CN101394798A - 超声波切割工具 - Google Patents

超声波切割工具 Download PDF

Info

Publication number
CN101394798A
CN101394798A CNA2007800071984A CN200780007198A CN101394798A CN 101394798 A CN101394798 A CN 101394798A CN A2007800071984 A CNA2007800071984 A CN A2007800071984A CN 200780007198 A CN200780007198 A CN 200780007198A CN 101394798 A CN101394798 A CN 101394798A
Authority
CN
China
Prior art keywords
instrument
waveguide assembly
longitudinal axis
condensing means
cutting
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CNA2007800071984A
Other languages
English (en)
Inventor
M·J·R·扬
S·M·R·扬
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CN101394798A publication Critical patent/CN101394798A/zh
Pending legal-status Critical Current

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
    • A61B2017/00438—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping connectable to a finger
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
  • Food-Manufacturing Devices (AREA)
  • Knives (AREA)
  • Brushes (AREA)

Abstract

本发明涉及一种超声波手术工具，工具的细长的波导在远端处可操作地连接到超声波振动源上。切割和/或凝结刀刃安装到波导的远端。这些刀刃通常在工作平面内起作用。手柄安装到波导的远端并且具有用抓握手柄的手的指尖可操作的再定位器，从而将刀刃的工作平面再定位至优选的方向。

Description

超声波切割工具
技术领域
本发明涉及一种超声波手术工具，例如用于切割软体组织的超声波腹腔镜工具。尤其地，而不是专有地，其涉及可以更容易地定位以在所需平面进行切割的这样的工具。
背景技术
已经证明超声波振动切割工具对手术而言具有很大的好处，尤其是腹腔镜手术(所谓的“锁孔”手术)。细长、窄的手术工具通常与光学纤维观察系统一起通过较小的切口导入到病人的体内并且转向至需要手术的组织的精确区域。不仅是超声波振动工具只是当选择性地作用超声波能量时进行切割，而且当它们切割时它们可以很容易地适于灼烧组织。因此，在一次手术中血管可能既被阻断又被密封，例如，现著地减少流血。在腹腔镜手术中这样能够止血的切割特别有用，其中可见度是非常珍贵的。
对切割和/或凝结工具的一个特别有用的几何形状包括在其远端具有刀刃部件的细长的、超声波振动的波导，以及远离超声波振动的可移动的爪部件，其可以可控制地移动为与波导接触，捕集将被切割或在其中被凝结的组织。在我们的英国专利号No.2333709中公开了这样的机构的例子，其中爪构件可转动地朝向或远离波导移动。
这样的爪机构的特征是爪机构通常在特别的平面中打开和关闭。因此，为了在需要的方向切割组织元件，爪必须提供在实质上的正确对齐方向上。大多数这样的工具使用在工具近端处的手持件转向和操作。因此，为了将远端的爪机构与将处理的组织正确地定位，使用者可能需要将他或她的腕，臂并且甚至肩转动很大的角度。一些工具已经提出，近端的手持件和远端的爪的相对定位可以调节至一个有限数目的预定角度。这可以稍稍地解决问题，但这样的工具需要两手操作以进行调整，这可能对外科医生而言在复杂和精密的过程的中途是不能接受的。无论如何，使用者仍然希望将工具转动至所需的精确角度，这可能在对于工具可利用的预定角度之间。
因此对超声波切割工具而言是一种需要，即在不需要使用者较大的身体扭曲的情况下，以需要的定位更容易地出现在将被处理的组织面前。
因此，本发明的目标是提供一种超声波切割和/或凝结工具，其消除了上述缺点并且允许使用者在不需要再定位其手持件的情况下以需要的校正容易地将工具的操作元件展现在将处理的组织面前。
发明内容
根据本发明，提供一种超声波手术工具，包括在近端可操作地连接或可连接到超声波振动的源的细长的波导装置，安装到波导装置的远端并且通常在工作平面内起作用的切割和/或凝结装置，安装到相邻的波导装置的近端手动地可抓握的手柄装置，并且具有用抓握手柄装置的手的指尖可操作以将切割和/或凝结装置的所述工作平面重新定位至优选的方向的装置。
优选地，所述重定位装置使得切割和/或凝结装置围绕波导装置的纵轴转动。
有利地，所述纵轴被包含在所述工作平面中。
所述重定位装置使得波导装置和切割和/或凝结装置一起围绕所述纵轴转动。
优选地，重定位装置包括机械增益装置以增加切割和/或凝结装置可利用的转动转矩。
有利地，所述传动比装置包括齿轮传动装置。
所述齿轮传动装置可以提供在1.5比1以及3比1之间的机械增益，可选地在2比1附近。
优选地，重定位装置包括由抓握手柄装置的手的指尖可接触并且可转动的轮装置。
轮装置可以绕横向于波导装置的纵轴延伸的轴可转动，并且所述轴任意地实质上垂直于所述纵轴延伸。
然后齿轮可以包括锥齿轮装置。
可替换地，轮装置可以绕通常平行于波导装置的纵轴延伸的轴转动。
轮装置可以具有适于与其接合的指尖的抓紧装置。
优选地，重定位装置选择性地在手柄装置上再定位以适于特定使用者的指尖。
有利地，重定位装置安装到手柄装置的一部份上，该部分相对于其剩余部分可选择性地移动。
所述部分可以任意地绕波导装置的纵轴可转动。
在优选实施例中，波导装置连接到或可连接到扭振形式超声波振动源上。
有利地，切割和/或凝结装置包括安装到波导装置的远端上的用超声波可振动的刀刃装置。
切割和/或凝结装置然后可以进一步包括可枢转地可移动的爪构件，其与超声波振动隔离并且与刀刃装置呈选择性地可移动进或可移动出的操作关系。
爪构件然后可以向刀刃装置枢转以与将被切割的组织接合和/或在其中灼烧。
爪构件因此在所述工作平面内枢转。
工作面可以远离刀刃装置的刃口延伸。
在任意的实施例中，当爪构件与刀刃装置呈移动进或移动出的操作关系时，其同时地相对于纵轴枢转和转动。
临近所述工作关系的运动的爪构件的一部分然后实质上在所述工作平面内延伸。
优选地，工具的手柄装置包括适于其的手动可操作的控制装置以移动爪构件。
有利地，所述控制装置可用与操作重定位装置相同的手操作。
控制装置可以可调节至适于特定使用者的手。
还可以选择性地提供装置以打开超声波振动的源。
任意地，所述打开装置可以安装到手柄装置上。
可替换地，所述打开装置可以包括远离手柄装置布置的踏板装置。
波导装置可以被与超声波振动隔离的屏蔽装置沿其大部分范围围绕。
爪构件可以枢转地安装到屏蔽装置上。
附图说明
参照附图，现在将以举例的方式更特别地说明本发明的实施例，其中：
图1是实施本发明的工具的手持件的示意性的横截面侧视图；
图2是可与图1的工具一起使用的在末端的爪机构的局部侧视图；
图3是可与图1的工具一起使用的转动控制机构的局部侧视图；
图4是从图3所示的转动控制机构的下部的平面图；
图5A和5B是图1所示的手持件的示意性的远端侧视图，并且转动控制机构在两个可替换的位置；
图6A和6B是图1所示的工具的远端爪机构在工作中的示意性的侧视图。
图7A和7B是图6A和6B的爪机构在工作中的示意性的远端侧视图；
图8是用于图1所示的工具的可替换的远端操作元件的侧视图。
具体实施方式
现在参照附图，尤其是附图1，超声波手术工具1包括手持件2，其被保持在外科医生或其他使用者的一只手中。在这种情况下，手持件2具有拇指环3和和手指弓形弯4，这里手指头弓形弯适于接收外科医生的手的中指，无名指和小指。手指弓形弯4可枢转地安装到手持件2上从而其可以朝向和远离静止的拇指环3移动，并且可操作地连接到工具1的爪操作机构5上(为了清楚省略了细节)，其具有如下的功能。
超声波振动的产生器(未示出)通过在其最近端的孔6可分离地连接到手持件2上。尽管本发明同样地也适用于使用纵向振动形式超声波振动，但是示出的特别的工具1使用扭振形式的超声波振动。
细长的、窄的钛波导7从手持件2的远端延伸出。波导7可操作地连接到超声发生器上并且从此处将超声振动传递到安装在其远端上的工具1的操作元件上(例如，如图2所示)。细长的波导7限定了工具1的纵轴8。圆柱的屏蔽构件9围绕波导7轴向地延伸。该屏蔽构件9将超声振动隔离。
图2示出了可以安装在工具1的远端的多个工作元件。刀刃构件10安装在波导7的远端并且因此超声波地可振动。爪构件11在第一枢轴点12可枢转地安装到屏蔽构件9的远端并且因此与超声波振动隔离。控制杆13从屏蔽构件9内的手持件2的爪操作机构5延伸至在爪构件11的第二枢轴点14。
当外科医生将手指弓形弯4向拇指环3移动时，爪操作机构5使得控制杆13推动爪构件11以枢转至与刀刃构件10接触。手指弓形弯4的反向运动使得爪构件11枢转远离刀刃构件10。
将被切割的组织被夹在爪构件11与刀刃构件10之间，并且刀刃构件10然后超声波地振动。组织被隔断并且例如血液的体液在那里凝结，这样提供了干净的，可控制的，能够止血的切割。(注意，一些其它的机构公知为用于将剪刀状的手持件的移动转变为枢转爪移动并且本发明并不受所示的的限制)
清楚地，爪构件11仅在由箭头15所示的平面内枢转。当工具1在腹腔镜过程中使用时，其通过微细的切口被插入体内，并且通常伴随有光学纤维的内窥镜布置，从而外科医生可以视察，夹持并且切除目标组织。如果该组织不与爪的平面15成一条直线，为了所需要的切除外科医生必须沿纵轴8转动整个工具1直到爪的平面15正确地定位。这可能使得外科医生不得不弯曲他或她的腕，臂，肩膀并且有时甚至躯干以恰当地转动工具1。这明显是非常麻烦的，可能使得外科医生疲劳并且可能妨碍外科医生对切割程序的精密控制。因此如图1总体上的所示并且如图3更详细地示出，本发明的工具1具有转动控制机构16以克服该问题。
转动控制机构16的主体17安装到手持件2的远端，这样屏蔽构件9，波导7以及纵轴8通过其中。控制轮18通过轮轴19可转动地安装到主体17上。也安装到轮轴19上的第一锥齿轮20与连接到控制机构5上的较大的第二锥齿轮21啮合。轮轴19绕与纵轴8成直角相交的轴可转动，而第二锥齿轮21绕纵轴8本身可转动。
控制轮18具有四个盘状的凹部22，其尺寸为接收使用者的手的指尖。使用者将他的食指延伸以接触控制轮18，优选地使用便利的凹部22，并且转动在其轮轴19上的控制轮18。这转动了与第二锥齿轮21啮合的第一锥齿轮20并且转动第二锥齿轮21，并且因此转动了爪控制机构5。这样，这些都按顺序地连接到绕纵轴8转动的屏蔽构件9和波导7，因此也转动了爪构件11的平面15和刀刃构件10。因此外科医生可以通过控制轮18的指尖转动“拨动出”末端的爪机构所需的角对准。
锥齿轮20，21也相对地设定尺寸从而提供1.5:1和3：1之间的传动比，典型地2：1。因此，如果控制轮18转动360°，第二锥齿轮21，并且因此末端的爪机构将仅转动180°，但外科医生只需要用他的食指作用一半的所需转动力矩。
在使用中，在转动控制机构16的主体17的下侧上的(如图4所示)控制轮18的位置使得用一些和全部剩余手指抓握手指弓形弯4的手的食指相对更方便。然而，已经知道如果外科医生可以适应手柄的更好的结构，具有这样的剪刀状的手柄的手术工具既更好可控制并且更舒适。我们的英国专利号No.2348390公开了可交换的手指弓形弯4，拇指环3等，其使得这类型的手术工具适于惯用左手的或惯用右手的使用者，用于不同的手指尺寸并且甚至用于不同的个人偏好，例如许多手指容纳在手指弓形弯内。为了使得本发明的工具1对大部分的使用者而言更方便，因此控制轮18的位置是可调节的。主体17安装到手持件2的壳体的远端的台肩23上。其可以从此处向工具1的远端撤回较小的距离，绕纵轴8转动并且撤换。因此，如图5A和5B所示，在使用工具1之前，控制轮18可以相对于手指弓形弯4定位成一定的角度，即对使用者的食指最舒适和最方便。例如，图5B所示的结构是对用使用者的右手操作手持件2而言最适合的。
图6A，6B，7A和7B示出了在体组织的元件24上的工具1的操作。外科医生将远端爪机构放至组织24(图6A)，将刀刃构件10和爪构件11放置至其相对侧。使用手指弓形弯4和拇指环3，他或她将爪构件11向下放置到刀刃构件10上部，捕集组织24。然而打开超声波产生器(这可以用底脚打开踏板或用位于手持件上的开关执行)，在刀刃构件10中产生强烈的扭振形式超声波振动，切断并且灼烧组织24。然后手指弓形弯4和拇指环3分开，为了随后的切割打开爪机构。
这里，如图7A所示，爪构件11没有定位为能够方便地抓握并且夹持组织元件(例如血管25)，外科医生，作为第一步骤，用他或她的食指“拨动”控制轮18直到爪构件11转动至更好的定位，如图7B所示，在该位置上，他或她围绕血管25定位爪机构并且如上所述地进行。
如上所述，不仅是具有爪机构的工具受益于可操作的远端元件的转动。图8示出了如在我们的英国专利号No.2365775中公开的钩状的刀刃26。这安装到波导7的远端，并且通过将钩状的刀刃26的最近的边缘布置为与将切割的组织24相接触。然而波导7振动，优选地以扭振形式超声波振动，并且刀刃26在最接近的方向轻轻地移动，切断组织24。该工具也具有其将进行切割的限定的平面，这可以需要转动以在特别的组织片上操作。因此，在这种情况下，结合到工具的手持件中从而允许钩状的刀刃26可控制地绕波导7的纵轴8转动的转动控制机构16同样也具有显著的优点。

Claims (12)

1.一种超声波手术工具，包括在近端可操作地可连接到超声波振动源的细长的波导装置，安装到波导装置的远端并且通常在工作平面内起作用的切割和/或凝结装置，安装到波导装置的近端附近的手动地可抓握的手柄装置，以及用抓握手柄装置的手的指尖可操作以将切割和/或凝结装置的所述工作平面重新定位至优选的方向的重定位装置。
2.如权利要求1所述的工具，其特征在于，所述重定位装置使得切割和/或凝结装置围绕波导装置的纵轴转动。
3.如权利要求2所述的工具，其特征在于，所述纵轴被包含在所述工作平面中。
4.如权利要求3所述的工具，其特征在于，所述重定位装置使得波导装置和切割和/或凝结装置一起围绕所述纵轴转动。
5.如权利要求4所述的工具，其特征在于，重定位装置包括机械增益的装置，例如齿轮传动装置，以增加切割和/或凝结装置可利用的转动转矩。
6.如上述任一项权利要求所述的工具，其特征在于，重定位装置包括由抓握手柄装置的手的指尖可接触并且可转动的轮装置。
7.如权利要求6所述的工具，其特征在于，轮装置绕横向于波导装置的纵轴延伸的轴可转动，并且所述轴可选地垂直于所述纵轴延伸。
8.如权利要求6所述的工具，其特征在于，轮装置绕通常平行于波导装置的纵轴延伸的轴可转动。
9.如上述任一项权利要求所述的工具，其特征在于，重定位装置选择性地在手柄装置上再定位以适于特定使用者的指尖。
10.如上述任一项权利要求所述的工具，其特征在于，重定位装置安装到手柄装置的一部分上，该部分相对于其剩余部分可选择性地移动。
11.如权利要求10所述的工具，其特征在于，所述部分可以任意地绕波导装置的纵轴可转动。
12.如上述任一项权利要求所述的工具，其特征在于，波导装置连接到或可连接到扭振形式超声波振动源上。
CNA2007800071984A 2006-01-31 2007-01-31 超声波切割工具 Pending CN101394798A (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB0601881A GB2435214B (en) 2006-01-31 2006-01-31 Ultrasonic Cutting Tool
GB0601881.6 2006-01-31

Publications (1)

Publication Number Publication Date
CN101394798A true CN101394798A (zh) 2009-03-25

Family

ID=36061151

Family Applications (1)

Application Number Title Priority Date Filing Date
CNA2007800071984A Pending CN101394798A (zh) 2006-01-31 2007-01-31 超声波切割工具

Country Status (10)

Country Link
US (1) US20090177218A1 (zh)
EP (1) EP1983908A1 (zh)
JP (1) JP2009525106A (zh)
CN (1) CN101394798A (zh)
AU (1) AU2007210912A1 (zh)
CA (1) CA2640599A1 (zh)
GB (1) GB2435214B (zh)
NO (1) NO20083741L (zh)
WO (1) WO2007088356A1 (zh)
ZA (1) ZA200807376B (zh)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106963486A (zh) * 2017-05-20 2017-07-21 王新 一种食道反流射频消融电极
CN107174336A (zh) * 2017-05-20 2017-09-19 王新 一种食道反流射频消融电极
CN113747845A (zh) * 2019-04-30 2021-12-03 西拉格国际有限公司 外科器械上的轴旋转致动器

Families Citing this family (321)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
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
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
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
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International 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
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
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
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
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
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
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
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
US8827133B2 (en) 2007-01-11 2014-09-09 Ethicon Endo-Surgery, Inc. Surgical stapling device having supports for a flexible drive mechanism
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8590762B2 (en) 2007-03-15 2013-11-26 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configurations
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
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
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
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
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
JP2012517287A (ja) 2009-02-06 2012-08-02 エシコン・エンド−サージェリィ・インコーポレイテッド 被駆動式手術用ステープラの改良
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US8740038B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a releasable portion
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US9113943B2 (en) 2011-03-30 2015-08-25 Covidien Lp Ultrasonic surgical instruments
US9114181B2 (en) 2011-03-30 2015-08-25 Covidien Lp Process of cooling surgical device battery before or during high temperature sterilization
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
CN104379068B (zh) 2012-03-28 2017-09-22 伊西康内外科公司 包括组织厚度补偿件的保持器组件
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
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
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
CN104487005B (zh) 2012-06-28 2017-09-08 伊西康内外科公司 空夹仓闭锁件
MX368026B (es) 2013-03-01 2019-09-12 Ethicon Endo Surgery Inc Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal.
BR112015021082B1 (pt) 2013-03-01 2022-05-10 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US10405857B2 (en) 2013-04-16 2019-09-10 Ethicon Llc Powered linear surgical stapler
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
CN106028966B (zh) 2013-08-23 2018-06-22 伊西康内外科有限责任公司 用于动力外科器械的击发构件回缩装置
US20150053737A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. End effector detection systems for surgical instruments
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
CN106456158B (zh) 2014-04-16 2019-02-05 伊西康内外科有限责任公司 包括非一致紧固件的紧固件仓
US10327764B2 (en) 2014-09-26 2019-06-25 Ethicon Llc Method for creating a flexible staple line
CN106456159B (zh) 2014-04-16 2019-03-08 伊西康内外科有限责任公司 紧固件仓组件和钉保持器盖布置结构
BR112016023698B1 (pt) 2014-04-16 2022-07-26 Ethicon Endo-Surgery, Llc Cartucho de prendedores para uso com um instrumento cirúrgico
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US9757128B2 (en) 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
CN107427300B (zh) 2014-09-26 2020-12-04 伊西康有限责任公司 外科缝合支撑物和辅助材料
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
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
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
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
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
BR112017012996B1 (pt) 2014-12-18 2022-11-08 Ethicon Llc Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
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
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
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
US10478188B2 (en) 2015-09-30 2019-11-19 Ethicon Llc Implantable layer comprising a constricted configuration
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
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
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved 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
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
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
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10478181B2 (en) 2016-04-18 2019-11-19 Ethicon Llc Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10736629B2 (en) 2016-12-21 2020-08-11 Ethicon Llc Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems
US10568624B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
MX2019007295A (es) 2016-12-21 2019-10-15 Ethicon Llc Sistema de instrumento quirúrgico que comprende un bloqueo del efector de extremo y un bloqueo de la unidad de disparo.
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
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
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
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
US20180168618A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
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
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
BR112019011947A2 (pt) 2016-12-21 2019-10-29 Ethicon Llc sistemas de grampeamento cirúrgico
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting 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
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
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
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
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
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
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
US20180368844A1 (en) 2017-06-27 2018-12-27 Ethicon Llc Staple forming pocket arrangements
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
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US11678880B2 (en) 2017-06-28 2023-06-20 Cilag Gmbh International Surgical instrument comprising a shaft including a housing arrangement
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
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11020114B2 (en) 2017-06-28 2021-06-01 Cilag Gmbh International Surgical instruments with articulatable end effector with axially shortened articulation joint configurations
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
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
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
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
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
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
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
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US20190192147A1 (en) 2017-12-21 2019-06-27 Ethicon Llc Surgical instrument comprising an articulatable distal head
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
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for 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
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
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
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
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 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
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for 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
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
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
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
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
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975850S1 (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
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 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
US20220031350A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with double pivot articulation joint arrangements
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
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
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
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
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
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
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
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
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
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
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
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
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
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
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
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
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
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
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
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
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
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11998201B2 (en) 2021-05-28 2024-06-04 Cilag CmbH International Stapling instrument comprising a firing lockout
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
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
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems

Family Cites Families (36)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2528941A (en) * 1948-10-13 1950-11-07 Conlon Mfg Company Means for extracting the nail used for the intramedullary fixation of a fractured bone
US3657056A (en) * 1967-12-11 1972-04-18 Ultrasonic Systems Ultrasonic suturing apparatus
US3565062A (en) * 1968-06-13 1971-02-23 Ultrasonic Systems Ultrasonic method and apparatus for removing cholesterol and other deposits from blood vessels and the like
CH541958A (de) * 1970-11-03 1973-09-30 Eduard Kloz & Heinz Kloz Vorrichtung zum Zertrümmern von Blasen-, Urether- und Nierenbeckensteinen mittels Ultraschall
US3861391A (en) * 1972-07-02 1975-01-21 Blackstone Corp Apparatus for disintegration of urinary calculi
US4188952A (en) * 1973-12-28 1980-02-19 Loschilov Vladimir I Surgical instrument for ultrasonic separation of biological tissue
US4144646A (en) * 1975-12-05 1979-03-20 Lion Hamigaki Kabushiki Kaisha Torsional ultrasonic vibrators
DE2741107A1 (de) * 1977-09-13 1979-03-29 Heldt Gert Dipl Ing Dr Verfahren zum loesen von ineinandergefuegten bauteilen
US5019083A (en) * 1989-01-31 1991-05-28 Advanced Osseous Technologies, Inc. Implanting and removal of orthopedic prostheses
US5324297A (en) * 1989-01-31 1994-06-28 Advanced Osseous Technologies, Inc. Ultrasonic tool connector
GB8906898D0 (en) * 1989-03-28 1989-05-10 Young Michael J R Tool for removal of plastics material
US5167619A (en) * 1989-11-17 1992-12-01 Sonokineticss Group Apparatus and method for removal of cement from bone cavities
US5324299A (en) * 1992-02-03 1994-06-28 Ultracision, Inc. Ultrasonic scalpel blade and methods of application
US5695510A (en) * 1992-02-20 1997-12-09 Hood; Larry L. Ultrasonic knife
GB9204021D0 (en) * 1992-02-25 1992-04-08 Young Michael J R Method and apparatus for ultrasonic therapeutic treatment of humans and animals
US5322055B1 (en) * 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
US5536272A (en) * 1993-03-26 1996-07-16 Orthosonics Ltd. Method for removal of osteal prostheses
US5885301A (en) * 1993-03-26 1999-03-23 Orthosonics, Ltd. Tool bit for use in ultrasonic removal of plastics embedment of an osteal prostheses
US5413107A (en) * 1994-02-16 1995-05-09 Tetrad Corporation Ultrasonic probe having articulated structure and rotatable transducer head
GB9408668D0 (en) * 1994-04-30 1994-06-22 Orthosonics Ltd Untrasonic therapeutic system
AU694225B2 (en) * 1994-08-02 1998-07-16 Ethicon Endo-Surgery, Inc. Ultrasonic hemostatic and cutting instrument
US6056735A (en) * 1996-04-04 2000-05-02 Olympus Optical Co., Ltd. Ultrasound treatment system
US6129735A (en) * 1996-06-21 2000-10-10 Olympus Optical Co., Ltd. Ultrasonic treatment appliance
US6063098A (en) * 1996-12-23 2000-05-16 Houser; Kevin Articulable ultrasonic surgical apparatus
US5954746A (en) * 1997-10-09 1999-09-21 Ethicon Endo-Surgery, Inc. Dual cam trigger for a surgical instrument
PT1049411E (pt) * 1998-01-19 2006-09-29 Michael John Radley Young Instrumento de corte ultra-sonico
US6270508B1 (en) * 1998-10-26 2001-08-07 Charles H. Klieman End effector and instrument for endoscopic and general surgery needle control
GB9915707D0 (en) * 1999-07-05 1999-09-08 Young Michael J R Method and apparatus for focused treatment of subcutaneous blood vessels
US6352532B1 (en) * 1999-12-14 2002-03-05 Ethicon Endo-Surgery, Inc. Active load control of ultrasonic surgical instruments
US20020099400A1 (en) * 2001-01-22 2002-07-25 Wolf John R. Cataract removal apparatus
CA2463083C (en) * 2001-10-11 2010-03-30 Tyco Healthcare Group Lp Long ultrasonic cutting blade formed of laminated smaller blades
JP2004105283A (ja) * 2002-09-13 2004-04-08 Olympus Corp 外科用処置具の洗浄装置
US7510562B2 (en) * 2003-07-08 2009-03-31 Terumo Corporation Vein dissector, cauterizing and ligating apparatus for endoscopic harvesting of blood vessels
JP2005040222A (ja) * 2003-07-24 2005-02-17 Olympus Corp 超音波処置装置
US20050177184A1 (en) * 2004-02-09 2005-08-11 Easley James C. Torsional dissection tip
US7846155B2 (en) * 2004-10-08 2010-12-07 Ethicon Endo-Surgery, Inc. Handle assembly having hand activation for use with an ultrasonic surgical instrument

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106963486A (zh) * 2017-05-20 2017-07-21 王新 一种食道反流射频消融电极
CN107174336A (zh) * 2017-05-20 2017-09-19 王新 一种食道反流射频消融电极
CN113747845A (zh) * 2019-04-30 2021-12-03 西拉格国际有限公司 外科器械上的轴旋转致动器

Also Published As

Publication number Publication date
US20090177218A1 (en) 2009-07-09
AU2007210912A1 (en) 2007-08-09
NO20083741L (no) 2008-10-14
CA2640599A1 (en) 2007-08-09
EP1983908A1 (en) 2008-10-29
JP2009525106A (ja) 2009-07-09
ZA200807376B (en) 2009-04-29
GB0601881D0 (en) 2006-03-08
WO2007088356A1 (en) 2007-08-09
GB2435214B (en) 2010-01-20
GB2435214A (en) 2007-08-22

Similar Documents

Publication Publication Date Title
CN101394798A (zh) 超声波切割工具
EP1037558B1 (en) Surgical device
US6500188B2 (en) Ultrasonic surgical instrument with finger actuator
CN106028980B (zh) 用于超声外科器械的旋转特征部
US8920433B2 (en) Ergonomic and semi-automatic manipulator, and applications to instruments for minimally invasive surgery
US4572185A (en) Nonplanar surgical needle holder and related suturing method
US11406464B2 (en) Handle assemblies for robotic surgical systems
EP3389517B1 (en) Surgical instrument with rotary power control
CN108135629A (zh) 具有双模端部执行器和模块化夹持臂组件的外科器械
US20070055228A1 (en) Ultrasonic scalpel device
JP2012110675A (ja) 外科手術用デバイス
JPH10504984A (ja) 医療用マニピュレーティングデバイス
CN103547225A (zh) 在腹腔镜检查中使用的组合式剪刀-抓紧器工具
WO2006075153A1 (en) Laparoscopic forceps
US20060020288A1 (en) Surgical instrument handle
US11627978B2 (en) Surgical instrument with mechanically operable lever
US11129637B2 (en) Instrument for surgery
CN113243950B (zh) 五轴微创器械集成系统
US8613740B2 (en) Hand-held manipulator with symmetrical grip
JP2008307311A (ja) 手術具及び手術装置
US6428530B1 (en) Grip of endoscopic instrument
CN109219410A (zh) 用于超声外科器械的被动分离特征部
JP2003126116A (ja) 医療用マニピュレータ装置
KR102202030B1 (ko) 수술용 로봇 시스템의 조작 장치
US20230030465A1 (en) Input unit for a medical instrument and medical system with an input unit

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C02 Deemed withdrawal of patent application after publication (patent law 2001)
WD01 Invention patent application deemed withdrawn after publication

Open date: 20090325