Connect public, paid and private patent data with Google Patents Public Datasets

用于外科缝合器的具有击发锁定的外科缝合头组件

Download PDF

Info

Publication number
CN103096817B
CN103096817B CN 201180043272 CN201180043272A CN103096817B CN 103096817 B CN103096817 B CN 103096817B CN 201180043272 CN201180043272 CN 201180043272 CN 201180043272 A CN201180043272 A CN 201180043272A CN 103096817 B CN103096817 B CN 103096817B
Authority
CN
Grant status
Grant
Patent type
Application number
CN 201180043272
Other languages
English (en)
Other versions
CN103096817A (zh )
Inventor
A·O·津格曼
Original Assignee
伊西康内外科公司
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
Grant date

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical 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 the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473Distal part, e.g. tip or head

Abstract

在多个实施例中,提供了外科缝合头,所述外科缝合头可包括用于支撑一个或多个外科缝钉的钉仓、相对于所述钉仓可动的芯、从所述芯延伸的至少一个缝钉驱动器、和壳体,所述壳体能够至少部分地保持所述钉仓并可动地容纳所述芯和所述缝钉驱动器。所述壳体还可包括至少一个保持构件,所述保持构件能够在向所述保持构件施加足够的外力(例如在将缝合头组件插入于外科缝合器的轴内期间由轴提供外力)时从第一位置运动至第二位置。在所述保持构件处于所述第二位置时可防止所述缝钉驱动器从所述钉仓驱动缝钉,由此在将缝合头组件插入于外科缝合器的至少一部分内期间为缝合头组件提供击发锁定特征。

Description

用于外科缝合器的具有击发锁定的外科缝合头组件

背景技术

[0001] 本发明实施例总体涉及外科缝合器,并且更具体地讲,涉及包括分立缝钉高度调 节的圆形缝合器。

[0002] 在某些类型的外科手术中,使用外科缝钉已成为连接组织的优选方法,并且因此 已开发了用于这类用途的具有特殊构造的外科缝合器。例如,已经开发了用于被称为吻合 的外科手术的腔内或圆形缝合器。用于施行这种吻合的圆形缝合器在(例如)美国专利 如.5,104,025;5,205,459;5,285,945;和5,309,927、以及美国专利申请序列如.12/408, 905中有所公开,这些专利文献均全文引入本文以供参考。

[0003] -种类型的吻合包括先切除患病部分然后将肠的各个段连接到一起的外科手术。 该手术需要将两个管状部分的末端重新连接到一起,以形成连续的管状通道。以前,这类外 科手术既费时又费力。外科医生必须准确切割和对齐肠的两端,并且在通过多次缝合将两 端连起来时保持对齐状态。圆形缝合器的开发大大简化了吻合程序,并且也缩短了执行吻 合所需要的时间。

[0004] -般地,常规圆形缝合器通常由安装于其上的近端驱动机构和远端缝合机构的细 长轴构成。远端缝合机构通常包括固定的钉仓,钉仓内含有构造成同心圆阵列的多个缝钉。 圆形切刀在缝钉内被同心地安装在钉仓中以用于在其内轴向行进。从钉仓的中心轴向地延 伸的是可动的套管针轴,该套管针轴能够将缝钉砧座可脱离地联接到其上。在将缝钉驱入 砧座中时,砧座能够使缝钉的末端成形。钉仓远端表面与缝合砧座之间的距离由调节机构 控制,而调节机构安装在缝合器轴近端以控制套管针的轴向运动。当外科医生启动驱动机 构时,对夹在钉仓和缝合砧座之间的组织同时进行缝合和切割。

[0005] 通常,在执行外科吻合缝合手术中,两段腔管或管状组织,例如肠组织,通过缝钉 环附接在一起。两段管状组织可以端对端附接,或者一段管状组织可以围绕形成在另一段 管状组织侧面中的开口横向附接。在用缝合器械执行吻合的过程中,两段管状组织一起被 夹在砧座和钉仓之间。缝钉推动器被推进以将缝钉驱入组织中并且抵靠砧座成形缝钉。另 外,圆形刀被推进以切割夹在砧座和缝钉夹持器之间的多余组织。因此,组织的环形部分被 从每个腔管切断并且保留在砧座轴上。通过朝远端推进砧座轴以使砧座运动远离缝钉夹持 器,使通过圆形缝钉环连接的管状组织松开。牵引砧座通过由缝钉环附接的管状组织段之 间的圆形开口,从而将缝合器械取出。

[0006] 此外,使用圆形缝合器执行下部结肠手术时,通常采用常规的外科缝合器缝合肠, 这种缝合器在待移除肠的患病部分两侧安置两排缝钉。在缝合相邻末端的同时切除目标 段。移除患病部分后,外科医生通常将砧座插入腔管近端,即缝合线近端。这可通过将砧座 头部插入外科医生在近腔管切开的入口来完成。有时,砧座可经肛门放置,即通过将砧座头 部放在缝合器的远端上并通过直肠插入器械。然后外科医生可用缝线或其他常规的系结装 置将肠的近端系在砧座轴上。接着,外科医生切除系结处附近多余的组织,并且外科医生将 砧座附接到缝合器的套管针轴上。然后外科医生合拢砧座和钉仓之间的间隙,从而将肠的 近端和远端夹紧在间隙中。外科医生随后启动缝合器,从而驱动多排缝钉穿过肠的两端并 使其成形,因此接合末端并形成管状通道。同时,在驱动并成形缝钉时,可驱动同心的圆形 刀片穿过肠组织末端,从而切割邻近内排缝钉的末端。接着,外科医生从肠中取出缝合器, 并完成手术。

[0007] 在上述外科手术期间,希望在缝钉高度范围内正确地成形缝钉,使得它们保留在 组织中并防止渗漏和出血,并且希望实现"组织与组织"接触以促进组织愈合。通常,通过控 制砧座和钉仓之间的距离或间隙,可以实现更好的缝合和愈合结果。虽然一些外科缝合器 装有指示缝钉高度的可视读出器,但外科医生可能需要在手术期间专注于许多不同的事 项。此外,一旦砧座已正确定位,就有必要使砧座在击发期间不运动,否则可能负面地影响 正确的缝钉成形。

[0008] 以上讨论仅仅旨在说明本发明所属领域的现状,而不应视为是对权利要求范围的 否定。

发明内容

[0009] 在多个实施例中,提供了外科缝合头组件。在至少一个实施例中,所述外科缝合头 组件可包括用于支撑一个或多个外科缝钉的钉仓、相对于所述钉仓可动的芯、至少一个缝 钉驱动器、和壳体,所述至少一个缝钉驱动器用于接合并驱动所述钉仓的缝钉,所述壳体能 够至少部分地保持所述钉仓并可动地容纳所述芯和所述至少一个缝钉驱动器。在这些实施 例中,所述至少一个缝钉驱动器可从所述芯延伸。此外,在这些实施例中,所述壳体还可包 括至少一个保持构件,所述保持构件能够在向所述保持构件施加足够的外力时从第一位置 运动至第二位置。此外,在这些实施例中,在所述至少一个保持构件处于所述第二位置时防 止所述至少一个缝钉驱动器从所述钉仓驱动缝钉。

[0010] 在多个实施例中,提供了一种外科缝合器。在至少一个实施例中,外科缝合器可包 括主体、缝合头组件、驱动系统、砧座和砧座调节组件。在这些实施例中,主体可包括柄部和 从柄部延伸的轴部。此外,在这些实施例中,所述缝合头组件能够可释放地联接到所述轴 部。另外,在这些实施例中,所述缝合头组件可包括用于支撑一个或多个外科缝钉的钉仓、 相对于所述钉仓可动的芯、至少一个缝钉驱动器、和壳体,所述至少一个缝钉驱动器用于接 合并驱动所述钉仓的缝钉,所述壳体能够至少部分地保持所述钉仓并可动地容纳所述芯和 所述至少一个缝钉驱动器。此外,在这些实施例中,所述至少一个缝钉驱动器可从所述芯延 伸。此外,在这些实施例中,所述壳体还可包括至少一个保持构件,所述保持构件能够在向 所述保持构件施加足够的外力时从第一位置运动至第二位置。此外,在这些实施例中,在所 述至少一个保持构件处于所述第二位置时防止所述至少一个缝钉驱动器从所述钉仓驱动 缝钉。另外,在这些实施例中,所述驱动系统能够向所述缝钉驱动器施加驱动运动。此外,在 这些实施例中,所述砧座可相对于所述钉仓被可动地支撑以朝着和远离所述钉仓轴向运 动。而且,在这些实施例中,所述砧座调节组件能够选择性地调节所述砧座相对于所述钉仓 的轴向位置。

[0011] 在至少一个实施例中,提供一种外科缝合头组件,其包括用于支撑一个或多个外 科缝钉的钉仓、相对于所述钉仓可动的芯、至少一个缝钉驱动器、壳体、和锁定装置,所述至 少一个缝钉驱动器从所述芯延伸并用于接合并驱动所述钉仓的缝钉,所述壳体能够至少部 分地保持所述钉仓并可动地容纳所述芯和所述至少一个缝钉驱动器,所述锁定装置用于防 止所述至少一个缝钉驱动器从所述钉仓驱动缝钉。

附图说明

[0012] 本申请所述实施例的新颖特征在所附权利要求书中进行了详细描述。然而,关于 机构和操作方法的实施例均可以通过参照结合如下附图的以下具体实施方式来更好地理 解。

[0013] 图1是外科缝合器的非限制性实施例的立体图,该缝合器包括圆形缝合头和位于 第一位置的砧座。

[0014] 图2是图1的外科缝合器的立体图,其中示出砧座在第二位置。

[0015]图3是图1的外科缝合器的分解图。

[0016] 图4是图1的外科缝合器的透视图,其中缝合器的主体以虚线显示,以更好地示出 主体内的缝合器部件。

[0017] 图5是图1的外科缝合器的横截面图。

[0018] 图6是图1的外科缝合器的站座的后视立体图。

[0019] 图7A是图1的外科缝合器的缝合头组件的前视立体图。

[0020] 图7B是图7A的缝合头组件的钉仓的后视立体图;图中显示两个缝钉被从钉仓的缝 钉月£中移出。

[0021 ]图7C是图7A的缝合头组件的切割构件和缝钉驱动器的前视立体图。

[0022] 图8是图1的外科缝合器的砧座调节轴的侧视图。

[0023] 图9是图8的砧座调节轴的一部分的立体图。

[0024] 图10A-10C是图8的砧座调节轴的一部分的一系列侧视图,每一幅图示出了当轴围 绕其纵向轴线旋转时螺旋表面的行进情况。

[0025] 图11 A-11C是图1的外科缝合器的站座和缝合头组件的一系列侧视图,每一幅图分 别示出了与图10A-10C所示轴位置相关的分立缝钉成形高度。

[0026] 图12示出了包括参考标记的砧座调节轴的一部分的非限制性实施例。

[0027]图13示出了图12的调节轴的一部分中的三个参考标记。

[0028] 图14是图1的外科缝合器的触发器的后视立体图;所述触发器包括锁定杆。

[0029] 图15是图3的外科缝合器的一部分的前透视图,示出触发器和锁定杆分别与驱动 带和调节轴对接。

[0030] 图16是包括直的轴部的外科缝合器的非限制性实施例的立体图。

[0031] 图17是图16的外科缝合器的砧座调节轴的侧视图。

[0032] 图18是图16的外科缝合器的驱动杆的立体图。

[0033] 图19是缝合头组件的非限制性实施例的立体图,其中以虚线显示组件的壳体以便 更好地示出壳体内的特征。

[0034]图20是图19的缝合头组件的侧视图。

[0035] 图21是图19的缝合头组件的缝钉驱动器芯的立体图。

[0036] 图22是图19的缝合头组件在初始被插入图1的缝合器的主体内时的局部侧视图, 其中以虚线显示缝合器的主体,以更好地示出位于缝合器主体内的缝合头组件的部分。 [0037]图23是图19的缝合头组件在被进一步插入图1的缝合器主体内时的局部立体图, 其中以虚线显示缝合器的主体以及缝合头组件的壳体,以更好地示出其中的各种特征。

[0038] 图24是图19的缝合头组件在被完全插入图1的缝合器主体内时的局部立体图,其 中以虚线显示缝合器的主体,以更好地示出其中的部件。

[0039] 图25是包括切割构件的缝合头组件的非限制性实施例的立体图,其中以虚线显示 组件的壳体以便更好地示出壳体内的特征。

[0040] 图26是图25的缝合头组件的侧视图。

具体实施方式

[0041] 现在将描述某些实施例,以提供对本发明所公开的结构、功能、制造的原理、以及 设备和方法的使用的全面理解。这些实施例的一个或多个实例在附图中示出。本领域普通 技术人员将会理解,本文具体描述并在附图中示出的装置和方法是非限制性的实施例,并 且这些实施例的范围完全由权利要求书来限定。关于一个实施例所例示或描述的特征可与 其他实施例的特征进行组合。此外,当指出某一方法中的步骤顺序时,根据需要,这样的顺 序可以重新安排,或者步骤可以同时进行,除非不合逻辑或明确地要求使用所列出的顺序。 这样的修改形式和变型形式旨在纳入所附权利要求书的范围内。

[0042] 在下面的描述中,在若干视图中,相同的附图标记指示相同或对应的部件。另外, 在下面的描述中,应当理解,诸如"向前"、"向后"、"前"、"后"、"右"、"左"、"在...上方"、 "在...下方"、"向上"、"向下"、"向近端"、"向远端"等词是方便型用语,不应认为是限制性 术语。下面的描述是为描述各种实施例之目的,并非意图限制所附权利要求。

[0043] 各种实施例总体上涉及各种外科缝合器,其能够密封组织,并且在至少一个实施 例中也可切割组织。此类外科缝合器能够通过诸如肛门、口腔和/或阴道之类的天然孔口或 通过切穿体壁的切口工作。此外,此类外科缝合器可设计成内窥镜式工具,包括腹腔镜式工 具。一种示例性类型的外科缝合器可见于共同未决的美国专利申请No. 12/635,415,其名称 为"进行分立的缝钉高度调节的圆形外科缝合器(CIRCULAR SURGICAL STAPLER WITH DISCRETE STAPLE HEIGHT ADJUSTMENT)"且提交于2009年12月10日,该美国专利申请的全 文以引用的方式并入本文。

[0044] 现在关注非限制性实施例,如图1-4中所示,提供了圆形缝合器1,其包括管状或圆 形主体10、可操作地联接到主体10的缝合头30、砧座50、由主体10支撑的砧座调节轴70、以 及可动地联接到主体10的触发器90。砧座50可相对于缝合头组件被可动地支撑,以便进行 朝着和远离缝合头30的选择性行进。此外,砧座调节轴70可由主体10支撑,以选择性地调节 砧座相对于缝合头的位置。因此,如下面将进行的更详细的说明,调节轴70可以可操作地联 接到砧座50以使砧座运动。例如,调节轴70可经由调节轴的旋钮79围绕其纵向轴线在第一 旋转方向(例如顺时针"CW"方向)上旋转,以使轴70和砧座50在远端方向"DD"上相对于主体 10从图1所示第一位置运动或平移至图2所示第二位置。同样,调节轴70可以在第二旋转方 向(例如逆时针方向"CCW")上旋转,以使轴70和砧座50在近端方向"PD"上相对于主体10从 图2所示第二位置运动或平移至图1所示第一位置。应当理解,砧座50可位于在图1-2所示位 置之间或以外的外科缝合器1允许的任何位置。此外,在至少一个实施例中,如下面将进行 的更详细的说明,调节轴70能够将砧座50运动至离缝合头至少一预定距离处和/或向使用 者提供触觉反馈。

[0045]当触发器90被启动时,驱动系统可在主体10内被启动,以使缝钉31 (参见图3和图 7B)可从缝合头30被排出,以与砧座50成形接触。同时,可操作地支撑在头部30内的切割构 件32(参见图7C)将对保持在被缝合组织周围靠里的组织进行切割。然后将缝合器10从组织 中拔出,将被缝合的组织保持在原位。此外,触发器90可包括弹簧91,弹簧91从杠杆92延伸, 使得当杜杆9 2被挤压或以其他方式围绕铰链销9 3朝主体10运动时,杜杆91受偏压远尚主体 10向后,并且刀70在杠杆92释放时自动回缩。

[0046] 参见图3,主体10可包括柄部11和弯曲轴部12。虽然本实施例示出了弯曲轴部12, 但该轴部也可以是直的或线性的(参见例如下面讨论的图16)。柄部11可适于经由鞍形附件 13容纳触发器90,鞍形附件13还可包括用来容纳铰链销93的孔16(参见图3),铰链销93也可 容纳在触发器90的孔96中。柄部11可进一步限定位于主体10顶部的开口 14,通过开口 14可 以定位触发器90的一部分。例如,凸轮表面94和锁定杆95可延伸通过开口 14。如下面将进行 的更详细的说明,凸轮表面94能够当触发器90相对于柄部11运动时启动驱动系统,以及在 砧座50处于合适位置使得缝钉可在砧座50和缝合头30之间成形之前,锁定杆95可防止切割 构件32和/或缝钉31意外击发。

[0047]参见图3和4,驱动系统可包括驱动带80,驱动带80位于主体的轴部12内部,在触发 器的凸轮表面94和缝合头30的接片36之间轴向延伸。驱动带80可包括近端驱动表面81和远 端驱动表面82。因此,启动触发器可使凸轮表面94旋转并推动近端驱动表面81,使得驱动带 80在轴向上朝着或远离砧座50运动。缝合头的接片36可联接在驱动带的远端驱动表面82 内,远端驱动表面82可采用凹口的形式以便可释放地容纳接片36。

[0048] 参见图4和7A-7C,缝合头30可包括组件,该组件包括:钉仓33,其用于支撑一个或 多个缝钉31;至少一个缝钉驱动器34,用于接合和驱动来自钉仓33的缝钉31;以及切割构件 32(例如刀),其可动地支撑在缝合头30中。在至少一个实施例中,缝钉驱动器34和切割构件 32可以一体地连接和/或形成。例如,缝钉驱动器34和切割构件33可从芯35中伸出,并且二 者都可由相同材料形成。在任何情况下,驱动带80朝向钉仓33和/或砧座50的动作均可引起 缝合头的接片36(可从芯35中伸出),以及切割构件32和缝钉驱动器34朝砧座50运动。此外, 缝合头30也可包括壳体39,该壳体能够保持钉仓33并在其内可动地容纳缝钉驱动器34、切 割构件32,和/或芯35。壳体39还可包括释放按钮37,该释放按钮能够柔性地挠曲并允许缝 合头30在形成于主体轴部12中的对应孔15(参见图3)处可释放地附接到主体的轴部12。因 此,参见图4,缝合头30可通过以下方式移走:按下按钮37,然后转动头部30,使得接片36从 由驱动带80的远端驱动表面82形成的凹口中脱开,最后将缝合头30拉离主体10。

[0049] 现在关注砧座50的调节,参见图3,在多个实施例中且如上所指,砧座50可相对于 钉仓33被可动地支撑,使得砧座可以朝着和远离钉仓33轴向运动。更具体地,外科缝合器1 可包括用于选择性地调节砧座50相对于钉仓33的轴向位置的砧座调节组件。砧座调节组件 可包括调节轴70和套管针73,该套管针联接到调节轴70,以与调节轴70-起行进。调节轴70 可包括近端部分70a和远端部分70b,这两个部分可以连接到一起以形成轴70。作为另外一 种选择,近端部分70a和远端部分70b可由同一件材料一体和整体地形成(参见例如图17所 示的调节轴170,以及下面的讨论)。另外,调节轴70还可包括位于远端部分70b处的环形凹 槽71,该环形凹槽可以被夹住或以其他方式自由连接到砧座调节带72的近端。应当理解, "自由连接"是指在调节轴70旋转时调节带72可不旋转;然而,调节带72仍可以与轴70-起 平移。调节带72的远端也可附接到套管针73。因此,调节轴70相对于主体10的轴向运动或平 移可使套管针73也相对于主体10轴向运动或平移。

[0050] 参见图3和4,砧座调节带72和驱动带80中的一者或两者可分别包括接片83和84, 这两种接片均弯曲或以其他方式伸向主体10。接片83、84可帮助使带72、80能够行进通过主 体的弯曲轴部12,同时填充空间并在其内保持合适的轴向位置。

[0051] 此外,参见图3和6,如本领域已知,套管针73可通过联接到砧座和/或套管针的簧 片或弹簧夹55可脱离地附接到砧座50。换句话讲,通过按压、拉拔或以其他方式操纵弹簧夹 55,可从套管针中移开砧座。反之,通过使套管针运动进入砧座,使得弹簧夹55将砧座可释 放地保持在套管针上,可将套管针按扣入砧座中。因此,砧座调节轴70相对于主体10的轴向 运动也可以相对于主体10轴向运动或平移砧座50。此外,砧座也可包括联接到砧座主体52 的护盖53(参见图3)和在击发切割构件32期间被剪切的垫圈54,如上面所讨论。垫圈54可由 塑料制成并可充当切割表面,组织可以抵靠该表面被切断。

[0052] 现在参见图3-5,砧座调节轴70能够进行旋转(如上面所述),使得轴70相对于主体 10平移。更具体地并且在至少一个实施例中,砧座调节轴70可包括螺旋表面74,该螺旋表面 可操作地与主体10的接合部(例如,通过主体中的孔固定到主体10的螺销75)接合。螺旋表 面74可由形成于调节轴70中的槽限定,所述槽被构造成并且其尺寸被设定成在其内容纳销 75的至少一部分。砧座调节轴70可围绕其纵向轴线L旋转(参见图8),使得螺旋表面74接触 并在销75上方运动,从而使砧座调节轴70相对于主体10平移。虽然在本实施例中描述了销 75,但可以使用任何其他合适的螺纹配合部分或部件(例如突起、螺纹等)来代替或辅助销 75接合螺旋表面。在任何情况下,使调节轴70围绕其纵向轴线旋转可以导致轴70,继而套管 针73和砧座50也相对于主体10和/或缝合头30轴向平移或运动。

[0053]如上面所提及,在多个实施例中,调节轴70能够使砧座50运动至离缝合头30至少 一个预定距离处。更具体地,现在关注图8,其仅示出调节轴70,调节轴的螺旋表面74可包括 至少一个斜坡部分和至少一个停顿部分。例如,螺旋表面74可包括第一斜坡部分74a和一个 或多个第二停顿部分74b。至少一个限定器,例如限定器76,也可将斜坡部分74a与停顿部分 74b分开。如下面将进行的更详细的讨论,斜坡部分74a可允许调节轴相对于主体10平移(参 见图4),停顿部分74b可提供预定距离以维持砧座50距缝合头30的位置(参见图2),并且限 定器76可向旋转砧座调节轴70的使用者提供触觉反馈以及斜坡部分和停顿部分之间的过 渡。此外,在至少一个实施例中,斜坡部分74a可以在形状上至少部分是螺旋状。

[0054] 接着,图8中以虚线画出的圆表示图9和10A-10C中所示砧座调节轴70的近侧端部 分。现在关注图9,螺旋表面74的斜坡部分74a可引导进入至少一个停顿部分。如图所示,并 且在至少一个实施例中,螺旋表面74还可包括三个停顿部分:第一停顿部分74b'、第二停顿 部分74b' '和第三停顿部分74b' ''。砧座调节轴70围绕其纵向轴线的旋转可使螺旋表面74 沿销75而过(参见图5),使得轴70相对于主体10平移(再次参见图5)。此外,当轴70按(例如) 顺时针CW旋转时,螺旋表面74可以沿销75运动,使得销75接触斜坡部分,然后接触第一停顿 部分74b'。然后,当轴70再次顺时针CW旋转时,该销可以接触第二停顿部分74b' '。之后,轴 70按顺时针CW方向继续旋转可使该销接触第三停顿部分74b' ''。如下面将进行的更详细的 说明,每个停顿部分可以相对于斜坡部分74a处于不同角度构造处。

[0055] 此外,每个停顿部分74b'、74b' '和74b' ''可位于沿砧座调节轴70的不同纵向位置 处,以提供预定的分立缝钉成形高度。例如,参见图10A,第一停顿部分74b'可位于距轴组件 的横向凸缘77为第一距离。处。第二停顿部分74b''可位于距横向凸缘77第二距离。处,而 第三停顿部分74b' ''可位于距横向凸缘77第三距离L3处。包括横向凸缘77的任何参考点或 参考平面可用于建立上述距离。在任何情况下,第一距离U可以大于第二距离L2,第二距离 可以大于第三距离L3,或者LOL0L3。作为另外一种选择,尽管图中未示出,然而这些距离可 为其他比较次序,例如LOL0L2,L0LOL3,LALALi,LALALi,或者L0LOL2。此外,在相应停 顿部分74b '、74b ' '和74b ' ' '上的各停顿距离U、LdPL3可以是均匀的。换句话讲,例如参见 图10B,在螺旋表面的斜坡部分74a可相对于调节轴的纵向轴线L以小于90度的斜坡或螺旋 角α倾斜的同时,每一停顿部分(例如图10B中的74b'')可基本上垂直于纵向轴线L,或者相 对于轴线L限定近似90度的夹角Θ。此外,参见图9和图10A-10C,停顿部分74b'、74b'、74b''' 也可为用于限定预定的分立缝钉高度的台阶,如下文所述。当测量相对于纵向轴线L的上述 角度时,应当理解,此类测量可以相对于这样的平面进行:该平面与螺旋表面74的一部分以 及该平面与纵向轴线L相交的点相切,为了清晰起见,纵向轴线L沿图10A-10C中所示砧座调 节轴的整个长度显示。例如,再次参见图10B,螺旋角度α在切平面"TP"和纵向轴线L之间限 定,其中该切平面垂直于图10Β所在的纸面平面。

[0056]现在关注图11Α-11C,缝合头30和砧座50显示处于与轴的螺旋表面的停顿部分 74b'、74b''和74b'' '相关联的多个位置。例如,分立的缝钉成形高度可以限定于 砧座50的缝钉成形表面51和钉仓33的缝钉弹出表面38之间。第一高度Di可以大于第二高度 D2,第二高度可以大于第三高度D3,或者DOD0D3。同时参见图10A-10C和11A-11C,在旋转调 节轴70的同时,每个停顿部分74b'、74b' '和/或74b' ''可允许砧座50保持在相应的缝钉成 形高度D^DjP/或D3处,使得停顿部分沿销75运动(参见图5)。例如,每个停顿部分74b'、 74b''、74b'''可设计成在轴旋转约60度的时间段内保持砧座的位置。换句话讲,沿每个停 顿部分的表面延伸的弧可以在大约60度的角度范围内延伸。

[0057] 参见图9和10A-10C,在多个实施例中,至少一个过渡部可以分开每个停顿部分 74b'、74b' '和/或74b' '',从而使得砧座调节轴70能够相对于销75前进到另一个位置(参见 图5)。在至少一个实施例中,过渡部可包括另一个斜坡部分和/或部分螺旋表面。然而,在至 少一个其他实施例中,过渡部也可包括至少一个限定器。如图10A-10C中可见,第一限定器 76 '可将螺旋表面的斜坡部分74a与第一停顿部分74b '分开,第二限定器76 ''可将第一停顿 部分74b'与第二停顿部分74b' '分开,第三限定器76' ''可将第二停顿部分74b' '与第三停 顿部分74b' ''分开。如上所述,每个限定器76'、76' '和/或76' ''可在使用者旋转砧座调节 轴的同时向使用者提供触觉反馈。

[0058] 更具体地,再次参见图9和10A-10C,每个限定器76'、76' '和/或76' ' '可包括位于 螺旋表面中的凸耳或突起。换句话讲,螺旋表面74可限定包括斜坡部分74a与停顿部分 74b'、74b' '和74b' ' '的表面形貌,并且每个限定器76'、76' '和/或76' ' '可以是分别位于上 述部分之间的表面形貌中的中断部。另外,除了限定器76'、76''和/或76'''之外,位于螺旋 表面74的任何部分上的表面形貌都可以是平滑的。例如,参见图5、9和10A-10C,螺旋表面的 斜坡部分74a可包括平滑形貌,使得当砧座调节轴70相对于主体10旋转时,螺旋表面74可以 相对平滑地运动经过销75。然而,当销75到达斜坡部分74a的末端时,表面形貌可以被第一 限定器76 '中断。因此,当螺旋表面74在销75上方前进,伴随第一限定器76 '接触销75(这归 因于螺旋表面74的表面形貌在限定器76'处的中断),调节轴70(当轴70旋转时,其可以由近 端以平滑的方式从主体10中延伸)可以不连贯或不连续的方式跳动、推动或拉动,或以其他 方式向使用者提供触觉反馈。第一限定器76'在销75上方经过的动作可以向对轴70进行旋 转的使用者提示销75此时已容纳在第一停顿部分74b'处,因而第一分立的缝钉成形高度Di (参见图11A)已达到。轴70在停顿期(如上所述,可以为大约60度)内的连续旋转可并不调节 第一缝钉成形高度Di。因此,使用者不一定需要关注砧座调节轴70所处的准确旋转位置,只 要使用者知道第一缝钉成形高度D!在轴70被进一步旋转以使另一个限定器接触销75之前 将不会改变即可。此外,使用者可以来回旋转砧座调节轴70,使得销75沿着第一停顿部分 74b'在第一限定器76'和第二限定器76''之间相对运动。因为限定器从第一停顿部分74b' 的表面突出,当销75接触位于第一停顿部分74b'相应末端处的第一限定器76'或第二限定 器76''时,使用者通过砧座调节轴70可以感觉到,从而让使用者确信已经到达第一缝钉成 形高度Du

[0059] 参见图5、9和10A-10C,如果使用者希望将缝钉成形高度从第一缝钉成形高度0:改 变为第二缝钉成形高度D2(参见图11A-11B),则使用者可以进一步旋转砧座调节轴70,使得 第二限定器76''接触销75。当销75到达第一停顿部分74b'的末端时,表面形貌可被第二限 定器76''中断。因此,当螺旋表面74在销75上方前进时,伴随第二限定器76''接触销75(这 归因于螺旋表面74的表面形貌在限定器76'''处的中断),调节轴70(在销75接触第一停顿 部分74b'期间,其可以平滑地旋转)可以不连贯或不连续的方式跳动、推动或拉动,或以其 他方式向使用者提供触觉反馈。第二限定器76''在销75上方经过的动作可以向旋转轴70的 使用者提示销75此时已容纳在第二停顿部分74b''处,因而第二分立的缝钉成形高度D2(参 见图11B)已达到。轴70在停顿期(如上所述,可以为大约60度)内的连续旋转可并不调节第 二缝钉成形高度D2。因此,使用者不一定需要关注砧座调节轴70所处的准确旋转位置,只要 使用者知道第二缝钉成形高度〇2在轴70被进一步旋转以使另一个限定器接触销75之前将 不会改变即可。此外,使用者可以来回旋转砧座调节轴70,使得销75沿着第二停顿部分 74b' '在第二限定器76' '和第三限定器76' ''之间相对运动。随着限定器从第二停顿部分 74b' '的表面突出,使用者通过砧座调节轴70可以感觉到销75何时接触位于第二停顿部分 74b' '相应末端处的第二限定器76' '或第三限定器76' '',从而让使用者确信已经到达第二 缝钉成形高度D2。

[0060] 相似地,仍然参见图5、9和10A-10C,如果使用者希望将缝钉成形高度从第二缝钉 成形高度〇2改变为第三缝钉成形高度D3(参见图11B-11C),则使用者可以进一步旋转砧座调 节轴70,从而使第三限定器76' ''接触销75。当销75到达第二停顿部分74b' '的末端时,表面 形貌可以被第三限定器76'''中断。因此,当螺旋表面74在销75上方前进时,伴随第三限定 器76' ''接触销75(这归因于螺旋表面74的表面形貌在限定器76' ''处的中断),调节轴70 (在销75接触第二停顿部分74b''的同时,其可以平滑地旋转)可以不连贯或不连续的方式 跳动、推动或拉动,或以其他方式向使用者提供触觉反馈。第三限定器76' ''在销75上方经 过的动作可以向对轴70进行旋转的使用者提供指示,以提示销75此时已容纳在第三停顿部 分74b'''处,因而第三分立的缝钉成形高度D3(参见图11C)已达到。轴70在停顿期(如上所 述,可以为大约60度)内的连续旋转可并不调节第三缝钉成形高度D3。因此,使用者不一定 需要关注砧座调节轴70所处的准确旋转位置,只要使用者知道第三缝钉成形高度D3在轴70 被进一步旋转以使阻挡件78接触销75、从而防止销75相对于螺旋表面74朝阻挡件78进一步 运动之前将不会改变即可。阻挡件78可以是形成在第三限定器部分74b' ''末端处的壁。此 外,使用者可以来回旋转砧座调节轴70,使得销75沿着第三停顿部分74b' ''在第三限定器 76' ''和阻挡件78之间相对运动。因为阻挡件和限定器76' ''从第三停顿部分74b' '的表面 突出,当销75接触位于第三停顿部分74b' ''相应末端处的第三限定器76' ''或阻挡件78时, 使用者通过砧座调节轴70可以感觉到,从而让使用者确信已经到达第三缝钉成形高度D3。 [0061 ] 在多个实施例中,参见图9和15,例如,螺旋表面74可以在斜坡部分74a闭合,而在 停顿部分74b '、74b ''、74b '''打开。换句话讲,螺旋表面的斜坡部分可包括近端壁和远端 壁,而螺旋表面的停顿部分可仅包括近端壁。在使用中,销75可受偏压抵靠停顿部分,这是 由于当砧座50位于距离头部30合适的缝钉成形高度处时,组织被夹在砧座50和缝合头30之 间,如上面所讨论(参见图11A-11C)。

[0062] 虽然以上所述至少一个实施例示出限定器76'、76' '和/或76' ''成形为螺旋表面 74中的凸耳或突起,但限定器也可以采用位于螺旋表面中的缺口的形式。另外,限定器可以 是与调节轴70分开的部件,使得它们可以附接到调节轴70。在任何情况下,当使用者旋转轴 70时,限定器可以向使用者提供触觉反馈。此外,虽然限定器显示为将斜坡部分74a与第一 停顿部分74b'等分开,但螺旋表面可以不包括一个或多个停顿部分。在此类实施例中,螺旋 表面可包括被至少一个限定器以所需间隔分开的多个斜坡部分。因此,当砧座50和钉仓33 之间(参见例如图11A)已经获得合适的缝钉成形高度时,使用者可以通过触觉反馈获知。

[0063] 除了触觉反馈之外,外科缝合器1可包括可视参考标记,用以在达到缝钉成形高度 时向使用者提示。例如,现在参见图12-13,砧座调节轴70可包括印刷或成形在轴表面上的 参考标记85,该参考标记通过主体10上的标志86而在已达到诸如Di、D2、D3(参见图11A-11C) 的分立缝钉成形高度时,提供相应指示。在至少一个实施例中,相应的缝钉成形高度可以是 2.5mm、l.8mm和1.0mm,并且参考标记85可以指示这些高度。在任何情况下,将如上面所讨论 的可视标记、限定器和/或停顿部分结合到砧座调节轴70中,可以不再需要与轴分开的缝钉 高度指示机构。

[0064]另外,虽然以上所述至少一个实施例已经将螺旋表面74示出为由形成于砧座调节 轴70中的槽限定,但作为另外一种选择,在至少一个实施例中,螺旋表面可由从砧座调节轴 70突出的螺纹限定。在此类实施例中,可以采用销75,或者可以使用另一个螺纹配合部件来 啮合螺旋表面,例如,从主体10内部伸出的叉状物。

[0065]此外,虽然上面讨论的螺旋表面74被描述作为砧座调节轴70的一部分,但应当理 解,作为另外一种选择,这样的螺旋表面可作为主体10的一部分。在此类实施例中,诸如销 或其他螺纹配合部件的接合部将同样被固定到调节轴70,而不是固定到主体10。在任何情 况下,轴70的旋转可使螺旋表面相对于接合部旋转,使得轴70,继而砧座50相对于主体10 和/或缝合头30平移。

[0066] 在多个实施例中,如上面所提及并参见图5,在砧座50处于离钉仓33适当距离处之 前,触发器90可与调节轴70配合,以防止触发器90实质上朝主体10运动,或换句话说,防止 导致缝钉驱动器34和/或切割构件32被启动,从而防止外科缝合器1的意外击发。换句话讲, 触发器可包括锁定器。例如,在至少一个实施例中并参见图8,致动轴70可包括限定第一宽 度Wi的第一近端部分70a和限定第二宽度%的第二远端部分70b。此外,参见图14,触发器90 可包括从杠杆92延伸的锁定杆95,杆95限定开口 97,开口 97的尺寸为S。锁定杆可类似于具 有两个尖头的叉或者类似于托架。在任何情况下,开口 97的尺寸S可小于近端部分70a的第 一宽度W!,但开口 97的尺寸S可大于或等于远端部分70b的第二宽度W2,或者Wi>S 2 W2。

[0067]现在参见图15,锁定杆95可以被布置成通过主体开口 14,使得杆95可操作以接合 轴的近端部分70a或者轴的远端部分70b。如果锁定杆95纵向地被布置在近端部分70a上方, 则触发杠杆92会由于锁定杆95和轴的近端部分70a之间的干扰作用而被阻止实质上朝主体 10运动。换句话讲,由于近端部分的宽度1(参见图8)大于锁定杆开口 97的尺寸S(参见图 14),可以防止触发杠杆92引起驱动带80启动,如上面所述,从而防止缝钉31和/或切割构件 32意外击发(参见图3)。然而,如果锁定杆95纵向地被布置在远端部分70b上方,则触发杠杆 92会由于锁定杆95和轴的远端部分70b之间没有干涉作用而被允许实质上朝主体10运动。 换句话讲,由于远端部分的宽度W2(参见图8)小于或等于锁定杆的开口97的尺寸S(参见图 14),可以允许触发杠杆92运动并导致驱动带80启动,如上面所述,从而击发缝钉31和/或切 割构件32(参见图3)。在此类实施例中,开口97可容纳轴的远端部分70b并允许杠杆92朝主 体10运动,直到远端部分70b到达开口 97的末端。

[0068] 此外,参见图15,轴的远端部分70b可以沿砧座调节轴70定位,使得远端部分70b与 合适的缝钉成形高度相关联。例如,远端部分70b可以沿轴70轴向布置,使得当销75被容纳 在停顿部分(例如第一停顿部分74b')中时,锁定杆95纵向地布置在远端部分70b上方。因 此,锁定杆95可以在已达到所需缝钉成形高度时仅允许缝钉驱动器34和/或切割构件32(参 见图3)被击发,而不需要与触发器90分开的锁定杠杆或机构。此外,参见图14,锁定杆95可 以由与触发器弹簧91相同的同一块材料一体和整体地形成。然而,在至少一个实施例中,锁 定杆95、触发器弹簧91和杠杆92可以由同一块材料一体和整体地形成。

[0069] 在多个实施例中,并且如上面所提及,外科缝合器可以是直的,而不是如上所述弯 曲的。因此,现在参见图16,其中示出了一种外科缝合器101。外科缝合器101可包括类似于 上面所述的主体110、缝合头130、砧座150、砧座调节轴170和触发器190。然而,主体110的轴 部112可以是直的。此外,缝合头130和砧座150可以是线性的,并且远离主体110轴向地伸 出。应该指出的是,参见图1和16中分别示出的外科缝合器1和外科缝合器101,由于各缝合 头30、缝合头130如上所述可从外科缝合器主体10、外科缝合器主体110移除,缝合头30、缝 合头130和砧座50、砧座150可以例如彼此互换。除了上述头部30、头部130和砧座50、砧座 150之外,还可以采用其他缝合头构造和砧座构造。

[0070] 另外,现在参见图17,砧座调节轴170和套管针173可以由同一块材料一体和整体 地形成。因此,轴的远端部分170b可从近端部分170a伸出并邻接套管针173。此外,参见图 18,其中示出了驱动杆180。驱动杆可允许触发器190(参见图16)运动以朝缝合头130启动驱 动杆180,以从中弹出缝钉和/或启动切割构件(未示出)。简而言之,驱动杆可以是细长的通 常为管状的形状,并且包括近端驱动表面181和远端驱动表面182。参见图16和18,近端驱动 表面181能够容纳来自触发器190的驱动,而远端驱动表面182能够在缝合头130内接合缝钉 驱动器和/或切割构件(未示出),如上所述。另外,驱动杆180可包括通道187,该通道能够容 纳穿过其中的砧座调节轴170(参见图17)。在至少一个实施例中,缝合器101可以不包括切 割构件,并且可以主要用来缝合或密封组织,而不是横切组织。

[0071] 应当理解,以上讨论的直缝合器101和弯曲缝合器1(分别参见图16和图1)可包含 比市场上可获得的类似现有外科缝合器明显更少的部件。例如,参见直外科缝合器101,特 别是参见砧座调节轴,将旋钮179与闭合螺钉或螺旋表面174以及套管针173组合成一个整 体部件砧座调节轴170减少了外科缝合器的部件数。通过将斜坡部分174a与停顿部分174b 组合成螺旋表面174,可进一步减少部件数。如上面所讨论,螺旋表面的斜坡部分174a可允 许轴170相对于主体110的初始快速轴向运动,而停顿部分174b可以在砧座150和缝合头130 之间建立至少一个分立的预定缝钉成形高度。总体上,忽略砧座和缝合头部件,相比现有装 置中三十个以上的部件,外科缝合器101可以仅包括七个部件。参见图16-18,这七个部件可 包括主体110、击发触发器190、将触发器190可枢转地联接到主体110的铰链销193、与锁定 杆195-体形成的触发器弹簧191、砧座调节轴170、可操作地接合轴的螺旋表面174的螺销 (未示出,参见例如图3所示的螺销75)以及驱动杆180。另外,可以进一步减少部件数。例如, 通过将例如铰链止动装置或柔性接片组合到触发器190自身中,即可以取消铰链销193。此 外,弹簧191和锁定杆195也可与触发器190-体形成。另外,通过加入从主体110内表面延伸 的突起,使得螺旋突起可以接合螺旋表面174,从而可以取消螺销(未示出)。在任何情况下, 外科缝合器101的前述部件可以提供与上面所述类似的功能。这种仅使用少许制造技术的 简化的缝合器结构可以广泛地应用,并应适用于多用途可消毒装置,该装置相比类似的目 前可用的外科缝合器成本明显更低,并且所需制造时间更少。因此,在至少一个实施例中, 可以提供包括上述部件而减少砧座和缝合头部件的可重复使用的缝合器。此外,在至少一 个实施例中,包括钉仓的砧座和/或缝合头也可以是一次性的。

[0072] 在至少一个示例性实验中,通过将每个部件与部件标准列表进行对比以查看是否 需要该部件,实现上述部件数的最少化。剩下的仅是以上列出和出于组装原因而需要的部 件、具有独特材料性质的部件,或者相对于缝合器中其他部件运动的部件。

[0073] 在多个实施例中,缝合头组件能够包括锁定特征,以便在插入至外科缝合器的一 部分内期间,阻止或防止缝钉驱动器意外从钉仓击发或驱动缝钉。更详细地说,现在参见图 19-20,缝合头组件230可大体类似于上述的缝合头30和/或130,从而使缝合头组件230可例 如用作外科缝合器1和/或101的元件。换句话讲,缝合头组件230可如上文分别针对缝合头 30和130所述而被插入至轴12或112中。

[0074]因此,更详细地说,缝合头组件230可包括钉仓233、芯235、从芯235延伸的至少一 个缝钉驱动器234、和壳体239,钉仓233用于支撑一个或多个外科缝钉(图中未示出;然而, 例如参见图7B中的缝钉31 ),芯235可相对于钉仓233活动,壳体239能够至少部分地保持钉 仓233并可动地容纳芯235和缝钉驱动器234。如上文所述,缝钉驱动器234可从钉仓接合并 驱动缝钉。

[0075] 参见图21,在至少一个实施例中,缝钉驱动器234和芯235可以一体地连接和/或形 成。例如,各缝钉驱动器234可可操作地联接到芯235,每一缝钉驱动器均可由相同的材料形 成,例如由塑料材料形成。接片236可自芯上突出,这些接片236能够接合驱动带80或驱动杆 180(分别参见图4和图18)。在任何情况下,如同例如上述缝合头30-样,驱动带80或驱动杆 180的致动可致使芯235并进而使缝钉驱动器234击发,从而从钉仓233驱动或弹出缝钉。 [0076]如图20所示,在至少一个实施例中,壳体239可另外包括至少一个保持构件237,保 持构件237能够弹性地和/或挠性地使缝合头30偏转并使缝合头30能够例如在形成于主体 的轴部12中的对应孔15(参见图3)处可释放地附接到主体的轴部12。每一保持构件237可还 包括释放按钮,例如如图19-20所示。因此,当被插入于缝合器主体10(图3)的轴部12中时, 缝合头组件230(图19)可通过以下方式移走:按下各保持构件237上的相应按钮,然后转动 头部30,使得接片36从由驱动带80的远端驱动表面82形成的凹口中脱开,最后将缝合头组 件230拉离主体10。

[0077]如在下文中所更详细说明,当对保持构件施加足够的外力(例如在将缝合头组件 插入至轴内期间由外科缝合器1(参见图4)的轴部12提供)时,保持构件237能够从第一位置 运动至第二位置。第一位置可以是未被按下位置,而第二位置可以是被按下位置,在第二位 置上,保持构件237既可接触也可不接触芯235。当保持构件237处于第二位置时,可防止缝 钉驱动器234从钉仓233驱动或弹出缝钉,由此在将缝合头组件230插入于外科缝合器的至 少一部分内期间为缝合头组件230提供击发锁定特征。

[0078]在至少一个实施例中,为使缝合头组件230具有额外的锁定能力,芯235还可包括 凹槽240,凹槽240被构造成并且其尺寸被设定成在保持构件237处于第二位置时容纳保持 构件237。例如,参见图21,凹槽240可设置于芯235的表面中,且凹槽240可限定于例如两个 侧壁241与242之间。在此种实施例中,至少部分地由于被按下的保持构件237与侧壁241、 242之间的干涉、和/或至少部分地由于被按下的保持构件237与芯235的表面之间的摩擦, 可在保持构件237被按下至凹槽240中时防止芯235以及进而防止缝钉驱动器234相对于壳 体239(参见图19)运动。

[0079] 如上文所述,在多个实施例中,保持构件237可弹性地偏转。换句话讲,保持构件 237可弹性地偏转,从而在因受到外力而偏转之后,保持构件237可回弹或以其他方式返回 至其原始位置。更详细地说,各保持构件237可分别包括形成于壳体239中的悬臂。在此种实 施例中,参见图19,悬臂式保持构件可围绕由壳体235所限定的纵向轴线"L"弯曲,以例如与 外科缝合器1(参见图4)的管状主体10的曲率相关联。换句话讲,保持构件237可如图19所示 围绕钉仓壳体沿径向弯曲或卷曲。作为另外一种选择,保持构件可为线性的或在与壳体239 所限定的纵向轴线L平行的方向上延伸。

[0080] 在至少一个实施例中,保持构件237可为一体的并与壳体239形成一体,从而使壳 体239与保持构件237由同一件材料形成和/或模制而成。在此种实施例中,壳体239可由塑 料材料制成,例如由尼龙、聚碳酸酯、聚醚酰亚胺(PEI)或聚醚醚酮(PEEK)制成。另外,在至 少一个实施例中,芯可由塑料材料制成,例如由尼龙、聚碳酸酯、聚醚酰亚胺(PEI)或聚醚醚 酮(PEEK)制成。

[0081 ] 在至少一个实施例中,可参照图22-24来理解与芯235和/或凹槽240相互作用的保 持构件237的操作。图22示出缝合头组件230的一部分被初始地插入圆形缝合器的主体10的 轴部12中。主体10是以虚线进行显示,以更好地示出缝合头组件230的位于缝合器主体内的 部分。保持构件237可分别包括斜面243,由图可见,在轴部12即将接触保持构件237的斜面 243之前,保持构件237仍处于未偏转位置或第一位置。沿近端方向"PD"进一步推进缝合头 组件可使轴部12接触保持构件237并开始使保持构件237朝芯235向内偏转。图23示出缝合 头组件230被进一步插入于圆形缝合器的主体中。由图可见,圆形主体10的内壁使保持构件 237保持于被按下位置或第二位置。在被按下位置或第二位置上,保持构件237可被容纳于 凹槽240(参见图21)中,以由此防止芯235沿远端方向"DD"运动。另外,例如凹槽侧壁241可 防止保持构件237沿远端方向DD明显地运动。通过使缝合头组件进一步沿近端方向(参见 图22)运动并接着使保持构件237的释放按钮对准主体10中的孔15,可允许保持构件弹性地 返回至未被按下位置,从而使保持构件237不仅将缝合头组件230保持于圆形缝合器主体10 中、而且还使凹槽240和/或侧壁241、242通畅以便能够致动芯235和缝钉驱动器234并从钉 仓233(参见图19)驱动缝钉。例如,图24示出被完全插入于圆形缝合器主体10中的缝合头组 件230,其中保持构件237处于此种未被按下位置并至少部分地位于孔15内。此外,如图24所 示,芯的接片236被容纳于驱动带80的凹口中,以容纳来自驱动带80的致动运动,此类似于 上文关于例如缝合头30(参见图4)所述。

[0082]缝合头组件的其他型式可包括上文所述的各种特征。例如,在至少一个实施例中 并参见图25-26,缝合头组件330可关于纵向轴线"L"而大体径向对称。然而,在此种实施例 中,缝合头组件330可在其他方面类似于例如上文所述的缝合头组件230和/或缝合头30。例 如,缝合头组件330可包括用于支撑一个或多个外科缝钉的钉仓333、相对于所述钉仓333可 动的芯335、从所述芯335延伸的至少一个缝钉驱动器334、和壳体339,所述壳体339能够至 少部分地保持所述钉仓333并可动地容纳所述芯335和所述至少一个缝钉驱动器334。缝钉 驱动器334能够从钉仓333接合并驱动缝钉。另外,所述壳体还可包括至少一个保持构件 337,所述保持构件337能够在对保持构件337施加足够的外力时从第一位置运动至第二位 置。进一步,当保持构件337处于第二位置时可防止所述至少一个缝钉驱动器从钉仓驱动缝 钉。在至少一个实施例中,所述芯还可包括凹槽340,凹槽340被构造成并且其尺寸被设定成 在保持构件337处于第二位置时容纳保持构件337。另外,不同于缝合头组件230,组件330还 可包括切割构件332,切割构件332可操作地联接到芯335。因此,当保持构件处于被按下位 置以防止芯335相对于壳体339运动时,也可防止切割构件332和/或缝钉驱动器334相对于 壳体339运动,从而防止切割构件332和/或钉仓333中的缝钉被意外击发。另外,芯335可包 括从芯335沿横向突出的接片336,以用于可操作地接合如上文关于缝合头组件30、130和/ 或230所述的外科缝合器的驱动带或驱动杆。在再一些替代实施例中,壳体能够在其内可操 作地支撑一个或多个外科缝钉。在此种替代实施例中,不需要具有单独的钉仓来可操作地 支撑外科缝钉。而是,壳体能够支撑缝钉,从而在接触缝钉驱动器时,缝钉被驱动出壳体外。 [0083] 虽然已经描述了各实施例,但应当知道,掌握了各种实施例的一些或全部优点的 本领域技术人员可能会想到这些实施例的各种修改、变型和变通形式。例如,根据各种实施 例,单个部件或步骤可被多个部件或步骤代替,并且多个部件或步骤可被单个部件或步骤 代替,以执行给定的一个或多个功能或实现给定目的。此外,以上所述各种部件可由多种材 料制成。例如,各部件可由金属、塑料和/或生物相容性材料的任何组合制成。而且,诸如触 发器、驱动带和砧座调节带的各种部件可由金属片制造和弯曲或折叠而成。因此,在不脱离 所附权利要求书的范围和精神的情况下,本专利申请旨在涵盖所有这类修改、变型和变通 形式。

[0084]可将本发明所公开的装置设计为单次使用后即进行处理,或者可将它们设计为可 多次使用。然而无论是哪种情况,该器械都可在至少使用一次后经过修复再行使用。修复的 步骤可包括装置的拆卸、清洗或更换具体部件以及后续重新组装步骤的组合。具体来讲,该 装置可以拆卸,并且可以任意组合对任意数目的具体部件或零件进行选择性地更换或移 除。清洗和/或更换特定部件后,可在修理厂或在紧临外科手术前由外科小组人员将器械重 新装配,以供后续使用。本领域技术人员将会知道,修理装置时可以采用多种不同技术来拆 卸、清洗/更换和组装。这些技术的使用以及所得的修复装置均在本发明的范围内。

[0085] 本申请中的所述装置可在手术之前进行处理。首先,获取新的或用过的器械,并根 据需要进行清洗。然后对装置进行消毒。在一种灭菌技术中,将器械置于封闭并密封的容器 中,例如塑料或TYVtX"' 口袋中。然后将容器和器械置于可穿透该容器的辐射场,例如Y 辐射、X射线或更高能量的电子辐射。辐射将装置上和容器中的细菌杀死。然后将灭菌后的 装置保存在消毒容器中。该密封容器将器械保持无菌,直到在医疗设备中打开该容器。

[0086] 据述以引用方式全部或部分地并入本申请的任何专利、公布、或其它公开材料仅 在所并入的材料不与本发明所述的现有定义、陈述、或其它公开材料相冲突的程度下并入 本申请。由此,在必要的程度下,本文所明确阐述的公开内容将取代以引用方式并入本文的 任何相冲突材料。如果据述以引用方式并入本文但与本文所述的现有定义、陈述或其它公 开材料相冲突的任何材料或其部分,仅在所并入的材料和现有的公开材料之间不产生冲突 的程度下并入本文。

Claims (19)

1. 一种外科缝合头组件,包括壳体,所述壳体能够在其内至少部分地可操作地支撑一 个或多个外科缝钉,所述壳体还能够在其内可动地容纳芯和至少一个缝钉驱动器,所述壳 体还具有至少一个保持构件,所述保持构件能够在向所述保持构件施加足够的外力时从第 一位置运动至第二位置,并且其中在所述至少一个保持构件处于所述第二位置时防止所述 至少一个缝钉驱动器从所述壳体驱动缝钉。
2. 根据权利要求1所述的外科缝合头组件,其中所述芯还包括凹槽,所述凹槽被构造成 并且其尺寸被设定成在所述至少一个保持构件处于所述第二位置时容纳所述至少一个保 持构件。
3. 根据权利要求1所述的外科缝合头组件,其中所述保持构件是可弹性地偏转的。
4. 根据权利要求3所述的外科缝合头组件,其中所述保持构件包括悬臂。
5. 根据权利要求4所述的外科缝合头组件,其中所述悬臂围绕由所述壳体限定的纵向 轴线弯曲。
6. 根据权利要求4所述的外科缝合头组件,其中所述悬臂沿与由所述壳体限定的纵向 轴线平行的方向延伸。
7. 根据权利要求3所述的外科缝合头组件,其中所述保持构件是一体的并与所述壳体 形成一体。
8. 根据权利要求1所述的外科缝合头组件,其中所述一个或多个外科缝钉被支撑在钉 仓中,所述钉仓被支撑在所述壳体中。
9. 根据权利要求1所述的外科缝合头组件,还包括可操作地联接到所述芯的切割构件。
10. 一种外科缝合器,包括: 主体,所述主体包括: 柄部;和 从所述柄部延伸的轴部; 可释放地联接到所述轴部的缝合头组件,所述缝合头组件包括: 壳体,所述壳体能够在其内至少部分地可操作地支撑一个或多个外科缝钉,所述壳体 还能够在其内可动地支撑芯和至少一个缝钉驱动器,所述壳体还具有至少一个保持构件, 所述保持构件能够在向所述保持构件施加足够的外力时从第一位置运动至第二位置,并且 其中在所述至少一个保持构件处于所述第二位置时防止所述至少一个缝钉驱动器从所述 壳体驱动缝钉; 驱动系统,所述驱动系统用于向所述至少一个缝钉驱动器施加驱动运动; 砧座,所述砧座相对于所述壳体被可动地支撑以朝着和远离所述壳体轴向运动;和 砧座调节组件,所述砧座调节组件用于选择性地调节所述砧座相对于所述壳体的轴向 位置。
11. 根据权利要求10所述的外科缝合器,其中所述芯还包括凹槽,所述凹槽被构造成并 且其尺寸被设定成在所述至少一个保持构件处于所述第二位置时容纳所述至少一个保持 构件。
12. 根据权利要求10所述的外科缝合器,其中所述保持构件是可弹性地偏转的。
13. 根据权利要求12所述的外科缝合器,其中所述保持构件包括悬臂。
14. 根据权利要求13所述的外科缝合器,其中所述悬臂围绕由所述壳体限定的纵向轴 线弯曲。
15. 根据权利要求13所述的外科缝合器,其中所述悬臂沿与由所述壳体限定的纵向轴 线平行的方向延伸。
16. 根据权利要求12所述的外科缝合器,其中所述保持构件是一体的并与所述壳体形 成一体。
17. 根据权利要求10所述的外科缝合器,其中所述一个或多个外科缝钉被支撑在钉仓 中,所述钉仓被支撑在所述壳体中。
18. 根据权利要求10所述的外科缝合器,还包括可操作地联接到所述芯的切割构件。
19. 一种外科缝合头组件,包括: 壳体,所述壳体能够在其内可操作地支撑一个或多个外科缝钉,所述壳体能够在其内 可动地容纳芯和至少一个缝钉驱动器;和 锁定装置,所述锁定装置用于防止所述至少一个缝钉驱动器从钉仓驱动缝钉。
CN 201180043272 2010-09-09 2011-09-09 用于外科缝合器的具有击发锁定的外科缝合头组件 CN103096817B (zh)

Priority Applications (3)

Application Number Priority Date Filing Date Title
US12878065 US8360296B2 (en) 2010-09-09 2010-09-09 Surgical stapling head assembly with firing lockout for a surgical stapler
US12/878,065 2010-09-09
PCT/US2011/050909 WO2012033960A2 (en) 2010-09-09 2011-09-09 Surgical stapling head assembly with firing lockout for a surgical stapler

Publications (2)

Publication Number Publication Date
CN103096817A true CN103096817A (zh) 2013-05-08
CN103096817B true CN103096817B (zh) 2016-08-10

Family

ID=44653594

Family Applications (1)

Application Number Title Priority Date Filing Date
CN 201180043272 CN103096817B (zh) 2010-09-09 2011-09-09 用于外科缝合器的具有击发锁定的外科缝合头组件

Country Status (7)

Country Link
US (4) US8360296B2 (zh)
JP (1) JP5855659B2 (zh)
CN (1) CN103096817B (zh)
CA (1) CA2810059A1 (zh)
EP (1) EP2613713A1 (zh)
RU (1) RU2573038C2 (zh)
WO (1) WO2012033960A2 (zh)

Families Citing this family (182)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US20070194082A1 (en) 2005-08-31 2007-08-23 Morgan Jerome R Surgical stapling device with anvil having staple forming pockets of varying depths
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20130334284A1 (en) 2005-08-31 2013-12-19 Ethicon Endo-Surgery, Inc. Fastener cartridge assembly comprising a fixed anvil and different staple heights
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7740159B2 (en) * 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US7665647B2 (en) 2006-09-29 2010-02-23 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
US8961551B2 (en) 2006-12-22 2015-02-24 The Spectranetics Corporation Retractable separating systems and methods
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
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. 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
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US8590762B2 (en) 2007-06-29 2013-11-26 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configurations
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7766209B2 (en) * 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8657174B2 (en) * 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8622274B2 (en) * 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US20130153636A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Implantable arrangements for surgical staple cartridges
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US20090206142A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical stapling instrument
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US9393002B2 (en) * 2008-02-18 2016-07-19 Covidien Lp Clip for implant deployment device
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US9050083B2 (en) * 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8517239B2 (en) * 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US8353439B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with radially-openable distal end portion
US8622275B2 (en) 2009-11-19 2014-01-07 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid distal end portion
US8353438B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid cap assembly configured for easy removal
US8899466B2 (en) 2009-11-19 2014-12-02 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8672207B2 (en) 2010-07-30 2014-03-18 Ethicon Endo-Surgery, Inc. Transwall visualization arrangements and methods for surgical circular staplers
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
RU2606493C2 (ru) 2011-04-29 2017-01-10 Этикон Эндо-Серджери, Инк. Кассета со скобками, содержащая скобки, расположенные внутри ее сжимаемой части
US20120080340A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a variable thickness compressible portion
US9615826B2 (en) 2010-09-30 2017-04-11 Ethicon Endo-Surgery, Llc Multiple thickness implantable layers for surgical stapling devices
US8783542B2 (en) 2010-09-30 2014-07-22 Ethicon Endo-Surgery, Inc. Fasteners supported by a fastener cartridge support
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9433419B2 (en) 2010-09-30 2016-09-06 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of layers
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
RU2013119928A (ru) 2010-09-30 2014-11-10 Этикон Эндо-Серджери, Инк. Сшивающая система, содержащая удерживающую матрицу и выравнивающую матрицу
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
RU2604397C2 (ru) 2011-04-29 2016-12-10 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани для хирургического сшивающего инструмента, содержащий регулируемый упор
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
RU2014143342A (ru) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Узел ограничения, включающий компенсатор толщины ткани
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8632462B2 (en) 2011-03-14 2014-01-21 Ethicon Endo-Surgery, Inc. Trans-rectum universal ports
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US9107663B2 (en) 2011-09-06 2015-08-18 Ethicon Endo-Surgery, Inc. Stapling instrument comprising resettable staple drivers
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9186148B2 (en) * 2012-01-05 2015-11-17 Ethicon Endo-Surgery, Inc. Tissue stapler anvil feature to prevent premature jaw opening
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
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
RU2639857C2 (ru) 2012-03-28 2017-12-22 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий капсулу для среды с низким давлением
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9364230B2 (en) 2012-06-28 2016-06-14 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotary joint assemblies
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9307986B2 (en) 2013-03-01 2016-04-12 Ethicon Endo-Surgery, Llc Surgical instrument soft stop
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9687230B2 (en) 2013-03-14 2017-06-27 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US9808244B2 (en) 2013-03-14 2017-11-07 Ethicon Llc Sensor arrangements for absolute positioning system for surgical instruments
US9351727B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Drive train control arrangements for modular surgical instruments
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9629623B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgery, Llc Drive system lockout arrangements for modular surgical instruments
US9351726B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Articulation control system for articulatable surgical instruments
US9668765B2 (en) * 2013-03-15 2017-06-06 The Spectranetics Corporation Retractable blade for lead removal device
US20150258334A1 (en) 2013-03-15 2015-09-17 The Spectranetics Corporation Medical device for removing an implanted object
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
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
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
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
CN103239265B (zh) * 2013-05-10 2015-05-20 杭州铭众生物科技有限公司 一种胃肠道吻合手术用的吻合器
CN103230289B (zh) * 2013-05-10 2014-04-02 杭州铭众生物科技有限公司 一种胃肠道吻合器
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US20150053746A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Torque optimization for surgical instruments
US9554802B2 (en) 2013-11-13 2017-01-31 Covidien Lp Anvil assembly with frangible retaining member
US9517070B2 (en) 2013-11-13 2016-12-13 Covidien Lp Anvil assembly and delivery system
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9763662B2 (en) 2013-12-23 2017-09-19 Ethicon Llc Fastener cartridge comprising a firing member configured to directly engage and eject fasteners from the fastener cartridge
US9707005B2 (en) 2014-02-14 2017-07-18 Ethicon Llc Lockout mechanisms for surgical devices
US20140166724A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple
US20150272572A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Interface systems for use with surgical instruments
CN106061410A (zh) * 2014-03-26 2016-10-26 柯惠有限合伙公司 外科钉合装置
JP2017513567A (ja) 2014-03-26 2017-06-01 エシコン・エンド−サージェリィ・エルエルシーEthicon Endo−Surgery, LLC セグメント化回路及び可変電圧保護による電源管理
US9733663B2 (en) 2014-03-26 2017-08-15 Ethicon Llc Power management through segmented circuit and variable voltage protection
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
US20150297234A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. End effector comprising an anvil including projections extending therefrom
US9867619B2 (en) 2014-06-24 2018-01-16 Covidien Lp System for delivering an anvil assembly to a surgical site
US9861367B2 (en) 2014-06-24 2018-01-09 Covidien Lp Anvil assembly delivery systems
US9757133B2 (en) 2014-07-09 2017-09-12 Covidien Lp Methods and devices for performing a surgical anastomosis
US20160066915A1 (en) 2014-09-05 2016-03-10 Ethicon Endo-Surgery, Inc. Polarity of hall magnet to detect misloaded cartridge
US9788836B2 (en) 2014-09-05 2017-10-17 Ethicon Llc Multiple motor control for powered medical device
US9737301B2 (en) 2014-09-05 2017-08-22 Ethicon Llc Monitoring device degradation based on component evaluation
US9757128B2 (en) 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
US20160089143A1 (en) 2014-09-26 2016-03-31 Ethicon Endo-Surgery, Inc. Surgical stapling buttresses and adjunct materials
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US20160157856A1 (en) * 2014-12-08 2016-06-09 Covidien Lp Loading unit attachment band for surgical stapling instrument
US9855045B2 (en) 2014-12-09 2018-01-02 Covidien Lp Anvil assembly delivery system
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
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US20160374670A1 (en) * 2015-06-26 2016-12-29 Ethicon Endo-Surgery, Llc Anvil stabilization features for surgical stapler

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7225963B2 (en) * 2004-02-17 2007-06-05 Tyco Healthcare Group Lp Surgical stapling apparatus with locking mechanism
CN201108467Y (zh) * 2007-10-19 2008-09-03 周明喜 一种吻合器
CN101416895A (zh) * 2008-10-29 2009-04-29 马剑文 具有保险装置的管型吻合器及其吻合器主体
EP2163211A2 (en) * 2008-09-10 2010-03-17 Tyco Healthcare Group LP Surgical stapling device

Family Cites Families (1191)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE273689C (zh) 1913-08-07 1914-05-08
FR459743A (fr) 1912-09-14 1913-11-12 Bariquant Et Marre Des Atel Transmission flexible
FR999646A (fr) 1949-11-16 1952-02-04 Dispositif serre-câble
FR1112936A (fr) 1954-10-20 1956-03-20 Moteur électrique et commande à trois vitesses enfermés dans une gaine
DE1775926U (de) 1958-06-11 1958-10-16 Rudolf W Dipl Ing Ihmig Kugelschreibermine.
GB939929A (en) 1959-10-30 1963-10-16 Vasilii Fedotovich Goodov Instrument for stitching blood vessels, intestines, bronchi and other soft tissues
GB1210522A (en) 1966-10-10 1970-10-28 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
US3494533A (en) 1966-10-10 1970-02-10 United States Surgical Corp Surgical stapler for stitching body organs
US3490675A (en) 1966-10-10 1970-01-20 United States Surgical Corp Instrument for placing lateral gastrointestinal anastomoses
GB1217159A (en) 1967-12-05 1970-12-31 Coventry Gauge & Tool Co Ltd Torque limiting device
US3643851A (en) 1969-08-25 1972-02-22 United States Surgical Corp Skin stapler
US3662939A (en) 1970-02-26 1972-05-16 United States Surgical Corp Surgical stapler for skin and fascia
US3717294A (en) 1970-12-14 1973-02-20 Surgical Corp Cartridge and powering instrument for stapling skin and fascia
GB1339394A (en) 1972-04-06 1973-12-05 Vnii Khirurgicheskoi Apparatur Dies for surgical stapling instruments
US3819100A (en) 1972-09-29 1974-06-25 United States Surgical Corp Surgical stapling instrument
USRE28932E (en) 1972-09-29 1976-08-17 United States Surgical Corporation Surgical stapling instrument
JPS5033988U (zh) 1973-07-21 1975-04-11
US4111206A (en) 1975-05-04 1978-09-05 Vishnevsky Alexandr A Surgical instrument for applying metal staples to organs and tissues and for simultaneous division thereof
CA1124605A (en) 1977-08-05 1982-06-01 Charles H. Klieman Surgical stapler
GB2024012B (en) 1978-04-10 1982-07-28 Johnson & Johnson Oxygen-generating surgical dressing
US4272002A (en) 1979-07-23 1981-06-09 Lawrence M. Smith Internal surgical stapler
CA1163890A (en) 1980-02-05 1984-03-20 David T. Green Surgical stapling instruments
US4429695A (en) 1980-02-05 1984-02-07 United States Surgical Corporation Surgical instruments
US4396139A (en) 1980-02-15 1983-08-02 Technalytics, Inc. Surgical stapling system, apparatus and staple
US4331277A (en) 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
DE3036217C2 (zh) 1980-09-25 1986-12-18 Siemens Ag, 1000 Berlin Und 8000 Muenchen, De
CA1170537A (en) 1980-10-17 1984-07-10 John O. Crawford Self-centering surgical staple
US4500024A (en) 1980-11-19 1985-02-19 Ethicon, Inc. Multiple clip applier
US4379457A (en) 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
US4434796A (en) 1981-04-07 1984-03-06 Vsesojuzny Nauchno-Issledovatelsky I Ispytatelny Institut Meditsinskoi Tekhniki Surgical staple, a method of and forceps for its removal
US4383634A (en) 1981-05-26 1983-05-17 United States Surgical Corporation Surgical stapler apparatus with pivotally mounted actuator assemblies
FR2509490B1 (zh) 1981-07-09 1985-02-22 Tractel Sa
US4475679A (en) 1981-08-07 1984-10-09 Fleury Jr George J Multi-staple cartridge for surgical staplers
US4632290A (en) 1981-08-17 1986-12-30 United States Surgical Corporation Surgical stapler apparatus
US4646745A (en) * 1981-09-03 1987-03-03 United States Surgical Corporation Surgical stapler apparatus with curved shaft
US4576167A (en) * 1981-09-03 1986-03-18 United States Surgical Corporation Surgical stapler apparatus with curved shaft
JPS5844033A (en) 1981-09-11 1983-03-14 Fuji Photo Optical Co Ltd Adaptor type treating tool introducing apparatus for endoscope
US4402445A (en) 1981-10-09 1983-09-06 United States Surgical Corporation Surgical fastener and means for applying same
US4809695A (en) 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
US4415112A (en) 1981-10-27 1983-11-15 United States Surgical Corporation Surgical stapling assembly having resiliently mounted anvil
DE3204532C2 (zh) 1982-02-10 1983-12-08 B. Braun Melsungen Ag, 3508 Melsungen, De
DE3210466A1 (de) 1982-03-22 1983-09-29 Peter Dipl Kfm Dr Gschaider Verfahren und vorrichtung zur durchfuehrung von handhabungsprozessen
US4664305A (en) 1982-05-04 1987-05-12 Blake Joseph W Iii Surgical stapler
JPS59168848A (en) 1983-03-11 1984-09-22 Ethicon Inc Antiseptic surgical apparatus made of nonmetal having affinity to organism
US4522327A (en) 1983-05-18 1985-06-11 United States Surgical Corporation Surgical fastener applying apparatus
CA1247966A (en) 1983-06-20 1989-01-03 James J. Bedi Apparatus for applying a fastener to tissue with a pair of hollow needles
US4629107A (en) 1983-08-16 1986-12-16 Vsesojuzny Nauchno-Issledovatelsky I Ispytatelny Institute Meditsinskoi Tekhniki Ligating instrument
US4669647A (en) 1983-08-26 1987-06-02 Technalytics, Inc. Surgical stapler
US4530453A (en) 1983-10-04 1985-07-23 United States Surgical Corporation Surgical fastener applying apparatus
US4505414A (en) 1983-10-12 1985-03-19 Filipi Charles J Expandable anvil surgical stapler
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US4612933A (en) 1984-03-30 1986-09-23 Senmed, Inc. Multiple-load cartridge assembly for a linear surgical stapling instrument
US4619391A (en) 1984-04-18 1986-10-28 Acme United Corporation Surgical stapling instrument
US5002553A (en) 1984-05-14 1991-03-26 Surgical Systems & Instruments, Inc. Atherectomy system with a clutch
US4585153A (en) 1984-07-16 1986-04-29 Ethicon, Inc. Surgical instrument for applying two-piece fasteners comprising frictionally held U-shaped staples and receivers (Case III)
CA1259876A (en) 1984-07-16 1989-09-26 Stephen J. Failla "w" shaped staples and slotted receivers (case vii)
US4605004A (en) 1984-07-16 1986-08-12 Ethicon, Inc. Surgical instrument for applying fasteners said instrument including force supporting means (case IV)
US4655222A (en) 1984-07-30 1987-04-07 Ethicon, Inc. Coated surgical staple
US4671445A (en) 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4754909A (en) 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4767044A (en) 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
US4566620A (en) 1984-10-19 1986-01-28 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4605001A (en) 1984-10-19 1986-08-12 Senmed, Inc. Surgical stapling instrument with dual staple height mechanism
US4580712A (en) 1984-10-19 1986-04-08 United States Surgical Corporation Surgical fastener applying apparatus with progressive application of fastener
US4573622A (en) 1984-10-19 1986-03-04 United States Surgical Corporation Surgical fastener applying apparatus with variable fastener arrays
US4633874A (en) 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
US4608981A (en) 1984-10-19 1986-09-02 Senmed, Inc. Surgical stapling instrument with staple height adjusting mechanism
US4750902A (en) 1985-08-28 1988-06-14 Sonomed Technology, Inc. Endoscopic ultrasonic aspirators
US4728020A (en) 1985-08-30 1988-03-01 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4684051A (en) 1985-09-10 1987-08-04 Akopov Ernest M Surgical instrument
US4715520A (en) 1985-10-10 1987-12-29 United States Surgical Corporation Surgical fastener applying apparatus with tissue edge control
US4634419A (en) 1985-12-13 1987-01-06 Cooper Lasersonics, Inc. Angulated ultrasonic surgical handpieces and method for their production
US4662555A (en) 1986-03-11 1987-05-05 Edward Weck & Company, Inc. Surgical stapler
US4700703A (en) 1986-03-27 1987-10-20 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4827911A (en) 1986-04-02 1989-05-09 Cooper Lasersonics, Inc. Method and apparatus for ultrasonic surgical fragmentation and removal of tissue
US4747820A (en) 1986-04-09 1988-05-31 Cooper Lasersonics, Inc. Irrigation/aspiration manifold and fittings for ultrasonic surgical aspiration system
US4817847A (en) 1986-04-21 1989-04-04 Finanzaktiengesellschaft Globe Control Instrument and a procedure for performing an anastomosis
FR2598905B1 (fr) 1986-05-22 1993-08-13 Chevalier Jean Michel Dispositif d'interruption de la circulation d'un fluide dans un conduit a paroi souple, notamment un viscere creux et ensemble de pince comportant ce dispositif
US4727308A (en) 1986-08-28 1988-02-23 International Business Machines Corporation FET power converter with reduced switching loss
US4893622A (en) 1986-10-17 1990-01-16 United States Surgical Corporation Method of stapling tubular body organs
US4752024A (en) 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
JPH0755222B2 (ja) 1986-12-12 1995-06-14 オリンパス光学工業株式会社 処置具
US4865030A (en) 1987-01-21 1989-09-12 American Medical Systems, Inc. Apparatus for removal of objects from body passages
EP0302093A4 (en) 1987-02-10 1989-08-30 Vaso Products Australia Pty Lt Venous cuff applicator, cartridge and cuff.
US4873977A (en) 1987-02-11 1989-10-17 Odis L. Avant Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis
US4719917A (en) 1987-02-17 1988-01-19 Minnesota Mining And Manufacturing Company Surgical staple
DE3709067A1 (de) 1987-03-19 1988-09-29 Ewald Hensler Medizinisches, insbesondere chirurgisches instrument
US4941623A (en) 1987-05-12 1990-07-17 United States Surgical Corporation Stapling process and device for use on the mesentery of the abdomen
US4844068A (en) 1987-06-05 1989-07-04 Ethicon, Inc. Bariatric surgical instrument
US4848637A (en) 1987-06-11 1989-07-18 Pruitt J Crayton Staple device for use on the mesenteries of the abdomen
US5158567A (en) 1987-09-02 1992-10-27 United States Surgical Corporation One-piece surgical staple
US4821939A (en) 1987-09-02 1989-04-18 United States Surgical Corporation Staple cartridge and an anvilless surgical stapler
US4931047A (en) 1987-09-30 1990-06-05 Cavitron, Inc. Method and apparatus for providing enhanced tissue fragmentation and/or hemostasis
US5015227A (en) 1987-09-30 1991-05-14 Valleylab Inc. Apparatus for providing enhanced tissue fragmentation and/or hemostasis
US4819853A (en) 1987-12-31 1989-04-11 United States Surgical Corporation Surgical fastener cartridge
GB8800909D0 (en) 1988-01-15 1988-02-17 Ethicon Inc Gas powered surgical stapler
US4805823A (en) 1988-03-18 1989-02-21 Ethicon, Inc. Pocket configuration for internal organ staplers
US4944443A (en) 1988-04-22 1990-07-31 Innovative Surgical Devices, Inc. Surgical suturing instrument and method
US4869415A (en) 1988-09-26 1989-09-26 Ethicon, Inc. Energy storage means for a surgical stapler
CA1308782C (en) 1988-10-13 1992-10-13 Gyrus Medical Limited Screening and monitoring instrument
DE68924692T2 (de) 1988-11-11 1996-04-25 United States Surgical Corp Chirurgisches Instrument.
US4986808A (en) 1988-12-20 1991-01-22 Valleylab, Inc. Magnetostrictive transducer
US4978333A (en) 1988-12-20 1990-12-18 Valleylab, Inc. Resonator for surgical handpiece
US5104397A (en) 1989-04-14 1992-04-14 Codman & Shurtleff, Inc. Multi-position latching mechanism for forceps
US5505363A (en) 1989-05-26 1996-04-09 United States Surgical Corporation Surgical staples with plated anvils
US4955959A (en) 1989-05-26 1990-09-11 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
US5040715B1 (en) 1989-05-26 1994-04-05 United States Surgical Corp Apparatus and method for placing staples in laparoscopic or endoscopic procedures
DE69009935T2 (de) 1989-10-17 1994-12-08 Bieffe Medital Sa Vorrichtung zum Vernähen von Anastomosen.
US5088997A (en) 1990-03-15 1992-02-18 Valleylab, Inc. Gas coagulation device
US5342395A (en) 1990-07-06 1994-08-30 American Cyanamid Co. Absorbable surgical repair devices
RU2008830C1 (ru) 1990-07-13 1994-03-15 Константин Алексеевич Додонов Электрохирургический аппарат
US5653373A (en) 1990-09-17 1997-08-05 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5156315A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5104025A (en) 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
DE69120208T3 (de) 1990-10-05 2001-02-15 United States Surgical Corp Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5122156A (en) 1990-12-14 1992-06-16 United States Surgical Corporation Apparatus for securement and attachment of body organs
DE69119607D1 (de) 1990-12-18 1996-06-20 United States Surgical Corp Sicherheitsvorrichtung für chirurgische klammersetzgeräte
US5141144A (en) 1990-12-18 1992-08-25 Minnesota Mining And Manufacturing Company Stapler and firing device
US5571285A (en) 1991-02-19 1996-11-05 Ethicon, Inc. Surgical staple for insertion into tissue
CA2061319A1 (en) 1991-02-19 1992-08-20 Hector Chow Surgical staple for insertion into tissue
CA2061885A1 (en) 1991-03-14 1992-09-15 David T. Green Approximating apparatus for surgical jaw structure
RU1814161C (ru) 1991-03-19 1993-05-07 Пензенский Научно-Исследовательский Институт Электронно-Механических Приборов Электродвигатель
US5065929A (en) 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US5257713A (en) 1991-05-07 1993-11-02 United States Surgical Corporation Surgical fastening device
US5137198A (en) 1991-05-16 1992-08-11 Ethicon, Inc. Fast closure device for linear surgical stapling instrument
FI93607C (fi) 1991-05-24 1995-05-10 John Koivukangas Leikkaustoimenpidelaite
US5190517A (en) 1991-06-06 1993-03-02 Valleylab Inc. Electrosurgical and ultrasonic surgical system
US5221036A (en) 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
DE69211072D1 (de) 1991-08-09 1996-07-04 Skil Nederland Nv Netzunabhängiges Kraftbetriebenes Werkzeug
US5282829A (en) 1991-08-15 1994-02-01 United States Surgical Corporation Hollow body implants
DE69230991D1 (de) 1991-08-23 2000-06-08 Ethicon Inc Chirurgisches Klammernähgerät für Anastomosen
US5350104A (en) 1991-08-23 1994-09-27 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
US5246156A (en) 1991-09-12 1993-09-21 Ethicon, Inc. Multiple fire endoscopic stapling mechanism
CA2075141C (en) 1991-10-17 1998-06-30 Donald A. Morin Anvil for surgical staplers
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
EP0537570B1 (en) 1991-10-18 1998-01-07 United States Surgical Corporation Apparatus for applying surgical fasteners
US5579978A (en) 1991-10-18 1996-12-03 United States Surgical Corporation Apparatus for applying surgical fasteners
US5497933A (en) 1991-10-18 1996-03-12 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5478003A (en) 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
CA2080160C (en) 1991-10-18 2003-12-23 David T. Green Self contained gas powered surgical apparatus
US5485947A (en) 1992-07-20 1996-01-23 Ethicon, Inc. Linear stapling mechanism with cutting means
US5397046A (en) 1991-10-18 1995-03-14 United States Surgical Corporation Lockout mechanism for surgical apparatus
CA2079756A1 (en) 1991-10-18 1993-04-19 David T. Green Apparatus for applying surgical fasteners
US6250532B1 (en) 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
US5289963A (en) 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
CA2078794C (en) 1991-10-18 1998-10-06 Frank J. Viola Locking device for an apparatus for applying surgical fasteners
US5711472A (en) 1991-10-18 1998-01-27 United States Surgical Corporation Self contained gas powered surgical apparatus
US5364001A (en) 1991-10-18 1994-11-15 United States Surgical Corporation Self contained gas powered surgical apparatus
US5240163A (en) 1991-10-30 1993-08-31 American Cyanamid Company Linear surgical stapling instrument
US5350400A (en) 1991-10-30 1994-09-27 American Cyanamid Company Malleable, bioabsorbable, plastic staple; and method and apparatus for deforming such staple
US5395034A (en) 1991-11-07 1995-03-07 American Cyanamid Co. Linear surgical stapling instrument
ES2201051T3 (es) 1991-11-08 2004-03-16 Boston Scientific Limited Electrodo para ablacion que comprende detectores de temperatura aislados.
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
WO1993013718A1 (en) 1992-01-21 1993-07-22 Valleylab, Inc. Electrosurgical control for a trocar
US5284128A (en) 1992-01-24 1994-02-08 Applied Medical Resources Corporation Surgical manipulator
WO1993015648A1 (en) 1992-02-07 1993-08-19 Wilk Peter J Endoscope with disposable insertion member
DE9290173U1 (de) 1992-02-07 1994-10-27 Valleylab Inc Chirurgische Ultraschallvorrichtung
US5281216A (en) 1992-03-31 1994-01-25 Valleylab, Inc. Electrosurgical bipolar treating apparatus
US5236440A (en) 1992-04-14 1993-08-17 American Cyanamid Company Surgical fastener
US5484451A (en) 1992-05-08 1996-01-16 Ethicon, Inc. Endoscopic surgical instrument and staples for applying purse string sutures
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
US5221281A (en) 1992-06-30 1993-06-22 Valleylab Inc. Electrosurgical tubular trocar
US5258012A (en) 1992-06-30 1993-11-02 Ethicon, Inc. Surgical fasteners
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
US5368606A (en) 1992-07-02 1994-11-29 Marlow Surgical Technologies, Inc. Endoscopic instrument system
US5222975A (en) 1992-07-13 1993-06-29 Lawrence Crainich Surgical staples
US5282806A (en) 1992-08-21 1994-02-01 Habley Medical Technology Corporation Endoscopic surgical instrument having a removable, rotatable, end effector assembly
US5485952A (en) 1992-09-23 1996-01-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5423471A (en) 1992-10-02 1995-06-13 United States Surgical Corporation Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures
US5381943A (en) 1992-10-09 1995-01-17 Ethicon, Inc. Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5431323A (en) 1992-10-09 1995-07-11 Ethicon, Inc. Endoscopic surgical instrument with pivotable and rotatable staple cartridge
US5374277A (en) 1992-10-09 1994-12-20 Ethicon, Inc. Surgical instrument
CA2108605A1 (en) 1992-10-21 1994-04-22 Nagabhushanam Totakura Bioabsorbable foam pledget
US5309927A (en) 1992-10-22 1994-05-10 Ethicon, Inc. Circular stapler tissue retention spring method
GB9223560D0 (en) 1992-11-10 1992-12-23 Constantinides Andreas G Surgical/diagnostic aid
US5520700A (en) 1992-11-13 1996-05-28 Technion Research & Development Foundation, Ltd. Stapler device particularly useful in medical suturing
US5441483A (en) 1992-11-16 1995-08-15 Avitall; Boaz Catheter deflection control
US5389104A (en) 1992-11-18 1995-02-14 Symbiosis Corporation Arthroscopic surgical instruments
US5346504A (en) 1992-11-19 1994-09-13 Ethicon, Inc. Intraluminal manipulator with a head having articulating links
DE69331343D1 (de) 1992-11-30 2002-01-24 Sherwood Serv Ag Schaltung für ein ultraschallchirurgisches instrument mit einem energieinitiator zur aufrechterhaltung der vibrationen und der lineardynamik
US5807393A (en) 1992-12-22 1998-09-15 Ethicon Endo-Surgery, Inc. Surgical tissue treating device with locking mechanism
FR2699806B1 (fr) 1992-12-30 1995-03-24 Duthoit Francois Instrument, destiné notamment à permettre l'extraction de tronçons veineux pathologiques tels que des varices.
US5843021A (en) 1994-05-09 1998-12-01 Somnus Medical Technologies, Inc. Cell necrosis apparatus
US5304204A (en) 1993-02-09 1994-04-19 Ethicon, Inc. Receiverless surgical fasteners
JPH06237937A (ja) 1993-02-12 1994-08-30 Olympus Optical Co Ltd 外科用縫合器
CA2154172A1 (en) 1993-02-22 1994-09-01 William Gorman A laparoscopic dissection tension retractor device and method
US5342396A (en) 1993-03-02 1994-08-30 Cook Melvin S Staples
CA2155750C (en) 1993-03-02 1998-08-18 Melvin S. Cook Improved staples
US5397324A (en) 1993-03-10 1995-03-14 Carroll; Brendan J. Surgical stapler instrument and method for vascular hemostasis
US5312329A (en) 1993-04-07 1994-05-17 Valleylab Inc. Piezo ultrasonic and electrosurgical handpiece
US5370645A (en) 1993-04-19 1994-12-06 Valleylab Inc. Electrosurgical processor and method of use
ES2109539T3 (es) 1993-04-20 1998-01-16 United States Surgical Corp Grapadora quirurgica.
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
JP3559561B2 (ja) 1993-04-30 2004-09-02 ユナイテッド・ステイツ・サージカル・コーポレイション 関節ジョー構造および着脱可能ナイフを備えた外科手術用器具
US6716232B1 (en) 1993-04-30 2004-04-06 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
US5447265A (en) 1993-04-30 1995-09-05 Minnesota Mining And Manufacturing Company Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity
GB9309142D0 (en) 1993-05-04 1993-06-16 Gyrus Medical Ltd Laparoscopic instrument
US5364003A (en) 1993-05-05 1994-11-15 Ethicon Endo-Surgery Staple cartridge for a surgical stapler
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
GB9314391D0 (en) 1993-07-12 1993-08-25 Gyrus Medical Ltd A radio frequency oscillator and an electrosurgical generator incorporating such an oscillator
US5478354A (en) 1993-07-14 1995-12-26 United States Surgical Corporation Wound closing apparatus and method
US5709680A (en) 1993-07-22 1998-01-20 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5403312A (en) 1993-07-22 1995-04-04 Ethicon, Inc. Electrosurgical hemostatic device
US5693051A (en) 1993-07-22 1997-12-02 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device with adaptive electrodes
US5372596A (en) 1993-07-27 1994-12-13 Valleylab Inc. Apparatus for leakage control and method for its use
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
US5447417A (en) 1993-08-31 1995-09-05 Valleylab Inc. Self-adjusting pump head and safety manifold cartridge for a peristaltic pump
US5405344A (en) 1993-09-30 1995-04-11 Ethicon, Inc. Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor
CA2133159A1 (en) 1993-09-30 1995-03-31 Eric J. Butterfield Surgical instrument having improved manipulating means
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
US5496312A (en) 1993-10-07 1996-03-05 Valleylab Inc. Impedance and temperature generator control
US6210403B1 (en) 1993-10-07 2001-04-03 Sherwood Services Ag Automatic control for energy from an electrosurgical generator
US5439155A (en) 1993-10-07 1995-08-08 United States Surgical Corporation Cartridge for surgical fastener applying apparatus
US5562682A (en) 1993-10-08 1996-10-08 Richard-Allan Medical Industries, Inc. Surgical Instrument with adjustable arms
US5725554A (en) 1993-10-08 1998-03-10 Richard-Allan Medical Industries, Inc. Surgical staple and stapler
US5560532A (en) 1993-10-08 1996-10-01 United States Surgical Corporation Apparatus and method for applying surgical staples to body tissue
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
RU2098025C1 (ru) 1993-10-11 1997-12-10 Аркадий Вениаминович Дубровский Поворотное устройство
GB9322464D0 (en) 1993-11-01 1993-12-22 Gyrus Medical Ltd Electrosurgical apparatus
JP3414455B2 (ja) 1993-11-02 2003-06-09 オリンパス光学工業株式会社 縫合装置
US5449355A (en) 1993-11-24 1995-09-12 Valleylab Inc. Retrograde tissue splitter and method
DE4340707C2 (de) 1993-11-30 1997-03-27 Wolf Gmbh Richard Manipulator
US5465894A (en) 1993-12-06 1995-11-14 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5743456A (en) 1993-12-16 1998-04-28 Stryker Corporation Hand actuable surgical handpiece
US5422567A (en) 1993-12-27 1995-06-06 Valleylab Inc. High frequency power measurement
DE9490469U1 (de) 1993-12-30 1996-08-29 Valleylab Inc Bipolare Ultraschallchirurgie
WO1995018572A1 (en) 1994-01-04 1995-07-13 Alpha Surgical Technologies, Inc. Stapling device
US5452837A (en) 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
US5382247A (en) 1994-01-21 1995-01-17 Valleylab Inc. Technique for electrosurgical tips and method of manufacture and use
WO1995020360A1 (en) 1994-01-31 1995-08-03 Valleylab, Inc. Telescoping bipolar electrode for non-invasive medical procedures
US5597107A (en) 1994-02-03 1997-01-28 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5465895A (en) 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5503638A (en) 1994-02-10 1996-04-02 Bio-Vascular, Inc. Soft tissue stapling buttress
JPH0833642A (ja) 1994-02-25 1996-02-06 Ethicon Endo Surgery Inc 外科用ステープラのための改良アンビル承口
WO1995023557A1 (en) 1994-03-01 1995-09-08 United States Surgical Corporation Surgical stapler with anvil sensor and lockout
JP3421117B2 (ja) 1994-03-17 2003-06-30 テルモ株式会社 外科用器具
US5484398A (en) 1994-03-17 1996-01-16 Valleylab Inc. Methods of making and using ultrasonic handpiece
RU2052979C1 (ru) 1994-03-22 1996-01-27 Товарищество с ограниченной ответственностью "Дипы" ЛТД Аппарат для наложения зажимающих скрепок и магазин для прошивающих скобок или зажимающих скрепок
US5472442A (en) 1994-03-23 1995-12-05 Valleylab Inc. Moveable switchable electrosurgical handpiece
US5541376A (en) 1994-03-28 1996-07-30 Valleylab Inc Switch and connector
CA2145723A1 (en) 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5715987A (en) 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
US5695524A (en) 1994-04-05 1997-12-09 Tracor Aerospace, Inc. Constant width, adjustable grip, staple apparatus and method
CA2144818C (en) 1994-04-07 2006-07-11 Henry Bolanos Graduated anvil for surgical stapling instruments
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
US5470007A (en) 1994-05-02 1995-11-28 Minnesota Mining And Manufacturing Company Laparoscopic stapler with overload sensor and interlock
US5489058A (en) 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5628446A (en) 1994-05-05 1997-05-13 United States Surgical Corporation Self-contained powered surgical apparatus
US5474566A (en) 1994-05-05 1995-12-12 United States Surgical Corporation Self-contained powered surgical apparatus
CA2148667A1 (en) 1994-05-05 1995-11-06 Carlo A. Mililli Self-contained powered surgical apparatus
US5800379A (en) 1996-02-23 1998-09-01 Sommus Medical Technologies, Inc. Method for ablating interior sections of the tongue
US5732872A (en) 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
GB9413070D0 (en) 1994-06-29 1994-08-17 Gyrus Medical Ltd Electrosurgical apparatus
US5551622A (en) 1994-07-13 1996-09-03 Yoon; Inbae Surgical stapler
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
DE9412228U1 (de) 1994-07-28 1994-09-22 Loctite Europa Eeig Schlauchpumpe zur genauen Dosierung kleiner Flüssigkeitsmengen
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
US5507426A (en) 1994-08-05 1996-04-16 United States Surgical Corporation Apparatus for applying surgical fasteners
US5509916A (en) 1994-08-12 1996-04-23 Valleylab Inc. Laser-assisted electrosurgery system
US5480089A (en) 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
CA2146508C (en) 1994-08-25 2006-11-14 Robert H. Schnut Anvil for circular stapler
US5609601A (en) 1994-09-23 1997-03-11 United States Surgical Corporation Endoscopic surgical apparatus with rotation lock
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5797538A (en) 1994-10-05 1998-08-25 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
US5901895A (en) 1994-10-05 1999-05-11 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
EP0705571A1 (en) 1994-10-07 1996-04-10 United States Surgical Corporation Self-contained powered surgical apparatus
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5636779A (en) 1994-12-13 1997-06-10 United States Surgical Corporation Apparatus for applying surgical fasteners
JPH08164141A (ja) 1994-12-13 1996-06-25 Olympus Optical Co Ltd 処置具
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5704534A (en) 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
US5613966A (en) 1994-12-21 1997-03-25 Valleylab Inc System and method for accessory rate control
GB9425781D0 (en) 1994-12-21 1995-02-22 Gyrus Medical Ltd Electrosurgical instrument
US5628743A (en) 1994-12-21 1997-05-13 Valleylab Inc. Dual mode ultrasonic surgical apparatus
CA2165714C (en) 1994-12-22 2006-10-24 Warren P. Williamson Impedance feedback monitor with query electrode for electrosurgical instrument
US5695494A (en) 1994-12-22 1997-12-09 Valleylab Inc Rem output stage topology
US5466020A (en) 1994-12-30 1995-11-14 Valleylab Inc. Bayonet connector for surgical handpiece
US5713895A (en) 1994-12-30 1998-02-03 Valleylab Inc Partially coated electrodes
DE69615343T2 (de) 1995-02-03 2002-05-16 Sherwood Serv Ag Elektrochirurgischer absauger kombiniert mit einem handstück
US5669907A (en) 1995-02-10 1997-09-23 Valleylab Inc. Plasma enhanced bipolar electrosurgical system
US6213999B1 (en) 1995-03-07 2001-04-10 Sherwood Services Ag Surgical gas plasma ignition apparatus and method
US5669904A (en) 1995-03-07 1997-09-23 Valleylab Inc. Surgical gas plasma ignition apparatus and method
DE19509115C2 (de) 1995-03-16 1997-11-27 Deutsche Forsch Luft Raumfahrt Chirurgisches Gerät zum Vorbereiten einer Anastomose in minimal invasiver Operationstechnik
DE19509116C2 (de) 1995-03-16 2000-01-05 Deutsch Zentr Luft & Raumfahrt Flexible Struktur
US5575799A (en) 1995-03-30 1996-11-19 United States Surgical Corporation Articulating surgical apparatus
US5619992A (en) 1995-04-06 1997-04-15 Guthrie; Robert B. Methods and apparatus for inhibiting contamination of reusable pulse oximetry sensors
US5624452A (en) 1995-04-07 1997-04-29 Ethicon Endo-Surgery, Inc. Hemostatic surgical cutting or stapling instrument
US5553765A (en) 1995-04-28 1996-09-10 Ethicon Endo-Surgery, Inc. Surgical stapler with improved operating lever mounting arrangement
WO1996035464A1 (en) 1995-05-12 1996-11-14 Perkins Rodney C Translumenal circumferential injector
US5630540A (en) 1995-05-24 1997-05-20 United States Surgical Corporation Surgical staple and staple drive member
US5720744A (en) 1995-06-06 1998-02-24 Valleylab Inc Control system for neurosurgery
US5599344A (en) 1995-06-06 1997-02-04 Valleylab Inc. Control apparatus for electrosurgical generator power output
WO1996039088A1 (en) 1995-06-06 1996-12-12 Valleylab Inc. Digital waveform generation for electrosurgical generators
US5628745A (en) 1995-06-06 1997-05-13 Bek; Robin B. Exit spark control for an electrosurgical generator
WO1996039086A1 (en) 1995-06-06 1996-12-12 Valleylab Inc. Power control for an electrosurgical generator
FR2735350B1 (fr) 1995-06-15 1997-12-26 Lanzoni Maurice Dispositif developpeur d'efforts d'une pince coupante
DE69634014D1 (de) 1995-06-23 2005-01-13 Gyrus Medical Ltd Elektrochirurgisches Gerät
US6293942B1 (en) 1995-06-23 2001-09-25 Gyrus Medical Limited Electrosurgical generator method
WO1999048430A1 (en) 1998-03-26 1999-09-30 Gyrus Medical Limited An electrosurgical instrument
GB9604770D0 (en) 1995-06-23 1996-05-08 Gyrus Medical Ltd An electrosurgical generator and system
CA2224975A1 (en) 1995-06-23 1997-01-09 Gyrus Medical Limited An electrosurgical instrument
JPH11508791A (ja) 1995-07-03 1999-08-03 フレーター・ダーク・エイ 組織ステープラに支持材を取り付ける装置
USRE38708E1 (en) 1995-07-11 2005-03-01 United States Surgical Corporation Disposable loading unit for surgical stapler
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
US5706998A (en) 1995-07-17 1998-01-13 United States Surgical Corporation Surgical stapler with alignment pin locking mechanism
US5611709A (en) 1995-08-10 1997-03-18 Valleylab Inc Method and assembly of member and terminal
US5718359A (en) 1995-08-14 1998-02-17 United States Of America Surgical Corporation Surgical stapler with lockout mechanism
US5839639A (en) 1995-08-17 1998-11-24 Lasersurge, Inc. Collapsible anvil assembly and applicator instrument
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US5762256A (en) 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US5814055A (en) 1995-09-19 1998-09-29 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
US5827271A (en) 1995-09-19 1998-10-27 Valleylab Energy delivery system for vessel sealing
US5776130A (en) 1995-09-19 1998-07-07 Valleylab, Inc. Vascular tissue sealing pressure control
US5772659A (en) 1995-09-26 1998-06-30 Valleylab Inc. Electrosurgical generator power control circuit and method
US5702387A (en) 1995-09-27 1997-12-30 Valleylab Inc Coated electrosurgical electrode
US5697542A (en) 1995-10-19 1997-12-16 Ethicon Endo-Surgery, Inc. Endoscopic surgical stapler with compact profile
US5997552A (en) 1995-10-20 1999-12-07 United States Surgical Corporation Meniscal fastener applying device
GB9521772D0 (en) 1995-10-24 1996-01-03 Gyrus Medical Ltd An electrosurgical instrument
CA2188738A1 (en) 1995-10-27 1997-04-28 Lisa W. Heaton Surgical stapler having interchangeable loading units
US5651491A (en) 1995-10-27 1997-07-29 United States Surgical Corporation Surgical stapler having interchangeable loading units
US5941442A (en) 1995-10-27 1999-08-24 United States Surgical Surgical stapler
US5827298A (en) 1995-11-17 1998-10-27 Innovasive Devices, Inc. Surgical fastening system and method for using the same
WO1997024073A1 (en) 1995-12-29 1997-07-10 Gyrus Medical Limited An electrosurgical instrument and an electrosurgical electrode assembly
GB9600354D0 (en) 1996-01-09 1996-03-13 Gyrus Medical Ltd Electrosurgical instrument
US6015406A (en) 1996-01-09 2000-01-18 Gyrus Medical Limited Electrosurgical instrument
US6013076A (en) 1996-01-09 2000-01-11 Gyrus Medical Limited Electrosurgical instrument
GB9600377D0 (en) 1996-01-09 1996-03-13 Gyrus Medical Ltd Electrosurgical instrument
WO1997029680A1 (en) 1996-02-13 1997-08-21 Imagyn Medical, Inc. Surgical access device and method of constructing same
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US5762255A (en) 1996-02-20 1998-06-09 Richard-Allan Medical Industries, Inc. Surgical instrument with improvement safety lockout mechanisms
US6436107B1 (en) 1996-02-20 2002-08-20 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US5725536A (en) 1996-02-20 1998-03-10 Richard-Allen Medical Industries, Inc. Articulated surgical instrument with improved articulation control mechanism
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US5855583A (en) 1996-02-20 1999-01-05 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5762458A (en) 1996-02-20 1998-06-09 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5797537A (en) 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
US5605272A (en) 1996-03-12 1997-02-25 Ethicon Endo-Surgery, Inc. Trigger mechanism for surgical instruments
US5697543A (en) 1996-03-12 1997-12-16 Ethicon Endo-Surgery, Inc. Linear stapler with improved firing stroke
WO1997034533A1 (en) 1996-03-21 1997-09-25 S.A. Development Of Advanced Medical Products Ltd. Surgical stapler and method of surgical fastening
US5785232A (en) 1996-04-17 1998-07-28 Vir Engineering Surgical stapler
US6149660A (en) 1996-04-22 2000-11-21 Vnus Medical Technologies, Inc. Method and apparatus for delivery of an appliance in a vessel
US5836503A (en) 1996-04-22 1998-11-17 United States Surgical Corporation Insertion device for surgical apparatus
US6050472A (en) 1996-04-26 2000-04-18 Olympus Optical Co., Ltd. Surgical anastomosis stapler
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
GB9612994D0 (en) 1996-06-20 1996-08-21 Gyrus Medical Ltd Electrosurgical instrument
US5735874A (en) 1996-06-21 1998-04-07 Ethicon Endo-Surgery, Inc. Variable position handle locking mechanism
US5782748A (en) 1996-07-10 1998-07-21 Symbiosis Corporation Endoscopic surgical instruments having detachable proximal and distal portions
US5702408A (en) 1996-07-17 1997-12-30 Ethicon Endo-Surgery, Inc. Articulating surgical instrument
US6338737B1 (en) 1997-07-17 2002-01-15 Haviv Toledano Flexible annular stapler for closed surgery of hollow organs
US5830598A (en) 1996-08-15 1998-11-03 Ericsson Inc. Battery pack incorporating battery pack contact assembly and method
US5730758A (en) 1996-09-12 1998-03-24 Allgeyer; Dean O. Staple and staple applicator for use in skin fixation of catheters
US6109500A (en) 1996-10-04 2000-08-29 United States Surgical Corporation Lockout mechanism for a surgical stapler
JP3091420B2 (ja) 1996-10-18 2000-09-25 株式会社貝印刃物開発センター 内視鏡用処置具
US5752965A (en) 1996-10-21 1998-05-19 Bio-Vascular, Inc. Apparatus and method for producing a reinforced surgical fastener suture line
US6171330B1 (en) 1997-12-15 2001-01-09 Sofradim Production Pneumatic surgical instrument for the distribution and placement of connecting or fastening means
GB9626512D0 (en) 1996-12-20 1997-02-05 Gyrus Medical Ltd An improved electrosurgical generator and system
US6074401A (en) 1997-01-09 2000-06-13 Coalescent Surgical, Inc. Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery
US5908402A (en) 1997-02-03 1999-06-01 Valleylab Method and apparatus for detecting tube occlusion in argon electrosurgery system
WO1998038935A1 (en) 1997-03-05 1998-09-11 The Trustees Of Columbia University In The City Of New York Electrothermal device for sealing and joining or cutting tissue
EP0922435B1 (en) 1997-03-31 2007-10-17 Kabushikikaisha Igaki Iryo Sekkei Suture retaining member for use in medical treatment
US6050172A (en) 1997-04-04 2000-04-18 Emhart Glass S.A. Pneumatically operated mechanism
US6033399A (en) 1997-04-09 2000-03-07 Valleylab, Inc. Electrosurgical generator with adaptive power control
RU2144791C1 (ru) 1997-04-14 2000-01-27 Дубровский Аркадий Вениаминович Пологое поворотное устройство
US5919198A (en) 1997-04-17 1999-07-06 Ethicon Endo-Surgery, Inc. Disposable cartridge with drivers
GB9708268D0 (en) 1997-04-24 1997-06-18 Gyrus Medical Ltd An electrosurgical instrument
USH2037H1 (en) 1997-05-14 2002-07-02 David C. Yates Electrosurgical hemostatic device including an anvil
DE19721076A1 (de) 1997-05-20 1998-11-26 Trw Repa Gmbh Verfahren zum Herstellen eines Seilabschnittes mit einem Befestigungselement für ein Fahrzeuginsassen-Rückhaltesystem sowie mit diesem Verfahren hergestellter Seilabschnitt
US5951552A (en) 1997-06-30 1999-09-14 Ethicon Endo-Surgery, Inc. Capacitively coupled cordless electrosurgical instrument
FR2765794B1 (fr) 1997-07-11 1999-09-03 Joel Bardeau Dispositif d'eveinage notamment pour endoeveinage
US5937951A (en) 1997-07-18 1999-08-17 Ethicon Endo-Surgery, Inc. Skin stapler with rack and pinion staple feed mechanism
JP2001510068A (ja) 1997-07-18 2001-07-31 ガイラス・メディカル・リミテッド 電気外科用器具
EP0996376A1 (en) 1997-07-18 2000-05-03 Gyrus Medical Limited An electrosurgical instrument
US6491690B1 (en) 1997-07-18 2002-12-10 Gyrus Medical Limited Electrosurgical instrument
US6267761B1 (en) 1997-09-09 2001-07-31 Sherwood Services Ag Apparatus and method for sealing and cutting tissue
DE69841285D1 (de) 1997-09-10 2009-12-24 Covidien Ag Bipolares Elektrodeninstrument
US6162208A (en) 1997-09-11 2000-12-19 Genzyme Corporation Articulating endoscopic implant rotator surgical apparatus and method for using same
US20040236352A1 (en) 1997-09-22 2004-11-25 Yulun Wang Method and apparatus for performing minimally invasive cardiac procedures
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US7624902B2 (en) 2007-08-31 2009-12-01 Tyco Healthcare Group Lp Surgical stapling apparatus
GB2329840C (en) 1997-10-03 2007-10-05 Johnson & Johnson Medical Biopolymer sponge tubes
US5947984A (en) 1997-10-10 1999-09-07 Ethicon Endo-Surger, Inc. Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism
US6086600A (en) 1997-11-03 2000-07-11 Symbiosis Corporation Flexible endoscopic surgical instrument for invagination and fundoplication
US6187003B1 (en) 1997-11-12 2001-02-13 Sherwood Services Ag Bipolar electrosurgical instrument for sealing vessels
US6050996A (en) 1997-11-12 2000-04-18 Sherwood Services Ag Bipolar electrosurgical instrument with replaceable electrodes
US6228083B1 (en) 1997-11-14 2001-05-08 Sherwood Services Ag Laparoscopic bipolar electrosurgical instrument
US6068627A (en) 1997-12-10 2000-05-30 Valleylab, Inc. Smart recognition apparatus and method
EP0923907A1 (en) 1997-12-19 1999-06-23 Gyrus Medical Limited An electrosurgical instrument
US6156056A (en) 1998-01-09 2000-12-05 Ethicon, Inc. Suture buttress
GB9800795D0 (en) 1998-01-16 1998-03-11 Maxwell Ross K Prevention of multiple use of limited use devices
RU2141279C1 (ru) 1998-03-11 1999-11-20 Кондратюк Георгий Константинович Универсальная насадка
US6099551A (en) 1998-03-12 2000-08-08 Shelhigh, Inc. Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof
GB9807302D0 (en) 1998-04-03 1998-06-03 Gyrus Medical Ltd Endoscope
GB9807303D0 (en) 1998-04-03 1998-06-03 Gyrus Medical Ltd An electrode assembly for an electrosurgical instrument
US6517566B1 (en) 1998-05-11 2003-02-11 Surgical Connections, Inc. Devices and methods for treating e.g. urinary stress incontinence
US6629630B2 (en) 1998-06-19 2003-10-07 Scimed Life Systems, Inc. Non-circular resection device and endoscope
US6478210B2 (en) 2000-10-25 2002-11-12 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6585144B2 (en) 1998-06-19 2003-07-01 Acimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6601749B2 (en) 1998-06-19 2003-08-05 Scimed Life Systems, Inc. Multi fire full thickness resectioning device
JP3811291B2 (ja) 1998-07-02 2006-08-16 オリンパス株式会社 内視鏡システム
US6228098B1 (en) 1998-07-10 2001-05-08 General Surgical Innovations, Inc. Apparatus and method for surgical fastening
JP3806518B2 (ja) 1998-07-17 2006-08-09 オリンパス株式会社 内視鏡治療装置
US6131790A (en) 1998-09-02 2000-10-17 Piraka; Hadi A. Surgical stapler and cartridge
JP3766552B2 (ja) 1998-10-01 2006-04-12 富士写真フイルム株式会社 データ写し込み装置付きレンズ付きフイルムユニット
JP4245278B2 (ja) 1998-10-23 2009-03-25 コビディエン アクチェンゲゼルシャフト ディスポーザブル電極を備えた外切開式血管シール用鉗子
WO2000024322A1 (en) 1998-10-23 2000-05-04 Applied Medical Resources Corporation Surgical grasper with inserts and method of using same
DE19851291A1 (de) 1998-11-06 2000-01-05 Siemens Ag Operationsarbeitsplatztaugliches Dateneingabegerät
US6102271A (en) 1998-11-23 2000-08-15 Ethicon Endo-Surgery, Inc. Circular stapler for hemorrhoidal surgery
JP2000171730A (ja) 1998-12-08 2000-06-23 Olympus Optical Co Ltd バッテリ式携帯内視鏡装置
JP4233656B2 (ja) 1998-12-11 2009-03-04 ジョンソン・エンド・ジョンソン株式会社 自動吻合器及び該吻合器に装着可能な案内バルーン
GB9900964D0 (en) 1999-01-15 1999-03-10 Gyrus Medical Ltd An electrosurgical system
US6387113B1 (en) 1999-02-02 2002-05-14 Biomet, Inc. Method and apparatus for repairing a torn meniscus
DE19906191A1 (de) 1999-02-15 2000-08-17 Ingo F Herrmann Endoskop
US6083242A (en) 1999-02-17 2000-07-04 Holobeam, Inc. Surgical staples with deformation zones of non-uniform cross section
GB9905209D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgery system
GB9905210D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgical system
GB9905211D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgery system and instrument
US6179776B1 (en) 1999-03-12 2001-01-30 Scimed Life Systems, Inc. Controllable endoscopic sheath apparatus and related method of use
WO2000057796A9 (en) 1999-03-31 2002-07-11 Peter L Rosenblatt Systems and methods for soft tissue reconstruction
JP2000287987A (ja) 1999-04-01 2000-10-17 Olympus Optical Co Ltd 充電式医療装置
US6325805B1 (en) 1999-04-23 2001-12-04 Sdgi Holdings, Inc. Shape memory alloy staple
JP4503725B2 (ja) 1999-05-17 2010-07-14 オリンパス株式会社 内視鏡治療装置
GB9911954D0 (en) 1999-05-21 1999-07-21 Gyrus Medical Ltd Electrosurgery system and instrument
GB9911956D0 (en) 1999-05-21 1999-07-21 Gyrus Medical Ltd Electrosurgery system and method
DE19924311A1 (de) 1999-05-27 2000-11-30 Walter A Rau Klammerschneidegerät und Zusatzvorrichtung für ein solches
GB9912627D0 (en) 1999-05-28 1999-07-28 Gyrus Medical Ltd An electrosurgical instrument
GB9912625D0 (en) 1999-05-28 1999-07-28 Gyrus Medical Ltd An electrosurgical generator and system
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6315184B1 (en) 1999-06-02 2001-11-13 Powermed, Inc. Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
EP2298190B1 (en) 2000-02-22 2016-11-02 Covidien LP An electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6517565B1 (en) 1999-06-02 2003-02-11 Power Medical Interventions, Inc. Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
GB9913652D0 (en) 1999-06-11 1999-08-11 Gyrus Medical Ltd An electrosurgical generator
US6488196B1 (en) 1999-06-30 2002-12-03 Axya Medical, Inc. Surgical stapler and method of applying plastic staples to body tissue
US6325810B1 (en) 1999-06-30 2001-12-04 Ethicon, Inc. Foam buttress for stapling apparatus
US6117158A (en) 1999-07-07 2000-09-12 Ethicon Endo-Surgery, Inc. Ratchet release mechanism for hand held instruments
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
JP2001035827A (ja) 1999-07-16 2001-02-09 Memc Kk 高濃度オゾン水、同オゾン水の調製方法、および同オゾン水を使用した洗浄方法
WO2001010482A9 (en) 1999-08-05 2002-09-06 Biocardia Inc A system and method for delivering thermally sensitive and reverse-thermal gelation matrials
US7662161B2 (en) 1999-09-13 2010-02-16 Rex Medical, L.P Vascular hole closure device
US6358224B1 (en) 1999-09-24 2002-03-19 Tyco Healthcare Group Lp Irrigation system for endoscopic surgery
JP2001087272A (ja) 1999-09-24 2001-04-03 Motoko Iwabuchi 生体組織切除用自動縫合器
CA2322061A1 (en) 1999-10-05 2001-04-05 Anil K. Nalagatla Stapling instrument having two staple forming surfaces
US6749560B1 (en) 1999-10-26 2004-06-15 Circon Corporation Endoscope shaft with slotted tube
EP1095627A1 (en) 1999-10-27 2001-05-02 Everest Medical Corporation Electrosurgical probe for surface treatment
DE19951940C2 (de) 1999-10-28 2001-11-29 Karlsruhe Forschzent Endoskopisch einsetzbares Klammernahtgerät
US6558379B1 (en) 1999-11-18 2003-05-06 Gyrus Medical Limited Electrosurgical system
RU2181566C2 (ru) 2000-01-10 2002-04-27 Дубровский Аркадий Вениаминович Управляемый поворотный механизм
US6193129B1 (en) 2000-01-24 2001-02-27 Ethicon Endo-Surgery, Inc. Cutting blade for a surgical anastomosis stapling instrument
JP4393742B2 (ja) 2000-01-24 2010-01-06 エシコン・エンド−サージェリィ・(ヨーロッパ)・ゲーエムベーハーEthicon Endo−Surgery (Europe) Gmbh 外科ステープリング器具
GB0002849D0 (en) 2000-02-08 2000-03-29 Gyrus Medical Ltd An electrosurgical instrument and an electosurgery system including such an instrument
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
GB0004179D0 (en) 2000-02-22 2000-04-12 Gyrus Medical Ltd Tissue resurfacing
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
US6273897B1 (en) 2000-02-29 2001-08-14 Ethicon, Inc. Surgical bettress and surgical stapling apparatus
DE60110761T2 (de) 2000-03-16 2006-05-04 Medigus Ltd. Vorrichtung zur fundoplikation
US6858005B2 (en) 2000-04-03 2005-02-22 Neo Guide Systems, Inc. Tendon-driven endoscope and methods of insertion
US6517528B1 (en) 2000-04-13 2003-02-11 Scimed Life Systems, Inc. Magnetic catheter drive shaft clutch
DE60111517T2 (de) 2000-04-27 2006-05-11 Medtronic, Inc., Minneapolis Vibrationsempfindliche ablationsvorrichtung
RU2187249C2 (ru) 2000-04-27 2002-08-20 Общество с ограниченной ответственностью "ЭНДОМЕДИУМ+" Хирургический инструмент
USRE40237E1 (en) 2000-05-30 2008-04-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
DE10026683C2 (de) 2000-05-30 2003-07-10 Ethicon Endo Surgery Europe Chirurgisches Klammersetzgerät
DE10031436A1 (de) 2000-06-28 2002-01-10 Alexander Von Fuchs Gleitschutz für einen Gehäusekopf medizinischer Instrumente
JP2004504095A (ja) 2000-07-20 2004-02-12 ティヴァ メディカル インコーポレイテッドTiva Medical, Inc. 手作動で関節運動する外科器具
WO2002007618A1 (en) 2000-07-21 2002-01-31 Atropos Limited A cannula
JP2002051974A (ja) 2000-08-14 2002-02-19 Fuji Photo Optical Co Ltd 内視鏡処置具
WO2002017799A1 (en) 2000-08-30 2002-03-07 Cerebral Vascular Applications Inc. Medical instrument
US6755338B2 (en) 2001-08-29 2004-06-29 Cerebral Vascular Applications, Inc. Medical instrument
GB0021799D0 (en) 2000-09-05 2000-10-18 Gyrus Medical Ltd Electrosurgery system
DE60143324D1 (de) 2000-09-08 2010-12-02 Abbott Vascular Inc Vorrichtung zum orten eines punktierten blutgefässes
WO2002026143A1 (en) 2000-09-27 2002-04-04 Applied Medical Resources Surgical apparatus with detachable handle assembly
US6817508B1 (en) 2000-10-13 2004-11-16 Tyco Healthcare Group, Lp Surgical stapling device
ES2398538T3 (es) 2000-10-13 2013-03-20 Covidien Lp Aparato de aplicación de elementos de sujeción quirúrgicos
US7407076B2 (en) 2000-10-13 2008-08-05 Tyco Healthcare Group Lp Surgical stapling device
US6773438B1 (en) 2000-10-19 2004-08-10 Ethicon Endo-Surgery Surgical instrument having a rotary lockout mechanism
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6908472B2 (en) 2000-10-20 2005-06-21 Ethicon Endo-Surgery, Inc. Apparatus and method for altering generator functions in an ultrasonic surgical system
US6793661B2 (en) 2000-10-30 2004-09-21 Vision Sciences, Inc. Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms
GB0026586D0 (en) 2000-10-31 2000-12-13 Gyrus Medical Ltd An electrosurgical system
FR2815842B1 (fr) 2000-10-31 2003-05-09 Assist Publ Hopitaux De Paris Pince-agrafeuse mecanique pour chirurgie du rectum
JP2002143078A (ja) 2000-11-08 2002-05-21 Olympus Optical Co Ltd 内視鏡用外付チューブ
US8286845B2 (en) 2000-11-27 2012-10-16 Boston Scientific Scimed, Inc. Full thickness resection device control handle
US6398795B1 (en) 2000-11-30 2002-06-04 Scimed Life Systems, Inc. Stapling and cutting in resectioning for full thickness resection devices
US6439446B1 (en) * 2000-12-01 2002-08-27 Stephen J. Perry Safety lockout for actuator shaft
ES2307723T3 (es) 2001-01-24 2008-12-01 Tyco Healthcare Group Lp Instrumentio para anastomosis y metodo para llevarla a cabo.
EP1359851B1 (en) 2001-01-31 2010-09-22 Rex Medical, Inc. Apparatus for stapling and resectioning gastro-edophageal tissue
US6997931B2 (en) 2001-02-02 2006-02-14 Lsi Solutions, Inc. System for endoscopic suturing
US8313496B2 (en) 2001-02-02 2012-11-20 Lsi Solutions, Inc. System for endoscopic suturing
US6723109B2 (en) 2001-02-07 2004-04-20 Karl Storz Endoscopy-America, Inc. Deployable surgical clamp with delivery/retrieval device and actuator
WO2002067785A3 (en) 2001-02-27 2003-01-09 Tyco Healthcare External mixer assembly
US7097644B2 (en) 2001-03-30 2006-08-29 Ethicon Endo-Surgery, Inc. Medical device with improved wall construction
US20030181900A1 (en) 2002-03-25 2003-09-25 Long Gary L. Endoscopic ablation system with a plurality of electrodes
US7137981B2 (en) 2002-03-25 2006-11-21 Ethicon Endo-Surgery, Inc. Endoscopic ablation system with a distally mounted image sensor
US6769590B2 (en) 2001-04-02 2004-08-03 Susan E. Vresh Luminal anastomotic device and method
CA2662557C (en) 2001-04-03 2011-03-22 Tyco Healthcare Group Lp Surgical stapling device
DE60139815D1 (de) 2001-04-06 2009-10-15 Covidien Ag Vorrichtung zum Abdichten und Teilen eines Gefässes mit nicht leitendem Endanschlag
EP1381321B1 (en) 2001-04-20 2012-04-04 Tyco Healthcare Group LP Bipolar or ultrasonic surgical device
JP2004536799A (ja) 2001-04-26 2004-12-09 コントロール・デリバリー・システムズ・インコーポレイテッド コドラッグを含有する持続的放出用ドラッグデリバリーシステム
DE10121305A1 (de) 2001-05-02 2002-12-12 Ethicon Endo Surgery Europe Chirurgisches Instrument
US6592597B2 (en) 2001-05-07 2003-07-15 Ethicon Endo-Surgery, Inc. Adhesive for attaching buttress material to a surgical fastening device
US6656193B2 (en) 2001-05-07 2003-12-02 Ethicon Endo-Surgery, Inc. Device for attachment of buttress material to a surgical fastening device
WO2002098315A3 (de) 2001-06-07 2003-04-10 Kaltenbach & Voigt Dentalmedizinisches instrument, versorgungsgerät, pflegegerät und system für das dentalmedizinische instrument
WO2002098302A1 (en) 2001-06-07 2002-12-12 Christy Cummins Surgical staple
DE20121753U1 (de) 2001-06-15 2003-04-17 Bema Gmbh & Co Kg Endochirurgi Griff für ein chirurgisches Instrument
WO2003001329A3 (en) 2001-06-20 2003-10-23 Power Med Interventions Inc A method and system for integrated medical tracking
US7357806B2 (en) 2001-12-06 2008-04-15 Ethicon Endo-Surgery, Inc. Clip ejector for endoscopic clip applier
US6817974B2 (en) 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
CN2488482Y (zh) 2001-07-05 2002-05-01 天津市华志计算机应用有限公司 机械臂的关节锁紧机构
DE20112837U1 (de) 2001-08-02 2001-10-04 Aesculap Ag & Co Kg Zangen- oder pinzettenförmiges chirurgisches Instrument
DE60216676D1 (de) 2001-08-07 2007-01-25 Univ Utrecht Gerät zur Verbindung eines chirurgischen Geräts mit einer stabilen Basis
EP2314233B1 (en) 2001-08-08 2013-06-12 Stryker Corporation A surgical tool system with an intermediate attachment located between the handpiece and an accessory or an implant, the attachment able to transmit energy from the handpiece to the accessory or the implant and the transmission of data signals from the accessory or implant to the handpiece
CA2456811A1 (en) 2001-08-09 2003-02-20 Christy Cummins Surgical stapling device and method
DE10139153A1 (de) 2001-08-09 2003-02-27 Ingo F Herrmann Einweg-Endoskopmantel
US6569085B2 (en) 2001-08-16 2003-05-27 Syntheon, Llc Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen
EP1287788B1 (en) 2001-08-27 2011-04-20 Gyrus Medical Limited Electrosurgical system
WO2004078051A3 (en) 2001-08-27 2008-01-03 Gyrus Medial Ltd Electrosurgical system
CA2514206C (en) 2003-03-05 2012-10-02 Gyrus Medical Limited Electrosurgical generator and system
US7282048B2 (en) 2001-08-27 2007-10-16 Gyrus Medical Limited Electrosurgical generator and system
US6629988B2 (en) 2001-08-28 2003-10-07 Ethicon, Inc. Composite staple for completing an anastomosis
NL1018874C2 (nl) 2001-09-03 2003-03-05 Michel Petronella Hub Vleugels Chirurgisch instrument.
GB2379878B (en) 2001-09-21 2004-11-10 Gyrus Medical Ltd Electrosurgical system and method
US6578751B2 (en) 2001-09-26 2003-06-17 Scimed Life Systems, Inc. Method of sequentially firing staples using springs and a rotary or linear shutter
US7334717B2 (en) 2001-10-05 2008-02-26 Tyco Healthcare Group Lp Surgical fastener applying apparatus
WO2003079909A9 (en) 2002-03-19 2004-04-22 Karl H Ehrenfels Surgical fastener applying apparatus
WO2003030742A3 (en) 2001-10-05 2003-06-19 Tyco Healthcare Surgical stapling apparatus and method
JP4252454B2 (ja) 2001-10-05 2009-04-08 タイコ ヘルスケア グループ エルピー 外科的ステープリングデバイス
FR2831417B1 (fr) 2001-10-30 2004-08-06 Eurosurgical Instrument chirurgical
JP2003135473A (ja) 2001-11-01 2003-05-13 Mizuho Co Ltd 内視鏡手術用能動鉗子
JP2003164066A (ja) 2001-11-21 2003-06-06 Hitachi Koki Co Ltd 電池パック
DE10158246C1 (de) 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Chirurgisches Klammersetzinstrument
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
RU2225170C2 (ru) 2001-12-25 2004-03-10 Дубровский Аркадий Вениаминович Инструмент с поворотным устройством
WO2003055402A1 (en) 2001-12-27 2003-07-10 Gyrus Group Plc A surgical instrument
US6602252B2 (en) 2002-01-03 2003-08-05 Starion Instruments Corporation Combined dissecting, cauterizing, and stapling device
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
KR100597025B1 (ko) 2002-01-16 2006-07-04 도요다 지도샤 가부시끼가이샤 전압변환장치의 제어장치와 전압변환방법 및 기억매체, 프로그램, 구동시스템 및 구동시스템을 탑재하는 차량
US6676660B2 (en) 2002-01-23 2004-01-13 Ethicon Endo-Surgery, Inc. Feedback light apparatus and method for use with an electrosurgical instrument
US7751870B2 (en) 2002-01-30 2010-07-06 Power Medical Interventions, Llc Surgical imaging device
CA2475737C (en) 2002-02-13 2010-08-10 Applied Medical Resources Corporation Tissue fusion/welder apparatus and method
CN1635853B (zh) 2002-02-20 2010-05-12 21世纪国际新技术株式会社 施用细小粉末状药物的装置
US7247161B2 (en) 2002-03-22 2007-07-24 Gyrus Ent L.L.C. Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
US7070083B2 (en) 2002-04-11 2006-07-04 Tyco Healthcare Group Lp Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces
ES2360613T3 (es) 2002-04-16 2011-06-07 Tyco Healthcare Group Lp Grapadora quirúrgica.
US20050131390A1 (en) 2002-04-25 2005-06-16 Russell Heinrich Surgical instruments including mems devices
DE60309018D1 (de) 2002-05-10 2006-11-23 Tyco Healthcare Gerät zum setzen von wundklammern sowie wunddichtungsmasse
EP2292151B1 (en) 2002-05-10 2014-08-27 Covidien LP Surgical stapling apparatus having a wound closure material applicator assembly
WO2003094745A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Electrosurgical stapling apparatus
WO2003094747A9 (en) 2002-05-13 2004-03-18 Tyco Healthcare Surgical stapler and disposable loading unit having different size staples
US7967839B2 (en) 2002-05-20 2011-06-28 Rocky Mountain Biosystems, Inc. Electromagnetic treatment of tissues and cells
US6638297B1 (en) 2002-05-30 2003-10-28 Ethicon Endo-Surgery, Inc. Surgical staple
US7056330B2 (en) 2002-05-31 2006-06-06 Ethicon Endo-Surgery, Inc. Method for applying tissue fastener
US6769594B2 (en) 2002-05-31 2004-08-03 Tyco Healthcare Group, Lp End-to-end anastomosis instrument and method for performing same
WO2003105702A3 (en) 2002-06-14 2004-04-08 Power Med Interventions Inc Device for clamping cutting and stapling tissue
ES2383252T3 (es) 2002-06-17 2012-06-19 Tyco Healthcare Group Lp Estructuras anulares de soporte
EP1719461B1 (en) 2002-06-17 2009-06-03 Tyco Healthcare Group Lp Annular support structures
GB2390024B (en) 2002-06-27 2005-09-21 Gyrus Medical Ltd Electrosurgical system
US7699856B2 (en) 2002-06-27 2010-04-20 Van Wyk Robert A Method, apparatus, and kit for thermal suture cutting
WO2004006980A3 (en) 2002-07-11 2004-08-12 Yakov Baror Piston-actuated endoscopic steering system
DE60336923D1 (de) 2002-07-31 2011-06-09 Tyco Healthcare Abdeckung für ein Werkzeugelement und Betätigungsvorrichtung für die Abdeckung
WO2004019803A1 (de) 2002-08-28 2004-03-11 Heribert Schmid Zahnmedizinisches behandlungssystem
US7223230B2 (en) 2002-09-06 2007-05-29 C. R. Bard, Inc. External endoscopic accessory control system
US7001408B2 (en) 2002-09-20 2006-02-21 Ethicon Endo-Surgery,Inc. Surgical device with expandable member
WO2004032783A1 (de) 2002-09-27 2004-04-22 Aesculap Ag & Co. Kg Instrumentenset für eine chirurgische operation
CN100384364C (zh) 2002-09-30 2008-04-30 赛特莱恩技术有限公司 活塞致动的内窥工具
US7326203B2 (en) 2002-09-30 2008-02-05 Depuy Acromed, Inc. Device for advancing a functional element through tissue
JP4049217B2 (ja) 2002-10-02 2008-02-20 イーメックス株式会社 導電性高分子成形品及び積層体を用いた装置
US20040068161A1 (en) 2002-10-02 2004-04-08 Couvillon Lucien Alfred Thrombolysis catheter
EP1702568B1 (en) 2002-10-04 2008-07-23 Tyco Healthcare Group LP Surgical stapler with universal articulation and tissue pre-clamp
EP1545332B1 (en) 2002-10-04 2007-08-22 Tyco Healthcare Group Lp Tool assembly for surgical stapling device
ES2385522T3 (es) 2002-10-04 2012-07-26 Tyco Healthcare Group Lp Dispositivo de grapado quirúrgico
ES2379348T3 (es) 2002-10-04 2012-04-25 Tyco Healthcare Group Lp Dispositivo de grapado quirúrgico motorizado neumáticamente
ES2348273T3 (es) 2002-10-04 2010-12-02 Tyco Healthcare Group Lp Dispositivo de grapado quirurgico.
GB0223348D0 (en) 2002-10-08 2002-11-13 Gyrus Medical Ltd A surgical instrument
US6958035B2 (en) 2002-10-15 2005-10-25 Dusa Pharmaceuticals, Inc Medical device sheath apparatus and method of making and using same
US20090149871A9 (en) 2002-11-01 2009-06-11 Jonathan Kagan Devices and methods for treating morbid obesity
US6805273B2 (en) 2002-11-04 2004-10-19 Federico Bilotti Surgical stapling instrument
CN1486667A (zh) 2002-11-22 2004-04-07 姜克让 带有一次性鞘套的内窥镜系统
DE10257760A1 (de) 2002-11-26 2004-06-17 Stefan Koscher Chirurgisches Instrument
US20040102783A1 (en) 2002-11-27 2004-05-27 Sutterlin Chester E. Powered Kerrison-like Rongeur system
US20040147909A1 (en) 2002-12-20 2004-07-29 Gyrus Ent L.L.C. Surgical instrument
GB0230055D0 (en) 2002-12-23 2003-01-29 Gyrus Medical Ltd Electrosurgical method and apparatus
EP1782741A3 (en) 2003-01-09 2008-11-05 Gyrus Medical Limited An electrosurgical generator
US7637905B2 (en) 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
US20040225186A1 (en) 2003-01-29 2004-11-11 Horne Guy E. Composite flexible endoscope insertion shaft with tubular substructure
JP2004229976A (ja) 2003-01-31 2004-08-19 Nippon Zeon Co Ltd 鉗子型電気処置器具
EP1593337B1 (en) 2003-02-11 2008-08-13 Olympus Corporation Overtube
US7133601B2 (en) 2003-02-18 2006-11-07 Black & Decker Inc. Amperage control for protection of battery over current in power tools
US20040167572A1 (en) 2003-02-20 2004-08-26 Roth Noah M. Coated medical devices
CA2518117C (en) 2003-03-04 2014-05-20 Norton Healthcare Limited Medicament dispensing device with a display indicative of the state of an internal medicament reservoir
ES2354613T3 (es) 2003-03-26 2011-03-16 Tyco Healthcare Group Lp Energía almacenada en un resorte con liberación controlada.
DE10314072B4 (de) 2003-03-28 2009-01-15 Aesculap Ag Chirurgisches Instrument
DE10324844A1 (de) 2003-04-01 2004-12-23 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument mit Instrumentengriff und Nullpunkteinstellung
US20040199181A1 (en) 2003-04-02 2004-10-07 Knodel Bryan D. Surgical device for anastomosis
WO2004093775A1 (ja) 2003-04-23 2004-11-04 Otsuka Pharmaceutical Factory, Inc. 薬液充填プラスチックアンプルおよびその製造方法
EP2397184B1 (en) 2003-04-25 2013-04-03 Applied Medical Resources Corporation Steerable kink-resistant sheath
US20040243151A1 (en) 2003-04-29 2004-12-02 Demmy Todd L. Surgical stapling device with dissecting tip
US8714429B2 (en) 2003-04-29 2014-05-06 Covidien Lp Dissecting tip for surgical stapler
RU32984U1 (ru) 2003-04-30 2003-10-10 Институт экспериментальной ветеринарии Сибири и Дальнего Востока СО РАСХН Кутиметр
JP4391762B2 (ja) 2003-05-08 2009-12-24 オリンパス株式会社 外科用処置具
DE60312050D1 (de) 2003-05-09 2007-04-05 Tyco Healthcare Anastomoseklammer mit fluidabgabe-kapillare
US7431694B2 (en) 2003-05-16 2008-10-07 Ethicon Endo-Surgery, Inc. Method of guiding medical devices
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US6988649B2 (en) 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7000818B2 (en) 2003-05-20 2006-02-21 Ethicon, Endo-Surger, Inc. Surgical stapling instrument having separate distinct closing and firing systems
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US7140528B2 (en) 2003-05-20 2006-11-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing
JP3521910B1 (ja) 2003-05-29 2004-04-26 清輝 司馬 内視鏡の外部鉗子チャンネル装置
US7905902B2 (en) 2003-06-16 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical implant with preferential corrosion zone
US20060052825A1 (en) 2003-06-16 2006-03-09 Ransick Mark H Surgical implant alloy
EP1635713B1 (en) 2003-06-17 2012-04-11 Tyco Healthcare Group LP Surgical stapling device
US7494039B2 (en) 2003-06-17 2009-02-24 Tyco Healthcare Group Lp Surgical stapling device
EP1635712B1 (en) 2003-06-20 2015-09-30 Covidien LP Surgical stapling device
US20070093869A1 (en) 2003-06-20 2007-04-26 Medtronic Vascular, Inc. Device, system, and method for contracting tissue in a mammalian body
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US7213736B2 (en) 2003-07-09 2007-05-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint
US7055731B2 (en) 2003-07-09 2006-06-06 Ethicon Endo-Surgery Inc. Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint
US6786382B1 (en) 2003-07-09 2004-09-07 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an articulation joint for a firing bar track
US6964363B2 (en) 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
WO2005009216A3 (en) 2003-07-16 2005-10-27 Tyco Healthcare Surgical stapling device with tissue tensioner
ES2350912T3 (es) 2003-07-17 2011-01-28 Gunze Limited Material de refuerzo de sutura para un dispositivo de sutura automático.
US20050059997A1 (en) 2003-09-17 2005-03-17 Bauman Ann M. Circular stapler buttress
US7547312B2 (en) 2003-09-17 2009-06-16 Gore Enterprise Holdings, Inc. Circular stapler buttress
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US7083075B2 (en) 2003-09-29 2006-08-01 Ethicon Endo-Surgery, Inc. Multi-stroke mechanism with automatic end of stroke retraction
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US7434715B2 (en) 2003-09-29 2008-10-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing with opening lockout
US7303108B2 (en) 2003-09-29 2007-12-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack
US7000819B2 (en) 2003-09-29 2006-02-21 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US20050070929A1 (en) 2003-09-30 2005-03-31 Dalessandro David A. Apparatus and method for attaching a surgical buttress to a stapling apparatus
CA2542532C (en) 2003-10-17 2012-08-14 Tyco Healthcare Group, Lp Surgical stapling device with independent tip rotation
EP1680028B1 (en) 2003-10-17 2012-01-25 Tyco Healthcare Group LP Surgical stapling device
US7296722B2 (en) 2003-10-17 2007-11-20 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
CN1925879B (zh) 2003-10-30 2011-07-13 麦克内尔-Ppc股份有限公司 复合材料、其制备方法、以及含有该复合材料的化妆品和药物组合物
US7147650B2 (en) 2003-10-30 2006-12-12 Woojin Lee Surgical instrument
JP2005131173A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用外付けチャンネル
JP2005131212A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル及び内視鏡装置
JP2005131163A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005131211A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005131164A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005137423A (ja) 2003-11-04 2005-06-02 Olympus Corp 内視鏡用の外付けチャンネルおよび外付けチャンネル用分岐部材
DE10353846A1 (de) 2003-11-18 2005-06-16 Maquet Gmbh & Co. Kg Verfahren zur Vorbereitung von für die Durchführung von medizinischen oder chirurgischen Eingriffen bestimmten Geräten
JP4594612B2 (ja) 2003-11-27 2010-12-08 オリンパス株式会社 挿入補助具
GB2408936B (en) 2003-12-09 2007-07-18 Gyrus Group Plc A surgical instrument
US8590764B2 (en) 2003-12-24 2013-11-26 Boston Scientific Scimed, Inc. Circumferential full thickness resectioning device
CN1634601A (zh) 2003-12-26 2005-07-06 吉林省中立实业有限公司 一种用于医疗器械灭菌的方法
RU2432915C2 (ru) 2005-05-17 2011-11-10 Этикон Эндо-Серджери, Инк. Хирургический сшивающий аппарат с алюминиевой головкой
US20050139636A1 (en) 2003-12-30 2005-06-30 Schwemberger Richard F. Replaceable cartridge module for a surgical stapling and cutting instrument
US7549563B2 (en) 2003-12-30 2009-06-23 Ethicon Endo-Surgery, Inc. Rotating curved cutter stapler
US7204404B2 (en) 2003-12-30 2007-04-17 Ethicon Endo-Surgery, Inc. Slotted pins guiding knife in a curved cutter stapler
US6988650B2 (en) 2003-12-30 2006-01-24 Ethicon Endo-Surgery, Inc. Retaining pin lever advancement mechanism for a curved cutter stapler
US7147139B2 (en) 2003-12-30 2006-12-12 Ethicon Endo-Surgery, Inc Closure plate lockout for a curved cutter stapler
US20050143759A1 (en) 2003-12-30 2005-06-30 Kelly William D. Curved cutter stapler shaped for male pelvis
US7134587B2 (en) 2003-12-30 2006-11-14 Ethicon Endo-Surgery, Inc. Knife retraction arm for a curved cutter stapler
US6995729B2 (en) 2004-01-09 2006-02-07 Biosense Webster, Inc. Transponder with overlapping coil antennas on a common core
US7204835B2 (en) 2004-02-02 2007-04-17 Gyrus Medical, Inc. Surgical instrument
GB0403020D0 (en) 2004-02-11 2004-03-17 Pa Consulting Services Portable charging device
EP1563792B1 (en) 2004-02-17 2007-04-18 Tyco Healthcare Group Lp Surgical stapling apparatus with locking mechanism
EP1563794B1 (en) 2004-02-17 2007-04-25 Tyco Healthcare Group Lp Surgical stapling apparatus with locking mechanism
GB2429651C (en) 2004-02-17 2009-03-25 Cook Biotech Inc Medical devices and methods useful for applying bolster material
DE602005001328T2 (de) 2004-02-17 2008-02-14 Tyco Healthcare Group Lp, Norwalk Chirurgisches Klammernahtgerät
US7886952B2 (en) 2004-02-17 2011-02-15 Tyco Healthcare Group Lp Surgical stapling apparatus with locking mechanism
US6953138B1 (en) 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US8046049B2 (en) 2004-02-23 2011-10-25 Biosense Webster, Inc. Robotically guided catheter
JP2005279253A (ja) 2004-03-02 2005-10-13 Olympus Corp 内視鏡
US20050203550A1 (en) 2004-03-11 2005-09-15 Laufer Michael D. Surgical fastener
JP2005296412A (ja) 2004-04-13 2005-10-27 Olympus Corp 内視鏡治療装置
US7758612B2 (en) 2004-04-27 2010-07-20 Tyco Healthcare Group Lp Surgery delivery device and mesh anchor
US8333764B2 (en) 2004-05-12 2012-12-18 Medtronic, Inc. Device and method for determining tissue thickness and creating cardiac ablation lesions
JP2005328882A (ja) 2004-05-18 2005-12-02 Olympus Corp 内視鏡用処置具及び内視鏡システム
GB0411270D0 (en) 2004-05-20 2004-06-23 Gyrus Medical Ltd Surgical instrument
JP2005335432A (ja) 2004-05-24 2005-12-08 Nissan Motor Co Ltd 後輪転舵制御装置
US8590760B2 (en) 2004-05-25 2013-11-26 Abbott Vascular Inc. Surgical stapler
JP4610934B2 (ja) 2004-06-03 2011-01-12 オリンパス株式会社 外科用処置具
GB0413705D0 (en) 2004-06-18 2004-07-21 Gyrus Medical Ltd A surgical instrument
US7059508B2 (en) 2004-06-30 2006-06-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission
RU42750U1 (ru) 2004-07-26 2004-12-20 Альбертин Сергей Викторович Устройство для дозированной подачи веществ
WO2006014881A3 (en) 2004-07-26 2006-06-15 Lue Stephen J Van Surgical stapler with magnetically secured components
US7857183B2 (en) 2004-07-28 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US7404509B2 (en) 2004-07-28 2008-07-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for linear stapler
US7784663B2 (en) 2005-03-17 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having load sensing control circuitry
US7513408B2 (en) 2004-07-28 2009-04-07 Ethicon Endo-Surgery, Inc. Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism
US7407077B2 (en) 2004-07-28 2008-08-05 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7410086B2 (en) 2004-07-28 2008-08-12 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for circular stapler
CA2561473C (en) 2005-09-30 2014-07-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US7506790B2 (en) 2004-07-28 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
CA2512948C (en) 2004-07-28 2013-10-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7487899B2 (en) 2004-07-28 2009-02-10 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP complete firing system lockout mechanism
US7407074B2 (en) 2004-07-28 2008-08-05 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for multi-fire surgical fastening instrument
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
US8317074B2 (en) 2004-07-28 2012-11-27 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for circular stapler
US7210609B2 (en) 2004-07-30 2007-05-01 Tools For Surgery, Llc Stapling apparatus having a curved anvil and driver
EP2292794A3 (en) 2004-08-06 2011-07-06 Genentech, Inc. Death receptor (DR) antibody for pharmaceutical use and assays employing biomarkers for predicting sensitivity of cells to said antibody
JP2008510515A (ja) 2004-08-17 2008-04-10 タイコ ヘルスケア グループ エルピー ステープル留め支持構造物
EP2202250B1 (en) 2004-08-19 2013-10-09 Covidien LP Water-swellable copolymers and articles and coating made therefrom
US7182239B1 (en) 2004-08-27 2007-02-27 Myers Stephan R Segmented introducer device for a circular surgical stapler
US7128254B2 (en) 2004-09-07 2006-10-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission
KR100646762B1 (ko) 2004-09-10 2006-11-23 인하대학교 산학협력단 수술용 스테이플 및 이를 구비한 수술용 자동 문합기
JP4879900B2 (ja) 2004-09-10 2012-02-22 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. 外科用ステープル器具
US20080135600A1 (en) 2004-09-15 2008-06-12 Max Co., Ltd. Medical Stapler
WO2006044581A3 (en) 2004-10-13 2006-08-03 Mark A Christopherson Single-use transurethral needle ablation device
US7938307B2 (en) 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
EP2441396B1 (en) 2004-10-18 2015-01-21 Covidien LP Annular adhesive structure
JP4783373B2 (ja) 2004-10-18 2011-09-28 タイコ ヘルスケア グループ エルピー 組織穿通針を使用して創傷治療物質を適用するための装置
US7922743B2 (en) 2004-10-18 2011-04-12 Tyco Healthcare Group Lp Structure for applying sprayable wound treatment material
US7455682B2 (en) 2004-10-18 2008-11-25 Tyco Healthcare Group Lp Structure containing wound treatment material
US8097017B2 (en) 2004-10-18 2012-01-17 Tyco Healthcare Group Lp Surgical fasteners coated with wound treatment materials
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
GB0425051D0 (en) 2004-11-12 2004-12-15 Gyrus Medical Ltd Electrosurgical generator and system
GB0426648D0 (en) 2004-12-03 2005-01-05 Gyrus Medical Ltd An electrosurgical generator
US7328829B2 (en) 2004-12-13 2008-02-12 Niti Medical Technologies Ltd. Palm size surgical stapler for single hand operation
US7121446B2 (en) 2004-12-13 2006-10-17 Niti Medical Technologies Ltd. Palm-size surgical stapler for single hand operation
US7419321B2 (en) 2005-01-05 2008-09-02 Misha Tereschouk Hand applicator of encapsulated liquids
EP1847225B1 (en) 2005-01-26 2011-12-21 Suzhou Touchstone International Medical Science Co., Ltd. Surgical stapler having a stapling head with a rotatable cutter
US20060173470A1 (en) 2005-01-31 2006-08-03 Oray B N Surgical fastener buttress material
US7143926B2 (en) 2005-02-07 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
US7784662B2 (en) 2005-02-18 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
US7559452B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument having fluid actuated opposing jaws
US7559450B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating a fluid transfer controlled articulation mechanism
US7780054B2 (en) 2005-02-18 2010-08-24 Ethicon Endo-Surgery, Inc. Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint
US7654431B2 (en) 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
US7699846B2 (en) 2005-03-04 2010-04-20 Gyrus Ent L.L.C. Surgical instrument and method
US7674263B2 (en) 2005-03-04 2010-03-09 Gyrus Ent, L.L.C. Surgical instrument and method
US20060201989A1 (en) 2005-03-11 2006-09-14 Ojeda Herminio F Surgical anvil and system for deploying the same
US7942890B2 (en) 2005-03-15 2011-05-17 Tyco Healthcare Group Lp Anastomosis composite gasket
JP4857585B2 (ja) 2005-04-04 2012-01-18 日立工機株式会社 コードレス電動工具
US7780055B2 (en) * 2005-04-06 2010-08-24 Tyco Healthcare Group Lp Loading unit having drive assembly locking mechanism
US7842028B2 (en) 2005-04-14 2010-11-30 Cambridge Endoscopic Devices, Inc. Surgical instrument guide device
US7837694B2 (en) 2005-04-28 2010-11-23 Warsaw Orthopedic, Inc. Method and apparatus for surgical instrument identification
DE102005020377A1 (de) 2005-05-02 2006-11-09 Robert Bosch Gmbh Verfahren zum Betreiben einer Elektrowerkzeugmaschine
US8157815B2 (en) 2005-05-20 2012-04-17 Neotract, Inc. Integrated handle assembly for anchor delivery system
DE602006010849D1 (de) 2005-05-25 2010-01-14 Gyrus Medical Inc Operationsinstrument
US20060291981A1 (en) 2005-06-02 2006-12-28 Viola Frank J Expandable backspan staple
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
JP2009506799A (ja) 2005-06-03 2009-02-19 タイコ ヘルスケア グループ リミテッド パートナーシップ 電源駆動外科用器具
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US20060289602A1 (en) 2005-06-23 2006-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground
KR20080037664A (ko) 2005-06-28 2008-04-30 스트리커 코포레이션 도구 동력 발생 유닛의 원격 제어용 센서를 포함하는 제어모듈을 구비한 동력이 있는 수술 도구
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US7959050B2 (en) 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
US20070027468A1 (en) 2005-08-01 2007-02-01 Wales Kenneth S Surgical instrument with an articulating shaft locking mechanism
US7641092B2 (en) 2005-08-05 2010-01-05 Ethicon Endo - Surgery, Inc. Swing gate for device lockout in a curved cutter stapler
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US20130334284A1 (en) 2005-08-31 2013-12-19 Ethicon Endo-Surgery, Inc. Fastener cartridge assembly comprising a fixed anvil and different staple heights
US20070194082A1 (en) 2005-08-31 2007-08-23 Morgan Jerome R Surgical stapling device with anvil having staple forming pockets of varying depths
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7500979B2 (en) 2005-08-31 2009-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
US7669746B2 (en) 2005-08-31 2010-03-02 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
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US20070051375A1 (en) 2005-09-06 2007-03-08 Milliman Keith L Instrument introducer
US7472815B2 (en) 2005-09-21 2009-01-06 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with collapsible features for controlling staple height
US7407078B2 (en) 2005-09-21 2008-08-05 Ehthicon Endo-Surgery, Inc. Surgical stapling instrument having force controlled spacing end effector
EP1767163A1 (en) 2005-09-22 2007-03-28 Sherwood Services AG Bipolar forceps with multiple electrode array end effector assembly
US7451904B2 (en) 2005-09-26 2008-11-18 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having end effector gripping surfaces
US7357287B2 (en) 2005-09-29 2008-04-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having preloaded firing assistance mechanism
US20080190989A1 (en) 2005-10-03 2008-08-14 Crews Samuel T Endoscopic plication device and method
US7635074B2 (en) 2005-10-04 2009-12-22 Tyco Healthcare Group Lp Staple drive assembly
US7641091B2 (en) 2005-10-04 2010-01-05 Tyco Healthcare Group Lp Staple drive assembly
CA2563147C (en) 2005-10-14 2014-09-23 Tyco Healthcare Group Lp Surgical stapling device
EP2919295A1 (en) 2005-10-31 2015-09-16 Black & Decker, Inc. Battery pack and internal component arrangement within the battery pack for cordless power tool system
US20070102472A1 (en) 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US7607557B2 (en) 2005-11-04 2009-10-27 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for pump-assisted delivery of medical agents
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7328828B2 (en) 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US7354447B2 (en) 2005-11-10 2008-04-08 Ethicon Endo-Surgery, Inc. Disposable loading unit and surgical instruments including same
US7651017B2 (en) 2005-11-23 2010-01-26 Ethicon Endo-Surgery, Inc. Surgical stapler with a bendable end effector
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
RU61114U1 (ru) 2005-12-23 2007-02-27 Мирзакарим Санакулович Норбеков Аппарат для развития мозговой деятельности
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
CA2854625C (en) 2006-01-27 2017-01-24 Suturtek Incorporated Apparatus and method for tissue closure
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US20070175950A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20070175951A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US7891531B1 (en) 2006-01-31 2011-02-22 Ward Gary L Sub-miniature surgical staple cartridge
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
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
US9629626B2 (en) 2006-02-02 2017-04-25 Covidien Lp Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue
WO2007098220A3 (en) 2006-02-20 2008-04-24 Black & Decker Inc Dc motor with dual commutator bar set and selectable series and parallel connected coils
US20070203510A1 (en) 2006-02-28 2007-08-30 Bettuchi Michael J Annular disk for reduction of anastomotic tension and methods of using the same
EP1837041A1 (en) 2006-03-20 2007-09-26 Tissuemed Limited Tissue-adhesive materials
US20110163146A1 (en) 2006-03-23 2011-07-07 Ortiz Mark S Surgical Stapling And Cuttting Device
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US9675375B2 (en) 2006-03-29 2017-06-13 Ethicon Llc Ultrasonic surgical system and method
JP4102409B2 (ja) 2006-04-03 2008-06-18 オリンパス株式会社 縫合・結紮具アプライヤー
US20070246505A1 (en) 2006-04-24 2007-10-25 Medical Ventures Inc. Surgical buttress assemblies and methods of uses thereof
US7278563B1 (en) 2006-04-25 2007-10-09 Green David T Surgical instrument for progressively stapling and incising tissue
EP2015681A4 (en) 2006-05-03 2014-03-05 Raptor Ridge Llc Systems and methods of tissue closure
US7479608B2 (en) 2006-05-19 2009-01-20 Ethicon Endo-Surgery, Inc. Force switch
EP2486865A3 (en) 2006-05-19 2014-04-02 Ethicon Endo-Surgery, Inc. Method of configuring a surgical instrument having a surgical tissue-compressing device
US8038046B2 (en) 2006-05-19 2011-10-18 Ethicon Endo-Surgery, Inc. Electrical surgical instrument with optimized power supply and drive
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US8105350B2 (en) 2006-05-23 2012-01-31 Cambridge Endoscopic Devices, Inc. Surgical instrument
US20070276409A1 (en) 2006-05-25 2007-11-29 Ethicon Endo-Surgery, Inc. Endoscopic gastric restriction methods and devices
WO2007138571A3 (en) 2006-06-01 2008-02-14 Mor Research Applic Ltd Membrane augmentation, such as of for treatment of cardiac valves, and fastening devices for membrane augmentation
CA2608791C (en) 2006-06-02 2013-11-12 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US7530984B2 (en) 2006-06-05 2009-05-12 Medigus Ltd. Transgastric method for carrying out a partial fundoplication
US7615067B2 (en) 2006-06-05 2009-11-10 Cambridge Endoscopic Devices, Inc. Surgical instrument
DE202007003114U1 (de) 2006-06-13 2007-06-21 Olympus Winter & Ibe Gmbh Medizinische Zange mit Bajonettverbindung
CN104688349B (zh) 2006-06-13 2017-05-10 直观外科手术操作公司 微创手术系统
US20090204108A1 (en) 2006-06-21 2009-08-13 Rudolf Steffen Device for introducing and positioning surgical instruments and corresponding method
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
EP1875870B1 (en) 2006-07-07 2009-12-02 Ethicon Endo-Surgery, Inc. A surgical stapling instrument.
DE102006031971A1 (de) 2006-07-11 2008-01-17 Karl Storz Gmbh & Co. Kg Medizinisches Instrument
US20080029574A1 (en) 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
US7431189B2 (en) 2006-08-02 2008-10-07 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
CA2659365A1 (en) 2006-08-09 2008-02-21 Coherex Medical, Inc. Methods, systems and devices for reducing the size of an internal tissue opening
US7708758B2 (en) 2006-08-16 2010-05-04 Cambridge Endoscopic Devices, Inc. Surgical instrument
US8794496B2 (en) 2006-09-11 2014-08-05 Covidien Lp Rotating knob locking mechanism for surgical stapling device
US7665647B2 (en) 2006-09-29 2010-02-23 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
US20130172929A1 (en) 2006-09-29 2013-07-04 Ethicon Endo-Surgery, Inc. Method for forming a staple
US20100133317A1 (en) 2006-09-29 2010-06-03 Shelton Iv Frederick E Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback
US8708210B2 (en) 2006-10-05 2014-04-29 Covidien Lp Method and force-limiting handle mechanism for a surgical instrument
JP5481194B2 (ja) 2006-10-05 2014-04-23 コヴィディエン リミテッド パートナーシップ 可撓性の内視鏡的縫合装置
US20080086078A1 (en) 2006-10-06 2008-04-10 Powell Darrel M Devices for reduction of post operative ileus
US7481348B2 (en) 2006-10-06 2009-01-27 Tyco Healthcare Group Lp Surgical instrument with articulating tool assembly
US7845535B2 (en) 2006-10-06 2010-12-07 Tyco Healthcare Group Lp Surgical instrument having a plastic surface
US8608043B2 (en) 2006-10-06 2013-12-17 Covidien Lp Surgical instrument having a multi-layered drive beam
US7866525B2 (en) 2006-10-06 2011-01-11 Tyco Healthcare Group Lp Surgical instrument having a plastic surface
JP2009084281A (ja) 2007-09-18 2009-04-23 Ethicon Endo Surgery Inc 術後イレウスの低減のための方法
WO2008057281A3 (en) 2006-10-26 2008-07-17 Tyco Healthcare Methods of using shape memory alloys for buttress attachment
US7708180B2 (en) 2006-11-09 2010-05-04 Ethicon Endo-Surgery, Inc. Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application
US7721930B2 (en) 2006-11-10 2010-05-25 Thicon Endo-Surgery, Inc. Disposable cartridge with adhesive for use with a stapling device
US8114100B2 (en) 2006-12-06 2012-02-14 Ethicon Endo-Surgery, Inc. Safety fastener for tissue apposition
US7434716B2 (en) 2006-12-21 2008-10-14 Tyco Healthcare Group Lp Staple driver for articulating surgical stapler
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US20110174861A1 (en) 2007-01-10 2011-07-21 Shelton Iv Frederick E Surgical Instrument With Wireless Communication Between Control Unit and Remote Sensor
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US20080169328A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
US8679154B2 (en) 2007-01-12 2014-03-25 Ethicon Endo-Surgery, Inc. Adjustable compression staple and method for stapling with adjustable compression
WO2008089404A3 (en) 2007-01-19 2008-09-18 William F Kuester Circular stapler anvil introducer
US20080262480A1 (en) 2007-02-15 2008-10-23 Stahler Gregory J Instrument assembly for robotic instrument system
US20080200762A1 (en) 2007-02-16 2008-08-21 Stokes Michael J Flexible endoscope shapelock
US20100087840A1 (en) 2007-03-06 2010-04-08 Garrett Ebersole Wound closure material
US8011555B2 (en) 2007-03-06 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
CN101626731B (zh) 2007-03-06 2013-10-16 柯惠Lp公司 手术缝合装置
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US7431188B1 (en) 2007-03-15 2008-10-07 Tyco Healthcare Group Lp Surgical stapling apparatus with powered articulation
WO2008118728A1 (en) 2007-03-22 2008-10-02 Tyco Healthcare Group Lp Apparatus for forming variable height surgical fasteners
US7490749B2 (en) 2007-03-28 2009-02-17 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with manually retractable firing member
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8006885B2 (en) 2007-04-09 2011-08-30 Tyco Healthcare Group Lp Surgical stapling apparatus with powered retraction
EP2144660A4 (en) 2007-04-09 2016-05-04 Creative Surgical Llc Frame device
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US8800837B2 (en) 2007-04-13 2014-08-12 Covidien Lp Powered surgical instrument
US7708182B2 (en) 2007-04-17 2010-05-04 Tyco Healthcare Group Lp Flexible endoluminal surgical instrument
US7931660B2 (en) 2007-05-10 2011-04-26 Tyco Healthcare Group Lp Powered tacker instrument
JP4348714B2 (ja) 2007-05-10 2009-10-21 シャープ株式会社 データ送信システム及びデータ送信方法
US7823761B2 (en) 2007-05-16 2010-11-02 The Invention Science Fund I, Llc Maneuverable surgical stapler
US7832611B2 (en) 2007-05-16 2010-11-16 The Invention Science Fund I, Llc Steerable surgical stapler
US7810691B2 (en) 2007-05-16 2010-10-12 The Invention Science Fund I, Llc Gentle touch surgical stapler
US8038045B2 (en) 2007-05-25 2011-10-18 Tyco Healthcare Group Lp Staple buttress retention system
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US20080296346A1 (en) 2007-05-31 2008-12-04 Shelton Iv Frederick E Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7950561B2 (en) 2007-06-18 2011-05-31 Tyco Healthcare Group Lp Structure for attachment of buttress material to anvils and cartridges of surgical staplers
US7665646B2 (en) 2007-06-18 2010-02-23 Tyco Healthcare Group Lp Interlocking buttress material retention system
US7731072B2 (en) 2007-06-18 2010-06-08 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with improved anvil opening features
US7549564B2 (en) 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7597229B2 (en) 2007-06-22 2009-10-06 Ethicon Endo-Surgery, Inc. End effector closure system for a surgical stapling instrument
US7441685B1 (en) 2007-06-22 2008-10-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a return mechanism
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US7604150B2 (en) 2007-06-22 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an anti-back up mechanism
US7845533B2 (en) 2007-06-22 2010-12-07 Tyco Healthcare Group Lp Detachable buttress material retention systems for use with a surgical stapling device
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US8062330B2 (en) 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
US8590762B2 (en) 2007-06-29 2013-11-26 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configurations
US20090001130A1 (en) 2007-06-29 2009-01-01 Hess Christopher J Surgical procedure using a cutting and stapling instrument having releasable staple-forming pockets
US20090001121A1 (en) 2007-06-29 2009-01-01 Hess Christopher J Surgical staple having an expandable portion
US7600663B2 (en) * 2007-07-05 2009-10-13 Green David T Apparatus for stapling and incising tissue
US8348972B2 (en) 2007-07-11 2013-01-08 Covidien Lp Surgical staple with augmented compression area
US7556185B2 (en) 2007-08-15 2009-07-07 Tyco Healthcare Group Lp Surgical instrument with flexible drive mechanism
JP5475662B2 (ja) 2007-08-15 2014-04-16 ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ モジュール式およびセグメント化医療装置ならびに関連するシステム
US9005238B2 (en) 2007-08-23 2015-04-14 Covidien Lp Endoscopic surgical devices
US7967181B2 (en) 2007-08-29 2011-06-28 Tyco Healthcare Group Lp Rotary knife cutting systems
US7988026B2 (en) 2007-09-06 2011-08-02 Cardica, Inc. Endocutter with staple feed
US8556151B2 (en) 2007-09-11 2013-10-15 Covidien Lp Articulating joint for surgical instruments
US9597080B2 (en) 2007-09-24 2017-03-21 Covidien Lp Insertion shroud for surgical instrument
US8678263B2 (en) 2007-09-24 2014-03-25 Covidien Lp Materials delivery system for stapling device
US7703653B2 (en) 2007-09-28 2010-04-27 Tyco Healthcare Group Lp Articulation mechanism for surgical instrument
US7909220B2 (en) 2007-10-05 2011-03-22 Tyco Healthcare Group Lp Surgical stapler having an articulation mechanism
US20090090763A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US9113880B2 (en) 2007-10-05 2015-08-25 Covidien Lp Internal backbone structural chassis for a surgical device
ES2426767T3 (es) 2007-10-08 2013-10-25 Gore Enterprise Holdings, Inc. Aparato para suministrar un refuerzo de líneas de grapas quirúrgicas
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US7954687B2 (en) 2007-11-06 2011-06-07 Tyco Healthcare Group Lp Coated surgical staples and an illuminated staple cartridge for a surgical stapling instrument
WO2009067649A3 (en) 2007-11-21 2009-08-27 Ethicon Endo-Surgery, Inc. Bipolar forceps having a cutting element
US8727199B2 (en) 2008-01-03 2014-05-20 Covidien Lp Surgical stapler
WO2009091497A3 (en) 2008-01-16 2009-10-01 John Hyoung Kim Minimally invasive surgical instrument
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US20090206133A1 (en) 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Articulatable loading units for surgical stapling and cutting instruments
JP5496520B2 (ja) 2008-02-14 2014-05-21 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. バッテリ使用を最適化するための制御回路を有する、モーター付き切断・固定器具
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled 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
US20090206126A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material with alignment and retention features for use with surgical end effectors
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US20090206139A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical instrument
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206141A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material having an activatable adhesive
US20090206137A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading units for a surgical cutting and stapling instrument
US20090206142A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical stapling instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US20130153636A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Implantable arrangements for surgical staple cartridges
US20090206125A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Packaging for attaching buttress material to a surgical stapling instrument
US8020741B2 (en) 2008-03-18 2011-09-20 Barosense, Inc. Endoscopic stapling devices and methods
US8136713B2 (en) 2008-03-25 2012-03-20 Tyco Healthcare Group Lp Surgical stapling instrument having transducer effecting vibrations
US20090242610A1 (en) 2008-03-26 2009-10-01 Shelton Iv Frederick E Disposable loading unit and surgical instruments including same
US8231040B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US20090255974A1 (en) 2008-04-14 2009-10-15 Tyco Healthcare Group Lp Single loop surgical fastener apparatus for applying variable compression
US7926691B2 (en) 2008-04-14 2011-04-19 Tyco Healthcare Group, L.P. Variable compression surgical fastener cartridge
US8100310B2 (en) 2008-04-14 2012-01-24 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US8028884B2 (en) 2008-04-22 2011-10-04 Tyco Healthcare Group Lp Cartridge for applying varying amounts of tissue compression
WO2009137761A3 (en) 2008-05-09 2010-02-25 Elmer Valin Laparoscopic gastric and intestinal trocar
US8464922B2 (en) 2008-05-09 2013-06-18 Covidien Lp Variable compression surgical fastener cartridge
US8091756B2 (en) 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
DE112009001239T5 (de) 2008-05-21 2011-04-07 Cook Biotech, Inc., West Lafayette Vorrichtungen und Verfahren zum Anbringen von Verstärkungsmaterialien an chirurgischen Befestigungsvorrichtungen
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US8016176B2 (en) 2008-06-04 2011-09-13 Tyco Healthcare Group, Lp Surgical stapling instrument with independent sequential firing
US8701959B2 (en) 2008-06-06 2014-04-22 Covidien Lp Mechanically pivoting cartridge channel for surgical instrument
US7942303B2 (en) * 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US8007513B2 (en) 2008-06-12 2011-08-30 Ethicon Endo-Surgery, Inc. Partially reusable surgical stapler
US8011551B2 (en) 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
US8801752B2 (en) 2008-08-04 2014-08-12 Covidien Lp Articulating surgical device
US8109426B2 (en) 2008-08-12 2012-02-07 Tyco Healthcare Group Lp Surgical tilt anvil assembly
US20100051668A1 (en) 2008-09-03 2010-03-04 Milliman Keith L Surgical instrument with indicator
US8113405B2 (en) 2008-09-03 2012-02-14 Tyco Healthcare Group, Lp Surgical instrument with indicator
WO2010028332A3 (en) 2008-09-08 2014-12-11 Mayo Foundation For Medical Education And Research Devices, kits and methods for surgical fastening
US8047236B2 (en) 2008-09-12 2011-11-01 Boston Scientific Scimed, Inc. Flexible conduit with locking element
US7837080B2 (en) 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
US20100069942A1 (en) 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US7896214B2 (en) 2008-09-23 2011-03-01 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
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
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US8360298B2 (en) 2008-09-23 2013-01-29 Covidien Lp Surgical instrument and loading unit for use therewith
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US7918377B2 (en) 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
JP2010098844A (ja) 2008-10-16 2010-04-30 Toyota Motor Corp 車両の電源システム
KR101075363B1 (ko) 2008-10-31 2011-10-19 정창욱 최소 침습 수술 도구를 포함하는 수술용 로봇 시스템
US7934631B2 (en) 2008-11-10 2011-05-03 Barosense, Inc. Multi-fire stapling systems and methods for delivering arrays of staples
US7886951B2 (en) 2008-11-24 2011-02-15 Tyco Healthcare Group Lp Pouch used to deliver medication when ruptured
GB0822110D0 (en) 2008-12-03 2009-01-07 Angiomed Ag Catheter sheath for implant delivery
US20100147921A1 (en) 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
US20110278343A1 (en) 2009-01-29 2011-11-17 Cardica, Inc. Clamping of Hybrid Surgical Instrument
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US20100193566A1 (en) 2009-02-05 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
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
US8245899B2 (en) 2009-02-06 2012-08-21 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US20110024478A1 (en) 2009-02-06 2011-02-03 Shelton Iv Frederick E Driven Surgical Stapler Improvements
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US20130066304A1 (en) 2009-02-27 2013-03-14 Modular Surgical, Inc. Apparatus and methods for hybrid endoscopic and laparoscopic surgery
US8317071B1 (en) 2009-03-09 2012-11-27 Cardica, Inc. Endocutter with auto-feed buttress
US7918376B1 (en) 2009-03-09 2011-04-05 Cardica, Inc. Articulated surgical instrument
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US8011550B2 (en) 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
CA2773446A1 (en) 2011-04-29 2012-10-29 Tyco Healthcare Group Lp Surgical stapling apparatus
US7988027B2 (en) 2009-03-31 2011-08-02 Tyco Healthcare Group Lp Crimp and release of suture holding buttress material
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US8945163B2 (en) 2009-04-01 2015-02-03 Ethicon Endo-Surgery, Inc. Methods and devices for cutting and fastening tissue
US8328064B2 (en) 2009-05-06 2012-12-11 Covidien Lp Pin locking mechanism for a surgical instrument
US8056789B1 (en) 2009-06-03 2011-11-15 Cardica, Inc. Staple and feeder belt configurations for surgical stapler
US8132706B2 (en) 2009-06-05 2012-03-13 Tyco Healthcare Group Lp Surgical stapling apparatus having articulation mechanism
US8827134B2 (en) 2009-06-19 2014-09-09 Covidien Lp Flexible surgical stapler with motor in the head
US9463260B2 (en) 2009-06-29 2016-10-11 Covidien Lp Self-sealing compositions
US8276802B2 (en) 2009-07-11 2012-10-02 Tyco Healthcare Group Lp Surgical instrument with double cartridge and anvil assemblies
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
CN102497827B (zh) 2009-07-15 2016-06-01 伊西康内外科公司 用于超声外科器械的电外科发生器
US20110036891A1 (en) 2009-08-11 2011-02-17 Tyco Healthcare Group Lp Surgical stapler with visual positional indicator
US8360299B2 (en) 2009-08-11 2013-01-29 Covidien Lp Surgical stapling apparatus
US8733612B2 (en) 2009-08-17 2014-05-27 Covidien Lp Safety method for powered surgical instruments
US8470355B2 (en) 2009-10-01 2013-06-25 Covidien Lp Mesh implant
US8141762B2 (en) 2009-10-09 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical stapler comprising a staple pocket
JP5701891B2 (ja) 2009-10-09 2015-04-15 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. 外科用器具
US8152041B2 (en) 2009-10-14 2012-04-10 Tyco Healthcare Group Lp Varying tissue compression aided by elastic members
US8157151B2 (en) 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
US8413872B2 (en) 2009-10-28 2013-04-09 Covidien Lp Surgical fastening apparatus
WO2011060311A3 (en) 2009-11-13 2011-08-18 Intuitive Surgical Operations, Inc. End effector with redundant closing mechanisms
US8899466B2 (en) 2009-11-19 2014-12-02 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US8353439B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with radially-openable distal end portion
US20110114697A1 (en) 2009-11-19 2011-05-19 Ethicon Endo-Surgery, Inc. Circular stapler introducer with multi-lumen sheath
US8353438B2 (en) 2009-11-19 2013-01-15 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid cap assembly configured for easy removal
US8622275B2 (en) 2009-11-19 2014-01-07 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid distal end portion
US8806973B2 (en) 2009-12-02 2014-08-19 Covidien Lp Adapters for use between surgical handle assembly and surgical end effector
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
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
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US9510925B2 (en) 2010-02-02 2016-12-06 Covidien Lp Surgical meshes
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US20110276083A1 (en) 2010-05-07 2011-11-10 Ethicon Endo-Surgery, Inc. Bendable shaft for handle positioning
US20110275901A1 (en) 2010-05-07 2011-11-10 Ethicon Endo-Surgery, Inc. Laparoscopic devices with articulating end effectors
US20110293690A1 (en) 2010-05-27 2011-12-01 Tyco Healthcare Group Lp Biodegradable Polymer Encapsulated Microsphere Particulate Film and Method of Making Thereof
US9028495B2 (en) 2010-06-23 2015-05-12 Covidien Lp Surgical instrument with a separable coaxial joint
US8439246B1 (en) 2010-07-20 2013-05-14 Cardica, Inc. Surgical stapler with cartridge-adjustable clamp gap
US8523881B2 (en) 2010-07-26 2013-09-03 Valtech Cardio, Ltd. Multiple anchor delivery tool
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8672207B2 (en) 2010-07-30 2014-03-18 Ethicon Endo-Surgery, Inc. Transwall visualization arrangements and methods for surgical circular staplers
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8360296B2 (en) * 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
RU2604397C2 (ru) 2011-04-29 2016-12-10 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани для хирургического сшивающего инструмента, содержащий регулируемый упор
US8783542B2 (en) 2010-09-30 2014-07-22 Ethicon Endo-Surgery, Inc. Fasteners supported by a fastener cartridge support
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9615826B2 (en) 2010-09-30 2017-04-11 Ethicon Endo-Surgery, Llc Multiple thickness implantable layers for surgical stapling devices
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US9433419B2 (en) 2010-09-30 2016-09-06 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of layers
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US20120080340A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a variable thickness compressible portion
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US20120248169A1 (en) 2010-09-30 2012-10-04 Ethicon Endo-Surgery, Inc. Methods for forming tissue thickness compensator arrangements for surgical staplers
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
JP5905472B2 (ja) 2010-10-01 2016-04-20 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. 顎部材を有する外科用器具
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
KR20130094823A (ko) 2010-11-15 2013-08-26 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 수술 기구에서 기구 샤프트 감김과 단부 작동기 작동의 해제
US20120175398A1 (en) 2010-11-22 2012-07-12 Mayo Foundation For Medical Education And Research Stapling apparatus and methods of assembling or operating the same
US8523043B2 (en) 2010-12-07 2013-09-03 Immersion Corporation Surgical stapler having haptic feedback
US8348130B2 (en) 2010-12-10 2013-01-08 Covidien Lp Surgical apparatus including surgical buttress
US9084602B2 (en) 2011-01-26 2015-07-21 Covidien Lp Buttress film with hemostatic action for surgical stapling apparatus
US8276801B2 (en) 2011-02-01 2012-10-02 Tyco Healthcare Group Lp Surgical stapling apparatus
US8479968B2 (en) 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US8632462B2 (en) 2011-03-14 2014-01-21 Ethicon Endo-Surgery, Inc. Trans-rectum universal ports
US20120234895A1 (en) 2011-03-15 2012-09-20 Ethicon Endo-Surgery, Inc. Surgical staple cartridges and end effectors with vessel measurement arrangements
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8789737B2 (en) 2011-04-27 2014-07-29 Covidien Lp Circular stapler and staple line reinforcement material
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US9492170B2 (en) 2011-08-10 2016-11-15 Ethicon Endo-Surgery, Inc. Device for applying adjunct in endoscopic procedure
US9107663B2 (en) 2011-09-06 2015-08-18 Ethicon Endo-Surgery, Inc. Stapling instrument comprising resettable staple drivers
US20130062391A1 (en) 2011-09-14 2013-03-14 Chad P. Boudreaux Surgical instrument with fluid fillable buttress
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9089326B2 (en) 2011-10-07 2015-07-28 Ethicon Endo-Surgery, Inc. Dual staple cartridge for surgical stapler
US20130098970A1 (en) 2011-10-25 2013-04-25 David Racenet Surgical Apparatus and Method for Endoluminal Surgery
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US9486213B2 (en) 2011-11-14 2016-11-08 Thd Lap Ltd. Drive mechanism for articulating tacker
US8967448B2 (en) 2011-12-14 2015-03-03 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
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
US20130231661A1 (en) 2012-03-01 2013-09-05 Hasan M. Sh. Sh. Alshemari Electrosurgical midline clamping scissors
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US20130256373A1 (en) 2012-03-28 2013-10-03 Ethicon Endo-Surgery, Inc. Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9364230B2 (en) 2012-06-28 2016-06-14 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotary joint assemblies
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US20140005678A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Rotary drive arrangements for surgical instruments
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US20140005640A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical end effector jaw and electrode configurations
US20140048580A1 (en) 2012-08-20 2014-02-20 Covidien Lp Buttress attachment features for surgical stapling apparatus
US20140224857A1 (en) 2013-02-08 2014-08-14 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a compressible portion
US9307986B2 (en) 2013-03-01 2016-04-12 Ethicon Endo-Surgery, Llc Surgical instrument soft stop
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9629623B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgery, Llc Drive system lockout arrangements for modular surgical instruments
US20140263554A1 (en) 2013-03-14 2014-09-18 Ethicon Endo-Surgery, Inc. Multi-function motor for a surgical instrument
US9351726B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Articulation control system for articulatable surgical instruments
US20140277017A1 (en) 2013-03-14 2014-09-18 Ethicon Endo-Surgery, Inc. Method and system for operating a surgical instrument
US9687230B2 (en) 2013-03-14 2017-06-27 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9808244B2 (en) 2013-03-14 2017-11-07 Ethicon Llc Sensor arrangements for absolute positioning system for surgical instruments
US9351727B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Drive train control arrangements for modular surgical instruments
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US20140291379A1 (en) 2013-03-27 2014-10-02 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a cutting member path
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
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
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
US20140305991A1 (en) 2013-04-16 2014-10-16 Ethicon Endo-Surgery, Inc. Transmission arrangement for a surgical instrument
US20140309666A1 (en) 2013-04-16 2014-10-16 Ethicon Endo-Surgery, Inc. Powered linear surgical stapler
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
JP6007357B2 (ja) 2013-11-18 2016-10-12 日信工業株式会社 電子制御装置および車両用ブレーキ液圧制御装置
US20140166724A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7225963B2 (en) * 2004-02-17 2007-06-05 Tyco Healthcare Group Lp Surgical stapling apparatus with locking mechanism
CN201108467Y (zh) * 2007-10-19 2008-09-03 周明喜 一种吻合器
EP2163211A2 (en) * 2008-09-10 2010-03-17 Tyco Healthcare Group LP Surgical stapling device
CN101416895A (zh) * 2008-10-29 2009-04-29 马剑文 具有保险装置的管型吻合器及其吻合器主体

Also Published As

Publication number Publication date Type
US8360296B2 (en) 2013-01-29 grant
US20140326777A1 (en) 2014-11-06 application
CA2810059A1 (en) 2012-03-15 application
CN103096817A (zh) 2013-05-08 application
US8794497B2 (en) 2014-08-05 grant
US20160113653A1 (en) 2016-04-28 application
US20120061448A1 (en) 2012-03-15 application
US9232945B2 (en) 2016-01-12 grant
EP2613713A1 (en) 2013-07-17 application
JP2013537066A (ja) 2013-09-30 application
US20130105551A1 (en) 2013-05-02 application
RU2573038C2 (ru) 2016-01-20 grant
JP5855659B2 (ja) 2016-02-09 grant
WO2012033960A2 (en) 2012-03-15 application
RU2013115743A (ru) 2014-10-20 application

Similar Documents

Publication Publication Date Title
US7357287B2 (en) Surgical stapling instrument having preloaded firing assistance mechanism
US7143924B2 (en) Surgical stapling apparatus with locking mechanism
US8348130B2 (en) Surgical apparatus including surgical buttress
US5503635A (en) Apparatus and method for performing compressional anastomoses
EP2090234B1 (en) Surgical stapling instrument with improved firing trigger arrangement
US8276802B2 (en) Surgical instrument with double cartridge and anvil assemblies
US20100089971A1 (en) Surgical stapling device
US20030014060A1 (en) Endoscopic clip applier and method
US7556186B2 (en) Surgical stapling device having trigger lock and associated lockout mechanism
EP2100561A2 (en) Ratcheting mechanism for surgical stapling device
US20050171560A1 (en) Endoscopic clip applying apparatus with improved aperture for clip release and related method
US20130248577A1 (en) Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US8231042B2 (en) Surgical stapler
EP0686374A2 (en) Surgical stapling instrument and method
US7097089B2 (en) Surgical stapling apparatus with locking mechanism
US8800841B2 (en) Surgical staple cartridges
US20130087599A1 (en) Dual staple cartridge for surgical stapler
US7802712B2 (en) Surgical stapling device
US7234624B2 (en) Surgical stapling device for performing circular anastomoses
US9289207B2 (en) Surgical staple with integral pledget for tip deflection
US5447513A (en) Endoscopic ligation and division instrument
US7546940B2 (en) Pivoting anvil assembly for surgical stapling device
US8789741B2 (en) Surgical instrument with trigger assembly for generating multiple actuation motions
US8146790B2 (en) Surgical instrument with safety mechanism
CN102166129B (zh) 关节式运动内窥镜外科施夹器

Legal Events

Date Code Title Description
C06 Publication
C10 Entry into substantive examination
C14 Grant of patent or utility model