IP Library › Granted Patent US 12,262,914
Granted Patent B2
US 12,262,914 · App. 18/156,030 · Granted Apr 1, 2025

Natural orifice surgery system

Inventors: Serene Wachli (Rancho Santa Margarita, CA); Tracy Breslin (Trabuco Canyon, CA); Alexander Sheehan (Shoreline, WI); Nikolai Poulsen (Irvine, CA)
Assignee: Applied Medical Resources Corporation
A61B17/3423A61B17/3439A61B17/42A61B2017/345A61B2017/3452A61B2017/3466A61B2017/3486
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Quick Facts
Patent No.
US 12,262,914
App. No.
18/156,030
Granted
Apr 1, 2025
Kind
B2
Abstract

Embodiments of a surgical access port system that comprises a retractor that is adapted for being coupled to a cap and that is particularly useful in natural orifice surgery are described. The retractor comprises an outer ring, wherein the outer ring is configured to be disposed proximate the natural orifice of the patient and substantially surround the orifice; a tubular body; and various stabilizing mechanisms surrounding the tubular body, sized and configured to stabilize and retain the retractor within the orifice. The stabilizing embodiments described herein are useful in all natural orifices and are of particular use in the vaginal surgery.

Claims (23)

1. A surgical access port system adapted for performing surgical procedures at a natural orifice comprising:

a tubular body having a longitudinal axis, a proximal end and a distal end,

a retaining sleeve that comprises a longitudinal axis, a proximal end, a distal end, and a lumen,

wherein the tubular body is disposed within the lumen of the retaining sleeve and is configured to move along the longitudinal axis of the retaining sleeve, and

wherein the tubular body comprises a ratcheting mechanism that is configured to move the tubular body along the longitudinal axis of the retaining sleeve in a unidirectional manner, and

one or more arms connected to the distal end of the retaining sleeve, wherein the one or more arms are movable from a closed position to an open position as the distal end of the tubular body engages the one or more arms.

2. The surgical access port of claim 1 , wherein the ratcheting mechanism comprises a plurality of teeth and corresponding pawls, wherein the ratcheting mechanism is located on an external surface of the tubular body and an internal surface of the retaining sleeve.

3. The surgical access port of claim 1 , wherein the ratcheting mechanism is configured to provide the ability for the tubular body to resist backwards movement within the retaining sleeve.

4. The surgical access port of claim 1 , wherein the unidirectional movement of the tubular body is not performed within the retaining sleeve when the ratcheting mechanism is released.

5. The surgical access port system of claim 4 , wherein the release of the ratcheting mechanism is performed by having a user depress both sides of the tubular body.

6. The surgical access port system of claim 1 further comprising an outer ring that is configured to be disposed proximate the natural orifice of the patient, and wherein the proximal end of the tubular body is coupled to the outer ring.

7. The surgical access port system of claim 6 further comprising a removable gel cap, wherein the removable gel cap comprises a gel pad and a cap ring coupled with the gel pad, and wherein the cap ring is engageable with the outer ring.

8. The surgical access port system of claim 6 further comprising two or more suture points each configured to receive one or more sutures to prevent dislodging of the surgical access port system from the natural orifice once placed.

9. The surgical access port system of claim 8 , wherein the two or more suture points are positioned diametrically opposed relative to a circular profile of the outer ring.

10. The surgical access port system of claim 1 further comprising a funnel segment at the proximal end of the tubular body.

11. The surgical access port system of claim 1 further comprising a bolster disposed at the proximal end of the tubular body, the bolster configured to externally occlude the natural orifice.

12. The surgical access port system of claim 1 , further comprising an obturator, wherein the tubular body is configured to receive the obturator, wherein the obturator has a proximal bearing surface sized and configured to bear against an inner surface of the tubular body to expand an opening associated with the natural orifice of the patient for passage of the tubular body through the natural orifice.

13. The surgical access port system of claim 12 , wherein the obturator comprises a handle configured for selective twisting or rotation of the obturator with respect to the longitudinal axis of the tubular body during insertion into the opening of the patient.

14. The surgical access port system of claim 1 , wherein the one or more arms are connected to the distal end of the retaining sleeve via articulating hinges.

15. The surgical access port system of claim 14 further comprising an articulating lead, wherein the articulating lead is arranged near the articulating hinges, and wherein the articulating lead is configured to control a transition from the closed position to the open position of the one or more arms at an incremental rate.

16. The surgical access port system of claim 1 , wherein the one or more arms are arranged in parallel with the longitudinal axis of the tubular body while in the closed position to facilitate insertion and removal of the system from the natural orifice of the patient, and wherein the tubular body disengages from the one or more arms in order to allow the one or more arms to be folded thereby transitioning from the open position back to the closed position.

17. The surgical access port system of claim 1 , wherein the tubular body further comprises a lip at the proximal end, wherein the lip is configured to prevent the proximal end of the retaining sleeve from entering an opening of the patient.

18. The surgical access port system of claim 17 , wherein the lip further is configured to provide a holding point during an advancement of the tubular body through the retaining sleeve.

Assignments (1)
SECURITY INTEREST Recorded Feb 28, 2024
From: APPLIED MEDICAL RESOURCES CORPORATION
To: BMO BANK N.A., AS ADMINISTRATIVE AGENT
Reel/Frame 066702/0123 →
Continuity (5)
Continuation 17188447 · Mar 1, 2021
Continuation 16204902 · Nov 29, 2018
Continuation 14826336 · Aug 14, 2015
Provisional Application 62038082 · Aug 15, 2014
Related Publication 20230157722A1 · May 25, 2023
References Cited (400)
US 52014A · Bartlett · 1866 [cited by applicant]
US 202813A · Hall · 1878 [cited by applicant]
US 447761A · Clough · 1891 [cited by applicant]
US 558364A · Doolittle · 1896 [cited by applicant]
US 758535A · Howden · 1904 [cited by applicant]
US 929583A · Gibbs · 1909 [cited by applicant]
US 1056966A · Belding · 1913 [cited by applicant]
US 1157202A · Bates et al. · 1915 [cited by applicant]
US 1221123A · Westhaver · 1917 [cited by applicant]
US 1242972A · Petit · 1917 [cited by applicant]
US 1598284A · Kinney · 1926 [cited by applicant]
US 1690995A · Pratt · 1928 [cited by applicant]
US 1180466A · Deutsch · 1931 [cited by applicant]
US 1810466A · Deutsch · 1931 [cited by applicant]
US 2219564A · Reyniers · 1940 [cited by applicant]
US 2305289A · Coburg · 1942 [cited by applicant]
US 2313164A · Nelson · 1943 [cited by applicant]
US 2478586A · Krapp · 1949 [cited by applicant]
US 2669991A · Curutchet · 1954 [cited by applicant]
US 2695608A · Gibbon · 1954 [cited by applicant]
US 2812758A · Blumenschein · 1957 [cited by applicant]
US 2835253A · Borgeson · 1958 [cited by applicant]
US 2853075A · Hoffman et al. · 1958 [cited by applicant]
US 3039468A · Price · 1962 [cited by applicant]
US 3057350A · Cowley · 1962 [cited by applicant]
US 3108595A · Overment · 1963 [cited by examiner]
US 3111943A · Orndorff · 1963 [cited by applicant]
US 3129706A · Reynolds, Jr. · 1964 [cited by applicant]
US 3195934A · Parrish · 1965 [cited by applicant]
US 3244169A · Baxter · 1966 [cited by applicant]
US 3253594A · Matthews et al. · 1966 [cited by applicant]
US 3313299A · Spademan · 1967 [cited by applicant]
US 3329390A · Hulsey · 1967 [cited by applicant]
US 3332417A · Blanford et al. · 1967 [cited by applicant]
US 3347226A · Harrower · 1967 [cited by applicant]
US 3347227A · Harrower · 1967 [cited by applicant]
US 3397692A · Creager, Jr. et al. · 1968 [cited by applicant]
US 3402710A · Paleschuck · 1968 [cited by applicant]
US 3416520A · Creager, Jr. · 1968 [cited by applicant]
US 3447533A · Spicer · 1969 [cited by applicant]
US 3522800A · Lesser · 1970 [cited by applicant]
US 3523534A · Nolan · 1970 [cited by applicant]
US 3553862A · Hamu · 1971 [cited by applicant]
US 3570475A · Weinstein · 1971 [cited by applicant]
US 3656485A · Robertson · 1972 [cited by applicant]
US 3685786A · Woodson · 1972 [cited by applicant]
US 3703896A · Nuwayser · 1972 [cited by applicant]
US 3717151A · Collett · 1973 [cited by applicant]
US 3717883A · Mosher · 1973 [cited by applicant]
US 3729006A · Wilder et al. · 1973 [cited by applicant]
US 3729027A · Bare · 1973 [cited by applicant]
US 3762080A · Poole · 1973 [cited by applicant]
US 3774596A · Cook · 1973 [cited by applicant]
US 3782370A · McDonald · 1974 [cited by applicant]
US 3788318A · Kim et al. · 1974 [cited by applicant]
US 3789852A · Kim et al. · 1974 [cited by applicant]
US 3797478A · Walsh et al. · 1974 [cited by applicant]
US 3799166A · Marsan · 1974 [cited by applicant]
US 3807393A · McDonald · 1974 [cited by applicant]
US 3828764A · Jones · 1974 [cited by applicant]
US 3831583A · Edmunds et al. · 1974 [cited by applicant]
US 3841332A · Treacle · 1974 [cited by applicant]
US 3850172A · Cazalis · 1974 [cited by applicant]
US 3853126A · Schulte · 1974 [cited by applicant]
US 3853127A · Spademan · 1974 [cited by applicant]
US 3856021A · McIntosh · 1974 [cited by applicant]
US 3860274A · Ledstrom et al. · 1975 [cited by applicant]
US 3861416A · Wichterle · 1975 [cited by applicant]
US 3863639A · Kleaveland · 1975 [cited by applicant]
US 3907389A · Cox et al. · 1975 [cited by applicant]
US 3915171A · Shermeta · 1975 [cited by applicant]
US 3965890A · Gauthier · 1976 [cited by applicant]
US 3970089A · Saice · 1976 [cited by applicant]
US 3996623A · Kaster · 1976 [cited by applicant]
US 4000739A · Stevens · 1977 [cited by applicant]
US 4016884A · Kwan-Gett · 1977 [cited by applicant]
US 4024872A · Muldoon · 1977 [cited by applicant]
US 4030500A · Ronnquist · 1977 [cited by applicant]
US 4043328A · Cawood, Jr. et al. · 1977 [cited by applicant]
US 4069913A · Harrigan · 1978 [cited by applicant]
US 4082005A · Erdley · 1978 [cited by applicant]
US 4083370A · Taylor · 1978 [cited by applicant]
US 4096853A · Weigand · 1978 [cited by applicant]
US 4112932A · Chiulli · 1978 [cited by applicant]
US 4117847A · Clayton · 1978 [cited by applicant]
US 4130113A · Graham · 1978 [cited by applicant]
US 4141364A · Schultze · 1979 [cited by applicant]
US 4177814A · Knepshield et al. · 1979 [cited by applicant]
US 4183357A · Bentley et al. · 1980 [cited by applicant]
US 4187849A · Stim · 1980 [cited by applicant]
US 4188945A · Wenander · 1980 [cited by applicant]
US 4189880A · Ballin · 1980 [cited by applicant]
US 4217664A · Faso · 1980 [cited by applicant]
US 4222126A · Boretos et al. · 1980 [cited by applicant]
US 4228792A · Rhys-Davies · 1980 [cited by applicant]
US 4239036A · Krieger · 1980 [cited by applicant]
US 4240411A · Hosono · 1980 [cited by applicant]
US 4253201A · Ross et al. · 1981 [cited by applicant]
US 4254973A · Banjamin · 1981 [cited by applicant]
US 4306562A · Osborne · 1981 [cited by applicant]
US 4321915A · Leighton · 1982 [cited by applicant]
US 4331138A · Jessen · 1982 [cited by applicant]
US 4338934A · Spademan · 1982 [cited by applicant]
US 4338937A · Lerman · 1982 [cited by applicant]
US 4367728A · Mutke · 1983 [cited by applicant]
US 4369284A · Chen · 1983 [cited by applicant]
US 4399816A · Spangler · 1983 [cited by applicant]
US 4402683A · Kopman · 1983 [cited by applicant]
US 4411659A · Jensen et al. · 1983 [cited by applicant]
US 4421296A · Stephens · 1983 [cited by applicant]
US 4424833A · Spector et al. · 1984 [cited by applicant]
US 4428364A · Bartolo · 1984 [cited by applicant]
US 4430081A · Timmermans · 1984 [cited by applicant]
US 4434791A · Darnell · 1984 [cited by applicant]
US 4436519A · O'Neill · 1984 [cited by applicant]
US 4454873A · Laufenberg et al. · 1984 [cited by applicant]
US 4473067A · Schiff · 1984 [cited by applicant]
US 4475548A · Muto · 1984 [cited by applicant]
US 4485490A · Akers et al. · 1984 [cited by applicant]
US 4488877A · Klein · 1984 [cited by applicant]
US 4508355A · Ditcher · 1985 [cited by applicant]
US 4543088A · Bootman et al. · 1985 [cited by applicant]
US 4550713A · Hyman · 1985 [cited by applicant]
US 4553537A · Rosenberg · 1985 [cited by applicant]
US 4555242A · Saudagar · 1985 [cited by applicant]
US 4556996A · Wallace · 1985 [cited by applicant]
US 4601710A · Moll · 1986 [cited by applicant]
US 4610665A · Matsumoto et al. · 1986 [cited by applicant]
US 4626245A · Weinstein · 1986 [cited by applicant]
US 4634424A · O'Boyle · 1987 [cited by applicant]
US 4634432A · Kocak · 1987 [cited by applicant]
US 4644951A · Bays · 1987 [cited by applicant]
US 4649904A · Krauter · 1987 [cited by applicant]
US 4653476A · Bonnet · 1987 [cited by applicant]
US 4654030A · Moll et al. · 1987 [cited by applicant]
US 4655752A · Honkanen et al. · 1987 [cited by applicant]
US 4673393A · Suzuki et al. · 1987 [cited by applicant]
US 4673394A · Fenton · 1987 [cited by applicant]
US 4691942A · Ford · 1987 [cited by applicant]
US 4714749A · Hughes et al. · 1987 [cited by applicant]
US 4738666A · Fuqua · 1988 [cited by applicant]
US 4755170A · Golden · 1988 [cited by applicant]
US 4760933A · Christner et al. · 1988 [cited by applicant]
US 4776843A · Martinez et al. · 1988 [cited by applicant]
US 4777943A · Chvapil · 1988 [cited by applicant]
US 4784646A · Feingold · 1988 [cited by applicant]
US 4796629A · Grayzel · 1989 [cited by applicant]
US 4798594A · Hillstead · 1989 [cited by applicant]
US 4802694A · Vargo · 1989 [cited by applicant]
US 4808168A · Warring · 1989 [cited by applicant]
US 4809679A · Shimonaka et al. · 1989 [cited by applicant]
US 4828554A · Griffin · 1989 [cited by applicant]
US 4842931A · Zook · 1989 [cited by applicant]
US 4848575A · Nakamura et al. · 1989 [cited by applicant]
US 4856502A · Ersfeld et al. · 1989 [cited by applicant]
US 4863430A · Klyce et al. · 1989 [cited by applicant]
US 4863438A · Gauderer et al. · 1989 [cited by applicant]
US 4889107A · Kaufman · 1989 [cited by applicant]
US 4895565A · Hillstead · 1990 [cited by applicant]
US 4897081A · Poirier · 1990 [cited by applicant]
US 4903710A · Jessamine et al. · 1990 [cited by applicant]
US 4911974A · Shimizu et al. · 1990 [cited by applicant]
US 4915132A · Hodge et al. · 1990 [cited by applicant]
US 4926882A · Lawrence · 1990 [cited by applicant]
US 4929235A · Merry et al. · 1990 [cited by applicant]
US 4944732A · Russo · 1990 [cited by applicant]
US 4950222A · Scott et al. · 1990 [cited by applicant]
US 4950223A · Silvanov · 1990 [cited by applicant]
US 4984564A · Yuen · 1991 [cited by applicant]
US 4991593A · LeVahn · 1991 [cited by applicant]
US 4998538A · Charowsky et al. · 1991 [cited by applicant]
US 5000745A · Guest et al. · 1991 [cited by applicant]
US 5009224A · Cole · 1991 [cited by applicant]
US 5015228A · Columbus et al. · 1991 [cited by applicant]
US 5019101A · Purkait et al. · 1991 [cited by applicant]
US 5026366A · Leckrone · 1991 [cited by applicant]
US 5037379A · Clayman et al. · 1991 [cited by applicant]
US 5041095A · Littrell · 1991 [cited by applicant]
US 5045070A · Grodecki et al. · 1991 [cited by applicant]
US D320658S · Quigley et al. · 1991 [cited by applicant]
US 5053009A · Herzberg · 1991 [cited by examiner]
US 5071411A · Hillstead · 1991 [cited by applicant]
US 5073169A · Raiken · 1991 [cited by applicant]
US 5074878A · Bark et al. · 1991 [cited by applicant]
US 5082005A · Kaldany · 1992 [cited by applicant]
US 5086763A · Hathman · 1992 [cited by applicant]
US 5092846A · Nishijima et al. · 1992 [cited by applicant]
US 5104389A · Deem · 1992 [cited by applicant]
US 5108420A · Marks · 1992 [cited by applicant]
US 5125396A · Ray · 1992 [cited by applicant]
US 5125897A · Quinn et al. · 1992 [cited by applicant]
US 5127626A · Hilal et al. · 1992 [cited by applicant]
US 5129885A · Green et al. · 1992 [cited by applicant]
US 5141498A · Christian · 1992 [cited by applicant]
US 5149327A · Oshiyama · 1992 [cited by applicant]
US 5156617A · Reid · 1992 [cited by applicant]
US 5158553A · Berry et al. · 1992 [cited by applicant]
US 5159921A · Hoover · 1992 [cited by applicant]
US 5161773A · Tower · 1992 [cited by applicant]
US 5167636A · Clement · 1992 [cited by applicant]
US 5167637A · Okada et al. · 1992 [cited by applicant]
US 5171223A · Herzberg · 1992 [cited by examiner]
US 5176648A · Holmes et al. · 1993 [cited by applicant]
US 5176662A · Bartholomew et al. · 1993 [cited by applicant]
US 5176697A · Hasson et al. · 1993 [cited by applicant]
US 5178162A · Bose · 1993 [cited by applicant]
US 5180365A · Ensminger et al. · 1993 [cited by applicant]
US 5183471A · Wilk · 1993 [cited by applicant]
US 5188595A · Jacobi · 1993 [cited by applicant]
US 5188607A · Wu · 1993 [cited by applicant]
US 5192301A · Kamiya et al. · 1993 [cited by applicant]
US 5197955A · Stephens et al. · 1993 [cited by applicant]
US 5197971A · Bonutti · 1993 [cited by examiner]
US 5207656A · Kranys · 1993 [cited by applicant]
US 5209737A · Rirchart et al. · 1993 [cited by applicant]
US 5211370A · Powers · 1993 [cited by applicant]
US 5211633A · Stouder, Jr. · 1993 [cited by applicant]
US 5213114A · Bailey, Jr. · 1993 [cited by applicant]
US 5226890A · Ianniruberto et al. · 1993 [cited by applicant]
US 5234455A · Mulhollan · 1993 [cited by applicant]
US 5241968A · Slater · 1993 [cited by applicant]
US 5242400A · Blake, III et al. · 1993 [cited by applicant]
US 5242409A · Buelna · 1993 [cited by applicant]
US 5242412A · Blake, III et al. · 1993 [cited by applicant]
US 5242415A · Kantrowitz et al. · 1993 [cited by applicant]
US 5248304A · Vigdorchik et al. · 1993 [cited by applicant]
US 5256150A · Quiachon et al. · 1993 [cited by applicant]
US 5257973A · Villasuso · 1993 [cited by applicant]
US 5257975A · Foshee · 1993 [cited by examiner]
US 5259366A · Reydel et al. · 1993 [cited by applicant]
US 5261883A · Hood et al. · 1993 [cited by applicant]
US 5262468A · Chen · 1993 [cited by applicant]
US 5263922A · Sova et al. · 1993 [cited by applicant]
US 5269763A · Boehmer et al. · 1993 [cited by applicant]
US 5269772A · Wilk · 1993 [cited by applicant]
US 5273449A · Mattis et al. · 1993 [cited by applicant]
US 5273545A · Hunt et al. · 1993 [cited by applicant]
US D343236S · Quigley et al. · 1994 [cited by applicant]
US 5279575A · Sugarbaker · 1994 [cited by applicant]
US 5290310A · Makower et al. · 1994 [cited by applicant]
US D346022S · Quigley et al. · 1994 [cited by applicant]
US 5299582A · Potts · 1994 [cited by applicant]
US 5300034A · Behnke · 1994 [cited by applicant]
US 5300035A · Clement · 1994 [cited by applicant]
US 5300036A · Mueller et al. · 1994 [cited by applicant]
US 5303486A · Dell · 1994 [cited by applicant]
US 5308336A · Hart et al. · 1994 [cited by applicant]
US 5309896A · Moll et al. · 1994 [cited by applicant]
US 5312391A · Wilk · 1994 [cited by applicant]
US 5314417A · Stephens et al. · 1994 [cited by applicant]
US 5316541A · Fischer · 1994 [cited by applicant]
US 5320611A · Bonutti et al. · 1994 [cited by applicant]
US 5330437A · Durman · 1994 [cited by applicant]
US 5330486A · Wilk · 1994 [cited by applicant]
US 5330497A · Freitas et al. · 1994 [cited by applicant]
US 5331975A · Bonutti · 1994 [cited by applicant]
US 5334143A · Carroll · 1994 [cited by applicant]
US 5334646A · Chen · 1994 [cited by applicant]
US 5336192A · Palestrant · 1994 [cited by applicant]
US 5336708A · Chen · 1994 [cited by applicant]
US 5338313A · Mollenauer et al. · 1994 [cited by applicant]
US 5342315A · Rowe et al. · 1994 [cited by applicant]
US 5342385A · Norelli et al. · 1994 [cited by applicant]
US 5345927A · Bonutti · 1994 [cited by examiner]
US 5350364A · Stephens et al. · 1994 [cited by applicant]
US 5353786A · Wilk · 1994 [cited by applicant]
US 5354280A · Haber et al. · 1994 [cited by applicant]
US 5360417A · Gravener et al. · 1994 [cited by applicant]
US 5364345A · Lowery et al. · 1994 [cited by applicant]
US 5364372A · Danks et al. · 1994 [cited by applicant]
US 5366446A · Tal et al. · 1994 [cited by applicant]
US 5366473A · Winston et al. · 1994 [cited by applicant]
US 5366478A · Brinkerhoff · 1994 [cited by examiner]
US 5368545A · Schaller et al. · 1994 [cited by applicant]
US 5375588A · Yoon · 1994 [cited by applicant]
US 5380288A · Hart et al. · 1995 [cited by applicant]
US 5383861A · Hempel et al. · 1995 [cited by applicant]
US 5385552A · Haber et al. · 1995 [cited by applicant]
US 5385553A · Hart et al. · 1995 [cited by applicant]
US 5385560A · Wulf · 1995 [cited by applicant]
US 5389080A · Yoon · 1995 [cited by applicant]
US 5389081A · Castro · 1995 [cited by applicant]
US 5391153A · Haber et al. · 1995 [cited by applicant]
US 5391156A · Hildwein et al. · 1995 [cited by applicant]
US 5395367A · Wilk · 1995 [cited by applicant]
US 5403264A · Wohlers et al. · 1995 [cited by applicant]
US 5403336A · Kieturakis et al. · 1995 [cited by applicant]
US 5407433A · Loomas · 1995 [cited by applicant]
US 5411483A · Loomas · 1995 [cited by applicant]
US 5413571A · Katsaros et al. · 1995 [cited by applicant]
US 5423848A · Washizuka et al. · 1995 [cited by applicant]
US 5429609A · Yoon · 1995 [cited by applicant]
US 5431676A · Durdal et al. · 1995 [cited by applicant]
US 5437683A · Neumann et al. · 1995 [cited by applicant]
US 5439455A · Kieturakis et al. · 1995 [cited by applicant]
US 5441486A · Yoon · 1995 [cited by applicant]
US 5443452A · Hart et al. · 1995 [cited by applicant]
US 5454365A · Bonutti · 1995 [cited by examiner]
US 5456284A · Ryan et al. · 1995 [cited by applicant]
US 5460170A · Hammerslag · 1995 [cited by applicant]
US 5460616A · Weinstein et al. · 1995 [cited by applicant]
US 5468248A · Chin et al. · 1995 [cited by applicant]
US 5476475A · Gadberry · 1995 [cited by applicant]
US 5480410A · Cuschieri et al. · 1996 [cited by applicant]
US 5486426A · McGee et al. · 1996 [cited by applicant]
US 5490843A · Hildwein et al. · 1996 [cited by applicant]
US 5492304A · Smith et al. · 1996 [cited by applicant]
US 5496280A · Vandenbroek et al. · 1996 [cited by applicant]
US 5503112A · Luhman et al. · 1996 [cited by applicant]
US 5507758A · Thomason et al. · 1996 [cited by applicant]
US 5508334A · Chen · 1996 [cited by applicant]
US 5511564A · Wilk · 1996 [cited by applicant]
US 5514109A · Mollenauer et al. · 1996 [cited by applicant]
US 5514133A · Golub et al. · 1996 [cited by applicant]
US 5514153A · Bonutti · 1996 [cited by applicant]
US 5518278A · Sampson · 1996 [cited by applicant]
US 5520632A · Leveen · 1996 [cited by applicant]
US 5522791A · Leyva · 1996 [cited by applicant]
US 5522824A · Ashby · 1996 [cited by applicant]
US 5524644A · Crook · 1996 [cited by applicant]
US 5526536A · Cartmill · 1996 [cited by applicant]
US 5531758A · Uschold et al. · 1996 [cited by applicant]
US 5538509A · Dunlap et al. · 1996 [cited by applicant]
US 5540648A · Yoon · 1996 [cited by applicant]
US 5540658A · Evans · 1996 [cited by examiner]
US 5540711A · Kieturakis et al. · 1996 [cited by applicant]
US 5545150A · Danks et al. · 1996 [cited by applicant]
US 5545179A · Williamson, IV · 1996 [cited by examiner]
US 5549563A · Kronner · 1996 [cited by applicant]
US 5549637A · Crainich · 1996 [cited by applicant]
US 5554124A · Alvarado · 1996 [cited by applicant]
US 5555653A · Morgan · 1996 [cited by applicant]
US 5562632A · Davila et al. · 1996 [cited by applicant]
US 5562677A · Hildwein et al. · 1996 [cited by applicant]
US 5562688A · Riza · 1996 [cited by applicant]
US 5571115A · Nicholas · 1996 [cited by applicant]
US 5571137A · Marlow et al. · 1996 [cited by applicant]
US 5575799A · Bolanos et al. · 1996 [cited by applicant]
US 5577993A · Zhu et al. · 1996 [cited by applicant]
US 5578048A · Pasqualucci et al. · 1996 [cited by applicant]
US 5580344A · Hasson · 1996 [cited by applicant]
US 5584850A · Hart et al. · 1996 [cited by applicant]
US 5601579A · Semertzides · 1997 [cited by applicant]
US 5601581A · Fogarty et al. · 1997 [cited by applicant]
US 5603702A · Smith et al. · 1997 [cited by applicant]
US 5607443A · Kieturakis et al. · 1997 [cited by applicant]
US 5620415A · Lucey et al. · 1997 [cited by applicant]
US 5620420A · Kriesel · 1997 [cited by applicant]
US 5628732A · Antoon, Jr. et al. · 1997 [cited by applicant]
US 5632284A · Graether · 1997 [cited by applicant]
US 5632979A · Goldberg et al. · 1997 [cited by applicant]
US 5634911A · Hermann et al. · 1997 [cited by applicant]
US 5634936A · Linden et al. · 1997 [cited by applicant]
US 5634937A · Mollenauer et al. · 1997 [cited by applicant]
US 5636645A · Ou · 1997 [cited by applicant]
US 5640977A · Leahy et al. · 1997 [cited by applicant]
US 5643301A · Mollenauer · 1997 [cited by applicant]
US 5649550A · Crook · 1997 [cited by applicant]
US 5651771A · Tangherlini et al. · 1997 [cited by applicant]
US 5653705A · de la Torre et al. · 1997 [cited by applicant]
US 5657963A · Hinchliffe et al. · 1997 [cited by applicant]
US 5658272A · Hasson · 1997 [cited by applicant]
US 5658306A · Kieturakis · 1997 [cited by applicant]
US 5662615A · Blake, III · 1997 [cited by applicant]
US 5672168A · de la Torre et al. · 1997 [cited by applicant]
US 5681341A · Lunsford et al. · 1997 [cited by applicant]
US 5683378A · Christy · 1997 [cited by applicant]
US 5685854A · Green et al. · 1997 [cited by applicant]
US 5685857A · Negus et al. · 1997 [cited by applicant]
US 5697914A · Brimhall · 1997 [cited by applicant]
US 5707703A · Rothrum et al. · 1998 [cited by applicant]
US 5709664A · Vandenbroek et al. · 1998 [cited by applicant]
US 5713858A · Heruth et al. · 1998 [cited by applicant]
US 5713869A · Morejon · 1998 [cited by applicant]
US 5720730A · Blake, III · 1998 [cited by applicant]
US 5725536A · Oberlin et al. · 1998 [cited by applicant]
US 5728103A · Picha et al. · 1998 [cited by applicant]
US 5730748A · Fogarty et al. · 1998 [cited by applicant]
US 5735791A · Alexander et al. · 1998 [cited by applicant]
US 5738628A · Sierocuk et al. · 1998 [cited by applicant]
US 5741234A · Aboul-Hosn · 1998 [cited by applicant]
US 5741298A · MacLeod · 1998 [cited by applicant]
US 5743884A · Hasson et al. · 1998 [cited by applicant]
US 5749882A · Hart et al. · 1998 [cited by applicant]
US 5753150A · Martin et al. · 1998 [cited by applicant]
US 5755660A · Tyagi · 1998 [cited by applicant]
US 5760117A · Chen · 1998 [cited by applicant]
US 5769783A · Fowler · 1998 [cited by applicant]
US 5782812A · Hart et al. · 1998 [cited by applicant]
US 5782817A · Franzel et al. · 1998 [cited by applicant]
US 5782859A · Nicholas et al. · 1998 [cited by applicant]
US 5788676A · Yoon · 1998 [cited by applicant]
US 5792119A · Marx · 1998 [cited by applicant]
US 5794528A · Gronig et al. · 1998 [cited by applicant]
US 5795290A · Bridges · 1998 [cited by applicant]
US 5803919A · Hart et al. · 1998 [cited by applicant]
US 5803921A · Bonadio · 1998 [cited by applicant]
US 5803923A · Singh-Derewa et al. · 1998 [cited by applicant]
US 5807350A · Diaz · 1998 [cited by applicant]
US 5810712A · Dunn · 1998 [cited by applicant]