CN108969039A - 具有最小死空间的工具组件 - Google Patents
具有最小死空间的工具组件 Download PDFInfo
- Publication number
- CN108969039A CN108969039A CN201810558974.XA CN201810558974A CN108969039A CN 108969039 A CN108969039 A CN 108969039A CN 201810558974 A CN201810558974 A CN 201810558974A CN 108969039 A CN108969039 A CN 108969039A
- Authority
- CN
- China
- Prior art keywords
- component
- clamping component
- actuated slider
- surgical operation
- suturing device
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00087—Tools
-
- 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
-
- 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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00353—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
-
- 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
- A61B2017/00681—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
- 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
- A61B2017/2926—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
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
Abstract
一种外科手术缝合装置包括手柄组件、从手柄组件向远侧延伸的细长主体,以及工具组件。该工具组件包括可移动穿过钉仓以从钉仓弹出钉的致动滑块以及可移动穿过工具组件以使工具组件从打开位置移动到接近位置的夹紧构件。为了使工具组件的近侧部分中的死空间最小化,致动滑块和夹紧构件在外科手术缝合装置的预致动状态下以嵌套关系被支撑。随后在缝合装置的发射行程期间将夹紧构件移动到致动滑块近侧的位置。
Description
技术领域
本发明涉及一种外科手术缝合装置,并且更具体地涉及一种包括 铰接工具组件的内窥镜外科手术缝合装置,该铰接工具组件具有包括 刀夹紧构件和致动滑块的组件。
背景技术
用于内窥镜使用的外科手术缝合装置是已知的并且包括具有一对 钳夹的工具组件,该钳夹能够相对于彼此在打开位置与夹紧或接近位 置之间移动。典型地,工具组件的一个钳夹支撑具有多个钉的钉仓, 而工具组件的另一个钳夹支撑砧座组件。工具组件支撑在外科手术缝 合装置的细长主体的远侧部分上。在已知的缝合装置中,工具组件支 撑在细长主体的远侧部分上,以在内窥镜外科手术期间改善进入患者 体内的组织。
用于内窥镜使用的线性外科手术缝合装置包括支撑刀和致动滑块 的驱动构件。致动滑块定位在钉仓内的驱动构件的远侧,并且当驱动 构件被推进穿过钉仓时,驱动滑块由驱动构件从缩回位置驱动到推进 位置。致动滑块被构造成当致动滑块朝向推进位置移动时从钉仓按顺 序地弹出钉。工具组件的钳夹还可以包括组织止挡件,该组织止挡件 防止组织在钉仓的钉的位置近侧的位置处定位在由该对钳夹限定的组 织间隙内。致动滑块定位在驱动构件的刀的远侧以利于在横切组织之 前在组织中形成钉。
通常,驱动构件包括诸如I形梁的夹紧结构,以将工具组件的钳夹 从打开位置移动到接近或夹紧位置,并且限制限定在工具组件的钳夹 之间的组织间隙的尺寸。在这类装置中,由于驱动构件定位在致动滑 块的近侧并且在组织止挡件的近侧,所以工具组件的近侧部分包括大 量的死空间,即工具组件上的空间,该空间不能用于执行缝合或切割 操作。在具有铰接的工具组件的外科手术缝合装置中,死空间从工具 组件的铰接轴线或枢转点延伸到组织止挡件。该死空间增加了工具组 件的总长度。在内窥镜外科手术期间,工具组件的总长度的增加限制 了工具组件进入体腔内的区域。
将期望使具有铰接工具组件的内窥镜外科手术缝合装置的工具组 件的死空间的长度最小化,以在内窥镜外科手术期间改善进入患者体 腔内的组织。
发明内容
在本发明的一个方面,外科手术缝合装置包括细长主体和支撑在 细长主体的远侧部分上的工具组件。该工具组件包括可相对于彼此在 间隔位置与接近位置之间移动的仓组件和砧座组件。仓组件包括支撑 多个钉的钉仓、具有支撑刀的主体的夹紧构件,以及具有第一部分和 第二部分的致动滑块。致动滑块的第一和第二部分中的每一个限定凸 轮构件。致动滑块的第二部分与致动滑块的第一部分物理上分离并间 隔开以在第一和第二部分之间限定通道。在外科手术缝合装置的预致 动状态下,夹紧构件定位在限定在致动滑块的第一和第二部分之间的 通道内,使得夹紧构件的刀定位在致动滑块的第一和第二部分的凸轮 构件的近端的远侧。在外科手术缝合装置的发射行程的至少一部分期 间,夹紧构件可移动以将刀定位在凸轮构件的近侧。
在实施例中,致动滑块的第一和第二部分中的每一个的凸轮构件 包括第一和第二凸轮构件。
在一些实施例中,夹紧构件包括垂直支柱、上梁和下梁,并且在 预致动状态下,垂直支柱定位在通道的近侧部分内。
在某些实施例中,致动滑块的第一和第二部分中的每一个包括具 有纵向延伸部分和横向部分的内壁。
在实施例中,致动滑块的第一和第二部分中的每一个的内壁的纵 向延伸部分包括向内延伸的弹性突起,该向内延伸的弹性突起延伸到 通道中进入夹紧构件的路径中,其中在预致动状态下,夹紧构件定位 成与弹性突起接合以从通道内推动弹性突起。
在一些实施例中,发射行程包括第一推进阶段,其中夹紧构件的 远侧表面定位成与致动滑块的第一和第二部分的内壁的横向部分接合 以使致动滑块在工具组件内向远侧移动。
在某些实施例中,发射行程包括缩回阶段,其中夹紧构件在通道 内向近侧移动以将夹紧构件的远侧表面定位在致动滑块的第一和第二 部分的弹性突起的近侧,使得弹性突起移动到通道中。
在实施例中,仓组件包括具有弹性突起的支撑板,其中当夹紧构 件处于预致动状态时,致动滑块定位在弹性突起的顶上以从通道内推 动弹性突起,并且当缝合装置移动过发射行程的第一推进阶段时,致 动滑块定位在弹性突起的远侧,使得弹性突起在发射行程的缩回阶段 期间防止致动滑块在工具组件内的近侧移动。
在一些实施例中,夹紧构件具有基部,该基部具有相对的侧向延 伸平坦部,该平坦部定位成在预致动状态下接合弹性突起。
在某些实施例中,夹紧构件的基部包括定位在侧向延伸平坦部的 近侧部分处的近侧止挡构件。
在实施例中,夹紧构件限定螺纹孔,并且外科手术缝合装置还包 括螺纹驱动构件,螺纹驱动构件容纳在螺纹孔内,使得螺纹驱动构件 的旋转引起夹紧构件的轴向移动。
在本发明的另一方面,外科手术缝合装置包括细长主体和支撑在 细长主体的远侧部分上的工具组件。该工具组件包括可相对于彼此在 间隔位置与接近位置之间移动的仓组件和砧座组件。该仓组件包括支 撑多个钉的钉仓、具有支撑刀的主体的夹紧构件,以及具有第一和第 二间隔凸轮构件的致动滑块。第一和第二间隔凸轮构件在其间限定通道。第一和第二凸轮构件中的每一个包括内凸轮构件和外凸轮构件。 内凸轮构件包括支撑向内延伸的突起的柔性部分,柔性部分侧向柔性 以允许夹紧构件从通道内向近侧移动到通道近侧的位置。
在实施例中,向内延伸的突起延伸到通道中以阻止夹紧构件在通 道内的移动。
在一些实施例中,向内延伸的突起具有渐缩的面向远侧的表面。
在某些实施例中,在外科手术缝合装置的预致动状态下,夹紧构 件定位在致动滑块的通道内,其中夹紧构件的刀定位在致动滑块的第 一和第二凸轮的近端的远侧,其中在外科手术缝合装置的发射行程的 至少一部分期间,夹紧构件可移动以将刀定位在第一和第二凸轮构件 的近侧。
在实施例中,钉仓限定纵向轴线,沿着纵向轴线延伸的中央刀狭 槽以及定位在中央刀狭槽的每侧上的外凸轮狭槽和内凸轮狭槽,其中 外凸轮构件和内凸轮构件分别容纳在外凸轮狭槽和内凸轮狭槽中。
在一些实施例中,在外科手术装置的预致动状态下,当致动滑块 处于预致动位置时,致动滑块的内凸轮构件和外凸轮构件延伸超过内 凸轮狭槽和外凸轮狭槽的近端,使得内凸轮构件和外凸轮构件在远离 中央刀狭槽的方向上向外成角度到与钉仓的纵向轴线未对准的位置。
在某些实施例中,致动滑块包括将内凸轮构件的远端彼此互连的 横构件。
在实施例中,外科手术缝合装置可移动过发射行程,发射行程包 括第一推进阶段,其中夹紧构件的远侧表面定位成与致动滑块的横构 件接合以在工具组件内向远侧推进致动滑块。
在一些实施例中,发射行程包括缩回阶段,其中夹紧构件从通道 内向近侧移动而与内凸轮构件的柔性部分上的向内延伸的突起接合, 以使柔性部分移动到未对准的位置并允许夹紧构件移出致动滑块的通 道。
附图说明
下面参考附图描述包括具有最小死空间的工具组件的目前公开的 外科手术缝合装置的各种实施例,其中:
图1是包括处于打开位置的目前公开的工具组件的一个实施例的 外科手术缝合装置的侧面透视图;
图2是处于接近位置的图1中所示的工具组件的侧面透视图;
图3是图2中所示的工具组件的侧面透视分解图;
图4是图3中所示的指定细节区域的放大图;
图5是图3中所示的指定细节区域的放大图;
图6是图5中所示的工具组件的致动滑块的远端的透视图;
图7是图5中所示的工具组件的致动滑块和夹紧构件的远端的侧面 透视图;
图8是支撑在图3中所示的工具组件的驱动螺杆上的图7中所示的 夹紧构件和致动滑块的侧面透视图;
图9是沿着图8的截面线9-9截取的横截面图;
图10是沿着图1的截面线10-10截取的横截面图;
图11是图3中所示的工具组件的仓组件的透视剖视图,其中移除了 仓通道;
图11A是沿着图11的截面线11A-11A截取的横截面图;
图12是处于接近位置的图2中所示的工具组件的仓组件的侧面横 截面图;
图13是图3中所示的工具组件的仓组件的俯视透视图,其中移除了 仓通道并且工具组件处于工具组件的接近位置;
图14是沿着图12的截面线14-14截取的横截面图;
图15是当工具组件移动过发射行程的第一阶段时图12中所示的工 具组件的侧面横截面图;
图16是当工具组件移动过发射行程的第二阶段时图15中所示的工 具组件的侧面横截面图;
图17是图16中所示的工具组件的俯视透视图,示出了工具组件的 致动滑块和夹紧构件,其中工具组件的其余部件以虚线示出;
图18是当工具组件移动过发射行程的第三阶段时图16中所示的工 具组件的侧面横截面图;
图19是图1中所示的目前公开的外科手术缝合装置的致动滑块和 夹紧构件的另一实施例的近端的侧面透视图,其中各部分分离;
图20是图19中所示的致动滑块和夹紧构件的远端的侧面透视图, 其中各部分分离;
图21A是图1中所示的工具组件的近侧部分的侧视横截面图,包括 图19中所示的致动滑块和夹紧构件,其中工具组件处于松开位置;
图21B是图21A种所示的工具组件的仓组件的俯视示意图;
图21C是沿着图21B的截面线21C-21C截取的横截面图;
图21D是组装在松开位置的图19中所示的致动滑块和夹紧构件的 近端的侧面透视图;
图22A是图1中所示的外科手术缝合装置的工具组件的侧面横截面 图,其中图19中示出的致动滑块和夹紧构件处于夹紧位置;
图22B是图22A中所示的工具组件的俯视示意图;
图22C是组装在夹紧位置的图19中所示的致动滑块和夹紧构件的 远端的侧面透视图;
图23是当工具组件移动过发射行程的第一阶段时图22B中所示的 工具组件的俯视示意图,;
图24是当工具组件移动过发射行程的第二阶段时图22B中所示的 工具组件的俯视示意图;
图25A是在工具组件移动过发射行程的第二阶段之后图24中所示 的工具组件的俯视示意图;
图25B是图25A中所示的工具组件的致动滑块和夹紧构件的侧面 透视图;以及
图26是当工具组件移动过发射行程的第三阶段时图25A中所示的 工具组件的俯视示意图。
具体实施方式
现在将参考附图详细描述目前公开的外科手术缝合装置,其中在 若干视图中的每一个视图中,相同的附图标记表示相同或相应的元件。 在本说明书中,术语“近侧”通常用于指靠近临床医生的装置部分,而 术语“远侧”通常用于指远离临床医生的装置部分。另外,术语“内窥镜” 通常用于指通过小直径切口或套管进行的内窥镜手术、腹腔镜手术、 关节镜手术和/或任何其它手术。此外,术语“临床医生”通常用于指医 务人员,包括医生、护士和支援人员。
目前公开的外科手术缝合装置包括手柄组件、从手柄组件向远侧 延伸的细长主体,以及支撑在细长主体的远侧部分上的工具组件。在 实施例中,工具组件安装到细长主体的远侧部分上以用于铰接并且包 括支撑多个钉和推动器的钉仓、可移动穿过钉仓以从钉仓中弹出钉的 致动滑块,以及驱动器或夹紧构件。夹紧构件可移动穿过工具组件以 使工具组件从打开位置移动到接近位置并且将致动滑块推进穿过钉仓 以从钉仓弹出多个钉并切割组织。为了使工具组件的近侧部分中的死 空间的长度最小化,当工具组件处于松开或打开位置时,致动滑块和 夹紧构件以嵌套关系支撑在钉仓内。
图1示出了外科手术缝合装置10,其包括手柄组件12、细长主体14 以及目前公开的工具组件100的示例性实施例。虽然在本文没有详细描 述,但工具组件100可以形成再装组件16的一部分,包括支撑工具组件 100的轴部分16a,并且可以如本领域中已知从细长主体14释放。或者, 工具组件100可以固定地固定到细长主体14的远侧部分。工具组件100 可以具有或不具有可移除和可替换的钉仓组件。
手柄组件12包括手柄18、多个致动器按钮20和旋钮22。旋钮22有 助于细长主体14和再装件100相对于手柄组件12围绕细长主体14的纵 向轴线旋转,如本领域中已知。致动器按钮20控制缝合装置10的各种 功能的操作,包括接近、发射和切割。所示的缝合装置10是诸如美国 专利第9,055,943号(“'943专利”)中所描述的电动缝合装置,该专利的 全部内容以引用方式并入本文中。然而,可以设想的是,目前公开的 工具组件100也将适于与诸如美国专利第7,891,534号中所描述的手动 动力外科手术缝合装置一起使用,该专利的全部内容以引用方式并入 本文中。还可以设想的是,缝合装置10可以被配置为与机器人手术系 统一起使用,并且可以不具有手柄组件。
参考图2到图4,工具组件100包括砧座102和仓组件104。仓组件104 包括支撑多个钉108和推动器110(图3)的钉仓106、限定底面112a的钉 仓通道112、钉仓支撑板114、驱动螺杆116、夹紧构件118和致动滑块120。 支撑板114包括弹性突起,例如弹性撞杆114a(图4),如下面进一步详 细描述,其限定致动滑块120的止挡表面。或者,可以设想其它突起构型。钉仓106限定中央刀狭槽140(图3)并且通过卡扣配合连接附接在 支撑板114内。支撑板114和钉仓106组装在一起并且还通过卡扣配合连 接附接到钉仓通道112。可选地,可以使用将这些部件固定在一起的其 它技术。
参考图3,钉仓106包括组织接触表面124,该组织接触表面限定了 多排侧向间隔的钉保持狭槽124a。保持狭槽124a被构造成组织接触表 面124中的孔。每个保持狭槽124a容纳钉108中的一个以及相应的一个 推动器110的至少一部分。钉仓106还限定多个纵向凸轮狭槽106a(图 11A)。纵向凸轮狭槽106a容纳钉推动器110(图11)并且在与组织接触 表面124相对的端部上开口,以利于致动滑块120的通过。
砧座102围绕枢转构件122枢转地联接到仓组件104。枢转构件122 延伸穿过限定在砧座102的近侧部分中的开口125(图3)和限定在仓组 件106的近侧部分中的开口127。砧座102相对于仓组件106枢转以使工 具组件100在打开位置(图1)与接近位置(图2)之间过渡。如本领域 中已知,砧座102包括限定多个钉变形凹陷(未示出)的组织接触表面 102a(图10)。砧座102还限定通道129(图10)并且包括倾斜邻接表面 128(图10)和组织止挡件130。倾斜邻接表面128定位在通道129的近 端附近并且与夹紧构件118接合以利于工具组件100从打开位置移动到 接近位置。在实施例中,组织止挡件130包括定位在砧座102的组织接 触表面102a的相对侧上的一对向下延伸的翼部130a。每个翼部130a具有 远侧组织接合表面130b,当工具组件100处于打开位置时,该远侧组织 接合表面在钉仓106的组织接触表面124下方延伸。组织止挡件130的远 侧接合表面130b防止组织在工具组件100的砧座102与仓组件104之间 向近侧行进超过钉保持狭槽124a。
还参考图5到图9,夹紧构件118包括具有远侧表面142a的基部142、 垂直支柱144、上梁146和下梁148。垂直支柱144具有固定到基部142的 第一端和固定到上梁146的第二端。在一些实施例中,基部142基本上 是圆柱形的并且限定可旋转地容纳驱动螺杆116(图3)的螺纹孔150。 在实施例中,基部142包括下面进一步详细讨论的相对的纵向延伸平坦部164和近侧止挡构件166。在一些实施例中,驱动螺杆116(图9)是 带螺纹的并且容纳在夹紧构件118的螺纹孔150内,以将驱动螺杆116的 旋转移动转化成夹紧构件118的纵向移动。
垂直支柱144包括限定刀152的远侧表面,其定位在上梁146与下梁 148之间。上梁146定位成与砧座组件102的倾斜邻接表面128(图10) 接合,使得夹紧构件118从缩回位置到夹紧位置的移动使工具组件100 从打开位置(图10)过渡到接近位置(图12)。上梁146也定位成平移 穿过限定在砧座组件102中的通道129(图10),并且下梁148定位成沿 着仓通道112的底面112a(图10)平移以防止砧座102和仓组件104在缝 合装置10的发射期间向外偏转。上梁146和下梁148的尺寸被设定为在 工具组件100的发射期间允许砧座组件102的组织接触表面102a与钉仓 106的组织接触表面124之间的最大组织间隙“X”(图12)。
致动滑块120包括第一部分120a和第二部分120b,该第一部分包括 第一对间隔凸轮构件170a,该第二部分包括第二对间隔凸轮构件170b。 如图所示,致动滑块120的第一部分120a和第二部分120b可以是分离的 部件。或者,致动滑块120的第一和第二部分可以在它们的近端和/或远 端彼此连接。每对间隔凸轮构件170a、170b定位成平移穿过由钉仓106限定的相应纵向凸轮狭槽106a(图11A)以与推动器110(图3)相互作 用并从钉仓106中弹出钉108,如本领域中已知。在实施例中,该对间 隔凸轮构件170a、170b中的每一个包括两个间隔凸轮表面174、176, 当致动滑块120平移穿过钉仓106时,该两个间隔凸轮表面按顺序地接 合推动器110(图3)以将推动器110提升到钉仓106的钉保持狭槽124a 内并且从钉仓106的钉保持狭槽124a弹出钉108。凸轮表面174、176的 角度可以沿着凸轮表面174、176的长度变化以更好地控制推动器108穿 过钉保持狭槽124a的移动并提供更好的钉成形。例如,凸轮表面174、 176可具有远侧部分180和近侧部分182,其中近侧部分182比远侧部分180陡。
还参考图5到图11A,致动滑块120的第一部分120a和第二部分120b 中的每一个包括具有纵向延伸部分184a和横向部分184b的内壁184,该 纵向延伸部分具有向内延伸的弹性突起185(图6)。当致动滑块120的 第一部分120a和第二部分120b定位在钉仓106内时,第一部分120a和第 二部分120b限定通道188,该通道定位成容纳夹紧构件118的基部142, 使得夹紧构件118可在通道188内从缩回位置移动到推进位置。在未偏 置状态下,弹性突起185向内延伸进入通道188。致动滑块120的第一部 分120a和第二部分120b的横向部分184b限定通道188的远端并且定位 成当夹紧构件118移动到通道188内的推进位置时与夹紧构件118的远 侧表面142a(图5)接合。致动滑块118和夹紧构件120形成组件,其中 致动滑块120的第一部分120a和第二部分120b与包括刀152的夹紧构件 120并排设置。
当夹紧构件118的基部142定位在致动滑块120(图8)的第一部分 120a与第二部分120b之间时,基部142的平坦部164(图5)与致动滑块 120的弹性突起185对准以偏置并保持弹性突起185与致动滑块120的第 一部分120a和第二部分120b的相应的一个内壁184对准。当弹性部分185从通道188向内偏置时,夹紧构件118自由地移动穿过通道188并与 致动滑块120的第一部分120a和第二部分120b的内壁184的横向部分 184b接合。当夹紧构件118相对于致动滑块120在通道188内移动使得平 坦部164定位在弹性突起184a的近侧时,如下所述,弹性突起185弹入 限定在致动滑块120的第一部分120a与第二部分120b之间的通道188中,到与夹紧构件118的远侧表面142a(图5)对准的位置。如此,防 止夹紧构件118的远侧移动超过弹性突起185。
参考图8到图11A,当外科手术缝合装置10处于预致动状态时,夹 紧构件118和致动滑块120处于嵌套构型。在嵌套构型中,夹紧构件118 在通道188内定位在致动滑块120的第一部分120a与第二部分120b之间 (图6),使得夹紧构件118的基部构件142的远侧表面142a从致动滑块 120的第一部分120a和第二部分120b的内壁184的横向部分184b向近侧定位距离“Y”(图9)。在该位置中,基部构件142(图11A)的平坦部164 (图5)与致动滑块120的内壁184的弹性突起185对准,使得突起185被 推出致动滑块120的通道188。另外,致动滑块120定位在仓组件104的 支撑板114的撞杆114a(图10)的顶上以将撞杆114a推出限定在致动滑 块120的第一部分120a与第二部分120b之间的通道188。
驱动螺杆116延伸穿过夹紧构件118的螺纹孔150并且包括支撑在 轴承上的近侧部分“P”(图10),并且该近侧部分“P”联接到支撑在外科 手术缝合装置10的细长主体114(图1)内的驱动构件(未示出)。美国 专利第8,512,359号公开了一种包括驱动螺杆和驱动构件的外科手术缝 合装置,并且其整体以引用方式并入本文中。
参考图12到图14,当经由手柄组件12(图1)和细长主体14(图1) 致动驱动螺杆116以使夹紧构件118推进过外科手术缝合装置10的夹紧 行程时,夹紧构件118从缩回位置移动到夹紧位置。当夹紧构件118朝 向夹紧位置移动时,夹紧构件118沿着驱动螺杆116向远侧移动穿过限 定在致动滑块120的第一部分120a与第二部分120b之间的通道188,而 独立于致动滑块120。当夹紧构件118在工具组件100的近侧部分内向远 侧移动时,夹紧构件118的上梁146与砧座组件102的倾斜邻接表面128 (图12)接合,使得夹紧构件118在图12中的箭头“A”所示的方向上继 续远侧移动到夹紧位置使砧座组件102在图12中的箭头“B”所示的方向 上枢转,以将工具组件100从打开位置(图10)推动到接近位置。可以 设想的是,砧座组件102可以是固定的,并且仓组件104可以相对于砧 座组件102从打开位置枢转到接近位置。
当夹紧构件118处于夹紧位置时,夹紧构件118的基部142的远侧表 面142a(图12)定位在致动滑块120的第一部分120a和第二部分120b的 内壁184的横向部分184b附近。在该位置,基部构件142(图11A)的平 坦部164仍与致动滑块120的内壁184的弹性突起185对准,使得弹性突 起184a定位在致动滑块120的通道188的外部。另外,工具组件100处于 接近位置,其中仓组件106的组织接触表面124定位成与砧座组件102的 组织接触表面102a并置以限定最大组织间隙“X”(图12)。未在工具组 件100内移动的致动滑块120保持定位在仓组件104的支撑板114的撞杆 114a顶上。
为了从工具组件100弹出钉108(图3),经由手柄组件12和细长主 体14(图1)再次致动驱动构件116以使夹紧构件118移动过发射行程。 在发射行程期间,夹紧构件118和致动滑块120移动过图15中所示的第 一推进阶段,移动过图16和图17中所示的缩回阶段,并且移动过图18 中所示的第二推进阶段。下面描述这些阶段中的每一个。
参考图15,在发射行程的第一推进阶段期间,驱动螺杆116首先使 夹紧构件118在由箭头“C”指示的方向上从夹紧位置向远侧推进。如上 所述,在夹紧位置,夹紧构件118的基部142的远侧表面142a定位在致 动滑块120的第一部分120a和第二部分120b的内壁184的横向部分184b 附近。如此,当夹紧构件118在工具组件100内从夹紧位置向远侧移动 时,夹紧构件118的远侧表面142a与致动滑块120的横向部分184b接合 以使致动滑块120在仓106内向远侧推进。当致动滑块120推进经过撞杆 114a时,撞杆114a向上弯曲到致动滑块120的路径中,并且发射行程的 第一推进阶段结束。
参考图16和图17,在发射行程的缩回阶段期间,驱动螺杆116在发 射行程的第一阶段中在与驱动螺杆116的旋转方向相反的方向上旋转, 以使夹紧构件118在由箭头“D”指示的方向上缩回到工具组件100内。定 位在致动滑块120的通道118内的撞杆114a与致动滑块120的近端接合, 以防止致动滑块120与夹紧构件118向近侧移动。如此,夹紧构件118独立于致动滑块118在工具组件100内向近侧移动。当夹紧构件118向近侧 移动时,夹紧构件118的远侧表面142a越过致动滑块120的弹性突起 185,使得弹性突起185向外弹到致动滑块120的通道188中以防止夹紧 构件118向远侧移动穿过通道188超过弹性突起184。通过使夹紧构件 118进一步移动并保持在致动滑块120的近侧,工具组件100被重新构造 以将致动滑块120的凸轮表面174、176定位在刀152的远侧,使得工具 组件100在切割组织之前缝合组织。
参考图18,在发射行程的缩回阶段之后,夹紧构件118的基部142 的远侧表面142a定位在致动滑块120的弹性突起185的近侧。在发射行 程的第二推进阶段期间,驱动螺杆116旋转以使夹紧构件118在由箭头 “E”指示的方向上向远侧推进穿过工具组件100。由于夹紧构件118的基 部142的远侧表面142a定位成稍微在致动滑块120的弹性突起185的近侧,所以夹紧构件118的远侧移动引起夹紧构件118的远侧表面142a移动 成与弹性突起185接合,以使致动滑块120在工具组件100内向远侧移 动。当致动滑块120和夹紧构件118推进穿过工具组件100时,致动滑块 120的第一部分120a和第二部分120b的该对间隔凸轮构件170a、170b按 顺序地接合推动器110(图3)以从钉保持狭槽124a(图17)按顺序地 驱动钉108。
在发射行程的第二推进阶段之后,工具组件可以从外科手术部位 撤回,并且驱动螺杆116可以旋转以将夹紧构件118缩回到预发射状态。 当夹紧构件118返回到预发射状态时,工具组件返回到打开位置。
图19和图20示出了目前公开的夹紧构件218和致动滑块220的可选 实施例,其可以与图1中所示的外科手术缝合装置一起使用。夹紧构件 218包括基部242、垂直支柱244、上梁246和下梁248。垂直支柱244具 有固定到基部242的第一端和固定到上梁246的第二端。在实施例中, 基部242限定可旋转地容纳驱动螺杆116(图3)的螺纹孔250。如上面 关于工具组件100所讨论,驱动螺杆116是带螺纹的并且可在夹紧构件 218的螺纹孔250内旋转,以将驱动螺杆116的旋转移动转化成夹紧构件 218在工具组件200(图21A)内的纵向移动。
还参考图21A,夹紧构件218的垂直支柱244包括限定刀252的远侧 表面,其定位在上梁246与下梁248之间。上梁246定位成与工具组件200 的砧座组件202的邻接表面228接合使得夹紧构件218从缩回位置(图 21A)到夹紧位置(图22A)的移动使工具组件200从打开位置移动到 接近位置。如上面关于工具组件100所讨论,夹紧构件218的上梁246定 位成平移穿过限定在砧座组件202中的通道229(图21A),并且下梁248 定位成沿着仓组件204的仓通道212的底面212a(图21A)平移以在当工 具组件200处于接近位置时,在砧座组件202的组织接触表面202a与工 具组件200的钉仓206的组织接触表面224之间限定最大组织间隙“X” (图22A)。夹紧构件218的基部242还包括远侧表面242a(图19),该远 侧表面定位成接合并推进致动滑块220,如下面更详细描述。
致动滑块220包括基本类似于上面关于致动滑块120所描述的间隔 凸轮构件170a、170b的凸轮构件270a、270b(图20),并且在本文将不 再进一步详细描述。凸轮构件270a、270b间隔开并且限定了通道271, 该通道具有开口近端和由横构件288封闭的远端。每个凸轮构件270a、 270b包括第一外凸轮构件274和第二内凸轮构件276,该凸轮构件具有如上关于凸轮表面174和176所描述的凸轮表面,并且在本文将不再详 细描述。外凸轮构件274和内凸轮构件276侧向柔性且有弹性。内凸轮 构件276包括具有向内延伸的突起277a的柔性部分277(图20),该向内 延伸的突起具有渐缩的远侧表面。
还参考图21A到图21C,钉仓206限定纵向轴线、沿着纵向轴线延 伸的中央刀狭槽240,以及定位在中央刀狭槽240的每侧上的外凸轮狭 槽206a和内凸轮狭槽206b。外凸轮狭槽206a容纳致动滑块220的外凸轮 构件274,而内凸轮狭槽206b容纳致动滑块220的内凸轮构件276。致动 滑块220的外凸轮构件274和内凸轮构件276分别是侧向弹性的并且具 有在未偏置的状态下在远离中央刀狭槽240的方向上向外成角度到与 钉仓的纵向轴线未对准的位置(“未对准的位置”)的近端。外凸轮狭 槽206a和内凸轮狭槽206b限定近端206c(图21B),该近端定位在钉仓 206的近端的远侧。当致动滑块220处于完全缩回位置时,如下面进一 步详细描述,内凸轮构件276和外凸轮构件274定位在超过内凸轮狭槽 206b和外凸轮狭槽206a的近端206c的近侧,使得内凸轮构件276和外凸 轮构件274处于未对准位置(图21B)。当致动滑块220在钉仓206内从完 全缩回位置推进时,内凸轮构件276和外凸轮构件274移动到内凸轮狭 槽206b和外凸轮狭槽206a中,并且通过限定凸轮狭槽206a、206b的壁向内偏置到其中凸轮构件276、274与钉仓206的纵向轴线对准的对准位 置(图23)。
在内凸轮构件276和外凸轮构件274的未对准位置中,致动滑块220 的柔性部分277上的突起277a彼此隔开一段距离以允许夹紧构件218的 基部242穿过致动滑块220的柔性部分277的突起277a之间进入通道271 中。在内凸轮构件和外凸轮构件274的对准位置中,致动滑块220的柔 性部分277上的突起277a彼此间隔开一段距离以防止夹紧构件218向近 侧穿过通道271。
简要参考图21A,工具组件200包括类似于支撑板114(图3)的支 撑板214并且包括弹性突起,例如弹性撞杆214a(也参见图4),其限定 用于致动滑块220的止挡表面。当致动滑块218处于其缩回位置时,滑 块218定位在撞杆214a顶上以将撞杆214a推出致动滑块220的路径。当 致动滑块220的近端向远侧移动经过撞杆214a时,撞杆214a向上弹到一 个位置,以防止致动滑块220向近侧移动回到其缩回位置。
参考图21A到图21D,在致动工具组件200之前,夹紧构件218和致 动滑块220处于预夹紧位置。在预夹紧位置中,夹紧构件218和致动滑 块220在其缩回位置中呈嵌套关系(图21D),其中夹紧构件218位于致 动滑块220的通道271的近侧部分中处于致动滑块220的柔性部分277上 的突起277a之间。在这个位置中,致动滑块220定位在撞杆214a顶上以 将撞杆214a偏置出致动滑块220的通道271。在预夹紧位置,基本上所 有的内凸轮构件276和外凸轮构件274的长度都定位在内凸轮狭槽206b 和外凸轮狭槽206a的近端206c(图21B)的近侧。
参考图22A到图22C,当经由手柄组件12(图1)致动驱动螺杆116 (图3)以使夹紧构件218推进过夹紧行程时,夹紧构件218在工具组件 200(图22A)内在由图22A中的箭头“F”指示的方向上独立于致动滑块 220从其缩回位置(图21B)向远侧移动到夹紧位置(图22B)。当夹紧 构件218穿过致动滑块220的通道271朝向夹紧位置移动时,夹紧构件 218的上梁246与砧座组件202的邻接表面228(图22A)接合以使砧座组 件202在由图22A中的箭头“G”指示的方向上枢转到接近位置。由于致动 滑块220保持在工具组件内的轴向固定位置中,所以致动滑块220保持 定位在撞杆214a的顶上,并且内凸轮构件276和外凸轮构件274保持处 于位于内凸轮狭槽206b和外凸轮狭槽206a的近端206c近侧的未对准位 置。在夹紧构件218的夹紧位置中,夹紧构件218定位在致动滑块220的 横构件288附近。
为了从工具组件200弹出钉,经由手柄组件12(图1)再次致动驱 动构件116(图3)以使夹紧构件218移动过发射行程。在发射行程期间, 夹紧构件218和致动滑块220移动过图23中所示的第一推进阶段,移动 过图24到图25B中所示的缩回阶段,并且移动过图26中所示的第二推进 阶段。下面描述这些阶段中的每一个。
参考图23,在发射行程的第一推进阶段期间,驱动螺杆116(图3) 在由箭头H指示的方向上推进夹紧构件218。当夹紧构件218向远侧移动 穿过工具组件200时,内凸轮构件276和外凸轮构件274分别部分地推进 到内凸轮狭槽206b和外凸轮狭槽206a中,使得内凸轮构件276和外凸轮 构件274移动到与钉仓206的纵向轴线对准的位置。在发射冲程的第一推进阶段之后,内凸轮构件276的柔性部分277保持定位在外凸轮狭槽 206a的近端206c的近侧。
当夹紧构件218在发射行程的第一推进阶段期间在工具组件200内 向远侧移动时,夹紧构件218的远侧表面242a与致动滑块220的横构件 288接合,以引起致动滑块220在由箭头“I”指示的方向上的相应远侧移 动。当致动滑块220在工具组件220内向远侧移动时,致动滑块220移出 撞杆214a(图22A),使得撞杆214a向上弹到致动滑块220的近端近侧的 位置。
参考图24到图25B,在发射行程的缩回阶段期间,驱动螺杆116(图 3)在相反方向上旋转以使夹紧构件218在工具组件100内在由图24中的 箭头“J”指示的方向上缩回。撞杆214a防止致动滑块220的近侧移动,使 得夹紧构件118独立于致动滑块218在致动滑块220的通道271内向近侧 移动。当夹紧构件218在工具组件200内向近侧移动,夹紧构件218的基部构件242的近端与致动滑块220的内凸轮构件276的柔性部分277上的 向内延伸的突起277a的锥形远侧表面接合。如上所述,在发射行程的 第一推进阶段之后,内凸轮构件276的柔性部分277定位在内凸轮狭槽 206b的近侧。如此,当夹紧构件218的基部构件242与柔性部分277的突 起277a的远侧渐缩表面接合时,内凸轮构件276的柔性部分277在由图 24中的箭头“K”指示的方向上向外弯曲,以允许夹紧构件218从致动滑 块220的通道271内向近侧移动到致动滑块220(图25A到图25B)近侧 的位置。该移动允许夹紧构件218在致动滑块220的近侧移动,以将刀 252定位在内凸轮构件276和外凸轮构件274的近侧,使得在缝合装置10 的发射期间,在切割组织之前发生缝合。
参考图26,在发射行程的第二推进阶段期间,驱动螺杆116(图3) 旋转以使夹紧构件218在由箭头“L”指示的方向上向远侧推进穿过工具 组件200(图22A)。由于夹紧构件218的远侧表面242a定位成邻近突起 277a近侧的致动滑块220的近侧,所以夹紧构件218的远侧移动实现致 动滑块220在工具组件200内的远侧移动。当致动滑块220和夹紧构件 218推进穿过工具组件200时,致动滑块220的内凸轮构件276和外凸轮 构件274按顺序地接合推动器110(图3)以从钉保持狭槽124a按顺序地 驱动钉108并进入夹紧在仓组件与砧座组件之间的组织中。
本领域技术人员将理解,本文中具体描述的和附图中示出的装置 和方法是非限制性的示例性实施例。可以设想的是,在不脱离本发明 的范围的情况下,结合一个示例性实施例示出或描述的元件和特征可 以与另一个的元件和特征组合。同样,本领域技术人员将基于上述实 施例理解本发明的另外特征和优点。因此,除了如所附权利要求所指 示的之外,本发明不限于已经特别示出和描述的内容。
Claims (22)
1.一种外科手术缝合装置,包括:
细长主体;以及
支撑在所述细长主体的远侧部分上的工具组件,所述工具组件包括可相对于彼此在间隔位置与接近位置之间移动的仓组件和砧座组件,所述仓组件包括支撑多个钉的钉仓、具有支撑刀的主体的夹紧构件,以及具有第一部分和第二部分的致动滑块,所述致动滑块的所述第一和第二部分中的每一个限定凸轮构件,所述致动滑块的所述第二部分与所述致动滑块的所述第一部分物理上分离并间隔开以在所述第一和第二部分之间限定通道,其中在所述外科手术缝合装置的预致动状态下,所述夹紧构件定位在所述致动滑块的所述第一和第二部分之间的所述通道内,其中所述夹紧构件的所述刀定位在所述致动滑块的所述第一和第二部分的所述凸轮构件的近端的远侧,其中在所述外科手术缝合装置的发射行程的至少一部分期间,所述夹紧构件可移动以将所述刀定位在所述凸轮构件的近侧。
2.根据权利要求1所述的外科手术缝合装置,其中所述致动滑块的所述第一和第二部分中的每一个的所述凸轮构件包括第一和第二凸轮构件。
3.根据权利要求2所述的外科手术缝合装置,其中所述夹紧构件包括垂直支柱、上梁和下梁,并且在所述预致动状态下,所述垂直支柱定位在所述通道的近侧部分内。
4.根据权利要求3所述的外科手术缝合装置,其中所述致动滑块的所述第一和第二部分中的每一个包括内壁,所述内壁包括纵向延伸部分和横向部分。
5.根据权利要求4所述的外科手术缝合装置,其中所述致动滑块的所述第一和第二部分的所述内壁的所述纵向延伸部分包括向内延伸的弹性突起,所述向内延伸的弹性突起延伸到所述通道中进入所述夹紧构件的路径中,其中在所述预致动状态下,所述夹紧构件定位成与所述弹性突起接合以从所述通道内推动所述弹性突起。
6.根据权利要求5所述的外科手术缝合装置,其中所述发射行程包括第一推进阶段,其中所述夹紧构件的远侧表面定位成与所述致动滑块的所述第一和第二部分的所述内壁的所述横向部分接合以使所述致动滑块在所述工具组件内向远侧移动。
7.根据权利要求6所述的外科手术缝合装置,其中所述发射行程包括缩回阶段,其中所述夹紧构件在所述通道内向近侧移动以将所述夹紧构件的所述远侧表面定位在所述致动滑块的所述第一和第二部分的所述弹性突起的近侧,使得所述弹性突起移动到所述通道中。
8.根据权利要求7所述的外科手术缝合装置,其中仓组件包括具有弹性突起的支撑板,其中当所述夹紧构件处于所述预致动状态时,所述致动滑块定位在所述弹性突起的顶上以从所述通道内推动所述弹性突起,并且当所述缝合装置移动过所述发射行程的所述第一推进阶段时,所述致动滑块定位在所述弹性突起的远侧,使得所述弹性突起在所述缝合装置的所述缩回阶段期间防止所述致动滑块的近侧移动。
9.根据权利要求5所述的外科手术缝合装置,其中所述夹紧构件具有基部,所述基部具有相对的侧向延伸平坦部,所述平坦部定位成在所述预致动状态下接合所述弹性突起。
10.根据权利要求9所述的外科手术缝合装置,其中所述夹紧构件的所述基部包括定位在所述侧向延伸平坦部的近侧部分处的近侧止挡构件。
11.根据权利要求1所述的外科手术缝合装置,其中夹紧构件限定螺纹孔,并且所述外科手术缝合装置还包括螺纹驱动构件,所述螺纹驱动构件容纳在所述螺纹孔内,使得所述螺纹驱动构件的旋转引起所述夹紧构件的轴向移动。
12.一种外科手术缝合装置,包括:
细长主体;以及
支撑在所述细长主体的远侧部分上的工具组件,所述工具组件包括可相对于彼此在间隔位置与接近位置之间移动的仓组件和砧座组件,所述仓组件包括支撑多个钉的钉仓、具有支撑刀的主体的夹紧构件,以及具有第一和第二间隔凸轮构件的致动滑块,所述第一和第二间隔凸轮构件在其间限定通道,所述第一和第二间隔凸轮构件中的每一个包括内凸轮构件和外凸轮构件,所述内凸轮构件中的每一个包括支撑向内延伸的突起的柔性部分,所述柔性部分侧向柔性以允许所述夹紧构件从所述通道内向近侧移动到所述通道近侧的位置。
13.根据权利要求12所述的外科手术缝合装置,其中所述向内延伸的突起延伸到所述通道中以阻止所述夹紧构件在所述通道内的移动。
14.根据权利要求13所述的外科手术缝合装置,其中所述向内延伸的突起具有渐缩的面向远侧的表面。
15.根据权利要求12所述的外科手术缝合装置,其中在所述外科手术装置的预致动状态下,所述夹紧构件定位在所述致动滑块的所述通道内,其中所述夹紧构件的所述刀定位在所述致动滑块的所述第一和第二凸轮构件的近端的远侧,其中在所述外科手术缝合装置的发射行程的至少一部分期间,所述夹紧构件可移动以将所述刀定位在所述第一和第二凸轮构件的近侧。
16.根据权利要求12所述的外科手术缝合装置,其中所述钉仓限定纵向轴线、沿着所述纵向轴线延伸的中央刀狭槽,以及定位在所述中央刀狭槽的每侧上的外凸轮狭槽和内凸轮狭槽,其中外凸轮构件和内凸轮构件分别容纳在所述外内凸轮狭槽和所述内凸轮狭槽中。
17.根据权利要求16所述的外科手术缝合装置,其中在所述外科手术缝合装置的预致动状态下,所述致动滑块的所述内凸轮构件和所述外凸轮构件延伸超过所述内凸轮狭槽和所述外凸轮狭槽的所述近端,使得所述内凸轮构件和所述外凸轮构件在远离所述中央刀狭槽的方向上向外成角度到与所述钉仓的所述纵向轴线未对准的位置。
18.根据权利要求16所述的外科手术缝合装置,其中所述致动滑块包括将所述内凸轮构件的远端彼此互连的横构件。
19.根据权利要求18所述的外科手术缝合装置,其中所述外科手术缝合装置可移动过发射行程,所述发射行程包括第一推进阶段,其中所述夹紧构件的远侧表面定位成与所述致动滑块的所述横构件接合以在所述工具组件内向远侧推进所述致动滑块。
20.根据权利要求19所述的外科手术缝合装置,其中所述发射行程包括缩回阶段,其中所述夹紧构件从所述通道内向近侧移动而与所述内凸轮构件的所述柔性部分上的所述向内延伸的突起接合,以使所述柔性部分移动到所述未对准的位置并允许所述夹紧构件移出所述致动滑块的所述通道。
21.一种外科手术缝合装置,包括:
工具组件,其包括可相对于彼此在间隔位置与接近位置之间移动的仓组件和砧座组件,所述仓组件包括支撑多个钉的钉仓、具有支撑刀的主体的夹紧构件,以及具有第一部分和第二部分的致动滑块,所述致动滑块的所述第一和第二部分中的每一个限定凸轮构件,所述致动滑块的所述第二部分与所述致动滑块的所述第一部分间隔开以在所述第一和第二部分之间限定通道,所述致动滑块具有弹性接合构件,所述弹性接合构件在第一阶段中由所述夹紧构件压下,所述夹紧构件在所述第一阶段中设置在所述通道内,所述弹性接合构件在第二阶段中扩展到所述通道中,所述夹紧构件在所述第二阶段中设置在所述弹性接合构件的近侧。
22.根据权利要求1所述的外科手术缝合装置,其中所述致动滑块的所述第一和第二部分彼此物理上分离。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/612,176 | 2017-06-02 | ||
US15/612,176 US10478185B2 (en) | 2017-06-02 | 2017-06-02 | Tool assembly with minimal dead space |
Publications (2)
Publication Number | Publication Date |
---|---|
CN108969039A true CN108969039A (zh) | 2018-12-11 |
CN108969039B CN108969039B (zh) | 2023-06-02 |
Family
ID=62495690
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201810558974.XA Active CN108969039B (zh) | 2017-06-02 | 2018-06-01 | 具有最小死空间的工具组件 |
Country Status (7)
Country | Link |
---|---|
US (2) | US10478185B2 (zh) |
EP (1) | EP3417811B1 (zh) |
JP (1) | JP7136591B2 (zh) |
CN (1) | CN108969039B (zh) |
AU (1) | AU2018202828A1 (zh) |
CA (1) | CA3003022A1 (zh) |
ES (1) | ES2811503T3 (zh) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111297425A (zh) * | 2018-12-12 | 2020-06-19 | 江苏风和医疗器材股份有限公司 | 缝合钉成型件、缝合机构及外科吻合器 |
Families Citing this family (416)
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 |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
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 |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
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 |
US8840603B2 (en) | 2007-01-10 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
US8590762B2 (en) | 2007-03-15 | 2013-11-26 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configurations |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | 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 |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
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 |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US9585657B2 (en) | 2008-02-15 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Actuator for releasing a layer of material from a surgical end effector |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
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 |
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 |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US8740038B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a releasable portion |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9788834B2 (en) | 2010-09-30 | 2017-10-17 | Ethicon Llc | Layer comprising deployable attachment members |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9168042B2 (en) * | 2012-01-12 | 2015-10-27 | Covidien Lp | Circular stapling instruments |
CN104334098B (zh) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | 包括限定低压强环境的胶囊剂的组织厚度补偿件 |
RU2014143258A (ru) | 2012-03-28 | 2016-05-20 | Этикон Эндо-Серджери, Инк. | Компенсатор толщины ткани, содержащий множество слоев |
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 |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
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 |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
BR112015021082B1 (pt) | 2013-03-01 | 2022-05-10 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
US20150053737A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | End effector detection systems for surgical instruments |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
CN106456158B (zh) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | 包括非一致紧固件的紧固件仓 |
US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
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 |
BR112016023698B1 (pt) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Cartucho de prendedores para uso com um instrumento cirúrgico |
US9757128B2 (en) | 2014-09-05 | 2017-09-12 | Ethicon Llc | Multiple sensors with one sensor affecting a second sensor's output or interpretation |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
CN107427300B (zh) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | 外科缝合支撑物和辅助材料 |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
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 |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
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 |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10478188B2 (en) | 2015-09-30 | 2019-11-19 | Ethicon Llc | Implantable layer comprising a constricted configuration |
US10433846B2 (en) | 2015-09-30 | 2019-10-08 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
BR112018016098B1 (pt) | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses 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 |
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 |
US10478181B2 (en) | 2016-04-18 | 2019-11-19 | Ethicon Llc | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
CN109843189B (zh) | 2016-10-11 | 2022-01-14 | 直观外科手术操作公司 | 具有一体刀的缝合器钉盒 |
US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
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 |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US11191539B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system |
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 |
BR112019011947A2 (pt) | 2016-12-21 | 2019-10-29 | Ethicon Llc | sistemas de grampeamento cirúrgico |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
MX2019007295A (es) | 2016-12-21 | 2019-10-15 | Ethicon Llc | Sistema de instrumento quirúrgico que comprende un bloqueo del efector de extremo y un bloqueo de la unidad de disparo. |
US20180168618A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
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 |
US10478185B2 (en) | 2017-06-02 | 2019-11-19 | Covidien Lp | Tool assembly with minimal dead space |
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 |
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 |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11793537B2 (en) | 2017-10-30 | 2023-10-24 | Cilag Gmbh International | Surgical instrument comprising an adaptive electrical system |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11406390B2 (en) | 2017-10-30 | 2022-08-09 | Cilag Gmbh International | Clip applier comprising interchangeable clip reloads |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US20190192147A1 (en) | 2017-12-21 | 2019-06-27 | Ethicon Llc | Surgical instrument comprising an articulatable distal head |
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 |
US20190206569A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of cloud based data analytics for use with the hub |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
US12096916B2 (en) | 2017-12-28 | 2024-09-24 | Cilag Gmbh International | Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
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 |
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 |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
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 |
US11013563B2 (en) | 2017-12-28 | 2021-05-25 | Ethicon Llc | Drive arrangements for robot-assisted surgical platforms |
US11771487B2 (en) | 2017-12-28 | 2023-10-03 | Cilag Gmbh International | Mechanisms for controlling different electromechanical systems of an electrosurgical instrument |
US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
US20190201146A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Safety systems for smart powered surgical stapling |
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 |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US11179175B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Controlling an ultrasonic surgical instrument according to tissue location |
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 |
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 |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US11998193B2 (en) | 2017-12-28 | 2024-06-04 | Cilag Gmbh International | Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
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 |
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 |
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 |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
US11969216B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US12062442B2 (en) | 2017-12-28 | 2024-08-13 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
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 |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
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 |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy 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 |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
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 |
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 |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
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 |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11213359B2 (en) | 2017-12-28 | 2022-01-04 | Cilag Gmbh International | Controllers for robot-assisted surgical platforms |
US11678927B2 (en) | 2018-03-08 | 2023-06-20 | Cilag Gmbh International | Detection of large vessels during parenchymal dissection using a smart blade |
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 |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11213294B2 (en) | 2018-03-28 | 2022-01-04 | Cilag Gmbh International | Surgical instrument comprising co-operating lockout features |
US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
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 |
US11259806B2 (en) | 2018-03-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
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 |
US11331100B2 (en) | 2019-02-19 | 2022-05-17 | Cilag Gmbh International | Staple cartridge retainer system with authentication keys |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11751872B2 (en) | 2019-02-19 | 2023-09-12 | Cilag Gmbh International | Insertable deactivator element for surgical stapler lockouts |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
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 |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11361176B2 (en) | 2019-06-28 | 2022-06-14 | Cilag Gmbh International | Surgical RFID assemblies for compatibility detection |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11853835B2 (en) | 2019-06-28 | 2023-12-26 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
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 |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
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 |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
USD975851S1 (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 |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | 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 |
US20220031350A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with double pivot articulation joint arrangements |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
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 |
US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11540826B2 (en) | 2020-11-04 | 2023-01-03 | Cilag Gmbh International | Surgical stapler end effector sled having cartridge wall support feature |
US11553912B2 (en) | 2020-11-04 | 2023-01-17 | Cilag Gmbh International | Surgical stapler end effector sled having multiple surface finishes |
US12064112B2 (en) * | 2020-11-04 | 2024-08-20 | Cilag Gmbh International | Surgical stapler end effector sled having cartridge biasing feature |
US11832814B2 (en) | 2020-11-04 | 2023-12-05 | Cilag Gmbh International | Surgical stapler end effector sled having tapered distal end |
US11701112B2 (en) | 2020-11-04 | 2023-07-18 | Cilag Gmbh International | Surgical stapler end effector sled having staple driver support feature |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
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 |
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 |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
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 |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US12108951B2 (en) | 2021-02-26 | 2024-10-08 | Cilag Gmbh International | Staple cartridge comprising a sensing array and a temperature control system |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
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 |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
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 |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
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 |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US12102323B2 (en) | 2021-03-24 | 2024-10-01 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising a floatable component |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
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 |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11998201B2 (en) | 2021-05-28 | 2024-06-04 | Cilag CmbH International | Stapling instrument comprising a firing lockout |
US11986182B2 (en) * | 2021-08-16 | 2024-05-21 | Cilag Gmbh International | Multi-position restraining member for sled movement |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US20230404576A1 (en) * | 2022-05-27 | 2023-12-21 | Covidien Lp | Replaceable staple cartridge with retractable knife |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102933159A (zh) * | 2010-03-17 | 2013-02-13 | 伊西康内外科公司 | 钉仓 |
CN203168230U (zh) * | 2013-04-22 | 2013-09-04 | 厦门福太洋伞有限公司 | 伞具收张锁定装置 |
US20130274722A1 (en) * | 2011-10-25 | 2013-10-17 | Covidien Lp | Apparatus for endoscopic procedures |
CN106028961A (zh) * | 2013-12-23 | 2016-10-12 | 伊西康内外科有限责任公司 | 外科钉和钉仓 |
Family Cites Families (958)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR391239A (fr) | 1908-06-15 | 1908-10-26 | Victor Fischer | Machine à suturer |
US3002795A (en) | 1958-04-22 | 1961-10-03 | Rockford Show Case & Fixture C | Counter display cases |
US3006885A (en) | 1959-08-24 | 1961-10-31 | Hercules Powder Co Ltd | Stabilized polyolefin compositions |
US3079606A (en) | 1960-01-04 | 1963-03-05 | Bobrov Boris Sergeevich | Instrument for placing lateral gastrointestinal anastomoses |
US3490675A (en) | 1966-10-10 | 1970-01-20 | United States Surgical Corp | Instrument for placing lateral gastrointestinal anastomoses |
US3499591A (en) | 1967-06-23 | 1970-03-10 | United States Surgical Corp | Instrument for placing lateral gastro-intestinal anastomoses |
US3675688A (en) | 1970-04-27 | 1972-07-11 | United States Surgical Corp | Instrument for ligating, suturing and dividing organic tubular structures |
US3820605A (en) | 1971-02-16 | 1974-06-28 | Upjohn Co | Apparatus and method for thermally insulating an oil well |
US3777538A (en) | 1972-03-15 | 1973-12-11 | Weck & Co Edward | Surgical clip applicator |
US3820603A (en) | 1972-11-06 | 1974-06-28 | Ici America Inc | Altering relative permeability in production wells |
DE7318970U (de) | 1973-05-19 | 1973-08-30 | Wolf R Gmbh | Zange zum setzen von tantal-clips |
US3820607A (en) | 1973-05-29 | 1974-06-28 | G Miley | Heat activated self discharging fire extinguisher |
US3882854A (en) | 1973-08-23 | 1975-05-13 | Research Corp | Surgical clip and applicator |
SU659146A1 (ru) | 1974-02-12 | 1979-04-30 | Организация П/Я М-5237 | Хирургический аппарат дл наложени анастомозов между полыми органами |
US4027510A (en) | 1974-05-15 | 1977-06-07 | Siegfried Hiltebrandt | Forceps |
JPS51149985A (en) | 1975-06-17 | 1976-12-23 | Kanebo Ltd | Continuous printing method of cloths |
GB1555455A (en) | 1976-06-11 | 1979-11-07 | Cox Mastic Appliances Ltd P C | Dispensing gun |
US4086926A (en) | 1976-10-08 | 1978-05-02 | United States Surgical Corporation | Ligating and dividing organic structures |
SU728848A1 (ru) | 1977-05-24 | 1980-04-25 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат |
US4241861A (en) | 1977-12-20 | 1980-12-30 | Fleischer Harry N | Scissor-type surgical stapler |
SU1036324A1 (ru) | 1978-03-31 | 1983-08-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат |
DE2903159A1 (de) | 1979-01-27 | 1980-07-31 | Georg Kirchner | Nadelapparat fuer medizinische zwecke |
DE2917783C2 (de) | 1979-05-03 | 1982-07-01 | Richard Wolf Gmbh, 7134 Knittlingen | Zange zum Anlegen eines Clips an einen Eileiter |
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 |
US4319576A (en) | 1980-02-26 | 1982-03-16 | Senco Products, Inc. | Intralumenal anastomosis surgical stapling instrument |
SU980703A1 (ru) | 1980-05-16 | 1982-12-15 | Иркутский Государственный Медицинский Институт | Устройство дл рассечени тканей |
US4331277A (en) | 1980-05-23 | 1982-05-25 | United States Surgical Corporation | Self-contained gas powered surgical stapler |
DE3114135C2 (de) | 1981-04-08 | 1985-01-31 | Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen | Verfahren und Schaltung zur Temperaturermittlung bei medizinischen Elektromotoren |
SU990220A1 (ru) | 1981-06-15 | 1983-01-23 | Московский научно-исследовательский институт микрохирургии глаза | Ирисретрактор |
CA1188183A (en) | 1981-12-22 | 1985-06-04 | Hans L. Freund | Surgical stapling instrument |
FR2542188B1 (fr) | 1983-03-11 | 1985-08-16 | Foures Bernard | Pince chirurgicale pour sutures mecaniques lineaires de visceres des cavites thoraciques et abdominales |
US4527724A (en) | 1983-06-10 | 1985-07-09 | Senmed, Inc. | Disposable linear surgical stapling instrument |
US4589413A (en) | 1983-07-21 | 1986-05-20 | Malyshev Boris N | Surgical instrument for resection of hollow organs |
SU1183082A1 (ru) | 1983-08-19 | 1985-10-07 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат |
US5220928A (en) | 1983-08-22 | 1993-06-22 | Stryker Sales Corporation | Surgical procedure for joining tissue in an internal body cavity |
US4944443A (en) | 1988-04-22 | 1990-07-31 | Innovative Surgical Devices, Inc. | Surgical suturing instrument and method |
US4602634A (en) | 1983-09-23 | 1986-07-29 | Ethicon, Inc. | Method and instrument for applying a fastener to a tissue using means to grasp, guide and pull the fastener through the tissue |
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 |
US4612933A (en) | 1984-03-30 | 1986-09-23 | Senmed, Inc. | Multiple-load cartridge assembly for a linear surgical stapling instrument |
GB8422863D0 (en) | 1984-09-11 | 1984-10-17 | Univ London | Sewing machine |
US4671445A (en) | 1984-08-09 | 1987-06-09 | Baxter Travenol Laboratories, Inc. | Flexible surgical stapler assembly |
US4605001A (en) | 1984-10-19 | 1986-08-12 | Senmed, Inc. | Surgical stapling instrument with dual staple height mechanism |
US4633861A (en) | 1984-10-19 | 1987-01-06 | Senmed, Inc. | Surgical stapling instrument with jaw clamping mechanism |
US4633874A (en) | 1984-10-19 | 1987-01-06 | Senmed, Inc. | Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge |
US4608981A (en) | 1984-10-19 | 1986-09-02 | Senmed, Inc. | Surgical stapling instrument with staple height adjusting mechanism |
US4703887A (en) | 1985-01-28 | 1987-11-03 | Ethicon, Inc. | Collapsible purse string aid for use with intraluminal stapling device |
AU5476586A (en) | 1985-03-14 | 1986-09-18 | Hospital Products Ltd. | Surgical stapler cartridge |
US4665916A (en) | 1985-08-09 | 1987-05-19 | United States Surgical Corporation | Surgical stapler apparatus |
US4728020A (en) | 1985-08-30 | 1988-03-01 | United States Surgical Corporation | Articulated surgical fastener applying apparatus |
US4715520A (en) | 1985-10-10 | 1987-12-29 | United States Surgical Corporation | Surgical fastener applying apparatus with tissue edge control |
US4700703A (en) | 1986-03-27 | 1987-10-20 | Semion Resnick | Cartridge assembly for a surgical stapling instrument |
US4752024A (en) | 1986-10-17 | 1988-06-21 | Green David T | Surgical fastener and surgical stapling apparatus |
US5119983A (en) | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
FR2622429A1 (fr) | 1987-11-16 | 1989-05-05 | Blagoveschensky G | Appareil de suture chirurgicale |
US4951860A (en) | 1987-12-28 | 1990-08-28 | Edward Weck & Co. | Method and apparatus for storing, dispensing and applying surgical staples |
ATE103160T1 (de) | 1988-01-15 | 1994-04-15 | Ethicon Inc | Druckregler fuer ein chirurgisches klammerinstrument. |
US5084057A (en) | 1989-07-18 | 1992-01-28 | 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 |
EP0324638A1 (en) | 1988-01-15 | 1989-07-19 | Ethicon, Inc. | Surgical stapler safety and sequencing mechanisms |
US4863088A (en) | 1988-03-09 | 1989-09-05 | Minnesota Mining And Manufacturing Company | Surgical stapling instrument |
US4869415A (en) | 1988-09-26 | 1989-09-26 | Ethicon, Inc. | Energy storage means for a surgical stapler |
US4892244A (en) | 1988-11-07 | 1990-01-09 | Ethicon, Inc. | Surgical stapler cartridge lockout device |
DE68924692T2 (de) | 1988-11-11 | 1996-04-25 | United States Surgical Corp | Chirurgisches Instrument. |
US4991764A (en) | 1989-01-23 | 1991-02-12 | Edward Weck Incorporated | Surgical stapling instrument |
US5188274A (en) | 1989-01-23 | 1993-02-23 | Moeinzadeh Manssour H | Semi-disposable surgical stapler |
US5111987A (en) | 1989-01-23 | 1992-05-12 | Moeinzadeh Manssour H | Semi-disposable surgical stapler |
US5486185A (en) | 1989-01-30 | 1996-01-23 | Dexide, Inc. | Surgical apparatus |
US5106008A (en) | 1989-05-26 | 1992-04-21 | United States Surgical Corporation | Locking mechanism for a 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 |
US5505363A (en) | 1989-05-26 | 1996-04-09 | United States Surgical Corporation | Surgical staples with plated anvils |
US5040715B1 (en) | 1989-05-26 | 1994-04-05 | United States Surgical Corp | 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 |
US5318221A (en) | 1989-05-26 | 1994-06-07 | United States Surgical Corporation | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
US4978049A (en) | 1989-05-26 | 1990-12-18 | United States Surgical Corporation | Three staple drive member |
US4955959A (en) | 1989-05-26 | 1990-09-11 | United States Surgical Corporation | Locking mechanism for a surgical fastening apparatus |
US5922001A (en) | 1989-12-05 | 1999-07-13 | Yoon; Inbae | Surgical instrument with jaws and a movable internal blade member and method for use thereof |
US5014899A (en) | 1990-03-30 | 1991-05-14 | United States Surgical Corporation | Surgical stapling apparatus |
FR2660851A1 (fr) | 1990-04-11 | 1991-10-18 | Cardial Sa | Dispositif de desobstruction de conduits vasculaires tels des arteres. |
US5074454A (en) | 1990-06-04 | 1991-12-24 | Peters Ronald L | Surgical stapler |
US5156315A (en) | 1990-09-17 | 1992-10-20 | 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 |
US5653373A (en) | 1990-09-17 | 1997-08-05 | 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 |
DE9117288U1 (de) | 1990-10-05 | 1999-10-21 | United States Surgical Corp. (N.D.Ges.D.Staates Delaware), Norwalk, Conn. | Chirurgisches Klammerinstrument |
US5282807A (en) | 1990-11-05 | 1994-02-01 | Knoepfler Dennis J | Automatic stapler for laparoscopic procedure with selective cutter, nontraumatic jaws and suction irrigator |
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 |
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 |
AU662719B2 (en) | 1990-12-18 | 1995-09-14 | United States Surgical Corporation | Safety device for a surgical stapler cartridge |
US5690675A (en) | 1991-02-13 | 1997-11-25 | Fusion Medical Technologies, Inc. | Methods for sealing of staples and other fasteners in tissue |
US5336232A (en) | 1991-03-14 | 1994-08-09 | United States Surgical Corporation | Approximating apparatus for surgical jaw structure and method of using the same |
CA2061885A1 (en) | 1991-03-14 | 1992-09-15 | David T. Green | Approximating apparatus for surgical jaw structure |
US5170925A (en) | 1991-03-18 | 1992-12-15 | Ethicon, Inc. | Laparoscopic stapler with knife means |
US5065929A (en) | 1991-04-01 | 1991-11-19 | Ethicon, Inc. | Surgical stapler with locking means |
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 |
US5470010A (en) | 1991-04-04 | 1995-11-28 | Ethicon, Inc. | Multiple fire endoscopic stapling mechanism |
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 |
DE69229792T2 (de) | 1991-05-14 | 2000-02-10 | United States Surgical Corp., Norwalk | Chirurgisches Klammergerät mit Detektiervorrichtung für verbrauchte Patronen und Sperrvorrichtung |
US5221036A (en) | 1991-06-11 | 1993-06-22 | Haruo Takase | Surgical stapler |
US5173133A (en) | 1991-07-23 | 1992-12-22 | United States Surgical Corporation | Method for annealing stapler anvils |
FR2681775B1 (fr) | 1991-10-01 | 1998-09-11 | Boutmy Ets | Pince pour chirurgie endoscopique a outil inclinable. |
CA2075141C (en) | 1991-10-17 | 1998-06-30 | Donald A. Morin | Anvil for surgical staplers |
US5326013A (en) | 1991-10-18 | 1994-07-05 | 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 |
US5366134A (en) | 1991-10-18 | 1994-11-22 | United States Surgical Corporation | Surgical fastening apparatus |
US5364001A (en) | 1991-10-18 | 1994-11-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5312023A (en) | 1991-10-18 | 1994-05-17 | 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 |
CA2075227C (en) | 1991-10-18 | 2004-02-10 | Robert J. Geiste | Surgical fastening apparatus with shipping interlock |
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 |
US5397046A (en) | 1991-10-18 | 1995-03-14 | United States Surgical Corporation | Lockout mechanism for surgical apparatus |
US5711472A (en) | 1991-10-18 | 1998-01-27 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
US5431322A (en) | 1991-10-18 | 1995-07-11 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
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 |
US5308576A (en) | 1991-10-18 | 1994-05-03 | United States Surgical Corporation | Injection molded anvils |
ES2041610T3 (es) | 1991-10-18 | 1997-05-16 | United States Surgical Corp | Aparato para aplicar broches de sujecion quirurgicos. |
US5356064A (en) | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
CA2078794C (en) | 1991-10-18 | 1998-10-06 | Frank J. Viola | Locking device for an apparatus for applying surgical fasteners |
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 |
US5478003A (en) | 1991-10-18 | 1995-12-26 | United States Surgical Corporation | Surgical apparatus |
US5240163A (en) | 1991-10-30 | 1993-08-31 | American Cyanamid Company | Linear surgical stapling instrument |
EP0610326B1 (en) | 1991-11-01 | 2002-09-18 | Medical Scientific, Inc. | Electrosurgical cutting tool |
US5665085A (en) | 1991-11-01 | 1997-09-09 | Medical Scientific, Inc. | Electrosurgical cutting tool |
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 |
US5433721A (en) | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
US5383880A (en) | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
FI90622C (fi) | 1992-01-24 | 1994-03-10 | Biocon Oy | Kirurginen asennusinstrumentti |
US5180092A (en) | 1992-02-05 | 1993-01-19 | Lawrence Crainich | Linear surgical stapling instrument |
US5163943A (en) | 1992-03-12 | 1992-11-17 | Mohiuddin Mohammed M | Circumcision instrument with staple means |
US5484095A (en) | 1992-03-31 | 1996-01-16 | United States Surgical Corporation | Apparatus for endoscopically applying staples individually to body tissue |
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 |
US5389098A (en) | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
US5431667A (en) | 1992-05-26 | 1995-07-11 | Origin Medsystems, Inc. | Gas-sealed instruments for use in laparoscopic surgery |
US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
US5263629A (en) | 1992-06-29 | 1993-11-23 | Ethicon, Inc. | Method and apparatus for achieving hemostasis along a staple line |
CA2099100C (en) | 1992-06-30 | 2005-02-22 | David T. Green | Apparatus for applying surgical fasteners |
US5330486A (en) | 1992-07-29 | 1994-07-19 | Wilk Peter J | Laparoscopic or endoscopic anastomosis technique and associated instruments |
CA2437777C (en) | 1992-09-21 | 2006-11-28 | United States Surgical Corporation | Device for applying a meniscal staple |
CA2103507C (en) | 1992-09-23 | 1998-09-15 | David A. Nicholas | Locking mechanism for endoscopic or laparoscopic surgical instruments |
US5485952A (en) | 1992-09-23 | 1996-01-23 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5573169A (en) | 1992-10-02 | 1996-11-12 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures |
US5423471A (en) | 1992-10-02 | 1995-06-13 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures |
US5381943A (en) | 1992-10-09 | 1995-01-17 | Ethicon, Inc. | Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge |
US5374277A (en) | 1992-10-09 | 1994-12-20 | Ethicon, Inc. | Surgical instrument |
US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
US5330502A (en) | 1992-10-09 | 1994-07-19 | Ethicon, Inc. | Rotational endoscopic mechanism with jointed drive mechanism |
US5431323A (en) | 1992-10-09 | 1995-07-11 | Ethicon, Inc. | Endoscopic surgical instrument with pivotable and rotatable staple cartridge |
US5601224A (en) | 1992-10-09 | 1997-02-11 | Ethicon, Inc. | Surgical instrument |
US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
US5275166A (en) | 1992-11-16 | 1994-01-04 | Ethicon, Inc. | Method and apparatus for performing ultrasonic assisted surgical procedures |
US5328077A (en) | 1992-11-19 | 1994-07-12 | Lou Ek Seng | Method and apparatus for treating female urinary incontinence |
US5403312A (en) | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
DE4300307C2 (de) | 1993-01-08 | 1996-09-19 | Aesculap Ag | Chirurgisches Instrument |
US5382255A (en) | 1993-01-08 | 1995-01-17 | United States Surgical Corporation | Apparatus and method for assembly of surgical instruments |
DE69409565T2 (de) | 1993-01-29 | 1998-10-01 | Smith & Nephew Inc | Schwenkbares gekrümmtes Instrument |
US5397324A (en) | 1993-03-10 | 1995-03-14 | Carroll; Brendan J. | Surgical stapler instrument and method for vascular hemostasis |
US5540375A (en) | 1993-04-20 | 1996-07-30 | United States Surgical Corporation | Endoscopic stapler |
US5467911A (en) | 1993-04-27 | 1995-11-21 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
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 |
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 |
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 |
US6716232B1 (en) | 1993-04-30 | 2004-04-06 | United States Surgical Corporation | Surgical instrument having an articulated jaw structure and a detachable knife |
US5364003A (en) | 1993-05-05 | 1994-11-15 | Ethicon Endo-Surgery | Staple cartridge for a surgical stapler |
US5415334A (en) | 1993-05-05 | 1995-05-16 | Ethicon Endo-Surgery | Surgical stapler and staple cartridge |
CA2124109A1 (en) | 1993-05-24 | 1994-11-25 | Mark T. Byrne | Endoscopic surgical instrument with electromagnetic sensor |
US5810811A (en) | 1993-07-22 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
GR940100335A (el) | 1993-07-22 | 1996-05-22 | Ethicon Inc. | Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων. |
US5344061A (en) | 1993-08-03 | 1994-09-06 | Lawrence Crainich | Ratchet assembly for medical instrument |
US5441193A (en) | 1993-09-23 | 1995-08-15 | United States Surgical Corporation | Surgical fastener applying apparatus with resilient film |
US5542594A (en) | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
US5439155A (en) | 1993-10-07 | 1995-08-08 | United States Surgical Corporation | Cartridge for surgical fastener applying apparatus |
CA2132503C (en) | 1993-10-07 | 2005-05-10 | Donald F. Wilson | Curved knife for linear staplers |
US5562682A (en) | 1993-10-08 | 1996-10-08 | Richard-Allan Medical Industries, Inc. | Surgical Instrument with adjustable arms |
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 |
US5725554A (en) | 1993-10-08 | 1998-03-10 | Richard-Allan Medical Industries, Inc. | Surgical staple and stapler |
CA2117744A1 (en) | 1993-10-14 | 1995-04-15 | David T. Green | Gas powered apparatus for applying surgical fasteners to body tissue |
US5376095A (en) | 1993-11-04 | 1994-12-27 | Ethicon Endo-Surgery | Endoscopic multi-fire flat stapler with low profile |
US5490856A (en) | 1993-12-14 | 1996-02-13 | Untied States Surgical Corporation | Purse string stapler |
US5743456A (en) | 1993-12-16 | 1998-04-28 | Stryker Corporation | Hand actuable surgical handpiece |
US5782397A (en) | 1994-01-04 | 1998-07-21 | Alpha Surgical Technologies, Inc. | Stapling device |
US5452837A (en) | 1994-01-21 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with tissue gripping ridge |
US5501689A (en) | 1994-02-03 | 1996-03-26 | United States Surgical Corporation | Plaque stapler |
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 |
US5597107A (en) | 1994-02-03 | 1997-01-28 | 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 |
US5503638A (en) | 1994-02-10 | 1996-04-02 | Bio-Vascular, Inc. | Soft tissue stapling buttress |
US5507773A (en) | 1994-02-18 | 1996-04-16 | Ethicon Endo-Surgery | Cable-actuated jaw assembly for surgical instruments |
WO1995023557A1 (en) | 1994-03-01 | 1995-09-08 | United States Surgical Corporation | Surgical stapler with anvil sensor and lockout |
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 |
US5529235A (en) | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
US5470007A (en) | 1994-05-02 | 1995-11-28 | Minnesota Mining And Manufacturing Company | Laparoscopic stapler with overload sensor and interlock |
US5489058A (en) | 1994-05-02 | 1996-02-06 | Minnesota Mining And Manufacturing Company | Surgical stapler with mechanisms for reducing the firing force |
US5474566A (en) | 1994-05-05 | 1995-12-12 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5628446A (en) | 1994-05-05 | 1997-05-13 | United States Surgical Corporation | Self-contained powered surgical apparatus |
CA2148667A1 (en) | 1994-05-05 | 1995-11-06 | Carlo A. Mililli | Self-contained powered surgical apparatus |
US5814057A (en) | 1994-06-03 | 1998-09-29 | Gunze Limited | Supporting element for staple region |
US5551622A (en) | 1994-07-13 | 1996-09-03 | Yoon; Inbae | Surgical stapler |
US5833695A (en) | 1994-07-13 | 1998-11-10 | Yoon; Inbae | Surgical stapling system and method of applying staples from multiple staple cartridges |
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 |
US5507426A (en) | 1994-08-05 | 1996-04-16 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5779130A (en) | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5480089A (en) | 1994-08-19 | 1996-01-02 | United States Surgical Corporation | Surgical stapler apparatus with improved staple pockets |
US5571116A (en) | 1994-10-02 | 1996-11-05 | United States Surgical Corporation | Non-invasive treatment of gastroesophageal reflux disease |
US5901895A (en) | 1994-10-05 | 1999-05-11 | United States Surgical Corporation | Articulating apparatus for applying surgical fasteners to body tissue |
US5797538A (en) | 1994-10-05 | 1998-08-25 | United States Surgical Corporation | Articulating apparatus for applying surgical fasteners to body tissue |
EP0705571A1 (en) | 1994-10-07 | 1996-04-10 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5868760A (en) | 1994-12-07 | 1999-02-09 | Mcguckin, Jr.; James F. | Method and apparatus for endolumenally resectioning tissue |
US5988479A (en) | 1994-12-13 | 1999-11-23 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5713505A (en) | 1996-05-13 | 1998-02-03 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
US5575799A (en) | 1995-03-30 | 1996-11-19 | United States Surgical Corporation | Articulating surgical apparatus |
US5624452A (en) | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
US5553765A (en) | 1995-04-28 | 1996-09-10 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved operating lever mounting arrangement |
US5630540A (en) | 1995-05-24 | 1997-05-20 | United States Surgical Corporation | Surgical staple and staple drive member |
US5653928A (en) | 1995-06-15 | 1997-08-05 | Schnipke Family Partnership | Method for assembling a surgical stapling cartridge |
USRE38708E1 (en) | 1995-07-11 | 2005-03-01 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US5752644A (en) | 1995-07-11 | 1998-05-19 | United States Surgical Corporation | Disposable loading unit for surgical stapler |
US5810855A (en) | 1995-07-21 | 1998-09-22 | Gore Enterprise Holdings, Inc. | Endoscopic device and method for reinforcing surgical staples |
US5702409A (en) | 1995-07-21 | 1997-12-30 | W. L. Gore & Associates, Inc. | Device and method for reinforcing surgical staples |
US5718359A (en) | 1995-08-14 | 1998-02-17 | United States Of America Surgical Corporation | Surgical stapler with lockout mechanism |
US5715988A (en) | 1995-08-14 | 1998-02-10 | United States Surgical Corporation | Surgical stapler with lockout mechanism |
US6032849A (en) | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
US5814055A (en) | 1995-09-19 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
US5697542A (en) | 1995-10-19 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical stapler with compact profile |
US5653721A (en) | 1995-10-19 | 1997-08-05 | Ethicon Endo-Surgery, Inc. | Override mechanism for an actuator on a surgical instrument |
US5651491A (en) | 1995-10-27 | 1997-07-29 | United States Surgical Corporation | Surgical stapler having interchangeable loading units |
US5941442A (en) | 1995-10-27 | 1999-08-24 | United States Surgical | Surgical stapler |
JPH09135837A (ja) | 1995-11-13 | 1997-05-27 | Yasumasa Onuki | 結紮縫合装置 |
US5762255A (en) | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
US5820009A (en) | 1996-02-20 | 1998-10-13 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved jaw closure mechanism |
US6010054A (en) | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
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 |
US5673842A (en) | 1996-03-05 | 1997-10-07 | Ethicon Endo-Surgery | Surgical stapler with locking mechanism |
US5772673A (en) | 1996-03-07 | 1998-06-30 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5732806A (en) | 1996-03-29 | 1998-03-31 | Pilling Weck, Incorporated | Compensator to prevent backlash in a surgical instrument |
US5772099A (en) | 1996-04-01 | 1998-06-30 | United States Surgical Corporation | Surgical fastening apparatus with alignment pin |
US5785232A (en) | 1996-04-17 | 1998-07-28 | Vir Engineering | Surgical stapler |
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 |
US6109500A (en) | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
US5769892A (en) | 1996-10-22 | 1998-06-23 | Mitroflow International Inc. | Surgical stapler sleeve for reinforcing staple lines |
US5911352A (en) | 1996-12-17 | 1999-06-15 | United States Surgical Corporation | Surgical stapling apparatus |
US5931847A (en) | 1997-01-09 | 1999-08-03 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument with improved cutting edge |
US5919198A (en) | 1997-04-17 | 1999-07-06 | Ethicon Endo-Surgery, Inc. | Disposable cartridge with drivers |
US5878938A (en) | 1997-08-11 | 1999-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapler with improved locking mechanism |
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US5980510A (en) | 1997-10-10 | 1999-11-09 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount |
US5873873A (en) | 1997-10-10 | 1999-02-23 | Ethicon Endo-Surgery, Inc. | Ultrasonic clamp coagulator apparatus having improved clamp mechanism |
US6197017B1 (en) | 1998-02-24 | 2001-03-06 | Brock Rogers Surgical, Inc. | Articulated apparatus for telemanipulator system |
US6554844B2 (en) | 1998-02-24 | 2003-04-29 | Endovia Medical, Inc. | Surgical instrument |
US6279809B1 (en) | 1998-03-10 | 2001-08-28 | Enrico Nicolo | Circular stapler for side to end, side to side and end to side anastomosis |
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 |
FR2778081B1 (fr) | 1998-04-29 | 2000-08-25 | Fabrice Thevenet | Implants de renfort pour sutures tissulaires |
US6131790A (en) | 1998-09-02 | 2000-10-17 | Piraka; Hadi A. | Surgical stapler and cartridge |
US6594552B1 (en) | 1999-04-07 | 2003-07-15 | Intuitive Surgical, Inc. | Grip strength with tactile feedback for robotic surgery |
US6565554B1 (en) | 1999-04-07 | 2003-05-20 | Intuitive Surgical, Inc. | Friction compensation in a minimally invasive surgical apparatus |
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 |
US8241322B2 (en) | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | 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 |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US6488196B1 (en) | 1999-06-30 | 2002-12-03 | Axya Medical, Inc. | Surgical stapler and method of applying plastic staples to body tissue |
US6325810B1 (en) | 1999-06-30 | 2001-12-04 | Ethicon, Inc. | Foam buttress for stapling apparatus |
US7303570B2 (en) | 1999-07-28 | 2007-12-04 | Cardica, Inc. | Anastomosis tool having a connector holder |
US7300444B1 (en) | 1999-07-28 | 2007-11-27 | Cardica, Inc. | Surgical system and method for connecting hollow tissue structures |
US7850703B2 (en) | 1999-07-28 | 2010-12-14 | Cardica, Inc. | System for performing anastomosis |
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 |
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 |
JP2001087272A (ja) | 1999-09-24 | 2001-04-03 | Motoko Iwabuchi | 生体組織切除用自動縫合器 |
US7770773B2 (en) | 2005-07-27 | 2010-08-10 | Power Medical Interventions, Llc | Surgical device |
US9173658B2 (en) | 2000-03-06 | 2015-11-03 | Covidien Lp | Apparatus and method for performing a bypass procedure in a digestive system |
US6830174B2 (en) | 2000-08-30 | 2004-12-14 | Cerebral Vascular Applications, Inc. | Medical instrument |
JP4014792B2 (ja) | 2000-09-29 | 2007-11-28 | 株式会社東芝 | マニピュレータ |
US7334717B2 (en) | 2001-10-05 | 2008-02-26 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
DE60135920D1 (de) | 2000-10-13 | 2008-11-06 | Tyco Healthcare | Chirurgisches instrument zum anlegen von klammern |
US20040267310A1 (en) | 2000-10-20 | 2004-12-30 | Racenet David C | Directionally biased staple and anvil assembly for forming the staple |
US6439446B1 (en) | 2000-12-01 | 2002-08-27 | Stephen J. Perry | Safety lockout for actuator shaft |
JP4202138B2 (ja) | 2001-01-31 | 2008-12-24 | レックス メディカル インコーポレイテッド | 胃食道組織をステープルおよび切除するための装置および方法 |
JP4388745B2 (ja) | 2001-04-03 | 2009-12-24 | 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 | 輪状吻合を実施するための外科用ステープルデバイス |
US6783524B2 (en) | 2001-04-19 | 2004-08-31 | Intuitive Surgical, Inc. | Robotic surgical tool with ultrasound cauterizing and cutting instrument |
US6544274B2 (en) | 2001-05-02 | 2003-04-08 | Novare Surgical Systems, Inc. | Clamp having bendable shaft |
US6503257B2 (en) | 2001-05-07 | 2003-01-07 | Ethicon Endo-Surgery, Inc. | Method for releasing buttress material attached to a surgical fastening device |
US6592597B2 (en) | 2001-05-07 | 2003-07-15 | Ethicon Endo-Surgery, Inc. | Adhesive for attaching buttress material to a surgical fastening device |
US6755338B2 (en) | 2001-08-29 | 2004-06-29 | Cerebral Vascular Applications, Inc. | Medical instrument |
US6587750B2 (en) | 2001-09-25 | 2003-07-01 | Intuitive Surgical, Inc. | Removable infinite roll master grip handle and touch sensor for robotic surgery |
ES2529325T3 (es) | 2001-10-05 | 2015-02-19 | Covidien Lp | Método de ajuste de aparato de grapado quirúrgico |
ES2763929T3 (es) | 2001-10-05 | 2020-06-01 | Covidien Lp | Dispositivo de grapado quirúrgico |
USD480808S1 (en) | 2001-10-12 | 2003-10-14 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
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 |
US7504827B1 (en) | 2001-11-14 | 2009-03-17 | Fonar Corporation | MRI test fixture |
US6602252B2 (en) | 2002-01-03 | 2003-08-05 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
US7128748B2 (en) | 2002-03-26 | 2006-10-31 | Synovis Life Technologies, Inc. | Circular stapler buttress combination |
NZ518163A (en) | 2002-04-05 | 2005-04-29 | Kiwi Ingenuity Ltd | Embryo modified with a glycolipid to enhance implantation into the endometrium |
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 |
US7377928B2 (en) | 2002-04-15 | 2008-05-27 | Cook Biotech Incorporated | Apparatus and method for producing a reinforced surgical staple line |
US7517356B2 (en) | 2002-04-16 | 2009-04-14 | Tyco Healthcare Group Lp | Surgical stapler and method |
JP4431404B2 (ja) | 2002-04-25 | 2010-03-17 | タイコ ヘルスケア グループ エルピー | マイクロ電気機械的システム(mems)を含む外科用器具 |
US7207471B2 (en) | 2002-05-10 | 2007-04-24 | Tyco Healthcare Group Lp | Electrosurgical stapling apparatus |
EP1503671B1 (en) | 2002-05-10 | 2006-10-11 | Tyco Healthcare Group Lp | Wound closure material applicator and stapler |
ES2540098T3 (es) | 2002-05-10 | 2015-07-08 | Covidien Lp | Aparato grapador quirúrgico que tiene un conjunto aplicador de material para cierre de heridas |
ES2278167T3 (es) | 2002-06-14 | 2007-08-01 | Power Medical Interventions, Inc. | Dispositivo para pinzar, cortar y grapar tejido. |
US8454628B2 (en) | 2002-09-20 | 2013-06-04 | Syntheon, Llc | Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease |
EP1759641B1 (en) | 2002-10-04 | 2011-04-13 | Tyco Healthcare Group LP | Surgical stapler with universal articulation and tissue pre-clamp |
CA2500796C (en) | 2002-10-04 | 2011-03-15 | Tyco Healthcare Group, Lp | Tool assembly for surgical stapling device |
WO2004032760A2 (en) | 2002-10-04 | 2004-04-22 | Tyco Healthcare Group, Lp | Pneumatic powered surgical stapling device |
AU2003279854B2 (en) | 2002-10-04 | 2008-12-18 | Covidien Lp | Tool assembly for a surgical stapling device |
US7267682B1 (en) | 2002-12-04 | 2007-09-11 | Cardica, Inc. | Anastomosis staple |
US7399310B2 (en) | 2002-12-16 | 2008-07-15 | Edrich Vascular Devices, Inc. | Endovascular stapler |
US7287682B1 (en) | 2003-01-20 | 2007-10-30 | Hazem Ezzat | Surgical device and method |
EP1605840B1 (en) | 2003-03-26 | 2011-01-05 | Tyco Healthcare Group LP | Energy stored in spring with controlled release |
US20040199181A1 (en) | 2003-04-02 | 2004-10-07 | Knodel Bryan D. | Surgical device for anastomosis |
US20040199180A1 (en) | 2003-04-02 | 2004-10-07 | Knodel Bryan D. | Method of using surgical device for anastomosis |
US9597078B2 (en) | 2003-04-29 | 2017-03-21 | Covidien Lp | Surgical stapling device with dissecting tip |
US20040243151A1 (en) | 2003-04-29 | 2004-12-02 | Demmy Todd L. | Surgical stapling device with dissecting tip |
US8714429B2 (en) | 2003-04-29 | 2014-05-06 | Covidien Lp | Dissecting tip for surgical stapler |
US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US7143923B2 (en) | 2003-05-20 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a firing lockout for an unclosed anvil |
US6988649B2 (en) | 2003-05-20 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a spent cartridge lockout |
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 |
US7044352B2 (en) * | 2003-05-20 | 2006-05-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US7380695B2 (en) | 2003-05-20 | 2008-06-03 | 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 |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US7000818B2 (en) | 2003-05-20 | 2006-02-21 | Ethicon, Endo-Surger, Inc. | Surgical stapling instrument having separate distinct closing and firing systems |
US7159750B2 (en) | 2003-06-17 | 2007-01-09 | Tyco Healtcare Group Lp | Surgical stapling device |
US7494039B2 (en) | 2003-06-17 | 2009-02-24 | Tyco Healthcare Group Lp | Surgical stapling device |
US7168604B2 (en) | 2003-06-20 | 2007-01-30 | Tyco Healthcare Group Lp | Surgical stapling device |
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 |
US6786382B1 (en) | 2003-07-09 | 2004-09-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an articulation joint for a firing bar track |
US7111769B2 (en) | 2003-07-09 | 2006-09-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis |
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 |
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 |
US7083075B2 (en) | 2003-09-29 | 2006-08-01 | Ethicon Endo-Surgery, Inc. | Multi-stroke mechanism with automatic end of stroke retraction |
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 |
US7434715B2 (en) | 2003-09-29 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing with opening lockout |
US6905057B2 (en) | 2003-09-29 | 2005-06-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission |
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 |
US7097650B2 (en) | 2003-10-14 | 2006-08-29 | Satiety, Inc. | System for tissue approximation and fixation |
US7914543B2 (en) | 2003-10-14 | 2011-03-29 | Satiety, Inc. | Single fold device for tissue fixation |
ES2387016T3 (es) | 2003-10-17 | 2012-09-11 | Tyco Healthcare Group Lp | Dispositivo de grapado quirúrgico |
US10588629B2 (en) | 2009-11-20 | 2020-03-17 | 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 |
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 |
CA2542532C (en) | 2003-10-17 | 2012-08-14 | Tyco Healthcare Group, Lp | Surgical stapling device with independent tip rotation |
US9113880B2 (en) | 2007-10-05 | 2015-08-25 | Covidien Lp | Internal backbone structural chassis for a surgical device |
US7401720B1 (en) | 2004-05-07 | 2008-07-22 | Ayaz Mahmud Durrani | Dual surgical stapler |
US20050177176A1 (en) | 2004-02-05 | 2005-08-11 | Craig Gerbi | Single-fold system for tissue approximation and fixation |
US7886952B2 (en) | 2004-02-17 | 2011-02-15 | Tyco Healthcare Group Lp | Surgical stapling apparatus with locking mechanism |
ES2285587T3 (es) | 2004-02-17 | 2007-11-16 | Tyco Healthcare Group Lp | Aparato quirurgico de grapado con mecanismo de bloqueo. |
EP1563793B1 (en) | 2004-02-17 | 2007-06-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
ES2377496T3 (es) | 2004-02-17 | 2012-03-28 | Tyco Healthcare Group Lp | Aparato quirúrgico de grapado con un mecanismo de bloqueo |
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 |
CA2558445C (en) | 2004-03-02 | 2008-12-02 | Oy Halton Group Limited | An ultra-violet ventilation system having an improved filtering device |
US8252009B2 (en) | 2004-03-09 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Devices and methods for placement of partitions within a hollow body organ |
TWM259538U (en) | 2004-04-12 | 2005-03-21 | Shi-Du Wang | Suspended hanger for trowels |
EP1746940A2 (en) | 2004-05-17 | 2007-01-31 | Datascope Investment Corp. | Surgical stapling system |
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 |
US7367485B2 (en) | 2004-06-30 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
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 |
US7354447B2 (en) | 2005-11-10 | 2008-04-08 | Ethicon Endo-Surgery, Inc. | Disposable loading unit and surgical instruments including same |
US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
US7914551B2 (en) | 2004-07-28 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument |
US7487899B2 (en) | 2004-07-28 | 2009-02-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP complete firing system lockout mechanism |
US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
US7857183B2 (en) | 2004-07-28 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
US7513408B2 (en) | 2004-07-28 | 2009-04-07 | Ethicon Endo-Surgery, Inc. | Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US7407077B2 (en) | 2004-07-28 | 2008-08-05 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for linear surgical stapler |
US7506790B2 (en) | 2004-07-28 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
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 |
KR100646762B1 (ko) | 2004-09-10 | 2006-11-23 | 인하대학교 산학협력단 | 수술용 스테이플 및 이를 구비한 수술용 자동 문합기 |
MX2007002841A (es) | 2004-09-10 | 2007-04-30 | Ethicon Endo Surgery Inc | Instrumento de engrapado quirurgico. |
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 |
US7678121B1 (en) | 2004-12-23 | 2010-03-16 | Cardica, Inc. | Surgical stapling tool |
US7462185B1 (en) | 2004-12-23 | 2008-12-09 | Cardican Inc. | Intravascular stapling tool |
US7229895B2 (en) | 2005-01-14 | 2007-06-12 | Micron Technology, Inc | Memory array buried digit line |
US7438208B2 (en) | 2005-01-25 | 2008-10-21 | Entrigue Surgical, Inc. | Septal stapler apparatus |
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 |
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 |
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 |
US7559452B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument having fluid actuated opposing jaws |
JP4712409B2 (ja) | 2005-02-28 | 2011-06-29 | マニー株式会社 | 医療用ステープラー |
US9138226B2 (en) * | 2005-03-30 | 2015-09-22 | Covidien Lp | Cartridge assembly for a surgical stapling device |
US7780055B2 (en) | 2005-04-06 | 2010-08-24 | Tyco Healthcare Group Lp | Loading unit having drive assembly locking mechanism |
US20100012703A1 (en) | 2005-05-05 | 2010-01-21 | Allison Calabrese | Surgical Gasket |
AU2006255303B2 (en) | 2005-06-03 | 2011-12-15 | Covidien Lp | Battery powered surgical instrument |
US7717312B2 (en) | 2005-06-03 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
CN101262984B (zh) | 2005-07-27 | 2012-06-06 | Tyco医疗健康集团 | 用于外科缝合器的缝合钉凹座装置 |
US7559937B2 (en) | 2005-08-09 | 2009-07-14 | Towertech Research Group | Surgical fastener apparatus and reinforcing material |
US7398908B2 (en) | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US7401721B2 (en) | 2005-08-15 | 2008-07-22 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US7407075B2 (en) | 2005-08-15 | 2008-08-05 | Tyco Healthcare Group Lp | Staple cartridge having multiple staple sizes for a surgical stapling instrument |
US8579178B2 (en) | 2005-08-15 | 2013-11-12 | Covidien Lp | Surgical stapling instruments including a cartridge having multiple staples sizes |
US20070191868A1 (en) | 2005-08-25 | 2007-08-16 | Microline Pentax Inc. | Indicating system for clip applying device |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | 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 |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
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 |
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 |
US7451904B2 (en) | 2005-09-26 | 2008-11-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having end effector gripping surfaces |
US7357287B2 (en) | 2005-09-29 | 2008-04-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having preloaded firing assistance mechanism |
US7641091B2 (en) | 2005-10-04 | 2010-01-05 | Tyco Healthcare Group Lp | Staple drive assembly |
US7635074B2 (en) | 2005-10-04 | 2009-12-22 | Tyco Healthcare Group Lp | Staple drive assembly |
US8096459B2 (en) | 2005-10-11 | 2012-01-17 | Ethicon Endo-Surgery, Inc. | Surgical stapler with an end effector support |
CA2563147C (en) | 2005-10-14 | 2014-09-23 | Tyco Healthcare Group Lp | Surgical stapling device |
AU2006228045B2 (en) | 2005-10-14 | 2011-11-24 | Covidien Lp | Apparatus for laparoscopic or endoscopic procedures |
US20070102472A1 (en) | 2005-11-04 | 2007-05-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical stapling instrument with disposable severing / stapling unit |
US7607557B2 (en) | 2005-11-04 | 2009-10-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for pump-assisted delivery of medical agents |
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 |
US7673780B2 (en) | 2005-11-09 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument |
US7799039B2 (en) | 2005-11-09 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a hydraulically actuated end effector |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
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 |
US7481824B2 (en) | 2005-12-30 | 2009-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument with bending articulation controlled articulation pivot joint |
US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
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 |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US20070175955A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Surgical cutting and fastening instrument with closure trigger locking mechanism |
US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
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 |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
US20070175951A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Gearing selector for a powered surgical cutting and fastening instrument |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US7422139B2 (en) | 2006-01-31 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting fastening instrument with tactile position feedback |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7416101B2 (en) | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
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 |
US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
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 |
US20110163146A1 (en) | 2006-03-23 | 2011-07-07 | Ortiz Mark S | Surgical Stapling And Cuttting Device |
US8833631B2 (en) | 2011-05-16 | 2014-09-16 | John J. Munro, III | Delivery applicator for radioactive staples for brachytherapy medical treatment |
US8267849B2 (en) | 2006-04-18 | 2012-09-18 | Wazer David E | Radioactive therapeutic fastening instrument |
US7278563B1 (en) | 2006-04-25 | 2007-10-09 | Green David T | Surgical instrument for progressively stapling and incising tissue |
WO2007137243A2 (en) | 2006-05-19 | 2007-11-29 | Applied Medical Resources Corporation | Surgical stapler |
US7635373B2 (en) | 2006-05-25 | 2009-12-22 | Ethicon Endo-Surgery, Inc. | Absorbable gastric restriction devices and methods |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
EP1875868B1 (en) | 2006-07-07 | 2010-11-03 | Ethicon Endo-Surgery, Inc. | A surgical stapling instrument and a staple cartridge and staple for such an instrument |
IL176889A0 (en) | 2006-07-16 | 2006-10-31 | Medigus Ltd | Devices and methods for treating morbid obesity |
US20080029574A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with actuator at distal end |
US7441684B2 (en) | 2006-08-02 | 2008-10-28 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features |
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 |
US8403196B2 (en) | 2006-09-08 | 2013-03-26 | Covidien Lp | Dissection tip and introducer for surgical instrument |
US8136711B2 (en) | 2006-09-08 | 2012-03-20 | Tyco Healthcare Group Lp | Dissection tip and introducer for surgical instrument |
US8794496B2 (en) | 2006-09-11 | 2014-08-05 | Covidien Lp | Rotating knob locking mechanism for surgical stapling device |
US20100133317A1 (en) | 2006-09-29 | 2010-06-03 | Shelton Iv Frederick E | Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US20080078802A1 (en) | 2006-09-29 | 2008-04-03 | Hess Christopher J | Surgical staples and stapling instruments |
US7481348B2 (en) | 2006-10-06 | 2009-01-27 | Tyco Healthcare Group Lp | Surgical instrument with articulating tool assembly |
US7963431B2 (en) | 2006-10-06 | 2011-06-21 | Tyco Healthcare Group, Lp | Grasping jaw mechanism |
US8336751B2 (en) | 2006-10-06 | 2012-12-25 | Covidien Lp | Grasping jaw mechanism |
US7866525B2 (en) | 2006-10-06 | 2011-01-11 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
US7967178B2 (en) | 2006-10-06 | 2011-06-28 | Tyco Healthcare Group Lp | Grasping jaw mechanism |
US7845535B2 (en) | 2006-10-06 | 2010-12-07 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
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 |
US20080110961A1 (en) | 2006-11-10 | 2008-05-15 | Ethicon Endo-Surgery, Inc. | Initiator Coating of Staples |
US7434716B2 (en) | 2006-12-21 | 2008-10-14 | Tyco Healthcare Group Lp | Staple driver for articulating surgical stapler |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
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 |
US8840603B2 (en) | 2007-01-10 | 2014-09-23 | 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 |
US7721931B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Prevention of cartridge reuse in a surgical instrument |
US20080169328A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Buttress material for use with a surgical stapler |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
US7950562B2 (en) | 2007-01-31 | 2011-05-31 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
US7753246B2 (en) | 2007-01-31 | 2010-07-13 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
US7682367B2 (en) | 2007-02-28 | 2010-03-23 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
CA2680148C (en) | 2007-03-06 | 2015-09-01 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8011555B2 (en) | 2007-03-06 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8011550B2 (en) | 2009-03-31 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7473258B2 (en) | 2007-03-08 | 2009-01-06 | Cardica, Inc. | Surgical stapler |
US7431188B1 (en) | 2007-03-15 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered articulation |
US7422136B1 (en) | 2007-03-15 | 2008-09-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
US8590762B2 (en) | 2007-03-15 | 2013-11-26 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configurations |
US8205780B2 (en) * | 2007-03-22 | 2012-06-26 | Tyco Healthcare Group Lp | Apparatus for forming variable height surgical fasteners |
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 |
US8006885B2 (en) | 2007-04-09 | 2011-08-30 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered retraction |
US7950560B2 (en) | 2007-04-13 | 2011-05-31 | Tyco Healthcare Group Lp | Powered surgical instrument |
US7708182B2 (en) | 2007-04-17 | 2010-05-04 | Tyco Healthcare Group Lp | Flexible endoluminal surgical instrument |
US8028882B2 (en) | 2007-05-01 | 2011-10-04 | Tyco Healthcare Group | Anvil position detector for a surgical stapler |
US7823760B2 (en) | 2007-05-01 | 2010-11-02 | Tyco Healthcare Group Lp | Powered surgical stapling device platform |
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 |
US7798385B2 (en) | 2007-05-16 | 2010-09-21 | The Invention Science Fund I, Llc | Surgical stapling instrument with chemical sealant |
US20080287987A1 (en) | 2007-05-16 | 2008-11-20 | Searete Llc, A Limited Liability Corporation Of The State Of Delaware | Dispensing system for tissue sealants |
US7922064B2 (en) | 2007-05-16 | 2011-04-12 | The Invention Science Fund, I, LLC | Surgical fastening device with cutter |
US8038045B2 (en) | 2007-05-25 | 2011-10-18 | Tyco Healthcare Group Lp | Staple buttress retention system |
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 |
US8631991B2 (en) | 2007-05-30 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
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 |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | 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 |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
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 |
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 |
US7588175B2 (en) | 2007-06-18 | 2009-09-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with improved firing system |
US7665646B2 (en) | 2007-06-18 | 2010-02-23 | Tyco Healthcare Group Lp | Interlocking buttress material retention system |
US7604150B2 (en) | 2007-06-22 | 2009-10-20 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an anti-back up mechanism |
US7597229B2 (en) | 2007-06-22 | 2009-10-06 | Ethicon Endo-Surgery, Inc. | End effector closure system for a surgical stapling instrument |
US7658311B2 (en) | 2007-06-22 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a geared return mechanism |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
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 |
US8062330B2 (en) | 2007-06-27 | 2011-11-22 | Tyco Healthcare Group Lp | Buttress and surgical stapling apparatus |
US7600663B2 (en) | 2007-07-05 | 2009-10-13 | Green David T | Apparatus for stapling and incising tissue |
US7556185B2 (en) | 2007-08-15 | 2009-07-07 | Tyco Healthcare Group Lp | Surgical instrument with flexible drive mechanism |
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 |
US8403956B1 (en) | 2007-09-06 | 2013-03-26 | Cardica, Inc. | Multiple-use surgical stapler |
US8070036B1 (en) | 2007-09-06 | 2011-12-06 | Cardica, Inc | True multi-fire surgical stapler configured to fire staples of different sizes |
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 |
AU2008302043B2 (en) | 2007-09-21 | 2013-06-27 | Covidien Lp | Surgical device |
EP2233081B2 (en) | 2007-09-21 | 2018-03-28 | Covidien LP | Surgical device |
US7866524B2 (en) | 2007-09-24 | 2011-01-11 | Tyco Healthcare Group Lp | Stapler powered auxiliary device for injecting material between stapler jaws |
US8678263B2 (en) | 2007-09-24 | 2014-03-25 | Covidien Lp | Materials delivery system for stapling device |
US7703653B2 (en) | 2007-09-28 | 2010-04-27 | Tyco Healthcare Group Lp | Articulation mechanism for surgical instrument |
US8012170B2 (en) | 2009-04-27 | 2011-09-06 | Tyco Healthcare Group Lp | Device and method for controlling compression of tissue |
US8517241B2 (en) | 2010-04-16 | 2013-08-27 | Covidien Lp | Hand-held surgical devices |
US8096460B2 (en) | 2007-10-05 | 2012-01-17 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8960520B2 (en) | 2007-10-05 | 2015-02-24 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US8967443B2 (en) | 2007-10-05 | 2015-03-03 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
JP5403783B2 (ja) | 2007-10-05 | 2014-01-29 | コヴィディエン リミテッド パートナーシップ | 関節運動メカニズムを有する外科ステープラ |
US7922063B2 (en) | 2007-10-31 | 2011-04-12 | Tyco Healthcare Group, Lp | Powered surgical instrument |
US7954685B2 (en) | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Articulation and firing force mechanisms |
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 |
GB0721940D0 (en) | 2007-11-08 | 2007-12-19 | Icera Inc | Memory cells |
US20090177201A1 (en) | 2007-11-14 | 2009-07-09 | Michael Soltz | Staple with Multiple Cross Sectional Shapes |
DE102007059064A1 (de) | 2007-12-07 | 2009-06-10 | Stapleline Medizintechnik Gmbh | Chirurgisches Klammerinstrument |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US8348129B2 (en) | 2009-10-09 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapler having a closure mechanism |
US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
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 |
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 |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
US20090206133A1 (en) | 2008-02-14 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Articulatable loading units for surgical stapling and cutting instruments |
US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
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 |
US7959051B2 (en) | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
US20090206137A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Disposable loading units 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 |
US20090206125A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Packaging for attaching buttress material to a surgical stapling instrument |
US9585657B2 (en) | 2008-02-15 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Actuator for releasing a layer of material from a surgical end effector |
US7980443B2 (en) | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
US8136713B2 (en) | 2008-03-25 | 2012-03-20 | Tyco Healthcare Group Lp | Surgical stapling instrument having transducer effecting vibrations |
US20090242610A1 (en) | 2008-03-26 | 2009-10-01 | Shelton Iv Frederick E | Disposable loading unit and surgical instruments including same |
AU2009234266B2 (en) | 2008-04-11 | 2015-08-06 | Tekmira Pharmaceuticals Corporation | Site-specific delivery of nucleic acids by combining targeting ligands with endosomolytic components |
US8387849B2 (en) | 2008-04-11 | 2013-03-05 | Ryan K. Buesseler | Fastener deployment system and method |
US8100310B2 (en) | 2008-04-14 | 2012-01-24 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
US7926691B2 (en) | 2008-04-14 | 2011-04-19 | Tyco Healthcare Group, L.P. | Variable compression surgical fastener cartridge |
US8231041B2 (en) | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
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 |
US8028884B2 (en) | 2008-04-22 | 2011-10-04 | Tyco Healthcare Group Lp | Cartridge for applying varying amounts of tissue compression |
WO2009133875A1 (ja) | 2008-04-30 | 2009-11-05 | 学校法人自治医科大学 | 自然開口部越管腔内視鏡手術(notes)用外科手術システム及び外科手術方法 |
US7997468B2 (en) | 2008-05-05 | 2011-08-16 | Tyco Healthcare Group Lp | Surgical instrument with clamp |
US9016541B2 (en) | 2008-05-09 | 2015-04-28 | Covidien Lp | Varying tissue compression with an anvil configuration |
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 |
US8186556B2 (en) | 2008-05-09 | 2012-05-29 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
US7922061B2 (en) | 2008-05-21 | 2011-04-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument with automatically reconfigurable articulating end effector |
US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
US7789283B2 (en) | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
US8701959B2 (en) | 2008-06-06 | 2014-04-22 | Covidien Lp | Mechanically pivoting cartridge channel for surgical instrument |
US8007513B2 (en) | 2008-06-12 | 2011-08-30 | Ethicon Endo-Surgery, Inc. | Partially reusable surgical stapler |
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 |
US8074858B2 (en) | 2008-07-17 | 2011-12-13 | Tyco Healthcare Group Lp | Surgical retraction mechanism |
US20110082471A1 (en) | 2009-10-06 | 2011-04-07 | Holcomb Matthew D | Reloadable Laparoscopic Fastener Deploying Device |
US8245931B2 (en) | 2008-08-12 | 2012-08-21 | Think Laboratory Co., Ltd | Information display system and dot pattern printing sheet used for same |
US20100051668A1 (en) | 2008-09-03 | 2010-03-04 | Milliman Keith L | Surgical instrument with indicator |
US8113405B2 (en) | 2008-09-03 | 2012-02-14 | Tyco Healthcare Group, Lp | Surgical instrument with indicator |
US20100069942A1 (en) | 2008-09-18 | 2010-03-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with apparatus for measuring elapsed time between actions |
US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US7896214B2 (en) | 2008-09-23 | 2011-03-01 | 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 |
US8360298B2 (en) | 2008-09-23 | 2013-01-29 | Covidien Lp | Surgical instrument and loading unit for use therewith |
US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8215532B2 (en) | 2008-09-23 | 2012-07-10 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8020743B2 (en) | 2008-10-15 | 2011-09-20 | Ethicon Endo-Surgery, Inc. | Powered articulatable surgical cutting and fastening instrument with flexible drive member |
US7934631B2 (en) | 2008-11-10 | 2011-05-03 | Barosense, Inc. | Multi-fire stapling systems and methods for delivering arrays of staples |
US20100147921A1 (en) | 2008-12-16 | 2010-06-17 | Lee Olson | Surgical Apparatus Including Surgical Buttress |
JPWO2010073733A1 (ja) | 2008-12-25 | 2012-06-14 | 泉工医科工業株式会社 | 吻合器 |
US8381961B2 (en) | 2009-01-14 | 2013-02-26 | Covidien Lp | Surgical stapling apparatus including staple with plate |
US8453905B2 (en) | 2009-01-26 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical fastener for applying a large staple through a small delivery port |
US20120193394A1 (en) | 2011-01-28 | 2012-08-02 | Holcomb Matthew D | Surgical Stapler Having an Adjustment Feature |
US20120193399A1 (en) | 2011-01-28 | 2012-08-02 | Holcomb Matthew D | Surgical Fastener Having A Safety Feature |
US8469252B2 (en) | 2009-01-26 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler fastening device with adjustable anvil |
US8439244B2 (en) | 2010-01-20 | 2013-05-14 | Ethicon Endo-Surgery, Inc. | Surgical stapler fastening device with movable anvil |
US20110278343A1 (en) | 2009-01-29 | 2011-11-17 | Cardica, Inc. | Clamping of Hybrid Surgical Instrument |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US20100193566A1 (en) | 2009-02-05 | 2010-08-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US20110024478A1 (en) | 2009-02-06 | 2011-02-03 | Shelton Iv Frederick E | 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 |
US8245899B2 (en) | 2009-02-06 | 2012-08-21 | 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 |
US8453913B2 (en) | 2009-02-06 | 2013-06-04 | Covidien Lp | Anvil for surgical stapler |
US8393516B2 (en) | 2009-02-26 | 2013-03-12 | Covidien Lp | Surgical stapling apparatus with curved cartridge and anvil assemblies |
US7918376B1 (en) | 2009-03-09 | 2011-04-05 | Cardica, Inc. | Articulated surgical instrument |
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 |
US20100249802A1 (en) | 2009-03-27 | 2010-09-30 | May Thomas C | Soft Tissue Graft Preparation Devices and Methods |
US8348126B2 (en) | 2009-03-31 | 2013-01-08 | Covidien Lp | Crimp and release of suture holding buttress material |
US8016178B2 (en) | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US7967179B2 (en) | 2009-03-31 | 2011-06-28 | Tyco Healthcare Group Lp | Center cinch and release of buttress material |
US8113409B2 (en) | 2009-03-31 | 2012-02-14 | Tyco Healthcare Group Lp | Surgical stapling apparatus with clamping assembly |
US7988027B2 (en) | 2009-03-31 | 2011-08-02 | Tyco Healthcare Group Lp | Crimp and release of suture holding buttress material |
US8365972B2 (en) | 2009-03-31 | 2013-02-05 | Covidien Lp | Surgical stapling apparatus |
US8292154B2 (en) | 2009-04-16 | 2012-10-23 | Tyco Healthcare Group Lp | Surgical apparatus for applying tissue fasteners |
US8127976B2 (en) | 2009-05-08 | 2012-03-06 | Tyco Healthcare Group Lp | Stapler cartridge and channel interlock |
US8308043B2 (en) | 2009-05-19 | 2012-11-13 | Covidien Lp | Recognition of interchangeable component of a device |
US8070034B1 (en) | 2009-05-29 | 2011-12-06 | Cardica, Inc. | Surgical stapler with angled staple bays |
US8056789B1 (en) | 2009-06-03 | 2011-11-15 | Cardica, Inc. | Staple and feeder belt configurations for surgical stapler |
US8132706B2 (en) | 2009-06-05 | 2012-03-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus having articulation mechanism |
US8827134B2 (en) | 2009-06-19 | 2014-09-09 | Covidien Lp | Flexible surgical stapler with motor in the head |
US8087562B1 (en) | 2009-06-22 | 2012-01-03 | Cardica, Inc. | Anvil for surgical instrument |
US8205779B2 (en) | 2009-07-23 | 2012-06-26 | Tyco Healthcare Group Lp | Surgical stapler with tactile feedback system |
US20110036891A1 (en) | 2009-08-11 | 2011-02-17 | Tyco Healthcare Group Lp | Surgical stapler with visual positional indicator |
US8276801B2 (en) | 2011-02-01 | 2012-10-02 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8360299B2 (en) | 2009-08-11 | 2013-01-29 | Covidien Lp | Surgical stapling apparatus |
US8955732B2 (en) | 2009-08-11 | 2015-02-17 | Covidien Lp | Surgical stapling apparatus |
US8459524B2 (en) | 2009-08-14 | 2013-06-11 | Covidien Lp | Tissue fastening system for a medical device |
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 |
US8387848B2 (en) | 2009-08-20 | 2013-03-05 | Covidien Lp | Surgical staple |
US8365971B1 (en) | 2009-09-23 | 2013-02-05 | Cardica, Inc. | True multi-fire linear cutter |
US8496154B2 (en) | 2009-10-08 | 2013-07-30 | Covidien Lp | Pair of double staple pusher in triple row stapler |
US8152041B2 (en) | 2009-10-14 | 2012-04-10 | Tyco Healthcare Group Lp | Varying tissue compression aided by elastic members |
US9693772B2 (en) | 2009-10-15 | 2017-07-04 | Covidien Lp | Staple line reinforcement for anvil and cartridge |
US9610080B2 (en) | 2009-10-15 | 2017-04-04 | Covidien Lp | Staple line reinforcement for anvil and cartridge |
US8157151B2 (en) | 2009-10-15 | 2012-04-17 | Tyco Healthcare Group Lp | Staple line reinforcement for anvil and cartridge |
US8523042B2 (en) | 2009-10-21 | 2013-09-03 | The General Hospital Corporation | Apparatus and method for preserving a tissue margin |
US8225979B2 (en) | 2009-10-30 | 2012-07-24 | Tyco Healthcare Group Lp | Locking shipping wedge |
US8418907B2 (en) | 2009-11-05 | 2013-04-16 | Covidien Lp | Surgical stapler having cartridge with adjustable cam mechanism |
US8186558B2 (en) | 2009-11-10 | 2012-05-29 | Tyco Healthcare Group Lp | Locking mechanism for use with loading units |
US8235272B2 (en) | 2009-11-20 | 2012-08-07 | Tyco Healthcare Group Lp | Surgical stapling device with captive anvil |
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 |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US8960517B2 (en) | 2010-01-13 | 2015-02-24 | Chung-Yi Lee | Powder-actuated fastener-driving device having sound-absorbing function |
US8469254B2 (en) | 2010-01-22 | 2013-06-25 | Covidien Lp | Surgical instrument having a drive assembly |
US8245897B2 (en) | 2010-01-26 | 2012-08-21 | Zakease Surgical Inc. | Stapling apparatus for performing anastomosis on hollow organs |
US8328061B2 (en) | 2010-02-02 | 2012-12-11 | Covidien Lp | Surgical instrument for joining tissue |
US8672209B2 (en) | 2010-02-25 | 2014-03-18 | Design Standards Corporation | Laproscopic stapler |
US8074859B2 (en) | 2010-03-31 | 2011-12-13 | Tyco Healthcare Group Lp | Surgical instrument |
US8348127B2 (en) | 2010-04-07 | 2013-01-08 | Covidien Lp | Surgical fastener applying apparatus |
US8596515B2 (en) | 2010-06-18 | 2013-12-03 | Covidien Lp | Staple position sensor system |
US8453906B2 (en) | 2010-07-14 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US20120016413A1 (en) | 2010-07-14 | 2012-01-19 | Ethicon Endo-Surgery, Inc. | Surgical fastening devices comprising rivets |
US8439246B1 (en) | 2010-07-20 | 2013-05-14 | Cardica, Inc. | Surgical stapler with cartridge-adjustable clamp gap |
US20120053402A1 (en) | 2010-09-01 | 2012-03-01 | Conlon Sean P | Minimally invasive surgery |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US20120078244A1 (en) | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US20120248169A1 (en) | 2010-09-30 | 2012-10-04 | Ethicon Endo-Surgery, Inc. | Methods for forming tissue thickness compensator arrangements for surgical staplers |
US9788834B2 (en) | 2010-09-30 | 2017-10-17 | Ethicon Llc | Layer comprising deployable attachment members |
US8740038B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a releasable portion |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
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 |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US8393514B2 (en) | 2010-09-30 | 2013-03-12 | Ethicon Endo-Surgery, Inc. | Selectively orientable implantable fastener cartridge |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9480476B2 (en) | 2010-09-30 | 2016-11-01 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising resilient members |
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 |
US8444038B2 (en) | 2010-10-01 | 2013-05-21 | Covidien Lp | Tissue stop for surgical instrument |
US8899461B2 (en) | 2010-10-01 | 2014-12-02 | Covidien Lp | Tissue stop for surgical instrument |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8900616B2 (en) | 2010-10-22 | 2014-12-02 | Covidien Lp | System and method for satellite drug delivery |
US8292150B2 (en) | 2010-11-02 | 2012-10-23 | Tyco Healthcare Group Lp | Adapter for powered surgical devices |
US8308041B2 (en) | 2010-11-10 | 2012-11-13 | Tyco Healthcare Group Lp | Staple formed over the wire wound closure procedure |
US8523043B2 (en) | 2010-12-07 | 2013-09-03 | Immersion Corporation | Surgical stapler having haptic feedback |
US8715277B2 (en) | 2010-12-08 | 2014-05-06 | Ethicon Endo-Surgery, Inc. | Control of jaw compression in surgical instrument having end effector with opposing jaw members |
US8348130B2 (en) | 2010-12-10 | 2013-01-08 | Covidien Lp | Surgical apparatus including surgical buttress |
US8958429B2 (en) | 2010-12-22 | 2015-02-17 | Juniper Networks, Inc. | Methods and apparatus for redundancy associated with a fibre channel over ethernet network |
SG193008A1 (en) | 2011-01-14 | 2013-10-30 | New Hope Ventures | Surgical stapling device and method |
US9084602B2 (en) | 2011-01-26 | 2015-07-21 | Covidien Lp | Buttress film with hemostatic action for surgical stapling apparatus |
US8336754B2 (en) | 2011-02-04 | 2012-12-25 | Covidien Lp | Locking articulation mechanism for surgical stapler |
US8348124B2 (en) | 2011-02-08 | 2013-01-08 | Covidien Lp | Knife bar with geared overdrive |
US9827002B2 (en) | 2011-02-15 | 2017-11-28 | Dextera Surgical | Tissue removal and closure device |
US20120211542A1 (en) | 2011-02-23 | 2012-08-23 | Tyco Healthcare Group I.P | Controlled tissue compression systems and methods |
US8479968B2 (en) | 2011-03-10 | 2013-07-09 | Covidien Lp | Surgical instrument buttress attachment |
US8926598B2 (en) | 2011-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable and rotatable end effector |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US20120234895A1 (en) | 2011-03-15 | 2012-09-20 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges and end effectors with vessel measurement arrangements |
US8857693B2 (en) | 2011-03-15 | 2014-10-14 | Ethicon Endo-Surgery, Inc. | Surgical instruments with lockable articulating end effector |
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 |
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 |
US8573463B2 (en) | 2011-03-31 | 2013-11-05 | Covidien Lp | Locking articulation mechanism |
US9370362B2 (en) | 2011-04-07 | 2016-06-21 | Wake Forest University Health Sciences | Surgical staplers with tissue protection and related methods |
US8511575B2 (en) | 2011-04-27 | 2013-08-20 | Intellectual Ventures Fund 83 Llc | Digital image file including optical code |
US8789737B2 (en) | 2011-04-27 | 2014-07-29 | Covidien Lp | Circular stapler and staple line reinforcement material |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9820741B2 (en) | 2011-05-12 | 2017-11-21 | Covidien Lp | Replaceable staple cartridge |
US9271728B2 (en) | 2011-06-09 | 2016-03-01 | Covidien Lp | Surgical fastener applying apparatus |
US9289209B2 (en) | 2011-06-09 | 2016-03-22 | Covidien Lp | Surgical fastener applying apparatus |
US9451959B2 (en) | 2011-06-09 | 2016-09-27 | Covidien Lp | Surgical fastener applying apparatus |
US20130012983A1 (en) | 2011-07-08 | 2013-01-10 | Tyco Healthcare Group Lp | Surgical Instrument with Flexible Shaft |
US8960521B2 (en) | 2011-07-15 | 2015-02-24 | Covidien Lp | Loose staples removal system |
US8998059B2 (en) | 2011-08-01 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Adjunct therapy device having driver with cavity for hemostatic agent |
US9539007B2 (en) | 2011-08-08 | 2017-01-10 | Covidien Lp | Surgical fastener applying aparatus |
US9724095B2 (en) | 2011-08-08 | 2017-08-08 | Covidien Lp | Surgical fastener applying apparatus |
US9155537B2 (en) | 2011-08-08 | 2015-10-13 | Covidien Lp | Surgical fastener applying apparatus |
US20130041406A1 (en) | 2011-08-10 | 2013-02-14 | Brian W. Bear | Surgical staple with localized adjunct coating |
US9198661B2 (en) | 2011-09-06 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Stapling instrument comprising a plurality of staple cartridges stored therein |
US8998060B2 (en) | 2011-09-13 | 2015-04-07 | Ethicon Endo-Surgery, Inc. | Resistive heated surgical staple cartridge with phase change sealant |
US9101359B2 (en) | 2011-09-13 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridge with self-dispensing staple buttress |
US9254180B2 (en) | 2011-09-15 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with staple reinforcement clip |
US9125649B2 (en) | 2011-09-15 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with filled staple |
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 |
US9198644B2 (en) | 2011-09-22 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Anvil cartridge for surgical fastening device |
US20130075447A1 (en) | 2011-09-22 | 2013-03-28 | II William B. Weisenburgh | Adjunct therapy device for applying hemostatic agent |
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 |
US8931679B2 (en) | 2011-10-17 | 2015-01-13 | Covidien Lp | Surgical stapling apparatus |
US9016539B2 (en) | 2011-10-25 | 2015-04-28 | Covidien Lp | Multi-use loading unit |
US8672206B2 (en) | 2011-10-25 | 2014-03-18 | Covidien Lp | Apparatus for endoscopic procedures |
US8899462B2 (en) | 2011-10-25 | 2014-12-02 | Covidien Lp | Apparatus for endoscopic procedures |
US9480492B2 (en) | 2011-10-25 | 2016-11-01 | Covidien Lp | Apparatus for endoscopic procedures |
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 |
CN104039251B (zh) | 2011-10-26 | 2017-09-08 | 直观外科手术操作公司 | 具有整体的手术刀刀片的外科手术器械 |
US9675351B2 (en) | 2011-10-26 | 2017-06-13 | Covidien Lp | Buttress release from surgical stapler by knife pushing |
EP3165176B1 (en) | 2011-10-26 | 2018-12-26 | Intuitive Surgical Operations, Inc. | Cartridge status and presence detection |
US8418908B1 (en) | 2011-10-26 | 2013-04-16 | Covidien Lp | Staple feeding and forming apparatus |
US8584920B2 (en) | 2011-11-04 | 2013-11-19 | Covidien Lp | Surgical stapling apparatus including releasable buttress |
US9351732B2 (en) | 2011-12-14 | 2016-05-31 | Covidien Lp | Buttress attachment to degradable polymer zones |
US9237892B2 (en) | 2011-12-14 | 2016-01-19 | Covidien Lp | Buttress attachment to the cartridge surface |
US9220502B2 (en) | 2011-12-28 | 2015-12-29 | Covidien Lp | Staple formation recognition for a surgical device |
EP2838439A4 (en) | 2012-04-18 | 2015-11-25 | Cardica Inc | SAFETY LOCK FOR A SURGICAL CLIP DEVICE |
US8973805B2 (en) | 2012-05-25 | 2015-03-10 | Covidien Lp | Surgical fastener applying apparatus including a knife guard |
US20130334280A1 (en) | 2012-06-14 | 2013-12-19 | Covidien Lp | Sliding Anvil/Retracting Cartridge Reload |
US9364220B2 (en) | 2012-06-19 | 2016-06-14 | Covidien Lp | Apparatus for endoscopic procedures |
US9232944B2 (en) | 2012-06-29 | 2016-01-12 | Covidien Lp | Surgical instrument and bushing |
US9468439B2 (en) | 2012-06-29 | 2016-10-18 | Covidien Lp | Surgical instrument and bushing |
US9572576B2 (en) | 2012-07-18 | 2017-02-21 | Covidien Lp | Surgical apparatus including surgical buttress |
US9402604B2 (en) | 2012-07-20 | 2016-08-02 | Covidien Lp | Apparatus for endoscopic procedures |
US9301757B2 (en) | 2012-07-27 | 2016-04-05 | Covidien Lp | Surgical fastener applying apparatus including fluid-activated firing mechanism |
US10219804B2 (en) | 2012-07-30 | 2019-03-05 | Conextions, Inc. | Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone |
US20140048580A1 (en) | 2012-08-20 | 2014-02-20 | Covidien Lp | Buttress attachment features for surgical stapling apparatus |
US9713474B2 (en) | 2012-09-17 | 2017-07-25 | The Cleveland Clinic Foundation | Endoscopic stapler |
US9364217B2 (en) | 2012-10-16 | 2016-06-14 | Covidien Lp | In-situ loaded stapler |
US9421014B2 (en) | 2012-10-18 | 2016-08-23 | Covidien Lp | Loading unit velocity and position feedback |
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 |
US9295466B2 (en) | 2012-11-30 | 2016-03-29 | Covidien Lp | Surgical apparatus including surgical buttress |
US9402627B2 (en) | 2012-12-13 | 2016-08-02 | Covidien Lp | Folded buttress for use with a surgical apparatus |
US9522002B2 (en) | 2012-12-13 | 2016-12-20 | Covidien Lp | Surgical instrument with pressure distribution device |
US9566065B2 (en) | 2012-12-21 | 2017-02-14 | Cardica, Inc. | Apparatus and methods for surgical stapler clamping and deployment |
US8517240B1 (en) | 2013-01-03 | 2013-08-27 | Just Right Surgical, Llc | Medical device and method of use |
US9615825B2 (en) | 2013-01-18 | 2017-04-11 | Covidien Lp | Release tool for an end effector of a surgical stapling apparatus |
US9433420B2 (en) | 2013-01-23 | 2016-09-06 | Covidien Lp | Surgical apparatus including surgical buttress |
WO2014116281A1 (en) | 2013-01-25 | 2014-07-31 | Patenaude Bart | Atraumatic wound care and closure system |
US9795379B2 (en) | 2013-02-28 | 2017-10-24 | Ethicon Llc | Surgical instrument with multi-diameter shaft |
US9808248B2 (en) | 2013-02-28 | 2017-11-07 | Ethicon Llc | Installation features for surgical instrument end effector cartridge |
US20140239047A1 (en) | 2013-02-28 | 2014-08-28 | Covidien Lp | Adherence concepts for non-woven absorbable felt buttresses |
US9622746B2 (en) | 2013-02-28 | 2017-04-18 | Ethicon Endo-Surgery, Llc | Distal tip features for end effector of surgical instrument |
US9867615B2 (en) | 2013-02-28 | 2018-01-16 | Ethicon Llc | Surgical instrument with articulation lock having a detenting binary spring |
US9517065B2 (en) | 2013-02-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Integrated tissue positioning and jaw alignment features for surgical stapler |
US9717497B2 (en) | 2013-02-28 | 2017-08-01 | Ethicon Llc | Lockout feature for movable cutting member of surgical instrument |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
US9839421B2 (en) | 2013-02-28 | 2017-12-12 | Ethicon Llc | Jaw closure feature for end effector of surgical instrument |
US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
US20140252064A1 (en) | 2013-03-05 | 2014-09-11 | Covidien Lp | Surgical stapling device including adjustable fastener crimping |
US9782173B2 (en) | 2013-03-07 | 2017-10-10 | Covidien Lp | Circular stapling device including buttress release mechanism |
US9706993B2 (en) | 2013-03-08 | 2017-07-18 | Covidien Lp | Staple cartridge with shipping wedge |
US9936951B2 (en) | 2013-03-12 | 2018-04-10 | Covidien Lp | Interchangeable tip reload |
US9566064B2 (en) | 2013-03-13 | 2017-02-14 | Covidien Lp | Surgical stapling apparatus |
US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9649109B2 (en) | 2013-03-14 | 2017-05-16 | C.R. Bard, Inc. | Surgical instrument with an actuation lockout |
US9655613B2 (en) | 2013-03-14 | 2017-05-23 | Dextera Surgical Inc. | Beltless staple chain for cartridge and cartridgeless surgical staplers |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
EP2967564B1 (en) | 2013-03-14 | 2018-09-12 | Applied Medical Resources Corporation | Surgical stapler with partial pockets |
ES2728023T3 (es) | 2013-03-15 | 2019-10-21 | Applied Med Resources | Grapadora quirúrgica con mecanismo de accionamiento con eje de rotación |
US20140263558A1 (en) | 2013-03-15 | 2014-09-18 | Cardica, Inc. | Extended curved tip for surgical apparatus |
ES2705050T3 (es) | 2013-03-15 | 2019-03-21 | Applied Med Resources | Grapadora quirúrgica con mordaza expandible |
US9510827B2 (en) * | 2013-03-25 | 2016-12-06 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US20140291379A1 (en) | 2013-03-27 | 2014-10-02 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a cutting member path |
US9775610B2 (en) | 2013-04-09 | 2017-10-03 | Covidien Lp | Apparatus for endoscopic procedures |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
WO2014175894A1 (en) | 2013-04-25 | 2014-10-30 | Cardica, Inc. | Active wedge and i-beam for surgical stapler |
US9687233B2 (en) | 2013-05-09 | 2017-06-27 | Dextera Surgical Inc. | Surgical stapling and cutting apparatus—deployment mechanisms, systems and methods |
WO2014186632A1 (en) | 2013-05-15 | 2014-11-20 | Cardica, Inc. | Surgical stapling and cutting apparatus, clamp mechanisms, systems and methods |
US9445810B2 (en) | 2013-06-12 | 2016-09-20 | Covidien Lp | Stapling device with grasping jaw mechanism |
US20140367445A1 (en) | 2013-06-18 | 2014-12-18 | Covidien Lp | Emergency retraction for electro-mechanical surgical devices and systems |
US10117654B2 (en) | 2013-06-18 | 2018-11-06 | Covidien Lp | Method of emergency retraction for electro-mechanical surgical devices and systems |
US20150006362A1 (en) | 2013-06-28 | 2015-01-01 | Google Inc. | Extracting card data using card art |
US9561029B2 (en) | 2013-08-15 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Surgical stapler with rolling anvil |
US20150053737A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | End effector detection systems for surgical instruments |
US9662108B2 (en) | 2013-08-30 | 2017-05-30 | Covidien Lp | Surgical stapling apparatus |
US20140014707A1 (en) | 2013-09-16 | 2014-01-16 | Ethicon Endo-Surgery, Inc. | Surgical Stapling Instrument Having An Improved Coating |
US20140014704A1 (en) | 2013-09-16 | 2014-01-16 | Ethicon Endo-Surgery, Inc. | Medical Device Having An Improved Coating |
US20150076211A1 (en) | 2013-09-17 | 2015-03-19 | Covidien Lp | Surgical instrument controls with illuminated feedback |
US9955966B2 (en) | 2013-09-17 | 2018-05-01 | Covidien Lp | Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention |
US10271840B2 (en) | 2013-09-18 | 2019-04-30 | Covidien Lp | Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument |
US20140175150A1 (en) | 2013-10-01 | 2014-06-26 | Ethicon Endo-Surgery, Inc. | Providing Near Real Time Feedback To A User of A Surgical Instrument |
US20150134076A1 (en) | 2013-11-08 | 2015-05-14 | Ethicon Endo-Surgery, Inc. | Hybrid adjunct materials for use in surgical stapling |
US10456129B2 (en) | 2013-11-08 | 2019-10-29 | Ethicon Llc | Positively charged implantable materials and method of forming the same |
US10561417B2 (en) | 2013-12-09 | 2020-02-18 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US9867613B2 (en) | 2013-12-19 | 2018-01-16 | Covidien Lp | Surgical staples and end effectors for deploying the same |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
WO2015099067A1 (ja) | 2013-12-27 | 2015-07-02 | オリンパス株式会社 | 処置具用ハンドル及び処置具 |
US9629627B2 (en) * | 2014-01-28 | 2017-04-25 | Coviden Lp | Surgical apparatus |
US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
US9693777B2 (en) | 2014-02-24 | 2017-07-04 | Ethicon Llc | Implantable layers comprising a pressed region |
US20150250474A1 (en) | 2014-03-04 | 2015-09-10 | Maquet Cardiovascular Llc | Surgical implant and method and instrument for installing the same |
WO2015146548A1 (ja) | 2014-03-28 | 2015-10-01 | オリンパス株式会社 | 手術用器具 |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10175127B2 (en) | 2014-05-05 | 2019-01-08 | Covidien Lp | End-effector force measurement drive circuit |
US10456130B2 (en) | 2014-05-07 | 2019-10-29 | Biomedical Enterprises, Inc. | Method and apparatus for loading and implanting a shape memory implant |
US20150324317A1 (en) * | 2014-05-07 | 2015-11-12 | Covidien Lp | Authentication and information system for reusable surgical instruments |
AU2015201323B2 (en) | 2014-05-16 | 2019-12-19 | Covidien Lp | Apparatus for endoscopic procedures |
US10251725B2 (en) | 2014-06-09 | 2019-04-09 | Covidien Lp | Authentication and information system for reusable surgical instruments |
ES2861258T3 (es) | 2014-06-11 | 2021-10-06 | Applied Med Resources | Grapadora quirúrgica con disparo circunferencial |
US9918714B2 (en) | 2014-06-13 | 2018-03-20 | Cook Medical Technologies Llc | Stapling device and method |
US9987099B2 (en) | 2014-06-18 | 2018-06-05 | Covidien Lp | Disposable housings for encasing handle assemblies |
US20150374372A1 (en) | 2014-06-26 | 2015-12-31 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US10561418B2 (en) | 2014-06-26 | 2020-02-18 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10542976B2 (en) | 2014-07-31 | 2020-01-28 | Covidien Lp | Powered surgical instrument with pressure sensitive motor speed control |
US10470911B2 (en) | 2014-09-05 | 2019-11-12 | Standard Bariatrics, Inc. | Sleeve gastrectomy calibration tube and method of using same |
KR20240042093A (ko) | 2014-09-15 | 2024-04-01 | 어플라이드 메디컬 리소시스 코포레이션 | 자동-조정 스테이플 높이를 가진 수술용 스테이플러 |
US10603128B2 (en) | 2014-10-07 | 2020-03-31 | Covidien Lp | Handheld electromechanical surgical system |
US10226254B2 (en) | 2014-10-21 | 2019-03-12 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US9949737B2 (en) | 2014-10-22 | 2018-04-24 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10085750B2 (en) | 2014-10-22 | 2018-10-02 | Covidien Lp | Adapter with fire rod J-hook lockout |
US10123796B2 (en) | 2014-11-04 | 2018-11-13 | Rotation Medical, Inc. | Medical implant delivery system and related methods |
US20160166253A1 (en) | 2014-12-12 | 2016-06-16 | Cardica, Inc. | Stapling device with distally located hydraulic drive- rotary operated system and method |
US20160166249A1 (en) | 2014-12-12 | 2016-06-16 | Cardica, Inc. | Stapling device with distally located hydraulic drive- reciprocally operated system and method |
US10172612B2 (en) | 2015-01-21 | 2019-01-08 | Covidien Lp | Surgical instruments with force applier and methods of use |
US10034668B2 (en) | 2015-02-19 | 2018-07-31 | Covidien Lp | Circular knife blade for linear staplers |
US10111665B2 (en) | 2015-02-19 | 2018-10-30 | Covidien Lp | Electromechanical surgical systems |
US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
US10130367B2 (en) | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
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 |
US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
US9993258B2 (en) | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
US9855040B2 (en) | 2015-03-04 | 2018-01-02 | Covidien Lp | Surgical stapling loading unit having articulating jaws |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
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 |
US10092290B2 (en) | 2015-03-17 | 2018-10-09 | Covidien Lp | Surgical instrument, loading unit for use therewith and related methods |
US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10548593B2 (en) | 2015-03-25 | 2020-02-04 | Ethicon Llc | Flowable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10863984B2 (en) | 2015-03-25 | 2020-12-15 | Ethicon Llc | Low inherent viscosity bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10568621B2 (en) | 2015-03-25 | 2020-02-25 | Ethicon Llc | Surgical staple buttress with integral adhesive for releasably attaching to a surgical stapler |
US10478187B2 (en) | 2015-03-25 | 2019-11-19 | Ethicon Llc | Biologically derived extracellular matrix with infused viscous absorbable copolymer for releasably attaching a staple buttress to a surgical stapler |
US10349939B2 (en) | 2015-03-25 | 2019-07-16 | Ethicon Llc | Method of applying a buttress to a surgical stapler |
US10172617B2 (en) | 2015-03-25 | 2019-01-08 | Ethicon Llc | Malleable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
US10226239B2 (en) | 2015-04-10 | 2019-03-12 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US20160302791A1 (en) | 2015-04-17 | 2016-10-20 | Covidien Lp | Powered surgical instrument with a deployable ablation catheter |
WO2016171947A1 (en) | 2015-04-22 | 2016-10-27 | Covidien Lp | Handheld electromechanical surgical system |
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 |
EP4245227A3 (en) | 2015-05-08 | 2024-01-17 | Bolder Surgical, LLC | Surgical stapler |
US10172615B2 (en) | 2015-05-27 | 2019-01-08 | Covidien Lp | Multi-fire push rod stapling device |
US20160354176A1 (en) | 2015-06-08 | 2016-12-08 | Covidien Lp | Surgical instrument with integrated illumination |
US9987012B2 (en) | 2015-07-21 | 2018-06-05 | Covidien Lp | Small diameter cartridge design for a surgical stapling instrument |
US10258337B2 (en) * | 2016-04-20 | 2019-04-16 | Ethicon Llc | Surgical staple cartridge with severed tissue edge adjunct |
US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
US10537324B2 (en) * | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
US20180168618A1 (en) * | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US10478185B2 (en) | 2017-06-02 | 2019-11-19 | Covidien Lp | Tool assembly with minimal dead space |
US10987104B2 (en) * | 2017-10-30 | 2021-04-27 | Covidien Lp | Apparatus for endoscopic procedures |
-
2017
- 2017-06-02 US US15/612,176 patent/US10478185B2/en active Active
-
2018
- 2018-04-24 AU AU2018202828A patent/AU2018202828A1/en not_active Abandoned
- 2018-04-27 CA CA3003022A patent/CA3003022A1/en active Pending
- 2018-05-24 JP JP2018099654A patent/JP7136591B2/ja active Active
- 2018-06-01 ES ES18175519T patent/ES2811503T3/es active Active
- 2018-06-01 EP EP18175519.0A patent/EP3417811B1/en active Active
- 2018-06-01 CN CN201810558974.XA patent/CN108969039B/zh active Active
-
2019
- 2019-11-18 US US16/686,778 patent/US11617581B2/en active Active
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102933159A (zh) * | 2010-03-17 | 2013-02-13 | 伊西康内外科公司 | 钉仓 |
US20130274722A1 (en) * | 2011-10-25 | 2013-10-17 | Covidien Lp | Apparatus for endoscopic procedures |
CN203168230U (zh) * | 2013-04-22 | 2013-09-04 | 厦门福太洋伞有限公司 | 伞具收张锁定装置 |
CN106028961A (zh) * | 2013-12-23 | 2016-10-12 | 伊西康内外科有限责任公司 | 外科钉和钉仓 |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111297425A (zh) * | 2018-12-12 | 2020-06-19 | 江苏风和医疗器材股份有限公司 | 缝合钉成型件、缝合机构及外科吻合器 |
Also Published As
Publication number | Publication date |
---|---|
ES2811503T3 (es) | 2021-03-12 |
US20200085432A1 (en) | 2020-03-19 |
US20180344318A1 (en) | 2018-12-06 |
US10478185B2 (en) | 2019-11-19 |
AU2018202828A1 (en) | 2018-12-20 |
CA3003022A1 (en) | 2018-12-02 |
US11617581B2 (en) | 2023-04-04 |
EP3417811B1 (en) | 2020-07-01 |
EP3417811A2 (en) | 2018-12-26 |
CN108969039B (zh) | 2023-06-02 |
EP3417811A3 (en) | 2019-04-03 |
JP2018202150A (ja) | 2018-12-27 |
JP7136591B2 (ja) | 2022-09-13 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN108969039A (zh) | 具有最小死空间的工具组件 | |
US11882987B2 (en) | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism | |
JP6948437B2 (ja) | 伸長可能なジョー付きの外科用ステープラ | |
US10492784B2 (en) | Surgical tool assembly with compact firing assembly | |
US20200093490A1 (en) | Endoscopic stapler | |
JP4841886B2 (ja) | ツーピースのeビーム発射機構を含む関節運動外科用ステープラ | |
EP2992835B1 (en) | Devices for facilitating closing and clamping of an end effector of a surgical device | |
CN107635481B (zh) | 小直径外科手术缝合装置 | |
JP2021035606A (ja) | 内視鏡ステープラおよびステープル | |
RU2640949C2 (ru) | Хирургическое сшивающее устройство со встроенным тампоном для отклонения наконечника | |
US10342528B2 (en) | Surgical suturing instrument | |
CN102835983A (zh) | 线性缝合器 | |
JP2015139703A (ja) | 外科手術装置 | |
EP3586769B1 (en) | Stapling device with selectively advanceable alignment pin background | |
JP2021122730A (ja) | ロックアウト付き外科用ステープル留めデバイス |
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 |