|Publication number||US3435824 A|
|Publication date||Apr 1, 1969|
|Filing date||Oct 27, 1966|
|Priority date||Oct 27, 1966|
|Publication number||US 3435824 A, US 3435824A, US-A-3435824, US3435824 A, US3435824A|
|Original Assignee||Herminio Gamponia|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (2), Referenced by (228), Classifications (17)|
|External Links: USPTO, USPTO Assignment, Espacenet|
A ril 1, 1969 H. GAMPONIA 3,435,324
SURGICAL APPARATUS AND RELATED PROCESS Filed Oct. 27, 1966 Sheet 4 of 2 INVYUVTOR HERMHHO GAMPONM ATTORNEYS April 1969 H. GAMPONIA 3,435,824
SURGICAL APPARATUS AND RELATED PROCESS Filed Oct. 27, 1966 Sheet 2 of 2 HERMI NIO GAMPONIA ATTORNEYS United States Patent 3 435 824 SURGICAL APPARATUS AND RELATED PROCESS Herminio Gamponia, Flushing, N.Y. (668 Stratton St., Logan, W. Va. 25601) Filed Oct. 27, 1966, Ser. No. 590,079 Int. Cl. A61b 17/00, 19/00 U.S. Cl. 128-334 9 Claims This invention relates to surgical apparatus and techniques and more particularly to devices and processes useful in connection with heart surgery and types of surgery in which a portion of a blood circulatory system has to be by-passed.
If, by way of example, there is an aneurysm in an arterial vessel, surgical processes are known by means of which remedial measures will be effected. Such processes, however, require that the portion of the arterial vessel to be operated upon be temporarily by-passed so that the flow of blood can continue while the diseased situation is being corrected.
In accordance with known techniques a tube may be employed to by-pass the diseased section, the extremities of the tube being inserted through slits made in the vessels into the interior of the same thus constituting a shunt through which the blood flows. It is necessary, however, that the tube extremities be retained in position in the blood vessel so that the tube does not become detached during the operation. To this end it is known to retain the tube extremities in position by the use of tying sutures or surgical thread or the like around the vessels at positions whereat said extremities are internally located. This procedure is, however, time consuming and in addition may possibly traumatize the blood vessel due to a possibly overtight tying of the cord.
It is an object of the invention to provide techniques and structures for avoiding the above problem and particularly for maintaining the ends of a by-pass tube in position Within a circulatory system while at the same time avoiding the need for the external application of a cord or the like.
In achieving the above and other of its objectives, the invention involves the use of a tube, the extremities of which are encircled by an inflatable bladder or collar such that when the extremities are inserted into a vessel such bladder can be inflated to retain the extremities in position within the circulatory system.
The inflatable means will preferably be an integral part of the tube and a duct means may be provided which is also preferably integral with the tube and which leads to a branch by means of which a pressure medium can be introduced into the aforesaid bladder.
The pressure medium is preferably a liquid such as Water and the source of the same may take the form of a detachable syringe. The syringe will be insertable into the aforesaid branch which preferably contains a one-way releasable valve which will retain the water in the bladder under pressure once the water has been inserted.
Because the tube structure of the invention is especially intended for use in connection with blood vessels or the like, such tube, as will be shown, will preferably be of a nature which is atraumatic to blood cells. In addition, the tube will preferably be of a transparent material so that it is possible to determine visually when the tube is performing its shunting function. Other requirements for the tube and related structures will be indicated in greater detail hereinafter.
According to the surgical technique of using the aforesaid tubular structure, the initial step involves partially cutting through the circulatory or vessel system at positions located at opposite ends of the diseased section. Thereafter the extremities of the aforesaid tube are inserted into the thusly resulting cuts, the tube being so ice selected as to have a diameter closely matching the inner diameter of the vessel or vessels adjacent the cuts. The bladder in each extremity is thereafter inflated with a pressure medium to an extent such that the extremities are retained in the system but with a pressure less than that which would cause the system to rupture. Further details in respect of this process will be discussed hereinafter.
As a feature of the invention it is possible to construct a tubular system with a multiplicity of branches, some of which, or all of which, are provided with inflatable bladders or portions capable of retaining these extremities in position in a circulatory system.
The invention Will be more clearly understood from the following detailed description of some preferred embodiments thereof as illustrated in the accompanying drawing, in which:
FIGURE 1 diagrammatically illustrates a portion of a circulatory system in which a diseased portion thereof is shunted by a tubular shunt provided in accordance with the invention;
FIGURE 2 is an enlarged view of one of the extremities of the tubular shunt taken along line II-1T of FIG. 1; and
FIGURE 3 is a diagrammatic representation of a tubular system illustrative of a multi-branch system.
In FIG. 1 is illustrated diagrammatically a heart 10 having a right auricle 12, a left auricle 14, a right ventricle 16 and a left ventricle 18. The pulmonary artery 20 extends from the right ventricle to the exterior of the heart and branches into the right pulmonary artery 22 and left pulmonary artery 24. The aorta 26 extends from the left ventricle and branching therefrom is the right innominate artery 28 which branches into the right subclaviclavian artery 30 and the right common carotid artery 32. The left common carotid artery 34 branches from the aorta downstream of the aforesaid system as does the left subclaviclavian artery 36. The inferior vena cava 38 and the superior vena cava 40 empties into the right auricle 12.
It will now be assumed that the section S of the aorta 26 is diseased such as, for example, by an aneurysm requiring the application of surgical technique during which the section S must be temporarily by-passed. By means of one known technique, incision is made into the aorta at the beginning of the operation and the extremities of a suitable tubular shunt will be inserted into the aorta through these slits or incisions and maintained in position by means of surgical thread or the like which is wrapped around the aorta and the tubular extremities accommodated therein to lock the latter in position. It will be easily understood, however, that such an operation is time consuming and also unwieldy and furthermore may subject the aorta to a trauma due to the cutting or pinching action of the surgical cord. The invention avoids such difficulties by providing a more sophisticated locking arrangement involving inflatable balloons, bladders or collars as will next be explained with reference to both FIGS. 1 and 2.
In FIGS. 1 and 2 appears a tubular shunt 42 constructed preferably of a transparent flexible material such as a plastic or a silicon rubber. The outer diameter of such tube is preferably selected as to provide for a close fit within the aorta at those zones of the aorta whereat the slits for insertion are made. The outer diameter should be preferably such that a free insertion of the tubular extremities into the aorta is possible without stretching the aorta and, more particularly, the outer diameter of the tube will preferably be about 87-98% of the inner diameter of the aorta in the zones of insertion. The inner surface of the tubular shunt 42 is preferably siliconized to minimize trauma on the blood cells which will pass through the shunt.
The extremities of the tubular shunt 42 will be hereinafter identified as end portions 44 and 46, the latter being shown in enlarged scale in FIG. 2. The wall thickness of the tubular shunt is of a continuous thickness T throughout with an exception which will be hereinafter explained and the bore 48 is also preferably of a continuous diameter extending without change axially throughout the entire tubular shunt. The thickness T may preferably be in the order of 12 millimeters, although this may vary depending on the material, provided that the functions to be hereinafter enumerated are accomplished. The end profile indicated at 50 of the tubular wall is preferably rounded in order to avoid injury to the blood vessel during insertion.
The wall thickness of the tube is reduced at 52 to define with an inflatable bladder 54 encircling the end portion of the tube an internal chamber 56. Said chamber is connected with an internal duct 58- extending axially through the wall of the tubular shunt to a branch 60 through which a pressure medium can be introduced. At the outermost extremity of the branch 60 is provided a valve 62 of conventional type which is a one-way valve which is releasable as will be explained. A similar branch 64 is provided in respect of extremity 44 and if the system is a multibranch system, as will hereinafter be illustrated, additional inlets will also be provided.
The pressure medium employed in accordance with the invention is preferably sterile water or some other incompressible fluid. The pressure medium may be stored, for example, in syringes 66 and 68 separately, although a single syringe can serve the purpose of providing the pressure medium for all bladders. Similarly frangible capsules maybe substituted for the syringes to provide acompletely self-contained system.
When the ends of the tubular shunt are duly inserted in slits at opposite extremities of diseased section S, syringes 66 and 68 are individually operated to force water by the respective valves into inlets 60 and 64. Regarding inlet branch 60, by way of example, the water passes therefrom and via internal duct 58 into chamber 56 which, as aforesaid, is an annular chamber completely encircling end portion 46. This in turn causes an expansion of membrane 54 which bulges outwardly carrying the expandable blood vessel wall therewith thereby to constitute an enlargement which will prevent ready withdrawal of the shunt extremity from the vessel. Expulsion of the pressure fluid is prevented by means of the aforesaid valves which, however, may be opened to release the pressure medium after the surgical process on diseased section S has been completed.
The duct means 58 noted above has been shown as being accommodated internally within the wall of the tubular shunt. It would also be possible to run a separate tube to the chamber 56, for example, by means of a separate but substantially smaller tube internally accommodated within the shunt. The extent of the inflatable bladder structure noted above is, for example, up to /2 from the extremities of the shunt and the inlet branches 60 and 64 are preferably, for example, a minimum of about 1 from the ends of the tubular shunt and even more to facilitate manipulating the syringes. To this end the inlet branches 60 and 64 preferably extend a minimum of about 1 from the shunt.
The flexible material in the end portions and particularly in the area adjacent the inflatable bladder is of a thickness and strength which will be resistant to collapsing when the inflatable bladder is inflated. This will normally present no problem since the wall thickness at such zones will be decreased only very slightly to accommodate the membrane 54 which will be relatively thin in order to permit ready inflation.
The bladder at the end portions of the tubular shunt will be inflated to an extent that the end portions are effectively retained in the circulatory system but with a pressure of less than that which would cause the system to rupture. For example, an inflation of the bladder with water under a pressure corresponding to about 2040 millimeters of mercury above atmospheric pressure is suflicient to accomplish the aforenoted purposes. In addition, if the end portions are inserted into the blood vessel a minimum of about this will be found satisfactory to permit the above-noted tubular shunt to operate effectively.
When the operation on the diseased section is completed there is no necessity of untying the surgical cord of the prior art techniques. Instead it is only necessary to release the valves of the inlet branches. This will enable the bladder to deflate and the end portions of the shunt may be readily removed without interference. It is preferable that the upstream end of the shunt be removed first to avoid the unnecessary loss of blood.
FIGURE 3 illustrates a multi-branch tubular shunt for insertion at three locations in a circulatory system. Said shunt consists of a main tube 70 and two smaller branches 72 and 74. These tubular sections are respectively provided with inflatable bladders 76, 78 and and inlet branches 82, 84 and 86.
To give dimensional illustration of the structure of FIG. 3, the entire structure may have an overall length of about 2 feet. Bladder 76 may extend along tube 70 for about two centimeters whereas bladders 78 and 80 extend from their respective ends for about one centimeter. Inlet branches 82, 84 and 86 are preferably tapered from a dimension to readily accommodate a syringe to a smaller diameter compatible with the size of the duct leading along the shunt wall to the aforesaid flexible bladders.
The structure of FIG. 3 is illustrative only of the nuerous variations and functions which the invention may provide inasmuch as tubular shunts have been designed inclusive of as many as seven end portions adapted for insertion at various zones in a circulatory system.
There will now be obvious to those skilled in the art many modifications and wariations of the structures and techniques set forth hereinabove. Such modifications and variations will not, however, depart from the scope of the invention if defined by the following claims.
What is claimed is:
1. Surgical apparatus comprising a tube including at least two end portions adapted for insertion into spaced locations in a fluid carrying system, said tube and end portions being provided with a continuous axially disposed bore extending completely therethrough, and inflatable means connected to and encircling each of said end portions for retaining the end portions in said system after insertion into the same.
2. Apparatus as claimed in claim 1 comprising a duct means at least partly integral with said tube and coupled to said inflatable means, said duct means extending from the inflatable means to positions remote from the end portions so that an inflating medium can be transmitted to said inflatable means from positions external to the system.
3. Apparatus as claimed in claim 2 comprising a source of liquid detachably connectable with said duct means to supply liquid to said inflatable means to inflate the latter.
4. Apparatus as claimed in claim 3 for use with blood vessels wherein the tube is of a material which is atraumatic to blood cells and wherein the tube has a well the end profile of which is rounded.
5. Apparatus as claimed in claim 4 wherein said tube is of transparent material.
6. Apparatus as claimed in claim 4 wherein said tube is of a flexible material having a thickness which is strong enough to resist collapsing when said inflatable means is inflated, said inflatable means including an annular ring of expandable material encircling each related end portion and extending along the tube for up to about one-half inch from the respective ends thereof, said duct means including branches branching from the tube at approximately one inch from the respective ends thereof, said branches including one-way releasable valves for enabling the insertion and retention of liquid for inflating said inflatable means, said branches further extending a minimum of about one inch from said tube.
7. A surgical process for by-passing a section of a blood vessel system, said process comprising partially cutting through the vessel system at a position at least one end of said section, inserting into the thusly resulting cut the extremity of a tube having a diameter closely matching the inner diameter of the system adjacent said cut and which tube has an inflatable bladder encircling said extremity, and inflating said bladder with a pressure medium to an extent that said extremity is retained in the system but with a pressure of less than that which would cause the system to rupture.
8. A process as claimed in claim 7 wherein the tube 6 extremity is inserted into said system a minimum of about three-quarters of an inch.
9. A process as claimed in claim 8 wherein the bladder is inflated with water under a pressure corresponding to about 20-40 millimeters of mercury above atmospheric.
References Cited UNITED STATES PATENTS L. W. TRAPP, Primary Examiner.
US. Cl. 128-348
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US2935068 *||Aug 4, 1955||May 3, 1960||Donaldson John Shearman||Surgical procedure and apparatus for use in carrying out the same|
|US3221746 *||Jan 25, 1963||Dec 7, 1965||William Noble John||Surgical connecting device|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3516408 *||Sep 21, 1967||Jun 23, 1970||Vincent L Montanti||Arterial bypass|
|US3833940 *||Oct 16, 1972||Sep 10, 1974||W Hartenbach||Bile duct endoprothesis|
|US3937224 *||Apr 11, 1974||Feb 10, 1976||Uecker Ronald L||Colostomy catheter|
|US3991767 *||Mar 6, 1975||Nov 16, 1976||Cutter Laboratories, Inc.||Tubular unit with vessel engaging cuff structure|
|US4183102 *||Sep 8, 1977||Jan 15, 1980||Jacques Guiset||Inflatable prosthetic device for lining a body duct|
|US4323071 *||May 19, 1980||Apr 6, 1982||Advanced Catheter Systems, Inc.||Vascular guiding catheter assembly and vascular dilating catheter assembly and a combination thereof and methods of making the same|
|US4398907 *||Jul 2, 1981||Aug 16, 1983||Crais Thomas F||Multiple outlet microarterial bridge for digital replantation|
|US4592754 *||Sep 9, 1983||Jun 3, 1986||Gupte Pradeep M||Surgical prosthetic vessel graft and catheter combination and method|
|US4662885 *||Sep 3, 1985||May 5, 1987||Becton, Dickinson And Company||Percutaneously deliverable intravascular filter prosthesis|
|US4712551 *||Oct 14, 1986||Dec 15, 1987||Rayhanabad Simon B||Vascular shunt|
|US4714460 *||Jun 6, 1986||Dec 22, 1987||Reynaldo Calderon||Methods and systems for retrograde perfusion in the body for curing it of the disease or immume deficiency|
|US4721109 *||Apr 8, 1986||Jan 26, 1988||Healey Maureen A||Temporary anastomotic device|
|US4731055 *||Aug 25, 1986||Mar 15, 1988||Becton, Dickinson And Company||Blood flow conduit|
|US4753236 *||Nov 9, 1987||Jun 28, 1988||Healey Maureen A||Temporary anastomotic device|
|US4769029 *||Jun 19, 1987||Sep 6, 1988||Patel Jayendrakumar I||Prosthetic graft for arterial system repair|
|US4808164 *||Aug 24, 1987||Feb 28, 1989||Progressive Angioplasty Systems, Inc.||Catheter for balloon angioplasty|
|US4905693 *||Nov 16, 1988||Mar 6, 1990||Biagio Ravo||Surgical method for using an intraintestinal bypass graft|
|US4927413 *||Aug 24, 1988||May 22, 1990||Progressive Angioplasty Systems, Inc.||Catheter for balloon angioplasty|
|US4944745 *||Feb 29, 1988||Jul 31, 1990||Scimed Life Systems, Inc.||Perfusion balloon catheter|
|US4979937 *||Oct 2, 1989||Dec 25, 1990||Khorasani Ahmad R||Method and apparatus involving intercostal and lumbar perfusion|
|US5129883 *||Jul 26, 1991||Jul 14, 1992||Michael Black||Catheter|
|US5267940 *||May 6, 1991||Dec 7, 1993||The Administrators Of The Tulane Educational Fund||Cardiovascular flow enhancer and method of operation|
|US5295962 *||Dec 18, 1992||Mar 22, 1994||Cardiovascular Dynamics, Inc.||Drug delivery and dilatation catheter|
|US5330528 *||Nov 30, 1990||Jul 19, 1994||British Technology Group Limited||Vascular surgical devices|
|US5368566 *||Apr 29, 1992||Nov 29, 1994||Cardiovascular Dynamics, Inc.||Delivery and temporary stent catheter having a reinforced perfusion lumen|
|US5421826 *||Jan 13, 1994||Jun 6, 1995||Cardiovascular Dynamics, Inc.||Drug delivery and dilatation catheter having a reinforced perfusion lumen|
|US5453084 *||May 19, 1993||Sep 26, 1995||Moses; John A.||Vascular graft with internal shunt|
|US5569184 *||Aug 3, 1995||Oct 29, 1996||Cardiovascular Dynamics, Inc.||Delivery and balloon dilatation catheter and method of using|
|US5571167 *||Feb 21, 1995||Nov 5, 1996||Maginot; Thomas J.||Bypass grafting method|
|US5720735 *||Feb 12, 1997||Feb 24, 1998||Dorros; Gerald||Bifurcated endovascular catheter|
|US5749375 *||Aug 23, 1996||May 12, 1998||Maginot; Thomas J.||Method for implanting an end portion of a graft within the body of a patient during a bypass grafting procedure|
|US5797959 *||Aug 13, 1997||Aug 25, 1998||United States Surgical Corporation||Surgical apparatus with articulating jaw structure|
|US5849036 *||Mar 29, 1996||Dec 15, 1998||Zarate; Alfredo R.||Vascular graft prosthesis|
|US5868764 *||Dec 12, 1996||Feb 9, 1999||Cornell Research Foundation, Inc.||Perfusion and occlusion device and method|
|US5876367 *||Dec 5, 1996||Mar 2, 1999||Embol-X, Inc.||Cerebral protection during carotid endarterectomy and downstream vascular protection during other surgeries|
|US5879321 *||Jan 22, 1997||Mar 9, 1999||The University Of Kentucky Research Foundation||Portocaval-right atrial shunt|
|US5934286 *||Jun 4, 1998||Aug 10, 1999||Maginot Vascular Systems||Bypass grafting method which uses a number of balloon catheters to inhibit blood flow to an anastomosis site|
|US5947919 *||May 28, 1997||Sep 7, 1999||Heyer-Schulte Neurocare, Inc.||Intraluminal shunt device|
|US5979455 *||May 5, 1998||Nov 9, 1999||Maginot Vascular Systems||Method for directing blood flow in the body of a patient with a graft and stent assembly|
|US6074357 *||Oct 21, 1998||Jun 13, 2000||Embol-X, Inc.||Cerebral protection during carotid endarterectomy and downstream vascular protection during other surgeries|
|US6168623||Aug 31, 1998||Jan 2, 2001||Cardiothoracic Systems, Inc.||Deformable conduits and methods for shunting bodily fluid during surgery|
|US6312462||Sep 22, 1999||Nov 6, 2001||Impra, Inc.||Prosthesis for abdominal aortic aneurysm repair|
|US6322536||Sep 10, 1999||Nov 27, 2001||Cornell Research Foundation, Inc.||Minimally invasive gene therapy delivery and method|
|US6401721||Nov 8, 1999||Jun 11, 2002||Cardiothoracic Systems, Inc.||Endoscopic bypass grafting method utilizing an inguinal approach|
|US6508802||May 23, 2000||Jan 21, 2003||Cornell Research Foundation, Inc.||Remote sensing gene therapy delivery device and method of administering a therapeutic solution to a heart|
|US6551268||Apr 14, 2000||Apr 22, 2003||Embol-X, Inc.||Cerebral protection during carotid endarterectomy and downstream vascular protection during other surgeries|
|US6562048||Nov 7, 2000||May 13, 2003||Thomas J. Fogarty||Deformable conduits and methods for shunting bodily fluid during surgery|
|US6599313||Dec 30, 1999||Jul 29, 2003||Cardiothoracic Systems, Inc.||Extravascular bypass grafting method utilizing an intravascular approach|
|US6669680 *||May 4, 2000||Dec 30, 2003||John Macoviak||Methods of maintaining selective flow within a vessel|
|US6689084||Feb 12, 2003||Feb 10, 2004||Edwards Lifescience Corporation|
|US6755846||Feb 3, 1998||Jun 29, 2004||Angioguard, Inc.||Vascular filter|
|US6817985 *||Jan 11, 2002||Nov 16, 2004||Coaxia, Inc.||Intravascular spinal perfusion and cooling for use during aortic surgery|
|US6918921||Dec 23, 2002||Jul 19, 2005||Salviac Limited||Support frame for an embolic protection device|
|US6953464||Jan 28, 2002||Oct 11, 2005||Novare Surgical Systems, Inc.||Anastomosis occlusion device|
|US6958074||Jan 7, 2002||Oct 25, 2005||Cordis Corporation||Releasable and retrievable vascular filter system|
|US6964672||Dec 23, 2002||Nov 15, 2005||Salviac Limited||Support frame for an embolic protection device|
|US6991641||Mar 12, 2002||Jan 31, 2006||Cordis Corporation||Low profile vascular filter system|
|US7014647||Dec 23, 2002||Mar 21, 2006||Salviac Limited||Support frame for an embolic protection device|
|US7033383||Apr 13, 2004||Apr 25, 2006||Cardiothoracic Systems, Inc.||Endoscopic bypass grafting method utilizing an inguinal approach|
|US7037320||Dec 23, 2002||May 2, 2006||Salviac Limited||Support frame for an embolic protection device|
|US7100617||Dec 2, 2003||Sep 5, 2006||Cardiothoracic Systems, Inc.||Bypass grafting method|
|US7144408||Mar 5, 2003||Dec 5, 2006||Salviac Limited||Embolic protection system|
|US7229462||Feb 26, 2002||Jun 12, 2007||Angioguard, Inc.||Vascular filter system for carotid endarterectomy|
|US7229463||Feb 26, 2002||Jun 12, 2007||Angioguard, Inc.||Vascular filter system for cardiopulmonary bypass|
|US7399308||Jul 19, 2002||Jul 15, 2008||Cordis Corporation||Vascular filter system|
|US7491215||Nov 6, 2001||Feb 17, 2009||Salviac Limited||Filter element for embolic protection device|
|US7491216||Jul 3, 2002||Feb 17, 2009||Salviac Limited||Filter element with retractable guidewire tip|
|US7510565||Jan 5, 2006||Mar 31, 2009||Salviac Limited||Embolic protection device|
|US7537599||Aug 12, 2003||May 26, 2009||Novare Surgical Systems, Inc.||Anastomosis occlusion device|
|US7597697 *||Jul 11, 2001||Oct 6, 2009||Boston Scientific Scimed, Inc.||Bypass grafting method|
|US7662165||May 21, 2003||Feb 16, 2010||Salviac Limited||Embolic protection device|
|US7753946||Feb 9, 2007||Jul 13, 2010||Boston Scientific Scimed, Inc.||Bypass grafting system and apparatus|
|US7780697||Jan 31, 2007||Aug 24, 2010||Salviac Limited||Embolic protection system|
|US7785342||May 21, 2003||Aug 31, 2010||Salviac Limited||Embolic protection device|
|US7799051||Jun 27, 2005||Sep 21, 2010||Salviac Limited||Support frame for an embolic protection device|
|US7833242||Dec 28, 2006||Nov 16, 2010||Salviac Limited||Embolic protection device|
|US7837701||Mar 8, 2005||Nov 23, 2010||Salviac Limited||Embolic protection device|
|US7842063||Dec 15, 2004||Nov 30, 2010||Salviac Limited||Embolic protection device|
|US7842066||Apr 25, 2007||Nov 30, 2010||Salviac Limited||Embolic protection system|
|US7846176||Jan 31, 2007||Dec 7, 2010||Salviac Limited||Embolic protection system|
|US7901426||Jan 30, 2002||Mar 8, 2011||Salviac Limited||Embolic protection device|
|US7901427||Dec 19, 2008||Mar 8, 2011||Salviac Limited||Filter element with retractable guidewire tip|
|US7927349||Jun 13, 2007||Apr 19, 2011||Salviac Limited||Support frame for an embolic protection device|
|US7972352||Nov 4, 2004||Jul 5, 2011||Salviac Limited||Embolic protection system|
|US8002790||Jun 27, 2005||Aug 23, 2011||Salviac Limited||Support frame for an embolic protection device|
|US8029504||Dec 10, 2009||Oct 4, 2011||Ethicon Endo-Surgery, Inc.||Electroporation ablation apparatus, system, and method|
|US8037591||Feb 2, 2009||Oct 18, 2011||Ethicon Endo-Surgery, Inc.||Surgical scissors|
|US8052716||Jan 5, 2007||Nov 8, 2011||Salviac Limited||Embolic protection system|
|US8057504||Mar 8, 2005||Nov 15, 2011||Salviac Limited||Embolic protection device|
|US8070759||May 30, 2008||Dec 6, 2011||Ethicon Endo-Surgery, Inc.||Surgical fastening device|
|US8075572||Apr 26, 2007||Dec 13, 2011||Ethicon Endo-Surgery, Inc.||Surgical suturing apparatus|
|US8080023||Dec 12, 2003||Dec 20, 2011||Vitalitec International, Inc.||Device and method for performing multiple anastomoses|
|US8100922||Apr 27, 2007||Jan 24, 2012||Ethicon Endo-Surgery, Inc.||Curved needle suturing tool|
|US8114072||May 30, 2008||Feb 14, 2012||Ethicon Endo-Surgery, Inc.||Electrical ablation device|
|US8114115||Jun 13, 2007||Feb 14, 2012||Salviac Limited||Support frame for an embolic protection device|
|US8114119||Sep 9, 2008||Feb 14, 2012||Ethicon Endo-Surgery, Inc.||Surgical grasping device|
|US8123776||Jun 1, 2005||Feb 28, 2012||Salviac Limited||Embolic protection system|
|US8157834||Nov 25, 2008||Apr 17, 2012||Ethicon Endo-Surgery, Inc.||Rotational coupling device for surgical instrument with flexible actuators|
|US8172772||Dec 11, 2008||May 8, 2012||Ethicon Endo-Surgery, Inc.||Specimen retrieval device|
|US8211125||Aug 15, 2008||Jul 3, 2012||Ethicon Endo-Surgery, Inc.||Sterile appliance delivery device for endoscopic procedures|
|US8216270||Dec 21, 2006||Jul 10, 2012||Salviac Limited||Embolic protection device|
|US8221448||Jun 13, 2007||Jul 17, 2012||Salviac Limited||Embolic protection device|
|US8226678||Jun 13, 2007||Jul 24, 2012||Salviac Limited||Embolic protection device|
|US8241204||Aug 29, 2008||Aug 14, 2012||Ethicon Endo-Surgery, Inc.||Articulating end cap|
|US8241319||Aug 20, 2007||Aug 14, 2012||Salviac Limited||Embolic protection system|
|US8252057||Jan 30, 2009||Aug 28, 2012||Ethicon Endo-Surgery, Inc.||Surgical access device|
|US8262563||Jul 14, 2008||Sep 11, 2012||Ethicon Endo-Surgery, Inc.||Endoscopic translumenal articulatable steerable overtube|
|US8262655||Nov 21, 2007||Sep 11, 2012||Ethicon Endo-Surgery, Inc.||Bipolar forceps|
|US8262680||Mar 10, 2008||Sep 11, 2012||Ethicon Endo-Surgery, Inc.||Anastomotic device|
|US8317806||May 30, 2008||Nov 27, 2012||Ethicon Endo-Surgery, Inc.||Endoscopic suturing tension controlling and indication devices|
|US8328842||Feb 7, 2011||Dec 11, 2012||Salviac Limited||Filter element with retractable guidewire tip|
|US8337394||Oct 1, 2008||Dec 25, 2012||Ethicon Endo-Surgery, Inc.||Overtube with expandable tip|
|US8353487||Dec 17, 2009||Jan 15, 2013||Ethicon Endo-Surgery, Inc.||User interface support devices for endoscopic surgical instruments|
|US8361066||Jan 12, 2009||Jan 29, 2013||Ethicon Endo-Surgery, Inc.||Electrical ablation devices|
|US8361112||Jun 27, 2008||Jan 29, 2013||Ethicon Endo-Surgery, Inc.||Surgical suture arrangement|
|US8403926||Jun 5, 2008||Mar 26, 2013||Ethicon Endo-Surgery, Inc.||Manually articulating devices|
|US8409200||Sep 3, 2008||Apr 2, 2013||Ethicon Endo-Surgery, Inc.||Surgical grasping device|
|US8425505||Aug 25, 2011||Apr 23, 2013||Ethicon Endo-Surgery, Inc.||Electroporation ablation apparatus, system, and method|
|US8430901||Jun 13, 2007||Apr 30, 2013||Salviac Limited||Embolic protection device|
|US8449538||Jan 27, 2010||May 28, 2013||Ethicon Endo-Surgery, Inc.||Electroporation ablation apparatus, system, and method|
|US8480657||Oct 31, 2007||Jul 9, 2013||Ethicon Endo-Surgery, Inc.||Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ|
|US8480689||Sep 2, 2008||Jul 9, 2013||Ethicon Endo-Surgery, Inc.||Suturing device|
|US8496574||Dec 17, 2009||Jul 30, 2013||Ethicon Endo-Surgery, Inc.||Selectively positionable camera for surgical guide tube assembly|
|US8506564||Dec 18, 2009||Aug 13, 2013||Ethicon Endo-Surgery, Inc.||Surgical instrument comprising an electrode|
|US8529563||Aug 25, 2008||Sep 10, 2013||Ethicon Endo-Surgery, Inc.||Electrical ablation devices|
|US8568410||Apr 25, 2008||Oct 29, 2013||Ethicon Endo-Surgery, Inc.||Electrical ablation surgical instruments|
|US8579897||Nov 21, 2007||Nov 12, 2013||Ethicon Endo-Surgery, Inc.||Bipolar forceps|
|US8603131||Dec 13, 2006||Dec 10, 2013||Salviac Limited||Embolic protection device|
|US8608652||Nov 5, 2009||Dec 17, 2013||Ethicon Endo-Surgery, Inc.||Vaginal entry surgical devices, kit, system, and method|
|US8652150||May 30, 2008||Feb 18, 2014||Ethicon Endo-Surgery, Inc.||Multifunction surgical device|
|US8679003||May 30, 2008||Mar 25, 2014||Ethicon Endo-Surgery, Inc.||Surgical device and endoscope including same|
|US8771260||May 30, 2008||Jul 8, 2014||Ethicon Endo-Surgery, Inc.||Actuating and articulating surgical device|
|US8828031||Jan 12, 2009||Sep 9, 2014||Ethicon Endo-Surgery, Inc.||Apparatus for forming an anastomosis|
|US8852226||Jul 15, 2011||Oct 7, 2014||Salviac Limited||Vascular device for use during an interventional procedure|
|US8888792||Jul 14, 2008||Nov 18, 2014||Ethicon Endo-Surgery, Inc.||Tissue apposition clip application devices and methods|
|US8906035||Jun 4, 2008||Dec 9, 2014||Ethicon Endo-Surgery, Inc.||Endoscopic drop off bag|
|US8939897||Feb 4, 2011||Jan 27, 2015||Ethicon Endo-Surgery, Inc.||Methods for closing a gastrotomy|
|US8986199||Feb 17, 2012||Mar 24, 2015||Ethicon Endo-Surgery, Inc.||Apparatus and methods for cleaning the lens of an endoscope|
|US9005198||Jan 29, 2010||Apr 14, 2015||Ethicon Endo-Surgery, Inc.||Surgical instrument comprising an electrode|
|US9011431||Sep 4, 2012||Apr 21, 2015||Ethicon Endo-Surgery, Inc.||Electrical ablation devices|
|US9028483||Dec 18, 2009||May 12, 2015||Ethicon Endo-Surgery, Inc.||Surgical instrument comprising an electrode|
|US9049987||Mar 15, 2012||Jun 9, 2015||Ethicon Endo-Surgery, Inc.||Hand held surgical device for manipulating an internal magnet assembly within a patient|
|US9078662||Jul 3, 2012||Jul 14, 2015||Ethicon Endo-Surgery, Inc.||Endoscopic cap electrode and method for using the same|
|US9180033||Nov 20, 2013||Nov 10, 2015||Indiana University Research And Technology Corp.||Intravascular shunt for traumatized arteries|
|US9220526||Mar 20, 2012||Dec 29, 2015||Ethicon Endo-Surgery, Inc.||Rotational coupling device for surgical instrument with flexible actuators|
|US9226772||Jan 30, 2009||Jan 5, 2016||Ethicon Endo-Surgery, Inc.||Surgical device|
|US9233241||Jan 18, 2012||Jan 12, 2016||Ethicon Endo-Surgery, Inc.||Electrical ablation devices and methods|
|US9254169||Feb 28, 2011||Feb 9, 2016||Ethicon Endo-Surgery, Inc.||Electrical ablation devices and methods|
|US9259224||Dec 20, 2011||Feb 16, 2016||Vitalitec International, Inc.||Device and method for performing multiple anastomoses|
|US9277957||Aug 15, 2012||Mar 8, 2016||Ethicon Endo-Surgery, Inc.||Electrosurgical devices and methods|
|US9314620||Feb 28, 2011||Apr 19, 2016||Ethicon Endo-Surgery, Inc.||Electrical ablation devices and methods|
|US9375215||Jan 18, 2007||Jun 28, 2016||W. L. Gore & Associates, Inc.||Device for rapid repair of body conduits|
|US9375268||May 9, 2013||Jun 28, 2016||Ethicon Endo-Surgery, Inc.||Electroporation ablation apparatus, system, and method|
|US9381018||May 31, 2011||Jul 5, 2016||W. L. Gore & Associates, Inc.||Device for rapid repair of body conduits|
|US9398965||Oct 8, 2015||Jul 26, 2016||Indiana University Research And Technology Corporation||Intravascular shunt for traumatized arteries|
|US9427255||May 14, 2012||Aug 30, 2016||Ethicon Endo-Surgery, Inc.||Apparatus for introducing a steerable camera assembly into a patient|
|US9545290||Jul 30, 2012||Jan 17, 2017||Ethicon Endo-Surgery, Inc.||Needle probe guide|
|US9572623||Aug 2, 2012||Feb 21, 2017||Ethicon Endo-Surgery, Inc.||Reusable electrode and disposable sheath|
|US9788885||Feb 18, 2016||Oct 17, 2017||Ethicon Endo-Surgery, Inc.||Electrosurgical system energy source|
|US9788888||Jun 8, 2015||Oct 17, 2017||Ethicon Endo-Surgery, Inc.||Endoscopic cap electrode and method for using the same|
|US20020049467 *||Jan 8, 2002||Apr 25, 2002||Paul Gilson||Embolic protection system|
|US20020058900 *||Jan 11, 2002||May 16, 2002||Barbut Denise R.||Intravascular spinal perfusion and cooling for use during aortic surgery|
|US20020091408 *||Feb 26, 2002||Jul 11, 2002||Sutton Gregg S.||Vascular filter system for carotid endarterectomy|
|US20020091409 *||Feb 26, 2002||Jul 11, 2002||Sutton Gregg S.||Vascular filter system for cardiopulmonary bypass|
|US20020103501 *||Mar 12, 2002||Aug 1, 2002||Pedro Diaz||Low profile vascular filter system|
|US20030009189 *||Jan 30, 2002||Jan 9, 2003||Salviac Limited||Embolic protection device|
|US20030032977 *||Jul 3, 2002||Feb 13, 2003||Salviac Limited||Filter element with retractable guidewire tip|
|US20030060844 *||Jul 19, 2002||Mar 27, 2003||Thomas Borillo||Vascular filter system|
|US20030130684 *||Dec 23, 2002||Jul 10, 2003||Eamon Brady||Support frame for an embolic protection device|
|US20030144687 *||Dec 23, 2002||Jul 31, 2003||Salviac Limited||Support frame for an embolic protection device|
|US20030144688 *||Dec 23, 2002||Jul 31, 2003||Salviac Limited||Support frame for an embolic protection device|
|US20030187474 *||Mar 5, 2003||Oct 2, 2003||Martin Keegan||Embolic protection system|
|US20030212429 *||Mar 5, 2003||Nov 13, 2003||Martin Keegan||Embolic protection system|
|US20040039411 *||Apr 10, 2003||Feb 26, 2004||Paul Gilson||Embolic protection device|
|US20040049213 *||Aug 12, 2003||Mar 11, 2004||Terrence Buelna||Anastomosis occlusion device|
|US20040073198 *||Mar 26, 2003||Apr 15, 2004||Salviac Limited||Embolic protection device|
|US20040127934 *||Mar 26, 2003||Jul 1, 2004||Salviac Limited||Embolic protection system|
|US20050070838 *||Nov 16, 2004||Mar 31, 2005||Coaxia, Inc.||Intravascular spinal perfusion and cooling for use during aortic surgery|
|US20050131432 *||Dec 12, 2003||Jun 16, 2005||Novare Surgical Systems, Inc.||Device and method for performing multiple anastomoses|
|US20050228437 *||Sep 14, 2004||Oct 13, 2005||Salviac Limited||Embolic protection system|
|US20050234502 *||Aug 13, 2004||Oct 20, 2005||Paul Gilson||Embolic protection system|
|US20050283184 *||Dec 15, 2004||Dec 22, 2005||Salviac Limited||Embolic protection device|
|US20060004403 *||Nov 4, 2004||Jan 5, 2006||Salviac Limited||Embolic protection system|
|US20060052803 *||Nov 1, 2005||Mar 9, 2006||Maginot Thomas J||Graft implant method|
|US20060074446 *||Apr 27, 2005||Apr 6, 2006||Paul Gilson||Embolic protection system|
|US20060089663 *||Mar 8, 2005||Apr 27, 2006||Salviac Limited||Embolic protection device|
|US20060122644 *||Jun 27, 2005||Jun 8, 2006||Salviac Limited||Support frame for an embolic protection device|
|US20060122645 *||Jun 27, 2005||Jun 8, 2006||Salviac Limited||Support frame for an embolic protection device|
|US20060129182 *||Jan 5, 2006||Jun 15, 2006||Salviac Limited||Embolic protection device|
|US20060161173 *||Mar 13, 2006||Jul 20, 2006||Maginot Thomas J||Endoscopic bypass grafting method utilizing an inguinal approach|
|US20060225747 *||May 23, 2006||Oct 12, 2006||Maginot Thomas J||Vessel grafting method|
|US20060259069 *||Mar 27, 2006||Nov 16, 2006||Salviac Limited||Embolic protection device|
|US20060293704 *||Mar 8, 2005||Dec 28, 2006||Salviac Limited||Embolic protection device|
|US20070005096 *||Jun 1, 2005||Jan 4, 2007||Salviac Limited||Embolic protection system|
|US20070060946 *||Sep 21, 2006||Mar 15, 2007||Salviac Limited||Embolic protection system|
|US20070106322 *||Dec 21, 2006||May 10, 2007||Salviac Limited||Embolic protection device|
|US20070129662 *||Feb 9, 2007||Jun 7, 2007||Maginot Thomas J||Bypass Grafting System and Apparatus|
|US20070162069 *||Dec 13, 2006||Jul 12, 2007||Salviac Limited||Embolic protection device|
|US20070162070 *||Dec 13, 2006||Jul 12, 2007||Salviac Limited||Embolic protection device|
|US20070173883 *||Aug 23, 2006||Jul 26, 2007||Martin Keegan||Embolic protection system|
|US20070173884 *||Dec 13, 2006||Jul 26, 2007||Salviac Limited||Embolic protection device|
|US20070198077 *||Jan 18, 2007||Aug 23, 2007||Cully Edward H||Device for rapid repair of body conduits|
|US20070233179 *||Jun 13, 2007||Oct 4, 2007||Abbott Laboratories||Support frame for an embolic protection device|
|US20070233180 *||Jun 13, 2007||Oct 4, 2007||Abbott Laboratories||Support frame for an embolic protection device|
|US20070233181 *||Jun 13, 2007||Oct 4, 2007||Abbott Laboratories||Embolic protection device|
|US20070233183 *||Jun 13, 2007||Oct 4, 2007||Abbott Laboratories||Support frame for an embolic protection device|
|US20070239200 *||Jun 13, 2007||Oct 11, 2007||Abbott Laboratories||Embolic protection device|
|US20070244504 *||Dec 20, 2006||Oct 18, 2007||Salviac Limited||Embolic protection system|
|US20070244505 *||Jun 13, 2007||Oct 18, 2007||Abbott Laboratories||Embolic protection device|
|US20070250107 *||Apr 25, 2007||Oct 25, 2007||Salviac Limited||Embolic protection system|
|US20070282369 *||Mar 26, 2007||Dec 6, 2007||Salviac Limited||Embolic protection device|
|US20080167677 *||Nov 22, 2006||Jul 10, 2008||Salviac Limited||Filter element for embolic protection device|
|US20080188884 *||Dec 20, 2006||Aug 7, 2008||Salviac Limited||Embolic protection device|
|US20090099593 *||Dec 17, 2008||Apr 16, 2009||Salviac Limited||Embolic protection device|
|US20090143814 *||Feb 5, 2009||Jun 4, 2009||Salviac Limited||Embolic protection device|
|US20090149881 *||Jan 6, 2009||Jun 11, 2009||Salviac Limited||Filter element for embolic protection device|
|US20090177219 *||Jan 3, 2008||Jul 9, 2009||Conlon Sean P||Flexible tissue-penetration instrument with blunt tip assembly and methods for penetrating tissue|
|US20100249700 *||Mar 27, 2009||Sep 30, 2010||Ethicon Endo-Surgery, Inc.||Surgical instruments for in vivo assembly|
|US20110054516 *||Nov 8, 2010||Mar 3, 2011||Salviac Limited||Embolic protection method|
|US20110093009 *||Oct 16, 2009||Apr 21, 2011||Ethicon Endo-Surgery, Inc.||Otomy closure device|
|US20110125182 *||Feb 7, 2011||May 26, 2011||Salviac Limited||Filter element with retractable guidewire tip|
|US20110230951 *||May 31, 2011||Sep 22, 2011||Cully Edward H||Device for rapid repair of body conduits|
|DE19508129A1 *||Mar 8, 1995||Sep 12, 1996||Jan Dr Med Menke||Blood flow restrictor with sleeve surrounding blood flow cross-section|
|EP1014868A1 *||Dec 3, 1997||Jul 5, 2000||Embol-X, Inc.|
|EP1014868A4 *||Dec 3, 1997||Feb 28, 2001||Embol X Inc|
|WO1991007927A1 *||Nov 30, 1990||Jun 13, 1991||British Technology Group Plc||Vascular surgical devices|
|WO1992005815A1 *||Oct 9, 1990||Apr 16, 1992||Ahmad Rajaii Khorasani||Method and apparatus involving intercostal and lumbar perfusion|
|WO1999058068A3 *||May 13, 1999||Feb 17, 2000||Salviac Ltd||A surgical shunt|
|U.S. Classification||604/8, 604/907, 604/101.5|
|International Classification||A61F2/06, A61M25/00, A61B17/12|
|Cooperative Classification||A61B17/12109, A61B2017/12127, A61B17/12045, A61F2/06, A61B17/12136, A61M25/00|
|European Classification||A61B17/12P5B, A61B17/12P1T2, A61B17/12P7B, A61M25/00, A61F2/06|