US3515139A - Atraumatic clamp - Google Patents

Atraumatic clamp Download PDF

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Publication number
US3515139A
US3515139A US3515139DA US3515139A US 3515139 A US3515139 A US 3515139A US 3515139D A US3515139D A US 3515139DA US 3515139 A US3515139 A US 3515139A
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Prior art keywords
protuberances
forceps
jaw
jaws
clamping
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
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Rudolph F Mallina
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Codman and Shurtleff Inc
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Codman and Shurtleff Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/282Jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/282Jaws
    • A61B2017/2829Jaws with a removable cover

Description

June 2, 1970 R. F. MALLINA ATRAUMATIC CLAMP INVENTOR. Pz/aaL/Qf/ /7- MMU/VA WM 1M F- .v in;

ATTORNEY June 2, 1970 R. F. MALLINA 3,515,139

ATRAUMTIC CLAMP Fi1ed.Aug. 29, 1966 2 Sheets-Sheet 2 1121.5. T1 2z 20 f fd /ZZ f7 I NVENTOR.

fi/ooz/f Mug/NA BY JM A q ATTORNE)l United States Patent O M' 3,515,139 ATRAUMATIC CLAMP Rudolph F. Malliua, Hastings-on-Hudson, N.Y., assignor to Codman & Shurtleif, Inc., a corporation of Massachusetts Filed Aug. 29, 1966, Ser. No. 575,743 Int. Cl. A61b 17/28 U.S. Cl. 128--322 10 Claims ABSTRACT F DISCLOSURE Surgical forceps are constructed with two opposing, movable jaws, one of which has at least two longitudinal grooves positioned to receive protuberances removably mounted on the opposite jaw, whereby secure clamping may be obtained by the application of uniformly distributed pressure to the tissue.

This invention relates to surgical forceps or other clamping means and particularly to clamping means adapted to clamp tubular vessels of the body or other tissues during surgery.

Surgical forceps which are in general use are made with a great -variety of types of jaws having smooth, variously grooved, serrated, perforated, or the like surfaces. Such instruments have been designed with the. intent of providing the surgeon with an instrument having a certain degree of sharpness sufficient to hold a vessel. At the same time, it is generally believed that a cutting action on the vessel is undesirable and should be minimized. The numerous designs of hemostatic clamps that are available from surgical supply houses attest the difficulty of combining the opposite effects of satisfactorily holding (gripping) and minimum trauma in a single instrument. In arterial surgery, for example, it is necessary to pro- :vide a clamp which will not slip, but, at the same time, it is desirable to prevent penetration of the tissues or other destruction thereof by, for example, excessive com pression. Similar problems arise in connection with the surgery of other tubular members of the body or various other tissues.

The general object of the present invention is the provision of forceps which provide ample clamping for arteries or other tubular members of the tbody, or the like with the least destructive action of the clamped tissues, the forceps reducing the possibility of slipping as well as aiding the secure clamping by the application of uniformly distributed pressure to the tissue.

It is also an object of the invention to so design the gripping surfaces of the clamp that maximum occlusion is obtained with a minimum of trauma.

Another object of the invention is to provide a surgica. forceps; the clamping surfaces of which have a smooth, mirror finish entirely free of burrs and other sharp irregularities that may result from the manufacturing process. These objects of the invention as well as s-ubsidiary objects having to do with particular features of construction will become apparent from the following description read in conjunction with the accompanying drawing in which:

FIG. 1 shows a face view of one form of surgical forceps, or clamp embodying the present invention, in closed condition.

FIG. 2 is an edge View thereof.

FIG. 3 is a plan view of the lower jaw member of the forceps.

FIG. 4 shows a staggered vertical cross-section partly in elevation of the operational end of the forceps taken on the lines 4--4 of FIG. 2. and further exemplified by the lines 4-4 of FIG. 3.

3,515,139 Patented June 2, 1970 ICC FIG. 8 is a view similar to FIG. 5 of the modification illustrated in FIG. 7.

FIG. 9 is a greatly enlarged view of a portion of FIG. 8 showing the clamping action on a'vessel.

FIG. l0 is a view similar to FIGS. 5 and 8 showing another modification of the upper and lower jaw members.

FIG. 11 is a fragmental vertical cross-section illustrating a modification of the upper jaw member of the forceps.

FIG. 12 is a vertical cross-section taken on the lines 12-12 of FIG. 11.

`Clamps provided in accordance with the present invention may be of any conventional construction aside from the formation of the clamping surfaces of the jaws. FIGS. 1 and 2, show, for example, forceps 10` comprising an upper scissors bar 11 and a lower scissors bar 12, which are hinged at the pivot 13. The operational end 11 of the upper scissors bar and the operational end 12 of the lower scissors bar extend forward of the pivot 13. Finger receiving rings 14 and 15 are provided at the ends of the bars 11 and 12, and a clamp-holding means 16 is formed with interengaging tooth projections which function to retain the forceps in a closed position.

The forceps 10' may have conventional shapes aside from the clamping surface structure, and it will be understood that the invention is quite generally applicable to a great variety of forceps and other clamps having straight or curved jaws of various dimensions depending upon the particular uses for which they are intended. The handles or other manipulating means may be of various types including springs, wedges, cam devices, screws, or the like for the purpose of closing or adjusting the forceps.

The two jaws 18 and 19 of the forceps 10 differ in construction, and there will rst be described particularly the construction of the jaw 18. This jaw is molded of a plastic material, such as Delrin, and the structure thereof will be apparent with reference to FIGS. 3-6. In its preferred form, the jaw 18 comprises a one-piece, molded plastic sleeve 20 having on one face thereof protuberances 22. As indicated in FIGS. 3-6, the protuberances 22 in one row may be staggered with respect to protuberances 22 in an adjacent row to achieve high insurance against slippage consistent with avoidance or limitation of damage to the tissues. The staggered arrangement also results in better occlusion thereby preventing leakage of the clamped vessel end. In this arrangement, the protuberances in the adjacent rows are not directly opposed to each other but rather are relatively displaced by onehalf the pitch of the protuberances, i.e., the protuberances of adjacent rows are in longitudinally staggered relationship from which it follows that each protuberance is aligned with the space between a pair of protuberances in the adjacent row. A longitudinal slot 24 extends from one end of the sleeve 20 to a closed tip 25 at the other end of the sleeve 20, and the interior surfaces 26, Z7, and 28 of the sleeve are dimensioned to be slidingly received by the operational end 11 of the scissors bar. An air gap 2.9 is provided between the closed end of the plastic sleeve 20' and the lower jaw to permit the escape of air when the sleeve is placed on the jaw. A stop 30 on this bar abuts one end 32 of the sleeve 20 when it is in operating position.

The cooperating jaw 19 is provided with a pair of parallel, longitudinal grooves 34, 34' located between outer walls 35, 35 and the central wall 36. The grooves 34, `34' receive the protuberances 22, 22 when the jaws 18 and 19 are in a closed position.

In the modification of the present invention illustrated in FIGS. 3-6, the protuberances 22, 22' and grooves 34 and 34 are hemispherical and may have a mirror finish as the molding process employed in the manufacture of the sleeve does not produce the burrs that would be formed if the clamping jaw were machined. The machining of even very fine teeth will leave burrs at the edges that are inherent in the milling process and cannot be removed by polishing. Such burrs may be so small that they cannot be seen by the naked eye. Yet each burr will act as a knife and, therefore, pierce or cut into the tissue. While it is impractical, if not impossible, to machine spherical protuberances of the type utilized in the present invention, it is simple and inexpensive to mold the plastic sleeves illustrated in the drawing.

FIGS. 7-9 illustrate a modification of the present invention wherein protuberances 37 in one row are oppo site protuberances 37 in an adjacent row.

The sinuous position taken by a vessel 38 when clamped in the jaws of an instrument modified as shown in FIGS. 7 and 8 will be understood from FIG. 9, wherein the forceps are in the closed position. It is to be noted that a virtually uniform compression is applied through the undulating path defined by the protuberances 37, 37', the grooves 34, 34', the central wall 36, and outer walls 35, 35. Preferably, the edges 40, 40' and 41, 41 of the lower and upper jaws are rounded as shown in FIG. 9 to remove sharp edges that might damage the tissue, and provide a widened exit 42, 42 at the edge of the clamp.

Desirably, for occluding vessels having a wall thickness of 4 mils (double wall thickness 8 mils), the radius of curvature of the grooves is 16 mils, and the distance between the protuberances (pitch) may be 48 mils. Under such circumstances, the approaching surfaces of the jaws are substantially parallel, and the clearance provided prevents excessive pressure on the vessel at any point.

It will be evident that the compressed tissues limit the movement of the jaws towards each other and secure holding occurs without penetration of the tissues by the protuberances by reason of sinuous conditions imposed on the tissues in the section illustrated in FIG. 9. The holding force of the jaws illustrated in FIG. 9 may be calculated from the formula wherein f is a very small entrance friction; e is the base of natural logarithm; a is the wrapping angle and u is the coefficient of friction of the vessel being clamped.

Another modification of the present invention which results in a greater holding force is illustrated in FIG. 10. In this modification, the height of the protuberances 43, 43 and the depth of the grooves 44, 44 have been increased. It should be noted that the limitation in increasing the height of the protuberances is the elastic limit on tension of the vessel to be clamped. The result is secure clamping without damaging penetration by the protuberances.

FIGS. 11 and 12 illustrate yet another modification of the present invention wherein a plastic sleeve 50 is provided for the upper jaw member 12. As shown in FIG. 11, the sleeve 50 is molded wtih spherical cavities 51, 51 that complement the spherical protuberances 37, 37'. The radius of the cavities 50'r and 51 is about 8 mils greater than the radius of the protuberances 37, 37', and the plastic sleeve is so aligned on the upper jaw member 12 that the protuberances and cavities match when the jaws of the forceps are in a closed position and provide a uniform space to accommodate the double wall thickness of a vessel as shown in FIG. 12.

It will be evident that numerous variations may be provided involving, for example, additional rows of protuberances without departing from the spirit and scope of the present invention as defined in the appended claims.

What is claimed is:

1. Surgical clamping means comprising a pair of jaws mounted for movement toward and from each other; one of said jaws having at least two longitudinal grooves, the other of said jaws having a plurality of longitudinal rows each of said rows having a plurality of convex protuberances removably mounted' thereon and each row of said protuberances being in register with one of the longitudinal grooves of the opposite jaw.

2. Clamping means according to claim 1, wherein said protuberances are arranged in parallel rows and are equally spaced from adjacent projections in the same row.

3. Clamping means according to claim 2, wherein the protuberances in one row are opposite the protuberances in another row.

4. Clamping means according to claim 2, wherein the protuberances in one row are staggered with respect to the protuberances in another row.

5. Clamping means according to claim I1, wherein said protuberances have a convex spherical dome.

6. Clamping means according to claim 1, wherein the protuberances are hemispherical in shape.

7. Clamping means according to claim 1, wherein the protuberances are slidably mounted on said other jaw.

8. Clamping means according to claim 1, wherein the protuberances are molded of plastic.

9. Surgical forceps comprising a pair of complementary jaw segments operatively connected to one another for movement into and out of gripping relation; the first of said jaw segments having a molded plastic member mounted thereon, said plastic member having protuberances of sinusoidal cross-section in a transverse and longitudinal direction on one surface thereof; the second of said jaw segments having longitudinal grooves located on that surface thereof which opposes said first jaw segment, said grooves having a sinusoidal cross-section in a transverse direction, and being so positioned as to be in registry with and partially encompass said protuberances when the forceps are closed'.

10. Surgical forceps comprising a pair of complementary jaw segments operatively connected to one another for movement into and out of gripping relation; a first molded plastic member mounted on one jaw segment; said first plastic member having protuberances of sinusoidal cross-section in a transverse and longitudinal direction onone surface thereof; and a second molded plastic member mounted on the other jaw segment, said second plastic member having cavities that complement said protuberances and mesh therewith when the jaw segments are in a closed position.

References Cited UNITED STATES PATENTS 1,982,207 1l/l934 Furniss 128-346 2,777,348 l/l957 Wraight 81-180 X 3,101,715 8/1963 Glassman 12S- 322 3,140,715 7/1964 Whitton 128-321 2,796,065 6/1957 Kapp 128--346 RICHARD A. GAUDET, Primary Examiner J. D. YASKO, Assistant Examiner

US3515139A 1966-08-29 1966-08-29 Atraumatic clamp Expired - Lifetime US3515139A (en)

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Cited By (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3608554A (en) * 1969-12-22 1971-09-28 Pilling Co Surgical clamping means
US3746002A (en) * 1971-04-29 1973-07-17 J Haller Atraumatic surgical clamp
US3815607A (en) * 1972-09-15 1974-06-11 Weck & Co Edward Tissue gripping surgical forceps
US3815609A (en) * 1972-09-15 1974-06-11 Weck & Co Edward Tissue gripping surgical forceps
US3896527A (en) * 1973-05-23 1975-07-29 Cincinnati Biomedical Inc Unitary clamp
US4120302A (en) * 1976-10-08 1978-10-17 American Hospital Supply Corporation Disposable pads for surgical instruments
US4574804A (en) * 1984-02-27 1986-03-11 Board Of Regents, The University Of Texas System Optic nerve clamp
US4669467A (en) * 1985-03-22 1987-06-02 Massachusetts Institute Of Technology Mode mixer for a laser catheter
US4711240A (en) * 1986-05-15 1987-12-08 Duke University Patents Foundation Surgical dissector
US4982593A (en) * 1986-01-15 1991-01-08 Washington Steel Corporation Gripper means for stretcher leveler apparatus
US5059214A (en) * 1987-06-26 1991-10-22 Vsesojuzny Nauchno-Issledovatelsky I Ispytatelny Institut Meditsinskoi Tekhniki Surgical forceps
US5077887A (en) * 1986-01-15 1992-01-07 Holloway Bertram A Method for producing gripper means for stretcher leveler apparatus
US5181411A (en) * 1983-04-15 1993-01-26 Holloway Bertram A Gripper means for stretcher leveler apparatus
US5394885A (en) * 1994-01-05 1995-03-07 Symbiosis Corporation Endoscopic biopsy forceps jaws and instrument incorporating same
EP0598607A3 (en) * 1992-11-18 1995-04-05 Ethicon Inc Atraumatic endoscopic apparatus.
US5476479A (en) * 1991-09-26 1995-12-19 United States Surgical Corporation Handle for endoscopic surgical instruments and jaw structure
US5489292A (en) * 1990-10-05 1996-02-06 United States Surgical Corporation Endoscopic surgical instrument with grip enhancing means
US5509922A (en) * 1990-10-05 1996-04-23 United States Surgical Corporation Endoscopic surgical instrument
US5591182A (en) * 1994-10-17 1997-01-07 Applied Medical Resources Corporation Atraumatic surgical clamping instrument
US5613977A (en) * 1992-07-22 1997-03-25 Friatec Ag Keramik-Und-Kunstoffwerke Gripping and/or cutting instrument for endoscopic purposes
US5613499A (en) * 1990-05-10 1997-03-25 Symbiosis Corporation Endoscopic biopsy forceps jaws and instruments incorporating same
US5626609A (en) * 1990-10-05 1997-05-06 United States Surgical Corporation Endoscopic surgical instrument
US5637110A (en) * 1995-01-31 1997-06-10 Stryker Corporation Electrocautery surgical tool with relatively pivoted tissue engaging jaws
US6099539A (en) * 1998-07-27 2000-08-08 Thomas J. Fogarty Surgical clamp pad with interdigitating teeth
US6152923A (en) * 1999-04-28 2000-11-28 Sherwood Services Ag Multi-contact forceps and method of sealing, coagulating, cauterizing and/or cutting vessels and tissue
DE19924389A1 (en) * 1999-05-27 2000-12-14 Aesculap Ag & Co Kg Surgical instrument such as forceps has relatively movable arms, with tooth elements
WO2002015805A2 (en) 2000-08-24 2002-02-28 Novare Surgical Systems, Inc. Surgical clamp pad
US6579304B1 (en) 1997-02-03 2003-06-17 Applied Medical Resources Corporation Surgical clamp with improved traction
US20030181932A1 (en) * 2002-03-21 2003-09-25 Terrence Buelna Surgical clamp pads with deflecting elements
US6887240B1 (en) 1995-09-19 2005-05-03 Sherwood Services Ag Vessel sealing wave jaw
US20050145510A1 (en) * 2002-03-25 2005-07-07 Propp Donald J. Surgical instrument with snag free box hinge
US20050240219A1 (en) * 2004-04-22 2005-10-27 Henry Kahle Peripheral vascular occlusion devices
US20070112376A1 (en) * 2005-11-14 2007-05-17 Tri-State Hospital Supply Corporation Medical tubing clamping apparatus
US20070179526A1 (en) * 1997-02-03 2007-08-02 Hart Charles C Surgical clamp with improved traction
US20070221016A1 (en) * 2006-03-21 2007-09-27 Xtools, Llc Buoyant metal composite pliers
US20130253639A1 (en) * 2007-03-14 2013-09-26 St. Jude Medical, Inc. Heart valve chordae replacement methods and apparatus
US20130338534A1 (en) * 2012-06-18 2013-12-19 John P. Cole Tissue extraction device
WO2014065688A1 (en) * 2012-10-22 2014-05-01 Gerbov Vitaly Vitalievich Tissue dissection and ligation device
US9561046B2 (en) 2014-10-24 2017-02-07 Gyrus Acmi, Inc. Instrument with resilient jaws
US20170238956A1 (en) * 2016-02-18 2017-08-24 Crea Ip B.V. Serrated forceps

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB8507883D0 (en) * 1985-03-26 1985-05-01 Thorne D W Pipe closure devices
US5478347A (en) * 1990-10-05 1995-12-26 United States Surgical Corporation Endoscopic surgical instrument having curved blades
CA2050868C (en) * 1990-10-05 2002-01-01 Ernie Aranyi Endoscopic surgical instrument
CA2107252A1 (en) * 1992-10-01 1994-04-02 H. Jonathan Tovey Endoscopic surgical instrument
US7494501B2 (en) 2003-11-12 2009-02-24 Applied Medical Resources Corporation Overmolded grasper jaw

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1982207A (en) * 1933-12-29 1934-11-27 Henry D Furniss Clamping instrument and process of using the same
US2777348A (en) * 1955-09-01 1957-01-15 Wraight Frank Leslie Jaw face attaching means for wrench jaw constructions
US2796065A (en) * 1955-05-12 1957-06-18 Karl A Kapp Surgical clamping means
US3101715A (en) * 1961-07-12 1963-08-27 Mueller & Company V Non-crushing clamp
US3140715A (en) * 1960-09-29 1964-07-14 American Hospital Supply Corp Forceps

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1982207A (en) * 1933-12-29 1934-11-27 Henry D Furniss Clamping instrument and process of using the same
US2796065A (en) * 1955-05-12 1957-06-18 Karl A Kapp Surgical clamping means
US2777348A (en) * 1955-09-01 1957-01-15 Wraight Frank Leslie Jaw face attaching means for wrench jaw constructions
US3140715A (en) * 1960-09-29 1964-07-14 American Hospital Supply Corp Forceps
US3101715A (en) * 1961-07-12 1963-08-27 Mueller & Company V Non-crushing clamp

Cited By (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3608554A (en) * 1969-12-22 1971-09-28 Pilling Co Surgical clamping means
US3746002A (en) * 1971-04-29 1973-07-17 J Haller Atraumatic surgical clamp
US3815607A (en) * 1972-09-15 1974-06-11 Weck & Co Edward Tissue gripping surgical forceps
US3815609A (en) * 1972-09-15 1974-06-11 Weck & Co Edward Tissue gripping surgical forceps
US3896527A (en) * 1973-05-23 1975-07-29 Cincinnati Biomedical Inc Unitary clamp
US4120302A (en) * 1976-10-08 1978-10-17 American Hospital Supply Corporation Disposable pads for surgical instruments
US5181411A (en) * 1983-04-15 1993-01-26 Holloway Bertram A Gripper means for stretcher leveler apparatus
US4574804A (en) * 1984-02-27 1986-03-11 Board Of Regents, The University Of Texas System Optic nerve clamp
US4669467A (en) * 1985-03-22 1987-06-02 Massachusetts Institute Of Technology Mode mixer for a laser catheter
US4982593A (en) * 1986-01-15 1991-01-08 Washington Steel Corporation Gripper means for stretcher leveler apparatus
US5077887A (en) * 1986-01-15 1992-01-07 Holloway Bertram A Method for producing gripper means for stretcher leveler apparatus
US4711240A (en) * 1986-05-15 1987-12-08 Duke University Patents Foundation Surgical dissector
US5059214A (en) * 1987-06-26 1991-10-22 Vsesojuzny Nauchno-Issledovatelsky I Ispytatelny Institut Meditsinskoi Tekhniki Surgical forceps
US5613499A (en) * 1990-05-10 1997-03-25 Symbiosis Corporation Endoscopic biopsy forceps jaws and instruments incorporating same
US5626609A (en) * 1990-10-05 1997-05-06 United States Surgical Corporation Endoscopic surgical instrument
US5509922A (en) * 1990-10-05 1996-04-23 United States Surgical Corporation Endoscopic surgical instrument
US5489292A (en) * 1990-10-05 1996-02-06 United States Surgical Corporation Endoscopic surgical instrument with grip enhancing means
US5476479A (en) * 1991-09-26 1995-12-19 United States Surgical Corporation Handle for endoscopic surgical instruments and jaw structure
US5613977A (en) * 1992-07-22 1997-03-25 Friatec Ag Keramik-Und-Kunstoffwerke Gripping and/or cutting instrument for endoscopic purposes
EP0598607A3 (en) * 1992-11-18 1995-04-05 Ethicon Inc Atraumatic endoscopic apparatus.
US5394885A (en) * 1994-01-05 1995-03-07 Symbiosis Corporation Endoscopic biopsy forceps jaws and instrument incorporating same
US5591182A (en) * 1994-10-17 1997-01-07 Applied Medical Resources Corporation Atraumatic surgical clamping instrument
US5637110A (en) * 1995-01-31 1997-06-10 Stryker Corporation Electrocautery surgical tool with relatively pivoted tissue engaging jaws
US6887240B1 (en) 1995-09-19 2005-05-03 Sherwood Services Ag Vessel sealing wave jaw
US6579304B1 (en) 1997-02-03 2003-06-17 Applied Medical Resources Corporation Surgical clamp with improved traction
US20070179526A1 (en) * 1997-02-03 2007-08-02 Hart Charles C Surgical clamp with improved traction
US6206896B1 (en) 1998-07-27 2001-03-27 Thomas J. Fogarty Surgical clamp pad with interdigitating teeth
EP1100382A1 (en) * 1998-07-27 2001-05-23 Thomas J. Fogarty Surgical clamp pad with interdigitating teeth
US6989017B2 (en) 1998-07-27 2006-01-24 Thomas J. Fogarty Surgical clamp pad with interdigitating teeth
US6387106B1 (en) 1998-07-27 2002-05-14 Thomas J. Fogarty, M.D. Surgical clamp pad with interdigitating teeth
US6099539A (en) * 1998-07-27 2000-08-08 Thomas J. Fogarty Surgical clamp pad with interdigitating teeth
EP1100382A4 (en) * 1998-07-27 2005-01-05 Thomas J Fogarty Surgical clamp pad with interdigitating teeth
US20020183785A1 (en) * 1998-07-27 2002-12-05 Howell Thomas A. Surgical clamp pad with interdigitatin teeth
US6152923A (en) * 1999-04-28 2000-11-28 Sherwood Services Ag Multi-contact forceps and method of sealing, coagulating, cauterizing and/or cutting vessels and tissue
DE19924389B4 (en) * 1999-05-27 2007-02-08 Aesculap Ag & Co. Kg Pliers-shaped surgical instrument
DE19924389A1 (en) * 1999-05-27 2000-12-14 Aesculap Ag & Co Kg Surgical instrument such as forceps has relatively movable arms, with tooth elements
WO2002015805A2 (en) 2000-08-24 2002-02-28 Novare Surgical Systems, Inc. Surgical clamp pad
US6942676B2 (en) 2002-03-21 2005-09-13 Novare Surgical Systems, Inc. Surgical clamp pads with deflecting elements
US20030181932A1 (en) * 2002-03-21 2003-09-25 Terrence Buelna Surgical clamp pads with deflecting elements
US20050145510A1 (en) * 2002-03-25 2005-07-07 Propp Donald J. Surgical instrument with snag free box hinge
US20050240219A1 (en) * 2004-04-22 2005-10-27 Henry Kahle Peripheral vascular occlusion devices
US20070112376A1 (en) * 2005-11-14 2007-05-17 Tri-State Hospital Supply Corporation Medical tubing clamping apparatus
US20070221016A1 (en) * 2006-03-21 2007-09-27 Xtools, Llc Buoyant metal composite pliers
US20130253639A1 (en) * 2007-03-14 2013-09-26 St. Jude Medical, Inc. Heart valve chordae replacement methods and apparatus
US20130338534A1 (en) * 2012-06-18 2013-12-19 John P. Cole Tissue extraction device
WO2014065688A1 (en) * 2012-10-22 2014-05-01 Gerbov Vitaly Vitalievich Tissue dissection and ligation device
US9561046B2 (en) 2014-10-24 2017-02-07 Gyrus Acmi, Inc. Instrument with resilient jaws
US20170238956A1 (en) * 2016-02-18 2017-08-24 Crea Ip B.V. Serrated forceps

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Publication number Publication date Type
GB1202555A (en) 1970-08-19 application
DE1566060A1 (en) 1970-06-11 application

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