JP6549770B2 - 外科用クリップ、カートリッジならびにキット - Google Patents
外科用クリップ、カートリッジならびにキット Download PDFInfo
- Publication number
- JP6549770B2 JP6549770B2 JP2018159125A JP2018159125A JP6549770B2 JP 6549770 B2 JP6549770 B2 JP 6549770B2 JP 2018159125 A JP2018159125 A JP 2018159125A JP 2018159125 A JP2018159125 A JP 2018159125A JP 6549770 B2 JP6549770 B2 JP 6549770B2
- Authority
- JP
- Japan
- Prior art keywords
- clip
- jaws
- connection
- manipulator
- opposing
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 239000000463 material Substances 0.000 claims description 52
- 238000000034 method Methods 0.000 claims description 37
- 238000010438 heat treatment Methods 0.000 claims description 32
- 229910001000 nickel titanium Inorganic materials 0.000 claims description 27
- 230000009466 transformation Effects 0.000 claims description 25
- 230000033001 locomotion Effects 0.000 claims description 21
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 claims description 21
- 229910001285 shape-memory alloy Inorganic materials 0.000 claims description 18
- 230000008859 change Effects 0.000 claims description 13
- 230000001154 acute effect Effects 0.000 claims description 3
- 230000004044 response Effects 0.000 claims description 3
- 230000008878 coupling Effects 0.000 claims 1
- 238000010168 coupling process Methods 0.000 claims 1
- 238000005859 coupling reaction Methods 0.000 claims 1
- 210000000056 organ Anatomy 0.000 description 76
- 230000007246 mechanism Effects 0.000 description 39
- 238000001816 cooling Methods 0.000 description 34
- 230000017531 blood circulation Effects 0.000 description 29
- 210000001519 tissue Anatomy 0.000 description 28
- 238000001356 surgical procedure Methods 0.000 description 27
- 210000005069 ears Anatomy 0.000 description 22
- 230000023597 hemostasis Effects 0.000 description 22
- 229910000734 martensite Inorganic materials 0.000 description 20
- 230000006835 compression Effects 0.000 description 15
- 238000007906 compression Methods 0.000 description 15
- 230000003446 memory effect Effects 0.000 description 15
- 230000000694 effects Effects 0.000 description 13
- 208000014674 injury Diseases 0.000 description 13
- 230000008733 trauma Effects 0.000 description 13
- 239000004033 plastic Substances 0.000 description 11
- 210000000232 gallbladder Anatomy 0.000 description 10
- 230000006870 function Effects 0.000 description 9
- 238000011084 recovery Methods 0.000 description 7
- 239000000956 alloy Substances 0.000 description 6
- 230000008901 benefit Effects 0.000 description 6
- 230000005540 biological transmission Effects 0.000 description 6
- 238000006243 chemical reaction Methods 0.000 description 6
- 230000007704 transition Effects 0.000 description 6
- 210000004204 blood vessel Anatomy 0.000 description 5
- 230000006378 damage Effects 0.000 description 5
- 238000009826 distribution Methods 0.000 description 5
- 230000036961 partial effect Effects 0.000 description 5
- 238000003466 welding Methods 0.000 description 5
- 208000032843 Hemorrhage Diseases 0.000 description 4
- 229910045601 alloy Inorganic materials 0.000 description 4
- 230000015572 biosynthetic process Effects 0.000 description 4
- 208000034158 bleeding Diseases 0.000 description 4
- 230000000740 bleeding effect Effects 0.000 description 4
- 230000036760 body temperature Effects 0.000 description 4
- 238000002192 cholecystectomy Methods 0.000 description 4
- 229910052751 metal Inorganic materials 0.000 description 4
- 239000002184 metal Substances 0.000 description 4
- 230000002829 reductive effect Effects 0.000 description 4
- 238000005476 soldering Methods 0.000 description 4
- 238000013519 translation Methods 0.000 description 4
- 230000014616 translation Effects 0.000 description 4
- 210000003462 vein Anatomy 0.000 description 4
- 230000003872 anastomosis Effects 0.000 description 3
- 229910001566 austenite Inorganic materials 0.000 description 3
- 239000011248 coating agent Substances 0.000 description 3
- 238000000576 coating method Methods 0.000 description 3
- 230000007797 corrosion Effects 0.000 description 3
- 238000005260 corrosion Methods 0.000 description 3
- 238000013461 design Methods 0.000 description 3
- 238000009434 installation Methods 0.000 description 3
- 230000002441 reversible effect Effects 0.000 description 3
- 238000003860 storage Methods 0.000 description 3
- 238000002604 ultrasonography Methods 0.000 description 3
- 208000007536 Thrombosis Diseases 0.000 description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 238000009825 accumulation Methods 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 238000007486 appendectomy Methods 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- 238000010009 beating Methods 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 239000013078 crystal Substances 0.000 description 2
- 238000005520 cutting process Methods 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 230000000881 depressing effect Effects 0.000 description 2
- 230000002526 effect on cardiovascular system Effects 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 238000013110 gastrectomy Methods 0.000 description 2
- 238000007453 hemicolectomy Methods 0.000 description 2
- 230000002439 hemostatic effect Effects 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 230000000977 initiatory effect Effects 0.000 description 2
- 230000003993 interaction Effects 0.000 description 2
- WABPQHHGFIMREM-UHFFFAOYSA-N lead(0) Chemical compound [Pb] WABPQHHGFIMREM-UHFFFAOYSA-N 0.000 description 2
- 230000005012 migration Effects 0.000 description 2
- 238000013508 migration Methods 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 238000010561 standard procedure Methods 0.000 description 2
- 239000000758 substrate Substances 0.000 description 2
- 208000019300 CLIPPERS Diseases 0.000 description 1
- 206010014522 Embolism venous Diseases 0.000 description 1
- 241000428199 Mustelinae Species 0.000 description 1
- 208000000112 Myalgia Diseases 0.000 description 1
- 229910000990 Ni alloy Inorganic materials 0.000 description 1
- 230000005679 Peltier effect Effects 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- NRTOMJZYCJJWKI-UHFFFAOYSA-N Titanium nitride Chemical compound [Ti]#N NRTOMJZYCJJWKI-UHFFFAOYSA-N 0.000 description 1
- 206010046996 Varicose vein Diseases 0.000 description 1
- 206010047249 Venous thrombosis Diseases 0.000 description 1
- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 210000000941 bile Anatomy 0.000 description 1
- 244000309466 calf Species 0.000 description 1
- 230000000711 cancerogenic effect Effects 0.000 description 1
- 231100000315 carcinogenic Toxicity 0.000 description 1
- 201000001352 cholecystitis Diseases 0.000 description 1
- 201000001883 cholelithiasis Diseases 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 208000037976 chronic inflammation Diseases 0.000 description 1
- 230000006020 chronic inflammation Effects 0.000 description 1
- 208000021930 chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids Diseases 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 239000004020 conductor Substances 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 210000001096 cystic duct Anatomy 0.000 description 1
- 230000006866 deterioration Effects 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 235000005911 diet Nutrition 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000005553 drilling Methods 0.000 description 1
- 230000005489 elastic deformation Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 210000003191 femoral vein Anatomy 0.000 description 1
- 208000001130 gallstones Diseases 0.000 description 1
- 230000008821 health effect Effects 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 229910001092 metal group alloy Inorganic materials 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 208000013465 muscle pain Diseases 0.000 description 1
- XIKYYQJBTPYKSG-UHFFFAOYSA-N nickel Chemical compound [Ni].[Ni] XIKYYQJBTPYKSG-UHFFFAOYSA-N 0.000 description 1
- 238000013021 overheating Methods 0.000 description 1
- 230000035790 physiological processes and functions Effects 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 229910000679 solder Inorganic materials 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000008174 sterile solution Substances 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000000930 thermomechanical effect Effects 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 230000002588 toxic effect Effects 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 208000027185 varicose disease Diseases 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 208000004043 venous thromboembolism Diseases 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/083—Clips, e.g. resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
Description
本出願は、2010年12月7日に出願した、国際出願PCT/RU2010/000735号の優先権を主張し、その全内容は、本明細書の中に書いてあることを根拠として明確に本明細書に組み込まれる。
クリップ100の送達、操作、適用、取り外しおよび抜き取りを単一の装置で実行することができ、複数のツールを使用する必要性が排除されるため、外科用マニピュレータ151および内視鏡マニピュレータ161の機能性を改善する。
マニピュレータ151/161を扱っている際の労働集約度および外傷を低減すると共に、マニピュレータ151/161を単純化し、その信頼性を改善する。
48歳の患者Bが、慢性有石胆嚢炎を治療するための所定の手術のために外科に入院した。患者は、それまでの5年間この疾患を有しており、1年に約5〜7回、規定食を守らなかった時にいくつかの悪化を経験していた。
手術中、腹部領域が検査されたが、他の病変は見られなかった。胆嚢のサイズは、超音波による所見に対応し、すなわち、肥厚した壁を有する8×6×5cmのサイズ、ならびに慢性炎症の兆候および膀胱内の複数の石の存在を示した。また、胆嚢頚部および胆嚢体の周りに癒着が見られた。
さらに、標準的手順に従い、腹腔鏡下胆嚢摘出術を完了した。
術後の回復は順調であった。患者は4日目に退院した。
52歳の患者Lが、両足の静脈瘤の切除のための所定の手術のために外科に入院した。その状態の病歴は、約8年であった。過去2年間、歩行中および徒歩での長距離移動中のふくらはぎの筋肉の疼痛が増加した。静脈血栓症および静脈血栓塞栓症のための年一回の入院も留意された。過去に行われた保存療法は、十分効果的ではなかった。検査中、両下肢の深部静脈内の血流は、ブロックされていなかった。
手術は、従来の方法に従った。独特のステップは、ニチノール(ニッケル−チタンNiTi)製のクリップ100に類似した2つのクリップを、腰部の浅大腿静脈に対して、この静脈が深部静脈と交差する直前の領域に位置付けることであった。マニピュレータを利用して、クリップの耳部を40℃より高い温度に加熱して顎部を閉鎖することにより、静脈にクリップを適用した。
ニチノールクリップを脈管の遠位および近位部分に設置して、微小および中程度のサイズの他の脈管もまたクリップした。
術後の回復は順調であった。患者は、手術後2日目に退院した。
電力ユニットは、直流または交流電源である。ペルチェ熱電対モード切替ボックスは、前記枝状部の1つの中央部に設けられた強制加熱ボタンおよび強制冷却ボタンの形態であってもよく、それらの反対側に、強制加熱マイクロスイッチおよび強制冷却マイクロスイッチが、他方の枝状部上に設けられ、前記頂部枝状部の遠位端に設置された前記電力ユニットに接続されている。ペルチェ熱電対モード切替ボックスは、電力ユニットを有し、前記頂部および底部枝状部の遠位端上に設けられた電気ジャッキを介して、前記外科用マニピュレータホルダに接続される、フットスイッチペダルの形態である。
Claims (20)
- 対向する第1の自由端および第2の自由端を有し、それぞれ対向する組織クランプ表面を画定する、対向する顎部と、
該対向する顎部を前記自由端の中間の位置で各顎部に連結され、前記自由端のぞれぞれを超えて近位に伸びる、連結部と、を備え、
該連結部が、該連結部の温度の変化に応答して前記顎部の相対的移動をもたらすように、形状記憶合金で形成され、
前記顎部の前記クランプ表面は、平行であり、前記顎部が閉鎖位置にあるとき互いに対向し、
前記顎部は、互いに対し鋭角を成す開放位置を取るように分離可能である、クリップ。 - 前記連結部ならびに前記第1の顎部およびこれに対向する前記第2の顎部に沿った前記クリップの外側表面が、平滑である、請求項1に記載のクリップ。
- 生物学的に不活性な材料で形成されている、請求項1または請求項2に記載のクリップ。
- 前記対向する第1の自由端および第2の自由端が、丸みを付けられた先端を有する、請求項1から3のいずれか一項に記載のクリップ。
- 前記開放位置において、前記顎部が互いに接触しない、請求項1から4のいずれか一項に記載のクリップ。
- 前記連結部を加熱することにより前記連結部の形状記憶が活性化されると、前記連結部が、前記第1の顎部および前記第2の顎部を閉鎖位置に強制する、請求項1から請求項5のいずれか一項に記載のクリップ。
- 少なくとも前記連結部が、ニチノールで形成されている、請求項1から6のいずれか一項に記載のクリップ。
- 前記連結部および前記顎部が、同じ材料からなる請求項1から7のいずれか一項に記載のクリップ
- 前記連結部および前記顎部が、一体的に形成されている、請求項1から8のいずれか一項に記載のクリップ。
- 前記対向する顎部が、前記対向する組織クランプ表面の少なくとも一部に沿って形成された起伏部を有する、請求項1から9のいずれか一項に記載のクリップ。
- 前記連結部が、温度調整素子との接触に用いる少なくとも1つのランドを画定している、請求項1から10のいずれか一項に記載のクリップ。
- 前記少なくとも1つのランドが、対向するランドを備え、
該対向するランドを掴むことにより、外科的用途のために保持することができる、請求項11に記載のクリップ。 - 外科用クリップである、請求項1から12のいずれか一項に記載のクリップ。
- 請求項1から13のいずれか一項に記載のクリップを複数備える、カートリッジ。
- 請求項1に記載のクリップの少なくとも1つと、
クリップマニピュレータと、を備え、
該クリップマニピュレータが、1つの前記クリップを保持する少なくとも1つのアームと、前記連結部の温度を、前記変態温度を満たす、またはそれを超えさせるのに十分な温度変化を、前記クリップの前記連結部に付与する少なくとも1つの熱電変換器とを備えるキット。 - 前記少なくとも1つのアームが、2つのアームからなる、請求項15に記載のキット。
- 前記少なくとも1つの熱電変換器が、前記少なくとも1つのアームまたは少なくとも1つのそれぞれのアームの遠位端に連結されている、請求項15または請求項16に記載のキット。
- 前記少なくとも1つの熱電変換器が、前記連結部を冷却または加熱するように作動可能である、請求項15から17のいずれか一項に記載のキット。
- 前記少なくとも1つの熱電変換器が、少なくとも1つのペルチェ素子を備える、請求項15から18のいずれか一項に記載のキット。
- 前記クリップマニピュレータの前記少なくとも1つのアームは、各前記顎部上に1つの前記熱電変換器が配置された対向する顎部の遠位対を備え、前記クリップマニピュレータの前記対向する顎部が、前記クリップの前記連結部を掴むと同時にそれに温度変化を付与して使用可能である、請求項15から19のいずれか一項に記載のキット。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
RUPCT/RU2010/000735 | 2010-12-07 | ||
PCT/RU2010/000735 WO2012078067A1 (en) | 2010-12-07 | 2010-12-07 | Method of a hemostasis creation with restoration possibility of blood- flow in tubular elastic structures of an organism and device for its realization |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016247381A Division JP6396401B2 (ja) | 2010-12-07 | 2016-12-21 | 外科用クリップのためのマニピュレータ |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2019022668A JP2019022668A (ja) | 2019-02-14 |
JP6549770B2 true JP6549770B2 (ja) | 2019-07-24 |
Family
ID=46206463
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013542309A Expired - Fee Related JP6067574B2 (ja) | 2010-12-07 | 2011-12-07 | 外科用クリップ、カートリッジおよびキット |
JP2016247381A Expired - Fee Related JP6396401B2 (ja) | 2010-12-07 | 2016-12-21 | 外科用クリップのためのマニピュレータ |
JP2018159125A Expired - Fee Related JP6549770B2 (ja) | 2010-12-07 | 2018-08-28 | 外科用クリップ、カートリッジならびにキット |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013542309A Expired - Fee Related JP6067574B2 (ja) | 2010-12-07 | 2011-12-07 | 外科用クリップ、カートリッジおよびキット |
JP2016247381A Expired - Fee Related JP6396401B2 (ja) | 2010-12-07 | 2016-12-21 | 外科用クリップのためのマニピュレータ |
Country Status (11)
Country | Link |
---|---|
US (2) | US10064623B2 (ja) |
EP (1) | EP2648627B1 (ja) |
JP (3) | JP6067574B2 (ja) |
KR (3) | KR102024194B1 (ja) |
CN (2) | CN103370017B (ja) |
AU (3) | AU2011340795B2 (ja) |
BR (1) | BR112013014075B1 (ja) |
CA (2) | CA2856747C (ja) |
EA (3) | EA036862B1 (ja) |
RU (1) | RU2485908C2 (ja) |
WO (2) | WO2012078067A1 (ja) |
Families Citing this family (78)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8652202B2 (en) | 2008-08-22 | 2014-02-18 | Edwards Lifesciences Corporation | Prosthetic heart valve and delivery apparatus |
US8449599B2 (en) | 2009-12-04 | 2013-05-28 | Edwards Lifesciences Corporation | Prosthetic valve for replacing mitral valve |
US9017349B2 (en) | 2010-10-27 | 2015-04-28 | Atricure, Inc. | Appendage clamp deployment assist device |
EP3305216A1 (en) | 2011-10-20 | 2018-04-11 | Teleflex Life Sciences Unlimited Company | Ligation clip |
US9901351B2 (en) | 2012-11-21 | 2018-02-27 | Atricure, Inc. | Occlusion clip |
DE102013004652B4 (de) * | 2013-03-16 | 2014-10-30 | Zahoransky Ag | Vorrichtung zum Herstellen von aus Drahtabschnitten gebogenen chirurgischen Klammern |
RU2661273C1 (ru) | 2013-11-21 | 2018-07-13 | Этрикьюэ Инк. | Окклюзирующий зажим |
CN103690201B (zh) * | 2014-01-13 | 2016-09-14 | 天津医科大学总医院 | 脚踏式内镜活检***及其使用方法 |
WO2016090308A1 (en) | 2014-12-04 | 2016-06-09 | Edwards Lifesciences Corporation | Percutaneous clip for repairing a heart valve |
US9901352B2 (en) | 2014-12-12 | 2018-02-27 | Atricure, Inc. | Occlusion clip |
US10517726B2 (en) | 2015-05-14 | 2019-12-31 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US20170014135A1 (en) * | 2015-07-14 | 2017-01-19 | Keith Edward Martin | Surgical tool |
EP3359060B1 (en) * | 2015-12-03 | 2021-12-01 | Boston Scientific Scimed, Inc. | Electrocautery hemostasis clip |
CN105997184B (zh) * | 2016-06-12 | 2018-02-23 | 杨西群 | 用于钛镍基形状记忆合金肛瘘内口闭合夹的放送器 |
US11219746B2 (en) | 2016-03-21 | 2022-01-11 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10799675B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Cam controlled multi-direction steerable handles |
US10799676B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10835714B2 (en) | 2016-03-21 | 2020-11-17 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US10799677B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
ITUA20164730A1 (it) * | 2016-06-28 | 2017-12-28 | Promev S R L | Dispositivo di sutura |
RU2623313C1 (ru) * | 2016-07-05 | 2017-06-23 | Федеральное государственное автономное образовательное учреждение высшего образования "Национальный исследовательский Томский государственный университет" (ТГУ) | Устройство для факофрагментации |
US10973638B2 (en) | 2016-07-07 | 2021-04-13 | Edwards Lifesciences Corporation | Device and method for treating vascular insufficiency |
AU2017305440B2 (en) | 2016-08-03 | 2019-11-07 | Teleflex Medical Incorporated | Surgical ligation clip |
US10653862B2 (en) | 2016-11-07 | 2020-05-19 | Edwards Lifesciences Corporation | Apparatus for the introduction and manipulation of multiple telescoping catheters |
US10905554B2 (en) | 2017-01-05 | 2021-02-02 | Edwards Lifesciences Corporation | Heart valve coaptation device |
US10925616B2 (en) | 2017-03-21 | 2021-02-23 | Teleflex Medical Incorporated | Clip applier with replaceable tips |
US12023041B2 (en) | 2017-03-21 | 2024-07-02 | Teleflex Medical Incorporated | Clip applier |
CN110740696B (zh) | 2017-03-21 | 2023-04-07 | 泰利福医疗公司 | 具有稳定构件的施夹器 |
WO2018175610A1 (en) * | 2017-03-21 | 2018-09-27 | Teleflex Medical Incorporated | Surgical clip and clip applier |
JP7026127B2 (ja) | 2017-03-21 | 2022-02-25 | テレフレックス メディカル インコーポレイテッド | 安定化部材付きのクリップアプライヤ |
US11534177B2 (en) | 2017-03-21 | 2022-12-27 | Teleflex Medical Incorporated | Flexible stabilizing member for a clip applier |
US11224511B2 (en) | 2017-04-18 | 2022-01-18 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
SI3682854T1 (sl) | 2017-04-18 | 2022-04-29 | Edwards Lifesciences Corporation | Tesnilne naprave za srčno zaklopko in dovajalne naprave zanje |
US10799312B2 (en) | 2017-04-28 | 2020-10-13 | Edwards Lifesciences Corporation | Medical device stabilizing apparatus and method of use |
US10959846B2 (en) | 2017-05-10 | 2021-03-30 | Edwards Lifesciences Corporation | Mitral valve spacer device |
CN110831521B (zh) | 2017-06-22 | 2023-03-31 | 泰利福医疗公司 | 手术夹 |
US11051940B2 (en) | 2017-09-07 | 2021-07-06 | Edwards Lifesciences Corporation | Prosthetic spacer device for heart valve |
US11065117B2 (en) | 2017-09-08 | 2021-07-20 | Edwards Lifesciences Corporation | Axisymmetric adjustable device for treating mitral regurgitation |
US11040174B2 (en) | 2017-09-19 | 2021-06-22 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
US20190133590A1 (en) | 2017-11-03 | 2019-05-09 | Covidien Lp | Ligation clip with controlled tissue compression |
CN107693084A (zh) * | 2017-11-06 | 2018-02-16 | 胡晓予 | 一种专用于动脉穿刺后使用的拉带式止血夹 |
CN111432737B (zh) | 2017-11-14 | 2023-10-27 | 泰利福医疗公司 | 手术夹 |
CN108042169B (zh) * | 2017-12-21 | 2020-03-10 | 吴再义 | 一种手术结扎钳 |
US10076415B1 (en) | 2018-01-09 | 2018-09-18 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10159570B1 (en) | 2018-01-09 | 2018-12-25 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10238493B1 (en) | 2018-01-09 | 2019-03-26 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10136993B1 (en) | 2018-01-09 | 2018-11-27 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10105222B1 (en) | 2018-01-09 | 2018-10-23 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10123873B1 (en) | 2018-01-09 | 2018-11-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10245144B1 (en) | 2018-01-09 | 2019-04-02 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10231837B1 (en) | 2018-01-09 | 2019-03-19 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
IL313140A (en) | 2018-01-09 | 2024-07-01 | Edwards Lifesciences Corp | Devices and processes for native valve repair |
US10973639B2 (en) | 2018-01-09 | 2021-04-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10507109B2 (en) | 2018-01-09 | 2019-12-17 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10111751B1 (en) | 2018-01-09 | 2018-10-30 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US11389297B2 (en) | 2018-04-12 | 2022-07-19 | Edwards Lifesciences Corporation | Mitral valve spacer device |
US11207181B2 (en) | 2018-04-18 | 2021-12-28 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
DE102018109427A1 (de) * | 2018-04-19 | 2019-10-24 | Aesculap Ag | Clip-Applikator |
CN108784778B (zh) * | 2018-07-26 | 2024-04-16 | 广州新诚生物科技有限公司 | 施夹钳 |
GB2576007B (en) * | 2018-07-31 | 2022-04-20 | Minks Wendy | A nose clamp |
JP7238101B2 (ja) * | 2018-09-10 | 2023-03-13 | オキュソフト インコーポレイテッド | 鉗子 |
US10945844B2 (en) | 2018-10-10 | 2021-03-16 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US11413030B2 (en) * | 2018-11-08 | 2022-08-16 | William MONTROSS | Montross button |
EP3880142A4 (en) | 2018-11-12 | 2022-08-10 | Eargear, LLC | CORRECTION DEVICE FOR DEFORMED OUTER EAR |
KR102240609B1 (ko) * | 2018-12-04 | 2021-04-15 | 최교창 | 수술용 클립 |
DK3923867T3 (da) | 2019-02-14 | 2023-12-04 | Edwards Lifesciences Corp | Hjerteklapforseglingsindretninger og leveringsindretninger dertil |
CN110236634B (zh) * | 2019-07-30 | 2022-08-02 | 上海理工大学 | 记忆合金式可分离止血钳装置 |
US11717301B2 (en) | 2019-09-25 | 2023-08-08 | Lsi Solutions, Inc. | Minimally invasive occlusion device and methods thereof |
CN114929119A (zh) | 2019-12-19 | 2022-08-19 | 泰利福医疗公司 | 手术夹具 |
US11696764B2 (en) * | 2020-01-31 | 2023-07-11 | Covidien Lp | Ligation clip with controlled tissue compression |
EP4178465A4 (en) * | 2020-07-08 | 2024-04-03 | A2 Medical Systems LLC | LIGATURE STAPLES WITH ANTI-MIGRATION ELEMENTS |
CN112264943B (zh) * | 2020-09-09 | 2021-06-08 | 北京理工大学 | 一种基于血管化螺旋形人工肌肉驱动的仿生微夹钳 |
USD1004088S1 (en) | 2021-08-19 | 2023-11-07 | Medline Industries, Lp | Surgical staple |
USD1003436S1 (en) | 2021-08-19 | 2023-10-31 | Medline Industries, Lp | Surgical staple |
CN113995506B (zh) * | 2022-01-04 | 2022-05-31 | 北京华辰康健科技发展有限公司 | 一种具有可控自动滴水功能的电极镊 |
KR20230139556A (ko) * | 2022-03-28 | 2023-10-05 | 고려대학교 산학협력단 | 혈류조절용 혈관클립 |
US11737763B1 (en) * | 2023-03-28 | 2023-08-29 | King Faisal University | Laparoscope for installing surgical clips |
CN116839906B (zh) * | 2023-09-04 | 2023-11-07 | 吉林大学 | 模拟数控机床电主轴轴承润滑脂可靠性试验装置及方法 |
Family Cites Families (59)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SU58666A1 (ru) * | 1938-08-27 | 1939-11-30 | В.Г. Поляков | Пинцет |
US3120230A (en) * | 1960-10-24 | 1964-02-04 | Jack H Sanders | Surgical clamp |
DE2123703C3 (de) | 1970-05-20 | 1979-01-25 | Codman & Shurtleff, Inc., Randolph, Mass. (V.St.A.) | Blutgefäßklemmenhalter und zugehörige Blutgefäßklemme |
US3867944A (en) * | 1972-10-27 | 1975-02-25 | Wood Ernest C | Hemostatic clip and applicator therefor |
US3980861A (en) * | 1973-03-26 | 1976-09-14 | Akio Fukunaga | Electrically heated miniature thermal implement |
DE2730691C2 (de) * | 1976-07-16 | 1982-12-16 | Maruho Co. Ltd., Osaka | Wundklammer, Verbindungselement für mehrere Wundklammern und Zange zum Öffnen und Schließen derselben |
SU640618A1 (ru) * | 1976-10-01 | 1995-06-19 | Институт Радиотехники И Электроники Ан Ссср | Бистабильный переключатель с памятью |
US4485816A (en) * | 1981-06-25 | 1984-12-04 | Alchemia | Shape-memory surgical staple apparatus and method for use in surgical suturing |
US4586503A (en) * | 1983-12-01 | 1986-05-06 | University Of New Mexico | Surgical microclip |
JPS61143049A (ja) | 1984-12-17 | 1986-06-30 | 仙台メカニツク工業株式会社 | 医療用流体阻止具 |
US4805618A (en) * | 1985-08-08 | 1989-02-21 | Olympus Optical Co., Ltd. | Oviduct closing apparatus |
JPS63288147A (ja) * | 1987-05-21 | 1988-11-25 | Olympus Optical Co Ltd | クリップ装置 |
US4834096A (en) * | 1987-10-26 | 1989-05-30 | Edward Weck Incorporated | Plastic ligating clips |
US5022126A (en) * | 1990-04-13 | 1991-06-11 | Edward Weck Incorporated | One-piece plastic towel clamp |
FR2668361A1 (fr) * | 1990-10-30 | 1992-04-30 | Mai Christian | Agrafe et plaque d'osteosynthese a compression dynamique auto-retentive. |
US5171252A (en) * | 1991-02-05 | 1992-12-15 | Friedland Thomas W | Surgical fastening clip formed of a shape memory alloy, a method of making such a clip and a method of using such a clip |
RU2032384C1 (ru) * | 1991-07-08 | 1995-04-10 | Георгий Цыренович Дамбаев | Зажим для мягких тканей |
US5171251A (en) * | 1992-03-02 | 1992-12-15 | Ethicon, Inc. | Surgical clip having hole therein and method of anchoring suture |
US5250046A (en) * | 1992-03-26 | 1993-10-05 | Lee Curtis O | Heated forceps |
JPH0647048A (ja) | 1992-06-04 | 1994-02-22 | Olympus Optical Co Ltd | 結紮縫合装置 |
US5392917A (en) * | 1993-08-03 | 1995-02-28 | Ethicon, Inc. | Easy open 1-2-3 instrumentation package |
RU2052979C1 (ru) | 1994-03-22 | 1996-01-27 | Товарищество с ограниченной ответственностью "Дипы" ЛТД | Аппарат для наложения зажимающих скрепок и магазин для прошивающих скобок или зажимающих скрепок |
FR2756767A1 (fr) | 1996-12-06 | 1998-06-12 | Andromis Sa | Dispositif de prehension en materiau a memoire de forme et procede de realisation |
RU2128012C1 (ru) * | 1998-03-11 | 1999-03-27 | Оспанов Орал Базарбаевич | Аппарат о.б.оспанова для компрессионных анастомозов |
GB9827415D0 (en) | 1998-12-11 | 1999-02-03 | Wild Andrew M | Surgical apparatus and method for occluding a body passageway |
DE69939946D1 (de) | 1998-12-31 | 2009-01-02 | Kensey Nash Corp | Gewebe-befestigungselement und dessen einsetzwerkzeug |
US6193732B1 (en) * | 1999-01-08 | 2001-02-27 | Cardiothoracic System | Surgical clips and apparatus and method for clip placement |
US6896684B2 (en) * | 2000-06-12 | 2005-05-24 | Niti Medical Technologies Ltd. | Surgical clip applicator device |
US6746461B2 (en) * | 2000-08-15 | 2004-06-08 | William R. Fry | Low-profile, shape-memory surgical occluder |
CA2420227A1 (en) * | 2000-09-01 | 2002-03-14 | Glenn Kanner | Wound site management and wound closure device |
US6547783B1 (en) * | 2000-10-24 | 2003-04-15 | Enduratec Systems Corp. | Thermo-electric grip for holding soft tissue |
US20020111641A1 (en) * | 2001-01-08 | 2002-08-15 | Incisive Surgical, Inc. | Bioabsorbable surgical clip with engageable expansion structure |
RU2213529C2 (ru) * | 2001-09-26 | 2003-10-10 | Московский государственный институт стали и сплавов (технологический университет) | Способ клипирования сосудов, мягкоэластичных трубчатых структур и фиксирования тканей и клипса для его осуществления |
US7094245B2 (en) | 2001-10-05 | 2006-08-22 | Scimed Life Systems, Inc. | Device and method for through the scope endoscopic hemostatic clipping |
JP4237626B2 (ja) * | 2001-10-24 | 2009-03-11 | ボストン サイエンティフィック リミテッド | 内視鏡のための複数ヘモクリップシステム |
US20030225423A1 (en) * | 2002-05-30 | 2003-12-04 | Huitema Thomas W. | Surgical clip |
US6638297B1 (en) * | 2002-05-30 | 2003-10-28 | Ethicon Endo-Surgery, Inc. | Surgical staple |
US7112214B2 (en) * | 2002-06-25 | 2006-09-26 | Incisive Surgical, Inc. | Dynamic bioabsorbable fastener for use in wound closure |
GB0305976D0 (en) * | 2003-03-14 | 2003-04-23 | Wild Andrew M | Surgical clip |
US20040193189A1 (en) | 2003-03-25 | 2004-09-30 | Kortenbach Juergen A. | Passive surgical clip |
RU2241391C1 (ru) | 2003-04-22 | 2004-12-10 | Дамбаев Георгий Цыренович | Устройство для лапароскопического анастомоза |
US7179254B2 (en) * | 2004-03-09 | 2007-02-20 | Ethicon, Inc. | High intensity ablation device |
RU2275870C2 (ru) * | 2004-03-29 | 2006-05-10 | Иван Геннадьевич Заговеньев | Клипса для холедоходуоденального анастомоза |
US8152834B2 (en) * | 2005-04-13 | 2012-04-10 | Synthes Usa, Llc | Forceps and system using same |
RU2294689C2 (ru) * | 2005-05-18 | 2007-03-10 | Юрий Ильич Гурфинкель | Устройство для неинвазивного мониторирования динамических характеристик капилляров и капиллярного кровотока |
DE602005017139D1 (de) * | 2005-07-28 | 2009-11-26 | Covidien Ag | Elektrodenanordnung mit Elektrodenkühlkörper für ein elektrochirurgisches Gerät |
US20070088412A1 (en) * | 2005-10-13 | 2007-04-19 | Intelifuse, Inc., A Corporation Of The State Of Delaware | System and device for heating or cooling shape memory surgical devices |
US7892244B2 (en) * | 2006-03-09 | 2011-02-22 | Niti Surgical Solutions Ltd. | Surgical compression clips |
US20080147092A1 (en) | 2006-10-23 | 2008-06-19 | Michael Rogge | Hybrid energy instrument combined with clip application capability |
EP3868335B1 (en) * | 2007-10-11 | 2024-06-12 | Implantica Patent Ltd. | Apparatus for controlling flow in a bodily organ |
US8585717B2 (en) | 2008-08-29 | 2013-11-19 | Covidien Lp | Single stroke endoscopic surgical clip applier |
FR2938422A1 (fr) * | 2008-11-17 | 2010-05-21 | Pierre Sarradon | Clips d'anastomose vasculaire et methode d'application |
JP5401088B2 (ja) | 2008-12-09 | 2014-01-29 | 株式会社アドバネクス | クリップ |
US9232947B2 (en) * | 2009-02-17 | 2016-01-12 | The Board Of Trustees Of The Leland Stanford Junior University | Closure device and method |
JP5290813B2 (ja) | 2009-03-06 | 2013-09-18 | 株式会社トップ | 鉗子 |
DE102009018820A1 (de) * | 2009-04-24 | 2010-10-28 | Aesculap Ag | Magazin mit einer Vielzahl C-förmiger Ligaturklammern |
CN201519174U (zh) * | 2009-09-24 | 2010-07-07 | 杭州康基医疗器械有限公司 | 用于人体血管夹闭的血管夹 |
CN101897611A (zh) * | 2010-07-08 | 2010-12-01 | 山东大学 | 侵入式反向钛夹及其使用方法 |
US9486220B2 (en) * | 2011-09-28 | 2016-11-08 | Covidien Lp | Surgical tissue occluding device |
-
2010
- 2010-12-07 RU RU2010150862/14A patent/RU2485908C2/ru active
- 2010-12-07 WO PCT/RU2010/000735 patent/WO2012078067A1/en active Application Filing
-
2011
- 2011-12-07 WO PCT/AU2011/001586 patent/WO2012075532A1/en active Application Filing
- 2011-12-07 CN CN201180063841.1A patent/CN103370017B/zh active Active
- 2011-12-07 KR KR1020187028516A patent/KR102024194B1/ko active IP Right Grant
- 2011-12-07 CA CA2856747A patent/CA2856747C/en active Active
- 2011-12-07 BR BR112013014075-5A patent/BR112013014075B1/pt active IP Right Grant
- 2011-12-07 EA EA201891702A patent/EA036862B1/ru unknown
- 2011-12-07 EA EA201390831A patent/EA023456B1/ru not_active IP Right Cessation
- 2011-12-07 CN CN201610991968.4A patent/CN106974703B/zh active Active
- 2011-12-07 US US13/991,831 patent/US10064623B2/en active Active
- 2011-12-07 EA EA201500951A patent/EA031268B1/ru not_active IP Right Cessation
- 2011-12-07 KR KR1020137016262A patent/KR101906438B1/ko active IP Right Grant
- 2011-12-07 EP EP11846314.0A patent/EP2648627B1/en not_active Not-in-force
- 2011-12-07 JP JP2013542309A patent/JP6067574B2/ja not_active Expired - Fee Related
- 2011-12-07 CA CA3027376A patent/CA3027376C/en active Active
- 2011-12-07 AU AU2011340795A patent/AU2011340795B2/en not_active Ceased
- 2011-12-07 KR KR1020197026950A patent/KR102224353B1/ko active IP Right Grant
-
2016
- 2016-10-07 AU AU2016238955A patent/AU2016238955B2/en not_active Ceased
- 2016-12-21 JP JP2016247381A patent/JP6396401B2/ja not_active Expired - Fee Related
-
2018
- 2018-07-31 AU AU2018211231A patent/AU2018211231B2/en not_active Ceased
- 2018-08-08 US US16/058,673 patent/US11246596B2/en active Active
- 2018-08-28 JP JP2018159125A patent/JP6549770B2/ja not_active Expired - Fee Related
Also Published As
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6549770B2 (ja) | 外科用クリップ、カートリッジならびにキット | |
US10524791B2 (en) | Left atrial appendage devices and methods | |
US7875029B1 (en) | Surgical device switchable between clip application and coagulation modes | |
US20050149069A1 (en) | Left atrial appendage devices and methods | |
WO2005046453A2 (en) | Left atrial appendage devices and methods | |
RU2240735C1 (ru) | Клипса для обтурации полых протяженных органов |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20190618 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20190621 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20190627 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6549770 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
LAPS | Cancellation because of no payment of annual fees |