CN105979885B - 用于可再用手术器械的认证系统 - Google Patents
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- A61B90/08—Accessories or related features not otherwise provided for
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Abstract
一种用于在手术吻合装置中使用的认证系统包括:认证板组件,其布置在装载单元的近侧端并且具有接触组件;以及接合器板组件,其布置在接合器组件的远侧端。当装载单元与接合器组件接合时,认证板与接合器板组件接合。
Description
技术领域
本公开涉及具有可再用手柄和一次性末端执行器的手术器械。更具体地,本公开涉及用于在具有一次性装载单元的吻合器械中使用的认证组件。
背景技术
已知用于在内窥镜手术操作中使用的动力手术器械。通常而言,这种器械包括可再用手柄组件,以及有时被称作单次使用装载单元或SULU的一次性末端执行器。接合器组件将末端执行器连接至手柄组件。在手术吻合器的情况下,该末端执行器包括在手术吻合器每次发射之后更换的一次性钉仓或装载单元。为了降低成本并缩短手术操作时间,手柄组件通常构造用于与用于在具有不同特性(例如,厚度和密度)的组织上使用的多种构造的多种再装载组件一起使用。例如,不同的再装载组件可具有不同尺寸的吻合钉和/或吻合钉可以采用不同的构造来布置。为了确保手柄组件被编程以操作所附接的再装载组件,一些再装载组件设置有还被称为芯片的集成电路,其与手柄组件通信以识别再装载组件的构造。这种布置使得装载单元的构造能够在装载单元附接至接合器组件时自动输送至手柄组件,由此消除可能在具有不同构造的再装载组件之间转换时经历的用户错误或不兼容性。
手术吻合器常常被用于吻合体腔内的组织,在体腔内,末端执行器可能与例如血液、胆汁和/或冲洗溶液的流体接触。如果芯片和手柄组件之间的互连受到损害,则芯片可能故障或者一次性装载单元和手柄组件之间的数据通信可能被断开,这致使手术吻合器不稳定或不能手术。
构造成增加一次性装载单元和手柄组件之间的通信的可靠性的吻合器械将会是可喜的进步。
发明内容
在一个方案中,本公开旨在一种认证系统。在实施例中,所述认证系统包括认证板组件,其布置在构造成稳固至手术吻合装置的装载单元上。所述认证板组件包括:第一电路板,其具有近侧端和远侧端;接触组件,其固定至所述第一电路板的所述近侧端并且自其近侧地延伸;以及芯片,其固定至所述第一电路板并与所述接触组件操作性连通。所述认证系统包括布置在手术吻合装置上的接合器板组件。所述接合器板组件包括:第二电路板,其具有上表面和下表面;至少一个接触件,其固定至所述第二电路板的所述下表面;以及弹簧,其布置在所述第二电路板的所述上表面上。所述认证板组件的所述接触组件构造成接合所述接合器板组件的所述至少一个接触件。
在一些实施例中,所述芯片包括与所述装载单元相关的认证数据,所述认证数据诸如但不限于钉仓尺寸、吻合钉布置、吻合钉长度、夹紧距离、生产日期、产品有效期、兼容特性、唯一识别符和使用次数。在一些实施例中,所述芯片包括加密数据。在一些实施例中,所述芯片使用SHA算法来对所述装载单元进行认证。在一些实施例中,所述芯片包括1-wire(单线)双向串行通信接口。
在一些实施例中,所述接合器板组件包括构造成将所述接合器板组件保持到手术吻合装置的弹簧夹。
在一些实施例中,所述认证板组件的所述接触组件进一步包括:短接触臂,其具有正交地布置并固定至所述短接触臂的近侧端的上部的第一接触构件;长接触臂,其具有正交地布置并固定至所述长接触臂的近侧端的上部的第二接触构件;以及焊接凸起,其正交地布置并固定至所述短接触臂和所述长接触臂中的至少一个的远侧端的下部。
在另一方案中,本公开旨在一种手术吻合装置。所公开的手术吻合装置包括:手柄组件;接合器组件,其从所述手柄组件远侧地延伸;以及装载单元,其能够操作性地连接至所述接合器组件的远侧端。所述接合器组件包括:接合器电路板,其布置在所述接合器组件的远侧端并具有上表面和下表面;至少一个接触件,其固定至所述接合器电路板的所述下表面;以及弹簧,其布置在所述接合器电路板的所述上表面上。所述装载单元包括:认证电路板,其布置在所述装载单元的近侧端并且具有近侧端和远侧端;接触组件,其固定至所述认证电路板的所述近侧端并且自其近侧地延伸;以及芯片,其固定至所述认证电路板并且与所述接触组件操作性连通。所述认证电路板的所述接触组件接合所述接合器电路板的所述至少一个接触件。
在所述手术吻合装置的一些实施例中,所述芯片包括与所述装载单元相关的认证数据,所述认证数据诸如以钉仓尺寸、吻合钉布置、吻合钉长度、夹紧距离、生产日期、产品有效期、兼容特性、唯一识别符和使用次数为例。所述芯片包括加密数据。在手术吻合装置的一些实施例中,所述芯片使用SHA算法来对所述装载单元进行认证。在手术吻合装置的一些实施例中,所述芯片包括1-wire双向串行通信接口。在手术吻合装置的一些实施例中,所述芯片与所述手柄组件操作性连通。
在手术吻合装置的一些实施例中,接合器电路板包括构造成将所述接合器电路板保持到所述接合器组件的弹簧夹。在手术吻合装置的一些实施例中,所述接合器组件进一步包括外管,并且所述接合器电路板的所述弹簧抵靠支承所述外管以将所述接合器电路板朝向所述认证电路板偏置。在手术吻合装置的一些实施例中,所述装载单元的近侧端包括自其径向地延伸的接触支撑件,所述接触支撑件包括限定于其中并且构造成接收所述认证电路板的所述接触组件的一对托架。在手术吻合装置的一些实施例中,所述认证电路板的所述接触组件包括:短接触臂,其具有正交地布置并固定至所述短接触臂的近侧端的上部的第一接触构件;长接触臂,其具有正交地布置并固定至所述长接触臂的近侧端的上部的第二接触构件;以及焊接凸起,其正交地布置并固定至所述短接触臂和所述长接触臂中的至少一个的远侧端的下部。
附图说明
当结合附图时,鉴于以下详细说明,本公开的上述和其他方案、特征和优势将变得更为显而易见,并且其中:
图1是用于与根据本公开的实施例的芯片组件一起使用的手术吻合装置的立体图;
图2是以分离构造示出手柄组件、接合器组件和装载单元的图1的手术吻合装置的立体图;
图3是图1中所示的手术吻合装置的装载单元的近侧端和接合器组件的远侧端的视图;
图4是图3中所示的装载单元的近侧端和接合器组件的远侧端的放大图;
图5是图3中所示的装载单元的近侧端和接合器组件的远侧端的另一放大图;
图6是图3中所示的装载单元的近侧端在装载单元与认证板组件分离时的放大分解图;
图7是图3中所示的装载单元的近侧端在认证板组件罩与装载单元分离时的放大部分分解图;
图8是图3中所示的装载单元的近侧端的放大图;
图9是根据本公开的实施例的认证板组件的立体图;
图10是认证板组件接触件的立体图;
图11是图3中所示的接合器组件的远侧端在接合器组件和接合器板组件分离时的放大分解图;
图12是图11中所示的接合器板组件的放大图;
图13是图11中所示的接合器板组件的另一放大图;
图14是图11中所示的接合器板组件的又一放大图;
图15是图3中所示的接合器组件的侧视截面图,其示出接合器组件与装载单元分离;
图16是图15中所示的标示区域的放大图,其示出接合器板组件与认证板组件分离;
图17是图3中所示的接合器组件的侧视截面图,其示出接合器组件与装载单元接合;
图18是图17中所示的标示区域的放大图,其示出接合器板组件与认证板组件接合;
图19是图3中所示的接合器组件的轴向截面图,其示出接合器组件与装载单元分离;
图20是图3中所示的接合器组件的轴向截面图,其示出装载单元插入到接合器组件中;以及
图21是图3中所示的接合器组件的轴向截面图,其示出装载单元与接合器组件接合。
具体实施方式
在下文参照附图描述本公开的具体实施例;然而,应当理解,所公开的实施例仅仅是本公开的实例,其可采用多种方式实施。众所周知和/或重复的功能和结构并未详细描述以避免不必要或多余的细节使得本公开模糊不清。因此,本文所公开的具体的结构性和功能性细节并非意在限定,而是仅仅作为权利要求的基础和代表性基础用于教导本领域技术人员以实质上任意合适的详细结构多样地使用本公开。正如本领域所常见的,术语“近侧”指代靠近用户或操作员(即,外科医生或临床医生)的零件或部件,而术语“远侧”指代远离用户的零件或部件。此外,正如在说明书和权利要求中所使用的,参考定向的术语,例如“顶”、“底”、“靠上”、“靠下”、“左”、“右”等参考本文所示出和描述的附图和特征来使用。应当理解,根据本公开的实施例可采用任意定向而不限定。在该说明书以及附图中,相似参考数字表示可执行相同、相似或等效功能的元件。现在将参照附图详细描述当前公开的芯片组件的实施例,其中在若干附图的每幅图中相同参考标号表示相同或对应的元件。本文所使用的词语“示例性”意思是“用作实例、例子或示例”。本文描述为“示例性”的任意实施例并不一定构造为优于其他实施例的首选或有利的实施例。词语“实例”可与术语“示例性”替换性地使用。
首先参照图1和图2,包括根据本公开的认证系统的手术吻合器械总体上被示出为吻合器10。吻合器10包括手柄组件12、从手柄组件12远侧地延伸的接合器组件14以及选择性地稳固至接合器组件14的远侧端的装载单元16。在公开号2012/0089131的共有美国专利申请中提供了手柄组件12、接合器组件14和装载单元16的详细描述,其全部内容通过引用合并于此。
手柄组件12包括下壳体部17、从下壳体部17延伸出和/或支撑在下壳体部17上的中间壳体部18,以及从中间壳体部18延伸出和/或支撑在中间壳体部18上的上壳体部19。中间壳体部18和上壳体部19被分割成远侧半部20a和近侧半部20b,其中远侧半部20a与下壳体部17一体形成并从下壳体部17延伸出,近侧半部20b通过诸如但不限于超声焊和/或多个紧固件的任意合适的附接方式接合至远侧半部20a。当接合时,远侧半部20a和近侧半部20b形成在其中限定腔的手柄壳体21,该腔容纳包括控制器(未示出)的电路板和驱动机构(未示出)。
下壳体部17包括与其枢转地连接的门13,用于进入在下壳体部17中形成的腔来将电池(未示出)保持在其中。可以想到,吻合器10可以由任意数目的电源提供动力,该电源诸如以燃料电池、连接至外部电源的电源线等等为例却不局限于此。
接合器组件14包括位于其近侧端的驱动器联结器22并在其远侧端联接至装载单元联结器15。上壳体部19的远侧半部20a限定前端或连接部11,其构造成操作性地接收接合器组件14的驱动器联结器22。装载单元16包括接合器联结器27,其构造成操作性地接收接合器组件14的装载单元联结器15。
手柄壳体21的上壳体部19封装驱动机构(未示出),该驱动机构构造成驱动轴和/或齿轮部件(未示出)以便执行吻合器10的多种操作。具体地,驱动机构构造成驱动轴和/或齿轮部件以便选择性地将装载单元16的工具组件23相对于装载单元16的近侧主体部24移动、使装载单元16相对于手柄壳体21围绕着纵轴线“X-X”(图1)转动、使砧座组件25相对于装载单元16的钉仓组件26移动,和/或发射装载单元16的钉仓组件26内的吻合-切割钉仓。
参照图3、图4和图5,接合器组件14的装载单元联结器15构造成经由推拧式或卡口式布置操作性地接合装载单元16的接合器联结器27。接合器联结器27包括一个或多个卡口凸耳28,其构造成与对应的一个或多个卡口通道29配接,该卡口通道29限定在由接合器组件14的装载单元联结器15提供的卡口套圈(collar)48中。短联接构件44和装载联接构件45纵向地布置在接合器组件14内并且构造成在吻合器10的操作期间纵向地(例如,远侧地和近侧地)平移。布置在短联接构件44的远侧端处的凸轮55通过弹簧49a抵靠卡口通道29被远侧地推动。为将装载单元16与接合器组件14接合,装载单元16的接合器联结器27被插入到接合器组件14的装载单元联结器15中并转动。进而,卡口套圈48与接合器联结器27协同地转动。当卡口套圈48转动时,凸轮55沿着卡口通道29乘行,这引起短联接构件44远侧地平移,这转而引起在短联接构件44中形成的开关凸起47致动开关46。开关46与控制器(未示出)操作性地电连通并且构造成将装载单元16与接合器组件14之间的接合状态输送至该控制器。
现在转向图6至图10,接合器联结器27包括认证板组件30,该认证板组件30构造成稳固地安装在于接合器联结器27中限定的凹槽31中。认证板组件30安置在接合器联结器27内,使得当装载单元16稳固至接合器组件14时,认证板组件30接合安装在装载单元联结器15内的接合器板组件50(图11)。更详细地,认证板组件30包括电路板37、一对接触构件40a、40b(共同地,接触构件40)以及芯片36。电路板37限定大致平坦细长构件,其构造成稳固地接收在由接合器联结器27限定的凹槽31内。芯片36与接触构件40电连通。电路板37的远侧端37a支撑芯片36,并且电路板37的近侧端37b支撑接触构件40。电路板37的远侧端37a包括限定其中的对齐切口33,该切口33构造成接合设置在凹槽31的远侧端处的对应的对齐凸起物32以确保认证板组件30稳固且准确地安置在接合器联结器27内。
芯片36包括能够存储装载单元16的技术规范并将技术规范传送到手柄组件12的任意芯片,上述技术规范诸如但不限于钉仓尺寸、吻合钉布置、吻合钉长度、夹紧距离、生产日期、产品有效期、兼容特性、唯一识别符(例如,序列号)和/或使用次数。在一些实施例中,芯片36包括可擦写可编程只读存储器(“EPROM”)芯片。通过这种方式,手柄组件12可根据从芯片36传送的装载单元16的技术规范调整其发射力、发射冲程和/或其他操作特性。还可以想到,芯片36可包括写能力,这允许手柄组件12连通到关联的装载单元16已经被使用的芯片36,这能够防止耗尽的再装载组件的再装载或再用,或者防止任何其他未授权使用。
在一些实施例中,芯片36包括安全认证芯片,诸如但不限于由加利福尼亚州圣何塞市的Maxim IntegratedTM制造的具有1-Wire SHA-256和512-位的用户EEPROM的DS28E15DeepCoverTM安全身份认证。在这些实施例中,芯片36的内容以及芯片36和手柄组件12之间的通信被加密以防止未授权访问。通过这种方式,有效地阻碍了低质量伪造品的、再制造的或“碰坏掉的”装载单元的使用,这转而通过确保仅仅新的认证装载单元16在手术操作期间被使用来降低对患者的风险。另外,大大地缩减了医疗设备和/或外科医生可能暴露到无意地使用伪造品装载单元的倾向的可能性,如此对社会降低用于提供医疗服务的整体成本。在一些实施例中,芯片36利用“1-wire”通信接口,由此与接地导线一起使用单信号导线,用于芯片36和手柄组件12之间的双向串行通信。
接触组件38(图9、图10)包括短接触臂41和长接触臂42,它们通过接触基座59接合并且具有大致细长的U形构造。短接触臂41包括第一接触构件40a,其正交地布置并且固定至短接触臂41的近侧端的上部。长接触臂42包括第二接触构件40b,其正交地布置并且固定至长接触臂42的近侧端的上部。短接触臂41和长接触臂42均包括焊接凸起39,其正交地布置并且固定至短接触臂41和长接触臂42的远侧端的下部。焊接凸起39通过例如焊接、导电性胶粘剂和/或其他合适的技术而机电接合至电路板37的近侧端37b。
接合器联结器27包括从其近侧端径向地延伸的凸起接触支撑件34并包括限定在该凸起接触支撑件34中的一对托架35a、35b,当认证板组件30被安置在接合器联结器27的凹槽31内时,一对托架35a、35b构造成分别接收第一接触构件40a和第二接触构件40b。罩43构造成将认证板组件30封装并保持在接合器联结器27的凹槽31内(图7和图8)。
在一些实施例中,短接触臂41和第一接触构件40a通过接触基座59而与长接触臂42和第二接触构件40b电隔离。在这些实施例中,短接触臂41和长接触臂42均携带单独的电路,例如,短接触臂41携带信号导线而长接触臂42携带接地导线。在其他实施例中,短接触臂41和第一接触构件40a电接合于长接触臂42和第二接触构件40b。在这些实施例中,短接触臂41和长接触臂42以分支模式或冗余模式操作来携带信号电路,而接地电路通过装载单元16、接合器单元14和/或手柄组件12的其他导电部件来携带。
正如上面所提到的,认证板组件30构造成当装载单元16稳固至接合器组件14时接合安装在装载单元联结器15内的接合器板组件50。现在参照图11至图14,装载单元联结器15包括接合器板组件50,该接合器板组件50构造成浮动地安装在于装载单元联结器15中限定的凹穴60中。接合器板组件50安置在装载单元联结器15内,使得当装载单元16稳固至接合器组件14时,接合器板组件50接合认证板组件30。
接合器板组件50包括电路板51,该电路板51具有固定至其并与手柄组件12操作性连通的一对接触构件55a、55b(共同地,接触构件55)。在所示出的实施例中,接触构件55a、55b被布置用于在横向方向上有效的接合,以适应如本文所述的装载单元16和接合器组件14的旋转联接,横向方向例如横向于吻合器10的纵轴线“X-X”。
电路板51包括上表面51a、下表面51b、近侧端51c和远侧端51d。电路板51限定大致水平的细长构件,其构造成弹性地或浮动地接收在由装载单元联结器15限定的凹穴60内。弹簧夹52被固定至电路板51的近侧端51c并且构造成将接合器板组件50支撑在凹穴60内。弹簧夹52包括具有翼状构造的一对弹簧支撑件54,该对弹簧支撑件54构造成防止弹簧夹52过延伸并为其提供刚度。接合器板组件50包括布置在电路板51的上表面51a上的弹簧53,其具有宽的、弯曲u形轮廓。在一些实施例中,弹簧夹52和弹簧53可一体地形成。弹簧夹52和/或弹簧53可以与在电路板51的近侧端51c中限定的切口62确定地对齐和/或由该切口62支撑。电路板51包括限定于其中的一个或多个通孔56,上述通孔56可以被用来在电路板51的上表面51a和下表面51b之间形成导电路径。
当接合器板组件50安装在凹穴60中时,弹簧53抵靠支承接合器组件14的外管57(图15、图16)。在使用时,接合器板组件50通过弹簧53并通过侧弹簧夹52而被朝向认证板组件30弹簧偏置,使得在装载单元16和接合器组件14接合时,装载单元16和接合器组件14之间的任意制造公差通过接合器板组件50的浮动弹簧安装座接合在凹穴60内而得到补偿。通过这种方式,接合器板组件50的接触构件55与认证板组件30的接触构件40之间的可靠连接得以一贯地实现,如此在芯片36和手柄组件12之间提供牢靠的通信链路。在实施例中,接触组件38、接触件40和/或接触件55至少部分地由导电材料形成,该导电材料诸如但不限于铍铜。
现在转向图15至图21,示出了接合器板组件50与认证板组件30之间的相互作用。如图15、图16和图19中所示,接合器板组件50通过弹簧夹52保持在装载单元接合器15内。弹簧53抵靠支承外管57以将接合器板组件50向内地朝孔61偏置,使得接触构件55延伸到孔61中。当接合器联结器27完全地插入到装载单元接合器15的孔61中时,接合器联结器27与装载单元联结器15的初始旋转定向使得认证板组件30的接触构件40与接合器板组件50的接触构件55大体上45°间隔开(图20)。当装载单元16相对于接合器组件14旋转时,认证板组件30的接触构件40被带入到与接合器板组件50的接触构件55接合。有利地,装载单元16的接合器联结器27的接触支撑件34在接触构件40与接合器板组件50的配对接触构件55接合时为接触构件40提供径向支撑。另外,弹簧53抵靠支承外管57,这使得接合器板组件50相对于认证板组件30和装载单元联结器15能够浮动,由此补偿各个部件之间的制造变化并在认证板组件30和接合器板组件50之间提供可靠的连接。
尽管在此已经参照附图描述了本公开的示意性实施例,但应当理解,本公开不限于这些明确的实施例,而是在此可以由本领域技术人员实现多种变化和修改却不偏离本公开的范围或精神。
Claims (15)
1.一种认证系统,包括:
认证板组件,其布置在构造成稳固至手术吻合装置的装载单元上,包括:
第一电路板,其具有近侧端和远侧端;
接触组件,其固定至所述第一电路板的所述近侧端并且自其近侧地延伸;以及
芯片,其固定至所述第一电路板并与所述接触组件操作性连通;以及
接合器板组件,其布置在手术吻合装置上,包括:
第二电路板,其具有上表面和下表面;
至少一个接触件,其固定至所述第二电路板的所述下表面;以及
弹簧,其布置在所述第二电路板的所述上表面上;
其中,所述认证板组件的所述接触组件构造成接合所述接合器板组件的所述至少一个接触件,
所述认证板组件的所述接触组件进一步包括:
短接触臂,其具有正交地布置并固定至所述短接触臂的近侧端的上部的第一接触构件;
长接触臂,其具有正交地布置并固定至所述长接触臂的近侧端的上部的第二接触构件;以及
焊接凸起,其正交地布置并固定至所述短接触臂和所述长接触臂中的至少一个的远侧端的下部。
2.根据权利要求1所述的认证系统,其中,所述芯片包括从包含以下的组中选择的与所述装载单元相关的认证数据:钉仓尺寸、吻合钉布置、吻合钉长度、夹紧距离、生产日期、产品有效期、兼容特性、唯一识别符和使用次数。
3.根据权利要求1所述的认证系统,其中,所述芯片包括加密数据。
4.根据权利要求1所述的认证系统,其中,所述芯片使用SHA算法来对所述装载单元进行认证。
5.根据权利要求1所述的认证系统,其中,所述芯片包括1-wire双向串行通信接口。
6.根据权利要求1所述的认证系统,其中,所述接合器板组件进一步包括构造成将所述接合器板组件保持到所述手术吻合装置的弹簧夹。
7.一种手术吻合装置,包括:
手柄组件;
接合器组件,其从所述手柄组件远侧地延伸并包括:
接合器电路板,其布置在所述接合器组件的远侧端,所述接合器电路板具有上表面和下表面;
至少一个接触件,其固定至所述接合器电路板的所述下表面;以及
弹簧,其布置在所述接合器电路板的所述上表面上;
装载单元,其能够操作性地连接至所述接合器组件的远侧端并包括:
认证电路板,其布置在所述装载单元的近侧端并且具有近侧端和远侧端;
接触组件,其固定至所述认证电路板的所述近侧端并且自其近侧地延伸;以及
芯片,其固定至所述认证电路板并且与所述接触组件操作性连通,
其中,所述认证电路板的所述接触组件接合所述接合器电路板的所述至少一个接触件,
所述认证电路板的所述接触组件进一步包括:
短接触臂,其具有正交地布置并固定至所述短接触臂的近侧端的上部的第一接触构件;
长接触臂,其具有正交地布置并固定至所述长接触臂的近侧端的上部的第二接触构件;以及
焊接凸起,其正交地布置并固定至所述短接触臂和所述长接触臂中的至少一个的远侧端的下部。
8.根据权利要求7所述的手术吻合装置,其中,所述芯片包括从包含以下的组中选择的与所述装载单元相关的认证数据:钉仓尺寸、吻合钉布置、吻合钉长度、夹紧距离、生产日期、产品有效期、兼容特性、唯一识别符和使用次数。
9.根据权利要求7所述的手术吻合装置,其中,所述芯片包括加密数据。
10.根据权利要求7所述的手术吻合装置,其中,所述芯片使用SHA算法来对所述装载单元进行认证。
11.根据权利要求7所述的手术吻合装置,其中,所述芯片包括1-wire双向串行通信接口。
12.根据权利要求7所述的手术吻合装置,其中,所述芯片与所述手柄组件操作性连通。
13.根据权利要求7所述的手术吻合装置,其中,所述接合器电路板进一步包括构造成将所述接合器电路板保持到所述接合器组件的弹簧夹。
14.根据权利要求7所述的手术吻合装置,其中,所述接合器组件进一步包括外管;并且
所述接合器电路板的所述弹簧抵靠支承所述外管以将所述接合器电路板朝向所述认证电路板偏置。
15.根据权利要求7所述的手术吻合装置,其中,所述装载单元的近侧端包括自其径向地延伸的接触支撑件,所述接触支撑件包括限定于其中并且构造成接收所述认证电路板的所述接触组件的一对托架。
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Families Citing this family (466)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
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 |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
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 |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US7434717B2 (en) | 2007-01-11 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Apparatus for closing a curved anvil of a surgical stapling device |
US7673782B2 (en) | 2007-03-15 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a releasable buttress material |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
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 |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
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 |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
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 |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
JP2012517287A (ja) | 2009-02-06 | 2012-08-02 | エシコン・エンド−サージェリィ・インコーポレイテッド | 被駆動式手術用ステープラの改良 |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9788834B2 (en) | 2010-09-30 | 2017-10-17 | Ethicon Llc | Layer comprising deployable attachment members |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9016542B2 (en) | 2010-09-30 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising compressible distortion resistant components |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
JP6026509B2 (ja) | 2011-04-29 | 2016-11-16 | 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. | ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
JP6305979B2 (ja) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 複数の層を含む組織厚さコンペンセーター |
MX350846B (es) | 2012-03-28 | 2017-09-22 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende cápsulas que definen un ambiente de baja presión. |
RU2644272C2 (ru) | 2012-03-28 | 2018-02-08 | Этикон Эндо-Серджери, Инк. | Узел ограничения, включающий компенсатор толщины ткани |
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 |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
EP2866686A1 (en) | 2012-06-28 | 2015-05-06 | Ethicon Endo-Surgery, Inc. | Empty clip cartridge lockout |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
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 |
US20140005678A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Rotary drive arrangements for surgical instruments |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
CN103110441B (zh) * | 2013-01-29 | 2016-06-15 | 北京派尔特医疗科技股份有限公司 | 电动外科装订器械的通用手柄 |
BR112015021098B1 (pt) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | Cobertura para uma junta de articulação e instrumento cirúrgico |
MX364729B (es) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirúrgico con una parada suave. |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9956677B2 (en) * | 2013-05-08 | 2018-05-01 | Black & Decker Inc. | Power tool with interchangeable power heads |
US9797486B2 (en) * | 2013-06-20 | 2017-10-24 | Covidien Lp | Adapter direct drive with manual retraction, lockout and connection mechanisms |
US10811816B2 (en) * | 2013-08-16 | 2020-10-20 | Covidien Lp | Chip assembly for reusable surgical instruments |
US9636112B2 (en) | 2013-08-16 | 2017-05-02 | Covidien Lp | Chip assembly for reusable surgical instruments |
US10624634B2 (en) | 2013-08-23 | 2020-04-21 | Ethicon Llc | Firing trigger lockout arrangements for surgical instruments |
CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
US9706674B2 (en) | 2014-02-04 | 2017-07-11 | Covidien Lp | Authentication system for reusable surgical instruments |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US9690362B2 (en) | 2014-03-26 | 2017-06-27 | Ethicon Llc | Surgical instrument control circuit having a safety processor |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
BR112016023825B1 (pt) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico |
US11185330B2 (en) | 2014-04-16 | 2021-11-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
JP6636452B2 (ja) | 2014-04-16 | 2020-01-29 | エシコン エルエルシーEthicon LLC | 異なる構成を有する延在部を含む締結具カートリッジ |
JP6532889B2 (ja) | 2014-04-16 | 2019-06-19 | エシコン エルエルシーEthicon LLC | 締結具カートリッジ組立体及びステープル保持具カバー配置構成 |
US9751176B2 (en) * | 2014-05-30 | 2017-09-05 | Black & Decker Inc. | Power tool accessory attachment system |
US10561418B2 (en) | 2014-06-26 | 2020-02-18 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US9737301B2 (en) | 2014-09-05 | 2017-08-22 | Ethicon Llc | Monitoring device degradation based on component evaluation |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
JP6648119B2 (ja) | 2014-09-26 | 2020-02-14 | エシコン エルエルシーEthicon LLC | 外科ステープル留めバットレス及び付属物材料 |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
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 |
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 |
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 |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
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 |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
DE102015201092B4 (de) * | 2015-01-22 | 2016-10-06 | Jens-Christian Frohwitter | Vorrichtung und System zur Ultraschallbehandlung offener Wunden |
US10285698B2 (en) * | 2015-02-26 | 2019-05-14 | Covidien Lp | Surgical apparatus |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
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 |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10561420B2 (en) | 2015-09-30 | 2020-02-18 | Ethicon Llc | Tubular absorbable constructs |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10251649B2 (en) * | 2015-10-29 | 2019-04-09 | Ethicon Llc | Surgical stapler buttress applicator with data communication |
US10292705B2 (en) * | 2015-11-06 | 2019-05-21 | Covidien Lp | Surgical apparatus |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
BR112018016098B1 (pt) | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
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 |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US20180056496A1 (en) * | 2016-08-26 | 2018-03-01 | Robert Bosch Tool Corporation | Modular Handheld Power Tool |
US11642126B2 (en) | 2016-11-04 | 2023-05-09 | Covidien Lp | Surgical stapling apparatus with tissue pockets |
US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10813638B2 (en) | 2016-12-21 | 2020-10-27 | Ethicon Llc | Surgical end effectors with expandable tissue stop arrangements |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
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 |
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 |
CN110114014B (zh) | 2016-12-21 | 2022-08-09 | 爱惜康有限责任公司 | 包括端部执行器闭锁件和击发组件闭锁件的外科器械系统 |
US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
US10517596B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Articulatable surgical instruments with articulation stroke amplification features |
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 |
US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
CN110087565A (zh) | 2016-12-21 | 2019-08-02 | 爱惜康有限责任公司 | 外科缝合系统 |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
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 |
US10918385B2 (en) | 2016-12-21 | 2021-02-16 | Ethicon Llc | Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system |
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 |
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 |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
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 |
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 |
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 |
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 |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11696759B2 (en) | 2017-06-28 | 2023-07-11 | Cilag Gmbh International | Surgical stapling instruments comprising shortened staple cartridge noses |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of 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 |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US10932806B2 (en) | 2017-10-30 | 2021-03-02 | Ethicon Llc | Reactive algorithm for surgical system |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
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 |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US10987104B2 (en) | 2017-10-30 | 2021-04-27 | Covidien Lp | Apparatus for endoscopic procedures |
US11413042B2 (en) | 2017-10-30 | 2022-08-16 | Cilag Gmbh International | Clip applier comprising a reciprocating clip advancing member |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
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 |
US11583274B2 (en) | 2017-12-21 | 2023-02-21 | Cilag Gmbh International | Self-guiding stapling instrument |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
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 |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
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 |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
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 |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US10892899B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Self describing data packets generated at an issuing instrument |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
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 |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US20190201113A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Controls for robot-assisted surgical platforms |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
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 |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US11147607B2 (en) | 2017-12-28 | 2021-10-19 | Cilag Gmbh International | Bipolar combination device that automatically adjusts pressure based on energy modality |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
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 |
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 |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US11069012B2 (en) | 2017-12-28 | 2021-07-20 | Cilag Gmbh International | Interactive surgical systems with condition handling of devices and data capabilities |
US10987178B2 (en) | 2017-12-28 | 2021-04-27 | Ethicon Llc | Surgical hub control arrangements |
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 |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
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 |
US10695081B2 (en) | 2017-12-28 | 2020-06-30 | Ethicon Llc | Controlling a surgical instrument according to sensed closure parameters |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US10849697B2 (en) | 2017-12-28 | 2020-12-01 | Ethicon Llc | Cloud interface for coupled surgical devices |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
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 |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
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 |
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 |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11844579B2 (en) | 2017-12-28 | 2023-12-19 | Cilag Gmbh International | Adjustments based on airborne particle properties |
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 |
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 |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
US10898622B2 (en) | 2017-12-28 | 2021-01-26 | Ethicon Llc | Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device |
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 |
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 |
US11672605B2 (en) | 2017-12-28 | 2023-06-13 | Cilag Gmbh International | Sterile field interactive control displays |
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 |
US10966791B2 (en) | 2017-12-28 | 2021-04-06 | Ethicon Llc | Cloud-based medical analytics for medical facility segmented individualization of instrument function |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US11058498B2 (en) | 2017-12-28 | 2021-07-13 | Cilag Gmbh International | Cooperative surgical actions for robot-assisted surgical platforms |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US10943454B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Detection and escalation of security responses of surgical instruments to increasing severity threats |
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 |
US10944728B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Interactive surgical systems with encrypted communication capabilities |
US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
US11051876B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Surgical evacuation flow paths |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US20190201146A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Safety systems for smart powered surgical stapling |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11056244B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US11179175B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Controlling an ultrasonic surgical instrument according to tissue location |
US20190201087A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Smoke evacuation system including a segmented control circuit for interactive surgical platform |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US20190201039A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Situational awareness of electrosurgical systems |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
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 |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
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 |
US11534196B2 (en) | 2018-03-08 | 2022-12-27 | Cilag Gmbh International | Using spectroscopy to determine device use state in combo instrument |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
AU2019201032A1 (en) * | 2018-03-13 | 2019-10-03 | Covidien Lp | Chip assembly for reusable surgical instruments |
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 |
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 |
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 |
US11197668B2 (en) | 2018-03-28 | 2021-12-14 | Cilag Gmbh International | Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US10905416B2 (en) | 2018-04-23 | 2021-02-02 | Covidien Lp | Over-molded connector for surgical instruments |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
DE102019100395A1 (de) * | 2019-01-09 | 2020-07-09 | Olympus Winter & Ibe Gmbh | Verbindungskörper eines Endoskops und Verfahren zum Montieren eines Endoskops |
US11298129B2 (en) | 2019-02-19 | 2022-04-12 | Cilag Gmbh International | Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge |
US11464511B2 (en) | 2019-02-19 | 2022-10-11 | Cilag Gmbh International | Surgical staple cartridges with movable authentication key arrangements |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
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 |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (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 |
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 |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11690624B2 (en) * | 2019-06-21 | 2023-07-04 | Covidien Lp | Reload assembly injection molded strain gauge |
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 |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11259890B2 (en) | 2019-07-05 | 2022-03-01 | Covidien Lp | Surgical stapling instruments and surgical loading units thereof |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
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 |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11779343B2 (en) * | 2020-02-26 | 2023-10-10 | Covidien Lp | Staple reload assembly with releasable knife |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
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 |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
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 |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
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 |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US20220167973A1 (en) * | 2020-12-02 | 2022-06-02 | Ethicon Llc | Surgical systems with detachable shaft reload detection |
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 |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
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 |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
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 |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11918217B2 (en) | 2021-05-28 | 2024-03-05 | Cilag Gmbh International | Stapling instrument comprising a staple cartridge insertion stop |
US11862884B2 (en) | 2021-08-16 | 2024-01-02 | Covidien Lp | Surgical instrument with electrical connection |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1994008524A1 (en) * | 1992-10-09 | 1994-04-28 | Hemostatix Corporation | Electrosurgical instruments having a detachable working end |
CN101224116A (zh) * | 2007-01-10 | 2008-07-23 | 伊西康内外科公司 | 能够防止钉仓再次使用的外科器械及钉仓 |
CN102048567A (zh) * | 2009-10-05 | 2011-05-11 | Tyco医疗健康集团 | 用于手术器械的电池弹出设计 |
Family Cites Families (42)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2588006A (en) * | 1947-04-21 | 1952-03-04 | Fred M Hufnagel | Dental and surgical percussion tool |
USD286442S (en) | 1985-12-31 | 1986-10-28 | United States Surgical Corporation | Surgical fastener |
US4731058A (en) | 1986-05-22 | 1988-03-15 | Pharmacia Deltec, Inc. | Drug delivery system |
JPH0298075A (ja) | 1988-10-04 | 1990-04-10 | Hirose Electric Co Ltd | 電気コネクタ |
US5529235A (en) * | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
WO1998037825A1 (de) | 1997-02-28 | 1998-09-03 | Synthes Ag Chur | Implantat für die osteosynthese |
US5865361A (en) * | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
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 |
US6533157B1 (en) * | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
EP2308395A1 (en) * | 2001-08-08 | 2011-04-13 | Stryker Corporation | Surgical tool system including a navigation unit that receives information about the implant the system is to implant and that responds to the received information |
DE10147145C2 (de) | 2001-09-25 | 2003-12-18 | Kunz Reiner | Multifunktionsinstrument für die mikroinvasive Chirurgie |
US7887559B2 (en) * | 2002-08-08 | 2011-02-15 | Stryker Corporation | Surgical cutting accessory with encapsulated RFID chip |
FR2849589A1 (fr) | 2003-01-07 | 2004-07-09 | 2R Invest | Procede de commande pour un dispositif de chauffage d'agrafe thermoretractable permettant de bloquer le fonctionnement et dispositif de mise en oeuvre |
US20090090763A1 (en) * | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
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 |
JP4020885B2 (ja) | 2004-04-27 | 2007-12-12 | ヒロセ電機株式会社 | カード用コネクタ及びこれに用いるカード用コンタクト端子 |
US20060095096A1 (en) * | 2004-09-09 | 2006-05-04 | Debenedictis Leonard C | Interchangeable tips for medical laser treatments and methods for using same |
US8627995B2 (en) * | 2006-05-19 | 2014-01-14 | Ethicon Endo-Sugery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
US8800838B2 (en) * | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US8763879B2 (en) * | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
EP2842499B1 (en) | 2006-05-19 | 2020-05-06 | Ethicon Endo-Surgery, Inc. | Surgical device |
US7866525B2 (en) * | 2006-10-06 | 2011-01-11 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
US8652120B2 (en) * | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8413871B2 (en) * | 2007-03-06 | 2013-04-09 | Covidien Lp | Surgical stapling apparatus |
US7950560B2 (en) | 2007-04-13 | 2011-05-31 | Tyco Healthcare Group Lp | Powered surgical instrument |
US8967443B2 (en) * | 2007-10-05 | 2015-03-03 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US8752749B2 (en) * | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8708211B2 (en) * | 2009-02-12 | 2014-04-29 | Covidien Lp | Powered surgical instrument with secondary circuit board |
US9510895B2 (en) * | 2010-11-05 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular shaft and end effector |
CN103370014B (zh) * | 2011-02-15 | 2019-01-18 | 直观外科手术操作公司 | 用于吻合或管封闭器械中刀位置的指示符 |
PL2497427T3 (pl) * | 2011-03-10 | 2020-05-18 | Erbe Elektromedizin Gmbh | Instrument chirurgiczny z cyfrowym złączem danych |
JP6138808B2 (ja) * | 2011-10-26 | 2017-05-31 | 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 | カートリッジ状態及び存在を検出する方法及びシステム |
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 |
JP6246800B2 (ja) * | 2012-06-01 | 2017-12-13 | 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 | 手術システム用の器具運搬アセンブリ |
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 |
US10624634B2 (en) * | 2013-08-23 | 2020-04-21 | Ethicon Llc | Firing trigger lockout arrangements for surgical instruments |
US9706674B2 (en) | 2014-02-04 | 2017-07-11 | Covidien Lp | Authentication system for reusable surgical instruments |
US10175127B2 (en) * | 2014-05-05 | 2019-01-08 | Covidien Lp | End-effector force measurement drive circuit |
US9737301B2 (en) * | 2014-09-05 | 2017-08-22 | Ethicon Llc | Monitoring device degradation based on component evaluation |
-
2014
- 2014-02-04 US US14/172,109 patent/US9706674B2/en active Active
- 2014-11-11 WO PCT/US2014/064936 patent/WO2015119686A1/en active Application Filing
- 2014-11-11 CA CA2935544A patent/CA2935544C/en active Active
- 2014-11-11 AU AU2014381593A patent/AU2014381593B2/en not_active Ceased
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- 2014-11-11 EP EP14881855.2A patent/EP3102121B1/en active Active
- 2014-11-11 ES ES14881855T patent/ES2792515T3/es active Active
-
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- 2018-11-13 JP JP2018212784A patent/JP2019022756A/ja not_active Withdrawn
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- 2019-08-22 AU AU2019219822A patent/AU2019219822B2/en not_active Ceased
-
2020
- 2020-08-07 JP JP2020134425A patent/JP2020179263A/ja not_active Withdrawn
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1994008524A1 (en) * | 1992-10-09 | 1994-04-28 | Hemostatix Corporation | Electrosurgical instruments having a detachable working end |
CN101224116A (zh) * | 2007-01-10 | 2008-07-23 | 伊西康内外科公司 | 能够防止钉仓再次使用的外科器械及钉仓 |
CN102048567A (zh) * | 2009-10-05 | 2011-05-11 | Tyco医疗健康集团 | 用于手术器械的电池弹出设计 |
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CA2935544A1 (en) | 2015-08-13 |
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AU2014381593B2 (en) | 2019-06-06 |
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AU2014381593A1 (en) | 2016-07-07 |
EP3102121B1 (en) | 2020-03-18 |
AU2019219822B2 (en) | 2020-10-22 |
EP3102121A4 (en) | 2017-11-08 |
CA2935544C (en) | 2022-04-26 |
WO2015119686A1 (en) | 2015-08-13 |
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