CN103687554B - 外科钳 - Google Patents
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Abstract
本发明提供了一种钳,其包括第一和第二柄构件,每个柄构件具有置于其远侧端部处的爪构件。第一和第二爪构件中的一个(或两个)能在隔开位置与接近位置之间相对于另一个运动以便在其间抓持组织。第一爪构件包括固定地接合至第一柄构件的爪框架和可拆地与爪框架接合的一次性爪壳体。一次性爪壳体包括置于其中的刀组件。刀组件包括刀片,刀片被朝向初始位置偏置,其中在初始位置,刀片置于爪壳体内。刀片能在初始位置与延伸位置之间运动,其中在延伸位置,刀片至少部分地从爪壳体延伸,以便切割在第一爪构件和第二爪构件之间抓持的组织。
Description
技术领域
本发明涉及外科钳,更特别而言,涉及包括可更换的爪构件的外科钳。
背景技术
钳是一种夹钳状器械,其依靠其爪之间的机械作用来抓持、夹紧和收缩血管或组织。电外科钳使用机械夹紧作用和电能两者来通过加热组织和血管以凝结和/或烧灼组织而实现止血。某些外科程序需要的不止是简单地烧灼组织,并且依靠抓持压力、精确电外科能量控制和间隙距离(即当相对的爪构件在组织周围闭合时在爪构件之间的距离)的独特组合来“封闭”组织、血管和某些脉管束。通常,一旦血管被封闭之后,外科医生必须准确地沿着新形成的组织封闭部切断血管。因此,已经设计了许多血管封闭器械,其包括刀或刀片构件,所述刀或刀片构件在形成组织封闭部之后有效地切断组织。
通常,外科器械,包括钳,可分类为一次性使用的器械(例如在一次性使用之后丢弃的器械)、部分地可重复使用的器械(例如既包括一次性的部分又包括可消毒以便重复使用的部分的器械),以及完全地可重复使用的器械(例如可完全地消毒以便重复使用的器械)。可以理解的是,能被消毒且重复使用的这些器械(或器械的部件)有助于降低与使用它们的特定外科程序相关的成本。然而,尽管可重复使用的外科器械有成本效益,但重要的是这些器械能够执行与它们的一次性的对应物相同的功能并且这些器械的任何一次性部件为可有效地拆除的且可更换为新的部件。
发明内容
根据本发明的一个实施例,提供了一种钳。钳包括第一和第二柄构件。每个柄构件具有置于其远侧端部处的爪构件。第一和第二爪构件中的一个(或两个)能在隔开位置与接近位置之间相对于另一个运动以便在其间抓持组织。第一爪构件包括固定地接合至第一柄构件的爪框架。第一爪构件还包括可拆地与爪框架接合的一次性爪壳体。一次性爪壳体包括置于其中的刀组件。刀组件包括刀片,刀片被朝向初始位置偏置并且能在初始位置与延伸位置之间运动。在初始位置,刀片置于爪壳体内。在延伸位置,刀片部分地(或完全地)从爪壳体延伸,例如以便切割在第一和第二爪构件之间抓持的组织。
在一个实施例中,钳还包括置于爪框架内的致动器。致动器能按照选择从未致动位置运动至致动位置以便使刀片从初始位置运动至延伸位置。
在另一个实施例中,钳包括第三柄构件。第三柄构件联接至致动器并且从其向近侧延伸。第三柄构件能在第一位置与第二位置之间运动以便使致动器在未致动位置与致动位置之间运动。
在又一个实施例中,爪壳体部分地(或完全地)由电绝缘的材料形成。
在另外一个实施例中,所述钳还包括接合至爪壳体的封闭板。封闭板包括在其中限定的纵向地延伸的刀片通道。刀片通道构造成在刀片从初始位置运动到延伸位置时允许刀片穿过其中经过。此外,封闭板可适于连接至电外科能量源,以便通过在第一和第二爪构件之间抓持的组织传导能量。
在又一个实施例中,第二爪构件包括固定地接合至第二柄构件的爪框架和能与爪框架可拆地接合的一次性爪壳体。类似于第一爪构件,第二爪构件可还包括接合至爪壳体的封闭板。
在另一个实施例中,第二爪构件的封闭板包括穿过其中限定的纵向地延伸的刀片通道。第二爪构件的刀片通道构造成在刀片运动到延伸位置时使刀片穿过其中经过。
在又一个实施例中,爪壳体包括一个或多个接合特征,所述一个或多个接合特征构造成可拆地接合在爪框架内限定的互补接合特征,例如以便将爪壳体可拆地接合至相应的爪框架。
在另外一个实施例中,第一和第二柄构件与爪框架为可消毒的。第三柄构件也可为可消毒的,而其余部件可在单次使用之后丢弃。
在又一个实施例中,刀组件包括置于爪壳体内的弹性地可弯曲的构件。弹性地可弯曲的构件在其上接合刀片并且使刀片朝向初始位置偏置。此外,弹性地可弯曲的构件可部分地(或完全地)由硅形成。
根据本发明的另一个实施例,提供了一种构造成用于可拆地接合钳的端部受动器组件的一次性爪构件。这种一次性爪构件包括能可拆地与端部受动器组件的爪框架接合的爪壳体。封闭板接合至爪壳体并且包括穿过其中限定的纵向地延伸的刀片通道。刀组件联接至爪壳体并且置于爪壳体与封闭板之间。所述刀组件包括纵向地延伸的刀片,刀片联接至其并且能在初始位置与延伸位置之间运动。刀片被朝向初始位置偏置,其中在初始位置中,刀片置于爪壳体内。在延伸位置中,刀片穿过封闭板的刀片通道延伸。
在一个实施例中,刀组件包括置于爪壳体内的弹性地可弯曲的构件。弹性地可弯曲的构件在其上接合刀片并且使刀片朝向初始位置偏置。类似于前述实施例,弹性地可弯曲的构件可部分地(或完全地)由硅形成。
在另一个实施例中,爪壳体至少部分地由电绝缘的材料形成。此外,封闭板可适于连接至电外科能量源,以便通过组织传导能量。
在另外一个实施例中,钳还包括置于爪框架内的致动器。致动器能按照选择从未致动位置运动至致动位置以便使刀片从初始位置运动至延伸位置。
在又一个实施例中,爪壳体包括一个或多个接合特征,所述接合特征构造成可拆地接合在爪框架内限定的互补的一个或多个接合特征。
根据本发明,还提供了一种装配爪构件例如如上所述的任一爪构件的方法。所述方法包括提供爪壳体、封闭板和刀组件,其中封闭板具有穿过其中限定的纵向地延伸的刀片通道,刀组件具有联接至其的纵向地延伸的刀片。首先,将封闭板设置在刀组件上以便使得封闭板的刀片通道和刀片以彼此竖直配准方式对准。随后将爪壳体可滑动地设置在刀组件和封闭板周围以便使得爪壳体、封闭板和刀组件相对于彼此保持于固定关系。
在一个实施例中,所述方法还包括提供爪框架,爪框架包括置于爪框架内的致动器。爪壳体可拆地接合至爪框架以便使得封闭板的刀片通道、刀组件的刀片和爪框架的致动器以彼此竖直配准方式对准。
在另一个实施例中,刀组件由可弹性地压缩的材料形成。刀组件构造成在将爪壳体设置在封闭板和刀组件周围时被从初始状态压缩至压缩状态,以便使得通过绝缘体的返向初始状态的偏置作用而将爪壳体、封闭板和刀组件通过摩擦相对于彼此保持于固定关系。
附图说明
在此参考附图描述本发明的器械的多个实施例,附图中:
图1为根据本发明提供的钳的一个实施例的侧面透视图,其中钳的爪构件示出为处于隔开位置;
图2为图1的钳的侧面透视图,其中爪构件示出为处于接近位置;
图3为图1的钳的侧面透视透明画法图,其中致动器示出为处于未致动位置;
图4为图1的钳的侧面透视透明画法图,其中致动器示出为处于致动位置;
图5A为图1的钳的爪构件之一的一次性部分的顶部透视图;
图5B为图5A的爪构件的一次性部分的倒置透视图;
图5C为图5A的爪构件的一次性部分的分解透视图;
图6A为图1的钳的另一个爪构件的一次性部分的顶部透视图;
图6B为图6A的爪构件的一次性部分的侧面透视图;
图6C为图6A的爪构件的一次性部分的底部透视图;
图6D为图6A的爪构件的一次性部分的分解透视图;
图6E为图6A的爪构件的一次性部分的的刀组件的顶部透视图;
图6F为图6A的爪构件的一次性部分的横向剖视图;
图7为图1的钳的端部受动器组件的放大透视图,其包括与其接合的图5A和6A的一次性部分;
图8为图7的端部受动器组件的横向剖视图,其中刀组件示出为处于初始位置;以及
图9为图7的端部受动器组件的横向剖视图,其中刀组件示出为处于延伸位置。
具体实施方式
以下参考附图详细描述本发明的实施例,其中同样的附图标记标示类似或相同的元件。在这里使用时,术语“远侧”指的是所描述的更远离使用者的部分,而术语“近侧”指的是所描述的更靠近使用者的部分。
首先参看图1和2,示出了钳10,钳10包括两个伸长柄12a和12b,每个伸长柄分别具有远侧端部14a和14b以及近侧端部16a和16b。包括相对的爪构件110、120的端部受动器组件100分别连接至柄12a和12b的远侧端部14a和14b。相对的爪构件110和120绕着枢轴销150可枢转地连接,并且,能在隔开位置(图1)与接近位置(图2)之间相对于彼此运动,以便在其间抓持组织。此外,每个爪构件110、120分别包括一次性部件210、220,所述一次性部件可拆地接合在其上。尽管钳10显示为开放式外科钳,但分别包括一次性部件210、220的爪构件110、120可类似地构造用于内窥镜外科钳(未示出)。
继续参看图1和2,每个柄12a和12b包括设置在其近侧端部16a和16b处的把手17a和17b。每个把手17a和17b限定穿过其中的手指孔18a和18b,以用于接纳使用者的手指。可以理解的是,手指孔18a和18b便于使柄12a和12b相对于彼此运动,这又使爪构件110和120在隔开位置(图1)与接近位置(图2)之间枢转,其中爪构件110和120配合以在其间抓持组织。
可包括棘齿30以用于在枢转期间按照选择将爪构件110、120相对于彼此锁定在多个位置。棘齿30可包括刻度或其它视觉标记,这些刻度或其它视觉标记使得使用者能够容易地和迅速地确定和控制爪构件110和120之间的闭合力的大小。
现在来看图3-4,结合图1和2,钳10还包括第三柄12c,第三柄12c从置于致动器槽142内的致动器140向近侧延伸,所述致动器槽限定在爪构件之一例如爪构件120内。类似于柄12a和12b,第三柄12c包括置于其近侧端部16c处的把手17c。把手17c限定穿过其中的手指孔18c,所述手指孔构造成接纳使用者的手指以便于柄12c在第一位置(图3)与第二位置(图4)之间运动,其中致动器140至少部分地从在爪构件120内限定的致动器槽142延伸。随着柄12c从第一位置运动至第二位置,致动器140相对于爪构件120从未致动位置(图3)运动至致动位置(图4)。如下文更详细地描述的,在致动器140致动时,在爪构件110、120之间向上推动爪构件120的一次性部件220的刀组件260的刀片261(参见图6A-6F)以便切割在其间抓持的组织。
如图1和2中看得最清楚,并且如上所述,钳10包括一对爪构件110、120。爪构件110、120各包括一次性部件210、220,一次性部件210、220分别能可拆地与爪框架112、122接合。爪构件110、120的爪框架112、122分别固定地接合至相应的柄12a、12b,例如,每个爪框架112、122与相应的柄12a、12b形成为单个部件。一次性部件210、220分别可从爪框架112、122拆除,并且可更换为新的一次性部件210、220,例如,一次性部件构造成在单次使用(或单个程序)之后被丢弃和更换,而钳10的其余部件,例如爪框架112、122、柄12a、12b、12c、致动器140以及枢轴销150由可消毒的材料例如不锈钢形成,因此它们可以在每个程序之后进行消毒,例如放置于高压灭菌器中,以用于重复使用。可以理解的是,由于仅需要一套新的一次性部件210、220,而不需要全部新的外科器械,有助于降低与执行特定外科程序相关的设备成本。
现在参看图5A-5C,将描述爪构件110的一次性部件210。一次性部件210基本上包括绝缘的爪壳体211、绝缘体215和导电组织封闭板219。爪壳体211构造成机械地接合绝缘体215和组织封闭板219,例如按照与其可滑动卡合适配接合的方式接合,但是可以提供用于在绝缘体215和组织封闭板219周围可拆地固定爪壳体211的其它机构(未示出)。爪壳体211还包括一个或多个接合特征,例如柔性的卡合适配突起212,所述接合特征构造成将爪壳体211可拆地接合至爪构件110的爪框架112(参见图7)。更特别而言,爪壳体211的柔性的卡合适配突起212被构造成穿过在爪框架112内限定的互补形状的孔113插入(参见图7)以便使得爪壳体211可以可拆地固定到爪框架112。此外,设置在爪壳体211上的突起212可以相对于彼此纵向地和侧向地偏移,以便使得一旦一次性部件210接合至爪框架112之后,一次性部件210相对于爪框架112的倾斜、旋转或其它运动基本上被阻止。
在7中看得最清楚,在装配期间,爪壳体211的柔性的卡合适配突起212与爪框架112的孔113对准。接着,爪壳体211和爪框架112相对于彼此接近,直到设置在爪壳体211的柔性的卡合适配突起212的自由端上的接头213卡合进入与限定在爪框架112的孔113的内表面内的槽口114的接合。可以提供听觉的和/或触觉的“卡合信号”或其它反馈信号,以便向使用者警示爪壳体211已经牢固地接合在爪框架112内。
为了使爪壳体211从爪框架112脱离接合,利用足够的力将爪壳体211和爪框架112彼此拉离,以便使得爪壳体211的柔性的卡合适配突起212的接头213从爪框架112的孔113的槽口114脱离接合,容许爪壳体211被从爪框架112移除。与上述类似地,可以用听觉的和/或触觉的“卡合信号”或其它反馈信号向使用者警示爪壳体211已经从爪框架112脱离接合。
继续参看图5A-5C,绝缘体215至少部分地由电绝缘的材料形成并且构造成使组织封闭板219与爪构件110的其余部件电隔离。绝缘体215能可滑动地设置在爪壳体211内并且被构造成在其上机械地接合组织封闭板219。此外,绝缘体215可包括一个或多个向近侧延伸的凸缘216,所述凸缘构造成在一旦绝缘体215和阻止封闭板219已经可滑动地设置在爪壳体211内之后,接合限定在爪壳体211内的对应槽214,以便在爪壳体211内牢固地接合组织封闭板219和绝缘体215。绝缘体215的近侧基部217构造成抵靠组织封闭板219的近侧端部,以便一旦绝缘体215的凸缘216已经接合在限定于爪壳体211内的槽214内之后,使组织封闭板219在爪壳体211内保持就位。另外,绝缘体215可以至少部分地由可压缩材料例如硅形成,所述可压缩材料例如在绝缘体215插入爪壳体211时被从初始状态压缩至压缩状态,以便使得绝缘体215和组织封闭板219也可以通过摩擦保持在爪壳体211内,例如在推动绝缘体215返向初始状态的绝缘体215的偏置力作用下实现。
如上所述,导电组织封闭板219被设置在绝缘体215周围。组织封闭板219包括从其延伸的侧向凸缘231,所述侧向凸缘构造成将组织封闭板219电连接至电外科能量源,例如电外科发电机(未示出),例如经由电外科缆线(未示出)连接。如下文更详细地描述的,爪构件120的一次性部件220可以类似地包括导电组织封闭板229(参见图6A-6F),以便使得电外科能量可以按照选择供向爪构件110、120各自的一次性部件210、220的导电组织封闭板219、229中的任一个或两个,以封闭在爪构件110和120之间抓持的组织。此外,组织封闭板219、229中的任一个(或两个)可以分别包括侧向凸缘231、233,所述侧向凸缘构造成将组织封闭板219、229连接至能源以便向其供应能量。替代地,可以设置用于将组织封闭板219电联接至能源的其它适当机构(未示出)。
继续参看图5A-5C,爪构件110的一次性部件210的组织封闭板219可以包括在其中限定的纵向地延伸的刀片通道235。刀片通道235被构造成在刀片261运动到延伸位置(图9)时,允许刀片例如刀组件260的刀片261(参见6E和6F)穿过其中经过。刀片通道235还可以被构造成在刀片261延伸穿过其中时便于和/或增强对组织的切割。绝缘体215可类似地包括在其中限定并且纵向地穿过其中延伸的刀片通道218。绝缘体215的刀片通道218允许刀片261(图6E和6F)朝向延伸位置进一步延伸,如下文更详细地描述的。
继续参看图5A-5C,爪构件110的一次性部件210可以预装配,例如爪壳体211、绝缘体215和组织封闭板219可以在制造期间彼此接合,或者可以构造成由使用者装配。在任一实施例中,一次性部件210和/或其子部件(例如爪壳体211、绝缘体215和/或组织封闭板219)可以限定各种构造以便使得使用者可以选择适合于要执行的特定外科程序的特定一次性部件210(或者其子部件)。例如,不同的一次性部件210(或者其子部件)可以构造成限定各种尺寸,可以由多种材料形成,和/或可以具有各种其它特征以便于实现各种各样的组织尺寸和组成的通过机械、电或者摩擦方式进行的组织切开和/或组织封闭。此外,组织封闭板219可包括在其中限定的刀片通道235,或者可构造为例如其中不具有刀片通道235的连续的封闭板219。也可设想其它变型。更一般地说,构造用于钳10的不同一次性部件210的互换性允许使用者通过选择适合于特定外科程序的特定一次性部件210(或者其子部件)而定制钳10以用于各种各样的外科程序。可以理解的是,这样的构造降低了执行各种各样的外科程序所需的不同外科器械的总体数量,从而有助于降低总体设备成本,这又有助于降低与特定外科程序相关的成本。
现在来看图6A-6F,将描述爪构件120的一次性部件220。爪构件120的一次性部件220包括绝缘的爪壳体221、刀组件260和组织封闭板229。爪壳体221类似于爪构件110的一次性部件210的爪壳体211,并且被构造成以与其可滑动卡合适配接合的方式机械地接合刀组件260和组织封闭板229,但是可以设想使用其它机构(未示出)。类似于爪壳体211,爪壳体221还包括一个或多个柔性的卡合适配突起222,所述卡合适配突起构造成将爪壳体221可拆地接合至爪构件120的爪框架122(参见图7)。可以提供听觉的和/或触觉的“卡合信号”或其它反馈信号以便向使用者警示爪壳体221和爪框架122的接合(或者脱离接合)情况。此外,在图6C、6D和6F中看得最清楚,爪壳体221形成马蹄形或U形构造以便限定穿过其中的伸长孔223。
继续参看图6A-6F,并且特别参看图6E和6F,刀组件260至少部分地由电绝缘的材料形成并且包括近侧基部262、从近侧基部262向远侧延伸的马蹄形的框架263和接合至马蹄形的框架263并从马蹄形的框架263悬垂的弹性地可弯曲的主体264。刀组件214的弹性地可弯曲的主体可由弹性地可弯曲的电绝缘的材料例如硅形成。刀片261例如通过注射模制或其它适当的接合方式接合在弹性地可弯曲的主体264内,并且沿其纵向地延伸。更特别而言,刀组件260的弹性地可弯曲的主体264限定伸长的“V”形构造,其沿着马蹄形的框架263的外周边接合至马蹄形的框架263并从马蹄形的框架263悬垂。刀片261在“V”形主体264的槽部265上居中设置并且从其向上延伸以便限定切削刃266。弹性地可弯曲的主体264使刀片261朝向初始位置偏置,如图7中所示,其中弹性地可弯曲的主体264的槽部265和刀片261向下延伸穿过刀组件260的马蹄形的框架263和伸长孔223,所述伸长孔223穿过马蹄形的爪壳体221限定。如下文更详细地描述的,弹性地可弯曲的主体和进而刀片261在初始位置和延伸位置之间运动以便切割在爪构件110、120之间抓持的组织。
继续参看图6A-6F,组织封闭板229可置于刀组件260周围。更特别而言,组织封闭板229构造成安放于刀组件260的弹性地可弯曲的主体264之上,以便使得刀片261与穿过组织封闭板229限定的纵向地延伸的刀片通道237对准,并且使得组织封闭板229的近侧端部抵靠刀组件260的近侧基部262。可以理解的是,刀片通道237构造成允许刀组件260的刀片261穿过其中延伸。此外,刀片通道237可以构造成在刀片261延伸穿过其中期间便于和/或增强对组织的切割。如上所述,组织封闭板229还可包括侧向凸缘233,所述侧向凸缘适于将组织封闭板229连接至电外科能量源,所述电外科能量源用于对爪构件110、120各自的组织封闭板219、229供能。爪壳体221和/或组织封闭板229可以以其它方式构造,类似于如上所述的爪构件110的一次性部件210的爪壳体211和组织封闭板219(参见图5A-5C)。
在图6D中看得最清楚,在组织封闭板229设置在刀组件260周围的情况下,刀组件260和组织封闭板229可以可滑动地定位在爪壳体221内。在将刀组件260和组织封闭板229可滑动地定位在爪壳体221内时,刀组件260的近侧基部262的向近侧延伸的凸缘267可以构造成接合限定在爪壳体221内的对应槽224,以便将刀组件260牢固地接合在爪壳体221内,而刀组件260的近侧基部262抵靠组织封闭板229的近侧端部以便将组织封闭板229保持就位在爪壳体221内。另外,刀组件260的主体部分264和/或框架263可至少部分地由可压缩材料形成,其在将刀组件260插入爪壳体221时被压缩,以便使得刀组件260和组织封闭板229也通过摩擦保持在爪壳体221内。此外,如上所述,在装配状态中,刀组件260的弹性地可弯曲的主体264的槽部265和刀组件260的刀片261在弹性地可弯曲的主体264的偏置作用下被偏置,以便向下至少部分地穿过刀组件260的马蹄形的框架263和限定在马蹄形的爪壳体221内的伸长孔223延伸,在图6F中看得最清楚。
类似于如上所述的一次性部件210,一次性部件220可以预装配,例如一次性部件220可以在制造期间装配,或者可以构造成由使用者装配。在任一实施例中,类似于如上所述,一次性部件220和/或其子部件(例如爪壳体221、刀组件260和/或组织封闭板229)可以限定各种构造以便使得使用者可以选择适合于要执行的特定外科程序的特定一次性部件220(或者其子部件)。特别地,可提供不同刀组件260以便使得使用者可选择适合于要进行的特定外科程序的构造。例如,刀组件260的刀片261可包括各种不同的切割特征,例如锯齿状切削刃、弯曲部分、可加电部分、等等,这些切割特征构造成用于增强组织切割和/或特别是适于切割具有特定组成和/或尺寸的组织。可以理解的是,将刀组件260集成式于一次性部件220中不仅容许使用者选择特别构造的刀组件260以用于要进行的特定外科程序,而且提供了新的未使用的刀片162以每个程序。
现在来看图1-4和7-9,将会描述钳10的使用和操作。首先,对如图3-4中所示的钳10的可重复使用的部分进行消毒和/或准备以便使用(或重复使用)。接着,如图5A-7中所示,选择、装配特定的一次性部件210、220并且将其接合至爪构件110、120的相应爪框架112、122。
更特别而言,为了装配爪构件110的一次性部件210,如图5A-5C中所示,并且如上所述,将组织封闭板219设置在绝缘体215上以便使得组织封闭板219的近侧端部抵靠绝缘体215的近侧基部217。在图5C中看得最清楚,绝缘体215和组织封闭板219限定互补形状的构造以便使得,一旦组织封闭板219设置在绝缘体215周围之后,组织封闭板219和绝缘体215就相对于彼此保持于固定侧向取向。此外,当组织封闭板219置于219周围时,组织封闭板219的翼232构造成围绕组织封闭板219和绝缘体215两者的外周抵靠绝缘体215的外唇缘236,在图5C中看得最清楚。
在组织封闭板219设置在绝缘体215周围的情况下,如上所述,组织封闭板219和绝缘体215可滑动地接合在爪壳体211内。更特别而言,组织封闭板219的翼232和绝缘体215的外唇缘236从爪壳体211的近侧端部向爪壳体211的远侧端部向远侧滑动进入与限定在爪壳体211内的轨道238的接合,直到组织封闭板219和绝缘体215基本上完全地设置在爪壳体211内,并且使得绝缘体215的凸缘216接合爪壳体211的槽214,从而将组织封闭板219、绝缘体215和爪壳体211彼此固定。此外,在这种构造中,通过翼232在爪壳体211的轨道238内的接合来阻止组织封闭板219升高或从爪壳体211脱离接合。换句话说,爪壳体211将绝缘体215和组织封闭板219固定在其中。另外地或替代地,如上所述,绝缘体215可以由可弹性地压缩的材料形成,其被例如从初始状态压缩至压缩状态,以便容许绝缘体215和组织封闭板219可滑动地插入爪壳体211的轨道238。相应地,一旦绝缘体215和组织封闭板219设置在爪壳体211内之后,绝缘体215、组织封闭板219和爪壳体211在绝缘体215的偏置作用下通过摩擦彼此固定,例如因为绝缘体215试图弹性地返回至初始不压缩状态。
现在参看图6A-6F,将描述一次性部件220的装配。首先,如上所述,将组织封闭板229设置在刀组件260的可弯曲的主体264之上,以便使得刀片261与穿过组织封闭板229限定的纵向地延伸的刀片通道237竖直地对准,并且使得组织封闭板229的近侧端部抵靠刀组件260的近侧基部262。接着,将刀组件260和组织封闭板229可滑动地插入爪壳体221中。更特别而言,抵靠的封闭板229的翼234和刀组件260的外唇缘269通过限定在爪壳体221内的轨道224滑动,直到刀组件260的近侧基部262的向近侧延伸的凸缘267接合限定在爪壳体221内的对应槽224,以便将刀组件260牢固地接合在爪壳体221内。在装配状态中,在图6F中看得最清楚,刀组件260的刀片261与马蹄形的爪壳体221的伸长孔223和限定在封闭板229内的刀片通道237竖直地对准。如上所述,刀组件260和封闭板229也可通过摩擦保持接合在爪壳体221内,例如,在刀组件260的主体部分264和/或框架263由可弹性地压缩的材料(其在将刀组件260插入爪壳体221中时被从初始状态压缩至压缩状态)形成的实施例中。
在爪构件110、120的一次性部件210、220完全地装配的情况下,如上所述,一次性部件210、220可以卡合适配地接合至它们的相应爪框架112、122,以便完成钳10的装配。替代地,爪壳体211可以构造成用于在绝缘体215和组织封闭板219以及爪框架112周围可滑动地设置,以便将一次性部件210固定至爪框架112(与如上所述的卡合适配结构相反)。换句话说,绝缘体215和组织封闭板219可首先设置在爪框架112上,其中爪壳体211随后滑动安装在其周围,以便将爪构件110的绝缘体215、组织封闭板219和爪框架112固定至彼此。类似地,爪壳体221可构造成用于可滑动地设置在爪组件260、封闭板219和爪框架122周围以便将爪构件120的部件固定至彼此。在任一实施例中,一次性部件220都被接合至爪构件120的爪框架122以便使得刀片261也与致动器槽142和进而与致动器140对准,其中所述刀片261与马蹄形的爪壳体221的伸长孔223和封闭板229的刀片通道237两者对准。
这时(或之前),可以将电外科能量源(未示出)联接至爪构件110、120各自的组织封闭板219和/或组织封闭板229,例如通过电外科缆线(未示出)联接,所述电外科缆线在第一端联接至能源(未示出)而在第二端联接至组织封闭板219、229各自的侧向凸缘231和/或侧向凸缘233。然而,电连接件可以替代地构造成穿过任一柄12a、12b,或者可以以其它方式构造成用于经由任意其它适当的机构供应能量至组织封闭板219、229。在一次性部件210、220牢固地接合至相应爪构件110、120的情况下(并且在电连接完整的情况下),钳10就绪以备使用。
现在参看图1和2,首先参看图1,柄12a和12b彼此相离地运动,以便使得分别设置在柄12a和12b的远侧端部14a、14b的爪构件110、120运动至隔开位置。这时,联接至致动器140的柄12c置于第一位置,以便使得致动器140置于未致动位置,例如以便使得致动器140置于限定在爪框架112内的致动器槽142内,在图3中看得最清楚。
在爪构件110、120设置于隔开位置的情况下,如图1中所示,可以将钳10操纵入位以便使得要抓持、封闭和/或分开的组织置于爪构件110、120之间。一旦组织根据需要就位之后,柄12a和12b可以朝向彼此运动,以便使爪构件110、120朝向接近位置绕着枢轴销150枢转,从而在爪构件110、120各自的一次性部件210、220的组织封闭板219、229之间抓持组织,如图2和7中看得最清楚。柄12a和12b可以相对于彼此接近以便按照选择接合棘齿30以使得使用者可以控制施加到在爪构件110、120之间抓持的组织的闭合力。接着,使用者可以按照选择施加电外科能量至爪构件110和120各自的导电组织封闭板219和229,以便封闭在爪构件110、120之间抓持的组织。
一旦在爪构件110、120之间抓持的组织已经被封闭,或者在只期望切割组织的实施例中,可以使致动器140致动以便将刀片261推进至延伸位置以切割在爪构件110、120之间抓持的组织。首先,如图7-8中所示,并且如上所述,致动器140置于未致动位置,其中致动器140置于限定在爪框架122内的致动器槽142内。在这个位置,在弹性地可弯曲的主体264的偏置作用下,刀组件260的刀片261保持置于初始位置。这样,刀片261保持置于爪壳体221内,例如刀片261并不延伸穿过组织封闭板229的刀片通道237。
为了使刀片261从初始位置运动至延伸位置以切割在爪构件110、120之间抓持的组织,使第三柄12c朝向柄12a和12b运动,例如从第一位置运动至第二位置。随着第三柄12c相对于柄12a和12b从第一位置运动到第二位置,140绕着枢轴销150并且相对于爪构件120的爪框架122朝向爪构件120的一次性部件220枢转,例如从未致动位置朝向致动位置枢转。在图9中看得最清楚,在柄12c朝向第二位置运动时,致动器140从限定于爪框架122内的致动器槽142延伸,最终接触爪构件120的一次性部件220的刀组件260的弹性地可弯曲的主体264。更特别而言,致动器140在刀片261直接下方接触刀组件260的弹性地可弯曲的主体264,例如在“V”形的弹性地可弯曲的主体264的槽部265处接触。
继续参看图9,在致动器140朝向致动位置进一步运动时,例如在柄12c朝向柄12a和12b进一步运动时,致动器140推动刀组件260的弹性地可弯曲的主体264的槽部265并且进而推动刀片261,克服弹性地可弯曲的主体264的偏置作用,从初始位置推至延伸位置,以便使得刀片261穿过组织封闭板229的刀片通道237向上平移。随着刀片261穿过组织封闭板229的刀片通道237向上平移,刀片261的切削刃266穿过在爪构件110、120之间抓持的组织推进以便分开组织。致动器140可以构造成用于从爪构件120推动刀片261,完全地穿过在爪构件110、120之间抓持的组织,并且进入爪构件110的组织封闭板219和绝缘体215各自的刀片通道235、218,以帮助保证在爪构件110、120之间抓持的组织已经被完全地分开。随后,在第三柄12c返回至第一位置时,致动器140返回至在爪框架122的致动器槽142内的未致动位置,以便在刀组件260的弹性地可弯曲的主体264的偏置作用下使得刀片261返回至在爪构件120的爪壳体221内的初始位置。爪构件110、120于是可返回至隔开位置从而释放已封闭和分开的组织并且钳10可以从外科手术部位移除。
在外科程序完成时,可以从爪构件110、120各自的爪框架112、122移除一次性部件210、220,并且丢弃。随后可对钳10进行消毒并且装载新的一次性部件210、220以用于随后使用。
根据上文并且参考各个附图,本发明所属领域的普通技术人员将会理解还可对本发明做出某些改动而不脱离本发明的范围。虽然在附图中示出了本发明的几个实施例,但并非意欲将本发明限制于此,因为本发明应具有所属领域所允许的尽可能宽的范围,并且说明书也应同样理解。因此,以上说明不应解释为限制性的,而仅仅是特定实施例的示例。本发明所属领域的普通技术人员将会想到在所附权利要求书的范围和精神内的其他变型。
Claims (13)
1.一种钳,所述钳包括:
第一柄构件和第二柄构件,第一柄构件和第二柄构件每个具有置于其远侧端部处的爪构件,第一爪构件和第二爪构件中的至少一个能在隔开位置与接近位置之间相对于另一个运动以便在其间抓持组织,所述第一爪构件包括:
固定地接合至第一柄构件的爪框架;和
能可拆地与第一爪框架接合的一次性组件,所述一次性组件包括:
一次性爪壳体;
支承于一次性爪壳体内的弹性地可弯曲的构件;和
刀,所述刀接合至弹性地可弯曲的构件,所述刀被朝向初始位置偏置,其中在初始位置,刀置于爪壳体内,随着弹性地可弯曲的构件发生弯曲,刀能在初始位置与延伸位置之间运动,其中在延伸位置,刀至少部分地从爪壳体延伸,以便切割在第一爪构件和第二爪构件之间抓持的组织。
2.根据权利要求1所述的钳,还包括置于爪框架内的致动器,所述致动器能按照选择从未致动位置运动至致动位置,以便使弹性地可弯曲的构件发生弯曲,从而使刀从初始位置运动至延伸位置。
3.根据权利要求2所述的钳,还包括第三柄构件,所述第三柄构件联接至致动器并且从其向近侧延伸,第三柄构件能在第一位置与第二位置之间运动以便使致动器在未致动位置与致动位置之间运动。
4.根据权利要求1所述的钳,还包括接合至爪壳体的封闭板,所述封闭板包括至少部分地穿过其中限定的纵向地延伸的刀通道,所述刀通道构造成在刀从初始位置运动到延伸位置时允许刀穿过其中经过。
5.根据权利要求4所述的钳,其中封闭板适于连接至电外科能量源,以便通过在第一爪构件和第二爪构件之间抓持的组织传导能量。
6.根据权利要求1所述的钳,其中第二爪构件包括:
固定地接合至第二柄构件的爪框架;和
能与爪框架可拆地接合的一次性爪壳体。
7.根据权利要求6所述的钳,其中第二爪构件还包括接合至爪壳体的封闭板。
8.根据权利要求7所述的钳,其中第二爪构件的封闭板包括至少部分地穿过其中限定的纵向地延伸的刀片通道,第二爪构件的刀片通道构造成在刀片运动到延伸位置时使刀片穿过其中经过。
9.根据权利要求1所述的钳,其中爪壳体包括至少一个接合特征,所述至少一个接合特征构造成可拆地接合在爪框架内限定的互补接合特征。
10.一种构造成用于可拆地接合钳的端部受动器组件的一次性组件,所述一次性组件包括:
爪壳体,所述爪壳体能可拆地与端部受动器组件的爪框架接合;
封闭板,所述封闭板接合至爪壳体,所述封闭板包括至少部分地穿过其中限定的纵向地延伸的刀通道;
支承于爪壳体内的弹性地可弯曲的构件;以及
刀,所述刀接合至弹性地可弯曲的构件,所述刀被朝向初始位置偏置,其中在初始位置中,刀置于爪壳体内,随着弹性地可弯曲的构件发生弯曲,所述刀能在初始位置与延伸位置之间运动,其中在延伸位置中,刀至少部分地穿过封闭板的刀通道延伸。
11.根据权利要求10所述的一次性组件,其中所述封闭板适于连接至电外科能量源,以便通过组织传导能量。
12.根据权利要求10所述的一次性组件,其中所述钳包括置于爪框架内的致动器,致动器能按照选择从未致动位置运动至致动位置以便使刀从初始位置运动至延伸位置。
13.根据权利要求10所述的一次性组件,其中爪壳体包括至少一个接合特征,所述至少一个接合特征构造成可拆地接合在爪框架内限定的互补接合特征。
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Families Citing this family (104)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7364577B2 (en) | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
WO2002080796A1 (en) | 2001-04-06 | 2002-10-17 | Sherwood Services Ag | Vessel sealer and divider with non-conductive stop members |
US7628791B2 (en) | 2005-08-19 | 2009-12-08 | Covidien Ag | Single action tissue sealer |
US8298232B2 (en) | 2006-01-24 | 2012-10-30 | Tyco Healthcare Group Lp | Endoscopic vessel sealer and divider for large tissue structures |
US8114122B2 (en) | 2009-01-13 | 2012-02-14 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8858547B2 (en) | 2009-03-05 | 2014-10-14 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
US8187273B2 (en) | 2009-05-07 | 2012-05-29 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8430876B2 (en) | 2009-08-27 | 2013-04-30 | Tyco Healthcare Group Lp | Vessel sealer and divider with knife lockout |
US8133254B2 (en) | 2009-09-18 | 2012-03-13 | Tyco Healthcare Group Lp | In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor |
US8112871B2 (en) | 2009-09-28 | 2012-02-14 | Tyco Healthcare Group Lp | Method for manufacturing electrosurgical seal plates |
US8568408B2 (en) * | 2011-04-21 | 2013-10-29 | Covidien Lp | Surgical forceps |
US8939972B2 (en) | 2011-05-06 | 2015-01-27 | Covidien Lp | Surgical forceps |
US8685009B2 (en) | 2011-05-16 | 2014-04-01 | Covidien Lp | Thread-like knife for tissue cutting |
US8852185B2 (en) | 2011-05-19 | 2014-10-07 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US9615877B2 (en) | 2011-06-17 | 2017-04-11 | Covidien Lp | Tissue sealing forceps |
US8745840B2 (en) | 2011-07-11 | 2014-06-10 | Covidien Lp | Surgical forceps and method of manufacturing thereof |
US9039732B2 (en) * | 2011-07-11 | 2015-05-26 | Covidien Lp | Surgical forceps |
US8852186B2 (en) | 2011-08-09 | 2014-10-07 | Covidien Lp | Microwave sensing for tissue sealing |
US8685056B2 (en) * | 2011-08-18 | 2014-04-01 | Covidien Lp | Surgical forceps |
US8845636B2 (en) | 2011-09-16 | 2014-09-30 | Covidien Lp | Seal plate with insulation displacement connection |
US8864795B2 (en) | 2011-10-03 | 2014-10-21 | Covidien Lp | Surgical forceps |
US8968309B2 (en) | 2011-11-10 | 2015-03-03 | Covidien Lp | Surgical forceps |
US8968310B2 (en) | 2011-11-30 | 2015-03-03 | Covidien Lp | Electrosurgical instrument with a knife blade lockout mechanism |
US9113897B2 (en) | 2012-01-23 | 2015-08-25 | Covidien Lp | Partitioned surgical instrument |
US8968360B2 (en) | 2012-01-25 | 2015-03-03 | Covidien Lp | Surgical instrument with resilient driving member and related methods of use |
US8747434B2 (en) | 2012-02-20 | 2014-06-10 | Covidien Lp | Knife deployment mechanisms for surgical forceps |
US8961514B2 (en) * | 2012-03-06 | 2015-02-24 | Covidien Lp | Articulating surgical apparatus |
US8752264B2 (en) | 2012-03-06 | 2014-06-17 | Covidien Lp | Surgical tissue sealer |
US9375282B2 (en) | 2012-03-26 | 2016-06-28 | Covidien Lp | Light energy sealing, cutting and sensing surgical device |
US9265569B2 (en) | 2012-03-29 | 2016-02-23 | Covidien Lp | Method of manufacturing an electrosurgical forceps |
US9820765B2 (en) | 2012-05-01 | 2017-11-21 | Covidien Lp | Surgical instrument with stamped double-flange jaws |
US9668807B2 (en) | 2012-05-01 | 2017-06-06 | Covidien Lp | Simplified spring load mechanism for delivering shaft force of a surgical instrument |
US8968311B2 (en) | 2012-05-01 | 2015-03-03 | Covidien Lp | Surgical instrument with stamped double-flag jaws and actuation mechanism |
US9039731B2 (en) | 2012-05-08 | 2015-05-26 | Covidien Lp | Surgical forceps including blade safety mechanism |
US9375258B2 (en) | 2012-05-08 | 2016-06-28 | Covidien Lp | Surgical forceps |
US9265566B2 (en) | 2012-10-16 | 2016-02-23 | Covidien Lp | Surgical instrument |
US9572622B2 (en) * | 2012-12-10 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Bipolar electrosurgical features for targeted hemostasis |
JP5988868B2 (ja) * | 2012-12-27 | 2016-09-07 | オリンパス株式会社 | 治療用処置装置 |
AU2013397838B2 (en) | 2013-08-07 | 2018-08-16 | Covidien Lp | Bipolar surgical instrument with tissue stop |
CA2918484C (en) | 2013-08-07 | 2020-08-25 | Covidien Lp | Bipolar surgical instrument |
AU2015264858B2 (en) * | 2013-08-07 | 2018-03-01 | Covidien Lp | Bipolar surgical instrument |
JP6099231B2 (ja) | 2013-08-07 | 2017-03-22 | コヴィディエン リミテッド パートナーシップ | 双極外科手術器具 |
US20150051599A1 (en) * | 2013-08-16 | 2015-02-19 | Covidien Lp | Limited-use medical device |
EP3351198B1 (de) | 2013-09-10 | 2019-08-14 | Erbe Elektromedizin GmbH | Instrument zur gefässversiegelung |
USD788302S1 (en) | 2013-10-01 | 2017-05-30 | Covidien Lp | Knife for endoscopic electrosurgical forceps |
US10413290B1 (en) * | 2013-12-30 | 2019-09-17 | Kearny Quinn Robert, III | Combined needle holder scissors |
US9918785B2 (en) | 2014-09-17 | 2018-03-20 | Covidien Lp | Deployment mechanisms for surgical instruments |
US9987076B2 (en) | 2014-09-17 | 2018-06-05 | Covidien Lp | Multi-function surgical instruments |
US10039592B2 (en) | 2014-09-17 | 2018-08-07 | Covidien Lp | Deployment mechanisms for surgical instruments |
US9974603B2 (en) | 2014-09-17 | 2018-05-22 | Covidien Lp | Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly |
US10080605B2 (en) | 2014-09-17 | 2018-09-25 | Covidien Lp | Deployment mechanisms for surgical instruments |
EP3219275A4 (en) * | 2014-11-11 | 2018-07-11 | Olympus Corporation | Treatment instrument and treatment system |
US10357311B2 (en) | 2014-12-19 | 2019-07-23 | Ethicon Llc | Electrosurgical instrument with removable jaw components |
US10172612B2 (en) | 2015-01-21 | 2019-01-08 | Covidien Lp | Surgical instruments with force applier and methods of use |
US9861429B2 (en) | 2015-03-26 | 2018-01-09 | Covidien Lp | Mechanical cutting system for surgical forceps |
EP3075340B1 (de) * | 2015-03-30 | 2023-08-02 | Erbe Elektromedizin GmbH | Gewebeschere für biologisches Gewebe |
USD844139S1 (en) | 2015-07-17 | 2019-03-26 | Covidien Lp | Monopolar assembly of a multi-function surgical instrument |
USD844138S1 (en) | 2015-07-17 | 2019-03-26 | Covidien Lp | Handle assembly of a multi-function surgical instrument |
US10631918B2 (en) | 2015-08-14 | 2020-04-28 | Covidien Lp | Energizable surgical attachment for a mechanical clamp |
WO2017031712A1 (en) | 2015-08-26 | 2017-03-02 | Covidien Lp | Electrosurgical end effector assemblies and electrosurgical forceps configured to reduce thermal spread |
US10426543B2 (en) | 2016-01-23 | 2019-10-01 | Covidien Lp | Knife trigger for vessel sealer |
US10537381B2 (en) | 2016-02-26 | 2020-01-21 | Covidien Lp | Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly |
US10869682B2 (en) | 2016-07-08 | 2020-12-22 | Covidien Lp | Cutting mechanisms for surgical end effector assemblies, instruments, and systems |
US10631887B2 (en) | 2016-08-15 | 2020-04-28 | Covidien Lp | Electrosurgical forceps for video assisted thoracoscopic surgery and other surgical procedures |
US11007003B2 (en) * | 2016-11-17 | 2021-05-18 | Covidien Lp | Surgical instruments and methods of manufacturing surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US10813695B2 (en) | 2017-01-27 | 2020-10-27 | Covidien Lp | Reflectors for optical-based vessel sealing |
WO2018165808A1 (en) * | 2017-03-13 | 2018-09-20 | Covidien Lp | Electrosurgical instrument with trigger driven cutting function |
US11224511B2 (en) | 2017-04-18 | 2022-01-18 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US11172980B2 (en) | 2017-05-12 | 2021-11-16 | Covidien Lp | Electrosurgical forceps for grasping, treating, and/or dividing tissue |
US10973567B2 (en) | 2017-05-12 | 2021-04-13 | Covidien Lp | Electrosurgical forceps for grasping, treating, and/or dividing tissue |
US10653475B2 (en) | 2017-06-08 | 2020-05-19 | Covidien Lp | Knife lockout for electrosurgical forceps |
USD843574S1 (en) | 2017-06-08 | 2019-03-19 | Covidien Lp | Knife for open vessel sealer |
USD854684S1 (en) | 2017-06-08 | 2019-07-23 | Covidien Lp | Open vessel sealer with mechanical cutter |
USD854149S1 (en) | 2017-06-08 | 2019-07-16 | Covidien Lp | End effector for open vessel sealer |
US11154348B2 (en) | 2017-08-29 | 2021-10-26 | Covidien Lp | Surgical instruments and methods of assembling surgical instruments |
US10136993B1 (en) | 2018-01-09 | 2018-11-27 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10238493B1 (en) | 2018-01-09 | 2019-03-26 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10123873B1 (en) | 2018-01-09 | 2018-11-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10245144B1 (en) | 2018-01-09 | 2019-04-02 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10159570B1 (en) | 2018-01-09 | 2018-12-25 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10076415B1 (en) * | 2018-01-09 | 2018-09-18 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10111751B1 (en) | 2018-01-09 | 2018-10-30 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10507109B2 (en) | 2018-01-09 | 2019-12-17 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10105222B1 (en) | 2018-01-09 | 2018-10-23 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US10231837B1 (en) | 2018-01-09 | 2019-03-19 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
US11241275B2 (en) | 2018-03-21 | 2022-02-08 | Covidien Lp | Energy-based surgical instrument having multiple operational configurations |
CN108652709B (zh) * | 2018-03-29 | 2020-10-23 | 鄂东医疗集团市中心医院(市普爱医院湖北理工学院附属医院) | 一种肿瘤科专用多功能手术刀 |
US11123132B2 (en) | 2018-04-09 | 2021-09-21 | Covidien Lp | Multi-function surgical instruments and assemblies therefor |
US11389297B2 (en) | 2018-04-12 | 2022-07-19 | Edwards Lifesciences Corporation | Mitral valve spacer device |
US10780544B2 (en) | 2018-04-24 | 2020-09-22 | Covidien Lp | Systems and methods facilitating reprocessing of surgical instruments |
US10828756B2 (en) | 2018-04-24 | 2020-11-10 | Covidien Lp | Disassembly methods facilitating reprocessing of multi-function surgical instruments |
CN109091204B (zh) * | 2018-06-06 | 2020-12-08 | 王付星 | 一种方便更换刀片的外科手术皮下组织分离微创手术刀 |
US11457978B2 (en) * | 2018-06-18 | 2022-10-04 | Stryker Corporation | Radiofrequency probe and methods of use and manufacture of same |
US10945844B2 (en) | 2018-10-10 | 2021-03-16 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
US11376062B2 (en) | 2018-10-12 | 2022-07-05 | Covidien Lp | Electrosurgical forceps |
US11471211B2 (en) | 2018-10-12 | 2022-10-18 | Covidien Lp | Electrosurgical forceps |
US11350982B2 (en) | 2018-12-05 | 2022-06-07 | Covidien Lp | Electrosurgical forceps |
BE1026542B1 (nl) * | 2018-12-21 | 2020-03-09 | Annalyn Garcia | Chirurgisch instrument |
US11523861B2 (en) * | 2019-03-22 | 2022-12-13 | Covidien Lp | Methods for manufacturing a jaw assembly for an electrosurgical forceps |
US11382685B2 (en) * | 2019-06-27 | 2022-07-12 | Covidien Lp | Electrosurgical forceps |
CN110403676A (zh) * | 2019-08-29 | 2019-11-05 | 苏州碧利医疗科技有限公司 | 一种可拆卸显微剪 |
US11622804B2 (en) | 2020-03-16 | 2023-04-11 | Covidien Lp | Forceps with linear trigger mechanism |
US11660109B2 (en) | 2020-09-08 | 2023-05-30 | Covidien Lp | Cutting elements for surgical instruments such as for use in robotic surgical systems |
US11925406B2 (en) | 2020-09-14 | 2024-03-12 | Covidien Lp | End effector assemblies for surgical instruments |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6174309B1 (en) * | 1999-02-11 | 2001-01-16 | Medical Scientific, Inc. | Seal & cut electrosurgical instrument |
CN2659367Y (zh) * | 2003-11-27 | 2004-12-01 | 杭州大力神医疗器械有限公司 | 痔疮治疗钳 |
EP1645238A1 (en) * | 2004-10-08 | 2006-04-12 | Sherwood Services AG | Mechanism for dividing tissue in a hemostat-style instrument |
CN101184445A (zh) * | 2005-05-25 | 2008-05-21 | 佳乐医疗公司 | 手术器械 |
Family Cites Families (249)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SU401367A1 (ru) | 1971-10-05 | 1973-10-12 | Тернопольский государственный медицинский институт | Биактивный электрохирургическнп инструмент |
DE2415263A1 (de) | 1974-03-29 | 1975-10-02 | Aesculap Werke Ag | Chirurgische hf-koagulationssonde |
DE2514501A1 (de) | 1975-04-03 | 1976-10-21 | Karl Storz | Bipolares coagulationsinstrument fuer endoskope |
FR2315286A2 (fr) | 1975-06-26 | 1977-01-21 | Lamidey Marcel | Pince a dissequer, hemostatique, haute frequence |
USD249549S (en) | 1976-10-22 | 1978-09-19 | Aspen Laboratories, Inc. | Electrosurgical handle |
JPS55106A (en) | 1978-05-01 | 1980-01-05 | Bii Uiriamusu Jiyun Kuraarensu | Kit for patient who artificial anus is formed |
USD263020S (en) | 1980-01-22 | 1982-02-16 | Rau Iii David M | Retractable knife |
JPS58168310U (ja) | 1982-05-07 | 1983-11-10 | オリンパス光学工業株式会社 | 手術用顕微鏡の落下防止機構付支持装置 |
DE3328254A1 (de) | 1983-08-04 | 1985-02-21 | Siemens AG, 1000 Berlin und 8000 München | Schaltungsanordnung zum verstaerken bzw. daempfen von analogen eingangssignalen |
GB2161082B (en) | 1984-01-30 | 1986-12-03 | Kh Nii Obschei Neot Khirurg | Bipolar electric surgical instrument |
DE3423356C2 (de) | 1984-06-25 | 1986-06-26 | Berchtold Medizin-Elektronik GmbH & Co, 7200 Tuttlingen | Elektrochirurgisches Hochfrequenz-Schneidinstrument |
JPS6121797A (ja) | 1984-07-09 | 1986-01-30 | Matsushita Electric Ind Co Ltd | メタン発酵槽の運転法 |
US4657016A (en) | 1984-08-20 | 1987-04-14 | Garito Jon C | Electrosurgical handpiece for blades, needles and forceps |
JPH0211401Y2 (zh) | 1984-11-22 | 1990-03-22 | ||
USD299413S (en) | 1985-07-17 | 1989-01-17 | The Stanley Works | Folding pocket saw handle |
USD295893S (en) | 1985-09-25 | 1988-05-24 | Acme United Corporation | Disposable surgical clamp |
USD295894S (en) | 1985-09-26 | 1988-05-24 | Acme United Corporation | Disposable surgical scissors |
JPS6285078A (ja) | 1985-10-08 | 1987-04-18 | 池泉織物株式会社 | 絹織物の改質処理方法 |
JPH055106Y2 (zh) | 1986-02-28 | 1993-02-09 | ||
USD298353S (en) | 1986-05-06 | 1988-11-01 | Vitalmetrics, Inc. | Handle for surgical instrument |
JPH0540112Y2 (zh) | 1987-03-03 | 1993-10-12 | ||
JPS6424051A (en) | 1987-07-16 | 1989-01-26 | Meisho Koki Kk | Sheet glass having transparency pattern and its production |
DE8712328U1 (zh) | 1987-09-11 | 1988-02-18 | Jakoubek, Franz, 7201 Emmingen-Liptingen, De | |
JPH01147150A (ja) | 1987-12-04 | 1989-06-08 | Hitachi Ltd | 可変ベンチユリ気化器 |
IN177831B (zh) | 1989-07-13 | 1997-02-22 | Nat Res Dev | |
JP2806511B2 (ja) | 1990-07-31 | 1998-09-30 | 松下電工株式会社 | 合金系焼結体の製法 |
US5389102A (en) | 1990-09-13 | 1995-02-14 | United States Surgical Corporation | Apparatus and method for subcuticular stapling of body tissue |
US5190541A (en) | 1990-10-17 | 1993-03-02 | Boston Scientific Corporation | Surgical instrument and method |
JP2951418B2 (ja) | 1991-02-08 | 1999-09-20 | トキコ株式会社 | 試料液成分分析装置 |
US5324289A (en) | 1991-06-07 | 1994-06-28 | Hemostatic Surgery Corporation | Hemostatic bi-polar electrosurgical cutting apparatus and methods of use |
USD348930S (en) | 1991-10-11 | 1994-07-19 | Ethicon, Inc. | Endoscopic stapler |
USD349341S (en) | 1992-10-28 | 1994-08-02 | Microsurge, Inc. | Endoscopic grasper |
DE4303882C2 (de) | 1993-02-10 | 1995-02-09 | Kernforschungsz Karlsruhe | Kombinationsinstrument zum Trennen und Koagulieren für die minimal invasive Chirurgie |
JP3390041B2 (ja) | 1993-04-05 | 2003-03-24 | オリンパス光学工業株式会社 | 鉗 子 |
US6716232B1 (en) * | 1993-04-30 | 2004-04-06 | United States Surgical Corporation | Surgical instrument having an articulated jaw structure and a detachable knife |
GB9309142D0 (en) | 1993-05-04 | 1993-06-16 | Gyrus Medical Ltd | Laparoscopic instrument |
USD343453S (en) | 1993-05-05 | 1994-01-18 | Laparomed Corporation | Handle for laparoscopic surgical instrument |
USD354564S (en) | 1993-06-25 | 1995-01-17 | Richard-Allan Medical Industries, Inc. | Surgical clip applier |
US5693051A (en) | 1993-07-22 | 1997-12-02 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device with adaptive electrodes |
GB9322464D0 (en) | 1993-11-01 | 1993-12-22 | Gyrus Medical Ltd | Electrosurgical apparatus |
USD358887S (en) | 1993-12-02 | 1995-05-30 | Cobot Medical Corporation | Combined cutting and coagulating forceps |
DE4403252A1 (de) | 1994-02-03 | 1995-08-10 | Michael Hauser | Instrumentenschaft für die minimalinvasive Chirurgie |
GB9413070D0 (en) | 1994-06-29 | 1994-08-17 | Gyrus Medical Ltd | Electrosurgical apparatus |
USD384413S (en) | 1994-10-07 | 1997-09-30 | United States Surgical Corporation | Endoscopic suturing instrument |
GB9425781D0 (en) | 1994-12-21 | 1995-02-22 | Gyrus Medical Ltd | Electrosurgical instrument |
DE19506363A1 (de) | 1995-02-24 | 1996-08-29 | Frost Lore Geb Haupt | Verfahren zur nicht-invasiven Thermometrie in Organen unter medizinischen Hyperthermie- und Koagulationsbedingungen |
US5599350A (en) * | 1995-04-03 | 1997-02-04 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with coagulation feedback |
DE19515914C1 (de) | 1995-05-02 | 1996-07-25 | Aesculap Ag | Zangen- oder scherenförmiges chirurgisches Instrument |
US6293942B1 (en) | 1995-06-23 | 2001-09-25 | Gyrus Medical Limited | Electrosurgical generator method |
JPH1024051A (ja) | 1995-09-20 | 1998-01-27 | Olympus Optical Co Ltd | 切離機能付凝固鉗子 |
USH1745H (en) | 1995-09-29 | 1998-08-04 | Paraschac; Joseph F. | Electrosurgical clamping device with insulation limited bipolar electrode |
AU703455B2 (en) | 1995-10-20 | 1999-03-25 | Ethicon Endo-Surgery, Inc. | Self protecting knife for curved jaw surgical instruments |
US5755717A (en) * | 1996-01-16 | 1998-05-26 | Ethicon Endo-Surgery, Inc. | Electrosurgical clamping device with improved coagulation feedback |
DE19608716C1 (de) | 1996-03-06 | 1997-04-17 | Aesculap Ag | Bipolares chirurgisches Faßinstrument |
USD408018S (en) | 1996-03-12 | 1999-04-13 | Mcnaughton Patrick J | Switch guard |
USD416089S (en) | 1996-04-08 | 1999-11-02 | Richard-Allan Medical Industries, Inc. | Endoscopic linear stapling and dividing surgical instrument |
DE29616210U1 (de) | 1996-09-18 | 1996-11-14 | Winter & Ibe Olympus | Handhabe für chirurgische Instrumente |
US5923475A (en) | 1996-11-27 | 1999-07-13 | Eastman Kodak Company | Laser printer using a fly's eye integrator |
JP3836551B2 (ja) | 1996-12-04 | 2006-10-25 | ペンタックス株式会社 | 内視鏡用ホットバイオプシー鉗子 |
US5891142A (en) | 1996-12-06 | 1999-04-06 | Eggers & Associates, Inc. | Electrosurgical forceps |
USH1904H (en) | 1997-05-14 | 2000-10-03 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic method and device |
USH2037H1 (en) | 1997-05-14 | 2002-07-02 | David C. Yates | Electrosurgical hemostatic device including an anvil |
JP3986127B2 (ja) | 1997-08-06 | 2007-10-03 | オリンパス株式会社 | 内視鏡下手術器械 |
DE19738457B4 (de) | 1997-09-03 | 2009-01-02 | Celon Ag Medical Instruments | Verfahren und Vorrichtung für die In-vivo-Tiefenkoagulation biologischer Gewebevolumina bei gleichzeitiger Schonung der Gewebeoberfläche mit hochfrequentem Wechselstrom |
US5980510A (en) | 1997-10-10 | 1999-11-09 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount |
USD402028S (en) | 1997-10-10 | 1998-12-01 | Invasatec, Inc. | Hand controller for medical system |
US6050996A (en) | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
DE19751108A1 (de) | 1997-11-18 | 1999-05-20 | Beger Frank Michael Dipl Desig | Elektrochirurgisches Operationswerkzeug |
JPH11169381A (ja) | 1997-12-15 | 1999-06-29 | Olympus Optical Co Ltd | 高周波処置具 |
EP0923907A1 (en) | 1997-12-19 | 1999-06-23 | Gyrus Medical Limited | An electrosurgical instrument |
AU2769399A (en) * | 1998-02-17 | 1999-08-30 | James A. Baker Jr. | Radiofrequency medical instrument for vessel welding |
USD425201S (en) | 1998-10-23 | 2000-05-16 | Sherwood Services Ag | Disposable electrode assembly |
USD449886S1 (en) | 1998-10-23 | 2001-10-30 | Sherwood Services Ag | Forceps with disposable electrode |
USD424694S (en) | 1998-10-23 | 2000-05-09 | Sherwood Services Ag | Forceps |
US7267677B2 (en) * | 1998-10-23 | 2007-09-11 | Sherwood Services Ag | Vessel sealing instrument |
US7118570B2 (en) * | 2001-04-06 | 2006-10-10 | Sherwood Services Ag | Vessel sealing forceps with disposable electrodes |
DE19858512C1 (de) | 1998-12-18 | 2000-05-25 | Storz Karl Gmbh & Co Kg | Bipolares medizinisches Instrument |
US20030171747A1 (en) | 1999-01-25 | 2003-09-11 | Olympus Optical Co., Ltd. | Medical treatment instrument |
DE60002059T2 (de) | 1999-05-07 | 2004-02-19 | Emmet Joseph Howard Peter Andrews | Chirurgische zange |
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 |
GB9912625D0 (en) | 1999-05-28 | 1999-07-28 | Gyrus Medical Ltd | An electrosurgical generator and system |
GB9912627D0 (en) | 1999-05-28 | 1999-07-28 | Gyrus Medical Ltd | An electrosurgical instrument |
GB9913652D0 (en) | 1999-06-11 | 1999-08-11 | Gyrus Medical Ltd | An electrosurgical generator |
DE19940689A1 (de) | 1999-08-27 | 2001-04-05 | Storz Karl Gmbh & Co Kg | Bipolares medizinisches Instrument |
USD465281S1 (en) | 1999-09-21 | 2002-11-05 | Karl Storz Gmbh & Co. Kg | Endoscopic medical instrument |
US7887535B2 (en) * | 1999-10-18 | 2011-02-15 | Covidien Ag | Vessel sealing wave jaw |
JP4315557B2 (ja) | 2000-01-12 | 2009-08-19 | オリンパス株式会社 | 医療用処置具 |
DE10003020C2 (de) | 2000-01-25 | 2001-12-06 | Aesculap Ag & Co Kg | Bipolares Faßinstrument |
DE10027727C1 (de) | 2000-06-03 | 2001-12-06 | Aesculap Ag & Co Kg | Scheren- oder zangenförmiges chirurgisches Instrument |
DE10045375C2 (de) | 2000-09-14 | 2002-10-24 | Aesculap Ag & Co Kg | Medizinisches Instrument |
CA2426552C (en) | 2000-10-20 | 2009-07-14 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
USD453923S1 (en) | 2000-11-16 | 2002-02-26 | Carling Technologies, Inc. | Electrical rocker switch guard |
US20020111624A1 (en) | 2001-01-26 | 2002-08-15 | Witt David A. | Coagulating electrosurgical instrument with tissue dam |
US20020107517A1 (en) | 2001-01-26 | 2002-08-08 | Witt David A. | Electrosurgical instrument for coagulation and cutting |
USD466209S1 (en) | 2001-02-27 | 2002-11-26 | Visionary Biomedical, Inc. | Steerable catheter |
USD454951S1 (en) | 2001-02-27 | 2002-03-26 | Visionary Biomedical, Inc. | Steerable catheter |
WO2002080796A1 (en) * | 2001-04-06 | 2002-10-17 | Sherwood Services Ag | Vessel sealer and divider with non-conductive stop members |
USD457959S1 (en) | 2001-04-06 | 2002-05-28 | Sherwood Services Ag | Vessel sealer |
USD457958S1 (en) | 2001-04-06 | 2002-05-28 | Sherwood Services Ag | Vessel sealer and divider |
US7041102B2 (en) * | 2001-10-22 | 2006-05-09 | Surgrx, Inc. | Electrosurgical working end with replaceable cartridges |
US6676660B2 (en) | 2002-01-23 | 2004-01-13 | Ethicon Endo-Surgery, Inc. | Feedback light apparatus and method for use with an electrosurgical instrument |
US7033356B2 (en) * | 2002-07-02 | 2006-04-25 | Gyrus Medical, Inc. | Bipolar electrosurgical instrument for cutting desiccating and sealing tissue |
US7931649B2 (en) | 2002-10-04 | 2011-04-26 | Tyco Healthcare Group Lp | Vessel sealing instrument with electrical cutting mechanism |
USD493888S1 (en) | 2003-02-04 | 2004-08-03 | Sherwood Services Ag | Electrosurgical pencil with pistol grip |
USD499181S1 (en) | 2003-05-15 | 2004-11-30 | Sherwood Services Ag | Handle for a vessel sealer and divider |
WO2004103156A2 (en) * | 2003-05-15 | 2004-12-02 | Sherwood Services Ag | Tissue sealer with non-conductive variable stop members and method of sealing tissue |
USD496997S1 (en) | 2003-05-15 | 2004-10-05 | Sherwood Services Ag | Vessel sealer and divider |
USD502994S1 (en) | 2003-05-21 | 2005-03-15 | Blake, Iii Joseph W | Repeating multi-clip applier |
USD545432S1 (en) | 2003-08-08 | 2007-06-26 | Olympus Corporation | Distal portion of hemostatic forceps for endoscope |
USD509297S1 (en) | 2003-10-17 | 2005-09-06 | Tyco Healthcare Group, Lp | Surgical instrument |
US7500975B2 (en) * | 2003-11-19 | 2009-03-10 | Covidien Ag | Spring loaded reciprocating tissue cutting mechanism in a forceps-style electrosurgical instrument |
US7131970B2 (en) | 2003-11-19 | 2006-11-07 | Sherwood Services Ag | Open vessel sealing instrument with cutting mechanism |
US7632269B2 (en) * | 2004-01-16 | 2009-12-15 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with replaceable cartridge |
US7955331B2 (en) * | 2004-03-12 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument and method of use |
USD541938S1 (en) | 2004-04-09 | 2007-05-01 | Sherwood Services Ag | Open vessel sealer with mechanical cutter |
DE102004026179B4 (de) | 2004-05-14 | 2009-01-22 | Erbe Elektromedizin Gmbh | Elektrochirurgisches Instrument |
USD533942S1 (en) | 2004-06-30 | 2006-12-19 | Sherwood Services Ag | Open vessel sealer with mechanical cutter |
US7540872B2 (en) * | 2004-09-21 | 2009-06-02 | Covidien Ag | Articulating bipolar electrosurgical instrument |
USD525361S1 (en) | 2004-10-06 | 2006-07-18 | Sherwood Services Ag | Hemostat style elongated dissecting and dividing instrument |
USD531311S1 (en) | 2004-10-06 | 2006-10-31 | Sherwood Services Ag | Pistol grip style elongated dissecting and dividing instrument |
USD541418S1 (en) | 2004-10-06 | 2007-04-24 | Sherwood Services Ag | Lung sealing device |
USD535027S1 (en) | 2004-10-06 | 2007-01-09 | Sherwood Services Ag | Low profile vessel sealing and cutting mechanism |
USD567943S1 (en) | 2004-10-08 | 2008-04-29 | Sherwood Services Ag | Over-ratchet safety for a vessel sealing instrument |
USD533274S1 (en) | 2004-10-12 | 2006-12-05 | Allegiance Corporation | Handle for surgical suction-irrigation device |
USD564662S1 (en) | 2004-10-13 | 2008-03-18 | Sherwood Services Ag | Hourglass-shaped knife for electrosurgical forceps |
USD582038S1 (en) | 2004-10-13 | 2008-12-02 | Medtronic, Inc. | Transurethral needle ablation device |
US7909823B2 (en) | 2005-01-14 | 2011-03-22 | Covidien Ag | Open vessel sealing instrument |
USD538932S1 (en) | 2005-06-30 | 2007-03-20 | Medical Action Industries Inc. | Surgical needle holder |
USD541611S1 (en) | 2006-01-26 | 2007-05-01 | Robert Bosch Gmbh | Cordless screwdriver |
EP1984333B1 (en) | 2006-02-03 | 2012-04-25 | Bionomics Limited | Substituted benzofurans, benzothiophenes, benzoselenophenes and indoles and their use as tubulin polymerisation inhibitors |
US7731717B2 (en) * | 2006-08-08 | 2010-06-08 | Covidien Ag | System and method for controlling RF output during tissue sealing |
USD547154S1 (en) | 2006-09-08 | 2007-07-24 | Winsource Industries Limited | Rotary driving tool |
USD575395S1 (en) | 2007-02-15 | 2008-08-19 | Tyco Healthcare Group Lp | Hemostat style elongated dissecting and dividing instrument |
US8377044B2 (en) * | 2007-03-30 | 2013-02-19 | Ethicon Endo-Surgery, Inc. | Detachable end effectors |
USD575401S1 (en) | 2007-06-12 | 2008-08-19 | Tyco Healthcare Group Lp | Vessel sealer |
DE202007009317U1 (de) | 2007-06-26 | 2007-08-30 | Aesculap Ag & Co. Kg | Chirurgisches Instrument |
DE202007009165U1 (de) | 2007-06-29 | 2007-08-30 | Kls Martin Gmbh + Co. Kg | Chirurgisches Instrument |
DE102007053359B3 (de) * | 2007-10-30 | 2009-06-04 | Aesculap Ag | Chirurgisches Instrument |
DE202007016233U1 (de) | 2007-11-20 | 2008-01-31 | Aesculap Ag & Co. Kg | Chirurgische Pinzette |
US8728076B2 (en) * | 2007-12-18 | 2014-05-20 | Bovie Medical Corporation | Surgical apparatus with removable tool cartridge |
DE102008018406B3 (de) | 2008-04-10 | 2009-07-23 | Bowa-Electronic Gmbh & Co. Kg | Elektrochirurgisches Gerät |
CN201299462Y (zh) | 2008-10-28 | 2009-09-02 | 宋洪海 | 一种多层金属复合炊锅 |
US8858547B2 (en) * | 2009-03-05 | 2014-10-14 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
US20100228250A1 (en) * | 2009-03-05 | 2010-09-09 | Intuitive Surgical Operations, Inc. | Cut and seal instrument |
USD621503S1 (en) | 2009-04-28 | 2010-08-10 | Tyco Healthcare Group Ip | Pistol grip laparoscopic sealing and dissection device |
USD618798S1 (en) | 2009-05-13 | 2010-06-29 | Tyco Healthcare Group Lp | Vessel sealing jaw seal plate |
USD617902S1 (en) | 2009-05-13 | 2010-06-15 | Tyco Healthcare Group Lp | End effector tip with undercut top jaw |
USD617901S1 (en) | 2009-05-13 | 2010-06-15 | Tyco Healthcare Group Lp | End effector chamfered tip |
USD617900S1 (en) | 2009-05-13 | 2010-06-15 | Tyco Healthcare Group Lp | End effector tip with undercut bottom jaw |
USD617903S1 (en) | 2009-05-13 | 2010-06-15 | Tyco Healthcare Group Lp | End effector pointed tip |
USD630324S1 (en) | 2009-08-05 | 2011-01-04 | Tyco Healthcare Group Lp | Dissecting surgical jaw |
USD627462S1 (en) | 2009-09-09 | 2010-11-16 | Tyco Healthcare Group Lp | Knife channel of a jaw device |
USD628289S1 (en) | 2009-11-30 | 2010-11-30 | Tyco Healthcare Group Lp | Surgical instrument handle |
USD628290S1 (en) | 2009-11-30 | 2010-11-30 | Tyco Healthcare Group Lp | Surgical instrument handle |
US8480671B2 (en) | 2010-01-22 | 2013-07-09 | Covidien Lp | Compact jaw including split pivot pin |
US8556929B2 (en) | 2010-01-29 | 2013-10-15 | Covidien Lp | Surgical forceps capable of adjusting seal plate width based on vessel size |
US8858553B2 (en) | 2010-01-29 | 2014-10-14 | Covidien Lp | Dielectric jaw insert for electrosurgical end effector |
US9585709B2 (en) | 2010-02-05 | 2017-03-07 | Covidien Lp | Square wave for vessel sealing |
US8808288B2 (en) | 2010-03-08 | 2014-08-19 | Covidien Lp | Surgical forceps including belt blade reverser mechanism |
US8740898B2 (en) | 2010-03-22 | 2014-06-03 | Covidien Lp | Surgical forceps |
US8425511B2 (en) | 2010-03-26 | 2013-04-23 | Covidien Lp | Clamp and scissor forceps |
US8696665B2 (en) * | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
US8961504B2 (en) | 2010-04-09 | 2015-02-24 | Covidien Lp | Optical hydrology arrays and system and method for monitoring water displacement during treatment of patient tissue |
US8597295B2 (en) | 2010-04-12 | 2013-12-03 | Covidien Lp | Surgical instrument with non-contact electrical coupling |
US8623018B2 (en) | 2010-04-13 | 2014-01-07 | Covidien Lp | Sealing plate temperature control |
US8469716B2 (en) | 2010-04-19 | 2013-06-25 | Covidien Lp | Laparoscopic surgery simulator |
US8568397B2 (en) | 2010-04-28 | 2013-10-29 | Covidien Lp | Induction sealing |
US20110270251A1 (en) | 2010-04-29 | 2011-11-03 | Tyco Healthcare Group Lp | Insulated Sealing Plate |
US20110270245A1 (en) | 2010-04-29 | 2011-11-03 | Tyco Healthcare Group Lp | Sealing Plate Having Depressions with Ceramic Insulation |
US8439913B2 (en) | 2010-04-29 | 2013-05-14 | Covidien Lp | Pressure sensing sealing plate |
US8968359B2 (en) | 2010-05-04 | 2015-03-03 | Covidien Lp | Surgical forceps |
US10265118B2 (en) | 2010-05-04 | 2019-04-23 | Covidien Lp | Pinion blade drive mechanism for a laparoscopic vessel dissector |
US11278345B2 (en) | 2010-05-25 | 2022-03-22 | Covidien Lp | Accurate jaw closure force in a catheter based instrument |
US8672939B2 (en) | 2010-06-01 | 2014-03-18 | Covidien Lp | Surgical device for performing an electrosurgical procedure |
US8540749B2 (en) | 2010-06-02 | 2013-09-24 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8430877B2 (en) | 2010-06-02 | 2013-04-30 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8469991B2 (en) | 2010-06-02 | 2013-06-25 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8491626B2 (en) | 2010-06-02 | 2013-07-23 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8409247B2 (en) | 2010-06-02 | 2013-04-02 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8491625B2 (en) | 2010-06-02 | 2013-07-23 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8585736B2 (en) | 2010-06-02 | 2013-11-19 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8409246B2 (en) | 2010-06-02 | 2013-04-02 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8491624B2 (en) | 2010-06-02 | 2013-07-23 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8469992B2 (en) | 2010-06-02 | 2013-06-25 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8647343B2 (en) | 2010-06-23 | 2014-02-11 | Covidien Lp | Surgical forceps for sealing and dividing tissue |
US9028495B2 (en) | 2010-06-23 | 2015-05-12 | Covidien Lp | Surgical instrument with a separable coaxial joint |
US8512336B2 (en) | 2010-07-08 | 2013-08-20 | Covidien Lp | Optimal geometries for creating current densities in a bipolar electrode configuration |
US8795269B2 (en) | 2010-07-26 | 2014-08-05 | Covidien Lp | Rotary tissue sealer and divider |
US8641712B2 (en) | 2010-07-28 | 2014-02-04 | Covidien Lp | Local optimization of electrode current densities |
US8888775B2 (en) | 2010-08-10 | 2014-11-18 | Covidien Lp | Surgical forceps including shape memory cutter |
US8298233B2 (en) | 2010-08-20 | 2012-10-30 | Tyco Healthcare Group Lp | Surgical instrument configured for use with interchangeable hand grips |
US8814864B2 (en) | 2010-08-23 | 2014-08-26 | Covidien Lp | Method of manufacturing tissue sealing electrodes |
US8652135B2 (en) | 2010-08-23 | 2014-02-18 | Covidien Lp | Surgical forceps |
US8968357B2 (en) | 2010-09-07 | 2015-03-03 | Covidien Lp | Collet based locking mechanism |
US8734445B2 (en) | 2010-09-07 | 2014-05-27 | Covidien Lp | Electrosurgical instrument with sealing and dissection modes and related methods of use |
US8663222B2 (en) | 2010-09-07 | 2014-03-04 | Covidien Lp | Dynamic and static bipolar electrical sealing and cutting device |
US20120059372A1 (en) | 2010-09-07 | 2012-03-08 | Johnson Kristin D | Electrosurgical Instrument |
US20120059409A1 (en) | 2010-09-08 | 2012-03-08 | Tyco Healthcare Group Lp | Retractable Ratchet Mechanism for Surgical Instruments |
US9498278B2 (en) | 2010-09-08 | 2016-11-22 | Covidien Lp | Asymmetrical electrodes for bipolar vessel sealing |
US9005200B2 (en) | 2010-09-30 | 2015-04-14 | Covidien Lp | Vessel sealing instrument |
US9017372B2 (en) * | 2010-10-01 | 2015-04-28 | Covidien Lp | Blade deployment mechanisms for surgical forceps |
US9655672B2 (en) | 2010-10-04 | 2017-05-23 | Covidien Lp | Vessel sealing instrument |
US8906018B2 (en) | 2010-10-18 | 2014-12-09 | Covidien Lp | Surgical forceps |
US8840639B2 (en) | 2010-10-29 | 2014-09-23 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US9028484B2 (en) | 2010-11-16 | 2015-05-12 | Covidien Lp | Fingertip electrosurgical instruments for use in hand-assisted surgery and systems including same |
US20120123404A1 (en) | 2010-11-16 | 2012-05-17 | Tyco Healthcare Group Lp | Fingertip Electrosurgical Instruments for Use in Hand-Assisted Surgery and Systems Including Same |
US8685021B2 (en) | 2010-11-17 | 2014-04-01 | Covidien Lp | Method and apparatus for vascular tissue sealing with active cooling of jaws at the end of the sealing cycle |
US8932293B2 (en) | 2010-11-17 | 2015-01-13 | Covidien Lp | Method and apparatus for vascular tissue sealing with reduced energy consumption |
US9333002B2 (en) | 2010-11-19 | 2016-05-10 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8920421B2 (en) | 2010-11-29 | 2014-12-30 | Covidien Lp | System and method for tissue sealing |
US8784418B2 (en) | 2010-11-29 | 2014-07-22 | Covidien Lp | Endoscopic surgical forceps |
US20120172868A1 (en) | 2010-12-30 | 2012-07-05 | Tyco Healthcare Group Lp | Apparatus for Performing an Electrosurgical Procedure |
US8936614B2 (en) | 2010-12-30 | 2015-01-20 | Covidien Lp | Combined unilateral/bilateral jaws on a surgical instrument |
US8945175B2 (en) | 2011-01-14 | 2015-02-03 | Covidien Lp | Latch mechanism for surgical instruments |
US8968316B2 (en) | 2011-02-18 | 2015-03-03 | Covidien Lp | Apparatus with multiple channel selective cutting |
US20120239034A1 (en) | 2011-03-17 | 2012-09-20 | Tyco Healthcare Group Lp | Method of Manufacturing Tissue Seal Plates |
US8968305B2 (en) | 2011-03-28 | 2015-03-03 | Covidien Lp | Surgical forceps with external cutter |
US9381059B2 (en) | 2011-04-05 | 2016-07-05 | Covidien Lp | Electrically-insulative hinge for electrosurgical jaw assembly, bipolar forceps including same, and methods of jaw-assembly alignment using fastened electrically-insulative hinge |
US20120265241A1 (en) | 2011-04-12 | 2012-10-18 | Tyco Healthcare Group Lp | Surgical Forceps and Method of Manufacturing Thereof |
US8568408B2 (en) | 2011-04-21 | 2013-10-29 | Covidien Lp | Surgical forceps |
US8939972B2 (en) | 2011-05-06 | 2015-01-27 | Covidien Lp | Surgical forceps |
US8900232B2 (en) | 2011-05-06 | 2014-12-02 | Covidien Lp | Bifurcated shaft for surgical instrument |
US10117705B2 (en) | 2011-05-16 | 2018-11-06 | Covidien Lp | Optical recognition of tissue and vessels |
US20120296238A1 (en) | 2011-05-16 | 2012-11-22 | Tyco Healthcare Group Lp | System and Methods for Energy-Based Sealing of Tissue with Optical Feedback |
US9113933B2 (en) | 2011-05-16 | 2015-08-25 | Covidien Lp | Optical energy-based methods and apparatus for tissue sealing |
US9265568B2 (en) | 2011-05-16 | 2016-02-23 | Coviden Lp | Destruction of vessel walls for energy-based vessel sealing enhancement |
US9456870B2 (en) | 2011-05-16 | 2016-10-04 | Covidien Lp | Optical energy-based methods and apparatus for tissue sealing |
US9113934B2 (en) | 2011-05-16 | 2015-08-25 | Covidien Lp | Optical energy-based methods and apparatus for tissue sealing |
US8685009B2 (en) | 2011-05-16 | 2014-04-01 | Covidien Lp | Thread-like knife for tissue cutting |
US8852185B2 (en) | 2011-05-19 | 2014-10-07 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8968283B2 (en) | 2011-05-19 | 2015-03-03 | Covidien Lp | Ultrasound device for precise tissue sealing and blade-less cutting |
US9161807B2 (en) | 2011-05-23 | 2015-10-20 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US8702749B2 (en) | 2011-06-09 | 2014-04-22 | Covidien Lp | Lever latch assemblies for vessel sealer and divider |
US9615877B2 (en) | 2011-06-17 | 2017-04-11 | Covidien Lp | Tissue sealing forceps |
US20120330308A1 (en) | 2011-06-22 | 2012-12-27 | Tyco Healthcare Group Lp | Forceps |
US9039704B2 (en) | 2011-06-22 | 2015-05-26 | Covidien Lp | Forceps |
US8628557B2 (en) * | 2011-07-11 | 2014-01-14 | Covidien Lp | Surgical forceps |
US8745840B2 (en) | 2011-07-11 | 2014-06-10 | Covidien Lp | Surgical forceps and method of manufacturing thereof |
US9039732B2 (en) * | 2011-07-11 | 2015-05-26 | Covidien Lp | Surgical forceps |
US9844384B2 (en) | 2011-07-11 | 2017-12-19 | Covidien Lp | Stand alone energy-based tissue clips |
US8888771B2 (en) | 2011-07-15 | 2014-11-18 | Covidien Lp | Clip-over disposable assembly for use with hemostat-style surgical instrument and methods of manufacturing same |
US20130022495A1 (en) | 2011-07-19 | 2013-01-24 | Tyco Healthcare Group Lp | Sterilization Techniques for Surgical Instruments |
US20140234389A1 (en) | 2013-02-15 | 2014-08-21 | Allergan, Inc. | Sustained drug delivery implant |
JP6121797B2 (ja) | 2013-05-21 | 2017-04-26 | 株式会社オーク製作所 | ランプ用保護カバー装置、カバー装置付ランプ、及びランプのランプホルダに対する取り付け方法 |
USD736920S1 (en) * | 2013-08-07 | 2015-08-18 | Covidien Lp | Open vessel sealer with mechanical cutter |
FR3011095B1 (fr) | 2013-09-26 | 2016-12-23 | Valeo Vision | Filtre optique adaptatif pour verre de lunettes |
CN104032737B (zh) | 2014-05-21 | 2016-05-04 | 苏州市能工基础工程有限责任公司 | 压力分散型扩大头锚杆的施工方法及结构 |
JP2020018944A (ja) | 2019-11-12 | 2020-02-06 | 株式会社ユニバーサルエンターテインメント | 遊技機 |
-
2011
- 2011-07-11 US US13/179,975 patent/US9039732B2/en not_active Expired - Fee Related
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2012
- 2012-07-10 CN CN201280034722.8A patent/CN103687554B/zh not_active Expired - Fee Related
- 2012-07-10 WO PCT/US2012/046085 patent/WO2013009758A2/en active Application Filing
- 2012-07-10 CN CN201610177386.2A patent/CN105708519B/zh not_active Expired - Fee Related
- 2012-07-10 EP EP12812005.2A patent/EP2731515B1/en not_active Not-in-force
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2015
- 2015-05-26 US US14/721,088 patent/US9510896B2/en active Active
-
2016
- 2016-11-28 US US15/361,550 patent/US10575865B2/en active Active
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6174309B1 (en) * | 1999-02-11 | 2001-01-16 | Medical Scientific, Inc. | Seal & cut electrosurgical instrument |
CN2659367Y (zh) * | 2003-11-27 | 2004-12-01 | 杭州大力神医疗器械有限公司 | 痔疮治疗钳 |
EP1645238A1 (en) * | 2004-10-08 | 2006-04-12 | Sherwood Services AG | Mechanism for dividing tissue in a hemostat-style instrument |
CN101184445A (zh) * | 2005-05-25 | 2008-05-21 | 佳乐医疗公司 | 手术器械 |
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CN105708519A (zh) | 2016-06-29 |
CN105708519B (zh) | 2018-04-13 |
EP2731515A2 (en) | 2014-05-21 |
WO2013009758A3 (en) | 2013-04-25 |
EP2731515A4 (en) | 2015-01-21 |
EP2731515B1 (en) | 2018-02-28 |
WO2013009758A9 (en) | 2014-01-23 |
US10575865B2 (en) | 2020-03-03 |
US20170071616A1 (en) | 2017-03-16 |
WO2013009758A2 (en) | 2013-01-17 |
CN103687554A (zh) | 2014-03-26 |
US20150250527A1 (en) | 2015-09-10 |
US20130018372A1 (en) | 2013-01-17 |
US9039732B2 (en) | 2015-05-26 |
US9510896B2 (en) | 2016-12-06 |
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