Method for manufacturing an end effector assembly

Information

  • Patent Grant
  • 8197633
  • Patent Number
    8,197,633
  • Date Filed
    Tuesday, March 15, 2011
    13 years ago
  • Date Issued
    Tuesday, June 12, 2012
    12 years ago
Abstract
A method of manufacturing a jaw member of an end effector assembly for use with an electrosurgical instrument is disclosed that includes the steps of providing an electrically conductive tissue engaging plate and a jaw support; covering one side of the electrically conductive tissue engaging plate with an electrically insulative, thermally non-degrading coating; placing and securing the electrically conductive tissue engaging plate and the jaw support into a jaw mold; and introducing a liquid substance into the jaw mold and allowing the liquid substance to cure around the electrically conductive tissue engaging plate and the jaw support. Alternatively, the method includes the steps of: providing an electrically conductive tissue engaging plate and a jaw support; covering one side of the electrically conductive tissue engaging plate with an electrically insulative, thermally non-degrading coating; and securing the side of the electrically conductive tissue engaging plate onto the jaw support with an adhesive.
Description
BACKGROUND

The present disclosure relates to electrosurgical instruments used for open and endoscopic surgical procedures. More particularly, the present disclosure relates to a method of manufacturing a bipolar forceps for sealing vessels and vascular tissue having an electrode assembly that is designed to enhance electrical isolation of the surface of the jaw of the forceps from an underlying strength member.


TECHNICAL FIELD

A hemostat or forceps is a simple plier-like tool that uses mechanical action between its jaws to constrict tissue and is commonly used in open surgical procedures to grasp, dissect and/or clamp tissue. Electrosurgical forceps utilize both mechanical clamping action and electrical energy to effect hemostasis by heating the tissue and blood vessels to coagulate, cauterize and/or seal tissue.


By utilizing an electrosurgical forceps, a surgeon can either cauterize, coagulate/desiccate tissue and/or simply reduce or slow bleeding by controlling the intensity, frequency and duration of the electrosurgical energy applied to the tissue. Generally, the electrical configuration of electrosurgical forceps can be categorized in two classifications: 1) monopolar electrosurgical forceps; and 2) bipolar electrosurgical forceps.


Monopolar forceps utilize one active electrode associated with the clamping end effector and a remote patient return electrode or pad that is attached externally to the patient. When the electrosurgical energy is applied, the energy travels from the active electrode, to the surgical site, through the patient and to the return electrode.


Bipolar electrosurgical forceps utilize two generally opposing electrodes that are generally disposed on the inner facing or opposing surfaces of the end effectors, which are, in turn, electrically coupled to an electrosurgical generator. Each electrode is charged to a different electric potential. Since tissue is a conductor of electrical energy, when the end effectors are utilized to clamp or grasp tissue therebetween, the electrical energy can be selectively transferred through the tissue.


Over the last several decades, more and more surgeons are complimenting traditional open methods of gaining access to vital organs and body cavities with endoscopes and endoscopic instruments that access organs through small puncture-like incisions. Endoscopic instruments are inserted into the patient through a cannula, or port, that has been made with a trocar. Typical sizes for cannulas range from three millimeters to twelve millimeters. Smaller cannulas are usually preferred, which, as can be appreciated, ultimately presents a design challenge to instrument manufacturers who must find ways to make surgical instruments that fit through the cannulas.


Certain surgical procedures require sealing blood vessels or vascular tissue. However, due to space limitations, surgeons can have difficulty suturing vessels or performing other traditional methods of controlling bleeding, e.g., clamping and/or tying-off transected blood vessels. Blood vessels, in the range below two millimeters in diameter, can often be closed using standard electrosurgical techniques. If a larger vessel is severed, it may be necessary for the surgeon to convert the endoscopic procedure into an open-surgical procedure and thereby abandon the benefits of laparoscopy.


It is known that the process of coagulating small vessels is fundamentally different than vessel sealing. For the purposes herein the term “coagulation” is defined as a process of desiccating tissue wherein the tissue cells are ruptured and dried. The term “vessel sealing” is defined as the process of liquefying the collagen in the tissue so that the tissue cross-links and reforms into a fused mass. Thus, coagulation of small vessels is sufficient to close them, however, larger vessels need to be sealed to assure permanent closure.


Several journal articles have disclosed methods for sealing small blood vessels using electrosurgery. An article entitled Studies on Coagulation and the Development of an Automatic Computerized Bipolar Coagulator, Journal of Neurosurgery, Volume 75, July 1991, describes a bipolar coagulator that is used to seal small blood vessels. The article states that it is not possible to safely coagulate arteries with a diameter larger than 2 to 2.5 mm. A second article is entitled Automatically Controlled Bipolar Electrocoagulation—“COA-COMP”, Neurosurg. Rev. (1984), pp. 187-190, describes a method for terminating electrosurgical power to the vessel so that charring of the vessel walls can be avoided.


In order to effect a proper seal with larger vessels, two predominant mechanical parameters must be accurately controlled—the pressure applied to the vessel and the gap between the electrodes, both of which affect thickness of the sealed vessel. More particularly, accurate application of the pressure may be important for several reasons: 1) to oppose the walls of the vessel; 2) to reduce the tissue impedance to a low enough value that allows enough electrosurgical energy through the tissue; 3) to overcome the forces of expansion during tissue heating; and 4) to contribute to the end tissue thickness, which is an indication of a good seal. In some instances a fused vessel wall is optimum between 0.001 and 0.006 inches. Below this range, the seal may shred or tear and above this range the lumens may not be properly or effectively sealed.


Numerous bipolar electrosurgical instruments have been proposed in the past for various open and endoscopic surgical procedures. However, some of these designs may not provide uniformly reproducible pressure to the blood vessel and may result in an ineffective or non-uniform seal. For example, U.S. Pat. No. 2,176,479 to Willis, U.S. Pat. Nos. 4,005,714 and 4,031,898 to Hiltebrandt, U.S. Pat. Nos. 5,827,274, 5,290,287 and 5,312,433 to Boebel et al., U.S. Pat. Nos. 4,370,980, 4,552,143, 5,026,370 and 5,116,332 to Lottick, U.S. Pat. No. 5,443,463 to Stern et al., U.S. Pat. No. 5,484,436 to Eggers et al. and U.S. Pat. No. 5,951,549 to Richardson et al., all relate to electrosurgical instruments for coagulating, sealing and cutting vessels or tissue.


Many of these instruments include blade members or shearing members that simply cut tissue in a mechanical and/or electromechanical manner and are relatively ineffective for vessel sealing purposes. Other instruments generally rely on clamping pressure alone to procure proper sealing thickness and are often not designed to take into account gap tolerances and/or parallelism and flatness requirements, which are parameters that, if properly controlled, can assure a consistent and effective tissue seal. For example, it is difficult to adequately control thickness of the resulting sealed tissue by controlling clamping pressure alone for either of two reasons: 1) if too much force is applied, there is a possibility that the two poles will touch and energy will not be transferred through the tissue resulting in an ineffective seal; or 2) if too low a force is applied, a thicker less reliable seal is created.


Currently, several tissue sealing devices employ jaws that are designed as two separate parts. The jaw is first covered in an over-mold material. Then the seal plate and the covered jaw are over-molded together. As a result, this manufacturing process requires two mold tools. In addition, each part must include features by which the part can be held while the molding occurs.


SUMMARY

It is an object of the present disclosure to provide a method for manufacturing an open and/or endoscopic electrosurgical instrument in which the two separate parts of the jaws of the forceps can be molded simultaneously to save tooling costs by first disposing an insulating layer on the back of the seal plate.


It is another object of the present disclosure to provide an open and/or endoscopic electrosurgical instrument in which the covering or coating on the back of the seal plate has enhanced thermal and electrical properties for isolation as compared to the thermal and electrical properties of the plastic mold material.


More particularly, one embodiment of the present disclosure relates to a method of manufacturing a jaw member of an end effector assembly for use with an electrosurgical instrument. The method includes the steps of providing an electrically conductive tissue engaging plate and a jaw support; covering one side of the electrically conductive tissue engaging plate with an electrically insulative, thermally non-degrading coating; placing and securing the electrically conductive tissue engaging plate and the jaw support into a jaw mold; and introducing a liquid substance into the jaw mold and allowing the liquid substance to cure around the electrically conductive tissue engaging plate and the jaw support. The coating of the covering step may be of uniform thickness across the electrically conductive tissue engaging plate. In addition, the coating of the covering step may include a thickness which provides a gap-set between the electrically conductive tissue engaging plate and the jaw support during the introducing step.


One embodiment of the present disclosure relates to another method for manufacturing a jaw member of an end effector assembly for use with an electrosurgical instrument wherein the method includes the steps of: providing an electrically conductive tissue engaging plate and a jaw support; covering one side of the electrically conductive tissue engaging plate with an electrically insulative, thermally non-degrading coating; and securing the side of the electrically conductive tissue engaging plate onto the jaw support with an adhesive. The coating of the covering step may be of uniform thickness across the electrically conductive tissue engaging plate. The coating of the covering step may include a thickness which provides a gap-set between the electrically conductive tissue engaging plate and the jaw support during the introducing step.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1 is a cross-section of a prior art electrode configuration with the electrode extending over the sides of the insulator;



FIG. 2A is a greatly-enlarged, top perspective view of a bottom jaw member of an end effector assembly with parts separated having an insulating layer applied according to one embodiment of the present disclosure;



FIG. 2B is a greatly-enlarged, bottom perspective view of the bottom jaw member of an end effector assembly of FIG. 2A;



FIG. 3A is a greatly-enlarged, top perspective view of a top jaw member of an end effector assembly with parts separated having an insulating layer applied according to one embodiment of the present disclosure;



FIG. 3B is a greatly-enlarged, bottom perspective view of the jaw member of an end effector assembly of FIG. 3A;



FIG. 4 is a cross-section of the electrode with an insulating layer applied to the electrode of FIGS. 2A and 2B;



FIG. 5 is a cross-section of an overmolded stamped electrode configuration showing an insulating layer applied to the electrode of FIGS. 2A and 2B and capturing a pinch trim which depends from the electrically conductive surface;



FIG. 6 is a perspective view of the open forceps of the present disclosure showing the operative motion of the forceps to effect sealing of a tubular vessel; and



FIG. 7 is a perspective view of an endoscopic version of the present disclosure showing the operative motion of the instrument to effect sealing of a tubular vessel.





DETAILED DESCRIPTION

It has been found that by altering the configuration of the electrode insulating material relative to the electrically conductive sealing surface, surgeons can more readily and easily produce a consistent, high quality seal and effectively reduce thermal spread across or to adjacent tissue. For the purposes herein the term “thermal spread” refers generally to the heat transfer (heat conduction, heat convection or electrical current dissipation) dissipating along the periphery of the electrically conductive or electrically active surfaces to adjacent tissue. This can also be termed “collateral damage” to adjacent tissue. It is envisioned that the configuration of the insulating material that surrounds the perimeter of the electrically conductive surface will effectively reduce current and thermal dissipation to adjacent tissue areas and generally restrict current travel to areas between the opposing electrodes. As mentioned above, this is different from dielectrically coating the outer surfaces of the instrument to prevent tissue “blanching” at points normal to the sealing site. These coatings are not designed or intended to reduce collateral tissue damage or thermal spread to adjacent tissue (tissue lying along the tissue sealing plane).


More particularly, altering the geometrical dimensions of the insulator relative to the electrically conductive surface alters the electrical path, thereby influencing the thermal spread/collateral damage to adjacent tissue structures. Preferably, the geometry of the insulating substrate also isolates the two electrically opposing poles (i.e., electrodes) from one another, thereby reducing the possibility that tissue or tissue fluids can create an unintended bridge or path for current travel. In other words, the insulator and electrically conductive sealing surface are preferably dimensioned such that the current is concentrated at the intended sealing site between the opposing electrically conductive surfaces as explained in more detail below.


Referring now to FIG. 1, an electrode jaw member 110 of an end effector assembly of the prior art is shown in which an electrically conductive seal surface 112 is disposed on an electrically insulating layer 111. The electrically conductive seal surface 112 contacts tissue. The electrically conductive seal surface 112 has a width such that the electrically conductive seal surface 112 overlaps the electrically insulating layer 111. The joining process of the electrically conductive seal surface 112 and the electrically insulating layer 111 result in electrode jaw member 110 having a height “h1”.


With respect to the method of manufacturing electrode jaw member 110, the jaw member 110 is first covered in an over-mold material and then the seal plate 112 and covered jaw 112 are over-molded together. The process requires two mold tools and features on each part to be held while the molding occurs.


Referring to FIGS. 2A, 2B, 3A and 3B, in one embodiment of the present disclosure, as best shown in FIG. 2A, a jaw member 310 of an electrosurgical forceps may include a support base 319 which extends distally from a flange 313. The jaw member 310 includes an electrically conductive tissue engaging surface or sealing plate 312. As best shown in FIG. 2B, the electrically conductive tissue engaging sealing plate 312 has vertically-extending edges 332, 334 extending about a periphery and along a length thereof of the electrically conductive plate 312. Vertically-extending edges 332 extend externally along the electrically conductive tissue engaging surface or sealing plate 312 while vertically-extending edges 334 extend internally along an opposite side surface 312′ of the electrically conductive tissue engaging surface or sealing plate 312. An electrically insulating layer 211 is disposed on the opposite side surface 312′ and along the vertically-extending edges 334 that extend internally along the opposite side surface 312′ and along at least a portion of the vertically-extending edges 332 that extend externally along the electrically conductive tissue engaging surface or sealing plate 312. A jaw support base 319 together with the electrically insulating layer 211 and electrically conductive tissue engaging surface 312 are encapsulated by an outer insulative housing or overmolding 314. Overmolding 314 includes a cavity 314a is dimensioned to securely engage the electrically conductive sealing surface or sealing plate 312 as well as the support base 319 and electrically insulating layer 211. Consequently, jaw member 310 has an electrically conductive sealing surface or sealing plate member 312 that is substantially surrounded by electrically insulating layer 211 and outer insulative housing or overmolding 314. The electrically conductive seal surface 312 contacts tissue.


For example, and as shown in FIG. 2A, the electrically conductive sealing plate 312 includes a peripheral flange 313, which surrounds the periphery of the sealing plate 312. Flange 313, is designed to matingly engage an inner lip 317 of the outer insulative housing or overmolding 314. A lead 325a extending from a circuit board (not shown) terminates within the outer insulating housing or overmolding 314 and is designed to electro-mechanically couple to the scaling plate 312 by virtue of a crimp-like connection 326a. For example, the electrically insulating layer 211 is disposed on the opposite side surface 312′ and along the vertically-extending edges 334 that extend internally along the opposite side surface 312′ and along at least a portion of the vertically-extending edges 332 that extend externally along the electrically conductive tissue engaging surface or sealing plate 312, electrically conductive sealing surface 312 and the outer insulating housing or overmolding 314 are preferably dimensioned to limit and/or reduce many of the known undesirable effects related to tissue sealing, e.g., flashover, thermal spread and stray current dissipation


As best shown in FIG. 4, electrically conductive sealing surface 312 may also include outer peripheral edges 332′ that have a pre-defined radius and the outer insulating housing or overmolding 314 meets the electrically insulating layer 211 and the electrically conductive sealing surface 312 along an adjoining edge 332 of the sealing surface 312 in a generally tangential position. At the interface, the electrically conductive surface 312 is raised relative to the outer housing 314.


As best illustrated in FIGS. 3A and 3B, jaw member 320 includes similar elements to jaw member 310 such as jaw insulating housing or overmolding 324, that encapsulates a support plate 329, an electrically insulating layer 221 and an electrically conductive tissue engaging sealing surface or sealing plate member 322. Similarly, the electrically conductive tissue engaging sealing plate 322 has vertically-extending edges 342, 344 extending about the periphery and along a length thereof of the electrically conductive plate 322. Vertically-extending edges 342 extend externally along the electrically conductive tissue engaging surface or sealing plate 322 while vertically-extending edges 344 extend internally along an opposite side surface 322′ of the electrically conductive tissue engaging surface or sealing plate 322. The electrically conductive surface or sealing plate member 322 forms a channel 362 on the opposite side surface 322′ of electrically conductive surface or sealing plate 322 such that the electrically conductive surface or sealing plate 322 and the channel 362 are dimensioned for the channel 362 to receive electrically insulating layer 221 disposed on the opposite side surface 322′.


Jaw member 320 may be assembled in a similar manner as described above with respect to jaw member 310, as described below.


Jaw members 310 and 320 are electrically isolated from one another such that electrosurgical energy can be effectively transferred through the tissue to form a tissue seal. For example, each jaw member, e.g., 310, includes a uniquely-designed electrosurgical cable path disposed therethrough that transmits electrosurgical energy to the electrically conductive sealing surface 312. Cable leads 325a and 325b, which supply power to electrode jaw members 310 and 320, respectively, are coupled to an electrosurgical generator (not shown) and are supported via support plates 319 and 329, respectively, and are held loosely but securely along the cable path to permit rotation of the jaw members 310 and 320. This configuration isolates electrically conductive sealing surface 312 from the remaining operative components of the end effector assembly 1000 or 122, jaw member 320 and shaft 12 or 109 (see FIGS. 6 and 7) and conversely isolates electrically conductive sealing surface 322 from the remaining operative components of the jaw member 310. The two electrical potentials are isolated from one another by virtue of the insulative sheathing surrounding the cable leads 325a and 325b.



FIG. 4 shows, in one embodiment, that the electrically insulating layer 211 or 221 may be made from a polymer or a polymer solution, which can be sprayed onto the opposite sides 312′ and 322′ of the conductive sealing surface 312 and 322, respectively. Alternatively, a ceramic material may be applied to the opposite sides 312′ and 322′ of electrically conductive seal plates or sealing surfaces 312 and 322 by plasma deposition or by other suitable mechanical techniques. The electrically insulating layers 211 and 221 may also be sprayed on in a uniform thickness to assure flatness.


By applying a coating of electrically insulating layer 211 and 221 onto sides 312′ and 322′ and vertically extending edges 332, 334 and 342, 344 of electrically conductive seal plates 312 and 322, respectively, enhanced thermal and electrical properties are provided so as to increase electrical and thermal isolation during activation, and may be dimensioned to regulate the gap distance to within a preferred gap range as described in more detail below with respect to FIG. 6. The coating of electrically insulating layer 211 and 221 may be made from a material selected from the group consisting of flame sprayed ceramic, vapor deposition polymer (parylene), an oxide layer, and an anodized coating.


In one particularly useful embodiment, overmoldings 314 and 324 are made from molded plastic material.


In another particularly useful embodiment, as best illustrated in FIGS. 2, 3 and 5, the insulating layer 211 of electrode 310 is attached to seal surface 312′ by applying an adhesive in an adhesive layer 251. The adhesive layer 251 may include a material that includes polyurethane or other adhesive fluids. In this case, the application of the jaw overmolding 314 is applied over the insulating layer 211 is optional. Those skilled in the art will recognize that adhesive 251 may be applied in a similar manner to the insulating layer 221 of electrode 320 and seal surface 322′. The method of manufacturing the insulating layer 211 or 221 using adhesive 251 is described below.


As mentioned above, the electrically insulating layers 211 and 221 and the overmolding 314 and 324 not only insulate the electric current but may also be dimensioned to regulate the gap distance G between the electrodes 310 and 320 when closed about tissue, which is known to contribute to the seal quality, consistency and the reduction of thermal spread across the tissue (See FIG. 6). Specifically, the coating regulates the gap set between the jaw support 319 or 329 and the plate 312 or 322 when inserted into the mold, The jaw mechanism (i.e., jaw members 310 and 320) and the coated seal surfaces 312 and 322 are held together simultaneously in a mold tool while plastic is caused to flow around the jaw members 310 and 320.


In addition, by attaching the electrically insulating layer 211 and 221 and overmolding 314 and 324 to the conductive surfaces 312′ and 322′, respectively, utilizing one of the above assembly techniques, the alignment and thickness, i.e., height “h2”, of the electrodes 310 and 320 can be controlled. For example, and as best illustrated in comparison of FIG. 1 to FIG. 4, the overmolding manufacturing technique reduces the overall height “h2” (FIG. 4) of the electrode 310 compared to traditional manufacturing techniques, which yield a height of “h1” (FIG. 1). The smaller height “h2” allows a user access to smaller areas within the body and facilitates sealing around more delicate tissue areas.


Moreover, the overmolding technique provides more insulation, i.e., electrically insulating layers 211 and 221, along the vertically extending edges of the electrically conductive surface, which also reduces thermal spread due to less electrode to tissue contact. By dimensioning electrically insulating layer, e.g., 211 and electrode 310 in this fashion (i.e., with reduced conductive surface area), the current is restricted (i.e., concentrated) to the intended seal area rather than current being able to travel to tissue outside the seal area, which may come into contact with an outer edge of the electrode 310 (see FIG. 4). In addition, the material of the jaw overmolding 314 (and 324) provides enhanced thermal and electrical insulation properties during activation.


More particularly, the varying geometry of the electrically insulating layer 211 (and 221) and jaw overmolding 314 (and 324) compared to the electrically conductive surface 312 also isolates the two opposing poles during activation, thereby reducing the possibility that tissue or tissue fluids will bridge a path for stray current being able to travel to surrounding tissue. As best seen in FIGS. 3A, 3B, 4 and 5, the electrode 310 may also include a pinch trim 331 that facilitates secure, integral engagement of the electrically insulating layer 211 (and 221) and jaw overmolding 314 (and 324) and the electrically conductive sealing surface 312 during the assembly and/or manufacturing process.



FIG. 6 shows a bipolar forceps 10 having an end effector assembly 1000 during use wherein handle members 16 and 18 are moved closer to one another to apply clamping force to the tubular tissue 150 to effect a seal 152. The end effector assembly 1000 may include first and second electrode jaw members 310 and 320, as previously described. Movement of the handle members 16 and 18 closer to one another is restricted by a gap set “G”, which is established between the upper electrically conductive seal plate 312 and the lower electrically conductive seal plate 322 by the application of the electrically insulating seal layers 211 and 221, respectively. Once sealed, the tubular vessel 150 can be cut along seal 152 to separate the tissue 150 and form a gap in the tissue 150 therebetween.


It is envisioned that by making the electrode assembly 21 disposable, the electrode assembly 21 is less likely to become damaged since it is only intended for a single operation and, therefore, does not require cleaning or sterilization. As a result, the functionality and consistency of the sealing components, e.g., the electrically conductive surface 312 (and 322) and electrically insulating layer 211 (and 221) and jaw overmolding 314 (and 324) will assure a uniform and quality seal and provide a tolerable and reliable reduction of thermal spread across tissue. Alternatively, the entire electrosurgical instrument may be disposable, which, again, will assure a uniform and quality seal with minimal thermal spread.



FIG. 7 shows an endoscopic bipolar instrument 100 during use wherein movement of a handle assembly 128 applies clamping force on the tubular tissue 150 to effect a seal 152. As shown, a shaft 109 and an end effector assembly or electrode assembly 122 are inserted through a trocar 130 and cannula 132 and a handle assembly 118 is actuated to cause opposing jaw members of the electrode assembly 122 to grasp tubular vessel 150 therebetween. More particularly, a movable handle 118b is moved progressively towards a fixed handle 118a, which, in turn, causes relative movement of the jaw members from an open, spaced-apart position to a closed, sealing position. A rotating member 123 allows the user to rotate the electrode assembly 122 into position about the tubular tissue 150 prior to activation. End effector assembly 122 may include first and second electrode jaw members 310 and 320, respectively, as described previously.


After the jaw members 310 and 320 are closed about the tissue 150, the user then applies electrosurgical energy via connection 128 to the tissue 150. By controlling the intensity, frequency and duration of the electrosurgical energy applied to the tissue 150, the user can either cauterize, coagulate/desiccate seal and/or simply reduce or slow bleeding with minimal collateral or thermal damage to surrounding tissue.


An electrosurgical forceps such as, for example but not limited to, open bipolar instrument 10 and end effector assembly 1000 (see FIG. 6) and endoscopic bipolar instrument 100 and electrode assembly 122 (see FIG. 7), may include a knife channel for passage of a knife for cutting tissue during surgical procedures.


From the foregoing and with reference to the various figure drawings, those skilled in the art will appreciate that certain modifications can also be made to the present disclosure without departing from the scope of the present disclosure. For example, although it is preferable that electrodes 310 and 320 meet in parallel opposition and, therefore, meet on the same plane, in some cases it may be preferable to slightly bias the electrodes 310 and 320 to meet each other at a distal end such that additional closure force on the handles 16 and 18 is required to deflect the electrodes in the same plane. It is envisioned that this could improve seal quality and/or consistency.


Although it is preferable that the electrode assembly 21 include housing 71 and cover plate 80 to engage mechanical forceps 20 therebetween, in some cases it may be preferable to manufacture the electrode assembly 21 such that only one piece, e.g., housing 71 is required to engage mechanical forceps 20.


The outer surface of the end effectors may include a nickel-based material, coating, stamping, metal injection molding that is designed to reduce adhesion between the end effectors (or components thereof) with the surrounding tissue during or after sealing.


One embodiment of the foregoing method for manufacturing the jaw member 310 or 320 of an end effector assembly 1000 or 122 for use with an electrosurgical instrument 10 or 100, respectively, includes the steps of providing an electrically conductive tissue engaging plate 312 or 322 and a jaw support 319 or 329 (See FIGS. 2A and 3A); covering one side 312′ or 322′ of the electrically conductive tissue engaging plate 312 or 322 with an electrically insulative, thermally non-degrading coating 211 or 221; placing and securing the electrically conductive tissue engaging plate 312 or 322 and the jaw support 319 or 329 into a jaw mold (not shown) and introducing a liquid substance (not shown) into the jaw mold and allowing the liquid substance (not shown) to cure around the electrically conductive tissue engaging plate 312 or 322 and the jaw support 319 or 329. The liquid substance may be selected from the group consisting of liquid crystal polymer, thermoplastic polymer, epoxy and silicone. The coating 211 or 221 of the covering step may be of uniform thickness across the electrically conductive tissue engaging plate 312 or 322. In addition, the coating 211 or 221 of the covering step may include a thickness that provides the gap-set “G” between the electrically conductive tissue engaging plate 312 or 322 and the jaw support 319 or 329 during the introducing step (see FIG. 6).


In another particularly useful embodiment, as best illustrated in FIGS. 2A and 3A, the insulating layer 211 and 221 of electrode 310 and 320 is attached to opposite side seal surface 312′ and 322′ via application of adhesive 251. As discussed previously, the adhesive 251 may include a material that includes polyurethane or other materials. Again, in this case, the application of the jaw over molding 314 and 324 over the insulating layer 211 and 221, respectively, is optional. Those skilled in the art will recognize that adhesive 251 may be applied in a similar manner to the insulating layer 221 of electrode 320 and seal surface 322.


Again, by applying a coating of electrically insulating layer 211 and 221 onto one side 312′ and 322′ of electrically conductive seal plates 312 and 322, respectively, enhanced thermal and electrical properties are provided so as to increase electrical and thermal isolation during activation and may be dimensioned to regulate the gap distance “G” to within a preferred gap range as described in more detail previously with respect to FIG. 6.


More particularly, referring to FIG. 6, one embodiment relating to the foregoing method for manufacturing the jaw member 110 or 120 of the end effector assembly 1000 for use with the electrosurgical instrument 10 or 100. The method includes the steps of: providing the electrically conductive tissue engaging plate 312 or 322 and the jaw support 319 or 329; covering one side 312′ or 322′ of the electrically conductive tissue engaging plate 312 or 322 with the electrically insulative, thermally non-degrading coating 211 or 221; and securing the side 312′ or 322′ of the electrically conductive tissue engaging plate 312 or 322 onto the jaw support 319 or 329 with the adhesive 251. The coating 211 or 221 of the covering step may be of uniform thickness across the electrically conductive tissue engaging plate 312 or 322. The coating 211 or 221 of the covering step may include a thickness that provides the gap-set “G” between the electrically conductive tissue engaging plate 312 or 322 and the jaw support 319 or 329 during the introducing step (see FIG. 6).


While more than one embodiment of the disclosure has been described, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of a preferred embodiment. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.

Claims
  • 1. A method for manufacturing a jaw member of an end effector assembly for use with an electrosurgical instrument, the method comprising the steps of: providing an electrically conductive tissue engaging plate, said electrically conductive tissue engaging plate having vertically-extending edges extending about a periphery and along a length thereof of said electrically conductive plate, and a jaw support;covering one side of the electrically conductive tissue engaging plate and said vertically-extending edges with an electrically insulative, thermally non-degrading coating; andsecuring the electrically insulative, thermally non-degrading coating covering the one side and said vertically-extending edges of the electrically conductive tissue engaging plate onto the jaw support with an adhesive.
  • 2. A method according to claim 1 wherein the step of covering includes covering the one side of the electrically conductive tissue engaging plate and said vertically-extending edges with an electrically insulative, thermally non-degrading coating with one of flame sprayed ceramic, vapor deposition polymer, an oxide layer, and an anodized coating.
  • 3. A method according to claim 1 wherein the step of securing includes securing the electrically insulative, thermally non-degrading coating covering the one side and said vertically-extending edges of the electrically conductive tissue engaging plate onto the jaw support with an adhesive that includes polyurethane.
  • 4. A method according to claim 1 wherein the step of covering includes covering one side of the electrically conductive tissue engaging plate and said vertically-extending edges with an electrically insulative, thermally non-degrading coating of uniform thickness across the electrically conductive tissue engaging plate.
  • 5. A method according to claim 1 wherein the step of covering includes covering one side of the electrically conductive tissue engaging plate and said vertically-extending edges with an electrically insulative, thermally non-degrading coating that includes a thickness that provides a gap-set between the electrically conductive tissue engaging plate and the jaw support during the securing step.
CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a divisional of U.S. patent application Ser. No. 11/529,414 by Paul Guerra entitled “METHOD FOR MANUFACTURING AN END EFFECTOR ASSEMBLY” filed on Sep. 28, 2006, published on Apr. 5, 2007 as U.S. Patent Application Publication US 2007/0074807 A1 entitled “METHOD FOR MANUFACTURING AN END EFFECTOR ASSEMBLY”, now U.S. Pat. No. 7,922,953 issued on Apr. 12, 2011 entitled “METHOD FOR MANUFACTURING AN END EFFECTOR ASSEMBLY”, and which claims the benefit of priority of U.S. Provisional Patent Application Ser. No. 60/722,186 by Paul Guerra entitled “METHOD FOR MANUFACTURING AN END EFFECTOR ASSEMBLY” filed on Sep. 30, 2005, the entire contents of each of which applications is incorporated herein by reference.

US Referenced Citations (1175)
Number Name Date Kind
1586645 Bierman Jun 1926 A
1813902 Bovie Jul 1931 A
1822330 Ainslie Sep 1931 A
1852542 Sovatkin Apr 1932 A
1908201 Welch et al. May 1933 A
1918889 Bacon Jul 1933 A
2002594 Wappler et al. May 1935 A
2011169 Wappler Aug 1935 A
2031682 Wappler et al. Feb 1936 A
2054149 Wappler Sep 1936 A
2113246 Wappler May 1937 A
2176479 Willis Oct 1939 A
2305156 Grubel Apr 1941 A
2245030 Gottesfeld et al. Jun 1941 A
2279753 Knopp Apr 1942 A
2327353 Karle Aug 1943 A
2632661 Cristofv Aug 1948 A
2668538 Baker Feb 1954 A
2796065 Kapp Jun 1957 A
2824915 Buturuga Feb 1958 A
3073311 Tibbs et al. Jan 1963 A
3100489 Bagley Aug 1963 A
3204807 Ramsing Sep 1965 A
3372288 Wigington Mar 1968 A
3459187 Pallotta Aug 1969 A
3561448 Peternel Feb 1971 A
3643663 Sutter Feb 1972 A
3648001 Anderson et al. Mar 1972 A
3651811 Hildebrandt et al. Mar 1972 A
3678229 Osika Jul 1972 A
3720896 Beierlein Mar 1973 A
3763726 Hildebrand Oct 1973 A
3779918 Ikeda et al. Dec 1973 A
3801766 Morrison, Jr. Apr 1974 A
3839614 Saganowski et al. Oct 1974 A
3862630 Balamuth Jan 1975 A
3863339 Reaney et al. Feb 1975 A
3866610 Kletschka Feb 1975 A
3875945 Friedman Apr 1975 A
3897786 Garnett et al. Aug 1975 A
3911766 Fridolph et al. Oct 1975 A
3920021 Hiltebrandt Nov 1975 A
3921641 Hulka Nov 1975 A
3938527 Rioux et al. Feb 1976 A
3952749 Fridolph et al. Apr 1976 A
3970088 Morrison Jul 1976 A
3987795 Morrison Oct 1976 A
4005714 Hiltebrandt Feb 1977 A
4016881 Rioux et al. Apr 1977 A
4031898 Hiltebrandt et al. Jun 1977 A
4041952 Morrison, Jr. et al. Aug 1977 A
4043342 Morrison, Jr. Aug 1977 A
4074718 Morrison, Jr. Feb 1978 A
4076028 Simmons Feb 1978 A
4080820 Allen Mar 1978 A
4088134 Mazzariello May 1978 A
4102471 Lore et al. Jul 1978 A
D249549 Pike Sep 1978 S
4112950 Pike Sep 1978 A
4127222 Adams Nov 1978 A
4128099 Bauer Dec 1978 A
4165746 Burgin Aug 1979 A
4187420 Piber Feb 1980 A
4200104 Harris Apr 1980 A
4233734 Bies Nov 1980 A
4236470 Stenson Dec 1980 A
4274413 Hahn et al. Jun 1981 A
4300564 Furihata Nov 1981 A
4306561 De Medinaceli Dec 1981 A
4311145 Esty et al. Jan 1982 A
D263020 Rau, III Feb 1982 S
4315510 Kihn Feb 1982 A
4363944 Poirier Dec 1982 A
4370980 Lottick Feb 1983 A
4375218 DiGeronimo Mar 1983 A
4394552 Schlosser Jul 1983 A
4416276 Newton et al. Nov 1983 A
4418692 Guay Dec 1983 A
4443935 Zamba et al. Apr 1984 A
4452246 Bader et al. Jun 1984 A
4470786 Sano et al. Sep 1984 A
4492231 Auth Jan 1985 A
4493320 Treat Jan 1985 A
4503855 Maslanka Mar 1985 A
4506669 Blake, III Mar 1985 A
4509518 McGarry et al. Apr 1985 A
4513271 Reisem Apr 1985 A
4552143 Lottick Nov 1985 A
4574804 Kurwa Mar 1986 A
4597379 Kihn et al. Jul 1986 A
4600007 Lahodny et al. Jul 1986 A
4619258 Pool Oct 1986 A
4624254 McGarry et al. Nov 1986 A
4644950 Valli Feb 1987 A
4655215 Pike Apr 1987 A
4655216 Tischer Apr 1987 A
4657016 Garito et al. Apr 1987 A
4662372 Sharkany et al. May 1987 A
4671274 Sorochenko Jun 1987 A
4674499 Pao Jun 1987 A
4685459 Xoch et al. Aug 1987 A
371664 Brannan et al. Oct 1987 A
4725395 Gasparaitis et al. Feb 1988 A
4733662 DeSatnick et al. Mar 1988 A
D295893 Sharkany et al. May 1988 S
D295894 Sharkany et al. May 1988 S
4753235 Hasson Jun 1988 A
4754892 Retief Jul 1988 A
4763669 Jaeger Aug 1988 A
D298353 Manno Nov 1988 S
D299413 DeCarolis Jan 1989 S
4805616 Pao Feb 1989 A
4827927 Newton May 1989 A
4827929 Hodge May 1989 A
4829313 Taggart May 1989 A
4846171 Kauphusman et al. Jul 1989 A
4887612 Esser et al. Dec 1989 A
4890610 Kirwan, Sr. et al. Jan 1990 A
4938761 Ensslin Jul 1990 A
4947009 Osika et al. Aug 1990 A
4973801 Frick et al. Nov 1990 A
4985030 Melzer et al. Jan 1991 A
5007908 Rydell Apr 1991 A
5026370 Lottick Jun 1991 A
5026371 Rydell et al. Jun 1991 A
5035695 Weber, Jr. et al. Jul 1991 A
5037433 Wilk et al. Aug 1991 A
5042707 Taheri Aug 1991 A
5047046 Bodoia Sep 1991 A
5052402 Bencini et al. Oct 1991 A
5078716 Doll Jan 1992 A
5084057 Green et al. Jan 1992 A
5085659 Rydell Feb 1992 A
5099840 Goble et al. Mar 1992 A
5100430 Avellanet et al. Mar 1992 A
5108392 Spingler Apr 1992 A
5112343 Thornton May 1992 A
5116332 Lottick May 1992 A
5122139 Sutter Jun 1992 A
5144323 Yonkers Sep 1992 A
5147357 Rose et al. Sep 1992 A
5151102 Kamiyama et al. Sep 1992 A
5151978 Bronikowski et al. Sep 1992 A
5158561 Rydell et al. Oct 1992 A
5169396 Dowlatshahi et al. Dec 1992 A
5176695 Dulebohn Jan 1993 A
5190541 Abele et al. Mar 1993 A
5196009 Kirwan, Jr. Mar 1993 A
5197964 Parins Mar 1993 A
5209747 Knoepfler May 1993 A
5211655 Hasson May 1993 A
5215101 Jacobs et al. Jun 1993 A
5217457 Delahuerga et al. Jun 1993 A
5217458 Parins Jun 1993 A
5217460 Knoepfler Jun 1993 A
5219354 Choudhury et al. Jun 1993 A
5244462 Delahuerga et al. Sep 1993 A
5250047 Rydell Oct 1993 A
5250056 Hasson Oct 1993 A
5250063 Abidin et al. Oct 1993 A
5258001 Corman Nov 1993 A
5258006 Rydell et al. Nov 1993 A
5261918 Phillips et al. Nov 1993 A
5267998 Hagen Dec 1993 A
5269780 Roos Dec 1993 A
5269804 Bales et al. Dec 1993 A
D343453 Noda Jan 1994 S
5275615 Rose Jan 1994 A
5277201 Stern Jan 1994 A
5281220 Blake, III Jan 1994 A
5282799 Rydell Feb 1994 A
5282800 Foshee et al. Feb 1994 A
5282826 Quadri Feb 1994 A
5290286 Parins Mar 1994 A
5290287 Boebel et al. Mar 1994 A
5300082 Sharpe et al. Apr 1994 A
5304203 El-Mallawany et al. Apr 1994 A
5308353 Beurrier May 1994 A
5308357 Lichtman May 1994 A
5312433 Boebel et al. May 1994 A
5313027 Inoue et al. May 1994 A
5314445 Degwitz et al. May 1994 A
5318589 Lichtman Jun 1994 A
5324289 Eggers Jun 1994 A
D348930 Olson Jul 1994 S
5326806 Yokoshima et al. Jul 1994 A
5330471 Eggers Jul 1994 A
5330502 Hassler et al. Jul 1994 A
D349341 Lichtman et al. Aug 1994 S
5334183 Wuchinich Aug 1994 A
5334215 Chen Aug 1994 A
5336220 Ryan et al. Aug 1994 A
5336221 Anderson Aug 1994 A
5342359 Rydell Aug 1994 A
5342381 Tidemand Aug 1994 A
5342393 Stack Aug 1994 A
5344424 Roberts et al. Sep 1994 A
5350391 Iacovelli Sep 1994 A
5352222 Rydell Oct 1994 A
5354271 Voda Oct 1994 A
5356408 Rydell Oct 1994 A
5359993 Slater et al. Nov 1994 A
5366477 LeMarie, III et al. Nov 1994 A
5367250 Whisenand Nov 1994 A
5368600 Failla et al. Nov 1994 A
5374277 Hassler Dec 1994 A
5376089 Smith Dec 1994 A
5376094 Kline Dec 1994 A
D354564 Medema Jan 1995 S
5383875 Bays et al. Jan 1995 A
5383880 Hooven Jan 1995 A
5383897 Wholey Jan 1995 A
5389098 Tsuruta et al. Feb 1995 A
5389103 Melzer et al. Feb 1995 A
5389104 Hahnen et al. Feb 1995 A
5391166 Eggers Feb 1995 A
5391183 Janzen et al. Feb 1995 A
5395360 Manoukian Mar 1995 A
5396900 Slater et al. Mar 1995 A
5397325 Della Badia et al. Mar 1995 A
5403312 Yates et al. Apr 1995 A
5403342 Tovey et al. Apr 1995 A
5405344 Williamson et al. Apr 1995 A
5409763 Serizawa et al. Apr 1995 A
D358887 Feinberg May 1995 S
5411519 Tovey et al. May 1995 A
5411520 Nash et al. May 1995 A
5413571 Katsaros et al. May 1995 A
5415656 Tihon et al. May 1995 A
5415657 Taymor-Luria May 1995 A
5417709 Slater May 1995 A
5422567 Matsunaga Jun 1995 A
5423810 Goble et al. Jun 1995 A
5425690 Chang Jun 1995 A
5425739 Jessen Jun 1995 A
5429616 Schaffer Jul 1995 A
5431672 Cote et al. Jul 1995 A
5431674 Basile et al. Jul 1995 A
5437292 Kipshidze et al. Aug 1995 A
5438302 Goble Aug 1995 A
5439478 Palmer Aug 1995 A
5441517 Kensey et al. Aug 1995 A
5443463 Stern et al. Aug 1995 A
5443464 Russell et al. Aug 1995 A
5443479 Bressi, Jr. Aug 1995 A
5443480 Jacobs et al. Aug 1995 A
5445638 Rydell et al. Aug 1995 A
5445658 Durrfeld et al. Aug 1995 A
5449480 Kuriya et al. Sep 1995 A
5451224 Goble et al. Sep 1995 A
5454809 Janssen Oct 1995 A
5454823 Richardson et al. Oct 1995 A
5454827 Aust et al. Oct 1995 A
5456684 Schmidt et al. Oct 1995 A
5458598 Feinberg et al. Oct 1995 A
5460629 Shlain et al. Oct 1995 A
5461765 Linden et al. Oct 1995 A
5462546 Rydell Oct 1995 A
5472442 Klicek Dec 1995 A
5472443 Cordis et al. Dec 1995 A
5476479 Green et al. Dec 1995 A
5478351 Meade et al. Dec 1995 A
5480406 Nolan et al. Jan 1996 A
5480409 Riza Jan 1996 A
5482054 Slater et al. Jan 1996 A
5484436 Eggers et al. Jan 1996 A
5493899 Beck et al. Feb 1996 A
5496312 Klicek Mar 1996 A
5496317 Goble et al. Mar 1996 A
5496347 Hashiguchi et al. Mar 1996 A
5499997 Sharpe et al. Mar 1996 A
5509922 Aranyi et al. Apr 1996 A
5512721 Young et al. Apr 1996 A
5514134 Rydell et al. May 1996 A
5520702 Sauer et al. May 1996 A
5527313 Scott et al. Jun 1996 A
5528833 Sakuma Jun 1996 A
5529067 Larsen et al. Jun 1996 A
5531744 Nardella et al. Jul 1996 A
5536251 Evard et al. Jul 1996 A
5540684 Hassler, Jr. Jul 1996 A
5540685 Parins et al. Jul 1996 A
5540706 Aust et al. Jul 1996 A
5540715 Katsaros et al. Jul 1996 A
5542945 Fritzsch Aug 1996 A
5549604 Sutcu et al. Aug 1996 A
5558671 Yates Sep 1996 A
5558672 Edwards et al. Sep 1996 A
5562619 Mirarchi et al. Oct 1996 A
5562699 Heimberger et al. Oct 1996 A
5562720 Stern et al. Oct 1996 A
5564615 Bishop et al. Oct 1996 A
5568859 Levy et al. Oct 1996 A
5569241 Edwardds Oct 1996 A
5569243 Kortenbach et al. Oct 1996 A
5571100 Goble et al. Nov 1996 A
5573424 Poppe Nov 1996 A
5573534 Stone Nov 1996 A
5573535 Viklund Nov 1996 A
5575799 Bolanos et al. Nov 1996 A
5575805 Li Nov 1996 A
5578052 Koros et al. Nov 1996 A
5579781 Cooke Dec 1996 A
5582611 Tsukagoshi et al. Dec 1996 A
5582617 Klieman et al. Dec 1996 A
5585896 Yamazaki et al. Dec 1996 A
5590570 LeMaire, III et al. Jan 1997 A
5591181 Stone et al. Jan 1997 A
5597107 Knodel et al. Jan 1997 A
5599350 Schulze et al. Feb 1997 A
5601224 Bishop et al. Feb 1997 A
5601601 Tal et al. Feb 1997 A
5601641 Stephens Feb 1997 A
5603711 Parins et al. Feb 1997 A
5603723 Aranyi et al. Feb 1997 A
5607436 Pratt et al. Mar 1997 A
5611798 Eggers Mar 1997 A
5611808 Hossain et al. Mar 1997 A
5611813 Lichtman Mar 1997 A
5618294 Aust et al. Apr 1997 A
5618307 Donlon et al. Apr 1997 A
5620415 Lucey et al. Apr 1997 A
5620453 Nallakrishnan Apr 1997 A
5620459 Lichtman Apr 1997 A
5624452 Yates Apr 1997 A
5626578 Tihon May 1997 A
5626607 Malecki et al. May 1997 A
5626609 Zvenyatsky et al. May 1997 A
5630833 Katsaros et al. May 1997 A
5637110 Pennybacker et al. Jun 1997 A
5638003 Hall Jun 1997 A
5639403 Ida et al. Jun 1997 A
5643294 Tovey et al. Jul 1997 A
5647869 Goble et al. Jul 1997 A
5647871 Levine et al. Jul 1997 A
5649959 Hannam et al. Jul 1997 A
5655650 Naitou Aug 1997 A
5658281 Heard Aug 1997 A
D384413 Zlock et al. Sep 1997 S
5662667 Knodel Sep 1997 A
5665100 Yoon Sep 1997 A
5667526 Levin Sep 1997 A
5674220 Fox et al. Oct 1997 A
5674229 Tovey et al. Oct 1997 A
5681282 Eggers et al. Oct 1997 A
5688270 Yates et al. Nov 1997 A
5690652 Wurster et al. Nov 1997 A
5690653 Richardson et al. Nov 1997 A
5693051 Schulze et al. Dec 1997 A
5693920 Maeda Dec 1997 A
5695522 LeMaire, III et al. Dec 1997 A
5700261 Brinkerhoff Dec 1997 A
5700270 Peyser et al. Dec 1997 A
5702390 Austin et al. Dec 1997 A
5707369 Vaitekunas et al. Jan 1998 A
5709680 Yates et al. Jan 1998 A
5713895 Lontine et al. Feb 1998 A
5716366 Yates Feb 1998 A
5720742 Zacharias Feb 1998 A
5720744 Eggleston et al. Feb 1998 A
5722421 Francese et al. Mar 1998 A
5725536 Oberlin et al. Mar 1998 A
5727428 LeMaire, III et al. Mar 1998 A
5735848 Yates et al. Apr 1998 A
5743906 Parins et al. Apr 1998 A
5752973 Kieturakis May 1998 A
5755717 Yates et al. May 1998 A
5759188 Yoon Jun 1998 A
5762255 Chrisman et al. Jun 1998 A
5762609 Benaron et al. Jun 1998 A
5766130 Selmonosky Jun 1998 A
5766166 Hooven Jun 1998 A
5766170 Eggers Jun 1998 A
5766196 Griffiths Jun 1998 A
5769849 Eggers Jun 1998 A
5772655 Bauer et al. Jun 1998 A
5772670 Brosa Jun 1998 A
5776128 Eggers Jul 1998 A
5776130 Buysse et al. Jul 1998 A
5776156 Shikhman Jul 1998 A
5779646 Koblish et al. Jul 1998 A
5779701 McBrayer et al. Jul 1998 A
5779727 Orejola Jul 1998 A
5781048 Nakao et al. Jul 1998 A
H1745 Paraschac Aug 1998 H
5791231 Cohn et al. Aug 1998 A
5792137 Carr et al. Aug 1998 A
5792165 Klieman et al. Aug 1998 A
5792177 Kaseda Aug 1998 A
5797537 Oberlin et al. Aug 1998 A
5797927 Yoon Aug 1998 A
5797938 Paraschac et al. Aug 1998 A
5797941 Schulze et al. Aug 1998 A
5797958 Yoon Aug 1998 A
5797959 Castro et al. Aug 1998 A
5800448 Banko Sep 1998 A
5800449 Wales Sep 1998 A
5807393 Williamson, IV et al. Sep 1998 A
5810764 Eggers et al. Sep 1998 A
5810805 Sutcu et al. Sep 1998 A
5810808 Eggers Sep 1998 A
5810811 Yates et al. Sep 1998 A
5810877 Roth et al. Sep 1998 A
5814043 Shapeton Sep 1998 A
5814054 Kortenbach et al. Sep 1998 A
5817083 Shemesh et al. Oct 1998 A
5817119 Klieman et al. Oct 1998 A
5820630 Lind Oct 1998 A
5824978 Karasik et al. Oct 1998 A
5827271 Buysse et al. Oct 1998 A
5827274 Bonnet et al. Oct 1998 A
5827279 Hughett et al. Oct 1998 A
5827281 Levin Oct 1998 A
5827323 Klieman et al. Oct 1998 A
5827548 Lavallee et al. Oct 1998 A
5830212 Cartmell et al. Nov 1998 A
5833690 Yates et al. Nov 1998 A
5833695 Yoon Nov 1998 A
5836072 Sullivan et al. Nov 1998 A
D402028 Grimm et al. Dec 1998 S
5843080 Fleenor et al. Dec 1998 A
5849022 Sakashita et al. Dec 1998 A
5851214 Larsen et al. Dec 1998 A
5853412 Mayenberger Dec 1998 A
5859527 Cook Jan 1999 A
5860976 Billings et al. Jan 1999 A
5865361 Milliman et al. Feb 1999 A
5876401 Schulze et al. Mar 1999 A
5876410 Petillo Mar 1999 A
5876412 Piraka Mar 1999 A
5882567 Cavallaro et al. Mar 1999 A
D408018 McNaughton Apr 1999 S
5891141 Rydell Apr 1999 A
5891142 Eggers et al. Apr 1999 A
5893863 Yoon Apr 1999 A
5893875 O'Connor et al. Apr 1999 A
5893877 Gampp, Jr. et al. Apr 1999 A
5897563 Yoon et al. Apr 1999 A
5902301 Olig May 1999 A
5906630 Anderhub et al. May 1999 A
5908420 Parins et al. Jun 1999 A
5908432 Pan Jun 1999 A
5911719 Eggers Jun 1999 A
5913874 Berns et al. Jun 1999 A
5921916 Aeikens et al. Jul 1999 A
5921984 Sutcu et al. Jul 1999 A
5925043 Kumar et al. Jul 1999 A
5928136 Barry Jul 1999 A
5935126 Riza Aug 1999 A
5938589 Wako et al. Aug 1999 A
5941869 Patterson et al. Aug 1999 A
5944718 Dafforn et al. Aug 1999 A
5951545 Schilling et al. Sep 1999 A
5951546 Lorentzen Sep 1999 A
5951549 Richardson et al. Sep 1999 A
5954720 Wilson et al. Sep 1999 A
5954731 Yoon Sep 1999 A
5954733 Yoon Sep 1999 A
5957923 Hahnen et al. Sep 1999 A
5957937 Yoon Sep 1999 A
5960544 Beyers Oct 1999 A
5961514 Long et al. Oct 1999 A
5964758 Dresden Oct 1999 A
D416089 Barton et al. Nov 1999 S
5976132 Morris Nov 1999 A
5984932 Yoon Nov 1999 A
5984938 Yoon Nov 1999 A
5984939 Yoon Nov 1999 A
5989277 LeMaire, III et al. Nov 1999 A
5993466 Yoon Nov 1999 A
5993467 Yoon Nov 1999 A
5993474 Ouchi Nov 1999 A
5997565 Inoue Dec 1999 A
6004332 Yoon et al. Dec 1999 A
6004335 Vaitekunas et al. Dec 1999 A
6010516 Hulka et al. Jan 2000 A
6010519 Mawhirt et al. Jan 2000 A
6017354 Culp et al. Jan 2000 A
6017358 Yoon et al. Jan 2000 A
6021693 Feng-Sing Feb 2000 A
6024741 Williamson et al. Feb 2000 A
6024743 Edwards Feb 2000 A
6024744 Kese et al. Feb 2000 A
6027522 Palmer Feb 2000 A
6030384 Nezhat Feb 2000 A
6033399 Gines Mar 2000 A
6039733 Buysse et al. Mar 2000 A
6041679 Slater et al. Mar 2000 A
6050995 Durgin Apr 2000 A
6050996 Schmaltz et al. Apr 2000 A
6053914 Eggers et al. Apr 2000 A
6053933 Balazs et al. Apr 2000 A
D424694 Tetzlaff et al. May 2000 S
D425201 Tetzlaff et al. May 2000 S
6059782 Novak et al. May 2000 A
6063103 Hashiguchi May 2000 A
6066139 Ryan et al. May 2000 A
6071283 Nardella et al. Jun 2000 A
6074386 Goble et al. Jun 2000 A
6077287 Taylor et al. Jun 2000 A
6080180 Yoon et al. Jun 2000 A
RE36795 Rydell Jul 2000 E
6083150 Aznoian et al. Jul 2000 A
6083223 Baker Jul 2000 A
6086586 Hooven Jul 2000 A
6086601 Yoon Jul 2000 A
6090107 Borgmeier et al. Jul 2000 A
6090123 Culp et al. Jul 2000 A
6096037 Mulier et al. Aug 2000 A
6099537 Sugai et al. Aug 2000 A
6099550 Yoon Aug 2000 A
6102909 Chen et al. Aug 2000 A
6106542 Toybin et al. Aug 2000 A
6110171 Rydell Aug 2000 A
6113596 Hooven et al. Sep 2000 A
6113598 Baker Sep 2000 A
6117158 Measamer et al. Sep 2000 A
6122549 Sharkey et al. Sep 2000 A
6123701 Nezhat Sep 2000 A
H1904 Yates et al. Oct 2000 H
6126658 Baker Oct 2000 A
6126665 Yoon Oct 2000 A
6139563 Cosgrove, III et al. Oct 2000 A
6143005 Yoon et al. Nov 2000 A
6152923 Ryan Nov 2000 A
6152924 Parins Nov 2000 A
6159217 Robie et al. Dec 2000 A
6162220 Nezhat Dec 2000 A
6171316 Kovac et al. Jan 2001 B1
6174309 Wrublewski et al. Jan 2001 B1
6174310 Kirwan, Jr. Jan 2001 B1
6178628 Clemens et al. Jan 2001 B1
6179834 Buysse et al. Jan 2001 B1
6179837 Hooven Jan 2001 B1
6183467 Shapeton et al. Feb 2001 B1
6187003 Buysse et al. Feb 2001 B1
6190386 Rydell Feb 2001 B1
6190400 VanDeMoer et al. Feb 2001 B1
6193709 Miyawaki et al. Feb 2001 B1
6193718 Kortenbach et al. Feb 2001 B1
6206876 Levine et al. Mar 2001 B1
6206877 Kese et al. Mar 2001 B1
6206893 Klein et al. Mar 2001 B1
6214028 Yoon et al. Apr 2001 B1
6217602 Redmon Apr 2001 B1
6217615 Sioshansi et al. Apr 2001 B1
6221039 Durgin et al. Apr 2001 B1
6223100 Green Apr 2001 B1
6224593 Ryan et al. May 2001 B1
6224614 Yoon May 2001 B1
6228080 Gines May 2001 B1
6228083 Lands et al. May 2001 B1
6248124 Pedros et al. Jun 2001 B1
6248944 Ito Jun 2001 B1
6261307 Yoon et al. Jul 2001 B1
6267761 Ryan Jul 2001 B1
6270497 Sekino et al. Aug 2001 B1
6270508 Klieman et al. Aug 2001 B1
6273887 Yamauchi et al. Aug 2001 B1
6277117 Tetzlaff et al. Aug 2001 B1
6280458 Boche et al. Aug 2001 B1
6283961 Underwood et al. Sep 2001 B1
D449886 Tetzlaff et al. Oct 2001 S
6298550 Kirwan Oct 2001 B1
6302424 Gisinger et al. Oct 2001 B1
6309404 Krzyzanowski Oct 2001 B1
6319262 Bates et al. Nov 2001 B1
6319451 Brune Nov 2001 B1
6322561 Eggers et al. Nov 2001 B1
6322580 Kanner Nov 2001 B1
6325795 Lindemann et al. Dec 2001 B1
6329778 Culp et al. Dec 2001 B1
6334860 Dorn Jan 2002 B1
6334861 Chandler et al. Jan 2002 B1
D453923 Olson Feb 2002 S
6345532 Coudray et al. Feb 2002 B1
6350264 Hooven Feb 2002 B1
D454951 Bon Mar 2002 S
6352536 Buysse et al. Mar 2002 B1
6358249 Chen et al. Mar 2002 B1
6358259 Swain et al. Mar 2002 B1
6358268 Hunt et al. Mar 2002 B1
6361534 Chen et al. Mar 2002 B1
6364879 Chen et al. Apr 2002 B1
D457958 Dycus et al. May 2002 S
D457959 Tetzlaff et al. May 2002 S
6385265 Duffy et al. May 2002 B1
6387094 Eitenmuller May 2002 B1
6391035 Appleby et al. May 2002 B1
702472 Pignolet Jun 2002 A1
6398779 Buysse et al. Jun 2002 B1
6402747 Lindemann et al. Jun 2002 B1
6409728 Ehr et al. Jun 2002 B1
H2037 Yates et al. Jul 2002 H
6419675 Gallo, Sr. Jul 2002 B1
6425896 Baltschun et al. Jul 2002 B1
6432112 Brock et al. Aug 2002 B2
6440130 Mulier et al. Aug 2002 B1
6440144 Bacher Aug 2002 B1
6443952 Mulier et al. Sep 2002 B1
6443970 Schulze et al. Sep 2002 B1
6451018 Lands et al. Sep 2002 B1
6458125 Cosmescu Oct 2002 B1
6458128 Schulze Oct 2002 B1
6458129 Scarfi Oct 2002 B2
6458130 Frazier et al. Oct 2002 B1
6461352 Morgan et al. Oct 2002 B2
6461368 Fogarty et al. Oct 2002 B2
6464701 Hooven et al. Oct 2002 B1
6464702 Schulze et al. Oct 2002 B2
6464704 Schmaltz et al. Oct 2002 B2
6471696 Berube et al. Oct 2002 B1
D465281 Lang Nov 2002 S
D466209 Bon Nov 2002 S
6485489 Teirstein et al. Nov 2002 B2
6488680 Francischelli et al. Dec 2002 B1
6494888 Laufer et al. Dec 2002 B1
6500176 Truckai et al. Dec 2002 B1
6506196 Laufer Jan 2003 B1
6508815 Strul et al. Jan 2003 B1
6511480 Tetzlaff et al. Jan 2003 B1
6514215 Ouchi Feb 2003 B1
6514252 Nezhat et al. Feb 2003 B2
6517536 Hooven et al. Feb 2003 B2
6517539 Smith et al. Feb 2003 B1
6527771 Weadock et al. Mar 2003 B1
6533784 Truckai et al. Mar 2003 B2
6537272 Christopherson et al. Mar 2003 B2
6545239 Spedale et al. Apr 2003 B2
6554844 Lee et al. Apr 2003 B2
728883 Downes May 2003 A1
6558385 McClurken et al. May 2003 B1
6562037 Paton et al. May 2003 B2
6569105 Kortenbach et al. May 2003 B1
6582450 Ouchi Jun 2003 B2
6585735 Frazier et al. Jul 2003 B1
6602252 Mollenauer Aug 2003 B2
6605790 Yoshida Aug 2003 B2
6610060 Mulier et al. Aug 2003 B2
6613048 Mulier et al. Sep 2003 B2
6616654 Mollenauer Sep 2003 B2
6616658 Ineson Sep 2003 B2
6616661 Wellman et al. Sep 2003 B2
6620161 Schulze et al. Sep 2003 B2
6620184 De Laforcade et al. Sep 2003 B2
6626901 Treat et al. Sep 2003 B1
6629534 St. Goar et al. Oct 2003 B1
6638287 Danitz et al. Oct 2003 B2
6641595 Moran et al. Nov 2003 B1
6652514 Ellman et al. Nov 2003 B2
6652521 Schulze Nov 2003 B2
6656173 Palermo Dec 2003 B1
6656175 Francischelli et al. Dec 2003 B2
6656177 Truckai et al. Dec 2003 B2
6660072 Chatterjee Dec 2003 B2
6663639 Laufer et al. Dec 2003 B1
6663641 Kovac et al. Dec 2003 B1
6666854 Lange Dec 2003 B1
6669696 Bacher et al. Dec 2003 B2
6673092 Bacher Jan 2004 B1
6676660 Wampler et al. Jan 2004 B2
6676676 Danitz et al. Jan 2004 B2
6679882 Kornerup Jan 2004 B1
6682527 Strul Jan 2004 B2
6682528 Frazier et al. Jan 2004 B2
6685724 Haluck Feb 2004 B1
6689131 McClurken Feb 2004 B2
6692445 Roberts et al. Feb 2004 B2
6693246 Rudolph et al. Feb 2004 B1
6695840 Schulze Feb 2004 B2
6702810 McClurken et al. Mar 2004 B2
6723092 Brown et al. Apr 2004 B2
6726068 Miller Apr 2004 B2
6726686 Buysse et al. Apr 2004 B2
6726694 Blatter et al. Apr 2004 B2
6733498 Paton et al. May 2004 B2
6733501 Levine May 2004 B2
6736813 Yamauchi et al. May 2004 B2
6743229 Buysse et al. Jun 2004 B2
6743230 Lutze et al. Jun 2004 B2
6743239 Kuehn et al. Jun 2004 B1
6743240 Smith et al. Jun 2004 B2
6755338 Hahnen et al. Jun 2004 B2
6755824 Jain et al. Jun 2004 B2
6755843 Chung et al. Jun 2004 B2
6756553 Yamaguchi et al. Jun 2004 B1
6757977 Dambal et al. Jul 2004 B2
D493888 Reschke Aug 2004 S
6770072 Truckai et al. Aug 2004 B1
6773409 Truckai et al. Aug 2004 B2
6773432 Clayman et al. Aug 2004 B1
6773434 Ciarrocca Aug 2004 B2
6773441 Laufer et al. Aug 2004 B1
6775575 Bommannan et al. Aug 2004 B2
6776780 Mulier et al. Aug 2004 B2
6786905 Swanson et al. Sep 2004 B2
6790217 Schulze et al. Sep 2004 B2
6796981 Wham et al. Sep 2004 B2
496997 Dycus et al. Oct 2004 A1
6800825 Sasaki et al. Oct 2004 B1
6802843 Truckai et al. Oct 2004 B2
6808525 Latterell et al. Oct 2004 B2
D499181 Dycus et al. Nov 2004 S
6818000 Muller et al. Nov 2004 B2
6818007 Dampney et al. Nov 2004 B1
6821273 Mollenauer Nov 2004 B2
6821285 Laufer et al. Nov 2004 B2
6824547 Wilson, Jr. et al. Nov 2004 B2
6830174 Hillstead et al. Dec 2004 B2
6835200 Laufer et al. Dec 2004 B2
6857357 Fujii Feb 2005 B2
6858028 Mulier et al. Feb 2005 B2
D502994 Blake, III Mar 2005 S
6860880 Treat et al. Mar 2005 B2
6878147 Prakash et al. Apr 2005 B2
6887240 Lands et al. May 2005 B1
6889116 Jinno May 2005 B2
6908463 Treat et al. Jun 2005 B2
6914201 Van Vooren et al. Jul 2005 B2
6926716 Baker et al. Aug 2005 B2
6929644 Truckai et al. Aug 2005 B2
6932810 Ryan Aug 2005 B2
6932816 Phan Aug 2005 B2
6934134 Mori et al. Aug 2005 B2
6936061 Sasaki Aug 2005 B2
D509297 Wells Sep 2005 S
6942662 Goble et al. Sep 2005 B2
6943311 Miyako Sep 2005 B2
6951559 Greep Oct 2005 B1
6953430 Kodooka Oct 2005 B2
6953461 McClurken et al. Oct 2005 B2
6958070 Witt et al. Oct 2005 B2
6960210 Lands et al. Nov 2005 B2
6964662 Kidooka Nov 2005 B2
6966907 Goble Nov 2005 B2
6972017 Smith et al. Dec 2005 B2
6976492 Ingle et al. Dec 2005 B2
6977495 Donofrio Dec 2005 B2
6979786 Aukland et al. Dec 2005 B2
6981628 Wales Jan 2006 B2
6987244 Bauer Jan 2006 B2
6994707 Ellman et al. Feb 2006 B2
6994709 Iida Feb 2006 B2
6997931 Sauer et al. Feb 2006 B2
7001381 Harano et al. Feb 2006 B2
7001408 Knodel et al. Feb 2006 B2
7011657 Truckai et al. Mar 2006 B2
7025763 Karasawa et al. Apr 2006 B2
7033354 Keppel Apr 2006 B2
7033356 Latterell et al. Apr 2006 B2
7041102 Truckai et al. May 2006 B2
7044948 Keppel May 2006 B2
7052489 Griego et al. May 2006 B2
7052496 Yamauchi May 2006 B2
7063699 Hess et al. Jun 2006 B2
7063715 Onuki et al. Jun 2006 B2
D525361 Hushka Jul 2006 S
7070597 Truckai et al. Jul 2006 B2
7083618 Couture et al. Aug 2006 B2
7083619 Truckai et al. Aug 2006 B2
7083620 Jahns et al. Aug 2006 B2
7087051 Bourne et al. Aug 2006 B2
7087054 Truckai et al. Aug 2006 B2
7090673 Dycus et al. Aug 2006 B2
7090689 Nagase et al. Aug 2006 B2
7101371 Dycus et al. Sep 2006 B2
7101372 Dycus et al. Sep 2006 B2
7101373 Dycus et al. Sep 2006 B2
7103947 Sartor et al. Sep 2006 B2
7107124 Green Sep 2006 B2
7108694 Miura et al. Sep 2006 B2
7112199 Cosmescu Sep 2006 B2
D531311 Guerra et al. Oct 2006 S
7115123 Knowlton et al. Oct 2006 B2
7115139 McClurken et al. Oct 2006 B2
7118570 Tetzlaff et al. Oct 2006 B2
7118587 Dycus et al. Oct 2006 B2
7131860 Sartor et al. Nov 2006 B2
7131970 Moses et al. Nov 2006 B2
7131971 Dycus et al. Nov 2006 B2
7135018 Ryan et al. Nov 2006 B2
7135020 Lawes et al. Nov 2006 B2
7137980 Buysse et al. Nov 2006 B2
D533274 Visconti et al. Dec 2006 S
D533942 Kerr et al. Dec 2006 S
7145757 Shea et al. Dec 2006 B2
7147632 Prakash et al. Dec 2006 B2
7147638 Chapman et al. Dec 2006 B2
7150097 Sremcich et al. Dec 2006 B2
7150749 Dycus et al. Dec 2006 B2
7153314 Laufer et al. Dec 2006 B2
D535027 James et al. Jan 2007 S
7156842 Sartor et al. Jan 2007 B2
7156846 Dycus et al. Jan 2007 B2
7160298 Lawes et al. Jan 2007 B2
7160299 Baily Jan 2007 B2
7166106 Bartel et al. Jan 2007 B2
7169145 Isaacson et al. Jan 2007 B2
7169146 Truckai et al. Jan 2007 B2
7179255 Lettice et al. Feb 2007 B2
7179258 Buysse et al. Feb 2007 B2
D538932 Malik Mar 2007 S
7189233 Truckai et al. Mar 2007 B2
7195631 Dumbauld Mar 2007 B2
D541418 Schechter et al. Apr 2007 S
7204835 Latterell et al. Apr 2007 B2
7207990 Lands et al. Apr 2007 B2
7208005 Frecker et al. Apr 2007 B2
D541611 Aglassinge May 2007 S
D541938 Kerr et al May 2007 S
7211084 Goble et al. May 2007 B2
7223264 Daniel et al. May 2007 B2
7223265 Keppel May 2007 B2
D545432 Watanabe Jun 2007 S
7232440 Dumbauld et al. Jun 2007 B2
D547154 Lee Jul 2007 S
7238184 Megerman et al. Jul 2007 B2
7241288 Braun Jul 2007 B2
7241296 Buysse et al. Jul 2007 B2
7244257 Podhajsky et al. Jul 2007 B2
7246734 Shelton, IV Jul 2007 B2
7248944 Green Jul 2007 B2
7252667 Moses et al. Aug 2007 B2
7255697 Dycus et al. Aug 2007 B2
7267677 Johnson et al. Sep 2007 B2
7270660 Ryan Sep 2007 B2
7270664 Johnson et al. Sep 2007 B2
7276068 Johnson et al. Oct 2007 B2
7291161 Hooven Nov 2007 B2
7300435 Wham et al. Nov 2007 B2
7303557 Wham et al. Dec 2007 B2
7311709 Truckai et al. Dec 2007 B2
7314471 Holman Jan 2008 B2
7318823 Sharps et al. Jan 2008 B2
7326202 McGaffigan Feb 2008 B2
7329256 Johnson et al. Feb 2008 B2
7329257 Kanehira et al. Feb 2008 B2
D564662 Moses et al. Mar 2008 S
7338526 Steinberg Mar 2008 B2
7342754 Fitzgerald et al. Mar 2008 B2
7344268 Jhigamian Mar 2008 B2
7347864 Vargas Mar 2008 B2
D567943 Moses et al. Apr 2008 S
7354440 Truckal et al. Apr 2008 B2
7367976 Lawes et al. May 2008 B2
7377920 Buysse et al. May 2008 B2
7384420 Dycus et al. Jun 2008 B2
7384421 Hushka Jun 2008 B2
7396265 Darley et al. Jul 2008 B2
7396336 Orszulak et al. Jul 2008 B2
7396356 Mollenauer Jul 2008 B2
D575395 Hushka Aug 2008 S
D575401 Hixson et al. Aug 2008 S
7425835 Eisele Sep 2008 B2
7431721 Paton et al. Oct 2008 B2
7435249 Buysse et al. Oct 2008 B2
7442193 Shields et al. Oct 2008 B2
7442194 Dumbauld et al. Oct 2008 B2
7445621 Dumbauld et al. Nov 2008 B2
D582038 Swoyer et al. Dec 2008 S
7458972 Keppel Dec 2008 B2
7473253 Dycus et al. Jan 2009 B2
7481810 Dumbauld et al. Jan 2009 B2
7487780 Hooven Feb 2009 B2
7491201 Shields et al. Feb 2009 B2
7491202 Odom et al. Feb 2009 B2
7500975 Cunningham et al. Mar 2009 B2
7503474 Hillstead et al. Mar 2009 B2
7510556 Nguyen et al. Mar 2009 B2
7513898 Johnson et al. Apr 2009 B2
7517351 Culp et al. Apr 2009 B2
7540872 Schechter et al. Jun 2009 B2
7549995 Schultz Jun 2009 B2
7553312 Tetzlaff et al. Jun 2009 B2
7582087 Tetzlaff et al. Sep 2009 B2
7588565 Marchitto et al. Sep 2009 B2
7594313 Prakash et al. Sep 2009 B2
7594916 Weinberg Sep 2009 B2
7597693 Garrison Oct 2009 B2
7621910 Sugi Nov 2009 B2
7624186 Tanida Nov 2009 B2
7628791 Garrison et al. Dec 2009 B2
7628792 Guerra Dec 2009 B2
7637409 Marczyk Dec 2009 B2
7641653 Dalla Betta et al. Jan 2010 B2
7651493 Arts et al. Jan 2010 B2
7651494 McClurken et al. Jan 2010 B2
7655007 Baily Feb 2010 B2
7668597 Engmark et al. Feb 2010 B2
7678111 Mulier et al. Mar 2010 B2
7686804 Johnson et al. Mar 2010 B2
7686827 Hushka Mar 2010 B2
7708735 Chapman et al. May 2010 B2
7717115 Barrett et al. May 2010 B2
7717904 Suzuki et al. May 2010 B2
7717914 Kimura May 2010 B2
7717915 Miyazawa May 2010 B2
7722607 Dumbauld et al. May 2010 B2
D617900 Kingsley et al. Jun 2010 S
D617901 Unger et al. Jun 2010 S
D617902 Twomey et al. Jun 2010 S
D617903 Unger et al. Jun 2010 S
D618798 Olson et al. Jun 2010 S
7731717 Odom et al. Jun 2010 B2
7736374 Vaughan et al. Jun 2010 B2
7744615 Couture Jun 2010 B2
7749217 Podhajsky Jul 2010 B2
7753908 Swanson Jul 2010 B2
7753909 Chapman et al. Jul 2010 B2
D621503 Otten et al. Aug 2010 S
7766910 Hixson et al. Aug 2010 B2
7771425 Dycus et al. Aug 2010 B2
7776036 Schechter et al. Aug 2010 B2
7776037 Odom Aug 2010 B2
7780662 Bahney Aug 2010 B2
7780663 Yates et al. Aug 2010 B2
7789878 Dumbauld et al. Sep 2010 B2
7799026 Schechter et al. Sep 2010 B2
7799028 Schechter et al. Sep 2010 B2
7811283 Moses et al. Oct 2010 B2
7819872 Johnson et al. Oct 2010 B2
D627462 Kingsley Nov 2010 S
D628289 Romero Nov 2010 S
D628290 Romero Nov 2010 S
7828798 Buysse et al. Nov 2010 B2
7832408 Shelton, IV et al. Nov 2010 B2
7837685 Weinberg et al. Nov 2010 B2
7839674 Lowrey et al. Nov 2010 B2
7842033 Isaacson et al. Nov 2010 B2
7846158 Podhajsky Dec 2010 B2
7846161 Dumbauld et al. Dec 2010 B2
7857812 Dycus et al. Dec 2010 B2
D630324 Reschke Jan 2011 S
7877852 Unger et al. Feb 2011 B2
7877853 Unger et al. Feb 2011 B2
7879035 Garrison et al. Feb 2011 B2
7887535 Lands et al. Feb 2011 B2
7887536 Johnson et al. Feb 2011 B2
7896878 Johnson et al. Mar 2011 B2
7898288 Wong Mar 2011 B2
7900805 Shelton, IV et al. Mar 2011 B2
7901400 Wham et al. Mar 2011 B2
7905380 Shelton, IV et al. Mar 2011 B2
7909820 Lipson et al. Mar 2011 B2
7909823 Moses et al. Mar 2011 B2
7922718 Moses et al. Apr 2011 B2
7922953 Guerra Apr 2011 B2
7931649 Couture et al. Apr 2011 B2
7935052 Dumbauld May 2011 B2
7945332 Schechter May 2011 B2
7947041 Tetzlaff et al. May 2011 B2
7951149 Carlton May 2011 B2
7951150 Johnson et al. May 2011 B2
7955332 Arts et al. Jun 2011 B2
7963965 Buysse et al. Jun 2011 B2
7967839 Flock et al. Jun 2011 B2
7972328 Wham et al. Jul 2011 B2
7976544 McClurken et al. Jul 2011 B2
20020107517 Witt et al. Aug 2002 A1
20020111624 Witt et al. Aug 2002 A1
20020165469 Murakami Nov 2002 A1
20030014052 Buysse et al. Jan 2003 A1
20030014053 Nguyen et al. Jan 2003 A1
20030018332 Schmaltz et al. Jan 2003 A1
20030069570 Witzel et al. Apr 2003 A1
20030109875 Tetzlaff et al. Jun 2003 A1
20030114851 Truckai et al. Jun 2003 A1
20030130653 Sixto, Jr. et al. Jul 2003 A1
20030139741 Goble et al. Jul 2003 A1
20030158548 Phan et al. Aug 2003 A1
20030171747 Kanehira et al. Sep 2003 A1
20030181910 Dycus et al. Sep 2003 A1
20030191396 Sanghvi et al. Oct 2003 A1
20030216732 Truckai et al. Nov 2003 A1
20030229344 Dycus et al. Dec 2003 A1
20030236325 Bonora Dec 2003 A1
20040030330 Brassell et al. Feb 2004 A1
20040064151 Mollenauer Apr 2004 A1
20040073238 Makower Apr 2004 A1
20040073256 Marchitto et al. Apr 2004 A1
20040115296 Duffin Jun 2004 A1
20040176779 Casutt et al. Sep 2004 A1
20040199181 Knodel et al. Oct 2004 A1
20040224590 Rawa et al. Nov 2004 A1
20040236326 Schulze et al. Nov 2004 A1
20040249374 Tetzlaff et al. Dec 2004 A1
20040260281 Baxter, III et al. Dec 2004 A1
20050004564 Wham et al. Jan 2005 A1
20050004569 Witt et al. Jan 2005 A1
20050033278 McClurken et al. Feb 2005 A1
20050059858 Frith et al. Mar 2005 A1
20050059934 Wenchell et al. Mar 2005 A1
20050096645 Wellman et al. May 2005 A1
20050149017 Dycus Jul 2005 A1
20050254081 Ryu et al. Nov 2005 A1
20050283148 Janssen et al. Dec 2005 A1
20060052779 Hammill Mar 2006 A1
20060064086 Odom Mar 2006 A1
20060079933 Hushka et al. Apr 2006 A1
20060084973 Hushka Apr 2006 A1
20060173452 Buysse et al. Aug 2006 A1
20060190035 Hushka et al. Aug 2006 A1
20060217709 Couture et al. Sep 2006 A1
20060253126 Bjerken et al. Nov 2006 A1
20060259036 Tetzlaff et al. Nov 2006 A1
20060264922 Sartor et al. Nov 2006 A1
20060283093 Petrovic et al. Dec 2006 A1
20060287641 Perlin Dec 2006 A1
20070043337 McAuley Feb 2007 A1
20070043353 Dycus et al. Feb 2007 A1
20070062017 Dycus et al. Mar 2007 A1
20070118115 Artale et al. May 2007 A1
20070173811 Couture et al. Jul 2007 A1
20070173813 Odom Jul 2007 A1
20070198011 Sugita Aug 2007 A1
20070225695 Mayer et al. Sep 2007 A1
20070255279 Buysse et al. Nov 2007 A1
20070260238 Guerra Nov 2007 A1
20070260242 Dycus et al. Nov 2007 A1
20070265616 Couture et al. Nov 2007 A1
20070265620 Kraas et al. Nov 2007 A1
20080004616 Patrick Jan 2008 A1
20080015575 Odom et al. Jan 2008 A1
20080033428 Artale et al. Feb 2008 A1
20080039831 Odom et al. Feb 2008 A1
20080039835 Johnson et al. Feb 2008 A1
20080045947 Johnson et al. Feb 2008 A1
20080058802 Couture et al. Mar 2008 A1
20080082100 Orton et al. Apr 2008 A1
20080125767 Blaha May 2008 A1
20080125797 Kelleher May 2008 A1
20080208289 Darley et al. Aug 2008 A1
20080215050 Bakos Sep 2008 A1
20080234701 Morales et al. Sep 2008 A1
20080243120 Lawes et al. Oct 2008 A1
20080243158 Morgan Oct 2008 A1
20080249523 McPherson et al. Oct 2008 A1
20080249527 Couture Oct 2008 A1
20080271360 Barfield Nov 2008 A1
20080281311 Dunning et al. Nov 2008 A1
20080300580 Shelton, IV et al. Dec 2008 A1
20080312653 Arts et al. Dec 2008 A1
20080319442 Unger et al. Dec 2008 A1
20090012520 Hixson et al. Jan 2009 A1
20090012556 Boudreaux et al. Jan 2009 A1
20090015832 Popovic et al. Jan 2009 A1
20090024126 Artale et al. Jan 2009 A1
20090036881 Artale et al. Feb 2009 A1
20090036899 Carlton et al. Feb 2009 A1
20090043304 Tetzlaff et al. Feb 2009 A1
20090048596 Shields et al. Feb 2009 A1
20090062794 Buysse et al. Mar 2009 A1
20090065565 Cao Mar 2009 A1
20090076534 Shelton, IV et al. Mar 2009 A1
20090082766 Unger et al. Mar 2009 A1
20090088738 Guerra et al. Apr 2009 A1
20090088739 Hushka et al. Apr 2009 A1
20090088740 Guerra et al. Apr 2009 A1
20090088741 Hushka et al. Apr 2009 A1
20090088744 Townsend Apr 2009 A1
20090088745 Hushka et al. Apr 2009 A1
20090088746 Hushka et al. Apr 2009 A1
20090088747 Hushka et al. Apr 2009 A1
20090088748 Guerra et al. Apr 2009 A1
20090088749 Hushka et al. Apr 2009 A1
20090088750 Hushka et al. Apr 2009 A1
20090105750 Price et al. Apr 2009 A1
20090112200 Eggers Apr 2009 A1
20090112206 Dumbauld et al. Apr 2009 A1
20090131934 Odom et al. May 2009 A1
20090138006 Bales et al. May 2009 A1
20090149853 Shields et al. Jun 2009 A1
20090149854 Cunningham et al. Jun 2009 A1
20090157071 Wham et al. Jun 2009 A1
20090157072 Wham et al. Jun 2009 A1
20090157075 Wham et al. Jun 2009 A1
20090171350 Dycus et al. Jul 2009 A1
20090171354 Deville et al. Jul 2009 A1
20090177094 Brown et al. Jul 2009 A1
20090182327 Unger Jul 2009 A1
20090182329 Dycus Jul 2009 A1
20090187188 Guerra et al. Jul 2009 A1
20090198233 Chojin Aug 2009 A1
20090204114 Odom Aug 2009 A1
20090209957 Schmaltz et al. Aug 2009 A1
20090209960 Chojin Aug 2009 A1
20090234354 Johnson et al. Sep 2009 A1
20090248021 Mckenna Oct 2009 A1
20090254081 Allison et al. Oct 2009 A1
20090261804 McKenna et al. Oct 2009 A1
20090292282 Dycus Nov 2009 A9
20090318912 Mayer et al. Dec 2009 A1
20100016857 McKenna et al. Jan 2010 A1
20100023009 Moses et al. Jan 2010 A1
20100036375 Regadas Feb 2010 A1
20100042140 Cunningham Feb 2010 A1
20100042142 Cunningham Feb 2010 A1
20100042143 Cunningham Feb 2010 A1
20100049187 Carlton et al. Feb 2010 A1
20100057081 Hanna Mar 2010 A1
20100057082 Hanna Mar 2010 A1
20100057083 Hanna Mar 2010 A1
20100057084 Hanna Mar 2010 A1
20100063500 Muszala Mar 2010 A1
20100069903 Allen, IV et al. Mar 2010 A1
20100069904 Cunningham Mar 2010 A1
20100069953 Cunningham et al. Mar 2010 A1
20100076427 Heard Mar 2010 A1
20100076430 Romero Mar 2010 A1
20100076431 Allen, IV Mar 2010 A1
20100076432 Horner Mar 2010 A1
20100087816 Roy Apr 2010 A1
20100087818 Cunningham Apr 2010 A1
20100094271 Ward et al. Apr 2010 A1
20100094286 Chojin Apr 2010 A1
20100094287 Cunningham et al. Apr 2010 A1
20100100122 Hinton Apr 2010 A1
20100130971 Baily May 2010 A1
20100130977 Garrison et al. May 2010 A1
20100145334 Olson et al. Jun 2010 A1
20100179539 Nau, Jr. Jul 2010 A1
20100179543 Johnson et al. Jul 2010 A1
20100179545 Twomey et al. Jul 2010 A1
20100179546 Cunningham Jul 2010 A1
20100179547 Cunningham et al. Jul 2010 A1
20100198248 Vakharia Aug 2010 A1
20100204697 Dumbauld et al. Aug 2010 A1
20100204698 Chapman et al. Aug 2010 A1
20100217258 Floume et al. Aug 2010 A1
20100217264 Odom et al. Aug 2010 A1
20100249769 Nau, Jr. et al. Sep 2010 A1
20100249776 Kerr Sep 2010 A1
20100256635 McKenna et al. Oct 2010 A1
20100274244 Heard Oct 2010 A1
20100280511 Rachlin et al. Nov 2010 A1
20100280515 Hixson et al. Nov 2010 A1
20100286691 Kerr et al. Nov 2010 A1
20100307934 Chowaniec et al. Dec 2010 A1
20100312235 Bahney Dec 2010 A1
20100312238 Schechter et al. Dec 2010 A1
20100312242 Odom Dec 2010 A1
20100331839 Schechter et al. Dec 2010 A1
20110004209 Lawes et al. Jan 2011 A1
20110004210 Johnson et al. Jan 2011 A1
20110009864 Bucciaglia et al. Jan 2011 A1
20110015632 Artale Jan 2011 A1
20110018164 Sartor et al. Jan 2011 A1
20110034918 Reschke Feb 2011 A1
20110036183 Artale et al. Feb 2011 A1
20110046623 Reschke Feb 2011 A1
20110054467 Mueller et al. Mar 2011 A1
20110054468 Dycus Mar 2011 A1
20110054469 Kappus et al. Mar 2011 A1
20110054471 Gerhardt et al. Mar 2011 A1
20110054472 Romero Mar 2011 A1
20110060333 Mueller Mar 2011 A1
20110060334 Brandt et al. Mar 2011 A1
20110060335 Harper et al. Mar 2011 A1
20110060356 Reschke et al. Mar 2011 A1
20110066174 Gilbert Mar 2011 A1
20110071522 Dumbauld et al. Mar 2011 A1
20110071523 Dickhans Mar 2011 A1
20110071525 Dumbauld et al. Mar 2011 A1
20110072638 Brandt et al. Mar 2011 A1
20110073246 Brandt et al. Mar 2011 A1
20110073594 Bonn Mar 2011 A1
20110077648 Lee et al. Mar 2011 A1
20110077649 Kingsley Mar 2011 A1
20110082457 Kerr et al. Apr 2011 A1
20110082494 Kerr et al. Apr 2011 A1
20110087221 Siebrecht et al. Apr 2011 A1
20110098689 Nau, Jr. et al. Apr 2011 A1
20110106079 Garrison et al. May 2011 A1
20110118736 Harper et al. May 2011 A1
20110162796 Guerra Jul 2011 A1
Foreign Referenced Citations (239)
Number Date Country
2 104 423 Feb 1994 CA
2 520 413 Mar 2007 CA
201299462 Sep 2009 CN
2415263 Oct 1975 DE
2514501 Oct 1976 DE
2627679 Jan 1977 DE
3423356 Jan 1986 DE
3612646 Apr 1987 DE
8712328 Mar 1988 DE
4303882 Aug 1994 DE
4403252 Aug 1995 DE
19515914 Jul 1996 DE
19506363 Aug 1996 DE
29616210 Jan 1997 DE
19608716 Apr 1997 DE
19751106 May 1998 DE
19751108 May 1999 DE
10045375 Apr 2002 DE
10 2004 026179 Dec 2005 DE
20 2007 009165 Oct 2007 DE
20 2007 009317 Oct 2007 DE
20 2007 016233 Mar 2008 DE
19738457 Jan 2009 DE
10 2008 018406 Jul 2009 DE
0364216 Apr 1990 EP
0467501 Jan 1992 EP
0509670 Oct 1992 EP
0518230 Dec 1992 EP
0541930 May 1993 EP
0306123 Aug 1993 EP
0572131 Dec 1993 EP
0584787 Mar 1994 EP
0589453 Mar 1994 EP
0589555 Mar 1994 EP
0623316 Nov 1994 EP
0624348 Nov 1994 EP
0648475 Apr 1995 EP
0650701 May 1995 EP
0694290 Mar 1996 EP
0717966 Jun 1996 EP
0754437 Mar 1997 EP
0517243 Sep 1997 EP
0853922 Jul 1998 EP
0875209 Nov 1998 EP
0878169 Nov 1998 EP
0887046 Jan 1999 EP
0923907 Jun 1999 EP
0950378 Oct 1999 EP
0986990 Mar 2000 EP
1034747 Sep 2000 EP
1034748 Sep 2000 EP
1025807 Oct 2000 EP
1034746 Oct 2000 EP
1050278 Nov 2000 EP
1053719 Nov 2000 EP
1053720 Nov 2000 EP
1055399 Nov 2000 EP
1055400 Nov 2000 EP
1080694 Mar 2001 EP
1082944 Mar 2001 EP
1159926 Dec 2001 EP
1177771 Feb 2002 EP
1278007 Jan 2003 EP
1301135 Apr 2003 EP
1330991 Jul 2003 EP
1486177 Jun 2004 EP
1472984 Nov 2004 EP
0774232 Jan 2005 EP
1527747 May 2005 EP
1530952 May 2005 EP
1532932 May 2005 EP
1535581 Jun 2005 EP
1609430 Dec 2005 EP
1201192 Feb 2006 EP
1632192 Mar 2006 EP
1186274 Apr 2006 EP
1642543 Apr 2006 EP
1645238 Apr 2006 EP
1645240 Apr 2006 EP
1649821 Apr 2006 EP
1707143 Oct 2006 EP
1545360 Mar 2007 EP
1767163 Mar 2007 EP
1769765 Apr 2007 EP
1769766 Apr 2007 EP
1772109 Apr 2007 EP
1785097 May 2007 EP
1785098 May 2007 EP
1785101 May 2007 EP
1787597 May 2007 EP
1810625 Jul 2007 EP
1810628 Jul 2007 EP
1842500 Oct 2007 EP
1878400 Jan 2008 EP
1929970 Jun 2008 EP
1958583 Aug 2008 EP
1990019 Nov 2008 EP
1683496 Dec 2008 EP
1997438 Dec 2008 EP
1997439 Dec 2008 EP
1527744 Feb 2009 EP
2103268 Sep 2009 EP
2147649 Jan 2010 EP
2206474 Jul 2010 EP
1920725 Oct 2010 EP
2243439 Oct 2010 EP
2294998 Mar 2011 EP
2301467 Mar 2011 EP
1628586 Jul 2011 EP
623316 May 1949 GB
1490585 Nov 1977 GB
2214430 Jun 1989 GB
2213416 Aug 1989 GB
61-501068 Sep 1984 JP
6-502328 Mar 1992 JP
5-5106 Jan 1993 JP
5-40112 Feb 1993 JP
6-121797 May 1994 JP
6-285078 Oct 1994 JP
6-343644 Dec 1994 JP
6-511401 Dec 1994 JP
7-265328 Oct 1995 JP
8-56955 Mar 1996 JP
8-252263 Oct 1996 JP
8-317934 Dec 1996 JP
9-10223 Jan 1997 JP
9-122138 May 1997 JP
10-24051 Jan 1998 JP
11-070124 May 1998 JP
10-155798 Jun 1998 JP
2000-102545 Sep 1998 JP
11-47150 Feb 1999 JP
11-169381 Jun 1999 JP
11-192238 Jul 1999 JP
11-244298 Sep 1999 JP
2000-342599 Dec 2000 JP
2000-350732 Dec 2000 JP
2001-8944 Jan 2001 JP
2001-29356 Feb 2001 JP
2001-128990 May 2001 JP
2001-190564 Jul 2001 JP
2004-517668 Jun 2004 JP
2004-528869 Sep 2004 JP
401367 Nov 1974 SU
WO 8900757 Jan 1989 WO
WO 9204873 Apr 1992 WO
WO 9206642 Apr 1992 WO
WO 9319681 Oct 1993 WO
WO 9321845 Nov 1993 WO
WO 9400059 Jan 1994 WO
WO 9408524 Apr 1994 WO
WO 9420025 Sep 1994 WO
WO 9502369 Jan 1995 WO
WO 9507662 Mar 1995 WO
WO 9515124 Jun 1995 WO
WO 9520360 Aug 1995 WO
WO 9605776 Feb 1996 WO
WO 9611635 Apr 1996 WO
WO 96022056 Jul 1996 WO
WO 9613218 Sep 1996 WO
WO 9700646 Jan 1997 WO
WO 9700647 Jan 1997 WO
WO 9710764 Mar 1997 WO
WO 9718768 May 1997 WO
WO 9724073 Jul 1997 WO
WO 9724993 Jul 1997 WO
WO 9814124 Apr 1998 WO
WO 9827880 Jul 1998 WO
WO 9831290 Jul 1998 WO
WO 9843264 Oct 1998 WO
WO 9903407 Jan 1999 WO
WO 9903408 Jan 1999 WO
WO 9903409 Jan 1999 WO
WO 9903414 Jan 1999 WO
WO 9912488 Mar 1999 WO
WO 9923933 May 1999 WO
WO 9925261 May 1999 WO
WO 9940857 Aug 1999 WO
WO 9940861 Aug 1999 WO
WO 9951158 Oct 1999 WO
WO 9966850 Dec 1999 WO
WO 0024330 May 2000 WO
WO 0024331 May 2000 WO
WO 0033753 Jun 2000 WO
WO 0036986 Jun 2000 WO
WO 0041638 Jul 2000 WO
WO 0047124 Aug 2000 WO
WO 0053112 Sep 2000 WO
WO 0101847 Jan 2001 WO
WO 0115614 Mar 2001 WO
WO 0117448 Mar 2001 WO
WO 0154604 Aug 2001 WO
WO 0207627 Jan 2002 WO
WO 02058544 Aug 2002 WO
WO 02067798 Sep 2002 WO
WO 02080783 Oct 2002 WO
WO 02080784 Oct 2002 WO
WO 02080785 Oct 2002 WO
WO 02080786 Oct 2002 WO
WO 02080793 Oct 2002 WO
WO 02080794 Oct 2002 WO
WO 02080795 Oct 2002 WO
WO 02080796 Oct 2002 WO
WO 02080797 Oct 2002 WO
WO 02080798 Oct 2002 WO
WO 02080799 Oct 2002 WO
WO 02081170 Oct 2002 WO
WO 02085218 Oct 2002 WO
WO 03061500 Jul 2003 WO
WO 03090630 Nov 2003 WO
WO 03096880 Nov 2003 WO
WO 03101311 Dec 2003 WO
WO 2004028585 Apr 2004 WO
WO 2004032776 Apr 2004 WO
WO 2004032777 Apr 2004 WO
WO 2004052221 Jun 2004 WO
WO 2004073488 Sep 2004 WO
WO 2004073490 Sep 2004 WO
WO 2004073753 Sep 2004 WO
WO 2004082495 Sep 2004 WO
WO 2004098383 Nov 2004 WO
WO 2004103156 Dec 2004 WO
WO 2005004734 Jan 2005 WO
WO 2005004735 Jan 2005 WO
WO 2005009255 Feb 2005 WO
WO 2005011049 Feb 2005 WO
WO 2005030071 Apr 2005 WO
WO 2005048809 Jun 2005 WO
WO 2005050151 Jun 2005 WO
WO 2005110264 Nov 2005 WO
WO 2006021269 Mar 2006 WO
WO 2008008457 Jan 2008 WO
WO 2008040483 Apr 2008 WO
WO 2008045348 Apr 2008 WO
WO 2008045350 Apr 2008 WO
WO 20080112147 Sep 2008 WO
WO 20090005850 Jan 2009 WO
WO 20090039179 Mar 2009 WO
WO 20090039510 Mar 2009 WO
Related Publications (1)
Number Date Country
20110162796 A1 Jul 2011 US
Provisional Applications (1)
Number Date Country
60722186 Sep 2005 US
Divisions (1)
Number Date Country
Parent 11529414 Sep 2006 US
Child 13048679 US