US20050192611A1 - Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue - Google Patents

Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue Download PDF

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Publication number
US20050192611A1
US20050192611A1 US11/065,380 US6538005A US2005192611A1 US 20050192611 A1 US20050192611 A1 US 20050192611A1 US 6538005 A US6538005 A US 6538005A US 2005192611 A1 US2005192611 A1 US 2005192611A1
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United States
Prior art keywords
ultrasonic
surgical
transverse
shears
tissue pad
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.)
Abandoned
Application number
US11/065,380
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English (en)
Inventor
Kevin Houser
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cilag GmbH International
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Priority to US11/065,380 priority Critical patent/US20050192611A1/en
Assigned to ETHICON ENDO-SURGERY, INC. reassignment ETHICON ENDO-SURGERY, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: HOUSER, KEVIN L.
Priority to MXPA06009781A priority patent/MXPA06009781A/es
Priority to EP05724017.8A priority patent/EP1732451B1/de
Priority to BRPI0508099-1A priority patent/BRPI0508099A/pt
Priority to PCT/US2005/006382 priority patent/WO2005084262A2/en
Priority to AU2005218497A priority patent/AU2005218497B2/en
Priority to CN2005800118089A priority patent/CN101378702B/zh
Priority to CA2557656A priority patent/CA2557656C/en
Priority to JP2007500793A priority patent/JP4932697B2/ja
Publication of US20050192611A1 publication Critical patent/US20050192611A1/en
Priority to US12/357,569 priority patent/US8388638B2/en
Assigned to CILAG GMBH INTERNATIONAL reassignment CILAG GMBH INTERNATIONAL ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ETHICON LLC
Abandoned legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/282—Jaws
    • A61B2017/2825—Inserts of different material in jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means

Definitions

  • the present invention is related generally to ultrasonic surgical instruments and methods, and more particularly to an ultrasonic surgical instrument including an ultrasonic surgical clamp, to an ultrasonic surgical shears, to an ultrasonic-surgical-shears tissue pad, to a method for sealing a blood vessel and to a method for transecting patient tissue and sealing a blood vessel therein.
  • Ultrasonic surgical shears which include an ultrasonic surgical blade, a clamping arm operable to open and close toward the blade, and a polytetrafluoroethylene tissue pad which is attached to the clamping arm and which includes a clamping surface.
  • the clamping arm exerts a clamping force on a blood vessel which is positioned between the clamping surface of the tissue pad and the blade.
  • Exemplary devices are described in U.S. Pat. Nos. 5,322,055 and 6,325,811, the contents of which are incorporated herein by reference.
  • the result of the ultrasonically-vibrating ultrasonic surgical blade and the clamping force on the blood vessel is a coaptation of the blood vessel (a bringing together of the walls of the blood vessel), a transection (a cutting) of the coaptated blood vessel, and a coagulation (a sealing) of the coaptated cut ends of the blood vessel.
  • a first embodiment of an ultrasonic surgical shears of the invention includes a bifurcated ultrasonic surgical blade, a clamping arm, and a substantially “T”-shaped tissue pad.
  • the blade has a first distal tip portion and a second distal tip portion transversely spaced apart from the first distal tip portion creating a space therebetween.
  • the clamping arm is operable to open and close toward the blade to define a clamped position and an unclamped position.
  • the tissue pad is attached to the clamping arm and has first and second arms and a foot each having a clamping surface.
  • the clamping surface of the first arm faces substantially toward the first distal tip portion
  • the clamping surface of the second arm faces substantially toward the second distal tip portion
  • the clamping surface of the foot faces substantially toward the space between the first and second distal tip portions.
  • a first method of the invention is for sealing a blood vessel of a patient and includes steps a) through e).
  • Step a) includes obtaining an ultrasonic surgical clamp including an ultrasonic member, a clamping arm operable to open and close toward the ultrasonic member, and a tissue pad attached to the clamping arm and having a clamping surface.
  • Step b) includes positioning the blood vessel between the ultrasonic member and the clamping surface.
  • Step c) includes operating the clamping arm to clamp the blood vessel between the ultrasonic member and the clamping surface and ultrasonically vibrating the ultrasonic member to seal but not transect the blood vessel.
  • Step d) includes obtaining a surgical cutter distinct from the ultrasonic member.
  • Step e) includes transecting the sealed blood vessel using the surgical cutter.
  • a second method of the invention is for transecting patient tissue and sealing a blood vessel therein and includes steps a) through e).
  • Step a) includes obtaining an ultrasonic surgical clamp including an ultrasonic member, a clamping arm operable to open and close toward the ultrasonic member, and a tissue pad attached to the clamping arm and having a clamping surface.
  • Step b) includes positioning the patient tissue between the ultrasonic member and the clamping surface.
  • Step c) includes operating the clamping arm to clamp the patient tissue between the ultrasonic member and the clamping surface and ultrasonically vibrating the ultrasonic member to seal the blood vessel but not transect the patient tissue including the blood vessel.
  • Step d) includes obtaining a surgical cutter distinct from the ultrasonic member.
  • Step e) includes transecting the patient tissue including the sealed blood vessel using the surgical cutter.
  • An embodiment of an ultrasonic surgical instrument of the invention includes an ultrasonic surgical clamp and a surgical cutter.
  • the clamp includes an ultrasonic member, a clamping arm operable to open and close toward the ultrasonic member, and a tissue pad attached to the clamping arm and having a clamping surface, wherein the ultrasonic surgical clamp is adapted to ultrasonically seal a blood vessel clamped between the clamping surface of the tissue pad and the ultrasonic member by ultrasonically vibrating the ultrasonic member.
  • the surgical cutter is distinct from the ultrasonic member, connected to the ultrasonic surgical clamp, and adapted to transect a blood vessel which has been sealed by the ultrasonic surgical clamp.
  • a second embodiment of an ultrasonic surgical shears of the invention includes an ultrasonic surgical blade, a clamping arm, and a tissue pad.
  • the clamping arm is operable to open and close toward the blade to define a clamped position and an unclamped position.
  • the tissue pad is attached to the clamping arm and has first and second transverse outer portions and a transverse central portion positioned between the first and second transverse outer portions. The transverse central portion is movable, with respect to the first and second transverse outer portions, toward the blade.
  • An embodiment of an ultrasonic-surgical-shears tissue pad of the invention includes an ultrasonic-surgical-shears tissue pad body.
  • the tissue pad body has a top surface attachable to a clamping arm of an ultrasonic surgical shears, a bottom surface including a clamping surface, and a clamping direction.
  • the tissue pad has first and second transverse outer portions each extending from the top to the bottom surface, and has a transverse central portion positioned between the first and second transverse outer portions and extending from the top to the bottom surface.
  • the first and second transverse outer portions are more resiliently flexible along the clamping direction than is the transverse central portion.
  • the present invention has, without limitation, application in straight or curved ultrasonic surgical blades as disclosed in the patents incorporated by reference and further in hand-activated instruments as well as in robotic-assisted instruments.
  • FIG. 1 is a schematic side elevational view of a portion of a first embodiment of an ultrasonic surgical shears of the invention
  • FIG. 2 is a transverse cross-sectional view of the ultrasonic surgical shears of FIG. 1 , taken along lines 2 - 2 of FIG. 1 ;
  • FIG. 3 is a block diagram of a first method of the invention for sealing a blood vessel of a patient
  • FIG. 4 is a schematic side-elevational view of a portion of an embodiment of an ultrasonic surgical instrument of the invention which includes an ultrasonic surgical clamp and a surgical cutter, and which, in one application, is used to perform one implementation of the first method of FIG. 3 ;
  • FIG. 5 is a transverse cross-sectional view of a portion of a second embodiment of an ultrasonic surgical shears of the invention.
  • FIG. 6 is a transverse cross-sectional view of an embodiment of an ultrasonic-surgical-shears tissue pad of the invention attached to a clamping arm of an ultrasonic surgical shears with the ultrasonic surgical blade omitted for clarity;
  • FIG. 7 is a transverse cross-sectional view of an alternate embodiment of an ultrasonic-surgical-shears tissue pad of the invention.
  • FIGS. 1-2 illustrate a first embodiment of an ultrasonic surgical shears 10 of the invention.
  • the ultrasonic surgical shears 10 includes a bifurcated ultrasonic surgical blade 12 , a clamping arm 14 , and a substantially “T”-shaped tissue pad 16 .
  • the blade 12 has a first distal tip portion 18 and a second distal tip portion 20 transversely spaced apart from the first distal tip portion 18 creating a space 22 therebetween.
  • the clamping arm 14 is operable to open and close toward the blade 12 to define a clamped position and an unclamped position.
  • the tissue pad 16 is attached to the clamping arm 14 and has first and second arms 24 and 26 and a foot 28 each having a clamping surface 30 .
  • the clamping surface 30 of the first arm 24 faces substantially toward the first distal tip portion 18
  • the clamping surface 30 of the second arm 26 faces substantially toward the second distal tip portion 20
  • the clamping surface 30 of the foot 28 faces substantially toward the space 22 between the first and second distal tip portions 18 and 20 .
  • the first and second distal tip portions 18 and 20 of the blade 12 each have a substantially rectangular transverse cross section.
  • the clamping surface 30 of the foot 28 of the tissue pad 16 has a transverse length which is substantially equal to the transverse distance between the first and second distal tip portions 18 and 20 of the blade 12 creating, in a fully clamped position as viewed in a transverse cross section, a first pinch point 32 between the first arm 24 of the tissue pad 16 and the first distal tip portion 18 of the blade 12 and a second pinch point 34 between the second arm 26 of the tissue pad 16 and the second distal tip portion 20 of the blade 12 .
  • the foot 28 of the tissue pad 16 has a substantially rectangular shape.
  • the clamping surface 30 of the foot 28 has a transverse length which is less than the transverse distance between the first and second distal tip portions 18 and 20 .
  • the clamping surface 30 of the foot 28 has a transverse length which is equal to or greater than the transverse distance between the first and second distal tip portions 18 and 20 .
  • the foot of the tissue pad has a substantially trapezoidal shape which narrows toward the clamping surface of the foot. In one enablement of the ultrasonic surgical shears 10 , not shown, the tissue pad sits across from the blade over the entire length of the blade.
  • a first method of the invention is for sealing a blood vessel of a patient and is shown in FIG. 3 , and an embodiment of an ultrasonic surgical instrument which in one application is used to perform one implementation of the first method is shown in FIG. 4 .
  • the first method includes steps a) through e).
  • Step a) is labeled as “Obtain Ultrasonic Surgical Clamp” in block 36 of FIG. 3 .
  • Step a) includes obtaining an ultrasonic surgical clamp 38 including an ultrasonic member 40 , a clamping arm 42 operable to open and close toward the ultrasonic member 40 , and a tissue pad 44 attached to the clamping arm 42 and having a clamping surface 46 .
  • Step b) is labeled as “Position Blood Vessel” in block 48 of FIG. 3 .
  • Step b) includes disposing the blood vessel (not shown) between the ultrasonic member 40 and the clamping surface 46 .
  • Step c) is labeled as “Operate Arm and Vibrate Ultrasonic Member” in block 50 of FIG. 3 .
  • Step c) includes operating the clamping arm 42 to clamp the blood vessel between the ultrasonic member 40 and the clamping surface 46 and ultrasonically vibrating the ultrasonic member 40 to seal but not transect the blood vessel.
  • Step d) is labeled as “Obtain Surgical Cutter” in block 52 of FIG. 3 .
  • Step d) includes obtaining a surgical cutter 54 distinct from the ultrasonic member 40 .
  • Step e) is labeled as “Transect Blood Vessel” in block 56 of FIG. 3 .
  • Step e) includes transecting the sealed blood vessel using the surgical cutter 54 .
  • the surgical cutter 54 is a non-energy-based surgical cutter such as, without limitation, a surgically-sharp blade.
  • the surgical cutter is an energy-based surgical cutter such as, without limitation, an ultrasonic surgical blade or an RF (radio-frequency) blade.
  • the surgical cutter is a separate surgical instrument from the ultrasonic surgical clamp.
  • the surgical cutter and the ultrasonic surgical clamp are portions of a single surgical instrument.
  • the tissue pad 44 and the ultrasonic member 40 each have a substantially rectangular transverse cross sectional shape.
  • a second method of the invention is for transecting patient tissue and sealing a blood vessel therein.
  • the second method includes steps a) through e).
  • Step a) is labeled includes obtaining an ultrasonic surgical clamp 38 including an ultrasonic member 40 , a clamping arm 42 operable to open and close toward the ultrasonic member 40 , and a tissue pad 44 attached to the clamping arm 42 and having a clamping surface 46 .
  • Step b) includes disposing the patient tissue between the ultrasonic member 40 and the clamping surface 46 .
  • Step c) includes operating the clamping arm 42 to clamp the patient tissue between the ultrasonic member 40 and the clamping surface 46 and ultrasonically vibrating the ultrasonic member 40 to seal the blood vessel but not transect the patient tissue including the blood vessel.
  • Step d) includes obtaining a surgical cutter 54 distinct from the ultrasonic member 40 .
  • Step e) includes transecting the patient tissue including the sealed blood vessel using the surgical cutter 54 .
  • An embodiment of an ultrasonic surgical instrument 58 of the invention includes an ultrasonic surgical clamp 38 and a surgical cutter 54 .
  • the clamp 38 includes an ultrasonic member 40 , a clamping arm 42 operable to open and close toward the ultrasonic member 40 , and a tissue pad 44 attached to the clamping arm 42 and having a clamping surface 46 , wherein the ultrasonic surgical clamp 38 is adapted to ultrasonically seal a blood vessel clamped between the clamping surface 46 of the tissue pad 44 and the ultrasonic member 40 by ultrasonically vibrating the ultrasonic member 40 .
  • the surgical cutter 54 is distinct from the ultrasonic member 40 , connected to the ultrasonic surgical clamp 38 , and adapted to transect a blood vessel which has been sealed by the ultrasonic surgical clamp 38 .
  • the surgical cutter 54 is a non-energy-based surgical cutter such as, without limitation, a surgically-sharp blade.
  • the surgical cutter is an energy-based surgical cutter such as, without limitation, an ultrasonic surgical blade or an RF (radio-frequency) blade.
  • the tissue pad 44 and the ultrasonic member 40 each have a substantially rectangular transverse cross sectional shape.
  • the ultrasonic surgical instrument 58 not shown, the surgical cutter is not attached to the clamping arm.
  • a second embodiment of an ultrasonic surgical shears 60 of the invention includes an ultrasonic surgical blade 62 , a clamping arm 64 , and a tissue pad 66 .
  • the clamping arm 64 is operable to open and close toward the blade 62 to define a clamped position and an unclamped position.
  • the tissue pad 66 is attached to the clamping arm 64 and has first and second transverse outer portions 68 and 70 and a transverse central portion 72 positioned between the first and second transverse outer portions 68 and 70 .
  • the transverse central portion 72 is movable, with respect to the first and second transverse outer portions 68 and 70 , toward the blade 62 .
  • corresponding portions of the clamping arm 64 move corresponding portions of the tissue pad 66 , as is within the level of construction skill of the artisan.
  • the ultrasonic surgical blade 62 is a bifurcated ultrasonic surgical blade having a first distal tip portion 74 and a second distal tip portion 76 transversely spaced apart from the first distal tip portion 74 creating a space 78 therebetween, wherein the transverse central portion 72 is movable into the space 78 between the first and second distal tip portions 74 and 76 .
  • the ultrasonic surgical blade is not bifurcated.
  • each of the first and second transverse outer portions 68 and 70 is movable, with respect to the transverse central portion 72 , away from the blade 62 .
  • the blade 62 has a substantially rectangular transverse cross sectional shape.
  • the transverse central portion 72 and the first and second transverse outer portions 68 and 70 each have a substantially rectangular transverse cross sectional shape.
  • An embodiment of an ultrasonic-surgical-shears tissue pad 80 of the invention includes an ultrasonic-surgical-shears tissue pad body 82 .
  • the tissue pad body 82 has a top surface 84 attachable to a clamping arm 86 of an ultrasonic surgical shears 88 , a bottom surface 90 including a clamping surface 92 , and a clamping direction 94 .
  • the tissue pad 80 has first and second transverse outer portions 96 and 98 each extending from the top to the bottom surface 84 and 90 , and has a transverse central portion 100 positioned between the first and second transverse outer portions 96 and 98 and extending from the top to the bottom surface 84 and 90 .
  • the first and second transverse outer portions 96 and 98 are more resiliently flexible along the clamping direction 94 than is the transverse central portion 100 .
  • the tissue pad body 82 has a substantially rectangular transverse cross section and has a “T”-shaped segment 102 having first and second arms 104 and 106 and a central stem 108 , wherein the transverse central portion 100 includes the entire central stem 108 and none of the first and second arms 104 and 106 , and wherein the central stem 108 projects away from the first and second arms 104 and 106 along the clamping direction 94 .
  • first and second rectangular segments 110 and 112 are attached to the “T”-shaped segment 102 as shown in FIG. 6 .
  • the tissue pad body 116 has an inverse “T”-shaped segment 118 having first and second arms 120 and 122 and a central stem 124 , wherein the transverse central portion 126 includes the entire central stem 124 and none of the first and second arms 120 and 122 , and wherein the central stem 124 projects away from the first and second arms 120 and 122 along a direction opposite to the clamping direction 126 .
  • the top surface 126 of the central stem 124 is attachable to a clamping arm 128 of an ultrasonic surgical shears 130 .
  • the tissue pad body 116 has a substantially inverse “T”-shaped transverse cross section.
  • the tissue pad body has a substantially rectangular transverse cross section.
  • first and second rectangular segments would be attached to the “T”-shaped segment to achieve the substantially rectangular cross section of the tissue pad body.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
US11/065,380 2004-02-27 2005-02-24 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue Abandoned US20050192611A1 (en)

Priority Applications (10)

Application Number Priority Date Filing Date Title
US11/065,380 US20050192611A1 (en) 2004-02-27 2005-02-24 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue
JP2007500793A JP4932697B2 (ja) 2004-02-27 2005-02-25 超音波外科器具、鋏、および組織パッド、血管をシールする方法、ならびに、患者の組織を横切する方法
PCT/US2005/006382 WO2005084262A2 (en) 2004-02-27 2005-02-25 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel, and method for transecting patient tissue
EP05724017.8A EP1732451B1 (de) 2004-02-27 2005-02-25 Chirurgische ultraschallschere mit stoffkissen
BRPI0508099-1A BRPI0508099A (pt) 2004-02-27 2005-02-25 instrumento, tesoura e apoio de tecido cirúrgicos ultra-sÈnicos, método para vedar um vaso sangüìneo, e método para transecionar o tecido de um paciente
MXPA06009781A MXPA06009781A (es) 2004-02-27 2005-02-25 Instrumento quirurgico ultrasonico, tijeras y almohadilla de tejido, metodo para sellar un vaso sanguineo y metodo para cortar transversalmente tejido del paciente.
AU2005218497A AU2005218497B2 (en) 2004-02-27 2005-02-25 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel, and method for transecting patient tissue
CN2005800118089A CN101378702B (zh) 2004-02-27 2005-02-25 超声外科器、剪刀和组织垫
CA2557656A CA2557656C (en) 2004-02-27 2005-02-25 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue
US12/357,569 US8388638B2 (en) 2004-02-27 2009-01-22 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US54830904P 2004-02-27 2004-02-27
US11/065,380 US20050192611A1 (en) 2004-02-27 2005-02-24 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/357,569 Continuation US8388638B2 (en) 2004-02-27 2009-01-22 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue

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US20050192611A1 true US20050192611A1 (en) 2005-09-01

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US11/065,380 Abandoned US20050192611A1 (en) 2004-02-27 2005-02-24 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue
US12/357,569 Active 2025-12-09 US8388638B2 (en) 2004-02-27 2009-01-22 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue

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US12/357,569 Active 2025-12-09 US8388638B2 (en) 2004-02-27 2009-01-22 Ultrasonic surgical instrument, shears and tissue pad, method for sealing a blood vessel and method for transecting patient tissue

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US (2) US20050192611A1 (de)
EP (1) EP1732451B1 (de)
JP (1) JP4932697B2 (de)
CN (1) CN101378702B (de)
AU (1) AU2005218497B2 (de)
BR (1) BRPI0508099A (de)
CA (1) CA2557656C (de)
MX (1) MXPA06009781A (de)
WO (1) WO2005084262A2 (de)

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US7928338B2 (en) 2007-02-02 2011-04-19 Plasma Surgical Investments Ltd. Plasma spraying device and method
US8030849B2 (en) 2007-08-06 2011-10-04 Plasma Surgical Investments Limited Pulsed plasma device and method for generating pulsed plasma
US8105325B2 (en) 2005-07-08 2012-01-31 Plasma Surgical Investments Limited Plasma-generating device, plasma surgical device, use of a plasma-generating device and method of generating a plasma
US8109928B2 (en) 2005-07-08 2012-02-07 Plasma Surgical Investments Limited Plasma-generating device, plasma surgical device and use of plasma surgical device
US8613742B2 (en) 2010-01-29 2013-12-24 Plasma Surgical Investments Limited Methods of sealing vessels using plasma
US8735766B2 (en) 2007-08-06 2014-05-27 Plasma Surgical Investments Limited Cathode assembly and method for pulsed plasma generation
WO2015081040A1 (en) * 2013-11-26 2015-06-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with staged clamping
US20150157355A1 (en) * 2012-10-22 2015-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument
US9089319B2 (en) 2010-07-22 2015-07-28 Plasma Surgical Investments Limited Volumetrically oscillating plasma flows
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USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
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US8388638B2 (en) 2013-03-05
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CN101378702B (zh) 2011-11-09
JP4932697B2 (ja) 2012-05-16
CA2557656C (en) 2014-08-12
US20100023043A1 (en) 2010-01-28
WO2005084262A3 (en) 2008-10-23
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JP2007536945A (ja) 2007-12-20
CA2557656A1 (en) 2005-09-15
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CN101378702A (zh) 2009-03-04
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