US3775825A - Clip applicator - Google Patents
Clip applicator Download PDFInfo
- Publication number
- US3775825A US3775825A US00174501A US3775825DA US3775825A US 3775825 A US3775825 A US 3775825A US 00174501 A US00174501 A US 00174501A US 3775825D A US3775825D A US 3775825DA US 3775825 A US3775825 A US 3775825A
- Authority
- US
- United States
- Prior art keywords
- clips
- thread
- jaws
- body portion
- clip
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0454—Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
- A61B2017/0488—Instruments for applying suture clamps, clips or locks
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/51—Plural diverse manufacturing apparatus including means for metal shaping or assembling
- Y10T29/5147—Plural diverse manufacturing apparatus including means for metal shaping or assembling including composite tool
- Y10T29/5148—Plural diverse manufacturing apparatus including means for metal shaping or assembling including composite tool including severing means
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/53—Means to assemble or disassemble
- Y10T29/53478—Means to assemble or disassemble with magazine supply
- Y10T29/53487—Assembling means comprising hand-manipulatable implement
- Y10T29/53513—Means to fasten by deforming
Definitions
- This application discloses apparatus for applying Related Apphcatmn spaced clips to a filament and severing the filament [62] DMSIO" of 817,496, Apnl 18, 1969, between the clips so as to provide clips secured on the abandoned free ends of the severed filament.
- the apparatus is disclosed in the context of a method of suturing skin [52] US. Cl 29/212 D wounds wherein a suture is drawn through an edge of lI-lt.
- This invention relates to surgical devices. More specifically, it relates to a apparatus for the suturing of skin wounds.
- the conventional method of closing skin wounds consists of sewing the edges of the wound together with thread. Threads are placed and tied separately along the wound and are termed interrupted sutures. Altemately, wounds may be closed by a continuous thread anchored by tying the thread at either end of the wound. Very frequently wounds sutured in accordance with these techniques tend to have the edges inverted so that when healed a noticeable scar may remain. Also, it is not uncommon that the healing may be uneven to such an extent as to delay complete healing and to further aggravate the scarring situation.
- FIG. 1 is a plan view of an applicator tool embodying the invention
- FIG. 2 is an end view of the tool shown in FIG. 1;
- FIG. 3 is a view along the line 3--3 of FIG. 2;
- FIG. 4 is a plan view of a cartridge holding a supply of clips in accordance with the invention.
- FIG. 5 is an end view of the cartridge of FIG. 4;
- FIG. 6a is a plan view of a clip in accordance with the invention shown prior to its assembly on a thread;
- FIG. 6b is a view of a clip in accordance with the invention showing the position assumed upon its assembly on a thread
- FIG. 7a is a diagrammatic illustration showing the use of a thread on which a clip has been secured in suturing a wound
- FIG. 7b is a diagrammatic figure similar to FIG. 7a in which several sutures have been completed using the method and apparatus of the invention.
- FIG. 8 is an illustration of a tool suitable for removing clips from a thread in accordance with the invention.
- FIG. 9 is a side view, partially in section, of an alternative embodiment of an applicator tool in accordance with the invention.
- FIG. 10 is a front view along the line 10-10 of the embodiment of FIG. 9.
- the method in this application is practiced by applying a flat clip to the end of a thread and passing the thread through the skin, using a surgical needle, until the clip lies flat against the surface of the skin at one edge of the wound.
- FIG. 7a where a clip 2 has been clamped to a thread 4 and the thread, in turn, threaded through a suitable surgical needle 6.
- the thread 4 has been drawn through the surface of the skin at one edge 8 of a wound and the clip 2 lies flat against that surface of the skin.
- the needle 6 is then used to penetrate the surface of the other edge 10 of the wound from the underside and emerge from the upper side of that edge. At that point another clip 2 is applied to the thread 4 and the thread is then severed.
- an applicator tool in accordance with the invention is constructed to apply two-clips simultaneously to the thread and to sever the thread between the two clips.
- the emergingend of the thread is clipped and the suture secured, and at the same time the thread is provided with a clip atits free end to commence the next suturing operation.
- This sequence of operations is repeated to the extent necessary to close the wound, as may be seen in FIG. 7b wherein several sutures of the interrupted variety'have been applied, each suture consisting of a pair of clips 2 and a thread 4.
- each suturing operation the thread is pulled sufficiently tight to bring the edges of the wound together and to evert them slightly. If desired, a continuous suture could be applied with a clip at each end.
- the clips in addition to fixing the thread in place the clips spread the pull exerted at the skin edge by the thread over the entire surface of the clip and thus spread the pressure at the point of engagement of the clip with the skin over the entire clip, thus relieving the pressure from a restricted area. It has also been found that the clips tend to assume a position parallel to each other, thus contributing to the eversion of the skin edge. By resisting the natural tendency of the skin edge to turn inward, even healing is promoted and scarring is minimized. Another advantage of this method results from the tendency of the clips to immobilize the skin beneath them, that is, they, in effect, splint the skin edge and prevent its movement. This splinting effect also helps to minimize scarring of the wound by allowing healing to proceed with the wound immobilized.
- the clip applicator comprises a body portion 14 on which the remaining elements of the applicator are mounted for use. These elements comprise a pair of handle portions 16 and 18 pivoted at points 20 and 22, respectively, on the forward end of the body portion. Passing through the body portion is a channel guide 24 which is provided at its rearward end with a spring clip 26 which is normally urged upward from the bottom of the channel guide 24 to hold a cartridge 28 in the channel guide.
- the cartridge 28 extends through the body portion and has a front end 30 which terminates in a pair of V-shaped openings 32 adjacent the confronting ends 34 and 36 of a pair of jaws 38 and 40, respectively, which are pivoted on the body portion at the points 42 and 44, respectively.
- a pair of outwardly bowed leaf springs 43 and 45 urge the jaws 38 and 40 outwardly from the body portion 14.
- the handle 16 has secured to its undersurface a leaf spring 46 which slides at its inner end on the surface of the channel guide 24 to normally urge the handle 16 in an outward direction.
- a similar leaf spring 48 is secured to the handle 18 for the same purpose.
- the handles 16 and 18 are provided with enlarged portions 47 and 49, respectively, which bear on the jaws 38 and 40 and function as camming surfaces to cause inward movement of the jaws when the handles are forced inwardly.
- a pair of stops 50 and 52 may be provided on the body portion, engaging with the handles 16 and 18, respectively, to limit their outward movement.
- the cartridge 28 is illustrated in greater detail in FIGS. 4 and 5. As illustrated, it takes the form of an elongated rectangular member provided with a pair of slots 54 and 56 extending along its length into which clips to be applied to a thread may be stored and from which they may be fed for compression by the jaws 38 and 40 as required.
- a means to force the clips forward in the slots 54 and 56 is constituted by a slide 58 having a handle portion 60 extending through an elongated opening 62 extending over a major portion of the length of the cartridge 28.
- a notch 64 is formed in the end of the cartridge 28 to permit passage of a threadsevering means in a manner to be described in greater detail hereinafter.
- a spring feed could be provided.
- the thread-severing means is constituted by an arm 66 pivoted coaxially with the jaw 40 at 44 but capable of independent movement and carrying at its free end a cutting edge 67 and a projection 68 which acts to maintain a thread in position to be cut. Extending from the arm 66 through an opening in the jaw 40 is a projection 70 engageable with the pivoted handle 16.
- the operation of the applicator tool 14 in conjunction with the cartridge 28 is as follows. After the cartridge 28 is caused to be filled with an appropriate number of clips in the slots 56 and 54, the cartridge is inserted into the channel guide 24 until its forward motion is stopped by virtue of its contact with the confronting surfaces 34 and 36 of the jaws 38 and 40. It is retained in this position by the engagement of the spring clip 26 with its rear end. In order to feed clips to a position to be applied to a thread, the slide 58 is moved forward by applying pressure to the handle 60 so as to feed clips forward to a position between the jaws. As may be seen in FIG. 1, the forward movement of the slide 58 is permitted by the provision of a slotted opening 67 in the body portion 14. The forward motion of the clips is limited by their engagement in cut-out portions 69 formed in the confronting surfaces 34 and 36 of the jaws 38 and 40.
- each clip 2 is formed as a thin, flat member having notch 72 formed at its lower end and a pair of spreadapart legs 74 and 76 forming a wider notch 78 at its upper end.
- the clips When inserted into the slots 54 and 56, the clips nestle within each other, i.e., the narrow part of a clip with the notch 72 rests within the wider notch 78 of each adjacent clip.
- the clips are moved forward in the cartridge 28 by the action of the slide 58, they are positioned in the cut-out portions 69 with the notch 78 exposed between the confronting portions 34 and 36 of the jaws 38 and 40.
- the clipped ends of the thread are now ready for use in the practice of the method described above.
- the clipped thread which has been severed from a longer piece may be discarded and the first suturing operation begun using the clipped thread remaining.
- the applicator tool may again be used by first feeding forward another pair of clips to a position between the confronting ends 34 and 36, then using the applicator tool in the manner described above. This results in a clip being applied to the emerging end of the thread, such a clip being designated by reference numeral 12 in FIG. 7b, and a clip has been secured to the free end of the thread so that another suturing operation may be commenced.
- the invention provides a removing tool or opener illustrated in FIG. 8.
- This is constituted by a pair of pivoted handles 82 and 84 which are provided at their free ends with a pair of pointed projections 86 and 88, respectively. These projections may be engaged in the notches 72 and of a clip and the handles brought together to force the projections into those notches and spread apart or open the clip to remove it from the thread.
- the suturing thread may be withdrawn in the usual manner.
- FIGS. 9 and 10 illustrate an alternative embodiment in which the cutting of the surgical thread extending between the clips is accomplished by the provision of a scissors action.
- those elements which correspond to the embodiment of FIGS. 1 through 3 have been given the same reference numerals.
- the applicator tool has a pair of arms 66 and 66' pivoted coaxially with the jaws 40 and 38, respectively.
- the arms are identical and each is provided at its forward end with sharpened confronting scissor edges 90 and 92.
- Each arm 66 and 66' is pro vided with projections 70 and 70' which extend through openings in their associated jaws for engagement with the handles 16 and 18, respectively.
- a thread 4 has been placed between a pair of clips 2 positioned between the cut-out portions 69 of the jaws 38 and 40.
- the clips are clamped to the thread 4.
- Continued compression of the handles causes them to lean on the projections 70 and 70' moving the arms 66 and 66' inwardly about their pivots until the scissor edges 90 and 92 cut the thread between the two clips.
- the two clips have now been applied to the thread between them severed.
- the novel apparatus of this invention thus provides a simple method of suturing skin wounds with the advantages of promoting even healing and minimizing scarring.
- a device for applying clips to thread comprising: a body portion; means mounted in said body portion for storing clips to be applied to thread; a pair of normally spaced-apart jaws mounted on said body portion for relative movement toward each other to engage portions of a clip and move them to locking engagement around a thread; means for moving clips stored in said first-mentioned means to the space between said jaws and cutting means on said body portion for severing a thread after a clip has been locked thereon.
- a device for applying clips to thread comprising: a body portion; a pair of normally spaced-apart jaws pivotally mounted on opposite sides of said body portion extending forwardly thereof and provided with confronting portions extending toward each other for engaging portions of a clip to be applied to a thread; an elongated cartridge having a pair of longitudinal slots formed therein in which clips may be stored mounted in said body portion and extending to a point adjacent said confronting portions of said jaws; a slide movable in said slots to force clips inbetween said confronting portions of said jaws; cutting means pivoted coaxially on said body portion with one of said jaws and extending to said confronting portions of said jaws and disposed between said slots in said cartridge; and a pair of handles pivoted on opposite sides of said body portion, each handle having a connection to said jaws to close said jaws in response to movement of the handles, and a projection on said cutting means engaging one of said handles so that continued movement of said handles after said jaws are closed causes said cutting means to sever the thread between the clips which have
- the device of claim 1 including cutting means on said body portion for severing a thread after a clip has been locked thereon.
- said first-mentioned means comprises an elongated cartridge having a slot extending along its length in which clips may be stored.
- said secondmentioned means comprises a slide movable in said slot to force clips toward the end thereof.
- said first-mentioned means comprises an elongated cartridge having a pair of parallel slots extending along its length in each of which slots clips may be stored.
- said secondmentioned means comprises a slide movable in said slots to force clips toward the end thereof.
- said first-mentioned means extends from the body portion to a point adjacent said jaws and is provided with an opening at one end from which clips may be moved by said secondmentioned means and means on said jaws to limit the movement of the clips.
- the device of claim 8 including cutting means carried by said jaws for severing a thread after a clip has
Abstract
Description
Claims (9)
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US17450171A | 1971-08-24 | 1971-08-24 |
Publications (1)
Publication Number | Publication Date |
---|---|
US3775825A true US3775825A (en) | 1973-12-04 |
Family
ID=22636391
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US00174501A Expired - Lifetime US3775825A (en) | 1971-08-24 | 1971-08-24 | Clip applicator |
Country Status (1)
Country | Link |
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US (1) | US3775825A (en) |
Cited By (38)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3858293A (en) * | 1972-10-26 | 1975-01-07 | Ici Ltd | Assembly device |
US4108306A (en) * | 1977-06-20 | 1978-08-22 | Samuels Peter B | Cartridge for suture clips |
US4201314A (en) * | 1978-01-23 | 1980-05-06 | Samuels Peter B | Cartridge for a surgical clip applying device |
US4399810A (en) * | 1979-11-28 | 1983-08-23 | Samuels Peter B | Skin clip and applier |
EP0113142A2 (en) * | 1982-12-06 | 1984-07-11 | Ugo Ferrando | Medical - surgical instrument |
US4465071A (en) * | 1981-10-26 | 1984-08-14 | Samuels Peter B | Method of applying skin clips |
EP0121475A2 (en) * | 1983-03-30 | 1984-10-10 | United States Surgical Corporation | Method and apparatus for surgical occluding and cutting |
WO1984003826A1 (en) * | 1983-03-30 | 1984-10-11 | United States Surgical Corp | Safety apparatus for surgical occluding and cutting device |
JPS60500704A (en) * | 1983-03-30 | 1985-05-16 | ユナイテツド ステイツ サ−ジカル コ−ポレ−シヨン | Methods and devices for surgical occlusion and amputation |
US4556058A (en) * | 1983-08-17 | 1985-12-03 | United States Surgical Corporation | Apparatus for ligation and division with fixed jaws |
US4586503A (en) * | 1983-12-01 | 1986-05-06 | University Of New Mexico | Surgical microclip |
US4738255A (en) * | 1986-04-07 | 1988-04-19 | Biotron Labs, Inc. | Suture anchor system |
US5032127A (en) * | 1990-03-07 | 1991-07-16 | Frazee John G | Hemostatic clip and applicator therefor |
US5104394A (en) * | 1990-11-05 | 1992-04-14 | Knoepfler Dennis J | Automatic stapler for laparoscopic procedure with selective cutter and suction irrigator |
US5207691A (en) * | 1991-11-01 | 1993-05-04 | Medical Scientific, Inc. | Electrosurgical clip applicator |
WO1993014701A1 (en) * | 1992-01-24 | 1993-08-05 | Knoepfler Dennis J | Clip applier with cutter and suction irrigator |
US5425489A (en) * | 1990-12-20 | 1995-06-20 | United States Surgical Corporation | Fascia clip and instrument |
US5437680A (en) * | 1987-05-14 | 1995-08-01 | Yoon; Inbae | Suturing method, apparatus and system for use in endoscopic procedures |
WO1996016602A1 (en) * | 1994-11-29 | 1996-06-06 | American Cyanamid Company | Ligation clip remover |
US5527342A (en) * | 1993-12-14 | 1996-06-18 | Pietrzak; William S. | Method and apparatus for securing soft tissues, tendons and ligaments to bone |
WO1996022735A1 (en) | 1995-01-25 | 1996-08-01 | Inbae Yoon | Methods and apparatus for suturing tissue |
US5665109A (en) * | 1994-12-29 | 1997-09-09 | Yoon; Inbae | Methods and apparatus for suturing tissue |
US5700275A (en) * | 1996-04-25 | 1997-12-23 | United States Surgical Corporation | Articulating endoscopic surgical instrument |
US6086586A (en) * | 1998-09-14 | 2000-07-11 | Enable Medical Corporation | Bipolar tissue grasping apparatus and tissue welding method |
US6241740B1 (en) | 1998-04-09 | 2001-06-05 | Origin Medsystems, Inc. | System and method of use for ligating and cutting tissue |
US7699860B2 (en) | 2005-04-14 | 2010-04-20 | Ethicon Endo-Surgery, Inc. | Surgical clip |
US7928338B2 (en) | 2007-02-02 | 2011-04-19 | Plasma Surgical Investments Ltd. | Plasma spraying device and method |
US8030849B2 (en) | 2007-08-06 | 2011-10-04 | Plasma Surgical Investments Limited | Pulsed plasma device and method for generating pulsed plasma |
US8105325B2 (en) | 2005-07-08 | 2012-01-31 | Plasma Surgical Investments Limited | Plasma-generating device, plasma surgical device, use of a plasma-generating device and method of generating a plasma |
US8109928B2 (en) | 2005-07-08 | 2012-02-07 | Plasma Surgical Investments Limited | Plasma-generating device, plasma surgical device and use of plasma surgical device |
US8613742B2 (en) | 2010-01-29 | 2013-12-24 | Plasma Surgical Investments Limited | Methods of sealing vessels using plasma |
US8735766B2 (en) | 2007-08-06 | 2014-05-27 | Plasma Surgical Investments Limited | Cathode assembly and method for pulsed plasma generation |
US9089319B2 (en) | 2010-07-22 | 2015-07-28 | Plasma Surgical Investments Limited | Volumetrically oscillating plasma flows |
CN104822347A (en) * | 2012-10-04 | 2015-08-05 | 艾瑞黛克斯公司 | Fasteners, deployment systems, and methods for ophthalmic tissue closure and fixation of ophthalmic prostheses and other uses |
US9451966B2 (en) | 2008-10-03 | 2016-09-27 | Femcare-Nikomed Limited | Applicator for surgical clips |
US9901343B2 (en) | 2011-12-08 | 2018-02-27 | O3 Optix Llc | Fasteners, deployment systems, and methods for ophthalmic tissue closure and fixation of ophthalmic prostheses and other uses |
US9913358B2 (en) | 2005-07-08 | 2018-03-06 | Plasma Surgical Investments Limited | Plasma-generating device, plasma surgical device and use of a plasma surgical device |
US11882643B2 (en) | 2020-08-28 | 2024-01-23 | Plasma Surgical, Inc. | Systems, methods, and devices for generating predominantly radially expanded plasma flow |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3551987A (en) * | 1968-09-12 | 1971-01-05 | Jack E Wilkinson | Stapling clamp for gastrointestinal surgery |
US3583202A (en) * | 1969-02-24 | 1971-06-08 | Marvin J Blakeway | Device for crimping weights on fishing lines |
-
1971
- 1971-08-24 US US00174501A patent/US3775825A/en not_active Expired - Lifetime
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3551987A (en) * | 1968-09-12 | 1971-01-05 | Jack E Wilkinson | Stapling clamp for gastrointestinal surgery |
US3583202A (en) * | 1969-02-24 | 1971-06-08 | Marvin J Blakeway | Device for crimping weights on fishing lines |
Cited By (60)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3858293A (en) * | 1972-10-26 | 1975-01-07 | Ici Ltd | Assembly device |
US4108306A (en) * | 1977-06-20 | 1978-08-22 | Samuels Peter B | Cartridge for suture clips |
US4201314A (en) * | 1978-01-23 | 1980-05-06 | Samuels Peter B | Cartridge for a surgical clip applying device |
US4399810A (en) * | 1979-11-28 | 1983-08-23 | Samuels Peter B | Skin clip and applier |
US4465071A (en) * | 1981-10-26 | 1984-08-14 | Samuels Peter B | Method of applying skin clips |
EP0113142A2 (en) * | 1982-12-06 | 1984-07-11 | Ugo Ferrando | Medical - surgical instrument |
EP0113142A3 (en) * | 1982-12-06 | 1986-04-16 | Ugo Ferrando | Medical - surgical instrument |
EP0121475A3 (en) * | 1983-03-30 | 1986-03-05 | United States Surgical Corporation | Method and apparatus for surgical occluding and cutting |
JPS6359701B2 (en) * | 1983-03-30 | 1988-11-21 | ||
GB2146246A (en) * | 1983-03-30 | 1985-04-17 | United States Surgical Corp | Method and apparatus for surgical occluding and cutting |
GB2146247A (en) * | 1983-03-30 | 1985-04-17 | United States Surgical Corp | Safety apparatus for surgical occluding and cutting device |
JPS60500704A (en) * | 1983-03-30 | 1985-05-16 | ユナイテツド ステイツ サ−ジカル コ−ポレ−シヨン | Methods and devices for surgical occlusion and amputation |
US4569346A (en) * | 1983-03-30 | 1986-02-11 | United States Surgical Corporation | Safety apparatus for surgical occluding and cutting device |
WO1984003827A1 (en) * | 1983-03-30 | 1984-10-11 | United States Surgical Corp | Method and apparatus for surgical occluding and cutting |
EP0121475A2 (en) * | 1983-03-30 | 1984-10-10 | United States Surgical Corporation | Method and apparatus for surgical occluding and cutting |
DE3490145C2 (en) * | 1983-03-30 | 1986-08-07 | United States Surgical Corp., Norwalk, Conn. | Instrument for tying and severing an organic tissue structure |
WO1984003826A1 (en) * | 1983-03-30 | 1984-10-11 | United States Surgical Corp | Safety apparatus for surgical occluding and cutting device |
US4556058A (en) * | 1983-08-17 | 1985-12-03 | United States Surgical Corporation | Apparatus for ligation and division with fixed jaws |
US4586503A (en) * | 1983-12-01 | 1986-05-06 | University Of New Mexico | Surgical microclip |
US4738255A (en) * | 1986-04-07 | 1988-04-19 | Biotron Labs, Inc. | Suture anchor system |
US5437680A (en) * | 1987-05-14 | 1995-08-01 | Yoon; Inbae | Suturing method, apparatus and system for use in endoscopic procedures |
US5032127A (en) * | 1990-03-07 | 1991-07-16 | Frazee John G | Hemostatic clip and applicator therefor |
US5104394A (en) * | 1990-11-05 | 1992-04-14 | Knoepfler Dennis J | Automatic stapler for laparoscopic procedure with selective cutter and suction irrigator |
US5425489A (en) * | 1990-12-20 | 1995-06-20 | United States Surgical Corporation | Fascia clip and instrument |
US5207691A (en) * | 1991-11-01 | 1993-05-04 | Medical Scientific, Inc. | Electrosurgical clip applicator |
WO1993008741A1 (en) * | 1991-11-01 | 1993-05-13 | Medical Scientific, Inc. | Electrosurgical clip applicator |
WO1993014701A1 (en) * | 1992-01-24 | 1993-08-05 | Knoepfler Dennis J | Clip applier with cutter and suction irrigator |
US5527342A (en) * | 1993-12-14 | 1996-06-18 | Pietrzak; William S. | Method and apparatus for securing soft tissues, tendons and ligaments to bone |
WO1996016602A1 (en) * | 1994-11-29 | 1996-06-06 | American Cyanamid Company | Ligation clip remover |
US5665109A (en) * | 1994-12-29 | 1997-09-09 | Yoon; Inbae | Methods and apparatus for suturing tissue |
US5643295A (en) * | 1994-12-29 | 1997-07-01 | Yoon; Inbae | Methods and apparatus for suturing tissue |
US5984933A (en) * | 1994-12-29 | 1999-11-16 | Yoon; Inbae | Apparatus for suturing tissue |
WO1996022735A1 (en) | 1995-01-25 | 1996-08-01 | Inbae Yoon | Methods and apparatus for suturing tissue |
US5700275A (en) * | 1996-04-25 | 1997-12-23 | United States Surgical Corporation | Articulating endoscopic surgical instrument |
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