CN106963437A - 包括可移除的套管针组件的接合器组件 - Google Patents

包括可移除的套管针组件的接合器组件 Download PDF

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CN106963437A
CN106963437A CN201610853369.6A CN201610853369A CN106963437A CN 106963437 A CN106963437 A CN 106963437A CN 201610853369 A CN201610853369 A CN 201610853369A CN 106963437 A CN106963437 A CN 106963437A
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adapter assembly
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贾斯汀·威廉斯
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Covidien LP
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Abstract

本公开涉及一种包括可移除的套管针组件的接合器组件。提供了一种用于将装载单元连接至手柄组件的接合器组件。所述接合器组件包括：套筒；套管针组件，所述套管针组件与所述套筒可释放地固定；以及锁定机构，所述锁定机构构造成将所述套管针组件可释放地固定在所述套筒内。

Description

包括可移除的套管针组件的接合器组件
技术领域
本公开涉及可再用手术吻合装置。更具体地，本公开涉及包括与圆形吻合器一起使用的可移除的套管针组件的可再用接合器组件。
背景技术
用于将吻合钉、夹子或其他紧固件应用至组织的手术装置是公知的。通常，内窥镜吻合装置包括致动单元(即，用于致动该装置的手柄组件)和用于内窥镜进入的轴，以及布置在所述轴的远侧端的工具组件。在某些装置中，所述轴包括接合器组件，其具有可固定至手柄组件的近侧端以及可固定至工具组件的远侧端。接合器组件可以包括延伸部。
接合器组件可以是可再用的。为便于接合器组件的消毒和清洗，使得接合器组件包括可移除的套管针组件将会是有益的。
发明内容
提供了一种用于将装载单元连接至手柄组件的接合器组件。所述接合器组件包括：套筒；套管针组件，所述套管针组件与所述套筒可释放地固定；以及锁定机构，所述锁定机构构造成将所述套管针组件可释放地固定在所述套筒内。所述套管针组件包括限定第一锁定槽和第二锁定槽的壳。所述锁定机构包括第一锁定构件和第二锁定构件，所述第一锁定构件和所述第二锁定构件构造成选择性接收在套管针壳的相应的所述第一锁定槽和所述第二锁定槽内。
在实施例中，所述第一锁定构件和所述第二构件能够在第一位置和第二位置之间移动，在所述第一位置中，所述套管针组件固定地接收在所述套筒内，在所述第二位置中，所述套管针组件能够从所述套筒内移除。所述锁定机构可以包括用于在所述第一位置与所述第二位置之间移动所述第一锁定构件和所述第二锁定构件的按钮构件。所述第一锁定构件和所述第二锁定构件可以由相应的第一弹簧和第二弹簧偏置到所述第一位置。当所述第一锁定构件和所述第二锁定构件处于所述第一位置时，所述第一锁定构件和所述第二锁定构件可以将所述按钮构件保持在向外位置。
在一些实施例中，所述接合器组件包括上带引导件和下带引导件。第一块构件和第二块构件可以可移动地支撑在所述上带引导件和所述下带引导件上。所述接合器组件可以进一步包括内柔性带组件和外柔性带组件。所述上带引导件和所述下带引导件可以各自限定用于容纳所述内柔性带组件和所述外柔性带组件的纵向凹糟。所述锁定机构可以进一步包括按钮构件。所述按钮构件可以可操作地固定至所述上带引导件。所述上带引导件和所述下带引导件中的每个可以包括用于可操作地支撑所述第一锁定构件和所述第二锁定构件的一对凸轮柱。
在一个实施例中，所述接合器组件可以进一步包括底座以及可转动地固定至所述底座的手柄。所述套筒的近侧端可以牢固地固定至所述手柄以允许所述套筒的转动。
附图说明
包含在本说明书中并构成其一部分的附图示出了本公开的实施例，并与以上给出的本公开的一般描述以及以下给出的实施例的详细描述一起用来解释本公开的原理，其中：
图1是包括具有根据本公开的一个实施例的接合器组件的手柄组件的手术吻合装置的立体图；
图2是图1所示出的接合器组件的立体图，其中可移除的套管针组件从接合器组件的远侧端延伸；
图3是部件分离的图1所示的接合器组件的驱动组件的立体图；
图4是部件分离的图1所示的接合器组件的可移除的套管针组件、套筒以及连接器壳的侧视立体图；
图5是图1所示的接合器组件的远侧端的侧视立体图，其中套筒以虚线示出；
图6是零件分离的图4所示的可移除的套管针组件的立体图；
图7是零件分离的图1所示的接合器组件的锁定机构的侧视立体图；
图8是沿图5所示的截面线8-8所截取的横截面立体图；
图9是沿图8所示的截面线9-9所截取的横截面俯视图，其中锁定机构的第一锁定块和第二锁定块在锁定位置；
图10是图9所示的标示细节区域的放大图；
图11是沿图9所示的截面线11-11所截取的横截面端视图；
图12是沿图5所示的截面线8-8所截取的横截面视图，其中锁定机构处于第一或锁定位置；
图13是处于锁定位置的图1所示的接合器组件的可移除的套管针组件和锁定机构的立体侧视图；
图14是沿图5所示的各个截面线8-8所截取的横截面视图，其中锁定机构处于第二或释放位置；
图15是处于释放位置的图13所示的可移除的套管针组件和锁定机构的立体侧视图；以及
图16是沿图8所示的截断线9-9所截取的横截面俯视图，其中锁定机构的第一锁定块和第二锁定块处于解锁位置。
具体实施方式
现将参照附图来详细描述目前公开的包括可移除的套管针组件的接合器组件的实施例，其中，在若干视图中的每个中，相同的参照标号指定相同的或对应的元件。正如本领域所通用的，术语“近侧”是指较靠近使用者或操作员(即，外科医生或临床医生)的零件或部件，而术语“远”是指较远离使用者的零件或部件。
首先参照图1，根据本公开的实施例的接合器组件(总体上示出为接合器组件100)为手术吻合装置10的部件。手术吻合装置10进一步包括动力驱动手柄组件20、装载单元30和砧座组件40。尽管参照手术吻合装置10描述并示出本公开的方案，但本公开的方案可以修改以与具有多种构造的手动手术吻合装置一起使用以及与具有替代构造的动力驱动手术吻合装置一起使用。对于示例性的手术吻合装置的详细描述，请参阅共有的美国专利第9,023,014号(“第‘014号专利”)以及美国专利申请公开第2012/0253329号(“第‘329号申请”)，其各自内容通过引用而全部合并于此。
参照图2，接合器组件100包括构造成用于可操作地连接至手柄组件20(图1)的近侧部102以及构造成用于可操作地连接至装载单元30(图1)并可操作地连接至砧座组件40(图1)的远侧部104。尽管示出并描述为形成整体单元，但可以设想近侧部102和远侧部104可以形成为可释放地彼此固定的分离单元。
接合器组件100将仅以完全公开本发明的方案所必需的程度进行描述。对于示例性接合器组件的详细描述，请参阅共有的美国临时专利申请序列号第62/066,518号(“第‘518号申请”)，其内容通过引用而全部合并于此。
继续参照图2，接合器组件100包括外套筒106以及固定至外套筒106的远侧端的连接器壳108。连接器壳108构造成将末端执行器(例如，末端执行器30(图1))可释放地固定至接合器组件100。
暂时转至图3，驱动组件110穿过接合器组件100的外套筒106(图2)延伸，并包括内柔性带组件112和外柔性带组件114。内柔性带组件112包括第一柔性带112a和第二柔性带112b、以及连接至第一柔性带112a的远侧端和第二柔性带112b的远侧端的内推动构件116。类似地，外柔性带组件114包括第一柔性带114a和第二柔性带114b、以及外推动构件118。对于驱动组件110的结构和功能的详细描述，请参阅所述‘518号申请，其内容之前通过引用而全部合并于此。
现参照图4和图5，接合器组件100进一步包括穿过致动组件110(图5)延伸的套管针组件120，以及将套管针组件120相对于接合器组件100的外套筒106可释放地固定的锁定机构130(图5)。套管针组件120将以描述本公开的方案所必需的程度进行描述。对于示例性套管针组件的结构和功能的详细描述，请参阅所述‘518号申请，其内容之前通过引用而全部合并于此。
同样参照图6，接合器组件100(图2)的套管针组件120包括外壳122、可滑动地布置在外壳122内的套管针构件124、以及可操作地接收在套管针构件124内用于相对于外壳122轴向地移动套管针构件124的传动螺杆126。更具体地，套管针构件124限定了螺纹孔124a，所述螺纹孔124a的尺寸能够接收传动螺杆126。传动螺杆126的外表面具有螺纹使得传动螺杆126的转动引起套管针构件124在套管针组件120的外壳122内的纵向移动。套管针构件124的远侧端124b构造成可释放地接合砧座组件，例如，砧座组件40(图1)。轴承组件128安装至套管针组件120的外壳122的近侧端，用于在外壳122和套管针构件124内可转动地支撑传动螺杆126。正如将在下面进一步详细描述的，外壳122限定了用于接收接合器组件100的锁定机构130的相应的第一锁定块136和第二锁定块138(图7)的第一锁定槽123a和第二锁定槽123b。
现具体参照图7，接合器组件100的锁定机构130包括支撑在外套筒106(图5)内的上带引导件132和下带引导件134、可操作地支撑在各上带引导件132和下带引导件134中的第一锁定块136和第二锁定块138，以及可滑动地固定至上带引导件132用于使第一锁定块136和第二锁定块138彼此相对移动的按钮构件140。正如将在下面进一步详细描述的，第一弹簧142a和第二弹簧142b从相应的第一锁定块136和第二锁定块138中延伸并使锁定块136、第二锁定块138径向地向内偏置。
继续参照图7，锁定机构130的上带引导件132包括布置在接合器组件100的外套筒106内的主体部144。上带引导件132的主体部144限定了用于容纳相应的内柔性带组件112和外柔性带组件114的第一柔性带112a、114a的纵向凹槽143。上带引导件132的主体部144进一步限定了用于可操作地接收锁定机构130的按钮构件140的相应的第一支腿140a和第二支腿140b的第一切口145a和第二切口145b。第一按钮保持凸耳146a和第二按钮保持凸耳146b(图12)从上带引导件132的主体部144向外延伸。尤其，第一按钮保持凸耳146a布置在主体部144的第一切口145a中，且第二按钮保持凸耳146b布置在主体部144的第二切口145b中。
正如将在下面进一步详细描述的，第一按钮保持凸耳146a和第二按钮保持凸耳146b接收在按钮构件140的相应的槽141a、141b内以将按钮构件140可操作地固定至上带引导件132。第一凸缘部148a和第二凸缘部148b从上带引导件132的主体部144向外延伸。第一凸缘部148a和第二凸缘部148b中的每个各自地包括凸轮柱150a、150b。正如将在下面进一步详细描述的，相应的第一凸缘部148a的凸轮柱150a和第二凸缘部148b的凸轮柱150b接收在第一锁定块136的第一凸轮槽131a、131b和第二锁定块138的第二凸轮槽133a、133b内。上带引导件132进一步包括用于支撑应变计170(图8)的从主体部144延伸的应变计保持部152。
继续参照图7，锁定机构130的下带引导件134包括布置在接合器组件100的外套筒106(图1)内的主体部154。下带引导件134的主体部154限定了用于容纳相应的内柔性带组件112和外柔性带组件114(图3)的第二内柔性带112a和第二外柔性带114b(图3)的纵向凹槽153。下带引导件134包括从主体部154向外延伸的第一凸缘部158a和第二凸缘部158b。第一凸缘部158a和第二凸缘部158b各自地包括第一凸轮柱160a和第二凸轮柱160b。下带引导件134进一步包括从主体部144延伸的应变计保持部162，应变计保持部162构造成与上带引导件132的应变计保持部152一起操作以关于套管针组件120支撑应变计170(图8)。
正如将在下面进一步详细描述的，锁定机构130的上带引导件132和下带引导件134构造成使得相应的上带引导件132的第一凸轮柱150a和下带引导件134的第一凸轮柱160a接收在第一锁定块136的第一凸轮槽131a、131b内，并且相应的上带引导件132的第二凸轮柱150b和下带引导件134的第二凸轮柱160b接收在第二锁定块138的第二凸轮槽133a、133b内。另外参照图8，锁定机构130的第一锁定块136和第二锁定块138可移动地支撑在上带引导件132和下带引导件134上，并构造成可释放地接收在套管针组件120的套管针壳122的相应的第一锁定槽123a和第二锁定槽123b(图6)内。
第一锁定块136和第二锁定块138中的每个各自地限定了空隙部135a、135b，以便于相应的第一锁定块136和第二锁定块138从套管针组件120分开。尤其，空隙部135a、135b构造成使得当第一锁定块136和第二锁定块138处于其第二位置时(图14和图15)，第一锁定块136和第二锁定块138脱离套管针组件120的外壳122。如图14所示，相应的第一锁定块136的空隙部135a和第二锁定块138的空隙部135b一起限定了大致圆形开口，其中第一锁定块136和第二锁定块138处于其第二位置。第一锁定块136和第二锁定块138中的每个各自进一步限定了用于接收第一弹簧142a和第二弹簧142b的孔137a、137b(图8)。
锁定机构130的第一锁定块136和第二锁定块138可以在第一锁定位置(图12)与第二解锁位置(图14)之间移动，在所述第一锁定位置，套管针组件120的外壳122由第一锁定块136和第二锁定块138接合，即，第一锁定块136和第二锁定块138的部分接收在外壳122的相应的锁定槽123a、123b内，在所述第二解锁位置，套管针组件120从槽123a、123b向外移动使得其能够在锁定机构130的第一锁定块136与第二锁定块138之间移动，即，相应的第一锁定块136和的空隙部135a第二锁定块138的空隙部135b与外壳122对齐。第一锁定块136和第二锁定块138由第一弹簧142a和第二弹簧142b向内偏置到锁定槽123a、123b内，至第一位置。如图8所示，第一锁定块136和第二锁定块138朝彼此向内上方偏置。
仍具体参照图7，锁定机构130的按钮构件140包括第一支腿140a和第二支腿140b，第一支腿140a和第二支腿140b各自相应地限定了槽141a、141b。按钮构件140构造成在锁定机构130的上带引导件132周围被接收，使得按钮构件140的第一支腿140a和第二支腿140b被接收在上带引导件132的相应的第一切口145a和第二切口145b内，并且上带引导件134的第一凸耳146A和第二凸耳146B(图8)被接收在相应的槽141a、141b内。
现将参照图8至图16来描述接合器组件100的锁定机构130的操作。首先参照图8至图13，锁定机构130被示出为处于锁定构造，即，第一锁定块136和第二锁定块138在其第一位置。尤其，第一锁定块136支撑在上带引导件132的第一凸轮柱150a以及下带引导件134的第一凸轮柱160a上，且第二锁定块138支撑在上带引导件132的第二凸轮柱150b以及下带引导件134的第二凸轮柱160b上。第一锁定块136和第二锁定块138由相应的第一弹簧142a和第二弹簧142b径向地向内偏置至第一锁定位置(图12)。
接合器组件100的套管针组件120可以设置成预装载至接合器组件100的套筒106内，或者套管针组件120可以设置成从接合器组件100分离。如果设置为分离部件，则套管针组件120在将末端执行器(例如，末端执行器30)附接至接合器组件100的连接器壳108之前，通过接合器组件100的套筒106的远侧端装载。套管针组件120在第一锁定块136与第二锁定块138之间进给到接合器组件100的外套筒106中，以使第一锁定块136和第二锁定块138逆着弹簧142a、142b的偏置向外凸轮运动，直至第一锁定块136和第二锁定块138与外壳122的第一锁定槽123a和第二锁定槽123b对齐。在第一锁定块136和第二锁定块138利用相应的第一锁定槽123a和第二锁定槽123b接收时，听觉指示和/或触觉指示可以通过锁定机构130提供至使用者，以指示套管针组件120固定地接收在锁定机构130内。
在套管针组件120穿过锁定机构130装载期间，锁定机构130的按钮构件140可以被按下以将第一锁定块和第二锁定块移动至第二或解锁位置(图14)以便于将套管针组件120装载至第一锁定块136与第二锁定块138之间和外套筒106内。可替代地，在套管针组件120穿过锁定机构130装载时由套管针组件120的外壳122进行的第一锁定块136和第二锁定块138的接合，将会使第一锁定块136和第二锁定块138保持在其第二位置，直到外壳122的第一锁定槽123a和第二锁定槽123b与相应的第一锁定块136和第二锁定块138对齐。在第一锁定块136和第二锁定块138与相应的第一锁定槽123a和第二锁定槽123b对齐时，第一锁定块136和第二锁定块138分别偏置至第一锁定槽123a和第二锁定槽123b内。
在实施例中，套管针组件120的外壳122包括用于保持套管针组件120相对于锁定机构130的转动对齐的内平坦部125(图11)，来保证套管针组件120的第一锁定槽123a和第二锁定槽123b保持与锁定机构130的相应的第一锁定块136和第二锁定块138对齐。
锁定机构130的按钮构件140的第一支腿140a和第二支腿140b与相应的第一锁定块136和第二锁定块138的接合会将按钮构件140保持在向外非按下位置。第一按钮保持凸耳146a和第二按钮保持凸耳146b分别接收在按钮构件40的第一支腿140a和第二支腿140b的相应的槽141a、141b内，这保持该按钮构件140与锁定机构130的上带引导件132接合。
如上所指出的，上带引导件132和下带引导件134各自相应地包括用于支撑应变计170的应变计保持部152、162。接合器组件100的套管针组件120穿过应变计170被接收。应变计170构造成在接合器组件100的操作期间测量套管针组件120的偏斜和/或移动。驱动组件110的内柔性带组件112的第一柔性带112a和外柔性带组件114的第二柔性带114a穿过上带引导件132的纵向凹槽143被接收，且内柔性带组件112的第一柔性带112a和外柔性带组件114的第二柔性带114b穿过下带引导件134的纵向凹槽153被接收。
一旦套管针组件120利用装载在外套筒106装入内并通过锁定机构130固定在其中，则接合器组件100和附接的手柄组件20(图1)、装载单元30和砧座组件40(图1)以传统的方式操作。
在采用手术吻合装置10的手术吻合操作之后，接合器组件100的套管针组件120被从接合器组件100的套筒106移除以便于接合器组件100的清洁和/或消毒。
参照图14至图16，示出了接合器组件100的锁定机构130，其中第一锁定块136和第二锁定块138处于第二或解锁位置。当第一锁定块136和第二锁定块138处于第二位置时，套管针组件120从接合器组件100的套筒106内移除。
具体参照图14，第一锁定块136和第二锁定块138通过如图14中的箭头“A”所示地径向向内按下锁定机构130的按钮构件140而移动至第二位置。如上所指出的，按钮构件140的第一支腿部140a和第二支腿部140b与相应的第一锁定块136和第二锁定块138的上表面接合。当按钮构件140按下时，按钮构件140的第一支腿部140a和第二支腿部140b与相应的第一锁定块136和第二锁定块138之间的接合分别使第一锁定块136和第二锁定块138逆着第一弹簧142a和第二弹簧142b的偏置关于凸轮柱150a、160a和150b、160b向下移动。第一锁定块136分别骑在上带引导件132的第一凸轮柱150a和下带引导件134的第一凸轮柱160a上。由于凸轮槽131a、131b的构造，第一锁定块136如由箭头“B”所示地沿着径向向外方向移动至第二位置。类似地，第二锁定块138分别骑在上带引导件132的第二凸轮柱150b和下带引导件134的第二凸轮柱160b上。由于凸轮槽133a、133b的构造，第二锁定块138如由箭头“C”所示地沿着径向向外的方向移动至第二位置。
在第一锁定块136和第二锁定块138移动至其第二位置时，第一锁定块136和第二锁定块138从套管针组件120的相应的第一锁定槽123a和第二锁定槽123b中移动，且相应的第一锁定块136和第二锁定块138的空隙部135a、135b与套管针组件120对齐。以这种方式，套管针组件120不再由锁定机构130固定。然后套管针组件120可以从接合器组件100的套筒106内移除。
尽管文中已参照附图描述了本公开的说明性实施例，但是应理解，本公开不限于这些具体的实施例，并且可以在不偏离本公开的范围或构思的情况下由本领域技术人员实现各种其他变化和修改。例如，在文中所论述任意实施例中，套管针组件可以形成为完全一次性或部分一次性的圆形手术吻合器的部分，并且这种器具可以具有分离的接合器，或该接合器可以形成为手柄组件的部分。吻合器具可以是手动地操作的、通过整体或分离的电机来动力驱动的、或形成机器人系统的部分。

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1.一种用于将装载单元连接至手柄组件的接合器组件，所述接合器组件包括：
套筒；
套管针组件，所述套管针组件与所述套筒可释放地固定，所述套管针组件包括限定第一锁定槽和第二锁定槽的壳；以及
锁定机构，所述锁定机构构造成将所述套管针组件可释放地固定在所述套筒内，所述锁定机构包括第一锁定构件和第二锁定构件，所述第一锁定构件和所述第二锁定构件分别构造成选择性地接收在套管针壳的所述第一锁定槽和所述第二锁定槽内。
2.根据权利要求1所述的接合器组件，其中所述第一锁定构件和所述第二构件能够在第一位置与第二位置之间移动，在所述第一位置中，所述套管针组件被固定地接收在所述套筒内，在所述第二位置中，所述套管针组件能够从所述套筒中移除。
3.根据权利要求2所述的接合器组件，其中所述锁定机构进一步包括用于在所述第一位置与所述第二位置之间移动所述第一锁定构件和所述第二锁定构件的按钮构件。
4.根据权利要求3所述的接合器组件，其中所述第一锁定构件和所述第二锁定构件由相应的第一弹簧和第二弹簧偏置到所述第一位置。
5.根据权利要求4所述的接合器组件，其中当所述第一锁定构件和所述第二锁定构件处于所述第一位置时，所述第一锁定构件和所述第二锁定构件将所述按钮构件保持在向外位置。
6.根据权利要求1所述的接合器组件，进一步包括上带引导件和下带引导件，其中第一块构件和第二块构件可移动地支撑在所述上带引导件和所述下带引导件上。
7.根据权利要求6所述的接合器组件，进一步包括内柔性带组件和外柔性带组件，其中所述上带引导件和所述下带引导件各自限定了用于容纳所述内柔性带组件和所述外柔性带组件的纵向凹糟。
8.根据权利要求6所述的接合器组件，其中所述锁定机构进一步包括按钮构件，其中所述按钮构件可操作地固定至所述上带引导件。
9.根据权利要求6所述的接合器组件，其中所述上带引导件和所述下带引导件中的每个包括用于可操作地支撑所述第一锁定构件和所述第二锁定构件的一对凸轮柱。
10.根据权利要求1所述的接合器组件，进一步包括底座以及可转动地固定至所述底座的手柄，其中所述套筒的近侧端牢固地固定至所述手柄以允许所述套筒的转动。
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Families Citing this family (61)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9211122B2 (en) 2011-03-14 2015-12-15 Ethicon Endo-Surgery, Inc. Surgical access devices with anvil introduction and specimen retrieval structures
US9730694B2 (en) * 2014-07-01 2017-08-15 Covidien Lp Loading unit including shipping assembly
US10226254B2 (en) * 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10111684B2 (en) 2015-09-25 2018-10-30 Covidien Lp Adapter assembly including a removable trocar assembly
US10524797B2 (en) * 2016-01-13 2020-01-07 Covidien Lp Adapter assembly including a removable trocar assembly
US10682136B2 (en) 2016-04-01 2020-06-16 Ethicon Llc Circular stapling system comprising load control
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10485542B2 (en) 2016-04-01 2019-11-26 Ethicon Llc Surgical stapling instrument comprising multiple lockouts
US10307159B2 (en) 2016-04-01 2019-06-04 Ethicon Llc Surgical instrument handle assembly with reconfigurable grip portion
US10765428B2 (en) 2016-08-15 2020-09-08 Covidien Lp Hermetic force sensors for surgical devices
US10595951B2 (en) 2016-08-15 2020-03-24 Covidien Lp Force sensor for surgical devices
US10345165B2 (en) 2016-09-08 2019-07-09 Covidien Lp Force sensor for surgical devices
US10426470B2 (en) * 2016-11-04 2019-10-01 Covidien Lp Stapling device with releasable knife carrier
US11160556B2 (en) 2018-04-23 2021-11-02 Covidien Lp Threaded trocar for adapter assemblies
US11399839B2 (en) 2018-05-07 2022-08-02 Covidien Lp Surgical devices including trocar lock and trocar connection indicator
CN112584780B (zh) 2018-08-24 2024-09-17 柯惠有限合伙公司 电动圆形钉合装置
US10973544B2 (en) 2018-10-02 2021-04-13 Covidien Lp Retaining mechanism for trocar assembly
US11051819B2 (en) * 2018-10-15 2021-07-06 Cilag Gmbh International Latch to prevent back-driving of circular surgical stapler
US11389263B2 (en) 2018-12-13 2022-07-19 Covidien Lp Lockout mechanisms for surgical instruments
US11337701B2 (en) * 2019-03-01 2022-05-24 Covidien Lp Devices and methods for assembling adapter assemblies
US11596410B2 (en) * 2019-04-05 2023-03-07 Covidien Lp Surgical stapling device
US11660116B2 (en) 2019-04-16 2023-05-30 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11419631B2 (en) 2019-04-16 2022-08-23 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11344330B2 (en) 2019-04-16 2022-05-31 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11317945B2 (en) 2019-04-16 2022-05-03 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
CN111820981A (zh) * 2019-04-22 2020-10-27 柯惠Lp公司 包括套管针锁和套管针连接指示器的手术装置
AU2019448247A1 (en) 2019-05-31 2021-12-16 Covidien Lp Circular stapling device
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
US11446035B2 (en) * 2019-06-24 2022-09-20 Covidien Lp Retaining mechanisms for trocar assemblies
US11344309B2 (en) 2019-07-05 2022-05-31 Covidien Lp Circular stapling instruments
US20210137590A1 (en) 2019-11-11 2021-05-13 Jeffrey MacDonald Electrical connector for colpotomy device
US11517317B2 (en) * 2020-01-06 2022-12-06 Covidien Lp Trocar release assemblies for a surgical stapler
US11730481B2 (en) 2020-01-06 2023-08-22 Covidien Lp Assemblies for retaining a trocar assembly
US11911038B2 (en) 2020-01-13 2024-02-27 Covidien Lp Cut optimization for excessive tissue conditions
US11523828B2 (en) 2020-01-28 2022-12-13 Covidien Lp Sealed reload assembly for stapling device
US11622767B2 (en) 2020-02-19 2023-04-11 Covidien Lp Sealed trocar assembly for stapling device
US11547438B2 (en) 2020-02-24 2023-01-10 Covidien Lp Tip protector for ensuring trocar insertion
US11779343B2 (en) 2020-02-26 2023-10-10 Covidien Lp Staple reload assembly with releasable knife
US11426170B2 (en) * 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11350939B2 (en) * 2020-03-24 2022-06-07 Covidien Lp Retaining mechanisms for trocar assemblies
US11426169B2 (en) * 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11653925B2 (en) 2020-05-21 2023-05-23 Covidien Lp Tissue relaxation monitoring for optimized tissue stapling
US11547405B2 (en) 2020-05-22 2023-01-10 Covidien Lp Surgical stapling device
US11553921B2 (en) 2020-07-15 2023-01-17 Covidien Lp Surgical stapling device with flexible shaft
US11627966B2 (en) 2020-08-26 2023-04-18 Covidien Lp Surgical stapling device
US11801054B2 (en) 2020-09-22 2023-10-31 Covidien Lp Surgical stapler with oval tool assembly
US11712509B2 (en) 2020-10-02 2023-08-01 Covidien Lp Seal assembly for circular stapling instrument
US11627967B2 (en) 2020-11-23 2023-04-18 Covidien Lp Trans-anastomotic insertion device
US11877750B2 (en) 2021-01-21 2024-01-23 Covidien Lp Surgical stapler with powered and manual functions
US11986187B2 (en) 2021-01-29 2024-05-21 Covidien Lp Circular stapling device with integrated visualization device
US11786241B2 (en) 2021-02-16 2023-10-17 Covidien Lp Surgical stapling device including a hydraulic staple formation mechanism
US11553920B2 (en) 2021-05-03 2023-01-17 Covidien Lp Trocar retainer assembly for surgical stapler
US11490894B1 (en) 2021-05-12 2022-11-08 Covidien Lp Surgical device with grease filter
US11642131B2 (en) 2021-05-17 2023-05-09 Covidien Lp Devices and methods for shortening a rectal stump during a lower anterior resection procedure
US11612400B2 (en) 2021-05-24 2023-03-28 Covidien Lp Trocar assembly with bearing assembly for load sharing
US20220401101A1 (en) 2021-06-16 2022-12-22 Covidien Lp Purse-string applicator for circular stapling instruments
US11737759B2 (en) 2021-08-05 2023-08-29 Covidien Lp Surgical stapling device accommodating prolapsed tissue
US11883028B2 (en) 2021-09-08 2024-01-30 Covidien Lp Systems and methods for post-operative anastomotic leak detection
US11717299B2 (en) 2021-10-12 2023-08-08 Covidien Lp Surgical stapling device with probiotics

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5104025A (en) * 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
CN201179085Y (zh) * 2008-02-25 2009-01-14 瑞奇外科器械(北京)有限公司 外科直线吻合器单手柄多操作装置
US20100001037A1 (en) * 2008-07-07 2010-01-07 Racenet Danyel Tarinelli Surgical instrument with elongated channel
CN104042292A (zh) * 2013-03-15 2014-09-17 柯惠Lp公司 包括可重复利用的组件的手术吻合装置
CN104602619A (zh) * 2012-06-28 2015-05-06 伊西康内外科公司 用于旋转动力式外科器械的差速锁定结构

Family Cites Families (352)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA908529A (en) 1972-08-29 V. Astafiev Georgy Surgical instrument for suturing hollow organs in infants
DE1057729B (de) 1954-03-29 1959-05-21 Lameris Instr N V Chirurgische Vorrichtung zum Verbinden zweier Darmteile
GB787043A (en) 1954-09-15 1957-11-27 Sylvania Electric Prod Method for production of silicon
CA736256A (en) 1962-08-27 1966-06-14 S. Kasoolin Viacheslav Instrument for suturing esophagus to intestine or stomach
FR1461464A (fr) 1965-08-20 1966-02-25 Niiex Khirurgicheskoi Apparatu Appareil chirurgical de suture des organes
CH470170A (de) 1968-02-02 1969-03-31 Vnii Khirurgicheskoi Apparatur Gerät zum Anbringen von Rundanastomosen
US3638652A (en) 1970-06-01 1972-02-01 James L Kelley Surgical instrument for intraluminal anastomosis
US3771526A (en) 1972-02-07 1973-11-13 P Rudie Anastomosis clamp
US4573468A (en) 1977-05-26 1986-03-04 United States Surgical Corporation Hollow body organ stapling instrument and disposable cartridge employing relief vents
US4304236A (en) 1977-05-26 1981-12-08 United States Surgical Corporation Stapling instrument having an anvil-carrying part of particular geometric shape
US4603693A (en) 1977-05-26 1986-08-05 United States Surgical Corporation Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor
NL7711347A (en) 1977-10-17 1979-04-19 Carl Robert Erik Daantje Stapling instrument for joining intestine ends - has head coupling rod in two parts screwing together with hand grip
US4207898A (en) 1978-03-27 1980-06-17 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4198982A (en) 1978-03-31 1980-04-22 Memorial Hospital For Cancer And Allied Diseases Surgical stapling instrument and method
DE2947107A1 (de) 1978-12-07 1980-06-26 United States Surgical Corp Genau fluchtende patrone und instrument zum klammern von anastomosen
SU1088712A1 (ru) 1979-11-14 1984-04-30 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Аппарат дл циркул рного сшивани кровеносных сосудов
AU534210B2 (en) 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
US4319576A (en) 1980-02-26 1982-03-16 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4289133A (en) 1980-02-28 1981-09-15 Senco Products, Inc. Cut-through backup washer for the scalpel of an intraluminal surgical stapling instrument
US4606343A (en) 1980-08-18 1986-08-19 United States Surgical Corporation Self-powered surgical fastening instrument
US4351466A (en) 1980-10-16 1982-09-28 United States Surgical Corporation Disposable instrument for surgical fastening
US4379457A (en) 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
US4476863A (en) 1981-03-09 1984-10-16 Kanshin Nikolai N Surgical instrument for establishing circular coloanastomoses
US4632290A (en) 1981-08-17 1986-12-30 United States Surgical Corporation Surgical stapler apparatus
US4576167A (en) 1981-09-03 1986-03-18 United States Surgical Corporation Surgical stapler apparatus with curved shaft
SU1114405A1 (ru) 1982-02-23 1984-09-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени компрессионных анастомозов на органы пищеварительного тракта
US4485817A (en) 1982-05-28 1984-12-04 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4473077A (en) 1982-05-28 1984-09-25 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4488523A (en) 1982-09-24 1984-12-18 United States Surgical Corporation Flexible, hydraulically actuated device for applying surgical fasteners
DE3301713A1 (de) 1983-01-20 1984-07-26 Horst Dr. 3004 Isernhagen Ziegler Chirurgisches klammernahtgeraet zur herstellung zirkulaerer verbindungen
US4592354A (en) 1983-10-11 1986-06-03 Senmed, Inc. Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods
US4505414A (en) 1983-10-12 1985-03-19 Filipi Charles J Expandable anvil surgical stapler
US4550870A (en) 1983-10-13 1985-11-05 Alchemia Ltd. Partnership Stapling device
IT1173284B (it) 1984-02-16 1987-06-18 Riccardo Rosati Macchina suturatrice meccanica circolare
US4667673A (en) 1984-03-12 1987-05-26 American Cyanamid Company Anastomotic device applicator and method
US4754909A (en) 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4671445A (en) 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4665917A (en) 1985-01-28 1987-05-19 Ethicon, Inc. Tissue gripper for use with intraluminal stapling device
US4703887A (en) 1985-01-28 1987-11-03 Ethicon, Inc. Collapsible purse string aid for use with intraluminal stapling device
AU582625B2 (en) 1985-01-28 1989-04-06 Ethicon Inc. Tissue gripper for use with intraluminal stapling device
JPS635697Y2 (zh) 1985-04-04 1988-02-17
JPS62140776A (ja) 1985-12-16 1987-06-24 海老原　代師行 ステ−プラ
US4700703A (en) 1986-03-27 1987-10-20 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4903697A (en) 1986-03-27 1990-02-27 Semion Resnick Cartridge assembly for a surgical stapling instrument
WO1987006448A1 (fr) 1986-04-21 1987-11-05 Finanzaktiengesellschaft Globe Control Procede et dispositif d'anastomose
US4752024A (en) 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
US4917114A (en) 1986-10-17 1990-04-17 United States Surgical Corporation Surgical fastener and surgical stapling apparatus
US4776506A (en) 1986-11-13 1988-10-11 United States Surgical Corporation Surgical stapler apparatus
US4873977A (en) 1987-02-11 1989-10-17 Odis L. Avant Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis
US5119983A (en) 1987-05-26 1992-06-09 United States Surgical Corporation Surgical stapler apparatus
US5158222A (en) 1987-05-26 1992-10-27 United States Surgical Corp. Surgical stapler apparatus
US5285944A (en) 1987-05-26 1994-02-15 United States Surgical Corporation Surgical stapler apparatus
SU1616624A1 (ru) 1987-07-14 1990-12-30 Предприятие П/Я А-3697 Хирургический сшивающий аппарат
SU1509052A1 (ru) 1988-01-18 1989-09-23 С. А. Попов Хирургический сшивающий аппарат
US4907591A (en) 1988-03-29 1990-03-13 Pfizer Hospital Products Group, Inc. Surgical instrument for establishing compression anastomosis
US5193731A (en) 1988-07-01 1993-03-16 United States Surgical Corporation Anastomosis surgical stapling instrument
US5005749A (en) 1988-07-01 1991-04-09 United States Surgical Corp. Anastomosis surgical stapling instrument
ES2011110A6 (es) 1988-09-02 1989-12-16 Lopez Hervas Pedro Aparato hidraulico de cuerpo flexible para anastomosis quirurgicas.
AU4742190A (en) 1988-11-29 1990-06-26 Bruce S. Gingold Surgical stapling apparatus
US5197648A (en) 1988-11-29 1993-03-30 Gingold Bruce S Surgical stapling apparatus
US4893662A (en) 1988-12-06 1990-01-16 Vito Gervasi Cutting tool
CH677728A5 (zh) 1989-10-17 1991-06-28 Bieffe Medital Sa
US5403333A (en) 1990-08-28 1995-04-04 Robert L. Kaster Side-to-end vascular anastomotic staple apparatus
US5047039A (en) 1990-09-14 1991-09-10 Odis Lynn Avant Method and apparatus for effecting dorsal vein ligation and tubular anastomosis and laparoscopic prostatectomy
US5253793A (en) 1990-09-17 1993-10-19 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5042707A (en) 1990-10-16 1991-08-27 Taheri Syde A Intravascular stapler, and method of operating same
CA2055943C (en) 1990-12-06 2003-09-23 Daniel P. Rodak Surgical fastening apparatus with locking mechanism
US5122156A (en) 1990-12-14 1992-06-16 United States Surgical Corporation Apparatus for securement and attachment of body organs
US5222963A (en) 1991-01-17 1993-06-29 Ethicon, Inc. Pull-through circular anastomosic intraluminal stapler with absorbable fastener means
DE69208991T2 (de) 1991-03-29 1996-07-25 Perouse Implant Lab Chirurgisches Klammernähgerät
US5221036A (en) 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5333773A (en) 1991-08-23 1994-08-02 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
GR920100358A (el) 1991-08-23 1993-06-07 Ethicon Inc Οργανο συρραφής χειρουργικής αναστομώσεως.
US5350104A (en) 1991-08-23 1994-09-27 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
US5443198A (en) 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
US5474223A (en) 1991-10-18 1995-12-12 United States Surgical Corporation Surgical fastener applying apparatus
US5197649A (en) 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5188638A (en) 1992-02-06 1993-02-23 Tzakis Andreas G Apparatus and method for preforming anastomosis fastener securement of hollow organs
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5348259A (en) 1992-02-10 1994-09-20 Massachusetts Institute Of Technology Flexible, articulable column
US5425738A (en) 1992-04-08 1995-06-20 American Cyanamid Company Endoscopic anastomosis ring insertion device and method of use thereof
US5282810A (en) 1992-04-08 1994-02-01 American Cyanamid Company Surgical anastomosis device
US5355897A (en) 1992-04-16 1994-10-18 Ethicon, Inc. Method of performing a pyloroplasty/pylorectomy using a stapler having a shield
US5314435A (en) 1992-05-19 1994-05-24 United States Surgical Corporation Anvil delivery system
US5344059A (en) 1992-05-19 1994-09-06 United States Surgical Corporation Surgical apparatus and anvil delivery system therefor
JPH0647050A (ja) 1992-06-04 1994-02-22 Olympus Optical Co Ltd 組織縫合結紮器
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
US5405328A (en) * 1992-06-17 1995-04-11 Minnesota Mining And Manufacturing Company Trocar with replaceable obturator
US5360154A (en) 1992-07-17 1994-11-01 United States Surgical Corporation Apparatus for creating partial anastomoses
US5330486A (en) 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
US5261920A (en) 1992-08-21 1993-11-16 Ethicon, Inc. Anvil bushing for circular stapler
US5368215A (en) 1992-09-08 1994-11-29 United States Surgical Corporation Surgical apparatus and detachable anvil rod therefor
US5309927A (en) 1992-10-22 1994-05-10 Ethicon, Inc. Circular stapler tissue retention spring method
US5314436A (en) 1992-10-30 1994-05-24 Wilk Peter J Method and apparatus for performing end-to-end anastomoses
US5404870A (en) 1993-05-28 1995-04-11 Ethicon, Inc. Method of using a transanal inserter
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
US5437684A (en) 1993-10-01 1995-08-01 United States Surgical Corporation Circular anastomosis device
US5522534A (en) 1993-10-01 1996-06-04 United States Surgical Corporation Anvil for surgical stapler
US5454825A (en) 1993-10-01 1995-10-03 United States Surgical Corporation Circular anastomosis device with seal
US5447514A (en) 1993-10-01 1995-09-05 United States Surgical Corporation Circular anastomosis device
CA2132917C (en) 1993-10-07 2004-12-14 John Charles Robertson Circular anastomosis device
US5503635A (en) 1993-11-12 1996-04-02 United States Surgical Corporation Apparatus and method for performing compressional anastomoses
DE4407668A1 (de) 1994-03-09 1995-09-14 Ferdinand Dr Koeckerling Chirurgisches Anastomosenring-Setzgerät
US5464415A (en) 1994-03-15 1995-11-07 Chen; Te-Chuan Sutureless intestinal anastomosis gun
US5860581A (en) 1994-03-24 1999-01-19 United States Surgical Corporation Anvil for circular stapler
US5715987A (en) 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
CA2147800C (en) 1994-05-26 2006-07-11 John Charles Robertson Circular anastomosis device
US5881943A (en) 1994-06-17 1999-03-16 Heartport, Inc. Surgical anastomosis apparatus and method thereof
WO1995035065A1 (en) 1994-06-17 1995-12-28 Heartport, Inc. Surgical stapling instrument and method thereof
US5732872A (en) 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
CA2146508C (en) 1994-08-25 2006-11-14 Robert H. Schnut Anvil for circular stapler
US5685474A (en) 1994-10-04 1997-11-11 United States Surgical Corporation Tactile indicator for surgical instrument
US7235089B1 (en) 1994-12-07 2007-06-26 Boston Scientific Corporation Surgical apparatus and method
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5466020A (en) 1994-12-30 1995-11-14 Valleylab Inc. Bayonet connector for surgical handpiece
US5720755A (en) 1995-01-18 1998-02-24 Dakov; Pepi Tubular suturing device and methods of use
US5904697A (en) 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
DE19509115C2 (de) 1995-03-16 1997-11-27 Deutsche Forsch Luft Raumfahrt Chirurgisches Gerät zum Vorbereiten einer Anastomose in minimal invasiver Operationstechnik
US5769841A (en) 1995-06-13 1998-06-23 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US5641111A (en) 1995-06-28 1997-06-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with anvil cutting guide
US5749896A (en) 1995-07-18 1998-05-12 Cook; Melvin S. Staple overlap
US5839639A (en) 1995-08-17 1998-11-24 Lasersurge, Inc. Collapsible anvil assembly and applicator instrument
US5814055A (en) 1995-09-19 1998-09-29 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
EP0859572B1 (en) 1995-10-31 2000-01-19 Oticon A/S Anastomotic instrument for use when performing an end-to-side anastomosis
US5836503A (en) 1996-04-22 1998-11-17 United States Surgical Corporation Insertion device for surgical apparatus
US6050472A (en) 1996-04-26 2000-04-18 Olympus Optical Co., Ltd. Surgical anastomosis stapler
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
WO2001052748A2 (en) 2000-01-18 2001-07-26 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
US6024748A (en) 1996-07-23 2000-02-15 United States Surgical Corporation Singleshot anastomosis instrument with detachable loading unit and method
US20020019642A1 (en) 1996-07-23 2002-02-14 Keith Milliman Anastomosis instrument and method for performing same
US5833698A (en) 1996-07-23 1998-11-10 United States Surgical Corporation Anastomosis instrument and method
US6440146B2 (en) 1996-07-23 2002-08-27 United States Surgical Corporation Anastomosis instrument and method
US5855312A (en) 1996-07-25 1999-01-05 Toledano; Haviv Flexible annular stapler for closed surgery of hollow organs
US6338737B1 (en) 1997-07-17 2002-01-15 Haviv Toledano Flexible annular stapler for closed surgery of hollow organs
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US6117148A (en) 1997-10-17 2000-09-12 Ravo; Biagio Intraluminal anastomotic device
US5951576A (en) 1998-03-02 1999-09-14 Wakabayashi; Akio End-to-side vascular anastomosing stapling device
US6279809B1 (en) 1998-03-10 2001-08-28 Enrico Nicolo Circular stapler for side to end, side to side and end to side anastomosis
US6517566B1 (en) 1998-05-11 2003-02-11 Surgical Connections, Inc. Devices and methods for treating e.g. urinary stress incontinence
US6149667A (en) 1998-05-11 2000-11-21 Surgical Connections, Inc. Devices and methods for treating E.G. urinary stress incontinence
US6585144B2 (en) 1998-06-19 2003-07-01 Acimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6629630B2 (en) 1998-06-19 2003-10-07 Scimed Life Systems, Inc. Non-circular resection device and endoscope
US6478210B2 (en) 2000-10-25 2002-11-12 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6601749B2 (en) 1998-06-19 2003-08-05 Scimed Life Systems, Inc. Multi fire full thickness resectioning device
DE19836950B4 (de) 1998-08-17 2004-09-02 Deutsches Zentrum für Luft- und Raumfahrt e.V. Chirurgisches Instrument in Form eines Nahtklammergerätes
DE19837258A1 (de) 1998-08-17 2000-03-02 Deutsch Zentr Luft & Raumfahrt Vorrichtung zum Betätigen eines chirurgischen Instrumentariums zur Anastomose von Hohlorganen
US6203553B1 (en) 1999-09-08 2001-03-20 United States Surgical Stapling apparatus and method for heart valve replacement
US6102271A (en) 1998-11-23 2000-08-15 Ethicon Endo-Surgery, Inc. Circular stapler for hemorrhoidal surgery
US6142933A (en) 1998-11-23 2000-11-07 Ethicon Endo-Surgery, Inc. Anoscope for hemorrhoidal surgery
US6083241A (en) 1998-11-23 2000-07-04 Ethicon Endo-Surgery, Inc. Method of use of a circular stapler for hemorrhoidal procedure
US6551334B2 (en) 1999-04-16 2003-04-22 Integrated Vascular Interventional Technologies, Lc Externally directed anastomosis systems and externally positioned anastomosis fenestra cutting apparatus
US6626921B2 (en) 1999-04-16 2003-09-30 Integrated Vascular Interventional Technologies, L.C. Externally positioned anvil apparatus for cutting anastomosis
US6652542B2 (en) 1999-04-16 2003-11-25 Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) External anastomosis operators and related systems for anastomosis
US6743244B2 (en) 1999-04-16 2004-06-01 Integrated Vascular Interventional Technologies, L.C. Soft anvil apparatus for cutting anastomosis fenestra
US6402008B1 (en) 1999-04-19 2002-06-11 Deborah A. Lucas Surgical stapler assembly with interchangeable heads
US6068636A (en) 1999-04-23 2000-05-30 Chen; Te-Chuan Intra-intestinal bypass gun
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6315184B1 (en) 1999-06-02 2001-11-13 Powermed, Inc. Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling 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
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US6193129B1 (en) 2000-01-24 2001-02-27 Ethicon Endo-Surgery, Inc. Cutting blade for a surgical anastomosis stapling instrument
HU225908B1 (en) 2000-01-24 2007-12-28 Ethicon Endo Surgery Europe Surgical circular stapling head
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US6273897B1 (en) 2000-02-29 2001-08-14 Ethicon, Inc. Surgical bettress and surgical stapling apparatus
US9173658B2 (en) * 2000-03-06 2015-11-03 Covidien Lp Apparatus and method for performing a bypass procedure in a digestive system
WO2001066020A2 (en) 2000-03-06 2001-09-13 United States Surgical Apparatus and method for performing a bypass procedure in a digestive system
IL139788A (en) 2000-11-20 2006-10-05 Minelu Zonnenschein Stapler for endoscopes
US6592596B1 (en) 2000-05-10 2003-07-15 Scimed Life Systems, Inc. Devices and related methods for securing a tissue fold
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6821282B2 (en) 2000-11-27 2004-11-23 Scimed Life Systems, Inc. Full thickness resection device control handle
US8286845B2 (en) 2000-11-27 2012-10-16 Boston Scientific Scimed, Inc. Full thickness resection device control handle
US6398795B1 (en) 2000-11-30 2002-06-04 Scimed Life Systems, Inc. Stapling and cutting in resectioning for full thickness resection devices
US6439446B1 (en) 2000-12-01 2002-08-27 Stephen J. Perry Safety lockout for actuator shaft
WO2002047562A1 (fr) 2000-12-12 2002-06-20 Olympus Optical Co., Ltd. Trocart et systeme de trocart
US6503259B2 (en) 2000-12-27 2003-01-07 Ethicon, Inc. Expandable anastomotic device
US6632237B2 (en) 2001-01-11 2003-10-14 Bio-Seal Tech, Inc. Device and method for sealing a puncture in a blood vessel
US7438718B2 (en) 2001-01-24 2008-10-21 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
AU2002242071B2 (en) 2001-01-31 2006-10-19 Rex Medical, Inc. Apparatus and method for stapling and resectioning gastro-esophageal tissue
US6769590B2 (en) 2001-04-02 2004-08-03 Susan E. Vresh Luminal anastomotic device and method
EP1377222B1 (en) * 2001-04-03 2011-10-19 Tyco Healthcare Group LP Surgical stapling device
US6632227B2 (en) 2001-08-24 2003-10-14 Scimed Life Systems, Inc. Endoscopic resection devices
JP2005502421A (ja) 2001-09-17 2005-01-27 ガルシア・ビセンテ ヒレテ 開頭手術用骨固定具
US6578751B2 (en) 2001-09-26 2003-06-17 Scimed Life Systems, Inc. Method of sequentially firing staples using springs and a rotary or linear shutter
US20070060952A1 (en) 2005-09-02 2007-03-15 Roby Mark S Surgical stapling device with coated knife blade
US6605098B2 (en) 2001-09-28 2003-08-12 Ethicon, Inc. Surgical device for creating an anastomosis between first and second hollow organs
AU2002362751B2 (en) 2001-10-05 2008-07-03 Covidien Lp Tilt top anvil for a surgical fastener device
US6605078B2 (en) 2001-11-26 2003-08-12 Scimed Life Systems, Inc. Full thickness resection device
DE10158246C1 (de) 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Chirurgisches Klammersetzinstrument
US6981979B2 (en) 2001-12-14 2006-01-03 Enrico Nicolo Surgical anastomotic devices
US20030111507A1 (en) 2001-12-14 2003-06-19 George Nunez Balloon actuator for use in a resectioning device
US6905504B1 (en) 2002-02-26 2005-06-14 Cardica, Inc. Tool for performing end-to-end anastomosis
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
US7141055B2 (en) 2002-04-24 2006-11-28 Surgical Connections, Inc. Resection and anastomosis devices and methods
EP1496805B1 (en) 2002-04-25 2012-01-11 Tyco Healthcare Group LP Surgical instruments including micro-electromechanical systems (mems)
US6685079B2 (en) 2002-05-24 2004-02-03 Scimed Life Systems, Inc. Full thickness resectioning device
US6769594B2 (en) 2002-05-31 2004-08-03 Tyco Healthcare Group, Lp End-to-end anastomosis instrument and method for performing same
US7195142B2 (en) 2003-05-30 2007-03-27 Tyco Healthcare Group Lp End-to-end anastomosis instrument and method for performing same
ES2383252T3 (es) 2002-06-17 2012-06-19 Tyco Healthcare Group Lp Estructuras anulares de soporte
IL150855A (en) 2002-07-22 2007-06-03 Leonid Monassevitch Intratubular anastomosis apparatus
EP1545338B1 (en) 2002-10-04 2009-04-15 Tyco Healthcare Group Lp Surgical stapling device
US7481347B2 (en) 2002-10-04 2009-01-27 Tyco Healthcare Group Lp Pneumatic powered surgical stapling device
US7220237B2 (en) 2002-10-23 2007-05-22 Satiety, Inc. Method and device for use in endoscopic organ procedures
US7335212B2 (en) 2002-12-16 2008-02-26 Edrich Vascular Devices, Inc. Multiple stapling device for narrow blood vessels
AU2003303337B9 (en) 2002-12-20 2008-11-20 Covidien Lp Vacuum assisted surgical stapler
US6852122B2 (en) 2003-01-23 2005-02-08 Cordis Corporation Coated endovascular AAA device
KR100547166B1 (ko) 2003-04-11 2006-01-26 허윤석 개량형 단단문합기
EP1635712B1 (en) 2003-06-20 2015-09-30 Covidien LP Surgical stapling device
JP4755983B2 (ja) 2003-07-16 2011-08-24 タイコ ヘルスケア グループ リミテッド パートナーシップ 組織テンショナーを備えた外科用ステープル留めデバイス
US7686201B2 (en) 2003-09-01 2010-03-30 Tyco Healthcare Group Lp Circular stapler for hemorrhoid operations
US7547312B2 (en) 2003-09-17 2009-06-16 Gore Enterprise Holdings, Inc. Circular stapler buttress
US7309341B2 (en) 2003-09-30 2007-12-18 Ethicon Endo-Surgery, Inc. Single lumen anastomosis applier for self-deploying fastener
US7785294B2 (en) 2003-09-30 2010-08-31 Ethicon Endo-Surgery, Inc. Woven protector for trocar seal assembly
US7364060B2 (en) 2003-10-17 2008-04-29 Tyco Healthcare Group Lp Surgical stapling device with tiltable anvil head
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
US7585306B2 (en) 2003-12-24 2009-09-08 Maquet Cardiovascular Llc Anastomosis device, tools and methods of using
US8590764B2 (en) 2003-12-24 2013-11-26 Boston Scientific Scimed, Inc. Circumferential full thickness resectioning device
US6953138B1 (en) 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
US7086267B2 (en) 2004-02-18 2006-08-08 Frank W. Dworak Metal-forming die and method for manufacturing same
US7118528B1 (en) 2004-03-16 2006-10-10 Gregory Piskun Hemorrhoids treatment method and associated instrument assembly including anoscope and cofunctioning tissue occlusion device
EP1729651B1 (en) 2004-03-19 2012-12-05 Tyco Healthcare Group LP Anvil assembly with improved cut ring
US8181840B2 (en) 2004-03-19 2012-05-22 Tyco Healthcare Group Lp Tissue tensioner assembly and approximation mechanism for surgical stapling device
US7585307B2 (en) 2004-05-17 2009-09-08 Edrich Health Technologies, Inc. Surgical stapling system
JP4257270B2 (ja) 2004-07-14 2009-04-22 オリンパス株式会社 生体組織縫合方法及び生体組織縫合器
US7410086B2 (en) 2004-07-28 2008-08-12 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for circular stapler
US7182239B1 (en) 2004-08-27 2007-02-27 Myers Stephan R Segmented introducer device for a circular surgical stapler
KR100646762B1 (ko) 2004-09-10 2006-11-23 인하대학교 산학협력단 수술용 스테이플 및 이를 구비한 수술용 자동 문합기
US8372094B2 (en) 2004-10-15 2013-02-12 Covidien Lp Seal element for anastomosis
US7938307B2 (en) 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
US7455682B2 (en) 2004-10-18 2008-11-25 Tyco Healthcare Group Lp Structure containing wound treatment material
JP4836090B2 (ja) 2004-10-18 2011-12-14 タイコ ヘルスケア グループ リミテッド パートナーシップ 環状接着性構造体
EP1804843B1 (en) 2004-10-18 2014-12-03 Covidien LP Adhesive suture structure
EP1802237B1 (en) 2004-10-18 2018-08-08 Covidien LP Compression anastomosis device
US7845536B2 (en) 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
US7922743B2 (en) 2004-10-18 2011-04-12 Tyco Healthcare Group Lp Structure for applying sprayable wound treatment material
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
ITMI20042132A1 (it) 2004-11-05 2005-02-05 Ethicon Endo Surgery Inc Dispositivo e metodo per la terapia dell'obesita'
US7207168B2 (en) 2004-11-19 2007-04-24 The Schnipke Family Limited Liability Company Apparatus and method for inserting staple drivers in a cartridge
US7770776B2 (en) 2005-01-26 2010-08-10 Suzhou Touchstone International Medical Science Co., Ltd Rotatable stapling head of a surgical stapler
US20060201989A1 (en) 2005-03-11 2006-09-14 Ojeda Herminio F Surgical anvil and system for deploying the same
US9364229B2 (en) 2005-03-15 2016-06-14 Covidien Lp Circular anastomosis structures
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US7959050B2 (en) 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US8573462B2 (en) 2006-05-19 2013-11-05 Ethicon Endo-Surgery, Inc. Electrical surgical instrument with optimized power supply and drive
US20070029363A1 (en) 2005-08-07 2007-02-08 Sergey Popov Surgical apparatus with remote drive
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7771440B2 (en) 2005-08-18 2010-08-10 Ethicon Endo-Surgery, Inc. Method and apparatus for endoscopically performing gastric reduction surgery in a single pass
US7419495B2 (en) * 2005-08-25 2008-09-02 Microline Pentax Inc. Trigger lockout device for clip applying instrument
US20070194079A1 (en) 2005-08-31 2007-08-23 Hueil Joseph C Surgical stapling device with staple drivers of different height
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
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
CN2868208Y (zh) 2005-12-14 2007-02-14 苏州天臣国际医疗科技有限公司 设有自动保险机构的圆管型装订仪
US7422138B2 (en) 2006-02-01 2008-09-09 Ethicon Endo-Surgery, Inc. Elliptical intraluminal surgical stapler for anastomosis
US7793813B2 (en) 2006-02-28 2010-09-14 Tyco Healthcare Group Lp Hub for positioning annular structure on a surgical device
US20100019016A1 (en) 2006-03-23 2010-01-28 Edoga John K Vascular Anastomotic Staplers
ATE450208T1 (de) 2006-07-07 2009-12-15 Ethicon Endo Surgery Inc Chirurgische klammersetzvorrichtung
US7527185B2 (en) 2006-07-12 2009-05-05 Niti Surgical Solutions Ltd. Compression anastomosis ring assembly and applicator for use therewith
US7753246B2 (en) 2007-01-31 2010-07-13 Tyco Healthcare Group Lp Surgical instrument with replaceable loading unit
WO2008107918A1 (en) 2007-03-07 2008-09-12 Carlo Rebuffat Stapler for mucosectomy
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
US7978403B2 (en) 2007-05-10 2011-07-12 Stc.Unm Imaging interferometric microscopy
US8038045B2 (en) 2007-05-25 2011-10-18 Tyco Healthcare Group Lp Staple buttress retention system
US7600663B2 (en) 2007-07-05 2009-10-13 Green David T Apparatus for stapling and incising tissue
US7967181B2 (en) 2007-08-29 2011-06-28 Tyco Healthcare Group Lp Rotary knife cutting systems
US9023014B2 (en) 2007-09-21 2015-05-05 Covidien Lp Quick connect assembly for use between surgical handle assembly and surgical accessories
US20090082785A1 (en) 2007-09-24 2009-03-26 Milliman Keith L Anvil Delivery Device Accessory
US8011554B2 (en) 2008-01-09 2011-09-06 Tyco Healthcare Group, Lp Raised boss for staple guide
US9179912B2 (en) * 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8733611B2 (en) 2008-03-12 2014-05-27 Covidien Lp Ratcheting mechanism for surgical stapling device
US8020741B2 (en) 2008-03-18 2011-09-20 Barosense, Inc. Endoscopic stapling devices and methods
US8231041B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US8640940B2 (en) 2008-04-30 2014-02-04 Educational Foundation Jichi Medical University Surgical system and surgical method for natural orifice transluminal endoscopic surgery (NOTES)
US8011551B2 (en) 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
US8109426B2 (en) 2008-08-12 2012-02-07 Tyco Healthcare Group Lp Surgical tilt anvil assembly
US8672931B2 (en) 2008-08-18 2014-03-18 3JT Enterprises, LLC Cryosurgical device with metered dose
US20100051668A1 (en) 2008-09-03 2010-03-04 Milliman Keith L Surgical instrument with indicator
US8113405B2 (en) 2008-09-03 2012-02-14 Tyco Healthcare Group, Lp Surgical instrument with indicator
US8181838B2 (en) 2008-09-10 2012-05-22 Tyco Healthcare Group Lp Surgical stapling device
US7837080B2 (en) 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
US20100084453A1 (en) 2008-10-03 2010-04-08 Changzhou Waston Medical Appliance Co., Ltd Circular stapler
US8608045B2 (en) * 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US7918377B2 (en) 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
US7886951B2 (en) 2008-11-24 2011-02-15 Tyco Healthcare Group Lp Pouch used to deliver medication when ruptured
US8770460B2 (en) 2008-12-23 2014-07-08 George E. Belzer Shield for surgical stapler and method of use
US8408441B2 (en) 2009-01-06 2013-04-02 Covidien Lp Surgical stapler
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US8418909B2 (en) 2009-06-02 2013-04-16 Covidien Lp Surgical instrument and method for performing a resection
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
US8276802B2 (en) 2009-07-11 2012-10-02 Tyco Healthcare Group Lp Surgical instrument with double cartridge and anvil assemblies
US20110011916A1 (en) 2009-07-16 2011-01-20 New York University Anastomosis device
US8328062B2 (en) 2009-07-21 2012-12-11 Covidien Lp Surgical instrument with curvilinear tissue-contacting surfaces
US8267301B2 (en) 2009-08-19 2012-09-18 Tyco Healthcare Group Lp Surgical stapler
HU229773B1 (hu) 2009-09-02 2014-06-30 Eszköz sebészeti beavatkozáshoz
US20130032628A1 (en) 2009-10-26 2013-02-07 B. J. Zh. F. Panther Medical Equipment Co., Ltd. Anorectal surgical instrument and anal dilator
US8322590B2 (en) 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
US8430292B2 (en) 2009-10-28 2013-04-30 Covidien Lp Surgical fastening apparatus
US8413872B2 (en) 2009-10-28 2013-04-09 Covidien Lp Surgical fastening apparatus
US8899466B2 (en) 2009-11-19 2014-12-02 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
CN102188271B (zh) 2010-03-08 2012-10-10 北京中法派尔特医疗设备有限公司 可侧倒和复位的抵钉座组件及采用该抵钉座组件的吻合器
US8662370B2 (en) 2010-04-08 2014-03-04 Hidehisa Thomas Takei Introducer system and assembly for surgical staplers
US8613383B2 (en) * 2010-07-14 2013-12-24 Ethicon Endo-Surgery, Inc. Surgical instruments with electrodes
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US8925782B2 (en) * 2010-09-30 2015-01-06 Ethicon Endo-Surgery, Inc. Implantable fastener cartridge comprising multiple layers
US8998061B2 (en) 2010-10-01 2015-04-07 Covidien Lp Surgical fastener applying apparatus
US20120145755A1 (en) 2010-12-14 2012-06-14 Pk Products, Llc Tool securing device and methods related thereto
US8496157B2 (en) 2011-02-18 2013-07-30 Covidien Lp Tilting anvil for annular surgical stapler
US8479968B2 (en) 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US9649113B2 (en) 2011-04-27 2017-05-16 Covidien Lp Device for monitoring physiological parameters in vivo
US8490850B2 (en) 2011-04-29 2013-07-23 Covidien Lp Circular stapler with controlled tissue compression
US8746532B2 (en) 2011-05-19 2014-06-10 Ethicon Endo-Surgery, Inc. Anvil and cartridge alignment configuration for a circular stapler
GB2492987A (en) 2011-07-19 2013-01-23 Surgical Innovations Ltd Optical trocar assembly
US20130060258A1 (en) 2011-08-26 2013-03-07 Carman Giacomantonio Endoluminal Surgical Instrument for Stapling, Cutting and Dividing
US9016547B2 (en) 2011-10-26 2015-04-28 Covidien Lp EEA tilt top anvil with ratchet/locking mechanism
US9113885B2 (en) 2011-12-14 2015-08-25 Covidien Lp Buttress assembly for use with surgical stapling device
US9010608B2 (en) 2011-12-14 2015-04-21 Covidien Lp Releasable buttress retention on a surgical stapler
US8967448B2 (en) 2011-12-14 2015-03-03 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
US9351731B2 (en) 2011-12-14 2016-05-31 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US9220505B2 (en) 2011-12-16 2015-12-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with locking feature to lock anvil actuator
US9603599B2 (en) 2011-12-16 2017-03-28 Ethicon Endo-Surgery, Llc Feature to reengage safety switch of tissue stapler
US9549738B2 (en) 2012-01-05 2017-01-24 Ethicon Endo-Surgery, Llc Ratcheting feature on tissue staple trigger to prevent premature jaw opening
US9186148B2 (en) 2012-01-05 2015-11-17 Ethicon Endo-Surgery, Inc. Tissue stapler anvil feature to prevent premature jaw opening
US9095340B2 (en) 2012-01-05 2015-08-04 Ethicon Endo-Surgery, Inc. Tissue stapler safety switch feature to prevent premature jaw opening
US20130175315A1 (en) 2012-01-11 2013-07-11 Covidien Lp Method and device for performing a surgical anastomosis
US9168042B2 (en) 2012-01-12 2015-10-27 Covidien Lp Circular stapling instruments
US9010605B2 (en) 2012-01-12 2015-04-21 Covidien Lp Sliding sleeve for circular stapling instrument reloads
US9010609B2 (en) 2012-01-26 2015-04-21 Covidien Lp Circular stapler including buttress
US9010612B2 (en) 2012-01-26 2015-04-21 Covidien Lp Buttress support design for EEA anvil
US9326773B2 (en) 2012-01-26 2016-05-03 Covidien Lp Surgical device including buttress material
US9038882B2 (en) 2012-02-03 2015-05-26 Covidien Lp Circular stapling instrument
US9022274B2 (en) 2012-02-15 2015-05-05 Covidien Lp Circular stapler with increased lumen diameter
US20130284792A1 (en) 2012-04-26 2013-10-31 Covidien Lp Surgical Stapling Device Including A Camera
US9226751B2 (en) * 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US10213205B2 (en) 2012-07-06 2019-02-26 Covidien Lp T-slot tilt anvil for circular stapling instrument
US9730694B2 (en) * 2014-07-01 2017-08-15 Covidien Lp Loading unit including shipping assembly
US10226254B2 (en) * 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US9987001B2 (en) * 2015-06-12 2018-06-05 Covidien Lp Surgical anastomosis apparatus
US10111684B2 (en) 2015-09-25 2018-10-30 Covidien Lp Adapter assembly including a removable trocar assembly
US10426470B2 (en) * 2016-11-04 2019-10-01 Covidien Lp Stapling device with releasable knife carrier
US11051819B2 (en) * 2018-10-15 2021-07-06 Cilag Gmbh International Latch to prevent back-driving of circular surgical stapler

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5104025A (en) * 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
CN201179085Y (zh) * 2008-02-25 2009-01-14 瑞奇外科器械(北京)有限公司 外科直线吻合器单手柄多操作装置
US20100001037A1 (en) * 2008-07-07 2010-01-07 Racenet Danyel Tarinelli Surgical instrument with elongated channel
CN104602619A (zh) * 2012-06-28 2015-05-06 伊西康内外科公司 用于旋转动力式外科器械的差速锁定结构
CN104042292A (zh) * 2013-03-15 2014-09-17 柯惠Lp公司 包括可重复利用的组件的手术吻合装置

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