US3057355A - Vascular everter - Google Patents

Vascular everter Download PDF

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Publication number
US3057355A
US3057355A US4155560A US3057355A US 3057355 A US3057355 A US 3057355A US 4155560 A US4155560 A US 4155560A US 3057355 A US3057355 A US 3057355A
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Prior art keywords
end
portion
plunger
conical
position
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Expired - Lifetime
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Antoni J Smialowski
Isaac J Vogelfanger
Christoph L Fischer
Sidney H G Connock
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Canadian Patents and Development Ltd
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Canadian Patents and Development Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00Metal working
    • Y10T29/53Means to assemble or disassemble
    • Y10T29/53657Means to assemble or disassemble to apply or remove a resilient article [e.g., tube, sleeve, etc.]

Description

Oct. 9, 1962 A. J. sMlALowsKl ETAL 3,057,355

VASCULAR EVERTER Filed July 8. 1960 5l BY Mw ATTORNEY United States Patent Otilice 3,057,355 Patented Oct. 9, 1962 3,057,355 VASCULAR EVERTER Antoni J. Smialowski and Isaac J. Vogelfanger, Ottawa, Unitario, Christoph L. Fischer, Eastvew, Ontario, and Sidney H. G. Connock, ttawa, Gntario, Canada, assignors to Canadian Patent `and Development Limited, Gttawa, ntario, Canada Filed `Iuly 8, 1960, Ser. No. 41,555 7 Claims. (Cl. 12S-334) This invention relates to a device for everting the ends of blood vessels andthe like and holding them in an everted position.

For the use of peripheral suturing apparatus such as described in copending application Serial No. 717,656, led February 26, 1958 now Patent No. 2,940,451, it is desirable to provide means for facilitating the everting of the end of a blood vessel over the end o-f a bushing and for holding the everted blood vessel in that position until a suture is made.

It is an object of this invention to provide a vascular everter of simple manufacture and compact form, which is convenient to use, and which is effective to perform its function in a rapid and satisfactory manner.

The invention vwill be described with reference to the accompanying drawing, in which FIGURE l is a plan View of the device in accordance with the invention,

FIGURE 2 is a sectional side elevation of the device,

FIGURE 3 is an enlarged sectional partial side elevation of the device in one operating position thereof,

FIGURE 4 is an enlarged sectional partial side elevation of the device in another operating position thereof, and

FIGURE 5 is a sectional side elevation of a flexible washer employed in conjunction with the device.

The device comprises a hollow cylindrical member or tube 1 to which is fixed a handle 2. As shown, the handle is fixed to one end of the tube and is inclined therefrom to facilitate manipulation of the device.

A sleeve 3 is releasably mounted in the tube 1 as by means of a spring clip 4. The sleeve has a portion 5 projecting from the other end of tube 1 and an external shoulder 6 which engages the end of the tube. The sleeve portion 5 has an internal cup-shaped recess 7. A plunger 8 is reciprocally mounted in the sleeve 3. 'Ihe upper end of the plunger, i.e., the end adjacent handle 2, is provided with a flange 9 for engagement with the adjacent end edge of the sleeve to prevent the plunger from passing through the bore of the sleeve. A flat Ispring 10 resiliently urges the plunger into the position shown in FIGURE 3, i.e., with flange 9 in engagement with the sleeve. As shown, the spring 10 is removably fixed to the handle as by a screw 11 and nut 12 and is slotted at 13 to receive a projection 14 on the end of the plunger. It will be observed that the diameter of flange 9 is smaller than that of the bore of tube 1 to enable insertion of the assembly in the tube.

The plunger 8 has a small diameter end portion 15 which, in the position of FIGURE 3, lies partly within the recess 7 and extends beyond the adjacent end of the sleeve portion 5. The plunger also has a steeply tapered conical portion 16 extending from the end of portion 15 and a less steeply tapered conical portion 17 extending from the line of juncture 18 with portion 16. Conical portion 17 terminates in a rounded end 19.

The device includes a disposable and deformable exible washer 20 which is formed of a resilient material such as rubber, plastic composition or the like. The washer has an annular body section 21, a peripheral rim 22 on one side of such body section, and a conical section 23 extending inwardly from body section 21, section 23 being of thinner wall thickness than that of section 21. Conical section 23 terminates in an axial opening 24. In the form shown, the thickness of conical section 23 is gradually reduced towards opening 24 whereby the opening 24 is defined by the relatively sharp edge juncture of the converging wall surfaces of section 23.

`In use, with the end of a blood vessel 25 protruding from a bushing 26 of a suturing instrument, a washer 20 is placed over the pointed end portion 17 of plunger 8 and such end portion inserted in the opening of the blood vessel. The device is pushed into the vessel until the steep taper portion 16 pins the blood vessel against the mouth of the bushing, as shown in FIGURES 3 and 4 and thus locking the blood vessel in position to prevent it from slipping back through the bushing.

It -will be observed that the end edge of sleeve portion 5 engages the body section 21 of the washer adjoining the rim 22 which tits around the outer surface of the sleeve.

Further pressure on the handle 2 will cause the sleeve 3 to slide over plunger 8. With this movement, the rim portion of the washer and then the body section 21 are swung over the end of the bushing, the body section 21 carrying with it the end of the blood vessel.

Continuation of the movement of the sleeve 3 pulls down the thin conical section 23 of the washer and stretches it over the everted blood vessel until the edge of the washer passes a step 25a which is formed on the external surface of the bushing. The washer uow holds the blood vessel firmly in position, as sho-wn in FIG- URE 4.

The instrument may now be withdrawn, leaving the holding washer in place until the suturing operation is completed, after which the washer is severed and removed. It Will be apparent that a new washer is employed for each operation.

For satisfactory operation, the dimensions, shape, and relative positions of the sleeve, plunger, washer and bushing should be definitely related to the size of the blood vessel under treatment.

To serve the full range of blood vessel sizes, it is contemplated that a series of matching bushing and everters in small steps of sizes will be provided. Selection of the correct size of bushing and everter may be done by measuring the outside diameter and wall thickness of the blood vessel.

The diameter of the small diameter end portion 15 of the plunger should be substantially the same as the outside diameter of the blood vessel. 'I'he inside diameter of the bushing should be substantially the same as the inside diameter of the `blood vessel. The diameter of the line of juncture 18 between the conical portions 16 and 17 must be smaller than the inside diameter of the bushing. The tapered or conical portion 16 should enter only about half way into the bushing when no blood vessel is present. The tapered or conical portion 17 is such as to provide for easy insertion of the end of the plunger into the blood vessel as it protrudes yfrom the bushing.

The inside diameter of the recess 7 -should be just large enough to pass over the inverted blood vessel with the washer in holding position.

The rim 22 on the washer is desirable to prevent the washer from being pushed inside the sleeve 3. The thick body section 21 prevents the blood vessel from passing through the opening 24 in the washer. The thin conical section 23 assists in the evertion of the blood vessel and .enables it to be stretched easily and without damage We claim:

1. A vascular everter comprising a tubular member having a first end and a second end, a rigid handle fixed to said tubular member adjacent said first end, a plunger slidably mounted in said tubular member, said plunger and tubular member having engageable shoulders defining one position of said plunger in said member, and a fiat spring carried by said handle and engaging one end of said plunger to urge it into said one position, said tubular member having an interior cylindrical axial recess of greater Idiameter than Ithat of said plunger adjoining said second end, said plunger having adjacent its other end an end portion of reduced diameter protruding through said second end in said one position of said plunger, and an end conical portion extending axially outwardly from said reduced diameter portion and lying outwardly beyond said recess in said one position of said plunger, said plunger being slidable into a second position against the action of said spring in response to pressure on said end conical portion, said end conical portion in said second position lying within said recess.

2. A vascular everter comprising a tubular member having a first end and a second end, a rigid handle fixed to said tubular member adjacent said first end, a plunger slidably mounted in said tubular member, said plunger and tubular member having engageable shoulders defining one position of said plunger in said member, and a spring carried by said handle and engaging one end of said plunger to urge it into said one position, said tubular member having an interior cylindrical axial recess of greater diameter than that of said plunger adjoining said second end, said plunger having adjacent its other end a portion of reduced diameter protruding through said second end in said one position of said plunger, an intermediate conical portion extending axially outwardly from said reduced diameter portion and lying outwardly beyond said recess in said one position of said plunger, and an end conical portion extending axially outwardly from said intermediate portion, said end conical portion being tapered less steeply than said intermediate portion, said plunger being slidable into a second position against the action of said spring in response to pressure on said end conical portion, said end conical portion in said second position lying substantially wholly within said recess.

3. A vascular everter comprising a tube, a sleeve releasably fixed within said tube and having a rst end adjacent one end of said tube and a second end lying axially outwardly beyond the other end of said tube, a plunger slidably mounted in said sleeve, said plunger and sleeve having engageable shoulders defining one position of said plunger in said sleeve, a rigid handle fixed to said tube adjacent said one end thereof, a spring carried by said handle and engaging one end of said plunger to urge it into said one position, said vsleeve having an interior cylindrical axial recess of greater ldiameter than that of said plunger adjoining said second end, said plunger having adjacent its other end a portion of reduced diameter protruding through said second end in said one position of said plunger, and an end conical portion extending axially outwardly from said reduced diameter portion and lying outwardly beyond said recess in said one position of said plunger, said plunger being slidable into a second position against the action of said spring in response to pressure on said end conical portion, said end conical portion in said second position lying within said recess.

4. A vascular everter as defined in claim 3, including a deformable washer arranged for mounting on said end conical portion of said plunger, said washer having inner and outer annular portions, said outer annular portion having a thickness greater than that of said inner annular portion.

5. A vascular everter as defined in claim 3, including a unitary deformable washer arranged 4for mounting on said end conical portion of said plunger, said washer having a peripheral rim extending outwardly from one side thereof, and inner and outer annular portions, said outer annular portion having a thickness greater than that of said inner annular portion.

6r. A vascular everter as defined in claim 5, said inner annular portion of said washer being of inherently conical configuration.

7. A vascular everting washer comprising a unitary annular body of elastic deformable material having an annular body section having a central opening, said body section having an inner edge, an outer edge, and radially extending side surfaces, a peripheral rib on one of said surfaces adjoining said outer edge and extending axially outwardly therefrom, and a conical section extending axially outwardly from the other of said surfaces adjoining said inner edge, said conical section having an axial opening of smaller diameter than that of said central opening of said body section, said conical section having converging Wall surfaces meeting at a common edge and defining said axial opening.

References Cited in the file of this patent UNITED STATES PATENTS 2,088,180 Stevens July 27, 193,7 2,779,996 Tanis Feb. 5, 1957 2,940,452 Smialowski June 14, 1960

US3057355A 1960-07-08 1960-07-08 Vascular everter Expired - Lifetime US3057355A (en)

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Cited By (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3180337A (en) * 1963-04-25 1965-04-27 Ca Nat Research Council Vascular everting device
US3258012A (en) * 1961-06-30 1966-06-28 Risaburo Aoki Method for blood vessel connection
US3908662A (en) * 1973-07-04 1975-09-30 Mikhail Mikhailovich Razgulov Device for the eversion of hollow organs and vascular stapling instrument incorporating same
US4392293A (en) * 1979-10-08 1983-07-12 Tokico Ltd. Method of assembling combination shock absorber and air spring
US4593693A (en) * 1985-04-26 1986-06-10 Schenck Robert R Methods and apparatus for anastomosing living vessels
WO2001041654A2 (en) * 1999-11-15 2001-06-14 Vascular Innovations, Inc. Everter and threadthrough system for attaching graft vessel to anastomosis device
US6547799B2 (en) 2001-06-26 2003-04-15 Ethicon, Inc. Vessel eversion instrument with pressurizable membrane
US6562053B2 (en) 2001-05-21 2003-05-13 Ethicon, Inc. Curved mandrel for assisting vessel eversion
US6575985B2 (en) 2001-09-10 2003-06-10 Ethicon, Inc. Vessel eversion instrument with conical holder
US6589255B2 (en) 2001-06-28 2003-07-08 Ethicon, Inc. Vessel eversion instrument with filament elements
US6712829B2 (en) 2001-09-10 2004-03-30 Ethicon, Inc. Vessel eversion instrument with conical, expandable mandrel
US6776782B2 (en) 2001-06-26 2004-08-17 Ethicon, Inc. Vessel eversion instrument with wiping element
US20040216808A1 (en) * 2003-04-30 2004-11-04 Rene Achard Log positioning and conveying apparatus
US6821286B1 (en) 2002-01-23 2004-11-23 Cardica, Inc. System for preparing a graft vessel for anastomosis
US20050267498A1 (en) * 2002-04-30 2005-12-01 Cardica, Inc. Tissue everting device and method
US20070010835A1 (en) * 2003-08-22 2007-01-11 Tom Breton Eversion apparatus and methods
US7427261B1 (en) 2002-01-23 2008-09-23 Cardica, Inc. System for preparing a craft vessel for anastomosis
US7547313B2 (en) 1998-06-03 2009-06-16 Medtronic, Inc. Tissue connector apparatus and methods
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US20100160927A1 (en) * 2006-08-10 2010-06-24 Yuri Urin Device for Preparing Tissue for Anastomosis
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US7763040B2 (en) 1998-06-03 2010-07-27 Medtronic, Inc. Tissue connector apparatus and methods
US20100262167A1 (en) * 2009-04-09 2010-10-14 Medtronic, Inc. Medical Clip with Radial Tines, System and Method of Using Same
US20100274267A1 (en) * 2009-04-24 2010-10-28 Medtronics, Inc. Medical Clip with Tines, System and Method of Using Same
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US7896892B2 (en) 2000-03-31 2011-03-01 Medtronic, Inc. Multiple bias surgical fastener
US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US7976556B2 (en) * 2002-09-12 2011-07-12 Medtronic, Inc. Anastomosis apparatus and methods
US20110178528A1 (en) * 2010-01-19 2011-07-21 Tyco Healthcare Group Lp Disposable circumcision device
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
US8211124B2 (en) 2003-07-25 2012-07-03 Medtronic, Inc. Sealing clip, delivery systems, and methods
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
DE102012107919A1 (en) * 2012-08-28 2014-05-15 Aesculap Ag An electrosurgical instrument for producing an end-to-end anastomosis

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2088180A (en) * 1934-11-03 1937-07-27 Westinghouse Air Brake Co Packing
US2779996A (en) * 1954-01-06 1957-02-05 Greene Tweed & Co Inc Tool for installing tube liners
US2940452A (en) * 1958-11-07 1960-06-14 Ca Nat Research Council Vascular evertor

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2088180A (en) * 1934-11-03 1937-07-27 Westinghouse Air Brake Co Packing
US2779996A (en) * 1954-01-06 1957-02-05 Greene Tweed & Co Inc Tool for installing tube liners
US2940452A (en) * 1958-11-07 1960-06-14 Ca Nat Research Council Vascular evertor

Cited By (58)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3258012A (en) * 1961-06-30 1966-06-28 Risaburo Aoki Method for blood vessel connection
US3180337A (en) * 1963-04-25 1965-04-27 Ca Nat Research Council Vascular everting device
US3908662A (en) * 1973-07-04 1975-09-30 Mikhail Mikhailovich Razgulov Device for the eversion of hollow organs and vascular stapling instrument incorporating same
US4392293A (en) * 1979-10-08 1983-07-12 Tokico Ltd. Method of assembling combination shock absorber and air spring
US4593693A (en) * 1985-04-26 1986-06-10 Schenck Robert R Methods and apparatus for anastomosing living vessels
US7547313B2 (en) 1998-06-03 2009-06-16 Medtronic, Inc. Tissue connector apparatus and methods
US7763040B2 (en) 1998-06-03 2010-07-27 Medtronic, Inc. Tissue connector apparatus and methods
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US7892255B2 (en) 1999-03-01 2011-02-22 Medtronic, Inc. Tissue connector apparatus and methods
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US8353921B2 (en) 1999-03-01 2013-01-15 Medtronic, Inc Tissue connector apparatus and methods
US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
US8211131B2 (en) 1999-04-05 2012-07-03 Medtronic, Inc. Apparatus and methods for anastomosis
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
WO2001041654A3 (en) * 1999-11-15 2002-02-07 Vascular Innovations Inc Everter and threadthrough system for attaching graft vessel to anastomosis device
WO2001041654A2 (en) * 1999-11-15 2001-06-14 Vascular Innovations, Inc. Everter and threadthrough system for attaching graft vessel to anastomosis device
US6955679B1 (en) 1999-11-15 2005-10-18 Cardica, Inc. Everter and threadthrough system for attaching graft vessel to anastomosis device
US6402764B1 (en) 1999-11-15 2002-06-11 Cardica, Inc. Everter and threadthrough system for attaching graft vessel to anastomosis device
US8353092B2 (en) 2000-03-31 2013-01-15 Medtronic, Inc. Multiple bias surgical fastener
US7896892B2 (en) 2000-03-31 2011-03-01 Medtronic, Inc. Multiple bias surgical fastener
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US7914544B2 (en) 2000-10-10 2011-03-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US6562053B2 (en) 2001-05-21 2003-05-13 Ethicon, Inc. Curved mandrel for assisting vessel eversion
US6776782B2 (en) 2001-06-26 2004-08-17 Ethicon, Inc. Vessel eversion instrument with wiping element
US6547799B2 (en) 2001-06-26 2003-04-15 Ethicon, Inc. Vessel eversion instrument with pressurizable membrane
US6589255B2 (en) 2001-06-28 2003-07-08 Ethicon, Inc. Vessel eversion instrument with filament elements
US6575985B2 (en) 2001-09-10 2003-06-10 Ethicon, Inc. Vessel eversion instrument with conical holder
US6712829B2 (en) 2001-09-10 2004-03-30 Ethicon, Inc. Vessel eversion instrument with conical, expandable mandrel
US20050055083A1 (en) * 2002-01-23 2005-03-10 Cardica, Inc. Poke-through tool
US7520885B2 (en) * 2002-01-23 2009-04-21 Cardica, Inc. Functional package for an anastomosis procedure
US20050085834A1 (en) * 2002-01-23 2005-04-21 Cardica, Inc. Functional package for an anastomosis procedure
US6821286B1 (en) 2002-01-23 2004-11-23 Cardica, Inc. System for preparing a graft vessel for anastomosis
US20050055084A1 (en) * 2002-01-23 2005-03-10 Cardica, Inc. Pull-through tool
US7427261B1 (en) 2002-01-23 2008-09-23 Cardica, Inc. System for preparing a craft vessel for anastomosis
US20050267498A1 (en) * 2002-04-30 2005-12-01 Cardica, Inc. Tissue everting device and method
US7976556B2 (en) * 2002-09-12 2011-07-12 Medtronic, Inc. Anastomosis apparatus and methods
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
US8298251B2 (en) 2002-10-04 2012-10-30 Medtronic, Inc. Anastomosis apparatus and methods
US20040216808A1 (en) * 2003-04-30 2004-11-04 Rene Achard Log positioning and conveying apparatus
US8211124B2 (en) 2003-07-25 2012-07-03 Medtronic, Inc. Sealing clip, delivery systems, and methods
US8029519B2 (en) 2003-08-22 2011-10-04 Medtronic, Inc. Eversion apparatus and methods
US20070010835A1 (en) * 2003-08-22 2007-01-11 Tom Breton Eversion apparatus and methods
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US8323299B2 (en) * 2006-08-10 2012-12-04 Hdh Medical Ltd. Device for preparing tissue for anastomosis
US20100160927A1 (en) * 2006-08-10 2010-06-24 Yuri Urin Device for Preparing Tissue for Anastomosis
US8177836B2 (en) 2008-03-10 2012-05-15 Medtronic, Inc. Apparatus and methods for minimally invasive valve repair
US20100262167A1 (en) * 2009-04-09 2010-10-14 Medtronic, Inc. Medical Clip with Radial Tines, System and Method of Using Same
US8518060B2 (en) 2009-04-09 2013-08-27 Medtronic, Inc. Medical clip with radial tines, system and method of using same
US20100274267A1 (en) * 2009-04-24 2010-10-28 Medtronics, Inc. Medical Clip with 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
US8080018B2 (en) * 2010-01-19 2011-12-20 Tyco Healthcare Group Lp Disposable circumcision device
US8597304B2 (en) 2010-01-19 2013-12-03 Covidien Lp Disposable circumcision device
US20110178528A1 (en) * 2010-01-19 2011-07-21 Tyco Healthcare Group Lp Disposable circumcision device
US9763663B2 (en) 2012-08-28 2017-09-19 Aesculap Ag Electrosurgical instrument for making an and end-to-end anastomosis
DE102012107919A1 (en) * 2012-08-28 2014-05-15 Aesculap Ag An electrosurgical instrument for producing an end-to-end anastomosis

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