|Publication number||US702789 A|
|Publication date||Jun 17, 1902|
|Filing date||Mar 20, 1902|
|Priority date||Mar 20, 1902|
|Publication number||US 702789 A, US 702789A, US-A-702789, US702789 A, US702789A|
|Inventors||Charles Gordon Gibson|
|Original Assignee||Charles Gordon Gibson|
|Export Citation||BiBTeX, EndNote, RefMan|
|Referenced by (70), Classifications (2)|
|External Links: USPTO, USPTO Assignment, Espacenet|
c. a. Glsou.
(Appliceion am Mayen, 1902.)
C IEEMEFF A ITOHNE'YS Tan. n. c. THE NORRIS PUERS CO.. PHOTO-LTHOV, WSNIN UNITED STA-,TES-
CHARLESv GORDON GIBSON, OF SIOUX CITY, IOWA.
SPECIFICATION forming part of Letters Patent No. 702,789, dated June 17, 1902.
Application tiled March 20, 1902. Serial No. 99,106. (Nomod'el.)
To all whom it may concern:
Be it known that I, CHARLES GORDON GIB- SON, a citizen of the United States, and a resident of Sioux City, in the county of Wood- 3 .buryand State of Iowa, have invented a new and Improved Dilator, of which the'following is a full, clear, and exact description.
My invention relates to a surgical instrument adapted for use as a urethral, uterine, or anal dilator, and has for its object to provide a simple construction which may be readily applied, and which will exert pressure without any injurious effect, and which will not be liable to breakage. s
The invention consists in the novel lconstruction and combination ot the several parts, as will be'hereinafter fully set forth, and pointed out -inthe claims.
Reference is to had to the accompanying drawings, formingapart of this specication, in which similar characters of reference indicate corresponding parts in all the figures. Figure lis a longitudinal section of myimproved dilator in its contracted form. Fig. 2 is a similar View, showing the instrument in an expanded condition; and Fig. 3 is a transverse section on the line 3 3 of FigQl.
The instrument comprises a tube A, the walls of which are of uniform thicknessfrom the rear end a to the point a intermediate of its ends; but while the outer surface 'off the tube is constant in diameter throughout its length the walls of the tube are reduced in thickness or are inclined in an outwarddirection from the point a' to the point a2 near the forward end of the tube, and said walls are of uniform thickness, yet thinner thany the other portion of the tube from the point a2 to the forward end a3 of the tube, which end is open. The bore of the tube thus increases in width toward its forward end.
At the outerend of the tube A a handle B is formed or secured', preferably made with eyes or finger-rings B, and the tube A is contained in a thin soft-rubber sheath C, provided with an air-vent c near its forward end, and a solid, curved, or rounded tip c' at its forward end, against which the forward end of the tube A has bearing.
Arod D extends loosely the length of the tube A and out beyond its inner end, being provided with a thread d for a greater portion of its length, which thread is preferably carried .to the outer endoftherod to permit the ready attachment of ahandleD.l The threaded portion of the rodv D is passed through a nut E, adapted to be'manually operated and which bears against the rear end of the tube A.
The tube A has longitudinal slits e extending almost from end to end, forming segmental bars e', (best shown in Fig. 3,) which are capable of being sprung or of bending outward, as is illustrated in Fig. 2, and such expansion of the bars c is brought about through au approximately pear-shaped piston or plunger D2 atthe forward end of the rod D being broughtiinto engagement with the inner surface of the split section of the tube A.
In operation the' instrument, being in the'` contracted form shown in Fig. l, is introduced into the body a proper distance, and then by turning the nut E f the i piston or,l plunger D2 is caused to travelrearward or outward, lexpanding the tube A,as is shown in Fig. 2, and correspondingly dilating the body. It will be observed that in the expanding operation the tube A and sheath C do not move lengthforms a continuous cover for the split tube A.
the edges of the latter. do not come in contact with the body and breakage of the bars e', of which the main portion of the tube is formed, is extremely unlikely. Should it, however,A take place, the sheath will prevent the broken pieces from coming in Contact with and injuring the body.
The instrument is adapted for use as a urethral, uterine, oranal dilator.
Having thus Vdescribed lmy invention, I claim as new and desire to secure by Letters Patent- 1. A dilater for surgical purposes, comprising a tube split so as to consist of al plurality of segments or bars,;the bore of the said tube being widened at one end,` a plunger movable lengthwise in the tube and arranged to engage the said widened end of the body of the tube to expand said tube, and an expansible sheath in which the said tube is inclosed'.
2. A dilator for surgical purposes, comprising a tube split so as to consist of a plurality of segments or bars, the bore of the said tube being gradually widened in direction of one end, a plunger movable lengthwise in the tube and arranged to engage said widened end and the body of the tube to expand said tube, a nut held to revolve at the outer end of the tube and engaging a threaded portion of the plunger-rod, and an expansible sheath in which the saidtube is inclosed.
A dilator for surgical purposes, comprising a split tube, a plunger movable lengthwise in the tube and arranged to expand the same, means for actuating the plunger, and an expansible sheath in which the said tube is inclosed. f
4. A dilator for surgical purposes, comprising a split tube having its bore tapered in direction of its forward end, the diameterof the bore of the said tube at its forward end being greater than at any other point throughout its length, a plunger movable lengthwise in the tube and arranged to expand the same, means for actuating the plunger, and an eX- pansible sheath in which the said tube is inclosed. v
5. A dilator for surgical purposes, comprising a split tube, a handle at the outer end of said tube, a nut mounted to turn on the tube adjacent to the handle, a plunger mounted to slide within the tube and adapted to expand the same, said plunger having a screwthreaded rod extending through the nut, and an expansible sheath in which said tube is incased.
In testimony whereof I have signed my naine to this specification in the presence oi' two subscribing witnesses.
CHARLES GORDON GIBSON.
JAMES DOUGHTY, THEO. L. THOMPSON.
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US4273131 *||Jun 18, 1979||Jun 16, 1981||Auburn Enterprises, Inc.||Surgical stylet|
|US4907572 *||Apr 18, 1989||Mar 13, 1990||Urological Instruments Research, Inc.||Vibrational method for accelerating passage of stones from ureter|
|US5178627 *||Jan 13, 1992||Jan 12, 1993||Harriet Hudock||Medical device for use in the treatment of hemorrhoids|
|US5201756 *||Mar 6, 1992||Apr 13, 1993||Danforth Biomedical, Inc.||Radially-expandable tubular elements for use in the construction of medical devices|
|US5318588 *||Feb 5, 1993||Jun 7, 1994||Danforth Biomedical, Inc.||Radially-expandable tubular elements for use in the construction of medical devices|
|US5674240 *||Jun 6, 1995||Oct 7, 1997||Peter M. Bonutti||Expandable cannula|
|US5961499 *||Jun 6, 1995||Oct 5, 1999||Peter M. Bonutti||Expandable cannula|
|US6056772 *||May 26, 1998||May 2, 2000||Bonutti; Peter M.||Method and apparatus for positioning a suture anchor|
|US6338730 *||Jun 6, 1995||Jan 15, 2002||Peter M. Bonutti||Method of using expandable cannula|
|US6364897||Mar 22, 2000||Apr 2, 2002||Peter M. Bonutti||Method and apparatus for positioning a suture anchor|
|US6428556 *||Jul 25, 2001||Aug 6, 2002||Origin Medsystems, Inc.||Longitudinal dilator and method|
|US6607547 *||Aug 24, 2000||Aug 19, 2003||Origin Medsystems, Inc.||Longitudinal dilator and method|
|US6613038||Nov 16, 2001||Sep 2, 2003||Bonutti 2003 Trust-A||Method of using expandable cannula|
|US6692462||Dec 11, 2000||Feb 17, 2004||Mackenzie Andrew J.||System and method for establishing vascular access|
|US6706052||Dec 4, 2001||Mar 16, 2004||Origin Medsystems, Inc.||Longitudinal dilator and method|
|US6814715||Nov 16, 2001||Nov 9, 2004||Bonutti 2003 Trust A||Expandable cannula|
|US6942684||Feb 19, 2002||Sep 13, 2005||Bonutti Ip, Llc||Method and apparatus for positioning an anchor member|
|US7214180||Jan 6, 2003||May 8, 2007||Origin Medsystems, Inc.||Method for cardiac restraint|
|US7288096||Feb 18, 2003||Oct 30, 2007||Origin Medsystems, Inc.||Apparatus for placement of cardiac defibrillator and pacer|
|US7398781||Aug 9, 2000||Jul 15, 2008||Maquet Cardiovascular, Llc||Method for subxiphoid endoscopic access|
|US7479150||Sep 16, 2004||Jan 20, 2009||Tyco Healthcare Group Lp||Trocar insertion apparatus|
|US7526342||Oct 29, 2003||Apr 28, 2009||Maquet Cardiovascular Llc||Apparatus for endoscopic cardiac mapping and lead placement|
|US7597698||Jul 10, 2003||Oct 6, 2009||Maquet Cardiovascular Llc||Apparatus and method for endoscopic encirclement of pulmonary veins for epicardial ablation|
|US7699864||May 7, 2004||Apr 20, 2010||Onset Medical Corporation||Expandable medical access device|
|US7875035||Jan 25, 2011||Kyphon Sarl||Expandable structures for deployment in interior body regions|
|US8496657||Aug 29, 2008||Jul 30, 2013||P Tech, Llc.||Methods for utilizing vibratory energy to weld, stake and/or remove implants|
|US8617185||Feb 13, 2008||Dec 31, 2013||P Tech, Llc.||Fixation device|
|US8747439||Jul 10, 2006||Jun 10, 2014||P Tech, Llc||Method of using ultrasonic vibration to secure body tissue with fastening element|
|US8795326||Oct 2, 2008||Aug 5, 2014||Covidien Lp||Expanding seal anchor for single incision surgery|
|US8808329||Apr 3, 2012||Aug 19, 2014||Bonutti Skeletal Innovations Llc||Apparatus and method for securing a portion of a body|
|US8814902||Jul 31, 2006||Aug 26, 2014||Bonutti Skeletal Innovations Llc||Method of securing body tissue|
|US8845687||Sep 17, 2013||Sep 30, 2014||Bonutti Skeletal Innovations Llc||Anchor for securing a suture|
|US8845699||Mar 6, 2012||Sep 30, 2014||Bonutti Skeletal Innovations Llc||Method of securing tissue|
|US9060767||Mar 2, 2009||Jun 23, 2015||P Tech, Llc||Tissue fastener and methods for using same|
|US9067362||Oct 31, 2007||Jun 30, 2015||P Tech, Llc||Method of using ultrasonic vibration to secure body tissue with fastening element|
|US9089323||Feb 21, 2006||Jul 28, 2015||P Tech, Llc||Device and method for securing body tissue|
|US9138222||Feb 17, 2004||Sep 22, 2015||P Tech, Llc||Method and device for securing body tissue|
|US9149281||Jun 7, 2013||Oct 6, 2015||P Tech, Llc||Robotic system for engaging a fastener with body tissue|
|US9155544||Mar 20, 2002||Oct 13, 2015||P Tech, Llc||Robotic systems and methods|
|US9173647||Feb 21, 2006||Nov 3, 2015||P Tech, Llc||Tissue fixation system|
|US9173650||May 31, 2011||Nov 3, 2015||P Tech, Llc||Methods and devices for trauma welding|
|US9192395||May 7, 2013||Nov 24, 2015||P Tech, Llc||Robotic fastening system|
|US9226828||Sep 20, 2013||Jan 5, 2016||P Tech, Llc||Devices and methods for stabilizing tissue and implants|
|US9271741||Aug 8, 2013||Mar 1, 2016||P Tech, Llc||Robotic ultrasonic energy system|
|US9271766||Nov 11, 2013||Mar 1, 2016||P Tech, Llc||Devices and methods for stabilizing tissue and implants|
|US9271779||Aug 13, 2013||Mar 1, 2016||P Tech, Llc||Methods of using a robotic spine system|
|US20020087189 *||Feb 19, 2002||Jul 4, 2002||Bonutti Peter M.||Method and apparatus for positioning a suture anchor|
|US20020192858 *||Jun 14, 2002||Dec 19, 2002||Yusuke Igarashi||Method for fabricating a circuit device|
|US20030187460 *||May 6, 2002||Oct 2, 2003||Chin Albert K.||Methods and apparatus for endoscopic cardiac surgery|
|US20030187461 *||Jun 17, 2002||Oct 2, 2003||Chin Albert K.||Releasable guide and method for endoscopic cardiac lead placement|
|US20040010263 *||Jul 11, 2003||Jan 15, 2004||Kyphon Inc.||Expandable preformed structures for deployment in interior body regions|
|US20040093003 *||Nov 5, 2003||May 13, 2004||Mackenzie Andrew J.||System and method for establishing vascular access|
|US20040102804 *||Jan 17, 2003||May 27, 2004||Chin Albert K.||Apparatus and methods for endoscopic surgical procedures|
|US20040153098 *||Oct 29, 2003||Aug 5, 2004||Chin Albert K.||Apparatus and method for endoscopic cardiac mapping and lead placement|
|US20040216748 *||Jul 10, 2003||Nov 4, 2004||Chin Albert K.||Apparatus and method for endoscopic encirclement of pulmonary veins for epicardial ablation|
|US20050203565 *||Sep 16, 2004||Sep 15, 2005||Rethy Csaba L.||Trocar insertion apparatus|
|US20050209627 *||May 7, 2004||Sep 22, 2005||Kick George F||Expandable medical access device|
|US20050240227 *||Jun 29, 2005||Oct 27, 2005||Bonutti Peter M||Method and apparatus for positioning an anchor member|
|US20050245958 *||Jul 6, 2005||Nov 3, 2005||Carlson John E||System and method for establishing vascular access|
|US20050245959 *||Jul 6, 2005||Nov 3, 2005||Carlson John E||System and method for establishing vascular access|
|US20060229490 *||Jan 6, 2003||Oct 12, 2006||Chin Albert K||Method for cardiac restaint|
|US20060241695||Jul 10, 2006||Oct 26, 2006||Bonutti Peter M||Method of using ultrasonic vibration to secure body tissue with fastening element|
|US20060287574 *||Oct 28, 2003||Dec 21, 2006||Chin Albert K||Longitudinal dilator|
|US20080051734 *||Oct 31, 2007||Feb 28, 2008||Bonutti Peter M||Expandable cannula|
|US20080065137 *||Oct 30, 2007||Mar 13, 2008||Kyphon, Inc.||Expandable structures for deployment in interior body regions|
|US20080243169 *||Jun 11, 2008||Oct 2, 2008||Carlson John E||System and method for establishing vascular access|
|US20090024161 *||Aug 29, 2008||Jan 22, 2009||Bonutti Peter M||Methods and devices for utilizing thermal energy to bond, stake and/or remove implants|
|US20090131871 *||Jan 16, 2009||May 21, 2009||Csaba Rethy||Trocar insertion apparatus|
|US20100168755 *||Dec 23, 2009||Jul 1, 2010||Kyphon Sarl||Systems and methods for treating fractured or diseased bone using expandable bodies|
|US20110060375 *||Aug 31, 2010||Mar 10, 2011||Bonutti Peter M||Expandable introducer system and methods|