CN101522359B - 用于形成外科缝合器的缝合钉凹座的系统和方法 - Google Patents

用于形成外科缝合器的缝合钉凹座的系统和方法 Download PDF

Info

Publication number
CN101522359B
CN101522359B CN2006800313762A CN200680031376A CN101522359B CN 101522359 B CN101522359 B CN 101522359B CN 2006800313762 A CN2006800313762 A CN 2006800313762A CN 200680031376 A CN200680031376 A CN 200680031376A CN 101522359 B CN101522359 B CN 101522359B
Authority
CN
China
Prior art keywords
suturing nail
dimple
workpiece
control module
laser beam
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.)
Active
Application number
CN2006800313762A
Other languages
English (en)
Other versions
CN101522359A (zh
Inventor
迈克尔·P·惠特曼
约翰·E·伯班克
唐纳德·马里努斯卡斯
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.)
Covidien LP
Original Assignee
Tyco Healthcare Group LP
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 Tyco Healthcare Group LP filed Critical Tyco Healthcare Group LP
Publication of CN101522359A publication Critical patent/CN101522359A/zh
Application granted granted Critical
Publication of CN101522359B publication Critical patent/CN101522359B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • 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
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23K—SOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
    • B23K26/00—Working by laser beam, e.g. welding, cutting or boring
    • B23K26/36—Removing material
    • B23K26/361—Removing material for deburring or mechanical trimming
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526—Methods of manufacturing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • 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
    • A61B2017/07214—Stapler heads
    • A61B2017/07257—Stapler heads characterised by its anvil
    • A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material

Landscapes

  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Plasma & Fusion (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
  • Dovetailed Work, And Nailing Machines And Stapling Machines For Wood (AREA)

Abstract

本发明公开了在例如外科缝合器的砧座部上形成缝合钉凹座的系统和方法。激光加工系统可包括激光发射装置，该激光发射装置配置成发射激光束以在外科缝合器的砧座上形成缝合钉凹座。砧座的缝合钉凹座可相继地或同时地形成。外科缝合器的砧座安装在安装机构内以控制其运动，并且激光发射装置由控制模块控制，控制模块可控制发射激光操作的任何方面，例如激光束的强度、激光发射装置相对于砧座的运动等。控制模块可为包括软件的处理器，该软件提供控制模块的操作指令，并且可以是能够由使用者进行编程，以使使用者可输入对应于缝合钉凹座的例如形状、配置等的参数。

Description

用于形成外科缝合器的缝合钉凹座的系统和方法
相关申请的交叉引用
本申请要求2005年7月27日申请的名称为“System and Method forForming Staple Pockets of a Surgical Stapler”的美国临时专利申请序列号第60/703,493号的优先权，其全部内容以参照方式明确并入本文。
技术领域
本发明涉及一种用于形成缝合钉凹座的系统和方法。更具体地，本发明涉及一种用于在外科缝合器的砧座上形成缝合钉凹座的系统和方法。
背景技术
外科缝合器通常采用其内限定有缝合钉凹座的砧座。缝合钉被抵推着缝合钉凹座而推出缝合钉匣并穿过组织的一部分，缝合钉凹座形成为接收缝合钉的腿部并将缝合钉的腿部渐进地弯折到闭合位置。更具体地，当启动外科缝合器的缝合钉发射机构时，缝合钉被推出缝合钉匣，使得缝合钉的腿部刺透组织的一部分并进入相应的缝合钉凹座。缝合钉发射机构连续操作，使缝合钉的腿部被接收进缝合钉凹座的一个端部内，并沿缝合钉凹座的弯曲状凹槽滑动以依据缝合钉凹座的曲率弯折或成型。最终，各缝合钉的腿部被完全弯折或成型，使得该部分组织被保持在缝合钉的脊部和弯折的缝合钉腿部之间。
传统的在外科缝合器的砧座内形成缝合钉凹座的一个方法是通过压印成型。形成外科缝合钉凹座的传统方法所遇到的一个问题是缝合钉凹座不能足够精确地成型，例如它们不能令人满意地满足外科缝合器中所需的对准、深度和光滑度的小公差。并且，为了形成缝合钉凹座，压印不从砧座表面移除材料，而是将砧座材料从一个位置--例如待形成缝合钉凹座的位置--移动或推动到另一位置--例如通常是在形成缝合钉凹座后紧绕缝合钉凹座的位置。此外，在外科缝合器的砧座内形成外科缝合钉凹座的传统方法可引起砧座的结构断裂，由此损坏外科缝合器并负面地影响外科缝合器的操作。进一步地，在外科缝合器的砧座内形成外科缝合钉凹座的传统方法可能造成形成不均匀的缝合钉凹座表面，使得外科缝合器的操作效率较低。另外，在外科缝合器的砧座内形成外科缝合钉凹座的传统方法可能不能形成不同的或复杂的缝合钉凹座。此外，在外科缝合器的砧座内形成外科缝合钉凹座的传统方法随着时间推移无法提供缝合钉凹座的足够一致性--例如，在一段时间内用于形成多个缝合钉凹座的压印工具会逐渐地遭受磨损，随着时间推移这可造成在整个时间段内形成不同形状的缝合钉。另外，在外科缝合器的砧座内形成外科缝合钉凹座的传统方法不允许对缝合钉凹座的形状进行简易和快速地修改，因为如果需要不同的缝合钉凹座形状则必须设计、制造新的压印工具并将其安装在压印装置内。
发明内容
本发明的示例性实施方式涉及在例如外科缝合器的砧座部上形成缝合钉凹座的系统和方法。在示例性实施方式中，激光加工系统包括激光发射装置，该激光发射装置配置成发射激光束以在外科缝合器的砧座上形成缝合钉凹座。砧座的缝合钉凹座可相继地或同时地形成。外科缝合器的砧座安装在安装机构内以控制其运动，并且激光发射装置由控制模块控制，控制模块可控制发射激光操作的任何方面，例如激光束的强度、激光发射装置相对于砧座的运动等。控制模块可为包括软件的处理器，该软件提供控制模块的操作指令，并且可以是能够由使用者进行编程，以使使用者输入对应于缝合钉凹座的例如形状、配置等的参数。
附图说明
图1(a)是示意性地示出依据本发明的示例性实施方式的激光加工系统的一些组件的图；
图1(b)是可依据本发明示例性实施方式形成的、位于外科缝合器的砧座上的缝合钉凹座装置的一部分的俯视图；
图2(a)是可依据本发明示例性实施方式形成的、位于外科缝合器的砧座上的缝合钉凹座装置的仰视立体图；
图2(b)是图2(a)中所示的缝合钉凹座的一部分的横截面视图；
图3(a)是可依据本发明示例性实施方式形成的、位于外科缝合器的砧座上的另一缝合钉凹座装置的仰视立体图；
图3(b)是图3(a)中所示的缝合钉凹座的一部分的横截面视图；
图4是可依据本发明示例性实施方式形成的、位于外科缝合器的砧座上的另一缝合钉凹座装置的一部分的俯视图；
图5是依据本发明示例性实施方式的、位于外科缝合器的砧座上的缝合钉凹座装置的俯视图；以及
图6是可依据本发明示例性实施方式形成的、位于外科缝合器的砧座上的缝合钉凹座装置的俯视图。
具体实施方式
本文描述用于形成缝合钉凹座的系统和方法。在本发明的示例性实施方式中，涉及用于在外科缝合器的砧座上形成缝合钉凹座的系统和方法。应该注意，虽然本文中结合在外科缝合器的砧座上形成缝合钉凹座为例对本发明的示例性实施方式进行了描述，但本发明的示例性实施方式也可用于在外科装置的其它部分上或其它类型的外科装置上形成缝合钉凹座。
依据本发明的示例性实施方式，缝合钉凹座由激光形成。图1(a)是示意性地示出激光加工系统10的一些组件的图。例如，图1(a)示出激光发射装置100，其配置成发射激光束102(或多个激光束102)。砧座的缝合钉凹座可由单束激光束102相继地形成，或者由激光束102的阵列同时地形成。依据示例性实施方式的激光发射装置100可为CO2型激光发射装置。诸如外科缝合器砧座的工件104安装于安装机构106内以控制工件104的运动。激光发射装置100由控制模块108控制，控制模块108可控制激光加工操作的任何方面。例如，控制模块108可控制激光束102的强度、以及激光发射装置100相对于工件104的运动。控制模块108可为包括软件的处理器，该软件提供控制模块108的操作指令。在示例性实施方式中，控制模块108能够由使用者进行编程，以输入例如对应于缝合钉凹座的形状、配置等。
依据本发明示例性实施方式，利用激光在外科缝合器的砧座内形成缝合钉凹座，可提供优于形成此种缝合钉凹座的传统方法的优点。例如，与形成此种缝合钉凹座的传统方法所能实现的精度级别相比，利用激光在外科缝合器的砧座内形成缝合钉凹座可使缝合钉凹座以更为精确的方式形成。例如，形成此种缝合钉凹座的传统方法是将砧座材料从一个位置--例如待形成缝合钉凹座的位置--移动或推动到另一位置--例如通常是形成缝合钉凹座后紧绕缝合钉凹座的位置。因此，可能造成砧座材料在砧座上的各个位置积聚(例如绕缝合钉凹座的边缘积聚)从而在该位置形成材料唇边。材料的这种积聚会负面地影响砧座的操作，因为所积聚的材料可能会妨碍缝合钉腿部抵住砧座的闭合。并且，砧座材料的这种积聚会在缝合钉凹座内产生不均匀或不光滑的表面。
对比而言，通过利用激光在砧座内形成缝合钉凹座，砧座的材料并不移动到砧座上的另一位置，而是由激光从砧座移除。因此，在砧座上没有留下可能会妨碍砧座操作的积聚材料。此外，利用激光形成缝合钉凹座使得缝合钉凹座在彼此对准的方面、缝合钉凹座的深度和曲率、缝合钉凹座内的表面光滑度等方面能够以小公差或严格的公差形成。由于总体上外科器械的微型化发展，尤其是关于外科缝合器的微型化发展，所以这种高精度愈发重要以确保此种外科器械按照需要地进行操作。
图1(b)是可由激光形成的、位于外科缝合器的砧座上的缝合钉凹座装置的一部分的俯视图。为了清楚起见，仅示出位于刀槽的一侧--例如上侧--的缝合钉凹座装置。图1(b)示出呈矩形形状并呈平行的行排列的缝合钉凹座。通过采用本发明示例性实施方式的激光加工方法，也可提供其它缝合钉凹座配置和缝合钉凹座形状。例如，图2(a)是位于外科缝合器的砧座上的缝合钉凹座装置的仰视立体图。这种缝合钉凹座装置采用陡峭的凹槽壁，该凹槽壁在凹槽的底面附近的部分相对于凹槽壁的其他部分改变成具有平缓的角度。图2(b)是图2(a)所示的缝合钉凹座的一部分的横截面图。图2(b)图示出例如沿竖直方向移动的缝合钉腿部被接收于缝合钉凹座内、且在缝合钉腿部弯折到闭合位置之前的情形。图2(a)和图2(b)中所示的25.4度的角度是缝合钉凹座的表面相对于砧座表面的平面的角度--例如当缝合钉腿部最开始在与缝合钉凹座的纵向边缘相距0.005英寸的位置处被接收入缝合钉凹座内时缝合钉腿部沿其滑动的表面的倾斜角。
在图3(a)和图3(b)中图示出另一可通过利用激光加工方法提供的缝合钉凹座装置。图3(a)是位于外科缝合器的砧座上的另一缝合钉凹座装置的仰视立体图。这种缝合钉凹座装置也采用陡峭的凹槽壁，该凹槽壁在凹槽的底面附近的部分相对于凹槽壁的其他部分改变成具有平缓的角度。图3(b)是图3(a)所示缝合钉凹座的一部分的横截面视图。图3(b)图示出例如沿竖直方向移动的缝合钉腿部被接收于缝合钉凹座内、且在缝合钉腿部弯折到闭合位置之前的情形。图3(a)和图3(b)中所示的37.4度的角度是缝合钉凹座的表面相对于砧座表面的平面的角度--例如当缝合钉腿部最开始在与缝合钉凹座的纵向边缘相距0.005英寸的位置处被接收入缝合钉凹座内时缝合钉腿部沿其滑动的表面的倾斜角。
在图4中图示出另一种可通过利用激光加工方法提供的缝合钉凹座装置。图4是位于外科缝合器的砧座上的缝合钉凹座装置的一部分的俯视图。在这种装置中，在刀槽的各侧上均存在三个纵行的缝合钉凹座。当然，应该理解，依据本发明的示例性实施方式，借助于激光可形成任何的缝合钉凹座形状和配置。
此外，与形成缝合钉凹座的传统方法比较，利用激光在外科缝合器的砧座内形成缝合钉凹座还可以提供如下优点，即：使用激光可降低在制造过程中砧座受损的可能性。如上所述，在外科缝合器的砧座内形成缝合钉凹座的传统方法--例如压印--可能由于施加在砧座上的巨大的力而造成砧座的结构断裂，其中所述力是压印工具为使缝合钉凹座位置处的砧座材料移位而施加在砧座上的。如果在砧座结合入外科缝合器内之前未检测到这些结构断裂，则可能因为例如在使用过程中砧座失效等原因而负面地影响外科缝合器的操作。如果在砧座结合入外科缝合器内之前检测到这些结构断裂，则将需要丢弃该砧座，导致浪费材料并增加制造成本。与之形成对比的是，利用激光在外科缝合器的砧座内形成缝合钉凹座可防止形成结构断裂以及对砧座的其它类型的损坏。
另外，依据本发明的示例性实施方式，利用激光在外科缝合器的砧座内形成缝合钉凹座，可在外科缝合器的砧座内形成不同或复杂的缝合钉凹座形状。如上所述，因为为了形成缝合钉凹座，缝合钉凹座位置处的砧座材料必须被移离缝合钉凹座位置，并且砧座材料的弹性性能可能限制材料可被移动的程度，所以在外科缝合器的砧座内形成缝合钉凹座的传统方法不能形成某些缝合钉凹座形状。与之形成对比的是，利用激光在外科缝合器的砧座内形成缝合钉凹座是从砧座移除材料，而不是仅将材料移到砧座上的另一不同位置，因此可不受砧座材料的弹性性能的限制。因此，缝合钉凹座可由激光形成由传统的形成缝合钉凹座的方法所不能形成的形状。
图5和图6图示出一些可依据本发明各种示例性实施方式形成的不同的缝合钉凹座形状和配置。例如，图5是位于外科缝合器的砧座上的缝合钉凹座装置的俯视图。从上方观察，依据一示例性实施方式的各缝合钉凹座110可具有大致三角形的形状。可选地，如图6所示，当从上方观察时，依据另一示例性实施方式的各缝合钉凹座110可具有类似于“自行车座”的形状，例如为大致三角形并沿其侧面具有一系列凸形和凹形弯曲。也可采用其它的形状，并且在外科缝合器的砧座上可形成任何数量行的缝合钉凹座。因为图5和图6中所示的缝合钉凹座110在接收缝合钉腿部的纵向端部处相对较宽，所以这些缝合钉凹座形状可提供优于其它缝合钉凹座形状的优点，即：它们可消除或至少降低了缝合钉腿部与缝合钉凹座错开的可能性，缝合钉腿部与缝合钉凹座错开的情形可能因例如外科缝合器的具有砧座的第一夹部和外科缝合器的具有配置用于发射缝合钉的匣的第二夹部之间的未对准而产生。这些以及其它缝合钉凹座形状和配置的其它方面在2005年7月27日申请的名称为“Staple Pocket Arrangement for Surgical Stapler”的美国临时专利申请第60/703,262号中、以及2006年7月27日申请的名称为“Staple PocketArrangement for Surgical Stapler”的美国专利申请序列号第＿＿号中有进一步详细的描述，以上专利申请和专利各者的全部内容以参照方式明确并入本文中。
图5和图6中所示的这些缝合钉凹座的形状和配置使得一行缝合钉凹座与相邻的另一行的缝合钉凹座相叠置。例如，如图5和图6所示，相叠置的缝合钉凹座之间的距离相对较小从而最小化了砧座的总宽度。因为缝合钉凹座可用激光精确地形成，利用激光形成这些缝合钉凹座可以在将要形成的相叠置的缝合钉凹座之间实现这种相对较小的宽度。与之形成对比的是，用形成缝合钉凹座的传统方法可能无法实现相叠置的缝合钉凹座之间的相对较小的宽度，因为形成第一个缝合钉凹座的压印工具可能将砧座材料移动或推动进相邻的缝合钉凹座；或者，将会留在相邻的缝合钉凹座之间的少量砧座材料可能被同时形成两个缝合钉凹座的压印工具所施加在其上的力破坏。进一步地，利用激光形成缝合钉凹座，可在缝合钉凹座内提供光滑表面，降低缝合钉腿部在沿缝合钉凹座的表面移动时卡住或歪扭变形的可能性，进而提高缝合钉正确闭合的可能性。
与传统的形成缝合钉凹座的方法相比，利用激光在外科缝合器的砧座内形成缝合钉凹座的优点在于：利用激光可随着时间推移形成具有一致形状的缝合钉凹座。如上所述，传统的在外科缝合器的砧座内形成缝合钉凹座的方法无法提供缝合钉凹座随着时间推移的足够的一致，因为压印工具在使用一段时间之后会受到磨损，从而使压印工具的形状改变。因此，在压印工具寿命的初始阶段时由压印工具所形成的缝合钉凹座可能具有第一形状，而在压印工具寿命的晚期--例如在压印工具遭受磨损并改变了形状之后，由压印工具所形成的缝合钉凹座会具有与第一形状不同的第二形状。与之形成对比的是，无论使用了多少次，由激光发射装置所发射的激光束可一致地施加到砧座材料，因此，利用激光在外科缝合器的砧座内形成缝合钉凹座确保了由激光所形成的连续缝合钉凹座具有一致的形状。
另外，利用激光在外科缝合器的砧座内形成缝合钉凹座，可以在制造过程中容易、快速和/或廉价地对缝合钉凹座的形状进行修改。如上所述，在缝合钉凹座的砧座内形成外科缝合钉凹座的传统方法无法允许容易、快速和/或廉价地对缝合钉凹座的形状进行修改，因为如果需要不同的缝合钉凹座形状，则必须设计、制造新的压印工具并将其安装于压印装置内。因此，如果需要改变缝合钉凹座的形状，则必须花费相当多的时间和精力以形成新的压印工具。与之形成对比的是，激光发射装置100的操作由控制模块108的软件控制，并且缝合钉凹座的形状改变可通过改变软件来实现，或者在将控制模块108配置成接收对应于缝合钉凹座的形状的使用者输入的示例性实施方式中，由使用者为软件提供缝合钉凹座的不同形状参数。
应当理解，可提供其它加工装置替代激光发射装置100。例如，可以提供与使材料移位的加工装置--例如压印装置--不同的、在加工过程中将材料移除的加工装置。此种加工装置的示例包括EDM(放电加工)装置、等离子蚀刻装置等。

Claims (26)

1.一种用于形成多个缝合钉凹座的系统，包括：
配置成安装工件的安装机构；以及
配置成发射激光至所述工件上的激光发射装置，所述激光束在所述工件上形成多个缝合钉凹座，所述多个缝合钉凹座沿着所述工件的纵向轴线呈叠置配置，所述叠置配置包括：
位于第一行的第一缝合钉凹座，所述第一缝合钉凹座沿着所述纵向轴线具有近侧凹槽和远侧凹槽；和
位于第二行的第二缝合钉凹座，所述第二缝合钉凹座沿着所述纵向轴线具有近侧凹槽和远侧凹槽，所述第二行与所述第一行相邻；
其中所述第一缝合钉凹座的所述远侧凹槽与所述第二缝合钉凹座的所述近侧凹槽在垂直于所述纵向轴线的方向上轴向地对准，并且所述第一缝合钉凹座的所述近侧凹槽与所述第二缝合钉凹座的所述远侧凹槽在垂直于所述纵向轴线的方向上轴向地对准。
2.如权利要求1所述的系统，其中，所述工件是外科缝合器的砧座。
3.如权利要求1所述的系统，其中，所述安装机构配置成移动所述工件。
4.如权利要求1所述的系统，其中，所述系统配置成在所述工件上形成大致三角状缝合钉凹座凹槽；或者所述系统配置成在所述工件上形成自行车座状缝合钉凹座凹槽，所述自行车座状缝合钉凹座凹槽为大致三角形并具有凸形和凹形的外周轮廓。
5.如权利要求4所述的系统，其中，所述系统配置成在所述工件上相继地形成所述多个缝合钉凹座。
6.如权利要求4所述的系统，其中，所述系统包括多个激光发射装置，使得所述系统配置成在所述工件上同时地形成所述多个缝合钉凹座。
7.如权利要求1所述的系统，其进一步包括控制模块，所述激光发射装置由所述控制模块控制。
8.如权利要求7所述的系统，其中，所述控制模块配置成控制所述激光束的强度。
9.如权利要求7所述的系统，其中，所述控制模块配置成控制所述激光发射装置相对于所述工件的运动。
10.如权利要求7所述的系统，其中，所述控制模块是包括软件的处理器，所述软件提供所述控制模块的操作指令。
11.如权利要求10所述的系统，其中，所述控制模块能够由使用者进行编程。
12.如权利要求11所述的系统，其中，所述控制模块配置成接收来自使用者的输入参数。
13.如权利要求12所述的系统，其中，所述输入参数包括所述缝合钉凹座的形状和配置中的至少一种。
14.一种用于形成多个缝合钉凹座的方法，所述方法包括如下步骤：
安装工件；
发射激光束至所述工件上；以及
通过所述激光束在所述工件上形成多个所述缝合钉凹座，所述多个所述缝合钉凹座沿着所述工件的纵向轴线呈叠置配置，所述叠置配置包括：
位于第一行的第一缝合钉凹座，所述第一缝合钉凹座沿着所述纵向轴线具有近侧凹槽和远侧凹槽；和
位于第二行的第二缝合钉凹座，所述第二缝合钉凹座沿着所述纵向轴线具有近侧凹槽和远侧凹槽，所述第二行平行于所述第一行；
其中所述第一缝合钉凹座的所述远侧凹槽与所述第二缝合钉凹座的所述近侧凹槽在垂直于所述纵向轴线的方向上轴向地对准，并且所述第一缝合钉凹座的所述近侧凹槽与所述第二缝合钉凹座的所述远侧凹槽在垂直于所述纵向轴线的方向上轴向地对准。
15.如权利要求14所述的方法，其中，所述工件是外科缝合器的砧座。
16.如权利要求14所述的方法，其进一步包括移动所述工件的步骤。
17.如权利要求14所述的方法，其中，在所述工件上形成所述缝合钉凹座的步骤包括：在所述工件上形成大致三角状缝合钉凹座凹槽；或者在所述工件上形成自行车座状缝合钉凹座凹槽，所述自行车座状缝合钉凹座凹槽为大致三角形并具有凸形和凹形的外周轮廓。
18.如权利要求17所述的方法，其中，在所述工件上相继地形成所述多个缝合钉凹座。
19.如权利要求17所述的方法，其中，通过同时发射多束激光束，在所述工件上同时地形成所述多个缝合钉凹座。
20.如权利要求14所述的方法，其进一步包括通过控制模块控制所述激光束的发射的步骤。
21.如权利要求20所述的方法，其中，控制所述激光束的发射的步骤包括控制所述激光束的强度。
22.如权利要求20所述的方法，其中，控制所述激光束的发射的步骤包括控制所述激光束相对于所述工件的运动。
23.如权利要求20所述的方法，其中，所述控制模块是包括软件的处理器，其中，所述方法进一步包括提供所述控制模块的操作指令的步骤。
24.如权利要求23所述的方法，其进一步包括使用者对所述控制模块进行编程的步骤。
25.如权利要求24所述的方法，其中，对所述控制模块进行编程的步骤包括接收来自所述使用者的输入参数。
26.如权利要求24所述的方法，其中，接收来自所述使用者的输入参数的步骤包括接收所述缝合钉凹座的形状和配置中的至少一种。
CN2006800313762A 2005-07-27 2006-07-27 用于形成外科缝合器的缝合钉凹座的系统和方法 Active CN101522359B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US70349305P 2005-07-27 2005-07-27
US60/703,493 2005-07-27
PCT/US2006/029612 WO2007014353A2 (en) 2005-07-27 2006-07-27 System and method for forming staple pockets of a surgical stapler

Publications (2)

Publication Number Publication Date
CN101522359A CN101522359A (zh) 2009-09-02
CN101522359B true CN101522359B (zh) 2013-03-13

Family

ID=37684012

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2006800313762A Active CN101522359B (zh) 2005-07-27 2006-07-27 用于形成外科缝合器的缝合钉凹座的系统和方法

Country Status (8)

Country Link
US (1) US8008598B2 (zh)
EP (1) EP1912571B1 (zh)
JP (1) JP5042222B2 (zh)
CN (1) CN101522359B (zh)
CA (1) CA2617120C (zh)
IL (1) IL189045A (zh)
MX (1) MX2008001323A (zh)
WO (1) WO2007014353A2 (zh)

Families Citing this family (413)

* 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
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different 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
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
US7669746B2 (en) 2005-08-31 2010-03-02 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
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
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
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US7552854B2 (en) 2006-05-19 2009-06-30 Applied Medical Resources Corporation Surgical stapler with firing lock mechanism
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
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
US8652120B2 (en) 2007-01-10 2014-02-18 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
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
US8701958B2 (en) 2007-01-11 2014-04-22 Ethicon Endo-Surgery, Inc. Curved end effector for a surgical stapling device
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US7604151B2 (en) 2007-03-15 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features
US8028882B2 (en) * 2007-05-01 2011-10-04 Tyco Healthcare Group Anvil position detector for a surgical stapler
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
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
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
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
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
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
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
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
CA2751664A1 (en) 2009-02-06 2010-08-12 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8858577B2 (en) 2010-05-19 2014-10-14 University Of Utah Research Foundation Tissue stabilization system
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8857694B2 (en) 2010-09-30 2014-10-14 Ethicon Endo-Surgery, Inc. Staple cartridge loading assembly
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9272406B2 (en) 2010-09-30 2016-03-01 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a cutting member for releasing a tissue thickness compensator
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8852214B2 (en) 2011-02-04 2014-10-07 University Of Utah Research Foundation System for tissue fixation to bone
BR112013027794B1 (pt) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
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
US9179913B2 (en) 2012-03-16 2015-11-10 Covidien Lp Surgical fastening apparatus with directed overcrimp
MX353040B (es) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Unidad retenedora que incluye un compensador de grosor de tejido.
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
BR112014024102B1 (pt) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc Conjunto de cartucho de prendedores para um instrumento cirúrgico, e conjunto de atuador de extremidade para um instrumento cirúrgico
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
RU2636861C2 (ru) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Блокировка пустой кассеты с клипсами
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
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
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US10835241B2 (en) 2012-07-30 2020-11-17 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US11957334B2 (en) 2012-07-30 2024-04-16 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US10390935B2 (en) 2012-07-30 2019-08-27 Conextions, Inc. Soft tissue to bone repair devices, systems, and methods
US11944531B2 (en) 2012-07-30 2024-04-02 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US11253252B2 (en) 2012-07-30 2022-02-22 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US9427309B2 (en) 2012-07-30 2016-08-30 Conextions, Inc. Soft tissue repair devices, systems, and methods
US10219804B2 (en) 2012-07-30 2019-03-05 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
RU2672520C2 (ru) 2013-03-01 2018-11-15 Этикон Эндо-Серджери, Инк. Шарнирно поворачиваемые хирургические инструменты с проводящими путями для передачи сигналов
US10470762B2 (en) 2013-03-14 2019-11-12 Ethicon Llc Multi-function motor for a surgical instrument
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
CA2904678C (en) 2013-03-14 2022-07-12 Applied Medical Resources Corporation Surgical stapler with partial pockets
KR102227182B1 (ko) 2013-03-15 2021-03-15 어플라이드 메디컬 리소시스 코포레이션 회전가능 샤프트를 구비한 구동 메커니즘을 갖는 수술용 스테이플러
KR102600899B1 (ko) 2013-03-15 2023-11-10 어플라이드 메디컬 리소시스 코포레이션 확장가능 조를 갖는 수술용 스테이플러
US9649110B2 (en) 2013-04-16 2017-05-16 Ethicon Llc Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US10117654B2 (en) 2013-06-18 2018-11-06 Covidien Lp Method of emergency retraction for electro-mechanical surgical devices and systems
CN103393467B (zh) * 2013-08-06 2015-04-15 中国科学院深圳先进技术研究院 激光切割缝合器
US20150053737A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. End effector detection systems for surgical instruments
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
MX369672B (es) 2013-12-17 2019-11-15 Standard Bariatrics Inc Guia de linea de reseccion para un procedimiento medico y metodo para su uso.
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US11583384B2 (en) 2014-03-12 2023-02-21 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
WO2015138760A1 (en) 2014-03-12 2015-09-17 Conextions, Inc. Soft tissue repair devices, systems, and methods
US10004497B2 (en) 2014-03-26 2018-06-26 Ethicon Llc Interface systems for use with surgical instruments
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
WO2015153324A1 (en) 2014-03-29 2015-10-08 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
ES2966760T3 (es) 2014-03-29 2024-04-24 Standard Bariatrics Inc Efectores de extremo para dispositivos de grapado quirúrgico
BR112016023698B1 (pt) 2014-04-16 2022-07-26 Ethicon Endo-Surgery, Llc Cartucho de prendedores para uso com um instrumento cirúrgico
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
US9844369B2 (en) 2014-04-16 2017-12-19 Ethicon Llc Surgical end effectors with firing element monitoring arrangements
US20150297222A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
JP6612256B2 (ja) 2014-04-16 2019-11-27 エシコン エルエルシー 不均一な締結具を備える締結具カートリッジ
WO2015191887A1 (en) 2014-06-11 2015-12-17 Applied Medical Resources Corporation Surgical stapler with circumferential firing
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US10111679B2 (en) 2014-09-05 2018-10-30 Ethicon Llc Circuitry and sensors for powered medical device
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
AU2015318095B2 (en) 2014-09-15 2020-02-20 Applied Medical Resources Corporation Surgical stapler with self-adjusting staple height
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
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
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
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
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
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
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
RU2703684C2 (ru) 2014-12-18 2019-10-21 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
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
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
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
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
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
JP7079194B2 (ja) 2015-08-06 2022-06-01 アプライド メディカル リソーシーズ コーポレイション ロック関節連結継手を備えた外科用ステープラ
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
US10285837B1 (en) 2015-09-16 2019-05-14 Standard Bariatrics, Inc. Systems and methods for measuring volume of potential sleeve in a sleeve gastrectomy
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
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10327769B2 (en) * 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10172620B2 (en) 2015-09-30 2019-01-08 Ethicon Llc Compressible adjuncts with bonding nodes
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
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
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
ES2878152T3 (es) 2016-04-12 2021-11-18 Applied Med Resources Grapadora quirúrgica con mecanismo de articulación
EP3442430B1 (en) 2016-04-12 2021-07-14 Applied Medical Resources Corporation Reload shaft assembly for surgical stapler
ES2938241T3 (es) 2016-04-12 2023-04-05 Applied Med Resources Grapadora quirúrgica con un mango motorizado
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11607239B2 (en) 2016-04-15 2023-03-21 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
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
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
US10478181B2 (en) 2016-04-18 2019-11-19 Ethicon Llc Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US11696822B2 (en) 2016-09-28 2023-07-11 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US11191540B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Protective cover arrangements for a joint interface between a movable jaw and actuator shaft of 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
US10639035B2 (en) 2016-12-21 2020-05-05 Ethicon Llc Surgical stapling instruments and replaceable tool assemblies thereof
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
US10682138B2 (en) * 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
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
US10881401B2 (en) 2016-12-21 2021-01-05 Ethicon Llc Staple firing member comprising a missing cartridge and/or spent cartridge lockout
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
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
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10448950B2 (en) 2016-12-21 2019-10-22 Ethicon Llc Surgical staplers with independently actuatable closing and firing systems
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10835246B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US10492785B2 (en) 2016-12-21 2019-12-03 Ethicon Llc Shaft assembly comprising a lockout
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
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
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
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
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical 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
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
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
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
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
BR112019027287A2 (pt) * 2017-06-27 2020-07-21 Ethicon Llc disposições de bolso de formação de grampos
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11141154B2 (en) 2017-06-27 2021-10-12 Cilag Gmbh International Surgical end effectors and anvils
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US11478242B2 (en) 2017-06-28 2022-10-25 Cilag Gmbh International Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
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
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
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
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
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
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US10912562B2 (en) 2017-08-14 2021-02-09 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated 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
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode 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
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
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
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
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
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
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
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
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
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
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
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
US10743868B2 (en) 2017-12-21 2020-08-18 Ethicon Llc Surgical instrument comprising a pivotable distal head
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
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
JP2021514288A (ja) 2018-02-20 2021-06-10 コネクションズ, インク.Conextions, Inc. 軟質組織を修復し、軟質組織を骨に取り付けるための装置、システム、および方法
US11134946B2 (en) 2018-02-27 2021-10-05 Bolder Surgical, Llc Staple cartridge and methods for surgical staplers
WO2019169010A1 (en) 2018-02-27 2019-09-06 Applied Medical Resources Corporation Surgical stapler having a powered handle
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
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
US11045192B2 (en) * 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
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
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11045193B2 (en) * 2018-10-11 2021-06-29 Cilag Gmbh International Anvil assembly for linear surgical stapler
US11291450B2 (en) * 2018-12-31 2022-04-05 Cilag Gmbh International Anvil for circular surgical stapler and associated method of manufacture with MIM
US11103245B2 (en) * 2018-12-31 2021-08-31 Cilag Gmbh International Knife for surgical stapler and associated method of manufacture with MIM and hip
CA3131187A1 (en) 2019-02-27 2020-09-03 Applied Medical Resources Corporation Surgical stapling instrument having a two-position lockout mechanism
US11147553B2 (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
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
WO2020205643A1 (en) 2019-03-29 2020-10-08 Applied Medical Resources Corporation Reload cover for surgical stapling system
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip 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
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
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
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
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
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
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
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
CN114641265A (zh) 2019-11-04 2022-06-17 标准肥胖病研究公司 在手术期间使用拉普拉斯定律张力回缩进行手术的系统和方法
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
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
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
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
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
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
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
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11963711B2 (en) 2019-12-31 2024-04-23 Applied Medical Resources Corporation Electrosurgical system with tissue and maximum current identification
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
US11737748B2 (en) 2020-07-28 2023-08-29 Cilag Gmbh International Surgical instruments with double spherical articulation joints with pivotable links
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11730475B2 (en) 2020-10-29 2023-08-22 Applied Medical Resources Corporation Surgical stapler having a powered handle
US11771428B2 (en) 2020-10-29 2023-10-03 Applied Medical Resources Corporation Actuation shaft retention mechanism for surgical stapler
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
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
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
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
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
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
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
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
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
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
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
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
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
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
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
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
BR112023019261A2 (pt) 2021-03-23 2023-10-24 Standard Bariatrics Inc Sistemas e métodos para prevenir a migração de tecidos em grampeadores cirúrgicos
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
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
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
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
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US20220378426A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a mounted shaft orientation sensor
US11992218B2 (en) 2021-10-18 2024-05-28 Cilag Gmbh International Metal injection molded anvil for circular surgical stapler
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
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

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5239160A (en) * 1990-08-14 1993-08-24 Tsubakimoto Chain Co. Five-axis table for laser beam machine tool
US5480089A (en) * 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
US6008468A (en) * 1993-04-22 1999-12-28 Omron Corporation Method and apparatus for producing a thin mesh utilizing a laser and mask system
US6670575B1 (en) * 1998-09-30 2003-12-30 Lasertec Gmbh Method and apparatus for removing substance from the surface of a workpiece
US6829517B2 (en) * 2002-07-25 2004-12-07 Matsushita Electronic Industrial Co., Ltd. Computer system for use with laser drilling system

Family Cites Families (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS4923165A (zh) * 1972-05-17 1974-03-01
US5197013A (en) * 1987-07-28 1993-03-23 David M. Dundorf Method of forming a carved sign using an axially rotating carving tool
US5103073A (en) * 1987-08-28 1992-04-07 Danilov Viktor A Device for laser treatment of an object
US5225650A (en) * 1989-07-14 1993-07-06 Maho Aktiengesellschaft Process and device for the manufacture of cavities in workpieces through laser beams
US5258009A (en) * 1992-06-30 1993-11-02 American Cyanamid Company Malleable, bioabsorbable,plastic staple having a knotted configuration; and method and apparatus for deforming such staple
US5381943A (en) * 1992-10-09 1995-01-17 Ethicon, Inc. Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge
JP2000334524A (ja) * 1999-05-25 2000-12-05 Chuo Motor Wheel Co Ltd ホイールディスクのボルト穴加工方法
US6300595B1 (en) * 1999-06-03 2001-10-09 High Tech Polishing, Inc. Method of three dimensional laser engraving
SE520431C2 (sv) * 1999-09-22 2003-07-08 Tetra Laval Holdings & Finance Sätt att framställa en med öppningsanordning försedd förpackningsbehållare
US6479787B1 (en) * 1999-10-05 2002-11-12 Rexam Ab Laser unit and method for engraving articles to be included in cans
GB2356291B (en) * 1999-11-13 2003-10-22 Rolls Royce Plc A workpiece clamping system
JP3357646B2 (ja) * 2000-03-29 2002-12-16 名古屋市 レーザ加工装置およびレーザ加工方法
US6515253B1 (en) * 2000-04-13 2003-02-04 Vincent P. Battaglia Process for laser machining continuous metal stamped strip
EP1202265A1 (en) * 2000-10-24 2002-05-02 3M Innovative Properties Company Optical storage medium and method and system for manufacturing thereof
US6897405B2 (en) * 2001-11-30 2005-05-24 Matsushita Electric Industrial Co., Ltd. Method of laser milling using constant tool path algorithm
JP3999999B2 (ja) * 2002-04-19 2007-10-31 新日本製鐵株式会社 レーザ表面加工装置
TWI226292B (en) * 2003-10-28 2005-01-11 Universal Trim Supply Co Ltd Method for producing pattern on decorative plate
US6953138B1 (en) * 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
US7121446B2 (en) * 2004-12-13 2006-10-17 Niti Medical Technologies Ltd. Palm-size surgical stapler for single hand operation

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5239160A (en) * 1990-08-14 1993-08-24 Tsubakimoto Chain Co. Five-axis table for laser beam machine tool
US6008468A (en) * 1993-04-22 1999-12-28 Omron Corporation Method and apparatus for producing a thin mesh utilizing a laser and mask system
US5480089A (en) * 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
US6670575B1 (en) * 1998-09-30 2003-12-30 Lasertec Gmbh Method and apparatus for removing substance from the surface of a workpiece
US6829517B2 (en) * 2002-07-25 2004-12-07 Matsushita Electronic Industrial Co., Ltd. Computer system for use with laser drilling system

Also Published As

Publication number Publication date
IL189045A (en) 2012-02-29
US8008598B2 (en) 2011-08-30
MX2008001323A (es) 2008-09-19
WO2007014353A3 (en) 2009-04-23
US20070056932A1 (en) 2007-03-15
EP1912571B1 (en) 2016-12-21
CN101522359A (zh) 2009-09-02
JP5042222B2 (ja) 2012-10-03
EP1912571A4 (en) 2014-08-27
JP2009502357A (ja) 2009-01-29
WO2007014353A9 (en) 2008-05-29
EP1912571A2 (en) 2008-04-23
CA2617120A1 (en) 2007-02-01
WO2007014353A2 (en) 2007-02-01
CA2617120C (en) 2014-10-07

Similar Documents

Publication Publication Date Title
CN101522359B (zh) 用于形成外科缝合器的缝合钉凹座的系统和方法
US8998951B2 (en) Method of manufacturing surgical staples
EP3266386A1 (en) End effector of surgical linear stapler
CN103690212B (zh) 具有自换切割刀功能的外科线形吻合器
US10888316B1 (en) Work hardening of staples within surgical stapler
US20190053802A1 (en) Surgical stapler and feeder belt configurations
US8403605B2 (en) Plunge milling method
US6923360B2 (en) Adjustable stapler and methods associated therewith
WO2003088845A3 (en) Surgical stapler and method
US20090196699A1 (en) Method for drilling holes according to an optimized sequence
JP5871230B2 (ja) 切っ先部を備える工具、切っ先部を備える工具の製造方法、及び切っ先部を備える工具の製造中間体の製造方法
KR960013906B1 (ko) 경편기용 니이들 장착 장치
CN103750873B (zh) 带有弯钉沟的外科吻合钉成形槽
CN204542260U (zh) 改进的执行器及外科器械
EP1847352B1 (en) Machining apparatus
CN109998616B (zh) 腔镜切割吻合器的切割刀
AU2017201288A1 (en) Fastener pusher with an improved workpiece-contact element
EP4262584A2 (en) Surgical sagittal blade cartridge
US6676528B1 (en) Tool for the manufacture of an offset head nail and a use of said tool
CN103750874B (zh) 外科吻合器的吻合钉成形槽
US861382A (en) Nail-clenching machine.
CN100484852C (zh) 引导印刷材料的装置及其制造方法、和具有该装置的机器
CN106078083B (zh) 板形工件加工的方法
CN102164693A (zh) 无眼针的孔加工装置及孔加工方法
CN101797171A (zh) 直线切割吻合器整体式钉砧

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
ASS Succession or assignment of patent right

Owner name: TYCO HEALTHCARE

Free format text: FORMER OWNER: POWERMED, INC.

Effective date: 20110112

C41 Transfer of patent application or patent right or utility model
TA01 Transfer of patent application right

Effective date of registration: 20110112

Address after: Massachusetts, USA

Applicant after: TYCO Healthcare

Address before: Massachusetts, USA

Applicant before: Powermed, Inc.

C14 Grant of patent or utility model
GR01 Patent grant
C56 Change in the name or address of the patentee

Owner name: COVIDIEN LP COMPANY

Free format text: FORMER NAME: TYCO HEALTHCARE

CP01 Change in the name or title of a patent holder

Address after: Massachusetts, USA

Patentee after: Covidien LP

Address before: Massachusetts, USA

Patentee before: TYCO Healthcare