US3776237A - Surgical tool and method of providing a surgical opening - Google Patents

Surgical tool and method of providing a surgical opening Download PDF

Info

Publication number
US3776237A
US3776237A US3776237DA US3776237A US 3776237 A US3776237 A US 3776237A US 3776237D A US3776237D A US 3776237DA US 3776237 A US3776237 A US 3776237A
Authority
US
United States
Prior art keywords
casing
end
knife edge
plunger
anvil
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
J Hill
T Robinson
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.)
Tecna Corp
Original Assignee
Tecna 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 Tecna Corp filed Critical Tecna Corp
Priority to US25248272A priority Critical
Application granted granted Critical
Publication of US3776237A publication Critical patent/US3776237A/en
Anticipated expiration legal-status Critical
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
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/32053Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • 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
    • A61B2017/1107Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels

Abstract

A surgical tool especially for providing a circular opening in a wall such as that of a blood vessel has an outer, circularcylindrical casing having a longitudinal axis and having a circular knife edge at one end. A plunger is axially movable within the casing by a rod extending transversely through the plunger and through longitudinal slots in the casing. A spring, abutting the end of the plunger and an end of the casing, urges the plunger toward the one end of the casing. A reduced stem at an adjacent end of the plunger carries a circular disk anvil of greater diameter than the knife edge and in the path thereof.

Description

[ Dec. 4, 1973 SURGICAL TOOL AND METHOD OF PROVIDING A SURGICAL OPENING Inventors: J. Donald Hill; Thomas C. Robinson,

both of San Francisco, Calif.

Assignee: Tecna Corporation, Emeryville,

Calif.

Filed: May 11, 1972 App]. 1%.; 252,482

US. Cl. 128/305 OTHER PUBLICATIONS Journal of Thoracic and Cardiovascular Surgery Vol. 61, No. 5, May 1971, Pages 705-709.

Primary Examiner-Lucie H. Laudenslager Att0rneyMarcus Lothrop et al.

[57] ABSTRACT A surgical tool especially for providing a circular opening in a wall such as that of a. blood vessel has an outer, circular-cylindrical casing having a longitudinal axis and having a circular knife edge at one end. A plunger is axially movable within the casing by a rod extending transversely through the plunger and through longitudinal slots in the casing. A spring, abutting the end of the plunger and an end of the casing, urges the plunger toward the one end of the casing. A reduced stem at an adjacent end of the plunger carries a circular disk anvil of greater diameter than the knife edge and in the path thereof.

5 Claims, 4 Drawing Figures PMENIEDHEB 4 :975

FIG 4 SURGICAL TOOL AND METHOD OF PROVIDING A SURGICAL OPENING A circular opening is provided in a vessel wall by first making a straight incision from the outside through the wall and somewhat shorter than the diameter of the opening, then inserting an anvil of larger diameter than the opening through said incision and into supporting abutment with the inside of the wall and then forcing a circular knife of the diameter of the opening through the wall from the outside and into contact with the anvil and encircling the straight incision.

In many surgical procedures, particularly those involving the area of the heart and various of the coronary arteries and 'veins especially the aorta or heart wall itself, it is necessary to attach a substitute or supplementary blood vessel to the heart or one of the existing vessels. This is done by providing an opening in the wall of one of the vessels to the marginsof which the end of the other vessel is sutured. Obviously, the annular junction must be liquid tight. But there is considerable difficulty in making a certain, leakproof connection since often the opening in the wall of one of the vessels is somewhat irregular or requires a great deal of manipulation and lengthy preparation in order to be made reasonably regular and so afford a proper junction.

It is therefore an object of our invention to provide a surgical tool that can quickly and readily be used during an operation for preparing, in each instance, a completely regular and smooth-margined opening in a walled vessel such as a blood vessel.

Another object of the invention is to provide a surgical tool that is sufficiently simple and inexpensive so that it can be discarded after use at one operation.

Another object of the invention is to provide a surgical tool that can quite readily be handled and sterilized.

An additional object of the invention is to provide a surgical tool that can easily and readily be manipulated even by one hand of the surgeon to provide an appropriate vessel wall opening.

A further object of the invention is in general to provide a useful and improved surgical tool.

A further object of the invention is to afford a method of providing a surgical opening in a walled vessel.

Other objects, together with the foregoing, are attained in the embodiment of the invention and the practice of the method set forth in the accompanying description and generally illustrated in the accompanying drawings, in which:

FIG. 1 is an elevation of a portion of a typical walled vessel illustrating the preparation thereof for the use of the surgical tool and indicating the bounds of the cut to be made therein;

FIG. 2 is a cross-section on an axial, longitudinal plane showing the internal construction of the tool of the invention;

FIG. 3 is an enlarged view similar to FIG. 2 and showing the tool in position at the operating site; and

FIG. 4 is a view similar to FIG. 1 but showing the result of the use of the tool.

As an example, it can be assumed that there is to be attached to a blood vessel 5 of substantial size and typically in the region of the heart, or even to the heart itself, a connecting vessel disposed at substantially a right angle and having a diameter represented by the broken line circle 6 in FIG. 1. To provide an opening 7 corresponding to the circle 6 there is afforded a tool,

as especially illustrated in FIGS. 2 and 3, including an outer, circular-cylindrical or tubular casing 8 symmetrical about a longitudinally extending, central axis 9.

The casing 8 like most of the remaining parts of the structure is of a metal or comparable material which can readily withstand the normal sterilizing techniques yet will be stable for at least a few uses prior to discard.

The casing 8 is pierced between its ends with a pair of longitudinally extending, side slots 11 and 12. Through the slots extends a rod 1.3 of sufficient length to project a considerable distance on either side of the casing. The rod is pressed into and is firmly lodged in an axially extending, circular-cylindrical plunger 14 designed to reciprocate readily within the casing. The rod has central knurling or roughening 16 in order that it will retain its assembled position.

The plunger 14 is provided with a flat surface 17 at one end against which abuts a coil expansion 18. The other end of the spring abuts a bridge 19 at the outer end of the casing remaining after the circularcylindrical, closed end tube has been provided with the slots 11 and 12. The effect is that the spring 18 urges the plunger and the rod 13 toward one end of the grooves 11 and 12 at which the casing serves as a stop.

Adjacent its open end the casing 8 is provided with a knife edge 21 of the diameter of the circle 6 and of the eventual opening 7. Preferably, although not necessarily, this edge is of a continuous, circular contour centered on the axis 9. While the easing 8 itself can be directly provided with such edge, it is usually preferred to form the casing 8 with a counter bore 22. Into this is set or pressed the hub 23 of a knife ring 24 usually of a material which can quite readily be hardened and ground to afford an extremely sharp knife edge 21.

To cooperate with the knife edge the plunger 14 is extended and is provided with a reduced stem 26 conveniently integral with the plunger 14. The stem has a relatively small, concentric configuration enlarged to provide a generally circular, disk-like anvil 27. The extent of the knife edge 21 is made whatever predetermined value and contour is selected to produce an opening 7 of the size and shape desired. The anvil 27 is made of a diameter or extent somewhat greater than that of the knife edge 21 so that the anvil is in the path of the knife edge. While reference is made to diameters and to a circular knife edge and a circular anvil, it is possible to make these parts of different configurations such as diamond-shaped or square and the like. It is also possible to serrate or interrupt the knife edge 21 or to provide undulations on the anvil 27. The main concern is to have the knife edge 21 in apposition to or in the path of the anvil 27.

While the knife 21 can engage the base material of the anvil directly, it is usually preferred to dip or otherwise provide the anvil 27 with a superficial coating 28 of a relatively soft, readily sterilizable material such as Teflon. While the soft surface need be only on that part of the anvil immediately adjacent the edge 21, it is usually easier to coat the whole anvil and that construction is illustrated.

In the use of the surgical tool and in the practice of the method of the invention, the operator first, having a blood vessel 5 available, makes a cut 31 or incision therein from the outside. The cut is of a rectilinear nature, the length of the out being somewhat less than the diameter of the anvil 27 and especially somewhat less than the predetermined diameter of the circle 6 and of the knife edge 21. Having made such a cut through the vessel wall, the operator takes the tool and with the bridge 19 against his hand and with his fingers in engagement with the rod 13 on opposite sides of the casing, manipulates the tool so as to insert the anvil 27 through the somewhat smaller cut 31. it is possible to do this since the vessel wall is sufficiently deformable and elastic to pass the somewhat larger anvil 27 from the outside thereof through the cut and into the inside of the vessel or to the other side of the vessel wall.

The operator then pulls the anvil 27 generally to abut against the interior or nether surface of the vessel or wall to serve as a basis for cutting. In so doing he arranges the trace or outline of the anvil 27 substantially as shown by the broken line 6 in FIG. 1, being sure to bracket the ends of the somewhat shorter cut 31. There is some distortion of the out since it must bulge around the reduced stem 26, but the stem size is made small enough so that there is only inconsequential distortion.

The operator then, in effect, holds the rod 13 and depresses the bridge 19 and the casing 8 with respect thereto by an axial movement which compresses the spring 18. The knife edge 21 is thus moved toward and into contact with the adjacent surface of the anvil 27 and engages and severs the vessel wall in a clean, regular and precisely-sized cut 7, as shown in FIG. 4, to result in a detached disk 32. The operator removes the tool from its site while relaxing the spring 18. He not only removes the tool but also removes with it the severed disk 32 containing the cut 31 embracing the stem 26.

Removal of the tool is easy since the material of the vessel wall is sufficiently elastic and yielding to permit the anvil to be maneuvered out of its position within the vessel.

There is very quickly and accurately provided an opening 7, as desired, with the detached vessel wall disk 32 trapped and carried away from the site by the tool. The disk is either readily removable if the tool is to be used again or is discarded along with the tool.

What is claimed is:

1. A surgical tool especially for use with a blood vessel comprising a casing having a longitudinal axis, means defining a coaxial knife edge at one end of said casing and having a predetermined diameter, a plunger movable axially within said casing, a stem fixed on said plunger and adapted to project axially beyond said end of said casing, and a coaxial anvil fixed on said stem and having a surface normal to said axis and exposed to said knife edge, said surface being disposed in the longitudinal path of said knife edge, said anvil being a blunt-edge disc having a diameter larger than said predetermined diameter.

2. A device as in claim 1 including means for urging said anvil away from said knife edge.

3. A device as in claim 2 in which said urging means includes a spring within said casing and inter-posed between and abutting against one end of said plunger and an end of said casing.

4. A device as in claim 1 in which said knife edge defining means is a separate, conical piece mounted on said casing at one end thereof.

5. A device as in claim 1 including a soft coating on at least the portion of said anvilfacing said knife edge.

Claims (5)

1. A surgical tool especially for use with a blood vessel comprising a casing having a longitudinal axis, means defining a coaxial knife edge at one end of said casing and having a predetermined diameter, a plunger movable axially within said casing, a stem fixed on said plunger and adapted to project axially beyond said end of said casing, and a coaxial anvil fixed on said stem and having a surface normal to said axis and exposed to said knife edge, said surface being disposed in the longitudinal path of said knife edge, said anvil being a bluntedge disc having a diameter larger than said predetermined diameter.
2. A device as in claim 1 including means for urging said anvil away from said knife edge.
3. A device as in claim 2 in which said urging means includes a spring within said casing and inter-posed between and abutting against one end of said plunger and an end of said casing.
4. A device as in claim 1 in which said knife edge defining means is a separate, conical piece mounted on said casing at one end thereof.
5. A device as in claim 1 including a soft coating on at least the portion of said anvil facing said knife edge.
US3776237D 1972-05-11 1972-05-11 Surgical tool and method of providing a surgical opening Expired - Lifetime US3776237A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US25248272A true 1972-05-11 1972-05-11

Publications (1)

Publication Number Publication Date
US3776237A true US3776237A (en) 1973-12-04

Family

ID=22956192

Family Applications (1)

Application Number Title Priority Date Filing Date
US3776237D Expired - Lifetime US3776237A (en) 1972-05-11 1972-05-11 Surgical tool and method of providing a surgical opening

Country Status (1)

Country Link
US (1) US3776237A (en)

Cited By (83)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4018228A (en) * 1975-02-24 1977-04-19 Goosen Carl C Surgical punch apparatus
DE2850987A1 (en) * 1978-05-19 1979-11-22 Thoratec Lab Corp Disposable aorta-hole dancing device
EP0141536A1 (en) * 1983-10-13 1985-05-15 Wertheimer Ltd. An abdominal wall aperturing device
US4641651A (en) * 1983-09-22 1987-02-10 Card George W Cartilage punch and modified prosthesis in tympanoplasty
US4790312A (en) * 1987-01-20 1988-12-13 Becton Dickinson Acutecare, Inc. Surgical knife
US5129913A (en) * 1990-10-04 1992-07-14 Norbert Ruppert Surgical punch apparatus
US5192294A (en) * 1989-05-02 1993-03-09 Blake Joseph W Iii Disposable vascular punch
EP0712609A1 (en) * 1994-11-18 1996-05-22 Mohsin Al-Tameem Device for excision of a fistula and method for using same
WO1998042262A1 (en) 1997-03-26 1998-10-01 Perclose, Inc. Device and method for suturing tissue
WO1999059482A1 (en) * 1998-05-15 1999-11-25 Sulzer Carbomedics Inc. Apparatus and method for cutting a heart valve annulus
US6022367A (en) * 1997-06-18 2000-02-08 United States Surgical Surgical apparatus for forming a hole in a blood vessel
US6036710A (en) * 1996-10-04 2000-03-14 United States Surgical Apparatus for formation of a hole in a blood vessel
US6190396B1 (en) 1999-09-14 2001-02-20 Perclose, Inc. Device and method for deploying and organizing sutures for anastomotic and other attachments
US6355050B1 (en) 1992-12-10 2002-03-12 Abbott Laboratories Device and method for suturing tissue
US6358258B1 (en) 1999-09-14 2002-03-19 Abbott Laboratories Device and method for performing end-to-side anastomosis
WO2002032324A2 (en) * 2000-10-18 2002-04-25 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
WO2003009742A2 (en) 2001-07-25 2003-02-06 Rkl Technologies, Inc. Actuating handle for a surgical instrument
US6517553B2 (en) 1993-11-08 2003-02-11 Abbott Laboratories Device and method for suturing of internal puncture sites
US6551334B2 (en) 1999-04-16 2003-04-22 Integrated Vascular Interventional Technologies, Lc Externally directed anastomosis systems and externally positioned anastomosis fenestra cutting apparatus
US6558399B1 (en) 2000-06-30 2003-05-06 Abbott Laboratories Devices and method for handling a plurality of suture elements during a suturing procedure
US6623494B1 (en) 1999-04-16 2003-09-23 Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) Methods and systems for intraluminally directed vascular anastomosis
US6626921B2 (en) 1999-04-16 2003-09-30 Integrated Vascular Interventional Technologies, L.C. Externally positioned anvil apparatus for cutting anastomosis
US6652542B2 (en) 1999-04-16 2003-11-25 Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) External anastomosis operators and related systems for anastomosis
US6676678B2 (en) * 1995-02-24 2004-01-13 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US6695859B1 (en) 1999-04-05 2004-02-24 Coalescent Surgical, Inc. Apparatus and methods for anastomosis
US6726694B2 (en) 1999-04-16 2004-04-27 Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) Intraluminally directed anvil apparatus and related methods and systems
US6726704B1 (en) 1998-05-29 2004-04-27 By-Pass, Inc. Advanced closure device
US6730102B1 (en) 2000-11-06 2004-05-04 Abbott Laboratories Systems, devices and methods for deploying needles
US20040092998A1 (en) * 2001-10-18 2004-05-13 Kevin Sniffin Anastomosis instrument and method for performing same
US6743244B2 (en) 1999-04-16 2004-06-01 Integrated Vascular Interventional Technologies, L.C. Soft anvil apparatus for cutting anastomosis fenestra
US6814743B2 (en) 2001-12-26 2004-11-09 Origin Medsystems, Inc. Temporary seal and method for facilitating anastomosis
US20050154411A1 (en) * 2001-08-23 2005-07-14 Breznock Eugene M. Method and apparatus for trephinating body vessels and hollow organ walls
US6964668B2 (en) 1999-03-04 2005-11-15 Abbott Laboratories Articulating suturing device and method
US6979338B1 (en) 1998-05-29 2005-12-27 By-Pass Inc. Low profile anastomosis connector
US7001400B1 (en) 1999-03-04 2006-02-21 Abbott Laboratories Articulating suturing device and method
US7022131B1 (en) 1998-05-29 2006-04-04 By-Pass Inc. Methods and devices for vascular surgery
US7029481B1 (en) 2000-11-06 2006-04-18 Abbott Laboratories Systems, devices and methods for suturing patient tissue
US7063711B1 (en) 1998-05-29 2006-06-20 By-Pass, Inc. Vascular surgery
US7195142B2 (en) 2003-05-30 2007-03-27 Tyco Healthcare Group Lp End-to-end anastomosis instrument and method for performing same
US7235087B2 (en) 1999-03-04 2007-06-26 Abbott Park Articulating suturing device and method
US20070167968A1 (en) * 2006-01-13 2007-07-19 Rajesh Pandey Surgical tool for coring precise holes and providing for retrieval of tissue
US7258694B1 (en) 2002-06-17 2007-08-21 Origin Medsystems, Inc. Medical punch and surgical procedure
US7390328B2 (en) 2003-12-19 2008-06-24 Abbott Laboratories Device and method for suturing of internal puncture sites
US7445626B2 (en) 1992-12-10 2008-11-04 Abbott Laboratories Device and method for suturing tissue
US7462188B2 (en) 2003-09-26 2008-12-09 Abbott Laboratories Device and method for suturing intracardiac defects
US7547313B2 (en) 1998-06-03 2009-06-16 Medtronic, Inc. Tissue connector apparatus and methods
US7635385B2 (en) 1996-07-23 2009-12-22 Keith Milliman Anastomosis instrument and method for performing same
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US7744611B2 (en) 2000-10-10 2010-06-29 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US7743958B2 (en) 2002-05-31 2010-06-29 Tyco Healthcare Group Lp End-to-end anastomosis instrument and method for performing same
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
US7842049B2 (en) 2002-12-31 2010-11-30 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US7842047B2 (en) 1999-03-04 2010-11-30 Abbott Laboratories Articulating suturing device and method
US7842048B2 (en) 2006-08-18 2010-11-30 Abbott Laboratories Articulating suture device and method
US7879047B2 (en) 2003-12-10 2011-02-01 Medtronic, Inc. Surgical connection apparatus and methods
US7883517B2 (en) 2005-08-08 2011-02-08 Abbott Laboratories Vascular suturing device
US7896892B2 (en) 2000-03-31 2011-03-01 Medtronic, Inc. Multiple bias surgical fastener
US7901417B2 (en) 1999-04-16 2011-03-08 Vital Access Corporation Systems for forming an anastomosis with an anvil and an apparatus having at least one guide
US20110100173A1 (en) * 2004-06-23 2011-05-05 Biomet Sports Medicine, Llc Method and Apparatus for Sizing a Material
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
US8029519B2 (en) 2003-08-22 2011-10-04 Medtronic, Inc. Eversion apparatus and methods
US8048108B2 (en) 2005-08-24 2011-11-01 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8083754B2 (en) 2005-08-08 2011-12-27 Abbott Laboratories Vascular suturing device with needle capture
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
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
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
US8267947B2 (en) 2005-08-08 2012-09-18 Abbott Laboratories Vascular suturing device
US8394114B2 (en) 2003-09-26 2013-03-12 Medtronic, Inc. Surgical connection apparatus and methods
US8419753B2 (en) 2003-12-23 2013-04-16 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1052374A (en) * 1912-07-17 1913-02-04 Henry A Parr Combination dental and surgical tool.
US2818852A (en) * 1956-06-27 1958-01-07 Heinz W Kugler Spring-pressed surgical instrument
US3104666A (en) * 1962-11-02 1963-09-24 Myron T Hale Surgical instrument for performing a tracheotomy
US3701352A (en) * 1970-12-01 1972-10-31 Nathaniel L Bosworth Abdominal wall punch

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1052374A (en) * 1912-07-17 1913-02-04 Henry A Parr Combination dental and surgical tool.
US2818852A (en) * 1956-06-27 1958-01-07 Heinz W Kugler Spring-pressed surgical instrument
US3104666A (en) * 1962-11-02 1963-09-24 Myron T Hale Surgical instrument for performing a tracheotomy
US3701352A (en) * 1970-12-01 1972-10-31 Nathaniel L Bosworth Abdominal wall punch

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Journal of Thoracic and Cardiovascular Surgery Vol. 61, No. 5, May 1971, Pages 705 709. *

Cited By (141)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4018228A (en) * 1975-02-24 1977-04-19 Goosen Carl C Surgical punch apparatus
DE2850987A1 (en) * 1978-05-19 1979-11-22 Thoratec Lab Corp Disposable aorta-hole dancing device
US4216776A (en) * 1978-05-19 1980-08-12 Thoratec Laboratories Corporation Disposable aortic perforator
US4641651A (en) * 1983-09-22 1987-02-10 Card George W Cartilage punch and modified prosthesis in tympanoplasty
EP0141536A1 (en) * 1983-10-13 1985-05-15 Wertheimer Ltd. An abdominal wall aperturing device
US4790312A (en) * 1987-01-20 1988-12-13 Becton Dickinson Acutecare, Inc. Surgical knife
US5192294A (en) * 1989-05-02 1993-03-09 Blake Joseph W Iii Disposable vascular punch
US5129913A (en) * 1990-10-04 1992-07-14 Norbert Ruppert Surgical punch apparatus
US6036699A (en) * 1992-12-10 2000-03-14 Perclose, Inc. Device and method for suturing tissue
US6355050B1 (en) 1992-12-10 2002-03-12 Abbott Laboratories Device and method for suturing tissue
US7445626B2 (en) 1992-12-10 2008-11-04 Abbott Laboratories Device and method for suturing tissue
US6517553B2 (en) 1993-11-08 2003-02-11 Abbott Laboratories Device and method for suturing of internal puncture sites
AU698128B2 (en) * 1994-11-18 1998-10-22 Mohsin Al-Tameem Device for excision of a fistula and method of using same
EP0712609A1 (en) * 1994-11-18 1996-05-22 Mohsin Al-Tameem Device for excision of a fistula and method for using same
US5643305A (en) * 1994-11-18 1997-07-01 Al-Tameem; Moshin Device for excision of a fistula
US5628762A (en) * 1994-11-18 1997-05-13 Al-Tameem; Moshin Method of using a device for excision of a fistula
US6676678B2 (en) * 1995-02-24 2004-01-13 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US7635385B2 (en) 1996-07-23 2009-12-22 Keith Milliman Anastomosis instrument and method for performing same
US6036710A (en) * 1996-10-04 2000-03-14 United States Surgical Apparatus for formation of a hole in a blood vessel
WO1998042262A1 (en) 1997-03-26 1998-10-01 Perclose, Inc. Device and method for suturing tissue
US6022367A (en) * 1997-06-18 2000-02-08 United States Surgical Surgical apparatus for forming a hole in a blood vessel
WO1999059482A1 (en) * 1998-05-15 1999-11-25 Sulzer Carbomedics Inc. Apparatus and method for cutting a heart valve annulus
US6033419A (en) * 1998-05-15 2000-03-07 Sulzer Carbomedics Inc. Apparatus and method for cutting a heart valve annulus
US6979338B1 (en) 1998-05-29 2005-12-27 By-Pass Inc. Low profile anastomosis connector
US7022131B1 (en) 1998-05-29 2006-04-04 By-Pass Inc. Methods and devices for vascular surgery
US6726704B1 (en) 1998-05-29 2004-04-27 By-Pass, Inc. Advanced closure device
US7063711B1 (en) 1998-05-29 2006-06-20 By-Pass, Inc. Vascular surgery
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
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
US7892255B2 (en) 1999-03-01 2011-02-22 Medtronic, Inc. Tissue connector apparatus and methods
US8353921B2 (en) 1999-03-01 2013-01-15 Medtronic, Inc Tissue connector apparatus and methods
US8118822B2 (en) 1999-03-01 2012-02-21 Medtronic, Inc. Bridge clip tissue connector apparatus and methods
US7722643B2 (en) 1999-03-01 2010-05-25 Medtronic, Inc. Tissue connector apparatus and methods
US9282960B2 (en) 1999-03-04 2016-03-15 Abbott Laboratories Articulating suturing device and method
US7837696B2 (en) 1999-03-04 2010-11-23 Abbott Laboratories Articulating suturing device and method
US6964668B2 (en) 1999-03-04 2005-11-15 Abbott Laboratories Articulating suturing device and method
US8172860B2 (en) 1999-03-04 2012-05-08 Abbott Laboratories Articulating suturing device and method
US8663248B2 (en) 1999-03-04 2014-03-04 Abbott Laboratories Articulating suturing device and method
US9301747B2 (en) 1999-03-04 2016-04-05 Abbott Laboratories Articulating suturing device and method
US7846170B2 (en) 1999-03-04 2010-12-07 Abbott Laboratories Articulating suturing device and method
US9993237B2 (en) 1999-03-04 2018-06-12 Abbott Laboratories Articulating suturing device and method
US8038688B2 (en) 1999-03-04 2011-10-18 Abbott Laboratories Articulating suturing device and method
US8048092B2 (en) 1999-03-04 2011-11-01 Abbott Laboratories Articulating suturing device and method
US7001400B1 (en) 1999-03-04 2006-02-21 Abbott Laboratories Articulating suturing device and method
US8057491B2 (en) 1999-03-04 2011-11-15 Abbott Laboratories Articulating suturing device and method
US7842047B2 (en) 1999-03-04 2010-11-30 Abbott Laboratories Articulating suturing device and method
US7235087B2 (en) 1999-03-04 2007-06-26 Abbott Park Articulating suturing device and method
US7850701B2 (en) 1999-03-04 2010-12-14 Abbott Laboratories Articulating suturing device and method
US8323298B2 (en) 1999-03-04 2012-12-04 Abbott Laboratories Articulating suturing device and method
US7938840B2 (en) 1999-04-05 2011-05-10 Medtronic, Inc. Apparatus and methods for anastomosis
US6695859B1 (en) 1999-04-05 2004-02-24 Coalescent Surgical, Inc. Apparatus and methods for anastomosis
US8211131B2 (en) 1999-04-05 2012-07-03 Medtronic, Inc. Apparatus and methods for anastomosis
US6626921B2 (en) 1999-04-16 2003-09-30 Integrated Vascular Interventional Technologies, L.C. Externally positioned anvil apparatus for cutting anastomosis
US7901417B2 (en) 1999-04-16 2011-03-08 Vital Access Corporation Systems for forming an anastomosis with an anvil and an apparatus having at least one guide
US6551334B2 (en) 1999-04-16 2003-04-22 Integrated Vascular Interventional Technologies, Lc Externally directed anastomosis systems and externally positioned anastomosis fenestra cutting apparatus
US6623494B1 (en) 1999-04-16 2003-09-23 Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) Methods and systems for intraluminally directed vascular anastomosis
US7922734B2 (en) 1999-04-16 2011-04-12 Vital Access Corporation Methods for forming an anastomosis with a vessel having everted tissue
US8109949B2 (en) 1999-04-16 2012-02-07 Vital Access Corporation Systems for forming an anastomosis
US7220268B2 (en) 1999-04-16 2007-05-22 Integrated Vascular Interventional Technologies, L.C. (Ivit Lc) Methods for anastomosis of a graft vessel to a side of a receiving vessel
US6743244B2 (en) 1999-04-16 2004-06-01 Integrated Vascular Interventional Technologies, L.C. Soft anvil apparatus for cutting anastomosis fenestra
US6652542B2 (en) 1999-04-16 2003-11-25 Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) External anastomosis operators and related systems for anastomosis
US7981126B2 (en) 1999-04-16 2011-07-19 Vital Access Corporation Locking compression plate anastomosis apparatus
US8034064B2 (en) 1999-04-16 2011-10-11 Vital Access Corporation Methods for forming an anastomosis opening in a side of a blood vessel
US6726694B2 (en) 1999-04-16 2004-04-27 Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) Intraluminally directed anvil apparatus and related methods and systems
US8529583B1 (en) 1999-09-03 2013-09-10 Medtronic, Inc. Surgical clip removal apparatus
US6358258B1 (en) 1999-09-14 2002-03-19 Abbott Laboratories Device and method for performing end-to-side anastomosis
US7048747B2 (en) 1999-09-14 2006-05-23 Abbott Laboratories Device and method for performing end-to-side anastomosis
US6190396B1 (en) 1999-09-14 2001-02-20 Perclose, Inc. Device and method for deploying and organizing sutures for anastomotic and other attachments
US7896892B2 (en) 2000-03-31 2011-03-01 Medtronic, Inc. Multiple bias surgical fastener
US8353092B2 (en) 2000-03-31 2013-01-15 Medtronic, Inc. Multiple bias surgical fastener
US6558399B1 (en) 2000-06-30 2003-05-06 Abbott Laboratories Devices and method for handling a plurality of suture elements during a suturing procedure
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
WO2002032324A2 (en) * 2000-10-18 2002-04-25 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
WO2002032324A3 (en) * 2000-10-18 2002-08-08 Scott E Manzo Anastomosis instrument and method for performing same
AU2002214616B2 (en) * 2000-10-18 2005-06-30 Covidien Lp Anastomosis instrument and method for performing same
US7377927B2 (en) 2000-11-06 2008-05-27 Abbott Laboratories Systems, devices and methods for suturing patient tissue
US7029481B1 (en) 2000-11-06 2006-04-18 Abbott Laboratories Systems, devices and methods for suturing patient tissue
US6730102B1 (en) 2000-11-06 2004-05-04 Abbott Laboratories Systems, devices and methods for deploying needles
US6652552B2 (en) 2001-07-25 2003-11-25 Rkl Technologies, Inc. Actuating handle for a surgical instrument
US20040199195A1 (en) * 2001-07-25 2004-10-07 Dumontelle Jeffrey P Actuating handle for a surgical instrument
WO2003009742A2 (en) 2001-07-25 2003-02-06 Rkl Technologies, Inc. Actuating handle for a surgical instrument
US20050154411A1 (en) * 2001-08-23 2005-07-14 Breznock Eugene M. Method and apparatus for trephinating body vessels and hollow organ walls
US7241302B2 (en) 2001-10-18 2007-07-10 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
US20040092998A1 (en) * 2001-10-18 2004-05-13 Kevin Sniffin Anastomosis instrument and method for performing same
US6814743B2 (en) 2001-12-26 2004-11-09 Origin Medsystems, Inc. Temporary seal and method for facilitating anastomosis
US7743958B2 (en) 2002-05-31 2010-06-29 Tyco Healthcare Group Lp End-to-end anastomosis instrument and method for performing same
US8109427B2 (en) 2002-05-31 2012-02-07 Tyco Healthcare Group Lp End-to end anastomosis instrument and method for performing same
US7931183B2 (en) 2002-05-31 2011-04-26 Tyco Healthcare Group Lp End-to-end anastomosis instrument and method for performing same
US7258694B1 (en) 2002-06-17 2007-08-21 Origin Medsystems, Inc. Medical punch and surgical procedure
US7976556B2 (en) 2002-09-12 2011-07-12 Medtronic, Inc. Anastomosis apparatus and methods
US8298251B2 (en) 2002-10-04 2012-10-30 Medtronic, Inc. Anastomosis apparatus and methods
US8105345B2 (en) 2002-10-04 2012-01-31 Medtronic, Inc. Anastomosis apparatus and methods
US8202281B2 (en) 2002-12-31 2012-06-19 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US9889276B2 (en) 2002-12-31 2018-02-13 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US7842049B2 (en) 2002-12-31 2010-11-30 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US8998932B2 (en) 2002-12-31 2015-04-07 Abbott Laboratories Systems for anchoring a medical device in a body lumen
US7195142B2 (en) 2003-05-30 2007-03-27 Tyco Healthcare Group Lp End-to-end anastomosis instrument and method for performing same
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
US8137364B2 (en) 2003-09-11 2012-03-20 Abbott Laboratories Articulating suturing device and method
US10245022B2 (en) 2003-09-26 2019-04-02 Abbott Laboratories Device and method for suturing intracardiac defects
US8211122B2 (en) 2003-09-26 2012-07-03 Abbott Laboratories Device for suturing intracardiac defects
US8361088B2 (en) 2003-09-26 2013-01-29 Abbott Laboratories Device and method for suturing intracardiac defects
US7462188B2 (en) 2003-09-26 2008-12-09 Abbott Laboratories Device and method for suturing intracardiac defects
US8257368B2 (en) 2003-09-26 2012-09-04 Abbott Laboratories Device for suturing intracardiac defects
US9155535B2 (en) 2003-09-26 2015-10-13 Abbott Laboratories Device and method for suturing intracardiac defects
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
US7390328B2 (en) 2003-12-19 2008-06-24 Abbott Laboratories Device and method for suturing of internal puncture sites
US9375211B2 (en) 2003-12-23 2016-06-28 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8597309B2 (en) 2003-12-23 2013-12-03 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US8419753B2 (en) 2003-12-23 2013-04-16 Abbott Laboratories Suturing device with split arm and method of suturing tissue
US20110100173A1 (en) * 2004-06-23 2011-05-05 Biomet Sports Medicine, Llc Method and Apparatus for Sizing a Material
US8603125B2 (en) * 2004-06-23 2013-12-10 Biomet Sports Medicine, Llc Method and apparatus for sizing a material
US8267947B2 (en) 2005-08-08 2012-09-18 Abbott Laboratories Vascular suturing device
US8083754B2 (en) 2005-08-08 2011-12-27 Abbott Laboratories Vascular suturing device with needle capture
US7883517B2 (en) 2005-08-08 2011-02-08 Abbott Laboratories Vascular suturing device
US8313498B2 (en) 2005-08-08 2012-11-20 Abbott Laboratories Vascular suturing device
US9592038B2 (en) 2005-08-08 2017-03-14 Abbott Laboratories Vascular suturing device
US8920442B2 (en) 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US9456811B2 (en) 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US8048108B2 (en) 2005-08-24 2011-11-01 Abbott Vascular Inc. Vascular closure methods and apparatuses
US20070167968A1 (en) * 2006-01-13 2007-07-19 Rajesh Pandey Surgical tool for coring precise holes and providing for retrieval of tissue
US20090012552A1 (en) * 2006-01-13 2009-01-08 Rajesh Pandey Surgical Tool for Coring Precise Holes and Providing for Retrieval of Tissue
US8252008B2 (en) 2006-08-18 2012-08-28 Abbott Laboratories Articulating suturing device and method
US7842048B2 (en) 2006-08-18 2010-11-30 Abbott Laboratories Articulating suture device and method
US8430893B2 (en) 2006-08-18 2013-04-30 Abbott Laboratories Articulating suturing device and method
US8574244B2 (en) 2007-06-25 2013-11-05 Abbott Laboratories System for closing a puncture in a vessel wall
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
US9370353B2 (en) 2010-09-01 2016-06-21 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8663252B2 (en) 2010-09-01 2014-03-04 Abbott Cardiovascular Systems, Inc. Suturing devices and methods
US8864778B2 (en) 2012-04-10 2014-10-21 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US8858573B2 (en) 2012-04-10 2014-10-14 Abbott Cardiovascular Systems, Inc. Apparatus and method for suturing body lumens
US9241707B2 (en) 2012-05-31 2016-01-26 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens
US10111653B2 (en) 2012-05-31 2018-10-30 Abbott Cardiovascular Systems, Inc. Systems, methods, and devices for closing holes in body lumens

Similar Documents

Publication Publication Date Title
US3561429A (en) Instrument for obtaining a biopsy specimen
US3635223A (en) Embolectomy catheter
US3645268A (en) Disposable, presterilized, self-locating and piercing evacuator with ejector tube
US3530860A (en) Method and apparatus for inserting a tube through the ear drum
US3330268A (en) Biopsy needle
US4863430A (en) Introduction set with flexible trocar with curved cannula
US4214587A (en) Anastomosis device and method
US9980742B2 (en) Medical ultrasonic cauterization and cutting device and method
US3994287A (en) Trocar
US6613038B2 (en) Method of using expandable cannula
US5439475A (en) Tissue grafting method using an apparatus with multiple tissue receiving receptacles
US5496329A (en) Method and apparatus for implanting a medical ventilation tube
US4433687A (en) Microsurgical scissors
US4265231A (en) Curved drill attachment for bone drilling uses
US3606878A (en) Needle instrument for extracting biopsy sections
US5350390A (en) Device for removal of intraluminal occlusions
EP0798982B1 (en) Biopsy forceps for obtaining tissue specimen and optionally for coagulation
US4517977A (en) Co-axial tube surgical infusion/suction cutter tip
US5074311A (en) Biopsy device
US4844064A (en) Surgical cutting instrument with end and side openings
US3995619A (en) Combination subcutaneous suture remover, biopsy sampler and syringe
US5370651A (en) Distal atherectomy catheter
US7766904B2 (en) Adjustable laser probe for use in vitreoretinal surgery
US5092872A (en) Valvulotome catheter
US4909249A (en) Surgical cutting instrument