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 PDF

Info

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
Application number
CN201810558974.XA
Other languages
English (en)
Other versions
CN108969039B (zh
Inventor
戴维·尼古拉斯
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Covidien LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Covidien LP filed Critical Covidien LP
Publication of CN108969039A publication Critical patent/CN108969039A/zh
Application granted granted Critical
Publication of CN108969039B publication Critical patent/CN108969039B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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

具有最小死空间的工具组件
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。
CN201810558974.XA 2017-06-02 2018-06-01 具有最小死空间的工具组件 Active CN108969039B (zh)

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)

* Cited by examiner, † Cited by third party
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)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
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)

* Cited by examiner, † Cited by third party
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)

* Cited by examiner, † Cited by third party
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

Patent Citations (4)

* Cited by examiner, † Cited by third party
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)

* Cited by examiner, † Cited by third party
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