US3181533A - Surgical snare - Google Patents

Surgical snare Download PDF

Info

Publication number
US3181533A
US3181533A US166198A US16619862A US3181533A US 3181533 A US3181533 A US 3181533A US 166198 A US166198 A US 166198A US 16619862 A US16619862 A US 16619862A US 3181533 A US3181533 A US 3181533A
Authority
US
United States
Prior art keywords
plunger
wire
loop
nozzle
pull
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
Application number
US166198A
Inventor
William C Heath
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to US166198A priority Critical patent/US3181533A/en
Application granted granted Critical
Publication of US3181533A publication Critical patent/US3181533A/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32056—Surgical snare instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • A61B17/26—Tonsillotomes, with or without means for stopping bleeding
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00358—Snares for grasping

Definitions

  • the present invention provides a ratchet type surgical snare with improved features facilitating its assembly and actuation and protecting against errors in assembly and in actuation.
  • the loop of the snare is always made of a given maximum size and by actuation of the ratchet device it can be gradually reduced in size to zero thereby serving to cut or to take hold of any object of the anatomy during an operation.
  • the reduction in size of the loop is accomplished always by pulling both sides of the loop into a nozzle, so that there is no tendency to turn or twist the object that is gripped or being out by the loop.
  • the surgical wire forming the loop has its ends crimped in situ and secured in a plunger which draws the wire through the nozzle in reducing the loop.
  • the nozzle may have a plug in its mouth to guide the two sides of the loop as they enter the nozzle and prevent any kinking of the wire in the nozzle or plunger upon shock movements as when a cartilage is cut through.
  • the plunger has ratchet teeth along one side only and is adapted to be turned to disengage-the teeth from the ratchet actuating pawls so that the plunger can be rapidly returned to starting position for a new operation.
  • a lock is provided to prevent accidental removal of the plunger from the actuating mechanism, which then might delay assembly for a pending operation.
  • FIGURE 1 is a side elevation of the snare with the actuating mechanism sectioned axially of the plunger and nozzle;
  • FIGURE 2 is an end view of the device
  • FIGURE 3 is a detail side elevation of the outer end of the plunger
  • FIGURE 4 is a schematic illustration taken as a section on line 44 of FIG. 1;
  • FIG. 5 is a view similar to FIG. 4 with the plunger turned 90 from its position in FIG. 4 for release of the ratchet teeth from the pawls and providing a rapid return of the plunger to starting position;
  • FIG. 6 is a detail view similar in sectioning to FIG- URE 1 showing the plunger pulled to its outermost position and the lock engaged;
  • FIG. 7 is a detail perspective view showing the end of the nozzle with plug prior to insertion.
  • FIG. 8 is an enlarged detail section taken on line 8--8 of FIGURE 1.
  • the surgical snare illustrated has a tubular body 1, carrying a removable nozzle 2 threaded thereto at one end, and a ratchet actuating device 3 at the other end.
  • a tubular plunger 4 is disposed axially Within the tubular body 1 and extends outwardly through the actuating device 3 for axial movement relative to body 1.
  • the plunger 4 is cylindrical and fits within a cylindrical bore in body 1 to slide freely therein and to be turnable therein.
  • Ratchet teeth 5 are cut into the surface of the plunger along one side only and have their perpendicular sides facing axially toward the nozzle 2.
  • the actuating device 3 comprises two relatively mov able heads or blocks 6 and 7, each carrying a spring pressed pawl 8 which has teeth 9 complemental to teeth 5 and normally in engagement therewith.
  • Block 6 is secured to the end of body member 1 in fixed relation thereto while the block 7 is movably carried by the body member 1 by means of the pivotal arms 10 hereinafter described.
  • the blocks 6 and 7 have aligned bores therethrough serving as extensions of the bore of body 1 to receive the plunger 4.
  • a pair of laterally extending arms 10 are pivotally secured together at 11 intermediate the ends thereof, and have one end of each arm pivoted as at 12 to a corresponding block, and the other ends 13 of the arms serving as handles or a hand grip actuator.
  • the handles 13 are similar to the handles of a pair of pliers and can be gripped in one hand of the operator and pivoted inwardly toward each other against a spring 14 which biases the arms 10 to a normal position where blocks 6 and 7 are closely adjacent.
  • block 7 will be moved axially away from block 6 and the ratchet pawl S in block 7 will pull the plunger 4 outwardly to the right from body 1.
  • the ratchet pawl 8 in block 6 moves outwardly against its spring 15 to ride over the ratchet teeth 5 on plunger 4.
  • Alternate squeezing and release of the handles 13 effects a step by step movement of plunger 4 outwardly in a direction to reduce the loop 17 of the snare, and at all times when one pawl 8 is riding over ratchet teeth 5 the other pawl engages the ratchet teeth 5 to secure the plunger 4 against inward movement.
  • the loop 17 is formed of surgical wire and is made up new just prior to use in each instance from a single wire of predetermined length. Informing the loop the ends 18 of the wire are threaded through the nozzle 2 and plunger 4 until they both engage the clamp head 19 which is secured on the outer end of plunger 4 and which provides an abutment or stop means for locating the ends 18 of the Wire during assembly and thereby determining the size of the loop 17. In this position and with plunger 4 moved all the way into body 1, the loop 17 will be of maximum size.
  • the ends 1% are secured tightly within clamp head 19 by individually crimping the same between the corrugated inner surface 29 of a recess 21 in the head and a complementary corrugated surface of a clamp member 22 inserted in the recess 21 and secured in clamping position by a screw 23.
  • one of the wire ends 18 extends on one side of screw 23 and the other wire end extends on the opposite side of screw 23 so that the latter enters clamp head 19 between the wire ends.
  • the plunger 4 and the head 19 fixed thereto and clamping the ends 18 of the wire, together with the actuating mechanism for the plunger constitute pull means for pulling the wire of the loop 17 into and through the nozzle 2 of body 1, thereby reducing the size of the loop.
  • a cap 24 slides over clamp head 19 and protects clamp 22 from accidental loosening.
  • Cap 24 has a knurled outer cylindrical surface 25 to facilitate turning and is secured on the clamp head 19 by a screw 26.
  • An arrow 27, or other indicia is marked on the outer end of cap 24' to indicate to the operator the rotational position of plunger 4 so that he knows when the the ratchet teeth 9 and are and are not engaged.
  • a spring detent 28 is disposed in block 6 to bear against the plunger 4 on the side opposite to pawl 8.
  • a circumferential groove 29 is provided encircling the inner end of plunger 4 with an, outwardly facing perpendicular wall 30 to engage spring detent 28 and stop further outward movement of the plunger, as shown in FIG. 6.
  • the opposite wall 31 of groove 29 is slanting to serve as a cam for moving the detent spring 28 outwardly when plunger 4 is pushed inwardly.
  • the spring lock 28 may be removed from the body 1 and then the plunger may be pulled out all the way.
  • a plug 32 is inserted in the end of the nozzle against a shoulder 33 in the bore of the nozzle, and provides two openings 34'for receiving the corresponding wires forming the opposite sides of loop 17.
  • the openings 34 may be either drilled in plug 32 or they may be formed as separate slots in the outer surface of the plug.
  • the loop 17 Upon completion of an operation the loop 17 will be removed and replaced by a new loop. For this purpose it is only necessary to turn and push the plunger 4 inwardly, remove cap 24, loosen clamp 22 and pull on the loop 17 to'withdraw ends 18 from the device. A new surgical wire is then inserted as previously described to form a new loop 17 and is clamped by member 22, after which cap 24 is replaced.
  • the invention provides a surgical snare that is quick and powerful to operate, with no danger of the, loop ratchet actuating means carried by said body and including pawl means engageable with said teeth, and means to actuate said pawl means relative to said ratchet teeth to effect movement of said plunger in a direction to pull said wire, and said plunger being rotatable in said body to disengage said ratchet teeth from said pawl means and thereby release said plunger for rapid return in a direction opposite to said wire pull direction.
  • a surgical snare employing a replaceable loop of surgical wire having free ends, comprising a tubular nozzle for receiving the free ends of the surgical wire and having .a head fixed to the end thereof opposite the loop, a tubular plunger axially movable within said nozzle and extending outwardly through said fixed head, clamp means on the outer end of said plungerfor securing the free ends of the surgical wire thereto, a movable head slidable on said plunger and disposed adjacent said fixed head, a series of ratchet teeth on one side of said plunger, spring pressed pawl means carried by each of said heads and adapted to engage said ratchet teeth, and lever means pivotally secured to said heads and disposed for manual alternate relative reciprocation of said heads toward and away from each other to effect step movement of said plunger outwardly of said'nozzle to contract the wire loop.
  • lever means comprises a pair of plier-like lever arms pivotally connected intermediate their ends'to provide a handle end and an operating end, a pivotal connection between the operating end of each said lever arm and a corresponding head to effect relative reciprocation of said heads by successive actuation of said lever arms, and spring; means biasing said lever arms in a direction to effect separation of the handle ends thereof and relative movement of said heads toward each other.
  • body having a-nozzle through which thefree ends of the surgical wire forming a loop are threaded, and pull means carried by said body securing said free ends to pull the loop into the nozzle in operation by pulling both ends.
  • said pull means comprising a cylindrical tubular plunger axially movable in said body and havingratchet teeth on-one side thereof,
  • clamp means comprises separable clamp elements adapted to crimp the portions of the wire in clamping the same, and abutment means for locating the ends of the'wire'therein to elfect initial formation of a given sized loop with a given length of wire.

Description

May 4, 1965 w. c. HEATH SURGICAL SNARE Filed Jan. 15, 1962 INVENTOR. WILLIAM C. HEATH a zzdrus iarb Ai'forneys United States Patent 3,181,533 SURGIQAL SNARE William C. Heath, 1121 N. Waverly Place, Milwaukee, Wis. Filed Jan. 15, 1962, Ser. No. 166,198 Claims. (Cl. 128-320) This invention relates to a surgical snare used by surgeons for cutting cartilage and various parts of the anatomy in the performance of operations.
In the performance of operations time is an important factor, and where a snare is to be employed there must be certainty of its functioning. Various ways have been employed in making up snares from surgical wire and in many instances these have been very crude.
The present invention provides a ratchet type surgical snare with improved features facilitating its assembly and actuation and protecting against errors in assembly and in actuation.
The loop of the snare is always made of a given maximum size and by actuation of the ratchet device it can be gradually reduced in size to zero thereby serving to cut or to take hold of any object of the anatomy during an operation. The reduction in size of the loop is accomplished always by pulling both sides of the loop into a nozzle, so that there is no tendency to turn or twist the object that is gripped or being out by the loop.
The surgical wire forming the loop has its ends crimped in situ and secured in a plunger which draws the wire through the nozzle in reducing the loop.
The nozzle may have a plug in its mouth to guide the two sides of the loop as they enter the nozzle and prevent any kinking of the wire in the nozzle or plunger upon shock movements as when a cartilage is cut through.
The plunger has ratchet teeth along one side only and is adapted to be turned to disengage-the teeth from the ratchet actuating pawls so that the plunger can be rapidly returned to starting position for a new operation. A lock is provided to prevent accidental removal of the plunger from the actuating mechanism, which then might delay assembly for a pending operation.
The invention will be better understood by reference to the accompanying drawing which shows an embodiment thereof with the several features stated above.
In the drawing:
FIGURE 1 is a side elevation of the snare with the actuating mechanism sectioned axially of the plunger and nozzle;
FIGURE 2 is an end view of the device;
FIGURE 3 is a detail side elevation of the outer end of the plunger;
FIGURE 4 is a schematic illustration taken as a section on line 44 of FIG. 1;
FIG. 5 is a view similar to FIG. 4 with the plunger turned 90 from its position in FIG. 4 for release of the ratchet teeth from the pawls and providing a rapid return of the plunger to starting position;
FIG. 6 is a detail view similar in sectioning to FIG- URE 1 showing the plunger pulled to its outermost position and the lock engaged;
FIG. 7 is a detail perspective view showing the end of the nozzle with plug prior to insertion; and
FIG. 8 is an enlarged detail section taken on line 8--8 of FIGURE 1.
The surgical snare illustrated has a tubular body 1, carrying a removable nozzle 2 threaded thereto at one end, and a ratchet actuating device 3 at the other end.
A tubular plunger 4 is disposed axially Within the tubular body 1 and extends outwardly through the actuating device 3 for axial movement relative to body 1. The plunger 4 is cylindrical and fits within a cylindrical bore in body 1 to slide freely therein and to be turnable therein.
Ratchet teeth 5 are cut into the surface of the plunger along one side only and have their perpendicular sides facing axially toward the nozzle 2.
The actuating device 3 comprises two relatively mov able heads or blocks 6 and 7, each carrying a spring pressed pawl 8 which has teeth 9 complemental to teeth 5 and normally in engagement therewith. Block 6 is secured to the end of body member 1 in fixed relation thereto while the block 7 is movably carried by the body member 1 by means of the pivotal arms 10 hereinafter described. The blocks 6 and 7 have aligned bores therethrough serving as extensions of the bore of body 1 to receive the plunger 4.
A pair of laterally extending arms 10 are pivotally secured together at 11 intermediate the ends thereof, and have one end of each arm pivoted as at 12 to a corresponding block, and the other ends 13 of the arms serving as handles or a hand grip actuator. The handles 13 are similar to the handles of a pair of pliers and can be gripped in one hand of the operator and pivoted inwardly toward each other against a spring 14 which biases the arms 10 to a normal position where blocks 6 and 7 are closely adjacent. In operation, when handles 13 are squeezed toward each other against spring 14 block 7 will be moved axially away from block 6 and the ratchet pawl S in block 7 will pull the plunger 4 outwardly to the right from body 1. During this movement of plunger 4 the ratchet pawl 8 in block 6 moves outwardly against its spring 15 to ride over the ratchet teeth 5 on plunger 4.
When the handles 13 are released, spring 14 will separate them and cause the return of block 7 toward block 6 during which time the pawl 8 in block 7 will move outwardly against its spring 16 and ride over the ratchet teeth 5 on plunger 4.
Alternate squeezing and release of the handles 13 effects a step by step movement of plunger 4 outwardly in a direction to reduce the loop 17 of the snare, and at all times when one pawl 8 is riding over ratchet teeth 5 the other pawl engages the ratchet teeth 5 to secure the plunger 4 against inward movement.
The loop 17 is formed of surgical wire and is made up new just prior to use in each instance from a single wire of predetermined length. Informing the loop the ends 18 of the wire are threaded through the nozzle 2 and plunger 4 until they both engage the clamp head 19 which is secured on the outer end of plunger 4 and which provides an abutment or stop means for locating the ends 18 of the Wire during assembly and thereby determining the size of the loop 17. In this position and with plunger 4 moved all the way into body 1, the loop 17 will be of maximum size.
The ends 1% are secured tightly within clamp head 19 by individually crimping the same between the corrugated inner surface 29 of a recess 21 in the head and a complementary corrugated surface of a clamp member 22 inserted in the recess 21 and secured in clamping position by a screw 23. For best clamping action one of the wire ends 18 extends on one side of screw 23 and the other wire end extends on the opposite side of screw 23 so that the latter enters clamp head 19 between the wire ends. The plunger 4 and the head 19 fixed thereto and clamping the ends 18 of the wire, together with the actuating mechanism for the plunger constitute pull means for pulling the wire of the loop 17 into and through the nozzle 2 of body 1, thereby reducing the size of the loop.
A cap 24 slides over clamp head 19 and protects clamp 22 from accidental loosening. Cap 24 has a knurled outer cylindrical surface 25 to facilitate turning and is secured on the clamp head 19 by a screw 26. An arrow 27, or other indicia is marked on the outer end of cap 24' to indicate to the operator the rotational position of plunger 4 so that he knows when the the ratchet teeth 9 and are and are not engaged.
After a given operation in which the plunger 4 is ratcheted outwardly it is desired to move it back to starting position. For this purpose, a turn of the clamp head 19 and with it the plunger 4 by about 90 to release the ratchet teeth as shown in FIG. 5 will permit manual pushing of the plunger inwardly to starting position, after which it may be turned back to engage the ratchet teeth 9 and 5.
In order to prevent accidental removal of the plunger by pulling it out of the bore in body 1 and in blocks 6 and 7, a spring detent 28 is disposed in block 6 to bear against the plunger 4 on the side opposite to pawl 8. A circumferential groove 29 is provided encircling the inner end of plunger 4 with an, outwardly facing perpendicular wall 30 to engage spring detent 28 and stop further outward movement of the plunger, as shown in FIG. 6. The opposite wall 31 of groove 29 is slanting to serve as a cam for moving the detent spring 28 outwardly when plunger 4 is pushed inwardly.
Should it become desirable to remove the plunger 4 from body 1, the spring lock 28 may be removed from the body 1 and then the plunger may be pulled out all the way.
Whena cartilage or other member is cut through there may be a considerableshock on the snare and the wire may tend to kink in the nozzle 2 or plunger 4. In order to prevent this a plug 32 is inserted in the end of the nozzle against a shoulder 33 in the bore of the nozzle, and provides two openings 34'for receiving the corresponding wires forming the opposite sides of loop 17. The openings 34 may be either drilled in plug 32 or they may be formed as separate slots in the outer surface of the plug.
Upon completion of an operation the loop 17 will be removed and replaced by a new loop. For this purpose it is only necessary to turn and push the plunger 4 inwardly, remove cap 24, loosen clamp 22 and pull on the loop 17 to'withdraw ends 18 from the device. A new surgical wire is then inserted as previously described to form a new loop 17 and is clamped by member 22, after which cap 24 is replaced.
The invention provides a surgical snare that is quick and powerful to operate, with no danger of the, loop ratchet actuating means carried by said body and including pawl means engageable with said teeth, and means to actuate said pawl means relative to said ratchet teeth to effect movement of said plunger in a direction to pull said wire, and said plunger being rotatable in said body to disengage said ratchet teeth from said pawl means and thereby release said plunger for rapid return in a direction opposite to said wire pull direction. 7
2. A surgical snare employing a replaceable loop of surgical wire having free ends, comprising a tubular nozzle for receiving the free ends of the surgical wire and having .a head fixed to the end thereof opposite the loop, a tubular plunger axially movable within said nozzle and extending outwardly through said fixed head, clamp means on the outer end of said plungerfor securing the free ends of the surgical wire thereto, a movable head slidable on said plunger and disposed adjacent said fixed head, a series of ratchet teeth on one side of said plunger, spring pressed pawl means carried by each of said heads and adapted to engage said ratchet teeth, and lever means pivotally secured to said heads and disposed for manual alternate relative reciprocation of said heads toward and away from each other to effect step movement of said plunger outwardly of said'nozzle to contract the wire loop.
3. The construction of claim 2 in which said lever means comprises a pair of plier-like lever arms pivotally connected intermediate their ends'to provide a handle end and an operating end, a pivotal connection between the operating end of each said lever arm and a corresponding head to effect relative reciprocation of said heads by successive actuation of said lever arms, and spring; means biasing said lever arms in a direction to effect separation of the handle ends thereof and relative movement of said heads toward each other.
loosening or breaking, and that can be assembled and 1. In a surgical snare employing a surgical wire, a
body having a-nozzle through which thefree ends of the surgical wire forming a loop are threaded, and pull means carried by said body securing said free ends to pull the loop into the nozzle in operation by pulling both ends.
simultaneously relative to thenozzle, said pull means comprising a cylindrical tubular plunger axially movable in said body and havingratchet teeth on-one side thereof,
4. The construction of claim 2 in which said clamp means comprises separable clamp elements adapted to crimp the portions of the wire in clamping the same, and abutment means for locating the ends of the'wire'therein to elfect initial formation of a given sized loop with a given length of wire.
5. The construction of claim 2 in which said plunger is rotatable in said nozzle to present a smooth surface toward said ratchet means for free return of said plunger inwardly of said nozzle, and means on said plunger indi-' cating the rotational position thereof.
References Cited by the Examiner UNITED STATES PATENTS RICHARD A. GAUDET, Primary Examiner. JORDAN FRANKLIN, Examiner.

Claims (1)

1. IN A SURGICAL SNARE EMPLOYING A SURGICAL WIRE, A BODY HAVING A NOZZLE THROUGH WHICH THE FREE ENDS OF THE SURGICAL WIRE FORMING A LOOP ARE THREADED, AND PULL MEANS CARRIED BY SAID BODY SECURING SAID FREE ENDS TO PULL THE LOOP INTO THE NOZZLE IN OPERATION BY PULLING BOTH ENDS SIMULATANEOUSLY RELATIVE TO THE NOZZLE, SAID PULL MEANS COMPRISING A CYLINDRICAL TUBULAR PLUNGER AXIALLY MOVABLE IN SAID BODY AND HAVING RATCHET TEETH ON SIDE THEREOF, RATCHET ACTUATING MEANS CARRIED BY SAID BODY AND INCLUDING PAWL MEANS ENGAGEABLE WITH SAID TEETH, AND MEANS TO ACTUATE SAID PAWL MEANS RELATIVE TO SAID RATCHET TEETH TO EFFECT MOVEMENT OF SAID PLUNGER IN A DIRECTION TO PULL SAID WIRE, AND SAID PLUNGER BEING ROTATABLE IN SAID BODY TO DISENGAGE SAID RATCHET TEETH FROM SAID PAWL MEANS AND THEREBY RELEASE SAID PLUNGER FOR RAPID RETURN IN A DIRECTION OPPOSITE TO SAID WIRE PULL DIRECTION.
US166198A 1962-01-15 1962-01-15 Surgical snare Expired - Lifetime US3181533A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US166198A US3181533A (en) 1962-01-15 1962-01-15 Surgical snare

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US166198A US3181533A (en) 1962-01-15 1962-01-15 Surgical snare

Publications (1)

Publication Number Publication Date
US3181533A true US3181533A (en) 1965-05-04

Family

ID=22602210

Family Applications (1)

Application Number Title Priority Date Filing Date
US166198A Expired - Lifetime US3181533A (en) 1962-01-15 1962-01-15 Surgical snare

Country Status (1)

Country Link
US (1) US3181533A (en)

Cited By (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0027704A2 (en) * 1979-10-19 1981-04-29 Dale L. Chamness Surgical snare apparatus
US4538611A (en) * 1983-06-13 1985-09-03 Kelman Charles D Surgical instrument and method of cutting a lens of an eye
US4574478A (en) * 1983-05-24 1986-03-11 Siemens Gammasonics, Inc. Method and device for demounting in a radiation detector a photomultiplier tube
US4590938A (en) * 1984-05-04 1986-05-27 Segura Joseph W Medical retriever device
WO1987005792A1 (en) * 1986-03-28 1987-10-08 Waltap Limited Apparatus and method for performing a tracheostomy operation
EP0446020A1 (en) * 1990-03-05 1991-09-11 C.R. Bard, Inc. Surgical gripping instrument
US5141515A (en) * 1990-10-11 1992-08-25 Eberbach Mark A Apparatus and methods for repairing hernias
US5163942A (en) * 1991-12-09 1992-11-17 Everest Medical Corporation Surgical instrument with grasping loop for laparoscopic procedures
WO1994020029A1 (en) * 1993-03-11 1994-09-15 Wilson Greatbatch Ltd. Laparoscopic surgical grasper
US5376094A (en) * 1993-08-19 1994-12-27 Boston Scientific Corporation Improved actuating handle with pulley system for providing mechanical advantage to a surgical working element
US5471992A (en) * 1994-02-08 1995-12-05 Boston Scientific Corporation Multi-motion cutter multiple biopsy sampling device
US5573008A (en) * 1993-10-29 1996-11-12 Boston Scientific Corporation Multiple biopsy sampling coring device
US5601585A (en) * 1994-02-08 1997-02-11 Boston Scientific Corporation Multi-motion side-cutting biopsy sampling device
US5613973A (en) * 1995-03-10 1997-03-25 Wilson Greatbatch Ltd. Laraposcopic surgical grasper having an attachable strap
US5681324A (en) * 1993-06-16 1997-10-28 Ethicon, Inc. Surgical tissue retrieval instrument
US5788710A (en) * 1996-04-30 1998-08-04 Boston Scientific Corporation Calculus removal
US5860987A (en) * 1994-10-04 1999-01-19 United States Surgical Corporation Surgical retractor
US5871453A (en) * 1994-02-08 1999-02-16 Boston Scientific Corporation Moveable sample tube multiple biopsy sampling device
US6142957A (en) * 1993-09-20 2000-11-07 Boston Scientific Corporation Multiple biopsy sampling device
US6156043A (en) * 1998-05-26 2000-12-05 Krahn; Henry P. Soft tissue morsellator
US6168604B1 (en) 1995-10-06 2001-01-02 Metamorphic Surgical Devices, Llc Guide wire device for removing solid objects from body canals
EP1073371A1 (en) * 1998-04-06 2001-02-07 Kyphon Inc. Structures and methods for creating cavities in interior body regions
US6264663B1 (en) 1995-10-06 2001-07-24 Metamorphic Surgical Devices, Llc Device for removing solid objects from body canals, cavities and organs including an invertable basket
US20020151909A1 (en) * 2001-03-09 2002-10-17 Gellman Barry N. System for implanting an implant and method thereof
US20030124485A1 (en) * 2001-09-21 2003-07-03 Yoshitsugu Teraushi Device for removing a broken piece its supportive instrument and method for removing a broken piece
US20050090936A1 (en) * 2003-10-24 2005-04-28 Hitt Dale K. Two-wire control of sprinkler system
US6923813B2 (en) 2003-09-03 2005-08-02 Kyphon Inc. Devices for creating voids in interior body regions and related methods
US7025772B2 (en) 2001-03-09 2006-04-11 Scimed Life Systems, Inc. System for implanting an implant and method thereof
US20070055277A1 (en) * 1998-04-06 2007-03-08 Kyphon Inc. Methods and devices for treating fractured and/or diseased bone using an expandable whisk structure
US20070060933A1 (en) * 2005-07-11 2007-03-15 Meera Sankaran Curette heads
US20070106304A1 (en) * 2005-11-03 2007-05-10 Vance Products Incorporated D/B/A Cook Urological Incorporated Articulating basket with simultaneous basket extension or basket retraction
US7264622B2 (en) 1993-06-10 2007-09-04 Warsaw Orthopedic, Inc. System for radial bone displacement
US7361138B2 (en) 2003-07-31 2008-04-22 Scimed Life Systems, Inc. Bioabsorbable casing for surgical sling assembly
US7402133B2 (en) 2002-12-17 2008-07-22 Boston Scientific Scimed, Inc. Spacer for sling delivery system
US20110190832A1 (en) * 2010-01-20 2011-08-04 Kyle Taylor Apparatus and methods for bone access and cavity preparation
US20110218626A1 (en) * 2010-03-08 2011-09-08 Krinke Todd A Apparatus and methods for securing a bone implant
US8033983B2 (en) 2001-03-09 2011-10-11 Boston Scientific Scimed, Inc. Medical implant
US20140135799A1 (en) * 2011-02-18 2014-05-15 Guided Delivery Systems Inc. Implant retrieval device
US20150066046A1 (en) * 2013-08-28 2015-03-05 Boston Scientific Scimed, Inc. Tissue resection devices and related methods
US9517093B2 (en) 2008-01-14 2016-12-13 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US9550010B2 (en) 2010-07-02 2017-01-24 Agnovos Healthcare, Llc Methods of treating degenerative bone conditions
US9730739B2 (en) 2010-01-15 2017-08-15 Conventus Orthopaedics, Inc. Rotary-rigid orthopaedic rod
US10022132B2 (en) 2013-12-12 2018-07-17 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
US10918426B2 (en) 2017-07-04 2021-02-16 Conventus Orthopaedics, Inc. Apparatus and methods for treatment of a bone
US20210212725A1 (en) * 2016-10-14 2021-07-15 Pacesetter, Inc. Catheter-based system for delivery and retrieval of a leadless pacemaker
US11596419B2 (en) 2017-03-09 2023-03-07 Flower Orthopedics Corporation Plating depth gauge and countersink instrument

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US668647A (en) * 1900-03-16 1901-02-26 Max Jaenicke Écraseur.
US798839A (en) * 1904-05-21 1905-09-05 Charles W Stowe Illuminated snare.
US1606497A (en) * 1925-08-12 1926-11-09 Alfred A R Berger Surgical instrument
US1609238A (en) * 1925-02-19 1926-11-30 Foster A Beck Vacuum tonsillectome
US1772352A (en) * 1928-02-29 1930-08-05 W I Huber Inc Surgical instrument
FR724776A (en) * 1931-10-20 1932-05-02 Bonnet Et Cherfils Wire clamp for devices used in surgery and, in particular, for tonsillectomy
US2054149A (en) * 1935-03-25 1936-09-15 Wappler Frederick Charles Surgical snare
US2154929A (en) * 1937-01-29 1939-04-18 Willys Overland Motors Inc Mechanism control

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US668647A (en) * 1900-03-16 1901-02-26 Max Jaenicke Écraseur.
US798839A (en) * 1904-05-21 1905-09-05 Charles W Stowe Illuminated snare.
US1609238A (en) * 1925-02-19 1926-11-30 Foster A Beck Vacuum tonsillectome
US1606497A (en) * 1925-08-12 1926-11-09 Alfred A R Berger Surgical instrument
US1772352A (en) * 1928-02-29 1930-08-05 W I Huber Inc Surgical instrument
FR724776A (en) * 1931-10-20 1932-05-02 Bonnet Et Cherfils Wire clamp for devices used in surgery and, in particular, for tonsillectomy
US2054149A (en) * 1935-03-25 1936-09-15 Wappler Frederick Charles Surgical snare
US2154929A (en) * 1937-01-29 1939-04-18 Willys Overland Motors Inc Mechanism control

Cited By (91)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0027704A2 (en) * 1979-10-19 1981-04-29 Dale L. Chamness Surgical snare apparatus
EP0027704A3 (en) * 1979-10-19 1981-07-15 Dale L. Chamness Surgical snare apparatus
US4574478A (en) * 1983-05-24 1986-03-11 Siemens Gammasonics, Inc. Method and device for demounting in a radiation detector a photomultiplier tube
US4538611A (en) * 1983-06-13 1985-09-03 Kelman Charles D Surgical instrument and method of cutting a lens of an eye
US4590938A (en) * 1984-05-04 1986-05-27 Segura Joseph W Medical retriever device
WO1987005792A1 (en) * 1986-03-28 1987-10-08 Waltap Limited Apparatus and method for performing a tracheostomy operation
GB2196535A (en) * 1986-03-28 1988-05-05 Waltap Ltd Apparatus and method for performing a tracheostomy operation
GB2196535B (en) * 1986-03-28 1990-02-14 Waltap Ltd Apparatus and method for performing a tracheostomy operation
EP0446020A1 (en) * 1990-03-05 1991-09-11 C.R. Bard, Inc. Surgical gripping instrument
US5141515A (en) * 1990-10-11 1992-08-25 Eberbach Mark A Apparatus and methods for repairing hernias
US5366460A (en) * 1990-10-11 1994-11-22 Cook Incorporated Apparatus and method for laparoscope hernia repair
EP0519022B1 (en) * 1990-10-11 1997-12-17 Cook Incorporated Surgical patch and insertion device
US5163942A (en) * 1991-12-09 1992-11-17 Everest Medical Corporation Surgical instrument with grasping loop for laparoscopic procedures
WO1994020029A1 (en) * 1993-03-11 1994-09-15 Wilson Greatbatch Ltd. Laparoscopic surgical grasper
US5417684A (en) * 1993-03-11 1995-05-23 Wilson Greatbatch Ltd. Laparoscopic surgical grasper with a loop with gripping formations
US7264622B2 (en) 1993-06-10 2007-09-04 Warsaw Orthopedic, Inc. System for radial bone displacement
US5681324A (en) * 1993-06-16 1997-10-28 Ethicon, Inc. Surgical tissue retrieval instrument
US5376094A (en) * 1993-08-19 1994-12-27 Boston Scientific Corporation Improved actuating handle with pulley system for providing mechanical advantage to a surgical working element
US6142957A (en) * 1993-09-20 2000-11-07 Boston Scientific Corporation Multiple biopsy sampling device
US5573008A (en) * 1993-10-29 1996-11-12 Boston Scientific Corporation Multiple biopsy sampling coring device
US5823971A (en) * 1993-10-29 1998-10-20 Boston Scientific Corporation Multiple biopsy sampling coring device
US6053877A (en) * 1994-02-08 2000-04-25 Boston Scientific Corporation Movable sample tube multiple biopsy sampling device
US5961534A (en) * 1994-02-08 1999-10-05 Boston Scientific Corporation Multi-motion side cutting biopsy sampling device
US5471992A (en) * 1994-02-08 1995-12-05 Boston Scientific Corporation Multi-motion cutter multiple biopsy sampling device
US5779648A (en) * 1994-02-08 1998-07-14 Boston Scientific Corporation Multi-motion cutter multiple biopsy sampling device
US5601585A (en) * 1994-02-08 1997-02-11 Boston Scientific Corporation Multi-motion side-cutting biopsy sampling device
US5871453A (en) * 1994-02-08 1999-02-16 Boston Scientific Corporation Moveable sample tube multiple biopsy sampling device
US5860987A (en) * 1994-10-04 1999-01-19 United States Surgical Corporation Surgical retractor
US5613973A (en) * 1995-03-10 1997-03-25 Wilson Greatbatch Ltd. Laraposcopic surgical grasper having an attachable strap
US5782839A (en) * 1995-03-10 1998-07-21 Wilson Greatbatch Ltd. Laparoscopic surgical grasper having a detachable strap
US6168604B1 (en) 1995-10-06 2001-01-02 Metamorphic Surgical Devices, Llc Guide wire device for removing solid objects from body canals
US6264663B1 (en) 1995-10-06 2001-07-24 Metamorphic Surgical Devices, Llc Device for removing solid objects from body canals, cavities and organs including an invertable basket
US5957932A (en) * 1996-04-30 1999-09-28 Boston Scientific Corporation Calculus removal
US6319262B1 (en) 1996-04-30 2001-11-20 Boston Scientific Corporation Calculus removal
US5788710A (en) * 1996-04-30 1998-08-04 Boston Scientific Corporation Calculus removal
EP1073371A1 (en) * 1998-04-06 2001-02-07 Kyphon Inc. Structures and methods for creating cavities in interior body regions
US20070055277A1 (en) * 1998-04-06 2007-03-08 Kyphon Inc. Methods and devices for treating fractured and/or diseased bone using an expandable whisk structure
US7879038B2 (en) 1998-04-06 2011-02-01 Kyphon Sarl Apparatus, kits, and methods for creating cavities in cancellous bone using an elongated loop structure or bristles
US20080269760A1 (en) * 1998-04-06 2008-10-30 Kyphon Inc. Apparatus, kits, and methods for creating cavities in cancellous bone using an elongated loop structure or bristles
US20020188299A1 (en) * 1998-04-06 2002-12-12 Kyphon Inc. Structures and methods for creating cavities in interior body regions
US20070197861A1 (en) * 1998-04-06 2007-08-23 Kyphon Inc. Systems and methods for creating cavities in interior body regions
EP1073371A4 (en) * 1998-04-06 2005-02-02 Kyphon Inc Structures and methods for creating cavities in interior body regions
US20050043737A1 (en) * 1998-04-06 2005-02-24 Kyphon Inc. Structures for creating cavities in interior body regions
US6863672B2 (en) 1998-04-06 2005-03-08 Kyphon Inc. Structures and methods for creating cavities in interior body regions
US20070198020A1 (en) * 1998-04-06 2007-08-23 Kyphon Inc. Apparatus and method for creating cavities in interior body regions
US7909827B2 (en) 1998-04-06 2011-03-22 Kyphon Sarl Systems and methods for creating cavities in interior body regions
US20070055261A1 (en) * 1998-04-06 2007-03-08 Kyphon Inc. Systems and methods for creating cavities in interior body regions by propagation of energy
US6440138B1 (en) 1998-04-06 2002-08-27 Kyphon Inc. Structures and methods for creating cavities in interior body regions
US6156043A (en) * 1998-05-26 2000-12-05 Krahn; Henry P. Soft tissue morsellator
US20020156487A1 (en) * 2001-03-09 2002-10-24 Gellman Barry N. System for implanting an implant and method thereof
US6991597B2 (en) 2001-03-09 2006-01-31 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US6936052B2 (en) 2001-03-09 2005-08-30 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US8617048B2 (en) 2001-03-09 2013-12-31 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US8162816B2 (en) 2001-03-09 2012-04-24 Boston Scientific Scimed, Inc. System for implanting an implant and method thereof
US8033983B2 (en) 2001-03-09 2011-10-11 Boston Scientific Scimed, Inc. Medical implant
US7235043B2 (en) 2001-03-09 2007-06-26 Boston Scientific Scimed Inc. System for implanting an implant and method thereof
US7025772B2 (en) 2001-03-09 2006-04-11 Scimed Life Systems, Inc. System for implanting an implant and method thereof
US20020151909A1 (en) * 2001-03-09 2002-10-17 Gellman Barry N. System for implanting an implant and method thereof
US7080981B2 (en) * 2001-09-21 2006-07-25 Yoshitsugu Terauchi Device for removing a broken instrument, assisting instruments, and the method to retrieve a broken instrument from the root canal
US20030124485A1 (en) * 2001-09-21 2003-07-03 Yoshitsugu Teraushi Device for removing a broken piece its supportive instrument and method for removing a broken piece
US8632453B2 (en) 2002-12-17 2014-01-21 Boston Scientific Scimed, Inc. Spacer for sling delivery system
US7402133B2 (en) 2002-12-17 2008-07-22 Boston Scientific Scimed, Inc. Spacer for sling delivery system
US7824326B2 (en) 2003-07-31 2010-11-02 Boston Scientific Scimed, Inc. Bioabsorbable casing for surgical sling assembly
US7361138B2 (en) 2003-07-31 2008-04-22 Scimed Life Systems, Inc. Bioabsorbable casing for surgical sling assembly
US6923813B2 (en) 2003-09-03 2005-08-02 Kyphon Inc. Devices for creating voids in interior body regions and related methods
US20050090936A1 (en) * 2003-10-24 2005-04-28 Hitt Dale K. Two-wire control of sprinkler system
US20070068329A1 (en) * 2005-07-11 2007-03-29 Phan Christopher U Curette system
US20070060933A1 (en) * 2005-07-11 2007-03-15 Meera Sankaran Curette heads
US20070106304A1 (en) * 2005-11-03 2007-05-10 Vance Products Incorporated D/B/A Cook Urological Incorporated Articulating basket with simultaneous basket extension or basket retraction
US8597303B2 (en) * 2005-11-03 2013-12-03 Cook Medical Technologies Llc Articulating basket with simultaneous basket extension or basket retraction
US10603087B2 (en) 2008-01-14 2020-03-31 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US9788870B2 (en) 2008-01-14 2017-10-17 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US11399878B2 (en) 2008-01-14 2022-08-02 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US9517093B2 (en) 2008-01-14 2016-12-13 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
US9730739B2 (en) 2010-01-15 2017-08-15 Conventus Orthopaedics, Inc. Rotary-rigid orthopaedic rod
US20110190832A1 (en) * 2010-01-20 2011-08-04 Kyle Taylor Apparatus and methods for bone access and cavity preparation
US8961518B2 (en) 2010-01-20 2015-02-24 Conventus Orthopaedics, Inc. Apparatus and methods for bone access and cavity preparation
US9848889B2 (en) 2010-01-20 2017-12-26 Conventus Orthopaedics, Inc. Apparatus and methods for bone access and cavity preparation
US8906022B2 (en) 2010-03-08 2014-12-09 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
US20110218626A1 (en) * 2010-03-08 2011-09-08 Krinke Todd A Apparatus and methods for securing a bone implant
US9993277B2 (en) 2010-03-08 2018-06-12 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
US9550010B2 (en) 2010-07-02 2017-01-24 Agnovos Healthcare, Llc Methods of treating degenerative bone conditions
US10111663B2 (en) * 2011-02-18 2018-10-30 Ancora Heart, Inc. Implant retrieval device
US20140135799A1 (en) * 2011-02-18 2014-05-15 Guided Delivery Systems Inc. Implant retrieval device
US9808251B2 (en) * 2013-08-28 2017-11-07 Boston Scientific Scimed, Inc. Tissue resection devices and related methods
US20150066046A1 (en) * 2013-08-28 2015-03-05 Boston Scientific Scimed, Inc. Tissue resection devices and related methods
US10022132B2 (en) 2013-12-12 2018-07-17 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
US10076342B2 (en) 2013-12-12 2018-09-18 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
US20210212725A1 (en) * 2016-10-14 2021-07-15 Pacesetter, Inc. Catheter-based system for delivery and retrieval of a leadless pacemaker
US11596419B2 (en) 2017-03-09 2023-03-07 Flower Orthopedics Corporation Plating depth gauge and countersink instrument
US10918426B2 (en) 2017-07-04 2021-02-16 Conventus Orthopaedics, Inc. Apparatus and methods for treatment of a bone

Similar Documents

Publication Publication Date Title
US3181533A (en) Surgical snare
US3669487A (en) Tool
US5250056A (en) Forceps-type surgical instrument
US3518993A (en) Surgical clip applicator
DE2625425C3 (en) Device for attaching surgical clips
US5857723A (en) Hand tool for gripping objects
US2454878A (en) Fuse puller
US2654632A (en) Pivoted jaws forceps tool with locking means
DE2615821A1 (en) PLASTIC CLAMP
US10414032B2 (en) Push-to-connect fitting removal tool
DE19647354A1 (en) Surgical instrument for applying blood vessel clamps or clips
JPS6152697B2 (en)
US2300087A (en) Electric marine cable stripper
DE1527236C3 (en) BH rivet pliers
US3220743A (en) Gripping device
US2898916A (en) Devices for the gripping and ligaturing of the ends of tubular vessels
US2724985A (en) Wire stripper
US20160105006A1 (en) Shield Snipping Systems
US5161301A (en) Double-barrelled contact tool and method of using same
US2095137A (en) Operating implement for hot line clamps
US3426572A (en) Rivet setting tool
US4986588A (en) Weed puller with plug ejecting means
DE3632685A1 (en) Tool for processing cable ends
US2403718A (en) Accessory to turnbuckle wrench
US832143A (en) Policeman's nippers.