CN105411636A - 手术控制台和手持式手术器械 - Google Patents

手术控制台和手持式手术器械 Download PDF

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CN105411636A
CN105411636A CN201510994508.2A CN201510994508A CN105411636A CN 105411636 A CN105411636 A CN 105411636A CN 201510994508 A CN201510994508 A CN 201510994508A CN 105411636 A CN105411636 A CN 105411636A
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operating theater
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唐纳德·马利诺思卡斯
戴维·A·泽伊奇勒
迈克尔·P·惠特曼
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Covidien LP
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Abstract

本发明涉及手术控制台和手持式手术器械。本发明提供了一种手术系统和方法，该手术系统包括被构造为无线发送专用于手术器械的识别数据的手术器械和被构造为接收识别数据的控制台。控制台被构造为基于识别数据注册手术器械，在手术器械与控制台之间建立无线双路通信链路，从手术器械接收运行数据和指令中的至少一个，并且基于运行数据和指令中的至少一个在手术器械的运行期间向手术器械的用户提供运行反馈数据。

Description

手术控制台和手持式手术器械
本申请是申请日为2010年11月22日，申请号为201010557807.7，发明名称为“手术控制台和手持式手术器械”的发明专利申请的分案申请。
技术领域
本发明一般涉及一种手术控制台和一种手持式手术器械。
背景技术
例如，在美国公布的申请号为2009/0101692的专利申请中说明了一种电池供电的、手持式、整装式手术器械，并且在其中以附图标记800来表示，上述申请的全部以引用的方式专门地合并于此。该器械包括电路板，电路板响应来自例如外科医生的器械操作员的手动输入来控制各种功能，例如，关节式运动、转动以及钳夹的闭合和吻合切割机构的致动。由于不是物理地连接到任何外部驱动系统，这一器械在手术操作期间提供了可动性。
公认的是期望提供一种不降低或者基本不降低由例如上述手术器械的器械提供的可动性的双路通信装置。此外，公认的是期望注册一个以上手术器械并且保持注册的和/或未注册的器械的列表。
还公认的是期望提供一种用于跟踪与例如库存、器械和/或附加装置(attachment)或器械构件的使用次数、故障、清洁/消毒状态、和/或维修之间的使用次数相关的信息的机构。这种信息还可以包括由成像装置获取的图像和/或在既定手术操作中运行的器械控制的记录，例如，操作员使用什么输入或控制、什么时间使用和/或使用了多长时间、和/或最终的状态和/或例如电动机力、构件位置和/或从传感器获得的数据的参数的记录。而且，还期望基于接收到的信息向操作员提供视觉和/或听觉反馈。
而且，公认的是期望一种防止使用特定器械的系统，例如之前使用后尚未清洁的器械和/或未注册器械。
还公认的是期望提供一种为可以执行哪种手术操作提供可动性和灵活性的智能驱动单元。
发明内容
根据本发明的示例实施例，手术系统包括：手术器械，其被构造为无线发送专用于手术器械的识别数据；以及控制台，其被构造为接收识别数据。该控制台被进一步构造为基于识别数据注册手术器械，在手术器械和控制台之间建立无线双路通信链路，从手术器械接收运行数据和指令中的至少一个，以及基于运行数据和指令中的至少一个在手术器械的运行期间向手术器械的用户提供运行反馈数据。
控制台可以具有被构造为直观地显示反馈数据的至少一部分的显示屏。
所述显示屏可以为被构造为接收用户指令的触摸屏显示器。
所述控制台可以具有被构造为提供作为声音信号的反馈数据的至少一部分的扬声器。
所述反馈数据可以包括指示和询问中的至少一个。
反馈数据可以包括手术器械的运行参数。
根据上述手术系统，其中，手术器械被构造为当手术器械没有在控制台上注册时至少部分不能运行。
手术器械可以为手持式、电池供电的手术器械。
手持式、电池供电的手术器械可以包括被构造为容纳不同类型的手术附加装置的智能驱动单元。
不同类型的手术附加装置中的一个可以为手术切割器/吻合器。
控制台可以具有被构造为完成a)传达运行数据和b)接收用户指令中的至少一项的直观显示屏。
手术器械和控制台中的一个或两个可以被构造为如同在工业、科学以及医疗(ISM)无线电频带中的一个或多个中的FCC注册装置一样运行。
所述控制台可以被构造为向手术器械上载操作软件，手术器械被构造为执行操作软件。
手术器械可以被构造为对应于手术操作分流视频数据。
手术器械和控制台可以被构造为如同在工业、科学以及医疗(ISM)无线电频带中的一个或多个中的FCC注册装置一样运行。
工业、科学以及医疗无线电频带可以包括2.400GHz至2.500GHz的ISM频带。
根据本发明的示例实施例，手术器械包括具有壳体的手持式、电池供电的驱动单元和被构造为容纳手术附加装置的相应部分的安装部。驱动单元还包括被构造为致动至少一个连接部件的致动器，当附加装置被安装到安装部上时，连接部件与附加装置的相应部件紧密配合，以允许致动至少一个连接部件来驱动附加装置。驱动单元进一步包括被构造为注册用户指令的用户控制元件和被布置在壳体中并且被构造为对应于用户指令从用户控制元件接收用户输入信号的处理器，所述处理器被构造为根据作为用户输入信号的功能的操作程序控制连接部件的致动。驱动单元还包括收发器，所述收发器被构造为经由无线双路通信链路向远程控制台传达运行数据和指令中的至少一个并且从远程控制台接收运行数据和指令中的至少一个。
处理器可以被构造为通过调整驱动致动器的输出电压来控制至少一个连接部件的致动。
驱动单元可以被构造为确定对应于附加装置的序列号。
驱动单元可以被构造为确定对应于附加装置的附加装置类型。
处理器可以被构造为从包括对应于多种不同附加装置类型的软件的软件数据库中选择操作软件。
该器械可以包括存储器，软件数据库存储在存储器中。
该器械可以包括用于接收更新软件的接口。
驱动单元可以被构造为在至少一个连接部件的致动期间向远程控制台分流运行数据。
驱动单元可以被构造为从附加装置接收视频数据流并且向远程控制台发送视频数据流。
驱动单元可以被构造为如果没有建立双路通信链路则防止致动器的致动。
动力单元可以被构造为如同在工业、科学以及医疗(ISM)无线电频带中的一个或多个中的FCC注册装置一样运行。
工业、科学以及医疗无线电频带包括2.400GHz至2.500GHz的ISM频带。
该器械可以包括能够连结到驱动单元的多个手术附加装置。
根据本发明的示例实施例，控制台包括存储器、被构造为处理存储在存储器中的数据的处理器以及被构造为与远程手术器械通信的收发器。该控制台被构造为，从手术器械接收识别数据，基于识别数据注册手术器械，以及在手术器械和控制台之间建立无线双路通信链路。控制台还被构造为从手术器械接收运行数据和指令中的至少一个，以及基于运行数据和指令中的至少一个在手术器械运行期间向手术器械的用户提供运行反馈数据。
控制台可以包括被构造为显示经由双路通信链路从手术器械接收的运行数据的显示屏。
控制台可以具有被构造为实现a)传达运行数据以及b)接收用户指令中的至少一个的直观显示屏。
控制台可以被构造为从手术器械接收视频数据流。
控制台可以被构造为向外部显示器输出对应于视频数据的视频信号。
控制台可以被构造为向手术器械传递a)运行程序和b)固件中的至少一个。
控制台可以包括被构造为向手术器械输出a)运行程序和b)固件中的至少一个的编程端口。
控制台可以被构造为将从手术器械接收到的运行数据记录到存储器中。
控制台可以被构造为利用有线连接器向远程装置传达存储的数据。
控制台可以被构造为经由因特网传达存储的数据。
根据本发明的示例实施例，一种方法包括：以无线方式从手术器械向控制台发送识别数据，将手术器械注册到控制台上，并且在手术器械和控制台之间建立双路无线通信链路。所述方法还包括在手术器械和控制台之间传递运行数据和指令中的至少一个并且基于运行数据和指令中的至少一个在手术器械的运行期间从控制台向手术器械的用户提供运行反馈数据。
所述方法可以包括，判定无线发送的识别数据的信号强度是否低于预定阈值，如果信号强度被判定为低于预定阈值，要求在注册之前进行用户确认。
所述方法可以包括在控制台上保持已由控制台注册的手术器械的列表。
下面，参考附图更加详细地说明本发明的示例实施例的进一步细节和方案。
附图说明
图1a至1c为根据本发明的示例实施例的控制台的前视图。
图2为控制台的底视图。
图3为控制台的后视图。
图4为根据本发明的示例实施例的系统的示意性图解。
图5a和5b示出了根据本发明的示例实施例的智能驱动单元和手术附加装置。
图6示出了当手术附加装置连接到智能驱动单元时的智能驱动单元和手术附加装置。
图7a和7b示出了智能驱动单元。
图8a至8c示出了驱动单元的内部构件。
图9示出了驱动单元的连接部。
图10示出了手术附加装置的连接部。
图11示出了根据本发明的示例实施例的手术附加装置和附加装置轴。
具体实施方式
参考图4，示意性地示出了根据本发明的示例实施例的系统10。系统10包括与布置在例如相同的医疗护理或手术室中的与控制台100相同的区域150中的医疗和/或手术器械200a、200b和200c通信的电子控制台100。应当理解为，控制台100可以与例如八个以上器械的多个器械、和/或例如单个器械的较少器械进行通信。然而，为了示例的目的示出了三个器械200a、200b和200c。这些器械可以为例如手持式手术器械(例如，具有能更换的手术附加装置的电池供电的手术智能驱动单元)或者在控制台100的通信范围内的任何其他医疗和/或手术器械。控制台100可以被构造为在给定时间与一个手术器械200a、200b或200c进行通信和/或同时与两个以上手术器械200a、200b和/或200c进行通信。
控制台100向可以是例如无线智能动力或驱动单元500的一个以上器械200a、200b和200c的操作员提供反馈，下面将进行更加详细的说明。控制台100还具有识别语音和向手术器械200a、200b和/或200c发送无线指令的能力。在从手术器械接收到无线指令时，可以以多种语言显示口头(verbal)和视觉提示。控制台100可以从手术器械接收分流视频并且向例如手术室监控器上用于显示的单独视频接口窗口(pod)输出视频，其中，手术器械具有摄像机。控制台100具有一个以上电路板，该电路板包括处理器104(例如，ARM9级微处理器)、微控制器、序号识别集成电路(IC)、声频IC和/或放大器、图形显示器110(例如，LCD显示器)、以太网接口140、USB接口145、手术器械编程接口(包括例如收发器102和/或USB接口145，在图3中示出的)。如下面所述，尽管应当理解为替代壁适配器或除了壁适配器之外可以设置其他的电源，控制台100从外部UL/CE认证的AC壁适配器接收供电。
此外，例如，当手术器械200a、200b、200c例如在显示器110上以无线方式指示时，控制台100可以以多种语言显示提示。例如，当手术器械200a、200b、200c以无线方式指示时，控制台100能够以多种语言讲出提示。控制台100包括利用例如适配器电缆或无线连接器或链路更新手术器械软件的电路。控制台可以在例如经过因特网和/或企业内部互联网的网络或者经由USB端口145或存储器卡的任何其他适当的机构来接收这些更新。控制台100能够发送器械信息，例如，与诸如下面详细说明的附加装置600的手术附加装置的使用相关的信息，在例如附加装置600为吻合器的情形下，可以通过控制台100经过因特网发送吻合钉再装载和附加装置使用数据。
在示例中，控制台包括能够接收例如400MHz频带的手术器械发送信号的射频(RF)接收器和能够在900MHz至5.8GHz的频带中双路通信和/或视频分流的RF收发器。控制台100能够处理接收到的分流视频、参数和/或提示信息，并且向例如手术室监控室的外部显示器上的用于显示(覆盖)的例如单独视频窗口输出分流视频、参数和/或提示信息。示例控制台100包含能够处理语音指令并且以无线方式发送指令以操作例如后面说明的智能动力或驱动单元400的手术器械的语音识别能力。
此外，如下面更加详细地阐述，无线通信可以利用一个以上工业、科学以及医疗(ISM)无线电频带，例如，2.400GHz至2.500GHz的ISM频带，并且控制台100和/或手术器械200a、200b和200c可以为FCC认证的以在该频带上工作。一种或多种ISM频带可以用于手术器械200a、200b、200c和控制台100之间的单向和/或双路或双向通信。然而，应当理解的是，控制台100和/或手术器械200a、200b、200c可以使用任何适合的频带。而且，尽管该示例使用了从手术器械200a、200b、200c到控制台100的单向频道和手术器械200a、200b、200c之间的双路频道二者，应当理解的是，可以省去单向频道，以使例如全部通信发生在一个以上双路通信频道或链路上。
如上所示，控制台100经由双路无线链路与器械200a、200b和200c中的每一个进行无线通信。在这点上，控制台100包括包含收发器102的无线通信设备或装置106，以容许通过在无线收发器102与分别对应于器械200a、200b和200c的各个无线通信设备或装置206a、206b和206c的各个无线收发器202a、202b和202c之间发送和接收通信数据而在控制台100与器械200a、200b和200c之间进行双路无线通信。除了收发器之外，该示例的无线通信装置106还可以包括接收器。接收器可以被构造为从可以被设置到器械200a、200b和200c上的无线发送器接收单向无线发送信号。单向链路可以使用与双向或双路通信链路的频率不同的例如400MHz频带的频率，其可以在讨论的一个以上ISM频带或者其他频带上工作。
可以以不同的方式使用这一单向链路。例如，器械200a、200b、200c可以在单向链路上向控制台100的接收器发送识别信息，并且，一旦在控制台100上进行电子注册，经过双路通信链路与控制台100进行通信。作为选择或者另外，单向通信链路可以被设置为容许用于在器械200a、200b、200c与控制台100之间通信的更大带宽。
为了便于实现各种功能，例如数据的存储、处理和/或发送/接收，控制台100和各个器械200a、200b和200c包括用于存储数据的例如固态和/或磁盘内存储器的存储器103、203a、203b和203c，以及用于例如处理数据并且启动数据的发送/接收的处理器104、204a、204b和204c。
如上所示，无线链路可以使用一个以上工业、科学以及医疗(ISM)无线电频带，例如，2.400GHz至2.500GHz的ISM频带。控制台100和/或器械200a、200b和200c可以为FCC认证，以在这一或任何其他适合的ISM频带中工作。然而，应当理解的是，控制台100和/或器械200a、200b和/或200c可以如可以在任何适合的频带上运行的未许可设备一样工作。此外，无线协议可以遵守802.11b、802.11g和/或任何其他适合的协议、标准或修订。应注意的是，在例如2.400GHz至2.500GHz的ISM频带上的认证操作可以有利于限制例如小电子设备的其他设备的干扰。而且，对于注册的器械，与一些其他ISM频带相比，在2.400GHz至2.500GHz的ISM频带上可以较少地限制动力的级别和容许通信的数据的类型。
参考图1a至图1c，控制台100包括壳体105。本示例的壳体105由ABS塑料形成并且具有小于3.25英寸的高度、小于5.75英寸的宽度、小于1.75英寸的深度以及小于1.5磅的重量。然而，应当理解的是，壳体可以为任何适当的尺寸、大小以及重量。然而，壳体105的紧凑尺寸和重量可能是有利的，增强了控制台100的便携性和/或装载性、如何安装控制台100和将控制台100安装在哪的灵活性，和/或减小了例如在手术室中占用空间的量。
显示器110被布置在壳体的正面上，以便向手术器械的操作员(例如，外科医生)提供直观的指示。尽管显示器110为集成的触摸屏液晶显示器(LCD)，应当理解为，可以设置其他的显示器，例如，有机发光二极管(OLED)显示器和/或非触摸屏显示器。显示器可以为例如彩色240乘320线分辨率的QVGA显示器或者任何其他适当的彩色或非彩色显示器。而且，应当理解的是，不是一定要设置集成的直观显示器。例如，控制台可以仅依靠与操作员的听觉通信(例如，经由连接到集成扬声器125的音频集成电路或者向外部扬声器的声音输出信号)和/或可以向例如手术室中的监控器的外部显示器输出直观图像和/或视频。
如下面所示，除了集成显示器之外，示例控制台100包括集成扬声器和视频输出连接器，从而为与操作员通信提供灵活性。如上所述，视频输出连接器可以用于连接到外部窗口和/或显示器，以显示例如由控制台100从手术器械200a、200b、200c接收到的分流视频信号。
显示器的前部还包括备用开关112，可以按下备用开关112以将控制台100置于备用模式或者使控制台断电。例如，短时按压可以指示控制台100进入备用状态或者退出备用状态，而长时按压可以指示控制台100通电或断电。备用开关112由备用符号113指示。
为了调整例如来自例如扬声器125的发音或音调指示和/或到外部扬声器的声音引出线的听觉指示的音量，音量级显示和控制件114被显示在显示器110的下部。音量符号109向用户表明，随着显示和控制件114的条的填充部分向右移动，音量增加，反之亦然。用户可以通过例如轻敲音量控制件114的条上的特定位置以向该位置移动填充部分和/或通过触摸控制件114附近的屏幕并且在与期望音量变化对应的方向上进行滑动运动来调整音量级。例如，如果用户使用例如食指来触摸控制件114并且沿着屏幕向右滑动食指，则条的填充部分可以以与滑动的距离对应的量扩大。同样，向左滑动或点击可能引起填充部分缩减，导致较低的音量输出。根据示例，在点击的距离与填充部分或其他指示物的边缘移动的距离之间存在一对一或基本上一对一的对应关系。可以以例如使用虚拟数字垫或键盘输入数值的模拟的方式或以任何其他适当的方式来调整包括例如与手术器械200a、200b、200c的运行相关的设定和/或与控制台的运行相关的设定的其他设定。
参考图2，控制台100的底部包括用于快擦写或固态存储器卡(例如，SD卡或任何其他适当的存储器)的槽口115和两个安装支架连接器或孔120，所述两个安装支架连接器或孔120用于容纳一个以上安装支架的相应连接器以将控制台100牢固地保持在例如在手术室中操作员能够看到显示器的位置处。
参考图3，控制台的后部包括用于向操作员输出听觉信息的封闭扬声器125。控制台的后部还包括用于向例如外部显示器和/或记录设备输出视频信号的组合视频连接器130和例如4引脚微型DIN的S视频连接器(S-videoconnector)135。控制台100的后部还具有网络连接器140。尽管网络连接器140为以太网插口(在这一示例中为，RJ-45，IEEE802.3)，但应当理解为，可以使用例如同轴电缆连接器的任何适合的网络连接器。尽管可以使用无线网络连接器，但有线连接经由网络连接器可以容许更安全的通信。
控制台100还具有编程端口145。在这一示例中，编程端口被设置为通用串行总线(USB)连接器145。更具体地，示例端口145为USB微型AB端口。然而，应当理解为，编程端口可以为被构造为发送和/或接收数据的任何类型的端口，例如，同轴电缆、专用连接器、和/或例如红外接收器和/或例如蓝牙接收器的其他无线协议接收器的接收器。编程端口145被构造为经由手术器械上的数据电缆和相应的连接端口向一个以上手术器械上载软件或其他数据。应当理解的是，USB端口可以用作例如通用数据端口和/或被构造为接收包括用于控制手术器械200a、200b、200c的软件的手术器械数据。除了接收数据之外，编程端口145可以用于从控制台100向例如外部硬盘驱动器、计算机和/或固态存储器设备的外部设备传递数据。
软件和/或数据可以被上载到控制台100中，以便被安装在控制台100和/或手术器械200a、200b、200c上。接收到的数据和软件可以经由网络280、例如USB端口145的任何适合的端口和/或利用例如收发器102的无线通信系统传递到控制台100中。
接收到的数据和软件可以包括例如运行和控制算法、校准数据、显示信息和/或任何其他软件，以便于手术器械200a、200b、200c的运行。此外，编程端口145可以用于将控制台固件安装到控制台100上或者升级控制台固件和/或将手术器械固件传递到控制台100以被传递并且安装到手术器械200a、200b、200c上。
电力经由电连接器150提供到控制台100，电连接器150容纳插入壁插座中的AC适配器的相应连接器。然而，应当理解的是，控制台100可以设有内部AC/DC转换器和/或可以设有例如可再充电的内部或外部电池的电池以供电。此外，应当理解的是，可以通过诸如USB端口的端口来供电，例如编程端口145。
尽管特定特征表示为被布置在壳体105的特定面上或者在控制台100的特定位置处，应当理解为，任何特征或特征的组合可以被布置在壳体105的任何适合的位置或面上。
在通电时，控制台100进行自我测试和配置，然后等待从例如一个以上器械200a、200b和200c的一个以上器械接收通信信号。控制台100可以提示用户或操作员使手术器械通电以便开始通信。
各个器械200a、200b和200c具有可以存储在例如存储器203a、204b、204c中的序列号。在器械通电时，例如，在插入电池组和/或启动电源开关或按钮时，器械开始对应于其各个序列号传送数据。器械利用例如如上所述的无线收发器202a、202b、202c或单向通信发送器来发送该信息。
在控制台100接收到对应于各个器械200a、200b或200c的序列号发送的识别数据时，控制台100经由显示器110和/或外部显示器来显示器械的类型和器械标识符，例如，序列号的最后三位数字或整个序列号。除了信息的直观显示之外或者作为信息直观显示的选择，例如数字化或从扬声器125预先记录的语音的听觉指示可以将信息传达给用户或操作员。控制台100经由例如无线收发器102或者单向接收器接收识别数据。然后，控制台可以提示用户是否注册识别的器械，或者控制台可以自动注册器械。如果控制台100提示用户，则用户可以通过例如触摸触摸屏显示器110(例如，触摸标签为“是”或“否”的框或图形)来回应提示。
应当理解的是，这里披露的从控制台100到用户或者操作员的任何通信可以经由视觉和/或听觉来发生，例如，口头表达，使用例如显示装置100、外部显示器、集成扬声器125、外部扬声器和/或任何其他适合的机构中的任一个、一些或全部的指示。
例如，在控制台100从器械接收到的信号为临界或者低于预定阈值的情况下，控制台可以提示用户，请求关于是否注册特定器械的指示或输入。用户可以通过例如触摸触摸屏显示器110(例如，触摸标签为“是”或者“否”的框或图形)来回应这一提示。如果没有接收到回应，控制台100可以缺省为“否”的回应，从而来自该特定器械的进一步通信不被识别和/或确认。
除了注册输入之外，触摸屏可以用于输入包括例如音量和语言的其他控制台参数。
应当理解的是，代替或除了触摸屏显示器110，可以利用适合的用户输入机构来执行这里披露的向控制台100的任何用户输入或指令，例如，按下单独的按钮和/或发声(例如，在控制台100具有麦克风和语音和/或话音识别软件的情况下)。
控制台100将哪个器械已经在控制台100上进行注册和哪个器械已经被拒绝在控制台100上进行注册的记录保持在例如存储器103中。该记录可以包括例如对应于注册器械的序列号的列表和对应于未注册器械的序列号的另一列列表。
当控制台100断电时，注册器械的列表和/或未注册器械的列表可以被清除，或者可以被保持直到例如输入了用户的删除指令、自从例如从特定器械接收到信号起已经过去一定量的时间、和/或占用了给定数量的槽口。例如，注册的器械的列表和/或未注册的器械的列表可以具有例如八个条目，随着后一个条目被记录，最早的条目被删除。保持未注册用户的列表可能是有利的，例如，至少当接收到的信号为临界时，避免对那些器械的进一步提示。例如，在使器械断电或者重启时，可以清除注册器械的列表，而未注册器械的列表被存储用于后来参考。
当例如器械200a、200b和200c中的一个的器械在控制台100上注册时，控制台100建立双路无线通信链路。控制台的通信范围可以为任何适当的范围，例如，十五英尺的半径或者更大。该双路通信链路允许控制台100从注册的手术器械200a、200b和/或200c接收包括例如指令的数据并且向注册的手术器械200a、200b和/或200c发送包括例如指令的数据。此外，该通信链路允许控制台100提供与例如外科医生的用户的界面，以便显示与器械的运行相关的信息，并且允许用户输入指令。
例如，器械的一个以上构件的参数和/或状态，例如，闭合比率(closingrate)和/或手术切割器和吻合器的夹紧钳夹所施加的夹紧力、从传感器和成像装置获得的数据，例如，从安装到内窥镜的一个以上摄像机获得的图像或者视频显示、和/或任何其他数据。
用户可以经由例如触摸屏显示器110的按压部分来输入指令。这些指令可以与例如手术器械200a、200b和/或200c的运行参数相关。例如，对于组织夹紧手术操作，用户可以输入要施加到组织上的最大力、功率和/或闭合比率。然后，控制台将根据指令与手术器械进行通信。例如，控制台100可以根据用户的输入设定和/或指示手术器械设定手术器械的运行参数来完成操作。可以通过添加、改变、和/或验证手术器械的运行中使用的一个以上值或者参数来设定这些参数，例如，存储在存储器203a、203b和/或203c中的软件或运行算法中使用的一个以上值或者参数，并且在各个手术器械200a、200b和/或200c的运行期间通过各个处理器204a、204b和/或204c来执行。
用户还可以请求与手术器械200a、200b、200c相关的特定数据。例如，用户可以在虚拟按钮和/或菜单位置处按压屏幕，以请求来自手术器械的摄像机的视频显示。在手术器械包括多个摄像机的情形下，或者在各自具有摄像机的多个手术器械被注册的情形下，用户可以例如选择在给定时间显示哪个或哪些视图。
此外，对应于正在执行的特定手术操作和/或手术操作的当前阶段或者其他状况，设置在存储器103、203a、203b和/或203c中并且由控制台100的处理器和/或手术器械200a、200b和/或200c执行的运行算法可以使显示器110和/或一个以上外部显示器显示数据(例如，图像、数值数据和/或表示手术器械或者患者的状态的数据等)、指令提示和/或菜单结构。此外，根据示例，屏幕具有虚拟按钮以产生菜单，其中，在菜单和/或子菜单下可选的选项根据特定手术操作、手术操作的阶段、手术操作的状况(例如，基于来自手术部位的传感器的数据)、手术器械的类型、和/或手术器械的一个以上构件的状态或位置而变化。
手术器械200a、200b和/或200c可以被构造为仅当手术器械在控制台100上被注册时能够进行手术上的操作。可以通过例如将软件或者固件安装到存储器203a、203b和/或203c中来实现这点，当由处理器203a、203b和/或203c执行时，禁止执行一个以上功能。例如，处理器204a、204b和/或204c可以被构造为仅当软件和/或固件判定器械已经被控制台100注册并且已经建立双路通信链路时向电动机和/或电动机控制器输出控制信号和/或电压。可以例如基于通过无线接收器202a、202b、202c接收到的通信信号来进行该判定。
手术器械200a、200b和/或200c可以周期性地或者连续地监控与控制台100的通信链路的状态，以便确保其仍旧在适当位置处。在这点上，手术器械可以例如向控制台100周期性地发送询问信号。如果询问信号被控制台100接收到，则控制台100发送回应信号以表示接收到了询问信号。在接收到回应信号时，手术器械将验证双路通信链路的存在。询问的频率可以变化，以使得在特定期间内询问较不频繁或者完全不发送询问，例如在如果手术器械由于例如休止期间进入备用状态的期间。此外，在手术器械与控制台之间的数据通信期间内可能不需要这种询问。而且，当例如运行数据、软件数据、图像数据、或者其他数据的数据被手术器械和控制台中的任一个接收到时，回应信号被发送以表示数据被接收到。这可以进一步确保通信链路被保持。回应信号可以包括例如标识符，从而特定通信信号(例如，特定询问信号或者数据传送)的接收可以被识别和确认。
如果手术器械200a、200b和/或200c判定通信链路已经断开(例如，由于在发送一个以上询问或者数据发送之后没有接收到回应信号)，则手术器械可以禁止一些或全部功能，尤其是禁止一些或全部功能、和/或允许特定功能继续直到例如预定时间或者事件发生。在这点上，手术器械的软件或者固件可以被编程，以使得通信链路的丢失不防止例如外科医生的用户完成特定手术操作，例如，在中断该手术操作可能潜在地导致并发症的情形下。
在判定通信链路已经丢失时，手术器械200a、200b、200c可以发出信号，例如，通信链路已经丢失的听觉或者视觉信号。因而，用户将被警示并且可以试图重新建立通信链路。手术器械可以继续发送询问信号，例如对应于手术器械的序列号，直到接收到来自控制台的回应为止。
双路通信链路可以使用任何适当的安全或加密协议，例如，Wi-Fi保护访问(例如，WPA或者WPA2)或者无线等价保密(WEP)。
除了与手术器械200a、200b和/或200c的无线通信链路之外，控制台100可以被构造为在另一个网络280上发送和接收数据。控制台可以向作为服务器100的远程装置300发送信息并且从远程装置300接收信息，远程装置300例如为场外计算机或服务器、或者例如相同医院内的相同设施内的计算机或者服务器。远程装置300包括：存储器303，其被构造为存储从控制台100接收到的和/或发送到控制台100的数据；以及处理器304，其用于处理接收到的数据。远程装置可以包括任何其他适当的特征，例如，用于查看发送和/或接收的数据的显示装置，以及允许例如手动输入(例如，通过键盘)和电子数据输入的输入装置。网络280可以包括例如因特网和/或企业内部互联网。应当理解的是，控制台100可以通过例如计算机或者服务器(在传送数据之前其可以或者不可以处理数据)的中间装置在控制台100与远程装置300之间发送和接收数据。此外，应当理解的是，控制台100可以被构造为与设备300直接进行通信，而不是在因特网和/或企业内部互联网上传送数据。
尽管在图4中仅示出了一个远程装置，应当理解为，可以设置任何适当数量的远程装置。例如，一个以上装置300可以被设置在与控制台100相同的设施中，和/或一个以上设备可以被设置在场外，例如，在手术装备管理者的场地中。
在图4的图解示例中，控制台100通过安全的有线连接250连接到装置300。尽管有线连接250基于以太网，应当理解为，可以设置任何适当的有线连接。还应当理解的是，尽管图解示例仅使用有线连接，根据一些示例，可以使用至少一个无线连接。然而，由于可以建立更安全的连接以更加确保发送数据的保密性，仅使用有线连接可能是有利的。可以使用例如提供控制台100与远程装置300之间通信的充分安全线路的数据加密协议来发送数据。
控制台100可以向远程装置300发送与手术器械200a、200b和/或200c的运行和/或状态相关的数据。例如，控制台100可以将通过通信网络从手术器械接收到的数据记录到存储器103中并且将在例如处理或者不处理数据的情况下将数据发送到远程装置300。数据可以包括例如连结到手术器械的手术附加装置的类型、手术附加装置的序列号、手术附加装置的最后使用的日期和/或时间、什么时间运行特定功能、运行特定功能多长时间、什么时间启动例如触发器或按钮的用户输入和/或启动例如触发器或按钮的用户输入多长时间、异常操作的任何错误信号和/或指示、传感器数据(例如，图像传感器、温度传感器、压力传感器等)、特定插入件和/或钉仓(例如，手术吻合器的吻合钉钉仓)的标识符和/或序列号、特定插入件和/或钉仓最后使用的日期和/或时间、手术器械的电池水平和/或电池健康状况、和/或属于手术器械和/或手术操作的任何其他数据。
数据可以被发送到手术器械管理者的远程装置300，其可以位于例如手术场地之外的位置处。远程装置300可以通过以规则间隔的周期性发送和/或由例如在控制台100断电之前完成一个以上手术操作的具体事件触发的发送来获取数据，和/或在控制台100从远程装置300接收到请求或者询问信号时从控制台100获取数据。
控制台100、远程装置300和/或管理者可以将接收到的数据用于各种用途。根据示例，可以确定手术器械或者手术器械的构件(例如，手术附加装置)的清洁或消毒状况。在这点上，可以将一组手术器械和/或附加装置的清洁和/或消毒状况保持为记录或者数据库。
可以从远程装置300接收该数据，例如用于记录何时对特定手术器械进行清洁或消毒的、清洁站的计算机。在从手术器械200a、200b、200c接收到表示特定手术器械和/或附加装置的数据时，例如与手术器械的序列号和/或附加装置的序列号相对应的数据，控制台可以交叉引用具有清洁状况数据的该识别数据，以便判定自从上一次使用之后该特定手术器械和/或附加装置是否已被清洁和/或消毒。作为选择或者除此之外，控制台可以向例如服务器的远程装置300发送数据，然后远程装置300将处理数据以对特定器械或构件自从前次使用之后是否已被消毒进行判定，并且然后将结果发回控制台100，然后控制台可以继续允许手术器械200a、200b、200c运行或者不允许运行。
如果不允许运行，则控制台100和/或手术器械可以发出听觉、视觉和/或其他警示或通知，以表示在当前状态下不能够运行手术器械。以此方式，控制台100可以防止手术器械运行，直到清洁和/或消毒信息被更新表示手术器械的所有适当部分已被清洁和/或消毒为止。
此外，通过跟踪手术器械或者手术器械的例如附加装置的构件的使用和/或故障历史，可以便于器械的维护和维修。例如，在使用一定次数和/或一定量的时间消逝之后，可以判定手术器械200a、200b、200c或者手术器械的附加装置或构件需要维修或更换。如果记录了特定错误或者故障，或者在使用器械或者构件的期间记录了一定数量和/或频率的错误或故障之后，则可以通过例如软件程序确定需要修理。如果手术器械或者手术器械的构件到了维修期或者过了维修期或者需要修理，则控制台100可以防止手术器械运行和/或用户可以被控制台或者手术器械警示。
控制台100还可以通过例如记录手术器械200a、200b、200c使用的吻合钉、钉仓或者其他装置的数量来跟踪库存。在一个示例中，控制台可以将吻合钉钉仓的序列号与特定患者相关联。这使得可以跟踪吻合钉，并且可以识别具有特定吻合钉批号或类型的趋势或问题，例如，在与吻合钉的其他批号和/或类型相比大致高数量的患者具有来自于使用特定批号和/或类型的吻合钉的吻合钉的手术操作的并发症。尽管在本示例中提到了吻合钉，该跟踪程序可以用于识别使用其他装置的趋势。
通过根据一些示例跟踪指令和/或其他数据信号(例如，图像、传感器信号等)的顺序、时间以及持续期间，控制台100记录下给定手术操作的精确记录。该记录可以用于例如训练目的和/或例如在记录链接到特定患者的情况下反驳医疗失当的主张。
应当理解的是，可以在例如既定医院的既定设施中使用多个控制台。在此情形下，由各个控制台100记录的数据可以为与其他各个控制台100记录的数据整合或者组合，以使尽管在不同控制台上被注册，手术器械200a、200b和/或200c还是可以在给定次数被精确地跟踪。例如，如果手术器械为手持式手术切割器/吻合器，则可以在各自具有自己的控制台100的两个手术室中任一个中使用器械。数据的这种整合或组合还可以便于其他跟踪，例如，手术器械的位置的跟踪、用于例如自动再定购等的存货(例如，吻合钉)的库存跟踪等。
可以通过例如手术器械管理者或者医院的计算机或者服务器的远程装置300和/或通过一个以上控制台100(例如，控制台100在网络280上进行通信的情形)来执行来自不同控制台100的数据的整合。
除了经由连接250取回记录数据之外，可以通过访问能够从槽口115拆除的例如快擦写或者固态存储器卡的存储器来取回数据，控制台100被构造为或者自动地或者在收到例如用户指令时将数据写到存储器中。然后，通过将存储器插入存储器卡读取器中，可以由例如远程装置300和/或便携式计算机来读取可拆除存储器。应当进一步理解的是，可以经由USB或者例如编程端口145的其他数据端口来取回信息。
图5a、图5b和图6示出了包括上述手术器械200a、200b和200c的全部特征的手术器械400。手术器械400由智能动力或驱动单元500和可拆除附加装置600构成。在该示例中，可拆除附加装置600为用于夹紧、切割以及吻合组织的手术附加装置。因而，如图6所示，附加装置600安装到驱动单元500上，以使手术器械400被构造为用于夹紧、切割以及吻合组织的手持式、电池供电、转动和/或关节式运动器械。
尽管能够从智能驱动单元500拆除附加装置600，应当理解为，附加装置600可以被形成为不能够从智能驱动单元500拆除。
手术器械400被构造为特别适合于经由插管插入患者的身体中。如上所示，在所示的实施例中，手术器械400为夹紧、切割以及吻合的器械。手术器械400的可拆除附加装置600包括通过铰链部611c枢接到轴部611b的钳夹部611a。钳夹部611a包括具有远端和近端的第一钳夹650，以及具有远端和近端的第二钳夹680。第一钳夹650和第二钳夹680相对于彼此枢接到其各自的近端或者各自近端的附近。如图所示，第一钳夹650和第二钳夹680能够绕枢轴A相对于彼此枢转。在这一设置中，钳夹被构造为使得，在第一钳夹650相对于第二钳夹680打开和闭合时以及在第一钳夹650相对于第二钳夹680移动中的点处，第一钳夹650和第二钳夹680二者，例如二者的纵轴，保持在一个平面内。然而，应当理解为，附加装置600可以被构造为，使得第一钳夹650和第二钳夹680绕定向不同于所示的枢轴相对于彼此枢转。
如上所述，钳夹部611a能够通过铰链部611c枢接到轴部611b。具体地，钳夹部611a能够绕枢轴B相对于轴部611b枢转，枢轴B可以位于钳夹部611a和轴部611b上或二者之间的任意位置处，以及在相对于钳夹部611a和轴部611b的任意圆周位置处。如图5b所示，枢轴B垂直地定向，并且在与图5所示的侧视图的视角垂直的平面内。在这一设置中，钳夹部611a和轴部611b被构造为使得，在钳夹部611a相对于轴部611b关节式运动时以及在钳夹部611a相对于轴部611b移动中的任意点处，钳夹部611a和轴部611b保持在与枢轴B垂直的平面内。应当理解的是，在其他示例实施例中，枢轴B可以具有不同的定向，从而使得钳夹部611a能够在不同平面内枢转。钳夹部611a可以相对于轴部611b枢转到任何角度并且在任何角度之间枢转，以使得在使用中能够如期望地选择性地定位钳夹部611a。
此外，手术器械400可以提供各种构件绕附加装置600的纵轴的转动。例如，在各个实施例中，钳夹部611a和/或轴部611b可以相对于智能驱动单元500转动，如图6所示，智能驱动单元500绕着智能驱动单元500的纵轴D(例如，在智能驱动单元连结到附加装置600的点处的智能驱动单元500的纵轴D)连结到附加装置600的轴部611b的近端或者近端的附近。轴部611b可以包括钳夹部611a连接的远侧部，以及当附加装置600安装到智能驱动单元500时朝向智能驱动单元500的近侧部。
通常，例如如图7a和图7b中所示，智能驱动单元500的手柄状轮廓可以由操作员抓握以操作手术器械400。智能驱动单元500具有下部502，在所示的实施例中形成基部。另外，智能驱动单元500具有包括几个手指开动控制按钮507和508以及摇杆装置517的中间部504。
图8a至图8c示出了驱动单元500的内部构件，示出了智能驱动单元500内部的构件的补充细节。诸如电池506的电源可以位于由智能驱动单元500的近侧部502提供的壳体中。电池506可以被构造为向手术器械400的任一构件供电。该设置可以提供的优于其他手术器械的优点在于：可以免除手术器械400到单独的机电手术系统的电源的连接件。然而，应当理解的是，其他示例的手术器械可以连接到单独的机电手术器械以接收机械功率和/或电功率。
同样，智能驱动单元500的中间部504提供了定位电路板509的壳体。电路板509可以被构造为控制手术器械400的各种操作。
位于智能驱动单元500的中间部504的前面位置处的为控制按钮507、508以及摇杆装置517。控制按钮507、508以及摇杆装置517中的每一个包括各自的磁铁，通过用户或操作员的致动来移动磁铁。另外，对于控制按钮507、508以及摇杆装置517中的每一个，电路板509包括由控制按钮507、508以及摇杆装置517中的磁铁的移动致动的各自的霍尔效应开关。例如，紧靠近控制按钮507定位的为在操作员致动控制按钮507时控制按钮507内的磁铁移动时致动的霍尔效应开关。霍尔效应开关的致动使得电路板509向功能选择模块5210和致动器或者输入驱动构件5310提供合适的信号，以相对于第二钳夹680闭合第一钳夹650和/或启动第二钳夹680内的吻合/切割钉仓。例如，下压按钮507可以启动第一钳夹650相对于第二钳夹680的闭合或者夹紧，而下压按钮508可以启动吻合/切割钉仓，或者反之亦然。
而且，紧靠近摇杆装置517定位的为在操作员致动摇杆装置517时摇杆装置517内的磁铁移动时致动的霍尔效应开关。霍尔效应开关的致动使得电路板509向功能选择模块5210和输入驱动构件5310提供合适的信号，以使得钳夹部611a相对于附加装置600的轴部611b进行关节式运动。有利的是，摇杆装置517在第一方向上的移动可以使得钳夹部611a在第一方向上相对于轴部611b绕轴B进行关节式运动，而摇杆装置517在第二方向、例如相反方向上的移动可以使得钳夹部611a在第二方向、例如相反方向上相对于轴部611b进行关节式运动。
应当理解的是，可以根据例如能够连接到智能驱动单元500的各种附加装置要执行的功能的数量和/或类型来设置适当数量的按钮和/或摇杆。
此外，智能驱动单元500的上部提供了可以定位驱动机构5110(包括例如功能选择模块5210和输入驱动构件5310)的壳体。驱动机构5110可以被构造为驱动轴和/或齿轮构件，从而执行如上面阐明的手术器械400的各种操作。例如，驱动机构5110可以被构造为驱动轴和/或齿轮构件，从而相对于轴部611b选择性地移动钳夹部611a，相对于智能驱动单元500绕纵轴D转动轴部611b(或者手术附加装置600的远侧部)，相对于第二钳夹680移动第一钳夹650，和/或在第二钳夹680内启动吻合和切割钉仓。
参考图9和图10，智能驱动单元500的远侧部包括被构造为容纳可拆除附加装置600的相应接口或连接部690的附加装置接口或者连接部590。智能驱动单元500的连接部590具有圆筒形凹部591，当附加装置与智能驱动单元500紧密配合时，圆筒形凹部591容纳附加装置600的圆筒形突出部691。然而，应当理解的是，附加装置的连接部690可以设有用于容纳智能驱动单元500的连接部590的突出部的凹部。而且，应当理解的是，接口不需要为圆筒形，并且可以为任何适当的形状或者几何结构。
当附加装置600与智能驱动单元500紧密配合时，多个可转动连接器592a、592b和592c中的每个与相应的可转动连接器692a、692b、692c连结。在这点上，相应连接器592a和692a之间的接口、相应连接器592b和692b之间的接口以及592c和692c之间的接口被锁定，以使得各个连接器592a、592b和592c的转动引起相应连接器692a、692b、692c的相应转动。尽管所示的接口轮廓为近似三角形，应当理解为，可以设置任何适当的几何结构以允许传输从第一连接器592a、592b和592c到各个连接器692a、692b和692c的转动。应当进一步理解的是，尽管连接器592a、592b和592c被设置为插入内孔连接器692a、692b和692c中的外孔连接器(maleconnector)，但连接器692a、692b和/或692c可以被构造为构造为容纳在各个内孔连接器592a、592b和/或592c中的外孔连接器。
连接器592a、592b和592c与连接器692a、692b和692c的紧密配合允许经由三个相应的连接器接口的每一个单独传输转动力。连接器592a、592b、和592c被构造为由驱动机构5110单独转动。在这点上，功能选择模块5210选择由输入驱动构件5310(例如，电动机)驱动哪个连接器592a、592b和/或592c。然而，应当理解的是，连接器592a、592b和/或592c中的一个或多个可以设有专用驱动构件或者电动机。
由于当附加装置600连结到智能驱动单元500时各个连接器592a、592b和592c具有与各个连接器692a、692b和692c锁定和/或基本不能转动的接口，转动力可以从智能驱动单元500的驱动机构5110选择性地传递到附加装置600。
转动力可以经由沿着轴部611b设置的多个可转动驱动轴从附加装置600的近端部处的连接器692a、692b、692c传递到钳夹部611a。可转动驱动轴可以在近端非可转动地连结或者基本非可转动地连结到各个连接器692a、692b或692c，并且在远端非可转动地连结或者基本非可转动地连结到被构造为致动钳夹部611a或者其部分或构件的钳夹构件或者驱动器的输入端。以此方式，可转动驱动轴可以允许连接器692a、692b和/或692c与钳夹部611a之间一对一或者基本上一对一的转动传输。
连接器592a、592b和/或592c的选择性转动允许智能驱动单元500选择性地致动附加装置的不同功能。在该示例中，三个连接器的选择性且独立的转动对应于钳夹部611a绕轴B选择性且独立的关节式运动、由于上钳夹650绕轴A的转动引起的钳夹650和钳夹680的打开和闭合，以及钳夹部611a的吻合/切割构件的驱动。
附加装置600可以通过任何适当的机构连结到智能动力单元500。例如，附加装置可以利用可滑动闭锁机构(latchmechanism)(例如，动力单元500的径向向外部分被向后或向前径向拉动以脱离闭锁)或者卡盘闭锁到适当位置处。尽管可以设置需要单独工具的附加装置，但设置例如上述滑动闭锁、无键卡盘等需要较少工具或者手操作的连接机构可能是有利的。
驱动机构5110可以包括选择器(selector)齿轮箱组件550。接近选择器齿轮箱组件550的为起到将选择器齿轮箱组件550内的齿轮元件选择性地移动到与输入驱动构件5310啮合的作用的功能选择模块5210。因而，驱动机构可以在给定时间选择性地驱动连接器592a、592b和/或592c中的一个或多个。尽管基于选择器齿轮箱组件550的啮合状态选择性地驱动各个连接器592a、592b、和592c，但应当理解为，连接器592a、592b和/或592c中的一个或多个可以设有专用驱动构件或者电动机。
关于选择器齿轮箱组件550或者手术器械400的总体上的进一步细节，手术器械400包括与以引用的方式全部专门地合并于此的美国公布的申请号为2009/0101692的专利申请中披露的基本相同或者类似的许多特征。
智能驱动单元500还包括收发器，该收发器连结到电路板509并且被构造为如上所述相对于手术器械200a、200b和200c向控制台100发送数据传输和从控制台100接收数据传输。电路板509被构造为不允许例如钳夹部611b的各种功能的运行，除非确定与控制台100已经建立了双路通信链路。
智能驱动单元500的连接部590还包括与相应的电连接器693a和693b紧密配合的电连接器593a和593b，以允许智能驱动单元500与附加装置600之间的电信号和/或动力的传输。电连接器593a和593b电连结到包括例如电路板509的电路，以允许电路经由电连接器593a和593b接收和/或发送信息和/或电力。电信号可以为例如与例如手术附加装置类型和/或序列号、钉仓或插入件的标识符、传感器数据和/或任何其他适合的通信相对应的手术附加装置数据。该数据可以存储在手术附加装置和/或钉仓(例如，吻合钉钉仓)的电子芯片上。例如，吻合钉钉仓可以包括包含有序列号和/或批号的电子芯片。该信息可以经由连接器593a、693a、593b、693b的接口从芯片上读取并且转送到智能驱动单元500的电路。然后，电路板509可以经由收发器在双路通信链路上将数据发送到控制台100，其中，控制台100可以存储并且跟踪数据。
此外，附加装置类型和序列号可以被转送到智能驱动单元500。该信息可以被存储到例如附加装置600的电子芯片上。然后，包括例如电路板509的智能驱动单元500的电路可以将该数据传达到控制台100，控制台100可以选择包括例如操作程序、算法或参数的数据，并且经由双路通信链路将该数据发送到智能驱动单元500的电路。然而，应当理解的是，包括例如存储器的驱动单元的电路可以包括处理器509可以从中选择以运行附加装置600的多个预先安装的程序、算法和/或其他参数。
如上面关于手术器械200a、200b和200c所述，智能驱动单元500可以将由操作手术器械400的例如外科医生的用户输入的指令的记录发送到控制台100。例如，智能驱动单元500可以将与在手术操作中各个控制按钮507和508以及摇杆装置517什么时间运行、如何运行和/或运行多长时间相对应的信号发送到控制台100。然后，控制台100可以将该信息存储到例如存储器103上。如上所述，该信息可以与特定患者和/或手术操作链接并且可以由例如管理者收集。智能驱动单元500可以以预定间隔和/或在例如手术操作结束或者手术操作的部分结束的特定事件或者状况发生时在手术操作期间连续地发送该数据。
智能驱动单元500还可以被构造为监控输入驱动构件5310的参数。例如，可以测量驱动输入驱动构件5310的一个以上电动机的电流，以便确定由手术器械400施加的例如夹紧力的力。在这点上，智能驱动单元500和/或控制台100可以包括例如以引用的方式全部专门地合并于此的序列号为12/430,780的美国专利申请中披露的控制单元或者系统。在这点上，智能驱动单元500可以包括用于测量驱动输入驱动构件5310的电流的电流传感器、用于确定输入驱动构件5310的转动速度的速度传感器以及用于确定输入驱动构件5310的输出(例如，电动机的输出轴)的位置、和/或构件(例如，附加装置600的上钳夹650)的位置中的至少一个的位置传感器。然后，例如通过调整施加到输入驱动构件5310的电压来调整输入驱动构件5310的驱动速度，控制单元可以基于来自这些传感器的输入来控制输入驱动构件5310。在如图所示手术器械包括切割器/吻合器附加装置600的情形下，控制系统可以被构造为在例如用户压下按钮507的同时将钳夹650和钳夹680施加到被夹紧组织的夹紧力限制到预定的最大限值。
基于在例如手术操作中获得的感应的和/或确定的数据和参数，手术器械400可以在双路无线链路上将数据发送到控制台100，例如以便存储、处理、和/或用于向器械400的用户提供信息。例如，如图1b所示，钳夹650和钳夹680的闭合比率可以被发送到控制台100并且在显示器110上显示给用户。控制台100还可以基于例如在双路无线通信链路上从手术器械400发送到控制台100的信息在手术操作期间向用户传达警告和/或错误信号。
手术器械400(更具体地，智能驱动单元500)将运行数据和/或指令数据传达到控制台100，以允许控制台提供包括例如指示、询问和/或警示的反馈。运行数据可以包括例如测量的或确定的值、参数、状况等，而指令数据可以为送到控制台100的任何适当的指示，例如，询问用户的指示、显示状况或参数和/或发布警示。
而且，用户可以通过将指令输入到控制台100中来设定手术器械400的参数，然后，控制台100基于用户的指令在双路无线通信链路上与手术器械400通信。例如，基于来自用户的输入，控制台可以发送数据以警示运行算法要使用特定参数。例如，用户可以向控制台100中输入用于夹紧手术操作的力的限值。然后，控制台100可以设定例如上述控制系统的运行参数，以使手术器械400限制在夹紧手术操作中施加到被夹紧组织的力。
控制台100可以被构造为为了任何适当的目的接收用户的指令和/或提示用户发出指令。例如，用户可以从一组操作程序、模式和/或算法中选择。基于这些指令或输入，控制台100在无线通信链路上与手术器械400通信，以便例如安装操作软件和/或设定运行参数。根据示例，对于所选择的手术操作，程序可以从控制台100上被传达到并且安装到手术器械400上，其中，程序需要在特定顺序中和/或在特定条件下执行特定的功能。例如，手术器械400的电路可以忽略当确定例如钳夹之间的组织间隙不在可接受预定范围内时来自用于致动吻合钉驱动器的按钮或者其他输入端的输入信号(有效地禁止按钮的功能)。
当电池水平和/或健康状况低于特定阈值时，控制台100还可以警示用户。此外，控制台100和/或手术器械400可以被构造为当控制台100和/或手术器械400判定电池的电力可能不足以完成该手术操作时防止特定手术操作开始。例如，当用户经由例如触摸屏显示器110选择操作程序或者模式并且判定(例如，由控制台100)电池水平和/或健康状况不足(例如，基于在无线通信链路上从手术器械400发送到控制台100的电池和/或健康状况信息)时，控制台可以基于电池的当前状态来指示用户不允许操作，和/或可以在手术操作可以继续进行之前指示用户更换电池。
此外，如图7a所示，智能驱动单元500的中间部504由手柄部504a和触发器部504b构成。手柄部504a整体形成(例如，通过注塑成型)为一整件，包括容纳用户的较靠下的手指的管状部分。然后，触发器部504b以任何适当的方式(例如，使用粘结剂、焊接和/或紧固件)被接合到手柄部504a。类似地，上壳体510和电池壳体515各自整体形成为一整件并且接合到手柄部504a。电池506被电池门520限制在电池壳体515中，电池门520闭锁到闭合位置并且通过按下释放按钮525使电池门520解除闭锁。与沿着接缝(例如，在图7b的视图中近似平行于纸张的平面的接缝)接合两个近似对称的半部的构造相对照，这一构造可以提供增强的强度并且可以便于构件壳体部504a、504b、510、515和/或520的密封。
智能驱动单元500被构造为作为一个整体经受高压灭菌(autoclavable)，无需拆开。在这点上，包括电池506的智能驱动单元500可以被高压灭菌，不会损坏智能驱动单元500的任何部分。为了便于这一高压灭菌，智能驱动单元500可以包括密封件或者例如衬垫570的衬垫(例如，在图8c中示出，被构造为在电池门520与电池壳体515之间形成足以防止湿气在高压灭菌的压力和温度下进入智能驱动单元壳体中的气密密封)。此外，当附加装置600连结到驱动单元500上时，如果期望，智能驱动单元500和附加装置600可以一起高压灭菌。
图11示出了根据本发明的示例实施例的手术附加装置600和手术附加装置轴800。示出的附加装置800不具有可以连结到其远端810的钳夹或者其他器械部分。附加装置轴800与附加装置600的轴的不同之处在于，细长的轴部811弯曲成一个角度。这可以允许例如在一些内窥镜手术操作中轴的远端810(以及连接到其的器械)更易于进入患者身体的部分中。尽管附加装置600和800包括刚性轴，应当理解为，可以设置柔性轴。
提供具有各种附加装置可以可拆除地连结到其上以被驱动的动力单元500的手术器械提供了不同的附加装置和/或附加装置类型可以使用相同驱动单元的灵活性。在这点上，可以预想，例如外科医生的操作员在单次操作期间可以使用多个附加装置。例如，对于肠切除、割除以及吻合操作，外科医生可以首先连接作为附加装置600的线切割器/吻合器，以便在要去除的组织的癌变部分的相对端切除和吻合。为了重新接合肠的剩余部分的两个密封端，外科医生可以通过从动力单元500拆开并且除去线切割器吻合器附加装置(例如，通过拉伸、推动、和/或转动闭锁机构或卡盘)而用圆形切割器/吻合器附加装置更换线吻合器/切割器附加装置，并且然后连接圆形吻合器/切割器附加装置。
在插入附加装置时，动力单元500可以通过例如从设置在附加装置中的电子芯片经由电连接器693a和693b读取数据来确定手术附加装置的类型和/或具体的手术附加装置。基于该信息，智能动力单元500和/或控制台100可以选择适当的操作程序和/或设定一个以上运行参数。
动力单元500和/或控制台100可以交叉引用与特定附加装置相关的校准数据。例如，如果已经预先确定具有特定序列号的特定附加装置需要校正因数来调整该附加装置的特性(idiosyncrasy)，则该校正因数可以被组合到用于该附加装置的运行算法或者程序中。例如，对于特定附加装置类型，可以期望连接器692a、692b、692c中的一个的完全360度转动与在附加装置的远端的例如钳夹650的元件的期望位移或者转动(或者其他可计量的状态变化)相关联。这一期望关联可以构建到用于该特定类型的每个附加装置的操作程序中。然而(例如，在测试期间)，如果确定特定单元需要比360度转动稍多或者稍少的转动以达到期望效果，当附加装置运行时，可以提供校正因数来导致(accountfor)各个附加装置的该特性。
尽管这里作为示例性手术附加装置说明了手术吻合器/切割器，应当理解为，可以提供多种类型的手术附加装置中的任一种并且由驱动单元500供给动力。
为了连接附加装置，通过将附加装置轴向地压入到驱动单元中使附加装置牢固地闭锁到驱动单元500中可能是有利的。此外，如上所述，没有工具的附加装置和拆除机构对于简化连接、拆除以及从驱动单元500更换手术附加装置可能尤其有利。
尽管已经参考特定示例和示例性实施例说明了本发明，应当理解为，前面的说明并不是限制。而且，这里说明的特征可以用于任何组合中。

Claims (14)

1.一种服务器，包括：
服务器存储器，其被构造为存储手术器械的消毒状态；
网络链路，其被构造为将所述服务器连结到具有控制台存储器的控制台，所述控制台被构造为：
基于从所述手术器械接收到的识别数据来注册所述手术器械；
从所述服务器接收所述消毒状态；以及
将所述手术器械的注册状态存储在所述控制台存储器中，所述注册状态指示所述手术器械之前在所述控制台上注册过。
2.根据权利要求1所述的服务器，其中，所述控制台被进一步构造为：
从所述手术器械接收运行数据或指令中的至少一个；以及
基于运行数据和指令中的所述至少一个在所述手术器械的运行期间提供反馈数据。
3.根据权利要求2所述的服务器，其中，所述控制台进一步包括显示屏，所述显示屏被构造为显示所述反馈数据的至少一部分。
4.根据权利要求3所述的服务器，其中，所述显示屏包括被构造为接收用户指令的触摸屏显示器。
5.根据权利要求2所述的服务器，其中，所述控制台进一步包括扬声器，所述扬声器被构造为提供所述反馈数据的至少一部分作为音频信号。
6.根据权利要求2所述的服务器，其中，所述反馈数据包括指示和询问中的至少一个。
7.根据权利要求2所述的服务器，其中，所述反馈数据包括所述手术器械的运行参数。
8.根据权利要求1所述的服务器，其中，所述手术器械被构造为当所述手术器械没有在所述控制台上注册时至少部分不能运行。
9.根据权利要求1所述的服务器，其中，所述手术器械是手持式、电池供电的手术器械。
10.根据权利要求1所述的服务器，其中，所述手术器械包括智能驱动单元，所述智能驱动单元被构造为容纳不同类型的手术附加装置。
11.根据权利要求10所述的服务器，其中，所述不同类型的手术附加装置中的一个是手术切割器或吻合器中的至少一个。
12.根据权利要求1所述的服务器，其中，所述控制台被进一步构造为向所述手术器械上载操作软件，并且所述手术器械被构造为执行所述操作软件。
13.根据权利要求1所述的服务器，其中，所述控制台被进一步构造为从所述手术器械接收视频数据。
14.根据权利要求1所述的服务器，其中，所述控制台被进一步构造为记录从所述手术器械接收到的运行数据。
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107802309A (zh) * 2016-09-08 2018-03-16 柯惠Lp公司 用于外科装置的力传感器
CN109310412A (zh) * 2016-04-01 2019-02-05 伊西康有限责任公司 包括显示器的模块化外科缝合系统
CN109996507A (zh) * 2016-11-11 2019-07-09 直观外科手术操作公司 具有手术器械磨损跟踪的远程操作手术系统
CN112367933A (zh) * 2018-07-09 2021-02-12 柯惠Lp公司 手持式机电手术系统
TWI804069B (zh) * 2021-11-26 2023-06-01 林裕斌 器械辨識方法以及器械辨識系統

Families Citing this family (1009)

* 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
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US10022123B2 (en) 2012-07-09 2018-07-17 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10041822B2 (en) 2007-10-05 2018-08-07 Covidien Lp Methods to shorten calibration times for powered devices
US11311291B2 (en) 2003-10-17 2022-04-26 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US8968276B2 (en) 2007-09-21 2015-03-03 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical device
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
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
WO2006015319A2 (en) 2004-07-30 2006-02-09 Power Medical Interventions, Inc. Flexible shaft extender and method of using same
US11291443B2 (en) 2005-06-03 2022-04-05 Covidien Lp Surgical stapler with timer and feedback display
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8365976B2 (en) 2006-09-29 2013-02-05 Ethicon Endo-Surgery, Inc. Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
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
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
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
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
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
EP2018248B1 (en) 2006-05-19 2015-11-04 Applied Medical Resources Corporation Surgical stapler
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
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US20080083807A1 (en) 2006-10-06 2008-04-10 Beardsley John W Surgical instrument including a locking assembly
US8632535B2 (en) 2007-01-10 2014-01-21 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
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
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
US8827133B2 (en) 2007-01-11 2014-09-09 Ethicon Endo-Surgery, Inc. Surgical stapling device having supports for a flexible drive mechanism
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8600478B2 (en) 2007-02-19 2013-12-03 Medtronic Navigation, Inc. Automatic identification of instruments used with a surgical navigation system
US7604151B2 (en) 2007-03-15 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US8061576B2 (en) 2007-08-31 2011-11-22 Tyco Healthcare Group Lp Surgical instrument
US9023014B2 (en) 2007-09-21 2015-05-05 Covidien Lp Quick connect assembly for use between surgical handle assembly and surgical accessories
JP5357161B2 (ja) 2007-09-21 2013-12-04 コヴィディエン リミテッド パートナーシップ 外科用装置
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8012170B2 (en) 2009-04-27 2011-09-06 Tyco Healthcare Group Lp Device and method for controlling compression of tissue
US10498269B2 (en) 2007-10-05 2019-12-03 Covidien Lp Powered surgical stapling device
US20110022032A1 (en) * 2007-10-05 2011-01-27 Tyco Healthcare Group Lp Battery ejection design for a surgical device
US10779818B2 (en) 2007-10-05 2020-09-22 Covidien Lp Powered surgical stapling device
EP2240083B8 (en) 2008-01-10 2015-08-19 Covidien LP Imaging system for a surgical device
US8647258B2 (en) 2008-01-10 2014-02-11 Covidien Lp Apparatus for endoscopic procedures
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
BRPI0901282A2 (pt) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação dotado de eletrodos de rf
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
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
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
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
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
US8628544B2 (en) 2008-09-23 2014-01-14 Covidien Lp Knife bar for surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US7896214B2 (en) 2008-09-23 2011-03-01 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
CA2751664A1 (en) 2009-02-06 2010-08-12 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
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
US8423182B2 (en) 2009-03-09 2013-04-16 Intuitive Surgical Operations, Inc. Adaptable integrated energy control system for electrosurgical tools in robotic surgical systems
US8292154B2 (en) 2009-04-16 2012-10-23 Tyco Healthcare Group Lp Surgical apparatus for applying tissue fasteners
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
CA2808331C (en) * 2010-04-12 2018-04-03 Kevin Kenneth Lint System including a wireless dental instrument and universal wireless foot controller
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
CN103140178B (zh) 2010-09-30 2015-09-23 伊西康内外科公司 包括保持矩阵和对齐矩阵的紧固件系统
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US8857694B2 (en) 2010-09-30 2014-10-14 Ethicon Endo-Surgery, Inc. Staple cartridge loading assembly
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9700317B2 (en) 2010-09-30 2017-07-11 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a releasable tissue thickness compensator
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9433419B2 (en) 2010-09-30 2016-09-06 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of layers
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8899461B2 (en) 2010-10-01 2014-12-02 Covidien Lp Tissue stop for surgical instrument
US8292150B2 (en) 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
US10660695B2 (en) 2010-11-05 2020-05-26 Ethicon Llc Sterile medical instrument charging device
US20120116381A1 (en) * 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging station and wireless communication
BR112013027794B1 (pt) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9451959B2 (en) 2011-06-09 2016-09-27 Covidien Lp Surgical fastener applying apparatus
US9271728B2 (en) 2011-06-09 2016-03-01 Covidien Lp Surgical fastener applying apparatus
US8763876B2 (en) 2011-06-30 2014-07-01 Covidien Lp Surgical instrument and cartridge for use therewith
US20130012958A1 (en) 2011-07-08 2013-01-10 Stanislaw Marczyk Surgical Device with Articulation and Wrist Rotation
US9155537B2 (en) 2011-08-08 2015-10-13 Covidien Lp Surgical fastener applying apparatus
US9539007B2 (en) 2011-08-08 2017-01-10 Covidien Lp Surgical fastener applying aparatus
US9724095B2 (en) 2011-08-08 2017-08-08 Covidien Lp Surgical fastener applying apparatus
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US11207089B2 (en) 2011-10-25 2021-12-28 Covidien Lp Apparatus for endoscopic procedures
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
US8899462B2 (en) 2011-10-25 2014-12-02 Covidien Lp Apparatus for endoscopic procedures
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US20130098970A1 (en) * 2011-10-25 2013-04-25 David Racenet Surgical Apparatus and Method for Endoluminal Surgery
US8657177B2 (en) 2011-10-25 2014-02-25 Covidien Lp Surgical apparatus and method for endoscopic surgery
US9364231B2 (en) * 2011-10-27 2016-06-14 Covidien Lp System and method of using simulation reload to optimize staple formation
US8740036B2 (en) 2011-12-01 2014-06-03 Covidien Lp Surgical instrument with actuator spring arm
CA2796525A1 (en) * 2011-12-23 2013-06-23 Covidien Lp Apparatus for endoscopic procedures
US10299815B2 (en) 2012-01-19 2019-05-28 Covidien Lp Surgical instrument with clam releases mechanism
US8864010B2 (en) 2012-01-20 2014-10-21 Covidien Lp Curved guide member for articulating instruments
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
US8979827B2 (en) 2012-03-14 2015-03-17 Covidien Lp Surgical instrument with articulation mechanism
US20130253480A1 (en) 2012-03-22 2013-09-26 Cory G. Kimball Surgical instrument usage data management
BR112014024102B1 (pt) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc Conjunto de cartucho de prendedores para um instrumento cirúrgico, e conjunto de atuador de extremidade para um instrumento cirúrgico
JP6105041B2 (ja) 2012-03-28 2017-03-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 低圧環境を画定するカプセルを含む組織厚コンペンセーター
RU2644272C2 (ru) 2012-03-28 2018-02-08 Этикон Эндо-Серджери, Инк. Узел ограничения, включающий компенсатор толщины ткани
US9204920B2 (en) * 2012-05-02 2015-12-08 Covidien Lp External reader for device management
US9526497B2 (en) 2012-05-07 2016-12-27 Covidien Lp Surgical instrument with articulation mechanism
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US8973805B2 (en) 2012-05-25 2015-03-10 Covidien Lp Surgical fastener applying apparatus including a knife guard
AU2013203675B2 (en) * 2012-05-31 2014-11-27 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9868198B2 (en) * 2012-06-01 2018-01-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10080563B2 (en) 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
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
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
RU2636861C2 (ru) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Блокировка пустой кассеты с клипсами
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US9232944B2 (en) 2012-06-29 2016-01-12 Covidien Lp Surgical instrument and bushing
US9955965B2 (en) 2012-07-09 2018-05-01 Covidien Lp Switch block control assembly of a medical device
US9839480B2 (en) 2012-07-09 2017-12-12 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10492814B2 (en) 2012-07-09 2019-12-03 Covidien Lp Apparatus for endoscopic procedures
US10194907B2 (en) 2012-07-18 2019-02-05 Covidien Lp Multi-fire stapler with electronic counter, lockout, and visual indicator
US9402604B2 (en) 2012-07-20 2016-08-02 Covidien Lp Apparatus for endoscopic procedures
WO2014043619A1 (en) 2012-09-17 2014-03-20 Intuitive Surgical Operations, Inc. Methods and systems for assigning input devices to teleoperated surgical instrument functions
US20140081659A1 (en) 2012-09-17 2014-03-20 Depuy Orthopaedics, Inc. Systems and methods for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking
US8906001B2 (en) 2012-10-10 2014-12-09 Covidien Lp Electromechanical surgical apparatus including wire routing clock spring
JP2014076215A (ja) * 2012-10-11 2014-05-01 Toshiba Corp 医用作業支援システムおよび手術着
US9364217B2 (en) 2012-10-16 2016-06-14 Covidien Lp In-situ loaded stapler
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US10631939B2 (en) 2012-11-02 2020-04-28 Intuitive Surgical Operations, Inc. Systems and methods for mapping flux supply paths
JP6262754B2 (ja) * 2012-11-02 2018-01-17 インテュイティブ サージカル オペレーションズ， インコーポレイテッド フラックス伝送コネクタ及びシステム、フラックス除去、並びにフラックス供給路をマッピングするためのシステム及び方法
US10864048B2 (en) 2012-11-02 2020-12-15 Intuitive Surgical Operations, Inc. Flux disambiguation for teleoperated surgical systems
US10722222B2 (en) * 2012-12-14 2020-07-28 Covidien Lp Surgical system including a plurality of handle assemblies
US9470297B2 (en) 2012-12-19 2016-10-18 Covidien Lp Lower anterior resection 90 degree instrument
US9522003B2 (en) * 2013-01-14 2016-12-20 Intuitive Surgical Operations, Inc. Clamping instrument
US9782187B2 (en) 2013-01-18 2017-10-10 Covidien Lp Adapter load button lockout
US9615825B2 (en) 2013-01-18 2017-04-11 Covidien Lp Release tool for an end effector of a surgical stapling apparatus
US9345480B2 (en) 2013-01-18 2016-05-24 Covidien Lp Surgical instrument and cartridge members for use therewith
US10918364B2 (en) 2013-01-24 2021-02-16 Covidien Lp Intelligent adapter assembly for use with an electromechanical surgical system
US9216013B2 (en) 2013-02-18 2015-12-22 Covidien Lp Apparatus for endoscopic procedures
US9421003B2 (en) 2013-02-18 2016-08-23 Covidien Lp Apparatus for endoscopic procedures
MX368026B (es) 2013-03-01 2019-09-12 Ethicon Endo Surgery Inc Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal.
BR112015021082B1 (pt) 2013-03-01 2022-05-10 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US10561432B2 (en) 2013-03-05 2020-02-18 Covidien Lp Pivoting screw for use with a pair of jaw members of a surgical instrument
AU2014200501B2 (en) * 2013-03-07 2017-08-24 Covidien Lp Powered surgical stapling device
US9629628B2 (en) 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US9492189B2 (en) 2013-03-13 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
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
US9717498B2 (en) 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US9867620B2 (en) 2013-03-14 2018-01-16 Covidien Lp Articulation joint for apparatus for endoscopic procedures
ES2947036T3 (es) 2013-03-14 2023-07-31 Applied Med Resources Grapadora quirúrgica con receptáculos parciales
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
ES2803961T3 (es) 2013-03-15 2021-02-01 Applied Med Resources Grapadora quirúrgica con mordaza expandible
CA2906648C (en) 2013-03-15 2021-05-04 Applied Medical Resources Corporation Surgical stapler having actuation mechanism with rotatable shaft
US9968408B1 (en) * 2013-03-15 2018-05-15 Nuvasive, Inc. Spinal balance assessment
US9510827B2 (en) 2013-03-25 2016-12-06 Covidien Lp Micro surgical instrument and loading unit for use therewith
US9700318B2 (en) 2013-04-09 2017-07-11 Covidien Lp Apparatus for endoscopic procedures
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US10136887B2 (en) 2013-04-16 2018-11-27 Ethicon Llc Drive system decoupling arrangement for a surgical instrument
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9801646B2 (en) 2013-05-30 2017-10-31 Covidien Lp Adapter load button decoupled from loading unit sensor
US9445810B2 (en) 2013-06-12 2016-09-20 Covidien Lp Stapling device with grasping jaw mechanism
US9668763B2 (en) 2013-09-11 2017-06-06 Covidien Lp System for myomectomy and morcellation
US10117654B2 (en) 2013-06-18 2018-11-06 Covidien Lp Method of emergency retraction for electro-mechanical surgical devices and systems
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
US9757129B2 (en) 2013-07-08 2017-09-12 Covidien Lp Coupling member configured for use with surgical devices
US9636112B2 (en) 2013-08-16 2017-05-02 Covidien Lp Chip assembly for reusable surgical instruments
JP6416260B2 (ja) 2013-08-23 2018-10-31 エシコン エルエルシー 動力付き外科用器具のための発射部材後退装置
JP6453331B2 (ja) * 2013-08-23 2019-01-16 エシコン エルエルシー 閉鎖インジケータディスプレイを備える外科用エンドエフェクタ
US10624634B2 (en) 2013-08-23 2020-04-21 Ethicon Llc Firing trigger lockout arrangements for surgical instruments
RU2695598C2 (ru) * 2013-08-23 2019-07-24 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Интерактивные дисплеи
US9662108B2 (en) 2013-08-30 2017-05-30 Covidien Lp Surgical stapling apparatus
US9603624B2 (en) 2013-09-11 2017-03-28 Covidien Lp System for myomectomy and morcellation
US20150076211A1 (en) 2013-09-17 2015-03-19 Covidien Lp Surgical instrument controls with illuminated feedback
US9955966B2 (en) 2013-09-17 2018-05-01 Covidien Lp Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention
US10271840B2 (en) 2013-09-18 2019-04-30 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US10478189B2 (en) * 2015-06-26 2019-11-19 Ethicon Llc Method of applying an annular array of staples to tissue
US10463365B2 (en) * 2013-10-17 2019-11-05 Covidien Lp Chip assembly for surgical instruments
US9974540B2 (en) 2013-10-18 2018-05-22 Covidien Lp Adapter direct drive twist-lock retention mechanism
WO2015065487A1 (en) 2013-11-04 2015-05-07 Covidien Lp Surgical fastener applying apparatus
US11033264B2 (en) 2013-11-04 2021-06-15 Covidien Lp Surgical fastener applying apparatus
CN105682567B (zh) 2013-11-04 2021-09-10 柯惠Lp公司 手术紧固件施加装置
US9295522B2 (en) 2013-11-08 2016-03-29 Covidien Lp Medical device adapter with wrist mechanism
US20150150574A1 (en) 2013-12-04 2015-06-04 Covidien Lp Adapter direct drive push button retention mechanism
US10236616B2 (en) * 2013-12-04 2019-03-19 Covidien Lp Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof
ES2755485T3 (es) * 2013-12-09 2020-04-22 Covidien Lp Conjunto de adaptador para la interconexión de dispositivos quirúrgicos electromecánicos y unidades de carga quirúrgica, y sistemas quirúrgicos de los mismos
US9918713B2 (en) * 2013-12-09 2018-03-20 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
WO2015088647A1 (en) 2013-12-11 2015-06-18 Covidien Lp Wrist and jaw assemblies for robotic surgical systems
US10220522B2 (en) 2013-12-12 2019-03-05 Covidien Lp Gear train assemblies for robotic surgical systems
US9808245B2 (en) 2013-12-13 2017-11-07 Covidien Lp Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US20150173749A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical staples and staple cartridges
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
DE102014200533A1 (de) * 2014-01-14 2015-07-16 Olympus Winter & Ibe Gmbh Wechseldatenträger, medizinisches Gerät und Verfahren zum Betrieb eines Wechseldatenträgers
US9839424B2 (en) 2014-01-17 2017-12-12 Covidien Lp Electromechanical surgical assembly
US9655616B2 (en) 2014-01-22 2017-05-23 Covidien Lp Apparatus for endoscopic procedures
US10219869B2 (en) 2014-02-12 2019-03-05 Covidien Lp Surgical end effectors and pulley assemblies thereof
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9974541B2 (en) 2014-02-14 2018-05-22 Covidien Lp End stop detection
US9848874B2 (en) 2014-02-14 2017-12-26 Covidien Lp Small diameter endoscopic stapler
US9301691B2 (en) 2014-02-21 2016-04-05 Covidien Lp Instrument for optically detecting tissue attributes
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
JP6462004B2 (ja) 2014-02-24 2019-01-30 エシコン エルエルシー 発射部材ロックアウトを備える締結システム
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US10004497B2 (en) 2014-03-26 2018-06-26 Ethicon Llc Interface systems for use with surgical instruments
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
BR112016021811B1 (pt) * 2014-03-26 2022-07-05 Ethicon Endo-Surgery, Llc Instrumento cirúrgico
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9750499B2 (en) * 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US10420577B2 (en) * 2014-03-31 2019-09-24 Covidien Lp Apparatus and method for tissue thickness sensing
EP3125785B1 (en) 2014-03-31 2020-03-04 Covidien LP Wrist and jaw assemblies for robotic surgical systems
BR112016023807B1 (pt) 2014-04-16 2022-07-12 Ethicon Endo-Surgery, Llc Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US10561422B2 (en) 2014-04-16 2020-02-18 Ethicon Llc Fastener cartridge comprising deployable tissue engaging members
CN106456176B (zh) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 包括具有不同构型的延伸部的紧固件仓
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
US10164466B2 (en) 2014-04-17 2018-12-25 Covidien Lp Non-contact surgical adapter electrical interface
US20150297205A1 (en) 2014-04-17 2015-10-22 Covidien Lp Manual retraction tool for use with an electromechanical surgical device
US9668733B2 (en) 2014-04-21 2017-06-06 Covidien Lp Stapling device with features to prevent inadvertent firing of staples
US10080552B2 (en) 2014-04-21 2018-09-25 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10133248B2 (en) 2014-04-28 2018-11-20 Covidien Lp Systems and methods for determining an end of life state for surgical devices
US9861366B2 (en) 2014-05-06 2018-01-09 Covidien Lp Ejecting assembly for a surgical stapler
JP2017518803A (ja) 2014-05-15 2017-07-13 コヴィディエン リミテッド パートナーシップ 外科手術用締結具適用装置
AU2015201323B2 (en) 2014-05-16 2019-12-19 Covidien Lp Apparatus for endoscopic procedures
US9713466B2 (en) 2014-05-16 2017-07-25 Covidien Lp Adaptor for surgical instrument for converting rotary input to linear output
WO2015184424A1 (en) 2014-05-30 2015-12-03 Bipad, Llc Bipolar electrosurgery actuator
EP3154449B1 (en) 2014-06-11 2019-08-14 Applied Medical Resources Corporation Surgical stapler with circumferential firing
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US9987099B2 (en) 2014-06-18 2018-06-05 Covidien Lp Disposable housings for encasing handle assemblies
US10163589B2 (en) 2014-06-26 2018-12-25 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9839425B2 (en) 2014-06-26 2017-12-12 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9763661B2 (en) 2014-06-26 2017-09-19 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10561418B2 (en) 2014-06-26 2020-02-18 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9987095B2 (en) 2014-06-26 2018-06-05 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US9629631B2 (en) 2014-07-01 2017-04-25 Covidien Lp Composite drive beam for surgical stapling
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US10016199B2 (en) 2014-09-05 2018-07-10 Ethicon Llc Polarity of hall magnet to identify cartridge type
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
WO2016044216A1 (en) 2014-09-15 2016-03-24 Applied Medical Resources Corporation Surgical stapler with self-adjusting staple height
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
MX2017003960A (es) 2014-09-26 2017-12-04 Ethicon Llc Refuerzos de grapas quirúrgicas y materiales auxiliares.
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
EP3979086A1 (en) * 2014-10-02 2022-04-06 Iannello, Paul A. Portable device and method for production control and quality control
WO2016057225A1 (en) 2014-10-07 2016-04-14 Covidien Lp Handheld electromechanical surgical system
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
US10226254B2 (en) 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10729443B2 (en) 2014-10-21 2020-08-04 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US9949737B2 (en) 2014-10-22 2018-04-24 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10085750B2 (en) 2014-10-22 2018-10-02 Covidien Lp Adapter with fire rod J-hook lockout
US9991069B2 (en) 2014-10-22 2018-06-05 Covidien Lp Surgical instruments and switch assemblies thereof
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
RU2703684C2 (ru) 2014-12-18 2019-10-21 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси
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
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
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
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
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
DE102015201092B4 (de) * 2015-01-22 2016-10-06 Jens-Christian Frohwitter Vorrichtung und System zur Ultraschallbehandlung offener Wunden
US10111658B2 (en) 2015-02-12 2018-10-30 Covidien Lp Display screens for medical devices
US20160262800A1 (en) 2015-02-13 2016-09-15 Nuvasive, Inc. Systems and methods for planning, performing, and assessing spinal correction during surgery
US10111665B2 (en) 2015-02-19 2018-10-30 Covidien Lp Electromechanical surgical systems
US10039545B2 (en) 2015-02-23 2018-08-07 Covidien Lp Double fire stapling
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US10285698B2 (en) 2015-02-26 2019-05-14 Covidien Lp Surgical apparatus
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
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
US10182816B2 (en) 2015-02-27 2019-01-22 Ethicon Llc Charging system that enables emergency resolutions for charging a battery
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system 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
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
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
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10190888B2 (en) 2015-03-11 2019-01-29 Covidien Lp Surgical stapling instruments with linear position assembly
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
US11432902B2 (en) 2015-04-10 2022-09-06 Covidien Lp Surgical devices with moisture control
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
US10327779B2 (en) 2015-04-10 2019-06-25 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10226239B2 (en) 2015-04-10 2019-03-12 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US11278286B2 (en) 2015-04-22 2022-03-22 Covidien Lp Handheld electromechanical surgical system
JP6755884B2 (ja) 2015-04-22 2020-09-16 コヴィディエン リミテッド パートナーシップ 手持ち式電気機械的外科用システム
US10117650B2 (en) 2015-05-05 2018-11-06 Covidien Lp Adapter assembly and loading units for surgical stapling devices
US10299789B2 (en) 2015-05-05 2019-05-28 Covidie LP Adapter assembly for surgical stapling devices
US10039532B2 (en) 2015-05-06 2018-08-07 Covidien Lp Surgical instrument with articulation assembly
US10143474B2 (en) 2015-05-08 2018-12-04 Just Right Surgical, Llc Surgical stapler
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
US10172615B2 (en) 2015-05-27 2019-01-08 Covidien Lp Multi-fire push rod stapling device
US10405863B2 (en) 2015-06-18 2019-09-10 Ethicon Llc Movable firing beam support arrangements for articulatable surgical instruments
US10405855B2 (en) * 2015-06-26 2019-09-10 Ethicon Llc Firing circuit for surgical stapler
US11191528B2 (en) 2015-07-09 2021-12-07 DePuy Synthes Products, Inc. External hand control for surgical power tool
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
US10751058B2 (en) 2015-07-28 2020-08-25 Covidien Lp Adapter assemblies for surgical devices
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
KR102639672B1 (ko) 2015-08-06 2024-02-23 어플라이드 메디컬 리소시스 코포레이션 로킹 관절 조인트를 갖는 수술용 스테이플러
DE102015113074B4 (de) * 2015-08-07 2017-06-29 MAQUET GmbH Powermanagement und Tiefentladeschutz
US10617418B2 (en) 2015-08-17 2020-04-14 Ethicon Llc Implantable layers for a surgical instrument
BR112018003693B1 (pt) 2015-08-26 2022-11-22 Ethicon Llc Cartucho de grampos cirúrgicos para uso com um instrumento de grampeamento cirúrgico
US10980538B2 (en) 2015-08-26 2021-04-20 Ethicon Llc Surgical stapling configurations for curved and circular stapling instruments
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
MX2022006192A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10357252B2 (en) 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
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
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10806454B2 (en) 2015-09-25 2020-10-20 Covidien Lp Robotic surgical assemblies and instrument drive connectors thereof
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
US10736633B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Compressible adjunct with looping members
US10524788B2 (en) 2015-09-30 2020-01-07 Ethicon Llc Compressible adjunct with attachment regions
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10213204B2 (en) 2015-10-02 2019-02-26 Covidien Lp Micro surgical instrument and loading unit for use therewith
US10371238B2 (en) 2015-10-09 2019-08-06 Covidien Lp Adapter assembly for surgical device
US10413298B2 (en) 2015-10-14 2019-09-17 Covidien Lp Adapter assembly for surgical devices
US10772632B2 (en) 2015-10-28 2020-09-15 Covidien Lp Surgical stapling device with triple leg staples
US10292705B2 (en) 2015-11-06 2019-05-21 Covidien Lp Surgical apparatus
US10939952B2 (en) 2015-11-06 2021-03-09 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10729435B2 (en) 2015-11-06 2020-08-04 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
USD778442S1 (en) 2015-11-19 2017-02-07 Bipad, Llc Bipolar electrosurgery actuator system
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
US10617411B2 (en) 2015-12-01 2020-04-14 Covidien Lp Adapter assembly for surgical device
US10111660B2 (en) 2015-12-03 2018-10-30 Covidien Lp Surgical stapler flexible distal tip
US10390835B2 (en) 2015-12-10 2019-08-27 Covidien Lp Surgical fastener apparatus with linear position sensor
US10433841B2 (en) 2015-12-10 2019-10-08 Covidien Lp Adapter assembly for surgical device
US10338259B2 (en) 2015-12-14 2019-07-02 Covidien Lp Surgical adapter assemblies and wireless detection of surgical loading units
AU2016262637B2 (en) 2015-12-17 2020-12-10 Covidien Lp Multi-fire stapler with electronic counter, lockout, and visual indicator
US10420554B2 (en) 2015-12-22 2019-09-24 Covidien Lp Personalization of powered surgical devices
US10253847B2 (en) 2015-12-22 2019-04-09 Covidien Lp Electromechanical surgical devices with single motor drives and adapter assemblies therfor
US10285690B2 (en) 2015-12-22 2019-05-14 Covidien Lp Surgical instruments and switch assemblies thereof
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10966717B2 (en) 2016-01-07 2021-04-06 Covidien Lp Surgical fastener apparatus
US10314579B2 (en) 2016-01-07 2019-06-11 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10524797B2 (en) 2016-01-13 2020-01-07 Covidien Lp Adapter assembly including a removable trocar assembly
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
US10508720B2 (en) 2016-01-21 2019-12-17 Covidien Lp Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
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
US20170224332A1 (en) 2016-02-09 2017-08-10 Ethicon Endo-Surgery, Llc Surgical instruments with non-symmetrical articulation arrangements
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10349937B2 (en) 2016-02-10 2019-07-16 Covidien Lp Surgical stapler with articulation locking mechanism
US10835255B2 (en) 2016-02-10 2020-11-17 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US10398439B2 (en) 2016-02-10 2019-09-03 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10420559B2 (en) 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
EP3422940B1 (en) 2016-03-02 2021-06-16 Nuvasive, Inc. Systems and methods for spinal correction surgical planning
US10485542B2 (en) 2016-04-01 2019-11-26 Ethicon Llc Surgical stapling instrument comprising multiple lockouts
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
EP3442430B1 (en) 2016-04-12 2021-07-14 Applied Medical Resources Corporation Reload shaft assembly for surgical stapler
AU2017250184B2 (en) 2016-04-12 2022-03-24 Applied Medical Resources Corporation Surgical stapler having articulation mechanism
KR102388180B1 (ko) 2016-04-12 2022-04-19 어플라이드 메디컬 리소시스 코포레이션 전동 핸들을 갖는 수술용 스테이플러
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses 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
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10828028B2 (en) 2016-04-15 2020-11-10 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
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10433840B2 (en) 2016-04-18 2019-10-08 Ethicon Llc Surgical instrument comprising a replaceable cartridge jaw
US10561419B2 (en) 2016-05-04 2020-02-18 Covidien Lp Powered end effector assembly with pivotable channel
US10617486B2 (en) 2016-05-04 2020-04-14 Covidien Lp Manual retraction tool for use with an electromechanical surgical device
US11039833B2 (en) 2016-05-04 2021-06-22 Covidien Lp Manual retraction tool for use with an electromechanical surgical device
US20170323578A1 (en) * 2016-05-04 2017-11-09 Covidien Lp Systems and methods for simulating prior use of a surgical instrument based on obtained surgical instrument data
US10799239B2 (en) 2016-05-09 2020-10-13 Covidien Lp Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors
EP3244330B1 (en) 2016-05-09 2020-04-29 Covidien LP Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors
US10588610B2 (en) 2016-05-10 2020-03-17 Covidien Lp Adapter assemblies for surgical devices
US10736637B2 (en) 2016-05-10 2020-08-11 Covidien Lp Brake for adapter assemblies for surgical devices
US10463374B2 (en) 2016-05-17 2019-11-05 Covidien Lp Adapter assembly for a flexible circular stapler
US10702302B2 (en) 2016-05-17 2020-07-07 Covidien Lp Adapter assembly including a removable trocar assembly
US11065022B2 (en) 2016-05-17 2021-07-20 Covidien Lp Cutting member for a surgical instrument
CA3022071A1 (en) 2016-05-26 2017-11-30 Covidien Lp Robotic surgical assemblies
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
CN109310431B (zh) 2016-06-24 2022-03-04 伊西康有限责任公司 包括线材钉和冲压钉的钉仓
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
US10702270B2 (en) 2016-06-24 2020-07-07 Ethicon Llc Stapling system for use with wire staples and stamped staples
US10653398B2 (en) 2016-08-05 2020-05-19 Covidien Lp Adapter assemblies for surgical devices
CN106236194A (zh) * 2016-08-18 2016-12-21 北京大学第三医院 一种电动组织把持钳
US10646268B2 (en) 2016-08-26 2020-05-12 Bipad, Inc. Ergonomic actuator for electrosurgical tool
CN106333720B (zh) * 2016-10-14 2019-02-15 苏州英途康医疗科技有限公司 智能腔镜吻合器
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
US11116594B2 (en) 2016-11-08 2021-09-14 Covidien Lp Surgical systems including adapter assemblies for interconnecting electromechanical surgical devices and end effectors
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
US10582928B2 (en) 2016-12-21 2020-03-10 Ethicon Llc Articulation lock arrangements for locking an end effector in an articulated position in response to actuation of a jaw closure system
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
US10588631B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical instruments with positive jaw opening features
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
JP6983893B2 (ja) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成
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
CN110087565A (zh) 2016-12-21 2019-08-02 爱惜康有限责任公司 外科缝合系统
US20180168647A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments having end effectors with positive opening features
US10448950B2 (en) 2016-12-21 2019-10-22 Ethicon Llc Surgical staplers with independently actuatable closing and firing systems
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10667809B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Staple cartridge and staple cartridge channel comprising windows defined therein
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US10610224B2 (en) 2016-12-21 2020-04-07 Ethicon Llc Lockout arrangements for surgical end effectors and replaceable tool assemblies
JP7086963B2 (ja) 2016-12-21 2022-06-20 エシコン エルエルシー エンドエフェクタロックアウト及び発射アセンブリロックアウトを備える外科用器具システム
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
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
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US10881401B2 (en) 2016-12-21 2021-01-05 Ethicon Llc Staple firing member comprising a missing cartridge and/or spent cartridge lockout
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US10898186B2 (en) 2016-12-21 2021-01-26 Ethicon Llc Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls
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
US11350915B2 (en) 2017-02-23 2022-06-07 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10849621B2 (en) 2017-02-23 2020-12-01 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10631945B2 (en) 2017-02-28 2020-04-28 Covidien Lp Autoclavable load sensing device
US10925607B2 (en) 2017-02-28 2021-02-23 Covidien Lp Surgical stapling apparatus with staple sheath
US10299790B2 (en) 2017-03-03 2019-05-28 Covidien Lp Adapter with centering mechanism for articulation joint
US11272929B2 (en) 2017-03-03 2022-03-15 Covidien Lp Dynamically matching input and output shaft speeds of articulating adapter assemblies for surgical instruments
US10660641B2 (en) 2017-03-16 2020-05-26 Covidien Lp Adapter with centering mechanism for articulation joint
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US10390858B2 (en) 2017-05-02 2019-08-27 Covidien Lp Powered surgical device with speed and current derivative motor shut off
AU2018202813A1 (en) * 2017-05-03 2018-11-22 Covidien Lp Surgical stapling apparatus employing a predictive stapling algorithm
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
US11311295B2 (en) 2017-05-15 2022-04-26 Covidien Lp Adaptive powered stapling algorithm with calibration factor
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
WO2018226756A1 (en) * 2017-06-06 2018-12-13 Intuitive Surgical Operations, Inc. Systems and methods for state-based speech recognition in a teleoperational system
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
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
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
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10980537B2 (en) * 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
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
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
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
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
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling 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
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
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
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
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
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US20180368844A1 (en) 2017-06-27 2018-12-27 Ethicon Llc Staple forming pocket arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
EP4070740A1 (en) 2017-06-28 2022-10-12 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10639037B2 (en) 2017-06-28 2020-05-05 Ethicon Llc Surgical instrument with axially movable closure member
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
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
US10660665B2 (en) 2017-07-10 2020-05-26 Covidien Lp Surgical instruments for tissue removal
US10206711B1 (en) 2017-08-02 2019-02-19 Covidien Lp Surgical instruments for engaging tissue to stabilize tissue and facilitate tissue manipulation
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
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US10772700B2 (en) 2017-08-23 2020-09-15 Covidien Lp Contactless loading unit detection
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
CN111132629B (zh) 2017-09-06 2024-04-16 柯惠Lp公司 手术机器人的边界缩放
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11207066B2 (en) 2017-10-30 2021-12-28 Covidien Lp Apparatus for endoscopic procedures
US11406390B2 (en) 2017-10-30 2022-08-09 Cilag Gmbh International Clip applier comprising interchangeable clip reloads
US10987104B2 (en) 2017-10-30 2021-04-27 Covidien Lp Apparatus for endoscopic procedures
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11925373B2 (en) 2017-10-30 2024-03-12 Cilag Gmbh International Surgical suturing instrument comprising a non-circular needle
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10925603B2 (en) 2017-11-14 2021-02-23 Covidien Lp Reload with articulation stabilization system
US10863987B2 (en) 2017-11-16 2020-12-15 Covidien Lp Surgical instrument with imaging device
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
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
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
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
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
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
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
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11364027B2 (en) * 2017-12-21 2022-06-21 Cilag Gmbh International Surgical instrument comprising speed control
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US20190201113A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Controls for robot-assisted surgical platforms
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11026751B2 (en) 2017-12-28 2021-06-08 Cilag Gmbh International Display of alignment of staple cartridge to prior linear staple line
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11844579B2 (en) 2017-12-28 2023-12-19 Cilag Gmbh International Adjustments based on airborne particle properties
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US10695081B2 (en) 2017-12-28 2020-06-30 Ethicon Llc Controlling a surgical instrument according to sensed closure parameters
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US12096916B2 (en) 2017-12-28 2024-09-24 Cilag Gmbh International Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub
US11058498B2 (en) 2017-12-28 2021-07-13 Cilag Gmbh International Cooperative surgical actions for robot-assisted surgical platforms
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US20190201034A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Powered stapling device configured to adjust force, advancement speed, and overall stroke of cutting member based on sensed parameter of firing or clamping
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US10943454B2 (en) * 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
WO2019130090A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Variable output cartridge sensor assembly
BR112020012957A2 (pt) * 2017-12-28 2020-12-01 Ethicon Llc sistema cirúrgico para apresentar informações interpretadas a partir de dados externos
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11969142B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US10932872B2 (en) 2017-12-28 2021-03-02 Ethicon Llc Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US20190201087A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Smoke evacuation system including a segmented control circuit for interactive surgical platform
US11045591B2 (en) 2017-12-28 2021-06-29 Cilag Gmbh International Dual in-series large and small droplet filters
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US12127729B2 (en) 2017-12-28 2024-10-29 Cilag Gmbh International Method for smoke evacuation for surgical hub
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
BR112020013091A2 (pt) * 2017-12-28 2020-12-01 Ethicon Llc sistemas de segurança para grampeamento cirúrgico inteligente equipado com motor
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US20190206569A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method of cloud based data analytics for use with the hub
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US20190205567A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Data pairing to interconnect a device measured parameter with an outcome
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11179175B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Controlling an ultrasonic surgical instrument according to tissue location
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US12062442B2 (en) 2017-12-28 2024-08-13 Cilag Gmbh International Method for operating surgical instrument systems
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
WO2019136041A1 (en) 2018-01-04 2019-07-11 Covidien Lp Robotic surgical instrument including high articulation wrist assembly with torque transmission and mechanical manipulation
US10945732B2 (en) 2018-01-17 2021-03-16 Covidien Lp Surgical stapler with self-returning assembly
CN110123401A (zh) 2018-02-02 2019-08-16 柯惠Lp公司 与机电外科设备一起使用的手动回缩工具
AU2019228507A1 (en) 2018-02-27 2020-08-13 Applied Medical Resources Corporation Surgical stapler having a powered handle
US11369371B2 (en) 2018-03-02 2022-06-28 Covidien Lp Surgical stapling instrument
US11986233B2 (en) 2018-03-08 2024-05-21 Cilag Gmbh International Adjustment of complex impedance to compensate for lost power in an articulating ultrasonic device
US11344326B2 (en) 2018-03-08 2022-05-31 Cilag Gmbh International Smart blade technology to control blade instability
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11026681B2 (en) * 2018-03-23 2021-06-08 Cilag Gmbh International Surgical instrument with recessed contacts and electrically insulating barriers
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11406382B2 (en) 2018-03-28 2022-08-09 Cilag Gmbh International Staple cartridge comprising a lockout key configured to lift a firing member
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
AU2019242611A1 (en) 2018-03-29 2020-08-20 Covidien Lp Robotic surgical systems and instrument drive assemblies
US11160556B2 (en) 2018-04-23 2021-11-02 Covidien Lp Threaded trocar for adapter assemblies
US11896230B2 (en) 2018-05-07 2024-02-13 Covidien Lp Handheld electromechanical surgical device including load sensor having spherical ball pivots
US11534172B2 (en) 2018-05-07 2022-12-27 Covidien Lp Electromechanical surgical stapler including trocar assembly release mechanism
US11399839B2 (en) 2018-05-07 2022-08-02 Covidien Lp Surgical devices including trocar lock and trocar connection indicator
US10849622B2 (en) 2018-06-21 2020-12-01 Covidien Lp Articulated stapling with fire lock
US20190388091A1 (en) 2018-06-21 2019-12-26 Covidien Lp Powered surgical devices including strain gauges incorporated into flex circuits
US20200015808A1 (en) 2018-07-10 2020-01-16 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US11241233B2 (en) 2018-07-10 2022-02-08 Covidien Lp Apparatus for ensuring strain gauge accuracy in medical reusable device
US11272948B2 (en) 2018-07-10 2022-03-15 Covidien Lp Hand-held surgical instruments
US12029507B2 (en) 2018-07-26 2024-07-09 Covidien Lp Surgical robotic systems
US10736631B2 (en) 2018-08-07 2020-08-11 Covidien Lp End effector with staple cartridge ejector
US11596496B2 (en) 2018-08-13 2023-03-07 Covidien Lp Surgical devices with moisture control
US11076858B2 (en) 2018-08-14 2021-08-03 Covidien Lp Single use electronics for surgical devices
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
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
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
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
US11395655B2 (en) 2019-12-06 2022-07-26 Covidien Lp Hand-held surgical instruments
US11871924B2 (en) 2018-09-21 2024-01-16 Covidien Lp Hand-held surgical instruments
US11266412B2 (en) * 2018-09-25 2022-03-08 Osama B. ATALLAH Video-guided endoluminal stapling method and system
DE102018125181A1 (de) * 2018-10-11 2020-04-16 Aesculap Ag Intelligentes Handstück
AU2019232836A1 (en) 2018-10-12 2020-04-30 Covidien Lp Apparatus for endoscopic procedures
EP3866716A1 (en) * 2018-10-19 2021-08-25 CONMED Corporation Scissor style vessel sealer
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
US11717276B2 (en) 2018-10-30 2023-08-08 Covidien Lp Surgical devices including adapters and seals
CN109223111B (zh) * 2018-11-15 2021-03-23 中国人民解放军总医院第三医学中心 一种腹腔镜手术钳
US10912563B2 (en) 2019-01-02 2021-02-09 Covidien Lp Stapling device including tool assembly stabilizing member
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11464511B2 (en) 2019-02-19 2022-10-11 Cilag Gmbh International Surgical staple cartridges with movable authentication key arrangements
US11517309B2 (en) 2019-02-19 2022-12-06 Cilag Gmbh International Staple cartridge retainer with retractable authentication key
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
EP3930588A1 (en) 2019-02-27 2022-01-05 Applied Medical Resources Corporation Surgical stapling instrument having a two-position lockout mechanism
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
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
KR20210145248A (ko) 2019-03-29 2021-12-01 어플라이드 메디컬 리소시스 코포레이션 수술용 스테이플링 시스템에 대한 재장전물 커버
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
US11369378B2 (en) 2019-04-18 2022-06-28 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11446035B2 (en) 2019-06-24 2022-09-20 Covidien Lp Retaining mechanisms for trocar assemblies
US11058429B2 (en) 2019-06-24 2021-07-13 Covidien Lp Load sensing assemblies and methods of manufacturing load sensing assemblies
US11123101B2 (en) 2019-07-05 2021-09-21 Covidien Lp Retaining mechanisms for trocar assemblies
US11426168B2 (en) 2019-07-05 2022-08-30 Covidien Lp Trocar coupling assemblies for a surgical stapler
US11464541B2 (en) 2019-06-24 2022-10-11 Covidien Lp Retaining mechanisms for trocar assembly
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
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
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11853835B2 (en) * 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
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
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11259890B2 (en) 2019-07-05 2022-03-01 Covidien Lp Surgical stapling instruments and surgical loading units thereof
CN111643199A (zh) * 2019-07-23 2020-09-11 成都博恩思医学机器人有限公司 手术器械识别装置及识别方法
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
US11534163B2 (en) 2019-11-21 2022-12-27 Covidien Lp Surgical stapling instruments
US11076850B2 (en) 2019-11-26 2021-08-03 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
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
US11540827B2 (en) 2019-12-13 2023-01-03 Covidien Lp Hand-held electromechanical surgical instruments
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
US11291446B2 (en) 2019-12-18 2022-04-05 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
US11583275B2 (en) 2019-12-27 2023-02-21 Covidien Lp Surgical instruments including sensor assembly
US11963711B2 (en) 2019-12-31 2024-04-23 Applied Medical Resources Corporation Electrosurgical system with tissue and maximum current identification
US12102305B2 (en) 2020-01-15 2024-10-01 Covidien Lp Adapter assemblies and surgical loading units
US11278282B2 (en) 2020-01-31 2022-03-22 Covidien Lp Stapling device with selective cutting
US11452524B2 (en) 2020-01-31 2022-09-27 Covidien Lp Surgical stapling device with lockout
US11890014B2 (en) 2020-02-14 2024-02-06 Covidien Lp Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue
US11344301B2 (en) 2020-03-02 2022-05-31 Covidien Lp Surgical stapling device with replaceable reload assembly
US11344302B2 (en) 2020-03-05 2022-05-31 Covidien Lp Articulation mechanism for surgical stapling device
US11246593B2 (en) 2020-03-06 2022-02-15 Covidien Lp Staple cartridge
US11707278B2 (en) 2020-03-06 2023-07-25 Covidien Lp Surgical stapler tool assembly to minimize bleeding
US11317911B2 (en) 2020-03-10 2022-05-03 Covidien Lp Tool assembly with replaceable cartridge assembly
US11357505B2 (en) 2020-03-10 2022-06-14 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US11406383B2 (en) 2020-03-17 2022-08-09 Covidien Lp Fire assisted powered EGIA handle
US12108953B2 (en) 2020-03-24 2024-10-08 Covidien Lp Surgical stapling device with replaceable staple cartridge
US11331098B2 (en) 2020-04-01 2022-05-17 Covidien Lp Sled detection device
US11426159B2 (en) 2020-04-01 2022-08-30 Covidien Lp Sled detection device
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
US11937794B2 (en) 2020-05-11 2024-03-26 Covidien Lp Powered handle assembly for surgical devices
US11191537B1 (en) 2020-05-12 2021-12-07 Covidien Lp Stapling device with continuously parallel jaws
US11406387B2 (en) 2020-05-12 2022-08-09 Covidien Lp Surgical stapling device with replaceable staple cartridge
US11534167B2 (en) 2020-05-28 2022-12-27 Covidien Lp Electrotaxis-conducive stapling
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 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
USD967421S1 (en) 2020-06-02 2022-10-18 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
US12016557B2 (en) 2020-06-10 2024-06-25 Covidien Lp Sealed electrical connection between surgical loading unit and adapter
US11844517B2 (en) 2020-06-25 2023-12-19 Covidien Lp Linear stapling device with continuously parallel jaws
US11324500B2 (en) 2020-06-30 2022-05-10 Covidien Lp Surgical stapling device
US12023027B2 (en) 2020-07-02 2024-07-02 Covidien Lp Surgical stapling device with compressible staple cartridge
US11517305B2 (en) 2020-07-09 2022-12-06 Covidien Lp Contoured staple pusher
US11446028B2 (en) 2020-07-09 2022-09-20 Covidien Lp Tool assembly with pivotable clamping beam
US11622768B2 (en) 2020-07-13 2023-04-11 Covidien Lp Methods and structure for confirming proper assembly of powered surgical stapling systems
US12089838B2 (en) 2020-07-21 2024-09-17 Covidien Lp Shipping cover for staple cartridge
US11857182B2 (en) 2020-07-28 2024-01-02 Cilag Gmbh International Surgical instruments with combination function articulation joint 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
US11660091B2 (en) 2020-09-08 2023-05-30 Covidien Lp Surgical device with seal assembly
US11678878B2 (en) 2020-09-16 2023-06-20 Covidien Lp Articulation mechanism for surgical stapling device
US11571192B2 (en) 2020-09-25 2023-02-07 Covidien Lp Adapter assembly for surgical devices
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
US11801050B2 (en) 2020-10-06 2023-10-31 Covidien Lp Hand-held surgical instruments
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
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
KR20230096077A (ko) 2020-10-29 2023-06-29 어플라이드 메디컬 리소시스 코포레이션 수술용 스테이플러에 대한 작동 샤프트 유지 메커니즘
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
EP4236819A1 (en) 2020-10-29 2023-09-06 Applied Medical Resources Corporation Material combinations and processing methods for a surgical instrument
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11730475B2 (en) 2020-10-29 2023-08-22 Applied Medical Resources Corporation Surgical stapler having a powered handle
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11890007B2 (en) 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
WO2022118168A2 (en) 2020-12-02 2022-06-09 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
EP4110198A1 (en) 2020-12-02 2023-01-04 Cilag GmbH International Surgical instruments with sled location detection and adjustment features
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
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
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
JP2023551918A (ja) 2020-12-02 2023-12-13 シラグ・ゲーエムベーハー・インターナショナル 偶発的スレッド移動を矯正するための相互作用特徴部を有する外科用器具
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
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
US11759206B2 (en) 2021-01-05 2023-09-19 Covidien Lp Surgical stapling device with firing lockout mechanism
US11744582B2 (en) 2021-01-05 2023-09-05 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
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
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
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11717300B2 (en) 2021-03-11 2023-08-08 Covidien Lp Surgical stapling apparatus with integrated visualization
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
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
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
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
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11931063B2 (en) 2021-03-24 2024-03-19 Medtronic Vascular, Inc. Tissue-removing catheter with torque control
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
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
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
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
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
US11510673B1 (en) 2021-05-25 2022-11-29 Covidien Lp Powered stapling device with manual retraction
US11771423B2 (en) 2021-05-25 2023-10-03 Covidien Lp Powered stapling device with manual retraction
US11701119B2 (en) 2021-05-26 2023-07-18 Covidien Lp Powered stapling device with rack release
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
US11576675B2 (en) 2021-06-07 2023-02-14 Covidien Lp Staple cartridge with knife
US11617579B2 (en) 2021-06-29 2023-04-04 Covidien Lp Ultra low profile surgical stapling instrument for tissue resections
US11707275B2 (en) 2021-06-29 2023-07-25 Covidien Lp Asymmetrical surgical stapling device
US11602344B2 (en) 2021-06-30 2023-03-14 Covidien Lp Surgical stapling apparatus with firing lockout assembly
US11786248B2 (en) 2021-07-09 2023-10-17 Covidien Lp Surgical stapling device including a buttress retention assembly
US11819209B2 (en) 2021-08-03 2023-11-21 Covidien Lp Hand-held surgical instruments
US11540831B1 (en) 2021-08-12 2023-01-03 Covidien Lp Staple cartridge with actuation sled detection
US11862884B2 (en) 2021-08-16 2024-01-02 Covidien Lp Surgical instrument with electrical connection
US11779334B2 (en) 2021-08-19 2023-10-10 Covidien Lp Surgical stapling device including a manual retraction assembly
US11576671B1 (en) 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11707277B2 (en) 2021-08-20 2023-07-25 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US12023028B2 (en) 2021-08-20 2024-07-02 Covidien Lp Articulating surgical stapling apparatus with pivotable knife bar guide assembly
US11864761B2 (en) 2021-09-14 2024-01-09 Covidien Lp Surgical instrument with illumination mechanism
US11653922B2 (en) 2021-09-29 2023-05-23 Covidien Lp Surgical stapling device with firing lockout mechanism
US11660094B2 (en) 2021-09-29 2023-05-30 Covidien Lp Surgical fastening instrument with two-part surgical fasteners
US11849949B2 (en) 2021-09-30 2023-12-26 Covidien Lp Surgical stapling device with firing lockout member
US12035909B2 (en) 2021-10-13 2024-07-16 Covidien Lp Surgical stapling device with firing lockout mechanism
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
WO2024069561A1 (en) * 2022-09-29 2024-04-04 Cilag Gmbh International Adjustment of a motor control command signal to adapt to system changes

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050096684A1 (en) * 2003-10-31 2005-05-05 Medtronic, Inc. Programmable surgical instrument system
CN101094617A (zh) * 2004-11-01 2007-12-26 斯特赖克公司 与中央处理器间安全传输的无线控制
CN101167658A (zh) * 2006-10-25 2008-04-30 泰尔茂株式会社 操纵器系统
WO2008131362A2 (en) * 2007-04-20 2008-10-30 Doheny Eye Institute Personal surgical center
CN101401736A (zh) * 2007-10-05 2009-04-08 Tyco医疗健康集团 动力手术缝合装置

Family Cites Families (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5169225A (en) 1991-11-25 1992-12-08 Milwaukee Electric Tool Corporation Power tool with light
US5609560A (en) 1992-08-19 1997-03-11 Olympus Optical Co., Ltd. Medical operation device control system for controlling a operation devices accessed respectively by ID codes
US5400267A (en) 1992-12-08 1995-03-21 Hemostatix Corporation Local in-device memory feature for electrically powered medical equipment
US6165169A (en) 1994-03-04 2000-12-26 Ep Technologies, Inc. Systems and methods for identifying the physical, mechanical, and functional attributes of multiple electrode arrays
US5553675A (en) 1994-06-10 1996-09-10 Minnesota Mining And Manufacturing Company Orthopedic surgical device
US6434507B1 (en) 1997-09-05 2002-08-13 Surgical Navigation Technologies, Inc. Medical instrument and method for use with computer-assisted image guided surgery
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US6237604B1 (en) 1999-09-07 2001-05-29 Scimed Life Systems, Inc. Systems and methods for preventing automatic identification of re-used single use devices
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
JP2001244972A (ja) 2000-02-28 2001-09-07 Ntt Advanced Technology Corp 接続要求元確認接続方法
JP3897962B2 (ja) 2000-07-19 2007-03-28 株式会社モリタ製作所 識別型のインスツルメント体、識別型のアダプタ、識別型のチューブ、これらを用いた診療装置
US20050004559A1 (en) 2003-06-03 2005-01-06 Senorx, Inc. Universal medical device control console
JP2005521109A (ja) 2001-06-20 2005-07-14 パワー メディカル インターベンションズ，インコーポレイテッド 統合医療追跡のための方法及びシステム
US7044911B2 (en) * 2001-06-29 2006-05-16 Philometron, Inc. Gateway platform for biological monitoring and delivery of therapeutic compounds
US7577476B2 (en) * 2001-10-26 2009-08-18 Athena Feminine Technologies, Inc System and method for transducing, sensing, or affecting vaginal or body conditions, and/or stimulating perineal musculature and nerves using 2-way wireless communications
ES2388729T3 (es) 2001-12-04 2012-10-18 Tyco Healthcare Group Lp Sistema y método para calibrar un instrumento quirúrgico
FR2840091B1 (fr) * 2002-05-21 2007-04-06 Systeme de suivi d'elements dans un etablissement hospitalier au moyen d'etiquettes electroniques
DE20220934U1 (de) 2002-06-11 2004-07-15 Aesculap Ag & Co. Kg Chirurgisches Motorensystem
US8806973B2 (en) 2009-12-02 2014-08-19 Covidien Lp Adapters for use between surgical handle assembly and surgical end effector
US7143925B2 (en) * 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
DE602005021249D1 (de) * 2004-12-09 2010-06-24 Stryker Corp Drahtloses system zur bereitstellung von instrumenten- und implantatdaten an ein chirurgisches navigationsgerät
US20060142740A1 (en) 2004-12-29 2006-06-29 Sherman Jason T Method and apparatus for performing a voice-assisted orthopaedic surgical procedure
EP1736112B1 (en) 2005-06-20 2011-08-17 Heribert Schmid Medical device
US8348855B2 (en) 2005-08-29 2013-01-08 Galil Medical Ltd. Multiple sensor device for measuring tissue temperature during thermal treatment
US20080109012A1 (en) 2006-11-03 2008-05-08 General Electric Company System, method and apparatus for tableside remote connections of medical instruments and systems using wireless communications
WO2008061313A1 (en) * 2006-11-24 2008-05-29 Mems-Id Pty Ltd Tagging methods and apparatus
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
CA2677302C (en) * 2007-02-05 2016-12-06 Novian Health, Inc. Interstitial laser therapy kits and interstitial laser therapy control system
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US8800837B2 (en) 2007-04-13 2014-08-12 Covidien Lp Powered surgical instrument
EP2136746B1 (en) * 2007-04-20 2012-12-19 Doheny Eye Institute Independent surgical center
WO2008133956A2 (en) 2007-04-23 2008-11-06 Hansen Medical, Inc. Robotic instrument control system
CN102793571B (zh) 2007-09-21 2014-12-17 柯惠Lp公司 手术器械
US8623276B2 (en) 2008-02-15 2014-01-07 Covidien Lp Method and system for sterilizing an electrosurgical instrument
EP2278927A2 (en) 2008-04-25 2011-02-02 Downey, Earl C. Laparoscopic surgical instrument
US20100069108A1 (en) 2008-09-14 2010-03-18 Norav Medical Ltd. Apparatus and method for transmitting data over a wireless network

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050096684A1 (en) * 2003-10-31 2005-05-05 Medtronic, Inc. Programmable surgical instrument system
CN101094617A (zh) * 2004-11-01 2007-12-26 斯特赖克公司 与中央处理器间安全传输的无线控制
CN101167658A (zh) * 2006-10-25 2008-04-30 泰尔茂株式会社 操纵器系统
WO2008131362A2 (en) * 2007-04-20 2008-10-30 Doheny Eye Institute Personal surgical center
CN101401736A (zh) * 2007-10-05 2009-04-08 Tyco医疗健康集团 动力手术缝合装置

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109310412A (zh) * 2016-04-01 2019-02-05 伊西康有限责任公司 包括显示器的模块化外科缝合系统
CN107802309A (zh) * 2016-09-08 2018-03-16 柯惠Lp公司 用于外科装置的力传感器
CN109996507A (zh) * 2016-11-11 2019-07-09 直观外科手术操作公司 具有手术器械磨损跟踪的远程操作手术系统
US11311347B2 (en) 2016-11-11 2022-04-26 Intuitive Surgical Operations, Inc. Teleoperated surgical system with surgical instrument wear tracking
CN112367933A (zh) * 2018-07-09 2021-02-12 柯惠Lp公司 手持式机电手术系统
CN112367933B (zh) * 2018-07-09 2024-01-02 柯惠Lp公司 手持式机电手术系统
TWI804069B (zh) * 2021-11-26 2023-06-01 林裕斌 器械辨識方法以及器械辨識系統

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