CN101036589A - 带有可弯曲的端部执行器的外科缝合器 - Google Patents

带有可弯曲的端部执行器的外科缝合器 Download PDF

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CN101036589A
CN101036589A CNA2006101468461A CN200610146846A CN101036589A CN 101036589 A CN101036589 A CN 101036589A CN A2006101468461 A CNA2006101468461 A CN A2006101468461A CN 200610146846 A CN200610146846 A CN 200610146846A CN 101036589 A CN101036589 A CN 101036589A
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马克·S·奥尔蒂斯
迈克尔·斯托克斯
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    • AHUMAN NECESSITIES
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    • AHUMAN NECESSITIES
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    • AHUMAN NECESSITIES
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    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
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Abstract

本发明提供了一种外科缝合器,其具有可选择地弯曲的端部执行器。该端部执行器的钉保持钳口联接到另一个钳口,用于夹持待缝合的组织。所述缝合器适于以与端部执行器的所选形状一致的图式将钉驱动到组织中。特别地,该端部执行器适于在其以大致线性构造定向钉时以线性图式驱动钉,并且在其以非线性构造定向钉时以非线性图式驱动钉。本发明还讨论了用具有可弯曲的端部执行器的缝合器缝合组织的方法。

Description

带有可弯曲的端部执行器的外科缝合器
技术领域
本发明广义地涉及用于外科手术的装置,更具体地涉及以可选的图式或形状放置钉的装置。
背景技术
内窥镜和腹腔镜外科器械通常比传统的开放式外科装置更受到偏爱,这是因为(内窥镜的)的天然孔或(腹腔镜的)较小的切口易于减少术后恢复时间和并发症。因此,在适合于将远端执行器精确地设置在所需手术部位的内窥镜和腹腔镜外科器械领域中已经有了显著发展。这些远端执行器以多种方式(例如,抓钳、切割器、缝合器、夹具施放器、进入装置、药物/基因治疗输送装置和使用超声波、RF、激光等的能量装置)接合组织以达到诊断或治疗效果。
例如,外科缝合器可被用于多种外科手术,以便连接组织。典型地,钉使用适合于配合穿过插管的刚性端部执行器,以输送到待缝合的组织部位。在现有的外科缝合器中,端部执行器的一对钳口夹持待缝合的组织。容纳在钉仓钳口中的钉被驱动进入夹紧的组织,并且通过碰撞到砧座钳口变形而保持组织。根据钉在该刚性的钉仓钳口中的布置,钉形成预定的图式(例如,一列或多列钉线)。
在一些外科手术中,被定制成特定布置的钉的非线性图式的形成是很有利的。例如,某些胃旁路手术要求医生以弯曲的形状制成胃袋。使用目前的内窥镜外科缝合器和切割器,形成胃袋通常要用3或4个单独的切割和缝合步骤。在大多数情况中,内窥镜缝合器/切割器在每次切割之后要被取出并重新装载,以便插入新的用于缝合的钉仓。这种重复的取出和插入很耗时,并且增加了外科并发症的可能性。使用在端部执行器下方具有关节运动接头或者适于驱动预定曲线图式的钉的刚性钉仓钳口的外科缝合器仍然有些问题,因为根据外科手术的特定需要具体定制钉的图式有时会受到端部执行器的刚性构造和需要将端部执行器穿过窄的输送管输送到组织部位的限制。
因此,需要用于缝合和/或切割组织的改进的装置和方法。
发明内容
本发明总的提供用于形成与外科缝合器端部执行器的所选择的形状一致的钉的图式的方法和装置。在一种实施方式中,外科缝合器包括连接到细长外壳的近端的手柄和联接到所述外壳的远端的可选择地弯曲的端部执行器。所述端部执行器包括具有钉供应器的第一钳口和联接到第一钳口的第二钳口。所述端部执行器还可具有选择的形状,并且适于以与所选的形状一致的图式将钉驱动穿过夹持在钳口之间的组织。在另一种实施方式中,外科缝合器包括联接到细长连接器的近端的手柄和联接到所述连接器的远端的两个钳口。所述钳口可联接到一起,用于夹持组织。至少一个所述钳口适于携载钉供应器。每个钳口可独立地弯曲成所选择的形状。所述钳口适于在具有线性构造时装配到进入口内。该钳口还适合在离开进入口时可弯曲。
在一种示例性实施方式中,端部执行器适于在其选择的形状为大致线性构造时以线性图式驱动钉。该端部执行器还适于在其选择的形状为大致非线性构造时以非线性图式驱动钉。端部执行器还适于在至少一个方向相对于另一个方向更具有柔性。或者,另外,端部执行器适于在至少两个方向上可选择地弯曲。一些实施方式采用适于包括用于将端部执行器偏压成预定形状的弹性材料的端部执行器。在一个实施例中,所述预定形状为线性构造。
在一些实施方式中,一个或多个钳口挠曲构件可被联接到端部执行器的远侧部分。所述钳口挠曲构件适于在该构件拉紧时使端部执行器弯曲。在一个特定的实施例中,可以采用两个或多个钳口挠曲构件,端部执行器的每个钳口的远侧部分被联接到一个钳口挠曲构件。而且,可以将一个或多个挠曲引导件联接到端部执行器,以便保持端部执行器附近的挠曲构件。一些实施方式还包括至少一个远侧刚性化元件,该远侧刚性化元件适于可拆卸地联接到端部执行器的每个钳口的远端。该远侧刚性化元件阻止钳口的远侧部分的弯曲。实施方式还包括一个或多个驱动元件,所述驱动元件可以设置在细长外壳的至少一部分中。驱动元件适于沿着端部执行器的所选择的形状运动,以便使钉从其展开。其它实施方式包括一个或多个钉闭合元件,所述钉闭合元件可拆卸地设置在细长外壳的至少一部分内,并且适于沿着端部执行器的所选择的形状运动,以使钉变形。其它实施方式包括可动地设置在细长外壳的至少一部分中的刀元件。该刀元件适于沿着端部执行器的一部分运动,以切割被缝合的组织。
另一个实施方式涉及外科钉供应器。所述钉供应器具有可选择地弯曲的基部,以与外科缝合器的钳口形状一致。可变形的齿可被联接到所述基部,或从该基部延伸出。该可变形的齿适于穿刺组织。所述基部还适于包括用于将该基部偏压成预定构造的弹性材料。
在又一个实施方式中包括了一种用于缝合组织的方法。所述方法包括使外科缝合器的端部执行器的钳口与所选择的形状一致,其中一个钳口在其中设置了钉。使所述钳口靠近组织。从钳口将钉顺序地驱动到组织中。被驱动的钉然后变形,以闭合在组织上。端部执行器的每个钳口可以独立的所需形状弯曲。可以将钉展开到组织中,以形成所选择的非线性图式。还可通过弯曲被驱动的钉的齿来使钉变形。
更具体地说,本发明涉及如下内容:
(1)一种外科缝合器,包括:
具有手柄部分的细长的外壳;以及
联接到所述外壳的远端的可选择地弯曲的端部执行器,该端部执行器包括具有钉供应器的第一钳口和联接到该第一钳口的第二钳口,所述端部执行器具有选择的形状并适于以与所选的形状一致的图式驱动钉穿过抓持在钳口之间的组织。
(2)如第(1)项所述的外科缝合器,其中,所述端部执行器适于在其所选的形状为大致线性构造时以线性图式驱动钉,并且在其所选的形状为大致非线性构造时以非线性图式驱动钉。
(3)如第(1)项所述的外科缝合器,其中,所述端部执行器适于在至少一个方向相对于另一个方向更具有柔性。
(4)如第(1)项所述的外科缝合器,其中,所述端部执行器包括有效地将该端部执行器偏压成预定形状的弹性材料。
(5)如第(4)项所述的外科缝合器,其中,所述预定形状为线性构造。
(6)如第(1)项所述的外科缝合器,其中,所述端部执行器适于在至少一个平面中可选择地弯曲。
(7)如第(1)项所述的外科缝合器,还包括:
至少一个钳口挠曲构件,其联接到所述端部执行器的远侧部分和手柄部分并适于在其被张紧时使端部执行器弯曲。
(8)如第(7)项所述的外科缝合器,还包括:
至少两个钳口挠曲构件,所述端部执行器的每个钳口的远侧部分联接到一个钳口挠曲构件。
(9)如第(7)项所述的外科缝合器,还包括:
至少一个挠曲引导件,其联接到所述端部执行器,用于将所述至少一个钳口挠曲构件保持在端部执行器的附近。
(10)如第(1)项所述的外科缝合器,还包括:
至少一个远侧刚性化元件,其适于可拆卸地联接到所述端部执行器的每个钳口的远端,并有效地防止每个钳口的远侧部分的弯曲。
(11)如第(1)项所述的外科缝合器,还包括:
至少一个驱动元件,其可动地设置在所述细长外壳的至少一部分内,并且适于沿着所述端部执行器的所选的形状运动,以使钉从该处展开。
(12)如第(1)项所述的外科缝合器,还包括:
至少一个钉闭合元件,其可动地设置在所述细长外壳的至少一部分内,并且适于沿着所述端部执行器的所选的形状运动,以使钉变形。
(13)如第(1)项所述的外科缝合器,还包括:
刀元件,其可动地设置在所述细长外壳的至少一部分内,并且适于沿着所述端部执行器的至少一部分运动,以切割被缝合的组织。
(14)一种外科缝合器,包括:
手柄;
在其近端联接到外壳的细长的连接器;
联接到所述连接器的远端的两个钳口,所述钳口可动地联接到一起,用于夹持待缝合的组织,至少一个钳口适于携载钉供应器,每个钳口单独地弯曲成所选择的形状。
(15)如第(14)项所述的外科缝合器,其中,所述钳口适于在具有线性构造时装配入进入口,并适于在离开进入口时可弯曲。
(16)如第(14)项所述的外科缝合器,其中,至少一个钳口包括可选择地弯曲成所述所选择的形状的钉保持仓。
(17)一种外科钉供应器,包括:
可选择地弯曲的基部,其适于与外科缝合器的钳口的形状一致;以及
从所述基部延伸的多个可变形的齿,所述齿适于穿刺组织。
(18)如第(17)项所述的外科缝合器,其中,所述基部适于具有弹性,以便将基部偏压成预定的构造。
(19)一种用于缝合组织的方法,包括:
使外科缝合器的端部执行器的钳口与所选择的形状一致,一个钳口在其中设置有多个钉;
使所述钳口靠近,以在其间放置组织;
从所述一个钳口将钉驱动到组织中;以及
使被驱动的钉变形,以将钉闭合在组织上。
(20)如第(19)项所述的方法,其中,将钉展开到组织中,以形成所选择的非线性图式。
(21)如第(19)项所述的方法,其中,所述使钳口一致的步骤包括使端部执行器的每个钳口符合所需的形状。
(22)如第(19)项所述的方法,其中,通过弯曲被驱动的钉的齿来使钉变形。
附图说明
从结合附图的以下详细说明可以更充分地理解本发明,其中:
图1是根据本发明一个实施方式的外科缝合器的透视图;
图2是描绘了图1所示外科缝合器的端部执行器的钳口的透视图,其中钳口处于闭合位置;
图3是描绘了图1所示外科缝合器的端部执行器的一组坐标轴和钳口的透视图,其中钳口处于张开位置;
图4A是图1所示外科缝合器的远端的分解图,没有示出细长外壳;
图4B是图4A所示钉携载钳口的外侧壳体的放大透视图;
图5是用于图1的外科缝合器的手柄和细长外壳的远端的透视图;
图6是用于与本发明的一种实施方式一致的外科缝合器的端部执行器的可选实施方式的透视图;
图7是与本发明的一种实施方式一致的包括金属片的钉支撑件的一部分的透视图;
图8是用于图1所示外科缝合器的端部执行器的近端的放大透视图;
图9是两个钉供应器的透视图,其中每个钉供应器由相应地驱动元件驱动;以及
图10是与钉支撑件和I形梁刀具接合的两个钉供应器的透视图,其中每个钉供应器由相应地驱动元件驱动,并且齿由相应的钉闭合元件变形。
具体实施方式
现在将描述一些示范性实施例,以提供在此公开的装置和方法的原理、结构、功能、制造和使用的全面理解。在附图中示出了这些实施方式的一个或多个实施例。本领域技术人员将会意识到,在此具体描述和在附图中示出的装置和方法是非限定性的示例性实施例,而本发明的范围仅由权利要求书限定。就一种示例性实施方式示出或描述的特征可与其它实施方式的特征相结合。这种修改和改变应包括在本发明的范围内。
总的来说,本发明提供了一种外科缝合器,其具有可选择地弯曲的端部执行器,所述端部执行器包括联接到一起抓持组织的第一钳口和第二钳口。第一钳口包括用于缝合被夹持的组织的钉供应器。所述端部执行器具有可选择的形状,这样钉可以与该端部执行器的所选形状一致的图式被驱动进入被夹持的组织。例如,端部执行器适于在其所选的形状以线性构造保持钉时(例如,当端部执行器处于大致线性构造时)以线性图式驱动钉。同样地,端部执行器适于在其所选的形状以非线性构造保持钉时(例如,当端部执行器处于大致非线性构造时)以非线性图式驱动钉。
图1示出了外科缝合器100的一个示例性实施方式,该外科缝合器100具有可独立地弯曲成所选择的形状的一对钳口200和300。该外科缝合器100包括联接到细长外壳400的手柄600,该外壳400从手柄的远端605延伸出。包括一对钳口200和300的端部执行器700联接到细长外壳的远端405。一个钳口300适于携载由外科缝合器100使用的钉供应器。钳口挠曲元件520、530分别在近端联接到手柄600上的控制元件610和在远端联接到端部执行器700的钳口200、300。在使用过程中,细长外壳400和端部执行器700例如通过进入口(诸如输送管或插管)插入患者体内。端部执行器可被设定成闭合或者靠近位置(例如,所述钳口可被设置成线性构造),从而使其横截面积足够小以装配在进入口内。当从进入口的远端出来时,可运动控制元件610,以便在钳口挠曲元件520、530上是施加张紧力,从而使每个相应的钳口200、300根据控制元件610的定位弯曲成所选择的形状。尽管在图1的实施方式中示出了细长外壳400处于直的构造,外壳400还可采取其它形状,和/或可弯曲,以便于将端部执行器输送到患者体内的特定位置。细长外壳可采用多种构造(例如,该外壳可具有沿其长度的开口,不是闭合的结构)。总的来说,细长连接器可用于将端部执行器连接到手柄,细长外壳是细长连接器的一种实施方式。还如图1所示,所述手柄还包括其它控制元件620、630、640,用于如在这里更详细描述的那样操纵该外科缝合器和端部执行器的其它部分。尽管示出的控制元件620、630、640为滑杆(slider bar),但是手柄600可另外或者可选地包括其它机构,例如旋钮、杆、滑动钮等等,用于操纵该缝合器100。本领域技术人员将会理解,所述装置可包括没有在此公开的各种其它部件。例如,该装置可包括在细长外壳400和端部执行器700之间形成的关节运动接头,用于使端部执行器700相对于细长外壳400以一定角度地运动。可在手柄上设置扳机或其它机构,以便成角度地调节端部执行器700。另外或者可选地,可具有接头,以便使端部执行器700、或者外壳400和端部执行器700二者围绕该装置100的纵向轴线旋转。
参照图2和3所示的缝合器100的远端的透视图和图4A所示的分解图更详细地说明端部执行器700,在图4A中为了清楚起见省略了细长外壳400。钉保持钳口300包括外侧壳体310,该外侧壳体310的中央带有狭槽312。壳体310能够容纳柔性脊元件320、钉支撑件340和钉供应器330。所述成对柔性脊元件320可朝着外侧壳体310的中央定位,并且使狭槽312穿过其间。钉支撑件340可在外侧壳体310中定向成使两个钉供应器330在钉支撑件340的狭槽中交错(interlaced)。作为例子,钉支撑件340和两个钉供应器330可被定位在外侧壳体310的两侧上。端部执行器适于允许在装置中多次重新加载钉或钉供应器(例如,缝合器的多次使用可通过如下方式实现,即,使钉支撑件340和钉供应器330可拆卸地联接到钉保持钳口300,从而其它钉供应器可以被加载到钉保持钳口300中)。相对的钳口200包括外侧壳体210。钳口200、300可联接到细长外壳400的远端,并适于进行相对枢转运动,从而它们能够靠近(即闭合)和分开(即张开)。每个钳口200、300的远端适于接收可选择地拆卸的远侧刚性化元件250、350。每个钳口200、300在钳口的远端270、370联接到钳口挠曲构件520、530(此处示例性地示出为索)。每个钳口200、300还包括一个或多个挠曲引导件260、360,相应的钳口挠曲构件520、530穿过该挠曲引导件260、360。
在一个示例性实施方式中,可通过向相应的钳口挠曲元件施加张力来实现端部执行器的每个钳口独自弯曲成所选择的形状。参考图2和3,由于每个钳口挠曲构件520、530联接到相应的钳口200、300的远端,拉动构件520、530将使钳口200、300弯曲。随着进一步张紧钳口挠曲构件,相应的钳口响应于由钳口挠曲构件施加到钳口远端的附加的力而进一步弯曲。在特定的实施方式中,钳口可选择地弯曲,从而相对于装置100定向为线性构造时的纵向轴线定向成高达大约45度的角度,或高达大约90度的角度。钳口挠曲构件和端部执行器的可选设置可提供其它功能。尽管可使用如图5所示手柄600的联接到两根索520、530的单个控制元件610来实现协作的钳口弯曲,但也可在手柄上使用两个控制元件,以提供用于将张紧力分别施加到各个索上的分开的部件,从而允许单独地选择钳口的形状。另外,端部执行器适于在多于一个方向上弯曲。例如,钳口挠曲元件可以用在端部执行器700的相对侧上,索520、530从该处开始,允许端部执行器700相对于图2和3所示的适合的弯曲方向的相反方向弯曲。因此,实施方式可包括适于可选择地在至少一个平面(也就是两个方向)中弯曲的端部执行器。尽管图2和3所示的实施方式使用索作为钳口挠曲元件,但是本领域技术人员将会理解,也可以采用其它类型的结构,以便将力施加到钳口或端部执行器上,从而导致弯曲。例如,图6描绘了由钳口挠曲元件815、825弯曲的端部执行器800的钳口810、820,其中钳口挠曲元件815、825具体化为柔性条带。同样地,钳口挠曲元件可为通过铰链联接到钳口的远端的刚性结构(诸如杆)。作用在该杆上拉动杆的轴向力使联接的钳口弯曲并离开该杆,从而根据所述轴向力的大小使钳口形成所选的形状。
如图2和3所示,挠曲引导件260、360可联接到每个钳口200、300上,用于将相应的钳口挠曲元件520、530保持在端部执行器附近。参照钉保持钳口300,当柔性索530被拉动并张紧时,索530趋向于直的绷紧的形状,而钳口300趋向于弯曲并成弓形地从索530离开。通过将索530穿过一个或多个挠曲引导件360,索530可被限制在靠近钳口300的位置处。在端部执行器被用于小的腔体区域时或者端部执行器通过带有很大曲率的进入口输送以帮助保持端部执行器的有限的横截面时,这都是非常有益的。在另一个方面中,挠曲引导件的位置和数量适于改变钳口具有的可选的形状。例如,在钳口的特定截面中使用数个精密隔开的挠曲引导件将会使该钳口部分相对于具有以更远距离隔开的挠曲引导件的其它部分刚性更大。因此,所选择的形状可具有多种曲率半径。但是很显然地,挠曲引导件的使用是任选的。例如,如图6所示,端部执行器800被弯曲成所选择的形状,而没有使用挠曲引导件。
端部执行器适于具有弹性材料,这样端部执行器可被偏压成与预定形状一致。使用具有弹性特性的材料(例如弹簧钢)可使端部执行器具有优选的形状,同时允许端部执行器在受到某些力时变形并且在力移除时回到优选的形状。参考图2和3,钳口200、300载索520、530被张紧时具有所选的弯曲形状。但是,当索520、530张紧程度很小或者没有张紧时,钳口200、300趋向于呈现它们的通常构造,从而形成大致直的形状。特别地,当钉携载钳口300形成直的形状时,钳口300中的钉以线性构造对准。这样,缝合器可以随着端部执行器的所选形状而展开线性图式的钉或者非线性图式的钉。本领域技术人员将会理解,端部执行器可适于向着其它预定形状(例如带有特定曲率的弧形)偏压,并且在端部执行器具有特定的预定形状时在端部执行器中的钉也可被布置成各种所需的构造。
在一些实施方式中,端部执行器适于沿一个方向比另一个方向更具柔性。例如,参考图3所描绘的坐标轴800,端部执行器700适于在x-y平面中的某个特定方向上弯曲,而在x-z平面中具有足够刚性,从而驱动钉。总的来说,可以通过所使用的材料、端部执行器的零部件的形状以及零部件相对于作用在其上的力的定向而将端部执行器制成可弯曲的。例如,如图4B所示,钉保持钳口300的外侧壳体310包括两条塑性条带313,它们用作外侧壳体310的基部,每条塑性条带313在由坐标轴800标示的y方向上是柔性的。在一个示例性实施方式中,壳体310的侧部由可嵌件注塑到塑性条带313上的薄的金属条带311(例如,弹簧钢的小片)制成。每条薄的金属条带311的形状和定向可被设置成在y方向大致比z方向薄。片311在y方向的薄的尺寸(大约1mm)允许该片在y方向上弯曲。在z方向的相对较高刚性可通过在z方向的相对较大厚度(大约6mm)来实现,这样在某些实施方式中赋予了端部执行器优选的弯曲方向。弹簧钢的弹性还允许端部执行器具有优选的形状、也就是偏压的预定形状(通过施加力弯曲到所选的形状,当撤掉该力时回到预定的形状)。两个钳口的其它结构(例如,上部钳口壳体、柔性脊元件、钉供应器、钉支撑件、挠曲引导件,等等)可同样地被构造成赋予类似的优选的方向性的柔性或者刚性。当特定结构具有沿y方向的大的宽度,两个或多个材料片可被层叠到一起,以提供在x-y平面中的柔性和在x-z平面中的刚性。所述片可被定向成平的表面平行于x-z平面,并且片厚尺寸垂直于y轴。例如,如图7所描绘的,钉支撑件340由并排组装的弹簧钢的片341构成。允许片341之间的一些相对运动允许所述片在沿着y方向施加力时挠曲。定向片或者多个片来制造用于外科缝合器的结构的概念还可应用于以与端部执行器的可选形状一致的图式分别驱动钉和使钉变形的驱动元件430和钉闭合元件410,如此处更详细描述的。除了前述概念之外,特定的结构(例如柔性脊元件320)也可或者可选地使用条带材料之间的间隔或间隙,以允许所需尺度中的结构柔性。尽管此处讨论的实施方式涉及弹簧钢片和柔性塑性材料的使用,本领域技术人员将会容易理解,可以使用具有适当特性的其它材料。同样地,在可弯曲端部执行器中还可使用各种其它结构的几何形状(例如,外侧壳体310的基部313可由沿着细长壳体310的轴线对准的薄金属条带构造成,该薄条带在y方向上具有柔性)。当然,此处对柔性钉保持钳口的构造的说明可被应用到总的包括可选地弯曲的钉保持仓的实施方式。
可使用刚性化元件来改变端部执行器的弯曲特性,以阻止钳口或者端部执行器的特定部分的弯曲。如图3和4A所示,每个钳口的远端270、370适于接收可拆卸的远侧刚性化元件250、350。远侧刚性化元件350包括刚性延伸件351。如图8所示,延伸件351适于在狭槽312的钳口的远侧区域内骑跨在下部钳口300中的柔性脊元件320的远端上。刚性延伸件351阻止钳口300在对应于该延伸件351的远侧区域中的弯曲。因此,可弯曲的钳口的所述所选择的形状能够被改变成取决于该刚性延伸件的长度而具有不同的曲率分布。显然,可采用具有变化的延伸件长度的多种远侧刚性化元件,以便根据钉操作者的需要来弯曲钳口。另外,远侧刚性化元件不必使用适于装配入钳口的狭槽中的刚性延伸件。本领域技术人员将会理解,该远侧刚性化元件的形状和尺寸可被设定成各种构造,以便限制钳口的远侧部分的弯曲。例如,远侧刚性化元件可采用在钳口的远侧部分一侧附近支起的延伸件。这种实施方式增加了钳口的远侧部分相对于具有延伸件的一侧的方向上的弯曲的刚性,而不会影响钳口在相对方向上的刚性。
参照图4A、5和8讨论示例性实施方式的用于闭合端部执行器700的钳口以及驱动钉和使钉变形的其它元件。闭合元件400在其近端联接到手柄600上的控制元件620(例如按钮或其它致动器)。该闭合元件440从外壳400的远端在端部执行器700的近端附近显示出。驱动元件430在它们的近端联接到手柄600上的驱动器控制元件630,并且也可被设置在细长外壳400的至少一部分内。每个驱动元件430在其远端具有楔形形状,并且可被轴向推进到端部执行器700中,以便驱动钉供应器330。钉闭合元件410在它们的近端联接到手柄600上的控制元件640。钉闭合元件410适于设置在细长外壳400内,并从其露出,被推进穿过端部执行器700,以使钉变形。隔离块450用于保持驱动元件430和钉闭合元件410的相对间隔。
如前面简要所述地,可使用闭合元件440进行钳口200、300的张开和闭合。在一种实施方式中,钳口200、300适于由弹簧或其它偏压机构(未示出)趋向于分开的位置(如图3所示)。例如,控制元件620的向前滑动导致闭合元件440推进撞击到上部钳口200,随后迫使上部钳口200靠近并接触钉保持钳口300。如图2所描绘的,闭合元件440不必推进穿过钳口的整个长度来使钳口闭合。由于钳口闭合机构可独立于驱动钉的机构,待缝合的组织可被夹持由用户确定的时间段,以使组织“泌乳”。闭合元件440的缩回导致钳口200、300回复到张开位置。如容易明白的那样,闭合元件可采用与它们的迫使端部执行器的钳口朝着彼此运动的使用一致的各种材料和构造。例如,闭合元件不必是沿着细长外壳400的长度延伸的一体式实体;它可具体体现为较短的细长结构,在其近端联接到延伸穿过细长外壳400的径向柔性但轴向刚性的连接器。同样地,端部执行器的钳口不必向张开位置偏压。分开的机构可用于致动钳口的分离。本领域的技术人员将会理解,可使用各种可选的机构来使钳口运动。
用于外科缝合器的钉可以钉供应器的形式提供。总的来说,钉供应器可具体化为适于穿刺组织的多个可变形的齿。所述齿联接到弯曲的基部,并从其延伸,该弯曲的基部适于与端部执行器的钳口的形状一致。参考图9所示的示例性实施方式,钉供应器330具有齿331,齿331可以链状图式(即,所述齿被布置成线性或者曲线形图式)连接到可弯曲的基部332的一侧。在一种实施方式中,所述齿由线切割冲压金属(wire cut stamped metal)构成,所述线切割冲压金属的长度大约为5mm,宽度大约为0.5mm,基部的厚度大约为0.5mm。可变形齿可用任何适于穿刺组织并可变形以使钉变形的材料构成。可变形齿适于具有弹性,这将基部偏压成预定的构造(例如通过弹性材料的使用)。例如,基部可具有与可弯曲端部执行器的钳口的优选直的形状对准的优选直的形状。该钉供应器的基部之后可与端部执行器的弯曲或放松一致,成为所选的形状。钉供应器的齿和基部可由被选择成补足特定元件的功能的相同的材料或不同的材料构成(例如,冲压金属用于齿,弹簧钢用于基部)。本领域技术人员将会理解,钉供应器可被构造成与图9中所描绘的构造不同的构造。例如,钉供应器可采用多个平行的齿链,所述齿是互连的,或者,基部可以具有预定的弯曲形状。
作为示例性实施方式,参考图4A、8和9说明钉从端部执行器钳口驱动进入组织。可以将四组钉供应器330定位在两个钉支撑件340的槽口中,所述钉支撑件340位于钳口300中。钉供应器330对准成每个钉供应器的基部没有被钉支撑件340覆盖。当将钳口200、300闭合在组织上时,具有楔状远侧部分431的驱动元件430能被推进到下部钳口300中。楔形件431的前缘适于在钉供应器330的基部332下方滑动。因此,驱动元件430的推进迫使基部随着驱动元件的表面形状运动。迫使联接到基部一侧的齿332与基部一起向上,行进穿过钉支撑件340(见图10)并穿刺组织。当采用多个钉供应器时,驱动元件可被联接到一起,以便根据预定安排同时或顺序地驱动钉,或者可以单独地推进驱动元件。相对于图9中所描绘的方向轴800,驱动元件430定位成其宽度(z方向)比其深度(y方向)大很多。这样,驱动元件430能够沿y方向弯曲,以适应端部执行器的所选择的形状,同时在z方向上保持足够的刚性,以便驱动钉供应器430。就其它实施方式采用更大尺寸的驱动元件来说,片层可夹在一起以具有y方向的柔性。
在一种实施方式中,使被驱动进入组织的钉变形,使用钉闭合元件410(例如,滑动片)来闭合钉。参考图8和10,在将钉供应器的齿332驱动进入组织后,钉闭合元件410可从外壳400推进入端部执行器中。钉闭合元件410在其远端具有楔形件411,并包括沿其边缘412的沟槽。这样,当钉闭合元件410被推进时,沿着楔形件411的边缘412的沟槽与齿的尖端接触,并在钉闭合元件的平面内(即,水平地)弯曲该尖端,如图10所示。与驱动元件相同地,钉闭合元件具有根据预定程序的偶联运动,或者,它们可被单独地推进。另外,钉闭合元件还具有片状结构,该结构允许它们挠曲来随着端部执行器的所选的形状运动,同时保持竖直方向(即,z轴)的刚性来使钉变形。
在一些实施方式中,驱动元件和钉闭合元件的运动彼此独立。但是,其它实施方式可能使驱动元件和钉闭合元件的运动相关联。在图10中示出了一个特定的实施例,其中,驱动元件和钉闭合元件可被一起推进,并且驱动元件领先钉闭合元件预定距离和/或时间。在另一个实施例中,驱动元件的远侧部分被构造为达到中间平台的第一楔形件,在中间平台的后面是到终端平台的第二楔形件。使用这种结构,驱动元件和钉闭合元件可被联接在一起,从而使钉闭合元件的前缘与驱动元件的中间平台区域平齐(even)的定位。在推进所述组件时,当由于第一楔形件结构而升起时,钉齿可被驱动穿过组织。之后钉闭合元件接触齿的尖端,以便开始变形。由第二驱动楔形件引起的钉的进一步运动导致抵靠钉闭合元件的进一步变形,从而使钉完全闭合。
其它实施方式可包括在腹腔镜或内窥镜手术过程中与外科缝合器一起使用的其它装置。例如,外科缝合器可包括刀元件(例如刀具),该刀元件适于沿着端部执行器的一部分运动,以便切割被缝合的组织。参考图3和10,I形梁刀具420联接到手柄600上的滑动钮(未示出)上。在闭合钳口200、300时,前缘421可从细长外壳400的远端推进到端部执行器700中,穿过形成于钳口300中的柔性脊元件340之间的狭槽312。位于上部钳口200上的狭槽210和位于下部钳口300上的相应狭槽可用于容纳角撑板422、423,并由此引导刀具420沿着端部执行器的形状的运动。由于角撑板422、423可牢固地接合钳口200、300,刀具420的推进在钉形成过程中帮助钳口牢固闭合。本领域技术人员将会理解,多种不同的刀具结构或者其它外科装置可与可弯曲的端部执行器一起使用。
本发明还提供了用可弯曲的端部执行器缝合组织的示例性方法。在一个示例性实施方式中,具有钉供应器的端部执行器定位在待缝合的组织部位。如果需要,端部执行器可通过闭合和对准其钳口来靠近,以配合进入管或插管。或者,端部执行器可以内镜方式插入天然开口或以腹腔镜方式通过小的切口。当穿过管或其它开口行进并从其出来时,端部执行器的钳口可被运动到张大的分开位置。端部执行器的钳口可分别弯曲,以与所选的形状一致。然后可由钳口夹持待缝合的组织。钳口可任选地挤压组织一段时间,以使组织“泌乳”。钉此后可从端部执行器的钉容纳钳口被驱动进入组织中。可在被驱动的钉上进行钉的变形(例如,使被驱动的钉的齿弯曲),以使钉闭合在组织上。以与端部执行器的所选形状一致的图式将钉展开到组织上。例如,可以线性图式或者非线性图式展开钉。同样地,可形成钉的其它图式,例如,交错的列或者曲线形状。在其它实施方式中,端部执行器可选择地沿一个或多个方向定形。可选择地,或附加地,所选的形状具有变化的曲率半径。所述外科缝合器还执行附加的功能,例如,在组织已被缝合后切割组织。
本领域技术人员将会理解,此处具体描述和参照附图示出的装置和方法是非限制性的示例性实施方式。就一个示例性实施方式示出或描述的部件可与其它实施方式的部件结合。旨在将这种变型和变化包括在本发明的范围内。同样地,本领域技术人员将会理解本发明基于上述实施方式的其它特征和优点。因此,本发明不由已经具体示出和描述的内容限制,而是由所附的权利要求表明。

Claims (10)

1.一种外科缝合器,包括:
具有手柄部分的细长的外壳;以及
联接到所述外壳的远端的可选择地弯曲的端部执行器,该端部执行器包括具有钉供应器的第一钳口和联接到该第一钳口的第二钳口,所述端部执行器具有选择的形状并适于以与所选的形状一致的图式驱动钉穿过抓持在钳口之间的组织。
2.如权利要求1所述的外科缝合器,其中,所述端部执行器适于在其所选的形状为大致线性构造时以线性图式驱动钉,并且在其所选的形状为大致非线性构造时以非线性图式驱动钉。
3.如权利要求1所述的外科缝合器,其中,所述端部执行器适于在至少一个方向相对于另一个方向更具有柔性。
4.如权利要求1所述的外科缝合器,其中,所述端部执行器包括有效地将该端部执行器偏压成预定形状的弹性材料。
5.如权利要求4所述的外科缝合器,其中,所述预定形状为线性构造。
6.如权利要求1所述的外科缝合器,其中,所述端部执行器适于在至少一个平面中可选择地弯曲。
7.如权利要求1所述的外科缝合器,还包括:
至少一个钳口挠曲构件,其联接到所述端部执行器的远侧部分和手柄部分并适于在其被张紧时使端部执行器弯曲。
8.如权利要求7所述的外科缝合器,还包括:
至少两个钳口挠曲构件,所述端部执行器的每个钳口的远侧部分联接到一个钳口挠曲构件。
9.如权利要求7所述的外科缝合器,还包括:
至少一个挠曲引导件,其联接到所述端部执行器,用于将所述至少一个钳口挠曲构件保持在端部执行器的附近。
10.如权利要求1所述的外科缝合器,还包括:
至少一个远侧刚性化元件,其适于可拆卸地联接到所述端部执行器的每个钳口的远端,并有效地防止每个钳口的远侧部分的弯曲。
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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102048566A (zh) * 2009-10-01 2011-05-11 Tyco医疗健康集团 用于手术器械的解剖尖端和导入构件
CN103462659A (zh) * 2010-09-30 2013-12-25 伊西康内外科公司 用于外科器械的钳口闭合装置
CN101820824B (zh) * 2007-10-31 2014-03-12 泰尔茂株式会社 医疗操纵器
CN108066010A (zh) * 2016-11-10 2018-05-25 香港大学深圳研究院 一种具有柔性和多自由度的手术机器人
CN110300552A (zh) * 2017-02-17 2019-10-01 爱惜康有限责任公司 将辅料材料递送并固定到治疗部位的方法和装置
CN111051822A (zh) * 2017-07-14 2020-04-21 伊利诺斯工具制品有限公司 测试设备和测试设备的手柄
CN112294384A (zh) * 2020-10-30 2021-02-02 苏州贝诺医疗器械有限公司 一种吻合器改进型驱动组件、端部执行器及腔内吻合器
CN112401962A (zh) * 2020-10-30 2021-02-26 苏州贝诺医疗器械有限公司 一种具有倾斜角度的端部执行器及腔内吻合器
CN112754575A (zh) * 2021-01-23 2021-05-07 常州安康医疗器械有限公司 一种方便拆卸更换电池的电动腔镜吻合器

Families Citing this family (834)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
JP4664909B2 (ja) * 2003-06-17 2011-04-06 タイコ ヘルスケア グループ リミテッド パートナーシップ 外科用ステープリング装置
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7401721B2 (en) * 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20070175951A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US7552854B2 (en) 2006-05-19 2009-06-30 Applied Medical Resources Corporation Surgical stapler with firing lock mechanism
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
EP1875870B1 (en) * 2006-07-07 2009-12-02 Ethicon Endo-Surgery, Inc. A surgical stapling instrument.
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US7665647B2 (en) 2006-09-29 2010-02-23 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
US20110087276A1 (en) 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Method for forming a staple
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US7637410B2 (en) 2006-10-06 2009-12-29 Tyco Healthcare Group Lp Surgical instrument including a locking assembly
US7434716B2 (en) * 2006-12-21 2008-10-14 Tyco Healthcare Group Lp Staple driver for articulating surgical stapler
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US20080169333A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapler end effector with tapered distal end
US7669747B2 (en) * 2007-03-15 2010-03-02 Ethicon Endo-Surgery, Inc. Washer for use with a surgical stapling instrument
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US7810693B2 (en) * 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US20080296346A1 (en) * 2007-05-31 2008-12-04 Shelton Iv Frederick E Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US7588176B2 (en) 2007-06-18 2009-09-15 Ethicon Endo-Surgery, Inc. Surgical cutting instrument with improved closure system
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US8061576B2 (en) 2007-08-31 2011-11-22 Tyco Healthcare Group Lp Surgical instrument
US8403956B1 (en) 2007-09-06 2013-03-26 Cardica, Inc. Multiple-use surgical stapler
US8070036B1 (en) 2007-09-06 2011-12-06 Cardica, Inc True multi-fire surgical stapler configured to fire staples of different sizes
US9168039B1 (en) 2007-09-06 2015-10-27 Cardica, Inc. Surgical stapler with staples of different sizes
US7988026B2 (en) 2007-09-06 2011-08-02 Cardica, Inc. Endocutter with staple feed
EP2044888B1 (en) 2007-10-05 2016-12-07 Covidien LP Articulation mechanism for a surgical instrument
EP2044892A3 (en) 2007-10-05 2012-11-21 Tyco Healthcare Group LP Surgical stapling apparatus
US8490851B2 (en) * 2008-01-15 2013-07-23 Covidien Lp Surgical stapling apparatus
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7766209B2 (en) * 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US11986183B2 (en) 2008-02-14 2024-05-21 Cilag Gmbh International Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US8371491B2 (en) 2008-02-15 2013-02-12 Ethicon Endo-Surgery, Inc. Surgical end effector having buttress retention features
US8870049B2 (en) * 2008-03-14 2014-10-28 Transenterix, Inc. Hernia stapler
EP2257227A4 (en) * 2008-03-14 2014-03-26 Safestitch Medical Inc CLAMP DEVICE FOR HERNIA WITH INTEGRATED NETWORK MANIPULATOR
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US7942303B2 (en) 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US8701959B2 (en) 2008-06-06 2014-04-22 Covidien Lp Mechanically pivoting cartridge channel for surgical instrument
US7789283B2 (en) 2008-06-06 2010-09-07 Tyco Healthcare Group Lp Knife/firing rod connection for surgical instrument
US20100069942A1 (en) * 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
US7837080B2 (en) * 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US7832612B2 (en) 2008-09-19 2010-11-16 Ethicon Endo-Surgery, Inc. Lockout arrangement for a surgical stapler
US7896214B2 (en) 2008-09-23 2011-03-01 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8628544B2 (en) 2008-09-23 2014-01-14 Covidien Lp Knife bar for surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8215532B2 (en) 2008-09-23 2012-07-10 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8360298B2 (en) 2008-09-23 2013-01-29 Covidien Lp Surgical instrument and loading unit for use therewith
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US7918377B2 (en) 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
BRPI1008667A2 (pt) 2009-02-06 2016-03-08 Ethicom Endo Surgery Inc aperfeiçoamento do grampeador cirúrgico acionado
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US8393516B2 (en) 2009-02-26 2013-03-12 Covidien Lp Surgical stapling apparatus with curved cartridge and anvil assemblies
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US8292154B2 (en) 2009-04-16 2012-10-23 Tyco Healthcare Group Lp Surgical apparatus for applying tissue fasteners
US8127976B2 (en) 2009-05-08 2012-03-06 Tyco Healthcare Group Lp Stapler cartridge and channel interlock
US8070034B1 (en) * 2009-05-29 2011-12-06 Cardica, Inc. Surgical stapler with angled staple bays
US8132706B2 (en) 2009-06-05 2012-03-13 Tyco Healthcare Group Lp Surgical stapling apparatus having articulation mechanism
US8328062B2 (en) * 2009-07-21 2012-12-11 Covidien Lp Surgical instrument with curvilinear tissue-contacting surfaces
US20110036891A1 (en) * 2009-08-11 2011-02-17 Tyco Healthcare Group Lp Surgical stapler with visual positional indicator
US8342378B2 (en) 2009-08-17 2013-01-01 Covidien Lp One handed stapler
US8322590B2 (en) * 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
US8225979B2 (en) 2009-10-30 2012-07-24 Tyco Healthcare Group Lp Locking shipping wedge
WO2011053029A2 (ko) * 2009-10-30 2011-05-05 주식회사 이턴 수술용 인스트루먼트의 죠 구조
US8418907B2 (en) 2009-11-05 2013-04-16 Covidien Lp Surgical stapler having cartridge with adjustable cam mechanism
US20110114697A1 (en) 2009-11-19 2011-05-19 Ethicon Endo-Surgery, Inc. Circular stapler introducer with multi-lumen sheath
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8328061B2 (en) 2010-02-02 2012-12-11 Covidien Lp Surgical instrument for joining tissue
US8348127B2 (en) 2010-04-07 2013-01-08 Covidien Lp Surgical fastener applying apparatus
US8940000B2 (en) * 2010-05-12 2015-01-27 Covidien Lp Surgical instruments with flexible member attachment structures
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8801735B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical circular stapler with tissue retention arrangements
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9592050B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc End effector comprising a distal tissue abutment member
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
BR112013007717B1 (pt) 2010-09-30 2020-09-24 Ethicon Endo-Surgery, Inc. Sistema de grampeamento cirúrgico
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9301755B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Compressible staple cartridge assembly
US8752699B2 (en) * 2010-09-30 2014-06-17 Ethicon Endo-Surgery, Inc. Implantable fastener cartridge comprising bioabsorbable layers
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US8899461B2 (en) 2010-10-01 2014-12-02 Covidien Lp Tissue stop for surgical instrument
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US8444038B2 (en) 2010-10-01 2013-05-21 Covidien Lp Tissue stop for surgical instrument
US8308041B2 (en) 2010-11-10 2012-11-13 Tyco Healthcare Group Lp Staple formed over the wire wound closure procedure
US8784418B2 (en) 2010-11-29 2014-07-22 Covidien Lp Endoscopic surgical forceps
US8714352B2 (en) * 2010-12-10 2014-05-06 Covidien Lp Cartridge shipping aid
WO2012105923A1 (en) * 2011-02-04 2012-08-09 Ward Gary L Sub-miniature surgical staple cartridge
US9113883B2 (en) 2011-03-14 2015-08-25 Ethicon Endo-Surgery, Inc. Collapsible anvil plate assemblies for circular surgical stapling devices
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US9044229B2 (en) * 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US8397972B2 (en) 2011-03-18 2013-03-19 Covidien Lp Shipping wedge with lockout
US9155536B1 (en) * 2011-04-26 2015-10-13 Cardica, Inc. Circular stapler
BR112013027794B1 (pt) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9451959B2 (en) 2011-06-09 2016-09-27 Covidien Lp Surgical fastener applying apparatus
US9289209B2 (en) 2011-06-09 2016-03-22 Covidien Lp Surgical fastener applying apparatus
US9271728B2 (en) 2011-06-09 2016-03-01 Covidien Lp Surgical fastener applying apparatus
US8763876B2 (en) 2011-06-30 2014-07-01 Covidien Lp Surgical instrument and cartridge for use therewith
US20130012958A1 (en) 2011-07-08 2013-01-10 Stanislaw Marczyk Surgical Device with Articulation and Wrist Rotation
US9724095B2 (en) 2011-08-08 2017-08-08 Covidien Lp Surgical fastener applying apparatus
US9155537B2 (en) 2011-08-08 2015-10-13 Covidien Lp Surgical fastener applying apparatus
US9539007B2 (en) 2011-08-08 2017-01-10 Covidien Lp Surgical fastener applying aparatus
US9198661B2 (en) 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
US8418908B1 (en) 2011-10-26 2013-04-16 Covidien Lp Staple feeding and forming apparatus
US8968312B2 (en) * 2011-11-16 2015-03-03 Covidien Lp Surgical device with powered articulation wrist rotation
US8740036B2 (en) 2011-12-01 2014-06-03 Covidien Lp Surgical instrument with actuator spring arm
US9168042B2 (en) * 2012-01-12 2015-10-27 Covidien Lp Circular stapling instruments
US10299815B2 (en) 2012-01-19 2019-05-28 Covidien Lp Surgical instrument with clam releases mechanism
US8864010B2 (en) 2012-01-20 2014-10-21 Covidien Lp Curved guide member for articulating instruments
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9084600B1 (en) 2012-02-17 2015-07-21 Cardica, Inc. Anvil-side staple trap
US8979827B2 (en) 2012-03-14 2015-03-17 Covidien Lp Surgical instrument with articulation mechanism
US9113881B2 (en) 2012-03-16 2015-08-25 Covidien Lp Travel clip for surgical staple cartridge
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
CN104334098B (zh) 2012-03-28 2017-03-22 伊西康内外科公司 包括限定低压强环境的胶囊剂的组织厚度补偿件
RU2014143258A (ru) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий множество слоев
BR112014024194B1 (pt) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos para um grampeador cirúrgico
US9526497B2 (en) 2012-05-07 2016-12-27 Covidien Lp Surgical instrument with articulation mechanism
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
RU2636861C2 (ru) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Блокировка пустой кассеты с клипсами
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US9232944B2 (en) 2012-06-29 2016-01-12 Covidien Lp Surgical instrument and bushing
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9364217B2 (en) 2012-10-16 2016-06-14 Covidien Lp In-situ loaded stapler
US9522003B2 (en) * 2013-01-14 2016-12-20 Intuitive Surgical Operations, Inc. Clamping instrument
US9345480B2 (en) 2013-01-18 2016-05-24 Covidien Lp Surgical instrument and cartridge members for use therewith
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
US9398911B2 (en) 2013-03-01 2016-07-26 Ethicon Endo-Surgery, Llc Rotary powered surgical instruments with multiple degrees of freedom
RU2672520C2 (ru) 2013-03-01 2018-11-15 Этикон Эндо-Серджери, Инк. Шарнирно поворачиваемые хирургические инструменты с проводящими путями для передачи сигналов
US10561432B2 (en) 2013-03-05 2020-02-18 Covidien Lp Pivoting screw for use with a pair of jaw members of a surgical instrument
US9814463B2 (en) 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
US9717498B2 (en) 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9668729B2 (en) 2013-03-13 2017-06-06 Covidien Lp Surgical stapling apparatus
US9629628B2 (en) 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
AU2014236486B2 (en) 2013-03-14 2019-02-07 Applied Medical Resources Corporation Surgical stapler with partial pockets
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
AU2014227602B9 (en) 2013-03-15 2019-10-24 Applied Medical Resources Corporation Surgical stapler having actuation mechanism with rotatable shaft
US9820742B2 (en) 2013-03-15 2017-11-21 Applied Medical Resources Corporation Surgical stapler with expandable jaw
US9510827B2 (en) 2013-03-25 2016-12-06 Covidien Lp Micro surgical instrument and loading unit for use therewith
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
EP2996579B1 (en) * 2013-05-15 2020-04-22 Aesculap AG Surgical stapling and cutting apparatus
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9445810B2 (en) 2013-06-12 2016-09-20 Covidien Lp Stapling device with grasping jaw mechanism
US20150053746A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Torque optimization for surgical instruments
JP6416260B2 (ja) 2013-08-23 2018-10-31 エシコン エルエルシー 動力付き外科用器具のための発射部材後退装置
US9662108B2 (en) 2013-08-30 2017-05-30 Covidien Lp Surgical stapling apparatus
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
US10517593B2 (en) 2013-11-04 2019-12-31 Covidien Lp Surgical fastener applying apparatus
AU2013403916A1 (en) 2013-11-04 2016-04-28 Covidien Lp Surgical fastener applying apparatus
KR20160107157A (ko) 2013-11-04 2016-09-13 퀵링 메디컬 테크놀로지즈 리미티드 수술용 스태플러
EP3065647A1 (en) 2013-11-04 2016-09-14 Covidien LP Surgical fastener applying apparatus
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9687232B2 (en) 2013-12-23 2017-06-27 Ethicon Llc Surgical staples
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9848874B2 (en) 2014-02-14 2017-12-26 Covidien Lp Small diameter endoscopic stapler
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
JP6462004B2 (ja) 2014-02-24 2019-01-30 エシコン エルエルシー 発射部材ロックアウトを備える締結システム
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
US20150272580A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Verification of number of battery exchanges/procedure count
AU2015241193B2 (en) * 2014-03-29 2020-01-02 Standard Bariatrics, Inc. End effectors surgical stapling devices, and methods of using same
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
CN106456176B (zh) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 包括具有不同构型的延伸部的紧固件仓
US9844369B2 (en) 2014-04-16 2017-12-19 Ethicon Llc Surgical end effectors with firing element monitoring arrangements
JP6612256B2 (ja) 2014-04-16 2019-11-27 エシコン エルエルシー 不均一な締結具を備える締結具カートリッジ
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
JP6532889B2 (ja) 2014-04-16 2019-06-19 エシコン エルエルシーEthicon LLC 締結具カートリッジ組立体及びステープル保持具カバー配置構成
US9668733B2 (en) 2014-04-21 2017-06-06 Covidien Lp Stapling device with features to prevent inadvertent firing of staples
US9861366B2 (en) 2014-05-06 2018-01-09 Covidien Lp Ejecting assembly for a surgical stapler
US10512461B2 (en) 2014-05-15 2019-12-24 Covidien Lp Surgical fastener applying apparatus
US9848871B2 (en) * 2014-06-10 2017-12-26 Ethicon Llc Woven and fibrous materials for reinforcing a staple line
EP3785644B1 (en) 2014-06-11 2023-11-01 Applied Medical Resources Corporation Surgical stapler with circumferential firing
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US10016199B2 (en) 2014-09-05 2018-07-10 Ethicon Llc Polarity of hall magnet to identify cartridge type
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
ES2902606T3 (es) 2014-09-15 2022-03-29 Applied Med Resources Grapadora quirúrgica con altura de grapas autoajustable
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
MX2017003960A (es) 2014-09-26 2017-12-04 Ethicon Llc Refuerzos de grapas quirúrgicas y materiales auxiliares.
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US9924943B2 (en) 2014-10-01 2018-03-27 Covidien Lp Method of manufacturing jaw members for surgical stapling instrument
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10226254B2 (en) * 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10039545B2 (en) 2015-02-23 2018-08-07 Covidien Lp Double fire stapling
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US10130367B2 (en) 2015-02-26 2018-11-20 Covidien Lp Surgical apparatus
US10045779B2 (en) 2015-02-27 2018-08-14 Ethicon Llc Surgical instrument system comprising an inspection station
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーEthicon LLC 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US10092290B2 (en) 2015-03-17 2018-10-09 Covidien Lp Surgical instrument, loading unit for use therewith and related methods
US9918717B2 (en) 2015-03-18 2018-03-20 Covidien Lp Pivot mechanism for surgical device
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
US10117650B2 (en) 2015-05-05 2018-11-06 Covidien Lp Adapter assembly and loading units for surgical stapling devices
US10299789B2 (en) 2015-05-05 2019-05-28 Covidie LP Adapter assembly for surgical stapling devices
US10039532B2 (en) 2015-05-06 2018-08-07 Covidien Lp Surgical instrument with articulation assembly
JP6420501B6 (ja) 2015-05-08 2018-12-19 ジャストライト サージカル,リミティド ライアビリティ カンパニー 手術用ステープラ
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
US10172615B2 (en) 2015-05-27 2019-01-08 Covidien Lp Multi-fire push rod stapling device
RU2720296C2 (ru) * 2015-06-18 2020-04-28 ЭТИКОН ЭлЭлСи Хирургические концевые эффекторы с закрывающими элементами для браншей с кулачковым приводом двойного действия
US10335149B2 (en) 2015-06-18 2019-07-02 Ethicon Llc Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support
RU2717936C2 (ru) 2015-06-18 2020-03-26 ЭТИКОН ЭлЭлСи Конструкции системы двухшарнирного привода для хирургических инструментов с возможностью шарнирного поворота
US10548599B2 (en) 2015-07-20 2020-02-04 Covidien Lp Endoscopic stapler and staple
US9987012B2 (en) 2015-07-21 2018-06-05 Covidien Lp Small diameter cartridge design for a surgical stapling instrument
US10194912B2 (en) * 2015-07-28 2019-02-05 Ethicon Llc Surgical staple cartridge with outer edge compression features
US10117675B2 (en) * 2015-07-28 2018-11-06 Covidien Lp Trocar tip protector
US10064622B2 (en) 2015-07-29 2018-09-04 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US10045782B2 (en) 2015-07-30 2018-08-14 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
CA2994554A1 (en) 2015-08-06 2017-02-09 Applied Medical Resources Corporation Surgical stapler having locking articulation joint
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
CN108348233B (zh) 2015-08-26 2021-05-07 伊西康有限责任公司 用于允许改变钉特性并实现轻松仓加载的外科钉条
US11103248B2 (en) 2015-08-26 2021-08-31 Cilag Gmbh International Surgical staples for minimizing staple roll
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
MX2022006189A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10357252B2 (en) 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
ITUB20153493A1 (it) * 2015-09-09 2017-03-09 Gruppo Mecc Luciani S R L Attrezzatura per l'applicazione di borchie.
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
US10478188B2 (en) 2015-09-30 2019-11-19 Ethicon Llc Implantable layer comprising a constricted configuration
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10213204B2 (en) 2015-10-02 2019-02-26 Covidien Lp Micro surgical instrument and loading unit for use therewith
US10342535B2 (en) 2015-10-15 2019-07-09 Ethicon Llc Method of applying staples to liver and other organs
US10226251B2 (en) 2015-10-15 2019-03-12 Ethicon Llc Surgical staple actuating sled with actuation stroke having minimized distance relative to distal staple
US11141159B2 (en) * 2015-10-15 2021-10-12 Cilag Gmbh International Surgical stapler end effector with multi-staple driver crossing center line
US10499917B2 (en) 2015-10-15 2019-12-10 Ethicon Llc Surgical stapler end effector with knife position indicators
US10265069B2 (en) 2015-10-15 2019-04-23 Ethicon Llc Surgical staple cartridge with varying staple crown width along a curve
US10952730B2 (en) * 2015-10-15 2021-03-23 Ethicon Llc End effector for surgical stapler with varying curve and taper
US10265073B2 (en) * 2015-10-15 2019-04-23 Ethicon Llc Surgical stapler with terminal staple orientation crossing center line
US10772632B2 (en) 2015-10-28 2020-09-15 Covidien Lp Surgical stapling device with triple leg staples
WO2017079044A1 (en) * 2015-11-06 2017-05-11 Intuitive Surgical Operations, Inc. Knife with mechanical fuse
WO2017083129A1 (en) * 2015-11-13 2017-05-18 Intuitive Surgical Operations, Inc. Stapler anvil with compliant tip
US10595864B2 (en) 2015-11-24 2020-03-24 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10111660B2 (en) 2015-12-03 2018-10-30 Covidien Lp Surgical stapler flexible distal tip
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10966717B2 (en) * 2016-01-07 2021-04-06 Covidien Lp Surgical fastener apparatus
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US10433837B2 (en) 2016-02-09 2019-10-08 Ethicon Llc Surgical instruments with multiple link articulation arrangements
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10349937B2 (en) 2016-02-10 2019-07-16 Covidien Lp Surgical stapler with articulation locking mechanism
US10420559B2 (en) 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US10307159B2 (en) 2016-04-01 2019-06-04 Ethicon Llc Surgical instrument handle assembly with reconfigurable grip portion
US10456140B2 (en) 2016-04-01 2019-10-29 Ethicon Llc Surgical stapling system comprising an unclamping lockout
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10285705B2 (en) 2016-04-01 2019-05-14 Ethicon Llc Surgical stapling system comprising a grooved forming pocket
ES2938241T3 (es) 2016-04-12 2023-04-05 Applied Med Resources Grapadora quirúrgica con un mango motorizado
KR102713366B1 (ko) 2016-04-12 2024-10-04 어플라이드 메디컬 리소시스 코포레이션 수술용 스테이플러에 대한 재장전 샤프트 어셈블리
ES2977934T3 (es) 2016-04-12 2024-09-03 Applied Med Resources Grapadora quirúrgica con mecanismo de articulación
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10561419B2 (en) 2016-05-04 2020-02-18 Covidien Lp Powered end effector assembly with pivotable channel
US11065022B2 (en) 2016-05-17 2021-07-20 Covidien Lp Cutting member for a surgical instrument
US20170360441A1 (en) * 2016-06-15 2017-12-21 Covidien Lp Tool assembly for leak resistant tissue dissection
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
CN109310431B (zh) 2016-06-24 2022-03-04 伊西康有限责任公司 包括线材钉和冲压钉的钉仓
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
US11000278B2 (en) * 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped staples
JP6980705B2 (ja) * 2016-06-24 2021-12-15 エシコン エルエルシーEthicon LLC ワイヤステープル及び打ち抜かれたステープルで使用するためのステープリングシステム
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
US11642126B2 (en) 2016-11-04 2023-05-09 Covidien Lp Surgical stapling apparatus with tissue pockets
US10631857B2 (en) 2016-11-04 2020-04-28 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
US10542981B2 (en) 2016-11-14 2020-01-28 Ethicon Llc Atraumatic stapling head features for circular surgical stapler
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
US10667810B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10835247B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Lockout arrangements for surgical end effectors
US20180168650A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Connection portions for disposable loading units for surgical stapling instruments
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US20180168619A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
JP6983893B2 (ja) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
CN110114014B (zh) 2016-12-21 2022-08-09 爱惜康有限责任公司 包括端部执行器闭锁件和击发组件闭锁件的外科器械系统
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10499914B2 (en) 2016-12-21 2019-12-10 Ethicon Llc Staple forming pocket arrangements
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10624635B2 (en) 2016-12-21 2020-04-21 Ethicon Llc Firing members with non-parallel jaw engagement features for surgical end effectors
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US10709901B2 (en) 2017-01-05 2020-07-14 Covidien Lp Implantable fasteners, applicators, and methods for brachytherapy
US10952767B2 (en) 2017-02-06 2021-03-23 Covidien Lp Connector clip for securing an introducer to a surgical fastener applying apparatus
US10729434B2 (en) * 2017-02-17 2020-08-04 Ethicon Llc Surgical stapler with insertable distal anvil tip
US20180235618A1 (en) 2017-02-22 2018-08-23 Covidien Lp Loading unit for surgical instruments with low profile pushers
US11350915B2 (en) 2017-02-23 2022-06-07 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10849621B2 (en) 2017-02-23 2020-12-01 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10299790B2 (en) 2017-03-03 2019-05-28 Covidien Lp Adapter with centering mechanism for articulation joint
US10660641B2 (en) 2017-03-16 2020-05-26 Covidien Lp Adapter with centering mechanism for articulation joint
US10765442B2 (en) * 2017-04-14 2020-09-08 Ethicon Llc Surgical devices and methods for biasing an end effector to a closed configuration
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US10524784B2 (en) 2017-05-05 2020-01-07 Covidien Lp Surgical staples with expandable backspan
US10390826B2 (en) 2017-05-08 2019-08-27 Covidien Lp Surgical stapling device with elongated tool assembly and methods of use
US10420551B2 (en) 2017-05-30 2019-09-24 Covidien Lp Authentication and information system for reusable surgical instruments
US10478185B2 (en) 2017-06-02 2019-11-19 Covidien Lp Tool assembly with minimal dead space
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10639037B2 (en) 2017-06-28 2020-05-05 Ethicon Llc Surgical instrument with axially movable closure member
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US10624636B2 (en) 2017-08-23 2020-04-21 Covidien Lp Surgical stapling device with floating staple cartridge
US10806452B2 (en) 2017-08-24 2020-10-20 Covidien Lp Loading unit for a surgical stapling instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10925603B2 (en) 2017-11-14 2021-02-23 Covidien Lp Reload with articulation stabilization system
US10863987B2 (en) 2017-11-16 2020-12-15 Covidien Lp Surgical instrument with imaging device
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10687813B2 (en) * 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US10743868B2 (en) 2017-12-21 2020-08-18 Ethicon Llc Surgical instrument comprising a pivotable distal head
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US10945732B2 (en) 2018-01-17 2021-03-16 Covidien Lp Surgical stapler with self-returning assembly
KR20240108551A (ko) 2018-02-27 2024-07-09 어플라이드 메디컬 리소시스 코포레이션 전동 핸들을 갖는 수술용 스테이플러
AU2018411309A1 (en) 2018-03-02 2020-08-06 Covidien Lp Surgical stapling instrument
US10849622B2 (en) 2018-06-21 2020-12-01 Covidien Lp Articulated stapling with fire lock
US10736631B2 (en) 2018-08-07 2020-08-11 Covidien Lp End effector with staple cartridge ejector
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US10849620B2 (en) 2018-09-14 2020-12-01 Covidien Lp Connector mechanisms for surgical stapling instruments
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
US11090051B2 (en) 2018-10-23 2021-08-17 Covidien Lp Surgical stapling device with floating staple cartridge
US11197673B2 (en) 2018-10-30 2021-12-14 Covidien Lp Surgical stapling instruments and end effector assemblies thereof
US11701109B2 (en) * 2018-12-28 2023-07-18 Cilag Gmbh International Surgical stapler with sloped staple deck for varying tissue compression
US10912563B2 (en) 2019-01-02 2021-02-09 Covidien Lp Stapling device including tool assembly stabilizing member
CA3131187A1 (en) 2019-02-27 2020-09-03 Applied Medical Resources Corporation Surgical stapling instrument having a two-position lockout mechanism
US11344297B2 (en) 2019-02-28 2022-05-31 Covidien Lp Surgical stapling device with independently movable jaws
US11259808B2 (en) 2019-03-13 2022-03-01 Covidien Lp Tool assemblies with a gap locking member
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11717293B2 (en) 2019-03-29 2023-08-08 Applied Medical Resources Corporation Reload cover for surgical stapling system
US11284892B2 (en) 2019-04-01 2022-03-29 Covidien Lp Loading unit and adapter with modified coupling assembly
US11284893B2 (en) 2019-04-02 2022-03-29 Covidien Lp Stapling device with articulating tool assembly
US11241228B2 (en) 2019-04-05 2022-02-08 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
WO2021016436A1 (en) * 2019-07-24 2021-01-28 Boston Scientific Scimed, Inc. Fastening device
US11224424B2 (en) 2019-08-02 2022-01-18 Covidien Lp Linear stapling device with vertically movable knife
US11406385B2 (en) 2019-10-11 2022-08-09 Covidien Lp Stapling device with a gap locking member
EP3998959A1 (en) * 2019-10-22 2022-05-25 Boston Scientific Scimed, Inc. Systems, devices, and related methods for fastening tissue
US11123068B2 (en) 2019-11-08 2021-09-21 Covidien Lp Surgical staple cartridge
US11534163B2 (en) 2019-11-21 2022-12-27 Covidien Lp Surgical stapling instruments
US11974743B2 (en) 2019-12-02 2024-05-07 Covidien Lp Linear stapling device with a gap locking member
US11707274B2 (en) 2019-12-06 2023-07-25 Covidien Lp Articulating mechanism for surgical instrument
US11109862B2 (en) 2019-12-12 2021-09-07 Covidien Lp Surgical stapling device with flexible shaft
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
EP4084713A1 (en) 2019-12-31 2022-11-09 Applied Medical Resources Corporation Electrosurgical system with tissue and maximum current identification
US11452524B2 (en) 2020-01-31 2022-09-27 Covidien Lp Surgical stapling device with lockout
US11278282B2 (en) 2020-01-31 2022-03-22 Covidien Lp Stapling device with selective cutting
EP4103070A4 (en) 2020-02-14 2023-11-08 Covidien LP CARTRIDGE HOLDER FOR SURGICAL STAPLES HAVING RIBS IN THE CIRCUMFERENT WALLS FOR GRABING TISSUE
US11344301B2 (en) 2020-03-02 2022-05-31 Covidien Lp Surgical stapling device with replaceable reload assembly
US11344302B2 (en) 2020-03-05 2022-05-31 Covidien Lp Articulation mechanism for surgical stapling device
US11707278B2 (en) 2020-03-06 2023-07-25 Covidien Lp Surgical stapler tool assembly to minimize bleeding
US11246593B2 (en) 2020-03-06 2022-02-15 Covidien Lp Staple cartridge
US11357505B2 (en) 2020-03-10 2022-06-14 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US11317911B2 (en) 2020-03-10 2022-05-03 Covidien Lp Tool assembly with replaceable cartridge assembly
US11406383B2 (en) 2020-03-17 2022-08-09 Covidien Lp Fire assisted powered EGIA handle
JP7490802B2 (ja) 2020-03-24 2024-05-27 コヴィディエン リミテッド パートナーシップ 交換可能なステープルカートリッジを備える外科用ステープル留め装置
US11426159B2 (en) 2020-04-01 2022-08-30 Covidien Lp Sled detection device
US11331098B2 (en) 2020-04-01 2022-05-17 Covidien Lp Sled detection device
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
US11937794B2 (en) 2020-05-11 2024-03-26 Covidien Lp Powered handle assembly for surgical devices
US11406387B2 (en) 2020-05-12 2022-08-09 Covidien Lp Surgical stapling device with replaceable staple cartridge
US11191537B1 (en) 2020-05-12 2021-12-07 Covidien Lp Stapling device with continuously parallel jaws
US11534167B2 (en) 2020-05-28 2022-12-27 Covidien Lp Electrotaxis-conducive stapling
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
US11191538B1 (en) 2020-06-08 2021-12-07 Covidien Lp Surgical stapling device with parallel jaw closure
US11844517B2 (en) 2020-06-25 2023-12-19 Covidien Lp Linear stapling device with continuously parallel jaws
US11324500B2 (en) 2020-06-30 2022-05-10 Covidien Lp Surgical stapling device
US12023027B2 (en) 2020-07-02 2024-07-02 Covidien Lp Surgical stapling device with compressible staple cartridge
US11446028B2 (en) 2020-07-09 2022-09-20 Covidien Lp Tool assembly with pivotable clamping beam
US11517305B2 (en) 2020-07-09 2022-12-06 Covidien Lp Contoured staple pusher
US12089838B2 (en) 2020-07-21 2024-09-17 Covidien Lp Shipping cover for staple cartridge
US20220031350A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with double pivot articulation joint arrangements
US11266402B2 (en) 2020-07-30 2022-03-08 Covidien Lp Sensing curved tip for surgical stapling instruments
US11439392B2 (en) 2020-08-03 2022-09-13 Covidien Lp Surgical stapling device and fastener for pathological exam
US11395654B2 (en) 2020-08-07 2022-07-26 Covidien Lp Surgical stapling device with articulation braking assembly
US11602342B2 (en) 2020-08-27 2023-03-14 Covidien Lp Surgical stapling device with laser probe
US11678878B2 (en) 2020-09-16 2023-06-20 Covidien Lp Articulation mechanism for surgical stapling device
US11660092B2 (en) 2020-09-29 2023-05-30 Covidien Lp Adapter for securing loading units to handle assemblies of surgical stapling instruments
US11701117B2 (en) * 2020-09-29 2023-07-18 Cilag Gmbh International Manual drive functions for surgical tool
US11406384B2 (en) 2020-10-05 2022-08-09 Covidien Lp Stapling device with drive assembly stop member
US11576674B2 (en) 2020-10-06 2023-02-14 Covidien Lp Surgical stapling device with articulation lock assembly
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
EP4236820A1 (en) 2020-10-29 2023-09-06 Applied Medical Resources Corporation Actuation shaft retention mechanism for surgical stapler
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
US12048431B2 (en) 2020-10-29 2024-07-30 Applied Medical Resources Corporation Material combinations and processing methods for a surgical instrument
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
KR20230096060A (ko) 2020-10-29 2023-06-29 어플라이드 메디컬 리소시스 코포레이션 전동 핸들을 갖는 수술용 스테이플러
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11890007B2 (en) 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11737774B2 (en) 2020-12-04 2023-08-29 Covidien Lp Surgical instrument with articulation assembly
US11819200B2 (en) 2020-12-15 2023-11-21 Covidien Lp Surgical instrument with articulation assembly
US11553914B2 (en) 2020-12-22 2023-01-17 Covidien Lp Surgical stapling device with parallel jaw closure
US11759206B2 (en) 2021-01-05 2023-09-19 Covidien Lp Surgical stapling device with firing lockout mechanism
US11744582B2 (en) 2021-01-05 2023-09-05 Covidien Lp Surgical stapling device with firing lockout mechanism
US11517313B2 (en) 2021-01-27 2022-12-06 Covidien Lp Surgical stapling device with laminated drive member
US11759207B2 (en) 2021-01-27 2023-09-19 Covidien Lp Surgical stapling apparatus with adjustable height clamping member
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11717300B2 (en) 2021-03-11 2023-08-08 Covidien Lp Surgical stapling apparatus with integrated visualization
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11974750B2 (en) 2021-03-26 2024-05-07 Covidien Lp Surgical staple cartridge
US11497495B2 (en) 2021-03-31 2022-11-15 Covidien Lp Continuous stapler strip for use with a surgical stapling device
US11666330B2 (en) 2021-04-05 2023-06-06 Covidien Lp Surgical stapling device with lockout mechanism
US11576670B2 (en) 2021-05-06 2023-02-14 Covidien Lp Surgical stapling device with optimized drive assembly
US11812956B2 (en) 2021-05-18 2023-11-14 Covidien Lp Dual firing radial stapling device
US11696755B2 (en) 2021-05-19 2023-07-11 Covidien Lp Surgical stapling device with reload assembly removal lockout
US11510673B1 (en) 2021-05-25 2022-11-29 Covidien Lp Powered stapling device with manual retraction
US11771423B2 (en) 2021-05-25 2023-10-03 Covidien Lp Powered stapling device with manual retraction
US11701119B2 (en) 2021-05-26 2023-07-18 Covidien Lp Powered stapling device with rack release
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
US11576675B2 (en) 2021-06-07 2023-02-14 Covidien Lp Staple cartridge with knife
US11707275B2 (en) 2021-06-29 2023-07-25 Covidien Lp Asymmetrical surgical stapling device
US11617579B2 (en) 2021-06-29 2023-04-04 Covidien Lp Ultra low profile surgical stapling instrument for tissue resections
US11602344B2 (en) 2021-06-30 2023-03-14 Covidien Lp Surgical stapling apparatus with firing lockout assembly
US11540831B1 (en) 2021-08-12 2023-01-03 Covidien Lp Staple cartridge with actuation sled detection
US11779334B2 (en) 2021-08-19 2023-10-10 Covidien Lp Surgical stapling device including a manual retraction assembly
US11576671B1 (en) 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11707277B2 (en) 2021-08-20 2023-07-25 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US12023028B2 (en) 2021-08-20 2024-07-02 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US11660094B2 (en) 2021-09-29 2023-05-30 Covidien Lp Surgical fastening instrument with two-part surgical fasteners
US11653922B2 (en) 2021-09-29 2023-05-23 Covidien Lp Surgical stapling device with firing lockout mechanism
US11849949B2 (en) 2021-09-30 2023-12-26 Covidien Lp Surgical stapling device with firing lockout member
US12035909B2 (en) 2021-10-13 2024-07-16 Covidien Lp Surgical stapling device with firing lockout mechanism
CN113876378B (zh) * 2021-10-15 2023-03-21 苏州贝诺医疗器械有限公司 一种方便调节弧度的弧形切割吻合器
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments

Family Cites Families (118)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2004014A (en) * 1931-08-05 1935-06-04 Alfred F Sanford Refrigerating apparatus
US2004013A (en) * 1934-07-11 1935-06-04 Clarence E Reed Antifriction bearing assembly for drills
US2004172A (en) * 1934-07-31 1935-06-11 Everett F Niday Starting block
US4473077A (en) * 1982-05-28 1984-09-25 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4610383A (en) * 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
GB8422863D0 (en) * 1984-09-11 1984-10-17 Univ London Sewing machine
US4754909A (en) * 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4566620A (en) * 1984-10-19 1986-01-28 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4728020A (en) * 1985-08-30 1988-03-01 United States Surgical Corporation Articulated surgical fastener applying apparatus
US5269809A (en) 1990-07-02 1993-12-14 American Cyanamid Company Locking mechanism for use with a slotted suture anchor
US5041129A (en) * 1990-07-02 1991-08-20 Acufex Microsurgical, Inc. Slotted suture anchor and method of anchoring a suture
US5156315A (en) * 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5080663A (en) * 1990-09-26 1992-01-14 Univerity College London Sewing device
US5042707A (en) * 1990-10-16 1991-08-27 Taheri Syde A Intravascular stapler, and method of operating same
US5383888A (en) * 1992-02-12 1995-01-24 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5326013A (en) * 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5312023A (en) * 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5348259A (en) * 1992-02-10 1994-09-20 Massachusetts Institute Of Technology Flexible, articulable column
US5217486A (en) * 1992-02-18 1993-06-08 Mitek Surgical Products, Inc. Suture anchor and installation tool
US5417203A (en) * 1992-04-23 1995-05-23 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5330486A (en) * 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
US7060077B2 (en) * 1992-09-04 2006-06-13 Boston Scientific Scimed, Inc. Suturing instruments and methods of use
GB9218754D0 (en) 1992-09-04 1992-10-21 Univ London Device for use in securing a thread
US6010515A (en) * 1993-09-03 2000-01-04 University College London Device for use in tying knots
US5713910A (en) * 1992-09-04 1998-02-03 Laurus Medical Corporation Needle guidance system for endoscopic suture device
US6048351A (en) * 1992-09-04 2000-04-11 Scimed Life Systems, Inc. Transvaginal suturing system
US5411519A (en) 1992-09-23 1995-05-02 United States Surgical Corporation Surgical apparatus having hinged jaw structure
US5374277A (en) 1992-10-09 1994-12-20 Ethicon, Inc. Surgical instrument
US5381943A (en) * 1992-10-09 1995-01-17 Ethicon, Inc. Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge
US5330502A (en) * 1992-10-09 1994-07-19 Ethicon, Inc. Rotational endoscopic mechanism with jointed drive mechanism
US5330442A (en) 1992-10-09 1994-07-19 United States Surgical Corporation Suture retaining clip
US5409498A (en) 1992-11-05 1995-04-25 Ethicon, Inc. Rotatable articulating endoscopic fastening instrument
US5540375A (en) * 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
DE69414244T2 (de) * 1993-04-30 1999-04-22 United States Surgical Corp., Norwalk, Conn. Chirurgisches instrument mit einer schwenkbaren backenstruktur
US5549630A (en) 1993-05-14 1996-08-27 Bonutti; Peter M. Method and apparatus for anchoring a suture
DE4319105C1 (de) * 1993-06-04 1994-09-22 Ethicon Endo Surgery Europe Chirurgische Klammereinrichtung zum Setzen von Wundnähten und Vorrichtung zum Setzen der Klammereinrichtung
US5398670A (en) * 1993-08-31 1995-03-21 Ethicon, Inc. Lumen traversing device
US5405344A (en) 1993-09-30 1995-04-11 Ethicon, Inc. Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor
WO1995011630A1 (en) 1993-10-25 1995-05-04 Children's Medical Center Corporation Retractable suture needle with self-contained driver
US5465894A (en) 1993-12-06 1995-11-14 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5405073A (en) 1993-12-06 1995-04-11 Ethicon, Inc. Flexible support shaft assembly
US5437681A (en) * 1994-01-13 1995-08-01 Suturtek Inc. Suturing instrument with thread management
GB9405791D0 (en) * 1994-03-23 1994-05-11 Univ London Device for use in cutting threads
US5833695A (en) * 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
US5462558A (en) 1994-08-29 1995-10-31 United States Surgical Corporation Suture clip applier
US5456684A (en) 1994-09-08 1995-10-10 Hutchinson Technology Incorporated Multifunctional minimally invasive surgical instrument
US5514159A (en) * 1994-09-13 1996-05-07 United States Surgical Corporation Guillotine suture clip
US5901895A (en) * 1994-10-05 1999-05-11 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
US5814071A (en) * 1994-11-10 1998-09-29 Innovasive Devices, Inc. Suture anchor assembly and methods
US5704534A (en) 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
US5632432A (en) * 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5626607A (en) * 1995-04-03 1997-05-06 Heartport, Inc. Clamp assembly and method of use
US5540705A (en) * 1995-05-19 1996-07-30 Suturtek, Inc. Suturing instrument with thread management
US5860992A (en) * 1996-01-31 1999-01-19 Heartport, Inc. Endoscopic suturing devices and methods
US5709693A (en) * 1996-02-20 1998-01-20 Cardiothoracic System, Inc. Stitcher
DE19731834A1 (de) * 1997-07-24 1999-06-17 Ernst Peter Prof Dr M Strecker Implantationsvorrichtung
US5899921A (en) * 1997-07-25 1999-05-04 Innovasive Devices, Inc. Connector device and method for surgically joining and securing flexible tissue repair members
IL121752A0 (en) * 1997-09-11 1998-02-22 Gaber Benny Stitching tool
US5887594A (en) * 1997-09-22 1999-03-30 Beth Israel Deaconess Medical Center Inc. Methods and devices for gastroesophageal reflux reduction
US5865361A (en) * 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
EP1067872B1 (en) * 1998-03-20 2006-03-01 Boston Scientific Limited Endoscopic suture system
US6036694A (en) * 1998-08-03 2000-03-14 Innovasive Devices, Inc. Self-tensioning soft tissue fixation device and method
US6200329B1 (en) * 1998-08-31 2001-03-13 Smith & Nephew, Inc. Suture collet
US6835200B2 (en) 1999-06-22 2004-12-28 Ndo Surgical. Inc. Method and devices for tissue reconfiguration
US6506196B1 (en) * 1999-06-22 2003-01-14 Ndo Surgical, Inc. Device and method for correction of a painful body defect
US6821285B2 (en) 1999-06-22 2004-11-23 Ndo Surgical, Inc. Tissue reconfiguration
US6494888B1 (en) 1999-06-22 2002-12-17 Ndo Surgical, Inc. Tissue reconfiguration
US6663639B1 (en) * 1999-06-22 2003-12-16 Ndo Surgical, Inc. Methods and devices for tissue reconfiguration
US8574243B2 (en) * 1999-06-25 2013-11-05 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7416554B2 (en) * 2002-12-11 2008-08-26 Usgi Medical Inc Apparatus and methods for forming and securing gastrointestinal tissue folds
JP2001313389A (ja) 2000-05-01 2001-11-09 Seiko Epson Corp 半導体装置およびその製造方法
ES2252231T3 (es) * 2000-05-15 2006-05-16 C.R. Bard, Inc. Mecanismo de fijacion de un accesorio endoscopico.
US7220266B2 (en) * 2000-05-19 2007-05-22 C. R. Bard, Inc. Tissue capturing and suturing device and method
US6540789B1 (en) * 2000-06-15 2003-04-01 Scimed Life Systems, Inc. Method for treating morbid obesity
US6572629B2 (en) * 2000-08-17 2003-06-03 Johns Hopkins University Gastric reduction endoscopy
US7037324B2 (en) * 2000-09-15 2006-05-02 United States Surgical Corporation Knotless tissue anchor
US6755843B2 (en) * 2000-09-29 2004-06-29 Olympus Optical Co., Ltd. Endoscopic suturing device
US6719763B2 (en) * 2000-09-29 2004-04-13 Olympus Optical Co., Ltd. Endoscopic suturing device
US8313496B2 (en) * 2001-02-02 2012-11-20 Lsi Solutions, Inc. System for endoscopic suturing
US6997931B2 (en) * 2001-02-02 2006-02-14 Lsi Solutions, Inc. System for endoscopic suturing
US6524328B2 (en) * 2001-04-12 2003-02-25 Scion International, Inc. Suture lock, lock applicator and method therefor
US20050143760A1 (en) * 2001-05-01 2005-06-30 Imran Mir A. Endoscopic gastric constriction device
US6558400B2 (en) * 2001-05-30 2003-05-06 Satiety, Inc. Obesity treatment tools and methods
CN101513356B (zh) 2001-06-14 2013-04-24 苏太克股份有限公司 外科线缝合的设备和方法
US7115136B2 (en) * 2001-06-20 2006-10-03 Park Medical Llc Anastomotic device
US20030032967A1 (en) 2001-06-20 2003-02-13 Park Medical, Llc Anastomotic device
JP4197158B2 (ja) * 2001-07-16 2008-12-17 デピュイ・プロダクツ・インコーポレイテッド 天然に発生する生物学的に誘導されている材料による装置
US6755338B2 (en) * 2001-08-29 2004-06-29 Cerebral Vascular Applications, Inc. Medical instrument
WO2003028544A2 (en) * 2001-10-04 2003-04-10 Gibbens & Borders, Llc Cycling suturing and knot-tying device
US7618425B2 (en) * 2002-01-30 2009-11-17 Olympus Corporation Endoscopic suturing system
US7530985B2 (en) * 2002-01-30 2009-05-12 Olympus Corporation Endoscopic suturing system
US20030225312A1 (en) 2002-03-18 2003-12-04 Anthony Kalloo Endoscopic system for treating inside of body cavity
US6988987B2 (en) 2002-03-18 2006-01-24 Olympus Corporation Guide tube
US7232447B2 (en) 2002-06-12 2007-06-19 Boston Scientific Scimed, Inc. Suturing instrument with deflectable head
US6773440B2 (en) * 2002-07-02 2004-08-10 Satiety, Inc. Method and device for use in tissue approximation and fixation
US6746460B2 (en) * 2002-08-07 2004-06-08 Satiety, Inc. Intra-gastric fastening devices
JP4667038B2 (ja) 2002-09-06 2011-04-06 シー・アール・バード・インク 内視鏡付属品装着アダプタ
US7666195B2 (en) * 2002-09-09 2010-02-23 Brian Kelleher Device and method for endoluminal therapy
US7229428B2 (en) * 2002-10-23 2007-06-12 Satiety, Inc. Method and device for use in endoscopic organ procedures
US7090690B2 (en) * 2002-11-19 2006-08-15 Arthrocare Corporation Devices and methods for repairing soft tissue
US7942898B2 (en) * 2002-12-11 2011-05-17 Usgi Medical, Inc. Delivery systems and methods for gastric reduction
US6908427B2 (en) * 2002-12-30 2005-06-21 PARÉ Surgical, Inc. Flexible endoscope capsule
WO2004086986A1 (en) * 2003-03-28 2004-10-14 Gibbens Group Llc Leverage locking reversible cyclic suturing and knot-tying device
US7175638B2 (en) 2003-04-16 2007-02-13 Satiety, Inc. Method and devices for modifying the function of a body organ
BRPI0410376B1 (pt) * 2003-05-16 2016-06-14 Bard Inc C R sistema de sutura endoscópica de múltiplos pontos e entubação única
US20050070931A1 (en) * 2003-08-06 2005-03-31 Rhodemann Li Method and apparatus for creating a restriction in the stomach or other anatomical structure
US8100923B2 (en) * 2003-09-15 2012-01-24 Abbott Laboratories Suture locking device and methods
US20050070935A1 (en) * 2003-09-30 2005-03-31 Ortiz Mark S. Single lumen access deployable ring for intralumenal anastomosis
US7309341B2 (en) * 2003-09-30 2007-12-18 Ethicon Endo-Surgery, Inc. Single lumen anastomosis applier for self-deploying fastener
US7608086B2 (en) * 2003-09-30 2009-10-27 Ethicon Endo-Surgery, Inc. Anastomosis wire ring device
US7452363B2 (en) * 2003-09-30 2008-11-18 Ethicon Endo-Surgery, Inc. Applier for fastener for single lumen access anastomosis
US20050075654A1 (en) * 2003-10-06 2005-04-07 Brian Kelleher Methods and devices for soft tissue securement
US7147650B2 (en) * 2003-10-30 2006-12-12 Woojin Lee Surgical instrument
WO2005079673A2 (en) 2004-02-13 2005-09-01 Satiety, Inc. Methods for reducing hollow organ volume
MXPA06009971A (es) 2004-02-27 2007-08-08 Satiety Inc Metodos y dispositivo para reducir volumen de organo hueco.
US20050203488A1 (en) 2004-03-09 2005-09-15 Usgi Medical Inc. Apparatus and methods for mapping out endoluminal gastrointestinal surgery
US20080169333A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapler end effector with tapered distal end

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101820824B (zh) * 2007-10-31 2014-03-12 泰尔茂株式会社 医疗操纵器
CN102048566B (zh) * 2009-10-01 2015-07-01 柯惠Lp公司 用于手术器械的解剖尖端和导入构件
CN102048566A (zh) * 2009-10-01 2011-05-11 Tyco医疗健康集团 用于手术器械的解剖尖端和导入构件
CN103462659A (zh) * 2010-09-30 2013-12-25 伊西康内外科公司 用于外科器械的钳口闭合装置
CN103462659B (zh) * 2010-09-30 2016-09-28 伊西康内外科公司 用于外科器械的钳口闭合装置
CN108066010A (zh) * 2016-11-10 2018-05-25 香港大学深圳研究院 一种具有柔性和多自由度的手术机器人
CN108066010B (zh) * 2016-11-10 2024-04-30 香港大学深圳研究院 一种具有柔性和多自由度的手术机器人
CN110300552A (zh) * 2017-02-17 2019-10-01 爱惜康有限责任公司 将辅料材料递送并固定到治疗部位的方法和装置
CN111051822B (zh) * 2017-07-14 2022-03-29 伊利诺斯工具制品有限公司 测试设备和测试设备的手柄
CN111051822A (zh) * 2017-07-14 2020-04-21 伊利诺斯工具制品有限公司 测试设备和测试设备的手柄
CN112294384A (zh) * 2020-10-30 2021-02-02 苏州贝诺医疗器械有限公司 一种吻合器改进型驱动组件、端部执行器及腔内吻合器
CN112294384B (zh) * 2020-10-30 2021-05-11 苏州贝诺医疗器械有限公司 一种吻合器改进型驱动组件、端部执行器及腔内吻合器
CN112401962B (zh) * 2020-10-30 2021-06-04 苏州贝诺医疗器械有限公司 一种具有倾斜角度的端部执行器及腔内吻合器
CN112401962A (zh) * 2020-10-30 2021-02-26 苏州贝诺医疗器械有限公司 一种具有倾斜角度的端部执行器及腔内吻合器
CN112754575A (zh) * 2021-01-23 2021-05-07 常州安康医疗器械有限公司 一种方便拆卸更换电池的电动腔镜吻合器
CN112754575B (zh) * 2021-01-23 2022-06-17 常州安康医疗器械有限公司 一种方便拆卸更换电池的电动腔镜吻合器

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EP1790293A3 (en) 2007-08-15
US20070114261A1 (en) 2007-05-24
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ATE476145T1 (de) 2010-08-15
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BRPI0604740B8 (pt) 2021-06-22
CA2568580C (en) 2014-09-09
DE602006015893D1 (de) 2010-09-16
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CA2568580A1 (en) 2007-05-23
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