US20080058588A1 - Surgical endoscopic cutting device and method for its use - Google Patents

Surgical endoscopic cutting device and method for its use Download PDF

Info

Publication number
US20080058588A1
US20080058588A1 US11/929,940 US92994007A US2008058588A1 US 20080058588 A1 US20080058588 A1 US 20080058588A1 US 92994007 A US92994007 A US 92994007A US 2008058588 A1 US2008058588 A1 US 2008058588A1
Authority
US
United States
Prior art keywords
endoscope
fluid
cutter
tube
tissue
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US11/929,940
Inventor
Mark Emanuel
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Smith and Nephew Inc
Original Assignee
Smith and Nephew Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=19765613&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=US20080058588(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Smith and Nephew Inc filed Critical Smith and Nephew Inc
Priority to US11/929,940 priority Critical patent/US20080058588A1/en
Publication of US20080058588A1 publication Critical patent/US20080058588A1/en
Assigned to SMITH & NEPHEW, INC. reassignment SMITH & NEPHEW, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: EMANUEL, MARK HANS
Priority to US13/446,202 priority patent/US8893722B2/en
Priority to US14/081,801 priority patent/US9089358B2/en
Priority to US14/493,017 priority patent/US9750520B2/en
Priority to US14/744,611 priority patent/US9226650B2/en
Priority to US14/744,583 priority patent/US9226765B2/en
Priority to US14/951,941 priority patent/US9427247B2/en
Abandoned legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/12Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/007Auxiliary appliance with irrigation system

Definitions

  • the present invention relates to a surgical endoscopic cutting device.
  • Surgical cutting devices are generally known and used for the removal of hard and/or soft tissue, such as in the vicinity of the knee joint. Such cutting devices are used in, for example, a joint cavity, where they can be guided endoscopically by separately inserting a viewing device having a light source and an observation portion. Such operations are successfully used in organs and joints lying not too deep underneath the skin.
  • tissue has to be removed from the uterus, prostate, or urinary bladder, such as mucous membrane or other tissues, it was customary until now to use a so-called “loop.”
  • This is a loop-shaped cutting wire which is brought to a first potential, while the wall of the uterus is brought to a second, different potential. Tissue is removed by moving the loop along the uterus wall.
  • Dilation is carried out by introducing a fluid.
  • a non-conducting fluid is used, for example a 5% sorbitol solution.
  • WO 96/11638 discloses a cutter including a hollow stem and a cutting head accommodated inside a rigid housing. This rigid housing likewise contains a viewing channel with the necessary optics.
  • U.S. Pat. No. 5,195,541 describes a laparoscopic discectomy apparatus. For a laparoscopic method it is essential to inflate the related cavity using gas. The gas feed is discontinuous and has no effect on viewing of the operation site.
  • Fluid is introduced by way of a space between the stem and the rigid housing and discharged together with the detached tissue through the hollow stem of the cutter.
  • This device could be satisfactory for the removal of tissues from certain body cavities, such as from the bladder.
  • An example of this is the uterus, in which it is important that the amount of enlargement of the organ be accurately controlled.
  • the irregular discharge of fluid through the hollow stem of the cutter, caused partly by the irregular release of tissue, means that it cannot be guaranteed that the pressure inside the cavity is accurately controlled.
  • Such a device is consequently not very suitable for use in the treatment of such a cavity.
  • the object of the present invention is to provide a device which can perform such a treatment.
  • a further outlet channel is provided, the function of which is independent of whether or not detached tissue has been released.
  • a regular discharge of fluid can occur through this further outlet channel. Since only a minor part of the fluid is now discharged through the outlet, in which there are detached pieces of tissue, the pressure inside the body cavity can be regulated and controlled accurately. This makes it possible to remove undesired tissue from cavities such as the uterus. The applicability of the removal of tissues by cutting is consequently considerably increased.
  • the further outlet channel described above is formed by an insertion tube fitted around the endoscopic device.
  • This insertion tube serves to clear a space for the endoscopic device.
  • the front side of the insertion tube can be provided with an insertion mandrel, which is removed after the positioning of the insertion tube and replaced by the endoscopic device described above.
  • the further outlet channel can be defined between the endoscopic device and the insertion tube.
  • Discharge of the tissue material which has been detached can be achieved either by making the stem on which the cutting elements are fitted hollow, or by fitting a protective tube around the cutter.
  • a protective tube can also be used without the space between protective tube and stem serving as an outlet channel.
  • the cutter can be designed as a separate unit which can be coupled to the rigid housing, which has advantages in particular for purposes of sterilization. Namely, the device can then be detached in a simple way.
  • the rigid housing For the removal of tissue from a uterus it is essential for the rigid housing to have a length which is sufficient to reach all tissue parts, i.e. a length of at least 30 cm.
  • the observation part of the device described above includes a light channel in the housing, provided near one end with a lens and near the other end with an observation mechanism.
  • the latter can include an eyepiece or a connection for a camera so that the surgeon can carry out the operation using a monitor and others can possibly look at the same time.
  • the cutting elements described above can include any cutting element known in the prior art.
  • a cutting head with cutting faces can be used, but it is also possible to use constructions with teeth, meshing with the protective tube or otherwise.
  • the protective tube is preferably provided with a lateral opening through which a part of the cutting elements extends so that on each revolution, part of the tissue is removed and can be discharged directly through the interior of the drive/discharge tube of the cutter.
  • the invention also relates to a method for the removal of uterus tissue in which the device described above is used.
  • a machining operation is now applied with the use of a physiological fluid which can be electrically conducting without any problem, while at the same time the removed tissue is sucked out. It is, of course, possible to suck out the tissue at a later stage.
  • the machining operation is carried out by a rotating action.
  • an outlet and a further outlet are present, and the pressure inside the body cavity is regulated by metering the quantity of fluid which moves through the further outlet.
  • the insertion of the surgical endoscopic cutting device is preferably carried out in the manner described above using an insertion mandrel and insertion tube.
  • FIG. 1 shows the endoscopic cutting device according to the invention in the assembled state, in side view and partially in section;
  • FIG. 1 a shows the viewing/receiving part of the cutting device of FIG. 1 in section along the line Ia-Ia;
  • FIG. 2 shows a side and partially cut-away view of the viewing/receiving part of the cutting device of FIG. 1 ;
  • FIG. 3 shows a partially cut-away perspective view of the device of FIG. 1 , with the insertion end enlarged;
  • FIG. 4 shows a partially sectional side view of the cutter of the cutting device of FIG. 3 ;
  • FIG. 5 shows a variant of the cutter shown in FIG. 4 ;
  • FIG. 6 shows an insertion mandrel according to the invention.
  • the endoscopic cutting device is indicated in its entirety by 1 in FIG. 1 . It comprises a viewing/receiving part 3 , which is shown in FIG. 2 , a cutting part 2 , which is shown in greater detail in FIGS. 4 and 5 , and an insertion mandrel, which is shown in FIG. 6 .
  • the viewing/receiving part 3 is composed of an outer tube 4 in which a main channel 5 and viewing channel 6 are defined. Viewing channel 6 ends at one side in a lens 13 and at the other side in a viewing tube 7 , on which an eyepiece or camera connection is placed. A connection 8 for a light source is also present, for connection to a fibre optics bundle which provides for lighting at the end of lens 13 . Near the control end, tube 4 is provided with a fluid inlet 9 connected to a hose 12 , for adding a physiological salt solution.
  • a shut-off valve is indicated by 10 .
  • the length of the actual outer tube 4 is indicated by A and is more than 30 cm.
  • FIG. 4 shows details of the cutter or the cutting part 2 , which is composed of a protective tube 16 inside of which a drive/suction tube 17 is fitted. Near the working end, tube 17 is provided with teeth 19 which mesh with teeth 18 provided in an opening 26 in the end part of protective tube 16 . Near the other end, drive/suction tube 17 is provided with a coupling 20 , which can be connected at one end to a rotating drive motor 21 , not shown in detail, and at the other end is provided with an opening 22 through which fluid and removed material can be discharged by way of suction tube 17 to the discharge hose 23 . A pressure regulator can be present in this discharge hose 23 , which is connected to a vacuum source.
  • Insertion part is indicated by 27 .
  • This insertion part is composed of an insertion tube 28 which is provided with openings 29 at one end and near the other end, the insertion part 27 is provided with a bayonet connection 30 and an outlet 31 .
  • Insertion tube 28 is designed in such a way that tube 4 can be fitted therein, as shown in FIGS. 1 and 3 , while it is also possible to fit insertion mandrel 40 , provided with stem 41 and mandrel 42 , in insertion tube 28
  • Inlet 38 for fluid.
  • Inlet 38 extends to channel 14 ( FIG. 1 a ), i.e. the space bounded between the outer tube 4 and the protective tube 16 and 36 , respectively from FIG. 4 or 5 .
  • a shut-off valve 39 which is connected to channel 14 , is present, while the further outlet is indicated by 31 .
  • a discharge hose 23 for tissue and fluid is shown.
  • some of the fluid will be discharged through outlet 23 . This relatively small amount will be mixed with a mixture released during the cutting operation.
  • Most of the fluid will be discharged through the further outlet 31 . This discharge is unimpeded and occurs through openings 29 .
  • Pressure variations occurring due to the presence or absence of removed tissue in channel 17 ( FIG. 4 ) have little or no influence on the pressure inside the body cavity owing to the presence of the further outlet 31 .
  • insertion mandrel 40 will first be inserted, with shut-off valve 39 open, into insertion tube 28 with bayonet 30 .
  • This assembly is then placed in the uterus in a relatively simple manner due to the shape of mandrel 42 .
  • Mandrel 42 is then removed by manipulating stem 41 , and the construction shown in FIG. 2 is placed in tube 28 . Connection is made here to bayonet 30 .
  • the cutting action can then begin after the uterus has been dilated by the introduction of fluid.
  • This fluid can be a physiological flushing and distension fluid, such as a physiological salt solution (NaCl 0.9%).
  • tube 17 By switching on motor 21 , tube 17 is set in rotation and teeth 19 move regularly along cutting edge 18 of protective tube 16 which remains stationary. While they are moving along each other and picking up tissue material between them, a cutting, detaching action on the tissue material is occurring. The cut, detached material is removed through the interior of tube 17 and outlet 23 .
  • the appropriate area of the uterus can be treated by moving parts 18 and 19 along the uterus wall or along tissue to be removed, which can be observed through viewing tube 7 by supplying light through connection 8 .
  • FIG. 5 shows a variant of the end of the cutter.
  • the cutter or cutting part are indicated in their entirety by 32 .
  • the protective tube is indicated by 36 and is beveled near the end.
  • the drive/suction tube is indicated by 37 and provided with a cutting head near the end. In this embodiment, there is either no interaction between cutting head 35 and protective tube 36 , or head 35 and tube 36 interact near the edge of tube 36 , which is adapted for that purpose by grinding.

Abstract

A surgical endoscopic cuffing device includes cutting elements fitted in a protective tube. The device has an inlet for fluid, a discharge outlet for tissue and fluid, and a further outlet that discharges most of the fluid.

Description

    CROSS-REFERENCE TO RELATED APPLICATIONS
  • This application is a divisional application of and claims priority to U.S. application Ser. No. 11/780,759, filed on Jul. 20, 2007, which is a continuation application of and claims priority to U.S. application Ser. No. 09/486,977, filed on Mar. 6, 2000.
  • FIELD OF THE INVENTION
  • The present invention relates to a surgical endoscopic cutting device.
  • BACKGROUND OF THE INVENTION
  • Surgical cutting devices are generally known and used for the removal of hard and/or soft tissue, such as in the vicinity of the knee joint. Such cutting devices are used in, for example, a joint cavity, where they can be guided endoscopically by separately inserting a viewing device having a light source and an observation portion. Such operations are successfully used in organs and joints lying not too deep underneath the skin.
  • When operations are being carried out on organs lying deeper, other techniques are currently used. If, for example, tissue has to be removed from the uterus, prostate, or urinary bladder, such as mucous membrane or other tissues, it was customary until now to use a so-called “loop.” This is a loop-shaped cutting wire which is brought to a first potential, while the wall of the uterus is brought to a second, different potential. Tissue is removed by moving the loop along the uterus wall. In order to be able to carry out such an operation, it is necessary to dilate the uterus. Dilation is carried out by introducing a fluid. In order to maintain the effect of the potential difference, a non-conducting fluid is used, for example a 5% sorbitol solution. Because wounds are caused during the treatment described above, a good part of this fluid is resorbed into the patient's bloodstream (by way of the uterus). This can lead to highly dangerous electrolyte displacements. It has been found that the tissue can be removed more easily by working with a high-frequency monopolar electric current, but there is a risk of high-frequency electric current leading to internal and external burns. The loop is generally fitted on an endoscope and moved back and forth along the uterus wall with the endoscope. The tissue cut off during this treatment has to be removed from the uterus, which considerably extends the duration of the operation. Furthermore, the doctor has to check that all detached material actually has been removed.
  • This means that such operations are very time-consuming and require the surgeon to repeatedly move the device back and forth. This is tiring and consequently difficult to learn. Moreover, the patient has to be monitored continually during the operation, in order to prevent the undesirable phenomena described above. It is not uncommon for such an operation to be broken off because the patient's life is endangered by the side effects.
  • On the other hand, it is desirable to be able to carry out such operations instead of simply performing a hysterectomy.
  • WO 96/11638 discloses a cutter including a hollow stem and a cutting head accommodated inside a rigid housing. This rigid housing likewise contains a viewing channel with the necessary optics. U.S. Pat. No. 5,195,541 describes a laparoscopic discectomy apparatus. For a laparoscopic method it is essential to inflate the related cavity using gas. The gas feed is discontinuous and has no effect on viewing of the operation site.
  • Fluid is introduced by way of a space between the stem and the rigid housing and discharged together with the detached tissue through the hollow stem of the cutter.
  • This device could be satisfactory for the removal of tissues from certain body cavities, such as from the bladder. However, in the case of other body cavities, it is necessary to “blow up” the cavity before treatment can be carried out. An example of this is the uterus, in which it is important that the amount of enlargement of the organ be accurately controlled. The irregular discharge of fluid through the hollow stem of the cutter, caused partly by the irregular release of tissue, means that it cannot be guaranteed that the pressure inside the cavity is accurately controlled.
  • Such a device is consequently not very suitable for use in the treatment of such a cavity.
  • SUMMARY OF THE INVENTION
  • The object of the present invention is to provide a device which can perform such a treatment.
  • According to the invention, a further outlet channel is provided, the function of which is independent of whether or not detached tissue has been released. In other words, a regular discharge of fluid can occur through this further outlet channel. Since only a minor part of the fluid is now discharged through the outlet, in which there are detached pieces of tissue, the pressure inside the body cavity can be regulated and controlled accurately. This makes it possible to remove undesired tissue from cavities such as the uterus. The applicability of the removal of tissues by cutting is consequently considerably increased.
  • The further outlet channel described above is formed by an insertion tube fitted around the endoscopic device. This insertion tube serves to clear a space for the endoscopic device. For this purpose, the front side of the insertion tube can be provided with an insertion mandrel, which is removed after the positioning of the insertion tube and replaced by the endoscopic device described above. In this case the further outlet channel can be defined between the endoscopic device and the insertion tube.
  • In the case of such a construction it is desirable for a coupler to be present to provide a coupling between the rigid housing and the insertion tube described above.
  • Discharge of the tissue material which has been detached can be achieved either by making the stem on which the cutting elements are fitted hollow, or by fitting a protective tube around the cutter. Such a protective tube can also be used without the space between protective tube and stem serving as an outlet channel. This means that the cutter can be designed as a separate unit which can be coupled to the rigid housing, which has advantages in particular for purposes of sterilization. Namely, the device can then be detached in a simple way.
  • For the removal of tissue from a uterus it is essential for the rigid housing to have a length which is sufficient to reach all tissue parts, i.e. a length of at least 30 cm.
  • The observation part of the device described above includes a light channel in the housing, provided near one end with a lens and near the other end with an observation mechanism. The latter can include an eyepiece or a connection for a camera so that the surgeon can carry out the operation using a monitor and others can possibly look at the same time.
  • The cutting elements described above can include any cutting element known in the prior art. In other words, a cutting head with cutting faces can be used, but it is also possible to use constructions with teeth, meshing with the protective tube or otherwise. In the latter instance, the protective tube is preferably provided with a lateral opening through which a part of the cutting elements extends so that on each revolution, part of the tissue is removed and can be discharged directly through the interior of the drive/discharge tube of the cutter.
  • The invention also relates to a method for the removal of uterus tissue in which the device described above is used. In other words, a machining operation is now applied with the use of a physiological fluid which can be electrically conducting without any problem, while at the same time the removed tissue is sucked out. It is, of course, possible to suck out the tissue at a later stage. The machining operation is carried out by a rotating action.
  • According to a further embodiment of the method, an outlet and a further outlet are present, and the pressure inside the body cavity is regulated by metering the quantity of fluid which moves through the further outlet. The insertion of the surgical endoscopic cutting device is preferably carried out in the manner described above using an insertion mandrel and insertion tube.
  • BRIEF DESCRIPTION OF DRAWINGS
  • The invention will be explained in greater detail below with reference to an exemplary embodiment shown in the drawings, in which:
  • FIG. 1 shows the endoscopic cutting device according to the invention in the assembled state, in side view and partially in section;
  • FIG. 1 a shows the viewing/receiving part of the cutting device of FIG. 1 in section along the line Ia-Ia;
  • FIG. 2 shows a side and partially cut-away view of the viewing/receiving part of the cutting device of FIG. 1;
  • FIG. 3 shows a partially cut-away perspective view of the device of FIG. 1, with the insertion end enlarged;
  • FIG. 4 shows a partially sectional side view of the cutter of the cutting device of FIG. 3;
  • FIG. 5 shows a variant of the cutter shown in FIG. 4; and
  • FIG. 6 shows an insertion mandrel according to the invention.
  • DETAILED DESCRIPTION
  • The endoscopic cutting device according to the invention is indicated in its entirety by 1 in FIG. 1. It comprises a viewing/receiving part 3, which is shown in FIG. 2, a cutting part 2, which is shown in greater detail in FIGS. 4 and 5, and an insertion mandrel, which is shown in FIG. 6.
  • With reference to FIG. 2, it can be seen that the viewing/receiving part 3, is composed of an outer tube 4 in which a main channel 5 and viewing channel 6 are defined. Viewing channel 6 ends at one side in a lens 13 and at the other side in a viewing tube 7, on which an eyepiece or camera connection is placed. A connection 8 for a light source is also present, for connection to a fibre optics bundle which provides for lighting at the end of lens 13. Near the control end, tube 4 is provided with a fluid inlet 9 connected to a hose 12, for adding a physiological salt solution.
  • A shut-off valve is indicated by 10.
  • The length of the actual outer tube 4, is indicated by A and is more than 30 cm.
  • FIG. 4 shows details of the cutter or the cutting part 2, which is composed of a protective tube 16 inside of which a drive/suction tube 17 is fitted. Near the working end, tube 17 is provided with teeth 19 which mesh with teeth 18 provided in an opening 26 in the end part of protective tube 16. Near the other end, drive/suction tube 17 is provided with a coupling 20, which can be connected at one end to a rotating drive motor 21, not shown in detail, and at the other end is provided with an opening 22 through which fluid and removed material can be discharged by way of suction tube 17 to the discharge hose 23. A pressure regulator can be present in this discharge hose 23, which is connected to a vacuum source.
  • In FIG. 1 the insertion part is indicated by 27. This insertion part is composed of an insertion tube 28 which is provided with openings 29 at one end and near the other end, the insertion part 27 is provided with a bayonet connection 30 and an outlet 31. Insertion tube 28 is designed in such a way that tube 4 can be fitted therein, as shown in FIGS. 1 and 3, while it is also possible to fit insertion mandrel 40, provided with stem 41 and mandrel 42, in insertion tube 28
  • The construction described above has an inlet 38 for fluid. Inlet 38 extends to channel 14 (FIG. 1 a), i.e. the space bounded between the outer tube 4 and the protective tube 16 and 36, respectively from FIG. 4 or 5. A shut-off valve 39, which is connected to channel 14, is present, while the further outlet is indicated by 31. A discharge hose 23 for tissue and fluid is shown. During the removal of tissue, with a substantially continuous supply of fluid through inlet 38, some of the fluid will be discharged through outlet 23. This relatively small amount will be mixed with a mixture released during the cutting operation. Most of the fluid will be discharged through the further outlet 31. This discharge is unimpeded and occurs through openings 29. Pressure variations occurring due to the presence or absence of removed tissue in channel 17 (FIG. 4) have little or no influence on the pressure inside the body cavity owing to the presence of the further outlet 31.
  • If the device is to be inserted into, for example, a uterus, insertion mandrel 40 will first be inserted, with shut-off valve 39 open, into insertion tube 28 with bayonet 30. This assembly is then placed in the uterus in a relatively simple manner due to the shape of mandrel 42. Mandrel 42 is then removed by manipulating stem 41, and the construction shown in FIG. 2 is placed in tube 28. Connection is made here to bayonet 30. The cutting action can then begin after the uterus has been dilated by the introduction of fluid. This fluid can be a physiological flushing and distension fluid, such as a physiological salt solution (NaCl 0.9%). In the event of the (unavoidable) resorption of the physiological fluid into the blood, electrolyte displacement, with fatal consequences for the patient, will not occur. Owing to the absence of electrical current, the burns described above are also ruled out.
  • By switching on motor 21, tube 17 is set in rotation and teeth 19 move regularly along cutting edge 18 of protective tube 16 which remains stationary. While they are moving along each other and picking up tissue material between them, a cutting, detaching action on the tissue material is occurring. The cut, detached material is removed through the interior of tube 17 and outlet 23.
  • The appropriate area of the uterus can be treated by moving parts 18 and 19 along the uterus wall or along tissue to be removed, which can be observed through viewing tube 7 by supplying light through connection 8.
  • Through the use of a continuous flow system, a constantly clear view is obtained for the observer even if blood and/or mucous is/are in the mixture. Moreover, the pressure can be maintained as low as possible, in order to prevent intravasation.
  • FIG. 5 shows a variant of the end of the cutter. The cutter or cutting part are indicated in their entirety by 32. The protective tube is indicated by 36 and is beveled near the end. The drive/suction tube is indicated by 37 and provided with a cutting head near the end. In this embodiment, there is either no interaction between cutting head 35 and protective tube 36, or head 35 and tube 36 interact near the edge of tube 36, which is adapted for that purpose by grinding.
  • It is understood that such cutting elements can be designed in any way known in the prior art.
  • These and further modifications are considered to lie within the scope of the present application, to be immediately obvious to the person skilled in the art after reading the description, and to lie within the scope of the appended claims. For instance, it is possible to effect the supply of working fluid and the discharge of cleaning material in another way, i.e., to arrange the interior of housing 4 slightly differently. Furthermore, the method described above can be used for the removal of other tissue material, such as prostate tissue through the urethra, or for the removal of tissue from the wall of the urinary bladder.

Claims (24)

1. A method comprising:
inserting a cutter into a lumen of an endoscope through a valve of the endoscope, the lumen having a longitudinal axis extending from the valve to a distal end portion of the endoscope, and
inserting the endoscope into a distensible organ.
2. The method of claim 1 further comprising introducing a fluid into the organ.
3. The method of claim 2 further comprising introducing the fluid through the endoscope.
4. The method of claim 1 further comprising cutting tissue with the cutter.
5. The method of claim 1 further comprising discharging fluid and cut tissue through the cutter.
6. The method of claim 1 further comprising providing a tube defining a lumen for receiving the endoscope.
7. The method of claim 6 further comprising discharging fluid through the tube.
8. The method of claim 1 wherein the cutter is inserted after the endoscope is inserted.
9. The method of claim 1 further comprising controlling pressure within the distensible organ.
10. The method of claim 1 wherein the valve comprises a shut-off valve.
11. The method of claim 1 wherein the endoscope comprises a viewing channel configured to enable a user to view an interior of the distensible organ.
12. The method of claim 11 wherein the endoscope further comprises a lens at an end of the viewing channel.
13. The method of claim 12 further comprising a camera coupled to the viewing channel for viewing the interior of the distensible organ.
14. A method comprising:
inserting a cutter into a distensible organ through a shut-off valve of an endoscope, the shut-off valve defining an opening for receiving the cutter, the opening being aligned with a longitudinal axis of the endoscope.
15. The method of claim 14 further comprising introducing a fluid into the organ.
16. The method of claim 15 further comprising introducing the fluid through the endoscope.
17. The method of claim 14 further comprising cutting tissue with the cutter.
18. The method of claim 14 further comprising discharging fluid and cut tissue through the cutter.
19. The method of claim 14 further comprising providing a tube defining a lumen for receiving the endoscope.
20. The method of claim 19 further comprising discharging fluid through the tube.
21. The method of claim 14 further comprising controlling pressure within the distensible organ.
22. The method of claim 11 wherein the endoscope comprises a viewing channel configured to enable a user to view an interior of the distensible organ.
23. The method of claim 22 wherein the endoscope further comprises a lens at an end of the viewing channel.
24. The method of claim 22 further comprising a camera coupled to the viewing channel for viewing the interior of the distensible organ.
US11/929,940 1997-09-04 2007-10-30 Surgical endoscopic cutting device and method for its use Abandoned US20080058588A1 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
US11/929,940 US20080058588A1 (en) 1997-09-04 2007-10-30 Surgical endoscopic cutting device and method for its use
US13/446,202 US8893722B2 (en) 1997-09-04 2012-04-13 Surgical endoscopic cutting device and method for its use
US14/081,801 US9089358B2 (en) 1997-09-04 2013-11-15 Surgical cutting device and method for its use
US14/493,017 US9750520B2 (en) 1997-09-04 2014-09-22 Surgical endoscopic cutting device and method for its use
US14/744,611 US9226650B2 (en) 1997-09-04 2015-06-19 Surgical cutting device and method for its use
US14/744,583 US9226765B2 (en) 1997-09-04 2015-06-19 Surgical cutting device and method for its use
US14/951,941 US9427247B2 (en) 1997-09-04 2015-11-25 Surgical cutting device and method for its use

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
NL1006944A NL1006944C2 (en) 1997-09-04 1997-09-04 Surgical endoscopic cutting device.
NL1006944 1997-09-04
NLPCT/NL98/00504 1998-09-04
PCT/NL1998/000504 WO1999011184A1 (en) 1997-09-04 1998-09-04 Surgical endoscopic cutting device and method for its use
US48697700A 2000-03-06 2000-03-06
US11/780,759 US8061359B2 (en) 1997-09-04 2007-07-20 Surgical endoscopic cutting device and method for its use
US11/929,940 US20080058588A1 (en) 1997-09-04 2007-10-30 Surgical endoscopic cutting device and method for its use

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US11/780,759 Division US8061359B2 (en) 1997-09-04 2007-07-20 Surgical endoscopic cutting device and method for its use

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US13/446,202 Continuation US8893722B2 (en) 1997-09-04 2012-04-13 Surgical endoscopic cutting device and method for its use
US14/081,801 Continuation US9089358B2 (en) 1997-09-04 2013-11-15 Surgical cutting device and method for its use

Publications (1)

Publication Number Publication Date
US20080058588A1 true US20080058588A1 (en) 2008-03-06

Family

ID=19765613

Family Applications (10)

Application Number Title Priority Date Filing Date
US09/486,977 Expired - Fee Related US7249602B1 (en) 1997-09-04 1998-09-04 Surgical endoscopic cutting device and method for its use
US11/780,759 Expired - Fee Related US8061359B2 (en) 1997-09-04 2007-07-20 Surgical endoscopic cutting device and method for its use
US11/929,938 Abandoned US20080058842A1 (en) 1997-09-04 2007-10-30 Surgical endoscopic cutting device and method for its use
US11/929,940 Abandoned US20080058588A1 (en) 1997-09-04 2007-10-30 Surgical endoscopic cutting device and method for its use
US13/446,202 Expired - Fee Related US8893722B2 (en) 1997-09-04 2012-04-13 Surgical endoscopic cutting device and method for its use
US14/081,801 Expired - Fee Related US9089358B2 (en) 1997-09-04 2013-11-15 Surgical cutting device and method for its use
US14/493,017 Expired - Fee Related US9750520B2 (en) 1997-09-04 2014-09-22 Surgical endoscopic cutting device and method for its use
US14/744,611 Expired - Fee Related US9226650B2 (en) 1997-09-04 2015-06-19 Surgical cutting device and method for its use
US14/744,583 Expired - Fee Related US9226765B2 (en) 1997-09-04 2015-06-19 Surgical cutting device and method for its use
US14/951,941 Expired - Fee Related US9427247B2 (en) 1997-09-04 2015-11-25 Surgical cutting device and method for its use

Family Applications Before (3)

Application Number Title Priority Date Filing Date
US09/486,977 Expired - Fee Related US7249602B1 (en) 1997-09-04 1998-09-04 Surgical endoscopic cutting device and method for its use
US11/780,759 Expired - Fee Related US8061359B2 (en) 1997-09-04 2007-07-20 Surgical endoscopic cutting device and method for its use
US11/929,938 Abandoned US20080058842A1 (en) 1997-09-04 2007-10-30 Surgical endoscopic cutting device and method for its use

Family Applications After (6)

Application Number Title Priority Date Filing Date
US13/446,202 Expired - Fee Related US8893722B2 (en) 1997-09-04 2012-04-13 Surgical endoscopic cutting device and method for its use
US14/081,801 Expired - Fee Related US9089358B2 (en) 1997-09-04 2013-11-15 Surgical cutting device and method for its use
US14/493,017 Expired - Fee Related US9750520B2 (en) 1997-09-04 2014-09-22 Surgical endoscopic cutting device and method for its use
US14/744,611 Expired - Fee Related US9226650B2 (en) 1997-09-04 2015-06-19 Surgical cutting device and method for its use
US14/744,583 Expired - Fee Related US9226765B2 (en) 1997-09-04 2015-06-19 Surgical cutting device and method for its use
US14/951,941 Expired - Fee Related US9427247B2 (en) 1997-09-04 2015-11-25 Surgical cutting device and method for its use

Country Status (10)

Country Link
US (10) US7249602B1 (en)
EP (1) EP0996375B1 (en)
JP (1) JP4172910B2 (en)
AT (1) ATE320222T1 (en)
AU (1) AU746894B2 (en)
BR (1) BR9812171A (en)
CA (1) CA2302185A1 (en)
DE (1) DE69833869T2 (en)
NL (1) NL1006944C2 (en)
WO (1) WO1999011184A1 (en)

Cited By (47)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080097468A1 (en) * 2006-10-18 2008-04-24 Adams Ronald D Systems for performing gynecological procedures with closed visualization lumen
US20080146872A1 (en) * 2006-11-07 2008-06-19 Gruber William H Mechanical distension systems for performing a medical procedure in a remote space
US20080249366A1 (en) * 2007-04-06 2008-10-09 William Harwick Gruber System for use in performing a medical procedure and introducer device suitable for use in said system
US20080249553A1 (en) * 2007-04-06 2008-10-09 William Harwick Gruber Method, system and device for tissue removal
US20090270898A1 (en) * 2007-04-06 2009-10-29 Interlace Medical, Inc. Tissue removal device with high reciprocation rate
US20090270896A1 (en) * 2007-04-06 2009-10-29 Interlace Medical, Inc. Tissue cutter with differential hardness
US20110054507A1 (en) * 2009-04-17 2011-03-03 David Batten Devices and methods for arched roof cutters
US20110087257A1 (en) * 2009-04-02 2011-04-14 Spine View, Inc. Minimally invasive discectomy
US8025656B2 (en) 2006-11-07 2011-09-27 Hologic, Inc. Methods, systems and devices for performing gynecological procedures
US8343179B2 (en) 2008-07-25 2013-01-01 Spine View, Inc. Systems and methods for cable-based tissue removal
US8663227B2 (en) 2011-12-03 2014-03-04 Ouroboros Medical, Inc. Single-unit cutting head systems for safe removal of nucleus pulposus tissue
US20140074136A1 (en) * 1997-09-04 2014-03-13 Smith & Nephew, Inc. Surgical cutting device and method for its use
US8870749B2 (en) 2011-09-02 2014-10-28 Stryker Corporation Arrangement for minimal access surgery
JP2015500690A (en) * 2011-12-02 2015-01-08 インタースコープ, インク.Interscope, Inc. Insertable endoscopic instrument for tissue resection
US20150080896A1 (en) 2013-07-19 2015-03-19 Ouroboros Medical, Inc. Anti-clogging device for a vacuum-assisted, tissue removal system
US9060801B1 (en) 2001-10-26 2015-06-23 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
US9125550B2 (en) 2004-08-27 2015-09-08 Smith & Nephew, Inc. Tissue resecting system
US9131832B2 (en) 2012-08-15 2015-09-15 Stryker Corporation Cannula arrangement for minimally invasive surgery
US9155454B2 (en) 2010-09-28 2015-10-13 Smith & Nephew, Inc. Hysteroscopic system
US9254142B2 (en) 2011-04-11 2016-02-09 Iogyn, Inc. Tissue extraction devices and methods
US9439677B2 (en) 2012-01-20 2016-09-13 Iogyn, Inc. Medical device and methods
US9439720B2 (en) 2011-09-01 2016-09-13 Iogyn, Inc. Tissue extraction devices and methods
US10080571B2 (en) 2015-03-06 2018-09-25 Warsaw Orthopedic, Inc. Surgical instrument and method
US10299819B2 (en) 2016-07-28 2019-05-28 Covidien Lp Reciprocating rotary surgical cutting device and system for tissue resecting, and method for its use
US10299803B2 (en) 2016-08-04 2019-05-28 Covidien Lp Self-aligning drive coupler
US10357272B2 (en) 2014-09-18 2019-07-23 Mayo Foundation For Medical Education And Research Soft tissue cutting device and methods of use
US10631889B2 (en) 2014-12-16 2020-04-28 Covidien Lp Surgical device with incorporated tissue extraction
US10750931B2 (en) 2015-05-26 2020-08-25 Covidien Lp Systems and methods for generating a fluid bearing for an operative procedure
US10772654B2 (en) 2017-03-02 2020-09-15 Covidien Lp Fluid-driven tissue resecting instruments, systems, and methods
US10772652B2 (en) 2015-01-28 2020-09-15 Covidien Lp Tissue resection system
US10804769B2 (en) 2015-06-17 2020-10-13 Covidien Lp Surgical instrument with phase change cooling
US10864055B2 (en) 2017-10-13 2020-12-15 Sonex Health, Inc. Tray for a soft tissue cutting device and methods of use
US10869684B2 (en) 2018-02-13 2020-12-22 Covidien Lp Powered tissue resecting device
US10898218B2 (en) 2019-02-25 2021-01-26 Covidien Lp Tissue resecting device including a motor cooling assembly
US11065147B2 (en) 2018-10-18 2021-07-20 Covidien Lp Devices, systems, and methods for pre-heating fluid to be introduced into a patient during a surgical procedure
US11083481B2 (en) 2019-02-22 2021-08-10 Covidien Lp Tissue resecting instrument including an outflow control seal
US11154318B2 (en) 2019-02-22 2021-10-26 Covidien Lp Tissue resecting instrument including an outflow control seal
US11324526B2 (en) 2018-02-02 2022-05-10 Calyxo, Inc. Devices and methods for minimally invasive kidney stone removal by combined aspiration and irrigation
US11452806B2 (en) 2019-10-04 2022-09-27 Covidien Lp Outflow collection vessels, systems, and components thereof for hysteroscopic surgical procedures
US11547815B2 (en) 2018-05-30 2023-01-10 Covidien Lp Systems and methods for measuring and controlling pressure within an internal body cavity
US11553977B2 (en) 2019-05-29 2023-01-17 Covidien Lp Hysteroscopy systems and methods for managing patient fluid
US11571233B2 (en) 2020-11-19 2023-02-07 Covidien Lp Tissue removal handpiece with integrated suction
USD989961S1 (en) 2021-04-30 2023-06-20 Sonex Health, Inc. Soft tissue cutting device
US11864735B2 (en) 2016-05-26 2024-01-09 Covidien Lp Continuous flow endoscope
US11883626B2 (en) 2019-06-27 2024-01-30 Boston Scientific Scimed, Inc. Detection of an endoscope to a fluid management system
US11890237B2 (en) 2019-10-04 2024-02-06 Covidien Lp Outflow collection vessels, systems, and components thereof for hysteroscopic surgical procedures
US11903602B2 (en) 2009-04-29 2024-02-20 Hologic, Inc. Uterine fibroid tissue removal device

Families Citing this family (81)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070167681A1 (en) 2001-10-19 2007-07-19 Gill Thomas J Portable imaging system employing a miniature endoscope
DE10154163A1 (en) 2001-11-03 2003-05-22 Advanced Med Tech Device for straightening and stabilizing the spine
US7150713B2 (en) 2003-10-16 2006-12-19 Smith & Nephew, Inc. Endoscopic device
JP5438323B2 (en) 2005-11-23 2014-03-12 コヴィディエン リミテッド パートナーシップ High precision cutting device
US7794393B2 (en) 2006-04-13 2010-09-14 Larsen Dane M Resectoscopic device and method
EP1911474B1 (en) 2006-10-11 2012-07-11 Alka Kumar Efficient continuous flow irrigation system
EP1911391B1 (en) 2006-10-11 2012-08-08 Alka Kumar System for evacuating detached tissue in continuous flow irrigation endoscopic procedures
US9155453B2 (en) 2006-10-11 2015-10-13 Alka Kumar Efficient continuous flow irrigation endoscope
US8979931B2 (en) 2006-12-08 2015-03-17 DePuy Synthes Products, LLC Nucleus replacement device and method
CA2701504A1 (en) 2007-10-05 2009-04-09 Synthes Usa, Llc Dilation system and method of using the same
US8603123B2 (en) * 2008-04-28 2013-12-10 Urotech, Inc. Benign prostatic hyperplasia surgical system featuring mechanical coring probe with live aspiration
US20100094082A1 (en) * 2008-10-09 2010-04-15 Jay Iinuma Medical examining device with an angularly offset fiber optic channel
US20100094167A1 (en) * 2008-10-09 2010-04-15 Jay Iinuma Medical examining device with fiber optic receiving channel and sampling channel
WO2011060192A1 (en) 2009-11-13 2011-05-19 Interlace Medical, Inc. Access system with removable outflow channel
MX338561B (en) 2010-10-06 2016-04-20 Smith & Nephew Inc A system for use in tissue repair.
WO2012092558A1 (en) 2010-12-30 2012-07-05 Hologic, Inc. Hysteroscopic tissue removal system with improved fluid management and/or monitoring capabilities
WO2012094530A2 (en) 2011-01-05 2012-07-12 Hologic, Inc. Tissue removal system
US10307038B2 (en) * 2011-03-29 2019-06-04 Covidien Lp System and method for performing surgical procedures with a modular surgical system
US9060760B2 (en) 2011-08-18 2015-06-23 Hologic, Inc. Tissue removal system
US9084847B2 (en) 2011-09-22 2015-07-21 Iogyn, Inc. Surgical fluid management systems and methods
US9622779B2 (en) 2011-10-27 2017-04-18 DePuy Synthes Products, Inc. Method and devices for a sub-splenius / supra-levator scapulae surgical access technique
WO2013067179A2 (en) 2011-11-01 2013-05-10 Synthes Usa, Llc Dilation system
US9204868B2 (en) 2011-12-02 2015-12-08 Interscope, Inc. Methods and apparatus for removing material from within a mammalian cavity using an insertable endoscopic instrument
US8882680B2 (en) 2011-12-02 2014-11-11 Interscope, Inc. Insertable endoscopic instrument for tissue removal
EP2830517A1 (en) * 2012-03-30 2015-02-04 Mobisep B.V. Cutting device, hysterectomy assembly for laparoscopic hysterectomy
US9265490B2 (en) 2012-04-16 2016-02-23 DePuy Synthes Products, Inc. Detachable dilator blade
US20160120395A1 (en) * 2012-09-25 2016-05-05 Tianjin Bolang Science-Technology Development Co. , Ltd. Disposable endoscope sheath
US9480855B2 (en) 2012-09-26 2016-11-01 DePuy Synthes Products, Inc. NIR/red light for lateral neuroprotection
US9498244B2 (en) 2012-10-19 2016-11-22 Iogyn, Inc. Medical systems and methods
US9295393B2 (en) 2012-11-09 2016-03-29 Elwha Llc Embolism deflector
US9294839B2 (en) 2013-03-01 2016-03-22 Clearone, Inc. Augmentation of a beamforming microphone array with non-beamforming microphones
US9603610B2 (en) 2013-03-15 2017-03-28 DePuy Synthes Products, Inc. Tools and methods for tissue removal
CN108606837B (en) 2013-03-15 2021-05-28 史赛克公司 End effector of surgical robot arm
US10342565B2 (en) 2013-04-24 2019-07-09 Hologic, Inc. Surgical system with expandable shield
CN107174296B (en) * 2013-05-17 2021-02-02 因特斯高普公司 Insertable endoscopic instrument for tissue removal
US20140352483A1 (en) * 2013-06-04 2014-12-04 General Electric Company Remote alignment tool
US9943639B2 (en) 2013-10-28 2018-04-17 Boston Scientific Scimed, Inc. Fluid management system and methods
CN104720870B (en) * 2013-12-19 2017-02-08 桐庐万禾医疗器械有限公司 Multifunctional cutter for minimally invasive surgery
CN103932656B (en) * 2014-04-28 2016-09-14 乔晋琳 A kind of endoscope assembly and armarium
US9980737B2 (en) 2014-08-04 2018-05-29 Medos International Sarl Flexible transport auger
US9924979B2 (en) 2014-09-09 2018-03-27 Medos International Sarl Proximal-end securement of a minimally invasive working channel
US10111712B2 (en) 2014-09-09 2018-10-30 Medos International Sarl Proximal-end securement of a minimally invasive working channel
US10264959B2 (en) 2014-09-09 2019-04-23 Medos International Sarl Proximal-end securement of a minimally invasive working channel
US10786264B2 (en) 2015-03-31 2020-09-29 Medos International Sarl Percutaneous disc clearing device
EP3310241B1 (en) 2015-06-17 2020-08-05 Covidien LP Endoscopic device with drip flange
CN107920837A (en) 2015-06-18 2018-04-17 柯惠有限合伙公司 Surgical instruments with suction control
US9707012B2 (en) 2015-07-31 2017-07-18 Polygon Medical, Inc. Polypectomy systems, devices, and methods
KR101737997B1 (en) * 2015-08-06 2017-05-30 (주)세원메디텍 Cannular for percutaneous foraminotomy and Cutting device for the percutaneous foraminotomy
US10178942B2 (en) 2015-08-27 2019-01-15 Boston Scientific Scimed, Inc. Fluid management systems and methods
CN107920725B (en) 2015-08-27 2020-10-13 密涅瓦外科有限公司 Medical device and method
US11744447B2 (en) 2015-09-04 2023-09-05 Medos International Surgical visualization systems and related methods
US11439380B2 (en) 2015-09-04 2022-09-13 Medos International Sarl Surgical instrument connectors and related methods
CN113143355A (en) 2015-09-04 2021-07-23 美多斯国际有限公司 Multi-shield spinal access system
US11672562B2 (en) 2015-09-04 2023-06-13 Medos International Sarl Multi-shield spinal access system
US10987129B2 (en) 2015-09-04 2021-04-27 Medos International Sarl Multi-shield spinal access system
JP2017090965A (en) * 2015-11-02 2017-05-25 株式会社東芝 Crowd classification device, method thereof and program thereof
CN108430338B (en) 2015-11-16 2020-12-29 霍罗杰克股份有限公司 Tissue removal system
US10299838B2 (en) 2016-02-05 2019-05-28 Medos International Sarl Method and instruments for interbody fusion and posterior fixation through a single incision
KR101831241B1 (en) 2016-07-05 2018-02-22 (주)세원메디텍 Cannular for foraminotomy and foraminotomy device
US20180093021A1 (en) * 2016-10-02 2018-04-05 Sandeep Sood Endoscope handle with a rigid surgical suction for endoscopic micro-neurosurgery of the brain
WO2018087226A1 (en) 2016-11-09 2018-05-17 Lina Medical International Operations Ag A device for use in hysteroscopy
WO2018231778A1 (en) 2017-06-14 2018-12-20 Polygon Medical, Inc. Polypectomy systems, devices, and methods
USD847992S1 (en) 2017-06-27 2019-05-07 Polygon Medical, Inc. Medical device handle
WO2019022791A1 (en) 2017-07-25 2019-01-31 Stryker European Holdings I, Llc Irrigation sleeves for use with surgical systems
US11457909B2 (en) * 2017-11-14 2022-10-04 Min Ho Jung Sheath device for biportal endoscopic spinal surgery
WO2019123815A1 (en) * 2017-12-22 2019-06-27 オリンパス株式会社 Insertion device
US11197710B2 (en) 2018-10-26 2021-12-14 Covidien Lp Tissue resecting device including a blade lock and release mechanism
US11013530B2 (en) 2019-03-08 2021-05-25 Medos International Sarl Surface features for device retention
US10945752B2 (en) 2019-03-20 2021-03-16 Covidien Lp Tissue resecting instrument including a rotation lock feature
US11241252B2 (en) 2019-03-22 2022-02-08 Medos International Sarl Skin foundation access portal
US11883058B2 (en) 2019-03-26 2024-01-30 Covidien Lp Jaw members, end effector assemblies, and ultrasonic surgical instruments including the same
US11129727B2 (en) 2019-03-29 2021-09-28 Medos International Sari Inflatable non-distracting intervertebral implants and related methods
US11813026B2 (en) 2019-04-05 2023-11-14 Medos International Sarl Systems, devices, and methods for providing surgical trajectory guidance
US11179172B2 (en) 2019-12-05 2021-11-23 Covidien Lp Tissue resecting instrument
US11376032B2 (en) 2019-12-05 2022-07-05 Covidien Lp Tissue resecting instrument
US11547782B2 (en) 2020-01-31 2023-01-10 Covidien Lp Fluid collecting sheaths for endoscopic devices and systems
US11737777B2 (en) 2020-02-05 2023-08-29 Covidien Lp Tissue resecting instruments
US11317947B2 (en) 2020-02-18 2022-05-03 Covidien Lp Tissue resecting instrument
US11596429B2 (en) 2020-04-20 2023-03-07 Covidien Lp Tissue resecting instrument
US11771517B2 (en) 2021-03-12 2023-10-03 Medos International Sarl Camera position indication systems and methods
USD1002844S1 (en) * 2021-07-01 2023-10-24 Karl Storz Se & Co. Kg Mini IBS optic

Citations (95)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1666332A (en) * 1927-05-23 1928-04-17 Edwin W Hirsch Bladder-pressure-testing apparatus
US2708437A (en) * 1952-03-31 1955-05-17 Elizabeth Painter Hutchins Surgical instrument
US3791379A (en) * 1971-03-02 1974-02-12 K Storz Valve for endoscopes
US3850162A (en) * 1972-07-03 1974-11-26 J Iglesias Endoscope with continuous irrigation
US3945375A (en) * 1972-04-04 1976-03-23 Surgical Design Corporation Rotatable surgical instrument
US3995619A (en) * 1975-10-14 1976-12-07 Glatzer Stephen G Combination subcutaneous suture remover, biopsy sampler and syringe
US3996921A (en) * 1975-04-17 1976-12-14 Pharmacia Inc. Method and apparatus for endoscopy
US4198958A (en) * 1977-06-01 1980-04-22 Olympus Optical Co., Ltd. Flexible cap and instrument seal for a suction control device in an endoscope
US4203444A (en) * 1977-11-07 1980-05-20 Dyonics, Inc. Surgical instrument suitable for closed surgery such as of the knee
US4258721A (en) * 1978-01-26 1981-03-31 Bernard Parent Self-contained portable hysteroscope
US4261346A (en) * 1979-11-23 1981-04-14 Richard Wolf Medical Instruments Corporation Endoscopes
US4369768A (en) * 1980-07-30 1983-01-25 Marko Vukovic Arthroscope
US4392485A (en) * 1981-02-17 1983-07-12 Richard Wolf Gmbh Endoscope
US4414962A (en) * 1977-06-15 1983-11-15 Carson Robert W Operating arthroscope
US4449538A (en) * 1982-01-25 1984-05-22 John Corbitt Medical-electronic body fluid accounting system
US4543965A (en) * 1982-06-13 1985-10-01 Ben-Gurion University Of The Negev Research And Development Authority Method and device for measuring intrauterine pressure
US4567880A (en) * 1984-12-26 1986-02-04 Goodman Tobias M Endoscopic device with three-way valve
US4601290A (en) * 1983-10-11 1986-07-22 Cabot Medical Corporation Surgical instrument for cutting body tissue from a body area having a restricted space
US4606330A (en) * 1983-08-09 1986-08-19 Richard Wolf Gmbh Device for disintegrating stones in bodily cavities or ducts
US4630598A (en) * 1984-05-29 1986-12-23 Richard Wolf Gmbh Uretero-renoscope
US4700694A (en) * 1984-02-20 1987-10-20 Olympus Optical Co., Ltd. Endoscope means and ovum picker employed by inserting through endoscope means
US4706656A (en) * 1985-05-15 1987-11-17 Olympus Optical Co., Ltd. Endoscope device with tool channel
US4737142A (en) * 1984-11-28 1988-04-12 Richard Wolf Gmbh Instrument for examination and treatment of bodily passages
US4756309A (en) * 1985-02-14 1988-07-12 Sachse Hans Ernst Endoscope for removal of tissue
US4867157A (en) * 1987-08-13 1989-09-19 Baxter Travenol Laboratories, Inc. Surgical cutting instrument
US4924851A (en) * 1988-01-05 1990-05-15 Societe Dite Sinergy S.A. Surgical apparatus
US4950278A (en) * 1986-08-06 1990-08-21 Sachse Hans E Endoscope for removal of tissue
US4955882A (en) * 1988-03-30 1990-09-11 Hakky Said I Laser resectoscope with mechanical and laser cutting means
US4998527A (en) * 1989-07-27 1991-03-12 Percutaneous Technologies Inc. Endoscopic abdominal, urological, and gynecological tissue removing device
US4998914A (en) * 1988-02-17 1991-03-12 Peter P. Wiest Procedure for the perfusion of cavities in objects and device for executing the procedure
US5027792A (en) * 1989-03-17 1991-07-02 Percutaneous Technologies, Inc. Endoscopic revision hip surgery device
US5037386A (en) * 1989-11-17 1991-08-06 Minnesota Mining And Manufacturing Company Pressure sensing scope cannula
US5105800A (en) * 1989-07-04 1992-04-21 Asahi Kogaku Kogyo Kabushiki Kaisha Sheath device for endoscope
US5106364A (en) * 1989-07-07 1992-04-21 Kabushiki Kaisha Topcon Surgical cutter
US5125910A (en) * 1991-02-19 1992-06-30 Dexide, Inc. Surgical endoscopic suction/irrigation cannula assembly
US5133713A (en) * 1990-03-27 1992-07-28 Huang Jong Khing Apparatus of a spinning type of resectoscope for prostatectomy
US5152744A (en) * 1990-02-07 1992-10-06 Smith & Nephew Dyonics Surgical instrument
US5158553A (en) * 1990-12-26 1992-10-27 Cardiopulmonics Rotatably actuated constricting catheter valve
US5163433A (en) * 1989-11-01 1992-11-17 Olympus Optical Co., Ltd. Ultrasound type treatment apparatus
US5169397A (en) * 1990-02-08 1992-12-08 Olympus Optical Co., Ltd. Medical instrument
US5176677A (en) * 1989-11-17 1993-01-05 Sonokinetics Group Endoscopic ultrasonic rotary electro-cauterizing aspirator
US5195541A (en) * 1991-10-18 1993-03-23 Obenchain Theodore G Method of performing laparoscopic lumbar discectomy
US5244459A (en) * 1992-01-28 1993-09-14 Hill Raymond R Suction irrigator endoscope
US5254117A (en) * 1992-03-17 1993-10-19 Alton Dean Medical Multi-functional endoscopic probe apparatus
US5269785A (en) * 1990-06-28 1993-12-14 Bonutti Peter M Apparatus and method for tissue removal
US5275609A (en) * 1990-06-22 1994-01-04 Vance Products Incorporated Surgical cutting instrument
US5288290A (en) * 1991-09-25 1994-02-22 Alcon Surgical, Inc. Multi-ported valve assembly
US5312430A (en) * 1986-12-09 1994-05-17 Rosenbluth Robert F Balloon dilation catheter
US5312399A (en) * 1992-09-29 1994-05-17 Hakky Said I Laser resectoscope with mechanical cutting means and laser coagulating means
US5320091A (en) * 1992-04-27 1994-06-14 Circon Corporation Continuous flow hysteroscope
US5347992A (en) * 1993-01-22 1994-09-20 Karl Storz Endoscopy America, Inc. Single axis three way selector valve for endoscopes
US5364395A (en) * 1993-05-14 1994-11-15 West Jr Hugh S Arthroscopic surgical instrument with cauterizing capability
US5374253A (en) * 1993-10-12 1994-12-20 Burns, Sr.; Charles N. Medical instrument with automatic shut-off valve
US5392765A (en) * 1993-02-11 1995-02-28 Circon Corporation Continuous flow cystoscope
US5409013A (en) * 1989-11-06 1995-04-25 Mectra Labs, Inc. Tissue removal assembly
US5429601A (en) * 1992-02-12 1995-07-04 American Cyanamid Company Aspiration control system
US5449356A (en) * 1991-10-18 1995-09-12 Birtcher Medical Systems, Inc. Multifunctional probe for minimally invasive surgery
US5456689A (en) * 1993-10-13 1995-10-10 Arnold J. Kresch Method and device for tissue resection
US5492537A (en) * 1994-05-03 1996-02-20 Aquintel, Inc. Surgical fluid monitor
US5498258A (en) * 1994-09-13 1996-03-12 Hakky; Said I. Laser resectoscope with laser induced mechanical cutting means
US5556378A (en) * 1992-06-17 1996-09-17 Storz; Karl Device for irrigation of body cavities
US5569254A (en) * 1995-04-12 1996-10-29 Midas Rex Pneumatic Tools, Inc. Surgical resection tool having an irrigation, lighting, suction and vision attachment
US5569164A (en) * 1993-11-24 1996-10-29 Delma Elektro- Und Medizinische Apparatebau Gesellschaft Mbh Surgical laparoscopic apparatus
US5603332A (en) * 1995-01-27 1997-02-18 Technological Services, Inc. Method and apparatus for monitoring the systemic absorption of irrigation fluid during operative hysteroscopy
US5630798A (en) * 1991-08-21 1997-05-20 Smith & Nephew Dyonics Inc. Fluid management system
US5674179A (en) * 1995-03-02 1997-10-07 Richard Wolff Gmbh Endoscope
US5709698A (en) * 1996-02-26 1998-01-20 Linvatec Corporation Irrigating/aspirating shaver blade assembly
US5730752A (en) * 1996-10-29 1998-03-24 Femrx, Inc. Tubular surgical cutters having aspiration flow control ports
US5741287A (en) * 1996-11-01 1998-04-21 Femrx, Inc. Surgical tubular cutter having a tapering cutting chamber
US5749885A (en) * 1995-10-02 1998-05-12 Smith & Nephew, Inc. Surgical instrument with embedded coding element
US5759185A (en) * 1994-10-24 1998-06-02 Smith & Nephew, Inc. Surgical instrument
US5772634A (en) * 1995-10-06 1998-06-30 Zimmer, Inc. Device for limiting distention fluid pressure during hysteroscopy
US5775333A (en) * 1994-03-24 1998-07-07 Ethicon Endo-Surgery, Inc. Apparatus for automated biopsy and collection of soft tissue
US5807240A (en) * 1996-09-24 1998-09-15 Circon Corporation Continuous flow endoscope with enlarged outflow channel
US5814009A (en) * 1996-10-11 1998-09-29 Cabot Technology Corporation Fluid management system and replaceable tubing assembly therefor
US5913867A (en) * 1996-12-23 1999-06-22 Smith & Nephew, Inc. Surgical instrument
US5944668A (en) * 1994-05-03 1999-08-31 Aquintel Corporation Surgical fluid and tissue loss monitor
US5947990A (en) * 1997-02-24 1999-09-07 Smith & Nephew, Inc. Endoscopic surgical instrument
US6032673A (en) * 1994-10-13 2000-03-07 Femrx, Inc. Methods and devices for tissue removal
US6039748A (en) * 1997-08-05 2000-03-21 Femrx, Inc. Disposable laparoscopic morcellator
US6068641A (en) * 1998-08-25 2000-05-30 Linvatec Corporation Irrigated burr
US6086542A (en) * 1997-07-01 2000-07-11 Linvatec Corporation Pressure sensing input/output scope sheath
US6090123A (en) * 1996-08-15 2000-07-18 Stryker Corporation Powered surgical handpiece with state marker for indicating the run/load state of the handpiece coupling assembly
US6113594A (en) * 1996-07-02 2000-09-05 Ethicon, Inc. Systems, methods and apparatus for performing resection/ablation in a conductive medium
US6132448A (en) * 1998-06-19 2000-10-17 Stryker Corporation Endoscopic irrigated bur
US6156049A (en) * 1997-04-11 2000-12-05 Coherent Inc. Method and apparatus for transurethral resection of the prostate
US6159209A (en) * 1999-03-18 2000-12-12 Canox International Ltd. Automatic resectoscope
US6159160A (en) * 1998-03-26 2000-12-12 Ethicon, Inc. System and method for controlled infusion and pressure monitoring
US6258111B1 (en) * 1997-10-03 2001-07-10 Scieran Technologies, Inc. Apparatus and method for performing ophthalmic procedures
US6358200B1 (en) * 1999-09-01 2002-03-19 Circon Corporation Continuous flow resectoscope with single tube sheath assembly and rotatable connection
US20020058859A1 (en) * 2000-11-15 2002-05-16 Olympus Winter & Ibe Gmbh Continuously rinsing double-sheath endoscope
US20030050603A1 (en) * 2001-09-12 2003-03-13 Todd Erik F. Cannula that provides bi-directional fluid flow that is regulated by a single valve
US6585708B1 (en) * 1997-07-15 2003-07-01 Armand Maaskamp Flow control system and method for endoscopic surgeries
US6626827B1 (en) * 2000-09-01 2003-09-30 C. R. Bard, Inc. Fluid management assembly for use in endoscopic procedures
US6632182B1 (en) * 1998-10-23 2003-10-14 The Trustees Of Columbia University In The City Of New York Multiple bit, multiple specimen endoscopic biopsy forceps

Family Cites Families (191)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1585934A (en) 1923-12-29 1926-05-25 Radium Emanation Corp Diagnostic needle
US1831786A (en) 1926-04-20 1931-11-10 California Packing Corp Fruit peeling apparatus
US3297022A (en) 1963-09-27 1967-01-10 American Cystoscope Makers Inc Endoscope
GB1288091A (en) 1969-01-03 1972-09-06
US3734099A (en) 1971-04-07 1973-05-22 H Bender Powered surgical cutter
US3812855A (en) * 1971-12-15 1974-05-28 Surgical Design Corp System for controlling fluid and suction pressure
US3835842A (en) 1972-07-03 1974-09-17 J Iglesias Endoscope with continuous irrigation
US4011869A (en) 1975-08-01 1977-03-15 David Kopf Instruments Tubular cutting instrument
US3980252A (en) 1975-10-31 1976-09-14 John T. Hepburn Limited Wire rope spooling mechanism
US4146405A (en) 1977-01-19 1979-03-27 Henry Timmer Unitary dishwasher
US4108182A (en) 1977-02-16 1978-08-22 Concept Inc. Reciprocation vitreous suction cutter head
US4246902A (en) 1978-03-10 1981-01-27 Miguel Martinez Surgical cutting instrument
US4210146A (en) 1978-06-01 1980-07-01 Anton Banko Surgical instrument with flexible blade
US4316465A (en) 1979-03-30 1982-02-23 Dotson Robert S Jun Ophthalmic handpiece with pneumatically operated cutter
US4294234A (en) 1979-06-22 1981-10-13 Olympus Optical Co., Ltd. Endoscope
US4247180A (en) 1979-08-06 1981-01-27 Polaroid Corporation Card motion picture apparatus with adjustable barrel cam
DE2949278C2 (en) 1979-12-07 1982-05-27 Rainer Dipl.-Ing. 8261 Neuötting Kortländer Device for knife conization of the cervix
US4493698A (en) 1980-11-03 1985-01-15 Cooper Medical Devices Method of performing opthalmic surgery utilizing a linear intra-ocular suction device
GB2093353B (en) * 1981-02-25 1984-09-19 Dyonics Inc A surgical instrument for arthroscopic arthroplasty
US4517977A (en) 1981-07-24 1985-05-21 Unisearch Limited Co-axial tube surgical infusion/suction cutter tip
DE3206381C2 (en) 1982-02-22 1986-07-10 Olympus Winter & Ibe GmbH, 2000 Hamburg Percutaneous nephroscope
US4718291A (en) 1982-05-28 1988-01-12 Rhp Group Plc Devices for converting rotary movement into linear movement
US5421819A (en) 1992-08-12 1995-06-06 Vidamed, Inc. Medical probe device
US5435805A (en) 1992-08-12 1995-07-25 Vidamed, Inc. Medical probe device with optical viewing capability
GR70998B (en) 1982-11-03 1983-03-30 Kollia Nik Georgio
JPS59200644A (en) 1983-04-27 1984-11-14 オリンパス光学工業株式会社 Surgical incision instrument
JPS60243625A (en) * 1984-05-18 1985-12-03 Fuji Photo Optical Co Ltd Connecting system of endoscope
US4649919A (en) 1985-01-23 1987-03-17 Precision Surgical Instruments, Inc. Surgical instrument
US4644952A (en) 1985-02-19 1987-02-24 Palm Beach Medical Engineering, Inc. Surgical operating instrument
DE3601453A1 (en) * 1985-02-25 1986-09-04 Hans E. Prof. Dr.Med. Sachse Endoscope for the removal of tissue
JPS62105698A (en) 1985-11-05 1987-05-16 ソニー株式会社 Printer
DE3615694A1 (en) 1986-05-09 1987-11-12 Winter & Ibe Olympus Percutaneous nephroscope with safety wire
US4749376A (en) 1986-10-24 1988-06-07 Intravascular Surgical Instruments, Inc. Reciprocating working head catheter
US4850354A (en) 1987-08-13 1989-07-25 Baxter Travenol Laboratories, Inc. Surgical cutting instrument
JP2627750B2 (en) 1987-09-17 1997-07-09 株式会社資生堂 Aerosol cosmetics
US4819635A (en) 1987-09-18 1989-04-11 Henry Shapiro Tubular microsurgery cutting apparatus
US4844064A (en) 1987-09-30 1989-07-04 Baxter Travenol Laboratories, Inc. Surgical cutting instrument with end and side openings
US4986827A (en) 1987-11-05 1991-01-22 Nestle S.A. Surgical cutting instrument with reciprocating inner cutter
JPH0426092Y2 (en) 1987-11-10 1992-06-23
US5116868A (en) 1989-05-03 1992-05-26 The Johns Hopkins University Effective ophthalmic irrigation solution
US5226910A (en) 1989-07-05 1993-07-13 Kabushiki Kaisha Topcon Surgical cutter
US5226909A (en) 1989-09-12 1993-07-13 Devices For Vascular Intervention, Inc. Atherectomy device having helical blade and blade guide
US5112299A (en) 1989-10-25 1992-05-12 Hall Surgical Division Of Zimmer, Inc. Arthroscopic surgical apparatus and method
US4940061A (en) 1989-11-27 1990-07-10 Ingress Technologies, Inc. Biopsy instrument
US5007917A (en) 1990-03-08 1991-04-16 Stryker Corporation Single blade cutter for arthroscopic surgery
US6007513A (en) 1990-07-17 1999-12-28 Aziz Yehia Anis Removal of tissue
US5911699A (en) 1990-07-17 1999-06-15 Aziz Yehia Anis Removal of tissue
DE4038398A1 (en) 1990-12-01 1992-06-04 Schubert Werner Medical equipment for min. invasive operation e.g. for removal of tumour - introduces knife on long handle through cylinder or tube adjusted into pathological tissue
WO1992011816A2 (en) 1991-01-09 1992-07-23 Endomedix Corporation Method and device for intracorporeal liquidization of tissue and/or intracorporeal fragmentation of calculi during endoscopic surgical procedures
US5409453A (en) 1992-08-12 1995-04-25 Vidamed, Inc. Steerable medical probe with stylets
US5391180A (en) 1991-08-05 1995-02-21 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5490819A (en) 1991-08-05 1996-02-13 United States Surgical Corporation Articulating endoscopic surgical apparatus
MX9300607A (en) 1992-02-06 1993-10-01 American Med Syst APPARATUS AND METHOD FOR INTERSTITIAL TREATMENT.
US5269798A (en) * 1992-02-19 1993-12-14 Linvatec Corporation Surgical cutting instrument with movable, inner and outer tubular members
US5350390A (en) 1992-03-25 1994-09-27 Arieh Sher Device for removal of intraluminal occlusions
US5270622A (en) 1992-04-13 1993-12-14 Smith & Nephew Dyonics, Inc. Brushless motor control system
US5672945A (en) 1992-04-13 1997-09-30 Smith & Nephew Endoscopy, Inc. Motor controlled surgical system and method having self clearing motor control
US5563481A (en) 1992-04-13 1996-10-08 Smith & Nephew Endoscopy, Inc. Brushless motor
US5602449A (en) 1992-04-13 1997-02-11 Smith & Nephew Endoscopy, Inc. Motor controlled surgical system and method having positional control
CA2101293C (en) 1992-08-05 2004-06-29 David A. Nicholas Articulating endoscopic surgical apparatus
SE501876C2 (en) * 1992-11-12 1995-06-12 Christer Dahlstrand Ab Motorised arrangement for endoscopic removal of prostate tissue - includes tubular body, with hand grip, channels for inspection, lighting, and input for flushing fluid for removal of fluid and cut-away tissue
US5304118A (en) 1992-12-16 1994-04-19 Trese Michael T Method for performing a vitrectomy on an eye
US5403276A (en) 1993-02-16 1995-04-04 Danek Medical, Inc. Apparatus for minimally invasive tissue removal
CA2121861A1 (en) 1993-04-23 1994-10-24 William D. Fox Mechanical morcellator
WO1994026181A1 (en) 1993-05-07 1994-11-24 Danek Medical, Inc. Surgical cutting instrument
DE59400518D1 (en) 1993-06-16 1996-09-26 White Spot Ag DEVICE FOR PUTTING FIBRINE ADHESIVE INTO A STITCH CHANNEL
US5395313A (en) 1993-08-13 1995-03-07 Naves; Neil H. Reciprocating arthroscopic shaver
US5575756A (en) 1993-08-16 1996-11-19 Olympus Optical Co., Ltd. Endoscope apparatus
US5336237A (en) 1993-08-25 1994-08-09 Devices For Vascular Intervention, Inc. Removal of tissue from within a body cavity
US5425376A (en) 1993-09-08 1995-06-20 Sofamor Danek Properties, Inc. Method and apparatus for obtaining a biopsy sample
US5957832A (en) 1993-10-08 1999-09-28 Heartport, Inc. Stereoscopic percutaneous visualization system
WO1995010982A1 (en) 1993-10-20 1995-04-27 Correa Marco Aurelio Moura De Surgical instrument to perform subcutaneous endoscopic surgery
US5443476A (en) 1993-11-12 1995-08-22 Shapiro; Henry Microsurgical scissor apparatus with rotary cutting blade
US5490860A (en) 1993-12-08 1996-02-13 Sofamor Danek Properties, Inc. Portable power cutting tool
EP0662572B1 (en) 1994-01-11 1998-04-01 SAMJOO MACHINERY Co., Ltd. Rotary motion/constant velocity linear reciprocating motion conversion device and hydraulic system using the same
US6359200B1 (en) 1994-01-13 2002-03-19 Dekalb Genetics Corp. Inbred corn plant 8M116
US5411513A (en) 1994-02-24 1995-05-02 Danek Medical, Inc. Transmission mechanism for a surgical cutting instrument
US5483951A (en) 1994-02-25 1996-01-16 Vision-Sciences, Inc. Working channels for a disposable sheath for an endoscope
US5456673A (en) * 1994-03-23 1995-10-10 Stryker Corporation Locking cannula for endoscopic surgery
US5649547A (en) 1994-03-24 1997-07-22 Biopsys Medical, Inc. Methods and devices for automated biopsy and collection of soft tissue
US5702420A (en) 1994-06-14 1997-12-30 Anthony R. Sterling And Tri-Tech, Inc. Motorized suction punch forceps
US5669921A (en) 1994-07-19 1997-09-23 Linvatec Corporation Endoscopic shaver blade window positioning system
JP2802244B2 (en) * 1994-08-29 1998-09-24 オリンパス光学工業株式会社 Endoscope sheath
US5569284A (en) 1994-09-23 1996-10-29 United States Surgical Corporation Morcellator
WO1996011638A1 (en) * 1994-10-13 1996-04-25 Femrx Method and device for tissue resection
WO1997017027A1 (en) 1995-11-08 1997-05-15 Femrx, Inc. Electrosurgical device having rollers for ablating and segmenting of tissues
DE4440035C2 (en) 1994-11-10 1998-08-06 Wolf Gmbh Richard Morcellating instrument
US5601583A (en) 1995-02-15 1997-02-11 Smith & Nephew Endoscopy Inc. Surgical instrument
US5676497A (en) 1995-02-27 1997-10-14 Kim; Young S. Power drill-saw with simultaneous rotation and reciprocation action
HUP9802330A3 (en) 1995-03-02 1999-04-28 Gaber Benny Uterine tissue collector
ATE270854T1 (en) 1995-03-31 2004-07-15 Boston Scient Ltd BIOPSY SAMPLER
US5873886A (en) 1995-04-04 1999-02-23 United States Surgical Corporation Surgical cutting apparatus
US5591187A (en) 1995-07-14 1997-01-07 Dekel; Moshe Laparoscopic tissue retrieval device and method
AUPN541595A0 (en) 1995-09-13 1995-10-12 Queensland University Of Technology A surgical device
DE19633124B4 (en) * 1995-11-20 2009-06-10 Storz Endoskop Gmbh Scraping or cutting instrument
PT805652E (en) 1995-11-27 2003-02-28 C C D Lab DEVICE FOR THE COLLECTION OF UTERINE MUCOSES
US5807282A (en) 1995-12-28 1998-09-15 Mayo Foundation For Medical Education And Research Endometrial tissue curette and method
US5916229A (en) 1996-02-07 1999-06-29 Evans; Donald Rotating needle biopsy device and method
US5749889A (en) * 1996-02-13 1998-05-12 Imagyn Medical, Inc. Method and apparatus for performing biopsy
WO1997034534A1 (en) 1996-03-18 1997-09-25 Femrx, Inc. Method and device for tissue vaporization and extraction
WO1997035522A1 (en) 1996-03-25 1997-10-02 Safe Conduct Ab Device for extraction of tissue or the like
DE19706751A1 (en) 1996-03-27 1997-10-02 Valleylab Inc Electrosurgical device for removing tissue in body areas
US5766199A (en) 1996-04-10 1998-06-16 Linvatec Corporation Endoscopic shaver blade with resilient cutting edges
BE1010290A3 (en) 1996-05-10 1998-05-05 Saturnus Ag TISSUE-morcellator.
US5833643A (en) 1996-06-07 1998-11-10 Scieran Technologies, Inc. Apparatus for performing ophthalmic procedures
US5741286A (en) 1996-06-07 1998-04-21 Symbiosis Corporation Laparoscopic instrument kit including a plurality of rigid tubes
US5857995A (en) 1996-08-15 1999-01-12 Surgical Dynamics, Inc. Multiple bladed surgical cutting device removably connected to a rotary drive element
US5769794A (en) 1996-09-04 1998-06-23 Smith & Nephew Endoscopy, Inc Tissue retrieval bag and method for removing cancerous tissue
SE509513C2 (en) 1996-09-16 1999-02-08 Endolink Ab Tools for use in surgical procedures on the uterus and cervix
US6090094A (en) * 1996-10-04 2000-07-18 Microgroup, Inc. Ball valves and uses thereof including endoscopic surgical instruments
US5899915A (en) 1996-12-02 1999-05-04 Angiotrax, Inc. Apparatus and method for intraoperatively performing surgery
US5810770A (en) * 1996-12-13 1998-09-22 Stryker Corporation Fluid management pump system for surgical procedures
US6024751A (en) 1997-04-11 2000-02-15 Coherent Inc. Method and apparatus for transurethral resection of the prostate
US5925055A (en) 1997-06-23 1999-07-20 Medelex, Inc Multimodal rotary abrasion and acoustic ablation catheter
JP2001510068A (en) 1997-07-18 2001-07-31 ガイラス・メディカル・リミテッド Electrosurgical instrument
JP2001510066A (en) 1997-07-18 2001-07-31 ガイラス・メディカル・リミテッド Electrosurgical instrument
NL1006944C2 (en) 1997-09-04 1999-03-11 Mark Hans Emanuel Surgical endoscopic cutting device.
US6004320A (en) 1997-09-19 1999-12-21 Oratec Interventions, Inc. Clip on electrocauterizing sheath for orthopedic shave devices
US6102895A (en) 1997-09-30 2000-08-15 Cortella; Julian M. Digital fluid delivery and aspiration apparatus with mechanical de-amplifier
DE19751632C1 (en) 1997-11-21 1999-09-16 Aesculap Ag & Co Kg Hysteroscope for examination of cervical canals
EP1054634A4 (en) 1998-02-10 2006-03-29 Artemis Medical Inc Entrapping apparatus and method for use
US6331166B1 (en) 1998-03-03 2001-12-18 Senorx, Inc. Breast biopsy system and method
US6659105B2 (en) 1998-02-26 2003-12-09 Senorx, Inc. Tissue specimen isolating and damaging device and method
US6344026B1 (en) 1998-04-08 2002-02-05 Senorx, Inc. Tissue specimen encapsulation device and method thereof
US6156043A (en) 1998-05-26 2000-12-05 Krahn; Henry P. Soft tissue morsellator
US6224603B1 (en) 1998-06-09 2001-05-01 Nuvasive, Inc. Transiliac approach to entering a patient's intervertebral space
US5911722A (en) 1998-07-23 1999-06-15 Millenium Devices Llc Leban/Gordon surgical hand driver
US6136014A (en) 1998-09-01 2000-10-24 Vivant Medical, Inc. Percutaneous tissue removal device
US6494892B1 (en) 1998-10-20 2002-12-17 Suros Surgical Systems, Inc. Disposable hub for a surgical cutting instrument
US6245084B1 (en) 1998-10-20 2001-06-12 Promex, Inc. System for controlling a motor driven surgical cutting instrument
US20010047183A1 (en) 2000-04-05 2001-11-29 Salvatore Privitera Surgical device for the collection of soft tissue
JP3448228B2 (en) 1998-11-30 2003-09-22 富士写真光機株式会社 Endoscope insertion guide tube
US6244228B1 (en) 1998-12-11 2001-06-12 Damon Kuhn Rotary-to-linear motion converter and use thereof
US6119973A (en) 1999-01-29 2000-09-19 Owens Corning Fiberglas Technology, Inc. Reciprocating apparatus and cam follower for winding a package
EP1152684B1 (en) 1999-02-18 2003-12-17 Karl Storz GmbH & Co. KG Endoscope
US20020165427A1 (en) 1999-03-15 2002-11-07 Daniel Yachia Intravesicular device
US6120147A (en) 1999-03-17 2000-09-19 Dutch Ophthalmic Research Center International Bv Vitrectomy lens
US6402701B1 (en) 1999-03-23 2002-06-11 Fna Concepts, Llc Biopsy needle instrument
US6066153A (en) 1999-03-31 2000-05-23 Lev; Avigdor Device and method for resecting body tissues
US6120462A (en) 1999-03-31 2000-09-19 Ethicon Endo-Surgery, Inc. Control method for an automated surgical biopsy device
US6514268B2 (en) 1999-08-30 2003-02-04 Alcon Universal Ltd. Method of operating microsurgical instruments
JP2001075416A (en) 1999-09-03 2001-03-23 Konica Corp Image forming device
US6368324B1 (en) 1999-09-24 2002-04-09 Medtronic Xomed, Inc. Powered surgical handpiece assemblies and handpiece adapter assemblies
SE9904223D0 (en) 1999-11-19 1999-11-19 Safe Conduct Ab Working Device
JP2001149374A (en) * 1999-11-29 2001-06-05 Asahi Optical Co Ltd Tissue-collection instrument for endoscope
AU2001236731A1 (en) 2000-02-10 2001-08-20 Harmonia Medical Technologies Inc. Transurethral volume reduction of the prostate (tuvor)
US6338360B2 (en) 2000-05-10 2002-01-15 Ames True Temper Inc. Hose reel carrier assembly
AU2001270943A1 (en) 2000-06-14 2001-12-24 Harmonia Medical Technologies, INC Surgical instrument and method of using the same
US6712773B1 (en) 2000-09-11 2004-03-30 Tyco Healthcare Group Lp Biopsy system
JP4064243B2 (en) 2000-11-06 2008-03-19 スルーズ サージカル システムズ、インク Biological tissue examination device
US20030050638A1 (en) 2001-09-12 2003-03-13 Daniel Yachia Surgical instrument and method of using the same
US7226459B2 (en) 2001-10-26 2007-06-05 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
US7510563B2 (en) 2001-10-26 2009-03-31 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
US7485125B2 (en) 2001-12-17 2009-02-03 Smith & Nephew, Inc. Cutting instrument
DE10164384A1 (en) 2001-12-28 2003-07-17 Wolf Gmbh Richard Hysteroscope with alternating shaft system
JP4056760B2 (en) 2002-02-22 2008-03-05 ペンタックス株式会社 Endoscope suction switching mechanism
CA2479339C (en) 2002-03-19 2013-03-12 Bard Dublin Itc Limited Vacuum biopsy device
DE10310614B4 (en) 2002-03-25 2007-10-11 Richard Wolf Gmbh resectoscope
US6783491B2 (en) 2002-06-13 2004-08-31 Vahid Saadat Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
DE10307903A1 (en) 2003-02-18 2004-09-02 Karl Storz Gmbh & Co. Kg Method for mounting an endoscope
WO2004075728A2 (en) 2003-02-25 2004-09-10 Ethicon Endo-Surgery, Inc. Biopsy device with variable speed cutter advance
US7182752B2 (en) 2003-04-08 2007-02-27 Surgiquest, Incorporated Continuous gas flow trocar assembly
US7150713B2 (en) 2003-10-16 2006-12-19 Smith & Nephew, Inc. Endoscopic device
ES2260557T3 (en) 2003-10-17 2006-11-01 Henke-Sass, Wolf Gmbh ENDOSCOPE
DE10358279A1 (en) 2003-12-11 2005-07-14 Karl Storz Gmbh & Co. Kg Medical instrument for cutting biological and especially human tissue
US7413542B2 (en) 2004-01-29 2008-08-19 Cannuflow, Inc. Atraumatic arthroscopic instrument sheath
US7500947B2 (en) 2004-01-29 2009-03-10 Cannonflow, Inc. Atraumatic arthroscopic instrument sheath
US20050228417A1 (en) 2004-03-26 2005-10-13 Teitelbaum George P Devices and methods for removing a matter from a body cavity of a patient
US8062214B2 (en) 2004-08-27 2011-11-22 Smith & Nephew, Inc. Tissue resecting system
US20060241586A1 (en) 2005-04-22 2006-10-26 Wilk Patent, Llc Intra-abdominal medical device and associated method
US20060251581A1 (en) 2005-05-09 2006-11-09 Mcintyre Jon T Method for treatment of uterine fibroid tumors
US7806871B2 (en) 2005-05-09 2010-10-05 Boston Scientific Scimed, Inc. Method and device for tissue removal and for delivery of a therapeutic agent or bulking agent
US8932208B2 (en) 2005-05-26 2015-01-13 Maquet Cardiovascular Llc Apparatus and methods for performing minimally-invasive surgical procedures
DE202005008569U1 (en) 2005-06-01 2005-09-08 Polydiagnost Gmbh Endoscopic instrument, comprising specifically arranged optical device, lighting device, and rinsing duct
US20070173736A1 (en) 2005-10-07 2007-07-26 Femspec Llc Apparatus and methods for endometrial biopsies
JP5361723B2 (en) 2006-09-11 2013-12-04 カール・ストーツ・エンドヴィジョン・インコーポレーテッド System for hysteroscope with integrated instrument
US8840626B2 (en) 2006-10-18 2014-09-23 Hologic, Inc. Systems for performing gynecological procedures with simultaneous tissue cutting and removal
US20080146872A1 (en) 2006-11-07 2008-06-19 Gruber William H Mechanical distension systems for performing a medical procedure in a remote space
US8025656B2 (en) 2006-11-07 2011-09-27 Hologic, Inc. Methods, systems and devices for performing gynecological procedures
US20080262308A1 (en) 2007-02-27 2008-10-23 Percutaneaus Systems, Inc. Method and system for performing continuous flow endoscopy
US9095366B2 (en) 2007-04-06 2015-08-04 Hologic, Inc. Tissue cutter with differential hardness
US20090270895A1 (en) 2007-04-06 2009-10-29 Interlace Medical, Inc. Low advance ratio, high reciprocation rate tissue removal device
US9259233B2 (en) 2007-04-06 2016-02-16 Hologic, Inc. Method and device for distending a gynecological cavity
WO2008124650A1 (en) 2007-04-06 2008-10-16 Interlace Medical, Inc. Method, system and device for tissue removal
US20110166419A1 (en) 2008-06-27 2011-07-07 Matthias Reif Endoscope having a shaft tube and optic
EP2330982A2 (en) 2008-09-24 2011-06-15 Hologic, Inc. Systems, methods and devices for using a flowable medium for distending a hollow organ
US9572921B2 (en) 2008-12-17 2017-02-21 Smith & Nephew, Inc. Cartridge assembly
WO2011060192A1 (en) 2009-11-13 2011-05-19 Interlace Medical, Inc. Access system with removable outflow channel
JP5139597B2 (en) 2010-09-10 2013-02-06 オリンパスメディカルシステムズ株式会社 Endoscope
US9155454B2 (en) 2010-09-28 2015-10-13 Smith & Nephew, Inc. Hysteroscopic system
US9439677B2 (en) 2012-01-20 2016-09-13 Iogyn, Inc. Medical device and methods

Patent Citations (100)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1666332A (en) * 1927-05-23 1928-04-17 Edwin W Hirsch Bladder-pressure-testing apparatus
US2708437A (en) * 1952-03-31 1955-05-17 Elizabeth Painter Hutchins Surgical instrument
US3791379A (en) * 1971-03-02 1974-02-12 K Storz Valve for endoscopes
US3945375A (en) * 1972-04-04 1976-03-23 Surgical Design Corporation Rotatable surgical instrument
US3850162A (en) * 1972-07-03 1974-11-26 J Iglesias Endoscope with continuous irrigation
US3996921A (en) * 1975-04-17 1976-12-14 Pharmacia Inc. Method and apparatus for endoscopy
US3995619A (en) * 1975-10-14 1976-12-07 Glatzer Stephen G Combination subcutaneous suture remover, biopsy sampler and syringe
US4198958A (en) * 1977-06-01 1980-04-22 Olympus Optical Co., Ltd. Flexible cap and instrument seal for a suction control device in an endoscope
US4414962A (en) * 1977-06-15 1983-11-15 Carson Robert W Operating arthroscope
US4203444B1 (en) * 1977-11-07 1987-07-21
US4203444A (en) * 1977-11-07 1980-05-20 Dyonics, Inc. Surgical instrument suitable for closed surgery such as of the knee
US4258721A (en) * 1978-01-26 1981-03-31 Bernard Parent Self-contained portable hysteroscope
US4261346A (en) * 1979-11-23 1981-04-14 Richard Wolf Medical Instruments Corporation Endoscopes
US4369768A (en) * 1980-07-30 1983-01-25 Marko Vukovic Arthroscope
US4392485A (en) * 1981-02-17 1983-07-12 Richard Wolf Gmbh Endoscope
US4449538A (en) * 1982-01-25 1984-05-22 John Corbitt Medical-electronic body fluid accounting system
US4543965A (en) * 1982-06-13 1985-10-01 Ben-Gurion University Of The Negev Research And Development Authority Method and device for measuring intrauterine pressure
US4606330A (en) * 1983-08-09 1986-08-19 Richard Wolf Gmbh Device for disintegrating stones in bodily cavities or ducts
US4601290A (en) * 1983-10-11 1986-07-22 Cabot Medical Corporation Surgical instrument for cutting body tissue from a body area having a restricted space
US4700694A (en) * 1984-02-20 1987-10-20 Olympus Optical Co., Ltd. Endoscope means and ovum picker employed by inserting through endoscope means
US4630598A (en) * 1984-05-29 1986-12-23 Richard Wolf Gmbh Uretero-renoscope
US4737142A (en) * 1984-11-28 1988-04-12 Richard Wolf Gmbh Instrument for examination and treatment of bodily passages
US4567880A (en) * 1984-12-26 1986-02-04 Goodman Tobias M Endoscopic device with three-way valve
US4756309A (en) * 1985-02-14 1988-07-12 Sachse Hans Ernst Endoscope for removal of tissue
US4706656A (en) * 1985-05-15 1987-11-17 Olympus Optical Co., Ltd. Endoscope device with tool channel
US4950278A (en) * 1986-08-06 1990-08-21 Sachse Hans E Endoscope for removal of tissue
US5312430A (en) * 1986-12-09 1994-05-17 Rosenbluth Robert F Balloon dilation catheter
US4867157A (en) * 1987-08-13 1989-09-19 Baxter Travenol Laboratories, Inc. Surgical cutting instrument
US4924851A (en) * 1988-01-05 1990-05-15 Societe Dite Sinergy S.A. Surgical apparatus
US4998914A (en) * 1988-02-17 1991-03-12 Peter P. Wiest Procedure for the perfusion of cavities in objects and device for executing the procedure
US4955882A (en) * 1988-03-30 1990-09-11 Hakky Said I Laser resectoscope with mechanical and laser cutting means
US5027792A (en) * 1989-03-17 1991-07-02 Percutaneous Technologies, Inc. Endoscopic revision hip surgery device
US5105800A (en) * 1989-07-04 1992-04-21 Asahi Kogaku Kogyo Kabushiki Kaisha Sheath device for endoscope
US5106364A (en) * 1989-07-07 1992-04-21 Kabushiki Kaisha Topcon Surgical cutter
US4998527A (en) * 1989-07-27 1991-03-12 Percutaneous Technologies Inc. Endoscopic abdominal, urological, and gynecological tissue removing device
US5163433A (en) * 1989-11-01 1992-11-17 Olympus Optical Co., Ltd. Ultrasound type treatment apparatus
US5409013A (en) * 1989-11-06 1995-04-25 Mectra Labs, Inc. Tissue removal assembly
US5176677A (en) * 1989-11-17 1993-01-05 Sonokinetics Group Endoscopic ultrasonic rotary electro-cauterizing aspirator
US5037386A (en) * 1989-11-17 1991-08-06 Minnesota Mining And Manufacturing Company Pressure sensing scope cannula
US5152744A (en) * 1990-02-07 1992-10-06 Smith & Nephew Dyonics Surgical instrument
US5169397A (en) * 1990-02-08 1992-12-08 Olympus Optical Co., Ltd. Medical instrument
US5133713A (en) * 1990-03-27 1992-07-28 Huang Jong Khing Apparatus of a spinning type of resectoscope for prostatectomy
US5275609A (en) * 1990-06-22 1994-01-04 Vance Products Incorporated Surgical cutting instrument
US5269785A (en) * 1990-06-28 1993-12-14 Bonutti Peter M Apparatus and method for tissue removal
US5158553A (en) * 1990-12-26 1992-10-27 Cardiopulmonics Rotatably actuated constricting catheter valve
US5125910A (en) * 1991-02-19 1992-06-30 Dexide, Inc. Surgical endoscopic suction/irrigation cannula assembly
US5840060A (en) * 1991-08-21 1998-11-24 Smith & Nephew, Inc. Fluid management system
US5630798A (en) * 1991-08-21 1997-05-20 Smith & Nephew Dyonics Inc. Fluid management system
US5288290A (en) * 1991-09-25 1994-02-22 Alcon Surgical, Inc. Multi-ported valve assembly
US5195541A (en) * 1991-10-18 1993-03-23 Obenchain Theodore G Method of performing laparoscopic lumbar discectomy
US5449356A (en) * 1991-10-18 1995-09-12 Birtcher Medical Systems, Inc. Multifunctional probe for minimally invasive surgery
US5244459A (en) * 1992-01-28 1993-09-14 Hill Raymond R Suction irrigator endoscope
US5429601A (en) * 1992-02-12 1995-07-04 American Cyanamid Company Aspiration control system
US5254117A (en) * 1992-03-17 1993-10-19 Alton Dean Medical Multi-functional endoscopic probe apparatus
US5320091A (en) * 1992-04-27 1994-06-14 Circon Corporation Continuous flow hysteroscope
US5556378A (en) * 1992-06-17 1996-09-17 Storz; Karl Device for irrigation of body cavities
US5312399A (en) * 1992-09-29 1994-05-17 Hakky Said I Laser resectoscope with mechanical cutting means and laser coagulating means
US5347992A (en) * 1993-01-22 1994-09-20 Karl Storz Endoscopy America, Inc. Single axis three way selector valve for endoscopes
US5549541A (en) * 1993-02-11 1996-08-27 Circon Corporation Continuous flow cystoscope
US5392765A (en) * 1993-02-11 1995-02-28 Circon Corporation Continuous flow cystoscope
US5364395A (en) * 1993-05-14 1994-11-15 West Jr Hugh S Arthroscopic surgical instrument with cauterizing capability
US5374253A (en) * 1993-10-12 1994-12-20 Burns, Sr.; Charles N. Medical instrument with automatic shut-off valve
US5456689A (en) * 1993-10-13 1995-10-10 Arnold J. Kresch Method and device for tissue resection
US5527331A (en) * 1993-10-13 1996-06-18 Femrx Method for prostatic tissue resection
US5569164A (en) * 1993-11-24 1996-10-29 Delma Elektro- Und Medizinische Apparatebau Gesellschaft Mbh Surgical laparoscopic apparatus
US5775333A (en) * 1994-03-24 1998-07-07 Ethicon Endo-Surgery, Inc. Apparatus for automated biopsy and collection of soft tissue
US5492537A (en) * 1994-05-03 1996-02-20 Aquintel, Inc. Surgical fluid monitor
US5956130A (en) * 1994-05-03 1999-09-21 Aquintel Corporation Method of surgical fluid analysis
US5944668A (en) * 1994-05-03 1999-08-31 Aquintel Corporation Surgical fluid and tissue loss monitor
US5498258A (en) * 1994-09-13 1996-03-12 Hakky; Said I. Laser resectoscope with laser induced mechanical cutting means
US6032673A (en) * 1994-10-13 2000-03-07 Femrx, Inc. Methods and devices for tissue removal
US5759185A (en) * 1994-10-24 1998-06-02 Smith & Nephew, Inc. Surgical instrument
US5603332A (en) * 1995-01-27 1997-02-18 Technological Services, Inc. Method and apparatus for monitoring the systemic absorption of irrigation fluid during operative hysteroscopy
US5674179A (en) * 1995-03-02 1997-10-07 Richard Wolff Gmbh Endoscope
US5569254A (en) * 1995-04-12 1996-10-29 Midas Rex Pneumatic Tools, Inc. Surgical resection tool having an irrigation, lighting, suction and vision attachment
US5749885A (en) * 1995-10-02 1998-05-12 Smith & Nephew, Inc. Surgical instrument with embedded coding element
US5772634A (en) * 1995-10-06 1998-06-30 Zimmer, Inc. Device for limiting distention fluid pressure during hysteroscopy
US5709698A (en) * 1996-02-26 1998-01-20 Linvatec Corporation Irrigating/aspirating shaver blade assembly
US6113594A (en) * 1996-07-02 2000-09-05 Ethicon, Inc. Systems, methods and apparatus for performing resection/ablation in a conductive medium
US6090123A (en) * 1996-08-15 2000-07-18 Stryker Corporation Powered surgical handpiece with state marker for indicating the run/load state of the handpiece coupling assembly
US5807240A (en) * 1996-09-24 1998-09-15 Circon Corporation Continuous flow endoscope with enlarged outflow channel
US5814009A (en) * 1996-10-11 1998-09-29 Cabot Technology Corporation Fluid management system and replaceable tubing assembly therefor
US5730752A (en) * 1996-10-29 1998-03-24 Femrx, Inc. Tubular surgical cutters having aspiration flow control ports
US5741287A (en) * 1996-11-01 1998-04-21 Femrx, Inc. Surgical tubular cutter having a tapering cutting chamber
US5913867A (en) * 1996-12-23 1999-06-22 Smith & Nephew, Inc. Surgical instrument
US5947990A (en) * 1997-02-24 1999-09-07 Smith & Nephew, Inc. Endoscopic surgical instrument
US6156049A (en) * 1997-04-11 2000-12-05 Coherent Inc. Method and apparatus for transurethral resection of the prostate
US6086542A (en) * 1997-07-01 2000-07-11 Linvatec Corporation Pressure sensing input/output scope sheath
US6585708B1 (en) * 1997-07-15 2003-07-01 Armand Maaskamp Flow control system and method for endoscopic surgeries
US6039748A (en) * 1997-08-05 2000-03-21 Femrx, Inc. Disposable laparoscopic morcellator
US6258111B1 (en) * 1997-10-03 2001-07-10 Scieran Technologies, Inc. Apparatus and method for performing ophthalmic procedures
US6159160A (en) * 1998-03-26 2000-12-12 Ethicon, Inc. System and method for controlled infusion and pressure monitoring
US6132448A (en) * 1998-06-19 2000-10-17 Stryker Corporation Endoscopic irrigated bur
US6068641A (en) * 1998-08-25 2000-05-30 Linvatec Corporation Irrigated burr
US6632182B1 (en) * 1998-10-23 2003-10-14 The Trustees Of Columbia University In The City Of New York Multiple bit, multiple specimen endoscopic biopsy forceps
US6159209A (en) * 1999-03-18 2000-12-12 Canox International Ltd. Automatic resectoscope
US6358200B1 (en) * 1999-09-01 2002-03-19 Circon Corporation Continuous flow resectoscope with single tube sheath assembly and rotatable connection
US6626827B1 (en) * 2000-09-01 2003-09-30 C. R. Bard, Inc. Fluid management assembly for use in endoscopic procedures
US20020058859A1 (en) * 2000-11-15 2002-05-16 Olympus Winter & Ibe Gmbh Continuously rinsing double-sheath endoscope
US20030050603A1 (en) * 2001-09-12 2003-03-13 Todd Erik F. Cannula that provides bi-directional fluid flow that is regulated by a single valve

Cited By (117)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9427247B2 (en) 1997-09-04 2016-08-30 Smith & Nephew, Inc. Surgical cutting device and method for its use
US8893722B2 (en) 1997-09-04 2014-11-25 Smith & Nephew, Inc. Surgical endoscopic cutting device and method for its use
US20140074136A1 (en) * 1997-09-04 2014-03-13 Smith & Nephew, Inc. Surgical cutting device and method for its use
US9089358B2 (en) * 1997-09-04 2015-07-28 Smith & Nephew, Inc. Surgical cutting device and method for its use
US9226650B2 (en) 1997-09-04 2016-01-05 Smith & Nephew, Inc. Surgical cutting device and method for its use
US9750520B2 (en) 1997-09-04 2017-09-05 Covidien Lp Surgical endoscopic cutting device and method for its use
US9226765B2 (en) 1997-09-04 2016-01-05 Smith & Nephew, Inc. Surgical cutting device and method for its use
US9066745B2 (en) 2001-10-26 2015-06-30 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
US9636130B2 (en) 2001-10-26 2017-05-02 Covidien Lp Reciprocating rotary arthroscopic surgical instrument
US10441306B2 (en) 2001-10-26 2019-10-15 Covidien Lp Reciprocating rotary arthroscopic surgical instrument
US9060800B1 (en) 2001-10-26 2015-06-23 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
US9060801B1 (en) 2001-10-26 2015-06-23 Smith & Nephew, Inc. Reciprocating rotary arthroscopic surgical instrument
US9936861B2 (en) 2004-08-27 2018-04-10 Covidien Lp Tissue resecting system
US9125550B2 (en) 2004-08-27 2015-09-08 Smith & Nephew, Inc. Tissue resecting system
US10076237B2 (en) 2004-08-27 2018-09-18 Covidien Lp Tissue resecting system
US10939810B2 (en) 2004-08-27 2021-03-09 Covidien Lp Tissue resecting system
US8840625B2 (en) 2006-10-18 2014-09-23 Hologic, Inc. Systems for performing gynecological procedures with closed visualization lumen
US20110054488A1 (en) * 2006-10-18 2011-03-03 Gruber William H Systems and methods for preventing intravasation during intrauterine procedures
US20080097469A1 (en) * 2006-10-18 2008-04-24 Gruber William H Intrauterine access and procedure system with laterally deflectable sheath
US20080097471A1 (en) * 2006-10-18 2008-04-24 Adams Ronald D Systems for performing gynecological procedures with simultaneous tissue cutting and removal
US8647349B2 (en) 2006-10-18 2014-02-11 Hologic, Inc. Systems for performing gynecological procedures with mechanical distension
US20080097468A1 (en) * 2006-10-18 2008-04-24 Adams Ronald D Systems for performing gynecological procedures with closed visualization lumen
US8840626B2 (en) 2006-10-18 2014-09-23 Hologic, Inc. Systems for performing gynecological procedures with simultaneous tissue cutting and removal
US8834487B2 (en) 2006-10-18 2014-09-16 Hologic, Inc. Systems and methods for preventing intravasation during intrauterine procedures
US20080146872A1 (en) * 2006-11-07 2008-06-19 Gruber William H Mechanical distension systems for performing a medical procedure in a remote space
US9392935B2 (en) 2006-11-07 2016-07-19 Hologic, Inc. Methods for performing a medical procedure
US20080146873A1 (en) * 2006-11-07 2008-06-19 Adams Ronald D Methods for performing a medical procedure
US8025656B2 (en) 2006-11-07 2011-09-27 Hologic, Inc. Methods, systems and devices for performing gynecological procedures
US20090270897A1 (en) * 2007-04-06 2009-10-29 Interlace Medical, Inc. Methods of high rate, low profile tissue removal
US10130389B2 (en) 2007-04-06 2018-11-20 Hologic, Inc. Uterine fibroid tissue removal device
US20080249553A1 (en) * 2007-04-06 2008-10-09 William Harwick Gruber Method, system and device for tissue removal
US8574253B2 (en) 2007-04-06 2013-11-05 Hologic, Inc. Method, system and device for tissue removal
US8951274B2 (en) 2007-04-06 2015-02-10 Hologic, Inc. Methods of high rate, low profile tissue removal
US8528563B2 (en) 2007-04-06 2013-09-10 Hologic, Inc. Systems, methods and devices for performing gynecological procedures
US20080249366A1 (en) * 2007-04-06 2008-10-09 William Harwick Gruber System for use in performing a medical procedure and introducer device suitable for use in said system
US9539019B2 (en) 2007-04-06 2017-01-10 Hologic, Inc. Uterine fibroid tissue removal device
US20090270812A1 (en) * 2007-04-06 2009-10-29 Interlace Medical , Inc. Access device with enhanced working channel
US20090270895A1 (en) * 2007-04-06 2009-10-29 Interlace Medical, Inc. Low advance ratio, high reciprocation rate tissue removal device
US9095366B2 (en) 2007-04-06 2015-08-04 Hologic, Inc. Tissue cutter with differential hardness
US20080249534A1 (en) * 2007-04-06 2008-10-09 Gruber William H Method and device for distending a gynecological cavity
US9339288B2 (en) 2007-04-06 2016-05-17 Hologic, Inc. Uterine fibroid tissue removal device
US11045217B2 (en) 2007-04-06 2021-06-29 Hologic, Inc. Uterine fibroid tissue removal device
US9301770B2 (en) 2007-04-06 2016-04-05 Hologic, Inc. Systems, methods and devices for performing gynecological procedures
US9259233B2 (en) 2007-04-06 2016-02-16 Hologic, Inc. Method and device for distending a gynecological cavity
US20090270898A1 (en) * 2007-04-06 2009-10-29 Interlace Medical, Inc. Tissue removal device with high reciprocation rate
US20090270896A1 (en) * 2007-04-06 2009-10-29 Interlace Medical, Inc. Tissue cutter with differential hardness
US10039555B2 (en) 2008-07-25 2018-08-07 Spine View, Inc. Systems and methods for cable-based tissue removal
US8343179B2 (en) 2008-07-25 2013-01-01 Spine View, Inc. Systems and methods for cable-based tissue removal
US9168047B2 (en) 2009-04-02 2015-10-27 John T. To Minimally invasive discectomy
US20110087257A1 (en) * 2009-04-02 2011-04-14 Spine View, Inc. Minimally invasive discectomy
US8702739B2 (en) 2009-04-17 2014-04-22 David Batten Devices and methods for arched roof cutters
US9788849B2 (en) 2009-04-17 2017-10-17 Spine View, Inc. Devices and methods for arched roof cutters
US8801739B2 (en) 2009-04-17 2014-08-12 Spine View, Inc. Devices and methods for arched roof cutters
US8808320B2 (en) 2009-04-17 2014-08-19 Spine View, Inc. Devices and methods for arched roof cutters
US20110054507A1 (en) * 2009-04-17 2011-03-03 David Batten Devices and methods for arched roof cutters
US11903602B2 (en) 2009-04-29 2024-02-20 Hologic, Inc. Uterine fibroid tissue removal device
US10251539B2 (en) 2010-09-28 2019-04-09 Covidien Lp Hysteroscopic system
US9155454B2 (en) 2010-09-28 2015-10-13 Smith & Nephew, Inc. Hysteroscopic system
US11229354B2 (en) 2010-09-28 2022-01-25 Covidien Lp Hysteroscopic system
US11889993B2 (en) 2010-09-28 2024-02-06 Covidien Lp Hysteroscopic system
US11832874B2 (en) 2011-04-11 2023-12-05 Minerva Surgical, Inc. Tissue extraction devices and methods
US9254142B2 (en) 2011-04-11 2016-02-09 Iogyn, Inc. Tissue extraction devices and methods
US9827037B2 (en) 2011-04-11 2017-11-28 Boston Scientific Scimed, Inc. Tissue extraction devices and methods
US10603104B2 (en) 2011-09-01 2020-03-31 Boston Scientific Scimed, Inc. Tissue extraction devices and methods
US9743979B2 (en) 2011-09-01 2017-08-29 Boston Scientific Scimed, Inc. Tissue extraction devices and methods
US11259866B2 (en) 2011-09-01 2022-03-01 Minerva Surgical, Inc. Tissue extraction devices and methods
US9439720B2 (en) 2011-09-01 2016-09-13 Iogyn, Inc. Tissue extraction devices and methods
US8870749B2 (en) 2011-09-02 2014-10-28 Stryker Corporation Arrangement for minimal access surgery
JP2015500690A (en) * 2011-12-02 2015-01-08 インタースコープ, インク.Interscope, Inc. Insertable endoscopic instrument for tissue resection
US9119659B2 (en) 2011-12-03 2015-09-01 Ouroboros Medical, Inc. Safe cutting heads and systems for fast removal of a target tissue
US8663227B2 (en) 2011-12-03 2014-03-04 Ouroboros Medical, Inc. Single-unit cutting head systems for safe removal of nucleus pulposus tissue
US9220528B2 (en) 2011-12-03 2015-12-29 Ouroboros Medical, Inc. Tubular cutter having a talon with opposing, lateral cutting surfaces
US9265521B2 (en) 2011-12-03 2016-02-23 Ouroboros Medical, Inc. Tissue removal systems with articulating cutting heads
US10448967B2 (en) 2011-12-03 2019-10-22 DePuy Synthes Products, Inc. Discectomy kits with an obturator, guard cannula
US10531912B2 (en) 2012-01-20 2020-01-14 Boston Scientific Scimed, Inc. Medical device and methods
US9439677B2 (en) 2012-01-20 2016-09-13 Iogyn, Inc. Medical device and methods
US11350985B2 (en) 2012-01-20 2022-06-07 Minerva Surgical, Inc. Medical device and methods
US9131832B2 (en) 2012-08-15 2015-09-15 Stryker Corporation Cannula arrangement for minimally invasive surgery
US10342563B2 (en) 2013-07-19 2019-07-09 DePuy Synthes Products, Inc. Anti-clogging device for a vacuum-assisted, tissue removal system
US20150080896A1 (en) 2013-07-19 2015-03-19 Ouroboros Medical, Inc. Anti-clogging device for a vacuum-assisted, tissue removal system
US11877766B2 (en) 2014-09-18 2024-01-23 Mayo Foundation For Medical Education And Research Soft tissue cutting device and methods of use
US11666356B2 (en) 2014-09-18 2023-06-06 Mayo Foundation For Medical Education And Research Soft tissue cutting device and methods of use
US11259829B2 (en) 2014-09-18 2022-03-01 Mayo Foundation For Medical Education And Research Soft tissue cutting device and methods of use
US10357272B2 (en) 2014-09-18 2019-07-23 Mayo Foundation For Medical Education And Research Soft tissue cutting device and methods of use
US10631889B2 (en) 2014-12-16 2020-04-28 Covidien Lp Surgical device with incorporated tissue extraction
US11871952B2 (en) 2014-12-16 2024-01-16 Covidien Lp Surgical device with incorporated tissue extraction
US11666354B2 (en) 2015-01-28 2023-06-06 Covidien Lp Tissue resection system
US10772652B2 (en) 2015-01-28 2020-09-15 Covidien Lp Tissue resection system
US10080571B2 (en) 2015-03-06 2018-09-25 Warsaw Orthopedic, Inc. Surgical instrument and method
US10667827B2 (en) 2015-03-06 2020-06-02 Warsaw Orthopedic, Inc. Surgical instrument and method
US11653934B2 (en) 2015-03-06 2023-05-23 Warsaw Orthopedic, Inc. Surgical instrument and method
US10750931B2 (en) 2015-05-26 2020-08-25 Covidien Lp Systems and methods for generating a fluid bearing for an operative procedure
US10804769B2 (en) 2015-06-17 2020-10-13 Covidien Lp Surgical instrument with phase change cooling
US11864735B2 (en) 2016-05-26 2024-01-09 Covidien Lp Continuous flow endoscope
US10299819B2 (en) 2016-07-28 2019-05-28 Covidien Lp Reciprocating rotary surgical cutting device and system for tissue resecting, and method for its use
US11172954B2 (en) 2016-07-28 2021-11-16 Covidien Lp Reciprocating rotary surgical cutting device and system for tissue resecting, and method for its use
US10299803B2 (en) 2016-08-04 2019-05-28 Covidien Lp Self-aligning drive coupler
US11622787B2 (en) 2017-03-02 2023-04-11 Covidien Lp Fluid-driven tissue resecting instruments, systems, and methods
US10772654B2 (en) 2017-03-02 2020-09-15 Covidien Lp Fluid-driven tissue resecting instruments, systems, and methods
US10864055B2 (en) 2017-10-13 2020-12-15 Sonex Health, Inc. Tray for a soft tissue cutting device and methods of use
US11890119B2 (en) 2017-10-13 2024-02-06 Sonex Health, Inc. and Mayo Foundation for Medical Education and Research Tray for a soft tissue cutting device and methods of use
US11324526B2 (en) 2018-02-02 2022-05-10 Calyxo, Inc. Devices and methods for minimally invasive kidney stone removal by combined aspiration and irrigation
US11806036B2 (en) 2018-02-13 2023-11-07 Covidien Lp Powered tissue resecting device
US10869684B2 (en) 2018-02-13 2020-12-22 Covidien Lp Powered tissue resecting device
US11547815B2 (en) 2018-05-30 2023-01-10 Covidien Lp Systems and methods for measuring and controlling pressure within an internal body cavity
US11065147B2 (en) 2018-10-18 2021-07-20 Covidien Lp Devices, systems, and methods for pre-heating fluid to be introduced into a patient during a surgical procedure
US11083481B2 (en) 2019-02-22 2021-08-10 Covidien Lp Tissue resecting instrument including an outflow control seal
US11744606B2 (en) 2019-02-22 2023-09-05 Covidien Lp Tissue resecting instrument including an outflow control seal
US11154318B2 (en) 2019-02-22 2021-10-26 Covidien Lp Tissue resecting instrument including an outflow control seal
US10898218B2 (en) 2019-02-25 2021-01-26 Covidien Lp Tissue resecting device including a motor cooling assembly
US11871950B2 (en) 2019-02-25 2024-01-16 Covidien Lp Tissue resecting device including a motor cooling assembly
US11553977B2 (en) 2019-05-29 2023-01-17 Covidien Lp Hysteroscopy systems and methods for managing patient fluid
US11883626B2 (en) 2019-06-27 2024-01-30 Boston Scientific Scimed, Inc. Detection of an endoscope to a fluid management system
US11890237B2 (en) 2019-10-04 2024-02-06 Covidien Lp Outflow collection vessels, systems, and components thereof for hysteroscopic surgical procedures
US11452806B2 (en) 2019-10-04 2022-09-27 Covidien Lp Outflow collection vessels, systems, and components thereof for hysteroscopic surgical procedures
US11571233B2 (en) 2020-11-19 2023-02-07 Covidien Lp Tissue removal handpiece with integrated suction
USD989961S1 (en) 2021-04-30 2023-06-20 Sonex Health, Inc. Soft tissue cutting device

Also Published As

Publication number Publication date
WO1999011184A1 (en) 1999-03-11
CA2302185A1 (en) 1999-03-11
US8893722B2 (en) 2014-11-25
US9750520B2 (en) 2017-09-05
US9226650B2 (en) 2016-01-05
BR9812171A (en) 2000-07-18
US20150282829A1 (en) 2015-10-08
JP4172910B2 (en) 2008-10-29
US9226765B2 (en) 2016-01-05
ATE320222T1 (en) 2006-04-15
AU9007498A (en) 1999-03-22
US9427247B2 (en) 2016-08-30
DE69833869T2 (en) 2006-11-09
NL1006944C2 (en) 1999-03-11
DE69833869D1 (en) 2006-05-11
US20080058842A1 (en) 2008-03-06
US9089358B2 (en) 2015-07-28
US20080015621A1 (en) 2008-01-17
US20120197280A1 (en) 2012-08-02
US20150282698A1 (en) 2015-10-08
US8061359B2 (en) 2011-11-22
AU746894B2 (en) 2002-05-02
EP0996375B1 (en) 2006-03-15
JP2001514037A (en) 2001-09-11
US20140074136A1 (en) 2014-03-13
EP0996375A1 (en) 2000-05-03
US7249602B1 (en) 2007-07-31
US20160074058A1 (en) 2016-03-17
US20150012023A1 (en) 2015-01-08

Similar Documents

Publication Publication Date Title
US9427247B2 (en) Surgical cutting device and method for its use
US5027792A (en) Endoscopic revision hip surgery device
US5085658A (en) Neurosurgical pathological tissue removing device
KR101216114B1 (en) Device and method for dacryocystorhinostomy
US4998527A (en) Endoscopic abdominal, urological, and gynecological tissue removing device
US20170354431A1 (en) Surgical instrument with internal irrigation
US20040059363A1 (en) System and method for performing irrigated nose and throat surgery
US5685877A (en) Mutiple tool laparoscopic surgical instrument
WO1993016628A1 (en) Endoscopic surgical tools
JP2001509411A (en) Pneumatic tissue remover
US10349977B2 (en) Resector balloon catheter with multi-port hub
KR20160079960A (en) Injector equipment for endoscopic surgery
CN114849021B (en) Visual intubation device and using method thereof
KR101990207B1 (en) Bone Surgery Endoscope End-Effector
KR101014909B1 (en) prostate operation apparatus
KR102641223B1 (en) Device for irrigation and suction deal with ease surgery part
JP6472078B2 (en) Endoscope system

Legal Events

Date Code Title Description
AS Assignment

Owner name: SMITH & NEPHEW, INC., TENNESSEE

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:EMANUEL, MARK HANS;REEL/FRAME:020760/0379

Effective date: 20000306

STCB Information on status: application discontinuation

Free format text: EXPRESSLY ABANDONED -- DURING EXAMINATION