Ethicon Endo-surgery, Inc.

Other

Leo J Nolan

Hal H Katz

InBae Yoon

Ronald J Brinkerhoff

William J Kraimer

Warren P Williamson, Iv

John V Hunt

John P Measamer

Ronald John Kolata

Scott D Wampler

Robert F Welch

Delbert E Lucas

Donna R Motz

John P Verschoor

Kendall L Dobler

James D Staley, Jr

A ring applicator for applying elastic rings to anatomical tissue during surgical procedures includes an inner member with a forceps movably disposed within a middle tubular member having a distal end configured to hold a plurality of elastic rings in an expanded state and a proximal end with a plurality of longitudinally spaced steps. The middle tubular member is movably disposed in an outer tubular member, and an adjustable stop mechanism is mounted on the proximal end of the outer tubular member to limit axial movement of the outer tubular member relative to the middle tubular member to select which rings are to be ejected. A distal handle is connected with the inner member via slots in the outer and middle tubular members, and a proximal handle is pivotally connected to the middle tubular member via a slot in the outer tubular member. A pusher has a distal end movable between a latched or locked position where the distal end of the pusher protrudes into apertures in the outer and middle tubular members to prevent pivotal movement of the proximal handle and an unlatched or unlocked position where the distal end of the pusher is disengaged from the aperture in the middle tubular member to permit pivotal movement of the proximal handle in order to move the outer tubular member axially relative to the middle tubular member to eject an elastic ring. Distal portions of the outer and middle tubular members are preferably transparent with scale markings formed thereon to allow the surgeon to accurately determine the length of the tissue disposed within the middle tubular member prior to ejecting a ring. A prerelease feature is also disclosed for unlocking the pusher to allow ejection of a ring when the forceps has not been completely withdrawn in to the middle tubular member.

Ring applicator and method for applying elastic rings to anatomical tissue structures

An apparatus and method delivers an expandable body member into a uterine cavity of a uterus through a cervical opening and deploys the expandable body member in the uterine cavity. The expandable body member in a compressed state is inserted into the uterine cavity. A fluid is provided to the uterine cavity at a pressure sufficient to inflate the uterine cavity. The expandable body member expands from the compressed state to the expanded state. After expansion of the expandable body member and inflation of the uterine cavity, the fluid pressure is relieved thereby collapsing the uterine cavity about the expandable body member in the expanded state such that an endometrial layer of the uterus and a surface of the expandable body member substantially contact each other in a facially opposing relationship maximizing contact therebetween. The apparatus which performs the method includes an elongated tubular member having the expandable body member connected to a distal portion of the elongated tubular member and a fluid-providing device connected to a proximal portion of the elongated tubular member.

Apparatus and method for delivering and deploying an expandable body member in a uterine cavity

A surgical device for use with a video display and for retracting, viewing, and accessing tissue is described. The surgical device comprises an elongated platform and a concave head connected to a distal end of the platform. The concave head defines a cavity that provides a working space for an end-effector of an instrument. The surgical device further comprises an image sensor attached to the inside of the concave head so that tissue within the working space may be imaged by the image sensor to provide an electrical signal for a video display. The surgical device further comprises an illumination means for illuminating tissue within and adjacent to the cavity of the concave head. A power source is provided for powering the image sensor and the illumination means. A handle is attached to the proximal end of the platform.

Surgical device with integrally mounted image sensor

A surgical instrument including a handle, an end effector including jaws, an elongated tube connecting the handle to the end effector, a connector within the tube connecting the handle to the jaw members; and a first slot in the first jaw and a second slot in the jaw wherein the first and second slots are arranged such that only a portion of the slots overlap when the first and second jaws are closed to create a hole in the jaw which may be used for positioning a suture in the tissue. The first slot in the first jaw extends to a side of the first jaw and the second slot in the second jaw extends to a side of the second jaw creating pathways for removing the suture when the jaws are opened. The surgical instrument may also include a retractable tying pin adjacent the end effector and a knot pusher at the distal end of the end effector. A method of using the surgical instrument described above includes closing the first and second jaws on tissue; passing a surgical needle with a suture attached thereto through the overlapping portion of the first and second slots; opening the first and second jaws and releasing the suture by passing the suture through the first and the second slots.

Suture assist device

An improved surgical stapler is disclosed having a tissue gripping ridge on at least one of the tissue contacting surfaces. The tissue contact surfaces are preferably displayed on both the anvil and the cartridge surfaces of the surgical stapler. The tissue gripping ridges preferably have serrated surfaces which mesh when in contact with each other to hold the tissue. The preferred embodiment of this invention describes the tissue gripping ridges along the periphery of the anvil and cartridge tissue contact surfaces. Another embodiment describes the tissue gripping ridges adjacent to the longitudinal knife slot.

Surgical stapler with tissue gripping ridge

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Las Vegas, NV, United States of America

Leo J Nolan