JPS59141938A - Retractor - Google Patents

Retractor

Info

Publication number
JPS59141938A
JPS59141938A JP21111183A JP21111183A JPS59141938A JP S59141938 A JPS59141938 A JP S59141938A JP 21111183 A JP21111183 A JP 21111183A JP 21111183 A JP21111183 A JP 21111183A JP S59141938 A JPS59141938 A JP S59141938A
Authority
JP
Japan
Prior art keywords
retractor
retractor according
hook
plate
grip
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.)
Granted
Application number
JP21111183A
Other languages
Japanese (ja)
Other versions
JPH0418860B2 (en
Inventor
デイ−タ−・ヴエント
ペ−タ−・ハ−・ゲルロフ
ヴイリ・コ−ク
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.)
WC Heraus GmbH and Co KG
Original Assignee
WC Heraus GmbH and Co KG
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
Application filed by WC Heraus GmbH and Co KG filed Critical WC Heraus GmbH and Co KG
Publication of JPS59141938A publication Critical patent/JPS59141938A/en
Publication of JPH0418860B2 publication Critical patent/JPH0418860B2/ja
Granted legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A61L31/06—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A61L31/048—Macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)
  • Apparatus For Disinfection Or Sterilisation (AREA)

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【発明の詳細な説明】 本発明は、光伝導材料製のフック板と、繊維光伝導体又
は流体光伝導体に連結可能であると共にそのフック板が
創傷領域の方に向いている光出口面を有しているハンド
ルとを有している外科用レトラクター（開創器）に関す
るものである。DETAILED DESCRIPTION OF THE INVENTION The present invention comprises a hook plate made of a photoconductive material and a light exit surface connectable to a fiber or fluid photoconductor and with the hook plate facing towards the wound area. The present invention relates to a surgical retractor having a handle having a handle.

このようなレトラクターは、ドイツ公開特許第３θ　コ
３　コロ６号公報及びドイツ実用新案第ｇコ　、２７　
　Ａｌ１９号から公知となっている。Such retractors are described in German Published Patent Application No. 3 Theta Co3 Colo 6 and German Utility Model No. g Co, 27
It is known from Al19.

本発明は、その材料がその都度の使用目的に適合される
レトラクター（開創器）を得るという課題に基礎を置く
ものである。The invention is based on the problem of obtaining a retractor whose material is adapted to the respective intended use.

頭初に述べられた種類のシト２クターに対するこの訴題
は、本発明によると、レトラクターが、消毒可能な材料
から成立っていることによって解決される。好適には、
とのレトラクターは、蒸気消毒可能及び（又は）ガンマ
線消毒可能な材料から成立つことが望ましく、この場合
、蒸気消毒可能な材料は、ホウケイ酸ガラス、又は、光
学ガラスのようなガラス及び（又は）合成樹脂のポリサ
ルファイドゴム、ポリエーテルゴム、ポリカーボネート
、ポリテトラフルオロエチレン、シリコンゴム又はフル
オロエチレンプロピレンの内の少なくとも１種、あるい
は、特殊鋼、又は、鏑−亜鉛合金のような金属であシ、
また、この場合、ガンマ線消毒可能な材料ハ、合成樹脂
のアクリルブタジェンスチロール、ポリスチロール、又
ハ、セルローズエステルの内の少なくとも７種である。According to the invention, this problem with cytoplasmic retractors of the type mentioned at the outset is solved in that the retractor is made of a disinfectable material. Preferably,
Preferably, the retractor is comprised of a steam sterilizable and/or gamma sterilizable material, in which case the steam sterilizable material is a glass and/or sterilizable material such as borosilicate glass or optical glass. ) At least one of synthetic resins such as polysulfide rubber, polyether rubber, polycarbonate, polytetrafluoroethylene, silicone rubber or fluoroethylene propylene, or special steel or metal such as iron-zinc alloy,
In this case, at least seven types of materials are selected from among the following: (c) synthetic resins such as acrylic butadiene styrene, polystyrene, and (c) cellulose ester, which can be sterilized by gamma rays.

レトラクターは、好適には、多くの部品から取シはずし
自在に組立てられるか、又は、一つのユニットに取りは
ずし自在に組立てられた部品から成立つことが望ましい
。レトラクターが、フック状に形成された、光を伝導す
るガラス製のフック板を有しておシ、このフック板が、
上方及び下方のフック状に形成されたつかみ皿を有して
いる保持部分によって保持されることが、目的にかなっ
ている。好適には、光を伝導するフック板が、フック状
に形成された保持部分、下方の保持匹、上方の保持皿及
び差し込み可能な安全リングによってまとめられること
のできることが、望ましい。レトラクターの光を伝導す
る部分は、好適には、全側面をポリカーボネートによっ
て包　　　　囲されているポリメタクリン酸メチル（Ｐ
ＭＭＡ）から成立つことが望ましく、この場合、ポリカ
ーボネートは、光出口面の領域内において、単に、約／
−２闘の厚さである。レトラクターは、各面をポリテト
ラフルオロエテレ７　（ＦＴＦＢ）、シリコンゴム、又
ハ、フルオロエチレンプロピレン（ＦＥＰ）によって包
囲されているホウケイ酸ガラスから成立っていると有利
であり、この場合、レトラクターは、光出口面の領域内
において、合成樹脂の中にくぼみを有している。更に、
レトラクターは、好適には、一体に形成されることがで
き、また、光を伝導するポリカーボネートから成立つこ
ともできる。レトラクターが多数の部品かに形成される
ことも有利であシ、この場合、蒸気消毒可能な材料製の
少なくとも一部品と、ガンマ線消毒可能な材料製の少な
くとも一部品とから成立ち、この場合、フック板の光出
口面を有している端部か、全部のフック板かを取シ去９
可能に形成され、また、ガンマ線消毒可能な材料から成
立ち、その都度、残シの部分は蒸気消毒可能な材料から
成立っている。The retractor is preferably removably assembled from a number of parts or consists of parts removably assembled into a single unit. The retractor has a light-conducting glass hook plate formed in a hook shape, and this hook plate is
It is expedient for it to be held by a holding part which has upper and lower hook-shaped gripping plates. Preferably, the light-conducting hook plate can be combined by a hook-shaped holding part, a lower holding part, an upper holding plate and an insertable safety ring. The light-conducting portion of the retractor is preferably made of polymethyl methacrylate (P) surrounded on all sides by polycarbonate.
MMA), in which case the polycarbonate in the area of the light exit surface is only about /
- It is the depth of 2 fights. Advantageously, the retractor consists of borosilicate glass surrounded on each side by polytetrafluoroether 7 (FTFB), silicone rubber, or fluoroethylene propylene (FEP); The tractor has a recess in the synthetic resin in the area of the light exit surface. Furthermore,
The retractor can preferably be formed in one piece and can also be made of light-conducting polycarbonate. It may also be advantageous for the retractor to be formed in multiple parts, in which case it consists of at least one part made of a steam sterilizable material and at least one part made of a gamma sterilizable material, in which case , remove either the end of the hook plate with the light exit surface or the entire hook plate 9
It can also be made of a material that can be sterilized by gamma rays, with the remaining parts in each case made of a material that can be sterilized by steam.

フック板及びつかみは、それぞれ、ねじを有しているこ
とが目的にかなっている。フック板は、取りはずし自在
な差し込み継手によってつかみに固着可能でおシ、また
、このつかみは、保合可能にかみ合い結手によってかみ
食い自在にか、締付は自在に形成され、この場合、つか
みが、少なくとも１個の案内兼保持部分を有している（
　ざ　） 側方のスリットを備えられていることが望ましい。フッ
ク板か、つかみかが、光伝導体に対する継手部分を有し
て訃シ、この光伝導体が、そう入部材として形成される
こともでき、同時に、フック板に対する保持部分として
も役立つことのできることが、目的にかなっている。そ
う大部分は、特殊鋼製であると有利である。The hook plate and the grip each advantageously have a thread. The hook plate can be fixed to the grip by a removable bayonet joint, and the grip can be formed by a removably interlocking joint or can be freely tightened; has at least one guiding and holding part (
) It is desirable to have side slits. The hook plate or grip may have a coupling part for the photoconductor, which photoconductor can also be formed as an insert part and at the same time serve as a holding part for the hook plate. What you can do serves a purpose. So the majority is advantageously made of special steel.

本発明によって形成されたレトラクターの利点は、それ
が、使用の場合に応じて、使い捨て部材として、又は、
再使用可能な部材として形成されることができ、この場
合、シト２クターの要求に応じて、一つの部品からか、
又は、多数の部品からか作られることにある。他の利点
は、レトラクターが、分解可能に形成されることにある
。The advantage of the retractor formed according to the invention is that, depending on the case of use, it can be used as a disposable member or as a
It can be constructed as a reusable component, in which case it can be made from one piece or, depending on the requirements of the operator,
Or, it may be made from multiple parts. Another advantage is that the retractor is designed to be removable.

以下、本発明をその実施例を示す添附図面に基づいて説
明する。DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention will be described below with reference to the accompanying drawings showing embodiments thereof.

８７図は、１３ダ°Ｃまでの蒸気消毒が可能であるレト
ラクターを示すものである。このレトラクターは、フッ
ク状に形成された光を伝導するガラス製のフック板３と
、上方のフック状に形成された保持部分−と、下方のフ
ック状に形成された保持部分ｌとから成立っているが、
フ　。Figure 87 shows a retractor capable of steam disinfection up to 13 degrees Celsius. This retractor consists of a hook-shaped glass hook plate 3 that conducts light, an upper hook-shaped holding portion, and a lower hook-shaped holding portion L. However,
centre .

ツク板３は、創傷の領域に向けられた光出口開口ｊを有
している。上方及び下方のフック状に形成された保持部
分２．／は、それぞれ、つかみ部分−〇ないしは／ｆ及
びかぎ部分２コないしはコｌを有している。上方の保持
部分コは、光出口開口ｇの領域内に、光の出口のための
窓ヂを含んでいる。光伝導体用継手ｉｏとして、鋼製の
差し込み部分が設けられている。保持部分λ、ｌは、合
成樹脂、例えば、ポリサルファイドゴム、ポリエーテル
ゴム、ポリエーテルエーテルケトンから成立っている。The pick plate 3 has a light exit opening j directed towards the area of the wound. Upper and lower hook-shaped holding parts 2. / has a grip part -0 or /f and a hook part 2 or 1, respectively. The upper holding part contains a window for the exit of the light in the area of the light exit opening g. A steel insertion part is provided as the photoconductor joint io. The holding part λ, l consists of a synthetic resin, for example polysulfide rubber, polyether rubber, polyetheretherketone.

フック板３の保持部分ｌ及びコの中へのそう人の後、合
成樹脂部材は、相互に接着され、又は、溶接される。After insertion into the holding parts l and l of the hook plate 3, the synthetic resin parts are glued or welded together.

上方の保持部分−と、光出口開口ｔの領域内のフック板
３との間の連結箇所及びフック板３と光伝導用継手ＩＯ
との間の連結箇所：マ、固く結合される。The connection point between the upper holding part - and the hook plate 3 in the area of the light exit opening t, and the hook plate 3 and the light-conducting joint IO
Connection point between: Ma, tightly connected.

第２図は、それぞれの使用の場合に応じて、分解され、
洗浄され、再び組立てられ、引続いて、７３４１℃まで
の蒸気消毒がなされることのできるレトラクターの部材
を示すものである。Figure 2 is broken down according to each case of use,
Figure 3 shows parts of a retractor that can be cleaned, reassembled and subsequently steam disinfected to 7341°C.

このレトラクターは、創傷の領域の方に向けられた光出
口開口ｇを有している光を伝導するフック板、？と、フ
ック状に曲げられた保持部分６と、上方のつかみ皿Ｓと
、下方の、光伝導用継手ｌθが固着されている下方のつ
かみ皿ダと、安全部材７とから成立っている。このシト
２クターは、フック板Ｊが保持部分６の中に入れられ、
安全リングクが上に置かれ、全体のユニットが下方のつ
かみ皿ダの中に入れられるようにして組てられる。引続
いて、上方のつかみ皿５が置かれ、安全リング７によっ
て確保される。This retractor consists of a light-conducting hook plate, which has a light exit aperture directed towards the area of the wound. , a holding portion 6 bent into a hook shape, an upper grip plate S, a lower grip plate S to which a light-conducting joint lθ is fixed, and a safety member 7. In this seat 2 controller, the hook plate J is put into the holding part 6,
The safety ring is placed on top and the entire unit is assembled by placing it into the lower grip plate. Subsequently, the upper grip plate 5 is placed and secured by the safety ring 7.

このレトラクター中は、単に、／、２／”Ｏまで蒸気に
よって消毒されるのに十分である限シは、合成樹脂とし
てポリカーボネートが使用されることができる。組立て
可能な合成樹脂からの部品の分解に関して、このために
、それぞれＪ適（ｌｌ） な形状を選択することは、当業者の知識内にある。従っ
て、レトラクターは、５個の部品よｐも多く、又は、５
個の部品よりもよ）少なく、組立て可能に形成されるこ
とができる。In this retractor, polycarbonate can be used as a synthetic resin, as long as it is sufficient to be disinfected by steam up to /, 2/''O. Regarding the disassembly, it is within the knowledge of the person skilled in the art to choose a suitable shape for this purpose.The retractor may therefore have as many as 5 parts or 5 parts.
(more than individual parts) and can be formed to be assembled.

第３図は、光伝導フック板１／が合成樹脂の成形部分と
してポリメタクリル酸メチル（ＰＭＭＡ）から成立って
いるレトラクターを示すものであるが、とのＰＭＭＡ　
は耐熱性ではあるが、しかしながら、余シ透明ではない
合成樹脂ｌコ、例えば、ポリカーボネートによって周囲
を射出成形される。光出口面の領域内においては、材料
は約ｌ〜コ關の厚さであ夛、これによって、光の出る際
における低い光学的特性が生じないようにする。このよ
うなレトラクターは、ｌコｌ″ａｔでの蒸気消毒が可能
である。FIG. 3 shows a retractor in which the photoconductive hook plate 1/ is made of polymethyl methacrylate (PMMA) as a molded part of synthetic resin.
are injection molded around the periphery of a heat-resistant, but not transparent, synthetic resin, such as polycarbonate. In the area of the light exit surface, the material has a thickness of approximately 1 to 1 cm, thereby avoiding poor optical properties upon exiting the light. Such a retractor is capable of steam disinfection in a vacuum.

第亭図は、ガラスから作られた、１３９℃までオートク
レーブによって加熱されることが可能であるレトラクタ
ーを示すものであシ、すべての側面を溶融されたポリテ
トラフルオロエチレン（ＦＴＰＩＩＩ）又はフルオロエ
テレンズロビレン（ＦＩＰ）又はシリコンゴムのような
合成樹脂によつ、て被覆されている。このガラス製のレ
トラクター／３は、合成樹脂層／、２によって包囲され
ておシ、この場合、合成樹脂層ｌコは、先出口開゛口ど
の領域内において窓／４１を有している。合成樹脂被覆
層ｌコは、破片の保護及び角の保護として並びに輻射の
制限のために役立つものである。合成樹脂被覆が透明で
あることは、必要ではない。The figure shows a retractor made of glass, capable of being heated by an autoclave up to 139°C, covered with molten polytetrafluoroethylene (FTPIII) or fluoroethylene on all sides. It is coated with a synthetic resin such as Lens Robylene (FIP) or silicone rubber. This glass retractor /3 is surrounded by a synthetic resin layer /2, and in this case, the synthetic resin layer has a window /41 in the region of the front opening. . The synthetic resin coating serves as debris protection and corner protection as well as for radiation limitation. It is not necessary that the synthetic resin coating be transparent.

第５図はｔポリカーボネート製の鋳込まれた光伝導体用
継手を有している一体に形成されたしｌ・ラフターを示
すものである。このレトラクターは％／−２７”Ｏまで
蒸気消毒が可能である。FIG. 5 shows an integrally formed rafter with a cast polycarbonate photoconductor fitting. This retractor is capable of steam disinfection down to %/-27"O.

第６図は、多くの部品から形成されたレトラクターを示
すものでちゃ、この場合、光出口面を有しているフック
板の端部／ｊは、かみ合い継手の結果、＠シ去）可能に
形成されておシ、マた、ガンマ線による消毒可能な材料
から成立っている。つかみ六午及び鋳込まれた光伝導体
用継手ＩＯを有している部分１６は、蒸気消毒可能な材
料製であシ、使用材料に応じて／　、２　／　’Ｃ又は
／　Ｊ　＋　’Ｏまで消毒が可能である。Figure 6 shows a retractor formed from a number of parts, in which the end of the hook plate with the light exit surface can be removed as a result of the interlocking joint. It is made of materials that can be sterilized by radiation, radiation, and gamma radiation. The part 16 with the gripper and the molded photoconductor fitting IO is made of steam sterilizable material, depending on the material used / , 2 / 'C or / J + 'O It is possible to disinfect up to

第７図は、その全体のフック板／りがガンマ線によって
消毒可能な材料から成立っておシ且つ蒸気消毒可能な材
料製のつかみ７ｇから取シはずし可能なレトラクターを
示すものである。FIG. 7 shows a retractor whose entire hook plate is made of a material sterilizable by gamma radiation and is removable from a grip 7g made of a material sterilizable by steam.

Ｗ、ｊ図は、フック板ｌり及びねじコ３を有しているつ
かみ７ｇを示すものである。ねじλ３は、少々くとも、
二条ねじてなければならず、これによって、約／　Ｅ　
０００回転が固定に十分であるようにする。Figures W and J show a grip 7g having a hook plate l and a screw 3. Screw λ3 is at least slightly smaller.
It must have a double thread, which gives about / E
000 revolutions is sufficient for fixation.

瀉を図には、つかみ／１の方に向いている、ノツチ：ｔ
ｇを有しているフック板１７の端部が、示されているが
、このノツチコＳは、つかみ７ｇの中に、ばねの形状の
差し込み部分コブによって保持されている。差し込み部
分λデは、同時に、光伝導体に対する連結部分としても
役立っている。In the diagram, the hand is facing toward the grip/1, notch: t
The end of the hook plate 17 is shown having a hook S, which is held in the grip 7g by a spring-shaped bayonet part. The plug-in part λde simultaneously serves as a connection part for the photoconductor.

第１θ図は、フック板ｌりに連結されたつかみ／にの縦
断面図を示すものであり、この場合、フック板１７は、
光伝導体に対する連結部分に隆起２ｊを有している。つ
かみ／１は、２個のの中の対応するくほみ３０に係合す
る。連結は、連結部分コロの上に差し込み可能な光伝導
体によって確実にされる。くぼみ３０と隆起コＳとの逆
の配置も、同様に、考えることができる。FIG. 1θ shows a longitudinal cross-sectional view of the grip connected to the hook plate 17. In this case, the hook plate 17 is
A protuberance 2j is provided at the connecting portion to the photoconductor. The grip/1 engages the corresponding notch 30 of the two. The connection is ensured by a photoconductor that can be inserted onto the connecting part roller. A reverse arrangement of the depressions 30 and the elevations S is likewise conceivable.

固着の他の可能性は、リングの形状のつかみの中の差し
込み部分から成立っている。フック板は、その端部に環
状の溝を有しており、これによって、フック板が横方向
のビンによって確ことも可能である。光伝導体の他の可
能な連結の種類並びに連結は、それ自体公知の様式で実
施されることができる。Another possibility of fastening consists of a plug-in part in the grip in the form of a ring. The hook plate has an annular groove at its end, by means of which it is also possible to secure the hook plate with transverse bins. Other possible types of coupling of the photoconductor as well as coupling can be carried out in a manner known per se.

本発明によるレトラクターの種々の実施形態に基づいて
、レトラクターを完全にか、又は、部分的にか、使い捨
て物品としてか、又は、再（／ｊ　） び使用されるべき実用物品としてか作ることが可能であ
る。レトラクターの部品、又は、全体のレトラクターは
、ガンマ線によって消毒され、また、消毒して包装され
て使用者に供給される。Based on the various embodiments of the retractor according to the invention, the retractor can be made completely or partially as a disposable article or as a utility article to be reused. Is possible. The retractor parts, or the entire retractor, are disinfected by gamma radiation and supplied to the user in disinfected packaging.

１回の使用の後は、この部分は、再び使用すべきではな
い、蒸気消毒可能な材料製のレトラクターないしは蒸気
消毒可能な材料製のレトラクターの部品は、使用者自身
によって、使用の前に、普通のように、使用者のところ
にある蒸気消毒装置によって消毒される。After one use, this part should not be used again.Retractors made of steam-disinfectable materials or parts of retractors made of steam-disinfectable materials must be cleaned by the user himself before use. Then, as usual, it is disinfected by a steam disinfection device located at the user's location.

【図面の簡単な説明】[Brief explanation of drawings]

第１図は、本発明による数部品から成るレトラクターの
分解斜視図、第２図は、同じくＳ部品から成るレトラク
ターの同様の図、第３図は、光伝導性差し込み部分を有
する一体部品のレトラクターを示す斜視図、第ダ図は、
角保護を有している一体部品のレトラクターを示す斜視
図、第Ｓ図は、差し込み部材としての光伝導体用継手を
有している一体部品のレトラクターを示す斜視図、第６
図は、取シ去シ自在なフック板の先端部を有しているレ
トラクターを示す斜視図、第７図は、取り去り自在彦フ
ック板を有しているレトラクターを示す斜視図、第５図
は、つかみと、フック板とのねじによる連結を示す断面
図、第９図は、つかみと、フック板とのばね差し込み部
材による連結を示す縦断面図（ａ）、そのフック板との
、つかみの中の側部スリット及び案内くさびによる連結
を示す縦断面図（ａ）及びそのＡ−Ｂ線による断面図（
１））である。 ／、コ・・保持部分；３・・フック板；４ｔ。 ５・拳つかみ皿；６＠φ保持部分；７争・安全脂被覆層
；１３・・レトラクター；１７・・フック板；ｌｔ・や
っかみ；１９．λθ・・つかみ部分；コ／１．２λ・・
かぎ部分；２Ｓ・・隆起；λ６１１一連結部分；コｔ・
・ノツチ；コ９・・差し込み部分；３０・・くぼみ。1 is an exploded perspective view of a retractor according to the invention consisting of several parts; FIG. 2 is a similar view of the retractor also consisting of S parts; and FIG. 3 is a one-piece part with a photoconductive plug-in part. A perspective view showing the retractor of
Figure S is a perspective view of a one-piece retractor with corner protection; FIG.
FIG. 7 is a perspective view showing a retractor having a removable hook plate tip, FIG. 7 is a perspective view showing a retractor having a removable hook plate, and FIG. The figure is a sectional view showing the connection between the grip and the hook plate by screws, FIG. 9 is a longitudinal sectional view (a) showing the connection between the grip and the hook plate by a spring insertion member, and FIG. Longitudinal sectional view (a) showing the connection by the side slit in the grip and the guide wedge, and its sectional view taken along the line A-B (
1)). /、K・・Holding part; 3・・Hook plate; 4t. 5. Fist grip plate; 6 @φ holding part; 7. Safety grease coating layer; 13.. Retractor; 17.. Hook plate; lt. Trouble; 19. λθ・Gripping part; Ko/1.2λ・・
Key part; 2S... Protrusion; λ611 connected part; Kot...
・Notch; 9. Insertion part; 30. Hollow.

Claims (1)

【特許請求の範囲】 ｌ　光伝導材料製のフック板と、繊維光伝導体又は流体
光伝導体に連結可能であるつかみとを有し、フック板は
創傷の領域の方に向けられた光出口面を有している外科
用レトラクターにおいて、レトラクターが消毒可能な材
料から成立っていることを特徴とするレトラクター。 ユ　蒸気消毒可能及び（又は）ガンマ線消毒可能な材料
から成立っている特許請求の範囲第１項記載のレトラク
ター。 ユ　蒸気消毒可能な材料が、ホウケイ酸ガラス、又は、
光学ガラスのようなガラス、又は、特殊鋼又は銅−亜鉛
合金のような金属である特許請求の範囲第一項記載のレ
トラクター。 病　蒸気消毒可能な材料が、ポリサルファイドゴム（Ｐ
ＢＸ）　、ポリエーテルスルゴム（ＰＥＲＫ）、ポリカ
ーボネート（ＰＣ）％ポリテトラフルオロエチレン（Ｆ
ＴＦＢ）、シリコンゴム（８／）、又は、フルオロエチ
レンプロビレｙ　（ＩＰｍｐ）のヨウナ合成樹脂、又は
、特殊鋼又は銅−亜鉛合金のような金属の内の少なくと
も１種類である特許請求の範囲第一項記載のレトラクタ
ー。 ３　ガンマ線消毒可能材料が、アクリルブタジェンスチ
ロール（ＡＢＳ）　、ポリスチロール（ｐｓ　）又は、
セルローズエステルのような合成樹脂の内の少なくとも
１種である特許請求の範囲第２項記載のレトラクター。 ム　多数の部品（ｌ、コ、３）から取シはずし自在に組
立てられて成立っている特許請求の範囲第３又は参項記
載のレトラクター。 ク　多数の部品Ｃ３ｖ’１ｅＳｅ６ａ７”）から成立っ
ており、これらの部品が、取シはずし自在に一つのユニ
ットに組立てられている特許請求の範囲第３又はダ項記
載のレトラクター。 ｇ　フック状に形成された、光を伝導するガラス製のフ
ック部分（３）を有している特許請求の範囲第６又は７
項記載のレトラクター。 デ　光を伝導するフック部品（３）が、上方のフック状
に形成されたつかみ皿を有している保持部分（２）と、
下方のフック状に形成されたつかみ皿を有している保持
部分（１）とによって保持されている特許請求の範囲第
６又はＳ項記載のレトラクター。 ｌθ　光を伝導するフック部分（３）が、フック状に形
成された保持部分（６）と、下方のつかみ皿（４）と、
上方のつかみ皿（５）とを、差し込み自在な安全リング
（７）によってまとめられている特許請求の範囲第７又
はＳ項記載のレトラクター。 ＩＩ　　光を伝導する部分が、ポリメタクリル酸メチル
（ＰＭＭム）から成立っており、これが全面をポリカー
ボネートによって包囲され）このポリカーボネートは、
光出口面の領域内において、単に、約ｌ−−ＩＩＩの厚
さである特許請求の範囲第３又はグ項記載のレトラクタ
ー。 ｌユ　ガラスから成立っておシ、このガラスがポリテト
ラフルオロエチレン（ＰＴＦＥ）、シリコンゴム、又ハ
、フルオロエチレンプロビレ／（ＦＥＰ）によって包囲
されておシ、この場合、レトラクターは光出口面の領域
内において合成樹脂内にくぼみＩを有している特許請求
の範囲第３又は１項記載のレトラクター。 １３　一体部品として形成されており、光を伝導するポ
リカーボネートから成立っている特許請求の範囲第３項
記載のレトラクター。 ／４＜　　多数の部品から成立っておル、この場合、少
なくとも一つの部品が蒸気消毒可能な材料から成立ち、
少なくとも一つの部品がガンマ線消毒可能な材料から成
立っている特許請求の範囲第ダ又はＳ項記載のレトラク
ター。 ／よ　フック板の光出口面を有している端部ａ９か、又
は、全体のフック板（１７）かが、取シはずし自在に形
成されると共にガンマ線消毒可能な材料から成立ってお
夛、この場合、それぞれ残りの部品（／Ａ　、　ｉざ）
が蒸気消毒可能な材料から成立っている特許請求の範囲
第１４７項記載のレトラクター。 ／ム　フック板側及びつかみσ枠が、それぞれ、ねじ（
ハ）をねじ連結のために相互に有している特許請求の範
囲第１ｊ項記載のレトラクター。 １２　　フック板ａηが、つかみ０１の取りはずし自在
なブックソケット結手によって固着可能となっている特
許請求の範囲第ｉｓＳ項記載レトラクター。 ／＆　　７ツク板σηが、かみ合い継手を有している特
許請求の範囲第７７項記載のレトラクター。 パ　つかみＯ８が、少なくとも１個の案内兼保持くぼみ
（至）を有している側部スリットｃ１４）を有している
特許請求の範囲第１１項記載のレトラクター。 一〇　フック板０７）が、光伝導体のための連結部材四
を有している特許請求の範囲第１６〜／１項のいずれか
に記載のレトラクター。 １１　つかみαのが、光伝導体のための連結部材（２）
を有している＃Ｆｆｆ請求の範囲第１６〜１１項のいず
れかに記載のレトラクター。 ｍ２　連結部材（コｔ、コク）が、差し込み部材としく
　亭　） て形成されている特許請求の範囲第一〇又は２１項記載
のレトラクター。 コ３　差し込み部材＠が、フック板ａηに対する保持部
材として形成されている特許請求の範囲第１１項記載の
レトラクター。 註　差し込み部材（コロ、コク）が、特殊鋼製である特
許請求の範囲第ココ項記載のレトラクター　〇Claims: l A hook plate made of a photoconductive material and a grip connectable to a fiber photoconductor or a fluid photoconductor, the hook plate having a light outlet directed towards the area of the wound. A surgical retractor having a surface, characterized in that the retractor is made of a disinfectable material. A retractor according to claim 1, which is made of a material that is steam sterilizable and/or gamma sterilizable. The steam sterilizable material is borosilicate glass or
The retractor according to claim 1, which is made of glass such as optical glass, or metal such as special steel or copper-zinc alloy. Diseases Materials that can be steam sterilized are polysulfide rubber (P
BX), polyether sulfur rubber (PERK), polycarbonate (PC)% polytetrafluoroethylene (F
TFB), silicone rubber (8/), or synthetic resin of fluoroethylenepropylene (IPmp), or at least one of metals such as special steel or copper-zinc alloy. The retractor described in item 1. 3. The gamma ray sterilizable material is acrylic butadiene styrene (ABS), polystyrene (ps), or
The retractor according to claim 2, which is at least one synthetic resin such as cellulose ester. The retractor according to claim 3 or 3, which is constructed by removably assembling a large number of parts (l, c, 3). h. The retractor according to claim 3 or claim d, which is composed of a large number of parts (C3v'1eSe6a7"), and these parts are removably assembled into one unit. g. Hook-shaped. Claim 6 or 7 having a light-conducting glass hook portion (3) formed in
Retractor as described in section. a holding part (2) in which the light-conducting hook part (3) has an upper hook-shaped grip plate;
6. Retractor according to claim 6, wherein the retractor is held by a holding part (1) having a lower hook-shaped gripping plate. The hook portion (3) for transmitting lθ light is connected to a holding portion (6) formed in a hook shape, and a lower gripping plate (4).
Retractor according to claim 7, characterized in that the upper grip plate (5) is joined together by an insertable safety ring (7). II. The light-conducting part is made of polymethyl methacrylate (PMM), which is surrounded on the entire surface by polycarbonate.
A retractor as claimed in claim 3 or 3, having a thickness of only about 1--III in the area of the light exit surface. If the glass is made of glass and is surrounded by polytetrafluoroethylene (PTFE), silicone rubber, or fluoroethylenepropylene (FEP), in this case, the retractor is the light outlet. 2. A retractor according to claim 1, further comprising depressions I in the synthetic resin in the area of the surface. 13. A retractor according to claim 3, which is formed in one piece and consists of light-conducting polycarbonate. /4< consists of a large number of parts, in which case at least one part is made of a material that can be steam sterilized,
A retractor according to claim 1 or 2, wherein at least one part is made of a gamma sterilizable material. /The end a9 of the hook plate having the light exit surface or the entire hook plate (17) is formed to be removable and made of a material that can be sterilized by gamma rays. , in this case, the remaining parts (/A, iza)
148. The retractor of claim 147, wherein the retractor is comprised of a steam sterilizable material. /mu The hook plate side and grip σ frame are each screwed (
1j. The retractor according to claim 1j, wherein the retractor has c) mutually for screw connection. 12. The retractor according to claim isS, wherein the hook plate aη can be fixed by a removable book socket knot of the grip 01. 78. The retractor according to claim 77, wherein the 7-piece plate ση has an interlocking joint. 12. The retractor according to claim 11, wherein the gripper O8 has a side slit c14) having at least one guiding and holding recess. (10) The retractor according to any one of claims 16 to 1, wherein the hook plate 07) has a connecting member 4 for a photoconductor. 11 The grip α is the connecting member for the photoconductor (2)
The retractor according to any one of claims 16 to 11, having #Fff. The retractor according to claim 10 or 21, wherein the connecting member is formed as an insert member. 3. The retractor according to claim 11, wherein the insertion member @ is formed as a holding member for the hook plate aη. Note: The retractor according to claim 1, wherein the insertion member (roller, body) is made of special steel.
JP21111183A 1983-01-21 1983-11-11 Retractor Granted JPS59141938A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE33018901 1983-01-21
DE19833301890 DE3301890C2 (en) 1983-01-21 1983-01-21 Retractor

Publications (2)

Publication Number Publication Date
JPS59141938A true JPS59141938A (en) 1984-08-14
JPH0418860B2 JPH0418860B2 (en) 1992-03-27

Family

ID=6188809

Family Applications (1)

Application Number Title Priority Date Filing Date
JP21111183A Granted JPS59141938A (en) 1983-01-21 1983-11-11 Retractor

Country Status (3)

Country Link
JP (1) JPS59141938A (en)
DE (1) DE3301890C2 (en)
GB (1) GB2133694B (en)

Cited By (118)

* Cited by examiner, † Cited by third party
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US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US10765470B2 (en) 2015-06-30 2020-09-08 Ethicon Llc Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters
US10779845B2 (en) 2012-06-29 2020-09-22 Ethicon Llc Ultrasonic surgical instruments with distally positioned transducers
US10779879B2 (en) 2014-03-18 2020-09-22 Ethicon Llc Detecting short circuits in electrosurgical medical devices
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
US10835307B2 (en) 2001-06-12 2020-11-17 Ethicon Llc Modular battery powered handheld surgical instrument containing elongated multi-layered shaft
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US10842580B2 (en) 2012-06-29 2020-11-24 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US10856896B2 (en) 2005-10-14 2020-12-08 Ethicon Llc Ultrasonic device for cutting and coagulating
US10856929B2 (en) 2014-01-07 2020-12-08 Ethicon Llc Harvesting energy from a surgical generator
US10874418B2 (en) 2004-02-27 2020-12-29 Ethicon Llc Ultrasonic surgical shears and method for sealing a blood vessel using same
US10881449B2 (en) 2012-09-28 2021-01-05 Ethicon Llc Multi-function bi-polar forceps
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US10912603B2 (en) 2013-11-08 2021-02-09 Ethicon Llc Electrosurgical devices
US10912580B2 (en) 2013-12-16 2021-02-09 Ethicon Llc Medical device
US10925659B2 (en) 2013-09-13 2021-02-23 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US10987123B2 (en) 2012-06-28 2021-04-27 Ethicon Llc Surgical instruments with articulating shafts
US11033292B2 (en) 2013-12-16 2021-06-15 Cilag Gmbh International Medical device
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US11058447B2 (en) 2007-07-31 2021-07-13 Cilag Gmbh International Temperature controlled ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US11311326B2 (en) 2015-02-06 2022-04-26 Cilag Gmbh International Electrosurgical instrument with rotation and articulation mechanisms
US11324527B2 (en) 2012-11-15 2022-05-10 Cilag Gmbh International Ultrasonic and electrosurgical devices
US11337747B2 (en) 2014-04-15 2022-05-24 Cilag Gmbh International Software algorithms for electrosurgical instruments
US11399855B2 (en) 2014-03-27 2022-08-02 Cilag Gmbh International Electrosurgical devices
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11589916B2 (en) 2019-12-30 2023-02-28 Cilag Gmbh International Electrosurgical instruments with electrodes having variable energy densities
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11723716B2 (en) 2019-12-30 2023-08-15 Cilag Gmbh International Electrosurgical instrument with variable control mechanisms
US11759251B2 (en) 2019-12-30 2023-09-19 Cilag Gmbh International Control program adaptation based on device status and user input
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument

Families Citing this family (34)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2580921A1 (en) * 1985-04-30 1986-10-31 Microtechnic Sa Improvements to surgical spacers
US4784150A (en) * 1986-11-04 1988-11-15 Research Corporation Surgical retractor and blood flow monitor
US5003963A (en) * 1987-09-28 1991-04-02 James Roger Bullard Laryngoscope
US4947829A (en) * 1988-05-10 1990-08-14 Bullard James R Modular blade laryngoscope
US5643221A (en) * 1990-05-04 1997-07-01 Bullard; James Roger Controlled targeting laryngoscope
DE4234050A1 (en) * 1992-10-09 1993-06-17 Rudolf Dr Med Drumm Light source for surgery - has glass fibre light conductor, light outlet aperture of which is installed as close as possible to investigation point
DE19624181C2 (en) * 1996-06-18 2003-07-03 Winter & Ibe Olympus Surgical shaft instrument
US6196968B1 (en) * 1997-06-02 2001-03-06 General Surgical Innovations, Inc. Direct vision subcutaneous tissue retractor and method for use
US6739744B2 (en) 1997-07-02 2004-05-25 Lumitex, Inc. Light delivery systems and applications thereof
US5846192A (en) * 1997-10-31 1998-12-08 Teixido-Longworth Partnership Polymeric surgical retractor
US6228025B1 (en) * 1998-05-01 2001-05-08 Genzyme Corporation Illuminated saphenous vein retractor
US6322499B1 (en) * 2000-01-20 2001-11-27 Genzyme Corporation Pivotal and illuminated saphenous vein retractor
ES2185517B1 (en) * 2001-12-19 2004-06-01 Ramon Quintas Diez MAMMARY SEPARATORS FOR THE INTRODUCTION OF PROTESIS (IMPLANTS) IN THE INCREASE MAMOPLASTY.
US6817978B2 (en) 2002-01-23 2004-11-16 Teleflex-Ct Devices Incorporated Illuminated retractor for use in connection with harvesting a blood vessel from the arm
US6805666B2 (en) 2002-05-23 2004-10-19 Donna D. Holland Pivotal and illuminated saphenous vein retractor with tapered design
KR101008813B1 (en) 2002-08-02 2011-01-14 워쏘우 오르쏘페딕 인코포레이티드 Systems and techniques for illuminating a surgical space
US7223233B2 (en) 2002-08-02 2007-05-29 Warsaw Orthopedic, Inc. Systems and techniques for illuminating a surgical space
JP4496396B2 (en) 2002-10-02 2010-07-07 シンセス ゲーエムベーハー Retractor with replaceable retractor blade
GB2422314A (en) * 2005-01-25 2006-07-26 William Lee Sanderson Self-contained, illuminated single use surgical retractor
US8047987B2 (en) 2006-05-26 2011-11-01 Invuity, Inc. Blade insert illuminator
US8430813B2 (en) 2006-05-26 2013-04-30 Depuy Spine, Inc. Illuminated surgical access system including a surgical access device and integrated light emitter
US8088066B2 (en) 2007-10-24 2012-01-03 Invuity, Inc. Blade insert illuminator
GB0800835D0 (en) 2008-01-17 2008-02-27 Cardioprec Ltd Retractor
CN101336822B (en) * 2008-05-21 2010-06-16 王鹏 Dilator and constituted one-pore double-viewpoint electric cavity mirror system
ES2307461B1 (en) * 2008-05-30 2009-10-13 Fundacion Andaluza Beturia Para La Investigacion En Salud SURGICAL RETRACTION DEVICE FOR DEEP DISPECTION OF THE PELVIS.
US11382711B2 (en) 2008-08-13 2022-07-12 Invuity, Inc. Cyclo olefin polymer and copolymer medical devices
US8317693B2 (en) 2008-08-13 2012-11-27 Invuity, Inc. Cyclo olefin polymer and copolymer medical devices
US9282878B2 (en) 2008-08-13 2016-03-15 Invuity, Inc. Cyclo olefin polymer and copolymer medical devices
GB201015746D0 (en) 2010-09-21 2010-10-27 Cardioprec Ltd Optical switch
EP2757934B1 (en) 2011-09-23 2023-09-20 Invuity, Inc. Illuminated and modular soft tissue retractor
DE102012100284A1 (en) 2012-01-13 2013-07-18 Aesculap Ag Surgical retraction device
DE102013102902A1 (en) 2013-03-21 2014-09-25 Aesculap Ag Surgical retraction device
CN107205631B (en) * 2014-12-02 2020-07-17 英弗伊蒂股份有限公司 Method and apparatus for coupling an optical input to an illumination device
US10433960B1 (en) 2015-05-07 2019-10-08 Cardioprecision Limited Method and system for transcatheter intervention

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE8221649U1 (en) * 1982-11-25 W.C. Heraeus Gmbh, 6450 Hanau Retractors for surgical purposes
FR2033039A5 (en) * 1969-02-26 1970-11-27 Wilder Joseph
DE2302614A1 (en) * 1973-01-19 1974-07-25 Efrudec Vertriebsgesellschaft SPATULA, PREFERABLY MADE OF PLASTIC
DE3023266A1 (en) * 1980-06-21 1982-01-07 Original Hanau Heraeus Gmbh, 6450 Hanau WOUND HOOK FOR SURGICAL PURPOSES

Cited By (225)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH02502071A (en) * 1987-10-24 1990-07-12 エスクラープ　アクチェンゲゼルシャフト retractor
JPH059099B2 (en) * 1987-10-24 1993-02-04 Aesculap Werke Ag
JPH04336059A (en) * 1991-05-10 1992-11-24 Nissho Corp Incision part opening instrument
JP2008178705A (en) * 1999-05-17 2008-08-07 Applied Medical Technology Inc Tissue retractor retention band
US10835307B2 (en) 2001-06-12 2020-11-17 Ethicon Llc Modular battery powered handheld surgical instrument containing elongated multi-layered shaft
US11229472B2 (en) 2001-06-12 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with multiple magnetic position sensors
US10874418B2 (en) 2004-02-27 2020-12-29 Ethicon Llc Ultrasonic surgical shears and method for sealing a blood vessel using same
US11730507B2 (en) 2004-02-27 2023-08-22 Cilag Gmbh International Ultrasonic surgical shears and method for sealing a blood vessel using same
US10537352B2 (en) 2004-10-08 2020-01-21 Ethicon Llc Tissue pads for use with surgical instruments
US11006971B2 (en) 2004-10-08 2021-05-18 Ethicon Llc Actuation mechanism for use with an ultrasonic surgical instrument
US10856896B2 (en) 2005-10-14 2020-12-08 Ethicon Llc Ultrasonic device for cutting and coagulating
JP2015037610A (en) * 2006-01-18 2015-02-26 インブイティ・インコーポレイテッドＩｎｖｕｉｔｙ， Ｉｎｃ． Retractor illumination system
US9504483B2 (en) 2007-03-22 2016-11-29 Ethicon Endo-Surgery, Llc Surgical instruments
US10722261B2 (en) 2007-03-22 2020-07-28 Ethicon Llc Surgical instruments
US9883884B2 (en) 2007-03-22 2018-02-06 Ethicon Llc Ultrasonic surgical instruments
US9801648B2 (en) 2007-03-22 2017-10-31 Ethicon Llc Surgical instruments
US10828057B2 (en) 2007-03-22 2020-11-10 Ethicon Llc Ultrasonic surgical instruments
US9987033B2 (en) 2007-03-22 2018-06-05 Ethicon Llc Ultrasonic surgical instruments
US10398466B2 (en) 2007-07-27 2019-09-03 Ethicon Llc Ultrasonic end effectors with increased active length
US11607268B2 (en) 2007-07-27 2023-03-21 Cilag Gmbh International Surgical instruments
US9414853B2 (en) 2007-07-27 2016-08-16 Ethicon Endo-Surgery, Llc Ultrasonic end effectors with increased active length
US9707004B2 (en) 2007-07-27 2017-07-18 Ethicon Llc Surgical instruments
US10531910B2 (en) 2007-07-27 2020-01-14 Ethicon Llc Surgical instruments
US9642644B2 (en) 2007-07-27 2017-05-09 Ethicon Endo-Surgery, Llc Surgical instruments
US9636135B2 (en) 2007-07-27 2017-05-02 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments
US9913656B2 (en) 2007-07-27 2018-03-13 Ethicon Llc Ultrasonic surgical instruments
US11690641B2 (en) 2007-07-27 2023-07-04 Cilag Gmbh International Ultrasonic end effectors with increased active length
US11058447B2 (en) 2007-07-31 2021-07-13 Cilag Gmbh International Temperature controlled ultrasonic surgical instruments
US11877734B2 (en) 2007-07-31 2024-01-23 Cilag Gmbh International Ultrasonic surgical instruments
US10426507B2 (en) 2007-07-31 2019-10-01 Ethicon Llc Ultrasonic surgical instruments
US10420579B2 (en) 2007-07-31 2019-09-24 Ethicon Llc Surgical instruments
US11666784B2 (en) 2007-07-31 2023-06-06 Cilag Gmbh International Surgical instruments
US9848902B2 (en) 2007-10-05 2017-12-26 Ethicon Llc Ergonomic surgical instruments
US10828059B2 (en) 2007-10-05 2020-11-10 Ethicon Llc Ergonomic surgical instruments
US11253288B2 (en) 2007-11-30 2022-02-22 Cilag Gmbh International Ultrasonic surgical instrument blades
US10441308B2 (en) 2007-11-30 2019-10-15 Ethicon Llc Ultrasonic surgical instrument blades
JP2011505198A (en) * 2007-11-30 2011-02-24 エシコン・エンド−サージェリィ・インコーポレイテッド Ultrasonic surgical blade
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US11690643B2 (en) 2007-11-30 2023-07-04 Cilag Gmbh International Ultrasonic surgical blades
US10265094B2 (en) 2007-11-30 2019-04-23 Ethicon Llc Ultrasonic surgical blades
US10433865B2 (en) 2007-11-30 2019-10-08 Ethicon Llc Ultrasonic surgical blades
US10888347B2 (en) 2007-11-30 2021-01-12 Ethicon Llc Ultrasonic surgical blades
US10045794B2 (en) 2007-11-30 2018-08-14 Ethicon Llc Ultrasonic surgical blades
US10433866B2 (en) 2007-11-30 2019-10-08 Ethicon Llc Ultrasonic surgical blades
US10463887B2 (en) 2007-11-30 2019-11-05 Ethicon Llc Ultrasonic surgical blades
US11439426B2 (en) 2007-11-30 2022-09-13 Cilag Gmbh International Ultrasonic surgical blades
US11766276B2 (en) 2007-11-30 2023-09-26 Cilag Gmbh International Ultrasonic surgical blades
US9339289B2 (en) 2007-11-30 2016-05-17 Ehticon Endo-Surgery, LLC Ultrasonic surgical instrument blades
US11266433B2 (en) 2007-11-30 2022-03-08 Cilag Gmbh International Ultrasonic surgical instrument blades
US10245065B2 (en) 2007-11-30 2019-04-02 Ethicon Llc Ultrasonic surgical blades
US10335614B2 (en) 2008-08-06 2019-07-02 Ethicon Llc Devices and techniques for cutting and coagulating tissue
US11890491B2 (en) 2008-08-06 2024-02-06 Cilag Gmbh International Devices and techniques for cutting and coagulating tissue
US10022567B2 (en) 2008-08-06 2018-07-17 Ethicon Llc Devices and techniques for cutting and coagulating tissue
US9795808B2 (en) 2008-08-06 2017-10-24 Ethicon Llc Devices and techniques for cutting and coagulating tissue
US10022568B2 (en) 2008-08-06 2018-07-17 Ethicon Llc Devices and techniques for cutting and coagulating tissue
US9504855B2 (en) 2008-08-06 2016-11-29 Ethicon Surgery, LLC Devices and techniques for cutting and coagulating tissue
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US10709906B2 (en) 2009-05-20 2020-07-14 Ethicon Llc Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US11717706B2 (en) 2009-07-15 2023-08-08 Cilag Gmbh International Ultrasonic surgical instruments
US10688321B2 (en) 2009-07-15 2020-06-23 Ethicon Llc Ultrasonic surgical instruments
US9764164B2 (en) 2009-07-15 2017-09-19 Ethicon Llc Ultrasonic surgical instruments
US10201382B2 (en) 2009-10-09 2019-02-12 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US9623237B2 (en) 2009-10-09 2017-04-18 Ethicon Endo-Surgery, Llc Surgical generator for ultrasonic and electrosurgical devices
US11871982B2 (en) 2009-10-09 2024-01-16 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US10265117B2 (en) 2009-10-09 2019-04-23 Ethicon Llc Surgical generator method for controlling and ultrasonic transducer waveform for ultrasonic and electrosurgical devices
US9427249B2 (en) 2010-02-11 2016-08-30 Ethicon Endo-Surgery, Llc Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments
US9962182B2 (en) 2010-02-11 2018-05-08 Ethicon Llc Ultrasonic surgical instruments with moving cutting implement
US10835768B2 (en) 2010-02-11 2020-11-17 Ethicon Llc Dual purpose surgical instrument for cutting and coagulating tissue
US10117667B2 (en) 2010-02-11 2018-11-06 Ethicon Llc Control systems for ultrasonically powered surgical instruments
US9848901B2 (en) 2010-02-11 2017-12-26 Ethicon Llc Dual purpose surgical instrument for cutting and coagulating tissue
US11369402B2 (en) 2010-02-11 2022-06-28 Cilag Gmbh International Control systems for ultrasonically powered surgical instruments
US10299810B2 (en) 2010-02-11 2019-05-28 Ethicon Llc Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments
US9510850B2 (en) 2010-02-11 2016-12-06 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments
US9649126B2 (en) 2010-02-11 2017-05-16 Ethicon Endo-Surgery, Llc Seal arrangements for ultrasonically powered surgical instruments
US11382642B2 (en) 2010-02-11 2022-07-12 Cilag Gmbh International Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments
US10278721B2 (en) 2010-07-22 2019-05-07 Ethicon Llc Electrosurgical instrument with separate closure and cutting members
US10524854B2 (en) 2010-07-23 2020-01-07 Ethicon Llc Surgical instrument
US10433900B2 (en) 2011-07-22 2019-10-08 Ethicon Llc Surgical instruments for tensioning tissue
US10729494B2 (en) 2012-02-10 2020-08-04 Ethicon Llc Robotically controlled surgical instrument
US9925003B2 (en) 2012-02-10 2018-03-27 Ethicon Endo-Surgery, Llc Robotically controlled surgical instrument
US11419626B2 (en) 2012-04-09 2022-08-23 Cilag Gmbh International Switch arrangements for ultrasonic surgical instruments
US10517627B2 (en) 2012-04-09 2019-12-31 Ethicon Llc Switch arrangements for ultrasonic surgical instruments
US9700343B2 (en) 2012-04-09 2017-07-11 Ethicon Endo-Surgery, Llc Devices and techniques for cutting and coagulating tissue
US9724118B2 (en) 2012-04-09 2017-08-08 Ethicon Endo-Surgery, Llc Techniques for cutting and coagulating tissue for ultrasonic surgical instruments
US10987123B2 (en) 2012-06-28 2021-04-27 Ethicon Llc Surgical instruments with articulating shafts
US10335183B2 (en) 2012-06-29 2019-07-02 Ethicon Llc Feedback devices for surgical control systems
US10398497B2 (en) 2012-06-29 2019-09-03 Ethicon Llc Lockout mechanism for use with robotic electrosurgical device
US10543008B2 (en) 2012-06-29 2020-01-28 Ethicon Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US10993763B2 (en) 2012-06-29 2021-05-04 Ethicon Llc Lockout mechanism for use with robotic electrosurgical device
US11426191B2 (en) 2012-06-29 2022-08-30 Cilag Gmbh International Ultrasonic surgical instruments with distally positioned jaw assemblies
US9326788B2 (en) 2012-06-29 2016-05-03 Ethicon Endo-Surgery, Llc Lockout mechanism for use with robotic electrosurgical device
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US10524872B2 (en) 2012-06-29 2020-01-07 Ethicon Llc Closed feedback control for electrosurgical device
US10966747B2 (en) 2012-06-29 2021-04-06 Ethicon Llc Haptic feedback devices for surgical robot
US10441310B2 (en) 2012-06-29 2019-10-15 Ethicon Llc Surgical instruments with curved section
US10842580B2 (en) 2012-06-29 2020-11-24 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US10779845B2 (en) 2012-06-29 2020-09-22 Ethicon Llc Ultrasonic surgical instruments with distally positioned transducers
US11583306B2 (en) 2012-06-29 2023-02-21 Cilag Gmbh International Surgical instruments with articulating shafts
US11871955B2 (en) 2012-06-29 2024-01-16 Cilag Gmbh International Surgical instruments with articulating shafts
US11096752B2 (en) 2012-06-29 2021-08-24 Cilag Gmbh International Closed feedback control for electrosurgical device
US11602371B2 (en) 2012-06-29 2023-03-14 Cilag Gmbh International Ultrasonic surgical instruments with control mechanisms
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US10335182B2 (en) 2012-06-29 2019-07-02 Ethicon Llc Surgical instruments with articulating shafts
US11717311B2 (en) 2012-06-29 2023-08-08 Cilag Gmbh International Surgical instruments with articulating shafts
US9737326B2 (en) 2012-06-29 2017-08-22 Ethicon Endo-Surgery, Llc Haptic feedback devices for surgical robot
US9713507B2 (en) 2012-06-29 2017-07-25 Ethicon Endo-Surgery, Llc Closed feedback control for electrosurgical device
US10881449B2 (en) 2012-09-28 2021-01-05 Ethicon Llc Multi-function bi-polar forceps
US11179173B2 (en) 2012-10-22 2021-11-23 Cilag Gmbh International Surgical instrument
US9795405B2 (en) 2012-10-22 2017-10-24 Ethicon Llc Surgical instrument
US11324527B2 (en) 2012-11-15 2022-05-10 Cilag Gmbh International Ultrasonic and electrosurgical devices
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
US11272952B2 (en) 2013-03-14 2022-03-15 Cilag Gmbh International Mechanical fasteners for use with surgical energy devices
US9743947B2 (en) 2013-03-15 2017-08-29 Ethicon Endo-Surgery, Llc End effector with a clamp arm assembly and blade
US10925659B2 (en) 2013-09-13 2021-02-23 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US10912603B2 (en) 2013-11-08 2021-02-09 Ethicon Llc Electrosurgical devices
US11033292B2 (en) 2013-12-16 2021-06-15 Cilag Gmbh International Medical device
US10912580B2 (en) 2013-12-16 2021-02-09 Ethicon Llc Medical device
US10856929B2 (en) 2014-01-07 2020-12-08 Ethicon Llc Harvesting energy from a surgical generator
US10932847B2 (en) 2014-03-18 2021-03-02 Ethicon Llc Detecting short circuits in electrosurgical medical devices
US10779879B2 (en) 2014-03-18 2020-09-22 Ethicon Llc Detecting short circuits in electrosurgical medical devices
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US11399855B2 (en) 2014-03-27 2022-08-02 Cilag Gmbh International Electrosurgical devices
US10349999B2 (en) 2014-03-31 2019-07-16 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US11471209B2 (en) 2014-03-31 2022-10-18 Cilag Gmbh International Controlling impedance rise in electrosurgical medical devices
US11337747B2 (en) 2014-04-15 2022-05-24 Cilag Gmbh International Software algorithms for electrosurgical instruments
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
US11413060B2 (en) 2014-07-31 2022-08-16 Cilag Gmbh International Actuation mechanisms and load adjustment assemblies for surgical instruments
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
US11311326B2 (en) 2015-02-06 2022-04-26 Cilag Gmbh International Electrosurgical instrument with rotation and articulation mechanisms
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10034684B2 (en) 2015-06-15 2018-07-31 Ethicon Llc Apparatus and method for dissecting and coagulating tissue
US10952788B2 (en) 2015-06-30 2021-03-23 Ethicon Llc Surgical instrument with user adaptable algorithms
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US10765470B2 (en) 2015-06-30 2020-09-08 Ethicon Llc Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US11903634B2 (en) 2015-06-30 2024-02-20 Cilag Gmbh International Surgical instrument with user adaptable techniques
US11553954B2 (en) 2015-06-30 2023-01-17 Cilag Gmbh International Translatable outer tube for sealing using shielded lap chole dissector
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
US10194973B2 (en) 2015-09-30 2019-02-05 Ethicon Llc Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments
US11766287B2 (en) 2015-09-30 2023-09-26 Cilag Gmbh International Methods for operating generator for digitally generating electrical signal waveforms and surgical instruments
US11559347B2 (en) 2015-09-30 2023-01-24 Cilag Gmbh International Techniques for circuit topologies for combined generator
US10624691B2 (en) 2015-09-30 2020-04-21 Ethicon Llc Techniques for operating generator for digitally generating electrical signal waveforms and surgical instruments
US11033322B2 (en) 2015-09-30 2021-06-15 Ethicon Llc Circuit topologies for combined generator
US10736685B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments
US10610286B2 (en) 2015-09-30 2020-04-07 Ethicon Llc Techniques for circuit topologies for combined generator
US11058475B2 (en) 2015-09-30 2021-07-13 Cilag Gmbh International Method and apparatus for selecting operations of a surgical instrument based on user intention
US10751108B2 (en) 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
US10687884B2 (en) 2015-09-30 2020-06-23 Ethicon Llc Circuits for supplying isolated direct current (DC) voltage to surgical instruments
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US11666375B2 (en) 2015-10-16 2023-06-06 Cilag Gmbh International Electrode wiping surgical device
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US10842523B2 (en) 2016-01-15 2020-11-24 Ethicon Llc Modular battery powered handheld surgical instrument and methods therefor
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11229450B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with motor drive
US10251664B2 (en) 2016-01-15 2019-04-09 Ethicon Llc Modular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly
US11974772B2 (en) 2016-01-15 2024-05-07 Cilag GmbH Intemational Modular battery powered handheld surgical instrument with variable motor control limits
US11751929B2 (en) 2016-01-15 2023-09-12 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10299821B2 (en) 2016-01-15 2019-05-28 Ethicon Llc Modular battery powered handheld surgical instrument with motor control limit profile
US11684402B2 (en) 2016-01-15 2023-06-27 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11134978B2 (en) 2016-01-15 2021-10-05 Cilag Gmbh International Modular battery powered handheld surgical instrument with self-diagnosing control switches for reusable handle assembly
US10779849B2 (en) 2016-01-15 2020-09-22 Ethicon Llc Modular battery powered handheld surgical instrument with voltage sag resistant battery pack
US11051840B2 (en) 2016-01-15 2021-07-06 Ethicon Llc Modular battery powered handheld surgical instrument with reusable asymmetric handle housing
US10828058B2 (en) 2016-01-15 2020-11-10 Ethicon Llc Modular battery powered handheld surgical instrument with motor control limits based on tissue characterization
US10537351B2 (en) 2016-01-15 2020-01-21 Ethicon Llc Modular battery powered handheld surgical instrument with variable motor control limits
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US11058448B2 (en) 2016-01-15 2021-07-13 Cilag Gmbh International Modular battery powered handheld surgical instrument with multistage generator circuits
US11896280B2 (en) 2016-01-15 2024-02-13 Cilag Gmbh International Clamp arm comprising a circuit
US10709469B2 (en) 2016-01-15 2020-07-14 Ethicon Llc Modular battery powered handheld surgical instrument with energy conservation techniques
US11202670B2 (en) 2016-02-22 2021-12-21 Cilag Gmbh International Method of manufacturing a flexible circuit electrode for electrosurgical instrument
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US11864820B2 (en) 2016-05-03 2024-01-09 Cilag Gmbh International Medical device with a bilateral jaw configuration for nerve stimulation
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US11883055B2 (en) 2016-07-12 2024-01-30 Cilag Gmbh International Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10966744B2 (en) 2016-07-12 2021-04-06 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US11344362B2 (en) 2016-08-05 2022-05-31 Cilag Gmbh International Methods and systems for advanced harmonic energy
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
USD924400S1 (en) 2016-08-16 2021-07-06 Cilag Gmbh International Surgical instrument
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US10420580B2 (en) 2016-08-25 2019-09-24 Ethicon Llc Ultrasonic transducer for surgical instrument
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US11925378B2 (en) 2016-08-25 2024-03-12 Cilag Gmbh International Ultrasonic transducer for surgical instrument
US11350959B2 (en) 2016-08-25 2022-06-07 Cilag Gmbh International Ultrasonic transducer techniques for ultrasonic surgical instrument
US10779847B2 (en) 2016-08-25 2020-09-22 Ethicon Llc Ultrasonic transducer to waveguide joining
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11759251B2 (en) 2019-12-30 2023-09-19 Cilag Gmbh International Control program adaptation based on device status and user input
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11723716B2 (en) 2019-12-30 2023-08-15 Cilag Gmbh International Electrosurgical instrument with variable control mechanisms
US11589916B2 (en) 2019-12-30 2023-02-28 Cilag Gmbh International Electrosurgical instruments with electrodes having variable energy densities
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11707318B2 (en) 2019-12-30 2023-07-25 Cilag Gmbh International Surgical instrument with jaw alignment features
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11744636B2 (en) 2019-12-30 2023-09-05 Cilag Gmbh International Electrosurgical systems with integrated and external power sources
US11974801B2 (en) 2019-12-30 2024-05-07 Cilag Gmbh International Electrosurgical instrument with flexible wiring assemblies
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11986234B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Surgical system communication pathways

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JPH0418860B2 (en) 1992-03-27
DE3301890C2 (en) 1986-04-10
GB2133694A (en) 1984-08-01
GB8331861D0 (en) 1984-01-04
GB2133694B (en) 1986-09-24
DE3301890A1 (en) 1984-07-26

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