1. Technical Field
The present disclosure relates to forceps used for open surgical procedures. More particularly, the present disclosure relates to a forceps which applies a combination of mechanical clamping pressure and electrosurgical current to seal tissue.
2. Description of Related Art
Electrosurgical forceps, e.g., commonly used in open surgical procedures, are configured to grasp, dissect and/or clamp tissue. Electrosurgical forceps is a simple plier-like tool which utilizes both mechanical clamping action and electrical energy to respectively constrict vessels and effect hemostasis by heating the tissue and blood vessels to coagulate, cauterize and/or seal tissue. Electrosurgical forceps may be configured for monopolar or bipolar use. For the purposes herein, the present disclosure is directed to electrosurgical forceps that are configured for bipolar use.
Bipolar electrosurgical forceps (forceps) utilize two generally opposing electrodes that are disposed on the inner opposing surfaces of jaw members associated with the end effector of the forceps and that are both electrically coupled to an electrosurgical generator. Each electrode is charged to a different electric potential and includes a respective seal plate; the seal plates are isolated from each other. Design of the isolated seal plates requires separate and unique wires to enable RF energy for vessel sealing (opposite poles for alternating current). Typically, because of the limited space of the forceps, one of the wires is routed directly to one of the seal plates and the other wire is routed indirectly around, i.e., “looped,” about a pivot member that pivotably couples a pair of shafts associated with the forceps. Looping one of the wires around the pivot member may result in the “looped” wire being exposed to the surgical environment when the jaw members are moved, e.g., from an open to clamped position. As can be appreciated, exposing the wire to the surgical environment may result in damage to the wire, which, in turn, may decrease the operative life of the forceps. Moreover, “looping” the wire around the pivot member may increase manufacture costs, i.e., more wire is needed to loop around the pivot member, and may increase manufacture time of the forceps, i.e., more time is needed to loop the wire around the pivot member.
The present disclosure provides a bipolar electrosurgical instrument for use in open surgery. The bipolar electrosurgical instrument includes first and second shafts each having a jaw member extending from a distal end thereof. A handle is disposed at proximal ends of the shafts for effecting movement of the jaw members relative to one another about an integrally formed bifurcated pivot member that is supported on one of the jaw members. The jaw members are movable relative to one another about the pivot member from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. A proximal shaft connector operably couples to one of the first and second shafts and is configured to connect the bipolar electrosurgical instrument to a source of electrosurgical energy providing first and second electrical potentials. A first conductive lead is adapted to connect to the first electrical potential and a second conductive lead is adapted to connect to the second electrical potential. One of the first and second conductive leads extends through the pivot to connect to a respective jaw member.
The present disclosure provides a bipolar electrosurgical instrument for use in open surgery. The bipolar electrosurgical instrument includes first and second shafts each having a jaw member extending from a distal end thereof. A handle is disposed at proximal ends of the shafts for effecting movement of the jaw members relative to one another about a pivot member from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. A first conductive lead is adapted to connect to a first electrical potential and a second conductive lead is adapted to connect to a second electrical potential. One of the first and second conductive leads extends through the pivot to connect to a respective jaw member.
The present disclosure also provides a method for routing electrical leads through a bipolar electrosurgical instrument. The method includes forming first and second shafts with respective handles at proximal ends thereof and an end effector having two pivotably coupled jaw members at distal ends thereof. One of the jaw members includes a pivot member integrally formed thereon. The pivot member is configured to receive one of a first conductive lead and a second conductive lead therethrough. A step of the method includes coupling the first and second leads to one of the first and second shafts and routing each of the first and second conductive leads therethrough. One of the first and second conductive leads is coupled directly to one of the jaw members and one of the first and second conductive leads is routed through the pivot member and to the other jaw member.
Various embodiments of the present disclosure are described hereinbelow with references to the drawings, wherein:
Detailed embodiments of the present disclosure are disclosed herein; however, the disclosed embodiments are merely examples of the disclosure, which may be embodied in various forms. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present disclosure in virtually any appropriately detailed structure.
Referring now to
In the drawings and in the descriptions which follow, the term “proximal”, as is traditional, will refer to the end of the forceps 10 which is closer to the user, while the term “distal” will refer to the end which is further from the user.
Shaft 12a includes a handle 17a and shaft 12b includes handle 17b. Finger holes 18a and 18b are respectively disposed at the proximal ends 16a and 16b for receiving a finger of the user. As can be appreciated, finger holes 18a and 18b facilitate movement of the shafts 12a and 12b relative to one another which, in turn, pivot the jaw members 110 and 120 from an open position (
One of the shafts, e.g., 12b, includes a proximal shaft connector 19 that is designed to connect the forceps 10 to a source of electrosurgical energy such as an electrosurgical generator (not shown). More particularly, proximal shaft connector 19 mechanically cooperates to secure an electrosurgical cable 210 to the forceps 10 such that the user may selectively apply electrosurgical energy as needed. The proximal end of the cable 210 includes a plug (not shown) having a pair of prongs which are configured to electrically and mechanically engage the electrosurgical energy generator. The interior of cable 210 houses a pair of leads 210a and 210b (
In certain embodiments, a ratchet (not shown) may be operably coupled to the forceps 10 for selectively locking the jaw members 110 and 120 relative to one another at various positions during pivoting.
For a more detailed description of the forceps 10 including the ratchet, end effector 100 including jaw members 110 and 120 (and operative components associated therewith), and electrosurgical cable 210 (including line-feed configurations and/or connections), reference is made to commonly owned U.S. Pat. No. 7,329,256 to Johnson et al., filed on Dec. 23, 2005.
Referring now to
Referring to
In the embodiment illustrated in the representative figures a generally longitudinal channel 130 of suitable configuration extends substantially along a length of the proximal end 117a (as best seen in
As can be appreciated, in the instance where the forceps 10 is not configured to cut or sever tissue, the jaw member 110 may be configured without the slot 130; this of course will depend on the contemplated uses of a manufacturer, a specific surgical procedure, etc.
Referring now to
To facilitate placement and/or securement of the lead 210a within the lead guide slot 152, a proximal end 153 of the lead guide slot 152 is operably disposed in close proximity to the pivot 150 and adjacent the channel 130, as best seen in
With reference again to
Each of members 150a and 150b includes a generally half-cylindrical or semi-cylindrical configuration that together form a split cylindrical configuration configured for engagement with a corresponding aperture 176 on the jaw member 120, to be described in greater detail below. More particularly, member 150a includes a stepped configuration having a base portion 154a for supporting an extension 154b thereon (
One or more jaw aperture stops 162 (one jaw aperture stop 162 (“stop 162”) is illustrated in the representative drawings) of suitable proportion are associated with the pivot 150 (
Referring to FIGS. 5 and 6A-6C, jaw member 120 is illustrated in phantom. Jaw member 120 and jaw member 110 are substantially identical to one another. In view thereof, only those features unique to jaw member 120 are described herein.
A wire or lead guide slot 155 is suitably proportioned and operably disposed on the proximal end 127a of the jaw housing 120 (shown in phantom in
Raceway 170 is operably disposed at the proximal end 127a of the jaw housing 127 and includes a generally elongated configuration with a narrowed proximal end 172 and broadened distal end 174. The raceway 170 provides a path or a point of egress for the leads 210a and 210b from the shaft 12b into the jaw housings 117 and 127.
Proximal end 172 of the raceway is configured such that when the leads 210a and 210b are positioned therein, the leads 210a and 210b remain in a substantially fixed orientation, i.e., the leads 210a and 210b are “press fit” into the proximal end 172 of the raceway.
In certain embodiments, it may prove useful to fixedly secure the leads 210a and 210b within the proximal end 172 of the raceway 170.
Distal end 174 of the raceway 170 opens into the groove 164 defined by the arcuate or curved sidewall 168 (
A generally circumferential opening 176 of suitable proportion is operably disposed on the jaw member 120 (FIGS. 2 and 6A-6C). The opening 176 is configured to receive the pivot 150 including the two spaced-apart members 150a and 150b such that the pivot 150 including the two spaced-apart members 150a and 150b are rotatably movable thereabout.
A circumferential groove 178 of suitable proportion is operably disposed within the opening 176 and is configured to accommodate rotatable movement of the pivot plate 160 (
Pivot plate 160 is seated on the circumferential flange of the groove 178 and within the opening 176. Pivot plate 160 includes two half cylindrical openings 161 and 163. Openings 161 and 163 are configured to couple to respective spaced-apart members 150a and 150b, as best seen in
In an assembled configuration, the forceps 10 is utilized in a manner that is conventional in the relevant arts. More particularly, an operator grasps the forceps 10, moves the jaw members 110 and 120 to the open position, positions tissue between the jaw members 110 and 120, clamps down on the tissue therebetween and treats the tissue, e.g., seals the tissue. In certain instances, a knife blade is, subsequently, translated through the jaw members 110 and 120. However, unlike conventional forceps, where one or more of the leads 210a and 210b are exposed to the surgical environment when the jaw members 110 and 120 are moved to the open position, use of the forceps 10 with one of the leads, e.g., lead 210a, routed through the pivot 150 does not expose the lead 210a to the surgical environment, see
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 same. For example, in embodiments, it may prove useful to dispose the stop 162 on the jaw member without the pivot 150 and dispose the corresponding sidewall 168 on the jaw member with the pivot 150.
A method for routing electrical leads 210a and 210b through a bipolar electrosurgical instrument, e.g., forceps 10, is also disclosed. A step of the method includes forming first and second shafts 12a and 12b with respective handles 17a and 17b at proximal ends thereof and an end effector 100 having two pivotably coupled jaw members 110 and 120 at distal ends thereof. One of the jaw members, e.g., jaw member 110, includes a pivot 150 formed integrally thereon. The pivot 150 is configured to receive one of the electrical leads, e.g., electrical lead 210a, therethrough. The method includes coupling the electrical leads 210a and 210b to one of the first and second shafts, e.g., shaft 12b, and routing each of the electrical leads 210a and 210b therethrough. Electrical lead 210b is coupled directly to the jaw member 120 and electrical lead 210a is routed through the pivot 150 and to the jaw member 110.
While several embodiments of the disclosure have been shown in the drawings, 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 particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
Number | Name | Date | Kind |
---|---|---|---|
D249549 | Pike | Sep 1978 | S |
D263020 | Rau, III | Feb 1982 | S |
4435856 | L'Esperance | Mar 1984 | A |
D295893 | Sharkany et al. | May 1988 | S |
D295894 | Sharkany et al. | May 1988 | S |
D298353 | Manno | Nov 1988 | S |
D299413 | DeCarolis | Jan 1989 | S |
5211655 | Hasson | May 1993 | A |
D343453 | Noda | Jan 1994 | S |
D348930 | Olson | Jul 1994 | S |
D349341 | Lichtman et al. | Aug 1994 | S |
5342359 | Rydell | Aug 1994 | A |
D354564 | Medema | Jan 1995 | S |
D358887 | Feinberg | May 1995 | S |
D384413 | Zlock et al. | Sep 1997 | S |
5669885 | Smith | Sep 1997 | A |
5797927 | Yoon | Aug 1998 | A |
5797958 | Yoon | Aug 1998 | A |
D402028 | Grimm et al. | Dec 1998 | S |
D416089 | Barton et al. | Nov 1999 | S |
5984939 | Yoon | Nov 1999 | A |
D424694 | Tetzlaff et al. | May 2000 | S |
D425201 | Tetzlaff et al. | May 2000 | S |
6063086 | Benecke | May 2000 | A |
6105256 | Budrow | Aug 2000 | A |
6206877 | Kese et al. | Mar 2001 | B1 |
D449886 | Tetzlaff et al. | Oct 2001 | S |
6324712 | Elsener, Sr. | Dec 2001 | B1 |
6334861 | Chandler et al. | Jan 2002 | B1 |
D454951 | Bon | Mar 2002 | S |
D457958 | Dycus et al. | May 2002 | S |
D457959 | Tetzlaff et al. | May 2002 | S |
D465281 | Lang | Nov 2002 | S |
D466209 | Bon | Nov 2002 | S |
D493888 | Reschke | Aug 2004 | S |
D496997 | Dycus et al. | Oct 2004 | S |
D499181 | Dycus et al. | Nov 2004 | S |
D502994 | Blake, III | Mar 2005 | S |
6887240 | Lands et al. | May 2005 | B1 |
D509297 | Wells | Sep 2005 | S |
D525361 | Hushka | Jul 2006 | S |
7101371 | Dycus et al. | Sep 2006 | B2 |
7101372 | Dycus | Sep 2006 | B2 |
7101373 | Dycus et al. | Sep 2006 | B2 |
D531311 | Guerra et al. | Oct 2006 | S |
7118587 | Dycus et al. | Oct 2006 | B2 |
7131971 | Dycus et al. | Nov 2006 | B2 |
D533274 | Visconti et al. | Dec 2006 | S |
D533942 | Kerr et al. | Dec 2006 | S |
D535027 | James et al. | Jan 2007 | S |
D538932 | Malik | Mar 2007 | S |
D541418 | Schechter et al. | Apr 2007 | S |
D541611 | Aglassingeg | May 2007 | S |
D541938 | Kerr et al | May 2007 | S |
D545432 | Watanabe | Jun 2007 | S |
D547154 | Lee | Jul 2007 | S |
7255697 | Dycus et al. | Aug 2007 | B2 |
7267677 | Johnson et al. | Sep 2007 | B2 |
7329256 | Johnson | Feb 2008 | B2 |
D564662 | Moses et al. | Mar 2008 | S |
D567943 | Moses et al. | Apr 2008 | S |
7384420 | Dycus et al. | Jun 2008 | B2 |
D575395 | Hushka | Aug 2008 | S |
D575401 | Hixson et al. | Aug 2008 | S |
D582038 | Swoyer et al. | Dec 2008 | S |
7510556 | Nguyen | Mar 2009 | B2 |
7513898 | Johnson | Apr 2009 | 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 |
D621503 | Otten et al. | Aug 2010 | S |
7887536 | Johnson | Feb 2011 | B2 |
7896878 | Johnson | Mar 2011 | B2 |
8070748 | Hixson | Dec 2011 | B2 |
8092451 | Schechter et al. | Jan 2012 | B2 |
8133254 | Dumbauld et al. | Mar 2012 | B2 |
8162965 | Reschke et al. | Apr 2012 | B2 |
8187273 | Kerr et al. | May 2012 | B2 |
8215182 | Artale et al. | Jul 2012 | B2 |
8257352 | Lawes et al. | Sep 2012 | B2 |
8266783 | Brandt et al. | Sep 2012 | B2 |
8277446 | Heard | Oct 2012 | B2 |
8287536 | Mueller et al. | Oct 2012 | B2 |
8292067 | Chowaniec et al. | Oct 2012 | B2 |
8292886 | Kerr et al. | Oct 2012 | B2 |
8298232 | Unger | Oct 2012 | B2 |
8298233 | Mueller | Oct 2012 | B2 |
8323310 | Kingsley | Dec 2012 | B2 |
8343150 | Artale | Jan 2013 | B2 |
8343151 | Siebrecht et al. | Jan 2013 | B2 |
8348948 | Bahney | Jan 2013 | B2 |
8357159 | Romero | Jan 2013 | B2 |
8388647 | Nau, Jr. et al. | Mar 2013 | B2 |
8409246 | Kerr et al. | Apr 2013 | B2 |
8409247 | Garrison et al. | Apr 2013 | B2 |
8425511 | Olson | Apr 2013 | B2 |
8430876 | Kappus et al. | Apr 2013 | B2 |
8430877 | Kerr et al. | Apr 2013 | B2 |
8439911 | Mueller | May 2013 | B2 |
8439913 | Horner et al. | May 2013 | B2 |
8469991 | Kerr | Jun 2013 | B2 |
8469992 | Roy et al. | Jun 2013 | B2 |
8480671 | Mueller | Jul 2013 | B2 |
8491624 | Kerr et al. | Jul 2013 | B2 |
8491625 | Horner | Jul 2013 | B2 |
8491626 | Roy et al. | Jul 2013 | B2 |
8512336 | Couture | Aug 2013 | B2 |
8512371 | Kerr et al. | Aug 2013 | B2 |
8641712 | Couture | Feb 2014 | B2 |
8641713 | Johnson et al. | Feb 2014 | B2 |
8652135 | Nau, Jr. | Feb 2014 | B2 |
8663222 | Anderson et al. | Mar 2014 | B2 |
8814864 | Gilbert | Aug 2014 | B2 |
20050101952 | Lands et al. | May 2005 | A1 |
20050113826 | Johnson et al. | May 2005 | A1 |
20060041254 | Francischelli et al. | Feb 2006 | A1 |
20060079933 | Hushka et al. | Apr 2006 | A1 |
20060190035 | Hushka et al. | Aug 2006 | A1 |
20060259036 | Tetzlaff et al. | Nov 2006 | A1 |
20090125026 | Rioux et al. | May 2009 | A1 |
20090182330 | D'Amelio et al. | Jul 2009 | A1 |
20100280511 | Rachlin et al. | Nov 2010 | A1 |
20100331839 | Schechter et al. | Dec 2010 | A1 |
20110034918 | Reschke | Feb 2011 | A1 |
20110046623 | Reschke | Feb 2011 | A1 |
20110054468 | Dycus | Mar 2011 | A1 |
20110054471 | Gerhardt et al. | Mar 2011 | A1 |
20110060334 | Brandt et al. | Mar 2011 | A1 |
20110060335 | Harper et al. | Mar 2011 | A1 |
20110071523 | Dickhans | Mar 2011 | A1 |
20110073246 | Brandt et al. | Mar 2011 | A1 |
20110073594 | Bonn | Mar 2011 | A1 |
20110077648 | Lee et al. | Mar 2011 | A1 |
20110118736 | Harper et al. | May 2011 | A1 |
20110190653 | Harper et al. | Aug 2011 | A1 |
20110190765 | Chojin | Aug 2011 | A1 |
20110193608 | Krapohl | Aug 2011 | A1 |
20110218530 | Reschke | Sep 2011 | A1 |
20110230880 | Chojin et al. | Sep 2011 | A1 |
20110251605 | Hoarau et al. | Oct 2011 | A1 |
20110251606 | Kerr | Oct 2011 | A1 |
20110251611 | Horner et al. | Oct 2011 | A1 |
20110270245 | Horner et al. | Nov 2011 | A1 |
20110270250 | Horner et al. | Nov 2011 | A1 |
20110270251 | Horner et al. | Nov 2011 | A1 |
20110276048 | Kerr et al. | Nov 2011 | A1 |
20110276049 | Gerhardt | Nov 2011 | A1 |
20110295251 | Garrison | Dec 2011 | A1 |
20110295313 | Kerr | Dec 2011 | A1 |
20110301600 | Garrison et al. | Dec 2011 | A1 |
20110301604 | Horner et al. | Dec 2011 | A1 |
20110319886 | Chojin et al. | Dec 2011 | A1 |
20110319888 | Mueller et al. | Dec 2011 | A1 |
20120022532 | Garrison | Jan 2012 | A1 |
20120041438 | Nau, Jr. et al. | Feb 2012 | A1 |
20120059372 | Johnson | Mar 2012 | A1 |
20120059374 | Johnson et al. | Mar 2012 | A1 |
20120059375 | Couture et al. | Mar 2012 | A1 |
20120059408 | Mueller | Mar 2012 | A1 |
20120059409 | Reschke et al. | Mar 2012 | A1 |
20120083785 | Roy et al. | Apr 2012 | A1 |
20120083786 | Artale et al. | Apr 2012 | A1 |
20120083827 | Artale et al. | Apr 2012 | A1 |
20120172873 | Artale et al. | Jul 2012 | A1 |
Number | Date | Country |
---|---|---|
2415263 | Oct 1975 | DE |
2514501 | Oct 1976 | DE |
2627679 | Jan 1977 | DE |
3423356 | Jun 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 | Oct 2002 | DE |
10 2004 026179 | Dec 2005 | DE |
20 2007 009317 | Oct 2007 | DE |
19738457 | Jan 2009 | DE |
0 589 555 | Mar 1994 | EP |
1159926 | Dec 2001 | EP |
61-501068 | Sep 1984 | JP |
65-502328 | Mar 1992 | JP |
5-5106 | Jan 1993 | JP |
5-40112 | Feb 1993 | JP |
06343644 | Dec 1994 | JP |
07265328 | Oct 1995 | JP |
08056955 | Mar 1996 | JP |
08252263 | Oct 1996 | JP |
09010223 | Jan 1997 | JP |
10-24051 | Jan 1998 | JP |
11-070124 | May 1998 | JP |
2000-102545 | Sep 1998 | JP |
11-169381 | Jun 1999 | JP |
11244298 | Sep 1999 | JP |
2000-342599 | Dec 2000 | JP |
2000-350732 | Dec 2000 | JP |
2001-008944 | Jan 2001 | JP |
2001-029356 | Feb 2001 | JP |
2001-128990 | May 2001 | JP |
401367 | Nov 1974 | SU |
WO 0036986 | Jun 2000 | WO |
WO 0154604 | Aug 2001 | WO |
WO 2005110264 | Nov 2005 | WO |
Entry |
---|
Michael Choti, “Abdominoperineal Resection with the LigaSure Vessel Sealing System and LigaSure Atlas 20 cm Open Instrument” ; Innovations That Work, Jun. 2003. |
Chung et al., “Clinical Experience of Sutureless Closed Hemorrhoidectomy with LigaSure” Diseases of the Colon & Rectum vol. 46, No. 1 Jan. 2003. |
Tinkcler L.F., “Combined Diathermy and Suction Forceps” , Feb. 6, 1967 (Feb. 6, 1965), British Medical Journal Feb. 6, 1976, vol. 1, nr. 5431 p. 361, ISSN: 0007-1447. |
Carbonell et al., “Comparison of theGyrus PlasmaKinetic Sealer and the Valleylab LigaSure Device in the Hemostasis of Small, Medium, and Large-Sized Arteries” Carolinas Laparoscopic and Advanced Surgery Program, Carolinas Medical Center, Charlotte, NC; Date: Aug. 2003. |
Peterson et al. “Comparison of Healing Process Following Ligation with Sutures and Bipolar Vessel Sealing” Surgical Technology International (2001). |
“Electrosurgery: A Historical Overview” Innovations in Electrosurgery; Sales/Product Literature; Dec. 31, 2000. |
Johnson et al. “Evaluation of a Bipolar Electrothermal Vessel Sealing Device in Hemorrhoidectomy” Sales/Product Literature; Jan. 2004. |
E. David Crawford “Evaluation of a New Vessel Sealing Device in Urologic Cancer Surgery” Sales/Product Literature 2000. |
Johnson et al. “Evaluation of the LigaSure Vessel Sealing System in Hemorrhoidectormy” American College of Surgeons (ACS) Clinicla Congress Poster (2000). |
Muller et al., “Extended Left Hemicolectomy Using the LigaSure Vessel Sealing System” Innovations That Work, Sep. 1999. |
Kennedy et al. “High-burst-strength, feedback-controlled bipolar vessel sealing” Surgical Endoscopy (1998) 12: 876-878. |
Burdette et al. “In Vivo Probe Measurement Technique for Determining Dielectric Properties At VHF Through Microwave Frequencies”, IEEE Transactions on Microwave Theory and Techniques, vol. MTT-28, No. 4, Apr. 1980 pp. 414-427. |
Carus et al., “Initial Experience With the LigaSure Vessel Sealing System in Abdominal Surgery” Innovations That Work, Jun. 2002. |
Heniford et al. “Initial Research and Clinical Results with an Electrothermal Bipolar Vessel Sealer” Oct. 1999. |
Heniford et al. “Initial Results with an Electrothermal Bipolar Vessel Sealer” Surgical Endoscopy (2000) 15:799-801. |
Herman et al., “Laparoscopic Intestinal Resection With the LigaSure Vessel Sealing System: A Case Report”; Innovations That Work, Feb. 2002. |
Koyle et al., “Laparoscopic Palomo Varicocele Ligation in Children and Adolescents” Pediatric Endosurgery & Innovative Techniques, vol. 6, No. 1, 2002. |
W. Scott Helton, “LigaSure Vessel Sealing System: Revolutionary Hemostasis Product for General Surgery”; Sales/Product Literature 1999. |
LigaSure Vessel Sealing System, the Seal of Confidence in General, Gynecologic, Urologic, and Laparaoscopic Surgery; Sales/Product Literature; Apr. 2002. |
Joseph Ortenberg “LigaSure System Used in Laparoscopic 1st and 2nd Stage Orchiopexy” Innovations That Work, Nov. 2002. |
Sigel et al. “The Mechanism of Blood Vessel Closure by High Frequency Electrocoagulation” Surgery Gynecology & Obstetrics, Oct. 1965 pp. 823-831. |
Sampayan et al, “Multilayer Ultra-High Gradient Insulator Technology” Discharges and Electrical Insulation in Vacuum, 1998. Netherlands Aug. 17-21, 1998; vol. 2, pp. 740-743. |
Paul G. Horgan, “A Novel Technique for Parenchymal Division During Hepatectomy” The American Journal of Surgery, vol. 181, No. 3, Apr. 2001 pp. 236-237. |
Benaron et al., “Optical Time-Of-Flight and Absorbance Imaging of Biologic Media”, Science, American Association for the Advancement of Science, Washington, DC, vol. 259, Mar. 5, 1993, pp. 1463-1466. |
Olsson et al. “Radical Cystectomy in Females” Current Surgical Techniques in Urology, vol. 14, Issue 3, 2001. |
Palazzo et al. “Randomized clinical trial of Ligasure versus open haemorrhoidectomy” British Journal of Surgery 2002, 89, 154-157. |
Levy et al. “Randomized Trial of Suture Versus Electrosurgical Bipolar Vessel Sealing in Vaginal Hysterectomy” Obstetrics & Gynecology, vol. 102, No. 1, Jul. 2003. |
“Reducing Needlestick Injuries in the Operating Room” Sales/Product Literature 2001. |
Bergdahl et al. “Studies on Coagulation and the Development of an Automatic Computerized Bipolar Coagulator” J.Neurosurg, vol. 75, Jul. 1991, pp. 148-151. |
Strasberg et al. “A Phase I Study of the LigaSure Vessel Sealing System in Hepatic Surgery” Section of HPB Surger, Washington University School of Medicine, St. Louis MO, Presented at AHPBA, Feb. 2001. |
Sayfan et al. “Sutureless Closed Hemorrhoidectomy: A New Technique” Annals of Surgery vol. 234 No. 1 Jul. 2001; pp. 21-24. |
Levy et al., “Update on Hysterectomy—New Technologies and Techniques” OBG Management, Feb. 2003. |
Dulemba et al. “Use of a Bipolar Electrothermal Vessel Sealer in Laparoscopically Assisted Vaginal Hysterectomy” Sales/Product Literature; Jan. 2004. |
Strasberg et al., “Use of a Bipolar Vessel-Sealing Device for Parenchymal Transection During Liver Surgery” Journal of Gastrointestinal Surgery, vol. 6, No. 4, Jul./Aug. 2002 pp. 569-574. |
Sengupta et al., “Use of a Computer-Controlled Bipolar Diathermy System in Radical Prostatectomies and Other Open Urological Surgery” ANZ Journal of Surgery (2001) 71.9 pp. 538-540. |
Rothenberg et al. “Use of the LigaSure Vessel Sealing System in Minimally Invasive Surgery in Children” Int'l Pediatric Endosurgery Group (IPEG) 2000. |
Crawford et al. “Use of the LigaSure Vessel Sealing System in Urologic Cancer Surgery” Grand Rounds in Urology 1999 vol. 1 Issue 4 pp. 10-17. |
Craig Johnson, “Use of the LigaSure Vessel Sealing System in Bloodless Hemorrhoidectomy” Innovations That Work, Mar. 2000. |
Levy et al. “Use of a New Energy-based Vessel Ligation Device During Vaginal Hysterectomy” Int'l Federation of Gynecology and Obstetrics (FIGO) World Congress 1999. |
Barbara Levy, “Use of a New Vessel Ligation Device During Vaginal Hysterectomy” FIGO 2000, Washington, D.C. |
E. David Crawford “Use of a Novel Vessel Sealing Technology in Management of the Dorsal Veinous Complex” Sales/Product Literature 2000. |
Jarrett et al., “Use of the LigaSure Vessel Sealing System for Peri-Hilar Vessels in Laparoscopic Nephrectomy” Sales/Product Literature 2000. |
Crouch et al. “A Velocity-Dependent Model for Needle Insertion in Soft Tissue” MICCAI 2005; LNCS 3750 pp. 624-632, Dated: 2005. |
McLellan et al. “Vessel Sealing for Hemostasis During Pelvic Surgery” Int'l Federation of Gynecology and Obstetrics FIGO World Congress 2000, Washington, D.C. |
McLellan et al. “Vessel Sealing for Hemostasis During Gynecologic Surgery” Sales/Product Literature 1999. |
Int'l Search Report EP 98944778.4 dated Oct. 31, 2000. |
Int'l Search Report EP 98957771 dated Aug. 9, 2001. |
Int'l Search Report EP 98957773 dated Aug. 1, 2001. |
Int'l Search Report EP 98958575.7 dated Sep. 20, 2002. |
Int'l Search Report EP 04013772.1 dated Apr. 1, 2005. |
Int'l Search Report EP 04027314.6 dated Mar. 10, 2005. |
Int'l Search Report EP 04027479.7 dated Mar. 8, 2005. |
Int'l Search Report EP 04027705.5 dated Feb. 3, 2005. |
Int'l Search Report EP 04752343.6 dated Jul. 20, 2007. |
Int'l Search Report EP 05002671.5 dated Dec. 22, 2008. |
Int'l Search Report EP 05002674.9 dated Jan. 16, 2009. |
Int'l Search Report EP 05013463.4 dated Oct. 7, 2005. |
Int'l Search Report EP 05013894 dated Feb. 3, 2006. |
Int'l Search Report EP 05013895.7 dated Oct. 21, 2005. |
Int'l Search Report EP 05016399.7 dated Jan. 13, 2006. |
Int'l Search Report EP 05017281.6 dated Nov. 24, 2005. |
Int'l Search Report EP 05019130.3 dated Oct. 27, 2005. |
Int'l Search Report EP 05019429.9 dated May 6, 2008. |
Int'l Search Report EP 05020532 dated Jan. 10, 2006. |
Int'l Search Report EP 05020665.5 dated Feb. 27, 2006. |
Int'l Search Report EP 05020666.3 dated Feb. 27, 2006. |
Int'l Search Report EP 05021197.8 dated Feb. 20, 2006. |
Int'l Search Report EP 05021779.3 dated Feb. 2, 2006. |
Int'l Search Report EP 05021780.1 dated Feb. 23, 2006. |
Int'l Search Report EP 05021937.7 dated Jan. 23, 2006. |
Int'l Search Report—extended—EP 05021937.7 dated Mar. 15, 2006. |
Int'l Search Report EP 05023017.6 dated Feb. 24, 2006. |
Int'l Search Report EP 06002279.5 dated Mar. 30, 2006. |
Int'l Search Report EP 06005185.1 dated May 10, 2006. |
Int'l Search Report EP 06006716.2 dated Aug. 4, 2006. |
Int'l Search Report EP 06008515.6 dated Jan. 8, 2009. |
Int'l Search Report EP 06008779.8 dated Jul. 13, 2006. |
Int'l Search Report EP 06014461.5 dated Oct. 31, 2006. |
Int'l Search Report EP 06020574.7 dated Oct. 2, 2007. |
Int'l Search Report EP 06020583.8 dated Feb. 7, 2007. |
Int'l Search Report EP 06020584.6 dated Feb. 1, 2007. |
Int'l Search Report EP 06020756.0 dated Feb. 16, 2007. |
Int'l Search Report EP 06 024122.1 dated Apr. 16, 2007. |
Int'l Search Report EP 06024123.9 dated Mar. 6, 2007. |
Int'l Search Report EP 07 001480.8 dated Apr. 19, 2007. |
Int'l Search Report EP 07 001488.1 dated Jun. 5, 2007. |
Int'l Search Report EP 07 009026.1 dated Oct. 8, 2007. |
Int'l Search Report Extended—EP 07 009029.5 dated Jul. 20, 2007. |
Int'l Search Report EP 07 009321.6 dated Aug. 28, 2007. |
Int'l Search Report EP 07 010672.9 dated Oct. 16, 2007. |
Int'l Search Report EP 07 013779.9 dated Oct. 26, 2007. |
Int'l Search Report EP 07 014016 dated Jan. 28, 2008. |
Int'l Search Report EP 07 015191.5 dated Jan. 23, 2008. |
Int'l Search Report EP 07 015601.3 dated Jan. 4, 2008. |
Int'l Search Report EP 07 016911 dated May 28, 2010. |
Int'l Search Report EP 07 020283.3 dated Feb. 5, 2008. |
Int'l Search Report EP 07 021646.0 dated Mar. 20, 2008. |
Int'l Search Report EP 07 021646.0 dated Jul. 9, 2008. |
Int'l Search Report EP 07 021647.8 dated May 2, 2008. |
Int'l Search Report EP 08 002692.5 dated Dec. 12, 2008. |
Int'l Search Report EP 08 004655.0 dated Jun. 24, 2008. |
Int'l Search Report EP 08 006732.5 dated Jul. 29, 2008. |
Int'l Search Report EP 08 006917.2 dated Jul. 3, 2008. |
Int'l Search Report EP 08 016539.2 dated Jan. 8, 2009. |
Int'l Search Report EP 08 020807.7 dated Apr. 24, 2009. |
Int'l Search Report EP 09 003677.3 dated May 4, 2009. |
Int'l Search Report EP 09 003813.4 dated Aug. 3, 2009. |
Int'l Search Report EP 09 004491.8 dated Sep. 9, 2009. |
Int'l Search Report EP 09 005051.9 dated Jul. 6, 2009. |
Int'l Search Report EP 09 005575.7 dated Sep. 9, 2009. |
Int'l Search Report EP 09 010521.4 dated Dec. 16, 2009. |
Int'l Search Report EP 09 011745.8 dated Jan. 5, 2010. |
Int'l Search Report EP 09 012629.3 dated Dec. 8, 2009. |
Int'l Search Report EP 09 012687.1 dated Dec. 23, 2009. |
Int'l Search Report EP 09 012688.9 dated Dec. 28, 2009. |
Int'l Search Report EP 09 152267.2 dated Jun. 15, 2009. |
Int'l Search Report EP 09 152898.4 dated Jun. 10, 2009. |
Int'l Search Report EP 09 154850.3 dated Jul. 20, 2009. |
Int'l Search Report EP 09 160476.9 dated Aug. 4, 2009. |
Int'l Search Report EP 09 164903.8 dated Aug. 21, 2009. |
Int'l Search Report EP 09 165753.6 dated Nov. 11, 2009. |
Int'l Search Report EP 09 168153.6 dated Jan. 14, 2010. |
Int'l Search Report EP 09 168810.1 dated Feb. 2, 2010. |
Int'l Search Report EP 09 172749.5 dated Dec. 4, 2009. |
Int'l Search Report EP 10 000259.1 dated Jun. 30, 2010. |
Int'l Search Report EP 10 157500.9 dated Jul. 30, 2010. |
Int'l Search Report EP 10 159205.3 dated Jul. 7, 2010. |
Int'l Search Report EP 10 160870,1 dated Aug. 9, 2010. |
Int'l Search Report EP 10 161596.1 dated Jul. 28, 2010. |
Int'l Search Report PCT/US98/18640 dated Jan. 29, 1999. |
Int'l Search Report PCT/US98/23950 dated Jan. 14, 1999. |
Int'l Search Report PCT/US98/24281 dated Feb. 22, 1999. |
Int'l Search Report PCT/US99/24869 dated Feb. 3, 2000. |
Int'l Search Report PCT/US01/11218 dated Aug. 14, 2001. |
Int'l Search Report PCT/US01/11224 dated Nov. 13, 2001. |
Int'l Search Report PCT/US01/11340 dated Aug. 16, 2001. |
Int'l Search Report PCT/US01/11420 dated Oct. 16, 2001. |
Int'l Search Report PCT/US02/01890 dated Jul. 25, 2002. |
Int'l Search Report PCT/US02/11100 dated Jul. 16, 2002. |
Int'l Search Report PCT/US03/08146 dated Aug. 8, 2003. |
Int'l Search Report PCT/US03/18676 dated Sep. 19, 2003. |
Int'l Search Report PCT/US03/28534 dated Dec. 19, 2003. |
Int'l Search Report PCT/US04/03436 dated Mar. 3, 2005. |
Int'l Search Report PCT/US04/13273 dated Dec. 15, 2004. |
Int'l Search Report PCT/US04/15311 dated Jan. 12, 2005. |
Int'l Search Report PCT/US07/021438 dated Apr. 1, 2008. |
Int'l Search Report PCT/US07/021440 dated Apr. 8, 2008. |
Int'l Search Report PCT/US08/52460 dated Apr. 24, 2008. |
Int'l Search Report PCT/US08/61498 dated Sep. 22, 2008. |
Int'l Search Report PCT/US09/032690 dated Jun. 16, 2009. |
European Search Report for European Application No. 11183265.5 dated Nov. 17, 2011. |
Number | Date | Country | |
---|---|---|---|
20120083785 A1 | Apr 2012 | US |