CN107019537A - 用于将机电手术装置和手术装载单元互连的带有行星齿轮驱动的接合器组件及其手术系统 - Google Patents
用于将机电手术装置和手术装载单元互连的带有行星齿轮驱动的接合器组件及其手术系统 Download PDFInfo
- Publication number
- CN107019537A CN107019537A CN201710053765.5A CN201710053765A CN107019537A CN 107019537 A CN107019537 A CN 107019537A CN 201710053765 A CN201710053765 A CN 201710053765A CN 107019537 A CN107019537 A CN 107019537A
- Authority
- CN
- China
- Prior art keywords
- gear
- adapter assembly
- distal end
- distal
- worm
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000001356 surgical procedure Methods 0.000 title abstract description 5
- 241000239290 Araneae Species 0.000 claims description 19
- 230000033001 locomotion Effects 0.000 claims description 8
- 230000003068 static effect Effects 0.000 claims description 2
- 230000000994 depressogenic effect Effects 0.000 description 18
- 239000012636 effector Substances 0.000 description 13
- 230000003872 anastomosis Effects 0.000 description 6
- 230000007246 mechanism Effects 0.000 description 6
- 230000003321 amplification Effects 0.000 description 5
- 238000009434 installation Methods 0.000 description 5
- 238000003199 nucleic acid amplification method Methods 0.000 description 5
- 230000008859 change Effects 0.000 description 4
- 241000237858 Gastropoda Species 0.000 description 2
- 238000005299 abrasion Methods 0.000 description 2
- 230000003213 activating effect Effects 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000007493 shaping process Methods 0.000 description 2
- 210000004210 tooth component Anatomy 0.000 description 2
- 230000004913 activation Effects 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16H—GEARING
- F16H19/00—Gearings comprising essentially only toothed gears or friction members and not capable of conveying indefinitely-continuing rotary motion
- F16H19/001—Gearings comprising essentially only toothed gears or friction members and not capable of conveying indefinitely-continuing rotary motion for conveying reciprocating or limited rotary motion
- F16H19/003—Gearings comprising essentially only toothed gears or friction members and not capable of conveying indefinitely-continuing rotary motion for conveying reciprocating or limited rotary motion comprising a flexible member
- F16H19/005—Gearings comprising essentially only toothed gears or friction members and not capable of conveying indefinitely-continuing rotary motion for conveying reciprocating or limited rotary motion comprising a flexible member for conveying oscillating or limited rotary motion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/71—Manipulators operated by drive cable mechanisms
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
- B25F—COMBINATION OR MULTI-PURPOSE TOOLS NOT OTHERWISE PROVIDED FOR; DETAILS OR COMPONENTS OF PORTABLE POWER-DRIVEN TOOLS NOT PARTICULARLY RELATED TO THE OPERATIONS PERFORMED AND NOT OTHERWISE PROVIDED FOR
- B25F3/00—Associations of tools for different working operations with one portable power-drive means; Adapters therefor
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16H—GEARING
- F16H57/00—General details of gearing
- F16H57/02—Gearboxes; Mounting gearing therein
- F16H57/038—Gearboxes for accommodating bevel gears
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16H—GEARING
- F16H57/00—General details of gearing
- F16H57/02—Gearboxes; Mounting gearing therein
- F16H57/039—Gearboxes for accommodating worm gears
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00389—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
- A61B2017/00473—Distal part, e.g. tip or head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
Abstract
本公开涉及用于将机电手术装置和手术装载单元互连的带有行星齿轮驱动的接合器组件及其手术系统。本公开涉及与机电手术装置和手术装载单元联用并且将它们机械地和电气地互连的接合器组件,并且涉及包括手持式机电手术装置和用于将手术装载单元连接至该手持式机电手术装置的接合器组件的手术系统。
Description
相关申请的交叉引用
本申请要求于2016年1月21日提交的美国临时专利申请第62/281,275号的权益和优先权,其全部公开内容通过引用并入本文。
技术领域
本公开涉及用在手术系统中的接合器组件。更具体地,本公开涉及与机电手术装置和手术装载单元联用并且将它们机械地和电气地互连的接合器组件,并且涉及包括手持式机电手术装置和用于将手术装载单元连接至该手持式机电手术装置的接合器组件的手术系统。
背景技术
许多手术装置制造商已经开发了具有用于操作和/或操纵手术装置的专用动力驱动系统的产品线。在许多情况下,手术装置包括可再使用的动力手柄组件和一次性末端执行器等,该一次性末端执行器等在使用之前选择性地连接至动力手柄组件,然后在使用之后与末端执行器断开以便处置丢弃或在一些情况下消毒用于再次使用。
用于与许多现有的动力手术装置和/或手柄组件一起使用的许多现有的末端执行器由线性力驱动。例如,用于执行胃肠内吻合术操作、端对端吻合术操作和横向吻合术操作的末端执行器均通常需要线性驱动力以便操作。因此,这些末端执行器不与使用旋转运动来输送动力等的手术装置和/或手柄组件兼容。
为了使线性驱动的末端执行器与使用旋转运动来输送动力的动力手术装置和/或手柄组件兼容,接合器和/或接合器组件被用以在线性驱动的末端执行器与动力旋转驱动的手术装置和/或手柄组件之间交互并且将线性驱动的末端执行器与动力旋转驱动的手术装置和/或手柄组件互连。例如,在以电动机为动力的吻合装置中,丝杠/螺母组件用以将旋转电动机转矩转换为线性力。该线性力用于夹紧吻合装置的钳夹并且推进楔块以推进吻合钉推进器来使吻合钉成形。在以电动机为动力的关节式运动吻合装置中,期望将丝杠放置在关节式运动接头的前方。然而,线性力难以在无显著损失的情况下穿过关节式运动接头中的弯曲部(例如,90°的弯曲部),并且需要增加的转矩穿过关节式运动接头来执行夹紧和/或吻合操作。
因此,存在对如下的一种动力旋转从动手术装置的需求,该动力旋转从动手术装置需要穿过关节式运动接头的较少的转矩来驱动线性从动末端执行器以将磨损最小化并延长手术装置的使用寿命。
发明内容
根据本公开的方案,一种用于将构造成执行功能的手术装载单元和构造成致动所述手术装载单元的手术装置选择性地互连的接合器组件包括外壳、外管和发射组件,所述手术装载单元包括可轴向平移的驱动构件,并且所述手术装置包括多个可旋转驱动轴。所述外壳构造成并且适于连接于所述手术装置。所述外管从所述外壳向远侧延伸至构造成并且适于连接于所述手术装载单元的远侧端部。所述发射组件支撑在所述外壳和所述外管内,并且从近侧至远侧包括发射轴、锥齿轮组件、齿圈、太阳齿轮、多个行星齿轮、支架板和远侧齿轮。所述发射轴包括构造用于操作性接合所述手术装置的多个可旋转驱动轴中的可旋转驱动轴的近侧端。所述锥齿轮组件包括与所述发射轴的远侧端部机械性接合的近侧端。所述齿圈设置在所述外管的所述远侧端部内,所述太阳齿轮在所述齿圈内设置在所述锥齿轮组件的远侧端处,并且所述多个行星齿轮围绕着所述太阳齿轮的齿并且啮合地接合于所述太阳齿轮的齿和所述齿圈的齿设置。所述支架板可操作地联接至所述多个行星齿轮,并且所述远侧齿轮设置在从所述支架板向远侧延伸的轴上。所述远侧齿轮被可操作地接合于所述手术装载单元的所述可轴向平移的驱动构件。
在实施例中,所述外管的所述远侧端部包括关节式运动接头。在一些实施例中,所述锥齿轮组件设置在所述关节式运动接头的近侧。在某些实施例中,所述太阳齿轮和所述多个行星齿轮设置在所述关节式运动接头的远侧。
所述锥齿轮组件可包括近侧锥齿轮,所述近侧锥齿轮包括从其向近侧延伸的杆,所述杆通过轴承可操作地联接至所述发射轴的远侧端部。所述锥齿轮组件可进一步包括与所述近侧锥齿轮接合的中央锥齿轮。所述锥齿轮组件可进一步包括与所述中央锥齿轮接合的远侧锥齿轮。在一些实施例中,所述锥齿轮组件的所述远侧锥齿轮包括从其向远侧延伸的杆,并且所述太阳齿轮稳固至所述远侧锥齿轮的所述杆。
所述支架板可包括近侧表面,所述近侧表面包括从其向近侧延伸的多个销桩,所述多个销桩可设置在所述多个行星齿轮中所限定的开孔中。
所述接合器组件可进一步包括关节式运动组件,所述关节式运动组件包括蜗齿轮组件、旋转线缆和关节式运动线缆。所述蜗齿轮组件可包括设置在所述外壳内的第一蜗杆驱动器和第二蜗杆驱动器。所述旋转线缆可以被可操作地连接至所述蜗齿轮组件的所述第一蜗杆驱动器并且从所述蜗齿轮组件的所述第一蜗杆驱动器向远侧延伸穿过所述外管至所述齿圈,所述齿圈设置在所述关节式运动接头的远侧,使得第一蜗杆驱动器的旋转引起所述外管的所述远侧端部的旋转。所述关节式运动线缆可以被可操作地连接至所述蜗齿轮组件的所述第二蜗杆驱动器并且从所述蜗齿轮组件的所述第二蜗杆驱动器向远侧延伸至在所述外管内设置在所述关节式运动接头的远侧的保持构件,使得所述第二蜗杆驱动器的旋转引起所述外管的所述远侧端部关于所述关节式运动接头的关节式运动。
所述第一蜗杆驱动器和所述第二蜗杆驱动器中的每个可以包括与蜗轮啮合地接合的蜗杆,其中每个蜗杆构造成操作性地连接于所述手术装置的所述多个驱动轴中的可旋转驱动轴。
在一些实施例中,所述旋转线缆包括缠绕在所述第一蜗杆驱动器的所述蜗轮的鼓部周围的近侧端和缠绕在所述齿圈的鼓形部周围的远侧端。在一些实施例中,所述关节式运动线缆包括缠绕在所述第二蜗杆驱动器的所述蜗轮的鼓部周围的近侧端和联接至相应的保持构件的远侧端。所述关节式运动线缆可以包括设置在所述关节式运动线缆的所述近侧端和所述远侧端之间的弹簧。
所述关节式运动组件可以进一步包括分别用于引导所述旋转线缆和所述关节式运动线缆的第一线缆导向轮和第二线缆导向轮。在一些实施例中,所述第一线缆导向轮和所述第二线缆导向轮在形状上是圆形的,并且在一些实施例中,所述第一线缆导向轮和所述第二线缆导向轮是凸轮形的。
在实施例中,所述发射组件进一步包括星形齿轮,所述星形齿轮可操作地联接至所述支架板并且设置在所述齿圈的近侧,并且所述外管的所述远侧端部包括开关,所述开关具有从所述开关的远侧端向远侧延伸的凸起和朝向所述外管的中心向内延伸的延伸部。所述开关是能够在近侧位置和远侧位置之间移动的,在所述近侧位置,所述凸起从所述齿圈脱离并且所述延伸部与所述星形齿轮接合,使得所述支架板保持静止以允许所述多个行星齿轮使所述外管的所述远侧端部旋转,在所述远侧位置,所述凸起与所述齿圈接合并且所述延伸部从所述星形齿轮脱离,使得所述齿圈保持静止以允许所述多个行星齿轮实现所述手术装载单元的功能。
所述接合器组件可以进一步包括关节式运动组件,所述关节式运动组件包括蜗齿轮组件、牵拉线缆和关节式运动线缆。所述蜗齿轮组件可以包括设置在所述外壳内的第一蜗杆驱动器和第二蜗杆驱动器。所述牵拉线缆可以被可操作地连接至所述蜗齿轮组件的所述第一蜗杆驱动器并且从所述蜗齿轮组件的所述第一蜗杆驱动器向远侧延伸到所述外管中,并且可以构造成使所述开关在所述近侧位置和所述远侧位置之间移动。所述关节式运动线缆可以被可操作地连接至所述蜗齿轮组件并且从所述蜗齿轮组件向远侧延伸至在所述外管内设置在所述关节式运动接头的远侧的保持构件,使得所述第二蜗杆驱动器的旋转引起所述外管的所述远侧端部关于所述关节式运动接头的关节式运动。
所述关节式运动组件可以进一步包括包含凸轮的第一线缆导向轮,并且所述牵拉线缆可以包括缠绕在所述蜗齿轮组件的所述第一蜗杆驱动器的蜗轮的鼓部周围的近侧端和缠绕在所述第一线缆导向轮周围的远侧端,使得所述第一蜗杆驱动器的旋转引起所述凸轮抵着所述开关的凸轮表面的移动以使所述开关在所述近侧位置和所述远侧位置之间移动。
实施例可以包括以下优势中的一个以上的优势。在实施例中,本公开的接合器组件包括放置在关节式运动接头的远侧的行星齿轮组件以将通过关节式运动接头所需的扭矩最小化。通过将行星齿轮组件放置在关节式运动接头的远侧,锥齿轮需要传递的扭矩量由于行星齿轮所提供的传动比而减少了近75%至80%。锥齿轮上的较小扭矩需要量可以延长接合器组件的使用寿命并且最小化磨损。在实施例中,行星齿轮组件得以被平衡并且具有总是啮合的多个齿轮,这样减轻了齿轮的齿上和轴承上的应力。
下面将参照附图更为详细地描述本公开的示例性实施例的更多的细节和方案。
附图说明
并入和构成了本说明书的一部分的附图图示说明了本公开的实施例,并且连同上文给出的本公开的一般性描述和下面给出的(一个或多个)实施例的详细说明一起用于解释本公开的原理,其中:
图1是根据本公开的原理的机电手术系统的立体图;
图2是图1的机电手术系统的接合器组件的立体图;
图3是图1和图2的接合器组件的另一立体图;
图4是图2中所示的标记细节区域的放大立体图;
图5是图3中所示的标记细节区域的放大立体图;
图6是沿着图4的线6-6截取的图1至图4的接合器组件的远侧端部的剖视图;
图7是图1至图6的接合器组件的远侧端部在零件分离状态下的立体图;
图8是图1至图3的接合器组件的外壳的内部部件在零件被去除状态下的顶部立体图;
图9是设置在图8的接合器组件的外壳内的蜗齿轮组件的放大立体图;
图10是图1至图3以及图8的接合器组件的外壳的侧视剖视图;
图11是图1至图7的接合器组件的外管的内部部件在零件去除状态下的立体图;
图12是图1至图7的接合器组件的远侧端部的放大立体图;
图13是沿着图6的线13-13截取的图1至图6的接合器组件的剖视图;
图14是沿着图6的线14-14截取的图1至图6的接合器组件的剖视图;
图15是沿着图6的线15-15截取的图1至图6的接合器组件的剖视图;
图16是图1至图7以及图11至图15的接合器组件的远侧端部在零件去除状态下的立体图;
图17是图1至图7以及图11至图15的接合器组件的远侧端部在零件去除状态下的另一立体图;
图18是图1至图7以及图11至图15的接合器组件的远侧端部在零件去除状态下的又一立体图;
图19是图1至图7以及图11至图15的接合器组件的远侧端部在零件去除状态下的再一立体图;
图20是图1的机电手术系统的手术装载单元在零件分离状态下的放大立体图;
图21是根据本公开的另一实施例的接合器组件的远侧端部在零件去除状态下的立体图;
图22是图21的接合器组件的远侧端部的俯视图;
图23是根据本公开的另一实施例的接合器组件的远侧端部在零件去除状态下的立体图;
图24是图23的接合器组件的远侧端部在零件去除状态下的另一立体图;并且
图25是图23和图24的接合器组件的远侧端部的剖视图。
具体实施方式
本公开的机电手术系统包括采用动力手持式机电器械的形式的手术装置,其构造用于选择性地附接至多个不同的末端执行器,所述多个不同的末端执行器均构造用于由动力手持式机电手术器械致动和操纵。具体地,当前描述的机电手术系统包括将动力手持式机电手术器械互连至多个不同的末端执行器的接合器组件。每个接合器组件包括关节式运动组件以及发射组件,所述发射组件被操作地联接至动力手持式机电手术器械,用于实现多个不同的末端执行器的致动和/或操纵
当前公开的机电手术系统、手术装置/手柄组件、接合器组件和/或装载单元的实施例参照附图进行详细描述,其中相同的参考标号在若干视图的每幅视图中表示相同或对应的元件。正如在此使用的,术语“远侧”指系统、组件、装置和/或其部件的较远离用户的部分,而术语“近侧”指系统、组件、装置和/或其部件的较靠近用户的部分。
现在转到图1,根据本公开的、通常称为10的机电手术系统包括采用动力手持式机电器械的形式的手术装置100、接合器组件200和手术装载单元300(例如,末端执行器、多次或单次使用装载单元)。手术装置100构造成用于与接合器组件200选择性连接,并且接合器组件200进而构造成用于与装载单元300选择性地连接。手术装置100和接合器组件200可一起协作以致动装载单元300。
手术装置100包括手柄外壳102,所述手柄外壳102包括电路板(未示出)和位于其中的驱动机构(未示出)。电路板被配置为控制手术装置100的各种操作。手柄外壳102在其中限定了空腔(未示出),用于在其中选择性地可移除地接收可再充电电池(未示出)。电池配置成向手术装置100的任何电气部件供电。
手柄外壳102包括容纳手术装置100的各种部件的上外壳部分102a和从上外壳部分102a延伸的下把手部分102b。下把手部分102b可以布置在上外壳部分102a的最近侧端的远侧。下外壳部分102b相对于上外壳部分102a的位置被选择成平衡连接到或支撑接合器组件200的手术装置100和/或装载单元300的重量。
手柄外壳102提供了使得驱动机构(未示出)安置于其中的外壳。驱动机构构造成驱动轴和/或齿构件,以便执行手术装置100的各种操作。具体地,驱动机构构造成驱动轴和/或齿构件,以便选择性地使装载单元300绕纵向轴线“X”并且相对于接合器组件200的远侧端关节式运动、选择性地使得装载单元300绕纵向轴线“X”并且相对于手柄外壳102旋转、选择性地使装载单元300的砧座组件310和钉仓组件320相对于彼此移动/接近/分离,和/或发射装载单元300的钉仓组件320内的吻合和切割钉仓。
手柄外壳102限定了构造成接受接合器组件200的近侧端的连接部104。连接部104容纳与电路板(未示出)电连通的关节式运动接触表面105以及多个可旋转驱动轴或连接器106。多个可旋转驱动轴的每个可旋转驱动轴能够由容纳在手柄外壳102内的驱动机构(未示出)独立地致动和旋转和/或非独立地致动和旋转。在实施例中,多个可旋转驱动轴106包括彼此共面或共线布置的可旋转驱动轴106a、106b和106c。正如所能想到的,多个可旋转驱动轴能够以任意合适的构造来布置。驱动机构(未示出)可以构造成在给定时间选择性地驱动手术器械100的可旋转驱动轴106中的一个或多个。
手柄外壳102支撑多个手指致动的控制按钮、摇杆装置等,用于激活手术装置100的各种功能。例如,手柄外壳102支撑包括例如致动垫(actuation pad)108的多个致动器以实现例如装载单元300的打开、闭合和/或发射,其中致动垫108和与其协作的多个传感器108a操作性配准。手柄外壳102能够支撑致动器107a、107b,所述致动器107a、107b能够设置成与手柄外壳102的电动机电连接以实现可旋转驱动轴106a、106b和/或106c的旋转以用于其致动,以使得能够调整接合器组件200的部件中的一个或多个。任意当前描述的致动器能够具有任意合适的构造(例如,按钮、旋钮、扳钮开关、滑块等)。
对于示例性的机电手术系统的多种内部部件和操作的详细描述,可参考于2008年9月22日提交的申请号为PCT/US2008/077249的国际申请(国际公开号WO2009/039506)和于2009年11月20日提交的公开号为2011/0121049的美国专利申请,每个专利申请的全部内容通过引用合并于此,该示例性的机电手术系统的部件能与在此描述的机电手术系统10的一个或多个部件结合和/或互换。
参照图2至图3,接合器组件200包括外壳202和外管204,所述外壳202位于接合器组件200的近侧端部,所述外管204从外壳202沿着纵向轴线“X”向远侧延伸至接合器组件200的远侧端部206。接合器组件200的外壳202包括近侧外壳202a和远侧外壳202b。近侧外壳202a包括外壳主体208,所述外壳主体208将安装组件210支撑在其上。安装组件210包括安装按钮212,所述安装按钮212被偏置在延伸位置并且构造成被向下按压到按下位置。在按下位置,安装按钮212设置成紧密地靠近外壳主体208并且偏离延伸位置。安装按钮212包括倾斜接合结构件212a,所述倾斜接合结构件212a构造成接触手柄外壳102的连接部104(图1)而同时安装按钮212处于延伸位置以利于外壳202稳固至手柄外壳102的连接部104。
如图4至图7中所示,外管204的远侧端部206包括第一区段206a、在第一区段206a远侧的第二区段260b、在第二区段206b的远侧的第三区段260c以及在第三区段206c的远侧的第四区段206d。
外管204的远侧端部206的第一区段206a限定了一对螺钉开孔214,所述一对螺钉开孔214对应于第二区段206b的一对螺钉开孔216。第一区段206a的该对螺钉开孔214和第二区段206b的该对螺钉开孔216接收一对螺钉215,以将第一区段206a和第二区段206b牢固地固定在一起。
第二区段206b包括具有一对相对的开孔218a的渐缩远侧端218,并且第三区段206c包括具有一对相对的开孔220a的渐缩近侧端220,该对相对的开孔220a与第二区段206b的一对相对的开孔218a对齐。第二区段206b的该对相对的开孔218a与第三区段206c的该对相对的开孔220a接收穿过其中的杆或销222,以将第二区段206b和第三区段206c可枢转地一起固定在关节式运动接头224处。第三区段206c可以相对于第二区段206b绕由杆222定义的横向轴线“Y”关节式运动,以使第三区段206c相对于纵向轴线“X”移动。
第三区段206c包括具有圆筒形唇缘226a的远侧端226,所述圆筒形唇缘226a覆在齿圈250的凸缘式近侧端250a上方安装,所述齿圈250在其远侧端250b处固定地稳固至第四区段206d的近侧端228。
第四区段206d包括一对臂230a和230b,该对臂230a和230b位于第四区段206d的远侧端232并且间隔开且相对于彼此镜像地设置。第四区段206d包括柱塞组件234,所述柱塞组件234包括由弹簧234c偏置穿过柱塞开孔234b的柱塞234a。柱塞组件234以及该对臂230a和230b协作以便利将装载单元300的近侧端稳固至接合器组件200的外管204的远侧端部206,这会在下面更为详细地描述。舌形件236从第四区段206d伸出并且限定穿过其中的开孔236a,这同样会在下面更为详细地描述。
现在参照图7至图16,关节式运动组件240被支撑在外壳202和外管204内。关节式运动组件240包括输入插座242a和242c(图8)、设置在外壳202内的蜗齿轮组件244、旋转线缆246和关节式运动线缆248,其中,所述输入插座242a和242c分别适于联接至手柄外壳102(图1)的旋转驱动轴106a和106c,所述蜗齿轮组件144可操作地连接至输入插座242a和242c并从其向远侧延伸,所述旋转线缆246可操作地连接至蜗齿轮组件244并且从蜗齿轮组件244向远侧延伸穿过外管204至齿圈250,所述关节式运动线缆248可操作地连接至蜗齿轮组件244并且从蜗齿轮组件244向远侧延伸穿过外管204至稳固在外管204的远侧端206的第三区段206c内的保持构件252。
如图8至图10中所示,蜗齿轮组件244包括第一蜗杆驱动器254和第二蜗杆驱动器256。第一蜗杆驱动器254和第二蜗杆驱动器256各自均包括蜗杆或蜗齿轮258和蜗轮或直齿轮260。每个蜗杆258包括从相应的输入插座242a或242c向远侧延伸的螺纹主体258a,其中输入插座242a和242c的远侧端机械地联接至相应的蜗杆258的近侧端。每个蜗轮260均包括齿轮部262和鼓部264,并且限定穿过齿轮部262和鼓部264延伸的中央开孔263。在实施例中,齿轮部262和鼓部264关于中央开孔263是彼此同心的。中央开孔263构造成接收支撑轴266,所述支撑轴266稳固地保持在于外壳202中限定的凹陷部202c内,以便于每个蜗轮260稳固至外壳202。蜗轮260的齿轮部262包括位于其外表面上的多个齿262a,所述多个齿262a构造成并且定尺寸成啮合地接合蜗杆258的螺纹主体258a。鼓部264包括圆柱形鼓表面264a,所述圆柱形鼓表面264a具有在齿轮部262的侧表面262b处终止的第一端部264b以及凸缘式第二端部264c,使得第一端部264b和第二端部264c具有比鼓表面264a的直径大的直径,用于将相应的旋转线缆246或关节式运动线缆248保持在鼓表面264a上。
例如,如图7至图9、图14和图16中所示,旋转线缆246包括近侧端部246a和远侧端部246b,其中所述近侧端部246a缠绕着第一蜗杆驱动器254的蜗轮260的鼓部264的鼓表面264a,所述远侧端部246b缠绕着齿圈250的近侧鼓250c。旋转线缆246的中央部246c在近侧端部246a和远侧端部246b之间延伸,并且由多个第一滚轴266和第一线缆导向轮268a引导穿过外管204。
在使用中,手术装置100的可旋转驱动轴106c的旋转(例如,顺时针或逆时针)引起输入插座242c的对应的旋转,并因此引起接合器组件200的第一蜗杆驱动器254的蜗杆258的旋转,这进而使第一蜗杆驱动器254的蜗轮260在关于由支撑轴266限定的“Y”轴线的对应的方向上旋转。蜗轮260的旋转使旋转线缆246在对应的方向上移动/滑动,这关于纵向轴线“X”拉动和旋转齿圈250。当齿圈250的远侧端250b被固定地附接至远侧端部206的第四区段206d时,齿圈250的旋转引起外管204的远侧端部206的第四区段206d关于纵向轴线“X”的对应旋转。
如所示的,例如,在图7至图9、图11、图12、图15和图16中,关节式运动线缆248包括近侧端248a以及远侧端248b和248c,其中所述近侧端248a缠绕着第二蜗杆驱动器256的蜗轮260的鼓部264的鼓表面264a,所述远侧端248b和248c联接至保持构件252,所述保持构件252固定在于外管204的远侧端部206的第三区段206c中限定的凹陷部207内,从而将关节式运动线缆248的远侧端248b和248c稳固至外管204的远侧端部206。关节式运动线缆248的中央部248d由多个滚轴266和第二线缆导向轮268b引导。中央部248d还包括弹簧249以抵偿关节式运动线缆248的张紧/松弛在使用期间的变化。
在使用中,手术装置100的可旋转驱动轴106a的旋转(例如,顺时针或逆时针)引起输入插座242a的对应的旋转,并因此引起接合器组件200的第二蜗杆驱动器256的蜗杆258的相应旋转,这进而使第二蜗杆驱动器256的蜗轮260关于支撑轴266在对应的方向上旋转。蜗轮260的旋转牵拉/收回/张紧关节式运动线缆248的一侧并且放松/释放关节式运动线缆248的另一侧。当保持构件262设置在第三区段206c内时,关节式运动线缆248上的张紧/松弛引起第三区段206c相对于纵向轴线“X”关于关节式运动接头224的关节式运动,并因此引起外管204的远侧端部206的第四区段206d相对于纵向轴线“X”关于关节式运动接头224的关节式运动。
现在参照图7至图19,发射组件270支撑在接合器组件200的外壳202和外管204内。发射组件270包括适于联接到手柄外壳102(见图1)的可旋转驱动轴106b的输入插座242b、从输入插座242b向远侧延伸的发射轴274、从发射轴274向远侧延伸并与发射轴274机械接合的锥齿轮组件276、围绕锥齿轮组件276的一部分设置的多个行星齿轮278、可操作地联接到多个行星齿轮278的支架板280和设置在支架板280的远侧端上的远侧齿轮282。
发射轴274包括接收在输入插座242c的远侧端中并且机械地联接到输入插座242c的远侧端的近侧端部274a、从近侧端部274a向远侧延伸的主体部274b,以及具有从主体部274b向远侧延伸的渐缩形状的远侧端部274c。发射轴274的近侧端部274a支撑在外壳202内,并且穿过在第一蜗杆驱动器254和第二蜗杆驱动器256之间限定在支撑轴266内的开孔265向远侧延伸。发射轴274的远侧端部274c设置在轴承284内。
正如所示出的,例如,在图7、图12、图13以及图17至图19中,锥齿轮组件276包括彼此顺序接合的近侧锥齿轮286、中央锥齿轮288和远侧锥齿轮290。近侧锥齿轮286包括从其向近侧延伸的杆286a,所述杆286a通过轴承284可操作地连接到发射轴274的远侧端部274c用于随着发射轴274关于纵向轴线“X”旋转。近侧锥齿轮286具有沿着其远侧端形成的多个齿286b,所述多个齿286b与中央锥齿轮288的齿288a啮合地接合,使得近侧锥齿轮286的旋转引起中央锥齿轮288关于横向于纵向轴线“X”的旋转轴线旋转。中央锥齿轮288的齿288a也与远侧锥齿轮290的齿290a啮合地接合,使得中央锥齿轮288的旋转引起远侧锥齿轮290关于纵向轴线“X”的旋转。远侧锥齿轮290包括从其向远侧延伸的杆290b。太阳齿轮292设置在齿圈250内远侧锥齿轮290的杆290b的远侧端处,使得远侧锥齿轮290的旋转引起太阳齿轮292关于纵向轴线“X”的旋转。多个行星齿轮278围绕着太阳齿轮292的齿292a设置并与其啮合地接合,并且与设置在齿圈250的内表面内的齿250d啮合地接合,使得太阳齿轮292的旋转引起多个行星齿轮278在齿圈250内的旋转。
支架板280包括附接到多个行星齿轮278的近侧表面280a,使得多个行星齿轮278在齿圈250内的旋转引起支架板280的旋转。在实施例中,支架板280包括压配合到限定在多个行星齿轮278中的开孔278a中的多个销桩280b。支架板280包括从其向远侧延伸的轴280c,远侧齿轮282不可旋转地设置在所述轴280c上,使得支架板280的旋转引起远侧齿轮282关于纵向轴线“X”的相应的旋转。
如图4和图12中所示,支架板280的轴280c的最远侧端延伸到限定在外管204的远侧端部206的第四区段206d的舌形件236中的开孔236a中。舌形件236支撑远侧齿轮282,使得远侧齿轮282的齿282a安置在外管204的远侧端部206的第四区段206d的一对臂230a和230b之间。
现在转向图20,示出了手术装载单元300的实施例。装载单元300包括砧座310和钉仓组件320,所述砧座310和钉仓组件320通过一对销315a、315b销接在一起并且可在打开状态和闭合状态之间移动。砧座310和钉仓组件320协作以施加多个线性行的紧固件“F”(例如,吻合钉)。在某些实施例中,紧固件具有各种尺寸,并且在某些实施例中,紧固件被装载到的各种长度或行的钉仓组件320中,例如长度为约30mm、45mm和60mm。
钉仓组件320包括稳固到安装部324的基部322、框架部326和钉仓部328,所述钉仓部328在其组织接合表面中限定了多个紧固件保持狭槽328a和刀狭槽328b。安装部324在其近侧端上具有配合表面324a、324b,并且在其中限定了接收通道324c,其中所述接收通道324c将框架部326、钉仓部328和紧固件发射组件330支撑在其中。钉仓组件320支撑接合砧座310的偏置构件340。
紧固件发射组件330包括电接触构件332用于与接合器组件200电连接,所述电接触构件332诸如滑环等在本领域技术人员的视野范围内的其他已知电连接器,所述接合器组件200继而被配置用于与手术装置100(图1)的电路板(未示出)的电连接。紧固件发射组件还包括轴承构件334、接合外管204的远侧端部206的远侧齿轮282的齿轮构件336以及螺杆组件338。螺杆组件338包括丝杠338a、驱动梁338b以及可与多个推动器构件338d接合的致动滑块338c。
钉仓组件320还支撑一对柱塞组件350a、350b。该对柱塞组件350a、350b中的每一个包括弹簧352、柱塞354和将每个柱塞组件稳固到安装部324的销356。柱塞组件350a、350b与钉仓部328的近侧端协作以便于钉仓部328稳固在安装部324内。
为了将装载单元300的近侧端固定到接合器组件200的外管204的远侧端部206,装载单元300的近侧端与外管204的远侧端部206对准,使得装载单元300的近侧端可以与远侧端部206卡扣在一起,如图1所示的,使得装载单元300的配合表面324a和324b接合于远侧端部206的第四区段206d的一对臂230a和230b,使得装载单元300的齿轮构件336的齿与接合器组件200的远侧齿轮282的齿282a相啮合。
为了发射多个紧固件“F”,装置100的致动垫108被致动以使可旋转驱动轴106b旋转(由于手柄外壳102内的电动机(未示出)的致动),并且实现接合器组件200的输入插座242b和发射轴274关于纵向轴线“X”的旋转。发射轴274的旋转使近侧锥齿轮286旋转,这继而引起中央锥齿轮288和远侧锥齿轮290的旋转。远侧锥齿轮290的旋转引起太阳齿轮292的相应的旋转,这继而使多个行星齿轮278在齿圈250内旋转。多个行星齿轮278的旋转引起支架板280的相应的旋转,并因此引起远侧齿轮282的相应的旋转。远侧齿轮282的旋转使装载单元300的丝杠338a旋转,并能够通过丝杠338a和驱动梁338b之间的螺纹接合而使驱动梁338b沿着丝杠338a并穿过纵向刀狭槽328b轴向地推进。驱动梁338b接合砧座310以保持砧座310和钉仓组件320接近。驱动梁338b的远侧推进将致动滑块338c推进到与多个推动器构件328接合,并且从多个紧固件保持狭槽328a发射多个紧固件“F”,用于抵靠着在砧座310内限定的相应的紧固件成形凹穴成形。装载单元300可以复位并且紧固件钉仓部328可以更换,使得装载单元300然后可以根据需要重新发射。
现在转向图21和图22,示出了根据本公开的另一个实施例的用于接合器组件200的关节式运动组件240’。关节式运动组件240’基本上类似于关节式运动组件240,因此,在此仅在描述其结构和操作上的差异所需的程度上进行描述。关节式运动组件240’包括凸轮形的第一线缆导向轮268a’和第二线缆导向轮268b’。这种形状抵偿了在关节式运动线缆(未示出)的关节运动期间张紧/松弛的变化,因此,该实施例的关节式运动线缆不包括关节式运动线缆248的弹簧249(图11)。
现在参照图23至图25,示出了根据本公开的另一个实施例的接合器组件200’。接合器组件200’基本上类似于接合器组件200,因此,在此仅在描述其结构和操作上的差异所需的程度上进行描述。
接合器组件200’包括具有第三区段206c’的远侧端部206’,该第三区段206c’与第二区段206b形成关节式运动接头224。开关201设置在第三区段206c’的近侧端220’和远侧端226’之间。开关201包括弹簧203,所述弹簧203支撑在限定在开关201内的腔201a内并且延伸穿过设置在开关201的近侧端处的开孔201b。弹簧203接触第三区段206c’的内表面,并且是足够可压缩的,以使开关201能够在近侧位置和远侧位置之间于第三区段206c'内向近侧和向远侧移动。凸起205从开关201的远侧端向远侧延伸,并且延伸部207从开关201的底部表面朝向外管204’的中心向内延伸。第三区段206c’的远侧端226’包括圆柱形唇缘226a’,所述圆柱形唇缘226a’安装在齿圈250’的外表面内限定的凹陷部250e上并且抓住(catch)所述凹陷部250e。第三区段206c’的远侧端226’邻接第四区段206d的固定地稳固到齿圈250’的近侧端228。
齿圈250’包括近侧端250a’,所述近侧端250a’具有围绕其径向设置的多个凹陷部250f。凹陷部250f定尺寸成当开关201移动到远侧位置时接收和接合开关201的凸起205。弹簧203在开关201上施加远侧力,直到开关201的凸起205与齿圈250’的凹陷部250f中的一个对准并接合。
支架板280’(图25)设置在齿圈250’的远侧端250b’内,并且经由销桩280b(图7)可操作地联接到多个行星齿轮278,如上文关于到支架板280’所描述的。星形齿轮281设置在齿圈250’的近侧并且可操作地联接到支架板280’。在实施例中,星形齿轮281包括从其向远侧延伸的多个销桩281a,所述销桩281a压配合到限定在从支架板280’向近侧延伸的凸台280b’中的开孔280a’中。星形齿轮281包括近侧端281b,所述近侧端281b具有围绕其径向设置的多个凹陷部281c。凹陷部281c定尺寸成当开关201移动到近侧位置时接合开关201的延伸部207。弹簧211支撑在星形齿轮281中限定的腔281d内,并且在星形齿轮281上施加力,以帮助将星形齿轮281的凹陷部281c中的一个与开关201的延伸部207对准。
接合器组件200’包括牵拉线缆246’,所述牵拉线缆246’具有缠绕在第一蜗杆驱动器254(参见例如图9)的蜗轮260的鼓部264的鼓表面264a周围的近侧端部(未示出),并且远侧端部246b’缠绕在第一线缆导向轮268a”周围。第一缆索导向轮268a”包括从其顶表面268c延伸的凸轮269,所述凸轮269接合开关201的凸轮表面209。凸轮269可在远侧位置和近侧位置之间移动。在远侧位置,凸轮269接触开关201的凸轮表面209并且向远侧移动开关201,使得开关201的凸起205被接收在齿圈250’的凹陷部250f中的一个内,并且开关201的延伸部207向远侧移动到与星形齿轮281的凹陷部281c中的一个脱离接合。在近侧位置,凸轮269释放开关201的凸轮表面207,并且开关201向近侧移动,使得开关201的凸起205不与齿圈250’接合,并且开关201的延伸部207容纳在星形齿轮281的凹陷部281c中的一个内。
在使用中,第一线缆导向轮268a’的旋转引起凸轮269向近侧或向远侧移动,这继而使开关201在远侧部分206’的第三区段206c’内向近侧或向远侧移动。在远侧位置,凸起205与齿圈250’的凹陷部250f中的一个接合,并且因此保持齿圈250’静止,并且延伸部207与星形齿轮281的凹陷部281c中的一个脱离,从而允许多个行星齿轮278在发射组件270的发射期间转动支架板280’,这继而允许远侧齿轮282的旋转以实现装载单元300的功能。在近侧位置,凸起205与齿圈250’脱离,并且延伸部207与星形齿轮281的凹陷部281c中的一个接合,使得星形齿轮281以及因此支架板280保持静止,从而允许多个行星齿轮278在发射轴274的致动期间旋转齿圈250’,从而使外管204’的远侧端部206’旋转,并因此使装载单元300旋转。
本领域技术人员应当理解,在此具体地描述并且在附图中示出的结构和方法是非限制性的示例性实施例,并且本说明、公开和附图应当仅仅解释为特定实施例的示例。由此,应当理解,本公开不限于所描述的精确实施例,并且可以由本领域技术人员实施多种其他变化和修改而不偏离本公开的范围或精神。另外地,与某些实施例关联地示出或描述的元件和特征可以与某些其他实施例的元件和特征结合而不偏离本公开的范围,并且这种修改和变动也包括在本公开的范围内。因此,本公开的主题并不受所具体地示出和描述的所限制。
Claims (20)
1.一种用于将构造成执行功能的手术装载单元和构造成致动所述手术装载单元的手术装置选择性地互连的接合器组件,所述手术装载单元包括可轴向平移的驱动构件,并且所述手术装置包括多个可旋转驱动轴,所述接合器组件包括:
外壳,其构造成并且适于连接于所述手术装置;
外管,其从所述外壳向远侧延伸至构造成并且适于连接于所述手术装载单元的远侧端部;以及
发射组件,其支撑在所述外壳和所述外管内,所述发射组件包括:
发射轴,其包括构造用于操作性接合所述手术装置的多个可旋转驱动轴中的可旋转驱动轴的近侧端;
锥齿轮组件,其包括与所述发射轴的远侧端部机械性接合的近侧端;
齿圈,其设置在所述外管的所述远侧端部内;
太阳齿轮,其在所述齿圈内设置在所述锥齿轮组件的远侧端处;
多个行星齿轮,其围绕着所述太阳齿轮的齿并且啮合地接合于所述太阳齿轮的齿和所述齿圈的齿设置;
支架板,其可操作地联接至所述多个行星齿轮;以及
远侧齿轮,其设置在从所述支架板向远侧延伸的轴上,所述远侧齿轮被可操作地接合于所述手术装载单元的所述可轴向平移的驱动构件。
2.根据权利要求1所述的接合器组件,其中,所述外管的所述远侧端部包括关节式运动接头。
3.根据权利要求2所述的接合器组件,其中,所述锥齿轮组件设置在所述关节式运动接头的近侧。
4.根据权利要求3所述的接合器组件,其中,所述太阳齿轮和所述多个行星齿轮设置在所述关节式运动接头的远侧。
5.根据权利要求1所述的接合器组件,其中,所述锥齿轮组件包括近侧锥齿轮,所述近侧锥齿轮包括从其向近侧延伸的杆,所述杆通过轴承可操作地联接至所述发射轴的远侧端部。
6.根据权利要求5所述的接合器组件,其中,所述锥齿轮组件进一步包括与所述近侧锥齿轮接合的中央锥齿轮。
7.根据权利要求6所述的接合器组件,其中,所述锥齿轮组件进一步包括与所述中央锥齿轮接合的远侧锥齿轮。
8.根据权利要求7所述的接合器组件,其中,所述锥齿轮组件的所述远侧锥齿轮包括从其向远侧延伸的杆,并且所述太阳齿轮稳固至所述远侧锥齿轮的所述杆。
9.根据权利要求1所述的接合器组件,其中,所述支架板包括近侧表面,所述近侧表面包括从其向近侧延伸的多个销桩,所述多个销桩设置在所述多个行星齿轮中所限定的开孔中。
10.根据权利要求1所述的接合器组件,其中,所述发射组件进一步包括星形齿轮,所述星形齿轮可操作地联接至所述支架板并且设置在所述齿圈的近侧,并且其中所述外管的所述远侧端部包括开关,所述开关具有从所述开关的远侧端向远侧延伸的凸起和朝向所述外管的中心向内延伸的延伸部,所述开关能够在近侧位置和远侧位置之间移动,在所述近侧位置,所述凸起从所述齿圈脱离并且所述延伸部与所述星形齿轮接合,使得所述支架板保持静止以允许所述多个行星齿轮使所述外管的所述远侧端部旋转,在所述远侧位置,所述凸起与所述齿圈接合并且所述延伸部从所述星形齿轮脱离,使得所述齿圈保持静止以允许所述多个行星齿轮实现所述手术装载单元的功能。
11.根据权利要求2所述的接合器组件,进一步包括关节式运动组件,所述关节式运动组件包括:
蜗齿轮组件,其包括设置在所述外壳内的第一蜗杆驱动器和第二蜗杆驱动器;
旋转线缆,其可操作地连接至所述蜗齿轮组件的所述第一蜗杆驱动器并且从所述蜗齿轮组件的所述第一蜗杆驱动器向远侧延伸穿过所述外管至所述齿圈,所述齿圈设置在所述关节式运动接头的远侧,使得第一蜗杆驱动器的旋转引起所述外管的所述远侧端部的旋转;以及
关节式运动线缆,其可操作地连接至所述蜗齿轮组件的所述第二蜗杆驱动器并且从所述蜗齿轮组件的所述第二蜗杆驱动器向远侧延伸至在所述外管内设置在所述关节式运动接头的远侧的保持构件,使得所述第二蜗杆驱动器的旋转引起所述外管的所述远侧端部关于所述关节式运动接头的关节式运动。
12.根据权利要求11所述的接合器组件,其中,所述第一蜗杆驱动器和所述第二蜗杆驱动器中的每个包括与蜗轮啮合地接合的蜗杆,每个蜗杆构造成操作性地连接于所述手术装置的所述多个驱动轴中的可旋转驱动轴。
13.根据权利要求12所述的接合器组件,其中,所述旋转线缆包括缠绕着所述第一蜗杆驱动器的所述蜗轮的鼓部的近侧端和缠绕着所述齿圈的鼓形部的远侧端。
14.根据权利要求12所述的接合器组件,其中,所述关节式运动线缆包括缠绕着所述第二蜗杆驱动器的所述蜗轮的鼓部的近侧端和联接至相应的保持构件的远侧端。
15.根据权利要求14所述的接合器组件,进一步包括设置在所述关节式运动线缆的所述近侧端和所述远侧端之间的弹簧。
16.根据权利要求12所述的接合器组件,其中,所述关节式运动组件进一步包括分别用于引导所述旋转线缆和所述关节式运动线缆的第一线缆导向轮和第二线缆导向轮。
17.根据权利要求16所述的接合器组件,其中,所述第一线缆导向轮和所述第二线缆导向轮在形状上是圆形的。
18.根据权利要求16所述的接合器组件,其中,所述第一线缆导向轮和所述第二线缆导向轮是凸轮形的。
19.根据权利要求10所述的接合器组件,进一步包括关节式运动组件,所述关节式运动组件包括:
蜗齿轮组件,其包括设置在所述外壳内的第一蜗杆驱动器和第二蜗杆驱动器;
牵拉线缆,其可操作地连接至所述蜗齿轮组件的所述第一蜗杆驱动器并且从所述蜗齿轮组件的所述第一蜗杆驱动器向远侧延伸到所述外管中,所述牵拉线缆构造成使所述开关在所述近侧位置和所述远侧位置之间移动;以及
关节式运动线缆,其可操作地连接至所述蜗齿轮组件的所述第二蜗杆驱动器并且从所述蜗齿轮组件的所述第二蜗杆驱动器向远侧延伸至在所述外管内设置在所述关节式运动接头的远侧的保持构件,使得所述第二蜗杆驱动器的旋转引起所述外管的所述远侧端部关于所述关节式运动接头的关节式运动。
20.根据权利要求19所述的接合器组件,其中,所述关节式运动组件进一步包括包含凸轮的第一线缆导向轮,并且所述牵拉线缆包括缠绕着所述蜗齿轮组件的所述第一蜗杆驱动器的蜗轮的鼓部的近侧端和缠绕着所述第一线缆导向轮的远侧端,使得所述第一蜗杆驱动器的旋转引起所述凸轮抵着所述开关的凸轮表面的移动以使所述开关在所述近侧位置和所述远侧位置之间移动。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201662281275P | 2016-01-21 | 2016-01-21 | |
US62/281,275 | 2016-01-21 | ||
US15/398,785 US10508720B2 (en) | 2016-01-21 | 2017-01-05 | Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US15/398,785 | 2017-01-05 |
Publications (2)
Publication Number | Publication Date |
---|---|
CN107019537A true CN107019537A (zh) | 2017-08-08 |
CN107019537B CN107019537B (zh) | 2021-08-20 |
Family
ID=57860752
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201710053765.5A Expired - Fee Related CN107019537B (zh) | 2016-01-21 | 2017-01-22 | 用于将机电手术装置和手术装载单元互连的带有行星齿轮驱动的接合器组件及其手术系统 |
Country Status (4)
Country | Link |
---|---|
US (1) | US10508720B2 (zh) |
EP (1) | EP3195812B1 (zh) |
CN (1) | CN107019537B (zh) |
ES (1) | ES2893300T3 (zh) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107440758A (zh) * | 2016-05-09 | 2017-12-08 | 柯惠Lp公司 | 用于将机电手术装置与手术末端执行器相互连接的具有滑轮系统和蜗轮驱动部的接合器组件 |
CN112754561A (zh) * | 2021-01-18 | 2021-05-07 | 常州安康医疗器械有限公司 | 一种具有切断功能的微创腔镜吻合器 |
CN112842535A (zh) * | 2020-12-31 | 2021-05-28 | 杭州康基医疗器械有限公司 | 包括行星排传动结构的直线型机械手 |
CN112869815A (zh) * | 2021-02-15 | 2021-06-01 | 苏州法兰克曼医疗器械有限公司 | 一种带有可调式传动机构的内镜切割吻合器 |
US11504123B2 (en) | 2016-05-09 | 2022-11-22 | Covidien Lp | Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors |
EP4101401A1 (en) * | 2021-06-10 | 2022-12-14 | Covidien LP | Electrosurgical instruments |
Families Citing this family (314)
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 |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US8991676B2 (en) | 2007-03-15 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Surgical staple having a slidable crown |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
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 |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback 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 |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
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 |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
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 |
US20080169332A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Surgical stapling device with a curved cutting member |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | 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 |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | 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 |
WO2010090940A1 (en) | 2009-02-06 | 2010-08-12 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
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 |
US9301755B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Compressible staple cartridge assembly |
US10213198B2 (en) | 2010-09-30 | 2019-02-26 | Ethicon Llc | Actuator for releasing a tissue thickness compensator from a fastener cartridge |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
CN104321024B (zh) | 2012-03-28 | 2017-05-24 | 伊西康内外科公司 | 包括多个层的组织厚度补偿件 |
JP6105041B2 (ja) | 2012-03-28 | 2017-03-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 低圧環境を画定するカプセルを含む組織厚コンペンセーター |
JP6224070B2 (ja) | 2012-03-28 | 2017-11-01 | 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. | 組織厚さコンペンセータを含む保持具アセンブリ |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
RU2636861C2 (ru) | 2012-06-28 | 2017-11-28 | Этикон Эндо-Серджери, Инк. | Блокировка пустой кассеты с клипсами |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US20140005678A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Rotary drive arrangements for surgical instruments |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
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 |
JP6382235B2 (ja) | 2013-03-01 | 2018-08-29 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 信号通信用の導電路を備えた関節運動可能な外科用器具 |
RU2669463C2 (ru) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Хирургический инструмент с мягким упором |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9801626B2 (en) | 2013-04-16 | 2017-10-31 | Ethicon Llc | Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9775609B2 (en) | 2013-08-23 | 2017-10-03 | Ethicon Llc | Tamper proof circuit for surgical instrument battery pack |
MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
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 |
US20150297222A1 (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 |
CN106456159B (zh) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | 紧固件仓组件和钉保持器盖布置结构 |
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 |
US20160066913A1 (en) | 2014-09-05 | 2016-03-10 | Ethicon Endo-Surgery, Inc. | Local display of tissue parameter stabilization |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
BR112017005981B1 (pt) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
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 |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
US10117650B2 (en) * | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
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 |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10433846B2 (en) | 2015-09-30 | 2019-10-08 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
JP6911054B2 (ja) | 2016-02-09 | 2021-07-28 | エシコン エルエルシーEthicon LLC | 非対称の関節構成を備えた外科用器具 |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | 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 |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | 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 |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10368867B2 (en) | 2016-04-18 | 2019-08-06 | Ethicon Llc | Surgical instrument comprising a lockout |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US20180168577A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Axially movable closure system arrangements for applying closure motions to jaws of surgical instruments |
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 |
US10675025B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Shaft assembly comprising separately actuatable and retractable systems |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US11179155B2 (en) | 2016-12-21 | 2021-11-23 | Cilag Gmbh International | Anvil arrangements for surgical staplers |
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 |
US11160551B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Articulatable surgical stapling instruments |
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 |
CN110087565A (zh) | 2016-12-21 | 2019-08-02 | 爱惜康有限责任公司 | 外科缝合系统 |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
CN110099619B (zh) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | 用于外科端部执行器和可替换工具组件的闭锁装置 |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
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 |
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 |
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 |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US11090049B2 (en) | 2017-06-27 | 2021-08-17 | Cilag Gmbh International | Staple forming pocket arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
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 |
US10639037B2 (en) | 2017-06-28 | 2020-05-05 | Ethicon Llc | Surgical instrument with axially movable closure member |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11696759B2 (en) | 2017-06-28 | 2023-07-11 | Cilag Gmbh International | Surgical stapling instruments comprising shortened staple cartridge noses |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
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 |
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 |
US10743868B2 (en) | 2017-12-21 | 2020-08-18 | Ethicon Llc | Surgical instrument comprising a pivotable distal head |
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 |
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 |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
EP3840669B1 (en) * | 2018-08-24 | 2024-04-17 | Covidien LP | Powered circular stapling device |
US11234701B2 (en) | 2018-09-21 | 2022-02-01 | Covidien Lp | Powered surgical tack applier |
US11871924B2 (en) * | 2018-09-21 | 2024-01-16 | Covidien Lp | Hand-held surgical instruments |
US11389159B2 (en) | 2018-09-21 | 2022-07-19 | Covidien Lp | Powered surgical tack applier |
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 |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11241228B2 (en) | 2019-04-05 | 2022-02-08 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
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 |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11853835B2 (en) | 2019-06-28 | 2023-12-26 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
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 |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising 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 |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
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 |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | 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 |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | 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 |
US20220031320A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with flexible firing member actuator constraint arrangements |
CN114376635A (zh) * | 2020-10-05 | 2022-04-22 | 柯惠Lp公司 | 电动手术钉施用器 |
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 |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
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 |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
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 |
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 |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
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 |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
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 |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US20220378426A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a mounted shaft orientation sensor |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
CN113712670A (zh) * | 2021-11-02 | 2021-11-30 | 极限人工智能(北京)有限公司 | 多功能通道器及微创手术机器人 |
CN116327286B (zh) * | 2023-05-24 | 2023-07-21 | 四川省医学科学院·四川省人民医院 | 一种用于外科手术的可塑形切割缝合器 |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103209657A (zh) * | 2010-11-15 | 2013-07-17 | 直观外科手术操作公司 | 在手术仪器中去耦仪器轴滚动和末端执行器促动 |
EP2676615A2 (en) * | 2012-06-19 | 2013-12-25 | Covidien LP | Apparatus for endoscopic procedures |
US20160000513A1 (en) * | 2012-06-28 | 2016-01-07 | Ethicon Endo-Surgery, Inc. | Rotary drive arrangements for surgical instruments |
Family Cites Families (364)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2777340A (en) | 1955-09-28 | 1957-01-15 | Leonard J Hettwer | Offset drilling attachment |
US2957353A (en) | 1958-08-26 | 1960-10-25 | Teleflex Inc | Connector |
US3111328A (en) | 1961-07-03 | 1963-11-19 | Rito Vincent L J Di | Multiuse adapter for manipulators |
US3734515A (en) | 1971-01-29 | 1973-05-22 | Thor Power Tool Co | Power wrench with interchangeable adapters |
US3695058A (en) | 1971-05-26 | 1972-10-03 | Marvin W Keith Jr | Flexible link rotatable drive coupling |
US3759336A (en) | 1972-01-21 | 1973-09-18 | D Marcovitz | Interchangeable power operated tools |
US4162399A (en) | 1977-09-16 | 1979-07-24 | Bei Electronics, Inc. | Optical encoder with fiber optics |
US4606343A (en) | 1980-08-18 | 1986-08-19 | United States Surgical Corporation | Self-powered surgical fastening instrument |
US4705038A (en) | 1985-01-23 | 1987-11-10 | Dyonics, Inc. | Surgical system for powered instruments |
US4722685A (en) | 1985-05-30 | 1988-02-02 | Estrada Juan M De | Tool for adapting a portable lathe to treat the back molar teeth of horses |
US4823807A (en) | 1988-02-11 | 1989-04-25 | Board Of Regents, Univ. Of Texas System | Device for non-invasive diagnosis and monitoring of articular and periarticular pathology |
US4874181A (en) | 1988-05-31 | 1989-10-17 | Hsu Shing Wang | Coupling member for securing a drilling head to the rotatable rod of a pneumatic tool body |
US5301061A (en) | 1989-07-27 | 1994-04-05 | Olympus Optical Co., Ltd. | Endoscope system |
US5152744A (en) | 1990-02-07 | 1992-10-06 | Smith & Nephew Dyonics | Surgical instrument |
JP3034019B2 (ja) | 1990-11-26 | 2000-04-17 | 旭光学工業株式会社 | 内視鏡の先端部 |
US5129570A (en) | 1990-11-30 | 1992-07-14 | Ethicon, Inc. | Surgical stapler |
US5413267A (en) | 1991-05-14 | 1995-05-09 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
US5129118A (en) | 1991-07-29 | 1992-07-14 | Walmesley Mark W | Accessory tool apparatus for use on power drills |
US5478003A (en) | 1991-10-18 | 1995-12-26 | United States Surgical Corporation | Surgical apparatus |
US5312023A (en) | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5326013A (en) | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5197649A (en) | 1991-10-29 | 1993-03-30 | The Trustees Of Columbia University In The City Of New York | Gastrointestinal endoscoptic stapler |
US5383874A (en) | 1991-11-08 | 1995-01-24 | Ep Technologies, Inc. | Systems for identifying catheters and monitoring their use |
US5433721A (en) | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
US5383880A (en) | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5350355A (en) | 1992-02-14 | 1994-09-27 | Automated Medical Instruments, Inc. | Automated surgical instrument |
US5389098A (en) | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
US5609560A (en) | 1992-08-19 | 1997-03-11 | Olympus Optical Co., Ltd. | Medical operation device control system for controlling a operation devices accessed respectively by ID codes |
US5431323A (en) | 1992-10-09 | 1995-07-11 | Ethicon, Inc. | Endoscopic surgical instrument with pivotable and rotatable staple cartridge |
US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
US5601224A (en) | 1992-10-09 | 1997-02-11 | Ethicon, Inc. | Surgical instrument |
US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
US5400267A (en) | 1992-12-08 | 1995-03-21 | Hemostatix Corporation | Local in-device memory feature for electrically powered medical equipment |
US5540706A (en) | 1993-01-25 | 1996-07-30 | Aust; Gilbert M. | Surgical instrument |
US5540375A (en) | 1993-04-20 | 1996-07-30 | United States Surgical Corporation | Endoscopic stapler |
US5467911A (en) | 1993-04-27 | 1995-11-21 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
CA2124109A1 (en) | 1993-05-24 | 1994-11-25 | Mark T. Byrne | Endoscopic surgical instrument with electromagnetic sensor |
US5542594A (en) | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
US5487499A (en) | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
US5476379A (en) | 1993-11-04 | 1995-12-19 | Disel; Jimmy D. | Illumination system and connector assembly for a dental handpiece |
US5782397A (en) | 1994-01-04 | 1998-07-21 | Alpha Surgical Technologies, Inc. | Stapling device |
US6165169A (en) | 1994-03-04 | 2000-12-26 | Ep Technologies, Inc. | Systems and methods for identifying the physical, mechanical, and functional attributes of multiple electrode arrays |
US5526822A (en) | 1994-03-24 | 1996-06-18 | Biopsys Medical, Inc. | Method and apparatus for automated biopsy and collection of soft tissue |
US5529235A (en) | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
US5553675A (en) | 1994-06-10 | 1996-09-10 | Minnesota Mining And Manufacturing Company | Orthopedic surgical device |
US5779130A (en) | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
EP0699418A1 (en) | 1994-08-05 | 1996-03-06 | United States Surgical Corporation | Self-contained powered surgical apparatus |
EP0705571A1 (en) | 1994-10-07 | 1996-04-10 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5549637A (en) | 1994-11-10 | 1996-08-27 | Crainich; Lawrence | Articulated medical instrument |
US5868760A (en) | 1994-12-07 | 1999-02-09 | Mcguckin, Jr.; James F. | Method and apparatus for endolumenally resectioning tissue |
US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5713505A (en) | 1996-05-13 | 1998-02-03 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
US6321855B1 (en) | 1994-12-29 | 2001-11-27 | George Edward Barnes | Anti-vibration adaptor |
US5649956A (en) | 1995-06-07 | 1997-07-22 | Sri International | System and method for releasably holding a surgical instrument |
US6032849A (en) | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
CA2206156A1 (en) | 1995-09-15 | 1997-04-03 | Robert Lee Thompson | Surgical/diagnostic imaging device |
US7141049B2 (en) | 1999-03-09 | 2006-11-28 | Thermage, Inc. | Handpiece for treatment of tissue |
US5820009A (en) | 1996-02-20 | 1998-10-13 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved jaw closure mechanism |
US6699177B1 (en) | 1996-02-20 | 2004-03-02 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive surgical procedures |
US6010054A (en) | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
US5797900A (en) | 1996-05-20 | 1998-08-25 | Intuitive Surgical, Inc. | Wrist mechanism for surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
US6119913A (en) | 1996-06-14 | 2000-09-19 | Boston Scientific Corporation | Endoscopic stapler |
US6017354A (en) | 1996-08-15 | 2000-01-25 | Stryker Corporation | Integrated system for powered surgical tools |
US6129547A (en) | 1997-05-06 | 2000-10-10 | Ballard Medical Products | Oral care system |
AU8903898A (en) | 1997-08-11 | 1999-03-01 | Paul W. Mayer | Motorized motion-canceling suture tool holder |
US6434507B1 (en) | 1997-09-05 | 2002-08-13 | Surgical Navigation Technologies, Inc. | Medical instrument and method for use with computer-assisted image guided surgery |
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US5863159A (en) | 1997-12-12 | 1999-01-26 | Lasko; Leonard J. | Drill angle attachment coupling |
US6371909B1 (en) | 1998-02-19 | 2002-04-16 | California Institute Of Technology | Apparatus and method for providing spherical viewing during endoscopic procedures |
US6239732B1 (en) | 1998-04-13 | 2001-05-29 | Dallas Semiconductor Corporation | One-wire device with A-to-D converter |
US6126058A (en) | 1998-06-19 | 2000-10-03 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
US6256859B1 (en) | 1998-09-25 | 2001-07-10 | Sherwood Services Ag | Method of manufacturing an aspiring tool |
US5993454A (en) | 1998-09-29 | 1999-11-30 | Stryker Corporation | Drill attachment for a surgical drill |
US7238021B1 (en) | 1998-12-03 | 2007-07-03 | Johnson Gary E | Powered cutting surface with protective guard for equine teeth |
US6860892B1 (en) | 1999-05-28 | 2005-03-01 | General Surgical Innovations, Inc. | Specially shaped balloon device for use in surgery and method of use |
US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | 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 |
US6981941B2 (en) | 1999-06-02 | 2006-01-03 | Power Medical Interventions | Electro-mechanical surgical device |
US7951071B2 (en) | 1999-06-02 | 2011-05-31 | Tyco Healthcare Group Lp | Moisture-detecting shaft for use with an electro-mechanical surgical device |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
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 |
US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
US8241322B2 (en) | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | Surgical device |
US8960519B2 (en) | 1999-06-02 | 2015-02-24 | Covidien Lp | Shaft, e.g., for an electro-mechanical surgical device |
US6451007B1 (en) | 1999-07-29 | 2002-09-17 | Dale E. Koop | Thermal quenching of tissue |
US6611793B1 (en) | 1999-09-07 | 2003-08-26 | Scimed Life Systems, Inc. | Systems and methods to identify and disable re-use single use devices based on detecting environmental changes |
US6368324B1 (en) | 1999-09-24 | 2002-04-09 | Medtronic Xomed, Inc. | Powered surgical handpiece assemblies and handpiece adapter assemblies |
US6348061B1 (en) | 2000-02-22 | 2002-02-19 | Powermed, Inc. | Vessel and lumen expander attachment for use with an electromechanical driver device |
US7770773B2 (en) | 2005-07-27 | 2010-08-10 | Power Medical Interventions, Llc | Surgical device |
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 |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
JP3897962B2 (ja) | 2000-07-19 | 2007-03-28 | 株式会社モリタ製作所 | 識別型のインスツルメント体、識別型のアダプタ、識別型のチューブ、これらを用いた診療装置 |
EP1313401A4 (en) | 2000-08-30 | 2006-09-20 | Cerebral Vascular Applic Inc | MEDICAL INSTRUMENT |
US6817508B1 (en) | 2000-10-13 | 2004-11-16 | Tyco Healthcare Group, Lp | Surgical stapling device |
US6716226B2 (en) | 2001-06-25 | 2004-04-06 | Inscope Development, Llc | Surgical clip |
US20050004559A1 (en) | 2003-06-03 | 2005-01-06 | Senorx, Inc. | Universal medical device control console |
US8313496B2 (en) | 2001-02-02 | 2012-11-20 | Lsi Solutions, Inc. | System for endoscopic suturing |
US7699835B2 (en) | 2001-02-15 | 2010-04-20 | Hansen Medical, Inc. | Robotically controlled surgical instruments |
US7905897B2 (en) | 2001-03-14 | 2011-03-15 | Tyco Healthcare Group Lp | Trocar device |
ES2381407T3 (es) | 2001-04-20 | 2012-05-28 | Tyco Healthcare Group Lp | Dispositivo quirúrgico bipolar o ultrasónico |
US20030009154A1 (en) | 2001-06-20 | 2003-01-09 | Whitman Michael P. | Method and system for integrated medical tracking |
CA2814279C (en) | 2001-06-22 | 2015-12-29 | Tyco Healthcare Group Lp | Electro-mechanical surgical device with data memory unit |
US7044911B2 (en) | 2001-06-29 | 2006-05-16 | Philometron, Inc. | Gateway platform for biological monitoring and delivery of therapeutic compounds |
CA2456424C (en) | 2001-08-08 | 2011-09-27 | Stryker Corporation | Surgical cutting accessory with internal memory |
DE10147145C2 (de) | 2001-09-25 | 2003-12-18 | Kunz Reiner | Multifunktionsinstrument für die mikroinvasive Chirurgie |
AU2002362750B2 (en) | 2001-10-05 | 2008-07-10 | Covidien Lp | Surgical stapling device |
US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
US7464847B2 (en) | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
US6783533B2 (en) | 2001-11-21 | 2004-08-31 | Sythes Ag Chur | Attachable/detachable reaming head for surgical reamer |
CA2466812C (en) | 2001-12-04 | 2012-04-03 | Michael P. Whitman | System and method for calibrating a surgical instrument |
IL148702A (en) | 2002-03-14 | 2008-04-13 | Innoventions Inc | Insertion and retrieval system for inflatable devices |
ES2377483T3 (es) | 2002-04-25 | 2012-03-28 | Tyco Healthcare Group Lp | Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS) |
DE60310224T2 (de) | 2002-06-14 | 2007-09-20 | Power Medical Interventions Inc. | Gerät zum klemmen, schneiden und zusammenheften von gewebe |
US20030038938A1 (en) | 2002-06-20 | 2003-02-27 | Jung Wayne D. | Apparatus and method for measuring optical characteristics of an object or material |
US8182494B1 (en) | 2002-07-31 | 2012-05-22 | Cardica, Inc. | Minimally-invasive surgical system |
US6645218B1 (en) | 2002-08-05 | 2003-11-11 | Endius Incorporated | Surgical instrument |
US20040176751A1 (en) | 2002-08-14 | 2004-09-09 | Endovia Medical, Inc. | Robotic medical instrument system |
EP2277434B1 (en) | 2002-09-30 | 2013-06-19 | Covidien LP | Self-contained sterilizable surgical system |
ES2632965T3 (es) | 2002-10-04 | 2017-09-18 | Covidien Lp | Dispositivo de grapado quirúrgico motorizado neumáticamente |
US7559927B2 (en) | 2002-12-20 | 2009-07-14 | Medtronic Xomed, Inc. | Surgical instrument with telescoping attachment |
JP2004208922A (ja) | 2002-12-27 | 2004-07-29 | Olympus Corp | 医療装置及び医療用マニピュレータ並びに医療装置の制御方法 |
US7044352B2 (en) | 2003-05-20 | 2006-05-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US6988649B2 (en) | 2003-05-20 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a spent cartridge lockout |
US7143923B2 (en) | 2003-05-20 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a firing lockout for an unclosed anvil |
US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US7140528B2 (en) | 2003-05-20 | 2006-11-28 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing |
US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US8365633B2 (en) | 2003-05-21 | 2013-02-05 | The Johns Hopkins University | Devices, systems and methods for minimally invasive surgery of the throat and other portions of mammalian body |
EP1635712B1 (en) | 2003-06-20 | 2015-09-30 | Covidien LP | Surgical stapling device |
US7055731B2 (en) | 2003-07-09 | 2006-06-06 | Ethicon Endo-Surgery Inc. | Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint |
US6981628B2 (en) | 2003-07-09 | 2006-01-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument with a lateral-moving articulation control |
US7111769B2 (en) | 2003-07-09 | 2006-09-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis |
US6964363B2 (en) | 2003-07-09 | 2005-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having articulation joint support plates for supporting a firing bar |
JP4398813B2 (ja) | 2003-07-18 | 2010-01-13 | ヤーマン株式会社 | 美肌装置 |
US6959852B2 (en) | 2003-09-29 | 2005-11-01 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism |
US7364061B2 (en) | 2003-09-29 | 2008-04-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism |
US6905057B2 (en) | 2003-09-29 | 2005-06-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission |
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 |
JP4642770B2 (ja) | 2003-10-17 | 2011-03-02 | 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 | 独立先端部回転を備えた外科用ステープル留めデバイス |
US10105140B2 (en) | 2009-11-20 | 2018-10-23 | Covidien Lp | Surgical console and hand-held surgical device |
US8806973B2 (en) | 2009-12-02 | 2014-08-19 | Covidien Lp | Adapters for use between surgical handle assembly and surgical end effector |
US20090090763A1 (en) | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
US10588629B2 (en) | 2009-11-20 | 2020-03-17 | Covidien Lp | Surgical console and hand-held surgical device |
US10022123B2 (en) | 2012-07-09 | 2018-07-17 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US8968276B2 (en) | 2007-09-21 | 2015-03-03 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US7172415B2 (en) | 2003-11-22 | 2007-02-06 | Flexi-Float, Llc | Equine dental grinding apparatus |
DE10357105B3 (de) | 2003-12-06 | 2005-04-07 | Richard Wolf Gmbh | Medizinisches Instrument |
EP1563793B1 (en) | 2004-02-17 | 2007-06-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
EP1723913A1 (en) | 2004-03-10 | 2006-11-22 | Olympus Corporation | Treatment tool for surgery |
US7059508B2 (en) | 2004-06-30 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission |
CN101090677A (zh) | 2004-07-27 | 2007-12-19 | 生物激光科技公司 | 用于医疗激光手持件的识别连接器 |
US7487899B2 (en) | 2004-07-28 | 2009-02-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP complete firing system lockout mechanism |
US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
US7143926B2 (en) | 2005-02-07 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system |
US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
US7947034B2 (en) | 2004-07-30 | 2011-05-24 | Tyco Healthcare Group Lp | Flexible shaft extender and method of using same |
US7922719B2 (en) | 2004-10-06 | 2011-04-12 | Biodynamics, Llc | Adjustable angle pawl handle for surgical instruments |
EP1802245B8 (en) | 2004-10-08 | 2016-09-28 | Ethicon Endo-Surgery, LLC | Ultrasonic surgical instrument |
US20060142656A1 (en) | 2004-12-09 | 2006-06-29 | Don Malackowski | Wireless system for providing instrument and implant data to a surgical navigation unit |
US20060142740A1 (en) | 2004-12-29 | 2006-06-29 | Sherman Jason T | Method and apparatus for performing a voice-assisted orthopaedic surgical procedure |
US7822458B2 (en) | 2005-05-19 | 2010-10-26 | The Johns Hopkins University | Distal bevel-tip needle control device and algorithm |
EP1736112B1 (en) | 2005-06-20 | 2011-08-17 | Heribert Schmid | Medical device |
US8627995B2 (en) | 2006-05-19 | 2014-01-14 | Ethicon Endo-Sugery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
US8573462B2 (en) | 2006-05-19 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Electrical surgical instrument with optimized power supply and drive |
US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
US20070029363A1 (en) | 2005-08-07 | 2007-02-08 | Sergey Popov | Surgical apparatus with remote drive |
US8348855B2 (en) | 2005-08-29 | 2013-01-08 | Galil Medical Ltd. | Multiple sensor device for measuring tissue temperature during thermal treatment |
US7407078B2 (en) | 2005-09-21 | 2008-08-05 | Ehthicon Endo-Surgery, Inc. | Surgical stapling instrument having force controlled spacing end effector |
CA2561473C (en) | 2005-09-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for linear surgical stapler |
US7641091B2 (en) | 2005-10-04 | 2010-01-05 | Tyco Healthcare Group Lp | Staple drive assembly |
US20070102472A1 (en) | 2005-11-04 | 2007-05-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical stapling instrument with disposable severing / stapling unit |
US7328828B2 (en) | 2005-11-04 | 2008-02-12 | Ethicon Endo-Surgery, Inc, | Lockout mechanisms and surgical instruments including same |
US7673780B2 (en) | 2005-11-09 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument |
US7799039B2 (en) | 2005-11-09 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a hydraulically actuated end effector |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7246734B2 (en) | 2005-12-05 | 2007-07-24 | Ethicon Endo-Surgery, Inc. | Rotary hydraulic pump actuated multi-stroke surgical instrument |
US8672922B2 (en) | 2005-12-20 | 2014-03-18 | Intuitive Surgical Operations, Inc. | Wireless communication in a robotic surgical system |
US7481824B2 (en) | 2005-12-30 | 2009-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument with bending articulation controlled articulation pivot joint |
US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
US20070175955A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Surgical cutting and fastening instrument with closure trigger locking mechanism |
US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US7416101B2 (en) | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US20070175951A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Gearing selector for a powered surgical cutting and fastening instrument |
US20070175950A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor |
US7422139B2 (en) | 2006-01-31 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting fastening instrument with tactile position feedback |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8551076B2 (en) | 2006-06-13 | 2013-10-08 | Intuitive Surgical Operations, Inc. | Retrograde instrument |
US7431189B2 (en) | 2006-08-02 | 2008-10-07 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion |
US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
US20080029574A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with actuator at distal end |
US9554843B2 (en) | 2006-09-01 | 2017-01-31 | Conmed Corporation | Adapter and method for converting gas-enhanced electrosurgical coagulation instrument for cutting |
US7967178B2 (en) | 2006-10-06 | 2011-06-28 | Tyco Healthcare Group Lp | Grasping jaw mechanism |
US8608043B2 (en) | 2006-10-06 | 2013-12-17 | Covidien Lp | Surgical instrument having a multi-layered drive beam |
US8733614B2 (en) | 2006-10-06 | 2014-05-27 | Covidien Lp | End effector identification by mechanical features |
JP5085996B2 (ja) | 2006-10-25 | 2012-11-28 | テルモ株式会社 | マニピュレータシステム |
US20080109012A1 (en) | 2006-11-03 | 2008-05-08 | General Electric Company | System, method and apparatus for tableside remote connections of medical instruments and systems using wireless communications |
US7721930B2 (en) | 2006-11-10 | 2010-05-25 | Thicon Endo-Surgery, Inc. | Disposable cartridge with adhesive for use with a stapling device |
WO2008061313A1 (en) | 2006-11-24 | 2008-05-29 | Mems-Id Pty Ltd | Tagging methods and apparatus |
US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
US7721931B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Prevention of cartridge reuse in a surgical instrument |
US7900805B2 (en) | 2007-01-10 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with enhanced battery performance |
US7954682B2 (en) | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
ES2377906T3 (es) | 2007-02-05 | 2012-04-03 | Novian Health Inc. | Kits de terapia con laser intersticial y sistema de control de terapia con láser intersticial. |
US8011550B2 (en) | 2009-03-31 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
ES2606949T3 (es) | 2007-03-06 | 2017-03-28 | Covidien Lp | Aparato de grapado quirúrgico |
US7422136B1 (en) | 2007-03-15 | 2008-09-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
US8391957B2 (en) | 2007-03-26 | 2013-03-05 | Hansen Medical, Inc. | Robotic catheter systems and methods |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US8056787B2 (en) | 2007-03-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with travel-indicating retraction member |
US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
US8800837B2 (en) | 2007-04-13 | 2014-08-12 | Covidien Lp | Powered surgical instrument |
US20080251561A1 (en) | 2007-04-13 | 2008-10-16 | Chad Eades | Quick connect base plate for powder actuated tool |
US8177776B2 (en) | 2007-04-20 | 2012-05-15 | Doheny Eye Institute | Independent surgical center |
US20080281301A1 (en) | 2007-04-20 | 2008-11-13 | Deboer Charles | Personal Surgical Center |
US20090012533A1 (en) | 2007-04-23 | 2009-01-08 | Hansen Medical, Inc. | Robotic instrument control system |
US8910846B2 (en) * | 2007-05-17 | 2014-12-16 | Covidien Lp | Gear driven knife drive mechanism |
US7549564B2 (en) | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US7588176B2 (en) | 2007-06-18 | 2009-09-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument with improved closure system |
CN101801283B (zh) | 2007-09-21 | 2012-07-18 | Tyco医疗健康集团 | 手术器械 |
AU2008302039B2 (en) | 2007-09-21 | 2013-07-18 | Covidien Lp | Surgical device |
US9023014B2 (en) | 2007-09-21 | 2015-05-05 | Covidien Lp | Quick connect assembly for use between surgical handle assembly and surgical accessories |
US10779818B2 (en) | 2007-10-05 | 2020-09-22 | Covidien Lp | Powered surgical stapling device |
US8960520B2 (en) | 2007-10-05 | 2015-02-24 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a 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 |
US8517241B2 (en) | 2010-04-16 | 2013-08-27 | Covidien Lp | Hand-held surgical devices |
US20130214025A1 (en) | 2007-10-05 | 2013-08-22 | Covidien Lp | Powered surgical stapling device |
EP2428166A1 (en) | 2007-10-05 | 2012-03-14 | Tyco Healthcare Group LP | Surgical stapler having a nutating gear drive |
US7922063B2 (en) | 2007-10-31 | 2011-04-12 | Tyco Healthcare Group, Lp | Powered surgical instrument |
US8758342B2 (en) | 2007-11-28 | 2014-06-24 | Covidien Ag | Cordless power-assisted medical cauterization and cutting device |
WO2009073577A2 (en) | 2007-11-29 | 2009-06-11 | Surgiquest, Inc. | Surgical instruments with improved dexterity for use in minimally invasive surgical procedures |
US20090171147A1 (en) | 2007-12-31 | 2009-07-02 | Woojin Lee | Surgical instrument |
US8647258B2 (en) | 2008-01-10 | 2014-02-11 | Covidien Lp | Apparatus for endoscopic procedures |
WO2009089539A1 (en) | 2008-01-10 | 2009-07-16 | Power Medical Interventions, Inc. | Imaging system for a surgical device |
TW200934621A (en) | 2008-02-01 | 2009-08-16 | Mobiletron Electronics Co Ltd | Extended transmission rod for power tool |
US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US7959051B2 (en) | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
US8733611B2 (en) | 2008-03-12 | 2014-05-27 | Covidien Lp | Ratcheting mechanism for surgical stapling device |
US20090254094A1 (en) | 2008-04-08 | 2009-10-08 | Knapp Troy D | Ratcheting mechanical driver for cannulated surgical systems |
EP2278927A2 (en) | 2008-04-25 | 2011-02-02 | Downey, Earl C. | Laparoscopic surgical instrument |
US7922061B2 (en) | 2008-05-21 | 2011-04-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument with automatically reconfigurable articulating end effector |
US8403926B2 (en) | 2008-06-05 | 2013-03-26 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
JP5575379B2 (ja) | 2008-07-25 | 2014-08-20 | 東京電力株式会社 | 圧縮機及び冷凍機 |
US20100023022A1 (en) | 2008-07-25 | 2010-01-28 | Zeiner Mark S | Reloadable laparoscopic fastener deploying device with disposable cartridge use in a gastric volume reduction procedure |
KR101056232B1 (ko) | 2008-09-12 | 2011-08-11 | 정창욱 | 최소 침습 수술 도구 및 그 사용 방법 |
US20100069942A1 (en) | 2008-09-18 | 2010-03-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with apparatus for measuring elapsed time between actions |
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 |
US8372057B2 (en) | 2008-10-10 | 2013-02-12 | Coeur, Inc. | Luer lock adapter |
US8020743B2 (en) | 2008-10-15 | 2011-09-20 | Ethicon Endo-Surgery, Inc. | Powered articulatable surgical cutting and fastening instrument with flexible drive member |
DE102008053842B4 (de) | 2008-10-30 | 2010-08-26 | Kirchner, Hilmar O. | Chirurgische Zerspanvorrichtung |
US8517239B2 (en) * | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
WO2010102062A1 (en) | 2009-03-03 | 2010-09-10 | Westport Medical, Inc. | Bit holders |
US8016178B2 (en) | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8348126B2 (en) | 2009-03-31 | 2013-01-08 | Covidien Lp | Crimp and release of suture holding buttress material |
US8365972B2 (en) | 2009-03-31 | 2013-02-05 | Covidien Lp | Surgical stapling apparatus |
US7967179B2 (en) | 2009-03-31 | 2011-06-28 | Tyco Healthcare Group Lp | Center cinch and release of buttress material |
US8827134B2 (en) | 2009-06-19 | 2014-09-09 | Covidien Lp | Flexible surgical stapler with motor in the head |
US8146790B2 (en) | 2009-07-11 | 2012-04-03 | Tyco Healthcare Group Lp | Surgical instrument with safety mechanism |
US8314354B2 (en) | 2009-07-27 | 2012-11-20 | Apple Inc. | Accessory controller for electronic devices |
US20110077673A1 (en) | 2009-09-29 | 2011-03-31 | Cardiovascular Systems, Inc. | Rotational atherectomy device with frictional clutch having magnetic normal force |
ES2333509B2 (es) | 2009-10-07 | 2011-01-03 | Universidad De Cantabria | Instrumento para cirugia endoscopica. |
US8157151B2 (en) | 2009-10-15 | 2012-04-17 | Tyco Healthcare Group Lp | Staple line reinforcement for anvil and cartridge |
US8322590B2 (en) | 2009-10-28 | 2012-12-04 | Covidien Lp | Surgical stapling instrument |
US8561871B2 (en) | 2009-12-31 | 2013-10-22 | Covidien Lp | Indicators for surgical staplers |
US8376937B2 (en) | 2010-01-28 | 2013-02-19 | Warsaw Orhtopedic, Inc. | Tissue monitoring surgical retractor system |
KR101765727B1 (ko) | 2010-09-01 | 2017-08-08 | (주)미래컴퍼니 | 수술용 인스트루먼트의 커플링 구조 및 원점 조정 방법 |
WO2011108840A2 (ko) | 2010-03-05 | 2011-09-09 | 주식회사 이턴 | 수술용 인스트루먼트, 수술용 인스트루먼트의 커플링 구조 및 원점 조정 방법 |
US8562592B2 (en) | 2010-05-07 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Compound angle laparoscopic methods and devices |
US8968337B2 (en) | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
CN101966093B (zh) | 2010-09-28 | 2012-01-11 | 常州市康迪医用吻合器有限公司 | 带有可更换钉仓的腔镜外科切割吻合器 |
US10213198B2 (en) * | 2010-09-30 | 2019-02-26 | Ethicon Llc | Actuator for releasing a tissue thickness compensator from a fastener cartridge |
US8292150B2 (en) | 2010-11-02 | 2012-10-23 | Tyco Healthcare Group Lp | Adapter for powered surgical devices |
US20120116368A1 (en) | 2010-11-10 | 2012-05-10 | Viola Frank J | Surgical instrument with add-on power adapter for accessory |
US8523043B2 (en) | 2010-12-07 | 2013-09-03 | Immersion Corporation | Surgical stapler having haptic feedback |
US8348130B2 (en) | 2010-12-10 | 2013-01-08 | Covidien Lp | Surgical apparatus including surgical buttress |
US8936614B2 (en) | 2010-12-30 | 2015-01-20 | Covidien Lp | Combined unilateral/bilateral jaws on a surgical instrument |
DE102011011497A1 (de) | 2011-02-17 | 2012-08-23 | Kuka Roboter Gmbh | Chirurgisches Instrument |
US20120211542A1 (en) | 2011-02-23 | 2012-08-23 | Tyco Healthcare Group I.P | Controlled tissue compression systems and methods |
US9549758B2 (en) | 2011-03-23 | 2017-01-24 | Covidien Lp | Surgical access assembly with adapter |
CN102247182A (zh) | 2011-04-29 | 2011-11-23 | 常州市康迪医用吻合器有限公司 | 外科用电动吻合器 |
US9017314B2 (en) | 2011-06-01 | 2015-04-28 | Covidien Lp | Surgical articulation assembly |
US9381010B2 (en) | 2011-06-27 | 2016-07-05 | Covidien Lp | Surgical instrument with adapter for facilitating multi-direction end effector articulation |
DE102011084499A1 (de) | 2011-10-14 | 2013-04-18 | Robert Bosch Gmbh | Werkzeugvorsatz |
US8657177B2 (en) | 2011-10-25 | 2014-02-25 | Covidien Lp | Surgical apparatus and method for endoscopic surgery |
US8899462B2 (en) | 2011-10-25 | 2014-12-02 | Covidien Lp | Apparatus for endoscopic procedures |
US9480492B2 (en) | 2011-10-25 | 2016-11-01 | Covidien Lp | Apparatus for endoscopic procedures |
US9492146B2 (en) | 2011-10-25 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
US20130098970A1 (en) * | 2011-10-25 | 2013-04-25 | David Racenet | Surgical Apparatus and Method for Endoluminal Surgery |
US8672206B2 (en) | 2011-10-25 | 2014-03-18 | Covidien Lp | Apparatus for endoscopic procedures |
US9113899B2 (en) | 2011-11-29 | 2015-08-25 | Covidien Lp | Coupling mechanisms for surgical instruments |
US9168042B2 (en) | 2012-01-12 | 2015-10-27 | Covidien Lp | Circular stapling instruments |
US9241757B2 (en) | 2012-01-13 | 2016-01-26 | Covidien Lp | System and method for performing surgical procedures with a reusable instrument module |
AU2013203675B2 (en) | 2012-05-31 | 2014-11-27 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US9868198B2 (en) | 2012-06-01 | 2018-01-16 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use |
US9597104B2 (en) | 2012-06-01 | 2017-03-21 | Covidien Lp | Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US10080563B2 (en) | 2012-06-01 | 2018-09-25 | Covidien Lp | Loading unit detection assembly and surgical device for use therewith |
US10492814B2 (en) | 2012-07-09 | 2019-12-03 | Covidien Lp | Apparatus for endoscopic procedures |
US9839480B2 (en) | 2012-07-09 | 2017-12-12 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US9402604B2 (en) | 2012-07-20 | 2016-08-02 | Covidien Lp | Apparatus for endoscopic procedures |
US9421014B2 (en) | 2012-10-18 | 2016-08-23 | Covidien Lp | Loading unit velocity and position feedback |
US9782187B2 (en) | 2013-01-18 | 2017-10-10 | Covidien Lp | Adapter load button lockout |
US10828019B2 (en) | 2013-01-18 | 2020-11-10 | W.L. Gore & Associates, Inc. | Sealing device and delivery system |
US10918364B2 (en) | 2013-01-24 | 2021-02-16 | Covidien Lp | Intelligent adapter assembly for use with an electromechanical surgical system |
US9421003B2 (en) * | 2013-02-18 | 2016-08-23 | Covidien Lp | Apparatus for endoscopic procedures |
US9216013B2 (en) | 2013-02-18 | 2015-12-22 | Covidien Lp | Apparatus for endoscopic procedures |
US9326767B2 (en) | 2013-03-01 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Joystick switch assemblies for surgical instruments |
US9492189B2 (en) | 2013-03-13 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
US9775610B2 (en) | 2013-04-09 | 2017-10-03 | Covidien Lp | Apparatus for endoscopic procedures |
US9700318B2 (en) | 2013-04-09 | 2017-07-11 | Covidien Lp | Apparatus for endoscopic procedures |
US9801646B2 (en) | 2013-05-30 | 2017-10-31 | Covidien Lp | Adapter load button decoupled from loading unit sensor |
US9797486B2 (en) | 2013-06-20 | 2017-10-24 | Covidien Lp | Adapter direct drive with manual retraction, lockout and connection mechanisms |
US9629633B2 (en) | 2013-07-09 | 2017-04-25 | Covidien Lp | Surgical device, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use |
US9955966B2 (en) | 2013-09-17 | 2018-05-01 | Covidien Lp | Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention |
US10271840B2 (en) | 2013-09-18 | 2019-04-30 | Covidien Lp | Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument |
US9974540B2 (en) | 2013-10-18 | 2018-05-22 | Covidien Lp | Adapter direct drive twist-lock retention mechanism |
US9295522B2 (en) | 2013-11-08 | 2016-03-29 | Covidien Lp | Medical device adapter with wrist mechanism |
US20150150574A1 (en) | 2013-12-04 | 2015-06-04 | Covidien Lp | Adapter direct drive push button retention mechanism |
US10236616B2 (en) | 2013-12-04 | 2019-03-19 | Covidien Lp | Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof |
US9918713B2 (en) | 2013-12-09 | 2018-03-20 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US9808245B2 (en) | 2013-12-13 | 2017-11-07 | Covidien Lp | Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof |
US9839424B2 (en) | 2014-01-17 | 2017-12-12 | Covidien Lp | Electromechanical surgical assembly |
US10164466B2 (en) | 2014-04-17 | 2018-12-25 | Covidien Lp | Non-contact surgical adapter electrical interface |
US10080552B2 (en) | 2014-04-21 | 2018-09-25 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US9913643B2 (en) | 2014-05-09 | 2018-03-13 | Covidien Lp | Interlock assemblies for replaceable loading unit |
US9713466B2 (en) | 2014-05-16 | 2017-07-25 | Covidien Lp | Adaptor for surgical instrument for converting rotary input to linear output |
US9987095B2 (en) | 2014-06-26 | 2018-06-05 | Covidien Lp | Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units |
US9763661B2 (en) | 2014-06-26 | 2017-09-19 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US20150374372A1 (en) | 2014-06-26 | 2015-12-31 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US9839425B2 (en) | 2014-06-26 | 2017-12-12 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US10163589B2 (en) | 2014-06-26 | 2018-12-25 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10561418B2 (en) | 2014-06-26 | 2020-02-18 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US20160066913A1 (en) * | 2014-09-05 | 2016-03-10 | Ethicon Endo-Surgery, Inc. | Local display of tissue parameter stabilization |
WO2016057225A1 (en) | 2014-10-07 | 2016-04-14 | Covidien Lp | Handheld electromechanical surgical system |
US10226254B2 (en) * | 2014-10-21 | 2019-03-12 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US9949737B2 (en) | 2014-10-22 | 2018-04-24 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10085750B2 (en) | 2014-10-22 | 2018-10-02 | Covidien Lp | Adapter with fire rod J-hook lockout |
US9993258B2 (en) * | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
US10117650B2 (en) * | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
US11116594B2 (en) * | 2016-11-08 | 2021-09-14 | Covidien Lp | Surgical systems including adapter assemblies for interconnecting electromechanical surgical devices and end effectors |
-
2017
- 2017-01-05 US US15/398,785 patent/US10508720B2/en active Active
- 2017-01-20 ES ES17152380T patent/ES2893300T3/es active Active
- 2017-01-20 EP EP17152380.6A patent/EP3195812B1/en active Active
- 2017-01-22 CN CN201710053765.5A patent/CN107019537B/zh not_active Expired - Fee Related
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103209657A (zh) * | 2010-11-15 | 2013-07-17 | 直观外科手术操作公司 | 在手术仪器中去耦仪器轴滚动和末端执行器促动 |
EP2676615A2 (en) * | 2012-06-19 | 2013-12-25 | Covidien LP | Apparatus for endoscopic procedures |
US20160000513A1 (en) * | 2012-06-28 | 2016-01-07 | Ethicon Endo-Surgery, Inc. | Rotary drive arrangements for surgical instruments |
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107440758A (zh) * | 2016-05-09 | 2017-12-08 | 柯惠Lp公司 | 用于将机电手术装置与手术末端执行器相互连接的具有滑轮系统和蜗轮驱动部的接合器组件 |
CN107440758B (zh) * | 2016-05-09 | 2021-10-29 | 柯惠Lp公司 | 用于将机电手术装置与手术末端执行器相互连接的具有滑轮系统和蜗轮驱动部的接合器组件 |
CN113812993A (zh) * | 2016-05-09 | 2021-12-21 | 柯惠Lp公司 | 用于将机电手术装置与手术末端执行器相互连接的具有滑轮系统和蜗轮驱动部的接合器组件 |
US11504123B2 (en) | 2016-05-09 | 2022-11-22 | Covidien Lp | Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors |
US11864763B2 (en) | 2016-05-09 | 2024-01-09 | Covidien Lp | Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors |
CN112842535A (zh) * | 2020-12-31 | 2021-05-28 | 杭州康基医疗器械有限公司 | 包括行星排传动结构的直线型机械手 |
CN112754561A (zh) * | 2021-01-18 | 2021-05-07 | 常州安康医疗器械有限公司 | 一种具有切断功能的微创腔镜吻合器 |
CN112869815A (zh) * | 2021-02-15 | 2021-06-01 | 苏州法兰克曼医疗器械有限公司 | 一种带有可调式传动机构的内镜切割吻合器 |
CN112869815B (zh) * | 2021-02-15 | 2022-02-08 | 苏州法兰克曼医疗器械有限公司 | 一种带有可调式传动机构的内镜切割吻合器 |
EP4101401A1 (en) * | 2021-06-10 | 2022-12-14 | Covidien LP | Electrosurgical instruments |
Also Published As
Publication number | Publication date |
---|---|
ES2893300T3 (es) | 2022-02-08 |
US10508720B2 (en) | 2019-12-17 |
EP3195812B1 (en) | 2021-07-21 |
CN107019537B (zh) | 2021-08-20 |
US20170211667A1 (en) | 2017-07-27 |
EP3195812A1 (en) | 2017-07-26 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN107019537A (zh) | 用于将机电手术装置和手术装载单元互连的带有行星齿轮驱动的接合器组件及其手术系统 | |
CN103565487B (zh) | 机电手术系统 | |
CN104224258B (zh) | 具有手动的收缩、锁止和连接机构的接合器直接驱动 | |
CN105030293B (zh) | 接合器组件及其机电手术系统 | |
CN104042271A (zh) | 用于内窥镜操作的器械 | |
CN104706395B (zh) | 将接合器组件与手术装置互连的联接组件及其手术系统 | |
CN103860228B (zh) | 包括多个手柄组件的手术系统 | |
JP6628621B2 (ja) | 電気機械外科システム | |
CN103989496B (zh) | 用于内窥镜操作的器械 | |
CN103445816B (zh) | 手持式手术用手柄组件、手术用手柄组件与手术用装载单元之间使用的手术用接合器及使用方法 | |
JP6297350B2 (ja) | 内視鏡処置のための装置 | |
CN104274217B (zh) | 配置为与手术装置一起使用的联接构件 | |
CN102920491B (zh) | 具有铰接机构的手术缝合器 | |
CN103536326A (zh) | 手术手柄组件和手术末端执行器间使用的手术接合器组件 | |
CN103637825A (zh) | 用于在手术手柄组件与手术配件之间使用的快速连接组件 | |
CN104688289A (zh) | 将手术装置与手术附加装置相互连接的接合器组件及其手术系统 | |
CN104434247A (zh) | 具有防止不适当使用的手动收缩、锁定和连接机构的接合器直接驱动 | |
CN103565489A (zh) | 手术设备 | |
JP2014000397A (ja) | 内視鏡手順のための装置 | |
CN107019532A (zh) | 手术设备 | |
CN113812993A (zh) | 用于将机电手术装置与手术末端执行器相互连接的具有滑轮系统和蜗轮驱动部的接合器组件 | |
CN114680970A (zh) | 直线型切割吻合器的传动装置及直线型切割吻合器 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PB01 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
GR01 | Patent grant | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20210820 |
|
CF01 | Termination of patent right due to non-payment of annual fee |