CN101522118A - 医疗器械 - Google Patents
医疗器械 Download PDFInfo
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
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- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
- A61B18/1447—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod wherein sliding surfaces cause opening/closing of the end effectors
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- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
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- A61B2017/00473—Distal part, e.g. tip or head
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/072—Surgical 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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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1457—Probes having pivoting end effectors, e.g. forceps including means for cutting having opposing blades cutting tissue grasped by the jaws, i.e. combined scissors and pliers
Abstract
在用于夹持和切割组织的医疗管轴器械中，安全的操作模式绝对必要。尤其重要的是始终向手术医师提供充足的信息从而使他能够判断是否已经成功地切断了待断开的组织。根据本发明，器械上设置有电极，因此能够以电学的方式判定刀片(51)与相关联的切割表面(12)之间的机械接触。
Description
技术领域
本发明涉及一种用于切割组织的医疗器械，具体为管轴器械。
背景技术
在现代医学中，通常力图使对完整组织的损伤保持到最小程度。因此，当情况允许时，微创手术常常是用来进行手术介入的优选方法。对组织的小切口和微创伤使得患者术后痛感低并使患者得以快速恢复和快速活动。这同样适用于在腹腔中实施复杂手术期间的腹腔镜手术。
这种手术以及这种手术所需要的器械给医疗器械制造商提出了特殊的挑战，因为大多数手术步骤是在非常有限的空间中进行的而且没有直接的视觉接触。因此所使用的医疗器械必须不仅能够在最小的空间中操作而且功能必需非常可靠使得无需视觉监控。这种器械优选构造成使得即使没有视觉接触实施手术的外科医生仍然一直获得使他能够对手术进展做出结论的反馈。
这尤其适用于所有适于分离组织的器械。由于具有敞开刀片的手术刀——如果有刀片的话——不适合用于微创手术，(参见DE 44 44 166A1)，因此常常采用带有嘴部件的剪式或钳式器械，这些器械一方面在插入时遮盖刀片另一方面行使保持待切割的组织的功能。然后刀片在嘴部件内前后移位从而进行切割。
在钳式器械中，刀片或手术刀通常被相关联的嘴部件完全遮盖。因此，往往更难于对所夹持的组织是否已经通过一下或多下切割运动完全分离做出结论。然而，这一认知对于手术的有利进程而言至关重要。
另一方面，当组织已经分离时额外地使刀片运动会很快导致器械磨损。因此必需不断检查器械的切割能力并更换磨损的刀片。这种形式的维护不但昂贵而且耗费时间。通常不能更换器械的单个元件，这也是为什么更换整个器械的原因。
发明内容
从这样的现有技术出发，本发明的目的是提供一种医疗器械，该医疗器械确保可靠地分离组织并长久地保持功能。
该目的由根据本权利要求1所述的医疗器械来实现。
具体地，该目的由这样一种医疗器械来实现，该医疗器械具有：第一和第二嘴部件，其各自具有用于将组织固定和/或定位在固定平面中的至少一个夹紧表面；切割装置，其具有刀片，刀片与嘴部件中的一个相对地设置以便切割组织并能够在预定切割路径上基本平行于固定平面移位；第一电极和第二电极，其以能够通过连接至电极的处理单元来确定刀片与夹紧表面之间的机械接触的方式设置在切割装置和/或夹紧表面上。
因此本发明的基本理念是在用于分离组织的医疗器械中通过电极来确定刀片与相关联的夹紧表面之间的机械接触。能够以电学的方式或通过开关来确定这种机械接触。处理单元接收相应的信号并评估这些信号。
在优选实施方式中，刀片包括第一电极，夹紧表面包括第二电极，并且处理单元包括用于确定电极之间的电阻的装置。因此，第一电极由导电刀片或刀片的导电部分形成。第二电极为导电夹紧表面或夹紧表面的导电部分。处理单元测量第一电极与第二电极之间的电阻。优选地，当该阻抗低于预定的阈限时处理单元则判定紧位于刀片下面的组织被分离。这种情况是必然的，原因为待切割的组织具有一定的电导率因而当组织没有分离时第一电极与第二电极之间已然存在高电阻接触。通过指定阈值，能够区分经由待切割的组织形成的接触回路和两个电极之间的直接接触回路。该直接接触回路是刀片与夹紧表面之间进行机械接触的指示。
优选地，处理单元以能够确定切割路径上的阻抗曲线的方式设计。切割路径限定处理单元的观测间隔并且可以包括例如刀片在嘴部件的远端部分与近端部分之间的前后运动。
能够手动检测刀片的运动。因此在刀片在致动装置作用下的运动过程中机械限制止挡件能够提供关于行经的距离或行经的切割路径的信息。优选地，处理单元包括用于检测刀片平行于夹紧表面的位移的行程传感器和/或电开关。所述切割装置以其能够平行于夹紧表面沿医疗器械的纵轴线前后运动的方式设计。因此优选地，刀片应该不只是在一个位点处而是在沿纵向位移的整个切割区域上分离组织。为了有效地判断该区域中组织是否完全被分离，有利的是记录整个观测间隔或观测路径上刀片的运动并判断刀片与夹紧表面之间是否存在连续的机械接触。既可以直接地通过行程传感器来确定刀片的运动，也可以间接地通过位于切割范围的端部处的开关来判断刀片是否已经从第一开关移动到第二开关。在这里也是当刀片与夹紧表面之间在整个间隔期间或在整个切割路径范围内即刀片从第一开关运动到第二开关期间都存在机械接触或电接触尤其是低电阻接触时才能认定组织已经完全分离。
优选地，两个嘴部件各自包括用于使所固定的组织凝结的凝结电极。因此，能够在通过刀片进行机械分离之前利用高频电流使组织凝结。确保了机械分离之前的血管的安全封闭。此外，可以将两个凝结电极中的一个连接至处理单元从而用于判定所述机械接触。为了形成凝结电极，嘴部件至少局部导电或者在面向组织的一侧具有导电涂层。
优选地，至少一个嘴部件包括刀片引导装置。刀片引导装置用于在切割运动期间稳定刀片。此外，刀片引导装置可具有所述开关或行程传感器以便确定刀片的运动。
优选地，医疗器械具有用于发射信号的装置，当整个切割路径上的阻抗都下降到低于预定的最小值时就发射信号。因此，这种显示形式不仅能够用于判断阻抗进而判断进行组织分离时的刀片在某一点或某一位置处的进展，而且能够用于判断在整个切割路径上组织的完全分离。
根据其它从属权利要求形成其它有利的实施方式。
附图说明
下面将基于将通过附图更加详细地说明的实施方式来描述本发明。
附图中：
图1示出用于分离组织的管轴器械；
图2示出图1的管轴器械的工具头，其中工具头包括第一嘴部件和第二嘴部件；
图3示出第二嘴部件的立体侧视图；
图4示出第二嘴部件的俯视图；
图5示出第二嘴部件的侧视图；
图6示出第一嘴部件的立体侧视图；
图7示出第一嘴部件的俯视图；
图8示出第一嘴部件的侧视图；
图9示出两种不同铰接装置的示意图；
图10示出具有切割装置的图2的工具头的剖视图；
图11示出切割装置的示意图；
图12示出位于管轴器械的管轴中的切割装置的示意图；
图13至图15示出切割刀片的三种实施方式；
图16示出切口监控装置的框图；
图17示出处于张开位置的工具头的立体图；
图18示出处于闭合位置的图17的工具头；
图19示出具有张力带的第二嘴部件；以及
图20示出管轴器械的示意性侧视图。
具体实施方式
在以下描述中相同的附图标记用于同样的部件和以同种方式发生效用的部件。
图1提供了根据本发明的管轴器械的实施方式的大致概观。其示出了管轴器械的三个功能性部件：手柄110、稍长的管轴24以及设置在管轴24的远端上的工具头30。工具头30提供管轴器械的实际功能。工具头用于切割和/或凝结组织。手柄110控制工具头30的运动。具体地，可以通过手柄110使嘴部件10、10’(参见图2)闭合和张开以便固定、凝结以及切割组织。
图2示出了根据本发明的工具头30的实施方式，工具头30包括第一嘴部件10和第二嘴部件10’。第一嘴部件10是椭圆体，在其面向管轴24的侧部上具有刚性接合到所述管轴24的适配器25。第二嘴部件10’通过铰接装置40附连到第一嘴部件10并且能够从用于抓持组织的张开位置进入用于固定组织的闭合位置。铰接装置40设计成使得虚拟支轴1或枢轴位于第一嘴部件10和第二嘴部件10’外部。因此，与用于这种器械的常规铰接装置40不同，支轴1不是在管轴24中或嘴部件10、10’相接合的区域中定位地靠近管轴24的纵轴线。示出的铰接装置40的机构表现为使得虚拟支轴1形成在管轴器械的面向第二嘴部件10’的一侧上方。
在图9的示意图的基础上示出了这种重新定位的支轴1的具体优点。左上角中示出的是常规铰接装置，其支轴1大体定位在嘴部件10和10’的纵轴线上。在张开位置，第二嘴部件10’的末端16’相对于第一嘴部件10的末端16朝后偏。然而，图9的另外两幅图中示意性地示出的根据本发明的铰接装置40却不是这种情况。其中支轴1明显位于两个椭圆形嘴部件10、10’的纵轴线上方。即使在张开状态下，在由第一嘴部件10相对于第二嘴部件10’所形成的角度开度相同的情况下，第二嘴部件10’的末端16’仍然基本定位在经过第一嘴部件10的末端16的垂直直线上或前方。因此如果第二嘴部件10’相对于第一嘴部件10张开，那么第二嘴部件10’不仅具有其间第二嘴部件10’相对于第一嘴部件10的相对布置发生改变的旋转位移而且具有向远侧定向的纵向位移，即，沿第一嘴部件10的末端16的方向平行于第一嘴部件10的纵轴线的位移。反之，在嘴部件10、10’的闭合运动过程中，第二嘴部件10’具有沿近侧方向的纵向位移。因此，最终将位于两个嘴部件10、10’之间的组织拽入工具头30中。此外，在张开角度相同的情况下，根据本发明，第二末端16’的升距——即第一末端16与第二末端16’之间的距离——明显较大(参见图9，右侧)。在一种实施方式中，嘴部件10、10’的长度相对于第一嘴部件10的纵轴线到支轴的距离之比约为10:1。
虽然在图9中为清晰起见而通过竖直地附连在嘴部件10、10’的近端上的延伸部来实现支轴1的重新定位，但是在优选实施方式中支轴1的形成完全是虚拟的。这种虚拟设计由以下基于图3至图8进行说明的槽孔式引导系统来实现。因此，如图3所示，第二嘴部件10’在其与末端16’相反的近端上具有两个弯曲的铰接导轨41、41’。从上面看(参见图4)，这些铰接导轨41、41’基本平行地沿第二嘴部件10’的纵轴线延伸，并且间隔开以形成通道。
从侧面看(参见图5)，第二嘴部件10’具有勺状轮廓。因而，第二嘴部件10’——具体为铰接导轨41、41’——的近端各自在它们的上侧具有与第一嘴部件10接合的凹部43、43’。如图6所示，为此该嘴部件10具有两个铰接导销42、42’，每个铰接导销具有凸起结构部。在嘴部件10、10’张开和闭合运动的过程中，第一铰接导轨41的凹部43在相邻的、第一铰接导销42的凸部上面滑动，而第二铰接导轨41’的凹部43’在相邻的、第二铰接导销42’的凸部上面滑动。两个铰接导轨41、41’的凹部43、43’和铰接导销42、42’的对应部分的曲率决定了虚拟支轴1的位置。与弯曲较不明显的情况相比，在弯曲较明显的情况下支轴1更靠近工具头30。对应于较明显或较不明显的情况产生根据图9所描述的效果。
与仅具有单点连接的铰接装置相比，引导机构或铰接装置40还具有高稳定性的优点。由于凸部和凹部彼此接合，因而形成大面积的接触区域并且与具有单点连接的铰接装置相比铰接装置40能够吸收明显更多的力。为了进一步稳定铰接装置40，第一嘴部件10包括第一铰接导向轴承46和第二铰接导向轴承46’。和铰接导销42、42’相同，铰接轴承46、46’交替地附连在第一嘴部件10的侧壁的内侧。
第一铰接导向轴承46和第一导销42间隔开，使得它们在它们之间的空间中容置第一铰接导轨41。第一铰接导向轴承46具有与第一铰接导轨41的凸部44接合的凹入截面。当张开和闭合工具头30时，第一铰接导轨41由第一导销42和第一铰接导向轴承46引导着绕支轴1旋转。
同样，第二铰接导轨41’由第二导销42’和第二铰接导向轴承46’引导着绕支轴1旋转。为此，第二铰接导轨41’、第二铰接导销42’、第二铰接导向轴承46’以及第二铰接导轨41’的凸部44’与第一铰接导轨41、第一铰接导销42、第一铰接导向轴承46以及第一铰接导轨41的凸部44设计并设置成对称的。
如图10所示，在第二嘴部件10’的近端上附连有张力带27。更准确地，张力带大约附连在铰接导轨41、41’的凸部44、44’的中间。为此，铰接导轨41、41’具有用于形成对接边缘2(图5)的轮廓。优选地，该对接边缘2不是沿平行于支轴1的直线延伸而是设计成半圆形的(参见图19)。由于沿该长形的对接边缘2焊接第二嘴部件10’和张力带27，因此使力均匀地传递到张力带17中并且显著地提高了焊缝的拉伸及弯曲承载能力。在替代实施方式中，能够想到提供可比拟结果的锐角焊缝或具有多个细齿的焊缝。张力带27的平行于支轴1的宽度实质大于其厚度。这确保张力带27在第二嘴部件10’旋转时的弹性和可弯曲性。然而，张力带27在管轴器械的纵向上是相对刚性的，使得还能够产生剪切力。
通过将张力带27的第一端部附连到铰接导轨41、41’的凸部44、44’，确保了通过张力带27施加的张力总是与弯曲的铰接导轨41、41’绕支轴1的圆周运动大体相切地作用。因而确保了力不依赖于张开角度而均匀传递。张力带27的第二端部可操作地连接至手柄110，并且能够通过设置在手柄110上的控制装置移位。如已说明的，由于虚拟支轴1位于嘴部件10、10’的外部和上方，因此支轴1与张力带27的第一端部之间的距离显著大于通过普通铰接装置所得到的距离。因此所述管轴器械的实施方式具有明显较大的杠杆作用，能够借杠杆作用通过张力带27使第二嘴部件10’运动。
两个嘴部件10、10’均具有用于固定组织的夹紧表面12、12’。因而第一嘴部件10在远端部分上具有面朝上的第一夹紧表面12。第一夹紧表面12大体形成为横穿第一嘴部件10的纵轴线的凹面。当工具头30处于闭合状态时，第二嘴部件10’的凸出的第二夹紧表面12’基本平行于该第一夹紧表面12放置。
在所述实施方式中，这些夹紧表面12、12’不仅适于牢靠地固定以后待进行切割的组织，而且还形成用于凝结处理的电极。为此，夹紧表面12、12’的部分是导电的并经由印刷导体连接至同样能够通过手柄110控制的高频电源。因此，可以在切割程序之前将所夹持的组织烧灼至能够在不流血的情况下实现分离的程度。优选地，至少嘴部件10、10’的部分由陶瓷材料通过注塑模制方法制成。因此易于形成铰接装置40的引导元件，具体为铰接导轨41、41’和铰接导销42、42’。陶瓷材料的铰接装置40形成嘴部件10、10’之间——具体是它们的用于进行凝结的电极之间——的电绝缘。
在本实施方式中，实际的机械切割过程发生在凝结之后。为此，切割装置50平行于由夹紧表面12、12’所限定的固定平面x-y(参考图11)运动。除引线52之外，该切割装置50还包括用于分离组织的刀片51，刀片51能够通过引线52沿管轴器械的纵向(x轴)移位。
在切割过程之前，将刀片51朝管轴24向回拉足够远使得不会过早伤到组织。优选地，第一嘴部件10中的刀片处于铰接导销42、42’的层面上。以此为起点，刀片51经由一体结合在第二嘴部件10’中的坡道55(为此参见图4)进到固定平面x-y上。该坡道55位于两个铰接导轨41、41’之间。第二嘴部件10’提供了用于刀片51或刀具进行移位的刀片引导装置53。该刀片引导装置53是沿第二嘴部件10’的纵轴线延伸的椭圆开口。为了将刀片51保持成垂直于固定平面x—y，第二嘴部件10’在其中间区域中具有侧部件60、60’，侧部件以它们形成纵向延伸的通道的方式彼此平行地设置。在该通道中引导刀片51或刀具。
因此，在嘴部件10、10’闭合之后，刀片51从坡道55上面滑出其起始位置并滑入所述通道中，并且可以在所述通道中拉着远离或推着接近组织。相对于固定平面x-y对刀片51进行预加载，从而确保这种移位逐步地将组织分离。预加载装置施加垂直于固定平面x-y的力，从而挤压刀片51抵靠所述平面。该力通过引线52的弹力及其弯曲形成。如图12所示，引线52在由刀片51预加载的平面中垂直于固定平面x-y弯曲。在引线52的前部设置有弯折部56。弯折部56以这种方式一体结合在引线52中，即，使切割装置50处于完全伸出的状态即当刀片52位于嘴部件10、10’的远端时，管轴24中的弯折部同样位于所述轴的远端。弯折部56用于将由于引线52垂直于固定平面x-y弯曲而施加的力的至少一部分传递至管轴24，并且弯折部56具有相应的接触点。引线52的弯曲设置成使得如果引线的近端平行于管轴24延伸，那么未进行附连的引线52的远端向下弯曲并使刀片51至少部分地位于固定平面x-y下方。引线52以使刀片51能够通过手柄110在工具头30中来回运动的方式可操作地连接至手柄110。
就刀片51的设计而言能够想到多种变化的实施方式。以下将基于图13、图14以及图15描述这些实施方式。本发明的一种构思是刀片51具有基本平行于固定平面x-y进而平行于被固定的组织延伸的至少一部分。因此，在切割过程中，刀片51滑动穿过组织直至组织完全分离。因此与常规切割过程中不同，这样能够确保即使当刀片51变钝时组织仍将能够得以分离且不会因机械压力而压伤。切割刀片的平行于固定平面x-y形成的该部分还具有使刀片51并非仅在一点处而是通常在较长的区域范围上置于组织上的优点。因此防止刀片51在某一点处破损。
图13示出了具有凸形弯曲部的半圆形刀片51。刀片51设置在引线52的下侧。刀片51并且具有远离和靠近管轴器械的刀片弯曲部54。
图14示出了包括彼此前后设置的两个半圆部的刀片51。
图15示出了具有远端刀片弯曲部54和垂直于引线52的近端部分的刀片51。
优选地，刀片51是整体带有细齿的。
在替代性实施方式中(例如参见图10)，引线52是轨道。轨道可以以其具有与引线52相同的功能的方式设计。能够通过轨道内在的弹性或通过独立装置(例如，弹簧)实现相对于固定平面x-y的预加载。
尽管到目前为止已经结合有利的铰接形状描述了本发明的有利的切割装置50。然而，还可以将两项发明彼此分开来实施。
因此，例如图17和图18示出了位于工具头30中的切割装置50，由此第二嘴部件10’不是通过槽孔式引导系统与第一嘴部件10操作性地连接。在此支轴1基本位于嘴部件10、10’的纵轴线上。
在根据本发明的一种实施方式中，管轴器械还包括切割监控装置。该切割监控装置判断两个夹紧表面12、12’之间的组织何时完全被分离。在该实施方式中，当组织彻底分离时刀片51搁置在第一夹紧表面12上。由于夹紧表面12包括用于凝结的电极，因此至少其局部是导电的。根据本发明，刀片51的在组织分离时机械接触分离表面12的至少一部分同样由导电材料形成。刀片51与夹紧表面12之间的电接触通过切割监控装置来判断。在经由第二嘴部件10’的末端16’直至坡道55的完整的切割远动的过程中当刀片51与夹紧表面12之间存在连续的电接触时则视为所夹持的组织完全被分离。如图16所示，切割监控装置包括处理单元100、显示装置101、开关103以及用于确定和显示切割过程的进展的行程传感器102。行程传感器102确定刀片51的位置或位移从而有助于限定出优选覆盖完整的刀片运动的观测期。在最简单的情形中，开关103通过导电的刀片51和第一夹紧表面12形成。由于待切割的组织具有一定的导电性，因此只有当夹紧表面12与刀片51之间存在低电阻连接时才认为电开关103是闭合的。在处理单元100的上游连接有相应装置。如果处理单元100确定在整个观测期期间刀片51和夹紧表面12之间存在连续的低电阻接触，那么它通过显示装置101向使用者指示所夹持的组织已经彻底分离。由于刀片51在其与夹紧表面12之间没有组织被夹入的情况下在夹紧表面12上移位会损坏切割装置，因此小心地对待切割装置50。
可替代地，还可以不断地向使用者指示刀片51与夹紧表面12之间是否存在直接的机械接触。由于使用者手动操作刀片51的运动，因此他能够独立地得出组织是否充分分离的结论。
在另一种实施方式中，行程传感器102包括在刀片引导装置53的远端和近端上的两个电接触区域，并且所述两个电接触区域以能够判断刀片51与远接触区域以及刀片51与近接触区域之间的接触的方式设计。于是处理单元100能够确定观测间隔的起点与终点。
图20示出了图1的手柄110的示意性详细视图。手柄110包括手柄体117，在手柄体117下面一体形成有第一手柄杆122。该手柄杆122具有用于容置多个手指——优选为中指、无名指以及小指——的开口。第二手柄杆122’以可旋转的方式靠近第一手柄杆122接合到手柄体117。可以通过使第二手柄杆122’相对于第一手柄杆122靠近和远离的移位来张开和闭合工具头30的嘴部件10、10’。手柄杆122、122’形成手触发器120因而能够抓握在使用者的手中使得能够凭借一只手来操纵整个管轴器械。为此，手环绕手柄杆122、122’的部分。接合在齿条124中的延伸部位于第二手柄杆122’的背对手柄体117的端部上。该齿条124在第一手柄杆122的背对手柄体117的端部上以直角附连到第一手柄杆122的纵轴。齿条24的齿型以这样的方式设计：即，使第二手柄杆122’能够逐步地朝手柄杆122运动并且在不持续施力的情况下相应设定的位置保持不变。为了松开手柄杆122、122’彼此之间的这种紧固，以使齿条124和延伸部125不再啮合的方式按压齿条124远离延伸部125。
另外，手柄110具有同样以可旋转的方式附连到手柄体117的指触发器130。可以通过操作指触发器130使具体为刀片51的切割装置50朝远处移位。手柄体117内部的弹性元件(未示出)使指触发器130在操作后回复至其起始位置，因此使切割装置朝近处移位。以能够在抓握手柄杆122、122’的同时由第一指来操作指触发器130的方式来将指触发器130在远侧处设置在第一手柄杆122前面。
手柄110在手柄体117的近侧具有控制凝结电流的瞬时接触开关116。在替代性实施方式中，能够将瞬时接触开关116替换成提供具有多个致动元件的控制装置，可以通过该控制装置对多种凝结模式进行选择和操作。还能够想到在手柄体117上设置显示装置101。
在根据本发明的一种实施方式中，管轴24和手柄110以管轴24能够以可拆卸的方式插入手柄110中的方式设计。为此，在手柄110的侧部上设置有能够通过罩盖封闭的接收口112。
因此，在操作之前，将具有合适的工具头30和切割装置50的一次性消毒管轴24插入并锁定在可重复使用的手柄110中。不想重复使用管轴24以及相关联装置。手柄体117具有用于机械地连接工具头30、切割装置51以及管轴24的第一耦联元件或耦联元件114、第二耦联元件或耦联元件114’以及第三耦联元件114”或耦联元件。设置在管轴24的近端上的环以使管轴刚性连接至手柄体117的方式与第三耦联元件114’接合。第一内管适配器22通过同样设置在近端上的环与第一耦联元件114接合，第一耦联元件114与第二手柄杆122’操作性地连接。第二手柄杆122’的位移通过设置在手柄体117内部的机构传递至第一耦联元件114进而将该位移传递至第一内管适配器22。该第一内管适配器通过张力带27直接或间接地机械结合到第二嘴部件10’。因此第一内管适配器22相对于管轴24的纵向移位使嘴部件10、10’张开和闭合。
第二内管适配器22’以能够相对于第一内管适配器22的运动的方式设置在所述第一内管适配器22内。该内管适配器22’操作性地连接至引线52并使刀片51移动。管轴24插入手柄体117中使位于第二内管适配器22’的近端上的环与第二耦联元件114’接合，并且将通过指触发器130施加的力或位移传递至切割装置50。
为了使得更容易插入一次性管轴24，在管轴24上设置有可拆除的紧固装置，该紧固装置将内管适配器22、22’相对于管轴保持在预定位置，并且以使环容易插入耦联元件114、114’、114”中的方式设计。
耦联元件114、114’、114”以使管轴24能够相对于手柄110旋转的方式设计。因此能够自由调节工具头30相对于手柄110的对齐。在旋转过程中，内管适配器22、22’和管轴24的环在耦联元件114、114’、114”中旋转从而形成铰接。
附图标记列表
1 支轴
2 对接边缘
10、10’ 嘴部件
12、12’ 夹紧表面
16、16’ 末端
22、22’ 内管适配器
24 管轴
25 适配器
27 张力带
30 工具头
40 铰接装置
41、41’ 铰接导轨
42、42’ 铰接导销
43、43’ 铰接导轨的凹部
44、44’ 铰接导轨的凸部
46、46’ 铰接导向轴承
50 切割装置
51 刀片
52 引线
53 刀片引导装置
54 刀片弯曲部
55 坡道
56 弯折部
60、60’ 侧部件
100 处理单元
101 显示装置
102 行程传感器
103 开关
110 手柄
112 接收口
114、114’、114” 耦联元件
116 瞬时接触开关
117 手柄体
120 手触发器
122、122’ 手柄杆
124 齿条
125 延伸部
130 指触发器
x x轴
y y轴
z z轴
Claims (17)
1.医疗器械，具体为管轴器械，所述医疗器械包括：
-第一和第二嘴部件(10、10’)，所述第一和第二嘴部件(10、10’)各自具有用于将组织固定和/或定位在固定平面(x-y)中的至少一个夹紧表面(12、12’)；
-切割装置(50)，所述切割装置(50)具有刀片(51)，所述刀片与所述嘴部件(10、10’)中的一个相对地设置以便切割组织，并且所述刀片能够经由可预先确定的切割路径基本平行于所述固定平面(x-y)移位；
第一电极和第二电极，所述第一和第二电极以以下方式设置在所述切割装置(50)和/或所述夹紧表面(12)上：所述刀片(51)与所述夹紧表面(12)之间的机械接触能够通过连接至所述电极的处理单元(100)来确定。
2.如权利要求1所述的医疗器械，其特征在于，
所述刀片(51)包括所述第一电极，所述夹紧表面(12)包括所述第二电极，并且所述处理单元(100)包括用于确定所述电极之间的电阻的装置。
3.如前述权利要求中任一项所述的、特别是如权利要求2所述的医疗器械，其特征在于，
所述处理单元(100)以能够确定所述切割路径上的阻抗曲线的方式设计。
4.如前述权利要求中任一项所述的医疗器械，其特征在于，
所述处理单元(100)包括用于检测所述刀片(51)平行于所述夹紧表面(12)的位移的行程传感器(102)和/或电开关。
5.如前述权利要求中任一项所述的医疗器械，其特征在于，
两个嘴部件(10、10’)各自包括用于使所固定的组织凝结的凝结电极。
6.如前述权利要求中任一项所述的医疗器械，其特征在于，
至少一个嘴部件(10’)包括刀片引导装置(53)。
7.如前述权利要求中任一项所述的医疗器械，其特征在于，
所述医疗器械具有用于发射信号的装置，当整个所述切割路径上的阻抗下降到低于预定的最小值时则发射所述信号。
8.用于分离组织的医疗器械，具体为电手术管轴器械，其特征在于，所述医疗器械包括：
结合到所述嘴部件(10、10’)的管轴(24)，
由此，所述刀片(51)能够通过致动装置以基本平行于所述固定平面(x-y)移位的方式被引导，并且由预加载装置(56)预加载成在切割过程中抵靠所述固定平面(x-y)
9.如前述权利要求中任一项所述的、特别是如权利要求8所述的医疗器械，其特征在于，
所述预加载装置(56)包括具有弯度的弹性引线(52)，由此，所述引线(52)基本刚性地结合到所述刀片(51)，并且以沿所述固定平面(x-y)的方向使所述刀片(51)相对于所述管轴进行预加载的方式在所述管轴(24)中被引导。
10.如前述权利要求中任一项所述的、特别是如权利要求8或9所述的医疗器械，其特征在于，
所述预加载装置(56)包括弯折部，所述弯折部设置在所述引线(52)中使得在所述刀片(51)被朝前推动时所述弯折部向所述管轴(24)的远端靠近。
11.如前述权利要求中任一项所述的、特别是权利要求8至10中任一项所述的医疗器械，其特征在于，包括：
特别是坡道形状的刀片引导装置(53)，所述刀片引导装置(53)设计并设置成其使得所述刀片(51)通过沿所述切割方向(x)运动而从离开所述固定平面(x-y)一定距离的起始位置到所述固定平面(x-y)上。
12.如前述权利要求中任一项所述的、特别是权利要求8至11中任一项所述医疗器械，其特征在于，
所述嘴部件(10、10’)设置成能够相对于彼此旋转，并且所述刀片引导装置(53)设计成使得所述刀片(51)能够进入靠近所述嘴部件(10、10’)的支轴的起始位置。
13.如前述权利要求中任一项所述的医疗器械，具体为用于夹持和/或凝结和/或分离组织的管轴器械，其特征在于，包括：
管轴(24)，所述管轴(24)用于容置所述嘴部件(10、10’)；以及
至少一个铰接装置(40)，所述铰接装置(40)用于以使所述嘴部件(10、10’)能够从张开位置进入闭合位置从而利用所述夹紧表面(12、12’)固定所述组织的方式可旋转地支撑所述嘴部件(10、10’)，由此，所述铰接装置(40)以所述铰接装置(40)的支轴(1)位于所述嘴部件(10、10’)外部并且至少一个嘴部件(10、10’)的远端能够在张开时远离所述管轴(24)的远端进行移位的方式设计。
14.如前述权利要求中任一项所述的、特别是如权利要求13所述的医疗器械，其特征在于，
所述铰接装置(40)包括槽孔式引导系统。
15.如前述权利要求中任一项所述的、特别是如权利要求13或14所述的医疗器械，其特征在于，
所述铰接装置(40)包括位于两个嘴部件(10、10’)中的一个上的铰接引导装置和位于所述两个嘴部件(10、10’)中的另一个上的至少一个轨道或槽。
16.如前述权利要求中任一项所述的、特别是权利要求14至16中任一项所述的医疗器械，其特征在于，
设置有至少两个部分铰接装置(40、40’)，所述部分铰接装置(40、40’)彼此间隔开以形成优选设置于所述部分铰接装置(40、40’)中间的通道。
17.如前述权利要求中任一项所述的医疗器械，其特征在于，
为了打开和闭合待移位的嘴部件(10’)，设置有能够大体沿直线移位的带，所述带通过弹性的端部附连在待移位的所述嘴部件(10’)上。
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| DE102006046919 | 2006-10-05 | ||
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| DE102006056405.7 | 2006-11-29 | ||
| DE102006056405A DE102006056405A1 (de) | 2006-11-29 | 2006-11-29 | Medizinisches Instrument |
| DE200610059175 DE102006059175A1 (de) | 2006-12-14 | 2006-12-14 | Rohrschaftinstrument |
| DE102006059175.5 | 2006-12-14 | ||
| PCT/EP2007/008388 WO2008040485A2 (de) | 2006-10-05 | 2007-09-26 | Medizinisches instrument |
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| CN101522118A true CN101522118A (zh) | 2009-09-02 |
| CN101522118B CN101522118B (zh) | 2012-10-17 |
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| CN2007800366162A Expired - Fee Related CN101522118B (zh) | 2006-10-05 | 2007-09-26 | 医疗器械 |
| CN2007800363963A Active CN101522120B (zh) | 2006-10-05 | 2007-09-26 | 管轴器械 |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101516285B (zh) * | 2006-10-05 | 2011-08-17 | 爱尔伯电子医疗设备公司 | 管轴器械 |
| CN111954500A (zh) * | 2019-08-20 | 2020-11-17 | 大和机器株式会社 | 用于腹腔镜手术的器械 |
| CN113855176A (zh) * | 2016-02-15 | 2021-12-31 | 泰尔茂株式会社 | 医疗器械 |
Families Citing this family (439)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
| US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
| US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
| US7669746B2 (en) | 2005-08-31 | 2010-03-02 | 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 |
| US8991676B2 (en) | 2007-03-15 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Surgical staple having a slidable crown |
| US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
| US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
| US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
| 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 |
| US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
| US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
| 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 |
| 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 |
| US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
| US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
| 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 |
| US8220690B2 (en) | 2006-09-29 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Connected surgical staples and stapling instruments for deploying the same |
| 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 |
| EP2077773B1 (de) | 2006-10-05 | 2011-12-28 | Erbe Elektromedizin GmbH | Medizinisches instrument |
| US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
| US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
| 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 |
| US20080169332A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Surgical stapling device with a curved cutting member |
| US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
| US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based 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 |
| 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 |
| US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
| US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
| US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
| BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
| US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
| US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
| US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
| US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
| US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
| US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting 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 |
| 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 |
| WO2010090940A1 (en) | 2009-02-06 | 2010-08-12 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
| US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
| US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
| 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 |
| US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
| US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
| US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
| US9301755B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Compressible staple cartridge assembly |
| US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
| US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
| US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
| 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 |
| US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
| CN103384500B (zh) * | 2010-09-30 | 2016-05-18 | 伊西康内外科公司 | 具有可互换钉仓结构的外科缝合器械 |
| US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
| US10213198B2 (en) | 2010-09-30 | 2019-02-26 | Ethicon Llc | Actuator for releasing a tissue thickness compensator from a fastener cartridge |
| US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
| CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
| US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
| US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
| CN102813551A (zh) * | 2011-06-12 | 2012-12-12 | 封晏 | 高频血管融闭切割微创手术器械 |
| 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 |
| JP6224070B2 (ja) | 2012-03-28 | 2017-11-01 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | 組織厚さコンペンセータを含む保持具アセンブリ |
| CN104321024B (zh) | 2012-03-28 | 2017-05-24 | 伊西康内外科公司 | 包括多个层的组织厚度补偿件 |
| JP6105041B2 (ja) | 2012-03-28 | 2017-03-29 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | 低圧環境を画定するカプセルを含む組織厚コンペンセーター |
| US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
| US8968311B2 (en) | 2012-05-01 | 2015-03-03 | Covidien Lp | Surgical instrument with stamped double-flag jaws and actuation mechanism |
| US8920461B2 (en) * | 2012-05-01 | 2014-12-30 | Covidien Lp | Surgical forceps with bifurcated flanged jaw components |
| US9034009B2 (en) * | 2012-05-01 | 2015-05-19 | Covidien Lp | Surgical forceps |
| US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
| US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
| US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
| US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
| RU2636861C2 (ru) | 2012-06-28 | 2017-11-28 | Этикон Эндо-Серджери, Инк. | Блокировка пустой кассеты с клипсами |
| 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 |
| US20140005678A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Rotary drive arrangements for surgical instruments |
| US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
| US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
| US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
| US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
| US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
| US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
| US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
| US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
| US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
| JP6382235B2 (ja) | 2013-03-01 | 2018-08-29 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | 信号通信用の導電路を備えた関節運動可能な外科用器具 |
| RU2669463C2 (ru) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Хирургический инструмент с мягким упором |
| US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
| US9351726B2 (en) | 2013-03-14 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Articulation control system for articulatable surgical instruments |
| 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 |
| MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
| US9775609B2 (en) | 2013-08-23 | 2017-10-03 | Ethicon Llc | Tamper proof circuit for surgical instrument battery pack |
| US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
| US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
| BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
| US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
| US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
| US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
| US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
| 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 |
| US10010324B2 (en) | 2014-04-16 | 2018-07-03 | Ethicon Llc | Fastener cartridge compromising fastener cavities including fastener control features |
| US10426476B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Circular fastener cartridges for applying radially expandable fastener lines |
| BR112016023825B1 (pt) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico |
| JP6636452B2 (ja) | 2014-04-16 | 2020-01-29 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 異なる構成を有する延在部を含む締結具カートリッジ |
| US20150297222A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
| US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
| BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
| US20160066913A1 (en) | 2014-09-05 | 2016-03-10 | Ethicon Endo-Surgery, Inc. | Local display of tissue parameter stabilization |
| US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
| US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
| BR112017005981B1 (pt) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico |
| US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
| JP6017736B2 (ja) * | 2014-09-30 | 2016-11-02 | オリンパス株式会社 | 処置装置 |
| 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 |
| US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
| US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
| 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 |
| 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 |
| US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
| US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
| 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 |
| 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 |
| US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
| US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
| 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 |
| US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
| 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 |
| US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
| US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
| US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
| 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 |
| US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
| US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
| US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
| US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
| US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
| 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 |
| US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
| 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 |
| US10751108B2 (en) | 2015-09-30 | 2020-08-25 | Ethicon Llc | Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms |
| US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
| 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 |
| US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
| 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 |
| US11129670B2 (en) * | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
| US10779849B2 (en) | 2016-01-15 | 2020-09-22 | Ethicon Llc | Modular battery powered handheld surgical instrument with voltage sag resistant battery pack |
| US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
| US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
| JP6911054B2 (ja) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 非対称の関節構成を備えた外科用器具 |
| US10433837B2 (en) | 2016-02-09 | 2019-10-08 | Ethicon Llc | Surgical instruments with multiple link articulation arrangements |
| 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 |
| US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
| US11064997B2 (en) | 2016-04-01 | 2021-07-20 | Cilag Gmbh International | Surgical stapling instrument |
| 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 |
| US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
| US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
| US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
| US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses 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 |
| US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
| US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control 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 |
| US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a 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 |
| US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
| CN105870818B (zh) * | 2016-05-12 | 2018-12-14 | 国网湖北省电力公司武汉市江夏区供电公司 | 一种配电柜操作杆 |
| CN105870817B (zh) * | 2016-05-12 | 2018-06-29 | 国网湖北省电力公司武汉市江夏区供电公司 | 一种配电柜操作杆 |
| WO2017221305A1 (ja) * | 2016-06-20 | 2017-12-28 | オリンパス株式会社 | 処置具 |
| US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
| US10610291B2 (en) | 2016-09-26 | 2020-04-07 | Gyrus Acmi, Inc. | Reconfigurable instrument |
| US11207091B2 (en) | 2016-11-08 | 2021-12-28 | Covidien Lp | Surgical instrument for grasping, treating, and/or dividing tissue |
| US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
| DE102016124498A1 (de) * | 2016-12-15 | 2018-06-21 | Lutz Kothe | Medizinisches Instrument |
| 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 |
| CN110087565A (zh) | 2016-12-21 | 2019-08-02 | 爱惜康有限责任公司 | 外科缝合系统 |
| US11179155B2 (en) | 2016-12-21 | 2021-11-23 | Cilag Gmbh International | Anvil arrangements for surgical staplers |
| US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
| US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
| US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
| US11160551B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Articulatable surgical stapling instruments |
| 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 |
| US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
| CN110099619B (zh) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | 用于外科端部执行器和可替换工具组件的闭锁装置 |
| US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
| US10675025B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Shaft assembly comprising separately actuatable and retractable systems |
| US10779823B2 (en) | 2016-12-21 | 2020-09-22 | Ethicon Llc | Firing member pin angle |
| US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
| US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
| US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
| US20180168598A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Staple forming pocket arrangements comprising zoned forming surface grooves |
| US20180168577A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Axially movable closure system arrangements for applying closure motions to jaws of surgical instruments |
| 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 |
| 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 |
| 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 |
| 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 |
| US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
| USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
| 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 |
| 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 |
| US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting 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 |
| 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 |
| USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
| 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 |
| US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
| US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
| USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
| 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 |
| 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 |
| 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 |
| 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 |
| US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
| US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
| US11090049B2 (en) | 2017-06-27 | 2021-08-17 | Cilag Gmbh International | Staple forming pocket arrangements |
| US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
| US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
| US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
| US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
| EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
| US11696759B2 (en) | 2017-06-28 | 2023-07-11 | Cilag Gmbh International | Surgical stapling instruments comprising shortened staple cartridge noses |
| US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
| USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
| US10639037B2 (en) | 2017-06-28 | 2020-05-05 | Ethicon Llc | Surgical instrument with axially movable closure member |
| US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
| US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
| USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
| US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
| US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
| US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member 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 |
| US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
| US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
| US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
| US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
| US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
| US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
| USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
| 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 |
| USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
| 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 |
| US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
| US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
| 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 |
| 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 |
| 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 |
| 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 |
| US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
| US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
| US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
| US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use 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 |
| US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
| US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
| 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 |
| US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
| 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 |
| US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
| 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 |
| US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
| 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 |
| US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
| US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
| US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
| US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
| US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
| US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
| US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
| 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 |
| USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
| US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
| US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
| 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 |
| US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
| US11147553B2 (en) | 2019-03-25 | 2021-10-19 | 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 |
| US11696761B2 (en) | 2019-03-25 | 2023-07-11 | 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 |
| US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
| US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
| US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
| US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
| US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
| US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
| US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
| US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
| 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 |
| US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
| 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 |
| US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
| US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
| US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
| US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
| US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
| US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
| US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
| US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
| 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 |
| US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
| US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
| US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
| US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
| US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
| US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
| US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
| 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 |
| 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 |
| US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
| US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
| US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
| US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
| US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
| US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
| US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
| US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
| US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
| US20210196359A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instruments with electrodes having energy focusing features |
| US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
| US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
| US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
| US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
| US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
| US11723716B2 (en) | 2019-12-30 | 2023-08-15 | Cilag Gmbh International | Electrosurgical instrument with variable control mechanisms |
| US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
| US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
| US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
| US11937866B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Method for an electrosurgical procedure |
| US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
| US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
| US11707318B2 (en) | 2019-12-30 | 2023-07-25 | Cilag Gmbh International | Surgical instrument with jaw alignment features |
| US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
| 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 |
| USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
| USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
| USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
| US20220031320A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with flexible firing member actuator constraint arrangements |
| US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
| US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
| 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 |
| US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
| US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
| USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
| US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
| US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
| US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
| 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 |
| 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 |
| US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
| US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
| US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
| US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
| US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
| US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
| US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
| US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
| US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
| US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
| US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
| US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
| 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 |
| 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 |
| US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| 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 |
| US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
| US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
| US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
| US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
| US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
| 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 |
| US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
| US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
| US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
| 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 |
| 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 |
| US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
| US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
| US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
| US20220378426A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a mounted shaft orientation sensor |
| US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
| US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
| US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Family Cites Families (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5434674A (en) * | 1990-01-31 | 1995-07-18 | Kabushiki Kaisha Toshiba | Digital Fluorographic image recording apparatus using a digital video tape recorder to store data in multiple formats |
| DE4204051C2 (de) * | 1992-02-12 | 1994-12-08 | Karl Von Rauch | Amboßschere für chirurgische Zwecke |
| US5445638B1 (en) * | 1993-03-08 | 1998-05-05 | Everest Medical Corp | Bipolar coagulation and cutting forceps |
| US5709680A (en) * | 1993-07-22 | 1998-01-20 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
| DE4421822C1 (de) * | 1994-06-22 | 1995-10-26 | Karlsruhe Forschzent | Endoskopisches, bipolares HF-Koagulationsgerät mit integrierter Schneideeinrichtung |
| DE4444166C2 (de) * | 1994-12-12 | 1998-09-24 | Urotech Med Tech Gmbh | Flexible Messervorrichtung für chirurgische Zwecke |
| US5611798A (en) * | 1995-03-02 | 1997-03-18 | Eggers; Philip E. | Resistively heated cutting and coagulating surgical instrument |
| US5599350A (en) * | 1995-04-03 | 1997-02-04 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with coagulation feedback |
| AU703455B2 (en) * | 1995-10-20 | 1999-03-25 | Ethicon Endo-Surgery, Inc. | Self protecting knife for curved jaw surgical instruments |
| US6626901B1 (en) * | 1997-03-05 | 2003-09-30 | The Trustees Of Columbia University In The City Of New York | Electrothermal instrument for sealing and joining or cutting tissue |
| US6679882B1 (en) * | 1998-06-22 | 2004-01-20 | Lina Medical Aps | Electrosurgical device for coagulating and for making incisions, a method of severing blood vessels and a method of coagulating and for making incisions in or severing tissue |
| DE10031773B4 (de) * | 2000-05-04 | 2007-11-29 | Erbe Elektromedizin Gmbh | Chirurgisches Greifinstrument, insbesondere Pinzette oder Zange |
| WO2005004735A1 (en) * | 2003-06-13 | 2005-01-20 | Sherwood Services Ag | Vessel sealer and divider for use with small trocars and cannulas |
| US7186252B2 (en) * | 2003-09-29 | 2007-03-06 | Ethicon Endo-Surgery, Inc. | Endoscopic mucosal resection device and method of use |
| DE602005013351D1 (de) * | 2004-01-23 | 2009-04-30 | Ams Res Corp | Gewebebefestigungs- und schneideinstrument |
| DE102004040959B4 (de) * | 2004-08-24 | 2008-12-24 | Erbe Elektromedizin Gmbh | Chirurgisches Instrument |
| DE102006047204B4 (de) * | 2006-10-05 | 2015-04-23 | Erbe Elektromedizin Gmbh | Rohrschaftinstrument |
-
2006
- 2006-10-05 DE DE200610047204 patent/DE102006047204B4/de active Active
-
2007
- 2007-09-26 CN CN2007800360594A patent/CN101516285B/zh active Active
- 2007-09-26 CN CN2007800366162A patent/CN101522118B/zh not_active Expired - Fee Related
- 2007-09-26 CN CN2007800363963A patent/CN101522120B/zh active Active
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101516285B (zh) * | 2006-10-05 | 2011-08-17 | 爱尔伯电子医疗设备公司 | 管轴器械 |
| CN113855176A (zh) * | 2016-02-15 | 2021-12-31 | 泰尔茂株式会社 | 医疗器械 |
| CN111954500A (zh) * | 2019-08-20 | 2020-11-17 | 大和机器株式会社 | 用于腹腔镜手术的器械 |
| CN111954500B (zh) * | 2019-08-20 | 2022-02-15 | 大和机器株式会社 | 用于腹腔镜手术的器械 |
Also Published As
| Publication number | Publication date |
|---|---|
| CN101516285B (zh) | 2011-08-17 |
| CN101522120A (zh) | 2009-09-02 |
| CN101516285A (zh) | 2009-08-26 |
| CN101522120B (zh) | 2011-08-17 |
| DE102006047204A1 (de) | 2008-04-10 |
| DE102006047204B4 (de) | 2015-04-23 |
| CN101522118B (zh) | 2012-10-17 |
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