US2808833A - Gas blanketed clotting instrument - Google Patents

Gas blanketed clotting instrument Download PDF

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Publication number
US2808833A
US2808833A US324515A US32451552A US2808833A US 2808833 A US2808833 A US 2808833A US 324515 A US324515 A US 324515A US 32451552 A US32451552 A US 32451552A US 2808833 A US2808833 A US 2808833A
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Prior art keywords
tube
clotting
gas
instrument
source
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Expired - Lifetime
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US324515A
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August William
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Birtcher Corp
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Birtcher Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1402Probes for open surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • A61M1/741Suction control with means for varying suction manually
    • A61M1/7411Suction control with means for varying suction manually by changing the size of a vent
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84Drainage tubes; Aspiration tips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M13/00Insufflators for therapeutic or disinfectant purposes, i.e. devices for blowing a gas, powder or vapour into the body
    • A61M13/003Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing

Definitions

  • This invention relates to a clotting instrument.
  • Figure 1 is an elevation of a clotting instrument embodying this invention.
  • Figure 2 is a section taken along line 22 of Figure 1.
  • Figure 3 is a fragmentary view of the current carrying tube with the gas tube in section.
  • Figure 4 is a section taken along line 44 of Figure l with an insulating coating added.
  • Figure 5 is a section taken along line 5-5 of Figure 2 with an insulating coat added.
  • the clotting instrument'is in this embodiment in the form of a tube having an enlarged head of clotting tool 12 at one extremity.
  • the other extremity has a flange 14 and a nipple 16.
  • the nipple is corrugated as at 18 adapting same to telescopically receive the flexible tubing 20 which is secured thereon by bands 22, which tubing is of a suitable electrically non-conductive material.
  • the hollow tubing 20 is at its other extremity connected to a reduced pressure source such as a suitable vacuum pump so that air is drawn through the tube 10.
  • a reduced pressure source such as a suitable vacuum pump so that air is drawn through the tube 10.
  • An aperture 24 is provided in the tube 10 with a suitable curved finger plate 26 having a corresponding aperture therein attached to the tube 10.
  • a gas tube 26 Surrounding the tube 10 adjacent the head bearing extremity is a gas tube 26 which has a threaded head 28 thereon.
  • a knurled nut 30 screws onto the head and packing 32 is a 2 2,808,833 Patented Oct. 8, 1957 recting tube 38 directs flow from the tube 34 into gas tube 26.
  • Spiral teeth 40 are formed 'on the clotting tool tube 10 to insure that it remains centrally located in gas tube 26 and that flow of gas through the gas tubejis unobstructed.
  • the spiral fiutingbetween teeth form gas channels and impart a rotary motion to the flowing gas insuring no voids in the gas blanket.
  • One lead from a high frequency current source is attached to the patient;
  • the other lead is wire 42 which is inside of tube 34 so it is insulated from the atmosphere;
  • This wire passes through gas flow .directing'tube 38 and is secured to the clotting tool"tube"10 by means of sleeve 44.
  • high frequency current is supplied to head 12 through wire 42 through suitable control means.
  • Inert gas is directed into gas tube 26 from tube 34 and is discharged. at the extremity thereof in the form of an envelope encasinghead 12 and eliminating it as a source of an explosion causing spark.
  • the head 12 is first incess blood has been drained in this manner, the high frequency current source is energized causing the re maining blood to clot.
  • An electrical clotting instrument of the type adapted to be connected to a source of high frequency current, a source of inert gas and a vacuum source comprising: a hollow clotting instrument body carrying a clotting member at one extremity, a concentric gas directing member surrounding said hollow body and terminating short of said clotting member, means attached to said hollow body directing flow of inert gas from said source between said hollow body and said gas directing member, whereby said clotting member is enveloped in .inert gas, means on the clotting instrument body adapted to attach said clotting instrument body tosaid current source, which means is surrounded by saidgas flow directing means, and means on the clotting instrument body adapted to attach said hollow clotting instrument body to said vacuum source.
  • An electrical clotting instrument of the type adapted to be connected to a source of high frequency current, a source of inert gas and a vacuum source comprising: a suction tube having a clotting tool on the end thereof, a gas tube concentric therewith and terminating before, said clotting tool, means'on said gas tube adapted to attach said gas tube to said source of inert gas, whereby gas flows through said tube and is discharged therefrom enveloping said clotting tool, meanson said suction tube adapted toattach said suction tube to said vacuum source, and means on said suction tube adapted to attach said suction tube to said source of current.
  • a 'sgulgce of inertgas-and a vacuum source; comprising: a t n y n a slettine tee; t e a e qf gas t'ubecbncentric thereii ifli Having an open end adjacent said clotting tool and a closed end before termination fi s t en b-e.
  • Mi k nemas n o said gas-tube 5 @12 etc in nt d 1 91111 1 ei closed enabefars er gas tube and adapted to be connected to said source of 15? 5.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (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)

Description

Oct. 8, 1957 w. AUGUST GAS BLANKETED CLOTTING INSTRUMENT Filed Dec. 6, 1952 INVENTOR. MLL/A/ /"fluaus 7 BY E, I
United States Patent 2,808,833 GAS BLANKETED CLOTTING INSTRUMENT William August, Arcadia, Calif., assignor to The Birtcher Corporation, Los Angeles, Calif., a corporation of California Application December 6, 1952, Serial No. 324,515 4 Claims. o]. 128303.17)
This invention relates to a clotting instrument.
It has been determined that blood can be coagulated by a high frequency current of given characteristics. Frequently such action takes place in an operating room wherein the air is charged with anesthetic. Since many anesthetics are explosive, there is considerable danger of an explosion from sparks caused by the current carrying instrument.
It is, therefore, an object of this invention to provide a high frequency current carrying member which is electrically insulated from the atmosphere.
It is a further object of this invention to provide means for enveloping the operative extremity of the clotting instrument in an inert gas to avoid possible explosion.
It is still a further object of this invention to provide a high frequency current carrying member which is insulated from the atmosphere and enveloped in an inert gas to avoid possible explosion.
Other objects and advantages will be readily apparent from the following description:
In the drawings:
Figure 1 is an elevation of a clotting instrument embodying this invention.
Figure 2 is a section taken along line 22 of Figure 1.
Figure 3 is a fragmentary view of the current carrying tube with the gas tube in section.
Figure 4 is a section taken along line 44 of Figure l with an insulating coating added.
Figure 5 is a section taken along line 5-5 of Figure 2 with an insulating coat added.
The clotting instrument'is in this embodiment in the form of a tube having an enlarged head of clotting tool 12 at one extremity. The other extremity has a flange 14 and a nipple 16. The nipple is corrugated as at 18 adapting same to telescopically receive the flexible tubing 20 which is secured thereon by bands 22, which tubing is of a suitable electrically non-conductive material.
The hollow tubing 20 is at its other extremity connected to a reduced pressure source such as a suitable vacuum pump so that air is drawn through the tube 10. An aperture 24 is provided in the tube 10 with a suitable curved finger plate 26 having a corresponding aperture therein attached to the tube 10. Thus when the aperture 24 is unobstructed no suction is created at the head 12,
but when the thumb of the user covers the aperture 24 a suction is created at the head 12 so that excess blood can be siphoned through the instrument.
Surrounding the tube 10 adjacent the head bearing extremity is a gas tube 26 which has a threaded head 28 thereon. A knurled nut 30 screws onto the head and packing 32 is a 2 2,808,833 Patented Oct. 8, 1957 recting tube 38 directs flow from the tube 34 into gas tube 26.
Spiral teeth 40 are formed 'on the clotting tool tube 10 to insure that it remains centrally located in gas tube 26 and that flow of gas through the gas tubejis unobstructed. The spiral fiutingbetween teeth form gas channels and impart a rotary motion to the flowing gas insuring no voids in the gas blanket.
One lead from a high frequency current source is attached to the patient; The other lead is wire 42 which is inside of tube 34 so it is insulated from the atmosphere; This wire passes through gas flow .directing'tube 38 and is secured to the clotting tool"tube"10 by means of sleeve 44.
The instrument with the exception of that portion of the clotting tool tube 10 within gas tube 26 is coated with an electrically non-conductive material, such as rubber or the like, to insulate same from the atmosphere avoiding the possibility of a spark causing an explosion. This insulation has not been illustrated in Figures 1, 2 and 3 toavoid complication of the drawings. Of course, the head 12 of the clotting tool is not insulated.
In operation, high frequency current is supplied to head 12 through wire 42 through suitable control means. Inert gas is directed into gas tube 26 from tube 34 and is discharged. at the extremity thereof in the form of an envelope encasinghead 12 and eliminating it as a source of an explosion causing spark. The head 12 is first incess blood has been drained in this manner, the high frequency current source is energized causing the re maining blood to clot.
While What hereinbefore has been described is the preferred embodiment of this invention, it is readily apparent that alterations and modifications can be resorted to without departing from the scope of this invention, which alterations and modifications are intended to be within the scope of the following claims:
I claim:
1. An electrical clotting instrument of the type adapted to be connected to a source of high frequency current, a source of inert gas and a vacuum source, comprising: a hollow clotting instrument body carrying a clotting member at one extremity, a concentric gas directing member surrounding said hollow body and terminating short of said clotting member, means attached to said hollow body directing flow of inert gas from said source between said hollow body and said gas directing member, whereby said clotting member is enveloped in .inert gas, means on the clotting instrument body adapted to attach said clotting instrument body tosaid current source, which means is surrounded by saidgas flow directing means, and means on the clotting instrument body adapted to attach said hollow clotting instrument body to said vacuum source.
2. An electrical clotting instrument of the type adapted to be connected to a source of high frequency current, a source of inert gas and a vacuum source, comprising: a suction tube having a clotting tool on the end thereof, a gas tube concentric therewith and terminating before, said clotting tool, means'on said gas tube adapted to attach said gas tube to said source of inert gas, whereby gas flows through said tube and is discharged therefrom enveloping said clotting tool, meanson said suction tube adapted toattach said suction tube to said vacuum source, and means on said suction tube adapted to attach said suction tube to said source of current. p
3. An electrical clotting instrument of the type adapted to be connected to a source of high frequency current,
- 3 a 'sgulgce, of inertgas-and a vacuum source; comprising: a t n y n a slettine tee; t e a e qf gas t'ubecbncentric thereii ifli Having an open end adjacent said clotting tool and a closed end before termination fi s t en b-e. Mi k nemas n o said gas-tube =5 @12 etc in nt d 1 91111 1 ei closed enabefars er gas tube and adapted to be connected to said source of 15? 5. 15; a. @29 Ti4aP ?S 9. 9 .tik hfid t0. sai Gurrent source inside said last mentioned tube connected to said suction tube, means forming an aperture in said suction tube positioned outside of said gas tube, and means on the suction tube adapted to connect the suction tube to said vacuum source.
Reiereuce Gites! i the-fi e at this pat n UP -1251 31 M52 LATENTQ 1,813,902 Bon 2 July 14,1941
2,243,285 Pope May 27, 1941 Switzerland July 15, 1934
US324515A 1952-12-06 1952-12-06 Gas blanketed clotting instrument Expired - Lifetime US2808833A (en)

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Cited By (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2856934A (en) * 1957-09-24 1958-10-21 Petillo Diomede Catheters
US2888928A (en) * 1957-04-15 1959-06-02 Seiger Harry Wright Coagulating surgical instrument
US3902494A (en) * 1973-05-15 1975-09-02 Scheerer Suction surgical instrument
US3906955A (en) * 1974-05-06 1975-09-23 Richard R Roberts Surgical cauterizing tool having suction means
US3974833A (en) * 1973-03-19 1976-08-17 Durden Iii John G Disposable electrosurgical cautery having optional suction control feature
DE3642077A1 (en) * 1986-12-10 1988-06-23 Storz Karl Gmbh & Co Device with a generator and an electrode for high-frequency cutting and/or coagulating or for laser applications
US4949734A (en) * 1988-08-25 1990-08-21 Gerald Bernstein Shield for electrosurgical device
US5192267A (en) * 1989-01-23 1993-03-09 Nadiv Shapira Vortex smoke remover for electrosurgical devices
US5234428A (en) * 1991-06-11 1993-08-10 Kaufman David I Disposable electrocautery/cutting instrument with integral continuous smoke evacuation
US5256138A (en) * 1990-10-04 1993-10-26 The Birtcher Corporation Electrosurgical handpiece incorporating blade and conductive gas functionality
US5320621A (en) * 1993-05-05 1994-06-14 Birtcher Medial Systems, Inc. Technique for incorporating an electrode within a nozzle
US5376089A (en) * 1993-08-02 1994-12-27 Conmed Corporation Electrosurgical instrument
US5460602A (en) * 1989-01-23 1995-10-24 Shapira; Nadiv Smoke evacuator for smoke generating devices
US5507744A (en) * 1992-04-23 1996-04-16 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
US5554112A (en) * 1992-10-09 1996-09-10 Birtcher Medical Systems, Inc. Minimally invasive irrigator/aspirator surgical probe and method of using same
US5669934A (en) * 1991-02-13 1997-09-23 Fusion Medical Technologies, Inc. Methods for joining tissue by applying radiofrequency energy to performed collagen films and sheets
US5749895A (en) * 1991-02-13 1998-05-12 Fusion Medical Technologies, Inc. Method for bonding or fusion of biological tissue and material
US5810810A (en) * 1992-04-23 1998-09-22 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
US5824015A (en) * 1991-02-13 1998-10-20 Fusion Medical Technologies, Inc. Method for welding biological tissue
US5951548A (en) * 1997-02-21 1999-09-14 Stephen R. DeSisto Self-evacuating electrocautery device
US6063085A (en) * 1992-04-23 2000-05-16 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
US6511479B2 (en) 2000-02-28 2003-01-28 Conmed Corporation Electrosurgical blade having directly adhered uniform coating of silicone release material and method of manufacturing same
US20040015216A1 (en) * 2002-05-30 2004-01-22 Desisto Stephen R. Self-evacuating electrocautery device
USRE40863E1 (en) * 1992-04-23 2009-07-21 Boston Scientific Scimed, Inc. Apparatus and method for sealing vascular punctures
US20100023008A1 (en) * 2008-07-24 2010-01-28 Heard David N Suction Coagulator
US8366706B2 (en) 2007-08-15 2013-02-05 Cardiodex, Ltd. Systems and methods for puncture closure
US8372072B2 (en) 2003-02-04 2013-02-12 Cardiodex Ltd. Methods and apparatus for hemostasis following arterial catheterization
US8435236B2 (en) 2004-11-22 2013-05-07 Cardiodex, Ltd. Techniques for heat-treating varicose veins
US10245096B2 (en) 2016-05-25 2019-04-02 Covidien Lp Pressure relief system for use with gas-assisted minimally invasive surgical devices
US10278759B2 (en) 2014-11-06 2019-05-07 Covidien Lp Cautery apparatus
US10792086B2 (en) 2014-11-06 2020-10-06 Covidien Lp Cautery apparatus

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1813902A (en) * 1928-01-18 1931-07-14 Liebel Flarsheim Co Electrosurgical apparatus
CH170598A (en) * 1933-06-06 1934-07-15 Dortmund Hoerder Huettenverein Underwater cutting torch.
US2243285A (en) * 1936-01-06 1941-05-27 Charles E Pope Operating scope
US2555017A (en) * 1949-08-18 1951-05-29 Gen Electric Electrode holder for gas blanketed electric arc weldings
US2618267A (en) * 1949-03-11 1952-11-18 Hanriot Raymond Control means for electrosurgical cutting instruments

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1813902A (en) * 1928-01-18 1931-07-14 Liebel Flarsheim Co Electrosurgical apparatus
CH170598A (en) * 1933-06-06 1934-07-15 Dortmund Hoerder Huettenverein Underwater cutting torch.
US2243285A (en) * 1936-01-06 1941-05-27 Charles E Pope Operating scope
US2618267A (en) * 1949-03-11 1952-11-18 Hanriot Raymond Control means for electrosurgical cutting instruments
US2555017A (en) * 1949-08-18 1951-05-29 Gen Electric Electrode holder for gas blanketed electric arc weldings

Cited By (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2888928A (en) * 1957-04-15 1959-06-02 Seiger Harry Wright Coagulating surgical instrument
US2856934A (en) * 1957-09-24 1958-10-21 Petillo Diomede Catheters
US3974833A (en) * 1973-03-19 1976-08-17 Durden Iii John G Disposable electrosurgical cautery having optional suction control feature
US3902494A (en) * 1973-05-15 1975-09-02 Scheerer Suction surgical instrument
US3906955A (en) * 1974-05-06 1975-09-23 Richard R Roberts Surgical cauterizing tool having suction means
DE3642077A1 (en) * 1986-12-10 1988-06-23 Storz Karl Gmbh & Co Device with a generator and an electrode for high-frequency cutting and/or coagulating or for laser applications
US4949734A (en) * 1988-08-25 1990-08-21 Gerald Bernstein Shield for electrosurgical device
US5192267A (en) * 1989-01-23 1993-03-09 Nadiv Shapira Vortex smoke remover for electrosurgical devices
US5460602A (en) * 1989-01-23 1995-10-24 Shapira; Nadiv Smoke evacuator for smoke generating devices
US5256138A (en) * 1990-10-04 1993-10-26 The Birtcher Corporation Electrosurgical handpiece incorporating blade and conductive gas functionality
US5669934A (en) * 1991-02-13 1997-09-23 Fusion Medical Technologies, Inc. Methods for joining tissue by applying radiofrequency energy to performed collagen films and sheets
US5824015A (en) * 1991-02-13 1998-10-20 Fusion Medical Technologies, Inc. Method for welding biological tissue
US5749895A (en) * 1991-02-13 1998-05-12 Fusion Medical Technologies, Inc. Method for bonding or fusion of biological tissue and material
US5234428A (en) * 1991-06-11 1993-08-10 Kaufman David I Disposable electrocautery/cutting instrument with integral continuous smoke evacuation
US6063085A (en) * 1992-04-23 2000-05-16 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
US5507744A (en) * 1992-04-23 1996-04-16 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
US5810810A (en) * 1992-04-23 1998-09-22 Scimed Life Systems, Inc. Apparatus and method for sealing vascular punctures
USRE40863E1 (en) * 1992-04-23 2009-07-21 Boston Scientific Scimed, Inc. Apparatus and method for sealing vascular punctures
US5554112A (en) * 1992-10-09 1996-09-10 Birtcher Medical Systems, Inc. Minimally invasive irrigator/aspirator surgical probe and method of using same
US5320621A (en) * 1993-05-05 1994-06-14 Birtcher Medial Systems, Inc. Technique for incorporating an electrode within a nozzle
US5376089A (en) * 1993-08-02 1994-12-27 Conmed Corporation Electrosurgical instrument
US5951548A (en) * 1997-02-21 1999-09-14 Stephen R. DeSisto Self-evacuating electrocautery device
US6511479B2 (en) 2000-02-28 2003-01-28 Conmed Corporation Electrosurgical blade having directly adhered uniform coating of silicone release material and method of manufacturing same
US20040015216A1 (en) * 2002-05-30 2004-01-22 Desisto Stephen R. Self-evacuating electrocautery device
US8372072B2 (en) 2003-02-04 2013-02-12 Cardiodex Ltd. Methods and apparatus for hemostasis following arterial catheterization
US8435236B2 (en) 2004-11-22 2013-05-07 Cardiodex, Ltd. Techniques for heat-treating varicose veins
US8366706B2 (en) 2007-08-15 2013-02-05 Cardiodex, Ltd. Systems and methods for puncture closure
US20100023008A1 (en) * 2008-07-24 2010-01-28 Heard David N Suction Coagulator
US8328804B2 (en) * 2008-07-24 2012-12-11 Covidien Lp Suction coagulator
US8808287B2 (en) 2008-07-24 2014-08-19 Covidien Lp Suction coagulator
US9028490B2 (en) 2008-07-24 2015-05-12 Covidien Lp Suction coagulator
US10278759B2 (en) 2014-11-06 2019-05-07 Covidien Lp Cautery apparatus
US10792086B2 (en) 2014-11-06 2020-10-06 Covidien Lp Cautery apparatus
US10245096B2 (en) 2016-05-25 2019-04-02 Covidien Lp Pressure relief system for use with gas-assisted minimally invasive surgical devices
US11291492B2 (en) 2016-05-25 2022-04-05 Covidien Lp Pressure relief system for use with gas-assisted minimally invasive surgical devices

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