55 results about "Blunt dissection" patented technology

An ultrasonic surgical instrument having a handle with a finger actuator, and more particularly, an ultrasonic surgical device adapted to be held by a surgeon and fingers-operated with precise movements while opening and closing an ultrasonic instrument while meeting the ergonomic requirements of the surgeon with regard to comfort and imparting the surgeon with an enhanced dextral control for easy maneuverability of the instrument. The instrument incorporates a thimble-shaped lever at the distal end of the handle for actuating the clamp arm of the ultrasonic surgical instrument, and votator structure for selective rotation of the surgical device whereby the ergonomic thimble-shaped lever and pencil grip provide the physician with an improved degree of control, greater comfort in manipulating the instrument, and the ability to perform blunt dissections.

Methods and devices for treating female stress urinary incontinence are disclosed. The methods include transvaginally accessing the pelvic cavity and introducing a suburethral sling into the retropubic space. In some embodiments the ends of the sling are attached to an anatomical support structure. In other embodiments, the ends of the suburethral sling are not attached to an anatomical support structure. The devices include a surgical instrument for blunt dissection of the pelvic cavity which includes a curved shaft and a blunt distal end. A hook deployment device may optionally be attached to the surgical instrument.

A balloon endoscope device having a shaft with a distal end that allows for blunt dissection is provided. The shaft utilizes a plurality of separately inflatable balloons that alone or together with exterior functional channels (e.g., instrument channels, air channels, water channels, suction channels) circumferentially surround the distal end of the shaft to better position and maneuver the distal end as it advances through tissue planes and once it reaches a target working space or operative site.

An electrosurgical Cobb elevator instrument, a soft tissue dissection and / or retraction tool, can be used with and without suction, and is capable of delivering monopolar or bipolar RF energy for cutting and coagulating soft tissue. The device is capable of footswitch or handswitch activation. The tool has a spoon-shaped edge that is preferably sharp to provide blunt dissection in addition to the energy-driven dissection. The instrument of the invention could be used in any procedure that requires soft tissue dissection and / or coagulation.

An apparatus for use in fascial cleft surgery adapted to perform blunt dissection between two layers of anatomically named fascia. The dissection performed by the apparatus extends to the limits of anatomic space defined by fusion of said two layers of fascia in a minimally invasive manner. The apparatus is formed of a hollow tube body member including a malleable introducing flange having a spoonbill-like shape. Further, the apparatus includes an elastic dissection balloon movably positioned within the applicator. The dissection balloon is reversibly expandable between a deflated condition and an expanded condition and is movable from a first storage position within the hollow tube body of the applicator to a position exterior thereof. The dissection balloon is formed of a chosen elastic material having a tensile strength less than the tensile strength of the points of fusion between two layers of fascia such that the dissection balloon fails prior to achieving pressures that would destroy the anatomic boundaries of the fascial cleft such that a working space is demonstrated not created. The apparatus also includes a gripping handle and introducing rod slideably positioned within said applicator for positioning said dissection balloon exterior said applicator to within an anatomic space for subsequent inflation and deflation. Finally, a fill tube extends through the hollow introducing rod to the dissection balloon and operably associated therewith for inflating and deflating the dissection balloon.

A dissector including a body, a first arm, a second arm, and a string and methods for use thereof. The first arm extending from the body towards a distal end thereof and the second arm extending from the body towards a distal end thereof. One end of the string is coupled to the first arm adjacent the distal end thereof and the other end of the string is coupled to the second arm adjacent the distal end thereof. The first and second arms have an expanded configuration such that the string is taut and have a collapsed configuration such that the string is slack. The string is configured to dissect tissue when the first and second arms are in the expanded configuration. The string may oscillate to dissect tissue. The distal ends of the first and second arms may atraumatically dissect tissue.

A dissector including a body, a first arm, a second arm, and a string. The first arm extending from the body towards a distal end thereof and the second arm extending from the body towards a distal end thereof. One end of the string is coupled to the first arm adjacent the distal end thereof and the other end of the string is coupled to the second arm adjacent the distal end thereof. The first and second arms have an expanded configuration such that the string is taut and have a collapsed configuration such that the string is slack. The string is configured to dissect tissue when the first and second arms are in the expanded configuration. The string may oscillate to dissect tissue. The distal ends of the first and second arms may atraumatically dissect tissue.

A vessel dissector for harvesting a target vessel has a tubular member carrying a blunt transparent tip with a terminus for blunt dissection of tissue and a base affixed to the tubular member. An active ring set has first and second ring segments mounted to distal ends of respective manipulator bars in the tubular member. The ring segments juxtapose to define a closed loop with an inner diameter larger than the outside diameter of the tip base. The ring segments are movable between a retracted position nested at the base and respective extended positions distally forward of the terminus. At least one of the ring segments is energizable to cut and cauterize a cylindrical pedicle including the target vessel. The ring segments independently extend longitudinally to provide a variable gap between the ring segments to capture, cut, and cauterize side branches to the target vessel between the ring segments.