US3918444A - Apparatus for inserting an intrauterine device - Google Patents

Apparatus for inserting an intrauterine device Download PDF

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Publication number
US3918444A
US3918444A US455237A US45523774A US3918444A US 3918444 A US3918444 A US 3918444A US 455237 A US455237 A US 455237A US 45523774 A US45523774 A US 45523774A US 3918444 A US3918444 A US 3918444A
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United States
Prior art keywords
sleeve
tube
cap
arm member
intrauterine device
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
US455237A
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English (en)
Inventor
Seymour Hoff
Sharon A Kehr
Bruce B Pharriss
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.)
Alza Corp
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Alza 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 Alza Corp filed Critical Alza Corp
Priority to US455237A priority Critical patent/US3918444A/en
Priority to SE7503218A priority patent/SE405073B/xx
Priority to GB1216475A priority patent/GB1457859A/en
Priority to AU79443/75A priority patent/AU472161B2/en
Priority to DE2513241A priority patent/DE2513241C3/de
Priority to JP3650175A priority patent/JPS5726132B2/ja
Priority to DK136975AA priority patent/DK136097B/da
Priority to CA223,109A priority patent/CA1033247A/en
Priority to BE154815A priority patent/BE827232A/xx
Priority to FR7509661A priority patent/FR2265417B1/fr
Priority to IT67783/75A priority patent/IT1030456B/it
Application granted granted Critical
Publication of US3918444A publication Critical patent/US3918444A/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1076—Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions inside body cavities, e.g. using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F6/00—Contraceptive devices; Pessaries; Applicators therefor
    • A61F6/06—Contraceptive devices; Pessaries; Applicators therefor for use by females
    • A61F6/14—Contraceptive devices; Pessaries; Applicators therefor for use by females intra-uterine type
    • A61F6/18—Inserters or removers ; Apparatus for loading an intra-uterine device into an insertion tube

Definitions

  • an intrauterine device comprising a stem and at least one arm depending therefrom, such as the Tatum T, and apparatus for inserting it into the uterine cavity
  • the insertion apparatus being (I) a curved elongated inserter tube on one end of which the intrauterine device is fixedly mounted with its stem in the tube and the arms hanging outwardly from the tube and (2) a cap which fits axially and slidably over the end of the inserter tube on which the intrauterine device is mounted, the cap having (21) slots through which the arms are received, (b) axial ways on the inner surface of the inserter tube which extend from the leading ends of the slots to the leading end of the tube and (c) means of increased cross section such as a collar or flanges which prevent it from entering the cervix during insertion.
  • This invention relates to: a cap for use in combination with an intrauterine device and an intrauterine device inserter; and an intrauterine device combined with apparatus for inserting it into a uterine cavity.
  • intrauterine devices have been designed to transform from a collapsed or compressed state in which they are inserted, using an inserter, into the uterine cavity via the cervix to an expanded state in which they occupy a predetermined position and/or space within the uterine cavity.
  • These devices have been jointed or made of flexible materials in order to make them collapsible or compressible for insertion.
  • they are stuffed into a tube or cannula in their collapsed or compressed configuration, the tube or cannula is inserted into the uterine cavity via the vagina and cervix and the device is plunged from the tube by sticking a plunge rod up through the tube.
  • the Tatum T comprises a stem and flexible cross bar and is designed to be emplaced within the uterus with the cross bar extending across the fundus and the stem extending toward the internal cervical os.
  • the ends of the cross bar are folded down along the stem and the folded T is stuffed into the end of a tube having internal grooves for receiving the folded arms.
  • the T-loaded tube is inserted into the uterine cavity via the vagina and cervix and the Tis plunged therefrom with a rod.
  • This type of inserter and insertion have several disadvantages.
  • the physician must load it by hand, thereby risking substantial bacterial contamination of the T and the inserter during the loading.
  • This disadvantage can, of course, be avoided by sterilely packaging the combination already assembled, i.e., preloading the inserter.
  • the ends of the cross bar may stress set and lose their resiliency. This may result in an incomplete unfolding of the ends once the T is inserted thereby preventing the T from taking its desired position within the uterus.
  • Another undesirable feature of this type of insertion is that it offers no protection to the leading end of the device and inserter against bacterial contamination during their passage through the vagina.
  • gelatin cap alternative has essentially all of the disadvantages of the stuffing modus operandii.
  • the cap of this invention provides a means by which intrauterine devices having depending members, such as the Tatum T, may be pre-loaded into an inserter in an uncollapsed or uncompressed configuration, collapsed or compressed simply and sterilely just prior to use and then inserted in a form which protects the leading end of the device andinserter from contamination as they pass through the vagina and presents a minimal cross section to the cervix.
  • the cap of this invention is designed for use in combination with an intrauterine device inserter comprising an elongated tube adapted to be inserted into the uterine cavity via the vagina and cervix and an intrauterine device comprising a stem member and at lease one flexible (either by virtue of being jointed or being made of a flexible material) arm member depending generally outwardly from the stem member and adapted to be mounted in an uncollapsed configuration on one end of the inserter with the stem member extending down into the tube and the arm member(s) seated on the tube end and extending outwardly therefrom.
  • the cap comprises an open ended tubular sleeve which fits axially and slidably about the end of the tube on which the intrauterine device is mounted.
  • This sleeve has a slot for each arm member, through which the arm member(s) is received and a way on its inner surface for each arm member for slidably receiving the arm member as the sleeve is slid axially on the tube toward the other end thereof, which sliding causes the arm member(s) to be folded inwardly against the stem member and into the way(s).
  • the sleeve also has means extending outwardly of it, such as an integral collar or integral flanges, which prevent it from substantially entering the cervix during the insertion.
  • FIG. 1 is a top, plan, partially sectional view of an inserter/cap combination of the invention loaded with an intrauterine device;
  • FIG. 2 is an exploded, side elevational view, partially in section, of the loaded, leading end of the combination of FIG. 1;
  • FIG. 3 is a side, elevational view of the combination of FIG. 1;
  • FIG. 4 is an enlarged vertical sectional view of the loaded, leading end of the combination of FIG. I showing the arms of the intrauterine device being folded in accordance with the invention
  • FIG. 5 is an end view of the leading end of the combination of FIG. 1 with the arms of the intrauterine device folded in accordance with the invention
  • FIG. 6 is an elevational view showing the combination of FIG. 1 in use with the inserter just entering the external cervical os (the uterine cavity is depicted in section);
  • FIG. 7 is an elevational view similar to FIG. 6 showing the inserter just emerging from the internal cervical os;
  • FIG. 8 is an elevational view similar to FIG. 6 showing the combination in use with the inserter being withdrawn from the uterine cavity;
  • FIG. 9A is a plan view of another embodiment of the inserter cap of the invention.
  • FIG. 9B is a side view of the cap of FIG. 9A;
  • FIG. 10A is a plan view of yet another embodiment of the inserter cap of the invention.
  • FIG. 10B is a side view of the cap of FIG. 10A.
  • FIGS. 1 and 3 show the intrauterine device/inserter]- cap combination of the invention.
  • the combination includes an intrauterine device, generally designated 10, an inserter, generally designated 11, and a cap, generally designated 12.
  • Intrauterine device (FIGS. 1, 2 and 4) comprises a stem 13 and a pair of integral flexible diametrically opposed arms l4, 15 which in their normal position depend generally outwardly from end 16 of stem 13 at a slight incline toward the other end 17 of stem 13.
  • the incline of arms 14, 15 is not critical to this invention and they may have no incline (i.e., depend at 90 from stem 13) or being inclined to a greater or lesser extent than shown in the drawings.
  • device 10 may be T shaped such as the so called Tatum T of US Pat. No. 3,553,406-or it may be arrow shaped.
  • the composition of device 10 is also not critical to the invention and it may be made of any material which is suitable for intrauterine emplacement.
  • these devices will be made from polymers such as polyethylene, polypropylene, polyvinylchloride, nylon, ethylene/propylene copolymers, ethylene/vinyl acetate copolymer, polyurethane and the like.
  • polymers such as polyethylene, polypropylene, polyvinylchloride, nylon, ethylene/propylene copolymers, ethylene/vinyl acetate copolymer, polyurethane and the like.
  • Such polymers may be made in a flexible form and are thus suitable materials for the arms 14.
  • Device 10 may be inert, in the sense that it is not adapted to dispense an active agent intrauterally, or it may be active" in the sense that it is adapted to so dispense an active agent.
  • Means for making such active devices are well known and include coating or wrapping the exterior of the device with an agent, e.g., copper or copper/zinc wire as in the known copper T or by dispersing or confining an agent within one or more of the members of the device such that the agent is released by a diffusion and/or erosion mechanism.
  • End 17 of device 10 has a hole 18 in it for fixedly receiving one end of a string 19.
  • string 19 serves as indicia of the presence of the device. It also may be used remove the device.
  • Inserter I1 is of the type generally described in commonly owned copending US. application Ser. No. 308,596, filed Nov. 21, 1972, the disclosure of which is incorporated herein by reference.
  • Inserter 11 basically comprises a hollow, elongated, openended tube 20.
  • the leading end 23 (the left end as seen in FIGS. 1-4) of tube 20 has a decreasing diameter taper and is curved (FIG. 3) to facilitate its insertion into the uterine cavity.
  • Intrauterine device 10 is intended to be fixedly mounted on the tip of end 23 and for this purpose end 23 has a pair of notches or channels 24 (FIG. 4) for seatingly receiving the arms 14, 15 of device 10.
  • Tube 20 may be marked, as shown in FIG.
  • the distal end 26 of tube 20 is fitted with a plug 27 for anchoring string 19 of device 10.
  • Alternative string anchoring means such as posts, notches and the like may be used in place of plug 27.
  • Inserter 11 may be made of any material suitable for medical use. Typically it will be formed of a synthetic polymer such as polyethylene, polypropylene, polyvinylchloride, nylon or the like using established tech- 5 niques such as extrusion, parison forming or casting.
  • a synthetic polymer such as polyethylene, polypropylene, polyvinylchloride, nylon or the like using established tech- 5 niques such as extrusion, parison forming or casting.
  • Cap 12 (FIGS. l-4) comprises a hollow sleeve 28 whose bore 29 is sized such that the cap can be snugly slid over the end 23 of the inserter tube 20.
  • a pair of diametrically opposed axially elongated slots 30 are formed in sleeve 20.
  • the primary function of slots 20 is to receive arms 14, 15 of device 10.
  • the sleeve is made radially resilient.
  • open ended slots 30 make the sleeve spring-like and capable of increasing and decreasing its diameter while snugly gripping tube 20 as it is slid therealong.
  • Slots 30 have a pair of opposed nibs or protrusions 33 formed on their axial edges. Nibs 33 serve as stops which engage arms 14, 15 to prevent the cap from inadvertently sliding off of tube 20 once it is placed thereon.
  • the leading end of sleeve 23 has a pair of integral flanges 34 which extend outwardly of sleeve 28.
  • Flanges 34 serve two functions: they provide a flat surface which is used in folding the arms 14, 15 (described in detail below); and they provide the cap with a wide, flat surface for resting against the tissue surrounding the external cervical os to prevent the cap from substantially entering the cervix during the insertion.
  • the leading end of sleeve 28 also has a pair of U-shaped notches 35 which serve to make the leading end of the mounted intrauterine device 10 visible to the physician during the initial stages of the insertion.
  • the inner surface of sleeve 28 has a pair of axial ways or grooves 36 (FIGS. 45) which align with slots 30 and extend from the leading ends of slots 30 through flanges 34. Ways 36 are shaped and sized to slidingly receive arms 14, 15 when the latter are folded inwardly by the cap (described in detail below).
  • FIGS. 9A, 9B, 10A and 10B depict two alternative, but less preferable, embodiments of cap 12.
  • FIGS. 9A and 9B show a cap, generally designated 37, which like cap 12, basically comprises a hollow, open-ended sleeve 38.
  • Sleeve 38 has a pair of axially elongated slots 39 which, like slots 30 of cap 12, receive flexible arms l4, 15 of device 10.
  • slots 39 unlike slots 30, do not extend to and open at the distal edge of sleeve 38.
  • cap 37 is not flexible radially and, in this respect, is less preferable than cap 12. This feature also makes it more difficult to assemble cap 37 with the inserter and intrauterine device than cap 12.
  • Sleeve 38 has a pair of ways (not shown) on its inner surface which are identical in structure and function to ways 36 of cap 12.
  • the leading end of cap 37 has a ring shaped collar 40 having an opening 43 in it.
  • Collar 40 serves the same purpose as flanges 34 of cap 12.
  • Sleeve 38 has a U-shaped notch 44 in its leading end which aligns with opening 43 in collar 40.
  • Notch 44 serves the same purpose as either one of the notches 35 of cap 12.
  • cap 37 since cap 37 has only one notch 44, the leading end of the mounted intrauterine device is only visible in a single position rather than in two positions as in cap 12. This is another less preferable feature of cap 37.
  • FIGS. 10A and 108 show a cap, generally designated 45, which is an even less desirable embodiment of cap 12.
  • Cap 45 comprises an elongated, hollow, openended sleeve 46 having a pair of opposed, axially elongated slots 47 which are identical in structure and function to slots 39 of the cap of FIGS. 9A and 98.
  • the inner surface of sleeve 46 has a pair of axial ways (not shown) identical in structure and function to ways 36 of cap 12.
  • the leading end of sleeve 46 has a notch 48 in it for the same purpose as notch 44 of cap 37 and notches 35 of cap 12.
  • cap 45 requires greater manipulation by the physician than either of caps 12, 37 and is thus the least preferred cap of the three shown.
  • the caps may be made of the same materials and by the same techniques as inserter 11.
  • FIGS. 1 and 3 illustrate the intrauterine device/inserter/cap combination assembled for distribution to physicians.
  • Intrauterine device 10 is fixedly mounted on the leading end 23 of inserter tube 20 with its stem 13 extending down into tube 20 and its arms 14, 15 seated within notches 24. The seating of the arms in notches 24 prevents device 10 from rotating.
  • String 19 extends from distal end 17 of stem 13 through tube 20 and out end 26 thereof and is anchored tautly at end 26 by wedging it between plug 27 and the inner surface of tube 20. This taut anchoring prevents device 10 from being displaced from end 23.
  • Cap 12 is placed over the end 23 of tube 20 with the distended arms l4, 15 received within slots 30 past the nibs 33. In this position cap 12 is held loosely on the end 23 but is prevented from being displaced therefrom by the nibs 33.
  • the combination may be sterilized and packaged in the assembled form shown in FIGS. 1 and 3.
  • FIGS. 4 and 5 illustrate the assembled combination after the arms 14, 15 have been folded.
  • the folding of arms 14, 15 is a preliminary step to the insertion and may be done simply and sterilely by the physician as follows.
  • the combination is removed from its package, held by the distal end 26 of tube 23 and the flanges 34 of cap 12 are braced against a sterile field 53 (FIG. 4).
  • the tube 23 is then pushed toward field 53 (as shown by the horizontal arrow in FIG. 4), causing tube 23 and mounted intrauterine device 10 to move axially relative to the braced cap 12.
  • This movement will cause the arms 14, 15 to move toward the closed ends 54 of slots 30 and ultimately be engaged thereby (shown in phanengages the field 53. Such engagement will prevent further movement.
  • arms l4, 15 are folded down against tube 20 into axial alignment therewith and within the cap 12.
  • the assembly is then withdrawn from the field and is ready to be inserted into the uterine cavity.
  • the entire foldingoperation may be carried out by the physician without touching the leading end of the combination and with great ease. This is a significant improvement over prior devices in not only reducing the amount of preinsertion manipulation of the device, but
  • slots 39, 47 do not have an open end, one of the arms l4, 15 must be bent to place these caps on the end of tube 20. Once they are in place these caps are prevented from falling off the end of the tube by the extension of the arms through the slots 39, 47.
  • Cap 37 folds the arms by the same technique as cap 12, that is collar 40 is braced againsta sterile field and tube 20 is pushed toward the field, causing the arms to be bent inwardly by the reactive force applied thereto by cap 37 at the leading ends of slots 39 and received by the ways on the inner surface of sleeve 38.
  • the arms are folded by cap 45 simply by pressing its leading end against a sterile field.
  • the arms are folded inwardly into the ways on the inner surface of sleeve 46 by the force applied thereto at the leading ends of slots 47.
  • FIGS. 6-8 Use of the Combination
  • FIGS. 6-8 Use of the Combination
  • cap 12 keeps the device 10 and the leading end of the inserter 11 from substantially contacting the vaginal walls during their passage through the vagina and thus lessen the liklihood and/or extent of their bacterial contamination by such passage. Also, the U- shaped notch 35 makes said leading end visible and thereby facilitates guidance into the os.
  • Cap 12 maintains its position outwardly of and about the cervical 0s and does not freely slide toward the distal end of tube 20 because of the aforementioned spring-like gripping ability of cap 12. Thus cap 12 is not able to block the physicians view of the depth of insertion indicia on the tube 20.
  • tube 20 is then withdrawn (indicated by the horizontal arrow in FIG. 8) from the uterine cavity 56 back through the cervical canal 55 and vagina, leaving device 10 emplaced within cavity 56 with its arms 14, fully extended and resting against the lateral walls of the uterus and its stem 13 extending axially toward the internal cervical 0s and string 19 extending through the cervical canal into the vagina.
  • caps 37 and 45 are used and operate in the same manner as combinations including cap 12 with the exceptions that caps 37 and 45 are free to slide on tube 20 after device 10 has been ejected and that cap 45 must be held stationary relative to tube 20 in the latter stages of the insertion to prevent it from entering the cervical canal.
  • cap 45 does not include means such as flanges 34 or collar 40 to prevent it from entering the cervix.
  • an intrauterine device inserter comprising an elongated tube adapted to be inserted into the uterine cavity via the cervix;
  • an intrauterine device comprising a stem member and at least one flexible arm member depending generally outwardly from said stem member and adapted to be mounted on one end of the tube with the stem member extending into said tube and the arm member seated on said end and extending outwardly of the tube, said mounting being the final position of the device relative to the tube prior to insertion into the uterine cavity;
  • said cap comprising:
  • each arm member in the inner surface of the sleeve for slidably receiving said arm member as the sleeve is slid axially on said tube toward the other end thereof said way being in axial alignment with the slot and extending from the slot toward the leading end of the sleeve.
  • the cap of claim 1 including:
  • d. means extending outwardly of the sleeve for preventing said cap from substantially entering the cervix.
  • the cap of claim 1 including:
  • said intrauterine device has two opposed arm members and correspondingly there are two of said slots in an opposed relationship and two of said ways; at least one of said slots opens at the distal end of said sleeve; said ways extend axially from the leading ends of the slots to the leading end of the sleeve; said means extending outwardly of the sleeve is a pair of opposed flanges integral with and located at the leading end of the sleeve; and wherein said cap includes means for preventing the sleeve from sliding off said one end of the tube when said arm members are received through said slots and at least one aperture in the leading end of the sleeve whereby said one end of the tube is visible when the arm members are in said ways.
  • An intrauterine device combined with apparatus for inserting it within a uterine cavity comprising:
  • an inserter comprising an elongated tube adapted to be inserted into said cavity via the cervix;
  • an intrauterine device comprising a stem member and at least one flexible arm member depending generally outwardly from the stem member extending into said tube and the arm member seated on said one end and extending outwardly of the tube;
  • a cap for folding said arm member inwardly down along the exterior of the inserter tube prior to insertion comprising an open ended tubular sleeve received axially slidably about said one end of said tube, said sleeve having a slot through which said arm member is received such that the arm member extends from the interior of the sleeve through the wall of the sleeve via the slot to the exterior of the sleeve, and a way on its inner surface in axial alignment with the slot and extending from the slot toward the leading end of the sleeve for slidably receiving said arm member as the sleeve is slid axially on said tube toward the other end thereof causing said arm member to be folded down along the exterior of the inserter tube and within said way.
  • the intrauterine device has two opposed arm members located at one end of the stem and includes a string attached to the other end of the stem which extends through said tube and out the other end thereof;
  • the inserter includes means for anchoring said string at the other end of said tube and the one end of said tube has a pair of opposed notches in which said arm members are seated;
  • said cap has two of said slots and two of said ways.
  • the intrauterine device has a T shape
  • said tube is marked with depth ofinsertion indicia
  • said means for anchoring said string is a plug which is inserted into the other end of said tube;
  • said sleeve has at least one aperture in its leading end whereby the one end of the tube is visible when the arm members are in said ways;
  • said ways extend axially from the leading ends of said slots to the leading end of said sleeve;
  • said means extending outwardly of the sleeve is a pair of opposed flanges integral with and located at the leading end of the sleeve.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Surgical Instruments (AREA)
US455237A 1974-03-27 1974-03-27 Apparatus for inserting an intrauterine device Expired - Lifetime US3918444A (en)

Priority Applications (11)

Application Number Priority Date Filing Date Title
US455237A US3918444A (en) 1974-03-27 1974-03-27 Apparatus for inserting an intrauterine device
SE7503218A SE405073B (sv) 1974-03-27 1975-03-20 Apparat for inforing av en intrauterin anordning
GB1216475A GB1457859A (en) 1974-03-27 1975-03-24 Apparatus for inserting an intrauterine
AU79443/75A AU472161B2 (en) 1974-03-27 1975-03-24 Apparatus for inserting an intrauterine device
DE2513241A DE2513241C3 (de) 1974-03-27 1975-03-25 Vorrichtung zum Einführen eines intrauterinen Einlagekörpers
DK136975AA DK136097B (da) 1974-03-27 1975-03-26 Apparat til indføring af et intra-uterint organ.
JP3650175A JPS5726132B2 (cs) 1974-03-27 1975-03-26
CA223,109A CA1033247A (en) 1974-03-27 1975-03-26 Apparatus for inserting an intrauterine device
BE154815A BE827232A (fr) 1974-03-27 1975-03-26 Appareil d'insertion d'un dispositif intra-uterin
FR7509661A FR2265417B1 (cs) 1974-03-27 1975-03-27
IT67783/75A IT1030456B (it) 1974-03-27 1975-03-27 Strumento per l inserzione di dispositivi intrauterni

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US455237A US3918444A (en) 1974-03-27 1974-03-27 Apparatus for inserting an intrauterine device

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US3918444A true US3918444A (en) 1975-11-11

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US455237A Expired - Lifetime US3918444A (en) 1974-03-27 1974-03-27 Apparatus for inserting an intrauterine device

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US (1) US3918444A (cs)
JP (1) JPS5726132B2 (cs)
AU (1) AU472161B2 (cs)
BE (1) BE827232A (cs)
CA (1) CA1033247A (cs)
DE (1) DE2513241C3 (cs)
DK (1) DK136097B (cs)
FR (1) FR2265417B1 (cs)
GB (1) GB1457859A (cs)
IT (1) IT1030456B (cs)
SE (1) SE405073B (cs)

Cited By (80)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4249525A (en) * 1979-10-15 1981-02-10 G. D. Searle & Co. Instrument for loading an intrauterine device into an insertion tube
US4549652A (en) * 1983-06-29 1985-10-29 Piact IUD Package
US4614182A (en) * 1984-03-30 1986-09-30 Richard Wolf Gmbh Applicator for uterine pessaries
US4690136A (en) * 1984-12-21 1987-09-01 Akzo N.V. Assembly of intra-uterine contraceptive device and insertor
US4932421A (en) * 1989-01-23 1990-06-12 Steven Kaali Electrified intrauterine device
EP0584628A1 (en) * 1992-08-28 1994-03-02 Db Inserters Inc. IUD inserting apparatus
US5643076A (en) * 1993-02-08 1997-07-01 Heurman; Erwin Herman Gerardus Plug for closing the gullet of a slaughtered animal and device for positioning same
US5842474A (en) * 1996-07-12 1998-12-01 Fei Products, Inc. IUD loading device
WO2001068012A1 (fr) * 2000-03-16 2001-09-20 Solinhac Jean Pierre Dispositif d'insertion pour la mise en place d'un dispositif intra-uterin du type en forme de t
WO2005048893A1 (en) * 2003-11-19 2005-06-02 Schering Oy Plunger
US7658751B2 (en) 2006-09-29 2010-02-09 Biomet Sports Medicine, Llc Method for implanting soft tissue
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US7905903B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
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Also Published As

Publication number Publication date
CA1033247A (en) 1978-06-20
GB1457859A (en) 1976-12-08
FR2265417A1 (cs) 1975-10-24
AU7944375A (en) 1976-05-20
SE7503218L (cs) 1975-09-29
DE2513241B2 (de) 1980-03-13
DK136097C (cs) 1978-01-16
JPS50141195A (cs) 1975-11-13
BE827232A (fr) 1975-07-16
DK136097B (da) 1977-08-15
DK136975A (cs) 1975-09-28
SE405073B (sv) 1978-11-20
JPS5726132B2 (cs) 1982-06-02
FR2265417B1 (cs) 1978-07-13
DE2513241C3 (de) 1980-11-20
DE2513241A1 (de) 1975-10-09
AU472161B2 (en) 1976-05-20
IT1030456B (it) 1979-03-30

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