US3518993A - Surgical clip applicator - Google Patents

Surgical clip applicator Download PDF

Info

Publication number
US3518993A
US3518993A US3518993DA US3518993A US 3518993 A US3518993 A US 3518993A US 3518993D A US3518993D A US 3518993DA US 3518993 A US3518993 A US 3518993A
Authority
US
United States
Prior art keywords
clip
barrel
collet
jaws
collets
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.)
Expired - Lifetime
Application number
Inventor
Lawrence W Blake
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.)
Baxter International Inc
Original Assignee
American Hospital Supply Corp
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 American Hospital Supply Corp filed Critical American Hospital Supply Corp
Priority to US63521767A priority Critical
Application granted granted Critical
Publication of US3518993A publication Critical patent/US3518993A/en
Assigned to BAXTER TRAVENOL LABORATORIES, INC. A CORP. OF DE reassignment BAXTER TRAVENOL LABORATORIES, INC. A CORP. OF DE MERGER (SEE DOCUMENT FOR DETAILS). EFFECTIVE ON 11/25/1985 ILLINOIS Assignors: AMERICAN HOSPITAL SUPPLY CORPORATION INTO
Anticipated expiration legal-status Critical
Assigned to BAXTER INTERNATIONAL INC. reassignment BAXTER INTERNATIONAL INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). EFFECTIVE ON 10/17/1988 Assignors: BAXTER TRAVENOL LABORATORIES, INC., A CORP. OF DE
Application status is Expired - Lifetime legal-status Critical

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227Spring clips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • 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
    • Y10T279/00Chucks or sockets
    • Y10T279/17Socket type
    • Y10T279/17411Spring biased jaws
    • Y10T279/17529Fixed cam and moving jaws

Description

L. W. BLAKE SURGICAL CLIP APPLICATOR July 1, 1970 2 Sheets-Sheet 1 Filed May 1, 1967 INVENTOR. LAWRENCE w. BLAKE A Home y July 7,1970 L. w. BLAKE 3,518,993

SURGICAL CLIP APPLICATOR Filed May 1, 1967 2 Sheets-Sheet 2 R Q Q N X Q N INVENTOR. LAWRENCE W BLAKE Aff'orney \\\\\\\K\\w\\\ 2 mm m 3 on 8 3 .m on on mm hm r lv m .EW 0 mm 0 7 n .ww m UHHM llpl l! p I Q United States Patent O US. Cl. 128-321 15 Claims ABSTRACT OF THE DISCLOSURE A device for applying vascular clips to blood vessels to pinch the vessel closed and stop the flow of blood. A barrel contains a slidable holder collet and spreader collet actuated by a thumb lever to grasp a clip, open the clip, close the clip and release the clip so that the clips do not have to be handled with the fingers.

BACKGROUND OF THE INVENTION In certain types of operations, many small blood vessels are cut and have to be closed to prevent excessive bleeding. Conventional pinch clips have long been used for this purpose. It has been the practice heretofore to apply and remove these clips with the fingers. In operations requiring a large number of clips, considerable time is expended in applying and removing the clips thereby adding to the tedious details which the surgeon must perform and lengthening the time that the patient must be kept under anesthesia. The clips are rather small and awkward to manipulate with the fingers. It would be desirable to simplify these manipulations and to reduce the time required to apply and remove the clips.

SUMMARY OF THE INVENTION The present device comprises an instrument for grasping, opening, closing and releasing conventional vascular pinch clips, all by a simple movement of a thumb lever on the handle of the instrument. Extending from the handle is a barrel containing a holder collet and a spreader collet for sliding movement in the barrel. Movement of the thumb lever in one direction projects the collets in position for picking up a clip. Reverse movement of the thumb lever to a neutral position retracts the collets partially into the barrel, closing the holder collet to grasp and hold the clip. Further movement beyond the neutral position then closes the spreader collet to pinch and open the clip.

As the clip is applied to the blood vessel, thumb movement in the first mentioned direction again projects the collets, first releasing the spreader collet so that the clip will close on the vessel by its own spring action, and then as the thumb lever moves back beyond its neutral position releasing the holder collet for withdrawal of the instrument. The instrument facilitates the handling of the clips to such an extent that a considerable amount of time and energy is saved in applying and removing a large number of clips, especially when the site of application of the clips is in an area of limited accessibility.

A further objective of the clip applicator is to provide a clip holding means which may be employed as a dissecting instrument for such functions as freeing small vessels from the loosely adhering tissue surrounding. The long slim shape, firm, four jaw collet, and blade-like shape of the clip, all contribute to this ability. This further enhances the utility of the device by providing, in one instrument, the ability to locate, isolate, and clipocclude small vessels.

Objects of the invention are to provide an instrument for applying spring clips and, particularly, for applying vascular clips to blood vessels in a surgical operation, to

3,518,993 Patented July 7,, 1970 provide a clip applicator which will apply and remove the clips with less effort and more quickly than can be done with the fingers, to provide a clip applicator which has a neutral position, in which mode, it simply holds the clips without requiring operator force, in which the successive functions of holding the clip, releasing the clip and opening the clip are performed by a single continuous movement of a control lever in convenient position on the handle of the instrument, to provide a clip applicator having a holder collet and a spreader collet operable in sequence by sliding movement of the collets, and to provide an instrument of the type described which may be readily disassembled for cleaning and sterilizing.

Other objects and advantages will become apparent and the invention will be better understood from the following detailed description of the preferred embodiment illustrated in the accompanying drawings. Various changes may be made, however, in the details of construction and arrangement of parts and certain features may be employed without others. All such modifications within the scope of the appended claims are included in the invention.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a longitudinal sectional view of a clip applicator embodying the principles of the invention, showing the parts in clip-holding and spreading position;

FIG. 2 is a side elevation view, with parts broken away, showing the parts in clip-releasing position;

FIG. 3 is an exploded fragmentary perspective view of the thumb lever and control rod in FIG. 1;

FIG. 4 is an enlarged view, with parts in section, showing the holder and spreader collets in extended position as in FIG. 2;

FIG. 5 is a view similar to FIG. 4, showing the collets in partially retracted position with the holder collet closed and the spreader collet still open;

FIG. 6 is a view approximately on the line 6-6 in FIG. 5, showing the collets in the same positions as in FIG. 5; and

FIG. 7 is a view similar to FIG. 6 but showing the collets in fully retracted position for holding and spreading the clip, as in FIG. 1.

DESCRIPTION OF THE PREFERRED EMBODIMENT Referring first to FIG. 1, the instrument comprises, essentially, a handle body 10 having a cylindrical barrel 11 extending from one end thereof. The handle body contains a longitudinal bore 12 in alignment with the bore of barrel 11. A cylindrical control rod 13 is slidable in these bores to open and close in sequence a holder collet 14 and a spreader collet 15, which are connected with the distal end of the control rod and project from the distal end of barrel 11.

Control rod 13 is reciprocated by a control member preferably in the form of a longitudinally extending thumb lever 20 which is pivotally mounted on a transverse pin 21 in a pair of parallel ears 22 on the upper side of body 10. The thumb lever is biased to a neutral position intermediate between its FIG. 1 and FIG. 2 positions by a cantilever leaf spring 23 secured at one end to the proximal end of body 10 by a screw 24. The free end of spring 23 bears against a flat surface 25 on the end of thumb lever 20.

The under side of handle body 10 is equipped with an elongated loop 26 to encircle the fingers of the operators hand when the handle is grasped with the thumb lying along the top side of thumb lever 20. The end of the thumb lever is equipped with a thumb loop 27 to encircle the end of the operators thumb so that he can lift the thumb lever or squeeze it down against body 10 with equal facility.

Such lifting and squeezing movements of the thumb are transmitted to control rod 13 by a rounded bell crank end 28 on thumb lever which is received in a notch 29 in the proximal end of the control rod. Thus, by applying lifting movement to thumb loop 27, the collets 14 and 15 may be projected from the end of barrel 11 as shown in FIG. 2. Then by applying downward squeezing pressure to thumb lever 20, the thumb lever is moved to its FIG. 1 position to retract the collets partially into the barrel.

As seen in FIGS. 4 to 7, holder collet 14 has a flat transverse base portion from opposite sides of which extend a pair of longitudinal spring arms 36 in the U- shaped configuration of a tuning fork. Similarly, spreader collet 15 has a transverse flat base portion 37 from the opposite sides of which extend a pair of longitudinal spring arms 38 in the U-shaped configuration of a tuning fork. The two collets are turned at right angles to each other relative to the axis of barrel 11, and base 35 of holder collet 14 fits between the arms 38 of spreader collet 15. The two collets are held in assembled relation by a threaded stud 40 on holder collet 14 which extends through a smooth bore hole 41 in base 37 of the spreader collet and is engaged in a threaded hole 42 in the distal end of control rod 13 as shown in FIG. 6.

The arms 36 of holder collet 14 terminate in a pair of opposed clamp jaws 45 equipped with confronting projections 46. Abutments 47 are spaced a short distance behind these projections. The outer sides of jaws 45 have sloping cam surfaces 50 which are engageable with the rounded end 51 of barrel 11. When the collets are fully extended as shown in FIGS. 2 and 4, the cam surfaces 50 are at, or slightly beyond, the end of the barrel whereby the outward spring action of arms 36 holds the jaws open as to grasp a clip shown in FIG. 4. When the collets are retracted into the barrel, the cam surfaces 50 slide on the rounded end 51 of the barrel causing jaws 45 to be cammed toward each other and assume a closed position as shown in FIG. 5 to clamp and hold the clip. This corresponds to the neutral position of thumb lever 20.

In a similar manner, the spreader collet spring arms 38 terminate in a pair of opposed jaws 55 and these arms and jaws are formed with sloping cam surfaces 56 on their outer sides as shown in FIG. 6. Cam surfaces 56 are spaced longitudinally in a distal direction from the cam surfaces 50 so that the spreader collet jaws will not close until after the holder collet jaws have been closed when the collets are retracted. FIG. 7 shows the closed position of jaws 55 wherein the collets are retracted to their inward limit of movement as shown in FIG. 1.

The conventional vascular pinch clip C, which is to be used with the present applicator, is made of a single strip of spring metal having a pair of fiat overlapping fingers 60 which are normally held flatly together as shown in FIG. 6 by the spring loop 61. Loop 61 is formed with two spaced apart side portions 62 which are adapted to be gripped and pinched together to open or spread the clip as shown in FIG. 7. Hence, the collet 15 which spreads the clip is referred to as a spreader collet.

FIGS. 4 to 7 illustrate the sequence of jaw movements in picking up and spreading the clip C. In FIG. 4 the collets are fully extended as in FIG. 2 and both the holder collet jasw 45 and the spreader collet jaws 55 are open to receive the clip. The clip is picked up by applying the holder collet jaws 45 to the opposite open sides of spring loop 61 with the spreader collet jaws 55 overlying the opposite sides 62 of the spring loop. Abutments 47 limit the depth of insertion of the clip in the collet jaws whereby the clip is properly positioned for gripping by the holder collet and squeezing by the spreader collet. Then, as the thumb lever is allowed to return to its neutral position, the collets are drawn into barrel 11 by control rod 13 and cam surfaces 50 close the jaws 45 of the holder collet causing projections 46 to enter the opposite open sides of spring loop 61 and provide retention for the clip as shown in FIGS. 5 and 6. The two sets of jaws are in the same relative positions in FIGS. 5 and 6.

Further retractive movement of the collets pulls cam surfaces 56 into the end of the barrel, closing the jaws 55 and pinching the opposite sides of spring loop 61 together to spread the clip fingers 60 apart as shown in FIG. 7.

FIG. 7 shows the cam surface 56 withdrawn entirely within the end 51 of the barrel 11. The clip applicator can be adapted to clips of smaller size, or to adjust the maximum opening of the clip jaws 60 by adjustably unscrewing the stud 40 from control rod 13. This will cause the maximum retracted position of control rod 13 to occur when cam surface 56 is only partially within the end 51 of the barrel 11, thus, limiting clip spreading.

When a blood vessel is placed between clip fingers 60 and control rod 13 is moved outward, or toward the right in FIG. 7, the spreader collet jaws 55 are opened first, allowing the clip to close itself on the vessel. In a similar manner, further outward movement of the control rod opens the holder collet jaws 45 so that the applicator may be removed from the clip, leaving the clip pinched on the vessel to stop the flow of blood in the vessel.

When the clip is later to be removed from the vessel, the applicator is applied to the clip as shown in FIG. 4 and the sequence of operations in FIGS. 4 to 7 is repeated. The convenience and speed afforded by this instrument will be appreciated from the fact that the sequence of movements shown in FIGS. 4 to 7 is produced by merely squeezing thumb lever 20 in one continuous movement from its FIG. 2 position to its FIG. 1 position.

The instrument is easy to take apart for cleaning and sterilizing. Removal of screw 24 and pin 21 releases spring 23 and thumb lever 20. Then control rod 13 and the two collets may be withdrawn. The collets are detached by unscrewing stud 40 from the control rod.

Having now described my invention and in what manner the same may be used, what I claim as new and desire to protect by Letters Patent is:

1. A clip applicator comprising a handle member, a pair of opposed gripping members in said handle member arranged to grip a spring clip from its opposite sides to hold the clip, a pair of opposed squeezing members in said handle member operating at right angles to said gripping members for squeezing the held portion of the clip to open the clip, a movable control member on said handle member arranged to open and close said gripping members and squeezing members, said handle member comprising a barrel, and said gripping and squeezing members being slidable in said barrel by said control member, said gripping and squeezing members having cam means thereon arranged to cooperate with said barrel for opening and closing said gripping and squeezing members in response to sliding movement in said barrel, and a control rod slidable in said barrel interconnecting said control member and said gripping and squeezing members to produce said sliding movement, said control member comprising a bell crank lever.

2. A clip applicator as defined in claim 1, including a thumb loop on said lever, said lever being movable in one direction by a squeezing movement of the operators thumb and movable in the opposite direction by a lifting movement of the operators thumb.

3. A clip applicator as defined in claim 2, including a spring arranged to bias said lever toward an intermediate portion in its range of movement.

4. A clip applicator comprising a handle, a clip holder on said handle having a pair of jaws, a clip spreader on said handle having a pair of jaws operating at right angles to said holder jaws, a movable control member on said handle arranged to open said holder and spreader jaws in sequence in one continuous movement of said control member in one direction and close said holder and spreader jaws in sequence in one continuous movement of said control member in the opposite direction, and means to bias said control member toward an intermediate position holding said holder jaws closed and said spreader jaws open.

5. A clip applicator as defined in claim 4, said holder jaws having opposed gripping faces and a pair of confronting central projections on said faces.

6. A clip applicator as defined in claim 4, said handle member comprising a barrel, and a control rod slidable in said barrel and connected with said control member for opening and closing said holder jaws and spreader aws.

7. A clip applicator as defined in claim 4, said handle member comprising a barrel, and said holder and spreader jaws being slidable in said barrel by said control member.

8. A clip applicator as defined in claim 7, said holder and spreader jaws having cam means thereon arranged to cooperate with said barrel for opening and closing said holder and spreader jaws in response to sliding movement in said barrel.

9. A clip applicator as defined in claim 8, including a control rod slidable in said barrel interconnecting said control member and said holder and spreader jaws to produce said sliding movement.

10. A clip applicator comprising a barrel, a clip holder collet having a pair of jaws slidable in one end of said barrel, a clip spreader collet having a pair of jaws at right angles to said holder jaws slidable in said one end of said barrel, means on said collets for opening and closing the collets in sequence by sliding movement in unison in said barrel, a handle on the opposite end of said barrel, and a control member on said handle for sliding said collets in said barrel.

11. A clip applicator as defined in claim 10, including a control rod slidable in said barrel, one end of said control rod being connected with said collets and the opposite end being connected with said control member.

12. A clip applicator as defined in claim 11, including a means for adjusting said collets lengthwise on said control rod.

13. A clip applicator as defined in claim 10, said opening and closing means comprising cam surfaces on the collets engageable with said barrel in different positions in said sliding movement, and means to bias said collets to a position holding said holder collet closed and said spreader collet open.

14. A clip applicator as defined in claim 11, each collet comprising a U-shaped member having a base portion connected with said control rod and a pair of spring arms having opposed jaws on their outer ends, said U-shaped members being disposed at right angles to each other relative to the axis of said rod.

15. A clip applicator comprising a barrel, a clip holder collet slidable in one end of said barrel, a clip spreader collet slidable in said one end of said barrel, means on said collets for opening and closing the collets by sliding movement in said barrel, a handle on the opposite end of said barrel, a control member on said handle for sliding said collets in said barrel, a control rod slidable in said barrel, one end of said control rod being connected with said collets and the opposite end being connected with said control member, each collet comprising a U-shaped member having a base portion connected with said control rod and a pair of spring arms having opposed jaws on their outer ends, said U-shaped members being disposed at right angles to each other relative to the axis of said rod, said means for opening and closing said collets comprising cam surfaces on the spring arms of said holder collet engageable with the end of said barrel to close the holder collet upon initial retractive movement of the collets into the barrel from an extended position, and cam surfaces on the spring arms of said spreader collet engageable with the end of said barrel to close the spreader collet upon fnrther retractive movement.

References Cited UNITED STATES PATENTS 2/1941 Jensen 294-20 3/1948 Bagge 279-51 U.S. Cl. X.R.

US3518993D 1967-05-01 1967-05-01 Surgical clip applicator Expired - Lifetime US3518993A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US63521767A true 1967-05-01 1967-05-01

Publications (1)

Publication Number Publication Date
US3518993A true US3518993A (en) 1970-07-07

Family

ID=24546940

Family Applications (1)

Application Number Title Priority Date Filing Date
US3518993D Expired - Lifetime US3518993A (en) 1967-05-01 1967-05-01 Surgical clip applicator

Country Status (1)

Country Link
US (1) US3518993A (en)

Cited By (105)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3673384A (en) * 1970-11-02 1972-06-27 Burroughs Corp Integrated circuit extractor tool
US3774438A (en) * 1969-07-29 1973-11-27 Ici Ltd Applicator for surgical clips
US3777538A (en) * 1972-03-15 1973-12-11 Weck & Co Edward Surgical clip applicator
US3916908A (en) * 1973-06-18 1975-11-04 Harry H Leveen Disposable bowel clamp and detachable applicator
US3926195A (en) * 1972-04-25 1975-12-16 Waldemar Bleier Clip, clamping jaw and assembly for the interruption of the urogenital system
US3954108A (en) * 1972-11-03 1976-05-04 Davis Hugh J Occlusion clip and instrument for applying same
US4064881A (en) * 1975-06-06 1977-12-27 Rocket Of London Limited Surgical clip applicator
US4351466A (en) * 1980-10-16 1982-09-28 United States Surgical Corporation Disposable instrument for surgical fastening
US4379457A (en) * 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
US4440170A (en) * 1979-03-06 1984-04-03 Ethicon, Inc. Surgical clip applying instrument
US4557263A (en) * 1984-01-23 1985-12-10 United States Surgical Corporation Apparatus for applying surgical clips
US4616650A (en) * 1984-07-27 1986-10-14 United States Surgical Corporation Apparatus for applying surgical clips
US4637395A (en) * 1983-10-04 1987-01-20 Aesculap-Werke Ag Applicator for C-shaped scalp clips
US4699140A (en) * 1985-07-10 1987-10-13 Iolab Corporation Instrument for inserting an intraocular lens
US4921423A (en) * 1989-02-28 1990-05-01 Tp Orthodontics, Inc. Orthodontic ligature gun
US4929239A (en) * 1987-02-16 1990-05-29 Aesculap-Werke Ag Vormals Jetter & Scheerer Device for filling the magazine of a scalp clip applicator with C-shaped scalp clips
US4931058A (en) * 1989-08-16 1990-06-05 Applied Vascular Devices, Inc. Parallel jaw spring clip and method of making same
US4932955A (en) * 1984-06-29 1990-06-12 Baxter International Inc. Clip
US5015249A (en) * 1989-12-26 1991-05-14 Nakao Naomi L Endoscopic stapling device and method
US5049153A (en) * 1989-12-26 1991-09-17 Nakao Naomi L Endoscopic stapling device and method
US5156609A (en) * 1989-12-26 1992-10-20 Nakao Naomi L Endoscopic stapling device and method
US5222961A (en) * 1989-12-26 1993-06-29 Naomi Nakao Endoscopic stapling device and related staple
EP0588584A2 (en) 1992-09-14 1994-03-23 Ethicon Inc. Sterile clips and instrument for their placement
DE4319829C1 (en) * 1993-06-16 1994-08-25 Lerch Karl Dieter Set for treating vascular deformities
WO1994024947A1 (en) * 1993-04-30 1994-11-10 Minnesota Mining And Manufacturing Company Surgical instrument having an articulated jaw structure and a detachable knife
EP0744918A1 (en) * 1994-02-14 1996-12-04 Heartport, Inc. Endoscopic microsurgical instruments and methods
US5601573A (en) * 1994-03-02 1997-02-11 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instruments and method for their placement
US5634932A (en) * 1995-10-10 1997-06-03 Industrial & Scientific Designs, Ltd. Cantilever aneurysm clip system
US5681330A (en) * 1994-03-02 1997-10-28 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instrument and method for their placement
US5792149A (en) * 1996-10-03 1998-08-11 United States Surgical Corporation Clamp applicator
US5833700A (en) * 1995-03-15 1998-11-10 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instrument and method for their placement
US5928251A (en) * 1997-09-18 1999-07-27 United States Surgical Corporation Occlusion clamp and occlusion clamp applicator
US6004341A (en) * 1996-12-05 1999-12-21 Loma Linda University Medical Center Vascular wound closure device
US6164162A (en) * 1999-01-19 2000-12-26 Furundzic; Rade Hose clamp tool
US6241740B1 (en) 1998-04-09 2001-06-05 Origin Medsystems, Inc. System and method of use for ligating and cutting tissue
US6273903B1 (en) 1999-11-08 2001-08-14 Peter J. Wilk Endoscopic stapling device and related staple
US6287322B1 (en) 1995-12-07 2001-09-11 Loma Linda University Medical Center Tissue opening locator and everter and method
US6350269B1 (en) 1999-03-01 2002-02-26 Apollo Camera, L.L.C. Ligation clip and clip applier
US6425901B1 (en) 1995-12-07 2002-07-30 Loma Linda University Medical Center Vascular wound closure system
US6494886B1 (en) 2000-06-22 2002-12-17 Granit Medical Innovation, Inc. Off-set clamp mechanism and associated method for minimally invasive surgery
US6524326B1 (en) 1995-12-07 2003-02-25 Loma Linda University Medical Center Tissue opening locator and everter and method
US20040010287A1 (en) * 1999-08-09 2004-01-15 Bonutti Peter M. Method and apparatus for securing tissue
US20040054346A1 (en) * 2000-08-02 2004-03-18 Zhu Yong Hua Vascular wound closure device and method
US6716232B1 (en) 1993-04-30 2004-04-06 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
US20040092978A1 (en) * 2002-04-15 2004-05-13 Surti Vihar C. Clip device
US6793664B2 (en) 2000-06-19 2004-09-21 Image-Guided Neurologics System and method of minimally-invasive exovascular aneurysm treatment
US6887248B2 (en) 1998-05-27 2005-05-03 Nuvasive, Inc. Bone blocks and methods for inserting bone blocks into intervertebral spaces
US6890342B2 (en) 2000-08-02 2005-05-10 Loma Linda University Method and apparatus for closing vascular puncture using hemostatic material
US20050149063A1 (en) * 2003-10-21 2005-07-07 Young Wayne P. Clip applier tool having a discharge configuration and method for use thereof
US6923814B1 (en) * 2001-10-30 2005-08-02 Nuvasive, Inc. System and methods for cervical spinal fusion
US20050222620A1 (en) * 1996-03-29 2005-10-06 Bonutti Peter M Suture anchor
US20050234512A1 (en) * 2004-04-19 2005-10-20 Nakao Naomi L Endoscopic anchoring device and associated method
US20060142799A1 (en) * 1996-11-15 2006-06-29 Bonutti Peter M Apparatus and method for use in positioning an anchor
US20060200199A1 (en) * 2005-02-22 2006-09-07 Bonutti Peter M Device and method for securing body tissue
US20070282355A1 (en) * 2006-06-01 2007-12-06 Wilson-Cook Medical Inc. Release mechanisms for a clip device
US20070293875A1 (en) * 2006-03-10 2007-12-20 Wilson-Cook Medical, Inc. Clip device and protective cap, and methods of using the protective cap and clip device with an endoscope for grasping tissue endoscopically
US20080015416A1 (en) * 2006-07-14 2008-01-17 Wilson-Cook Medical, Inc Papilla spreader
US20080021474A1 (en) * 2006-02-07 2008-01-24 Bonutti Peter M Methods and devices for intracorporeal bonding of implants with thermal energy
US20080065223A1 (en) * 2000-07-17 2008-03-13 Nuvasive, Inc. Stackable spinal support system
US20080114399A1 (en) * 2000-05-03 2008-05-15 Bonutti Peter M Method of securing body tissue
US7582095B2 (en) 1993-08-25 2009-09-01 Apollo Camera, L.L.C. Surgical ligation clip and method for use thereof
US7618423B1 (en) 2002-06-15 2009-11-17 Nuvasive, Inc. System and method for performing spinal fusion
US20100016873A1 (en) * 2006-12-05 2010-01-21 Gayzik Caroline M Combination therapy hemostatic clip
US7678125B2 (en) 2002-11-12 2010-03-16 Apollo Camera, L.L.C. Surgical ligation clip
US7726031B1 (en) * 2006-05-17 2010-06-01 Gibbs Douglas P Knife system
US7776049B1 (en) 2002-10-02 2010-08-17 Nuvasive, Inc. Spinal implant inserter, implant, and method
US7918891B1 (en) 2004-03-29 2011-04-05 Nuvasive Inc. Systems and methods for spinal fusion
US8012167B2 (en) 2003-08-14 2011-09-06 Loma Linda University Medical Center Vascular wound closure device and method
US8172870B2 (en) 2003-06-09 2012-05-08 Microline Surgical, Inc. Ligation clip applier
US8287597B1 (en) 2009-04-16 2012-10-16 Nuvasive, Inc. Method and apparatus for performing spine surgery
USD671645S1 (en) 2007-09-18 2012-11-27 Nuvasive, Inc. Intervertebral implant
US8328851B2 (en) 2005-07-28 2012-12-11 Nuvasive, Inc. Total disc replacement system and related methods
US20120318109A1 (en) * 2011-06-16 2012-12-20 Leonard Paul Parkin Device for loosening and untying knots
US8623088B1 (en) 2005-07-15 2014-01-07 Nuvasive, Inc. Spinal fusion implant and related methods
US8673005B1 (en) 2007-03-07 2014-03-18 Nuvasive, Inc. System and methods for spinal fusion
US8764774B2 (en) 2010-11-09 2014-07-01 Cook Medical Technologies Llc Clip system having tether segments for closure
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
USD721808S1 (en) 2011-11-03 2015-01-27 Nuvasive, Inc. Intervertebral implant
USD731063S1 (en) 2009-10-13 2015-06-02 Nuvasive, Inc. Spinal fusion implant
US9060767B2 (en) 2003-04-30 2015-06-23 P Tech, Llc Tissue fastener and methods for using same
US9067362B2 (en) 2000-03-13 2015-06-30 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US9149281B2 (en) 2002-03-20 2015-10-06 P Tech, Llc Robotic system for engaging a fastener with body tissue
USD741488S1 (en) 2006-07-17 2015-10-20 Nuvasive, Inc. Spinal fusion implant
US9168152B2 (en) 2008-02-29 2015-10-27 Nuvasive, Inc. Implants and methods for spinal fusion
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US9198765B1 (en) 2011-10-31 2015-12-01 Nuvasive, Inc. Expandable spinal fusion implants and related methods
US9226828B2 (en) 2004-10-26 2016-01-05 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
USD754346S1 (en) 2009-03-02 2016-04-19 Nuvasive, Inc. Spinal fusion implant
US20160128698A1 (en) * 2001-10-05 2016-05-12 Boston Scientific Scimed, Inc. Device and Method for Through the Scope Endoscopic Hemostatic Clipping
US9351845B1 (en) 2009-04-16 2016-05-31 Nuvasive, Inc. Method and apparatus for performing spine surgery
US9387090B2 (en) 2009-03-12 2016-07-12 Nuvasive, Inc. Vertebral body replacement
US9402668B2 (en) 2007-02-13 2016-08-02 P Tech, Llc Tissue fixation system and method
US9439642B2 (en) 2006-02-07 2016-09-13 P Tech, Llc Methods and devices for utilizing bondable materials
US9463012B2 (en) 2004-10-26 2016-10-11 P Tech, Llc Apparatus for guiding and positioning an implant
US9687357B2 (en) 2009-03-12 2017-06-27 Nuvasive, Inc. Vertebral body replacement
US9713465B1 (en) 2004-04-19 2017-07-25 Granit Medical Innovation Llc Surgical closure device and associated method
US9750496B2 (en) 2002-08-27 2017-09-05 P Tech, Llc System for securing a portion of a body
US9770238B2 (en) 2001-12-03 2017-09-26 P Tech, Llc Magnetic positioning apparatus
US9888916B2 (en) 2004-03-09 2018-02-13 P Tech, Llc Method and device for securing body tissue
US9986994B2 (en) 2000-03-13 2018-06-05 P Tech, Llc Method and device for securing body tissue
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2233212A (en) * 1940-07-24 1941-02-25 Jens E Jensen Electric lamp tool
US2438797A (en) * 1946-11-12 1948-03-30 Bagge Kaj Portable small hand tool vise

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2233212A (en) * 1940-07-24 1941-02-25 Jens E Jensen Electric lamp tool
US2438797A (en) * 1946-11-12 1948-03-30 Bagge Kaj Portable small hand tool vise

Cited By (204)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3774438A (en) * 1969-07-29 1973-11-27 Ici Ltd Applicator for surgical clips
US3673384A (en) * 1970-11-02 1972-06-27 Burroughs Corp Integrated circuit extractor tool
US3777538A (en) * 1972-03-15 1973-12-11 Weck & Co Edward Surgical clip applicator
US3926195A (en) * 1972-04-25 1975-12-16 Waldemar Bleier Clip, clamping jaw and assembly for the interruption of the urogenital system
US3954108A (en) * 1972-11-03 1976-05-04 Davis Hugh J Occlusion clip and instrument for applying same
US3916908A (en) * 1973-06-18 1975-11-04 Harry H Leveen Disposable bowel clamp and detachable applicator
US4064881A (en) * 1975-06-06 1977-12-27 Rocket Of London Limited Surgical clip applicator
US4440170A (en) * 1979-03-06 1984-04-03 Ethicon, Inc. Surgical clip applying instrument
US4351466A (en) * 1980-10-16 1982-09-28 United States Surgical Corporation Disposable instrument for surgical fastening
US4379457A (en) * 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
US4637395A (en) * 1983-10-04 1987-01-20 Aesculap-Werke Ag Applicator for C-shaped scalp clips
US4557263A (en) * 1984-01-23 1985-12-10 United States Surgical Corporation Apparatus for applying surgical clips
US4932955A (en) * 1984-06-29 1990-06-12 Baxter International Inc. Clip
US4616650A (en) * 1984-07-27 1986-10-14 United States Surgical Corporation Apparatus for applying surgical clips
US4699140A (en) * 1985-07-10 1987-10-13 Iolab Corporation Instrument for inserting an intraocular lens
US4929239A (en) * 1987-02-16 1990-05-29 Aesculap-Werke Ag Vormals Jetter & Scheerer Device for filling the magazine of a scalp clip applicator with C-shaped scalp clips
US4921423A (en) * 1989-02-28 1990-05-01 Tp Orthodontics, Inc. Orthodontic ligature gun
US4931058A (en) * 1989-08-16 1990-06-05 Applied Vascular Devices, Inc. Parallel jaw spring clip and method of making same
WO1991002492A1 (en) * 1989-08-16 1991-03-07 Applied Vascular Devices, Inc. Spring clip and method of making same
US5049153A (en) * 1989-12-26 1991-09-17 Nakao Naomi L Endoscopic stapling device and method
US5156609A (en) * 1989-12-26 1992-10-20 Nakao Naomi L Endoscopic stapling device and method
US5222961A (en) * 1989-12-26 1993-06-29 Naomi Nakao Endoscopic stapling device and related staple
US5015249A (en) * 1989-12-26 1991-05-14 Nakao Naomi L Endoscopic stapling device and method
EP0588584A3 (en) * 1992-09-14 1995-03-08 Ethicon Inc Sterile clips and instrument for their placement.
EP0588584A2 (en) 1992-09-14 1994-03-23 Ethicon Inc. Sterile clips and instrument for their placement
US5601574A (en) * 1992-09-14 1997-02-11 Ethicon, Inc. Sterile clips and instrument for their placement
US8066168B2 (en) 1993-04-30 2011-11-29 Tyco Healthcare Group Lp Surgical instrument having an articulated jaw structure and a detachable knife
US7658312B2 (en) 1993-04-30 2010-02-09 Vidal Claude A Surgical instrument having an articulated jaw structure and a detachable knife
US8403197B2 (en) 1993-04-30 2013-03-26 Covidien Lp Surgical instrument having an articulated jaw structure and a detachable knife
WO1994024947A1 (en) * 1993-04-30 1994-11-10 Minnesota Mining And Manufacturing Company Surgical instrument having an articulated jaw structure and a detachable knife
US20040193197A1 (en) * 1993-04-30 2004-09-30 Vidal Claude A. Surgical instrument having an articulated jaw structure and a detachable knife
US6716232B1 (en) 1993-04-30 2004-04-06 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
US5749893A (en) * 1993-04-30 1998-05-12 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
US20100114137A1 (en) * 1993-04-30 2010-05-06 Tyco Healthcare Group Lp Surgical instrument having an articulated jaw structure and a detachable knife
US5520701A (en) * 1993-06-16 1996-05-28 Lerch; Karl-Dieter Set for the treatment of vascular deformations
DE4319829C1 (en) * 1993-06-16 1994-08-25 Lerch Karl Dieter Set for treating vascular deformities
US7582095B2 (en) 1993-08-25 2009-09-01 Apollo Camera, L.L.C. Surgical ligation clip and method for use thereof
EP0744918A4 (en) * 1994-02-14 1998-02-04 Heartport Inc Endoscopic microsurgical instruments and methods
EP0744918A1 (en) * 1994-02-14 1996-12-04 Heartport, Inc. Endoscopic microsurgical instruments and methods
US5601573A (en) * 1994-03-02 1997-02-11 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instruments and method for their placement
US5681330A (en) * 1994-03-02 1997-10-28 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instrument and method for their placement
US5921997A (en) * 1994-03-02 1999-07-13 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instrument and method for their placement
US5833700A (en) * 1995-03-15 1998-11-10 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instrument and method for their placement
US5634932A (en) * 1995-10-10 1997-06-03 Industrial & Scientific Designs, Ltd. Cantilever aneurysm clip system
US6964675B2 (en) 1995-12-07 2005-11-15 Loma Linda University Medical Center Tissue opening locator and everter and method
US6287322B1 (en) 1995-12-07 2001-09-11 Loma Linda University Medical Center Tissue opening locator and everter and method
US6425901B1 (en) 1995-12-07 2002-07-30 Loma Linda University Medical Center Vascular wound closure system
US6524326B1 (en) 1995-12-07 2003-02-25 Loma Linda University Medical Center Tissue opening locator and everter and method
US20050222620A1 (en) * 1996-03-29 2005-10-06 Bonutti Peter M Suture anchor
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US5792149A (en) * 1996-10-03 1998-08-11 United States Surgical Corporation Clamp applicator
US20060142799A1 (en) * 1996-11-15 2006-06-29 Bonutti Peter M Apparatus and method for use in positioning an anchor
US6004341A (en) * 1996-12-05 1999-12-21 Loma Linda University Medical Center Vascular wound closure device
US5928251A (en) * 1997-09-18 1999-07-27 United States Surgical Corporation Occlusion clamp and occlusion clamp applicator
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
US6527786B1 (en) 1998-04-09 2003-03-04 Origin Medsystems, Inc. System and method of use for ligating and cutting tissue
US6241740B1 (en) 1998-04-09 2001-06-05 Origin Medsystems, Inc. System and method of use for ligating and cutting tissue
US20050216088A1 (en) * 1998-05-27 2005-09-29 Nu Vasive, Inc. Bone blocks and methods for inserting bone blocks into intervertebral spaces
US6887248B2 (en) 1998-05-27 2005-05-03 Nuvasive, Inc. Bone blocks and methods for inserting bone blocks into intervertebral spaces
US7776094B2 (en) 1998-05-27 2010-08-17 Nuvasive, Inc. Spinal implants and methods for inserting spinal implants into intervertebral spaces
US6164162A (en) * 1999-01-19 2000-12-26 Furundzic; Rade Hose clamp tool
US6652545B2 (en) 1999-03-01 2003-11-25 Surgicon, Inc. Ligation clip and clip applier
US7207997B2 (en) 1999-03-01 2007-04-24 Shipp John I Ligation clip and clip applier
US6350269B1 (en) 1999-03-01 2002-02-26 Apollo Camera, L.L.C. Ligation clip and clip applier
US20040106936A1 (en) * 1999-03-01 2004-06-03 Surgicon, Inc. Ligation clip and clip applier
US6652539B2 (en) 1999-03-01 2003-11-25 Surgicon, Inc. Method for applying a ligation clip
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US20040010287A1 (en) * 1999-08-09 2004-01-15 Bonutti Peter M. Method and apparatus for securing tissue
US6273903B1 (en) 1999-11-08 2001-08-14 Peter J. Wilk Endoscopic stapling device and related staple
US9986994B2 (en) 2000-03-13 2018-06-05 P Tech, Llc Method and device for securing body tissue
US9884451B2 (en) 2000-03-13 2018-02-06 P Tech, Llc Method of using ultrasonic vibration to secure body tissue
US9067362B2 (en) 2000-03-13 2015-06-30 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US8814902B2 (en) 2000-05-03 2014-08-26 Bonutti Skeletal Innovations Llc Method of securing body tissue
US20080114399A1 (en) * 2000-05-03 2008-05-15 Bonutti Peter M Method of securing body tissue
US6793664B2 (en) 2000-06-19 2004-09-21 Image-Guided Neurologics System and method of minimally-invasive exovascular aneurysm treatment
US6494886B1 (en) 2000-06-22 2002-12-17 Granit Medical Innovation, Inc. Off-set clamp mechanism and associated method for minimally invasive surgery
US7887568B2 (en) 2000-07-17 2011-02-15 Nuvasive, Inc. Stackable spinal support system and related methods
US8460384B2 (en) 2000-07-17 2013-06-11 Nuvasive, Inc. Stackable spinal support system
US8475496B2 (en) 2000-07-17 2013-07-02 Nuvasive, Inc. Stackable spinal support system
US20080065223A1 (en) * 2000-07-17 2008-03-13 Nuvasive, Inc. Stackable spinal support system
US9101484B2 (en) 2000-07-17 2015-08-11 Nuvasive, Inc. Stackable spinal support system
US20110046664A1 (en) * 2000-08-01 2011-02-24 Loma Linda University Medical Center Vascular wound closure device and method
US8491628B2 (en) 2000-08-01 2013-07-23 Loma Linda University Medical Center Vascular wound closure device and method
US6890342B2 (en) 2000-08-02 2005-05-10 Loma Linda University Method and apparatus for closing vascular puncture using hemostatic material
US9101731B2 (en) 2000-08-02 2015-08-11 Loma Linda University Medical Center Vascular wound closure device and method
US20040054346A1 (en) * 2000-08-02 2004-03-18 Zhu Yong Hua Vascular wound closure device and method
US9320505B2 (en) 2000-08-02 2016-04-26 Loma Linda University Apparatus for closing vascular puncture
US8425552B2 (en) 2000-08-02 2013-04-23 Loma Linda University Medical Center Apparatus for closing vascular puncture
US7780699B2 (en) 2000-08-02 2010-08-24 Loma Linda University Medical Center Vascular wound closure device and method
US8702750B2 (en) 2000-08-02 2014-04-22 Loma Linda University Apparatus for closing vascular puncture
US20050209637A1 (en) * 2000-08-02 2005-09-22 Zhu Yong H Apparatus for closing vascular puncture
US20160213378A1 (en) * 2001-10-05 2016-07-28 Boston Scientific Scimed, Inc. Device and Method for Through the Scope Endoscopic Hemostatic Clipping
US10172624B2 (en) * 2001-10-05 2019-01-08 Boston Scientific Scimed, Inc. Device and method for through the scope endoscopic hemostatic clipping
US10172623B2 (en) * 2001-10-05 2019-01-08 Boston Scientific Scimed, Inc. Device and method for through the scope endoscopic hemostatic clipping
US10143479B2 (en) * 2001-10-05 2018-12-04 Boston Scientific Scimed, Inc. Device and method for through the scope endoscopic hemostatic clipping
US20160143644A1 (en) * 2001-10-05 2016-05-26 Boston Scientific Scimed, Inc. Device and Method for Through the Scope Endoscopic Hemostatic Clipping
US20160128698A1 (en) * 2001-10-05 2016-05-12 Boston Scientific Scimed, Inc. Device and Method for Through the Scope Endoscopic Hemostatic Clipping
US6923814B1 (en) * 2001-10-30 2005-08-02 Nuvasive, Inc. System and methods for cervical spinal fusion
US9770238B2 (en) 2001-12-03 2017-09-26 P Tech, Llc Magnetic positioning apparatus
US9271779B2 (en) 2002-03-20 2016-03-01 P Tech, Llc Methods of using a robotic spine system
US9877793B2 (en) 2002-03-20 2018-01-30 P Tech, Llc Robotic arthroplasty system
US9192395B2 (en) 2002-03-20 2015-11-24 P Tech, Llc Robotic fastening system
US9629687B2 (en) 2002-03-20 2017-04-25 P Tech, Llc Robotic arthroplasty system
US9585725B2 (en) 2002-03-20 2017-03-07 P Tech, Llc Robotic arthroplasty system
US9486227B2 (en) 2002-03-20 2016-11-08 P Tech, Llc Robotic retractor system
US9155544B2 (en) 2002-03-20 2015-10-13 P Tech, Llc Robotic systems and methods
US9808318B2 (en) 2002-03-20 2017-11-07 P Tech, Llc Robotic arthroplasty system
US9149281B2 (en) 2002-03-20 2015-10-06 P Tech, Llc Robotic system for engaging a fastener with body tissue
US9271741B2 (en) 2002-03-20 2016-03-01 P Tech, Llc Robotic ultrasonic energy system
US20040092978A1 (en) * 2002-04-15 2004-05-13 Surti Vihar C. Clip device
US7122041B2 (en) 2002-04-15 2006-10-17 Wilson-Cook Medical Inc. Clip device
US7618423B1 (en) 2002-06-15 2009-11-17 Nuvasive, Inc. System and method for performing spinal fusion
US9750496B2 (en) 2002-08-27 2017-09-05 P Tech, Llc System for securing a portion of a body
US7776049B1 (en) 2002-10-02 2010-08-17 Nuvasive, Inc. Spinal implant inserter, implant, and method
US7678125B2 (en) 2002-11-12 2010-03-16 Apollo Camera, L.L.C. Surgical ligation clip
US8568430B2 (en) 2002-11-12 2013-10-29 Microline Surgical, Inc. Surgical ligation clip
US9060767B2 (en) 2003-04-30 2015-06-23 P Tech, Llc Tissue fastener and methods for using same
US9962162B2 (en) 2003-04-30 2018-05-08 P Tech, Llc Tissue fastener and methods for using same
US8172870B2 (en) 2003-06-09 2012-05-08 Microline Surgical, Inc. Ligation clip applier
US8012167B2 (en) 2003-08-14 2011-09-06 Loma Linda University Medical Center Vascular wound closure device and method
US9364205B2 (en) 2003-08-14 2016-06-14 Loma Linda University Medical Center Wound closure device and method
US20050149063A1 (en) * 2003-10-21 2005-07-07 Young Wayne P. Clip applier tool having a discharge configuration and method for use thereof
US7572266B2 (en) 2003-10-21 2009-08-11 Young Wayne P Clip applier tool having a discharge configuration
US9888916B2 (en) 2004-03-09 2018-02-13 P Tech, Llc Method and device for securing body tissue
US20120209388A1 (en) * 2004-03-29 2012-08-16 Nuvasive, Inc. Systems and Methods for Spinal Fusion
US20140148908A1 (en) * 2004-03-29 2014-05-29 Nuvasive, Inc. Systems and methods for spinal fusion
US8246686B1 (en) * 2004-03-29 2012-08-21 Nuvasive, Inc. Systems and methods for spinal fusion
US7918891B1 (en) 2004-03-29 2011-04-05 Nuvasive Inc. Systems and methods for spinal fusion
US8685105B2 (en) 2004-03-29 2014-04-01 Nuvasive, Inc. Systems and methods for spinal fusion
US9744053B2 (en) 2004-03-29 2017-08-29 Nuvasive, Inc. Systems and methods for spinal fusion
US8608804B2 (en) * 2004-03-29 2013-12-17 Nuvasive, Inc. Systems and methods for spinal fusion
US8574301B2 (en) 2004-03-29 2013-11-05 Nuvasive, Inc. Systems and methods for spinal fusion
US8187334B2 (en) 2004-03-29 2012-05-29 Nuvasive, Inc. System and methods for spinal fusion
US9180021B2 (en) 2004-03-29 2015-11-10 Nuvasive, Inc. Systems and methods for spinal fusion
US8361156B2 (en) * 2004-03-29 2013-01-29 Nuvasive, Inc. Systems and methods for spinal fusion
US9474627B2 (en) 2004-03-29 2016-10-25 Nuvasive, Inc. Systems and methods for spinal fusion
US8814940B2 (en) * 2004-03-29 2014-08-26 Nuvasive, Inc. Systems and methods for spinal fusion
US20130138216A1 (en) * 2004-03-29 2013-05-30 Nuvasive, Inc. Systems and Methods for Spinal Fusion
US7833238B2 (en) 2004-04-19 2010-11-16 Granit Medical Innovations, Llc Endoscopic anchoring device and associated method
US9713465B1 (en) 2004-04-19 2017-07-25 Granit Medical Innovation Llc Surgical closure device and associated method
US20050234512A1 (en) * 2004-04-19 2005-10-20 Nakao Naomi L Endoscopic anchoring device and associated method
US9980761B2 (en) 2004-10-26 2018-05-29 P Tech, Llc Tissue fixation system and method
US9545268B2 (en) 2004-10-26 2017-01-17 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US9463012B2 (en) 2004-10-26 2016-10-11 P Tech, Llc Apparatus for guiding and positioning an implant
US9579129B2 (en) 2004-10-26 2017-02-28 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9867706B2 (en) 2004-10-26 2018-01-16 P Tech, Llc Tissue fastening system
US9226828B2 (en) 2004-10-26 2016-01-05 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9271766B2 (en) 2004-10-26 2016-03-01 P Tech, Llc Devices and methods for stabilizing tissue and implants
US9814453B2 (en) 2004-10-26 2017-11-14 P Tech, Llc Deformable fastener system
US9999449B2 (en) 2004-10-26 2018-06-19 P Tech, Llc Devices and methods for stabilizing tissue and implants
US10238378B2 (en) 2004-10-26 2019-03-26 P Tech, Llc Tissue fixation system and method
US9980717B2 (en) 2005-02-22 2018-05-29 P Tech, Llc Device and method for securing body tissue
US20060200199A1 (en) * 2005-02-22 2006-09-07 Bonutti Peter M Device and method for securing body tissue
US9089323B2 (en) 2005-02-22 2015-07-28 P Tech, Llc Device and method for securing body tissue
US8623088B1 (en) 2005-07-15 2014-01-07 Nuvasive, Inc. Spinal fusion implant and related methods
US8870960B2 (en) 2005-07-28 2014-10-28 Nuvasive, Inc. Total disc replacement system and related methods
US8328851B2 (en) 2005-07-28 2012-12-11 Nuvasive, Inc. Total disc replacement system and related methods
US9168149B2 (en) 2005-07-28 2015-10-27 NaVasive, Inc. Total disc replacement system and related methods
US9610171B2 (en) 2005-07-28 2017-04-04 Nuvasive, Inc. Total disc replacement system and related methods
US20080039845A1 (en) * 2006-02-07 2008-02-14 Bonutti Peter M Methods and devices for intracorporeal bonding of implants with thermal energy
US9421005B2 (en) 2006-02-07 2016-08-23 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
US9439642B2 (en) 2006-02-07 2016-09-13 P Tech, Llc Methods and devices for utilizing bondable materials
US20080021474A1 (en) * 2006-02-07 2008-01-24 Bonutti Peter M Methods and devices for intracorporeal bonding of implants with thermal energy
US9610073B2 (en) 2006-02-07 2017-04-04 P Tech, Llc Methods and devices for intracorporeal bonding of implants with thermal energy
US20070293875A1 (en) * 2006-03-10 2007-12-20 Wilson-Cook Medical, Inc. Clip device and protective cap, and methods of using the protective cap and clip device with an endoscope for grasping tissue endoscopically
US7726031B1 (en) * 2006-05-17 2010-06-01 Gibbs Douglas P Knife system
US20070282355A1 (en) * 2006-06-01 2007-12-06 Wilson-Cook Medical Inc. Release mechanisms for a clip device
US8425412B2 (en) 2006-07-14 2013-04-23 Cook Medical Technologies Llc Papilla spreader
US20080015416A1 (en) * 2006-07-14 2008-01-17 Wilson-Cook Medical, Inc Papilla spreader
USD741488S1 (en) 2006-07-17 2015-10-20 Nuvasive, Inc. Spinal fusion implant
US8152822B2 (en) 2006-12-05 2012-04-10 Cook Medical Technologies Llc Combination therapy hemostatic clip
US20100016873A1 (en) * 2006-12-05 2010-01-21 Gayzik Caroline M Combination therapy hemostatic clip
US9402668B2 (en) 2007-02-13 2016-08-02 P Tech, Llc Tissue fixation system and method
US9918852B2 (en) 2007-03-07 2018-03-20 Nuvasive, Inc. System and methods for spinal fusion
US9486329B2 (en) 2007-03-07 2016-11-08 Nuvasive, Inc. System and methods for spinal fusion
US9186261B2 (en) 2007-03-07 2015-11-17 Nuvasive, Inc. System and methods for spinal fusion
US8673005B1 (en) 2007-03-07 2014-03-18 Nuvasive, Inc. System and methods for spinal fusion
USD671645S1 (en) 2007-09-18 2012-11-27 Nuvasive, Inc. Intervertebral implant
USD788308S1 (en) 2007-09-18 2017-05-30 Nuvasive, Inc. Intervertebral implant
USD770045S1 (en) 2007-09-18 2016-10-25 Nuvasive, Inc. Intervertebral implant
US9907672B1 (en) 2008-02-29 2018-03-06 Nuvasive, Inc. Implants and methods for spinal fusion
US9168152B2 (en) 2008-02-29 2015-10-27 Nuvasive, Inc. Implants and methods for spinal fusion
USD797934S1 (en) 2009-03-02 2017-09-19 Nuvasive, Inc. Spinal fusion implant
USD754346S1 (en) 2009-03-02 2016-04-19 Nuvasive, Inc. Spinal fusion implant
US9636233B2 (en) 2009-03-12 2017-05-02 Nuvasive, Inc. Vertebral body replacement
US9387090B2 (en) 2009-03-12 2016-07-12 Nuvasive, Inc. Vertebral body replacement
US9687357B2 (en) 2009-03-12 2017-06-27 Nuvasive, Inc. Vertebral body replacement
US9351845B1 (en) 2009-04-16 2016-05-31 Nuvasive, Inc. Method and apparatus for performing spine surgery
US9757246B1 (en) 2009-04-16 2017-09-12 Nuvasive, Inc. Methods and apparatus for performing spine surgery
US8287597B1 (en) 2009-04-16 2012-10-16 Nuvasive, Inc. Method and apparatus for performing spine surgery
US9192482B1 (en) 2009-04-16 2015-11-24 Nuvasive, Inc. Methods and apparatus for performing spine surgery
US8920500B1 (en) 2009-04-16 2014-12-30 Nuvasive, Inc. Methods and apparatus for performing spine surgery
USD731063S1 (en) 2009-10-13 2015-06-02 Nuvasive, Inc. Spinal fusion implant
US8764774B2 (en) 2010-11-09 2014-07-01 Cook Medical Technologies Llc Clip system having tether segments for closure
US8627751B2 (en) * 2011-06-16 2014-01-14 Leonard Paul Parkin Device for loosening and untying knots
US20120318109A1 (en) * 2011-06-16 2012-12-20 Leonard Paul Parkin Device for loosening and untying knots
US9655744B1 (en) 2011-10-31 2017-05-23 Nuvasive, Inc. Expandable spinal fusion implants and related methods
US9198765B1 (en) 2011-10-31 2015-12-01 Nuvasive, Inc. Expandable spinal fusion implants and related methods
USD759248S1 (en) 2011-11-03 2016-06-14 Nuvasive, Inc. Intervertebral implant
USD791949S1 (en) 2011-11-03 2017-07-11 Nuvasive, Inc. Intervertebral implant
USD721808S1 (en) 2011-11-03 2015-01-27 Nuvasive, Inc. Intervertebral implant
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization

Similar Documents

Publication Publication Date Title
US3326216A (en) Hemostatic clip constructions
US3372477A (en) Surgical suture extractor
US3037619A (en) Suture devices
US5176691A (en) Knot pusher
US4425915A (en) Surgical clip applier with in-line cartridge and interruptable biased feeder
EP0595892B1 (en) Surgical stitching instrument
US4563833A (en) Fish holding device
US2518994A (en) Forceps
US5779718A (en) Method of anastomosing a vessel using a surgical clip applier
US3687138A (en) Repeating ligature gun
US4512345A (en) Surgical clip applying apparatus, and clips and clip train for use therein
US6896686B2 (en) Arthroscopic suture passing instrument
US5665097A (en) Clip applicator
US5630825A (en) Magazine for loading a needle onto a stitching instrument and for loading a length of suture onto a suture dispensing instrument
US4500024A (en) Multiple clip applier
US2880728A (en) Ligature inserter
US5733293A (en) Disposable loading unit for a vascular suturing instrument
US4557263A (en) Apparatus for applying surgical clips
US5542949A (en) Multifunctional clip applier instrument
EP0003668A2 (en) Improved microsurgical instruments
EP1027866B1 (en) Surgical suturing apparatus loading mechanism
US20040097976A1 (en) Suture grasping device
US4611595A (en) Spring activated hemostatic clip applicator
US6086606A (en) Manually-operable surgical tool suitable for laparoscopic operations, readily adaptable for different functions by quick change of tissue-contacting operational elements
US5397325A (en) Laparoscopic suturing device

Legal Events

Date Code Title Description
AS Assignment

Owner name: BAXTER TRAVENOL LABORATORIES, INC. A CORP. OF DE

Free format text: MERGER;ASSIGNOR:AMERICAN HOSPITAL SUPPLY CORPORATION INTO;REEL/FRAME:004760/0345

Effective date: 19870126

AS Assignment

Owner name: BAXTER INTERNATIONAL INC.

Free format text: CHANGE OF NAME;ASSIGNOR:BAXTER TRAVENOL LABORATORIES, INC., A CORP. OF DE;REEL/FRAME:005050/0870

Effective date: 19880518