CN103930046A - 具有相变密封剂的电阻加热式外科钉仓 - Google Patents
具有相变密封剂的电阻加热式外科钉仓 Download PDFInfo
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Abstract
一种用于内窥镜外科用途的设备包括具有端部执行器和钉仓的器械,所述钉仓可插入到所述端部执行器中。所述钉仓包括钉、钉孔、电阻构件和医用流体。在联接到功率源时,所述电阻构件可使所述医用流体蒸发并通过所述钉孔排出到所述被缝合的组织上。所述功率源可容纳在所述器械内。在一种构型中,具有带触点的电阻带可电联接到所述端部执行器中的导体。所述医用流体也可被划分成对应于所述钉孔的多个密封剂垫,且所述医用流体可为可解聚的氰基丙烯酸酯、可喷涂的热塑性聚氨基甲酸酯、或者任何可蒸发的药剂或药物。所述钉驱动器可包括一个或多个孔,以容许所述医用流体穿过所述钉驱动器或其周围。
Description
背景技术
在一些情况下,内窥镜式外科器械可优于传统的开放式外科装置,因为较小的切口可减少术后恢复时间和并发症。因此,一些内窥镜式外科器械可适于将远端执行器通过套管针的插管布置在所需手术部位处。这些远侧端部执行器(例如,直线切割器、抓紧器、切割器、缝合器、施夹器、进入装置、药物/基因治疗递送装置、以及使用超声、射频、激光等的能量递送装置)可以多种方式接合组织,以达到诊断或治疗的效果。内窥镜式外科器械可包括位于端部执行器和柄部部分之间的轴,所述柄部部分由临床医生操纵。此轴能够插入到所需的深度并围绕轴的纵向轴线旋转,从而于将端部执行器定位在患者体内。还可通过添加一个或多个关节运动接头或特征而进一步有利于端部执行器的定位,从而使得端部执行器能够选择性地进行关节运动,或者以其它方式相对于轴的纵向轴线偏转。
内窥镜式外科器械的例子包括外科缝合器。一些这样的缝合器能够操作以夹紧在组织层上、切开被夹紧的组织层、并驱动钉穿过组织层,以在组织层的被切断的端部附近将切断的组织层基本上密封在一起。仅作为示例性的外科缝合器在以下美国专利中有所公开:1989年2月21日公布的名称为“Pocket Configuration for Internal Organ Staplers”的美国专利号4,805,823;1995年5月16日公布的名称为“Surgical Stapler and StapleCartridge”的美国专利号5,415,334;1995年11月14日公布的名称为“Surgical Stapler Instrument”的美国专利号5,465,895;1997年1月28日公布的名称为“Surgical Stapler Instrument”的美国专利号5,597,107;1997年5月27日公布的名称为“Surgical Instrument”的美国专利号5,632,432;1997年10月7日公布的名称为“Surgical Instrument”的美国专利号5,673,840;1998年1月6日公布的名称为“Articulation Assembly forSurgical Instruments”的美国专利号5,704,534;1998年9月29日公布的名称为“Surgical Clamping Mechanism”的美国专利号5,814,055;2005年12月27日公布的名称为“Surgical Stapling Instrument Incorporating an E-BeamFiring Mechanism”的美国专利号6,978,921;2006年2月21日公布的名称为“Surgical Stapling Instrument Having Separate Distinct Closing and FiringSystems”的美国专利号7,000,818;2006年12月5日公布的名称为“Surgical Stapling Instrument having a Firing Lockout for an UnclosedAnvil”的美国专利号7,143,923;2007年12月4日公布的名称为“SurgicalStapling Instrument Incorporating a Multi-Stroke Firing Mechanism with aFlexible Rack”的美国专利号7,303,108;2008年5月6日公布的名称为“Surgical Stapling Instrument Incorporating a Multistroke Firing MechanismHaving a Rotary Transmission”的美国专利号7,367,485;2008年6月3日公布的名称为“Surgical Stapling Instrument Having a Single LockoutMechanism for Prevention of Firing”的美国专利号7,380,695;2008年6月3日公布的名称为“Articulating Surgical Stapling Instrument Incorporating aTwo-Piece E-Beam Firing Mechanism”的美国专利号7,380,696;2008年7月29日公布的名称为“Surgical Stapling and Cutting Device”的美国专利号7,404,508;2008年10月14日公布的名称为“Surgical Stapling InstrumentHaving Multistroke Firing with Opening Lockout”的美国专利号7,434,715;以及2010年5月25日公布的名称为“Disposable Cartridge with Adhesivefor Use with a Stapling Device”的美国专利号7,721,930。上面所引用的美国专利中的每一者的公开内容均以引用方式并入本文。虽然以上涉及的外科缝合器被描述为用于内窥镜式手术,但应当理解,此类外科缝合器也可用于开放式手术和/或其它非内窥镜式手术。
虽然已经制造和使用各种类型的外科缝合器械和相关组件,但据信在本发明人之前还无人研制出或使用所附权利要求中描述的发明。
附图说明
并入本说明书并构成其一部分的附图示出了本发明的多个实施例,并且与上文所给出的本发明的一般说明和下文所给出的实施例的详细说明一起用于解释本发明的原理。
图1A示出了关节运动式外科器械的透视图,其中端部执行器处于非关节运动位置;
图1B示出了图1A的外科器械的透视图,其中端部执行器处于关节运动位置;
图2示出了图1A至图1B的外科器械的打开的端部执行器的透视图;
图3A示出了沿着图2的线3-3截取的图2的端部执行器的侧面剖视图,其中击发杆处于近侧位置;
图3B示出了图2的端部执行器沿着图2的线3-3截取的侧面剖视图,但示出击发杆处于远侧位置;
图4示出了沿着图2的线4-4截取的图2的端部执行器的端部剖视图;
图5示出了图2的端部执行器的分解透视图;
图6示出了图2的端部执行器的透视图,所述端部执行器定位在组织处并且已经在组织中被致动一次;
图7示出了示例性钉仓的透视图;
图8A示出了图7的仓的部分侧面剖视图;
图8B示出了图8A的侧面剖视图的部分,其示出了竖直地凸轮转移钉驱动器的楔形滑动件;
图8C示出了图8A的侧面剖视图的部分,其示出了用于蒸发密封剂的电阻带;
图8D示出了图8A的侧面剖视图的部分,其示出了穿过钉驱动器通道被排出的被蒸发密封剂;
图9示出了针对钉仓的示例性的可供选择的布置的部分侧面剖视图;
图10示出了针对钉仓的另一示例性布置的部分侧面剖视图;
图11示出了在钉仓体内形成的示例性通道的一对局部透视图;
图12示出了具有通道的示例性钉仓的局部透视图,所述通道联接到图1A至图1B的器械的下钳口;
图13示出了具有钉驱动器孔的示例性钉驱动器的透视图;
图14示出了具有一对凹口的替代示例性钉驱动器的透视图;
图15示出了具有多个整体式电阻带和密封剂的另一示例性钉驱动器的侧面剖视图;和
图16示出了图1A至图1B的器械的端部执行器的局部侧面剖视图。
附图并非意在以任何方式进行限制,并且可以预期本发明的各种实施例能够以多种其它方式来执行,包括那些未必在附图中示出的方式。附图并入本说明书中并构成其一部分,示出了本发明的若干方面,并与具体实施方式一起用于解释本发明的原理;然而,应当理解,本发明并不限于所示出的精确布置。
具体实施方式
本发明的某些例子的下列描述不应被用来限制本发明的范围。通过以下举例说明设想用于实施本发明的最佳方式之一的描述,本发明的其它例子、结构、方面、实施例和优点将对本领域的技术人员显而易见。正如将会意识到的,本发明能够具有其它不同且明显的方面,只要不脱离本发明即可。因此,附图和具体实施方式应被视为实质上是示例性而非限制性的。
I.示例性外科缝合器
图1至图6示出了示例性外科缝合和切断器械10,在图1A所示的非关节运动状态下,所述器械被尺寸设定成通过套管针插管通道插入到患者的手术部位中,用于执行外科手术。外科缝合和切断器械10包括连接到工具部分22的柄部部分20,所述工具部分还包括朝远侧终止于关节运动机构11中的轴23和朝远侧附接的端部执行器12。一旦关节运动机构11和远侧端部执行器12穿过套管针的插管通道插入后,关节运动机构11便可通过关节运动控制器13远程地进行关节运动,如图1B所示。从而,端部执行器12可从期望的角度或出于其它原因而到达器官后面或接近组织。应当理解,诸如“近侧”和“远侧”的术语在本文中是结合临床医生抓握器械10的柄部部分20来使用的。因此,端部执行器12相对于更近侧的柄部部分20处于远侧。还应当理解,为简洁和清楚起见,本文可结合附图使用诸如“竖直”和“水平”的空间术语。然而,外科器械是在多个取向和位置中使用的,并且这些术语并非意图进行限制,也并非绝对的。
本例子的端部执行器12包括下钳口16和可枢转砧座18。柄部部分20包括手枪式握把24,由临床医生将闭合扳机26以枢转方式拉向所述手枪式握把,以使砧座18朝向端部执行器12的下钳口16夹紧或闭合。砧座18的这种闭合是通过最外部的闭合套管32提供的,所述闭合套管响应于闭合扳机26相对于手枪式握把24的枢转而相对于柄部部分20纵向地平移。闭合套管32的远侧闭合环33由工具部分22的框架34间接地支撑。在关节运动机构11处,闭合套管32的近侧闭合管35与远侧部分(闭合环)33连通。框架34经由关节运动机构11柔性地附接到下钳口16,使得能够在单个平面中进行关节运动。框架34还在纵向上以能够滑动的方式支撑击发驱动构件(未示出),所述击发驱动构件延伸穿过轴23并且将击发运动从击发扳机28传递到击发杆14。击发扳机28远离闭合扳机26的外侧,并且能够被临床医生枢转地拉动,以导致被夹紧的组织在端部执行器12中被缝合和切断,如下文将更详细地描述。然后,按下释放按钮30,以从端部执行器12释放所述组织。
图2至图5示出了采用E形梁击发杆14来执行多种功能的端部执行器12。如图3A至图3B中最佳地示出,击发杆14包括横向取向的上部销38、击发杆顶盖44、横向取向的中部销46和处于远侧的切割刃48。上部销38定位在砧座18的砧座凹坑40内,并且能够在所述砧座凹坑中平移。击发杆顶盖44通过使击发杆14延伸穿过通道狭槽45(如图3B所示)而以能滑动的方式接合下钳口16的下表面,所述通道狭槽是穿过下钳口16形成的。中部销46以能够滑动的方式接合下钳口16的顶表面,从而与击发杆顶盖44协作。从而,击发杆14在击发期间肯定与端部执行器12间隔开,从而克服了最小量的夹紧组织的情况下在砧座18与下钳口16之间可能出现的挤痛情况,并且克服了在过量的夹紧组织的情况下出现的钉变形。
图2示出了朝近侧定位的击发杆14和枢转到打开位置的砧座18,从而允许将未耗尽的钉仓37以能够取出的方式安装到下钳口16的通道中。如图4至图5中最佳地示出,这个例子的钉仓37包括仓体70,所述仓体具有上部平台72并且与下部仓托盘74联接。如图2中最佳地示出,竖直狭槽49是穿过钉仓37的部分形成的。同样如图2中最佳地示出,三行钉孔51在竖直狭槽49的一侧上形成为穿过上部平台70,而另一组三行钉孔51在竖直狭槽49的另一侧上形成为穿过上部平台70。重新参见图3至图5,楔形滑动件41和多个钉驱动器43被捕集在仓体70与托盘74之间,其中楔形滑动件41位于钉驱动器43近侧。楔形滑动件41可在钉仓37内纵向地运动;而钉驱动器43可在钉仓37内竖直地运动。钉47也被定位在仓体70中,处于对应的钉驱动器43上方。具体地,每个钉47在仓体70中被钉驱动器43竖直地驱动,以将钉47从相关的钉孔51中驱动出。如图3A至图3B和图5中最佳地示出,楔形滑动件41存在倾斜凸轮表面,当楔形滑动件41被朝远侧驱动穿过钉仓37时,所述倾斜凸轮表面向上压迫钉驱动器43。
在端部执行器12如图3A所示而闭合的情况下,通过使上部销38进入纵向砧座狭槽42,将击发杆14推进至与砧座18接合。推块80位于击发杆14的远侧端处,并且能够接合楔形滑动件41,使得当朝远侧推进击发杆14穿过钉仓37时,推块80朝远侧推动楔形滑动件41。在此类击发期间,击发杆14的切割刃48进入钉仓37的竖直狭槽49,从而切断被夹紧在钉仓37与砧座18之间的组织。如图3A至图3B所示,中部销46和推块80通过进入到钉仓37内的击发狭槽中而一起致动钉仓37,从而驱动楔形滑动件41与钉驱动器43进行向上凸轮接触,所述钉驱动器继而将钉47驱动出钉孔51,并与砧座18的内表面上的钉成形凹坑53进行成形接触。图3B示出了在完成切断和缝合组织之后完全朝远侧平移的击发杆14。
图6示出了已经通过单次冲程而被致动穿过组织90的端部执行器12。如图所示,切割刃48已经切割穿过组织90,同时在切割刃48形成的切割线的每一侧上,钉驱动器43已经将交替的三行钉47驱动穿过组织90。在该例子中,钉47全部与切割线基本上平行地取向,但应当理解,钉47可被定位成任何适合的取向。在本例子中,在第一冲程完成之后,端部执行器12从套管针撤回,用新的钉仓替换用完的钉仓37,然后将端部执行器12再次穿过套管针插入,以到达缝合部位用于进一步的切割和缝合。这个过程可以重复到提供了期望量的切口和钉47为止。可能需要将砧座18闭合以有利于通过套管针插入和撤回;并且可能需要将砧座18打开以有利于替换钉仓37。
应当理解,在每个致动冲程期间,切割刃48可基本上在钉47被驱动穿过组织的同时切断组织。在本例子中,切割刃48仅稍微落后于钉47的驱动,使得钉47正好在切割刃48穿过组织之前被驱动穿过该组织的相同区域,但应当理解,这个顺序可以颠倒,或者切割刃48可以直接与相邻的钉同步。虽然图6示出了端部执行器12在组织90的两个层92、94中被致动,但应当理解,端部执行器12可被致动穿过组织90的单个层或者组织的多于两个层92、94。还应当理解,与切割刃48产生的切割线相邻的钉47的成形和定位可基本上密封所述切割线处的组织,从而减少或防止切割线处的出血和/或其它体液的泄漏。本领域的普通技术人员参考本文的教导内容将显而易见可以使用器械10的各种适合的设置和程序。
应当理解,可以根据以下美国专利中的任何教导内容来配置和操作器械10:美国专利号4,805,823;美国专利号5,415,334;美国专利号5,465,895;美国专利号5,597,107;美国专利号5,632,432;美国专利号5,673,840;美国专利号5,704,534;美国专利号5,814,055;美国专利号6,978,921;美国专利号7,000,818;美国专利号7,143,923;美国专利号7,303,108;美国专利号7,367,485;美国专利号7,380,695;美国专利号7,380,696;美国专利号7,404,508;美国专利号7,434,715;和/或美国专利号7,721,930。如上所述,这些专利中的每一个的公开内容均以引用方式并入本文。可提供用于器械10的其它示例性修改形式将更详细地描述于下文中。本领域的普通技术人员将显而易见可将下述教导内容并入器械10内的各种适合方式。类似地,本领域的普通技术人员将显而易见可将下述教导内容与本文引用的专利的各种教导内容进行组合的各种适合方式。还应当理解,下述教导内容并不限于本文引用的专利中所教导的器械10或装置。下述教导内容可容易地应用到多种其它类型的器械,包括将不被分类为外科缝合器的器械。本领域的普通技术人员参考本文的教导内容将显而易见可应用下述教导内容的各种其它适合装置和设置。
II.示例性的可供选择的钉仓
图7示出了用于与器械10一起使用的示例性的可供选择的钉仓100。仓100包括仓体102、仓托盘104、竖直狭槽106、上部平台110、和在上部平台110中形成的多个钉孔112。竖直狭槽106纵向地延伸穿过仓体102和上部平台110,使得击发杆14和切割刃48穿过仓体102的至少部分。应当理解,竖直狭槽106可仅部分地纵向延伸穿过仓体102,或沿着仓体102的整个长度纵向延伸。本例子的仓100具有包括支撑部分122的近端120。在此例子中,如下文中将描述,支撑部分122还包括用以在将仓100插入到端部执行器12中时将仓100与功率源98电联接的仓触点130。如本领域的普通技术人员将显而易见,仓触点130并不限于在仓100的近端120。事实上,仓触点130可位于仓100的底表面上,诸如在仓托盘104上或穿过仓托盘104,或者在仓体102上的任何位置处。可供选择的是,仓触点130可使得以电感方式、电容方式和/或任何其它适合方式来传送电力。此外,仓触点130仅为任选的。
A.具有导体和电阻带的替代钉仓的示例性构型和操作
图8A至图8D示出了在被插入到端部执行器12的下钳口16中并用于切割和缝合组织(诸如图6的组织90)时的示例性仓100的顺序内部视图。首先参见图8A,其示出了设置在仓100内的多个钉114和钉驱动器180。在本例子中,下钳口16包括具有多个导体触点152的导体150,所述导体触点从导体150的顶表面延伸。导体150可包括:具有脊状触点的金属构件;具有嵌入式金属构件和多个触点的塑性构件,所述触点从塑性构件突出;具有薄导电通道和触点(例如,裸露式迹线等)的印刷电路板(或PCB);或用以将电力传输到导体触点152的任何其它适合组件和/或结构。导体触点152被示出为能够与带触点162的多个提升部分电联接的对应多个提升部分,但本领域的普通技术人员根据参考本文的教导内容将显而易见其它适合的触点构型。具有带触点162的薄电阻带160联接到仓体102,使得在将仓100插入到下钳口16中时,带触点162和导体触点152电联接。在一个替代方案中,带触点162可延伸穿过仓托盘104,或者具有带触点162的电阻带160可被整合到仓托盘104中。在另一仅示例性替代方案中,带触点162和导体触点152可被省略,且电阻带160和导体150可为仓托盘104内、仓体102内、或下钳口16上的一体部件。如本例子中所示,多个带触点162和导体触点152各自与各个钉孔112对齐,使得在将电荷施加到导体150时,电阻带160加热每个钉孔112下面的电阻带160的对应部分。如下文将另外解释,可利用仓100、导体150和电阻带160的替代构型。
密封剂170层设置在电阻带160上方。在本例子中,密封剂170是设置在仓体102内的基本上均匀的连续体。应当理解,密封剂170并不限于密封剂;相反,可在不脱离本公开的范围的前提下使用多种可蒸发物品。例如,密封剂170可包括可解聚的氰基丙烯酸酯、可喷涂的热塑性聚氨基甲酸酯、聚氨酯预聚物、药剂、止血剂、粘膜粘附聚合物、聚乙烯吡咯烷酮(PVP)、甲基纤维素(MC)、羧甲基纤维素钠(SCMC)、羟基丙基纤维素(HPC)和其它纤维素衍生物、阴离子型水凝胶、水凝胶阳离子、中性水凝胶(诸如carbapol、聚丙烯酸酯、脱乙酰壳多糖或Eudragits)、聚丙烯酸-聚乙二醇共聚物(所谓的颊侧粘合剂)、凝血酶、冻干凝血酶(如Ethicon,Inc.(Somerville,New Jersey)的中所使用的冻干凝血酶)、贫血小板血浆(PPP)、富血小板血浆(PRP)、贻贝基的或衍生的粘合剂、藻酸钙、血纤维蛋白、粘合剂、图像增强剂、坏死剂、硬化剂、凝结剂、治疗剂、苏醒剂、麻醉剂、抗利尿剂、止痛剂、防腐剂、镇痉剂、强心剂、抑制剂、利尿剂、激素药剂、镇静剂、兴奋剂、血管药剂、定时释放剂、药物、可吸收材料、着色剂、增塑剂、填充剂、填塞材料、触变剂、抗菌剂、缓冲剂、催化剂、填料、微颗粒、增稠剂、溶剂、天然或合成橡胶、稳定剂、pH调节剂、生物活性剂、交联剂、链转移剂、纤维增强剂、着色剂、防腐剂、甲醛还原或清除剂、和/或任何其它流体(包括液体、凝胶、膏等)、或本领域的普通技术人员参考本文的教导内容将显而易见的任何其它合适的医用流体或止血剂。
此外,密封剂170可浸渍有其它材料,诸如各种药品(包括止痛药或其它适合药品)、标记材料(诸如不透射线的或回波性的标记物和/或流体)、或者可分散在密封剂170中的任何其它适合材料。密封剂170还可为固化材料,其可在经受来自电阻带160的加热时蒸发,或者密封剂170可为液态或半固态的。如果密封剂170为液态或半固态的,则可将密封剂容纳在形成于电阻带160内的贮存器或通道内,或者容纳在位于电阻带160上方的替代结构(诸如钉仓102的部分)中。下文将参考图11来论述一个这种可供选择的通道型结构。
多个钉驱动器180位于密封剂170上方。在本例子中,钉驱动器180各自限定穿过每个钉驱动器180形成的各个钉驱动器通道182,使得一旦钉114穿过钉孔112弹出,被蒸发的材料便可穿过钉驱动器180。钉驱动器通道182可包括穿过钉驱动器180形成的孔,诸如图13中所示的驱动器孔510,或者可包括在钉驱动器180的一个或多个侧中形成的凹口,诸如图14中所示的半圆形凹口610,或者是用于钉驱动器通道182的其它适合构型。钉114位于钉驱动器180上方,且在图8A中,钉114和钉驱动器180两者均以未部署的构型示出。钉114还可以能够分离的方式(诸如通过粘合剂)固定到钉驱动器180,以确保钉114保持与钉驱动器180对齐并在钉驱动器180顶上。
现在参见图8B,其中示出了楔形滑动件41和击发杆14驱动钉114穿过组织90,同时还切断组织90。如上文所述,砧座18抵靠上部平台110压缩组织90,同时钉驱动器180通过楔形滑动件41而竖直地凸轮转换,以驱动钉114穿过组织90并进入到钉成形凹坑53中。在钉114被驱动穿过组织90时,导体150和电阻带160可保持为不活动的,但应当理解,这仅仅是任选的。事实上,在一种构型中,导体150可在切割刃48切断组织90之后随即被顺序地启动。例如,楔形滑动件41和/或击发杆14可包括传导部分,所述传导部分可电联接到导体150和/或电阻带160以便从功率源98提供电力。可供选择的是,导体150和/或电阻带160和密封剂170可设置在钉驱动器180的侧面上,或者设置在仓体102内部的如本领域的普通技术人员参考本文的教导内容将显而易见的其它位置处。
重新参见本例子,如图8C中所示,在砧座18仍压缩组织90时,将功率源98启动并施加到导体150。可通过位于器械10的柄部部分20上的双态切换开关或按钮、或者通过另一控制机构来启动功率源98,所述控制机构包括但不限于第三扳机或自动化系统,所述第三扳机或自动化系统从指示击发杆14的推进的传感器接收信号。此外,功率源98可在器械10外部,或者功率源98可被容纳在器械10内。在2010年6月15日公布的名称为“Post-Sterilization Programming of Surgical Instruments”的美国专利第7,738,971号中公开了针对具有内部功率源的器械10的一种仅示例性构型,所述美国专利的公开内容以引用方式并入本文。可供选择的是,功率源98可为外部功率源。
在功率源98将电力发送到导体150时,导体150通过导体触点152和带触点162将电力转移到电阻带160。电阻带160然后加热电阻带160的适当部分和密封剂170的多个部分,以使密封剂170蒸发成液滴172。应当理解,密封剂170可被液化、雾化、或转变成任何流体和/或气态形式,使得密封剂170可从仓100中排出。在本例子中,电阻加热使密封剂170蒸发,并产生将密封剂170从仓100中排出的快速压力波。此电阻加热还可以基本上类似于热喷墨的方式实现。可供选择的是,液滴172可通过振动或压力机构(诸如压电喷墨技术)而形成。随着液滴172被形成,液滴172穿过钉驱动器通道182并从钉孔112排出,如图8D中所示。在本构型中,将钉驱动器180示出为邻接上部平台110,但应当理解,可供选择的是,钉驱动器180可在蒸发密封剂170之前返回以安放在密封剂170顶上。在替代构型中,可提供单独的孔,可通过所述孔排出液滴172。在钉114已刺穿组织90并联接到所述组织之后,密封剂170的液滴172可停留在钉114和组织90上。液滴172然后在钉114和/或组织90上重构。此重构可包括再聚合(诸如针对氰基丙烯酸酯或聚丙烯酸酯)、加成聚合(诸如针对聚氨酯预聚物)和/或从液态到固态聚合物的固化。一旦液滴172发生重构,在钉114和组织90上形成的密封剂170还可辅助密封组织90。器械10的用户可将砧座18的释放延迟预定的时间量,使得液滴172在组织90和钉114上充分地重构为密封剂170。如上文所述,用户随后可改变仓100,并重复所述过程以切断并密封组织90的其它部分。
尽管已描述了仓100的一个仅示例性构造,但本领域的普通技术人员参考本文的教导内容将显而易见针对具有电阻加热部分的仓100的其它适合的替代构造。例如,如图9中所示,仓100的替代布置示出了被划分成多个单独的密封剂垫174的密封剂170。本例子的密封剂垫174在带触点162和导体触点152上方以及钉孔112下方对齐。可供选择的是,具有导体触点152的导体150可位于仓托盘104上或仓托盘104内,而电阻带160和带触点162位于仓体102上或仓体102内。另外,单个带触点162可位于支撑部分122上,且代替仓100和下钳口16上的多个触点,可将单个导体触点152定位在下钳口16的对应部分上。在另一构型中,下钳口16可包括联接到功率源98的电阻带160,而仓托盘104和/或仓体102包括其中容纳有密封剂170的多个孔。因此,在仓100联接到下钳口16时,其中容纳有密封剂170的多个孔与电阻带160的多个部分对齐,以便在将电阻带160联接到功率源98时电阻性地加热密封剂170。此外,尽管本文中所公开的仓是参考单侧缝合仓来描述的,但应当理解,此类仓可被修改成包括双侧缝合仓。
B.示例性的可供选择的电阻组件
在图10所示的另一构型中,多个单独的电阻组件200被布置在形成于上部平台110中的每个钉孔112下方。在此构型中,电阻组件200各自包括导体202、电阻带206、密封剂210、带触点208和导体触点204。密封剂210不限于密封剂,而是可包括针对密封剂170列举的任何医用流体和/或其它物品。如本例子中所示,具有导体触点204的导体202设置在仓托盘104内,而密封剂210和具有裸露式带触点208的电阻带206设置在仓体102内。因此,在将仓体102联接到仓托盘104时,带触点208电联接到导体触点204。在一个替代构型中,导体202可嵌入到下钳口14内,而密封剂210和电阻带206在仓体102和/或仓托盘104内。电引线220从导体202和电阻带206延伸穿过一个或多个引线孔222以电联接到功率源98,如上文所述。可供选择的是,以类似于PCB的方式或以如本领域的普通技术人员参考本文的教导内容将显而易见的任何其它适合方式,电引线220可被整合到下钳口16、仓托盘104、和/或仓体102的结构中。
C.示例性密封剂通道
图11中提供钉仓的另一构型。仓体102内形成有多个通道300。每个通道300包括通道头部302和通道主体304。通道主体304可延伸多种距离,使得在将钉孔分布在不同位置处时,每个通道头部302对应于一个钉孔,诸如钉孔51、112。例如,在图7所示的示例性仓100中,钉孔112在竖直狭槽106的具有交错钉孔112的任一侧上都形成三行。本例子的多个通道主体304还能够通过端口306与一个或多个其它通道主体304流体连通。端口306可用于在组装期间将密封剂320注入到通道300中,以在密封剂320固化之前贯穿多个通道300分布密封剂320,或者,如果使用了液态或半固态密封剂320,则端口306可容许多个通道300从密封剂320的共同贮存器中进行汲取。密封剂320并不限于密封剂,而是可包括针对密封剂170列举的任何医用流体和/或其它物品。然而,应当理解,端口306仅为任选的,且通道300可彼此独立,或者可通过端口306来连接通道300的多个子组。
电阻通道板310位于每个通道头部302内,使得电阻通道板310可加热对应钉孔下方的密封剂320并使其蒸发,以喷射到被缝合的组织上。电阻通道板310可能够作为独立组件,诸如电阻组件200,或者电阻通道板310可仅包括电阻带,诸如电阻带160。如果通道板310包括电阻带,那么可提供一个或多个通道板连接器312以将电阻通道板310电联接到导体和/或功率源。在本构型中,板连接器312嵌入到仓体内以电联接到单个导体,但应当理解,通道板连接器312可以如本领域的普通技术人员参考本文的教导内容将显而易见的各种其它方式来配置。
例如,板连接器312可以类似于图8A至图8D、图9和图10的带触点162的方式来配置,并从仓体102和/或仓托盘104的底部向外突起(或以其它方式暴露出来)。图12中示出了一个此种构型。包括具有板连接器312的电阻板310的通道300示出为能够在仓400的仓体402内。仓400基本上类似于仓100和仓37的构造,且仓400包括多个钉孔412、上部平台410、仓体402和竖直狭槽406。通道300与对应钉孔412对齐。在本例子中,下钳口16包括互补的端部执行器触点420,以在将仓400插入到下钳口16中时使所述端部执行器触点电联接到板连接器312。可供选择的是,如根据一些上述具体实施可注意到,下钳口16可包括单个触点以电联接到仓400上的单个触点。在另一替代方案中,下钳口16可包括单个导体板以电联接到板连接器312,或者,下钳口14本身可具有电联接到板连接器312的部分。
尽管已公开了通道300和仓400的各种构型,但本领域的普通技术人员参考本文的教导内容将显而易见其它适合的构型。
D.示例性钉驱动器
现在参见图13至图14,不同的钉驱动器可与用于排出被蒸发的密封剂的前述构型一起使用。图13示出了具有钉驱动器主体502和一对对齐接片520的钉驱动器500,其中驱动器孔510形成于所述钉驱动器主体中。驱动器孔510竖直地延伸穿过钉驱动器主体502,且能够容许被蒸发的密封剂穿过仓的钉孔被排出。钉对齐接片520从钉驱动器主体520竖直地延伸,且能够在部署之前对齐钉驱动器500上的钉。对齐接片520还能够以能够分离的方式保持钉,诸如通过粘合剂或能够分离的机械连接。在另一构型中,对齐接片520可能够联接到形成于仓的上部平台(诸如上部平台110)内的接纳凹口(未示出),使得钉驱动器500联接到上部平台且甚至在击发杆14回缩时仍保持邻接所述上部平台。在此构型中,任何前述构型均可随后被启动以将密封剂穿过驱动器孔510排出。图14中示出了可供选择的钉驱动器600。可供选择的钉驱动器600的构型基本上类似于钉驱动器500,但钉驱动器600包括一对形成在钉驱动器主体602的侧面上的半圆形凹口610,以容许密封剂穿过所述凹口并经过钉驱动器600。当然,如同本文中所述的其它元件,本领域的普通技术人员参考本文的教导内容将显而易见用于钉驱动器500、600的其它适合构型。
在图15中示出的另一构型中,一个或多个电阻带712和密封剂714嵌入到钉驱动器700中的对应腔室710内,或者联接到钉驱动器700的钉驱动器主体702。密封剂714并不限于密封剂,而是可包括针对密封剂170列举的任何医用流体和/或其它物品。在此构型中,钉驱动器700具有在钉驱动器700底表面上的多个钉驱动器触点708,但应当理解,钉驱动器触点708可位于钉驱动器700上的任何位置处。连接器722将驱动器触点708电联接到电阻带712,但应当理解,此仅为任选的,且电阻带712可整体地联接到驱动器触点708。形成于钉驱动器主体702内的一个或多个孔720能够容许被蒸发的密封剂716排出以密封钉和组织。在本构型中,驱动器触点708能够电联接到位于击发杆14和/或楔形滑动件41上的一个或多个触点。在击发杆14完全延伸(且因此来自仓的钉已从钉孔中排出)时,功率源98可施加到击发杆14上的一个或多个触点,从而触发电阻带712以蒸发密封剂714、使其穿过孔720排出。可供选择的是,如果楔形滑动件41包括触点,或者如果楔形滑动件41包括导电材料,那么功率源98可联接到楔形滑动件41,同时楔形滑动件41竖直地凸轮转移钉驱动器700。应当理解,此可使密封剂714蒸发,同时驱动钉穿过组织。此可减少密封剂714重构以密封钉和组织所需要的时间。在另一构型中,驱动器触点708可在钉驱动器主体702的一个或多个侧上,以电联接到凹坑的侧壁上的对应触点,其中钉驱动器700移动穿过所述凹坑。
尽管已公开了钉驱动器500、600、700的各种构型,但本领域的普通技术人员参考本文的教导内容将显而易见其它适合的构型。
E.用于端部执行器电联接的示例性构型
图16示出了具有一个或多个电触点800的端部执行器12,所述电触点通过连接器810联接到远程功率源,诸如功率源98。如先前提及,功率源98可位于柄部部分20内(图1A至图1B中所示),或者功率源98可在器械10外部。在将仓插入到下钳口16中时,本布置中的电触点800联接到对应仓触点,诸如仓100的仓触点130。电触点800可能够在器械10的使用期间与多个钉仓一起使用多次。尽管仅示出了一个电触点800,但应当理解,可利用不止一个电触点800。事实上,对于其中血液或其它体液可干扰一个或多个电触点800的电连接的情况而言,提供冗余的电触点800可为有利的,但应当理解,此冗余仅为任选的。此外,尽管将电触点800示出为位于下钳口16的近端附近,但本领域的普通技术人员参考本文的教导内容将显而易见电触点800在下钳口16、砧座18或击发杆14上的其它适合位置。
应当理解,本文所述的教导内容、表达方式、实施例、例子等中的任何一个或多个可与本文所述的其它教导内容、表达方式、实施例、例子等中的任何一个或多个相结合。因此下述教导内容、表达方式、实施例、例子等不应视为相对于彼此隔离。参考本文的教导内容,本领域的普通技术人员将显而易见可结合本文的教导内容的各种适合方式。此类修改形式和变型旨在包括在权利要求的范围之内。
上文所述的装置的型式可适用于由医疗专业人员进行的常规医疗处理和手术中、以及可适用于机器人辅助的医疗处理和手术中。
上文所述的型式可被设计为单次使用后丢弃,或者它们可被设计为可使用多次。在上述任一种或两种情况下,均可对这些型式进行修复,以便在使用至少一次后重复使用。修复可包括如下步骤的任意组合:拆卸装置、然后清洗或置换特定零件、以及随后重新组装。具体地讲,可拆卸所述装置的一些型式,并且可选择性地以任何组合形式来替换或取出所述装置的任意数量的特定部件或零件。清洗和/或替换特定部分后,该装置的一些型式可以在修复设施处重新组装或者在即将进行手术前由使用者重新组装以便随后使用。本领域的技术人员将了解,修复装置时可利用多种技术进行拆卸、清洁/替换和重新组装。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。
仅以举例的方式,本文所述的型式可在手术之前和/或之后进行消毒。在一种消毒技术中,将装置布置在闭合并密封的容器中,例如,布置在塑料袋或TYVEK袋中。然后可将容器和装置布置在能够穿透该容器的辐射场中,诸如γ辐射、X射线或高能电子。辐射可杀死装置上和容器中的细菌。消毒后的装置随后可存放于无菌容器中,以备以后使用。还可使用本领域已知的任何其它技术对装置消毒,所述技术包括(但不限于)β辐射或γ辐射、环氧乙烷或蒸汽消毒。
尽管已在本发明中示出和描述了多个型式,但本领域的普通技术人员可在不脱离本发明范围的前提下进行适当修改以对本文所述的方法和系统进行进一步改进。已经提及了若干此类潜在的修改形式,并且其它修改形式对于本领域的技术人员而言将显而易见。例如,上文讨论的例子、型式、几何形状、材料、尺寸、比率、步骤等均是示例性的而非必需的。因此,本发明的范围应以下面的权利要求书考虑,并且应理解为不限于说明书和附图中示出和描述的结构和操作细节。
Claims (20)
1.一种设备,包括:
(a)器械,所述器械包括:
i.柄部部分,
ii.端部执行器,所述端部执行器包括:
(1)下钳口;
(2)可枢转砧座;和
(b)能够插入到所述端部执行器中的钉仓,所述钉仓包括:
i.具有上部平台的仓体,所述上部平台包括:
(1)形成于所述上部平台中并且从所述上部平台的近端纵向延伸的竖直狭槽,其中切割刃能够穿过所述竖直狭槽纵向平移,和
(2)多个钉孔,
ii.能够相对于所述仓体竖直地平移的一个或多个钉驱动器,
iii.设置在所述一个或多个钉驱动器上方的多个钉,其中所述多个钉能够相对于所述仓体竖直地平移,
iv.设置在所述仓体内的电阻构件,
v.具有至少部分与所述电阻构件连通的医用流体。
2.根据权利要求1所述的设备,其中所述电阻构件包括电阻带。
3.根据权利要求2所述的设备,其中所述下钳口包括导体,其中所述导体选择性地联接到功率源。
4.根据权利要求3所述的设备,其中所述电阻带包括带触点,其中所述导体包括导体触点,其中所述带触点能够操作以电联接到所述导体触点。
5.根据权利要求4所述的设备,其中所述带触点的至少部分与所述多个钉孔基本竖直地对齐。
6.根据权利要求1所述的设备,其中所述医用流体包括多个密封剂垫。
7.根据权利要求6所述的设备,其中所述密封剂垫中的每一个的至少部分与所述多个钉孔基本竖直地对齐。
8.根据权利要求1所述的设备,其中所述一个或多个钉驱动器包括竖直地延伸穿过所述一个或多个钉驱动器的孔。
9.根据权利要求1所述的设备,其中所述一个或多个钉驱动器包括在所述一个或多个钉驱动器的一侧上竖直地延伸的凹口。
10.根据权利要求1所述的设备,其中所述医用流体包括可解聚的氰基丙烯酸酯或可喷涂的热塑性聚氨基甲酸酯。
11.根据权利要求1所述的设备,其中所述医用流体是可蒸发的药剂或药物。
12.根据权利要求1所述的设备,其中所述仓体包括形成于所述仓体的基底部分中的通道,其中所述电阻构件和所述医用流体设置在所述通道内。
13.根据权利要求1所述的设备,还包括联接到所述电阻构件并且能够操作以将所述电阻构件电联接到功率源的触点。
14.根据权利要求13所述的设备,其中所述仓体包括具有支撑部分的近端,并且其中所述触点位于所述支撑部分上。
15.根据权利要求13所述的设备,其中所述功率源容纳在所述器械内。
16.一种用于内窥镜外科用途的设备,所述设备包括:
(a)具有上部平台的仓体,所述上部平台包括:
i.形成于所述上部平台中并且从所述上部平台的近端纵向延伸的竖直狭槽,和
ii.多个钉孔;
(b)能够相对于所述仓体竖直地平移的一个或多个钉驱动器;
(c)多个钉,其中所述多个钉能够相对于所述仓体竖直地平移;
(d)设置在所述仓体内的多个电阻构件;
(e)具有至少部分与所述多个电阻构件连通的医用流体;和
(f)联接到所述多个电阻构件并且能够操作以将所述多个电阻构件电联接到功率源的触点。
17.根据权利要求16所述的设备,还包括形成于所述仓体中的多个通道,其中所述多个电阻构件设置在所述多个通道内。
18.根据权利要求17所述的设备,还包括端口,其中所述端口能够提供所述多个通道中的两个或更多个之间的流体连通。
19.根据权利要求17所述的设备,其中所述医用流体的至少部分容纳在贮存器内,所述贮存器与所述多个通道中的一个或多个通道流体连通。
20.一种用于使用器械、钉仓和功率源来缝合以及密封组织的方法,其中所述器械包括能够容纳钉仓的端部执行器,其中所述端部执行器包括一个或多个钉成形凹坑,其中所述钉仓包括具有一个或多个钉孔的上部平台、设置在所述钉仓内的一个或多个钉驱动器、能够由所述一个或多个钉驱动器平移的一个或多个钉、选择性地联接到所述功率源的一个或多个电阻构件、和至少部分地与所述一个或多个电阻构件连通的医用流体,所述方法包括:
(b)将所述端部执行器定位在所述组织处;
(c)使用所述一个或多个钉驱动器以驱动所述一个或多个钉离开所述一个或多个钉孔、穿过所述组织、并且至少部分地进入到所述一个或多个钉成形凹坑中;
(d)启动联接到所述一个或多个电阻构件的所述功率源;
(e)使用所述电阻构件加热所述医用流体的至少部分;以及
(f)使所述医用流体的至少部分穿过所述上部平台排出。
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107106171A (zh) * | 2014-09-18 | 2017-08-29 | 伊西康有限责任公司 | 具有多个切割元件的外科缝合器 |
CN109310425A (zh) * | 2016-04-15 | 2019-02-05 | 伊西康有限责任公司 | 钉成形检测机构 |
CN109688944A (zh) * | 2015-08-31 | 2019-04-26 | 伊西康有限责任公司 | 包括附属材料的管状外科构建体 |
Families Citing this family (614)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
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 |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US8348131B2 (en) | 2006-09-29 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical indicator to show levels of tissue compression |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US7637410B2 (en) | 2006-10-06 | 2009-12-29 | Tyco Healthcare Group Lp | Surgical instrument including a locking assembly |
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 |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8632535B2 (en) | 2007-01-10 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US7434717B2 (en) | 2007-01-11 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Apparatus for closing a curved anvil of a surgical stapling device |
US7669747B2 (en) | 2007-03-15 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8061576B2 (en) | 2007-08-31 | 2011-11-22 | Tyco Healthcare Group Lp | Surgical instrument |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
US9615826B2 (en) | 2010-09-30 | 2017-04-11 | Ethicon Endo-Surgery, Llc | Multiple thickness implantable layers for surgical stapling devices |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
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 |
BRPI1008667A2 (pt) | 2009-02-06 | 2016-03-08 | Ethicom Endo Surgery Inc | aperfeiçoamento do grampeador cirúrgico acionado |
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 |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US9839420B2 (en) | 2010-09-30 | 2017-12-12 | Ethicon Llc | Tissue thickness compensator comprising at least one medicament |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9016542B2 (en) | 2010-09-30 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising compressible distortion resistant components |
US9861361B2 (en) | 2010-09-30 | 2018-01-09 | Ethicon Llc | Releasable tissue thickness compensator and fastener cartridge having the same |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US20220175370A1 (en) * | 2010-09-30 | 2022-06-09 | Cilag Gmbh International | Tissue thickness compensator comprising at least one medicament |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
RU2606493C2 (ru) | 2011-04-29 | 2017-01-10 | Этикон Эндо-Серджери, Инк. | Кассета со скобками, содержащая скобки, расположенные внутри ее сжимаемой части |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9999408B2 (en) * | 2011-09-14 | 2018-06-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with fluid fillable buttress |
US9089326B2 (en) | 2011-10-07 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Dual staple cartridge for surgical stapler |
US8740036B2 (en) | 2011-12-01 | 2014-06-03 | Covidien Lp | Surgical instrument with actuator spring arm |
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 |
CN104321024B (zh) | 2012-03-28 | 2017-05-24 | 伊西康内外科公司 | 包括多个层的组织厚度补偿件 |
RU2644272C2 (ru) | 2012-03-28 | 2018-02-08 | Этикон Эндо-Серджери, Инк. | Узел ограничения, включающий компенсатор толщины ткани |
BR112014024098B1 (pt) | 2012-03-28 | 2021-05-25 | Ethicon Endo-Surgery, Inc. | cartucho de grampos |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US9700310B2 (en) | 2013-08-23 | 2017-07-11 | Ethicon Llc | Firing member retraction devices for powered surgical instruments |
BR112015021082B1 (pt) | 2013-03-01 | 2022-05-10 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
JP6382235B2 (ja) | 2013-03-01 | 2018-08-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 信号通信用の導電路を備えた関節運動可能な外科用器具 |
US9668729B2 (en) | 2013-03-13 | 2017-06-06 | Covidien Lp | Surgical stapling apparatus |
US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
US9888919B2 (en) | 2013-03-14 | 2018-02-13 | Ethicon Llc | Method and system for operating a surgical instrument |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
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 |
JP6416260B2 (ja) | 2013-08-23 | 2018-10-31 | エシコン エルエルシー | 動力付き外科用器具のための発射部材後退装置 |
US9662108B2 (en) | 2013-08-30 | 2017-05-30 | Covidien Lp | Surgical stapling apparatus |
CN105682570B (zh) | 2013-11-04 | 2019-02-01 | 柯惠Lp公司 | 手术紧固件施加装置 |
WO2015065486A1 (en) | 2013-11-04 | 2015-05-07 | Covidien Lp | Surgical fastener applying apparatus |
CN105682568B (zh) | 2013-11-04 | 2018-10-23 | 柯惠Lp公司 | 手术紧固件施加装置 |
US9867613B2 (en) | 2013-12-19 | 2018-01-16 | Covidien Lp | Surgical staples and end effectors for deploying the same |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US9877721B2 (en) | 2014-04-16 | 2018-01-30 | Ethicon Llc | Fastener cartridge comprising tissue control features |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
JP6636452B2 (ja) | 2014-04-16 | 2020-01-29 | エシコン エルエルシーEthicon LLC | 異なる構成を有する延在部を含む締結具カートリッジ |
US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
BR112016023825B1 (pt) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico |
BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
US9861366B2 (en) | 2014-05-06 | 2018-01-09 | Covidien Lp | Ejecting assembly for a surgical stapler |
US10512461B2 (en) | 2014-05-15 | 2019-12-24 | Covidien Lp | Surgical fastener applying apparatus |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US10016199B2 (en) | 2014-09-05 | 2018-07-10 | Ethicon Llc | Polarity of hall magnet to identify cartridge type |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
BR112017005981B1 (pt) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
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 |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US9968355B2 (en) | 2014-12-18 | 2018-05-15 | Ethicon Llc | Surgical instruments with articulatable end effectors and improved firing beam support arrangements |
US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
US10130367B2 (en) | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
US10172617B2 (en) | 2015-03-25 | 2019-01-08 | Ethicon Llc | Malleable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10568621B2 (en) | 2015-03-25 | 2020-02-25 | Ethicon Llc | Surgical staple buttress with integral adhesive for releasably attaching to a surgical stapler |
US10349939B2 (en) | 2015-03-25 | 2019-07-16 | Ethicon Llc | Method of applying a buttress to a surgical stapler |
US10172618B2 (en) | 2015-03-25 | 2019-01-08 | Ethicon Llc | Low glass transition temperature bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10548593B2 (en) | 2015-03-25 | 2020-02-04 | Ethicon Llc | Flowable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10478187B2 (en) | 2015-03-25 | 2019-11-19 | Ethicon Llc | Biologically derived extracellular matrix with infused viscous absorbable copolymer for releasably attaching a staple buttress to a surgical stapler |
US10863984B2 (en) | 2015-03-25 | 2020-12-15 | Ethicon Llc | Low inherent viscosity bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10136891B2 (en) | 2015-03-25 | 2018-11-27 | Ethicon Llc | Naturally derived bioabsorbable polymer gel adhesive for releasably attaching a staple buttress to a surgical stapler |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
US10117650B2 (en) | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
US10299789B2 (en) | 2015-05-05 | 2019-05-28 | Covidie LP | Adapter assembly for surgical stapling devices |
US10039532B2 (en) | 2015-05-06 | 2018-08-07 | Covidien Lp | Surgical instrument with articulation assembly |
US10349941B2 (en) | 2015-05-27 | 2019-07-16 | Covidien Lp | Multi-fire lead screw stapling device |
US10172615B2 (en) | 2015-05-27 | 2019-01-08 | Covidien Lp | Multi-fire push rod stapling device |
US10548599B2 (en) | 2015-07-20 | 2020-02-04 | Covidien Lp | Endoscopic stapler and staple |
US9987012B2 (en) * | 2015-07-21 | 2018-06-05 | Covidien Lp | Small diameter cartridge design for a surgical stapling instrument |
US10201348B2 (en) * | 2015-07-28 | 2019-02-12 | Ethicon Llc | Surgical stapler cartridge with compression features at staple driver edges |
US10064622B2 (en) | 2015-07-29 | 2018-09-04 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
US10045782B2 (en) | 2015-07-30 | 2018-08-14 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
US10349940B2 (en) | 2015-08-24 | 2019-07-16 | Ethicon Llc | Surgical stapler buttress applicator with state indicator |
US10342542B2 (en) | 2015-08-24 | 2019-07-09 | Ethicon Llc | Surgical stapler buttress applicator with end effector actuated release mechanism |
US11039832B2 (en) | 2015-08-24 | 2021-06-22 | Cilag Gmbh International | Surgical stapler buttress applicator with spent staple cartridge lockout |
US10639039B2 (en) | 2015-08-24 | 2020-05-05 | Ethicon Llc | Surgical stapler buttress applicator with multi-zone platform for pressure focused release |
US10342532B2 (en) | 2015-08-24 | 2019-07-09 | Ethicon Llc | Surgical stapler buttress applicator with multi-point actuated release mechanism |
US10166023B2 (en) | 2015-08-24 | 2019-01-01 | Ethicon Llc | Method of applying a buttress to a surgical stapler end effector |
US10569071B2 (en) | 2015-08-31 | 2020-02-25 | Ethicon Llc | Medicant eluting adjuncts and methods of using medicant eluting adjuncts |
US10245034B2 (en) * | 2015-08-31 | 2019-04-02 | Ethicon Llc | Inducing tissue adhesions using surgical adjuncts and medicants |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10433846B2 (en) | 2015-09-30 | 2019-10-08 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US10213204B2 (en) | 2015-10-02 | 2019-02-26 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
US10772632B2 (en) | 2015-10-28 | 2020-09-15 | Covidien Lp | Surgical stapling device with triple leg staples |
US10499918B2 (en) | 2015-10-29 | 2019-12-10 | Ethicon Llc | Surgical stapler buttress assembly with features to interact with movable end effector components |
US10433839B2 (en) | 2015-10-29 | 2019-10-08 | Ethicon Llc | Surgical stapler buttress assembly with gel adhesive retainer |
US10238388B2 (en) | 2015-10-29 | 2019-03-26 | Ethicon Llc | Surgical stapler buttress assembly with humidity tolerant adhesive |
US10314588B2 (en) | 2015-10-29 | 2019-06-11 | Ethicon Llc | Fluid penetrable buttress assembly for a surgical stapler |
US10517592B2 (en) * | 2015-10-29 | 2019-12-31 | Ethicon Llc | Surgical stapler buttress assembly with adhesion to wet end effector |
US10251649B2 (en) | 2015-10-29 | 2019-04-09 | Ethicon Llc | Surgical stapler buttress applicator with data communication |
US10357248B2 (en) | 2015-10-29 | 2019-07-23 | Ethicon Llc | Extensible buttress assembly for surgical stapler |
US10441286B2 (en) | 2015-10-29 | 2019-10-15 | Ethicon Llc | Multi-layer surgical stapler buttress assembly |
US10085745B2 (en) | 2015-10-29 | 2018-10-02 | Ethicon Llc | Extensible buttress assembly for surgical stapler |
US10595864B2 (en) | 2015-11-24 | 2020-03-24 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10966717B2 (en) | 2016-01-07 | 2021-04-06 | Covidien Lp | Surgical fastener apparatus |
US10660623B2 (en) | 2016-01-15 | 2020-05-26 | Covidien Lp | Centering mechanism for articulation joint |
US10470764B2 (en) | 2016-02-09 | 2019-11-12 | Ethicon Llc | Surgical instruments with closure stroke reduction arrangements |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
JP6911054B2 (ja) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーEthicon LLC | 非対称の関節構成を備えた外科用器具 |
US10349937B2 (en) | 2016-02-10 | 2019-07-16 | Covidien Lp | Surgical stapler with articulation locking mechanism |
US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10485542B2 (en) | 2016-04-01 | 2019-11-26 | Ethicon Llc | Surgical stapling instrument comprising multiple lockouts |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10653420B2 (en) | 2016-04-20 | 2020-05-19 | Ethicon Llc | Compliant compensation features for end effector of surgical stapling instrument |
US10258337B2 (en) | 2016-04-20 | 2019-04-16 | Ethicon Llc | Surgical staple cartridge with severed tissue edge adjunct |
US10561419B2 (en) | 2016-05-04 | 2020-02-18 | Covidien Lp | Powered end effector assembly with pivotable channel |
US11065022B2 (en) | 2016-05-17 | 2021-07-20 | Covidien Lp | Cutting member for a surgical instrument |
US10631857B2 (en) | 2016-11-04 | 2020-04-28 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
US11642126B2 (en) | 2016-11-04 | 2023-05-09 | Covidien Lp | Surgical stapling apparatus with tissue pockets |
US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
US10542981B2 (en) | 2016-11-14 | 2020-01-28 | Ethicon Llc | Atraumatic stapling head features for circular surgical stapler |
US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US10517596B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Articulatable surgical instruments with articulation stroke amplification features |
US10667811B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Surgical stapling instruments and staple-forming anvils |
CN110099619B (zh) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | 用于外科端部执行器和可替换工具组件的闭锁装置 |
US10624635B2 (en) | 2016-12-21 | 2020-04-21 | Ethicon Llc | Firing members with non-parallel jaw engagement features for surgical end effectors |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10610224B2 (en) | 2016-12-21 | 2020-04-07 | Ethicon Llc | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
CN110087565A (zh) | 2016-12-21 | 2019-08-02 | 爱惜康有限责任公司 | 外科缝合系统 |
US10542982B2 (en) | 2016-12-21 | 2020-01-28 | Ethicon Llc | Shaft assembly comprising first and second articulation lockouts |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
JP7086963B2 (ja) | 2016-12-21 | 2022-06-20 | エシコン エルエルシー | エンドエフェクタロックアウト及び発射アセンブリロックアウトを備える外科用器具システム |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US10667810B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems |
US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
US10709901B2 (en) | 2017-01-05 | 2020-07-14 | Covidien Lp | Implantable fasteners, applicators, and methods for brachytherapy |
US10952767B2 (en) | 2017-02-06 | 2021-03-23 | Covidien Lp | Connector clip for securing an introducer to a surgical fastener applying apparatus |
US11141150B2 (en) * | 2017-02-17 | 2021-10-12 | Cilag Gmbh International | Buttress loader for surgical staplers |
US10716564B2 (en) | 2017-02-17 | 2020-07-21 | Ethicon Llc | Stapling adjunct attachment |
US20180235618A1 (en) | 2017-02-22 | 2018-08-23 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
US10849621B2 (en) | 2017-02-23 | 2020-12-01 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US11350915B2 (en) | 2017-02-23 | 2022-06-07 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US10660641B2 (en) | 2017-03-16 | 2020-05-26 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US11324502B2 (en) | 2017-05-02 | 2022-05-10 | Covidien Lp | Surgical loading unit including an articulating end effector |
US10603035B2 (en) | 2017-05-02 | 2020-03-31 | Covidien Lp | Surgical loading unit including an articulating end effector |
US10524784B2 (en) | 2017-05-05 | 2020-01-07 | Covidien Lp | Surgical staples with expandable backspan |
US10390826B2 (en) | 2017-05-08 | 2019-08-27 | Covidien Lp | Surgical stapling device with elongated tool assembly and methods of use |
US10420551B2 (en) | 2017-05-30 | 2019-09-24 | Covidien Lp | Authentication and information system for reusable surgical instruments |
US10478185B2 (en) | 2017-06-02 | 2019-11-19 | Covidien Lp | Tool assembly with minimal dead space |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11103301B2 (en) | 2017-06-28 | 2021-08-31 | Cilag Gmbh International | Surgical system coupleable with staple cartridge and radio frequency cartridge, and having a plurality of radio-frequency energy return paths |
US10888369B2 (en) | 2017-06-28 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling control circuits for independent energy delivery over segmented sections |
US10779824B2 (en) | 2017-06-28 | 2020-09-22 | Ethicon Llc | Surgical instrument comprising an articulation system lockable by a closure system |
US11478242B2 (en) | 2017-06-28 | 2022-10-25 | Cilag Gmbh International | Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11013552B2 (en) | 2017-06-28 | 2021-05-25 | Cilag Gmbh International | Electrosurgical cartridge for use in thin profile surgical cutting and stapling instrument |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11160604B2 (en) * | 2017-06-28 | 2021-11-02 | Cilag Gmbh International | Surgical end effector to adjust jaw compression |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US11298128B2 (en) | 2017-06-28 | 2022-04-12 | Cilag Gmbh International | Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same |
US11278346B2 (en) | 2017-06-28 | 2022-03-22 | Cilag Gmbh International | Systems and methods of displaying surgical instrument status |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US11058477B2 (en) | 2017-06-28 | 2021-07-13 | Cilag Gmbh International | Surgical cutting and fastening instruments with dual power sources |
US11272976B2 (en) | 2017-06-28 | 2022-03-15 | Cilag Gmbh International | Surgical end effector for applying electrosurgical energy to different electrodes on different time periods |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11065048B2 (en) | 2017-06-28 | 2021-07-20 | Cilag Gmbh International | Flexible circuit arrangement for surgical fastening instruments |
USD869655S1 (en) * | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
USD893717S1 (en) | 2017-06-28 | 2020-08-18 | Ethicon Llc | Staple cartridge for surgical instrument |
US10813640B2 (en) | 2017-06-28 | 2020-10-27 | Ethicon Llc | Method of coating slip rings |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11129666B2 (en) | 2017-06-28 | 2021-09-28 | Cilag Gmbh International | Shaft module circuitry arrangements |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US10888325B2 (en) | 2017-06-28 | 2021-01-12 | Ethicon Llc | Cartridge arrangements for surgical cutting and fastening instruments with lockout disablement features |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US10624636B2 (en) | 2017-08-23 | 2020-04-21 | Covidien Lp | Surgical stapling device with floating staple cartridge |
US10806452B2 (en) | 2017-08-24 | 2020-10-20 | Covidien Lp | Loading unit for a surgical stapling instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10925603B2 (en) | 2017-11-14 | 2021-02-23 | Covidien Lp | Reload with articulation stabilization system |
US10863987B2 (en) | 2017-11-16 | 2020-12-15 | Covidien Lp | Surgical instrument with imaging device |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11883019B2 (en) | 2017-12-21 | 2024-01-30 | Cilag Gmbh International | Stapling instrument comprising a staple feeding system |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US10945732B2 (en) | 2018-01-17 | 2021-03-16 | Covidien Lp | Surgical stapler with self-returning assembly |
CA3090020A1 (en) | 2018-03-02 | 2019-09-06 | Covidien Lp | Surgical stapling instrument |
US10631860B2 (en) * | 2018-03-23 | 2020-04-28 | Ethicon Llc | Surgical instrument with electrical contact under membrane |
US10849622B2 (en) | 2018-06-21 | 2020-12-01 | Covidien Lp | Articulated stapling with fire lock |
US10736631B2 (en) | 2018-08-07 | 2020-08-11 | Covidien Lp | End effector with staple cartridge ejector |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US10849620B2 (en) | 2018-09-14 | 2020-12-01 | Covidien Lp | Connector mechanisms for surgical stapling instruments |
US11510669B2 (en) | 2020-09-29 | 2022-11-29 | Covidien Lp | Hand-held surgical instruments |
US11090051B2 (en) | 2018-10-23 | 2021-08-17 | Covidien Lp | Surgical stapling device with floating staple cartridge |
US11197673B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Surgical stapling instruments and end effector assemblies thereof |
USD903115S1 (en) | 2018-12-28 | 2020-11-24 | Ethicon Llc | Applicator for a surgical stapler buttress |
US11166725B2 (en) | 2018-12-28 | 2021-11-09 | Cilag Gmbh International | Configuration of buttress for surgical stapler |
US11103243B2 (en) | 2018-12-28 | 2021-08-31 | Cilag Gmbh International | Curved tip surgical stapler buttress assembly applicator with compression layer pocket feature |
US11432817B2 (en) | 2018-12-28 | 2022-09-06 | Cilag Gmbh International | Packaging for surgical stapler buttress |
US11202628B2 (en) | 2018-12-28 | 2021-12-21 | Cilag Gmbh International | Surgical stapler with tissue engagement features around tissue containment pin |
USD926318S1 (en) | 2018-12-28 | 2021-07-27 | Cilag Gmbh International | Surgical stapler deck with tissue engagement recess features |
US11166724B2 (en) | 2018-12-28 | 2021-11-09 | Cilag Gmbh International | Adhesive distribution on buttress for surgical stapler |
US11701109B2 (en) | 2018-12-28 | 2023-07-18 | Cilag Gmbh International | Surgical stapler with sloped staple deck for varying tissue compression |
US11272935B2 (en) | 2018-12-28 | 2022-03-15 | Cilag Gmbh International | Curved tip surgical stapler buttress assembly applicator with opening feature for curved tip alignment |
USD922576S1 (en) | 2018-12-28 | 2021-06-15 | Cilag Gmbh International | Applicator tray for a buttress applicator for a surgical stapler |
US11116505B2 (en) | 2018-12-28 | 2021-09-14 | Cilag Gmbh International | Applicator for surgical stapler buttress |
US10905424B2 (en) | 2018-12-28 | 2021-02-02 | Ethicon Llc | Curved tip surgical stapler buttress assembly applicator with proximal alignment features |
US11033269B2 (en) | 2018-12-28 | 2021-06-15 | Cilag Gmbh International | Method of applying buttresses to surgically cut and stapled sites |
USD901686S1 (en) | 2018-12-28 | 2020-11-10 | Ethicon Llc | Applicator for surgical stapler buttress |
USD926317S1 (en) | 2018-12-28 | 2021-07-27 | Cilag Gmbh International | Surgical stapler deck with tissue engagement cleat features |
USD932621S1 (en) | 2018-12-28 | 2021-10-05 | Cilag Gmbh International | Buttress assembly for a surgical stapler |
USD933220S1 (en) | 2018-12-28 | 2021-10-12 | Cilag Gmbh International | Buttress assembly for a surgical stapler |
US10912563B2 (en) | 2019-01-02 | 2021-02-09 | Covidien Lp | Stapling device including tool assembly stabilizing member |
US11344297B2 (en) | 2019-02-28 | 2022-05-31 | Covidien Lp | Surgical stapling device with independently movable jaws |
US11259808B2 (en) | 2019-03-13 | 2022-03-01 | Covidien Lp | Tool assemblies with a gap locking member |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11284892B2 (en) | 2019-04-01 | 2022-03-29 | Covidien Lp | Loading unit and adapter with modified coupling assembly |
US11284893B2 (en) | 2019-04-02 | 2022-03-29 | Covidien Lp | Stapling device with articulating tool assembly |
US11241228B2 (en) | 2019-04-05 | 2022-02-08 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11229437B2 (en) | 2019-06-28 | 2022-01-25 | Cilag Gmbh International | Method for authenticating the compatibility of a staple cartridge with a surgical instrument |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11224424B2 (en) | 2019-08-02 | 2022-01-18 | Covidien Lp | Linear stapling device with vertically movable knife |
US11406385B2 (en) | 2019-10-11 | 2022-08-09 | Covidien Lp | Stapling device with a gap locking member |
US11123068B2 (en) | 2019-11-08 | 2021-09-21 | Covidien Lp | Surgical staple cartridge |
US11974743B2 (en) | 2019-12-02 | 2024-05-07 | Covidien Lp | Linear stapling device with a gap locking member |
US11707274B2 (en) | 2019-12-06 | 2023-07-25 | Covidien Lp | Articulating mechanism for surgical instrument |
US11109862B2 (en) | 2019-12-12 | 2021-09-07 | Covidien Lp | Surgical stapling device with flexible shaft |
US11737747B2 (en) | 2019-12-17 | 2023-08-29 | Covidien Lp | Hand-held surgical instruments |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11452524B2 (en) | 2020-01-31 | 2022-09-27 | Covidien Lp | Surgical stapling device with lockout |
US11278282B2 (en) | 2020-01-31 | 2022-03-22 | Covidien Lp | Stapling device with selective cutting |
US11890014B2 (en) | 2020-02-14 | 2024-02-06 | Covidien Lp | Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue |
US11344301B2 (en) | 2020-03-02 | 2022-05-31 | Covidien Lp | Surgical stapling device with replaceable reload assembly |
US11344302B2 (en) | 2020-03-05 | 2022-05-31 | Covidien Lp | Articulation mechanism for surgical stapling device |
US11707278B2 (en) | 2020-03-06 | 2023-07-25 | Covidien Lp | Surgical stapler tool assembly to minimize bleeding |
US11246593B2 (en) | 2020-03-06 | 2022-02-15 | Covidien Lp | Staple cartridge |
US11317911B2 (en) | 2020-03-10 | 2022-05-03 | Covidien Lp | Tool assembly with replaceable cartridge assembly |
US11357505B2 (en) | 2020-03-10 | 2022-06-14 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US11406383B2 (en) | 2020-03-17 | 2022-08-09 | Covidien Lp | Fire assisted powered EGIA handle |
US11426159B2 (en) | 2020-04-01 | 2022-08-30 | Covidien Lp | Sled detection device |
US11331098B2 (en) | 2020-04-01 | 2022-05-17 | Covidien Lp | Sled detection device |
US11504117B2 (en) | 2020-04-02 | 2022-11-22 | Covidien Lp | Hand-held surgical instruments |
US11937794B2 (en) | 2020-05-11 | 2024-03-26 | Covidien Lp | Powered handle assembly for surgical devices |
US11191537B1 (en) | 2020-05-12 | 2021-12-07 | Covidien Lp | Stapling device with continuously parallel jaws |
US11406387B2 (en) | 2020-05-12 | 2022-08-09 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
US11534167B2 (en) | 2020-05-28 | 2022-12-27 | Covidien Lp | Electrotaxis-conducive stapling |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
US11191538B1 (en) | 2020-06-08 | 2021-12-07 | Covidien Lp | Surgical stapling device with parallel jaw closure |
US11844517B2 (en) | 2020-06-25 | 2023-12-19 | Covidien Lp | Linear stapling device with continuously parallel jaws |
US11324500B2 (en) | 2020-06-30 | 2022-05-10 | Covidien Lp | Surgical stapling device |
US12023027B2 (en) | 2020-07-02 | 2024-07-02 | Covidien Lp | Surgical stapling device with compressible staple cartridge |
US11517305B2 (en) | 2020-07-09 | 2022-12-06 | Covidien Lp | Contoured staple pusher |
US11446028B2 (en) | 2020-07-09 | 2022-09-20 | Covidien Lp | Tool assembly with pivotable clamping beam |
WO2022016357A1 (en) | 2020-07-21 | 2022-01-27 | Covidien Lp | Shipping cover for staple cartridge |
US11864756B2 (en) | 2020-07-28 | 2024-01-09 | Cilag Gmbh International | Surgical instruments with flexible ball chain drive arrangements |
US11266402B2 (en) | 2020-07-30 | 2022-03-08 | Covidien Lp | Sensing curved tip for surgical stapling instruments |
US11439392B2 (en) | 2020-08-03 | 2022-09-13 | Covidien Lp | Surgical stapling device and fastener for pathological exam |
US11395654B2 (en) | 2020-08-07 | 2022-07-26 | Covidien Lp | Surgical stapling device with articulation braking assembly |
US11602342B2 (en) | 2020-08-27 | 2023-03-14 | Covidien Lp | Surgical stapling device with laser probe |
US11678878B2 (en) | 2020-09-16 | 2023-06-20 | Covidien Lp | Articulation mechanism for surgical stapling device |
US11660092B2 (en) | 2020-09-29 | 2023-05-30 | Covidien Lp | Adapter for securing loading units to handle assemblies of surgical stapling instruments |
US11406384B2 (en) | 2020-10-05 | 2022-08-09 | Covidien Lp | Stapling device with drive assembly stop member |
US11576674B2 (en) | 2020-10-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with articulation lock assembly |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11890007B2 (en) | 2020-11-18 | 2024-02-06 | Covidien Lp | Stapling device with flex cable and tensioning mechanism |
WO2022118161A1 (en) | 2020-12-02 | 2022-06-09 | Cilag Gmbh International | Dual-sided reinforced reload for surgical instruments |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11737774B2 (en) | 2020-12-04 | 2023-08-29 | Covidien Lp | Surgical instrument with articulation assembly |
US11819200B2 (en) | 2020-12-15 | 2023-11-21 | Covidien Lp | Surgical instrument with articulation assembly |
US11553914B2 (en) | 2020-12-22 | 2023-01-17 | Covidien Lp | Surgical stapling device with parallel jaw closure |
US11744582B2 (en) | 2021-01-05 | 2023-09-05 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
US11759206B2 (en) | 2021-01-05 | 2023-09-19 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
US11517313B2 (en) | 2021-01-27 | 2022-12-06 | Covidien Lp | Surgical stapling device with laminated drive member |
US11759207B2 (en) | 2021-01-27 | 2023-09-19 | Covidien Lp | Surgical stapling apparatus with adjustable height clamping member |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11717300B2 (en) | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11974750B2 (en) | 2021-03-26 | 2024-05-07 | Covidien Lp | Surgical staple cartridge |
US11497495B2 (en) | 2021-03-31 | 2022-11-15 | Covidien Lp | Continuous stapler strip for use with a surgical stapling device |
US11666330B2 (en) | 2021-04-05 | 2023-06-06 | Covidien Lp | Surgical stapling device with lockout mechanism |
US11944295B2 (en) | 2021-04-30 | 2024-04-02 | Cilag Gmbh International | Surgical instrument comprising end effector with longitudinal sealing step |
US11931035B2 (en) | 2021-04-30 | 2024-03-19 | Cilag Gmbh International | Articulation system for surgical instrument |
US11857184B2 (en) | 2021-04-30 | 2024-01-02 | Cilag Gmbh International | Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife |
US11918275B2 (en) | 2021-04-30 | 2024-03-05 | Cilag Gmbh International | Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity |
US11826043B2 (en) | 2021-04-30 | 2023-11-28 | Cilag Gmbh International | Staple cartridge comprising formation support features |
US11576670B2 (en) | 2021-05-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with optimized drive assembly |
US11812956B2 (en) | 2021-05-18 | 2023-11-14 | Covidien Lp | Dual firing radial stapling device |
US11696755B2 (en) | 2021-05-19 | 2023-07-11 | Covidien Lp | Surgical stapling device with reload assembly removal lockout |
US11771423B2 (en) | 2021-05-25 | 2023-10-03 | Covidien Lp | Powered stapling device with manual retraction |
US11510673B1 (en) | 2021-05-25 | 2022-11-29 | Covidien Lp | Powered stapling device with manual retraction |
US11701119B2 (en) | 2021-05-26 | 2023-07-18 | Covidien Lp | Powered stapling device with rack release |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11576675B2 (en) | 2021-06-07 | 2023-02-14 | Covidien Lp | Staple cartridge with knife |
US11707275B2 (en) | 2021-06-29 | 2023-07-25 | Covidien Lp | Asymmetrical surgical stapling device |
US11617579B2 (en) | 2021-06-29 | 2023-04-04 | Covidien Lp | Ultra low profile surgical stapling instrument for tissue resections |
US11602344B2 (en) | 2021-06-30 | 2023-03-14 | Covidien Lp | Surgical stapling apparatus with firing lockout assembly |
US11540831B1 (en) | 2021-08-12 | 2023-01-03 | Covidien Lp | Staple cartridge with actuation sled detection |
US11779334B2 (en) | 2021-08-19 | 2023-10-10 | Covidien Lp | Surgical stapling device including a manual retraction assembly |
US12023028B2 (en) | 2021-08-20 | 2024-07-02 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
US11576671B1 (en) | 2021-08-20 | 2023-02-14 | Covidien Lp | Small diameter linear surgical stapling apparatus |
US11707277B2 (en) | 2021-08-20 | 2023-07-25 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
US11864761B2 (en) | 2021-09-14 | 2024-01-09 | Covidien Lp | Surgical instrument with illumination mechanism |
US11653922B2 (en) | 2021-09-29 | 2023-05-23 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
US11660094B2 (en) | 2021-09-29 | 2023-05-30 | Covidien Lp | Surgical fastening instrument with two-part surgical fasteners |
US11849949B2 (en) | 2021-09-30 | 2023-12-26 | Covidien Lp | Surgical stapling device with firing lockout member |
US12035909B2 (en) | 2021-10-13 | 2024-07-16 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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 |
US20050072827A1 (en) * | 2002-01-03 | 2005-04-07 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
US20050263562A1 (en) * | 2003-05-20 | 2005-12-01 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US20090001122A1 (en) * | 2007-06-27 | 2009-01-01 | Megan Prommersberger | Buttress and surgical stapling apparatus |
US20090236388A1 (en) * | 2008-03-18 | 2009-09-24 | David Cole | Endoscopic stapling devices and methods |
US20100181364A1 (en) * | 2004-07-28 | 2010-07-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
Family Cites Families (182)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA481943A (en) | 1952-03-25 | C. Harvey Douglass | Camera controlling mechanism | |
GB222954A (en) | 1923-07-10 | 1924-10-10 | Mabel Elizabeth Tilburn | Improved means for producing and for the illuminated projection-display of writings, cartoons, drawings and the like |
GB493459A (en) | 1937-04-08 | 1938-10-10 | Piero Mariano Salerni | Improvements in or relating to hydraulic power transmission apparatus |
US2303131A (en) | 1941-04-25 | 1942-11-24 | Eva M Morgan | Suturable surgical adhesive material and method of using same |
GB913218A (en) | 1960-02-02 | 1962-12-19 | Alexey Alexeevich Strekopitov | A suturing device |
US3364200A (en) | 1960-03-28 | 1968-01-16 | Johnson & Johnson | Oxidized cellulose product and method for preparing the same |
US3496940A (en) | 1966-09-19 | 1970-02-24 | Charles Steinman | Surgical suture and sling device |
US3526228A (en) | 1969-03-24 | 1970-09-01 | Ethicon Inc | Collagen lamina dural prosthesis |
US4222383A (en) | 1978-08-07 | 1980-09-16 | Schossow George W | Surgical drape and suture |
US4513746A (en) | 1981-10-09 | 1985-04-30 | United States Surgical Corp. | Instrument for applying plastic-like surgical fastening devices |
SU1170663A1 (ru) | 1983-04-14 | 1987-04-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Состав дл соединени тканей и органов |
US4549545A (en) | 1984-03-05 | 1985-10-29 | Ethicon Inc. | Segmented polyurethane surgical buttressing pledgets |
US4693720A (en) | 1985-09-23 | 1987-09-15 | Katecho, Incorporated | Device for surgically repairing soft tissues and method for making the same |
US4610250A (en) | 1985-10-08 | 1986-09-09 | United States Surgical Corporation | Two-part surgical fastener for fascia wound approximation |
JPS6425870A (en) | 1987-04-30 | 1989-01-27 | Ajinomoto Kk | Support for anastomosis or bonding of living body |
EP0328401A1 (en) | 1988-02-11 | 1989-08-16 | Unisearch Limited | Anastomosis augmentation device |
US4805823A (en) | 1988-03-18 | 1989-02-21 | Ethicon, Inc. | Pocket configuration for internal organ staplers |
JPH06506366A (ja) | 1990-12-06 | 1994-07-21 | ダブリュ.エル.ゴア アンド アソシエーツ,インコーポレイティド | 植設可能な生体吸収性部材 |
US5366480A (en) | 1990-12-24 | 1994-11-22 | American Cyanamid Company | Synthetic elastomeric buttressing pledget |
US5690675A (en) | 1991-02-13 | 1997-11-25 | Fusion Medical Technologies, Inc. | Methods for sealing of staples and other fasteners in tissue |
US5282829A (en) | 1991-08-15 | 1994-02-01 | United States Surgical Corporation | Hollow body implants |
US5411193A (en) | 1991-08-26 | 1995-05-02 | Culp; Joel B. | Portable containment device for contaminated medical objects |
WO1993010731A1 (en) | 1991-12-06 | 1993-06-10 | Kensey Nash Corporation | Pads, methods of making, and methods of use for wound dressing, surgical reinforcement and hemostasis promotion |
US5496603A (en) | 1992-02-03 | 1996-03-05 | Minnesota Mining And Manufacturing Company | Nonwoven sheet materials, tapes and methods |
GB9206509D0 (en) | 1992-03-25 | 1992-05-06 | Jevco Ltd | Heteromorphic sponges containing active agents |
US5263629A (en) | 1992-06-29 | 1993-11-23 | Ethicon, Inc. | Method and apparatus for achieving hemostasis along a staple line |
US5327914A (en) | 1992-09-02 | 1994-07-12 | Shlain Leonard M | Method and devices for use in surgical gastroplastic procedure |
US5383904A (en) | 1992-10-13 | 1995-01-24 | United States Surgical Corporation | Stiffened surgical device |
US5403312A (en) * | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
US5749968A (en) | 1993-03-01 | 1998-05-12 | Focal, Inc. | Device for priming for improved adherence of gels to substrates |
US5565210A (en) | 1993-03-22 | 1996-10-15 | Johnson & Johnson Medical, Inc. | Bioabsorbable wound implant materials |
US5415334A (en) * | 1993-05-05 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler and staple cartridge |
JPH06327684A (ja) * | 1993-05-19 | 1994-11-29 | Olympus Optical Co Ltd | 外科用縫合具 |
US5297324A (en) | 1993-07-15 | 1994-03-29 | Su Wen Chian | Fully rounded jingle bell making method |
US5810811A (en) * | 1993-07-22 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
JP3146773B2 (ja) | 1993-07-26 | 2001-03-19 | スズキ株式会社 | スクータ型自動二輪車のキャブレターの燃料油面位置保持装置 |
US5607590A (en) | 1993-08-06 | 1997-03-04 | Shimizu; Yasuhiko | Material for medical use and process for preparing same |
US5542594A (en) | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
US5393594A (en) | 1993-10-06 | 1995-02-28 | United States Surgical Corporation | Absorbable non-woven fabric |
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 |
US6704210B1 (en) | 1994-05-20 | 2004-03-09 | Medtronic, Inc. | Bioprothesis film strip for surgical stapler and method of attaching the same |
US5814057A (en) | 1994-06-03 | 1998-09-29 | Gunze Limited | Supporting element for staple region |
US6174333B1 (en) | 1994-06-06 | 2001-01-16 | Osiris Therapeutics, Inc. | Biomatrix for soft tissue regeneration using mesenchymal stem cells |
CA2192457C (en) | 1994-07-27 | 2002-02-19 | Thane L. Kranzler | High strength porous ptfe sheet material |
US5607686A (en) | 1994-11-22 | 1997-03-04 | United States Surgical Corporation | Polymeric composition |
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 |
CA2167455A1 (en) | 1995-01-19 | 1996-07-20 | Kevin Cooper | Absorbable polyalkylene diglycolates |
DE69622851T2 (de) | 1995-03-31 | 2003-04-24 | Sekisui Kagaku Kogyo K.K., Osaka | Verfahren zur herstellung von acrylhaltigen druckempfindlichen klebstoffen vom lösungstyp und medizinischer druckempfindlicher klebstoff |
DE69625660T2 (de) | 1995-04-21 | 2003-11-06 | W.L. Gore & Associates, Inc. | Spendevorrichtung für chirurgische befestigungsplättchen |
JP3795100B2 (ja) | 1995-05-08 | 2006-07-12 | 株式会社伊垣医療設計 | 医療用縫合材 |
JP3526487B2 (ja) | 1995-05-08 | 2004-05-17 | 株式会社伊垣医療設計 | 医療用縫合材 |
US5902312A (en) | 1995-07-03 | 1999-05-11 | Frater; Dirk A. | System for mounting bolster material on tissue staplers |
ATE254892T1 (de) | 1995-07-17 | 2003-12-15 | Alfred Edward Wood | Versteifung für eine herzklappenrekonstruktion |
US5810855A (en) | 1995-07-21 | 1998-09-22 | Gore Enterprise Holdings, Inc. | Endoscopic device and method for reinforcing surgical staples |
US5814055A (en) | 1995-09-19 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
US5639851A (en) | 1995-10-02 | 1997-06-17 | Ethicon, Inc. | High strength, melt processable, lactide-rich, poly(lactide-CO-P-dioxanone) copolymers |
JP3476631B2 (ja) | 1995-12-21 | 2003-12-10 | 株式会社アムニオテック | ヒト由来の天然コラーゲン膜からなる医用材料 |
US5711958A (en) | 1996-07-11 | 1998-01-27 | Life Medical Sciences, Inc. | Methods for reducing or eliminating post-surgical adhesion formation |
US5755778A (en) | 1996-10-16 | 1998-05-26 | Nitinol Medical Technologies, Inc. | Anastomosis device |
US5752965A (en) | 1996-10-21 | 1998-05-19 | Bio-Vascular, Inc. | Apparatus and method for producing a reinforced surgical fastener suture line |
US5769892A (en) | 1996-10-22 | 1998-06-23 | Mitroflow International Inc. | Surgical stapler sleeve for reinforcing staple lines |
TW501934B (en) | 1996-11-20 | 2002-09-11 | Tapic Int Co Ltd | Collagen material and process for making the same |
EP1011477A1 (en) | 1997-03-04 | 2000-06-28 | Medtronic Inc. | Bioprothesis film strip for surgical stapler and method of attaching the same |
US7083613B2 (en) | 1997-03-05 | 2006-08-01 | The Trustees Of Columbia University In The City Of New York | Ringed forceps |
US6626901B1 (en) * | 1997-03-05 | 2003-09-30 | The Trustees Of Columbia University In The City Of New York | Electrothermal instrument for sealing and joining or cutting tissue |
US5951552A (en) * | 1997-06-30 | 1999-09-14 | Ethicon Endo-Surgery, Inc. | Capacitively coupled cordless electrosurgical instrument |
US6475230B1 (en) | 1997-08-01 | 2002-11-05 | Peter M. Bonutti | Method and apparatus for securing a suture |
US5997895A (en) | 1997-09-16 | 1999-12-07 | Integra Lifesciences Corporation | Dural/meningeal repair product using collagen matrix |
GB2329840C (en) | 1997-10-03 | 2007-10-05 | Johnson & Johnson Medical | Biopolymer sponge tubes |
WO1999034750A1 (en) | 1998-01-06 | 1999-07-15 | Bioamide, Inc. | Bioabsorbable fibers and reinforced composites produced therefrom |
US6245081B1 (en) | 1998-01-09 | 2001-06-12 | Steven M. Bowman | Suture buttress |
US6203564B1 (en) | 1998-02-26 | 2001-03-20 | United States Surgical | Braided polyester suture and implantable medical device |
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 |
FR2778081B1 (fr) | 1998-04-29 | 2000-08-25 | Fabrice Thevenet | Implants de renfort pour sutures tissulaires |
JPH11309151A (ja) | 1998-04-30 | 1999-11-09 | Nippon Waisuredarii Kk | 手術用縫合デバイス |
WO1999064655A1 (fr) | 1998-06-11 | 1999-12-16 | Tapic International Co., Ltd. | Materiau collagenique et procede de production |
FR2789885B1 (fr) | 1999-02-19 | 2001-05-04 | Brothier Lab | Dispositif de renfort de suture |
EP2305324B1 (en) | 1999-03-25 | 2014-09-17 | Metabolix, Inc. | Medical devices and applications of polyhydroxyalkanoate polymers |
US6921412B1 (en) | 1999-05-18 | 2005-07-26 | Cryolife, Inc. | Self-supporting, shaped, three-dimensional biopolymeric materials and methods |
US6325810B1 (en) | 1999-06-30 | 2001-12-04 | Ethicon, Inc. | Foam buttress for stapling apparatus |
US6355699B1 (en) | 1999-06-30 | 2002-03-12 | Ethicon, Inc. | Process for manufacturing biomedical foams |
AU7084300A (en) | 1999-08-27 | 2001-03-26 | Cohesion Technologies, Inc. | Compositions that form interpenetrating polymer networks for use as high strength medical sealants |
EP1080693A1 (en) | 1999-09-02 | 2001-03-07 | Heinz Robert Dr. med. Zurbrügg | Haemostatic and/or reinforcing surgical suture system for sternal cerclages |
US6312474B1 (en) | 1999-09-15 | 2001-11-06 | Bio-Vascular, Inc. | Resorbable implant materials |
US6641592B1 (en) | 1999-11-19 | 2003-11-04 | Lsi Solutions, Inc. | System for wound closure |
US6635073B2 (en) | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
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 |
AU2000270100A1 (en) | 2000-07-28 | 2002-02-13 | Les Laboratoires Brothier | Suture reinforcing device |
US20040093024A1 (en) | 2000-09-01 | 2004-05-13 | James Lousararian | Advanced wound site management systems and methods |
MXPA03002414A (es) | 2000-09-18 | 2004-07-08 | Organogenesis Inc | Protesis con injerto de hoja plana tratada por bioingenieria y su uso. |
KR100856693B1 (ko) * | 2001-04-04 | 2008-09-04 | 알자 코포레이션 | 항미생물제 양립가능성 저장소 조성물을 포함하는 경피전기수송 전달 장치 |
US6638285B2 (en) | 2001-04-16 | 2003-10-28 | Shlomo Gabbay | Biological tissue strip and system and method to seal tissue |
US6503257B2 (en) | 2001-05-07 | 2003-01-07 | Ethicon Endo-Surgery, Inc. | Method for releasing buttress material attached 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 |
US7182771B1 (en) | 2001-12-20 | 2007-02-27 | Russell A. Houser | Vascular couplers, techniques, methods, and accessories |
US6939358B2 (en) | 2001-12-20 | 2005-09-06 | Gore Enterprise Holdings, Inc. | Apparatus and method for applying reinforcement material to a surgical stapler |
US7128748B2 (en) | 2002-03-26 | 2006-10-31 | Synovis Life Technologies, Inc. | Circular stapler buttress combination |
AU2003230933B2 (en) | 2002-04-15 | 2008-01-10 | Cook Biotech Incorporated | Apparatus and method for producing a reinforced surgical staple line |
US7517356B2 (en) | 2002-04-16 | 2009-04-14 | Tyco Healthcare Group Lp | Surgical stapler and method |
WO2003094746A1 (en) * | 2002-05-10 | 2003-11-20 | Tyco Healthcare Group, Lp | Surgical stapling apparatus having a wound closure material applicator assembly |
DE60309018T2 (de) | 2002-05-10 | 2007-05-03 | Tyco Healthcare Group Lp, Norwalk | Gerät zum setzen von wundklammern sowie wunddichtungsmasse |
EP1503674B1 (en) * | 2002-05-10 | 2006-08-23 | Tyco Healthcare Group Lp | Electrosurgical stapling apparatus |
US6986775B2 (en) | 2002-06-13 | 2006-01-17 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
JP4551214B2 (ja) | 2002-06-17 | 2010-09-22 | タイコ ヘルスケア グループ エルピー | 環状支持構造体 |
KR100803798B1 (ko) | 2002-12-16 | 2008-02-14 | 군제 가부시키가이샤 | 의료용 필름 |
WO2004058078A1 (en) | 2002-12-16 | 2004-07-15 | Edrich Vascular Devices, Inc. | Multiple stapling device for narrow blood vessels |
BR0317715A (pt) | 2002-12-27 | 2005-11-22 | Angiotech Int Ag | Composições e processos de uso de collajolie |
FR2850281A1 (fr) | 2003-01-27 | 2004-07-30 | Brothier Lab | Procede de fabrication d'un dispositif de renfort de suture |
US20040167572A1 (en) | 2003-02-20 | 2004-08-26 | Roth Noah M. | Coated medical devices |
US7160299B2 (en) | 2003-05-01 | 2007-01-09 | Sherwood Services Ag | Method of fusing biomaterials with radiofrequency energy |
DE60312050T2 (de) | 2003-05-09 | 2007-10-25 | Tyco Healthcare Group Lp, Norwalk | Anastomoseklammer mit fluidabgabe-kapillare |
US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US7143923B2 (en) | 2003-05-20 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a firing lockout for an unclosed anvil |
US6978921B2 (en) | 2003-05-20 | 2005-12-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an E-beam firing mechanism |
US7905902B2 (en) | 2003-06-16 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical implant with preferential corrosion zone |
DE602004029366D1 (de) | 2003-07-17 | 2010-11-11 | Gunze Kk | Nahtverstärkungsmaterial für ein automatisches nähgerät |
US8198261B2 (en) | 2003-08-22 | 2012-06-12 | Xylos Corporation | Thermally modified microbial-derived cellulose for in vivo implantation |
US7547312B2 (en) | 2003-09-17 | 2009-06-16 | Gore Enterprise Holdings, Inc. | Circular stapler buttress |
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 |
US7434715B2 (en) | 2003-09-29 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing with opening lockout |
US20050070929A1 (en) | 2003-09-30 | 2005-03-31 | Dalessandro David A. | Apparatus and method for attaching a surgical buttress to a stapling apparatus |
US20050247320A1 (en) | 2003-10-10 | 2005-11-10 | Stack Richard S | Devices and methods for retaining a gastro-esophageal implant |
US20050101834A1 (en) | 2003-11-10 | 2005-05-12 | Merade Bryon L. | Readily implantable sling |
US7211093B2 (en) | 2004-01-14 | 2007-05-01 | Lsi Solutions, Inc. | Sew-right running stitch instrument |
US20050283256A1 (en) | 2004-02-09 | 2005-12-22 | Codman & Shurtleff, Inc. | Collagen device and method of preparing the same |
GB2429651C (en) | 2004-02-17 | 2009-03-25 | Cook Biotech Inc | Medical devices and methods useful for applying bolster material |
JP4700384B2 (ja) | 2004-04-07 | 2011-06-15 | オリンパス株式会社 | 医療用結紮縫合装置及び医療用結紮縫合システム |
US20050249772A1 (en) | 2004-05-04 | 2005-11-10 | Prasanna Malaviya | Hybrid biologic-synthetic bioabsorbable scaffolds |
US20070190108A1 (en) | 2004-05-17 | 2007-08-16 | Arindam Datta | High performance reticulated elastomeric matrix preparation, properties, reinforcement, and use in surgical devices, tissue augmentation and/or tissue repair |
US20060004388A1 (en) | 2004-06-18 | 2006-01-05 | Ablatrics, Inc. | System for tissue cavity closure |
US7727271B2 (en) | 2004-06-24 | 2010-06-01 | Boston Scientific Scimed, Inc. | Implantable prosthesis having reinforced attachment sites |
US7367485B2 (en) | 2004-06-30 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission |
US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
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 |
ES2264862B8 (es) | 2004-08-25 | 2017-01-20 | Cellerix, S.L. | Biomaterial para sutura. |
US7845536B2 (en) | 2004-10-18 | 2010-12-07 | Tyco Healthcare Group Lp | Annular adhesive structure |
EP2345375A1 (en) | 2004-10-18 | 2011-07-20 | Tyco Healthcare Group LP | Annular adhesive structure |
EP1802239B1 (en) * | 2004-10-18 | 2015-03-25 | Covidien LP | Apparatus for applying wound treatment material using tissue-penetrating needles |
US20060093655A1 (en) | 2004-10-20 | 2006-05-04 | Lillian Bar | Method for making a reinforced absorbable multilayered hemostatic wound dressing |
WO2006081174A2 (en) | 2005-01-24 | 2006-08-03 | Brian Kelleher | Methods and devices for soft tissue stapling |
US20060173470A1 (en) | 2005-01-31 | 2006-08-03 | Oray B N | Surgical fastener buttress material |
US7784663B2 (en) | 2005-03-17 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having load sensing control circuitry |
FR2884134B1 (fr) | 2005-04-07 | 2008-03-28 | Safradim Production Soc Par Ac | Systeme de mise en place de moyens formant renfort d'une suture |
US7250057B2 (en) | 2005-04-11 | 2007-07-31 | St. Jude Medical Puerto Rico B.V. | Tissue puncture closure device with automatic torque sensing tamping system |
US7618438B2 (en) | 2005-05-17 | 2009-11-17 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure device with disengagable automatic tamping system |
US7837705B2 (en) | 2005-05-17 | 2010-11-23 | St. Jude Medical Puerto Rico Llc | Tissue puncture closure system with retractable sheath |
US7500993B2 (en) | 2005-07-15 | 2009-03-10 | Towertech Research Group, Inc. | Ventral hernia repair method |
US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
US7559937B2 (en) | 2005-08-09 | 2009-07-14 | Towertech Research Group | Surgical fastener apparatus and reinforcing material |
US7401721B2 (en) | 2005-08-15 | 2008-07-22 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US7398908B2 (en) | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US9055942B2 (en) | 2005-10-03 | 2015-06-16 | Boston Scienctific Scimed, Inc. | Endoscopic plication devices and methods |
US7673783B2 (en) * | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
US20070112360A1 (en) | 2005-11-15 | 2007-05-17 | Patrick De Deyne | Bioprosthetic device |
US20070128243A1 (en) | 2005-12-02 | 2007-06-07 | Xylos Corporation | Implantable microbial cellulose materials for various medical applications |
EP1962867B1 (en) | 2005-12-06 | 2013-06-19 | Covidien LP | Biocompatible surgical compositions |
US8267942B2 (en) | 2005-12-23 | 2012-09-18 | Ethicon, Inc. | Systems and methods for closing a vessel wound |
US20070207180A1 (en) | 2006-03-02 | 2007-09-06 | Masao Tanihara | Synthetic polypeptide-containing bioapplicable material and film-forming material |
US7709631B2 (en) | 2006-03-13 | 2010-05-04 | Xylos Corporation | Oxidized microbial cellulose and use thereof |
JP5076586B2 (ja) | 2006-03-30 | 2012-11-21 | 大日本印刷株式会社 | エンボス加工装置 |
US20080039871A1 (en) | 2006-04-04 | 2008-02-14 | Wallace Jeffrey M | Minimally invasive gastric restriction methods |
US20070243227A1 (en) | 2006-04-14 | 2007-10-18 | Michael Gertner | Coatings for surgical staplers |
US20070246505A1 (en) | 2006-04-24 | 2007-10-25 | Medical Ventures Inc. | Surgical buttress assemblies and methods of uses thereof |
US20070286892A1 (en) | 2006-06-13 | 2007-12-13 | Uri Herzberg | Compositions and methods for preventing or reducing postoperative ileus and gastric stasis in mammals |
US7780663B2 (en) | 2006-09-22 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | End effector coatings for electrosurgical instruments |
US7557167B2 (en) | 2006-09-28 | 2009-07-07 | Gore Enterprise Holdings, Inc. | Polyester compositions, methods of manufacturing said compositions, and articles made therefrom |
US8348131B2 (en) | 2006-09-29 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical indicator to show levels of tissue compression |
US7845533B2 (en) | 2007-06-22 | 2010-12-07 | Tyco Healthcare Group Lp | Detachable buttress material retention systems for use with a surgical stapling device |
CA2665206C (en) | 2006-10-26 | 2015-04-14 | Tyco Healthcare Group Lp | Methods of using shape memory alloys for buttress attachment |
US7753936B2 (en) | 2006-11-10 | 2010-07-13 | Ehticon Endo-Surgery, Inc. | Form in place fasteners |
US8834498B2 (en) | 2006-11-10 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Method and device for effecting anastomosis of hollow organ structures using adhesive and fasteners |
US7721930B2 (en) | 2006-11-10 | 2010-05-25 | Thicon Endo-Surgery, Inc. | Disposable cartridge with adhesive for use with a stapling device |
US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
US8317790B2 (en) | 2007-09-14 | 2012-11-27 | W. L. Gore & Associates, Inc. | Surgical staple line reinforcements |
US20090118747A1 (en) | 2007-11-05 | 2009-05-07 | Tyco Healthcare Group Lp | Novel surgical fastener |
US8453906B2 (en) * | 2010-07-14 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8998059B2 (en) * | 2011-08-01 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Adjunct therapy device having driver with cavity for hemostatic agent |
-
2011
- 2011-09-13 US US13/230,994 patent/US8998060B2/en active Active
-
2012
- 2012-09-10 CN CN201280055446.3A patent/CN103930046B/zh not_active Expired - Fee Related
- 2012-09-10 MX MX2014002975A patent/MX351214B/es active IP Right Grant
- 2012-09-10 EP EP12762150.6A patent/EP2755570B1/en not_active Not-in-force
- 2012-09-10 WO PCT/US2012/054397 patent/WO2013039818A1/en active Application Filing
- 2012-09-10 JP JP2014530716A patent/JP6072041B2/ja not_active Expired - Fee Related
- 2012-09-10 BR BR112014005984-5A patent/BR112014005984B1/pt active IP Right Grant
- 2012-09-10 IN IN1850DEN2014 patent/IN2014DN01850A/en unknown
- 2012-09-10 RU RU2014114496A patent/RU2624332C2/ru not_active IP Right Cessation
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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 |
US20050072827A1 (en) * | 2002-01-03 | 2005-04-07 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
US20050263562A1 (en) * | 2003-05-20 | 2005-12-01 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US20100181364A1 (en) * | 2004-07-28 | 2010-07-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US20090001122A1 (en) * | 2007-06-27 | 2009-01-01 | Megan Prommersberger | Buttress and surgical stapling apparatus |
US20090236388A1 (en) * | 2008-03-18 | 2009-09-24 | David Cole | Endoscopic stapling devices and methods |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107106171A (zh) * | 2014-09-18 | 2017-08-29 | 伊西康有限责任公司 | 具有多个切割元件的外科缝合器 |
CN109688944A (zh) * | 2015-08-31 | 2019-04-26 | 伊西康有限责任公司 | 包括附属材料的管状外科构建体 |
CN109310425A (zh) * | 2016-04-15 | 2019-02-05 | 伊西康有限责任公司 | 钉成形检测机构 |
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IN2014DN01850A (zh) | 2015-05-15 |
BR112014005984B1 (pt) | 2020-12-15 |
US20130062393A1 (en) | 2013-03-14 |
RU2014114496A (ru) | 2015-10-20 |
RU2624332C2 (ru) | 2017-07-03 |
EP2755570B1 (en) | 2018-12-05 |
WO2013039818A1 (en) | 2013-03-21 |
EP2755570A1 (en) | 2014-07-23 |
US8998060B2 (en) | 2015-04-07 |
CN103930046B (zh) | 2016-12-28 |
JP6072041B2 (ja) | 2017-02-01 |
BR112014005984A2 (pt) | 2017-04-04 |
JP2014531239A (ja) | 2014-11-27 |
MX351214B (es) | 2017-10-04 |
MX2014002975A (es) | 2015-03-19 |
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