Ethicon Endo-surgery, Inc.

Ethicon, Gmbh

Other

Medical Scientific, Inc.

Jesse J Kuhns

David C Yates

Federico Bilotti

Michele D'Arcangelo

Steven H Mersch

Michele D'arcangelo

Richard P Nuchols

Bennie Thompson

Roberto Tacchino

Martin Madden

Anil K Nalagatla

Warren P Williamson, Iv

James Walden Voegele

Omar J Vakharia

Robert L Koch, Jr

Alessandro Pastorelli

Antonio Longo

Warren D Sheffield

Bryan Dale Knodel

David Stefanchik

James T Spivey

Jeffrey J Vaitekunas

Scott D Wampler

Richard P Fuchs

Rick D Applegate

Rick P Fuchs

David K Norvelle

Robert L Koch

Chester O Baxter, Iii

William Bruce Weisenburgh, Ii

Christopher J Hess

James R Giordano

Rudolph Henry Nobis

David A Witt

Michael F Clem

Paul C Nardella

Christopher Paul Swain

Darrel M Powell

Brian James Thompson

Charles Alexander Mosse

Warren P Williamson Iv

Kenneth V Moran

Drago Popovic

Phillip Q Shuster

Douglas O Faigel

William Bruce Weisenburgh

Chester O Baxter Iii

William Bruce Ii Weisenburgh

A diagnostic device () for pathologies of tubular anatomical structures comprises a tubular elongated structure () developing between a proximal end and a distal end and is adapted to be inserted in the tubular anatomical structure, means () for locally dilating the walls of the tubular anatomical structure being associated with the distal end of said elongated structure, said means for locally dilating being movable between a closed position for introducing the device and at least one open position for viewing and evaluating the pathology, and control means being associated with the proximal end of the elongated structure, said control means being operatively connected to said means for locally dilating, in order to move them between the closed position and the open position, and vice versa.

Diagnostic device for tubular anatomical structures

An anastomotic device, particularly a positioning device () extending along a longitudinal axis () comprises a first component, or proximal component () and a second component, or distal component (). The proximal and distal components are suitable to lock an elastic ring () in a deformed configuration therebetween. The proximal component () has a substantially cylindrical outer structure with a cavity () for receiving a proximal end () of the elastic ring (). The distal component () comprises a head () and a stem () developing along the longitudinal axis (). The head () has a cone or truncated-cone shape.

Device and method for the therapy of obesity

An anastomotic device () is suitable for approximating and keeping close to each other a first tissue portion () and a second tissue portion () intended to form an anastomosis. The anastomotic device () comprises an abutment portion () suitable for the abutment against a surface of the first tissue portion () and a locking portion () suitable for being placed opposite the abutment portion () with respect to the first and second tissue portion (). The locking portion () and the abutment portion () are mutually connectable through the first and second tissue portions approximated, to keep them connected. The anastomotic device () is suitable for being connected to a guide means comprising at least one guide wire (A, B).

Anastomotic device

A positioning device for deploying at least one locking portion () of an anastomotic device () for drawing together a first tissue portion () and a second tissue portion () to be connected by means of anastomosis is suitable for sliding along a guide means comprising at least one guide wire (A, B) and comprises an elongated structure (). A head () of the positioning device is suitable to be interference-inserted on a distal end of the elongated structure (). The head () comprises elastic tabs () extending from a proximal end of the head and at least one channel () suitable for receiving a guide wire. The head () comprises a distal end defining a thrust surface () for a locking portion () of the anastomotic device ().

Positioning device for deploying at least one locking portion of an anastomotic device and method for carrying out anastomosis in tracts of the digestive tube

Traction means () for excising a tissue sample comprising a distal portion (), comprising at least one clip () suitable for being fixed to at least one portion () of tissue to be excised and a proximal portion () suitable for being subjected to traction. Said at least one clip () is suitable for being connected to a distal end () of a suture () to pull the tissue to be excised, said suture () extending between said distal end () and a proximal end corresponding to the proximal portion of said traction means (). Moreover, said at least one clip () is connected to a ring () formed at a distal end () of said suture () to pull the tissue to be excised.

Method for endoluminally or laparoscopically excising a tissue sample from areas in a patient's body, traction means and kit

A device for drawing tissues together and creating an anastomosis comprises a main guide wire () suitable to receive and draw anastomotic devices () in order to draw together portions (A; B) of tissues to be joined by means of anastomosis. The main guide wire () is suitable to be shaped like an open ring crossing the portions (A, A'; B, B&#x2032;) of tissues to be joined by means of anastomosis (), wherein the ends of the main guide wire () are different and distinguishable from each other. The main guide wire () has a tubular or hollow structure suitable to house at least one needle for a push or radiofrequency perforation of the tissues.

An anastomotic device, particularly a circular stapler (), comprises a handle () and a stem (). A channel suitable to receive a guide wire at least partially develops along the length of the stapler. The stem () is made of a flexible material, such as to facilitate reaching the site requiring anastomosis. The circular stapler () comprises an anvil () suitable to be introduced on the free end of the stem (). The anvil () comprises a channel () suitable to receive a guide wire () and extending along the anvil, and a portion () suitable to act as a striker against the wall of one of the portions (A; B) of the tissues to be joined.

A diagnostic device for pathologies of tubular anatomical structures comprises a tubular elongated structure having a proximal end and a distal end. The distal end is suitable to be inserted in the tubular anatomical structure. The device includes a means for locally dilating the walls of the tubular anatomical structure that are associated with the distal end of said elongated structure. The means for locally dilating is movable between a closed position for introducing the device and at least one open position for viewing and evaluating the pathology. The device also has a control means on the proximal end of the elongated structure. The control means is operatively connected to the means for locally dilating, in order to move them between the closed position and the open position, and vice versa.

A delivery device for delivering a plurality of individual surgical fasteners. The delivery device includes a drive mechanism having distal and proximal ends. The drive mechanism has a moving member and a fixed opposing member, wherein the moving member is moveable proximally and distally with respect to the delivery device. The moving member has a sharpened distal end for piercing tissue. The device includes at least one surgical fastener located between the first and the second members. Each of the at least one surgical fasteners has a proximal end and a distal end. The device also has an actuator having at least two sequential positions. A first position for moving the moving member distally and piercing tissue, and a second position for moving the moving member proximally, thereby deploying the distal end of the fastener.

Method for delivering a plurality of fasteners

A surgical stapling instrument including a staple fastening assembly with a curved cartridge device and a curved anvil. The cartridge device has at least one curved open row of staples which are formed by a staple forming face of the anvil (). The anvil can be moved relatively with respect to the cartridge device () the device further includes a handle in the proximal end region of the instrument and is operatively connected to the staple fastening assembly. A flexible backbone, preferably an endoscope, is arranged between the handle and the staple fastening assembly and guides force transmitters of the moving device and the staple driving device.

Surgical stapling instrument

An intubation system is provided for use with an endoscope. The intubation system includes a guide apparatus having a track that is adapted to be associated with the endoscope such that bending of the track is substantially decoupled from bending of the endoscope. The intubation system also includes a positioning device having a first coupling member on the distal end and an intubation device having a second coupling member on the proximal end. The intubation device and the positioning device each include a mating member that is adapted to slidingly engage the track external of the endoscope, whereby the first and second coupling members may be releasably attached together.

Intubation system for use with an endoscope

Devices and methods are provided which may be used for suturing, including performing a totally transoral surgical procedure, such as a posterior gastropexy procedure. A suture lock and cut assembly is provided to lock and cut one or more sutures in one motion, which motion can be a non-curved, non rotational linear motion. The suture lock and cut assembly with one or more sutures threaded therethrough may be pushed through, for example, a patient's esophagus and into the stomach by the tip of an endoscope, or alternatively, sized to be fed through the working channel of the endoscope.

Devices and methods of locking and cutting a suture in a medical procedure

An electrosurgical stapling instrument includes an end effector capable of applying bipolar RF energy into tissue. The end effector has a first pole electrode and a second pole electrode for forming an RF contact circuit with tissue. At least one of the electrodes may have a dielectric coating thereon to create a RF circuit with tissue. The dielectric coating can cover one of the electrodes to create a capacitive coupling circuit with tissue, or can have at least one open passageway extending through the dielectric coating to enable tissue contact with the electrode and the passage of RF energy therethrough. The dielectric coating on the electrode can be masked to create passageways through the dielectric, or the dielectric coating can be locally removed with a variety of techniques to form passageways. The dielectric coating may provide a barrier to prevent shorting between the dielectrically coated electrode and a conductive fastener embedded within tissue. Alternately, a cartridge coating can be used to reduce an electric surface sheet charge on the cartridge thermoplastic that can occur during the application of RF energy to tissue.

End effector coatings for electrosurgical instruments

An intubation device is provided for use with a guide apparatus having a track that is adapted to be associated with an endoscope such that bending of the track is substantially decoupled from bending of the endoscope. The intubation device includes an elongated, flexible tube and a mating member attached to the tube and adapted to slidingly engage the track external of the endoscope. The intubation device further includes a tissue bolster disposed on the proximal portion of the tube and changeable between a collapsed and an expanded configuration. The tube is positionable inside the upper gastrointestinal tract of a patient such that the proximal end of the tube is externalized through the gastric and abdominal walls of the patient, and wherein the tissue bolster is securable against the inner gastric wall when the tissue bolster is in the expanded configuration.

Intubation device for enteral feeding

Surgical instrument having a fastener delivery mechanism

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Cincinnati, OH, United States of America

Jesse J Kuhns