WO2018027788A1 - Endoscopic surgical clip applier and clip applying systems - Google Patents
Endoscopic surgical clip applier and clip applying systems Download PDFInfo
- Publication number
- WO2018027788A1 WO2018027788A1 PCT/CN2016/094599 CN2016094599W WO2018027788A1 WO 2018027788 A1 WO2018027788 A1 WO 2018027788A1 CN 2016094599 W CN2016094599 W CN 2016094599W WO 2018027788 A1 WO2018027788 A1 WO 2018027788A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- housing
- assembly
- ratchet
- disc
- cam disc
- Prior art date
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00407—Ratchet means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
Definitions
- the present disclosure relates to surgical clip appliers and clip applying systems. More particularly, the present disclosure relates to endoscopic surgical clip appliers having handle assemblies configured for use with various different endoscopic assemblies, and systems incorporating the same.
- Endoscopic surgical clip appliers are known in the art and are used for a number of distinct and useful surgical procedures.
- a laparoscopic surgical procedure access to the interior of an abdomen is achieved through narrow tubes or cannulas inserted through a small entrance incision in the skin.
- Minimally invasive procedures performed elsewhere in the body are often generally referred to as endoscopic procedures.
- Endoscopic surgical clip appliers having various sizes (e.g., diameters) , that are configured to apply a variety of diverse surgical clips, are also known in the art, and are capable of applying a single or multiple surgical clips during an entry to the body cavity.
- Such surgical clips are typically fabricated from a biocompatible material and are usually compressed over a vessel. Once applied to the vessel, the compressed surgical clip terminates the flow of fluid therethrough.
- endoscopic surgical clip appliers and systems that include handle assemblies configured for use with various different endoscopic assemblies having different clips loaded therein and/or configured for performing various different surgical tasks.
- proximal refers to the end of the apparatus or component thereof which is closer to the user and the term “distal” refers to the end of the apparatus or component thereof which is further away from the user.
- distal refers to the end of the apparatus or component thereof which is further away from the user.
- the handle assembly includes a housing, a trigger, a drive bar, a ratchet engagement assembly, and a ratchet mechanism.
- the housing defines a body portion and a fixed handle portion extending from the body portion.
- the trigger is pivotably connected to the housing and movable relative to the fixed handle portion of the housing between an un-actuated position and an actuated position.
- the drive bar is slidably supported within the body portion of the housing and operably coupled to the trigger such that movement of the trigger from the un-actuated position towards the actuated position translates the drive bar distally through the body portion of the housing.
- the drive bar also includes a ratchet rack disposed thereon.
- the ratchet engagement assembly is disposed within the body portion of the housing and includes an inner sleeve selectively slidable between a distal position and a proximal position.
- the ratchet mechanism is disposed within the body portion of the housing and includes a pin, a cam disc, and a pawl disc.
- the cam disc is pivotably supported on the pin and defines a first stop surface.
- the pawl disc is pivotably supported on the pin adjacent the cam disc.
- the pawl disc defines a ratchet pawl and is operably coupled to the cam disc.
- the inner sleeve is configured to contact the first stop surface of the cam disc upon sliding of the inner sleeve from the distal position to the proximal position. Upon contacting the first stop surface, the inner sleeve urges the cam disc and the pawl disc to rotate about the pin from a non-ratcheting use orientation to a ratcheting use orientation. In the non-ratcheting use orientation, the ratchet pawl is positioned to inhibit operable engagement thereof with the ratchet rack upon distal translation of the drive bar. In the ratcheting use orientation, the ratchet pawl is positioned to operably engage the ratchet rack upon distal translation of the drive bar.
- the ratchet engagement assembly may further include a collar fixedly disposed within the body portion of the housing.
- the inner sleeve may be slidably disposed within the collar.
- the ratchet engagement assembly may additionally include a biasing member interdisposed between the collar and the inner sleeve and configured to bias the inner sleeve towards the distal position.
- the ratchet engagement assembly may be configured such that, upon engagement of an endoscopic assembly of a first type within the body portion of the housing, the endoscopic assembly of the first type urges the inner sleeve to slide from the distal position to the proximal position. Additionally or alternatively, the ratchet engagement assembly may be configured such that, upon engagement of an endoscopic assembly of a second type within the body portion of the housing, the inner sleeve is maintained in the distal position.
- the ratchet mechanism may further include a first biasing member operably coupling the cam disc and the pawl disc.
- the first biasing member may be a torsion spring including a body pivotably disposed about the pin, a first leg engaged with the cam disc, and a second leg engaged with the pawl disc. Further, the torsion spring may be configured to enable the pawl disc to rotate together with the cam disc between the non-ratcheting use orientation and the ratcheting use orientation, and to permit the pawl disc to rotate relative to the cam disc to operably engage the ratchet rack upon distal translation of the drive bar.
- the ratchet mechanism may additionally or alternatively include a second biasing member configured to bias the cam disc and the pawl disc towards the non-ratcheting use orientation.
- the cam disc may define a second stop surface that is configured to abut a shelf defined within the body portion of the housing to inhibit rotation of the cam disc beyond the ratcheting use orientation.
- the handle assembly may further include a latch assembly operably supported on the body portion of the housing.
- the latch assembly may include a lever latch configured to releasably engage an endoscopic assembly inserted into the body portion of the housing.
- the lever latch may include a distal engagement tooth configured to engage the endoscopic assembly inserted into the body portion of the housing. Additionally or alternatively, the lever latch may include a proximal manipulation portion configured for manual manipulation to disengage the distal engagement tooth from the endoscopic assembly to permit removal of the endoscopic assembly from the body portion of the housing.
- a surgical clip applying system including a handle assembly and a first endoscopic assembly.
- the handle assembly includes a housing, a trigger operably associated with the housing and movable relative thereto between an un-actuated position and an actuated position, a drive bar, a sleeve slidably disposed within the housing, and a ratchet mechanism.
- the drive bar is slidably supported within the housing and operably coupled to the trigger such that movement of the trigger from the un-actuated position towards the actuated position translates the drive bar through the housing.
- the drive bar further includes a ratchet rack disposed thereon.
- the ratchet mechanism is disposed within the housing and includes a cam disc defining a first stop surface and a pawl disc.
- the pawl disc defines a ratchet pawl and is operably coupled to the cam disc.
- the first endoscopic assembly is configured for ratcheting use and includes a first proximal hub insertable into and releasably engagable within the housing of the handle assembly.
- the first proximal hub urges the sleeve to contact the first stop surface of the cam disc and urge the cam disc and the pawl disc to rotate from a non-ratcheting use orientation, wherein the ratchet pawl is positioned to inhibit operable engagement thereof with the ratchet rack, and a ratcheting use orientation, wherein the ratchet pawl is positioned to operably engage the ratchet rack.
- the clip applying system may further include a second endoscopic assembly configured for non-ratcheting use.
- the second endoscopic assembly may include a second proximal hub insertable into and releasably engagable within the housing. Upon insertion of the second proximal hub into the housing, the sleeve is maintained in its initial position such that the cam disc and the pawl disc are maintained in the non-ratcheting use orientation.
- the first proximal hub of the first endoscopic assembly may include a body and a push-block extending proximally from the body.
- the push-block is configured to urge the sleeve from a first position to a second position to thereby rotate the cam disc and the pawl disc from the non-ratcheting use orientation to the ratcheting use orientation.
- the second proximal hub of the second endoscopic assembly may be devoid of a push-block such that, upon insertion of the second proximal hub into the housing, the sleeve is maintained in its initial position such that the cam disc and the pawl disc are maintained in the non-ratcheting use orientation.
- the ratchet mechanism may further include a torsion spring operably coupling the cam disc and the pawl disc. More specifically, the torsion spring may include a body, a first leg engaged with the cam disc, and a second leg engaged with the pawl disc. The torsion spring may further be configured to enable the pawl disc to rotate together with the cam disc between the non-ratcheting use orientation and the ratcheting use orientation, and to permit the pawl disc to rotate relative to the cam disc to operably engage the ratchet rack upon distal translation of the drive bar.
- the ratchet mechanism may additionally or alternatively include a compression spring configured to bias the cam disc and the pawl disc towards the non-ratcheting use orientation.
- the cam disc of the ratchet mechanism of the handle assembly may define a second stop surface configured to abut a shelf defined within the housing to inhibit rotation of the cam disc beyond the ratcheting use orientation.
- FIG. 1 is a side view of an endoscopic surgical clip applier provided in accordance with the present disclosure including a handle assembly having an endoscopic assembly engaged therewith;
- FIG. 2A is side, longitudinal, cross-sectional view of the area of detail indicated in FIG. 1;
- FIG. 2B is a front, perspective view of the area of detail indicated in FIG. 1;
- FIG. 3A is a side, perspective view of the distal end of the endoscopic assembly of FIG. 1;
- FIG. 3B is a side, longitudinal, cross-sectional view of a proximal portion of an outer shaft of the endoscopic assembly of FIG. 1;
- FIG. 4A is a side, perspective view of a distal end of another endoscopic assembly configured for use with the endoscopic clip applier of FIG. 1;
- FIG. 4B is a side, longitudinal, cross-sectional view of a proximal portion of an outer shaft of the endoscopic assembly of FIG. 4A;
- FIG. 5 is a rear, perspective view of the handle assembly of FIG. 1, with a portion of the housing removed to illustrate the internal components therein;
- FIG. 6 is a side, longitudinal, cross-sectional view of the handle assembly of FIG. 1;
- FIG. 7 is an enlarged, side, longitudinal, cross-sectional view of the area of detail indicated as “7” in FIG. 6;
- FIG. 8 is a side, longitudinal, cross-sectional view of the handle assembly of FIG. 1 including the endoscopic assembly of FIGS. 3A and 3B engaged therein, wherein a trigger of the handle assembly is disposed in an un-actuated position;
- FIG. 9 is an enlarged, side, longitudinal, cross-sectional view of the area of detail indicated as “9” in FIG. 8;
- FIG. 10 is a side, perspective view of a portion of the endoscopic surgical clip applier of FIG. 1 illustrating the endoscopic assembly engaged within the handle assembly with the handle assembly disposed in a ratcheting-use condition;
- FIG. 11 is a side, longitudinal, cross-sectional view of the handle assembly of FIG. 1 including the endoscopic assembly of FIG. FIGS. 3A and 3B engaged therein, wherein the trigger is disposed between the un-actuated position and an actuated position;
- FIG. 12 is an enlarged, side, longitudinal, cross-sectional view of the area of detail indicated as “12” in FIG. 11;
- FIG. 13 is an enlarged, side, longitudinal, cross-sectional view of the portion of the handle assembly of FIG. 1 including the endoscopic assembly of FIG. FIGS. 3A and 3B engaged therein as illustrated in FIG. 12, wherein a drive assembly of the handle assembly is disposed in a distal-most position.
- Surgical clip applier 10 generally includes a handle assembly 100 and a plurality of endoscopic assemblies 200, 300 (FIGS. 4A and 4B) selectively connectable to and extendable distally from handle assembly 100.
- Handle assembly 100 is advantageously configured to operate each of endoscopic assemblies 200, 300 upon connection thereto, and may be configured as a sterilizable, reusable component such that handle assembly 100 may be repeatedly used with different and/or additional endoscopic assemblies 200, 300 during the course of one or more surgical procedures.
- the endoscopic assemblies 200, 300 may be configured as single-use disposable components, limited-use disposable components, or reusable components, depending upon a particular purpose and/or the configuration of the particular endoscopic assembly. In either configuration, the need for multiple handle assemblies 100 is obviated and, instead, the surgeon need only select an appropriate endoscopic assembly 200, 300 and connect that endoscopic assembly to handle assembly 100 in preparation for use.
- handle assembly 100 is configured for both ratcheting use, e.g., in connection with endoscopic assembly 200 (FIGS. 1 and 2A-3B) , and non-ratcheting use, e.g., in connection with endoscopic assembly 300 (FIGS. 4A and 4B) .
- ratcheting use e.g., in connection with endoscopic assembly 200 (FIGS. 1 and 2A-3B)
- non-ratcheting use e.g., in connection with endoscopic assembly 300 (FIGS. 4A and 4B) .
- endoscopic assembly 200 is configured for ratcheting use and generally includes a proximal hub 220, an elongated shaft 240 extending distally from proximal hub 220, an end effector assembly 260 disposed on a distal end portion of elongated shaft 240, and an inner drive assembly (not shown) operably coupled between handle assembly 100 and end effector assembly 260 when endoscopic assembly 200 is engaged with handle assembly 100 to enable the sequential firing and forming of at least one surgical clip (not shown) about tissue.
- Proximal hub 220 includes a body 222 having an annular channel 224 defined therein on a proximal end portion thereof.
- Proximal hub 220 further includes a push-block or relatively longer extension 226 that extends proximally from body 222. These features of proximal hub 220 are described in greater detail below.
- end effector assembly 260 and the inner drive assembly (not shown) of endoscopic assembly 200 are provided in International Application No. PCT/CN2015/091603, filed on October 10, 2015, the entire content of which is hereby incorporated herein by reference. Further, it is contemplated that endoscopic assembly 200 may be configured to close, fire or form surgical clips similar to those shown and described in U.S. Patent Nos. 7,819,886 or 7,905,890, the entire content of each of which is incorporated herein by reference.
- endoscopic assembly 300 is configured for non-ratcheting use and generally includes a proximal hub 320, an elongated shaft 340 extending distally from proximal hub 320, an end effector assembly 360 disposed on a distal end portion of elongated shaft 340, and an inner drive assembly (not shown) operably coupled between handle assembly 100 and end effector assembly 360 when endoscopic assembly 300 is engaged with handle assembly 100 to enable grasping and/or manipulation of tissue, retrieval of a surgical clip, and firing and forming the surgical clip about tissue.
- Proximal hub 320 includes a body 322 having an annular channel 324 defined therein on a proximal end portion thereof.
- proximal hub 320 defines the proximal-most portion of proximal hub 320; proximal hub 320 does not include a push-block that extends proximally from body 322, or, alternatively, proximal hub 320 includes a push-block that is relatively shorter as compared to push-block 226 of endoscopic assembly 200.
- end effector assembly 360 and the inner drive assembly (not shown) of endoscopic assembly 300 are also provided in International Application No. PCT/CN2015/091603, previously incorporated herein by reference. It is contemplated that endoscopic assembly 300 be configured to close, fire or form surgical clips similar to those shown and described in U.S. Patent No. 4,834,096, the entire content of which is incorporated herein by reference.
- exemplary endoscopic assemblies 200, 300 configured for ratcheting and non-ratcheting use, respectively, are detailed above, it is contemplated that various other endoscopic assemblies for performing various different surgical tasks and/or having various different configurations suitable for ratcheting or non-ratcheting use may likewise be utilized with handle assembly 100. More specifically, it is contemplated and within the scope of the present disclosure that other endoscopic assemblies including a pair of jaws having a unique and diverse closure stroke length thereof, may be provided for use with handle assembly 100 for ratcheting use or non-ratcheting use, similarly as detailed above with respect to endoscopic assemblies 200, 300.
- Such a configuration accommodates various different endoscopic assemblies having different configurations and/or different closure stroke lengths while providing a constant actuation stroke length of trigger 122 of trigger assembly 120 of handle assembly 100. Accordingly, various endoscopic assemblies, constructed in accordance with the principles of the present disclosure, may be provided which are also capable of firing or forming or closing surgical clips of various sizes, materials, and configurations, across multiple platforms for multiple different manufactures.
- handle assembly 100 generally includes a housing 110, a trigger assembly 120 pivotably coupled to housing 110, a drive assembly 130 operably coupled to trigger assembly 120, a ratchet mechanism 140 selectively operably associated with drive assembly 130, a latch assembly 160 configured to releasably latch an endoscopic assembly 200, 300 (FIGS. 2-2B and 3A-3B, respectively) in engagement with handle assembly 100, a receiver tube 170 extending distally from housing 110 and configured to receive the proximal hub 220, 320 of the endoscopic assembly 200, 300 (FIGS. 1-3B and 4A-4B, respectively) inserted into handle assembly 100, and a rotation knob 180 disposed about receiver tube 170.
- Handle assembly 100 is detailed below in connection with endoscopic assembly 200. Similarities in the engagement and use of handle assembly 100 with a non-ratcheting endoscopic assembly, e.g., endoscopic assembly 300 (FIGS. 3A and 3B) , and with ratcheting endoscopic assembly 200 will not be described in detail below for purposes of brevity. Differences therebetween will be noted hereinbelow where applicable.
- Housing 110 of handle assembly 100 defines a body portion 111 and a fixed handle portion 112 extending downwardly from body portion 111.
- Housing 110 is formed from first and second housing components or halves 113a, 113b secured to one another via a plurality of screws 114, although first and second housing components 113a, 113b may alternatively be secured in any other suitable manner, e.g., ultrasonic welding, gluing, other mechanical engagement, etc.
- Housing 110 is configured to house the internal working components of handle assembly 100.
- Body portion 111 includes a distal nose 115 defining an annular slot 116 on the interior thereof.
- first and second housing components 113a, 113b each define a semi-annular slot portion such that, when first and second housing components 113a, 113b cooperate to form housing 110, annular slot 116 is formed.
- Receiver tube 170 of handle assembly 100 includes an annular rim 172 disposed thereabout on a proximal end portion thereof. Annular rim 172 is captured within annular slot 116 defined within distal nose 115 of housing 110, e.g., upon engagement of first and second housing components 113a, 113b with one another. Annular rim 172 is captured within annular slot 116 to rotatably engage receiver tube 170 with housing 110.
- Rotation knob 180 of handle assembly 100 is engaged about receiver tube 170, e.g., via a pair of opposed engagement pins 182, in fixed rotational orientation relative thereto such that rotation of rotation knob 180 relative to housing 110 effects similar rotation of receiver tube 170 relative to housing 110.
- Body portion 111 of housing 110 further incudes an internal pivot post 117 extending transversely between housing components 113a, 113b (from either or both of housing components 113a, 113b) , as detailed below.
- Fixed handle portion 112 of housing 110 is configured to facilitate grasping of handle assembly 100 and manipulation thereof and is monolithically formed with body portion 111, although other configurations are also contemplated.
- trigger assembly 120 generally includes a trigger 122, a biasing member 127, and a linkage 128.
- Trigger 122 includes a grasping portion 123, an intermediate pivot portion 124, and a proximal extension portion 125.
- Grasping portion 123 of trigger 122 extends downwardly from body portion 111 of housing 110 in opposed relation relative to fixed handle portion 112 of housing 110.
- Grasping portion 123 is configured to facilitate grasping and manipulation of trigger 122.
- Intermediate pivot portion 124 of trigger 122 is at least partially disposed within housing 110 and is pivotably supported on pivot post 117 of housing 110 so as to enable pivoting of trigger 122 about pivot post 117 and relative to housing 110, e.g., between an un-actuated position, wherein grasping portion 123 of trigger 122 is spaced-apart relative to fixed handle portion 112, and an actuated position, wherein grasping portion 123 of trigger 122 is approximated relative to fixed handle portion 112.
- Proximal extension portion 125 of trigger 122 of trigger assembly 120 is disposed on an opposite side of intermediate pivot portion 124 and, thus, pivot post 117, as compared to grasping portion 123 of trigger 122. As such, pivoting of grasping portion 123 proximally, e.g., towards the actuated position, urges proximal extension portion 125 distally.
- Proximal extension portion 125 is pivotably coupled to the proximal end of linkage 128.
- Biasing member 127 is secured at either end and extends between proximal extension portion 125 and a support disposed within fixed handle portion 112 of housing 110.
- biasing member 127 may define any suitable configuration for biasing grasping portion 123 of trigger 122 towards the un-actuated position.
- linkage 128 is coupled at its proximal end to proximal extension portion 125 of trigger 122.
- Linkage 128 is also pivotably coupled, at its distal end, to proximal extension 134, which extends distally from drive bar 132 of drive assembly 130.
- drive assembly 130 of handle assembly 100 includes drive bar 132, proximal extension 134, a ratchet engagement assembly 136, and a ratchet rack 138.
- Drive bar 132 extends in a generally longitudinal direction.
- proximal extension 134 extends proximally from drive bar 132 and serves to pivotably couple drive bar 132 with linkage 128.
- Ratchet engagement assembly 136 includes a distal collar 137a that is fixedly mounted within body portion 111 of housing 110, an inner sleeve 137b slidably disposed within distal collar 137a, and a biasing member 137c positioned within distal collar 137a and configured to bias inner sleeve 137b distally relative to distal collar 137a.
- Biasing member 137c may be configured as a coil compression spring, although other configurations are also contemplated.
- Ratchet rack 138 extends in a generally longitudinal direction, similar to drive bar 132, and is defined on or engaged with drive bar 132 on an underside thereof.
- Drive bar 132 defines proximal and distal recesses 133a, 133b, respectively, disposed adjacent the respective proximal and distal ends of drive bar 132.
- Ratchet mechanism 140 of handle assembly 100 is selectively operably associated with drive assembly 130 to enable use of handle assembly 100 in either a ratcheting condition or a non-ratcheting condition.
- Ratchet mechanism 140 includes a pin 142, a cam disc 144, a pawl disc 148, and first and second biasing members 152, 154.
- Pin 142 is engaged within body portion 111 of housing 110 and extends transversely within body portion 111 of housing 110.
- Cam disc 144 is rotatably mounted about pin 142 and defines a cut-out forming first and second oppositely-facing stop surfaces 146a, 146b (FIG. 10) on cam disc 144, as detailed below.
- Pawl disc 148 is rotatably mounted about pin 142 adjacent cam disc 144.
- Pawl disc 148 includes a ratchet pawl 149 extending therefrom that is configured to operably engage ratchet rack 138 of drive assembly 130 to permit incremental advancement of drive bar 132 through and relative to body portion 111 of housing 110, as detailed below.
- Pawl disc 148 is rotatable, in connection with cam disc 144, between a non-ratcheting use orientation, wherein ratchet pawl 149 is inhibited from engaging ratchet rack 138 upon advancement of drive bar 132, and a ratcheting-use orientation, wherein ratchet pawl 149 is operably positioned to incrementally engage ratchet rack 138 upon distal advancement of drive bar 132.
- first biasing member 152 is configured as a torsion spring having a base 153a and first and second legs 153b, 153c extending from base 153a.
- Base 153a is rotatably mounted about pin 142, first leg 153b is engaged with cam disc 144, and second leg 153c is engaged with pawl disc 148.
- first biasing member 152 serves to operably couple cam disc 144 and pawl disc 148 with one another. More specifically, first biasing member 152 biases pawl disc 148 to rotate together with cam disc 144 about pin 142 in the absence of sufficient external influence to overcome the bias.
- this configuration enables rotation of pawl disc 148 about pin 142 from the non-ratcheting use orientation to the ratcheting use orientation in response to rotation of cam disc 144 upon engagement of an endoscopic assembly configured for ratcheting use, e.g., endoscopic assembly 200 (FIGS. 3A and 3B) , with handle assembly 100.
- an endoscopic assembly configured for ratcheting use, e.g., endoscopic assembly 200 (FIGS. 3A and 3B)
- the bias of first biasing member 152 may be overcome in response to application of sufficient external influence thereto, thus permitting relative rotation between pawl disc 148 and cam disc 144.
- this configuration enables rotation of pawl disc 148 about pin 142 and relative to cam disc 144 during actuation to enable incremental engagement of ratchet pawl 149 with ratchet rack 138 and to permit return of drive bar 132 after a complete actuation.
- Second biasing member 154 of ratchet assembly 140 extends, e.g., longitudinally, within body portion 111 of housing 110.
- the proximal end of second biasing member 154 is fixed within body portion 111 of housing 110, while the distal end of second biasing member 154 is engaged with cam disc 144.
- the distal end of second biasing member 154 may alternatively be engaged with pawl disc 148.
- Second biasing member 154 is configured as an extension coil spring and, as such, biases cam disc 144 and pawl disc 148 towards the non-ratcheting use condition of ratchet mechanism 140, wherein ratchet pawl 149 is oriented to enable engagement thereof with ratchet rack 138.
- latch assembly 160 includes a latch lever 162, a pivot pin 164, and a biasing member 166.
- Latch lever 162 is at least partially disposed within a cut-out defined without housing 110 of handle assembly 100 to enable manual manipulation thereof and defines a distal engagement section 163a, an intermediate section 163b, and a proximal manipulatable section 163c.
- Distal engagement section 163a of latch lever 162 includes an engagement tooth 168 extending therefrom. Engagement tooth 168 is configured to engage an endoscopic assembly inserted into handle assembly 100.
- engagement tooth 168 is configured for engagement within annular channel 224 of proximal hub 220 to lock endoscopic assembly 200 in engagement within handle assembly 100.
- Pivot pin 164 of latch assembly 160 pivotably couples intermediate section 163b of lever latch 162 with housing 110 of handle assembly 100 such that urging of proximal manipulation section 163c of lever latch 162 in a first direction, e.g., downwardly into housing 110, urges distal engagement section 163a of lever latch 162 in a second, opposite direction e.g., upwardly out of engagement with annular channel 224 of proximal hub 220 endoscopic assembly 200.
- Biasing member 166 is configured as a torsion spring, although other configurations are also contemplated, and is positioned to bias proximal manipulation section 163c of lever latch 162 upwardly, thereby biasing distal engagement section 163a downwardly towards an engaged position.
- Proximal manipulation section 163c of lever latch 162 is selectively depressible, against the bias of biasing member 166, to urge distal engagement section 163a upwardly towards a disengaged position.
- endoscopic assembly 200 within handle assembly 100 (FIG. 1) is detailed.
- trigger 122 is disposed in the un-actuated position under the bias of biasing member 127
- drive bar 132 is disposed in a proximal-most position
- cam disc 144 and pawl disc 148 are oriented in the non-ratcheting use orientation under the bias of second biasing member 154.
- lever latch 162 is disposed in the engaged position under the bias of biasing member 166.
- proximal hub 220 of endoscopic assembly 200 is inserted into rotation knob 180 of handle assembly 100 and slid proximally through rotation knob 180, receiver tube 170, and into housing 110.
- proximal hub 220 receives the distal end of drive bar 132 of drive assembly 130.
- push-block 226 of proximal hub 220 enters distal collar 137a of drive assembly 130 and abuts the distal end of inner sleeve 137b of drive assembly 130.
- proximal hub 220 Upon further insertion of proximal hub 220 into housing 110 and distal collar 137a, push-block 226 of proximal hub 220 urges sleeve 137b proximally against the bias of biasing member 137c. As sleeve 137b is urged proximally, the proximal end of sleeve 137b is urged into contact with first stop surface 146a of cam disc 144 of ratchet assembly 140 to urge cam disc 144 to rotate in a counter-clockwise direction, according to the orientation of FIGS. 7 and 9, from the non-ratcheting use orientation (FIG. 7) to the ratcheting use orientation (FIG. 9) .
- cam disc 144 is rotated until second stop surface 146b contacts shelf 119 defined within body portion 111 of housing 110. The abutment of second stop surface 146b with shelf 119 inhibits further rotation of cam disc 144 and, thus, further proximal insertion of proximal hub 220 of endoscopic assembly 200 into handle assembly 100. Due to the operable coupling of pawl disc 148 with cam disc 144 via first biasing member 152, as detailed above, rotation of cam disc 144 urges pawl disc 148 to rotate from the non-ratcheting use orientation (FIG. 7) to the ratcheting use orientation (FIG. 9) such that ratchet pawl 149 is operably positioned to engage ratchet rack 138 of drive assembly 130 upon distal advancement of drive bar 132.
- engagement tooth 168 of latch assembly 160 is cammed over the proximal end of proximal hub 220 and into engagement within annular channel 224 of proximal hub 220 to lock endoscopic assembly 200 in engagement within handle assembly 100.
- push-block 226 of proximal hub 220 of endoscopic assembly 200 urges sleeve 137b proximally to thereby rotate cam disc 144 and pawl disc 148 to the ratcheting use orientation (FIG. 9) .
- the endoscopic assembly, utilized with handle assembly 100 is configured for non-ratcheting use, e.g., as with endoscopic assembly 300
- cam disc 144 and pawl disc 148 remain disposed in the non-ratcheting use orientation (FIG. 7) under the bias of second biasing member 154 upon engagement of the non-ratcheting endoscopic assembly with handle assembly 100.
- Non-ratcheting endoscopic assemblies such as endoscopic assembly 300 are releasably locked in engagement within handle assembly 100 via latch assembly 160, similarly as detailed above with respect to the engagement of endoscopic assembly 200 within handle assembly 100.
- pawl disc 148 is disposed in the ratcheting use orientation.
- trigger 122 is disposed in the un-actuated position and, as such, ratchet pawl 149 extends at least partially into distal recess 133b of drive bar 132.
- grasping portion 123 of trigger 122 is pivoted towards fixed handle portion 112 of housing 110 to urge linkage 128 distally which, in turn, urges drive bar 132 distally through housing 110 and proximal hub 220 to drive the inner drive assembly (not shown) of endoscopic assembly 200 distally.
- ratchet pawl 149 incrementally engages ratchet rack 138, inhibiting proximal return of drive bar 132.
- Pawl disc 148 is permitted to oscillate relative to cam disc 144, thus permitting ratchet pawl 149 to incrementally engage the teeth of ratchet rack 138 as drive bar 132 is advanced distally.
- This oscillatory movement of pawl disc 148 is permitted due to the operable coupling of pawl disc 148 and cam disc 144 via first biasing member 152, as detailed above.
- ratchet pawl 149 With ratchet pawl 149 engaged with ratchet rack 138, drive bar 132 is inhibited from returning proximally and, thus, trigger 122 is inhibited from returning towards the un-actuated position until a full actuation of trigger 122 has been completed and ratchet pawl 149 has cleared ratchet rack 138 and entered proximal recess 133a of drive bar 132 (FIG. 13) .
- distal translation of drive bar 132 drives the inner drive assembly (not shown) of endoscopic assembly 200 to fire and form a surgical clip (not shown) from end effector assembly 360 (FIG. 3A) about tissue.
- Ratchet mechanism 140 in the ratcheting use condition, enables incremental firing of endoscopic assembly 200, as detailed above.
- ratchet pawl 149 clears ratchet rack 138 and enters proximal recess 133a of drive bar 132.
- trigger 122 may be released and returned to the un-actuated position under the bias of biasing member 127, thereby returning drive bar 132 proximally.
- drive bar 132 is returned proximally ratchet pawl 149 cams over the ratchet teeth of ratchet rack 138 without engaging the ratchet teeth.
- free return of drive bar 132 to its proximal-most position may be achieved.
- the above-detailed use of surgical clip applier 10 may be repeated to fire and form additional surgical clips (not shown) .
- endoscopic assembly 300 with handle assembly 100 is similar to that detailed above with respect to endoscopic assembly 200 except that, with pawl disc 148 maintained in the non-ratcheting use orientation (due to non-ratcheting endoscopic assemblies not including a push-block) , ratchet pawl 149 is inhibited from engaging ratchet rack 138. Accordingly, during use of endoscopic assembly 300, trigger 122 may be freely pivoted between the un-actuated and actuated positions, and may be returned towards the un-actuated at any point during the actuation stroke.
- proximal manipulation section 163c of lever latch 162 of latch assembly 160 is depressed inwardly into housing 110, against the bias of biasing member 166, to urge distal engagement section 163a of lever latch 162 upwardly and out of engagement within annular channel 224 of proximal hub 220 of endoscopic assembly 200.
- distal engagement section 163a of lever latch 162 disposed in this disengaged position, proximal hub 220 of endoscopic assembly 200 may be withdrawn distally from handle assembly 100.
- cam disc 144 and pawl disc 148 of ratchet mechanism 140 are returned to the non-ratcheting use orientation under the bias of second biasing member 154.
- a surgical system or kit (not shown) may be provided which includes a handle assembly 100, at least one endoscopic assembly 200, at least one endoscopic assembly 300, and instructions for using the same. It is further contemplated that a plurality of handle assemblies may be provided in the surgical system or kit. It is additionally contemplated that the surgical system or kit may include additional endoscopic assemblies, not shown or described herein, which are different from endoscopic assemblies 200 or 300, and which are configured to connection to and operation by handle assembly 100. It is still further contemplated that the surgical system or kit may include at least one cartridge of surgical clips or fasteners (not shown) for use with any of the endoscopic assemblies disclosed herein.
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
An endoscopic surgical clip applier (10) includes a handle assembly (100) configured to releasably engage at least two different endoscopic assemblies (200,300). The handle assembly (100) is configured to transition from a non-ratcheting use condition to a ratcheting use condition when an endoscopic assembly (200,300) configured for ratcheting use is engaged with the handle assembly (100). The handle assembly (100) is maintained in the non-ratcheting use condition when an endoscopic assembly (200,300) configured for non-ratcheting use is engaged with the handle assembly (100). Endoscopic assemblies (200,300) for use with the handle assembly (100) are also provided.
Description
The present disclosure relates to surgical clip appliers and clip applying systems. More particularly, the present disclosure relates to endoscopic surgical clip appliers having handle assemblies configured for use with various different endoscopic assemblies, and systems incorporating the same.
Description of Related Art
Endoscopic surgical clip appliers are known in the art and are used for a number of distinct and useful surgical procedures. In the case of a laparoscopic surgical procedure, access to the interior of an abdomen is achieved through narrow tubes or cannulas inserted through a small entrance incision in the skin. Minimally invasive procedures performed elsewhere in the body are often generally referred to as endoscopic procedures.
Endoscopic surgical clip appliers having various sizes (e.g., diameters) , that are configured to apply a variety of diverse surgical clips, are also known in the art, and are capable of applying a single or multiple surgical clips during an entry to the body cavity. Such surgical clips are typically fabricated from a biocompatible material and are usually compressed over a vessel. Once applied to the vessel, the compressed surgical clip terminates the flow of fluid therethrough.
During endoscopic or laparoscopic procedures it may be desirable and/or necessary to use different size surgical clips or different configured surgical clips depending on the underlying tissue or vessels to be ligated. In
order to reduce overall costs of an endoscopic surgical clip applier, it is desirable for a single endoscopic surgical clip applier capable of receiving and firing different size surgical clips as needed.
Accordingly, a need exists for endoscopic surgical clip appliers and systems that include handle assemblies configured for use with various different endoscopic assemblies having different clips loaded therein and/or configured for performing various different surgical tasks.
SUMMARY
As detailed herein and shown in the drawing figures, as is traditional when referring to relative positioning on a surgical instrument, the term “proximal” refers to the end of the apparatus or component thereof which is closer to the user and the term “distal” refers to the end of the apparatus or component thereof which is further away from the user. Further, to the extent consistent, any or all of the aspects and features detailed herein may be used in conjunction with any or all of the other aspects and features detailed herein.
Provided in accordance with aspects of the present disclosure is handle assembly of a surgical clip applier configured to releasably engage at least two different endoscopic assemblies. The handle assembly includes a housing, a trigger, a drive bar, a ratchet engagement assembly, and a ratchet mechanism. The housing defines a body portion and a fixed handle portion extending from the body portion. The trigger is pivotably connected to the housing and movable relative to the fixed handle portion of the housing between an un-actuated position and an actuated position. The drive bar is slidably supported within the body portion of the housing and operably coupled to the trigger such that movement of the trigger from the un-actuated position towards the actuated position translates the drive bar distally through the body portion of the housing. The drive bar also includes a ratchet rack disposed thereon. The
ratchet engagement assembly is disposed within the body portion of the housing and includes an inner sleeve selectively slidable between a distal position and a proximal position.
The ratchet mechanism is disposed within the body portion of the housing and includes a pin, a cam disc, and a pawl disc. The cam disc is pivotably supported on the pin and defines a first stop surface. The pawl disc is pivotably supported on the pin adjacent the cam disc. The pawl disc defines a ratchet pawl and is operably coupled to the cam disc.
The inner sleeve is configured to contact the first stop surface of the cam disc upon sliding of the inner sleeve from the distal position to the proximal position. Upon contacting the first stop surface, the inner sleeve urges the cam disc and the pawl disc to rotate about the pin from a non-ratcheting use orientation to a ratcheting use orientation. In the non-ratcheting use orientation, the ratchet pawl is positioned to inhibit operable engagement thereof with the ratchet rack upon distal translation of the drive bar. In the ratcheting use orientation, the ratchet pawl is positioned to operably engage the ratchet rack upon distal translation of the drive bar.
The ratchet engagement assembly may further include a collar fixedly disposed within the body portion of the housing. In such configurations, the inner sleeve may be slidably disposed within the collar. The ratchet engagement assembly may additionally include a biasing member interdisposed between the collar and the inner sleeve and configured to bias the inner sleeve towards the distal position.
The ratchet engagement assembly may be configured such that, upon engagement of an endoscopic assembly of a first type within the body portion of the housing, the endoscopic assembly of the first type urges the inner sleeve to slide from the distal position to the proximal position. Additionally or
alternatively, the ratchet engagement assembly may be configured such that, upon engagement of an endoscopic assembly of a second type within the body portion of the housing, the inner sleeve is maintained in the distal position.
The ratchet mechanism may further include a first biasing member operably coupling the cam disc and the pawl disc. The first biasing member may be a torsion spring including a body pivotably disposed about the pin, a first leg engaged with the cam disc, and a second leg engaged with the pawl disc. Further, the torsion spring may be configured to enable the pawl disc to rotate together with the cam disc between the non-ratcheting use orientation and the ratcheting use orientation, and to permit the pawl disc to rotate relative to the cam disc to operably engage the ratchet rack upon distal translation of the drive bar. The ratchet mechanism may additionally or alternatively include a second biasing member configured to bias the cam disc and the pawl disc towards the non-ratcheting use orientation.
The cam disc may define a second stop surface that is configured to abut a shelf defined within the body portion of the housing to inhibit rotation of the cam disc beyond the ratcheting use orientation.
The handle assembly may further include a latch assembly operably supported on the body portion of the housing. The latch assembly may include a lever latch configured to releasably engage an endoscopic assembly inserted into the body portion of the housing.
The lever latch may include a distal engagement tooth configured to engage the endoscopic assembly inserted into the body portion of the housing. Additionally or alternatively, the lever latch may include a proximal manipulation portion configured for manual manipulation to disengage the distal engagement tooth from the endoscopic assembly to permit removal of the endoscopic assembly from the body portion of the housing.
Also provided in accordance with aspects of the present disclosure is a surgical clip applying system including a handle assembly and a first endoscopic assembly. The handle assembly includes a housing, a trigger operably associated with the housing and movable relative thereto between an un-actuated position and an actuated position, a drive bar, a sleeve slidably disposed within the housing, and a ratchet mechanism. The drive bar is slidably supported within the housing and operably coupled to the trigger such that movement of the trigger from the un-actuated position towards the actuated position translates the drive bar through the housing. The drive bar further includes a ratchet rack disposed thereon.
The ratchet mechanism is disposed within the housing and includes a cam disc defining a first stop surface and a pawl disc. The pawl disc defines a ratchet pawl and is operably coupled to the cam disc.
The first endoscopic assembly is configured for ratcheting use and includes a first proximal hub insertable into and releasably engagable within the housing of the handle assembly. Upon such insertion, the first proximal hub urges the sleeve to contact the first stop surface of the cam disc and urge the cam disc and the pawl disc to rotate from a non-ratcheting use orientation, wherein the ratchet pawl is positioned to inhibit operable engagement thereof with the ratchet rack, and a ratcheting use orientation, wherein the ratchet pawl is positioned to operably engage the ratchet rack.
The clip applying system may further include a second endoscopic assembly configured for non-ratcheting use. The second endoscopic assembly may include a second proximal hub insertable into and releasably engagable within the housing. Upon insertion of the second proximal hub into the housing, the sleeve is maintained in its initial position such that the cam disc and the pawl disc are maintained in the non-ratcheting use orientation.
The first proximal hub of the first endoscopic assembly may include a body and a push-block extending proximally from the body. The push-block is configured to urge the sleeve from a first position to a second position to thereby rotate the cam disc and the pawl disc from the non-ratcheting use orientation to the ratcheting use orientation.
The second proximal hub of the second endoscopic assembly may be devoid of a push-block such that, upon insertion of the second proximal hub into the housing, the sleeve is maintained in its initial position such that the cam disc and the pawl disc are maintained in the non-ratcheting use orientation.
The ratchet mechanism may further include a torsion spring operably coupling the cam disc and the pawl disc. More specifically, the torsion spring may include a body, a first leg engaged with the cam disc, and a second leg engaged with the pawl disc. The torsion spring may further be configured to enable the pawl disc to rotate together with the cam disc between the non-ratcheting use orientation and the ratcheting use orientation, and to permit the pawl disc to rotate relative to the cam disc to operably engage the ratchet rack upon distal translation of the drive bar. The ratchet mechanism may additionally or alternatively include a compression spring configured to bias the cam disc and the pawl disc towards the non-ratcheting use orientation.
The cam disc of the ratchet mechanism of the handle assembly may define a second stop surface configured to abut a shelf defined within the housing to inhibit rotation of the cam disc beyond the ratcheting use orientation.
Aspects and features of the presently-disclosed endoscopic surgical clip applier are described in detail with reference to the drawing figures wherein like reference numerals identify similar or identical structural elements and:
FIG. 1 is a side view of an endoscopic surgical clip applier provided
in accordance with the present disclosure including a handle assembly having an endoscopic assembly engaged therewith;
FIG. 2A is side, longitudinal, cross-sectional view of the area of detail indicated in FIG. 1;
FIG. 2B is a front, perspective view of the area of detail indicated in FIG. 1;
FIG. 3A is a side, perspective view of the distal end of the endoscopic assembly of FIG. 1;
FIG. 3B is a side, longitudinal, cross-sectional view of a proximal portion of an outer shaft of the endoscopic assembly of FIG. 1;
FIG. 4A is a side, perspective view of a distal end of another endoscopic assembly configured for use with the endoscopic clip applier of FIG. 1;
FIG. 4B is a side, longitudinal, cross-sectional view of a proximal portion of an outer shaft of the endoscopic assembly of FIG. 4A;
FIG. 5 is a rear, perspective view of the handle assembly of FIG. 1, with a portion of the housing removed to illustrate the internal components therein;
FIG. 6 is a side, longitudinal, cross-sectional view of the handle assembly of FIG. 1;
FIG. 7 is an enlarged, side, longitudinal, cross-sectional view of the area of detail indicated as “7” in FIG. 6;
FIG. 8 is a side, longitudinal, cross-sectional view of the handle assembly of FIG. 1 including the endoscopic assembly of FIGS. 3A and 3B engaged therein, wherein a trigger of the handle assembly is disposed in an un-actuated position;
FIG. 9 is an enlarged, side, longitudinal, cross-sectional view of the
area of detail indicated as “9” in FIG. 8;
FIG. 10 is a side, perspective view of a portion of the endoscopic surgical clip applier of FIG. 1 illustrating the endoscopic assembly engaged within the handle assembly with the handle assembly disposed in a ratcheting-use condition;
FIG. 11 is a side, longitudinal, cross-sectional view of the handle assembly of FIG. 1 including the endoscopic assembly of FIG. FIGS. 3A and 3B engaged therein, wherein the trigger is disposed between the un-actuated position and an actuated position;
FIG. 12 is an enlarged, side, longitudinal, cross-sectional view of the area of detail indicated as “12” in FIG. 11; and
FIG. 13 is an enlarged, side, longitudinal, cross-sectional view of the portion of the handle assembly of FIG. 1 including the endoscopic assembly of FIG. FIGS. 3A and 3B engaged therein as illustrated in FIG. 12, wherein a drive assembly of the handle assembly is disposed in a distal-most position.
Turning to FIGS. 1, 2A, and 2B, an endoscopic surgical clip applier provided in accordance with the present disclosure is identified by reference numeral 10. Surgical clip applier 10 generally includes a handle assembly 100 and a plurality of endoscopic assemblies 200, 300 (FIGS. 4A and 4B) selectively connectable to and extendable distally from handle assembly 100. Handle assembly 100 is advantageously configured to operate each of endoscopic assemblies 200, 300 upon connection thereto, and may be configured as a sterilizable, reusable component such that handle assembly 100 may be repeatedly used with different and/or additional endoscopic assemblies 200, 300 during the course of one or more surgical procedures. The endoscopic assemblies 200, 300 may be configured as single-use disposable components,
limited-use disposable components, or reusable components, depending upon a particular purpose and/or the configuration of the particular endoscopic assembly. In either configuration, the need for multiple handle assemblies 100 is obviated and, instead, the surgeon need only select an appropriate endoscopic assembly 200, 300 and connect that endoscopic assembly to handle assembly 100 in preparation for use.
With additional reference to FIGS. 3A-4B, handle assembly 100, more specifically, is configured for both ratcheting use, e.g., in connection with endoscopic assembly 200 (FIGS. 1 and 2A-3B) , and non-ratcheting use, e.g., in connection with endoscopic assembly 300 (FIGS. 4A and 4B) . Referring to FIGS. 1, 3A, and 3B, endoscopic assembly 200 is configured for ratcheting use and generally includes a proximal hub 220, an elongated shaft 240 extending distally from proximal hub 220, an end effector assembly 260 disposed on a distal end portion of elongated shaft 240, and an inner drive assembly (not shown) operably coupled between handle assembly 100 and end effector assembly 260 when endoscopic assembly 200 is engaged with handle assembly 100 to enable the sequential firing and forming of at least one surgical clip (not shown) about tissue. Proximal hub 220 includes a body 222 having an annular channel 224 defined therein on a proximal end portion thereof. Proximal hub 220 further includes a push-block or relatively longer extension 226 that extends proximally from body 222. These features of proximal hub 220 are described in greater detail below. A more-detailed description of end effector assembly 260 and the inner drive assembly (not shown) of endoscopic assembly 200 are provided in International Application No. PCT/CN2015/091603, filed on October 10, 2015, the entire content of which is hereby incorporated herein by reference. Further, it is contemplated that endoscopic assembly 200 may be configured to close, fire or form surgical clips similar to those shown and
described in U.S. Patent Nos. 7,819,886 or 7,905,890, the entire content of each of which is incorporated herein by reference.
Referring to FIGS. 4A-4B, endoscopic assembly 300 is configured for non-ratcheting use and generally includes a proximal hub 320, an elongated shaft 340 extending distally from proximal hub 320, an end effector assembly 360 disposed on a distal end portion of elongated shaft 340, and an inner drive assembly (not shown) operably coupled between handle assembly 100 and end effector assembly 360 when endoscopic assembly 300 is engaged with handle assembly 100 to enable grasping and/or manipulation of tissue, retrieval of a surgical clip, and firing and forming the surgical clip about tissue. Proximal hub 320 includes a body 322 having an annular channel 324 defined therein on a proximal end portion thereof. Notably, and in contrast to proximal hub 220 of endoscopic assembly 200 (FIG. 3B) , body 322 of proximal hub 320 defines the proximal-most portion of proximal hub 320; proximal hub 320 does not include a push-block that extends proximally from body 322, or, alternatively, proximal hub 320 includes a push-block that is relatively shorter as compared to push-block 226 of endoscopic assembly 200. A more-detailed description of end effector assembly 360 and the inner drive assembly (not shown) of endoscopic assembly 300 are also provided in International Application No. PCT/CN2015/091603, previously incorporated herein by reference. It is contemplated that endoscopic assembly 300 be configured to close, fire or form surgical clips similar to those shown and described in U.S. Patent No. 4,834,096, the entire content of which is incorporated herein by reference.
Although exemplary endoscopic assemblies 200, 300 configured for ratcheting and non-ratcheting use, respectively, are detailed above, it is contemplated that various other endoscopic assemblies for performing various different surgical tasks and/or having various different configurations suitable
for ratcheting or non-ratcheting use may likewise be utilized with handle assembly 100. More specifically, it is contemplated and within the scope of the present disclosure that other endoscopic assemblies including a pair of jaws having a unique and diverse closure stroke length thereof, may be provided for use with handle assembly 100 for ratcheting use or non-ratcheting use, similarly as detailed above with respect to endoscopic assemblies 200, 300. Such a configuration accommodates various different endoscopic assemblies having different configurations and/or different closure stroke lengths while providing a constant actuation stroke length of trigger 122 of trigger assembly 120 of handle assembly 100. Accordingly, various endoscopic assemblies, constructed in accordance with the principles of the present disclosure, may be provided which are also capable of firing or forming or closing surgical clips of various sizes, materials, and configurations, across multiple platforms for multiple different manufactures.
With reference to FIGS. 1, 2A, 2B, and 5, handle assembly 100 generally includes a housing 110, a trigger assembly 120 pivotably coupled to housing 110, a drive assembly 130 operably coupled to trigger assembly 120, a ratchet mechanism 140 selectively operably associated with drive assembly 130, a latch assembly 160 configured to releasably latch an endoscopic assembly 200, 300 (FIGS. 2-2B and 3A-3B, respectively) in engagement with handle assembly 100, a receiver tube 170 extending distally from housing 110 and configured to receive the proximal hub 220, 320 of the endoscopic assembly 200, 300 (FIGS. 1-3B and 4A-4B, respectively) inserted into handle assembly 100, and a rotation knob 180 disposed about receiver tube 170.
Referring to FIGS. 1, 5, and 6, trigger assembly 120 generally includes a trigger 122, a biasing member 127, and a linkage 128. Trigger 122 includes a grasping portion 123, an intermediate pivot portion 124, and a proximal extension portion 125. Grasping portion 123 of trigger 122 extends downwardly from body portion 111 of housing 110 in opposed relation relative to fixed handle portion 112 of housing 110. Grasping portion 123 is configured to facilitate grasping and manipulation of trigger 122. Intermediate pivot portion 124 of trigger 122 is at least partially disposed within housing 110 and is pivotably supported on pivot post 117 of housing 110 so as to enable pivoting of trigger 122 about pivot post 117 and relative to housing 110, e.g., between an un-actuated position, wherein grasping portion 123 of trigger 122 is spaced-apart relative to fixed handle portion 112, and an actuated position, wherein grasping portion 123 of trigger 122 is approximated relative to fixed handle portion 112.
As noted above, linkage 128 is coupled at its proximal end to proximal extension portion 125 of trigger 122. Linkage 128 is also pivotably coupled, at its distal end, to proximal extension 134, which extends distally from drive bar 132 of drive assembly 130. As a result of this configuration, pivoting of grasping portion 123 of trigger 122 towards the actuated position urges proximal extension portion 125 of trigger distally which, in turn, urges linkage 128 distally.
With additional reference to FIGS. 7 and 10, drive assembly 130 of handle assembly 100 includes drive bar 132, proximal extension 134, a ratchet engagement assembly 136, and a ratchet rack 138. Drive bar 132 extends in a generally longitudinal direction. As noted above, proximal extension 134 extends proximally from drive bar 132 and serves to pivotably couple drive bar 132 with linkage 128. Ratchet engagement assembly 136 includes a distal collar 137a that is fixedly mounted within body portion 111 of housing 110, an inner sleeve 137b slidably disposed within distal collar 137a, and a biasing member 137c positioned within distal collar 137a and configured to bias inner sleeve 137b distally relative to distal collar 137a. Biasing member 137c may be configured as a coil compression spring, although other configurations are also contemplated. Ratchet rack 138 extends in a generally longitudinal direction, similar to drive bar 132, and is defined on or engaged with drive bar 132 on an underside thereof. Drive bar 132 defines proximal and distal recesses 133a, 133b, respectively, disposed adjacent the respective proximal and distal ends of drive bar 132.
With reference to FIGS. 6-10, ratchet mechanism 140 of handle assembly 100, as noted above, is selectively operably associated with drive assembly 130 to enable use of handle assembly 100 in either a ratcheting condition or a non-ratcheting condition. Ratchet mechanism 140 includes a pin 142, a cam disc 144, a pawl disc 148, and first and second biasing members 152, 154. Pin 142 is engaged within body portion 111 of housing 110 and extends transversely within body portion 111 of housing 110. Cam disc 144 is rotatably mounted about pin 142 and defines a cut-out forming first and second oppositely-facing stop surfaces 146a, 146b (FIG. 10) on cam disc 144, as detailed below.
With reference to FIG. 10, first biasing member 152 is configured as a torsion spring having a base 153a and first and second legs 153b, 153c extending from base 153a. Base 153a is rotatably mounted about pin 142, first leg 153b is engaged with cam disc 144, and second leg 153c is engaged with pawl disc 148. As a result of this configuration, first biasing member 152 serves to operably couple cam disc 144 and pawl disc 148 with one another. More specifically, first biasing member 152 biases pawl disc 148 to rotate together
with cam disc 144 about pin 142 in the absence of sufficient external influence to overcome the bias. As detailed below, this configuration enables rotation of pawl disc 148 about pin 142 from the non-ratcheting use orientation to the ratcheting use orientation in response to rotation of cam disc 144 upon engagement of an endoscopic assembly configured for ratcheting use, e.g., endoscopic assembly 200 (FIGS. 3A and 3B) , with handle assembly 100. However, the bias of first biasing member 152 may be overcome in response to application of sufficient external influence thereto, thus permitting relative rotation between pawl disc 148 and cam disc 144. As also detailed below, this configuration enables rotation of pawl disc 148 about pin 142 and relative to cam disc 144 during actuation to enable incremental engagement of ratchet pawl 149 with ratchet rack 138 and to permit return of drive bar 132 after a complete actuation.
Second biasing member 154 of ratchet assembly 140 extends, e.g., longitudinally, within body portion 111 of housing 110. The proximal end of second biasing member 154 is fixed within body portion 111 of housing 110, while the distal end of second biasing member 154 is engaged with cam disc 144. The distal end of second biasing member 154 may alternatively be engaged with pawl disc 148. Second biasing member 154 is configured as an extension coil spring and, as such, biases cam disc 144 and pawl disc 148 towards the non-ratcheting use condition of ratchet mechanism 140, wherein ratchet pawl 149 is oriented to enable engagement thereof with ratchet rack 138.
Referring to FIGS. 1, 5, 8, and 9, latch assembly 160 includes a latch lever 162, a pivot pin 164, and a biasing member 166. Latch lever 162 is at least partially disposed within a cut-out defined without housing 110 of handle assembly 100 to enable manual manipulation thereof and defines a distal engagement section 163a, an intermediate section 163b, and a proximal
manipulatable section 163c. Distal engagement section 163a of latch lever 162 includes an engagement tooth 168 extending therefrom. Engagement tooth 168 is configured to engage an endoscopic assembly inserted into handle assembly 100. With respect to endoscopic assembly 200, for example, upon insertion of proximal hub 220 of endoscopic assembly 200 into handle assembly 100, engagement tooth 168 is configured for engagement within annular channel 224 of proximal hub 220 to lock endoscopic assembly 200 in engagement within handle assembly 100.
Referring to FIGS. 5-10, insertion and engagement of endoscopic assembly 200 within handle assembly 100 (FIG. 1) is detailed. Initially, prior to insertion of endoscopic assembly 200, as illustrated in FIGS. 6 and 7, trigger 122 is disposed in the un-actuated position under the bias of biasing member 127, drive bar 132 is disposed in a proximal-most position, and cam disc 144 and pawl disc 148 are oriented in the non-ratcheting use orientation under the bias of
second biasing member 154. Further, at this point, and lever latch 162 is disposed in the engaged position under the bias of biasing member 166.
In order to engage endoscopic assembly 200 within handle assembly 100, as illustrated in FIGS. 8-10, proximal hub 220 of endoscopic assembly 200 is inserted into rotation knob 180 of handle assembly 100 and slid proximally through rotation knob 180, receiver tube 170, and into housing 110. As proximal hub 220 initially enters housing 110, proximal hub 220 receives the distal end of drive bar 132 of drive assembly 130. Further, push-block 226 of proximal hub 220 enters distal collar 137a of drive assembly 130 and abuts the distal end of inner sleeve 137b of drive assembly 130.
Upon further insertion of proximal hub 220 into housing 110 and distal collar 137a, push-block 226 of proximal hub 220 urges sleeve 137b proximally against the bias of biasing member 137c. As sleeve 137b is urged proximally, the proximal end of sleeve 137b is urged into contact with first stop surface 146a of cam disc 144 of ratchet assembly 140 to urge cam disc 144 to rotate in a counter-clockwise direction, according to the orientation of FIGS. 7 and 9, from the non-ratcheting use orientation (FIG. 7) to the ratcheting use orientation (FIG. 9) . More specifically, cam disc 144 is rotated until second stop surface 146b contacts shelf 119 defined within body portion 111 of housing 110. The abutment of second stop surface 146b with shelf 119 inhibits further rotation of cam disc 144 and, thus, further proximal insertion of proximal hub 220 of endoscopic assembly 200 into handle assembly 100. Due to the operable coupling of pawl disc 148 with cam disc 144 via first biasing member 152, as detailed above, rotation of cam disc 144 urges pawl disc 148 to rotate from the non-ratcheting use orientation (FIG. 7) to the ratcheting use orientation (FIG. 9) such that ratchet pawl 149 is operably positioned to engage ratchet rack 138 of drive assembly 130 upon distal advancement of drive bar 132.
Simultaneously or in close temporal relation with the rotation of cam disc 144 and pawl disc 148 to the ratcheting use orientation in response to further insertion of proximal hub 220 into housing 110, engagement tooth 168 of latch assembly 160 is cammed over the proximal end of proximal hub 220 and into engagement within annular channel 224 of proximal hub 220 to lock endoscopic assembly 200 in engagement within handle assembly 100.
Referring to FIGS. 3B, 4B, 7, and 9, as noted above, push-block 226 of proximal hub 220 of endoscopic assembly 200 urges sleeve 137b proximally to thereby rotate cam disc 144 and pawl disc 148 to the ratcheting use orientation (FIG. 9) . In embodiments where the endoscopic assembly, utilized with handle assembly 100, is configured for non-ratcheting use, e.g., as with endoscopic assembly 300, since the endoscopic assembly is devoid of a push-block, cam disc 144 and pawl disc 148 remain disposed in the non-ratcheting use orientation (FIG. 7) under the bias of second biasing member 154 upon engagement of the non-ratcheting endoscopic assembly with handle assembly 100. Non-ratcheting endoscopic assemblies such as endoscopic assembly 300 are releasably locked in engagement within handle assembly 100 via latch assembly 160, similarly as detailed above with respect to the engagement of endoscopic assembly 200 within handle assembly 100.
Referring to FIGS. 8, 9, and 11-13, in use, with endoscopic assembly 200 engaged within handle assembly 100, as detailed above, pawl disc 148 is disposed in the ratcheting use orientation. Initially, trigger 122 is disposed in the un-actuated position and, as such, ratchet pawl 149 extends at least partially into distal recess 133b of drive bar 132. In order to fire surgical clip applier 10 (FIG. 1) , grasping portion 123 of trigger 122 is pivoted towards fixed handle portion 112 of housing 110 to urge linkage 128 distally which, in turn, urges drive bar 132 distally through housing 110 and proximal hub 220 to drive the inner drive
assembly (not shown) of endoscopic assembly 200 distally.
As drive bar 132 is translated distally, as shown in FIGS. 11 and 12, ratchet pawl 149 incrementally engages ratchet rack 138, inhibiting proximal return of drive bar 132. Pawl disc 148 is permitted to oscillate relative to cam disc 144, thus permitting ratchet pawl 149 to incrementally engage the teeth of ratchet rack 138 as drive bar 132 is advanced distally. This oscillatory movement of pawl disc 148 is permitted due to the operable coupling of pawl disc 148 and cam disc 144 via first biasing member 152, as detailed above.
With ratchet pawl 149 engaged with ratchet rack 138, drive bar 132 is inhibited from returning proximally and, thus, trigger 122 is inhibited from returning towards the un-actuated position until a full actuation of trigger 122 has been completed and ratchet pawl 149 has cleared ratchet rack 138 and entered proximal recess 133a of drive bar 132 (FIG. 13) . During actuation, distal translation of drive bar 132 drives the inner drive assembly (not shown) of endoscopic assembly 200 to fire and form a surgical clip (not shown) from end effector assembly 360 (FIG. 3A) about tissue. Ratchet mechanism 140, in the ratcheting use condition, enables incremental firing of endoscopic assembly 200, as detailed above.
Upon full actuation of trigger 122, e.g., upon reaching the actuated position of trigger 122, ratchet pawl 149 clears ratchet rack 138 and enters proximal recess 133a of drive bar 132. Once ratchet pawl 149 has cleared ratchet rack 138, trigger 122 may be released and returned to the un-actuated position under the bias of biasing member 127, thereby returning drive bar 132 proximally. As drive bar 132 is returned proximally ratchet pawl 149 cams over the ratchet teeth of ratchet rack 138 without engaging the ratchet teeth. Thus, free return of drive bar 132 to its proximal-most position may be achieved. Upon return of trigger 122 to the un-actuated position, the above-detailed use of
surgical clip applier 10 may be repeated to fire and form additional surgical clips (not shown) .
Referring momentarily to FIGS. 1 and 4A-5, the use of endoscopic assembly 300 with handle assembly 100 is similar to that detailed above with respect to endoscopic assembly 200 except that, with pawl disc 148 maintained in the non-ratcheting use orientation (due to non-ratcheting endoscopic assemblies not including a push-block) , ratchet pawl 149 is inhibited from engaging ratchet rack 138. Accordingly, during use of endoscopic assembly 300, trigger 122 may be freely pivoted between the un-actuated and actuated positions, and may be returned towards the un-actuated at any point during the actuation stroke.
Turning back to FIGS. 6-9, in order to disengage endoscopic assembly 200 from handle assembly 10, e.g., for cleaning and/or sterilization, or to replace endoscopic assembly 200 with another endoscopic assembly, proximal manipulation section 163c of lever latch 162 of latch assembly 160 is depressed inwardly into housing 110, against the bias of biasing member 166, to urge distal engagement section 163a of lever latch 162 upwardly and out of engagement within annular channel 224 of proximal hub 220 of endoscopic assembly 200. With distal engagement section 163a of lever latch 162 disposed in this disengaged position, proximal hub 220 of endoscopic assembly 200 may be withdrawn distally from handle assembly 100. Upon withdrawal of endoscopic assembly 200 from handle assembly 100, cam disc 144 and pawl disc 148 of ratchet mechanism 140 are returned to the non-ratcheting use orientation under the bias of second biasing member 154.
In accordance with the present disclosure, it is contemplated that a surgical system or kit (not shown) may be provided which includes a handle assembly 100, at least one endoscopic assembly 200, at least one endoscopic
assembly 300, and instructions for using the same. It is further contemplated that a plurality of handle assemblies may be provided in the surgical system or kit. It is additionally contemplated that the surgical system or kit may include additional endoscopic assemblies, not shown or described herein, which are different from endoscopic assemblies 200 or 300, and which are configured to connection to and operation by handle assembly 100. It is still further contemplated that the surgical system or kit may include at least one cartridge of surgical clips or fasteners (not shown) for use with any of the endoscopic assemblies disclosed herein.
It should be understood that the foregoing description is only illustrative of the present disclosure. Various alternatives and modifications can be devised by those skilled in the art without departing from the disclosure. Accordingly, the present disclosure is intended to embrace all such alternatives, modifications and variances. The embodiments described with reference to the attached drawing figures are presented only to demonstrate certain examples of the disclosure. Other elements, steps, methods and techniques that are insubstantially different from those described above and/or in the appended claims are also intended to be within the scope of the disclosure.
Claims (19)
- A handle assembly of a surgical clip applier configured to releasably engage at least two different endoscopic assemblies, the handle assembly comprising:a housing defining a body portion and a fixed handle portion extending from the body portion;a trigger pivotably connected to the housing and movable relative to the fixed handle portion between an un-actuated position and an actuated position;a drive bar slidably supported within the body portion of the housing and operably coupled to the trigger such that movement of the trigger from the un-actuated position towards the actuated position translates the drive bar distally through the body portion of the housing, the drive bar including a ratchet rack disposed thereon;a ratchet engagement assembly disposed within the body portion of the housing and including an inner sleeve selectively slidable between a distal position and a proximal position; anda ratchet mechanism disposed within the body portion of the housing, the ratchet mechanism including:a pin;a cam disc pivotably supported on the pin, the cam disc defining a first stop surface; anda pawl disc pivotably supported on the pin adjacent the cam disc, the pawl disc defining a ratchet pawl and being operably coupled to the cam disc,wherein, the inner sleeve is configured to contact the first stop surface of the cam disc upon sliding of the inner sleeve from the distal position to the proximal position and urge the cam disc and the pawl disc to rotate about the pin from a non-ratcheting use orientation to a ratcheting use orientation, wherein:in the non-ratcheting use orientation, the ratchet pawl is positioned to inhibit operable engagement thereof with the ratchet rack upon distal translation of the drive bar; andin the ratcheting use orientation, the ratchet pawl is positioned to operably engage the ratchet rack upon distal translation of the drive bar.
- The handle assembly according to claim 1, wherein the ratchet engagement assembly further includes a collar fixedly disposed within the body portion of the housing, and wherein the inner sleeve is slidably disposed within the collar.
- The handle assembly according to claim 2, wherein the ratchet engagement assembly further includes a biasing member interdisposed between the collar and the inner sleeve and configured to bias the inner sleeve towards the distal position.
- The handle assembly according to claim 1, wherein the ratchet engagement assembly is configured such that, upon engagement of an endoscopic assembly of a first type within the body portion of the housing, the endoscopic assembly of the first type urges the inner sleeve to slide from the distal position to the proximal position.
- The handle assembly according to claim 4, wherein the ratchet engagement assembly is further configured such that, upon engagement of an endoscopic assembly of a second type within the body portion of the housing, the inner sleeve is maintained in the distal position.
- The handle assembly according to claim 1, wherein the ratchet mechanism further includes a first biasing member operably coupling the cam disc and the pawl disc.
- The handle assembly according to claim 6, wherein the first biasing member is a torsion spring including a body pivotably disposed about the pin, a first leg engaged with the cam disc, and a second leg engaged with the pawl disc.
- The handle assembly according to claim 7, wherein the torsion spring is configured to enable the pawl disc to rotate together with the cam disc between the non-ratcheting use orientation and the ratcheting use orientation, and to permit the pawl disc to rotate relative to the cam disc to operably engage the ratchet rack upon distal translation of the drive bar.
- The handle assembly according to claim 1, wherein the cam disc defines a second stop surface, the second stop surface configured to abut a shelf defined within the body portion of the housing to inhibit rotation of the cam disc beyond the ratcheting use orientation.
- The handle assembly according to claim 1, further comprising a latch assembly operably supported on the body portion of the housing, the latch assembly including a lever latch configured to releasably engage an endoscopic assembly inserted into the body portion of the housing.
- The handle assembly according to claim 10, wherein the lever latch includes a distal engagement tooth configured to engage the endoscopic assembly inserted into the body portion of the housing.
- The handle assembly according to claim 11, wherein the lever latch includes a proximal manipulation portion configured for manual manipulation to disengage the distal engagement tooth from the endoscopic assembly to permit removal of the endoscopic assembly from the body portion of the housing.
- A surgical clip applying system, comprising:a handle assembly, including:a housing;a trigger operably associated with the housing and movable relative thereto between an un-actuated position and an actuated position;a drive bar slidably supported within the housing and operably coupled to the trigger such that movement of the trigger from the un-actuated position towards the actuated position translates the drive bar through the housing, the drive bar including a ratchet rack disposed thereon;a sleeve slidably disposed within the housing; anda ratchet mechanism disposed within the housing, the ratchet mechanism including a cam disc defining a first stop surface and a pawl disc defining a ratchet pawl and being operably coupled to the cam disc; anda first endoscopic assembly configured for ratcheting use, the first endoscopic assembly including a first proximal hub insertable into and releasably engagable within the housing, wherein, upon insertion of the first proximal hub into the housing, the first proximal hub urges the sleeve to contact the first stop surface of the cam disc and urge the cam disc and the pawl disc to rotate from a non-ratcheting use orientation, wherein the ratchet pawl is positioned to inhibit operable engagement thereof with the ratchet rack, and a ratcheting use orientation, wherein the ratchet pawl is positioned to operably engage the ratchet rack.
- The clip applying system according to claim 13, further comprising:a second endoscopic assembly configured for non-ratcheting use, the second endoscopic assembly including a second proximal hub insertable into and releasably engagable within the housing, wherein, upon insertion of the second proximal hub into the housing, the sleeve is maintained in its initial position such that the cam disc and the pawl disc are maintained in the non-ratcheting use orientation.
- The clip applying system according to claim 13, wherein the first proximal hub includes a body and a push-block extending proximally from the body, the push-block configured to urge the sleeve from a first position to a second position to thereby rotate the cam disc and the pawl disc from the non- ratcheting use orientation to the ratcheting use orientation.
- The clip applying system according to claim 15, wherein the second proximal hub is devoid of a push-block such that, upon insertion of the second proximal hub into the housing, the sleeve is maintained in its initial position such that the cam disc and the pawl disc are maintained in the non-ratcheting use orientation.
- The clip applying system according to claim 13, wherein the ratchet mechanism further includes a torsion spring operably coupling the cam disc and the pawl disc, the torsion spring including a body, a first leg engaged with the cam disc, and a second leg engaged with the pawl disc.
- The clip applying system according to claim 17, wherein the torsion spring is configured to enable the pawl disc to rotate together with the cam disc between the non-ratcheting use orientation and the ratcheting use orientation, and to permit the pawl disc to rotate relative to the cam disc to operably engage the ratchet rack upon distal translation of the drive bar.
- The clip applying system according to claim 13, wherein the cam disc defines a second stop surface, the second stop surface configured to abut a shelf defined within the housing to inhibit rotation of the cam disc beyond the ratcheting use orientation.
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/CN2016/094599 WO2018027788A1 (en) | 2016-08-11 | 2016-08-11 | Endoscopic surgical clip applier and clip applying systems |
US16/308,864 US10806464B2 (en) | 2016-08-11 | 2016-08-11 | Endoscopic surgical clip applier and clip applying systems |
EP16912243.9A EP3496628A4 (en) | 2016-08-11 | 2016-08-11 | Endoscopic surgical clip applier and clip applying systems |
CN201680088272.9A CN109561897B (en) | 2016-08-11 | 2016-08-11 | Endoscopic surgical clip applier and clip application system |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/CN2016/094599 WO2018027788A1 (en) | 2016-08-11 | 2016-08-11 | Endoscopic surgical clip applier and clip applying systems |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2018027788A1 true WO2018027788A1 (en) | 2018-02-15 |
Family
ID=61161696
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/CN2016/094599 WO2018027788A1 (en) | 2016-08-11 | 2016-08-11 | Endoscopic surgical clip applier and clip applying systems |
Country Status (4)
Country | Link |
---|---|
US (1) | US10806464B2 (en) |
EP (1) | EP3496628A4 (en) |
CN (1) | CN109561897B (en) |
WO (1) | WO2018027788A1 (en) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP3610807A1 (en) * | 2018-08-13 | 2020-02-19 | Covidien LP | Rotation knob assemblies and surgical instruments including same |
WO2020056656A1 (en) * | 2018-09-20 | 2020-03-26 | 台湾先进手术医疗器材股份有限公司 | Anti-reverse device of vascular clip applier |
US11026764B2 (en) | 2016-05-26 | 2021-06-08 | Covidien Lp | Cannula assemblies for use with robotic surgical systems |
EP4042952A1 (en) * | 2021-02-10 | 2022-08-17 | "Konmex" Spólka Z Ograniczona Odpowiedzialnoscia | Laparoscopic clipping machine for application of surgical clips on tissue structures |
Families Citing this family (53)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8465502B2 (en) | 2008-08-25 | 2013-06-18 | Covidien Lp | Surgical clip applier and method of assembly |
US8267944B2 (en) | 2008-08-29 | 2012-09-18 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier with lock out |
US9358015B2 (en) | 2008-08-29 | 2016-06-07 | Covidien Lp | Endoscopic surgical clip applier with wedge plate |
US9186136B2 (en) | 2009-12-09 | 2015-11-17 | Covidien Lp | Surgical clip applier |
US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
US8968337B2 (en) | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US20130131697A1 (en) | 2011-11-21 | 2013-05-23 | Covidien Lp | Surgical clip applier |
US9364216B2 (en) | 2011-12-29 | 2016-06-14 | Covidien Lp | Surgical clip applier with integrated clip counter |
US9408610B2 (en) | 2012-05-04 | 2016-08-09 | Covidien Lp | Surgical clip applier with dissector |
US9532787B2 (en) | 2012-05-31 | 2017-01-03 | Covidien Lp | Endoscopic clip applier |
US9113892B2 (en) | 2013-01-08 | 2015-08-25 | Covidien Lp | Surgical clip applier |
US9775624B2 (en) | 2013-08-27 | 2017-10-03 | Covidien Lp | Surgical clip applier |
US9931124B2 (en) | 2015-01-07 | 2018-04-03 | Covidien Lp | Reposable clip applier |
US10368876B2 (en) | 2015-01-15 | 2019-08-06 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10292712B2 (en) | 2015-01-28 | 2019-05-21 | Covidien Lp | Surgical clip applier with integrated cutter |
US10159491B2 (en) | 2015-03-10 | 2018-12-25 | Covidien Lp | Endoscopic reposable surgical clip applier |
AU2015411439B2 (en) | 2015-10-10 | 2020-07-02 | Covidien Lp | Endoscopic surgical clip applier |
CN108348259B (en) | 2015-11-03 | 2020-12-11 | 柯惠有限合伙公司 | Endoscopic surgical clip applier |
EP3373826A4 (en) | 2015-11-10 | 2019-11-06 | Covidien LP | Endoscopic reposable surgical clip applier |
US10390831B2 (en) | 2015-11-10 | 2019-08-27 | Covidien Lp | Endoscopic reposable surgical clip applier |
JP6609699B2 (en) | 2015-11-10 | 2019-11-20 | コヴィディエン リミテッド パートナーシップ | Partially disposable surgical clip applier for endoscope |
JP6642955B2 (en) | 2016-01-11 | 2020-02-12 | コヴィディエン リミテッド パートナーシップ | Partially disposable surgical clip applier for endoscopes |
WO2017124217A1 (en) | 2016-01-18 | 2017-07-27 | Covidien Lp | Endoscopic surgical clip applier |
CA2958160A1 (en) | 2016-02-24 | 2017-08-24 | Covidien Lp | Endoscopic reposable surgical clip applier |
EP3496628A4 (en) | 2016-08-11 | 2020-04-22 | Covidien LP | Endoscopic surgical clip applier and clip applying systems |
US10660651B2 (en) | 2016-10-31 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10639044B2 (en) | 2016-10-31 | 2020-05-05 | Covidien Lp | Ligation clip module and clip applier |
US10492795B2 (en) | 2016-11-01 | 2019-12-03 | Covidien Lp | Endoscopic surgical clip applier |
US11583291B2 (en) | 2017-02-23 | 2023-02-21 | Covidien Lp | Endoscopic surgical clip applier |
US10675043B2 (en) | 2017-05-04 | 2020-06-09 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10932790B2 (en) | 2017-08-08 | 2021-03-02 | Covidien Lp | Geared actuation mechanism and surgical clip applier including the same |
US10863992B2 (en) | 2017-08-08 | 2020-12-15 | Covidien Lp | Endoscopic surgical clip applier |
US10786262B2 (en) | 2017-08-09 | 2020-09-29 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10786263B2 (en) | 2017-08-15 | 2020-09-29 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10835341B2 (en) | 2017-09-12 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US11116513B2 (en) | 2017-11-03 | 2021-09-14 | Covidien Lp | Modular surgical clip cartridge |
US10945734B2 (en) | 2017-11-03 | 2021-03-16 | Covidien Lp | Rotation knob assemblies and surgical instruments including the same |
US11376015B2 (en) | 2017-11-03 | 2022-07-05 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10743887B2 (en) | 2017-12-13 | 2020-08-18 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10849630B2 (en) | 2017-12-13 | 2020-12-01 | Covidien Lp | Reposable multi-fire surgical clip applier |
US11051827B2 (en) | 2018-01-16 | 2021-07-06 | Covidien Lp | Endoscopic surgical instrument and handle assemblies for use therewith |
US10993721B2 (en) | 2018-04-25 | 2021-05-04 | Covidien Lp | Surgical clip applier |
US10786273B2 (en) | 2018-07-13 | 2020-09-29 | Covidien Lp | Rotation knob assemblies for handle assemblies |
US11259887B2 (en) | 2018-08-10 | 2022-03-01 | Covidien Lp | Feedback mechanisms for handle assemblies |
US11253267B2 (en) | 2018-08-13 | 2022-02-22 | Covidien Lp | Friction reduction mechanisms for handle assemblies |
US11033256B2 (en) | 2018-08-13 | 2021-06-15 | Covidien Lp | Linkage assembly for reusable surgical handle assemblies |
US11278267B2 (en) | 2018-08-13 | 2022-03-22 | Covidien Lp | Latch assemblies and surgical instruments including the same |
US11147566B2 (en) | 2018-10-01 | 2021-10-19 | Covidien Lp | Endoscopic surgical clip applier |
US11524398B2 (en) | 2019-03-19 | 2022-12-13 | Covidien Lp | Gear drive mechanisms for surgical instruments |
US11779340B2 (en) | 2020-01-02 | 2023-10-10 | Covidien Lp | Ligation clip loading device |
US11723669B2 (en) | 2020-01-08 | 2023-08-15 | Covidien Lp | Clip applier with clip cartridge interface |
CN111296404B (en) * | 2020-02-12 | 2021-08-20 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | Mouse trapper for experiments |
CN115337067B (en) * | 2022-10-18 | 2022-12-20 | 苏州英途康医疗科技有限公司 | Clamping mechanism and clamping device thereof |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5449365A (en) * | 1992-09-02 | 1995-09-12 | United States Surgical Corporation | Surgical clamp apparatus |
US20100076260A1 (en) * | 2006-10-05 | 2010-03-25 | Taylor Eric J | Handle Assembly for Articulated Endoscopic Instruments |
CN102076270A (en) * | 2008-05-21 | 2011-05-25 | 伊西康内外科公司 | Surgical instrument with automatically reconfigurable articulating end effector |
US20110282363A1 (en) * | 2010-05-12 | 2011-11-17 | Tyco Healthcare Group Lp | Surgical Instrument with Flexible Member Attachment Structures |
US20130214029A1 (en) * | 2006-09-11 | 2013-08-22 | Covidien Lp | Rotating knob locking mechanism for surgical stapling device |
WO2016112509A1 (en) * | 2015-01-15 | 2016-07-21 | Covidien Lp | Endoscopic reposable surgical clip applier |
Family Cites Families (780)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3120230A (en) | 1960-10-24 | 1964-02-04 | Jack H Sanders | Surgical clamp |
US3363628A (en) | 1964-09-28 | 1968-01-16 | Peter B Samuels | Hemostatic clip |
US3735762A (en) | 1970-04-27 | 1973-05-29 | Us Corp Baltimo E | Instrument for ligating suturing and dividing organic tubular structures |
US3675688A (en) | 1970-04-27 | 1972-07-11 | United States Surgical Corp | Instrument for ligating, suturing and dividing organic tubular structures |
US3638847A (en) | 1970-07-06 | 1972-02-01 | United States Surgical Corp | Ratchet-driven cartridge for surgical instruments |
US3867944A (en) | 1972-10-27 | 1975-02-25 | Wood Ernest C | Hemostatic clip and applicator therefor |
US4226242A (en) | 1977-09-13 | 1980-10-07 | United States Surgical Corporation | Repeating hemostatic clip applying instruments and multi-clip cartridges therefor |
US4412539A (en) | 1976-10-08 | 1983-11-01 | United States Surgical Corporation | Repeating hemostatic clip applying instruments and multi-clip cartridges therefor |
US4611595A (en) | 1977-08-05 | 1986-09-16 | Charles H. Klieman | Spring activated hemostatic clip applicator |
CA1124605A (en) | 1977-08-05 | 1982-06-01 | Charles H. Klieman | Surgical stapler |
CA1134701A (en) | 1977-10-17 | 1982-11-02 | David T. Green | Surgical clip applicator |
US4242902A (en) | 1978-05-11 | 1981-01-06 | United States Surgical Corporation | Surgical clip applicator |
US4418694A (en) | 1979-06-18 | 1983-12-06 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips |
US4296751A (en) | 1979-08-02 | 1981-10-27 | Blake Joseph W Iii | Surgical device |
US4372316A (en) | 1979-08-02 | 1983-02-08 | Blake Joseph W Iii | Surgical device |
US4662374A (en) | 1979-08-02 | 1987-05-05 | American Hospital Supply Corp. | Ligator device |
US4532925A (en) | 1979-08-02 | 1985-08-06 | Joseph W. Blake, III | Ligator device |
US4480640A (en) | 1980-04-22 | 1984-11-06 | Senco Products, Inc. | Ligating device |
US4408603A (en) | 1980-10-24 | 1983-10-11 | Blake Joseph W Iii | Surgical device |
US4500024A (en) | 1980-11-19 | 1985-02-19 | Ethicon, Inc. | Multiple clip applier |
CA1163889A (en) | 1981-02-02 | 1984-03-20 | Allegiance Corporation | Surgical device |
US4522207A (en) | 1981-02-06 | 1985-06-11 | Charles H. Klieman | Spring activated hemostatic clip applicator |
US4646740A (en) | 1981-02-23 | 1987-03-03 | Edward Weck & Co., Inc. | Automatic hemoclip applier |
US4662373A (en) | 1981-06-29 | 1987-05-05 | American Cyanamid Company | Surgical ligating instrument |
US4576166A (en) | 1981-06-29 | 1986-03-18 | American Cyanamid Company | Surgical ligating instrument |
US4498476A (en) | 1981-08-27 | 1985-02-12 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips with interlocking latch means |
US4487204A (en) | 1981-10-14 | 1984-12-11 | Nomel | Device for applying haemostatic clips |
US4480641A (en) | 1982-02-05 | 1984-11-06 | Ethicon, Inc. | Tip configuration for a ligating clip applier |
US4471780A (en) | 1982-02-05 | 1984-09-18 | Ethicon, Inc. | Multiple ligating clip applier instrument |
US4491133A (en) | 1982-02-05 | 1985-01-01 | Ethicon, Inc. | Folding cartridge for a multiple clip applier |
US4509518A (en) | 1982-02-17 | 1985-04-09 | United States Surgical Corporation | Apparatus for applying surgical clips |
US4487205A (en) | 1982-04-26 | 1984-12-11 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips |
US4545377A (en) | 1982-09-24 | 1985-10-08 | Ethicon, Inc. | Non-metallic, bio-compatible hemostatic clips (two piece configured to lock tighter the larger the vessel being closed) |
US4815466A (en) | 1982-09-30 | 1989-03-28 | Perlin Alfred R | Surgical clip |
US4492232A (en) | 1982-09-30 | 1985-01-08 | United States Surgical Corporation | Surgical clip applying apparatus having fixed jaws |
US4512345A (en) | 1982-09-30 | 1985-04-23 | United States Surgical Corporation | Surgical clip applying apparatus, and clips and clip train for use therein |
US4674504A (en) | 1982-10-06 | 1987-06-23 | Klieman Charles H | Spring activated hemostatic clip applicator |
US4534351A (en) | 1982-10-20 | 1985-08-13 | Senmed, Inc. | Ligator |
US4796625A (en) | 1982-11-15 | 1989-01-10 | Codman & Shurtleff, Inc. | Aneurysm clip |
US4562839A (en) | 1983-01-06 | 1986-01-07 | Blake Joseph W Iii | Surgical instrument |
US4556058A (en) | 1983-08-17 | 1985-12-03 | United States Surgical Corporation | Apparatus for ligation and division with fixed jaws |
US4602631A (en) | 1983-09-08 | 1986-07-29 | Noboru Funatsu | Forceps for clamping surgical clips |
US4637395A (en) | 1983-10-04 | 1987-01-20 | Aesculap-Werke Ag | Applicator for C-shaped scalp clips |
DE3335985C2 (en) | 1983-10-04 | 1986-12-04 | Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen | Magazine for holding C-shaped scalp clips |
US4549544A (en) | 1983-10-31 | 1985-10-29 | Senmed, Inc. | Clip stop for a surgical ligating instrument |
US4576165A (en) | 1984-01-23 | 1986-03-18 | United States Surgical Corporation | Surgical ligation and cutting device with safety means |
US4557263A (en) | 1984-01-23 | 1985-12-10 | United States Surgical Corporation | Apparatus for applying surgical clips |
US4616650A (en) | 1984-07-27 | 1986-10-14 | United States Surgical Corporation | Apparatus for applying surgical clips |
US4598711A (en) | 1984-08-09 | 1986-07-08 | American Cyanamid Company | Surgical instrument |
US4590937A (en) | 1985-01-07 | 1986-05-27 | American Cyanamid Company | Nonmetallic surgical clip |
US5127915A (en) | 1984-10-29 | 1992-07-07 | Mattson Philip D | Surgical instrument for severing and clamping an umbilical cord |
US4572183A (en) | 1984-11-26 | 1986-02-25 | Senmed, Inc. | Positive feed system for a surgical ligating instrument |
GB2168990B (en) | 1984-12-22 | 1988-07-06 | Hoechst Gosei Kk | Dispersion of solvent-suspendible pressure sensitive adhesive particles and pressure sensitive adhesive sheet utilizing the dispersion |
US4671278A (en) | 1985-01-14 | 1987-06-09 | Thomas J. Fogarty | Scalp hemostatic clip and dispenser therefor |
US4821721A (en) | 1985-01-14 | 1989-04-18 | Thomas J. Fogarty | Apparatus and method for applying hemostatic scalp clips |
US5122150A (en) | 1985-03-27 | 1992-06-16 | Puig Ana E | Neurosurgical clip applier |
US4616651A (en) | 1985-04-15 | 1986-10-14 | Ethicon, Inc. | Surgical clip applier instrument adapter jaws |
US5047038A (en) | 1985-07-01 | 1991-09-10 | Edward Weck Incorporated | Automatic hemostatic clip applier |
US4712549A (en) | 1985-07-01 | 1987-12-15 | Edward Weck & Co. | Automatic hemostatic clip applier |
US4702247A (en) | 1985-08-20 | 1987-10-27 | American Hospital Supply Corporation | Ligating clip |
US4706668A (en) | 1985-09-16 | 1987-11-17 | B & B Tools | Aneurysm clip pliers |
DE3533423A1 (en) | 1985-09-19 | 1987-03-26 | Wolf Gmbh Richard | APPLICATOR PLIERS FOR SURGICAL HANDLING FOR USE IN ENDOSCOPY |
US4671282A (en) | 1985-10-04 | 1987-06-09 | Tretbar Lawrence L | Clip apparatus |
US4696396A (en) | 1985-12-19 | 1987-09-29 | Samuels Peter B | Hemostatic clip cartridge |
US4660558A (en) | 1985-12-31 | 1987-04-28 | Kees Jr George | Aneurysm clip and method of manufacture |
US4658822A (en) | 1985-12-31 | 1987-04-21 | Kees Jr George | Aneurysm clip |
US4681107A (en) | 1985-12-31 | 1987-07-21 | Kees Surgical Specialty Co. | Device for holding an aneurysm clip |
US4733666A (en) | 1986-01-13 | 1988-03-29 | Texas Tech University Health Sciences Center | Surgical clip for cholangiography |
US4967949A (en) | 1986-07-11 | 1990-11-06 | Vastech Medical Products Inc. | Apparatus for effecting occlusion of the vas deferens |
US4726372A (en) | 1986-09-19 | 1988-02-23 | Metatech Corporation | Hemostatic clip |
US4856517A (en) | 1986-09-22 | 1989-08-15 | Collins Jason H | Umbilical cord clamp apparatus |
US4929239A (en) | 1987-02-16 | 1990-05-29 | Aesculap-Werke Ag Vormals Jetter & Scheerer | Device for filling the magazine of a scalp clip applicator with C-shaped scalp clips |
DE3704760C1 (en) | 1987-02-16 | 1988-03-03 | Aesculap Werke Ag | Application device for C-shaped scalp clips |
US4765335A (en) | 1987-03-16 | 1988-08-23 | Intermar, Inc. | Aneurysm clip |
US4850355A (en) | 1987-04-06 | 1989-07-25 | Richard-Allan Medical Industries, Inc. | Hemostatic clip applicator for applying multiple hemostatic clips |
US4799481A (en) | 1987-04-08 | 1989-01-24 | Ethicon, Inc. | Surgical hemostatic clips |
US4777949A (en) | 1987-05-08 | 1988-10-18 | Metatech Corporation | Surgical clip for clamping small blood vessels in brain surgery and the like |
US4822348A (en) | 1987-05-13 | 1989-04-18 | Donn Casey | Surgical clips |
US5542949A (en) | 1987-05-14 | 1996-08-06 | Yoon; Inbae | Multifunctional clip applier instrument |
US5366459A (en) | 1987-05-14 | 1994-11-22 | Inbae Yoon | Surgical clip and clip application procedures |
US5171250A (en) | 1987-05-14 | 1992-12-15 | Inbae Yoon | Surgical clips and surgical clip applicator and cutting and transection device |
US4834096A (en) | 1987-10-26 | 1989-05-30 | Edward Weck Incorporated | Plastic ligating clips |
GB2212201B (en) | 1987-11-10 | 1992-06-03 | Donn Casey | Surgical clip |
US6974475B1 (en) | 1987-12-08 | 2005-12-13 | Wall W Henry | Angioplasty stent |
US5197970A (en) | 1988-01-15 | 1993-03-30 | United States Surgical Corporation | Surgical clip applicator |
US5383881A (en) | 1989-07-18 | 1995-01-24 | United States Surgical Corporation | Safety device for use with endoscopic instrumentation |
US5084057A (en) | 1989-07-18 | 1992-01-28 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5129885A (en) | 1990-02-13 | 1992-07-14 | United States Surgical Corporation | Safety device for trocars and surgical instruments therefor |
US5100420A (en) | 1989-07-18 | 1992-03-31 | United States Surgical Corporation | Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures |
US5030226A (en) | 1988-01-15 | 1991-07-09 | United States Surgical Corporation | Surgical clip applicator |
US5049152A (en) | 1989-03-07 | 1991-09-17 | Richard-Allan Medical Industries | Hemostatic clip applicator |
US5053045A (en) | 1988-09-16 | 1991-10-01 | Schmidt Ferenc J | Surgical clip |
FR2637489A1 (en) | 1988-10-07 | 1990-04-13 | Lachkar Alain | AUTOMATIC CLIPS CLIP |
US5059202A (en) | 1988-10-27 | 1991-10-22 | The Montefiore Hospital Association Of Western Pennsylvania | Tendon approximator |
US4957500A (en) | 1988-10-27 | 1990-09-18 | Montefiore Hospital Association Of Western Pennsylvania | Normally closed clamp |
US4983176A (en) | 1989-03-06 | 1991-01-08 | University Of New Mexico | Deformable plastic surgical clip |
US5062846A (en) | 1989-03-28 | 1991-11-05 | Edward Weck Incorporated | Penetrating plastic ligating clip |
US5062563A (en) | 1989-04-10 | 1991-11-05 | United States Surgical Corporation | Fascia stapler |
CA2018472A1 (en) | 1989-07-03 | 1991-01-03 | Curtis W. Thornton | Automatic hemostatic clip applicator |
US5104395A (en) | 1989-07-03 | 1992-04-14 | Edward Weck Incorporated | Automatic hemostatic clip applicator |
US5382254A (en) | 1989-07-18 | 1995-01-17 | United States Surgical Corporation | Actuating handle for surgical instruments |
US4966603A (en) | 1989-07-24 | 1990-10-30 | Rms Company | Aneurysm clip |
US4931058A (en) | 1989-08-16 | 1990-06-05 | Applied Vascular Devices, Inc. | Parallel jaw spring clip and method of making same |
US5030224A (en) | 1989-09-25 | 1991-07-09 | Pioneering Technologies, Inc. | Coronary artery retraction clip |
US5100416A (en) | 1989-10-17 | 1992-03-31 | Edward Weck Incorporated | Ligating clip applying instrument |
US5026379A (en) | 1989-12-05 | 1991-06-25 | Inbae Yoon | Multi-functional instruments and stretchable ligating and occluding devices |
US5217473A (en) | 1989-12-05 | 1993-06-08 | Inbae Yoon | Multi-functional instruments and stretchable ligating and occluding devices |
US5049153A (en) | 1989-12-26 | 1991-09-17 | Nakao Naomi L | Endoscopic stapling device and method |
US4988355A (en) | 1990-01-16 | 1991-01-29 | Leveen Eric G | Arterial clamp |
US5035692A (en) | 1990-02-13 | 1991-07-30 | Nicholas Herbert | Hemostasis clip applicator |
US5032127A (en) | 1990-03-07 | 1991-07-16 | Frazee John G | Hemostatic clip and applicator therefor |
US5078731A (en) | 1990-06-05 | 1992-01-07 | Hayhurst John O | Suture clip |
DE4024106C1 (en) | 1990-07-30 | 1992-04-23 | Ethicon Gmbh & Co Kg, 2000 Norderstedt, De | |
US5207692A (en) | 1990-07-30 | 1993-05-04 | Codman & Shurtleff, Inc. | Surgical clip applier with reciprocating clip sleeve and dual ratchet mechanism |
US5104394A (en) | 1990-11-05 | 1992-04-14 | Knoepfler Dennis J | Automatic stapler for laparoscopic procedure with selective cutter and suction irrigator |
US5282807A (en) | 1990-11-05 | 1994-02-01 | Knoepfler Dennis J | Automatic stapler for laparoscopic procedure with selective cutter, nontraumatic jaws and suction irrigator |
US5366458A (en) | 1990-12-13 | 1994-11-22 | United States Surgical Corporation | Latchless surgical clip |
USRE36720E (en) | 1990-12-13 | 2000-05-30 | United States Surgical Corporation | Apparatus and method for applying latchless surgical clips |
US5171252A (en) | 1991-02-05 | 1992-12-15 | Friedland Thomas W | Surgical fastening clip formed of a shape memory alloy, a method of making such a clip and a method of using such a clip |
US5171253A (en) | 1991-03-22 | 1992-12-15 | Klieman Charles H | Velcro-like closure system with absorbable suture materials for absorbable hemostatic clips and surgical strips |
US5171247A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier with rotating shaft |
US5359993A (en) | 1992-12-31 | 1994-11-01 | Symbiosis Corporation | Apparatus for counting the number of times a medical instrument has been used |
US5171249A (en) | 1991-04-04 | 1992-12-15 | Ethicon, Inc. | Endoscopic multiple ligating clip applier |
US5395375A (en) | 1992-11-18 | 1995-03-07 | Symbiosis Corporation | Arthroscopic surgical instruments |
US5112343A (en) | 1991-04-05 | 1992-05-12 | Edward Weck Incorporated | Endoscopic clip appliers |
EP0596543B1 (en) | 1991-05-14 | 1999-08-11 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
US5160339A (en) | 1991-06-18 | 1992-11-03 | Ethicon, Inc. | Endoscopic suture clip |
US5201746A (en) | 1991-10-16 | 1993-04-13 | United States Surgical Corporation | Surgical hemostatic clip |
US5356064A (en) | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5199566A (en) | 1991-10-18 | 1993-04-06 | Ethicon, Inc. | Surgical clip applier |
US5163945A (en) | 1991-10-18 | 1992-11-17 | Ethicon, Inc. | Surgical clip applier |
US5289963A (en) | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5207691A (en) | 1991-11-01 | 1993-05-04 | Medical Scientific, Inc. | Electrosurgical clip applicator |
US5290299A (en) | 1991-12-11 | 1994-03-01 | Ventritex, Inc. | Double jaw apparatus for attaching implanted materials to body tissue |
US5383880A (en) | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US6963792B1 (en) | 1992-01-21 | 2005-11-08 | Sri International | Surgical method |
CA2088883A1 (en) | 1992-02-13 | 1993-08-14 | David T. Green | Endoscopic ligating instrument |
US5201900A (en) | 1992-02-27 | 1993-04-13 | Medical Scientific, Inc. | Bipolar surgical clip |
US5219353A (en) | 1992-02-28 | 1993-06-15 | Garvey Iii Thomas Q | Surgical endoclip |
US5171251A (en) | 1992-03-02 | 1992-12-15 | Ethicon, Inc. | Surgical clip having hole therein and method of anchoring suture |
CA2090980C (en) | 1992-03-06 | 2004-11-30 | David Stefanchik | Ligating clip applier |
US5246450A (en) | 1992-03-10 | 1993-09-21 | Edward Weck Incorporated | High capacity medical clip feeding and dispensing mechanism |
US5304183A (en) | 1992-03-23 | 1994-04-19 | Laparomed Corporation | Tethered clamp retractor |
CA2094463A1 (en) | 1992-04-28 | 1993-10-29 | Claude Vidal | Vessel clips |
GR1002336B (en) | 1992-05-06 | 1996-05-21 | Ethicon Inc. | Endoscopic surgical apparatus capable of ligation and division. |
DE4215449C1 (en) | 1992-05-11 | 1993-09-02 | Ethicon Gmbh & Co Kg, 2000 Norderstedt, De | |
US5431667A (en) | 1992-05-26 | 1995-07-11 | Origin Medsystems, Inc. | Gas-sealed instruments for use in laparoscopic surgery |
US5269792A (en) | 1992-05-26 | 1993-12-14 | Origin Medsystems, Inc. | Surgical clip |
US5192288A (en) | 1992-05-26 | 1993-03-09 | Origin Medsystems, Inc. | Surgical clip applier |
US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
US5906625A (en) | 1992-06-04 | 1999-05-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue |
NL9201118A (en) | 1992-06-24 | 1994-01-17 | Leuven K U Res & Dev | TOOL KIT FOR LAPAROSCOPIC VAGINAL HYSTERECTOMY. |
US5306283A (en) | 1992-06-30 | 1994-04-26 | American Cyanamid Company | Two-part surgical ligation clip |
US5354304A (en) | 1992-10-13 | 1994-10-11 | American Cyanamid Co. | Modular ligation clip applicator |
US5342373A (en) | 1992-09-14 | 1994-08-30 | Ethicon, Inc. | Sterile clips and instrument for their placement |
CA2107635C (en) | 1992-10-09 | 1999-08-17 | David T. Green | Surgical clip applier |
US5868761A (en) | 1992-10-09 | 1999-02-09 | United States Surgical Corporation | Surgical clip applier |
US5330442A (en) | 1992-10-09 | 1994-07-19 | United States Surgical Corporation | Suture retaining clip |
US5779718A (en) | 1992-10-09 | 1998-07-14 | United States Surgical Corporation | Method of anastomosing a vessel using a surgical clip applier |
CA2133687C (en) | 1992-10-09 | 2007-03-27 | David T. Green | Surgical clip applier |
US5381943A (en) | 1992-10-09 | 1995-01-17 | Ethicon, Inc. | Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge |
US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
US5282832A (en) | 1992-10-09 | 1994-02-01 | United States Surgical Corporation | Suture clip |
US5300081A (en) | 1992-10-09 | 1994-04-05 | United States Surgical Corporation | Surgical clip applier having clip advancement control |
US5409498A (en) | 1992-11-05 | 1995-04-25 | Ethicon, Inc. | Rotatable articulating endoscopic fastening instrument |
US5464416A (en) | 1992-11-10 | 1995-11-07 | Ethicon, Inc. | Ligating clip |
US5281228A (en) | 1992-11-23 | 1994-01-25 | Fred Wolfson | Umbilical clamp identification device for infants |
US5330487A (en) | 1992-12-17 | 1994-07-19 | Tfi Acquistion Corp. | Drive mechanism for surgical instruments |
US5662679A (en) | 1992-12-21 | 1997-09-02 | Shatzu Health Products, Inc. | Tragus acupressure clip with over-opening prevention and pressure adjustment |
US5403327A (en) | 1992-12-31 | 1995-04-04 | Pilling Weck Incorporated | Surgical clip applier |
AU5987494A (en) | 1993-01-07 | 1994-08-15 | Hayhurst, John O. | Clip for suture |
US5382255A (en) | 1993-01-08 | 1995-01-17 | United States Surgical Corporation | Apparatus and method for assembly of surgical instruments |
US5569274A (en) | 1993-02-22 | 1996-10-29 | Heartport, Inc. | Endoscopic vascular clamping system and method |
US5382253A (en) | 1993-03-05 | 1995-01-17 | Unisurge, Inc. | Clip applier tool |
US5312426A (en) | 1993-03-12 | 1994-05-17 | Mizuho Ika Kogyo Kabushiki Kaisha | Surgical clip |
FR2702647B1 (en) | 1993-03-18 | 1995-05-05 | Baudet Jacques | Process of micro-anastomosis of blood vessels and automatic clamp for its implementation. |
CA2120828C (en) | 1993-04-16 | 1999-11-02 | Paul J. Phillips | Surgical hemostatic clip |
FR2704135B1 (en) | 1993-04-19 | 1995-07-07 | Savornin Claude | OSTEOSYNTHESIS STAPLE. |
DE69403271T2 (en) | 1993-04-27 | 1997-09-18 | American Cyanamid Co | Automatic laparoscopic applicator for ligation clips |
US5431668A (en) | 1993-04-29 | 1995-07-11 | Ethicon, Inc. | Ligating clip applier |
US5439468A (en) | 1993-05-07 | 1995-08-08 | Ethicon Endo-Surgery | Surgical clip applier |
DE4319829C1 (en) | 1993-06-16 | 1994-08-25 | Lerch Karl Dieter | Set for treating vascular deformities |
US5448042A (en) | 1993-06-22 | 1995-09-05 | Unisurge, Inc. | Surgical device with counter for recording usage |
US5562687A (en) | 1993-07-12 | 1996-10-08 | Mitek Surgical Products, Inc. | Surgical repair kit and its method of use |
US5431669A (en) | 1993-07-16 | 1995-07-11 | Origin Medsystems, Inc. | Surgical clip applier with distal hook |
US5827323A (en) | 1993-07-21 | 1998-10-27 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
US5368600A (en) | 1993-07-23 | 1994-11-29 | Ethicon, Inc. | Steerable bulldog clamp applier |
US5858018A (en) | 1993-08-25 | 1999-01-12 | Apollo Camera, Llc | Low profile tool for applying spring action ligation clips |
JPH08504120A (en) | 1993-08-25 | 1996-05-07 | アポロ キャメラ,リミテッド ライアビリティー カンパニー | Surgical ligation clip |
DK110193A (en) | 1993-09-30 | 1995-03-31 | Per Baunsgaard | Terminal device |
US5542594A (en) | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
US5607436A (en) | 1993-10-08 | 1997-03-04 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5487499A (en) | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
US5496333A (en) | 1993-10-20 | 1996-03-05 | Applied Medical Resources Corporation | Laparoscopic surgical clamp |
US5776146A (en) | 1993-10-20 | 1998-07-07 | Applied Medical Resources | Laparoscopic surgical clamp |
US5776147A (en) | 1993-10-20 | 1998-07-07 | Applied Medical Resources Corporation | Laparoscopic surgical clamp |
US5462555A (en) | 1993-12-30 | 1995-10-31 | United States Surgical Corporation | Umbilical cord clip and applicator |
GB9400739D0 (en) | 1994-01-15 | 1994-03-16 | Femcare Ltd | Medical clip |
US5527320A (en) | 1994-02-10 | 1996-06-18 | Pilling Weck Inc. | Surgical clip applying instrument |
CH687060A5 (en) | 1994-02-11 | 1996-09-13 | Alice Walder Utz Dr | Piece surgical clip. |
US5501698A (en) | 1994-02-14 | 1996-03-26 | Heartport, Inc. | Endoscopic microsurgical instruments and methods |
US5833700A (en) | 1995-03-15 | 1998-11-10 | Ethicon Endo-Surgery, Inc. | Sterile occlusion fasteners and instrument and method for their placement |
US5681330A (en) | 1994-03-02 | 1997-10-28 | Ethicon Endo-Surgery, Inc. | Sterile occlusion fasteners and instrument and method for their placement |
CA2143560C (en) | 1994-03-02 | 2007-01-16 | Mark Fogelberg | Sterile occlusion fasteners and instrument and method for their placement |
DE4415521C2 (en) | 1994-05-04 | 2003-01-30 | Storz Reling Sybill Gesamthand | Instrument for use in endoscopic procedures |
DE4415891A1 (en) | 1994-05-05 | 1995-11-09 | Wilo Medizintechnik Gmbh | Surgical staple gun |
USRE38445E1 (en) | 1994-05-05 | 2004-02-24 | Tyco Healthcare Group, Lp | Pistols for setting surgical clamps |
US5474566A (en) | 1994-05-05 | 1995-12-12 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5425740A (en) | 1994-05-17 | 1995-06-20 | Hutchinson, Jr.; William B. | Endoscopic hernia repair clip and method |
DE4422621C1 (en) | 1994-06-28 | 1995-08-31 | Aesculap Ag | Surgical instrument for gripping, transporting or fixing objects |
US5501693A (en) | 1994-07-06 | 1996-03-26 | United States Surgical Corporation | Surgical hemostatic clip |
US5833695A (en) | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
US5697942A (en) | 1994-07-31 | 1997-12-16 | Palti; Yoram | Internal vascular clamp |
AU694225B2 (en) | 1994-08-02 | 1998-07-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic hemostatic and cutting instrument |
US5582616A (en) | 1994-08-05 | 1996-12-10 | Origin Medsystems, Inc. | Surgical helical fastener with applicator |
US5562655A (en) | 1994-08-12 | 1996-10-08 | United States Surgical Corporation | Surgical apparatus having a universal handle for actuating various attachments |
US5462558A (en) | 1994-08-29 | 1995-10-31 | United States Surgical Corporation | Suture clip applier |
US5626585A (en) | 1994-09-16 | 1997-05-06 | United States Surgical Corporation | Ligating clip advance |
DE4434864C2 (en) | 1994-09-29 | 1997-06-19 | United States Surgical Corp | Surgical staple applicator with interchangeable staple magazine |
US5487746A (en) | 1994-11-23 | 1996-01-30 | Yu; George W. | Surgical clip having a longitudinal opening through which clamped tissue protrudes |
US5620452A (en) | 1994-12-22 | 1997-04-15 | Yoon; Inbae | Surgical clip with ductile tissue penetrating members |
US5976159A (en) | 1995-02-24 | 1999-11-02 | Heartport, Inc. | Surgical clips and methods for tissue approximation |
US6464710B1 (en) | 1995-03-06 | 2002-10-15 | Cook Urological Incorporated | Releasable, surgical clamp |
US5897565A (en) | 1995-03-06 | 1999-04-27 | Vance Products Incorporated | Releasable, surgical clamp |
US5695505A (en) | 1995-03-09 | 1997-12-09 | Yoon; Inbae | Multifunctional spring clips and cartridges and applicators therefor |
ATE195236T1 (en) | 1995-03-15 | 2000-08-15 | Ethicon Endo Surgery Inc | DEVICE FOR APPLYING SURGICAL CLAPPS |
US5571121A (en) | 1995-03-28 | 1996-11-05 | Heifetz; Milton D. | Atraumatic clamp for temporary occlusion of blood vessels |
US5665097A (en) | 1995-04-21 | 1997-09-09 | Baker; John W. | Clip applicator |
US5748651A (en) | 1995-05-05 | 1998-05-05 | Trumble Navigation Limited | Optimum utilization of pseudorange and range rate corrections by SATPS receiver |
US5593421A (en) | 1995-06-06 | 1997-01-14 | Bauer; William | Suture element delivery device and method |
US5814038A (en) | 1995-06-07 | 1998-09-29 | Sri International | Surgical manipulator for a telerobotic system |
US5653720A (en) | 1995-07-18 | 1997-08-05 | Applied Medical Resources | Surgical clip and method of assembly |
US5683405A (en) | 1995-08-25 | 1997-11-04 | Research Medical Inc. | Vascular occluder |
US5676676A (en) | 1995-08-30 | 1997-10-14 | Porter; Wayne | Ligating clip having ramp-shaped vessel-clamping members |
US5713912A (en) | 1995-08-30 | 1998-02-03 | Stress Management, Inc. | Ligating clip having ramp-shaped vessel clamping members and tool for applying same |
US5584840A (en) | 1995-09-05 | 1996-12-17 | Ramsey; James E. | Umbilical cord cutting and clamping device |
DE19534322A1 (en) | 1995-09-15 | 1997-03-20 | Aesculap Ag | Surgical clip, especially a vascular clip |
US5700271A (en) | 1995-10-20 | 1997-12-23 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5700270A (en) | 1995-10-20 | 1997-12-23 | United States Surgical Corporation | Surgical clip applier |
US5582615A (en) | 1995-10-30 | 1996-12-10 | Pilling Weck, Incorporated | Handle for surgical clip applicator systems |
US5810853A (en) | 1996-01-16 | 1998-09-22 | Yoon; Inbae | Knotting element for use in suturing anatomical tissue and methods therefor |
US5846255A (en) | 1996-01-31 | 1998-12-08 | Casey Medical Products Limited | Surgical clip |
DE19603889C2 (en) | 1996-02-03 | 1999-05-06 | Aesculap Ag & Co Kg | Surgical application device |
US5797922A (en) | 1996-02-06 | 1998-08-25 | Balagan Medical Inc. | Umbilical cord clamping device |
US5913876A (en) | 1996-02-20 | 1999-06-22 | Cardiothoracic Systems, Inc. | Method and apparatus for using vagus nerve stimulation in surgery |
US6099537A (en) | 1996-02-26 | 2000-08-08 | Olympus Optical Co., Ltd. | Medical treatment instrument |
JP3776529B2 (en) | 1996-02-29 | 2006-05-17 | オリンパス株式会社 | Clip device |
US5782844A (en) | 1996-03-05 | 1998-07-21 | Inbae Yoon | Suture spring device applicator |
US5772673A (en) | 1996-03-07 | 1998-06-30 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5817116A (en) | 1996-04-01 | 1998-10-06 | Piolax Inc. | Detaching tool for a tube for medical treatment |
DE69733648T2 (en) | 1996-04-18 | 2006-05-04 | Applied Medical Resources Corp., Rancho Santa Margarita | METHOD FOR ATTACHING DEFORMABLE TERMINALS |
DE69736174T2 (en) | 1996-04-19 | 2007-05-16 | Applied Medical Resources Corp., Laguna Hills | DEVICE FOR MOUNTING HOLDING CLIPS |
US5835199A (en) | 1996-05-17 | 1998-11-10 | Coherent Technologies | Fiber-based ladar transceiver for range/doppler imaging with frequency comb generator |
US5743310A (en) | 1996-05-22 | 1998-04-28 | Band-It-Idex, Inc. | Single-handled banding tool having multiple pivot points |
US5769857A (en) | 1996-06-11 | 1998-06-23 | Mgf Group Inc. | Ligating clip applier |
US5876410A (en) | 1996-07-22 | 1999-03-02 | Phillip J. Petillo | Hydraulic powered surgical device |
DE29616632U1 (en) | 1996-09-24 | 1996-11-28 | Aesculap Ag, 78532 Tuttlingen | Surgical application device for U-shaped clips |
US5722982A (en) | 1996-09-26 | 1998-03-03 | University Technology Corporation | Strabismus surgery apparatus and method |
US5792149A (en) | 1996-10-03 | 1998-08-11 | United States Surgical Corporation | Clamp applicator |
US5713911A (en) | 1996-10-03 | 1998-02-03 | United States Surgical Corporation | Surgical clip |
US5833696A (en) | 1996-10-03 | 1998-11-10 | United States Surgical Corporation | Apparatus for applying surgical clips |
US8206406B2 (en) | 1996-12-12 | 2012-06-26 | Intuitive Surgical Operations, Inc. | Disposable sterile surgical adaptor |
DE69832497T2 (en) | 1997-02-03 | 2006-08-03 | Applied Medical Resources Corp., Rancho Santa Margarita | SURGICAL INSTRUMENTS WITH IMPROVED TENSIBILITY |
US6579304B1 (en) | 1997-02-03 | 2003-06-17 | Applied Medical Resources Corporation | Surgical clamp with improved traction |
US5861005A (en) | 1997-02-11 | 1999-01-19 | X-Site, L.L.C. | Arterial stapling device |
WO1998040020A1 (en) | 1997-03-10 | 1998-09-17 | Applied Medical Resources Corporation | Surgical clips and clamps |
US5913862A (en) | 1997-04-25 | 1999-06-22 | James Ramsey | Umbilical cord cutting and clamping device |
US6017358A (en) | 1997-05-01 | 2000-01-25 | Inbae Yoon | Surgical instrument with multiple rotatably mounted offset end effectors |
US5921996A (en) | 1997-05-02 | 1999-07-13 | Cardio Thoracic Systems, Inc. | Surgical clamp applier/remover and detachable clamp |
US5843101A (en) | 1997-05-02 | 1998-12-01 | Fry; William R. | Disposable clip for temporary vessel occulsion |
US5976158A (en) | 1997-06-02 | 1999-11-02 | Boston Scientific Corporation | Method of using a textured ligating band |
US5928251A (en) | 1997-09-18 | 1999-07-27 | United States Surgical Corporation | Occlusion clamp and occlusion clamp applicator |
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US5972003A (en) | 1997-10-01 | 1999-10-26 | Sherwood Services Ag | Single-free ligation clip module |
US5868759A (en) | 1997-10-10 | 1999-02-09 | United States Surgical Corporation | Surgical clip applier |
US6044971A (en) | 1997-10-10 | 2000-04-04 | United States Surgical Corporation | Clip cartridge |
US5921991A (en) | 1997-10-23 | 1999-07-13 | Biomax Technologies Inc. | Multi-colored umbilical cord clamp |
DE19752332C1 (en) | 1997-11-26 | 1999-04-08 | Aesculap Ag & Co Kg | Surgical clip applicator for blood vessels |
DE19752331C1 (en) | 1997-11-26 | 1999-09-30 | Aesculap Ag & Co Kg | Magazine for a surgical clip applier |
US20020087148A1 (en) | 1998-02-24 | 2002-07-04 | Brock David L. | Flexible instrument |
US6241740B1 (en) | 1998-04-09 | 2001-06-05 | Origin Medsystems, Inc. | System and method of use for ligating and cutting tissue |
FR2778081B1 (en) | 1998-04-29 | 2000-08-25 | Fabrice Thevenet | REINFORCEMENT IMPLANTS FOR TISSUE SUTURES |
US6514265B2 (en) | 1999-03-01 | 2003-02-04 | Coalescent Surgical, Inc. | Tissue connector apparatus with cable release |
US6322571B1 (en) | 1998-06-05 | 2001-11-27 | Brian D. Adams | Apparatus and method for placing sutures in the lacerated end of a tendon and similar body tissues |
US6059799A (en) | 1998-06-25 | 2000-05-09 | United States Surgical Corporation | Apparatus for applying surgical clips |
US6261302B1 (en) | 1998-06-26 | 2001-07-17 | Ethicon Endo-Surgery, Inc. | Applier for implantable surgical marker |
US6228098B1 (en) | 1998-07-10 | 2001-05-08 | General Surgical Innovations, Inc. | Apparatus and method for surgical fastening |
US5951574A (en) | 1998-10-23 | 1999-09-14 | Ethicon Endo-Surgery, Inc. | Multiple clip applier having a split feeding mechanism |
WO2000040159A1 (en) | 1998-12-31 | 2000-07-13 | Yeung Teresa T | Tissue fastening devices and delivery means |
US6053908A (en) | 1999-01-07 | 2000-04-25 | Design Standards Corporation | Ratchet assembly for surgical instrument |
US6193732B1 (en) | 1999-01-08 | 2001-02-27 | Cardiothoracic System | Surgical clips and apparatus and method for clip placement |
US6217590B1 (en) | 1999-01-22 | 2001-04-17 | Scion International, Inc. | Surgical instrument for applying multiple staples and cutting blood vessels and organic structures and method therefor |
US6228097B1 (en) | 1999-01-22 | 2001-05-08 | Scion International, Inc. | Surgical instrument for clipping and cutting blood vessels and organic structures |
JP2002535030A (en) | 1999-01-25 | 2002-10-22 | アプライド メディカル リソーシーズ コーポレイション | Modular ligating apparatus and method |
US8529588B2 (en) | 1999-01-25 | 2013-09-10 | Applied Medical Resources Corporation | Multiple clip applier apparatus and method |
US6896683B1 (en) | 1999-01-25 | 2005-05-24 | Applied Material Resources Corporation | Surgical instrument with improved handle assembly |
US6350269B1 (en) | 1999-03-01 | 2002-02-26 | Apollo Camera, L.L.C. | Ligation clip and clip applier |
US6964668B2 (en) | 1999-03-04 | 2005-11-15 | Abbott Laboratories | Articulating suturing device and method |
US7666204B2 (en) | 1999-04-09 | 2010-02-23 | Evalve, Inc. | Multi-catheter steerable guiding system and methods of use |
IT1312196B1 (en) | 1999-04-21 | 2002-04-09 | Implant Italia S R L | SEMI-RIGID COMPRESSION CLAMP FOR STERNOTOMY, AND CLAMP FOR ITS APPLICATION. |
US20050222665A1 (en) | 1999-04-23 | 2005-10-06 | Ernest Aranyi | Endovascular fastener applicator |
AU5003100A (en) | 1999-05-11 | 2000-11-21 | Craig Berky | Surgical clamp devices and methods especially useful in cardiac surgery |
US8241322B2 (en) | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | Surgical device |
US6835200B2 (en) | 1999-06-22 | 2004-12-28 | Ndo Surgical. Inc. | Method and devices for tissue reconfiguration |
US6821285B2 (en) | 1999-06-22 | 2004-11-23 | Ndo Surgical, Inc. | Tissue reconfiguration |
GB9916484D0 (en) | 1999-07-15 | 1999-09-15 | Femcare Ltd | Surgical clip |
DE19934634C1 (en) | 1999-07-23 | 2000-12-21 | Aesculap Ag & Co Kg | Surgical clip application instrument has clips in clip magazine fed forwards via reciprocating displacement plate acted on by displacement device at point at least halfway along its length |
US7214232B2 (en) | 1999-07-23 | 2007-05-08 | Ethicon, Inc. | Graft fixation device |
DE19935904C1 (en) | 1999-07-30 | 2001-07-12 | Karlsruhe Forschzent | Applicator tip of a surgical applicator for placing clips / clips for the connection of tissue |
WO2001015605A1 (en) | 1999-08-30 | 2001-03-08 | Applied Medical Resources Corporation | Improved surgical clip |
US7341595B2 (en) | 1999-09-13 | 2008-03-11 | Rex Medical, L.P | Vascular hole closure device |
FR2799118B1 (en) | 1999-10-01 | 2002-07-12 | Medical Innovation Dev | ADJUSTABLE GASTRIC IMPLANT |
US6610073B1 (en) | 1999-10-19 | 2003-08-26 | Scion International, Inc. | Surgical clip, clip applicator and method therefor |
US6926730B1 (en) | 2000-10-10 | 2005-08-09 | Medtronic, Inc. | Minimally invasive valve repair procedure and apparatus |
US6387104B1 (en) | 1999-11-12 | 2002-05-14 | Scimed Life Systems, Inc. | Method and apparatus for endoscopic repair of the lower esophageal sphincter |
IL132913A (en) | 1999-11-14 | 2004-09-27 | Porat Michael | Device and method for clamping and cutting a flexible deformable tube |
US6428548B1 (en) | 1999-11-18 | 2002-08-06 | Russell F. Durgin | Apparatus and method for compressing body tissue |
US6911032B2 (en) | 1999-11-18 | 2005-06-28 | Scimed Life Systems, Inc. | Apparatus and method for compressing body tissue |
IT1306690B1 (en) | 1999-11-18 | 2001-10-02 | Gianfranco Bidoia | COMPRESSION SUTURE DEVICE. |
US6695854B1 (en) | 1999-11-29 | 2004-02-24 | General Surgical Innovations, Inc. | Blood vessel clip and applicator |
CA2391620A1 (en) | 1999-12-03 | 2001-06-21 | Applied Medical Resources Corporation | Vessel occlusion clamp |
US6942674B2 (en) | 2000-01-05 | 2005-09-13 | Integrated Vascular Systems, Inc. | Apparatus and methods for delivering a closure device |
ES2281407T3 (en) | 2000-01-18 | 2007-10-01 | Tyco Healthcare Group Lp | INSTRUMENT FOR ANASTOMOSIS. |
KR20020081295A (en) | 2000-02-04 | 2002-10-26 | 이매진 메디칼 테크놀로지즈 캘리포니아, 인코포레이티드. | Surgical clip applier |
US6306149B1 (en) | 2000-02-15 | 2001-10-23 | Microline, Inc. | Medical clip device with cyclical pusher mechanism |
US7141056B2 (en) | 2000-02-15 | 2006-11-28 | Microline Pentax Inc. | Multiplier extension arrangement |
US6569171B2 (en) | 2001-02-28 | 2003-05-27 | Microline, Inc. | Safety locking mechanism for a medical clip device |
US6911033B2 (en) | 2001-08-21 | 2005-06-28 | Microline Pentax Inc. | Medical clip applying device |
US6277131B1 (en) | 2000-02-15 | 2001-08-21 | Microline, Inc | Ladder-type medical clip feeding mechanism |
US6840945B2 (en) | 2001-02-28 | 2005-01-11 | Microline, Inc. | Medical clip applier safety arrangement |
US7770773B2 (en) | 2005-07-27 | 2010-08-10 | Power Medical Interventions, Llc | Surgical device |
US6648898B1 (en) | 2000-03-02 | 2003-11-18 | Cardiothoracic Systems, Inc. | Clip applying apparatuses and methods for vascular ligation |
JP2004500206A (en) | 2000-03-03 | 2004-01-08 | シー・アール・バード・インク | Suture clip, supply device and method |
US6916327B2 (en) | 2000-03-07 | 2005-07-12 | Metacardia, Inc. | Device for creating an anastomosis, including penetration structure and eversion structure |
US6423079B1 (en) | 2000-03-07 | 2002-07-23 | Blake, Iii Joseph W | Repeating multi-clip applier |
GB0006354D0 (en) | 2000-03-17 | 2000-05-03 | Femcare Ltd | Applicator for surgical clips |
US6391035B1 (en) | 2000-03-24 | 2002-05-21 | Timothy Appleby | Hemostatic clip removal instrument |
DE20007177U1 (en) | 2000-04-19 | 2000-08-03 | Karl Storz GmbH & Co. KG, 78532 Tuttlingen | Medical instrument with lockable power transmission element |
US6546935B2 (en) | 2000-04-27 | 2003-04-15 | Atricure, Inc. | Method for transmural ablation |
US6896684B2 (en) | 2000-06-12 | 2005-05-24 | Niti Medical Technologies Ltd. | Surgical clip applicator device |
WO2001097696A1 (en) | 2000-06-19 | 2001-12-27 | Image-Guided Neurologics, Inc. | System and method of minimally-invasive exovascular aneurysm treatment |
US7264625B1 (en) | 2000-06-19 | 2007-09-04 | Buncke Harry J | Surgical clip applier with remote operation |
US6494886B1 (en) | 2000-06-22 | 2002-12-17 | Granit Medical Innovation, Inc. | Off-set clamp mechanism and associated method for minimally invasive surgery |
ATE308935T1 (en) | 2000-08-14 | 2005-11-15 | Boston Scient Ltd | DIRECTORABLE SPHINCTEROTOME |
GB0020263D0 (en) | 2000-08-18 | 2000-10-04 | Femcare Cyprus Ltd | Improvements in or relating to applicators |
WO2002017771A2 (en) | 2000-09-01 | 2002-03-07 | Advanced Vascular Technologies, Llc | Multi-fastener surgical apparatus and method |
JP4014792B2 (en) | 2000-09-29 | 2007-11-28 | 株式会社東芝 | manipulator |
JP4472217B2 (en) | 2000-10-16 | 2010-06-02 | オリンパス株式会社 | Biological tissue clip device |
US6551333B2 (en) | 2000-10-19 | 2003-04-22 | Ethicon Endo-Surgery, Inc. | Method for attaching hernia mesh |
US6773438B1 (en) | 2000-10-19 | 2004-08-10 | Ethicon Endo-Surgery | Surgical instrument having a rotary lockout mechanism |
US7485124B2 (en) | 2000-10-19 | 2009-02-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a fastener delivery mechanism |
US6599298B1 (en) | 2000-10-23 | 2003-07-29 | Vitalitec International, S.A. | Automatic surgical clip applier |
US6966917B1 (en) | 2000-11-09 | 2005-11-22 | Innovation Interventional Technologies B.V. | Deformable connector for mechanically connecting hollow structures |
US6896682B1 (en) | 2000-11-14 | 2005-05-24 | Biomedical Engineering Solutions, Inc. | Method and system for internal ligation of tubular structures |
US7232445B2 (en) | 2000-12-06 | 2007-06-19 | Id, Llc | Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD) |
AU2002228930B2 (en) | 2000-12-06 | 2006-10-05 | Cook Medical Technologies Llc | Ligating band delivery apparatus |
US8062314B2 (en) | 2000-12-06 | 2011-11-22 | Ethicon Endo-Surgery, Inc. | Methods for the endoluminal treatment of gastroesophageal reflux disease (GERD) |
US6716226B2 (en) | 2001-06-25 | 2004-04-06 | Inscope Development, Llc | Surgical clip |
AU2002242071B2 (en) | 2001-01-31 | 2006-10-19 | Rex Medical, Inc. | Apparatus and method for stapling and resectioning gastro-esophageal tissue |
JP4097924B2 (en) | 2001-02-05 | 2008-06-11 | オリンパス株式会社 | Biological tissue clip device |
JP2002224124A (en) | 2001-02-06 | 2002-08-13 | Olympus Optical Co Ltd | Ligating device |
US6723109B2 (en) | 2001-02-07 | 2004-04-20 | Karl Storz Endoscopy-America, Inc. | Deployable surgical clamp with delivery/retrieval device and actuator |
US6494884B2 (en) | 2001-02-09 | 2002-12-17 | Concentric Medical, Inc. | Methods and devices for delivering occlusion elements |
US6981505B2 (en) | 2001-02-13 | 2006-01-03 | Krause William R | Urological device for the incontinent male |
US7041119B2 (en) | 2001-02-27 | 2006-05-09 | Green David T | Apparatus for suturing a blood vessel |
US6719776B2 (en) | 2001-03-01 | 2004-04-13 | Ethicon Endo-Surgery, Inc. | Thumb pad actuator for an ultrasonic surgical instrument |
JP4578708B2 (en) | 2001-03-26 | 2010-11-10 | オリンパス株式会社 | Biological tissue clip device |
EP1377223A2 (en) | 2001-03-28 | 2004-01-07 | Vascular Control Systems, Inc. | Method and apparatus for the detection and ligation of uterine arteries |
KR100401574B1 (en) | 2001-03-29 | 2003-10-17 | 이용우 | An automatic clip driver |
DE10120367A1 (en) | 2001-04-25 | 2002-10-31 | Arnold Pier | Surgical clip applicator |
US20020173803A1 (en) | 2001-05-01 | 2002-11-21 | Stephen Ainsworth | Self-closing surgical clip for tissue |
US6685715B2 (en) | 2001-05-02 | 2004-02-03 | Novare Surgical Systems | Clamp having bendable shaft |
US6656193B2 (en) | 2001-05-07 | 2003-12-02 | Ethicon Endo-Surgery, Inc. | Device for attachment of buttress material to a surgical fastening device |
US6916332B2 (en) | 2001-05-23 | 2005-07-12 | Scimed Life Systems, Inc. | Endoluminal fundoplication device and related method for installing tissue fastener |
US7727248B2 (en) | 2001-06-25 | 2010-06-01 | Ethicon Endo-Surgery, Inc. | Surgical clip |
US20060178556A1 (en) | 2001-06-29 | 2006-08-10 | Intuitive Surgical, Inc. | Articulate and swapable endoscope for a surgical robot |
JP4689099B2 (en) | 2001-07-24 | 2011-05-25 | 株式会社トップ | Surgical clip applier |
US6972023B2 (en) | 2001-07-05 | 2005-12-06 | Converge Medical, Inc. | Distal anastomosis system |
US7887553B2 (en) | 2001-07-09 | 2011-02-15 | Tyco Healthcare Group Lp | Right angle clip applier apparatus and method |
US6824547B2 (en) | 2001-07-13 | 2004-11-30 | Pilling Weck Incorporated | Endoscopic clip applier and method |
AUPR668901A0 (en) | 2001-07-31 | 2001-08-23 | Research Surgical Pty Ltd | Surgical clamps |
JP3926119B2 (en) | 2001-08-10 | 2007-06-06 | 株式会社東芝 | Medical manipulator |
US7338503B2 (en) | 2002-08-08 | 2008-03-04 | Interrad Medical, Inc. | Non-invasive surgical ligation clip system and method of using |
US7179265B2 (en) | 2001-08-21 | 2007-02-20 | Microline Pentax, Inc. | Reduced diameter clip applying arrangement |
US20050267495A1 (en) | 2004-05-17 | 2005-12-01 | Gateway Medical, Inc. | Systems and methods for closing internal tissue defects |
US6776784B2 (en) | 2001-09-06 | 2004-08-17 | Core Medical, Inc. | Clip apparatus for closing septal defects and methods of use |
AU2002326917A1 (en) | 2001-09-14 | 2003-04-01 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
JP3921681B2 (en) | 2001-10-01 | 2007-05-30 | ニプロ株式会社 | Intracardiac suture device |
US7094245B2 (en) | 2001-10-05 | 2006-08-22 | Scimed Life Systems, Inc. | Device and method for through the scope endoscopic hemostatic clipping |
US6733514B2 (en) | 2001-10-05 | 2004-05-11 | Pilling Weck Incorporated | Jaw assembly for endoscopic instruments |
CA2433040A1 (en) | 2001-10-24 | 2003-05-01 | John J. Damarati | Multiple hemoclip system for an endoscope |
US20050149069A1 (en) | 2001-12-04 | 2005-07-07 | Bertolero Arthur A. | Left atrial appendage devices and methods |
US7357806B2 (en) | 2001-12-06 | 2008-04-15 | Ethicon Endo-Surgery, Inc. | Clip ejector for endoscopic clip applier |
US7357805B2 (en) | 2001-12-13 | 2008-04-15 | Sumitomo Bakelite Company | Clip device for endoscope and clip for endoscope for use therein |
US6974462B2 (en) | 2001-12-19 | 2005-12-13 | Boston Scientific Scimed, Inc. | Surgical anchor implantation device |
US6729119B2 (en) | 2001-12-28 | 2004-05-04 | The Schnipke Family Limited Liability Company | Robotic loader for surgical stapling cartridge |
US6602252B2 (en) | 2002-01-03 | 2003-08-05 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
US6869435B2 (en) | 2002-01-17 | 2005-03-22 | Blake, Iii John W | Repeating multi-clip applier |
US6869436B2 (en) | 2002-02-07 | 2005-03-22 | Scimed Life Systems, Inc. | Surgical clip with a self-releasing fluid reservoir |
US6743241B2 (en) | 2002-03-01 | 2004-06-01 | Intellimed Surgical Solutions Llc | Laparoscopic port site fascial closure device |
US6939356B2 (en) | 2002-03-06 | 2005-09-06 | Elie G. Debbas | Medical instrument for closure of trocar site openings and method for use of same |
US6802848B2 (en) | 2002-03-12 | 2004-10-12 | Novare Surgical Systems, Inc. | Surgical clip with adjustable biasing force |
US6942676B2 (en) | 2002-03-21 | 2005-09-13 | Novare Surgical Systems, Inc. | Surgical clamp pads with deflecting elements |
US6953465B2 (en) | 2002-03-25 | 2005-10-11 | Concentric Medical, Inc. | Containers and methods for delivering vaso-occluding filaments and particles |
CA2481284C (en) | 2002-04-10 | 2010-09-21 | Tyco Healthcare Group Lp | Surgical clip applier with high torque jaws |
EP1496806B1 (en) | 2002-04-22 | 2014-09-17 | Covidien LP | Endoscopic surgical clip |
WO2003092473A2 (en) | 2002-04-29 | 2003-11-13 | Tyco Healthcare Group, Lp | Ligation clip applier and method |
US20030229360A1 (en) | 2002-05-31 | 2003-12-11 | Gayton John F. | Tissue fastener having a shaft with a reduced cross-section |
US7056330B2 (en) | 2002-05-31 | 2006-06-06 | Ethicon Endo-Surgery, Inc. | Method for applying tissue fastener |
WO2003105701A2 (en) | 2002-06-12 | 2003-12-24 | Scimed Life Systems, Inc. | Suturing instruments |
US20050107811A1 (en) | 2002-06-13 | 2005-05-19 | Guided Delivery Systems, Inc. | Delivery devices and methods for heart valve repair |
US6986775B2 (en) | 2002-06-13 | 2006-01-17 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
US7998155B2 (en) | 2002-06-20 | 2011-08-16 | Tyco Healthcare Group Lp | Method and apparatus for anastomosis including annular joining member |
US8074857B2 (en) | 2002-06-25 | 2011-12-13 | Incisive Surgical, Inc. | Method and apparatus for tissue fastening with single translating trigger operation |
US6972027B2 (en) | 2002-06-26 | 2005-12-06 | Stryker Endoscopy | Soft tissue repair system |
US6773440B2 (en) | 2002-07-02 | 2004-08-10 | Satiety, Inc. | Method and device for use in tissue approximation and fixation |
JP4109030B2 (en) | 2002-07-19 | 2008-06-25 | オリンパス株式会社 | Biological tissue clip device |
EP1551310A4 (en) | 2002-07-23 | 2007-05-23 | Applied Med Resources | Clip applier cartridge with internal ratchet |
US7727247B2 (en) | 2002-08-21 | 2010-06-01 | Olympus Corporation | Living tissue ligation device |
US7211091B2 (en) | 2002-08-27 | 2007-05-01 | Pilling Weck Incorporated | Fingertip-actuated surgical clip applier and related methods |
DE60221828T2 (en) | 2002-09-04 | 2008-05-08 | Endoart S.A. | Surgical ring with remote control device for reversible diameter changes |
US20040138704A1 (en) | 2002-09-06 | 2004-07-15 | Gambale Richard A. | Tissue capturing devices |
AU2003272314A1 (en) | 2002-09-13 | 2004-04-30 | Damage Control Surgical Technologies, Inc. | Method and apparatus for vascular and visceral clipping |
US6966919B2 (en) | 2002-09-20 | 2005-11-22 | Id, Llc | Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD) |
EP1545335A1 (en) | 2002-10-04 | 2005-06-29 | Tyco Healthcare Group Lp | Angled surgical fastener apparatus |
EP2241266B1 (en) | 2002-10-04 | 2013-05-29 | Covidien LP | Tool assembly for a surgical stapling device |
US7678125B2 (en) | 2002-11-12 | 2010-03-16 | Apollo Camera, L.L.C. | Surgical ligation clip |
US6945978B1 (en) | 2002-11-15 | 2005-09-20 | Advanced Cardiovascular Systems, Inc. | Heart valve catheter |
US7211092B2 (en) | 2002-11-19 | 2007-05-01 | Pilling Weck Incorporated | Automated-feed surgical clip applier and related methods |
US7052504B2 (en) | 2002-11-19 | 2006-05-30 | Teleflex Incorporated | Automated-feed surgical clip applier and related methods |
US7316708B2 (en) | 2002-12-05 | 2008-01-08 | Cardiac Dimensions, Inc. | Medical device delivery system |
US7386365B2 (en) | 2004-05-04 | 2008-06-10 | Intuitive Surgical, Inc. | Tool grip calibration for robotic surgery |
WO2004052410A2 (en) | 2002-12-10 | 2004-06-24 | Blake Joseph W Iii | Anti-backup mechanism for repeating multi-clip applier |
US6849079B1 (en) | 2002-12-10 | 2005-02-01 | Joseph W. Blake, III | Clip detent spring for repeating multi-clip applier |
AU2003297128A1 (en) | 2002-12-16 | 2004-07-29 | Edrich Vascular Devices, Inc. | Vascular suturing clip |
CA2507967A1 (en) | 2002-12-17 | 2004-07-15 | Applied Medical Resources Corporation | Surgical staple-clip and applier |
US6821284B2 (en) | 2003-01-22 | 2004-11-23 | Novare Surgical Systems, Inc. | Surgical clamp inserts with micro-tractive surfaces |
GB0302098D0 (en) | 2003-01-29 | 2003-02-26 | Univ London | Improvements in and relating to surgical clips |
US7857828B2 (en) | 2003-01-30 | 2010-12-28 | Integrated Vascular Systems, Inc. | Clip applier and methods of use |
FR2851451B1 (en) | 2003-02-24 | 2005-05-20 | Sofradim Production | DEVICE FOR LIGATURING ANATOMICAL STRUCTURE |
CA2515975C (en) | 2003-02-28 | 2013-02-05 | Yoshiaki Kiso | Peptide derivatives having .beta.-secretase inhibitory activity |
US6908484B2 (en) | 2003-03-06 | 2005-06-21 | Spinecore, Inc. | Cervical disc replacement |
AU2004220635A1 (en) | 2003-03-06 | 2004-09-23 | Applied Medical Resources Corporation | Spring clip and method for assembling same |
US20040193213A1 (en) | 2003-03-11 | 2004-09-30 | Ernest Aranyi | Clip applying apparatus with curved jaws, and clip |
EP1608272B1 (en) | 2003-03-11 | 2017-01-25 | Covidien LP | Clip applying apparatus with angled jaw |
GB0305976D0 (en) | 2003-03-14 | 2003-04-23 | Wild Andrew M | Surgical clip |
KR101078544B1 (en) | 2003-03-17 | 2011-11-01 | 스미또모 베이크라이트 가부시키가이샤 | Clip and clipping instrument for biological tissues |
WO2004086987A1 (en) | 2003-03-26 | 2004-10-14 | Tyco Healthcare Group, Lp | Energy stored in spring with controlled release |
US20050107871A1 (en) | 2003-03-30 | 2005-05-19 | Fidel Realyvasquez | Apparatus and methods for valve repair |
DE60312050T2 (en) | 2003-05-09 | 2007-10-25 | Tyco Healthcare Group Lp, Norwalk | ANASTOMOSIS CLAMP WITH FLUID DISPENSER CAPILLARY |
US6978921B2 (en) | 2003-05-20 | 2005-12-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an E-beam firing mechanism |
US8172870B2 (en) | 2003-06-09 | 2012-05-08 | Microline Surgical, Inc. | Ligation clip applier |
US7144402B2 (en) | 2003-06-16 | 2006-12-05 | Synovis Life Technologies, Inc. | Vascular clamp |
CA2724284C (en) | 2003-06-17 | 2013-02-26 | Tyco Healthcare Group Lp | Surgical stapling device |
US7510562B2 (en) | 2003-07-08 | 2009-03-31 | Terumo Corporation | Vein dissector, cauterizing and ligating apparatus for endoscopic harvesting of blood vessels |
US6981628B2 (en) | 2003-07-09 | 2006-01-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument with a lateral-moving articulation control |
US6964363B2 (en) | 2003-07-09 | 2005-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having articulation joint support plates for supporting a firing bar |
US7213736B2 (en) | 2003-07-09 | 2007-05-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint |
DE602004029366D1 (en) | 2003-07-17 | 2010-11-11 | Gunze Kk | SEAM REINFORCEMENT MATERIAL FOR AN AUTOMATIC SEWING DEVICE |
US7182769B2 (en) | 2003-07-25 | 2007-02-27 | Medtronic, Inc. | Sealing clip, delivery systems, and methods |
DE10334083A1 (en) | 2003-07-26 | 2005-02-24 | Carl Stahl Gmbh | Method and device for endoscopic application of closing medical clips |
US6959852B2 (en) | 2003-09-29 | 2005-11-01 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism |
CA2539979C (en) | 2003-09-30 | 2011-11-29 | Scimed Life Systems, Inc. | Through the scope tension member release clip |
US7494461B2 (en) | 2003-09-30 | 2009-02-24 | Boston Scientific Scimed, Inc. | Through the scope tension member release clip |
US6960218B2 (en) | 2003-10-20 | 2005-11-01 | Henry Rennich | External incontinence clamp |
US7572266B2 (en) | 2003-10-21 | 2009-08-11 | Young Wayne P | Clip applier tool having a discharge configuration |
US20050096671A1 (en) | 2003-10-31 | 2005-05-05 | Parris Wellman | Control mechanism for a surgical instrument |
US20050096670A1 (en) | 2003-10-31 | 2005-05-05 | Parris Wellman | Surgical end effector |
EP1684641B1 (en) | 2003-11-07 | 2012-02-15 | Scimed Life Systems, Inc. | Endoscopic hemoscopic clipping apparatus |
US7175648B2 (en) | 2003-11-18 | 2007-02-13 | Granit Medical Innovations, Llc | Deep endoscopic staple and stapler |
US20050208095A1 (en) | 2003-11-20 | 2005-09-22 | Angiotech International Ag | Polymer compositions and methods for their use |
US20050149068A1 (en) | 2003-12-17 | 2005-07-07 | Mathew Williams | Left atrial appendage exclusion device |
US7766207B2 (en) | 2003-12-30 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Articulating curved cutter stapler |
US7316696B2 (en) | 2004-01-22 | 2008-01-08 | Teleflex Medical Incorporated | Ligating clip with integral interlocking latch mechanism |
US7326223B2 (en) | 2004-01-22 | 2008-02-05 | Teleflex Medical Incorporated | Ligating clip with integral cutting guide |
US7585304B2 (en) | 2004-02-02 | 2009-09-08 | Teleflex Medical Incorporated | Endoscopic clip applying apparatus with improved aperture for clip release and related method |
US20050177176A1 (en) | 2004-02-05 | 2005-08-11 | Craig Gerbi | Single-fold system for tissue approximation and fixation |
US20060009792A1 (en) | 2004-02-20 | 2006-01-12 | Esophyx, Inc. | Tissue fixation assembly having prepositioned fasteners and method |
WO2005086793A2 (en) | 2004-03-08 | 2005-09-22 | Lutheran Medical Center | Surgical dynamic compression staple |
US8628547B2 (en) | 2004-03-09 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Devices and methods for placement of partitions within a hollow body organ |
US9028511B2 (en) | 2004-03-09 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Devices and methods for placement of partitions within a hollow body organ |
US20050216036A1 (en) | 2004-03-29 | 2005-09-29 | Nakao Naomi L | Endoscopic fastening system with multiple fasteners |
US8475473B2 (en) | 2004-03-30 | 2013-07-02 | Applied Medical Resources Corporation | Convertible surgical clip applier system |
US7578827B2 (en) | 2004-04-02 | 2009-08-25 | Applied Medical Resources Corporation | Suture clip with stop ribs and method for making same |
US7621926B2 (en) | 2004-04-16 | 2009-11-24 | Applied Medical Resources Corporation | Multi-fire surgical clip applier |
US20050273122A1 (en) | 2004-06-02 | 2005-12-08 | Microline, Inc. | Clip with enhanced gripping arrangement |
US8216255B2 (en) | 2004-06-14 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Endoscopic clip applier actuator |
US8986343B2 (en) | 2004-06-16 | 2015-03-24 | Smith & Nephew | Suture passing |
WO2006009729A2 (en) | 2004-06-18 | 2006-01-26 | Medtronic, Inc. | Methods and devices for occlusion of an atrial appendage |
US20060004388A1 (en) | 2004-06-18 | 2006-01-05 | Ablatrics, Inc. | System for tissue cavity closure |
US20050288689A1 (en) | 2004-06-25 | 2005-12-29 | Kammerer Gene W | Applicator and method for deploying a surgical fastener |
US7059508B2 (en) | 2004-06-30 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission |
BRMU8401529U (en) | 2004-07-02 | 2006-02-21 | Milton Tatsuo Tanaka | laparoscopic curved surgical clip |
US7914551B2 (en) | 2004-07-28 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument |
US7261725B2 (en) | 2005-01-13 | 2007-08-28 | Binmoeller Kenneth F | Endoscopic device with independently actuated legs |
US7540872B2 (en) | 2004-09-21 | 2009-06-02 | Covidien Ag | Articulating bipolar electrosurgical instrument |
US8652152B2 (en) | 2004-09-23 | 2014-02-18 | Covidien Lp | Clip applying apparatus and ligation clip |
ES2616731T3 (en) | 2004-10-08 | 2017-06-14 | Covidien Lp | Apparatus for applying surgical bras |
EP1827248B1 (en) | 2004-10-08 | 2014-03-26 | Covidien LP | Endoscopic surgical clip applier |
US8409222B2 (en) | 2004-10-08 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier |
US7819886B2 (en) | 2004-10-08 | 2010-10-26 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier |
US9763668B2 (en) | 2004-10-08 | 2017-09-19 | Covidien Lp | Endoscopic surgical clip applier |
DE202004015990U1 (en) | 2004-10-14 | 2004-12-09 | Jörg Wenzler Medizintechnik GmbH | Surgical punching instrument |
EP2345375A1 (en) | 2004-10-18 | 2011-07-20 | Tyco Healthcare Group LP | Annular adhesive structure |
US7641671B2 (en) | 2004-11-22 | 2010-01-05 | Design Standards Corporation | Closing assemblies for clamping device |
JP2006154230A (en) | 2004-11-29 | 2006-06-15 | Nikon Corp | Zoom microscope |
US20060124485A1 (en) | 2004-12-10 | 2006-06-15 | Kennedy Daniel L | Enhanced visibility cartridge with improved retainer |
JP4758173B2 (en) | 2004-12-24 | 2011-08-24 | オリンパス株式会社 | Ligation device |
US8080021B2 (en) | 2005-01-11 | 2011-12-20 | Boston Scientific Scimed, Inc. | Multiple clip deployment magazine |
US20060173470A1 (en) | 2005-01-31 | 2006-08-03 | Oray B N | Surgical fastener buttress material |
DE202005001664U1 (en) | 2005-02-03 | 2005-05-25 | Kullen Gmbh & Co. Kg | Brush arrangement for a cover of a machine part comprises brushes with bristles arranged in a slit region |
US20060190013A1 (en) | 2005-02-22 | 2006-08-24 | Microline, Inc. | Curved closure jaw arrangement for a medical clip applier device |
AU2006223494B2 (en) | 2005-03-11 | 2011-09-01 | Wilson-Cook Medical, Inc. | Multi-clip device |
US7942890B2 (en) | 2005-03-15 | 2011-05-17 | Tyco Healthcare Group Lp | Anastomosis composite gasket |
US20070203510A1 (en) | 2006-02-28 | 2007-08-30 | Bettuchi Michael J | Annular disk for reduction of anastomotic tension and methods of using the same |
US20060217749A1 (en) | 2005-03-24 | 2006-09-28 | Pilling Weck Incorporated | Reduced closure force ligating clip |
JP2006277221A (en) | 2005-03-29 | 2006-10-12 | Matsushita Electric Ind Co Ltd | Information reader/writer |
US20060224170A1 (en) | 2005-03-30 | 2006-10-05 | Michael Duff | Surgical marker clip and method for cholangiography |
US7731724B2 (en) | 2005-04-14 | 2010-06-08 | Ethicon Endo-Surgery, Inc. | Surgical clip advancement and alignment mechanism |
US8523882B2 (en) | 2005-04-14 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Clip advancer mechanism with alignment features |
US8038686B2 (en) | 2005-04-14 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Clip applier configured to prevent clip fallout |
US7686820B2 (en) | 2005-04-14 | 2010-03-30 | Ethicon Endo-Surgery, Inc. | Surgical clip applier ratchet mechanism |
US7740641B2 (en) | 2005-04-14 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Clip applier with migrational resistance features |
US7288098B2 (en) | 2005-04-14 | 2007-10-30 | Ethicon Endo-Surgery, Inc. | Force limiting mechanism for medical instrument |
US7297149B2 (en) | 2005-04-14 | 2007-11-20 | Ethicon Endo-Surgery, Inc. | Surgical clip applier methods |
US7699860B2 (en) | 2005-04-14 | 2010-04-20 | Ethicon Endo-Surgery, Inc. | Surgical clip |
US7261724B2 (en) | 2005-04-14 | 2007-08-28 | Ethicon Endo-Surgery, Inc. | Surgical clip advancement mechanism |
US20080045981A1 (en) | 2005-04-22 | 2008-02-21 | Ilya Margolin | Ligating clip and ligating clip applicator |
ATE526890T1 (en) | 2005-04-29 | 2011-10-15 | Bovie Medical Corp | FORCEPS FOR PERFORMING ENDOSCOPIC OR ARTHROSCOPIC OPERATION |
US7615060B2 (en) | 2005-06-13 | 2009-11-10 | Ethicon-Endo Surgery, Inc. | Endoscopic suturing device |
US7828812B2 (en) | 2005-06-13 | 2010-11-09 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus with needle release system |
US7766925B2 (en) | 2005-06-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus |
EP1919377B1 (en) | 2005-06-25 | 2013-04-03 | Stryker Corporation | Surgical handpiece with compact clutch |
US8313497B2 (en) | 2005-07-01 | 2012-11-20 | Abbott Laboratories | Clip applier and methods of use |
US8945151B2 (en) | 2005-07-13 | 2015-02-03 | Atricure, Inc. | Surgical clip applicator and apparatus including the same |
US7871416B2 (en) | 2005-07-22 | 2011-01-18 | Phillips Edward H | Clamp device to plicate the stomach |
US7559937B2 (en) | 2005-08-09 | 2009-07-14 | Towertech Research Group | Surgical fastener apparatus and reinforcing material |
US20070038233A1 (en) | 2005-08-11 | 2007-02-15 | Medical Device Concepts Llc | Surgical clips, systems and methods thereof |
US20070049951A1 (en) | 2005-08-25 | 2007-03-01 | Microline Pentax Inc. | Apparatus alignment device |
US20070185504A1 (en) | 2005-08-25 | 2007-08-09 | Microline Pentax, Inc. | Medical clip feeding mechanism |
US20070049947A1 (en) | 2005-08-25 | 2007-03-01 | Microline Pentax Inc. | Cinch control device |
AU2006222756B2 (en) | 2005-09-30 | 2012-09-27 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for linear surgical stapler |
ES2603179T3 (en) | 2005-10-03 | 2017-02-24 | Smith And Nephew, Inc. | Lock instrument assembly |
US20070083218A1 (en) | 2005-10-12 | 2007-04-12 | A Morris Steven | Coated ligating clip |
US7752853B2 (en) | 2005-10-21 | 2010-07-13 | Emerson Retail Services, Inc. | Monitoring refrigerant in a refrigeration system |
US8192449B2 (en) | 2005-10-25 | 2012-06-05 | Brainlab Ag | Non-penetrating fixing device |
US8080004B2 (en) | 2005-10-26 | 2011-12-20 | Earl Downey | Laparoscopic surgical instrument |
US7901420B2 (en) | 2005-11-02 | 2011-03-08 | University Of Massachusetts | Tissue clamp |
US8632520B2 (en) | 2005-11-10 | 2014-01-21 | Mayo Foundation For Medical Education And Research | Vein closure and injection kits and methods |
US20070112365A1 (en) | 2005-11-15 | 2007-05-17 | Applied Medical Resources Corporation | Partial occlusion surgical guide clip |
US20070118161A1 (en) | 2005-11-22 | 2007-05-24 | Kennedy Daniel L | Non-snag polymer ligating clip |
US7896895B2 (en) | 2005-11-23 | 2011-03-01 | Ethicon Endo-Surgery, Inc. | Surgical clip and applier device and method of use |
US9480480B2 (en) | 2005-12-22 | 2016-11-01 | Albert N. Santilli | Vascular and intestinal occlusion |
US9486225B2 (en) | 2005-12-22 | 2016-11-08 | Robert E. Michler | Exclusion of the left atrial appendage |
DE202006000329U1 (en) | 2006-01-11 | 2006-03-02 | Aesculap Ag & Co. Kg | Surgical ligature clip |
US20070173866A1 (en) | 2006-01-23 | 2007-07-26 | Tyco Healthcare Group, Lp | Surgical hemostatic clip |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7793813B2 (en) | 2006-02-28 | 2010-09-14 | Tyco Healthcare Group Lp | Hub for positioning annular structure on a surgical device |
US7892244B2 (en) | 2006-03-09 | 2011-02-22 | Niti Surgical Solutions Ltd. | Surgical compression clips |
AU2007225266B2 (en) | 2006-03-10 | 2013-06-06 | Cook Medical Technologies Llc | A clip device and a protective cap for drawing the target tissue into it before the clip is deployed |
US8808310B2 (en) | 2006-04-20 | 2014-08-19 | Integrated Vascular Systems, Inc. | Resettable clip applier and reset tools |
EP2020925B1 (en) | 2006-06-01 | 2013-07-10 | Cook Medical Technologies LLC | Release mechanisms for a clip device |
JP2008017876A (en) | 2006-07-10 | 2008-01-31 | Tetsuya Araki | Medical treatment instrument |
US7947052B2 (en) | 2006-09-15 | 2011-05-24 | Ethicon Endo-Surgery, Inc. | Suturing device with angled head |
US8348131B2 (en) | 2006-09-29 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical indicator to show levels of tissue compression |
US8460275B2 (en) | 2006-10-05 | 2013-06-11 | Covidien Lp | Flexible endoscopic stitching devices |
US8708210B2 (en) | 2006-10-05 | 2014-04-29 | Covidien Lp | Method and force-limiting handle mechanism for a surgical instrument |
EP2314232B1 (en) | 2006-10-17 | 2015-03-25 | Covidien LP | Apparatus for applying surgical clips |
US20080147092A1 (en) | 2006-10-23 | 2008-06-19 | Michael Rogge | Hybrid energy instrument combined with clip application capability |
US20080103510A1 (en) | 2006-10-25 | 2008-05-01 | Apogee Surgical Instruments | Bio-absorbable tissue closure system |
JP4716513B2 (en) | 2006-11-09 | 2011-07-06 | Hoya株式会社 | Endoscopic clip device |
US20070118174A1 (en) | 2006-11-16 | 2007-05-24 | Chu David Z J | Laparoscopic surgical clamp and suturing methods |
US8585716B2 (en) | 2006-12-13 | 2013-11-19 | Boston Scientific Scimed, Inc. | Apparatus for applying hemostatic clips |
US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
US7766208B2 (en) | 2007-01-24 | 2010-08-03 | Medtronic Vascular, Inc. | Low-profile vascular closure systems and methods of using same |
DE202007003398U1 (en) | 2007-02-28 | 2007-06-14 | Aesculap Ag & Co. Kg | Surgical instrument for endoscopic interference for treating body tissues, has deformation unit for simultaneous deformation of two clamping units with similar or same dimensions and/or deformation characteristics |
US8011550B2 (en) | 2009-03-31 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8011555B2 (en) | 2007-03-06 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7473258B2 (en) | 2007-03-08 | 2009-01-06 | Cardica, Inc. | Surgical stapler |
US7533790B1 (en) | 2007-03-08 | 2009-05-19 | Cardica, Inc. | Surgical stapler |
US20080228199A1 (en) | 2007-03-16 | 2008-09-18 | Ethicon Endo-Surgery, Inc. | Endoscopic tissue approximation method |
AU2013254887A1 (en) | 2007-03-26 | 2013-11-21 | Covidien Lp | Endoscopic surgical clip applier |
ES2645490T3 (en) | 2007-03-26 | 2017-12-05 | Covidien Lp | Endoscopic surgical clip applier |
US8506580B2 (en) | 2007-04-11 | 2013-08-13 | Covidien Lp | Surgical clip applier |
US20080255589A1 (en) | 2007-04-11 | 2008-10-16 | Terumo Cardiovascular Systems Corporation | Multi-function clipping and harvesting device |
US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US8512315B2 (en) * | 2007-06-06 | 2013-08-20 | Carefusion 2200, Inc. | Surgical device |
JP2008302045A (en) | 2007-06-08 | 2008-12-18 | Hoya Corp | Clip device for endoscope |
JP2008302097A (en) | 2007-06-11 | 2008-12-18 | Hoya Corp | Clip device for endoscope |
JP2008307168A (en) | 2007-06-13 | 2008-12-25 | Hoya Corp | Clip device for endoscope |
WO2009016637A2 (en) | 2007-08-01 | 2009-02-05 | Medingo Ltd. | A device for drug delivery |
EP3111854B1 (en) | 2007-09-21 | 2021-01-20 | Covidien LP | Surgical device |
JP2009078032A (en) | 2007-09-27 | 2009-04-16 | Machida Endscope Co Ltd | Clip applier |
US7909220B2 (en) | 2007-10-05 | 2011-03-22 | Tyco Healthcare Group Lp | Surgical stapler having an articulation mechanism |
JP5006753B2 (en) | 2007-10-17 | 2012-08-22 | Hoya株式会社 | Endoscopic clip device |
US9445820B2 (en) | 2007-12-31 | 2016-09-20 | Teleflex Medical Incorporated | Ligation clip with flexible clamping feature |
JP5535084B2 (en) | 2008-01-10 | 2014-07-02 | コヴィディエン リミテッド パートナーシップ | Imaging system for a surgical device |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US8371491B2 (en) | 2008-02-15 | 2013-02-12 | Ethicon Endo-Surgery, Inc. | Surgical end effector having buttress retention features |
EP2098175B1 (en) | 2008-03-04 | 2011-08-17 | FUJIFILM Corporation | Clipping device |
US8366726B2 (en) | 2008-03-21 | 2013-02-05 | Gyrx Llc | Vessel occlusion clip and application thereof |
DE102008018158A1 (en) | 2008-04-10 | 2009-10-15 | Aesculap Ag | Ligature clip magazine and bearing body for use in this |
US8021375B2 (en) | 2008-04-21 | 2011-09-20 | Conmed Corporation | Surgical clip applicator |
EP2291127A4 (en) | 2008-05-05 | 2015-06-24 | Niti Surgical Solutions Ltd | Endoscopic compression clip and system and method for use thereof |
US8424738B2 (en) | 2008-06-04 | 2013-04-23 | Covidien Lp | Attachable clamp for surgical stapler |
US8287556B2 (en) | 2008-06-17 | 2012-10-16 | Apollo Endosurgery, Inc. | Endoscopic suturing system |
EP2630923B1 (en) | 2008-06-19 | 2015-02-11 | Boston Scientific Scimed, Inc. | Hemostatic clipping devices |
JP2010029629A (en) | 2008-06-30 | 2010-02-12 | Fujifilm Corp | Clip treatment tool |
EP2145589A2 (en) | 2008-07-17 | 2010-01-20 | FUJIFILM Corporation | Manipulating handle for successive clipping device, successive clipping device, manipulating handle for clipping device, and clipping device |
EP2263573A3 (en) | 2008-08-21 | 2011-03-02 | Fujifilm Corporation | Clip package for clip application apparatus |
US20110208212A1 (en) | 2010-02-19 | 2011-08-25 | Zergiebel Earl M | Surgical clip applier |
US8056565B2 (en) | 2008-08-25 | 2011-11-15 | Tyco Healthcare Group Lp | Surgical clip applier and method of assembly |
US8465502B2 (en) | 2008-08-25 | 2013-06-18 | Covidien Lp | Surgical clip applier and method of assembly |
US9358015B2 (en) | 2008-08-29 | 2016-06-07 | Covidien Lp | Endoscopic surgical clip applier with wedge plate |
ES2363582T3 (en) * | 2008-08-29 | 2011-08-09 | Tyco Healthcare Group Lp | ENDOSCOPIC APPLICATOR OF SURGICAL STAPLES WITH LOCK SYSTEM. |
US8267944B2 (en) | 2008-08-29 | 2012-09-18 | Tyco Healthcare Group Lp | Endoscopic surgical clip applier with lock out |
US8585717B2 (en) | 2008-08-29 | 2013-11-19 | Covidien Lp | Single stroke endoscopic surgical clip applier |
US8409223B2 (en) | 2008-08-29 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier with clip retention |
GB0818101D0 (en) | 2008-10-03 | 2008-11-05 | Femcare Nikomed Ltd | Applicator for surgical clips |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
FR2938422A1 (en) | 2008-11-17 | 2010-05-21 | Pierre Sarradon | VASCULAR ANASTOMOSIS CLIPS AND METHOD OF APPLICATION |
US8142451B2 (en) | 2009-01-26 | 2012-03-27 | Microline Surgical, Inc. | Actuator and detachable connector of flexible clip applier |
EP2398548B1 (en) | 2009-02-17 | 2017-04-19 | The Board Of Trustees Of The Leland | Closure device |
US7988027B2 (en) | 2009-03-31 | 2011-08-02 | Tyco Healthcare Group Lp | Crimp and release of suture holding buttress material |
US8016178B2 (en) | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
DE102009018819A1 (en) | 2009-04-24 | 2010-10-28 | Aesculap Ag | Surgical instrument for applying ligature clips |
DE102009018820A1 (en) | 2009-04-24 | 2010-10-28 | Aesculap Ag | Magazine with a variety of C-shaped ligature clips |
DE102009018821A1 (en) | 2009-04-24 | 2010-10-28 | Aesculap Ag | Surgical instrument for applying ligature clips |
DE202009006113U1 (en) | 2009-04-24 | 2009-07-02 | Aesculap Ag | Surgical instrument for applying ligature clips |
US7875029B1 (en) | 2009-05-04 | 2011-01-25 | Cardica, Inc. | Surgical device switchable between clip application and coagulation modes |
JP2010264001A (en) | 2009-05-13 | 2010-11-25 | Fujifilm Corp | Repetitive clipping tool |
TWI391119B (en) | 2009-06-15 | 2013-04-01 | Ming Huei Cheng | Integrated double clips applier cvith division device for clamping clips |
US8430892B2 (en) | 2009-10-06 | 2013-04-30 | Covidien Lp | Surgical clip applier having a wireless clip counter |
US8939974B2 (en) | 2009-10-09 | 2015-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US8262679B2 (en) | 2009-10-09 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Clip advancer |
US8267945B2 (en) | 2009-10-09 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Clip advancer with lockout mechanism |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US8734469B2 (en) | 2009-10-13 | 2014-05-27 | Covidien Lp | Suture clip applier |
US8157151B2 (en) | 2009-10-15 | 2012-04-17 | Tyco Healthcare Group Lp | Staple line reinforcement for anvil and cartridge |
US9186136B2 (en) | 2009-12-09 | 2015-11-17 | Covidien Lp | Surgical clip applier |
US8545486B2 (en) | 2009-12-15 | 2013-10-01 | Covidien Lp | Surgical clip applier |
WO2011081837A1 (en) | 2009-12-15 | 2011-07-07 | Wilson-Cook Medical Inc. | Clip devices and systems and methods for deployment |
US8545519B2 (en) | 2009-12-22 | 2013-10-01 | Cook Medical Technologies Llc | Medical devices with detachable pivotable jaws |
ES2671595T3 (en) | 2010-01-29 | 2018-06-07 | Advanced Bariatric Technology, Llc | Surgical clamp |
US8403945B2 (en) | 2010-02-25 | 2013-03-26 | Covidien Lp | Articulating endoscopic surgical clip applier |
TW201130457A (en) | 2010-03-03 | 2011-09-16 | Ming-Huei Cheng | Automatic clip applier for clamping two ligating clips simultaneously |
JP5628348B2 (en) | 2010-03-09 | 2014-11-19 | テレフレックス・メディカル・インコーポレイテッド | Narrow contour surgical ligation clip |
JP2011186812A (en) | 2010-03-09 | 2011-09-22 | Mitsubishi Electric Corp | Device for supporting confirmation of consistency between documents or drawings, program for supporting confirmation of consistency, and recording medium to which program for supporting confirmation of consistency is recorded |
WO2011112877A1 (en) | 2010-03-10 | 2011-09-15 | Menn Pavel | Surgical clips for laparoscopic procedures |
WO2011127137A1 (en) | 2010-04-06 | 2011-10-13 | Pavel Menn | Articulating steerable clip applier for laparoscopic procedures |
US8715299B2 (en) | 2010-04-06 | 2014-05-06 | Endodynamix, Inc. | Hermetic rotating handle assembly for a surgical clip applier for laparoscopic procedures |
US8623044B2 (en) | 2010-04-12 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Cable actuated end-effector for a surgical instrument |
US20110295290A1 (en) | 2010-05-28 | 2011-12-01 | Whitfield Kenneth H | Surgical hemostatic clip including work-hardened, movement-inhibiting structure and method of manufacturing same |
US20110313437A1 (en) | 2010-06-16 | 2011-12-22 | Top-Bound Enterprise Co., Ltd. | Vascular clamp structure |
US20120022526A1 (en) | 2010-07-23 | 2012-01-26 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8403946B2 (en) | 2010-07-28 | 2013-03-26 | Covidien Lp | Articulating clip applier cartridge |
US8968337B2 (en) | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US9060779B2 (en) | 2010-08-10 | 2015-06-23 | Cook Medical Technologies Llc | Clip devices and methods of delivery and deployment |
US20120053402A1 (en) | 2010-09-01 | 2012-03-01 | Conlon Sean P | Minimally invasive surgery |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9011464B2 (en) | 2010-11-02 | 2015-04-21 | Covidien Lp | Self-centering clip and jaw |
DE102010043584A1 (en) | 2010-11-08 | 2012-05-10 | Kuka Laboratories Gmbh | Medical workstation |
US8348130B2 (en) | 2010-12-10 | 2013-01-08 | Covidien Lp | Surgical apparatus including surgical buttress |
US9186153B2 (en) | 2011-01-31 | 2015-11-17 | Covidien Lp | Locking cam driver and jaw assembly for clip applier |
WO2012122006A2 (en) | 2011-03-04 | 2012-09-13 | Jenkins Clinic, Inc. | Surgical ligation clip and applicator device |
US20130041379A1 (en) | 2011-04-11 | 2013-02-14 | Integrated Medical Systems International, Inc. | Surgical Rongeur Release Mechanism |
US9775623B2 (en) | 2011-04-29 | 2017-10-03 | Covidien Lp | Surgical clip applier including clip relief feature |
US20120330326A1 (en) | 2011-06-22 | 2012-12-27 | Tyco Healthcare Group Lp | Surgical clip applier including atraumatic jaw feature |
US20140188159A1 (en) | 2011-07-11 | 2014-07-03 | Agile Endosurgery, Inc. | Surgical tool |
JP6239509B2 (en) | 2011-08-15 | 2017-11-29 | アトリキュア インクAtricure Inc. | Surgical equipment |
WO2013040467A2 (en) | 2011-09-15 | 2013-03-21 | Teleflex Medical Incorporated | Manual surgical ligation clip applier |
EP2755576B1 (en) | 2011-09-15 | 2019-05-22 | Teleflex Medical Incorporated | Automatic surgical ligation clip applier |
PL2768418T3 (en) | 2011-10-19 | 2017-12-29 | Ethicon Endo-Surgery, Inc. | Clip applier adapted for use with a surgical robot |
US20130131697A1 (en) | 2011-11-21 | 2013-05-23 | Covidien Lp | Surgical clip applier |
US9364239B2 (en) | 2011-12-19 | 2016-06-14 | Covidien Lp | Jaw closure mechanism for a surgical clip applier |
US9931123B2 (en) | 2011-12-21 | 2018-04-03 | Joseph W Blake, III | Surgical clip applier |
DE102011056821A1 (en) | 2011-12-21 | 2013-06-27 | Aesculap Ag | Medical clip carrier device |
US20130172910A1 (en) | 2011-12-29 | 2013-07-04 | Covidien Lp | Surgical clip applier |
US9364216B2 (en) | 2011-12-29 | 2016-06-14 | Covidien Lp | Surgical clip applier with integrated clip counter |
US9775612B2 (en) | 2011-12-30 | 2017-10-03 | Boston Scientific Scimed, Inc. | Linear rotation mechanism for hemostasis clip device and other devices |
US9549738B2 (en) | 2012-01-05 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Ratcheting feature on tissue staple trigger to prevent premature jaw opening |
US9282973B2 (en) | 2012-01-20 | 2016-03-15 | Atricure, Inc. | Clip deployment tool and associated methods |
JP2013166982A (en) | 2012-02-15 | 2013-08-29 | Nagoya Institute Of Technology | Method for producing functionally gradient material by using both sintering method and casting method |
EP2819595A1 (en) | 2012-02-28 | 2015-01-07 | Boston Scientific Scimed, Inc. | Clip applier |
US9408610B2 (en) | 2012-05-04 | 2016-08-09 | Covidien Lp | Surgical clip applier with dissector |
US8518055B1 (en) | 2012-05-11 | 2013-08-27 | Ethicon, Inc. | Applicator instruments for dispensing surgical fasteners during open repair procedures |
US9192432B2 (en) | 2012-05-29 | 2015-11-24 | Covidien Lp | Lever latch assemblies for surgical improvements |
US9532787B2 (en) | 2012-05-31 | 2017-01-03 | Covidien Lp | Endoscopic clip applier |
US9271705B2 (en) | 2012-06-14 | 2016-03-01 | Tyrone Vaughn | Surgical instrument adapter with highly secure locking shaft mechanism |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US20140074143A1 (en) | 2012-09-07 | 2014-03-13 | Sinocclusive Llc | Insertion tool and insertion method for arterial tamponade device |
AU2013316117B2 (en) | 2012-09-14 | 2017-01-19 | Alpine Medical Devices, Llc | Ligator and method of use |
US9282972B1 (en) | 2012-10-14 | 2016-03-15 | Innovative Urololy, Llc | Surgical clips with penetrating locking mechanism and non-slip clamping surfaces |
US9220507B1 (en) | 2012-10-14 | 2015-12-29 | Manoj B. Patel | Tissue spreading vascular clips with locking mechanism and non-slip clamping surfaces |
US9642629B2 (en) | 2012-11-20 | 2017-05-09 | Specialty Surgical Instrumentation Inc. | System and method for forming a curved tunnel in bone |
US9113892B2 (en) | 2013-01-08 | 2015-08-25 | Covidien Lp | Surgical clip applier |
US9968362B2 (en) | 2013-01-08 | 2018-05-15 | Covidien Lp | Surgical clip applier |
US9750500B2 (en) | 2013-01-18 | 2017-09-05 | Covidien Lp | Surgical clip applier |
US9208429B2 (en) | 2013-01-31 | 2015-12-08 | Teleflex Medical Incorporated | Multiple delivery device counter and counting method |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US9888919B2 (en) | 2013-03-14 | 2018-02-13 | Ethicon Llc | Method and system for operating a surgical instrument |
US9430881B2 (en) | 2013-03-15 | 2016-08-30 | Broadley-James Corporation | Measurement probe with heat cycle event counter |
US9433422B2 (en) | 2013-03-26 | 2016-09-06 | Design Standards Corporation | Surgical clip applicator |
US9445810B2 (en) | 2013-06-12 | 2016-09-20 | Covidien Lp | Stapling device with grasping jaw mechanism |
CN103251441B (en) | 2013-06-13 | 2015-03-11 | 沈靖 | Handle of laparoscope scalpel |
US9681877B2 (en) | 2013-06-25 | 2017-06-20 | Joseph W Blake, III | Surgical clip applier |
US9775624B2 (en) | 2013-08-27 | 2017-10-03 | Covidien Lp | Surgical clip applier |
US9526565B2 (en) | 2013-11-08 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9700324B2 (en) | 2014-01-16 | 2017-07-11 | Zsx Medical, Llc | Surgical clip applicator |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
US20160113655A1 (en) | 2014-10-24 | 2016-04-28 | Covidien Lp | Reposable multiplatform endoscopic surgical clip applier |
JP6532113B2 (en) | 2014-11-03 | 2019-06-19 | オレゴン ヘルス アンド サイエンス ユニバーシティ | Clip and Applicator for Tissue Closure |
US10136939B2 (en) | 2014-11-19 | 2018-11-27 | Ethicon Llc | Energy delivery device having a translating outer sheath |
WO2016081822A1 (en) | 2014-11-21 | 2016-05-26 | Novate Medical Technologies, Llc | Multi-component detachable cutting and clamping tool and methods of using same |
US10702278B2 (en) | 2014-12-02 | 2020-07-07 | Covidien Lp | Laparoscopic surgical ligation clip applier |
US9931124B2 (en) | 2015-01-07 | 2018-04-03 | Covidien Lp | Reposable clip applier |
WO2016115676A1 (en) | 2015-01-20 | 2016-07-28 | Covidien Lp | Surgical clip applier with multiple clip feeding mechanism |
CN104605911B (en) | 2015-01-21 | 2017-02-01 | 天津万和医疗器械有限公司 | Titanium clamp counting device and repeating type titanium clamp applying same |
US10292712B2 (en) | 2015-01-28 | 2019-05-21 | Covidien Lp | Surgical clip applier with integrated cutter |
US10646223B2 (en) | 2015-02-15 | 2020-05-12 | Covidien Lp | Universal handle for surgical instruments |
US10159491B2 (en) | 2015-03-10 | 2018-12-25 | Covidien Lp | Endoscopic reposable surgical clip applier |
WO2016192718A2 (en) | 2015-06-02 | 2016-12-08 | Behzad Sahabi | Clip, clip applier, system composed of clip applier and at least one clip, and clip magazine |
WO2016192096A1 (en) | 2015-06-05 | 2016-12-08 | Covidien Lp | Endoscopic reposable surgical clip applier |
WO2016197350A1 (en) | 2015-06-11 | 2016-12-15 | Covidien Lp | Endoscopic reposable surgical clip applier |
US9782164B2 (en) | 2015-06-16 | 2017-10-10 | Ethicon Endo-Surgery, Llc | Suturing instrument with multi-mode cartridges |
WO2016206015A1 (en) | 2015-06-24 | 2016-12-29 | Covidien Lp | Surgical clip applier with multiple clip feeding mechanism |
AU2016204202B2 (en) | 2015-08-19 | 2020-07-02 | Covidien Lp | Surgical clip applier |
AU2015411439B2 (en) | 2015-10-10 | 2020-07-02 | Covidien Lp | Endoscopic surgical clip applier |
CN108348259B (en) | 2015-11-03 | 2020-12-11 | 柯惠有限合伙公司 | Endoscopic surgical clip applier |
EP3373826A4 (en) | 2015-11-10 | 2019-11-06 | Covidien LP | Endoscopic reposable surgical clip applier |
JP6609699B2 (en) | 2015-11-10 | 2019-11-20 | コヴィディエン リミテッド パートナーシップ | Partially disposable surgical clip applier for endoscope |
US10390831B2 (en) | 2015-11-10 | 2019-08-27 | Covidien Lp | Endoscopic reposable surgical clip applier |
WO2017084000A1 (en) | 2015-11-16 | 2017-05-26 | Covidien Lp | Firing counter for medical devices |
US20170172780A1 (en) | 2015-12-22 | 2017-06-22 | Covidien Lp | Methods of performing a bariatric procedure and surgical devices for use therewith |
WO2017124217A1 (en) | 2016-01-18 | 2017-07-27 | Covidien Lp | Endoscopic surgical clip applier |
JP6274233B2 (en) | 2016-02-23 | 2018-02-07 | 住友ベークライト株式会社 | Clip cartridge system |
CA2958160A1 (en) | 2016-02-24 | 2017-08-24 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10537381B2 (en) | 2016-02-26 | 2020-01-21 | Covidien Lp | Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly |
ES2878152T3 (en) | 2016-04-12 | 2021-11-18 | Applied Med Resources | Articulating Mechanism Surgical Stapler |
US20170340325A1 (en) | 2016-05-31 | 2017-11-30 | Covidien Lp | Endoscopic reposable surgical clip applier |
US20180008277A1 (en) | 2016-07-11 | 2018-01-11 | Covidien Lp | Endoscopic reposable surgical clip applier |
EP3496628A4 (en) | 2016-08-11 | 2020-04-22 | Covidien LP | Endoscopic surgical clip applier and clip applying systems |
US10660651B2 (en) | 2016-10-31 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10639044B2 (en) | 2016-10-31 | 2020-05-05 | Covidien Lp | Ligation clip module and clip applier |
US10426489B2 (en) | 2016-11-01 | 2019-10-01 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10492795B2 (en) | 2016-11-01 | 2019-12-03 | Covidien Lp | Endoscopic surgical clip applier |
US10610236B2 (en) | 2016-11-01 | 2020-04-07 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10709455B2 (en) | 2017-02-02 | 2020-07-14 | Covidien Lp | Endoscopic surgical clip applier |
US10758244B2 (en) | 2017-02-06 | 2020-09-01 | Covidien Lp | Endoscopic surgical clip applier |
US10660725B2 (en) | 2017-02-14 | 2020-05-26 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10603038B2 (en) | 2017-02-22 | 2020-03-31 | Covidien Lp | Surgical clip applier including inserts for jaw assembly |
US10548602B2 (en) | 2017-02-23 | 2020-02-04 | Covidien Lp | Endoscopic surgical clip applier |
US20180271526A1 (en) | 2017-03-22 | 2018-09-27 | Covidien Lp | Endoscopic surgical clip applier |
US10675043B2 (en) | 2017-05-04 | 2020-06-09 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10722235B2 (en) | 2017-05-11 | 2020-07-28 | Covidien Lp | Spring-release surgical clip |
US10639032B2 (en) | 2017-06-30 | 2020-05-05 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10660723B2 (en) | 2017-06-30 | 2020-05-26 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10675112B2 (en) | 2017-08-07 | 2020-06-09 | Covidien Lp | Endoscopic surgical clip applier including counter assembly |
US10863992B2 (en) | 2017-08-08 | 2020-12-15 | Covidien Lp | Endoscopic surgical clip applier |
US10932790B2 (en) | 2017-08-08 | 2021-03-02 | Covidien Lp | Geared actuation mechanism and surgical clip applier including the same |
US20190046202A1 (en) | 2017-08-08 | 2019-02-14 | Covidien Lp | Geared actuation mechanism and surgical clip applier including the same |
US10786262B2 (en) | 2017-08-09 | 2020-09-29 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10786263B2 (en) | 2017-08-15 | 2020-09-29 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10835341B2 (en) | 2017-09-12 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10758245B2 (en) | 2017-09-13 | 2020-09-01 | Covidien Lp | Clip counting mechanism for surgical clip applier |
US10653429B2 (en) | 2017-09-13 | 2020-05-19 | Covidien Lp | Endoscopic surgical clip applier |
US10835260B2 (en) | 2017-09-13 | 2020-11-17 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10828036B2 (en) | 2017-11-03 | 2020-11-10 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US11116513B2 (en) | 2017-11-03 | 2021-09-14 | Covidien Lp | Modular surgical clip cartridge |
US10945734B2 (en) | 2017-11-03 | 2021-03-16 | Covidien Lp | Rotation knob assemblies and surgical instruments including the same |
US11376015B2 (en) | 2017-11-03 | 2022-07-05 | Covidien Lp | Endoscopic surgical clip applier and handle assemblies for use therewith |
US10932791B2 (en) | 2017-11-03 | 2021-03-02 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10722236B2 (en) | 2017-12-12 | 2020-07-28 | Covidien Lp | Endoscopic reposable surgical clip applier |
US10849630B2 (en) | 2017-12-13 | 2020-12-01 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10743887B2 (en) | 2017-12-13 | 2020-08-18 | Covidien Lp | Reposable multi-fire surgical clip applier |
US10959737B2 (en) | 2017-12-13 | 2021-03-30 | Covidien Lp | Reposable multi-fire surgical clip applier |
US11051827B2 (en) | 2018-01-16 | 2021-07-06 | Covidien Lp | Endoscopic surgical instrument and handle assemblies for use therewith |
-
2016
- 2016-08-11 EP EP16912243.9A patent/EP3496628A4/en not_active Withdrawn
- 2016-08-11 WO PCT/CN2016/094599 patent/WO2018027788A1/en unknown
- 2016-08-11 CN CN201680088272.9A patent/CN109561897B/en not_active Expired - Fee Related
- 2016-08-11 US US16/308,864 patent/US10806464B2/en active Active
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5449365A (en) * | 1992-09-02 | 1995-09-12 | United States Surgical Corporation | Surgical clamp apparatus |
US20130214029A1 (en) * | 2006-09-11 | 2013-08-22 | Covidien Lp | Rotating knob locking mechanism for surgical stapling device |
US20100076260A1 (en) * | 2006-10-05 | 2010-03-25 | Taylor Eric J | Handle Assembly for Articulated Endoscopic Instruments |
CN102076270A (en) * | 2008-05-21 | 2011-05-25 | 伊西康内外科公司 | Surgical instrument with automatically reconfigurable articulating end effector |
US20110282363A1 (en) * | 2010-05-12 | 2011-11-17 | Tyco Healthcare Group Lp | Surgical Instrument with Flexible Member Attachment Structures |
WO2016112509A1 (en) * | 2015-01-15 | 2016-07-21 | Covidien Lp | Endoscopic reposable surgical clip applier |
Non-Patent Citations (1)
Title |
---|
See also references of EP3496628A4 * |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11026764B2 (en) | 2016-05-26 | 2021-06-08 | Covidien Lp | Cannula assemblies for use with robotic surgical systems |
EP3610807A1 (en) * | 2018-08-13 | 2020-02-19 | Covidien LP | Rotation knob assemblies and surgical instruments including same |
CN110811746A (en) * | 2018-08-13 | 2020-02-21 | 柯惠Lp公司 | Rotary knob assembly and surgical instrument including the same |
WO2020056656A1 (en) * | 2018-09-20 | 2020-03-26 | 台湾先进手术医疗器材股份有限公司 | Anti-reverse device of vascular clip applier |
EP4042952A1 (en) * | 2021-02-10 | 2022-08-17 | "Konmex" Spólka Z Ograniczona Odpowiedzialnoscia | Laparoscopic clipping machine for application of surgical clips on tissue structures |
Also Published As
Publication number | Publication date |
---|---|
US10806464B2 (en) | 2020-10-20 |
US20190150935A1 (en) | 2019-05-23 |
CN109561897A (en) | 2019-04-02 |
EP3496628A1 (en) | 2019-06-19 |
EP3496628A4 (en) | 2020-04-22 |
CN109561897B (en) | 2022-03-01 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US10806464B2 (en) | Endoscopic surgical clip applier and clip applying systems | |
US11071553B2 (en) | Endoscopic surgical clip applier and clip applying systems | |
US20200315629A1 (en) | Endoscopic surgical clip applier | |
US11058432B2 (en) | Endoscopic reposable surgical clip applier | |
US10932790B2 (en) | Geared actuation mechanism and surgical clip applier including the same | |
US10828044B2 (en) | Endoscopic reposable surgical clip applier | |
US10758244B2 (en) | Endoscopic surgical clip applier | |
US10660652B2 (en) | Endoscopic surgical clip applier | |
US20190046202A1 (en) | Geared actuation mechanism and surgical clip applier including the same | |
US11278267B2 (en) | Latch assemblies and surgical instruments including the same | |
US20190328399A1 (en) | Latch assemblies and surgical instruments including the same | |
EP3610807A1 (en) | Rotation knob assemblies and surgical instruments including same |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
121 | Ep: the epo has been informed by wipo that ep was designated in this application |
Ref document number: 16912243 Country of ref document: EP Kind code of ref document: A1 |
|
NENP | Non-entry into the national phase |
Ref country code: DE |
|
ENP | Entry into the national phase |
Ref document number: 2016912243 Country of ref document: EP Effective date: 20190311 |