CN107787204B - 具有正向钳口开口结构的外科端部执行器 - Google Patents

具有正向钳口开口结构的外科端部执行器 Download PDF

Info

Publication number
CN107787204B
CN107787204B CN201680035753.3A CN201680035753A CN107787204B CN 107787204 B CN107787204 B CN 107787204B CN 201680035753 A CN201680035753 A CN 201680035753A CN 107787204 B CN107787204 B CN 107787204B
Authority
CN
China
Prior art keywords
articulation
end effector
jaw
distal
surgical
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN201680035753.3A
Other languages
English (en)
Other versions
CN107787204A (zh
Inventor
A·D·亨塞尔
A·E·怀斯
K·E·卡珀
L·S·威耐尔
F·E·谢尔顿四世
C·O·巴克斯特三世
J·S·斯韦兹
A·R·顿基-雅各布斯
J·J·布林克霍夫
D·V·琼斯
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon LLC
Original Assignee
Ethicon LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon LLC filed Critical Ethicon LLC
Publication of CN107787204A publication Critical patent/CN107787204A/zh
Application granted granted Critical
Publication of CN107787204B publication Critical patent/CN107787204B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • A61B17/105—Wound clamp magazines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/71—Manipulators operated by drive cable mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A61B2017/00323—Cables or rods
    • A61B2017/00327—Cables or rods with actuating members moving in opposite directions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07271—Stapler heads characterised by its cartridge
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07278—Stapler heads characterised by its sled or its staple holder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07285—Stapler heads characterised by its cutter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2902—Details of shaft characterized by features of the actuating rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2933—Transmission of forces to jaw members camming or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2933—Transmission of forces to jaw members camming or guiding means
    • A61B2017/2936—Pins in guiding slots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2939—Details of linkages or pivot points
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2943—Toothed members, e.g. rack and pinion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2946—Locking means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0818—Redundant systems, e.g. using two independent measuring systems and comparing the signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure

Abstract

一种包括外科端部执行器的外科器械，所述外科端部执行器包括第一钳口和第二钳口，所述第二钳口相对于所述第一钳口可动地支撑以便在打开位置与闭合位置之间选择性地运动。所述外科器械还包括闭合构件，所述闭合构件能够响应于闭合动作和打开动作而轴向运动。所述闭合构件包括至少一个打开凸轮，所述至少一个打开凸轮从该打开凸轮突出以可动地接合所述第二钳口上的对应凸轮表面，使得在施加所述打开动作时，即使所述第二钳口在载荷下，所述至少一个打开凸轮也可动地接合所述对应凸轮表面以使所述钳口运动到打开位置。

Description

具有正向钳口开口结构的外科端部执行器
背景技术
本发明涉及外科器械，并且在各种实施方案中，涉及外科缝合和切割器械以及与其一起使用的钉仓。
缝合器械可包括一对协同工作的细长钳口构件，其中每个钳口构件能够插入患者体内并且相对于待缝合和/或切入的组织定位。在各种实施方案中，钳口构件中的一者可支撑其中容纳有至少两个侧向地隔开的钉排的钉仓，并且另一个钳口构件可支撑具有与钉仓中的钉排对准的钉成形凹坑的砧座。一般来讲，缝合器械还可包括推杆和刀片，该推杆和刀片能够相对于钳口构件滑动以经由推杆上的凸轮表面和/或由推杆推动的楔形滑动件上的凸轮表面将钉从钉仓中依次射出。在至少一个实施方案中，凸轮表面可被构造成能够启动由仓承载并与钉相关联的多个钉驱动器，以便推动钉抵靠在砧座上并且在夹持于钳口构件之间的组织中形成侧向隔开的变形钉排。在至少一个实施方案中，刀片可跟随凸轮表面并且沿着钉排之间的路线切割组织。
上述讨论仅是为了举例说明本发明的领域中相关技术目前的每个方面，而不应当视为对权利要求范围的否定。
附图说明
本文所述的实施方案的各种特征结构及其优点可结合如下附图根据以下描述来加以理解：
图1为外科器械和细长轴组件实施方案的透视图；
图2为图1的外科器械的柄部或外壳部分的分解组件视图；
图3为细长轴组件的一部分的分解组件视图；
图4为图3的细长轴组件的另一部分的另一个分解组件视图；
图5为外科端部执行器实施方案和闭合套管实施方案的一部分的分解组件视图。
图6为图5的外科端部执行器和闭合套管结构的一部分的局部剖视图；
图7为图5和图6的外科端部执行器和闭合套管结构的透视图，其砧座处于打开位置或构型；
图8为图5至图7的外科端部执行器和闭合套管结构的另一透视图，其砧座处于闭合位置或构型；
图9为外科端部执行器和细长轴组件实施方案的透视图，为了清楚起见其部分被省去；
图10为图9的外科端部执行器和细长轴组件实施方案的部分的顶视图，其中外科端部执行器处于关节运动位置或构型中；
图11为图9和图10的外科端部执行器和细长轴组件实施方案的部分的局部分解组件视图；
图12为图9至图11的外科端部执行器和细长轴组件的部分的顶视图；
图13为图9至图12的外科端部执行器和细长轴组件实施方案的部分的透视图，其中外科端部执行器处于关节运动位置或构型中；
图14为图9至图13的外科端部执行器和细长轴组件实施方案的部分的顶视图，其中外科端部执行器处于关节运动构型中，并且为清楚起见，其中其一些部件以剖面示出；
图15为另一个细长轴组件实施方案的一部分的透视图；
图16为图15的细长轴组件实施方案的另一透视图，为了清楚起见省略了闭合管和闭合套管部件；
图17为图15和图16的细长轴组件实施方案的部分的顶视图；
图18为图15至图17的细长轴组件实施方案的剖视侧视图，其中外科钉仓安装在外科端部执行器部分中；
图19为图15至图18的细长轴组件的另一剖视侧视图，其中外科钉仓安装在外科端部执行器部分中；
图20为图15至图19的外科端部执行器和细长轴组件的部分的顶视图，其中外科端部执行器处于关节运动位置或构型中；
图20A为另一外科端部执行器和闭合套管实施方案的一部分的侧视图；
图21为另一外科端部执行器和细长轴组件实施方案的透视图，为了清楚起见其部分被省去；
图22为图21的外科端部执行器和细长轴组件实施方案的部分的分解组件视图；
图23为图21和图22的外科端部执行器和细长轴组件实施方案的部分的顶视图；
图24为图21至图23的外科端部执行器和细长轴组件实施方案的部分的另一顶视图，为了清楚起见其部分被省去；
图25为图21至图24的外科端部执行器和细长轴组件实施方案的部分的另一顶视图，其中外科端部执行器处于关节运动位置或构型中；
图26为另一个细长轴组件实施方案的一部分的分解透视图；
图27为另一外科端部执行器和细长轴组件实施方案的部分的分解组件视图；
图28为图27的细长轴组件实施方案的一部分的局部透视图，其中为清楚起见省略了其多个部分；
图29为图27和图28的细长轴组件实施方案的部分的另一局部透视图，其中为清楚起见省略了其多个部分；
图30为图27至图29的细长轴组件实施方案的部分的另一局部透视图，其中为清楚起见省略了其多个部分；
图31为图27至图30的外科端部执行器和细长轴组件实施方案的部分的顶视图，为了清楚起见其部分被省去；
图32为图27至图31的外科端部执行器和细长轴组件实施方案的部分的另一顶视图，其中为了清楚起见其部分被省去，并且外科端部执行器处于关节运动位置或构型中；
图33为图27至图32的外科端部执行器和细长轴组件实施方案的部分的侧视图，为了清楚起见其部分被省去；
图34为图27至图33的外科端部执行器和细长轴组件实施方案的部分的透视图，为了清楚起见其部分被省去；
图35为图27至图34的外科端部执行器和细长轴组件实施方案的部分的另一局部透视图，为了清楚起见其部分被省去；
图36是远侧击发梁组件实施方案和侧向载荷承载构件实施方案的部分的分解组件视图；
图37为图36的远侧击发梁组件和侧向载荷承载构件的透视图；
图38为图36和图37的远侧击发梁组件和侧向载荷承载构件的部分的放大剖视图；
图39为图36至图38的远侧击发梁组件和侧向载荷承载构件的另一剖视图；
图40是附接到击发构件实施方案的远侧击发梁组件实施方案的一部分的侧视图；
图41为图40的远侧击发梁组件实施方案和击发构件实施方案的一部分的顶视图；
图42为图40和图41的远侧击发梁组件实施方案的一部分的剖视图，其上通过轴颈连接有的侧向载荷承载构件，并且远侧击发梁组件实施方案处于挠曲位置或构型；
图43为图42的远侧击发梁组件实施方案和侧向载荷承载构件实施方案的透视图；
图44为另一外科端部执行器实施方案和细长轴组件实施方案的部分的透视图，其中为了清楚起见其部分被省去，并且外科端部执行器处于关节运动位置或构型中；
图45为图44的外科端部执行器实施方案和细长轴组件实施方案的顶视图；
图46为图45的外科端部执行器实施方案和细长轴组件实施方案的另一顶视图，其枢轴联接件的部分以剖面示出；
图47为另一外科端部执行器实施方案和细长轴组件实施方案的部分的局部透视图，为了清楚起见其部分被省去；
图48为图47的外科端部执行器实施方案和细长轴组件实施方案的部分的顶视图，为了清楚起见其部分被省去；
图49为图48的外科端部执行器实施方案和细长轴组件实施方案的另一顶视图；
图50为图47至图49的外科端部执行器实施方案和细长轴组件实施方案的部分的顶部透视图，其中为了清楚起见其部分被省去，并且外科端部执行器处于关节运动位置或构型中；
图51为图50的外科端部执行器实施方案和细长轴组件实施方案的部分的另一顶部透视图；
图52为图51的外科端部执行器实施方案和细长轴组件实施方案的部分的放大透视图；
图53为另一外科端部执行器实施方案和细长轴组件实施方案的部分的顶视图，其中为了清楚起见其部分被省去，并且示出了处于非关节运动位置或构型以及处于关节运动位置或构型的外科端部执行器；
图54为图53的细长轴组件实施方案的一部分的顶视图，其中关节运动系统处于中间或非关节运动位置或构型，并且为了清楚起见细长轴组件的某些部分被省去；
图55为图54的细长轴组件实施方案的一部分的另一顶视图，其中关节运动系统处于第一关节运动位置或构型；
图56为图54和图55的细长轴组件实施方案的一部分的另一顶视图，其中关节运动系统处于第二关节运动位置或构型；
图57为图53至图56的细长轴组件实施方案的其它部分以及处于非关节运动位置或构型的外科端部执行器实施方案的部分的局部透视图，并且为清楚起见省略了其多个部分；
图58为图57的外科端部执行器实施方案和细长轴组件实施方案的另一局部透视图，为了清楚起见其部分被省去；
图59为另一细长轴组件实施方案的一部分的顶视图，其中为清楚起见省略了其多个部分；
图60是处于中间或非关节运动位置的另一关节运动系统实施方案的部分的顶视图；
图61为图60的关节运动系统的驱动器关节运动盘实施方案的顶视图；
图62为图60的关节运动系统的从动关节运动盘实施方案的顶视图；
图63为图60的关节运动系统实施方案的另一顶视图，该关节运动系统处于最初已将关节运动控制运动施加于其之后的位置或构型；
图64为图63的关节运动系统实施方案的另一顶视图，该关节运动系统处于第一关节运动位置或构型；
图65为图63和图64的关节运动系统实施方案的另一顶视图，该关节运动系统处于第二关节运动位置或构型；
图66为另一外科端部执行器和闭合套管实施方案的透视图，其钳口处于闭合位置或构型；
图67为图66的外科端部执行器和闭合套管实施方案的另一透视图，其钳口处于打开位置或构型；
图68为图66和图67的外科端部执行器和闭合套管实施方案的侧视图，其中闭合套管以剖面示出，其钳口处于打开位置或构型；
图69为以剖面示出的图66至图68的外科端部执行器和闭合套管实施方案的侧视图，其钳口处于打开位置或构型；
图70为图66至图69的外科端部执行器和闭合套管实施方案的分解组件视图；
图71为另一外科端部执行器和闭合套管实施方案的分解组件视图；
图72为另一外科端部执行器和闭合套管实施方案的透视图，其钳口处于打开位置或构型；
图73为图72的外科端部执行器和闭合套管实施方案的另一透视图，其钳口处于闭合位置或构型；
图74为图72和图73的外科端部执行器和闭合套管实施方案的分解组件透视图；
图75为图72至图74的外科端部执行器和闭合套管实施方案的侧视图，其钳口处于闭合位置或构型；
图76为图72至图75的外科端部执行器实施方案的后透视图，为了清楚起见，以虚线示出了其闭合套管实施方案；
图77为图72至图76的外科端部执行器和闭合套管实施方案的侧剖视图，其钳口处于闭合位置或构型；
图78为包括图72至图77的外科端部执行器的凸轮板和闭合套管实施方案中的一者的另一侧剖视图，其钳口处于闭合位置或构型；
图79为包括图72至图78的外科端部执行器的凸轮板和闭合套管实施方案中的一者的另一侧剖视图，其钳口处于打开位置或构型；
图80为另一外科端部执行器和闭合套管实施方案的局部透视图，其钳口处于打开位置或构型；
图81为图80的外科端部执行器和闭合套管实施方案的局部透视图，其钳口处于闭合位置或构型；
图82为图80和图81的外科端部执行器和闭合套管实施方案的分解组件透视图；
图83为图80至图82的外科端部执行器和闭合套管实施方案的侧视图，其钳口处于闭合位置或构型；
图84为图80至图83的外科端部执行器和闭合套管实施方案的侧视图，其中闭合套管的一部分以剖面示出，其钳口处于打开位置或构型；
图85为另一外科端部执行器和闭合套管实施方案的分解组件透视图；
图86为图85的外科端部执行器和闭合套管实施方案的侧视图，其钳口处于闭合位置或构型；
图87为图85和图86的外科端部执行器和闭合套管实施方案的侧视图，其钳口处于打开位置或构型，并且闭合套管的一部分以剖面示出；
图88为另一个细长轴组件实施方案的一部分的透视图；
图89为图88的细长轴组件实施方案的另一透视图，其中为清楚起见省略了其一些部件；
图90为图88和图89的细长轴组件的另一透视图，其中外科端部执行器处于关节运动位置或构型中；
图91为图88至图90的细长轴组件的分解组件视图；
图92为图88至图91的细长轴组件的顶视图，为清楚起见省略了一些部件，并且其外科端部执行器在一个方向上进行关节运动；
图93为图88至图92的细长轴组件的另一顶视图，为清楚起见省略了其一些部件，并且外科端部执行器在另一个方向上进行关节运动；
图94为外科钉仓实施方案的透视图；并且
图95为另一外科钉仓实施方案的透视图。
在所述若干视图中，对应的参考符号指示对应的部件。本文所述的范例以一种形式示出了本发明的各种实施方案，且这种范例不应被解释为以任何方式限制本发明的范围。
具体实施方式
本申请的申请人拥有以下专利申请，所述专利申请与本申请于同一日期提交且各自全文以引用方式并入本文：
-名称为“SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSINGFEATURES”的美国专利申请序列号14/742,941，现美国专利申请公开序列号2016/0367248；
-名称为“SURGICAL STAPLING INSTRUMENTS WITH LOCKOUT ARRANGEMENTS FORPREVENTING FIRING SYSTEM ACTUATION WHEN A CARTRIDGE IS SPENT OR MISSING”的美国专利申请序列号14/742,922，现美国专利申请公开序列号2016/0367247；
-名称为“MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,914，现美国专利申请公开序列号2016/0367255；
-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAMSTRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT”的美国专利申请序列号14/742,900，现美国专利申请公开序列号2016/0367254；
-名称为“DUAL ARTICULATION DRIVE SYSTEM ARRANGEMENTS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,885，现美国专利申请公开序列号2016/0367246；以及
-名称为“PUSH/PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,876，现美国专利申请公开序列号2016/0367245。
本申请的申请人拥有2015年3月6日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“POWERED SURGICAL INSTRUMENT”的美国专利申请序列号14/640,746；
-名称为“MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号14/640,795；
-名称为“ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURERATES FOR MULTIPLE TISSUE TYPES”的美国专利申请序列号14/640,832，代理人案卷号END7557USNP/140482；
-名称为“OVERLAID MULTI SENSOR RADIO FREQUENCY(RF)ELECTRODE SYSTEM TOMEASURE TISSUE COMPRESSION”的美国专利申请序列号14/640,935；
-名称为“MONITORING SPEED CONTROL AND PRECISION INCREMENTING OF MOTORFOR POWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/640,831；
-名称为“TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINESTABILITY,CREEP,AND VISCOELASTIC ELEMENTS OF MEASURES”的美国专利申请序列号14/640,859；
-名称为“INTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/640,817；
-名称为“CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED WITHIN MODULARSHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE”的美国专利申请序列号14/640,844；
-名称为“SMART SENSORS WITH LOCAL SIGNAL PROCESSING”的美国专利申请序列号14/640,837；
-名称为“SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGEINTO A SURGICAL STAPLER”的美国专利申请序列号14/640,765；
-名称为“SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON AROTATABLE SHAFT”的美国专利申请序列号14/640,799；
-名称为“SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING”的美国专利申请序列号14/640,780。
本申请的申请人拥有2015年2月27日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION”的美国专利申请序列号14/633,576；
-名称为“SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCEPARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND”的美国专利申请序列号14/633,546；
-名称为“SURGICAL CHARGING SYSTEM THAT CHARGES AND/OR CONDITIONS ONEOR MORE BATTERIES”的美国专利申请序列号14/633,576；
-名称为“CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FORCHARGING A BATTERY”美国专利申请序列号14/633,566；
-名称为“SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TOBE SERVICED”的美国专利申请序列号14/633,555；
-名称为“REINFORCED BATTERY FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/633,542；
-名称为“POWER ADAPTER FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/633,548；
-名称为“ADAPTABLE SURGICAL INSTRUMENT HANDLE”的美国专利申请序列号14/633,526；
-名称为“MODULAR STAPLING ASSEMBLY”的美国专利申请序列号14/633,541；以及
-名称为“SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OF-LIFEPARAMETER”的美国专利申请序列号14/633,562；
本申请的申请人拥有2014年12月18日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE ENDEFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING”的美国专利申请序列号14/574,478；
-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS”的美国专利申请序列号14/574,483；
-名称为“DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS”的美国专利申请序列号14/575,139；
-名称为“LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITHARTICULATABLE SURGICAL END EFFECTORS”的美国专利申请序列号14/575,148；
-名称为“SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLEABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE”的美国专利申请序列号14/575,130；
-名称为“SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS”的美国专利申请序列号14/575,143；
-名称为“SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS ANDMOVABLE FIRING BEAM SUPPORT ARRANGEMENTS”的美国专利申请序列号14/575,117；
-名称为“SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS ANDIMPROVED FIRING BEAM SUPPORT ARRANGEMENTS”的美国专利申请序列号14/575,154；
-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLEARTICULATION SYSTEM”的美国专利申请序列号14/574,493；以及
-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLEARTICULATION SYSTEM”的美国专利申请序列号14/574,500。
本申请的申请人拥有提交于2013年3月1日并且各自全文以引用方式并入本文的以下专利申请：
-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH CONDUCTIVE PATHWAYSFOR SIGNAL COMMUNICATION”的美国专利申请序列号13/782,295，现为美国专利申请公布2014/0246471；
-名称为“ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号13/782,323，现为美国专利申请公布2014/0246472；
-名称为“THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号13/782,338，现为美国专利申请公布2014/0249557；
-名称为“ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RelayARRANGEMENT”的美国专利申请序列号13/782,499，现为美国专利申请公布2014/0246474；
-名称为“MULTIPLE PROCESSOR MOTOR CONTROL FOR MODULAR SurgicalINSTRUMENTS”的美国专利申请序列号13/782,460，现为美国专利申请公布2014/0246478；
-名称为“JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL Instruments”的美国专利申请序列号13/782,358，现为美国专利申请公布2014/0246477；
-名称为“SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL ThroughTROCAR”的美国专利申请序列号13/782,481，现为美国专利申请公布2014/0246479；
-名称为“CONTROL METHODS FOR SURGICAL INSTRUMENTS WITH RemovableIMPLEMENT PORTIONS”的美国专利申请序列号13/782,518，现为美国专利申请公布2014/0246475；
-名称为“ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OFFREEDOM”的美国专利申请序列号13/782,375，现为美国专利申请公布2014/0246473；以及
-名称为“SURGICAL INSTRUMENT SOFT STOP”的美国专利申请序列号13/782,536，现为美国专利申请公布2014/0246476。
本申请的申请人还拥有2013年3月14日提交的下列专利申请，这些专利申请各自全文以引用方式并入本文：
-名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE”的美国专利申请序列号13/803,097，现为美国专利申请公布2014/0263542；
-名称为“CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICALINSTRUMENT”的美国专利申请序列号13/803,193，现为美国专利申请公布2014/0263537；
-名称为“INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICALINSTRUMENT”的美国专利申请序列号13/803,053，现为美国专利申请公布2014/0263564；
-名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATIONLOCK”的美国专利申请序列号13/803,086，现为美国专利申请公布2014/0263541；
-名称为“SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FORSURGICAL INSTRUMENTS”的美国专利申请序列号13/803,210，现为美国专利申请公布2014/0263538；
-名称为“MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT”的美国专利申请序列号13/803,148，现为美国专利申请公布2014/0263554；
-名称为“DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICALINSTRUMENTS”的美国专利申请序列号13/803,066，现为美国专利申请公布2014/0263565；
-名称为“ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICALINSTRUMENTS”的美国专利申请序列号13/803,117，现为美国专利申请公布2014/0263553；
-名称为“DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICALINSTRUMENTS”的美国专利申请序列号13/803,130，现为美国专利申请公布2014/0263543；以及
-名称为“METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT”的美国专利申请序列号13/803,159，现为美国专利申请公布2014/0277017。
本申请的申请人还拥有提交于2014年3月7日并且全文以引用方式并入本文的以下专利申请：
-名称为“CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号14/200,111，现为美国专利申请公布2014/0263539。
本申请的申请人还拥有提交于2014年3月26日并且各自全文以引用方式并入本文的以下专利申请：
-名称为“POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号14/226,106；
-名称为“STERILIZATION VERIFICATION CIRCUIT”的美国专利申请序列号14/226,099；
-名称为“VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT”的美国专利申请序列号14/226,094；
-名称为“POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUITAND WAKE UP CONTROL”的美国专利申请序列号14/226,117；
-名称为“MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFTASSEMBLIES”的美国专利申请序列号14/226,075；
-名称为“FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICALINSTRUMENTS”的美国专利申请序列号14/226,093；
-名称为“SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION”的美国专利申请序列号14/226,116；
-名称为“SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETYPROCESSOR”的美国专利申请序列号14/226,071；
-名称为“SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS”的美国专利申请序列号14/226,097；
-名称为“INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS”的美国专利申请序列号14/226,126；
-名称为“MODULAR SURGICAL INSTRUMENT SYSTEM”的美国专利申请序列号14/226,133；
-名称为“SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT”美国专利申请序列号14/226,081；
-名称为“POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLEVOLTAGE PROTECTION”的美国专利申请序列号14/226,076；
-名称为“SURGICAL STAPLING INSTRUMENT SYSTEM”的美国专利申请序列号14/226,111；以及
-名称为“SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT”的美国专利申请序列号14/226,125。
本申请的申请人还拥有2014年9月5日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE”的美国专利申请序列号14/479,103；
-名称为“ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUECOMPRESSION”的美国专利申请序列号14/479,119；
-名称为“MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION”的美国专利申请序列号14/478,908；
-名称为“MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'SOUTPUT OR INTERPRETATION”的美国专利申请序列号14/478,895；
-名称为“USE OF POLARITY OF HALL MAGNET DETECTION TO DETECT MISLOADEDCARTRIDGE”的美国专利申请序列号14/479,110；
-名称为“SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION”的美国专利申请序列号14/479,098；
-名称为“MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE”的美国专利申请序列号14/479,115；以及
-名称为“LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION”的美国专利申请序列号14/479,108。
本申请的申请人还拥有2014年4月9日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVESHAFTS”的美国专利申请序列号14/248,590，现为美国专利申请公布2014/0305987；
-名称为“SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRINGDRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT”的美国专利申请序列号14/248,581，现为美国专利申请公布2014/0305989；
-名称为“SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLINGTHE OPERATION OF THE SURGICAL INSTRUMENT”的美国专利申请序列号14/248,595，现为美国专利申请公布2014/0305988；
-名称为“POWERED LINEAR SURGICAL STAPLER”的美国专利申请序列号14/248,588，现为美国专利申请公布2014/0309666；
-名称为“TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/248,591，现为美国专利申请公布2014/0305991；
-名称为“MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENTFEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS”的美国专利申请序列号14/248,584，现为美国专利申请公布2014/0305994；
-名称为“POWERED SURGICAL STAPLER”的美国专利申请序列号14/248,587，现为美国专利申请公布2014/0309665；
-名称为“DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICALINSTRUMENT”的美国专利申请序列号14/248,586，现为美国专利申请公布2014/0305990；以及
-名称为“MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUSINDICATION ARRANGEMENTS”的美国专利申请序列号14/248,607，现为美国专利申请公布2014/0305992。
本申请的申请人还拥有2013年4月16日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY ASINGLE MOTOR”的美国临时专利申请序列号61/812,365；
-名称为“LINEAR CUTTER WITH POWER”的美国临时专利申请序列号61/812,376；
-名称为“LINEAR CUTTER WITH MOTOR AND PISTOL GRIP”的美国临时专利申请序列号61/812,382；
-名称为“SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS ANDMOTOR CONTROL”的美国临时专利申请序列号61/812,385；以及
-名称为“SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY ASINGLE MOTOR”的美国临时专利申请序列号61/812,372。
本文列出了许多具体细节，以提供对说明书中所述和附图中所示的实施方案的整体结构、功能、制造和用途的透彻理解。没有详细描述熟知的操作、部件和元件，以免使说明书中描述的实施方案模糊不清。读者将会理解，本文所述和所示的实施方案为非限制性示例，从而可认识到，本文所公开的特定结构和功能细节可为代表性和例示性的。在不脱离权利要求的范围的情况下，可对这些实施方案进行变型和改变。
术语“包括”(以及“包括”的任何形式，诸如“包括(comprises)”和“包括(comprising)”)、具有(和“具有”的任何形式，诸如“具有(has)”和“具有(having)”)、“包含”(和“包含”的任何形式，诸如“包含(includes)”、和“包含(including)”以及“含有”(和“含有”的任何形式，诸如“含有(contains)”和“含有(containing)”)为开放式系动词。因此，“包括”、“具有”、“包含”或“含有”一个或多个元件的外科系统、装置、或设备具有这些一个或多个元件，但不限于仅具有这些一个或多个元件。同样，“包括”、“具有”、“包含”或“含有”一个或多个特征的系统、装置、或设备的元件具有那些一个或多个特征，但不限于仅具有那些一个或多个特征。
术语“近侧”和“远侧”在本文中是相对于操纵外科器械的柄部部分的临床医生来使用的。术语“近侧”是指最靠近临床医生的部分，术语“远侧”是指远离临床医生定位的部分。还应当理解，为简洁和清楚起见，本文可结合附图使用诸如“竖直”、“水平”、“上”和“下”等空间术语。然而，外科器械在许多方向和位置中使用，并且这些术语并非限制性的和/或绝对的。
提供各种示例性装置和方法以用于执行腹腔镜式和微创外科手术操作。然而，读者将容易理解，本文所公开的各种方法和装置可用于多种外科手术和应用中，包括例如与开放式外科手术结合。继续参阅本具体实施方式，读者将进一步理解，本文所公开的各种器械能够以任何方式插入体内，诸如通过自然腔道、通过形成于组织中的切口或穿刺孔等。器械的工作部分或端部执行器部分可直接插入患者体内或者可通过具有工作通道的进入装置插入，外科器械的端部执行器和细长轴可通过所述工作通道推进。
外科缝合系统可包括轴和从轴延伸的端部执行器。端部执行器包括第一钳口和第二钳口。第一钳口包括钉仓。钉仓能够插入第一钳口并且能够从第一钳口移除；然而设想了其中钉仓不能够从第一钳口移除或至少不易于从第一钳口替换的其它实施方案。第二钳口包括被构造成能够使从钉仓射出的钉变形的砧座。第二钳口能够围绕闭合轴相对于第一钳口枢转；然而设想了其中第一钳口能够相对于第二钳口枢转的其它实施方案。外科缝合系统还包括被构造成能够允许端部执行器相对于轴旋转或进行关节运动的关节运动接头。端部执行器能够围绕延伸穿过关节运动接头的关节运动轴线旋转。设想了不包括关节运动接头的其它实施方案。
钉仓包括仓体。仓体包括近侧端部、远侧端部和在近侧端部与远侧端部之间延伸的平台。在使用中，钉仓定位在待缝合的组织的第一侧上，并且砧座定位在组织的第二侧上。砧座朝向钉仓运动以将组织压缩并夹紧抵靠平台。然后，可移除地储存在仓体中的钉可部署到组织中。仓体包括限定于其中的钉腔，其中钉可移除地储存在钉腔中。钉腔被布置成六纵向排。三排钉腔定位在纵向狭槽的第一侧上且三排钉腔定位在纵向狭槽的第二侧上。钉腔和钉的其它布置方式也是可以的。
钉由仓体中的钉驱动器支撑。驱动器能够在第一或非击发位置和第二或击发位置之间运动，以从钉仓射出钉。驱动器通过保持器保留在仓体中，保持器围绕仓体的底部延伸并且包括被配置成能够夹持仓体以及将保持器保持至仓体的弹性构件。驱动器能够通过滑动件在其非击发位置和击发位置之间运动。滑动件能够在与近侧端部相邻的近侧位置和与远侧端部相邻的远侧位置之间运动。滑动件包括多个斜坡表面，该斜坡表面被构造成能够朝向砧座在驱动器下方滑动以及提升驱动器，并且钉在驱动器上受到支撑。
除上述以外，滑动件还可通过击发构件在远侧运动。击发构件被构造成能够接触滑动件并朝向远侧端部推动滑动件。限定于仓体中的纵向狭槽被构造成能够接收击发构件。砧座还包括被构造成能够接收击发构件的狭槽。击发构件还包括接合第一钳口的第一凸轮和接合第二钳口的第二凸轮。在击发构件在远侧推进时，第一凸轮和第二凸轮可控制钉仓的平台和砧座之间的距离或组织间隙。击发构件还包括被配置成能够切入在钉仓和砧座中间捕集的组织的刀片。希望刀片定位成至少部分接近斜坡表面，使得钉先于刀片射出。
图1至图4示出了可再利用或不可再利用的马达驱动外科切割和紧固器械10。在示出的实施方案中，器械10包括外壳12，该外壳包括被构造成能够被临床医生抓持、操纵和致动的柄部14。外壳12被构造成能够可操作地附接到细长轴组件200，该细长轴组件具有可操作地联接到其的外科端部执行器300，该外科端部执行器被构造成能够执行一种或多种手术任务或外科手术。可采用例如名称为“MODULAR POWERED SURGICAL INSTRUMENT WITHDETACHABLE SHAFT ASSEMBLIES”的美国专利申请序列号14/226,075所公开的各种方式将细长轴组件200与其它轴组件互换，该专利申请的全部公开内容据此以引用方式并入本文。在其它构造中，细长轴组件可能无法与其它轴组件互换，并且基本上包括器械的专用不可移除部分。
继续参阅本具体实施方式，将会理解，本文所公开的各种形式的可互换轴组件也可有效地与机器人控制的外科系统结合使用。因此，术语“外壳”也可以涵盖机器人系统的容纳或以其它方式可操作地支撑至少一个驱动系统的外壳或类似部分，其中所述至少一个驱动系统被构造成能够生成和施加可用于致动本文所公开的细长轴组件及其相应的等同物的至少一个控制运动。术语“框架”可指手持式外科器械的一部分。术语“框架”还可表示机器人控制的外科器械的一部分和/或机器人系统的可用于可操作地控制外科器械的一部分。例如，本文所公开的轴组件可与名称为“SURGICAL STAPLING INSTRUMENTS WITHROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS”的美国专利申请序列号13/118,241(现为美国专利申请公布No.2012/0298719)中公开的各种机器人系统、器械、部件和方法一起使用，该专利申请据此全文以引用方式并入本文。
图1中所示的外壳12结合包括外科端部执行器300的细长轴组件200示出，所述外科端部执行器包括被构造成能够可操作地支撑其中的外科钉仓304的外科切割和紧固装置。外壳12可被构造用于与轴组件结合使用，该轴组件包括端部执行器，该端部执行器能够支撑不同尺寸和类型的钉仓，具有不同的轴长度、尺寸和类型等。除此之外，外壳12还可有效地用于多种其它轴组件，其包括被构造成能够将其它运动和形式的能量(诸如例如射频(RF)能量、超声能量和/或运动)施加到适合与各种外科应用和手术结合使用的端部执行器布置的那些组件。此外，该端部执行器、轴组件、柄部、外科器械和/或外科器械系统可利用任何一种或多种合适的紧固件来紧固组织。例如，包括多个可移除地被存储在其中的多个紧固件的紧固件仓能够可移除地插入轴组件的端部执行器中和/或附接到轴组件的端部执行器。
图1示出了外科器械10的外壳12和柄部14，该外科器械具有可操作地联接至其的可互换细长轴组件200。如图1中可看到的那样，柄部14可包括一对可互连的柄部外壳段16和18，这对柄部外壳段可借助螺钉、按扣特征结构、粘合剂等互连。在示出的结构中，柄部外壳段16和18配合形成可被临床医生抓握和操纵的手枪式握把部19。如将在下文进一步详细地讨论，柄部14可操作地支撑其中的多个驱动系统，这些驱动系统被构造成能够生成各种控制动作并将这些控制动作施加到可操作地附接到其上的可互换轴组件的对应部分。
现在参见图2，柄部14还可包括可操作地支撑多个驱动系统的框架20。例如，框架20能够可操作地支撑通常标示为30的“第一”或闭合驱动系统，该“第一”或闭合驱动系统可用于将闭合和打开动作施加到可操作地附接或联接到其的细长轴组件200。在至少一种形式中，闭合驱动系统30可包括被框架20能够枢转地支撑的闭合触发器32形式的致动器。更具体地讲，如图2所示，闭合触发器32经由销33能够枢转地联接到外壳14。这种结构使闭合触发器32能够被临床医生操纵，使得当临床医生抓握柄部14的手枪式握把部19时，闭合触发器32可被其轻易地从起始或“未被致动”位置枢转到“致动”位置，并且更具体地，枢转到完全压缩或完全致动位置。闭合触发器32可由弹簧或其它偏压布置(未示出)偏压到未被致动位置中。在各种形式中，闭合驱动系统30还包括能够枢转地联接到闭合触发器32的闭合连杆组件34。如图2中可看到的那样，闭合连杆组件34可包括由销35能够枢转地联接到闭合触发器32的第一闭合联接件36和第二闭合联接件38。第二闭合联接件38在本文中也可称为“附接构件”，并且包括横向附接销37。
仍然参见图2，可观察到，第一闭合联接件36可在其上具有锁定壁或锁定端部39，该锁定壁或锁定端部被构造成能够与能够枢转地联接到框架20的闭合释放组件60配合。在至少一种形式中，闭合释放组件60可包括具有在其上形成的朝远侧突出的锁定棘爪64的释放按钮组件62。释放按钮组件62可被释放弹簧(未示出)沿逆时针方向枢转。临床医生将闭合触发器32从其未被致动位置朝向柄部14的手枪式握把部19按压时，第一闭合联接件36向上枢转至某个点，其中锁定爪64落入该点中以与第一闭合联接件36上的锁定壁39保持接合，从而阻止闭合触发器32返回未被致动位置。因此，闭合释放组件60用来将闭合触发器32锁定在完全致动位置。当临床医生期望将闭合触发器32解锁以允许其被偏压到未被致动位置时，临床医生只需枢转闭合释放按钮组件62，使得锁定爪64运动成与第一闭合联接件36上的锁定壁39脱离接合。当锁定棘爪64已运动成与第一闭合联接件36脱离接合时，闭合触发器32可枢转回到未被致动位置。也可采用其它闭合触发器锁定结构和释放结构。
当闭合触发器32被从其未被致动位置移动到其致动位置时，闭合释放按钮62在第一位置和第二位置之间枢转。闭合释放按钮62的旋转可称为向上旋转，然而，闭合释放按钮62的至少一部分朝向电路板100旋转。仍然参见图2，闭合释放按钮62可包括从其延伸的臂61和安装到臂61的磁性元件63，诸如永磁体。当闭合释放按钮62被从其第一位置旋转到其第二位置时，磁性元件63可朝电路板100移动。电路板100可包括至少一个传感器，所述至少一个传感器被构造成能够检测磁性元件63的运动。在至少一个实施方案中，“霍尔效应”传感器可安装到电路板100的底部表面。霍耳效应传感器可被构造成能够检测由磁性元件63的移动所引起的环绕霍耳效应传感器周围的磁场的变化。霍耳效应传感器可与例如微控制器进行信号通信，该微控制器可确定闭合释放按钮62是否处于其与闭合触发器32的未被致动位置和端部执行器的打开构型相关联的第一位置、其与闭合触发器32的致动位置和端部执行器的闭合构型相关联的第二位置、和/或第一位置与第二位置之间的任何位置。
同样在所示出的结构中，柄部14和框架20可操作地支撑在本文中被称为击发驱动系统80的另一个驱动系统，该驱动系统被构造成能够将击发动作施加到附接到其上的可互换轴组件的对应部分。击发驱动系统80也可在本文中被称为“第二驱动系统”。击发驱动系统80可以采用位于柄部14的手枪式握把部19中的电动马达82。在各种形式中，马达82例如可以是具有约25,000RPM的最大旋转的DC有刷驱动马达。在其它结构中，马达可包括无刷马达、无绳马达、同步马达、步进马达、或任何其它合适的电动马达。马达82可由功率源90供电，在一种形式中，该功率源可包括可移除电源组92。如图2中可看到的那样，例如，电源组92可包括近侧外壳部分94，该近侧外壳部分被构造成能够附接到远侧外壳部分96。近侧外壳部分94和远侧外壳部分96被构造成能够可操作地支撑其中的多个电池98。电池98可各自包括例如锂离子(“LI”)或其它合适的电池。远侧外壳部分96被构造成用于以可移除方式可操作地附接到同样可操作地联接到马达82的控制电路板组件100。可使用可串联连接的多个电池98作为外科器械10的功率源。除此之外，功率源90可以是可替换的和/或可再充电的。
如上面相对于其它各种形式所概述，电动马达82包括与齿轮减速器组件84可操作地交接的可旋转轴(未示出)，该齿轮减速器组件被安装成与纵向可动驱动构件120上的一组或一齿条的驱动齿122啮合接合。在使用中，功率源90所提供的电压极性可沿顺时针方向操作电动马达82，其中由电池施加给电动马达的电压极性可被反转，以便沿逆时针方向操作电动马达82。当电动马达82在一个方向上旋转时，驱动构件120将在远侧方向“DD”上轴向地驱动。当马达82在相反的旋转方向上被驱动时，驱动构件120将在近侧方向“PD”上轴向地驱动。柄部14可包括开关，该开关被构造成能够使由功率源90施加到电动马达82的极性反转。与本文所述的其它形式一样，柄部14还可包括传感器，该传感器被构造成能够检测驱动构件120的位置和/或驱动构件120正在移动的方向。
马达82的致动通过被能够枢转地支撑在柄部14上的击发触发器130来控制。击发触发器130可在未被致动位置和致动位置之间枢转。击发触发器130可由弹簧132或其它偏压结构偏压到未被致动位置中，使得当临床医生释放击发触发器130时，击发触发器可由弹簧132或偏压结构枢转或以其它方式返回到未被致动位置。在至少一种形式中，击发触发器130可如上所述被定位在闭合触发器32的“外侧”。在至少一种形式中，击发触发器安全按钮134可由销35能够枢转地安装到闭合触发器32。安全按钮134可定位在击发触发器130和闭合触发器32之间，并具有从其突出的枢转臂136。参见图2。当闭合触发器32处于未被致动位置时，安全按钮134被容纳在柄部14中，此时临床医生可能无法轻易触及该按钮，也无法将该按钮在防止对击发触发器130致动的安全位置与击发触发器130可被击发的击发位置之间移动。临床医生按压闭合触发器32时，安全按钮134和击发触发器130向下枢转，随后可被临床医生操纵。
如上文所讨论，柄部14包括闭合触发器32和击发触发器130。击发触发器130能够枢转地安装到闭合触发器32。如上文所概述，当闭合触发器32从其未被致动位置向其致动位置运动时，击发触发器130可向下下降。在安全按钮134已运动到其击发位置之后，可按压击发触发器130，以操作外科器械击发系统的马达。在各种情况下，柄部14可包括跟踪系统，该跟踪系统被构造成能够确定闭合触发器32的位置和/或击发触发器130的位置。
如上所述，在至少一种形式中，能够纵向运动的驱动构件120具有在其上形成的一齿条的驱动齿122，以用于与齿轮减速器组件84的相应驱动齿轮86啮合。至少一种形式还包括可手动致动的被构造成能够使得临床医生能够在马达82变得失效情况下手动地缩回能够纵向移动的驱动构件120的“救助”组件140。应急组件140可包括杠杆或应急柄部组件142，该杠杆或应急柄部组件被构造成能够被手动地枢转为与同样设置在驱动构件120中的齿124棘轮接合。因此，临床医生可使用应急柄部组件142手动地缩回驱动构件120，以使驱动构件120沿近侧方向“PD”做棘轮运动。美国专利申请公开号2010/0089970公开了应急结构，以及还可与本文公开的各种器械一起使用的其它部件、结构和系统。名称为“POWEREDSURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRINGSYSTEM”的美国专利申请序列号12/249,117(现为美国专利8,608,045)据此全文以引用方式并入。
现在转到图1和图3，细长轴组件200包括外科端部执行器300，所述外科端部执行器包括被构造成能够在其中可操作地支撑钉仓304的细长通道302。端部执行器300还可包括相对于细长通道302被能够枢转地支撑的砧座310。如将在下文进一步详细讨论的，外科端部执行器300可以围绕关节运动接头270相对于细长轴组件进行关节运动。如图3和图4中可看到的那样，轴组件200还可包括由喷嘴部分202和203组成的近侧外壳或喷嘴201。轴组件200还包括闭合管260，该闭合管可用于闭合和/或打开端部执行器300的砧座310。如图4中可看到的那样，轴组件200包括可被构造成能够可固定地支撑关节运动锁350的轴框架部分212的脊210。有关于关节运动锁350的构建与操作的细节阐述于名称为"ARTICULATABLESURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK"的美国专利申请序列号13/803,086中，现为美国专利申请公布2014/0263541，其公开内容据此以引用方式并入本文。脊210被构造成能够：第一，可滑动地支撑其中的击发构件220；第二，可滑动地支撑围绕脊210延伸的闭合管260。脊210还能够以滑动方式支撑近侧关节运动驱动器230。近侧关节运动驱动器230具有远侧端部231，该远侧端部被构造成能够可操作地接合关节运动锁350。在一种结构中，关节运动锁350与关节运动框架352交接，该关节运动框架能够可操作地接合端部执行器框架(未示出)上的驱动销(未示出)。
在所示出的结构中，脊210包括可旋转地支撑在底座240中的近侧端部211。在一种结构中，例如，脊210的近侧端部211具有在其上形成的螺纹214，以便通过螺纹附接到被构造成能够被支撑在底座240内的脊轴承216。参见图3。这种结构有利于将脊210可旋转地附接到底座240，使得脊210可以相对于底座240选择性地围绕轴轴线SA-SA旋转。轴组件200还包括可滑动地支撑在底盘240内使得闭合梭动件可相对于底盘轴向地移动的闭合梭动件250。如图3中可看到的那样，闭合梭动件250包括被构造用于附接到附接销37的一对朝近侧突出的钩252,该销附接到第二闭合联接件38，如将在下文更详细所述的。参见图2。闭合管260的近侧端部261联接到闭合梭动件250，以相对于闭合梭动件旋转。例如，将U形连接器263插入闭合管260的近侧端部261中的环形狭槽262中，使其保留在闭合梭动件250中的竖直狭槽253内。参见图3。此类结构用于将闭合管260附接到闭合梭动件250，以与闭合梭动件一起轴向行进，同时使得闭合管260能够围绕轴轴线SA-SA相对于闭合梭动件250旋转。闭合弹簧268轴颈连接在闭合管260上，用来沿近侧方向“PD”偏压闭合管260，当轴组件200可操作地联接到柄部14时，该闭合弹簧可用来将闭合触发器枢转到未被致动位置。
同样如上所述，细长轴组件200还包括击发构件220，该击发构件被支撑以便在轴脊210内轴向行进。击发构件220包括被构造用于附接到远侧切割部分或击发梁280的中间击发轴部分222。击发构件220在本文中也可被称为“第二轴”和/或“第二轴组件”。如图4中可看到的那样，中间击发轴部分222可包括可被构造成能够接收远侧击发梁280的近侧端部282上的突片284的其远侧端部中的纵向狭槽223。纵向狭槽223和近侧端部282可被设定尺寸并被构造成能够允许它们之间的相对移动并且可包括滑动接头286。滑动接头286可允许击发驱动器220的中间击发轴部分222移动成使外科端部执行器300进行关节运动，而不移动或至少基本上不移动击发梁280。一旦外科端部执行器300已适当地取向，则中间击发轴部分222可朝远侧推进，直到纵向狭槽223的近侧侧壁与突片284发生接触，以便推进击发梁280并且击发端部执行器300中所支撑的钉仓。如图4中可进一步看到的那样，轴脊210在其中具有细长的开口或窗口213，以利于将中间击发轴部分222组装和插入到轴框架210中。一旦中间击发轴部分222已插入到其中，则顶部框架片段215可与轴框架212接合，以将中间击发轴部分222和击发梁280包封在其中。有关击发构件220的操作的进一步描述可见于美国专利申请序列号13/803,086，现为美国专利申请公布2014/0263541。
除上述之外，所示轴组件200包括离合器组件400，该离合器组件可被构造成能够选择性地和可释放地将关节运动驱动器230联接到击发构件220。在一种形式中，离合器组件400包括围绕击发构件220定位的锁定衬圈或锁定套管402，其中锁定套管402可在接合位置与脱离位置之间旋转，在所述接合位置，锁定套管402将关节运动驱动器360联接到击发构件220，在所述脱离位置，关节运动驱动器360没有可操作地联接到击发构件200。当锁定套管402处于其接合位置时，击发构件220的远侧运动可使关节运动驱动器360朝远侧运动，相应地，击发构件220的近侧运动可使近侧关节运动驱动器230朝近侧运动。当锁定套管402处于其脱离位置时，击发构件220的运动不传递到近侧关节运动驱动器230，因此，击发构件220可独立于近侧关节运动驱动器230运动。在各种情况下，当击发构件220没有使近侧关节运动驱动器230在近侧或远侧方向上运动时，近侧关节运动驱动器230可被关节运动锁350保持就位。
如图4中可进一步看到的那样，锁定套管402可包括圆柱形或至少基本上圆柱形的主体，该主体包括限定于其中、被构造成能够接收击发构件220的纵向开孔403。锁定套管402可包括沿直径相对的、面朝内的锁定突出404和面朝外的锁定构件406。锁定突出404可被构造成能够与击发构件220选择性地接合。更具体地讲，当锁定套管402处于其接合位置时，锁定突出404位于限定于击发构件220中的驱动凹口224内，使得远侧推力和/或近侧推力可从击发构件220传递至锁定套管402。当锁定套管402处于其接合位置时，第二锁定构件406被接收在近侧关节运动驱动器230中限定的驱动凹口232内，使得施加到锁定套管402的远侧推力和/或近侧拉力可传递到近侧关节运动驱动器230。实际上，当锁定套管402处于其接合位置时，击发构件220、锁定套管402和近侧关节运动驱动器230将一起运动。另一方面，当锁定套管402处于其脱离位置时，锁定突出404可不位于击发构件220的驱动凹口224内；并且因此，远侧推力和/或近侧推力可不从击发构件220传递至锁定套管402。相应地，远侧推力和/或近侧拉力可以不传递至近侧关节运动驱动器230。在此类情况下，击发构件220可相对于锁定套管402和近侧关节运动驱动器230朝近侧和/或朝远侧滑动。
如图4中也可看到的那样，细长轴组件200还可包括可旋转地接收在闭合管260上的切换筒500。切换筒500包括中空轴段502，该中空轴段具有在其上形成的轴凸台504，以用于将向外突出的致动销410接收在其中。在各种情况下，致动销410延伸穿过狭槽267进入设置在锁定套管402中的纵向狭槽408，以在锁定套管402与近侧关节运动驱动器230接合时，利于该锁定套管做轴向运动。旋转扭簧420被构造成能够接合切换筒500上的轴凸台504和喷嘴外壳203的一部分，以将偏压力施加到切换筒500。参见图5和图6，切换筒500还可包括其中限定的至少部分周边的开口506，这些开口可被构造成能够接收从喷嘴部分202,203延伸的周边安装架，并允许切换筒500与近侧喷嘴201之间相对旋转而不是相对平移。安装座还延伸穿过待安置在轴脊210中的凹槽中的闭合管260中的开口266。然而，喷嘴201至其中安装座到达其在切换筒500中的相应狭槽506的端部的点的旋转将导致切换筒500围绕轴轴线SA-SA的旋转。切换筒500的旋转最终将导致致动销410和锁定套管402在其接合位置和脱离位置之间的旋转。因此，实质上，喷嘴201可用于以在美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)中更详细描述的各种方式来使关节运动驱动系统与击发驱动系统操作地接合和脱离接合。
也如图3至图4所示，细长轴组件200可包括滑环组件600，例如，该滑环组件可被构造成能够将电力传导至端部执行器300和/或从该端部执行器传导电力，并且/或者将信号传送至外科端部执行器300和/或从该外科端部执行器接收信号。滑环组件600可包括近侧连接器凸缘604和远侧连接器凸缘601，该近侧连接器凸缘安装到从底座240延伸的底座凸缘242，该远侧连接器凸缘定位在轴外壳202,203中限定的狭槽内。近侧连接器凸缘604可包括第一面，并且远侧连接器凸缘601可包括第二面，其中第二面与第一面相邻定位，并能够相对于第一面运动。远侧连接器凸缘601可围绕轴轴线SA-SA相对于近侧连接器凸缘604旋转。近侧连接器凸缘604可包括限定在其第一面中的多个同心或至少基本上同心的导体602。连接器607可安装在远侧连接器凸缘601的近侧侧面上，并可具有多个触点(未示出)，其中每个触点与导体602中的一者对应并与其电接触。这种结构在保持近侧连接器凸缘604与远侧连接器凸缘601之间电接触的同时，允许这两个凸缘之间相对旋转。例如，近侧连接器凸缘604可包括电连接器606，该电连接器可使导体602与安装到轴底座240的轴电路板610进行信号通信。在至少一种情况下，包括多个导体的线束可在电连接器606与轴电路板610之间延伸。电连接器606可朝近侧延伸穿过底座安装凸缘242中限定的连接器开口243。参见图7。提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,067，现为美国专利申请公布2014/0263552以引用的方式全文并入本文。提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUETHICKNESS SENSOR SYSTEM”的美国专利申请序列号13/800,025，现为美国专利申请公布2014/0263551以引用的方式全文并入本文。有关滑环组件600的进一步细节可见于美国专利申请序列号13/803,086，现为美国专利申请公布2014/0263541。
如上文所讨论，细长轴组件200可包括可固定地安装到柄部14的近侧部分，以及可围绕纵向轴轴线SA-SA旋转的远侧部分。可旋转远侧轴部分可如上所述围绕滑动环组件600相对于近侧部分旋转。滑环组件600的远侧连接器凸缘601可定位在可旋转的远侧轴部分内。而且，除上述之外，切换筒500也可定位在可旋转的远侧轴部分内。当可旋转的远侧轴部分旋转时，远侧连接器凸缘601和切换筒500可彼此同步地旋转。另外，切换筒500可相对于远侧连接器凸缘601在第一位置与第二位置之间旋转。当切换筒500处于其第一位置时，关节运动驱动系统(即，近侧关节运动驱动器230)可与击发驱动系统可操作地脱离接合，因此，击发驱动系统的操作可不使轴组件200的端部执行器300进行关节运动。当切换筒500处于其第二位置时，关节运动驱动系统(即，近侧关节运动驱动器230)能够可操作地与击发驱动系统接合，因此，击发驱动系统的操作可以使轴组件200的端部执行器300做关节运动。当切换筒500在其第一位置和其第二位置之间移动时，切换筒5500相对于远侧连接器凸缘601移动。在各种情况下，轴组件200可包括被构造成能够检测切换筒500的位置的至少一个传感器。
再次参见图4，闭合管组件260包括双枢轴闭合套管组件271。根据各种形式，双枢轴闭合套管组件271包括具有朝远侧突出的上柄脚273和下柄脚274的端部执行器闭合套管272。上部双枢轴联接件277包括向上突出的远侧枢轴销和近侧枢轴销，这些枢轴销分别接合闭合管260上的朝近侧突出的上柄脚273中的上部远侧销孔以及朝远侧突出的上柄脚264中的上部近侧销孔。下部双枢轴联接件278包括向上突出的远侧枢轴销和近侧枢轴销，这些枢轴销分别接合朝近侧突出的下柄脚274中的下部远侧销孔以及朝远侧突出的下柄脚265中的下部近侧销孔。还参见图6。
图5至图8示出了外科端部执行器300的一种形式，其被构造成能够可操作地附接到上述类型的外科器械的细长轴组件或者包括闭合系统的其它外科器械构造，该闭合系统被构造成能够产生控制动作以供轴向地移动闭合构件，该闭合构件被构造成能够向外科端部执行器的一些部分施加闭合和打开运动。在所示的实施例中，如将在下文进一步详细讨论的，外科端部执行器被构造成能够围绕通常标示为339的关节运动接头相对于细长轴组件的近侧部分进行关节运动。然而，其它结构可能不能够进行关节运动。如图6中可看到的那样，关节运动接头339限定了关节运动轴线B-B，外科端部执行器300可围绕该关节运动轴线选择性地进行关节运动。在所示的实施例中，关节运动轴线B-B基本上横向于细长轴组件的轴轴线SA-SA。
图示的外科端部执行器300包括第一钳口308和第二钳口309，该第二钳口能够相对于第一钳口308在打开位置(图7)和各种闭合位置(图8)之间选择性地移动。在图示实施方案中，第一钳口308包括细长通道302，该细长通道被构造成能够可操作地支撑其中的外科钉仓304，并且第二钳口309包括砧座310。然而，在不脱离本发明的精神和范围的情况下，也可以采用其它外科钳口结构。如图5中可看到的那样，支撑盘305可以附接到外科钉仓304，以向其提供额外的支撑，从而及防止形成于外科钉仓304中的钉凹坑306中所支撑的钉驱动器(未示出)在使用之前从外科钉仓中脱落。如图5中可看到的那样，细长通道302具有包括两个直立侧壁322的近侧端部部分320。砧座310包括砧座主体312，该砧座主体上形成有钉成形底面313。砧座主体的近侧端部314被击发构件狭槽315分为两部分，从而限定了一对砧座附接臂316。每个砧座附接臂316包括倾斜的上表面321，并且包括侧向突出的砧座耳轴317和限定凸轮表面或“开槽凸轮表面”319的凸轮槽318。参见图5。其中一个凸轮槽318在本文中可称为“第一凸轮槽”，其凸轮表面被称为“第一凸轮表面”。类似地，另一个凸轮槽318可称为“第二凸轮槽”，其凸轮表面在本文中称为“第二凸轮表面”。耳轴孔324设置在细长通道302的每个侧壁322中，用于将砧座耳轴317中对应的一者接收在其中。这种结构用于将砧座310可移动地附连到细长通道302，以供围绕由耳轴孔324限定的且横向于轴轴线SA-SA的砧座轴线A-A选择性地枢转行进。参见图6。
在图示结构中，砧座310通过一对开口凸轮354相对于细长通道302和支撑在其中的外科钉仓304而能够枢转地移动到打开位置，这一对开口凸轮可以可移除地支撑在砧座致动器构件中，或者可移除地附接到砧座致动器构件，或者永久地附接到砧座致动器构件，又或者整体地形成在砧座致动器构件中。在所示实施方案中，砧座致动器构件包括端部执行器闭合套管272。参见图5。每个开口凸轮354包括外主体部分356，该外主体部分具有从其向内突出的凸轮突片358。在至少一种结构中，外主体部分356被构造成能够按扣在端部执行器闭合套管272中所形成的对应凸轮孔355内可移除的接合部中。例如，外主体部分356可包括斜截角的止挡部分357，该止挡部分被构造成能够以按扣形式接合限定凸轮孔355的端部执行器闭合套管壁的相应部分。外主体部分356的另一部分可具有形成在其上的折线形特征结构359，其被构造成能够被接收在与凸轮孔355相邻的端部执行器闭合套管272的一部分内。也可以采用其它按扣突片结构将外主体部分356可移除地附连到端部执行器闭合套管272。在其它结构中，例如，外主体部分可以不被构造成能够按扣地与端部执行器闭合套管272接合。在此类结构中，外主体部分可以通过环形卷曲环而保持到位，该环形卷曲环在开口凸轮的整个外主体部分上围绕端部执行器闭合套管的外周长延伸，并且被压接在适当位置。该卷曲环用于将外部主体部分夹紧在端部执行器闭合套管的外表面上。为了给端部执行器闭合套管提供相对平滑或不间断的外表面(这可以有利地避免相邻组织遭到损坏和/或在这些部件之间收集组织/流体等)，实际上卷曲环可以卷曲到形成于端部执行器闭合套管中的环形凹陷部中。
当开口凸轮350安装在端部执行器闭合套管272中时，每个凸轮突片358延伸穿过细长通道302的对应侧壁322中的细长狭槽326，该细长通道被接收在砧座310中的对应凸轮槽318中。参见图6。在此类结构中，开口凸轮350在端部执行器闭合套管中沿直径彼此相对。在使用中，闭合管260朝远侧(方向“DD”)平移，以(例如)响应于闭合触发器32的致动而闭合砧座310。当闭合管260沿远侧方向“DD”平移时，砧座310闭合，从而使端部执行器闭合套管272的远侧端部275与砧座主体312上的闭合唇缘311接触。具体地讲，随着闭合管260向远侧移动以开始使砧座310枢转到闭合位置，端部执行器闭合套管272的远侧端部275跨置在砧座附接臂316的上表面321上。例如，在一种结构中，砧座310的闭合完全由端部执行器闭合套管272与砧座310的接触而引起，而不是由开口凸轮与砧座的相互作用所引起。然而，在其它结构中，当闭合管260向远侧移动时，开口凸轮可被布置成也向砧座施加闭合运动。砧座310通过在近侧方向“PD”上将闭合管260向近侧平移而打开，这导致凸轮突片358沿近侧方向“PD”在凸轮表面319上的凸轮槽318内移动，以使砧座310枢转到如图6和图7所示的打开位置中。
即使在载荷下，外科端部执行器实施方案300也会采用两个开口凸轮来实现端部执行器钳口的正向打开。在不脱离本发明的精神和范围的情况下，可以想到其它结构仅使用一个开口凸轮或两个以上的开口凸轮。在图示的示例中，开口凸轮可移除地附连到端部执行器闭合套管，这有利于将外科端部执行器部件轻易地组装或附接到细长轴组件，以及轻易地将它们拆卸下来。此类构型还使得人们能够使用更紧凑或更短的关节运动接头结构，这进一步促进了在患者体内的有限空间内更好地操纵外科端部执行器。为了便于将那些按扣到位的开口凸轮轻易地分离，可以在端部执行器闭合套管中设置额外的巧妙放置的孔，以使得撬状构件能够从其中插入，从而将开口凸轮从端部执行器闭合套管撬出。在其它结构中，开口凸轮可以一体地形成在砧座致动器构件或端部执行器闭合套管中。例如，开口凸轮可各自包括突片，该突片被切入或以其它方式形成到砧座致动器构件或端部执行器闭合套管的壁中，然后向内弯曲、卷曲或永久变形，以便接合第二钳口上的对应凸轮表面。例如，突片可相对于端部执行器闭合套管的外壁以九十度向内弯曲。此类结构避免了对单独的开口凸轮部件的需要。其它变型形式可以采用附接到第二钳口的一个或多个销，这些销被构造成能够跨置在第一钳口上的对应凸轮表面。例如，一个或多个销可以被压入第一钳口中，被滚花，然后压入和/或焊接到第一钳口上。虽然已经在外科端部执行器的上下文中对上述开口凸轮结构进行了描述，其中该外科端部执行器被构造成能够支撑外科钉仓并且包括被构造成能够相对于外科钉仓移动的砧座，但读者将理解，开口凸轮结构也可以与具有可相对于彼此移动的钳口的其它端部执行器结构一起采用。
图9和图10示出了标示为200'的细长轴组件，其采用了上述细长轴组件200的许多特征。在图示的示例中，细长轴组件200'包括标示为800的双关节运动联接件结构，其采用与上述关节运动锁350类似的关节运动锁810。关节运动锁810的不同于关节运动锁350的并且为理解关节运动锁350的操作可能所需的那些部件将在下面进一步详细讨论。有关于关节运动锁350的另外细节可见于名称为“ARTICULATABLE SURGICAL INSTRUMENTCOMPRISING AN ARTICULATION LOCK”的美国专利申请序列号13/803,086，现为美国专利申请公布2014/0263541，其全部公开内容据此以引用方式并入本文。关节运动锁810可被构造成能够并操作以选择性地将外科端部执行器300锁定在各种关节运动位置。当关节运动锁810处于其解锁状态时，这种结构使外科端部执行器300能够相对于轴闭合管260旋转或做关节运动。
如上所述，当近侧关节运动驱动器230经由离合器系统400与击发构件220操作地接合时，击发构件220可使近侧关节运动驱动器230朝近侧和/或朝远侧运动。例如，击发构件220的近侧运动可使近侧关节运动驱动器230朝近侧运动，并且类似地，击发构件220的远侧运动可使近侧关节运动驱动器230朝远侧运动。近侧关节运动驱动器230的运动，无论其为近侧或远侧，可解锁关节运动锁810，如下文更详细的描述。如图9中可看到的那样，例如，细长轴组件200'包括轴框架812，其在一定程度上与第一远侧关节运动驱动器820共同延伸。第一远侧关节运动驱动器820被支撑在细长轴组件200'内，以供响应于施加到其的对应关节运动控制动作而在远侧方向“DD”和近侧方向“PD”上选择性地纵向行进。轴框架812包括其上具有向下突出的枢轴销(未示出)的远侧端部部分814，该枢轴销适于能够枢转地接收在形成于细长通道302的近侧端部部分320中的枢轴孔328内。参见例如图5中所示的类似结构。这种结构有助于外科端部执行器300的细长通道302围绕由枢轴孔328限定的关节运动轴线B-B相对于轴框架812枢转行进。如上所述，关节运动轴线B-B横向于由细长轴组件200’所限定的轴轴线SA-SA。
再次参见图9，第一远侧关节运动驱动器820可包括第一或远侧锁定腔822和第二或近侧锁定腔824，其中第一锁定腔822和第二锁定腔824可通过中间框架构件825分开。关节运动锁810还可包括被至少部分地定位在第一锁定腔822内的至少一个第一锁定元件826，该至少一个第一锁定元件可被构造成能够抑制或防止第一远侧关节运动驱动器820的近侧运动。在图9所示的实施方案中，例如，在第一锁腔822内定位有可全部以类似、平行的方式作用并且可以可协作地充当单个锁定元件的三个第一锁定元件826。设想可利用多于三个或少于三个第一锁定元件826的其它实施方案。类似地，关节运动锁810还可包括被至少部分地定位在第二锁定腔824内的至少一个第二锁定元件828，该至少一个第二锁定元件可被构造成能够抑制或防止第一远侧关节运动驱动器820的远侧运动。就图9所示的具体实施方案而言，在第二锁腔824内定位有可全部以类似、平行的方式作用并且可以可协作地充当单个锁定元件的三个第二锁定元件828。设想可利用多于三个或少于三个第二锁定元件828的其它实施方案。
除上述之外，主要参见图9，每个第一锁定元件826以能够滑动方式被支撑在框架导轨830上并且包括锁定柄脚827。每个第一锁定元件826在其中具有锁定孔(未示出)，用于接收框架导轨830穿过其中。锁定柄脚827可设置在第一锁定腔822内，并且锁定开孔能够与安装到轴框架812的框架导轨830可滑动地接合。第一锁定元件826不以与框架导轨830垂直的布置取向；相反，第一锁定元件826以相对于框架导轨830的非垂直的角度布置和对齐，使得锁开孔的边缘或侧壁与框架导轨830接合。此外，锁定开孔的侧壁与框架导轨830之间的相互作用可在两者间产生抵抗力或摩擦力，该抵抗力或摩擦力可抑制第一锁定元件826与框架导轨830之间的相对运动，并且因此抵抗施加到第一远侧关节运动驱动器820的近侧推力P。换句话讲，第一锁定元件826可防止或至少部分地抑制外科端部执行器300在箭头821指示的方向上旋转。如果将扭矩沿箭头821的方向施加到端部执行器300，则近侧推力P将被传递到远侧关节运动驱动器820。近侧推力P将仅用来支持第一锁定元件826与框架导轨830之间的锁定接合。更具体地，近侧推力P可传递至第一锁定元件826的柄脚827，这可导致第一锁定元件826旋转并减小限定在第一锁定元件826与框架导轨830之间的角度，并且因此增强锁定开孔的侧壁与框架导轨830之间的咬合力。最后，第一锁定元件826可将第一远侧关节运动驱动器820的运动锁定在一个方向上。
要释放第一锁定元件826并允许外科端部执行器300以箭头821指示的方向旋转，可将近侧关节运动驱动器230朝近侧拉动以使第一锁定元件826伸直或至少基本上伸直成垂直或至少基本上垂直的位置。在此位置，锁定孔的侧壁和框架导轨830之间的咬合力或阻力可被充分地减小或消除，使得第一远侧关节运动驱动器820可朝近侧运动。要使第一锁定元件826伸直，可将近侧关节运动驱动装置230朝近侧拉动，使得近侧关节运动驱动装置230的远侧臂233接触第一锁定元件826，从而将第一锁定元件826拉动并旋转至其伸直位置。在各种情况下，可将近侧关节运动驱动器230继续朝近侧牵拉，直到从其延伸的近侧臂235接触或邻接第一远侧关节运动驱动器820的近侧驱动壁832，并将该远侧关节运动驱动器820朝近侧牵拉，以使外科端部执行器300进行关节运动。本质上，可将近侧拉力从近侧关节运动驱动器230通过近侧臂235和近侧驱动壁832之间的相互作用施加到远侧关节运动驱动器820，其中此类拉力可通过第一远侧驱动构件820传递至端部执行器300，如将在下文所述，以使端部执行器300沿箭头821指示的方向进行关节运动。在外科端部执行器300已沿箭头821的方向适当地进行关节运动之后，在各种情况下，可将第一远侧关节运动驱动器820释放，以允许关节运动锁810将第一远侧关节运动驱动器820和外科端部执行器300重新锁定就位。
同时，再次参见图9，当第一锁定元件826如上所述锁定和解锁时，第二锁定元件828可保留在倾斜位置。读者将理解，尽管第二锁定元件828相对于轴导轨830以成角度位置布置和对齐，但第二锁定元件828不被构造成能够阻碍或至少基本上阻碍第一远侧关节运动驱动器820的近侧运动。当第一远侧关节运动驱动器820和关节运动锁810如上所述朝近侧滑动时，在各种情况下，第二锁定元件828可沿框架导轨830朝远侧滑动，而不改变或至少基本上不改变其相对于框架导轨830的成角度对齐。当第二锁定元件828允许第一远侧关节运动驱动器820和关节运动锁810的近侧运动时，第二锁定元件828被构造成能够选择性地阻止或至少抑制第一远侧关节运动驱动器820的远侧运动，如下文更详细地讨论。
每个第二锁定元件828可包括锁定开孔(未示出)和锁定柄脚829。锁定柄脚829可被设置在第二锁定腔824内，并且锁定开孔可与安装到轴框架812的框架导轨830可滑动地接合。框架导轨830延伸穿过第二锁定元件828中的开孔。第二锁定元件828没有取向为与框架导轨830垂直布置；相反，第二锁定元件828以相对于框架导轨830的非垂直的角度布置和对齐，使得锁开孔的边缘或侧壁与框架导轨830接合。此外，锁定开孔的侧壁与框架导轨830之间的相互作用可在两者之间产生阻力或摩擦力，这可抑制第二锁定元件828与框架导轨830之间的相对运动，从而抵抗施加到第一远侧关节运动驱动器820的远侧力D。换句话讲，第二锁定元件828可防止或至少部分地抑制外科端部执行器300在箭头823指示的方向上旋转。如果将扭矩沿箭头823的方向施加到端部执行器300，则远侧拉力D将被传递到第一远侧关节运动驱动器820。远侧拉力D将仅用来支持第二锁定元件828与框架导轨830之间的锁定接合。更具体地，远侧拉力D可传递至第二锁定元件828的柄脚829，这可导致第二锁定元件828旋转并减小限定在第二锁定元件828和框架导轨830之间的角度，从而增强锁定开孔的侧壁与框架导轨830之间的咬合力。最后，第二锁定元件828可将第一远侧关节运动驱动器820的运动锁定在一个方向上。
要释放第二锁定元件828并允许外科端部执行器300以箭头823指示的方向进行关节运动，可将近侧关节运动驱动装置230朝远侧推动以使第二锁定元件828伸直或至少基本上伸直成垂直或至少基本上垂直的位置。在此位置，锁定开孔的侧壁和框架导轨830之间的咬合力或阻力可被充分减小或消除，使得第一远侧关节运动驱动器820可朝远侧运动。要使第二锁定元件828伸直，可将近侧关节运动驱动器230朝远侧推动，使得近侧关节运动驱动器230的近侧臂235接触第二锁定元件828，从而将第二锁定元件828推动并旋转至其伸直位置。在各种情况下，可将近侧关节运动驱动器230继续朝远侧推动，直到从其延伸的远侧臂233接触或邻接第一远侧关节运动驱动器820的远侧驱动壁833，并将该第一远侧关节运动驱动器820朝远侧推动，以使外科端部执行器300进行关节运动。本质上，可将远侧推力从近侧关节运动驱动器230通过远侧臂233和远侧驱动壁833之间的相互作用施加到第一远侧关节运动驱动器820，其中此类推力可通过第一远侧关节运动驱动器820传递，以使端部执行器300沿箭头823指示的方向进行关节运动。在外科端部执行器300已沿箭头823的方向适当地进行关节运动之后，在各种情况下，可将第一远侧关节运动驱动器820释放，以允许关节运动锁810将第一远侧关节运动驱动器820和外科端部执行器300重新锁定就位。
同时，当第二锁定元件828如上所述锁定和解锁时，第一锁定元件826可保留在倾斜位置。读者将理解，尽管第一锁定元件826相对于轴导轨830以成角度位置布置和对齐，但第一锁定元件826不被构造成能够阻碍或至少基本上阻碍第一远侧关节运动驱动器820的远侧运动。当第一远侧关节运动驱动器820和关节运动锁810如上所述朝远侧滑动时，在各种情况下，第一锁定元件826可沿框架导轨830朝远侧滑动，而不改变或至少基本上不改变其相对于框架导轨830的成角度对齐。当第一锁定元件826允许第一远侧关节运动驱动器820和关节运动锁810的远侧运动时，第一锁定元件826被构造成能够选择性地阻止或至少抑制第一远侧关节运动驱动器820的近侧运动，如上文所讨论。
根据上文，处于锁定状态的关节运动锁810被构造成能够抵抗第一远侧关节运动驱动器820的近侧运动和远侧运动。在阻力方面，关节运动锁810被构造成能够阻止或至少基本上阻止第一远侧关节运动驱动器820的近侧运动和远侧运动。总的来说，当第一锁定元件826处于其锁定取向时，第一远侧关节运动驱动器820的近侧运动被第一锁定元件826抵抗，并且当第二锁定元件828处于其锁定取向时，第一远侧关节运动驱动器820的远侧运动被第二锁定元件828抵抗，如上所述。换句话说，第一锁定元件826包括第一单向锁，并且第二锁定元件828包括沿相反方向锁定的第二单向锁。
结合图9和图10所示的示例性实施方案进行讨论，近侧关节运动驱动装置230的初始近侧运动可以解锁第一远侧关节运动驱动器820和关节运动锁810的近侧运动，而近侧关节运动驱动器230的进一步近侧运动可以朝近侧驱动第一远侧关节运动驱动器820和关节运动锁810。相似地，近侧关节运动驱动器230的初始远侧运动可解锁第一远侧关节运动驱动器820和关节运动锁810的远侧运动，而近侧关节运动驱动器230的进一步远侧运动可朝远侧驱动第一远侧关节运动驱动器820和关节运动锁810。结合以下公开的多个其它示例性实施方案讨论了这种一般概念。根据上文所提供的讨论，考虑到这类讨论是重复性的或大体累积性的，为了简洁起见，不会重复这类讨论。
仍然参见图9和图10，双关节运动联接件结构800被构造成能够当通过第一远侧关节运动驱动器820向其施加关节运动力时，建立“推/拉”结构。从这些图中可以看出，第一远侧关节运动驱动器820具有形成于其中的第一驱动齿条842。第一关节运动杆844向远侧伸出第一远侧关节运动驱动器820并附接到第一可动联接器850，该第一可动联接器通过第一球接头852而附接到第一远侧关节运动驱动器820。第一联接器850也可以通过第一销854能够枢转地销接到细长通道302的近侧端部部分320，如图9中可看到的那样。双关节运动联接件结构800还包括第二远侧关节运动驱动器860，其具有形成于其中的第二驱动齿条862。第二远侧关节运动驱动器860可移动地支撑在细长轴组件200'内，用于沿远侧方向“DD”和近侧方向“PD”纵向行进。第二关节运动杆864向远侧伸出第二远侧关节运动驱动器860并附接到第二可动联接器870，该第二可动联接器通过第二球接头872而附接到第二远侧关节运动驱动器860。第二联接器870也可以通过第二销874能够枢转地销接到细长通道302的近侧端部部分320，如图9中可看到的那样。如图9中可看到的那样，第一联接器850在轴轴线SA的一侧上附接到细长通道302，并且第二联接器870在该轴轴线的相反侧面上附接到细长通道302。因此，通过同时拉动联接器850,870中的一者并推动联接器850,870中的另一者，外科端部执行器300将相对于细长轴组件200'围绕关节运动轴线B-B进行关节运动。在所示结构中，虽然联接器850,870(二者分别促进第一远侧关节运动驱动器和第二远侧关节运动驱动器820,860与细长通道302之间的相对运动)是由相对刚性的部件所制成的，然而其它结构可以使用相对“柔性”的联接器结构。例如，缆线等可延伸穿过远侧关节运动驱动器820,860、联接器850,870和球接头852,872中的一者或两者，以联接到细长通道，从而促进关节运动动作传送于此。
从图9和图10中也可以看出，近侧小齿轮880和远侧小齿轮882居中设置在第一驱动齿条842和第二驱动齿条862之间并且与其啮合接合。在另选的实施方案中，可以仅使用一个小齿轮或两个以上的小齿轮。因此，采用至少一个小齿轮。近侧小齿轮880和远侧小齿轮882被可旋转地支撑在轴框架812中以相对于其自由旋转，使得随着第一远侧关节运动驱动器820沿远侧方向“DD”移动，小齿轮870,872用以在近侧方向“PD”上驱动第二远侧关节运动驱动器860。类似地，当第一远侧关节运动驱动器820沿着近侧方向“PD”被拉动时，小齿轮880,882在远侧方向“DD”上驱动第二远侧关节运动驱动器860。因此，为了使端部执行器300沿着箭头821的方向围绕关节运动轴线B-B进行关节运动，关节运动驱动器230经由离合器系统400可操作地与击发构件220接合，使得击发构件220在近侧方向“PD”上移动或拉动近侧关节运动驱动器230。近侧关节运动驱动器230沿近侧方向的运动也使第一远侧关节运动驱动器820沿近侧方向运动。当第一远侧关节运动驱动器820沿着近侧方向移动时，小齿轮880,882用于在远侧方向“DD”上驱动第二远侧关节运动驱动器860。第一远侧关节运动驱动器820和第二远侧关节运动驱动器860的这种运动使得外科端部执行器300，更具体地讲外科端部执行器300的细长通道302，围绕关节运动轴线B-B在箭头821的关节运动方向上枢转。相反地，为了使端部执行器300在箭头823的方向进行关节运动，致动击发构件220以沿远侧方向“DD”推动第一远侧关节运动驱动器820。当第一远侧关节运动驱动器820沿着远侧方向移动时，小齿轮880,882用于在近侧方向“PD”上驱动第二远侧关节运动驱动器860。第一远侧关节运动驱动器820和第二远侧关节运动驱动器860的这种运动使得外科端部执行器300，更具体地讲外科端部执行器300的细长通道302，围绕关节运动轴线B-B在箭头823的关节运动方向上枢转。
与其它能够关节运动的外科端部执行器构型相比，双固体联接件关节运动结构800及其变型可以为外科端部执行器提供更大范围的关节运动。具体地讲，本文所公开的固体联接件关节运动结构可以有助于实现超过45-50度范围的关节运动范围，45-50度是通常由其它能够关节运动的端部执行器结构所实现的范围。使用至少一个小齿轮来在远侧关节运动驱动器之间交接使得端部执行器能够被“推动”和“拉动”到位，还可以减少在使用期间端部执行器的“倾斜”量、或不期望或意外的运动量。本文公开的双固体联接件关节运动结构还包括与其它关节运动系统结构相比具有改善的强度特性的关节运动系统。
如上文简述的那样，中间击发轴部分222被构造成能够与远侧切割或击发梁280可操作地交接。远侧击发梁280可包括层合结构。当外科端部执行器300围绕关节运动轴线B-B进行关节运动时，此类结构能够使远侧击发梁280充分弯曲。远侧击发梁280被支撑用于在轴组件200'内进行轴向移动，并且由形成在细长通道302的近侧端部上的两个直立侧向支撑壁330可滑动地支撑。参见图11，远侧击发梁280附接到击发构件900，该击发构件包括在其上具有组织切割表面或刀片904的垂直延伸的击发构件主体902。此外，楔形滑动件910可安装在外科钉仓304内，以驱动与击发构件900的接触。在朝远侧驱动击发构件900通过仓体304时，楔形滑动件910上的楔形表面912接触钉驱动器，从而致动外科钉仓304中向上支撑的驱动器和外科钉。
采用击发梁或击发构件并且能够在例如四十五度的范围内进行关节运动的端部执行器可具有许多待克服的挑战。为了便于这种端部执行器进行可操作的关节运动，击发构件或击发梁必须足够灵活以适应这种关节运动范围。然而，击发梁或击发构件也必须避免在遇到压缩击发载荷时发生弯曲。为了向击发梁或击发构件提供额外的支撑，已经开发了各种“支撑”或“吹出(blowout)”板布置。在名称为“SURGICAL STAPLING INSTRUMENTHAVING ARTICULATION JOINT SUPPORT PLATES FOR SUPPORTING A FIRING BAR”的美国专利6,964,363和名称为“SURGICAL STAPLING INSTRUMENT INCORPORATING ANELECTROACTIVE POLYMER ACTUATED FIRING BAR TRACK THROUGH AN ARTICULATIONJOINT”的美国专利7,213,736中公开了若干这种布置结构，这些专利各自的全部公开内容以引用方式并入本文。提供充分抗弯曲性的吹出板一般也难以弯曲，这增加了关节运动接头系统必须适应的力。其它击发梁支撑结构在名称为“SURGICAL INSTRUMENTS WITHARTICULATABLE END EFFECTORS AND MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS”的美国专利申请序列号14/575,117中有所公开，该专利申请的全部公开内容据此以引用的方式并入本文。
参见图11至图15，细长轴组件200’还包括多支撑联接件组件920，用于在外科端部执行器300围绕关节运动轴线B-B进行关节运动时向远侧击发梁280提供侧向支撑。从图11中可以看出，多支撑联接件组件920包括中间支撑构件922，其可移动地联接到外科端部执行器300以及细长轴组件200'。例如，中间支撑构件922能够枢转地销接到细长通道302的近侧端部320，使得其可围绕枢转轴线PA相对于该近侧端部枢转。如图11中可看到的那样，中间支撑构件922包括向远侧突出的突片923，该突片中具有远侧枢轴孔924，用于接收形成在细长通道302的近侧端部部分320上的直立支撑销332。如图11中可进一步看到的那样，中间支撑构件922还包括在其中具有细长近侧狭槽928的朝近侧突出的突片926。近侧狭槽928被构造成能够可滑动地接收形成在框架部分812上的中间支撑销816。例如，此类结构使得中间支撑构件922能够相对于所述细长轴组件200'轴向地枢转和移动。如图11至图13所示，中间支撑构件922还包括居中设置的狭槽930，用于可移动地接收穿过其中的远侧击发梁280。
仍然参见图11至图15，多支撑联接件组件920还包括近侧支撑联接件940和远侧支撑联接件950。近侧支撑联接件940包括细长近侧主体942，该细长近侧主体具有倒圆的近侧鼻部部分943和倒圆的远侧鼻部部分944。近侧支撑联接件940还包括一对向下突出的相反的近侧支撑壁945,946，这对近侧支撑壁在其间限定有近侧狭槽947。类似地，远侧支撑联接件950包括细长远侧主体952，该细长远侧主体具有倒圆的近侧鼻部部分953和倒圆的远侧鼻部部分954。远侧支撑联接件950还包括一对向下突出的相反的远侧支撑壁955,956，这对远侧支撑壁在其间限定有远侧狭槽957。如图14中可看到的那样，柔性远侧击发梁280被构造成能够在近侧支撑联接件940的近侧支撑壁945,946与远侧支撑联接件950的远侧支撑壁955,956之间延伸。近侧支撑壁945包括面向内的近侧弓形表面948，并且近侧支撑壁946包括面向内的近侧弓形支撑表面949，其与所述面向内的近侧弓形表面948相反。近侧弓形支撑表面948,949用于随着柔性远侧击发梁280的近侧部分的侧面部分在端部执行器的关节运动期间发生弯曲并且横穿关节运动接头，对该部分提供侧向支撑。根据关节运动的方向，弧形表面可匹配远侧端部击发梁280的外半径。类似地，远侧支撑壁955包括面向内的远侧弓形表面958，并且远侧支撑壁956包括面向内的远侧弓形支撑表面959，其与所述远侧弓形表面958相反。远侧弓形支撑表面958,959用于随着远侧击发梁280的远侧部分的侧面部分在外科端部执行器300的关节运动期间发生弯曲并且横穿关节运动接头，对该部分提供侧向支撑。根据关节运动的方向，远侧弓形表面958,959可匹配远侧击发梁280的外半径。如图12和图13中可看到的那样，轴脊210的远侧端部217包括面向远侧的弓形脊凹坑218，近侧支撑联接件940的倒圆近侧鼻部部分943延伸到该凹坑中。近侧支撑联接件940的倒圆远侧鼻部部分944能够枢转地接收在中间支撑构件922中的弓形近侧凹坑932中。另外，远侧支撑联接件的倒圆近侧鼻部部分953接收在中间支撑构件922的远侧端部中的弓形远侧支撑构件凹坑934中。远侧支撑联接件950的倒圆远侧鼻部部分954可移动地接收在形成于细长通道302的近侧端部320上所形成的直立侧向支撑壁330中的V形通道腔334内。
当梁在较高的关节运动角度上弯曲时，多支撑连杆组件可以为柔性击发梁层合件提供较高的侧向支撑。此类结构还防止击发梁在高击发载荷下以及在相对较高的关节运动角度下屈曲。与中间支撑构件相连接的细长支撑联接件与许多现有技术的支撑结构相比，在整个关节运动区域上提供了对击发梁的改善的侧向支撑。在另选结构中，支撑联接件可被构造成能够以各种关节运动角度与中间支撑构件实际联锁。U形支撑联接件便于轻易安装，并且用于在每个侧面以及梁的顶部对柔性支撑梁提供支撑，以防止击发梁在击发期间进行关节运动的同时向上弯曲。
在击发构件包括组织切割表面的那些实施方案中，理想的是细长轴组件可按这样的方式进行构造：除非未用完的钉仓被正确地支撑在外科端部执行器300的细长通道302中，否则防止击发构件意外推进。例如，如果根本不存在钉仓并且击发构件向远侧被推进穿过端部执行器，则组织将被切断，但是没有被钉住。类似地，如果在端部执行器中存在用完的钉仓(即，其中至少一些钉已经从其中击发的钉仓)，并且击发构件被推进，则组织将被切断，但可能不完全被钉住。应当理解，这种情况在手术过程中可能导致不希望的灾难性结果。名称为“STAPLING INSTRUMENT HAVING A SPENT CARTRIDGE LOCKOUT”的美国专利6,988,649、名称为“SURGICAL STAPLING INSTRUMENT HAVING A SINGLE LOCKOUT MECHANISMFOR PREVENTION OF FIRING”的美国专利7,044,352，以及名称为“SURGICAL STAPLINGINSTRUMENT HAVING A SINGLE LOCKOUT MECHANISM FOR PREVENTION OF FIRING”的美国专利7,380,695各自公开了各种击发构件闭锁结构。这些美国专利中的每一者均以引用方式全文并入本文中。
这种闭锁结构可以有效地与各种外科缝合器械一起使用。然而，这些结构可能并不特别适合与本文公开中采用了相对紧凑和短关节运动接头构型的各种外科缝合器械结合使用。例如，图15至图19示出了通过关节运动接头270'可操作地附接到细长轴组件200'的外科端部执行器300。细长轴组件200'限定轴轴线SA-SA，并且关节运动接头270'有利于外科端部执行器300相对于细长轴组件200'围绕与横向于轴轴线SA-SA的关节运动轴线B-B的选择性关节运动。在图示实施方案中，可以采用双固体联接件关节运动结构800(如上所述)来选择性地将关节运动施加到外科端部执行器300。细长轴组件200'包括上述类型的远侧击发梁280，其在被施加击发运动时可选择性地在外科端部执行器300内从起始位置到结束位置轴向移动。远侧击发梁280延伸穿过关节运动接头270'，并且被构造成能够围绕关节运动轴线B-B弯曲，以适应外科端部执行器300以本文所述的各种方式所进行的关节运动。在所示实施方案中，关节运动接头270'包括中间支撑构件922，该中间支撑构件可移动地附接到轴框架812的远侧端部814和细长通道302的近侧端部320。如上所述，中间支撑构件922包括向远侧突出的突片923，该突片中具有远侧枢轴孔924，用于接收形成在细长通道302的近侧端部部分320上的直立支撑销332。中间支撑构件922还包括在其中具有细长近侧狭槽928的朝近侧突出的突片926。近侧狭槽928被构造成能够可滑动地接收形成在框架部分812上的中间支撑销816。中间支撑构件922还包括居中设置的狭槽930，用于轴向地接收穿过其中的远侧击发梁280。中间支撑构件922在外科端部执行器300围绕关节运动轴线B-B进行关节运动期间对远侧击发梁280提供侧向支撑，同时在击发过程中促进其轴向通过远侧击发梁280。
在图示实施方案中，采用击发梁锁定组件980来防止远侧击发梁280从起始位置被无意地推进到结束位置，除非未击发的外科钉仓304已被可操作地安置在钉仓支撑构件或细长通道302中。如图15至图19中可看到的那样，一种形式的击发梁锁定组件980包括形成于远侧击发梁280中的锁定凸轮或卡位281，使得后者从前者上表面向上突出。偏压构件984被支撑在中间支撑构件922上并附接到该中间支撑构件。如图16中可看到的那样，例如，偏压构件984是大致平坦的并且包括窗口985，该窗口被构造成能够在外科端部执行器300进行关节运动期间将锁定凸轮281容纳在其中。因此，当外科端部执行器300围绕关节运动轴线B-B进行关节运动时，偏压构件984不会向远侧启动梁280施加任何偏压力或载荷。该特征可以避免使外科端部执行器300绕关节运动轴线B-B关节运动所必须产生的关节运动力的量增加。偏压构件984可以被点焊到中间支撑构件922上，或者通过其它紧固方法诸如通过螺钉、销、粘合剂等被附接到该中间支撑构件上。窗口985还可以限定锁定带或部分986，其在远侧击发梁280处于起始位置时接触锁定凸轮281。锁定凸轮281可以形成有面向远侧的倾斜表面283和面向近侧的倾斜表面285，以减小轴向移动远侧击发梁280所需的击发力和回缩力的量。参见图19。
如上所述，远侧击发梁280可操作地附接到击发构件900，该击发构件包括击发构件主体902上的组织切割表面904。在另选的结构中，组织切割表面可附接到或以其它方式形成在远侧击发梁280的一部分上或由其直接支撑。在图示结构中，在击发构件主体902的底部上形成有横向延伸的支脚905。击发构件主体902还包括楔形滑动件接合构件906，其被构造成能够接合外科钉仓304中的楔形滑动件，如将在下文进一步详细讨论的。
图18示出了已经正确地安装在细长通道302中的“未用完”或“未击发”外科钉仓304。如在该图中可以看到的，楔形滑动件910位于外科钉仓304的“未击发”(最近侧)位置。楔形滑动件910包括面向近侧的倾斜表面914，该倾斜表面被构造成能够接合击发构件900上的楔形滑动件接合构件906，从而将击发构件900沿由箭头988表示的向上方向偏压，使得击发构件900的底部部分和支脚905自由地清除通过由细长通道302底部中的锁定开口303所形成的锁定壁307。当处于该位置时，远侧击发梁280和击发构件900可以在细长通道302内朝远侧推进，更确切地说，安装在其中的外科钉仓304从图18所示的起始位置向远侧推进到外科钉仓304中楔形滑动件910已经将可操作地支撑在外科钉仓304中的所有外科钉弹出的结束位置。在此类结构中，在击发构件900已经被完全击发(即，在外科钉仓304内从其起始位置完全推进到结束位置)之后，击发构件900被缩回到图19中所示的起始位置。因为楔形滑动件910已经由击发构件900向远侧推进到钉仓304中的结束位置，并且击发构件900未附接到楔形滑动件910，所以当击发构件900缩回到起始位置时，楔形滑动件910保持在外科钉仓304内的结束位置，并且不与击发构件900一起返回到起始位置。因此，外科钉仓304被称为处于“经使用”、“用尽”或“已击发”状态。如图19中可看到的那样，当没有楔形滑动件处于未击发状态时，由于由偏压构件984的锁定带986向远侧击发梁280上的锁定凸轮281所施加的偏压运动，主体部分902的底部以及击发构件900的支脚905延伸到细长通道302底部中的锁定开口303中。当处于该位置时，如果临床医生不经意地尝试重新击发用尽的外科钉仓，则主体部分902和/或支脚905将接触细长通道302中的壁307，并且将被阻止从起始位置移动到结束位置。因此，除非未击发或未用尽的外科钉仓已经正确/可操作地安装在外科端部执行器的细长通道中，否则击发梁锁定组件980会防止远侧击发梁280以及击发构件900从起始位置推进到结束位置。还应当理解，当完全没有钉仓安装在细长通道302中时，击发梁锁定组件980还防止了远侧击发梁280的推进。除了在不向远侧击发梁施加额外载荷的情况下(施加载荷可能导致需要增加关节运动力来使外科端部执行器进行关节运动)适应外科端部执行器300围绕关节运动轴线B-B的关节运动之外，一旦击发梁锁定组件980已经向远侧推进经过锁定壁(无论端部执行器钳口是打开还是关闭)，该击发梁锁定组件就不会在击发构件和/或远侧击发梁上施加额外载荷。
图20A示出了另一能够关节运动的外科端部执行器实施方案300’，其采用包括安装在端部执行器闭合套管272内的偏压构件984'的击发梁锁定组件980'。如在该图中可以看到的，例如，偏压构件984'将偏压力施加到远侧端部击发梁280'的倾斜或锥形部分283'。击发波束锁组件980'以与上文关于击发梁锁组件980所述的相同方式进行操作。更具体地讲，偏压构件984'将偏压力施加到远侧击发梁280'，迫使远侧击发梁280'和击发构件在细长通道内向下附接。除非具有处于未击发位置的楔形滑动件或其它钉射出器构件的未用尽的外科钉仓已被正确地安装在细长通道或钉仓支撑构件内，以便可操作地接合击发构件或击发梁从而移动击发构件/击发梁脱离与锁定壁的接合，否则击发构件/击发梁将被阻止从起始位置轴向推进到结束位置。
除了下文进一步详细讨论的各种差异之外，图21至图25示出了与上述细长轴组件200类似的另一细长轴组件1200的一部分。已在上文详细讨论的细长轴组件1200的那些部件用相似的元件标号来表示，并且为了简洁起见，除了对于理解轴组件1200的操作可能有必要时，例如如上所述与手术器械10的一些部分一起使用时，将不再进一步详细讨论。如图21中可看到的那样，细长轴组件1200包括关节运动锁1810，该关节运动锁基本上类似于关节运动锁810，并且以基本上相同的方式进行操作。如图22中可看到的那样，细长轴组件1200包括具有近侧腔1815的轴框架1812，该近侧腔被构造成能够将第一远侧关节运动驱动器1820的近侧部分1821可移动地支撑在其中。第一远侧关节运动驱动器1820被可移动地支撑在细长轴组件1200内，以供响应于施加于其上的关节运动控制动作而在远侧方向“DD”和近侧方向“PD”上选择性地纵向行进。轴框架1812还包括其上形成有枢轴销1818的远侧端部部分1814。枢轴销1818适于能够枢转地接收在外科端部执行器1300的细长通道1302的近侧端部部分1320的枢轴孔(未示出)内。这种结构便于细长通道1302相对于轴框架1812围绕由枢轴孔和销1818限定的关节运动轴线BB的枢转行进(即，关节运动)。轴框架1812还包括居中设置的腔1817，以及位于远侧端部1814和该居中设置的腔1817之间的远侧凹口1819。
轴组件1200还包括第二远侧关节运动驱动器1860，其包括可旋转地轴颈连接在近侧滑轮1840和远侧滑轮1340上的环形构件1862。仍然参见图22，近侧滑轮1840可旋转地轴颈连接在滑轮心轴1842上，该滑轮心轴安装在居中设置于轴框架1812内的腔1817内。远侧滑轮1340不可旋转地支撑或形成在外科端部执行器1300的细长通道1302的近侧端部1320上。在一种形式中，环形构件1862包括例如由不锈钢、钨、铝、钛等制成的缆线。缆线可以是编织或多股结构，具有不同数量的股线以获得期望水平的拉伸强度和柔韧性。例如，在各种结构中，缆线2382可以具有在0.03英寸到0.08英寸的范围内，并且更优选地在0.05到0.08英寸的范围内的直径。优选的缆线可以例如由300系列不锈钢制成-半硬到全硬。例如，在各种结构中，缆线还可以涂覆有例如
Figure GDA0002732524780000431
铜等以改善润滑性和/或减少拉伸。第一凸耳1863附接到缆线的一端，第二凸耳1864通过例如卷曲附接到缆线的另一端。缆线在受力情况下被张紧，而端部和/或凸耳1863,1864被焊接、粘合、机械固定等，以形成环形构件1862。心轴1842可包括与近侧滑轮1840接合以便向近侧移动滑轮1840的凸轮安装座。其它形式的张紧结构诸如皮带张紧器、螺丝扣结构等也可以用于张紧环形构件1862。
仍然参见图22，环形构件1862通过联接器组件1830联接到第一远侧关节运动驱动器1820的远侧端部1821。联接器组件1830包括形成在第一远侧关节运动驱动器1820的远侧端部1822上的上联接器部分1832，以及下联接器部分1834。下联接器部分1834形成有两个支架1835，这两个支架被构造成能够在其中接收凸耳1862,1864。一对附接销1836被构造成能够被压入上联接器部分1832中的孔1837中，以将两个联接器部分1832和1834附连在一起。也可以使用其它紧固件结构、螺钉、铆钉、粘合剂等。当环形构件1862轴颈连接在滑轮1840和1340上时，联接器组件1830响应于第一远侧关节运动驱动器1820的轴向运动，而自由地在轴框架1812中的远侧凹口1819内轴向移动。由第一远侧关节运动驱动器1820的轴向运动产生的关节运动，被传送到第二远侧关节运动驱动器1860或者环形构件1862。附接球或凸耳1866附接到环形构件1862并接收在形成在远侧滑轮1340中的沟槽或凹坑1342中。因此，环形构件1862的运动被传送到外科端部执行器1300，更具体地讲，传送到外科端部执行器1300的细长通道1302，以使端部执行器围绕关节运动轴线B-B进行关节运动。因此，当第一远侧关节运动驱动器1820沿远侧方向“DD”运动动时，环形构件1862使得外科端部执行器1300围绕关节运动轴线B-B在由箭头823表示的关节运动方向上进行关节运动。参见图21。类似地，当第一远侧关节运动驱动器1820沿近侧方向“PD”移动时，环形构件1862使得外科端部执行器1300围绕关节运动轴线B-B在由箭头821表示的关节运动方向上进行关节运动。参见图21和图25。如图21所示，关节运动方向823与关节运动方向821相反。
除了下文进一步详细讨论的各种差异之外，图26至图31示出了与上述细长轴组件200类似的另一细长轴组件2200的一些部分。已在上文详细讨论的细长轴组件2200的那些部件用相似的元件标号来表示，并且为了简洁起见，除了对于理解细长轴组件2200的操作可能有必要时，例如如上所述与手术器械10的一些部分一起使用时，将不再进一步详细讨论。如图26中可看到的那样，细长轴组件2200包括由喷嘴部分202和203构成的近侧外壳或喷嘴201。细长轴组件2200还包括呈闭合管2260形式的砧座致动器构件，其可用于闭合和/或打开可操作地附接到外科端部执行器2300的该外科端部执行器的砧座2310。如图26中可看到的那样，细长轴组件2200包括近侧脊2210，该近侧脊被构造成能够与关节运动锁2350可操作地交接。近侧脊2210被构造成能够：第一，可滑动地支撑其中的击发构件2220；第二，可滑动地支撑围绕近侧脊2210延伸的闭合管2260。近侧脊2210还能够以滑动方式支撑近侧关节运动驱动器2230。近侧关节运动驱动器2230具有远侧端部2231，该远侧端部被构造成能够可操作地接合关节运动锁2350。
在所示出的结构中，近侧脊2210包括可旋转地支撑在底座240中的近侧端部2211。在一种结构中，例如，近侧脊2210的近侧端部2211具有在其上形成的螺纹2214，以便通过螺纹附接到被构造成能够被支撑在底座240内的脊轴承。这种结构有利于将近侧脊2210可旋转地附接到底座240，使得近侧脊2210可以相对于底座240选择性地围绕轴轴线SA-SA旋转。如上文详细描述的，封闭管2260的近侧端部附接到底座中所支撑的闭合梭动件。当细长轴组件2200可操作地联接到手术器械10的柄部或外壳时，闭合触发器的操作会向远侧推进闭合管2260。
同样如上所述，细长轴组件2200还包括击发构件2220，该击发构件被支撑以便在近侧脊2210内轴向行进。击发构件2220包括被构造用于附接到远侧切割或击发梁组件2280的中间击发轴部分2222。参见图27。中间击发轴部分2222可包括其远侧端部中的被构造成能够接收远侧击发梁组件2280的近侧端部上的突片的纵向狭槽2223。纵向狭槽2223和远侧击发梁组件2280的近侧端部可被设定尺寸并被构造成能够使得其允许它们之间的相对移动并且可包括滑动接头。滑动接头可允许击发驱动器2220的中间击发轴部分2222移动成使端部执行器300进行关节运动，而不移动或至少基本上不移动远侧击发梁组件2280。一旦外科端部执行器2300已适当地取向，则中间击发轴部分2222可朝远侧推进，直到纵向狭槽2223的近侧侧壁与突片发生接触，以便推进远侧击发梁组件2280并且击发端部执行器300中所支撑的钉仓。近侧脊2210也联接到远侧脊2212。
类似于细长轴组件200，所示细长轴组件2200包括离合器组件2400，该离合器组件可被构造成能够选择性地和可释放地将近侧关节运动驱动器2230联接到击发构件2220。在一种形式中，离合器组件2400包括围绕击发构件2220定位的锁定衬圈或锁定套管2402，其中锁定套管2402可在接合位置与脱离位置之间旋转，在所述接合位置，锁定套管2402将近侧关节运动驱动器2230联接到击发构件2220，在所述脱离位置，近侧关节运动驱动器2230没有可操作地联接到击发构件2220。当锁定套管2402处于其接合位置时，击发构件2220的远侧运动可使近侧关节运动驱动器2230朝远侧运动，相应地，击发构件2220的近侧运动可使近侧关节运动驱动器2230朝近侧运动。当锁定套管2402处于其脱离位置时，击发构件2220的运动不传递到近侧关节运动驱动器2230，因此，击发构件2220可独立于近侧关节运动驱动器2230运动。在各种情况下，当击发构件2220没有使近侧关节运动驱动器2230在近侧或远侧方向上运动时，近侧关节运动驱动器2230可被关节运动锁2350保持就位。
如上所述，锁定套管2402可包括圆柱形或至少基本上圆柱形的主体，该主体包括限定于其中、被构造成能够接收击发构件2220的纵向开孔2403。锁定套管2402可包括沿直径相对的、面朝内的锁定突出2404和面朝外的锁定构件2406。锁定突出2404可被构造成能够与击发构件2220选择性地接合。更具体地讲，当锁定套管2402处于其接合位置时，锁定突出2404被定位在限定于击发构件2220中的驱动凹口2224内，使得远侧推力和/或近侧推力可从击发构件2220传递至锁定套管2402。当锁定套管2402处于其接合位置时，第二锁定构件2406被接收在关节运动驱动器2230中限定的驱动凹口2232内，使得施加到锁定套管2402的远侧推力和/或近侧拉力可传递到近侧关节运动驱动器2230。实际上，当锁定套管2402处于其接合位置时，击发构件2220、锁定套管2402和近侧关节运动驱动器2230将一起运动。另一方面，当锁定套管2402处于其脱离位置时，锁定突出2404可不定位在击发构件2220的驱动凹口2224内；并且因此，远侧推力和/或近侧推力可不从击发构件2220传递至锁定套管2402。相应地，远侧推力和/或近侧拉力可以不传递至近侧关节运动驱动器2230。在此类情况下，击发构件2220可相对于锁定套管2402和近侧关节运动驱动器2230朝近侧和/或朝远侧滑动。
同样如上所述，细长轴组件2200还可包括可旋转地容纳在闭合管2260上的切换筒2500。切换筒2500包括中空轴段2502，该中空轴段具有在其上形成的轴凸台2504，以用于将向外突出的致动销2410接收在其中。在各种情况下，致动销2410延伸穿过狭槽进入设置在锁定套管2402中的纵向狭槽，以在锁定套管2402与关节运动驱动器2230接合时，利于该锁定套管做轴向运动。旋转扭簧2420被构造成能够接合切换筒2500上的凸台2504和喷嘴外壳203的一部分，以将偏压力施加到切换筒2500。切换筒2500还可包括限定于其中的至少部分周边开口2506，所述开口被构造成能够接收从喷嘴半部202、203延伸的周边安装座，并且允许切换筒2500和近侧喷嘴201之间的相对旋转而不是相对平移。如上所述，切换筒2500的旋转最终将导致致动销2410和锁定套管2402在其接合位置和脱离位置之间的旋转。因此，实质上，喷嘴201可用于以上述以及在美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)中更详细描述的各种方式来使关节运动驱动系统与击发驱动系统操作地接合和脱离接合。
参见图27，闭合管组件2260包括双枢轴闭合套管组件2271。根据各种形式，双枢轴闭合套管组件2271包括具有朝远侧突出的上柄脚和下柄脚的端部执行器闭合套管2272。上部双枢轴联接件2277包括向上突出的远侧枢轴销和近侧枢轴销，这些枢轴销分别接合闭合管2260上的朝近侧突出的上柄脚中的上部远侧销孔和朝远侧突出的上柄脚中的上部近侧销孔。下部双枢轴联接件2278包括向上突出的远侧枢轴销和近侧枢轴销，这些枢轴销分别接合朝近侧突出的下柄脚中的下部远侧销孔和朝远侧突出的下柄脚中的下部近侧销孔。
细长轴组件2200还包括类似于上文所述的外科端部执行器300的外科端部执行器2300。如图27中可看到的那样，外科端部执行器2300包括被构造成能够在其中可操作地支撑外科钉仓2304的细长通道2302。细长通道2302具有包括两个直立侧壁2322的近侧端部部分2320。外科端部执行器2300还包括砧座2310，该砧座具有砧座主体2312，该砧座主体具有在其上形成的钉成形底面2313。砧座主体2312的近侧端部2314被击发构件狭槽2315分为两部分，以形成两个砧座附接臂2316。每个砧座附接臂2316包括侧向突出的砧座耳轴2317。耳轴狭槽2324设置在细长通道2302的每个侧壁2322中，用于将砧座耳轴2317中对应的一个接收在其中。这种结构用于将砧座2310可动地附连到细长通道2302，以在打开位置和闭合位置或夹紧位置之间选择性地枢转行进。通过将闭合管2260朝远侧推进，并且更具体地，将锥形附接臂2316上的端部执行器闭合套筒2272朝远侧推进，这导致砧座2310在枢转到闭合位置的同时朝远侧移动，由此砧座2310移动到闭合位置。端部执行器闭合套筒2272中设置有马蹄形开口2273，该马蹄形开口被构造成能够接合端部执行器2300的砧座2310上的直立突片2318。为了打开砧座2310，闭合管2260，以及更具体地，将端部执行器闭合套筒2272沿近侧方向移动。这样，由马蹄形开口2273限定的中央突片部分与砧座2310上的突片2318协作以使砧座2310枢转回到打开位置。
转到图26、28和29，如上所述，细长轴组件2200包括基本上类似于上述的关节运动锁350和810的关节运动锁2350。关节运动锁2350的不同于关节运动锁350的并且为理解关节运动锁350的操作所必需的部件将在下面进一步详细讨论。如上所述，关节运动锁2350可被构造成能够并操作以选择性地将端部执行器2300锁定就位。当关节运动锁2350处于其解锁状态时，这种结构使外科端部执行器2300能够相对于轴闭合管2260旋转或做关节运动。当近侧关节运动驱动器2230经由离合器系统2400与击发构件2220操作地接合时，除上述之外，击发构件2220可使近侧关节运动驱动器2230朝近侧和/或朝远侧运动。近侧关节运动驱动器2230的运动，无论其为近侧或远侧，可解锁关节运动锁2350，如上所述。该实施方案包括被活动地支撑在近侧脊2210和远侧脊2212之间的近侧锁适配器构件2360。近侧锁适配器2360包括用于在其中接收第一锁定元件2364和第二锁定元件2366的锁定腔2362，第一锁定元件和第二锁定元件轴颈连接在于近侧框架2210和远侧框架2212之间延伸的框架导轨2368上。关节运动锁2350以上述各种方式操作，并且为了简洁起见，在此不再进一步讨论。
如图26、28和29中可以看出，第一远侧关节运动驱动器2370附接到近侧锁适配器2360。第一远侧关节运动驱动器2370可操作地附接到第二远侧关节运动驱动器2380，该第二远侧关节运动驱动器可操作地与端部执行器2300的细长通道2302交接。第二远侧关节运动驱动器2380包括可旋转地轴颈连接在近侧滑轮2383和远侧滑轮2392上的缆线2382。远侧滑轮2392不可旋转地支撑在或整体形成在端部执行器安装组件2390上，并且包括卡位装置或凹坑2396。在所示的实施例中，端部执行器安装组件2390通过弹簧销2393不可移动地附接到细长通道2302的近侧端部2320，该弹簧销延伸穿过端部执行器安装组件2390中的孔和细长通道2302的近侧端部2320中的孔2394。近侧滑轮2383可旋转地支撑在远侧脊2212上。远侧脊2212的远侧端部具有形成于其上的枢轴销2213，该枢轴销被构造成能够可旋转地接收在形成于端部执行器安装构件2390中的枢轴孔2395内。这种结构便于细长通道2302相对于远侧脊2212围绕由枢轴孔2395和销2213限定的关节运动轴线BB的枢转行进(即，关节运动)。
在一种形式中，缆线2382可以由例如不锈钢、钨、铝、钛等制成。缆线可以是编织或多股结构，具有不同数量的股线以获得期望水平的拉伸强度和柔韧性。例如，在各种结构中，缆线2382可以具有在0.03英寸到0.08英寸的范围内，并且更优选地在0.05到0.08英寸的范围内的直径。优选的缆线可以例如由300系列不锈钢制成-半硬到全硬。例如，在各种结构中，缆线还可以涂覆有例如
Figure GDA0002732524780000481
铜等以改善润滑性和/或减少拉伸。在图示的实施例中，缆线2382具有附接到其一个端部的凸耳2384和通过例如压接附接到其另一个端部的凸耳2385。第一远侧关节运动驱动器2370包括一对间隔开的夹板2372,2374，它们彼此间隔足够大以便在其间容纳凸耳2384,2385。例如，近侧夹板2372包括用于接收缆线2382的邻近凸耳2384的一部分的近侧狭槽2373，并且远侧夹板2374包括用于接收缆线2382的邻近凸耳2385的相应部分的远侧狭槽2375。狭槽2373和2375分别相对于凸耳2384,2385设置尺寸，以便防止凸耳2384,2385从中穿过。与远侧狭槽2375相比，近侧狭槽2375以一定角度取向，以便紧紧抓住其中的缆线2382的对应部分。参见图30。附接球或凸耳2398附接到环形构件2382并容纳在形成在远侧滑轮2392中的卡位装置或凹坑2396中。参见图31。因此，当第一远侧关节运动驱动器2370沿近侧方向“PD”轴向缩回时，以上述方式，环形构件2382将使端部执行器2300沿图31中箭头2376所示的方向进行关节运动。相反地，当第一远侧关节运动驱动器2370沿远侧方向“DD”轴向推进时，外科端部执行器2300沿图31中箭头2399所示的方向进行关节运动。另外，近侧夹板2372和远侧夹板2374充分间隔开，以便在其间接收凸耳2384,2385。如图29至图32所示的那样使用张紧楔形件2378，以对缆线2382施加足够的张力，使得在缆线被致动时，其将向端部执行器2300施加关节运动。在图35所示的另选结构中，近侧夹板2374'最初未附接到第一关节运动驱动器2370。近侧夹板2374'被定位在第一远侧关节运动驱动器2370上，以便捕获远侧夹板2372和近侧夹板2374'之间的凸耳2384和2385。近侧夹板2374'朝向远侧夹板2372移动，直到在缆线2382中产生足够的张力，然后近侧夹板2374'附接到第一远侧关节运动驱动器2370。例如，近侧夹板2374'可通过激光焊接或其它合适形式的附接装置或紧固件结构附接到第一远侧关节运动驱动器2370。
参见图36至图39，该外科器械包括例如中央击发梁支撑构件2286，该中央击发梁支撑构件被构造成能够延伸穿过关节运动接头以向柔性击发梁组件2280提供支撑。在一种形式中，中央击发梁支撑构件2286包括柔性板构件或带，并且包括附接到外科端部执行器的向下突出的远侧附接突片2287和附接到细长轴组件的向上延伸的近侧端部部分2288。在至少一种结构中，远侧附接突片2287通过弹簧销2393附接到端部执行器安装组件2390，并且近侧端部部分2288通过销(未示出)销接到远侧脊2212。中央击发梁支撑构件2286沿着装置的中心线或轴轴线定位，并且用于在关节运动期间为击发梁提供支撑。这不同于采用“吹出”板或侧向支撑板的那些结构，在那些结构中，这些侧向支撑板位于击发梁的侧面，并由此偏离轴轴线，增大了它们在关节运动过程中所经受的拉伸力和压缩力。在所示的示例中，能够纵向运动的柔性击发梁组件2280包括层压梁结构，该层压梁结构包括至少两个梁层，其中至少一个梁层被构造成能够邻近中央击发梁支撑构件的一侧通过，并且至少一个另一个梁构件被构造成能够邻近中央击发梁支撑构件的另一侧通过。在所示的示例中，两个层压层2282和2284被构造成能够邻近柔性张力承载构件的每个侧面通过。参见例如图35和图36。在各种实施方案中，层压层2282和2284可包括例如不锈钢带，这些不锈钢带通过例如在其近侧端部焊接或销接在一起而彼此互连，同时它们各自的远侧端部不连接在一起以便允许层压体或带在端部执行器做关节运动时相对于彼此张开。每一对层压层或带2282,2284被表示为击发梁组件2280的侧向击发带组件2285。因此，如图36所示，一个侧向击发带组件2285被支撑在中央关节运动棒2286的每个侧面上，以实现通过一系列侧向载荷承载构件2290相对于其轴向行进。每个侧向载荷承载构件2290可由例如不锈钢、铝、钛、液晶聚合物材料、塑料材料、尼龙、丙烯腈丁二烯苯乙烯(ABS)、聚乙烯等制成，并形成有相反的弓形端部2292。每个侧向载荷承载构件2290还具有从其延伸穿过的轴向通路2294，以接收侧向击发带组件2285和中央关节运动棒2286的组件。如可以在图38中最具体看到的那样，每个轴向通路由两个相反的弓形表面2295限定，这两个弓形表面2295便于侧向负荷载荷构件290在能够纵向运动的柔性击发梁组件2280上的运动。侧向载荷承载构件2290串联地布置在侧向击发带组件2285和中央关节运动棒2286上，使得相反的弓形端部2292邻接相邻侧向载荷承载构件2290的对应弓形端部2292。参见例如图36和图37。
再次参见图37，可以看出，近侧端部部分2288的中央关节运动棒2286向下延伸以附接到远侧脊2212。例如，击发梁组件2280的远侧端部2287附接到上述类型和结构的击发构件2900。如在该图中可见，击发构件2900包括在其上具有组织切割表面或刀片2904的垂直延伸的击发构件主体2902。此外，楔形滑动件2910可安装在外科钉仓2304内，以驱动与击发构件2900的接触。在朝远侧驱动击发构件2900通过仓体2304时，楔形滑动件2910的楔形表面2912接触钉驱动器，从而在钉仓2304中向上致动驱动器和支撑在其上的外科钉。击发梁组件2280以上述各种方式操作。当击发梁组件2280围绕关节运动关接头朝远侧推进时，侧向载荷承载构件2290可帮助抵抗击发梁组件2280上的弯曲载荷。侧向载荷承载构件2290还可以减少使端部执行器关节运动所需的力的量，并且与其它关节运动接头结构相比还可适应更大的关节运动角度。固定的中央击发梁支撑构件2286用于承载在关节运动和击发期间产生的张力载荷。
如上所述，击发梁组件包括层压梁结构，该层压梁结构包括至少两个梁层。当击发梁组件(在击发期间)朝远侧推进时，击发梁组件基本上被中央击发梁支撑构件分成两部分，使得击发梁组件的一部分(即，层压层)在中央击发梁支撑构件的两侧上通过。
图40至图43示出了附接到击发构件2900的另一个击发梁组件2280'的一部分。从那些图中可以看出，击发梁组件2280包括层压结构，该层压结构包括各自具有被指定为“a”的厚度的两个外层侧梁或层2282'，以及各自具有被指定为“b”的厚度的四个中心层2284'。例如，在至少一种结构中，“a”可以是大约0.005-0.008英寸，还更优选0.008英寸，并且“b”可以是大约0.008-0.012英寸，还更优选0.010英寸。然而，可采用其它厚度。在所示的示例中，“a”小于“b”。在其它结构中，“a”大于“b”。例如，在另选结构中，层压体可以由三种不同的厚度“a”、“b”、“c”组成，其中“a”＝0.006英寸，“b”＝0.008英寸，并且“c”＝0.010英寸(最厚的层压体或带在组件的中心)。在各种结构中，可能存在奇数个层压体或带，其中“c”是在中心处单层最厚的层压体。
层压体的组成有重大作用，因为施加到梁组件上的应变的量基于其厚度和距离弯曲中心线的距离。更靠近中心线的较厚层压体或带可能经历与离中心线更远的较薄层压体或带相同的应变水平，因为考虑到它们叠堆在一起的事实，它们必定更弯曲。曲线的离中心线更远的内侧上的曲率半径更大。给定相同的曲率半径，较厚的层压体或带倾向于比较薄的层压体经受更多的内部应力。因此，具有最小曲率半径的较薄侧面层压体或带可能具有与靠近中心线的较厚层相同的塑性变形可能性。换句话说，当端部执行器在一个方向上做关节运动时，远离关节运动方向定位的层压体或带具有最大的弯曲半径，最靠近关节运动方向的层压体或带具有最紧的弯曲半径。不过，当端部执行器在相反方向上做关节运动时，情况正好相反。层压体叠堆内部的层压体经历相同的偏离，但是它们的弯曲半径将始终落在外层层压体的范围内。因此，为了保持灵活性，可能需要将较薄的层压体定位在叠堆的外层上。但是，为了最大限度地提高刚度和抗弯曲性，内部较厚的材料会带来额外的好处。另选地，如果端部执行器只需要在单个方向上做关节运动，则远离关节运动方向定位的层压体或带将经历最大的弯曲半径，并且定位在关节运动方向上的层压体或带具有最紧的弯曲半径。不过，由于端部执行器并不在相反方向上做关节运动，反向情况不再成立，所以层压体叠堆不需要是对称的。因此，在这种结构中，希望最薄的层压体或带将是将经历最紧的弯曲半径的层压体或带(在关节运动方向一侧上的层压体或带)。
在其它结构中，层压体或带可以由具有不同强度和模量的不同金属制成。例如，外部层压体或带可以具有与内部层压体或带的厚度相同的厚度，其中内部层压体或带由300系列不锈钢制成，并且外部层压体或带由钛或镍钛诺制成。
如图42和图43中也可以看出，远侧击发梁组件2280'可以与上述的一系列侧向z载荷承载构件2290有效地一起使用。应当理解，远侧击发梁组件2280也可以上述方式与中央关节运动棒2286结合使用，使得它的一些层或侧梁(或带或层压体)沿着中央关节运动棒的侧面轴向推进。在一些实施方案中，在中央关节运动棒2286的每一侧上推进的层可具有相同的厚度、组成、形状和构型。在其它结构中，沿着中央关节运动棒的一侧通过的一个或多个层可以具有与沿着中央关节运动棒相反侧通过的一个或多个层的厚度和/或组成和/或形状不同的厚度和/或组成和/或形状，以便实现期望的行进范围和灵活性，同时保持期望的刚度量以避免在击发期间屈曲。
图44至图46示出了另一个细长轴组件3200的一部分，其包括上述类型和结构的外科端部执行器300。也可以采用其它形式的外科端部执行器。细长轴组件3200还包括附接到击发构件900的能够纵向运动的柔性击发梁组件3280。在另选结构中，击发梁组件3280的远侧端部可以被构造成能够在外科端部执行器内执行各种动作，而不需要附接击发构件。柔性击发梁组件3280可以包括本文所述的各种类型的层压梁结构。在一种结构中，采用至少两个压缩带，以在柔性击发梁组件3280横穿关节运动接头时为该击发梁组件提供侧向支撑。所示的实施方案采用总共四个压缩带，以在柔性击发梁横穿关节运动接头时为其提供侧向支撑。例如，细长轴组件3200还包括脊3210，该脊包括具有两个远侧腔或凹口3219的远侧端部3217，以及形成在其中的两个近侧腔或凹口3219'。一个远侧腔3219容纳位于所述柔性击发梁组件3280的一侧3281上的第一压缩带3900的第一近侧端部3904，另一个远端腔3219容纳位于柔性击发梁组件3280的另一侧3283上的第二压缩带3901的第二近侧端部3905。第一压缩带3900包括第一远侧端部3902，该第一远侧端部安装在外科端部执行器300的细长通道302的近侧端部320上形成的对应直立侧向支撑壁330内。相似地，第二压缩带3901包括第二远侧端部3907，该第二远侧端部也安装在外科端部执行器300的细长通道302的近侧端部320上形成的对应直立侧向支撑壁330内。第一远侧压缩带3900和第二远侧压缩带3901可以由弹簧钢等制造，并且近侧端部3904,3905可以U形方式折叠以形成偏压部分，该偏压部分被构造成能够如图所示可移动地接收在远端凹口3219内。这种结构允许第一远侧压缩带3900和第二远侧压缩带3901响应于外科端部执行器300的关节运动而弯曲，同时将近侧端部3904,3905保持在它们的相应远侧凹口3219内。
在图44至图46中也可以看出，细长轴组件3200还包括第三压缩带3910和第四压缩带3911。如同第一压缩带3900和第二压缩带3901一样，第三压缩带3910和第四压缩带3911可以由弹簧钢制成。如图44至图46中可看到的那样，第三压缩带3910可位于第一压缩带3900与柔性击发梁组件3280的侧面3281之间，并且第四压缩带3911可位于第二压缩带3901与柔性击发带组件3280的另一侧3283之间。第三压缩带3910的第三近侧端部3914以及第四压缩带3911的第四近侧端部3915可各自以U形方式折叠以形成可移动地接收在脊3210中的相应近侧腔3219'内的偏压部分。第三压缩带3910的第三远侧端部3912和第四压缩带3911的第四远侧端部3917安装在外科端部执行器300中的相应侧向支撑壁330中。
细长轴组件3200还包括可动支撑联接件组件3920，该支撑联接件组件用于当端部执行器300围绕关节运动轴线做关节运动时提供对柔性击发梁组件3280的进一步侧向支撑。如图44至图46中可看到的那样，可动支撑联接件组件3920包括可动地联接到外科端部执行器300以及细长轴组件3200的中间支撑构件3922。在一个实施方案中，中间支撑构件3922能够枢转地销接到细长通道302的远侧端部320。中间支撑构件3922还包括在其中具有细长近侧狭槽3928的朝近侧突出的突片3926。近侧狭槽3928被构造成能够可滑动地接收形成在脊3210上的中间支撑销3211。这种结构允许中间支撑构件3922与细长轴组件3200的脊3210之间的相对枢转和轴向移动，以便适应更大范围的关节运动，同时能够动态地移动，以便保持击发梁组件3280上足够的侧向支撑。如图44至图46中可看到的那样，中间支撑构件3922还包括居中设置的狭槽3930，其用于轴向接收穿过其中的击发梁组件3280。
如图44至图46中可进一步看到的那样，可动支撑联接件组件3920还包括细长的可动枢轴联接件3940。枢轴联接件3940包括中央主体部分3942，该中央主体部分具有朝近侧突出的近侧鼻部部分3943和朝远侧突出的远侧鼻部部分3944。枢轴联接件3940还包括第一向下突出的侧向支撑壁3945和第二向下突出的侧向支撑壁3946，这两个侧向支撑壁限定其间的梁槽3947。如图46中可看到的那样，击发梁组件3280被构造成能够在击发梁组件3280的致动和外科端部执行器300的关节运动期间在第一侧向支撑壁3945和第二侧向支撑壁3946之间延伸。此外，在所示的结构中，例如，第一压缩带3900在第一侧向支撑壁3945和第三压缩带3910之间延伸，并且第二压缩带3901在第二侧向支撑壁3946和第四压缩带3911之间延伸。第一侧向支撑壁3945包括面向内的第一弓形表面3948，并且第二侧向支撑壁3946包括面向内的第二弓形表面3949。第一弓形表面3948和第二弓形表面3949用于在端部执行器300做关节运动期间击发梁组件3280弯曲时为其提供侧向支撑。根据关节运动的方向和程度，圆角表面可匹配击发梁组件3280和压缩带3900,3901,3910,3911的外半径。如图44和图45中也可看到的那样，脊3210的远侧端部3217包括一对左右相反的轴凹口3218，枢轴联接件3940的朝近侧突出的倒圆近侧鼻部部分3943根据外科端部执行器围绕关节运动轴线做关节运动的方向延伸到该轴凹口中。相似地，左右相反的支撑凹口3932设置在中间支撑件3922中，以根据端部执行器做关节运动的方向容纳枢轴联接件3940的朝远侧突出的远侧鼻部部分3944。此类凹口结构用于在向枢轴联接件3940提供侧向支撑的同时，在适合于适应关节运动方向的取向上适当地对准枢轴联接件3940。
除了下文进一步详细讨论的各种差异之外，图47至图51示出了在一些方面与上述细长轴组件2200类似的另一细长轴组件4200。已在上文详细讨论的细长轴组件2200的那些部件将包含相似的元件标号，并且为了简洁起见，除了对于理解细长轴组件4200的操作可能有必要时，例如如上所述与手术器械10的一些部分一起使用时，将不再进一步详细讨论。如图47中可看到的那样，在至少一个示例中，细长轴组件4200包括关节运动锁2350。如上文详细讨论的，关节运动锁组件2350包括联接(例如，被销接)到第一远侧关节运动驱动器4370的近侧锁适配器2360。如图47和图50中可看到的那样，第一远侧关节运动驱动器4370包括第一近侧齿轮齿条段4371和形成在其远侧端部4372上的第一远侧齿轮齿条段4373。细长轴组件4200还包括第二远侧关节运动驱动器4380，该第二远侧关节运动驱动器包括第二近侧齿轮齿条段4381和形成在其远侧端部4382上的第二远侧齿轮齿条段4383。
第一远侧关节运动驱动器4370和第二远侧关节运动驱动器4380被构造成能够在近侧方向“PD”和远侧方向“DD”上相对于远侧脊组件4212轴向移动。如图50中可看到的那样，第一近侧齿轮齿条段4371和第二近侧齿轮齿条段4381与由远侧脊组件4212可旋转地支撑的近侧动力传送齿轮4390啮合接合。类似地，第一远侧齿轮齿条段4373和第二远侧齿轮齿条段4383与远侧动力传递齿轮组件4392啮合接合。具体地讲，在至少一种结构中，远侧动力传递齿轮组件4392包括与第一远侧齿轮齿条段4373和第二远侧齿轮齿条段4383啮合接合的小齿轮4393。远侧动力传递齿轮组件4392还包括被布置成与惰齿轮4395啮合接合的驱动齿轮4394。惰齿轮4395继而被支撑为与形成在外科端部执行器4300的细长通道4302的近侧端部部分4320上的从动齿轮4306啮合接合。另外，外科端部执行器4300可以类似于外科端部执行器2300，并且包括可以上述各种方式打开和闭合的砧座4310。参见图48、图49和图51，远侧脊组件4212可包括上部脊部分4212A和下部脊部分4212B。细长通道4302的远侧动力传递齿轮组件4392、惰齿轮4395和从动齿轮部分4306各自能够枢转地附接到或支撑在远侧脊组件4212的底部部分4212B上。
图47中所示的细长轴组件4200包括附接到击发构件(未示出)的击发梁组件3280。击发梁组件3280可以包括本文所述的类型的层压梁结构。上面详细描述了击发构件的操作，为了简洁起见，下文将不重复。如图47中也可看到的那样，采用了名称为“SURGICALINSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND MOVABLE FIRING BEAM SUPPORTARRANGEMENTS”的美国专利申请序列号14/575,117中公开的类型的击发梁支撑构件4400来在外科端部执行器4300的关节运动期间为击发梁组件3280提供支撑，该专利申请的全部公开内容据此以引用方式并入。图52示出了远侧击发梁组件2280在细长轴组件4200中的用途。在该图中可以看出，以上述方式采用多个侧向载荷承载构件2290来在外科端部执行器4300做关节运动时为远侧击发梁组件2280提供支撑。
除了下文进一步详细讨论的各种差异之外，图53至图58示出了在一些方面与上述细长轴组件2200类似的另一细长轴组件5200。已在上文相对于细长轴组件2200详细讨论的细长轴组件5200的那些部件用相似的元件标号来标识，并且为了简洁起见，除了对于理解细长轴组件5200的操作可能有必要时，例如如上所述与手术器械10的一些部分一起使用时，将不再进一步详细讨论。
类似于细长轴组件2200，所示的细长轴组件5200包括离合器组件2400，该离合器组件被构造成能够可操作地接合关节运动系统5600，该关节运动系统被构造成能够向与其可操作地联接的外科端部执行器300施加推拉关节运动。在该实施方案中，离合器组件2400包括围绕击发构件2220定位的锁定衬圈或锁定套管2402，其中锁定套管2402可在接合位置与脱离位置之间旋转，在所述接合位置，锁定套管2402将关节运动系统5600可操作地接合到击发构件2220，在所述脱离位置，关节运动系统5600没有可操作地联接到击发构件2220。具体参见图54至图56，在所示的示例中，关节运动系统5600包括被支撑用于在喷嘴201内旋转运动的关节运动盘或旋转构件5602。关节运动盘5602由驱动连接组件5610可旋转地驱动。在所示的实施例中，驱动连接组件5610包括附接到关节运动盘5602的驱动销5612。关节运动驱动联接件5614通过连接器5616可操作地附接到驱动销5612，所述连接器便于关节运动驱动联接件5614相对于驱动销5612的某种运动。参见图54至图56。关节运动驱动连杆5614包括驱动联接器5618，该驱动联接器被构造成能够驱动地接合锁定套管2402上的面向外的锁定构件2406。参见图53。
如上所述，锁定套管2402可包括圆柱形或至少基本上圆柱形的主体，该主体包括限定于其中、被构造成能够接收击发构件2220的纵向开孔2403。参见图53。锁定套管2402可包括沿直径相对的、面朝内的锁定突出2404和面朝外的锁定构件2406。锁定突出2404可被构造成能够与击发构件2220选择性地接合。更具体地讲，当锁定套管2402处于其接合位置时，锁定突出2404被定位在限定于击发构件2220中的驱动凹口2224内，使得远侧推力和/或近侧推力可从击发构件2220传递至锁定套管2402。当锁定套管2402处于其接合位置时，面向外的锁定构件2406被接收在图53所示的驱动联接器5618中的驱动凹口5619内，使得施加到锁定套管2402的远侧推力和/或近侧推力可传输至关节运动驱动联接件5614。实际上，当锁定套管2402处于其接合位置时，击发构件2220、锁定套管2402和关节运动驱动连杆5614将一起运动。另一方面，当锁定套管2402处于其脱离位置时，锁定突出2404可不定位在击发构件2220的驱动凹口2224内；并且因此，远侧推力和/或近侧推力可不从击发构件2220传递至锁定套管2402。相应地，驱动力“DF”可以不被施加到关节运动盘5602。在此类情况下，击发构件2220可相对于锁定套管2402和近侧关节运动驱动器2230朝近侧和/或朝远侧滑动。
同样如上所述，细长轴组件5200还可包括可旋转地接收在闭合管2260上的切换筒2500。参见图53。切换筒2500包括中空轴段2502，该中空轴段具有在其上形成的轴凸台2504，以用于将向外突出的致动销2410接收在其中。在各种情况下，致动销2410延伸进入设置在锁定套管2402中的纵向狭槽2401，以在锁定套管2402与关节运动驱动联接件5614接合时，利于该锁定套管做轴向运动。旋转扭簧2420被构造成能够接合切换筒2500上的凸台2504和喷嘴外壳201的一部分，以将偏压力施加到切换筒2500。如上所述，切换筒2500还可包括限定于其中的至少部分周边开口，所述开口可被构造成能够接收从喷嘴半部延伸的周边安装座，并且允许切换筒2500和喷嘴外壳201之间的相对旋转而不是相对平移。如上所述，切换筒2500的旋转最终将导致致动销2410和锁定套管2402在其接合位置和脱离位置之间的旋转。因此，实质上，喷嘴外壳201可用于以上述以及在美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)中更详细描述的各种方式来使关节运动系统5600与击发驱动系统操作地接合和脱离接合。
再次参见图53至图56，所示的示例的关节运动系统5600还包括“第一”或右关节运动连杆5620和“第二”或左关节运动连杆5640。第一关节运动连杆5620包括第一关节运动联接件5622，该第一关节运动联接件包括可动地接收在关节运动盘5602中的第一关节运动狭槽5604内的第一关节运动销5624。第一关节运动联接件5622可动地销接到第一关节运动连接器5626，该第一关节运动连接器被构造成能够接合关节运动锁2350。如上所述，关节运动锁2350可被构造成能够并操作以选择性地将外科端部执行器300锁定就位。当关节运动锁2350处于其解锁状态时，这种结构使外科端部执行器300能够相对于轴闭合管2260旋转或做关节运动。当关节运动驱动联接件5614经由离合器系统2400与击发构件2220操作地接合时，除上述之外，击发构件2220可使关节运动盘6502旋转以使第一关节运动连杆5620朝近侧和/或朝远侧运动。第一关节运动连杆5620的第一关节运动连接器5626的运动，无论其为近侧或远侧，可解锁关节运动锁2350，如上所述。近侧锁适配器2360包括用于在其中接收第一锁定元件2364和第二锁定元件2366的锁定腔2362，第一锁定元件和第二锁定元件轴颈连接在于近侧框架2210和远侧框架之间延伸的框架导轨上。关节运动锁2350的操作以上述各种方式操作，并且为了简洁起见，在此不再进一步讨论。如图53中可看到的那样，第一远侧关节运动驱动器5370附接到近侧锁适配器2360。第一远侧关节运动驱动器5370可操作地附接到外科端部执行器300的细长通道302的近侧端部320。
如上所述，所示的实施例的关节运动系统5600还包括“第二”或左关节运动连杆5640。如图54至图56中可看到的那样，第二关节运动连杆5640包括第二关节运动联接件5642，该第二关节运动联接件包括可动地接收在关节运动盘5602中的第二关节运动狭槽5606内的第二关节运动销5644。第二关节运动联接件5642被销接到附接到外科端部执行器300的细长通道302的近侧端部320的第二关节运动棒5646。参见图54，关节运动系统5600还包括被接收在第一关节运动狭槽5604内的第一关节运动偏压构件5628和被接收在第二关节运动狭槽5606内的第二关节运动偏压构件5648。图54示出了处于中间或非关节运动构型的关节运动系统5600。在该图中可以看出，第一关节运动销5624与第一关节运动偏压构件5628接触，并且第二关节运动销5644与第二关节运动偏压构件5648接触。然而，当处于该中间位置时，第一关节运动偏压构件5628和第二关节运动偏压构件5648可以不处于压缩状态。图55示出了由关节运动驱动联接件5614以上述方式在近侧方向“PD”上将驱动力“DF”施加到关节运动盘5602。在近侧方向PD上施加驱动力DF导致关节运动盘5602沿箭头5601表示的旋转方向旋转。当关节运动盘5602在旋转方向5601上旋转时，第二关节运动狭槽的端部接触第二关节运动销5644，并向第二关节运动连杆5640施加推力并且最终施加到第二关节运动棒5646。相反地，第一关节运动偏压构件5628在第一关节运动狭槽5604内在箭头5601的方向上推动第一关节运动销5624，使得在近侧方向“PD”上将拉力施加到第一关节运动连杆5620。该近侧拉力通过关节运动锁2350传递到第一远侧关节运动驱动器5370。施加到外科端部执行器的这种“推动和牵拉运动”致使外科端部执行器300在由箭头5300表示的方向上围绕关节运动轴线做关节运动。参见图53。当关节运动盘5602处于图55所示的位置时，第二关节运动偏压构件5648可以处于压缩状态，并且第一关节运动偏压构件可以不被压缩。因此，当将驱动力DF施加到关节运动驱动联接件5614的操作中断时，第二关节运动偏压构件5648可以将关节运动盘5602偏压回到例如图54所示的中间位置。
相反地，当如图56所示，将驱动力“DF”在远侧方向“DD”上施加到关节运动驱动联接件5614时，关节运动盘5602在由箭头5603表示的旋转方向上旋转。当关节运动盘5602在旋转方向5603上旋转时，第一关节运动狭槽5604的端部接触第一关节运动销5624，并向第一关节运动连杆5620施加推力并且最终通过关节运动锁2350施加到第一远侧关节运动驱动器5370。此外，第二关节运动偏压构件5648在第二关节运动狭槽5606内在箭头5603的方向上推动第二关节运动销5644，使得在近侧方向“PD”上将拉力施加到第二关节运动连杆5640。该近侧拉力被传递到第二关节运动棒5646。施加到外科端部执行器300的这种“推动和牵拉运动”致使外科端部执行器300在由箭头5302表示的方向上围绕关节运动轴线做关节运动。参见图53。当关节运动盘5602处于图56所示的位置时，第一关节运动偏压构件5628可以处于压缩状态，并且第二关节运动偏压构件5648可以不被压缩。因此，当将驱动力DF施加到关节运动驱动联接件5614的操作中断时，第一关节运动偏压构件5628可以将关节运动盘5602偏压回到例如图54所示的中间位置。
图57示出了轴框架812的远侧端部部分814与可操作地联接到细长轴组件5200的外科端部执行器300的附接。如上所述，远侧端部部分814具有其上的向下突出的枢轴销(未示出)，该枢轴销能够枢转地接收在形成于细长通道302的近侧端部部分320中的枢轴孔(未示出)内。这种结构便于细长通道302围绕由该枢轴孔限定的关节运动轴线B-B相对于轴框架812枢转行进。如图57中也可看到的那样，第一远侧关节运动驱动器5370由第一球接头852附接到第一联接器850。第一联接器850也可以通过第一销854能够枢转地销接到细长通道302的近侧端部部分320，如图57中可看到的那样。相似地，第二关节运动棒5646由第二球接头872附接到第二联接器870。第二联接器870也可以通过第二销874能够枢转地销接到细长通道302的近侧端部部分320，如图57中可看到的那样。
参见图53和图58，细长轴组件5200还可以包括附接到上述类型的击发构件900的击发梁组件2280。击发梁组件2280附接到击发构件2220并且可以上述的各种方式轴向推进和缩回。细长轴组件5200还可以包括多支撑联接件组件920，用于在外科端部执行器300围绕关节运动轴线B-B进行关节运动时向远侧击发梁2280提供侧向支撑。如图58中可看到的那样，多支撑联接件组件920包括中间支撑构件922，该中间支撑构件以上述方式能够枢转地销接到细长通道302的近侧端部320。中间支撑构件922还包括居中设置的狭槽930，用于轴向地接收穿过其中的远侧击发梁2280。多支撑联接件组件920还包括近侧支撑联接件940和远侧支撑联接件950。近侧支撑联接件940包括主体部分942，该主体部分具有倒圆的近侧端部943和倒圆的远侧端部944。近侧支撑联接件940还包括一对向下突出的侧支撑壁945，这对侧向支撑壁在其间限定有近侧狭槽。相似地，远侧支撑联接件950包括主体部分952，该主体部分具有倒圆的近侧端部953和倒圆的远侧端部954。远侧支撑联接件950还包括一对向下突出的侧支撑壁955，这对侧向支撑壁在其间限定有近侧狭槽。如图58中可看到的那样，远侧击发梁2280被构造成能够在近侧支撑联接件940的侧向支撑壁945与远侧支撑联接件950的侧向支撑壁955之间延伸。每个支撑壁945和955包括面向内的弓形表面，如上所述。支撑表面用于在外科端部执行器300做关节运动期间远侧击发梁2280弯曲时为该击发梁提供侧向支撑。另外，闭合管组件2260可以包括上述类型的被构造成能够与外科端部执行器300上的砧座可操作地相互作用的双枢轴闭合套管组件。闭合管组件2260的操作导致以上述各种方式打开和闭合该外科执行器的砧座。
除了下文讨论的差异之外，图59示出了与细长轴组件5200基本类似的另一细长轴组件5700的一部分。具体地讲，关节运动系统5701的关节运动盘5702由可操作地支撑在喷嘴外壳201中的蜗轮马达5710旋转。例如，在一个实施方案中，从动齿轮5703整体形成或以其它方式不可动地附接到关节运动盘5702，使得其与马达5710的蜗轮驱动器5712啮合接合。在所示的示例中，第一关节运动杆或构件5720可以本文所述的各种方式中的任何一种直接附接到外科端部执行器的一部分。第一关节运动销5722附接到第一关节运动杆5720并且接收在关节运动盘5702中形成的弓形第一关节运动狭槽5704内。第一关节运动偏压构件5705被容纳在第一关节运动狭槽5704内，用于偏压与第一关节运动销5722的接触。同样，第二关节运动杆或构件5730可以本文所述的各种方式中的任何一种直接或间接地附接到外科端部执行器的一部分。第二关节运动销5732附接到第二关节运动杆5730并且接收在关节运动盘5702中形成的弓形第二关节运动狭槽5706内。第二关节运动偏压构件5707被接收在第二关节运动狭槽5706内，用于偏压与第二关节运动销5732的接触。
图59示出了处于中间或非关节运动构型的关节运动系统5701。在该图中可以看出，第一关节运动销5722与第一关节运动偏压构件5705接触，并且第二关节运动销5732与第二关节运动偏压构件5707接触。然而，当处于该中间位置时，第一关节运动偏压构件5705和第二关节运动偏压构件5707可以不处于压缩状态。马达5710的致动使关节运动盘5702在箭头5601所示的旋转方向上旋转，这将向第一关节运动杆5720施加牵拉运动以使第一关节运动杆5720沿近侧方向“PD”运动，以及向第二关节运动杆5730施加推动运动以使第二关节运动杆5730沿远侧方向“DD”运动。相反，马达5710的致动使关节运动盘5702在箭头5603所示的旋转方向上旋转，这将向第一关节运动杆5720施加推动运动以使第一关节运动杆5720沿远侧方向“DD”运动，以及向第二关节运动杆5730施加牵拉运动以使第二关节运动杆5730沿近侧方向“PD”运动。施加到外科端部执行器的这种“推动和牵拉运动”致使外科端部执行器以上述各种方式围绕关节运动轴线做关节运动。
图60至图65示出了可以与本文所述的各种细长轴组件和执行器结构一起使用的另一个关节运动系统5800。然而，在该实施方案中，关节运动系统5800包括双关节运动盘组件5810，该双关节运动盘组件包括驱动器关节运动盘5820和从动关节运动盘5830。例如，两个关节运动盘5820,5830可以被可旋转地支撑在细长轴组件的喷嘴外壳内，使得两个盘5820,5830都能够围绕公共轴线独立地旋转。在各种实施方案中，可以通过如上所述的关节运动驱动联接件5614和击发构件结构2220将驱动运动施加到驱动器关节运动盘5820。在其它实施方案中，可以上述方式通过蜗轮马达5710将旋转驱动运动施加到驱动器关节运动盘5820。
图61示出了驱动器盘5820的一种形式。从该图可以看出，驱动器盘5820包括各自具有第一弓形长度“FL”的第一对第一弓形关节运动狭槽5822L,5822R。另外，驱动器关节运动盘5820还包括居中地设置在第一关节运动狭槽5822之间的驱动器狭槽5824，如图61中可看到的那样。根据用于驱动驱动器关节运动盘5820的方法，关节运动驱动联接件5614或蜗轮马达5710可以上述各种方式与驱动器关节运动盘5820交接，以向驱动器关节运动盘5820施加旋转运动。图62示出了从动关节运动盘5830的一种形式。从该图可以看出，从动关节运动盘5830包括各自具有小于第一弓形长度“FL”的第二弓形长度“SL”的第二对第二弓形关节运动狭槽5832L,5832R。另外，从动关节运动盘5830还包括被构造成能够可动地容纳在驱动器狭槽5824内的驱动器柱5834。
现在参见图60和图63至图65，关节运动系统5800还包括可以本文所述的各种方式中的任何一种直接或间接地附接到外科端部执行器的一部分的第一关节运动杆5840。第一关节运动销5842附接到第一关节运动杆5720并且接收在对应的第一弓形关节运动狭槽5822L和第二弓形关节运动狭槽5832L内。同样，第二关节运动杆或构件5850可以本文所述的各种方式中的任何一种直接附接到相同外科端部执行器的一部分。第二关节运动销5852附接到第二关节运动杆5850并且接收在对应的第一弓形关节运动狭槽5822R和第二弓形关节运动狭槽5832R内。图60示出了处于零点位置的关节运动系统5800，在该位置，外科端部执行器可以自由运动。图63示出了当在箭头5860表示的方向上向驱动器关节运动盘5820初始施加旋转运动时，关节运动系统5800的位置。从该图可以看出，在驱动器关节运动盘5820初始旋转时，关节运动狭槽5822L,5832L彼此偏移并且关节运动狭槽5822R,5832R彼此偏移，但是还没有运动被传送到关节运动杆5840,5850。图64示出了当在箭头5860的方向上继续向驱动器关节运动盘5820施加足以导致例如外科端部执行器相对于轴轴线75度关节运动的旋转运动时，关节运动系统5800的位置。从该图可以看出，推动运动被施加到第一关节运动杆5840以使第一关节运动杆5840沿远侧方向“DD”轴向运动，并且牵拉运动被施加到第二关节运动杆5850以使第二关节运动杆5850沿近侧方向“PD”轴向运动。第一关节运动杆5840和第二关节运动杆5850沿相反方向的运动导致与其可操作地交接的外科端部执行器的关节运动。图65示出了当在箭头5862表示的相反方向上向驱动器关节运动盘5820施加足以导致例如外科端部执行器在相反关节运动方向上相对于轴轴线75度关节运动的旋转运动时，关节运动系统5800的位置。从该图可以看出，推动运动被施加到第二关节运动杆5850以使第二关节运动杆5850沿远侧方向“DD”轴向运动，并且牵拉运动被施加到第一关节运动杆5840以使第一关节运动杆5840沿近侧方向“PD”轴向运动。第一关节运动杆5840和第二关节运动杆5850的这种相反运动导致可操作地附接到它的外科端部执行器做关节运动。在一种构型中，第一关节运动杆5840可以仅当关节运动驱动盘5820已经旋转足够的距离以达到七十五度的关节运动范围时，才向外科端部执行器施加拉力。
图66至图70示出了外科端部执行器6300，其包括可相对于轴轴线SA-SA同时在打开位置和闭合位置之间移动的第一钳口和第二钳口。在不脱离本发明的精神和范围的情况下，第一钳口和第二钳口可以包括各种外科钳口结构。利用外科端部执行器的钳口进入目标组织有时可能具有挑战性。如果钳口相对于彼此支撑的点与最近侧钉位置之间的距离最小化，则可以增强外科端部执行器，特别是被构造成能够切割和缝合组织的外科端部执行器的可操纵性。例如，那些仅采用一个活动钳口(即，其中一个钳口相对于轴轴线固定)的外科手术端部执行器可能需要一个活动钳口具有相对较大的行进范围以容纳目标组织。这种较大的行进范围可能导致使用端部执行器来有利于定位目标组织的过程复杂化。外科端部执行器6300采用相对于彼此和围绕共同的枢转轴线的轴轴线运动的第一钳口和第二钳口。例如，与仅采用一个活动钳口的某些外科端部执行器上的相同距离相比，这种结构能够缩短枢转轴线与最近侧钉位置之间的距离。
在所示的示例中，第一钳口6310包括被构造成能够在其中支撑外科钉仓6320的细长通道6312。如图70中可看到的那样，外科钉仓6320被构造成能够在其中可操作地支撑多个钉驱动器6322，所述多个钉驱动器在其上可操作地支撑外科钉6324。钉驱动器6322可动地支撑在形成于外科钉仓6320中的对应驱动器狭槽6321内。钉驱动器6322通过仓盘6330保持在其相应的驱动器狭槽6321内，该仓盘夹到或以其它方式附接到外科钉仓6320。钉驱动器6322在外科钉仓6320中的细长狭槽6326的每一侧上布置成行，以适应击发构件6340从中轴向通过。楔形滑动件6350可动地支撑在外科钉仓6320内，并且被构造成能够在击发构件6340从与外科钉仓6320的近侧端部相邻的起始位置和在外科钉仓6320的远侧部分内的结束位置被驱动时，由击发构件6340驱动接合。如上所述，当楔形滑动件6350沿远侧方向被驱动通过外科钉仓6320时，楔形滑动件6350驱动地接触钉驱动器6322以将它们朝向仓平台表面6323驱动。击发构件6340包括组织切割表面6346，当击发构件6340被朝远侧驱动时，该组织切割表面用于切割夹在钳口之间的组织。本文所述的各种类型的远侧击发梁(未示出)可操作地附接到击发构件6340以及中间击发轴部分2222或其它击发系统结构。中间击发轴部分2222驱动和缩回远侧击发梁的操作在上文已经详细讨论过，为了简明起见，将不再重复。在不脱离本发明的精神和范围的情况下，也可以使用其它的击发梁和击发系统结构(马达驱动的以及手动驱动的)来为击发构件提供动力。
所示的外科端部执行器6300还被构造用于围绕基本上横向于轴轴线SA-SA的关节运动轴线B-B进行选择性关节运动。如图66至图70中可看到的那样，外科端部执行器6300包括端部执行器安装组件6390，其能够枢转地安装到例如远侧轴框架(未示出)，该远侧轴框架包括被构造成能够可旋转地接收在端部执行器安装组件6390中的安装孔6392内的枢轴销。外科端部执行器6300可通过上述类型的关节运动锁以及第一和第二关节运动杆结构来进行关节运动。如图70中可看到的那样，端部执行器安装组件6390还包括一对相反的侧向延伸的耳轴销6394。耳轴销6394从端部执行器安装组件6390的相反侧面6391侧向延伸，该相反侧面还限定凹坑区域6395，该凹坑区域被构造成能够在其中接收击发构件6340。耳轴销6394用于限定枢转轴线PA-PA，第一钳口6310和第二钳口6360可围绕该枢转轴线枢转。第一钳口6310或细长通道6312的近侧端部6314包括一对相反的U形或端部开口狭槽6316，其能够在其中接收耳轴销6394中对应的一者。这种结构用于将第一钳口6310可动地或能够枢转地轴颈连接到端部执行器安装组件6390。
所示的外科端部执行器6300还包括第二钳口6360，该第二钳口可包括砧座6362。所示的砧座6362包括砧座主体6364，该砧座主体包括细长狭槽6366和在其每一侧上形成的两个钉成形表面6368。砧座6362还具有近侧端部部分6370，该近侧端部部分具有一对U形或端部开口的狭槽6372，该狭槽也能够在其中接收耳轴销6394中对应的一者。这种结构用于将第二钳口6360可动地或能够枢转地轴颈连接到端部执行器安装组件6390，使得第一钳口和第二钳口可以相对于彼此以及相对于轴轴线SA-SA移动。第一钳口6310和第二钳口6360可由本文公开的各种类型的闭合系统可动地致动。例如，本文所述类型的第一闭合驱动系统可用于以上述方式致动闭合管。闭合管也可附接到端部执行器闭合套管6272，该端部执行器闭合套管可以上述方式通过双枢轴闭合套管组件能够枢转地附接到闭合管。如上所述，例如，闭合管的轴向运动可通过致动闭合触发器32来控制。如图67至图69中可看到的那样，端部执行器闭合套管6272在端部执行器安装组件6390上方延伸，并且被构造成能够接合第二钳口6360的近侧端部6370以及第一钳口6310的近侧端部6314。至少一个凸轮表面6336可形成在第一钳口6310的近侧端部6314上，使得当端部执行器闭合套管6272的远侧端部6274接触凸轮表面6336时，第一钳口6310朝向第二钳口和轴轴线SA-SA进行凸轮运动。同样，一个或多个凸轮表面6376可形成在第二钳口6360的近侧端部部分6370上，使得当由端部执行器闭合套管6272的远侧端部6274接触时，第二钳口6360朝向第一钳口6310和轴轴线SA-SA移动。凸轮表面6336，6376可以相对于彼此构造和定位，使得第一钳口和第二钳口以相对于彼此不同的“闭合速率”或闭合时间闭合。一个这种结构如图68所示。如图68中可看到的那样，当第一钳口和第二钳口处于其相应的完全打开位置时，沿第一钳口6310上的点P1和第二钳口6360上对应的点P2之间的弓形路径的距离由DT表示。第一点P1和第二点P2被称为彼此“对应”。例如，第一点P1和第二点P2可各自位于在两点间延伸并与轴轴线SA-SA垂直的公共线或轴线上。沿第一钳口6310上的另一点PA和轴轴线SA-SA之间的弓形路径的距离由D1表示，并且沿第二钳口上的另一个对应点PB和轴轴线SA-SA之间的另一个弓形路径的距离由D2表示。点PA和点PB也被称为彼此对应。例如，点PA和点PB可位于在两点间延伸并与轴轴线SA-SA垂直的公共线或轴线上。在所示的结构中，D2第二钳口6360或砧座6362从完全打开位置移动到其中砧座6362的钉成形表面沿着轴轴线SA-SA布置的闭合位置的距离大于D1第一钳口6310或外科钉仓6320从完全打开位置移动到其中仓平台表面沿着轴轴线SA-SA布置的闭合位置的距离。例如，在至少一种结构中，第二钳口或砧座将打开或移动距离DT(或沿钳口之间的另一行进路径的另一距离)的2/3，并且第一钳口或钉仓将打开或移动距离DT(或沿钳口之间的另一行进路径的其它距离)的1/3，使得实质上，一个钳口达到其完全闭合位置比另一个钳口达到其完全闭合位置更快，即使最初在相同或相似的时间向两个钳口施加一个或多个闭合运动。例如，在不脱离本发明的该实施方案的精神和范围的情况下，可以将第一钳口和第二钳口上的凸轮表面布置/构造成能够获得不同的钳口移动比率/速率。开放型弹簧6380(图70)可定位在第一钳口6310的近侧端部6314和第二钳口6360的近侧端部6370之间，以在端部执行器闭合套管6272定位在开始位置或未被致动位置时将第一钳口6310和第二钳口6360偏压到打开位置。参见图67至图69。
为了将第一钳口6310和第二钳口6360移动到闭合位置(图66)，临床医生致动闭合系统以沿远侧方向“DD”移动端部执行器闭合套管6272，使其同时接触第一钳口6310的近侧端部6314上的一个或多个凸轮表面6336和第二钳口6360的近侧端部6370上的一个或多个凸轮表面6376，从而将第一钳口6310和第二钳口6360朝向彼此(以及轴轴线SA-SA)偏压到图66所示的位置。当端部执行器闭合套管6272被保持在该位置时，第一钳口6310和第二钳口6360被保持在所述闭合位置。然后，击发系统可被致动以将击发构件6340朝远侧轴向推进穿过外科端部执行器6300。如图70中可看到的那样，击发构件6340可具有被构造成能够可滑动地接合砧座6362的开槽通路6374的支脚部分6342和能够可滑动地接收在细长通道6312中的开槽通路6318内的顶部突片部分6344。参见图69。因此，这种击发构件结构用于在击发构件的击发期间(即，在钉的击发和夹在第一钳口6310和第二钳口6360之间的组织的切割期间)以所需的间距布置正向保持第一钳口6310和第二钳口6360。第一钳口盖6315可移除地附接到细长通道6312，并且第二钳口盖6363可移除地附接到砧座6362，以用于组装目的，以及防止组织和/或体液渗入第一钳口和第二钳口，而这可能阻碍或妨碍击发构件6340的操作。
图71示出了与外科端部执行器6300相似的另一外科端部执行器6300'。如该图中可看到的那样，外科端部执行器6300'包括两个钳口，这两个钳口可相对于轴轴线SA-SA同时在打开位置和闭合位置之间移动。在所示的示例中，第一钳口6310’包括细长通道6312’，该细长通道被构造成能够在其中支撑外科钉仓6320’。外科钉仓6320'被构造成能够在其中可操作地支撑多个钉驱动器6322，所述钉驱动器在其上可操作地支撑手术钉6324。钉驱动器6322可动地支撑在形成于外科钉仓6320'中的对应驱动器凹坑6321'内。钉驱动器6322通过仓盘6330'保持在其相应的驱动器凹坑6321'内，该仓盘夹到或以其它方式附接到外科钉仓6320'。钉驱动器6322在外科钉仓6320中的细长狭槽6326'的每一侧上布置成行，以适应击发构件6340'从中轴向通过。楔形滑动件6350'可动地支撑在外科钉仓6320'内，并且被构造成能够在击发构件6340'从与外科钉仓6320'的近侧端部相邻的起始位置和在外科钉仓6320'的远侧部分内的结束位置被驱动时，由击发构件6340'驱动接合。如上所述，当楔形滑动件6350'沿远侧方向被驱动通过外科钉仓6320'时，楔形滑动件6350'驱动地接触钉驱动器6322以将它们朝向仓平台表面6323'驱动。击发构件6340'包括组织切割表面6346'，当击发构件6340被朝远侧驱动时，该组织切割表面用于切割夹在钳口之间的组织。本文所述的各种类型的远侧击发梁(未示出)可操作地附接到击发构件6340'以及中间击发轴部分2222或其它击发系统结构。中间击发轴部分2222驱动和缩回远侧击发梁的操作在上文已经详细讨论过，为了简明起见，将不再重复。在不脱离本发明的精神和范围的情况下，也可以使用其它的击发梁和击发系统结构(马达驱动的以及手动驱动的)来为击发构件提供动力。
所示的外科端部执行器6300’还被构造用于围绕基本上横向于轴轴线SA-SA的关节运动轴线B-B进行选择性关节运动。端部执行器6300'包括端部执行器安装组件6390'，该端部执行器安装组件能够枢转地安装到例如远侧轴框架，该远侧轴框架包括被构造成能够可旋转地接收在端部执行器安装组件6390’中的安装孔6392’内的枢轴销。外科端部执行器6300’可通过上述类型的关节运动锁以及第一和第二关节运动杆结构来进行关节运动。如图71中可看到的那样，端部执行器安装组件6390’还包括一对相反的侧向延伸的耳轴销6394’。耳轴销6394’从端部执行器安装组件6390’的相反侧面6391’侧向延伸，该相反侧面还限定凹坑区域6395’，该凹坑区域被构造成能够在其中接收击发构件6340’。耳轴销6394’用于限定枢转轴线PA-PA，第一钳口6310’和第二钳口6360’可围绕该枢转轴线枢转。第一钳口6310’或细长通道6312’的近侧端部6314’包括一对相反的U形或端部开口的狭槽6316’，其能够在其中接收耳轴销6394’中对应的一者。这种结构用于将第一钳口6310’可动地或能够枢转地轴颈连接到端部执行器安装组件6390’。
所示的外科端部执行器6300’还包括第二钳口6360’，该第二钳口可包括砧座6362’。所示的砧座6362’包括砧座主体6364’，该砧座主体包括细长狭槽6366’和在其每一侧上形成的两个钉成形表面。砧座6362’还具有近侧端部部分6370’，该近侧端部部分具有一对U形或端部开口的狭槽6372’，该狭槽也能够在其中接收耳轴销6394’中对应的一者。这种结构用于将第二钳口6360’可动地或能够枢转地轴颈连接到端部执行器安装组件6390’。第一钳口6310’和第二钳口6360’由本文公开的各种类型的闭合系统可动地致动。例如，第一闭合驱动系统30可用于以本文所述的方式致动闭合管260。闭合管260也可附接到端部执行器闭合套管6272，该端部执行器闭合套管可以上述方式通过双枢轴闭合套管组件271能够枢转地附接到闭合管260。如上所述，例如，闭合管260的轴向运动可通过致动闭合触发器32来控制。端部执行器闭合套管6272在端部执行器安装组件6390’上方延伸，并且被构造成能够接合第二钳口6360’的近侧端部6370’以及第一钳口6310’的近侧端部6314’。至少一个凸轮表面6336’可形成在第一钳口6310’的近侧端部6314’上，使得当端部执行器闭合套管6272的远侧端部6274接触凸轮表面6336’时，第一钳口6310’朝向第二钳口6360’和轴轴线SA-SA进行凸轮运动。同样，一个或多个凸轮表面6376’可形成在第二钳口6360’的近侧端部部分6370’上，使得当由端部执行器闭合套管6272的远侧端部6274接触时，第二钳口6360’朝向第一钳口6310’和轴轴线SA-SA移动。弹簧(未示出)可定位在第一钳口6310’的近侧端部6314’和第二钳口6360’的近侧端部6370’之间，以在端部执行器闭合套管6272定位在开始位置或未被致动位置时将第一钳口6310’和第二钳口6360’偏压到打开位置。
为了将第一钳口6310’和第二钳口6360’移动到闭合位置，临床医生致动闭合系统以沿远侧方向“DD”移动端部执行器闭合套管6272，使其同时接触第一钳口6310’的近侧端部6314’上的一个或多个凸轮表面6336’和第二钳口6360’的近侧端部6370’上的一个或多个凸轮表面6376’，从而将第一钳口6310’和第二钳口6360’朝向彼此(以及轴轴线SA-SA)偏压。当端部执行器闭合套管6272被保持在该位置时，第一钳口6310’和第二钳口6360’被保持在所述闭合位置。然后，击发系统可被致动以将击发构件6340’朝远侧轴向推进穿过外科端部执行器6300’。击发构件6340’可具有被构造成能够可滑动地接合砧座6362’的开槽通路6374’的顶部突片部分6344’和能够可滑动地接收在细长通道6312’中的开槽通路内的底座部分6342’。因此，这种击发构件结构用于在击发构件的击发期间(即，在钉的击发和夹在第一钳口6310’和第二钳口6360’之间的组织的切割期间)以所需的间距布置正向保持第一钳口6310’和第二钳口6360’。第一钳口盖6315’可移除地附接到细长通道6312’，并且第二钳口盖6363’可移除地附接到砧座6362’，以用于组装目的，以及防止组织和/或体液渗入第一钳口和第二钳口，而这可能阻碍或妨碍击发构件6340’的操作。
本文所述的外科端部执行器实施方案采用既相对于彼此又相对于轴轴线移动的钳口可提供优于其它外科端部执行器结构的各种优点，其中钳口之一是固定的并且不会移动，例如相对于轴轴线移动。在这种结构中，通常期望活动钳口相对于固定钳口具有相对较大的移动范围，使得目标组织能够被操纵、定位并随后夹持在两个钳口之间。在两个钳口均可移动的实施方案中，每个钳口不需要大范围的运动来适应目标组织在钳口之间的操纵、定位和夹持。例如，砧座的这种减少的移动可提供改进的组织定位。这种结构还可使枢转轴线和第一钉位置之间的距离能够被最小化。另外，即使在打开动作和闭合动作期间，击发构件也可以始终保持与活动钳口(砧座和细长通道)接合。
图72至图79示出了另一种外科端部执行器6400，其被构造成能够可操作地附接到本文所述类型的细长轴组件，其限定了轴轴线SA-SA。外科端部执行器6400包括两个钳口，这两个钳口可相对于轴轴线SA-SA同时在打开位置和闭合位置之间移动。第一钳口和第二钳口可包括各种不同的外科相关的钳口结构。在所示的示例中，第一钳口6410包括被构造成能够在其中支撑外科钉仓6420的细长通道6412。如同在上文讨论的各种外科钉仓中一样，外科钉仓6420被构造成能够可操作地在其中支撑多个钉驱动器(未示出)，所述多个钉驱动器在其上可操作地支撑外科钉(未示出)。钉驱动器可动地支撑在形成于外科钉仓6420中的对应驱动器凹坑内。钉驱动器在外科钉仓6420中的细长狭槽(未示出)的每一侧上布置成行，以适应击发构件6440从中轴向通过。楔形滑动件(未示出)可动地支撑在外科钉仓6420内，并且被构造成能够在击发构件6440从与外科钉仓6420的近侧端部相邻的起始位置和在外科钉仓6420的远侧部分内的结束位置被驱动时，由击发构件6440驱动接合。如上所述，当楔形滑动件沿远侧方向被驱动通过外科钉仓6420时，该楔形滑动件驱动地接触钉驱动器以将它们朝向仓平台表面(未示出)驱动。击发构件6440包括组织切割表面6446，当击发构件6440被朝远侧驱动时，该组织切割表面用于切割夹在钳口之间的组织。本文所述的各种类型的远侧击发梁(未示出)可操作地附接到击发构件6440以及中间击发轴部分2222或其它击发系统结构。中间击发轴部分2222驱动和缩回远侧击发梁的操作在上文已经详细讨论过，为了简明起见，将不再重复。在不脱离本发明的精神和范围的情况下，也可以使用其它的击发梁和击发系统结构(马达驱动的以及手动驱动的)来为击发构件提供动力。
所示的外科端部执行器6400还被构造用于围绕基本上横向于轴轴线SA-SA的关节运动轴线B-B进行选择性关节运动。如图72至图79中可看到的那样，外科端部执行器6400包括端部执行器安装组件6490，其能够枢转地安装到例如远侧轴框架，该远侧轴框架包括被构造成能够可旋转地接收在端部执行器安装组件6490中的安装孔6492内的枢轴销。外科端部执行器6400可通过上述类型的关节运动锁以及第一和第二关节运动杆结构来进行关节运动。如图74中可看到的那样，一对凸轮板6500例如通过弹簧销6502不可动地附接到端部执行器安装组件6490。如图74中可进一步看到的那样，每个凸轮板6500具有凸轮槽6504，该凸轮槽具有闭合楔形部分6505和打开楔形部分6507。闭合楔形部分6505由两个相反的闭合的凸轮表面6506形成，并且打开楔形部分6507由两个相反的打开凸轮表面6508形成。细长通道6412包括两个朝近侧延伸的致动器臂6416，每个致动器臂具有从其侧向突出的打开耳轴销6418和闭合耳轴销6419。打开耳轴销6418和闭合耳轴销6419被对应凸轮板6500的凸轮槽6504接收。这种结构用于将第一钳口6410可动地或能够枢转地轴颈连接到端部执行器安装组件6490。
所示的外科端部执行器6400还包括第二钳口6460，该第二钳口可包括砧座6462。所示的砧座6462包括砧座主体6464，该砧座主体包括细长狭槽6466和在其每一侧上形成的两个钉成形表面6468。砧座6462还具有近侧端部部分6470，该近侧端部部分包括从其突出的两个朝近侧延伸的致动器臂6472。每个致动器臂6472具有从其侧向突出的打开耳轴销6474和闭合耳轴销6476，所述打开耳轴销和闭合耳轴销也接收在对应凸轮板6500的凸轮槽6504中。这种结构用于将第二钳口6460可动地或能够枢转地轴颈连接到端部执行器安装组件6490。
第一钳口6410和第二钳口6460由本文公开的各种类型的闭合系统可动地致动。例如，第一闭合驱动系统30可用于以本文所述的方式致动闭合管。闭合管260也可附接到端部执行器闭合套管6572，该端部执行器闭合套管可以上述方式通过双枢轴闭合套管组件能够枢转地附接到闭合管。如上所述，例如，闭合管的轴向运动可通过致动闭合触发器来控制。如图77和图78中可看到的那样，端部执行器闭合套管6572在端部执行器安装组件6490以及第一钳口6410的致动器臂6416和第二钳口6460的致动器臂6472上方延伸。当将闭合套管6572朝远侧推进时，闭合套管6572的远侧端部6574接触第一钳口6410的近侧端部6411和第二钳口6460的近侧端部6461，并且沿远侧方向“DD”移动第一钳口6410和第二钳口6460。当第一钳口6410和第二钳口6460朝远侧移动时，闭合耳轴6419,6476进入凸轮槽6504的闭合楔形部分6505，并且闭合凸轮表面6506使第一钳口6410和第二钳口6460朝向彼此进行凸轮运动到闭合位置(图73、图75、图77和图78)。
为了便于通过闭合套管6572打开第一钳口6410和第二钳口6460，闭合套管6572设置有两个向内延伸的打开突片6576，其被构造成能够在闭合套管6572通过闭合系统沿近侧方向“PD”缩回时接合闭合耳轴6419,6476。如图72和图76中可看到的那样，当闭合套管6572沿近侧方向“PD”移动时，打开突片6576也接触闭合耳轴6419,6476并沿近侧方向驱动闭合耳轴6419,6476。闭合耳轴6419,6476的朝近侧移动引起打开耳轴6418和6474进入凸轮板槽6504的打开楔形部分6507。打开凸轮表面6508与打开耳轴6418,6474相互作用，并引起致动器臂6416和6472在其相应的摇臂表面6417和6475上摇动打开，如图76和图79所示。与其中第一钳口和第二钳口均相对于轴轴线SA-SA移动的上述结构一样，闭合楔形部分6505和打开楔形部分6507可被构造成使得在向其施加闭合动作时，第一钳口和第二钳口以相对于彼此不同的闭合速率或闭合时间闭合。
图80至图84示出了另一个外科端部执行器7400，其包括两个钳口，其中一个钳口可相对于另一个钳口在打开位置和闭合位置之间移动。在所示的实施例中，第一钳口7410包括砧座7412。所示的砧座7412具有砧座主体7414，该砧座主体具有不可动地附接到端部执行器安装组件7430的近侧端部部分7416。例如，近侧端部部分7416包括两个直立侧壁7418，每个直立侧壁都具有安装孔7419。参见图82。端部执行器安装组件7430被接收在直立侧壁7418之间，并且通过弹簧销7421不可动地附接到其上，该弹簧销延伸穿过其中进入孔7419中。端部执行器安装组件7430能够枢转地安装到例如远侧轴框架，该远侧轴框架包括被构造成能够可旋转地接收在端部执行器安装组件7430中的安装孔7432内的枢轴销。在不脱离本发明的精神和范围的情况下，外科端部执行器7400可通过上述类型的关节运动锁以及第一和第二关节运动杆结构或者通过本文所述的各种关节运动系统和关节运动杆和/或杆/缆线结构中的任一种进行关节运动。如图80和图82中也可看到的那样，砧座主体7414还包括细长狭槽7422，该细长狭槽具有在其每一侧上形成的两个钉成形表面7424。
外科端部执行器7400还包括第二钳口7440，该第二钳口包括被构造成能够在其中支撑外科钉仓7450的细长通道7442。如同在上文讨论的某些外科钉仓中一样，外科钉仓7450被构造成能够可操作地在其中支撑多个钉驱动器(未示出)，所述多个钉驱动器在其上可操作地支撑外科钉(未示出)。钉驱动器可动地支撑在形成于外科钉仓7450中的对应驱动器凹坑7452内。钉驱动器在外科钉仓7450中的细长狭槽7454的每一侧上布置成行，以适应击发构件7460从中轴向通过。仓盘7451附接到钉仓7450，以防止当外科端部执行器7400被操纵成各种取向时钉驱动器从其相应的驱动器凹坑7452脱落。楔形滑动件7462可动地支撑在外科钉仓7450内，并且被构造成能够在击发构件7460从与外科钉仓7450的近侧端部相邻的起始位置和在外科钉仓7450的远侧部分内的结束位置被驱动时，由击发构件7460驱动接合。如上所述，当楔形滑动件7462沿远侧方向被驱动通过外科钉仓7450时，楔形滑动件7462驱动地接触钉驱动器以将它们朝向仓平台表面(未示出)驱动。击发构件7460包括组织切割表面7464，当击发构件7460被朝远侧驱动时，该组织切割表面用于切割夹在钳口7410,7440之间的组织。远侧击发梁280或本文所述的其它各种类型的远侧击发梁可操作地附接到击发构件7460以及中间击发轴部分2222或其它击发系统结构。中间击发轴部分2222驱动和缩回远侧击发梁280的操作在上文已经详细讨论过，为了简明起见，将不再重复。在不脱离本发明的精神和范围的情况下，也可以使用其它的击发梁和击发系统结构(马达驱动的以及手动驱动的)来为击发构件提供动力。第一钳口盖7415可移除地附接到砧座7412，第二钳口盖7441可移除地附接到第二钳口7440，以用于组装目的，以及防止组织和/或体液渗入第一钳口和第二钳口中，而这可能阻碍或妨碍击发构件6340的操作。
如图82中可看到的那样，细长通道7442包括具有两个侧面部分7445的近侧端部部分7444。每个侧面部分7445在其中具有对应的U形或端部开口的狭槽7446，其能够接收从砧座主体7414的近侧端部部分7416侧向突出的对应枢轴销7426。这种结构用于将第二钳口7440或细长通道7442可动地或能够枢转地轴颈连接到第一钳口7410或砧座7412。如可以在图80、图82和图84中最具体看到的那样，闭合斜坡段7447形成在细长通道7442的近侧端部7444上。另外，近侧端部部分7444的每个侧面7445具有在其中形成的侧向凹陷区域7448。每个侧向凹陷区域7448位于对应的闭合斜坡段7447的近侧。邻近每个侧向凹陷区域7448的近侧端部形成打开斜坡或凸轮7449。每个打开斜坡或凸轮7449终止于顶表面7580。参见图82和图84。
第二钳口7440或细长通道7442可通过本文公开的各种类型的闭合系统相对于第一钳口7410或砧座7412被可动地致动。例如，本文所述类型的闭合驱动系统可用于致动本文所述类型的闭合管，如上文所详细讨论的。闭合管也可附接到端部执行器闭合套管7572，该端部执行器闭合套管可以上述方式通过双枢轴结构能够枢转地附接到闭合管。如上所述，例如，闭合管的轴向运动可通过致动闭合触发器来控制。在其它结构中，闭合管可以借助于机器人控制系统等轴向地运动。如图80、图81、图83和图84中可看到的那样，端部执行器闭合套管7572在端部执行器安装组件7430以及第二钳口7440的细长通道7442的近侧端部部分7444上方延伸。端部执行器闭合套管7572包括两个沿直径相对的打开构件7574，其被构造成能够可操作地接合第二钳口7440或细长通道7442的近侧端部部分7444。在所示的实施方案中，打开构件7574包括向内延伸的打开突片7576，其形成在端部执行器闭合套管7572的部分中。
通过将端部执行器闭合套管7572沿远侧方向“DD”推进，第二钳口7440移动到闭合位置(图81和图83)。当端部执行器闭合套管7572朝远侧移动时，其远侧端部7575接触形成在细长通道7442的近侧端部7444上的闭合斜坡段7447，并用于使细长通道7442朝向砧座7412进行凸轮运动。一旦端部执行器闭合套管7552已经移动到其最远侧位置，则远侧端部7575接触细长通道7442上的邻接表面7443以维持细长通道7442上的闭合载荷或闭合力。参见图81和图83。当端部执行器闭合套管7572处于完全闭合位置时，打开突片7576的端部被接收在对应的侧向凹陷区域7448中。为了将第二钳口7440或细长通道7442移动到打开位置，致动闭合系统以沿着近侧方向“PD”移动闭合套管7572。当端部执行器闭合套管7572朝近侧移动时，打开突片7572将对应的打开斜坡或凸轮7449向上搭接到细长通道7442的近侧端部部分7444上，以使细长通道7442远离砧座7412进行凸轮运动或枢转。每个突片将凸轮7449向上搭接到顶表面7580上，并用于将细长通道7442正向保持在该完全打开位置。参见图84。
图85至图87示出了另一个外科端部执行器8400，该外科端部执行器包括两个钳口8410,8440，这两个钳口可相对于轴轴线SA-SA同时在打开位置和闭合位置之间运动。在所示的示例中，第一钳口8410包括砧座8412。所示的砧座8412具有砧座主体8414，该砧座主体具有与端部执行器适配器8600可动地交接的近侧端部部分8416。如图85中可看到的那样，端部执行器适配器8600包括两个朝远侧延伸的远侧壁8602，每个远侧壁具有从其侧向突出的侧向枢轴销8604。每个侧向枢轴销8604被接收在对应的端部开口的U形狭槽8418中，该狭槽形成于砧座8412的近侧端部部分8416的侧面壁8417中。参见图85。这种结构允许细长通道8412相对于端部执行器适配器8600移动或枢转。如图85中可进一步看到的那样，端部执行器适配器8600不可动地附接到端部执行器安装组件8430。例如，端部执行器适配器8600还包括两个直立侧壁8606，每个直立侧壁中都具有安装孔8608。端部执行器安装组件8430被接收在直立侧壁8606之间，并且通过弹簧销8421不可动地与其附接，该弹簧销延伸穿过其中进入孔8608。执行器安装组件8430能够枢转地安装到例如远侧轴框架，该远侧轴框架包括被构造成能够可旋转地接收在端部执行器安装组件8430中的安装孔8432内的枢轴销。在不脱离本发明的精神和范围的情况下，外科端部执行器8400可通过上述类型的关节运动锁以及第一和第二关节运动杆结构或者通过本文所述的各种关节运动系统和关节运动杆和/或杆/缆线结构中的任一种进行关节运动。如图85中也可看到的那样，砧座主体8414还包括细长狭槽8422，该细长狭槽具有在其每一侧上形成的两个钉成形表面8424。
外科端部执行器8400还包括第二钳口8440，该第二钳口包括被构造成能够在其中支撑外科钉仓8450的细长通道8442。如同在上文讨论的各种外科钉仓中一样，外科钉仓8450被构造成能够可操作地在其中支撑多个钉驱动器(未示出)，所述多个钉驱动器在其上可操作地支撑外科钉(未示出)。钉驱动器可动地支撑在形成于外科钉仓8450中的对应驱动器凹坑8452内。钉驱动器在外科钉仓8450中的细长狭槽8454的每一侧上布置成行，以适应击发构件8460从中轴向通过。仓盘8451附接到钉仓8450，以防止当外科端部执行器8400被操纵成各种取向时钉驱动器从其相应的驱动器凹坑8452脱落。楔形滑动件8462可动地支撑在外科钉仓8450内，并且被构造成能够在击发构件8460从与外科钉仓8450的近侧端部相邻的起始位置和在外科钉仓8450的远侧部分内的结束位置被驱动时，由击发构件8460驱动接合。如上所述，当楔形滑动件8462沿远侧方向被驱动通过外科钉仓8450时，楔形滑动件8462驱动地接触钉驱动器以将它们朝向仓平台表面(未示出)驱动。击发构件8460包括组织切割表面8464，当击发构件8460被朝远侧驱动时，该组织切割表面用于切割夹在钳口8410,8440之间的组织。远侧击发梁280或本文所述的其它各种类型的远侧击发梁可操作地附接到击发构件8460以及中间击发轴部分2222或其它击发系统结构。中间击发轴部分2222驱动和缩回远侧击发梁280的操作在上文已经详细讨论过，为了简明起见，将不再重复。在不脱离本发明的精神和范围的情况下，也可以使用其它的击发梁和击发系统结构(马达驱动的以及手动驱动的)来为击发构件提供动力。第一钳口盖8415可移除地附接到砧座8412，并且第二钳口盖8441可移除地附接到第二钳口8440，以用于组装目的，以及防止组织和/或体液渗入第一钳口和第二钳口，而这可能阻碍或妨碍击发构件8460的操作。
如图85中可看到的那样，细长通道8442包括具有两个侧面部分8445的近侧端部部分8444。每个侧面部分8445在其中具有对应的U形或端部开口的狭槽8446，其能够接收从端部执行器适配器8600侧向突出的对应侧向枢轴销8604。这种结构用于将第二钳口8440或细长通道8442可动地或能够枢转地轴颈连接到第一钳口8410或砧座8412。如图85中也可看到的那样，闭合斜坡段8447形成在细长通道8442的近侧端部8444上。另外，近侧端部部分8444的每个侧面8445具有在其中形成的第二侧向凹陷区域8448。每个第二侧向凹陷区域8448位于对应的第二闭合斜坡段8447的近侧。邻近每个第二侧向凹陷区域8448的近侧端部形成第二打开斜坡或凸轮8449。每个第二打开斜坡或凸轮8449终止于第二顶表面8450。类似地，第一凹陷区域8420形成在砧座8412的近侧端部部分8416的每个侧壁8417的底部上。邻近每个第一侧向凹陷区域8420的近侧端部形成第一打开斜坡或凸轮8426。每个第一打开斜坡或凸轮8426终止于第一顶表面8428。
第二钳口8440或细长通道8442和第一钳口8410或砧座8412可通过本文公开的各种类型的闭合系统同时在打开位置和闭合位置之间移动。例如，闭合驱动系统30可用于以本文所述的方式致动闭合管260。闭合管260也可附接到端部执行器闭合套管8572，该端部执行器闭合套管可以上述方式通过双枢轴结构能够枢转地附接到闭合管260。如上所述，例如，闭合管260的轴向运动可通过致动闭合触发器32来控制。在其它结构中，闭合管可以借助于机器人控制系统等轴向地移动。如图86和图87中可看到的那样，端部执行器闭合套管8572在端部执行器安装组件8430、端部执行器适配器8600以及第二钳口8440的细长通道8442的近侧端部部分8444和第一钳口8410或砧座8412的近侧端部部分8416上方延伸。端部执行器闭合套管8572包括两个沿直径相对的第一打开构件8574，其被构造成能够可操作地接合第一钳口8410的近侧端部部分8416。在所示的实施方案中，第一打开构件8574包括向内延伸的第一打开突片8576，其形成在端部执行器闭合套管8572的部分中。同样，端部执行器闭合套管8572还包括两个沿直径相对的第二打开构件8580，其被构造成能够可操作地接合第二钳口8440的近侧端部部分8444。在所示的实施方案中，第二打开构件8580包括向内延伸的第二打开突片8582，其形成在端部执行器闭合套管8572的部分中。
通过将端部执行器闭合套管8572沿远侧方向“DD”推进，第一钳口8410和第二钳口8440同时移动到闭合位置(图86)。当端部执行器闭合套管8572朝远侧移动时，其远侧端部8575接触第一钳口8410或砧座8412的近侧端部部分8416的底部以及形成在细长通道8442的近侧端部8444上的闭合斜坡段8447，并且用于使第一钳口8410和第二钳口8440朝向彼此进行凸轮运动。一旦端部执行器闭合套管8572已经移动到其最远侧位置，端部执行器闭合套管8572的远侧端部8575就接触第一钳口8410或砧座8412上的第一邻接表面8419以及第二钳口8440或细长通道8442上的第二邻接表面8443，以维持两个钳口8410,8440上的闭合载荷或闭合力。参见图86。当端部执行器闭合套管8572处于完全闭合位置时，第一打开突片8576的端部接收在对应的第一侧向凹陷区域8420中，并且第二打开突片8582的端部接收在对应的第二侧向凹陷区域8448中。为了使第一钳口8410和第二钳口8440彼此远离地移动到打开位置，致动闭合系统以沿近侧方向“PD”移动闭合套管8572。当端部执行器闭合套管8572朝近侧移动时，第一打开突片8576将对应的第一打开斜坡或凸轮8426向上搭接到第一钳口8410的近侧端部部分8416的底部上，以使第一钳口8410或砧座8412沿远离第二钳口8440或细长通道8442的方向进行凸轮运动或枢转，并且第二打开突片8582将对应的第二斜坡8449向上搭接到细长通道8442的近侧端部部分8444上，以使细长通道8442沿远离第一钳口或砧座8412的方向进行凸轮运动或枢转。第一突片8576中的每一者将对应的凸轮或斜坡8426向上搭接到对应的第一锁定表面8428上，并且第二突片8582中的每一者将对应的第二凸轮或斜坡8449向上搭接到对应的第二锁定表面8450上，从而将第一钳口8410和第二钳口8400保持在打开位置。读者将会理解，第一突片8576相对于第二突片8582的轴向位置可定位成使得第一钳口和第二钳口同时远离彼此移动，或者它们可以轴向偏移使得一个钳口在另一个钳口移动之前移动。
图88至图93示出了另一种外科器械9010的部分，该另一种外科器械包括与细长轴组件9200可操作地交接的外科端部执行器9300。外科端部执行器9300类似于上文所详细讨论的外科端部执行器300，并且包括细长通道9302形式的第一钳口，该第一钳口被构造成能够在其中可操作地支撑外科钉仓304。所示的外科端部执行器9300还包括砧座310形式的第二钳口，该第二钳口被支撑在细长通道9302上以相对于其移动。砧座310可通过上述闭合系统可动地被致动，并在图88和图91中示出。例如，第一闭合驱动系统可用于以本文所述的方式致动闭合管260。闭合管260附接到端部执行器闭合套管272，该端部执行器闭合套管以上述方式通过双枢轴闭合套管组件271能够枢转地附接到闭合管260。如上所述，例如，闭合管260的轴向运动可通过致动闭合触发器来控制。也如上所述，闭合套管272包括用于将砧座310可动地致动到打开位置的打开凸轮。在使用中，闭合管260朝远侧(方向“DD”)平移，以(例如)响应于闭合触发器的致动而闭合砧座310。通过沿远侧方向“DD”朝远侧平移闭合管260以及能够枢转地与其联接的端部执行器闭合套管272来闭合砧座310。当端部执行器闭合套管272被朝远侧驱动时，打开凸轮354的凸轮突片358在砧座310中的凸轮槽318内朝远侧移动，以可操作地交接或跨置在凸轮表面319上，从而使砧座310的主体部分312远离外科钉仓304进行凸轮运动而进入打开位置。通过沿远侧方向“DD”朝远侧平移闭合管260来闭合砧座310，直到端部执行器闭合套管272的远侧端部275将砧座附接臂316向上搭接以接触，这导致凸轮突片358沿近侧方向“PD”移入凸轮表面319上的凸轮槽318内，从而使砧座310枢转到打开位置。
如图91中可看到的那样，细长轴组件9200包括两件式轴框架或脊组件9812，闭合管组件260被接收在该轴框架或脊组件上。脊组件9812包括近侧脊部分9814和远侧脊部分9816。近侧脊部分9816可以本文所述的各种方式可旋转地轴颈连接在柄部或外壳(未示出)中，以便于外科端部执行器9300围绕轴轴线SA旋转。尽管未示出，但外科器械9010还可包括击发梁结构和本文公开的各种击发驱动系统结构中的任一种，用于以上文讨论的各种方式驱动击发构件通过外科钉仓。如图91中可看到的那样，远侧脊部分9816包括其上具有向上突出的枢轴销9819的远侧端部部分9818，该枢轴销能够枢转地接收在形成于细长通道9302的近侧端部部分9320中的枢轴孔9328内。这种结构有助于外科端部执行器9300的细长通道9302围绕由枢轴孔9328限定的关节运动轴线B-B相对于脊组件9812枢转行进。如上所述，关节运动轴线B-B横向于由细长轴组件9200所限定的轴轴线SA-SA。
仍然参见图91，细长轴组件9200还包括通常标示为9900的关节运动系统，其包括第一关节运动棒9910和第二关节运动棒9920。第一关节运动棒9910与第一关节运动马达9912可操作地交接，该第一关节运动马达可操作地支撑在机器人控制系统的外科器械柄部或外壳或部分中。如图92和图93中可看到的那样，第一关节运动棒9910附接至第一关节运动螺母9914，该第一关节运动螺母可通过螺纹接收在第一关节运动马达9912的第一螺纹驱动轴9916上。第一螺纹驱动轴9916沿第一旋转方向的旋转将导致第一关节运动棒9910沿近侧方向“DD”朝远侧推进，并且第一螺纹驱动轴9916沿第二或相反旋转方向的旋转将导致第一关节运动驱动棒9910沿近侧方向“PD”朝近侧推进。
所示的关节运动系统9900还包括第二关节运动棒9920，该第二关节运动棒与第二关节运动马达9922可操作地交接，该第二关节运动马达可操作地支撑在机器人控制系统的外科器械柄部或外壳或部分中。如图92和图93中可看到的那样，第二关节运动棒9920附接至第二关节运动螺母9924，该第二关节运动螺母可通过螺纹接收在第二关节运动马达9922的第二螺纹驱动轴9926上。第二螺纹驱动轴9926沿第一旋转方向的旋转将导致第二关节运动棒9920沿近侧方向“PD”向近侧推进，并且第二螺纹驱动轴9926沿第二或相反旋转方向的旋转将导致第二关节运动驱动棒9920沿远侧方向“DD”向远侧推进。
关节运动系统9900还包括可操作地附接到第一关节运动棒9910和第二关节运动棒9920的交联组件9940。如图91中可看到的那样，交联组件9940包括中间支撑构件9950，该中间支撑构件利用第一销9952能够枢转地销接到细长通道9302的近侧端部9320。中间支撑构件9950还包括近侧连接器突片9954，其包括用于在其中接收第二销9958的狭槽9956，以将近侧连接器突片9954能够枢转地附接到远侧脊部9816的远侧端部部分9818。销和狭槽的结构有利于中间支撑构件9950相对于脊组件9812的枢转和轴向行进。中间支撑构件9950还包括用于接收穿过其的击发梁的狭槽9960。中间支撑构件9950用于在击发梁挠曲以适应外科端部执行器9300的关节运动时为击发梁提供侧向支撑。
如图92和图93中最具体可看到的那样，中间支撑构件9950具有有利于将第一关节运动棒9910和第二关节运动棒9920附接至其的近侧连杆突片部分9970。具体地讲，第一关节运动棒9910的远侧端部9911能够枢转地附接到第一关节运动联接件9972，该第一关节运动联接件能够枢转地销接到近侧连杆突片部分9970。同样，第二关节运动棒9920的远侧端部9921能够枢转地销接到第二关节运动联接件9974，该第二关节运动联接件能够枢转地销接到中间支撑构件9950的近侧连杆突片部分9970。图92示出了外科端部执行器9300沿箭头9980所示的方向的关节运动。如该图中可看到的那样，第一关节运动马达的第一螺纹驱动轴9916沿第一旋转方向旋转，以沿远侧方向驱动第一关节运动棒9910。此外，第二关节运动马达9922的第二螺纹驱动轴9926沿第二旋转方向旋转，以沿近侧方向拉动第二关节运动棒9920。第一关节运动马达9912和第二关节运动马达9922由计算机控制的系统操作，并且如图92中可看到的那样，第一关节运动棒9910沿远侧方向运动的距离不等于第二关节运动棒9920沿近侧方向运动的距离。
图93示出了外科端部执行器9300沿箭头9982所示的方向上的关节运动。如该图中可看到的那样，第二关节运动马达9922的第二螺纹驱动轴9926沿第一旋转方向旋转，以沿远侧方向驱动第二关节运动棒9920。此外，第一关节运动马达9912的第一螺纹驱动轴9916沿第二旋转方向旋转，以沿近侧方向拉动第一关节运动棒9910。第一关节运动马达9912和第二关节运动马达9922由计算机控制的系统操作，并且如图92中可看到的那样，第二关节运动棒9920沿远侧方向运动的距离不等于第一关节运动棒9910沿近侧方向运动的距离。在另选的结构中，可仅使用一个关节运动马达来使端部执行器进行关节运动。在此类结构中，例如，第二联接件可通过类似于本文中详细公开的那些齿条和小齿轮结构的齿条和小齿轮结构而在近侧联接到第一联接件。
图94和图95示出了外科钉仓9304和9304'，所述外科钉仓各自包括用于照明支撑其的外科端部执行器的远侧端部的灯构件9305。钉仓9304,9304’中的每一者可具有被布置在仓底部或仓侧面上的导体(未示出)，所述导体被构造成能够与细长通道中的与位于器械柄部或外壳中的电能来源连通的对应导体电接触。因此，当仓9304,9304’正确安置在外科端部执行器的细长通道中时，其中的灯9305可通过对应导体从柄部或外壳中的电源接收电力。
本文所述的外科器械系统由电动马达促动；然而，本文所述的外科器械系统可以任何合适的方式促动。在各种情况下，例如，本文所述的外科器械系统可由手动操作的触发器促动。一个或多个马达可包括机器人控制系统的一个或多个部分。
已结合钉的部署和变形描述了本文所述的外科器械系统；然而，本文所述的实施方案不限于此。例如，可以设想部署除钉之外的紧固件诸如夹具或大头钉的各种实施方案。此外，还可设想利用用于密封组织的任何合适装置的各种实施方案。例如，根据各种实施方案的端部执行器可包括被构造成能够加热和密封组织的电极。另外，例如，根据某些实施方案的端部执行器可施加振动能量来密封组织。
本文所述的外科器械系统由一个或多个电动马达促动；然而，本文所述的外科器械系统可以任何合适的方式促动。在各种情况下，例如，本文所述的外科器械系统可由手动操作的触发器促动。
实施例
实施例1-一种外科器械，包括外科端部执行器。该外科端部执行器包括第一钳口和第二钳口，该第二钳口相对于第一钳口可动地支撑在打开位置与闭合位置之间。外科器械还包括闭合构件，该闭合构件可响应于闭合动作和打开动作的施加而轴向运动。闭合构件包括至少一个打开凸轮，该打开凸轮从其突出以可动地接合第二钳口上的对应开槽凸轮表面，使得在向闭合构件施加打开动作时，所述至少一个打开凸轮可动地接合对应的开槽凸轮表面以使第二钳口运动到打开位置，并且在向闭合构件施加闭合动作时，闭合构件接合第二钳口以使第二钳口运动到一个闭合位置。
实施例2-根据实施例1所述的外科器械，其中所述至少一个打开凸轮包括第一打开凸轮，该第一打开凸轮从闭合构件侧向向内延伸并接合对应开槽凸轮表面中的第一个开槽凸轮表面。第二打开凸轮从闭合构件侧向向内延伸并接合对应开槽凸轮表面中的第二个开槽凸轮表面。
实施例3-根据实施例2所述的外科器械，其中第二打开凸轮在闭合构件上与第一打开凸轮沿直径相对。
实施例4-根据实施例1、2或3所述的外科器械，其中所述至少一个打开凸轮可移除地附接到闭合构件。
实施例5-根据实施例1、2、3或4所述的外科器械，其中所述至少一个打开凸轮被构造用于与闭合构件按扣接合。
实施例6-根据实施例1、2或3所述的外科器械，其中所述至少一个打开凸轮一体形成在闭合构件中。
实施例7-根据实施例1、2、3或6所述的外科器械，其中所述至少一个打开凸轮被卷曲到闭合构件的壁中，使得壁的卷曲部分可动地延伸穿过第一钳口的对应部分以可动地接合第二钳口上的对应开槽凸轮表面。
实施例8-根据实施例1、2、3、4、5、6或7所述的外科器械，其中所述至少一个打开凸轮向内延伸穿过第一钳口的一部分以接合对应的开槽凸轮表面。
实施例9-根据实施例1、2、3、4、5、6、7或8所述的外科器械，其中第二钳口包括一对侧向延伸的耳轴，所述耳轴被构造成能够枢转地接收在第一钳口的对应耳轴孔中，以利于第二钳口相对于第一钳口的枢转行进。
实施例10-根据实施例1、2、3、4、5、6、7、8或9所述的外科器械，其中第一钳口被构造成能够可操作地支撑外科钉仓，并且其中第二钳口包括砧座。
实施例11-一种外科器械，包括外科端部执行器。该外科端部执行器包括第一钳口和第二钳口，该第二钳口被能够枢转地支撑在第一钳口上以便相对于第一钳口在打开位置与闭合位置之间选择性运动。第二钳口包括第一凸轮表面和第二凸轮表面。外科器械还包括端部执行器闭合套管，该端部执行器闭合套管包括第一打开凸轮，该第一打开凸轮从端部执行器闭合套管侧向向内延伸穿过第一钳口的一部分以可操作地接合第一凸轮表面。第二打开凸轮从端部执行器闭合套管侧向向内延伸穿过第一钳口的另一部分以可操作地接合第二凸轮表面，使得在向端部执行器闭合套管施加打开动作时，第一打开凸轮可动地接合第一凸轮表面并且第二打开凸轮可动地接合第二凸轮表面以使第二钳口运动到打开位置，并且在向端部执行器闭合套管施加闭合动作时，端部执行器闭合套管可动地接合第二钳口以使第二钳口运动到一个闭合位置。
实施例12-根据实施例11所述的外科器械，其中第一打开凸轮和第二打开凸轮可移除地附接到端部执行器闭合套管。
实施例13-根据实施例11所述的外科器械，其中第一打开凸轮和第二打开凸轮在端部执行器闭合套管中包括永久变形。
实施例14-根据实施例11或13所述的外科器械，其中第一打开凸轮和第二打开凸轮通过卷曲端部执行器闭合套管而形成。
实施例15-根据实施例14所述的外科器械，其中第一打开凸轮和第二打开凸轮相对于端部执行器闭合套管的外表面的相邻部分以90度角卷曲。
实施例16-根据实施例11、12、13、14或15所述的外科器械，其中第一打开凸轮可动地突出穿过第一钳口中的第一狭槽以与第二钳口中的第一凸轮表面可操作地交接，并且其中第二打开凸轮可动地突出穿过第一钳口中的第二狭槽以与第二钳口中的第二凸轮表面可操作地交接。
实施例17-根据实施例11、12、13、14、15或16所述的外科器械，其中第二钳口包括一对侧向延伸的耳轴，所述耳轴被构造成能够枢转地接收在第一钳口的对应耳轴孔中，以利于第二钳口相对于第一钳口的枢转行进。
实施例18-根据实施例11、12、13、14、15、16或17所述的外科器械，其中第一钳口被构造成能够可操作地支撑外科钉仓，并且其中第二钳口包括砧座。
实施例19-一种外科器械，包括外壳和闭合系统，该闭合系统由外壳可操作地支撑并被构造成能够产生闭合动作和打开动作。细长轴组件与外壳可操作地交接。细长轴组件包括端部执行器闭合套管，该端部执行器闭合套管可响应于施加到其的闭合动作和打开动作而轴向运动。外科器械还包括外科端部执行器，该外科端部执行器包括细长通道，该细长通道与细长轴组件可操作地交接并被构造成能够在其中可操作地支撑外科钉仓。砧座可动地支撑在细长通道上，以便相对于该细长通道在打开位置与闭合位置之间运动。外科器械还包括从端部执行器闭合套管突出的至少两个打开凸轮，使得在向端部执行器闭合套管施加打开动作时，所述至少两个打开凸轮沿第一方向与砧座上的对应凸轮表面可操作地交接以使砧座运动到打开位置，并且在向端部执行器闭合套管施加闭合动作时，端部执行器闭合套管沿第二方向与砧座可操作地交接以致使砧座运动到一个闭合位置。
实施例20-根据实施例19所述的外科器械，其中至少一个打开凸轮形成在端部执行器闭合套管中。
实施例21-一种外科器械，包括限定轴轴线的细长轴组件。端部执行器安装组件可动地联接到细长轴组件以围绕横向于轴轴线的关节运动轴线进行选择性关节运动。第一钳口和第二钳口可动地联接到端部执行器安装组件，使得第一钳口和第二钳口各自可相对于彼此和轴轴线围绕公共枢转轴线在打开位置与闭合位置之间运动。第一钳口包括第一点，第二钳口包括第二点，其中第一点和第二点沿着垂直于轴轴线的公共轴线布置。当第一钳口处于打开位置时，第一点与轴轴线相距第一距离，并且其中当第二钳口处于打开位置时，第二点与轴轴线相距第二距离，并且其中所述第二距离不同于所述第一距离。外科器械还包括用于将第一钳口和第二钳口彼此远离地偏压到打开位置的装置以及用于向第一钳口和第二钳口施加闭合动作以将第一钳口和第二钳口朝向彼此移动到闭合位置的装置。
实施例22-根据实施例21所述的外科器械，其中第一钳口和第二钳口中的一者包括细长通道，该细长通道被构造成能够在其中可操作地支撑外科钉仓，并且其中第一钳口和第二钳口中的另一者包括砧座。
实施例23-根据实施例21所述的外科器械，其中第一钳口包括外科钉仓，并且其中第二钳口包括砧座，并且其中第二距离大于第一距离。
实施例24-根据实施例21、22或23所述的外科器械，还包括击发构件，当第一钳口和第二钳口处于闭合位置中的一者时，该击发构件被支撑用于在第一钳口与第二钳口之间轴向行进。
实施例25-根据实施例21、22、23或24所述的外科器械，其中端部执行器安装组件包括一对侧面。每个侧面包括限定枢转轴线的侧向突出的耳轴销。第一钳口和第二钳口中的每一者被能够枢转地支撑在侧向突出的耳轴销中的每一者上。
实施例26-根据实施例21、22、23、24或25所述的外科器械，其中用于偏压的装置包括位于第一钳口与第二钳口之间的弹簧。
实施例27-根据实施例21、22、23、24、25或26所述的外科器械，其中用于施加闭合动作的装置包括可轴向运动的端部执行器闭合套管，该端部执行器闭合套管被构造成能够在端部执行器闭合套管沿第一方向轴向运动时同时接合第一钳口和第二钳口的部分。
实施例28-根据实施例21、22、23、24、25、26或27所述的外科器械，还包括可轴向运动的击发构件，当第一钳口和第二钳口处于闭合位置中的一者时，该击发构件被支撑用于在第一钳口与第二钳口之间轴向行进。
实施例29-根据实施例28所述的外科器械，其中击发构件包括组织切割表面。
实施例30-一种外科器械，包括限定轴轴线的细长轴组件。端部执行器安装组件可动地联接到细长轴组件以围绕横向于轴轴线的关节运动轴线进行选择性关节运动。第一钳口和第二钳口可动地联接到端部执行器安装组件，使得第一钳口和第二钳口可各自相对于彼此和轴轴线在打开位置与闭合位置之间运动，使得在向第一钳口和第二钳口施加闭合动作致使第一钳口和第二钳口中的一者以与第一钳口和第二钳口中的另一者运动到闭合位置的另一闭合速率不同的闭合速率运动到一个闭合位置。外科器械还包括用于选择性地向第一钳口和第二钳口施加闭合动作以及向第一钳口和第二钳口施加打开动作以将第一钳口和第二钳口选择性地从闭合位置移动到打开位置的装置。
实施例31-根据实施例30所述的外科器械，还包括可轴向运动的击发构件，当第一钳口和第二钳口处于闭合位置中的一者时，该击发构件被支撑用于在第一钳口与第二钳口之间轴向行进。
实施例32-根据实施例30或31所述的外科器械，还包括端部执行器安装组件上的第一凸轮狭槽。第一凸轮狭槽限定第一闭合楔形部分和第一打开楔形部分。第二凸轮狭槽也设置在端部执行器安装组件上。第二凸轮狭槽限定第二闭合楔形部分和第二打开楔形部分。第一钳口包括一对第一打开构件和一对第一闭合构件，其中第一打开构件中的一者和第一闭合构件中的一者可动地接收在第一凸轮狭槽内。第一打开构件中的另一者和第一闭合构件中的另一者容纳接收在第二凸轮狭槽内。第二钳口包括一对第二打开构件和一对第二闭合构件，其中第二打开构件中的一者和第二闭合构件中的一者可动地接收在第一凸轮狭槽中。第二打开构件中的另一者和第二闭合构件中的另一者可动地接收在第二凸轮狭槽内。用于选择性施加的装置被构造成能够使第一钳口和第二钳口沿第一方向运动，以便致使第一闭合构件中的一者和第二闭合构件中的一者可动地进入第一闭合楔形部分，并且第一闭合构件中的另一者和第二闭合构件中的另一者可动地进入第二闭合楔形部分，从而致使第一钳口和第二钳口朝向彼此运动到一个闭合位置。用于选择性施加的装置进一步被构造成能够使第一钳口和第二钳口沿第二方向运动，以便致使第一打开构件中的一者和第二打开构件中的一者运动到第一打开楔形部分中，并且第一打开构件中的另一者和第二打开构件中的另一者运动到第二打开楔形部分中，从而致使第一钳口和第二钳口彼此远离地运动到打开位置。
实施例33-根据实施例32所述的外科器械，其中第一凸轮狭槽形成在联接到端部执行器安装组件的第一凸轮板中。第二凸轮狭槽形成在联接到端部执行器安装组件的第二凸轮板中。
实施例34-根据实施例32或33所述的外科器械，其中用于选择性施加的装置包括端部执行器闭合套管，该端部执行器闭合套管可响应于施加到其的闭合动作和打开动作而轴向运动。端部执行器闭合套管包括第一打开突片，该第一打开突片与第一打开构件中的一者和第二打开构件中的一者相对应，以便在端部执行器闭合套管沿第二方向运动时与其可操作地接触。第二打开突片与第一打开构件中的另一者和第二打开构件中的另一者相对应，以便在端部执行器闭合套管沿第二方向运动时与其可操作地接触。
实施例35-根据实施例30、31、32、33或34所述的外科器械，其中第一钳口和第二钳口中的一者包括细长通道，该细长通道被构造成能够在其中可操作地支撑外科钉仓，并且其中第一钳口和第二钳口中的另一者包括砧座。
实施例36-根据实施例31、32、33、34或35所述的外科器械，还包括击发构件，当第一钳口和第二钳口处于闭合位置中的一者时，该击发构件被支撑用于在第一钳口与第二钳口之间轴向行进。
实施例37-一种外科器械，包括第一钳口和第二钳口，第一钳口和第二钳口相对于彼此能够枢转地支撑用于在打开位置与闭合位置之间选择性枢转行进。闭合构件可响应于施加到闭合构件的闭合动作和打开动作而轴向运动。闭合构件包括至少两个向内延伸的打开突片，所述打开突片被构造成能够在向闭合构件施加打开动作时可操作地接合第一钳口和第二钳口中的至少一者的对应部分，以使第一钳口和第二钳口中的至少一者运动到打开位置。
实施例38-根据实施例37所述的外科器械，其中所述至少两个向内延伸的打开突片中的至少一者一体形成在闭合构件中。
实施例39-根据实施例37所述的外科器械，其中所述至少两个向内延伸的打开突片中的每一者可移除地附连到闭合构件。
实施例40-根据实施例37、38或39所述的外科器械，其中第一钳口和第二钳口中的一者包括细长通道，该细长通道被构造成能够在其中可操作地支撑外科钉仓，并且其中第一钳口和第二钳口中的另一者包括砧座。
实施例41-一种外科缝合器械，包括限定轴轴线的细长轴组件。外科端部执行器通过关节运动接头可操作地联接到细长轴组件，使得外科端部执行器能够相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。外科端部执行器包括仓支撑构件，该仓支撑构件被构造成能够在其中可操作地支撑外科钉仓。能够纵向运动的击发梁延伸穿过关节运动接头，并且可选择性地从外科端部执行器内的起始位置轴向运动到结束位置。外科器械还包括击发梁锁定组件，该击发梁锁定组件包括偏压构件，该偏压构件被可操作地支撑在关节运动接头上并且被构造成能够向能够纵向运动的击发梁施加偏压动作以将能够纵向运动的击发梁偏压到锁定位置，在锁定位置中防止能够纵向运动的击发梁从起始位置运动到结束位置，除非未击发的外科钉仓被可操作地支撑在钉仓支撑构件中。
实施例42-根据实施例41所述的外科缝合器械，其中偏压构件被支撑在与仓支撑构件和细长轴组件交接的中间支撑构件上。中间支撑构件被构造成能够在外科端部执行器围绕关节运动轴线进行关节运动期间侧向支撑能够纵向运动的击发梁。
实施例43-根据实施例41或42所述的外科缝合器械，其中偏压构件被构造成能够在外科端部执行器进行关节运动时避免向能够纵向运动的击发梁施加偏压动作。
实施例44-根据实施例41、42或43所述的外科缝合器械，其中能够纵向运动的击发梁包括形成在其一部分上的锁定凸轮以便与偏压构件接合。
实施例45-根据实施例44所述的外科缝合器械，其中偏压构件包括平坦主体，该平坦主体包括位于其中的窗口，使得锁定凸轮在外科端部执行器的关节运动期间突出到窗口中。
实施例46-根据实施例41、42、43、44或45所述的外科缝合器械，其中在向能够纵向运动的击发梁初始施加击发动作时，偏压构件将能够纵向运动的击发梁偏压到锁定位置，除非未击发的外科钉仓被可操作地支撑在仓支撑构件内。
实施例47-根据实施例41、42、43、44、45或46所述的外科缝合器械，其中未击发的外科缝合钉仓包括被可操作地支撑在仓体内的多个外科钉以及楔形滑动件，该楔形滑动件可轴向运动穿过仓体，以在楔形滑动件从其中的未击发位置运动到击发位置时，从仓体射出外科钉。楔形滑动件被构造成能够在能够纵向运动的击发梁处于起始位置并且楔形滑动件处于未击发位置时与能够纵向运动的击发梁可操作地接合。
实施例48-根据实施例41、42、43、44、45或46所述的外科缝合器械，其中在向击发梁初始施加击发动作时，偏压构件将击发梁偏压到锁定位置，除非被支撑在仓支撑构件内的外科钉仓中的楔形滑动件处于外科钉仓内的未击发位置并且与能够纵向运动的击发梁可操作地接合。
实施例49-根据实施例48的所述的外科缝合器械，其中楔形滑动件被构造成能够在楔形滑动件处于未击发位置时并且在向能够纵向运动的击发梁施加初始击发动作时防止击发梁进入锁定位置。
实施例50-一种外科缝合器械，包括外科端部执行器，该外科端部执行器包括被构造成能够在其中可操作地支撑外科钉仓的细长通道。砧座相对于细长通道被支撑，使得砧座和细长通道中的一者可相对于砧座和细长通道中的另一者在打开位置与闭合位置之间选择性地运动。外科器械还包括细长轴组件，该细长轴组件限定轴轴线并包括关节运动接头，该关节运动接头可操作地联接到外科端部执行器以利于外科端部执行器相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。细长轴组件还包括闭合组件，该闭合组件可响应于施加到闭合构件的闭合动作而轴向运动。闭合组件包括远侧闭合构件段和近侧闭合构件段，该近侧闭合构件段与远侧闭合构件段可动地交接以适应外科端部执行器围绕关节运动轴线的关节运动。近侧闭合构件段被构造成能够在向闭合组件施加闭合动作时使砧座和细长通道中的一者在打开位置与闭合位置之间运动。外科缝合器械还包括能够纵向运动的击发梁，该击发梁延伸穿过关节运动接头，并且可选择性地从外科端部执行器内的起始位置轴向运动到结束位置。能够纵向运动的击发梁被构造成能够在能够纵向运动的击发梁处于起始位置时可操作地接合未击发的外科钉仓的被可操作地支撑在细长通道中的对应部分。外科缝合器械还包括击发梁锁定组件，该击发梁锁定组件包括偏压构件，该偏压构件被可操作地支撑在远侧闭合构件段上以便将能够纵向运动的击发梁偏压到锁定位置，在锁定位置中防止能够纵向运动的击发梁从起始位置运动到结束位置，除非未击发的外科钉仓被可操作地支撑在细长通道中。
实施例51-根据实施例50所述的外科缝合器械，其中能够纵向运动的击发梁具有倾斜部分，该倾斜部分被构造用于当能够纵向运动的击发梁处于起始位置时与偏压构件接合。
实施例52-根据实施例50或51所述的外科缝合器械，其中未击发的外科缝合钉仓包括被可操作地支撑在仓体内的多个外科钉以及楔形滑动件，该楔形滑动件可轴向运动穿过仓体，以在楔形滑动件从其中的未击发位置运动到击发位置时，从仓体射出外科钉。楔形滑动件被构造成能够在能够纵向运动的击发梁处于起始位置并且楔形滑动件处于未击发位置时与能够纵向运动的击发梁可操作地接合。
实施例53-实施例52的外科缝合器械，其中楔形滑动件被构造成能够在楔形滑动件处于未击发位置时并且在向能够纵向运动的击发梁施加初始击发动作时防止击发梁进入锁定位置。
实施例54-一种外科缝合器械，包括限定轴轴线的细长轴组件。外科端部执行器通过关节运动接头可操作地联接到细长轴组件，使得外科端部执行器能够相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。外科端部执行器包括仓支撑构件，该仓支撑构件被构造成能够在其中可操作地支撑外科钉仓。外科缝合器械还包括能够纵向运动的击发梁，该击发梁包括延伸穿过关节运动接头的部分，并且可选择性地从外科端部执行器内的起始位置轴向运动到结束位置。能够纵向运动的击发梁被构造成能够在能够纵向运动的击发梁处于起始位置时可操作地接合未击发的外科钉仓的被可操作地支撑在仓支撑构件中的对应部分。外科缝合器械还包括用于在外科端部执行器围绕关节运动轴线进行关节运动时为能够纵向运动的击发梁的延伸穿过关节运动接头的部分提供侧向支撑的装置。用于提供的所述装置还包括用于防止能够纵向运动的击发梁从起始位置运动到结束位置的装置，除非未击发的外科钉仓被可操作地支撑在仓支撑构件中。
实施例55-根据实施例54所述的外科缝合器械，其中用于提供侧向支撑的装置还包括可动地附接到仓支撑构件和细长轴组件的中间支撑构件。中间支撑构件包括用于可动地接收能够纵向运动的击发梁的穿过其的部分的狭槽。用于防止的装置包括偏压构件，该偏压构件被支撑在中间支撑构件上并被构造成能够向能够纵向运动的击发梁施加偏压动作，以使能够纵向运动的击发梁运动到锁定位置，在锁定位置中，防止能够纵向运动的击发梁从起始位置运动到结束位置，除非未击发的外科钉仓被可操作地支撑在仓支撑构件中。
实施例56-根据实施例55所述的外科缝合器械，其中能够纵向运动的击发梁包括形成在能够纵向运动的击发梁的与偏压构件接合的部分上的锁定凸轮。
实施例57-根据实施例56所述的外科缝合器械，其中偏压构件包括平坦主体，该平坦主体包括位于其中的窗口，使得锁定凸轮在外科端部执行器的关节运动期间突出到其中。
实施例58-根据实施例54、55、56或57所述的外科缝合器械，其中未击发的外科缝合钉仓包括被可操作地支撑在仓体内的多个外科钉以及楔形滑动件，该楔形滑动件可轴向运动穿过仓体，以在楔形滑动件从其中的未击发位置运动到击发位置时，从仓体射出外科钉。楔形滑动件被构造成能够在能够纵向运动的击发梁处于起始位置并且楔形滑动件处于未击发位置时与能够纵向运动的击发梁可操作地接合。
实施例59-根据实施例58所述的外科缝合器械，其中楔形滑动件被构造成能够在楔形滑动件处于未击发位置时并且在向能够纵向运动的击发梁施加初始击发动作时防止击发梁进入锁定位置。
实施例60-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器通过关节运动接头可操作地联接到细长轴组件，使得外科端部执行器能够相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。能够纵向运动的柔性击发梁被构造成能够柔性地横穿关节运动接头，并且可选择性地从外科端部执行器内的起始位置轴向运动到结束位置。中间支撑构件可动地联接到细长轴组件和外科端部执行器的一部分。中间支撑构件包括具有近侧端部和远侧端部的中间主体部分。击发梁狭槽在近侧端部与远侧端部之间延伸，并且被构造成能够可动地支撑柔性击发梁的横穿关节运动接头的一部分的每个侧面。外科器械还包括近侧支撑联接件，该近侧支撑联接件包括细长近侧主体，该细长近侧主体位于中间支撑构件的近侧，并且被构造成能够侧向支撑柔性击发梁的横穿关节运动接头的近侧侧面部分。近侧支撑联接件与中间支撑构件的近侧端部可动地交接。外科器械还包括远侧支撑联接件，该远侧支撑联接件包括细长远侧主体，该细长远侧主体位于中间支撑构件的远侧，并且被构造成能够侧向支撑柔性击发梁的横穿关节运动接头的对应远侧侧面部分。远侧支撑联接件与中间支撑构件的远侧端部可动地交接。
实施例61-根据实施例60所述的外科器械，其中近侧支撑联接件的细长近侧主体包括近侧顶部构件和两个向下延伸的相反近侧支撑壁。近侧支撑壁中的一者与柔性击发梁的横穿关节运动接头的近侧侧面部分中的一者相邻定位。相反近侧支撑壁中的另一者与柔性击发梁的横穿关节运动接头的近侧侧面部分中的另一者相邻。远侧支撑联接件的细长远侧主体包括远侧顶部构件和两个向下延伸的相反远侧支撑壁。远侧支撑壁中的一者与柔性击发梁的横穿关节运动接头的远侧侧面部分中的一者相邻定位。相反远侧支撑壁中的另一者与柔性击发梁的横穿关节运动接头的远侧侧面部分中的另一者相邻。
实施例62-根据实施例61所述的外科器械，其中近侧支撑壁中的一者包括近侧支撑表面，该近侧支撑表面面向柔性击发梁的横穿关节运动接头的近侧侧面部分中的一者，并且其中近侧支撑壁中的另一者包括另一近侧弓形表面，该另一近侧弓形表面面向柔性击发梁的横穿关节运动接头的近侧侧面部分中的另一者。远侧支撑壁中的一者包括远侧弓形表面，该远侧弓形表面面向柔性击发梁的横穿关节运动接头的远侧侧面部分中的一者。远侧支撑壁中的另一者包括另一远侧弓形表面，该另一远侧弓形表面面向柔性击发梁的横穿关节运动接头的远侧侧面部分中的另一者。
实施例63-根据实施例61或62所述的外科器械，其中中间支撑构件的近侧端部包括弓形近侧凹坑，该弓形近侧凹坑被构造成能够在其中可动地接收近侧支撑联接件的近侧顶部构件的远侧鼻部部分。中间支撑构件的远侧端部包括远侧弓形凹坑，该远侧弓形凹坑被构造成能够在其中可动地接收远侧支撑联接件的远侧顶部构件的近侧鼻部部分。
实施例64-根据实施例60、61、62或63所述的外科器械，其中中间支撑构件能够枢转地联接到外科端部执行器的部分以相对于其围绕枢转轴线枢转行进。中间支撑构件联接到细长轴组件，以相对于其枢转和轴向行进
实施例65-根据实施例64所述的外科器械，其中中间支撑构件通过延伸穿过中间支撑构件中的细长狭槽的近侧销被销接到细长轴组件。
实施例66-根据实施例60、61、62、63、64或65所述的外科器械，其中细长轴组件包括远侧脊，该远侧脊包括远侧脊凹坑，该远侧脊凹坑被构造成能够在其中可动地接收近侧顶部构件的近侧鼻部部分。
实施例67-根据实施例60、61、62、63、64、65或66所述的外科器械，其中外科端部执行器的部分包括通道凹坑，该通道凹坑被构造成能够在其中可动地接收远侧顶部构件的远侧鼻部部分。
实施例68-根据实施例60、61、62、63、64、65、66或67所述的外科器械，其中外科端部执行器的部分包括被构造成能够在其中可操作地支撑外科钉仓的细长通道。
实施例69-实施例68的外科器械，还包括砧座，该砧座相对于细长通道被支撑，使得砧座和细长通道中的一者可相对于砧座和细长通道中的另一者在打开位置与闭合位置之间选择性地运动。
实施例70-一种外科器械，包括细长轴组件，该细长轴组件限定轴轴线并且包括形成在其远侧端部中的右相对轴凹口和左相对轴凹口。外科端部执行器通过关节运动接头可操作地联接到细长轴组件，使得外科端部执行器能够相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。能够纵向运动的柔性击发梁被构造成能够柔性地横穿关节运动接头，并且可选择性地从外科端部执行器内的起始位置轴向运动到结束位置。中间支撑构件可动地联接到细长轴组件和外科端部执行器的一部分。中间支撑构件包括中间主体部分，该中间主体部分包括形成在其远侧端部中的左相对轴凹口和右相对支撑凹口以及击发梁狭槽，该击发梁狭槽被构造成能够可动地支撑能够纵向运动的柔性击发梁的横穿关节运动接头的侧面部分。枢轴联接件被构造成能够侧向支撑能够纵向运动的柔性击发梁的横穿关节运动接头的侧部。枢轴联接件包括朝近侧突出的近侧鼻部部分，该近侧鼻部部分被构造成能够随着能够纵向运动的柔性击发梁响应于外科端部执行器围绕关节运动轴线的关节运动而挠曲，可动地接合右相对轴凹口和左相对轴凹口中的任一者。朝远侧突出的远侧鼻部部分被构造成能够随着能够纵向运动的柔性击发梁响应于外科端部执行器围绕关节运动轴线的关节运动而挠曲，可动地接合可动支撑构件中的右相对支撑凹口和左相对支撑凹口中的任一者。
实施例71-根据实施例70所述的外科器械，其中枢轴联接件还包括第一侧向支撑壁和第二侧向支撑壁，第一侧向支撑壁与能够纵向运动的柔性击发梁的侧面部分中的一者相邻，并且第二侧向支撑壁与能够纵向运动的柔性击发梁的侧面部分中的另一者相邻。
实施例72-根据实施例71所述的外科器械，其中第一侧向支撑壁包括第一弓形表面，该第一弓形表面面向能够纵向运动的柔性击发梁的侧面部分中的一者，并且其中第二侧向支撑壁包括第二弓形表面，该第二弓形表面面向能够纵向运动的柔性击发梁的另一侧面部分中的另一者。
实施例73-根据实施例71或72所述的外科器械，还包括第一压缩带，该第一压缩带在能够纵向运动的柔性击发梁的一侧部分与第一侧向支撑壁之间延伸。第一压缩带包括被支撑在外科端部执行器上的第一远侧端部和被可动地支撑在细长轴组件上的第一近侧端部。第二压缩带在能够纵向运动的柔性击发梁的另一侧面部分与第二侧向支撑壁之间延伸。第二压缩带包括被支撑在外科端部执行器上的第二远侧端部和被可动地支撑在细长轴组件上的第二近侧端部。
实施例74-根据实施例73所述的外科器械，还包括第三压缩带，该第三压缩带在能够纵向运动的柔性击发梁的一侧部分与第一压缩带之间延伸。第三压缩带包括被支撑在外科端部执行器上的第三远侧端部和被可动地支撑在细长轴组件上的第三近侧端部。第四压缩带在能够纵向运动的柔性击发梁的另一侧面部分与第二压缩带之间延伸。第四压缩带包括被支撑在外科端部执行器上的第四远侧端部和被可动地支撑在细长轴组件上的第四近侧端部。
实施例75-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器通过关节运动接头可操作地联接到细长轴组件，使得外科端部执行器能够相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。能够纵向运动的柔性击发梁被构造成能够柔性地横穿关节运动接头，并且可选择性地从外科端部执行器内的起始位置轴向运动到结束位置。中间支撑构件可动地联接到细长轴组件以相对于其轴向和枢转行进，并且能够枢转地联接到外科端部执行器。外科器械还包括U形近侧支撑联接件，该U形近侧支撑联接件包括近侧顶部构件和两个近侧侧面构件。U形近侧支撑联接件在能够纵向运动的柔性击发梁的近侧部分上延伸，使得近侧侧面构件中的一者与能够纵向运动的柔性击发梁的近侧部分的一侧相邻，并且近侧侧面构件中的另一者与能够纵向运动的柔性击发梁的近侧部分的另一侧面相邻。近侧顶部构件与中间支撑构件可动地交接。外科器械还包括U形远侧支撑联接件，该U形远侧支撑联接件包括远侧顶部构件和两个远侧侧面构件。U形远侧支撑联接件在能够纵向运动的柔性击发梁的远侧部分上延伸，使得远侧侧面构件中的一者与能够纵向运动的柔性击发梁的远侧部分的一侧相邻，并且远侧侧面构件中的另一者与能够纵向运动的柔性击发梁的远侧部分的另一侧面相邻。远侧顶部构件与中间支撑构件可动地交接。
实施例76-根据实施例75所述的外科器械，其中近侧顶部构件与细长轴组件可动地交接，并且其中远侧顶部构件与外科端部执行器的一部分可动地交接。
实施例77-根据实施例75或76所述的外科器械，其中近侧顶部构件包括可动地延伸到形成在细长轴组件中的远侧凹坑中的第一朝近侧突出的近侧鼻部部分以及可动地延伸到中间支撑构件中的近侧凹坑中的第一朝远侧突出的远侧鼻部部分。远侧顶部构件包括可动地延伸到中间支撑构件中的远侧凹坑中的第二朝近侧突出的近侧鼻部部分以及可动地延伸到外科端部执行器中的通道凹坑中的第二朝远侧突出的远侧鼻部部分。
实施例78-根据实施例75、76或77所述的外科器械，其中两个近侧侧面构件中的一者包括近侧弓形表面，该近侧弓形表面面向能够纵向运动的柔性击发梁的近侧部分的一侧。近侧侧面构件中的另一者包括另一近侧弓形表面，该另一近侧弓形表面面向能够纵向运动的柔性击发梁的近侧部分的另一侧面。两个远侧侧面构件中的一者包括远侧弓形表面，该远侧弓形表面面向能够纵向运动的柔性击发梁的远侧部分的一侧。远侧侧面构件中的另一者包括另一远侧弓形表面，该另一远侧弓形表面面向能够纵向运动的柔性击发梁的远侧部分的另一远侧侧面。
实施例79-根据实施例75、76、77或78所述的外科器械，其中中间支撑构件可动地联接到外科端部执行器的细长通道，该细长通道被构造成能够在其中可操作地支撑外科钉仓。
实施例80-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器通过关节运动接头可操作地联接到细长轴组件，使得外科端部执行器能够相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。中央击发梁支撑构件延伸穿过关节运动接头，并且包括联接到外科端部执行器的远侧端部以及附接到细长轴组件的近侧端部。能够纵向运动的柔性击发梁组件被构造成能够柔性地横穿关节运动接头，并且可选择性地从外科端部执行器内的起始位置轴向运动到结束位置。能够纵向运动的柔性击发梁组件包括多个梁层，所述多个梁层相对于彼此被支撑，使得至少一个梁层被构造成能够可动地穿过中央击发梁支撑构件的一侧并且至少一个其它梁层被构造成能够可动地穿过中央击发梁支撑构件的另一侧。多个侧向载荷构件与中央击发梁支撑件相对应，并且被支撑在被构造成能够可动地穿过中央击发梁支撑构件的一侧的至少一个梁层以及被构造成能够可动地穿过中央击发梁支撑构件的另一侧面的至少一个其它梁层的部分上。
实施例81-根据实施例80所述的外科器械，其中被构造成能够可动地穿过中央击发梁支撑构件的一侧的至少一个梁层包括梁层中的两个，并且其中被构造成能够穿过中央击发梁支撑构件的另一侧面的至少一者其它梁层包括其它梁层中的两者。
实施例82-根据实施例80或81所述的外科器械，其中侧向载荷承载构件可相对于彼此运动。
实施例83-根据实施例80、81或82所述的外科器械，其中侧向载荷承载构件中的每一者包括用于可动地接收所述至少一个梁层以及所述至少一个其它梁层的轴向通路，所述至少一个梁层被构造成能够可动地穿过中央击发梁支撑构件的一侧，所述至少一个其它梁层被构造成能够可动地穿过中央击发梁支撑构件的另一侧面。
实施例84-根据实施例80、81、82或83所述的外科器械，其中通过关节运动接头联接到细长轴组件的外科端部执行器的一部分包括细长通道，该细长通道被构造成能够在其中可操作地支撑外科钉仓。
实施例85-根据实施例84所述的外科器械，还包括砧座，该砧座相对于细长通道被支撑，使得砧座和细长通道中的一者可相对于砧座和细长通道中的另一者在打开位置与闭合位置之间选择性地运动。
实施例86-根据实施例80、81、82、83、84或85所述的外科器械，其中中央击发梁支撑构件的远侧端部在能够纵向运动的柔性击发梁组件的底部表面下方突出以附接到外科端部执行器，并且中央击发梁支撑构件的近侧端部在能够纵向运动的柔性击发梁组件的上表面上方突出以附接到细长轴组件。
实施例87-根据实施例86所述的外科器械，其中中央击发梁支撑构件的远侧端部销接到外科端部执行器的细长通道，并且其中中央击发梁支撑构件的近侧端部销接到细长轴组件的脊部分。
实施例88-根据实施例80、81、82、83、84、85、86或87所述的外科器械，其中多个侧向载荷承载构件中的至少两个各自包括弓形端面并且被布置在被构造成可动地穿过中央击发梁支撑构件的一侧的至少一个梁层以及被构造成可动地穿过中央击发梁支撑构件的另一侧面的至少一个其它梁层，使得所述至少两个侧向载荷承载构件中的一者上的弓形端面中的一者与所述至少两个侧向载荷承载构件中的另一者上的弓形端面中的另一者相邻。
实施例89-根据实施例83所述的外科器械，其中每个轴向通路包括一对间隔开的内部弓形表面，该内部弓形表面被构造成有利于侧向载荷承载构件中的每一者在能够纵向运动的柔性击发梁上的枢转运动。
实施例90-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器通过关节运动接头可操作地联接到细长轴组件，使得外科端部执行器能够相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。中央击发梁支撑构件沿着轴轴线轴向对齐并且延伸穿过关节运动接头。中央击发梁支撑构件包括联接到外科端部执行器的远侧端部以及附接到细长轴组件的近侧端部。外科器械还包括能够纵向运动的柔性击发梁组件，该能够纵向运动的柔性击发梁组件包括多个梁层，所述多个梁层被构造成能够轴向穿过中央击发梁支撑构件，使得在能够纵向运动的柔性击发梁组件横穿关节运动接头时，梁层中的至少一者穿过中央击发梁支撑构件的每个侧面。装置被可动地支撑在能够纵向运动的柔性击发梁上，以便在外科端部执行器围绕关节运动轴线进行关节运动时侧向支撑能够纵向运动的柔性击发梁的横穿关节运动接头的一部分。
实施例91-根据实施例90所述的外科器械，其中中央击发梁支撑构件的远侧端部在能够纵向运动的柔性击发梁组件的底部表面下方突出以附接到外科端部执行器。中央击发梁支撑构件的近侧端部在能够纵向运动的柔性击发梁组件的上表面上方突出以附接到细长轴组件。
实施例92-根据实施例90或91所述的外科器械，其中通过关节运动接头联接到细长轴组件的外科端部执行器的一部分包括细长通道，该细长通道被构造成能够在其中可操作地支撑外科钉仓。
实施例93-根据实施例92所述的外科器械，还包括砧座，该砧座相对于细长通道被支撑，使得砧座和细长通道中的一者可相对于砧座和细长通道中的另一者在打开位置与闭合位置之间选择性地运动。
实施例94-根据实施例90、91、92或93所述的外科器械，还包括附接到能够纵向运动的柔性击发梁组件的远侧端部的击发构件。
实施例95-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器通过关节运动接头可操作地联接到细长轴组件，使得外科端部执行器能够相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。中央击发梁支撑构件沿着轴轴线轴向对齐并且延伸穿过关节运动接头。中央击发梁支撑构件包括联接到外科端部执行器的远侧端部以及附接到细长轴组件的近侧端部。外科器械还包括能够纵向运动的柔性击发梁组件，该柔性击发梁组件包括多个梁层，使得在能够纵向运动的柔性击发梁组件朝远侧推进时，能够纵向运动的柔性击发梁组件被中央击发梁支撑构件分为两部分，因此能够纵向运动的柔性击发梁组件的部分邻近中央击发梁支撑构件的每个侧面穿过。
实施例96-根据实施例95所述的外科器械，还包括被可动地支撑在能够纵向运动的柔性击发梁组件上的装置，以便在外科端部执行器围绕关节运动轴线进行关节运动时侧向支撑能够纵向运动的柔性击发梁组件的横穿关节运动接头的一部分。
实施例97-根据实施例95所述的外科器械，其中用于侧向支撑的装置包括多个侧向载荷承载构件，所述侧向载荷承载构件被支撑在能够纵向运动的柔性击发梁组件上。侧向载荷承载构件中的每一者在能够纵向运动的柔性击发梁组件上独立地运动。
实施例98-根据实施例95、96或97所述的外科器械，其中中央击发梁支撑构件的远侧端部在能够纵向运动的柔性击发梁组件的底部表面下方突出以附接到外科端部执行器，并且中央击发梁支撑构件的近侧端部在能够纵向运动的柔性击发梁组件的上表面上方突出以附接到细长轴组件。
实施例99-根据实施例97所述的外科器械，其中侧向载荷承载构件中的每一者包括穿过其中的轴向通路，该轴向通路包括一对间隔开的内部弓形表面，以利于每个侧向载荷承载构件在能够纵向运动的柔性击发梁组件上枢转运动。
实施例100-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器能够枢转地联接到细长轴组件，以相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。外科器械还包括关节运动系统，该关节运动系统包括第一远侧关节运动驱动器，该第一远侧关节运动驱动器被支撑用于响应于施加到其的对应关节运动动作而沿远侧方向和近侧方向选择性纵向行进。第一远侧关节运动驱动器可操作地联接到外科端部执行器。关节运动系统还包括第二远侧关节运动驱动器，该第二远侧关节运动驱动器被支撑用于沿远侧方向和近侧方向纵向行进。第二远侧关节运动驱动器可操作地联接到外科端部执行器。至少一个小齿轮与第一远侧关节运动驱动器和第二远侧关节运动驱动器啮合接合，使得当第一远侧关节运动驱动器沿远侧方向运动时，所述至少一个小齿轮被构造成能够沿近侧方向驱动第二远侧关节运动驱动器以使外科端部执行器围绕关节运动轴线沿第一关节运动方向进行关节运动，并且当第一远侧关节运动驱动器沿近侧方向运动时，所述至少一个小齿轮沿远侧方向驱动第二远侧关节运动驱动器以使外科端部执行器围绕关节运动轴线沿与第一关节运动方向相反的第二关节运动方向进行关节运动。
实施例101-根据实施例100所述的外科器械，其中第一远侧关节运动驱动器能够枢转地联接到外科端部执行器，并且其中第二远侧关节运动驱动器能够枢转地附接到外科端部执行器。
实施例102-根据实施例100或101所述的外科器械，其中第一远侧关节运动驱动器通过第一可动联接器附接到外科端部执行器，并且其中第二远侧关节运动驱动器通过第二可动联接器附接到外科端部执行器。
实施例103-根据实施例102所述的外科器械，其中第一可动联接器通过第一球接头附接到第一远侧关节运动驱动器，并且其中第二远侧关节运动驱动器通过第二球接头附接到第二可动联接器。
实施例104-根据实施例100、101、102或103所述的外科器械，还包括用于相对于细长轴组件选择性地将外科端部执行器锁定在多个关节运动位置中的装置。
实施例105-根据实施例104所述的外科器械，其中用于选择性锁定的装置包括用于选择性地防止远侧关节运动驱动器沿近侧方向和远侧方向纵向运动的装置。
实施例106-根据实施例104或105所述的外科器械，还包括近侧关节运动驱动器，该近侧关节运动驱动器与近侧和远侧关节运动动作源可操作地交接。近侧关节运动驱动器与用于选择性地防止的装置可操作地交接以选择性地解锁用于选择性地防止的装置，并且致使用于选择性地防止的装置向第一远侧关节运动驱动器施加近侧关节运动动作和远侧关节运动动作。
实施例107-根据实施例100、101、102、103、104、105或106所述的外科器械，其中能够枢转地联接到细长轴组件的外科端部执行器的一部分包括细长通道，该细长通道被构造成能够在其中可操作地支撑外科钉仓。
实施例108-根据实施例107所述的外科缝合器械，还包括砧座，该砧座相对于细长通道被支撑，使得砧座和细长通道中的一者可相对于砧座和细长通道中的另一者在打开位置与闭合位置之间选择性地运动。
实施例109-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器能够枢转地联接到细长轴组件，以相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。外科器械还包括关节运动系统，该关节运动系统包括第一远侧关节运动驱动器，该第一远侧关节运动驱动器被支撑用于响应于施加到其的对应关节运动动作而沿远侧方向和近侧方向选择性纵向行进。第一远侧关节运动驱动器可操作地联接到外科端部执行器。关节运动系统还包括第二远侧关节运动驱动器，该第二远侧关节运动驱动器包括与第一远侧关节运动驱动器和外科端部执行器可操作地交接的环形构件。环形构件被支撑在细长轴组件上以响应于第一远侧关节运动驱动器的纵向行进而选择性地旋转行进，使得当第一远侧关节运动驱动器沿远侧方向运动时，环形构件致使外科端部执行器围绕关节运动轴线沿第一关节运动方向进行关节运动，并且当第一远侧关节运动驱动器沿近侧方向运动时，环形构件致使外科端部执行器围绕关节运动轴线沿与第一关节运动方向相反的第二关节运动方向进行关节运动。
实施例110-根据实施例109所述的外科器械，其中环形构件被可旋转地支撑在安装到细长轴组件上的近侧滑轮上以及外科端部执行器上的远侧滑轮上。
实施例111-根据实施例110所述的外科器械，其中环形构件通过附接凸耳可操作地附接到远侧滑轮，该附接凸耳附接到环形构件并且被构造成能够接收在远侧滑轮中的附接凹坑内。
实施例112-根据实施例109、110或111所述的外科器械，其中环形构件包括一段缆线，该缆线包括附接到第一缆线端部的第一凸耳和附接到第二缆线端部的第二凸耳。第二凸耳也附接到第一凸耳上以形成环形构件。
实施例113-根据实施例112所述的外科器械，其中远侧关节运动驱动器包括用于在其中接收第一凸耳和第二凸耳的第一支架和第二支架。
实施例114-根据实施例110或111所述的外科器械，其中远侧滑轮形成在外科端部执行器的细长通道上。细长通道被构造成能够在其中可操作地支撑外科钉仓。
实施例115-根据实施例110或111所述的外科器械，其中远侧滑轮形成在端部执行器安装组件上，该端部执行器安装组件附接到外科端部执行器的细长通道部分。细长通道被构造成能够在其中可操作地支撑外科钉仓。
实施例116-根据实施例114或115所述的外科器械，还包括砧座，该砧座相对于细长通道被支撑，使得砧座和细长通道中的一者可相对于砧座和细长通道中的另一者在打开位置与闭合位置之间选择性地运动。
实施例117-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器能够枢转地联接到细长轴组件，以相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。外科器械还包括关节运动系统，该关节运动系统包括第一远侧关节运动驱动器，该第一远侧关节运动驱动器被支撑用于响应于施加到其的对应关节运动动作而沿远侧方向和近侧方向选择性纵向行进。第一远侧关节运动驱动器可操作地联接到外科端部执行器。关节运动系统还包括第二远侧关节运动驱动器，该第二远侧关节运动驱动器被支撑用于沿远侧方向和近侧方向纵向行进。第二远侧关节运动驱动器可操作地联接到外科端部执行器。关节运动系统还包括驱动装置，该驱动装置与第一远侧关节运动驱动器和第二远侧关节运动驱动器交接，使得当第一远侧关节运动驱动器沿远侧方向运动时，驱动装置沿近侧方向驱动第二远侧关节运动驱动器以使外科端部执行器围绕关节运动轴线沿第一关节运动方向进行关节运动，并且当第一远侧关节运动驱动器沿近侧方向运动时，驱动装置沿远侧方向驱动第二远侧关节运动驱动器以使外科端部执行器围绕关节运动轴线沿与第一关节运动方向相反的第二关节运动方向进行关节运动。
实施例118-根据实施例117所述的外科器械，其中外科端部执行器包括被构造成能够在其中可操作地支撑外科钉仓的细长通道。砧座相对于细长通道被支撑，使得砧座和细长通道中的一者可相对于砧座和细长通道中的另一者在打开位置与闭合位置之间选择性地运动。
实施例119-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器能够枢转地联接到细长轴组件，以相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。外科器械还包括关节运动系统，该关节运动系统包括旋转关节运动构件，该旋转关节运动构件被支撑用于围绕横向于轴轴线的旋转轴线旋转行进。第一远侧关节运动驱动器组件与旋转关节运动构件可操作地交接，并且被支撑用于响应于由旋转关节运动构件施加到其的对应关节运动动作而沿远侧方向和近侧方向选择性纵向行进。第一远侧关节运动驱动器组件与外科端部执行器可操作地交接。第二远侧关节运动驱动器组件与旋转关节运动构件可操作地交接并且被支撑用于沿远侧方向和近侧方向纵向行进。第二远侧关节运动驱动器组件与外科端部执行器可操作地交接。关节运动系统还包括用于围绕旋转轴线沿第一旋转方向和第二旋转方向选择性旋转所述旋转关节运动构件的装置，使得当旋转关节运动构件通过用于选择性旋转的装置沿第一旋转方向旋转时，第一远侧关节运动驱动器组件沿远侧方向被纵向驱动并且第二远侧关节运动驱动器同时沿近侧方向运动，以使外科端部执行器围绕关节运动轴线沿第一关节运动方向进行关节运动，并且当旋转关节运动构件通过用于选择性旋转的装置沿第二旋转方向旋转时，第一远侧关节运动驱动器组件沿近侧方向被纵向驱动并且第二远侧关节运动驱动器组件同时沿远侧方向运动，以使外科端部执行器围绕关节运动轴线沿第二关节运动方向进行关节运动，该第二关节运动方向与第一关节运动方向相反。
实施例120-根据实施例119所述的外科器械，其中旋转关节运动构件包括旋转关节运动盘，并且其中第一远侧关节运动驱动器组件包括可动地支撑在旋转关节运动盘的第一关节运动狭槽内的第一关节运动驱动器部分，并且其中所述第二远侧关节运动驱动器组件包括可动地支撑在旋转关节运动盘的第二关节运动狭槽内的第二关节运动驱动器部分。
实施例121-根据实施例119或120所述的外科器械，还包括第一偏压构件，该第一偏压构件与第一关节运动驱动器部分相互作用，以在用于选择性旋转的装置未被致动时将第一远侧关节运动驱动器组件偏压到第一中间关节运动位置。第二偏压构件与第二关节运动驱动器部分相互作用，以在用于选择性旋转的装置未被致动时将第二远侧关节运动驱动器组件偏压到第二中间关节运动位置。
实施例122-根据实施例119、120或121所述的外科器械，其中第一远侧关节运动驱动器组件包括与旋转关节运动构件可动地交接的第一关节运动联接件。第一关节运动连接器能够枢转地联接到第一关节运动联接件。第一关节运动连接器与外科端部执行器可操作地交接。第二远侧关节运动组件包括与旋转关节运动构件可动地交接的第二关节运动联接件，并且第二关节运动构件能够枢转地联接到第二关节运动联接件并且与外科端部执行器可操作地交接。
实施例123-实施例122的外科器械，其中第一远侧关节运动驱动器组件还包括关节运动锁组件，该关节运动锁组件与第一关节运动连接器和外科端部执行器可操作地交接，并且被构造成能够相对于细长轴组件将外科端部执行器选择性地锁定在多个关节运动位置中。
实施例124-根据实施例123所述的外科器械，还包括与关节运动锁组件和外科端部执行器可操作地交接的第一关节运动构件。
实施例125-根据实施例124所述的外科器械，其中第一关节运动构件通过第一可动联接器联接到外科端部执行器，并且其中第二关节运动构件通过第二可动联接器联接到外科端部执行器。
实施例126-根据实施例126所述的外科器械，其中第一关节运动构件通过第一球接头联接到第一可动联接器，并且其中第二关节运动构件通过第二球接头联接到第二可动联接器。
实施例127-根据实施例119、120、121、122、123、124、125或126所述的外科器械，其中用于选择性旋转的装置包括与旋转关节运动构件啮合接合的马达。
实施例128-根据实施例119、120、121、122、123、124、125或126所述的外科器械，还包括能够纵向运动的击发构件，并且其中用于选择性旋转的装置包括被构造成能够产生旋转输出动作的马达、与马达和能够纵向运动的击发构件可操作地交接的开关构造以及与旋转关节运动构件可操作地接合的关节运动驱动联接件。开关构造被构造成能够在第一位置与第二位置之间运动，在第一位置中，马达的致动导致向关节运动驱动联接件施加轴向关节运动动作，从而致使旋转关节运动构件围绕旋转轴线旋转，在第二位置中，马达的致动导致向能够纵向运动的击发构件施加轴向击发动作。
实施例129-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器能够枢转地联接到细长轴组件，以相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。外科器械还包括关节运动系统，该关节运动系统包括旋转驱动构件，该旋转驱动构件被支撑用于围绕横向于轴轴线的旋转轴线旋转行进。旋转从动构件被支撑用于相对于旋转驱动构件围绕旋转轴线旋转行进。旋转从动构件与旋转驱动构件可操作地交接，使得向旋转驱动构件施加关节运动控制动作致使旋转从动构件围绕旋转轴线旋转。第一远侧关节运动驱动器组件与至少旋转从动构件可操作地交接，并且被支撑用于响应于至少第一旋转从动构件的旋转而沿远侧方向和近侧方向选择性纵向行进。第一远侧关节运动驱动器组件与外科端部执行器可操作地交接。关节运动系统还包括第二远侧关节运动驱动器组件，该第二远侧关节运动驱动器组件与至少旋转从动构件可操作地交接并且被支撑用于沿远侧方向和近侧方向纵向行进。第二远侧关节运动驱动器组件与外科端部执行器可操作地交接。关节运动系统还包括用于向旋转驱动器构件选择性施加关节运动控制动作以致使旋转驱动器构件围绕旋转轴线旋转并且从而致使旋转从动构件围绕旋转轴线旋转的装置，使得当旋转从动构件沿第一旋转方向旋转时，第一远侧关节运动驱动器组件沿远侧方向被纵向驱动并且第二远侧关节运动驱动器同时沿近侧方向运动，以使外科端部执行器围绕关节运动轴线沿第一关节运动方向进行关节运动，并且当旋转从动构件沿第二旋转方向旋转时，第一远侧关节运动驱动器组件沿近侧方向被纵向驱动并且第二远侧关节运动驱动器组件同时沿远侧方向运动，以使外科端部执行器围绕关节运动轴线沿第二关节运动方向进行关节运动，该第二关节运动方向与第一关节运动方向相反。
实施例130-根据实施例129所述的外科器械，其中旋转驱动器构件包括旋转驱动器关节运动盘，并且其中第二旋转从动构件包括旋转从动关节运动盘，并且其中第一远侧关节运动驱动器组件包括可动地支撑在旋转驱动关节运动盘和旋转从动关节运动盘中的每一者的对应第一关节运动狭槽内的第一关节运动驱动器部分，并且其中第二远侧关节运动驱动器组件包括可动地支撑在旋转驱动器关节运动盘和旋转从动关节运动盘中的每一者的对应第二关节运动狭槽内的第二关节运动驱动器部分。
实施例131-根据实施例129或130所述的外科器械，其中第一远侧关节运动驱动器组件包括与旋转驱动器构件和旋转从动构件可动地交接的第一关节运动联接件，以及能够枢转地联接到第一关节运动联接件的第一关节运动构件。第一关节运动构件与外科端部执行器可操作地交接。第二远侧关节运动组件包括与旋转驱动构件和旋转从动构件可动地交接的第二关节运动联接件，并且第二关节运动构件能够枢转地联接到第二关节运动联接件并且与外科端部执行器可操作地交接。
实施例132-根据实施例131所述的外科器械，其中第一关节运动构件通过第一可动联接器联接到外科端部执行器，并且第二关节运动构件通过第二可动联接器联接到外科端部执行器。
实施例133-根据实施例132所述的外科器械，其中第一关节运动构件通过第一球接头联接到第一可动联接器，并且其中第二关节运动构件通过第二球接头联接到第二可动联接器。
实施例134-根据实施例129、130、131、132或133所述的外科器械，其中用于选择性施加的装置包括与旋转驱动构件啮合接合的马达。
实施例135-根据实施例129、130、131、132或133所述的外科器械，还包括能够纵向运动的击发构件，并且其中用于选择性施加的装置包括被构造成能够产生旋转输出动作的电机。用于选择性施加的装置还包括与马达和能够纵向运动的击发构件可操作地交接的开关构造，以及与旋转驱动构件可操作地接合的关节运动驱动联接件。开关构造被构造成能够在第一位置与第二位置之间运动，在第一位置中，马达的致动导致向关节运动驱动联接件施加轴向关节运动动作，从而致使旋转驱动器构件围绕旋转轴线旋转，在第二位置中，马达的致动导致向能够纵向运动的击发构件施加轴向击发动作。
实施例136-一种外科器械，包括限定轴轴线的细长轴组件。外科端部执行器能够枢转地联接到细长轴组件，以相对于细长轴组件围绕横向于轴轴线的关节运动轴线进行选择性关节运动。外科器械还包括关节运动系统，该关节运动系统包括可操作地联接到外科端部执行器以使外科端部执行器围绕关节运动轴线进行关节运动的装置以及用于选择性地产生旋转动作的装置。关节运动系统还包括旋转构件，该旋转构件与用于产生旋转动作的装置和用于进行关节运动的装置可操作地交接，使得由用于选择性地产生旋转动作的装置向旋转构件施加旋转动作致使用于进行关节运动的装置同时将相对的轴向关节运动动作施加到外科端部执行器，其中一个相对轴向动作被施加到外科端部执行器上侧向偏移到关节运动轴线的一侧的附接点，并且其中另一个相对轴向动作被施加到外科端部执行器上侧向偏移到关节运动轴线的另一侧的另一个附接点。
下述专利的全部公开内容据此以引用方式并入本文：
公布于1995年4月4日的名称为“ELECTROSURGICAL HEMOSTATIC DEVICE”的美国专利5,403,312；
公布于2006年2月21日的名称为“SURGICAL STAPLING INSTRUMENT HAVINGSEPARATE DISTINCT CLOSING AND FIRING SYSTEMS”的美国专利7,000,818；
公布于2008年9月9日的名称为“MOTOR-DRIVEN SURGICAL CUTTING ANDFASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK”的美国专利7,422,139；
公布于2008年12月16日的名称为“ELECTRO-MECHANICAL SURGICAL INSTRUMENTWITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS”的美国专利7,464,849；
公布于2010年3月2日的名称为“SURGICAL INSTRUMENT HAVING AN ARTICULATINGEND EFFECTOR”的美国专利7,670,334；
公布于2010年7月13日的名称为“SURGICAL STAPLING INSTRUMENTS”的美国专利7,753,245；
公布于2013年3月12日的名称为“SELECTIVELY ORIENTABLE IMPLANTABLEFASTENER CARTRIDGE”的美国专利8,393,514；
名称为“SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES”的美国专利申请序列号11/343,803，现为美国专利7,845,537；
提交于2008年2月14日的名称为“SURGICAL CUTTING AND FASTENING INSTRUMENTHAVING RF ELECTRODES”的美国专利申请序列号12/031,573；
提交于2008年2月15日的名称为“END EFFECTORS FOR A SURGICAL CUTTING ANDSTAPLING INSTRUMENT”的美国专利申请序列号12/031,873，现为美国专利7,980,443；
名称为“MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT”的美国专利申请序列号12/235,782，现为美国专利8,210,411；
名称为“POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLYRETRACTABLE FIRING SYSTEM”的美国专利申请序列号12/249,117，现为美国专利8,608,045；
2009年12月24日提交的名称为“MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENTWITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY”的美国专利申请序列号12/647,100(现为美国专利号8,220,688)；
提交于2012年9月29日的名称为“STAPLE CARTRIDGE”的美国专利申请序列号12/893,461，现为美国专利8,733,613；
提交于2011年2月28日的名称为“SURGICAL STAPLING INSTRUMENT”的美国专利申请序列号13/036,647，现为美国专利8,561,870；
名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS”的美国专利申请序列号13/118,241，现为美国专利申请公布2012/0298719；
提交于2012年6月15日的名称为“ARTICULATABLE SURGICAL INSTRUMENTCOMPRISING A FIRING DRIVE”的美国专利申请序列号13/524,049，现为美国专利申请公布2013/0334278；
提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,025，现为美国专利申请公布2014/0263551；
提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,067，现为美国专利申请公布2014/0263552；
提交于2006年1月31日的名称为“SURGICAL CUTTING AND FASTENING INSTRUMENTWITH CLOSURE TRIGGER LOCKING MECHANISM”的美国专利申请公布2007/0175955；以及
提交于2010年4月22日的名称为“SURGICAL STAPLING INSTRUMENT WITH ANARTICULATABLE END EFFECTOR”的美国专利申请公布2010/0264194，现为美国专利8,308,040。
虽然本文已结合某些公开的实施方案描述了装置的各种实施方案，但也可实施对这些实施方案的许多修改和变型。另外，在公开了用于某些部件的材料的情况下，可使用其它材料。此外，根据多种实施方案，单个部件可被替换为多个部件，并且多个部件也可被替换为单个部件，以执行给定的一种或多种功能。上述具体实施方式和下述权利要求旨在涵盖所有此类修改和变型。
本文所公开的装置可被设计成在单次使用后废弃，或者其可被设计成能够使用多次。然而无论是哪种情况，该器械都可在至少使用一次后经过修复再行使用。修复可包括拆卸装置、清洁或更换具体部件以及后续重新组装的其中任意几个步骤的组合。具体地，所述装置可拆卸，而且可以任意组合选择性地更换或移除所述装置的任意数目的特定零件或部件。在清洁和/或替换特定部件后，可对所述装置进行重新组装，以便随后在修复设施处使用或就在外科规程之前由手术团队使用。本领域的技术人员将会理解，修复装置可利用各种技术来进行拆卸、清洁/替换和重新组装。此类技术的使用以及所得的修复装置均在本申请的范围内。
仅以举例的方式，可在外科手术之前对本文所述的方面进行处理。首先，可以获得新的或用过的器械，并且根据需要进行清洁。然后，可对器械进行消毒。在一种灭菌技术中，将该器械放置在闭合且密封的容器(诸如，塑料或TYVEK袋)中。然后可将容器和器械置于可穿透该容器的辐射场，例如γ辐射、X射线或高能电子。辐射可以杀死器械上和容器中的细菌。消毒后的器械随后可被存放在无菌容器中。密封容器可将器械保持处于无菌状态，直至在医疗设施中将该容器打开。还可使用本领域已知的任何其它技术对装置进行消毒，所述技术包括但不限于β或γ辐射、环氧乙烷或蒸汽。
尽管本发明已被描述为具有示例性设计，但可在本公开的实质和范围内进一步修改本发明。因此，本专利申请旨在涵盖使用本发明的一般原理的本发明的任何变型、用途或改型。
以引用方式全文或部分地并入本文的任何专利、公布或其它公开材料均仅在所并入的材料不与本公开所提出的现有定义、陈述或其它公开材料相冲突的范围内并入本文。同样地，并且在必要的程度下，本文明确阐述的公开内容替代以引用方式并入本文的任何冲突材料。据称以引用方式并入本文但与本文所述的现有定义、陈述或其它公开材料相冲突的任何材料或其部分，仅在所并入的材料和现有的公开材料之间不产生冲突的程度下并入本文。

Claims (17)

1.一种外科器械，包括：
外科端部执行器，包括：
第一钳口；和
第二钳口，所述第二钳口相对于所述第一钳口可动地支撑以相对于所述第一钳口在打开位置与闭合位置之间选择性地运动，并且其中所述外科器械还包括闭合构件，所述闭合构件能够响应于施加到所述闭合构件的闭合动作和打开动作而轴向运动，所述闭合构件包括从所述闭合构件突出的至少一个打开凸轮，以可动地接合所述第二钳口上的对应开槽凸轮表面，使得在向所述闭合构件施加所述打开动作时，所述至少一个打开凸轮可动地接合所述对应开槽凸轮表面以使所述第二钳口运动到所述打开位置，并且在向所述闭合构件施加所述闭合动作时，所述闭合构件接合所述第二钳口以使所述第二钳口运动到一个所述闭合位置；
其中所述至少一个打开凸轮包括：
第一打开凸轮，所述第一打开凸轮从所述闭合构件侧向向内延伸并接合所述对应开槽凸轮表面中的第一个开槽凸轮表面；和
第二打开凸轮，所述第二打开凸轮从所述闭合构件侧向向内延伸并接合所述对应开槽凸轮表面中的第二个开槽凸轮表面。
2.根据权利要求1所述的外科器械，其中所述第二打开凸轮在所述闭合构件上与所述第一打开凸轮沿直径相对。
3.根据权利要求1所述的外科器械，其中所述至少一个打开凸轮可移除地附接到所述闭合构件。
4.根据权利要求3所述的外科器械，其中所述至少一个打开凸轮被构造用于与所述闭合构件按扣接合。
5.根据权利要求1所述的外科器械，其中所述至少一个打开凸轮一体形成在所述闭合构件中。
6.根据权利要求5所述的外科器械，其中所述至少一个打开凸轮被卷曲到所述闭合构件的壁中，使得所述壁的卷曲部分可动地延伸穿过所述第一钳口的对应部分以可动地接合所述第二钳口上的所述对应开槽凸轮表面。
7.根据权利要求1所述的外科器械，其中所述至少一个打开凸轮向内延伸穿过所述第一钳口的一部分以接合所述对应开槽凸轮表面。
8.根据权利要求1所述的外科器械，其中第二钳口，所述第二钳口能够枢转地支撑在所述第一钳口上，其中所述对应开槽凸轮表面中的第一和第二个包括第一凸轮表面和第二凸轮表面，并且其中所述闭合构件还包括端部执行器闭合套管，其中所述第一打开凸轮从所述端部执行器闭合套管侧向向内延伸穿过所述第一钳口的一部分以可操作地接合所述第一凸轮表面；并且其中所述第二打开凸轮从所述端部执行器闭合套管侧向向内延伸穿过所述第一钳口的另一部分以可操作地接合所述第二凸轮表面。
9.根据权利要求8所述的外科器械，其中所述第一打开凸轮和第二打开凸轮可移除地附接到所述端部执行器闭合套管。
10.根据权利要求8所述的外科器械，其中所述第一打开凸轮和第二打开凸轮在所述端部执行器闭合套管中包括永久变形。
11.根据权利要求10所述的外科器械，其中所述第一打开凸轮和第二打开凸轮通过卷曲所述端部执行器闭合套管而形成。
12.根据权利要求11所述的外科器械，其中所述第一打开凸轮和第二打开凸轮相对于所述端部执行器闭合套管的外表面的相邻部分以90度角卷曲。
13.根据权利要求8所述的外科器械，其中所述第一打开凸轮可动地突出穿过所述第一钳口中的第一狭槽以与所述第二钳口中的所述第一凸轮表面可操作地交接，并且其中所述第二打开凸轮可动地突出穿过所述第一钳口中的第二狭槽以与所述第二钳口中的所述第二凸轮表面可操作地交接。
14.根据权利要求8所述的外科器械，其中所述第二钳口包括一对侧向延伸的耳轴，所述耳轴被构造成能够枢转地接收在所述第一钳口中的对应耳轴孔中，以利于所述第二钳口相对于所述第一钳口的枢转行进。
15.根据权利要求8所述的外科器械，其中所述第一钳口被构造成能够可操作地支撑外科钉仓，并且其中所述第二钳口包括砧座。
16.根据权利要求1所述的外科器械，还包括：
外壳；
闭合系统，所述闭合系统由所述外壳可操作地支撑并被构造成能够产生闭合动作和打开动作；
细长轴组件，所述细长轴组件与所述外壳可操作地交接，所述细长轴组件包括闭合构件，所述闭合构件包括端部执行器闭合套管；
其中所述第二钳口包括砧座。
17.根据权利要求16所述的外科器械，其中所述至少一个打开凸轮形成在所述端部执行器闭合套管中。
CN201680035753.3A 2015-06-18 2016-06-14 具有正向钳口开口结构的外科端部执行器 Active CN107787204B (zh)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US14/742,876 US10178992B2 (en) 2015-06-18 2015-06-18 Push/pull articulation drive systems for articulatable surgical instruments
US14/742,900 US10335149B2 (en) 2015-06-18 2015-06-18 Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support
US14/742,925 2015-06-18
US14/742,914 US10405863B2 (en) 2015-06-18 2015-06-18 Movable firing beam support arrangements for articulatable surgical instruments
US14/742,885 US10368861B2 (en) 2015-06-18 2015-06-18 Dual articulation drive system arrangements for articulatable surgical instruments
US14/742,933 US10154841B2 (en) 2015-06-18 2015-06-18 Surgical stapling instruments with lockout arrangements for preventing firing system actuation when a cartridge is spent or missing
US14/742,925 US10182818B2 (en) 2015-06-18 2015-06-18 Surgical end effectors with positive jaw opening arrangements
US14/742,941 US10052102B2 (en) 2015-06-18 2015-06-18 Surgical end effectors with dual cam actuated jaw closing features
PCT/US2016/037314 WO2016205162A1 (en) 2015-06-18 2016-06-14 Surgical end effectors with positive jaw opening arrangements

Publications (2)

Publication Number Publication Date
CN107787204A CN107787204A (zh) 2018-03-09
CN107787204B true CN107787204B (zh) 2021-02-12

Family

ID=62234670

Family Applications (2)

Application Number Title Priority Date Filing Date
CN201680035753.3A Active CN107787204B (zh) 2015-06-18 2016-06-14 具有正向钳口开口结构的外科端部执行器
CN201680035739.3A Active CN107708578B (zh) 2015-06-18 2016-06-14 具有用于在仓被用完或丢失时防止击发系统致动的闭锁构造的外科缝合器械

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN201680035739.3A Active CN107708578B (zh) 2015-06-18 2016-06-14 具有用于在仓被用完或丢失时防止击发系统致动的闭锁构造的外科缝合器械

Country Status (8)

Country Link
US (18) US10182818B2 (zh)
EP (12) EP3412221B1 (zh)
JP (1) JP6873928B2 (zh)
CN (2) CN107787204B (zh)
BR (1) BR112017027327B1 (zh)
MX (1) MX2017016503A (zh)
RU (1) RU2721646C2 (zh)
WO (7) WO2016205063A1 (zh)

Families Citing this family (690)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
CA2724140C (en) * 2003-06-17 2012-09-25 Tyco Healthcare Group Lp Surgical stapling device
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US8991676B2 (en) 2007-03-15 2015-03-31 Ethicon Endo-Surgery, Inc. Surgical staple having a slidable crown
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US8220690B2 (en) 2006-09-29 2012-07-17 Ethicon Endo-Surgery, Inc. Connected surgical staples and stapling instruments for deploying the same
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
BRPI0901282A2 (pt) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação dotado de eletrodos de rf
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
WO2010090940A1 (en) 2009-02-06 2010-08-12 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9301755B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Compressible staple cartridge assembly
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US10213198B2 (en) 2010-09-30 2019-02-26 Ethicon Llc Actuator for releasing a tissue thickness compensator from a fastener cartridge
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8858590B2 (en) 2011-03-14 2014-10-14 Ethicon Endo-Surgery, Inc. Tissue manipulation devices
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
JP6105041B2 (ja) 2012-03-28 2017-03-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 低圧環境を画定するカプセルを含む組織厚コンペンセーター
CN104321024B (zh) 2012-03-28 2017-05-24 伊西康内外科公司 包括多个层的组织厚度补偿件
JP6224070B2 (ja) 2012-03-28 2017-11-01 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 組織厚さコンペンセータを含む保持具アセンブリ
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US20140005678A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Rotary drive arrangements for surgical instruments
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
RU2636861C2 (ru) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Блокировка пустой кассеты с клипсами
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
JP6382235B2 (ja) 2013-03-01 2018-08-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 信号通信用の導電路を備えた関節運動可能な外科用器具
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9351726B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Articulation control system for articulatable surgical instruments
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
US9775609B2 (en) 2013-08-23 2017-10-03 Ethicon Llc Tamper proof circuit for surgical instrument battery pack
MX369362B (es) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos.
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9549735B2 (en) 2013-12-23 2017-01-24 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a firing member including fastener transfer surfaces
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
JP6462004B2 (ja) 2014-02-24 2019-01-30 エシコン エルエルシー 発射部材ロックアウトを備える締結システム
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
US20150272571A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Surgical instrument utilizing sensor adaptation
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US20150297222A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
JP6636452B2 (ja) 2014-04-16 2020-01-29 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 異なる構成を有する延在部を含む締結具カートリッジ
CN106456159B (zh) 2014-04-16 2019-03-08 伊西康内外科有限责任公司 紧固件仓组件和钉保持器盖布置结构
US10010324B2 (en) 2014-04-16 2018-07-03 Ethicon Llc Fastener cartridge compromising fastener cavities including fastener control features
BR112016023825B1 (pt) 2014-04-16 2022-08-02 Ethicon Endo-Surgery, Llc Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico
US10426476B2 (en) 2014-09-26 2019-10-01 Ethicon Llc Circular fastener cartridges for applying radially expandable fastener lines
US9901341B2 (en) 2014-05-16 2018-02-27 Covidien Lp Surgical instrument
US9730694B2 (en) * 2014-07-01 2017-08-15 Covidien Lp Loading unit including shipping assembly
US20160066913A1 (en) 2014-09-05 2016-03-10 Ethicon Endo-Surgery, Inc. Local display of tissue parameter stabilization
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
BR112017005981B1 (pt) 2014-09-26 2022-09-06 Ethicon, Llc Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
BR112017012996B1 (pt) 2014-12-18 2022-11-08 Ethicon Llc Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US10045779B2 (en) 2015-02-27 2018-08-14 Ethicon Llc Surgical instrument system comprising an inspection station
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
RU2717936C2 (ru) 2015-06-18 2020-03-26 ЭТИКОН ЭлЭлСи Конструкции системы двухшарнирного привода для хирургических инструментов с возможностью шарнирного поворота
US10182818B2 (en) 2015-06-18 2019-01-22 Ethicon Llc Surgical end effectors with positive jaw opening arrangements
US10188386B2 (en) * 2015-06-26 2019-01-29 Ethicon Llc Surgical stapler with anvil state indicator
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
JP6828018B2 (ja) 2015-08-26 2021-02-10 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ステープルの特性変更を可能にし、カートリッジへの充填を容易にする外科用ステープルストリップ
US10470769B2 (en) 2015-08-26 2019-11-12 Ethicon Llc Staple cartridge assembly comprising staple alignment features on a firing member
MX2022006191A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10172619B2 (en) 2015-09-02 2019-01-08 Ethicon Llc Surgical staple driver arrays
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10524788B2 (en) 2015-09-30 2020-01-07 Ethicon Llc Compressible adjunct with attachment regions
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
US10751108B2 (en) 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10548655B2 (en) 2015-10-16 2020-02-04 Ethicon Llc Control and electrical connections for electrode endocutter device
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10779849B2 (en) 2016-01-15 2020-09-22 Ethicon Llc Modular battery powered handheld surgical instrument with voltage sag resistant battery pack
JP6911054B2 (ja) 2016-02-09 2021-07-28 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 非対称の関節構成を備えた外科用器具
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10433837B2 (en) 2016-02-09 2019-10-08 Ethicon Llc Surgical instruments with multiple link articulation arrangements
US10349937B2 (en) * 2016-02-10 2019-07-16 Covidien Lp Surgical stapler with articulation locking mechanism
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11064997B2 (en) 2016-04-01 2021-07-20 Cilag Gmbh International Surgical stapling instrument
US10542991B2 (en) 2016-04-01 2020-01-28 Ethicon Llc Surgical stapling system comprising a jaw attachment lockout
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10307159B2 (en) 2016-04-01 2019-06-04 Ethicon Llc Surgical instrument handle assembly with reconfigurable grip portion
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10368867B2 (en) 2016-04-18 2019-08-06 Ethicon Llc Surgical instrument comprising a lockout
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
DE102016208218A1 (de) * 2016-05-12 2017-11-16 Richard Wolf Gmbh Instrument, insbesondere medizinisch-endoskopisches Instrument
US20170360441A1 (en) * 2016-06-15 2017-12-21 Covidien Lp Tool assembly for leak resistant tissue dissection
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
JP6957532B2 (ja) 2016-06-24 2021-11-02 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ワイヤステープル及び打ち抜き加工ステープルを含むステープルカートリッジ
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
US10542979B2 (en) 2016-06-24 2020-01-28 Ethicon Llc Stamped staples and staple cartridges using the same
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US11179155B2 (en) 2016-12-21 2021-11-23 Cilag Gmbh International Anvil arrangements for surgical staplers
US10779823B2 (en) 2016-12-21 2020-09-22 Ethicon Llc Firing member pin angle
US20180168577A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Axially movable closure system arrangements for applying closure motions to jaws of surgical instruments
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US20180168609A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Firing assembly comprising a fuse
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US10588630B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical tool assemblies with closure stroke reduction features
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10675025B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Shaft assembly comprising separately actuatable and retractable systems
CN110087565A (zh) 2016-12-21 2019-08-02 爱惜康有限责任公司 外科缝合系统
US20180168650A1 (en) * 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Connection portions for disposable loading units for surgical stapling instruments
US11160551B2 (en) 2016-12-21 2021-11-02 Cilag Gmbh International Articulatable surgical stapling instruments
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
CN110099619B (zh) 2016-12-21 2022-07-15 爱惜康有限责任公司 用于外科端部执行器和可替换工具组件的闭锁装置
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US20180168598A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Staple forming pocket arrangements comprising zoned forming surface grooves
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US10603035B2 (en) * 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
JP7150763B2 (ja) 2017-06-27 2022-10-11 エシコン エルエルシー 外科用アンビル構成
US11090049B2 (en) 2017-06-27 2021-08-17 Cilag Gmbh International Staple forming pocket arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
USD865175S1 (en) 2017-06-28 2019-10-29 Ethicon Llc Staple cartridge for surgical instrument
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11298128B2 (en) 2017-06-28 2022-04-12 Cilag Gmbh International Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
CN110868942B (zh) * 2017-06-28 2023-09-08 爱惜康有限责任公司 具有改善的钳口孔布置的外科端部执行器
BR112019027741A2 (pt) * 2017-06-28 2020-09-15 Ethicon Llc instrumentos cirúrgicos com atuador de extremidade articulável com configurações de junta articulada axialmente encurtada
US11058477B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical cutting and fastening instruments with dual power sources
US10813640B2 (en) 2017-06-28 2020-10-27 Ethicon Llc Method of coating slip rings
JP7317726B2 (ja) * 2017-06-28 2023-07-31 エシコン エルエルシー 軸方向に可動な閉鎖部材を有する外科用器具
JP7196115B2 (ja) * 2017-06-28 2022-12-26 エシコン エルエルシー 開閉可能なジョーと発射の前にジョーに近接して初期配置される軸方向に可動な発射部材とを備えた外科用器具
USD908216S1 (en) * 2017-06-28 2021-01-19 Ethicon Llc Surgical instrument
CN110799127A (zh) * 2017-06-28 2020-02-14 爱惜康有限责任公司 具有组织定位布置靠近砧座枢转轴线的可枢转砧座的外科切割和紧固装置
US11103301B2 (en) 2017-06-28 2021-08-31 Cilag Gmbh International Surgical system coupleable with staple cartridge and radio frequency cartridge, and having a plurality of radio-frequency energy return paths
USD893717S1 (en) 2017-06-28 2020-08-18 Ethicon Llc Staple cartridge for surgical instrument
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US11696759B2 (en) 2017-06-28 2023-07-11 Cilag Gmbh International Surgical stapling instruments comprising shortened staple cartridge noses
US11013552B2 (en) 2017-06-28 2021-05-25 Cilag Gmbh International Electrosurgical cartridge for use in thin profile surgical cutting and stapling instrument
CN110831517B (zh) * 2017-06-28 2023-04-25 爱惜康有限责任公司 包括能够由闭合系统锁定的关节运动系统的外科器械
US11129666B2 (en) 2017-06-28 2021-09-28 Cilag Gmbh International Shaft module circuitry arrangements
US11259805B2 (en) * 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
BR112019027695A2 (pt) * 2017-06-28 2020-09-15 Ethicon Llc instrumentos cirúrgicos com garras constritas para girar em torno de um eixo geométrico mediante o contato com um membro de fechamento que está estacionado em estreita proximidade ao eixo geométrico de pivô
US11278346B2 (en) 2017-06-28 2022-03-22 Cilag Gmbh International Systems and methods of displaying surgical instrument status
US11160604B2 (en) 2017-06-28 2021-11-02 Cilag Gmbh International Surgical end effector to adjust jaw compression
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US10639037B2 (en) 2017-06-28 2020-05-05 Ethicon Llc Surgical instrument with axially movable closure member
US10888369B2 (en) 2017-06-28 2021-01-12 Ethicon Llc Systems and methods for controlling control circuits for independent energy delivery over segmented sections
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US11065048B2 (en) * 2017-06-28 2021-07-20 Cilag Gmbh International Flexible circuit arrangement for surgical fastening instruments
CN110831511B (zh) * 2017-06-28 2023-04-28 爱惜康有限责任公司 包括具有壳体布置结构的轴的外科器械
US11272976B2 (en) 2017-06-28 2022-03-15 Cilag Gmbh International Surgical end effector for applying electrosurgical energy to different electrodes on different time periods
US10888325B2 (en) 2017-06-28 2021-01-12 Ethicon Llc Cartridge arrangements for surgical cutting and fastening instruments with lockout disablement features
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
EP4279013A3 (en) 2017-08-22 2023-11-29 Intuitive Surgical Operations, Inc. User-installable part installation detection techniques
US10966720B2 (en) 2017-09-01 2021-04-06 RevMedica, Inc. Surgical stapler with removable power pack
US11331099B2 (en) 2017-09-01 2022-05-17 Rev Medica, Inc. Surgical stapler with removable power pack and interchangeable battery pack
US10695060B2 (en) 2017-09-01 2020-06-30 RevMedica, Inc. Loadable power pack for surgical instruments
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US10980560B2 (en) 2017-10-30 2021-04-20 Ethicon Llc Surgical instrument systems comprising feedback mechanisms
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
CN111526810A (zh) * 2017-10-30 2020-08-11 爱惜康有限责任公司 包括闭锁机构的外科器械系统
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US10987104B2 (en) 2017-10-30 2021-04-27 Covidien Lp Apparatus for endoscopic procedures
US11207066B2 (en) * 2017-10-30 2021-12-28 Covidien Lp Apparatus for endoscopic procedures
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11026687B2 (en) 2017-10-30 2021-06-08 Cilag Gmbh International Clip applier comprising clip advancing systems
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10925603B2 (en) 2017-11-14 2021-02-23 Covidien Lp Reload with articulation stabilization system
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US10743868B2 (en) 2017-12-21 2020-08-18 Ethicon Llc Surgical instrument comprising a pivotable distal head
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
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
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
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
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
US11045591B2 (en) 2017-12-28 2021-06-29 Cilag Gmbh International Dual in-series large and small droplet filters
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11013563B2 (en) 2017-12-28 2021-05-25 Ethicon Llc Drive arrangements for robot-assisted surgical platforms
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
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
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
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
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
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
US11771487B2 (en) 2017-12-28 2023-10-03 Cilag Gmbh International Mechanisms for controlling different electromechanical systems of an electrosurgical instrument
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
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
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
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11179175B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Controlling an ultrasonic surgical instrument according to tissue location
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US10695081B2 (en) 2017-12-28 2020-06-30 Ethicon Llc Controlling a surgical instrument according to sensed closure parameters
US11672605B2 (en) 2017-12-28 2023-06-13 Cilag Gmbh International Sterile field interactive control displays
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
US20190201118A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Display arrangements for robot-assisted surgical platforms
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
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
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
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
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US10755813B2 (en) 2017-12-28 2020-08-25 Ethicon Llc Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
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
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
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
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
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
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
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
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
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
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
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
US11844579B2 (en) 2017-12-28 2023-12-19 Cilag Gmbh International Adjustments based on airborne particle properties
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11696760B2 (en) 2017-12-28 2023-07-11 Cilag Gmbh International Safety systems for smart powered surgical stapling
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
US10779813B2 (en) * 2018-01-10 2020-09-22 C.R. Bard, Inc. Articulating surgical instruments
US11134928B2 (en) * 2018-01-10 2021-10-05 C.R. Bard, Inc. Articulating surgical instruments
US11103234B2 (en) 2018-01-10 2021-08-31 C.R. Bard, Inc. Articulating surgical instruments
US11337746B2 (en) 2018-03-08 2022-05-24 Cilag Gmbh International Smart blade and power pulsing
US11399858B2 (en) 2018-03-08 2022-08-02 Cilag Gmbh International Application of smart blade technology
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11166716B2 (en) 2018-03-28 2021-11-09 Cilag Gmbh International Stapling instrument comprising a deactivatable lockout
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
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
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
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11589865B2 (en) 2018-03-28 2023-02-28 Cilag Gmbh International Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems
US20190298353A1 (en) 2018-03-28 2019-10-03 Ethicon Llc Surgical stapling devices with asymmetric closure features
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US10849622B2 (en) * 2018-06-21 2020-12-01 Covidien Lp Articulated stapling with fire lock
CN108924955B (zh) * 2018-07-30 2021-12-14 山东大骋医疗科技有限公司 一种基于双链无线通信的ct数据传输与控制方法及装置
US11324501B2 (en) * 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11253256B2 (en) * 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
CN109259975B (zh) * 2018-10-26 2024-03-26 冷晓冬 下颌固定器
US11051809B2 (en) * 2018-12-31 2021-07-06 Cilag Gmbh International Cartridge receiving jaw for surgical stapler and associated method of manufacture with MIM
US11298130B2 (en) 2019-02-19 2022-04-12 Cilag Gmbh International Staple cartridge retainer with frangible authentication key
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US11369377B2 (en) * 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11241228B2 (en) 2019-04-05 2022-02-08 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US20200345359A1 (en) 2019-04-30 2020-11-05 Ethicon Llc Tissue stop for a surgical instrument
US20200345357A1 (en) 2019-04-30 2020-11-05 Ethicon Llc Intelligent firing associated with a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US20200345356A1 (en) 2019-04-30 2020-11-05 Ethicon Llc Intelligent firing associated with a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11361176B2 (en) 2019-06-28 2022-06-14 Cilag Gmbh International Surgical RFID assemblies for compatibility detection
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11497492B2 (en) * 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
EP3998960A4 (en) 2019-07-19 2022-12-14 Revmedica, Inc. SURGICAL STAPLER WITH REMOVABLE POWER SUPPLY
KR20210041917A (ko) * 2019-10-08 2021-04-16 엘지디스플레이 주식회사 양자점, 이를 포함하는 표시장치 및 그 표시장치의 제조방법
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US20210186501A1 (en) 2019-12-19 2021-06-24 Ethicon Llc Staple cartridge comprising a deployable knife
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US20210196266A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Surgical instrument comprising a control system responsive to software configurations
US11723716B2 (en) 2019-12-30 2023-08-15 Cilag Gmbh International Electrosurgical instrument with variable control mechanisms
US20210196267A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Surgical instrument comprising an orientation detection system
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11707318B2 (en) 2019-12-30 2023-07-25 Cilag Gmbh International Surgical instrument with jaw alignment features
US20210196359A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instruments with electrodes having energy focusing features
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US20210196270A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Surgical instrument comprising a flex circuit
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US20210196269A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Surgical instrument comprising a feedback control circuit
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
CN113133795A (zh) * 2020-02-27 2021-07-20 北京派尔特医疗科技股份有限公司 一种可弯转腔镜下直线切割吻合器及其组件
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
US11653921B2 (en) * 2020-05-04 2023-05-23 Bolder Surgical, Llc Anti-buckling actuation members for a surgical instrument
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
US20220031320A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with flexible firing member actuator constraint arrangements
US11395654B2 (en) * 2020-08-07 2022-07-26 Covidien Lp Surgical stapling device with articulation braking assembly
CN114098865B (zh) * 2020-08-28 2024-02-09 江苏风和医疗器材股份有限公司 外科器械
CN111991089B (zh) * 2020-09-10 2022-02-11 苏州大学 一种微创手术机器人及其末端集成夹持器
CN111991088B (zh) * 2020-09-10 2022-02-11 苏州大学 一种微创手术机器人及其末端夹持器
US11576674B2 (en) * 2020-10-06 2023-02-14 Covidien Lp Surgical stapling device with articulation lock assembly
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US20220133300A1 (en) 2020-10-29 2022-05-05 Ethicon Llc Surgical instrument comprising a stowed closure actuator stop
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US20220133303A1 (en) 2020-10-29 2022-05-05 Ethicon Llc Surgical instrument comprising sealable interface
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11517313B2 (en) * 2021-01-27 2022-12-06 Covidien Lp Surgical stapling device with laminated drive member
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
JP2024508831A (ja) 2021-02-26 2024-02-28 シラグ・ゲーエムベーハー・インターナショナル 電力転送コイルを備える外科用器具システム
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US20220273303A1 (en) * 2021-02-26 2022-09-01 Ethicon Llc Staple cartridge comrising a sensing array and a temperature control system
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
CN112914645B (zh) * 2021-03-09 2022-06-21 常州安康医疗器械有限公司 一种一次性腔镜直线切割吻合器
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
TWI814305B (zh) * 2021-03-25 2023-09-01 美商內視鏡檢發展公司 內視鏡
CN113134137B (zh) * 2021-04-21 2022-05-13 东莞安科医疗科技有限公司 一种针筒识别装置以及高压注射器
US11918275B2 (en) 2021-04-30 2024-03-05 Cilag Gmbh International Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity
US20220346784A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical instrument comprising a closure bar and a firing bar
US11826043B2 (en) 2021-04-30 2023-11-28 Cilag Gmbh International Staple cartridge comprising formation support features
US20220346860A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical systems configured to control therapeutic energy application to tissue based on cartridge and tissue parameters
US20220346859A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical instrument comprising independently activatable segmented electrodes
US20220346853A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Electrosurgical techniques for sealing, short circuit detection, and system determination of power level
US20220346785A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical instrument comprising end effector with energy sensitive resistance elements
US20220346773A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical staple for use with combination electrosurgical instruments
US11944295B2 (en) 2021-04-30 2024-04-02 Cilag Gmbh International Surgical instrument comprising end effector with longitudinal sealing step
US20220346781A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Staple cartridge comprising staple drivers and stability supports
US20220346861A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical systems configured to cooperatively control end effector function and application of therapeutic energy
US11857184B2 (en) 2021-04-30 2024-01-02 Cilag Gmbh International Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife
US20220346786A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Shaft system for surgical instrument
US20220346787A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Interchangeable end effector reloads
US11931035B2 (en) 2021-04-30 2024-03-19 Cilag Gmbh International Articulation system for surgical instrument
WO2022238847A1 (en) 2021-05-10 2022-11-17 Cilag Gmbh International Adaptive control of surgical stapling instrument based on staple cartridge type
WO2022238844A1 (en) 2021-05-10 2022-11-17 Cilag Gmbh International Absorbable surgical staple comprising a coating
US20220354490A1 (en) 2021-05-10 2022-11-10 Cilag Gmbh International Absorbable surgical staple comprising at least two coatings
US20220370065A1 (en) 2021-05-10 2022-11-24 Cilag Gmbh International Dissimilar staple cartridges with different bioabsorbable components
WO2022238840A1 (en) 2021-05-10 2022-11-17 Cilag Gmbh International System of surgical staple cartridges comprising absorbable staples
JP2024518071A (ja) 2021-05-10 2024-04-24 シラグ・ゲーエムベーハー・インターナショナル ステープルの吸収を遅くするための機構を備える生体吸収性ステープル
BR112023022500A2 (pt) 2021-05-28 2024-01-16 Cilag Gmbh Int Instrumento de grampeamento compreendendo um travamento de disparo
BR112023023286A2 (pt) 2021-05-28 2024-01-30 Cilag Gmbh Int Instrumento de grampeamento que compreende um sensor de orientação do eixo de acionamento montado
WO2022249094A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a control system that controls a firiing stroke length
US20220378426A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a mounted shaft orientation sensor
WO2022249086A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising jaw mounts
WO2022249088A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a staple cartridge insertion stop
EP4181797A1 (en) 2021-05-28 2023-05-24 Cilag GmbH International Stapling instrument comprising an articulation control display
US20230009937A1 (en) * 2021-07-07 2023-01-12 Covidien Lp Stapling end effectors for endoscopic procedures
US11576671B1 (en) * 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US20230121835A1 (en) 2021-10-18 2023-04-20 Cilag Gmbh International Anvil comprising an arrangement of forming pockets proximal to tissue stop
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
WO2023067461A1 (en) 2021-10-18 2023-04-27 Cilag Gmbh International Row-to-row staple array variations
US20230120209A1 (en) 2021-10-20 2023-04-20 Cilag Gmbh International Lockout arrangements for surgical instruments
US20230135282A1 (en) 2021-10-28 2023-05-04 Cilag Gmbh International Staple cartridge identification systems
US20230138743A1 (en) 2021-10-28 2023-05-04 Cilag Gmbh International Method and device for transmitting uart communications over a security short range wireless communication
US20230134883A1 (en) 2021-10-28 2023-05-04 Cilag Gmbh International Alternate means to establish resistive load force
US20230138314A1 (en) 2021-10-28 2023-05-04 Cilag Gmbh International Surgical device with internal communication that combines multiple signals per wire
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US20230135811A1 (en) 2021-10-28 2023-05-04 Cilag Gmbh International Surgical instrument cartridge with unique resistor for surgical instrument identification
CN114732463B (zh) * 2022-05-13 2022-11-25 江苏康赛医疗器械科技有限公司 一种腔镜吻合器的转向控制组件
WO2024054671A2 (en) * 2022-09-09 2024-03-14 The University Of North Carolina At Charlotte End effector assemblies for surgical instruments

Family Cites Families (3205)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US66052A (en) 1867-06-25 smith
US1306107A (en) 1919-06-10 Assigotob to amebxcak
DE273689C (zh) 1913-08-07 1914-05-08
US1314601A (en) 1919-09-02 Flexible shaft
US662587A (en) 1900-05-18 1900-11-27 Charles Chandler Blake Insulated support for electric conductors.
US670748A (en) 1900-10-25 1901-03-26 Paul Weddeler Flexible shafting.
US951393A (en) 1909-04-06 1910-03-08 John N Hahn Staple.
FR459743A (fr) 1912-09-14 1913-11-12 Bariquant Et Marre Des Atel Transmission flexible
US1677337A (en) 1924-09-27 1928-07-17 Thomas E Grove Antrum drill
US1794907A (en) 1929-07-19 1931-03-03 Joseph N Kelly Worm and gear
US2037727A (en) 1934-12-27 1936-04-21 United Shoe Machinery Corp Fastening
US2132295A (en) 1937-05-05 1938-10-04 Hawkins Earl Stapling device
US2211117A (en) 1937-09-06 1940-08-13 Rieter Joh Jacob & Cie Ag Device for drawing rovings in speeders and spinning machines
US2161632A (en) 1937-12-20 1939-06-06 Martin L Nattenheimer Fastening device
US2214870A (en) 1938-08-10 1940-09-17 William J West Siding cutter
US2329440A (en) 1941-04-02 1943-09-14 Bocjl Corp Fastener
US2318379A (en) 1941-04-17 1943-05-04 Walter S Davis Suture package
US2441096A (en) 1944-09-04 1948-05-04 Singer Mfg Co Control means for portable electric tools
US2448741A (en) 1945-04-25 1948-09-07 American Cystoscope Makers Inc Endoscopic surgical instrument
US2578686A (en) 1945-04-27 1951-12-18 Tubing Appliance Co Inc Open-sided-socket ratchet wrench
US2450527A (en) 1945-10-27 1948-10-05 P & V Quicklocking Co Semiautomatic coupling
US2526902A (en) 1947-07-31 1950-10-24 Norman C Rublee Insulating staple
US2527256A (en) 1947-11-07 1950-10-24 Earle R Jackson Connector for brushes, brooms, and the like
FR999646A (fr) 1949-11-16 1952-02-04 Dispositif serre-câble
US2674149A (en) 1952-03-01 1954-04-06 Jerry S Benson Multiple pronged fastener device with spreading means
US2711461A (en) 1953-12-24 1955-06-21 Singer Mfg Co Portable electric tool handle assemblies
US2804848A (en) 1954-09-30 1957-09-03 Chicago Pneumatic Tool Co Drilling apparatus
FR1112936A (fr) 1954-10-20 1956-03-20 Moteur électrique et commande à trois vitesses enfermés dans une gaine
US2887004A (en) 1954-11-04 1959-05-19 William H Stewart Staple having flat depressed head with reinforcing ridge
US2808482A (en) 1956-04-12 1957-10-01 Miniature Switch Corp Toggle switch construction
US2853074A (en) 1956-06-15 1958-09-23 Edward A Olson Stapling instrument for surgical purposes
US2959974A (en) 1958-05-28 1960-11-15 Melvin H Emrick Forward and reverse friction drive tapping attachment
US3032769A (en) 1959-08-18 1962-05-08 John R Palmer Method of making a bracket
US3078465A (en) 1959-09-09 1963-02-26 Bobrov Boris Sergueevitch Instrument for stitching gastric stump
GB939929A (en) 1959-10-30 1963-10-16 Vasilii Fedotovich Goodov Instrument for stitching blood vessels, intestines, bronchi and other soft tissues
US3079606A (en) 1960-01-04 1963-03-05 Bobrov Boris Sergeevich Instrument for placing lateral gastrointestinal anastomoses
US3075062A (en) 1960-02-02 1963-01-22 J B T Instr Inc Toggle switch
SU143738A1 (ru) 1960-06-15 1960-11-30 А.А. Стрекопытов Способ ушивани ткани легкого двухр дными погружными швами
US3204731A (en) 1961-05-26 1965-09-07 Gardner Denver Co Positive engaging jaw clutch or brake
US3187308A (en) 1961-07-03 1965-06-01 Gen Electric Information storage system for microwave computer
US3157308A (en) 1961-09-05 1964-11-17 Clark Mfg Co J L Canister type container and method of making the same
US3196869A (en) 1962-06-13 1965-07-27 William M Scholl Buttress pad and method of making the same
US3166072A (en) 1962-10-22 1965-01-19 Jr John T Sullivan Barbed clips
US3266494A (en) 1963-08-26 1966-08-16 Possis Machine Corp Powered forceps
US3317105A (en) 1964-03-25 1967-05-02 Niiex Khirurgicheskoi Apparatu Instrument for placing lateral intestinal anastomoses
US3269630A (en) 1964-04-30 1966-08-30 Fleischer Harry Stapling instrument
US3317103A (en) 1965-05-03 1967-05-02 Cullen Apparatus for handling hose or similar elongate members
US3275211A (en) 1965-05-10 1966-09-27 United States Surgical Corp Surgical stapler with replaceable cartridge
US3357296A (en) 1965-05-14 1967-12-12 Keuneth W Lefever Staple fastener
US3490675A (en) 1966-10-10 1970-01-20 United States Surgical Corp Instrument for placing lateral gastrointestinal anastomoses
GB1210522A (en) 1966-10-10 1970-10-28 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
US3494533A (en) 1966-10-10 1970-02-10 United States Surgical Corp Surgical stapler for stitching body organs
US3499591A (en) 1967-06-23 1970-03-10 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
US3503396A (en) 1967-09-21 1970-03-31 American Hospital Supply Corp Atraumatic surgical clamp
GB1217159A (en) 1967-12-05 1970-12-31 Coventry Gauge & Tool Co Ltd Torque limiting device
JPS4711908Y1 (zh) 1968-01-18 1972-05-02
US3533393A (en) 1968-07-18 1970-10-13 Arvo A Haapanen Charcoal extinguisher and storage device
DE1775926A1 (de) 1968-08-28 1972-01-27 Ver Deutsche Metallwerke Ag Versfaerkungen fuer Kunststoff-Bowdenzugfuehrungsschlaeuche ohne Drahtverstaerkung
US3568675A (en) 1968-08-30 1971-03-09 Clyde B Harvey Fistula and penetrating wound dressing
US3551987A (en) 1968-09-12 1971-01-05 Jack E Wilkinson Stapling clamp for gastrointestinal surgery
US3640317A (en) 1969-03-21 1972-02-08 Jack Panfili Clip for closing fragile stuffed casings
US3572159A (en) 1969-06-12 1971-03-23 Teleflex Inc Motion transmitting remote control assembly
US3643851A (en) 1969-08-25 1972-02-22 United States Surgical Corp Skin stapler
US3709221A (en) 1969-11-21 1973-01-09 Pall Corp Microporous nonadherent surgical dressing
US3598943A (en) 1969-12-01 1971-08-10 Illinois Tool Works Actuator assembly for toggle switch
US3744495A (en) 1970-01-02 1973-07-10 M Johnson Method of securing prolapsed vagina in cattle
US3608549A (en) 1970-01-15 1971-09-28 Merrill Edward Wilson Method of administering drugs and capsule therefor
US3662939A (en) 1970-02-26 1972-05-16 United States Surgical Corp Surgical stapler for skin and fascia
FR2084475A5 (zh) 1970-03-16 1971-12-17 Brumlik George
US3695646A (en) 1970-06-18 1972-10-03 Metal Matic Inc Ball and socket pipe joint with clip spring
US3661666A (en) 1970-08-06 1972-05-09 Philip Morris Inc Method for making swab applicators
US3740994A (en) 1970-10-13 1973-06-26 Surgical Corp Three stage medical instrument
US3717294A (en) 1970-12-14 1973-02-20 Surgical Corp Cartridge and powering instrument for stapling skin and fascia
US3799151A (en) 1970-12-21 1974-03-26 Olympus Optical Co Controllably bendable tube of an endoscope
US3746002A (en) 1971-04-29 1973-07-17 J Haller Atraumatic surgical clamp
CA960189A (en) 1971-07-12 1974-12-31 Hilti Aktiengesellschaft Nail holder assembly
US3851196A (en) 1971-09-08 1974-11-26 Xynetics Inc Plural axis linear motor structure
US3734207A (en) 1971-12-27 1973-05-22 M Fishbein Battery powered orthopedic cutting tool
US3940844A (en) 1972-02-22 1976-03-02 Pci Group, Inc. Method of installing an insulating sleeve on a staple
US3751902A (en) 1972-02-22 1973-08-14 Emhart Corp Apparatus for installing insulation on a staple
US4198734A (en) 1972-04-04 1980-04-22 Brumlik George C Self-gripping devices with flexible self-gripping means and method
GB1339394A (en) 1972-04-06 1973-12-05 Vnii Khirurgicheskoi Apparatur Dies for surgical stapling instruments
US3819100A (en) 1972-09-29 1974-06-25 United States Surgical Corp Surgical stapling instrument
USRE28932E (en) 1972-09-29 1976-08-17 United States Surgical Corporation Surgical stapling instrument
US3892228A (en) 1972-10-06 1975-07-01 Olympus Optical Co Apparatus for adjusting the flexing of the bending section of an endoscope
US3821919A (en) 1972-11-10 1974-07-02 Illinois Tool Works Staple
SU511939A1 (ru) 1973-07-13 1976-04-30 Центральная Научно-Исследовательская Лаборатория При 4-М Главном Управлении Аппарат дл наложени дугообразного шва на большую кривизну желудка
JPS5033988U (zh) 1973-07-21 1975-04-11
US3885491A (en) 1973-12-21 1975-05-27 Illinois Tool Works Locking staple
JPS543B2 (zh) 1974-02-28 1979-01-05
US4169990A (en) 1974-06-24 1979-10-02 General Electric Company Electronically commutated motor
US3894174A (en) 1974-07-03 1975-07-08 Emhart Corp Insulated staple and method of making the same
US3955581A (en) 1974-10-18 1976-05-11 United States Surgical Corporation Three-stage surgical instrument
US4129059A (en) 1974-11-07 1978-12-12 Eck William F Van Staple-type fastener
US3950686A (en) 1974-12-11 1976-04-13 Trw Inc. Series redundant drive system
SU566574A1 (ru) 1975-05-04 1977-07-30 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Аппарат дл наложени линейного скобочного шва на органы и ткани
US4060089A (en) 1975-09-03 1977-11-29 United States Surgical Corporation Surgical fastening method and device therefor
US4054108A (en) 1976-08-02 1977-10-18 General Motors Corporation Internal combustion engine
US4226242A (en) 1977-09-13 1980-10-07 United States Surgical Corporation Repeating hemostatic clip applying instruments and multi-clip cartridges therefor
SU674747A1 (ru) 1976-11-24 1979-07-25 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Аппарат дл механического сшивани тканей
FR2446509A1 (fr) 1977-04-29 1980-08-08 Garret Roger Programmateur
US4304236A (en) 1977-05-26 1981-12-08 United States Surgical Corporation Stapling instrument having an anvil-carrying part of particular geometric shape
US4573468A (en) 1977-05-26 1986-03-04 United States Surgical Corporation Hollow body organ stapling instrument and disposable cartridge employing relief vents
CA1124605A (en) 1977-08-05 1982-06-01 Charles H. Klieman Surgical stapler
US4900303A (en) 1978-03-10 1990-02-13 Lemelson Jerome H Dispensing catheter and method
US4321002A (en) 1978-03-27 1982-03-23 Minnesota Mining And Manufacturing Company Medical stapling device
US4207898A (en) 1978-03-27 1980-06-17 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4274304A (en) 1978-03-29 1981-06-23 Cooper Industries, Inc. In-line reversing mechanism
US4198982A (en) 1978-03-31 1980-04-22 Memorial Hospital For Cancer And Allied Diseases Surgical stapling instrument and method
SU1036324A1 (ru) 1978-03-31 1983-08-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат
GB2024012B (en) 1978-04-10 1982-07-28 Johnson & Johnson Oxygen-generating surgical dressing
US4180285A (en) 1978-05-11 1979-12-25 Reneau Bobby J Articulated ball connector for use with pipeline
DE2839990C2 (de) 1978-09-14 1980-05-14 Audi Nsu Auto Union Ag, 7107 Neckarsulm Verfahren zum Umschmelzhärten der Oberfläche eines um seine Drehachse rotierenden Werkstücks, welche Oberfläche unterschiedlichen Abstand von der Drehachse hat
SE419421B (sv) 1979-03-16 1981-08-03 Ove Larson Bojlig arm i synnerhet robotarm
SU886900A1 (ru) 1979-03-26 1981-12-07 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени линейных швов
US4340331A (en) 1979-03-26 1982-07-20 Savino Dominick J Staple and anviless stapling apparatus therefor
US4512038A (en) 1979-04-27 1985-04-23 University Of Medicine And Dentistry Of New Jersey Bio-absorbable composite tissue scaffold
US4261244A (en) 1979-05-14 1981-04-14 Senco Products, Inc. Surgical staple
US4272662A (en) 1979-05-21 1981-06-09 C & K Components, Inc. Toggle switch with shaped wire spring contact
US4275813A (en) 1979-06-04 1981-06-30 United States Surgical Corporation Coherent surgical staple array
US4272002A (en) 1979-07-23 1981-06-09 Lawrence M. Smith Internal surgical stapler
US4296654A (en) 1979-08-20 1981-10-27 Mercer Albert E Adjustable angled socket wrench extension
US4250436A (en) 1979-09-24 1981-02-10 The Singer Company Motor braking arrangement and method
SU1022703A1 (ru) 1979-12-20 1983-06-15 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический аппарат дл наложени компрессионных швов
AU534210B2 (en) 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
US4429695A (en) 1980-02-05 1984-02-07 United States Surgical Corporation Surgical instruments
JPS56112235A (en) 1980-02-07 1981-09-04 Vnii Ispytatel Med Tech Surgical suturing implement for suturing staple
US4396139A (en) 1980-02-15 1983-08-02 Technalytics, Inc. Surgical stapling system, apparatus and staple
US4317451A (en) 1980-02-19 1982-03-02 Ethicon, Inc. Plastic surgical staple
US4289133A (en) 1980-02-28 1981-09-15 Senco Products, Inc. Cut-through backup washer for the scalpel of an intraluminal surgical stapling instrument
US4428376A (en) 1980-05-02 1984-01-31 Ethicon Inc. Plastic surgical staple
US4331277A (en) 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
US4380312A (en) 1980-07-17 1983-04-19 Minnesota Mining And Manufacturing Company Stapling tool
US4606343A (en) 1980-08-18 1986-08-19 United States Surgical Corporation Self-powered surgical fastening instrument
US4328839A (en) 1980-09-19 1982-05-11 Drilling Development, Inc. Flexible drill pipe
US4353371A (en) 1980-09-24 1982-10-12 Cosman Eric R Longitudinally, side-biting, bipolar coagulating, surgical instrument
DE3036217C2 (de) 1980-09-25 1986-12-18 Siemens AG, 1000 Berlin und 8000 München Fernbedienbares medizinisches Gerät
US4349028A (en) 1980-10-03 1982-09-14 United States Surgical Corporation Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence
CA1179996A (en) * 1980-10-17 1984-12-27 Noboru Wakayama Method and apparatus for automatically and continuously filling and sealing pouches with a filling material
AU542936B2 (en) 1980-10-17 1985-03-28 United States Surgical Corporation Self centering staple
JPS5778844A (en) 1980-11-04 1982-05-17 Kogyo Gijutsuin Lasre knife
US4500024A (en) 1980-11-19 1985-02-19 Ethicon, Inc. Multiple clip applier
US4347450A (en) 1980-12-10 1982-08-31 Colligan Wallace M Portable power tool
US4451743A (en) 1980-12-29 1984-05-29 Citizen Watch Company Limited DC-to-DC Voltage converter
US4382326A (en) 1981-01-19 1983-05-10 Minnesota Mining & Manufacturing Company Staple supporting and staple removing strip
US4409057A (en) 1981-01-19 1983-10-11 Minnesota Mining & Manufacturing Company Staple supporting and removing strip
US4379457A (en) 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
SU1009439A1 (ru) 1981-03-24 1983-04-07 Предприятие П/Я Р-6094 Хирургический сшивающий аппарат дл наложени анастомозов на пищеварительном тракте
US4526174A (en) 1981-03-27 1985-07-02 Minnesota Mining And Manufacturing Company Staple and cartridge for use in a tissue stapling device and a tissue closing method
SU982676A1 (ru) 1981-04-07 1982-12-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургическа скобка
DE3115192C2 (de) 1981-04-15 1983-05-19 Christian Prof. Dr.med. 2400 Lübeck Krüger Medizinisches Instrument
DE3118866C2 (de) * 1981-05-13 1984-04-12 Haver & Boecker, 4740 Oelde "Maschine zum Füllen und Verschließen von Säcken aus Kunststoff, vorzugsweise von Seitenfaltensäcken oder Flachsäcken"
US4383634A (en) 1981-05-26 1983-05-17 United States Surgical Corporation Surgical stapler apparatus with pivotally mounted actuator assemblies
US4485816A (en) 1981-06-25 1984-12-04 Alchemia Shape-memory surgical staple apparatus and method for use in surgical suturing
FR2509490B1 (fr) 1981-07-09 1985-02-22 Tractel Sa Mecanisme de debrayage pour appareil de traction agissant sur un cable qui le traverse
US4486928A (en) 1981-07-09 1984-12-11 Magnavox Government And Industrial Electronics Company Apparatus for tool storage and selection
US4373147A (en) 1981-07-23 1983-02-08 General Signal Corporation Torque compensated electric motor
US4475679A (en) 1981-08-07 1984-10-09 Fleury Jr George J Multi-staple cartridge for surgical staplers
US4632290A (en) 1981-08-17 1986-12-30 United States Surgical Corporation Surgical stapler apparatus
US4576167A (en) 1981-09-03 1986-03-18 United States Surgical Corporation Surgical stapler apparatus with curved shaft
JPS5844033A (ja) 1981-09-11 1983-03-14 富士写真光機株式会社 内視鏡用アダプタ−型処置具導入装置
JPS5861747A (ja) 1981-10-08 1983-04-12 馬渕　健一 美容具
AU548370B2 (en) 1981-10-08 1985-12-05 United States Surgical Corporation Surgical fastener
DE3277287D1 (en) 1981-10-15 1987-10-22 Olympus Optical Co Endoscope system with an electric bending mechanism
US4809695A (en) 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
US4416276A (en) 1981-10-26 1983-11-22 Valleylab, Inc. Adaptive, return electrode monitoring system
US4415112A (en) 1981-10-27 1983-11-15 United States Surgical Corporation Surgical stapling assembly having resiliently mounted anvil
US4442964A (en) 1981-12-07 1984-04-17 Senco Products, Inc. Pressure sensitive and working-gap controlled surgical stapling instrument
US4448194A (en) 1982-02-03 1984-05-15 Ethicon, Inc. Full stroke compelling mechanism for surgical instrument with drum drive
DE3204532C2 (de) 1982-02-10 1983-12-08 B. Braun Melsungen Ag, 3508 Melsungen Chirurgische Hautklammer
SU1114405A1 (ru) 1982-02-23 1984-09-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени компрессионных анастомозов на органы пищеварительного тракта
DE3210466A1 (de) 1982-03-22 1983-09-29 Peter Dipl.-Kfm. Dr. 6230 Frankfurt Gschaider Verfahren und vorrichtung zur durchfuehrung von handhabungsprozessen
US4408692A (en) 1982-04-12 1983-10-11 The Kendall Company Sterile cover for instrument
US4664305A (en) 1982-05-04 1987-05-12 Blake Joseph W Iii Surgical stapler
US4473077A (en) 1982-05-28 1984-09-25 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4485817A (en) 1982-05-28 1984-12-04 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4467805A (en) 1982-08-25 1984-08-28 Mamoru Fukuda Skin closure stapling device for surgical procedures
US4488523A (en) 1982-09-24 1984-12-18 United States Surgical Corporation Flexible, hydraulically actuated device for applying surgical fasteners
US4604786A (en) 1982-11-05 1986-08-12 The Grigoleit Company Method of making a composite article including a body having a decorative metal plate attached thereto
US4790225A (en) 1982-11-24 1988-12-13 Panduit Corp. Dispenser of discrete cable ties provided on a continuous ribbon of cable ties
US4676245A (en) 1983-02-09 1987-06-30 Mamoru Fukuda Interlocking surgical staple assembly
JPS59163608A (ja) 1983-03-08 1984-09-14 Hitachi Koki Co Ltd ジグソ−
JPS59168848A (ja) 1983-03-11 1984-09-22 エチコン・インコ−ポレ−テツド 非金属製の生物に適合性の無菌の外科装置
US4652820A (en) 1983-03-23 1987-03-24 North American Philips Corporation Combined position sensor and magnetic motor or bearing
US4506671A (en) 1983-03-30 1985-03-26 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
GB2138298B (en) 1983-04-21 1986-11-05 Hundon Forge Ltd Pellet implanter
US4522327A (en) 1983-05-18 1985-06-11 United States Surgical Corporation Surgical fastener applying apparatus
US4527724A (en) 1983-06-10 1985-07-09 Senmed, Inc. Disposable linear surgical stapling instrument
US4573469A (en) 1983-06-20 1986-03-04 Ethicon, Inc. Two-piece tissue fastener with coinable leg staple and retaining receiver and method and instrument for applying same
US4693248A (en) 1983-06-20 1987-09-15 Ethicon, Inc. Two-piece tissue fastener with deformable retaining receiver
US4548202A (en) 1983-06-20 1985-10-22 Ethicon, Inc. Mesh tissue fasteners
US4532927A (en) 1983-06-20 1985-08-06 Ethicon, Inc. Two-piece tissue fastener with non-reentry bent leg staple and retaining receiver
US4531522A (en) 1983-06-20 1985-07-30 Ethicon, Inc. Two-piece tissue fastener with locking top and method for applying same
GR81919B (zh) 1983-06-20 1984-12-12 Ethicon Inc
SU1175891A1 (ru) 1983-08-16 1985-08-30 Предприятие П/Я А-7840 Устройство дл формовани изделий
US4944443A (en) 1988-04-22 1990-07-31 Innovative Surgical Devices, Inc. Surgical suturing instrument and method
US4669647A (en) 1983-08-26 1987-06-02 Technalytics, Inc. Surgical stapler
US4589416A (en) 1983-10-04 1986-05-20 United States Surgical Corporation Surgical fastener retainer member assembly
US4667674A (en) 1983-10-04 1987-05-26 United States Surgical Corporation Surgical fastener exhibiting improved hemostasis
US4530453A (en) 1983-10-04 1985-07-23 United States Surgical Corporation Surgical fastener applying apparatus
US4505414A (en) 1983-10-12 1985-03-19 Filipi Charles J Expandable anvil surgical stapler
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US4571213A (en) 1983-11-17 1986-02-18 Nikko Co., Ltd. Direction-converting device for a toy car
US4565109A (en) 1983-12-27 1986-01-21 Tsay Chi Chour Instantaneous direction changing rotation mechanism
JPS60137406U (ja) 1984-02-24 1985-09-11 シ−アイ化成株式会社 マグネツトシ−ト
US4600037A (en) 1984-03-19 1986-07-15 Texas Eastern Drilling Systems, Inc. Flexible drill pipe
US4612933A (en) 1984-03-30 1986-09-23 Senmed, Inc. Multiple-load cartridge assembly for a linear surgical stapling instrument
US4619391A (en) 1984-04-18 1986-10-28 Acme United Corporation Surgical stapling instrument
US4607638A (en) 1984-04-20 1986-08-26 Design Standards Corporation Surgical staples
US5002553A (en) 1984-05-14 1991-03-26 Surgical Systems & Instruments, Inc. Atherectomy system with a clutch
US5464013A (en) 1984-05-25 1995-11-07 Lemelson; Jerome H. Medical scanning and treatment system and method
GB8417562D0 (en) 1984-07-10 1984-08-15 Surgical Design Services Fasteners
US4585153A (en) 1984-07-16 1986-04-29 Ethicon, Inc. Surgical instrument for applying two-piece fasteners comprising frictionally held U-shaped staples and receivers (Case III)
US4591085A (en) 1984-07-16 1986-05-27 Ethicon, Inc. Surgical instrument for applying fasteners, said instrument having an improved trigger interlocking mechanism (Case VI)
IN165375B (zh) 1984-07-16 1989-10-07 Ethicon Inc
US4741336A (en) 1984-07-16 1988-05-03 Ethicon, Inc. Shaped staples and slotted receivers (case VII)
US4605004A (en) 1984-07-16 1986-08-12 Ethicon, Inc. Surgical instrument for applying fasteners said instrument including force supporting means (case IV)
US4655222A (en) 1984-07-30 1987-04-07 Ethicon, Inc. Coated surgical staple
US4754909A (en) 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4671445A (en) 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
IL73079A (en) 1984-09-26 1989-01-31 Porat Michael Gripper means for medical instruments
US4633874A (en) 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
US4580712A (en) 1984-10-19 1986-04-08 United States Surgical Corporation Surgical fastener applying apparatus with progressive application of fastener
US4605001A (en) 1984-10-19 1986-08-12 Senmed, Inc. Surgical stapling instrument with dual staple height mechanism
US4608981A (en) 1984-10-19 1986-09-02 Senmed, Inc. Surgical stapling instrument with staple height adjusting mechanism
US4767044A (en) 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
US4573622A (en) 1984-10-19 1986-03-04 United States Surgical Corporation Surgical fastener applying apparatus with variable fastener arrays
US4566620A (en) 1984-10-19 1986-01-28 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4787387A (en) 1984-11-08 1988-11-29 American Cyanamid Company Surgical closure element
US4646722A (en) 1984-12-10 1987-03-03 Opielab, Inc. Protective endoscope sheath and method of installing same
SU1271497A1 (ru) 1985-01-07 1986-11-23 Научно-производственное объединение "Мединструмент" Устройство дл сведени краев раны
US4705038A (en) 1985-01-23 1987-11-10 Dyonics, Inc. Surgical system for powered instruments
US4641076A (en) 1985-01-23 1987-02-03 Hall Surgical-Division Of Zimmer, Inc. Method and apparatus for sterilizing and charging batteries
US4569469A (en) 1985-02-15 1986-02-11 Minnesota Mining And Manufacturing Company Bone stapler cartridge
US4628665A (en) * 1985-03-01 1986-12-16 Mobil Oil Corporation Modular indexing table for a box loading system
JPS635697Y2 (zh) 1985-04-04 1988-02-17
SU1377052A1 (ru) 1985-04-17 1988-02-28 Всесоюзный онкологический научный центр Устройство дл соединени полых органов
US5012411A (en) 1985-07-23 1991-04-30 Charles J. Policastro Apparatus for monitoring, storing and transmitting detected physiological information
US4665916A (en) 1985-08-09 1987-05-19 United States Surgical Corporation Surgical stapler apparatus
US4643731A (en) 1985-08-16 1987-02-17 Alza Corporation Means for providing instant agent from agent dispensing system
US4750902A (en) 1985-08-28 1988-06-14 Sonomed Technology, Inc. Endoscopic ultrasonic aspirators
US4750488A (en) 1986-05-19 1988-06-14 Sonomed Technology, Inc. Vibration apparatus preferably for endoscopic ultrasonic aspirator
US4728020A (en) 1985-08-30 1988-03-01 United States Surgical Corporation Articulated surgical fastener applying apparatus
CH670753A5 (zh) 1985-09-10 1989-07-14 Vnii Ispytatel Med Tech
SU1377053A1 (ru) 1985-10-02 1988-02-28 В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин Хирургический сшивающий аппарат
US4610250A (en) 1985-10-08 1986-09-09 United States Surgical Corporation Two-part surgical fastener for fascia wound approximation
US4715520A (en) 1985-10-10 1987-12-29 United States Surgical Corporation Surgical fastener applying apparatus with tissue edge control
DE3671185D1 (de) 1985-12-06 1990-06-21 Desoutter Ltd Zweiganggetriebe.
SU1333319A2 (ru) 1985-12-10 1987-08-30 Петрозаводский государственный университет им.О.В.Куусинена Ушиватель полых органов
US4634419A (en) 1985-12-13 1987-01-06 Cooper Lasersonics, Inc. Angulated ultrasonic surgical handpieces and method for their production
US4728876A (en) 1986-02-19 1988-03-01 Minnesota Mining And Manufacturing Company Orthopedic drive assembly
US4662555A (en) 1986-03-11 1987-05-05 Edward Weck & Company, Inc. Surgical stapler
US4903697A (en) 1986-03-27 1990-02-27 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4700703A (en) 1986-03-27 1987-10-20 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4827911A (en) 1986-04-02 1989-05-09 Cooper Lasersonics, Inc. Method and apparatus for ultrasonic surgical fragmentation and removal of tissue
US4747820A (en) 1986-04-09 1988-05-31 Cooper Lasersonics, Inc. Irrigation/aspiration manifold and fittings for ultrasonic surgical aspiration system
US4988334A (en) 1986-04-09 1991-01-29 Valleylab, Inc. Ultrasonic surgical system with aspiration tubulation connector
JPS62170011U (zh) 1986-04-16 1987-10-28
ATE96633T1 (de) 1986-04-21 1993-11-15 Globe Control Finanz Aktienges Vorrichtung zur herstellung einer anastomose.
SU1561964A1 (ru) 1986-04-24 1990-05-07 Благовещенский государственный медицинский институт Хирургический сшивающий аппарат
US4691703A (en) 1986-04-25 1987-09-08 Board Of Regents, University Of Washington Thermal cautery system
FR2598905B1 (fr) 1986-05-22 1993-08-13 Chevalier Jean Michel Dispositif d'interruption de la circulation d'un fluide dans un conduit a paroi souple, notamment un viscere creux et ensemble de pince comportant ce dispositif
US4709120A (en) 1986-06-06 1987-11-24 Pearson Dean C Underground utility equipment vault
US5190544A (en) 1986-06-23 1993-03-02 Pfizer Hospital Products Group, Inc. Modular femoral fixation system
DE8620714U1 (zh) 1986-08-01 1986-11-20 C. & E. Fein Gmbh & Co, 7000 Stuttgart, De
US4727308A (en) 1986-08-28 1988-02-23 International Business Machines Corporation FET power converter with reduced switching loss
US4743214A (en) 1986-09-03 1988-05-10 Tai Cheng Yang Steering control for toy electric vehicles
US4875486A (en) 1986-09-04 1989-10-24 Advanced Techtronics, Inc. Instrument and method for non-invasive in vivo testing for body fluid constituents
US4890613A (en) 1986-09-19 1990-01-02 Ethicon, Inc. Two piece internal organ fastener
US4893622A (en) 1986-10-17 1990-01-16 United States Surgical Corporation Method of stapling tubular body organs
US4752024A (en) 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
US4933843A (en) 1986-11-06 1990-06-12 Storz Instrument Company Control system for ophthalmic surgical instruments
JPH0755222B2 (ja) 1986-12-12 1995-06-14 オリンパス光学工業株式会社 処置具
SE457680B (sv) 1987-01-15 1989-01-16 Toecksfors Verkstads Ab Elektronisk brytare innefattande en i ett hoelje roerlig manoeverdel
US4865030A (en) 1987-01-21 1989-09-12 American Medical Systems, Inc. Apparatus for removal of objects from body passages
WO1988006021A1 (en) 1987-02-10 1988-08-25 Vaso Products Australia Pty. Limited Venous cuff applicator, cartridge and cuff
US4873977A (en) 1987-02-11 1989-10-17 Odis L. Avant Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis
US4719917A (en) 1987-02-17 1988-01-19 Minnesota Mining And Manufacturing Company Surgical staple
US5217478A (en) 1987-02-18 1993-06-08 Linvatec Corporation Arthroscopic surgical instrument drive system
DE3709067A1 (de) 1987-03-19 1988-09-29 Ewald Hensler Medizinisches, insbesondere chirurgisches instrument
US4777780A (en) 1987-04-21 1988-10-18 United States Surgical Corporation Method for forming a sealed sterile package
US4730726A (en) 1987-04-21 1988-03-15 United States Surgical Corporation Sealed sterile package
SU1443874A1 (ru) 1987-04-23 1988-12-15 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический аппарат дл наложени компрессионных анастомозов
EP0290879B1 (de) * 1987-05-11 1992-11-11 WindmÀ¶ller & Hölscher Vorrichtung zum Befüllen und Verschliessen einseitig offener Säcke
US4941623A (en) 1987-05-12 1990-07-17 United States Surgical Corporation Stapling process and device for use on the mesentery of the abdomen
US5542949A (en) 1987-05-14 1996-08-06 Yoon; Inbae Multifunctional clip applier instrument
US5285944A (en) 1987-05-26 1994-02-15 United States Surgical Corporation Surgical stapler apparatus
US4844068A (en) 1987-06-05 1989-07-04 Ethicon, Inc. Bariatric surgical instrument
US4848637A (en) 1987-06-11 1989-07-18 Pruitt J Crayton Staple device for use on the mesenteries of the abdomen
US5027834A (en) 1987-06-11 1991-07-02 United States Surgical Corporation Stapling process for use on the mesenteries of the abdomen
US4930503A (en) 1987-06-11 1990-06-05 Pruitt J Crayton Stapling process and device for use on the mesenteries of the abdomen
US4773420A (en) 1987-06-22 1988-09-27 U.S. Surgical Corporation Purse string applicator
DE3723310A1 (de) 1987-07-15 1989-01-26 John Urquhart Pharmazeutisches praeparat und verfahren zu seiner herstellung
US4821939A (en) 1987-09-02 1989-04-18 United States Surgical Corporation Staple cartridge and an anvilless surgical stapler
US5158567A (en) 1987-09-02 1992-10-27 United States Surgical Corporation One-piece surgical staple
SU1509051A1 (ru) 1987-09-14 1989-09-23 Институт прикладной физики АН СССР Ушиватель органов
US5015227A (en) 1987-09-30 1991-05-14 Valleylab Inc. Apparatus for providing enhanced tissue fragmentation and/or hemostasis
US4931047A (en) 1987-09-30 1990-06-05 Cavitron, Inc. Method and apparatus for providing enhanced tissue fragmentation and/or hemostasis
US4805617A (en) 1987-11-05 1989-02-21 Ethicon, Inc. Surgical fastening systems made from polymeric materials
US4830855A (en) 1987-11-13 1989-05-16 Landec Labs, Inc. Temperature-controlled active agent dispenser
US5106627A (en) 1987-11-17 1992-04-21 Brown University Research Foundation Neurological therapy devices
US5018515A (en) 1987-12-14 1991-05-28 The Kendall Company See through absorbent dressing
US4834720A (en) 1987-12-24 1989-05-30 Becton, Dickinson And Company Implantable port septum
US4951860A (en) 1987-12-28 1990-08-28 Edward Weck & Co. Method and apparatus for storing, dispensing and applying surgical staples
US4819853A (en) 1987-12-31 1989-04-11 United States Surgical Corporation Surgical fastener cartridge
US5084057A (en) 1989-07-18 1992-01-28 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5383881A (en) 1989-07-18 1995-01-24 United States Surgical Corporation Safety device for use with endoscopic instrumentation
US5100420A (en) 1989-07-18 1992-03-31 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
GB8800909D0 (en) 1988-01-15 1988-02-17 Ethicon Inc Gas powered surgical stapler
JPH01182196A (ja) 1988-01-18 1989-07-20 Sanshin Ind Co Ltd シフト補助装置
FR2628488B1 (fr) 1988-03-14 1990-12-28 Ecia Equip Composants Ind Auto Attache rapide du type a baionnette perfectionnee
US4805823A (en) 1988-03-18 1989-02-21 Ethicon, Inc. Pocket configuration for internal organ staplers
US4856078A (en) 1988-03-23 1989-08-08 Zenith Electronics Corporation DC fan speed control
US4880015A (en) 1988-06-03 1989-11-14 Nierman David M Biopsy forceps
US5185717A (en) 1988-08-05 1993-02-09 Ryoichi Mori Tamper resistant module having logical elements arranged in multiple layers on the outer surface of a substrate to protect stored information
US5444113A (en) 1988-08-08 1995-08-22 Ecopol, Llc End use applications of biodegradable polymers
US5024671A (en) 1988-09-19 1991-06-18 Baxter International Inc. Microporous vascular graft
US5071052A (en) 1988-09-22 1991-12-10 United States Surgical Corporation Surgical fastening apparatus with activation lockout
US4869415A (en) 1988-09-26 1989-09-26 Ethicon, Inc. Energy storage means for a surgical stapler
CA1308782C (en) 1988-10-13 1992-10-13 Gyrus Medical Limited Screening and monitoring instrument
US4892244A (en) 1988-11-07 1990-01-09 Ethicon, Inc. Surgical stapler cartridge lockout device
EP0369324B1 (fr) 1988-11-11 1995-11-02 United States Surgical Corporation Instrument de chirurgie
US5197648A (en) 1988-11-29 1993-03-30 Gingold Bruce S Surgical stapling apparatus
US4915100A (en) 1988-12-19 1990-04-10 United States Surgical Corporation Surgical stapler apparatus with tissue shield
US4986808A (en) 1988-12-20 1991-01-22 Valleylab, Inc. Magnetostrictive transducer
US4978333A (en) 1988-12-20 1990-12-18 Valleylab, Inc. Resonator for surgical handpiece
US5098360A (en) 1988-12-26 1992-03-24 Tochigifujisangyo Kabushiki Kaisha Differential gear with limited slip and locking mechanism
US5108368A (en) 1990-01-04 1992-04-28 Pilot Cardiovascular System, Inc. Steerable medical device
US5111987A (en) 1989-01-23 1992-05-12 Moeinzadeh Manssour H Semi-disposable surgical stapler
US5061269A (en) 1989-02-07 1991-10-29 Joseph J. Berke Surgical rongeur power grip structure and method
DE69019213T2 (de) 1989-02-22 1995-10-26 United States Surgical Corp Hautklammer.
US4930674A (en) 1989-02-24 1990-06-05 Abiomed, Inc. Surgical stapler
US5186711A (en) 1989-03-07 1993-02-16 Albert Einstein College Of Medicine Of Yeshiva University Hemostasis apparatus and method
US5522817A (en) 1989-03-31 1996-06-04 United States Surgical Corporation Absorbable surgical fastener with bone penetrating elements
US5062563A (en) 1989-04-10 1991-11-05 United States Surgical Corporation Fascia stapler
US5104397A (en) 1989-04-14 1992-04-14 Codman & Shurtleff, Inc. Multi-position latching mechanism for forceps
US5009661A (en) 1989-04-24 1991-04-23 Michelson Gary K Protective mechanism for surgical rongeurs
SU1708312A1 (ru) 1989-05-16 1992-01-30 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический аппарат дл сшивани костной ткани
US5222976A (en) 1989-05-16 1993-06-29 Inbae Yoon Suture devices particularly useful in endoscopic surgery
US4955959A (en) 1989-05-26 1990-09-11 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
US4978049A (en) 1989-05-26 1990-12-18 United States Surgical Corporation Three staple drive member
US5505363A (en) 1989-05-26 1996-04-09 United States Surgical Corporation Surgical staples with plated anvils
US5318221A (en) 1989-05-26 1994-06-07 United States Surgical Corporation Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US5031814A (en) 1989-05-26 1991-07-16 United States Surgical Corporation Locking mechanism for surgical fastening apparatus
US5413268A (en) 1989-05-26 1995-05-09 United States Surgical Corporation Apparatus and method for placing stables in laparoscopic or endoscopic procedures
US5040715B1 (en) 1989-05-26 1994-04-05 United States Surgical Corp Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US5106008A (en) 1989-05-26 1992-04-21 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
US5035040A (en) 1989-05-30 1991-07-30 Duo-Fast Corporation Hog ring fastener, tool and methods
JPH034831A (ja) 1989-06-01 1991-01-10 Toshiba Corp 内視鏡装置
US5501846A (en) 1989-06-21 1996-03-26 Pavelle; Richard Apparatus for increasing catalytic efficiency
US4932960A (en) 1989-09-01 1990-06-12 United States Surgical Corporation Absorbable surgical fastener
US5155941A (en) 1989-09-18 1992-10-20 Olympus Optical Co., Ltd. Industrial endoscope system having a rotary treatment member
US4965709A (en) 1989-09-25 1990-10-23 General Electric Company Switching converter with pseudo-resonant DC link
CH677728A5 (zh) 1989-10-17 1991-06-28 Bieffe Medital Sa
US5264218A (en) 1989-10-25 1993-11-23 C. R. Bard, Inc. Modifiable, semi-permeable, wound dressing
US5239981A (en) 1989-11-16 1993-08-31 Effner Biomet Gmbh Film covering to protect a surgical instrument and an endoscope to be used with the film covering
JPH0737603Y2 (ja) 1989-11-30 1995-08-30 晴夫 高瀬 外科手術用縫合器
JPH0527929Y2 (zh) 1989-12-19 1993-07-16
US5156609A (en) 1989-12-26 1992-10-20 Nakao Naomi L Endoscopic stapling device and method
US5195968A (en) 1990-02-02 1993-03-23 Ingemar Lundquist Catheter steering mechanism
US6033378A (en) 1990-02-02 2000-03-07 Ep Technologies, Inc. Catheter steering mechanism
AU7082091A (en) 1990-02-13 1991-08-15 Ethicon Inc. Rotating head skin stapler
US5100042A (en) 1990-03-05 1992-03-31 United States Surgical Corporation Surgical fastener apparatus
US5088997A (en) 1990-03-15 1992-02-18 Valleylab, Inc. Gas coagulation device
US5244462A (en) 1990-03-15 1993-09-14 Valleylab Inc. Electrosurgical apparatus
US5217457A (en) 1990-03-15 1993-06-08 Valleylab Inc. Enhanced electrosurgical apparatus
US5014899A (en) 1990-03-30 1991-05-14 United States Surgical Corporation Surgical stapling apparatus
SU1722476A1 (ru) 1990-04-02 1992-03-30 Свердловский Филиал Научно-Производственного Объединения "Фтизиопульмонология" Устройство дл временной окклюзии трубчатых органов
US5005754A (en) 1990-04-04 1991-04-09 Ethicon, Inc. Bladder and mandrel for use with surgical stapler
US5002543A (en) 1990-04-09 1991-03-26 Bradshaw Anthony J Steerable intramedullary fracture reduction device
US5343391A (en) 1990-04-10 1994-08-30 Mushabac David R Device for obtaining three dimensional contour data and for operating on a patient and related method
US5124990A (en) 1990-05-08 1992-06-23 Caterpillar Inc. Diagnostic hardware for serial datalink
US5454378A (en) 1993-02-11 1995-10-03 Symbiosis Corporation Biopsy forceps having a detachable proximal handle and distal jaws
US5086401A (en) 1990-05-11 1992-02-04 International Business Machines Corporation Image-directed robotic system for precise robotic surgery including redundant consistency checking
US5290271A (en) 1990-05-14 1994-03-01 Jernberg Gary R Surgical implant and method for controlled release of chemotherapeutic agents
US5116349A (en) 1990-05-23 1992-05-26 United States Surgical Corporation Surgical fastener apparatus
US5074454A (en) 1990-06-04 1991-12-24 Peters Ronald L Surgical stapler
US5342395A (en) 1990-07-06 1994-08-30 American Cyanamid Co. Absorbable surgical repair devices
SU1752361A1 (ru) 1990-07-10 1992-08-07 Производственное Объединение "Челябинский Тракторный Завод Им.В.И.Ленина" Хирургический сшивающий аппарат
RU2008830C1 (ru) 1990-07-13 1994-03-15 Константин Алексеевич Додонов Электрохирургический аппарат
US5163598A (en) 1990-07-23 1992-11-17 Rudolph Peters Sternum stapling apparatus
US5234447A (en) 1990-08-28 1993-08-10 Robert L. Kaster Side-to-end vascular anastomotic staple apparatus
US5094247A (en) 1990-08-31 1992-03-10 Cordis Corporation Biopsy forceps with handle having a flexible coupling
US5389102A (en) 1990-09-13 1995-02-14 United States Surgical Corporation Apparatus and method for subcuticular stapling of body tissue
US5653373A (en) 1990-09-17 1997-08-05 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5253793A (en) 1990-09-17 1993-10-19 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5156315A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5156614A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5080556A (en) 1990-09-28 1992-01-14 General Electric Company Thermal seal for a gas turbine spacer disc
US5104025A (en) 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
DE484677T1 (de) 1990-10-05 1993-11-25 United States Surgical Corp Verfahren und Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen.
US5088979A (en) 1990-10-11 1992-02-18 Wilson-Cook Medical Inc. Method for esophageal invagination and devices useful therein
US5042707A (en) 1990-10-16 1991-08-27 Taheri Syde A Intravascular stapler, and method of operating same
USD330699S (en) 1990-10-19 1992-11-03 W. W. Cross, Inc. Insulated staple
FR2668361A1 (fr) 1990-10-30 1992-04-30 Mai Christian Agrafe et plaque d'osteosynthese a compression dynamique auto-retentive.
US5344454A (en) 1991-07-24 1994-09-06 Baxter International Inc. Closed porous chambers for implanting tissue in a host
US5658307A (en) 1990-11-07 1997-08-19 Exconde; Primo D. Method of using a surgical dissector instrument
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
CA2055943C (en) 1990-12-06 2003-09-23 Daniel P. Rodak Surgical fastening apparatus with locking mechanism
US5470009A (en) 1990-12-06 1995-11-28 United States Surgical Corporation Surgical fastening apparatus with locking mechanism
US5209747A (en) 1990-12-13 1993-05-11 Knoepfler Dennis J Adjustable angle medical forceps
USRE36720E (en) 1990-12-13 2000-05-30 United States Surgical Corporation Apparatus and method for applying latchless surgical clips
US7384417B2 (en) 1990-12-14 2008-06-10 Cucin Robert L Air-powered tissue-aspiration instrument system employing curved bipolar-type electro-cauterizing dual cannula assembly
US5122156A (en) 1990-12-14 1992-06-16 United States Surgical Corporation Apparatus for securement and attachment of body organs
US5141144A (en) 1990-12-18 1992-08-25 Minnesota Mining And Manufacturing Company Stapler and firing device
US5083695A (en) 1990-12-18 1992-01-28 Minnesota Mining And Manufacturing Company Stapler and firing device
JP3310668B2 (ja) 1990-12-18 2002-08-05 ユナイテッド ステイツ サージカル コーポレイション 外科用ステープラカートリッジ用の安全装置
CA2055985A1 (en) 1990-12-20 1992-06-21 Daniel Shichman Fascia clip
US5354303A (en) 1991-01-09 1994-10-11 Endomedix Corporation Devices for enclosing, manipulating, debulking and removing tissue through minimal incisions
US5222963A (en) 1991-01-17 1993-06-29 Ethicon, Inc. Pull-through circular anastomosic intraluminal stapler with absorbable fastener means
US5188111A (en) 1991-01-18 1993-02-23 Catheter Research, Inc. Device for seeking an area of interest within a body
CA2060635A1 (en) 1991-02-12 1992-08-13 Keith D'alessio Bioabsorbable medical implants
DE4104755A1 (de) 1991-02-15 1992-08-20 Heidmueller Harald Chirurgisches instrument
US5571285A (en) 1991-02-19 1996-11-05 Ethicon, Inc. Surgical staple for insertion into tissue
CA2061319A1 (en) 1991-02-19 1992-08-20 Hector Chow Surgical staple for insertion into tissue
US5219111A (en) 1991-03-11 1993-06-15 Ethicon, Inc. Pneumatically actuated linear stapling device
US5445155A (en) 1991-03-13 1995-08-29 Scimed Life Systems Incorporated Intravascular imaging apparatus and methods for use and manufacture
CA2061885A1 (en) 1991-03-14 1992-09-15 David T. Green Approximating apparatus for surgical jaw structure
US5336232A (en) 1991-03-14 1994-08-09 United States Surgical Corporation Approximating apparatus for surgical jaw structure and method of using the same
US5170925A (en) 1991-03-18 1992-12-15 Ethicon, Inc. Laparoscopic stapler with knife means
US5217453A (en) 1991-03-18 1993-06-08 Wilk Peter J Automated surgical system and apparatus
SU1814161A1 (en) 1991-03-19 1993-05-07 Penzen Nii Elektronno Mekh Pri Electric motor
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
US5065929A (en) 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US5470010A (en) 1991-04-04 1995-11-28 Ethicon, Inc. Multiple fire endoscopic stapling mechanism
US5246156A (en) 1991-09-12 1993-09-21 Ethicon, Inc. Multiple fire endoscopic stapling mechanism
US5171247A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier with rotating shaft
US5171249A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier
JPH05208014A (ja) 1991-04-10 1993-08-20 Olympus Optical Co Ltd 処置具
US5297714A (en) 1991-04-17 1994-03-29 Ethicon, Inc. Surgical staple with modified "B" shaped configuration
US5339799A (en) 1991-04-23 1994-08-23 Olympus Optical Co., Ltd. Medical system for reproducing a state of contact of the treatment section in the operation unit
US5257713A (en) 1991-05-07 1993-11-02 United States Surgical Corporation Surgical fastening device
US5413267A (en) 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
US5137198A (en) 1991-05-16 1992-08-11 Ethicon, Inc. Fast closure device for linear surgical stapling instrument
DE4116343A1 (de) 1991-05-18 1992-11-19 Bosch Gmbh Robert Handgefuehrtes elektrowerkzeug, insbesondere bohrmaschine
JP2581082Y2 (ja) 1991-05-24 1998-09-17 三洋電機株式会社 電池装置
FI93607C (fi) 1991-05-24 1995-05-10 John Koivukangas Leikkaustoimenpidelaite
US5190517A (en) 1991-06-06 1993-03-02 Valleylab Inc. Electrosurgical and ultrasonic surgical system
US5221036A (en) 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5190560A (en) 1991-06-20 1993-03-02 Woods John B Instrument for ligation and castration
US5262678A (en) 1991-06-21 1993-11-16 Lutron Electronics Co., Inc. Wallbox-mountable switch and dimmer
US5268622A (en) 1991-06-27 1993-12-07 Stryker Corporation DC powered surgical handpiece having a motor control circuit
US5207697A (en) 1991-06-27 1993-05-04 Stryker Corporation Battery powered surgical handpiece
US5735290A (en) 1993-02-22 1998-04-07 Heartport, Inc. Methods and systems for performing thoracoscopic coronary bypass and other procedures
US5383888A (en) 1992-02-12 1995-01-24 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5391180A (en) 1991-08-05 1995-02-21 United States Surgical Corporation Articulating endoscopic surgical apparatus
AU2063592A (en) 1991-08-09 1993-02-11 Emerson Electric Co. Cordless power tool
US5282829A (en) 1991-08-15 1994-02-01 United States Surgical Corporation Hollow body implants
US5350104A (en) 1991-08-23 1994-09-27 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
US5333773A (en) 1991-08-23 1994-08-02 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
GR920100358A (el) 1991-08-23 1993-06-07 Ethicon Inc Οργανο συρραφής χειρουργικής αναστομώσεως.
US5259835A (en) 1991-08-29 1993-11-09 Tri-Point Medical L.P. Wound closure means and method using flowable adhesive
US5263973A (en) 1991-08-30 1993-11-23 Cook Melvin S Surgical stapling method
US5142932A (en) 1991-09-04 1992-09-01 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Flexible robotic arm
US5200280A (en) 1991-09-05 1993-04-06 Black & Decker Inc. Terminal cover for a battery pack
IT1251206B (it) 1991-09-18 1995-05-04 Magneti Marelli Spa Impianto elettrico di un autoveicolo, comprendente almeno un supercondensatore.
US5476479A (en) 1991-09-26 1995-12-19 United States Surgical Corporation Handle for endoscopic surgical instruments and jaw structure
US5431654A (en) 1991-09-30 1995-07-11 Stryker Corporation Bone cement injector
US5697909A (en) 1992-01-07 1997-12-16 Arthrocare Corporation Methods and apparatus for surgical cutting
US5275608A (en) 1991-10-16 1994-01-04 Implemed, Inc. Generic endoscopic instrument
CA2075141C (en) 1991-10-17 1998-06-30 Donald A. Morin Anvil for surgical staplers
US5366134A (en) 1991-10-18 1994-11-22 United States Surgical Corporation Surgical fastening apparatus
CA2075227C (en) 1991-10-18 2004-02-10 Robert J. Geiste Surgical fastening apparatus with shipping interlock
US5711472A (en) 1991-10-18 1998-01-27 United States Surgical Corporation Self contained gas powered surgical apparatus
US5326013A (en) 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5579978A (en) 1991-10-18 1996-12-03 United States Surgical Corporation Apparatus for applying surgical fasteners
AU660712B2 (en) 1991-10-18 1995-07-06 United States Surgical Corporation Apparatus for applying surgical fasteners
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
US5478003A (en) 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
US5431322A (en) 1991-10-18 1995-07-11 United States Surgical Corporation Self contained gas powered surgical apparatus
US5332142A (en) 1991-10-18 1994-07-26 Ethicon, Inc. Linear stapling mechanism with cutting means
US5474223A (en) 1991-10-18 1995-12-12 United States Surgical Corporation Surgical fastener applying apparatus
US5397046A (en) 1991-10-18 1995-03-14 United States Surgical Corporation Lockout mechanism for surgical apparatus
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5364001A (en) 1991-10-18 1994-11-15 United States Surgical Corporation Self contained gas powered surgical apparatus
US6250532B1 (en) 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
ES2041610T3 (es) 1991-10-18 1997-05-16 United States Surgical Corp Aparato para aplicar broches de sujecion quirurgicos.
US5307976A (en) 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
AU657364B2 (en) 1991-10-18 1995-03-09 United States Surgical Corporation Self contained gas powered surgical apparatus
US5395312A (en) 1991-10-18 1995-03-07 Desai; Ashvin Surgical tool
US5443198A (en) 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
US5497933A (en) 1991-10-18 1996-03-12 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
CA2078794C (en) 1991-10-18 1998-10-06 Frank J. Viola Locking device for an apparatus for applying surgical fasteners
US5197649A (en) 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
EP0540461A1 (de) 1991-10-29 1993-05-05 SULZER Medizinaltechnik AG Steriles Punktiergerät für Blutgefässe mit nichtsteriler Ultraschallsonde und Vorrichtung zum Vorbereiten des Geräts
US5240163A (en) 1991-10-30 1993-08-31 American Cyanamid Company Linear surgical stapling instrument
US5350400A (en) 1991-10-30 1994-09-27 American Cyanamid Company Malleable, bioabsorbable, plastic staple; and method and apparatus for deforming such staple
US5713896A (en) 1991-11-01 1998-02-03 Medical Scientific, Inc. Impedance feedback electrosurgical system
US5665085A (en) 1991-11-01 1997-09-09 Medical Scientific, Inc. Electrosurgical cutting tool
JPH05123325A (ja) 1991-11-01 1993-05-21 Olympus Optical Co Ltd 処置具
US5531744A (en) 1991-11-01 1996-07-02 Medical Scientific, Inc. Alternative current pathways for bipolar surgical cutting tool
US5395034A (en) 1991-11-07 1995-03-07 American Cyanamid Co. Linear surgical stapling instrument
JP3530528B2 (ja) 1991-11-08 2004-05-24 ボストン サイエンティフィック リミテッド 絶縁された温度感知素子を有する切除電極
US5439467A (en) 1991-12-03 1995-08-08 Vesica Medical, Inc. Suture passer
JP3130615B2 (ja) 1991-12-03 2001-01-31 アイシン・エィ・ダブリュ株式会社 自動変速機のサーボ油圧制御装置
US5458579A (en) 1991-12-31 1995-10-17 Technalytics, Inc. Mechanical trocar insertion apparatus
WO1993013704A1 (en) 1992-01-09 1993-07-22 Endomedix Corporation Bi-directional miniscope
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
DE9290164U1 (de) 1992-01-21 1994-09-15 Valleylab Inc Elektrochirurgische Steuerung für einen Trokar
US6963792B1 (en) 1992-01-21 2005-11-08 Sri International Surgical method
EP1356781A3 (en) 1992-01-21 2013-07-24 SRI International Teleoperation surgical system
US5284128A (en) 1992-01-24 1994-02-08 Applied Medical Resources Corporation Surgical manipulator
AU3610693A (en) 1992-02-07 1993-09-03 Nakao, Naomi Endoscope with disposable insertion member
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
EP0625077B1 (en) 1992-02-07 1997-07-09 Valleylab, Inc. Ultrasonic surgical apparatus
US5348259A (en) 1992-02-10 1994-09-20 Massachusetts Institute Of Technology Flexible, articulable column
US5514157A (en) 1992-02-12 1996-05-07 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5626595A (en) 1992-02-14 1997-05-06 Automated Medical Instruments, Inc. Automated surgical instrument
US5282806A (en) 1992-08-21 1994-02-01 Habley Medical Technology Corporation Endoscopic surgical instrument having a removable, rotatable, end effector assembly
CA2089999A1 (en) 1992-02-24 1993-08-25 H. Jonathan Tovey Resilient arm mesh deployer
US5658238A (en) 1992-02-25 1997-08-19 Olympus Optical Co., Ltd. Endoscope apparatus capable of being switched to a mode in which a curvature operating lever is returned and to a mode in which the curvature operating lever is not returned
US5352235A (en) 1992-03-16 1994-10-04 Tibor Koros Laparoscopic grasper and cutter
GR1002537B (el) 1992-03-30 1997-01-27 Ethicon Inc. Χειρουργικος συνδετηρας για εισαγωγη εντος ιστου.
US5484095A (en) 1992-03-31 1996-01-16 United States Surgical Corporation Apparatus for endoscopically applying staples individually to body tissue
US5281216A (en) 1992-03-31 1994-01-25 Valleylab, Inc. Electrosurgical bipolar treating apparatus
US5223675A (en) 1992-04-02 1993-06-29 Taft Anthony W Cable fastener
US5314424A (en) 1992-04-06 1994-05-24 United States Surgical Corporation Surgical instrument locking mechanism
FR2689749B1 (fr) 1992-04-13 1994-07-22 Toledano Haviv Instrument d'agrafage chirurgical flexible pour anastomoses circulaires.
WO1993020886A1 (en) 1992-04-13 1993-10-28 Ep Technologies, Inc. Articulated systems for cardiac ablation
US5563481A (en) 1992-04-13 1996-10-08 Smith & Nephew Endoscopy, Inc. Brushless motor
US5314466A (en) 1992-04-13 1994-05-24 Ep Technologies, Inc. Articulated unidirectional microwave antenna systems for cardiac ablation
US5236440A (en) 1992-04-14 1993-08-17 American Cyanamid Company Surgical fastener
US5355897A (en) 1992-04-16 1994-10-18 Ethicon, Inc. Method of performing a pyloroplasty/pylorectomy using a stapler having a shield
US5417203A (en) 1992-04-23 1995-05-23 United States Surgical Corporation Articulating endoscopic surgical apparatus
GR1002336B (el) 1992-05-06 1996-05-21 Ethicon Inc. Οργανον ενδοσκοπικης απολινωσεως και κοψιματος.
US5484451A (en) 1992-05-08 1996-01-16 Ethicon, Inc. Endoscopic surgical instrument and staples for applying purse string sutures
US5242457A (en) 1992-05-08 1993-09-07 Ethicon, Inc. Surgical instrument and staples for applying purse string sutures
US5211655A (en) 1992-05-08 1993-05-18 Hasson Harrith M Multiple use forceps for endoscopy
US5392349A (en) 1992-05-18 1995-02-21 At&T Corp. Overvoltage protection scheme for subscriber loops and method of performing same
US5389098A (en) 1992-05-19 1995-02-14 Olympus Optical Co., Ltd. Surgical device for stapling and/or fastening body tissues
US5344059A (en) 1992-05-19 1994-09-06 United States Surgical Corporation Surgical apparatus and anvil delivery system therefor
JPH0630945A (ja) 1992-05-19 1994-02-08 Olympus Optical Co Ltd 縫合器
US5197966A (en) 1992-05-22 1993-03-30 Sommerkamp T Greg Radiodorsal buttress blade plate implant for repairing distal radius fractures
US5192288A (en) 1992-05-26 1993-03-09 Origin Medsystems, Inc. Surgical clip applier
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
JPH0647050A (ja) 1992-06-04 1994-02-22 Olympus Optical Co Ltd 組織縫合結紮器
US5906625A (en) 1992-06-04 1999-05-25 Olympus Optical Co., Ltd. Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue
JP3442423B2 (ja) 1992-06-05 2003-09-02 積水化学工業株式会社 簡易コルセット及び簡易コルセット貼付体
US5279416A (en) 1992-06-05 1994-01-18 Edward Weck Incorporated Ligating device cartridge with separable retainer
JPH0667357A (ja) 1992-06-19 1994-03-11 Fuji Photo Film Co Ltd 写真感光材料用成形品及びそれを用いた写真感光材料包装体
US7928281B2 (en) 1992-06-19 2011-04-19 Arizant Technologies Llc Wound covering
US5263629A (en) 1992-06-29 1993-11-23 Ethicon, Inc. Method and apparatus for achieving hemostasis along a staple line
US5221281A (en) 1992-06-30 1993-06-22 Valleylab Inc. Electrosurgical tubular trocar
US5258012A (en) 1992-06-30 1993-11-02 Ethicon, Inc. Surgical fasteners
US5258009A (en) 1992-06-30 1993-11-02 American Cyanamid Company Malleable, bioabsorbable,plastic staple having a knotted configuration; and method and apparatus for deforming such staple
US5368606A (en) 1992-07-02 1994-11-29 Marlow Surgical Technologies, Inc. Endoscopic instrument system
US5222975A (en) 1992-07-13 1993-06-29 Lawrence Crainich Surgical staples
US5360428A (en) 1992-07-22 1994-11-01 Hutchinson Jr William B Laparoscopic instrument with electrical cutting wires
US5511564A (en) 1992-07-29 1996-04-30 Valleylab Inc. Laparoscopic stretching instrument and associated method
US5657429A (en) 1992-08-10 1997-08-12 Computer Motion, Inc. Automated endoscope system optimal positioning
US5762458A (en) 1996-02-20 1998-06-09 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
DE4228909C2 (de) 1992-08-28 1994-06-09 Ethicon Gmbh Endoskopisches Instrument zur Applizierung von Ligaturbindern und Ligaturbinder
US5630782A (en) 1992-09-01 1997-05-20 Adair; Edwin L. Sterilizable endoscope with separable auxiliary assembly
JP3421038B2 (ja) 1992-09-01 2003-06-30 エドウィン エル アデアー， 分離可能の使い捨て管組立体を有する滅菌可能の内視鏡
CA2104345A1 (en) 1992-09-02 1994-03-03 David T. Green Surgical clamp apparatus
US5368215A (en) 1992-09-08 1994-11-29 United States Surgical Corporation Surgical apparatus and detachable anvil rod therefor
US5285381A (en) 1992-09-09 1994-02-08 Vanderbilt University Multiple control-point control system and method of use
US5485952A (en) 1992-09-23 1996-01-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5465819A (en) 1992-09-29 1995-11-14 Borg-Warner Automotive, Inc. Power transmitting assembly
US5423471A (en) 1992-10-02 1995-06-13 United States Surgical Corporation Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures
US5569161A (en) 1992-10-08 1996-10-29 Wendell V. Ebling Endoscope with sterile sleeve
US5381943A (en) 1992-10-09 1995-01-17 Ethicon, Inc. Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge
US5431323A (en) 1992-10-09 1995-07-11 Ethicon, Inc. Endoscopic surgical instrument with pivotable and rotatable staple cartridge
US5662662A (en) 1992-10-09 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical instrument and method
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5374277A (en) 1992-10-09 1994-12-20 Ethicon, Inc. Surgical instrument
US5626587A (en) 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
US5330502A (en) 1992-10-09 1994-07-19 Ethicon, Inc. Rotational endoscopic mechanism with jointed drive mechanism
US5350391A (en) 1992-10-19 1994-09-27 Benedetto Iacovelli Laparoscopic instruments
US5718548A (en) 1992-10-20 1998-02-17 Clipmaster Corporation Pty Ltd Staple assembly
CA2108605A1 (en) 1992-10-21 1994-04-22 Nagabhushanam Totakura Bioabsorbable foam pledget
US5309927A (en) 1992-10-22 1994-05-10 Ethicon, Inc. Circular stapler tissue retention spring method
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
GB2272159A (en) 1992-11-10 1994-05-11 Andreas G Constantinides Surgical/diagnostic aid
IL103737A (en) 1992-11-13 1997-02-18 Technion Res & Dev Foundation Stapler device particularly useful in medical suturing
US5441483A (en) 1992-11-16 1995-08-15 Avitall; Boaz Catheter deflection control
US5389104A (en) 1992-11-18 1995-02-14 Symbiosis Corporation Arthroscopic surgical instruments
US5346504A (en) 1992-11-19 1994-09-13 Ethicon, Inc. Intraluminal manipulator with a head having articulating links
US5372602A (en) 1992-11-30 1994-12-13 Device For Vascular Intervention, Inc. Method of removing plaque using catheter cutter with torque control
ES2168278T3 (es) 1992-11-30 2002-06-16 Sherwood Serv Ag Conjunto de circuitos para un instrumento de cirugia ultrasonica con un iniciador de energia para mantener la vibracion y los parametros dinamicos lineales.
US5333422A (en) 1992-12-02 1994-08-02 The United States Of America As Represented By The United States Department Of Energy Lightweight extendable and retractable pole
US5400267A (en) 1992-12-08 1995-03-21 Hemostatix Corporation Local in-device memory feature for electrically powered medical equipment
US5356006A (en) 1992-12-16 1994-10-18 Ethicon, Inc. Sterile package for surgical devices
US5330487A (en) 1992-12-17 1994-07-19 Tfi Acquistion Corp. Drive mechanism for surgical instruments
US5403312A (en) 1993-07-22 1995-04-04 Ethicon, Inc. Electrosurgical hemostatic device
US5807393A (en) 1992-12-22 1998-09-15 Ethicon Endo-Surgery, Inc. Surgical tissue treating device with locking mechanism
US5558671A (en) 1993-07-22 1996-09-24 Yates; David C. Impedance feedback monitor for electrosurgical instrument
FR2699806B1 (fr) 1992-12-30 1995-03-24 Duthoit Francois Instrument, destiné notamment à permettre l'extraction de tronçons veineux pathologiques tels que des varices.
US5468253A (en) 1993-01-21 1995-11-21 Ethicon, Inc. Elastomeric medical device
US5358510A (en) 1993-01-26 1994-10-25 Ethicon, Inc. Two part surgical fastener
CA2114282A1 (en) 1993-01-28 1994-07-29 Lothar Schilder Multi-layered implant
US5304204A (en) 1993-02-09 1994-04-19 Ethicon, Inc. Receiverless surgical fasteners
US5336229A (en) 1993-02-09 1994-08-09 Laparomed Corporation Dual ligating and dividing apparatus
US5383895A (en) 1993-02-10 1995-01-24 Unisurge, Inc. Endoscopic surgical grasper and method
US5342381A (en) 1993-02-11 1994-08-30 Everest Medical Corporation Combination bipolar scissors and forceps instrument
JPH06237937A (ja) 1993-02-12 1994-08-30 Olympus Optical Co Ltd 外科用縫合器
EP0684789A1 (en) 1993-02-22 1995-12-06 Valleylab, Inc. A laparoscopic dissection tension retractor device and method
JP2672713B2 (ja) 1993-03-02 1997-11-05 ホロビーム インコーポレイティド 外科用装置
US5342396A (en) 1993-03-02 1994-08-30 Cook Melvin S Staples
DE4306786C1 (de) 1993-03-04 1994-02-10 Wolfgang Daum Chirurgischer Manipulator
US5397324A (en) 1993-03-10 1995-03-14 Carroll; Brendan J. Surgical stapler instrument and method for vascular hemostasis
US5360305A (en) 1993-03-19 1994-11-01 Duo-Fast Corporation Clinch staples and method of manufacturing and applying clinch staples
US5312329A (en) 1993-04-07 1994-05-17 Valleylab Inc. Piezo ultrasonic and electrosurgical handpiece
US5370645A (en) 1993-04-19 1994-12-06 Valleylab Inc. Electrosurgical processor and method of use
USD352780S (en) 1993-04-19 1994-11-22 Valleylab Inc. Combined suction, irrigation and electrosurgical handle
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
ES2109539T3 (es) 1993-04-20 1998-01-16 United States Surgical Corp Grapadora quirurgica.
EP0622048B1 (en) 1993-04-27 1997-05-21 American Cyanamid Company Automatic laparoscopic ligation clip applicator
US5467911A (en) 1993-04-27 1995-11-21 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
US5431668A (en) 1993-04-29 1995-07-11 Ethicon, Inc. Ligating clip applier
US5407293A (en) 1993-04-29 1995-04-18 Crainich; Lawrence Coupling apparatus for medical instrument
US5464300A (en) 1993-04-29 1995-11-07 Crainich; Lawrence Medical instrument and coupling apparatus for same
US6716232B1 (en) 1993-04-30 2004-04-06 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
US5447265A (en) 1993-04-30 1995-09-05 Minnesota Mining And Manufacturing Company Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity
JP3559561B2 (ja) 1993-04-30 2004-09-02 ユナイテッド・ステイツ・サージカル・コーポレイション 関節ジョー構造および着脱可能ナイフを備えた外科手術用器具
GB9309142D0 (en) 1993-05-04 1993-06-16 Gyrus Medical Ltd Laparoscopic instrument
US5415334A (en) 1993-05-05 1995-05-16 Ethicon Endo-Surgery Surgical stapler and staple cartridge
US5364003A (en) 1993-05-05 1994-11-15 Ethicon Endo-Surgery Staple cartridge for a surgical stapler
US5352229A (en) 1993-05-12 1994-10-04 Marlowe Goble E Arbor press staple and washer and method for its use
US5449370A (en) 1993-05-12 1995-09-12 Ethicon, Inc. Blunt tipped ultrasonic trocar
WO1994026167A1 (en) 1993-05-14 1994-11-24 Sri International Remote center positioner
US5549621A (en) 1993-05-14 1996-08-27 Byron C. Sutherland Apparatus and method for performing vertical banded gastroplasty
US6406472B1 (en) 1993-05-14 2002-06-18 Sri International, Inc. Remote center positioner
JPH06327684A (ja) 1993-05-19 1994-11-29 Olympus Optical Co Ltd 外科用縫合具
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
US5489290A (en) 1993-05-28 1996-02-06 Snowden-Pencer, Inc. Flush port for endoscopic surgical instruments
US5381649A (en) 1993-06-04 1995-01-17 Webb; Stephen A. Medical staple forming die and punch
RU2066128C1 (ru) 1993-06-21 1996-09-10 Иван Александрович Корольков Хирургический сшивающий аппарат и скобка
US5341724A (en) 1993-06-28 1994-08-30 Bronislav Vatel Pneumatic telescoping cylinder and method
GB9314391D0 (en) 1993-07-12 1993-08-25 Gyrus Medical Ltd A radio frequency oscillator and an electrosurgical generator incorporating such an oscillator
US5478354A (en) 1993-07-14 1995-12-26 United States Surgical Corporation Wound closing apparatus and method
DE9310601U1 (de) 1993-07-15 1993-09-02 Siemens Ag Kassette zur Aufnahme ärztlicher, insbesondere zahnärztlicher Instrumente
US5501654A (en) 1993-07-15 1996-03-26 Ethicon, Inc. Endoscopic instrument having articulating element
DE4323815C2 (de) 1993-07-15 1997-09-25 Siemens Ag Verfahren und Vorrichtung zur hygienischen Aufbereitung von medizinischen, insbesondere zahnmedizinischen Instrumenten
US5805140A (en) 1993-07-16 1998-09-08 Immersion Corporation High bandwidth force feedback interface using voice coils and flexures
JPH09501333A (ja) 1993-07-21 1997-02-10 エイチ． クリーマン，チャールズ 内視鏡検査及び外科手術用の外科的器具
US5792165A (en) 1993-07-21 1998-08-11 Charles H. Klieman Endoscopic instrument with detachable end effector
US5582617A (en) 1993-07-21 1996-12-10 Charles H. Klieman Surgical instrument for endoscopic and general surgery
US5693051A (en) 1993-07-22 1997-12-02 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device with adaptive electrodes
US5810811A (en) 1993-07-22 1998-09-22 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5688270A (en) 1993-07-22 1997-11-18 Ethicon Endo-Surgery,Inc. Electrosurgical hemostatic device with recessed and/or offset electrodes
US5817093A (en) 1993-07-22 1998-10-06 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
GR940100335A (el) 1993-07-22 1996-05-22 Ethicon Inc. Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων.
US5709680A (en) 1993-07-22 1998-01-20 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5372596A (en) 1993-07-27 1994-12-13 Valleylab Inc. Apparatus for leakage control and method for its use
JPH079622U (ja) 1993-07-27 1995-02-10 和光化成工業株式会社 車両用サンバイザのホルダー構造
US5441494A (en) 1993-07-29 1995-08-15 Ethicon, Inc. Manipulable hand for laparoscopy
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
US5447417A (en) 1993-08-31 1995-09-05 Valleylab Inc. Self-adjusting pump head and safety manifold cartridge for a peristaltic pump
US5441193A (en) 1993-09-23 1995-08-15 United States Surgical Corporation Surgical fastener applying apparatus with resilient film
US5405344A (en) 1993-09-30 1995-04-11 Ethicon, Inc. Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor
CA2133159A1 (en) 1993-09-30 1995-03-31 Eric J. Butterfield Surgical instrument having improved manipulating means
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
CA2132917C (en) 1993-10-07 2004-12-14 John Charles Robertson Circular anastomosis device
US5496312A (en) 1993-10-07 1996-03-05 Valleylab Inc. Impedance and temperature generator control
US6210403B1 (en) 1993-10-07 2001-04-03 Sherwood Services Ag Automatic control for energy from an electrosurgical generator
US5439155A (en) 1993-10-07 1995-08-08 United States Surgical Corporation Cartridge for surgical fastener applying apparatus
US5725554A (en) 1993-10-08 1998-03-10 Richard-Allan Medical Industries, Inc. Surgical staple and stapler
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5560532A (en) 1993-10-08 1996-10-01 United States Surgical Corporation Apparatus and method for applying surgical staples to body tissue
US5562682A (en) 1993-10-08 1996-10-08 Richard-Allan Medical Industries, Inc. Surgical Instrument with adjustable arms
RU2098025C1 (ru) 1993-10-11 1997-12-10 Аркадий Вениаминович Дубровский Поворотное устройство
US5556416A (en) 1993-10-12 1996-09-17 Valleylab, Inc. Endoscopic instrument
US5571100B1 (en) 1993-11-01 1998-01-06 Gyrus Medical Ltd Electrosurgical apparatus
GB9322464D0 (en) 1993-11-01 1993-12-22 Gyrus Medical Ltd Electrosurgical apparatus
JP3414455B2 (ja) 1993-11-02 2003-06-09 オリンパス光学工業株式会社 縫合装置
US5376095A (en) 1993-11-04 1994-12-27 Ethicon Endo-Surgery Endoscopic multi-fire flat stapler with low profile
US5531305A (en) 1993-11-05 1996-07-02 Borg-Warner Automotive, Inc. Synchronizer clutch assembly for multiple ratio gearing
US5562690A (en) 1993-11-12 1996-10-08 United States Surgical Corporation Apparatus and method for performing compressional anastomoses
US5503635A (en) 1993-11-12 1996-04-02 United States Surgical Corporation Apparatus and method for performing compressional anastomoses
US5449355A (en) 1993-11-24 1995-09-12 Valleylab Inc. Retrograde tissue splitter and method
DE4340707C2 (de) 1993-11-30 1997-03-27 Wolf Gmbh Richard Manipulator
US5514129A (en) 1993-12-03 1996-05-07 Valleylab Inc. Automatic bipolar control for an electrosurgical generator
US5405073A (en) 1993-12-06 1995-04-11 Ethicon, Inc. Flexible support shaft assembly
US5465894A (en) 1993-12-06 1995-11-14 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5743456A (en) 1993-12-16 1998-04-28 Stryker Corporation Hand actuable surgical handpiece
US5422567A (en) 1993-12-27 1995-06-06 Valleylab Inc. High frequency power measurement
US5441191A (en) 1993-12-30 1995-08-15 Linden; Gerald E. Indicating "staples low" in a paper stapler
AU688384B2 (en) 1993-12-30 1998-03-12 Sherwood Services Ag Bipolar ultrasonic surgery
US5782397A (en) 1994-01-04 1998-07-21 Alpha Surgical Technologies, Inc. Stapling device
US5437681A (en) 1994-01-13 1995-08-01 Suturtek Inc. Suturing instrument with thread management
US5452837A (en) 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
US5382247A (en) 1994-01-21 1995-01-17 Valleylab Inc. Technique for electrosurgical tips and method of manufacture and use
AU1076195A (en) 1994-01-31 1995-08-15 Valleylab, Inc. Telescoping bipolar electrode for non-invasive medical procedures
US5597107A (en) 1994-02-03 1997-01-28 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5465895A (en) 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5487500A (en) 1994-02-03 1996-01-30 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5452836A (en) 1994-02-07 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism
US5471992A (en) * 1994-02-08 1995-12-05 Boston Scientific Corporation Multi-motion cutter multiple biopsy sampling device
US5503638A (en) 1994-02-10 1996-04-02 Bio-Vascular, Inc. Soft tissue stapling buttress
US5527320A (en) 1994-02-10 1996-06-18 Pilling Weck Inc. Surgical clip applying instrument
US5413107A (en) 1994-02-16 1995-05-09 Tetrad Corporation Ultrasonic probe having articulated structure and rotatable transducer head
US5507773A (en) 1994-02-18 1996-04-16 Ethicon Endo-Surgery Cable-actuated jaw assembly for surgical instruments
JPH0833642A (ja) 1994-02-25 1996-02-06 Ethicon Endo Surgery Inc 外科用ステープラのための改良アンビル承口
WO1995023557A1 (en) 1994-03-01 1995-09-08 United States Surgical Corporation Surgical stapler with anvil sensor and lockout
CA2143560C (en) 1994-03-02 2007-01-16 Mark Fogelberg Sterile occlusion fasteners and instrument and method for their placement
DE9404459U1 (de) 1994-03-16 1994-07-14 Renz Chr Gmbh & Co Vorrichtung zum Verpacken von Bindeelementen
CA2144211C (en) 1994-03-16 2005-05-24 David T. Green Surgical instruments useful for endoscopic spinal procedures
US5484398A (en) 1994-03-17 1996-01-16 Valleylab Inc. Methods of making and using ultrasonic handpiece
JP3421117B2 (ja) 1994-03-17 2003-06-30 テルモ株式会社 外科用器具
RU2052979C1 (ru) 1994-03-22 1996-01-27 Товарищество с ограниченной ответственностью "Дипы" ЛТД Аппарат для наложения зажимающих скрепок и магазин для прошивающих скобок или зажимающих скрепок
US5561881A (en) 1994-03-22 1996-10-08 U.S. Philips Corporation Electric toothbrush
US5472442A (en) 1994-03-23 1995-12-05 Valleylab Inc. Moveable switchable electrosurgical handpiece
US5860581A (en) 1994-03-24 1999-01-19 United States Surgical Corporation Anvil for circular stapler
US5541376A (en) 1994-03-28 1996-07-30 Valleylab Inc Switch and connector
CA2145723A1 (en) 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5695524A (en) 1994-04-05 1997-12-09 Tracor Aerospace, Inc. Constant width, adjustable grip, staple apparatus and method
US5715987A (en) 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
US5415335A (en) 1994-04-07 1995-05-16 Ethicon Endo-Surgery Surgical stapler cartridge containing lockout mechanism
CA2144818C (en) 1994-04-07 2006-07-11 Henry Bolanos Graduated anvil for surgical stapling instruments
RU2084200C1 (ru) * 1994-04-11 1997-07-20 Куприянов Сергей Николаевич Хирургический сшивающе-режущий аппарат для сосудисто-трубчатых структур
US5653677A (en) 1994-04-12 1997-08-05 Fuji Photo Optical Co. Ltd Electronic endoscope apparatus with imaging unit separable therefrom
JPH07285089A (ja) 1994-04-14 1995-10-31 Mitsubishi Heavy Ind Ltd ５指手腕機構
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
US5489058A (en) 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5470007A (en) 1994-05-02 1995-11-28 Minnesota Mining And Manufacturing Company Laparoscopic stapler with overload sensor and interlock
CA2148667A1 (en) 1994-05-05 1995-11-06 Carlo A. Mililli Self-contained powered surgical apparatus
US5628446A (en) 1994-05-05 1997-05-13 United States Surgical Corporation Self-contained powered surgical apparatus
US5474566A (en) 1994-05-05 1995-12-12 United States Surgical Corporation Self-contained powered surgical apparatus
US5843021A (en) 1994-05-09 1998-12-01 Somnus Medical Technologies, Inc. Cell necrosis apparatus
US5782749A (en) 1994-05-10 1998-07-21 Riza; Erol D. Laparoscopic surgical instrument with adjustable grip
US5480409A (en) 1994-05-10 1996-01-02 Riza; Erol D. Laparoscopic surgical instrument
US6704210B1 (en) 1994-05-20 2004-03-09 Medtronic, Inc. Bioprothesis film strip for surgical stapler and method of attaching the same
US5454827A (en) 1994-05-24 1995-10-03 Aust; Gilbert M. Surgical instrument
USRE38335E1 (en) 1994-05-24 2003-11-25 Endius Incorporated Surgical instrument
EP0690520B1 (en) 1994-05-30 1999-08-18 Canon Kabushiki Kaisha Rechargeable batteries
US5814057A (en) 1994-06-03 1998-09-29 Gunze Limited Supporting element for staple region
GB9411429D0 (en) 1994-06-08 1994-07-27 Seton Healthcare Group Plc Wound dressings
US5553675A (en) 1994-06-10 1996-09-10 Minnesota Mining And Manufacturing Company Orthopedic surgical device
US5522831A (en) 1994-06-13 1996-06-04 Dennis R. Sleister Incising trocar and cannula assembly
US5473204A (en) 1994-06-16 1995-12-05 Temple; Thomas D. Time delay switch
US5732872A (en) 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
US5558665A (en) 1994-06-24 1996-09-24 Archimedes Surgical, Inc. Surgical instrument and method for intraluminal retraction of an anatomic structure
US5807376A (en) 1994-06-24 1998-09-15 United States Surgical Corporation Apparatus and method for performing surgical tasks during laparoscopic procedures
US5746224A (en) 1994-06-24 1998-05-05 Somnus Medical Technologies, Inc. Method for ablating turbinates
DE4422621C1 (de) 1994-06-28 1995-08-31 Aesculap Ag Chirurgisches Instrument
GB9413070D0 (en) 1994-06-29 1994-08-17 Gyrus Medical Ltd Electrosurgical apparatus
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
US5551622A (en) 1994-07-13 1996-09-03 Yoon; Inbae Surgical stapler
US5623582A (en) 1994-07-14 1997-04-22 Immersion Human Interface Corporation Computer interface or control input device for laparoscopic surgical instrument and other elongated mechanical objects
US5629577A (en) 1994-07-15 1997-05-13 Micro Medical Devices Miniature linear motion actuator
US5533521A (en) 1994-07-15 1996-07-09 United States Surgical Corporation Interchangeable tissue measuring device
US5712460A (en) 1994-07-19 1998-01-27 Linvatec Corporation Multi-function surgical device control system
DE9412228U1 (de) 1994-07-28 1994-09-22 Loctite Europa Eeig Schlauchpumpe zur genauen Dosierung kleiner Flüssigkeitsmengen
AU694225B2 (en) 1994-08-02 1998-07-16 Ethicon Endo-Surgery, Inc. Ultrasonic hemostatic and cutting instrument
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
US5507426A (en) 1994-08-05 1996-04-16 United States Surgical Corporation Apparatus for applying surgical fasteners
US5509916A (en) 1994-08-12 1996-04-23 Valleylab Inc. Laser-assisted electrosurgery system
US5480089A (en) 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
CA2146508C (en) 1994-08-25 2006-11-14 Robert H. Schnut Anvil for circular stapler
US6120433A (en) 1994-09-01 2000-09-19 Olympus Optical Co., Ltd. Surgical manipulator system
US5569284A (en) 1994-09-23 1996-10-29 United States Surgical Corporation Morcellator
US5609601A (en) 1994-09-23 1997-03-11 United States Surgical Corporation Endoscopic surgical apparatus with rotation lock
DE4434864C2 (de) 1994-09-29 1997-06-19 United States Surgical Corp Chirurgischer Klammerapplikator mit auswechselbarem Klammermagazin
US5916225A (en) 1994-09-29 1999-06-29 Surgical Sense, Inc. Hernia mesh patch
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5797538A (en) 1994-10-05 1998-08-25 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
US5901895A (en) 1994-10-05 1999-05-11 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
US5540374A (en) 1994-10-06 1996-07-30 Minnesota Mining And Manufacturing Company Bone stapler cartridge
US5575805A (en) 1994-10-07 1996-11-19 Li Medical Technologies, Inc. Variable tip-pressure surgical grasper
US5571090A (en) 1994-10-07 1996-11-05 United States Surgical Corporation Vascular suturing apparatus
EP0705571A1 (en) 1994-10-07 1996-04-10 United States Surgical Corporation Self-contained powered surgical apparatus
US5718714A (en) 1994-10-11 1998-02-17 Circon Corporation Surgical instrument with removable shaft assembly
CN1163558A (zh) 1994-10-11 1997-10-29 查尔斯·H·克利曼 具有可拆卸的端部操作装置的内窥镜仪器
US5591170A (en) 1994-10-14 1997-01-07 Genesis Orthopedics Intramedullary bone cutting saw
US5599852A (en) 1994-10-18 1997-02-04 Ethicon, Inc. Injectable microdispersions for soft tissue repair and augmentation
AU706434B2 (en) 1994-10-18 1999-06-17 Ethicon Inc. Injectable liquid copolymers for soft tissue repair and augmentation
US5549627A (en) 1994-10-21 1996-08-27 Kieturakis; Maciej J. Surgical instruments and method for applying progressive intracorporeal traction
US5575789A (en) 1994-10-27 1996-11-19 Valleylab Inc. Energizable surgical tool safety device and method
US5549637A (en) 1994-11-10 1996-08-27 Crainich; Lawrence Articulated medical instrument
US5891558A (en) 1994-11-22 1999-04-06 Tissue Engineering, Inc. Biopolymer foams for use in tissue repair and reconstruction
US6206897B1 (en) 1994-12-02 2001-03-27 Ethicon, Inc. Enhanced visualization of the latching mechanism of latching surgical devices
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US7235089B1 (en) 1994-12-07 2007-06-26 Boston Scientific Corporation Surgical apparatus and method
US5569270A (en) 1994-12-13 1996-10-29 Weng; Edward E. Laparoscopic surgical instrument
US5636779A (en) 1994-12-13 1997-06-10 United States Surgical Corporation Apparatus for applying surgical fasteners
US5988479A (en) 1994-12-13 1999-11-23 United States Surgical Corporation Apparatus for applying surgical fasteners
JPH08164141A (ja) 1994-12-13 1996-06-25 Olympus Optical Co Ltd 処置具
US5713505A (en) 1996-05-13 1998-02-03 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5704534A (en) 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
US5613966A (en) 1994-12-21 1997-03-25 Valleylab Inc System and method for accessory rate control
GB9425781D0 (en) 1994-12-21 1995-02-22 Gyrus Medical Ltd Electrosurgical instrument
US5628743A (en) 1994-12-21 1997-05-13 Valleylab Inc. Dual mode ultrasonic surgical apparatus
AU701320B2 (en) 1994-12-22 1999-01-28 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US5620452A (en) 1994-12-22 1997-04-15 Yoon; Inbae Surgical clip with ductile tissue penetrating members
US5695494A (en) 1994-12-22 1997-12-09 Valleylab Inc Rem output stage topology
US5713895A (en) 1994-12-30 1998-02-03 Valleylab Inc Partially coated electrodes
US5466020A (en) 1994-12-30 1995-11-14 Valleylab Inc. Bayonet connector for surgical handpiece
US6430298B1 (en) 1995-01-13 2002-08-06 Lonnie Joe Kettl Microphone mounting structure for a sound amplifying respirator and/or bubble suit
USD372086S (en) 1995-02-03 1996-07-23 Valleylab Inc. Aspirator attachment for a surgical device
JPH10503408A (ja) 1995-02-03 1998-03-31 ヴァリーラブ・インコーポレーテッド ペンシルと組み合わせた電気外科用吸引器
US5669907A (en) 1995-02-10 1997-09-23 Valleylab Inc. Plasma enhanced bipolar electrosurgical system
US5695504A (en) 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5669904A (en) 1995-03-07 1997-09-23 Valleylab Inc. Surgical gas plasma ignition apparatus and method
US5735445A (en) 1995-03-07 1998-04-07 United States Surgical Corporation Surgical stapler
US6213999B1 (en) 1995-03-07 2001-04-10 Sherwood Services Ag Surgical gas plasma ignition apparatus and method
DE19509116C2 (de) 1995-03-16 2000-01-05 Deutsch Zentr Luft & Raumfahrt Flexible Struktur
DE19509115C2 (de) 1995-03-16 1997-11-27 Deutsche Forsch Luft Raumfahrt Chirurgisches Gerät zum Vorbereiten einer Anastomose in minimal invasiver Operationstechnik
US5575799A (en) 1995-03-30 1996-11-19 United States Surgical Corporation Articulating surgical apparatus
US5618307A (en) 1995-04-03 1997-04-08 Heartport, Inc. Clamp assembly and method of use
US5599350A (en) 1995-04-03 1997-02-04 Ethicon Endo-Surgery, Inc. Electrosurgical clamping device with coagulation feedback
US6056735A (en) 1996-04-04 2000-05-02 Olympus Optical Co., Ltd. Ultrasound treatment system
US5619992A (en) 1995-04-06 1997-04-15 Guthrie; Robert B. Methods and apparatus for inhibiting contamination of reusable pulse oximetry sensors
US5624452A (en) 1995-04-07 1997-04-29 Ethicon Endo-Surgery, Inc. Hemostatic surgical cutting or stapling instrument
DE69625660T2 (de) 1995-04-21 2003-11-06 Gore & Ass Spendevorrichtung für chirurgische befestigungsplättchen
JPH08289895A (ja) 1995-04-21 1996-11-05 Olympus Optical Co Ltd 縫合器
US5553765A (en) 1995-04-28 1996-09-10 Ethicon Endo-Surgery, Inc. Surgical stapler with improved operating lever mounting arrangement
JP3795100B2 (ja) 1995-05-08 2006-07-12 株式会社伊垣医療設計 医療用縫合材
JP3526487B2 (ja) 1995-05-08 2004-05-17 株式会社伊垣医療設計 医療用縫合材
WO1996035464A1 (en) 1995-05-12 1996-11-14 Perkins Rodney C Translumenal circumferential injector
US6123241A (en) 1995-05-23 2000-09-26 Applied Tool Development Corporation Internal combustion powered tool
US5678748A (en) 1995-05-24 1997-10-21 Vir Engineering Surgical stapler with improved safety mechanism
US5630540A (en) 1995-05-24 1997-05-20 United States Surgical Corporation Surgical staple and staple drive member
US5599344A (en) 1995-06-06 1997-02-04 Valleylab Inc. Control apparatus for electrosurgical generator power output
US5628745A (en) 1995-06-06 1997-05-13 Bek; Robin B. Exit spark control for an electrosurgical generator
AU5700796A (en) 1995-06-06 1996-12-24 Valleylab, Inc. Power control for an electrosurgical generator
WO1996039088A1 (en) 1995-06-06 1996-12-12 Valleylab Inc. Digital waveform generation for electrosurgical generators
US5720744A (en) 1995-06-06 1998-02-24 Valleylab Inc Control system for neurosurgery
US5814038A (en) 1995-06-07 1998-09-29 Sri International Surgical manipulator for a telerobotic system
US5649956A (en) 1995-06-07 1997-07-22 Sri International System and method for releasably holding a surgical instrument
FR2735350B1 (fr) 1995-06-15 1997-12-26 Maurice Lanzoni Dispositif developpeur d'efforts d'une pince coupante
US5849011A (en) 1995-06-19 1998-12-15 Vidamed, Inc. Medical device with trigger actuation assembly
GB9526627D0 (en) 1995-12-29 1996-02-28 Gyrus Medical Ltd An electrosurgical instrument and an electrosurgical electrode assembly
WO1997000646A1 (en) 1995-06-23 1997-01-09 Gyrus Medical Limited An electrosurgical instrument
US6780180B1 (en) 1995-06-23 2004-08-24 Gyrus Medical Limited Electrosurgical instrument
GB9604770D0 (en) 1995-06-23 1996-05-08 Gyrus Medical Ltd An electrosurgical generator and system
US6015406A (en) 1996-01-09 2000-01-18 Gyrus Medical Limited Electrosurgical instrument
BR9609421A (pt) 1995-06-23 1999-05-18 Gyrus Medical Ltd Instrumento eletrocirúrgico
US6293942B1 (en) 1995-06-23 2001-09-25 Gyrus Medical Limited Electrosurgical generator method
GB9600377D0 (en) 1996-01-09 1996-03-13 Gyrus Medical Ltd Electrosurgical instrument
EP0861048A4 (en) 1995-07-03 2000-05-17 Dirk A Frater SYSTEM FOR FASTENING SUPPORT MATERIAL ON TISSUE CLASP DEVICES
US5617990A (en) 1995-07-03 1997-04-08 Micron Electronics, Inc. Shield and method for selective wave soldering
US5878607A (en) 1995-07-06 1999-03-09 Johnson & Johnson Professional, Inc. Surgical cast cutter
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
USRE38708E1 (en) 1995-07-11 2005-03-01 United States Surgical Corporation Disposable loading unit for surgical stapler
US5591187A (en) 1995-07-14 1997-01-07 Dekel; Moshe Laparoscopic tissue retrieval device and method
US5706998A (en) 1995-07-17 1998-01-13 United States Surgical Corporation Surgical stapler with alignment pin locking mechanism
JPH11509752A (ja) 1995-07-18 1999-08-31 エドワーズ，ガーランド，ユー． 可撓性の軸
US6447518B1 (en) 1995-07-18 2002-09-10 William R. Krause Flexible shaft components
US5702409A (en) 1995-07-21 1997-12-30 W. L. Gore & Associates, Inc. Device and method for reinforcing surgical staples
US5810855A (en) 1995-07-21 1998-09-22 Gore Enterprise Holdings, Inc. Endoscopic device and method for reinforcing surgical staples
US6023638A (en) 1995-07-28 2000-02-08 Scimed Life Systems, Inc. System and method for conducting electrophysiological testing using high-voltage energy pulses to stun tissue
US5810846A (en) 1995-08-03 1998-09-22 United States Surgical Corporation Vascular hole closure
US5549583A (en) 1995-08-04 1996-08-27 Adam Spence Corporation Surgical connector
US5611709A (en) 1995-08-10 1997-03-18 Valleylab Inc Method and assembly of member and terminal
US5715988A (en) 1995-08-14 1998-02-10 United States Surgical Corporation Surgical stapler with lockout mechanism
US5718359A (en) 1995-08-14 1998-02-17 United States Of America Surgical Corporation Surgical stapler with lockout mechanism
US5839639A (en) 1995-08-17 1998-11-24 Lasersurge, Inc. Collapsible anvil assembly and applicator instrument
US5931853A (en) 1995-08-25 1999-08-03 Mcewen; James A. Physiologic tourniquet with safety circuit
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US5762256A (en) 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US5574431A (en) 1995-08-29 1996-11-12 Checkpoint Systems, Inc. Deactivateable security tag
US5667526A (en) 1995-09-07 1997-09-16 Levin; John M. Tissue retaining clamp
DE19534112A1 (de) 1995-09-14 1997-03-20 Wolf Gmbh Richard Endoskopisches Instrument
DE19534043A1 (de) 1995-09-14 1997-03-20 Carisius Christensen Gmbh Dr Chirurgische Arbeitsmaschine
US5704087A (en) 1995-09-19 1998-01-06 Strub; Richard Dental care apparatus and technique
US5662667A (en) 1995-09-19 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
US5814055A (en) 1995-09-19 1998-09-29 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
US5776130A (en) 1995-09-19 1998-07-07 Valleylab, Inc. Vascular tissue sealing pressure control
US5827271A (en) 1995-09-19 1998-10-27 Valleylab Energy delivery system for vessel sealing
US5797959A (en) 1995-09-21 1998-08-25 United States Surgical Corporation Surgical apparatus with articulating jaw structure
US5772659A (en) 1995-09-26 1998-06-30 Valleylab Inc. Electrosurgical generator power control circuit and method
US5702387A (en) 1995-09-27 1997-12-30 Valleylab Inc Coated electrosurgical electrode
US5732821A (en) 1995-09-28 1998-03-31 Biomet, Inc. System for sterilizing medical devices
US5707392A (en) 1995-09-29 1998-01-13 Symbiosis Corporation Hermaphroditic stamped forceps jaw for disposable endoscopic biopsy forceps and method of making the same
US5796188A (en) 1995-10-05 1998-08-18 Xomed Surgical Products, Inc. Battery-powered medical instrument with power booster
US5697542A (en) 1995-10-19 1997-12-16 Ethicon Endo-Surgery, Inc. Endoscopic surgical stapler with compact profile
US5809441A (en) 1995-10-19 1998-09-15 Case Corporation Apparatus and method of neutral start control of a power transmission
US5653721A (en) 1995-10-19 1997-08-05 Ethicon Endo-Surgery, Inc. Override mechanism for an actuator on a surgical instrument
US5997552A (en) 1995-10-20 1999-12-07 United States Surgical Corporation Meniscal fastener applying device
US5700270A (en) 1995-10-20 1997-12-23 United States Surgical Corporation Surgical clip applier
GB9521772D0 (en) 1995-10-24 1996-01-03 Gyrus Medical Ltd An electrosurgical instrument
US5941442A (en) 1995-10-27 1999-08-24 United States Surgical Surgical stapler
US5651491A (en) 1995-10-27 1997-07-29 United States Surgical Corporation Surgical stapler having interchangeable loading units
CA2188738A1 (en) 1995-10-27 1997-04-28 Lisa W. Heaton Surgical stapler having interchangeable loading units
US5827298A (en) 1995-11-17 1998-10-27 Innovasive Devices, Inc. Surgical fastening system and method for using the same
US5860953A (en) 1995-11-21 1999-01-19 Catheter Imaging Systems, Inc. Steerable catheter having disposable module and sterilizable handle and method of connecting same
US5658281A (en) 1995-12-04 1997-08-19 Valleylab Inc Bipolar electrosurgical scissors and method of manufacture
US5971916A (en) 1995-12-27 1999-10-26 Koren; Arie Video camera cover
BR9612395A (pt) 1995-12-29 1999-07-13 Gyrus Medical Ltd Instrumento eletrocirúrgico e um conjunto de eltrodo eletrocirúrgico
US6013076A (en) 1996-01-09 2000-01-11 Gyrus Medical Limited Electrosurgical instrument
GB9600354D0 (en) 1996-01-09 1996-03-13 Gyrus Medical Ltd Electrosurgical instrument
US6090106A (en) 1996-01-09 2000-07-18 Gyrus Medical Limited Electrosurgical instrument
US5755717A (en) 1996-01-16 1998-05-26 Ethicon Endo-Surgery, Inc. Electrosurgical clamping device with improved coagulation feedback
US5738648A (en) 1996-01-23 1998-04-14 Valleylab Inc Method and apparatus for a valve and irrigator
US6015417A (en) 1996-01-25 2000-01-18 Reynolds, Jr.; Walker Surgical fastener
DE19603889C2 (de) 1996-02-03 1999-05-06 Aesculap Ag & Co Kg Chirurgisches Anlegegerät
US5624398A (en) 1996-02-08 1997-04-29 Symbiosis Corporation Endoscopic robotic surgical tools and methods
GB9602580D0 (en) 1996-02-08 1996-04-10 Dual Voltage Ltd Plastics flexible core
US5620289A (en) 1996-02-09 1997-04-15 Curry; Rinda M. Colored staples
US5749889A (en) 1996-02-13 1998-05-12 Imagyn Medical, Inc. Method and apparatus for performing biopsy
US5713128A (en) 1996-02-16 1998-02-03 Valleylab Inc Electrosurgical pad apparatus and method of manufacture
US5797537A (en) 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
US5725536A (en) 1996-02-20 1998-03-10 Richard-Allen Medical Industries, Inc. Articulated surgical instrument with improved articulation control mechanism
US5855583A (en) 1996-02-20 1999-01-05 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5762255A (en) 1996-02-20 1998-06-09 Richard-Allan Medical Industries, Inc. Surgical instrument with improvement safety lockout mechanisms
US6436107B1 (en) 1996-02-20 2002-08-20 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US6063095A (en) 1996-02-20 2000-05-16 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US5894843A (en) 1996-02-20 1999-04-20 Cardiothoracic Systems, Inc. Surgical method for stabilizing the beating heart during coronary artery bypass graft surgery
US5891160A (en) 1996-02-23 1999-04-06 Cardiovascular Technologies, Llc Fastener delivery and deployment mechanism and method for placing the fastener in minimally invasive surgery
US5716370A (en) 1996-02-23 1998-02-10 Williamson, Iv; Warren Means for replacing a heart valve in a minimally invasive manner
US5800379A (en) 1996-02-23 1998-09-01 Sommus Medical Technologies, Inc. Method for ablating interior sections of the tongue
US6099537A (en) 1996-02-26 2000-08-08 Olympus Optical Co., Ltd. Medical treatment instrument
US5810721A (en) 1996-03-04 1998-09-22 Heartport, Inc. Soft tissue retractor and method for providing surgical access
US5673842A (en) 1996-03-05 1997-10-07 Ethicon Endo-Surgery Surgical stapler with locking mechanism
US5605272A (en) 1996-03-12 1997-02-25 Ethicon Endo-Surgery, Inc. Trigger mechanism for surgical instruments
US5697543A (en) 1996-03-12 1997-12-16 Ethicon Endo-Surgery, Inc. Linear stapler with improved firing stroke
US5810240A (en) 1996-03-15 1998-09-22 United States Surgical Corporation Surgical fastener applying device
IL117607A0 (en) 1996-03-21 1996-07-23 Dev Of Advanced Medical Produc Surgical stapler and method of surgical fastening
WO1997035533A1 (en) 1996-03-25 1997-10-02 Enrico Nicolo Surgical mesh prosthetic material and methods of use
US5747953A (en) 1996-03-29 1998-05-05 Stryker Corporation Cordless, battery operated surical tool
US5785232A (en) 1996-04-17 1998-07-28 Vir Engineering Surgical stapler
US5728121A (en) 1996-04-17 1998-03-17 Teleflex Medical, Inc. Surgical grasper devices
US5836503A (en) 1996-04-22 1998-11-17 United States Surgical Corporation Insertion device for surgical apparatus
US6149660A (en) 1996-04-22 2000-11-21 Vnus Medical Technologies, Inc. Method and apparatus for delivery of an appliance in a vessel
US6050472A (en) 1996-04-26 2000-04-18 Olympus Optical Co., Ltd. Surgical anastomosis stapler
JP3791856B2 (ja) 1996-04-26 2006-06-28 オリンパス株式会社 医療用縫合器
US5928137A (en) 1996-05-03 1999-07-27 Green; Philip S. System and method for endoscopic imaging and endosurgery
US5741305A (en) 1996-05-06 1998-04-21 Physio-Control Corporation Keyed self-latching battery pack for a portable defibrillator
DE19618291A1 (de) 1996-05-07 1998-01-29 Storz Karl Gmbh & Co Instrument mit einem abwinkelbaren Handgriff
US5823066A (en) 1996-05-13 1998-10-20 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US5772379A (en) 1996-05-24 1998-06-30 Evensen; Kenneth Self-filling staple fastener
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
GB2314274A (en) 1996-06-20 1997-12-24 Gyrus Medical Ltd Electrode construction for an electrosurgical instrument
US5735874A (en) 1996-06-21 1998-04-07 Ethicon Endo-Surgery, Inc. Variable position handle locking mechanism
US6911916B1 (en) 1996-06-24 2005-06-28 The Cleveland Clinic Foundation Method and apparatus for accessing medical data over a network
US5782748A (en) 1996-07-10 1998-07-21 Symbiosis Corporation Endoscopic surgical instruments having detachable proximal and distal portions
US5702408A (en) 1996-07-17 1997-12-30 Ethicon Endo-Surgery, Inc. Articulating surgical instrument
US6024748A (en) 1996-07-23 2000-02-15 United States Surgical Corporation Singleshot anastomosis instrument with detachable loading unit and method
US6440146B2 (en) 1996-07-23 2002-08-27 United States Surgical Corporation Anastomosis instrument and method
US5785647A (en) 1996-07-31 1998-07-28 United States Surgical Corporation Surgical instruments useful for spinal surgery
US6017354A (en) 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
US5830598A (en) 1996-08-15 1998-11-03 Ericsson Inc. Battery pack incorporating battery pack contact assembly and method
USD393067S (en) 1996-08-27 1998-03-31 Valleylab Inc. Electrosurgical pencil
US5873885A (en) 1996-08-29 1999-02-23 Storz Instrument Company Surgical handpiece
US5997528A (en) 1996-08-29 1999-12-07 Bausch & Lomb Surgical, Inc. Surgical system providing automatic reconfiguration
US6065679A (en) 1996-09-06 2000-05-23 Ivi Checkmate Inc. Modular transaction terminal
US6364888B1 (en) 1996-09-09 2002-04-02 Intuitive Surgical, Inc. Alignment of master and slave in a minimally invasive surgical apparatus
US5730758A (en) 1996-09-12 1998-03-24 Allgeyer; Dean O. Staple and staple applicator for use in skin fixation of catheters
US20050143769A1 (en) 2002-08-19 2005-06-30 White Jeffrey S. Ultrasonic dissector
US5833696A (en) 1996-10-03 1998-11-10 United States Surgical Corporation Apparatus for applying surgical clips
US6109500A (en) 1996-10-04 2000-08-29 United States Surgical Corporation Lockout mechanism for a surgical stapler
US5843132A (en) 1996-10-07 1998-12-01 Ilvento; Joseph P. Self-contained, self-powered temporary intravenous pacing catheter assembly
US5904647A (en) 1996-10-08 1999-05-18 Asahi Kogyo Kabushiki Kaisha Treatment accessories for an endoscope
JP3091420B2 (ja) 1996-10-18 2000-09-25 株式会社貝印刃物開発センター 内視鏡用処置具
US5752965A (en) 1996-10-21 1998-05-19 Bio-Vascular, Inc. Apparatus and method for producing a reinforced surgical fastener suture line
US5769892A (en) 1996-10-22 1998-06-23 Mitroflow International Inc. Surgical stapler sleeve for reinforcing staple lines
US6162537A (en) 1996-11-12 2000-12-19 Solutia Inc. Implantable fibers and medical articles
CA2271029C (en) 1996-11-18 2006-01-10 University Of Massachusetts Systems, methods, and instruments for minimally invasive surgery
US6165184A (en) 1996-11-18 2000-12-26 Smith & Nephew, Inc. Systems methods and instruments for minimally invasive surgery
US6159224A (en) 1996-11-27 2000-12-12 Yoon; Inbae Multiple needle suturing instrument and method
US6165188A (en) 1996-12-02 2000-12-26 Angiotrax, Inc. Apparatus for percutaneously performing myocardial revascularization having controlled cutting depth and methods of use
US5899915A (en) 1996-12-02 1999-05-04 Angiotrax, Inc. Apparatus and method for intraoperatively performing surgery
US6162211A (en) 1996-12-05 2000-12-19 Thermolase Corporation Skin enhancement using laser light
CA2224366C (en) 1996-12-11 2006-10-31 Ethicon, Inc. Meniscal repair device
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US6132368A (en) 1996-12-12 2000-10-17 Intuitive Surgical, Inc. Multi-component telepresence system and method
GB9626512D0 (en) 1996-12-20 1997-02-05 Gyrus Medical Ltd An improved electrosurgical generator and system
US6063098A (en) 1996-12-23 2000-05-16 Houser; Kevin Articulable ultrasonic surgical apparatus
US5849023A (en) 1996-12-27 1998-12-15 Mericle; Robert William Disposable remote flexible drive cutting apparatus
US5931847A (en) 1997-01-09 1999-08-03 Ethicon Endo-Surgery, Inc. Surgical cutting instrument with improved cutting edge
US6074401A (en) 1997-01-09 2000-06-13 Coalescent Surgical, Inc. Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery
US5769748A (en) 1997-01-16 1998-06-23 Hughes Electronics Corporation Gimbal employing differential combination of offset drives
US6485667B1 (en) 1997-01-17 2002-11-26 Rayonier Products And Financial Services Company Process for making a soft, strong, absorbent material for use in absorbent articles
US5784934A (en) 1997-01-30 1998-07-28 Shinano Pneumatic Industries, Inc. Ratchet wrench with pivotable head
US5908402A (en) 1997-02-03 1999-06-01 Valleylab Method and apparatus for detecting tube occlusion in argon electrosurgery system
US6376971B1 (en) 1997-02-07 2002-04-23 Sri International Electroactive polymer electrodes
US6545384B1 (en) 1997-02-07 2003-04-08 Sri International Electroactive polymer devices
DE19707373C1 (de) 1997-02-25 1998-02-05 Storz Karl Gmbh & Co Bajonettkupplung zum lösbaren Verbinden zweier Rohrschaftinstrumente oder -instrumententeile
FR2759962B1 (fr) 1997-02-25 1999-05-14 Renault Vehicules Ind Vanne pneumatique notamment pour dispositif de freinage d'un vehicule automobile
EP1011494B1 (en) 1997-03-05 2007-01-03 The Trustees Of Columbia University In The City Of New York Electrothermal device for sealing and joining or cutting tissue
US5810821A (en) 1997-03-28 1998-09-22 Biomet Inc. Bone fixation screw system
ES2296330T3 (es) 1997-03-31 2008-04-16 Kabushikikaisha Igaki Iryo Sekkei Elemento de sujecion de sutura para usar en tratamientos medicos.
US6050172A (en) 1997-04-04 2000-04-18 Emhart Glass S.A. Pneumatically operated mechanism
US5843169A (en) 1997-04-08 1998-12-01 Taheri; Syde A. Apparatus and method for stapling graft material to a blood vessel wall while preserving the patency of orifices
US5846254A (en) 1997-04-08 1998-12-08 Ethicon Endo-Surgery, Inc. Surgical instrument for forming a knot
US6033399A (en) 1997-04-09 2000-03-07 Valleylab, Inc. Electrosurgical generator with adaptive power control
RU2144791C1 (ru) 1997-04-14 2000-01-27 Дубровский Аркадий Вениаминович Пологое поворотное устройство
TW473600B (en) 1997-04-15 2002-01-21 Swagelok Co Tube fitting, rear ferrule for a two ferrule tube fitting and ferrule for a tube fitting and a non-flared tube fitting
US5919198A (en) 1997-04-17 1999-07-06 Ethicon Endo-Surgery, Inc. Disposable cartridge with drivers
GB9708268D0 (en) 1997-04-24 1997-06-18 Gyrus Medical Ltd An electrosurgical instrument
US5893878A (en) 1997-04-24 1999-04-13 Pierce; Javin Micro traumatic tissue manipulator apparatus
JPH10296660A (ja) 1997-04-25 1998-11-10 Hitachi Koki Co Ltd 電池式携帯用工具
US6037724A (en) 1997-05-01 2000-03-14 Osteomed Corporation Electronic controlled surgical power tool
US6017358A (en) 1997-05-01 2000-01-25 Inbae Yoon Surgical instrument with multiple rotatably mounted offset end effectors
US6867248B1 (en) 1997-05-12 2005-03-15 Metabolix, Inc. Polyhydroxyalkanoate compositions having controlled degradation rates
USH2037H1 (en) 1997-05-14 2002-07-02 David C. Yates Electrosurgical hemostatic device including an anvil
USH1904H (en) 1997-05-14 2000-10-03 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic method and device
US5817091A (en) 1997-05-20 1998-10-06 Medical Scientific, Inc. Electrosurgical device having a visible indicator
DE19721076A1 (de) 1997-05-20 1998-11-26 Trw Repa Gmbh Verfahren zum Herstellen eines Seilabschnittes mit einem Befestigungselement für ein Fahrzeuginsassen-Rückhaltesystem sowie mit diesem Verfahren hergestellter Seilabschnitt
US5899914A (en) 1997-06-11 1999-05-04 Endius Incorporated Surgical instrument
US6231565B1 (en) 1997-06-18 2001-05-15 United States Surgical Corporation Robotic arm DLUs for performing surgical tasks
US5947996A (en) 1997-06-23 1999-09-07 Medicor Corporation Yoke for surgical instrument
US5951552A (en) 1997-06-30 1999-09-14 Ethicon Endo-Surgery, Inc. Capacitively coupled cordless electrosurgical instrument
US7021878B1 (en) 1997-07-03 2006-04-04 Trackers Company Categorizing fasteners and construction connectors using visual identifiers
US6049145A (en) 1997-07-07 2000-04-11 Motorola, Inc. Tamper proof safety circuit
FR2765794B1 (fr) 1997-07-11 1999-09-03 Joel Bardeau Dispositif d'eveinage notamment pour endoeveinage
US6338737B1 (en) 1997-07-17 2002-01-15 Haviv Toledano Flexible annular stapler for closed surgery of hollow organs
WO1999003408A1 (en) 1997-07-18 1999-01-28 Gyrus Medical Limited An electrosurgical instrument
GB2327352A (en) 1997-07-18 1999-01-27 Gyrus Medical Ltd Electrosurgical instrument
CA2297081A1 (en) 1997-07-18 1999-01-28 Alan Nigel Syrop An electrosurgical instrument
GB9900964D0 (en) 1999-01-15 1999-03-10 Gyrus Medical Ltd An electrosurgical system
US6923803B2 (en) 1999-01-15 2005-08-02 Gyrus Medical Limited Electrosurgical system and method
AU731815B2 (en) 1997-07-18 2001-04-05 Gyrus Medical Limited An electrosurgical instrument
US5937951A (en) 1997-07-18 1999-08-17 Ethicon Endo-Surgery, Inc. Skin stapler with rack and pinion staple feed mechanism
US7278994B2 (en) 1997-07-18 2007-10-09 Gyrus Medical Limited Electrosurgical instrument
WO1999005167A1 (en) 1997-07-25 1999-02-04 University Of Massachusetts Designed protein pores as components for biosensors
US5948030A (en) 1997-07-25 1999-09-07 General Motors Corporation Steering angle determaination method and apparatus
JP3418317B2 (ja) 1997-07-28 2003-06-23 アルプス電気株式会社 Ｉｃカード用コネクタ
JP3949177B2 (ja) 1997-07-29 2007-07-25 トーマス アンド ベッツ インターナショナル，インク． 改良されたケーブルタイ分配装置
JP3811291B2 (ja) 1998-07-02 2006-08-16 オリンパス株式会社 内視鏡システム
US5878938A (en) 1997-08-11 1999-03-09 Ethicon Endo-Surgery, Inc. Surgical stapler with improved locking mechanism
US5904702A (en) 1997-08-14 1999-05-18 University Of Massachusetts Instrument for thoracic surgical procedures
US6024764A (en) 1997-08-19 2000-02-15 Intermedics, Inc. Apparatus for imparting physician-determined shapes to implantable tubular devices
AUPO889497A0 (en) 1997-09-01 1997-09-25 N.J. Phillips Pty. Limited An applicator
US6267761B1 (en) 1997-09-09 2001-07-31 Sherwood Services Ag Apparatus and method for sealing and cutting tissue
EP1011493B1 (en) 1997-09-10 2005-03-23 Sherwood Services AG Bipolar instrument for vessel fusion
WO1999012483A1 (en) 1997-09-11 1999-03-18 Genzyme Corporation Articulating endoscopic implant rotator surgical apparatus and method for using same
US6017356A (en) 1997-09-19 2000-01-25 Ethicon Endo-Surgery Inc. Method for using a trocar for penetration and skin incision
EP2362284B1 (en) 1997-09-19 2015-05-20 Massachusetts Institute Of Technology Robotic apparatus
US20040236352A1 (en) 1997-09-22 2004-11-25 Yulun Wang Method and apparatus for performing minimally invasive cardiac procedures
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US5921956A (en) 1997-09-24 1999-07-13 Smith & Nephew, Inc. Surgical instrument
GB2329840C (en) 1997-10-03 2007-10-05 Johnson & Johnson Medical Biopolymer sponge tubes
US5984949A (en) 1997-10-06 1999-11-16 Levin; John M. Tissue hooks and tools for applying same
US5944172A (en) 1997-10-06 1999-08-31 Allen-Bradley Company, Llc Biasing assembly for a switching device
US6293941B1 (en) 1997-10-06 2001-09-25 Somnus Medical Technologies, Inc. Method and apparatus for impedance measurement in a multi-channel electro-surgical generator
US5893835A (en) 1997-10-10 1999-04-13 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having dual rotational positioning
US6171316B1 (en) 1997-10-10 2001-01-09 Origin Medsystems, Inc. Endoscopic surgical instrument for rotational manipulation
US5947984A (en) 1997-10-10 1999-09-07 Ethicon Endo-Surger, Inc. Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism
US6241723B1 (en) 1997-10-15 2001-06-05 Team Medical Llc Electrosurgical system
US6224617B1 (en) 1997-10-17 2001-05-01 Angiotrax, Inc. Methods and apparatus for defibrillating a heart refractory to electrical stimuli
US6511468B1 (en) 1997-10-17 2003-01-28 Micro Therapeutics, Inc. Device and method for controlling injection of liquid embolic composition
US6117148A (en) 1997-10-17 2000-09-12 Ravo; Biagio Intraluminal anastomotic device
US5903117A (en) 1997-10-28 1999-05-11 Xomed Surgical Products, Inc. Method and adaptor for connecting a powered surgical instrument to a medical console
JP4121615B2 (ja) 1997-10-31 2008-07-23 オリンパス株式会社 内視鏡
US6187003B1 (en) 1997-11-12 2001-02-13 Sherwood Services Ag Bipolar electrosurgical instrument for sealing vessels
US6050996A (en) 1997-11-12 2000-04-18 Sherwood Services Ag Bipolar electrosurgical instrument with replaceable electrodes
US6228083B1 (en) 1997-11-14 2001-05-08 Sherwood Services Ag Laparoscopic bipolar electrosurgical instrument
US6010513A (en) 1997-11-26 2000-01-04 Bionx Implants Oy Device for installing a tissue fastener
US6273876B1 (en) 1997-12-05 2001-08-14 Intratherapeutics, Inc. Catheter segments having circumferential supports with axial projection
US6068627A (en) 1997-12-10 2000-05-30 Valleylab, Inc. Smart recognition apparatus and method
US6171330B1 (en) 1997-12-15 2001-01-09 Sofradim Production Pneumatic surgical instrument for the distribution and placement of connecting or fastening means
DE69826110T2 (de) 1997-12-16 2005-01-20 B. Braun Celsa Medizinische vorrichtung zur behandlung einer beschädigung einer anatomischen leitung
US6472784B2 (en) 1997-12-16 2002-10-29 Fred N. Miekka Methods and apparatus for increasing power of permanent magnet motors
EP0923907A1 (en) 1997-12-19 1999-06-23 Gyrus Medical Limited An electrosurgical instrument
US6033427A (en) 1998-01-07 2000-03-07 Lee; Benjamin I. Method and device for percutaneous sealing of internal puncture sites
US6620166B1 (en) 1998-01-09 2003-09-16 Ethicon, Inc. Suture buttress system
US6156056A (en) 1998-01-09 2000-12-05 Ethicon, Inc. Suture buttress
US6245081B1 (en) 1998-01-09 2001-06-12 Steven M. Bowman Suture buttress
GB2336214A (en) 1998-01-16 1999-10-13 David William Taylor Preventionof multiple use of limited use devices
US6036544A (en) 1998-01-16 2000-03-14 Molex Incorporated Coupled electrical connector assembly
US6096074A (en) 1998-01-27 2000-08-01 United States Surgical Stapling apparatus and method for heart valve replacement
US6228454B1 (en) 1998-02-02 2001-05-08 Fort James Corporation Sheet material having weakness zones and a system for dispensing the material
US6165175A (en) 1999-02-02 2000-12-26 Ethicon Endo-Surgery, Inc. RF bipolar mesentery takedown device including improved bipolar end effector
US6296640B1 (en) 1998-02-06 2001-10-02 Ethicon Endo-Surgery, Inc. RF bipolar end effector for use in electrosurgical instruments
US7052499B2 (en) 1998-02-18 2006-05-30 Walter Lorenz Surgical, Inc. Method and apparatus for bone fracture fixation
US6033234A (en) 1998-02-19 2000-03-07 Packard Hughes Interconnect Company Printed circuit board to flexible printed circuit connection system
US6645201B1 (en) 1998-02-19 2003-11-11 Curon Medical, Inc. Systems and methods for treating dysfunctions in the intestines and rectum
US20020128662A1 (en) 1998-02-24 2002-09-12 Brock David L. Surgical instrument
US7789875B2 (en) 1998-02-24 2010-09-07 Hansen Medical, Inc. Surgical instruments
WO2002074178A2 (en) 2001-02-15 2002-09-26 Endovia Medical, Inc. Flexible surgical instrument
US7090683B2 (en) 1998-02-24 2006-08-15 Hansen Medical, Inc. Flexible instrument
US20020087148A1 (en) 1998-02-24 2002-07-04 Brock David L. Flexible instrument
RU2141279C1 (ru) 1998-03-11 1999-11-20 Кондратюк Георгий Константинович Универсальная насадка
US6099551A (en) 1998-03-12 2000-08-08 Shelhigh, Inc. Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof
US6042601A (en) 1998-03-18 2000-03-28 United States Surgical Corporation Apparatus for vascular hole closure
US6592538B1 (en) 1998-03-20 2003-07-15 New York Society For The Ruptured And Crippled Maintaining The Hospital For Special Surgery Dynamic orthopedic braces
GB9807303D0 (en) 1998-04-03 1998-06-03 Gyrus Medical Ltd An electrode assembly for an electrosurgical instrument
AU3157599A (en) 1998-03-26 1999-10-18 Gyrus Medical Limited An electrosurgical instrument
GB2335858A (en) 1998-04-03 1999-10-06 Gyrus Medical Ltd Resectoscope having pivoting electrode assembly
US6249076B1 (en) 1998-04-14 2001-06-19 Massachusetts Institute Of Technology Conducting polymer actuator
US6047861A (en) 1998-04-15 2000-04-11 Vir Engineering, Inc. Two component fluid dispenser
US6450989B2 (en) 1998-04-27 2002-09-17 Artemis Medical, Inc. Dilating and support apparatus with disease inhibitors and methods for use
US6003517A (en) 1998-04-30 1999-12-21 Ethicon Endo-Surgery, Inc. Method for using an electrosurgical device on lung tissue
US6558378B2 (en) 1998-05-05 2003-05-06 Cardiac Pacemakers, Inc. RF ablation system and method having automatic temperature control
US6171305B1 (en) 1998-05-05 2001-01-09 Cardiac Pacemakers, Inc. RF ablation apparatus and method having high output impedance drivers
US6517566B1 (en) 1998-05-11 2003-02-11 Surgical Connections, Inc. Devices and methods for treating e.g. urinary stress incontinence
US6062360A (en) 1998-05-13 2000-05-16 Brunswick Corporation Synchronizer for a gear shift mechanism for a marine propulsion system
US6165929A (en) 1998-05-18 2000-12-26 Phillips Petroleum Company Compositions that can produce polymers
US20050283188A1 (en) 1998-05-29 2005-12-22 By-Pass, Inc. Vascular closure device
US6309403B1 (en) 1998-06-01 2001-10-30 Board Of Trustees Operating Michigan State University Dexterous articulated linkage for surgical applications
US6036600A (en) 1998-06-02 2000-03-14 Kruckman; Harold D. Combine dust eliminator
JP3331172B2 (ja) 1998-06-12 2002-10-07 旭光学工業株式会社 内視鏡用異物回収具
US6585144B2 (en) 1998-06-19 2003-07-01 Acimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6478210B2 (en) 2000-10-25 2002-11-12 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6629630B2 (en) 1998-06-19 2003-10-07 Scimed Life Systems, Inc. Non-circular resection device and endoscope
US6601749B2 (en) 1998-06-19 2003-08-05 Scimed Life Systems, Inc. Multi fire full thickness resectioning device
US6018227A (en) 1998-06-22 2000-01-25 Stryker Corporation Battery charger especially useful with sterilizable, rechargeable battery packs
US5941890A (en) 1998-06-26 1999-08-24 Ethicon Endo-Surgery, Inc. Implantable surgical marker
US6066132A (en) 1998-06-30 2000-05-23 Ethicon, Inc. Articulating endometrial ablation device
US6228098B1 (en) 1998-07-10 2001-05-08 General Surgical Innovations, Inc. Apparatus and method for surgical fastening
JP3806518B2 (ja) 1998-07-17 2006-08-09 オリンパス株式会社 内視鏡治療装置
US6352503B1 (en) 1998-07-17 2002-03-05 Olympus Optical Co., Ltd. Endoscopic surgery apparatus
US5977746A (en) 1998-07-21 1999-11-02 Stryker Corporation Rechargeable battery pack and method for manufacturing same
JP2000055752A (ja) 1998-08-03 2000-02-25 Kayaba Ind Co Ltd トルク検出装置
WO2000007503A1 (en) 1998-08-04 2000-02-17 Intuitive Surgical, Inc. Manipulator positioning linkage for robotic surgery
US6818018B1 (en) 1998-08-14 2004-11-16 Incept Llc In situ polymerizable hydrogels
DE19836950B4 (de) 1998-08-17 2004-09-02 Deutsches Zentrum für Luft- und Raumfahrt e.V. Chirurgisches Instrument in Form eines Nahtklammergerätes
US6554798B1 (en) 1998-08-18 2003-04-29 Medtronic Minimed, Inc. External infusion device with remote programming, bolus estimator and/or vibration alarm capabilities
US6131790A (en) 1998-09-02 2000-10-17 Piraka; Hadi A. Surgical stapler and cartridge
FR2783429B1 (fr) 1998-09-18 2002-04-12 Imedex Biomateriaux Materiau collagenique bicomposite,son procede d'obtention et ses applications therapeutiques
JP3766552B2 (ja) 1998-10-01 2006-04-12 富士写真フイルム株式会社 データ写し込み装置付きレンズ付きフイルムユニット
US6245084B1 (en) 1998-10-20 2001-06-12 Promex, Inc. System for controlling a motor driven surgical cutting instrument
US7137980B2 (en) 1998-10-23 2006-11-21 Sherwood Services Ag Method and system for controlling output of RF medical generator
JP2002528161A (ja) 1998-10-23 2002-09-03 アプライド メディカル リソーシーズ コーポレイション 挿入体を用いた外科手術用把持装置および同装置の使用方法
WO2000024331A1 (en) 1998-10-23 2000-05-04 Sherwood Services Ag Endoscopic bipolar electrosurgical forceps
AU756626B2 (en) 1998-10-23 2003-01-16 Covidien Ag Open vessel sealing forceps with disposable electrodes
US5951574A (en) 1998-10-23 1999-09-14 Ethicon Endo-Surgery, Inc. Multiple clip applier having a split feeding mechanism
US6270508B1 (en) 1998-10-26 2001-08-07 Charles H. Klieman End effector and instrument for endoscopic and general surgery needle control
DE19851291A1 (de) 1998-11-06 2000-01-05 Siemens Ag Operationsarbeitsplatztaugliches Dateneingabegerät
US6249105B1 (en) 1998-11-13 2001-06-19 Neal Andrews System and method for detecting performance components of a battery pack
US6459926B1 (en) 1998-11-20 2002-10-01 Intuitive Surgical, Inc. Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery
US6398726B1 (en) 1998-11-20 2002-06-04 Intuitive Surgical, Inc. Stabilizer for robotic beating-heart surgery
US6659939B2 (en) 1998-11-20 2003-12-09 Intuitive Surgical, Inc. Cooperative minimally invasive telesurgical system
US6200330B1 (en) 1998-11-23 2001-03-13 Theodore V. Benderev Systems for securing sutures, grafts and soft tissue to bone and periosteum
US6102271A (en) 1998-11-23 2000-08-15 Ethicon Endo-Surgery, Inc. Circular stapler for hemorrhoidal surgery
JP2000171730A (ja) 1998-12-08 2000-06-23 Olympus Optical Co Ltd バッテリ式携帯内視鏡装置
JP4233656B2 (ja) 1998-12-11 2009-03-04 ジョンソン・エンド・ジョンソン株式会社 自動吻合器及び該吻合器に装着可能な案内バルーン
US6828902B2 (en) 1998-12-14 2004-12-07 Soundcraft, Inc. Wireless data input to RFID reader
US6126670A (en) 1998-12-16 2000-10-03 Medtronic, Inc. Cordless surgical handpiece with disposable battery; and method
DE19858512C1 (de) 1998-12-18 2000-05-25 Storz Karl Gmbh & Co Kg Bipolares medizinisches Instrument
US7001380B2 (en) 1999-01-15 2006-02-21 Gyrus Medical Limited Electrosurgical system and method
US20040030333A1 (en) 1999-01-15 2004-02-12 Gyrus Medical Ltd. Electrosurgical system and method
US6554861B2 (en) 1999-01-19 2003-04-29 Gyrus Ent L.L.C. Otologic prosthesis
US6394998B1 (en) 1999-01-22 2002-05-28 Intuitive Surgical, Inc. Surgical tools for use in minimally invasive telesurgical applications
US8529588B2 (en) 1999-01-25 2013-09-10 Applied Medical Resources Corporation Multiple clip applier apparatus and method
DE19905085A1 (de) 1999-01-29 2000-08-03 Black & Decker Inc N D Ges D S Batteriegetriebenes, handgeführtes Elektrowerkzeug
US6387113B1 (en) 1999-02-02 2002-05-14 Biomet, Inc. Method and apparatus for repairing a torn meniscus
US6174309B1 (en) 1999-02-11 2001-01-16 Medical Scientific, Inc. Seal & cut electrosurgical instrument
DE19906191A1 (de) 1999-02-15 2000-08-17 Ingo F Herrmann Endoskop
US6295888B1 (en) 1999-02-16 2001-10-02 Shimano Inc. Gear indicator for a bicycle
US6065919A (en) 1999-02-18 2000-05-23 Peck; Philip D. Self-tapping screw with an improved thread design
US6806808B1 (en) 1999-02-26 2004-10-19 Sri International Wireless event-recording device with identification codes
GB9905210D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgical system
US6398781B1 (en) 1999-03-05 2002-06-04 Gyrus Medical Limited Electrosurgery system
US6582427B1 (en) 1999-03-05 2003-06-24 Gyrus Medical Limited Electrosurgery system
US6666875B1 (en) 1999-03-05 2003-12-23 Olympus Optical Co., Ltd. Surgical apparatus permitting recharge of battery-driven surgical instrument in noncontact state
GB9905211D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgery system and instrument
GB9905209D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgery system
US20020022836A1 (en) 1999-03-05 2002-02-21 Gyrus Medical Limited Electrosurgery system
US6190386B1 (en) 1999-03-09 2001-02-20 Everest Medical Corporation Electrosurgical forceps with needle electrodes
US6179776B1 (en) 1999-03-12 2001-01-30 Scimed Life Systems, Inc. Controllable endoscopic sheath apparatus and related method of use
US6159146A (en) 1999-03-12 2000-12-12 El Gazayerli; Mohamed Mounir Method and apparatus for minimally-invasive fundoplication
US6512360B1 (en) 1999-03-15 2003-01-28 Amiteq Co., Ltd Self-induction-type stroke sensor
DE19912038C1 (de) 1999-03-17 2001-01-25 Storz Karl Gmbh & Co Kg Handgriff für ein medizinisches Instrument
ES2395057T3 (es) 1999-03-25 2013-02-07 Metabolix, Inc. Dispositivos y aplicaciones médicas de polímeros polihidroxialcanoato
US6416486B1 (en) 1999-03-31 2002-07-09 Ethicon Endo-Surgery, Inc. Ultrasonic surgical device having an embedding surface and a coagulating surface
US6120462A (en) 1999-03-31 2000-09-19 Ethicon Endo-Surgery, Inc. Control method for an automated surgical biopsy device
WO2000057796A1 (en) 1999-03-31 2000-10-05 Rosenblatt Peter L Systems and methods for soft tissue reconstruction
JP2000287987A (ja) 1999-04-01 2000-10-17 Olympus Optical Co Ltd 充電式医療装置
DE19915291A1 (de) 1999-04-03 2000-10-05 Gardena Kress & Kastner Gmbh Fluid-Kupplungsanordnung
US6228084B1 (en) 1999-04-06 2001-05-08 Kirwan Surgical Products, Inc. Electro-surgical forceps having recessed irrigation channel
US6182673B1 (en) 1999-04-12 2001-02-06 Mike Kindermann Marketing/Vertriebs Gmbh Dump facility for cassette sewage tanks
US6308089B1 (en) 1999-04-14 2001-10-23 O.B. Scientific, Inc. Limited use medical probe
US6689153B1 (en) 1999-04-16 2004-02-10 Orthopaedic Biosystems Ltd, Inc. Methods and apparatus for a coated anchoring device and/or suture
US6248117B1 (en) 1999-04-16 2001-06-19 Vital Access Corp Anastomosis apparatus for use in intraluminally directed vascular anastomosis
US6319510B1 (en) 1999-04-20 2001-11-20 Alayne Yates Gum pad for delivery of medication to mucosal tissues
US6325805B1 (en) 1999-04-23 2001-12-04 Sdgi Holdings, Inc. Shape memory alloy staple
US6181105B1 (en) 1999-04-26 2001-01-30 Exonix Corporation Self contained transportable power source maintenance and charge
ATE343517T1 (de) * 1999-05-04 2006-11-15 Windmoeller & Hoelscher Vorrichtung zum befüllen und verschliessen von säcken
DE19964295C2 (de) * 1999-05-04 2002-12-19 Windmoeller & Hoelscher Vorrichtung zum Herstellen, Befüllen und Verschliessen von Säcken
DE19920478C2 (de) * 1999-05-04 2001-05-03 Windmoeller & Hoelscher Vorrichtung zum Herstellen und vorzugsweise auch zum Befüllen und Verschließen von Säcken aus thermoplastischem Kunststoff
US6383201B1 (en) 1999-05-14 2002-05-07 Tennison S. Dong Surgical prosthesis for repairing a hernia
JP4503725B2 (ja) 1999-05-17 2010-07-14 オリンパス株式会社 内視鏡治療装置
US6921412B1 (en) 1999-05-18 2005-07-26 Cryolife, Inc. Self-supporting, shaped, three-dimensional biopolymeric materials and methods
US6547786B1 (en) 1999-05-21 2003-04-15 Gyrus Medical Electrosurgery system and instrument
US6762339B1 (en) 1999-05-21 2004-07-13 3M Innovative Properties Company Hydrophilic polypropylene fibers having antimicrobial activity
GB9911954D0 (en) 1999-05-21 1999-07-21 Gyrus Medical Ltd Electrosurgery system and instrument
GB9911956D0 (en) 1999-05-21 1999-07-21 Gyrus Medical Ltd Electrosurgery system and method
US6454781B1 (en) 1999-05-26 2002-09-24 Ethicon Endo-Surgery, Inc. Feedback control in an ultrasonic surgical instrument for improved tissue effects
DE19924311A1 (de) 1999-05-27 2000-11-30 Walter A Rau Klammerschneidegerät und Zusatzvorrichtung für ein solches
US6409724B1 (en) 1999-05-28 2002-06-25 Gyrus Medical Limited Electrosurgical instrument
GB9912625D0 (en) 1999-05-28 1999-07-28 Gyrus Medical Ltd An electrosurgical generator and system
GB9912627D0 (en) 1999-05-28 1999-07-28 Gyrus Medical Ltd An electrosurgical instrument
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US6517565B1 (en) 1999-06-02 2003-02-11 Power Medical Interventions, Inc. Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US6315184B1 (en) 1999-06-02 2001-11-13 Powermed, Inc. Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US8960519B2 (en) 1999-06-02 2015-02-24 Covidien Lp Shaft, e.g., for an electro-mechanical surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6223833B1 (en) 1999-06-03 2001-05-01 One World Technologies, Inc. Spindle lock and chipping mechanism for hammer drill
EP1058177A1 (en) 1999-06-04 2000-12-06 Alps Electric Co., Ltd. Input device for game machine
GB9913652D0 (en) 1999-06-11 1999-08-11 Gyrus Medical Ltd An electrosurgical generator
SE519023C2 (sv) 1999-06-21 2002-12-23 Micromuscle Ab Kateterburna mikrokirurgiska verktygsset
US7637905B2 (en) 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
FR2795301B1 (fr) 1999-06-25 2001-08-31 Prec Instrument de chirurgie endoscopique
US6257351B1 (en) 1999-06-29 2001-07-10 Microaire Surgical Instruments, Inc. Powered surgical instrument having locking systems and a clutch mechanism
US6175290B1 (en) 1999-06-30 2001-01-16 Gt Development Corporation Contactless stalk mounted control switch
US6325810B1 (en) 1999-06-30 2001-12-04 Ethicon, Inc. Foam buttress for stapling apparatus
US6355699B1 (en) 1999-06-30 2002-03-12 Ethicon, Inc. Process for manufacturing biomedical foams
US6333029B1 (en) 1999-06-30 2001-12-25 Ethicon, Inc. Porous tissue scaffoldings for the repair of regeneration of tissue
US6488196B1 (en) 1999-06-30 2002-12-03 Axya Medical, Inc. Surgical stapler and method of applying plastic staples to body tissue
US6104304A (en) 1999-07-06 2000-08-15 Conexant Systems, Inc. Self-test and status reporting system for microcontroller-controlled devices
JP3293802B2 (ja) 1999-07-07 2002-06-17 エスエムシー株式会社 位置検出機能付きチャック
US6117158A (en) 1999-07-07 2000-09-12 Ethicon Endo-Surgery, Inc. Ratchet release mechanism for hand held instruments
US6168605B1 (en) 1999-07-08 2001-01-02 Ethicon Endo-Surgery, Inc. Curved laparoscopic scissor having arcs of curvature
JP2001035827A (ja) 1999-07-16 2001-02-09 Memc Kk 高濃度オゾン水、同オゾン水の調製方法、および同オゾン水を使用した洗浄方法
US6436110B2 (en) 1999-07-23 2002-08-20 Ethicon, Inc. Method of securing a graft using a graft fixation device
US6402766B2 (en) 1999-07-23 2002-06-11 Ethicon, Inc. Graft fixation device combination
US7063712B2 (en) 2001-04-27 2006-06-20 Cardica, Inc. Anastomosis method
US7766924B1 (en) 1999-07-28 2010-08-03 Cardica, Inc. System for performing anastomosis
US7303570B2 (en) 1999-07-28 2007-12-04 Cardica, Inc. Anastomosis tool having a connector holder
US6391038B2 (en) 1999-07-28 2002-05-21 Cardica, Inc. Anastomosis system and method for controlling a tissue site
US7285131B1 (en) 1999-07-28 2007-10-23 Cardica, Inc. System for performing anastomosis
US7682368B1 (en) 1999-07-28 2010-03-23 Cardica, Inc. Anastomosis tool actuated with stored energy
DE19935904C1 (de) 1999-07-30 2001-07-12 Karlsruhe Forschzent Applikatorspitze eines chirurgischen Applikators zum Setzen von Clips/Klammern für die Verbindung von Gewebe
US6527785B2 (en) 1999-08-03 2003-03-04 Onux Medical, Inc. Surgical suturing instrument and method of use
US6788018B1 (en) 1999-08-03 2004-09-07 Intuitive Surgical, Inc. Ceiling and floor mounted surgical robot set-up arms
JP2003508185A (ja) 1999-08-03 2003-03-04 スミス アンド ネフュー インコーポレーテッド 埋め込み型制御放出装置
IT1307263B1 (it) 1999-08-05 2001-10-30 Sorin Biomedica Cardio Spa Stent per angioplastica con azione antagonista della restenosi,relativo corredo e componenti.
AU6519100A (en) 1999-08-05 2001-03-05 Biocardia, Inc. A system and method for delivering thermally sensitive and reverse-thermal gelation matrials
US6596296B1 (en) 1999-08-06 2003-07-22 Board Of Regents, The University Of Texas System Drug releasing biodegradable fiber implant
US6611793B1 (en) 1999-09-07 2003-08-26 Scimed Life Systems, Inc. Systems and methods to identify and disable re-use single use devices based on detecting environmental changes
AU7651900A (en) 1999-09-09 2001-04-10 Tuebingen Scientific Surgical Products Ohg Surgical instrument for minimally invasive surgical interventions
US7267679B2 (en) 1999-09-13 2007-09-11 Rex Medical, L.P Vascular hole closure device
US7662161B2 (en) 1999-09-13 2010-02-16 Rex Medical, L.P Vascular hole closure device
US6636412B2 (en) 1999-09-17 2003-10-21 Taser International, Inc. Hand-held stun gun for incapacitating a human target
US7075770B1 (en) 1999-09-17 2006-07-11 Taser International, Inc. Less lethal weapons and methods for halting locomotion
JP2001087272A (ja) 1999-09-24 2001-04-03 Motoko Iwabuchi 生体組織切除用自動縫合器
US6356072B1 (en) 1999-09-24 2002-03-12 Jacob Chass Hall effect sensor of displacement of magnetic core
US6358224B1 (en) 1999-09-24 2002-03-19 Tyco Healthcare Group Lp Irrigation system for endoscopic surgery
CA2322061A1 (en) 1999-10-05 2001-04-05 Anil K. Nalagatla Stapling instrument having two staple forming surfaces
US7887535B2 (en) 1999-10-18 2011-02-15 Covidien Ag Vessel sealing wave jaw
US6320123B1 (en) 1999-10-20 2001-11-20 Steven S. Reimers System and method for shielding electrical components from electromagnetic waves
US6780151B2 (en) 1999-10-26 2004-08-24 Acmi Corporation Flexible ureteropyeloscope
US6749560B1 (en) 1999-10-26 2004-06-15 Circon Corporation Endoscope shaft with slotted tube
US6471659B2 (en) 1999-12-27 2002-10-29 Neothermia Corporation Minimally invasive intact recovery of tissue
EP1095627A1 (en) 1999-10-27 2001-05-02 Everest Medical Corporation Electrosurgical probe for surface treatment
DE19951940C2 (de) 1999-10-28 2001-11-29 Karlsruhe Forschzent Endoskopisch einsetzbares Klammernahtgerät
DE19954497C1 (de) 1999-11-11 2001-04-19 Norbert Lemke Vorrichtung zum Ansteuern eines elektrischen Gerätes für den Einsatz im Sterilbereich bei medizinischen Operationen
US6666846B1 (en) 1999-11-12 2003-12-23 Edwards Lifesciences Corporation Medical device introducer and obturator and methods of use
GB9927338D0 (en) 1999-11-18 2000-01-12 Gyrus Medical Ltd Electrosurgical system
US6324339B1 (en) 1999-11-29 2001-11-27 Eveready Battery Company, Inc. Battery pack including input and output waveform modification capability
US7347849B2 (en) 2001-05-24 2008-03-25 Nxstage Medical, Inc. Modular medical treatment replaceable component
US6494896B1 (en) 1999-11-30 2002-12-17 Closure Medical Corporation Applicator for laparoscopic or endoscopic surgery
US6184655B1 (en) 1999-12-10 2001-02-06 Stryker Corporation Battery charging system with internal power manager
US6736825B2 (en) 1999-12-14 2004-05-18 Integrated Vascular Interventional Technologies, L C (Ivit Lc) Paired expandable anastomosis devices and related methods
US6352532B1 (en) 1999-12-14 2002-03-05 Ethicon Endo-Surgery, Inc. Active load control of ultrasonic surgical instruments
US6432065B1 (en) 1999-12-17 2002-08-13 Ethicon Endo-Surgery, Inc. Method for using a surgical biopsy system with remote control for selecting and operational mode
US6428487B1 (en) 1999-12-17 2002-08-06 Ethicon Endo-Surgery, Inc. Surgical biopsy system with remote control for selecting an operational mode
TW429637B (en) 1999-12-17 2001-04-11 Synergy Scientech Corp Electrical energy storage device
US6197042B1 (en) 2000-01-05 2001-03-06 Medical Technology Group, Inc. Vascular sheath with puncture site closure apparatus and methods of use
US6942674B2 (en) 2000-01-05 2005-09-13 Integrated Vascular Systems, Inc. Apparatus and methods for delivering a closure device
RU2181566C2 (ru) 2000-01-10 2002-04-27 Дубровский Аркадий Вениаминович Управляемый поворотный механизм
US20030205029A1 (en) 2000-01-20 2003-11-06 Chapolini Robert J. Method and apparatus for introducing a non-sterile component into a sterile device
US6193129B1 (en) 2000-01-24 2001-02-27 Ethicon Endo-Surgery, Inc. Cutting blade for a surgical anastomosis stapling instrument
HU225908B1 (en) 2000-01-24 2007-12-28 Ethicon Endo Surgery Europe Surgical circular stapling head
DE10003020C2 (de) 2000-01-25 2001-12-06 Aesculap Ag & Co Kg Bipolares Faßinstrument
US6429611B1 (en) 2000-01-28 2002-08-06 Hui Li Rotary and linear motor
DE10004264C2 (de) 2000-02-01 2002-06-13 Storz Karl Gmbh & Co Kg Vorrichtung zur intrakorporalen, minimal-invasiven Behandlung eines Patienten
CN1302754C (zh) 2000-02-04 2007-03-07 康曼德公司 手术夹置放器
US6758846B2 (en) 2000-02-08 2004-07-06 Gyrus Medical Limited Electrosurgical instrument and an electrosurgery system including such an instrument
US20040068307A1 (en) 2000-02-08 2004-04-08 Gyrus Medical Limited Surgical instrument
GB0002849D0 (en) 2000-02-08 2000-03-29 Gyrus Medical Ltd An electrosurgical instrument and an electosurgery system including such an instrument
GB0223348D0 (en) 2002-10-08 2002-11-13 Gyrus Medical Ltd A surgical instrument
US20040181219A1 (en) 2000-02-08 2004-09-16 Gyrus Medical Limited Electrosurgical instrument and an electrosugery system including such an instrument
US7963964B2 (en) 2000-02-10 2011-06-21 Santilli Albert N Surgical clamp assembly with electrodes
US6589164B1 (en) 2000-02-15 2003-07-08 Transvascular, Inc. Sterility barriers for insertion of non-sterile apparatus into catheters or other medical devices
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
US6911033B2 (en) 2001-08-21 2005-06-28 Microline Pentax Inc. Medical clip applying device
DE10007919C2 (de) 2000-02-21 2003-07-17 Wolf Gmbh Richard Zange zum Freipräparieren von Gewebe in einer Körperhöhle
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US6629974B2 (en) 2000-02-22 2003-10-07 Gyrus Medical Limited Tissue treatment method
GB0004179D0 (en) 2000-02-22 2000-04-12 Gyrus Medical Ltd Tissue resurfacing
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
AU2001238556A1 (en) 2000-02-22 2001-09-03 Power medical intervention, Inc. An electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US7335199B2 (en) 2000-02-22 2008-02-26 Rhytec Limited Tissue resurfacing
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US6723091B2 (en) 2000-02-22 2004-04-20 Gyrus Medical Limited Tissue resurfacing
US6582441B1 (en) 2000-02-24 2003-06-24 Advanced Bionics Corporation Surgical insertion tool
US20010025183A1 (en) 2000-02-25 2001-09-27 Ramin Shahidi Methods and apparatuses for maintaining a trajectory in sterotaxi for tracking a target inside a body
US6273897B1 (en) 2000-02-29 2001-08-14 Ethicon, Inc. Surgical bettress and surgical stapling apparatus
CA2718633C (en) 2000-03-06 2013-01-08 Tyco Healthcare Group Lp Apparatus and method for performing a bypass procedure in a digestive system
US6423079B1 (en) 2000-03-07 2002-07-23 Blake, Iii Joseph W Repeating multi-clip applier
US6663623B1 (en) 2000-03-13 2003-12-16 Olympus Optical Co., Ltd. Electric surgical operation apparatus
ATE295122T1 (de) 2000-03-16 2005-05-15 Medigus Ltd Vorrichtung zur fundoplication
IL139788A (en) 2000-11-20 2006-10-05 Minelu Zonnenschein Stapler for endoscopes
US7819799B2 (en) 2000-03-16 2010-10-26 Immersion Medical, Inc. System and method for controlling force applied to and manipulation of medical instruments
US6510854B2 (en) 2000-03-16 2003-01-28 Gyrus Medical Limited Method of treatment of prostatic adenoma
US6770070B1 (en) 2000-03-17 2004-08-03 Rita Medical Systems, Inc. Lung treatment apparatus and method
JP2001276091A (ja) 2000-03-29 2001-10-09 Toshiba Corp 医療用マニピュレータ
CA2404923A1 (en) 2000-03-31 2001-10-11 Rita Medical Systems, Inc. Tissue biopsy and treatment apparatus and method
US8888688B2 (en) 2000-04-03 2014-11-18 Intuitive Surgical Operations, Inc. Connector device for a controllable instrument
WO2005018428A2 (en) 2000-04-03 2005-03-03 Neoguide Systems, Inc. Activated polymer articulated instruments and methods of insertion
US6858005B2 (en) 2000-04-03 2005-02-22 Neo Guide Systems, Inc. Tendon-driven endoscope and methods of insertion
US6984203B2 (en) 2000-04-03 2006-01-10 Neoguide Systems, Inc. Endoscope with adjacently positioned guiding apparatus
US6837846B2 (en) 2000-04-03 2005-01-04 Neo Guide Systems, Inc. Endoscope having a guide tube
US6517528B1 (en) 2000-04-13 2003-02-11 Scimed Life Systems, Inc. Magnetic catheter drive shaft clutch
US6264037B1 (en) 2000-04-27 2001-07-24 R. H. Murphy Co., Inc. Tray for ball grid array integrated circuit
WO2001082812A1 (en) 2000-04-27 2001-11-08 Medtronic, Inc. Vibration sensitive ablation apparatus and method
US6905498B2 (en) 2000-04-27 2005-06-14 Atricure Inc. Transmural ablation device with EKG sensor and pacing electrode
RU2187249C2 (ru) 2000-04-27 2002-08-20 Общество с ограниченной ответственностью "ЭНДОМЕДИУМ+" Хирургический инструмент
US6387114B2 (en) 2000-04-28 2002-05-14 Scimed Life Systems, Inc. Gastrointestinal compression clips
DE10058796A1 (de) 2000-05-09 2001-11-15 Heidelberger Druckmasch Ag Sammelhefter mit getrennten Antrieben
US6305891B1 (en) 2000-05-15 2001-10-23 Mark S. Burlingame Fastening device and a spacer, and a method of using the same
US6485503B2 (en) 2000-05-19 2002-11-26 Coapt Systems, Inc. Multi-point tissue tension distribution device, a brow and face lift variation, and a method of tissue approximation using the device
US7510566B2 (en) 2000-05-19 2009-03-31 Coapt Systems, Inc. Multi-point tissue tension distribution device and method, a chin lift variation
US6419695B1 (en) 2000-05-22 2002-07-16 Shlomo Gabbay Cardiac prosthesis for helping improve operation of a heart valve
US6805273B2 (en) 2002-11-04 2004-10-19 Federico Bilotti Surgical stapling instrument
DE10026683C2 (de) 2000-05-30 2003-07-10 Ethicon Endo Surgery Europe Chirurgisches Klammersetzgerät
US6602262B2 (en) 2000-06-02 2003-08-05 Scimed Life Systems, Inc. Medical device having linear to rotation control
US6527782B2 (en) 2000-06-07 2003-03-04 Sterotaxis, Inc. Guide for medical devices
US6492785B1 (en) 2000-06-27 2002-12-10 Deere & Company Variable current limit control for vehicle electric drive system
DE10031436A1 (de) 2000-06-28 2002-01-10 Alexander Von Fuchs Gleitschutz für einen Gehäusekopf medizinischer Instrumente
US6863694B1 (en) 2000-07-03 2005-03-08 Osteotech, Inc. Osteogenic implants derived from bone
JP3789733B2 (ja) 2000-07-06 2006-06-28 アルプス電気株式会社 複合操作スイッチ
JP3897962B2 (ja) 2000-07-19 2007-03-28 株式会社モリタ製作所 識別型のインスツルメント体、識別型のアダプタ、識別型のチューブ、これらを用いた診療装置
ES2383004T3 (es) 2000-07-20 2012-06-15 Carefusion 2200, Inc. Instrumento quirúrgico articulado accionado a mano
AU2002224520A1 (en) 2000-07-21 2002-02-05 Atropos Limited A cannula
JP2004520865A (ja) 2000-07-25 2004-07-15 リタ メディカル システムズ インコーポレイテッド 局在化インピーダンス測定を使用する腫瘍の検出および処置のための装置
US6494882B1 (en) 2000-07-25 2002-12-17 Verimetra, Inc. Cutting instrument having integrated sensors
US6392854B1 (en) 2000-07-27 2002-05-21 Motorola, Inc. Method and system for testing continuity of a motor and associated drive circuitry
US6585664B2 (en) 2000-08-02 2003-07-01 Ethicon Endo-Surgery, Inc. Calibration method for an automated surgical biopsy device
US8366787B2 (en) 2000-08-04 2013-02-05 Depuy Products, Inc. Hybrid biologic-synthetic bioabsorbable scaffolds
JP2002051974A (ja) 2000-08-14 2002-02-19 Fuji Photo Optical Co Ltd 内視鏡処置具
GB0020461D0 (en) 2000-08-18 2000-10-11 Oliver Crispin Consulting Ltd Improvements in and relating to the robotic positioning of a work tool to a sensor
EP1313401A4 (en) 2000-08-30 2006-09-20 Cerebral Vascular Applic Inc MEDICAL INSTRUMENT
US20040093024A1 (en) 2000-09-01 2004-05-13 James Lousararian Advanced wound site management systems and methods
US6767356B2 (en) 2000-09-01 2004-07-27 Angiolink Corporation Advanced wound site management systems and methods
GB0021799D0 (en) 2000-09-05 2000-10-18 Gyrus Medical Ltd Electrosurgery system
AU2001288945A1 (en) 2000-09-07 2002-03-22 Eva Arkin Fluorescent surgical device
DE60144328D1 (de) 2000-09-08 2011-05-12 Abbott Vascular Inc Chirurgische Klammer
JP2002078674A (ja) 2000-09-08 2002-03-19 Fuji Photo Optical Co Ltd 内視鏡の湾曲部構造
US6712773B1 (en) 2000-09-11 2004-03-30 Tyco Healthcare Group Lp Biopsy system
JP4297603B2 (ja) 2000-09-19 2009-07-15 株式会社トップ 外科用ステープラ
WO2002026143A1 (en) 2000-09-27 2002-04-04 Applied Medical Resources Surgical apparatus with detachable handle assembly
JP4014792B2 (ja) 2000-09-29 2007-11-28 株式会社東芝 マニピュレータ
MXPA03003003A (es) 2000-10-04 2003-07-14 Synthes Ag Dispositivo para suministrar energia electrica a una pluma electrica.
US6817508B1 (en) 2000-10-13 2004-11-16 Tyco Healthcare Group, Lp Surgical stapling device
US7407076B2 (en) 2000-10-13 2008-08-05 Tyco Healthcare Group Lp Surgical stapling device
US7055730B2 (en) 2000-10-13 2006-06-06 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US7334717B2 (en) 2001-10-05 2008-02-26 Tyco Healthcare Group Lp Surgical fastener applying apparatus
WO2003079909A2 (en) 2002-03-19 2003-10-02 Tyco Healthcare Group, Lp Surgical fastener applying apparatus
WO2003030742A2 (en) 2001-10-05 2003-04-17 Tyco Healthcare Group, Lp Surgical stapling apparatus and method
US6773438B1 (en) 2000-10-19 2004-08-10 Ethicon Endo-Surgery Surgical instrument having a rotary lockout mechanism
US6551333B2 (en) 2000-10-19 2003-04-22 Ethicon Endo-Surgery, Inc. Method for attaching hernia mesh
US7485124B2 (en) 2000-10-19 2009-02-03 Ethicon Endo-Surgery, Inc. Surgical instrument having a fastener delivery mechanism
US7273483B2 (en) 2000-10-20 2007-09-25 Ethicon Endo-Surgery, Inc. Apparatus and method for alerting generator functions in an ultrasonic surgical system
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6945981B2 (en) 2000-10-20 2005-09-20 Ethicon-Endo Surgery, Inc. Finger operated switch for controlling a surgical handpiece
WO2002034122A2 (en) 2000-10-20 2002-05-02 Onux Medical, Inc. Surgical suturing instrument and method of use
US6908472B2 (en) 2000-10-20 2005-06-21 Ethicon Endo-Surgery, Inc. Apparatus and method for altering generator functions in an ultrasonic surgical system
US6656177B2 (en) 2000-10-23 2003-12-02 Csaba Truckai Electrosurgical systems and techniques for sealing tissue
US6500176B1 (en) 2000-10-23 2002-12-31 Csaba Truckai Electrosurgical systems and techniques for sealing tissue
US6913608B2 (en) 2000-10-23 2005-07-05 Viacor, Inc. Automated annular plication for mitral valve repair
US6605090B1 (en) 2000-10-25 2003-08-12 Sdgi Holdings, Inc. Non-metallic implant devices and intra-operative methods for assembly and fixation
JP2002128025A (ja) * 2000-10-26 2002-05-09 Toyo Jidoki Co Ltd 平袋を使用する袋詰め包装機における開袋装置及び開袋方法
US6793661B2 (en) 2000-10-30 2004-09-21 Vision Sciences, Inc. Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms
US6893435B2 (en) 2000-10-31 2005-05-17 Gyrus Medical Limited Electrosurgical system
US6843789B2 (en) 2000-10-31 2005-01-18 Gyrus Medical Limited Electrosurgical system
GB0026586D0 (en) 2000-10-31 2000-12-13 Gyrus Medical Ltd An electrosurgical system
US20030139741A1 (en) 2000-10-31 2003-07-24 Gyrus Medical Limited Surgical instrument
FR2815842B1 (fr) 2000-10-31 2003-05-09 Assist Publ Hopitaux De Paris Pince-agrafeuse mecanique pour chirurgie du rectum
JP2002143078A (ja) 2000-11-08 2002-05-21 Olympus Optical Co Ltd 内視鏡用外付チューブ
US6498480B1 (en) 2000-11-22 2002-12-24 Wabash Technologies, Inc. Magnetic non-contacting rotary transducer
US8286845B2 (en) 2000-11-27 2012-10-16 Boston Scientific Scimed, Inc. Full thickness resection device control handle
US6821282B2 (en) 2000-11-27 2004-11-23 Scimed Life Systems, Inc. Full thickness resection device control handle
JP2002159500A (ja) 2000-11-28 2002-06-04 Koseki Ika Kk 靭帯固定システム
US7081114B2 (en) 2000-11-29 2006-07-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Electrophysiology/ablation catheter having lariat configuration of variable radius
US6398795B1 (en) 2000-11-30 2002-06-04 Scimed Life Systems, Inc. Stapling and cutting in resectioning for full thickness resection devices
JP2002170622A (ja) 2000-11-30 2002-06-14 Sumitomo Wiring Syst Ltd コネクタ
US6439446B1 (en) 2000-12-01 2002-08-27 Stephen J. Perry Safety lockout for actuator shaft
US6569085B2 (en) 2001-08-16 2003-05-27 Syntheon, Llc Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen
US6588931B2 (en) 2000-12-07 2003-07-08 Delphi Technologies, Inc. Temperature sensor with flexible circuit substrate
DE60138643D1 (de) 2000-12-08 2009-06-18 Osteotech Inc Implantat für orthopädische anwendungen
US20020127265A1 (en) 2000-12-21 2002-09-12 Bowman Steven M. Use of reinforced foam implants with enhanced integrity for soft tissue repair and regeneration
US6406440B1 (en) 2000-12-21 2002-06-18 Ethicon Endo-Surgery, Inc. Specimen retrieval bag
US6503259B2 (en) 2000-12-27 2003-01-07 Ethicon, Inc. Expandable anastomotic device
US6840938B1 (en) 2000-12-29 2005-01-11 Intuitive Surgical, Inc. Bipolar cauterizing instrument
US7041868B2 (en) 2000-12-29 2006-05-09 Kimberly-Clark Worldwide, Inc. Bioabsorbable wound dressing
US6482200B2 (en) 2001-01-03 2002-11-19 Ronald D. Shippert Cautery apparatus and method
WO2002053808A1 (en) 2001-01-03 2002-07-11 Wen Lu Stable conjugated polymer electrochromic devices incorporating ionic liquids
US20020133131A1 (en) 2001-01-09 2002-09-19 Krishnakumar Rangachari Absorbent material incorporating synthetic fibers and process for making the material
IL156876A0 (en) 2001-01-11 2004-02-08 Given Imaging Ltd Device and system for in-vivo procedures
US6439439B1 (en) 2001-01-12 2002-08-27 Telios Orthopedic Systems, Inc. Bone cement delivery apparatus and hand-held fluent material dispensing apparatus
US6695774B2 (en) 2001-01-19 2004-02-24 Endactive, Inc. Apparatus and method for controlling endoscopic instruments
JP4121730B2 (ja) 2001-01-19 2008-07-23 富士通コンポーネント株式会社 ポインティングデバイス及び携帯型情報機器
JP4130584B2 (ja) 2001-01-24 2008-08-06 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 吻合器具および吻合を実施する方法
US6626834B2 (en) 2001-01-25 2003-09-30 Shane Dunne Spiral scanner with electronic control
US20020134811A1 (en) 2001-01-29 2002-09-26 Senco Products, Inc. Multi-mode power tool utilizing attachment
JP3449556B2 (ja) 2001-01-31 2003-09-22 三菱スペース・ソフトウエア株式会社 時系列処理画像の自動作成方法およびそのシステム
US20020103494A1 (en) 2001-01-31 2002-08-01 Pacey John Allen Percutaneous cannula delvery system for hernia patch
CA2435522C (en) 2001-01-31 2010-02-23 Rex Medical, L.P. Apparatus for stapling and resectioning gastro-esophageal tissue
US6997931B2 (en) 2001-02-02 2006-02-14 Lsi Solutions, Inc. System for endoscopic suturing
US8313496B2 (en) 2001-02-02 2012-11-20 Lsi Solutions, Inc. System for endoscopic suturing
JP3939158B2 (ja) 2001-02-06 2007-07-04 オリンパス株式会社 内視鏡装置
US6723109B2 (en) 2001-02-07 2004-04-20 Karl Storz Endoscopy-America, Inc. Deployable surgical clamp with delivery/retrieval device and actuator
US20030135204A1 (en) 2001-02-15 2003-07-17 Endo Via Medical, Inc. Robotically controlled medical instrument with a flexible section
US7699835B2 (en) 2001-02-15 2010-04-20 Hansen Medical, Inc. Robotically controlled surgical instruments
US7766894B2 (en) 2001-02-15 2010-08-03 Hansen Medical, Inc. Coaxial catheter system
FR2821000B1 (fr) 2001-02-20 2003-08-22 Jean Claude Rouiller Instrument d'alesage, en particulier pour l'alesage de canaux dentaires
DE10108732A1 (de) 2001-02-23 2002-09-05 Philips Corp Intellectual Pty Vorrichtung mit einem magnetischen Positionssensor
US6533784B2 (en) 2001-02-24 2003-03-18 Csaba Truckai Electrosurgical working end for transecting and sealing tissue
US6775575B2 (en) 2001-02-26 2004-08-10 D. Bommi Bommannan System and method for reducing post-surgical complications
DE60232926D1 (de) 2001-02-27 2009-08-20 Tyco Healthcare Externe Mischeranordnung
US7139016B2 (en) 2001-02-28 2006-11-21 Eastman Kodak Company Intra-oral camera system with chair-mounted display
US6682527B2 (en) 2001-03-13 2004-01-27 Perfect Surgical Techniques, Inc. Method and system for heating tissue with a bipolar instrument
US20020135474A1 (en) 2001-03-21 2002-09-26 Sylliassen Douglas G. Method and device for sensor-based power management of a consumer electronic device
US6802844B2 (en) 2001-03-26 2004-10-12 Nuvasive, Inc Spinal alignment apparatus and methods
JP2002282269A (ja) 2001-03-28 2002-10-02 Gc Corp 歯科用組織再生膜固定用ピン
US7097644B2 (en) 2001-03-30 2006-08-29 Ethicon Endo-Surgery, Inc. Medical device with improved wall construction
US20030181900A1 (en) 2002-03-25 2003-09-25 Long Gary L. Endoscopic ablation system with a plurality of electrodes
US6769590B2 (en) 2001-04-02 2004-08-03 Susan E. Vresh Luminal anastomotic device and method
EP1377222B1 (en) 2001-04-03 2011-10-19 Tyco Healthcare Group LP Surgical stapling device
US6605669B2 (en) 2001-04-03 2003-08-12 E. I. Du Pont De Nemours And Company Radiation-curable coating compounds
US7473253B2 (en) 2001-04-06 2009-01-06 Covidien Ag Vessel sealer and divider with non-conductive stop members
US7090673B2 (en) 2001-04-06 2006-08-15 Sherwood Services Ag Vessel sealer and divider
DE10117597C1 (de) 2001-04-07 2002-11-28 Itt Mfg Enterprises Inc Wippschalter
US6638285B2 (en) 2001-04-16 2003-10-28 Shlomo Gabbay Biological tissue strip and system and method to seal tissue
US7090689B2 (en) 2001-04-18 2006-08-15 Olympus Corporation Surgical instrument
JP2002314298A (ja) 2001-04-18 2002-10-25 Matsushita Electric Ind Co Ltd 電子部品実装装置
US6994708B2 (en) 2001-04-19 2006-02-07 Intuitive Surgical Robotic tool with monopolar electro-surgical scissors
US7824401B2 (en) 2004-10-08 2010-11-02 Intuitive Surgical Operations, Inc. Robotic tool with wristed monopolar electrosurgical end effectors
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US20040110439A1 (en) 2001-04-20 2004-06-10 Chaikof Elliot L Native protein mimetic fibers, fiber networks and fabrics for medical use
US7351258B2 (en) 2001-04-20 2008-04-01 The Research Foundation Of State University Of New York At Stony Brook Apparatus and method for fixation of vascular grafts
ES2381407T3 (es) 2001-04-20 2012-05-28 Tyco Healthcare Group Lp Dispositivo quirúrgico bipolar o ultrasónico
CA2444894C (en) 2001-04-26 2013-06-25 Control Delivery Systems, Inc. Sustained release drug delivery system containing codrugs
US20020188170A1 (en) 2001-04-27 2002-12-12 Santamore William P. Prevention of myocardial infarction induced ventricular expansion and remodeling
US6913579B2 (en) 2001-05-01 2005-07-05 Surgrx, Inc. Electrosurgical working end and method for obtaining tissue samples for biopsy
US6535764B2 (en) 2001-05-01 2003-03-18 Intrapace, Inc. Gastric treatment and diagnosis device and method
DE10121305A1 (de) 2001-05-02 2002-12-12 Ethicon Endo Surgery Europe Chirurgisches Instrument
US6592597B2 (en) 2001-05-07 2003-07-15 Ethicon Endo-Surgery, Inc. Adhesive for attaching buttress material to a surgical fastening device
US6503257B2 (en) 2001-05-07 2003-01-07 Ethicon Endo-Surgery, Inc. Method for releasing buttress material attached to a surgical fastening device
US6827725B2 (en) 2001-05-10 2004-12-07 Gyrus Medical Limited Surgical instrument
CA2445392C (en) 2001-05-10 2011-04-26 Rita Medical Systems, Inc. Rf tissue ablation apparatus and method
US6630047B2 (en) 2001-05-21 2003-10-07 3M Innovative Properties Company Fluoropolymer bonding composition and method
IES20010547A2 (en) 2001-06-07 2002-12-11 Christy Cummins Surgical Staple
DE50214070D1 (de) 2001-06-07 2010-01-21 Kaltenbach & Voigt Medizinisches oder dentalmedizinisches instrument und/oder versorgungsgerät und/oder pflegegerät für das medizinische oder dentalmedizinische instrument
US7371403B2 (en) 2002-06-14 2008-05-13 Providence Health System-Oregon Wound dressing and method for controlling severe, life-threatening bleeding
DE20121753U1 (de) 2001-06-15 2003-04-17 Bema Gmbh & Co Kg Endochirurgi Griff für ein chirurgisches Instrument
US20030009154A1 (en) 2001-06-20 2003-01-09 Whitman Michael P. Method and system for integrated medical tracking
CA2814279C (en) 2001-06-22 2015-12-29 Tyco Healthcare Group Lp Electro-mechanical surgical device with data memory unit
US6726706B2 (en) 2001-06-26 2004-04-27 Steven Dominguez Suture tape and method for use
CA2792000C (en) 2001-06-29 2016-08-16 Intuitive Surgical, Inc. Platform link wrist mechanism
US20060178556A1 (en) 2001-06-29 2006-08-10 Intuitive Surgical, Inc. Articulate and swapable endoscope for a surgical robot
US6817974B2 (en) 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
US20050182298A1 (en) 2002-12-06 2005-08-18 Intuitive Surgical Inc. Cardiac tissue ablation instrument with flexible wrist
US20040243147A1 (en) 2001-07-03 2004-12-02 Lipow Kenneth I. Surgical robot and robotic controller
CN2488482Y (zh) 2001-07-05 2002-05-01 天津市华志计算机应用有限公司 机械臂的关节锁紧机构
US7887553B2 (en) 2001-07-09 2011-02-15 Tyco Healthcare Group Lp Right angle clip applier apparatus and method
AU2002313694B2 (en) 2001-07-16 2007-08-30 Depuy Products, Inc. Cartilage repair apparatus and method
IL144446A0 (en) 2001-07-19 2002-05-23 Prochon Biotech Ltd Plasma protein matrices and methods for their preparation
DE50109817D1 (de) 2001-07-19 2006-06-22 Hilti Ag Bolzensetzgerät mit Setztiefenregelung
JP3646163B2 (ja) 2001-07-31 2005-05-11 国立大学法人 東京大学 能動鉗子
DE20112837U1 (de) 2001-08-02 2001-10-04 Aesculap Ag & Co Kg Zangen- oder pinzettenförmiges chirurgisches Instrument
US7208005B2 (en) 2001-08-06 2007-04-24 The Penn State Research Foundation Multifunctional tool and method for minimally invasive surgery
WO2003016829A1 (fr) 2001-08-07 2003-02-27 Namiki Seimitsu Houseki Kabushiki Kaisha Micro-codeur et micro-moteur magnetiques
DE60216676T2 (de) 2001-08-07 2007-10-04 Universitair Medisch Centrum Utrecht Gerät zur Verbindung eines chirurgischen Geräts mit einer stabilen Basis
CA2456424C (en) 2001-08-08 2011-09-27 Stryker Corporation Surgical cutting accessory with internal memory
US6592608B2 (en) 2001-12-07 2003-07-15 Biopsy Sciences, Llc Bioabsorbable sealant
IES20010748A2 (en) 2001-08-09 2003-02-19 Christy Cummins Surgical Stapling Device and Method
DE10139153A1 (de) 2001-08-09 2003-02-27 Ingo F Herrmann Einweg-Endoskopmantel
JP3926119B2 (ja) 2001-08-10 2007-06-06 株式会社東芝 医療用マニピュレータ
US6705503B1 (en) 2001-08-20 2004-03-16 Tricord Solutions, Inc. Electrical motor driven nail gun
US6692507B2 (en) 2001-08-23 2004-02-17 Scimed Life Systems, Inc. Impermanent biocompatible fastener
US7563862B2 (en) 2001-08-24 2009-07-21 Neuren Pharmaceuticals Limited Neural regeneration peptides and methods for their use in treatment of brain damage
WO2004078051A2 (en) 2001-08-27 2004-09-16 Gyrus Medial Limited Electrosurgical system
US6966907B2 (en) 2001-08-27 2005-11-22 Gyrus Medical Limited Electrosurgical generator and system
US6929641B2 (en) 2001-08-27 2005-08-16 Gyrus Medical Limited Electrosurgical system
US6808525B2 (en) 2001-08-27 2004-10-26 Gyrus Medical, Inc. Bipolar electrosurgical hook probe for cutting and coagulating tissue
EP1287788B1 (en) 2001-08-27 2011-04-20 Gyrus Medical Limited Electrosurgical system
GB0425051D0 (en) 2004-11-12 2004-12-15 Gyrus Medical Ltd Electrosurgical generator and system
US7282048B2 (en) 2001-08-27 2007-10-16 Gyrus Medical Limited Electrosurgical generator and system
US7344532B2 (en) 2001-08-27 2008-03-18 Gyrus Medical Limited Electrosurgical generator and system
US6629988B2 (en) 2001-08-28 2003-10-07 Ethicon, Inc. Composite staple for completing an anastomosis
US6755338B2 (en) 2001-08-29 2004-06-29 Cerebral Vascular Applications, Inc. Medical instrument
NL1018874C2 (nl) 2001-09-03 2003-03-05 Michel Petronella Hub Vleugels Chirurgisch instrument.
US6747121B2 (en) 2001-09-05 2004-06-08 Synthes (Usa) Poly(L-lactide-co-glycolide) copolymers, methods for making and using same, and devices containing same
JP2003070804A (ja) 2001-09-05 2003-03-11 Olympus Optical Co Ltd 遠隔医療支援システム
US6802843B2 (en) 2001-09-13 2004-10-12 Csaba Truckai Electrosurgical working end with resistive gradient electrodes
US6773409B2 (en) 2001-09-19 2004-08-10 Surgrx Llc Surgical system for applying ultrasonic energy to tissue
GB2379878B (en) 2001-09-21 2004-11-10 Gyrus Medical Ltd Electrosurgical system and method
US6587750B2 (en) 2001-09-25 2003-07-01 Intuitive Surgical, Inc. Removable infinite roll master grip handle and touch sensor for robotic surgery
DE10147145C2 (de) 2001-09-25 2003-12-18 Kunz Reiner Multifunktionsinstrument für die mikroinvasive Chirurgie
JP3557186B2 (ja) 2001-09-26 2004-08-25 三洋電機株式会社 Ｄｃ−ｄｃコンバータ
US6578751B2 (en) 2001-09-26 2003-06-17 Scimed Life Systems, Inc. Method of sequentially firing staples using springs and a rotary or linear shutter
US7108701B2 (en) 2001-09-28 2006-09-19 Ethicon, Inc. Drug releasing anastomosis devices and methods for treating anastomotic sites
ATE320767T1 (de) 2001-09-28 2006-04-15 Rita Medical Systems Inc Impedanzgesteuerte vorrichtung zur ablation von gewebe
SE523684C2 (sv) 2001-10-04 2004-05-11 Isaberg Rapid Ab Styranordning för en drivmotor i en häftapparat
US6770027B2 (en) 2001-10-05 2004-08-03 Scimed Life Systems, Inc. Robotic endoscope with wireless interface
ATE295155T1 (de) 2001-10-05 2005-05-15 Surmodics Inc Beschichtungen mit immobilisierten partikeln sowie verwendungen derselben
US6835173B2 (en) 2001-10-05 2004-12-28 Scimed Life Systems, Inc. Robotic endoscope
AU2002362750B2 (en) 2001-10-05 2008-07-10 Covidien Lp Surgical stapling device
US7070597B2 (en) 2001-10-18 2006-07-04 Surgrx, Inc. Electrosurgical working end for controlled energy delivery
US6929644B2 (en) 2001-10-22 2005-08-16 Surgrx Inc. Electrosurgical jaw structure for controlled energy delivery
US7461767B2 (en) 2005-06-03 2008-12-09 Tyco Healthcare Group Lp Battery powered surgical instrument
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
US7083619B2 (en) 2001-10-22 2006-08-01 Surgrx, Inc. Electrosurgical instrument and method of use
US7041102B2 (en) 2001-10-22 2006-05-09 Surgrx, Inc. Electrosurgical working end with replaceable cartridges
US6905497B2 (en) 2001-10-22 2005-06-14 Surgrx, Inc. Jaw structure for electrosurgical instrument
US6926716B2 (en) 2001-11-09 2005-08-09 Surgrx Inc. Electrosurgical instrument
US7125409B2 (en) 2001-10-22 2006-10-24 Surgrx, Inc. Electrosurgical working end for controlled energy delivery
US20030216732A1 (en) 2002-05-20 2003-11-20 Csaba Truckai Medical instrument with thermochromic or piezochromic surface indicators
US7011657B2 (en) 2001-10-22 2006-03-14 Surgrx, Inc. Jaw structure for electrosurgical instrument and method of use
US6770072B1 (en) 2001-10-22 2004-08-03 Surgrx, Inc. Electrosurgical jaw structure for controlled energy delivery
EP1440429B1 (en) 2001-10-23 2012-12-12 Immersion Corporation Method of using tactile feedback to deliver silent status information to a user of a handheld weapon
US20060020336A1 (en) 2001-10-23 2006-01-26 Liddicoat John R Automated annular plication for mitral valve repair
FR2831417B1 (fr) 2001-10-30 2004-08-06 Eurosurgical Instrument chirurgical
JP2003135473A (ja) 2001-11-01 2003-05-13 Mizuho Co Ltd 内視鏡手術用能動鉗子
US8089509B2 (en) 2001-11-09 2012-01-03 Karl Storz Imaging, Inc. Programmable camera control unit with updatable program
US6716223B2 (en) 2001-11-09 2004-04-06 Micrus Corporation Reloadable sheath for catheter system for deploying vasoocclusive devices
US6471106B1 (en) 2001-11-15 2002-10-29 Intellectual Property Llc Apparatus and method for restricting the discharge of fasteners from a tool
JP2003164066A (ja) 2001-11-21 2003-06-06 Hitachi Koki Co Ltd 電池パック
US6605078B2 (en) 2001-11-26 2003-08-12 Scimed Life Systems, Inc. Full thickness resection device
US6671185B2 (en) 2001-11-28 2003-12-30 Landon Duval Intelligent fasteners
DE10158246C1 (de) 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Chirurgisches Klammersetzinstrument
ATE512771T1 (de) 2001-11-29 2011-07-15 Max Co Ltd Elektrischer hefter
US7542807B2 (en) 2001-12-04 2009-06-02 Endoscopic Technologies, Inc. Conduction block verification probe and method of use
US7591818B2 (en) 2001-12-04 2009-09-22 Endoscopic Technologies, Inc. Cardiac ablation devices and methods
CA2466812C (en) 2001-12-04 2012-04-03 Michael P. Whitman System and method for calibrating a surgical instrument
US7331968B2 (en) 2004-06-14 2008-02-19 Ethicon Endo-Surgery, Inc. Endoscopic clip applier with threaded clip
US7918867B2 (en) 2001-12-07 2011-04-05 Abbott Laboratories Suture trimmer
GB2383006A (en) 2001-12-13 2003-06-18 Black & Decker Inc Mechanism for use in a power tool and a power tool including such a mechanism
US20030114851A1 (en) 2001-12-13 2003-06-19 Csaba Truckai Electrosurgical jaws for controlled application of clamping pressure
US6723087B2 (en) 2001-12-14 2004-04-20 Medtronic, Inc. Apparatus and method for performing surgery on a patient
US6974462B2 (en) 2001-12-19 2005-12-13 Boston Scientific Scimed, Inc. Surgical anchor implantation device
US7122028B2 (en) 2001-12-19 2006-10-17 Allegiance Corporation Reconfiguration surgical apparatus
US6939358B2 (en) 2001-12-20 2005-09-06 Gore Enterprise Holdings, Inc. Apparatus and method for applying reinforcement material to a surgical stapler
JP4230915B2 (ja) 2001-12-21 2009-02-25 シムチャ ミロ 輪状形成リング用移植システム
US7729742B2 (en) 2001-12-21 2010-06-01 Biosense, Inc. Wireless position sensor
RU2225170C2 (ru) 2001-12-25 2004-03-10 Дубровский Аркадий Вениаминович Инструмент с поворотным устройством
GB0425842D0 (en) 2004-11-24 2004-12-29 Gyrus Group Plc An electrosurgical instrument
US6942662B2 (en) 2001-12-27 2005-09-13 Gyrus Group Plc Surgical Instrument
US20060264929A1 (en) 2001-12-27 2006-11-23 Gyrus Group Plc Surgical system
GB0130975D0 (en) 2001-12-27 2002-02-13 Gyrus Group Plc A surgical instrument
EP1458300A1 (en) 2001-12-27 2004-09-22 Gyrus Group PLC A surgical instrument
US6729119B2 (en) 2001-12-28 2004-05-04 The Schnipke Family Limited Liability Company Robotic loader for surgical stapling cartridge
US6913594B2 (en) 2001-12-31 2005-07-05 Biosense Webster, Inc. Dual-function catheter handle
US6602252B2 (en) 2002-01-03 2003-08-05 Starion Instruments Corporation Combined dissecting, cauterizing, and stapling device
US6740030B2 (en) 2002-01-04 2004-05-25 Vision Sciences, Inc. Endoscope assemblies having working channels with reduced bending and stretching resistance
JP2005515031A (ja) 2002-01-16 2005-05-26 イーバ コーポレイション カテーテルのハンドピース装置および該装置を使用する方法
CA2470934C (en) 2002-01-16 2008-04-22 Toyota Jidosha Kabushiki Kaisha An apparatus and method for controlling a voltage converter
US6869435B2 (en) 2002-01-17 2005-03-22 Blake, Iii John W Repeating multi-clip applier
US6676660B2 (en) 2002-01-23 2004-01-13 Ethicon Endo-Surgery, Inc. Feedback light apparatus and method for use with an electrosurgical instrument
DE10203282A1 (de) 2002-01-29 2003-08-21 Behrens Ag Friedrich Joh Befestigungsmittel und Verfahren zu seiner Herstellung
WO2003063694A1 (en) 2002-01-30 2003-08-07 Power Medical Interventions, Inc. Surgical imaging device
US7530985B2 (en) 2002-01-30 2009-05-12 Olympus Corporation Endoscopic suturing system
US7501198B2 (en) 2002-02-07 2009-03-10 Linvatec Corporation Sterile transfer battery container
EP1474045B1 (en) 2002-02-13 2016-12-07 Applied Medical Resources Corporation Tissue fusion/welder apparatus
EP1336392A1 (de) 2002-02-14 2003-08-20 John S. Geis Gefässstütze und Kathetersystem
US7494499B2 (en) 2002-02-15 2009-02-24 Olympus Corporation Surgical therapeutic instrument
WO2003070110A1 (fr) 2002-02-20 2003-08-28 New X-National Technology K.K. Procede d'administration de medicament
US6646307B1 (en) 2002-02-21 2003-11-11 Advanced Micro Devices, Inc. MOSFET having a double gate
US7400752B2 (en) 2002-02-21 2008-07-15 Alcon Manufacturing, Ltd. Video overlay system for surgical apparatus
US7831292B2 (en) 2002-03-06 2010-11-09 Mako Surgical Corp. Guidance system and method for surgical procedures with improved feedback
US7289139B2 (en) 2002-03-12 2007-10-30 Karl Storz Imaging, Inc. Endoscope reader
GB0206208D0 (en) 2002-03-15 2002-05-01 Gyrus Medical Ltd A surgical instrument
USD478665S1 (en) 2002-03-22 2003-08-19 Gyrus Ent L.L.C. Disposable trigger
USD484596S1 (en) 2002-03-22 2003-12-30 Gyrus Ent L.L.C. Surgical tool blade holder
USD484977S1 (en) 2002-03-22 2004-01-06 Gyrus Ent L.L.C. Surgical tool blade holder
USD484595S1 (en) 2002-03-22 2003-12-30 Gyrus Ent L.L.C. Surgical tool blade holder
USD484243S1 (en) 2002-03-22 2003-12-23 Gyrus Ent L.L.C. Surgical tool blade holder
USD478986S1 (en) 2002-03-22 2003-08-26 Gyrus Ent L.L.C. Surgical tool
US7247161B2 (en) 2002-03-22 2007-07-24 Gyrus Ent L.L.C. Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus
US7137981B2 (en) 2002-03-25 2006-11-21 Ethicon Endo-Surgery, Inc. Endoscopic ablation system with a distally mounted image sensor
JP4071642B2 (ja) 2002-03-25 2008-04-02 株式会社リコー 用紙処理装置及び画像形成システム
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
JP2003300416A (ja) 2002-04-10 2003-10-21 Kyowa Sangyo Kk 車両用サンバイザ
WO2003086206A1 (en) 2002-04-11 2003-10-23 Tyco Healthcare Group, Lp Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces
ES2377641T3 (es) 2002-04-15 2012-03-29 Tyco Healthcare Group Lp Introductor de instrumento
EP1494594B1 (en) 2002-04-15 2011-07-06 Cook Biotech Incorporated Apparatus and method for producing a reinforced surgical staple line
EP2404555B1 (en) 2002-04-16 2017-03-15 Covidien LP Surgical stapler and method
US8241308B2 (en) 2002-04-24 2012-08-14 Boston Scientific Scimed, Inc. Tissue fastening devices and processes that promote tissue adhesion
ES2377483T3 (es) 2002-04-25 2012-03-28 Tyco Healthcare Group Lp Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS)
US6692692B2 (en) 2002-04-29 2004-02-17 Eric J. Stetzel Dental drill sterilization through application of high amperage current
US7674270B2 (en) 2002-05-02 2010-03-09 Laparocision, Inc Apparatus for positioning a medical instrument
US7101394B2 (en) 2002-05-02 2006-09-05 Boston Scientific Scimed, Inc. Energetically-controlled delivery of biologically active material from an implanted medical device
CN2710244Y (zh) 2002-05-08 2005-07-13 精工爱普生株式会社 具有过压输出保护电路的稳压开关电源及电子设备
EP1501421B1 (en) 2002-05-08 2006-09-20 Radi Medical Systems Ab Dissolvable medical sealing device
CN1625457A (zh) 2002-05-09 2005-06-08 龟山俊之 订书器用盒及订书器
WO2003094743A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Wound closure material applicator and stapler
AU2003230359B2 (en) 2002-05-10 2008-11-13 Covidien Lp Electrosurgical stapling apparatus
US6736854B2 (en) 2002-05-10 2004-05-18 C. R. Bard, Inc. Prosthetic repair fabric with erosion resistant edge
EP2289429B1 (en) 2002-05-10 2015-06-17 Covidien LP Surgical stapling apparatus having a wound closure material applicator assembly
AU2003234551A1 (en) 2002-05-13 2003-11-11 Tyco Healthcare Group, Lp Surgical stapler and disposable loading unit having different size staples
US20040254455A1 (en) 2002-05-15 2004-12-16 Iddan Gavriel J. Magneic switch for use in a system that includes an in-vivo device, and method of use thereof
US7967839B2 (en) 2002-05-20 2011-06-28 Rocky Mountain Biosystems, Inc. Electromagnetic treatment of tissues and cells
US6638297B1 (en) 2002-05-30 2003-10-28 Ethicon Endo-Surgery, Inc. Surgical staple
US7004174B2 (en) 2002-05-31 2006-02-28 Neothermia Corporation Electrosurgery with infiltration anesthesia
US6543456B1 (en) 2002-05-31 2003-04-08 Ethicon Endo-Surgery, Inc. Method for minimally invasive surgery in the digestive system
US7056330B2 (en) 2002-05-31 2006-06-06 Ethicon Endo-Surgery, Inc. Method for applying tissue fastener
US6769594B2 (en) 2002-05-31 2004-08-03 Tyco Healthcare Group, Lp End-to-end anastomosis instrument and method for performing same
US6861142B1 (en) 2002-06-06 2005-03-01 Hills, Inc. Controlling the dissolution of dissolvable polymer components in plural component fibers
US6790173B2 (en) 2002-06-13 2004-09-14 Usgi Medical, Inc. Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
US7166133B2 (en) 2002-06-13 2007-01-23 Kensey Nash Corporation Devices and methods for treating defects in the tissue of a living being
US20050137455A1 (en) 2002-06-13 2005-06-23 Usgi Medical Corp. Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
DE60310224T2 (de) 2002-06-14 2007-09-20 Power Medical Interventions Inc. Gerät zum klemmen, schneiden und zusammenheften von gewebe
DE60307637T2 (de) 2002-06-17 2007-08-09 Tyco Healthcare Group Lp, Norwalk Ringförmige halterungsstruktur
EP1719461B1 (en) 2002-06-17 2009-06-03 Tyco Healthcare Group Lp Annular support structures
US7063671B2 (en) 2002-06-21 2006-06-20 Boston Scientific Scimed, Inc. Electronically activated capture device
US6635838B1 (en) 2002-06-24 2003-10-21 Brent A. Kornelson Switch actuating device and method of mounting same
US7112214B2 (en) 2002-06-25 2006-09-26 Incisive Surgical, Inc. Dynamic bioabsorbable fastener for use in wound closure
US9126317B2 (en) 2002-06-27 2015-09-08 Snap-On Incorporated Tool apparatus system and method of use
US7220260B2 (en) 2002-06-27 2007-05-22 Gyrus Medical Limited Electrosurgical system
US7699856B2 (en) 2002-06-27 2010-04-20 Van Wyk Robert A Method, apparatus, and kit for thermal suture cutting
GB2390024B (en) 2002-06-27 2005-09-21 Gyrus Medical Ltd Electrosurgical system
US8287561B2 (en) 2002-06-28 2012-10-16 Boston Scientific Scimed, Inc. Balloon-type actuator for surgical applications
US7033356B2 (en) 2002-07-02 2006-04-25 Gyrus Medical, Inc. Bipolar electrosurgical instrument for cutting desiccating and sealing tissue
US20040006340A1 (en) 2002-07-02 2004-01-08 Gyrus Medical, Inc. Bipolar electrosurgical instrument for cutting, desiccating and sealing tissue
US6932218B2 (en) 2002-07-03 2005-08-23 Monica Rich Kosann Photography Llc Folding photo case
AU2003249547A1 (en) 2002-07-03 2004-01-23 Christy Cummins Surgical stapling device
US20040006335A1 (en) 2002-07-08 2004-01-08 Garrison Lawrence L. Cauterizing surgical saw
US7029439B2 (en) 2002-07-09 2006-04-18 Welch Allyn, Inc. Medical diagnostic instrument
EP1538966A4 (en) 2002-07-11 2009-09-16 Stryker Gi Ltd PISTON OPERATED ENDOSCOPIC CONTROL SYSTEM
US20040006860A1 (en) 2002-07-15 2004-01-15 Haytayan Harry M. Method and apparatus for attaching structural components with fasteners
US7769427B2 (en) 2002-07-16 2010-08-03 Magnetics, Inc. Apparatus and method for catheter guidance control and imaging
WO2004009673A1 (en) 2002-07-22 2004-01-29 Aspen Aerogels, Inc. Polyimide aerogels, carbon aerogels, and metal carbide aerogels and methods of making same
IL150853A0 (en) 2002-07-22 2003-02-12 Niti Medical Technologies Ltd Imppoved intussusception and anastomosis apparatus
JP4046569B2 (ja) 2002-07-30 2008-02-13 オリンパス株式会社 外科用処置具
US8016881B2 (en) 2002-07-31 2011-09-13 Icon Interventional Systems, Inc. Sutures and surgical staples for anastamoses, wound closures, and surgical closures
DE60336923D1 (de) 2002-07-31 2011-06-09 Tyco Healthcare Abdeckung für ein Werkzeugelement und Betätigungsvorrichtung für die Abdeckung
US7179223B2 (en) 2002-08-06 2007-02-20 Olympus Optical Co., Ltd. Endoscope apparatus having an internal channel
DE10235929C5 (de) * 2002-08-06 2011-01-20 Krones Ag Vorrichtung zum Befüllen von Standbodenbeuteln
US6969395B2 (en) 2002-08-07 2005-11-29 Boston Scientific Scimed, Inc. Electroactive polymer actuated medical devices
US9271753B2 (en) 2002-08-08 2016-03-01 Atropos Limited Surgical device
EP1531749A2 (en) 2002-08-13 2005-05-25 Microbotics Corporation Microsurgical robot system
EP1531750B1 (de) 2002-08-28 2014-08-27 Heribert Schmid Zahnmedizinisches behandlungssystem
US20040044364A1 (en) 2002-08-29 2004-03-04 Devries Robert Tissue fasteners and related deployment systems and methods
US6981978B2 (en) 2002-08-30 2006-01-03 Satiety, Inc. Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach
WO2004021868A2 (en) 2002-09-06 2004-03-18 C.R. Bard, Inc. External endoscopic accessory control system
US8298161B2 (en) 2002-09-12 2012-10-30 Intuitive Surgical Operations, Inc. Shape-transferring cannula system and method of use
WO2004023976A2 (en) 2002-09-13 2004-03-25 Damage Control Surgical Technologies, Inc. Method and apparatus for vascular and visceral clipping
GB0221707D0 (en) 2002-09-18 2002-10-30 Gyrus Medical Ltd Electrical system
US8454628B2 (en) 2002-09-20 2013-06-04 Syntheon, Llc Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease
US7001408B2 (en) 2002-09-20 2006-02-21 Ethicon Endo-Surgery,Inc. Surgical device with expandable member
US7256695B2 (en) 2002-09-23 2007-08-14 Microstrain, Inc. Remotely powered and remotely interrogated wireless digital sensor telemetry system
EP1549226A4 (en) 2002-09-26 2006-05-10 Bioaccess Inc ORTHOPEDIC MEDICINE PRODUCT WITH UNIFORM COMPONENTS
AU2002368279A1 (en) 2002-09-27 2004-05-04 Aesculap Ag And Co. Kg Set of instruments for performing a surgical operation
US20060235368A1 (en) 2002-09-30 2006-10-19 Sightline Technologies Ltd. Piston-actuated endoscopic tool
US7326203B2 (en) 2002-09-30 2008-02-05 Depuy Acromed, Inc. Device for advancing a functional element through tissue
US7087054B2 (en) 2002-10-01 2006-08-08 Surgrx, Inc. Electrosurgical instrument and method of use
JP4049217B2 (ja) 2002-10-02 2008-02-20 イーメックス株式会社 導電性高分子成形品及び積層体を用いた装置
US20040068224A1 (en) 2002-10-02 2004-04-08 Couvillon Lucien Alfred Electroactive polymer actuated medication infusion pumps
US20040068161A1 (en) 2002-10-02 2004-04-08 Couvillon Lucien Alfred Thrombolysis catheter
US20080132919A1 (en) 2002-10-03 2008-06-05 Faising Chui Cycling suturing and knot-tying device
DE60319443T2 (de) 2002-10-04 2009-02-19 Tyco Healthcare Group Lp, Norwalk Zusammenbau von chirurgischem Klammerwerkzeug
EP2245995B1 (en) 2002-10-04 2012-06-06 Tyco Healthcare Group LP Surgical stapler with universal articulation and tissue pre-clamp
AU2003279147B2 (en) 2002-10-04 2008-10-09 Covidien Lp Surgical stapling device
ES2632965T3 (es) 2002-10-04 2017-09-18 Covidien Lp Dispositivo de grapado quirúrgico motorizado neumáticamente
EP2241266B1 (en) 2002-10-04 2013-05-29 Covidien LP Tool assembly for a surgical stapling device
US20040070369A1 (en) 2002-10-11 2004-04-15 Makita Corporation Adapters for battery chargers
CN1703734A (zh) 2002-10-11 2005-11-30 松下电器产业株式会社 从声音确定音符的方法和装置
US6958035B2 (en) 2002-10-15 2005-10-25 Dusa Pharmaceuticals, Inc Medical device sheath apparatus and method of making and using same
US7023159B2 (en) 2002-10-18 2006-04-04 Black & Decker Inc. Method and device for braking a motor
US8100872B2 (en) 2002-10-23 2012-01-24 Tyco Healthcare Group Lp Medical dressing containing antimicrobial agent
JP4086621B2 (ja) 2002-10-28 2008-05-14 株式会社トップ 外科用器具のハンドル構造
US6923093B2 (en) 2002-10-29 2005-08-02 Rizwan Ullah Tool drive system
US7083620B2 (en) 2002-10-30 2006-08-01 Medtronic, Inc. Electrosurgical hemostat
US20090149871A9 (en) 2002-11-01 2009-06-11 Jonathan Kagan Devices and methods for treating morbid obesity
US7037344B2 (en) 2002-11-01 2006-05-02 Valentx, Inc. Apparatus and methods for treatment of morbid obesity
AU2003302020B2 (en) 2002-11-14 2008-01-31 Ethicon Endo-Surgery, Inc. Methods and devices for detecting tissue cells
US20050256452A1 (en) 2002-11-15 2005-11-17 Demarchi Thomas Steerable vascular sheath
DE10253572A1 (de) 2002-11-15 2004-07-29 Vega Grieshaber Kg Drahtlose Kommunikation
US7211092B2 (en) 2002-11-19 2007-05-01 Pilling Weck Incorporated Automated-feed surgical clip applier and related methods
CN1486667A (zh) 2002-11-22 2004-04-07 带有一次性鞘套的内窥镜系统
US20040101822A1 (en) 2002-11-26 2004-05-27 Ulrich Wiesner Fluorescent silica-based nanoparticles
DE10257760A1 (de) 2002-11-26 2004-06-17 Stefan Koscher Chirurgisches Instrument
US20040102783A1 (en) 2002-11-27 2004-05-27 Sutterlin Chester E. Powered Kerrison-like Rongeur system
AU2003293191B2 (en) 2002-11-29 2008-08-07 William E. Cohn Apparatus and method for manipulating tissue
US7386365B2 (en) 2004-05-04 2008-06-10 Intuitive Surgical, Inc. Tool grip calibration for robotic surgery
KR100486596B1 (ko) 2002-12-06 2005-05-03 엘지전자 주식회사 왕복동식 압축기의 운전장치 및 제어방법
CA2509622C (en) 2002-12-16 2012-02-21 Gunze Limited Medical film comprising gelatin and reinforcing material
JP2006510457A (ja) 2002-12-17 2006-03-30 アプライド メディカル リソーシーズ コーポレイション 外科用ステープル／クリップおよびアプライヤ
EP1576339A1 (en) 2002-12-18 2005-09-21 Philips Intellectual Property & Standards GmbH Magnetic position sensor
US7343920B2 (en) 2002-12-20 2008-03-18 Toby E Bruce Connective tissue repair system
US20040147909A1 (en) 2002-12-20 2004-07-29 Gyrus Ent L.L.C. Surgical instrument
US7348763B1 (en) 2002-12-20 2008-03-25 Linvatec Corporation Method for utilizing temperature to determine a battery state
US7249267B2 (en) 2002-12-21 2007-07-24 Power-One, Inc. Method and system for communicating filter compensation coefficients for a digital power control system
GB0230055D0 (en) 2002-12-23 2003-01-29 Gyrus Medical Ltd Electrosurgical method and apparatus
US7131445B2 (en) 2002-12-23 2006-11-07 Gyrus Medical Limited Electrosurgical method and apparatus
US6931830B2 (en) 2002-12-23 2005-08-23 Chase Liao Method of forming a wire package
GB0426648D0 (en) 2004-12-03 2005-01-05 Gyrus Medical Ltd An electrosurgical generator
AU2003290301B2 (en) 2003-01-09 2009-01-08 Gyrus Medical Limited An electrosurgical generator
US7195627B2 (en) 2003-01-09 2007-03-27 Gyrus Medical Limited Electrosurgical generator
US7287682B1 (en) 2003-01-20 2007-10-30 Hazem Ezzat Surgical device and method
US20040143297A1 (en) 2003-01-21 2004-07-22 Maynard Ramsey Advanced automatic external defibrillator powered by alternative and optionally multiple electrical power sources and a new business method for single use AED distribution and refurbishment
US6821284B2 (en) 2003-01-22 2004-11-23 Novare Surgical Systems, Inc. Surgical clamp inserts with micro-tractive surfaces
US6960220B2 (en) 2003-01-22 2005-11-01 Cardia, Inc. Hoop design for occlusion device
US20040225186A1 (en) 2003-01-29 2004-11-11 Horne Guy E. Composite flexible endoscope insertion shaft with tubular substructure
US7341591B2 (en) 2003-01-30 2008-03-11 Depuy Spine, Inc. Anterior buttress staple
JP2004229976A (ja) 2003-01-31 2004-08-19 Nippon Zeon Co Ltd 鉗子型電気処置器具
EP1442720A1 (en) 2003-01-31 2004-08-04 Tre Esse Progettazione Biomedica S.r.l Apparatus for the maneuvering of flexible catheters in the human cardiovascular system
US7067038B2 (en) 2003-02-06 2006-06-27 The Procter & Gamble Company Process for making unitary fibrous structure comprising randomly distributed cellulosic fibers and non-randomly distributed synthetic fibers
US7041196B2 (en) 2003-02-06 2006-05-09 The Procter & Gamble Company Process for making a fibrous structure comprising cellulosic and synthetic fibers
WO2004069487A1 (ja) 2003-02-07 2004-08-19 Max Kabushiki Kaisha ステープル用リフィル、ステープラ及びカートリッジ
DE602004015729D1 (de) 2003-02-11 2008-09-25 Olympus Corp Überrohr
CN100442622C (zh) 2003-02-18 2008-12-10 美商波特-凯博公司 电动工具中电池过电流的保护的安培数控制
US20040167572A1 (en) 2003-02-20 2004-08-26 Roth Noah M. Coated medical devices
US7083615B2 (en) 2003-02-24 2006-08-01 Intuitive Surgical Inc Surgical tool having electrocautery energy supply conductor with inhibited current leakage
JP4231707B2 (ja) 2003-02-25 2009-03-04 オリンパス株式会社 カプセル型医療装置
EP2604215B1 (en) 2003-02-25 2017-10-11 Tria Beauty, Inc. Eye-safe dermatologic treatment apparatus and method
US7476237B2 (en) 2003-02-27 2009-01-13 Olympus Corporation Surgical instrument
MXPA05009485A (es) 2003-03-04 2005-10-26 Norton Healthcare Ltd Dispositivo dosificador de medicamento con pantalla que indica el estado de un deposito interno del medicamento.
AU2004216886B9 (en) 2003-03-05 2010-02-25 Gyrus Medical Limited Electrosurgical generator and system
IL154814A0 (en) 2003-03-09 2003-10-31 Edward G Shifrin Sternal closure system, method and apparatus therefor
US7126879B2 (en) 2003-03-10 2006-10-24 Healthtrac Systems, Inc. Medication package and method
US20060064086A1 (en) 2003-03-13 2006-03-23 Darren Odom Bipolar forceps with multiple electrode array end effector assembly
ES2628742T3 (es) 2003-03-17 2017-08-03 Covidien Lp Aparato endoscópico de retirada de tejido
ITMI20030519A1 (it) * 2003-03-18 2004-09-19 Concetti Spa Apparecchiatura per il riempimento di sacchi con materiale
US20060041188A1 (en) 2003-03-25 2006-02-23 Dirusso Carlo A Flexible endoscope
US20040193189A1 (en) 2003-03-25 2004-09-30 Kortenbach Juergen A. Passive surgical clip
US7559449B2 (en) 2003-03-26 2009-07-14 Tyco Healthcare Group Lp Energy stored in spring with controlled release
DE10314072B4 (de) 2003-03-28 2009-01-15 Aesculap Ag Chirurgisches Instrument
JP3944108B2 (ja) 2003-03-31 2007-07-11 株式会社東芝 医療用マニピュレータの動力伝達機構およびマニピュレータ
JP3752494B2 (ja) 2003-03-31 2006-03-08 株式会社東芝 マスタスレーブマニピュレータ、その制御装置及び制御方法
US7295893B2 (en) 2003-03-31 2007-11-13 Kabushiki Kaisha Toshiba Manipulator and its control apparatus and method
US7591783B2 (en) 2003-04-01 2009-09-22 Boston Scientific Scimed, Inc. Articulation joint for video endoscope
DE10330604A1 (de) 2003-04-01 2004-10-28 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument
DE10314827B3 (de) 2003-04-01 2004-04-22 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument
DE10324844A1 (de) 2003-04-01 2004-12-23 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument mit Instrumentengriff und Nullpunkteinstellung
US20040199181A1 (en) 2003-04-02 2004-10-07 Knodel Bryan D. Surgical device for anastomosis
US20040243163A1 (en) 2003-04-02 2004-12-02 Gyrus Ent L.L.C Surgical instrument
US20070010702A1 (en) 2003-04-08 2007-01-11 Xingwu Wang Medical device with low magnetic susceptibility
US20050116673A1 (en) 2003-04-18 2005-06-02 Rensselaer Polytechnic Institute Methods and systems for controlling the operation of a tool
WO2004093775A1 (ja) 2003-04-23 2004-11-04 Otsuka Pharmaceutical Factory, Inc. 薬液充填プラスチックアンプルおよびその製造方法
EP1619996B1 (en) 2003-04-25 2012-12-05 Applied Medical Resources Corporation Steerable kink-resistant sheath
US8714429B2 (en) 2003-04-29 2014-05-06 Covidien Lp Dissecting tip for surgical stapler
US20040243151A1 (en) 2003-04-29 2004-12-02 Demmy Todd L. Surgical stapling device with dissecting tip
RU32984U1 (ru) 2003-04-30 2003-10-10 Институт экспериментальной ветеринарии Сибири и Дальнего Востока СО РАСХН Кутиметр
US8128624B2 (en) 2003-05-01 2012-03-06 Covidien Ag Electrosurgical instrument that directs energy delivery and protects adjacent tissue
US7160299B2 (en) 2003-05-01 2007-01-09 Sherwood Services Ag Method of fusing biomaterials with radiofrequency energy
JP4391762B2 (ja) 2003-05-08 2009-12-24 オリンパス株式会社 外科用処置具
ES2279231T3 (es) 2003-05-09 2007-08-16 Tyco Healthcare Group Lp Grapa anastomotica con tubo capilar que dispensa fluidos.
US7615005B2 (en) 2003-05-16 2009-11-10 Ethicon Endo-Surgery, Inc. Medical apparatus for use with an endoscope
US7615003B2 (en) 2005-05-13 2009-11-10 Ethicon Endo-Surgery, Inc. Track for medical devices
US7815565B2 (en) 2003-05-16 2010-10-19 Ethicon Endo-Surgery, Inc. Endcap for use with an endoscope
US6988649B2 (en) 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US6978921B2 (en) 2003-05-20 2005-12-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an E-beam firing mechanism
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US7380695B2 (en) * 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US7140528B2 (en) 2003-05-20 2006-11-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing
US7286850B2 (en) 2003-05-20 2007-10-23 Agere Systems Inc. Wireless communication module system and method for performing a wireless communication
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US20070010838A1 (en) 2003-05-20 2007-01-11 Shelton Frederick E Iv Surgical stapling instrument having a firing lockout for an unclosed anvil
US7090637B2 (en) 2003-05-23 2006-08-15 Novare Surgical Systems, Inc. Articulating mechanism for remote manipulation of a surgical or diagnostic tool
US7410483B2 (en) 2003-05-23 2008-08-12 Novare Surgical Systems, Inc. Hand-actuated device for remote manipulation of a grasping tool
US8100824B2 (en) 2003-05-23 2012-01-24 Intuitive Surgical Operations, Inc. Tool with articulation lock
US6965183B2 (en) 2003-05-27 2005-11-15 Pratt & Whitney Canada Corp. Architecture for electric machine
US7583063B2 (en) 2003-05-27 2009-09-01 Pratt & Whitney Canada Corp. Architecture for electric machine
US7413563B2 (en) 2003-05-27 2008-08-19 Cardia, Inc. Flexible medical device
US6921397B2 (en) 2003-05-27 2005-07-26 Cardia, Inc. Flexible delivery device
DE10325393B3 (de) 2003-05-28 2005-01-05 Karl Storz Gmbh & Co. Kg Retraktor
JP3521910B1 (ja) 2003-05-29 2004-04-26 清輝 司馬 内視鏡の外部鉗子チャンネル装置
US7346344B2 (en) 2003-05-30 2008-03-18 Aol Llc, A Delaware Limited Liability Company Identity-based wireless device configuration
US20040247415A1 (en) 2003-06-04 2004-12-09 Mangone Peter G. Slotted fastener and fastening method
US8007511B2 (en) 2003-06-06 2011-08-30 Hansen Medical, Inc. Surgical instrument design
WO2004109223A1 (ja) 2003-06-09 2004-12-16 Mitutoyo Corporation 測定器
DE10326677A1 (de) 2003-06-13 2005-01-20 Zf Friedrichshafen Ag Planetengetriebe
US7597693B2 (en) 2003-06-13 2009-10-06 Covidien Ag Vessel sealer and divider for use with small trocars and cannulas
US20060052825A1 (en) 2003-06-16 2006-03-09 Ransick Mark H Surgical implant alloy
US7905902B2 (en) 2003-06-16 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical implant with preferential corrosion zone
US20040254590A1 (en) 2003-06-16 2004-12-16 Hoffman Gary H. Method and instrument for the performance of stapled anastamoses
US7494039B2 (en) 2003-06-17 2009-02-24 Tyco Healthcare Group Lp Surgical stapling device
US20040260315A1 (en) 2003-06-17 2004-12-23 Dell Jeffrey R. Expandable tissue support member and method of forming the support member
CA2724140C (en) 2003-06-17 2012-09-25 Tyco Healthcare Group Lp Surgical stapling device
WO2004112652A2 (en) 2003-06-20 2004-12-29 Medtronic Vascular, Inc. Device, system, and method for contracting tissue in a mammalian body
EP1635712B1 (en) 2003-06-20 2015-09-30 Covidien LP Surgical stapling device
SE526852C2 (sv) 2003-06-26 2005-11-08 Kongsberg Automotive Ab Metod och arrangemang för styrning av likströmsmotor
JP2005013573A (ja) 2003-06-27 2005-01-20 Olympus Corp 電子内視鏡システム
DE10328934B4 (de) 2003-06-27 2005-06-02 Christoph Zepf Motorischer Antrieb für chirurgische Instrumente
US8226715B2 (en) 2003-06-30 2012-07-24 Depuy Mitek, Inc. Scaffold for connective tissue repair
US6998816B2 (en) 2003-06-30 2006-02-14 Sony Electronics Inc. System and method for reducing external battery capacity requirement for a wireless card
US7126303B2 (en) 2003-07-08 2006-10-24 Board Of Regents Of The University Of Nebraska Robot for surgical applications
US20050010213A1 (en) 2003-07-08 2005-01-13 Depuy Spine, Inc. Attachment mechanism for surgical instrument
US7111769B2 (en) 2003-07-09 2006-09-26 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
US6964363B2 (en) 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US7055731B2 (en) 2003-07-09 2006-06-06 Ethicon Endo-Surgery Inc. Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint
US6786382B1 (en) 2003-07-09 2004-09-07 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an articulation joint for a firing bar track
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
US7066879B2 (en) 2003-07-15 2006-06-27 The Trustees Of Columbia University In The City Of New York Insertable device and system for minimal access procedure
US7931695B2 (en) 2003-07-15 2011-04-26 Kensey Nash Corporation Compliant osteosynthesis fixation plate
JP4755983B2 (ja) 2003-07-16 2011-08-24 タイコ ヘルスケア グループ リミテッド パートナーシップ 組織テンショナーを備えた外科用ステープル留めデバイス
EP1647286B1 (en) 2003-07-17 2010-09-29 Gunze Limited Stitching reinforcement material for automatic stitching device
US7183737B2 (en) 2003-07-17 2007-02-27 Asmo Co., Ltd. Motor control device and motor control method
US7712182B2 (en) 2003-07-25 2010-05-11 Milwaukee Electric Tool Corporation Air flow-producing device, such as a vacuum cleaner or a blower
US20050032511A1 (en) 2003-08-07 2005-02-10 Cardiac Pacemakers, Inc. Wireless firmware download to an external device
FI120333B (fi) 2003-08-20 2009-09-30 Bioretec Oy Huokoinen lääketieteellinen väline ja menetelmä sen valmistamiseksi
US7686201B2 (en) 2003-09-01 2010-03-30 Tyco Healthcare Group Lp Circular stapler for hemorrhoid operations
JP4190983B2 (ja) 2003-09-04 2008-12-03 ジョンソン・エンド・ジョンソン株式会社 ステープル装置
CA2439536A1 (en) 2003-09-04 2005-03-04 Jacek Krzyzanowski Variations of biopsy jaw and clevis and method of manufacture
US20050058890A1 (en) 2003-09-15 2005-03-17 Kenneth Brazell Removable battery pack for a portable electric power tool
US20050059997A1 (en) 2003-09-17 2005-03-17 Bauman Ann M. Circular stapler buttress
US7547312B2 (en) 2003-09-17 2009-06-16 Gore Enterprise Holdings, Inc. Circular stapler buttress
US7434715B2 (en) 2003-09-29 2008-10-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing with opening lockout
US7094202B2 (en) 2003-09-29 2006-08-22 Ethicon Endo-Surgery, Inc. Method of operating an endoscopic device with one hand
US7083075B2 (en) 2003-09-29 2006-08-01 Ethicon Endo-Surgery, Inc. Multi-stroke mechanism with automatic end of stroke retraction
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US7303108B2 (en) 2003-09-29 2007-12-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US7000819B2 (en) 2003-09-29 2006-02-21 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism
US20050070929A1 (en) 2003-09-30 2005-03-31 Dalessandro David A. Apparatus and method for attaching a surgical buttress to a stapling apparatus
US20050075561A1 (en) 2003-10-01 2005-04-07 Lucent Medical Systems, Inc. Method and apparatus for indicating an encountered obstacle during insertion of a medical device
US7556647B2 (en) 2003-10-08 2009-07-07 Arbor Surgical Technologies, Inc. Attachment device and methods of using the same
US7533906B2 (en) 2003-10-14 2009-05-19 Water Pik, Inc. Rotatable and pivotable connector
US7914543B2 (en) 2003-10-14 2011-03-29 Satiety, Inc. Single fold device for tissue fixation
US7097650B2 (en) 2003-10-14 2006-08-29 Satiety, Inc. System for tissue approximation and fixation
US7029435B2 (en) 2003-10-16 2006-04-18 Granit Medical Innovation, Llc Endoscope having multiple working segments
JP4642770B2 (ja) 2003-10-17 2011-03-02 タイコ ヘルスケア グループ リミテッド パートナーシップ 独立先端部回転を備えた外科用ステープル留めデバイス
US10588629B2 (en) 2009-11-20 2020-03-17 Covidien Lp Surgical console and hand-held surgical device
US8806973B2 (en) 2009-12-02 2014-08-19 Covidien Lp Adapters for use between surgical handle assembly and surgical end effector
US9113880B2 (en) 2007-10-05 2015-08-25 Covidien Lp Internal backbone structural chassis for a surgical device
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical device
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US7364060B2 (en) 2003-10-17 2008-04-29 Tyco Healthcare Group Lp Surgical stapling device with tiltable anvil head
US20090090763A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US7296722B2 (en) 2003-10-17 2007-11-20 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
US8968276B2 (en) 2007-09-21 2015-03-03 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US20050090817A1 (en) 2003-10-22 2005-04-28 Scimed Life Systems, Inc. Bendable endoscopic bipolar device
US20050112139A1 (en) 2003-10-23 2005-05-26 Nmk Research, Llc Immunogenic composition and method of developing a vaccine based on factor H binding sites
EP1675499B1 (en) 2003-10-23 2011-10-19 Covidien AG Redundant temperature monitoring in electrosurgical systems for safety mitigation
US7686826B2 (en) 2003-10-30 2010-03-30 Cambridge Endoscopic Devices, Inc. Surgical instrument
US7147650B2 (en) 2003-10-30 2006-12-12 Woojin Lee Surgical instrument
BRPI0415633B1 (pt) 2003-10-30 2014-03-04 Johnson & Johnson Artigos absorventes compreendendo nanopartículas carregadas de metal
US7842028B2 (en) 2005-04-14 2010-11-30 Cambridge Endoscopic Devices, Inc. Surgical instrument guide device
US7338513B2 (en) 2003-10-30 2008-03-04 Cambridge Endoscopic Devices, Inc. Surgical instrument
JP2005131173A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用外付けチャンネル
JP2005131211A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005131164A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005131163A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005131212A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル及び内視鏡装置
US20050096683A1 (en) 2003-11-01 2005-05-05 Medtronic, Inc. Using thinner laminations to reduce operating temperature in a high speed hand-held surgical power tool
JP2005137423A (ja) 2003-11-04 2005-06-02 Olympus Corp 内視鏡用の外付けチャンネルおよび外付けチャンネル用分岐部材
US7397364B2 (en) 2003-11-11 2008-07-08 Biosense Webster, Inc. Digital wireless position sensor
CA2544749A1 (en) 2003-11-12 2005-05-26 Applied Medical Resources Corporation Overmolded grasper jaw
US8122128B2 (en) 2003-11-18 2012-02-21 Burke Ii Robert M System for regulating access to and distributing content in a network
DE10353846A1 (de) 2003-11-18 2005-06-16 Maquet Gmbh & Co. Kg Verfahren zur Vorbereitung von für die Durchführung von medizinischen oder chirurgischen Eingriffen bestimmten Geräten
JP4594612B2 (ja) 2003-11-27 2010-12-08 オリンパス株式会社 挿入補助具
GB0327904D0 (en) 2003-12-02 2004-01-07 Qinetiq Ltd Gear change mechanism
US8389588B2 (en) 2003-12-04 2013-03-05 Kensey Nash Corporation Bi-phasic compressed porous reinforcement materials suitable for implant
GB2408936B (en) 2003-12-09 2007-07-18 Gyrus Group Plc A surgical instrument
US7439354B2 (en) 2003-12-11 2008-10-21 E.I. Du Pont De Nemours And Company Process for preparing amide acetals
US7246719B2 (en) 2003-12-12 2007-07-24 Automated Merchandising Systems Inc. Adjustable storage rack for a vending machine
US20050131457A1 (en) 2003-12-15 2005-06-16 Ethicon, Inc. Variable stiffness shaft
WO2005062868A2 (en) 2003-12-19 2005-07-14 Osteotech, Inc. Tissue-derived mesh for orthopedic regeneration
US8221424B2 (en) 2004-12-20 2012-07-17 Spinascope, Inc. Surgical instrument for orthopedic surgery
US7742036B2 (en) 2003-12-22 2010-06-22 Immersion Corporation System and method for controlling haptic devices having multiple operational modes
JP4552435B2 (ja) 2003-12-22 2010-09-29 住友化学株式会社 オキシムの製造方法
US8590764B2 (en) 2003-12-24 2013-11-26 Boston Scientific Scimed, Inc. Circumferential full thickness resectioning device
JP4398716B2 (ja) 2003-12-24 2010-01-13 呉羽テック株式会社 鮮明なエンボス模様が施された高伸縮性不織布、及びその製造方法
CN1634601A (zh) 2003-12-26 2005-07-06 吉林省中立实业有限公司 一种用于医疗器械灭菌的方法
US7766207B2 (en) 2003-12-30 2010-08-03 Ethicon Endo-Surgery, Inc. Articulating curved cutter stapler
US7207472B2 (en) 2003-12-30 2007-04-24 Ethicon Endo-Surgery, Inc. Cartridge with locking knife for a curved cutter stapler
US7549563B2 (en) 2003-12-30 2009-06-23 Ethicon Endo-Surgery, Inc. Rotating curved cutter stapler
US7134587B2 (en) 2003-12-30 2006-11-14 Ethicon Endo-Surgery, Inc. Knife retraction arm for a curved cutter stapler
US7204404B2 (en) 2003-12-30 2007-04-17 Ethicon Endo-Surgery, Inc. Slotted pins guiding knife in a curved cutter stapler
US6988650B2 (en) 2003-12-30 2006-01-24 Ethicon Endo-Surgery, Inc. Retaining pin lever advancement mechanism for a curved cutter stapler
US20050143759A1 (en) 2003-12-30 2005-06-30 Kelly William D. Curved cutter stapler shaped for male pelvis
US20050139636A1 (en) 2003-12-30 2005-06-30 Schwemberger Richard F. Replaceable cartridge module for a surgical stapling and cutting instrument
US7147139B2 (en) 2003-12-30 2006-12-12 Ethicon Endo-Surgery, Inc Closure plate lockout for a curved cutter stapler
US7147140B2 (en) 2003-12-30 2006-12-12 Ethicon Endo - Surgery, Inc. Cartridge retainer for a curved cutter stapler
US6995729B2 (en) 2004-01-09 2006-02-07 Biosense Webster, Inc. Transponder with overlapping coil antennas on a common core
TWI228850B (en) 2004-01-14 2005-03-01 Asia Optical Co Inc Laser driver circuit for burst mode and making method thereof
US7146191B2 (en) 2004-01-16 2006-12-05 United States Thermoelectric Consortium Wireless communications apparatus and method
GB2410161B (en) 2004-01-16 2008-09-03 Btg Int Ltd Method and system for calculating and verifying the integrity of data in data transmission system
US7219980B2 (en) 2004-01-21 2007-05-22 Silverbrook Research Pty Ltd Printhead assembly with removable cover
US20050171522A1 (en) 2004-01-30 2005-08-04 Christopherson Mark A. Transurethral needle ablation system with needle position indicator
US7204835B2 (en) 2004-02-02 2007-04-17 Gyrus Medical, Inc. Surgical instrument
DE102004005709A1 (de) 2004-02-05 2005-08-25 Polydiagnost Gmbh Endoskop mit einer flexiblen Sonde
GB0403020D0 (en) 2004-02-11 2004-03-17 Pa Consulting Services Portable charging device
DE602005000889T2 (de) 2004-02-17 2008-01-17 Tyco Healthcare Group Lp, Norwalk Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus
EP1563793B1 (en) 2004-02-17 2007-06-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US20100191292A1 (en) 2004-02-17 2010-07-29 Demeo Joseph Oriented polymer implantable device and process for making same
US7886952B2 (en) 2004-02-17 2011-02-15 Tyco Healthcare Group Lp Surgical stapling apparatus with locking mechanism
GB2451777B (en) 2004-02-17 2009-04-08 Cook Biotech Inc Medical devices and methods useful for applying bolster material
DE602005000891T2 (de) 2004-02-17 2008-01-17 Tyco Healthcare Group Lp, Norwalk Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus
DE602005000938T2 (de) 2004-02-17 2008-01-17 Tyco Healthcare Group Lp, Norwalk Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus
US6953138B1 (en) 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
US20050187545A1 (en) 2004-02-20 2005-08-25 Hooven Michael D. Magnetic catheter ablation device and method
US8046049B2 (en) 2004-02-23 2011-10-25 Biosense Webster, Inc. Robotically guided catheter
GB2411527B (en) 2004-02-26 2006-06-28 Itt Mfg Enterprises Inc Electrical connector
JP2005279253A (ja) 2004-03-02 2005-10-13 Olympus Corp 内視鏡
JP4755638B2 (ja) 2004-03-05 2011-08-24 ハンセン メディカル，インク． ロボットガイドカテーテルシステム
US7974681B2 (en) 2004-03-05 2011-07-05 Hansen Medical, Inc. Robotic catheter system
JP4610934B2 (ja) 2004-06-03 2011-01-12 オリンパス株式会社 外科用処置具
EP1723913A1 (en) 2004-03-10 2006-11-22 Olympus Corporation Treatment tool for surgery
US7066944B2 (en) 2004-03-11 2006-06-27 Laufer Michael D Surgical fastening system
GB2412232A (en) 2004-03-15 2005-09-21 Ims Nanofabrication Gmbh Particle-optical projection system
ES2400050T3 (es) 2004-03-19 2013-04-05 Covidien Lp Conjunto de yunque con anillo de corte mejorado
US8181840B2 (en) 2004-03-19 2012-05-22 Tyco Healthcare Group Lp Tissue tensioner assembly and approximation mechanism for surgical stapling device
JP4727158B2 (ja) 2004-03-23 2011-07-20 オリンパス株式会社 内視鏡システム
TWI234339B (en) 2004-03-25 2005-06-11 Richtek Techohnology Corp High-efficiency voltage transformer
US7036680B1 (en) 2004-04-07 2006-05-02 Avery Dennison Corporation Device for dispensing plastic fasteners
JP2005296412A (ja) 2004-04-13 2005-10-27 Olympus Corp 内視鏡治療装置
WO2006033671A2 (en) 2004-04-15 2006-03-30 Wilson-Cook Medical Inc. Endoscopic surgical access devices and methods of articulating an external accessory channel
US6960107B1 (en) 2004-04-16 2005-11-01 Brunswick Corporation Marine transmission with a cone clutch used for direct transfer of torque
US7758612B2 (en) 2004-04-27 2010-07-20 Tyco Healthcare Group Lp Surgery delivery device and mesh anchor
US7377918B2 (en) 2004-04-28 2008-05-27 Gyrus Medical Limited Electrosurgical method and apparatus
MXPA06012433A (es) * 2004-04-29 2007-01-31 3M Innovative Properties Co Aparato para llenar y rellenar un recipiente flexible.
US7098794B2 (en) 2004-04-30 2006-08-29 Kimberly-Clark Worldwide, Inc. Deactivating a data tag for user privacy or tamper-evident packaging
WO2005110243A2 (en) 2004-05-03 2005-11-24 Ams Research Corporation Surgical implants and related methods
US7556645B2 (en) 2004-05-05 2009-07-07 Direct Flow Medical, Inc. Translumenally implantable heart valve with formed in place support
WO2005110280A2 (en) 2004-05-07 2005-11-24 Valentx, Inc. Devices and methods for attaching an endolumenal gastrointestinal implant
US7736374B2 (en) 2004-05-07 2010-06-15 Usgi Medical, Inc. Tissue manipulation and securement system
US8333764B2 (en) 2004-05-12 2012-12-18 Medtronic, Inc. Device and method for determining tissue thickness and creating cardiac ablation lesions
JP2005328882A (ja) 2004-05-18 2005-12-02 Olympus Corp 内視鏡用処置具及び内視鏡システム
GB2414185A (en) 2004-05-20 2005-11-23 Gyrus Medical Ltd Morcellating device using cutting electrodes on end-face of tube
US7260431B2 (en) 2004-05-20 2007-08-21 Cardiac Pacemakers, Inc. Combined remodeling control therapy and anti-remodeling therapy by implantable cardiac device
JP2005335432A (ja) 2004-05-24 2005-12-08 Nissan Motor Co Ltd 後輪転舵制御装置
IES20040368A2 (en) 2004-05-25 2005-11-30 James E Coleman Surgical stapler
US7828808B2 (en) 2004-06-07 2010-11-09 Novare Surgical Systems, Inc. Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools
DE102004027850A1 (de) 2004-06-08 2006-01-05 Henke-Sass Wolf Gmbh Biegbarer Abschnitt eines Einführtubus eines Endoskopes und Verfahren zu dessen Herstellung
GB2415140A (en) 2004-06-18 2005-12-21 Gyrus Medical Ltd A surgical instrument
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
EP3730088B1 (en) 2004-07-02 2022-08-10 Discus Dental, LLC Illumination system for dentistry applications
US7443547B2 (en) 2004-07-03 2008-10-28 Science Forge, Inc. Portable electronic faxing, scanning, copying, and printing device
US7485133B2 (en) 2004-07-14 2009-02-03 Warsaw Orthopedic, Inc. Force diffusion spinal hook
US20060020258A1 (en) 2004-07-20 2006-01-26 Medtronic, Inc. Surgical apparatus with a manually actuatable assembly and a method of operating same
WO2006014881A2 (en) 2004-07-26 2006-02-09 Van Lue Stephen J Surgical stapler with magnetically secured components
RU42750U1 (ru) 2004-07-26 2004-12-20 Альбертин Сергей Викторович Устройство для дозированной подачи веществ
US7914551B2 (en) 2004-07-28 2011-03-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument
US7857183B2 (en) 2004-07-28 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US7354447B2 (en) 2005-11-10 2008-04-08 Ethicon Endo-Surgery, Inc. Disposable loading unit and surgical instruments including same
AU2005203213C1 (en) 2004-07-28 2012-07-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7506790B2 (en) 2004-07-28 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US7404509B2 (en) 2004-07-28 2008-07-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for linear stapler
US7513408B2 (en) 2004-07-28 2009-04-07 Ethicon Endo-Surgery, Inc. Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
AU2005203215B2 (en) 2004-07-28 2011-06-09 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated pivoting articulation mechanism
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7143926B2 (en) 2005-02-07 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
US8317074B2 (en) 2004-07-28 2012-11-27 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for circular stapler
US8057508B2 (en) 2004-07-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation locking mechanism
US20060025812A1 (en) 2004-07-28 2006-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated pivoting articulation mechanism
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7487899B2 (en) 2004-07-28 2009-02-10 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP complete firing system lockout mechanism
US7862579B2 (en) 2004-07-28 2011-01-04 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for grasper
US7210609B2 (en) 2004-07-30 2007-05-01 Tools For Surgery, Llc Stapling apparatus having a curved anvil and driver
DE202004012389U1 (de) 2004-07-30 2004-09-30 Aesculap Ag & Co. Kg Chirurgische Maschine
CA2575755C (en) 2004-08-06 2014-04-08 Genentech, Inc. Assays and methods using biomarkers
CN2716900Y (zh) 2004-08-09 2005-08-10 陈永 新感觉鼠标
JP2008510515A (ja) 2004-08-17 2008-04-10 タイコ ヘルスケア グループ エルピー ステープル留め支持構造物
EP2143740B1 (en) 2004-08-19 2013-06-19 Covidien LP Water-swellable copolymers and articles and coating made therefrom
US7182239B1 (en) 2004-08-27 2007-02-27 Myers Stephan R Segmented introducer device for a circular surgical stapler
EP2656777A3 (en) 2004-08-31 2015-12-02 Surgical Solutions LLC Medical device with articulating shaft
US8657808B2 (en) 2004-08-31 2014-02-25 Medtronic, Inc. Surgical apparatus including a hand-activated, cable assembly and method of using same
DE102004042886A1 (de) 2004-09-04 2006-03-30 Roche Diagnostics Gmbh Lanzettenvorrichtung zum Erzeugen einer Einstichwunde
US7128254B2 (en) 2004-09-07 2006-10-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission
CN100569190C (zh) 2004-09-10 2009-12-16 伊西康内外科公司 外科缝合器械
KR100646762B1 (ko) 2004-09-10 2006-11-23 인하대학교 산학협력단 수술용 스테이플 및 이를 구비한 수술용 자동 문합기
JP2006081687A (ja) 2004-09-15 2006-03-30 Max Co Ltd 医療用ステープラ
US7391164B2 (en) 2004-09-15 2008-06-24 Research In Motion Limited Visual notification methods for candy-bar type cellphones
GB0519252D0 (en) 2005-09-21 2005-10-26 Dezac Ltd Laser hair removal device
US7336184B2 (en) 2004-09-24 2008-02-26 Intel Corporation Inertially controlled switch and RFID tag
EP1793872B1 (en) 2004-09-30 2016-05-11 Covalon Technologies Inc. Non-adhesive elastic gelatin matrices
US20120046547A1 (en) 2004-10-06 2012-02-23 Guided Therapy Systems, Llc System and method for cosmetic treatment
FR2876020B1 (fr) 2004-10-06 2007-03-09 Sofradim Production Sa Appareil de stockage, distribution et pose d'attaches chirurgicales
US8409222B2 (en) 2004-10-08 2013-04-02 Covidien Lp Endoscopic surgical clip applier
CA2582716C (en) 2004-10-08 2013-05-28 Ernest Aranyi Apparatus for applying surgical clips
US7819886B2 (en) 2004-10-08 2010-10-26 Tyco Healthcare Group Lp Endoscopic surgical clip applier
WO2006044581A2 (en) 2004-10-13 2006-04-27 Medtronic, Inc. Single-use transurethral needle ablation device
US8372094B2 (en) 2004-10-15 2013-02-12 Covidien Lp Seal element for anastomosis
US8257356B2 (en) 2004-10-15 2012-09-04 Baxano, Inc. Guidewire exchange systems to treat spinal stenosis
US7857813B2 (en) 2006-08-29 2010-12-28 Baxano, Inc. Tissue access guidewire system and method
EP2345375A1 (en) 2004-10-18 2011-07-20 Tyco Healthcare Group LP Annular adhesive structure
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
US7688028B2 (en) 2004-10-18 2010-03-30 Black & Decker Inc. Cordless power system
WO2006044810A2 (en) 2004-10-18 2006-04-27 Tyco Healthcare Group, Lp Surgical fasteners coated with wound treatment materials
US7845536B2 (en) 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
WO2006049852A2 (en) 2004-10-18 2006-05-11 Tyco Healthcare Group, Lp Apparatus for applying wound treatment material using tissue-penetrating needles
WO2006044799A2 (en) 2004-10-18 2006-04-27 Tyco Healthcare Group, Lp Extraluminal sealant applicator and method
US7455682B2 (en) 2004-10-18 2008-11-25 Tyco Healthcare Group Lp Structure containing wound treatment material
US7922743B2 (en) 2004-10-18 2011-04-12 Tyco Healthcare Group Lp Structure for applying sprayable wound treatment material
US7938307B2 (en) 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
KR20130060276A (ko) 2004-10-20 2013-06-07 에디컨인코포레이티드 의료 장치에 사용하기 위한 강화 흡수성 다층 직물 및 이의 제조방법
US20060087746A1 (en) 2004-10-22 2006-04-27 Kenneth Lipow Remote augmented motor-sensory interface for surgery
US20060086032A1 (en) 2004-10-27 2006-04-27 Joseph Valencic Weapon and input device to record information
WO2006050524A1 (en) 2004-11-02 2006-05-11 Medtronic, Inc. Techniques for data retention upon detection of an event in an implantable medical device
DE102005037916B4 (de) * 2004-11-11 2018-08-02 Windmöller & Hölscher Kg Maschine zum Formen, Füllen und Schließen von Säcken und Verfahren zum Betrieb derselben
KR20060046933A (ko) 2004-11-12 2006-05-18 노틸러스효성 주식회사 핀패드 모듈의 보호장치
CN2738962Y (zh) 2004-11-15 2005-11-09 胡建坤 电动剃须刀及带有充电器的电动剃须刀
EP1838223A2 (en) 2004-11-23 2007-10-03 Novare Surgical Systems, Inc. Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools
US7182763B2 (en) 2004-11-23 2007-02-27 Instrasurgical, Llc Wound closure device
GB0425843D0 (en) 2004-11-24 2004-12-29 Gyrus Group Plc An electrosurgical instrument
CA2526541C (en) 2004-12-01 2013-09-03 Tyco Healthcare Group Lp Novel biomaterial drug delivery and surface modification compositions
US7121446B2 (en) 2004-12-13 2006-10-17 Niti Medical Technologies Ltd. Palm-size surgical stapler for single hand operation
US7328829B2 (en) 2004-12-13 2008-02-12 Niti Medical Technologies Ltd. Palm size surgical stapler for single hand operation
US7568619B2 (en) 2004-12-15 2009-08-04 Alcon, Inc. System and method for identifying and controlling ophthalmic surgical devices and components
US7611474B2 (en) 2004-12-29 2009-11-03 Ethicon Endo-Surgery, Inc. Core sampling biopsy device with short coupled MRI-compatible driver
US20060142772A1 (en) 2004-12-29 2006-06-29 Ralph James D Surgical fasteners and related implant devices having bioabsorbable components
US7896869B2 (en) 2004-12-29 2011-03-01 Depuy Products, Inc. System and method for ensuring proper medical instrument use in an operating room
US7419321B2 (en) 2005-01-05 2008-09-02 Misha Tereschouk Hand applicator of encapsulated liquids
US20080219481A1 (en) 2005-01-06 2008-09-11 Pss Belgium N.V. Loudspeaker Having a Movable Cone Body
US20060161185A1 (en) 2005-01-14 2006-07-20 Usgi Medical Inc. Methods and apparatus for transmitting force to an end effector over an elongate member
US7686804B2 (en) 2005-01-14 2010-03-30 Covidien Ag Vessel sealer and divider with rotating sealer and cutter
CN2764312Y (zh) 2005-01-17 2006-03-15 翁志强 直线切割吻合器
JP4847475B2 (ja) 2005-01-26 2011-12-28 ▲蘇▼州天臣国▲際▼医▲療▼科技有限公司 外科手術用ステープラーの回転刃付ステープリングヘッド
WO2006081491A2 (en) 2005-01-27 2006-08-03 Vector Surgical Surgical marker
US20060173470A1 (en) 2005-01-31 2006-08-03 Oray B N Surgical fastener buttress material
WO2006085389A1 (en) 2005-02-09 2006-08-17 Johnson & Johnson Kabushiki Kaisha Stapling instrument
EP1690638A1 (en) 2005-02-09 2006-08-16 BLACK & DECKER INC. Power tool gear-train and torque overload clutch therefor
JP2006218129A (ja) 2005-02-10 2006-08-24 Olympus Corp 手術支援システム
GB2423199B (en) 2005-02-11 2009-05-13 Pa Consulting Services Power supply systems for electrical devices
JP2006218228A (ja) 2005-02-14 2006-08-24 Olympus Corp バッテリユニット、そのバッテリユニットを有するバッテリ装置、医療機器および内視鏡
US7654431B2 (en) 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
US7559450B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating a fluid transfer controlled articulation mechanism
US20060289602A1 (en) 2005-06-23 2006-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground
US7559452B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument having fluid actuated opposing jaws
US7780054B2 (en) 2005-02-18 2010-08-24 Ethicon Endo-Surgery, Inc. Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint
US7784662B2 (en) 2005-02-18 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
US7674263B2 (en) 2005-03-04 2010-03-09 Gyrus Ent, L.L.C. Surgical instrument and method
US7699846B2 (en) 2005-03-04 2010-04-20 Gyrus Ent L.L.C. Surgical instrument and method
US20060217729A1 (en) 2005-03-09 2006-09-28 Brasseler Usa Medical Llc Surgical apparatus and tools for same
US20060206100A1 (en) 2005-03-09 2006-09-14 Brasseler Usa Medical Llc Surgical apparatus and power module for same, and a method of preparing a surgical apparatus
US20060201989A1 (en) 2005-03-11 2006-09-14 Ojeda Herminio F Surgical anvil and system for deploying the same
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
US9364229B2 (en) 2005-03-15 2016-06-14 Covidien Lp Circular anastomosis structures
AU2012200178B2 (en) 2005-03-15 2013-07-11 Covidien Lp Anastomosis composite gasket
US7784663B2 (en) 2005-03-17 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having load sensing control circuitry
EP1861022A2 (en) 2005-03-22 2007-12-05 Atropos Limited A surgical instrument
US20060252993A1 (en) 2005-03-23 2006-11-09 Freed David I Medical devices and systems
US7918848B2 (en) 2005-03-25 2011-04-05 Maquet Cardiovascular, Llc Tissue welding and cutting apparatus and method
EP1707153B1 (en) 2005-03-29 2012-02-01 Kabushiki Kaisha Toshiba Manipulator
US9138226B2 (en) 2005-03-30 2015-09-22 Covidien Lp Cartridge assembly for a surgical stapling device
JP4857585B2 (ja) 2005-04-04 2012-01-18 日立工機株式会社 コードレス電動工具
US7780055B2 (en) 2005-04-06 2010-08-24 Tyco Healthcare Group Lp Loading unit having drive assembly locking mechanism
US7211979B2 (en) 2005-04-13 2007-05-01 The Broad Of Trustees Of The Leland Stanford Junior University Torque-position transformer for task control of position controlled robots
US7297149B2 (en) 2005-04-14 2007-11-20 Ethicon Endo-Surgery, Inc. Surgical clip applier methods
US7699860B2 (en) 2005-04-14 2010-04-20 Ethicon Endo-Surgery, Inc. Surgical clip
US8038686B2 (en) 2005-04-14 2011-10-18 Ethicon Endo-Surgery, Inc. Clip applier configured to prevent clip fallout
US7731724B2 (en) 2005-04-14 2010-06-08 Ethicon Endo-Surgery, Inc. Surgical clip advancement and alignment mechanism
EP3095379A1 (en) 2005-04-15 2016-11-23 Surgisense Corporation Surgical instruments with sensors for detecting tissue properties, and systems using such instruments
US7837694B2 (en) 2005-04-28 2010-11-23 Warsaw Orthopedic, Inc. Method and apparatus for surgical instrument identification
US20060244460A1 (en) 2005-04-29 2006-11-02 Weaver Jeffrey S System and method for battery management
DE102005020377B4 (de) 2005-05-02 2021-08-12 Robert Bosch Gmbh Verfahren zum Betreiben einer Elektrowerkzeugmaschine
US8084001B2 (en) 2005-05-02 2011-12-27 Cornell Research Foundation, Inc. Photoluminescent silica-based sensors and methods of use
US20100016888A1 (en) 2005-05-05 2010-01-21 Allison Calabrese Surgical Gasket
US20100100124A1 (en) 2005-05-05 2010-04-22 Tyco Healthcare Group Lp Bioabsorbable surgical composition
US20090177226A1 (en) 2005-05-05 2009-07-09 Jon Reinprecht Bioabsorbable Surgical Compositions
US7418078B2 (en) 2005-05-06 2008-08-26 Siemens Medical Solutions Usa, Inc. Spot-size effect reduction
US20060252990A1 (en) 2005-05-06 2006-11-09 Melissa Kubach Systems and methods for endoscope integrity testing
US7806871B2 (en) 2005-05-09 2010-10-05 Boston Scientific Scimed, Inc. Method and device for tissue removal and for delivery of a therapeutic agent or bulking agent
US7648457B2 (en) 2005-05-13 2010-01-19 Ethicon Endo-Surgery, Inc. Method of positioning a device on an endoscope
US20060258904A1 (en) 2005-05-13 2006-11-16 David Stefanchik Feeding tube and track
US8108072B2 (en) 2007-09-30 2012-01-31 Intuitive Surgical Operations, Inc. Methods and systems for robotic instrument tool tracking with adaptive fusion of kinematics information and image information
SG127833A1 (en) 2005-05-17 2006-12-29 Ethicon Endo Surgery Inc Surgical stapler having an aluminum head
US20060270916A1 (en) 2005-05-20 2006-11-30 Medtronic, Inc. Portable therapy delivery device with a removable connector board
US8157815B2 (en) 2005-05-20 2012-04-17 Neotract, Inc. Integrated handle assembly for anchor delivery system
AU2006251051B2 (en) 2005-05-25 2009-07-16 Gyrus Medical, Inc. A surgical instrument
US20060271042A1 (en) 2005-05-26 2006-11-30 Gyrus Medical, Inc. Cutting and coagulating electrosurgical forceps having cam controlled jaw closure
JP2006334029A (ja) 2005-05-31 2006-12-14 Olympus Medical Systems Corp 外科用手術装置
CA2549224A1 (en) 2005-06-02 2006-12-02 Tyco Healthcare Group Lp Expandable backspan staple
US7722610B2 (en) 2005-06-02 2010-05-25 Tyco Healthcare Group Lp Multiple coil staple and staple applier
US7909191B2 (en) 2005-06-03 2011-03-22 Greatbatch Ltd. Connectable instrument trays for creating a modular case
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
US7330004B2 (en) 2005-06-06 2008-02-12 Lutron Electronics Co., Inc. Method and apparatus for quiet variable motor speed control
US7265374B2 (en) 2005-06-10 2007-09-04 Arima Computer Corporation Light emitting semiconductor device
US7295907B2 (en) 2005-06-14 2007-11-13 Trw Automotive U.S. Llc Recovery of calibrated center steering position after loss of battery power
EP1736112B1 (en) 2005-06-20 2011-08-17 Heribert Schmid Medical device
JP5044551B2 (ja) 2005-06-28 2012-10-10 ストライカー・コーポレイション 器具発電ユニットを遠隔的に監視するためのセンサを含む制御モジュール付き電動外科用器具
US8241271B2 (en) 2005-06-30 2012-08-14 Intuitive Surgical Operations, Inc. Robotic surgical instruments with a fluid flow control system for irrigation, aspiration, and blowing
EP1908032A4 (en) 2005-07-19 2011-02-02 Prec Dynamics Corp SEMI-ACTIVE RADIO FREQUENCY IDENTIFICATION LABEL AND ASSOCIATED METHODS
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US7959050B2 (en) 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US8573462B2 (en) 2006-05-19 2013-11-05 Ethicon Endo-Surgery, Inc. Electrical surgical instrument with optimized power supply and drive
US8679154B2 (en) 2007-01-12 2014-03-25 Ethicon Endo-Surgery, Inc. Adjustable compression staple and method for stapling with adjustable compression
US7479608B2 (en) 2006-05-19 2009-01-20 Ethicon Endo-Surgery, Inc. Force switch
JP4336386B2 (ja) 2005-07-26 2009-09-30 エシコン エンド−サージェリー，インク． 外科用ステープリング及び切断デバイスおよびこのデバイスの使用方法
US8627993B2 (en) 2007-02-12 2014-01-14 Ethicon Endo-Surgery, Inc. Active braking electrical surgical instrument and method for braking such an instrument
CA2616994C (en) 2005-07-27 2014-10-07 Power Medical Interventions, Inc. Staple pocket arrangement for surgical stapler
US20070027551A1 (en) 2005-07-29 2007-02-01 Farnsworth Ted R Composite self-cohered web materials
US7655584B2 (en) 2005-07-29 2010-02-02 Gore Enterprise Holdings, Inc. Highly porous self-cohered web materials
US20070026039A1 (en) 2005-07-29 2007-02-01 Drumheller Paul D Composite self-cohered web materials
US8048503B2 (en) 2005-07-29 2011-11-01 Gore Enterprise Holdings, Inc. Highly porous self-cohered web materials
US7655288B2 (en) 2005-07-29 2010-02-02 Gore Enterprise Holdings, Inc. Composite self-cohered web materials
US20070155010A1 (en) 2005-07-29 2007-07-05 Farnsworth Ted R Highly porous self-cohered fibrous tissue engineering scaffold
US20070026040A1 (en) 2005-07-29 2007-02-01 Crawley Jerald M Composite self-cohered web materials
US20070027468A1 (en) 2005-08-01 2007-02-01 Wales Kenneth S Surgical instrument with an articulating shaft locking mechanism
US7641092B2 (en) 2005-08-05 2010-01-05 Ethicon Endo - Surgery, Inc. Swing gate for device lockout in a curved cutter stapler
US7559937B2 (en) 2005-08-09 2009-07-14 Towertech Research Group Surgical fastener apparatus and reinforcing material
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7388484B2 (en) 2005-08-16 2008-06-17 Honeywell International Inc. Conductive tamper switch for security devices
DE102005038919A1 (de) 2005-08-17 2007-03-15 BSH Bosch und Siemens Hausgeräte GmbH Elektromotorisches Küchengerät mit elektrischer oder elektronischer Verriegelung
US8657814B2 (en) 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US20070049949A1 (en) 2005-08-25 2007-03-01 Microline Pentax Inc Clip feeder mechanism for clip applying device
US7828794B2 (en) 2005-08-25 2010-11-09 Covidien Ag Handheld electrosurgical apparatus for controlling operating room equipment
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US7500979B2 (en) 2005-08-31 2009-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US8991676B2 (en) 2007-03-15 2015-03-31 Ethicon Endo-Surgery, Inc. Surgical staple having a slidable crown
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US20070051375A1 (en) 2005-09-06 2007-03-08 Milliman Keith L Instrument introducer
US7778004B2 (en) 2005-09-13 2010-08-17 Taser International, Inc. Systems and methods for modular electronic weaponry
JP2009507617A (ja) 2005-09-14 2009-02-26 ネオガイド システムズ， インコーポレイテッド 経腔的及び他の操作を行うための方法及び装置
US7472815B2 (en) 2005-09-21 2009-01-06 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with collapsible features for controlling staple height
US7407078B2 (en) 2005-09-21 2008-08-05 Ehthicon Endo-Surgery, Inc. Surgical stapling instrument having force controlled spacing end effector
EP1767163A1 (en) 2005-09-22 2007-03-28 Sherwood Services AG Bipolar forceps with multiple electrode array end effector assembly
US7691106B2 (en) 2005-09-23 2010-04-06 Synvasive Technology, Inc. Transverse acting surgical saw blade
US7451904B2 (en) 2005-09-26 2008-11-18 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having end effector gripping surfaces
US8079950B2 (en) 2005-09-29 2011-12-20 Intuitive Surgical Operations, Inc. Autofocus and/or autoscaling in telesurgery
US7357287B2 (en) 2005-09-29 2008-04-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having preloaded firing assistance mechanism
CA2561473C (en) 2005-09-30 2014-07-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US7722607B2 (en) 2005-09-30 2010-05-25 Covidien Ag In-line vessel sealer and divider
US20070078484A1 (en) 2005-10-03 2007-04-05 Joseph Talarico Gentle touch surgical instrument and method of using same
US9055942B2 (en) 2005-10-03 2015-06-16 Boston Scienctific Scimed, Inc. Endoscopic plication devices and methods
US20080190989A1 (en) 2005-10-03 2008-08-14 Crews Samuel T Endoscopic plication device and method
US7635074B2 (en) 2005-10-04 2009-12-22 Tyco Healthcare Group Lp Staple drive assembly
US7641091B2 (en) 2005-10-04 2010-01-05 Tyco Healthcare Group Lp Staple drive assembly
CA2563147C (en) 2005-10-14 2014-09-23 Tyco Healthcare Group Lp Surgical stapling device
US20070244471A1 (en) 2005-10-21 2007-10-18 Don Malackowski System and method for managing the operation of a battery powered surgical tool and the battery used to power the tool
DE602006018510D1 (de) 2005-10-21 2011-01-05 Stryker Corp System und verfahren zum wiederaufladen einer harschen umgebung ausgesetzten batterie
US8080004B2 (en) 2005-10-26 2011-12-20 Earl Downey Laparoscopic surgical instrument
EP2919295B1 (en) 2005-10-31 2018-08-29 Black & Decker, Inc. Method of arranging the components of a battery pack
US7656131B2 (en) 2005-10-31 2010-02-02 Black & Decker Inc. Methods of charging battery packs for cordless power tool systems
EP1780937A1 (en) 2005-11-01 2007-05-02 Black & Decker, Inc. Method and system for authenticating a smart battery system
US20070102472A1 (en) 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US7328828B2 (en) * 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7607557B2 (en) 2005-11-04 2009-10-27 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for pump-assisted delivery of medical agents
US20070106113A1 (en) 2005-11-07 2007-05-10 Biagio Ravo Combination endoscopic operative delivery system
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
CN2868212Y (zh) 2005-11-11 2007-02-14 钟李宽 随换式腹腔镜手术钳
CN101351236B (zh) 2005-11-15 2013-05-29 约翰霍普金斯大学 一种用于生物感应和外科手术的活性套管
US7896895B2 (en) 2005-11-23 2011-03-01 Ethicon Endo-Surgery, Inc. Surgical clip and applier device and method of use
US7651017B2 (en) 2005-11-23 2010-01-26 Ethicon Endo-Surgery, Inc. Surgical stapler with a bendable end effector
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
US20070135686A1 (en) 2005-12-14 2007-06-14 Pruitt John C Jr Tools and methods for epicardial access
WO2007075844A1 (en) 2005-12-20 2007-07-05 Intuitive Surgical, Inc. Telescoping insertion axis of a robotic surgical system
RU61114U1 (ru) 2005-12-23 2007-02-27 Мирзакарим Санакулович Норбеков Аппарат для развития мозговой деятельности
US20100145146A1 (en) 2005-12-28 2010-06-10 Envisionier Medical Technologies, Inc. Endoscopic digital recording system with removable screen and storage device
WO2007074430A1 (en) 2005-12-28 2007-07-05 Given Imaging Ltd. Device, system and method for activation of an in vivo device
US7553173B2 (en) 2005-12-30 2009-06-30 Click, Inc. Vehicle connector lockout apparatus and method of using same
US8628518B2 (en) 2005-12-30 2014-01-14 Intuitive Surgical Operations, Inc. Wireless force sensor on a distal portion of a surgical instrument and method
US7930065B2 (en) 2005-12-30 2011-04-19 Intuitive Surgical Operations, Inc. Robotic surgery system including position sensors using fiber bragg gratings
US7481824B2 (en) 2005-12-30 2009-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument with bending articulation controlled articulation pivot joint
US7955257B2 (en) 2006-01-05 2011-06-07 Depuy Spine, Inc. Non-rigid surgical retractor
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US20120064483A1 (en) 2010-09-13 2012-03-15 Kevin Lint Hard-wired and wireless system with footswitch for operating a dental or medical treatment apparatus
CA2574934C (en) 2006-01-24 2015-12-29 Sherwood Services Ag System and method for closed loop monitoring of monopolar electrosurgical apparatus
US20070173813A1 (en) 2006-01-24 2007-07-26 Sherwood Services Ag System and method for tissue sealing
US8147485B2 (en) 2006-01-24 2012-04-03 Covidien Ag System and method for tissue sealing
EP1981406B1 (en) 2006-01-27 2016-04-13 Suturtek Incorporated Apparatus for tissue closure
US20070198039A1 (en) 2006-01-27 2007-08-23 Wilson-Cook Medical, Inc. Intragastric device for treating obesity
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US20070175950A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US20070175951A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US7891531B1 (en) 2006-01-31 2011-02-22 Ward Gary L Sub-miniature surgical staple cartridge
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US7422138B2 (en) 2006-02-01 2008-09-09 Ethicon Endo-Surgery, Inc. Elliptical intraluminal surgical stapler for anastomosis
US9629626B2 (en) 2006-02-02 2017-04-25 Covidien Lp Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue
EP1837041A1 (en) 2006-03-20 2007-09-26 Tissuemed Limited Tissue-adhesive materials
EP1815950A1 (en) 2006-02-03 2007-08-08 The European Atomic Energy Community (EURATOM), represented by the European Commission Robotic surgical system for performing minimally invasive medical procedures
US20070185545A1 (en) 2006-02-06 2007-08-09 Medtronic Emergency Response Systems, Inc. Post-download patient data protection in a medical device
US20070190110A1 (en) 2006-02-10 2007-08-16 Pameijer Cornelis H Agents and devices for providing blood clotting functions to wounds
WO2007098220A2 (en) 2006-02-20 2007-08-30 Black & Decker Inc. Dc motor with dual commutator bar set and selectable series and parallel connected coils
US7955380B2 (en) 2006-03-17 2011-06-07 Medtronic Vascular, Inc. Prosthesis fixation apparatus and methods
US7771396B2 (en) 2006-03-22 2010-08-10 Ethicon Endo-Surgery, Inc. Intubation device for enteral feeding
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US20110163146A1 (en) 2006-03-23 2011-07-07 Ortiz Mark S Surgical Stapling And Cuttting Device
US8236010B2 (en) 2006-03-23 2012-08-07 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with mimicking end effector
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
JP4689511B2 (ja) 2006-03-24 2011-05-25 株式会社エヌ・ティ・ティ・ドコモ 可搬型基地局装置
US9675375B2 (en) 2006-03-29 2017-06-13 Ethicon Llc Ultrasonic surgical system and method
US7836400B2 (en) 2006-03-31 2010-11-16 Research In Motion Limited Snooze support for event reminders
US20090020958A1 (en) 2006-03-31 2009-01-22 Soul David F Methods and apparatus for operating an internal combustion engine
WO2007123770A2 (en) 2006-03-31 2007-11-01 Automated Medical Instruments, Inc. System and method for advancing, orienting, and immobilizing on internal body tissue a catheter or therapeutic device
JP4102409B2 (ja) 2006-04-03 2008-06-18 オリンパス株式会社 縫合・結紮具アプライヤー
US20100081883A1 (en) 2008-09-30 2010-04-01 Ethicon Endo-Surgery, Inc. Methods and devices for performing gastroplasties using a multiple port access device
US7799965B2 (en) 2006-04-11 2010-09-21 Tyco Healthcare Group Lp Wound dressings with anti-microbial and zinc-containing agents
US7741273B2 (en) 2006-04-13 2010-06-22 Warsaw Orthopedic, Inc. Drug depot implant designs
US20070243227A1 (en) 2006-04-14 2007-10-18 Michael Gertner Coatings for surgical staplers
WO2007121437A2 (en) * 2006-04-17 2007-10-25 Ppi Technologies Global, Llc Holder with integral gripper for transporting a flexible pouch during manufacturing
US20070246505A1 (en) 2006-04-24 2007-10-25 Medical Ventures Inc. Surgical buttress assemblies and methods of uses thereof
US7650185B2 (en) 2006-04-25 2010-01-19 Cardiac Pacemakers, Inc. System and method for walking an implantable medical device from a sleep state
US7278563B1 (en) 2006-04-25 2007-10-09 Green David T Surgical instrument for progressively stapling and incising tissue
JP4566943B2 (ja) 2006-04-26 2010-10-20 株式会社マキタ 充電装置
US7691103B2 (en) 2006-04-29 2010-04-06 Board Of Regents, The University Of Texas System Devices for use in transluminal and endoluminal surgery
EP2015681B1 (en) 2006-05-03 2018-03-28 Datascope Corp. Tissue closure device
WO2007129121A1 (en) 2006-05-08 2007-11-15 Tayside Health Board Device and method for improved surgical suturing
JP4829005B2 (ja) 2006-05-12 2011-11-30 テルモ株式会社 マニピュレータ
EP2486867A3 (en) 2006-05-19 2014-04-02 Ethicon Endo-Surgery, Inc. Mechanical force switch for a medical device
WO2007137243A2 (en) 2006-05-19 2007-11-29 Applied Medical Resources Corporation Surgical stapler
US8105350B2 (en) 2006-05-23 2012-01-31 Cambridge Endoscopic Devices, Inc. Surgical instrument
US20070275035A1 (en) 2006-05-24 2007-11-29 Microchips, Inc. Minimally Invasive Medical Implant Devices for Controlled Drug Delivery
US20070276409A1 (en) 2006-05-25 2007-11-29 Ethicon Endo-Surgery, Inc. Endoscopic gastric restriction methods and devices
CA2653354A1 (en) 2006-06-01 2007-12-06 Mor Research Applications Ltd. Membrane augmentation, such as of for treatment of cardiac valves, and fastening devices for membrane augmentation
CA2608791C (en) 2006-06-02 2013-11-12 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US7615067B2 (en) * 2006-06-05 2009-11-10 Cambridge Endoscopic Devices, Inc. Surgical instrument
IL176133A0 (en) 2006-06-05 2006-10-05 Medigus Ltd Stapler
US7530984B2 (en) 2006-06-05 2009-05-12 Medigus Ltd. Transgastric method for carrying out a partial fundoplication
DE202007003114U1 (de) 2006-06-13 2007-06-21 Olympus Winter & Ibe Gmbh Medizinische Zange mit Bajonettverbindung
CN104688281B (zh) 2006-06-13 2017-04-19 直观外科手术操作公司 微创手术系统
US20070286892A1 (en) 2006-06-13 2007-12-13 Uri Herzberg Compositions and methods for preventing or reducing postoperative ileus and gastric stasis in mammals
US9561045B2 (en) 2006-06-13 2017-02-07 Intuitive Surgical Operations, Inc. Tool with rotation lock
US8551076B2 (en) 2006-06-13 2013-10-08 Intuitive Surgical Operations, Inc. Retrograde instrument
WO2007143859A1 (en) 2006-06-14 2007-12-21 Macdonald Dettwiler & Associates Inc. Surgical manipulator with right-angle pulley drive mechanisms
CN101506538A (zh) 2006-06-20 2009-08-12 奥尔特克斯公司 扭矩轴和扭矩驱动
DE502006006482C5 (de) 2006-06-21 2017-08-17 Steffpa Gmbh Vorrichtung zum einführen und positionieren von chirurgischen instrumenten
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US20080200835A1 (en) 2006-06-30 2008-08-21 Monson Gavin M Energy Biopsy Device for Tissue Penetration and Hemostasis
US7391173B2 (en) 2006-06-30 2008-06-24 Intuitive Surgical, Inc Mechanically decoupled capstan drive
US20080003196A1 (en) 2006-06-30 2008-01-03 Jonn Jerry Y Absorbable cyanoacrylate compositions
JP5039135B2 (ja) 2006-07-03 2012-10-03 ノボ・ノルデイスク・エー／エス 注射器具のための接続
US7776037B2 (en) 2006-07-07 2010-08-17 Covidien Ag System and method for controlling electrode gap during tissue sealing
EP1875870B1 (en) 2006-07-07 2009-12-02 Ethicon Endo-Surgery, Inc. A surgical stapling instrument.
CA2592221C (en) 2006-07-11 2014-10-07 Tyco Healthcare Group Lp Skin staples with thermal properties
DE102006031971A1 (de) 2006-07-11 2008-01-17 Karl Storz Gmbh & Co. Kg Medizinisches Instrument
US7993360B2 (en) 2006-07-11 2011-08-09 Arthrex, Inc. Rotary shaver with improved connection between flexible and rigid rotatable tubes
IL176889A0 (en) 2006-07-16 2006-10-31 Medigus Ltd Devices and methods for treating morbid obesity
JP4768537B2 (ja) 2006-07-18 2011-09-07 株式会社リコー コンテンツ閲覧システムおよびプログラム
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US20080029574A1 (en) 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
US7431189B2 (en) 2006-08-02 2008-10-07 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion
US20080030170A1 (en) 2006-08-03 2008-02-07 Bruno Dacquay Safety charging system for surgical hand piece
JP4755047B2 (ja) 2006-08-08 2011-08-24 テルモ株式会社 作業機構及びマニピュレータ
CA2659109A1 (en) 2006-08-09 2008-03-27 Coherex Medical, Inc. Devices for reducing the size of an internal tissue opening
US8271179B2 (en) 2006-08-14 2012-09-18 Honeywell International Inc. System and method for aiding airdrop computations
US7708758B2 (en) 2006-08-16 2010-05-04 Cambridge Endoscopic Devices, Inc. Surgical instrument
US20080042861A1 (en) 2006-08-16 2008-02-21 Bruno Dacquay Safety battery meter system for surgical hand piece
DE102006038515A1 (de) 2006-08-17 2008-02-21 Karl Storz Gmbh & Co. Kg Medizinisches Rohrschaftinstrument
US7674253B2 (en) 2006-08-18 2010-03-09 Kensey Nash Corporation Catheter for conducting a procedure within a lumen, duct or organ of a living being
US20080051833A1 (en) 2006-08-25 2008-02-28 Vincent Gramuglia Suture passer and method of passing suture material
US20080125749A1 (en) 2006-08-29 2008-05-29 Boston Scientific Scimed, Inc. Self-powered medical devices
DE102006041951B4 (de) 2006-08-30 2022-05-05 Deltatech Controls Usa, Llc Wippschalter
US8323789B2 (en) 2006-08-31 2012-12-04 Cambridge Enterprise Limited Nanomaterial polymer compositions and uses thereof
US20080071328A1 (en) 2006-09-06 2008-03-20 Medtronic, Inc. Initiating medical system communications
US8982195B2 (en) 2006-09-07 2015-03-17 Abbott Medical Optics Inc. Digital video capture system and method with customizable graphical overlay
US20080065153A1 (en) 2006-09-08 2008-03-13 Warsaw Orthopedic, Inc. Surgical staple
US8794496B2 (en) 2006-09-11 2014-08-05 Covidien Lp Rotating knob locking mechanism for surgical stapling device
CN100464715C (zh) 2006-09-11 2009-03-04 苏州天臣国际医疗科技有限公司 外科装订仪装订机构
US7648519B2 (en) 2006-09-13 2010-01-19 Cambridge Endoscopic Devices, Inc. Surgical instrument
US7780663B2 (en) 2006-09-22 2010-08-24 Ethicon Endo-Surgery, Inc. End effector coatings for electrosurgical instruments
EP1903412B1 (de) 2006-09-22 2011-11-02 Siemens Aktiengesellschaft Verfahren zur Freigabe der Bedienung von Automatisierungskomponenten einer technischen Anlage über ein mobiles Bedien- und Beobachtungsgerät
US20100133317A1 (en) 2006-09-29 2010-06-03 Shelton Iv Frederick E Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US20110087276A1 (en) 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Method for forming a staple
US8220690B2 (en) 2006-09-29 2012-07-17 Ethicon Endo-Surgery, Inc. Connected surgical staples and stapling instruments for deploying the same
US20080082114A1 (en) 2006-09-29 2008-04-03 Mckenna Robert H Adhesive Mechanical Fastener for Lumen Creation Utilizing Tissue Necrosing Means
CA2665627C (en) 2006-10-05 2014-09-09 Tyco Healthcare Group 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
ATE435613T1 (de) 2006-10-06 2009-07-15 Ethicon Endo Surgery Inc Verbesserungen betreffend einen applikator zum anbringen von anastomosenringen
US7481348B2 (en) 2006-10-06 2009-01-27 Tyco Healthcare Group Lp Surgical instrument with articulating tool assembly
US8807414B2 (en) 2006-10-06 2014-08-19 Covidien Lp System and method for non-contact electronic articulation sensing
WO2008045348A2 (en) 2006-10-06 2008-04-17 Tyco Healthcare Group Lp Endoscopic vessel sealer and divider having a flexible articulating shaft
US7866525B2 (en) 2006-10-06 2011-01-11 Tyco Healthcare Group Lp Surgical instrument having a plastic surface
US8733614B2 (en) 2006-10-06 2014-05-27 Covidien Lp End effector identification by mechanical features
US8475453B2 (en) 2006-10-06 2013-07-02 Covidien Lp Endoscopic vessel sealer and divider having a flexible articulating shaft
US20080085296A1 (en) 2006-10-06 2008-04-10 Powell Darrel M Methods for reduction of post operative ileus.
US20080086078A1 (en) 2006-10-06 2008-04-10 Powell Darrel M Devices for reduction of post operative ileus
US7967178B2 (en) 2006-10-06 2011-06-28 Tyco Healthcare Group Lp Grasping jaw mechanism
US8608043B2 (en) 2006-10-06 2013-12-17 Covidien Lp Surgical instrument having a multi-layered drive beam
DE102006047882B3 (de) 2006-10-10 2007-08-02 Rasmussen Gmbh Steckverbindungsanordnung für einen Schlauch und ein Rohr
EP2204126B1 (en) 2006-10-13 2011-11-23 Terumo Kabushiki Kaisha Manipulator
EP1913881B1 (en) 2006-10-17 2014-06-11 Covidien LP Apparatus for applying surgical clips
US8226635B2 (en) 2006-10-23 2012-07-24 Boston Scientific Scimed, Inc. Device for circulating heated fluid
JP5198014B2 (ja) 2006-10-25 2013-05-15 テルモ株式会社 医療用マニピュレータ
US8157793B2 (en) 2006-10-25 2012-04-17 Terumo Kabushiki Kaisha Manipulator for medical use
JP5085996B2 (ja) 2006-10-25 2012-11-28 テルモ株式会社 マニピュレータシステム
US7845533B2 (en) 2007-06-22 2010-12-07 Tyco Healthcare Group Lp Detachable buttress material retention systems for use with a surgical stapling device
US8028883B2 (en) 2006-10-26 2011-10-04 Tyco Healthcare Group Lp Methods of using shape memory alloys for buttress attachment
US7828854B2 (en) 2006-10-31 2010-11-09 Ethicon, Inc. Implantable repair device
US20080129253A1 (en) 2006-11-03 2008-06-05 Advanced Desalination Inc. Battery energy reclamation apparatus and method thereby
US8822934B2 (en) 2006-11-03 2014-09-02 Accuray Incorporated Collimator changer
JP2008114339A (ja) 2006-11-06 2008-05-22 Terumo Corp マニピュレータ
US7708180B2 (en) 2006-11-09 2010-05-04 Ethicon Endo-Surgery, Inc. Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application
US7946453B2 (en) 2006-11-09 2011-05-24 Ethicon Endo-Surgery, Inc. Surgical band fluid media dispenser
US7780685B2 (en) 2006-11-09 2010-08-24 Ethicon Endo-Surgery, Inc. Adhesive and mechanical fastener
US20080114251A1 (en) 2006-11-10 2008-05-15 Penrith Corporation Transducer array imaging system
US8834498B2 (en) 2006-11-10 2014-09-16 Ethicon Endo-Surgery, Inc. Method and device for effecting anastomosis of hollow organ structures using adhesive and fasteners
US7721930B2 (en) 2006-11-10 2010-05-25 Thicon Endo-Surgery, Inc. Disposable cartridge with adhesive for use with a stapling device
US20080140159A1 (en) 2006-12-06 2008-06-12 Transoma Medical, Inc. Implantable device for monitoring biological signals
US8114100B2 (en) 2006-12-06 2012-02-14 Ethicon Endo-Surgery, Inc. Safety fastener for tissue apposition
US20080154299A1 (en) 2006-12-08 2008-06-26 Steve Livneh Forceps for performing endoscopic surgery
CN200991269Y (zh) 2006-12-20 2007-12-19 张红 消化道缝合器的钉仓结构
US7434716B2 (en) 2006-12-21 2008-10-14 Tyco Healthcare Group Lp Staple driver for articulating surgical stapler
EP2094173B1 (en) 2006-12-21 2016-03-30 Doheny Eye Institute Disposable vitrectomy handpiece
CN201001747Y (zh) 2006-12-25 2008-01-09 苏州天臣国际医疗科技有限公司 可照明圆管型外科手术装订仪
CN201029899Y (zh) 2007-01-05 2008-03-05 苏州天臣国际医疗科技有限公司 微创外科侧侧装订器械
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US20110174861A1 (en) 2007-01-10 2011-07-21 Shelton Iv Frederick E Surgical Instrument With Wireless Communication Between Control Unit and Remote Sensor
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US20080169328A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
WO2008089404A2 (en) 2007-01-19 2008-07-24 Synovis Life Technologies, Inc. Circular stapler anvil introducer
US7753246B2 (en) 2007-01-31 2010-07-13 Tyco Healthcare Group Lp Surgical instrument with replaceable loading unit
US7789883B2 (en) 2007-02-14 2010-09-07 Olympus Medical Systems Corp. Curative treatment system, curative treatment device, and treatment method for living tissue using energy
US20080262513A1 (en) 2007-02-15 2008-10-23 Hansen Medical, Inc. Instrument driver having independently rotatable carriages
US20080200933A1 (en) 2007-02-15 2008-08-21 Bakos Gregory J Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body
US20080200762A1 (en) 2007-02-16 2008-08-21 Stokes Michael J Flexible endoscope shapelock
US7682367B2 (en) * 2007-02-28 2010-03-23 Tyco Healthcare Group Lp Surgical stapling apparatus
US8011555B2 (en) 2007-03-06 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
EP2131750B1 (en) 2007-03-06 2016-05-04 Covidien LP Wound closure material
US8011550B2 (en) 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US9888924B2 (en) 2007-03-06 2018-02-13 Covidien Lp Wound closure material
ES2606949T3 (es) 2007-03-06 2017-03-28 Covidien Lp Aparato de grapado quirúrgico
US20100076489A1 (en) 2007-03-06 2010-03-25 Joshua Stopek Wound closure material
US20110016960A1 (en) 2007-03-13 2011-01-27 Franck Debrailly Device For Detecting Angular Position, Electric Motor, Steering Column And Reduction Gear
WO2008112912A2 (en) 2007-03-13 2008-09-18 Smith & Nephew, Inc. Internal fixation devices
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US7431188B1 (en) 2007-03-15 2008-10-07 Tyco Healthcare Group Lp Surgical stapling apparatus with powered articulation
US7776065B2 (en) 2007-03-20 2010-08-17 Symmetry Medical New Bedford Inc End effector mechanism for a surgical instrument
US8308725B2 (en) 2007-03-20 2012-11-13 Minos Medical Reverse sealing and dissection instrument
EP2139411B1 (en) 2007-03-22 2017-05-03 Covidien LP Apparatus for forming variable height surgical fasteners
US8608745B2 (en) 2007-03-26 2013-12-17 DePuy Synthes Products, LLC System, apparatus, and method for cutting bone during an orthopaedic surgical procedure
CN101641051B (zh) 2007-03-26 2011-11-23 Tyco医疗健康集团 内窥镜手术施夹器
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
EP1975161A1 (en) 2007-03-28 2008-10-01 Laboratorios del Dr. Esteve S.A. Heterocyclyl-substituted- tetrahydro-napthalen-amine derivatives, their preparation and use as medicaments
US7490749B2 (en) 2007-03-28 2009-02-17 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with manually retractable firing member
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US8496153B2 (en) 2007-03-29 2013-07-30 Covidien Lp Anvil-mounted dissecting tip for surgical stapling device
US8377044B2 (en) 2007-03-30 2013-02-19 Ethicon Endo-Surgery, Inc. Detachable end effectors
US7923144B2 (en) 2007-03-31 2011-04-12 Tesla Motors, Inc. Tunable frangible battery pack system
JP5006093B2 (ja) 2007-04-03 2012-08-22 テルモ株式会社 マニピュレータシステム及び制御装置
US20080249608A1 (en) 2007-04-04 2008-10-09 Vipul Dave Bioabsorbable Polymer, Bioabsorbable Composite Stents
FR2914554B1 (fr) 2007-04-05 2009-07-17 Germitec Soc Par Actions Simpl Procede de suivi de l'uitilisation d'un appareil medical.
US20090270895A1 (en) 2007-04-06 2009-10-29 Interlace Medical, Inc. Low advance ratio, high reciprocation rate tissue removal device
US9427223B2 (en) 2007-04-09 2016-08-30 Creative Surgical, Llc Frame device
US8006885B2 (en) 2007-04-09 2011-08-30 Tyco Healthcare Group Lp Surgical stapling apparatus with powered retraction
AU2008240272B2 (en) 2007-04-11 2013-08-29 Covidien Lp Surgical clip applier
US8800837B2 (en) 2007-04-13 2014-08-12 Covidien Lp Powered surgical instrument
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US7708182B2 (en) 2007-04-17 2010-05-04 Tyco Healthcare Group Lp Flexible endoluminal surgical instrument
US8177776B2 (en) 2007-04-20 2012-05-15 Doheny Eye Institute Independent surgical center
EP1986123A1 (en) 2007-04-27 2008-10-29 Italdata Ingegneria Dell'Idea S.p.A. Data survey device, integrated with an anti-tamper system
US7823760B2 (en) 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
US20080281171A1 (en) 2007-05-08 2008-11-13 Abbott Diabetes Care, Inc. Analyte monitoring system and methods
JP4348714B2 (ja) 2007-05-10 2009-10-21 シャープ株式会社 データ送信システム及びデータ送信方法
US7931660B2 (en) 2007-05-10 2011-04-26 Tyco Healthcare Group Lp Powered tacker instrument
EP2157918B1 (en) 2007-05-12 2014-06-11 Barosense, Inc. Devices for stomach partitioning
US7810691B2 (en) 2007-05-16 2010-10-12 The Invention Science Fund I, Llc Gentle touch surgical stapler
US7823761B2 (en) 2007-05-16 2010-11-02 The Invention Science Fund I, Llc Maneuverable surgical stapler
US7832611B2 (en) 2007-05-16 2010-11-16 The Invention Science Fund I, Llc Steerable surgical stapler
US9545258B2 (en) 2007-05-17 2017-01-17 Boston Scientific Scimed, Inc. Tissue aperture securing and sealing apparatuses and related methods of use
US8910846B2 (en) 2007-05-17 2014-12-16 Covidien Lp Gear driven knife drive mechanism
US8038045B2 (en) 2007-05-25 2011-10-18 Tyco Healthcare Group Lp Staple buttress retention system
US7549564B2 (en) 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US20080297287A1 (en) 2007-05-30 2008-12-04 Magnetecs, Inc. Magnetic linear actuator for deployable catheter tools
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US20080296346A1 (en) 2007-05-31 2008-12-04 Shelton Iv Frederick E Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
KR101349639B1 (ko) 2007-06-04 2014-01-09 타이코 일렉트로닉스 저팬 지.케이. 일체형 감지스위치를 갖는 메모리카드 및 ｓｉｍ카드장착소켓
US8945148B2 (en) 2007-06-13 2015-02-03 Intuitive Surgical Operations, Inc. Surgical system instrument manipulator
US7588176B2 (en) 2007-06-18 2009-09-15 Ethicon Endo-Surgery, Inc. Surgical cutting instrument with improved closure system
US7950561B2 (en) 2007-06-18 2011-05-31 Tyco Healthcare Group Lp Structure for attachment of buttress material to anvils and cartridges of surgical staplers
US7665646B2 (en) 2007-06-18 2010-02-23 Tyco Healthcare Group Lp Interlocking buttress material retention system
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US7597229B2 (en) 2007-06-22 2009-10-06 Ethicon Endo-Surgery, Inc. End effector closure system for a surgical stapling instrument
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7441685B1 (en) 2007-06-22 2008-10-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a return mechanism
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US7604150B2 (en) 2007-06-22 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an anti-back up mechanism
US8062330B2 (en) 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
US20090004455A1 (en) 2007-06-27 2009-01-01 Philippe Gravagna Reinforced composite implant
CN101873834B (zh) 2007-06-29 2012-12-05 伊西康内外科公司 与外科手术缝合器械一起使用的垫圈
DE102007031008A1 (de) 2007-07-04 2009-01-08 Braun Gmbh Vorrichtung mit elektrischem Gerät und Ladestation
US7600663B2 (en) 2007-07-05 2009-10-13 Green David T Apparatus for stapling and incising tissue
US8758366B2 (en) 2007-07-09 2014-06-24 Neotract, Inc. Multi-actuating trigger anchor delivery system
US9358113B2 (en) 2007-07-10 2016-06-07 Warsaw Orthopedic, Inc. Delivery system
US8348972B2 (en) 2007-07-11 2013-01-08 Covidien Lp Surgical staple with augmented compression area
JP2009028157A (ja) 2007-07-25 2009-02-12 Terumo Corp 医療用マニピュレータシステム
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US7787256B2 (en) 2007-08-10 2010-08-31 Gore Enterprise Holdings, Inc. Tamper respondent system
US20090048589A1 (en) 2007-08-14 2009-02-19 Tomoyuki Takashino Treatment device and treatment method for living tissue
EP2626027B1 (en) 2007-08-14 2020-04-29 Koninklijke Philips N.V. Robotic instrument systems utilizing optical fiber sensors
WO2009023745A1 (en) 2007-08-14 2009-02-19 The Regents Of The University Of California Mesocellular oxide foams as hemostatic compositions and methods of use
WO2009023851A1 (en) 2007-08-15 2009-02-19 Board Of Regents Of The University Of Nebraska Modular and cooperative medical devices and related systems and methods
US7556185B2 (en) 2007-08-15 2009-07-07 Tyco Healthcare Group Lp Surgical instrument with flexible drive mechanism
KR100905784B1 (ko) 2007-08-16 2009-07-02 주식회사 하이닉스반도체 반도체 패키지용 관통 전극 및 이를 갖는 반도체 패키지
US9005238B2 (en) 2007-08-23 2015-04-14 Covidien Lp Endoscopic surgical devices
US7967181B2 (en) 2007-08-29 2011-06-28 Tyco Healthcare Group Lp Rotary knife cutting systems
US8061576B2 (en) 2007-08-31 2011-11-22 Tyco Healthcare Group Lp Surgical instrument
US7624902B2 (en) 2007-08-31 2009-12-01 Tyco Healthcare Group Lp Surgical stapling apparatus
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US7988026B2 (en) 2007-09-06 2011-08-02 Cardica, Inc. Endocutter with staple feed
US8556151B2 (en) 2007-09-11 2013-10-15 Covidien Lp Articulating joint for surgical instruments
US8257386B2 (en) 2007-09-11 2012-09-04 Cambridge Endoscopic Devices, Inc. Surgical instrument
US8317790B2 (en) 2007-09-14 2012-11-27 W. L. Gore & Associates, Inc. Surgical staple line reinforcements
JP2009084281A (ja) 2007-09-18 2009-04-23 Ethicon Endo Surgery Inc 術後イレウスの低減のための方法
US20090076506A1 (en) 2007-09-18 2009-03-19 Surgrx, Inc. Electrosurgical instrument and method
US7513407B1 (en) 2007-09-20 2009-04-07 Acuman Power Tools Corp. Counterforce-counteracting device for a nailer
AU2008302039B2 (en) 2007-09-21 2013-07-18 Covidien Lp Surgical device
CN101801283B (zh) 2007-09-21 2012-07-18 Tyco医疗健康集团 手术器械
US9023014B2 (en) 2007-09-21 2015-05-05 Covidien Lp Quick connect assembly for use between surgical handle assembly and surgical accessories
US8678263B2 (en) 2007-09-24 2014-03-25 Covidien Lp Materials delivery system for stapling device
US9597080B2 (en) 2007-09-24 2017-03-21 Covidien Lp Insertion shroud for surgical instrument
US8721666B2 (en) 2007-09-26 2014-05-13 Ethicon, Inc. Method of facial reconstructive surgery using a self-anchoring tissue lifting device
US20090088659A1 (en) 2007-09-27 2009-04-02 Immersion Corporation Biological Sensing With Haptic Feedback
SE0702168L (sv) * 2007-09-28 2009-03-10 Ecolean Res & Dev As Anordning och metod för hantering av en förpackning
US7703653B2 (en) 2007-09-28 2010-04-27 Tyco Healthcare Group Lp Articulation mechanism for surgical instrument
US9050120B2 (en) 2007-09-30 2015-06-09 Intuitive Surgical Operations, Inc. Apparatus and method of user interface with alternate tool mode for robotic surgical tools
US9707003B2 (en) 2007-10-02 2017-07-18 Covidien Lp Articulating surgical instrument
US8285367B2 (en) 2007-10-05 2012-10-09 The Invention Science Fund I, Llc Vasculature and lymphatic system imaging and ablation associated with a reservoir
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US8012170B2 (en) 2009-04-27 2011-09-06 Tyco Healthcare Group Lp Device and method for controlling compression of tissue
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US20110022032A1 (en) 2007-10-05 2011-01-27 Tyco Healthcare Group Lp Battery ejection design for a surgical device
EP2428166A1 (en) 2007-10-05 2012-03-14 Tyco Healthcare Group LP Surgical stapler having a nutating gear drive
US20130214025A1 (en) 2007-10-05 2013-08-22 Covidien Lp Powered surgical stapling device
US8967443B2 (en) 2007-10-05 2015-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US10500309B2 (en) 2007-10-05 2019-12-10 Cook Biotech Incorporated Absorbable adhesives and their formulation for use in medical applications
ES2426767T3 (es) 2007-10-08 2013-10-25 Gore Enterprise Holdings, Inc. Aparato para suministrar un refuerzo de líneas de grapas quirúrgicas
US20120289979A1 (en) 2007-10-08 2012-11-15 Sherif Eskaros Apparatus for Supplying Surgical Staple Line Reinforcement
US8044536B2 (en) 2007-10-10 2011-10-25 Ams Research Corporation Powering devices having low and high voltage circuits
US20090099579A1 (en) 2007-10-16 2009-04-16 Tyco Healthcare Group Lp Self-adherent implants and methods of preparation
US7945792B2 (en) 2007-10-17 2011-05-17 Spansion Llc Tamper reactive memory device to secure data from tamper attacks
EP3225209B1 (en) 2007-10-17 2023-05-24 Davol, Inc. Fixating means between a mesh and mesh deployment means especially useful for hernia repair surgeries
US8142425B2 (en) 2007-10-30 2012-03-27 Hemostatix Medical Techs, LLC Hemostatic surgical blade, system and method of blade manufacture
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US8980299B2 (en) 2007-10-31 2015-03-17 Cordis Corporation Method of making a vascular closure device
JP5364255B2 (ja) 2007-10-31 2013-12-11 テルモ株式会社 医療用マニピュレータ
US7954687B2 (en) 2007-11-06 2011-06-07 Tyco Healthcare Group Lp Coated surgical staples and an illuminated staple cartridge for a surgical stapling instrument
JP2009115640A (ja) 2007-11-07 2009-05-28 Honda Motor Co Ltd ナビゲーション装置
US20100267662A1 (en) 2007-11-08 2010-10-21 Ceapro, Inc. Avenanthramide-containing compositions
US8425600B2 (en) 2007-11-14 2013-04-23 G. Patrick Maxwell Interfaced medical implant assembly
US8125168B2 (en) 2007-11-19 2012-02-28 Honeywell International Inc. Motor having controllable torque
GB0722820D0 (en) 2007-11-21 2008-01-02 Smith & Nephew Vacuum assisted wound dressing
CA2705896C (en) 2007-11-21 2019-01-08 Smith & Nephew Plc Wound dressing
WO2009067649A2 (en) 2007-11-21 2009-05-28 Ethicon Endo-Surgery, Inc. Bipolar forceps having a cutting element
HUE043133T2 (hu) 2007-11-21 2019-07-29 Smith & Nephew Sebkötözés
US8457757B2 (en) 2007-11-26 2013-06-04 Micro Transponder, Inc. Implantable transponder systems and methods
US20090143855A1 (en) 2007-11-29 2009-06-04 Boston Scientific Scimed, Inc. Medical Device Including Drug-Loaded Fibers
JP5377944B2 (ja) 2007-11-30 2013-12-25 住友ベークライト株式会社 胃瘻用シース、シース付きダイレータ、挿入補助具付き胃瘻用シース、胃瘻カテーテルキット
US8061014B2 (en) 2007-12-03 2011-11-22 Covidien Ag Method of assembling a cordless hand-held ultrasonic cautery cutting device
US8663262B2 (en) 2007-12-03 2014-03-04 Covidien Ag Battery assembly for battery-powered surgical instruments
US8425545B2 (en) 2007-12-03 2013-04-23 Covidien Ag Cordless hand-held ultrasonic cautery cutting device and method
US8419757B2 (en) 2007-12-03 2013-04-16 Covidien Ag Cordless hand-held ultrasonic cautery cutting device
US9314261B2 (en) 2007-12-03 2016-04-19 Covidien Ag Battery-powered hand-held ultrasonic surgical cautery cutting device
US9107690B2 (en) 2007-12-03 2015-08-18 Covidien Ag Battery-powered hand-held ultrasonic surgical cautery cutting device
US7772720B2 (en) 2007-12-03 2010-08-10 Spx Corporation Supercapacitor and charger for secondary power
US8338726B2 (en) 2009-08-26 2012-12-25 Covidien Ag Two-stage switch for cordless hand-held ultrasonic cautery cutting device
US8319002B2 (en) 2007-12-06 2012-11-27 Nanosys, Inc. Nanostructure-enhanced platelet binding and hemostatic structures
WO2009073815A1 (en) 2007-12-06 2009-06-11 Cpair, Inc. Cpr system with feed back instruction
JP5235394B2 (ja) 2007-12-06 2013-07-10 株式会社ハーモニック・エイディ 切替式回転駆動装置
US8180458B2 (en) 2007-12-17 2012-05-15 Thermage, Inc. Method and apparatus for digital signal processing for radio frequency surgery measurements
US20090171147A1 (en) 2007-12-31 2009-07-02 Woojin Lee Surgical instrument
TWI348086B (en) 2008-01-02 2011-09-01 Mstar Semiconductor Inc Dc power converter and mode-switching method
US8727199B2 (en) 2008-01-03 2014-05-20 Covidien Lp Surgical stapler
US8287469B2 (en) 2008-01-09 2012-10-16 Ethicon Endo-Surgery, Inc. Articulating surgical device and method of use
WO2009089539A1 (en) 2008-01-10 2009-07-16 Power Medical Interventions, Inc. Imaging system for a surgical device
US8647258B2 (en) 2008-01-10 2014-02-11 Covidien Lp Apparatus for endoscopic procedures
US8031069B2 (en) 2008-01-14 2011-10-04 Oded Yair Cohn Electronic security seal and system
WO2009091497A2 (en) 2008-01-16 2009-07-23 John Hyoung Kim Minimally invasive surgical instrument
AU2009207489B2 (en) 2008-01-25 2014-09-11 Smith & Nephew Plc Multilayer scaffold
JP2011510750A (ja) 2008-01-29 2011-04-07 クライマン、ギルバート・エイチ 薬物送達デバイス、キット及びそれらの方法
US8006365B2 (en) 2008-01-30 2011-08-30 Easylap Ltd. Device and method for applying rotary tacks
JP5393703B2 (ja) 2008-01-30 2014-01-22 トムソン ライセンシング 制御可能な減衰段を有するｉｆフィルタを備えるチューナおよび個別のチューナを備える受信機
CN101219648B (zh) 2008-01-31 2010-12-08 北京经纬恒润科技有限公司 车灯转向驱动装置
US8870867B2 (en) 2008-02-06 2014-10-28 Aesculap Ag Articulable electrosurgical instrument with a stabilizable articulation actuator
US20090198272A1 (en) 2008-02-06 2009-08-06 Lawrence Kerver Method and apparatus for articulating the wrist of a laparoscopic grasping instrument
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8382792B2 (en) 2008-02-14 2013-02-26 Covidien Lp End effector assembly for electrosurgical device
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US20090206133A1 (en) 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Articulatable loading units for surgical stapling and cutting instruments
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
BRPI0903064B8 (pt) 2008-02-14 2021-06-22 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação acionado a motor com circuito de controle para otimizar o uso de bateria
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
BRPI0901282A2 (pt) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação dotado de eletrodos de rf
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
WO2009105158A2 (en) 2008-02-15 2009-08-27 Interventional & Surgical Innovations, Llc. Surgical instrument for grasping and cutting tissue
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US20090206126A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material with alignment and retention features for use with surgical end effectors
JP5507093B2 (ja) 2008-02-15 2014-05-28 エシコン・エンド−サージェリィ・インコーポレイテッド 支持体保持特徴部を有する外科手術用エンドエフェクタ
US20090206137A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading units for a surgical cutting and stapling instrument
US20090234273A1 (en) 2008-03-17 2009-09-17 Alfred Intoccia Surgical trocar with feedback
US8020741B2 (en) 2008-03-18 2011-09-20 Barosense, Inc. Endoscopic stapling devices and methods
US8491581B2 (en) 2008-03-19 2013-07-23 Covidien Ag Method for powering a surgical instrument
US8328802B2 (en) 2008-03-19 2012-12-11 Covidien Ag Cordless medical cauterization and cutting device
US8197501B2 (en) 2008-03-20 2012-06-12 Medtronic Xomed, Inc. Control for a powered surgical instrument
US8136713B2 (en) 2008-03-25 2012-03-20 Tyco Healthcare Group Lp Surgical stapling instrument having transducer effecting vibrations
US20090247901A1 (en) 2008-03-25 2009-10-01 Brian Zimmer Latching side removal spacer
US20090242610A1 (en) 2008-03-26 2009-10-01 Shelton Iv Frederick E Disposable loading unit and surgical instruments including same
US8317744B2 (en) 2008-03-27 2012-11-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter manipulator assembly
US20090247368A1 (en) 2008-03-31 2009-10-01 Boson Technology Co., Ltd. Sports health care apparatus with physiological monitoring function
US7886743B2 (en) 2008-03-31 2011-02-15 Intuitive Surgical Operations, Inc. Sterile drape interface for robotic surgical instrument
US9895813B2 (en) 2008-03-31 2018-02-20 Intuitive Surgical Operations, Inc. Force and torque sensing in a surgical robot setup arm
WO2009124097A1 (en) 2008-03-31 2009-10-08 Applied Medical Resources Corporation Electrosurgical system
JP5301867B2 (ja) 2008-04-07 2013-09-25 オリンパスメディカルシステムズ株式会社 医療用マニピュレータシステム
DE102008018158A1 (de) 2008-04-10 2009-10-15 Aesculap Ag Ligaturklammermagazin und Lagerkörper zur Verwendung in diesem
US8231041B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US7926691B2 (en) 2008-04-14 2011-04-19 Tyco Healthcare Group, L.P. Variable compression surgical fastener cartridge
US8100310B2 (en) 2008-04-14 2012-01-24 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US8231040B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US20090255974A1 (en) 2008-04-14 2009-10-15 Tyco Healthcare Group Lp Single loop surgical fastener apparatus for applying variable compression
US8170241B2 (en) 2008-04-17 2012-05-01 Intouch Technologies, Inc. Mobile tele-presence system with a microphone system
US20090262078A1 (en) 2008-04-21 2009-10-22 David Pizzi Cellular phone with special sensor functions
US8021375B2 (en) 2008-04-21 2011-09-20 Conmed Corporation Surgical clip applicator
US8028884B2 (en) 2008-04-22 2011-10-04 Tyco Healthcare Group Lp Cartridge for applying varying amounts of tissue compression
EP2502595B1 (en) 2008-05-05 2014-10-01 Stryker Corporation Control console for a surgical tool, the console capable of reading data from a memory integral with the tool from the console terminals over which power is sourced to the tool
US7997468B2 (en) 2008-05-05 2011-08-16 Tyco Healthcare Group Lp Surgical instrument with clamp
US8464922B2 (en) 2008-05-09 2013-06-18 Covidien Lp Variable compression surgical fastener cartridge
US8091756B2 (en) 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
US9016541B2 (en) 2008-05-09 2015-04-28 Covidien Lp Varying tissue compression with an anvil configuration
EP2116272B1 (en) 2008-05-09 2013-04-03 Greatbatch Ltd. Bi-directional sheath deflection mechanism
US8795308B2 (en) 2008-05-09 2014-08-05 Elmer Valin Laparoscopic gastric and intestinal trocar
US8967446B2 (en) 2008-05-09 2015-03-03 Covidien Lp Variable compression surgical fastener cartridge
US8186556B2 (en) 2008-05-09 2012-05-29 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US8409079B2 (en) 2008-05-14 2013-04-02 Olympus Medical Systems Corp. Electric bending operation device and medical treatment system including electric bending operation device
US8273404B2 (en) 2008-05-19 2012-09-25 Cordis Corporation Extraction of solvents from drug containing polymer reservoirs
US20090290016A1 (en) 2008-05-20 2009-11-26 Hoya Corporation Endoscope system
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
GB2471815A (en) 2008-05-21 2011-01-12 Cook Biotech Inc Devices and methods for applying bolster materials to surgical fastening apparatus
US8179705B2 (en) 2008-05-27 2012-05-15 Power-One, Inc. Apparatus and method of optimizing power system efficiency using a power loss model
US8016176B2 (en) 2008-06-04 2011-09-13 Tyco Healthcare Group, Lp Surgical stapling instrument with independent sequential firing
US8701959B2 (en) 2008-06-06 2014-04-22 Covidien Lp Mechanically pivoting cartridge channel for surgical instrument
US20090306639A1 (en) 2008-06-06 2009-12-10 Galil Medical Ltd. Cryoprobe incorporating electronic module, and system utilizing same
US7942303B2 (en) 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US20090308907A1 (en) 2008-06-12 2009-12-17 Nalagatla Anil K Partially reusable surgical stapler
WO2009150650A2 (en) 2008-06-12 2009-12-17 Ramot At Tel Aviv University Ltd. Drug-eluting medical devices
US8267951B2 (en) 2008-06-12 2012-09-18 Ncontact Surgical, Inc. Dissecting cannula and methods of use thereof
BRPI0915375B8 (pt) 2008-06-12 2021-06-22 Ethicon Endo Surgery Inc grampeador cirúrgico destinado à instalação de grampos em tecidos
US8628545B2 (en) 2008-06-13 2014-01-14 Covidien Lp Endoscopic stitching devices
US20140100558A1 (en) 2012-10-05 2014-04-10 Gregory P. Schmitz Micro-articulated surgical instruments using micro gear actuation
US7543730B1 (en) 2008-06-24 2009-06-09 Tyco Healthcare Group Lp Segmented drive member for surgical instruments
US8011551B2 (en) 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
SE532636C2 (sv) * 2008-07-02 2010-03-09 Ecolean Res & Dev As Anordning för fyllning av förpackningar
EP2303139B1 (en) 2008-07-08 2019-09-18 Covidien LP Robotic surgical system comprising a surgical attachment
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US9204923B2 (en) 2008-07-16 2015-12-08 Intuitive Surgical Operations, Inc. Medical instrument electronically energized using drive cables
US8074858B2 (en) 2008-07-17 2011-12-13 Tyco Healthcare Group Lp Surgical retraction mechanism
US20110088921A1 (en) 2008-07-25 2011-04-21 Sylvain Forgues Pneumatic hand tool rotational speed control method and portable apparatus
US20100023024A1 (en) 2008-07-25 2010-01-28 Zeiner Mark S Reloadable laparoscopic fastener deploying device with disposable cartridge for use in a gastric volume reduction procedure
US8801752B2 (en) 2008-08-04 2014-08-12 Covidien Lp Articulating surgical device
US8968355B2 (en) 2008-08-04 2015-03-03 Covidien Lp Articulating surgical device
US8058771B2 (en) 2008-08-06 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating with stepped output
US20100036370A1 (en) 2008-08-07 2010-02-11 Al Mirel Electrosurgical instrument jaw structure with cutting tip
US8109426B2 (en) 2008-08-12 2012-02-07 Tyco Healthcare Group Lp Surgical tilt anvil assembly
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US8465475B2 (en) 2008-08-18 2013-06-18 Intuitive Surgical Operations, Inc. Instrument with multiple articulation locks
US8532747B2 (en) 2008-08-22 2013-09-10 Devicor Medical Products, Inc. Biopsy marker delivery device
US8465502B2 (en) 2008-08-25 2013-06-18 Covidien Lp Surgical clip applier and method of assembly
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
US9358015B2 (en) 2008-08-29 2016-06-07 Covidien Lp Endoscopic surgical clip applier with wedge plate
US8113405B2 (en) 2008-09-03 2012-02-14 Tyco Healthcare Group, Lp Surgical instrument with indicator
US20100051668A1 (en) 2008-09-03 2010-03-04 Milliman Keith L Surgical instrument with indicator
US20120125792A1 (en) 2008-09-08 2012-05-24 Mayo Foundation For Medical Education And Research Devices, kits and methods for surgical fastening
US8808294B2 (en) 2008-09-09 2014-08-19 William Casey Fox Method and apparatus for a multiple transition temperature implant
CN101669833A (zh) 2008-09-11 2010-03-17 苏州天臣国际医疗科技有限公司 自动荷包缝合器
US8047236B2 (en) 2008-09-12 2011-11-01 Boston Scientific Scimed, Inc. Flexible conduit with locking element
US20100069942A1 (en) 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US7837080B2 (en) 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
BRPI0904975B1 (pt) 2008-09-19 2019-09-10 Ethicon Endo Surgery Inc grampeador cirúrgico
JP5631568B2 (ja) 2008-09-19 2014-11-26 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 切断部材構造を備えた外科用ステープリング器具
US7896214B2 (en) 2008-09-23 2011-03-01 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8360298B2 (en) 2008-09-23 2013-01-29 Covidien Lp Surgical instrument and loading unit for use therewith
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8628544B2 (en) * 2008-09-23 2014-01-14 Covidien Lp Knife bar for surgical instrument
US8215532B2 (en) 2008-09-23 2012-07-10 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
JP2010075242A (ja) 2008-09-24 2010-04-08 Terumo Corp 医療用マニピュレータ
US9259274B2 (en) 2008-09-30 2016-02-16 Intuitive Surgical Operations, Inc. Passive preload and capstan drive for surgical instruments
JP5475262B2 (ja) 2008-10-01 2014-04-16 テルモ株式会社 医療用マニピュレータ
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8808308B2 (en) 2008-10-13 2014-08-19 Alcon Research, Ltd. Automated intraocular lens injector device
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US20100094340A1 (en) 2008-10-15 2010-04-15 Tyco Healthcare Group Lp Coating compositions
US7918377B2 (en) 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
JP2010098844A (ja) 2008-10-16 2010-04-30 Toyota Motor Corp 車両の電源システム
US9889230B2 (en) 2008-10-17 2018-02-13 Covidien Lp Hemostatic implant
US8063619B2 (en) 2008-10-20 2011-11-22 Dell Products L.P. System and method for powering an information handling system in multiple power states
US8996165B2 (en) 2008-10-21 2015-03-31 Intouch Technologies, Inc. Telepresence robot with a camera boom
US9370341B2 (en) 2008-10-23 2016-06-21 Covidien Lp Surgical retrieval apparatus
US8561617B2 (en) 2008-10-30 2013-10-22 Ethicon, Inc. Implant systems and methods for treating obstructive sleep apnea
KR101075363B1 (ko) 2008-10-31 2011-10-19 정창욱 최소 침습 수술 도구를 포함하는 수술용 로봇 시스템
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
EP2346541A2 (en) 2008-11-07 2011-07-27 Sofradim Production Medical implant including a 3d mesh of oxidized cellulose and a collagen sponge
US7934631B2 (en) 2008-11-10 2011-05-03 Barosense, Inc. Multi-fire stapling systems and methods for delivering arrays of staples
US8657821B2 (en) 2008-11-14 2014-02-25 Revascular Therapeutics Inc. Method and system for reversibly controlled drilling of luminal occlusions
US7886951B2 (en) 2008-11-24 2011-02-15 Tyco Healthcare Group Lp Pouch used to deliver medication when ruptured
KR101658960B1 (ko) 2008-11-27 2016-09-22 얀센 파마슈티카 엔.브이. 티올기 조절 효소 억제제 및 피리온 화합물을 포함하는 살생물 조성물
GB0822110D0 (en) 2008-12-03 2009-01-07 Angiomed Ag Catheter sheath for implant delivery
GB2466180B (en) 2008-12-05 2013-07-10 Surgical Innovations Ltd Surgical instrument, handle for a surgical instrument and surgical instrument system
US8034363B2 (en) 2008-12-11 2011-10-11 Advanced Technologies And Regenerative Medicine, Llc. Sustained release systems of ascorbic acid phosphate
US20100331856A1 (en) 2008-12-12 2010-12-30 Hansen Medical Inc. Multiple flexible and steerable elongate instruments for minimally invasive operations
US8060250B2 (en) 2008-12-15 2011-11-15 GM Global Technology Operations LLC Joint-space impedance control for tendon-driven manipulators
US20100147921A1 (en) 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
US8245594B2 (en) 2008-12-23 2012-08-21 Intuitive Surgical Operations, Inc. Roll joint and method for a surgical apparatus
US8770460B2 (en) 2008-12-23 2014-07-08 George E. Belzer Shield for surgical stapler and method of use
US8281974B2 (en) 2009-01-14 2012-10-09 Tyco Healthcare, Group LP Surgical stapler with suture locator
US20100180711A1 (en) 2009-01-19 2010-07-22 Comau, Inc. Robotic end effector system and method
US20110278343A1 (en) 2009-01-29 2011-11-17 Cardica, Inc. Clamping of Hybrid Surgical Instrument
US8228048B2 (en) 2009-01-30 2012-07-24 Hewlett-Packard Development Company, L.P. Method and system of regulating voltages
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US8523900B2 (en) 2009-02-03 2013-09-03 Terumo Kabushiki Kaisha Medical manipulator
US20100193566A1 (en) 2009-02-05 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8245899B2 (en) 2009-02-06 2012-08-21 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US20110024478A1 (en) 2009-02-06 2011-02-03 Shelton Iv Frederick E Driven Surgical Stapler Improvements
WO2010090940A1 (en) 2009-02-06 2010-08-12 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
CN102316823B (zh) 2009-02-11 2016-06-08 新加坡南洋理工大学 多层外科用假体
US8708211B2 (en) 2009-02-12 2014-04-29 Covidien Lp Powered surgical instrument with secondary circuit board
US20100204717A1 (en) 2009-02-12 2010-08-12 Cardica, Inc. Surgical Device for Multiple Clip Application
US20100298636A1 (en) 2009-02-19 2010-11-25 Salvatore Castro Flexible rigidizing instruments
US8393516B2 (en) 2009-02-26 2013-03-12 Covidien Lp Surgical stapling apparatus with curved cartridge and anvil assemblies
EP2442735B1 (en) 2009-02-27 2020-09-02 Amir Belson Improved apparatus for hybrid endoscopic and laparoscopic surgery
US8317071B1 (en) 2009-03-09 2012-11-27 Cardica, Inc. Endocutter with auto-feed buttress
US8356740B1 (en) 2009-03-09 2013-01-22 Cardica, Inc. Controlling compression applied to tissue by surgical tool
US7918376B1 (en) 2009-03-09 2011-04-05 Cardica, Inc. Articulated surgical instrument
DE102009013034B4 (de) 2009-03-16 2015-11-19 Olympus Winter & Ibe Gmbh Autoklavierbare Aufladevorrichtung für einen Energiespeicher eines chirurgischen Instruments sowie Verfahren zum Aufladen eines wiederaufladbaren Energiespeichers in einem autoklavierten chirurgischen Instrument oder für ein autoklaviertes chirurgisches Instrument
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US8092443B2 (en) 2009-03-30 2012-01-10 Medtronic, Inc. Element for implantation with medical device
US20100249497A1 (en) 2009-03-30 2010-09-30 Peine William J Surgical instrument
US8110208B1 (en) 2009-03-30 2012-02-07 Biolife, L.L.C. Hemostatic compositions for arresting blood flow from an open wound or surgical site
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US7988027B2 (en) 2009-03-31 2011-08-02 Tyco Healthcare Group Lp Crimp and release of suture holding buttress material
US8348126B2 (en) 2009-03-31 2013-01-08 Covidien Lp Crimp and release of suture holding buttress material
US7967179B2 (en) 2009-03-31 2011-06-28 Tyco Healthcare Group Lp Center cinch and release of buttress material
US8945163B2 (en) 2009-04-01 2015-02-03 Ethicon Endo-Surgery, Inc. Methods and devices for cutting and fastening tissue
KR101132659B1 (ko) 2009-04-02 2012-04-02 한국과학기술원 4 자유도를 가진 복강경 수술장치
WO2010114634A1 (en) 2009-04-03 2010-10-07 The Board Of Trustees Of The Leland Stanford Junior University Surgical device and method
US8257251B2 (en) 2009-04-08 2012-09-04 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US8444549B2 (en) 2009-04-16 2013-05-21 Covidien Lp Self-steering endoscopic device
US20100274160A1 (en) 2009-04-22 2010-10-28 Chie Yachi Switching structure and surgical equipment
US8922163B2 (en) 2009-04-24 2014-12-30 Murray MacDonald Automated battery and data delivery system
WO2010126912A1 (en) 2009-04-27 2010-11-04 Intersect Ent, Inc. Devices and methods for treating pain associated with tonsillectomies
US8167898B1 (en) 2009-05-05 2012-05-01 Cardica, Inc. Flexible cutter for surgical stapler
US8365975B1 (en) 2009-05-05 2013-02-05 Cardica, Inc. Cam-controlled knife for surgical instrument
US9038881B1 (en) 2009-05-05 2015-05-26 Cardica, Inc. Feeder belt actuation mechanism for true multi-fire surgical stapler
US8328064B2 (en) 2009-05-06 2012-12-11 Covidien Lp Pin locking mechanism for a surgical instrument
US8523881B2 (en) 2010-07-26 2013-09-03 Valtech Cardio, Ltd. Multiple anchor delivery tool
US8127976B2 (en) 2009-05-08 2012-03-06 Tyco Healthcare Group Lp Stapler cartridge and channel interlock
US20100292540A1 (en) 2009-05-12 2010-11-18 Hess Christopher J Surgical retractor and method
US8308043B2 (en) 2009-05-19 2012-11-13 Covidien Lp Recognition of interchangeable component of a device
US8418909B2 (en) 2009-06-02 2013-04-16 Covidien Lp Surgical instrument and method for performing a resection
US8056789B1 (en) 2009-06-03 2011-11-15 Cardica, Inc. Staple and feeder belt configurations for surgical stapler
US9086875B2 (en) 2009-06-05 2015-07-21 Qualcomm Incorporated Controlling power consumption of a mobile device based on gesture recognition
US8132706B2 (en) 2009-06-05 2012-03-13 Tyco Healthcare Group Lp Surgical stapling apparatus having articulation mechanism
CH701320B1 (it) 2009-06-16 2013-10-15 Frii S A Dispositivo per trattamenti di resezione/rimozione endoscopica dei tessuti.
US8827134B2 (en) 2009-06-19 2014-09-09 Covidien Lp Flexible surgical stapler with motor in the head
US9463260B2 (en) 2009-06-29 2016-10-11 Covidien Lp Self-sealing compositions
US8784404B2 (en) 2009-06-29 2014-07-22 Carefusion 2200, Inc. Flexible wrist-type element and methods of manufacture and use thereof
KR101180665B1 (ko) 2009-07-03 2012-09-07 주식회사 이턴 하이브리드 수술용 로봇 시스템 및 수술용 로봇 제어방법
CN101940844A (zh) 2009-07-03 2011-01-12 林翠琼 模拟狗尾摆动装置
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
US8276802B2 (en) 2009-07-11 2012-10-02 Tyco Healthcare Group Lp Surgical instrument with double cartridge and anvil assemblies
ES2723707T3 (es) 2009-07-15 2019-08-30 Ethicon Llc Instrumentos quirúrgicos ultrasónicos que tienen pinza
US20110011916A1 (en) 2009-07-16 2011-01-20 New York University Anastomosis device
US8328062B2 (en) 2009-07-21 2012-12-11 Covidien Lp Surgical instrument with curvilinear tissue-contacting surfaces
US8205779B2 (en) 2009-07-23 2012-06-26 Tyco Healthcare Group Lp Surgical stapler with tactile feedback system
US20110021871A1 (en) 2009-07-27 2011-01-27 Gerry Berkelaar Laparoscopic surgical instrument
US20110025311A1 (en) 2009-07-29 2011-02-03 Logitech Europe S.A. Magnetic rotary system for input devices
FR2948594B1 (fr) 2009-07-31 2012-07-20 Dexterite Surgical Manipulateur ergonomique et semi-automatique et applications aux instruments pour chirurgie mini-invasive
US8968358B2 (en) 2009-08-05 2015-03-03 Covidien Lp Blunt tissue dissection surgical instrument jaw designs
US10383629B2 (en) 2009-08-10 2019-08-20 Covidien Lp System and method for preventing reprocessing of a powered surgical instrument
US8276801B2 (en) 2011-02-01 2012-10-02 Tyco Healthcare Group Lp Surgical stapling apparatus
US20110036891A1 (en) 2009-08-11 2011-02-17 Tyco Healthcare Group Lp Surgical stapler with visual positional indicator
US8955732B2 (en) 2009-08-11 2015-02-17 Covidien Lp Surgical stapling apparatus
US8360299B2 (en) 2009-08-11 2013-01-29 Covidien Lp Surgical stapling apparatus
US20110046667A1 (en) 2009-08-17 2011-02-24 Patrick John Culligan Apparatus for housing a plurality of needles and method of use therefor
US8342378B2 (en) 2009-08-17 2013-01-01 Covidien Lp One handed stapler
US8733612B2 (en) 2009-08-17 2014-05-27 Covidien Lp Safety method for powered surgical instruments
US9265500B2 (en) 2009-08-19 2016-02-23 Covidien Lp Surgical staple
US8387848B2 (en) 2009-08-20 2013-03-05 Covidien Lp Surgical staple
US8162965B2 (en) 2009-09-09 2012-04-24 Tyco Healthcare Group Lp Low profile cutting assembly with a return spring
US8258745B2 (en) 2009-09-10 2012-09-04 Syntheon, Llc Surgical sterilizer with integrated battery charging device
US9168144B2 (en) 2009-09-14 2015-10-27 Evgeny Rivin Prosthesis for replacement of cartilage
DE102009041329A1 (de) 2009-09-15 2011-03-24 Celon Ag Medical Instruments Kombiniertes Ultraschall- und HF Chirurgisches System
US8470355B2 (en) 2009-10-01 2013-06-25 Covidien Lp Mesh implant
US20110082538A1 (en) 2009-10-01 2011-04-07 Jonathan Dahlgren Medical device, kit and method for constricting tissue or a bodily orifice, for example, a mitral valve
US8970507B2 (en) 2009-10-02 2015-03-03 Blackberry Limited Method of waking up and a portable electronic device configured to perform the same
US8430892B2 (en) 2009-10-06 2013-04-30 Covidien Lp Surgical clip applier having a wireless clip counter
US9168054B2 (en) 2009-10-09 2015-10-27 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
EP2679175A1 (en) 2009-10-09 2014-01-01 Ethicon Endo-Surgery, Inc. Surgical instrument
US8152041B2 (en) 2009-10-14 2012-04-10 Tyco Healthcare Group Lp Varying tissue compression aided by elastic members
US9610080B2 (en) 2009-10-15 2017-04-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US20150231409A1 (en) 2009-10-15 2015-08-20 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US8157151B2 (en) 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US8413872B2 (en) 2009-10-28 2013-04-09 Covidien Lp Surgical fastening apparatus
US8430292B2 (en) 2009-10-28 2013-04-30 Covidien Lp Surgical fastening apparatus
US8322590B2 (en) 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
WO2011052391A1 (ja) 2009-10-28 2011-05-05 オリンパスメディカルシステムズ株式会社 医療用装置
US8398633B2 (en) 2009-10-30 2013-03-19 Covidien Lp Jaw roll joint
US20110112517A1 (en) 2009-11-06 2011-05-12 Peine Willliam J Surgical instrument
US20110112530A1 (en) 2009-11-06 2011-05-12 Keller Craig A Battery Powered Electrosurgery
US8162138B2 (en) 2009-11-09 2012-04-24 Containmed, Inc. Universal surgical fastener sterilization caddy
EP2498710B1 (en) 2009-11-13 2018-05-16 Intuitive Surgical Operations, Inc. Motor interface for parallel drive shafts within an independently rotating member
CN102596088B (zh) 2009-11-13 2015-05-27 直观外科手术操作公司 具有紧凑腕部的手术工具
CN102596058B (zh) 2009-11-13 2015-10-21 直观外科手术操作公司 具有复设的闭合机构的末端执行器
US8899466B2 (en) 2009-11-19 2014-12-02 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8714430B2 (en) 2009-12-31 2014-05-06 Covidien Lp Indicator for surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8313509B2 (en) 2010-01-19 2012-11-20 Covidien Lp Suture and retainer assembly and SULU
AU2011341678B2 (en) 2010-01-21 2014-12-11 OrthAlign, Inc. Systems and methods for joint replacement
JP5231658B2 (ja) 2010-01-22 2013-07-10 オリンパスメディカルシステムズ株式会社 治療用処置装置および治療用処置装置の制御方法
US8469254B2 (en) * 2010-01-22 2013-06-25 Covidien Lp Surgical instrument having a drive assembly
ES2662543T3 (es) 2010-01-26 2018-04-06 Artack Medical (2013) Ltd. Instrumento médico articulado
US9510925B2 (en) 2010-02-02 2016-12-06 Covidien Lp Surgical meshes
US8328061B2 (en) 2010-02-02 2012-12-11 Covidien Lp Surgical instrument for joining tissue
US8911426B2 (en) 2010-02-08 2014-12-16 On Demand Therapeutics, Inc. Low-permeability, laser-activated drug delivery device
JP5432761B2 (ja) 2010-02-12 2014-03-05 株式会社マキタ 複数のバッテリパックを電源とする電動工具
US20110199225A1 (en) 2010-02-15 2011-08-18 Honeywell International Inc. Use of token switch to indicate unauthorized manipulation of a protected device
CN101779977B (zh) 2010-02-25 2011-12-14 上海创亿医疗器械技术有限公司 外科线形切割缝合器的钉仓
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
US8403832B2 (en) 2010-02-26 2013-03-26 Covidien Lp Drive mechanism for articulation of a surgical instrument
US20110218550A1 (en) 2010-03-08 2011-09-08 Tyco Healthcare Group Lp System and method for determining and adjusting positioning and orientation of a surgical device
AU2011200961B2 (en) 2010-03-12 2014-05-29 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8575880B2 (en) 2010-03-17 2013-11-05 Alan Lyndon Grantz Direct current motor with independently driven and switchable stators
US9023032B2 (en) * 2010-03-25 2015-05-05 Covidien Lp Shaped circuit boards suitable for use in electrosurgical devices and rotatable assemblies including same
US8696665B2 (en) 2010-03-26 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical cutting and sealing instrument with reduced firing force
DE102010013150A1 (de) 2010-03-27 2011-09-29 Volkswagen Ag Vorrichtung zur thermischen Isolierung mindestens einer Fahrzeugbatterie
US20110241597A1 (en) 2010-03-30 2011-10-06 Lin Engineering H-bridge drive circuit for step motor control
WO2011122516A1 (ja) 2010-03-30 2011-10-06 テルモ株式会社 医療用マニピュレータシステム
WO2011123703A1 (en) 2010-03-31 2011-10-06 Smart Medical Devices, Inc. Depth controllable and measurable medical driver devices
WO2011127137A1 (en) 2010-04-06 2011-10-13 Pavel Menn Articulating steerable clip applier for laparoscopic procedures
US8348127B2 (en) 2010-04-07 2013-01-08 Covidien Lp Surgical fastener applying apparatus
US8662370B2 (en) 2010-04-08 2014-03-04 Hidehisa Thomas Takei Introducer system and assembly for surgical staplers
US8961504B2 (en) 2010-04-09 2015-02-24 Covidien Lp Optical hydrology arrays and system and method for monitoring water displacement during treatment of patient tissue
US8834518B2 (en) 2010-04-12 2014-09-16 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
ES2387255T3 (es) 2010-04-14 2012-09-19 Tuebingen Scientific Medical Gmbh Instrumento quirúrgico con cabeza de instrumento elásticamente movible
JP5823498B2 (ja) 2010-04-29 2015-11-25 エシコン・エルエルシーEthicon, LLC 高密度自己保持縫合糸、その製造装置及び方法
US20110275901A1 (en) 2010-05-07 2011-11-10 Ethicon Endo-Surgery, Inc. Laparoscopic devices with articulating end effectors
US8562592B2 (en) 2010-05-07 2013-10-22 Ethicon Endo-Surgery, Inc. Compound angle laparoscopic methods and devices
US20110276083A1 (en) 2010-05-07 2011-11-10 Ethicon Endo-Surgery, Inc. Bendable shaft for handle positioning
US8646674B2 (en) 2010-05-11 2014-02-11 Ethicon Endo-Surgery, Inc. Methods and apparatus for delivering tissue treatment compositions to stapled tissue
US8464925B2 (en) 2010-05-11 2013-06-18 Ethicon Endo-Surgery, Inc. Methods and apparatus for delivering tissue treatment compositions to stapled tissue
CN101828940A (zh) 2010-05-12 2010-09-15 苏州天臣国际医疗科技有限公司 弯曲型线性闭合切割器
US8958860B2 (en) 2010-05-17 2015-02-17 Covidien Lp Optical sensors for intraoperative procedures
US8685020B2 (en) 2010-05-17 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instruments and end effectors therefor
US20110293690A1 (en) 2010-05-27 2011-12-01 Tyco Healthcare Group Lp Biodegradable Polymer Encapsulated Microsphere Particulate Film and Method of Making Thereof
US8469991B2 (en) 2010-06-02 2013-06-25 Covidien Lp Apparatus for performing an electrosurgical procedure
KR101095099B1 (ko) 2010-06-07 2011-12-16 삼성전기주식회사 편평형 진동모터
US8795276B2 (en) 2010-06-09 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument employing a plurality of electrodes
US8825164B2 (en) 2010-06-11 2014-09-02 Enteromedics Inc. Neural modulation devices and methods
US20110313894A1 (en) 2010-06-18 2011-12-22 Dye Alan W System and Method for Surgical Pack Manufacture, Monitoring, and Tracking
US8596515B2 (en) 2010-06-18 2013-12-03 Covidien Lp Staple position sensor system
US8302323B2 (en) 2010-06-21 2012-11-06 Confluent Surgical, Inc. Hemostatic patch
US8366559B2 (en) 2010-06-23 2013-02-05 Lenkbar, Llc Cannulated flexible drive shaft
US9028495B2 (en) 2010-06-23 2015-05-12 Covidien Lp Surgical instrument with a separable coaxial joint
US20110315413A1 (en) 2010-06-25 2011-12-29 Mako Surgical Corp. Kit-Of Parts for Multi-Functional Tool, Drive Unit, and Operating Members
US20120004636A1 (en) 2010-07-02 2012-01-05 Denny Lo Hemostatic fibrous material
US9149324B2 (en) 2010-07-08 2015-10-06 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an articulatable end effector
WO2012006306A2 (en) 2010-07-08 2012-01-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an articulatable end effector
US20120016413A1 (en) 2010-07-14 2012-01-19 Ethicon Endo-Surgery, Inc. Surgical fastening devices comprising rivets
US8453906B2 (en) 2010-07-14 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical instruments with electrodes
US8439246B1 (en) 2010-07-20 2013-05-14 Cardica, Inc. Surgical stapler with cartridge-adjustable clamp gap
US8795327B2 (en) * 2010-07-22 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument with separate closure and cutting members
US8840609B2 (en) 2010-07-23 2014-09-23 Conmed Corporation Tissue fusion system and method of performing a functional verification test
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
US20120029272A1 (en) 2010-07-30 2012-02-02 Shelton Iv Frederick E Apparatus and methods for protecting adjacent structures during the insertion of a surgical instrument into a tubular organ
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
CN102378503A (zh) 2010-08-06 2012-03-14 鸿富锦精密工业（深圳）有限公司 电子装置组合
US8852199B2 (en) 2010-08-06 2014-10-07 Abyrx, Inc. Method and device for handling bone adhesives
CN101912284B (zh) 2010-08-13 2012-07-18 李东瑞 弧形切割吻合器
US8632738B2 (en) * 2010-08-30 2014-01-21 Health Robotics S.r.l Syringe actuating method and assembly
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US9402682B2 (en) 2010-09-24 2016-08-02 Ethicon Endo-Surgery, Llc Articulation joint features for articulating surgical device
US20130131651A1 (en) 2010-09-24 2013-05-23 Ethicon Endo-Surgery, Inc. Features providing linear actuation through articulation joint in surgical instrument
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US10231653B2 (en) 2010-09-29 2019-03-19 Dexcom, Inc. Advanced continuous analyte monitoring system
AU2011308701B2 (en) 2010-09-30 2013-11-14 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US10213198B2 (en) 2010-09-30 2019-02-26 Ethicon Llc Actuator for releasing a tissue thickness compensator from a fastener cartridge
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9301755B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Compressible staple cartridge assembly
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US20120248169A1 (en) 2010-09-30 2012-10-04 Ethicon Endo-Surgery, Inc. Methods for forming tissue thickness compensator arrangements for surgical staplers
US8763877B2 (en) 2010-09-30 2014-07-01 Ethicon Endo-Surgery, Inc. Surgical instruments with reconfigurable shaft segments
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
CN102440813B (zh) 2010-09-30 2013-05-08 上海创亿医疗器械技术有限公司 带有链条关节的腔镜外科切割吻合器
US9277919B2 (en) 2010-09-30 2016-03-08 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising fibers to produce a resilient load
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8979890B2 (en) 2010-10-01 2015-03-17 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
CN103429182B (zh) 2010-10-01 2016-01-20 伊西康内外科公司 具有钳口构件的外科器械
JP5636247B2 (ja) 2010-10-06 2014-12-03 Hoya株式会社 電子内視鏡用プロセッサ及び電子内視鏡装置
JP5753970B2 (ja) 2010-10-22 2015-07-22 パナソニックＩｐマネジメント株式会社 流量計測装置
US20120109186A1 (en) 2010-10-29 2012-05-03 Parrott David A Articulating laparoscopic surgical instruments
US8568425B2 (en) 2010-11-01 2013-10-29 Covidien Lp Wire spool for passing of wire through a rotational coupling
US8292150B2 (en) 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
US9039720B2 (en) 2010-11-05 2015-05-26 Ethicon Endo-Surgery, Inc. Surgical instrument with ratcheting rotatable shaft
US9782214B2 (en) 2010-11-05 2017-10-10 Ethicon Llc Surgical instrument with sensor and powered control
US9011471B2 (en) 2010-11-05 2015-04-21 Ethicon Endo-Surgery, Inc. Surgical instrument with pivoting coupling to modular shaft and end effector
US9161803B2 (en) 2010-11-05 2015-10-20 Ethicon Endo-Surgery, Inc. Motor driven electrosurgical device with mechanical and electrical feedback
US9597143B2 (en) 2010-11-05 2017-03-21 Ethicon Endo-Surgery, Llc Sterile medical instrument charging device
US9510895B2 (en) 2010-11-05 2016-12-06 Ethicon Endo-Surgery, Llc Surgical instrument with modular shaft and end effector
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US9072523B2 (en) 2010-11-05 2015-07-07 Ethicon Endo-Surgery, Inc. Medical device with feature for sterile acceptance of non-sterile reusable component
CN105748152B (zh) 2010-11-15 2018-06-26 直观外科手术操作公司 在手术仪器中去耦仪器轴滚动和末端执行器促动
US8480703B2 (en) 2010-11-19 2013-07-09 Covidien Lp Surgical device
US20120175398A1 (en) 2010-11-22 2012-07-12 Mayo Foundation For Medical Education And Research Stapling apparatus and methods of assembling or operating the same
US8679093B2 (en) 2010-11-23 2014-03-25 Microchips, Inc. Multi-dose drug delivery device and method
CN102038532A (zh) 2010-12-07 2011-05-04 苏州天臣国际医疗科技有限公司 钉仓组件
US8523043B2 (en) 2010-12-07 2013-09-03 Immersion Corporation Surgical stapler having haptic feedback
CN201949071U (zh) 2010-12-10 2011-08-31 苏州天臣国际医疗科技有限公司 直线型切割缝合器
US8348130B2 (en) 2010-12-10 2013-01-08 Covidien Lp Surgical apparatus including surgical buttress
US8540735B2 (en) 2010-12-16 2013-09-24 Apollo Endosurgery, Inc. Endoscopic suture cinch system
US8936614B2 (en) 2010-12-30 2015-01-20 Covidien Lp Combined unilateral/bilateral jaws on a surgical instrument
DE102011002404A1 (de) 2011-01-03 2012-07-05 Robert Bosch Gmbh Handwerkzeugmaschinen-Energieversorgungseinheit
DE102012100086A1 (de) 2011-01-07 2012-08-02 Z-Medical Gmbh & Co. Kg Chirurgisches Instrument
JP6046635B2 (ja) 2011-01-14 2016-12-21 ニュー ホープ ベンチャーズ 手術用ステープル綴じデバイス及び方法
US8603089B2 (en) 2011-01-19 2013-12-10 Covidien Lp Surgical instrument including inductively coupled accessory
US9084602B2 (en) 2011-01-26 2015-07-21 Covidien Lp Buttress film with hemostatic action for surgical stapling apparatus
EP4268877A3 (en) 2011-01-31 2023-11-29 Boston Scientific Scimed, Inc. Medical devices having releasable coupling
US9730717B2 (en) 2011-02-03 2017-08-15 Karl Storz Gmbh & Co. Kg Medical manipulator system
US8336754B2 (en) 2011-02-04 2012-12-25 Covidien Lp Locking articulation mechanism for surgical stapler
US9393017B2 (en) 2011-02-15 2016-07-19 Intuitive Surgical Operations, Inc. Methods and systems for detecting staple cartridge misfire or failure
KR102156607B1 (ko) 2011-02-15 2020-09-16 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 구동 샤프트에 의해 가동되는 관절식 말단 작동기를 구비한 수술 기구를 위한 시일 및 실링 방법
US9226750B2 (en) 2011-02-15 2016-01-05 Intuitive Surgical Operations,Inc. Methods and systems for detecting clamping or firing failure
CA2827589C (en) 2011-02-18 2019-07-09 DePuy Synthes Products, LLC Tool with integrated navigation and guidance system and related apparatus and methods
EP2675383B1 (en) 2011-02-18 2017-07-19 Intuitive Surgical Operations, Inc. Fusing and cutting surgical instrument
US8968340B2 (en) 2011-02-23 2015-03-03 Covidien Lp Single actuating jaw flexible endolumenal stitching device
US8479968B2 (en) 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US8858590B2 (en) 2011-03-14 2014-10-14 Ethicon Endo-Surgery, Inc. Tissue manipulation devices
US20120234895A1 (en) 2011-03-15 2012-09-20 Ethicon Endo-Surgery, Inc. Surgical staple cartridges and end effectors with vessel measurement arrangements
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US8397972B2 (en) * 2011-03-18 2013-03-19 Covidien Lp Shipping wedge with lockout
WO2012127462A1 (en) 2011-03-22 2012-09-27 Human Extensions Ltd. Motorized surgical instruments
WO2012135705A1 (en) 2011-03-30 2012-10-04 Tyco Healthcare Group Lp Ultrasonic surgical instruments
US20120251861A1 (en) 2011-03-31 2012-10-04 De Poan Pneumatic Corp. Shock proof structure of battery pack for receiving battery cell
WO2012141679A1 (en) 2011-04-11 2012-10-18 Hassan Chandra Surgical technique(s) and/or device(s)
CA3022252C (en) 2011-04-15 2020-09-22 Covidien Ag Battery powered hand-held ultrasonic surgical cautery cutting device
US9655615B2 (en) 2011-04-19 2017-05-23 Dextera Surgical Inc. Active wedge and I-beam for surgical stapler
US20140039549A1 (en) 2011-04-21 2014-02-06 Novogate Medical Ltd Tissue closure device and method of deliver and uses thereof
US9566048B1 (en) * 2011-04-26 2017-02-14 Cardica, Inc. Surgical instrument with discrete cammed articulation
US8789737B2 (en) 2011-04-27 2014-07-29 Covidien Lp Circular stapler and staple line reinforcement material
AU2012201645B2 (en) 2011-04-29 2015-04-16 Covidien Lp Surgical stapling apparatus
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
BR112013028428A2 (pt) 2011-05-03 2019-09-24 Endosee Corp método e aparelho para histeroscopia e biópsia do endométrio
US9944037B2 (en) * 2011-05-12 2018-04-17 Pouch Pac Innovations, Llc Apparatus for simultaneously separating a plurality of pouches, transferring the pouches and method of same
US9820741B2 (en) 2011-05-12 2017-11-21 Covidien Lp Replaceable staple cartridge
US8852185B2 (en) 2011-05-19 2014-10-07 Covidien Lp Apparatus for performing an electrosurgical procedure
FR2975534B1 (fr) 2011-05-19 2013-06-28 Electricite De France Accumulateur metal-air avec dispositif de protection de l'electrode a air
DK2714152T3 (en) 2011-05-25 2018-03-26 Sanofi Aventis Deutschland COVER MEDICINE ADMINISTRATION DEVICE
US10542978B2 (en) 2011-05-27 2020-01-28 Covidien Lp Method of internally potting or sealing a handheld medical device
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
KR102012698B1 (ko) 2011-05-31 2019-08-21 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 로봇 수술 기구에서의 파지력 제어
JP6309447B2 (ja) 2011-05-31 2018-04-11 インテュイティブ サージカル オペレーションズ， インコーポレイテッド ロボットによる手術用器具のエンドエフェクタの積極的な制御
WO2012166817A2 (en) 2011-05-31 2012-12-06 Intuitive Surgical Operations, Inc. Surgical instrument with single drive input for two end effector mechanisms
US9017314B2 (en) 2011-06-01 2015-04-28 Covidien Lp Surgical articulation assembly
CN102835977A (zh) 2011-06-21 2012-12-26 达华国际股份有限公司 微创医疗装置
US8963714B2 (en) 2011-06-24 2015-02-24 Abbvie Inc. Tamper-evident packaging
US9351751B2 (en) 2011-07-08 2016-05-31 Covidien Lp Swinging bars with axial wheels to drive articulating cables
US20130012958A1 (en) 2011-07-08 2013-01-10 Stanislaw Marczyk Surgical Device with Articulation and Wrist Rotation
US20130012983A1 (en) 2011-07-08 2013-01-10 Tyco Healthcare Group Lp Surgical Instrument with Flexible Shaft
EP2731517A2 (en) 2011-07-11 2014-05-21 Medical Vision Research & Development AB Status control for electrically powered surgical tool systems
US20140188159A1 (en) 2011-07-11 2014-07-03 Agile Endosurgery, Inc. Surgical tool
US8758235B2 (en) 2011-07-13 2014-06-24 Cook Medical Technologies Llc Foldable surgical retractor
US8960521B2 (en) 2011-07-15 2015-02-24 Covidien Lp Loose staples removal system
US8603135B2 (en) 2011-07-20 2013-12-10 Covidien Lp Articulating surgical apparatus
US8574263B2 (en) 2011-07-20 2013-11-05 Covidien Lp Coaxial coil lock
US8560147B2 (en) 2011-07-26 2013-10-15 Gogoro, Inc. Apparatus, method and article for physical security of power storage devices in vehicles
ES2967056T3 (es) 2011-07-26 2024-04-25 Gogoro Inc Aparato, método y artículo para autenticación, seguridad y control de dispositivos de almacenamiento de energía, como por ejemplo baterías
US9339268B2 (en) 2011-07-27 2016-05-17 William Casey Fox Bone staple, instrument and method of use and manufacturing
US8998059B2 (en) 2011-08-01 2015-04-07 Ethicon Endo-Surgery, Inc. Adjunct therapy device having driver with cavity for hemostatic agent
US9492170B2 (en) 2011-08-10 2016-11-15 Ethicon Endo-Surgery, Inc. Device for applying adjunct in endoscopic procedure
KR20130017624A (ko) * 2011-08-11 2013-02-20 주식회사 모바수 관절 구조를 고정시키기 위한 장치
US20140188091A1 (en) 2011-08-25 2014-07-03 Endocontrol Actuating knob for a surgical instrument
US8956342B1 (en) 2011-09-01 2015-02-17 Microaire Surgical Instruments Llc Method and device for ergonomically and ambidextrously operable surgical device
CA3067299A1 (en) 2011-09-02 2013-03-07 Stryker Corporation Surgical instrument including a cutting accessory extending from a housing and actuators that establish the position of the cutting accessory relative to the housing
US9198661B2 (en) 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein
US9099863B2 (en) 2011-09-09 2015-08-04 Covidien Lp Surgical generator and related method for mitigating overcurrent conditions
US8679098B2 (en) 2011-09-13 2014-03-25 Covidien Lp Rotation knobs for surgical instruments
WO2013040079A1 (en) 2011-09-13 2013-03-21 Dose Medical Corporation Intraocular physiological sensor
US9999408B2 (en) 2011-09-14 2018-06-19 Ethicon Endo-Surgery, Inc. Surgical instrument with fluid fillable buttress
US8814025B2 (en) 2011-09-15 2014-08-26 Ethicon Endo-Surgery, Inc. Fibrin pad matrix with suspended heat activated beads of adhesive
US20130068816A1 (en) 2011-09-15 2013-03-21 Venkataramanan Mandakolathur Vasudevan Surgical instrument and buttress material
US9393018B2 (en) 2011-09-22 2016-07-19 Ethicon Endo-Surgery, Inc. Surgical staple assembly with hemostatic feature
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US8899464B2 (en) 2011-10-03 2014-12-02 Ethicon Endo-Surgery, Inc. Attachment of surgical staple buttress to cartridge
US9089326B2 (en) 2011-10-07 2015-07-28 Ethicon Endo-Surgery, Inc. Dual staple cartridge for surgical stapler
US8585721B2 (en) 2011-10-12 2013-11-19 Covidien Lp Mesh fixation system
DE102011084499A1 (de) 2011-10-14 2013-04-18 Robert Bosch Gmbh Werkzeugvorsatz
US9283027B2 (en) 2011-10-24 2016-03-15 Ethicon Endo-Surgery, Llc Battery drain kill feature in a battery powered device
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US8657177B2 (en) 2011-10-25 2014-02-25 Covidien Lp Surgical apparatus and method for endoscopic surgery
US20130098970A1 (en) 2011-10-25 2013-04-25 David Racenet Surgical Apparatus and Method for Endoluminal Surgery
US8672206B2 (en) * 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
US9480492B2 (en) * 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US9675351B2 (en) 2011-10-26 2017-06-13 Covidien Lp Buttress release from surgical stapler by knife pushing
US8418908B1 (en) 2011-10-26 2013-04-16 Covidien Lp Staple feeding and forming apparatus
US9364231B2 (en) 2011-10-27 2016-06-14 Covidien Lp System and method of using simulation reload to optimize staple formation
US8584920B2 (en) 2011-11-04 2013-11-19 Covidien Lp Surgical stapling apparatus including releasable buttress
WO2013063674A1 (en) 2011-11-04 2013-05-10 Titan Medical Inc. Apparatus and method for controlling an end-effector assembly
US9486213B2 (en) 2011-11-14 2016-11-08 Thd Lap Ltd. Drive mechanism for articulating tacker
WO2013074694A1 (en) 2011-11-15 2013-05-23 Oneeros, Inc. Pulse oximetry system
JP6230541B2 (ja) 2011-11-15 2017-11-15 インテュイティブ サージカル オペレーションズ， インコーポレイテッド しまい込めるナイフブレードを持つ手術器具
US8968312B2 (en) 2011-11-16 2015-03-03 Covidien Lp Surgical device with powered articulation wrist rotation
US9113885B2 (en) 2011-12-14 2015-08-25 Covidien Lp Buttress assembly for use with surgical stapling device
US9010608B2 (en) 2011-12-14 2015-04-21 Covidien Lp Releasable buttress retention on a surgical stapler
US9237892B2 (en) 2011-12-14 2016-01-19 Covidien Lp Buttress attachment to the cartridge surface
US9351731B2 (en) 2011-12-14 2016-05-31 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US8967448B2 (en) 2011-12-14 2015-03-03 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
CN202426586U (zh) 2011-12-22 2012-09-12 苏州天臣国际医疗科技有限公司 外科缝切器的钉仓
CA2796525A1 (en) 2011-12-23 2013-06-23 Covidien Lp Apparatus for endoscopic procedures
US9220502B2 (en) 2011-12-28 2015-12-29 Covidien Lp Staple formation recognition for a surgical device
CN202397539U (zh) 2011-12-29 2012-08-29 瑞奇外科器械(中国)有限公司 手术缝合器械及其缝钉驱动器
US9186148B2 (en) 2012-01-05 2015-11-17 Ethicon Endo-Surgery, Inc. Tissue stapler anvil feature to prevent premature jaw opening
US8894647B2 (en) 2012-01-13 2014-11-25 Covidien Lp System and method for performing surgical procedures with a reusable instrument module
US8864010B2 (en) 2012-01-20 2014-10-21 Covidien Lp Curved guide member for articulating instruments
US9333040B2 (en) 2012-02-02 2016-05-10 Transenterix Surgical, Inc. Mechanized multi-instrument surgical system
JP6165780B2 (ja) 2012-02-10 2017-07-19 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． ロボット制御式の手術器具
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US8820606B2 (en) 2012-02-24 2014-09-02 Covidien Lp Buttress retention system for linear endostaplers
US20130231661A1 (en) 2012-03-01 2013-09-05 Hasan M. Sh. Sh. Alshemari Electrosurgical midline clamping scissors
ES2422332B1 (es) 2012-03-05 2014-07-01 Iv�n Jes�s ARTEAGA GONZ�LEZ Dispositivo quirúrgico
KR101965892B1 (ko) 2012-03-05 2019-04-08 삼성디스플레이 주식회사 전원 생성부 및 이를 이용한 유기전계발광 표시장치
US8752264B2 (en) 2012-03-06 2014-06-17 Covidien Lp Surgical tissue sealer
US20130253480A1 (en) 2012-03-22 2013-09-26 Cory G. Kimball Surgical instrument usage data management
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US20130256373A1 (en) 2012-03-28 2013-10-03 Ethicon Endo-Surgery, Inc. Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments
JP6105041B2 (ja) 2012-03-28 2017-03-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 低圧環境を画定するカプセルを含む組織厚コンペンセーター
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
JP6224070B2 (ja) 2012-03-28 2017-11-01 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 組織厚さコンペンセータを含む保持具アセンブリ
AU2013201737B2 (en) 2012-04-09 2014-07-10 Covidien Lp Surgical fastener applying apparatus
US9113887B2 (en) 2012-04-10 2015-08-25 Covidien Lp Electrosurgical generator
EP3066991B1 (en) 2012-04-11 2018-09-19 Covidien LP Apparatus for endoscopic procedures
US20130277410A1 (en) * 2012-04-18 2013-10-24 Cardica, Inc. Safety lockout for surgical stapler
US9526497B2 (en) 2012-05-07 2016-12-27 Covidien Lp Surgical instrument with articulation mechanism
DE102012207707A1 (de) 2012-05-09 2013-11-28 Deutsches Zentrum für Luft- und Raumfahrt e.V. Minimalinvasives Instrument für die robotische Chirurgie
US9868198B2 (en) 2012-06-01 2018-01-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US20140005678A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Rotary drive arrangements for surgical instruments
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US20140005640A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical end effector jaw and electrode configurations
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US20140005702A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with distally positioned transducers
US9283045B2 (en) 2012-06-29 2016-03-15 Ethicon Endo-Surgery, Llc Surgical instruments with fluid management system
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
WO2014008289A2 (en) 2012-07-02 2014-01-09 Barosense, Inc. Stapler for forming multiple tissue plications
US10492814B2 (en) 2012-07-09 2019-12-03 Covidien Lp Apparatus for endoscopic procedures
US9955965B2 (en) 2012-07-09 2018-05-01 Covidien Lp Switch block control assembly of a medical device
US9839480B2 (en) 2012-07-09 2017-12-12 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
EP2872981A4 (en) 2012-07-13 2016-10-19 Samsung Electronics Co Ltd METHOD FOR SENDING AND RECEIVING DATA BETWEEN A MEMO LAYER AND APPLICATION AND ELECTRONIC DEVICE THEREFOR
US9554796B2 (en) * 2012-07-18 2017-01-31 Covidien Lp Multi-fire surgical stapling apparatus including safety lockout and visual indicator
AU2013206807A1 (en) * 2012-07-18 2014-02-06 Covidien Lp Apparatus for endoscopic procedures
US9402604B2 (en) 2012-07-20 2016-08-02 Covidien Lp Apparatus for endoscopic procedures
US9468447B2 (en) 2012-08-14 2016-10-18 Insurgical, LLC Limited-use tool system and method of reprocessing
KR101359053B1 (ko) 2012-08-14 2014-02-06 정창욱 관절 구조를 고정시키기 위한 장치
CN102783741B (zh) 2012-08-16 2014-10-15 东华大学 多级展开散热的防火绝热复合织物、制备方法及用途
US20140048580A1 (en) 2012-08-20 2014-02-20 Covidien Lp Buttress attachment features for surgical stapling apparatus
US9131957B2 (en) 2012-09-12 2015-09-15 Gyrus Acmi, Inc. Automatic tool marking
US9526564B2 (en) 2012-10-08 2016-12-27 Covidien Lp Electric stapler device
US9161753B2 (en) 2012-10-10 2015-10-20 Covidien Lp Buttress fixation for a circular stapler
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US10201365B2 (en) 2012-10-22 2019-02-12 Ethicon Llc Surgeon feedback sensing and display methods
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US9265585B2 (en) * 2012-10-23 2016-02-23 Covidien Lp Surgical instrument with rapid post event detection
US9192384B2 (en) 2012-11-09 2015-11-24 Covidien Lp Recessed groove for better suture retention
WO2014080862A1 (ja) 2012-11-20 2014-05-30 オリンパスメディカルシステムズ株式会社 組織切除装置
US9289207B2 (en) 2012-11-29 2016-03-22 Ethicon Endo-Surgery, Llc Surgical staple with integral pledget for tip deflection
US9295466B2 (en) 2012-11-30 2016-03-29 Covidien Lp Surgical apparatus including surgical buttress
US9566062B2 (en) 2012-12-03 2017-02-14 Ethicon Endo-Surgery, Llc Surgical instrument with secondary jaw closure feature
US20140158747A1 (en) 2012-12-06 2014-06-12 Ethicon Endo-Surgery, Inc. Surgical stapler with varying staple widths along different circumferences
US9050100B2 (en) 2012-12-10 2015-06-09 Ethicon Endo-Surgery, Inc. Surgical instrument with feedback at end effector
CN102973300B (zh) 2012-12-13 2014-10-15 常州市新能源吻合器总厂有限公司 直线形切割吻合器的组织夹持件及其钉仓座
US9470297B2 (en) 2012-12-19 2016-10-18 Covidien Lp Lower anterior resection 90 degree instrument
CN103908313A (zh) 2012-12-29 2014-07-09 苏州天臣国际医疗科技有限公司 外科手术器械
GB2509523A (en) 2013-01-07 2014-07-09 Anish Kumar Mampetta Surgical instrument with flexible members and a motor
US9345480B2 (en) 2013-01-18 2016-05-24 Covidien Lp Surgical instrument and cartridge members for use therewith
US9433420B2 (en) 2013-01-23 2016-09-06 Covidien Lp Surgical apparatus including surgical buttress
US10918364B2 (en) 2013-01-24 2021-02-16 Covidien Lp Intelligent adapter assembly for use with an electromechanical surgical system
US9149325B2 (en) 2013-01-25 2015-10-06 Ethicon Endo-Surgery, Inc. End effector with compliant clamping jaw
US20140224857A1 (en) 2013-02-08 2014-08-14 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a compressible portion
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
CA2900330C (en) 2013-02-08 2020-12-22 Ethicon Endo-Surgery, Inc. Multiple thickness implantable layers for surgical stapling devices
US9421003B2 (en) 2013-02-18 2016-08-23 Covidien Lp Apparatus for endoscopic procedures
FR3002689B1 (fr) * 2013-02-25 2016-10-28 Commissariat Energie Atomique Procede de gravure autolimitant a niveaux multiples
US9186142B2 (en) 2013-02-28 2015-11-17 Ethicon Endo-Surgery, Inc. Surgical instrument end effector articulation drive with pinion and opposing racks
US9839421B2 (en) 2013-02-28 2017-12-12 Ethicon Llc Jaw closure feature for end effector of surgical instrument
US9795379B2 (en) 2013-02-28 2017-10-24 Ethicon Llc Surgical instrument with multi-diameter shaft
US9326767B2 (en) 2013-03-01 2016-05-03 Ethicon Endo-Surgery, Llc Joystick switch assemblies for surgical instruments
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
US20140252064A1 (en) 2013-03-05 2014-09-11 Covidien Lp Surgical stapling device including adjustable fastener crimping
US9492189B2 (en) 2013-03-13 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9668729B2 (en) 2013-03-13 2017-06-06 Covidien Lp Surgical stapling apparatus
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9107685B2 (en) 2013-03-13 2015-08-18 Ethicon Endo-Surgery, Inc. Electrosurgical device with disposable shaft having clamshell coupling
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9351726B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Articulation control system for articulatable surgical instruments
US20140276730A1 (en) 2013-03-14 2014-09-18 Ethicon Endo-Surgery, Inc. Surgical instrument with reinforced articulation section
CA2904678C (en) 2013-03-14 2022-07-12 Applied Medical Resources Corporation Surgical stapler with partial pockets
US20140263558A1 (en) 2013-03-15 2014-09-18 Cardica, Inc. Extended curved tip for surgical apparatus
EP2967560B1 (en) 2013-03-15 2019-03-06 Applied Medical Resources Corporation Surgical stapler having actuation mechanism with rotatable shaft
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US20140291379A1 (en) 2013-03-27 2014-10-02 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a cutting member path
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
JP6040390B2 (ja) * 2013-05-10 2016-12-07 ゼネラルパッカー株式会社 包装機
JP6040406B2 (ja) * 2013-05-10 2016-12-07 ゼネラルパッカー株式会社 ガス充填包装方法とその包装機
WO2014186632A1 (en) 2013-05-15 2014-11-20 Cardica, Inc. Surgical stapling and cutting apparatus, clamp mechanisms, systems and methods
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US20140367445A1 (en) 2013-06-18 2014-12-18 Covidien Lp Emergency retraction for electro-mechanical surgical devices and systems
TWM473838U (zh) 2013-06-19 2014-03-11 Mouldex Co Ltd 可旋轉式醫療用連接器
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
US9757129B2 (en) 2013-07-08 2017-09-12 Covidien Lp Coupling member configured for use with surgical devices
CN104337556B (zh) 2013-08-09 2016-07-13 瑞奇外科器械(中国)有限公司 弯转控制装置及外科手术器械
US9775609B2 (en) 2013-08-23 2017-10-03 Ethicon Llc Tamper proof circuit for surgical instrument battery pack
WO2015025493A1 (ja) 2013-08-23 2015-02-26 日本電産コパル電子株式会社 減速機構
US9662108B2 (en) 2013-08-30 2017-05-30 Covidien Lp Surgical stapling apparatus
WO2015032797A1 (en) 2013-09-03 2015-03-12 Frank Wenger Intraluminal stapler
US9220508B2 (en) 2013-09-06 2015-12-29 Ethicon Endo-Surgery, Inc. Surgical clip applier with articulation section
US20140018832A1 (en) 2013-09-13 2014-01-16 Ethicon Endo-Surgery, Inc. Method For Applying A Surgical Clip Having A Compliant Portion
CN203564285U (zh) 2013-09-23 2014-04-30 瑞奇外科器械(中国)有限公司 末端执行器、外科手术器械和荷包钳
CN203564287U (zh) 2013-09-23 2014-04-30 瑞奇外科器械(中国)有限公司 末端执行器、外科手术器械和荷包钳
US20140175150A1 (en) 2013-10-01 2014-06-26 Ethicon Endo-Surgery, Inc. Providing Near Real Time Feedback To A User of A Surgical Instrument
CN203597997U (zh) 2013-10-31 2014-05-21 山东威瑞外科医用制品有限公司 一种吻合器的钉仓及吻合器
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US20150173789A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable shaft arrangements
US9642620B2 (en) * 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9549735B2 (en) 2013-12-23 2017-01-24 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a firing member including fastener transfer surfaces
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
ITMI20132210A1 (it) * 2013-12-27 2015-06-28 Concetti Spa Metodo per il riempimento di sacchi con una quantita' dosata di materiale alla rinfusa, apparecchiatura e macchina automatica di attuazione del metodo
CN203736251U (zh) 2013-12-30 2014-07-30 瑞奇外科器械(中国)有限公司 柔性驱动元件的支撑件、末端执行器和外科手术器械
CN103750872B (zh) 2013-12-31 2016-05-11 苏州天臣国际医疗科技有限公司 直线缝合切割装置
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US20140166725A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple.
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US20150272557A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Modular surgical instrument system
US20150272571A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Surgical instrument utilizing sensor adaptation
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
CA2944383C (en) 2014-03-29 2019-09-17 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
EP3906880A1 (en) 2014-03-31 2021-11-10 Intuitive Surgical Operations, Inc. Surgical instrument with shiftable transmission
US9573716B2 (en) * 2014-04-04 2017-02-21 Pouch Pac Innovations, Llc Pouch support device
US10426476B2 (en) 2014-09-26 2019-10-01 Ethicon Llc Circular fastener cartridges for applying radially expandable fastener lines
US10010324B2 (en) 2014-04-16 2018-07-03 Ethicon Llc Fastener cartridge compromising fastener cavities including fastener control features
US20150297222A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US9901341B2 (en) 2014-05-16 2018-02-27 Covidien Lp Surgical instrument
US9913646B2 (en) 2014-06-10 2018-03-13 Ethicon Llc Devices for sealing staples in tissue
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US10064620B2 (en) 2014-06-25 2018-09-04 Ethicon Llc Method of unlocking articulation joint in surgical stapler
US20160066913A1 (en) 2014-09-05 2016-03-10 Ethicon Endo-Surgery, Inc. Local display of tissue parameter stabilization
US20160069449A1 (en) 2014-09-08 2016-03-10 Nidec Copal Electronics Corporation Thin-type gear motor and muscle force assisting device using thin-type gear motor
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
JP6413053B2 (ja) * 2014-10-29 2018-10-31 ゼネラルパッカー株式会社 包装機
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US9844375B2 (en) * 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US10045779B2 (en) 2015-02-27 2018-08-14 Ethicon Llc Surgical instrument system comprising an inspection station
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
WO2016169997A1 (en) * 2015-04-22 2016-10-27 Tetra Laval Holdings & Finance S.A. Apparatus and method for filling a product into a container
US10117650B2 (en) 2015-05-05 2018-11-06 Covidien Lp Adapter assembly and loading units for surgical stapling devices
US10039532B2 (en) 2015-05-06 2018-08-07 Covidien Lp Surgical instrument with articulation assembly
US10182818B2 (en) 2015-06-18 2019-01-22 Ethicon Llc Surgical end effectors with positive jaw opening arrangements
RU2717936C2 (ru) 2015-06-18 2020-03-26 ЭТИКОН ЭлЭлСи Конструкции системы двухшарнирного привода для хирургических инструментов с возможностью шарнирного поворота
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US20170079642A1 (en) 2015-09-23 2017-03-23 Ethicon Endo-Surgery, Llc Surgical stapler having magnetic field-based motor control
JP6625436B2 (ja) * 2016-01-15 2019-12-25 東洋自動機株式会社 袋異常検知装置及び袋異常検知方法
US11076908B2 (en) 2016-06-02 2021-08-03 Gyrus Acmi, Inc. Two-stage electrosurgical device for vessel sealing
US10144536B2 (en) * 2016-11-30 2018-12-04 General Packer Co., Ltd. Vibration device
ES2753205T3 (es) * 2017-02-01 2020-04-07 Statec Binder Gmbh Aparato y procedimiento para transportar y llenar sacos
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
DE102018218384A1 (de) * 2018-10-26 2020-04-30 Multivac Sepp Haggenmüller Se & Co. Kg Verpackungsmaschine mit transportkette
CA3059742C (en) * 2018-10-30 2022-09-06 Concetti S.P.A. Automatic bag filling machine with several filling stations
DE102018132330A1 (de) * 2018-12-14 2020-06-18 Krones Aktiengesellschaft Verpackungsvorrichtung, Entnahmevorrichtung und Verfahren zum Entnehmen eines Kartonzuschnitts
US10934039B2 (en) * 2018-12-31 2021-03-02 Dow Global Technologies Llc Support system for filling a flexible container
JP2022169338A (ja) * 2021-04-27 2022-11-09 Ｐａｃｒａｆｔ株式会社 袋処理機

Also Published As

Publication number Publication date
US11744578B2 (en) 2023-09-05
CN107787204A (zh) 2018-03-09
RU2018101707A3 (zh) 2019-11-08
EP3106103A1 (en) 2016-12-21
US20200315613A1 (en) 2020-10-08
JP6873928B2 (ja) 2021-05-19
US11576669B2 (en) 2023-02-14
EP3106100B1 (en) 2019-09-25
EP3106102A2 (en) 2016-12-21
US20210059665A1 (en) 2021-03-04
US20160367255A1 (en) 2016-12-22
EP3412221A1 (en) 2018-12-12
EP4122404A3 (en) 2023-06-28
US20160367246A1 (en) 2016-12-22
US20200054318A1 (en) 2020-02-20
JP2018518290A (ja) 2018-07-12
EP4122404A2 (en) 2023-01-25
US20190105048A1 (en) 2019-04-11
CN107708578A (zh) 2018-02-16
US20160367248A1 (en) 2016-12-22
EP3106101B1 (en) 2022-09-21
EP3106103B1 (en) 2018-08-01
US10154841B2 (en) 2018-12-18
CN107708578B (zh) 2021-06-08
EP3747373A2 (en) 2020-12-09
US10405863B2 (en) 2019-09-10
EP3106101A1 (en) 2016-12-21
US20160367247A1 (en) 2016-12-22
US10052102B2 (en) 2018-08-21
BR112017027327A2 (pt) 2018-09-04
WO2016205063A1 (en) 2016-12-22
EP3106099A1 (en) 2016-12-21
WO2016205166A2 (en) 2016-12-22
WO2016205161A1 (en) 2016-12-22
US11730470B2 (en) 2023-08-22
US20190350581A1 (en) 2019-11-21
EP3821819A1 (en) 2021-05-19
US11801046B2 (en) 2023-10-31
US11497489B2 (en) 2022-11-15
US20200315614A1 (en) 2020-10-08
MX2017016503A (es) 2018-03-12
EP3747373A3 (en) 2021-03-17
US20210068819A1 (en) 2021-03-11
US11903580B2 (en) 2024-02-20
US20160367245A1 (en) 2016-12-22
US10335149B2 (en) 2019-07-02
US20200289110A1 (en) 2020-09-17
WO2016205166A3 (en) 2017-02-02
EP3106104A2 (en) 2016-12-21
US10182818B2 (en) 2019-01-22
EP3106102B1 (en) 2021-07-21
US20210059663A1 (en) 2021-03-04
US20210059664A1 (en) 2021-03-04
US10368861B2 (en) 2019-08-06
EP3106104A3 (en) 2017-02-22
US11331095B2 (en) 2022-05-17
EP3106099B1 (en) 2019-10-09
EP3613363A1 (en) 2020-02-26
WO2016205163A1 (en) 2016-12-22
US20160367254A1 (en) 2016-12-22
US20160367256A1 (en) 2016-12-22
US10178992B2 (en) 2019-01-15
EP3412221B1 (en) 2020-10-28
EP3106102A3 (en) 2017-01-25
WO2016205162A1 (en) 2016-12-22
WO2016205060A1 (en) 2016-12-22
EP3106104B1 (en) 2020-08-26
EP3922190A1 (en) 2021-12-15
EP3106100A1 (en) 2016-12-21
BR112017027327B1 (pt) 2022-12-06
WO2016205059A3 (en) 2017-02-23
WO2016205059A2 (en) 2016-12-22
RU2721646C2 (ru) 2020-05-21
US11510667B2 (en) 2022-11-29
US20200315611A1 (en) 2020-10-08
RU2018101707A (ru) 2019-07-19

Similar Documents

Publication Publication Date Title
CN107787204B (zh) 具有正向钳口开口结构的外科端部执行器
CN108882936B (zh) 具有单个关节运动连接件构造的可关节运动的外科器械
CN107771060B (zh) 用于能够关节运动的外科器械的双关节运动驱动系统结构
CN107750143B (zh) 用于能够关节运动的外科器械的推/拉关节运动驱动系统
CN107750144B (zh) 用于能够关节运动的外科器械的可运动击发梁支撑构造
CN107920820B (zh) 具有双凸轮致动的钳口闭合特征结构的外科端部执行器
CN107750142B (zh) 复合击发梁结构具有用于关节运动支撑的中心击发支撑构件的能够关节运动的外科器械

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant