WO2003015643A2 - Uterus manipulation device for hysterectomy and colpotomy - Google Patents

Uterus manipulation device for hysterectomy and colpotomy Download PDF

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Publication number
WO2003015643A2
WO2003015643A2 PCT/ZA2002/000128 ZA0200128W WO03015643A2 WO 2003015643 A2 WO2003015643 A2 WO 2003015643A2 ZA 0200128 W ZA0200128 W ZA 0200128W WO 03015643 A2 WO03015643 A2 WO 03015643A2
Authority
WO
WIPO (PCT)
Prior art keywords
cup
cervix
colpotomy
guide means
rim
Prior art date
Application number
PCT/ZA2002/000128
Other languages
French (fr)
Other versions
WO2003015643A3 (en
Inventor
Francois Jacques Lubbe
Original Assignee
Francois Jacques Lubbe
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 Francois Jacques Lubbe filed Critical Francois Jacques Lubbe
Priority to AU2002323701A priority Critical patent/AU2002323701A1/en
Priority to EP02757701A priority patent/EP1420706A2/en
Publication of WO2003015643A2 publication Critical patent/WO2003015643A2/en
Publication of WO2003015643A3 publication Critical patent/WO2003015643A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices
    • A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A61B17/4241—Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0017—Catheters; Hollow probes specially adapted for long-term hygiene care, e.g. urethral or indwelling catheters to prevent infections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/002—Packages specially adapted therefor ; catheter kit packages
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A61B2017/4216—Operations on uterus, e.g. endometrium
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0111—Aseptic insertion devices

Definitions

  • THIS invention relates to a medical apparatus.
  • this invention relates to a device for manipulation of, and the performance of other procedures on an uterus for example in colpotomy and
  • a manipulating device According to a first aspect of the invention, there is provided a manipulating device
  • the operating system comprises a central elongate shank, one
  • the guide means may be in the form of a dilator
  • the engaging means may be in the form of a
  • central helical or spiral screw thread which also interconnects the dilator tip with
  • the locating means may be in the
  • the cup being of a predetermined size determined by the length and diameter of the
  • the spiral screw thread may be partially or wholly accommodated in the
  • the tip may be adjustable to accommodate different lengths of cervix. It is a special feature of the invention that the rim of the cup may serve as a marker
  • the cup may include an electrically conductive
  • metal ring circuit around a perimeter of the cup for cutting through a wall of a
  • the device may also include a vaginal seal which is
  • kits including :
  • the cups may be of differing diameter and length. According to a third aspect of the invention, a diagnostic or treatment device is
  • a guide means for insertion into a cervix comprising a guide means for insertion into a cervix, locating means for
  • cervix could for example be in the nature of a tapered plug device which is
  • the fluid passage will thus extend along at least a portion of the
  • the method may also include the step of severing uterine tissue, using a rim of the
  • Figure 1 is a schematic side view of a manipulating device, in accordance
  • Figure 2 is a schematic section side view of the device in Figure 1 ;
  • Figure 3 is a schematic sectioned side view of the device of Figure 1, with
  • Figure 4 is a schematic side view of the manipulation device in Figure 1 in an
  • Figure 5 is a schematic side view of a different embodiment of the
  • Figure 6 is a schematic sectioned side view of the device in Figure 5;
  • Figure 7 is a schematic sectioned side view of the device in Figure 5 with the
  • Figure 8 is a schematic disassembled exploded side view of the device in
  • a manipulating device in accordance with a first aspect of the invention, for
  • the device 10 includes a guide means in the
  • the device also includes a
  • locating means in the form of a cup 14 for locating the tip 12 in the cervix.
  • the device 10 also includes a linkage system, generally indicated by the reference
  • the linkage system includes a central elongate cylindrical shank 20,
  • the device 10 also includes a vaginal seal 36 which is slidingly carried on the
  • the device 10 is assembled, by selecting an appropriate tip 12 and screwing
  • the cup 14 screws on to the pivot formation 24 at a
  • the length of the uterine cavity is measured from the external os with uterine
  • An appropriate tip 12 is selected according to the uterine measurements so
  • the tip 12 is manufactured of surgical stainless steel and is therefore auto-clavable
  • the handle 28, the seal 36 and the cup 14 are manufactured of
  • Acetyl is used as it is re-usable, auto-clavable, shock-resistant, non-porous,
  • vaginal opening The dilated cervix and a well-lubricated tip 12 assist in smooth
  • cup 14 engages the entire portio vaginalis until the rim of the cup 14 fits tightly into
  • the lubricated vaginal seal 36 is slid down the shaft 20 into
  • vaginal opening placement of the vaginal seal 36 does not inhibit manoeuvring of the uterine axis in all directions.
  • the broad ligament is opened and the anterior and posterior leaves are
  • peritoneum is incised at the level of the rim of the cup 14 anteriorly.
  • the bladder is bluntly dissected down, to expose
  • anterior vagina This dissection is bloodless when the correct plane is entered.
  • Closure of the vaginal cuff is performed by means of 3 -interrupted figure 8 sutures
  • vaginal angle sutures To minimize post-operative vaginal bleeding and vault
  • the sutures are placed within the vaginal epithelium and the
  • a liquid duct 54 for such liquid is
  • colpotomy kit as well as method of performing a colpotomy procedure.

Abstract

The invention provides a manipulating device (10) suitable for manipulation of an uterus in colpotomy, hysterectomy or the like procedures, the device including: a guide means (12) for insertion into a cervix; a locating means (14) for locating the guide means (12) in the cervix; an engaging means (16) for engaging an internal wall of the cervix; and an operating system (20) for controlling movement of the guide means (12) inside the cervix.

Description

A MEDICAL APPARATUS
Field of the Invention
THIS invention relates to a medical apparatus.
Description of Prior Art
More particularly, this invention relates to a device for manipulation of, and the performance of other procedures on an uterus for example in colpotomy and
diagnostic procedures, a colpotomy kit and to a method of performing a colpotomy procedure.
Object of the Invention
It is an object of the present invention to provide a novel medical apparatus suitable
for performing procedures in relation to an uterus.
A further object is a medical kit for diagnostic and colpotomy procedures. Yet a further object of the invention is the provision of a novel method of
performing a colpotomy procedure.
Disclosure of the Invention
According to a first aspect of the invention, there is provided a manipulating device
suitable for manipulation of an uterus in colpotomy and other procedures, the
device including :
a guide means for insertion into a cervix;
a locating means for locating the guide means in the cervix;
an engaging means for engaging an internal wall of the cervix; and
an operating system for controlling movement of the guide means inside the
cervix.
In one arrangement the operating system comprises a central elongate shank, one
end of which is pivotally connected to the guide means and another which is
pivotally connected to a handle. Further according to the invention the guide means may be in the form of a dilator
tip.
Also according to the invention, the engaging means may be in the form of a
central helical or spiral screw thread which also interconnects the dilator tip with
the linkage system.
In one arrangement according to the invention, the locating means may be in the
form of a cup which is associated with the tip and which in use fits around the
entire portio vaginalis until a rim of the cup fits tightly into the vaginal formices,
the cup being of a predetermined size determined by the length and diameter of the
cervix. The spiral screw thread may be partially or wholly accommodated in the
cup.
Still further according to the invention, the longitudinal position of the cup relative
to the tip may be adjustable to accommodate different lengths of cervix. It is a special feature of the invention that the rim of the cup may serve as a marker
for removal of uterine tissue. Thus the cup may include an electrically conductive
metal ring circuit around a perimeter of the cup for cutting through a wall of a
uterus.
Also according to the invention the device may also include a vaginal seal which is
slidingly carried on the central shank for inhibiting leakage of fluids when a
colpotomy is performed.
According to a second aspect of the invention, there is provided a colpotomy,
hysterectomy or the like kit, the kit including :
a medical device as described above;
a plurality of cups of different sizes; and
a plurality of tips of different sizes .
The cups may be of differing diameter and length. According to a third aspect of the invention, a diagnostic or treatment device is
provided comprising a guide means for insertion into a cervix, locating means for
locating the guide means in the cervix, and engaging means for engaging the
internal wall of the cervix, and a fluid duct having an outlet at the leading extremity
of the guide means, and along which a fluid can be injected into the cervix.
For purposes of injecting a fluid into the cervix, a conventional fluid injection
device can be utilised and coupled to the fluid passage.
In the arrangement above, the engaging means for engaging the internal walls of a
cervix, could for example be in the nature of a tapered plug device which is
concentrically disposed relative to the guide means.
It will be understood that the diagnostic device disclosed above could be a variation
of the medical device of the invention including the operating system therefore.
With such a device, the fluid passage will thus extend along at least a portion of the
central elongated shank of the manipulation device. According to a further aspect of the invention, there is provided a method of
performing a colpotomy, hysterectomy or the like procedure, the method including
the steps of measuring the length of the uterine cavity; and selecting a tip of
predetermined length which, together with the length of a screw blade approximate
the length of the uterine cavity.
The method may also include the step of severing uterine tissue, using a rim of the
cup as a marker.
Brief Description of the Drawings
The invention is now described, by way of example, with reference to the
accompanying drawings, in which:
Figure 1 is a schematic side view of a manipulating device, in accordance
with a first aspect of the invention, for manipulation of an uterus
particularly but not exclusively in colpotomy procedures; Figure 2 is a schematic section side view of the device in Figure 1 ;
Figure 3 is a schematic sectioned side view of the device of Figure 1, with
the guide means in a different position;
Figure 4 is a schematic side view of the manipulation device in Figure 1 in an
disassembled exploded form;
Figure 5 is a schematic side view of a different embodiment of the
manipulating device in Figures 1 to 4, adapted for injecting a liquid
into an uterus;
Figure 6 is a schematic sectioned side view of the device in Figure 5;
Figure 7 is a schematic sectioned side view of the device in Figure 5 with the
guide means in a different position; and Figure 8 is a schematic disassembled exploded side view of the device in
Figure 5.
Detailed Description of Drawings
A manipulating device, in accordance with a first aspect of the invention, for
manipulation of an uterus for example in colpotomy procedures, is generally
indicated by reference numeral 10. The device 10 includes a guide means in the
form of a dilation tip 12 for insertion into a cervix. The device also includes a
locating means in the form of a cup 14 for locating the tip 12 in the cervix. An
engaging means in the form of a central spiral screw 16 is accommodated in the cup
14, with the tip 12 being connected to an end 16.1 of the spiral screw 16.
The device 10 also includes a linkage system, generally indicated by the reference
numeral 18. The linkage system includes a central elongate cylindrical shank 20,
one end 22 of which is pivotally connected to a pivot formation 24 which
interconnects the shank 20 and the cup 14 and, accordingly, the spiral screw 16. A
further end 26 of the shank 20 is pivotally connected to a handle 28. A pair of links 30.1 and 30.2 is located inside the shank 20 for interconnecting the handle 28
to the pivot formation 24 at connection points 32 and 34 respectively, so that
manipulation of the handle 28 results in complementary movement of the pivot
formation 24 and therefore the cup 14, spiral screw 16 and tip 12 as shown in
Figure 2 of the drawings.
The device 10 also includes a vaginal seal 36 which is slidingly carried on the
central shaft 20.
In use, the device 10 is assembled, by selecting an appropriate tip 12 and screwing
it onto an end 16.1 of the spiral screw 16. The spiral screw 16 and tip 12 are
connected to the pivot formation 24 by screwing an end 16.2 of the spiral screw 16
onto the pivot formation 24. The cup 14 screws on to the pivot formation 24 at a
screw thread 24.2 provided at one end of the pivot formation 24 so that the position
of the cup 14 relative to the tip 12 is adjustable.
In use, in order to perform a colpotomy with the device 10, a tenaculum is applied
on each of the lateral aspect and at the base of the cervix. Placing of the tenaculums in this way inhibits interference with placement of the cervical cup 14.
The length of the uterine cavity is measured from the external os with uterine
sound. An appropriate tip 12 is selected according to the uterine measurements so
that the combined length of the tip 12 and the spiral blade 16 approximates the
length of the uterine measurement.
The tip 12 is manufactured of surgical stainless steel and is therefore auto-clavable
and re-usable. The handle 28, the seal 36 and the cup 14 are manufactured of
acetyl. Acetyl is used as it is re-usable, auto-clavable, shock-resistant, non-porous,
non-conductive and non-static.
The tenaculums are removed to allow complete placement of the cup 14. Cervical
dilation to hegar-8 enables smooth introduction of the tip 12 and the cup 14 into the
vaginal opening. The dilated cervix and a well-lubricated tip 12 assist in smooth
insertion of the cup 14. By screwing the spiral blade 16 into the cervical canal, the
cup 14 engages the entire portio vaginalis until the rim of the cup 14 fits tightly into
the vaginal formices. The lubricated vaginal seal 36 is slid down the shaft 20 into
the vaginal opening. It will be appreciated that placement of the vaginal seal 36 does not inhibit manoeuvring of the uterine axis in all directions.
Correct placement of cup 14 can be checked endoscopically. To perform the
surgical procedure, all vascular pedicles are secured and transected by bipolar
dissection and transection. Round and broad ligaments are similarly dissected and
divided. The broad ligament is opened and the anterior and posterior leaves are
dissected caudally by sharp electro-surgical dissection. Visceral peritoneum is
opened anteriorly so that the cup 14 is visible and palpable. Utero-vesical
peritoneum is incised at the level of the rim of the cup 14 anteriorly. Sharp
dissection is extended laterally. The bladder is bluntly dissected down, to expose
anterior vagina. This dissection is bloodless when the correct plane is entered.
Posteriorly the dissection remains above the utero-sacral ligament. In the base of
the broad ligament the uterine artery is isolated and is secured and transacted by
means of a bipolar current. The surgical procedure is repeated is repeated on the
right. Uterine vessels and the anterior vaginal fornix are incised using the cup 14
as a backstop. Visibility of the cup 14 confirms entry into the vagina. The incision
follows the cup rim circumferentially. Posteriorly, the incision line cuts above the
utero-sacral attachment. The uterus is delivered vaginally firmly attached to the spiral blade 16. Vaginal
cuff bleeding is controlled with bipolar coagulation while pneumo-peritoneum is
maintained by the uterus within the upper vagina or by re-insertion of the vaginal
seal.
Closure of the vaginal cuff is performed by means of 3 -interrupted figure 8 sutures
with extra-corporeal knot tying. Sutures are placed in vaginal angle, and with a
third centrally placed suture complete haemostasis is maintained. To strengthen the
pelvic floor pubo-cervical and Denon Villiers facea are deliberately incorporated in
vault closure. Bilateral utero-sacral ligaments are purposefully incorporated in the
vaginal angle sutures. To minimize post-operative vaginal bleeding and vault
granuloma formation the sutures are placed within the vaginal epithelium and the
cuff inverted inwards towards the pelvic cavity.
A variation of the manipulating device 10 described above with reference to Figures
1 to 4 is shown in figures 5 to 9 and is characterized in the provision of a socket
formation 51 in the handle 28 which is adapted to receive a syringe 50 which could conveniently be of a common variety which is adapted to inject a diagnostic or
treatment fluid into the uterus. For this purpose, a liquid duct 54 for such liquid is
provided through a linkage system 18, the pivot formations 23, 24, and along the
dilation tip 12 to an exit port 55. With this device, the cup 14 is replaced by an
adaptor 52 which is threaded to screw-onto the pivot formation 24 and to receive
the dilation tip 12. In this instance the spiral screw 16 is replaced by plug member
53 which is adapted to seal the cervix during the injection process. The
manipulation device shown in Figures 1 to 5 can therefore readily be adapted to
serve as an injection device for injecting liquid into the uterus.
Doubtless further variations and applications of the invention exist without
departing from the principles set out in the consistory clauses. The invention is
directed to a manipulation, diagnostic and treatment device in the gynaecological
field , a colpotomy kit, as well as method of performing a colpotomy procedure.

Claims

1. A manipulating device suitable for manipulation of an uterus in colpotomy
hysterectomy or the like procedures, the device including :
a guide means for insertion into a cervix;
a locating means for locating the guide means in the cervix;
an engaging means for engaging an internal wall of the cervix; and
an operating system for controlling movement of the guide means
inside the cervix.
2. The device according to claim 1 wherein the operating system comprises a
central elongate shank, one end of which is pivotally connected to the guide
means and another which is pivotally connected to a handle.
3. The device according to claim 1 or claim 2 wherein the guide means is in
the form of a dilator tip.
4. The device according to any one of claims 1 to 3 wherein the engaging
means is in the form of a central helical or spiral screw thread.
5. The device according to claim 4 wherein the screw thread terminates in a
guide means in the form of a dilator tip.
6. The device according to any one of claims 1 to 5 wherein the locating
means is in the form of a cup which in use fits around the entire portio
vaginalis until a rim of the cup fits tightly into the vaginal formices, the cup
being of a predetermined size determined by the length and diameter of the
cervix.
7. The device according to claim 6 wherein the engaging means is in the form
of a central helical or spiral screw thread which is partially or wholly
accommodated within the cup.
8. The device according to claim 6 or claim 7 wherein the cup includes a
longitudinal portion which is adjustable to accommodate different lengths of
cervix.
9. The device according to any one of claims 6 to 8 wherein the cup includes a
rim which may serve as a marker for performing colpotomy and
hysterectomy procedures.
10. A device according to claim 9 wherein the cup includes an electrically
conductive metal ring circuit around a perimeter of the cup for cutting
vaginal tissue.
11. The device according to any one of claims 2 to 10 including a vaginal seal
which is slidingly carried on the central elongate shank for inhibiting
leakage of fluids including gas when a colpotomy is performed.
12. Manipulating device according to claim 1 suitable for manipulation of the
uterus in colpotomy, hysterectomy and the like procedures substantially as
herein described and exemplified with reference to the accompanying
drawings.
13. A colpotomy, hysterectomy or the like kit including :
a manipulation device as claimed in any one of claims 1 to 12;
a plurality of cups of different sizes; and
a plurality of dilator tips of different sizes.
14. The kit according to claim 13 wherein the cups are of different diameters.
15. The kit according to claim 13 or claim 14 wherein the cups are of different
lengths.
16. A colpotomy, hysterectomy or the like kit according to claim 13
substantially as herein described and exemplified with reference to the
accompanying drawings.
17. A diagnostic or treatment device comprising:
a guide means for insertion into a cervix;
locating means for locating the guide means in the cervix;
engaging means for engaging the internal wall of the cervix; and
a fluid duct having an outlet at the leading extremity of the guide means,
and along which a fluid can be injected into the cervix, or uterine cavity.
18. The device according to claim 17 including a fluid injection device coupled
to the fluid duct for injecting fluid.
19. The device according to claim 17 or claim 18 wherein the engaging means
for engaging the internal walls of the cervix is in the nature of a tapered
plug device which is concentrically disposed relative to the guide means.
20. The device according to any one of claims 17 to 19 which comprises the
manipulating device claimed in any one of claims 1 to 12, further
characterized in that the fluid duct extends along at least a central portion of
the central elongate shank of the manipulating device.
21. A diagnostic or treatment device according to claim 17 substantially as
herein described and exemplified with reference to the accompanying
drawings.
22. A method of performing a colpotomy, hysterectomy or the like procedure
including the steps of :
providing the kit according to any one of claims 13 to 16;
measuring the length of the uterine cavity; and
selecting a tip of predetermined length which, together with the
length of the engaging means approximate the length of the uterine
cavity and cervical canal.
23. The method according to claim 22 including the step of selecting a cup of
suitable size to receive the portio vaginalis so that a rim of the cup fits into
the vaginal formices.
24. The method according to claim 22 or claim 23 including the step of severing
vaginal tissue, using a rim of the cup as a marker.
25. The method according to any one of claims 22 to 24 including the step of
severing vaginal tissue by means of a rim of the cup.
26. A method of performing a colpotomy, hysterectomy or the like procedure
according to claim 22 substantially as herein described and exemplified with
reference to the accompanying drawings.
27. A method of utilizing the kit claimed in any one of claims 13 to 16
comprising the steps of
measuring the length of the uterine cavity; and selecting a tip of predetermined length which, together with the
length of the engaging means approximate the length of the uterine
cavity and cervical canal.
28. The method according to claim 27 including the step of selecting a cup of
suitable size to receive the portio vaginalis so that a rim of the cup fits into
the vaginal formices.
29. The method according to claim 27 or claim 28 including the step of severing
vaginal tissue, using a rim of the cup as a marker.
30. The method according to any one of claims 27 to 29 including the step of
severing vaginal tissue by means of a rim of the cup.
31. A method according to claim 27 of utilizing the kit claimed in any one of
claims 13 to 16 substantially as herein described and exemplified with
reference to the accompanying drawings.
PCT/ZA2002/000128 2001-08-17 2002-08-16 Uterus manipulation device for hysterectomy and colpotomy WO2003015643A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
AU2002323701A AU2002323701A1 (en) 2001-08-17 2002-08-16 Uterus manipulation device for hysterectomy and colpotomy
EP02757701A EP1420706A2 (en) 2001-08-17 2002-08-16 Uterus manipulation device for hysterectomy and colpotomy

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ZA200106802 2001-08-17
ZA2001/6802 2001-08-17

Publications (2)

Publication Number Publication Date
WO2003015643A2 true WO2003015643A2 (en) 2003-02-27
WO2003015643A3 WO2003015643A3 (en) 2003-10-16

Family

ID=25589275

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/ZA2002/000128 WO2003015643A2 (en) 2001-08-17 2002-08-16 Uterus manipulation device for hysterectomy and colpotomy

Country Status (3)

Country Link
EP (1) EP1420706A2 (en)
AU (1) AU2002323701A1 (en)
WO (1) WO2003015643A2 (en)

Cited By (16)

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WO2008100125A1 (en) * 2007-02-16 2008-08-21 Marco Antonio Lopez Zepeda Uterine manipulator for complete removal of human uteri
WO2008136024A1 (en) * 2007-05-04 2008-11-13 Sofar Spa Uterine manipulator
CN101849854A (en) * 2010-06-17 2010-10-06 杜炜杰 Multi-functional uterus raising device for laparoscopic operation
EP2243437A1 (en) 2009-04-24 2010-10-27 Olympus Winter & Ibe Gmbh Hysterectomy device with uterus manipulator
JP2011004880A (en) * 2009-06-24 2011-01-13 Terumo Corp Medical robot system
WO2011140604A1 (en) * 2010-05-14 2011-11-17 Alan Lam A uterine manipulator
DE102010024136A1 (en) 2010-06-17 2011-12-22 Olympus Winter & Ibe Gmbh Uterus manipulator for use by surgeon for achieving access through vagina to remove uterus, has cap fixed at shaft by holder in length-adjustable manner, where holder includes detent device for displacement between detent positions
US8323278B2 (en) 2010-12-06 2012-12-04 Soulor Surgical, Inc. Apparatus for treating a portion of a reproductive system and related methods of use
WO2013151512A1 (en) * 2012-03-14 2013-10-10 TOMAŽEVIČ, Rok Medical instrument for controlled uterine manipulation
CN107518934A (en) * 2012-09-24 2017-12-29 贾伊·辛格 General uterus raising device and system
CN111407381A (en) * 2020-04-09 2020-07-14 河北医科大学第四医院 Automatic uterus lifting device
US10980571B2 (en) 2017-08-15 2021-04-20 Covidien Lp Occlusion devices, systems, and methods
US11090082B2 (en) 2017-05-12 2021-08-17 Covidien Lp Colpotomy systems, devices, and methods with rotational cutting
US11213320B2 (en) 2017-05-12 2022-01-04 Covidien Lp Uterine manipulator with detachable cup and locking occluder
US11253308B2 (en) 2017-05-12 2022-02-22 Covidien Lp Colpotomy systems, devices, and methods with rotational cutting
US11344292B2 (en) 2018-06-14 2022-05-31 Covidien Lp Trans-vaginal cuff anchor and method of deploying same

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WO2008100125A1 (en) * 2007-02-16 2008-08-21 Marco Antonio Lopez Zepeda Uterine manipulator for complete removal of human uteri
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DE102010024136A1 (en) 2010-06-17 2011-12-22 Olympus Winter & Ibe Gmbh Uterus manipulator for use by surgeon for achieving access through vagina to remove uterus, has cap fixed at shaft by holder in length-adjustable manner, where holder includes detent device for displacement between detent positions
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US8323278B2 (en) 2010-12-06 2012-12-04 Soulor Surgical, Inc. Apparatus for treating a portion of a reproductive system and related methods of use
US10034687B2 (en) 2010-12-06 2018-07-31 Surgigyn, Inc. Apparatus for treating a portion of a reproductive system and related methods of use
WO2013151512A1 (en) * 2012-03-14 2013-10-10 TOMAŽEVIČ, Rok Medical instrument for controlled uterine manipulation
CN107518934A (en) * 2012-09-24 2017-12-29 贾伊·辛格 General uterus raising device and system
CN107518934B (en) * 2012-09-24 2021-08-20 贾伊·辛格 Universal uterine manipulator and system
US11090082B2 (en) 2017-05-12 2021-08-17 Covidien Lp Colpotomy systems, devices, and methods with rotational cutting
US11213320B2 (en) 2017-05-12 2022-01-04 Covidien Lp Uterine manipulator with detachable cup and locking occluder
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