CN104053408B - 用于外科缝合器的双重钉仓 - Google Patents

用于外科缝合器的双重钉仓 Download PDF

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CN104053408B
CN104053408B CN201280060301.2A CN201280060301A CN104053408B CN 104053408 B CN104053408 B CN 104053408B CN 201280060301 A CN201280060301 A CN 201280060301A CN 104053408 B CN104053408 B CN 104053408B
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CN104053408A (zh
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D·T·克鲁玛纳克尔
R·J·西姆斯
E·戈德伯格
T·A·奥斯本
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Ethicon Endo Surgery Inc
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07292—Reinforcements for staple line, e.g. pledgets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0645—Surgical staples, i.e. penetrating the tissue being elastically deformed for insertion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07228—Arrangement of the staples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07271—Stapler heads characterised by its cartridge
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
    • F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
    • F04C2270/00—Control; Monitoring or safety arrangements
    • F04C2270/04—Force
    • F04C2270/041—Controlled or regulated

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Abstract

一种外科缝合器(10)包括端部执行器(12)，所述端部执行器能够接收上部钉仓(160)和下部钉仓(120)。所述下部钉仓包括成非垂直或倾斜的角度来设置的钉驱动器(43)。所述钉驱动器可以相对于垂线相反地成角度。所述钉驱动器另外可以联接到致动构件，所述致动构件使得所述钉驱动器在缝合前枢转到垂直的位置。所述致动构件可由所述击发杆(14)和/或楔形滑动件(41)致动。所述上部钉仓还可包括成角度钉驱动器，其可枢转到垂直的位置。所述上部钉仓和/或所述下部钉仓还可包括钉成形凹坑(53)。或者，一个钉驱动器可以是垂直的，并且第二钉驱动器可以成非垂直的角度。所述钉驱动器可以被致动到成角度冲压成形凹槽(230)中。

Description

用于外科缝合器的双重钉仓
背景技术
在一些情况下，内窥镜式外科器械可以优于传统的开放式外科装置，因为较小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穿过套管针的插管来将远侧端部执行器放置在期望手术部位处。这些远侧端部执行器能以多种方式来接合组织以便达到诊断或治疗的效果，所述远侧端部执行器如：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。内窥镜式外科器械可包括轴，该轴介于端部执行器与临床医生所操纵的柄部部分之间。这样的轴可以允许插入期望深度并绕轴的纵向轴线旋转，从而利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结构而进一步利于端部执行器的定位，从而使得端部执行器能选择性地进行关节运动，或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，切割穿过夹紧的组织层，并驱动钉穿过组织层以在组织层中的被切断的末端附近将切断的组织层基本上密封在一起。仅示例性外科缝合器在以下美国专利中公开：1989年2月21日公布的名称为“PocketConfiguration for Internal Organ Staplers”的美国专利第4,805,823号；1995年5月16日公布的名称为“Surgical Stapler and Staple Cartridge”的美国专利第5,415,334号；1995年11月14日公布的名称为“Surgical StaplerInstrument”的美国专利第5,465,895号；1997年1月28日公布的名称为“Surgical Stapler Instrument”的美国专利第5,597,107号；1997年5月27日公布的名称为“Surgical Instrument”的美国专利第5,632,432号；1997年10月7日公布的名称为“Surgical Instrument”的美国专利第5,673,840号；1998年1月6日公布的名称为“Articulation Assembly for SurgicalInstruments”的美国专利第5,704,534号；1998年9月29日公布的名称为“Surgical Clamping Mechanism”的美国专利第5,814,055号；2005年12月27日公布的名称为“Surgical Stapling Instrument Incorporating an E-BeamFiring Mechanism”的美国专利第6,978,921号；2006年2月21日公布的名称为“Surgical Stapling Instrument Having Separate Distinct Closing and FiringSystems”的美国专利第7,000,818号；2006年12月5日公布的名称为“Surgical Stapling Instrument Having a Firing Lockout for an Unclosed Anvil”的美国专利第7,143,923号；2007年12月4日公布的名称为“SurgicalStapling Instrument Incorporating a Multi-Stroke Firing Mechanism with aFlexible Rack”的美国专利第7,303,108号；2008年5月6日公布的名称为“Surgical Stapling Instrument Incorporating a Multistroke Firing MechanismHaving a Rotary Transmission”的美国专利第7,367,485号；2008年6月3日公布的名称为“Surgical Stapling Instrument Having a Single LockoutMechanism for Prevention of Firing”的美国专利第7,380,695号；2008年6月3日公布的名称为“Articulating Surgical Stapling Instrument Incorporating aTwo-Piece E-Beam Firing Mechanism”的美国专利第7,380,696号；2008年7月29日公布的名称为“Surgical Stapling and Cutting Device”的美国专利第7,404,508号；2008年10月14日公布的名称为“Surgical Stapling InstrumentHaving Multistroke Firing with Opening Lockout”的美国专利第7,434,715号；以及2010年5月25日公布的名称为“Disposable Cartridge withAdhesive for Use with a Stapling Device”的美国专利第7,721,930号。上文所引用的美国专利中的每个中的公开内容均以引用方式并入本文。虽然上文所涉及的外科缝合器被描述为用于内窥镜式手术，但应理解，这样的外科缝合器也可用于开腹手术和/或其它非内窥镜式手术。
虽然已制造并使用各种类型的外科缝合器械，但是据信，在本发明人之前还无人研制出或使用所附权利要求书中所描述的发明。
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的位置；
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-1B的外科器械中的打开的端部执行器的透视图；
图3A示出了沿图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示出了沿图2的线3-3截取的图2的端部执行器的侧面剖视图，其中击发杆处于远侧位置；
图4示出了沿图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在组织中被致动一次；
图7A示出了具有示例性下部仓和上部仓的示例性端部执行器的前正视剖视图；
图7B示出了图7A的端部执行器的前正视剖视图，示出延伸穿过下部仓和上部仓中竖直狭槽的击发杆；
图7C示出了图7A的端部执行器的前正视剖视图，示出使得钉驱动器凸起的示例性的上部楔形滑动件和下部滑动件；
图8A示出了具有替代的下部仓和上部仓的示例性替代的端部执行器的前正视剖视图；并且
图8B示出了图8A的端部执行器的前正视剖视图，示出使得钉驱动器凸起的示例性的上部楔形滑动件和下部滑动件。
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。并入本说明书并构成其一部分的附图示出了本发明的若干方面，并与说明书一起用于说明本发明的原理；然而，应当理解本发明不受限于所示出的精确布置方式。
具体实施方式
对本发明的某些例子的如下描述不应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、特征、形态、实施例和优点对于本领域的技术人员而言将变得显而易见。正如将会意识到的，本发明可以是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的，而非限制性的。
I.示例性外科缝合器
图1-6示出了示例性外科缝合和切断器械10，在图1A中示出的非关节运动的状态下，其尺寸设定成穿过套管针的插管通道插入患者手术部位，以便执行外科手术。外科缝合与切断器械10包括连接到执行部分22的柄部部分20，所述执行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。一旦穿过套管针的插管通道插入关节运动机构11和端部执行器12，关节运动机构11就可通过关节运动控制器13进行远程关节运动，如图1B所示。由此，端部执行器12可从期望角度或为其它原因到达器官或附近组织的后面。应当理解，诸如“近侧”和“远侧”的术语在本文中是参考器械10中临床医生抓握的柄部部分20而使用的。因此，端部执行器12相对于更近侧的柄部部分20处于远侧。还应理解，为简洁和清楚起见，本文可以结合附图使用空间术语，如“竖直”和“水平”。然而，外科器械在多个取向上和位置中使用，并且这些术语并非意图进行限制，也并非是绝对。
本例子的端部执行器12包括下钳口16和可枢转式砧座18。柄部部分20包括手枪式握把24，临床医生将闭合触发器26以可枢转的方式拉向该手枪式握把，以使砧座18朝向端部执行器12的下钳口16夹紧或者闭合。砧座18的这种闭合通过最外侧的闭合套管32提供，所述闭合套管响应于闭合触发器26相对于手枪式握把24的枢转而相对于柄部部分20纵向平移。闭合套管32的远侧闭合环33是由执行部分22的框架34间接支撑。在关节运动机构11处，闭合套管32的近侧闭合管35与远侧闭合环33相连通。框架34经由关节运动机构11柔性附接到下钳口16，使得能够在单个平面中进行关节运动。框架34还在纵向上滑动地支撑击发驱动构件(未示出)，所述击发驱动构件延伸穿过轴23并将击发动作从击发触发器28传递到击发杆14。击发触发器28远离闭合触发器26的外侧，并且能被临床医生以可枢转的方式拉动，以使所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释放组织。
图2-5示出了端部执行器12，其采用了E形梁击发杆14来执行多个功能。如图3A-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内并且能够在该砧座凹坑中平移。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)而可滑动地接合下钳口16的下表面，该通道狭槽穿过下钳口16形成。中部销46可滑动地接合下钳口16的顶部表面，从而与击发杆顶盖44协作。由此，击发杆14在击发期间肯定与端部执行器12隔开，对于最小量的夹紧组织克服在砧座18与下钳口16之间可能出现的紧缩，并且对于过多量的夹紧组织克服钉变形。
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，从而允许未耗尽的钉仓37可移除地安装到下钳口16的通道中。如图4-5中最佳地示出，这个例子中的钉仓37包括仓体70，所述仓体具有上部平台72并与下部的仓托盘74联接。如图2中最佳地示出，竖直狭槽49穿过钉仓37的一部分形成。还如图2中最佳地示出，三行钉孔51在竖直狭槽49一侧上穿过上部平台72形成，其中另一组的三行钉孔51在竖直狭槽49另一侧上穿过上部平台72形成。重新参见图3-5，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被定位成邻近钉驱动器43。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内，处于对应钉驱动器43上方。具体地讲，每个钉47在仓体70内被钉驱动器43竖直地驱动，以驱动钉47从相关钉孔51穿出。如图3A-3B和5中最佳地示出，楔形滑动件41存在倾斜凸轮表面，当朝向远侧驱动楔形滑动件41穿过钉仓37时，倾斜凸轮表面向上推压钉驱动器43。
利用如图3A所示那样闭合的端部执行器12，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的远端，并且能够接合楔形滑动件41，使得当击发杆14朝远侧推进穿过钉仓37时，楔形滑动件41被推块80朝远侧推动。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-3B所示，中间销46和推块80通过进入钉仓37内的狭槽49而一起致动钉仓37，从而驱动楔形滑动件41与钉驱动器43形成向上凸起接触，继而将钉47向外驱动穿过钉孔51并使钉与砧座18的内表面上的钉成形凹坑53成形接触。图3B示出了在完成切断和缝合组织后完全朝远侧平移的击发杆14。
图6示出了端部执行器12，所述端部执行器已通过单个行程而被致动穿过组织90。如图所示，切割刃48已经切割穿过组织90，同时钉驱动器43已经驱动三行交替的钉47穿过由切割刃48产生的切割线的每侧上的组织90。此例子中，钉47全部被取向成与切割线基本上平行，但应理解，钉47可定位成任何合适取向。本例子中，在第一行程完成之后，端部执行器12从套管针撤回，由新的钉仓替换所用完的钉仓37，然后，端部执行器12再次插入穿过套管针以到达缝合部位，以进一步切割并且缝合。这个过程可以重复，直到提供了期望量的切割和钉47。可能需要将砧座18闭合以利于通过套管针来插入和撤回；并且可能需要将砧座18打开以利于更换钉仓37。
应当理解，在每个致动行程期间，切割刃48可基本上在驱动钉47穿过组织的同时切断组织。本例子中，切割刃48仅仅稍稍落后于钉47的驱动，使得钉47正好在切割刃48穿过该组织的相同区域前穿过组织驱动，但应理解，这个顺序可以颠倒，或者切割刃48可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的层92、94。还应理解，邻近切割刃48所产生的切割线的钉47的成形和定位可基本上密封该切割线处的组织，由此，减少或者防止切割线处出血和/或体内其它体液渗漏。参考本文的教导内容，可以使用器械10的各种合适的设置和手术对于本领域的普通技术人员而言将是显而易见的。
应当理解，可以根据以下美国专利中的教导内容来构造并操作器械10：美国专利第4,805,823号；美国专利第5,415,334号；美国专利第5,465,895号；美国专利第5,597,107号；美国专利第5,632,432号；美国专利第5,673,840号；美国专利第5,704,534号；美国专利第5,814,055号；美国专利第6,978,921号；美国专利第7,000,818号；美国专利第7,143,923号；美国专利第7,303,108号；美国专利第7,367,485号；美国专利第7,380,695号；美国专利第7,380,696号；美国专利第7,404,508号；美国专利第7,434,715号；和/或美国专利第7,721,930号。
如上所述，这些专利中的每者中的公开内容均以引用方式并入本文。可以提供用于器械10的另外的示例性修改形式将会在下文中更详细地描述。可将下述教导内容结合到器械10内的各种合适方式对本领域的普通技术人员而言将会显而易见。类似地是，可将下述教导内容与本文所引用的专利的各种教导内容组合的各种合适方式对本领域的普通技术人员而言将会显而易见。另外，应当理解，下述教导内容并不限于本文所引用的专利中教导的器械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。参考本文教导内容，可应用下述教导内容的各种其它合适装置和设置对本领域的普通技术人员而言将会显而易见。
II.示例性双重钉仓
在一些情况下，利用双重钉仓37可以是有用的。例如，使底部钉仓37和顶部钉仓37插入端部执行器12中以从相反方向缝合组织90可以是有用的。另外，使用相反的钉还可促使材料稳固联接到组织90的两个侧。在一些情况下，使钉47成角度也是有用的。此类成角度钉47可以允许钉仓37的竖直尺寸减小。尽管下文描述了双重钉仓构型的仅说明性例子，但是参照本文中的教导内容，其它合适构型将对本领域的普通技术人员显而易见。
A.示例性可旋转的钉驱动器双重钉仓。
图7A-7C示出了能够接收下部仓120和上部仓160的示例性端部执行器100。应当理解，器械10可以易于修改以结合有端部执行器100。本例子中，端部执行器100包括下钳口102和可枢转的上钳口110。端部执行器100被联接到柄部部分20，如上所述。具体地讲，临床医生以可枢转的方式朝着手枪式握把24拉动闭合触发器26，以便使得上钳口110朝着端部执行器100的下钳口102夹紧、或闭合。本例子中，下钳口102限定下部凹槽104，所述下部凹槽能够接收下部仓120。在一些型式中，下钳口102还包括了能够选择性地将下部仓120联接到下钳口102的闭锁装置106或按扣结构。另外或者作为替代，下钳口102可以包括开口远端以及纵向轨道(未示出)，下部仓120可在所述纵向轨道上或下方滑动。下钳口102和/或下部仓120可以包括位于远端的闭锁装置或者说是按扣结构，以在下部仓120沿着纵向轨道朝近侧滑动时选择性地将下部仓120联接到下钳口102。当然，参考本文中的教导内容，用于将下部仓120插入并联接到下钳口102的其它构型将对本领域的普通技术人员显而易见。
上钳口110限定上部凹槽112，所述上部凹槽能够接收上部仓160。在一些型式中，上钳口110还包括了能够选择性地将上部仓160联接到上钳口110的闭锁装置114或按扣结构。另外或者作为替代，上钳口110可以包括开口远端以及纵向轨道(未示出)，上部钉仓160可在所述纵向轨道上或上方滑动。上钳口110和/或上部仓160可以包括位于远端的闭锁装置或按扣结构，以在上部仓160沿着纵向轨道朝近侧滑动时选择性地将上部仓160联接到上钳口110。当然，参考本文中的教导内容，用于将上部仓160插入并联接到上钳口110的其它构型将对本领域的普通技术人员显而易见。
本例子的下部仓120包括仓体122、上部平台124、多个钉孔130，多个钉驱动器140以及竖直狭槽126。下部仓120还可根据本文所述仓37、160、220、260的教导内容中的至少一些进行构造。如图7A所示，上部平台124包括沿着下部仓120的纵向轴线形成的竖直狭槽126以及在所述下部仓中形成的四个钉孔130——在竖直狭槽126的每个侧上形成两个钉孔130。应当理解，四个钉孔130是沿着下部仓120纵向延伸的四行钉孔130的一部分。此外，任何数量行的钉孔130都可形成于上部平台124中，并且四行钉孔130仅是示例性的。另外，钉孔130可以围绕竖直狭槽126以各种构型来设置。例如，钉孔130可以围绕竖直狭槽126对称设置，或者钉孔130可以围绕竖直狭槽126不对称地设置。仅以举例方式，对于弯曲端部执行器100，三个钉孔130可设置在竖直狭槽126的一侧上，并且单个钉孔130可设置在相对侧上。
本例子的上部平台124还包括了钉成形凹坑128，钉190经由上部仓160的钉驱动器180凸起嵌入所述钉成形凹坑中，这将在下文红更详细地描述。本例子中，每个钉孔130还由成角度内壁132和竖直外壁134限定。或者，壁132、134可以包括弧形壁。当然，参考本文中的教导内容，用于钉孔130的其它构型和取向将对本领域的普通技术人员显而易见。竖直狭槽126纵向延伸穿过上部平台124和仓体122，使得击发杆14可以从中致动穿过。在一些型式中，竖直狭槽126是纵向笔直狭槽，然而在其它型式中，竖直狭槽126可以沿着弯曲端部执行器100的纵向轴线弯曲。
本例子的钉驱动器140设置在仓体122内，并是下部仓120内的竖直可活动的构件。在一些型式中，钉驱动器140选择性地联接在仓体122内，以防止钉驱动器140在无意中相对于仓体122致动，直到如下所述下部楔形滑动件192接合钉驱动器140为止。例如，钉驱动器140可粘附于仓体122。在其它型式中，钉驱动器140可以各自包括接头(未示出)，所述接头可插入仓体122中形成的狭槽(未示出)中，以形成干涉配合或闭锁配合。因此，钉驱动器140选择性地相对于仓体122固定，即使用户旋转或者倒置端部执行器100也是如此。当然，参考本文中的教导内容，选择性地可联接的其他构型将对本领域的普通技术人员显而易见。
本例子中，多个钉190也设置在仓体122内并设置在对应的钉驱动器140上方。具体地讲，每个钉190在仓体122内由相应的钉驱动器140竖直驱动，以驱动钉190从相关联的钉孔130穿出。在一些型式中，钉190选择性地联接到钉驱动器140，以防止钉190在无意中相对于钉驱动器140致动，直到如下所述下部楔形滑动件192接合钉驱动器140以将钉190驱逐出钉孔130为止。例如，钉驱动器190可粘附于钉驱动器140。在其它型式中，钉190可以各自包括接头(未示出)，所述接头可插入钉驱动器140中形成的狭槽(未示出)中，以形成干涉配合。此外，按扣结构可被包括在钉驱动器140上，以保持钉190与钉驱动器140直到它们展开为止。在一些型式中，钉驱动器140可以包括释放接头(未示出)，在竖直致动钉驱动器140时，所述释放接头接合仓体122上的接头(未示出)以释放钉190。仓体122上的这种接头可以在上部平台124上或在所述上部平台附近，使得钉190仅在钉驱动器140处于其竖直致动峰值时释放。因此，钉190选择性地相对于钉驱动器140固定，即使用户旋转或者倒置端部执行器100也是如此。除了或者替代固定到钉驱动器140，钉190可以选择性地固定到仓体122，诸如通过干涉配合和/或通过摩擦以其它方式来配合。
本例子中，钉驱动器140还包括了致动构件142，所述致动构件以可枢转的方式联接到一个或多个钉驱动器140，并且能够操作以将钉驱动器140相对于仓体122运动。如图7A所示，每个致动构件142包括以可枢转的方式联接到两个钉驱动器140的杆。本例子中，第一致动构件142以可枢转的方式联接到竖直狭槽126的第一侧上的第一组两个钉驱动器140。第二致动构件142以可枢转的方式联接到竖直狭槽126的相对侧上的第二组两个钉驱动器140。如将在本文中更详细地论述，致动构件142能够由击发杆14相对于仓体122向外凸起，使得钉驱动器140从钉驱动器140相对于上部平台124成角度的第一位置枢转到钉驱动器140相对于上部平台124基本上垂直的第二位置。因此，下部仓120的竖直尺寸可以减小。另外，由于钉190的初始倾斜，下部仓120中可以包括更长的钉190。换句话讲，比起仓37，仓120可以适应相对更大的钉190，而不一定增加端部执行器100的外径。此外，下钳口102和上钳口110的尺寸可以设定成因下部仓120的尺寸减小而在这两者之间允许更多组织90。当然，参考本文中的教导内容，钉驱动器140和/或致动构件142的其他构型将于本领域的普通技术人员显而易见。还应理解，钉190可以初始取向成倾斜角度，就像本例子或甚至其中砧座18替代上部仓160来使用的型式中的钉190那样。
本例子的上部仓160包括仓体162、下部平台164、多个钉孔170，多个钉驱动器180以及竖直狭槽166。上部仓160还可根据本文所述仓37、120、220、260的教导内容中的至少一些进行构造。如图7A所示，下部平台164包括沿着上部仓160的纵向轴线形成的竖直狭槽166以及在所述上部仓中形成的一对钉孔170—在竖直狭槽166的每个侧上形成的一个钉孔170。应当理解，两个钉孔170是沿着上部仓160纵向延伸的两行钉孔130的一部分。此外，任何行数的钉孔170均可形成在下部平台164中，并且两行钉孔170仅是示例性的。另外，钉孔170可以围绕竖直狭槽166以各种构型来设置。例如，钉孔170可以围绕竖直狭槽166对称设置，或者钉孔170可以围绕竖直狭槽166不对称地设置。仅以举例方式，对于弯曲端部执行器100，两个钉孔170均可设置在竖直狭槽166的同一侧上。
下部平台164还包括了钉成形凹坑168，钉190经由下部仓120的钉驱动器140凸起嵌入到钉成形凹坑之中，如下所述。本例子中，每个钉孔170还由成角度内壁172以及竖直外壁174限定。或者，壁172、174可以包括弧形壁。当然，参考本文中的教导内容，用于钉孔170的其它构型和取向将对本领域的普通技术人员显而易见。竖直狭槽166纵向延伸穿过下部平台164和仓体162，使得击发杆14可以从中致动。在一些型式中，竖直狭槽166是纵向笔直狭槽，然而在其它型式中，竖直狭槽166可以沿着弯曲端部执行器100的纵向轴线弯曲。
本例子的钉驱动器180设置在仓体162内，并是上部仓160内的竖直可活动的构件。在一些型式中，钉驱动器180选择性地联接在仓体162内，以防止钉驱动器180在无意中相对于仓体162致动，直到如下所述上部楔形滑动件196接合钉驱动器180为止。例如，钉驱动器180可粘附于仓体162。在其它型式中，钉驱动器180可以各自包括接头(未示出)，所述接头可插入仓体162中形成的狭槽(未示出)中，以形成干涉配合或闭锁配合。因此，钉驱动器180选择性地相对于仓体162固定，使得钉驱动器180不因重力进行运动。当然，参考本文中的教导内容，选择性地可联接的其他构型将对本领域的普通技术人员显而易见。
本例子中，多个钉190也设置在仓体162内并设置在对应的钉驱动器180下方，如图7A所示。具体地讲，每个钉190在仓体162内由相应钉驱动器180竖直驱动，以驱动钉190从相关联的钉孔170穿出。在一些型式中，钉190选择性地联接到钉驱动器180，以防止钉190在无意中相对于钉驱动器180致动，直到如下所述上部楔形滑动件196接合钉驱动器180以将钉190驱逐出钉孔170为止。例如，钉驱动器190可粘附于钉驱动器180。在其它型式中，钉190可以各自包括接头(未示出)，所述接头可插入钉驱动器180中形成的狭槽(未示出)中，以形成干涉配合。此外，按扣结构可被包括在钉驱动器180上，以保持钉190与钉驱动器180直到它们展开为止。在一些型式中，钉驱动器180可以包括释放接头(未示出)，在致动钉驱动器180时，所述释放接头接合仓体162上的接头(未示出)以释放钉190。仓体162上的这种接头可以在下部平台164上或在所述下部平台附近，使得钉190仅在钉驱动器180致动运动结束时释放。因此，钉190选择性地相对于钉驱动器180固定，使得钉190不因重力而脱离钉驱动器180。除了或者替代固定到钉驱动器180，钉190可以选择性地固定到仓体162，诸如通过干涉配合和/或通过摩擦以其它方式来配合。
本例子中，钉驱动器180还包括了致动构件182，所述致动构件以可枢转的方式联接到一个或多个钉驱动器180，并且能够操作以将钉驱动器180相对于仓体162运动。如图7A所示，每个致动构件182包括以可枢转的方式联接到钉驱动器180的杆。本例子中，第一致动构件182以可枢转的方式联接到竖直狭槽166的第一侧上的第一钉驱动器180。第二致动构件182以可枢转的方式联接到竖直狭槽166的相对侧上的第二钉驱动器180。如将在本文中更详细地论述，致动构件182能够由击发杆14相对于仓体162向外凸起，使得钉驱动器180从钉驱动器180相对于上部平台164成角度的第一位置枢转到钉驱动器180相对于下部平台164基本上垂直的第二位置。因此，上部仓160的竖直尺寸可以减小。另外，由于钉190的初始倾斜，上部仓160中可以包括更长的钉190。换句话讲，比起仓37，仓160可以适应相对更大的钉190，而不一定增加端部执行器100的外径。此外，下钳口102和上钳口110的尺寸可设定成因上部仓160的尺寸减小而在这两者之间允许更多组织90。当然，参考本文中的教导内容，钉驱动器180和/或致动构件182的其他构型将于本领域的普通技术人员显而易见。
图7A-7C示出了击发杆14击发穿过下部仓120和上部仓160以将钉190部署到组织90中。如图7A所示，在闭合触发器26已被致动后，组织90固定在下钳口102与上钳口110之间。在这个初始位置，致动构件142、182尚未由击发杆14接合，因此，钉驱动器140、180相对于仓体122、162分别成角度。如在上文所论述的，框架34纵向滑动地支撑击发驱动构件，所述击发驱动构件延伸穿过轴23并传递从击发触发器28到击发杆14的击发动作，如图1-5所示。当用户致动击发触发器28时，击发杆14相对于柄部部分20朝远侧推进。如图7B所示，击发杆14的切割刃48朝远侧推进以同时切断组织90并使致动构件142、182相对于击发杆14朝外凸起。因此，钉驱动器140、180通过致动构件142、182和壁134、174进行枢转，使得钉驱动器140、180相对于上部平台124和下部平台164基本上竖直。还如图7B所示，击发杆14包括位于击发杆14的顶端和底端上的一对凸缘，这对凸缘沿着下钳口102和上钳口110的外部通道滑动。如对本领域的普通技术人员显而易见，当朝远侧致动击发杆14时，凸缘可协作地将下钳口102和上钳口110压缩在一起以另外将组织90固定在两者之间。
当钉驱动器140、180在基本上竖直的方向上时，如图7C所示，下部楔形滑动件192和上部楔形滑动件196分别朝远侧推进穿过下部仓120和上部仓160。本例子的下部楔形滑动件192包括联接到基座构件195的四个倾斜构件194。倾斜构件194能够使得钉驱动器140相对于上部平台124竖直凸起。当然，如同钉孔130，下部楔形滑动件192可以具有少于四个或多于四个的倾斜构件194。本例子的上部楔形滑动件196包括联接到基座构件199的两个倾斜构件198。倾斜构件198能够使得钉驱动器180相对于下部平台164竖直凸起。当然，如同钉孔170，上部楔形滑动件196可以具有少于两个或多于两个的倾斜构件198。当下部楔形滑动件192朝远侧推进时，钉驱动器140竖直凸起，使得钉驱动器140所携载的钉190被驱动出下部仓120的钉孔130。钉190刺穿组织90并且接合上部仓160的下部平台164中形成的钉成形凹坑168。因此，钉190弯曲并且缝合组织90。类似地是，当上部楔形滑动件196朝远侧推进时，钉驱动器180竖直凸起，使得钉驱动器180所携载的钉190被驱动出上部仓160的钉孔170。钉190刺穿组织90并且接合下部仓120的上部平台124中形成的钉成形凹坑128。因此，钉190弯曲并且缝合组织90。如图7C所示，相反取向的钉190使用具有下部仓120和上部仓160的本发明的端部执行器100而来缝合穿过组织90。随后，用户可以释放击发触发器28和闭合触发器26以释放所缝合的组织90。然而，用户可用新的下部仓120和上部仓160来替换下部仓120和上部仓160以缝合组织90的新的片段。
当然，参考本文中的教导内容，端部执行器100、下部仓120和/或上部仓160的其它构型将对本领域的普通技术人员显而易见。例如，在一些型式中，支撑材料(未示出)可联接到下部钉仓120和/或上部钉仓160。具有支撑材料的下部钉仓120和/或上部钉仓160的仅示例性构型在以下专利中公开：2011年9月15日公布的名称为“Surgical Instrument and ButtressMaterial”的美国专利第13/233,664号；2011年9月13日公布的名称为“Surgical Staple Cartridge with Self-Dispensing Staple Buttress”的美国专利第13/231,064号；2011年9月14日公布的名称为“Surgical Instrument withFluid Fillable Buttress”的美国专利第13/232,401号；以及__年__月__日公布的名称为“Attachment of Surgical Staple Buttress to Cartridge”的美国专利第[代理案号END6986USNP.0585747]号，所述专利中的公开内容以引用的方式并入本文。
另外，或在替代形式中的一些型式中，助剂材料(例如，粘合剂、治疗剂等等)可以经由下部仓120和/或上部仓160施用到组织90。可以结合到下部仓120和/或上部仓160的仅示例性助剂部署机构在以下专利中进行描述：2011年10月10日公布的名称为“Device for Applying Adjunct inEndoscopic Procedure”的美国专利申请第13/206,752号；2011年10月10日公布的名称为“Surgical Staple with Localized Adjunct Coating”的美国专利申请第13/206,725号；2011年9月15日公布的名称为“Fibrin Pad Matrix withSuspended Heat Activated Beads of Adhesive”的美国专利申请第13/233,633号；2011年9月15日公布的名称为“Surgical Instrument with Filled Staple”的美国专利申请第13/233,646号；2011年9月13日公布的名称为“Resistive Heated Surgical Staple Cartridge with Phase Change Sealant”的美国专利申请第13/230,994号；2011年8月1日公布的名称为“AdjunctTherapy Device Having Driver with Cavity for Hemostatic Agent”的美国专利申请第13/195,170号；2011年9月22日公布的名称为“Adjunct TherapyDevice for Applying Hemostatic Agent”的美国专利申请第13/240,141号；2011年9月23日公布的名称为“Surgical Stapling Device with AdjunctMaterial Application Feature”的美国专利申请第13/242,164号；以及2011年9月22日公布的名称为“Surgical Staple Assembly with Hemostatic Feature”的美国专利申请第13/240,074号；这些专利中的公开内容以引用的方式并入本文。
此外，尽管本文所述的端部执行器100在下部楔形滑动件192和上部楔形滑动件196之前朝着远侧推进击发杆14，但应理解，下部楔形滑动件192和上部楔形滑动件196可先于击发杆14和/或切割刃48。例如，下部楔形滑动件192和上部楔形滑动件196可包括中心构件(未示出)，所述中心构件使致动构件142、182相对于中心构件朝外凸起。因此，下部楔形滑动件192和上部楔形滑动件196两者可竖直定向钉驱动器140、180，并可经由倾斜构件194、198使得钉驱动器140、180竖直凸起。因此，组织90可在被切割刃48切断之前被初始缝合。在另一型式中，下部楔形滑动件192和上部楔形滑动件196可基本上纵向地对齐切割刃48，使得组织90的切断和缝合基本上同时发生。参考本文中的教导内容，用于端部执行器100、下部仓120和/或上部仓160的另一些的其它构型将对本领域的普通技术人员显而易见。
B.示例性冲压成形的双重钉仓
图8A-8B示出了能够接收下部仓220和上部仓260的示例性替代的端部执行器200。应当理解，器械10可以易于修改以结合有端部执行器200。本例子中，端部执行器200包括下钳口202和可枢转的上钳口210。端部执行器200被联接到柄部部分20，如上所述。具体地讲，临床医生可朝着手枪式握把24以可枢转的方式拉动闭合触发器26，以使得上钳口210朝着端部执行器200的下钳口202夹紧、或闭合。本例子中，下钳口202限定下部凹槽204，所述下部凹槽能够接收下部仓220。下钳口202还包括了边缘206，所述边缘能够接收下部仓220的弹性下部唇缘228，使得下部仓220选择性地可联接到下钳口202。另外或者作为替代，下钳口202可以包括开口远端以及纵向轨道(未示出)，下部仓220可在所述纵向轨道上或下方滑动。下钳口202和/或下部仓220可以包括位于远端处的闭锁装置或按扣结构，以在下部仓220沿着纵向轨道朝近侧滑动时选择性地将下部仓220联接到下钳口202。另外，下钳口202可以具有闭锁装置(未示出)，其与图7A-7C所示闭锁装置106类似。当然，参考本文中的教导内容，用于将下部仓220插入并联接到下钳口202的其它构型将对本领域的普通技术人员显而易见。
上钳口210限定上部凹槽212，所述上部凹槽能够接收上部仓260。上钳口210还包括了边缘214，所述边缘能够接收上部仓220的弹性上部唇缘268，使得上部仓220选择性地可联接到上钳口210。另外或者作为替代，上钳口210可以包括开口远端以及纵向轨道(未示出)，上部仓260可在所述纵向轨道上或上方滑动。上钳口210和/或上部仓260可以包括位于远端处的闭锁装置或按扣结构，以在上部仓260沿着纵向轨道朝近侧滑动时选择性地将上部仓260联接到上钳口210。另外，上钳口210可以具有闭锁装置(未示出)，其与图7A-7C所示闭锁装置114类似。当然，参考本文中的教导内容，用于将上部仓260插入并联接到上钳口210的其它构型将对本领域的普通技术人员显而易见。
本例子的下部仓220包括仓体222、上部平台224、多个内部钉孔240、多个外部钉孔244、多个钉驱动器250、竖直狭槽226以及弹性下部唇缘228。下部仓220还可根据本文所述仓37、120、160、260的教导内容中的至少一些进行构造。本例子中，弹性下部唇缘228能够操作以通过干涉配合来选择性地将下部仓220联接到下钳口202。如图8A所示，上部平台224包括沿着下部仓220的纵向轴线形成的竖直狭槽226以及形成在所述下部仓中的四个钉孔240、244——在竖直狭槽226的每个侧上形成的外部钉孔244和内部钉孔240。应当理解，四个钉孔240、244是沿着下部仓220纵向延伸的四行钉孔240、244的一部分。此外，任何行数的钉孔240、244都可形成于上部平台224中，并且四行钉孔240、244仅是示例性的。另外，钉孔240、244可以围绕竖直狭槽226以各种构型来设置。例如，钉孔240、244可以围绕竖直狭槽226对称设置，或者钉孔240、244可以围绕竖直狭槽226不对称地设置。仅以举例方式，对于弯曲端部执行器200，单个外部钉孔244和两个内部钉孔240可以设置在竖直狭槽226的一个侧上，并且单个外部钉孔244可设置在相对侧上。
本例子中，内部钉孔240与其中具有钉驱动器250的基本上竖直凹槽242相连通。外部钉孔244与成角度凹槽246相连通，所述成角度凹槽相对于上部平台224成角度并还在其中具有钉驱动器250。成角度凹槽246的角度可以是0度至90度的整数，包括端值在内。在所示例子中，成角度凹槽246被设置成约15度的角度，但这仅是说明性的。应当理解，由于钉290的倾斜，下部仓220中可以包括更长的钉290。换句话讲，比起仓37，下部仓220可以适应相对更大的钉290，而不一定增加端部执行器200的外径。此外，下钳口202和上钳口210的尺寸可设定成因下部仓220尺寸减小而允许两者之间存在组织90和/或支撑材料(未示出)。
本例子的上部平台224还包括了其中形成有钉成形凹坑232的多个冲压成形凹槽230。钉成形凹坑232能够接收并且弯曲钉290中的部分，该钉经由上部仓260的钉驱动器286凸起，如在下文更详细地描述。本例子中，冲压成形凹槽230是与上部仓260的竖直钉孔280和凹槽282对应的基本上竖直凹槽，但这仅是可任选的。实际来说，在一些型式中，冲压成形凹槽230能以与下述外部冲压成形凹槽272类似的构型相对于上部平台224成角度。当然，参考本文中的教导内容，用于冲压成形凹槽230的其它构型和取向将对本领域的普通技术人员显而易见。竖直狭槽226纵向延伸穿过上部平台224和仓体222，使得击发杆14可以从中致动。在一些型式中，竖直狭槽226是纵向笔直狭槽，然而，在其它型式中，竖直狭槽226可以沿着弯曲端部执行器200的纵向轴线弯曲。
本例子的钉驱动器250设置在仓体222内，并是下部仓220内的竖直可活动的构件。在一些型式中，钉驱动器250选择性地联接在凹槽242、246内，以防止钉驱动器250在无意中相对于仓体222致动，直到如下所述下部楔形滑动件292接合钉驱动器250为止。例如，钉驱动器250可粘附于仓体222。在其它型式中，钉驱动器250可以各自包括接头(未示出)，所述接头可插入仓体222中形成的狭槽(未示出)中，以形成干涉配合或闭锁配合。因此，钉驱动器250选择性地相对于仓体222固定，即使用户旋转或者倒置端部执行器200。当然，参考本文中的教导内容，选择性地可联接的其他构型将对本领域的普通技术人员显而易见。
本例子中，多个钉290也设置在仓体222内并设置在对应的钉驱动器250上方。具体地讲，每个钉290在仓体222内由相应的钉驱动器250竖直驱动，以驱动钉290从相关联的钉孔240、244穿出。在一些型式中，钉290选择性地联接到钉驱动器250，以防止钉290在无意中相对于钉驱动器250致动，直到下述的下部楔形滑动件292接合钉驱动器250以将钉290驱逐出钉孔240、244为止。例如，钉驱动器290可粘附于钉驱动器250。在其它型式中，钉290可以各自包括接头(未示出)，所述接头可插入钉驱动器250中形成的狭槽(未示出)中，以形成干涉配合。此外，按扣结构可被包括在钉驱动器250上，以保持钉290与钉驱动器250直到它们展开为止。在一些型式中，钉驱动器250可以包括释放接头(未示出)，在竖直致动钉驱动器250时，所述释放接头接合仓体222上的接头(未示出)以释放钉290。仓体222上的这种接头可以在上部平台224上或在所述上部平台附近，使得钉290仅在钉驱动器250处于其竖直致动峰值时释放。因此，钉290选择性地相对于钉驱动器250固定，即使用户旋转或者倒置端部执行器200也是如此。除了或者替代固定到钉驱动器250，钉290可以选择性地固定到仓体222，诸如通过干涉配合和/或通过摩擦以其它方式来配合。
本例子的上部仓260包括仓体262、下部平台264、多个上部钉孔280，多个钉驱动器286、竖直狭槽266以及弹性上部唇缘268。上部仓260还可根据本文所述仓37、120、160、220的教导内容中的至少一些进行构造。本例子中，弹性上部唇缘268能够操作以通过干涉配合来选择性地将上部仓260联接到上钳口210。如图8A所示，下部平台264包括沿着上部仓260的纵向轴线形成的竖直狭槽266以及在竖直狭槽266的每个侧上形成的两个上部钉孔280。应当理解，两个钉孔280是沿着上部仓260纵向延伸的两行钉孔280的一部分，但是下部平台264中可以形成任何数量的钉孔280，并且所示两个钉孔280仅是示例性的。另外，钉孔280可以围绕竖直狭槽266以各种构型来设置。例如，对于弯曲的端部执行器200，两个钉孔280均可设置在竖直狭槽266的一侧上。本例子中，上部钉孔280与其中具有钉驱动器286的基本上竖直凹槽282相连通。当然，作为替代，凹槽282和钉孔280可以根据上述外部钉孔244和/或成角度凹槽246进行构造。
本例子的下部平台264还包括了在其中形成有钉成形凹坑278的多个冲压成形凹槽270、272。钉成形凹坑278能够接收并且弯曲钉290的部分，该钉经由下部仓220的钉驱动器250凸起，如上所述。在本例子中，下部平台264包括一对内部冲压成形凹槽270以及一对外部或“经铸造的”冲压成形凹槽272。内部冲压成形凹槽270包括与下部仓220的内部钉孔240和凹槽242对应的基本上竖直凹槽，但这仅是可任选的。外部冲压成形凹槽272包括与下部仓220的外部钉孔244和成角度凹槽246对应的成角度凹槽。当然，参考本文中的教导内容，用于冲压成形凹槽270、272的其它构型和取向将对本领域的普通技术人员显而易见。竖直狭槽266纵向延伸穿过下部平台264和仓体262，使得击发杆14可以从中致动。在一些型式中，竖直狭槽266是纵向笔直狭槽，然而在其它型式中，竖直狭槽266可以沿着弯曲的端部执行器200的纵向轴线弯曲。
本例子的钉驱动器286设置在仓体262内，并是上部仓260内的竖直可活动的构件。在一些型式中，钉驱动器286选择性地联接在竖直凹槽282内，以防止钉驱动器286无意中相对于仓体262致动，直到如下所述上部楔形滑动件296接合钉驱动器286为止。例如，钉驱动器286可粘附于仓体262。在其它型式中，钉驱动器286可以各自包括接头(未示出)，所述接头可插入仓体262中形成的狭槽(未示出)中，以形成干涉配合或闭锁配合。因此，钉驱动器286选择性地相对于仓体262固定，即使用户旋转或者倒置端部执行器200也是如此。当然，参考本文中的教导内容，选择性地可联接的其他构型将对本领域的普通技术人员显而易见。
在本例子中，多个钉290也设置在仓体262内并设置在对应的钉驱动器286下方，如图8A所示。具体地讲，每个钉290在仓体262内由相应的钉驱动器286竖直驱动，以驱动钉290从相关联的钉孔280穿出。在一些型式中，钉290选择性地联接到钉驱动器286，以防止钉290无意中相对于钉驱动器286致动，直到下述的上部楔形滑动件296接合钉驱动器286以将钉290驱逐出钉孔280为止。例如，钉驱动器290可粘附于钉驱动器286。在其它型式中，钉290可以各自包括接头(未示出)，所述接头可插入钉驱动器286中形成的狭槽(未示出)中，以形成干涉配合。此外，按扣结构可被包括在钉驱动器286上，以保持钉290与钉驱动器286直到它们展开为止。在一些型式中，钉驱动器286可以包括释放接头(未示出)，在致动钉驱动器286时，所述释放接头接合仓体262上的接头(未示出)以释放钉290。仓体262上的这种接头可以在下部平台264上或在所述下部平台附近，使得钉290仅在钉驱动器286致动运动结束时释放。因此，钉290选择性地相对于钉驱动器286固定，使得钉290不因重力而与钉驱动器286脱离。除了或者替代固定到钉驱动器286，钉290可以选择性地固定到仓体262，诸如通过干涉配合和/或通过摩擦以其它方式来配合。
图8A-8B示出了击发杆14击发穿过下部仓220和上部仓260以将钉290部署到组织90中。如图8A所示，在闭合触发器26已被致动后，组织90固定在下钳口202与上钳口210之间。在这个初始位置中，钉驱动器250、286尚未由下部楔形滑动件292和上部楔形滑动件296接合。如在上文所论提及的，框架34纵向滑动底支撑击发驱动构件，所述击发驱动构件延伸穿过轴23并传递从击发触发器28到击发杆14的击发动作，如图1-5所示。当用户致动击发触发器28时，击发杆14相对于柄部部分20朝远侧推进。当击发杆14朝远侧推进时，一对推块(未示出)、如上述推块80各自接合相应的楔形滑动件292、296，使得在击发杆14朝远侧推进穿过下部仓220和上部仓260时，通过推块来朝远侧推动楔形滑动件292、296。当楔形滑动件292、296朝远侧致动时，每个楔形滑动件292、296接合一组相应的钉驱动器250、286，以使钉驱动器250向上凸起并使钉驱动器286向下凸起。继而，钉驱动器250、286驱动钉290穿出相应的钉孔240、244、280，穿过组织90，然后与相应的冲压成形凹槽230、270、272中的相应的钉成形凹坑232、278成形接触。本例子中，下部楔形滑动件292包括四个倾斜构件294(两个竖直内部倾斜构件294以及两个成角度外部倾斜构件294)，所述倾斜构件能够使得钉驱动器250朝着上部平台224凸起。上部楔形滑动件296包括两个倾斜构件298，所述倾斜构件能够使得钉驱动器286朝着下部平台264凸起。当然，参考本文中的教导内容，用于下部楔形滑动件292和/或上部楔形滑动件296的其它构型将对本领域的普通技术人员显而易见。
如图8B所示，当楔形滑动件292、296朝远侧推进时，击发杆14的切割刃48同样也朝远侧推进。在一些型式中，当楔形滑动件292、296接合钉驱动器250、286并且使其凸起时，切割刃48同时切断组织90，但这仅是可任选的。实际来说，切割刃48可以能够在钉驱动器250、286凸起前或者在钉驱动器250、286凸起后切断组织90。还如图8B所示，击发杆14包括位于击发杆14的顶端和底端上的一对凸缘，这对凸缘沿着下钳口202和上钳口210的外部通道滑动。如对本领域的普通技术人员显而易见，当朝远侧致动击发杆14时，凸缘可协作地将下钳口202和上钳口210压缩在一起以进一步将组织90固定在两者之间。
类似地是，当下部楔形滑动件292朝远侧推进时，钉驱动器250凸起，使得钉驱动器250所驱动的钉290被伸出下部仓220的钉孔240、244。钉290刺穿组织90并且进入冲压成形凹槽270、272，以便接合上部仓260的下部平台264中形成的钉成形凹坑278。因此，钉290弯曲并且缝合组织90。类似地是，当上部楔形滑动件296朝远侧推进时，钉驱动器286凸起，使得钉驱动器286所驱动的钉290被伸出上部仓260的钉孔280。钉290刺穿组织90并且进入冲压成形凹槽230，以接合下部仓220的上部平台224中形成的钉成形凹坑232。因此，钉290弯曲并且缝合组织90。如图8B所示，相反取向的钉290使用具有下部仓220和上部仓260的本发明的端部执行器200而来缝合穿过组织90。随后，用户可以释放击发触发器28和闭合触发器26以释放所缝合的组织90。然而，用户可用新的下部仓220和上部仓260来替换下部仓220和上部仓260以缝合组织90的新的片段。
当然，参考本文中的教导内容，端部执行器200、下部仓220和/或上部仓260的其它构型将对本领域的普通技术人员显而易见。例如，在一些型式中，支撑材料(未示出)可联接到下部钉仓220和/或上部钉仓260。具有支撑材料的下部仓220和/或上部仓260的仅示例性构型在各种参考文献中描述，这些参考文献在本文中引用并以引用方式并入本文。另外，或在替代形式中的一些型式中，助剂材料(例如，粘合剂、治疗剂等等)可以经由下部仓220和/或上部仓260施用到组织90。可以结合到下部仓220和/或上部仓260的仅示例性助剂部署机构在各种参考文献中描述，这些参考文献在本文中引用并以引用方式并入本文。参考本文中的教导内容，端部执行器200、下部仓220和/或上部仓260的另外一些其它构型将对本领域的普通技术人员显而易见。
尽管已描述出示例性外科器械的某些构型，但是参考本文中的教导内容，外科器械可构造的各种其它方式对于本领域的普通技术人员将会显而易见。仅以举例方式，本文所提及的外科器械可以根据下述专利中的教导内容中的至少一些进行构造：美国专利第4,805,823号；美国专利第5,415,334号；美国专利第5,465,895号；美国专利第5,597,107号；美国专利第5,632,432号；美国专利第5,673,840号；美国专利第5,704,534号；美国专利第5,814,055号；美国专利第6,978,921号；美国专利第7,000,818号；美国专利第7,143,923号；美国专利第7,303,108号；美国专利第7,367,485号；美国专利第7,380,695号；美国专利第7,380,696号；美国专利第7,404,508号；美国专利第7,434,715号；以及美国专利第7,721,930号。
应当理解，所述以引用的方式并入本文中的任何专利、出版物或其它公开材料，无论是全文或部分，仅在所并入的材料与本公开中给出的定义、陈述或者其它公开材料不冲突的范围内来并入本文。由此，在必要程度下，本文所明确阐述的公开内容将会取代以引用的方式并入本文中的任何相冲突的材料。如果据述以引用的方式并入本文但与本文所述现有定义、陈述或者其它公开材料相冲突的任何材料或其部分，仅在所并入的材料与现有公开材料之间不产生冲突的程度下并入本文。
本发明的实施例可在常规内窥镜式和开放式手术器械及机器人辅助手术中得到应用。例如，本领域的普通技术人员将认识到，本文中的各种教导内容可易于与2004年8月31日公布的名称为“Robotic Surgical Tool withUltrasound Cauterizing and Cutting Instrument”的美国专利第6,783,524号中的各种教导内容结合，所述专利中的公开内容以引用的方式并入本文。
本文所公开的装置的实施例可在至少一次使用之后进行修复以供再次使用。修复可以包括以下步骤任何组合：拆卸装置，然后清洗或者更换特定部件，并且随后重新组装。具体地讲，可以拆卸所述装置中的一些型式，并可选择性地以任何组合的形式更换或者移除所述装置中任何数量的特定件或部件。在清洗和/或更换特定零件时，所述装置的一些型式可在修复设施中重新组装或在即将进行手术前由用户重新组装以供随后使用。本领域的技术人员将会知道，装置修复可以利用多种技术进行拆卸、清洗/更换以及重新组装。此类技术的使用和所得修复装置全都在本申请的范围内。
仅以举例的方式，可在外科手术之前出进行本文所述的实施例。首先，可以获取新的或用过的器械，并且根据需要进行清洗。然后，可对器械进行消毒。在一种消毒技术中，装置放置在闭合并密封的容器、诸如塑料袋或TYVEK袋中。随后，可将容器和装置放置在可穿透容器的诸如γ辐射、X射线或高能电子等的辐射场中。辐射可以杀死装置上和容器中的细菌。消毒后的装置随后可以存放在消毒容器中。密封容器可将器械保持处于无菌状态，直到在医疗设施中将该容器打开。还可使用在本领域中已知的任何其它技术进行装置消毒，所述技术包括但不限于β或γ辐射、环氧乙烷或者蒸汽消毒。
尽管已在本发明中示出并描述了多个型式，但是本领域的普通技术人员可在不脱离本发明的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地改进。已经提及若干此类潜在修改形式，并且其它修改形式对于本领域的技术人员而言将会显而易见。例如，上文所讨论的例子、型式、几何形状、材料、尺寸、比率、步骤等等均是示例性的而非所要求的。因此，本发明的范围应以以下权利要求书作考虑，并且应理解为不限于说明书和附图中示出并描述的结构以及操作细节。

Claims (16)

1.一种外科设备，其包括：
(a)器械，所述器械包括：
i.主体部分，和
ii.从所述主体部分朝近侧延伸的端部执行器，其中所述端部执行器包括下钳口和上钳口；
(b)能够插入所述端部执行器的所述下钳口中的下部钉仓，所述下部钉仓包括：
i.具有上部平台的第一仓体，所述上部平台包括在其中形成的第一多个钉孔，
ii.能够相对于所述第一仓体运动的第一多个钉驱动器，其中所述第一多个钉驱动器中的至少一个钉驱动器以能够枢转的方式联接到致动构件，和
iii.与所述第一多个钉驱动器相连通的第一多个钉，其中所述第一多个钉能够相对于所述第一仓体运动；和
(c)能够插入所述端部执行器的所述上钳口中的上部钉仓，所述上部钉仓包括：
i.具有下部平台的第二仓体，所述下部平台包括在其中形成的第二多个钉孔，
ii.能够相对于所述第二仓体运动的第二多个钉驱动器，和
iii.与所述第二多个钉驱动器相连通的第二多个钉，其中所述第二多个钉能够相对于所述第二仓体运动。
2.根据权利要求1所述的外科设备，其中所述第一多个钉驱动器相对于所述上部平台成角度设置，并且其中所述第一多个钉驱动器相对于所述上部平台成非垂直的角度。
3.根据权利要求1所述的外科设备，其中所述致动构件能够操作以将所述至少一个钉驱动器枢转到所述至少一个钉驱动器相对于所述上部平台基本上垂直的位置。
4.根据权利要求3所述的外科设备，其中所述器械还包括能够纵向致动的击发杆，其中所述击发杆能够操作以相对于所述第一仓体侧向致动所述致动构件。
5.根据权利要求1所述的外科设备，其中所述上部平台还包括竖直狭槽，其中所述竖直狭槽纵向延伸穿过所述上部平台的一部分，并且其中所述竖直狭槽限定所述上部平台的第一侧和所述上部平台的第二侧。
6.根据权利要求5所述的外科设备，其中所述第一多个钉驱动器的第一钉驱动器设置在所述上部平台的所述第一侧下方，并且其中所述第一多个钉驱动器的第二钉驱动器设置在所述上部平台的所述第二侧下方。
7.根据权利要求6所述的外科设备，其中所述第一钉驱动器以能够枢转的方式联接到第一致动构件，其中所述第二钉驱动器以能够枢转的方式联接到第二致动构件。
8.根据权利要求7所述的外科设备，其中所述第一致动构件能够操作以将所述第一钉驱动器枢转到所述第一钉驱动器相对于所述上部平台基本上垂直的位置，并且其中所述第二致动构件能够操作以将所述第二钉驱动器枢转到所述第二钉驱动器相对于所述上部平台基本上垂直的位置。
9.根据权利要求1所述的外科设备，其中所述下部钉仓的所述上部平台包括一组钉成形凹坑，其中所述第二多个钉驱动器能够操作以将所述第二多个钉致动成与所述多个钉成形凹坑相连通。
10.根据权利要求1所述的外科设备，其中所述下部钉仓包括下部楔形滑动件，并且其中所述下部楔形滑动件能够操作以相对于所述第一仓体驱动所述第一多个钉驱动器。
11.根据权利要求1所述的外科设备，其中所述第二多个钉驱动器相对于所述下部平台成角度设置，并且其中所述第二多个钉驱动器相对于所述下部平台成非垂直的角度。
12.根据权利要求1所述的外科设备，其中所述器械包括闭合触发器，其中所述闭合触发器能够操作以相对所述下钳口枢转所述上钳口。
13.根据权利要求1所述的外科设备，其中所述器械包括击发触发器，其中所述击发触发器能够操作以致动所述第一多个钉驱动器和所述第二多个钉驱动器。
14.一种钉仓，其包括：
(a)具有上部平台的仓体，所述上部平台包括：
i.穿过所述上部平台形成的多个钉孔；和
ii.纵向延伸穿过至少部分所述仓体的竖直狭槽，其中所述竖直狭槽限定所述仓体的第一侧和所述仓体的第二侧；
(b)设置在所述仓体的所述第一侧内的第一钉驱动器，其中所述第一钉驱动器能够相对于所述上部平台运动；
(c)设置在所述仓体的所述第二侧内的第二钉驱动器，其中所述第二钉驱动器能够相对于所述上部平台运动；
(d)与所述第一钉驱动器相连通的第一钉；
(e)与所述第二钉驱动器相连通的第二钉；
其中所述第一钉驱动器被构造成能够相对于所述上部平台在正向倾斜取向和垂直取向之间枢转；
其中所述第二钉驱动器被构造成能够相对于所述上部平台在反向倾斜取向和垂直取向之间枢转。
15.根据权利要求14所述的钉仓，其中所述第一钉驱动器以能够枢转的方式联接到第一致动构件，其中所述第二钉驱动器以能够枢转的方式联接到第二致动构件，其中所述第一致动构件和所述第二致动构件能够操作以将所述第一钉驱动器和所述第二钉驱动器枢转到相对于所述上部平台的垂直取向。
16.根据权利要求15所述的钉仓，还包括设置在所述仓体内的楔形滑动件，其中所述楔形滑动件能够操作以致动所述第一致动构件和所述第二致动构件。
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Families Citing this family (647)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8991676B2 (en) 2007-03-15 2015-03-31 Ethicon Endo-Surgery, Inc. Surgical staple having a slidable crown
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US20070194079A1 (en) 2005-08-31 2007-08-23 Hueil Joseph C Surgical stapling device with staple drivers of different height
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
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
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
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
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8236010B2 (en) 2006-03-23 2012-08-07 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
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
US8485412B2 (en) 2006-09-29 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical staples having attached drivers and stapling instruments for deploying the same
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
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
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
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
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
US7866524B2 (en) * 2007-09-24 2011-01-11 Tyco Healthcare Group Lp Stapler powered auxiliary device for injecting material between stapler jaws
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
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
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US20130153641A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Releasable layer of material and surgical end effector having the same
US9016541B2 (en) * 2008-05-09 2015-04-28 Covidien Lp Varying tissue compression with an anvil configuration
US7832612B2 (en) 2008-09-19 2010-11-16 Ethicon Endo-Surgery, Inc. Lockout arrangement for a surgical stapler
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
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
US8628544B2 (en) 2008-09-23 2014-01-14 Covidien Lp Knife bar for surgical instrument
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
WO2010090940A1 (en) 2009-02-06 2010-08-12 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
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
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9277919B2 (en) 2010-09-30 2016-03-08 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising fibers to produce a resilient load
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9168038B2 (en) 2010-09-30 2015-10-27 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a tissue thickness compensator
US9282962B2 (en) 2010-09-30 2016-03-15 Ethicon Endo-Surgery, Llc Adhesive film laminate
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
EP2621356B1 (en) 2010-09-30 2018-03-07 Ethicon LLC Fastener system comprising a retention matrix and an alignment matrix
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US9113883B2 (en) 2011-03-14 2015-08-25 Ethicon Endo-Surgery, Inc. Collapsible anvil plate assemblies for circular surgical stapling devices
BR112013027794B1 (pt) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9999408B2 (en) * 2011-09-14 2018-06-19 Ethicon Endo-Surgery, Inc. Surgical instrument with fluid fillable buttress
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
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
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
RU2644272C2 (ru) 2012-03-28 2018-02-08 Этикон Эндо-Серджери, Инк. Узел ограничения, включающий компенсатор толщины ткани
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
JP6305979B2 (ja) 2012-03-28 2018-04-04 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． 複数の層を含む組織厚さコンペンセーター
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
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
JP6290201B2 (ja) 2012-06-28 2018-03-07 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． 空クリップカートリッジ用のロックアウト
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
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US9289207B2 (en) * 2012-11-29 2016-03-22 Ethicon Endo-Surgery, Llc Surgical staple with integral pledget for tip deflection
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
US9398911B2 (en) 2013-03-01 2016-07-26 Ethicon Endo-Surgery, Llc Rotary powered surgical instruments with multiple degrees of freedom
MX368026B (es) 2013-03-01 2019-09-12 Ethicon Endo Surgery Inc Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal.
US9629628B2 (en) 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US9717498B2 (en) 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
US9814463B2 (en) 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
US9668728B2 (en) 2013-03-13 2017-06-06 Covidien Lp Surgical stapling apparatus
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9808244B2 (en) 2013-03-14 2017-11-07 Ethicon Llc Sensor arrangements for absolute positioning system for surgical instruments
US9510827B2 (en) * 2013-03-25 2016-12-06 Covidien Lp Micro surgical instrument and loading unit for use therewith
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9867612B2 (en) 2013-04-16 2018-01-16 Ethicon Llc Powered surgical stapler
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
RU2678363C2 (ru) 2013-08-23 2019-01-28 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Устройства втягивания пускового элемента для хирургических инструментов с электропитанием
US20150053743A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Error detection arrangements for surgical instrument assemblies
US9662108B2 (en) 2013-08-30 2017-05-30 Covidien Lp Surgical stapling apparatus
CA2926782A1 (en) 2013-11-04 2015-05-07 Covidien Lp Surgical fastener applying apparatus
US10952731B2 (en) 2013-11-04 2021-03-23 Covidien Lp Surgical fastener applying apparatus
EP3065647A1 (en) 2013-11-04 2016-09-14 Covidien LP Surgical fastener applying apparatus
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9763662B2 (en) 2013-12-23 2017-09-19 Ethicon Llc Fastener cartridge comprising a firing member configured to directly engage and eject fasteners from the fastener cartridge
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
EP3090689A4 (en) * 2013-12-31 2017-08-30 Suzhou Touchstone International Medical Science Co., Ltd. Linear suturing and cutting device
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
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
BR112016019387B1 (pt) 2014-02-24 2022-11-29 Ethicon Endo-Surgery, Llc Sistema de instrumento cirúrgico e cartucho de prendedores para uso com um instrumento cirúrgico de fixação
US10004497B2 (en) 2014-03-26 2018-06-26 Ethicon Llc Interface systems for use with surgical instruments
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US20150272582A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Power management control systems for surgical instruments
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US10426476B2 (en) 2014-09-26 2019-10-01 Ethicon Llc Circular fastener cartridges for applying radially expandable fastener lines
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
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
JP6612256B2 (ja) 2014-04-16 2019-11-27 エシコン エルエルシー 不均一な締結具を備える締結具カートリッジ
JP6532889B2 (ja) 2014-04-16 2019-06-19 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 締結具カートリッジ組立体及びステープル保持具カバー配置構成
US9844369B2 (en) 2014-04-16 2017-12-19 Ethicon Llc Surgical end effectors with firing element monitoring arrangements
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
CN106687052B (zh) 2014-05-15 2019-12-10 柯惠Lp公司 手术紧固件施加装置
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
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
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
CN107427300B (zh) 2014-09-26 2020-12-04 伊西康有限责任公司 外科缝合支撑物和辅助材料
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
CN105193468B (zh) * 2014-11-27 2017-10-20 中国人民解放军第二军医大学 腔镜手术缝合钳
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10245027B2 (en) 2014-12-18 2019-04-02 Ethicon Llc Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation 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
US10039545B2 (en) 2015-02-23 2018-08-07 Covidien Lp Double fire stapling
US10285698B2 (en) 2015-02-26 2019-05-14 Covidien Lp Surgical apparatus
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10245028B2 (en) 2015-02-27 2019-04-02 Ethicon Llc Power adapter for a surgical instrument
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
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
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for 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
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US9918717B2 (en) 2015-03-18 2018-03-20 Covidien Lp Pivot mechanism for surgical device
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
US10299789B2 (en) 2015-05-05 2019-05-28 Covidie LP Adapter assembly for surgical stapling devices
US10117650B2 (en) 2015-05-05 2018-11-06 Covidien Lp Adapter assembly and loading units for surgical stapling devices
US10039532B2 (en) 2015-05-06 2018-08-07 Covidien Lp Surgical instrument with articulation assembly
EP3294149B1 (en) * 2015-05-08 2023-03-08 Bolder Surgical, LLC Surgical stapler
US10172615B2 (en) 2015-05-27 2019-01-08 Covidien Lp Multi-fire push rod stapling device
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
US10052102B2 (en) 2015-06-18 2018-08-21 Ethicon Llc Surgical end effectors with dual cam actuated jaw closing features
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
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
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
CN108348233B (zh) 2015-08-26 2021-05-07 伊西康有限责任公司 用于允许改变钉特性并实现轻松仓加载的外科钉条
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
US10098642B2 (en) 2015-08-26 2018-10-16 Ethicon Llc Surgical staples comprising features for improved fastening of tissue
MX2022006189A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10251648B2 (en) 2015-09-02 2019-04-09 Ethicon Llc Surgical staple cartridge staple drivers with central support features
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
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
US10271849B2 (en) 2015-09-30 2019-04-30 Ethicon Llc Woven constructs with interlocked standing fibers
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
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
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10245030B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instruments with tensioning arrangements for cable driven articulation systems
CN108882932B (zh) 2016-02-09 2021-07-23 伊西康有限责任公司 具有非对称关节运动构造的外科器械
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
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
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
US10357246B2 (en) 2016-04-01 2019-07-23 Ethicon Llc Rotary powered surgical instrument with manually actuatable bailout system
US10456140B2 (en) 2016-04-01 2019-10-29 Ethicon Llc Surgical stapling system comprising an unclamping lockout
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10314582B2 (en) 2016-04-01 2019-06-11 Ethicon Llc Surgical instrument comprising a shifting mechanism
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses 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
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10368867B2 (en) 2016-04-18 2019-08-06 Ethicon Llc Surgical instrument comprising a lockout
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
US10675024B2 (en) 2016-06-24 2020-06-09 Ethicon Llc Staple cartridge comprising overdriven staples
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
JP6957532B2 (ja) 2016-06-24 2021-11-02 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ワイヤステープル及び打ち抜き加工ステープルを含むステープルカートリッジ
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
US11642126B2 (en) 2016-11-04 2023-05-09 Covidien Lp Surgical stapling apparatus with tissue pockets
US10631857B2 (en) 2016-11-04 2020-04-28 Covidien Lp Loading unit for surgical instruments with low profile pushers
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
US10813638B2 (en) 2016-12-21 2020-10-27 Ethicon Llc Surgical end effectors with expandable tissue stop arrangements
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US10835245B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10603036B2 (en) 2016-12-21 2020-03-31 Ethicon Llc Articulatable surgical instrument with independent pivotable linkage distal of an articulation lock
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
BR112019011947A2 (pt) 2016-12-21 2019-10-29 Ethicon Llc sistemas de grampeamento cirúrgico
US20180168650A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Connection portions for disposable loading units for surgical stapling instruments
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US10568624B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
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
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
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
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
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
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
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
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with 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
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
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
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
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
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
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
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11141154B2 (en) 2017-06-27 2021-10-12 Cilag Gmbh International Surgical end effectors and anvils
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
USD869655S1 (en) * 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US11484310B2 (en) 2017-06-28 2022-11-01 Cilag Gmbh International Surgical instrument comprising a shaft including a closure tube profile
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US11020114B2 (en) 2017-06-28 2021-06-01 Cilag Gmbh International Surgical instruments with articulatable end effector with axially shortened articulation joint configurations
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
EP4070740A1 (en) 2017-06-28 2022-10-12 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
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
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
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
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation 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
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
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
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of 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
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
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
US10863988B2 (en) 2017-11-29 2020-12-15 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
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
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
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
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
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
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
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
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
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
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
US11751867B2 (en) 2017-12-21 2023-09-12 Cilag Gmbh International Surgical instrument comprising sequenced systems
US10945732B2 (en) 2018-01-17 2021-03-16 Covidien Lp Surgical stapler with self-returning assembly
US11517312B2 (en) 2018-02-12 2022-12-06 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
US11439390B2 (en) 2018-02-26 2022-09-13 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
US11134946B2 (en) 2018-02-27 2021-10-05 Bolder Surgical, Llc Staple cartridge and methods for surgical staplers
AU2018411309A1 (en) 2018-03-02 2020-08-06 Covidien Lp Surgical stapling instrument
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
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
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
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
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
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
US20210386427A1 (en) * 2018-10-19 2021-12-16 Intuitive Surgical Operations, Inc. Endoscopic purse string suture surgical device
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
WO2020131692A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Surgical instruments having mechanisms for identifying and/or deactivating stapler cartridges
WO2020131290A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Articulation assemblies for surgical instruments
US11944301B2 (en) 2018-12-21 2024-04-02 Intuitive Surgical Operations, Inc. Surgical instruments having a reinforced staple cartridge
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
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147553B2 (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
WO2020214258A1 (en) 2019-04-15 2020-10-22 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
CN113905675A (zh) 2019-05-31 2022-01-07 直观外科手术操作公司 用于外科器械的订合钉仓
CN110251165B (zh) * 2019-06-05 2020-07-31 赵宗凯 手持腔镜器械
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
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
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
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11786325B2 (en) 2019-07-02 2023-10-17 Intuitive Surgical Operations, Inc. Remotely controlling a system using video
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
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
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
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11642129B2 (en) 2020-01-15 2023-05-09 Intuitive Surgical Operations, Inc. Staple cartridge and drive member for surgical instrument
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
WO2021159483A1 (en) 2020-02-14 2021-08-19 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
US11357505B2 (en) 2020-03-10 2022-06-14 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US11317911B2 (en) 2020-03-10 2022-05-03 Covidien Lp Tool assembly with replaceable cartridge assembly
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
US11406387B2 (en) 2020-05-12 2022-08-09 Covidien Lp Surgical stapling device with replaceable staple cartridge
US11191537B1 (en) 2020-05-12 2021-12-07 Covidien Lp Stapling device with continuously parallel jaws
US11534167B2 (en) 2020-05-28 2022-12-27 Covidien Lp Electrotaxis-conducive stapling
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 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
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
US11638582B2 (en) 2020-07-28 2023-05-02 Cilag Gmbh International Surgical instruments with torsion spine 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
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
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
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
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
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11890007B2 (en) 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
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
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
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
US11759207B2 (en) 2021-01-27 2023-09-19 Covidien Lp Surgical stapling apparatus with adjustable height clamping member
US11517313B2 (en) 2021-01-27 2022-12-06 Covidien Lp Surgical stapling device with laminated drive member
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
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
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
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11717300B2 (en) 2021-03-11 2023-08-08 Covidien Lp Surgical stapling apparatus with integrated visualization
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
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
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
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
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
US11826043B2 (en) * 2021-04-30 2023-11-28 Cilag Gmbh International Staple cartridge comprising formation support features
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
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
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
US20220378426A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a mounted shaft orientation sensor
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
US11707277B2 (en) 2021-08-20 2023-07-25 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
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US11660094B2 (en) 2021-09-29 2023-05-30 Covidien Lp Surgical fastening instrument with two-part surgical fasteners
US11653922B2 (en) 2021-09-29 2023-05-23 Covidien Lp Surgical stapling device with firing lockout mechanism
US11849949B2 (en) 2021-09-30 2023-12-26 Covidien Lp Surgical stapling device with firing lockout member
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
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
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0641546A1 (en) * 1993-09-03 1995-03-08 Ethicon, Inc. Endoscopic surgical instrument and staples for applying purse string sutures
US5540375A (en) * 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
US5662260A (en) * 1994-07-13 1997-09-02 Yoon; Inbae Surgical staple cartridge
EP2165652A1 (en) * 2007-06-27 2010-03-24 Suzhou Touchstone International Medical Science Co., Ltd. A surgical purse-string staple
CN101966093A (zh) * 2010-09-28 2011-02-09 常州市康迪医用吻合器有限公司 带有可更换钉仓的腔镜外科切割吻合器

Family Cites Families (193)

* Cited by examiner, † Cited by third party
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
US4821939A (en) 1987-09-02 1989-04-18 United States Surgical Corporation Staple cartridge and an anvilless surgical stapler
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
DE69121587T3 (de) 1990-12-06 2000-05-31 Gore & Ass Implantierbare bioresorbierbare artikel
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
AU3242693A (en) 1991-12-06 1993-06-28 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
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
US5297324A (en) 1993-07-15 1994-03-29 Su Wen Chian Fully rounded jingle bell making method
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
US5393594A (en) 1993-10-06 1995-02-28 United States Surgical Corporation Absorbable non-woven fabric
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical 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
US5833695A (en) * 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
DE69419265T2 (de) 1994-07-27 2000-01-05 Gore & Ass Höchfeste poröse folie aus ptfe
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
ATE221899T1 (de) 1995-03-31 2002-08-15 Seikisui Chemical Co Ltd Verfahren zur herstellung von acrylhaltigen druckempfindlichen klebstoffen vom lösungstyp und medizinischer druckempfindlicher klebstoff
JPH10513390A (ja) 1995-04-21 1998-12-22 ダブリュ．エル．ゴア アンド アソシエイツ，インコーポレイティド 外科用プレジット分配供給システム
JP3526487B2 (ja) 1995-05-08 2004-05-17 株式会社伊垣医療設計 医療用縫合材
JP3795100B2 (ja) 1995-05-08 2006-07-12 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
WO1997003625A1 (en) 1995-07-17 1997-02-06 Alfred Edward Wood A buttress for cardiac valve reconstruction
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
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
AU734539B2 (en) 1998-01-06 2001-06-14 Aderans Research Institute, 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
CN1105795C (zh) 1998-06-11 2003-04-16 清水庆彦 胶原材料及其制造方法
FR2789885B1 (fr) 1999-02-19 2001-05-04 Brothier Lab Dispositif de renfort de suture
PT1163019E (pt) 1999-03-25 2007-12-06 Metabolix Inc Dispositivos médicos e aplicações de polímeros de poli-hidroxialcanoato
US6921412B1 (en) 1999-05-18 2005-07-26 Cryolife, Inc. Self-supporting, shaped, three-dimensional biopolymeric materials and methods
US6355699B1 (en) 1999-06-30 2002-03-12 Ethicon, Inc. Process for manufacturing biomedical foams
US6325810B1 (en) 1999-06-30 2001-12-04 Ethicon, Inc. Foam buttress for stapling apparatus
DK1218437T3 (da) 1999-08-27 2009-10-19 Angiodevice Internat Gmbh Præparater, som danner interpenetrerende polymernetværk, til anvendelse som medicinske tætningsmidler med höj styrke
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.
US6638285B2 (en) 2001-04-16 2003-10-28 Shlomo Gabbay Biological tissue strip and system and method to seal tissue
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US6503257B2 (en) 2001-05-07 2003-01-07 Ethicon Endo-Surgery, Inc. Method for releasing buttress material attached to a surgical fastening device
US6592597B2 (en) 2001-05-07 2003-07-15 Ethicon Endo-Surgery, Inc. Adhesive for attaching buttress material to a surgical fastening device
US6939358B2 (en) 2001-12-20 2005-09-06 Gore Enterprise Holdings, Inc. Apparatus and method for applying reinforcement material to a surgical stapler
US7182771B1 (en) 2001-12-20 2007-02-27 Russell A. Houser Vascular couplers, techniques, methods, and accessories
WO2003105670A2 (en) 2002-01-10 2003-12-24 Guided Delivery Systems, Inc. Devices and methods for heart valve repair
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
US7377928B2 (en) 2002-04-15 2008-05-27 Cook Biotech Incorporated Apparatus and method for producing a reinforced surgical staple line
ES2622252T3 (es) 2002-04-16 2017-07-06 Covidien Lp Grapadora quirúrgica y método
US7238195B2 (en) 2002-05-10 2007-07-03 Tyco Healthcare Group Lp Wound closure material applicator and stapler
WO2003094745A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Electrosurgical stapling apparatus
EP1503675B1 (en) 2002-05-10 2010-12-15 Tyco Healthcare Group LP Surgical stapling apparatus having a wound closure material applicator assembly
ES2366425T3 (es) 2002-06-17 2011-10-20 Tyco Healthcare Group Lp Estructuras anulares de soporte.
CA2508246A1 (en) 2002-12-16 2004-07-15 Edrich Vascular Devices, Inc. Multiple stapling device for narrow blood vessels
KR100803798B1 (ko) 2002-12-16 2008-02-14 군제 가부시키가이샤 의료용 필름
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
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
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
EP1647286B1 (en) 2003-07-17 2010-09-29 Gunze Limited Stitching reinforcement material for automatic stitching device
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
AU2005215811A1 (en) 2004-02-17 2005-09-01 Cook Biotech Incorporated Medical devices and methods 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
US7931578B2 (en) 2004-06-18 2011-04-26 Ncontact Surgical, Inc. Methods and 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
WO2006023578A2 (en) 2004-08-17 2006-03-02 Tyco Healthcare Group, Lp Stapling support structures
ES2264862B8 (es) 2004-08-25 2017-01-20 Cellerix, S.L. Biomaterial para sutura.
ES2389208T3 (es) 2004-10-18 2012-10-24 Tyco Healthcare Group Lp Estructura adhesiva anular
US7845536B2 (en) 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
EP1809343B1 (en) 2004-10-20 2012-08-15 Ethicon, Inc. A reinforced absorbable multilayered hemostatic wound dressing and method of making
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
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7669746B2 (en) * 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US9055942B2 (en) 2005-10-03 2015-06-16 Boston Scienctific Scimed, Inc. Endoscopic plication devices and methods
US7635074B2 (en) 2005-10-04 2009-12-22 Tyco Healthcare Group Lp Staple drive assembly
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
AU2006321911B2 (en) 2005-12-06 2012-05-17 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
US8485412B2 (en) 2006-09-29 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical staples having attached drivers and stapling instruments for deploying the same
US7845533B2 (en) 2007-06-22 2010-12-07 Tyco Healthcare Group Lp Detachable buttress material retention systems for use with a surgical stapling device
ES2627615T3 (es) 2006-10-26 2017-07-28 Covidien Lp Dispositivo que utiliza aleaciones con memoria de forma para conexión de contrafuerte
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
US7753936B2 (en) 2006-11-10 2010-07-13 Ehticon Endo-Surgery, Inc. Form in place fasteners
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US8062330B2 (en) 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
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
US9016541B2 (en) * 2008-05-09 2015-04-28 Covidien Lp Varying tissue compression with an anvil configuration
US8070034B1 (en) * 2009-05-29 2011-12-06 Cardica, Inc. Surgical stapler with angled staple bays
US8998059B2 (en) 2011-08-01 2015-04-07 Ethicon Endo-Surgery, Inc. Adjunct therapy device having driver with cavity for hemostatic agent
US20130041406A1 (en) 2011-08-10 2013-02-14 Brian W. Bear Surgical staple with localized adjunct coating
US9492170B2 (en) 2011-08-10 2016-11-15 Ethicon Endo-Surgery, Inc. Device for applying adjunct in endoscopic procedure
US8998060B2 (en) 2011-09-13 2015-04-07 Ethicon Endo-Surgery, Inc. Resistive heated surgical staple cartridge with phase change sealant
US9101359B2 (en) 2011-09-13 2015-08-11 Ethicon Endo-Surgery, Inc. Surgical staple cartridge with self-dispensing staple buttress
US9999408B2 (en) 2011-09-14 2018-06-19 Ethicon Endo-Surgery, Inc. Surgical instrument with fluid fillable buttress
US20130068816A1 (en) 2011-09-15 2013-03-21 Venkataramanan Mandakolathur Vasudevan Surgical instrument and buttress material
US8814025B2 (en) 2011-09-15 2014-08-26 Ethicon Endo-Surgery, Inc. Fibrin pad matrix with suspended heat activated beads of adhesive
US9125649B2 (en) 2011-09-15 2015-09-08 Ethicon Endo-Surgery, Inc. Surgical instrument with filled staple
US20130075447A1 (en) 2011-09-22 2013-03-28 II William B. Weisenburgh Adjunct therapy device for applying hemostatic agent
US9393018B2 (en) 2011-09-22 2016-07-19 Ethicon Endo-Surgery, Inc. Surgical staple assembly with hemostatic feature
US8985429B2 (en) 2011-09-23 2015-03-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with adjunct material application feature
US8899464B2 (en) 2011-10-03 2014-12-02 Ethicon Endo-Surgery, Inc. Attachment of surgical staple buttress to cartridge

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5540375A (en) * 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
EP0641546A1 (en) * 1993-09-03 1995-03-08 Ethicon, Inc. Endoscopic surgical instrument and staples for applying purse string sutures
US5662260A (en) * 1994-07-13 1997-09-02 Yoon; Inbae Surgical staple cartridge
EP2165652A1 (en) * 2007-06-27 2010-03-24 Suzhou Touchstone International Medical Science Co., Ltd. A surgical purse-string staple
CN101966093A (zh) * 2010-09-28 2011-02-09 常州市康迪医用吻合器有限公司 带有可更换钉仓的腔镜外科切割吻合器

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