CN107115131B - 内窥镜可再用手术施夹器 - Google Patents

内窥镜可再用手术施夹器 Download PDF

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CN107115131B
CN107115131B CN201710099722.0A CN201710099722A CN107115131B CN 107115131 B CN107115131 B CN 107115131B CN 201710099722 A CN201710099722 A CN 201710099722A CN 107115131 B CN107115131 B CN 107115131B
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阿里夫穆罕默德·穆贾瓦尔
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Abstract

一种用于与可再用手术施夹器一起使用的夹子仓组件，包括夹子托盘、多个手术夹子和盖。所述夹子托盘包括从其基壁突出的多个朝远侧定向的、可偏斜的弹性指部。每个弹性指部终止于远侧肩部，并且所述夹子托盘的近端被构造成与所述可再用手术施夹器的内窥镜组件的夹子推杆选择性地连接。所述盖包括在通过其近端和远端所限定的通道内突出的多个朝远侧定向的、可偏斜的弹性指部。所述盖的每个弹性指部终止于远侧肩部，并且所述盖包括限定在所述通道的侧壁内的一对相对的狭槽，所述一对相对的狭槽被构造成在其中可滑动地保持有所述夹子托盘和所述多个手术夹子。还提供了一种内窥镜可再用手术施夹器。

Description

内窥镜可再用手术施夹器
技术领域
本技术领域涉及一种手术施夹器。更具体地，本公开涉及一种具有可重复使用的手柄组件、可重复使用的轴组件和一次性夹子仓组件的内窥镜可再用手术施夹器。
背景技术
内窥镜吻合器和施夹器在本领域中是已知的，并且用于一些独立的且有用的手术操作。在腹腔镜手术的情况下，通过窄管或插管插入穿过皮肤中的微小进入切口来进入腹部的内部。在身体其他部位执行的微创手术经常一般性地被称为内窥镜手术。通常，管装置或插管装置通过进入切口延伸到患者体内以提供进入端口。该端口允许手术医生使用套管针将一些不同的手术器械插入其中，用于执行远离切口的手术操作。
在大多数这些手术操作期间，手术医生必须经常终止血液或其他流体流经一个或多个脉管。手术医生会经常将手术夹子应用于血管或其他管道以在手术期间防止体液流过其中。在本领域中已知一种用于在进入体腔期间施加单个夹子的内窥镜施夹器。这种夹子通常由生物相容性材料制成并且常常压紧在脉管上。一旦被施加到脉管上，压紧的夹子终止了流经其中的流体。
在共同转让给Green等人的美国专利第5,084,057号和第5,100,420号中，描述了能够在内窥镜手术操作或腹腔镜手术操作中在单次进入体腔期间施加多个夹子的内窥镜施夹器，上述两专利其整体通过引用而并入本文。另一多内窥镜施夹器公开于由Pratt等人共同转让的美国专利第5,607,436号，其内容在此也通过整体引用而并入本文。这些装置通常(但不必须)在单个手术操作期间使用。Pier等人的美国专利第5,695,502号的公开内容通过引用并入本文，其公开了一种可重复消毒的手术施夹器。施夹器在单次插入体腔期间推进多个夹子并使多个夹子成形。该可重复消毒的施夹器构被造成接收可更换的夹子盒并与其配合，以便在单次进入体腔期间推进多个夹子并使多个夹子成形。
在内窥镜手术操作或腹腔镜手术操作期间，取决于待结扎的下层组织或脉管，可能期望和/或必需使用不同尺寸的手术夹子。为了减小手术施夹器的总成本，期望能够根据需要可装载有不同尺寸的手术夹子并能够发射不同尺寸的手术夹子的单个手术施夹器。
相应地，存在对包括可重复使用的手柄组件、可重复使用的轴组件和一次性夹子仓组件的内窥镜手术施夹器的需要，其中每个夹子仓组件装载有特定尺寸的夹子(例如，相对较小的、相对中等的或相对较大的)。
发明内容
本公开涉及一种可再用内窥镜手术施夹器和适于与其一起使用的夹子仓组件。
根据本公开的方案，提供了一种与可再用内窥镜手术施夹器一起使用的夹子仓组件，并且所述夹子仓组件包括夹子托盘、多个手术夹子和盖。
所述夹子托盘包括从其基壁突出的多个朝远侧定向的、可偏斜的弹性指部。所述夹子托盘的每个弹性指部终止于远侧肩部。所述夹子托盘的近端被构造成与所述可再用手术施夹器的内窥镜组件的夹子推杆选择性连接。
所述多个手术夹子设置在所述夹子托盘的所述基壁上。所述多个手术夹子中的每个设置在所述夹子托盘的每个相应的弹性指部的远侧。
所述盖包括在通过所述盖的近端和远端所限定的通道内突出的多个朝远侧定向的、可偏斜的弹性指部。所述盖的每个弹性指部终止于远侧肩部。所述盖包括限定在所述通道的侧壁内的一对相对的狭槽，所述一对相对的狭槽被构造成在其中可滑动地保持有所述夹子托盘和所述多个手术夹子。所述多个手术夹子中的每个设置在所述盖的每个相应的弹性指部的远侧。
在使用时，在所述夹子托盘朝远侧致动时，所述夹子托盘的每个弹性指部的肩部可以接触相应的手术夹子的后跨部，以同时地向远侧推进全部所述手术夹子。
在所述夹子托盘朝远侧致动之后，在所述夹子托盘朝近侧致动时，所述夹子托盘的每个弹性指部的远侧肩部可以接触所述手术夹子中的相应的剩余的一个，以朝近侧移动全部剩余手术夹子直到剩余手术夹子的后跨部接触所述盖的所述弹性指部的相应的远侧肩部，以阻挡所述剩余手术夹子朝近侧移动。
所述夹子仓组件的所述夹子托盘可以包括穿过其近端限定的至少一个通孔。所述内窥镜组件的所述夹子推杆可以包括远侧联接件，所述远侧联接件用于当所述夹子仓组件装载到所述内窥镜组件中时与所述夹子托盘的所述至少一个通孔机械地联接。
所述夹子仓组件的所述夹子托盘可以包括穿过其近端限定的至少一个通孔。所述内窥镜组件的所述夹子推杆可以包括远侧联接件，所述远侧联接件用于当所述夹子仓组件装载到所述内窥镜组件中时与所述夹子托盘的所述至少一个通孔机械地联接。所述内窥镜组件的所述夹子推杆的所述远侧联接件可以包括限定在其上的至少一个凸台，所述至少一个凸台被构造成可释放地接合所述夹子仓组件的所述夹子托盘的所述至少一个通孔，使得按压所述至少一个凸台使所述内窥镜组件的所述夹子推杆的所述远侧联接件从所述夹子仓组件的所述夹子托盘分离。
所述夹子仓组件的所述盖的外表面可以包括限定在其上的一对相对的脊，所述一对相对的脊被构造成可释放地接合限定在所述内窥镜组件上的对应的一对翼。
所述夹子仓组件的所述盖的每个弹性指部可以在向下方向上偏压所述夹子托盘。
根据本公开的另一方案，提供了一种可再用手术施夹器，并且所述可再用手术施夹器包括：手柄组件；内窥镜组件，所述内窥镜组件可选择性地连接到所述手柄组件；以及夹子仓组件，所述夹子仓组件可选择性地装载于并连接到限定在所述内窥镜组件内的窗口。
所述夹子仓组件包括夹子托盘、多个手术夹子和盖。
所述夹子托盘包括从其基壁突出的多个朝远侧定向的、可偏斜的弹性指部。所述夹子托盘的每个弹性指部终止于远侧肩部。所述夹子托盘的近端被构造成与所述可再用手术施夹器的内窥镜组件的夹子推杆选择性连接。
所述多个手术夹子设置在所述夹子托盘的所述基壁上。所述多个手术夹子中的每个设置在所述夹子托盘的每个相应的弹性指部的远侧。
所述盖包括在通过所述盖的近端和远端所限定的通道内突出的多个朝远侧定向的、可偏斜的弹性指部。所述盖的每个弹性指部终止于远侧肩部。所述盖包括在所述通道的侧壁内限定的一对相对的狭槽。所述一对相对的狭槽被构造成在其中可滑动地保持有所述夹子托盘和所述多个手术夹子。所述多个手术夹子中的每个设置在所述盖的每个相应的弹性指部的远侧。
所述手柄组件可以包括：壳体；扳机，所述扳机枢转地支撑在所述壳体上并从所述壳体延伸；以及驱动组件，所述驱动组件支撑在所述壳体内并且由所述扳机可操作地致动。
所述内窥镜组件可以包括旋钮组件，所述旋钮组件被构造成并且适于选择性地连接到所述手柄组件的所述壳体。
所述内窥镜组件可以包括外管，所述外管连接到所述旋钮组件并从所述旋钮组件延伸。所述内窥镜组件的所述窗口可以限定在所述外管的远端中。
所述内窥镜组件还可以包括一对钳夹，所述一对钳夹支撑在所述外管的所述窗口中并从所述外管的所述远端延伸。
所述内窥镜组件可以包括钳夹闭合杆，所述钳夹闭合杆可滑动地支撑在所述外管内。所述钳夹闭合杆可以在所述内窥镜组件连接到所述手柄组件时可操作地连接到所述手柄组件的所述扳机。
所述夹子推杆可以可滑动地支撑在所述外管内，并且在所述内窥镜组件连接到所述手柄组件时可操作地连接到所述手柄组件的所述驱动组件。
在使用时，在所述夹子托盘朝远侧致动时，所述夹子托盘的每个弹性指部的肩部可以接触相应的夹子的后跨部，以同时地向远侧推进全部所述手术夹子。
在所述夹子托盘朝远侧致动之后，在所述夹子托盘朝近侧致动时，所述夹子托盘的每个弹性指部的远侧肩部可以接触所述手术夹子中的相应的剩余的一个的后跨部，以朝近侧移动全部所述剩余手术夹子直到剩余手术夹子的后跨部接触所述盖的所述弹性指部的相应的远侧肩部，以阻挡所述剩余手术夹子朝近侧移动。
所述夹子仓组件的所述夹子托盘可以包括穿过其近端限定的至少一个通孔。所述内窥镜组件的所述夹子推杆可以包括远侧联接件，所述远侧联接件用于当所述夹子仓组件装载到所述内窥镜组件中时与所述夹子托盘的所述至少一个通孔机械地联接。
所述夹子仓组件的所述夹子托盘可以包括穿过其近端限定的至少一个通孔。所述内窥镜组件的所述夹子推杆可以包括远侧联接件，所述远侧联接件用于当所述夹子仓组件装载到所述内窥镜组件中时与所述夹子托盘的所述至少一个通孔机械地联接。
所述内窥镜组件的所述夹子推杆的所述远侧联接件可以包括限定在其上的至少一个凸台，所述至少一个凸台被构造成可释放地接合所述夹子仓组件的所述夹子托盘的所述至少一个通孔，使得按压所述至少一个凸台使所述内窥镜组件的所述夹子推杆的所述远侧联接件从所述夹子仓组件的所述夹子托盘分离。
所述夹子仓组件的所述盖的外表面可以包括限定在其上的一对相对的脊，所述一对相对的脊被构造成可释放地接合限定在所述内窥镜组件的所述窗口上的相应的一对翼。
所述夹子仓组件的所述盖的每个弹性指部可以在向下方向上偏压所述夹子托盘。
所述一对钳夹可以可移除地支撑在所述外管的所述窗口中。
所述手柄组件的所述驱动组件可以包括引导块、近侧解锁构件和远侧解锁构件。
所述引导块可以可操作地连接到所述扳机并且可滑动地支撑在所述手柄组件的所述壳体中。
所述近侧解锁构件可以枢转地连接到所述引导块的远端。所述近侧解锁构件可以包括一对间隔开的朝远侧延伸的臂。每个臂可以包括从其延伸并朝向彼此的凸轮销。
所述远侧解锁构件可以支撑在所述手柄组件的所述壳体中。所述远侧解锁构件可以可滑动地设置在所述近侧解锁构件的所述一对间隔开的臂之间。所述远侧解锁构件可以包括一对相对的向外突出的凸轮斜面，所述凸轮斜面与所述近侧解锁构件的所述凸轮销可操作地对齐。
所述近侧解锁构件和所述远侧解锁构件可以被偏压到未致动位置。
所述手柄组件还可以包括：夹子推杆，所述夹子推杆可滑动地支撑在其壳体中；以及偏压构件，所述偏压构件作用在所述手柄组件的所述夹子推杆上，以在远侧方向上推动所述手柄组件的所述夹子推杆。
附图说明
此处参照附图公开了手术施夹器的特定实施例，其中：
图1是根据本公开的可再用内窥镜手术施夹器的立体图；
图2是图1的所表示的细节区域的放大图；
图3是图1的施夹器处于部件分离的立体图；
图4是图1和图3的施夹器的手柄组件处于部件分离的立体图；
图5是图4的手柄组件处于壳体半部分从其移除的侧视立体图；
图6是图5的所表示的细节区域的放大图；
图7是图5至图6的手柄组件的驱动组件的放大立体图；
图8是图7的驱动组件处于部件分离的立体图；
图9是图1和图3的施夹器的轴组件的立体图；
图10是图9的轴组件处于部件分离的立体图；
图11是图9的轴组件的钳夹推动器组件的立体图；
图12是图11的钳夹推动器组件处于部件分离的立体图；
图13是图9的轴组件的夹子推动器组件的立体图；
图14是图13的夹子推动器组件处于部件分离的立体图；
图15是手术夹子仓组件的立体图；
图15A是图15的手术夹子仓组件的替代实施例的立体图；
图15B是沿图15A的线15B-15B截取的图15A的手术夹子仓组件的截面图；
图16是图15的夹子仓组件处于部件分离的立体图；
图16A是图15A的夹子仓组件处于部件分离的立体图；
图17是图14至图15的夹子仓组件处于盖从其移除的立体图；
图18是图14至图15的夹子仓组件处于盖和夹子推动器从其移除的立体图；
图19是图14至图15的夹子仓组件的夹子推动器的立体图；
图20是图示了夹子仓组件装载到轴组件或与轴组件一起装载的立体图；
图21是图示了夹子仓组件装载到轴组件或与轴组件一起装载的立体图，其中外管从轴组件移除；
图22是图示了夹子仓组件的夹子推动器与轴组件的夹子推动器组件联接的立体图；
图22A是图示了图15A的夹子仓组件的夹子推动器与轴组件的替代夹子推动器组件相关联的立体图；
图23是沿图1的23-23截取的图示了施夹器处于未致动状态的图1的手术施夹器的纵向截面图；
图24是图23的所表示的细节区域的放大图；
图25是图示了轴组件联接到手柄组件的图24的所表示的细节区域的放大图；
图26是图示了夹子推杆的锁定的图23的所表示的细节区域的放大图；
图27是沿图26的27-27截取的图7和图8的驱动组件的截面图；
图28是图24所示的轴组件的所表示的细节区域的放大图；
图29是图28的所表示的细节区域的放大图；
图30是图示了扳机的初始致动的图5所示的手柄组件的正视图；
图31是图示了夹子推杆的解锁的图30的所表示区域的放大图；
图32和图33是作用在施夹器的一对钳夹上的夹子推杆的夹子压力特征(cliplogic feature)的立体图；
图34和图35是图示了将最远侧手术夹子装载到施夹器的一对钳夹中的纵向截面图；
图36和图37是作用在施夹器的一对钳夹上以使钳夹闭合并在使其中装载的夹子成形的夹子闭合杆的立体图；以及
图38是在脉管上成形的手术夹子的立体图。
具体实施方式
现在将参照附图详细描述根据本公开的可再用内窥镜手术施夹器的实施例，其中相同的附图标记表示相似或相同的结构元件。如附图所示和下面的描述通篇所描述的，当指在手术器械上的相对定位时，如常规那样，术语“近侧”是指装置的更靠近使用者的那端，并且术语“远侧”指装置的更远离使用者的那端。
参照图1至图37，根据本公开的实施例的内窥镜手术施夹器一般性地表示为10。手术施夹器10通常包括：手柄组件100；内窥镜组件200，其包括可选择性地连接到手柄组件100并且可从手柄组件100向远侧延伸的轴组件210；以及至少一个手术夹子仓组件300，其可选择性地装载到内窥镜组件200的轴组件210中。
简而言之，内窥镜组件200的轴组件210可以取决于特定的用途而具有诸如约5mm或约10mm的各种外径。此外，取决于特定的用途，例如在减肥手术中，轴组件210可以具有各种相对伸长或缩短的长度。在一个实施例中，在减肥手术中，轴组件210可以具有在约30cm与约40cm之间的长度。但是，本领域技术人员应当理解，轴组件210可以具有超过约30cm的任何长度，并且本公开不限于任何上述长度。
根据本公开，如下文将更详细地讨论的，每个手术夹子仓组件300可以装载有特定尺寸的一组手术夹子(例如，相对较小的手术夹子、相对中等的手术夹子、或者相对较大的手术夹子)。每个夹子仓组件300被构造为选择性地装载到内窥镜组件200的轴组件210中，并且由手柄组件100致动以将装载到其中的手术夹子发射并且使手术夹子成形在下层组织和/或脉管上。
参照图1至图8，示出了手术施夹器10的手柄组件100。手柄组件100包括具有第一或右侧半部分102a以及第二或左侧半部分102b的壳体102。手柄组件100包括可枢转地支撑在壳体102的右侧半部分102a与左侧半部分102b之间的扳机104。扳机104被偏压构件104a(例如，弹簧)偏压到未致动状态。
手柄组件100的壳体102可以由合适的塑料或热塑性材料形成。手柄组件100包括提供了进入施夹器10的驱动组件120的可移除的盖106等。如图3至图5所示，手柄组件100的壳体102还包括限定环形凸缘102d的鼻部102c。
手柄组件100包括可操作地连接到扳机104的驱动组件120。具体地，驱动组件120包括近侧连杆(或一对连杆)122和远侧连杆124。近侧连杆122包括枢转地连接到扳机104的远侧联接部分122a以及枢转地连接到引导块126的近侧联接部分122b。远侧连杆124包括枢转地连接到钳夹推动器管或缸156的远侧联接部分124a以及枢转地连接到扳机104的近侧联接部分124b。销126将近侧连杆122和远侧连杆124枢转地连接到扳机104。销126还可滑动地设置在相对的弓形通道102c内，相对的弓形通道102c在相对的手柄半部分102a、102b中形成。以这种方式，随着扳机104被致动，销126沿着狭槽102e(图4)移动，并且使得近侧连杆122的相对的近侧联接部分122b和远侧连杆124的远侧联接部分124a彼此分离。
如图4至图8所示，驱动组件120还包括引导块132，引导块132限定穿过其中的纵向延伸通道132a。近侧连杆122的近侧联接部分122b枢转地连接到引导块132。
驱动组件120还包括枢转地连接到引导块132的远侧部分的近侧解锁构件134。近侧解锁构件134包括一对朝远侧定向的间隔开的臂134a，每个臂134a包括从其延伸并朝向彼此的凸轮销134b。提供了偏压构件136(例如，板簧)，并且偏压构件136包括固定到引导块132的第一端以及自由端，所述自由端作用在近侧解锁构件134上，以在近侧解锁构件134上施加力并且将近侧解锁构件134保持在锁定位置，如下文将更详细地讨论的。
例如，驱动组件120另外包括诸如通过支撑块139等枢转地支撑在手柄组件100的壳体102中的远侧解锁构件138。可替代地，远侧解锁构件138可以直接枢转地连接到手柄组件100的壳体102。远侧解锁构件138包括鼻部138a(图8)，鼻部138a被构造成并且尺寸设定成用于设置在近侧解锁构件134的间隔开的两个臂134a之间。远侧解锁构件138包括从远侧解锁构件138的鼻部138a的相对侧延伸的一对凸轮斜面138b。远侧锁定构件138的凸轮斜面138b与近侧解锁构件134的凸轮销134b可操作地关联，如下文将更详细地描述的。远侧解锁构件138还包括锁定凸片138c，锁定凸片138c从其突出并且朝向夹子推杆150(参见图6、图26和图31)延伸，用以与夹子推杆150选择性接合，如下文将更详细地描述的。提供了偏压构件140(例如，螺旋弹簧等)，并且偏压构件140包括固定到支撑块139的第一端和自由端，所述自由端作用在远侧解锁构件138上，以在远侧解锁构件138上施加力并且将远侧解锁构件138保持在锁定位置，如下面将更详细地描述的。
继续参照图4至图8，驱动组件120包括可滑动地支撑在手柄组件100的壳体102内并穿过壳体102可滑动地支撑的夹子推杆150。夹子推杆150包括支撑在其近端150a上的凸缘152a以及在其远端150b处形成的联接件尖端152b。夹子推杆150的尺寸设定成使得其联接件尖端152b从手柄组件100的壳体102的鼻部102c突出。夹子推杆150在其中限定了窗口或狭槽150c，用于选择性地接收远侧解锁构件138的锁定凸片138c(图6和图26)，如下文将更详细地描述的。偏压构件154(例如，压缩弹簧)介于手柄组件100的壳体102与夹子推杆150的凸缘152a之间。偏压构件154作用在夹子推杆150上，以在远侧方向上偏压或推动夹子推杆150。
当夹子推杆150处于近侧位置时，远侧解锁构件138的锁定凸片138c设置在夹子推杆150的窗口或狭槽150c内，并且偏压构件154挤压在手柄组件100的壳体102与夹子推杆150的凸缘152a之间。
驱动组件120还包括可滑动地支撑在手柄组件100的壳体102内的钳夹推动器管156。钳夹推动器管156限定穿过其中的内腔，所述内腔用于在其中接收夹子推杆150并使夹子推杆150可滑动地通过。钳夹推动器管156包括枢转地连接到远侧连杆124的远侧联接部分124a的近端156a以及形成在其远端156b处的联接件尖端156c。钳夹推动器管156的尺寸设定成使得其联接件尖端156c从手柄组件100的壳体102的鼻部102c突出。
现在转到图1至图3以及图9至图10，示出了手术施夹器10的内窥镜组件200。内窥镜组件200包括旋钮组件202，旋钮组件202构造成用于选择性地连接到手柄组件100的壳体102的鼻部102c的环形凸缘102d。旋钮组件202包括外旋钮环202a、构造成接收在外旋钮环202a中的内旋钮环202b、以及构造成用于接收在内旋钮环202b中的锁环202c。
在使用时，当外旋钮环202a相对于内旋钮环202b处于第一位置时，旋钮组件202可以联接到手柄组件100的壳体102的鼻部102c上或者可以接收鼻部102c。当外旋钮环202a相对于内旋钮环202b处于第二位置时，壳体102的鼻部102c设置在旋钮组件202的锁环202c内时，外旋钮环202a作用在锁环202c的突片202d上，以将突片202d推入到壳体102的鼻部102c的环形凸缘102d中，以将内窥镜组件200锁定在手柄组件100上。
旋钮组件202可以可旋转地安装在壳体102的鼻部102c上，以将轴组件210和一对钳夹214传递和/或提供绕其纵向轴线的360°旋转。
如图1至图3以及图9至图14所示，内窥镜组件200包括从旋钮组件202延伸的轴组件210。轴组件210包括具有近端部分212a和远端部分212b的外管212，近端部分212a牢固地固定到旋钮组件202的内旋钮环202b，远端部分212b从旋钮组件202的内旋钮环202b延伸。外管212的远端部分212b限定在其侧面中形成的通道或窗口212c。
轴组件210包括一对钳夹214，一对钳夹214安装在外管212的通道212c中并且可通过手柄组件100的扳机104的致动来致动。所述一对钳夹214由适当的生物相容性材料形成，例如，由不锈钢或钛形成。所述一对钳夹214可移除地安装在外管212的通道212c中。参照图10、图20和图29，所述一对钳夹214可以设置在从管填充件215突出的安装齿215a上，管填充件215固定地安装或支撑在内窥镜组件200的外管212的通道或窗口212c中。特别地，所述一对钳夹214可以限定形成在其一对凸轮楔形表面214b中的窗口214c，其中当所述一对钳夹214安装在外管212的通道212c中时，所述一对钳夹214的窗口214c在其中接纳安装齿215a。偏压构件215b被设置成保持所述一对钳夹214与安装齿215a接合。
现参照图32、图33、图36和图37，所述一对钳夹214在其之间限定了通道214a，通道214a用于在其中接收手术夹子“C”。所述一对钳夹214包括从其突出的一对凸轮楔形表面214b。如下文将详细描述的，一对凸轮楔形表面214b被钳夹闭合杆216作用，以将所述一对钳夹214致动到闭合位置。
参照图3以及图9至图13，轴组件210包括可滑动地支撑在外管212内的钳夹闭合杆216。钳夹闭合杆216包括固定地支撑联接件毂217的近端部分216a以及构造成接合并作用于所述一对钳夹214的远端部分216b。具体地，钳夹闭合杆216的远端部分216b限定了远侧的端部开口的通道216c，所述通道216c被构造成并且尺寸设定成：在钳夹闭合杆216相对于所述一对钳夹214在远侧方向上移动以接近所述一对钳夹214时，接合所述一对钳夹214的一对凸轮楔形表面214b的外表面。
钳夹闭合杆216的联接件毂217被构造成选择性地连接到手柄组件100的驱动组件120的钳夹推动器管156的联接件尖端156c。在使用时，在钳夹闭合杆216的联接件毂217连接到钳夹推动器管156的联接件尖端156c上的情况下，钳夹推动器管156的轴向平移引起了联接件毂217的轴向平移。可以预期，钳夹闭合杆216的联接件毂217和钳夹推动器管156的联接件尖端156c可以具有燕尾型构造等。
继续参照图3以及图9至图13，轴组件210包括可滑动地支撑在外管212内且与钳夹闭合杆216邻近的夹子推杆218。夹子推杆218包括近端部分218a和远端部分218b，近端部分218a限定近侧联接件218c，远端部分218b限定了构造成接合并作用于夹子仓组件300的仓夹子推杆304的远侧联接件218d，如下文将更详细地描述的。夹子推杆218的近侧联接件218c被构造成选择性地连接到手柄组件100的驱动组件120的夹子推杆150的联接件尖端152b。在使用时，在夹子推杆218的近侧联接件218c连接到夹子推杆150的联接件尖端152b的情况下，手柄组件100的夹子推杆150的轴向平移引起了内窥镜组件200的夹子推杆218的轴向平移。可以预期，夹子推杆218的近侧联接件218c和夹子推杆150的联接件尖端152b可以具有燕尾型构造等。
轴组件210还包括可滑动地支撑在外管212内并介于钳夹闭合杆216与夹子推杆218之间的夹子压力推动器(clip logic pusher)或楔形板220。楔形板220包括近端部分220a和远端部分220b，近端部分220a可滑动地连接到夹子推杆218，远端部分220b被构造成接合并作用于一对钳夹214，如下文将更详细描述的。可以提供偏压构件以将楔形板220推动到远侧位置以展开一对钳夹214。
现在转到图1至图3以及图15至图22，示出了手术施夹器10的夹子仓组件300。如上所述，夹子仓组件300被构造成并且尺寸设定成用于选择性地装载到在内窥镜组件200的外管212的远端部分212b中形成的通道212c内，并且被构造成并且尺寸设定成选择性地连接或联接到夹子推杆218的远侧联接件218d，如下文将更详细地论述的。
夹子仓组件300包括夹子托盘302，夹子托盘302包括基壁302a和支撑在基壁302b上的一对间隔开的侧壁或侧轨302b，其中基壁302a和侧壁302b限定夹子通道302c。夹子托盘302包括朝远侧延伸的、弹性的、可偏斜的指部302d的线性阵列，所述指部302d的线性阵列在两个侧壁302b之间的位置处从基壁302a向上突出到夹子通道302c中。
夹子仓组件300包括可滑动地设置在夹子托盘302附近的仓夹子推杆304。仓夹子推杆304包括限定联接件根部、头部或凸台304c的近端304a以及限定推动器304d的远端部分304b，联接件根部、头部或凸台304c被构造成选择性地与内窥镜组件200的夹子推杆218的远侧联接件218d连接，推动器304d被构造成接合一叠夹子“C”中的最远侧的夹子“C1”，用于将最远侧夹子“C1”装载到内窥镜组件200的一对钳夹214内。
仓夹子推杆304包括朝远侧定向的斜面304e的线性阵列，其中每个斜面304e限定远侧肩部304f。在实施例中，斜面304e的阵列包括一对侧向间隔开的斜面的阵列，所述斜面的阵列纵向地在其之间限定了通道。在使用时，当仓夹子推杆304覆盖或邻近夹子托盘302时，夹子托盘302的可偏斜的指部302d设置在一对侧向间隔开的斜面304e的阵列之间。
夹子仓组件300包括介于夹子托盘302与仓夹子推杆304之间的一叠手术夹子“C”。所述一叠手术夹子“C”支撑在夹子托盘302上或装载到夹子托盘302中，使得每个手术夹子“C”的顶点设置在夹子托盘302的相应的可偏斜指部302d的远侧。此外，当仓夹子推杆304相对于夹子托盘302处于近侧位置时，仓夹子推杆304的一对侧向间隔开的斜面304e的阵列设置在所述一叠手术夹子的相应的手术夹子“C”的冠部或腿部的近侧。
假定夹子仓组件300和内窥镜组件200被恰当地构造并设定了尺寸，夹子仓组件300可以装载有10个手术夹子“C”，或者在实施例中，夹子仓组件300可以装载有任何数量的手术夹子“C”。手术夹子“C”可以由本领域技术人员已知的材料制成，包括但不限于不锈钢、钛或其他金属合金。在实施例中，可以预期，可以将一叠手术夹子“C”中的至少最后一个手术夹子染成特定颜色，以当夹子仓组件300的最后手术夹子被装载到一对钳夹214时向使用者指示。
夹子仓组件300包括构造成连接到夹子托盘302并支撑在夹子托盘302上的盖306。盖306包括从其突出并且朝仓推杆304突出的一系列弹性的可偏斜的指部306a。盖306的指部306a用于朝夹子托盘302偏压仓夹子推杆304，并且保持所述一叠手术夹子“C”与夹子托盘302的基壁302b滑动接触。
盖306限定形成在其近侧区域中的窗口306b，用于接近仓夹子推杆304的释放按钮304g。在使用时，在仓夹子推杆304的联接件凸台304c联接到内窥镜组件200的夹子推杆218的远侧联接件218d的情况下，使用者可以按压释放按钮304g以使联接件凸台304c从夹子推杆218的互补的远侧联接件218d分离(例如，从远侧联接件218d内按下联接件凸台304c)，从而将夹子仓组件300从内窥镜组件200断开。
参照图20至图22，提供了夹子仓组件300到内窥镜组件200的装载。为了将夹子仓组件300装载到内窥镜组件200的外管212的通道或窗口212c内，使用者按下仓夹子推杆304的释放按钮304g(沿图20的箭头“A”的方向)。随着仓夹子推杆304的释放按钮304g被按下，仓夹子推杆304的联接件凸台304c被插入到内窥镜组件200的外管212中，直到仓夹子推杆304的联接件凸台304c与内窥镜组件200的夹子推杆218的远侧联接件218d对齐。随着仓夹子推杆304的联接件凸台304c与内窥镜组件200的夹子推杆218的远侧联接件218d对齐，仓夹子推杆304的释放按钮304g可以被释放，使得仓夹子推杆304的联接件凸台304c进入内窥镜组件200的夹子推杆218的互补远侧联接件218d并与互补远侧联接件218d配合。在这样做时，夹子仓组件300被装载到内窥镜组件200的外管212的通道或窗口212c中，并且夹子仓组件300的仓夹子推杆304联接到内窥镜组件200的夹子推杆218。
如图2和图10所示，内窥镜组件200的外管212的通道或窗口212c可以设置有沿其侧边缘延伸并朝向彼此延伸的唇或翼212d，以卡扣或接合夹子仓组件300的侧面，并且进一步有助于保持夹子仓组件300装载到内窥镜组件200中。
参照图15A、图15B和图16A，图示了根据本公开提供的夹子仓组件的替代实施例，并且一般性地由附图标记300'标识。
类似于夹子仓组件300，夹子仓组件300'被构造成并且尺寸设定成选择性地装载到在内窥镜组件200的外管212的远端部分212b中形成的通道212c中，并且被构造成并且尺寸设定成选择性地连接或联接到夹子推杆218的远侧联接件218d的替代实施例，其一般性地被标识为远侧联接件218d'(图22A)，如下文将更详细地描述的。
夹子仓组件300'包括夹子托盘302'，夹子托盘302'包括基壁302a'，基壁302a'限定在相对的侧面302b'之间延伸的大致平坦的表面。夹子托盘302'包括朝远侧延伸的、弹性的、可偏斜的指部302d'的线性阵列，所述指部302d'的线性阵列在相对的侧面302b'之间的位置处从基壁302a'向上突出。每个弹性指部302d'限定远侧肩部302f'。在实施例中，远侧肩部302f'包括对应于一叠夹子中的每个夹子“C”的冠部的形状的弓形轮廓，以便提供与其更有利的接合。夹子托盘302'包括多个通孔302e'，多个通孔302e'由在其近端处穿过基壁302a'而限定。多个通孔302e'中的每个被构造成可释放地接合夹子推杆218的远侧联接件218d'(图22A)，如下文将更详细地描述的。
以这种方式，夹子仓组件300'的夹子托盘302'用于装载最远侧的夹子“C1”并且代替夹子仓组件300的仓夹子推杆304来推进一叠夹子中的每个夹子“C”。通过移除仓夹子推杆304，减少了夹子仓组件300'的部件数量和总体复杂性。
夹子仓组件300'包括构造成用于连接到内窥镜组件200的外管212并且支撑在外管212上的盖306'。夹子仓组件300'包括限定在其中并且从其近端延伸到远端的U形通道306c'。U形通道306c'包括限定在其侧壁306e'中的一对相对的狭槽306d'。相对的狭槽306d'被构造成并且尺寸设定成在其中可滑动地接收夹子托盘302'。以这种方式，盖306'由适当的弹性材料形成，所述弹性材料能够暂时变形以在其中接收夹子托盘302'，但是一旦任何外力不再施加到其上时就保持其原始形状。盖306'包括朝远侧定向的、弹性的可偏斜的指部306f'的线性阵列，其中每个弹性指部306f'限定远侧肩部306g'。在实施例中，弹性指部306f'的阵列包括一对侧向间隔开的弹性指部的阵列，所述弹性指部的阵列纵向地在其之间限定了通道。正如可以理解的，盖306'的弹性指部306f'可以用于在向下方向上偏压夹子托盘302'，以确保夹子托盘302'仅可在纵向方向上行进(即，禁止夹子托盘302'的竖向运动)。
一对相对的脊306h'设置在盖306'的外表面306i'上，并且被构造成并且尺寸设定成可释放地接合内窥镜组件200的外管212的唇或翼212d，类似于上文针对夹子仓组件300所描述的。
夹子仓组件300'包括介于夹子托盘302'与盖306'之间的一叠手术夹子，使得手术夹子“C”也与夹子托盘302'一起设置在一对相对的狭槽306d'内。一叠手术夹子支撑在夹子托盘302'上或装载到夹子托盘302'中，使得每个手术夹子“C”的顶点或冠部设置在夹子托盘302'的相应的可偏斜指部302d'远侧。此外，当盖306'可滑动地连接到夹子托盘302'时，朝远侧定向的、弹性的可偏斜指部306f'的线性阵列中的每个弹性指部306f'设置在一叠手术夹子的相应手术夹子“C”的冠部或腿近侧。以这种方式，盖306'将一叠手术夹子和夹子托盘302'可滑动地保持在一对相对的狭槽306d'内。
假定夹子仓组件300'和内窥镜组件200被恰当地构造并设定了尺寸，夹子仓组件300'可以装载有10个手术夹子“C”，或者在实施例中，夹子仓组件300'可以装载有任何数量的手术夹子“C”。手术夹子“C”与上文针对夹子仓组件300所描述的那些相同，因此，为了简洁起见，这里不再描述其详细的描述。
另外参照图22A，提供了夹子仓组件300'装载到内窥镜组件200。为了将夹子仓组件300'装载到内窥镜组件200的外管212的通道或窗口212c中，使用者将设置在内窥镜组件200的夹子推杆218的远侧联接件218d上的一对凸台218e'或释放按钮与夹子托盘302'的每个相应的通孔302e'接合。可以预期，一对凸台218e'可以由弹性材料构成，使得使用者可以按下一对凸台218e'的每个凸台218e'，以可释放地接合夹子托盘302'的每个相应的通孔302e'。在这一点上，夹子仓300'被按入内窥镜组件200的外管212的通道或窗口212c中，使得内窥镜组件200的唇或翼212d可释放地接合盖306'的一对相对的脊306h'。正如可以理解的，借助卡扣装配构造，唇或翼212d可以可释放地接合一对相对的脊306h'。
继续参照图1至图22，并且另外具体参照图23至图38，示出并描述了施夹器10的示例性操作模式。如图23至图29所示，示出了施夹器10，其中内窥镜组件200连接到手柄组件100(如上所述)，并且夹子仓组件300装载到内窥镜组件200中(如上所述)。
具体地，在手柄组件的扳机104处于未致动状态的情况下，手柄组件100的夹子推杆150、内窥镜组件200的夹子推杆218以及夹子仓组件300的仓夹子推杆304处于未致动位置或最近侧位置。经这样定位，驱动组件120的远侧解锁构件138的锁定凸片138c设置在夹子推杆150的窗口或狭槽150c内，从而将夹子推杆150保持在未致动位置或最近侧位置，并且将偏压构件154保持被压缩在手柄组件100的壳体102与夹子推杆150的凸缘152a之间。
另外，在手柄组件的扳机104处于未致动状态的情况下，夹子仓组件300的仓夹子推杆304的朝远侧定向的斜面304e的远侧肩部304f设置在一叠手术夹子“C”中的相应手术夹子的近侧。
此外，在手柄组件的扳机104处于未致动状态的情况下，内窥镜组件200的楔形板220保持在未致动位置或最近侧位置。
继续参照图1至图28，并且另外具体参照图30至图38，下文示出并描述了手术施夹器10的发射行程。在夹子仓组件300装载到内窥镜组件200中的情况下，随着手柄组件100的扳机104被致动到完全致动位置，一叠手术夹子“C”中的最远侧的夹子“C1”被装载到内窥镜组件200的一对钳夹214内并由一对钳夹214成形。
更具体地，随着扳机104在图30的箭头“B”的方向上被致动，扳机104作用在近侧连杆122上，以在近侧方向上(如图30的箭头“C”所示)移动近侧连杆122的近侧联接部分122b，并且作用在远侧连杆124上以在远侧方向上(如图30的箭头“D”所示)移动远侧连杆124的远侧联接部分124a。
随着近侧连杆122的近侧联接部分122b在近侧方向上移动，近侧连杆122作用在驱动组件120的引导块132上，以在近侧方向上移动引导块132，进而在近侧方向上移动近侧解锁构件134。随着近侧解锁构件134在近侧方向上移动，近侧解锁构件134的凸轮销134b被移动而与远侧解锁构件138的凸轮斜面138b接合，以在图30和图31的箭头“E”的方向上将远侧解锁构件138推离手柄组件100的夹子推杆150。随着远侧解锁构件138被推离夹子推杆150，远侧解锁构件138的锁定凸片138c随即脱离夹子推杆150的窗口或狭槽150c，从而允许偏压构件154伸展并向远侧驱动夹子推杆150直到夹子推杆150的凸缘152a抵接引导块132。一旦近侧解锁构件134的凸轮销134b朝远侧移动超过远侧解锁构件138的凸轮斜面138b，则偏压构件140朝夹子推杆150推回远侧解锁构件138，使得远侧解锁构件138的锁定凸片138c接触夹子推杆150的表面，同时仍允许夹子推杆150在远侧方向上移动。
随着手柄组件100的夹子推杆150在远侧方向上移动，夹子推杆150在远侧方向上移动内窥镜组件200的夹子推动器组件218，进而作用在夹子仓组件300的仓夹子推杆304上，以在远侧方向上移动仓夹子推杆304，从而将手术夹子“C”装载到一对钳夹214内。
另外，如图32和图33所示，随着内窥镜组件200的夹子推动器组件218(图13和图29)在远侧方向上移动，夹子推动器组件218作用在楔形板220上以朝远侧移动楔形板220，直到楔形板220的远端部分220b接触一对钳夹214的凸轮楔形表面214b，以将一对钳夹214保持在间隔开的状态或将一对钳夹214推动到间隔开的状态。具体地，楔形板220的远端部分220b限定了一对V形凹口220c，一对钳夹214的每个凸轮楔形表面214b中的每个，以在楔形板220朝远侧推进时引导一对钳夹214。
在楔形板220推动一对钳夹214分开的情况下，随着夹子推杆150在远侧方向上移动，夹子推杆150在远侧方向上移动内窥镜组件200的夹子推动器组件218，进而如图34和图35所示，在远侧方向上移动夹子仓组件300的仓夹子推杆304，以将一叠夹子“C”中在远侧方向上的最远侧夹子“C1”装载到一对钳夹214中。具体地，仓夹子推杆304的推动器304d接合最远侧夹子“C1”的后跨部，并且将最远侧夹子“C1”推出夹子仓组件300而推入到一对夹钳214的通道214a内。另外，在最远侧夹子“C1”的朝远侧移动的同时，随着夹子仓组件300的仓夹子推杆304在远侧方向上移动，仓夹子推杆304的斜面304e的远侧肩部304f与剩余手术夹子“C”的相应的手术夹子的相应的后跨部抵接，以便同样在远侧方向上推动剩余手术夹子“C”。仓夹子推杆304朝远侧推进剩余手术夹子“C”，直到每个剩余手术夹子“C”朝远侧推进经过夹子仓组件300的下一个邻近的、弹性的、可偏斜的指部302d。
然后，夹子推杆150的凸缘152a抵接引导块132，随着扳机104被进一步致动，近端连杆122继续在近侧方向上移动引导块132，并且引导块132作用在夹子推杆150的凸缘152a上以在近侧方向上推动夹子推杆150。随着夹子推杆150在近侧方向上移动，夹子推杆150在近侧方向上拉动或移动内窥镜组件200的夹子推动器组件218，进而在近侧方向上拉动或移动夹子仓组件300的仓夹子推杆304。随着仓夹子推杆304在近侧方向上移动，仓夹子推杆304的斜面304e抵接剩余手术夹子“C”的后跨部的远侧表面，以便同样在近侧方向上推动剩余手术夹子“C”。仓夹子推杆304向近侧缩回剩余手术夹子“C”，直到每个剩余手术夹子“C”缩回到与夹子仓组件300的相应的弹性的、可偏斜的指部302d的相应的远侧尖端接触，其阻挡或阻止了剩余手术夹子“C”进一步朝近端缩回。
在手柄组件100的夹子推杆150继续被引导块132在近侧方向上推动的情况下，随着夹子推杆150的窗口或狭槽150c与远侧解锁构件138的锁定凸片138c对齐，偏压构件140将远侧解锁构件138的锁定凸片138c推回到夹子推杆150的窗口或狭槽150c中。
如上所述，随着扳机104在图30的箭头“B”的方向上被致动时，扳机104还作用在远侧连杆124上，以在远侧方向上(如图30的箭头“D”所示)移动远侧连杆124的远侧联接部分124a。随着远侧连杆124的远侧联接部分124a在远侧方向上移动，远侧联接部分124a在远侧方向上推动钳夹推进器管156。在钳夹推进器管156连接到内窥镜组件200的钳夹闭合杆216(如上所述)的情况下，随着钳夹推进器管156在远侧方向上移动，钳夹闭合杆216也在远侧方向上移动。参照图36和图37，随着钳夹闭合杆216在远侧方向上移动，钳夹闭合杆216的通道216c(参见图11和图12)接收或接合一对钳夹214的一对凸轮楔形表面214b，以将一对钳夹移动到闭合位置或接近位置。
在最远侧的手术夹子“C1”装载到一对钳夹214中的情况下，随着钳夹闭合杆216将一对钳夹移动到闭合位置或接近位置，最远侧的手术夹子“C1”在其之间成形在例如脉管“V”上等，如图38所示。
致动施夹器10的时机为这样：使得在钳夹闭合杆216接合一对钳夹214的一对凸轮楔形表面214b之前，夹子仓组件300的仓夹子推杆304的推动器304d从内窥镜组件200的一对钳夹214之间撤出。
在手术夹子“C”成形的情况下，扳机104可以通过扳机回位弹簧104a(参见图4和图5)或者借助于扳机回位弹簧104a而被释放并返回到未致动位置。随着扳机104返回到未致动位置，扳机104作用在近侧连杆122上以在远侧方向上移动引导块132，并且作用在远侧连杆124上以在近侧方向上移动钳夹推进器管156，从而使施夹器10复位以进行另一发射。
可以预期，手柄组件100如图4、图5和图30所示可以包括计数器机构110，计数器机构110被构造成并适于随着手术施夹器10的每次发射而减小其上的标记。以这种方式，使用者可以记录在夹子仓组件300中剩余的手术夹子的数量。
在使用时，如上所述，手术施夹器10能够将不同的手术夹子仓组件300装载到内窥镜组件200中。具体地，内窥镜组件200可以装载有手术夹子仓组件300，该手术夹子仓组件300装载有具有第一尺寸的一叠手术夹子“C”，或者内窥镜组件200可以装载有手术夹子仓组件300，该手术夹子仓组件300装载有具有不同于第一尺寸的第二尺寸的一叠手术夹子“C”。
以这种方式，使用者或手术医生可以依据待执行的特定手术操作来装载已装载有特定尺寸的手术夹子的手术夹子仓组件300。另外，在手术操作期间，如果产生了使用不同尺寸的手术夹子的需要，则使用者或手术医生可以弹出或卸载已装载到内窥镜组件200中的手术夹子仓组件300，然后将新的手术夹子仓组件300(与未装载的手术夹子仓组件300相比在其中装载有不同尺寸的一叠手术夹子)装载到内窥镜组件200内。
根据本公开，可以预期，手术施夹器10包括：可用于多个手术操作的可重复使用且可消毒的手柄组件100；同样可用于多个手术操作的可重复使用且可消毒的内窥镜组件200；以及一次性的、单次使用的夹子仓组件300(例如，其中夹子仓组件300当从内窥镜组件200卸载时被处理)。可以预期，内窥镜组件200可以在特定的手术操作之后被处理，并且不重复使用或消毒。
同样根据本公开，进一步预期，可以提供一种手术装备，其包括单个手柄组件100、单个内窥镜组件200以及多个夹子仓组件300，所述夹子仓组件300至少包括装载有具有第一尺寸的一叠手术夹子的第一组夹子仓组件、以及装载有具有不同于第一尺寸的第二尺寸的一叠手术夹子的第二组夹子仓组件。所述装备可以包括对组件或手术施夹器10的指示、手术施夹器10的使用以及在使用之后对手术施夹器组件10的处理。
应当理解，前面的描述仅仅是对本公开的说明。本领域技术人员可以不偏离本公开设计出各种替代例和变型例。相应地，本公开旨在涵盖所有这样的替代例、变型例和改变例。参照附图所描述的实施例仅用于示出来示范本公开的某些示例。与上文和/或所附权利要求中所述的那些元件、步骤、方法和技术无实质上不同的其它元件、步骤、方法和技术也认为在本公开的范围内。

Claims (20)

1.一种用于与可再用手术施夹器一起使用的夹子仓组件，包括：
夹子托盘，所述夹子托盘包括从其基壁突出的多个朝远侧定向的、可偏斜的弹性指部，所述夹子托盘的每个弹性指部终止于远侧肩部，所述夹子托盘的近端被构造成与所述可再用手术施夹器的内窥镜组件的夹子推杆选择性连接；
仓夹子推杆，所述仓夹子推杆可滑动地设置在所述夹子托盘附近；
多个手术夹子，所述多个手术夹子设置在所述夹子托盘的所述基壁上，其中所述多个手术夹子中的每个设置在所述夹子托盘的每个相应的弹性指部的远侧；以及
盖，所述盖包括在通过所述盖的近端和远端所限定的通道内突出的多个朝远侧定向的、可偏斜的弹性指部，所述盖的每个弹性指部终止于远侧肩部并且用于朝所述夹子托盘偏压所述仓夹子推杆，其中所述盖包括限定在所述通道的侧壁内的一对相对的狭槽，所述一对相对的狭槽被构造成在其中可滑动地保持有所述夹子托盘和所述多个手术夹子，
其中所述多个手术夹子中的每个设置在所述盖的每个相应的弹性指部的远侧。
2.根据权利要求1所述的夹子仓组件，其中，在所述夹子托盘朝远侧致动时，所述夹子托盘的每个弹性指部的肩部接触相应的手术夹子的后跨部，以同时地向远侧推进全部所述手术夹子。
3.根据权利要求2所述的夹子仓组件，其中，在所述夹子托盘朝远侧致动之后，在所述夹子托盘朝近侧致动时，所述夹子托盘的每个弹性指部的远侧肩部接触所述手术夹子中的相应的剩余的一个，以朝近侧移动全部剩余手术夹子，直到所述剩余手术夹子的后跨部接触所述盖的所述弹性指部的相应的远侧肩部，以阻挡所述剩余手术夹子朝近侧移动。
4.根据权利要求1所述的夹子仓组件，其中，所述夹子仓组件的所述夹子托盘包括穿过其近端限定的至少一个通孔，并且其中所述内窥镜组件的所述夹子推杆包括远侧联接件，所述远侧联接件用于当所述夹子仓组件装载到所述内窥镜组件中时与所述夹子托盘的所述至少一个通孔机械地联接。
5.根据权利要求1所述的夹子仓组件，其中，所述夹子仓组件的所述夹子托盘包括穿过其近端限定的至少一个通孔，并且其中所述内窥镜组件的所述夹子推杆包括远侧联接件，所述远侧联接件用于当所述夹子仓组件装载到所述内窥镜组件中时与所述夹子托盘的所述至少一个通孔机械地联接；
其中所述内窥镜组件的所述夹子推杆的所述远侧联接件包括限定在其上的至少一个凸台，所述至少一个凸台被构造成可释放地接合所述夹子仓组件的所述夹子托盘的所述至少一个通孔，使得按压所述至少一个凸台使所述内窥镜组件的所述夹子推杆的所述远侧联接件从所述夹子仓组件的所述夹子托盘分离。
6.根据权利要求1所述的夹子仓组件，其中，所述夹子仓组件的所述盖的外表面包括限定在其上的一对相对的脊，所述一对相对的脊被构造成可释放地接合限定在所述内窥镜组件上的对应的一对翼。
7.根据权利要求1所述的夹子仓组件，其中，所述夹子仓组件的所述盖的每个弹性指部在向下方向上偏压所述夹子托盘。
8.一种可再用手术施夹器，包括：
手柄组件；
内窥镜组件，所述内窥镜组件可选择性地连接到所述手柄组件；以及
夹子仓组件，所述夹子仓组件可选择性地装载于并连接到限定在所述内窥镜组件内的窗口，所述夹子仓组件包括：
夹子托盘，所述夹子托盘包括从其基壁突出的多个朝远侧定向的、可偏斜的弹性指部，所述夹子托盘的每个弹性指部终止于远侧肩部，所述夹子托盘的近端被构造成与所述可再用手术施夹器的内窥镜组件的夹子推杆选择性连接；
仓夹子推杆，所述仓夹子推杆可滑动地设置在所述夹子托盘附近；
多个手术夹子，所述多个手术夹子设置在所述夹子托盘的所述基壁上，其中所述多个手术夹子中的每个设置在所述夹子托盘的每个相应的弹性指部的远侧；以及
盖，所述盖包括在通过所述盖的近端和远端所限定的通道内突出的多个朝远侧定向的、可偏斜的弹性指部，所述盖的每个弹性指部终止于远侧肩部并且用于朝所述夹子托盘偏压所述仓夹子推杆，其中所述盖包括在所述通道的侧壁内限定的一对相对的狭槽，所述一对相对的狭槽被构造成在其中可滑动地保持有所述夹子托盘和所述多个手术夹子，
其中所述多个手术夹子中的每个设置在所述盖的每个相应的弹性指部的远侧。
9.根据权利要求8所述的可再用手术施夹器，其中，所述手柄组件包括：
壳体；
扳机，所述扳机枢转地支撑在所述壳体上并从所述壳体延伸；以及
驱动组件，所述驱动组件支撑在所述壳体内并且由所述扳机可操作地致动。
10.根据权利要求9所述的可再用手术施夹器，其中，所述内窥镜组件包括：
旋钮组件，所述旋钮组件被构造成并且适于选择性地连接到所述手柄组件的所述壳体；
外管，所述外管连接到所述旋钮组件并从所述旋钮组件延伸，其中所述内窥镜组件的所述窗口限定在所述外管的远端中；
一对钳夹，所述一对钳夹支撑在所述外管的所述窗口中并从所述外管的所述远端延伸；以及
钳夹闭合杆，所述钳夹闭合杆可滑动地支撑在所述外管内，所述钳夹闭合杆在所述内窥镜组件连接到所述手柄组件时可操作地连接到所述手柄组件的所述扳机，
其中所述夹子推杆可滑动地支撑在所述外管内，所述夹子推杆在所述内窥镜组件连接到所述手柄组件时可操作地连接到所述手柄组件的所述驱动组件。
11.根据权利要求8所述的可再用手术施夹器，其中，在所述夹子托盘朝远侧致动时，所述夹子托盘的每个弹性指部的肩部接触相应的手术夹子的后跨部，以同时地向远侧推进全部所述手术夹子。
12.根据权利要求11所述的可再用手术施夹器，其中，在所述夹子托盘朝远侧致动之后，在所述夹子托盘朝近侧致动时，所述夹子托盘的每个弹性指部的远侧肩部接触所述手术夹子中的相应的剩余的一个的后跨部，以朝近侧移动全部剩余手术夹子，直到所述剩余手术夹子的后跨部接触所述盖的所述弹性指部的相应的远侧肩部，以阻挡所述剩余手术夹子朝近侧移动。
13.根据权利要求8所述的可再用手术施夹器，其中，所述夹子仓组件的所述夹子托盘包括穿过其近端限定的至少一个通孔，并且其中所述内窥镜组件的所述夹子推杆包括远侧联接件，所述远侧联接件用于当所述夹子仓组件装载到所述内窥镜组件中时与所述夹子托盘的所述至少一个通孔机械地联接。
14.根据权利要求8所述的可再用手术施夹器，其中，所述夹子仓组件的所述夹子托盘包括穿过其近端限定的至少一个通孔，并且其中所述内窥镜组件的所述夹子推杆包括远侧联接件，所述远侧联接件用于当所述夹子仓组件装载到所述内窥镜组件中时与所述夹子托盘的所述至少一个通孔机械地联接；
其中所述内窥镜组件的所述夹子推杆的所述远侧联接件包括限定在其上的至少一个凸台，所述至少一个凸台被构造成可释放地接合所述夹子仓组件的所述夹子托盘的所述至少一个通孔，使得按压所述至少一个凸台使所述内窥镜组件的所述夹子推杆的所述远侧联接件从所述夹子仓组件的所述夹子托盘分离。
15.根据权利要求8所述的可再用手术施夹器，其中，所述夹子仓组件的所述盖的外表面包括限定在其上的一对相对的脊，所述一对相对的脊被构造成可释放地接合限定在所述内窥镜组件的所述窗口上的相应的一对翼。
16.根据权利要求8所述的可再用手术施夹器，其中，所述夹子仓组件的所述盖的每个弹性指部在向下方向上偏压所述夹子托盘。
17.根据权利要求10所述的可再用手术施夹器，其中，所述一对钳夹可移除地支撑在所述外管的所述窗口中。
18.根据权利要求9所述的可再用手术施夹器，其中，所述手柄组件的所述驱动组件包括：
引导块，所述引导块可操作地连接到所述扳机并且可滑动地支撑在所述手柄组件的所述壳体中；
近侧解锁构件，所述近侧解锁构件枢转地连接到所述引导块的远端，所述近侧解锁构件包括一对间隔开的朝远侧延伸的臂，每个臂包括从其延伸并朝向彼此的凸轮销；以及
远侧解锁构件，所述远侧解锁构件支撑在所述手柄组件的所述壳体中，所述远侧解锁构件可滑动地设置在所述近侧解锁构件的所述一对间隔开的臂之间，所述远侧解锁构件包括一对相对的向外突出的凸轮斜面，所述凸轮斜面与所述近侧解锁构件的所述凸轮销可操作地对齐。
19.根据权利要求18所述的可再用手术施夹器，其中，所述近侧解锁构件和所述远侧解锁构件被偏压到未致动位置。
20.根据权利要求19所述的可再用手术施夹器，其中，所述手柄组件还包括：
夹子推杆，所述夹子推杆可滑动地支撑在其壳体中；以及
偏压构件，所述偏压构件作用在所述手柄组件的所述夹子推杆上，以在远侧方向上推动所述手柄组件的所述夹子推杆。
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Families Citing this family (212)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004080290A2 (en) 2003-03-11 2004-09-23 Tyco Healthcare Group, Lp Clip applying apparatus with angled jaw
JP5103183B2 (ja) 2004-10-08 2012-12-19 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 内視鏡外科用クリップ取付器
EP2875786B1 (en) 2004-10-08 2017-02-01 Covidien LP Apparatus for applying surgical clips
EP1913881B1 (en) 2006-10-17 2014-06-11 Covidien LP Apparatus for applying surgical clips
CN102327138B (zh) 2007-03-26 2014-09-10 柯惠Lp公司 内窥镜手术施夹器
US8506580B2 (en) 2007-04-11 2013-08-13 Covidien Lp Surgical clip applier
US8465502B2 (en) 2008-08-25 2013-06-18 Covidien Lp Surgical clip applier and method of assembly
US8267944B2 (en) 2008-08-29 2012-09-18 Tyco Healthcare Group Lp Endoscopic surgical clip applier with lock out
US9358015B2 (en) 2008-08-29 2016-06-07 Covidien Lp Endoscopic surgical clip applier with wedge plate
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
US9186136B2 (en) 2009-12-09 2015-11-17 Covidien Lp Surgical clip applier
US8545486B2 (en) 2009-12-15 2013-10-01 Covidien Lp Surgical clip applier
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
US20130131697A1 (en) 2011-11-21 2013-05-23 Covidien Lp Surgical clip applier
US9364239B2 (en) 2011-12-19 2016-06-14 Covidien Lp Jaw closure mechanism for a surgical clip applier
US9364216B2 (en) 2011-12-29 2016-06-14 Covidien Lp Surgical clip applier with integrated clip counter
US9408610B2 (en) 2012-05-04 2016-08-09 Covidien Lp Surgical clip applier with dissector
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US9532787B2 (en) 2012-05-31 2017-01-03 Covidien Lp Endoscopic clip applier
US9968362B2 (en) 2013-01-08 2018-05-15 Covidien Lp Surgical clip applier
US9113892B2 (en) 2013-01-08 2015-08-25 Covidien Lp Surgical clip applier
US9750500B2 (en) 2013-01-18 2017-09-05 Covidien Lp Surgical clip applier
US9775624B2 (en) 2013-08-27 2017-10-03 Covidien Lp Surgical clip applier
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US10702278B2 (en) 2014-12-02 2020-07-07 Covidien Lp Laparoscopic surgical ligation clip applier
US9931124B2 (en) 2015-01-07 2018-04-03 Covidien Lp Reposable clip applier
CN107205747B (zh) 2015-01-15 2020-09-08 柯惠有限合伙公司 可重复使用的内窥镜外科夹具施加器
US10292712B2 (en) 2015-01-28 2019-05-21 Covidien Lp Surgical clip applier with integrated cutter
US10159491B2 (en) 2015-03-10 2018-12-25 Covidien Lp Endoscopic reposable surgical clip applier
CA2997936A1 (en) 2015-10-10 2017-04-13 Covidien Lp Endoscopic surgical clip applier
AU2015413639A1 (en) 2015-11-03 2018-04-05 Covidien Lp Endoscopic surgical clip applier
US10390831B2 (en) 2015-11-10 2019-08-27 Covidien Lp Endoscopic reposable surgical clip applier
CN108348261B (zh) 2015-11-10 2021-03-16 柯惠有限合伙公司 可重复使用的内窥镜外科手术施夹器
CA2999906A1 (en) 2015-11-10 2017-05-18 Covidien Lp Endoscopic reposable surgical clip applier
EP3402417A4 (en) 2016-01-11 2019-12-04 Covidien LP ENDOSCOPIC RESTABLE SURGICAL STAPLER APPLICATOR
CN108472027B (zh) 2016-01-18 2020-12-29 柯惠有限合伙公司 内窥镜外科手术夹具施用器
CA2958160A1 (en) 2016-02-24 2017-08-24 Covidien Lp Endoscopic reposable surgical clip applier
EP3496628A4 (en) 2016-08-11 2020-04-22 Covidien LP APPLICATOR FOR ENDOSCOPIC SURGICAL CLAMP AND CLAMP APPLICATION SYSTEMS
EP3503819A4 (en) 2016-08-25 2020-04-22 Covidien LP APPLICATOR FOR ENDOSCOPIC SURGICAL CLAMP AND CLAMP APPLICATION SYSTEMS
US10660651B2 (en) 2016-10-31 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US10639044B2 (en) 2016-10-31 2020-05-05 Covidien Lp Ligation clip module and clip applier
US10426489B2 (en) 2016-11-01 2019-10-01 Covidien Lp Endoscopic reposable surgical clip applier
US10492795B2 (en) 2016-11-01 2019-12-03 Covidien Lp Endoscopic surgical clip applier
US10610236B2 (en) 2016-11-01 2020-04-07 Covidien Lp Endoscopic reposable surgical clip applier
US10709455B2 (en) 2017-02-02 2020-07-14 Covidien Lp Endoscopic surgical clip applier
US10758244B2 (en) 2017-02-06 2020-09-01 Covidien Lp Endoscopic surgical clip applier
US11116514B2 (en) 2017-02-06 2021-09-14 Covidien Lp Surgical clip applier with user feedback feature
US10660725B2 (en) 2017-02-14 2020-05-26 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10603038B2 (en) 2017-02-22 2020-03-31 Covidien Lp Surgical clip applier including inserts for jaw assembly
US10548602B2 (en) 2017-02-23 2020-02-04 Covidien Lp Endoscopic surgical clip applier
US11583291B2 (en) 2017-02-23 2023-02-21 Covidien Lp Endoscopic surgical clip applier
US10675043B2 (en) 2017-05-04 2020-06-09 Covidien Lp Reposable multi-fire surgical clip applier
US10722235B2 (en) 2017-05-11 2020-07-28 Covidien Lp Spring-release surgical clip
US10639032B2 (en) 2017-06-30 2020-05-05 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10660723B2 (en) 2017-06-30 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US10675112B2 (en) 2017-08-07 2020-06-09 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10932790B2 (en) 2017-08-08 2021-03-02 Covidien Lp Geared actuation mechanism and surgical clip applier including the same
US10786262B2 (en) 2017-08-09 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10786263B2 (en) 2017-08-15 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10835341B2 (en) 2017-09-12 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10835260B2 (en) * 2017-09-13 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10653429B2 (en) 2017-09-13 2020-05-19 Covidien Lp Endoscopic surgical clip applier
US10758245B2 (en) 2017-09-13 2020-09-01 Covidien Lp Clip counting mechanism for surgical clip applier
US11026687B2 (en) 2017-10-30 2021-06-08 Cilag Gmbh International Clip applier comprising clip advancing systems
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11759224B2 (en) 2017-10-30 2023-09-19 Cilag Gmbh International Surgical instrument systems comprising handle arrangements
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US10736616B2 (en) 2017-10-30 2020-08-11 Ethicon Llc Surgical instrument with remote release
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US10932804B2 (en) 2017-10-30 2021-03-02 Ethicon Llc Surgical instrument with sensor and/or control systems
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11129634B2 (en) 2017-10-30 2021-09-28 Cilag Gmbh International Surgical instrument with rotary drive selectively actuating multiple end effector functions
US10932791B2 (en) 2017-11-03 2021-03-02 Covidien Lp Reposable multi-fire surgical clip applier
US11116513B2 (en) 2017-11-03 2021-09-14 Covidien Lp Modular surgical clip cartridge
US11376015B2 (en) 2017-11-03 2022-07-05 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10945734B2 (en) 2017-11-03 2021-03-16 Covidien Lp Rotation knob assemblies and surgical instruments including the same
US10828036B2 (en) 2017-11-03 2020-11-10 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10722236B2 (en) 2017-12-12 2020-07-28 Covidien Lp Endoscopic reposable surgical clip applier
US10743887B2 (en) * 2017-12-13 2020-08-18 Covidien Lp Reposable multi-fire surgical clip applier
US10959737B2 (en) 2017-12-13 2021-03-30 Covidien Lp Reposable multi-fire surgical clip applier
US10849630B2 (en) * 2017-12-13 2020-12-01 Covidien Lp Reposable multi-fire surgical clip applier
CN108042166B (zh) * 2017-12-25 2019-07-23 苏州英途康医疗科技有限公司 用于腔镜吻合器的适配器和腔镜吻合器
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US10695081B2 (en) 2017-12-28 2020-06-30 Ethicon Llc Controlling a surgical instrument according to sensed closure parameters
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US11026751B2 (en) 2017-12-28 2021-06-08 Cilag Gmbh International Display of alignment of staple cartridge to prior linear staple line
US11844579B2 (en) 2017-12-28 2023-12-19 Cilag Gmbh International Adjustments based on airborne particle properties
US10932872B2 (en) 2017-12-28 2021-03-02 Ethicon Llc Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11969142B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US20190201087A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Smoke evacuation system including a segmented control circuit for interactive surgical platform
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11013563B2 (en) 2017-12-28 2021-05-25 Ethicon Llc Drive arrangements for robot-assisted surgical platforms
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US10898622B2 (en) 2017-12-28 2021-01-26 Ethicon Llc Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11612408B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Determining tissue composition via an ultrasonic system
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US20190201118A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Display arrangements for robot-assisted surgical platforms
US11771487B2 (en) 2017-12-28 2023-10-03 Cilag Gmbh International Mechanisms for controlling different electromechanical systems of an electrosurgical instrument
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
CN111479521A (zh) * 2018-01-09 2020-07-31 柯惠有限合伙公司 可再用的多发外科施夹器
US11051827B2 (en) 2018-01-16 2021-07-06 Covidien Lp Endoscopic surgical instrument and handle assemblies for use therewith
US11707293B2 (en) 2018-03-08 2023-07-25 Cilag Gmbh International Ultrasonic sealing algorithm with temperature control
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11701162B2 (en) 2018-03-08 2023-07-18 Cilag Gmbh International Smart blade application for reusable and disposable devices
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US11406382B2 (en) 2018-03-28 2022-08-09 Cilag Gmbh International Staple cartridge comprising a lockout key configured to lift a firing member
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US10993721B2 (en) 2018-04-25 2021-05-04 Covidien Lp Surgical clip applier
US10786273B2 (en) 2018-07-13 2020-09-29 Covidien Lp Rotation knob assemblies for handle assemblies
US11246601B2 (en) 2018-08-13 2022-02-15 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11278267B2 (en) 2018-08-13 2022-03-22 Covidien Lp Latch assemblies and surgical instruments including the same
US11051828B2 (en) 2018-08-13 2021-07-06 Covidien Lp Rotation knob assemblies and surgical instruments including same
US11219463B2 (en) 2018-08-13 2022-01-11 Covidien Lp Bilateral spring for surgical instruments and surgical instruments including the same
US11344316B2 (en) 2018-08-13 2022-05-31 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11147566B2 (en) 2018-10-01 2021-10-19 Covidien Lp Endoscopic surgical clip applier
US11134952B2 (en) * 2018-10-15 2021-10-05 Cilag Gmbh International Dual lever to reduce force to fire in circular surgical stapler
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11298129B2 (en) 2019-02-19 2022-04-12 Cilag Gmbh International Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge
US11524398B2 (en) 2019-03-19 2022-12-13 Covidien Lp Gear drive mechanisms for surgical instruments
CN109998629B (zh) * 2019-05-23 2024-03-22 江苏百纳医疗科技有限公司 一种一次性连发钛夹钳及其计数机构
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
CN112690858B (zh) * 2019-10-23 2022-03-29 苏州英途康医疗科技有限公司 夹仓装置及外科手术器械
US11779340B2 (en) 2020-01-02 2023-10-10 Covidien Lp Ligation clip loading device
US11723669B2 (en) 2020-01-08 2023-08-15 Covidien Lp Clip applier with clip cartridge interface
US11986199B2 (en) * 2020-07-16 2024-05-21 EndoGear, LLC Grasping device for independent tissue manipulation during gastrointestinal endoscopic procedures and methods of use
CN115337066B (zh) * 2022-10-18 2023-01-10 苏州英途康医疗科技有限公司 施夹机构及其施夹装置

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0000756A1 (en) * 1977-08-05 1979-02-21 Charles H. Klieman Surgical stapler
US5904693A (en) * 1993-04-27 1999-05-18 American Cyanamid Company Automatic laparoscopic ligation clip applicator
EP2210566A2 (en) * 2009-01-26 2010-07-28 Microline Surgical, Inc Actuator for flexible clip applier
CN102090911A (zh) * 2009-12-09 2011-06-15 Tyco医疗健康集团 外科施夹器
EP2929844A1 (en) * 2011-12-29 2015-10-14 Covidien LP Surgical clip applier

Family Cites Families (810)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3021378A (en) 1959-03-21 1962-02-13 Siemens Ag Method for producing theremoelectric components on zinc-antimony basis
US3120230A (en) 1960-10-24 1964-02-04 Jack H Sanders Surgical clamp
US3363628A (en) 1964-09-28 1968-01-16 Peter B Samuels Hemostatic clip
US3652151A (en) 1969-06-02 1972-03-28 Canon Kk Photographic lenses primarily utilizing light of shorter wavelengths
US3603109A (en) 1969-08-28 1971-09-07 Valdemar Virtanen Ring with resilient ring guard and securing screw
US3675688A (en) 1970-04-27 1972-07-11 United States Surgical Corp Instrument for ligating, suturing and dividing organic tubular structures
US3735762A (en) 1970-04-27 1973-05-29 Us Corp Baltimo E Instrument for ligating suturing and dividing organic tubular structures
US3638847A (en) 1970-07-06 1972-02-01 United States Surgical Corp Ratchet-driven cartridge for surgical instruments
US3867944A (en) 1972-10-27 1975-02-25 Wood Ernest C Hemostatic clip and applicator therefor
US4412539A (en) 1976-10-08 1983-11-01 United States Surgical Corporation Repeating hemostatic clip applying instruments and multi-clip cartridges therefor
US4226242A (en) 1977-09-13 1980-10-07 United States Surgical Corporation Repeating hemostatic clip applying instruments and multi-clip cartridges therefor
US4611595A (en) 1977-08-05 1986-09-16 Charles H. Klieman Spring activated hemostatic clip applicator
US4242902A (en) 1978-05-11 1981-01-06 United States Surgical Corporation Surgical clip applicator
CA1134701A (en) 1977-10-17 1982-11-02 David T. Green Surgical clip applicator
US4418694A (en) 1979-06-18 1983-12-06 Ethicon, Inc. Non-metallic, bio-compatible hemostatic clips
US4662374A (en) 1979-08-02 1987-05-05 American Hospital Supply Corp. Ligator device
US4372316A (en) 1979-08-02 1983-02-08 Blake Joseph W Iii Surgical device
US4296751A (en) 1979-08-02 1981-10-27 Blake Joseph W Iii Surgical device
US4532925A (en) 1979-08-02 1985-08-06 Joseph W. Blake, III Ligator device
US4480640A (en) 1980-04-22 1984-11-06 Senco Products, Inc. Ligating device
US4408603A (en) 1980-10-24 1983-10-11 Blake Joseph W Iii Surgical device
US4500024A (en) 1980-11-19 1985-02-19 Ethicon, Inc. Multiple clip applier
CA1163889A (en) 1981-02-02 1984-03-20 Allegiance Corporation Surgical device
US4522207A (en) 1981-02-06 1985-06-11 Charles H. Klieman Spring activated hemostatic clip applicator
US4646740A (en) 1981-02-23 1987-03-03 Edward Weck & Co., Inc. Automatic hemoclip applier
US4662373A (en) 1981-06-29 1987-05-05 American Cyanamid Company Surgical ligating instrument
US4576166A (en) 1981-06-29 1986-03-18 American Cyanamid Company Surgical ligating instrument
US4498476A (en) 1981-08-27 1985-02-12 Ethicon, Inc. Non-metallic, bio-compatible hemostatic clips with interlocking latch means
US4487204A (en) 1981-10-14 1984-12-11 Nomel Device for applying haemostatic clips
US4491133A (en) 1982-02-05 1985-01-01 Ethicon, Inc. Folding cartridge for a multiple clip applier
US4471780A (en) 1982-02-05 1984-09-18 Ethicon, Inc. Multiple ligating clip applier instrument
US4480641A (en) 1982-02-05 1984-11-06 Ethicon, Inc. Tip configuration for a ligating clip applier
US4509518A (en) * 1982-02-17 1985-04-09 United States Surgical Corporation Apparatus for applying surgical clips
US4487205A (en) 1982-04-26 1984-12-11 Ethicon, Inc. Non-metallic, bio-compatible hemostatic clips
US4545377A (en) 1982-09-24 1985-10-08 Ethicon, Inc. Non-metallic, bio-compatible hemostatic clips (two piece configured to lock tighter the larger the vessel being closed)
US4512345A (en) 1982-09-30 1985-04-23 United States Surgical Corporation Surgical clip applying apparatus, and clips and clip train for use therein
US4492232A (en) 1982-09-30 1985-01-08 United States Surgical Corporation Surgical clip applying apparatus having fixed jaws
US4815466A (en) 1982-09-30 1989-03-28 Perlin Alfred R Surgical clip
US4674504A (en) 1982-10-06 1987-06-23 Klieman Charles H Spring activated hemostatic clip applicator
US4534351A (en) 1982-10-20 1985-08-13 Senmed, Inc. Ligator
US4796625A (en) 1982-11-15 1989-01-10 Codman & Shurtleff, Inc. Aneurysm clip
US4562839A (en) 1983-01-06 1986-01-07 Blake Joseph W Iii Surgical instrument
US4556058A (en) 1983-08-17 1985-12-03 United States Surgical Corporation Apparatus for ligation and division with fixed jaws
US4602631A (en) 1983-09-08 1986-07-29 Noboru Funatsu Forceps for clamping surgical clips
US4637395A (en) 1983-10-04 1987-01-20 Aesculap-Werke Ag Applicator for C-shaped scalp clips
DE3335985C2 (de) 1983-10-04 1986-12-04 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Magazin zur Aufnahme von C-förmigen Scalpclips
US4549544A (en) 1983-10-31 1985-10-29 Senmed, Inc. Clip stop for a surgical ligating instrument
US4557263A (en) 1984-01-23 1985-12-10 United States Surgical Corporation Apparatus for applying surgical clips
US4576165A (en) 1984-01-23 1986-03-18 United States Surgical Corporation Surgical ligation and cutting device with safety means
US4616650A (en) 1984-07-27 1986-10-14 United States Surgical Corporation Apparatus for applying surgical clips
US4598711A (en) 1984-08-09 1986-07-08 American Cyanamid Company Surgical instrument
US4590937A (en) 1985-01-07 1986-05-27 American Cyanamid Company Nonmetallic surgical clip
US5127915A (en) 1984-10-29 1992-07-07 Mattson Philip D Surgical instrument for severing and clamping an umbilical cord
US4572183A (en) 1984-11-26 1986-02-25 Senmed, Inc. Positive feed system for a surgical ligating instrument
GB2168990B (en) 1984-12-22 1988-07-06 Hoechst Gosei Kk Dispersion of solvent-suspendible pressure sensitive adhesive particles and pressure sensitive adhesive sheet utilizing the dispersion
US4821721A (en) 1985-01-14 1989-04-18 Thomas J. Fogarty Apparatus and method for applying hemostatic scalp clips
US4671278A (en) 1985-01-14 1987-06-09 Thomas J. Fogarty Scalp hemostatic clip and dispenser therefor
US5122150A (en) 1985-03-27 1992-06-16 Puig Ana E Neurosurgical clip applier
US4616651A (en) 1985-04-15 1986-10-14 Ethicon, Inc. Surgical clip applier instrument adapter jaws
US5047038A (en) 1985-07-01 1991-09-10 Edward Weck Incorporated Automatic hemostatic clip applier
US4712549A (en) 1985-07-01 1987-12-15 Edward Weck & Co. Automatic hemostatic clip applier
US4702247A (en) 1985-08-20 1987-10-27 American Hospital Supply Corporation Ligating clip
US4706668A (en) 1985-09-16 1987-11-17 B & B Tools Aneurysm clip pliers
DE3533423A1 (de) 1985-09-19 1987-03-26 Wolf Gmbh Richard Applikator-zangeneinsatz fuer chirurgische handhabe zur anwendung in der endoskopie
US4671282A (en) 1985-10-04 1987-06-09 Tretbar Lawrence L Clip apparatus
US4696396A (en) 1985-12-19 1987-09-29 Samuels Peter B Hemostatic clip cartridge
US4681107A (en) 1985-12-31 1987-07-21 Kees Surgical Specialty Co. Device for holding an aneurysm clip
US4660558A (en) 1985-12-31 1987-04-28 Kees Jr George Aneurysm clip and method of manufacture
US4658822A (en) 1985-12-31 1987-04-21 Kees Jr George Aneurysm clip
US4733666A (en) 1986-01-13 1988-03-29 Texas Tech University Health Sciences Center Surgical clip for cholangiography
US4967949A (en) 1986-07-11 1990-11-06 Vastech Medical Products Inc. Apparatus for effecting occlusion of the vas deferens
US4726372A (en) 1986-09-19 1988-02-23 Metatech Corporation Hemostatic clip
US4856517A (en) 1986-09-22 1989-08-15 Collins Jason H Umbilical cord clamp apparatus
DE3704760C1 (de) 1987-02-16 1988-03-03 Aesculap Werke Ag Anlegegeraet fuer C-foermige Scalpclips
US4929239A (en) 1987-02-16 1990-05-29 Aesculap-Werke Ag Vormals Jetter & Scheerer Device for filling the magazine of a scalp clip applicator with C-shaped scalp clips
US4765335A (en) 1987-03-16 1988-08-23 Intermar, Inc. Aneurysm clip
US4850355A (en) 1987-04-06 1989-07-25 Richard-Allan Medical Industries, Inc. Hemostatic clip applicator for applying multiple hemostatic clips
US4799481A (en) 1987-04-08 1989-01-24 Ethicon, Inc. Surgical hemostatic clips
US4777949A (en) 1987-05-08 1988-10-18 Metatech Corporation Surgical clip for clamping small blood vessels in brain surgery and the like
US4822348A (en) 1987-05-13 1989-04-18 Donn Casey Surgical clips
US5171250A (en) 1987-05-14 1992-12-15 Inbae Yoon Surgical clips and surgical clip applicator and cutting and transection device
US5542949A (en) 1987-05-14 1996-08-06 Yoon; Inbae Multifunctional clip applier instrument
US5366459A (en) 1987-05-14 1994-11-22 Inbae Yoon Surgical clip and clip application procedures
US4834096A (en) 1987-10-26 1989-05-30 Edward Weck Incorporated Plastic ligating clips
GB2212201B (en) 1987-11-10 1992-06-03 Donn Casey Surgical clip
US6974475B1 (en) 1987-12-08 2005-12-13 Wall W Henry Angioplasty stent
US5197970A (en) 1988-01-15 1993-03-30 United States Surgical Corporation Surgical clip applicator
US5129885A (en) 1990-02-13 1992-07-14 United States Surgical Corporation Safety device for trocars and surgical instruments therefor
US5084057A (en) 1989-07-18 1992-01-28 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5100420A (en) 1989-07-18 1992-03-31 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5030226A (en) 1988-01-15 1991-07-09 United States Surgical Corporation Surgical clip applicator
US5383881A (en) 1989-07-18 1995-01-24 United States Surgical Corporation Safety device for use with endoscopic instrumentation
US5049152A (en) 1989-03-07 1991-09-17 Richard-Allan Medical Industries Hemostatic clip applicator
US5053045A (en) 1988-09-16 1991-10-01 Schmidt Ferenc J Surgical clip
FR2637489A1 (fr) 1988-10-07 1990-04-13 Lachkar Alain Pince automatique a clips
US4957500A (en) 1988-10-27 1990-09-18 Montefiore Hospital Association Of Western Pennsylvania Normally closed clamp
US5059202A (en) 1988-10-27 1991-10-22 The Montefiore Hospital Association Of Western Pennsylvania Tendon approximator
US4983176A (en) 1989-03-06 1991-01-08 University Of New Mexico Deformable plastic surgical clip
US5062846A (en) 1989-03-28 1991-11-05 Edward Weck Incorporated Penetrating plastic ligating clip
US5062563A (en) 1989-04-10 1991-11-05 United States Surgical Corporation Fascia stapler
CA2018472A1 (en) 1989-07-03 1991-01-03 Curtis W. Thornton Automatic hemostatic clip applicator
US5104395A (en) 1989-07-03 1992-04-14 Edward Weck Incorporated Automatic hemostatic clip applicator
US5382254A (en) 1989-07-18 1995-01-17 United States Surgical Corporation Actuating handle for surgical instruments
US4966603A (en) 1989-07-24 1990-10-30 Rms Company Aneurysm clip
US4931058A (en) 1989-08-16 1990-06-05 Applied Vascular Devices, Inc. Parallel jaw spring clip and method of making same
US5030224A (en) 1989-09-25 1991-07-09 Pioneering Technologies, Inc. Coronary artery retraction clip
US5100416A (en) 1989-10-17 1992-03-31 Edward Weck Incorporated Ligating clip applying instrument
US5026379A (en) 1989-12-05 1991-06-25 Inbae Yoon Multi-functional instruments and stretchable ligating and occluding devices
US5217473A (en) 1989-12-05 1993-06-08 Inbae Yoon Multi-functional instruments and stretchable ligating and occluding devices
US5049153A (en) 1989-12-26 1991-09-17 Nakao Naomi L Endoscopic stapling device and method
US4988355A (en) 1990-01-16 1991-01-29 Leveen Eric G Arterial clamp
US5035692A (en) 1990-02-13 1991-07-30 Nicholas Herbert Hemostasis clip applicator
US5032127A (en) 1990-03-07 1991-07-16 Frazee John G Hemostatic clip and applicator therefor
US5078731A (en) 1990-06-05 1992-01-07 Hayhurst John O Suture clip
DE4024106C1 (zh) 1990-07-30 1992-04-23 Ethicon Gmbh & Co Kg, 2000 Norderstedt, De
US5207692A (en) 1990-07-30 1993-05-04 Codman & Shurtleff, Inc. Surgical clip applier with reciprocating clip sleeve and dual ratchet mechanism
US5104394A (en) 1990-11-05 1992-04-14 Knoepfler Dennis J Automatic stapler for laparoscopic procedure with selective cutter and suction irrigator
US5282807A (en) 1990-11-05 1994-02-01 Knoepfler Dennis J Automatic stapler for laparoscopic procedure with selective cutter, nontraumatic jaws and suction irrigator
US5366458A (en) 1990-12-13 1994-11-22 United States Surgical Corporation Latchless surgical clip
USRE36720E (en) 1990-12-13 2000-05-30 United States Surgical Corporation Apparatus and method for applying latchless surgical clips
US5171252A (en) 1991-02-05 1992-12-15 Friedland Thomas W Surgical fastening clip formed of a shape memory alloy, a method of making such a clip and a method of using such a clip
US5171253A (en) 1991-03-22 1992-12-15 Klieman Charles H Velcro-like closure system with absorbable suture materials for absorbable hemostatic clips and surgical strips
US5171249A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier
US5395375A (en) 1992-11-18 1995-03-07 Symbiosis Corporation Arthroscopic surgical instruments
US5171247A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier with rotating shaft
US5359993A (en) 1992-12-31 1994-11-01 Symbiosis Corporation Apparatus for counting the number of times a medical instrument has been used
US5112343A (en) 1991-04-05 1992-05-12 Edward Weck Incorporated Endoscopic clip appliers
DE69229792T2 (de) 1991-05-14 2000-02-10 United States Surgical Corp Chirurgisches Klammergerät mit Detektiervorrichtung für verbrauchte Patronen und Sperrvorrichtung
US5160339A (en) 1991-06-18 1992-11-03 Ethicon, Inc. Endoscopic suture clip
US5201746A (en) 1991-10-16 1993-04-13 United States Surgical Corporation Surgical hemostatic clip
US5163945A (en) 1991-10-18 1992-11-17 Ethicon, Inc. Surgical clip applier
US5199566A (en) 1991-10-18 1993-04-06 Ethicon, Inc. Surgical clip applier
US5289963A (en) 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5356064A (en) 1991-10-18 1994-10-18 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5207691A (en) 1991-11-01 1993-05-04 Medical Scientific, Inc. Electrosurgical clip applicator
US5290299A (en) 1991-12-11 1994-03-01 Ventritex, Inc. Double jaw apparatus for attaching implanted materials to body tissue
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US6963792B1 (en) 1992-01-21 2005-11-08 Sri International Surgical method
CA2088883A1 (en) 1992-02-13 1993-08-14 David T. Green Endoscopic ligating instrument
US5201900A (en) 1992-02-27 1993-04-13 Medical Scientific, Inc. Bipolar surgical clip
US5219353A (en) 1992-02-28 1993-06-15 Garvey Iii Thomas Q Surgical endoclip
US5171251A (en) 1992-03-02 1992-12-15 Ethicon, Inc. Surgical clip having hole therein and method of anchoring suture
CA2090980C (en) 1992-03-06 2004-11-30 David Stefanchik Ligating clip applier
US5246450A (en) 1992-03-10 1993-09-21 Edward Weck Incorporated High capacity medical clip feeding and dispensing mechanism
US5304183A (en) 1992-03-23 1994-04-19 Laparomed Corporation Tethered clamp retractor
CA2094463A1 (en) 1992-04-28 1993-10-29 Claude Vidal Vessel clips
GR1002336B (el) 1992-05-06 1996-05-21 Ethicon Inc. Οργανον ενδοσκοπικης απολινωσεως και κοψιματος.
DE4215449C1 (zh) 1992-05-11 1993-09-02 Ethicon Gmbh & Co Kg, 2000 Norderstedt, De
US5269792A (en) 1992-05-26 1993-12-14 Origin Medsystems, Inc. Surgical clip
US5192288A (en) 1992-05-26 1993-03-09 Origin Medsystems, Inc. Surgical clip applier
US5431667A (en) 1992-05-26 1995-07-11 Origin Medsystems, Inc. Gas-sealed instruments for use in laparoscopic surgery
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
US5906625A (en) 1992-06-04 1999-05-25 Olympus Optical Co., Ltd. Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue
NL9201118A (nl) 1992-06-24 1994-01-17 Leuven K U Res & Dev Gereedschapset voor laparoscopische vaginale hysterectomie.
US5354304A (en) 1992-10-13 1994-10-11 American Cyanamid Co. Modular ligation clip applicator
ATE179061T1 (de) 1992-06-30 1999-05-15 American Cyanamid Co Modularer applikator für abbindeklammern
US5306283A (en) 1992-06-30 1994-04-26 American Cyanamid Company Two-part surgical ligation clip
CA2104345A1 (en) 1992-09-02 1994-03-03 David T. Green Surgical clamp apparatus
US5342373A (en) 1992-09-14 1994-08-30 Ethicon, Inc. Sterile clips and instrument for their placement
US5662662A (en) 1992-10-09 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical instrument and method
CA2107635C (en) 1992-10-09 1999-08-17 David T. Green Surgical clip applier
US5330442A (en) 1992-10-09 1994-07-19 United States Surgical Corporation Suture retaining clip
US5282832A (en) 1992-10-09 1994-02-01 United States Surgical Corporation Suture clip
US5300081A (en) 1992-10-09 1994-04-05 United States Surgical Corporation Surgical clip applier having clip advancement control
US5868761A (en) 1992-10-09 1999-02-09 United States Surgical Corporation Surgical clip applier
CA2133687C (en) 1992-10-09 2007-03-27 David T. Green Surgical clip applier
US5626587A (en) 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
US5779718A (en) 1992-10-09 1998-07-14 United States Surgical Corporation Method of anastomosing a vessel using a surgical clip applier
US5381943A (en) 1992-10-09 1995-01-17 Ethicon, Inc. Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge
US5259366A (en) 1992-11-03 1993-11-09 Boris Reydel Method of using a catheter-sleeve assembly for an endoscope
US5409498A (en) 1992-11-05 1995-04-25 Ethicon, Inc. Rotatable articulating endoscopic fastening instrument
US5464416A (en) 1992-11-10 1995-11-07 Ethicon, Inc. Ligating clip
US5281228A (en) 1992-11-23 1994-01-25 Fred Wolfson Umbilical clamp identification device for infants
US5330487A (en) 1992-12-17 1994-07-19 Tfi Acquistion Corp. Drive mechanism for surgical instruments
US5662679A (en) 1992-12-21 1997-09-02 Shatzu Health Products, Inc. Tragus acupressure clip with over-opening prevention and pressure adjustment
US5403327A (en) 1992-12-31 1995-04-04 Pilling Weck Incorporated Surgical clip applier
WO1994015535A1 (en) 1993-01-07 1994-07-21 Hayhurst, John, O. Clip for suture
US5382255A (en) 1993-01-08 1995-01-17 United States Surgical Corporation Apparatus and method for assembly of surgical instruments
US5569274A (en) 1993-02-22 1996-10-29 Heartport, Inc. Endoscopic vascular clamping system and method
US5382253A (en) 1993-03-05 1995-01-17 Unisurge, Inc. Clip applier tool
US5312426A (en) 1993-03-12 1994-05-17 Mizuho Ika Kogyo Kabushiki Kaisha Surgical clip
FR2702647B1 (fr) 1993-03-18 1995-05-05 Baudet Jacques Procédé de micro-anastomose de vaisseaux sanguins et pince automatique pour sa mise en Óoeuvre.
CA2120828C (en) 1993-04-16 1999-11-02 Paul J. Phillips Surgical hemostatic clip
FR2704135B1 (fr) 1993-04-19 1995-07-07 Savornin Claude Agrafe d'osteosynthese.
US5431668A (en) 1993-04-29 1995-07-11 Ethicon, Inc. Ligating clip applier
US5439468A (en) 1993-05-07 1995-08-08 Ethicon Endo-Surgery Surgical clip applier
DE4319829C1 (de) 1993-06-16 1994-08-25 Lerch Karl Dieter Set zur Behandlung von Gefäßmißbildungen
US5448042A (en) 1993-06-22 1995-09-05 Unisurge, Inc. Surgical device with counter for recording usage
US5562687A (en) 1993-07-12 1996-10-08 Mitek Surgical Products, Inc. Surgical repair kit and its method of use
US5431669A (en) 1993-07-16 1995-07-11 Origin Medsystems, Inc. Surgical clip applier with distal hook
US5827323A (en) 1993-07-21 1998-10-27 Charles H. Klieman Surgical instrument for endoscopic and general surgery
US5368600A (en) 1993-07-23 1994-11-29 Ethicon, Inc. Steerable bulldog clamp applier
AU7568994A (en) 1993-08-25 1995-03-21 Apollo Camera, L.L.C. Surgical ligation clip
US5858018A (en) 1993-08-25 1999-01-12 Apollo Camera, Llc Low profile tool for applying spring action ligation clips
DK110193A (da) 1993-09-30 1995-03-31 Per Baunsgaard Klemmeanordning
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
US5607436A (en) 1993-10-08 1997-03-04 United States Surgical Corporation Apparatus for applying surgical clips
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5776146A (en) 1993-10-20 1998-07-07 Applied Medical Resources Laparoscopic surgical clamp
US5776147A (en) 1993-10-20 1998-07-07 Applied Medical Resources Corporation Laparoscopic surgical clamp
US5496333A (en) 1993-10-20 1996-03-05 Applied Medical Resources Corporation Laparoscopic surgical clamp
US5462555A (en) 1993-12-30 1995-10-31 United States Surgical Corporation Umbilical cord clip and applicator
GB9400739D0 (en) 1994-01-15 1994-03-16 Femcare Ltd Medical clip
US5527320A (en) 1994-02-10 1996-06-18 Pilling Weck Inc. Surgical clip applying instrument
CH687060A5 (de) 1994-02-11 1996-09-13 Alice Walder Utz Dr Einstueckige Wundklammer.
US5501698A (en) 1994-02-14 1996-03-26 Heartport, Inc. Endoscopic microsurgical instruments and methods
CA2143560C (en) 1994-03-02 2007-01-16 Mark Fogelberg Sterile occlusion fasteners and instrument and method for their placement
US5681330A (en) 1994-03-02 1997-10-28 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instrument and method for their placement
US5833700A (en) 1995-03-15 1998-11-10 Ethicon Endo-Surgery, Inc. Sterile occlusion fasteners and instrument and method for their placement
DE4415521C2 (de) 1994-05-04 2003-01-30 Storz Reling Sybill Gesamthand Instrument zum Einsatz bei endoskopischen Eingriffen
DE4415891A1 (de) 1994-05-05 1995-11-09 Wilo Medizintechnik Gmbh Pistole zum Setzen chirurgischer Klammern
USRE38445E1 (en) 1994-05-05 2004-02-24 Tyco Healthcare Group, Lp Pistols for setting surgical clamps
US5474566A (en) 1994-05-05 1995-12-12 United States Surgical Corporation Self-contained powered surgical apparatus
US5425740A (en) 1994-05-17 1995-06-20 Hutchinson, Jr.; William B. Endoscopic hernia repair clip and method
DE4422621C1 (de) 1994-06-28 1995-08-31 Aesculap Ag Chirurgisches Instrument
US5501693A (en) 1994-07-06 1996-03-26 United States Surgical Corporation Surgical hemostatic clip
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
US5697942A (en) 1994-07-31 1997-12-16 Palti; Yoram Internal vascular clamp
AU694225B2 (en) 1994-08-02 1998-07-16 Ethicon Endo-Surgery, Inc. Ultrasonic hemostatic and cutting instrument
US5582616A (en) 1994-08-05 1996-12-10 Origin Medsystems, Inc. Surgical helical fastener with applicator
US5562655A (en) 1994-08-12 1996-10-08 United States Surgical Corporation Surgical apparatus having a universal handle for actuating various attachments
US5462558A (en) 1994-08-29 1995-10-31 United States Surgical Corporation Suture clip applier
US5626585A (en) 1994-09-16 1997-05-06 United States Surgical Corporation Ligating clip advance
DE4434864C2 (de) 1994-09-29 1997-06-19 United States Surgical Corp Chirurgischer Klammerapplikator mit auswechselbarem Klammermagazin
US5487746A (en) 1994-11-23 1996-01-30 Yu; George W. Surgical clip having a longitudinal opening through which clamped tissue protrudes
US5620452A (en) 1994-12-22 1997-04-15 Yoon; Inbae Surgical clip with ductile tissue penetrating members
DE19504000A1 (de) 1995-02-08 1996-08-29 Ethicon Endo Surgery Inc Chirurgischer Klammerapplikator
DE29520789U1 (de) 1995-02-08 1996-06-05 Pier, Arnold, Dipl.-Ing. Dr.med., 52525 Heinsberg Chirurgischer Klammerapplikator
US5976159A (en) 1995-02-24 1999-11-02 Heartport, Inc. Surgical clips and methods for tissue approximation
US6464710B1 (en) 1995-03-06 2002-10-15 Cook Urological Incorporated Releasable, surgical clamp
US5897565A (en) 1995-03-06 1999-04-27 Vance Products Incorporated Releasable, surgical clamp
US5695505A (en) 1995-03-09 1997-12-09 Yoon; Inbae Multifunctional spring clips and cartridges and applicators therefor
SI0732078T1 (en) 1995-03-15 2000-12-31 Ethicon Endo-Surgery, Inc. Instrument for applying surgical clips
US5571121A (en) 1995-03-28 1996-11-05 Heifetz; Milton D. Atraumatic clamp for temporary occlusion of blood vessels
US5665097A (en) 1995-04-21 1997-09-09 Baker; John W. Clip applicator
US5748651A (en) 1995-05-05 1998-05-05 Trumble Navigation Limited Optimum utilization of pseudorange and range rate corrections by SATPS receiver
US5593421A (en) 1995-06-06 1997-01-14 Bauer; William Suture element delivery device and method
US5814038A (en) 1995-06-07 1998-09-29 Sri International Surgical manipulator for a telerobotic system
US5653720A (en) 1995-07-18 1997-08-05 Applied Medical Resources Surgical clip and method of assembly
US5683405A (en) 1995-08-25 1997-11-04 Research Medical Inc. Vascular occluder
US5676676A (en) 1995-08-30 1997-10-14 Porter; Wayne Ligating clip having ramp-shaped vessel-clamping members
US5713912A (en) 1995-08-30 1998-02-03 Stress Management, Inc. Ligating clip having ramp-shaped vessel clamping members and tool for applying same
US5584840A (en) 1995-09-05 1996-12-17 Ramsey; James E. Umbilical cord cutting and clamping device
DE19534322A1 (de) 1995-09-15 1997-03-20 Aesculap Ag Chirurgischer Clip, insbesondere Gefäßclip
US5700271A (en) 1995-10-20 1997-12-23 United States Surgical Corporation Apparatus for applying surgical clips
US5700270A (en) 1995-10-20 1997-12-23 United States Surgical Corporation Surgical clip applier
US5582615A (en) 1995-10-30 1996-12-10 Pilling Weck, Incorporated Handle for surgical clip applicator systems
US5810853A (en) 1996-01-16 1998-09-22 Yoon; Inbae Knotting element for use in suturing anatomical tissue and methods therefor
US5846255A (en) 1996-01-31 1998-12-08 Casey Medical Products Limited Surgical clip
DE19603889C2 (de) 1996-02-03 1999-05-06 Aesculap Ag & Co Kg Chirurgisches Anlegegerät
US5797922A (en) 1996-02-06 1998-08-25 Balagan Medical Inc. Umbilical cord clamping device
US5913876A (en) 1996-02-20 1999-06-22 Cardiothoracic Systems, Inc. Method and apparatus for using vagus nerve stimulation in surgery
US6099537A (en) 1996-02-26 2000-08-08 Olympus Optical Co., Ltd. Medical treatment instrument
JP3776529B2 (ja) 1996-02-29 2006-05-17 オリンパス株式会社 クリップ装置
US5782844A (en) 1996-03-05 1998-07-21 Inbae Yoon Suture spring device applicator
US5772673A (en) 1996-03-07 1998-06-30 United States Surgical Corporation Apparatus for applying surgical clips
US5817116A (en) 1996-04-01 1998-10-06 Piolax Inc. Detaching tool for a tube for medical treatment
US6258105B1 (en) 1996-04-18 2001-07-10 Charles C. Hart Malleable clip applier and method
US6139555A (en) 1996-04-19 2000-10-31 Applied Medical Resources Corporation Grasping clip applier
US5835199A (en) 1996-05-17 1998-11-10 Coherent Technologies Fiber-based ladar transceiver for range/doppler imaging with frequency comb generator
US5743310A (en) 1996-05-22 1998-04-28 Band-It-Idex, Inc. Single-handled banding tool having multiple pivot points
US5769857A (en) 1996-06-11 1998-06-23 Mgf Group Inc. Ligating clip applier
US5876410A (en) 1996-07-22 1999-03-02 Phillip J. Petillo Hydraulic powered surgical device
DE29616632U1 (de) 1996-09-24 1996-11-28 Aesculap Ag, 78532 Tuttlingen Chirurgisches Anlegegerät für U-förmige Clipse
US5722982A (en) 1996-09-26 1998-03-03 University Technology Corporation Strabismus surgery apparatus and method
US5833696A (en) 1996-10-03 1998-11-10 United States Surgical Corporation Apparatus for applying surgical clips
US5792149A (en) 1996-10-03 1998-08-11 United States Surgical Corporation Clamp applicator
US5713911A (en) 1996-10-03 1998-02-03 United States Surgical Corporation Surgical clip
US6579304B1 (en) 1997-02-03 2003-06-17 Applied Medical Resources Corporation Surgical clamp with improved traction
CA2279385C (en) 1997-02-03 2005-12-06 Applied Medical Resources Corporation Surgical instruments with improved traction
US5861005A (en) 1997-02-11 1999-01-19 X-Site, L.L.C. Arterial stapling device
WO1998040020A1 (en) 1997-03-10 1998-09-17 Applied Medical Resources Corporation Surgical clips and clamps
US5913862A (en) 1997-04-25 1999-06-22 James Ramsey Umbilical cord cutting and clamping device
US6017358A (en) 1997-05-01 2000-01-25 Inbae Yoon Surgical instrument with multiple rotatably mounted offset end effectors
US5921996A (en) 1997-05-02 1999-07-13 Cardio Thoracic Systems, Inc. Surgical clamp applier/remover and detachable clamp
US5843101A (en) 1997-05-02 1998-12-01 Fry; William R. Disposable clip for temporary vessel occulsion
US5976158A (en) 1997-06-02 1999-11-02 Boston Scientific Corporation Method of using a textured ligating band
US5928251A (en) 1997-09-18 1999-07-27 United States Surgical Corporation Occlusion clamp and occlusion clamp applicator
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US5972003A (en) 1997-10-01 1999-10-26 Sherwood Services Ag Single-free ligation clip module
US6044971A (en) 1997-10-10 2000-04-04 United States Surgical Corporation Clip cartridge
US5868759A (en) 1997-10-10 1999-02-09 United States Surgical Corporation Surgical clip applier
US5921991A (en) 1997-10-23 1999-07-13 Biomax Technologies Inc. Multi-colored umbilical cord clamp
DE19752332C1 (de) 1997-11-26 1999-04-08 Aesculap Ag & Co Kg Clipanlegegerät
DE19752331C1 (de) 1997-11-26 1999-09-30 Aesculap Ag & Co Kg Magazin für ein chirurgisches Clipanlegegerät
US20020095175A1 (en) 1998-02-24 2002-07-18 Brock David L. Flexible instrument
US6241740B1 (en) 1998-04-09 2001-06-05 Origin Medsystems, Inc. System and method of use for ligating and cutting tissue
FR2778081B1 (fr) 1998-04-29 2000-08-25 Fabrice Thevenet Implants de renfort pour sutures tissulaires
US6514265B2 (en) 1999-03-01 2003-02-04 Coalescent Surgical, Inc. Tissue connector apparatus with cable release
US6322571B1 (en) 1998-06-05 2001-11-27 Brian D. Adams Apparatus and method for placing sutures in the lacerated end of a tendon and similar body tissues
US6059799A (en) 1998-06-25 2000-05-09 United States Surgical Corporation Apparatus for applying surgical clips
US6261302B1 (en) 1998-06-26 2001-07-17 Ethicon Endo-Surgery, Inc. Applier for implantable surgical marker
US6228098B1 (en) 1998-07-10 2001-05-08 General Surgical Innovations, Inc. Apparatus and method for surgical fastening
US5951574A (en) 1998-10-23 1999-09-14 Ethicon Endo-Surgery, Inc. Multiple clip applier having a split feeding mechanism
AU5924099A (en) 1998-12-31 2000-07-24 Jeffrey E. Yeung Tissue fastening devices and delivery means
US6053908A (en) 1999-01-07 2000-04-25 Design Standards Corporation Ratchet assembly for surgical instrument
US6193732B1 (en) 1999-01-08 2001-02-27 Cardiothoracic System Surgical clips and apparatus and method for clip placement
US6228097B1 (en) 1999-01-22 2001-05-08 Scion International, Inc. Surgical instrument for clipping and cutting blood vessels and organic structures
US6217590B1 (en) 1999-01-22 2001-04-17 Scion International, Inc. Surgical instrument for applying multiple staples and cutting blood vessels and organic structures and method therefor
DE60042150D1 (de) 1999-01-25 2009-06-18 Applied Med Resources Modulares ligationsgerät und methode
US8529588B2 (en) 1999-01-25 2013-09-10 Applied Medical Resources Corporation Multiple clip applier apparatus and method
US6896683B1 (en) 1999-01-25 2005-05-24 Applied Material Resources Corporation Surgical instrument with improved handle assembly
US6350269B1 (en) 1999-03-01 2002-02-26 Apollo Camera, L.L.C. Ligation clip and clip applier
US6964668B2 (en) 1999-03-04 2005-11-15 Abbott Laboratories Articulating suturing device and method
US7563267B2 (en) 1999-04-09 2009-07-21 Evalve, Inc. Fixation device and methods for engaging tissue
IT1312196B1 (it) 1999-04-21 2002-04-09 Implant Italia S R L Graffa a compressione semirigida per sternotomia, e pinza per la suaappplicazione.
US20050222665A1 (en) 1999-04-23 2005-10-06 Ernest Aranyi Endovascular fastener applicator
AU5003100A (en) 1999-05-11 2000-11-21 Craig Berky Surgical clamp devices and methods especially useful in cardiac surgery
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US6821285B2 (en) 1999-06-22 2004-11-23 Ndo Surgical, Inc. Tissue reconfiguration
US6835200B2 (en) 1999-06-22 2004-12-28 Ndo Surgical. Inc. Method and devices for tissue reconfiguration
GB9916484D0 (en) 1999-07-15 1999-09-15 Femcare Ltd Surgical clip
US7214232B2 (en) 1999-07-23 2007-05-08 Ethicon, Inc. Graft fixation device
DE19934634C1 (de) 1999-07-23 2000-12-21 Aesculap Ag & Co Kg Anlegeinstrument für chirurgische Clips
DE19935904C1 (de) 1999-07-30 2001-07-12 Karlsruhe Forschzent Applikatorspitze eines chirurgischen Applikators zum Setzen von Clips/Klammern für die Verbindung von Gewebe
WO2001015605A1 (en) 1999-08-30 2001-03-08 Applied Medical Resources Corporation Improved surgical clip
US7341595B2 (en) 1999-09-13 2008-03-11 Rex Medical, L.P Vascular hole closure device
FR2799118B1 (fr) 1999-10-01 2002-07-12 Medical Innovation Dev Implant gastrique reglable
US6610073B1 (en) 1999-10-19 2003-08-26 Scion International, Inc. Surgical clip, clip applicator and method therefor
US6926730B1 (en) 2000-10-10 2005-08-09 Medtronic, Inc. Minimally invasive valve repair procedure and apparatus
US6387104B1 (en) 1999-11-12 2002-05-14 Scimed Life Systems, Inc. Method and apparatus for endoscopic repair of the lower esophageal sphincter
IL132913A (en) 1999-11-14 2004-09-27 Porat Michael Device and method for clamping and cutting a flexible deformable tube
IT1306690B1 (it) 1999-11-18 2001-10-02 Gianfranco Bidoia Dispositivo di sutura a compressione.
US6911032B2 (en) 1999-11-18 2005-06-28 Scimed Life Systems, Inc. Apparatus and method for compressing body tissue
US6428548B1 (en) 1999-11-18 2002-08-06 Russell F. Durgin Apparatus and method for compressing body tissue
US6695854B1 (en) 1999-11-29 2004-02-24 General Surgical Innovations, Inc. Blood vessel clip and applicator
EP1233708B1 (en) 1999-12-03 2010-05-19 Applied Medical Resources, Inc. Vessel occlusion clamp
US6942674B2 (en) 2000-01-05 2005-09-13 Integrated Vascular Systems, Inc. Apparatus and methods for delivering a closure device
AU3290201A (en) 2000-01-18 2001-07-31 Tyco Healthcare Anastomosis instrument and method for performing same
DE60130317T2 (de) 2000-02-04 2008-06-12 Conmed Corp. Klammer-anbringanordnung zum anbringen einer chirurgischen klammer an körpergewebe
US6277131B1 (en) 2000-02-15 2001-08-21 Microline, Inc Ladder-type medical clip feeding mechanism
US6569171B2 (en) 2001-02-28 2003-05-27 Microline, Inc. Safety locking mechanism for a medical clip device
US6306149B1 (en) 2000-02-15 2001-10-23 Microline, Inc. Medical clip device with cyclical pusher mechanism
US7141056B2 (en) 2000-02-15 2006-11-28 Microline Pentax Inc. Multiplier extension arrangement
US6840945B2 (en) 2001-02-28 2005-01-11 Microline, Inc. Medical clip applier safety arrangement
US6911033B2 (en) 2001-08-21 2005-06-28 Microline Pentax Inc. Medical clip applying device
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
US6648898B1 (en) 2000-03-02 2003-11-18 Cardiothoracic Systems, Inc. Clip applying apparatuses and methods for vascular ligation
EP1263330B1 (en) 2000-03-03 2014-06-18 C.R. Bard, Inc. Suture clip delivery device
US6423079B1 (en) 2000-03-07 2002-07-23 Blake, Iii Joseph W Repeating multi-clip applier
AU2001245504A1 (en) 2000-03-07 2002-02-25 Metacardia, Inc. Everting staple devices and methods
GB0006354D0 (en) 2000-03-17 2000-05-03 Femcare Ltd Applicator for surgical clips
US6391035B1 (en) 2000-03-24 2002-05-21 Timothy Appleby Hemostatic clip removal instrument
DE20007177U1 (de) 2000-04-19 2000-08-03 Storz Karl Gmbh & Co Kg Medizinisches Instrument mit sperrbarem Kraftübertragungselement
US6546935B2 (en) 2000-04-27 2003-04-15 Atricure, Inc. Method for transmural ablation
US6896684B2 (en) 2000-06-12 2005-05-24 Niti Medical Technologies Ltd. Surgical clip applicator device
WO2001097696A1 (en) 2000-06-19 2001-12-27 Image-Guided Neurologics, Inc. System and method of minimally-invasive exovascular aneurysm treatment
US7264625B1 (en) 2000-06-19 2007-09-04 Buncke Harry J Surgical clip applier with remote operation
US6494886B1 (en) 2000-06-22 2002-12-17 Granit Medical Innovation, Inc. Off-set clamp mechanism and associated method for minimally invasive surgery
CA2417988A1 (en) 2000-08-14 2002-02-21 Boston Scientific Limited Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy
GB0020263D0 (en) 2000-08-18 2000-10-04 Femcare Cyprus Ltd Improvements in or relating to applicators
EP1317213A2 (en) 2000-09-01 2003-06-11 Advanced Vascular Technologies LLC Multi-fastener surgical apparatus and method
JP4014792B2 (ja) 2000-09-29 2007-11-28 株式会社東芝 マニピュレータ
JP4472217B2 (ja) 2000-10-16 2010-06-02 オリンパス株式会社 生体組織のクリップ装置
US6551333B2 (en) 2000-10-19 2003-04-22 Ethicon Endo-Surgery, Inc. Method for attaching hernia mesh
US6773438B1 (en) 2000-10-19 2004-08-10 Ethicon Endo-Surgery Surgical instrument having a rotary lockout mechanism
US7485124B2 (en) 2000-10-19 2009-02-03 Ethicon Endo-Surgery, Inc. Surgical instrument having a fastener delivery mechanism
US6599298B1 (en) 2000-10-23 2003-07-29 Vitalitec International, S.A. Automatic surgical clip applier
US6966917B1 (en) 2000-11-09 2005-11-22 Innovation Interventional Technologies B.V. Deformable connector for mechanically connecting hollow structures
US6896682B1 (en) 2000-11-14 2005-05-24 Biomedical Engineering Solutions, Inc. Method and system for internal ligation of tubular structures
DK1339330T3 (da) 2000-12-06 2007-11-05 Wilson Cook Medical Inc Apparat til påsætning af ligaturbånd
US6716226B2 (en) 2001-06-25 2004-04-06 Inscope Development, Llc Surgical clip
US7232445B2 (en) 2000-12-06 2007-06-19 Id, Llc Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD)
US8062314B2 (en) 2000-12-06 2011-11-22 Ethicon Endo-Surgery, Inc. Methods for the endoluminal treatment of gastroesophageal reflux disease (GERD)
US6835199B2 (en) 2001-01-31 2004-12-28 Rex Medical, L.P. Apparatus and method for resectioning gastro-esophageal tissue
JP4097924B2 (ja) 2001-02-05 2008-06-11 オリンパス株式会社 生体組織のクリップ装置
JP2002224124A (ja) 2001-02-06 2002-08-13 Olympus Optical Co Ltd 結紮装置
US6723109B2 (en) 2001-02-07 2004-04-20 Karl Storz Endoscopy-America, Inc. Deployable surgical clamp with delivery/retrieval device and actuator
US6494884B2 (en) 2001-02-09 2002-12-17 Concentric Medical, Inc. Methods and devices for delivering occlusion elements
US6981505B2 (en) 2001-02-13 2006-01-03 Krause William R Urological device for the incontinent male
US7041119B2 (en) 2001-02-27 2006-05-09 Green David T Apparatus for suturing a blood vessel
US6719776B2 (en) 2001-03-01 2004-04-13 Ethicon Endo-Surgery, Inc. Thumb pad actuator for an ultrasonic surgical instrument
JP4578708B2 (ja) 2001-03-26 2010-11-10 オリンパス株式会社 生体組織のクリップ装置
EP1377223A2 (en) 2001-03-28 2004-01-07 Vascular Control Systems, Inc. Method and apparatus for the detection and ligation of uterine arteries
KR100401574B1 (ko) 2001-03-29 2003-10-17 이용우 자동 크립드라이버
DE10120367A1 (de) 2001-04-25 2002-10-31 Arnold Pier Chirurgischer Klammerapplicator
US20020173803A1 (en) 2001-05-01 2002-11-21 Stephen Ainsworth Self-closing surgical clip for tissue
US6685715B2 (en) 2001-05-02 2004-02-03 Novare Surgical Systems Clamp having bendable shaft
US6592597B2 (en) 2001-05-07 2003-07-15 Ethicon Endo-Surgery, Inc. Adhesive for attaching buttress material to a surgical fastening device
US6916332B2 (en) 2001-05-23 2005-07-12 Scimed Life Systems, Inc. Endoluminal fundoplication device and related method for installing tissue fastener
US7727248B2 (en) 2001-06-25 2010-06-01 Ethicon Endo-Surgery, Inc. Surgical clip
US20060178556A1 (en) 2001-06-29 2006-08-10 Intuitive Surgical, Inc. Articulate and swapable endoscope for a surgical robot
JP4689099B2 (ja) 2001-07-24 2011-05-25 株式会社トップ 外科用クリップ付与装置
US6972023B2 (en) 2001-07-05 2005-12-06 Converge Medical, Inc. Distal anastomosis system
CA2451102C (en) 2001-07-09 2009-09-15 Tyco Healthcare Group Lp Right angle clip applier apparatus and method
US6824547B2 (en) 2001-07-13 2004-11-30 Pilling Weck Incorporated Endoscopic clip applier and method
AUPR668901A0 (en) 2001-07-31 2001-08-23 Research Surgical Pty Ltd Surgical clamps
JP3926119B2 (ja) 2001-08-10 2007-06-06 株式会社東芝 医療用マニピュレータ
US7338503B2 (en) 2002-08-08 2008-03-04 Interrad Medical, Inc. Non-invasive surgical ligation clip system and method of using
US7179265B2 (en) 2001-08-21 2007-02-20 Microline Pentax, Inc. Reduced diameter clip applying arrangement
US6776784B2 (en) 2001-09-06 2004-08-17 Core Medical, Inc. Clip apparatus for closing septal defects and methods of use
US20050267495A1 (en) 2004-05-17 2005-12-01 Gateway Medical, Inc. Systems and methods for closing internal tissue defects
WO2003024300A2 (en) 2001-09-14 2003-03-27 Onux Medical, Inc. Surgical suturing instrument and method of use
JP3921681B2 (ja) 2001-10-01 2007-05-30 ニプロ株式会社 心臓内縫合装置
US7094245B2 (en) 2001-10-05 2006-08-22 Scimed Life Systems, Inc. Device and method for through the scope endoscopic hemostatic clipping
AU2002340291B2 (en) 2001-10-24 2009-01-08 Boston Scientific Limited Multiple hemoclip system for an endoscope
US20050149069A1 (en) 2001-12-04 2005-07-07 Bertolero Arthur A. Left atrial appendage devices and methods
US7331968B2 (en) 2004-06-14 2008-02-19 Ethicon Endo-Surgery, Inc. Endoscopic clip applier with threaded clip
WO2003053256A1 (fr) 2001-12-13 2003-07-03 Sumitomo Bakelite Company Limited Dispositif de pince pour endoscope et pince pour endoscope utilisee dans ce dispositif
US6974462B2 (en) 2001-12-19 2005-12-13 Boston Scientific Scimed, Inc. Surgical anchor implantation device
US6729119B2 (en) 2001-12-28 2004-05-04 The Schnipke Family Limited Liability Company Robotic loader for surgical stapling cartridge
US6602252B2 (en) 2002-01-03 2003-08-05 Starion Instruments Corporation Combined dissecting, cauterizing, and stapling device
US6869435B2 (en) 2002-01-17 2005-03-22 Blake, Iii John W Repeating multi-clip applier
US6869436B2 (en) 2002-02-07 2005-03-22 Scimed Life Systems, Inc. Surgical clip with a self-releasing fluid reservoir
US6743241B2 (en) 2002-03-01 2004-06-01 Intellimed Surgical Solutions Llc Laparoscopic port site fascial closure device
US6939356B2 (en) 2002-03-06 2005-09-06 Elie G. Debbas Medical instrument for closure of trocar site openings and method for use of same
US6802848B2 (en) 2002-03-12 2004-10-12 Novare Surgical Systems, Inc. Surgical clip with adjustable biasing force
US6942676B2 (en) 2002-03-21 2005-09-13 Novare Surgical Systems, Inc. Surgical clamp pads with deflecting elements
US6953465B2 (en) 2002-03-25 2005-10-11 Concentric Medical, Inc. Containers and methods for delivering vaso-occluding filaments and particles
DE60333178D1 (de) 2002-04-10 2010-08-12 Tyco Healthcare Gerät zum anbringen von chirurgischen klammern mit verwindungssteifen klemmbacken
US7896896B2 (en) 2002-04-22 2011-03-01 Tyco Healthcare Group Lp Endoscopic surgical clip
EP1985243B1 (en) 2002-04-29 2011-07-20 Tyco Healthcare Group LP Ligation clip applier
US20030225423A1 (en) 2002-05-30 2003-12-04 Huitema Thomas W. Surgical clip
US7056330B2 (en) 2002-05-31 2006-06-06 Ethicon Endo-Surgery, Inc. Method for applying tissue fastener
US20030229360A1 (en) 2002-05-31 2003-12-11 Gayton John F. Tissue fastener having a shaft with a reduced cross-section
US7442198B2 (en) 2002-06-12 2008-10-28 Boston Scientific Scimed, Inc. Suturing instrument with multi-load cartridge
AU2003245507A1 (en) 2002-06-13 2003-12-31 Guided Delivery Systems, Inc. Devices and methods for heart valve repair
US7753924B2 (en) 2003-09-04 2010-07-13 Guided Delivery Systems, Inc. Delivery devices and methods for heart valve repair
US7998155B2 (en) 2002-06-20 2011-08-16 Tyco Healthcare Group Lp Method and apparatus for anastomosis including annular joining member
US8074857B2 (en) 2002-06-25 2011-12-13 Incisive Surgical, Inc. Method and apparatus for tissue fastening with single translating trigger operation
US6972027B2 (en) 2002-06-26 2005-12-06 Stryker Endoscopy Soft tissue repair system
US6773440B2 (en) 2002-07-02 2004-08-10 Satiety, Inc. Method and device for use in tissue approximation and fixation
JP4109030B2 (ja) 2002-07-19 2008-06-25 オリンパス株式会社 生体組織のクリップ装置
JP2005533562A (ja) 2002-07-23 2005-11-10 アプライド メディカル リソーシーズ コーポレイション 内部ラチェットを有するクリップアプライヤ・カートリッジ
US7727247B2 (en) 2002-08-21 2010-06-01 Olympus Corporation Living tissue ligation device
US7211091B2 (en) 2002-08-27 2007-05-01 Pilling Weck Incorporated Fingertip-actuated surgical clip applier and related methods
US20040138704A1 (en) 2002-09-06 2004-07-15 Gambale Richard A. Tissue capturing devices
WO2004023976A2 (en) 2002-09-13 2004-03-25 Damage Control Surgical Technologies, Inc. Method and apparatus for vascular and visceral clipping
US6966919B2 (en) 2002-09-20 2005-11-22 Id, Llc Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD)
EP1545333B1 (en) 2002-10-04 2009-12-09 Tyco Healthcare Group Lp Tool assembly for a surgical stapling device
EP1545335A1 (en) 2002-10-04 2005-06-29 Tyco Healthcare Group Lp Angled surgical fastener apparatus
US7678125B2 (en) 2002-11-12 2010-03-16 Apollo Camera, L.L.C. Surgical ligation clip
US6945978B1 (en) 2002-11-15 2005-09-20 Advanced Cardiovascular Systems, Inc. Heart valve catheter
US7211092B2 (en) 2002-11-19 2007-05-01 Pilling Weck Incorporated Automated-feed surgical clip applier and related methods
US7052504B2 (en) 2002-11-19 2006-05-30 Teleflex Incorporated Automated-feed surgical clip applier and related methods
US7316708B2 (en) 2002-12-05 2008-01-08 Cardiac Dimensions, Inc. Medical device delivery system
US7386365B2 (en) 2004-05-04 2008-06-10 Intuitive Surgical, Inc. Tool grip calibration for robotic surgery
WO2004052410A2 (en) 2002-12-10 2004-06-24 Blake Joseph W Iii Anti-backup mechanism for repeating multi-clip applier
US6849079B1 (en) 2002-12-10 2005-02-01 Joseph W. Blake, III Clip detent spring for repeating multi-clip applier
WO2004060142A2 (en) 2002-12-16 2004-07-22 Edrich Vascular Devices, Inc. Vascular suturing clip
US20060100649A1 (en) 2002-12-17 2006-05-11 Hart Charles C Surgical staple-clip and applier
US6821284B2 (en) 2003-01-22 2004-11-23 Novare Surgical Systems, Inc. Surgical clamp inserts with micro-tractive surfaces
GB0302098D0 (en) 2003-01-29 2003-02-26 Univ London Improvements in and relating to surgical clips
US7857828B2 (en) 2003-01-30 2010-12-28 Integrated Vascular Systems, Inc. Clip applier and methods of use
FR2851451B1 (fr) 2003-02-24 2005-05-20 Sofradim Production Dispositif pour ligaturer une structure anatomique
US6908484B2 (en) 2003-03-06 2005-06-21 Spinecore, Inc. Cervical disc replacement
AU2004220635A1 (en) 2003-03-06 2004-09-23 Applied Medical Resources Corporation Spring clip and method for assembling same
US20040193213A1 (en) 2003-03-11 2004-09-30 Ernest Aranyi Clip applying apparatus with curved jaws, and clip
WO2004080290A2 (en) 2003-03-11 2004-09-23 Tyco Healthcare Group, Lp Clip applying apparatus with angled jaw
GB0305976D0 (en) 2003-03-14 2003-04-23 Wild Andrew M Surgical clip
CN100464716C (zh) 2003-03-17 2009-03-04 住友电木株式会社 生物体组织的夹钳装置
US20060259049A1 (en) 2003-03-17 2006-11-16 Sumitomo Bakelite Co., Ltd. Clip and clipping instrument for biological tissues
JP4557972B2 (ja) 2003-03-26 2010-10-06 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 解放を制御する、エネルギー保存バネ
US20050107871A1 (en) 2003-03-30 2005-05-19 Fidel Realyvasquez Apparatus and methods for valve repair
ES2279231T3 (es) 2003-05-09 2007-08-16 Tyco Healthcare Group Lp Grapa anastomotica con tubo capilar que dispensa fluidos.
US6997929B2 (en) 2003-05-16 2006-02-14 Spine Wave, Inc. Tissue distraction device
US7000818B2 (en) 2003-05-20 2006-02-21 Ethicon, Endo-Surger, Inc. Surgical stapling instrument having separate distinct closing and firing systems
US8172870B2 (en) 2003-06-09 2012-05-08 Microline Surgical, Inc. Ligation clip applier
US7144402B2 (en) 2003-06-16 2006-12-05 Synovis Life Technologies, Inc. Vascular clamp
EP2428168B1 (en) 2003-06-17 2014-09-17 Covidien LP Surgical stapling device
US7510562B2 (en) 2003-07-08 2009-03-31 Terumo Corporation Vein dissector, cauterizing and ligating apparatus for endoscopic harvesting of blood vessels
US7213736B2 (en) 2003-07-09 2007-05-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint
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
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
TW200507885A (en) 2003-07-17 2005-03-01 Gunze Kk Suture prosthetic material for automatic sewing device
US7182769B2 (en) 2003-07-25 2007-02-27 Medtronic, Inc. Sealing clip, delivery systems, and methods
DE10334083A1 (de) 2003-07-26 2005-02-24 Carl Stahl Gmbh Verfahren und Vorrichtung zur endoskopischen Applizierung von sich schließenden medizinischen Clips
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US7494461B2 (en) 2003-09-30 2009-02-24 Boston Scientific Scimed, Inc. Through the scope tension member release clip
EP1670365B1 (en) 2003-09-30 2018-12-05 Boston Scientific Scimed, Inc. Apparatus for deployment of a hemostatic clip
US6960218B2 (en) 2003-10-20 2005-11-01 Henry Rennich External incontinence clamp
US7572266B2 (en) 2003-10-21 2009-08-11 Young Wayne P Clip applier tool having a discharge configuration
US20050096671A1 (en) 2003-10-31 2005-05-05 Parris Wellman Control mechanism for a surgical instrument
US20050096670A1 (en) 2003-10-31 2005-05-05 Parris Wellman Surgical end effector
EP1684641B1 (en) 2003-11-07 2012-02-15 Scimed Life Systems, Inc. Endoscopic hemoscopic clipping apparatus
US7736372B2 (en) 2003-11-13 2010-06-15 Usgi Medical, Inc. Apparatus and methods for endoscopic suturing
US7175648B2 (en) 2003-11-18 2007-02-13 Granit Medical Innovations, Llc Deep endoscopic staple and stapler
US20050208095A1 (en) 2003-11-20 2005-09-22 Angiotech International Ag Polymer compositions and methods for their use
US20050149068A1 (en) 2003-12-17 2005-07-07 Mathew Williams Left atrial appendage exclusion device
US7766207B2 (en) 2003-12-30 2010-08-03 Ethicon Endo-Surgery, Inc. Articulating curved cutter stapler
US7316696B2 (en) 2004-01-22 2008-01-08 Teleflex Medical Incorporated Ligating clip with integral interlocking latch mechanism
US7326223B2 (en) 2004-01-22 2008-02-05 Teleflex Medical Incorporated Ligating clip with integral cutting guide
US7585304B2 (en) 2004-02-02 2009-09-08 Teleflex Medical Incorporated Endoscopic clip applying apparatus with improved aperture for clip release and related method
US20050177176A1 (en) 2004-02-05 2005-08-11 Craig Gerbi Single-fold system for tissue approximation and fixation
US20060009792A1 (en) 2004-02-20 2006-01-12 Esophyx, Inc. Tissue fixation assembly having prepositioned fasteners and method
US20050216056A1 (en) 2004-03-08 2005-09-29 Lutheran Medical Center Surgical dynamic compression staple
US9028511B2 (en) 2004-03-09 2015-05-12 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8628547B2 (en) 2004-03-09 2014-01-14 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US20050216036A1 (en) 2004-03-29 2005-09-29 Nakao Naomi L Endoscopic fastening system with multiple fasteners
US8475473B2 (en) 2004-03-30 2013-07-02 Applied Medical Resources Corporation Convertible surgical clip applier system
US7578827B2 (en) 2004-04-02 2009-08-25 Applied Medical Resources Corporation Suture clip with stop ribs and method for making same
US7621926B2 (en) 2004-04-16 2009-11-24 Applied Medical Resources Corporation Multi-fire surgical clip applier
US20050273122A1 (en) 2004-06-02 2005-12-08 Microline, Inc. Clip with enhanced gripping arrangement
US8216255B2 (en) 2004-06-14 2012-07-10 Ethicon Endo-Surgery, Inc. Endoscopic clip applier actuator
US8986343B2 (en) 2004-06-16 2015-03-24 Smith & Nephew Suture passing
US20060004388A1 (en) 2004-06-18 2006-01-05 Ablatrics, Inc. System for tissue cavity closure
EP1768575B1 (en) 2004-06-18 2019-01-16 Medtronic, Inc. Devices for occlusion of an atrial appendage
US20050288689A1 (en) 2004-06-25 2005-12-29 Kammerer Gene W Applicator and method for deploying a surgical fastener
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
BRMU8401529U (pt) 2004-07-02 2006-02-21 Milton Tatsuo Tanaka clip cirúrgico curvo laparoscópico
US7914551B2 (en) 2004-07-28 2011-03-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument
US7261725B2 (en) 2005-01-13 2007-08-28 Binmoeller Kenneth F Endoscopic device with independently actuated legs
US7540872B2 (en) 2004-09-21 2009-06-02 Covidien Ag Articulating bipolar electrosurgical instrument
EP1799120B1 (en) 2004-09-23 2017-11-01 Covidien LP Clip applying apparatus and ligation clip
US9763668B2 (en) 2004-10-08 2017-09-19 Covidien Lp Endoscopic surgical clip applier
EP2875786B1 (en) 2004-10-08 2017-02-01 Covidien LP Apparatus for applying surgical clips
US8409222B2 (en) 2004-10-08 2013-04-02 Covidien Lp Endoscopic surgical clip applier
US7819886B2 (en) 2004-10-08 2010-10-26 Tyco Healthcare Group Lp Endoscopic surgical clip applier
JP5103183B2 (ja) 2004-10-08 2012-12-19 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 内視鏡外科用クリップ取付器
DE202004015990U1 (de) 2004-10-14 2004-12-09 Jörg Wenzler Medizintechnik GmbH Chirurgisches Stanzinstrument
EP2353520B1 (en) 2004-10-18 2013-04-24 Covidien LP Annular adhesive structure
US7641671B2 (en) 2004-11-22 2010-01-05 Design Standards Corporation Closing assemblies for clamping device
JP2006154230A (ja) 2004-11-29 2006-06-15 Nikon Corp ズーム顕微鏡
US20060124485A1 (en) 2004-12-10 2006-06-15 Kennedy Daniel L Enhanced visibility cartridge with improved retainer
JP4758173B2 (ja) 2004-12-24 2011-08-24 オリンパス株式会社 結紮装置
US8080021B2 (en) 2005-01-11 2011-12-20 Boston Scientific Scimed, Inc. Multiple clip deployment magazine
US20060173470A1 (en) 2005-01-31 2006-08-03 Oray B N Surgical fastener buttress material
DE202005001664U1 (de) 2005-02-03 2005-05-25 Kullen Gmbh & Co. Kg Bürstenanordnung einer Abdeckung
US20060190013A1 (en) 2005-02-22 2006-08-24 Microline, Inc. Curved closure jaw arrangement for a medical clip applier device
WO2006098994A1 (en) 2005-03-11 2006-09-21 Wilson-Cook Medical, Inc. Multi-clip device
US20070203510A1 (en) 2006-02-28 2007-08-30 Bettuchi Michael J Annular disk for reduction of anastomotic tension and methods of using the same
US7942890B2 (en) 2005-03-15 2011-05-17 Tyco Healthcare Group Lp Anastomosis composite gasket
US20060217749A1 (en) 2005-03-24 2006-09-28 Pilling Weck Incorporated Reduced closure force ligating clip
JP2006277221A (ja) 2005-03-29 2006-10-12 Matsushita Electric Ind Co Ltd 情報読取書込装置
US20060224170A1 (en) 2005-03-30 2006-10-05 Michael Duff Surgical marker clip and method for cholangiography
US7740641B2 (en) 2005-04-14 2010-06-22 Ethicon Endo-Surgery, Inc. Clip applier with migrational resistance features
US7731724B2 (en) 2005-04-14 2010-06-08 Ethicon Endo-Surgery, Inc. Surgical clip advancement and alignment mechanism
US8038686B2 (en) 2005-04-14 2011-10-18 Ethicon Endo-Surgery, Inc. Clip applier configured to prevent clip fallout
US7686820B2 (en) 2005-04-14 2010-03-30 Ethicon Endo-Surgery, Inc. Surgical clip applier ratchet mechanism
US8523882B2 (en) 2005-04-14 2013-09-03 Ethicon Endo-Surgery, Inc. Clip advancer mechanism with alignment features
US7261724B2 (en) 2005-04-14 2007-08-28 Ethicon Endo-Surgery, Inc. Surgical clip advancement mechanism
US7699860B2 (en) 2005-04-14 2010-04-20 Ethicon Endo-Surgery, Inc. Surgical clip
US7288098B2 (en) 2005-04-14 2007-10-30 Ethicon Endo-Surgery, Inc. Force limiting mechanism for medical instrument
US7297149B2 (en) 2005-04-14 2007-11-20 Ethicon Endo-Surgery, Inc. Surgical clip applier methods
US20080045981A1 (en) 2005-04-22 2008-02-21 Ilya Margolin Ligating clip and ligating clip applicator
CN101193600B (zh) 2005-04-29 2010-09-08 博维医药公司 实施内窥镜或关节镜手术的钳子
US8419760B2 (en) 2005-06-25 2013-04-16 Stryker Corporation Cutting accessory for a powered surgical handpiece, the cutting accessory including features to facilitate the alignment of the accessory with the handpiece, hold the accessory to the handpiece, facilitate the transfer of torque to the accessory and reduce the wobble of the accessory
US8313497B2 (en) 2005-07-01 2012-11-20 Abbott Laboratories Clip applier and methods of use
US8945151B2 (en) 2005-07-13 2015-02-03 Atricure, Inc. Surgical clip applicator and apparatus including the same
US7871416B2 (en) 2005-07-22 2011-01-18 Phillips Edward H Clamp device to plicate the stomach
US7559937B2 (en) 2005-08-09 2009-07-14 Towertech Research Group Surgical fastener apparatus and reinforcing material
US20070038233A1 (en) 2005-08-11 2007-02-15 Medical Device Concepts Llc Surgical clips, systems and methods thereof
US20070049950A1 (en) 2005-08-25 2007-03-01 Microline Pentax Inc. Medical clip applying device
US20070049947A1 (en) 2005-08-25 2007-03-01 Microline Pentax Inc. Cinch control device
US20070185504A1 (en) 2005-08-25 2007-08-09 Microline Pentax, Inc. Medical clip feeding mechanism
US8365976B2 (en) 2006-09-29 2013-02-05 Ethicon Endo-Surgery, Inc. Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same
US9326776B2 (en) 2005-09-29 2016-05-03 Applied Medical Resources Corporation Manually actuated surgical clip applier
CA2561653C (en) 2005-09-30 2014-07-08 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for linear surgical stapler
AU2006299438B9 (en) 2005-10-03 2013-07-18 Smith & Nephew, Inc. Locking instrument assembly
US20070083218A1 (en) 2005-10-12 2007-04-12 A Morris Steven Coated ligating clip
US7752853B2 (en) 2005-10-21 2010-07-13 Emerson Retail Services, Inc. Monitoring refrigerant in a refrigeration system
US8192449B2 (en) 2005-10-25 2012-06-05 Brainlab Ag Non-penetrating fixing device
US8080004B2 (en) 2005-10-26 2011-12-20 Earl Downey Laparoscopic surgical instrument
US7901420B2 (en) 2005-11-02 2011-03-08 University Of Massachusetts Tissue clamp
US8632520B2 (en) 2005-11-10 2014-01-21 Mayo Foundation For Medical Education And Research Vein closure and injection kits and methods
US20070112365A1 (en) 2005-11-15 2007-05-17 Applied Medical Resources Corporation Partial occlusion surgical guide clip
US20070118161A1 (en) 2005-11-22 2007-05-24 Kennedy Daniel L Non-snag polymer ligating clip
US7896895B2 (en) 2005-11-23 2011-03-01 Ethicon Endo-Surgery, Inc. Surgical clip and applier device and method of use
US9486225B2 (en) 2005-12-22 2016-11-08 Robert E. Michler Exclusion of the left atrial appendage
US9480480B2 (en) 2005-12-22 2016-11-01 Albert N. Santilli Vascular and intestinal occlusion
DE202006000329U1 (de) 2006-01-11 2006-03-02 Aesculap Ag & Co. Kg Chirurgischer Ligaturclip
US20070173866A1 (en) 2006-01-23 2007-07-26 Tyco Healthcare Group, Lp Surgical hemostatic clip
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7793813B2 (en) 2006-02-28 2010-09-14 Tyco Healthcare Group Lp Hub for positioning annular structure on a surgical device
US7892244B2 (en) 2006-03-09 2011-02-22 Niti Surgical Solutions Ltd. Surgical compression clips
JP5175833B2 (ja) 2006-03-10 2013-04-03 クック メディカル テクノロジーズ エルエルシー 対象組織をクリップアーム収容チャンバ内に引き入れられる医療装置
US8808310B2 (en) 2006-04-20 2014-08-19 Integrated Vascular Systems, Inc. Resettable clip applier and reset tools
WO2007124579A1 (en) 2006-04-29 2007-11-08 Klassen James B Surgical clip, applicator, and applicator methods
JP5204100B2 (ja) 2006-06-01 2013-06-05 クック メディカル テクノロジーズ エルエルシー クリップ器具用解除機構
JP2008017876A (ja) 2006-07-10 2008-01-31 Tetsuya Araki 医療用処置具
EP2086438B1 (en) 2006-10-05 2015-12-09 Covidien LP Flexible endoscopic stitching devices
US8708210B2 (en) 2006-10-05 2014-04-29 Covidien Lp Method and force-limiting handle mechanism for a surgical instrument
EP1913881B1 (en) 2006-10-17 2014-06-11 Covidien LP Apparatus for applying surgical clips
US20080147092A1 (en) 2006-10-23 2008-06-19 Michael Rogge Hybrid energy instrument combined with clip application capability
US20080103510A1 (en) 2006-10-25 2008-05-01 Apogee Surgical Instruments Bio-absorbable tissue closure system
JP4716513B2 (ja) 2006-11-09 2011-07-06 Ｈｏｙａ株式会社 内視鏡用クリップ装置
US20070118174A1 (en) 2006-11-16 2007-05-24 Chu David Z J Laparoscopic surgical clamp and suturing methods
US8585716B2 (en) 2006-12-13 2013-11-19 Boston Scientific Scimed, Inc. Apparatus for applying hemostatic clips
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US7552853B2 (en) 2007-01-24 2009-06-30 Medtronic Vascular, Inc. Low-profile vascular closure systems and methods of using same
JP2008200190A (ja) 2007-02-19 2008-09-04 Adachi Kogyo:Kk クリップアプライヤー及びクリップピース
DE202007003398U1 (de) 2007-02-28 2007-06-14 Aesculap Ag & Co. Kg Chirurgisches Instrument
US8011550B2 (en) 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US8011555B2 (en) 2007-03-06 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US7473258B2 (en) 2007-03-08 2009-01-06 Cardica, Inc. Surgical stapler
US7533790B1 (en) 2007-03-08 2009-05-19 Cardica, Inc. Surgical stapler
US20080228199A1 (en) 2007-03-16 2008-09-18 Ethicon Endo-Surgery, Inc. Endoscopic tissue approximation method
AU2013254887A1 (en) 2007-03-26 2013-11-21 Covidien Lp Endoscopic surgical clip applier
CN102327138B (zh) 2007-03-26 2014-09-10 柯惠Lp公司 内窥镜手术施夹器
US8506580B2 (en) 2007-04-11 2013-08-13 Covidien Lp Surgical clip applier
US20080255589A1 (en) 2007-04-11 2008-10-16 Terumo Cardiovascular Systems Corporation Multi-function clipping and harvesting device
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
JP2008302045A (ja) 2007-06-08 2008-12-18 Hoya Corp 内視鏡用クリップ装置
JP2008302097A (ja) 2007-06-11 2008-12-18 Hoya Corp 内視鏡用クリップ装置
JP2008307168A (ja) 2007-06-13 2008-12-25 Hoya Corp 内視鏡用クリップ装置
US8465460B2 (en) 2007-08-01 2013-06-18 Medingo Ltd. Device for drug delivery
CN102793571B (zh) 2007-09-21 2014-12-17 柯惠Lp公司 手术器械
JP2009078032A (ja) 2007-09-27 2009-04-16 Machida Endscope Co Ltd クリップアプライヤ
EP2044888B1 (en) 2007-10-05 2016-12-07 Covidien LP Articulation mechanism for a surgical instrument
JP5006753B2 (ja) 2007-10-17 2012-08-22 Ｈｏｙａ株式会社 内視鏡用クリップ装置
US9445820B2 (en) 2007-12-31 2016-09-20 Teleflex Medical Incorporated Ligation clip with flexible clamping feature
US8771169B2 (en) 2008-01-10 2014-07-08 Covidien Lp Imaging system for a surgical device
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US20090206141A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material having an activatable adhesive
EP2098175B1 (en) 2008-03-04 2011-08-17 FUJIFILM Corporation Clipping device
US8366726B2 (en) 2008-03-21 2013-02-05 Gyrx Llc Vessel occlusion clip and application thereof
DE102008018158A1 (de) 2008-04-10 2009-10-15 Aesculap Ag Ligaturklammermagazin und Lagerkörper zur Verwendung in diesem
US8021375B2 (en) 2008-04-21 2011-09-20 Conmed Corporation Surgical clip applicator
US20110054498A1 (en) 2008-05-05 2011-03-03 Niti Surgical Solutions Ltd. Endoscopic compression clip and system and method for use thereof
US8424738B2 (en) 2008-06-04 2013-04-23 Covidien Lp Attachable clamp for surgical stapler
ES2734905T3 (es) 2008-06-17 2019-12-12 Apollo Endosurgery Inc Sistema de sutura endoscópica
AU2009260236B2 (en) 2008-06-19 2014-06-12 Boston Scientific Scimed, Inc. Hemostatic clipping devices and methods
JP2010029629A (ja) 2008-06-30 2010-02-12 Fujifilm Corp クリップ処置具
EP2145589A2 (en) 2008-07-17 2010-01-20 FUJIFILM Corporation Manipulating handle for successive clipping device, successive clipping device, manipulating handle for clipping device, and clipping device
EP2263573A3 (en) 2008-08-21 2011-03-02 Fujifilm Corporation Clip package for clip application apparatus
US8056565B2 (en) 2008-08-25 2011-11-15 Tyco Healthcare Group Lp Surgical clip applier and method of assembly
US20110208212A1 (en) 2010-02-19 2011-08-25 Zergiebel Earl M Surgical clip applier
US8465502B2 (en) 2008-08-25 2013-06-18 Covidien Lp Surgical clip applier and method of assembly
US9358015B2 (en) 2008-08-29 2016-06-07 Covidien Lp Endoscopic surgical clip applier with wedge plate
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
US8267944B2 (en) 2008-08-29 2012-09-18 Tyco Healthcare Group Lp Endoscopic surgical clip applier with lock out
US8585717B2 (en) 2008-08-29 2013-11-19 Covidien Lp Single stroke endoscopic surgical clip applier
GB0818101D0 (en) 2008-10-03 2008-11-05 Femcare Nikomed Ltd Applicator for surgical clips
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
FR2938422A1 (fr) 2008-11-17 2010-05-21 Pierre Sarradon Clips d'anastomose vasculaire et methode d'application
US9232947B2 (en) 2009-02-17 2016-01-12 The Board Of Trustees Of The Leland Stanford Junior University Closure device and method
US7988027B2 (en) 2009-03-31 2011-08-02 Tyco Healthcare Group Lp Crimp and release of suture holding buttress material
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
DE102009018821A1 (de) 2009-04-24 2010-10-28 Aesculap Ag Chirurgisches Instrument zum Anlegen von Ligaturklammern
DE102009018819A1 (de) 2009-04-24 2010-10-28 Aesculap Ag Chirurgisches Instrument zum Anlegen von Ligaturklammern
DE102009018820A1 (de) * 2009-04-24 2010-10-28 Aesculap Ag Magazin mit einer Vielzahl C-förmiger Ligaturklammern
DE202009006113U1 (de) 2009-04-24 2009-07-02 Aesculap Ag Chirurgisches Instrument zum Anlegen von Ligaturklammern
JP2010264001A (ja) 2009-05-13 2010-11-25 Fujifilm Corp 連発式クリップ処置具
TWI391119B (zh) 2009-06-15 2013-04-01 Ming Huei Cheng 合併雙鉗壓血管夾之施夾器
US8430892B2 (en) 2009-10-06 2013-04-30 Covidien Lp Surgical clip applier having a wireless clip counter
US8939974B2 (en) 2009-10-09 2015-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism
US8267945B2 (en) 2009-10-09 2012-09-18 Ethicon Endo-Surgery, Inc. Clip advancer with lockout mechanism
US10172669B2 (en) 2009-10-09 2019-01-08 Ethicon Llc Surgical instrument comprising an energy trigger lockout
US8262679B2 (en) 2009-10-09 2012-09-11 Ethicon Endo-Surgery, Inc. Clip advancer
US8734469B2 (en) 2009-10-13 2014-05-27 Covidien Lp Suture clip applier
US8157151B2 (en) 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
US8225979B2 (en) 2009-10-30 2012-07-24 Tyco Healthcare Group Lp Locking shipping wedge
US20110144662A1 (en) 2009-12-15 2011-06-16 Mclawhorn Tyler E Clip devices and systems and methods for deployment
US8545486B2 (en) 2009-12-15 2013-10-01 Covidien Lp Surgical clip applier
US8529585B2 (en) 2010-01-29 2013-09-10 Advanced Bariatric Technology, Llc Surgical clamp and surgical clamp installation tool
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
TW201130457A (en) 2010-03-03 2011-09-16 Ming-Huei Cheng Automatic clip applier for clamping two ligating clips simultaneously
JP2011186812A (ja) 2010-03-09 2011-09-22 Mitsubishi Electric Corp 文書及び図面間の整合性確認支援装置、整合性確認支援プログラム及び、整合性確認支援プログラムを記録した記録媒体
WO2011112577A1 (en) 2010-03-09 2011-09-15 Teleflex Medical Incorporated Narrow profile surgical ligation clip
US9597089B2 (en) 2010-03-10 2017-03-21 Conmed Corporation Surgical clips for laparoscopic procedures
US20120265220A1 (en) 2010-04-06 2012-10-18 Pavel Menn Articulating Steerable Clip Applier for Laparoscopic Procedures
WO2011127223A1 (en) 2010-04-06 2011-10-13 Pavel Menn Hermetic rotating handle assembly for a surgical clip applier for laparoscopic procedures
US8623044B2 (en) 2010-04-12 2014-01-07 Ethicon Endo-Surgery, Inc. Cable actuated end-effector for a surgical instrument
US20110295290A1 (en) 2010-05-28 2011-12-01 Whitfield Kenneth H Surgical hemostatic clip including work-hardened, movement-inhibiting structure and method of manufacturing same
US20110313437A1 (en) 2010-06-16 2011-12-22 Top-Bound Enterprise Co., Ltd. Vascular clamp structure
US20120022526A1 (en) 2010-07-23 2012-01-26 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
US8403946B2 (en) 2010-07-28 2013-03-26 Covidien Lp Articulating clip applier cartridge
CN103068325B (zh) 2010-08-10 2016-08-03 库克医学技术有限责任公司 夹子装置以及递送和部署方法
US20120053406A1 (en) 2010-09-01 2012-03-01 Conlon Sean P Minimally invasive surgery
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9011464B2 (en) 2010-11-02 2015-04-21 Covidien Lp Self-centering clip and jaw
US8348130B2 (en) 2010-12-10 2013-01-08 Covidien Lp Surgical apparatus including surgical buttress
US9186153B2 (en) 2011-01-31 2015-11-17 Covidien Lp Locking cam driver and jaw assembly for clip applier
US20120226291A1 (en) 2011-03-04 2012-09-06 Jenkins Clinic, Inc. Surgical Ligation Clip and Applicator Device
US8397972B2 (en) 2011-03-18 2013-03-19 Covidien Lp Shipping wedge with lockout
US20130041379A1 (en) 2011-04-11 2013-02-14 Integrated Medical Systems International, Inc. Surgical Rongeur Release Mechanism
US9775623B2 (en) 2011-04-29 2017-10-03 Covidien Lp Surgical clip applier including clip relief feature
US20120330326A1 (en) 2011-06-22 2012-12-27 Tyco Healthcare Group Lp Surgical clip applier including atraumatic jaw feature
EP2734121A2 (en) 2011-07-11 2014-05-28 Agile Endosurgery, Inc. Articulated surgical tool
CN103930054A (zh) 2011-09-15 2014-07-16 泰利福医疗公司 手动外科结扎夹钳施用器
CN103889359B (zh) 2011-10-19 2017-02-15 伊西康内外科公司 能够与外科机器人一起使用的夹具施放器
US20130131697A1 (en) 2011-11-21 2013-05-23 Covidien Lp Surgical clip applier
US9113899B2 (en) 2011-11-29 2015-08-25 Covidien Lp Coupling mechanisms for surgical instruments
US9364239B2 (en) 2011-12-19 2016-06-14 Covidien Lp Jaw closure mechanism for a surgical clip applier
US9931123B2 (en) 2011-12-21 2018-04-03 Joseph W Blake, III Surgical clip applier
DE102011056821A1 (de) 2011-12-21 2013-06-27 Aesculap Ag Medizinische Clipträgervorrichtung
US9364216B2 (en) 2011-12-29 2016-06-14 Covidien Lp Surgical clip applier with integrated clip counter
US9775612B2 (en) 2011-12-30 2017-10-03 Boston Scientific Scimed, Inc. Linear rotation mechanism for hemostasis clip device and other devices
US9549738B2 (en) 2012-01-05 2017-01-24 Ethicon Endo-Surgery, Llc Ratcheting feature on tissue staple trigger to prevent premature jaw opening
JP2013166982A (ja) 2012-02-15 2013-08-29 Nagoya Institute Of Technology 焼結法と鋳造法とを併用した傾斜機能材料製造法
WO2013130595A1 (en) 2012-02-28 2013-09-06 Boston Scientific Scimed, Inc. Clip applier
US9408610B2 (en) 2012-05-04 2016-08-09 Covidien Lp Surgical clip applier with dissector
US8518055B1 (en) 2012-05-11 2013-08-27 Ethicon, Inc. Applicator instruments for dispensing surgical fasteners during open repair procedures
CN202699217U (zh) 2012-05-28 2013-01-30 杭州安杰思医学科技有限公司 带推送器可重复开合的止血夹
US9192432B2 (en) 2012-05-29 2015-11-24 Covidien Lp Lever latch assemblies for surgical improvements
US9532787B2 (en) 2012-05-31 2017-01-03 Covidien Lp Endoscopic clip applier
US9271705B2 (en) 2012-06-14 2016-03-01 Tyrone Vaughn Surgical instrument adapter with highly secure locking shaft mechanism
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US20140005678A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Rotary drive arrangements for surgical instruments
US20140074143A1 (en) 2012-09-07 2014-03-13 Sinocclusive Llc Insertion tool and insertion method for arterial tamponade device
US9220507B1 (en) 2012-10-14 2015-12-29 Manoj B. Patel Tissue spreading vascular clips with locking mechanism and non-slip clamping surfaces
US9282972B1 (en) 2012-10-14 2016-03-15 Innovative Urololy, Llc Surgical clips with penetrating locking mechanism and non-slip clamping surfaces
US9642629B2 (en) 2012-11-20 2017-05-09 Specialty Surgical Instrumentation Inc. System and method for forming a curved tunnel in bone
US9968362B2 (en) 2013-01-08 2018-05-15 Covidien Lp Surgical clip applier
US9113892B2 (en) 2013-01-08 2015-08-25 Covidien Lp Surgical clip applier
US9750500B2 (en) 2013-01-18 2017-09-05 Covidien Lp Surgical clip applier
US9208429B2 (en) 2013-01-31 2015-12-08 Teleflex Medical Incorporated Multiple delivery device counter and counting method
US9706993B2 (en) 2013-03-08 2017-07-18 Covidien Lp Staple cartridge with shipping wedge
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
US9687230B2 (en) 2013-03-14 2017-06-27 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US9430881B2 (en) 2013-03-15 2016-08-30 Broadley-James Corporation Measurement probe with heat cycle event counter
US9433422B2 (en) 2013-03-26 2016-09-06 Design Standards Corporation Surgical clip applicator
AU2014250896B2 (en) 2013-04-11 2018-11-15 Faculty Physicians And Surgeons Of Loma Linda University School Of Medicine Minimally invasive surgical devices and methods
US9445810B2 (en) 2013-06-12 2016-09-20 Covidien Lp Stapling device with grasping jaw mechanism
CN103251441B (zh) 2013-06-13 2015-03-11 沈靖 腹腔内窥镜手术刀手柄
US9681877B2 (en) * 2013-06-25 2017-06-20 Joseph W Blake, III Surgical clip applier
US10085746B2 (en) 2013-06-28 2018-10-02 Covidien Lp Surgical instrument including rotating end effector and rotation-limiting structure
US9775624B2 (en) 2013-08-27 2017-10-03 Covidien Lp Surgical clip applier
US9526565B2 (en) 2013-11-08 2016-12-27 Ethicon Endo-Surgery, Llc Electrosurgical devices
FR3013206B1 (fr) 2013-11-18 2015-12-11 Galiana Jean Marc Dispositif chirurgical multifonctionnel rechargeable et jetable
US9579099B2 (en) 2014-01-07 2017-02-28 Covidien Lp Shipping member for loading unit
KR102412395B1 (ko) 2014-01-10 2022-06-22 콘메드 코포레이션 수술 클립을 적용하기 위한 장치
US9408660B2 (en) 2014-01-17 2016-08-09 Ethicon Endo-Surgery, Llc Device trigger dampening mechanism
US9730694B2 (en) 2014-07-01 2017-08-15 Covidien Lp Loading unit including shipping assembly
US20160113655A1 (en) 2014-10-24 2016-04-28 Covidien Lp Reposable multiplatform endoscopic surgical clip applier
US10136939B2 (en) 2014-11-19 2018-11-27 Ethicon Llc Energy delivery device having a translating outer sheath
WO2016081822A1 (en) 2014-11-21 2016-05-26 Novate Medical Technologies, Llc Multi-component detachable cutting and clamping tool and methods of using same
US10702278B2 (en) 2014-12-02 2020-07-07 Covidien Lp Laparoscopic surgical ligation clip applier
US9775611B2 (en) 2015-01-06 2017-10-03 Covidien Lp Clam shell surgical stapling loading unit
US9931124B2 (en) 2015-01-07 2018-04-03 Covidien Lp Reposable clip applier
CN107205747B (zh) 2015-01-15 2020-09-08 柯惠有限合伙公司 可重复使用的内窥镜外科夹具施加器
WO2016115676A1 (en) 2015-01-20 2016-07-28 Covidien Lp Surgical clip applier with multiple clip feeding mechanism
CN104605911B (zh) 2015-01-21 2017-02-01 天津万和医疗器械有限公司 一种钛夹钳的计数装置及应用该计数装置的连发钛夹钳
US10292712B2 (en) 2015-01-28 2019-05-21 Covidien Lp Surgical clip applier with integrated cutter
WO2016127434A1 (en) 2015-02-15 2016-08-18 Covidien Lp Universal handle for surgical instruments
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10159491B2 (en) 2015-03-10 2018-12-25 Covidien Lp Endoscopic reposable surgical clip applier
WO2016192718A2 (de) 2015-06-02 2016-12-08 Behzad Sahabi Klammer, klammerapplikator, system aus klammerapplikator und mindestens einer klammer sowie klammermagazin
WO2016192096A1 (en) 2015-06-05 2016-12-08 Covidien Lp Endoscopic reposable surgical clip applier
WO2016197350A1 (en) 2015-06-11 2016-12-15 Covidien Lp Endoscopic reposable surgical clip applier
WO2016206015A1 (en) 2015-06-24 2016-12-29 Covidien Lp Surgical clip applier with multiple clip feeding mechanism
EP3328295B1 (en) 2015-07-30 2021-05-05 Teleflex Medical Incorporated Snap-on surgical clip cartridge
AU2016204202B2 (en) 2015-08-19 2020-07-02 Covidien Lp Surgical clip applier
CA2997936A1 (en) 2015-10-10 2017-04-13 Covidien Lp Endoscopic surgical clip applier
AU2015413639A1 (en) 2015-11-03 2018-04-05 Covidien Lp Endoscopic surgical clip applier
CN108348261B (zh) 2015-11-10 2021-03-16 柯惠有限合伙公司 可重复使用的内窥镜外科手术施夹器
US10390831B2 (en) 2015-11-10 2019-08-27 Covidien Lp Endoscopic reposable surgical clip applier
CA2999906A1 (en) 2015-11-10 2017-05-18 Covidien Lp Endoscopic reposable surgical clip applier
US10729449B2 (en) 2015-11-16 2020-08-04 Covidien Lp Firing counter for medical devices
US10265130B2 (en) 2015-12-11 2019-04-23 Ethicon Llc Systems, devices, and methods for coupling end effectors to surgical devices and loading devices
US20170172780A1 (en) 2015-12-22 2017-06-22 Covidien Lp Methods of performing a bariatric procedure and surgical devices for use therewith
EP3402417A4 (en) 2016-01-11 2019-12-04 Covidien LP ENDOSCOPIC RESTABLE SURGICAL STAPLER APPLICATOR
CN108472027B (zh) 2016-01-18 2020-12-29 柯惠有限合伙公司 内窥镜外科手术夹具施用器
JP6274233B2 (ja) 2016-02-23 2018-02-07 住友ベークライト株式会社 クリップカートリッジシステム
CA2958160A1 (en) 2016-02-24 2017-08-24 Covidien Lp Endoscopic reposable surgical clip applier
US10537381B2 (en) 2016-02-26 2020-01-21 Covidien Lp Surgical instrument having a bipolar end effector assembly and a deployable monopolar assembly
EP3442440B1 (en) 2016-04-12 2021-06-02 Applied Medical Resources Corporation Surgical stapler having articulation mechanism
US20170340325A1 (en) 2016-05-31 2017-11-30 Covidien Lp Endoscopic reposable surgical clip applier
US20180008277A1 (en) 2016-07-11 2018-01-11 Covidien Lp Endoscopic reposable surgical clip applier
EP3496628A4 (en) 2016-08-11 2020-04-22 Covidien LP APPLICATOR FOR ENDOSCOPIC SURGICAL CLAMP AND CLAMP APPLICATION SYSTEMS
EP3503819A4 (en) 2016-08-25 2020-04-22 Covidien LP APPLICATOR FOR ENDOSCOPIC SURGICAL CLAMP AND CLAMP APPLICATION SYSTEMS
US10660651B2 (en) 2016-10-31 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US10639044B2 (en) 2016-10-31 2020-05-05 Covidien Lp Ligation clip module and clip applier
US10492795B2 (en) 2016-11-01 2019-12-03 Covidien Lp Endoscopic surgical clip applier
US10610236B2 (en) 2016-11-01 2020-04-07 Covidien Lp Endoscopic reposable surgical clip applier
US10426489B2 (en) 2016-11-01 2019-10-01 Covidien Lp Endoscopic reposable surgical clip applier
US10709455B2 (en) 2017-02-02 2020-07-14 Covidien Lp Endoscopic surgical clip applier
US10758244B2 (en) 2017-02-06 2020-09-01 Covidien Lp Endoscopic surgical clip applier
US11116514B2 (en) 2017-02-06 2021-09-14 Covidien Lp Surgical clip applier with user feedback feature
US10660725B2 (en) 2017-02-14 2020-05-26 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10603038B2 (en) 2017-02-22 2020-03-31 Covidien Lp Surgical clip applier including inserts for jaw assembly
US10548602B2 (en) 2017-02-23 2020-02-04 Covidien Lp Endoscopic surgical clip applier
US11583291B2 (en) 2017-02-23 2023-02-21 Covidien Lp Endoscopic surgical clip applier
US20180271526A1 (en) 2017-03-22 2018-09-27 Covidien Lp Endoscopic surgical clip applier
US10675043B2 (en) 2017-05-04 2020-06-09 Covidien Lp Reposable multi-fire surgical clip applier
US10722235B2 (en) 2017-05-11 2020-07-28 Covidien Lp Spring-release surgical clip
US10639032B2 (en) 2017-06-30 2020-05-05 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10660723B2 (en) 2017-06-30 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US10675112B2 (en) 2017-08-07 2020-06-09 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10932790B2 (en) 2017-08-08 2021-03-02 Covidien Lp Geared actuation mechanism and surgical clip applier including the same
US20190046202A1 (en) 2017-08-08 2019-02-14 Covidien Lp Geared actuation mechanism and surgical clip applier including the same
US10863992B2 (en) 2017-08-08 2020-12-15 Covidien Lp Endoscopic surgical clip applier
US10786262B2 (en) 2017-08-09 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10786263B2 (en) 2017-08-15 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10835341B2 (en) 2017-09-12 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10835260B2 (en) 2017-09-13 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10758245B2 (en) 2017-09-13 2020-09-01 Covidien Lp Clip counting mechanism for surgical clip applier
US10653429B2 (en) 2017-09-13 2020-05-19 Covidien Lp Endoscopic surgical clip applier
EP3476331B1 (en) 2017-10-30 2021-05-26 Ethicon LLC Surgical instrument comprising an adaptive electrical system
US11116513B2 (en) 2017-11-03 2021-09-14 Covidien Lp Modular surgical clip cartridge
US20190133590A1 (en) 2017-11-03 2019-05-09 Covidien Lp Ligation clip with controlled tissue compression
US10828036B2 (en) 2017-11-03 2020-11-10 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10932791B2 (en) 2017-11-03 2021-03-02 Covidien Lp Reposable multi-fire surgical clip applier
US10945734B2 (en) 2017-11-03 2021-03-16 Covidien Lp Rotation knob assemblies and surgical instruments including the same
US11376015B2 (en) 2017-11-03 2022-07-05 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US20190159782A1 (en) 2017-11-28 2019-05-30 Covidien Lp Surgical ligation clip with tissue stop member
US10722236B2 (en) 2017-12-12 2020-07-28 Covidien Lp Endoscopic reposable surgical clip applier
US10959737B2 (en) 2017-12-13 2021-03-30 Covidien Lp Reposable multi-fire surgical clip applier
US10743887B2 (en) 2017-12-13 2020-08-18 Covidien Lp Reposable multi-fire surgical clip applier
US10849630B2 (en) 2017-12-13 2020-12-01 Covidien Lp Reposable multi-fire surgical clip applier
CN111479521A (zh) 2018-01-09 2020-07-31 柯惠有限合伙公司 可再用的多发外科施夹器
US11051827B2 (en) 2018-01-16 2021-07-06 Covidien Lp Endoscopic surgical instrument and handle assemblies for use therewith
US20190321048A1 (en) 2018-04-24 2019-10-24 Covidien Lp End effector assemblies, drive sleeves, and surgical clip appliers incorporating the same
US10993721B2 (en) 2018-04-25 2021-05-04 Covidien Lp Surgical clip applier
US20190328399A1 (en) 2018-04-25 2019-10-31 Covidien Lp Latch assemblies and surgical instruments including the same
US20200008806A1 (en) 2018-07-05 2020-01-09 Covidien Lp End effector assemblies, drive sleeves, and surgical clip appliers incorporating the same
US10786273B2 (en) 2018-07-13 2020-09-29 Covidien Lp Rotation knob assemblies for handle assemblies
US11259887B2 (en) 2018-08-10 2022-03-01 Covidien Lp Feedback mechanisms for handle assemblies
US11278267B2 (en) 2018-08-13 2022-03-22 Covidien Lp Latch assemblies and surgical instruments including the same
US11317923B2 (en) 2018-08-13 2022-05-03 Covidien Lp Ligation clip with improved hinge
US11253267B2 (en) 2018-08-13 2022-02-22 Covidien Lp Friction reduction mechanisms for handle assemblies
US11344316B2 (en) 2018-08-13 2022-05-31 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11051828B2 (en) 2018-08-13 2021-07-06 Covidien Lp Rotation knob assemblies and surgical instruments including same
US11033256B2 (en) 2018-08-13 2021-06-15 Covidien Lp Linkage assembly for reusable surgical handle assemblies
US11147566B2 (en) 2018-10-01 2021-10-19 Covidien Lp Endoscopic surgical clip applier
US11779340B2 (en) 2020-01-02 2023-10-10 Covidien Lp Ligation clip loading device
US20210298758A1 (en) 2020-03-26 2021-09-30 Covidien Lp Interoperative clip loading device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0000756A1 (en) * 1977-08-05 1979-02-21 Charles H. Klieman Surgical stapler
US5904693A (en) * 1993-04-27 1999-05-18 American Cyanamid Company Automatic laparoscopic ligation clip applicator
EP2210566A2 (en) * 2009-01-26 2010-07-28 Microline Surgical, Inc Actuator for flexible clip applier
CN102090911A (zh) * 2009-12-09 2011-06-15 Tyco医疗健康集团 外科施夹器
EP2929844A1 (en) * 2011-12-29 2015-10-14 Covidien LP Surgical clip applier

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