2010-10-12 | Evalve, Inc. | Fixation devices for variation in engagement of tissue |
US7226467B2 (en) | 1999-04-09 | 2007-06-05 | Evalve, Inc. | Fixation device delivery catheter, systems and methods of use |
US8216256B2 (en) | 1999-04-09 | 2012-07-10 | Evalve, Inc. | Detachment mechanism for implantable fixation devices |
US20040044350A1 (en) | 1999-04-09 | 2004-03-04 | Evalve, Inc. | Steerable access sheath and methods of use |
WO2000060995A2 (en) | 1999-04-09 | 2000-10-19 | Evalve, Inc. | Methods and apparatus for cardiac valve repair |
US6752813B2 (en) | 1999-04-09 | 2004-06-22 | Evalve, Inc. | Methods and devices for capturing and fixing leaflets in valve repair |
US6626921B2 (en) | 1999-04-16 | 2003-09-30 | Integrated Vascular Interventional Technologies, L.C. | Externally positioned anvil apparatus for cutting anastomosis |
US6726694B2 (en) | 1999-04-16 | 2004-04-27 | Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) | Intraluminally directed anvil apparatus and related methods and systems |
US7981126B2 (en) | 1999-04-16 | 2011-07-19 | Vital Access Corporation | Locking compression plate anastomosis apparatus |
US6248117B1 (en) | 1999-04-16 | 2001-06-19 | Vital Access Corp | Anastomosis apparatus for use in intraluminally directed vascular anastomosis |
US6569173B1 (en) | 1999-12-14 | 2003-05-27 | Integrated Vascular Interventional Technologies, L.C. | Compression plate anastomosis apparatus |
US6743244B2 (en) | 1999-04-16 | 2004-06-01 | Integrated Vascular Interventional Technologies, L.C. | Soft anvil apparatus for cutting anastomosis fenestra |
US6623494B1 (en) | 1999-04-16 | 2003-09-23 | Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) | Methods and systems for intraluminally directed vascular anastomosis |
US7160311B2 (en) * | 1999-04-16 | 2007-01-09 | Integrated Vascular Interventional Technologies, L.C. (Ivit Lc) | Locking compression plate anastomosis apparatus |
US6551334B2 (en) | 1999-04-16 | 2003-04-22 | Integrated Vascular Interventional Technologies, Lc | Externally directed anastomosis systems and externally positioned anastomosis fenestra cutting apparatus |
US6652542B2 (en) | 1999-04-16 | 2003-11-25 | Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) | External anastomosis operators and related systems for anastomosis |
US6101038A (en) * | 1999-05-03 | 2000-08-08 | Optimize, Incorporated | Infrared audio/video interface for head-mounted display |
US6712836B1 (en) | 1999-05-13 | 2004-03-30 | St. Jude Medical Atg, Inc. | Apparatus and methods for closing septal defects and occluding blood flow |
US6428550B1 (en) | 1999-05-18 | 2002-08-06 | Cardica, Inc. | Sutureless closure and deployment system for connecting blood vessels |
US6719769B2 (en) | 1999-11-15 | 2004-04-13 | Cardica, Inc. | Integrated anastomosis tool with graft vessel attachment device and cutting device |
US6673088B1 (en) | 1999-05-18 | 2004-01-06 | Cardica, Inc. | Tissue punch |
WO2000069364A2 (en) | 1999-05-18 | 2000-11-23 | Vascular Innovations, Inc. | Implantable medical device such as an anastomosis device |
NL1013933C2 (nl) * | 1999-12-23 | 2001-06-26 | Eric Berreklouw | Prothesebevestigingsinrichting, zoals voor een hartprothese. |
US6790229B1 (en) | 1999-05-25 | 2004-09-14 | Eric Berreklouw | Fixing device, in particular for fixing to vascular wall tissue |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US6699256B1 (en) * | 1999-06-04 | 2004-03-02 | St. Jude Medical Atg, Inc. | Medical grafting apparatus and methods |
EP1187566A2 (en) * | 1999-06-04 | 2002-03-20 | St. Jude Medical Cardiovascular Group, Inc. | Surgical grafting apparatus and methods |
US6179849B1 (en) | 1999-06-10 | 2001-01-30 | Vascular Innovations, Inc. | Sutureless closure for connecting a bypass graft to a target vessel |
AU6059200A (en) | 1999-07-02 | 2001-01-22 | Quickpass, Inc. | Suturing device |
US7285131B1 (en) | 1999-07-28 | 2007-10-23 | Cardica, Inc. | System for performing anastomosis |
US7850703B2 (en) | 1999-07-28 | 2010-12-14 | Cardica, Inc. | System for performing anastomosis |
US7303570B2 (en) * | 1999-07-28 | 2007-12-04 | Cardica, Inc. | Anastomosis tool having a connector holder |
US7014644B1 (en) | 1999-07-28 | 2006-03-21 | Cardica, Inc. | Tissue bonding system and method for controlling a tissue site during anastomosis |
US6391038B2 (en) | 1999-07-28 | 2002-05-21 | Cardica, Inc. | Anastomosis system and method for controlling a tissue site |
US7300444B1 (en) | 1999-07-28 | 2007-11-27 | Cardica, Inc. | Surgical system and method for connecting hollow tissue structures |
US7766924B1 (en) | 1999-07-28 | 2010-08-03 | Cardica, Inc. | System for performing anastomosis |
US7682368B1 (en) | 1999-07-28 | 2010-03-23 | Cardica, Inc. | Anastomosis tool actuated with stored energy |
US6253768B1 (en) | 1999-08-04 | 2001-07-03 | Percardia, Inc. | Vascular graft bypass |
US7597698B2 (en) | 1999-08-10 | 2009-10-06 | Maquet Cardiovascular Llc | Apparatus and method for endoscopic encirclement of pulmonary veins for epicardial ablation |
US7288096B2 (en) | 2003-01-17 | 2007-10-30 | Origin Medsystems, Inc. | Apparatus for placement of cardiac defibrillator and pacer |
US7264587B2 (en) * | 1999-08-10 | 2007-09-04 | Origin Medsystems, Inc. | Endoscopic subxiphoid surgical procedures |
US7398781B1 (en) | 1999-08-10 | 2008-07-15 | Maquet Cardiovascular, Llc | Method for subxiphoid endoscopic access |
US6494889B1 (en) | 1999-09-01 | 2002-12-17 | Converge Medical, Inc. | Additional sutureless anastomosis embodiments |
US6702828B2 (en) * | 1999-09-01 | 2004-03-09 | Converge Medical, Inc. | Anastomosis system |
US20020173809A1 (en) * | 1999-09-01 | 2002-11-21 | Fleischman Sidney D. | Sutureless anastomosis system deployment concepts |
US6251122B1 (en) * | 1999-09-02 | 2001-06-26 | Scimed Life Systems, Inc. | Intravascular filter retrieval device and method |
US8529583B1 (en) | 1999-09-03 | 2013-09-10 | Medtronic, Inc. | Surgical clip removal apparatus |
US6605053B1 (en) | 1999-09-10 | 2003-08-12 | Percardia, Inc. | Conduit designs and related methods for optimal flow control |
US6358258B1 (en) * | 1999-09-14 | 2002-03-19 | Abbott Laboratories | Device and method for performing end-to-side anastomosis |
US6423051B1 (en) * | 1999-09-16 | 2002-07-23 | Aaron V. Kaplan | Methods and apparatus for pericardial access |
US6626930B1 (en) * | 1999-10-21 | 2003-09-30 | Edwards Lifesciences Corporation | Minimally invasive mitral valve repair method and apparatus |
US6926730B1 (en) | 2000-10-10 | 2005-08-09 | Medtronic, Inc. | Minimally invasive valve repair procedure and apparatus |
US6682540B1 (en) | 1999-11-05 | 2004-01-27 | Onux Medical, Inc. | Apparatus and method for placing multiple sutures |
US6402764B1 (en) | 1999-11-15 | 2002-06-11 | Cardica, Inc. | Everter and threadthrough system for attaching graft vessel to anastomosis device |
US6428548B1 (en) * | 1999-11-18 | 2002-08-06 | Russell F. Durgin | Apparatus and method for compressing body tissue |
US6911032B2 (en) * | 1999-11-18 | 2005-06-28 | Scimed Life Systems, Inc. | Apparatus and method for compressing body tissue |
US20030130671A1 (en) * | 1999-11-23 | 2003-07-10 | Duhaylongsod Francis G. | Anastomosis device and method |
US6602263B1 (en) | 1999-11-30 | 2003-08-05 | St. Jude Medical Atg, Inc. | Medical grafting methods and apparatus |
US6575932B1 (en) | 1999-12-02 | 2003-06-10 | Ottawa Heart Institute | Adjustable multi-balloon local delivery device |
US20040068278A1 (en) * | 1999-12-06 | 2004-04-08 | Converge Medical Inc. | Anastomosis systems |
US6736825B2 (en) | 1999-12-14 | 2004-05-18 | Integrated Vascular Interventional Technologies, L C (Ivit Lc) | Paired expandable anastomosis devices and related methods |
US6461364B1 (en) * | 2000-01-05 | 2002-10-08 | Integrated Vascular Systems, Inc. | Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use |
US6942674B2 (en) | 2000-01-05 | 2005-09-13 | Integrated Vascular Systems, Inc. | Apparatus and methods for delivering a closure device |
US6780197B2 (en) | 2000-01-05 | 2004-08-24 | Integrated Vascular Systems, Inc. | Apparatus and methods for delivering a vascular closure device to a body lumen |
US7842068B2 (en) | 2000-12-07 | 2010-11-30 | Integrated Vascular Systems, Inc. | Apparatus and methods for providing tactile feedback while delivering a closure device |
US7118546B2 (en) * | 2000-01-11 | 2006-10-10 | Integrated Vascular Interventional Technologies, L.C. | Apparatus and methods for facilitating repeated vascular access |
US6663590B2 (en) | 2000-01-11 | 2003-12-16 | Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) | Vascular occlusal balloons and related vascular access devices and systems |
US6656151B1 (en) | 2000-01-11 | 2003-12-02 | Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) | Vascular access devices and systems |
US6595941B1 (en) | 2000-01-11 | 2003-07-22 | Integrated Vascular Interventional Technologies, L.C. | Methods for external treatment of blood |
US7131959B2 (en) * | 2003-01-23 | 2006-11-07 | Integrated Vascular Interventional Technologies, L.C., (“IVIT LC”) | Apparatus and methods for occluding an access tube anastomosed to sidewall of an anatomical vessel |
AU3290201A (en) | 2000-01-18 | 2001-07-31 | Tyco Healthcare | Anastomosis instrument and method for performing same |
US6488693B2 (en) * | 2000-01-26 | 2002-12-03 | Hearport, Inc. | Vascular incisor and method |
US6428555B1 (en) * | 2000-01-28 | 2002-08-06 | J. Kenneth Koster, Jr. | Anastomosis punch device and method |
US6533157B1 (en) | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
DE10010073B4 (de) * | 2000-02-28 | 2005-12-22 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Verankerung für implantierbare Herzklappenprothesen |
US6953476B1 (en) | 2000-03-27 | 2005-10-11 | Neovasc Medical Ltd. | Device and method for treating ischemic heart disease |
WO2003028522A2 (en) | 2001-03-27 | 2003-04-10 | Neovasc Medical Ltd. | Flow reducing implant |
US6551332B1 (en) | 2000-03-31 | 2003-04-22 | Coalescent Surgical, Inc. | Multiple bias surgical fastener |
US6802847B1 (en) | 2000-04-29 | 2004-10-12 | Ventrica, Inc. | Devices and methods for forming magnetic anastomoses and ports in vessels |
US8518062B2 (en) | 2000-04-29 | 2013-08-27 | Medtronic, Inc. | Devices and methods for forming magnetic anastomoses between vessels |
US7232449B2 (en) | 2000-04-29 | 2007-06-19 | Medtronic, Inc. | Components, systems and methods for forming anastomoses using magnetism or other coupling means |
US7083628B2 (en) | 2002-09-03 | 2006-08-01 | Edwards Lifesciences Corporation | Single catheter mitral valve repair device and method for use |
US6689147B1 (en) * | 2000-06-13 | 2004-02-10 | J. Kenneth Koster, Jr. | Anastomosis punch device and method |
US6596003B1 (en) * | 2000-06-28 | 2003-07-22 | Genzyme Corporation | Vascular anastomosis device |
US6558399B1 (en) | 2000-06-30 | 2003-05-06 | Abbott Laboratories | Devices and method for handling a plurality of suture elements during a suturing procedure |
SE0002878D0 (sv) | 2000-08-11 | 2000-08-11 | Kimblad Ola | Device and method for treatment of atrioventricular regurgitation |
US6530932B1 (en) | 2000-08-30 | 2003-03-11 | Ethicon Endo-Surgery, Inc. | Anastomosis device having improved tissue presentation |
US6520973B1 (en) | 2000-08-30 | 2003-02-18 | Ethicon Endo-Surgery, Inc. | Anastomosis device having an improved needle driver |
US6514263B1 (en) | 2000-08-30 | 2003-02-04 | Ethicon Endo-Surgery, Inc. | Helical needle and suture combination having a strain relief element |
US6613058B1 (en) | 2000-08-30 | 2003-09-02 | Ethicon Endo-Surgery, Inc. | Anastomosis device having needle receiver for capturing the needle |
AU2001288599A1 (en) * | 2000-09-01 | 2002-03-13 | Advanced Vascular Technologies, Llc | Vascular bypass grafting instrument and method |
US6755842B2 (en) | 2000-09-01 | 2004-06-29 | Angiolink Corporation | Advanced wound site management systems and methods |
EP1320329A4 (en) * | 2000-09-01 | 2004-09-22 | Advanced Vasular Technologies | ENDOVASCULAR CLAMP AND GRAFTING APPARATUS |
JP2004511275A (ja) * | 2000-09-01 | 2004-04-15 | アンジオリンク・コーポレイション | 創傷サイトの管理ならびに創傷閉塞デバイス |
EP1317213A2 (en) | 2000-09-01 | 2003-06-11 | Advanced Vascular Technologies LLC | Multi-fastener surgical apparatus and method |
MXPA03002871A (es) † | 2000-09-29 | 2004-12-06 | Johnson & Johnson | Dispositivos medicos recubiertos. |
US6776785B1 (en) | 2000-10-12 | 2004-08-17 | Cardica, Inc. | Implantable superelastic anastomosis device |
AU2005202248B2 (en) * | 2000-10-18 | 2008-06-26 | Covidien Lp | Anastomosis instrument and method for performing same |
US6730102B1 (en) | 2000-11-06 | 2004-05-04 | Abbott Laboratories | Systems, devices and methods for deploying needles |
US20050234483A1 (en) * | 2000-11-06 | 2005-10-20 | Cardica, Inc. | Unitary anastomosis device |
US6966917B1 (en) | 2000-11-09 | 2005-11-22 | Innovation Interventional Technologies B.V. | Deformable connector for mechanically connecting hollow structures |
US6471713B1 (en) | 2000-11-13 | 2002-10-29 | Cardica, Inc. | System for deploying an anastomosis device and method of performing anastomosis |
US6554764B1 (en) | 2000-11-13 | 2003-04-29 | Cardica, Inc. | Graft vessel preparation device and methods for using the same |
US6869437B1 (en) | 2000-11-13 | 2005-03-22 | Cardica, Inc. | Method and system for performing closed-chest bypass |
US7905900B2 (en) | 2003-01-30 | 2011-03-15 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US7806904B2 (en) | 2000-12-07 | 2010-10-05 | Integrated Vascular Systems, Inc. | Closure device |
US7211101B2 (en) | 2000-12-07 | 2007-05-01 | Abbott Vascular Devices | Methods for manufacturing a clip and clip |
US7909837B2 (en) * | 2000-12-13 | 2011-03-22 | Medtronic, Inc. | Methods, devices and systems for forming magnetic anastomoses |
US20020095166A1 (en) | 2001-01-16 | 2002-07-18 | Jaime Vargas | Incision tensioning system and method for using the same |
EP1357844B1 (en) | 2001-01-24 | 2008-06-25 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
US6890338B1 (en) | 2001-02-27 | 2005-05-10 | Origin Medsystems, Inc. | Method and apparatus for performing anastomosis using ring having tines with weak sections |
WO2002091952A2 (en) * | 2001-05-14 | 2002-11-21 | St. Jude Medical Atg, Inc. | Medical grafting methods and apparatus |
WO2002094108A2 (en) * | 2001-05-18 | 2002-11-28 | University College London | A flexible device for transfixing and joining tissue |
US7087088B2 (en) * | 2001-05-24 | 2006-08-08 | Torax Medical, Inc. | Methods and apparatus for regulating the flow of matter through body tubing |
US20020183769A1 (en) * | 2001-05-30 | 2002-12-05 | St. Jude Medical Atg, Inc. | Medical grafting methods and apparatus |
KR20020091523A (ko) * | 2001-05-31 | 2002-12-06 | (주)에이치비메디컬스 | 혈관 문합 장치 |
US7338514B2 (en) | 2001-06-01 | 2008-03-04 | St. Jude Medical, Cardiology Division, Inc. | Closure devices, related delivery methods and tools, and related methods of use |
KR20020094075A (ko) * | 2001-06-07 | 2002-12-18 | (주)에이치비메디컬스 | 혈관 문합 장치 |
IES20010547A2 (en) | 2001-06-07 | 2002-12-11 | Christy Cummins | Surgical Staple |
WO2002102253A1 (en) * | 2001-06-15 | 2002-12-27 | Hill Donald J | Suture placement apparatus |
US6626920B2 (en) | 2001-07-05 | 2003-09-30 | Converge Medical, Inc. | Distal anastomosis system |
US20060064119A9 (en) * | 2001-07-05 | 2006-03-23 | Converge Medical, Inc. | Vascular anastomosis systems |
US6972023B2 (en) * | 2001-07-05 | 2005-12-06 | Converge Medical, Inc. | Distal anastomosis system |
US6858035B2 (en) | 2001-07-05 | 2005-02-22 | Converge Medical, Inc. | Distal anastomosis system |
US6629988B2 (en) * | 2001-08-28 | 2003-10-07 | Ethicon, Inc. | Composite staple for completing an anastomosis |
US6746456B2 (en) | 2001-09-28 | 2004-06-08 | Ethicon, Inc. | Needle array suturing/sewing anastomosis device and method for anastomosis |
US6913609B2 (en) * | 2001-09-28 | 2005-07-05 | Cardica, Inc. | Access port system for anastomosis |
US6860891B2 (en) * | 2001-09-28 | 2005-03-01 | Ethicen, Inc. | Arrangement and method for vascular anastomosis |
US6605098B2 (en) | 2001-09-28 | 2003-08-12 | Ethicon, Inc. | Surgical device for creating an anastomosis between first and second hollow organs |
US7241302B2 (en) * | 2001-10-18 | 2007-07-10 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
US6814743B2 (en) | 2001-12-26 | 2004-11-09 | Origin Medsystems, Inc. | Temporary seal and method for facilitating anastomosis |
US9113878B2 (en) | 2002-01-08 | 2015-08-25 | Covidien Lp | Pinion clip for right angle linear cutter |
US8012164B1 (en) | 2002-01-22 | 2011-09-06 | Cardica, Inc. | Method and apparatus for creating an opening in the wall of a tubular vessel |
US6821286B1 (en) | 2002-01-23 | 2004-11-23 | Cardica, Inc. | System for preparing a graft vessel for anastomosis |
US7223274B2 (en) * | 2002-01-23 | 2007-05-29 | Cardica, Inc. | Method of performing anastomosis |
US7427261B1 (en) | 2002-01-23 | 2008-09-23 | Cardica, Inc. | System for preparing a craft vessel for anastomosis |
US7048754B2 (en) | 2002-03-01 | 2006-05-23 | Evalve, Inc. | Suture fasteners and methods of use |
NL1020288C1 (nl) * | 2002-04-02 | 2003-05-07 | Eric Berreklouw | Samenstel omvattende een stabilisator en een in of rondom een door lichaamsweefsel, omgeven doorgang te positioneren instrument. |
US7756583B2 (en) | 2002-04-08 | 2010-07-13 | Ardian, Inc. | Methods and apparatus for intravascularly-induced neuromodulation |
US8347891B2 (en) | 2002-04-08 | 2013-01-08 | Medtronic Ardian Luxembourg S.A.R.L. | Methods and apparatus for performing a non-continuous circumferential treatment of a body lumen |
EP1494598B1 (en) * | 2002-04-15 | 2009-01-07 | Wilson-Cook Medical Inc. | Haemostatic clip device |
US7780687B2 (en) * | 2002-04-17 | 2010-08-24 | Tyco Healthcare Group Lp | Method and apparatus for anastomosis including expandable anchor |
US6960233B1 (en) | 2002-12-10 | 2005-11-01 | Torax Medical, Inc. | Methods and apparatus for improving the function of biological passages |
US7497822B1 (en) | 2003-04-10 | 2009-03-03 | Torax Medical, Inc. | Stomach reduction methods and apparatus |
US7695427B2 (en) | 2002-04-26 | 2010-04-13 | Torax Medical, Inc. | Methods and apparatus for treating body tissue sphincters and the like |
US20050197715A1 (en) * | 2002-04-26 | 2005-09-08 | Torax Medical, Inc. | Methods and apparatus for implanting devices into non-sterile body lumens or organs |
US7445010B2 (en) * | 2003-01-29 | 2008-11-04 | Torax Medical, Inc. | Use of magnetic implants to treat issue structures |
US20050267498A1 (en) * | 2002-04-30 | 2005-12-01 | Cardica, Inc. | Tissue everting device and method |
US7976564B2 (en) | 2002-05-06 | 2011-07-12 | St. Jude Medical, Cardiology Division, Inc. | PFO closure devices and related methods of use |
US6638297B1 (en) | 2002-05-30 | 2003-10-28 | Ethicon Endo-Surgery, Inc. | Surgical staple |
US20030225423A1 (en) * | 2002-05-30 | 2003-12-04 | Huitema Thomas W. | Surgical clip |
US6769594B2 (en) * | 2002-05-31 | 2004-08-03 | Tyco Healthcare Group, Lp | End-to-end anastomosis instrument and method for performing same |
ES2278167T3 (es) | 2002-06-14 | 2007-08-01 | Power Medical Interventions, Inc. | Dispositivo para pinzar, cortar y grapar tejido. |
US7258694B1 (en) | 2002-06-17 | 2007-08-21 | Origin Medsystems, Inc. | Medical punch and surgical procedure |
ES2339544T3 (es) * | 2002-06-19 | 2010-05-21 | Tyco Healthcare Group Lp | Aparato de anastomosis. |
AU2003223623A1 (en) | 2002-06-19 | 2004-01-06 | Tyco Healthcare Group, Lp | Method and apparatus for anastomosis including annular joining member |
EP1513460B1 (en) | 2002-06-19 | 2010-12-22 | Tyco Healthcare Group LP | Apparatus for anastomosis after radical prostatectomy |
EP1519688B1 (en) | 2002-06-20 | 2010-06-16 | Tyco Healthcare Group Lp | Apparatus for anastomosis including an anchoring sleeve |
WO2004000093A2 (en) * | 2002-06-20 | 2003-12-31 | Tyco Healthcare Group, Lp | Method and apparatus for anastomosis including annular joining member |
AU2003237077A1 (en) * | 2002-06-20 | 2004-01-06 | Tyco Healthcare Group, Lp | Method and apparatus for anastomosis including an anchoring sleeve |
US8182494B1 (en) | 2002-07-31 | 2012-05-22 | Cardica, Inc. | Minimally-invasive surgical system |
US6666873B1 (en) | 2002-08-08 | 2003-12-23 | Jack L. Cassell | Surgical coupler for joining tubular and hollow organs |
US7338433B2 (en) | 2002-08-13 | 2008-03-04 | Allergan, Inc. | Remotely adjustable gastric banding method |
US8551126B2 (en) * | 2002-08-22 | 2013-10-08 | Ams Research Corporation | Anastomosis device and related methods |
US8764775B2 (en) | 2002-08-22 | 2014-07-01 | Ams Research Corporation | Anastomosis device and related methods |
US9307991B2 (en) | 2002-08-22 | 2016-04-12 | Ams Research, Llc | Anastomosis device and related methods |
EP2181655B1 (en) | 2002-08-28 | 2016-12-07 | Apollo Endosurgery, Inc. | Fatigue-restistant gastric banding device |
US8066724B2 (en) | 2002-09-12 | 2011-11-29 | Medtronic, Inc. | Anastomosis apparatus and methods |
US8105345B2 (en) | 2002-10-04 | 2012-01-31 | Medtronic, Inc. | Anastomosis apparatus and methods |
US7493154B2 (en) * | 2002-10-23 | 2009-02-17 | Medtronic, Inc. | Methods and apparatus for locating body vessels and occlusions in body vessels |
US6960209B2 (en) | 2002-10-23 | 2005-11-01 | Medtronic, Inc. | Electrosurgical methods and apparatus for making precise incisions in body vessels |
US7108710B2 (en) | 2002-11-26 | 2006-09-19 | Abbott Laboratories | Multi-element biased suture clip |
US7267682B1 (en) * | 2002-12-04 | 2007-09-11 | Cardica, Inc. | Anastomosis staple |
US8627992B2 (en) * | 2002-12-16 | 2014-01-14 | Edrich Health Technologies, Inc. | Endovascular stapler |
AU2003297955A1 (en) * | 2002-12-16 | 2004-07-22 | Edrich Vascular Devices, Inc. | Multiple stapling device for narrow blood vessels |
US7399310B2 (en) * | 2002-12-16 | 2008-07-15 | Edrich Vascular Devices, Inc. | Endovascular stapler |
US7160309B2 (en) | 2002-12-31 | 2007-01-09 | Laveille Kao Voss | Systems for anchoring a medical device in a body lumen |
US8377082B2 (en) * | 2003-01-14 | 2013-02-19 | Medtronic, Inc. | Methods and apparatus for making precise incisions in body vessels |
US7124570B2 (en) * | 2003-01-23 | 2006-10-24 | Integrated Vascular Interventional Technologies, L.C. | Apparatus and methods for fluid occlusion of an access tube anastomosed to an anatomical vessel |
US7857828B2 (en) | 2003-01-30 | 2010-12-28 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
US8821534B2 (en) | 2010-12-06 | 2014-09-02 | Integrated Vascular Systems, Inc. | Clip applier having improved hemostasis and methods of use |
US8758398B2 (en) | 2006-09-08 | 2014-06-24 | Integrated Vascular Systems, Inc. | Apparatus and method for delivering a closure element |
US20040236178A1 (en) * | 2003-02-14 | 2004-11-25 | Cardica, Inc. | Method for preparing a graft vessel for anastomosis |
US7381210B2 (en) | 2003-03-14 | 2008-06-03 | Edwards Lifesciences Corporation | Mitral valve repair system and method for use |
US20040267306A1 (en) | 2003-04-11 | 2004-12-30 | Velocimed, L.L.C. | Closure devices, related delivery methods, and related methods of use |
US8372112B2 (en) | 2003-04-11 | 2013-02-12 | St. Jude Medical, Cardiology Division, Inc. | Closure devices, related delivery methods, and related methods of use |
US7270670B1 (en) * | 2003-04-21 | 2007-09-18 | Cardica, Inc. | Minimally-invasive surgical system utilizing a stabilizer |
CA2426378C (en) * | 2003-04-30 | 2012-03-13 | Sawquip International Inc. | Log positioning and conveying apparatus |
US10646229B2 (en) | 2003-05-19 | 2020-05-12 | Evalve, Inc. | Fixation devices, systems and methods for engaging tissue |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US7731757B2 (en) * | 2003-06-01 | 2010-06-08 | Reflux Corporation | Obesity treatment |
US8114102B2 (en) * | 2003-06-16 | 2012-02-14 | St. Jude Medical Atg, Inc. | Temporary hemostatic plug apparatus and method of use |
WO2004112652A2 (en) * | 2003-06-20 | 2004-12-29 | Medtronic Vascular, Inc. | Device, system, and method for contracting tissue in a mammalian body |
US7794471B1 (en) * | 2003-06-26 | 2010-09-14 | Cardica, Inc. | Compliant anastomosis system |
US8574246B1 (en) | 2004-06-25 | 2013-11-05 | Cardica, Inc. | Compliant anastomosis system utilizing suture |
US20050010241A1 (en) * | 2003-07-09 | 2005-01-13 | Keith Milliman | Anastomosis instrument and method for performing same |
WO2005006963A2 (en) * | 2003-07-18 | 2005-01-27 | Broncus Technologies, Inc. | Devices for maintaining patency of surgically created channels in tissue |
US7182769B2 (en) * | 2003-07-25 | 2007-02-27 | Medtronic, Inc. | Sealing clip, delivery systems, and methods |
US8721710B2 (en) * | 2003-08-11 | 2014-05-13 | Hdh Medical Ltd. | Anastomosis system and method |
US20050043749A1 (en) * | 2003-08-22 | 2005-02-24 | Coalescent Surgical, Inc. | Eversion apparatus and methods |
DE202004021949U1 (de) | 2003-09-12 | 2013-05-27 | Vessix Vascular, Inc. | Auswählbare exzentrische Remodellierung und/oder Ablation von atherosklerotischem Material |
US8114123B2 (en) * | 2003-09-19 | 2012-02-14 | St. Jude Medical, Inc. | Apparatus and methods for tissue gathering and securing |
US8394114B2 (en) | 2003-09-26 | 2013-03-12 | Medtronic, Inc. | Surgical connection apparatus and methods |
US7462188B2 (en) | 2003-09-26 | 2008-12-09 | Abbott Laboratories | Device and method for suturing intracardiac defects |
WO2005030285A1 (en) | 2003-09-28 | 2005-04-07 | Guido Schnyder | Biodegradable and/or bioabsorbable member for vascular sealing |
US20050262673A1 (en) * | 2003-10-09 | 2005-12-01 | Strahm Textile Systems Ag | Device for removing needles from a fabric web |
US7586828B1 (en) | 2003-10-23 | 2009-09-08 | Tini Alloy Company | Magnetic data storage system |
US7879047B2 (en) | 2003-12-10 | 2011-02-01 | Medtronic, Inc. | Surgical connection apparatus and methods |
US7449024B2 (en) | 2003-12-23 | 2008-11-11 | Abbott Laboratories | Suturing device with split arm and method of suturing tissue |
US7585306B2 (en) | 2003-12-24 | 2009-09-08 | Maquet Cardiovascular Llc | Anastomosis device, tools and methods of using |
US20050165427A1 (en) | 2004-01-22 | 2005-07-28 | Jahns Scott E. | Vessel sealing devices |
ATE489897T1 (de) | 2004-01-23 | 2010-12-15 | Allergan Inc | Befestigungssystem für eine implantierbare vorrichtung und anwendungsverfahren |
ES2399951T3 (es) | 2004-01-23 | 2013-04-04 | Allergan, Inc. | Banda gástrica ajustable de una pieza que puede fijarse de forma liberable |
EP2145610A1 (en) | 2004-03-08 | 2010-01-20 | Allergan Medical S.A. | Closure system for tubular organs |
US20050203551A1 (en) | 2004-03-09 | 2005-09-15 | Kevin Weadock | Method for performing a coronary artery bypass graft procedure |
ES2368149T3 (es) | 2004-03-18 | 2011-11-14 | Allergan, Inc. | Aparato para el ajuste del volumen de globos intragástricos. |
US7871417B2 (en) * | 2004-04-14 | 2011-01-18 | Medtronic, Inc. | Transconduit perfusion catheter and methods for perfusing a blood vessel during an anastomosis procedure |
US9713465B1 (en) * | 2004-04-19 | 2017-07-25 | Granit Medical Innovation Llc | Surgical closure device and associated method |
US7632361B2 (en) | 2004-05-06 | 2009-12-15 | Tini Alloy Company | Single crystal shape memory alloy devices and methods |
US20050251175A1 (en) * | 2004-05-07 | 2005-11-10 | Ethicon Endo-Surgery, Inc. | Anchors for use in attachment of bladder tissues to pelvic floor tissues following a prostatectomy |
US20050267520A1 (en) * | 2004-05-12 | 2005-12-01 | Modesitt D B | Access and closure device and method |
JP4774048B2 (ja) | 2004-05-14 | 2011-09-14 | エヴァルヴ インコーポレイテッド | 組織と係合する固定装置のロック機構および組織係合方法 |
EP1746940A2 (en) * | 2004-05-17 | 2007-01-31 | Datascope Investment Corp. | Surgical stapling system |
IES20040368A2 (en) | 2004-05-25 | 2005-11-30 | James E Coleman | Surgical stapler |
US20050277899A1 (en) * | 2004-06-01 | 2005-12-15 | Conlon Sean P | Method of implanting a fluid injection port |
US8162963B2 (en) | 2004-06-17 | 2012-04-24 | Maquet Cardiovascular Llc | Angled anastomosis device, tools and method of using |
EP1611850A1 (fr) * | 2004-06-28 | 2006-01-04 | Cardio Life Research S.A. | Dispositif d'occlusion et de ponction étanche pour structure anatomique. |
US7678133B2 (en) * | 2004-07-10 | 2010-03-16 | Arstasis, Inc. | Biological tissue closure device and method |
US8409167B2 (en) | 2004-07-19 | 2013-04-02 | Broncus Medical Inc | Devices for delivering substances through an extra-anatomic opening created in an airway |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US20060036313A1 (en) * | 2004-08-11 | 2006-02-16 | Vassiliades Thomas A | Apicoaortic conduit connector and method for using |
US7515970B2 (en) | 2004-08-18 | 2009-04-07 | Cardiac Pacemakers, Inc. | Transeptal lead |
US9713730B2 (en) | 2004-09-10 | 2017-07-25 | Boston Scientific Scimed, Inc. | Apparatus and method for treatment of in-stent restenosis |
US8396548B2 (en) | 2008-11-14 | 2013-03-12 | Vessix Vascular, Inc. | Selective drug delivery in a lumen |
US20070055305A1 (en) * | 2004-09-23 | 2007-03-08 | Guido Schnyder | Biodegradable and/or bioabsorbable member for vascular sealing |
WO2006037073A2 (en) | 2004-09-27 | 2006-04-06 | Evalve, Inc. | Methods and devices for tissue grasping and assessment |
US8052592B2 (en) | 2005-09-27 | 2011-11-08 | Evalve, Inc. | Methods and devices for tissue grasping and assessment |
US7452325B2 (en) * | 2004-11-15 | 2008-11-18 | Benvenue Medical Inc. | Catheter-based tissue remodeling devices and methods |
US8048144B2 (en) * | 2004-11-30 | 2011-11-01 | Scimed Life Systems, Inc. | Prosthesis fixation device and method |
DE102005003632A1 (de) | 2005-01-20 | 2006-08-17 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Katheter für die transvaskuläre Implantation von Herzklappenprothesen |
US8636756B2 (en) | 2005-02-18 | 2014-01-28 | Ams Research Corporation | Anastomosis device and surgical tool actuation mechanism configurations |
US7344544B2 (en) * | 2005-03-28 | 2008-03-18 | Cardica, Inc. | Vascular closure system |
US7458978B1 (en) | 2005-03-28 | 2008-12-02 | Cardica, Inc. | Vascular closure system utilizing a staple |
US7824421B2 (en) | 2005-03-30 | 2010-11-02 | Ethicon Endo-Surgery, Inc. | Anchors for use in anastomotic procedures |
US7763342B2 (en) | 2005-03-31 | 2010-07-27 | Tini Alloy Company | Tear-resistant thin film methods of fabrication |
US8251888B2 (en) | 2005-04-13 | 2012-08-28 | Mitchell Steven Roslin | Artificial gastric valve |
US8333777B2 (en) | 2005-04-22 | 2012-12-18 | Benvenue Medical, Inc. | Catheter-based tissue remodeling devices and methods |
US7608108B2 (en) * | 2005-04-29 | 2009-10-27 | Jmea Corporation | Tissue repair system |
US7632313B2 (en) | 2005-04-29 | 2009-12-15 | Jmea Corporation | Disc repair system |
US8702718B2 (en) * | 2005-04-29 | 2014-04-22 | Jmea Corporation | Implantation system for tissue repair |
US7441888B1 (en) | 2005-05-09 | 2008-10-28 | Tini Alloy Company | Eyeglass frame |
US8241325B2 (en) | 2005-05-12 | 2012-08-14 | Arstasis, Inc. | Access and closure device and method |
US7771443B2 (en) * | 2005-05-20 | 2010-08-10 | Ams Research Corporation | Anastomosis device approximating structure configurations |
US7717928B2 (en) * | 2005-05-20 | 2010-05-18 | Ams Research Corporation | Anastomosis device configurations and methods |
US7540899B1 (en) | 2005-05-25 | 2009-06-02 | Tini Alloy Company | Shape memory alloy thin film, method of fabrication, and articles of manufacture |
DE202005009061U1 (de) * | 2005-05-31 | 2006-10-12 | Karl Storz Gmbh & Co. Kg | Clip und Clipsetzer zum Verschließen von Blutgefäßen |
CA2611467C (en) | 2005-06-10 | 2011-01-11 | Wilson-Cook Medical, Inc. | Medical stapler |
WO2007001936A2 (en) | 2005-06-20 | 2007-01-04 | Sutura, Inc. | Method and apparatus for applying a knot to a suture |
US8709069B2 (en) | 2005-07-01 | 2014-04-29 | C. R. Bard, Inc. | Flanged graft with trim lines |
US20070073317A1 (en) * | 2005-07-07 | 2007-03-29 | Don Tanaka | System for interconnecting hollow bodies |
US8084404B2 (en) * | 2005-07-20 | 2011-12-27 | Chevron Oronite Company Llc | Crankcase lubricating oil composition for protection of silver bearings in locomotive diesel engines |
US8083754B2 (en) | 2005-08-08 | 2011-12-27 | Abbott Laboratories | Vascular suturing device with needle capture |
WO2007019016A1 (en) | 2005-08-08 | 2007-02-15 | Abbott Laboratories | Vascular suturing device |
US7883517B2 (en) | 2005-08-08 | 2011-02-08 | Abbott Laboratories | Vascular suturing device |
US20070060895A1 (en) | 2005-08-24 | 2007-03-15 | Sibbitt Wilmer L Jr | Vascular closure methods and apparatuses |
US8758397B2 (en) | 2005-08-24 | 2014-06-24 | Abbott Vascular Inc. | Vascular closure methods and apparatuses |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
DE102005046333B3 (de) * | 2005-09-27 | 2006-10-19 | Viega Gmbh & Co. Kg | Presswerkzeug |
US20070102170A1 (en) * | 2005-11-09 | 2007-05-10 | Waldack Larry E | Crimp Hub for Anastomosis Device |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
WO2007059304A2 (en) * | 2005-11-16 | 2007-05-24 | Edrich Health Technologies, Inc. | Stapling device |
US7798954B2 (en) | 2006-01-04 | 2010-09-21 | Allergan, Inc. | Hydraulic gastric band with collapsible reservoir |
US8043206B2 (en) | 2006-01-04 | 2011-10-25 | Allergan, Inc. | Self-regulating gastric band with pressure data processing |
US20070167969A1 (en) * | 2006-01-13 | 2007-07-19 | Rajesh Pandey | Surgical cutting tool for making precise and accurate incisions |
US10368899B2 (en) * | 2006-01-13 | 2019-08-06 | Heartware, Inc. | Surgical tool for coring precise holes and providing for retrieval of tissue |
AU2013219180B2 (en) * | 2006-01-13 | 2015-06-18 | Heartware, Inc. | Surgical tool for coring precise holes and providing for retrieval of tissue |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US7628797B2 (en) | 2006-01-31 | 2009-12-08 | Edwards Lifesciences Corporation | System, apparatus, and method for fastening tissue |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
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 |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US8236010B2 (en) | 2006-03-23 | 2012-08-07 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with mimicking end effector |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US20070246233A1 (en) * | 2006-04-04 | 2007-10-25 | Johnson A D | Thermal actuator for fire protection sprinkler head |
US8808310B2 (en) | 2006-04-20 | 2014-08-19 | Integrated Vascular Systems, Inc. | Resettable clip applier and reset tools |
US8019435B2 (en) | 2006-05-02 | 2011-09-13 | Boston Scientific Scimed, Inc. | Control of arterial smooth muscle tone |
BRPI0602379A (pt) * | 2006-06-06 | 2008-01-22 | Luiz Gonzaga Granja Jr | prótese para anastomose |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
USD611144S1 (en) | 2006-06-28 | 2010-03-02 | Abbott Laboratories | Apparatus for delivering a closure element |
WO2008008441A2 (en) * | 2006-07-12 | 2008-01-17 | Nelson Drew V | Multifunctional surgical instrument |
US8425412B2 (en) * | 2006-07-14 | 2013-04-23 | Cook Medical Technologies Llc | Papilla spreader |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US20080078802A1 (en) | 2006-09-29 | 2008-04-03 | Hess Christopher J | Surgical staples and stapling instruments |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US8066725B2 (en) * | 2006-10-17 | 2011-11-29 | Ams Research Corporation | Anastomosis device having improved safety features |
EP2076194B1 (en) | 2006-10-18 | 2013-04-24 | Vessix Vascular, Inc. | System for inducing desirable temperature effects on body tissue |
WO2008049082A2 (en) | 2006-10-18 | 2008-04-24 | Minnow Medical, Inc. | Inducing desirable temperature effects on body tissue |
JP5312337B2 (ja) | 2006-10-18 | 2013-10-09 | べシックス・バスキュラー・インコーポレイテッド | 標的組織の選択的な処置のための調節されたrfエネルギーおよび電気的な組織の特徴付け |
US7993264B2 (en) * | 2006-11-09 | 2011-08-09 | Ams Research Corporation | Orientation adapter for injection tube in flexible endoscope |
DE102006053217A1 (de) * | 2006-11-09 | 2008-05-15 | Karl Storz Gmbh & Co. Kg | An eine chirurgische Nähmaschine anbaubare Vorrichtung zur Bildung einer End-zu-End-Anastomose an zwei Hohlorganen |
JP5179507B2 (ja) * | 2006-11-10 | 2013-04-10 | クック メディカル テクノロジーズ エルエルシー | 外科手技用リング磁石 |
US8277466B2 (en) * | 2006-11-14 | 2012-10-02 | Ams Research Corporation | Anastomosis device and method |
US20080140098A1 (en) * | 2006-11-15 | 2008-06-12 | Monica Kumar | Anastomosis Balloon Configurations and device |
US8491525B2 (en) | 2006-11-17 | 2013-07-23 | Ams Research Corporation | Systems, apparatus and associated methods for needleless delivery of therapeutic fluids |
WO2008133738A2 (en) | 2006-12-01 | 2008-11-06 | Tini Alloy Company | Method of alloying reactive components |
EP2101653B1 (en) * | 2006-12-05 | 2016-02-17 | Cook Medical Technologies LLC | Combination therapy hemostatic clip |
US20080161644A1 (en) * | 2006-12-29 | 2008-07-03 | Ghabrial Ragae M | Method of and apparatus for attaching an instrument to an organ wall |
US20080167526A1 (en) * | 2007-01-08 | 2008-07-10 | Crank Justin M | Non-Occlusive, Laterally-Constrained Injection Device |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8840603B2 (en) | 2007-01-10 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
WO2008092028A1 (en) | 2007-01-25 | 2008-07-31 | Tini Alloy Company | Frangible shape memory alloy fire sprinkler valve actuator |
US8584767B2 (en) | 2007-01-25 | 2013-11-19 | Tini Alloy Company | Sprinkler valve with active actuation |
US7473258B2 (en) | 2007-03-08 | 2009-01-06 | Cardica, Inc. | Surgical stapler |
US7533790B1 (en) * | 2007-03-08 | 2009-05-19 | Cardica, Inc. | Surgical stapler |
US8590762B2 (en) | 2007-03-15 | 2013-11-26 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configurations |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
EP2134266A4 (en) | 2007-03-29 | 2015-06-03 | Nobles Medical Technologies Inc | SEWING DEVICES AND METHOD FOR THE CLOSURE OF AN OPEN FORM OVAL |
US7896915B2 (en) | 2007-04-13 | 2011-03-01 | Jenavalve Technology, Inc. | Medical device for treating a heart valve insufficiency |
US8753373B2 (en) | 2007-05-08 | 2014-06-17 | Edwards Lifesciences Corporation | Suture-fastening clip |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8361092B1 (en) | 2007-06-18 | 2013-01-29 | Wilson T. Asfora | Vascular anastomosis device and method |
US9504469B2 (en) | 2007-06-18 | 2016-11-29 | Asfora Ip, Llc | Vascular anastomosis device and method |
US10004507B2 (en) | 2007-06-18 | 2018-06-26 | Asfora Ip, Llc | Vascular anastomosis device and method |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US8574244B2 (en) | 2007-06-25 | 2013-11-05 | Abbott Laboratories | System for closing a puncture in a vessel wall |
US8226681B2 (en) | 2007-06-25 | 2012-07-24 | Abbott Laboratories | Methods, devices, and apparatus for managing access through tissue |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
WO2009018289A2 (en) | 2007-07-30 | 2009-02-05 | Tini Alloy Company | Method and devices for preventing restenosis in cardiovascular stents |
US9282967B2 (en) | 2007-08-02 | 2016-03-15 | Bioconnect Systems, Inc. | Implantable flow connector |
EP2173276A4 (en) | 2007-08-02 | 2015-07-08 | Bio Connect Systems | IMPLANTABLE RIVER CONNECTOR |
US8070036B1 (en) | 2007-09-06 | 2011-12-06 | Cardica, Inc | True multi-fire surgical stapler configured to fire staples of different sizes |
US9168039B1 (en) | 2007-09-06 | 2015-10-27 | Cardica, Inc. | Surgical stapler with staples of different sizes |
US7988026B2 (en) | 2007-09-06 | 2011-08-02 | Cardica, Inc. | Endocutter with staple feed |
AU2008302043B2 (en) | 2007-09-21 | 2013-06-27 | Covidien Lp | Surgical device |
EP2233081B2 (en) | 2007-09-21 | 2018-03-28 | Covidien LP | Surgical device |
US10149681B2 (en) | 2007-10-23 | 2018-12-11 | Insightra Medical, Inc. | Devices and methods for securing tissue |
US9265502B2 (en) | 2007-10-23 | 2016-02-23 | Insightra Medical, Inc. | Delivery assembly for resilient tissue clamp |
US9125656B2 (en) * | 2007-10-23 | 2015-09-08 | Insightra Medical, Inc. | Devices and methods for securing tissue |
US7850649B2 (en) | 2007-11-09 | 2010-12-14 | Ams Research Corporation | Mechanical volume control for injection devices |
US8262681B1 (en) | 2007-11-23 | 2012-09-11 | Rabin Gerrah | Device and method for performing endoluminal proximal anastomosis |
US8556969B2 (en) | 2007-11-30 | 2013-10-15 | Ormco Corporation | Biocompatible copper-based single-crystal shape memory alloys |
US7842143B2 (en) | 2007-12-03 | 2010-11-30 | Tini Alloy Company | Hyperelastic shape setting devices and fabrication methods |
US8382917B2 (en) | 2007-12-03 | 2013-02-26 | Ormco Corporation | Hyperelastic shape setting devices and fabrication methods |
US20090157101A1 (en) | 2007-12-17 | 2009-06-18 | Abbott Laboratories | Tissue closure system and methods of use |
US7841502B2 (en) | 2007-12-18 | 2010-11-30 | Abbott Laboratories | Modular clip applier |
US20100280598A1 (en) * | 2007-12-27 | 2010-11-04 | C.R. Bard, Inc. | Vascular graft prosthesis having a reinforced margin for enhanced anastomosis |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US9585657B2 (en) | 2008-02-15 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Actuator for releasing a layer of material from a surgical end effector |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
EP2242527A4 (en) | 2008-02-19 | 2011-07-13 | Portaero Inc | DEVICES AND METHODS FOR ADMINISTERING A THERAPEUTIC AGENT THROUGH PNEUMOSTOMY |
ES2903231T3 (es) | 2008-02-26 | 2022-03-31 | Jenavalve Tech Inc | Stent para el posicionamiento y anclaje de una prótesis valvular en un sitio de implantación en el corazón de un paciente |
US9044318B2 (en) | 2008-02-26 | 2015-06-02 | Jenavalve Technology Gmbh | Stent for the positioning and anchoring of a valvular prosthesis |
US8177836B2 (en) * | 2008-03-10 | 2012-05-15 | Medtronic, Inc. | Apparatus and methods for minimally invasive valve repair |
US8733611B2 (en) * | 2008-03-12 | 2014-05-27 | Covidien Lp | Ratcheting mechanism for surgical stapling device |
US20090254121A1 (en) * | 2008-04-02 | 2009-10-08 | Cardica, Inc. | Vascular Closure with Multi-Pronged Clip |
US20090270971A1 (en) * | 2008-04-24 | 2009-10-29 | Medtronic Vascular, Inc. | Prosthesis Fixation Apparatus and Methods |
WO2009137766A1 (en) | 2008-05-09 | 2009-11-12 | Sutura, Inc. | Suturing devices and methods for suturing an anatomic valve |
US8409228B2 (en) | 2008-06-06 | 2013-04-02 | Duane D. Blatter | Tissue management methods, apparatus, and systems |
CN102159126A (zh) | 2008-07-21 | 2011-08-17 | 阿尔斯塔西斯公司 | 在组织中形成管道的装置、方法和成套用具 |
US20100030139A1 (en) * | 2008-07-30 | 2010-02-04 | Copa Vincent G | Anastomosis Devices and Methods Utilizing Colored Bands |
JP2010042204A (ja) | 2008-08-18 | 2010-02-25 | Olympus Corp | 中空組織接合装置 |
US7954688B2 (en) * | 2008-08-22 | 2011-06-07 | Medtronic, Inc. | Endovascular stapling apparatus and methods of use |
US8652202B2 (en) | 2008-08-22 | 2014-02-18 | Edwards Lifesciences Corporation | Prosthetic heart valve and delivery apparatus |
JP2010069054A (ja) * | 2008-09-19 | 2010-04-02 | Olympus Corp | 中空組織接合装置 |
JP2010069051A (ja) * | 2008-09-19 | 2010-04-02 | Olympus Corp | 中空組織接合装置 |
PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
JP2010069053A (ja) * | 2008-09-19 | 2010-04-02 | Olympus Corp | 中空組織接合装置 |
JP2010069052A (ja) * | 2008-09-19 | 2010-04-02 | Olympus Corp | 中空組織を接合するためのステープル |
JP2010069055A (ja) * | 2008-09-19 | 2010-04-02 | Olympus Corp | 中空組織接合装置 |
JP2010069050A (ja) * | 2008-09-19 | 2010-04-02 | Olympus Corp | 中空組織接合装置 |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
WO2010042493A1 (en) | 2008-10-06 | 2010-04-15 | Allergan, Inc. | Mechanical gastric band with cushions |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US20100185049A1 (en) | 2008-10-22 | 2010-07-22 | Allergan, Inc. | Dome and screw valves for remotely adjustable gastric banding systems |
US9241696B2 (en) | 2008-10-30 | 2016-01-26 | Abbott Vascular Inc. | Closure device |
CN102271603A (zh) | 2008-11-17 | 2011-12-07 | 明诺医学股份有限公司 | 得知或未得知组织形态的选择性能量积累 |
US8323312B2 (en) | 2008-12-22 | 2012-12-04 | Abbott Laboratories | Closure device |
US9089311B2 (en) | 2009-01-09 | 2015-07-28 | Abbott Vascular Inc. | Vessel closure devices and methods |
US9173644B2 (en) | 2009-01-09 | 2015-11-03 | Abbott Vascular Inc. | Closure devices, systems, and methods |
US20100179589A1 (en) | 2009-01-09 | 2010-07-15 | Abbott Vascular Inc. | Rapidly eroding anchor |
US9414820B2 (en) | 2009-01-09 | 2016-08-16 | Abbott Vascular Inc. | Closure devices, systems, and methods |
US8388349B2 (en) * | 2009-01-14 | 2013-03-05 | Ams Research Corporation | Anastomosis deployment force training tool |
US20100185234A1 (en) | 2009-01-16 | 2010-07-22 | Abbott Vascular Inc. | Closure devices, systems, and methods |
US11197952B2 (en) | 2009-01-29 | 2021-12-14 | Advent Access Pte. Ltd. | Vascular access ports and related methods |
WO2010088532A1 (en) * | 2009-01-29 | 2010-08-05 | Vital Access Corporation | Vascular access ports and related methods |
US9179901B2 (en) * | 2009-01-29 | 2015-11-10 | Vital Access Corporation | Vascular access ports and related methods |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
JP2012517287A (ja) | 2009-02-06 | 2012-08-02 | エシコン・エンド−サージェリィ・インコーポレイテッド | 被駆動式手術用ステープラの改良 |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
US8518060B2 (en) | 2009-04-09 | 2013-08-27 | Medtronic, Inc. | Medical clip with radial tines, system and method of using same |
US8668704B2 (en) | 2009-04-24 | 2014-03-11 | Medtronic, Inc. | Medical clip with tines, system and method of using same |
US8167898B1 (en) | 2009-05-05 | 2012-05-01 | Cardica, Inc. | Flexible cutter for surgical stapler |
EP2445417A2 (en) * | 2009-06-26 | 2012-05-02 | QuickRing Medical Technologies Ltd. | Surgical stapler |
US20140155804A1 (en) * | 2009-07-07 | 2014-06-05 | Marwan Tabbara | Surgical devices and kits |
US8211126B2 (en) | 2009-09-22 | 2012-07-03 | Jmea Corporation | Tissue repair system |
US8413872B2 (en) | 2009-10-28 | 2013-04-09 | Covidien Lp | Surgical fastening apparatus |
US8899466B2 (en) | 2009-11-19 | 2014-12-02 | Ethicon Endo-Surgery, Inc. | Devices and methods for introducing a surgical circular stapling instrument into a patient |
WO2011062495A2 (en) * | 2009-11-19 | 2011-05-26 | Amj B.V. | Device for producing an anastomosis connection |
US8449599B2 (en) | 2009-12-04 | 2013-05-28 | Edwards Lifesciences Corporation | Prosthetic valve for replacing mitral valve |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8758221B2 (en) | 2010-02-24 | 2014-06-24 | Apollo Endosurgery, Inc. | Source reservoir with potential energy for remotely adjustable gastric banding system |
US8840541B2 (en) | 2010-02-25 | 2014-09-23 | Apollo Endosurgery, Inc. | Pressure sensing gastric banding system |
US8303624B2 (en) | 2010-03-15 | 2012-11-06 | Abbott Cardiovascular Systems, Inc. | Bioabsorbable plug |
JP2013523318A (ja) | 2010-04-09 | 2013-06-17 | べシックス・バスキュラー・インコーポレイテッド | 組織の治療のための発電および制御の装置 |
CN103096963B (zh) | 2010-04-13 | 2016-02-17 | 森特里心脏股份有限公司 | 用于心包进入的方法和器件 |
US9192790B2 (en) | 2010-04-14 | 2015-11-24 | Boston Scientific Scimed, Inc. | Focused ultrasonic renal denervation |
EP2558004A4 (en) * | 2010-04-16 | 2015-04-29 | Univ Utah Res Found | METHODS, DEVICES, AND APPARATUS FOR REALIZING VASCULAR ANASTOMOSIS |
US9028394B2 (en) | 2010-04-29 | 2015-05-12 | Apollo Endosurgery, Inc. | Self-adjusting mechanical gastric band |
US20110270024A1 (en) | 2010-04-29 | 2011-11-03 | Allergan, Inc. | Self-adjusting gastric band having various compliant components |
US9044298B2 (en) | 2010-04-29 | 2015-06-02 | Apollo Endosurgery, Inc. | Self-adjusting gastric band |
US20110270025A1 (en) | 2010-04-30 | 2011-11-03 | Allergan, Inc. | Remotely powered remotely adjustable gastric band system |
WO2011145091A1 (en) * | 2010-05-17 | 2011-11-24 | I.B.I. Israel Biomedical Innovations Ltd. | Surgical fastening device with mesh retaining means |
JP2013526388A (ja) | 2010-05-25 | 2013-06-24 | イエナバルブ テクノロジー インク | 人工心臓弁、及び人工心臓弁とステントを備える経カテーテル搬送体内プロテーゼ |
US8517915B2 (en) | 2010-06-10 | 2013-08-27 | Allergan, Inc. | Remotely adjustable gastric banding system |
US8473067B2 (en) | 2010-06-11 | 2013-06-25 | Boston Scientific Scimed, Inc. | Renal denervation and stimulation employing wireless vascular energy transfer arrangement |
US9138212B1 (en) * | 2010-07-19 | 2015-09-22 | Cardica, Inc. | Anchor system for PFO closure |
US9084609B2 (en) | 2010-07-30 | 2015-07-21 | Boston Scientific Scime, Inc. | Spiral balloon catheter for renal nerve ablation |
US9463062B2 (en) | 2010-07-30 | 2016-10-11 | Boston Scientific Scimed, Inc. | Cooled conductive balloon RF catheter for renal nerve ablation |
US9408661B2 (en) | 2010-07-30 | 2016-08-09 | Patrick A. Haverkost | RF electrodes on multiple flexible wires for renal nerve ablation |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US9155589B2 (en) | 2010-07-30 | 2015-10-13 | Boston Scientific Scimed, Inc. | Sequential activation RF electrode set for renal nerve ablation |
US8801734B2 (en) | 2010-07-30 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Circular stapling instruments with secondary cutting arrangements and methods of using same |
US9358365B2 (en) | 2010-07-30 | 2016-06-07 | Boston Scientific Scimed, Inc. | Precision electrode movement control for renal nerve ablation |
US8758399B2 (en) | 2010-08-02 | 2014-06-24 | Abbott Cardiovascular Systems, Inc. | Expandable bioabsorbable plug apparatus and method |
US8603116B2 (en) | 2010-08-04 | 2013-12-10 | Abbott Cardiovascular Systems, Inc. | Closure device with long tines |
US9370353B2 (en) | 2010-09-01 | 2016-06-21 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US8663252B2 (en) | 2010-09-01 | 2014-03-04 | Abbott Cardiovascular Systems, Inc. | Suturing devices and methods |
US20120059216A1 (en) | 2010-09-07 | 2012-03-08 | Allergan, Inc. | Remotely adjustable gastric banding system |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US9463269B2 (en) | 2010-09-10 | 2016-10-11 | W. L. Gore & Associates, Inc. | Anastomotic devices and methods |
US8568426B2 (en) | 2010-09-15 | 2013-10-29 | Ethicon, Inc. | Ligation device and method |
US20120078244A1 (en) | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
US9480476B2 (en) | 2010-09-30 | 2016-11-01 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising resilient members |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9788834B2 (en) | 2010-09-30 | 2017-10-17 | Ethicon Llc | Layer comprising deployable attachment members |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
BR112013007717B1 (pt) | 2010-09-30 | 2020-09-24 | Ethicon Endo-Surgery, Inc. | Sistema de grampeamento cirúrgico |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
US8393514B2 (en) | 2010-09-30 | 2013-03-12 | Ethicon Endo-Surgery, Inc. | Selectively orientable implantable fastener cartridge |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US8740038B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a releasable portion |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8974451B2 (en) | 2010-10-25 | 2015-03-10 | Boston Scientific Scimed, Inc. | Renal nerve ablation using conductive fluid jet and RF energy |
US9220558B2 (en) | 2010-10-27 | 2015-12-29 | Boston Scientific Scimed, Inc. | RF renal denervation catheter with multiple independent electrodes |
US10406340B2 (en) * | 2010-11-08 | 2019-09-10 | Kast Axess, Inc. | Vascular access port and catheter |
US8764774B2 (en) | 2010-11-09 | 2014-07-01 | Cook Medical Technologies Llc | Clip system having tether segments for closure |
US9345484B2 (en) | 2010-11-11 | 2016-05-24 | Asfora Ip, Llc | Deployment tool for sutureless vascular anastomosis connection |
US9271733B2 (en) | 2010-11-11 | 2016-03-01 | Willson T. Asfora | Sutureless vascular anastomosis connection |
US9028485B2 (en) | 2010-11-15 | 2015-05-12 | Boston Scientific Scimed, Inc. | Self-expanding cooling electrode for renal nerve ablation |
US8961393B2 (en) | 2010-11-15 | 2015-02-24 | Apollo Endosurgery, Inc. | Gastric band devices and drive systems |
US9089350B2 (en) | 2010-11-16 | 2015-07-28 | Boston Scientific Scimed, Inc. | Renal denervation catheter with RF electrode and integral contrast dye injection arrangement |
US9668811B2 (en) | 2010-11-16 | 2017-06-06 | Boston Scientific Scimed, Inc. | Minimally invasive access for renal nerve ablation |
US9326751B2 (en) | 2010-11-17 | 2016-05-03 | Boston Scientific Scimed, Inc. | Catheter guidance of external energy for renal denervation |
US9060761B2 (en) | 2010-11-18 | 2015-06-23 | Boston Scientific Scime, Inc. | Catheter-focused magnetic field induced renal nerve ablation |
US9023034B2 (en) | 2010-11-22 | 2015-05-05 | Boston Scientific Scimed, Inc. | Renal ablation electrode with force-activatable conduction apparatus |
US9192435B2 (en) | 2010-11-22 | 2015-11-24 | Boston Scientific Scimed, Inc. | Renal denervation catheter with cooled RF electrode |
US20120157993A1 (en) | 2010-12-15 | 2012-06-21 | Jenson Mark L | Bipolar Off-Wall Electrode Device for Renal Nerve Ablation |
US8747386B2 (en) | 2010-12-16 | 2014-06-10 | Ams Research Corporation | Anastomosis device and related methods |
WO2012100095A1 (en) | 2011-01-19 | 2012-07-26 | Boston Scientific Scimed, Inc. | Guide-compatible large-electrode catheter for renal nerve ablation with reduced arterial injury |
US8617184B2 (en) | 2011-02-15 | 2013-12-31 | Abbott Cardiovascular Systems, Inc. | Vessel closure system |
WO2012116376A1 (en) | 2011-02-25 | 2012-08-30 | Thoratec Corporation | Coupling system, applicator tool, attachment ring and method for connecting a conduit to biological tissue |
EP2683614B1 (en) | 2011-03-07 | 2018-05-02 | Nordson Corporation | Sanitary fitting with parabolic entrance |
US9113884B2 (en) | 2011-03-14 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Modular surgical tool systems |
US20120259269A1 (en) | 2011-04-08 | 2012-10-11 | Tyco Healthcare Group Lp | Iontophoresis drug delivery system and method for denervation of the renal sympathetic nerve and iontophoretic drug delivery |
EP3644194B1 (en) | 2011-04-15 | 2022-12-07 | Heartstitch, Inc. | Suturing devices for suturing an anatomic valve |
CN103930061B (zh) | 2011-04-25 | 2016-09-14 | 美敦力阿迪安卢森堡有限责任公司 | 用于限制导管壁低温消融的有关低温球囊限制部署的装置及方法 |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9345532B2 (en) | 2011-05-13 | 2016-05-24 | Broncus Medical Inc. | Methods and devices for ablation of tissue |
US8709034B2 (en) | 2011-05-13 | 2014-04-29 | Broncus Medical Inc. | Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall |
US9414822B2 (en) | 2011-05-19 | 2016-08-16 | Abbott Cardiovascular Systems, Inc. | Tissue eversion apparatus and tissue closure device and methods for use thereof |
US8556932B2 (en) | 2011-05-19 | 2013-10-15 | Abbott Cardiovascular Systems, Inc. | Collapsible plug for tissue closure |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9579030B2 (en) | 2011-07-20 | 2017-02-28 | Boston Scientific Scimed, Inc. | Percutaneous devices and methods to visualize, target and ablate nerves |
US9186209B2 (en) | 2011-07-22 | 2015-11-17 | Boston Scientific Scimed, Inc. | Nerve modulation system having helical guide |
US9198661B2 (en) | 2011-09-06 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Stapling instrument comprising a plurality of staple cartridges stored therein |
US9011468B2 (en) | 2011-09-13 | 2015-04-21 | Abbott Cardiovascular Systems Inc. | Independent gripper |
US8945177B2 (en) | 2011-09-13 | 2015-02-03 | Abbott Cardiovascular Systems Inc. | Gripper pusher mechanism for tissue apposition systems |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
WO2013055826A1 (en) | 2011-10-10 | 2013-04-18 | Boston Scientific Scimed, Inc. | Medical devices including ablation electrodes |
US9420955B2 (en) | 2011-10-11 | 2016-08-23 | Boston Scientific Scimed, Inc. | Intravascular temperature monitoring system and method |
EP2765940B1 (en) | 2011-10-11 | 2015-08-26 | Boston Scientific Scimed, Inc. | Off-wall electrode device for nerve modulation |
US9364284B2 (en) | 2011-10-12 | 2016-06-14 | Boston Scientific Scimed, Inc. | Method of making an off-wall spacer cage |
US9079000B2 (en) | 2011-10-18 | 2015-07-14 | Boston Scientific Scimed, Inc. | Integrated crossing balloon catheter |
US9162046B2 (en) | 2011-10-18 | 2015-10-20 | Boston Scientific Scimed, Inc. | Deflectable medical devices |
CN104159543B (zh) | 2011-10-21 | 2016-10-12 | 耶拿阀门科技公司 | 用于将可扩张心脏瓣膜支架引入患者体内的导管系统 |
EP3366250A1 (en) | 2011-11-08 | 2018-08-29 | Boston Scientific Scimed, Inc. | Ostial renal nerve ablation |
EP2779929A1 (en) | 2011-11-15 | 2014-09-24 | Boston Scientific Scimed, Inc. | Device and methods for renal nerve modulation monitoring |
US9119632B2 (en) | 2011-11-21 | 2015-09-01 | Boston Scientific Scimed, Inc. | Deflectable renal nerve ablation catheter |
WO2013078235A1 (en) | 2011-11-23 | 2013-05-30 | Broncus Medical Inc | Methods and devices for diagnosing, monitoring, or treating medical conditions through an opening through an airway wall |
US8876694B2 (en) | 2011-12-07 | 2014-11-04 | Apollo Endosurgery, Inc. | Tube connector with a guiding tip |
US9119615B2 (en) | 2011-12-15 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US9113879B2 (en) | 2011-12-15 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US8961394B2 (en) | 2011-12-20 | 2015-02-24 | Apollo Endosurgery, Inc. | Self-sealing fluid joint for use with a gastric band |
US9265969B2 (en) | 2011-12-21 | 2016-02-23 | Cardiac Pacemakers, Inc. | Methods for modulating cell function |
US9037259B2 (en) | 2011-12-23 | 2015-05-19 | Vessix Vascular, Inc. | Methods and apparatuses for remodeling tissue of or adjacent to a body passage |
US9433760B2 (en) | 2011-12-28 | 2016-09-06 | Boston Scientific Scimed, Inc. | Device and methods for nerve modulation using a novel ablation catheter with polymeric ablative elements |
US9050106B2 (en) | 2011-12-29 | 2015-06-09 | Boston Scientific Scimed, Inc. | Off-wall electrode device and methods for nerve modulation |
US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US9381335B2 (en) | 2012-03-21 | 2016-07-05 | Ams Research Corporation | Bladder wall drug delivery system |
US8992547B2 (en) | 2012-03-21 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Methods and devices for creating tissue plications |
CN104334098B (zh) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | 包括限定低压强环境的胶囊剂的组织厚度补偿件 |
CN104379068B (zh) | 2012-03-28 | 2017-09-22 | 伊西康内外科公司 | 包括组织厚度补偿件的保持器组件 |
RU2014143258A (ru) | 2012-03-28 | 2016-05-20 | Этикон Эндо-Серджери, Инк. | Компенсатор толщины ткани, содержащий множество слоев |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
US8858573B2 (en) | 2012-04-10 | 2014-10-14 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US8864778B2 (en) | 2012-04-10 | 2014-10-21 | Abbott Cardiovascular Systems, Inc. | Apparatus and method for suturing body lumens |
US10434293B2 (en) | 2012-04-15 | 2019-10-08 | Tva Medical, Inc. | Implantable flow connector |
US9314600B2 (en) | 2012-04-15 | 2016-04-19 | Bioconnect Systems, Inc. | Delivery system for implantable flow connector |
WO2013162741A1 (en) | 2012-04-23 | 2013-10-31 | Thoratec Corporation | Engagement device and method for deployment of anastomotic clips |
WO2013169927A1 (en) | 2012-05-08 | 2013-11-14 | Boston Scientific Scimed, Inc. | Renal nerve modulation devices |
WO2013170081A1 (en) | 2012-05-11 | 2013-11-14 | Heartstitch, Inc. | Suturing devices and methods for suturing an anatomic structure |
JP6227632B2 (ja) | 2012-05-16 | 2017-11-08 | イェーナヴァルヴ テクノロジー ゲゼルシャフト ミット ベシュレンクテル ハフツング | 拡張可能心臓代用弁を導入するためのカテーテル送達システムおよび心臓弁欠陥の治療のための医療デバイス |
US20130317481A1 (en) | 2012-05-25 | 2013-11-28 | Arstasis, Inc. | Vascular access configuration |
US20130317438A1 (en) | 2012-05-25 | 2013-11-28 | Arstasis, Inc. | Vascular access configuration |
US9241707B2 (en) | 2012-05-31 | 2016-01-26 | Abbott Cardiovascular Systems, Inc. | Systems, methods, and devices for closing holes in body lumens |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
CN104540465A (zh) | 2012-08-24 | 2015-04-22 | 波士顿科学西美德公司 | 带有含单独微孔隙区域的球囊的血管内导管 |
US10124197B2 (en) | 2012-08-31 | 2018-11-13 | TiNi Allot Company | Fire sprinkler valve actuator |
US11040230B2 (en) | 2012-08-31 | 2021-06-22 | Tini Alloy Company | Fire sprinkler valve actuator |
EP2895095A2 (en) | 2012-09-17 | 2015-07-22 | Boston Scientific Scimed, Inc. | Self-positioning electrode system and method for renal nerve modulation |
WO2014047411A1 (en) | 2012-09-21 | 2014-03-27 | Boston Scientific Scimed, Inc. | System for nerve modulation and innocuous thermal gradient nerve block |
WO2014047454A2 (en) | 2012-09-21 | 2014-03-27 | Boston Scientific Scimed, Inc. | Self-cooling ultrasound ablation catheter |
JP6074051B2 (ja) | 2012-10-10 | 2017-02-01 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 血管内神経変調システム及び医療用デバイス |
EP2908745A4 (en) | 2012-10-22 | 2016-06-15 | Sentreheart Inc | DEVICES AND METHODS FOR ACCESSING THE PERICARDIAL SPACE |
US20140121646A1 (en) * | 2012-10-29 | 2014-05-01 | FABtec Medical, Inc. | Nutrient Absorption Barrier And Delivery Method |
US9439763B2 (en) | 2013-02-04 | 2016-09-13 | Edwards Lifesciences Corporation | Prosthetic valve for replacing mitral valve |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
BR112015021082B1 (pt) | 2013-03-01 | 2022-05-10 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9956033B2 (en) | 2013-03-11 | 2018-05-01 | Boston Scientific Scimed, Inc. | Medical devices for modulating nerves |
WO2014143571A1 (en) | 2013-03-11 | 2014-09-18 | Boston Scientific Scimed, Inc. | Medical devices for modulating nerves |
US9808311B2 (en) | 2013-03-13 | 2017-11-07 | Boston Scientific Scimed, Inc. | Deflectable medical devices |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US10265122B2 (en) | 2013-03-15 | 2019-04-23 | Boston Scientific Scimed, Inc. | Nerve ablation devices and related methods of use |
EP2967725B1 (en) | 2013-03-15 | 2019-12-11 | Boston Scientific Scimed, Inc. | Control unit for detecting electrical leakage between electrode pads and system comprising such a control unit |
EP2967734B1 (en) | 2013-03-15 | 2019-05-15 | Boston Scientific Scimed, Inc. | Methods and apparatuses for remodeling tissue of or adjacent to a body passage |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
CN105473092B (zh) | 2013-06-21 | 2019-05-17 | 波士顿科学国际有限公司 | 具有可旋转轴的用于肾神经消融的医疗器械 |
EP3010437A1 (en) | 2013-06-21 | 2016-04-27 | Boston Scientific Scimed, Inc. | Renal denervation balloon catheter with ride along electrode support |
US9707036B2 (en) | 2013-06-25 | 2017-07-18 | Boston Scientific Scimed, Inc. | Devices and methods for nerve modulation using localized indifferent electrodes |
WO2015002787A1 (en) | 2013-07-01 | 2015-01-08 | Boston Scientific Scimed, Inc. | Medical devices for renal nerve ablation |
EA032962B1 (ru) | 2013-07-02 | 2019-08-30 | Мед-Венче Инвестментс, Ллс | Сшивающее устройство анатомической структуры |
EP3019105B1 (en) | 2013-07-11 | 2017-09-13 | Boston Scientific Scimed, Inc. | Devices for nerve modulation |
EP3019106A1 (en) | 2013-07-11 | 2016-05-18 | Boston Scientific Scimed, Inc. | Medical device with stretchable electrode assemblies |
US9925001B2 (en) | 2013-07-19 | 2018-03-27 | Boston Scientific Scimed, Inc. | Spiral bipolar electrode renal denervation balloon |
JP6122217B2 (ja) | 2013-07-22 | 2017-04-26 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 腎神経アブレーション用医療器具 |
WO2015013205A1 (en) | 2013-07-22 | 2015-01-29 | Boston Scientific Scimed, Inc. | Medical devices for renal nerve ablation |
EP3035879A1 (en) | 2013-08-22 | 2016-06-29 | Boston Scientific Scimed, Inc. | Flexible circuit having improved adhesion to a renal nerve modulation balloon |
CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
US20150053737A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | End effector detection systems for surgical instruments |
US9662115B2 (en) * | 2013-08-26 | 2017-05-30 | Covidien Lp | EEA abdominal access device |
CN105491978A (zh) | 2013-08-30 | 2016-04-13 | 耶拿阀门科技股份有限公司 | 用于假体瓣膜的径向可折叠框架及其制造方法 |
EP3041425B1 (en) | 2013-09-04 | 2022-04-13 | Boston Scientific Scimed, Inc. | Radio frequency (rf) balloon catheter having flushing and cooling capability |
WO2015038947A1 (en) | 2013-09-13 | 2015-03-19 | Boston Scientific Scimed, Inc. | Ablation balloon with vapor deposited cover layer |
US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
US11246654B2 (en) | 2013-10-14 | 2022-02-15 | Boston Scientific Scimed, Inc. | Flexible renal nerve ablation devices and related methods of use and manufacture |
US9687166B2 (en) | 2013-10-14 | 2017-06-27 | Boston Scientific Scimed, Inc. | High resolution cardiac mapping electrode array catheter |
AU2014334574B2 (en) | 2013-10-15 | 2017-07-06 | Boston Scientific Scimed, Inc. | Medical device balloon |
US9770606B2 (en) | 2013-10-15 | 2017-09-26 | Boston Scientific Scimed, Inc. | Ultrasound ablation catheter with cooling infusion and centering basket |
JP6259099B2 (ja) | 2013-10-18 | 2018-01-10 | ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. | 可撓性を備える導電性ワイヤを備えるバルーン・カテーテル、並びに関連する使用および製造方法 |
EP3060271B1 (en) | 2013-10-22 | 2018-09-12 | Heartware, Inc. | Anchored mounting ring |
US10271898B2 (en) | 2013-10-25 | 2019-04-30 | Boston Scientific Scimed, Inc. | Embedded thermocouple in denervation flex circuit |
WO2015077274A1 (en) * | 2013-11-19 | 2015-05-28 | St. Jude Medical, Cardiology Division, Inc. | Sealing structures for paravalvular leak protection |
EP3079602B1 (en) | 2013-12-06 | 2020-01-22 | Med-venture Investments, LLC | Suturing apparatuses |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9687232B2 (en) | 2013-12-23 | 2017-06-27 | Ethicon Llc | Surgical staples |
EP3086717B1 (en) * | 2013-12-27 | 2021-06-23 | University of Utah Research Foundation | Vascular coupling device |
EP3091922B1 (en) | 2014-01-06 | 2018-10-17 | Boston Scientific Scimed, Inc. | Tear resistant flex circuit assembly |
WO2015119890A1 (en) | 2014-02-04 | 2015-08-13 | Boston Scientific Scimed, Inc. | Alternative placement of thermal sensors on bipolar electrode |
US11000679B2 (en) | 2014-02-04 | 2021-05-11 | Boston Scientific Scimed, Inc. | Balloon protection and rewrapping devices and related methods of use |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
JP6462004B2 (ja) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | 発射部材ロックアウトを備える締結システム |
US9693777B2 (en) | 2014-02-24 | 2017-07-04 | Ethicon Llc | Implantable layers comprising a pressed region |
EP3110478A4 (en) | 2014-02-28 | 2017-10-11 | Sentreheart, Inc. | Pericardial access devices and methods |
US10390943B2 (en) | 2014-03-17 | 2019-08-27 | Evalve, Inc. | Double orifice device for transcatheter mitral valve replacement |
US9572666B2 (en) | 2014-03-17 | 2017-02-21 | Evalve, Inc. | Mitral valve fixation device removal devices and methods |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US10028761B2 (en) | 2014-03-26 | 2018-07-24 | Ethicon Llc | Feedback algorithms for manual bailout systems for surgical instruments |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
CN106456159B (zh) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | 紧固件仓组件和钉保持器盖布置结构 |
US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
US9844369B2 (en) | 2014-04-16 | 2017-12-19 | Ethicon Llc | Surgical end effectors with firing element monitoring arrangements |
BR112016023698B1 (pt) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Cartucho de prendedores para uso com um instrumento cirúrgico |
CN106456158B (zh) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | 包括非一致紧固件的紧固件仓 |
US10709490B2 (en) | 2014-05-07 | 2020-07-14 | Medtronic Ardian Luxembourg S.A.R.L. | Catheter assemblies comprising a direct heating element for renal neuromodulation and associated systems and methods |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US10178993B2 (en) | 2014-07-11 | 2019-01-15 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to-side anastomosis |
WO2016023907A2 (en) * | 2014-08-12 | 2016-02-18 | Anastomosis As | Minimally traumatic anastomosis |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US9757128B2 (en) | 2014-09-05 | 2017-09-12 | Ethicon Llc | Multiple sensors with one sensor affecting a second sensor's output or interpretation |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
CN107427300B (zh) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | 外科缝合支撑物和辅助材料 |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
JP6700278B2 (ja) | 2014-12-04 | 2020-05-27 | エドワーズ ライフサイエンシーズ コーポレイションEdwards Lifesciences Corporation | 心臓弁を修復するための経皮的クリップ |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10188392B2 (en) | 2014-12-19 | 2019-01-29 | Abbott Cardiovascular Systems, Inc. | Grasping for tissue repair |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US9993258B2 (en) | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10524912B2 (en) | 2015-04-02 | 2020-01-07 | Abbott Cardiovascular Systems, Inc. | Tissue fixation devices and methods |
EP3282955B1 (en) | 2015-04-13 | 2022-11-16 | Innovative Interventional Technologies B.V. | Anastomosis device for making anastomoses between hollow structures |
WO2016177562A1 (en) | 2015-05-01 | 2016-11-10 | Jenavalve Technology, Inc. | Device and method with reduced pacemaker rate in heart valve replacement |
CN107624058B (zh) | 2015-05-14 | 2019-10-08 | 爱德华兹生命科学公司 | 心脏瓣膜密封装置及其递送装置 |
US10368861B2 (en) | 2015-06-18 | 2019-08-06 | Ethicon Llc | Dual articulation drive system arrangements for articulatable surgical instruments |
US10376673B2 (en) | 2015-06-19 | 2019-08-13 | Evalve, Inc. | Catheter guiding system and methods |
US10238494B2 (en) | 2015-06-29 | 2019-03-26 | Evalve, Inc. | Self-aligning radiopaque ring |
US10667815B2 (en) | 2015-07-21 | 2020-06-02 | Evalve, Inc. | Tissue grasping devices and related methods |
US10413408B2 (en) | 2015-08-06 | 2019-09-17 | Evalve, Inc. | Delivery catheter systems, methods, and devices |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
RU2725081C2 (ru) | 2015-08-26 | 2020-06-29 | ЭТИКОН ЭлЭлСи | Полоски с хирургическими скобами, допускающие наличие скоб с переменными свойствами и обеспечивающие простую загрузку кассеты |
US10166026B2 (en) | 2015-08-26 | 2019-01-01 | Ethicon Llc | Staple cartridge assembly including features for controlling the rotation of staples when being ejected therefrom |
MX2022009705A (es) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico. |
MX2022006189A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
US10357252B2 (en) | 2015-09-02 | 2019-07-23 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10478188B2 (en) | 2015-09-30 | 2019-11-19 | Ethicon Llc | Implantable layer comprising a constricted configuration |
US10433846B2 (en) | 2015-09-30 | 2019-10-08 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10238495B2 (en) | 2015-10-09 | 2019-03-26 | Evalve, Inc. | Delivery catheter handle and methods of use |
KR101750362B1 (ko) | 2015-10-13 | 2017-06-23 | 한국기계연구원 | 혈관접합장치 |
EP3380017B1 (en) | 2015-11-25 | 2024-10-23 | CIRCA Scientific, Inc. | Tissue engagement devices |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10667819B2 (en) | 2016-01-18 | 2020-06-02 | Insightra Medical, Inc. | Delivery assembly for resilient tissue clamp |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
BR112018016098B1 (pt) | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10799677B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10799676B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US11219746B2 (en) | 2016-03-21 | 2022-01-11 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10799675B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Cam controlled multi-direction steerable handles |
US10835714B2 (en) | 2016-03-21 | 2020-11-17 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10357246B2 (en) | 2016-04-01 | 2019-07-23 | Ethicon Llc | Rotary powered surgical instrument with manually actuatable bailout system |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US10314582B2 (en) | 2016-04-01 | 2019-06-11 | Ethicon Llc | Surgical instrument comprising a shifting mechanism |
US10456140B2 (en) | 2016-04-01 | 2019-10-29 | Ethicon Llc | Surgical stapling system comprising an unclamping lockout |
US10687801B2 (en) | 2016-04-11 | 2020-06-23 | Nobles Medical Technologies Ii, Inc. | Suture spools for tissue suturing device |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10478181B2 (en) | 2016-04-18 | 2019-11-19 | Ethicon Llc | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
JP7081749B2 (ja) | 2016-05-13 | 2022-06-07 | イエナバルブ テクノロジー インク | 心臓弁プロテーゼ送達システム |
EP3868306A1 (en) | 2016-06-20 | 2021-08-25 | Evalve, Inc. | Transapical removal device |
US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US10736632B2 (en) | 2016-07-06 | 2020-08-11 | Evalve, Inc. | Methods and devices for valve clip excision |
US10973638B2 (en) | 2016-07-07 | 2021-04-13 | Edwards Lifesciences Corporation | Device and method for treating vascular insufficiency |
US11071564B2 (en) | 2016-10-05 | 2021-07-27 | Evalve, Inc. | Cardiac valve cutting device |
US10653862B2 (en) | 2016-11-07 | 2020-05-19 | Edwards Lifesciences Corporation | Apparatus for the introduction and manipulation of multiple telescoping catheters |
US10363138B2 (en) | 2016-11-09 | 2019-07-30 | Evalve, Inc. | Devices for adjusting the curvature of cardiac valve structures |
US10398553B2 (en) | 2016-11-11 | 2019-09-03 | Evalve, Inc. | Opposing disk device for grasping cardiac valve tissue |
US10426616B2 (en) | 2016-11-17 | 2019-10-01 | Evalve, Inc. | Cardiac implant delivery system |
US10779837B2 (en) | 2016-12-08 | 2020-09-22 | Evalve, Inc. | Adjustable arm device for grasping tissues |
US10314586B2 (en) | 2016-12-13 | 2019-06-11 | Evalve, Inc. | Rotatable device and method for fixing tricuspid valve tissue |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
US10667811B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Surgical stapling instruments and staple-forming anvils |
US20180168618A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
MX2019007295A (es) | 2016-12-21 | 2019-10-15 | Ethicon Llc | Sistema de instrumento quirúrgico que comprende un bloqueo del efector de extremo y un bloqueo de la unidad de disparo. |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US11191539B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system |
US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
BR112019011947A2 (pt) | 2016-12-21 | 2019-10-29 | Ethicon Llc | sistemas de grampeamento cirúrgico |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10905554B2 (en) | 2017-01-05 | 2021-02-02 | Edwards Lifesciences Corporation | Heart valve coaptation device |
CN110392557A (zh) | 2017-01-27 | 2019-10-29 | 耶拿阀门科技股份有限公司 | 心脏瓣膜模拟 |
US10426449B2 (en) | 2017-02-16 | 2019-10-01 | Abbott Cardiovascular Systems, Inc. | Articulating suturing device with improved actuation and alignment mechanisms |
US11224511B2 (en) | 2017-04-18 | 2022-01-18 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
HRP20220104T1 (hr) | 2017-04-18 | 2022-04-15 | Edwards Lifesciences Corporation | Uređaji za brtvljenje srčanih zalistaka i uređaji za njihovu isporuku |
US10799312B2 (en) | 2017-04-28 | 2020-10-13 | Edwards Lifesciences Corporation | Medical device stabilizing apparatus and method of use |
US10959846B2 (en) | 2017-05-10 | 2021-03-30 | Edwards Lifesciences Corporation | Mitral valve spacer device |
US11065119B2 (en) | 2017-05-12 | 2021-07-20 | Evalve, Inc. | Long arm valve repair clip |
US10898192B2 (en) * | 2017-06-15 | 2021-01-26 | Roberto Tapia Espriu | Adjustable pressure surgical clamp with releasable or integrated remote manipulator for laparoscopies |
WO2018236766A1 (en) | 2017-06-19 | 2018-12-27 | Heartstitch, Inc. | SUTURE SYSTEMS AND METHODS FOR SUITURING BODY TISSUE |
EP3641660A1 (en) | 2017-06-19 | 2020-04-29 | Heartstitch, Inc. | Suturing devices and methods for suturing an opening in the apex of the heart |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
EP3668415B1 (en) | 2017-08-18 | 2023-10-25 | Nobles Medical Technologies II, Inc. | Apparatus for applying a knot to a suture |
US11051940B2 (en) | 2017-09-07 | 2021-07-06 | Edwards Lifesciences Corporation | Prosthetic spacer device for heart valve |
US11065117B2 (en) | 2017-09-08 | 2021-07-20 | Edwards Lifesciences Corporation | Axisymmetric adjustable device for treating mitral regurgitation |
US11110251B2 (en) | 2017-09-19 | 2021-09-07 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10751056B2 (en) | 2017-10-23 | 2020-08-25 | High Desert Radiology, P.C. | Methods and apparatus for percutaneous bypass graft |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US20190192147A1 (en) | 2017-12-21 | 2019-06-27 | Ethicon Llc | Surgical instrument comprising an articulatable distal head |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US10123873B1 (en) | 2018-01-09 | 2018-11-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10076415B1 (en) | 2018-01-09 | 2018-09-18 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
AU2019207613B2 (en) | 2018-01-09 | 2024-09-05 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10105222B1 (en) | 2018-01-09 | 2018-10-23 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10136993B1 (en) | 2018-01-09 | 2018-11-27 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10159570B1 (en) | 2018-01-09 | 2018-12-25 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10507109B2 (en) | 2018-01-09 | 2019-12-17 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10111751B1 (en) | 2018-01-09 | 2018-10-30 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10973639B2 (en) | 2018-01-09 | 2021-04-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10238493B1 (en) | 2018-01-09 | 2019-03-26 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10231837B1 (en) | 2018-01-09 | 2019-03-19 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10245144B1 (en) | 2018-01-09 | 2019-04-02 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US11389297B2 (en) | 2018-04-12 | 2022-07-19 | Edwards Lifesciences Corporation | Mitral valve spacer device |
US11207181B2 (en) | 2018-04-18 | 2021-12-28 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US10945844B2 (en) | 2018-10-10 | 2021-03-16 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US12102531B2 (en) | 2018-10-22 | 2024-10-01 | Evalve, Inc. | Tissue cutting systems, devices and methods |
CA3127324A1 (en) | 2019-01-23 | 2020-07-30 | Neovasc Medical Ltd. | Covered flow modifying apparatus |
BR122021018588A2 (pt) | 2019-02-14 | 2021-10-13 | Edwards Lifesciences Corporation | "fecho para um dispositivo de tratamento de válvula cardíaca" |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
WO2020225603A1 (en) | 2019-05-07 | 2020-11-12 | Easyflomicro Inc. | Apparatuses for anastomosis of tubular vessels and related methods |
US11534303B2 (en) | 2020-04-09 | 2022-12-27 | Evalve, Inc. | Devices and systems for accessing and repairing a heart valve |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11660189B2 (en) | 2019-07-15 | 2023-05-30 | Evalve, Inc. | Wide clip with nondeformable wings |
JP7543391B2 (ja) | 2019-07-15 | 2024-09-02 | エバルブ,インコーポレイティド | 個別の近位要素の作動方法 |
US11850151B2 (en) | 2019-07-15 | 2023-12-26 | Evalve, Inc. | Proximal element actuator fixation and release mechanisms |
EP4033970A1 (en) | 2019-09-26 | 2022-08-03 | Evalve, Inc. | Systems for intra-procedural cardiac pressure monitoring |
EP4041136A1 (en) | 2019-10-11 | 2022-08-17 | Evalve, Inc. | Repair clip for variable tissue thickness |
WO2021092107A1 (en) | 2019-11-06 | 2021-05-14 | Evalve, Inc. | Stabilizer for a medical delivery system |
US11622859B2 (en) | 2019-11-08 | 2023-04-11 | Evalve, Inc. | Medical device delivery system with locking system |
WO2021097089A1 (en) | 2019-11-14 | 2021-05-20 | Evalve, Inc. | Kit with coaptation aid and fixation system and methods for valve repair |
WO2021097124A1 (en) | 2019-11-14 | 2021-05-20 | Evalve, Inc. | Catheter assembly with coaptation aid and methods for valve repair |
US12109115B2 (en) | 2019-12-18 | 2024-10-08 | Evalve, Inc. | Wide clip with deformable width |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
US12048448B2 (en) | 2020-05-06 | 2024-07-30 | Evalve, Inc. | Leaflet grasping and cutting device |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
US20220031350A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with double pivot articulation joint arrangements |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US12108951B2 (en) | 2021-02-26 | 2024-10-08 | Cilag Gmbh International | Staple cartridge comprising a sensing array and a temperature control system |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US12102323B2 (en) | 2021-03-24 | 2024-10-01 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising a floatable component |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11998201B2 (en) | 2021-05-28 | 2024-06-04 | Cilag CmbH International | Stapling instrument comprising a firing lockout |
US20230009669A1 (en) * | 2021-07-07 | 2023-01-12 | Lsi Solutions, Inc. | Device for cardiac surgery |
CN114027905B (zh) * | 2021-10-15 | 2024-07-19 | 浙江工业大学 | 具有外翻血管挂环功能的针环法血管吻合器及吻合方法 |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
NL2029502B1 (en) | 2021-10-25 | 2023-05-19 | Umc Utrecht Holding Bv | An anastomosis connector, a group of parts and an applicator |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
WO2024144756A1 (en) * | 2022-12-27 | 2024-07-04 | Chen, Chung-Chin | Vascular anastomosis device |
CN116269584B (zh) * | 2023-05-17 | 2023-08-29 | 泓欣科创(北京)科技有限公司 | 辅助挂环装置及血管吻合器 |
Family Cites Families (74)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1251258A (en) * | 1917-08-07 | 1917-12-25 | Harrison M Magill | Emergency wound-closer. |
US1918890A (en) * | 1932-08-08 | 1933-07-18 | Joseph B Bacon | Surgical device |
US2377893A (en) | 1941-12-19 | 1945-06-12 | Howard O Lorenzen | Radio tube socket adaptations |
US2434030A (en) * | 1945-11-13 | 1948-01-06 | Yeomans Theron Grover | Sutureless method of rectosigmoid anastomosis and apparatus therefor |
US2707783A (en) * | 1950-09-20 | 1955-05-10 | Norman M Sullivan | Applicator for inserting preformed metallic sutures |
US2638901A (en) * | 1951-07-30 | 1953-05-19 | Everett D Sugarbaker | Surgical clamp |
US3080564A (en) * | 1959-09-10 | 1963-03-12 | Strekopitov Alexey Alexeevich | Instrument for stitching hollow organs |
US3040748A (en) * | 1959-09-14 | 1962-06-26 | Ca Nat Research Council | Vascular positioning method and device |
FR1315234A (fr) * | 1961-12-09 | 1963-01-18 | Dispositif de transmission d'efforts dans une gaine souple | |
US3254650A (en) * | 1962-03-19 | 1966-06-07 | Michael B Collito | Surgical anastomosis methods and devices |
CA736256A (en) * | 1962-08-27 | 1966-06-14 | S. Kasoolin Viacheslav | Instrument for suturing esophagus to intestine or stomach |
US3254651A (en) * | 1962-09-12 | 1966-06-07 | Babies Hospital | Surgical anastomosis methods and devices |
US3252643A (en) * | 1962-12-24 | 1966-05-24 | Strekopytov Alexey Alexcevich | Instrument for suturing living tissue |
US3269630A (en) * | 1964-04-30 | 1966-08-30 | Fleischer Harry | Stapling instrument |
FR1461464A (fr) * | 1965-08-20 | 1966-02-25 | Niiex Khirurgicheskoi Apparatu | Appareil chirurgical de suture des organes |
US3494533A (en) * | 1966-10-10 | 1970-02-10 | United States Surgical Corp | Surgical stapler for stitching body organs |
US3519187A (en) * | 1966-12-06 | 1970-07-07 | Nickolai Nickolajevich Kapitan | Instrument for suturing vessels |
DE1791114B1 (de) * | 1967-09-19 | 1971-12-02 | Vnii Chirurgitscheskoj Apparat | Chirurgisches Geraet zum Klammernaehen von Geweben |
US3452615A (en) * | 1967-10-12 | 1969-07-01 | Controlex Corp America | Tubular flexible remote control device |
CH470170A (de) * | 1968-02-02 | 1969-03-31 | Vnii Khirurgicheskoi Apparatur | Gerät zum Anbringen von Rundanastomosen |
US3593903A (en) * | 1968-07-12 | 1971-07-20 | Vnii Khirurgicheskoi Apparatur | Surgical instrument for suturing hollow organs in infants |
US3638652A (en) * | 1970-06-01 | 1972-02-01 | James L Kelley | Surgical instrument for intraluminal anastomosis |
BE758685A (fr) * | 1970-10-14 | 1971-05-10 | Vnii Khirurgicheskoi Apparatur | Appareil chirurgical pour la suture de tissus par des agrafes |
US3774615A (en) * | 1971-02-08 | 1973-11-27 | Ceskoslovenska Akademie Ved | Device for connecting or joining the ends of interrupted tubular organs in surgical operations without stitching |
US3805793A (en) * | 1973-03-21 | 1974-04-23 | S Wright | Anastomotic apparatus |
US4166466A (en) * | 1976-10-08 | 1979-09-04 | Jarvik Robert K | Repeating hemostatic clip applying instruments and multi-clip cartridges therefor |
US4304236A (en) * | 1977-05-26 | 1981-12-08 | United States Surgical Corporation | Stapling instrument having an anvil-carrying part of particular geometric shape |
US4603693A (en) * | 1977-05-26 | 1986-08-05 | United States Surgical Corporation | Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor |
US4573468A (en) * | 1977-05-26 | 1986-03-04 | United States Surgical Corporation | Hollow body organ stapling instrument and disposable cartridge employing relief vents |
CA1082552A (en) * | 1977-08-05 | 1980-07-29 | Charles H. Klieman | Hemostatic clip applicator |
NL7711347A (en) * | 1977-10-17 | 1979-04-19 | Carl Robert Erik Daantje | Stapling instrument for joining intestine ends - has head coupling rod in two parts screwing together with hand grip |
US4216776A (en) * | 1978-05-19 | 1980-08-12 | Thoratec Laboratories Corporation | Disposable aortic perforator |
SU1088712A1 (ru) * | 1979-11-14 | 1984-04-30 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Аппарат дл циркул рного сшивани кровеносных сосудов |
US4352358A (en) * | 1979-12-28 | 1982-10-05 | Angelchik Jean P | Apparatus for effecting anastomotic procedures |
US4319576A (en) * | 1980-02-26 | 1982-03-16 | Senco Products, Inc. | Intralumenal anastomosis surgical stapling instrument |
US4368736A (en) * | 1980-11-17 | 1983-01-18 | Kaster Robert L | Anastomotic fitting |
US4366819A (en) * | 1980-11-17 | 1983-01-04 | Kaster Robert L | Anastomotic fitting |
SU995765A1 (ru) * | 1981-07-01 | 1983-02-15 | Московский Городской Ордена Ленина И Ордена Трудового Красного Знамени Научно-Исследовательский Институт Скорой Помощи Им.Н.В.Склифосовского | Аппарат дл наложени анастомозов на полые органы |
US4576167A (en) * | 1981-09-03 | 1986-03-18 | United States Surgical Corporation | Surgical stapler apparatus with curved shaft |
GB2108418A (en) * | 1981-10-23 | 1983-05-18 | Vnii Ispytatel Med Tech | Device for applying anastomoses onto hollow organs |
SU1097301A1 (ru) * | 1982-01-04 | 1984-06-15 | Петрозаводский государственный университет им.О.В.Куусинена | Хирургический сшивающий аппарат дл наложени анастомозов на полые органы |
US4624255A (en) * | 1982-02-18 | 1986-11-25 | Schenck Robert R | Apparatus for anastomosing living vessels |
US4474181A (en) * | 1982-02-18 | 1984-10-02 | Schenck Robert R | Method and apparatus for anastomosing small blood vessels |
SE431609B (sv) * | 1982-06-24 | 1984-02-20 | Unilink Ab | Kirurgiskt instrument for astadkommande av anastomos och festelement herfor |
US4917091A (en) * | 1982-06-24 | 1990-04-17 | Unilink Ab | Annular fastening means |
US4523592A (en) * | 1983-04-25 | 1985-06-18 | Rollin K. Daniel P.S.C. | Anastomotic coupling means capable of end-to-end and end-to-side anastomosis |
US4607637A (en) * | 1983-07-22 | 1986-08-26 | Anders Berggren | Surgical instrument for performing anastomosis with the aid of ring-like fastening elements and the fastening elements for performing anastomosis |
US4592354A (en) * | 1983-10-11 | 1986-06-03 | Senmed, Inc. | Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods |
US4505414A (en) * | 1983-10-12 | 1985-03-19 | Filipi Charles J | Expandable anvil surgical stapler |
US4665906A (en) * | 1983-10-14 | 1987-05-19 | Raychem Corporation | Medical devices incorporating sim alloy elements |
US4586503A (en) * | 1983-12-01 | 1986-05-06 | University Of New Mexico | Surgical microclip |
US4917087A (en) * | 1984-04-10 | 1990-04-17 | Walsh Manufacturing (Mississuaga) Limited | Anastomosis devices, kits and method |
US4657019A (en) * | 1984-04-10 | 1987-04-14 | Idea Research Investment Fund, Inc. | Anastomosis devices and kits |
US4703887A (en) * | 1985-01-28 | 1987-11-03 | Ethicon, Inc. | Collapsible purse string aid for use with intraluminal stapling device |
US4593693A (en) * | 1985-04-26 | 1986-06-10 | Schenck Robert R | Methods and apparatus for anastomosing living vessels |
CN85106639B (zh) * | 1985-09-03 | 1988-08-03 | 第三军医大学野战外科研究所 | 血管吻合器及其专用手术器械 |
US5119983A (en) * | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
SU1616624A1 (ru) * | 1987-07-14 | 1990-12-30 | Предприятие П/Я А-3697 | Хирургический сшивающий аппарат |
US4907591A (en) * | 1988-03-29 | 1990-03-13 | Pfizer Hospital Products Group, Inc. | Surgical instrument for establishing compression anastomosis |
US5336233A (en) * | 1989-01-26 | 1994-08-09 | Chen Fusen H | Anastomotic device |
US5324447A (en) * | 1989-10-02 | 1994-06-28 | Allergan, Inc. | Method and activator compositions to disinfect lenses |
US5234447A (en) | 1990-08-28 | 1993-08-10 | Robert L. Kaster | Side-to-end vascular anastomotic staple apparatus |
US5403333A (en) * | 1990-08-28 | 1995-04-04 | Robert L. Kaster | Side-to-end vascular anastomotic staple apparatus |
GB9111972D0 (en) * | 1991-06-04 | 1991-07-24 | Clinical Product Dev Ltd | Medical/surgical devices |
JPH07500023A (ja) * | 1991-07-04 | 1995-01-05 | オーエン、アール・ロナルド | 管状外科用インプラント |
US5333773A (en) * | 1991-08-23 | 1994-08-02 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
GR920100358A (el) * | 1991-08-23 | 1993-06-07 | Ethicon Inc | Οργανο συρραφής χειρουργικής αναστομώσεως. |
US5197649A (en) * | 1991-10-29 | 1993-03-30 | The Trustees Of Columbia University In The City Of New York | Gastrointestinal endoscoptic stapler |
US5271543A (en) * | 1992-02-07 | 1993-12-21 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
US5348259A (en) * | 1992-02-10 | 1994-09-20 | Massachusetts Institute Of Technology | Flexible, articulable column |
US5242457A (en) * | 1992-05-08 | 1993-09-07 | Ethicon, Inc. | Surgical instrument and staples for applying purse string sutures |
US5522834A (en) * | 1992-10-15 | 1996-06-04 | Applied Medical Resources Corporation | Internal mammary artery catheter and method |
US5478354A (en) * | 1993-07-14 | 1995-12-26 | United States Surgical Corporation | Wound closing apparatus and method |
US5554162A (en) * | 1994-12-02 | 1996-09-10 | Delange; Gregory S. | Method and device for surgically joining luminal structures |
-
1995
- 1995-02-24 US US08/394,333 patent/US5695504A/en not_active Expired - Lifetime
-
1996
- 1996-02-13 AU AU49781/96A patent/AU708815B2/en not_active Expired
- 1996-02-13 AT AT02018253T patent/ATE413138T1/de not_active IP Right Cessation
- 1996-02-13 ES ES96906389T patent/ES2324563T3/es not_active Expired - Lifetime
- 1996-02-13 JP JP8525725A patent/JPH11500642A/ja not_active Ceased
- 1996-02-13 CA CA002213580A patent/CA2213580A1/en not_active Abandoned
- 1996-02-13 WO PCT/US1996/001890 patent/WO1996025886A1/en active Application Filing
- 1996-02-13 DE DE69637915T patent/DE69637915D1/de not_active Expired - Lifetime
- 1996-02-13 AT AT96906389T patent/ATE429859T1/de not_active IP Right Cessation
- 1996-02-13 DE DE69637740T patent/DE69637740D1/de not_active Expired - Lifetime
- 1996-02-13 EP EP96906389A patent/EP0957775B1/en not_active Expired - Lifetime
-
1997
- 1997-01-23 US US08/789,327 patent/US5817113A/en not_active Expired - Lifetime
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Also Published As
Publication number | Publication date |
---|---|
ES2324563T3 (es) | 2009-08-10 |
DE69637740D1 (de) | 2008-12-18 |
US5817113A (en) | 1998-10-06 |
US5695504A (en) | 1997-12-09 |
WO1996025886A1 (en) | 1996-08-29 |
DE69637915D1 (ja) | 2009-06-10 |
EP0957775B1 (en) | 2009-04-29 |
ATE413138T1 (de) | 2008-11-15 |
EP0957775A1 (en) | 1999-11-24 |
AU4978196A (en) | 1996-09-11 |
AU708815B2 (en) | 1999-08-12 |
EP0957775A4 (en) | 2003-05-28 |
ATE429859T1 (de) | 2009-05-15 |
CA2213580A1 (en) | 1996-08-29 |
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