CN109310417B - 包括可移位传输装置的外科缝合系统 - Google Patents

包括可移位传输装置的外科缝合系统 Download PDF

Info

Publication number
CN109310417B
CN109310417B CN201780034196.8A CN201780034196A CN109310417B CN 109310417 B CN109310417 B CN 109310417B CN 201780034196 A CN201780034196 A CN 201780034196A CN 109310417 B CN109310417 B CN 109310417B
Authority
CN
China
Prior art keywords
drive
staple
anvil
shaft
staples
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN201780034196.8A
Other languages
English (en)
Other versions
CN109310417A (zh
Inventor
F·E·谢尔顿四世
A·D·亨塞尔
S·K·帕里哈
P·穆科赫杰
J·L·哈里斯
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon LLC
Original Assignee
Ethicon LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US15/089,312 external-priority patent/US11284890B2/en
Application filed by Ethicon LLC filed Critical Ethicon LLC
Publication of CN109310417A publication Critical patent/CN109310417A/zh
Application granted granted Critical
Publication of CN109310417B publication Critical patent/CN109310417B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A61B17/1155—Circular staplers comprising a plurality of staples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—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
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0686—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying below the tissue during stapling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—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
    • A61B17/07292—Reinforcements for staple line, e.g. pledgets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • A61B17/105—Wound clamp magazines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3209—Incision instruments
    • A61B17/3211—Surgical scalpels, knives; Accessories therefor
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00128—Electrical control of surgical instruments with audible or visual output related to intensity or progress of surgical action
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00199—Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible means
    • 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
    • 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
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00407—Ratchet means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
    • A61B2017/00424—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping ergonomic, e.g. fitting in fist
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00464—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for use with different instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00946—Material properties malleable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00964—Material properties composite
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07221—Stapler heads curved
    • 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
    • A61B2017/07228—Arrangement of the staples
    • 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
    • A61B2017/07235—Stapler heads containing different staples, e.g. staples of different shapes, sizes or materials
    • 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
    • A61B2017/07242—Stapler heads achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07257—Stapler heads characterised by its anvil
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07257—Stapler heads characterised by its anvil
    • A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07271—Stapler heads characterised by its cartridge
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07278—Stapler heads characterised by its sled or its staple holder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07285—Stapler heads characterised by its cutter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2902—Details of shaft characterized by features of the actuating rod
    • A61B2017/2903—Details of shaft characterized by features of the actuating rod transferring rotary motion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2905—Details of shaft flexible
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/291—Handles the position of the handle being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
    • A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
    • A61B2017/2922—Handles transmission of forces to actuating rod or piston details of linkages or pivot points toggle linkages
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2923—Toothed members, e.g. rack and pinion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2946—Locking means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0808—Indication means for indicating correct assembly of components, e.g. of the surgical apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0814—Preventing re-use
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明公开了一种缝合器械系统，该缝合器械系统包括器械，该器械包括柄部和输出部，以及另外的可附接到器械的可互换工具组件。该可互换工具组件包括壳体，与输出部操作地接合的驱动输入部，以及包括第一可旋转输出轴、第二可旋转输出轴的端部执行器，以及能够配置成三种操作状态的传输装置，该传输装置可选择性地将第一可旋转输出轴和第二可旋转输出轴与驱动输入部联接。

Description

包括可移位传输装置的外科缝合系统
背景技术
本发明涉及外科器械，并且在各种布置中，涉及被设计成缝合和切割组织的外科缝合和切割器械及与其一起使用的钉仓。
附图说明
本文所述的实施方案的各种特征连同其优点可结合如下附图根据以下描述来加以理解：
图1是根据至少一个实施方案的包括可互换外科工具组件的外科器械的透视图；
图2是图1的外科器械的柄部组件的另一个透视图，其中柄部壳体的一部分被省略以暴露容纳在其中的部件；
图3是图1和图2的外科器械的柄部的部分的分解组装图；
图4是图2和图3的柄部组件的剖视透视图；
图5是图2-图4的柄部组件的局部横截面侧视图，其中柄部组件的夹持部分在相对于主壳体部分的一个位置中以实线示出并且在相对于柄部组件的主壳体部分的另一个位置中以虚线示出；
图6是沿着图5中的线6-6截取的图2-图5的柄部组件的端部剖视图；
图7是沿着图5中的线7-7截取的图2-图6的柄部组件的另一个端部剖视图；
图8是图2-图7的柄部组件的另一个端部剖视图，其示出了与旋转驱动承窝上的驱动齿轮啮合接合的移位器齿轮；
图9是图2-图8的柄部组件的另一个端部剖视图，其示出了当移位器齿轮与旋转驱动承窝上的驱动齿轮啮合接合时移位器螺线管的位置；
图10是图2-图9的柄部组件的另一个透视图，其中其某些部分以横截面示出并且其接入面板部分以虚线示出；
图11是图2-图11的柄部组件的顶视图，其中应急系统被示出为处于可致动位置；
图12是图2-图11示出的应急系统的应急柄部的透视图；
图13是图12的应急柄部的部分的分解组装图，其中其部分以横截面示出；
图14是图11的柄部组件的剖视正视图；
图15是根据至少一个实施方案的可互换工具组件的分解图；
图16是图15的可互换工具组件的透视图；
图17是图15的可互换工具组件的剖视透视图；
图18是图15的可互换工具组件的剖面分解图；
图19是图15的可互换工具组件的关节运动块的透视图；
图20是包括图19的关节运动块的图15的可互换工具组件的关节运动接头的剖视透视图；
图21是图20的关节运动接头的另一个剖视透视图；
图22是图15的可互换工具组件的局部分解图；
图23是图15的可互换工具组件的另一个局部分解图；
图24是图20的关节运动接头的局部分解图；
图25是图15的可互换工具组件的近侧端部的剖视透视图；
图26是图15的可互换工具组件的端视图；
图27是沿图26中的线27-27截取的图15的可互换工具组件的端部执行器的剖视图，其示出了处于夹紧但未击发状态的端部执行器；
图28是沿图26中的线28-28截取的图15的可互换工具组件的端部执行器的剖视图，其示出了处于夹紧但未击发状态的端部执行器；
图29是沿图26中的线29-29截取的图15的可互换工具组件的端部执行器的剖视图，其示出了处于夹紧但未击发状态的端部执行器；
图30是被示出为处于拆卸状态的图15的可互换工具组件的端部执行器的剖视图；
图31示出了在第一方向上关节运动的图15的可互换工具组件的端部执行器；
图32示出了在第二方向上关节运动的图15的可互换工具组件的端部执行器；
图33是图15的可互换工具组件的仓体的透视图；
图34是根据至少一个另选的实施方案的仓体的透视图；
图35是根据至少一个另选的实施方案的可互换工具组件的端部执行器的分解图；
图36是图35的端部执行器的拆卸图；
图37是根据至少一个另选的实施方案的可互换工具组件的端部执行器的拆卸图；
图38是根据至少一个另选的实施方案的可互换工具组件的端部执行器的拆卸图；
图39是示出根据至少一个实施方案的钉仓和外科缝合器械的轴的透视图；
图40是组装到图39的缝合器械的钉仓的局部剖视图；
图41是外科缝合器械的局部剖视图，该外科缝合器械包括闭合驱动装置、砧座和闭锁件，该闭锁件被构造成能够如果闭合驱动装置不处于完全延伸的位置则防止砧座组装到闭合驱动装置；
图42是图41的外科缝合器械的局部剖视图，其示出了附接到闭合驱动装置的砧座；
图43是外科缝合器械的局部透视图，该外科缝合器械包括钉仓和闭合驱动装置，该闭合驱动装置被构造成能够使砧座相对于钉仓运动；
图44是图43的缝合器械的局部剖视图，其示出了闭锁件，该闭锁件被构造成能够在不将砧座附接到闭合驱动装置的情况下防止闭合驱动装置回缩；
图45是图44的缝合器械的局部剖视图，其示出了附接到闭合驱动装置的砧座以及与闭合驱动装置脱离的闭锁件。
图46是外科缝合器械的局部剖视图，该外科缝合器械包括：钉仓，该钉仓包括可移除的储存在其中的钉；砧座；被构造成能够使砧座相对于钉仓运动的闭合驱动装置；以及被构造成能够从钉仓射出钉的击发驱动装置；
图47是闭锁件的详细视图，该闭锁件被构造成能够在砧座运动到闭合位置之前防止击发驱动装置被致动；
图48是从击发驱动装置脱离的图47的闭锁件的详细视图；
图49是包括钉仓的外科缝合器械的局部透视图，该钉仓包括可移除的储存在其中的钉，砧座，被构造成能够使砧座相对于钉仓运动的闭合驱动装置，以及被构造成能够从钉仓射出钉的击发驱动装置；
图50是图49的外科缝合器械的闭锁件的详细视图，该闭锁件被构造成能够在砧座对在砧座和钉仓之间捕获的组织施加足够的压力之前防止致动击发驱动装置；
图51是从击发驱动装置脱离的图50的闭锁件的详细视图；
图52是包括钉仓的外科缝合器械的局部透视图，该钉仓包括可移除的储存在其中的钉，砧座，被构造成能够使砧座相对于钉仓运动的闭合驱动装置，以及被构造成能够从钉仓射出钉的击发驱动装置；
图53是图52的外科缝合器械的闭锁定件的详细视图，该闭锁件被构造成能够在击发驱动装置的切割构件暴露在钉仓上方时防止砧座从闭合驱动装置分离；
图54是在击发驱动装置在击发冲程之后已经充分回缩之后从砧座脱离的图53的闭锁件的详细视图；
图55是外科缝合器械的局部剖视图，该外科缝合器械包括钉仓，该钉仓包括可移除的储存在其中的钉，砧座，被构造成能够使砧座相对于钉仓运动的闭合驱动装置，以及被构造成能够从钉仓射出钉的击发驱动装置；
图56是图55的外科缝合器械的局部剖视图，其示出了处于夹紧构型的闭合驱动装置和处于未击发构型的击发驱动装置，其中击发驱动装置将闭锁件保持在未释放构型中；
图57是图55的外科缝合器械的局部剖视图，其示出了处于至少部分击发构型的击发驱动装置和处于释放构型的图56的闭锁件；
图58是图55的外科缝合器械的局部剖视图，其示出了处于延伸的或打开的构型的闭合驱动装置以及与闭合驱动装置接合以防止闭合驱动装置被重新夹紧的图56的闭锁件；
图59是外科缝合器械的剖视图，该外科缝合器械包括钉仓，该钉仓包括：可移除的储存在其中的钉；砧座；被构造成能够使砧座相对于钉仓运动的闭合驱动装置，以及被构造成能够从被示为处于禁用或闭锁的构型的钉仓射出钉的击发驱动装置；
图59A是图59的外科缝合器械的沿图59中的线59A-59A截取的剖视端视图；
图60是被示为处于夹紧构型的图59的外科缝合器械的剖视图，其中已经启用击发驱动装置；
图60A是图59的外科缝合器械的沿图60中的线60A-60A截取的剖视端视图；
图61是外科缝合器械的局部剖视图，该外科缝合器械包括钉仓，该钉仓包括可移除的储存在其中的钉，砧座，被构造成能够使砧座相对于钉仓运动的闭合驱动装置，以及被构造成能够从钉仓射出钉的击发驱动装置，其中闭合驱动装置被示出为处于未夹紧的构型，并且击发驱动装置被示出为处于不可操作的构型；
图62是图61的外科缝合器械的局部剖视图，其中闭合驱动装置被示出为处于夹紧构型，并且击发驱动装置被示出为处于可操作的构型；
图63是图61的外科器械的击发驱动装置的可旋转中间驱动构件的透视图；
图64是图61的外科器械的击发驱动装置的可旋转击发轴的局部透视图；
图65是弹簧系统的正视图，该弹簧系统被构造成能够偏置图64的击发轴而不与图63的中间驱动构件接合；
图66是根据至少一个实施方案的包括钉仓的外科缝合器械的端部执行器的分解图；
图67是图66的端部执行器的局部剖视图，其示出了闭锁件，该闭锁件被构造成能够如果钉仓未完全组装到缝合器械则防止端部执行器操作；
图68是图66的端部执行器的局部剖视图，其示出了处于解锁构型的闭锁件；
图69是根据至少一个实施方案的包括钉仓的外科缝合器械的端部执行器的分解图；
图70是图69的端部执行器的局部剖视图，其示出了被构造成能够将钉仓可释放地保持到缝合器械的闭锁件；
图71是图69的端部执行器的局部剖视图，其示出了处于解锁构型的锁定件；
图72示出了被构造成能够与选自多个圆形钉仓的钉仓一起使用的外科缝合器械的轴；
图73是图72的缝合器械的远侧端部的剖视图；
图74是外科缝合器械的局部剖视图，该外科缝合器械包括未击发的钉仓和闭锁系统，该闭锁系统被构造成能够在其先前已被外科器械的击发驱动装置击发之后防止钉仓被再次击发；
图75是被示出为处于夹紧构型的图74的缝合器械和处于击发构型的击发驱动装置的局部剖视图；
图76是被示出为处于未夹紧构型的图74的缝合器械和处于回缩构型的击发驱动装置的局部剖视图；
图77是图74的击发驱动装置和缝合器械的框架的端视图，其示出了处于未击发构型的击发驱动装置；
图78是图74的击发驱动装置和缝合器械的框架的端视图，其示出了处于回缩构型的击发驱动装置；
图79是可与图74的缝合器械一起使用的另选的钉仓设计的端视图；
图80是可与图74的缝合器械一起使用的另选的钉仓设计的端视图；
图81是根据至少一个实施方案的包括柔性轴的外科缝合器械的透视图；
图82是根据至少一个实施方案的包括多个端部执行器的外科器械套件的示意图；
图82A是根据至少一个实施方案的包括多个可附接的端部执行器的机器人外科器械系统的示意图；
图83是图82中描绘的若干端部执行器的透视图；
图84是根据至少一个实施方案的砧座的透视图；
图85是图84的砧座的剖视图；
图86是包括被示出为处于击发构型的图84的砧座的端部执行器的局部剖视图；
图87是根据至少一个实施方案的砧座的透视图；
图88是图87的砧座的平面图；
图89是被示出为处于夹紧的未击发构型的根据至少一个实施方案的端部执行器的剖视图；
图90是被示出为处于击发构型的图89的端部执行器的剖视图；
图91是被示出为处于夹紧的未击发构型的根据至少一个另选的实施方案的端部执行器的剖视图；
图92是被示出为处于击发构型的图91的端部执行器的剖视图；
图93是被示出为处于夹紧的未击发构型的根据至少一个另选的实施方案的端部执行器的剖视图；
图94是被示出为处于击发构型的图91的端部执行器的剖视图；
图95是根据至少一个实施方案的钉成形凹坑的透视图；
图96是图95的钉成形凹坑的剖视图；
图97是被构造成能够顺序地部署第一环形钉排和第二环形钉排的根据至少一个实施方案的端部执行器的分解视图；
图98是示出将钉部署在第一钉排中的击发驱动装置的图97的端部执行器的局部剖视图；
图99是示出将钉部署在第二钉排中的图98的击发驱动装置的图97的端部执行器的局部剖视图；
图100是击发驱动装置的局部剖视图，该击发驱动装置被构造成能够顺序地驱动用于击发第一钉排的第一驱动装置，用于击发第二钉排的第二驱动装置，以及然后用于驱动切割构件的第三驱动装置；
图101是示出了处于击发位置的第一驱动装置的图100的击发驱动装置的局部透视图；
图102是示出了处于击发位置的第二驱动装置的图100的击发驱动装置的局部透视图；
图103是示出了处于击发位置的第三驱动装置的图100的击发驱动装置的局部透视图；
图104是图100的击发驱动装置的分解图；
图105是处于图103的构型中的图100的击发驱动装置的局部透视图；
图106是根据至少一个另选的实施方案的击发驱动装置的分解图；
图107是根据至少一个实施方案的与圆形外科缝合器械一起使用的外科钉仓的一部分的透视图；
图108示出了处于未成形和成形构型的根据至少一个实施方案的一对钉；
图109是在致动钉成形过程之前相对于图107的外科钉仓的一部分的砧座的一部分的剖视图；
图110是在钉已经成形之后图109的砧座和图107的钉仓的另一个剖视图；
图111是根据至少一个实施方案的与圆形外科缝合器械一起使用的外科钉仓的一部分的透视图；
图112是在致动钉成形过程之前相对于图111的外科钉仓的一部分的砧座的一部分的剖视图；
图113是在钉已经成形之后图112的砧座和钉仓的另一个剖视图；
图114是根据至少一个实施方案的钉仓的顶视图；
图115是根据至少一个实施方案的砧座的底视图；
图116是相对于外科钉仓的一部分的砧座的一部分的剖视图；
图117示出了三个未成形的外科钉；
图118示出了根据至少一个实施方案的圆形缝合器的钉仓的局部剖视图；并且
图119示出了根据至少一个实施方案的圆形缝合器的钉仓的局部透视图。
在所述若干视图中，对应的参考符号指示对应的部件。本文所述的范例以一种形式示出了本发明的各种实施方案，且这种范例不应被解释为以任何方式限制本发明的范围。
具体实施方式
本申请的申请人拥有以下专利申请，所述专利申请与本申请于同一日期提交且各自全文以引用方式并入本文：
-名称为“METHOD FOR OPERATING A SURGICAL STAPLING SYSTEM”的美国专利申请序列号__________；代理人案卷号END7821USNP/150535；
-名称为“MODULAR SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY”的美国专利申请序列号__________；代理人案卷号END7822USNP/150536；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY INCLUDING A RE-ORIENTABLE DISPLAY FIELD”的美国专利申请序列号__________；代理人案卷号END7822USNP1/150536-1；
-名称为“SURGICAL INSTRUMENT HANDLE ASSEMBLY WITH RECONFIGURABLE GRIPPORTION”的美国专利申请序列号__________；代理人案卷号END7823USNP/150537；
-名称为“ROTARY POWERED SURGICAL INSTRUMENT WITH MANUALLY ACTUATABLEBAILOUT SYSTEM”的美国专利申请序列号__________；代理人案卷号END7824USNP/150538；
-名称为“SURGICAL CUTTING AND STAPLING END EFFECTOR WITH ANVILCONCENTRIC DRIVE MEMBER”的美国专利申请序列号__________；代理人案卷号END7825USNP/150539；
-名称为“CLOSURE SYSTEM ARRANGEMENTS FOR SURGICAL CUTTING AND STAPLINGDEVICES WITH SEPARATE AND DISTINCT FIRING SHAFTS”的美国专利申请序列号__________；代理人案卷号END7826USNP/150540；
-名称为“INTERCHANGEABLE SURGICAL TOOL ASSEMBLY WITH A SURGICAL ENDEFFECTOR THAT IS SELECTIVELY ROTATABLE ABOUT A SHAFT AXIS”的美国专利申请序列号__________；代理人案卷号END7827USNP/150541；
-名称为“SURGICAL STAPLING SYSTEM CONFIGURED TO PROVIDE SELECTIVECUTTING OF TISSUE”的美国专利申请序列号__________；代理人案卷号END7830USNP/150544；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A CONTOURABLE SHAFT”的美国专利申请序列号__________；代理人案卷号END7831USNP/150545；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A TISSUE COMPRESSIONLOCKOUT”的美国专利申请序列号__________；代理人案卷号END7832USNP/150546；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT”的美国专利申请序列号__________；代理人案卷号END7833USNP/150547；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A JAW CLOSURE LOCKOUT”的美国专利申请序列号__________；代理人案卷号END7834USNP/150548；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A JAW ATTACHMENT LOCKOUT”的美国专利申请序列号__________；代理人案卷号END7835USNP/150549；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A SPENT CARTRIDGELOCKOUT”的美国专利申请序列号__________；代理人案卷号END7836USNP/150550；
-名称为“SURGICAL INSTRUMENT COMPRISING A SHIFTING MECHANISM”的美国专利申请序列号__________；代理人案卷号END7837USNP/150551；
-名称为“SURGICAL STAPLING INSTRUMENT COMPRISING MULTIPLE LOCKOUTS”的美国专利申请序列号__________；代理人案卷号END7838USNP/150552；
-名称为“SURGICAL STAPLING INSTRUMENT”的美国专利申请序列号__________；代理人案卷号END7839USNP/150553；
-名称为“SURGICAL STAPLING SYSTEM CONFIGURED TO APPLY ANNULAR ROWS OFSTAPLES HAVING DIFFERENT HEIGHTS”的美国专利申请序列号__________；代理人案卷号END7840USNP/150554；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A GROOVED FORMING POCKET”的美国专利申请序列号__________；代理人案卷号END7841USNP/150555；
-名称为“ANVIL MODIFICATION MEMBERS FOR SURGICAL STAPLERS”的美国专利申请序列号__________；代理人案卷号END7842USNP/150556；
-名称为“STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES”的美国专利申请序列号__________；代理人案卷号END7843USNP/150557；
-名称为“CIRCULAR STAPLING SYSTEM COMPRISING AN INCISABLE TISSUESUPPORT”的美国专利申请序列号__________；代理人案卷号END7844USNP/150558；
-名称为“CIRCULAR STAPLING SYSTEM COMPRISING ROTARY FIRING SYSTEM”的美国专利申请序列号__________；代理人案卷号END7845USNP/150559；以及
-名称为“CIRCULAR STAPLING SYSTEM COMPRISING LOAD CONTROL”的美国专利申请序列号__________；代理人案卷号END7845USNP1/150559-1；
本申请的申请人还拥有以下的美国专利申请，这些专利申请于2015年12月31日提交，每个都以引用的方式各自完全并入本文：
-名称为“MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE INPOWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/984,488；
-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号14/984,525；以及
-名称为“SURGICAL INSTRUMENTS WITH SEPARABLE MOTORS AND MOTOR CONTROLCIRCUITS”的美国专利申请序列号14/984,552。
本申请的申请人还拥有下面的美国专利申请，这些专利申请于2016年2月9日提交，并且每个都以引用的方式各自完全并入本文：
-名称为“SURGICAL INSTRUMENT WITH ARTICULATING AND AXIALLYTRANSLATABLE END EFFECTOR”的美国专利申请序列号15/019,220，
-名称为“SURGICAL INSTRUMENTS WITH MULTIPLE LINK ARTICULATIONARRANGEMENTS”的美国专利申请序列号15/019,228；
-名称为“SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTEDSECONDARY CONSTRAINT”的美国专利申请序列号15/019,196；
-名称为“SURGICAL INSTRUMENTS WITH AN END EFFECTOR THAT IS HIGHLYARTICULATABLE RELATIVE TO AN ELONGATE SHAFT ASSEMBLY”的美国专利申请序列号15/019,206；
-名称为“SURGICAL INSTRUMENTS WITH NON-SYMMETRICAL ARTICULATIONARRANGEMENTS”的美国专利申请序列号15/019,215；
-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH SINGLE ARTICULATIONLINK ARRANGEMENTS”的美国专利申请序列号15/019,227；
-名称为“SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLEDRIVEN ARTICULATION SYSTEMS”的美国专利申请序列号15/019,235；
-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH OFF-AXIS FIRING BEAMARRANGEMENTS”的美国专利申请序列号15/019,230；以及
-名称为“SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTIONARRANGEMENTS”的美国专利申请序列号15/019,245；
本申请的申请人还拥有下面的美国专利申请，这些专利申请于2016年2月12日提交，并且每个都以引用的方式各自完全并入本文：
-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,254；
-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,259；
-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,275；以及
-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,289；
本申请的申请人拥有2015年6月18日提交并且各自全文以引用方式并入本文的以下专利申请：
-名称为“SURGICAL END EFFECTORS WITH POSITIVE JAW OPENINGARRANGEMENTS”的美国专利申请序列号14/742,925；
-名称为“SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSINGFEATURES”的美国专利申请序列号14/742,941；
-名称为“MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,914；
-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAMSTRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT”的美国专利申请序列号14/742,900；
-名称为“DUAL ARTICULATION DRIVE SYSTEM ARRANGEMENTS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,885；以及
-名称为“PUSH/PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,876。
本申请的申请人拥有2015年3月6日提交并且各自全文以引用方式并入本文的以下专利申请：
-名称为“POWERED SURGICAL INSTRUMENT”的美国专利申请序列号14/640,746；
-名称为“MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号14/640,795；
-名称为“ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURERATES FOR MULTIPLE TISSUE TYPES”的美国专利申请序列号14/640,832；代理人案卷号END7557USNP/140482；
-名称为“OVERLAID MULTI SENSOR RADIO FREQUENCY(RF)ELECTRODE SYSTEM TOMEASURE TISSUE COMPRESSION”的美国专利申请序列号14/640,935；
-名称为“MONITORING SPEED CONTROL AND PRECISION INCREMENTING OF MOTORFOR POWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/640,831；
-名称为“TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINESTABILITY,CREEP,AND VISCOELASTIC ELEMENTS OF MEASURES”的美国专利申请序列号14/640,859；
-名称为“INTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/640,817；
-名称为“CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED WITHIN MODULARSHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE”的美国专利申请序列号14/640,844；
-名称为“SMART SENSORS WITH LOCAL SIGNAL PROCESSING”的美国专利申请序列号14/640,837；
-名称为“SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGEINTO A SURGICAL STAPLER”的美国专利申请序列号14/640,765；
-名称为“SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON AROTATABLE SHAFT”的美国专利申请序列号14/640,799；以及
-名称为“SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING”的美国专利申请序列号14/640,780。
本申请的申请人拥有2015年2月27日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION”的美国专利申请序列号14/633,576；
-名称为“SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCEPARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND”的美国专利申请序列号14/633,546；
-名称为“SURGICAL CHARGING SYSTEM THAT CHARGES AND/OR CONDITIONS ONEOR MORE BATTERIES”的美国专利申请序列号14/633,576；
-名称为“CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FORCHARGING A BATTERY”的美国专利申请序列号14/633,566；
-名称为“SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TOBE SERVICED”的美国专利申请序列号14/633,555；
-名称为“REINFORCED BATTERY FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/633,542；
-名称为“POWER ADAPTER FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/633,548；
-名称为“ADAPTABLE SURGICAL INSTRUMENT HANDLE”的美国专利申请序列号14/633,526；
-名称为“MODULAR STAPLING ASSEMBLY”的美国专利申请序列号14/633,541；以及
-名称为“SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OF-LIFEPARAMETER”的美国专利申请序列号14/633,562；
本申请的申请人拥有2014年12月18日提交并且各自全文以引用方式并入本文的以下专利申请：
-名称为“SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE ENDEFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING”的美国专利申请序列号14/574,478；
-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS”的美国专利申请序列号14/574,483；
-名称为“DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS”的美国专利申请序列号14/575,139；
-名称为“LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITHARTICULATABLE SURGICAL END EFFECTORS”的美国专利申请序列号14/575,148；
-名称为“SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLEABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE”的美国专利申请序列号14/575,130；
-名称为“SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS”的美国专利申请序列号14/575,143；
-名称为“SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS ANDMOVABLE FIRING BEAM SUPPORT ARRANGEMENTS”的美国专利申请序列号14/575,117；
-名称为“SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS ANDIMPROVED FIRING BEAM SUPPORT ARRANGEMENTS”的美国专利申请序列号14/575,154；
-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLEARTICULATION SYSTEM”的美国专利申请序列号14/574,493；以及
-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLEARTICULATION SYSTEM”的美国专利申请序列号14/574,500。
本申请的申请人拥有2013年3月1日提交并且各自全文以引用方式并入本文的以下专利申请：
-名称为“Articulatable Surgical Instruments With Conductive PathwaysFor Signal Communication”的美国专利申请序列号13/782,295，现为美国专利申请公布2014/0246471；
-名称为“Rotary Powered Articulation Joints For Surgical Instruments”的美国专利申请序列号13/782,323，现为美国专利申请公布2014/0246472；
-名称为“Thumbwheel Switch Arrangements For Surgical Instruments”的美国专利申请序列号13/782,338，现为美国专利申请公布2014/0249557；
-名称为“Electromechanical Surgical Device with Signal RelayArrangement”的美国专利申请序列号13/782,499，现为美国专利申请公布2014/0246474；
-名称为“Multiple Processor Motor Control for Modular SurgicalInstruments”的美国专利申请序列号13/782,460，现为美国专利申请公布2014/0246478；
-名称为“Joystick Switch Assemblies For Surgical Instruments”的美国专利申请序列号13/782,358，现为美国专利申请公布2014/0246477；
-名称为“Sensor Straightened End Effector During Removal ThroughTrocar”的美国专利申请序列号13/782,481，现为美国专利申请公布2014/0246479；
-名称为“Control Methods for Surgical Instruments with RemovableImplement Portions”的美国专利申请序列号13/782,518，现为美国专利申请公布2014/0246475；
-名称为“Rotary Powered Surgical Instruments With Multiple Degrees ofFreedom”的美国专利申请序列号13/782,375，现为美国专利申请公布2014/0246473；以及
-名称为“Surgical Instrument Soft Stop”的美国专利申请序列号13/782,536，现为美国专利申请公布2014/0246476。
本申请的申请人还拥有2013年3月14日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE”的美国专利申请序列号13/803,097，现为美国专利申请公布2014/0263542；
-名称为“CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICALINSTRUMENT”的美国专利申请序列号13/803,193，现为美国专利申请公布2014/0263537；
-名称为“INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICALINSTRUMENT”的美国专利申请序列号13/803,053，现为美国专利申请公布2014/0263564；
-名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATIONLOCK”的美国专利申请序列号13/803,086，现为美国专利申请公布2014/0263541；
-名称为“SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FORSURGICAL INSTRUMENTS”的美国专利申请序列号13/803,210，现为美国专利申请公布2014/0263538；
-名称为“MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT”的美国专利申请序列号13/803,148，现为美国专利申请公布2014/0263554；
-名称为“DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICALINSTRUMENTS”的美国专利申请序列号13/803,066，现为美国专利申请公布2014/0263565；
-名称为“ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICALINSTRUMENTS”的美国专利申请序列号13/803,117，现为美国专利申请公布2014/0263553；
-名称为“DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICALINSTRUMENTS”的美国专利申请序列号13/803,130，现为美国专利申请公布2014/0263543；以及
-名称为“METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT”的美国专利申请序列号13/803,159，现为美国专利申请公布2014/0277017。
本申请的申请人还拥有2014年3月7日提交并且全文以引用方式并入本文的以下专利申请：
-名称为“CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号14/200,111，现为美国专利申请公布2014/0263539。
本申请的申请人还拥有2014年3月26日提交并且各自全文以引用方式并入本文的以下专利申请：
-名称为“POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号14/226,106，现为美国专利申请公布2015/0272582；
-名称为“STERILIZATION VERIFICATION CIRCUIT”的美国专利申请序列号14/226,099，现为美国专利申请公布2015/0272581；
-名称为“VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT”的美国专利申请序列号14/226,094，现为美国专利申请公布2015/0272580；
-名称为“POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUITAND WAKE UP CONTROL”的美国专利申请序列号14/226,117，现为美国专利申请公布2015/0272574；
-名称为“MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFTASSEMBLIES”的美国专利申请序列号14/226,075，现为美国专利申请公布2015/0272579；
-名称为“FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICALINSTRUMENTS”的美国专利申请序列号14/226,093，现为美国专利申请公布2015/0272569；
-名称为“SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION”的美国专利申请序列号14/226,116，现为美国专利申请公布2015/0272571；
-名称为“SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETYPROCESSOR”的美国专利申请序列号14/226,071，现为美国专利申请公布2015/0272578；
-名称为“SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS”的美国专利申请序列号14/226,097，现为美国专利申请公布2015/0272570；
-名称为“INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS”的美国专利申请序列号14/226,126，现为美国专利申请公布2015/0272572；
-名称为“MODULAR SURGICAL INSTRUMENT SYSTEM”的美国专利申请序列号14/226,133，现为美国专利申请公布2015/0272557；
-名称为“SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT”的美国专利申请序列号14/226,081，现为美国专利申请公布2015/0277471；
-名称为“POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLEVOLTAGE PROTECTION”的美国专利申请序列号14/226,076，现为美国专利申请公布2015/0280424；
-名称为“SURGICAL STAPLING INSTRUMENT SYSTEM”的美国专利申请序列号14/226,111，现为美国专利申请公布2015/0272583；以及
-名称为“SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT”的美国专利申请序列号14/226,125，现为美国专利申请公布2015/0280384。
本申请的申请人还拥有2014年9月5日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE”的美国专利申请序列号14/479,103，现为美国专利申请公布2016/0066912；
-名称为“ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUECOMPRESSION”的美国专利申请序列号14/479,119，现为美国专利申请公布2016/0066914；
-名称为“MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION”的美国专利申请序列号14/478,908，现为美国专利申请公布2016/0066910；
-名称为“MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'SOUTPUT OR INTERPRETATION”的美国专利申请序列号14/478,895，现为美国专利申请公布2016/0066909；
-名称为“USE OF POLARITY OF HALL MAGNET DETECTION TO DETECT MISLOADEDCARTRIDGE”的美国专利申请序列号14/479,110，现为美国专利申请公布2016/0066915；
-名称为“SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION”的美国专利申请序列号14/479,098，现为美国专利申请公布2016/0066911；
-名称为“MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE”的美国专利申请序列号14/479,115，现为美国专利申请公布2016/0066916；以及
-名称为“LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION”的美国专利申请序列号14/479,108，现为美国专利申请公布2016/0066913；
本申请的申请人还拥有2014年4月9日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVESHAFTS”的美国专利申请序列号14/248,590，现为美国专利申请公布2014/0305987；
-名称为“SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRINGDRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT”的美国专利申请序列号14/248,581，现为美国专利申请公布2014/0305989；
-名称为“SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLINGTHE OPERATION OF THE SURGICAL INSTRUMENT”的美国专利申请序列号14/248,595，现为美国专利申请公布2014/0305988；
-名称为“POWERED LINEAR SURGICAL STAPLER”的美国专利申请序列号14/248,588，现为美国专利申请公布2014/0309666；
-名称为“TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/248,591，现为美国专利申请公布2014/0305991；
-名称为“MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENTFEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS”的美国专利申请序列号14/248,584，现为美国专利申请公布2014/0305994；
-名称为“POWERED SURGICAL STAPLER”的美国专利申请序列号14/248,587，现为美国专利申请公布2014/0309665；
-名称为“DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICALINSTRUMENT”的美国专利申请序列号14/248,586，现为美国专利申请公布2014/0305990；以及
-名称为“MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUSINDICATION ARRANGEMENTS”的美国专利申请序列号14/248,607，现为美国专利申请公布2014/0305992。
本申请的申请人还拥有2013年4月16日提交并且全文各自以引用的方式并入本文的以下专利申请：
-名称为“SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY ASINGLE MOTOR”的美国临时专利申请序列号61/812,365；
-名称为“LINEAR CUTTER WITH POWER”的美国临时专利申请序列号61/812,376；
-名称为“LINEAR CUTTER WITH MOTOR AND PISTOL GRIP”的美国临时专利申请序列号61/812,382；
-名称为“SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS ANDMOTOR CONTROL”的美国临时专利申请序列号61/812,385；以及
-名称为“SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY ASINGLE MOTOR”的美国临时专利申请序列号61/812,372。
本文列出了许多具体细节，以提供对说明书中所述和附图中所示的实施方案的整体结构、功能、制造和用途的透彻理解。没有详细描述熟知的操作、部件和元件，以免使说明书中描述的实施方案模糊不清。读者将会理解，本文所述和所示的实施方案为非限制性示例，从而可认识到，本文所公开的特定结构和功能细节可为代表性和例示性的。在不脱离权利要求的范围的情况下，可对这些实施方案进行变型和改变。
术语“包括”(以及“包括”的任何形式，诸如“包含”)、“具有”(以及“具有”的任何形式，诸如“带有”)、“包含”(以及“包含”的任何形式，诸如“包括)”)、以及“含有”(以及“含有”的任何形式，诸如“具有”)为开放式系动词。因此，“包括”、“具有”、“包含”或“含有”一个或多个元件的外科系统、装置、或设备具有这些一个或多个元件，但不限于仅具有这些一个或多个元件。同样，“包括”、“具有”、“包含”或“含有”一个或多个特征的系统、装置、或设备的元件具有那些一个或多个特征，但不限于仅具有那些一个或多个特征。
术语“近侧”和“远侧”在本文中是相对于操纵外科器械的柄部部分的临床医生来使用的。术语“近侧”是指最靠近临床医生的部分，术语“远侧”是指远离临床医生定位的部分。还应当理解，为简洁和清楚起见，本文可结合附图使用诸如“竖直”、“水平”、“上”和“下”等空间术语。然而，外科器械在许多方向和位置中使用，并且这些术语并非限制性的和/或绝对的。
提供各种示例性装置和方法以用于执行腹腔镜式和微创外科手术操作。然而，读者将容易理解，本文所公开的各种方法和装置可用于多种外科手术和应用中，包括例如与开放式外科手术结合。继续参阅本具体实施方式，读者将进一步理解，本文所公开的各种器械能够以任何方式插入体内，诸如通过自然腔道、通过形成于组织中的切口或穿刺孔等。器械的工作部分或端部执行器部分可直接插入患者体内或者可通过具有工作通道的进入装置插入，外科器械的端部执行器和细长轴可通过所述工作通道推进。
外科缝合系统可包括轴和从轴延伸的端部执行器。端部执行器包括第一钳口和第二钳口。第一钳口包括钉仓。钉仓能够插入到第一钳口中并且能够从第一钳口移除；然而，设想到其中钉仓不能够从第一钳口移除或至少能够易于从第一钳口替换的其他实施方案。第二钳口包括被构造成能够使从钉仓射出的钉变形的砧座。第二钳口能够相对于第一钳口围绕闭合轴线枢转；然而，可设想到其中第一钳口能够相对于第二钳口枢转的其他实施方案。外科缝合系统还包括被构造成能够允许端部执行器相对于轴旋转或进行关节运动的关节运动接头。端部执行器能够围绕延伸穿过关节运动接头的关节运动轴线旋转。设想到不包括关节运动接头的其他实施方案。
钉仓包括仓体。仓体包括近侧端部、远侧端部和在近侧端部与远侧端部之间延伸的平台。在使用中，钉仓定位在待缝合的组织的第一侧上，并且砧座定位在组织的第二侧上。砧座朝向钉仓运动以抵靠平台压缩组织并夹紧组织。然后，可移除地储存在仓体中的钉可部署到组织中。仓体包括限定于其中的钉腔，其中钉可移除地储存在钉腔中。钉腔被布置成六个纵向排。三排钉腔定位在纵向狭槽的第一侧上且三排钉腔定位在纵向狭槽的第二侧上。钉腔和钉的其他布置也是可能的。
钉由仓体中的钉驱动装置支撑。驱动装置能够在第一或非击发位置和第二或击发位置之间运动，以从钉仓射出钉。驱动装置通过保持器保留在仓体中，该保持器围绕仓体的底部延伸并且包括被构造成能够夹持仓体以及将保持器保持至仓体的弹性构件。驱动装置能够通过滑动件在其非击发位置和击发位置之间运动。滑动件能够在与近侧端部相邻的近侧位置和与远侧端部相邻的远侧位置之间运动。滑动件包括多个斜坡表面，该斜坡表面被构造成能够在驱动装置下方滑动并且将驱动装置和支撑在其上的钉朝向砧座提升。
除上述以外，滑动件还可通过击发构件朝远侧运动。击发构件被构造成能够接触滑动件并朝向远侧端部推动滑动件。限定于仓体中的纵向狭槽被构造成能够接收击发构件。砧座还包括被构造成能够接收击发构件的狭槽。击发构件还包括接合第一钳口的第一凸轮和接合第二钳口的第二凸轮。在击发构件朝远侧推进时，第一凸轮和第二凸轮可控制钉仓的平台和砧座之间的距离或组织间隙。击发构件还包括被构造成能够切割在钉仓和砧座中间捕获的组织的刀。希望刀定位成至少部分接近斜坡表面，使得钉先于刀被射出。
图1示出了可用于执行多种不同外科手术的马达驱动外科系统10。在所示的实施方案中，马达驱动外科系统10包括选择性地可重新构造的壳体或附接到可互换外科工具组件1000的一种形式的柄部组件20。例如，图1中描绘的系统10包括可互换外科工具组件1000，可互换外科工具组件1000包括可被称为内镜切割器的外科切割和紧固器械。如下文将进一步详细讨论的，可互换外科工具组件可包括适于支撑不同尺寸和类型的钉仓的端部执行器，并且具有不同的轴长度、尺寸和类型等。此类布置例如可利用任何合适的一个紧固件或多个紧固件以紧固组织。例如，包括可移除地储存在其中的多个紧固件的紧固件仓能够可移除地插入外科工具组件的端部执行器中和/或附接到外科工具组件的端部执行器。其他外科工具组件可与柄部组件20互换使用。例如，可互换外科工具组件1000可与柄部组件20分离，并且以被构造成能够执行其他外科手术的不同外科工具组件替换。在其他布置中，外科工具组件可与其他外科工具组件不可互换并且基本上包括例如不可移除地固定或联接到柄部组件20的专用轴。外科工具组件也可称为细长轴组件。外科工具组件可以是可重复使用的，或者在其他构型中，外科工具组件可被设计成在单次使用之后被处理。
继续参阅本具体实施方式，将会理解，本文所公开的各种形式的可互换外科工具组件也可结合机器人控制的外科系统有效地使用。因此，术语“壳体”和“壳体组件”也可涵盖机器人系统的容纳或以其他方式操作地支撑至少一个驱动系统的壳体或类似部分，所述至少一个驱动系统被构造成能够生成和施加可用于致动本文所公开的细长轴组件及其相应的等同物的至少一个控制运动。术语“框架”可指手持式外科器械的一部分。术语“框架”还可表示机器人控制的外科器械的一部分和/或机器人系统的可用于操作地控制外科器械的一部分。例如，本文所公开的外科工具组件可与各种机器人系统、器械、部件和方法诸如但不限于名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS”的美国专利申请序列号13/118,241(现为美国专利申请公布2012/0298719)中公开的那些一起使用，该专利申请据此全文以引用方式并入本文。
现在参见图1和图2，壳体组件或柄部组件20包括主壳体部分30，主壳体部分30可由一对壳体节段40,70形成，壳体节段40,70可由塑料、聚合物材料、金属等制成并且通过适当的紧固装置诸如例如粘合剂、螺钉、压配合特征部、卡扣配合特征部、闩锁等连接在一起。如下面将进一步详细讨论的，主壳体部分30将多个驱动系统操作地支撑在其中，该多个驱动系统被构造成能够产生各种控制运动并将各种控制运动施加到操作地附接到其的可互换外科工具组件的对应部分。柄部组件20还包括夹持部分100，夹持部分100可移动地联接到主壳体部分30并且被构造成能够在相对于主壳体部分30的各种位置中由临床医生夹持和操纵。夹持部分100可由一对夹持部分110、120制成，夹持部分110、120可由塑料、聚合物材料、金属等制成，并且通过适当的紧固装置诸如例如粘合剂、螺钉、压配合特征部、卡扣配合特征部、闩锁等接合在一起，用于组装和维护的目的。
如在图2中可看到的，夹持部分100包括夹持壳体130，夹持外130壳限定中空腔132，该中空腔被构造成能够操作地支撑将在下文中进一步详细讨论的驱动马达和齿轮箱。夹持壳体130的上部部分134被构造成能够延伸穿过主壳体部分30中的开口80并且可枢转地轴颈连接在枢转轴180上。枢转轴180限定命名为“PA”的枢转轴线。参见图3。出于参考目的，柄部组件20限定命名为“HA”的柄部轴线，该柄部轴线可平行于操作地附接到柄部组件20的可互换外科工具的细长轴组件的轴线“SA”。枢转轴线PA横向于柄部轴线HA。参见图1。此类布置使夹持部100能够围绕枢转轴线PA相对于主壳体部分30枢转到一个位置，该位置最适合于联接到柄部组件20的可互换外科工具组件的类型。夹持壳体130限定通常命名为“GA”的夹持轴线。参见图2。例如，当联接到柄部组件20的可互换外科工具组件包括内镜切割器时，临床医生可希望将夹持部分100相对于主壳体部分30定位，使得夹持轴线GA垂直于或大致垂直(角度“H1”)于柄部轴线HA(本文中称为“第一夹持位置”)。参见图5。然而，例如，如果柄部组件20用于控制包括一圆形缝合器的可互换外科工具组件，临床医生可希望将夹持部分100相对于主壳体部分30枢转到一个位置，其中抓握轴线GA相对于柄部轴线HA处于45度或大约45度角或其他合适的锐角(角度“H2”)。该位置在本文中被称为“第二夹持位置”。图5示出了处于第二夹持位置的为虚线形式的夹持部分100。
现在参见图3-图5，柄部组件20还包括通常被指定为150的夹持锁定系统，以用于相对于主壳体部分30以期望的取向选择性地锁定夹持部分100。在一种布置中，夹持锁定系统150包括尖齿154的弓形序列152。齿154彼此间隔开，并且在其间形成锁定凹槽156。每个锁定凹槽156对应于夹持部分100的特定角度锁定位置。例如，在至少一种布置中，齿154和锁定凹槽或“锁定位置”156被布置成允许夹持部分100在第一夹持位置和第二夹持位置之间以10-15度间隔锁定。该布置可采用两个止动位置，所述止动位置被定制为采用的器械类型(轴布置)。例如，对于内镜切割器轴装置，其可与轴大约成90度，并且对于圆形缝合器布置，角度可与轴大约成45度，同时朝向外科医生向前扫掠。夹持锁定系统150还包括锁定按钮160，锁定按钮160具有被构造成能够锁定地接合锁定凹槽156的锁定部分。例如，锁定按钮160可枢转地安装在枢轴销131上的主柄部部分30中，以允许锁定按钮160枢转成与对应的锁定凹槽156接合。锁定弹簧164用于将锁定按钮160偏置到与对应的锁定凹槽156接合或锁定的位置。当临床医生按压锁定按钮160时，锁定部分和齿构型用于使齿154能够滑动经过锁定部分。因此，为了调节夹持部分100相对于主壳体部分30的角位置，临床医生按压锁定按钮160，然后将夹持部分100枢转到期望的角位置。一旦夹持部分100已经运动到期望的位置，临床医生释放锁定按钮160。锁定弹簧164然后将锁定按钮160朝向一系列的齿154偏置，使得锁定部分进入对应的锁定凹槽156以在使用期间将夹持部分100保持在该位置。
柄部组件20操作地支撑第一旋转驱动系统300、第二旋转驱动系统320和第三轴向驱动系统400。旋转驱动系统300、320各自由操作地支撑在夹持部分100中的马达200供电。如在图2中可看到的，例如，马达200被支撑在夹持部分100中的腔132内并且具有齿轮箱组件202，齿轮箱组件202具有从其突出的输出驱动轴204。在各种形式中，马达200例如可以是具有约25,000RPM的最大旋转的DC有刷驱动马达。在其他布置中，马达可包括无刷马达、无绳马达、同步马达、步进马达、或任何其他合适的电动马达。马达200可由电源210供电，在一种形式中，电源210可包括可移除电源组212。电源210可包括例如在名称为SURGICALINSTRUMENT COMPRISING A SENSOR SYSTEM(包括传感器系统的外科器械)的美国专利申请公布2015/0272575中进一步详细公开的各种电源布置中的任何一种，该专利申请全部公开内容据此通过引用方式并入本文。在所示出的布置中，例如，电源组212可包括近侧壳体部分214，近侧壳体部分214被构造成能够用于附接到远侧壳体部分216。近侧壳体部分214和远侧壳体部分216被构造成能够操作地将多个电池218支撑在其中。例如，电池218可各自包括例如锂离子(“LI”)或其他合适的电池。远侧壳体部分216被构造成能够用于可移除地操作地附接到同样操作地联接到马达200的柄部电路板组件220。柄部电路板组件220在本文中通常也可称为“控制系统或CPU 224”。串联连接的多个电池(218)可用作用于柄部组件20的电源。另外，电源210可以是可替换的和/或可再充电的。在其他实施方案中，例如，外科器械10可由交流电(AC)供电。马达200可由安装到夹持部分100的摇臂开关206控制。
如上文所概述，马达200被操作地联接到包括输出驱动轴204的齿轮箱组件202。附接到输出驱动轴204的是驱动装置锥齿轮230。马达200、齿轮箱组件202、输出驱动轴204和驱动装置锥齿轮230在本文中也可统称为“马达组件231”。驱动装置锥齿轮230与从动锥齿轮234以及枢转锥齿轮238交接，从动锥齿轮234附接到系统驱动轴232，枢转锥齿轮238轴颈连接在枢转轴180上。从动锥齿轮234可在系统驱动轴232上在接合位置和脱离位置之间轴向运动，在接合位置中，从动锥齿轮234与驱动锥齿轮230啮合接合(图5)，在脱离位置中，从动锥齿轮234与驱动锥齿轮230脱离啮合(图14)。驱动系统弹簧235轴颈连接在从动锥齿轮234和近端凸缘236之间，近端凸缘236形成在系统驱动轴232的近侧部分上。参见图4和图14。驱动系统弹簧235用于将从动锥齿轮234偏置成与驱动装置锥齿轮230脱离啮合，如下文将进一步详细讨论的。枢转锥齿轮238有利于输出驱动轴204和驱动装置锥齿轮230与夹持部分100相对于主柄部部分30枢转行进。
在示出的示例中，系统驱动轴232与通常被指定为240的旋转驱动选择器系统交接。例如，在至少一种形式中，旋转驱动选择器系统240包括可选择性地在第一旋转驱动系统300和第二旋转驱动系统320之间运动的移位器齿轮250。如在图6-图9中可看到的，例如，驱动选择器系统240包括移位器安装板242，移位器安装板242不可移动地安装在主柄部部分30内。例如，移位器安装板242可摩擦地保持在形成于壳体节段40、70中的安装凸耳(未示出)之间，或者通过螺钉、粘合剂等以其他方式保持在其中。仍然参见图6-图9，系统驱动轴232延伸穿过移位器安装板242中的孔，并且具有不可旋转地附接到其的中心或系统驱动齿轮237。例如，中心驱动齿轮237可通过键槽布置233附接到系统驱动轴232。参见图6至图9。在其他布置中，系统驱动轴232可通过安装到其的对应轴承(未示出)被可旋转地支撑在移位器安装板242中。在任何情况下，系统驱动轴232的旋转将导致中心驱动齿轮234的旋转。
如图3中可看到的，第一驱动系统300包括被可旋转地支撑在形成于主柄部部分30中的远侧壁32中第一驱动承窝302。第一驱动承窝302可包括具有形成在其中的花键承窝的第一主体部分304。第一从动齿轮306在第一主体部分304上形成或者不可移动地附接到第一主体部分304。第一主体部分304可被可旋转地支撑在设置有远侧壁32的对应孔或通道中，或者其可被可旋转地支撑在安装在远侧壁32中的对应轴承(未示出)中。类似地，第二旋转驱动系统320包括也被可旋转地支撑在主柄部部分30的远侧壁32中的第二驱动承窝322。第二驱动承窝322可包括具有形成在其中的花键承窝的第二主体部分324。第二从动齿轮326在第二主体部分324上形成或者不可旋转地安装到第二主体部分324。第二主体部分324可被可旋转地支撑在设置有远侧壁32的对应孔或通道中，或者其可被可旋转地支撑在安装在远侧壁32中的对应轴承(未示出)中。第一驱动承窝302和第二驱动承窝322在柄部轴线HA的每个侧向侧上彼此间隔开。例如，参见图4。
如上所述，在所示出的示例中，旋转驱动选择器系统240包括移位器齿轮250。如在图6-图9中可看到的，移位器齿轮250可旋转地安装在惰轮轴252上，惰轮轴252被可移动地支撑在移位器安装板242中的弓形狭槽244中。移位器齿轮250安装成在惰轮轴252上自由旋转并且保持与中心驱动齿轮234啮合接合。惰轮轴252联接到移位器螺线管260的轴262的端部。移位器螺线管260被钉住或以其他方式与主柄部壳体30安装在一起，使得当移位器螺线管260被致动时，移位器齿轮250运动成与第一从动齿轮306或第二从动齿轮326中的一者啮合接合。例如，在一种布置中，当螺线管轴262回缩时(图6和图7)，移位器齿轮250与中心驱动齿轮234和第一从动齿轮306啮合接合，使得马达200的致动将导致第一驱动承窝302的旋转。如在图6和图7中可看到的，可采用移位器弹簧266将移位器齿轮250偏置到该第一致动位置中。因此，如果外科器械10损失电力，则移位器弹簧266将自动地将移位器齿轮250偏置到第一位置中。当移位器齿轮250处于该位置时，马达200的后续致动将导致第一旋转驱动系统300的第一驱动承窝302的旋转。移位器螺线管被致动时，移位器齿轮250运动成与第二驱动承窝322上的第二从动齿轮326啮合接合。此后，马达200的致动将导致第二旋转驱动系统320的第二驱动承窝322的致动或旋转。
如下文将进一步详细讨论的，第一旋转驱动系统300、320可用于为联接到其的可互换外的科工具组件的各种部件部分供电。如上所述，在至少一种布置中，如果在可互换外科工具组件的致动期间，马达失去动力，则移位器弹簧266将移位器齿轮250偏置到第一位置。根据可互换外科工具组件的哪个部件部分被操作，可需要将旋转驱动运动的应用逆转到第一驱动系统300，以使可互换外科工具组件能够从患者体内移除。例如，所示示例的柄部组件20采用通常指定为330的可手动致动的“应急”系统，用于在上述场景中手动地将旋转驱动运动施加到第一旋转驱动系统300。
现在参见图3、图10和图11，所示的应急系统330包括应急传动系332，该应急传动系332包括行星齿轮组件334。在至少一种形式中，行星齿轮组件334包括行星齿轮壳体336，行星齿轮壳体336容纳包括行星锥齿轮338的行星齿轮布置(未示出)。行星齿轮组件334包括应急驱动轴340，应急驱动轴340操作地联接到行星齿轮壳体336内的行星齿轮布置。行星锥齿轮338的旋转使行星齿轮布置旋转，该行星齿轮布置最终使应急驱动轴340旋转。应急驱动齿轮342轴颈连接在应急驱动轴340上，使得应急驱动齿轮342可在应急驱动轴340上轴向运动，然而与其一起旋转。应急驱动齿轮342可在形成在应急驱动轴340上的弹簧止动凸缘344和形成在应急驱动轴340的远侧端部上的轴端止动件346之间运动。应急轴弹簧348轴颈连接在位于应急驱动齿轮342和弹簧止动凸缘344之间的应急驱动轴340上。应急轴弹簧348在应急驱动轴340上将应急驱动齿轮342朝远侧偏置。当应急驱动齿轮342处于其在应急驱动轴340上的最远侧位置时，其与可旋转地安装到系统驱动轴232的应急从动齿轮350啮合接合。参见图14。
现在参见图12和图13，应急系统330包括有助于将应急驱动运动手动应用于应急传动系332的应急致动器组件或应急柄部组件360。如这些附图中可看到的，应急柄部组件360包括应急锥齿轮组件362，应急锥齿轮组件362包括应急锥齿轮364和棘轮齿轮366。应急柄部组件360还包括应急柄部370，应急柄部370通过可枢转地安装在棘轮366上的枢轴托架372可移动地联接到应急锥齿轮组件362。应急柄部370通过销374枢转地联接到枢转托架372，以用于在储存位置“SP”与致动位置“AP”之间进行选择性枢转行进。参见图12。采用柄部弹簧376以将应急柄部370偏置到致动位置AP中。在至少一种布置中，例如，表示致动位置的轴线SP与表示致动位置的轴线AP之间的角度可为大约三十度。参见图13。如在图13中也可看到的，应急柄部组件360还包括棘轮爪378，该棘轮爪378可旋转地安装在枢轴托架372中的腔或孔377中。棘轮爪378被构造成能够在沿致动方向“AD”旋转时啮合地接合棘轮齿轮366，然后在沿相反方向旋转时旋转出啮合接合。棘轮弹簧384和球形构件386被可移动地支撑在枢轴托架372中的腔379中，并且用于在应急柄部370被致动(松脱)时锁定地接合棘轮爪378中的止动器380、382。
现在参见图3和图10，应急系统330还包括在打开位置和闭合位置之间可操纵的应急进入面板390。在示出的布置中，应急进入面板390被构造成能够可移除地联接到主壳体部分30的壳体节段70。因此，至少在该实施方案中，当应急进入面板390从主壳体部分30移除或拆卸时，其被称为处于“打开”位置，并且当应急进入面板390如图所示附接到主壳体部分30时，其被称为处于“闭合”位置。然而，设想到其他实施方案，其中进入面板可移动地联接到主壳体部分，使得当进入面板处于打开位置时，其保持附接到主壳体部分。例如，在此类实施方案中，进入面板可枢转地附接到主壳体部分或可滑动地附接到主壳体部分，并且在打开位置和闭合位置之间可操纵。在所示的示例中，应急进入面板390被构造成能够卡扣地接合壳体节段70的对应部分以将其可移除地保持在“闭合”位置。也可使用其他形式的机械紧固件诸如螺钉、销等。
不管应急进入面板390可从主壳体部分30拆卸还是其保持可移动地附接到主壳体部分30，应急进入面板390包括每个从其后侧突出或以其他方式形成在其上的驱动系统锁定构件或托架392和应急锁定构件或托架396。驱动系统锁定托架392包括驱动轴凹口394，该驱动轴凹口394被构造成能够当应急进入面板390安装在主壳体部分30中(即，应急进入面板处于“闭合”位置)时将系统驱动轴232的一部分接收在其中。当应急进入面板390被定位或安装在闭合位置时，驱动系统锁定托架392用于将从动锥齿轮234偏置成与驱动装置锥齿轮230啮合接合(抵抗驱动系统弹簧235的偏置)。另外，应急锁定托架396包括应急驱动轴凹口397，应急驱动轴凹口397被构造成能够当应急进入面板390安装或定位在闭合位置中时将应急驱动轴340的一部分接收在其中。如在图5和图10中可看到的，应急锁定托架396还用于将应急驱动齿轮342偏置成不与应急从动齿轮350啮合接合(抵抗应急轴弹簧348的偏置)。因此，当应急进入面板390安装在或处于闭合位置时，应急锁定托架396防止应急驱动齿轮342干扰系统驱动轴232的旋转。另外，应急锁托架396包括柄部凹口398，柄部凹口398用于接合应急柄部370并且将其保持在储存位置SP中。
图4、图5和图10示出了当应急进入面板390安装在或处于闭合位置时驱动系统部件和应急系统部件的构型。如这些附图中可看到的，驱动系统锁定构件392将从动锥齿轮234偏置成与驱动锥齿轮230啮合接合。因此，当应急进入面板390安装在或处于闭合位置时，马达200的致动将导致驱动装置锥齿轮230的旋转以及最终系统驱动轴232的旋转。另外，当处于该位置时，应急锁定托架396用于将应急驱动齿轮342偏置成不与系统驱动轴232上的应急从动齿轮350啮合接合。因此，当应急进入面板390安装在或处于闭合位置时，驱动系统可由马达200致动并且应急系统330被断开或防止将任何致动运动施加到系统驱动轴232。为了激活应急系统330，临床医生首先移除应急进入面板390或以其他方式将应急进入面板390运动到打开位置。该动作移除驱动系统锁定构件392脱离从动锥齿轮234，从而允许驱动系统弹簧235偏置从动锥齿轮234不与驱动装置锥齿轮230啮合接合。另外，移除应急进入面板390或使应急进入面板运动到打开位置也导致应急锁定托架396与应急驱动齿轮342脱离，从而允许应急轴弹簧348将应急驱动齿轮342偏置成与系统驱动轴232上的应急从动齿轮350啮合接合。因此，应急驱动齿轮342的旋转将导致应急从动齿轮350和系统驱动轴232的旋转。移除应急接入面板390或以其他方式使应急接入面板390运动到打开位置还允许柄部弹簧376将应急柄部370偏置到图11和图14所示的致动位置中。当处于该位置时，临床医生可在棘轮方向RD上手动松脱应急柄部370，这导致棘轮锥齿轮364的旋转(例如，在图14中的顺时针方向上)，这最终导致通过应急传动系332将回缩旋转运动施加到系统驱动轴232。临床医生可松脱应急柄部370多次，直到系统驱动轴232已被充分地旋转许多次以回缩附接到柄部组件20的外科工具组件的外科端部执行器部分的部件。一旦应急系统330已被充分地手动致动，临床医生然后可替换应急进入面板390(即，将应急进入面板390返回到闭合位置)，从而使驱动系统锁定构件392将从动锥齿轮234偏置成与驱动装置锥齿轮230啮合接合，并且使应急锁定托架396将应急驱动齿轮342偏置成不与应急从动齿轮350啮合接合。如上所述，如果电力丢失或中断，则移位器弹簧266将移位器螺线管260偏置到第一致动位置中。因此，应急系统330的致动将导致向第一旋转驱动系统300施加反向或回缩运动。
如上所述，例如，外科缝合器械可包括被构造成能够回缩钉仓击发驱动装置的手动致动的应急系统。在许多实例中，应急系统可需要操作和/或手摇多于一次以充分回缩钉击发驱动装置。在此类实例中，缝合器械的用户可忘记他们已经手摇了多少次应急件和/或以其他方式对关于击发驱动装置需要多少次进一步回缩混淆。设想到各种实施方案，其中缝合器械包括一种系统，该系统被构造成能够检测击发驱动装置的击发构件的位置，确定击发构件需要回缩的距离，并且将该距离显示给外科器械的用户。
在至少一个实施方案中，外科缝合器械包括被构造成能够检测击发构件的位置的一个或多个传感器。在至少一个实例中，传感器包括例如霍尔效应传感器，并且可定位在缝合器械的轴和/或端部执行器中。传感器与外科缝合器械的控制器进行信号通信，该控制器继而与外科缝合器械上的显示器进行信号通信。控制器包括微处理器，该微处理器被构造成能够将击发构件的实际位置与基准或参考位置(其包括击发构件的完全回缩位置)进行比较，并且计算击发构件的实际位置与参考位置之间的距离，即剩余距离。
除上述以外，显示器包括例如电子显示器，并且控制器被构造成能够以任何合适的方式在电子显示器上显示剩余距离。在至少一个实例中，控制器在显示器上显示进度条。在所述实例中，例如，空的进度条可表示击发构件处于其击发行程的末端，并且完整的进度条可表示击发构件已经完全回缩。在至少一个实例中，例如，0％可表示击发构件处于其击发行程的末端，并且100％可表示击发构件已经完全回缩。在某些实例中，控制器被构造成能够显示需要多少次应急机构的致动使击发构件回缩到显示器上的完全回缩位置。
除上述以外，应急机构的致动可以操作地将外科缝合器械的电池或电源与击发驱动装置的电动马达断开。在至少一个实施方案中，应急机构的致动翻转开关，该开关将电池与电动马达电去耦。此类系统将防止电动马达抵抗击发构件的手动回缩。
所示的柄部组件20还支撑通常被指定为400的第三轴向驱动系统。如在图3和图4中可看到的，在至少一种形式中，第三轴向驱动系统400包括螺线管402，螺线管402具有第三驱动致动器构件或从其突出的杆410。第三驱动致动器构件410的远侧端部412具有形成于其中的第三驱动支架或承窝414，以用于接收操作地附接到其的可互换外科工具组件的驱动系统部件的对应部分。螺线管402有线连接到柄部电路板组件220和控制系统或CPU224或以其他方式与柄部电路板组件220和控制系统或CPU 224进行通信。在至少一种布置中，螺线管402是“弹簧加载的”，使得当螺线管402未被致动时，其弹簧部件将第三驱动致动器410偏置回未致动的起始位置。
如上面所指出的那样，可重新构造的柄部组件20可有利地用于致动各种不同的可互换外科工具组件。为此，柄部组件20包括通常被指定为500的工具安装部分，用于将可互换外科工具组件操作地联接到其。在所示的示例中，工具安装部分500包括两个面向向内的燕尾形接收狭槽502，燕尾形接收狭槽502被构造成能够接合可互换外科工具组件的工具附接模块部分的对应部分。每个燕尾形接收槽502可以是锥形的，或者换句话说，可以是稍微V形的。燕尾形接收狭槽502被构造成能够可释放地接收在可互换外科工具组件的工具附接喷嘴部分的一部分上形成的对应的锥形附接或凸耳部分。每个可互换外科工具组件还可配备有闩锁系统，该闩锁系统被构造成能够可释放地接合形成在柄部组件20的工具安装部分500中对应的保持凹坑504。
各种可互换外科工具组件可以具有“主”旋转驱动系统以及“辅助”旋转驱动系统，该“主”旋转驱动系统操作地联接到第一旋转驱动系统310或与第一旋转驱动系统310交接，该“辅助”旋转驱动系统被构造成能够操作地联接到第二旋转驱动系统320或与第二旋转驱动系统320连接。主旋转驱动系统和辅助旋转驱动系统可被构造成能够向包括可互换外科工具组件的一部分的特定类型的外科端部执行器的部分提供各种旋转运动。为了有利于将主旋转驱动系统操作地联接到第一旋转驱动系统并且将辅助驱动系统操作地联接到第二旋转驱动系统320，柄部组件20的工具安装部分500还包括一对插入斜坡506，该插入斜坡506被构造成能够在联接过程期间向远侧偏置可互换外科工具组件的主旋转驱动系统和辅助旋转驱动系统的部分，以便有利于主旋转驱动系统与柄部组件20上的第一旋转驱动系统300的对准和可操作的联接以及辅助旋转驱动系统与柄部组件20上的第二旋转驱动系统320对准和操作地联接。
可互换外科工具组件还可包括用于向可互换外科工具组件的外科端部执行器的对应部分施加轴向运动的“第三级”轴向驱动系统。为了有利于第三级轴向驱动系统操作地联接到柄部组件20上的第三轴向驱动系统400，第三级驱动致动器构件410设置有承窝414，承窝414被构造成能够将第三级轴向驱动系统的凸耳或其他部分操作地接收在其中。
可互换工具组件2000示于图15中。可互换工具组件2000在许多方面类似于可互换工具组件1000，但是在某些其他方面不同于可互换工具组件1000。例如，可互换组件2000是圆形缝合组件。主要参见图15和图16，圆形缝合组件2000包括轴部分2100和端部执行器2200。例如，轴部分2100包括可释放地附接到柄部组件20的近侧部分。端部执行器2200包括围绕关节运动接头2300可旋转地附接到轴部分2100的第一部分2210。端部执行器2200还包括可释放地附接到第一部分2210的第二部分2220。第二部分2220包括仓2222，该仓2222包括限定于其中的钉腔2224的环形阵列和储存在每个钉腔2224中的钉。第二部分2220还包括砧座2230，该砧座2230包括组织压缩表面2232和与钉腔2224对准的一个成形凹坑或多个成形凹坑2234的环形阵列(图27)，钉腔2224被构造成能够当钉从钉腔2224被射出时使钉变形。
除上述以外，再次参见图15和图16，端部执行器2200的第二部分2220可选择性地附接到端部执行器2200的第一部分2210并且与端部执行器2200的第一部分2210选择性地分离。第二部分2220包括外部壳体2227，该外部壳体2227包括近侧连接器2229，近侧连接器2229被构造成能够被接收在限定于第一部分2210的壳体2217中的孔或室2218内。壳体2227的连接器2229和第一部分2210的壳体2217之间的配合为紧密的。连接器2229和壳体2217之间的压缩配合可防止第二部分2220相对于第一部分2210意外地纵向和/或旋转地移位。在各种实例中，止动构件可用于将第二部分2220可释放地固定到端部执行器2200的第一部分2210。
参见图15和图35-图38，端部执行器2200的第二部分2220可与其他第二部分诸如第二部分2220'、第二部分2220”、第二部分2220”'和/或另一个第二部分2220互换。第二部分2220'、2220”和2220”'在许多方面类似于第二部分2220。例如，每个第二部分2220、2220'、2220”和2220”'包括限定于其中的中心孔2226。也就是说，第二部分2220'、2220”和2220”'在其他方面不同于第二部分2220。例如，第二部分2220'的直径大于第二部分2220。此外，限定在第二部分2220'中的钉腔2224的环形阵列具有比在第二部分2220中限定的钉腔2224的环形阵列更大的圆周。类似地，第二部分2220”具有比第二部分2220'更大的直径，并且在第二部分2220”中限定的钉腔2224的环形阵列具有比在第二部分2220'中限定的钉腔2224的环形阵列更大的圆周。另外，类似地，第二部分2220”具有比第二部分2220'大的直径，并且在第二部分2220”中限定的钉腔2224的环形阵列具有比在第二部分2220'中限定的钉腔2224的环形阵列更大的圆周。
除上述以外，例如，砧座2230可与其他砧座诸如砧座2230'、砧座2230”、砧座2230”'和/或另一个砧座2230互换。砧座2230'、2230”和2230”'在许多方面类似于砧座2230。例如，每个砧座2230、2230'、2230”和2230”'包括纵向轴2236，该纵向轴2236包括连接凸缘2238。也就是说，砧座2230'、2230”和2230”'在其他方面不同于砧座2230。例如，砧座2230'的直径大于砧座2230。此外，限定在砧座2230'中的成形凹坑2234的环形阵列具有比限定在砧座2230中的成形凹坑2234的环形阵列更大的圆周，使得成形凹坑2234保持与限定在第二部分2220'中的钉腔2224对准。类似地，砧座2230”的直径大于砧座2230'，并且限定在砧座2230”中的成形凹坑2234的环形阵列具有比限定在砧座2230中的成形凹坑2234的环形阵列更大的圆周，使得成形凹坑2234保持与限定在第二部分2220'中的钉腔2224对准。另外，类似地，砧座2230”'的直径大于砧座2230”，并且限定在砧座2220”'中的成形凹坑2234的环形阵列具有比限定在砧座2230中的成形凹坑2234的环形阵列更大的圆周，使得成形凹坑2234保持与限定在第二部分2220”'中的钉腔2224对准。
主要参见图17，轴部分2100包括近侧连接器2120和从近侧连接器2120朝远侧延伸的细长轴部分2110。近侧连接器2120包括第一输入部2318和第二输入部2418。第一输入部2318操作地连接到端部执行器关节运动系统，并且第二输入部2418操作地连接到端部执行器夹紧和钉击发系统。第一输入部2318和第二输入部2418可以任何合适的顺序操作。例如，第一输入部2318可在第一方向上旋转，以使端部执行器2200在第一方向上进行关节运动，并且对应地在第二方向上旋转以使端部执行器2200在第二方向上进行关节运动。一旦端部执行器2200已经适当地进行关节运动，第二输入部2428然后可旋转以闭合砧座2230并且抵靠端部执行器2200的仓部分2222夹紧组织。如下文更详细地讨论，第二输入部2428然后可操作以从钉腔2224击发钉并且切割捕获在端部执行器2200内的组织。在各种另选的实施方案中，第一输入部2318和第二输入部2328可以任何合适的顺序和/或同时操作。
第一输入部2318安装到关节运动轴2310的近侧端部，该关节运动轴2310可旋转地安装在轴部分2010中。主要参见图20和图21，可旋转的关节运动轴2310包括远侧端部和安装到远侧端部的蜗轮2312。蜗轮2312与关节运动滑动件2320螺纹接合。更具体地，关节运动滑动件2320包括限定于其中的螺纹孔2322，并且蜗轮2312与螺纹孔2322螺纹配合。当关节运动轴2310在第一方向上旋转时，蜗轮2312朝远侧推动关节运动滑动件2320(图32)。当关节运动轴2310在第二方向或相反方向上旋转时，蜗轮2312朝近侧拉动关节运动滑动件2320(图31)。关节运动滑动件2320通过固定地安装在细长轴部分2110的远侧端部中的关节运动块2112被可滑动地支撑。通过限定在关节运动块2112中的引导狭槽2315，关节运动滑动件2320的运动限于通过关节运动块2112的近侧和远侧运动。关节运动滑动件2320还包括从其延伸的纵向键2326，该纵向键2326被紧密地接收在限定于引导狭槽2315的底部中的纵向键槽2116中，这将关节运动滑动件2320和关节运动块2112之间的相对运动限制到纵向路径。
再次参见图20、图21和图24，关节运动滑动件2320联接到关节运动连接件2330。关节运动滑动件2320包括从其延伸的驱动销2324，该驱动销2324定位在限定于关节运动连接件2330中的近侧孔2334内。驱动销2324被紧密地接收在孔2334内，使得驱动销2324和孔2334的侧壁协同操作以限定关节运动滑动件2320和关节运动连接件2330之间的旋转轴线。关节运动连接件2330还联接到端部执行器2200的壳体2217。更具体地，关节运动连接件2330还包括限定在其中的远侧孔2335，并且壳体2217包括定位在远侧孔2335中的销2215。销2215被紧密地接收在孔2335内，使得销2215和孔2335的侧壁协同操作以限定关节运动连接件2330和壳体2217之间的旋转轴线。
除上述以外，参见图18-图21和图24，端部执行器2200围绕关节运动接头2300可旋转地联接到轴2100的关节运动块2112。端部执行器2200的壳体2217包括限定在其相对侧中的孔2213，并且关节运动块2112包括从其相对侧延伸的突起部2113，该突起部2113定位在孔2213中。突起部2113被紧密地接收在孔2213内，使得突起部2113和孔2213的侧壁协同操作以限定端部执行器2200可围绕其进行关节运动的关节运动轴线。当关节运动轴2310旋转以朝远侧驱动关节运动滑动件2320时，关节运动滑动件2320朝远侧驱动关节运动连接件2330的近侧端部。响应于关节运动连接件2330的近侧端部的远侧运动，关节运动连接件2330围绕驱动销2324旋转，驱动销2324围绕关节运动接头2300旋转端部执行器2200。当关节运动输入部2310旋转以朝近侧驱动关节运动滑动件2320时，类似于上述内容，关节运动滑动件2320朝近侧拉动关节运动连接件2330的近侧端部。响应于关节运动连接件2330的近侧端部的近侧运动，关节运动连接件2330围绕驱动销2324旋转，驱动销2324围绕关节运动接头2300旋转端部执行器2200。关节运动连接件2330在关节运动滑块2320和壳体2217之间提供至少一个自由度。因此，关节运动连接件2330允许端部执行器2200通过宽范围的关节运动角度进行关节运动。
如上所述，参见图17和图25，可互换工具组件2000的近侧连接器2120包括第二输入部2418。第二输入部2418包括驱动齿轮2417，驱动齿轮2417与安装在驱动轴2410的近侧端部上的驱动齿轮2416啮合接合。如图19所示，驱动轴2410延伸穿过轴部分2110和限定在关节运动块2112中的孔2114。孔2114包括轴承并且可旋转地支撑驱动轴2410。另选地，孔2114可包括间隙孔。在任一种情况下，主要参见图22，驱动轴2410延伸穿过关节运动接头2300并且进入限定在端部执行器壳体2217中的室2218中。驱动轴2410通过安装到驱动轴2410的轴承2414被可旋转地支撑，轴承2414被捕获在限定于端部执行器2200的壳体2217中的凹陷部2214内。驱动轴2410还包括安装到其远侧端部的输出齿轮2412，使得驱动轴2410的旋转被传输到输出齿轮2412。
主要参见图18、图22和图23，驱动轴2410的输出齿轮2412与传输装置2420操作地接合。如下文更详细地讨论，传输装置2420被构造成能够在第一操作模式和第二操作模式之间使端部执行器2200移位，在第一操作模式中，驱动轴2410使砧座2230相对于仓体2222运动，在第二操作模式中，驱动轴2410从钉腔2224中击发钉，并且切割被捕获在砧座2230和仓体2222之间的组织。传输装置2420包括轨道驱动装置，该轨道驱动装置包括行星板2421和可旋转地安装到行星板2421的四个行星齿轮2424。行星板2421包括延伸穿过其中心的间隙孔，并且驱动轴2410延伸穿过间隙孔。行星板2421和行星齿轮2424定位在限定于端部执行器壳体2217中的室2219中。每个行星齿轮2424可围绕从行星板2421延伸的齿轮销2423旋转。齿轮销2423沿围绕间隙孔的圆周定位。输出齿轮2412与行星齿轮2424啮合地接合，并且如下文更详细地描述，驱动轴2410驱动行星齿轮2424。
除上述以外，驱动轴2410延伸穿过关节运动接头2300。为了使输出齿轮2412在端部执行器2200进行关节运动时保持与行星齿轮2424正确地接合，驱动轴2410是柔性的。在至少一个实例中，例如，驱动轴2410由塑料构成。
如上所述，传输装置2420包括第一操作模式和第二操作模式。主要参见图23和图28，可互换工具组件2000还包括可在第一位置和第二位置之间运动的移位器2600，以在其第一操作模式与其第二操作模式之间切换传输装置2420。当移位器2600处于其第一位置时，如图28-图30所示，移位器2600不与传输装置2420的行星板2421接合，并且因此，行星板2421和行星齿轮2424通过驱动轴2410旋转。更具体地，驱动轴2410使行星齿轮2424围绕其各自的齿轮销2423旋转，行星齿轮2424由于行星齿轮2424和围绕行星齿轮2424延伸的环形齿环2534之间的反作用力而旋转行星板2421，如下文进一步更详细地描述。行星板2421与输出联接器2430操作地联接，使得行星板2421的旋转被传输到输出联接器2430。主要参见图23，输出联接器2430包括围绕其外周边延伸的孔阵列2433，其中从行星板2421延伸的齿轮销2423延伸到输出联接器2430中限定的孔2433中并且被孔2433紧密地接收，使得在行星板2421和输出联接器2430之间几乎没有相对运动。
主要参见图18和图23，输出联接器2430包括驱动承窝2432。驱动承窝2432包括例如基本上六边形的孔；然而，可利用任何合适的构型。驱动承窝2432被构造成能够接收延伸穿过端部执行器2200的第二部分2220的闭合轴2440。闭合轴2440包括近侧驱动端2442，近侧驱动端2442具有被紧密地接收在驱动承窝2432内的基本上六边形的形状，使得驱动轴2410的旋转可被传递至闭合轴2440。闭合轴2440通过轴承2444被可旋转地支撑在第二部分2220的壳体2227内。轴承2444包括例如推力轴承；然而，轴承2444可包括任何合适的轴承。
主要参见图23和图28-图30，闭合轴2440包括螺纹部分2446，该螺纹部分2446与限定在套管针2450中的螺纹孔2456螺纹接合。如下文更详细地讨论，砧座2230可附接到套管针2450，套管针2450可被转换成使砧座2230朝向和/或远离仓体2222运动。再次参见图18，套管针2450包括限定于其中的至少一个纵向键槽2459，纵向键槽2459被构造成能够与从驱动套筒2540的内表面2546延伸的至少一个纵向键协同操作。驱动套筒2540是下文进一步讨论的钉击发系统的一部分，并且读者应当理解，套管针2450和驱动套筒2540一方面相对于彼此滑动，并且第二方面协同操作地抑制两者之间的相对旋转运动。由于闭合轴2440与套管针2450之间的螺纹接合，当闭合轴2440在第一方向上旋转时，闭合轴2440可朝远侧移位或平移套管针2450，并且相应地，当闭合轴2440在第二方向或相反方向上旋转时，闭合轴2440可朝近侧移位或平移套管针2450。
如上所述，砧座2230可附接到套管针2450。砧座2230包括连接凸缘2238，该连接凸缘2238被构造成能够接合和夹持套管针2450。连接凸缘2238包括连接到砧座2230的轴部分2236的悬臂梁。主要参见图23，套管针2450包括保持凹口或凹陷部2458，凹口或凹陷部2458被构造成能够当砧座2230组装到套管针2450时可释放地接收连接凸缘2238。保持凹口2458和连接凸缘2238被构造成能够抵抗砧座2230与套管针2450偶然分离。连接凸缘2238通过纵向狭槽2237隔开。纵向狭槽2237被构造成能够当砧座2230组装到套管针2450时接收从套管针2450延伸的纵向肋2457。肋2457被紧密地接收在狭槽2237内，并且因此，砧座2230被抑制相对于套管针2450旋转。
一旦砧座2230已相对于仓体2222适当地定位，如上所述，工具组件2000可移位到其第二操作模式中。例如，移位器2600包括用于使端部执行器2200的传输装置2420移位的电致动马达。在各种其他实施方案中，移位器2600可包括电动和/或手动致动的任何合适的装置。移位器2600与外科缝合器械的处理器信号通信并且与外科缝合器械的电池电力通信。在各种实例中，绝缘电线例如在移位器2600和外科器械的柄部之间延伸，使得处理器可与移位器2600通信，并且电池可向移位器2600供应电力。在各种其他实例中，移位器2600可包括无线信号接收器并且处理器可与移位器2600无线通信。在某些实例中，例如，诸如通过电感电路，可向移位器2600无线地供电。在各种实例中，移位器2600可包括其自身的电源。
移位器2600包括安装在限定于端部执行器2200的近侧端部中的室2218中的壳体。移位器2600包括离合器键或切换装置2602和输出轴2604，输出轴2604可相对于移位器壳体在第一位置和第二位置之间运动。离合器键2602包括第一锁定齿2608和第二锁定齿2609，并且当离合器键2602处于其第一位置时，第一锁定齿2608与钉击发系统的击发管2530接合，并且同时，第二锁定齿2609与传输装置2420的行星板2421脱离。更具体地，第一锁定齿2608定位在孔2538中，孔2538是围绕击发管2530限定的孔2538的环形阵列的一部分，并且第二锁定齿2609未定位在孔2429中，孔2429是围绕行星板2421限定的孔2429的环形阵列的一部分。由于上述内容，移位器2600防止击发管2530旋转，并且因此在离合器键2602处于其第一位置时锁定钉击发系统。虽然当离合器键2602处于其第一位置时，钉击发系统已被移位器2600锁定，但是驱动轴2410可旋转行星板2421并且操作砧座闭合系统，如上所述。
如图23中主要示出的，击发管2530包括限定在其内侧壁2532中的齿2534的内环形齿条。行星齿轮2424与齿条2534操作地互相啮合。当移位器2600处于其第一位置时，如图28所示，击发管2530通过移位器2600保持在适当位置，行星齿轮2424可通过驱动轴2410相对于击发管2530和齿条2534旋转。在此类实例中，行星齿轮2424围绕由驱动轴2410限定的纵向驱动轴线旋转，并且同时围绕由他们相应的齿轮销2423限定的轴线旋转。读者应当理解，行星齿轮2424由驱动轴2410直接驱动，并且由于行星齿轮2424与击发管2530之间产生的反作用力，行星齿轮2424驱动并且旋转行星板2421。当致动移位器2600以将离合器键2602运动到其第二位置时，第一锁定齿2608与击发管2530脱离，并且同时，第二锁定齿2609与行星板2421接合。当离合器键2602处于其第二位置时，行星板2421通过移位器2600保持在适当位置，并且因此闭合驱动装置已经锁定并且不能操作以使砧座2230运动。当驱动轴2410在此类实例中旋转时，输出齿轮2412驱动行星齿轮2424并且使行星齿轮2424相对于行星板2421围绕其相应的齿轮销2423旋转。行星齿轮2424经由齿条2534驱动击发管2530并且围绕其纵向轴线旋转击发管2530。
除上述以外，并且再次参见图23，击发管2530与钉击发系统的驱动套筒2540操作地联接。更具体地，击发管2530的内侧壁2532包括限定于其中的纵向狭槽2535，该纵向狭槽2535被构造成能够紧密地接收限定在驱动套筒2540上的纵向肋2545，使得驱动套筒2540与击发管2530一起旋转。驱动套筒2540还包括螺纹远侧端部2542，该螺纹远侧端部2542与驱动套环2550螺纹接合。更具体地，驱动套环2550包括螺纹孔2552，该螺纹孔2552与螺纹远侧端部2542螺纹接合。例如，驱动套环2550定位在限定于端部执行器2200的壳体中的孔2228中，并且通过纵向肋和凹槽布置防止驱动套环2550在孔2228内旋转。由于上述内容，驱动套筒2540的旋转使驱动套环2550纵向平移。例如，如果驱动套筒2540在第一方向上旋转，则将驱动套环2550朝远侧推进，并且如果驱动套筒2540在第二方向或相反方向上旋转，则将驱动套环2550朝近侧回缩。
当驱动套环2550被朝远侧推动时，如上文所述，驱动套环2550例如在钉击发系统的击发行程期间朝远侧推动钉驱动装置块2560和切割构件2570诸如刀。更具体地，驱动套环2550在近侧未击发位置和远侧击发位置之间推动钉驱动装置块2560和切割构件2570，在该近侧未击发位置中，钉定位在限定于仓体部分2222中的钉腔2224中，并且切割构件2570仓体部分2222的平台表面下方凹陷，在远侧击发位置中，钉已经相对于砧座2230变形，并且被捕获在砧座2230和仓体部分2222之间的组织已经被切割构件2570横切。驱动套环2550包括驱动凹陷部2554，驱动凹陷部2554被构造成能够当驱动套环2550被朝远侧推进时邻接钉驱动装置块2560和切割构件2570。钉驱动装置块2560包括限定在其中的多个钉支架，其中每个钉支架被构造成能够支撑钉的基部。钉支架与限定在仓体部分2222中的钉腔2224对准并被布置成至少两个同心行。
钉驱动装置块2560和切割构件2570附接到驱动套环2550，使得当驱动套环2550从砧座2230朝近侧运动时，通过驱动套环2550朝近侧拉动钉驱动装置块2560和切割构件2570。在至少一个实例中，钉驱动装置块2560和切割构件2570包括延伸到限定在驱动套环2550中的孔2557中的一个或多个钩。在各种实例中，钉驱动装置块2560和切割构件2570可回缩，使得他们在仓体部分2222的平台表面下方完全回缩。
除上述以外，端部执行器2200在第三操作模式下操作，其中移位器2600的离合器键2602同时与砧座闭合系统和钉击发系统操作地接合。在该操作模式中，第一锁定齿2608与钉击发系统的击发管2530接合，并且第二锁定齿2609与传输装置2420的行星板2421接合。在此类实例中，第一锁定齿2608定位在限定于击发管2530中的孔2538中，并且第二锁定齿2609定位在限定于行星板2421中的孔2429中。由于上述内容，驱动轴2410同时使砧座2230、钉驱动装置块2560和切割构件2570相对于仓体2222运动。
再次参见图15，可互换工具组件2000的用户可从第二部分2220、2220'、2220”、2220”'和/或任何其他合适的第二部分的套件中进行选择，并且将选择的第二部分组装到端部执行器2200的第一部分2210。主要参见图18，每个第二部分包括壳体连接器2229，当第二部分组装到第一部分2210时，壳体连接器2229接合第一部分2210的壳体2217。另外，每个第二部分包括闭合轴2440，当第二部分组装到第一部分2210时，闭合轴2440操作地接合第一部分2210的驱动承窝2432。此外，每个第二部分包括驱动套筒2540，当第二部分组装到第一部分2210时，驱动套筒2540操作地接合第一部分2210的击发管2530。
除上述以外，参见图35和图36，工具组件2000'可与工具组件2000互换。柄部组件2000'在许多方面类似于工具组件2000；然而，工具组件2000'被构造成能够施加具有比工具组件2000所施加的圆形钉线更大的直径的圆形钉线。除其他外，工具组件2000'包括较宽的第二部分2220'、钉驱动装置2560'、刀组件2570'、仓体2222'和砧座2230'。参见图37，工具组件2000”可与工具组件2000互换。工具组件2000”在许多方面类似于工具组件2000和2000'；然而，工具组件2000”被构造成能够施加具有比工具组件2000'所施加的圆形钉线更大的直径的圆形钉线。除其他外，工具组件2000”包括较宽的第二部分2220”、钉驱动装置2560”、刀组件2570”、仓体2222”和砧座2230”。参见图38，工具组件2000”'可与工具组件2000互换。工具组件2000”'在许多方面类似于工具组件2000、2000'和2000”；然而，工具组件2000”'被构造成能够施加具有比工具组件2000”所施加的圆形钉线更大的直径的圆形钉线。除其他外，工具组件2000”'包括较宽的第二部分2220”'、钉驱动装置2560”'、刀组件2570”'、仓体2222”'和砧座2230”'。
在各种实施方案中，除上述以外，外科器械可具有任何合适数量的操作模式。在至少一个实施方案中，外科缝合器械包括传输装置，该传输装置包括第一操作模式、第二操作模式和第三操作模式，所述第一操作模式击发钉，所述第二操作模式部署切割构件，所述第三操作模式同时击发钉并且部署切割构件。在第一操作模式中，未部署切割构件。此外，此类外科器械的处理器可被编程为使得器械在没有首先完成第一操作模式的情况下不能置于第二操作模式中。由于上述内容，外科器械的用户可决定在已经击发钉之后是否切割组织。
图34中示出了与外科缝合器一起使用的钉仓体的另选的实施方案。仓体2222'包括钉腔2224的环形外排和钉腔2224'的环形内排。钉腔2224限定在仓体平台的第一台阶中，并且钉腔2224'限定在仓体平台的第二台阶中。第二台阶在第一台阶上方延伸。换句话说，第一台阶具有第一平台高度，并且第二台阶具有高于第一平台高度的第二平台高度。平台壁将第一台阶和第二台阶隔开。在各种实施方案中，平台壁是倾斜的。在某些实施方案中，平台壁正交于第一台阶和/或第二台阶。
仓体2222'还包括从平台的第一台阶延伸的腔延伸部2229'。腔延伸部2229'环绕钉腔2224的端部并且在第一台阶上方延伸钉腔2224。当钉从钉腔2224中射出时，腔延伸部2229'可至少部分地控制第一台阶上方的钉。腔延伸部2229'也被构造成能够接触并压缩抵靠仓体2222'捕获的组织。腔延伸部2229'还可控制组织相对于仓体2222'的流动。例如，腔延伸部2229'可限制组织的径向流动。腔延伸部2229'可具有任何合适的构型并且可从第一台阶延伸任何合适的高度。在至少一个实例中，例如，腔延伸部2229'的顶部表面与第二台阶对准或具有与第二台阶相同的高度。在其他实例中，腔延伸部2229'可在第二台阶上方或下方延伸。
除上述以外，钉腔2224各自包括定位在其中的第一钉，该第一钉具有第一未成形高度。钉腔2224'各自包括定位在其中的第二钉，该第二钉具有不同于第一未成形高度的第二未成形高度。例如，第一未成形高度高于第二未成形高度；然而，第二未成形高度可高于第一未成形高度。在另选的实施方案中，第一未成形钉高度和第二未成形钉高度相同。
第一钉变形至第一变形高度，并且第二钉变形至不同于第一变形高度的第二变形高度。例如，第一变形高度高于第二变形高度。此类布置可改善进入缝合组织的血流。另选地，第二变形高度可高于第一变形高度。此类布置可改善沿着内横切线的组织的柔韧性。在某些另选的实施方案中，第一变形高度和第二变形高度相同。
如上所述，除其他外，可互换工具组件可包括轴、端部执行器和可替换的钉仓。可替换的钉仓包括闭合驱动装置和击发驱动装置，该闭合驱动装置被构造成能够运动打开和闭合端部执行器以捕获端部执行器内的组织，该击发驱动装置被构造成能够缝合并切割在端部执行器内捕获的组织。当可替换的钉仓组装到轴时，端部执行器的闭合驱动装置和击发驱动装置与轴的对应的闭合驱动装置和击发驱动装置操作地联接。在可替换的钉仓未正确地组装到轴的情况下，可替换的钉仓可不以其预期的方式操作。如下面将更详细地描述的，可替换的钉仓和/或轴可包括闭锁件，该闭锁件防止可替换的钉仓操作，除非可替换的钉仓正确地附接到轴。
现在转到图39，可互换工具组件3000包括轴3010和可替换的钉仓3020。类似于上述内容，可替换的钉仓3020包括闭合驱动装置输入部和击发驱动装置输入部，该闭合驱动装置输入部和击发驱动装置输入部在钉仓3020完全座置在轴3010上时与闭合驱动输出部和击发驱动装置输出部操作地联接。为简洁起见，本文不再重复此类闭合和击发系统的操作。
可互换工具组件3000还包括锁定电路3090。锁定电路3090包括导体3096和接触件3092。第一接触件3092电联接到第一导体3096，并且第二接触件3092电联接到第二导体3096。在钉仓3020完全座置在轴3010上之前，第一接触件3092未电联接到第二接触件3092。钉仓3020包括接触桥3094，当钉仓3020完全座置在轴3010上时，接触桥3094接合并且电联接接触件3092。接触件3092和接触桥3094被构造和布置成使得当钉仓3020仅部分地座置在轴3010上时接触桥3094未电联接接触件3092。
可互换工具组件3000可与外科器械系统一起使用，该外科器械系统包括例如可手动操作的柄部和/或机器人系统。在各种实施方案中，外科器械系统包括被构造成能够驱动工具组件3000的钉击发系统的电动马达，以及另外的被构造成能够操作电动马达的控制器。工具组件3000的锁定电路与控制器通信。当控制器检测到接触桥3094未与接触件3092接合或者锁定电路处于打开状态时，控制器防止电动马达操作钉击发系统。在各种实例中，控制器被构造成能够使得当锁定电路处于打开状态时，其不向电动马达供应电力。在某些其他实例中，控制器被构造成能够向电动马达供应电力，使得当锁定电路处于打开状态时，其可操作闭合系统但不可操作击发系统。在至少一个此类实例中，控制器操作联接到电动马达的传输装置，使得电动马达的输出仅指向闭合系统。当控制器检测到接触桥3094与接触件3092接合或者锁定电路处于闭合状态时，控制器允许电动马达操作钉击发系统。
当外科器械系统包括柄部时，除了上述之外，当控制器检测到锁定电路处于打开构型时，控制器可致动触发锁，该触发锁防止柄部的击发触发器被致动。当钉仓3020完全座置在轴3010上并且锁定电路闭合时，控制器可回缩触发锁并且允许击发触发器被致动。此类系统可与机动化和/或非机动化的击发驱动装置一起使用。例如，非机动化的击发驱动装置可由手动曲柄驱动。
如上所述，砧座2230可组装到工具组件2000的闭合驱动装置的套管针轴2450。砧座2230的连接凸缘2238被构造成能够接合限定在套管针轴2450中的凹陷部2458以将砧座2230连接到其。一旦砧座2230已组装到套管针轴2450，套管针轴2450和砧座2230可通过闭合驱动装置朝向钉仓2222被回缩或拉动，以抵靠钉仓2222压缩组织。然而，在一些实例中，砧座2230可未正确地组装到套管针轴2450。当临床医生试图将砧座2230组装到套管针轴2450时，当套管针轴2450在钉仓2222的平台上方未充分地延伸时，可经常发生砧座2230与套管针轴2450的错误组装。通常，在此类实例中，砧座2230充分地附接到套管针轴2450，使得套管针轴2450可使砧座2230朝向钉仓2222运动，但是当砧座2230开始抵靠钉仓2222压缩组织时，砧座2230可从套管针轴2450分离。
现在转到图39和图40，示出了在许多方面类似于上文讨论的可互换工具组件2000的可互换工具组件3100。工具组件2000包括仓体3120，仓体3120包括平台3121，平台3121被构造成能够在组织通过砧座2130受压而贴靠仓体3120时支撑组织。工具组件3100还包括被构造成能够使砧座2130相对于仓体3120运动的闭合驱动装置。闭合驱动装置包括套管针轴3150，套管针轴3150与上文相似包括限定于其中的凹陷部。凹陷部包括远侧肩部3158，远侧肩部3158被构造成能够将砧座2130保持到套管针轴3150。另外，工具组件3100还包括被构造成能够从仓体3120射出钉的击发驱动装置。击发驱动装置包括可旋转轴3162和可平移套环3160，可平移套环3160与可旋转轴3162螺纹接合，可旋转轴3162被构造成能够从仓体3120射出钉。可旋转轴3162包括限定于其中的纵向孔3164，并且套管针轴3150延伸穿过孔3164。
除上述以外，闭合驱动装置还包括安装到套管针轴3150的夹具3190。夹具3190包括安装在限定于套管针轴3150中的狭槽内的基部3192。夹具3190还包括从基部3192延伸的柔顺臂或附属物3198。臂3198可在延伸位置(图39)和挠曲位置(图40)之间运动(图40)。当臂3198处于其挠曲位置时，如图40所示，砧座2130可锁定到套管针轴3150。如图40所示，当套管针轴3150在仓体3120的平台3121上方已经充分地延伸时，臂3198通过击发驱动装置的可平移套环3160保持在其挠曲位置。可平移套环3160包括环形肩部3168，环形肩部3168被构造成能够当臂3198与肩部3168接触时向内弹性地偏置臂3198。
当套管针轴3150在仓平台3121上方未处于足够延伸的位置时，臂3198不被肩部3168向内偏置。在此类实例中，如图39所示，臂3198处于其延伸位置。当臂3198处于其延伸位置时，臂3198防止砧座2130附接到套管针轴3150。更具体地，臂3198防止砧座2130的连接凸缘2138座置在限定于套管针轴3150中的肩部3158后面。在此类实例中，臂3198防止砧座2130部分地附接到套管针轴3150，并且因此，试图将砧座2130组装到套管针轴3150的临床医生不能部分地将砧座2130组装到套管针轴3150，并且可避免上文讨论的问题。读者应该理解，砧座2130通常在原位或在患者体内组装到套管针轴3150，并且砧座2130适当地组装到套管针轴3150加速了所使用的外科技术的完成。上述系统提供了闭锁件，该闭锁件防止部分组装的砧座受压而贴靠组织。
现在转到图41-43，可互换工具组件3200包括被构造成能够在没有附接到其的砧座的情况下防止闭合驱动装置回缩，如下文更详细地讨论。工具组件3200包括轴3210和端部执行器3220。端部执行器3220包括外部壳体3227、仓体3222和限定于其中的纵向孔3226。工具组件3200还包括闭合驱动装置，该闭合驱动装置包括套管针轴3250和可附接到套管针轴3250的砧座3230。类似于上述内容，闭合驱动装置被构造成能够使砧座3230朝向和远离仓体3222运动。套管针轴3250可在延伸位置和回缩位置之间运动。图42和图43都示出了处于其延伸位置的套管针轴3250。
除上述以外，工具组件3200还包括回缩锁3290，回缩锁3290被构造成能够当砧座3230未组装到套管针轴3250时防止套管针轴3250从其伸出位置(图42和图43)朝向其回缩位置运动。回缩锁3290包括围绕突起部或销3294可旋转地安装到壳体3227的锁定臂3292。回缩锁3290还包括与锁定臂3292接合的弹簧3296，该弹簧被构造成能够将锁定臂3292朝向套管针轴3250偏置。套管针轴3250包括锁定肩部3258，并且如图42所示，当砧座3230未组装到套管针轴3250时，锁定臂3292被构造成能够扣住锁定肩部3258并且防止套管针轴3250朝近侧运动。更具体地，锁定臂3292包括被构造成能够在锁定肩部3258下滑动的扣件3298。如图43所示，当砧座3230组装到套管针轴3250时，砧座3230接触锁定臂3292，并且使锁定臂3292远离锁定肩部3258移位。在这一点上，套管针轴3250已经解锁并且可朝向仓体3222运动到其回缩位置。
现在转到图44-46，可互换工具组件3300包括闭合驱动装置、钉击发驱动装置和闭锁件，该闭锁件被构造成能够防止钉击发驱动装置操作，直到闭合驱动装置的砧座已经被设定成适当的组织间隙，如下文更详细地讨论。工具组件3300包括轴3310和端部执行器3320。端部执行器3320包括内部框架3329、外部壳体3327和仓体3322。类似于上述内容，闭合驱动装置包括套管针轴3350和可附接到套管针轴3350的砧座2230。同样类似于上述内容，套管针轴3350可在延伸位置(图45)和回缩位置(图46)之运动，以使砧座2230朝向和远离仓体3322运动。击发驱动装置包括可旋转轴3360，可旋转轴3360被构造成能够朝远侧移位击发驱动装置，以射出储存在仓体3322中的钉。
除上述以外，端部执行器3320包括可移动地安装到内部框架3329的击发驱动锁3390。击发驱动锁3390包括锁销3394和定位在锁销3394周围的锁定弹簧3398。锁销3394包括头部3392和止动件3396。锁定弹簧3398定位在止动件3396和限定在内部框架3329中的腔3328的侧壁中间。当套管针轴3350处于延伸位置时，如图45所示，锁定弹簧3398将锁销3394偏置到限定在钉击发驱动装置的可旋转轴3360中的锁孔3364中。在此类实例中，锁销3394与锁孔3364的侧壁之间的相互作用防止轴3360旋转以从仓体3322击发钉。当套管针轴3350充分回缩时，套管针轴3350接合锁销3394的头部3392。头部3392包括其上限定的凸轮表面，该凸轮表面被构造成能够由套管针轴3350接合，以使击发驱动锁3390在锁定构型(图45)和解锁构型(图46)之间运动。当驱动锁3390处于其解锁构型时，击发驱动装置的轴3360可旋转。
工具组件3300的击发驱动闭锁件要求砧座2230在钉可被击发之前运动到预定位置或在预定位置的范围内运动。此外，工具组件3300的击发驱动闭锁件要求砧座2230和仓体3322之间的组织间隙在钉可被击发之前小于一定距离。因此，砧座2230和/或闭合系统的位置停用钉击发闭锁件。此类布置可有助于防止钉的变形和/或组织的未压缩等等。
现在转到图47-图49，可互换工具组件3400包括被构造成能够夹紧组织的闭合驱动装置、钉击发驱动装置和击发驱动闭锁件3490，击发驱动闭锁件3490被构造成能够防止钉击发驱动装置在闭合驱动装置对组织施加足够的夹紧压力之前操作。闭合驱动装置包括套管针轴3450和砧座诸如例如附接到套管针轴3450的砧座2230。类似于上述内容，套管针轴3450可从延伸位置(图48)运动到回缩位置(图49)以抵靠工具组件3400的仓体压缩组织。击发驱动装置包括可旋转的轴3460，可旋转的轴3460被构造成能够朝远侧移位钉驱动装置并从仓体射出钉。
击发驱动闭锁件3490定位在闭合驱动装置的套管针轴3450和击发驱动装置的可旋转轴3460中间。击发驱动闭锁件3490包括远侧板3492、近侧板3494和定位在远侧板3492和近侧板3494中间的弹簧3493。击发驱动闭锁件3490还包括锁销3498，锁销3498可在锁定构型(图48)和解锁构型(图49)之间运动，在该锁定构型中，锁销3498与轴3460接合，在该解锁构型中，锁销3498与轴3460脱离。锁销3498定位在限定于远侧板3492和近侧板3494之间的锁室3496中。更具体地，锁销3498包括定位在限定于远侧板3492上的凸轮3495与限定在近侧板3494上的凸轮3495中间的斜面头部。当套管针轴3450朝近侧回缩时，套管针轴3450朝近侧推动远侧板3492，并且限定在远侧板3492上的凸轮3495接合锁销3498的头部。在此类实例中，如图49所示，与限定在近侧板3494上的凸轮3495协同操作的限定在远侧板3492上的凸轮3495将锁销3498移位到其解锁构型中。
如上所述，当远侧板3492通过套管针轴3450朝向近侧板3494运动时，击发驱动闭锁件3490的凸轮3495挤压锁销3498的头部。更具体地，凸轮3495向内驱动锁销3498并且驱动锁销3498而与可旋转轴3460脱离接合。当锁销3498处于其锁定构型时，锁销3498定位在限定于轴3460中的锁孔3468中，由于锁销3498与锁孔3468的侧壁之间的相互作用，锁销3498防止轴3460旋转。因此，通过击发驱动装置不能从仓体击发钉。当锁销3498运动到其解锁构型时，如上所述，锁销3498移出锁孔，并且轴3460可通过击发驱动装置旋转以从仓体击发钉。在各种实施方案中，轴3460可包括限定在轴3460中的锁孔3468的圆周阵列，锁孔3468中的每一个被构造成能够接收锁销3498并且锁定击发驱动装置。再次参见图49-51，击发驱动闭锁件3490还包括被构造成能够将锁销3498偏置到锁孔3468中的偏置构件，诸如弹簧3499。
除上述以外，击发驱动闭锁件3490的弹簧3493被构造成能够抵抗套管针轴3450的近侧运动。弹簧3493为线性线圈弹簧；然而，可使用任何合适的弹簧。此外，可使用多于一个的弹簧。在任何情况下，弹簧3493或弹簧系统具有在套管针轴3450回缩时向击发驱动闭锁件3490的远侧板3492施加弹簧力的刚度。换句话说，由弹簧3493施加到远侧板3492的力与套管针轴3450朝近侧移位的距离成比例地增加。由弹簧3493产生的弹力抵抗砧座2230施加到组织的夹紧力。因此，夹紧力必须克服弹簧3493所产生的一定或预定的弹簧力，以便充分地移位远侧板3492并且解锁击发驱动装置。在此类实例中，在击发驱动锁定装置3490可停用并且钉击发动驱动装置可致动之前，组织夹紧力必须满足预定阈值。
如结合本文所公开的各种实施方案所讨论的，钉击发驱动装置抵靠砧座驱动钉以使钉变形至期望的成形高度。在各种实例中，钉击发驱动装置还被构造成能够将切割构件诸如刀例如朝远侧推动以切割捕获在仓体和砧座之间的组织。在此类实例中，刀暴露在仓体的平台上方。也就是说，当砧座处于其闭合的或夹紧的位置时，砧座定位成与仓体处于接近关系，并且即使刀暴露在仓体上方，刀大部分也被仓体覆盖。如果在刀回缩到仓体的平台下方之前砧座运动到其打开位置和/或从闭合驱动装置拆卸，则刀将未被覆盖并暴露。图52-54示出了工具组件3500，工具组件3500包括闭锁件3590，闭锁件3590被构造成能够在刀暴露在仓平台上方时防止砧座运动到其打开位置。
工具组件3500包括闭合驱动装置和击发驱动装置。闭合驱动装置包括套管针轴3550和可释放地附接到套管针轴3550的砧座3530。类似于上述内容，套管针轴3550可通过与套管针轴3550螺纹接合的可旋转闭合轴2440朝近侧和远侧平移。击发驱动装置包括可旋转轴3562和与可旋转轴3562螺纹接合的可平移套环3560。类似于上述内容，当轴3562分别在第一方向和第二方向上旋转时，套环3560可朝近侧和远侧平移。同样类似于上述内容，击发驱动装置的套环3560被构造成能够朝向和远离砧座3530推进和回缩钉驱动装置和刀组件2570的阵列。
除上述以外，闭锁件3590包括围绕枢轴3594可旋转地安装到击发驱动装置的轴3562的锁定臂3592。闭锁件3590还包括与锁定臂3592接合的偏置构件或弹簧3599，该偏置构件被构造成能够将锁定臂3592偏置成与砧座3530接触。在使用中，砧座3530组装到套管针轴3550，然后套管针轴3550回缩，以将砧座3530相对于仓体3530定位在其闭合或夹紧位置。当砧座3530回缩时，闭锁件3590的锁定臂3592抵靠砧座3530的外表面滑动，直到锁定臂3592与限定在砧座3530中的锁定凹陷部3532对准。在这一点上，弹簧3599将锁定臂3592偏置到锁定凹陷部3532中，如图53所示。更具体地，锁定臂3592定位在限定锁定凹陷部3532的锁定肩部后面。击发驱动装置然后可操作以击发钉并切割组织。在此类实例中，刀组件2570的切割边缘暴露在仓体上方，并且由于闭锁件3590，闭合驱动装置被锁定或防止打开，直到刀组件2570的切割边缘不再暴露。
主要参见图52，锁定臂3592还包括从其延伸的复位突片3593。击发驱动装置的套环3560还包括凸轮3563，凸轮3563被构造成能够当套环3560和刀组件2570通过击发驱动装置朝近侧回缩时接合复位突片3593。凸轮3563被构造成能够使锁定臂3592向下旋转而与限定在锁定凹陷部3532中的锁定肩部脱离接合并且解锁闭合驱动装置。凸轮3563被构造成能够当刀组件2570已经回缩到仓平台下方时解锁闭合驱动装置；然而，在其他实施方案中，当切割边缘与仓平台齐平或至少基本上齐平时，凸轮3563可解锁闭合驱动装置。在一些实施方案中，闭合驱动装置可在刀组件2570已经完全回缩之前解锁。一旦闭合驱动装置已经解锁，则闭合驱动装置可操作以再次使砧座3530运动到打开或松开位置。
一旦可互换工具组件的钉已经被击发，根据各种实施方案，工具组件可不再重复使用。如下面将更详细地讨论的，工具组件还可包括闭锁件，该闭锁件被构造成能够防止工具组件在用于缝合组织之后被重新夹紧到组织上。
在至少一个实施方案中，现在参见图53-图56，可互换工具组件3600包括闭合驱动装置和击发驱动装置，该闭合驱动装置被构造成能够例如相对于钉仓定位砧座诸如砧座2230，该击发驱动装置被构造成能够从钉仓驱动钉。类似于上述内容，砧座2230可附接到闭合驱动装置的可平移的套管针轴3650。同样类似于上述内容，击发驱动装置包括可旋转轴3660、与可旋转轴3660螺纹接合的可平移套环2550以及通过可旋转轴3660可移位的钉击发驱动装置2560。在使用中，闭合驱动装置可操作以将砧座2230相对于钉仓定位在夹紧位置，击发驱动装置然后可操作以将钉击发到在砧座2230和钉仓之间捕获的组织中。然后，闭合驱动装置操作以打开砧座2230并释放组织。
除上述以外，工具组件3600包括被构造成能够防止砧座2230被重新夹紧到组织上的闭锁件3690。闭锁件3690包括可旋转地安装到可旋转轴3660的锁定臂3692，当闭合驱动装置使砧座2230在打开的未夹紧位置(图53)和闭合的夹紧位置(图54)之间运动时，锁定臂3692通过击发驱动装置保持在解锁构型中。随着套管针轴3650和砧座2230相对于击发驱动装置运动以将砧座2230相对于钉仓定位，锁定臂3692在可旋转轴3660和可平移套环2550之间保持在其解锁构型中。臂3692保持在其解锁构型中，直到击发驱动装置操作，如图55所示。当轴3460在第一方向上旋转时，套环2550朝远侧移位，并且闭锁件3690的弹簧3699可抵靠套管针轴3650偏置锁定臂3692。随着套环2550朝远侧移位以击发钉然后朝朝近侧回缩，套管针轴3650相对于锁定臂3692旋转。闭合驱动装置然后可操作以重新打开砧座2230以松开组织和/或从套管针轴3650分离砧座2230。当砧座2230重新打开时，弹簧3699将锁定臂3692偏置到限定在套管针轴3650和/或砧座2230中的锁定凹陷部3652中。一旦锁定臂3692定位在锁定凹陷部3652中，锁定臂3692就防止套管针轴3650朝近侧回缩。在闭合驱动装置操作以试图回缩套管针轴3650的情况下，锁定臂3692将邻接限定在锁定凹陷部3652中的锁定肩部并且防止套管针轴3650和砧座2230回缩。因此，闭锁件3690防止砧座2230在工具组件3600已经经历或至少部分地经历了击发循环之后被重新夹紧到组织上，并且不能再次使用工具组件3600。此外，闭锁件3690可用作用过的仓闭锁件。
现在转到图59和图60，工具组件3700包括钉仓3720和砧座3730。工具组件3700还包括闭合系统和另外的击发系统，该闭合系统被构造成能够使砧座3730朝向钉仓3720运动，该击发系统被构造成能够射出或击发可移除地储存在钉仓3720中的钉。砧座3730包括纵向轴部分3736和从轴部分3736延伸的附接臂3738，附接臂3738被构造成能够弹性地夹持闭合系统的闭合致动器或套管针3734。闭合致动器3734通过闭合驱动装置朝近侧回缩，以使套管针3734在打开的未夹紧位置(图59)和闭合的夹紧位置(图60)之间运动。当闭合系统处于其打开构型时，如图59所示，钉击发系统被禁用，并且不能被致动以击发储存在钉仓3720中的钉，如下文更详细地描述。
除上述以外，钉击发系统包括可旋转击发轴3750以及另外的可平移击发螺母2550，可旋转击发轴3750包括螺纹远侧端部，可平移击发螺母2550包括被构造成能够接收击发轴3750的螺纹远侧端部的螺纹孔。值得注意的是，参见图59，当砧座3730处于其打开位置时，击发轴3750的螺纹远侧端部与限定在击发螺母2550中的螺纹孔之间存在间隙。因此，击发轴3750不能朝远侧移位击发螺母2550，直到击发轴3750与击发螺母2550螺纹接合。
如图60所示，当砧座3730运动到其闭合位置时，砧座3730的附接臂3738被构造成能够接合击发轴3750并且使击发轴3750向外偏转。主要参见图59A和图60A，附接臂3738被构造成能够接合限定在击发轴3750上的向内延伸的突起部3758，并且向外推动突起部3758和击发轴3750的周边。在此类实例中，击发轴3750的螺纹远侧端部被推动成在螺纹接口3790处与击发螺母2550的螺纹孔操作地接合，并且，在这一点上，当击发轴3750通过击发驱动装置旋转时，击发轴3750可朝远侧移位击发螺母2550以从钉仓3720射出钉。当砧座3730再次打开时，击发轴3750将返回到其初始构型并且操作地脱离击发螺母2550。
由于上述内容，工具组件3700包括闭锁件，如果砧座3730未附接到闭合系统，如果砧座3730不正确地附接到闭合系统，并且/或者如果砧座3730未充分闭合，则闭锁件防止钉被击发。
现在转到图61和图62，工具组件3800包括包含可移除地储存在其中的钉可替换的钉仓、被构造成能够使钉变形的砧座、被构造成能够使砧座相对于钉仓运动的闭合驱动系统以及被构造成能够从钉仓射出钉的击发系统。如下所述，工具组件3800还包括闭锁件，该闭锁件被构造成能够防止击发系统操作，除非钉仓完全座置在工具组件3800上。
钉仓包括被构造成能够接合工具组件3800的轴框架3810的仓框架3820。钉仓还包括驱动轴3830，当钉仓组装到工具组件3800时，驱动轴3830插入轴框架3810中。更具体地，主要参见图64，驱动轴3830包括近侧端部3832，该近侧端部3832包括环形齿轮部分3833，该环形齿轮部分3833被构造成能够当钉仓组装到工具组件3800时接合和压缩击发系统的传输装置3860。主要参见图62，传输装置3860包括第一部分3862、第二部分3864和第三部分3868，第一部分3862、第二部分3864和第三部分3868在被推动成与彼此可操作接合时能够将旋转输入运动传输到驱动轴3830。
主要参见图63和图64，驱动轴3830的环形齿轮部分3833被构造成能够接合限定在第一传输部分3862的远侧侧面上的对应齿轮部分3863，并且当第一传输部分3862被驱动轴3830朝近侧推动时，第一传输部分3862操作地接合第二传输部分3864。更具体地，第一传输部分3862包括近侧齿轮部分3865，当第一传输部分3862被驱动轴3830朝近侧推动时，近侧齿轮部分3864接合第二传输部分3864的远侧齿轮部分3866，并且同时朝近侧推动第二传输部分3864。类似于上述内容，当第二传输部分3864被第一传输部分3862朝近侧推动时，第二传输部分3864操作地接合第三传输部分3868。更具体地，第二传输部分3862包括近侧齿轮部分3867，当第一传输部分3862和第二传输部分3864被驱动轴3830朝近侧推动时，近侧齿轮部分3867接合第三传输部分3864的远侧齿轮部分3869。第三传输部分3868操作地联接到输入轴并且通过输入轴和/或轴壳体3810被支撑而朝近侧移位。
主要参见图61，传输装置3860还包括定位在第一传输部分3862和第二传输部分3864中间的至少一个弹簧构件3870。在至少一个实例中，弹簧构件3870可包括例如一个或多个波形弹簧。弹簧构件3870被构造成能够将第一传输部分3862和第二传输部分3864偏置成彼此隔开。除了上述内容之外或代替上述内容，传输装置3860还包括定位在第二传输部分3864和第三传输部分3868中间的至少一个弹簧构件3870，类似于上述内容，弹簧构件3870被构造成能够将第二传输部分3864和第三传输部分3868偏置成彼此隔开。主要参见图65，每个弹簧构件3870包括两个盘簧3872，两个盘簧3872被构造成能够在向其施加压缩力时偏转；然而，弹簧构件3870可包括任何合适的构型。
除上述以外，并且再次参见图61，工具组件3800的输入轴可旋转第三传输部分3868；然而，除非定位在第二传输部分3864和第三传输部分3868中间的弹簧构件3870已被充分压缩以将第二传输部分3864的近侧齿轮部分3867与第三传输部分3868的远侧齿轮部分3869连接，否则第三传输部分3868的旋转不能被传输到第二传输部分3864。类似地，第二传输部分3864不能将旋转运动传输到第一传输部分3862，除非定位在第一传输部分3862与第二传输部分3864中间的弹簧构件3870已被充分地压缩以连接第一传输部分3862的近侧齿轮部分3865和第二传输部分3864的远侧齿轮部分3866。如上所述，当钉仓完全座置在轴框架3810上时，驱动轴3830将第一传输部分3862与第二传输部分3864接合并且将第二传输部分3864与第三传输部分3868接合，如图62所示。在此类实例中，可将输入轴的旋转传输到驱动轴3830。然而，如果钉仓未完全座置在轴框架3810上，则传输部分3862、3864和3868中的一个或多个彼此不操作地接合，并且输入轴的旋转不能被传输到驱动轴3830。因此，工具组件3800确保储存在钉仓内的钉不能从钉仓射出，除非钉仓完全座置在轴框架3810上。
现在转到图66-图68，工具组件3900包括轴3910和可替换的钉仓3920。可替换的钉仓3920包括闭合驱动装置以及另外的击发驱动装置，该闭合驱动装置被构造成能够使砧座相对于钉仓3920运动，该击发驱动装置包括可旋转击发轴3930，击发驱动轴3930被构造成能够射出可移除地储存在钉仓3920中的钉。类似于上述内容，工具组件3900包括闭锁件，该闭锁件被构造成能够防止击发驱动装置从钉仓3920射出钉，除非钉仓3920完全或充分地座置在轴3910上。更具体地，闭锁件防止击发轴3930在钉仓3920内旋转，除非钉仓3920完全或充分地座置在轴3910上。在各种实例中，参见图67，击发轴3930包括限定在其外周边中的锁孔3939的环形阵列，并且钉仓3920包括被构造成能够可释放地接合限定在轴3930中的锁孔3939的至少一个锁3929。锁3929包括朝近侧延伸的悬臂梁；然而，可利用任何合适的构型。锁3929还包括锁定突起部，该锁定突起部延伸到锁孔3939中并且防止击发轴3930相对于钉仓3920的主体旋转或至少基本上旋转。闭锁件3929被构造成能够使得其被偏置成与限定在击发轴3930中的锁孔3939接合，直到当钉仓3920完全或充分地组装到轴3910时，锁孔3929被提升出锁孔3939，如图68中所示。参见图68，轴3910的外部壳体包括楔形件3919，该楔形件3919被构造成能够提升锁3929远离击发轴3930，并且使锁3929与锁孔3939脱离。楔形件3919被构造成能够使得其不使锁3929与击发轴3930脱离，除非钉仓3920已经完全或充分地座置在轴3910上，如图68中所示。图67示出了钉仓3920尚未完全或充分地座置在轴3910上的情形。
现在转到图69-图71，工具组件4000包括轴4010和可替换的钉仓4020。可替换的钉仓4020包括闭合驱动装置以及另外的击发驱动装置，该闭合驱动装置被构造成能够使砧座相对于钉仓4020运动，该击发驱动装置包括可旋转击发轴3930，该击发驱动轴3930被构造成能够射出可移除地储存在钉仓4020中的钉。钉仓4020包括锁4029，该锁4029被构造成能够将钉仓4020可释放地连接到轴4010。锁4029包括朝近侧延伸的悬臂和从其延伸的锁定肩部4028。锁4029被构造成能够在钉仓4020组装到轴4010时在轴4010内向内偏转，并且然后在锁4029的锁定肩部4028与限定在轴4010的外部壳体中的窗口4019对准时弹性地返回至其未挠曲状态或至少朝向其未挠曲状态。在此类实例中，当钉仓4020已完全或充分地座置在轴4010上时，锁定肩部4028进入窗口4019中，如图70中所示。为了解锁钉仓4020，临床医生可将例如工具或其手指插入到窗口中，并且按压锁4029远离窗口4019。在这一点上，钉仓4020可从轴4010移除，并且如果临床医生需要，则将新的钉仓附接到轴4010。
除了上述内容之外或代替上述内容，外科缝合系统可包括电闭锁件，该电闭锁件被构造成能够当钉仓尚未完全或充分地座置在缝合系统的轴上时，防止缝合系统的闭合驱动装置将砧座夹紧到组织上并且/或者防止击发驱动装置在执行其击发行程时执行其击发行程。在各种实例中，缝合系统可包括传感器以及另外的电动马达，该传感器被构造成能够检测钉仓是否已完全或充分地座置在轴上，该电动马达被构造成能够操作击发驱动装置。如果传感器检测到钉仓尚未完全或充分地附接到轴，则电动马达可被以电的方式去激活。在各种实例中，缝合系统包括与传感器和电动马达通信的控制器诸如微处理器。在至少一个实例中，控制器被构造成能够如果传感器在轴上检测到正确座置的钉仓，则一次允许电动马达操作，并且如果传感器在轴上检测到未正确座置的钉仓，则两次防止电动马达操作。
现在转到图72，例如，工具组件套件4100包括轴4110和多个钉仓诸如4120、4120'、4120”和4120”'。每个钉仓4120、4120'、4120”和4120”'被构造成能够施加具有不同直径的圆形钉排。例如，钉仓4120”'被构造成能够以具有大直径的图案施加钉，而钉仓4120被构造成能够以具有小直径的图案施加钉。在各种实例中，不同的钉仓可具有不同的未成形钉高度。在至少一个实例中，以较大图案施加钉的钉仓部署具有较大未成形高度的钉，而以较小图案施加钉的钉仓部署具有较小未成形高度的钉。在一些实例中，钉仓可部署具有两个或更多个未成形高度的钉。在任何情况下，从多个钉仓选择的钉仓可组装到轴4110。
参见图72和图73，工具组件4100包括检测电路4190，该检测电路4190被构造成能够检测钉仓是否完全或充分地附接到轴4110。检测电路4190未完全容纳在轴4110内；相反，钉仓必须正确地组装到轴4110以完成检测电路4190。检测电路4190包括导体4193，该导体4193延伸穿过限定在轴4110的框架中的通道4192并且/或者沿着轴4110的外部壳体延伸。主要参见图73，每个导体4193电联接到限定在壳体的远侧端部中的电接触件4194。例如，钉仓4120包括对应的电接触件4195，电接触件4195被定位和布置在钉仓4120的主体4122上，使得接触件4195接合轴4110上的接触件4194。钉仓4120还包括延伸穿过仓体4122并且/或者沿着仓体4122延伸的导体4196。每个导体4196与接触件4195电联接。在某些实例中，导体4196直接联接到彼此，并且在此类实例中，一旦钉仓4120正确地组装到轴4110，则检测电路4190闭合。
在某些实例中，除上述以外，工具组件4100的检测电路4190延伸穿过钉仓4120的平台部分4124。在至少一个实例中，平台部分4124可移动地附接到仓体4122。更具体地，在至少一个此类实例中，弹簧构件4198定位在仓体4122和平台部分4124中间并且被构造成能够当组织受压而贴靠平台部分4124时允许平台部分4124相对于仓体4122运动或浮动。在至少一个实例中，例如，弹簧构件4198包含一个或多个波形弹簧。弹簧构件4198还在仓体4122和平台部分4124之间形成导电通路。更具体地，弹簧构件4198定位在分别限定在仓体4122和平台部分4124上的中间电接触件4197和4199之间。导体4196电联接到限定在仓体4122的远侧端部上的电接触件4197，并且电接触件4199通过平台部分4125中的导体电联接到彼此。如上所述，一旦钉仓4120正确组装到轴4110，则检测电路4190闭合。
现在转到图74-图76，工具组件4200包括被构造成能够防止可替换的圆形钉仓被击发多于一次的闭锁件，如下文更详细地描述。在使用中，可替换的圆形钉仓4220组装到工具组件4200的轴4210。然后工具组件4200定位在外科部位中，并且砧座2230组装到闭合驱动装置的套管针2450。然后闭合驱动装置用于使砧座2230朝钉仓4220运动，以抵靠钉仓4220夹紧患者的组织，直到砧座2230到达闭合或夹紧位置。砧座2230的该位置在图74中示出。在这一点上，击发驱动装置可操作以部署可移除地储存在钉仓4220中的钉。除其他外，击发驱动装置包括与驱动套环4240螺纹接合的可旋转的驱动轴4230以及另外的钉击发驱动装置2560。驱动套环4240和击发驱动装置2560包括单独的部件；然而，在另选的实施方案中，驱动套环4240和击发驱动装置2560可整体形成。击发驱动装置能够在击发行程期间在第一方向上旋转，以在未击发位置(图74)和击发位置(图75)之间朝远侧推动驱动套环4240和钉击发驱动装置2560以从钉仓4220射出钉。防止驱动套环4240和钉驱动装置2560在钉仓4220内旋转，并且因此，驱动轴4230相对于驱动套环4240和钉驱动装置2560旋转。
除上述以外，驱动套环4240包括从其朝近侧延伸的一个或多个闭锁件4290。每个闭锁件4290包括闭锁销4292，该闭锁销4292可滑动地定位在限定于驱动套环4240中的销孔4293内。每个闭锁件4290还包括被构造成能够朝近侧偏置销4292的偏置构件诸如弹簧4294。当击发驱动装置处于其未击发的构型时，如图74所示，闭锁件4290未与钉仓4220的可旋转驱动轴4230和/或框架4222接合。当驱动套环4240和钉驱动装置2560被驱动轴4230朝远侧推动时，闭锁销4292远离驱动轴4230运动，如图75中所示。在击发行程已经完成并且钉已经抵靠砧座2230充分变形之后，驱动轴4230在相反方向上旋转以在回缩行程期间朝近侧拉动驱动套环4240和钉驱动装置4260。在此类实例中，闭锁件4290朝向驱动轴4230运动。值得注意的是，回缩行程比击发行程长，并且因此，驱动套环4240相对于其初始未击发位置朝近侧运动到回缩位置中，如图76中所示。在驱动套环4240的该回缩位置中，闭锁件4290已经与钉仓4220的驱动轴4230和框架4222接合。更具体地，每个闭锁件4290已进入限定在驱动轴4230和仓框架4222之间的闭锁孔中。现在参见图78，每个闭锁孔由驱动轴4230中的孔壁4295和框架4222中的孔壁4296限定。一旦闭锁销4292已经进入闭锁孔，则驱动套环4240不能被驱动轴4230旋转，并且钉仓4220的击发系统已被锁定。因此，特定钉仓4220不能再次使用，并且必须用新的钉仓替换，以便再次使用工具组件4200。
除上述以外，读者应当理解，当击发驱动装置处于其未击发构型时，闭锁销4292可或可不部分地定位在闭锁孔中，如图74中所示。然而，在某种程度上，闭锁销4292部分地定位在闭锁孔中，在此类实例中，当击发驱动轴4230旋转时，销4292可在限定于驱动套环4240中的销孔4293内朝远侧移位。如读者还应当理解的，当驱动套环4240运动到其回缩位置时，闭锁销4292足够深地座置在限定于驱动轴4230中的闭锁孔中，以便如果击发驱动轴4230再次在其第一方向上旋转，则防止销4292朝远侧移位出闭锁孔。
再次参见图78，当驱动套环4240处于其回缩位置时，闭锁孔的侧壁4295和4296彼此对准。然而，当旋转驱动轴4230时，限定在驱动轴4230中的侧壁4295将旋转而不与限定在仓框架4222中的侧壁4296对准。在一些实例中，当击发驱动装置4230旋转时，侧壁4295可暂时旋转以与侧壁4296重新对准。现在参见图77，在任何情况下，当击发系统处于其未击发构型时，侧壁4295不与侧壁4296对准。因此，当击发系统处于其未击发构型时，闭锁销4292不能进入闭锁孔，并且钉仓4220不能无意地锁定。
现在参见图80，在至少一个另选的实施方案中，一个或多个闭锁孔4295”可唯一地限定在工具组件4200”的驱动轴4230”中。在此类实施方案中，一旦闭锁销4292进入闭锁孔4295”，驱动套环4240将不能够相对于驱动轴4230”旋转。实际上，驱动套环4240和驱动轴4230”将被同步地锁定在一起，但不一定锁定到工具组件4200”的框架，这将防止驱动轴4230”相对于驱动套环2440旋转并且使驱动套环2440朝远侧移位。
现在参见图79，在至少一个另选的实施方案中，击发驱动闭锁件中的每个具有不同的构型，使得每个闭锁销与其对应的闭锁孔唯一地索引。例如，工具组件4200'包括第一闭锁销和第二闭锁销，该第一闭锁销被构造成能够进入由侧壁4295和4296限定的第一闭锁孔，该第二闭锁销被构造成能够进入由侧壁4295'和4296'限定的第二闭锁孔。然而，工具组件4200'的第一闭锁销被设定尺寸和构型成使得其不能进入第二闭锁孔，并且相应地，第二闭锁销被设定尺寸和构型成使得其不能进入第一闭锁孔。此外，第一闭锁销或第二闭锁销均不可进入由侧壁4295和4296'的组合形成的孔或由侧壁4295'和4296的组合形成的孔。
如上所述，被构造成能够部署圆形钉排的缝合器械可包括关节运动接头。关节运动接头被构造成能够允许缝合器械的端部执行器相对于缝合器械的轴进行关节运动。此类缝合器械可帮助外科医生将端部执行器定位在患者的直肠和/或结肠内。在各种实施方案中，参见图81，被构造成能够部署圆形钉排的缝合器械诸如缝合器械9000可包括可仿形或可调节的框架9010。框架9010可被构造成能够在使用期间永久地变形。在至少一个此类实施方案中，例如，框架9010由可延展金属构成诸如例如银、铂、钯、镍、金和/或铜构成。在某些实施方案中，框架9010由例如可延展的塑料构成。在至少一个实施方案中，框架由包括与聚合物链键合的金属离子的聚合物诸如离子聚合物-金属复合物(IPMC)构成。可将电压电势或电势施加到IPMC材料，以便以期望的方式使轴偏转。在某些实例中，轴可沿一个曲率半径仿形，而在其他实例中，轴可沿多于一个的曲率半径仿形。例如，当轴在患者体内时，可修改电压电势或电势以使轴形成轮廓。在某些实施方案中，框架的可仿形部分包括多个可枢转的连接件。在至少一个实施方案中，框架的可仿形部分由粘弹性材料构成。
除上述以外，缝合器械还可包括被构造成能够可释放地将缝合器械框架的可仿形部分保持在其轮廓构型中的锁。在至少一个实例中，缝合器械框架包括可关节运动的框架连接件和一个或多个纵向张力缆线，其可朝近侧拉动框架连接件并且将框架连接件锁定在一起。在某些实例中，每个框架连接件可包括延伸穿过其中的纵向孔，该纵向孔被构造成能够接收可朝远侧运动的杆。杆足够柔性以穿过纵向孔，当可仿形部分已经轮廓化而又足够刚性以将缝合器械保持在其轮廓构型时，该纵向孔可不彼此完全对准。
如本文所讨论，外科器械可包括彼此组装在一起的多个模块。例如，在至少一个实施方案中，外科器械包含包括柄部的第一模块和包括轴组件的第二模块。轴组件包括被构造成能够缝合和/或切割患者组织的端部执行器；然而，轴组件可包括任何合适的端部执行器。在各种实例中，端部执行器包括可附接到轴组件的第三模块。现在参见图82和图83，柄部诸如柄部20包括控制器和与控制器通信的显示器10000。控制器被构造成能够在显示器10000上显示关于外科器械的操作的数据。显示器10000上显示的数据将关于第一模块的至少一个操作参数和/或第二模块的至少一个操作参数的信息与外科医生相关联。例如，控制器可在显示器10000上显示关于钉击发行程的进程的数据。
除上述以外，轴组件包括第二显示器。例如，轴组件2000包括显示器10100；然而，例如，本文所公开的轴组件中的任一个可包括显示器诸如显示器10100。第二模块包括其自己的控制器，该控制器被构造成能够在显示器10100上显示关于外科器械的操作的数据。类似于上述内容，显示器10100上显示的数据涉及关于第一模块的至少一个操作参数和/或第二模块的至少一个操作参数的信息。第二模块的控制器与第一模块的控制器进行信号通信；然而，在其他实施方案中，第二模块控制器可独立于第一模块控制器操作。在某些另选的实施方案中，第二模块不包括控制器。在此类实施方案中，第一模块的控制器与第一显示器10000和第二显示器10100进行信号通信，并控制显示在第一显示器10000和第二显示器10100上的数据。
如上所述，工具组件2000包括砧座和钉仓。柄部20包括致动系统，该致动系统被构造成能够使砧座相对于钉仓运动。砧座可定位在相对于钉仓的一系列位置中，以控制砧座和钉仓之间的距离或间隙，并且因此在从钉仓射出钉时控制钉的成形高度。例如，砧座被定位成更靠近钉仓以使钉变形至较短的成形高度，并且定位成进一步远离钉仓以使钉变形至较高的成形高度。在任何情况下，工具组件2000的第二显示器10100被构造成能够显示砧座相对于钉仓的位置并且/或者显示钉将成形成或已经形成的高度。在各种实施方案中，轴组件可包括致动器和显示器，该致动器被构造成能够控制端部执行器的功能，该显示器显示关于邻近致动器的端部执行器功能的数据。
参见图1，工具组件1500包括轴和从轴延伸的端部执行器。轴包括轴框架和纵向轴线。端部执行器包括端部执行器框架和纵向端部执行器轴线。端部执行器还包括远侧头部和旋转接头，该旋转接头允许远侧头部相对于端部执行器框架围绕纵向端部执行器轴线旋转。远侧端部包括第一钳口和第二钳口。第一钳口包括钉仓或通道，该钉仓包括可移除地储存于其中的钉，该通道被构造成能够接收此类钉仓，并且第二钳口包括被构造成能够使钉变形的砧座。第二钳口可相对于第一钳口在打开位置和闭合位置之间运动；然而，设想到其他实施方案，其中第一钳口可相对于第二钳口运动并且/或者第一钳口和第二钳口都可相对于彼此运动。
在某些实施方案中，除了旋转接头之外，工具组件还可包括关节运动接头。在至少一个此类实施方案中，旋转接头相对于关节运动接头处于远侧。在此类实施方案中，远侧头部的旋转不影响端部执行器已进行关节运动的角度。也就是说，设想到其他实施方案，其中关节运动接头相对于旋转接头处于远侧。此类实施方案可提供远侧头部的宽扫描。在任一种情况下，纵向端部执行器轴线可相对于纵向轴线运动。在至少一个实例中，纵向端部执行器轴线可在其与纵向轴线共线的位置与其横向于纵向轴线的位置之间运动。
除上述以外，工具组件1500的远侧头部可在初始位置和旋转位置之间旋转。在至少一个实例中，远侧头部可在零位置或上止点位置和第二位置之间旋转。在某些实例中，远侧头部可旋转至少360度的运动范围。在其他实例中，远侧头部可旋转小于360度的旋转范围。在任一种情况下，工具组件1500和/或柄部20被构造成能够跟踪远侧头部的旋转位置。在各种实例中，例如，工具组件1500和/或柄部20包括电动马达以及另外的编码器，该电动马达与端部执行器的远侧头部操作地联接的，该编码器被构造成能够通过评估电动马达的轴的旋转位置而直接跟踪远侧头部的旋转并且/或者间接地跟踪远侧头部的旋转。柄部20的控制器与编码器进行信号通信并被构造成能够例如在显示器10000上显示远侧头部的旋转位置。
在至少一个实施方案中，当端部执行器的远侧头部旋转时，显示在显示器10000上的数据的取向和布置是静态的。当然，在此类实施方案中，显示在显示器10000上的数据将通过外科器械控制器更新；然而，当远侧头部旋转时，数据显示器不会重新取向和/或重新布置。此类实施方案可向外科医生提供在静态场中适当地利用外科器械所需的信息。在至少一个另选的实施方案中，显示器10000上的数据字段是动态的。在上下文中，术语动态意指多于在显示器10000上更新的数据；相反，术语动态意指当远侧头部旋转时，数据被重新取向和/或重新布置在显示器10000上。在至少一个实例中，数据的取向跟踪远侧头部的取向。例如，如果远侧头部旋转30度，则显示器10000上的数据字段旋转30度。在各种实例中，远侧头部可旋转360度，并且数据字段可旋转360度。
除上述以外，数据字段可以与远侧头部的取向匹配的任何取向进行取向。此类实施方案可向外科医生提供远侧头部的取向的准确且直观的感觉。在某些实施方案中，控制器以从与远侧头部的取向最紧密地匹配的离散位置阵列中选择的取向对数据字段进行取向。例如，如果远侧头部已经旋转了27度并且可选择的离散数据字段位置相隔15度，则控制器可将数据字段从基准取向重新取向30度。类似地，例如，如果远侧头部已经旋转了17度并且可选择的离散数据字段位置相隔5度，则控制器可将数据字段从基准取向重新取向15度。在至少一个实施方案中，基准取向与外科器械自身的特征部对准。例如，柄部20的基准取向与延伸穿过柄部20的夹持件的轴线对准。在此类实施方案中，控制器可忽略柄部20相对于其环境的取向。然而，在至少一个另选的实施方案中，例如，基准取向相对于重力轴线对准。
除上述以外，控制器被构造成能够相对于远侧头部的取向重新取向显示在显示器10000上的整个数据字段。在其他实施方案中，控制器被构造成能够相对于远侧头部的取向仅仅重新取向在显示器10000上移位的数据字段的一部分。在此类实施方案中，数据字段的一部分相对于基准取向保持静态，而数据字段的另一个部分相对于基准取向旋转。在某些实施方案中，数据字段的第一部分旋转第一旋转角度，并且数据字段的第二部分在相同方向上旋转第二旋转角度。例如，第二部分可旋转小于第一部分。在各种实施方案中，数据字段的第一部分在第一方向上旋转，并且数据字段的第二部分在第二方向或相反方向上旋转。
除上述以外，随着远侧头部的旋转，数据字段被实时地重新取向和/或重新布置，或者至少基本上实时地重新取向和/或重新布置。此类实施方案提供非常响应的数据显示器。在其他实施方案中，数据字段的重新取向和/或重新布置可延迟远侧头部的旋转。此类实施方案可提供具有较少抖动的数据显示器。在各种实施方案中，数据字段的第一部分以第一速度重新取向和/或重新布置，并且数据字段的第二部分以第二或不同的速度重新取向和/或重新布置。例如，第二部分可以较慢的速度旋转。
如上所述，当端部执行器的远侧头部旋转时，显示器10000上的数据字段旋转。然而，在其他实施方案中，当远侧头部旋转时，数据字段或数据字段的一部分平移。又如上所述，控制器的外科器械被构造成能够在柄部显示器10000上重新取向和/或重新布置数据字段。然而，例如，外科器械的控制器可在第二显示器诸如轴显示器上重新取向和/或重新布置数据字段。
再次参见图15和图83，工具组件2000包括致动器10200，致动器10200被构造成能够致动工具组件2000的关节运动驱动系统。例如，致动器10200可围绕纵向轴线旋转，该纵向轴线平行于或至少基本上平行于轴2100的纵向轴线。致动器10200操作地联接到变阻器，例如，该变阻器与柄部20的控制器进行信号通信。当致动器10200围绕其纵向轴线在第一方向上旋转时，变阻器检测致动器10200的旋转，并且控制器操作电动马达以使端部执行器2200在第一方向上进行关节运动。类似地，当致动器10200围绕其纵向轴线在第二方向或相反方向上旋转时，变阻器检测致动器10200的旋转，并且控制器操作电动马达以使端部执行器2200在第二方向或相反方向上进行关节运动。在各种实例中，例如，端部执行器2200可在第一方向上从纵向轴线进行关节运动，并且/或者在第二方向或相反方向上从纵向轴线关节运动大约30度。
如读者应当理解的那样，除上述以外，工具组件2000不具有被构造成能够操作关节运动驱动系统的板载电动马达；相反，关节运动驱动系统的电动马达在柄部诸如柄部20中，例如，工具组件2000附接到该柄部20。因此，可拆卸的轴组件上的致动器控制柄部的操作。在其他实施方案中，关节运动驱动装置系统的电动马达可在工具组件2000中。在任一种情况下，显示器10100被构造成能够以至少一些方式显示端部执行器2200的关节运动。如读者应当理解的那样，显示器10100邻近致动器10200，并且因此，外科医生能够同时容易地查看关节运动驱动系统的输入和输出。
除上述以外，例如，包括可仿形轴的手术工具组件可以有利地成形为配合在患者的直肠或结肠内。然而，这种可仿形的轴不能承受大量的拉伸和/或压缩载荷。为了对其进行补偿，在各种实施方案中，仅可旋转驱动系统可延伸穿过轴的可仿形部分。在此类实例中，轴仅需要抵抗由可旋转驱动系统生成的旋转反应力。在此类实施方案中，如果需要，驱动系统的旋转运动可相对于可仿形轴部分朝远侧转换成线性运动。此类纵向运动可生成拉伸力和/或压缩力；然而，此类力可在端部执行器内(即相对于可仿形轴部分朝远侧)解决或抵消。此类实施方案还可利用相对于可仿形轴部分朝远侧定位的关节运动接头。在此类实施方案中，工具组件不可利用横过可仿形轴部分的推拉驱动系统。
圆形缝合器械的砧座6020在图84和85中示出。砧座6020包括组织压缩表面6022和限定在组织压缩表面6022中的钉成形凹坑6024的环形阵列。砧座6028还包括框架6020、附接安装件6026和从附接安装件6026延伸的杆。杆被构造成能够可释放地附接到圆形缝合器械的闭合驱动装置，使得砧座6020可朝向和远离圆形缝合器械的钉仓运动。例如，压缩表面6022、附接安装件6026和框架6028由不锈钢构成；然而，可使用任何合适的一种或多种材料。
除上述以外，砧座6020还包括组织支撑件6030。组织支撑件6030定位在限定于组织支撑表面6022内的环形孔内。组织支撑件6030被紧密地固定在砧座6020内，使得在两者间有很少(如果有的话)相对运动。组织支撑件6030包括环形组织支撑表面6032，该环形组织支撑表面6032与砧座6020的环形组织压缩表面6022相邻。组织支撑件6030还包括限定于其中的内环形壁6036，以及另外的邻近砧座6020的砧座框架6028定位的底壁6038。
现在参见图86，圆形缝合器械包括钉仓6040和击发驱动装置，钉仓6040包括第一环形钉排6070、第二环形钉排6080，该击发驱动装置被构造成能够在击发驱动装置的击发行程期间从钉仓6040射出钉6070和6080。如图86所示，当钉6070和6080从钉仓6040射出时，通过成形凹坑6024使钉6070和6080变形。在各种实例中，钉6070和钉6080变形至相同高度，而在其他实例中，钉6070和钉6080变形至不同高度。例如，钉6070可变形至比钉6080短的变形高度。在其他实例中，钉6080变形至比钉6070短的高度。
除了上述内容之外或代替上述内容，钉6070和钉6080可具有不同的未成形高度。例如，钉6070可具有比钉6080短的未成形高度。在其他实例中，钉6080具有比钉6070短的未成形高度。在某些实例中，钉6070和钉6080具有相同的未成形高度。
除上述以外，当钉6070和6080相对于砧座6020变形以缝合被捕获在砧座6020和钉仓6040之间的组织T时，缝合器械可切割组织T。将钉从其钉腔中射出的击发驱动装置将切割构件6050朝向组织T和砧座6020驱动。切割构件6050的远侧边缘横切组织T，然后沿着组织支撑件6030的内侧壁6036滑动，而不横切内侧壁6036。切割构件6050的切割边缘为环形的，并且其与组织支撑件6030的环形内壁6036对准。切割构件6050被推进到砧座6020中，直到切割构件6050横切底壁6038，如图86中所示。
当抵靠砧座6020驱动钉6070和6080和/或切割组织时，击发驱动装置经受各种负载。例如，当横切先前已经缝合(诸如用钉6090)的组织时(图86)，击发驱动装置可经历增加的负载。然而，通过切割构件6050横切底壁6038产生通过击发驱动装置传递的力的突然变化或冲击。临床医生可使用外科缝合器和/或构造成检测击发驱动装置中的负载变化的电子传感器系统来感测力的这种突然变化。组织支撑件6030可由在切割构件6050将负载施加到底壁6038时可按扣的材料构成。在至少一个实例中，例如，组织支撑件6030由塑料构成。在任何情况下，可检测底壁6038的横切，并且一旦检测到，临床医生和/或电子传感器系统可确定切割过程已经完成。
击发驱动装置使钉6070、6080变形并且同时用切割构件6050切割组织；然而，设想钉成形步骤和组织切割步骤可交错。在至少一个实例中，组织切割步骤在钉成形步骤完成之前不开始。
从图86应当理解，虽然表面6032可部分地支撑组织T，但是当切割构件6050朝向底壁6038运动时，切割构件6050可将组织T推动到限定在组织支撑件6030的内壁6036和附接安装件6026之间的腔中。换句话说，切割构件6050可在最终切割组织T之前沿壁6036拖动组织T。在此类实例中，由切割构件6050制成的切口可不精确。下面讨论的是对图86中公开的实施方案的改进。
现在转到图87和图88，砧座6020的组织支撑件6030已被组织支撑件6130替换。组织支撑件6130包括第一或外部环形壁6131和第二或内部环形壁6133。内壁6133限定孔6136，孔6136被构造成能够紧密地接收附接安装架6026。外壁6131和内壁6133通过侧向壁6132连接。侧向壁6132在内壁6133和外壁6131之间围绕组织支撑件6130的中心径向地延伸。侧向壁6132彼此均匀地间隔开；然而，设想另选的实施方案，其中侧向壁6132彼此不均匀地间隔开。在任一种情况下，侧向壁6132限定组织支撑6130中的腔6134的环形阵列。在各种实例中，例如，每个腔6134可被封闭在除了面向组织的侧面之外的每个侧面上。在其他实例中，可封闭面向组织的腔的侧面。
组织支撑件6130的外壁6131和内壁6133被构造成能够在组织正被切割构件6050横切时支撑组织。当组织正被横切时，侧向壁6132还支撑组织，并且另外阻止或抵抗组织相对于外壁6131和内壁6133滑动。应当理解，当组织正被横切时，组织可进入腔6134。然而，可大大减小组织与侧壁之间的相对运动。根据需要的支撑量，可选择侧向壁6132的组合物和布置，以向组织提供更多的支撑或更少的支撑。例如，相比于较薄的侧向壁6132，较厚的侧向壁6132可提供更多的组织支撑。类似地，相比于较薄的侧向壁6132，更多的侧向壁6132可提供更多的组织支撑。
当切割构件6050运动通过其切割行程时，切割构件6050切割组织并且横切侧向壁6132。切割构件6050为环形的并且横切与外壁6131相邻的侧向壁6132。然而，切割构件可在任何合适的位置处横切壁6132。在任何情况下，侧向壁6132在切割组织之前、期间和之后支撑组织，并且防止或至少减少组织沿着外壁6131和/或内壁6133被拖动的可能性。类似于组织支撑件6030，组织支撑件6130包括在切割行程结束时被横切的底壁6138。
图89和图90中公开了包括钉仓6240和砧座6220的外科缝合器。钉仓6240在许多方面类似于钉仓6040。砧座6220在许多方面类似于砧座6020和砧座6120。砧座6220包括附接杆6226和定位在附接杆6226周围的环形组织支撑件6230。组织支撑件6230包括被构造成能够紧密地接收杆6226的中心孔。组织支撑件6230还包括邻近砧座6220的组织压缩表面定位的环形外壁6231，以及另外的从外壁6231径向延伸的侧向壁6232。组织支撑件6230不包括内部环壁并且侧向壁6232的内端自由挠曲。类似于上述内容，组织支撑件6230还包括底壁6238，底壁6238被切割构件6050切割。
图91和图92中示出了包括钉仓6240和砧座6220的外科缝合器。然而，读者应当理解，砧座6220的组织支撑件6230已经被组织支撑件6330替换。组织支撑件6330包括环形中心孔，该环形中心孔被构造成能够紧密地接收杆6226。组织支撑件6330还包括顶壁6332、底壁6338和在顶壁6332和底壁6338之间延伸的侧壁6336。顶壁6332和底壁6338平行或至少基本上平行；然而，设想到其中壁6332和6338不平行的实施方案。侧壁6336平行或至少基本上平行；然而，设想到其中侧壁6336不平行的实施方案。
壁6332、6336和6338限定其间的环形腔6334。腔6334在所有侧面上被封闭或至少基本上被封闭。腔6334围绕杆6226不间断地延伸；然而，设想到其中腔6334被侧壁中断和/或几何形状变化的其他实施方案。
类似于上述内容，组织支撑件6330被构造成能够在组织正被切割构件6050横切时支撑组织。组织支撑件6330被紧密地接收在砧座6220内，使得组织支撑件6330相对于砧座6220不运动或至少基本上运动。此外，组织支撑件6330包括刚性盒形的横截面，使得当切割构件6050横切组织时，组织支撑件6330的挠曲被最小化或不显著。如图91所示，底壁6338和内侧壁6336之间存在间隙。此类间隙可在组织支撑件6330中提供一些柔性；然而，设想到其中不存在此类间隙的其他实施方案。例如，组织支撑件6330由塑料构成；然而，在各种实施方案中，例如，组织支撑件6330可由柔性和/或弹性材料构成。
切割构件6050在其切割行程期间横切组织支撑件6330。如图92所示，切割构件6050在横切组织之后横切顶壁6332，然后进入腔6334。顶壁6332包括限定于其中的环形凹口6333，环形凹口6333与切割构件6050的环形切割边缘对准。凹口6333减小顶壁6332的横截面并且便于顶壁6332的切口。切割构件6050还可在其切割行程期间横切底壁6338。如读者应当理解的那样，横切组织支撑件6330的顶壁6332和底壁6338可在缝合器械的击发驱动装置中产生力脉冲。顶壁6332和底壁6338可在结构上被构造成能够提供不同的脉冲，使得临床医生和/或外科器械的电子传感器系统可在击发/切割行程结束时识别脉冲之间的差值，并且不正确地解释顶部壁6332的切口。
再次参见图91和图92，组织支撑件6330的顶壁6332与砧座6220的组织压缩表面6022对准或至少基本上对准。除了上述内容之外或代替上述内容，顶壁6332可相对于组织压缩表面6022凹陷并且/或者在组织压缩表面6022上方延伸。组织支撑件的顶壁6332在砧座6220的成形表面6024上方延伸。除了上述内容之外或代替上述内容，顶壁6332可相对于成形表面6024凹陷并且/或者与成形表面6024对准。
图93和图94中示出了包括钉仓6240和砧座6220的外科缝合器。然而，读者应当理解，砧座6220的组织支撑件6230已经被组织支撑件6430替换。组织支撑件6430包括环形中心孔，该环形中心孔被构造成能够紧密地接收杆6226。组织支撑件6430还包括顶壁6432、底壁6438和在顶壁6432和底壁6438之间延伸的侧壁6436。壁6432、6436和6438限定其间的环形腔6434。腔6434在所有侧面上被封闭或至少基本上被封闭。腔6434围绕杆6226不间断地延伸；然而，设想到其中腔6434被侧壁中断和/或几何形状变化的其他实施方案。
类似于上述内容，组织支撑件6430被构造成能够在组织正被切割构件6050横切时支撑组织。组织支撑件6430被紧密地接收在砧座6220内，使得组织支撑件6430相对于砧座6220不运动或至少基本上运动。此外，组织支撑件6430包括刚性多边形的横截面，使得当切割构件6050横切组织时，组织支撑件6430的挠曲被最小化或不显著。如图93所示，底壁6438和内侧壁6436之间存在间隙。此类间隙可在组织支撑件6430中提供一些柔性；然而，设想到不存在此类间隙的其他实施方案。例如，组织支撑件6430由塑料构成；然而，在各种实施方案中，例如，组织支撑件6430可由柔性和/或弹性材料构成。
如在图93和图94中所示，内侧壁6436比外侧壁3436短；然而，设想到其他实施方案，其中外侧壁6436比内侧壁6436短。此外，顶壁6432不平行于底壁6438。更具体地，顶壁6432包括倾斜部分，该倾斜部分横向延伸至底壁6438和/或顶壁6432的其他部分。
切割构件6050在其切割行程期间横切组织支撑件6430。如图94所示，切割构件6050在横切组织之后横切顶壁6432，然后进入腔6434。切割构件6050还可在其切割行程期间横切底壁6438。
如上所述，本文所公开的组织支撑件被构造成能够在组织正被切割构件切割时支撑组织。通常，例如，被切割构件切割的组织先前已经被缝合，即在外科手术的较早步骤期间被缝合。在各种实例中，例如，此类钉也可由切割构件切割，即使他们由金属诸如钛和/或不锈钢构成。在其他示例中，此类钉可不被切割构件切割；相反，他们可被推动到包含组织支撑件的材料中。无论钉是否被切割构件切割，在各种实例中，本文公开的组织支撑件包括足够的强度和/或刚度，其防止由切割构件抵靠组织支撑件捕获的钉在组织支撑件中产生不仅局部的塑性变形。在至少一个此类实例中，局部塑性变形在相对于钉的任何方向上被限制于小于钉的特征长度(CL)。在至少一个实例中，例如，可选择组织支撑件的材料，使得抵靠组织支撑件捕获的钉可仅在组织支撑件中形成直径小于2*CL的塑性变形区域。在其他实例中，例如，可选择组织支撑件的材料，使得抵靠组织支撑件捕获的钉可仅在组织支撑件中形成直径小于1.5*CL的塑性变形区域。例如，钉的特征长度可以是钉冠或后跨部的宽度，和/或钉腿在其变形构型中的成形高度。此外，本文所公开的组织支撑件可由一种材料构成，当该材料被切割构件切割时，其足够硬以支撑钉。在至少一个实例中，包括组织支撑件的材料的硬度等于或大于包括正抵靠组织支撑件被切割的钉的材料的硬度。在某些实例中，包括组织支撑件的材料的硬度小于包括被切割的钉的材料的硬度；然而，组织支撑件的结构设计足以防止组织支撑件塑性拉伸超过可接受的塑性变形区域。在某些实例中，切割组织和组织中所形成的钉所需的能量小于切割组织支撑件所需的能量。在各种实例中，包括组织支撑件的材料可抵抗被钉挖凿。在至少一个实例中，生物相容性润滑剂可放置在组织支撑件上和/或浸渍在组织支撑件内，以防止钉卡在组织支撑件上。
在各种实例中，砧座的组织压缩表面和组织支撑件的组织接触表面是平坦的或至少基本上平坦的。此类布置可将砧座施加的力分布在大面积上的组织上。设想到其中砧座的组织压缩表面和/或组织支撑表面的组织接触表面不平坦的其他实施方案。在某些实例中，砧座的组织压缩表面和/或组织支撑件的组织接触表面包括被构造成能够接合和夹持组织的从其延伸的组织夹持构件或钉。例如，此类组织夹持构件可减少组织和砧座之间的相对运动或滑动。在至少一个实例中，砧座的组织压缩表面和组织支撑件的组织接触表面上的组织夹持构件的密度相同。在其他实例中，组织支撑件的组织接触表面上的组织夹持构件的密度高于砧座的压缩表面上的组织夹持构件的密度。在此类实例中，当组织支撑件相对于砧座的压缩表面径向向内定位时，组织夹持构件可防止组织径向向内流动或滑动。
图95中公开了砧座6520。砧座6520包括组织压缩表面6522以及另外的限定在组织压缩表面6522中的成形凹坑，该成形凹坑被构造成能够在钉从其钉仓被射出时使钉变形成期望的构型。每个成形凹坑包括一对杯，其中每对杯被构造成能够使钉的腿部变形。例如，一对成形杯可包括被构造成能够使钉的第一腿部变形的第一成形杯6530a和被构造成能够使钉的第二腿部变形的第二成形杯6530b。第一成形杯6530a和第二成形杯6530b相对于在第一成形杯6530a和第二成形杯6530b之间延伸的轴线6531是彼此的镜像。然而，也可利用其他布置。
第一成形杯6530a包括第一或外部端部6532和第二或内部端部6534。第一成形杯6530a还包括底部或浴缸，在外端6532和内端6534之间延伸的表面6536。第一端部6532被构造成能够接收钉的腿部并且开始腿部的成形过程。第一端部6532包括弯曲表面，该弯曲表面被构造成能够使钉腿朝向第二端部6534偏转。底部表面6536包括弯曲表面或凹表面，该弯曲表面或凹表面被构造成能够至少部分地使钉腿向后朝向钉仓转动。第二端部6534包括弯曲表面，该弯曲表面被构造成能够将钉腿引导出成形杯6530a。
第二成形杯6530b包括与第一成形杯6530a类似的构造，并且被构造成能够使钉的第二腿部变形。由于上述内容，第一成形杯6530a将钉的第一腿部朝向第二腿部引导，并且第二成形杯6530b将钉的第二腿部朝向第一腿部引导。在各种实例中，例如，第一成形杯6530a和第二成形杯6530b协同操作以使钉变形成B形构型；然而，成形杯可被构造成能够使钉变形成任何合适的构型。
主要参见图96，每个成形杯6530(6530a和6530b)包括第一侧向侧壁6537和在第一端部6532与第二端部6534之间延伸的第二侧向侧壁6539。在各种实例中，第一侧向侧壁6537和第二侧向侧壁6539相对于延伸穿过成形杯6530的中心的纵向轴线6533是彼此的镜像。在其他实例中，第一侧向侧壁6537和第二侧向侧壁6539不是彼此的镜像。在任一种情况下，侧壁6537、6539是斜面的或倾斜的以便将钉腿朝向成形杯的中心(即朝向轴线6533)引导。
每个成形杯6530包括限定在其底部表面6536中的凹槽或通道6538。凹槽6538在成形杯6530的第一端部6532和第二端部6534之间纵向延伸。凹槽6538平行于成形杯6530的中心纵向轴线6535延伸并且相对于成形杯6530的中心纵向轴线6535侧向偏移。凹槽6538比腿部通过成形杯6530变形的钉的更宽。然而，设想到其中凹槽6538比钉的腿部窄的其他实施方案。在任一种情况下，凹槽6538被构造成能够沿着成形杯6530内的预定路径引导钉腿。
在各种实例中，成形杯6530的凹槽被构造成能够在腿部变形的同时扭转钉的腿部。在至少一个实例中，钉在变形前是平面的或至少基本上平面的。在至少一个此类实例中，当钉从钉仓射出时，钉的腿部和基部位于与纵向轴线6535对准的同一平面中。当钉腿进入成形杯6530中时，第一端部6532和底部表面6536是倾斜的并且/或者以其他方式被构造成能够将腿部朝向凹槽6538引导。一旦钉腿进入凹槽6538中，凹槽6538将钉腿与钉的基部扭转出平面。由于上述内容，未成形的钉构型是平面的，但是成形的钉构型是非平面的。然而，设想到其他实施方案，其中钉在其已经变形之前和之后具有非平面构型。
对于给定的一组成形杯6530，成形杯6530的凹槽6538定位在纵向轴线6535的相同侧面上，并且被构造成能够将两个钉腿扭转到钉基部的相同侧面。然而，设想到其他实施方案，其中第一钉腿扭转到钉基部的一个侧面，并且第二钉腿扭转到钉基部的另一个侧面。在至少一个此类实施方案中，第一凹槽6538定位在纵向轴线6535的第一侧面上，其被构造成能够将第一钉腿扭转到钉基部的第一侧面，而第二凹槽6538定位在纵向轴线6535的第二侧面上，其被构造成能够将第二钉腿扭转到钉基部的第二侧面。
对于给定的一组成形杯6530，成形杯6530的凹槽6538共线或至少基本上共线。然而，设想其他实施方案，其中凹槽6538定位在纵向轴线6535的相同侧面上，但是彼此不共线。在至少一个此类实例中，凹槽6538彼此平行，而在其他此类情况中，凹槽6538彼此不平行。
主要参见图96，凹槽6538比成形杯6530的底部表面6536深。然而，设想到其中成形杯的凹陷部和底部表面具有相同的深度的其他实施方案。
在各种实例中，当砧座6520是被构造成能够施加纵向钉排的纵向端部执行器的一部分时，成形杯6530被布置成纵向排。在至少一个此类实例中，成形杯的凹槽6538被布置成使得由端部执行器部署的所有钉在相同方向上弯曲出平面。在其他实例中，凹槽6538布置在成形杯6530的第一纵向排中以在第一方向上弯曲钉腿，并且布置在成形杯6530的第二纵向排中以在第二方向或不同方向上弯曲钉腿。在某些实例中，凹槽6538布置成使钉排中的第一钉的腿部在第一方向上弯曲，并且使钉排中的第二钉在第二方向或相反方向上弯曲。
在各种实例中，当砧座6520是被构造成能够施加环形钉排的环形端部执行器的一部分时，成形杯6530被布置成环形排。在至少一个此类实例中，凹槽6538相对于成形杯6530的中心纵向轴线6535径向向外定位。在其他实例中，凹槽6538相对于成形杯6530的中心纵向轴线6535径向向内定位。在某些实例中，凹槽6538在成形杯6530的第一环形排中径向向外定位，并且在成形杯6530的第二环形排中径向向内定位。
除上述以外，砧座的成形凹坑可包括任何合适的构型。在至少一个实例中，成形凹坑可包括两个成形杯，所述成形杯相对于中心轴线是彼此的镜像。每个成形杯包括具有外端和内端的三角形构型。一对成形杯的内端彼此相邻。成形杯的外端比内端宽，并且被构造成能够接收钉的腿部。每个成形杯还包括在外端和内端之间延伸的底部或浴缸表面，以及另外限定在被构造成能够在成形杯内引导钉腿的底部表面中的纵向凹槽。在至少一个实例中，纵向凹槽在成形杯的底部表面中居中。
在图97-99中公开圆形缝合组件的端部执行器7000。端部执行器7000包括钉仓，钉仓包括平台7030和仓体7040。平台7030包括组织压缩表面7031和限定在压缩表面7031中的钉腔7032。钉腔7032被布置在第一环形排或内部环形排和第二环形排或外部环形排中。内排中的每个钉腔7032包括可移除地储存在其中的第一钉7070a，并且外排中的每个钉腔7032包括可移除地储存在其中的第二钉7070b。
端部执行器还包括被构造成能够将钉推动出钉仓的钉驱动装置7000。例如，钉仓包括被构造成能够射出第一钉排7070a的钉驱动装置7060a的第一环形排以及被构造成能够将第二钉排7070b射出钉仓7040的钉驱动装置7060b的第二环形排。钉驱动装置7060a和7060b定位在限定于平台7030中的钉腔7032内并且/或者与限定在平台7030中的钉腔7032对准。钉驱动装置7060a和7060b可在钉腔7032内滑动，以分别从钉腔7032射出钉7070a和7070b。
端部执行器7000还包括砧座7020。砧座7020包括组织压缩表面7021和限定在压缩表面7021中的钉成形凹坑7022。钉成形凹坑7022被布置在第一环形排或内部环形排和第二环形排或外部环形排中。钉成形凹坑7022与钉腔7032对准，使得当钉7070a、7070b从钉腔7032射出时，钉7070a、7070b接触钉成形凹坑7022。
端部执行器7000还包括击发构件7056，击发构件7056被构造成能够提升钉腔7032内的钉驱动装置7060a和7060b，以分别从钉腔7032射出钉7070a和7070b。击发构件7056包括基部7054和斜坡7055。基部7054可滑动地定位在限定于击发驱动装置7050中的凹陷部7052内。斜坡7055可滑动地定位在限定于仓体7040中的狭槽7041内。如下面将更详细地描述的，斜坡7055被构造成能够在狭槽7041内滑动并且逐渐接触钉驱动装置7060a、7060b以从钉腔7032射出钉7070a、7070b。
除上述以外，击发构件7056可运动通过击发行程，以从钉腔7032射出钉7070a、7070b。在击发行程期间，击发构件7056沿由狭槽7041限定的弯曲的或弓形的路径运动。主要参见图97，狭槽7041包括第一端部7042和第二端部7049以及他们之间的连续路径。击发构件7056的斜坡7055在击发行程开始时定位在第一端部7042中并且在击发行程结束时定位在第二端部7049中。狭槽7041的第一端部7042与钉腔7032的内排对准，并且狭槽7041的第二端部7049与钉腔7032的外排对准。狭槽7041还包括围绕延伸穿过端部执行器7000的中心纵向轴线7090延伸的第一圆周部分7043。狭槽7041的第一圆周部分7043与钉腔7032的内排中的钉驱动装置7060a对准并且在钉驱动装置7060a下方延伸。当击发构件7056运动通过狭槽7041的第一圆周部分7043时，击发构件的斜坡7055顺序地接合钉驱动装置7060a以顺序地击发钉7070a。
第一圆周部分7043由围绕纵向轴线7090的恒定或至少基本上恒定的曲率半径限定；然而，设想到其中第一圆周部分7043的曲率半径不恒定的其他实施方案。在至少一个此类实例中，第一圆周部分7043包括螺旋。换句话说，在此类实例中，当第一圆周部分7043围绕纵向轴线7090延伸时，第一圆周部分7043后退远离纵向轴线7090。
狭槽7041的第二圆周部分7045与钉腔7032的外排中的钉驱动装置7060b对准并且在钉驱动装置7060b下方延伸。当击发构件7056运动通过狭槽7041的第二圆周部分7045时，击发构件的斜坡7055顺序地接合钉驱动装置7060b以顺序地击发钉7070b。第二圆周部分7045由围绕纵向轴线7090的恒定或至少基本上恒定的曲率半径限定；然而，设想到第二圆周部分7045的曲率半径不恒定的其他实施方案。在至少一个此类实例中，第二圆周部分7045包括螺旋。换句话说，在此类实例中，当第二圆周部分7045围绕纵向轴线7090延伸时，第二圆周部分7043后退远离纵向轴线7090。
除上述以外，狭槽7041包括在第一圆周部分7043和第二圆周部分7045中间的过渡部分7044。在击发行程期间，斜坡7055顺序地滑动通过第一圆周部分7043、过渡部分7044，然后通过第二圆周部分7045。过渡部分7044允许击发构件7056在第一钉排的第一曲率半径和第二钉排的第二曲率半径之间移位。在某些实施方案中，第一圆周部分7043和第二圆周部分7045之间的过渡部分7044可以是不必要的。在至少一个此类实例中，例如，第一圆周部分7043可包括第一螺旋构型，并且第二圆周部分7045可包括第二螺旋构型，该第二螺旋构型被对准使得第一螺旋构型的端部与第二螺旋构型的起始端对准。
击发构件7056通过击发驱动装置7050沿其击发路径被驱动。例如，通过手动曲柄和/或电动马达围绕纵向轴线7090驱动击发驱动装置7050。击发驱动装置7050包括限定于其中的驱动凹陷部7052。击发构件7056的基部7054定位在驱动凹陷部7052中。驱动凹陷部7052大于击发构件7056的基部7054，使得基部7054可在驱动凹陷部7052内运动或浮动。驱动凹陷部7052由限定基部7054在凹陷部7052内的运动的侧壁限定。当击发驱动装置7050围绕纵向轴线7090旋转时，驱动凹陷部7052的侧壁接触基部7054并且推动驱动构件7056通过狭槽7051。如上所述，狭槽7051的曲率半径有一个或多个变化，并且当击发构件7056运动通过此类变化时，击发构件7056的基部7054可在驱动凹陷部内滑动。
如上所述，第一钉排或内钉排中的钉顺序地部署，并且然后第二钉排或外钉的排中的钉顺序地部署。例如，此类实施方案可在向外缝合之前控制结肠的内周边。在其他实施方案中，外钉排中的钉顺序地部署展开，然后，钉的内排中的钉顺序地部署。此类实施方案可在向内缝合之前在结肠组织中建立边界。
在各种实例中，除上述以外，第一钉7070a和第二钉7070b具有相同的未成形高度。在至少一个此类实例中，第一钉7070a和第二钉7070b成形为相同的成形高度。其他此类实例中，第一钉7070a成形为第一成形高度，并且第二钉7070b可成形为不同于第一成形高度的第二成形高度。在至少一个此类实例中，内钉排的第一成形高度比外钉排的第二成形高度短。例如，此类布置可在缝合组织和未缝合组织之间提供更平缓的过渡。在其他实例中，内钉排的第一成形高度高于外钉排的第二成形高度。例如，此类布置可允许缝合的肠的最内部组织例如更加柔性。
在某些实例中，除上述以外，第一钉7070a具有第一未成形高度，并且第二钉7070b具有不同于第一未成形高度的第二未成形高度。在至少一个此类实例中，第一钉7070a和第二钉7070b成形为相同的成形高度。其他此类实例中，第一钉7070a成形为第一成形高度，并且第二钉7070b成形为不同于第一成形高度的第二成形高度。
端部执行器7000具有两个环形钉排；然而，端部执行器可具有任何合适数量的环形钉排。例如，端部执行器可具有三个环形钉排。在至少一个此类实例中，第一环形排中的钉可具有第一未成形钉高度，第二环形排中的钉可具有第二未成形钉高度，并且第三环形排中的第三钉可具有第三未成形钉高度。此外，在至少一个此类实例中，第一环形排中的钉可具有第一变形钉高度，第二环形排中的钉可具有第二变形钉高度，并且第三环形排中的第三钉可具有第三变形钉高度。
图100-105中示出了击发驱动装置7150。击发驱动装置7150包括能够围绕纵向轴线旋转的可旋转驱动轴7152。击发驱动装置7150还包括三级顺序驱动装置组件，该三级顺序驱动装置组件包括第一或内部驱动装置7154a、第二或中间驱动装置7154b以及第三或外部驱动装置7154c。驱动轴7152包括从其延伸的驱动销7151。驱动销7151在驱动装置7154a、7154b和7154c中的每一个中延伸穿过驱动狭槽。例如，第一驱动装置7154a包括限定在其中的第一驱动狭槽7153a，第二驱动装置7154b包括限定在其中的第二驱动狭槽7153b，并且第三驱动装置7154c包括限定在其中的第三驱动狭槽7153c。驱动狭槽7153a、7153b和7153c不具有相同的构型；然而，驱动狭槽7153a、7153b和7153c具有在驱动销7151处彼此对准或至少基本上对准的重叠构型。例如，驱动销7151处于图100中的未击发位置，并且驱动狭槽7153a、7153b和7153c与驱动销7151对准。
除上述以外，图100示出了处于未击发位置的驱动装置7154a、7154b和7154c。现在参见图101，当驱动轴7152旋转通过其击发行程的第一部分时，驱动销7151旋转通过圆周路径，其中驱动销7151接合驱动狭槽7153a的侧壁并且朝远侧推动或凸出第一驱动装置7154a。具体地，驱动销7151在击发行程的第一部分期间还没有朝远侧驱动驱动装置7154b和7154c。如在图100中可看到的，驱动狭槽7153b和7153c在击发行程的整个第一部分中与驱动销7151的圆周路径对准。当第一驱动装置7154a朝远侧移位时，第一驱动装置7154a被构造成能够击发第一环形排钉。
现在参见图102，当驱动轴7152旋转通过其击发行程的第二部分时，驱动销7151旋转通过圆周路径，其中驱动销7151接合驱动狭槽7153b的侧壁并且朝远侧推动或凸出第二驱动装置7154b。值得注意的是，驱动销7151在击发行程的第二部分期间还没有朝远侧驱动驱动装置7154c。类似于上述内容，驱动狭槽7153a和7153c在击发行程的整个第二部分中与驱动销7151的圆周路径对准。第二驱动装置7154b被构造成能够当第二驱动装置7154b朝远侧移位时击发第二环形排钉。
现在参见图103，当驱动轴7152旋转通过其击发行程的第三部分时，驱动销7151旋转通过圆周路径，其中驱动销7151接合驱动狭槽7153c的侧壁并且朝远侧推动或凸出第三驱动装置7154c。类似于上述内容，驱动狭槽7153a和7153b在击发行程的整个第三部分中与驱动销7151的圆周路径对准。第三驱动装置7154c被构造成能够当第三驱动装置7154c朝远侧移位时部署切割构件；然而，在某些实施方案中，例如，第三驱动装置7154c可部署第三钉排。
由于上述内容，在第一钉击发阶段、第二钉击发阶段和组织切割阶段之间没有重叠。他们按顺序定时。因此，使钉变形和切割组织所需的力在整个击发行程中扩展。此外，击发驱动装置7150在组织已经被缝合之前不能切割组织。设想到各种另选的实施方案，其中在第一钉击发阶段、第二钉击发阶段和/或组织切割阶段之间存在一些重叠。在至少一个此类实施方案中，驱动狭槽7153a、7153b和7153c的构型可适于使得在第一驱动装置7154a和第二驱动装置7154b的运动中存在部分重叠并且/或者在第二驱动装置7154b和第三驱动装置7154c的运动中存在部分重叠。
主要参见图103和图104，驱动装置7154a、7154b和7154c包括防止或至少抑制驱动装置7154a、7154b和7154c相对于彼此旋转的协同操作特征部。例如，第一驱动装置7154a包括定位在限定于第二驱动装置7154b中的纵向狭槽7156b中的纵向键7155a。键7155a和狭槽7156b被构造成能够允许第一驱动装置7154a相对于第二驱动装置7154b纵向滑动，但是阻止第一驱动装置7154a和第二驱动装置7154b之间的旋转运动。类似地，第二驱动装置7154b包括定位在限定于第三驱动装置7154c中的纵向狭槽7156c中的纵向键7155b。键7155b和狭槽7156c被构造成能够允许第二驱动装置7154b相对于第三驱动装置7154c纵向滑动，但是阻止第二驱动装置7154b和第三驱动装置7154c之间的旋转运动。
为了回缩驱动装置7154a、7154b和7154c，驱动轴7152在相反方向上旋转。在此类实例中，驱动轴7152顺序地接合驱动狭槽7153c的侧壁、驱动狭槽7153b的侧壁，然后驱动狭槽7153a的侧壁以将第三驱动装置7154c、第二驱动装置7154b和第一驱动装置7154a返回到其未击发位置(图100)。
图106中示出了击发驱动装置7250。击发驱动装置7250以与击发驱动装置7150类似的方式操作。击发驱动装置7250包括能够围绕纵向轴线旋转的驱动轴7252。驱动轴7252包括旋转通过击发行程的若干阶段凸轮表面或斜坡7256。击发驱动装置7250还包括第一驱动装置7254a、第二驱动装置7254b和第三驱动装置7254c，当击发驱动装置7250旋转时，第一驱动装置7254a、第二驱动装置7254b和第三驱动装置7254c被驱动轴7252的凸轮7256接合。在击发行程的第一阶段中，凸轮7256接合限定在第一驱动装置7254a上的凸轮表面7255a，并且朝远侧驱动第一驱动装置7254a。在击发行程的第二阶段中，凸轮7256接合限定在第二驱动装置7254b上的凸轮表面7255b并且朝远侧驱动第二驱动装置7254b，并且在击发行程的第三阶段中，凸轮7256接合限定在第三驱动装置7254c上的凸轮表面7255c并且朝远侧驱动第三驱动装置7254c。
第一凸轮表面7255a比第二凸轮表面7255b短，并且因此，第一驱动装置7254a具有比第二驱动装置7254b短的击发行程。类似地，第二凸轮表面7255b比第三凸轮表面7255c短，并且因此，第二驱动装置7254b具有比第三驱动装置7254c短的击发行程。例如，此类布置可用于使不同的钉排成形为不同的成形高度。在其他实施方案中，驱动装置7254a、7254b和7254c可具有任何合适的击发行程。在至少一个实施方案中，例如，驱动装置7254a、7254b和7254c具有相同的击发行程。例如，此类布置可用于使不同的钉排成形为相同的成形高度。
图107是根据至少一个实施方案的与圆形外科缝合器械一起使用的钉仓4410的一部分的透视图。多种其他圆形的外科缝合器械是已知的。例如，提交于2015年8月26日的名称为“SURGICAL STAPLING CONFIGURATIONS FOR CURVED AND CIRCULAR STAPLINGINSTRUMENTS”的美国专利申请序列号14/836,110公开了各种圆形外科缝合器械布置，该文献全文以引用方式并入本文。提交于2014年9月26日的名称为“CIRCULAR FASTENERCARTRIDGES FOR APPLYING RADIALLY EXPANDING FASTENER LINES”的美国专利申请序列号14/498,070还公开了各种圆形外科缝合器布置，该文献全文以引用方式并入本文。如那些参考文献中所讨论的，圆形外科缝合器通常包括框架组件，该框架组件包括附接部分，该附接部分被构造成能够将砧座操作地联接到圆形外科缝合器。
一般来讲，砧座包括支撑钉成形凹坑的一根或多根环形线的砧座头部。砧座杆或套管针部分附接到砧座头部并且被构造成能够可移除地联接到圆形缝合器械的砧座附接部分。各种圆形外科缝合器械包括装置，该装置用于将砧座朝向和远离外科钉仓选择性地运动，使得目标组织可夹紧在砧座与外科钉仓的平台之间。外科钉仓将多个外科钉可移除地储存在其中的，所述多个外科钉被布置成与设置在砧座中的钉成形凹坑的布置对应的一个或多个环形阵列。钉可移除地储存在形成在钉仓中的对应钉腔内，并且被支撑在被操作地接收在圆形缝合器内的可选择性地运动的推杆组件的对应部分上。圆形缝合器还包括环形刀或切割构件，该环形刀或切割构件被构造成能够切割被夹紧在砧座和钉仓之间的组织。
再次参见图107，钉仓4410包括限定环形仓平台表面4412的仓体4411。仓体4411包括间隔的内部钉腔4422的内环形排4420和间隔开的外部钉腔4442的外部环形排4440。如图107中可看到的，内部钉腔4422相对于外部间隔的钉腔4442交错。被支撑在每个内部钉腔4422内的是内部外科钉4430并且被支撑在每个外部钉腔4442内的是外部外科钉4450。外部环形排4440中的外部钉4450具有与内部环形排4420中的内部钉4430不同的特性。例如，如图108的实施方案中所示，外部钉4450具有未成形的“鸥翼”构型。具体地，每个外部钉4450包括从钉冠4452延伸的一对腿部4454、4464。每个腿部4454、4464分别包括从冠部4452延伸的竖直部分4456、4466。在一个实施方案中，竖直部分4456、4466可彼此平行。然而，在所示的布置中，竖直部分4456、4466彼此不平行。例如，所示布置中的冠部4452与竖直部分4456、4466之间的角度A1大于九十度。参见图108。关于钉构型的另外细节可在提交于2014年6月30日的名称为“FASTENER CARTRIDGE COMPRISING NON-UNIFORM FASTENERS”的美国专利申请序列号14/319,008、美国专利申请公布2015/0297232中找到，其全部公开内容据此以引用方式并入本文。然而，其他竖直部分4456、4466可相对于冠部4452以其他角度进行布置。使竖直腿部部分4456、4466相对于冠部4452以大于90度的角度取向的一个优点是此类布置可有助于将钉临时保持在其对应的钉腔内。
至少一个腿部4454、4464包括向内延伸的端部部分。例如，在图108所示的实施方案中，每个腿部4454、4464包括向内延伸的腿部部分。在所示的布置中，腿部部分4458从竖直腿部部分4456向内延伸，并且腿部部分4468从竖直腿部部分4466向内延伸。如图108中可看到的，腿部部分4458比腿部部分4468短。换句话说，钉冠4452与腿部部分4458从竖直腿部部分4456向内成角度的点之间的距离HA大于钉冠4452与腿部部分4468从竖直腿部部分4466向内成角度的点之间的距离HC。因此，在至少一个实施方案中，距离HB小于长度HD。腿部部分4458相对于竖直腿部部分4556成角度的角度A2可等于腿部部分4468相对于竖直腿部部分4466成角度的角度A3，或者角度A2和A3可彼此不同。关于钉构型的另外细节可在提交于2014年6月30日的名称为“FASTENER CARTRIDGE COMPRISING NON-UNIFORM FASTENERS”的美国专利申请序列号14/319,008、美国专利申请公布2015/0297232中找到，该文献以引用方式并入本文。
在至少一个实施方案中，每个内部外科钉4430可具有图108中所示的构型。如图108中可看到的，内部外科钉4430具有冠部4432和从其延伸的两个竖直腿部4434、4436。竖直腿部4434、4436可从冠部4432相对垂直地延伸，或者他们可以以大于90度的角度A4延伸。此类布置可有助于将钉4430暂时保持在其对应的钉腔4422内。然而，竖直腿部4434、4436以不同的角度从冠部4432延伸。在一些实施方案中，角度A4彼此相等。在其他实施方案中，角度A4彼此不同。在所示的实施方案中，内部钉4430和外部钉4450各自具有相同的未成形高度UFH。内部钉4430和外部钉4450由常规的外科钉线材形成。在至少一个实施方案中，用于形成外部钉4450的钉线材的直径大于用于形成内部钉4430的钉线材的直径。在其他实施方案中，内部钉和外部钉可具有相同的直径，并且可由具有其他直径的线材形成。在一些布置中，内部钉和外部钉可由相同类型的钉线材形成。因此，在此类布置中，内部钉和外部钉的线材直径将是相同的。然而，在另一个实施方案中，内部钉和外部钉可具有相同的未成形形状/构型，但是由具有不同的线材直径的两个不同的钉线材形成。同样在至少一种布置中，每个外部钉4450的冠部宽度CWO大于每个内部钉4430的冠部宽度CWI。关于钉构型的另外细节可在提交于2014年6月30日的名称为“FASTENER CARTRIDGE COMPRISING NON-UNIFORMFASTENERS”的美国专利申请序列号14/319,008、美国专利申请公布2015/0297232中找到，该文献以引用方式并入本文。
返回到图107，钉仓4410包括在平台表面4412上方延伸的外边缘4414。在手术期间，临床医生可调整砧座相对于圆形缝合器的仓的位置。在至少一个此类实施方案中，钉仓4410还包括从平台表面4412延伸的平台特征部4416和4418。如图107中可看到的，一系列内部平台特征部4416设置在钉腔4422的内排4420和中心设置的刀开口4413之间，刀或切割构件将在击发过程期间通过刀开口4413。如图107、图109和图110中所示，平台特征部4416可相对于内部钉腔和开口4413成形和定位。例如，每个内平台特征部4416均可具有与刀开口4413的壁共延的平坦壁部分4415以及与内部钉腔4422的排相邻的锥形或倾斜主体部分4417。参见图109和图110。在图107所示的实施方案中，平台特征部4416在两个相邻的内部钉腔4422之间的间隙中进行取向，并且如图所示在成对的钉腔4422之间交错。该系统中的腔延伸布置或平台特征部可用于降低平坦平台仓中通常遇到的压力。本文所公开的布置也可有助于减轻组织运动和滑移。由于组织的滑移通常是不期望的，因此外侧直径保持特征部可更大并且更多。当刀片靠近内侧内径时，内径特征部可用于增加组织张力/剪切力，这可使系统更好地切割。然而，平台特征部4416可具有不同的形状和构型，并且可位于平台表面4412上的不同位置中。
如在图107、图109和图110中也可看到的，每隔一个外部钉腔4442包括与其每个端部相关联的外部平台特征部4418。当钉4450从钉仓4410射出时，外部平台特征部4418在平台表面4412上方延伸并且将外部钉4450朝向砧座引导。在此类实施方案中，外部钉4450可不在外部平台特征部4418上方延伸，直到他们被击发构件朝向砧座运动。主要参见图107，在至少一个实施方案中，外部平台特征部4418不围绕整个对应的外部钉腔4442延伸。第一外部平台特征部4418定位成邻近对应的外部腔4442的第一端部，并且第二外部平台特征部4418定位成邻近外部腔4442的第二端部。如图107中可看到的，外部平台特征部4418与外部钉腔4442中的每隔一个相关联。此类布置可用于降低总体压力并且最小化组织拉伸和运动。然而，在其他实施方案中，第一外部平台特征部4418和第二外部平台特征部4418可与外部钉腔4442中的每一个相关联。在其他实施方案中，外部平台特征部可围绕对应的外部腔的整个周边延伸。如图109中可看到的，内部平台特征部4416比外部平台特征部4418短。换句话说，每个内部平台特征部在平台表面4412上方突出一定距离，该距离小于每个外部平台特征部4418在平台表面4412上方突出的距离。每个外部平台特征部可在平台表面4412上方突出与外边缘4414在平台表面4412上方突出相同的距离。另外，如图109中也可看到的，每个外部平台特征部4418具有大致圆锥形或锥形的外部轮廓，该外部轮廓可有助于在将缝合器头部插入穿过患者的结肠和直肠期间防止组织在平台特征部上钩住。
上述平台特征部可提供一个或多个优点。例如，直立的外边缘可有助于防止组织跨过仓平台滑动。该直立的边缘还可包括高点和低点的重复图案，而不是一个连续的唇部成形物。内部直立特征部也可有助于将组织保持在刀片附近并且导致改善的切割。内部平台特征部可在每个腔之间，或者在另选的布置中，平台特征部可包括一个连续直立的唇部。可期望平衡台特征部的数量以使高力/压缩区域的数量最小化，同时获得期望量的组织固定。腔同心特征部可用于在钉腿从其突出的区域中最小化组织流动的附加目的。当钉腿射出并且过渡到由对应的成形凹坑组成的接收砧座凹坑时，此类布置也便于期望的钉成形。此类局部凹坑特征部增大了低压缩区域，同时便于在钉仓离开仓时来自仓的腿部支撑。因此，此类布置使钉在其与砧座凹坑相交之前必须“跳跃”的距离最小化。组织流趋于从仓的中心径向向外增加。参见图118，改进的站立式外侧排延伸部具有当他们向上插入穿过结肠时储存组织的趋势，因为他是管。
图109和图110示出了结合砧座4480使用外科钉仓4410。砧座4480包括砧座头部部分4482，砧座头部部分4482操作地支撑钉成形插入件或部分4484和刀垫圈4490。刀垫圈4490以与支撑在钉头部中的刀4492面对的关系被支撑。在所示的实施方案中，钉成形插入件4484由例如钢、不锈钢等制成，并且包含内部钉成形凹坑4486的内排和外部钉成形凹坑4488的外排。每个内部钉成形凹坑4486对应于内部钉腔4422中的一个，并且每个外部钉成形凹坑4488对应于外部钉腔4442中的一个。在所示的布置中，当砧座4480相对于仓平台表面4412运动到其击发位置时，内部钉成形凹坑4486比外部钉成形凹坑4488更靠近仓平台表面4412。换句话说，第一钉成形部分4485与钉仓平台表面4412之间的第一间隙g1或第一钉成形距离小于第二钉成形部分4487与钉仓平台表面4412之间的第二间隙g2或第二钉成形距离。
如可在图109和图110中进一步看到的，内部钉4430各自在推动器组件4500的对应的内部驱动装置部分4502上被支撑在其对应的内部钉腔4422内，并且外部钉4450中的每一个在对应的外部驱动装置部分4504上被支撑在他们对应的外部钉腔4442内。推动器组件4500朝向砧座4480推进将使内部钉4430和外部钉4450被驱动成与他们各自对应的钉成形凹口4486、4488形成接触，如图110中所示。另外，刀4492朝远侧推进穿过夹紧在砧座4480和平台表面4412之间的组织，并且穿过刀垫圈4490的易碎底部4491。此类布置用于向外部钉4450提供大于内部钉4430的成形高度FHI的成形高度FHO。换句话说，外部钉4450的外排4440成形为更大的“B”成形物，从而产生更大的捕获体积和/或更高的钉成形高度，以减轻外钉排4440附近的高组织压缩。更大的B成形物也可改善朝向这些内排流动的血流。在各种实例中，外部钉4450的外排4440通过利用更大的钉冠、钉腿宽度和/或钉腿厚度而包括更大的展开阻力。
每个钉排中使用的钉的数量可变化。在一个实施方案中，例如，存在比内部钉4430更多的外部钉4450。另一个实施方案使用比外部钉4450更多的内部钉4430。在各种实例中，外部钉4450的线材直径大于内部钉4430的线材直径。内部钉4430和外部钉4450可具有相同的未成形高度UFH。外部钉4450的外排4440中的冠部宽度CWO大于内部钉4430的内排4420的冠部宽度CWI。外部钉4450的鸥翼构型采用位于与他们相应的冠部相距不同距离处的弯曲。借助均匀的驱动装置或推动器行程使用具有平坦的(非台阶的)仓平台表面4412的台阶式砧座构型产生具有不同成形高度的钉。
图111示出了另一个钉仓实施方案4610。如图111中可看到的，钉仓4610包括仓平台4612，仓平台4612包括间隔的内部钉腔4622的内部环形排4620和外部间隔的钉腔4642的外部环形排4640。如图111中可看到的，内部钉腔4622相对于外部间隔的钉腔4642交错。被支撑在每个内部钉腔4622内的是内部外科钉4630并且被支撑在每个外部钉腔4642内的是外部外科钉4650。另外，外边缘4614在平台表面4612上方延伸。在各种实施方案中，除上述以外，钉4630、4650不会在平台表面4612上方突出，直到他们通过击发构件朝向砧座运动。此类实施方案可经常利用小钉，该小钉相对于他们储存在其中的相应钉腔的深度。在其他实施方案中，当钉处于其未击发位置时，钉的腿部在平台表面4612上方突出。在至少一个此类实施方案中，钉仓4610还包括从平台表面4612延伸的平台特征部4616和4618。
如在图111也可看到的，每隔一个内部钉腔4622包括与其每一端部相关联的内部平台特征部4616。当对应的内部钉4630从钉仓4610射出时，内部平台特征部4616在平台表面4612上方延伸并且将对应的内部钉4630朝向砧座引导。在此类实施方案中，内部钉4630可不在内部平台特征部4616上方延伸，直到他们被击发构件朝向砧座运动。在所示出的示例中，内部平台特征部4616不围绕整个对应的内部钉腔4622延伸。第一内部平台特征部4616定位成邻近对应的内部腔4622的第一端部，并且第二内部平台特征部4616定位成邻近内部腔4622的第二端部。然而，在其他实施方案中，内部平台特征部4416可与内部钉腔4622中的每一个相关联。在其他实施方案中，内部平台特征部可围绕对应的内部钉腔的整个周边延伸。通过在其中他们与每隔一个腔相关联的同心图案中采用具有不同高度的平台特征部可提供更低压力的组织间隙区域，同时平衡他们以尽可能长地引导尽可能多的钉腿。换句话说，此类布置可最小化组织流的量，从而减少施加到目标组织的压力的总量。
仍然参见图111，每个外部钉腔4642包括与其每个端部相关联的外部平台特征部4618。当钉4650从钉仓4610射出时，外部平台特征部4618在平台表面4612上方延伸并且将外部钉4650朝向砧座引导。在此类实施方案中，外部钉4650可不在外部平台特征部4618上方延伸，直到他们被击发构件朝向砧座运动。如在图111中可看到的，在所示出的示例中，外部平台特征部4618不围绕整个对应的外部钉腔4642延伸。第一外部平台特征部4618定位成邻近对应的外部腔4642的第一端部，并且第二外部平台特征部4618定位成邻近外部腔4642的第二端部。如图111中可看到的，外部平台特征部4618与外部钉腔4642中的每一个相关联。然而，在其他实施方案中，第一外部平台特征部4618和第二外部平台特征部4418可与外部钉腔4642中的每隔一个相关联。在其他实施方案中，外部平台特征部可围绕对应的外部腔的整个周边延伸。如在图112和图113中可看到的，内部平台特征部4616和外部平台特征部4618在平台表面4612上方延伸相同距离。换句话说，他们具有相同的高度。另外，如图112和图113中也可看到的，每个内部平台特征部4416和每个外部平台特征部4618具有大致圆锥形或锥形的外部轮廓，该外部轮廓可有助于在将缝合器头部插入穿过患者的结肠和直肠期间防止组织在平台特征部上钩住。
图112和图113示出了结合砧座4680使用外科钉仓4610。砧座4680包括砧座头部部分4682，砧座头部部分4482操作地支撑钉成形插入件或部分4684和刀垫圈4690。刀垫圈4690以与支撑在钉头部中的刀4692面对的关系被支撑。在所示的实施方案中，钉成形插入件4684由例如钢、不锈钢等制成，并且包含内部钉成形凹坑4686的内排和外部钉成形凹坑4688的外排。每个内部钉成形凹坑4686对应于内部钉腔4622中的一个，并且每个外部钉成形凹坑4688对应于外部钉腔4642中的一个。在所示出的布置中，内部钉成形凹坑4686定位成与平台表面4612相距与外部钉成形凹坑4688相同的距离。
如在图112和图113中可看到的，内部钉4630在推动器组件4700的对应的内部驱动装置部分4702上被支撑在对应的内部钉腔4622内。外部钉4650在对应的外部驱动装置部分4704上被支撑在对应的外部钉腔4642内。推动器组件4700朝向砧座4680的推进将使内部钉4630和外部钉4650被驱动成与他们各自对应的钉成形凹口4686、4688形成接触，如图113中所示。另外，刀4692朝远侧推进穿过夹紧在砧座4680和平台表面4612之间的组织，并且穿过刀垫圈4690的易碎底部4691。在图112和图113中所示的示例中，每个内部钉4630由具有第一线材直径D1并且具有第一未成形高度L1的第一钉线材形成。例如，第一线材直径D1可为大约0.0079”-0.015”(增量通常为0.0089”、0.0094”和0.00145”)并且第一未成形高度L1可为大约0.198”-0.250”。每个外部钉4650由第二钉线材形成，该第二钉线材具有第二线材直径D2并且具有第二未成形高度L2。在图112和图113中所示的实施方案中，D1<D2并且L1<L2。然而，如图113中可看到的，内部钉4630和外部钉4650形成有相同的成形高度FH。相比于较小直径的内钉排相比，外侧上的较厚的线材钉趋于提供高撕裂强度和破裂强度，这趋于保持更好的止血。换句话说，更紧密的内钉排可更好地保持止血，而较少压缩的外钉排可促进更好的愈合和血液流动。此外，具有较长腿部的钉即使在与具有较短腿部的钉的相同高度处形成时也可确保更多的B弯曲，这可使较长腿的钉更强并且更可能适当地形成以足以在高负载条件下保持。每个钉排中使用的钉的数量可变化。在一个实施方案中，例如，内排4620具有与外部钉4650的外排4640相同数量的内部钉4630。在各种布置中，钉4650的冠部宽度大于内部钉4630的冠部宽度。在其他实施方案中，钉4630、4650可具有相同的冠部宽度。在其他布置中，钉4630、4650可以是上述鸥翼式设计。例如，钉的至少一个腿部可包括向内弯曲的端部部分，或者两个腿部可包括彼此向内弯曲的端部部分。此类钉可用于内部环形排或外部环形排中或内部环形排或外部环形排两者中。
图114示出了包括仓平台4812的另一个圆形钉仓实施方案4810，仓平台4812包括三个间隔开的钉腔的环形排4820、4840、4860。内排或第一排4820包含各自以第一角度布置的第一多个内部钉腔或第一钉腔4822。每个内部钉腔4822将对应的内部钉或第一钉4830操作地支撑其中。内部腔4822相对于切向方向以相同的均匀角度对第一钉4830进行取向。在所示出的示例中，每个内部钉4830由具有第一钉直径D1的第一钉线材形成。在一个示例中，第一钉线材直径D1可为大约0.0079”-0.015”(增量通常为0.0089”、0.0094”和0.00145”)。参见图117，每个内部钉4830包括第一冠部4832和两个第一腿部4834。第一冠部具有第一冠部宽度C1，并且每个第一腿部4834具有第一未成形腿部长度L1。在一个示例中，第一冠部宽度C1可为大约0.100”-0.300”，并且第一未成形腿部长度L1可为大约0.198”-0.250”。第一腿部4834可各自相对于第一冠部4832以角度A1进行布置。角度A1可为大约90°或者其可略微大于90°，使得第一腿部4834略微向外张开，以有助于将第一钉4830保持在其对应的第一钉腔4822中。
转到图115和图116，钉仓4810旨在结合砧座4900使用，砧座4900包括第一钉成形凹坑4904的交错的或成角度的第一对4903的两个内排或第一排4902。第一钉成形凹坑4904的每个第一对4903对应于一个第一钉4830。第一钉成形凹坑4904对应于一个第一钉腿4834，并且对4903的另一个第一钉成形凹坑4904对应于另一个第一钉腿4834。此类布置用于建立成形钉构型，其中第一钉4830的第一钉腿4834与该特定第一钉4830的第一冠部4832形成在平面外，使得一个第一腿部4834形成在第一冠部4832的一个侧面上，并且另一个第一腿部4834形成在第一冠部4832的另一个侧面上。相对于图115中的第一钉成形凹坑4904中的一些示出了该“三维”成形的钉构型。
如可在图116中最具体地看到的，仓平台4812是“台阶式”结构。仓平台4812包括与内部钉腔或第一钉腔4822的内部环形排或第一环形排4820对应的内部仓平台部分或第一仓平台部分4814。如可在图116中进一步看到的，当砧座4900运动到闭合或夹紧位置时，包含第一钉成形凹坑4904的砧座4900的部分与平台部分4814间隔开第一间隙距离g1。
再次参见114、图116和图117，中间排或第二排4840包含各自以第二角度布置的第二多个中间钉腔或第二钉腔4842。每个中间钉腔4842将对应的中间钉或第二钉4850操作地支撑其中。中间腔4842相对于切向方向以相同的均匀的第二角度对中间钉或第二钉4850进行取向。然而，第二角度不同于第一角度。换句话说，当第一钉和第二钉被支撑在其相应的第一腔和第二腔中时，每个第一钉4830的第一冠部的轴线在延伸时最终将与相邻的第二钉4850的第二冠冠的延伸轴线相交。如在图116和图117中可看到的，每个第二钉或中间钉4850包括第二钉冠部或基部4852和两个第二腿部4854。钉基部4852可具有略呈矩形的横截面形状并且可由平坦的材料片形成。例如，第二钉腿4854可具有圆形横截面轮廓。第二钉或中间钉可包括例如提交于2015年8月26日的名称为“SURGICAL STAPLING CONFIGURATIONSFOR CURVED AND CIRCULAR STAPLING INSTRUMENTS”的美国专利申请序列号14/836,110中公开的各种钉构型，该文献全文以引用方式并入本文。具有从具有矩形横截面轮廓的钉基部部分延伸的圆形钉腿可提供没有优先弯曲平面的钉基部部分和钉腿。第二钉4850包括弯曲部分4856，在该弯曲部分处钉腿4854从钉基部部分4852延伸。弯曲部分4856可包括基本上正方形的横截面轮廓421。弯曲部分4856和钉基部部分4852各自的正方形轮廓和矩形轮廓向圆形钉腿4854提供刚性连接部和主链。圆形钉腿4854消除优先的弯曲平面，具有正方形、矩形、或任何带顶点的形状或非均匀形状横截面的钉腿可具有该优先的弯曲平面。第二钉腿4854中的每一个具有第二直径D2。在至少一个实施方案中，D2>D1。第二基部或冠部4852具有第二冠部宽度C2。在一种布置中，C2>C1。第二腿部4854可各自相对于第二基部或冠部4852以角度A2进行布置。角度A2可为大约90°或者其可略微大于90°，使得第二腿部4854略微向外张开，以有助于将第二钉4850保持在其对应的第二钉腔4842中。
转到图115和图116，砧座4900还包括第二钉成形凹坑4914的交错的或成角度的第二对4913的两个中间排或第二排4912。第二钉成形凹坑4914的每个第二对4913对应于一个第二钉4850。一个第二钉成形凹坑4914对应于一个第二钉腿4854，并且对4913的另一个第二钉成形凹坑4914对应于另一个第二钉腿4854。此类布置用于建立成形钉构型，其中第二腿部4854与特定的第二钉4850的第二基部4852形成在平面外。相对于图115中的第二钉成形凹坑4914中的一些示出了该“三维”成形的钉构型。
如可在图116中最具体地看到的，仓平台4812还包括与中间钉腔或第二钉腔4842的中间环形排或第二环形排4840对应的第二仓平台部分4816。如可在图116中进一步看到的，当砧座4900运动到闭合或夹紧位置时，包含第二钉成形凹坑4914的砧座4900的部分与平台部分4816间隔开第二间隙距离g2。在所示的示例中，g2>g1。
再次参见图114、图116和图117，外排或第三排4860包括第三多个外部钉腔或第三钉腔4862，该钉腔相对于第二钉腔4842设定尺寸，使得每个外部钉腔或第三钉腔4862跨越两个相邻的第二腔4842之间的距离。每个外部钉腔4862将对应的外部钉或第三钉4870操作地支撑其中。外部腔4862将外部钉或第三钉4870取向成与圆周方向相切。如在图116和图117中可看到的，每个第三钉或外部钉4870包括第三钉冠部或基部4872和两个第三腿部4874。钉基部4872可具有略呈矩形的横截面形状并且可由平坦的材料片形成。例如，第三钉腿4874还可具有圆形横截面轮廓。第三钉或外部钉4870可包括例如提交于2015年8月26日的名称为“SURGICAL STAPLING CONFIGURATIONS FOR CURVED AND CIRCULAR STAPLINGINSTRUMENTS”的美国专利申请序列号14/836,110中公开的各种钉构型，该文献全文以引用方式并入本文。具有从具有矩形横截面轮廓的钉基部部分延伸的圆形钉腿可提供没有优先弯曲平面的钉基部部分和钉腿。第三钉4870包括弯曲部分4876，在该弯曲部分处钉腿4874从钉基部部分4872延伸。弯曲部分4876可包括基本上正方形的横截面轮廓421。弯曲部分4876和钉基部部分4872各自的正方形轮廓和矩形轮廓向圆形钉腿4874提供刚性连接部和主链。圆形钉腿4874消除优先的弯曲平面，具有正方形、矩形、或任何带顶点的形状或非均匀形状横截面的钉腿可具有该优先的弯曲平面。在至少一个实施方案中，D3>D2。第三基部或冠部4872具有第三冠部宽度C3，并且每个第三腿部4874具有第三未成形的腿部长度L3。在一种布置中，C3>C2并且L3>L2。第三腿部4874可各自相对于第三基部或冠部4872以角度A3进行布置。角度A3可为大约90°或者其可略微大于90°，使得第三腿部4874略微向外张开，以有助于将第三钉4870保持在其对应的第三钉腔4862中。
转到图115和图116，砧座4900还包括外部钉成形凹坑或第三钉成形凹坑4918的外排4916。每个第三钉成形凹坑4918对应于一个第三钉4870。如可在图116中最具体地看到的，仓平台4812还包括第三仓平台部分4818，第三仓平台部分4818对应于外部钉腔或第三钉腔4862的外排或第三排4860。如可在图116中进一步看到的，当砧座4900运动到闭合或夹紧位置时，包含第三钉成形凹坑4918的砧座4900的部分与平台部分4818间隔开第二三间隙距离g3。在所示的示例中，g3>g2。如可在图116中进一步看到的，在至少一个实施方案中，组织厚度补偿件4920结合每个外部钉或第三钉4870使用。组织厚度补偿件可包括嵌入氧化再生纤维素(ORC)以促进止血的织造材料。组织厚度补偿件4920可包括提交于2014年2月24日的名称为“IMPLANTABLE LAYER ASSEMBLIES”的美国专利申请序列号14/187,389、美国专利申请公布2015/0238187中公开的各种组织厚度补偿件布置中的任一个，这些文献的全部公开内容据此以引用方式并入本文。如图116中可看到的，组织厚度补偿件4920具有指定为“a”的厚度。在一个实施方案中，组织厚度补偿件具有大约0.015”-0.045”的厚度。然而，可采用其他厚度。
因此，在如图114-117中所描绘的至少一个实施方案中，钉仓4810可使用三个钉排中的每一个中不同数量的钉。在一种布置中，内钉排包括具有最小线材直径和最短未成形腿部长度的常规钉。每个第一钉具有最短的冠部宽度，并且每个第一钉相对于切向方向以均匀的角度进行取向。中间钉具有不同于第一钉构型的构型。中间钉的每个腿部包括适度的线材直径和未成形的腿部长度。每个中间钉具有比内部钉的冠宽度略微大的冠部宽度，并且每个中间钉相对于切向方向以均匀的角度进行取向，但相对于内部内钉排以不同的角度进行取向。每个外部钉具有类似于中间钉的构型的构型。相比于内部钉和中间钉的腿部的线材直径，每个外部钉的第三腿部中的每一个包括最大的线材直径。每个外部钉的冠部宽度显著大于内部钉和中间钉的冠部宽度。每个外部钉与仓的圆周方向相切地取向。外钉排采用嵌入ORC以促进止血的织造组织厚度补偿件(间隔织物)。台阶式砧座和台阶式仓平台产生不同的成形钉高度，其中具有最短成形高度的钉在内排中，并且具有最长成形高度的钉在外排中。对应于内钉排和中间钉排的砧座凹坑“倾斜”，以在内排和中间排中产生三维钉。“浴缸类型”砧座凹坑对应于外钉排。在至少一个实施方案中，可顺序地击发钉。例如，可首先击发内排和中间排中的钉，然后击发外排中的钉。环形刀在击发过程期间切割夹紧的组织。
如本公开的各种实施方案中所述，圆形缝合器械包括砧座和钉仓。砧座和钉仓中的一个或两个可相对于另一个在打开构型和闭合构型之间运动，以在其间捕获组织。钉仓将钉容纳或至少部分地容纳在钉腔的圆形排内。钉从他们各自的钉腔以圆形排布置到捕获的组织中并且抵靠砧座中的成形凹坑的对应的圆形排成形。击发驱动装置被构造成能够在击发驱动装置的击发行程期间从钉仓射出钉。
圆形缝合器械的砧座通常包括组织压缩表面和限定在组织压缩表面中的钉成形凹坑的环形阵列。砧座还包括附接安装架和从附接安装架延伸的杆。杆被构造成能够可释放地附接到圆形缝合器械的闭合驱动装置，使得砧座可朝向和远离圆形缝合器械的钉仓运动。
钉仓和砧座可单独地在患者体内行进，并且在外科区域处组合。在各种实例中，钉仓例如行进通过患者的狭窄的管状主体诸如结肠。钉仓可包括多个组织接触特征部诸如台阶式平台和凹坑扩展部。为了在钉仓朝向目标组织行进时避免对患者的无意伤害，本公开尤其呈现对若干组织接触特征部的各种修改。
参见图118，局部剖视图示出了在钉仓15500在患者身体内行进时压靠组织(T)的圆形外科器械的钉仓15500。修改钉仓15500的多个结构特征部以产生特别轮廓的外框15502以保护组织。钉仓15500包括钉腔的多个环形排。在至少一个示例中，钉腔15510的外排15504至少部分地环绕钉腔15512的内排15506，如图118中所示。钉腔15510和15512被构造成能够分别容纳钉15530和15531。
术语内部和外部描绘与中心轴线15533的关系。例如，内部组织接触表面15518比外部组织接触表面15516更靠近中心轴线15533。
如图119所示，钉仓15500包括台阶式仓平台15508。外排15504限定在台阶式仓平台15508的外部组织接触表面15516中，而内排15506限定在台阶式仓平台15508的内部组织接触表面15518中。外部组织接触表面15516从内部组织接触表面15518逐步下降，这产生梯度，该梯度在钉仓15500压靠组织时减小摩擦。
在某些实例中，外部组织接触表面15516平行或至少基本上平行于内部组织接触表面15518。在其他实例中，外部组织接触表面15516倾斜成使得由外部组织接触表面15516限定的第一平面横向于由内部组织接触表面15518限定的第二平面。在第一平面和第二平面之间限定角度。该角度可为锐角。在至少一个实例中，例如，该角度可以是选自大于约0°且小于或等于约30°的范围的任何角度。在至少一个实例中，例如，该角度可以是选自大于约5°且小于或等于约25°的范围的任何角度。在至少一个实例中，例如，该角度可以是选自大于约10°且小于或等于约20°的范围的任何角度。当钉仓15500相对于组织运动时，倾斜的外部组织接触表面15516可减少对组织的摩擦或钩住组织。在至少一个实例中，倾斜的外部组织接触表面15516也从内部组织接触表面15518逐步下降。
在至少一个实例中，当钉仓15500相对于组织运动时，外部组织接触表面15516的内部部分为平面的或至少基本上平坦的，而外部组织接触表面15516的外边缘15548是倾斜的、圆角的和/或斜面的，以减少对组织的摩擦或钩住组织。例如，钉腔15510驻留在外部组织接触表面15516的平面内部部分中。当组织钉仓15500相对于组织运动时，内部组织接触表面15518的外边缘15550也可以是倾斜的、斜面的和/或圆角的，以减少对组织的摩擦或钩住组织。
为了在外排15504的钉腔15510和内排15504的钉腔15512中容纳具有相同或至少基本上相同的未成形高度的钉，外排15504的钉腔15510包括凹坑扩展部15514。凹坑扩展部15514被构造成能够在钉15530从他们相应的钉腔15510被射出时控制并引导钉15530。在某些实例中，凹坑扩展部15514可被构造成能够容纳具有比内部组织接触表面15518的钉更大的未成形高度s的钉。
如图119所示，外排15504中的钉腔15510侧向对准或至少基本上对准，其中在内排15506中的两个相邻钉腔15512之间存在间隙15520。钉腔15510包括第一端部15522和第二端部15524。第二端部15524与两个连续钉腔15512中的一个的第一端部15526重叠，使得定位在第二端部15524处的钉腿15530a与定位在第一端部15526处的钉腿15531a径向对准或至少基本上对准，如图118中所示。同样，钉腔15510的第一端部15522与两个连续钉腔15512中的另一个的第二端部15528重叠。
凹坑扩展部15514包括从外部组织接触表面15516突出的第一夹套15532，以隐藏延伸超出外部组织接触表面15516的钉腿15530a的尖端15536。第一夹套15532包括从第一端部15522突出的端部15538，延伸远离端部15538的内侧壁15540和外侧壁15542，以形成第一夹套15532。在至少一个实例中，第一护套15532限定或至少基本上限定在包括第一端部15522的钉腔15510的周边15535的一部分上延伸的“C”形壁。
为了减小对组织的摩擦，内侧壁15540从外部组织接触表面15516突出到比外侧壁15542更大的高度。换句话说，外侧壁15542的高度低于内侧壁15540。此类布置产生从内侧壁15540平滑过渡到外侧壁15542至外部组织接触表面15516的梯度。在至少一个实施方案中，内侧壁15540和内部组织接触表面15518相对于外部组织接触表面15516包括相同的或至少基本上相同的高度。另选地，内侧壁15540和内部组织接触表面相对于外部组织接触表面15516包括不同高度15518。在某些实例中，内侧壁15540相对于外部组织接触表面15516相对于内部组织接触表面15518的高度较低。此类布置产生用于从内部组织接触表面15518平滑过渡到内侧壁15540到外侧壁15542到外部组织接触表面15516的梯度。
内部组织接触表面15518、内侧壁15540、外侧壁15542和/或外部组织接触表面15516限定具有轮廓的外框架15502的离散部分；然而，如图118所示，此类部分保持足够靠近彼此，使得当钉仓15500压靠组织时，组织不能被捕获在其间。此外，部分中的一个或多个可包括倾斜的、具有轮廓的、弯曲的、倒圆的和/或斜面的外表面以减少对组织的摩擦。如图118所示，外侧壁15542的上表面15544和内侧壁15540的上表面15546是倾斜的、具有轮廓的、弯曲的、倒圆的和/或斜面的以限定具有轮廓的外部框架15502。
在至少一个实例中，上表面15544和上表面15546限定倾斜平面，该倾斜平面横向于由外部组织接触表面15516限定的第一平面和由内部组织接触表面15518限定的第二平面。在至少一个实例中，在倾斜平面与第一平面之间限定第一角度。也可在倾斜平面和第二平面之间限定第二角度。第一角度和第二角度可为相同的或至少基本上相同的值。另选地，第一角度的值可不同于第二角度。在至少一个实例中，第一角度和/或第二角度为锐角。在至少一个实例中，例如，第一角度是选自大于约0°且小于或等于约30°的范围的任何角度。在至少一个实例中，例如，第一角度是选自大于约5°且小于或等于约25°的范围的任何角度。在至少一个实例中，例如，第一角度是选自大于约10°且小于或等于约20°的范围的任何角度。在至少一个实例中，例如，第二角度是选自大于约0°且小于或等于约30°的范围的任何角度。在至少一个实例中，例如，第二角度是选自大于约5°且小于或等于约25°的范围的任何角度。在至少一个实例中，例如，第二角度是选自大于约10°且小于或等于约20°的范围的任何角度。
除上述以外，凹坑扩展部15514包括第二夹套15534，第二夹套15534在许多方面类似于第一夹套15532。类似于第一夹套15532，第二夹套15534从外部组织接触表面15516突出，以隐藏延伸超出外部组织接触表面15516的钉腿的尖端。第二夹套15534包括从第二端部15524突出的端部15538，从端部15538延伸的内侧壁15540和外侧壁15542，以形成第二夹套15534。
虽然在图119中示出一个凹坑扩展部15514，但是应当理解，例如，一个或多个其他凹坑扩展部15514可从外部组织接触表面15516突出。在至少一个实例中，例如，第一夹套15532和第二夹套15534通过侧壁连接以限定完全环绕钉腔的凹坑扩展部。
本文所述的许多外科器械系统由电动马达促动；然而，本文所述的外科器械系统可以以任何合适的方式促动。在各种实例中，例如，本文所述的外科器械系统可由手动操作的触发器促动。在某些实例中，本文公开的马达可包括机器人控制系统的一个或多个部分。此外，本文所公开的端部执行器和/或工具组件中的任一个可与机器人外科器械系统一起使用。图82A示意性地示出机器人外科器械系统20'；然而，例如，名称为“SURGICALSTAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS”的美国专利申请序列号13/118，241(现为美国专利申请公布2012/0298719)更详细地公开了机器人外科器械系统的若干实例。
已结合钉的部署和变形描述了本文所述的外科器械系统；然而，本文所述的实施方案不限于此。例如，可以设想部署除钉之外的紧固件诸如夹具或大头钉的各种实施方案。此外，还可设想利用用于密封组织的任何合适装置的各种实施方案。例如，根据各种实施方案的端部执行器可包括被构造成能够加热和密封组织的电极。另外，例如，根据某些实施方案的端部执行器可施加振动能量来密封组织。
下述专利的全部公开内容据此以引用方式并入本文：
提交于1997年3月12日的名称为“LINEAR STAPLER WITH IMPROVED FIRINGSTROKE”的欧洲专利申请号12/795298；
公布于1997年2月25日的名称为“TRIGGER MECHANISM FOR SURGICALINSTRUMENTS”的美国专利5,605,272；
公布于1997年12月16日的名称为“LINEAR STAPLER WITH IMPROVED FIRINGSTROKE”的美国专利5,697,543；
提交于2005年11月10日的名称为“ARTICULATABLE SURGICAL INSTRUMENTCOMPRISING A FIRING DRIVE”的美国专利申请公布2005/0246881；
公布于2007年9月6日的名称为“METHOD FOR STAPLING TISSUE”的美国专利申请公布2007/0208359；
公布于1985年7月9日的名称为“DISPOSABLE LINEAR SURGICAL STAPLINGINSTRUMENT”的美国专利4,527,724；
公布于1992年8月11日的名称为“FAST CLOSURE DEVICE FOR LINEAR SURGICALSTAPLING INSTRUMENT”的美国专利5,137,198；
公布于1995年4月11日的名称为“FLEXIBLE SUPPORT SHAFT ASSEMBLY”的美国专利5,405,073；
公布于2013年1月29日的名称为“SURGICAL CUTTING AND STAPLING INSTRUMENTWITH SELF ADJUSTING ANVIL”的美国专利8,360,297；
提交于2015年7月30日的名称为“SURGICAL INSTRUMENT COMPRISING SYSTEMSFOR ASSURING THE PROPER SEQUENTIAL OPERATION OF THE SURGICAL INSTRUMENT”的美国专利申请序列号14/813,242；
提交于2015年7月30日的名称为“SURGICAL INSTRUMENT COMPRISING SEPARATETISSUE SECURING AND TISSUE CUTTING SYSTEMS”的美国专利申请序列号14/813,259；
提交于2015年7月30日的名称为“SURGICAL INSTRUMENT COMPRISING SYSTEMSFOR PERMITTING THE OPTIONAL TRANSECTION OF TISSUE”的美国专利申请序列号14/813,266；
提交于2015年7月30日的名称为“SURGICAL INSTRUMENT COMPRISING A SYSTEMFOR BYPASSING AN OPERATIONAL STEP OF THE SURGICAL INSTRUMENT”的美国专利申请序列号14/813,274；
公布于1995年4月4日的名称为“ELECTROSURGICAL HEMOSTATIC DEVICE”的美国专利5,403,312；
公布于2006年2月21日的名称为“SURGICAL STAPLING INSTRUMENT HAVINGSEPARATE DISTINCT CLOSING AND FIRING SYSTEMS”的美国专利7,000,818；
公布于2008年9月9日的名称为“MOTOR-DRIVEN SURGICAL CUTTING ANDFASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK”的美国专利7,422,139；
公布于2008年12月16日的名称为“ELECTRO-MECHANICAL SURGICAL INSTRUMENTWITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS”的美国专利7,464,849；
公布于2010年3月2日的名称为“SURGICAL INSTRUMENT HAVING AN ARTICULATINGEND EFFECTOR”的美国专利7,670,334；
公布于2010年7月13日的名称为“SURGICAL STAPLING INSTRUMENTS”的美国专利7,753,245；
公布于2013年3月12日的名称为“SELECTIVELY ORIENTABLE IMPLANTABLEFASTENER CARTRIDGE”的美国专利8,393,514；
名称为“SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES”的美国专利申请序列号11/343,803；现为美国专利7,845,537；
提交于2008年2月14日的名称为“SURGICAL CUTTING AND FASTENING INSTRUMENTHAVING RF ELECTRODES”的美国专利申请序列号12/031,573；
提交于2008年2月15日的名称为“END EFFECTORS FOR A SURGICAL CUTTING ANDSTAPLING INSTRUMENT”的美国专利申请序列号12/031,873，现为美国专利申请7,980,443；
名称为“MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT”的美国专利申请序列号12/235,782，现为美国专利8,210,411；
名称为“POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLYRETRACTABLE FIRING SYSTEM”的美国专利申请序列号12/249,117，现为美国专利8,608,045；
提交于2009年12月24日的名称为“MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENTWITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY”的美国专利申请序列号12/647,100；现为美国专利8,220,688；
提交于2012年9月29日的名称为“STAPLE CARTRIDGE”的美国专利申请序列号12/893,461，现为美国专利号8,733,613；
提交于2011年2月28日的名称为“SURGICAL STAPLING INSTRUMENT”的美国专利申请序列号13/036,647，现为美国专利号8,561,870；
名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS”的美国专利申请序列号13/118,241，现为美国专利9,072,535；
提交于2012年6月15日的名称为“ARTICULATABLE SURGICAL INSTRUMENTCOMPRISING A FIRING DRIVE”的美国专利申请序列号13/524,049；现为美国专利9,101,358；
提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,025，现为美国专利申请公布2014/0263551；
提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,067，现为美国专利申请公布2014/0263552；
提交于2006年1月31日的名称为“SURGICAL CUTTING AND FASTENING INSTRUMENTWITH CLOSURE TRIGGER LOCKING MECHANISM”的美国专利申请公布2007/0175955；以及
提交于2010年4月22日的名称为“SURGICAL STAPLING INSTRUMENT WITH ANARTICULATABLE END EFFECTOR”的美国专利申请公布2010/0264194，现为美国专利8,308,040。
虽然本文已结合某些实施方案描述了各种装置，但也可实现对这些实施方案的修改和变型。另外，在公开了用于某些部件的材料的情况下，也可使用其他材料。此外，根据多种实施方案，单个部件可被替换为多个部件，并且多个部件也可被替换为单个部件，以执行给定的一种或多种功能。上述具体实施方式和下述权利要求旨在涵盖所有此类修改和变型。
本文所公开的装置可被设计成在单次使用后废弃，或者其可被设计成多次使用。然而，在任何一种情况下，可以在至少一次使用之后修复设备以便重复使用。修复可包括步骤的任何组合，这些步骤包括但不限于拆卸装置，随后是清洁或替换装置的特定零件，以及随后重新组装装置。具体地，修复设施和/或外科团队可拆卸装置，并且在清洁和/或替换装置的特定部件之后，可重新组装该装置以供后续使用。本领域的技术人员将会理解，修整装置可利用各种技术来进行拆卸、清洁/替换和重新组装。此类技术的使用以及所得的修复装置均在本申请的范围内。
本文所公开的装置可在手术之前进行处理。首先，可以获得新的或用过的器械，并且根据需要进行清洁。然后，可对器械进行消毒。在一种灭菌技术中，将所述器械放置在密闭且密封的容器(诸如，塑料或TYVEK袋)中。然后可将容器和器械置于可穿透所述容器的辐射场，诸如γ辐射、X射线或/或高能电子。辐射可杀死器械上和容器中的细菌。消毒后的器械随后可被储存在无菌容器中。密封容器可将器械保持处于无菌状态，直至在医疗设施中将该容器打开。还可使用本领域已知的任何其他技术对装置进行灭菌，所述技术包括但不限于β辐射、γ辐射、环氧乙烷、等离子过氧化物和/或蒸汽。
尽管本发明已被描述为具有示例性设计，但可在本公开的实质和范围内进一步修改本发明。因此，本申请旨在涵盖使用本发明的一般原理的本发明的任何变型、用途或改型。
以引用方式全文或部分地并入本文的任何专利、公布或其他公开材料均仅在所并入的材料不与本发明所述的现有定义、陈述或其他公开材料相冲突的范围内并入本文。因此，并且在必要的程度下，本文明确列出的公开内容代替以引用方式并入本文的任何冲突材料。据称以引用方式并入本文但与本文列出的现有定义、陈述或其他公开材料相冲突的任何材料或其部分，将仅在所并入的材料与现有的公开材料之间不产生冲突的程度下并入。

Claims (17)

1.一种缝合器械系统，包括：
器械，所述器械包括柄部和输出部；和
可互换工具组件，所述可互换工具组件能够附接到所述器械，所述可互换工具组件包括：
壳体；
驱动输入部，所述驱动输入部能够与所述输出部操作地接合；和
端部执行器，所述端部执行器包括：
第一可旋转输出轴；
第二可旋转输出轴；和
传输装置，所述传输装置能够配置成以下三种操作状态：
第一操作状态，在所述第一操作状态中所述驱动输入部与所述第一可旋转输出轴操作地联接并与所述第二可旋转输出轴操作地分离；
第二操作状态，在所述第二操作状态中所述驱动输入部与所述第二可旋转输出轴操作地联接并与所述第一可旋转输出轴操作地分离；和
第三操作状态，在所述第三操作状态中所述驱动输入部与所述第一可旋转输出轴和所述第二可旋转输出轴操作地联接。
2.根据权利要求1所述的缝合器械系统，其中，所述端部执行器还包括钉仓，所述钉仓包括可移除地储存在其中的钉，并且其中所述第一可旋转输出轴为钉击发系统的一部分，所述钉击发系统被构造成能够从所述钉仓射出所述钉。
3.根据权利要求2所述的缝合器械系统，其中，所述端部执行器还包括切割构件，所述切割构件被构造成能够切割被捕获在所述端部执行器内的组织，并且其中所述第二可旋转输出轴与所述切割构件操作地接合。
4.根据权利要求2所述的缝合器械系统，其中，所述端部执行器还包括被构造成能够使所述钉变形的砧座，并且其中所述第二可旋转输出轴是被构造成能够使所述砧座在打开位置和闭合位置之间运动的闭合系统的一部分。
5.根据权利要求1所述的缝合器械系统，其中，所述端部执行器还包括切割构件，所述切割构件被构造成能够切割被捕获在所述端部执行器内的组织，并且其中所述第一可旋转输出轴与所述切割构件操作地接合。
6.根据权利要求5所述的缝合器械系统，其中，所述端部执行器还包括钉仓和砧座，所述钉仓包括可移除地储存在其中的钉，所述砧座被构造成能够使所述钉变形，并且其中所述第二可旋转输出轴是被构造成能够使所述砧座在打开位置和闭合位置之间运动的闭合系统的一部分。
7.根据权利要求1所述的缝合器械系统，其中，所述端部执行器包括框架，其中所述传输装置包括安装到所述框架的电驱动致动器。
8.根据权利要求1所述的缝合器械系统，其中，所述第一可旋转输出轴和所述第二可旋转输出轴同轴。
9.一种可互换工具组件，包括：
壳体；
可旋转的驱动输入部；和
端部执行器，所述端部执行器包括：
第一可旋转输出轴；
第二可旋转输出轴；和
传输装置，所述传输装置能够配置成以下三种操作状态：
第一操作状态，在所述第一操作状态中所述驱动输入部与所述第一可旋转输出轴操作地联接并与所述第二可旋转输出轴操作地分离；
第二操作状态，在所述第二操作状态中所述驱动输入部与所述第二可旋转输出轴操作地联接并与所述第一可旋转输出轴操作地分离；和
第三操作状态，在所述第三操作状态中所述驱动输入部与所述第一可旋转输出轴和所述第二可旋转输出轴操作地联接。
10.根据权利要求9所述的可互换工具组件，其中，所述端部执行器还包括钉仓，所述钉仓包括可移除地储存在其中的钉，并且其中所述第一可旋转输出轴为钉击发系统的一部分，所述钉击发系统被构造成能够从所述钉仓射出所述钉。
11.根据权利要求10所述的可互换工具组件，其中，所述端部执行器还包括切割构件，所述切割构件被构造成能够切割被捕获在所述端部执行器内的组织，并且其中所述第二可旋转输出轴与所述切割构件操作地接合。
12.根据权利要求10所述的可互换工具组件，其中，所述端部执行器还包括被构造成能够使所述钉变形的砧座，并且其中所述第二可旋转输出轴是被构造成能够使所述砧座在打开位置和闭合位置之间运动的闭合系统的一部分。
13.根据权利要求9所述的可互换工具组件，其中，所述端部执行器还包括切割构件，所述切割构件被构造成能够切割被捕获在所述端部执行器内的组织，并且其中所述第一可旋转输出轴与所述切割构件操作地接合。
14.根据权利要求13所述的可互换工具组件，其中，所述端部执行器还包括钉仓和砧座，所述钉仓包括可移除地储存在其中的钉，所述砧座被构造成能够使所述钉变形，并且其中所述第二可旋转输出轴是被构造成能够使所述砧座在打开位置和闭合位置之间运动的闭合系统的一部分。
15.根据权利要求9所述的可互换工具组件，其中，所述端部执行器包括框架，其中所述传输装置包括安装到所述框架的电驱动致动器。
16.根据权利要求9所述的可互换工具组件，其中，所述第一可旋转输出轴和所述第二可旋转输出轴同轴。
17.一种可互换工具组件，包括：
壳体；
可旋转的驱动输入部；和
端部执行器，所述端部执行器包括：
第一可旋转输出轴；
第二可旋转输出轴；和
电致动切换装置，所述电致动切换装置能够配置成以下三种操作配置：
第一操作配置，在所述第一操作配置中所述驱动输入部与所述第一可旋转输出轴操作地联接并与所述第二可旋转输出轴操作地分离；
第二操作配置，在所述第二操作配置中所述驱动输入部与所述第二可旋转输出轴操作地联接并与所述第一可旋转输出轴操作地分离；和
第三操作配置，在所述第三操作配置中所述驱动输入部与所述第一可旋转输出轴和所述第二可旋转输出轴操作地联接。
CN201780034196.8A 2016-04-01 2017-03-28 包括可移位传输装置的外科缝合系统 Active CN109310417B (zh)

Applications Claiming Priority (17)

Application Number Priority Date Filing Date Title
US15/089,321 US10271851B2 (en) 2016-04-01 2016-04-01 Modular surgical stapling system comprising a display
US15/089,349 US10682136B2 (en) 2016-04-01 2016-04-01 Circular stapling system comprising load control
US15/089,300 US10456140B2 (en) 2016-04-01 2016-04-01 Surgical stapling system comprising an unclamping lockout
US15/089,325 US11045191B2 (en) 2016-04-01 2016-04-01 Method for operating a surgical stapling system
US15/089,196 US10568632B2 (en) 2016-04-01 2016-04-01 Surgical stapling system comprising a jaw closure lockout
US15/089,295 US10856867B2 (en) 2016-04-01 2016-04-01 Surgical stapling system comprising a tissue compression lockout
US15/089,284 US20170281186A1 (en) 2016-04-01 2016-04-01 Surgical stapling system comprising a contourable shaft
US15/089,278 US10420552B2 (en) 2016-04-01 2016-04-01 Surgical stapling system configured to provide selective cutting of tissue
US15/089,210 US10478190B2 (en) 2016-04-01 2016-04-01 Surgical stapling system comprising a spent cartridge lockout
US15/089,309 US10675021B2 (en) 2016-04-01 2016-04-01 Circular stapling system comprising rotary firing system
US15/089,336 US10709446B2 (en) 2016-04-01 2016-04-01 Staple cartridges with atraumatic features
US15/089,312 US11284890B2 (en) 2016-04-01 2016-04-01 Circular stapling system comprising an incisable tissue support
US15/089,326 US10433849B2 (en) 2016-04-01 2016-04-01 Surgical stapling system comprising a display including a re-orientable display field
US15/089,203 US10542991B2 (en) 2016-04-01 2016-04-01 Surgical stapling system comprising a jaw attachment lockout
US15/089,258 2016-04-01
US15/089,258 US10342543B2 (en) 2016-04-01 2016-04-01 Surgical stapling system comprising a shiftable transmission
PCT/US2017/024457 WO2017172704A2 (en) 2016-04-01 2017-03-28 Surgical stapling system comprising a shiftable transmission

Publications (2)

Publication Number Publication Date
CN109310417A CN109310417A (zh) 2019-02-05
CN109310417B true CN109310417B (zh) 2021-08-20

Family

ID=68069424

Family Applications (2)

Application Number Title Priority Date Filing Date
CN201780034196.8A Active CN109310417B (zh) 2016-04-01 2017-03-28 包括可移位传输装置的外科缝合系统
CN201780034152.5A Active CN109310416B (zh) 2016-04-01 2017-03-29 被构造成能够提供组织的选择性切割的外科缝合系统

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN201780034152.5A Active CN109310416B (zh) 2016-04-01 2017-03-29 被构造成能够提供组织的选择性切割的外科缝合系统

Country Status (6)

Country Link
US (16) US10342543B2 (zh)
EP (23) EP3225180A1 (zh)
JP (2) JP6882327B2 (zh)
CN (2) CN109310417B (zh)
BR (2) BR112018069861B1 (zh)
WO (15) WO2017172587A1 (zh)

Families Citing this family (720)

* 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
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
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
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
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
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US7552854B2 (en) 2006-05-19 2009-06-30 Applied Medical Resources Corporation Surgical stapler with firing lock mechanism
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7794475B2 (en) 2006-09-29 2010-09-14 Ethicon Endo-Surgery, Inc. Surgical staples having compressible or crushable members for securing tissue therein and stapling instruments for deploying the same
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US8733614B2 (en) * 2006-10-06 2014-05-27 Covidien Lp End effector identification by mechanical features
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
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8632535B2 (en) 2007-01-10 2014-01-21 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US8701958B2 (en) 2007-01-11 2014-04-22 Ethicon Endo-Surgery, Inc. Curved end effector for a surgical stapling device
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US7735703B2 (en) 2007-03-15 2010-06-15 Ethicon Endo-Surgery, Inc. Re-loadable surgical stapling instrument
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
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
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
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
US20130153641A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Releasable layer of material and surgical end effector having the same
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
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
CA2751664A1 (en) 2009-02-06 2010-08-12 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
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
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US8978954B2 (en) 2010-09-30 2015-03-17 Ethicon Endo-Surgery, Inc. Staple cartridge comprising an adjustable distal portion
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9861361B2 (en) 2010-09-30 2018-01-09 Ethicon Llc Releasable tissue thickness compensator and fastener cartridge having the same
US8998061B2 (en) * 2010-10-01 2015-04-07 Covidien Lp Surgical fastener applying apparatus
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8632462B2 (en) 2011-03-14 2014-01-21 Ethicon Endo-Surgery, Inc. Trans-rectum universal ports
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
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
MX353040B (es) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Unidad retenedora que incluye un compensador de grosor de tejido.
RU2014143258A (ru) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий множество слоев
RU2639857C2 (ru) 2012-03-28 2017-12-22 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий капсулу для среды с низким давлением
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
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
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
EP2866686A1 (en) 2012-06-28 2015-05-06 Ethicon Endo-Surgery, Inc. Empty clip cartridge lockout
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9445816B2 (en) * 2012-12-17 2016-09-20 Ethicon Endo-Surgery, Llc Circular stapler with selectable motorized and manual control
RU2672520C2 (ru) 2013-03-01 2018-11-15 Этикон Эндо-Серджери, Инк. Шарнирно поворачиваемые хирургические инструменты с проводящими путями для передачи сигналов
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
EP2967564B1 (en) 2013-03-14 2018-09-12 Applied Medical Resources Corporation Surgical stapler with partial pockets
US9629623B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgery, Llc Drive system lockout arrangements for modular surgical instruments
KR102600899B1 (ko) 2013-03-15 2023-11-10 어플라이드 메디컬 리소시스 코포레이션 확장가능 조를 갖는 수술용 스테이플러
KR102299681B1 (ko) 2013-03-15 2021-09-09 어플라이드 메디컬 리소시스 코포레이션 회전가능 샤프트를 구비한 구동 메커니즘을 갖는 수술용 스테이플러
US9867612B2 (en) 2013-04-16 2018-01-16 Ethicon Llc Powered surgical stapler
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9808249B2 (en) 2013-08-23 2017-11-07 Ethicon Llc Attachment portions for surgical instrument assemblies
MX369362B (es) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos.
US10980542B2 (en) 2016-11-14 2021-04-20 Ethicon Llc Circular surgical stapler with recessed deck
US10709452B2 (en) 2013-09-23 2020-07-14 Ethicon Llc Methods and systems for performing circular stapling
FR3013206B1 (fr) * 2013-11-18 2015-12-11 Galiana Jean Marc Dispositif chirurgical multifonctionnel rechargeable et jetable
US9549735B2 (en) 2013-12-23 2017-01-24 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a firing member including fastener transfer surfaces
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
WO2015153340A2 (en) * 2014-03-29 2015-10-08 Standard Bariatrics, Inc. End effectors surgical stapling devices, and methods of using same
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US10610313B2 (en) * 2014-03-31 2020-04-07 Intuitive Surgical Operations, Inc. Surgical instrument with shiftable transmission
JP6636452B2 (ja) 2014-04-16 2020-01-29 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 異なる構成を有する延在部を含む締結具カートリッジ
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US10542988B2 (en) 2014-04-16 2020-01-28 Ethicon Llc End effector comprising an anvil including projections extending therefrom
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
JP6612256B2 (ja) 2014-04-16 2019-11-27 エシコン エルエルシー 不均一な締結具を備える締結具カートリッジ
EP3785644B1 (en) 2014-06-11 2023-11-01 Applied Medical Resources Corporation Surgical stapler with circumferential firing
US9730694B2 (en) * 2014-07-01 2017-08-15 Covidien Lp Loading unit including shipping assembly
US10016199B2 (en) 2014-09-05 2018-07-10 Ethicon Llc Polarity of hall magnet to identify cartridge type
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
EP3682815B1 (en) 2014-09-15 2021-11-10 Applied Medical Resources Corporation Surgical stapler with self-adjusting staple height
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
MX2017003960A (es) 2014-09-26 2017-12-04 Ethicon Llc Refuerzos de grapas quirúrgicas y materiales auxiliares.
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
RU2703684C2 (ru) 2014-12-18 2019-10-21 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9968355B2 (en) 2014-12-18 2018-05-15 Ethicon Llc Surgical instruments with articulatable end effectors and improved firing beam support arrangements
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
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
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
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
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10405855B2 (en) * 2015-06-26 2019-09-10 Ethicon Llc Firing circuit for surgical stapler
US11154300B2 (en) 2015-07-30 2021-10-26 Cilag Gmbh International Surgical instrument comprising separate tissue securing and tissue cutting systems
US10194913B2 (en) * 2015-07-30 2019-02-05 Ethicon Llc Surgical instrument comprising systems for assuring the proper sequential operation of the surgical instrument
EP3331455B1 (en) 2015-08-06 2019-10-09 Applied Medical Resources Corporation Surgical stapler having locking articulation joint
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
US10980538B2 (en) 2015-08-26 2021-04-20 Ethicon Llc Surgical stapling configurations for curved and circular stapling instruments
RU2725081C2 (ru) 2015-08-26 2020-06-29 ЭТИКОН ЭлЭлСи Полоски с хирургическими скобами, допускающие наличие скоб с переменными свойствами и обеспечивающие простую загрузку кассеты
US10314587B2 (en) 2015-09-02 2019-06-11 Ethicon Llc Surgical staple cartridge with improved staple driver configurations
MX2022006191A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
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
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10603039B2 (en) 2015-09-30 2020-03-31 Ethicon Llc Progressively releasable implantable adjunct for use with a surgical stapling instrument
US10736685B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10285699B2 (en) 2015-09-30 2019-05-14 Ethicon Llc Compressible adjunct
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10542992B2 (en) * 2015-10-19 2020-01-28 Covidien Lp Loading unit with stretchable bushing
US10952726B2 (en) 2015-12-10 2021-03-23 Covidien Lp Handheld electromechanical surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10828058B2 (en) 2016-01-15 2020-11-10 Ethicon Llc Modular battery powered handheld surgical instrument with motor control limits based on tissue characterization
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10413291B2 (en) 2016-02-09 2019-09-17 Ethicon Llc Surgical instrument articulation mechanism with slotted secondary constraint
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10349937B2 (en) * 2016-02-10 2019-07-16 Covidien Lp Surgical stapler with articulation locking mechanism
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10342543B2 (en) 2016-04-01 2019-07-09 Ethicon Llc Surgical stapling system comprising a shiftable transmission
US10376263B2 (en) 2016-04-01 2019-08-13 Ethicon Llc Anvil modification members for surgical staplers
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US10531874B2 (en) 2016-04-01 2020-01-14 Ethicon Llc Surgical cutting and stapling end effector with anvil concentric drive member
BR112018070094A2 (pt) * 2016-04-01 2019-02-05 Ethicon Llc sistema de grampeamento cirúrgico
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
KR102535333B1 (ko) 2016-04-12 2023-05-30 어플라이드 메디컬 리소시스 코포레이션 수술용 스테이플러에 대한 재장전 샤프트 어셈블리
KR20240038159A (ko) 2016-04-12 2024-03-22 어플라이드 메디컬 리소시스 코포레이션 전동 핸들을 갖는 수술용 스테이플러
CA3020952A1 (en) 2016-04-12 2017-10-19 Applied Medical Resources Corporation Surgical stapler having articulation mechanism
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
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
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10736637B2 (en) * 2016-05-10 2020-08-11 Covidien Lp Brake for adapter assemblies for surgical devices
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
US10542979B2 (en) 2016-06-24 2020-01-28 Ethicon Llc Stamped staples and staple cartridges using the same
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
JP6957532B2 (ja) 2016-06-24 2021-11-02 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ワイヤステープル及び打ち抜き加工ステープルを含むステープルカートリッジ
US10603041B2 (en) 2016-11-14 2020-03-31 Ethicon Llc Circular surgical stapler with angularly asymmetric deck features
USD833608S1 (en) 2016-11-14 2018-11-13 Ethicon Llc Stapling head feature for surgical stapler
USD830550S1 (en) 2016-11-14 2018-10-09 Ethicon Llc Surgical stapler
USD837373S1 (en) 2016-11-14 2019-01-01 Ethicon Llc Surgical stapler
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
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
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
US20180168618A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
JP7086963B2 (ja) 2016-12-21 2022-06-20 エシコン エルエルシー エンドエフェクタロックアウト及び発射アセンブリロックアウトを備える外科用器具システム
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US20180168609A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Firing assembly comprising a fuse
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10542982B2 (en) 2016-12-21 2020-01-28 Ethicon Llc Shaft assembly comprising first and second articulation lockouts
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US20180168598A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Staple forming pocket arrangements comprising zoned forming surface grooves
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
US10835246B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
CN110087565A (zh) 2016-12-21 2019-08-02 爱惜康有限责任公司 外科缝合系统
CN110099619B (zh) 2016-12-21 2022-07-15 爱惜康有限责任公司 用于外科端部执行器和可替换工具组件的闭锁装置
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US20180168647A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments having end effectors with positive opening features
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
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
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
USD833010S1 (en) * 2017-02-17 2018-11-06 Ethicon Llc Stapling head feature for a surgical stapler
US10342534B2 (en) * 2017-03-23 2019-07-09 Covidien Lp Surgical stapling device with releasable knife carrier
US10433842B2 (en) * 2017-04-07 2019-10-08 Lexington Medical, Inc. Surgical handle assembly
US10932784B2 (en) * 2017-06-09 2021-03-02 Covidien Lp Handheld electromechanical surgical system
US11596400B2 (en) 2017-06-09 2023-03-07 Covidien Lp Handheld electromechanical surgical system
US11045199B2 (en) 2017-06-09 2021-06-29 Covidien Lp Handheld electromechanical surgical system
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
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
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
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
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
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity 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
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11071548B2 (en) * 2017-06-27 2021-07-27 Cilag Gmbh International Powered circular stapler with reciprocating drive member to provide independent stapling and cutting of tissue
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10828029B2 (en) * 2017-06-27 2020-11-10 Ethicon Llc Surgical stapler with independently actuated drivers to provide varying staple heights
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil 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
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
USD835785S1 (en) * 2017-06-27 2018-12-11 Ethicon Llc Handle for surgical stapler
US10888324B2 (en) 2017-06-27 2021-01-12 Ethicon Llc Powered surgical instrument with independent selectively applied rotary and linear drivetrains
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11298128B2 (en) 2017-06-28 2022-04-12 Cilag Gmbh International Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same
US11678880B2 (en) 2017-06-28 2023-06-20 Cilag Gmbh International Surgical instrument comprising a shaft including a housing arrangement
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10786253B2 (en) 2017-06-28 2020-09-29 Ethicon Llc Surgical end effectors with improved jaw aperture arrangements
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
JP7250758B2 (ja) * 2017-08-10 2023-04-03 プロ－デツクス・インコーポレイテツド 締結具の内視鏡的留置のための関節動作ツール
US11058428B2 (en) * 2017-09-27 2021-07-13 Cilag Gmbh International Circular stapling instrument with asymmetric molded shroud components
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
EP3476329B1 (en) * 2017-10-30 2022-06-22 Ethicon LLC Surgical instruments comprising a system for articulation and rotation compensation
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US10987104B2 (en) * 2017-10-30 2021-04-27 Covidien Lp Apparatus for endoscopic procedures
US11026687B2 (en) 2017-10-30 2021-06-08 Cilag Gmbh International Clip applier comprising clip advancing systems
US10736616B2 (en) 2017-10-30 2020-08-11 Ethicon Llc Surgical instrument with remote release
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US10932804B2 (en) 2017-10-30 2021-03-02 Ethicon Llc Surgical instrument with sensor and/or control systems
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
CN111565655B (zh) * 2017-10-30 2023-10-24 爱惜康有限责任公司 用于模块化外科器械的控制系统布置
US10980560B2 (en) 2017-10-30 2021-04-20 Ethicon Llc Surgical instrument systems comprising feedback mechanisms
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11129634B2 (en) 2017-10-30 2021-09-28 Cilag Gmbh International Surgical instrument with rotary drive selectively actuating multiple end effector functions
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11364027B2 (en) 2017-12-21 2022-06-21 Cilag Gmbh International Surgical instrument comprising speed control
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
JP2021506429A (ja) * 2017-12-21 2021-02-22 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 同期駆動システムを備える外科用器具
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US10595887B2 (en) 2017-12-28 2020-03-24 Ethicon Llc Systems for adjusting end effector parameters based on perioperative information
US11672605B2 (en) 2017-12-28 2023-06-13 Cilag Gmbh International Sterile field interactive control displays
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
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
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
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
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
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
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
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US20190201087A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Smoke evacuation system including a segmented control circuit for interactive surgical platform
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
US10932872B2 (en) 2017-12-28 2021-03-02 Ethicon Llc Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
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
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US11213359B2 (en) 2017-12-28 2022-01-04 Cilag Gmbh International Controllers for robot-assisted surgical platforms
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
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US10898622B2 (en) 2017-12-28 2021-01-26 Ethicon Llc Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device
US10695081B2 (en) 2017-12-28 2020-06-30 Ethicon Llc Controlling a surgical instrument according to sensed closure parameters
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
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
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
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
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
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
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
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
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
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
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
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
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
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
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
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11612408B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Determining tissue composition via an ultrasonic system
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
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US20190201139A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication arrangements for robot-assisted surgical platforms
WO2019169010A1 (en) * 2018-02-27 2019-09-06 Applied Medical Resources Corporation Surgical stapler having a powered handle
US11839396B2 (en) 2018-03-08 2023-12-12 Cilag Gmbh International Fine dissection mode for tissue classification
US11701162B2 (en) 2018-03-08 2023-07-18 Cilag Gmbh International Smart blade application for reusable and disposable devices
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11497501B2 (en) * 2018-03-26 2022-11-15 Covidien Lp Circular stapling device with A-frame splines
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US11166716B2 (en) 2018-03-28 2021-11-09 Cilag Gmbh International Stapling instrument comprising a deactivatable lockout
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11589865B2 (en) 2018-03-28 2023-02-28 Cilag Gmbh International Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US20190298353A1 (en) 2018-03-28 2019-10-03 Ethicon Llc Surgical stapling devices with asymmetric closure features
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
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
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11051841B2 (en) 2018-04-12 2021-07-06 Ethicon Llc Mechanical lockout for ultrasonic surgical instrument
US11076881B2 (en) 2018-04-12 2021-08-03 Cilag Gmbh International Electrical lockout for ultrasonic surgical instrument
US11160578B2 (en) 2018-04-12 2021-11-02 Cilag Gmbh International Mechanical lockout for ultrasonic surgical instrument
US10945755B2 (en) 2018-04-12 2021-03-16 Ethicon Llc Mechanical lockout for ultrasonic surgical instrument
US11160556B2 (en) * 2018-04-23 2021-11-02 Covidien Lp Threaded trocar for adapter assemblies
US11896230B2 (en) * 2018-05-07 2024-02-13 Covidien Lp Handheld electromechanical surgical device including load sensor having spherical ball pivots
WO2019246373A1 (en) * 2018-06-22 2019-12-26 Boston Scientific Scimed, Inc. Tissue removal device
US11497490B2 (en) * 2018-07-09 2022-11-15 Covidien Lp Powered surgical devices including predictive motor control
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
CN112584780A (zh) * 2018-08-24 2021-03-30 柯惠有限合伙公司 电动圆形钉合装置
US11141163B2 (en) 2018-10-04 2021-10-12 Covidien Lp Circular stapling device with anvil rotation locking structure
US11051819B2 (en) * 2018-10-15 2021-07-06 Cilag Gmbh International Latch to prevent back-driving of circular surgical stapler
US11090051B2 (en) * 2018-10-23 2021-08-17 Covidien Lp Surgical stapling device with floating staple cartridge
US11147561B2 (en) 2018-11-28 2021-10-19 Covidien Lp Reload assembly for a circular stapling device
US11202628B2 (en) 2018-12-28 2021-12-21 Cilag Gmbh International Surgical stapler with tissue engagement features around tissue containment pin
US11701109B2 (en) * 2018-12-28 2023-07-18 Cilag Gmbh International Surgical stapler with sloped staple deck for varying tissue compression
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11291445B2 (en) 2019-02-19 2022-04-05 Cilag Gmbh International Surgical staple cartridges with integral authentication keys
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
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
CA3131187A1 (en) 2019-02-27 2020-09-03 Applied Medical Resources Corporation Surgical stapling instrument having a two-position lockout mechanism
USD916286S1 (en) * 2019-03-08 2021-04-13 Ethicon Llc Surgical stapler washer
USD916283S1 (en) * 2019-03-08 2021-04-13 Ethicon Llc Surgical stapler washer
USD916285S1 (en) * 2019-03-08 2021-04-13 Ethicon Llc Surgical stapler washer
USD916284S1 (en) * 2019-03-08 2021-04-13 Ethicon Llc Surgical stapler washer
US11376000B2 (en) * 2019-03-13 2022-07-05 Covidien Lp Surgical stapler anvil with directionally biased staple pockets
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
EP3946079A1 (en) 2019-03-29 2022-02-09 Applied Medical Resources Corporation Reload cover for surgical stapling system
CN109981851B (zh) * 2019-04-03 2021-06-04 维沃移动通信有限公司 移动终端及移动终端的控制方法
US11701136B2 (en) * 2019-04-16 2023-07-18 Cilag Gmbh International Unclamp lockout mechanism for a surgical tool
US11660116B2 (en) 2019-04-16 2023-05-30 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11317945B2 (en) * 2019-04-16 2022-05-03 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11344330B2 (en) 2019-04-16 2022-05-31 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11419631B2 (en) * 2019-04-16 2022-08-23 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
CN109998617A (zh) * 2019-04-29 2019-07-12 上海博洽医疗器械有限公司 多用途的腔镜外科器械
US20200345359A1 (en) 2019-04-30 2020-11-05 Ethicon Llc Tissue stop for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US20200345356A1 (en) 2019-04-30 2020-11-05 Ethicon Llc Intelligent firing associated with a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US20200345357A1 (en) 2019-04-30 2020-11-05 Ethicon Llc Intelligent firing associated with a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
EP3756827A1 (de) * 2019-06-27 2020-12-30 Hilti Aktiengesellschaft Verfahren zum betreiben einer werkzeugmaschine und werkzeugmaschine
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
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
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US20200405306A1 (en) * 2019-06-28 2020-12-31 Ethicon Llc Surgical instrument including a firing system bailout
US11361176B2 (en) 2019-06-28 2022-06-14 Cilag Gmbh International Surgical RFID assemblies for compatibility detection
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
AU2019459615A1 (en) * 2019-07-31 2022-03-10 Covidien Lp Hand-held electromechanical surgical instruments
US11185324B2 (en) * 2019-09-18 2021-11-30 Cilag Gmbh International Anvil retention and release features for powered circular surgical stapler
US11123068B2 (en) * 2019-11-08 2021-09-21 Covidien Lp Surgical staple cartridge
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11844520B2 (en) 2019-12-19 2023-12-19 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
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
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
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US20210196359A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instruments with electrodes having energy focusing features
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US20210196363A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with electrodes operable in bipolar and monopolar modes
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11707318B2 (en) 2019-12-30 2023-07-25 Cilag Gmbh International Surgical instrument with jaw alignment features
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11744636B2 (en) 2019-12-30 2023-09-05 Cilag Gmbh International Electrosurgical systems with integrated and external power sources
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
AU2020417805A1 (en) 2019-12-31 2022-06-16 Applied Medical Resources Corporation Electrosurgical system with tissue and maximum current identification
CN113162307B (zh) * 2020-01-07 2023-04-07 桂林智神信息技术股份有限公司 一种消除锁定间隙的电机锁结构、电机及稳定器
US11298131B2 (en) 2020-01-15 2022-04-12 Lexington Medical, Inc. Multidirectional apparatus
US11116501B1 (en) 2020-04-10 2021-09-14 Lexington Medical, Inc. Surgical handle articulation assemblies
US11191537B1 (en) * 2020-05-12 2021-12-07 Covidien Lp Stapling device with continuously parallel jaws
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
US20220015766A1 (en) * 2020-07-16 2022-01-20 Covidien Lp Systems and methods for clamping and stapling to a pressure by a surgical stapling instrument
US11660090B2 (en) 2020-07-28 2023-05-30 Cllag GmbH International Surgical instruments with segmented flexible drive arrangements
US11877744B2 (en) 2020-08-14 2024-01-23 Covidien Lp Low-cost powered stapler with end stop selection
US11918195B2 (en) * 2020-09-29 2024-03-05 Cilag Gmbh International Decoupling mechanisms for surgical tools
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US20220133300A1 (en) 2020-10-29 2022-05-05 Ethicon Llc Surgical instrument comprising a stowed closure actuator stop
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
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
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11771428B2 (en) 2020-10-29 2023-10-03 Applied Medical Resources Corporation Actuation shaft retention mechanism for surgical stapler
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
AU2021369828A1 (en) 2020-10-29 2023-06-01 Applied Medical Resources Corporation Surgical stapler having a powered handle
US20220133303A1 (en) 2020-10-29 2022-05-05 Ethicon Llc Surgical instrument comprising sealable interface
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
CN114552277A (zh) * 2020-11-24 2022-05-27 台达电子工业股份有限公司 充电枪
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
CN112617941B (zh) * 2020-12-04 2022-01-28 苏州贝诺医疗器械有限公司 一种吻合器可降低损耗的微调机构
US11759206B2 (en) * 2021-01-05 2023-09-19 Covidien Lp Surgical stapling device with firing lockout mechanism
US11864757B2 (en) 2021-01-15 2024-01-09 Lexington, Medical, Inc. Reloadable cartridge assembly
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US20220273303A1 (en) 2021-02-26 2022-09-01 Ethicon Llc Staple cartridge comrising a sensing array and a temperature control system
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
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
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
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
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
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
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
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
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
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11622764B2 (en) 2021-04-27 2023-04-11 Lexington Medical, Inc. Surgical handle assembly
US20220346860A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical systems configured to control therapeutic energy application to tissue based on cartridge and tissue parameters
US20220346786A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Shaft system for surgical instrument
US20220346859A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical instrument comprising independently activatable segmented electrodes
US11918275B2 (en) 2021-04-30 2024-03-05 Cilag Gmbh International Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity
US20220346787A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Interchangeable end effector reloads
US20220346773A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical staple for use with combination electrosurgical instruments
US11826043B2 (en) 2021-04-30 2023-11-28 Cilag Gmbh International Staple cartridge comprising formation support features
US11931035B2 (en) 2021-04-30 2024-03-19 Cilag Gmbh International Articulation system for surgical instrument
US20220346853A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Electrosurgical techniques for sealing, short circuit detection, and system determination of power level
US11944295B2 (en) 2021-04-30 2024-04-02 Cilag Gmbh International Surgical instrument comprising end effector with longitudinal sealing step
US20220346861A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical systems configured to cooperatively control end effector function and application of therapeutic energy
US20220346784A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical instrument comprising a closure bar and a firing bar
US20220346785A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Surgical instrument comprising end effector with energy sensitive resistance elements
US20220346781A1 (en) 2021-04-30 2022-11-03 Cilag Gmbh International Staple cartridge comprising staple drivers and stability supports
US11857184B2 (en) 2021-04-30 2024-01-02 Cilag Gmbh International Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife
BR112023023389A2 (pt) 2021-05-10 2024-01-23 Cilag Gmbh Int Grampo cirúrgico absorvível que compreende um revestimento
US20220370065A1 (en) 2021-05-10 2022-11-24 Cilag Gmbh International Dissimilar staple cartridges with different bioabsorbable components
WO2022238847A1 (en) 2021-05-10 2022-11-17 Cilag Gmbh International Adaptive control of surgical stapling instrument based on staple cartridge type
US11890004B2 (en) 2021-05-10 2024-02-06 Cilag Gmbh International Staple cartridge comprising lubricated staples
EP4178458A1 (en) 2021-05-10 2023-05-17 Cilag GmbH International System of surgical staple cartridges comprising absorbable staples
WO2022238836A1 (en) 2021-05-10 2022-11-17 Cilag Gmbh International Bioabsorbable staple comprising mechanisms for slowing the absorption of the staple
CN113288276B (zh) * 2021-05-25 2022-07-19 常州安康医疗器械有限公司 一种可调节钉砧结构的腔镜吻合器
WO2022249091A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a mounted shaft orientation sensor
WO2022249094A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a control system that controls a firiing stroke length
WO2022249099A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a firing lockout
JP2024520515A (ja) 2021-05-28 2024-05-24 シラグ・ゲーエムベーハー・インターナショナル 関節運動制御ディスプレイを備えるステープル留め器具
BR112023022595A2 (pt) 2021-05-28 2024-01-16 Cilag Gmbh Int Instrumento de grampeamento compreendendo engastes de garra
WO2022249088A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a staple cartridge insertion stop
US11918217B2 (en) 2021-05-28 2024-03-05 Cilag Gmbh International Stapling instrument comprising a staple cartridge insertion stop
US11819208B2 (en) 2021-08-05 2023-11-21 Covidien Lp Handheld electromechanical surgical device with strain gauge drift detection
US11744592B2 (en) 2021-08-05 2023-09-05 Covidien Lp Handheld electromechanical stapler with tissue thickness detection
US11944310B2 (en) 2021-08-13 2024-04-02 Cilag Gmbh International Non-circular end effector features for surgical stapler
US11666339B2 (en) * 2021-08-13 2023-06-06 Cilag Gmbh International Circular surgical stapler for forming cross-pattern of staples
US11653926B2 (en) * 2021-08-13 2023-05-23 Cilag Gmbh International Circular surgical stapler for forming pattern of non-tangential staples
US11998209B2 (en) 2021-08-13 2024-06-04 Cilag Gmbh International Staple forming features for circular surgical stapler
US20230049352A1 (en) * 2021-08-13 2023-02-16 Cilag Gmbh International Circular surgical stapler end effector having staple line alignment feature
US11911039B2 (en) 2021-08-13 2024-02-27 Cilag Gmbh International Circular surgical stapler having staples with expandable crowns
US11576671B1 (en) * 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US12004744B2 (en) 2021-09-27 2024-06-11 Cilag Gmbh International Staple and staple-forming pocket arrangements for surgical staplers
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US20230121835A1 (en) 2021-10-18 2023-04-20 Cilag Gmbh International Anvil comprising an arrangement of forming pockets proximal to tissue stop
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US20230135282A1 (en) 2021-10-28 2023-05-04 Cilag Gmbh International Staple cartridge identification systems
US20230138743A1 (en) 2021-10-28 2023-05-04 Cilag Gmbh International Method and device for transmitting uart communications over a security short range wireless communication
US20230138314A1 (en) 2021-10-28 2023-05-04 Cilag Gmbh International Surgical device with internal communication that combines multiple signals per wire
US20230134883A1 (en) 2021-10-28 2023-05-04 Cilag Gmbh International Alternate means to establish resistive load force
US20230135811A1 (en) 2021-10-28 2023-05-04 Cilag Gmbh International Surgical instrument cartridge with unique resistor for surgical instrument identification
US11896232B2 (en) * 2021-11-24 2024-02-13 Cilag Gmbh International Tissue stabilizing features for circular surgical stapler
WO2023242762A1 (en) 2022-06-17 2023-12-21 Cilag Gmbh International Smart circular staplers

Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0807408A1 (en) * 1996-05-13 1997-11-19 Ethicon Endo-Surgery, Inc. Articulation Transmission mechanism for surgical instruments
EP1621142A2 (en) * 2004-07-28 2006-02-01 Ethicon Endo-Surgery, Inc. Surgical stapler with firing lockout mechanism
EP1813199A1 (en) * 2006-01-31 2007-08-01 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
CN101095621A (zh) * 2006-06-27 2008-01-02 伊西康内外科公司 手动驱动外科切割和紧固器械
EP1915952A2 (en) * 2006-08-02 2008-04-30 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
CN101283924A (zh) * 2007-04-13 2008-10-15 Tyco医疗健康集团 动力外科器械
EP2030579A2 (en) * 2007-08-31 2009-03-04 Tyco Healthcare Group LP Surgical instrument having a plastic surface
EP2090246A2 (en) * 2008-02-14 2009-08-19 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
CN102112064A (zh) * 2008-07-30 2011-06-29 新域公司 具有能更换的筒式部件的锚固件输送系统
CN102202586A (zh) * 2008-12-25 2011-09-28 泉工医科工业株式会社 夹持部件、夹具及吻合器
CN202526241U (zh) * 2011-12-23 2012-11-14 瑞奇外科器械(中国)有限公司 手术切割缝合器械及其驱动装置
CN103118615A (zh) * 2010-09-24 2013-05-22 伊西康内外科公司 用于铰接外科装置的控制结构
EP2792313A2 (en) * 2013-04-16 2014-10-22 Ethicon Endo-Surgery, Inc. Powered linear surgical stapler
WO2015153636A1 (en) * 2014-04-01 2015-10-08 Intuitive Surgical Operations, Inc. Control input accuracy for teleoperated surgical instrument

Family Cites Families (1913)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE273689C (zh) 1913-08-07 1914-05-08
US357351A (en) 1887-02-08 Pocket-clasp
US768658A (en) 1904-01-09 1904-08-30 Joseph Dongille Hair-holding device.
US803193A (en) 1905-01-27 1905-10-31 Emily H Richards Appliance for surgical beds.
US811742A (en) 1905-06-19 1906-02-06 Margaret Petrie Drip attachment for bottles.
US971519A (en) 1909-11-02 1910-10-04 Charles A Brannen Hair-holder.
FR459743A (fr) 1912-09-14 1913-11-12 Bariquant Et Marre Des Atel Transmission flexible
US2224882A (en) 1939-08-01 1940-12-17 Herbert G Peck Umbrella
US2445071A (en) 1947-02-07 1948-07-13 Kovacs Stella Hairdressing ring
US2457274A (en) 1947-04-24 1948-12-28 Louis L Rifken Towel or cloth holder
US2547295A (en) 1948-11-12 1951-04-03 Weeks Wendy Hair retaining device
FR999646A (fr) 1949-11-16 1952-02-04 Dispositif serre-câble
US2742955A (en) 1951-01-13 1956-04-24 Richard A Dominguez Collapsible seat structure
US2718894A (en) 1953-04-14 1955-09-27 Tip Top Products Company Ring comb
FR1112936A (fr) 1954-10-20 1956-03-20 Moteur électrique et commande à trois vitesses enfermés dans une gaine
US2853074A (en) 1956-06-15 1958-09-23 Edward A Olson Stapling instrument for surgical purposes
US2975788A (en) 1959-02-05 1961-03-21 Ardelyan Michael Hair ornament
US3080564A (en) 1959-09-10 1963-03-12 Strekopitov Alexey Alexeevich Instrument for stitching hollow organs
GB939929A (en) 1959-10-30 1963-10-16 Vasilii Fedotovich Goodov Instrument for stitching blood vessels, intestines, bronchi and other soft tissues
SU143738A1 (ru) 1960-06-15 1960-11-30 А.А. Стрекопытов Способ ушивани ткани легкого двухр дными погружными швами
US3187308A (en) 1961-07-03 1965-06-01 Gen Electric Information storage system for microwave computer
US3096960A (en) 1961-07-03 1963-07-09 Thurlow R Kinney Implement holder
US3157308A (en) 1961-09-05 1964-11-17 Clark Mfg Co J L Canister type container and method of making the same
US3170213A (en) 1962-07-31 1965-02-23 Jr Fred G Thomas Clasping devices
US3166072A (en) 1962-10-22 1965-01-19 Jr John T Sullivan Barbed clips
US3266494A (en) 1963-08-26 1966-08-16 Possis Machine Corp Powered forceps
US3359978A (en) 1964-10-26 1967-12-26 Jr Raymond M Smith Guide needle for flexible catheters
US3357070A (en) 1966-03-11 1967-12-12 Harriet L Soloan Accessories for hairdos and articles of apparel
US3490675A (en) 1966-10-10 1970-01-20 United States Surgical Corp Instrument for placing lateral gastrointestinal anastomoses
US3494533A (en) 1966-10-10 1970-02-10 United States Surgical Corp Surgical stapler for stitching body organs
GB1210522A (en) 1966-10-10 1970-10-28 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
US3348595A (en) 1967-03-15 1967-10-24 Walter Landor Bag closure structure
GB1217159A (en) 1967-12-05 1970-12-31 Coventry Gauge & Tool Co Ltd Torque limiting device
JPS4711908Y1 (zh) 1968-01-18 1972-05-02
DE1775926A1 (de) 1968-08-28 1972-01-27 Ver Deutsche Metallwerke Ag Versfaerkungen fuer Kunststoff-Bowdenzugfuehrungsschlaeuche ohne Drahtverstaerkung
US3551987A (en) 1968-09-12 1971-01-05 Jack E Wilkinson Stapling clamp for gastrointestinal surgery
US3643851A (en) 1969-08-25 1972-02-22 United States Surgical Corp Skin stapler
US3744495A (en) 1970-01-02 1973-07-10 M Johnson Method of securing prolapsed vagina in cattle
US3662939A (en) 1970-02-26 1972-05-16 United States Surgical Corp Surgical stapler for skin and fascia
US3717294A (en) 1970-12-14 1973-02-20 Surgical Corp Cartridge and powering instrument for stapling skin and fascia
US3746002A (en) 1971-04-29 1973-07-17 J Haller Atraumatic surgical clamp
GB1339394A (en) 1972-04-06 1973-12-05 Vnii Khirurgicheskoi Apparatur Dies for surgical stapling instruments
US3819100A (en) 1972-09-29 1974-06-25 United States Surgical Corp Surgical stapling instrument
USRE28932E (en) 1972-09-29 1976-08-17 United States Surgical Corporation Surgical stapling instrument
JPS5033988U (zh) 1973-07-21 1975-04-11
US3918920A (en) 1974-01-07 1975-11-11 Beckman Instruments Inc Holder for sample containers of different sizes
US3863639A (en) 1974-04-04 1975-02-04 Richard N Kleaveland Disposable visceral retainer
US3962757A (en) 1975-03-17 1976-06-15 Gedney John F Fabric fastener
SU566574A1 (ru) 1975-05-04 1977-07-30 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Аппарат дл наложени линейного скобочного шва на органы и ткани
SU674747A1 (ru) 1976-11-24 1979-07-25 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Аппарат дл механического сшивани тканей
GB1602562A (en) 1977-05-26 1981-11-11 United States Surgical Corp Surgical stapling instrument
US4304236A (en) 1977-05-26 1981-12-08 United States Surgical Corporation Stapling instrument having an anvil-carrying part of particular geometric shape
US4573468A (en) 1977-05-26 1986-03-04 United States Surgical Corporation Hollow body organ stapling instrument and disposable cartridge employing relief vents
CA1124605A (en) 1977-08-05 1982-06-01 Charles H. Klieman Surgical stapler
US4138055A (en) 1977-09-01 1979-02-06 Harrison Howard M Periodical holder
US4190042A (en) 1978-03-16 1980-02-26 Manfred Sinnreich Surgical retractor for endoscopes
US4207898A (en) 1978-03-27 1980-06-17 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4198982A (en) 1978-03-31 1980-04-22 Memorial Hospital For Cancer And Allied Diseases Surgical stapling instrument and method
GB2024012B (en) 1978-04-10 1982-07-28 Johnson & Johnson Oxygen-generating surgical dressing
US4203180A (en) 1979-03-09 1980-05-20 Striplin Charles D Holder for vegetables such as broccoli
SU886900A1 (ru) 1979-03-26 1981-12-07 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени линейных швов
US4274398A (en) 1979-05-14 1981-06-23 Scott Jr Frank B Surgical retractor utilizing elastic tubes frictionally held in spaced notches
US4272002A (en) 1979-07-23 1981-06-09 Lawrence M. Smith Internal surgical stapler
US4267995A (en) 1979-10-09 1981-05-19 Mcmillan Ronald R Wire holder
SU1022703A1 (ru) 1979-12-20 1983-06-15 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический аппарат дл наложени компрессионных швов
AU534210B2 (en) 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
US4429695A (en) 1980-02-05 1984-02-07 United States Surgical Corporation Surgical instruments
JPS56112235A (en) 1980-02-07 1981-09-04 Vnii Ispytatel Med Tech Surgical suturing implement for suturing staple
US4396139A (en) 1980-02-15 1983-08-02 Technalytics, Inc. Surgical stapling system, apparatus and staple
US4289133A (en) 1980-02-28 1981-09-15 Senco Products, Inc. Cut-through backup washer for the scalpel of an intraluminal surgical stapling instrument
US4331277A (en) 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
USD265877S (en) 1980-06-23 1982-08-24 Silver Street, Incorporated Drumstick holder
DE3036217C2 (de) 1980-09-25 1986-12-18 Siemens AG, 1000 Berlin und 8000 München Fernbedienbares medizinisches Gerät
AU542936B2 (en) 1980-10-17 1985-03-28 United States Surgical Corporation Self centering staple
US4500024A (en) 1980-11-19 1985-02-19 Ethicon, Inc. Multiple clip applier
US4379457A (en) 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
SU1009439A1 (ru) 1981-03-24 1983-04-07 Предприятие П/Я Р-6094 Хирургический сшивающий аппарат дл наложени анастомозов на пищеварительном тракте
SU982676A1 (ru) 1981-04-07 1982-12-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургическа скобка
US4439884A (en) 1981-04-07 1984-04-03 Gastone Giorni Container with bristles for cleaning instruments
US4383634A (en) 1981-05-26 1983-05-17 United States Surgical Corporation Surgical stapler apparatus with pivotally mounted actuator assemblies
US4470180A (en) 1981-05-26 1984-09-11 Minnesota Mining And Manufacturing Company Device for restraining an object or objects therein
FR2509490B1 (fr) 1981-07-09 1985-02-22 Tractel Sa Mecanisme de debrayage pour appareil de traction agissant sur un cable qui le traverse
US4475679A (en) 1981-08-07 1984-10-09 Fleury Jr George J Multi-staple cartridge for surgical staplers
US4417890A (en) 1981-08-17 1983-11-29 Baxter Travenol Laboratories, Inc. Antibacterial closure
US4632290A (en) 1981-08-17 1986-12-30 United States Surgical Corporation Surgical stapler apparatus
US4576167A (en) 1981-09-03 1986-03-18 United States Surgical Corporation Surgical stapler apparatus with curved shaft
JPS5844033A (ja) 1981-09-11 1983-03-14 富士写真光機株式会社 内視鏡用アダプタ−型処置具導入装置
US4402445A (en) 1981-10-09 1983-09-06 United States Surgical Corporation Surgical fastener and means for applying same
US4809695A (en) 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
US4415112A (en) 1981-10-27 1983-11-15 United States Surgical Corporation Surgical stapling assembly having resiliently mounted anvil
DE3204532C2 (de) 1982-02-10 1983-12-08 B. Braun Melsungen Ag, 3508 Melsungen Chirurgische Hautklammer
SU1114405A1 (ru) 1982-02-23 1984-09-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени компрессионных анастомозов на органы пищеварительного тракта
DE3210466A1 (de) 1982-03-22 1983-09-29 Peter Dipl.-Kfm. Dr. 6230 Frankfurt Gschaider Verfahren und vorrichtung zur durchfuehrung von handhabungsprozessen
US4408692A (en) 1982-04-12 1983-10-11 The Kendall Company Sterile cover for instrument
US4664305A (en) 1982-05-04 1987-05-12 Blake Joseph W Iii Surgical stapler
US4473077A (en) * 1982-05-28 1984-09-25 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4483455A (en) 1982-08-20 1984-11-20 The Carousel Group, Inc. Food storage container system
JPS59168848A (ja) 1983-03-11 1984-09-22 エチコン・インコ−ポレ−テツド 非金属製の生物に適合性の無菌の外科装置
US4652820A (en) 1983-03-23 1987-03-24 North American Philips Corporation Combined position sensor and magnetic motor or bearing
US4506671A (en) 1983-03-30 1985-03-26 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US4522327A (en) 1983-05-18 1985-06-11 United States Surgical Corporation Surgical fastener applying apparatus
US4527724A (en) 1983-06-10 1985-07-09 Senmed, Inc. Disposable linear surgical stapling instrument
GR81919B (zh) 1983-06-20 1984-12-12 Ethicon Inc
JPS604610A (ja) 1983-06-21 1985-01-11 北川工業株式会社 物品の保持具
SU1175891A1 (ru) 1983-08-16 1985-08-30 Предприятие П/Я А-7840 Устройство дл формовани изделий
US4944443A (en) 1988-04-22 1990-07-31 Innovative Surgical Devices, Inc. Surgical suturing instrument and method
US4669647A (en) 1983-08-26 1987-06-02 Technalytics, Inc. Surgical stapler
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
US4619391A (en) 1984-04-18 1986-10-28 Acme United Corporation Surgical stapling instrument
US5002553A (en) 1984-05-14 1991-03-26 Surgical Systems & Instruments, Inc. Atherectomy system with a clutch
GB8417562D0 (en) 1984-07-10 1984-08-15 Surgical Design Services Fasteners
IN165375B (zh) 1984-07-16 1989-10-07 Ethicon Inc
US4605004A (en) 1984-07-16 1986-08-12 Ethicon, Inc. Surgical instrument for applying fasteners said instrument including force supporting means (case IV)
US4585153A (en) 1984-07-16 1986-04-29 Ethicon, Inc. Surgical instrument for applying two-piece fasteners comprising frictionally held U-shaped staples and receivers (Case III)
US4655222A (en) 1984-07-30 1987-04-07 Ethicon, Inc. Coated surgical staple
US4671445A (en) 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4754909A (en) 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4644610A (en) 1984-09-06 1987-02-24 Fish Ivan L Disc shaped holder with an expandable center hole
US4605001A (en) 1984-10-19 1986-08-12 Senmed, Inc. Surgical stapling instrument with dual staple height mechanism
US4566620A (en) 1984-10-19 1986-01-28 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4573622A (en) 1984-10-19 1986-03-04 United States Surgical Corporation Surgical fastener applying apparatus with variable fastener arrays
US4580712A (en) 1984-10-19 1986-04-08 United States Surgical Corporation Surgical fastener applying apparatus with progressive application of fastener
US4608981A (en) 1984-10-19 1986-09-02 Senmed, Inc. Surgical stapling instrument with staple height adjusting mechanism
US4767044A (en) 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
US4633874A (en) 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
JPS61209647A (ja) 1985-03-14 1986-09-17 須广　久善 血管吻合用の切開口拡開器
EP0205672B1 (en) 1985-06-27 1988-09-28 Haagexport B.V. Device for closing bags and the like
US4750902A (en) 1985-08-28 1988-06-14 Sonomed Technology, Inc. Endoscopic ultrasonic aspirators
US4728020A (en) 1985-08-30 1988-03-01 United States Surgical Corporation Articulated surgical fastener applying apparatus
CH670753A5 (zh) 1985-09-10 1989-07-14 Vnii Ispytatel Med Tech
SU1377053A1 (ru) 1985-10-02 1988-02-28 В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин Хирургический сшивающий аппарат
US4715520A (en) 1985-10-10 1987-12-29 United States Surgical Corporation Surgical fastener applying apparatus with tissue edge control
SU1333319A2 (ru) 1985-12-10 1987-08-30 Петрозаводский государственный университет им.О.В.Куусинена Ушиватель полых органов
US4634419A (en) 1985-12-13 1987-01-06 Cooper Lasersonics, Inc. Angulated ultrasonic surgical handpieces and method for their production
US4662555A (en) 1986-03-11 1987-05-05 Edward Weck & Company, Inc. Surgical stapler
US4700703A (en) 1986-03-27 1987-10-20 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4903697A (en) 1986-03-27 1990-02-27 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4909789A (en) 1986-03-28 1990-03-20 Olympus Optical Co., Ltd. Observation assisting forceps
US4827911A (en) 1986-04-02 1989-05-09 Cooper Lasersonics, Inc. Method and apparatus for ultrasonic surgical fragmentation and removal of tissue
US4747820A (en) 1986-04-09 1988-05-31 Cooper Lasersonics, Inc. Irrigation/aspiration manifold and fittings for ultrasonic surgical aspiration system
JPS62170011U (zh) 1986-04-16 1987-10-28
ATE96633T1 (de) 1986-04-21 1993-11-15 Globe Control Finanz Aktienges Vorrichtung zur herstellung einer anastomose.
SU1561964A1 (ru) 1986-04-24 1990-05-07 Благовещенский государственный медицинский институт Хирургический сшивающий аппарат
FR2598905B1 (fr) 1986-05-22 1993-08-13 Chevalier Jean Michel Dispositif d'interruption de la circulation d'un fluide dans un conduit a paroi souple, notamment un viscere creux et ensemble de pince comportant ce dispositif
US4744363A (en) 1986-07-07 1988-05-17 Hasson Harrith M Intra-abdominal organ stabilizer, retractor and tissue manipulator
US4727308A (en) 1986-08-28 1988-02-23 International Business Machines Corporation FET power converter with reduced switching loss
US4752024A (en) 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
US4893622A (en) 1986-10-17 1990-01-16 United States Surgical Corporation Method of stapling tubular body organs
JPH0755222B2 (ja) 1986-12-12 1995-06-14 オリンパス光学工業株式会社 処置具
US4865030A (en) 1987-01-21 1989-09-12 American Medical Systems, Inc. Apparatus for removal of objects from body passages
EP0302093A4 (en) 1987-02-10 1989-08-30 Vaso Products Australia Pty Lt DEVICE FOR APPLYING VENIC CUFFS, MAGAZINE AND CUFFS THEREFOR.
US4873977A (en) 1987-02-11 1989-10-17 Odis L. Avant Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis
US4719917A (en) 1987-02-17 1988-01-19 Minnesota Mining And Manufacturing Company Surgical staple
DE3709067A1 (de) 1987-03-19 1988-09-29 Ewald Hensler Medizinisches, insbesondere chirurgisches instrument
US5119983A (en) 1987-05-26 1992-06-09 United States Surgical Corporation Surgical stapler apparatus
US4941623A (en) 1987-05-12 1990-07-17 United States Surgical Corporation Stapling process and device for use on the mesentery of the abdomen
US4844068A (en) 1987-06-05 1989-07-04 Ethicon, Inc. Bariatric surgical instrument
US5027834A (en) 1987-06-11 1991-07-02 United States Surgical Corporation Stapling process for use on the mesenteries of the abdomen
US4848637A (en) 1987-06-11 1989-07-18 Pruitt J Crayton Staple device for use on the mesenteries of the abdomen
US4773420A (en) 1987-06-22 1988-09-27 U.S. Surgical Corporation Purse string applicator
US4772133A (en) 1987-07-23 1988-09-20 Volk Henry J Carrying handle for bagged food items
US4821939A (en) 1987-09-02 1989-04-18 United States Surgical Corporation Staple cartridge and an anvilless surgical stapler
US5158567A (en) 1987-09-02 1992-10-27 United States Surgical Corporation One-piece surgical staple
SU1509051A1 (ru) 1987-09-14 1989-09-23 Институт прикладной физики АН СССР Ушиватель органов
US5015227A (en) 1987-09-30 1991-05-14 Valleylab Inc. Apparatus for providing enhanced tissue fragmentation and/or hemostasis
US4931047A (en) 1987-09-30 1990-06-05 Cavitron, Inc. Method and apparatus for providing enhanced tissue fragmentation and/or hemostasis
US4921479A (en) 1987-10-02 1990-05-01 Joseph Grayzel Catheter sheath with longitudinal seam
US5080088A (en) 1987-11-09 1992-01-14 Minnesota Scientific, Inc. Flexible retractor
US4819853A (en) 1987-12-31 1989-04-11 United States Surgical Corporation Surgical fastener cartridge
US5084057A (en) 1989-07-18 1992-01-28 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
GB8800909D0 (en) 1988-01-15 1988-02-17 Ethicon Inc Gas powered surgical stapler
US4805823A (en) 1988-03-18 1989-02-21 Ethicon, Inc. Pocket configuration for internal organ staplers
USD319903S (en) 1988-08-05 1991-09-10 Barner Edward L Stocking holder
CA1327424C (en) 1988-09-16 1994-03-08 James C. Armour Compact tampon applicator
US4869415A (en) 1988-09-26 1989-09-26 Ethicon, Inc. Energy storage means for a surgical stapler
CA1308782C (en) 1988-10-13 1992-10-13 Gyrus Medical Limited Screening and monitoring instrument
US4914789A (en) 1988-10-18 1990-04-10 Pedersen Oliver L Closure clip member for flexible bags and the like
US4892244A (en) 1988-11-07 1990-01-09 Ethicon, Inc. Surgical stapler cartridge lockout device
ATE129622T1 (de) 1988-11-11 1995-11-15 United States Surgical Corp Chirurgisches instrument.
US4978333A (en) 1988-12-20 1990-12-18 Valleylab, Inc. Resonator for surgical handpiece
US4986808A (en) 1988-12-20 1991-01-22 Valleylab, Inc. Magnetostrictive transducer
US5098360A (en) 1988-12-26 1992-03-24 Tochigifujisangyo Kabushiki Kaisha Differential gear with limited slip and locking mechanism
US5108368A (en) 1990-01-04 1992-04-28 Pilot Cardiovascular System, Inc. Steerable medical device
EP0389102B1 (en) 1989-02-22 1995-05-10 United States Surgical Corporation Skin fastener
US4930674A (en) 1989-02-24 1990-06-05 Abiomed, Inc. Surgical stapler
US5104397A (en) 1989-04-14 1992-04-14 Codman & Shurtleff, Inc. Multi-position latching mechanism for forceps
SU1708312A1 (ru) 1989-05-16 1992-01-30 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический аппарат дл сшивани костной ткани
US5040715B1 (en) 1989-05-26 1994-04-05 United States Surgical Corp Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US4955959A (en) 1989-05-26 1990-09-11 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
US5505363A (en) 1989-05-26 1996-04-09 United States Surgical Corporation Surgical staples with plated anvils
US5016575A (en) 1989-06-30 1991-05-21 Gordon Richard A Animal collar
US6004330A (en) 1989-08-16 1999-12-21 Medtronic, Inc. Device or apparatus for manipulating matter
US4984564A (en) 1989-09-27 1991-01-15 Frank Yuen Surgical retractor device
CH677728A5 (zh) 1989-10-17 1991-06-28 Bieffe Medital Sa
US5239981A (en) 1989-11-16 1993-08-31 Effner Biomet Gmbh Film covering to protect a surgical instrument and an endoscope to be used with the film covering
US5156609A (en) 1989-12-26 1992-10-20 Nakao Naomi L Endoscopic stapling device and method
AU7082091A (en) 1990-02-13 1991-08-15 Ethicon Inc. Rotating head skin stapler
US5454365A (en) 1990-11-05 1995-10-03 Bonutti; Peter M. Mechanically expandable arthroscopic retractors
US5088997A (en) 1990-03-15 1992-02-18 Valleylab, Inc. Gas coagulation device
US5014899A (en) 1990-03-30 1991-05-14 United States Surgical Corporation Surgical stapling apparatus
SU1722476A1 (ru) 1990-04-02 1992-03-30 Свердловский Филиал Научно-Производственного Объединения "Фтизиопульмонология" Устройство дл временной окклюзии трубчатых органов
JPH0415747A (ja) 1990-04-29 1992-01-21 Nippon Syst Design Kk 自動在庫管理システムと自動在庫管理装置
US5116349A (en) 1990-05-23 1992-05-26 United States Surgical Corporation Surgical fastener apparatus
US5074454A (en) 1990-06-04 1991-12-24 Peters Ronald L Surgical stapler
US5342395A (en) 1990-07-06 1994-08-30 American Cyanamid Co. Absorbable surgical repair devices
SU1752361A1 (ru) 1990-07-10 1992-08-07 Производственное Объединение "Челябинский Тракторный Завод Им.В.И.Ленина" Хирургический сшивающий аппарат
RU2008830C1 (ru) 1990-07-13 1994-03-15 Константин Алексеевич Додонов Электрохирургический аппарат
US5234447A (en) 1990-08-28 1993-08-10 Robert L. Kaster Side-to-end vascular anastomotic staple apparatus
US5389102A (en) 1990-09-13 1995-02-14 United States Surgical Corporation Apparatus and method for subcuticular stapling of body tissue
US5653373A (en) 1990-09-17 1997-08-05 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5156315A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5104025A (en) 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
DE69120208T3 (de) 1990-10-05 2001-02-15 United States Surgical Corp Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5470009A (en) 1990-12-06 1995-11-28 United States Surgical Corporation Surgical fastening apparatus with locking mechanism
CA2055943C (en) 1990-12-06 2003-09-23 Daniel P. Rodak Surgical fastening apparatus with locking mechanism
USRE36720E (en) 1990-12-13 2000-05-30 United States Surgical Corporation Apparatus and method for applying latchless surgical clips
US5122156A (en) 1990-12-14 1992-06-16 United States Surgical Corporation Apparatus for securement and attachment of body organs
US5082005A (en) 1990-12-18 1992-01-21 New England Deaconess Hospital Surgical access device
ATE137944T1 (de) 1990-12-18 1996-06-15 United States Surgical Corp Sicherheitsvorrichtung für chirurgische klammersetzgeräte
US5141144A (en) 1990-12-18 1992-08-25 Minnesota Mining And Manufacturing Company Stapler and firing device
US5195505A (en) 1990-12-27 1993-03-23 United States Surgical Corporation Surgical retractor
US5354303A (en) 1991-01-09 1994-10-11 Endomedix Corporation Devices for enclosing, manipulating, debulking and removing tissue through minimal incisions
US5222963A (en) 1991-01-17 1993-06-29 Ethicon, Inc. Pull-through circular anastomosic intraluminal stapler with absorbable fastener means
US5342385A (en) 1991-02-05 1994-08-30 Norelli Robert A Fluid-expandable surgical retractor
DE4104755A1 (de) 1991-02-15 1992-08-20 Heidmueller Harald Chirurgisches instrument
US5571285A (en) 1991-02-19 1996-11-05 Ethicon, Inc. Surgical staple for insertion into tissue
CA2061319A1 (en) 1991-02-19 1992-08-20 Hector Chow Surgical staple for insertion into tissue
CA2061885A1 (en) 1991-03-14 1992-09-15 David T. Green Approximating apparatus for surgical jaw structure
US5336232A (en) 1991-03-14 1994-08-09 United States Surgical Corporation Approximating apparatus for surgical jaw structure and method of using the same
US5170925A (en) 1991-03-18 1992-12-15 Ethicon, Inc. Laparoscopic stapler with knife means
SU1814161A1 (en) 1991-03-19 1993-05-07 Penzen Nii Elektronno Mekh Pri Electric motor
WO1992017117A1 (fr) * 1991-03-29 1992-10-15 Laboratoire Perouse Implant Agrafeuse chirurgicale
US5065929A (en) 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US5171249A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier
US5171247A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier with rotating shaft
US5246156A (en) 1991-09-12 1993-09-21 Ethicon, Inc. Multiple fire endoscopic stapling mechanism
US5257713A (en) 1991-05-07 1993-11-02 United States Surgical Corporation Surgical fastening device
US5413267A (en) 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
AU671685B2 (en) 1991-05-14 1996-09-05 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
US5137198A (en) 1991-05-16 1992-08-11 Ethicon, Inc. Fast closure device for linear surgical stapling instrument
JP2581082Y2 (ja) 1991-05-24 1998-09-17 三洋電機株式会社 電池装置
FI93607C (fi) 1991-05-24 1995-05-10 John Koivukangas Leikkaustoimenpidelaite
US5361752A (en) 1991-05-29 1994-11-08 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US5370134A (en) 1991-05-29 1994-12-06 Orgin Medsystems, Inc. Method and apparatus for body structure manipulation and dissection
US5527264A (en) 1991-05-29 1996-06-18 Origin Medsystem, Inc. Methods of using endoscopic inflatable retraction devices
US5190517A (en) 1991-06-06 1993-03-02 Valleylab Inc. Electrosurgical and ultrasonic surgical system
US5221036A (en) 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5490819A (en) 1991-08-05 1996-02-13 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5383888A (en) 1992-02-12 1995-01-24 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5391180A (en) 1991-08-05 1995-02-21 United States Surgical Corporation Articulating endoscopic surgical apparatus
AU2063592A (en) 1991-08-09 1993-02-11 Emerson Electric Co. Cordless power tool
US5282829A (en) 1991-08-15 1994-02-01 United States Surgical Corporation Hollow body implants
US5333773A (en) * 1991-08-23 1994-08-02 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
US5350104A (en) 1991-08-23 1994-09-27 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
GR920100358A (el) 1991-08-23 1993-06-07 Ethicon Inc Οργανο συρραφής χειρουργικής αναστομώσεως.
US5476479A (en) 1991-09-26 1995-12-19 United States Surgical Corporation Handle for endoscopic surgical instruments and jaw structure
CA2075319C (en) 1991-09-26 1998-06-30 Ernie Aranyi Handle for surgical instruments
CA2075141C (en) 1991-10-17 1998-06-30 Donald A. Morin Anvil for surgical staplers
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
AU657364B2 (en) 1991-10-18 1995-03-09 United States Surgical Corporation Self contained gas powered surgical apparatus
AU660712B2 (en) 1991-10-18 1995-07-06 United States Surgical Corporation 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
US5307976A (en) 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
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
US5711472A (en) 1991-10-18 1998-01-27 United States Surgical Corporation Self contained gas powered surgical apparatus
US5478003A (en) 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
US5397046A (en) 1991-10-18 1995-03-14 United States Surgical Corporation Lockout mechanism for surgical apparatus
US5443198A (en) 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
CA2078794C (en) 1991-10-18 1998-10-06 Frank J. Viola Locking device for an apparatus for applying surgical fasteners
DE537571T1 (de) 1991-10-18 1993-10-14 United States Surgical Corp Gerät zum Anbringen von chirurgischen Befestigungen.
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
US5326013A (en) 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5579978A (en) 1991-10-18 1996-12-03 United States Surgical Corporation Apparatus for applying surgical fasteners
US5197649A (en) 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5240163A (en) 1991-10-30 1993-08-31 American Cyanamid Company Linear surgical stapling instrument
US5350400A (en) 1991-10-30 1994-09-27 American Cyanamid Company Malleable, bioabsorbable, plastic staple; and method and apparatus for deforming such staple
JPH05123325A (ja) 1991-11-01 1993-05-21 Olympus Optical Co Ltd 処置具
US5741271A (en) 1991-11-05 1998-04-21 Nakao; Naomi L. Surgical retrieval assembly and associated method
US5395034A (en) 1991-11-07 1995-03-07 American Cyanamid Co. Linear surgical stapling instrument
CA2106410C (en) 1991-11-08 2004-07-06 Stuart D. Edwards Ablation electrode with insulated temperature sensing elements
JPH05144479A (ja) 1991-11-15 1993-06-11 Casio Comput Co Ltd 電池状態表示機構
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
KR0145453B1 (ko) 1992-01-21 1998-07-01 알렌 제이 전기외과용 투관침 제어장치
US5284128A (en) 1992-01-24 1994-02-08 Applied Medical Resources Corporation Surgical manipulator
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
WO1993015850A1 (en) 1992-02-07 1993-08-19 Valleylab, Inc. Ultrasonic surgical apparatus
AU3610693A (en) 1992-02-07 1993-09-03 Nakao, Naomi Endoscope with disposable insertion member
US5514157A (en) 1992-02-12 1996-05-07 United States Surgical Corporation Articulating endoscopic surgical apparatus
US5282806A (en) 1992-08-21 1994-02-01 Habley Medical Technology Corporation Endoscopic surgical instrument having a removable, rotatable, end effector assembly
CA2089999A1 (en) 1992-02-24 1993-08-25 H. Jonathan Tovey Resilient arm mesh deployer
GR1002537B (el) 1992-03-30 1997-01-27 Ethicon Inc. Χειρουργικος συνδετηρας για εισαγωγη εντος ιστου.
US5281216A (en) 1992-03-31 1994-01-25 Valleylab, Inc. Electrosurgical bipolar treating apparatus
US5484095A (en) 1992-03-31 1996-01-16 United States Surgical Corporation Apparatus for endoscopically applying staples individually to body tissue
US5236440A (en) 1992-04-14 1993-08-17 American Cyanamid Company Surgical fastener
DK50592A (da) 1992-04-15 1993-10-16 Jane Noeglebaek Christensen Baekkenbundstraeningsapparat
US5355897A (en) 1992-04-16 1994-10-18 Ethicon, Inc. Method of performing a pyloroplasty/pylorectomy using a stapler having a shield
US5211655A (en) 1992-05-08 1993-05-18 Hasson Harrith M Multiple use forceps for endoscopy
US5484451A (en) 1992-05-08 1996-01-16 Ethicon, Inc. Endoscopic surgical instrument and staples for applying purse string sutures
JPH0630945A (ja) 1992-05-19 1994-02-08 Olympus Optical Co Ltd 縫合器
US5344059A (en) 1992-05-19 1994-09-06 United States Surgical Corporation Surgical apparatus and anvil delivery system therefor
US5766246A (en) 1992-05-20 1998-06-16 C. R. Bard, Inc. Implantable prosthesis and method and apparatus for loading and delivering an implantable prothesis
JPH0647050A (ja) 1992-06-04 1994-02-22 Olympus Optical Co Ltd 組織縫合結紮器
US5906625A (en) 1992-06-04 1999-05-25 Olympus Optical Co., Ltd. Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue
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
US5258012A (en) 1992-06-30 1993-11-02 Ethicon, Inc. Surgical fasteners
US5221281A (en) 1992-06-30 1993-06-22 Valleylab Inc. Electrosurgical tubular trocar
US5258009A (en) 1992-06-30 1993-11-02 American Cyanamid Company Malleable, bioabsorbable,plastic staple having a knotted configuration; and method and apparatus for deforming such staple
US5368606A (en) 1992-07-02 1994-11-29 Marlow Surgical Technologies, Inc. Endoscopic instrument system
US5222975A (en) 1992-07-13 1993-06-29 Lawrence Crainich Surgical staples
US5511564A (en) 1992-07-29 1996-04-30 Valleylab Inc. Laparoscopic stretching instrument and associated method
US5762458A (en) 1996-02-20 1998-06-09 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5375588A (en) 1992-08-17 1994-12-27 Yoon; Inbae Method and apparatus for use in endoscopic procedures
CA2104345A1 (en) 1992-09-02 1994-03-03 David T. Green Surgical clamp apparatus
US5368215A (en) 1992-09-08 1994-11-29 United States Surgical Corporation Surgical apparatus and detachable anvil rod therefor
US5485952A (en) 1992-09-23 1996-01-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5465819A (en) 1992-09-29 1995-11-14 Borg-Warner Automotive, Inc. Power transmitting assembly
US5423471A (en) 1992-10-02 1995-06-13 United States Surgical Corporation Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures
US5330502A (en) 1992-10-09 1994-07-19 Ethicon, Inc. Rotational endoscopic mechanism with jointed drive mechanism
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
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
US5431323A (en) 1992-10-09 1995-07-11 Ethicon, Inc. Endoscopic surgical instrument with pivotable and rotatable staple cartridge
US5222945A (en) 1992-10-13 1993-06-29 Basnight Robert W Hypodermic syringe with protective shield
CA2108605A1 (en) 1992-10-21 1994-04-22 Nagabhushanam Totakura Bioabsorbable foam pledget
US5309927A (en) 1992-10-22 1994-05-10 Ethicon, Inc. Circular stapler tissue retention spring method
GB2272159A (en) 1992-11-10 1994-05-11 Andreas G Constantinides Surgical/diagnostic aid
IL103737A (en) 1992-11-13 1997-02-18 Technion Res & Dev Foundation Stapler device particularly useful in medical suturing
US5441483A (en) 1992-11-16 1995-08-15 Avitall; Boaz Catheter deflection control
US5389104A (en) 1992-11-18 1995-02-14 Symbiosis Corporation Arthroscopic surgical instruments
US5346504A (en) 1992-11-19 1994-09-13 Ethicon, Inc. Intraluminal manipulator with a head having articulating links
EP0768840B1 (en) 1992-11-30 2001-12-12 Sherwood Services AG Circuitry for an ultrasonic surgical instrument with an energy initiator to maintain the vibration and linear dynamics
US5807393A (en) 1992-12-22 1998-09-15 Ethicon Endo-Surgery, Inc. Surgical tissue treating device with locking mechanism
US5403312A (en) 1993-07-22 1995-04-04 Ethicon, Inc. Electrosurgical hemostatic device
FR2699806B1 (fr) 1992-12-30 1995-03-24 Duthoit Francois Instrument, destiné notamment à permettre l'extraction de tronçons veineux pathologiques tels que des varices.
US5304204A (en) 1993-02-09 1994-04-19 Ethicon, Inc. Receiverless surgical fasteners
US5383895A (en) 1993-02-10 1995-01-24 Unisurge, Inc. Endoscopic surgical grasper and method
US5263937A (en) 1993-02-11 1993-11-23 Shipp John I Trocar with profile to reduce insertion force
JPH06237937A (ja) 1993-02-12 1994-08-30 Olympus Optical Co Ltd 外科用縫合器
AU6236794A (en) 1993-02-22 1994-09-14 Valleylab, Inc. A laparoscopic dissection tension retractor device and method
US5613937A (en) 1993-02-22 1997-03-25 Heartport, Inc. Method of retracting heart tissue in closed-chest heart surgery using endo-scopic retraction
US5342396A (en) 1993-03-02 1994-08-30 Cook Melvin S Staples
WO1994020030A1 (en) 1993-03-02 1994-09-15 Cook Melvin S Improved staples
US5431676A (en) 1993-03-05 1995-07-11 Innerdyne Medical, Inc. Trocar system having expandable port
US5397324A (en) 1993-03-10 1995-03-14 Carroll; Brendan J. Surgical stapler instrument and method for vascular hemostasis
US5312329A (en) 1993-04-07 1994-05-17 Valleylab Inc. Piezo ultrasonic and electrosurgical handpiece
US5370645A (en) 1993-04-19 1994-12-06 Valleylab Inc. Electrosurgical processor and method of use
ES2109539T3 (es) 1993-04-20 1998-01-16 United States Surgical Corp Grapadora quirurgica.
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
US5431668A (en) 1993-04-29 1995-07-11 Ethicon, Inc. Ligating clip applier
US6716232B1 (en) 1993-04-30 2004-04-06 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
US5447265A (en) 1993-04-30 1995-09-05 Minnesota Mining And Manufacturing Company Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity
CA2159348A1 (en) 1993-04-30 1994-11-10 Claude A. Vidal Surgical instrument having an articulated jaw structure and a detachable knife
GB9309142D0 (en) 1993-05-04 1993-06-16 Gyrus Medical Ltd Laparoscopic instrument
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
US5381588A (en) 1993-05-11 1995-01-17 Nelson; Jeffrey A. Retaining and display device
US5549621A (en) 1993-05-14 1996-08-27 Byron C. Sutherland Apparatus and method for performing vertical banded gastroplasty
EP0699053B1 (en) 1993-05-14 1999-03-17 Sri International Surgical apparatus
JPH06327684A (ja) 1993-05-19 1994-11-29 Olympus Optical Co Ltd 外科用縫合具
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
US5404870A (en) 1993-05-28 1995-04-11 Ethicon, Inc. Method of using a transanal inserter
US5651762A (en) 1993-07-09 1997-07-29 Bridges; Doye R. Apparatus for holding intestines out of an operative field
US6063025A (en) 1993-07-09 2000-05-16 Bioenterics Corporation Apparatus for holding intestines out of an operative field
GB9314391D0 (en) 1993-07-12 1993-08-25 Gyrus Medical Ltd A radio frequency oscillator and an electrosurgical generator incorporating such an oscillator
US5478354A (en) 1993-07-14 1995-12-26 United States Surgical Corporation Wound closing apparatus and method
US5688270A (en) 1993-07-22 1997-11-18 Ethicon Endo-Surgery,Inc. Electrosurgical hemostatic device with recessed and/or offset electrodes
US5817093A (en) 1993-07-22 1998-10-06 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US5693051A (en) 1993-07-22 1997-12-02 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device with adaptive electrodes
US5709680A (en) 1993-07-22 1998-01-20 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5810811A (en) 1993-07-22 1998-09-22 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5372596A (en) 1993-07-27 1994-12-13 Valleylab Inc. Apparatus for leakage control and method for its use
US5441494A (en) 1993-07-29 1995-08-15 Ethicon, Inc. Manipulable hand for laparoscopy
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
US5447417A (en) 1993-08-31 1995-09-05 Valleylab Inc. Self-adjusting pump head and safety manifold cartridge for a peristaltic pump
US5419766A (en) 1993-09-28 1995-05-30 Critikon, Inc. Catheter with stick protection
US5405344A (en) 1993-09-30 1995-04-11 Ethicon, Inc. Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor
CA2133159A1 (en) 1993-09-30 1995-03-31 Eric J. Butterfield Surgical instrument having improved manipulating means
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
US5496312A (en) 1993-10-07 1996-03-05 Valleylab Inc. Impedance and temperature generator control
CA2132917C (en) 1993-10-07 2004-12-14 John Charles Robertson Circular anastomosis device
US6210403B1 (en) 1993-10-07 2001-04-03 Sherwood Services Ag Automatic control for energy from an electrosurgical generator
US5439155A (en) 1993-10-07 1995-08-08 United States Surgical Corporation Cartridge for surgical fastener applying apparatus
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
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
RU2098025C1 (ru) 1993-10-11 1997-12-10 Аркадий Вениаминович Дубровский Поворотное устройство
US5556416A (en) 1993-10-12 1996-09-17 Valleylab, Inc. Endoscopic instrument
GB9322464D0 (en) 1993-11-01 1993-12-22 Gyrus Medical Ltd Electrosurgical apparatus
JP3414455B2 (ja) 1993-11-02 2003-06-09 オリンパス光学工業株式会社 縫合装置
US5503635A (en) 1993-11-12 1996-04-02 United States Surgical Corporation Apparatus and method for performing compressional anastomoses
US5562690A (en) 1993-11-12 1996-10-08 United States Surgical Corporation Apparatus and method for performing compressional anastomoses
US5449355A (en) 1993-11-24 1995-09-12 Valleylab Inc. Retrograde tissue splitter and method
DE4340707C2 (de) 1993-11-30 1997-03-27 Wolf Gmbh Richard Manipulator
US5405073A (en) 1993-12-06 1995-04-11 Ethicon, Inc. Flexible support shaft assembly
US5465894A (en) 1993-12-06 1995-11-14 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5743456A (en) 1993-12-16 1998-04-28 Stryker Corporation Hand actuable surgical handpiece
US5422567A (en) 1993-12-27 1995-06-06 Valleylab Inc. High frequency power measurement
DE9490469U1 (de) 1993-12-30 1996-08-29 Valleylab, Inc., Boulder, Col. Bipolare Ultraschallchirurgie
AU1558995A (en) 1994-01-04 1995-08-01 Alpha Surgical Technologies, Inc. Stapling device
DE4446383C2 (de) 1994-01-12 2003-04-17 Emtec Magnetics Gmbh Dispergierharze
US5382247A (en) 1994-01-21 1995-01-17 Valleylab Inc. Technique for electrosurgical tips and method of manufacture and use
US5452837A (en) 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
AU1076195A (en) 1994-01-31 1995-08-15 Valleylab, Inc. Telescoping bipolar electrode for non-invasive medical procedures
US5597107A (en) 1994-02-03 1997-01-28 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5487500A (en) 1994-02-03 1996-01-30 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5465895A (en) 1994-02-03 1995-11-14 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
JPH0833642A (ja) 1994-02-25 1996-02-06 Ethicon Endo Surgery Inc 外科用ステープラのための改良アンビル承口
WO1995023557A1 (en) 1994-03-01 1995-09-08 United States Surgical Corporation Surgical stapler with anvil sensor and lockout
JP3421117B2 (ja) 1994-03-17 2003-06-30 テルモ株式会社 外科用器具
US5484398A (en) 1994-03-17 1996-01-16 Valleylab Inc. Methods of making and using ultrasonic handpiece
RU2052979C1 (ru) 1994-03-22 1996-01-27 Товарищество с ограниченной ответственностью "Дипы" ЛТД Аппарат для наложения зажимающих скрепок и магазин для прошивающих скобок или зажимающих скрепок
US5472442A (en) 1994-03-23 1995-12-05 Valleylab Inc. Moveable switchable electrosurgical handpiece
US5860581A (en) 1994-03-24 1999-01-19 United States Surgical Corporation Anvil for circular stapler
US5541376A (en) 1994-03-28 1996-07-30 Valleylab Inc Switch and connector
CA2145723A1 (en) 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5715987A (en) 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
US5695524A (en) 1994-04-05 1997-12-09 Tracor Aerospace, Inc. Constant width, adjustable grip, staple apparatus and method
CA2144818C (en) 1994-04-07 2006-07-11 Henry Bolanos Graduated anvil for surgical stapling instruments
JPH07285089A (ja) 1994-04-14 1995-10-31 Mitsubishi Heavy Ind Ltd ５指手腕機構
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
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
CA2148667A1 (en) 1994-05-05 1995-11-06 Carlo A. Mililli Self-contained powered surgical apparatus
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
US5843021A (en) 1994-05-09 1998-12-01 Somnus Medical Technologies, Inc. Cell necrosis apparatus
US5480409A (en) 1994-05-10 1996-01-02 Riza; Erol D. Laparoscopic surgical instrument
US5814057A (en) 1994-06-03 1998-09-29 Gunze Limited Supporting element for staple region
US5498201A (en) 1994-06-06 1996-03-12 Volk Enterprises, Inc. Retainer for poultry hocks
US5732872A (en) 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
US5558665A (en) 1994-06-24 1996-09-24 Archimedes Surgical, Inc. Surgical instrument and method for intraluminal retraction of an anatomic structure
US5807376A (en) 1994-06-24 1998-09-15 United States Surgical Corporation Apparatus and method for performing surgical tasks during laparoscopic procedures
JPH087708A (ja) 1994-06-27 1996-01-12 Ichikoh Ind Ltd ４方向スイッチ装置
DE4422621C1 (de) 1994-06-28 1995-08-31 Aesculap Ag Chirurgisches Instrument
GB9413070D0 (en) 1994-06-29 1994-08-17 Gyrus Medical Ltd Electrosurgical apparatus
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
DE9412228U1 (de) 1994-07-28 1994-09-22 Loctite Europa E.E.I.G. (E.W.I.V.), 85748 Garching Schlauchpumpe zur genauen Dosierung kleiner Flüssigkeitsmengen
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
US5507426A (en) 1994-08-05 1996-04-16 United States Surgical Corporation Apparatus for applying surgical fasteners
US5509916A (en) 1994-08-12 1996-04-23 Valleylab Inc. Laser-assisted electrosurgery system
US5513885A (en) 1994-08-15 1996-05-07 Joffe; Diane Bottle grip
US5480089A (en) 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
CA2146508C (en) 1994-08-25 2006-11-14 Robert H. Schnut Anvil for circular stapler
US5609601A (en) 1994-09-23 1997-03-11 United States Surgical Corporation Endoscopic surgical apparatus with rotation lock
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5685474A (en) 1994-10-04 1997-11-11 United States Surgical Corporation Tactile indicator for surgical instrument
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
US5575805A (en) 1994-10-07 1996-11-19 Li Medical Technologies, Inc. Variable tip-pressure surgical grasper
CN1163558A (zh) 1994-10-11 1997-10-29 查尔斯·H·克利曼 具有可拆卸的端部操作装置的内窥镜仪器
US5549637A (en) 1994-11-10 1996-08-27 Crainich; Lawrence Articulated medical instrument
US5891558A (en) 1994-11-22 1999-04-06 Tissue Engineering, Inc. Biopolymer foams for use in tissue repair and reconstruction
US7235089B1 (en) 1994-12-07 2007-06-26 Boston Scientific Corporation Surgical apparatus and method
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5636779A (en) 1994-12-13 1997-06-10 United States Surgical Corporation Apparatus for applying surgical fasteners
JPH08164141A (ja) 1994-12-13 1996-06-25 Olympus Optical Co Ltd 処置具
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
US5613966A (en) 1994-12-21 1997-03-25 Valleylab Inc System and method for accessory rate control
GB9425781D0 (en) 1994-12-21 1995-02-22 Gyrus Medical Ltd Electrosurgical instrument
US5628743A (en) 1994-12-21 1997-05-13 Valleylab Inc. Dual mode ultrasonic surgical apparatus
US5695494A (en) 1994-12-22 1997-12-09 Valleylab Inc Rem output stage topology
AU701320B2 (en) 1994-12-22 1999-01-28 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US5620452A (en) 1994-12-22 1997-04-15 Yoon; Inbae Surgical clip with ductile tissue penetrating members
US5713895A (en) 1994-12-30 1998-02-03 Valleylab Inc Partially coated electrodes
US5466020A (en) 1994-12-30 1995-11-14 Valleylab Inc. Bayonet connector for surgical handpiece
JPH10503408A (ja) 1995-02-03 1998-03-31 ヴァリーラブ・インコーポレーテッド ペンシルと組み合わせた電気外科用吸引器
AU4763296A (en) 1995-02-03 1996-08-21 Inbae Yoon Cannula with distal end valve
US5669907A (en) 1995-02-10 1997-09-23 Valleylab Inc. Plasma enhanced bipolar electrosurgical system
US5695504A (en) 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US5669904A (en) 1995-03-07 1997-09-23 Valleylab Inc. Surgical gas plasma ignition apparatus and method
US6213999B1 (en) 1995-03-07 2001-04-10 Sherwood Services Ag Surgical gas plasma ignition apparatus and method
US5681341A (en) 1995-03-14 1997-10-28 Origin Medsystems, Inc. Flexible lifting apparatus
DE19509116C2 (de) 1995-03-16 2000-01-05 Deutsch Zentr Luft & Raumfahrt Flexible Struktur
DE19509115C2 (de) 1995-03-16 1997-11-27 Deutsche Forsch Luft Raumfahrt Chirurgisches Gerät zum Vorbereiten einer Anastomose in minimal invasiver Operationstechnik
US5575799A (en) 1995-03-30 1996-11-19 United States Surgical Corporation Articulating surgical apparatus
USD374758S (en) 1995-03-31 1996-10-22 Vincent Armenta Headgear accessory
US5644799A (en) 1995-03-31 1997-07-08 Armenta; Vincent Headgear accessory
US5618307A (en) 1995-04-03 1997-04-08 Heartport, Inc. Clamp assembly and method of use
US6056735A (en) 1996-04-04 2000-05-02 Olympus Optical Co., Ltd. Ultrasound treatment system
US5619992A (en) 1995-04-06 1997-04-15 Guthrie; Robert B. Methods and apparatus for inhibiting contamination of reusable pulse oximetry sensors
US5624452A (en) 1995-04-07 1997-04-29 Ethicon Endo-Surgery, Inc. Hemostatic surgical cutting or stapling instrument
US5553765A (en) 1995-04-28 1996-09-10 Ethicon Endo-Surgery, Inc. Surgical stapler with improved operating lever mounting arrangement
JP3795100B2 (ja) 1995-05-08 2006-07-12 株式会社伊垣医療設計 医療用縫合材
JP3526487B2 (ja) 1995-05-08 2004-05-17 株式会社伊垣医療設計 医療用縫合材
WO1996035464A1 (en) 1995-05-12 1996-11-14 Perkins Rodney C Translumenal circumferential injector
US5630540A (en) 1995-05-24 1997-05-20 United States Surgical Corporation Surgical staple and staple drive member
US5599344A (en) 1995-06-06 1997-02-04 Valleylab Inc. Control apparatus for electrosurgical generator power output
JPH10506564A (ja) 1995-06-06 1998-06-30 ヴァリーラブ・インコーポレーテッド 電気外科用ゼネレータのためのディジタル波形発生
US5720744A (en) 1995-06-06 1998-02-24 Valleylab Inc Control system for neurosurgery
US5628745A (en) 1995-06-06 1997-05-13 Bek; Robin B. Exit spark control for an electrosurgical generator
AU5700796A (en) 1995-06-06 1996-12-24 Valleylab, Inc. Power control for an electrosurgical generator
US5814038A (en) 1995-06-07 1998-09-29 Sri International Surgical manipulator for a telerobotic system
FR2735350B1 (fr) 1995-06-15 1997-12-26 Maurice Lanzoni Dispositif developpeur d'efforts d'une pince coupante
DE69611912T3 (de) 1995-06-23 2005-06-09 Gyrus Medical Ltd. Elektrochirurgisches instrument
GB9600377D0 (en) 1996-01-09 1996-03-13 Gyrus Medical Ltd Electrosurgical instrument
US6015406A (en) 1996-01-09 2000-01-18 Gyrus Medical Limited Electrosurgical instrument
GB9604770D0 (en) 1995-06-23 1996-05-08 Gyrus Medical Ltd An electrosurgical generator and system
BR9609421A (pt) 1995-06-23 1999-05-18 Gyrus Medical Ltd Instrumento eletrocirúrgico
US6293942B1 (en) 1995-06-23 2001-09-25 Gyrus Medical Limited Electrosurgical generator method
WO1997001989A1 (en) 1995-07-03 1997-01-23 Frater Dirk A System for mounting bolster material on tissue staplers
US5630259A (en) 1995-07-05 1997-05-20 Ricketts; E. Randall Neckerchief slide
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
US5706998A (en) 1995-07-17 1998-01-13 United States Surgical Corporation Surgical stapler with alignment pin locking mechanism
US5702409A (en) 1995-07-21 1997-12-30 W. L. Gore & Associates, Inc. Device and method for reinforcing surgical staples
US5810855A (en) 1995-07-21 1998-09-22 Gore Enterprise Holdings, Inc. Endoscopic device and method for reinforcing surgical staples
US5611709A (en) 1995-08-10 1997-03-18 Valleylab Inc Method and assembly of member and terminal
US5718359A (en) 1995-08-14 1998-02-17 United States Of America Surgical Corporation Surgical stapler with lockout mechanism
US5839639A (en) 1995-08-17 1998-11-24 Lasersurge, Inc. Collapsible anvil assembly and applicator instrument
US5931853A (en) 1995-08-25 1999-08-03 Mcewen; James A. Physiologic tourniquet with safety circuit
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
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US5667526A (en) 1995-09-07 1997-09-16 Levin; John M. Tissue retaining clamp
US5827271A (en) 1995-09-19 1998-10-27 Valleylab Energy delivery system for vessel sealing
US5814055A (en) 1995-09-19 1998-09-29 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
US5776130A (en) 1995-09-19 1998-07-07 Valleylab, Inc. Vascular tissue sealing pressure control
US5797959A (en) 1995-09-21 1998-08-25 United States Surgical Corporation Surgical apparatus with articulating jaw structure
US5772659A (en) 1995-09-26 1998-06-30 Valleylab Inc. Electrosurgical generator power control circuit and method
US5702387A (en) 1995-09-27 1997-12-30 Valleylab Inc Coated electrosurgical electrode
US5707392A (en) 1995-09-29 1998-01-13 Symbiosis Corporation Hermaphroditic stamped forceps jaw for disposable endoscopic biopsy forceps and method of making the same
US5653721A (en) 1995-10-19 1997-08-05 Ethicon Endo-Surgery, Inc. Override mechanism for an actuator on a surgical instrument
US5697542A (en) 1995-10-19 1997-12-16 Ethicon Endo-Surgery, Inc. Endoscopic surgical stapler with compact profile
US5700270A (en) 1995-10-20 1997-12-23 United States Surgical Corporation Surgical clip applier
US5839369A (en) 1995-10-20 1998-11-24 Eastman Kodak Company Method of controlled laser imaging of zirconia alloy ceramic lithographic member to provide localized melting in exposed areas
US5997552A (en) 1995-10-20 1999-12-07 United States Surgical Corporation Meniscal fastener applying device
GB9521772D0 (en) 1995-10-24 1996-01-03 Gyrus Medical Ltd An electrosurgical instrument
CA2188738A1 (en) 1995-10-27 1997-04-28 Lisa W. Heaton Surgical stapler having interchangeable loading units
US5941442A (en) 1995-10-27 1999-08-24 United States Surgical Surgical stapler
US5651491A (en) 1995-10-27 1997-07-29 United States Surgical Corporation Surgical stapler having interchangeable loading units
US5827298A (en) 1995-11-17 1998-10-27 Innovasive Devices, Inc. Surgical fastening system and method for using the same
BR9612395A (pt) 1995-12-29 1999-07-13 Gyrus Medical Ltd Instrumento eletrocirúrgico e um conjunto de eltrodo eletrocirúrgico
US6013076A (en) 1996-01-09 2000-01-11 Gyrus Medical Limited Electrosurgical instrument
GB9600354D0 (en) 1996-01-09 1996-03-13 Gyrus Medical Ltd Electrosurgical instrument
JP2000507119A (ja) 1996-02-13 2000-06-13 イマジン メディカル インコーポレイティド 外科アクセス装置及び外科アクセス装置を構成する方法
US5749889A (en) 1996-02-13 1998-05-12 Imagyn Medical, Inc. Method and apparatus for performing biopsy
US5855583A (en) 1996-02-20 1999-01-05 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5894843A (en) 1996-02-20 1999-04-20 Cardiothoracic Systems, Inc. Surgical method for stabilizing the beating heart during coronary artery bypass graft surgery
US5725536A (en) 1996-02-20 1998-03-10 Richard-Allen Medical Industries, Inc. Articulated surgical instrument with improved articulation control mechanism
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US6436107B1 (en) 1996-02-20 2002-08-20 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US5762255A (en) 1996-02-20 1998-06-09 Richard-Allan Medical Industries, Inc. Surgical instrument with improvement safety lockout mechanisms
US5797537A (en) 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US6402780B2 (en) 1996-02-23 2002-06-11 Cardiovascular Technologies, L.L.C. Means and method of replacing a heart valve in a minimally invasive manner
US5800379A (en) 1996-02-23 1998-09-01 Sommus Medical Technologies, Inc. Method for ablating interior sections of the tongue
US5810721A (en) 1996-03-04 1998-09-22 Heartport, Inc. Soft tissue retractor and method for providing surgical access
US5605272A (en) 1996-03-12 1997-02-25 Ethicon Endo-Surgery, Inc. Trigger mechanism for surgical instruments
US5697543A (en) 1996-03-12 1997-12-16 Ethicon Endo-Surgery, Inc. Linear stapler with improved firing stroke
IL117607A0 (en) 1996-03-21 1996-07-23 Dev Of Advanced Medical Produc Surgical stapler and method of surgical fastening
US5728121A (en) 1996-04-17 1998-03-17 Teleflex Medical, Inc. Surgical grasper devices
US5785232A (en) 1996-04-17 1998-07-28 Vir Engineering Surgical stapler
US6149660A (en) 1996-04-22 2000-11-21 Vnus Medical Technologies, Inc. Method and apparatus for delivery of an appliance in a vessel
US5836503A (en) 1996-04-22 1998-11-17 United States Surgical Corporation Insertion device for surgical apparatus
US6050472A (en) 1996-04-26 2000-04-18 Olympus Optical Co., Ltd. Surgical anastomosis stapler
US6221007B1 (en) 1996-05-03 2001-04-24 Philip S. Green System and method for endoscopic imaging and endosurgery
US5741305A (en) 1996-05-06 1998-04-21 Physio-Control Corporation Keyed self-latching battery pack for a portable defibrillator
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US5738228A (en) 1996-05-24 1998-04-14 Bittinger; Andrew H. Object holder
US6119913A (en) * 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
GB2314274A (en) 1996-06-20 1997-12-24 Gyrus Medical Ltd Electrode construction for an electrosurgical instrument
US5735874A (en) 1996-06-21 1998-04-07 Ethicon Endo-Surgery, Inc. Variable position handle locking mechanism
US5782748A (en) 1996-07-10 1998-07-21 Symbiosis Corporation Endoscopic surgical instruments having detachable proximal and distal portions
US5702408A (en) 1996-07-17 1997-12-30 Ethicon Endo-Surgery, Inc. Articulating surgical instrument
US6024748A (en) 1996-07-23 2000-02-15 United States Surgical Corporation Singleshot anastomosis instrument with detachable loading unit and method
US6083234A (en) 1996-07-23 2000-07-04 Surgical Dynamics, Inc. Anastomosis instrument and method
US6440146B2 (en) 1996-07-23 2002-08-27 United States Surgical Corporation Anastomosis instrument and method
US5785647A (en) 1996-07-31 1998-07-28 United States Surgical Corporation Surgical instruments useful for spinal surgery
US5830598A (en) 1996-08-15 1998-11-03 Ericsson Inc. Battery pack incorporating battery pack contact assembly and method
US6017354A (en) 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
US5997528A (en) 1996-08-29 1999-12-07 Bausch & Lomb Surgical, Inc. Surgical system providing automatic reconfiguration
US6364888B1 (en) 1996-09-09 2002-04-02 Intuitive Surgical, Inc. Alignment of master and slave in a minimally invasive surgical apparatus
US5730758A (en) 1996-09-12 1998-03-24 Allgeyer; Dean O. Staple and staple applicator for use in skin fixation of catheters
US6109500A (en) 1996-10-04 2000-08-29 United States Surgical Corporation Lockout mechanism for a surgical stapler
JP3091420B2 (ja) 1996-10-18 2000-09-25 株式会社貝印刃物開発センター 内視鏡用処置具
US5752965A (en) 1996-10-21 1998-05-19 Bio-Vascular, Inc. Apparatus and method for producing a reinforced surgical fastener suture line
US5769892A (en) 1996-10-22 1998-06-23 Mitroflow International Inc. Surgical stapler sleeve for reinforcing staple lines
US5718624A (en) 1996-11-01 1998-02-17 Volk Enterprises, Inc. Support structure for storing poultry retainers
JP4049275B2 (ja) 1996-11-18 2008-02-20 ユニバーシティー オブ マサチューセッツ 最小侵入外科手術用のシステム、方法、機器
USD404525S (en) 1996-11-19 1999-01-19 Deichmann & Co., Ltd. Hair rib
JPH10151137A (ja) 1996-11-25 1998-06-09 Olympus Optical Co Ltd 内視鏡用処置具
US6165188A (en) 1996-12-02 2000-12-26 Angiotrax, Inc. Apparatus for percutaneously performing myocardial revascularization having controlled cutting depth and methods of use
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
GB9626512D0 (en) 1996-12-20 1997-02-05 Gyrus Medical Ltd An improved electrosurgical generator and system
US5749778A (en) 1996-12-23 1998-05-12 Volk Enterprises, Inc. Hinged poultry hock retainer
US6074401A (en) 1997-01-09 2000-06-13 Coalescent Surgical, Inc. Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery
US5908402A (en) 1997-02-03 1999-06-01 Valleylab Method and apparatus for detecting tube occlusion in argon electrosurgery system
CA2666051A1 (en) 1997-03-05 1998-09-11 The Trustees Of Columbia University In The City Of New York Electrothermal device for sealing and joining or cutting tissue
JP4122066B2 (ja) 1997-03-31 2008-07-23 株式会社京都医療設計 医療用縫合保持部材
US6050172A (en) 1997-04-04 2000-04-18 Emhart Glass S.A. Pneumatically operated mechanism
US6033399A (en) 1997-04-09 2000-03-07 Valleylab, Inc. Electrosurgical generator with adaptive power control
RU2144791C1 (ru) 1997-04-14 2000-01-27 Дубровский Аркадий Вениаминович Пологое поворотное устройство
US5919198A (en) 1997-04-17 1999-07-06 Ethicon Endo-Surgery, Inc. Disposable cartridge with drivers
GB9708268D0 (en) 1997-04-24 1997-06-18 Gyrus Medical Ltd An electrosurgical instrument
US5906577A (en) 1997-04-30 1999-05-25 University Of Massachusetts Device, surgical access port, and method of retracting an incision into an opening and providing a channel through the incision
US6017358A (en) 1997-05-01 2000-01-25 Inbae Yoon Surgical instrument with multiple rotatably mounted offset end effectors
USH2037H1 (en) 1997-05-14 2002-07-02 David C. Yates Electrosurgical hemostatic device including an anvil
USH1904H (en) 1997-05-14 2000-10-03 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic method and device
DE19721076A1 (de) 1997-05-20 1998-11-26 Trw Repa Gmbh Verfahren zum Herstellen eines Seilabschnittes mit einem Befestigungselement für ein Fahrzeuginsassen-Rückhaltesystem sowie mit diesem Verfahren hergestellter Seilabschnitt
US5960973A (en) 1997-06-12 1999-10-05 Markson Rosenthal & Company Beverage container clip for snack package
US6231565B1 (en) 1997-06-18 2001-05-15 United States Surgical Corporation Robotic arm DLUs for performing surgical tasks
US5947996A (en) 1997-06-23 1999-09-07 Medicor Corporation Yoke for surgical instrument
US6161263A (en) 1997-06-25 2000-12-19 Anderson; Paul Sock pair retention apparatus
US5951552A (en) 1997-06-30 1999-09-14 Ethicon Endo-Surgery, Inc. Capacitively coupled cordless electrosurgical instrument
FR2765794B1 (fr) 1997-07-11 1999-09-03 Joel Bardeau Dispositif d'eveinage notamment pour endoeveinage
US6338737B1 (en) 1997-07-17 2002-01-15 Haviv Toledano Flexible annular stapler for closed surgery of hollow organs
EP0996376A1 (en) 1997-07-18 2000-05-03 Gyrus Medical Limited An electrosurgical instrument
AU731815B2 (en) 1997-07-18 2001-04-05 Gyrus Medical Limited An electrosurgical instrument
US6491690B1 (en) 1997-07-18 2002-12-10 Gyrus Medical Limited Electrosurgical instrument
GB9900964D0 (en) 1999-01-15 1999-03-10 Gyrus Medical Ltd An electrosurgical system
US5937951A (en) 1997-07-18 1999-08-17 Ethicon Endo-Surgery, Inc. Skin stapler with rack and pinion staple feed mechanism
WO1999004844A1 (en) 1997-07-24 1999-02-04 Mcguckin James F Jr Stationary central tunnel dialysis catheter with optional separable sheath
JP3811291B2 (ja) 1998-07-02 2006-08-16 オリンパス株式会社 内視鏡システム
US6267761B1 (en) 1997-09-09 2001-07-31 Sherwood Services Ag Apparatus and method for sealing and cutting tissue
EP1011493B1 (en) 1997-09-10 2005-03-23 Sherwood Services AG Bipolar instrument for vessel fusion
US6162208A (en) 1997-09-11 2000-12-19 Genzyme Corporation Articulating endoscopic implant rotator surgical apparatus and method for using same
EP1015944B1 (en) 1997-09-19 2013-02-27 Massachusetts Institute Of Technology Surgical robotic apparatus
US6017356A (en) 1997-09-19 2000-01-25 Ethicon Endo-Surgery Inc. Method for using a trocar for penetration and skin incision
US20040236352A1 (en) 1997-09-22 2004-11-25 Yulun Wang Method and apparatus for performing minimally invasive cardiac procedures
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US6174318B1 (en) 1998-04-23 2001-01-16 Scimed Life Systems, Inc. Basket with one or more moveable legs
GB2329840C (en) 1997-10-03 2007-10-05 Johnson & Johnson Medical Biopolymer sponge tubes
US5947984A (en) 1997-10-10 1999-09-07 Ethicon Endo-Surger, Inc. Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism
US6241723B1 (en) 1997-10-15 2001-06-05 Team Medical Llc Electrosurgical system
US6117148A (en) 1997-10-17 2000-09-12 Ravo; Biagio Intraluminal anastomotic device
US6086600A (en) 1997-11-03 2000-07-11 Symbiosis Corporation Flexible endoscopic surgical instrument for invagination and fundoplication
US6050996A (en) 1997-11-12 2000-04-18 Sherwood Services Ag Bipolar electrosurgical instrument with replaceable electrodes
US6187003B1 (en) 1997-11-12 2001-02-13 Sherwood Services Ag Bipolar electrosurgical instrument for sealing vessels
US6228083B1 (en) 1997-11-14 2001-05-08 Sherwood Services Ag Laparoscopic bipolar electrosurgical instrument
US6068627A (en) 1997-12-10 2000-05-30 Valleylab, Inc. Smart recognition apparatus and method
US6171330B1 (en) 1997-12-15 2001-01-09 Sofradim Production Pneumatic surgical instrument for the distribution and placement of connecting or fastening means
EP0923907A1 (en) 1997-12-19 1999-06-23 Gyrus Medical Limited An electrosurgical instrument
US6156056A (en) 1998-01-09 2000-12-05 Ethicon, Inc. Suture buttress
GB2336214A (en) 1998-01-16 1999-10-13 David William Taylor Preventionof multiple use of limited use devices
US6645201B1 (en) 1998-02-19 2003-11-11 Curon Medical, Inc. Systems and methods for treating dysfunctions in the intestines and rectum
US7090683B2 (en) 1998-02-24 2006-08-15 Hansen Medical, Inc. Flexible instrument
US20020087148A1 (en) 1998-02-24 2002-07-04 Brock David L. Flexible instrument
WO2002065933A2 (en) 2001-02-15 2002-08-29 Endovia Medical Inc. Surgical master/slave system
US5951576A (en) 1998-03-02 1999-09-14 Wakabayashi; Akio End-to-side vascular anastomosing stapling device
RU2141279C1 (ru) 1998-03-11 1999-11-20 Кондратюк Георгий Константинович Универсальная насадка
US6099551A (en) 1998-03-12 2000-08-08 Shelhigh, Inc. Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof
US7491232B2 (en) 1998-09-18 2009-02-17 Aptus Endosystems, Inc. Catheter-based fastener implantation apparatus and methods with implantation force resolution
WO1999048430A1 (en) 1998-03-26 1999-09-30 Gyrus Medical Limited An electrosurgical instrument
GB9807303D0 (en) 1998-04-03 1998-06-03 Gyrus Medical Ltd An electrode assembly for an electrosurgical instrument
GB2335858A (en) 1998-04-03 1999-10-06 Gyrus Medical Ltd Resectoscope having pivoting electrode assembly
US5937867A (en) 1998-04-07 1999-08-17 Williams; Ella J. Hairpiece and method of using same
US6003517A (en) 1998-04-30 1999-12-21 Ethicon Endo-Surgery, Inc. Method for using an electrosurgical device on lung tissue
US6517566B1 (en) 1998-05-11 2003-02-11 Surgical Connections, Inc. Devices and methods for treating e.g. urinary stress incontinence
US20050283188A1 (en) 1998-05-29 2005-12-22 By-Pass, Inc. Vascular closure device
US6309403B1 (en) 1998-06-01 2001-10-30 Board Of Trustees Operating Michigan State University Dexterous articulated linkage for surgical applications
JP2002518082A (ja) 1998-06-10 2002-06-25 コンバージ メディカル， インコーポレイテッド 縫合なし吻合システム
US6478210B2 (en) 2000-10-25 2002-11-12 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6601749B2 (en) 1998-06-19 2003-08-05 Scimed Life Systems, Inc. Multi fire full thickness resectioning device
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6629630B2 (en) 1998-06-19 2003-10-07 Scimed Life Systems, Inc. Non-circular resection device and endoscope
US6585144B2 (en) 1998-06-19 2003-07-01 Acimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6066132A (en) 1998-06-30 2000-05-23 Ethicon, Inc. Articulating endometrial ablation device
US6228098B1 (en) 1998-07-10 2001-05-08 General Surgical Innovations, Inc. Apparatus and method for surgical fastening
US6352503B1 (en) 1998-07-17 2002-03-05 Olympus Optical Co., Ltd. Endoscopic surgery apparatus
JP3806518B2 (ja) 1998-07-17 2006-08-09 オリンパス株式会社 内視鏡治療装置
DE19836950B4 (de) 1998-08-17 2004-09-02 Deutsches Zentrum für Luft- und Raumfahrt e.V. Chirurgisches Instrument in Form eines Nahtklammergerätes
US6131790A (en) 1998-09-02 2000-10-17 Piraka; Hadi A. Surgical stapler and cartridge
JP3766552B2 (ja) 1998-10-01 2006-04-12 富士写真フイルム株式会社 データ写し込み装置付きレンズ付きフイルムユニット
CA2347014C (en) 1998-10-23 2011-01-04 Sherwood Services Ag Open vessel sealing forceps with disposable electrodes
WO2000024322A1 (en) 1998-10-23 2000-05-04 Applied Medical Resources Corporation Surgical grasper with inserts and method of using same
WO2000024331A1 (en) 1998-10-23 2000-05-04 Sherwood Services Ag Endoscopic bipolar electrosurgical forceps
DE19851291A1 (de) 1998-11-06 2000-01-05 Siemens Ag Operationsarbeitsplatztaugliches Dateneingabegerät
US6459926B1 (en) 1998-11-20 2002-10-01 Intuitive Surgical, Inc. Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery
US6142933A (en) 1998-11-23 2000-11-07 Ethicon Endo-Surgery, Inc. Anoscope for hemorrhoidal surgery
US6083241A (en) 1998-11-23 2000-07-04 Ethicon Endo-Surgery, Inc. Method of use of a circular stapler for hemorrhoidal procedure
US6102271A (en) 1998-11-23 2000-08-15 Ethicon Endo-Surgery, Inc. Circular stapler for hemorrhoidal surgery
US7537564B2 (en) 1998-12-01 2009-05-26 Atropos Limited Wound retractor device
JP2000171730A (ja) 1998-12-08 2000-06-23 Olympus Optical Co Ltd バッテリ式携帯内視鏡装置
JP4233656B2 (ja) 1998-12-11 2009-03-04 ジョンソン・エンド・ジョンソン株式会社 自動吻合器及び該吻合器に装着可能な案内バルーン
DE19860444C2 (de) 1998-12-28 2001-03-29 Storz Karl Gmbh & Co Kg Handgriff für ein medizinisches Rohrschaftinstrument
US6394998B1 (en) 1999-01-22 2002-05-28 Intuitive Surgical, Inc. Surgical tools for use in minimally invasive telesurgical applications
US6387113B1 (en) 1999-02-02 2002-05-14 Biomet, Inc. Method and apparatus for repairing a torn meniscus
DE19906191A1 (de) 1999-02-15 2000-08-17 Ingo F Herrmann Endoskop
US6216698B1 (en) 1999-02-16 2001-04-17 Milex Products, Inc. Flexible pessary
US6083242A (en) 1999-02-17 2000-07-04 Holobeam, Inc. Surgical staples with deformation zones of non-uniform cross section
GB9905211D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgery system and instrument
GB9905210D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgical system
GB9905209D0 (en) 1999-03-05 1999-04-28 Gyrus Medical Ltd Electrosurgery system
US6159146A (en) 1999-03-12 2000-12-12 El Gazayerli; Mohamed Mounir Method and apparatus for minimally-invasive fundoplication
US6179776B1 (en) 1999-03-12 2001-01-30 Scimed Life Systems, Inc. Controllable endoscopic sheath apparatus and related method of use
DE19912038C1 (de) 1999-03-17 2001-01-25 Storz Karl Gmbh & Co Kg Handgriff für ein medizinisches Instrument
AU4187800A (en) 1999-03-31 2000-10-16 Peter L. Rosenblatt Systems and methods for soft tissue reconstruction
JP2000287987A (ja) 1999-04-01 2000-10-17 Olympus Optical Co Ltd 充電式医療装置
US6702811B2 (en) 1999-04-05 2004-03-09 Medtronic, Inc. Ablation catheter assembly with radially decreasing helix and method of use
US8944070B2 (en) * 1999-04-07 2015-02-03 Intuitive Surgical Operations, Inc. Non-force reflecting method for providing tool force information to a user of a telesurgical system
US6248117B1 (en) 1999-04-16 2001-06-19 Vital Access Corp Anastomosis apparatus for use in intraluminally directed vascular anastomosis
US6325805B1 (en) 1999-04-23 2001-12-04 Sdgi Holdings, Inc. Shape memory alloy staple
JP4503725B2 (ja) 1999-05-17 2010-07-14 オリンパス株式会社 内視鏡治療装置
AU5150600A (en) 1999-05-18 2000-12-05 Vascular Innovations, Inc. Tissue punch
GB9911954D0 (en) 1999-05-21 1999-07-21 Gyrus Medical Ltd Electrosurgery system and instrument
GB9911956D0 (en) 1999-05-21 1999-07-21 Gyrus Medical Ltd Electrosurgery system and method
DE19924311A1 (de) 1999-05-27 2000-11-30 Walter A Rau Klammerschneidegerät und Zusatzvorrichtung für ein solches
GB9912627D0 (en) 1999-05-28 1999-07-28 Gyrus Medical Ltd An electrosurgical instrument
GB9912625D0 (en) 1999-05-28 1999-07-28 Gyrus Medical Ltd An electrosurgical generator and system
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
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
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6517565B1 (en) 1999-06-02 2003-02-11 Power Medical Interventions, Inc. Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
EP1058177A1 (en) 1999-06-04 2000-12-06 Alps Electric Co., Ltd. Input device for game machine
GB9913652D0 (en) 1999-06-11 1999-08-11 Gyrus Medical Ltd An electrosurgical generator
SE519023C2 (sv) 1999-06-21 2002-12-23 Micromuscle Ab Kateterburna mikrokirurgiska verktygsset
US7637905B2 (en) 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
FR2795301B1 (fr) 1999-06-25 2001-08-31 Prec Instrument de chirurgie endoscopique
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
US6117158A (en) 1999-07-07 2000-09-12 Ethicon Endo-Surgery, Inc. Ratchet release mechanism for hand held instruments
JP2001035827A (ja) 1999-07-16 2001-02-09 Memc Kk 高濃度オゾン水、同オゾン水の調製方法、および同オゾン水を使用した洗浄方法
US6402766B2 (en) 1999-07-23 2002-06-11 Ethicon, Inc. Graft fixation device combination
US6436110B2 (en) 1999-07-23 2002-08-20 Ethicon, Inc. Method of securing a graft using a graft fixation device
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
US20050154406A1 (en) 1999-07-28 2005-07-14 Cardica, Inc. Method for anastomosing vessels
DE19935725C2 (de) 1999-07-29 2003-11-13 Wolf Gmbh Richard Medizinisches Instrument, insbesondere Rektoskop
US6488659B1 (en) 1999-08-05 2002-12-03 Biocardia, Inc. System and method for delivering thermally sensitive and reverse-thermal gelation materials
DE50014373D1 (de) 1999-09-09 2007-07-12 Tuebingen Scient Medical Gmbh Chirurgisches instrument für minimal invasive eingriffe
US7267679B2 (en) 1999-09-13 2007-09-11 Rex Medical, L.P Vascular hole closure device
US7662161B2 (en) 1999-09-13 2010-02-16 Rex Medical, L.P Vascular hole closure device
US6358224B1 (en) 1999-09-24 2002-03-19 Tyco Healthcare Group Lp Irrigation system for endoscopic surgery
JP2001087272A (ja) 1999-09-24 2001-04-03 Motoko Iwabuchi 生体組織切除用自動縫合器
CA2322061A1 (en) 1999-10-05 2001-04-05 Anil K. Nalagatla Stapling instrument having two staple forming surfaces
WO2001026559A1 (en) 1999-10-14 2001-04-19 Atropos Limited A retractor
US6780151B2 (en) 1999-10-26 2004-08-24 Acmi Corporation Flexible ureteropyeloscope
US6749560B1 (en) 1999-10-26 2004-06-15 Circon Corporation Endoscope shaft with slotted tube
EP1095627A1 (en) 1999-10-27 2001-05-02 Everest Medical Corporation Electrosurgical probe for surface treatment
DE19951940C2 (de) 1999-10-28 2001-11-29 Karlsruhe Forschzent Endoskopisch einsetzbares Klammernahtgerät
GB9927338D0 (en) 1999-11-18 2000-01-12 Gyrus Medical Ltd Electrosurgical system
US6382488B1 (en) 1999-12-14 2002-05-07 Dennis Hancock Multiple use base holder system
US6736825B2 (en) 1999-12-14 2004-05-18 Integrated Vascular Interventional Technologies, L C (Ivit Lc) Paired expandable anastomosis devices and related methods
US7747312B2 (en) * 2000-01-04 2010-06-29 George Mason Intellectual Properties, Inc. System and method for automatic shape registration and instrument tracking
RU2181566C2 (ru) 2000-01-10 2002-04-27 Дубровский Аркадий Вениаминович Управляемый поворотный механизм
HU225908B1 (en) 2000-01-24 2007-12-28 Ethicon Endo Surgery Europe Surgical circular stapling head
US6193129B1 (en) 2000-01-24 2001-02-27 Ethicon Endo-Surgery, Inc. Cutting blade for a surgical anastomosis stapling instrument
DK174549B1 (da) 2000-02-01 2003-05-26 Raaco Internat A S Indretning til optagelse og fastholdelse af værktøjer
GB0002849D0 (en) 2000-02-08 2000-03-29 Gyrus Medical Ltd An electrosurgical instrument and an electosurgery system including such an instrument
GB0223348D0 (en) 2002-10-08 2002-11-13 Gyrus Medical Ltd A surgical instrument
US6569171B2 (en) 2001-02-28 2003-05-27 Microline, Inc. Safety locking mechanism for a medical clip device
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
GB0004179D0 (en) 2000-02-22 2000-04-12 Gyrus Medical Ltd Tissue resurfacing
AU2001238556A1 (en) 2000-02-22 2001-09-03 Power medical intervention, Inc. An electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
US20010025183A1 (en) 2000-02-25 2001-09-27 Ramin Shahidi Methods and apparatuses for maintaining a trajectory in sterotaxi for tracking a target inside a body
US6273897B1 (en) 2000-02-29 2001-08-14 Ethicon, Inc. Surgical bettress and surgical stapling apparatus
US20030070683A1 (en) 2000-03-04 2003-04-17 Deem Mark E. Methods and devices for use in performing pulmonary procedures
CA2402313C (en) 2000-03-06 2009-03-03 Tyco Healthcare Group Lp Apparatus and method for performing a bypass procedure in a digestive system
AU2001239525B2 (en) 2000-03-16 2004-12-02 Medigus Ltd. Fundoplication apparatus and method
US6510854B2 (en) 2000-03-16 2003-01-28 Gyrus Medical Limited Method of treatment of prostatic adenoma
IL139788A (en) 2000-11-20 2006-10-05 Minelu Zonnenschein Stapler for endoscopes
JP2001276091A (ja) 2000-03-29 2001-10-09 Toshiba Corp 医療用マニピュレータ
US20050085693A1 (en) 2000-04-03 2005-04-21 Amir Belson Activated polymer articulated instruments and methods of insertion
US6858005B2 (en) 2000-04-03 2005-02-22 Neo Guide Systems, Inc. Tendon-driven endoscope and methods of insertion
JP3860035B2 (ja) 2000-04-13 2006-12-20 株式会社マキタ 充電装置用のアダプタ
US6517528B1 (en) 2000-04-13 2003-02-11 Scimed Life Systems, Inc. Magnetic catheter drive shaft clutch
AUPQ706500A0 (en) 2000-04-19 2000-05-18 Wright, Dale Kathleen Flower arranging apparatus
DE60111517T2 (de) 2000-04-27 2006-05-11 Medtronic, Inc., Minneapolis Vibrationsempfindliche ablationsvorrichtung
RU2187249C2 (ru) 2000-04-27 2002-08-20 Общество с ограниченной ответственностью "ЭНДОМЕДИУМ+" Хирургический инструмент
DE10026683C2 (de) 2000-05-30 2003-07-10 Ethicon Endo Surgery Europe Chirurgisches Klammersetzgerät
US6805273B2 (en) 2002-11-04 2004-10-19 Federico Bilotti Surgical stapling instrument
USD445980S1 (en) 2000-06-20 2001-07-31 Sockpro, Inc. Sock holder
DE10031436A1 (de) 2000-06-28 2002-01-10 Alexander Von Fuchs Gleitschutz für einen Gehäusekopf medizinischer Instrumente
FR2810860B1 (fr) 2000-06-28 2003-02-21 Oreal Dispositif pour l'application d'un produit sur les cils ou les sourcils
DE60134236D1 (de) 2000-07-20 2008-07-10 Kinetic Surgical Llc Manuell gesteuertes chirurgisches werkzeug mit gelenk
AU2002224520A1 (en) 2000-07-21 2002-02-05 Atropos Limited A cannula
JP2002051974A (ja) 2000-08-14 2002-02-19 Fuji Photo Optical Co Ltd 内視鏡処置具
US6491267B1 (en) 2000-08-25 2002-12-10 Linda Feldman Blow dryer holder
EP1313401A4 (en) 2000-08-30 2006-09-20 Cerebral Vascular Applic Inc MEDICAL INSTRUMENT
GB0021799D0 (en) 2000-09-05 2000-10-18 Gyrus Medical Ltd Electrosurgery system
WO2002019922A1 (en) 2000-09-08 2002-03-14 Coleman James E Surgical stapler
JP4297603B2 (ja) 2000-09-19 2009-07-15 株式会社トップ 外科用ステープラ
WO2002026143A1 (en) 2000-09-27 2002-04-04 Applied Medical Resources Surgical apparatus with detachable handle assembly
US6817508B1 (en) 2000-10-13 2004-11-16 Tyco Healthcare Group, Lp Surgical stapling device
WO2003079909A2 (en) 2002-03-19 2003-10-02 Tyco Healthcare Group, Lp Surgical fastener applying apparatus
US7407076B2 (en) 2000-10-13 2008-08-05 Tyco Healthcare Group Lp Surgical stapling device
US7334717B2 (en) 2001-10-05 2008-02-26 Tyco Healthcare Group Lp Surgical fastener applying apparatus
CA2425211C (en) 2000-10-13 2009-07-21 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US7473221B2 (en) 2000-10-19 2009-01-06 Applied Medical Resources Corporation Surgical access apparatus and method
US6551333B2 (en) 2000-10-19 2003-04-22 Ethicon Endo-Surgery, Inc. Method for attaching hernia mesh
US6773438B1 (en) 2000-10-19 2004-08-10 Ethicon Endo-Surgery Surgical instrument having a rotary lockout mechanism
US7485124B2 (en) 2000-10-19 2009-02-03 Ethicon Endo-Surgery, Inc. Surgical instrument having a fastener delivery mechanism
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6908472B2 (en) 2000-10-20 2005-06-21 Ethicon Endo-Surgery, Inc. Apparatus and method for altering generator functions in an ultrasonic surgical system
US6354325B1 (en) 2000-10-23 2002-03-12 3 Dimensional Contracting, Inc. Underground access conduit
US6913608B2 (en) 2000-10-23 2005-07-05 Viacor, Inc. Automated annular plication for mitral valve repair
US6793661B2 (en) 2000-10-30 2004-09-21 Vision Sciences, Inc. Endoscopic sheath assemblies having longitudinal expansion inhibiting mechanisms
FR2815842B1 (fr) 2000-10-31 2003-05-09 Assist Publ Hopitaux De Paris Pince-agrafeuse mecanique pour chirurgie du rectum
GB0026586D0 (en) 2000-10-31 2000-12-13 Gyrus Medical Ltd An electrosurgical system
JP2002143078A (ja) 2000-11-08 2002-05-21 Olympus Optical Co Ltd 内視鏡用外付チューブ
US6749600B1 (en) 2000-11-15 2004-06-15 Impulse Dynamics N.V. Braided splittable catheter sheath
US8286845B2 (en) 2000-11-27 2012-10-16 Boston Scientific Scimed, Inc. Full thickness resection device control handle
US6398795B1 (en) 2000-11-30 2002-06-04 Scimed Life Systems, Inc. Stapling and cutting in resectioning for full thickness resection devices
US6439446B1 (en) 2000-12-01 2002-08-27 Stephen J. Perry Safety lockout for actuator shaft
US6569085B2 (en) 2001-08-16 2003-05-27 Syntheon, Llc Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen
US6623510B2 (en) 2000-12-07 2003-09-23 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US6503259B2 (en) 2000-12-27 2003-01-07 Ethicon, Inc. Expandable anastomotic device
US7037314B2 (en) 2001-01-09 2006-05-02 Armstrong David N Multiple band ligator and anoscope system and method for using same
WO2002055126A2 (en) 2001-01-11 2002-07-18 Given Imaging Ltd. Device and system for in-vivo procedures
US6494885B1 (en) 2001-01-17 2002-12-17 Avtar S. Dhindsa Endoscopic stone extraction device with rotatable basket
ES2307723T3 (es) 2001-01-24 2008-12-01 Tyco Healthcare Group Lp Instrumentio para anastomosis y metodo para llevarla a cabo.
CA2435522C (en) 2001-01-31 2010-02-23 Rex Medical, L.P. Apparatus for stapling and resectioning gastro-esophageal tissue
US20020103494A1 (en) 2001-01-31 2002-08-01 Pacey John Allen Percutaneous cannula delvery system for hernia patch
US6997931B2 (en) 2001-02-02 2006-02-14 Lsi Solutions, Inc. System for endoscopic suturing
US8313496B2 (en) 2001-02-02 2012-11-20 Lsi Solutions, Inc. System for endoscopic suturing
US6723109B2 (en) 2001-02-07 2004-04-20 Karl Storz Endoscopy-America, Inc. Deployable surgical clamp with delivery/retrieval device and actuator
DE10108732A1 (de) 2001-02-23 2002-09-05 Philips Corp Intellectual Pty Vorrichtung mit einem magnetischen Positionssensor
AU2002238143B2 (en) 2001-02-27 2006-06-01 Covidien Lp External mixer assembly
US20030181900A1 (en) 2002-03-25 2003-09-25 Long Gary L. Endoscopic ablation system with a plurality of electrodes
US7097644B2 (en) 2001-03-30 2006-08-29 Ethicon Endo-Surgery, Inc. Medical device with improved wall construction
US6769590B2 (en) 2001-04-02 2004-08-03 Susan E. Vresh Luminal anastomotic device and method
EP1377222B1 (en) 2001-04-03 2011-10-19 Tyco Healthcare Group LP Surgical stapling device
WO2002080802A2 (en) 2001-04-05 2002-10-17 John Martin Heasley General field isolation rubber dam
US7090673B2 (en) 2001-04-06 2006-08-15 Sherwood Services Ag Vessel sealer and divider
ES2364666T3 (es) 2001-04-06 2011-09-12 Covidien Ag Obturador y divisor de vasos con miembros de tope no conductivos.
DE10117286A1 (de) 2001-04-06 2002-10-17 Disetronic Licensing Ag Weiche Kanüle
US6638285B2 (en) 2001-04-16 2003-10-28 Shlomo Gabbay Biological tissue strip and system and method to seal tissue
JP2002314298A (ja) 2001-04-18 2002-10-25 Matsushita Electric Ind Co Ltd 電子部品実装装置
ES2381407T3 (es) 2001-04-20 2012-05-28 Tyco Healthcare Group Lp Dispositivo quirúrgico bipolar o ultrasónico
US6502711B1 (en) 2001-04-20 2003-01-07 Kerry J. C. Mc Rae Container holding apparatus
US20060069429A1 (en) 2001-04-24 2006-03-30 Spence Paul A Tissue fastening systems and methods utilizing magnetic guidance
US8961541B2 (en) 2007-12-03 2015-02-24 Cardio Vascular Technologies Inc. Vascular closure devices, systems, and methods of use
CN1520297A (zh) 2001-04-26 2004-08-11 ���ߵ���Ƶϵͳ��˾ 包含复合药物(codrugs)的缓释药物传递系统
US6994714B2 (en) 2001-04-27 2006-02-07 Cardica, Inc. Anastomosis system
DE10121305A1 (de) 2001-05-02 2002-12-12 Ethicon Endo Surgery Europe Chirurgisches Instrument
US6656193B2 (en) 2001-05-07 2003-12-02 Ethicon Endo-Surgery, Inc. Device for attachment of buttress material to a surgical fastening device
US6503257B2 (en) 2001-05-07 2003-01-07 Ethicon Endo-Surgery, Inc. Method for releasing buttress material attached to a surgical fastening device
WO2002098315A2 (de) 2001-06-07 2002-12-12 Kaltenbach & Voigt Gmbh & Co. Kg Dentalmedizinisches instrument, versorgungsgerät, pflegegerät und system für das dentalmedizinische instrument
IES20010547A2 (en) 2001-06-07 2002-12-11 Christy Cummins Surgical Staple
DE20121753U1 (de) 2001-06-15 2003-04-17 Bema Gmbh & Co Kg Endochirurgi Griff für ein chirurgisches Instrument
WO2003001329A2 (en) 2001-06-20 2003-01-03 Power Medical Interventions, Inc. A method and system for integrated medical tracking
EP3158942B1 (en) 2001-06-22 2018-08-08 Covidien LP Electro-mechanical surgical device
US20050182298A1 (en) 2002-12-06 2005-08-18 Intuitive Surgical Inc. Cardiac tissue ablation instrument with flexible wrist
US6817974B2 (en) 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
CA2792000C (en) 2001-06-29 2016-08-16 Intuitive Surgical, Inc. Platform link wrist mechanism
US20040243147A1 (en) 2001-07-03 2004-12-02 Lipow Kenneth I. Surgical robot and robotic controller
CN2488482Y (zh) 2001-07-05 2002-05-01 天津市华志计算机应用有限公司 机械臂的关节锁紧机构
DE20112837U1 (de) 2001-08-02 2001-10-04 Aesculap Ag & Co Kg Zangen- oder pinzettenförmiges chirurgisches Instrument
US7208005B2 (en) 2001-08-06 2007-04-24 The Penn State Research Foundation Multifunctional tool and method for minimally invasive surgery
EP1285633B1 (en) 2001-08-07 2006-12-13 Universitair Medisch Centrum Utrecht Device for connecting a surgical instrument to a stable basis
US20030093103A1 (en) 2001-08-08 2003-05-15 Don Malackowski Surgical tool system with components that perform inductive data transfer
IES20010748A2 (en) 2001-08-09 2003-02-19 Christy Cummins Surgical Stapling Device and Method
DE10139153A1 (de) 2001-08-09 2003-02-27 Ingo F Herrmann Einweg-Endoskopmantel
US6692507B2 (en) 2001-08-23 2004-02-17 Scimed Life Systems, Inc. Impermanent biocompatible fastener
WO2004078051A2 (en) 2001-08-27 2004-09-16 Gyrus Medial Limited Electrosurgical system
DE60239778D1 (de) 2001-08-27 2011-06-01 Gyrus Medical Ltd Elektrochirurgische Vorrichtung
US7282048B2 (en) 2001-08-27 2007-10-16 Gyrus Medical Limited Electrosurgical generator and system
GB0425051D0 (en) 2004-11-12 2004-12-15 Gyrus Medical Ltd Electrosurgical generator and system
US6629988B2 (en) 2001-08-28 2003-10-07 Ethicon, Inc. Composite staple for completing an anastomosis
US6755338B2 (en) 2001-08-29 2004-06-29 Cerebral Vascular Applications, Inc. Medical instrument
NL1018874C2 (nl) 2001-09-03 2003-03-05 Michel Petronella Hub Vleugels Chirurgisch instrument.
US8302798B2 (en) 2001-09-04 2012-11-06 Moss Christine K Anti-spill container
GB2379878B (en) 2001-09-21 2004-11-10 Gyrus Medical Ltd Electrosurgical system and method
DE10147145C2 (de) 2001-09-25 2003-12-18 Kunz Reiner Multifunktionsinstrument für die mikroinvasive Chirurgie
US6578751B2 (en) 2001-09-26 2003-06-17 Scimed Life Systems, Inc. Method of sequentially firing staples using springs and a rotary or linear shutter
US7108701B2 (en) 2001-09-28 2006-09-19 Ethicon, Inc. Drug releasing anastomosis devices and methods for treating anastomotic sites
ES2529325T3 (es) 2001-10-05 2015-02-19 Covidien Lp Método de ajuste de aparato de grapado quirúrgico
CA2695579C (en) 2001-10-05 2012-09-25 Tyco Healthcare Group Lp Surgical stapling device
US7052454B2 (en) 2001-10-20 2006-05-30 Applied Medical Resources Corporation Sealed surgical access device
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
FR2831417B1 (fr) 2001-10-30 2004-08-06 Eurosurgical Instrument chirurgical
JP2003135473A (ja) 2001-11-01 2003-05-13 Mizuho Co Ltd 内視鏡手術用能動鉗子
JP2003164066A (ja) 2001-11-21 2003-06-06 Hitachi Koki Co Ltd 電池パック
US6605078B2 (en) 2001-11-26 2003-08-12 Scimed Life Systems, Inc. Full thickness resection device
DE10158246C1 (de) * 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Chirurgisches Klammersetzinstrument
ES2388729T3 (es) 2001-12-04 2012-10-18 Tyco Healthcare Group Lp Sistema y método para calibrar un instrumento quirúrgico
US20050277956A1 (en) 2004-06-14 2005-12-15 Francese Jose L Clip storage for endoscopic clip applier
US6723087B2 (en) 2001-12-14 2004-04-20 Medtronic, Inc. Apparatus and method for performing surgery on a patient
US7122028B2 (en) 2001-12-19 2006-10-17 Allegiance Corporation Reconfiguration surgical apparatus
US6939358B2 (en) 2001-12-20 2005-09-06 Gore Enterprise Holdings, Inc. Apparatus and method for applying reinforcement material to a surgical stapler
RU2225170C2 (ru) 2001-12-25 2004-03-10 Дубровский Аркадий Вениаминович Инструмент с поворотным устройством
CN100362969C (zh) 2001-12-27 2008-01-23 盖勒斯集团股份有限公司 电外科器械
US6602252B2 (en) 2002-01-03 2003-08-05 Starion Instruments Corporation Combined dissecting, cauterizing, and stapling device
CA2472207A1 (en) 2002-01-09 2003-07-24 Neoguide Systems, Inc. Apparatus and method for endoscopic colectomy
JP3906843B2 (ja) 2002-01-16 2007-04-18 トヨタ自動車株式会社 電圧変換装置の制御装置および電圧変換方法並びに記憶媒体，プログラム，駆動システムおよび駆動システムを搭載する車輌
US6676660B2 (en) 2002-01-23 2004-01-13 Ethicon Endo-Surgery, Inc. Feedback light apparatus and method for use with an electrosurgical instrument
ATE500777T1 (de) 2002-01-30 2011-03-15 Tyco Healthcare Chirurgische bildgebende vorrichtung
US7625370B2 (en) 2002-02-13 2009-12-01 Applied Medical Resources Corporation Tissue fusion/welder apparatus and method
US7494499B2 (en) 2002-02-15 2009-02-24 Olympus Corporation Surgical therapeutic instrument
CN101898004A (zh) 2002-02-20 2010-12-01 21世纪国际新技术株式会社 施用药物的装置
US7247161B2 (en) 2002-03-22 2007-07-24 Gyrus Ent L.L.C. Powered surgical apparatus, method of manufacturing powered surgical apparatus, and method of using powered surgical apparatus
US7137981B2 (en) 2002-03-25 2006-11-21 Ethicon Endo-Surgery, Inc. Endoscopic ablation system with a distally mounted image sensor
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
CA2461658C (en) 2002-04-09 2007-03-13 Jae-Hwang Kim Indwelling fecal diverting device
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
US7846149B2 (en) 2002-04-15 2010-12-07 Tyco Healthcare Group Lp Instrument introducer
AU2003230933B2 (en) 2002-04-15 2008-01-10 Cook Biotech Incorporated Apparatus and method for producing a reinforced surgical staple line
JP4350529B2 (ja) 2002-04-16 2009-10-21 タイコ ヘルスケア グループ エルピー 手術用ステープラーおよび手術方法
US8241308B2 (en) 2002-04-24 2012-08-14 Boston Scientific Scimed, Inc. Tissue fastening devices and processes that promote tissue adhesion
WO2003090630A2 (en) 2002-04-25 2003-11-06 Tyco Healthcare Group, Lp Surgical instruments including micro-electromechanical systems (mems)
CA2484635C (en) 2002-05-10 2011-01-04 Tyco Healthcare Group Lp Electrosurgical stapling apparatus
WO2003094746A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Surgical stapling apparatus having a wound closure material applicator assembly
WO2003094743A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Wound closure material applicator and stapler
AU2003234551A1 (en) 2002-05-13 2003-11-11 Tyco Healthcare Group, Lp Surgical stapler and disposable loading unit having different size staples
US20040158261A1 (en) 2002-05-15 2004-08-12 Vu Dinh Q. Endoscopic device for spill-proof laparoscopic ovarian cystectomy
US7967839B2 (en) 2002-05-20 2011-06-28 Rocky Mountain Biosystems, Inc. Electromagnetic treatment of tissues and cells
US6638297B1 (en) 2002-05-30 2003-10-28 Ethicon Endo-Surgery, Inc. Surgical staple
US7056330B2 (en) 2002-05-31 2006-06-06 Ethicon Endo-Surgery, Inc. Method for applying tissue fastener
US6769594B2 (en) 2002-05-31 2004-08-03 Tyco Healthcare Group, Lp End-to-end anastomosis instrument and method for performing same
US6543456B1 (en) 2002-05-31 2003-04-08 Ethicon Endo-Surgery, Inc. Method for minimally invasive surgery in the digestive system
US7717873B2 (en) 2002-06-14 2010-05-18 Mcneil-Ppc, Inc. Applicator device for suppositories and the like
AU2003239988A1 (en) 2002-06-14 2003-12-31 Power Medical Interventions, Inc. Device for clamping cutting and stapling tissue
DE60307637T2 (de) 2002-06-17 2007-08-09 Tyco Healthcare Group Lp, Norwalk Ringförmige halterungsstruktur
EP1719461B1 (en) 2002-06-17 2009-06-03 Tyco Healthcare Group Lp Annular support structures
GB2390024B (en) 2002-06-27 2005-09-21 Gyrus Medical Ltd Electrosurgical system
US7699856B2 (en) 2002-06-27 2010-04-20 Van Wyk Robert A Method, apparatus, and kit for thermal suture cutting
US8287561B2 (en) 2002-06-28 2012-10-16 Boston Scientific Scimed, Inc. Balloon-type actuator for surgical applications
AUPS322702A0 (en) 2002-06-28 2002-07-18 Cochlear Limited Cochlear implant electrode array
WO2004006980A2 (en) 2002-07-11 2004-01-22 Sightline Technologies Ltd. Piston-actuated endoscopic steering system
IL150853A0 (en) 2002-07-22 2003-02-12 Niti Medical Technologies Ltd Imppoved intussusception and anastomosis apparatus
JP4046569B2 (ja) 2002-07-30 2008-02-13 オリンパス株式会社 外科用処置具
AU2003269931A1 (en) 2002-07-31 2004-02-16 Tyco Heathcare Group, Lp Tool member cover and cover deployment device
US6969395B2 (en) 2002-08-07 2005-11-29 Boston Scientific Scimed, Inc. Electroactive polymer actuated medical devices
US9271753B2 (en) 2002-08-08 2016-03-01 Atropos Limited Surgical device
WO2004019803A1 (de) 2002-08-28 2004-03-11 Heribert Schmid Zahnmedizinisches behandlungssystem
US6981978B2 (en) 2002-08-30 2006-01-03 Satiety, Inc. Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach
JP4657718B2 (ja) 2002-09-06 2011-03-23 シー・アール・バード・インク 内視鏡の外部にある内視鏡付属品制御システム
US7001408B2 (en) 2002-09-20 2006-02-21 Ethicon Endo-Surgery,Inc. Surgical device with expandable member
WO2004032783A1 (de) 2002-09-27 2004-04-22 Aesculap Ag & Co. Kg Instrumentenset für eine chirurgische operation
US7326203B2 (en) 2002-09-30 2008-02-05 Depuy Acromed, Inc. Device for advancing a functional element through tissue
MXPA05003010A (es) 2002-09-30 2005-06-22 Sightline Techn Ltd Herramienta endoscopica accionada por piston.
US20040068224A1 (en) 2002-10-02 2004-04-08 Couvillon Lucien Alfred Electroactive polymer actuated medication infusion pumps
US20040068161A1 (en) 2002-10-02 2004-04-08 Couvillon Lucien Alfred Thrombolysis catheter
JP4049217B2 (ja) 2002-10-02 2008-02-20 イーメックス株式会社 導電性高分子成形品及び積層体を用いた装置
DE60327227D1 (de) 2002-10-04 2009-05-28 Tyco Healthcare Chirurgische klammersetzvorrichtung
US7083626B2 (en) 2002-10-04 2006-08-01 Applied Medical Resources Corporation Surgical access device with pendent valve
EP1671593B1 (en) 2002-10-04 2008-02-27 Tyco Healthcare Group Lp Tool assembly for surgical stapling device
DE60333607D1 (de) 2002-10-04 2010-09-09 Tyco Healthcare Chirurgische Klammervorrichtung
WO2004032763A2 (en) 2002-10-04 2004-04-22 Tyco Healthcare Group, Lp Surgical stapler with universal articulation and tissue pre-clamp
AU2003279151A1 (en) 2002-10-04 2004-05-04 Tyco Healthcare Group, Lp Pneumatic powered surgical stapling device
US6958035B2 (en) 2002-10-15 2005-10-25 Dusa Pharmaceuticals, Inc Medical device sheath apparatus and method of making and using same
JP4086621B2 (ja) 2002-10-28 2008-05-14 株式会社トップ 外科用器具のハンドル構造
US20090149871A9 (en) 2002-11-01 2009-06-11 Jonathan Kagan Devices and methods for treating morbid obesity
US6656514B1 (en) 2002-11-13 2003-12-02 Venita Tubbs Spill-proof lid and container
US20050256452A1 (en) 2002-11-15 2005-11-17 Demarchi Thomas Steerable vascular sheath
CN1486667A (zh) 2002-11-22 2004-04-07 带有一次性鞘套的内窥镜系统
JP4456488B2 (ja) 2002-11-22 2010-04-28 タイコ ヘルスケア グループ エルピー シース導入装置および方法
DE10257760A1 (de) 2002-11-26 2004-06-17 Stefan Koscher Chirurgisches Instrument
US20040102783A1 (en) 2002-11-27 2004-05-27 Sutterlin Chester E. Powered Kerrison-like Rongeur system
US7892245B2 (en) 2002-11-29 2011-02-22 Liddicoat John R Apparatus and method for manipulating tissue
US6929223B2 (en) 2002-12-17 2005-08-16 Stearns Inc. Air cushioned grippers for article holders
CN100353143C (zh) 2002-12-18 2007-12-05 皇家飞利浦电子股份有限公司 磁性位置传感器
US20040147909A1 (en) 2002-12-20 2004-07-29 Gyrus Ent L.L.C. Surgical instrument
US7682686B2 (en) 2002-12-20 2010-03-23 The Procter & Gamble Company Tufted fibrous web
US7343920B2 (en) 2002-12-20 2008-03-18 Toby E Bruce Connective tissue repair system
GB0230055D0 (en) 2002-12-23 2003-01-29 Gyrus Medical Ltd Electrosurgical method and apparatus
US7131445B2 (en) 2002-12-23 2006-11-07 Gyrus Medical Limited Electrosurgical method and apparatus
US20040186349A1 (en) 2002-12-24 2004-09-23 Usgi Medical Corp. Apparatus and methods for achieving endoluminal access
CA2512904C (en) 2003-01-09 2011-06-14 Gyrus Medical Limited An electrosurgical generator
GB0426648D0 (en) 2004-12-03 2005-01-05 Gyrus Medical Ltd An electrosurgical generator
US6960220B2 (en) 2003-01-22 2005-11-01 Cardia, Inc. Hoop design for occlusion device
US6821284B2 (en) 2003-01-22 2004-11-23 Novare Surgical Systems, Inc. Surgical clamp inserts with micro-tractive surfaces
JP2006515791A (ja) 2003-01-24 2006-06-08 アプライド メディカル リソーシーズ コーポレイション 内部組織開創器
US20040225186A1 (en) 2003-01-29 2004-11-11 Horne Guy E. Composite flexible endoscope insertion shaft with tubular substructure
JP2004229976A (ja) 2003-01-31 2004-08-19 Nippon Zeon Co Ltd 鉗子型電気処置器具
EP1442720A1 (en) 2003-01-31 2004-08-04 Tre Esse Progettazione Biomedica S.r.l Apparatus for the maneuvering of flexible catheters in the human cardiovascular system
EP1593337B1 (en) 2003-02-11 2008-08-13 Olympus Corporation Overtube
US7133601B2 (en) 2003-02-18 2006-11-07 Black & Decker Inc. Amperage control for protection of battery over current in power tools
US20040167572A1 (en) 2003-02-20 2004-08-26 Roth Noah M. Coated medical devices
PL1599243T3 (pl) 2003-03-04 2014-07-31 Norton Healthcare Ltd Urządzenie do dozowania leku z wyświetlaczem wskazującym na stan wewnętrznego zbiornika leku
CA2514206C (en) 2003-03-05 2012-10-02 Gyrus Medical Limited Electrosurgical generator and system
CA2519445C (en) 2003-03-17 2012-06-12 Tyco Healthcare Group, Lp Endoscopic tissue removal apparatus and method
US20040193189A1 (en) 2003-03-25 2004-09-30 Kortenbach Juergen A. Passive surgical clip
US20060041188A1 (en) 2003-03-25 2006-02-23 Dirusso Carlo A Flexible endoscope
CA2519461C (en) 2003-03-26 2012-05-29 Tyco Healthcare Group Lp Energy stored in spring with controlled release
DE10314072B4 (de) 2003-03-28 2009-01-15 Aesculap Ag Chirurgisches Instrument
US7527632B2 (en) 2003-03-31 2009-05-05 Cordis Corporation Modified delivery device for coated medical devices
DE10324844A1 (de) 2003-04-01 2004-12-23 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument mit Instrumentengriff und Nullpunkteinstellung
DE10330604A1 (de) 2003-04-01 2004-10-28 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument
DE10314827B3 (de) 2003-04-01 2004-04-22 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument
DE10314828B3 (de) 2003-04-01 2004-07-22 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument
US20040199181A1 (en) 2003-04-02 2004-10-07 Knodel Bryan D. Surgical device for anastomosis
PT1616549E (pt) 2003-04-23 2012-11-12 Otsuka Pharma Co Ltd Ampola de plástico de enchimento de uma solução de fármaco e processo para a sua produção
EP2397184B1 (en) 2003-04-25 2013-04-03 Applied Medical Resources Corporation Steerable kink-resistant sheath
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
RU32984U1 (ru) 2003-04-30 2003-10-10 Институт экспериментальной ветеринарии Сибири и Дальнего Востока СО РАСХН Кутиметр
US7160299B2 (en) 2003-05-01 2007-01-09 Sherwood Services Ag Method of fusing biomaterials with radiofrequency energy
US7004179B1 (en) 2003-05-01 2006-02-28 Sandra Lunde Hair styling article
JP4391762B2 (ja) 2003-05-08 2009-12-24 オリンパス株式会社 外科用処置具
US8636191B2 (en) 2003-05-09 2014-01-28 Covidien Lp Anastomotic staple with capillary which expels a bonding agent upon deformation
US7431694B2 (en) 2003-05-16 2008-10-07 Ethicon Endo-Surgery, Inc. Method of guiding medical devices
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US6978921B2 (en) 2003-05-20 2005-12-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an E-beam firing mechanism
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
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
US6988649B2 (en) 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7032748B2 (en) 2003-05-28 2006-04-25 Conklin William M Portable dispensers for fastening means
JP3521910B1 (ja) 2003-05-29 2004-04-26 清輝 司馬 内視鏡の外部鉗子チャンネル装置
US20060052825A1 (en) 2003-06-16 2006-03-09 Ransick Mark H Surgical implant alloy
US7905902B2 (en) 2003-06-16 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical implant with preferential corrosion zone
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
US20040260315A1 (en) 2003-06-17 2004-12-23 Dell Jeffrey R. Expandable tissue support member and method of forming the support member
WO2004112652A2 (en) 2003-06-20 2004-12-29 Medtronic Vascular, Inc. Device, system, and method for contracting tissue in a mammalian body
EP3000405A1 (en) 2003-06-20 2016-03-30 Covidien LP Surgical stapling device
GB0314863D0 (en) 2003-06-26 2003-07-30 Univ Dundee Medical apparatus and method
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
US7111769B2 (en) 2003-07-09 2006-09-26 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
US6786382B1 (en) 2003-07-09 2004-09-07 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an articulation joint for a firing bar track
US7213736B2 (en) 2003-07-09 2007-05-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
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
EP1643914B1 (en) 2003-07-16 2015-09-23 Covidien LP Surgical stapling device with tissue tensioner
ATE482656T1 (de) 2003-07-17 2010-10-15 Gunze Kk Nahtverstärkungsmaterial für ein automatisches nähgerät
US7686201B2 (en) 2003-09-01 2010-03-30 Tyco Healthcare Group Lp Circular stapler for hemorrhoid operations
JP4190983B2 (ja) 2003-09-04 2008-12-03 ジョンソン・エンド・ジョンソン株式会社 ステープル装置
US7547312B2 (en) 2003-09-17 2009-06-16 Gore Enterprise Holdings, Inc. Circular stapler buttress
US20050059997A1 (en) 2003-09-17 2005-03-17 Bauman Ann M. Circular stapler buttress
US7287474B2 (en) 2003-09-22 2007-10-30 Spitdog Resources, Llc Consumer pyrotechnics support apparatus
US7434715B2 (en) 2003-09-29 2008-10-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing with opening lockout
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
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
US7000819B2 (en) 2003-09-29 2006-02-21 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism
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
US20050070929A1 (en) 2003-09-30 2005-03-31 Dalessandro David A. Apparatus and method for attaching a surgical buttress to a stapling apparatus
US7556647B2 (en) 2003-10-08 2009-07-07 Arbor Surgical Technologies, Inc. Attachment device and methods of using the same
US7914543B2 (en) 2003-10-14 2011-03-29 Satiety, Inc. Single fold device for tissue fixation
US20060161050A1 (en) 2003-10-15 2006-07-20 John Butler A surgical sealing device
US8770459B2 (en) 2003-10-17 2014-07-08 Covidien Lp Surgical stapling device with independent tip rotation
US20090090763A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US9113880B2 (en) * 2007-10-05 2015-08-25 Covidien Lp Internal backbone structural chassis for a surgical device
US7296722B2 (en) 2003-10-17 2007-11-20 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
US8806973B2 (en) 2009-12-02 2014-08-19 Covidien Lp Adapters for use between surgical handle assembly and surgical end effector
EP2298181B1 (en) 2003-10-17 2017-04-12 Covidien LP Tilt anvil assembly for a surgical stapling device
US7338513B2 (en) 2003-10-30 2008-03-04 Cambridge Endoscopic Devices, Inc. Surgical instrument
US7686826B2 (en) 2003-10-30 2010-03-30 Cambridge Endoscopic Devices, Inc. Surgical instrument
US7147650B2 (en) 2003-10-30 2006-12-12 Woojin Lee Surgical instrument
US7842028B2 (en) 2005-04-14 2010-11-30 Cambridge Endoscopic Devices, Inc. Surgical instrument guide device
ATE401100T1 (de) 2003-10-30 2008-08-15 Mcneil Ppc Inc Saugfähige artikel mit metallbeladenen nanoteilchen
JP2005131212A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル及び内視鏡装置
JP2005131173A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用外付けチャンネル
JP2005131163A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005131164A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005131211A (ja) 2003-10-31 2005-05-26 Olympus Corp 内視鏡用の外付けチャンネル
JP2005137423A (ja) 2003-11-04 2005-06-02 Olympus Corp 内視鏡用の外付けチャンネルおよび外付けチャンネル用分岐部材
DE10353846A1 (de) 2003-11-18 2005-06-16 Maquet Gmbh & Co. Kg Verfahren zur Vorbereitung von für die Durchführung von medizinischen oder chirurgischen Eingriffen bestimmten Geräten
CN2686539Y (zh) 2003-11-24 2005-03-23 翁志强 消化道吻合器的吻合钉
JP4594612B2 (ja) 2003-11-27 2010-12-08 オリンパス株式会社 挿入補助具
GB2408936B (en) 2003-12-09 2007-07-18 Gyrus Group Plc A surgical instrument
US20050131457A1 (en) 2003-12-15 2005-06-16 Ethicon, Inc. Variable stiffness shaft
US8590764B2 (en) 2003-12-24 2013-11-26 Boston Scientific Scimed, Inc. Circumferential full thickness resectioning device
CN1634601A (zh) 2003-12-26 2005-07-06 吉林省中立实业有限公司 一种用于医疗器械灭菌的方法
US6988650B2 (en) 2003-12-30 2006-01-24 Ethicon Endo-Surgery, Inc. Retaining pin lever advancement mechanism for a curved cutter stapler
US20050143759A1 (en) 2003-12-30 2005-06-30 Kelly William D. Curved cutter stapler shaped for male pelvis
US7766207B2 (en) 2003-12-30 2010-08-03 Ethicon Endo-Surgery, Inc. Articulating curved cutter stapler
US7549563B2 (en) 2003-12-30 2009-06-23 Ethicon Endo-Surgery, Inc. Rotating curved cutter stapler
US20050139636A1 (en) 2003-12-30 2005-06-30 Schwemberger Richard F. Replaceable cartridge module for a surgical stapling and cutting instrument
US7204404B2 (en) 2003-12-30 2007-04-17 Ethicon Endo-Surgery, Inc. Slotted pins guiding knife in a curved cutter stapler
US7134587B2 (en) 2003-12-30 2006-11-14 Ethicon Endo-Surgery, Inc. Knife retraction arm for a curved cutter stapler
US7207472B2 (en) 2003-12-30 2007-04-24 Ethicon Endo-Surgery, Inc. Cartridge with locking knife for a curved cutter stapler
US7147139B2 (en) 2003-12-30 2006-12-12 Ethicon Endo-Surgery, Inc Closure plate lockout for a curved cutter stapler
US6995729B2 (en) 2004-01-09 2006-02-07 Biosense Webster, Inc. Transponder with overlapping coil antennas on a common core
US7204835B2 (en) 2004-02-02 2007-04-17 Gyrus Medical, Inc. Surgical instrument
DE102004005709A1 (de) 2004-02-05 2005-08-25 Polydiagnost Gmbh Endoskop mit einer flexiblen Sonde
GB0403020D0 (en) 2004-02-11 2004-03-17 Pa Consulting Services Portable charging device
ATE520440T1 (de) 2004-02-12 2011-09-15 Ndi Medical Llc Tragbare anordnungen und systeme für die funktionale oder therapeutische neuromuskuläre stimulation
US7886952B2 (en) 2004-02-17 2011-02-15 Tyco Healthcare Group Lp Surgical stapling apparatus with locking mechanism
ES2282940T3 (es) 2004-02-17 2007-10-16 Tyco Healthcare Group Lp Aparato para la aplicacion de grapas quirurgicas con mecanismo de bloqueo.
DE602005000891T2 (de) 2004-02-17 2008-01-17 Tyco Healthcare Group Lp, Norwalk Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus
EP1563793B1 (en) 2004-02-17 2007-06-13 Tyco Healthcare Group Lp Surgical stapling apparatus
AU2005215811A1 (en) 2004-02-17 2005-09-01 Cook Biotech Incorporated Medical devices and methods for applying bolster material
ES2365547T3 (es) 2004-02-17 2011-10-06 Tyco Healthcare Group Lp Aparato quirúrgico de grapado con mecanismo de bloqueo.
US6953138B1 (en) 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
US8046049B2 (en) 2004-02-23 2011-10-25 Biosense Webster, Inc. Robotically guided catheter
JP2005279253A (ja) 2004-03-02 2005-10-13 Olympus Corp 内視鏡
JP4755638B2 (ja) 2004-03-05 2011-08-24 ハンセン メディカル，インク． ロボットガイドカテーテルシステム
EP1723913A1 (en) 2004-03-10 2006-11-22 Olympus Corporation Treatment tool for surgery
JP4610934B2 (ja) 2004-06-03 2011-01-12 オリンパス株式会社 外科用処置具
US7066944B2 (en) 2004-03-11 2006-06-27 Laufer Michael D Surgical fastening system
AU2005221424B2 (en) 2004-03-18 2011-02-17 Kimberly-Clark Worldwide, Inc. Apparatus for the prevention of urinary incontinence in females
EP1729651B1 (en) 2004-03-19 2012-12-05 Tyco Healthcare Group LP Anvil assembly with improved cut ring
JP4727158B2 (ja) 2004-03-23 2011-07-20 オリンパス株式会社 内視鏡システム
JP2005296412A (ja) 2004-04-13 2005-10-27 Olympus Corp 内視鏡治療装置
US8932276B1 (en) 2004-04-21 2015-01-13 Acclarent, Inc. Shapeable guide catheters and related methods
US7758612B2 (en) 2004-04-27 2010-07-20 Tyco Healthcare Group Lp Surgery delivery device and mesh anchor
US8333764B2 (en) 2004-05-12 2012-12-18 Medtronic, Inc. Device and method for determining tissue thickness and creating cardiac ablation lesions
US20050252923A1 (en) 2004-05-13 2005-11-17 Woolf Mary P Spill proof container for non-liquid materials
JP2005328882A (ja) 2004-05-18 2005-12-02 Olympus Corp 内視鏡用処置具及び内視鏡システム
GB2414185A (en) 2004-05-20 2005-11-23 Gyrus Medical Ltd Morcellating device using cutting electrodes on end-face of tube
JP2005335432A (ja) 2004-05-24 2005-12-08 Nissan Motor Co Ltd 後輪転舵制御装置
IES20040368A2 (en) 2004-05-25 2005-11-30 James E Coleman Surgical stapler
US7828808B2 (en) 2004-06-07 2010-11-09 Novare Surgical Systems, Inc. Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools
DE102004027850A1 (de) 2004-06-08 2006-01-05 Henke-Sass Wolf Gmbh Biegbarer Abschnitt eines Einführtubus eines Endoskopes und Verfahren zu dessen Herstellung
GB2415140A (en) 2004-06-18 2005-12-21 Gyrus Medical Ltd A surgical instrument
US7059508B2 (en) 2004-06-30 2006-06-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission
US7229408B2 (en) 2004-06-30 2007-06-12 Ethicon, Inc. Low profile surgical retractor
JP4257270B2 (ja) 2004-07-14 2009-04-22 オリンパス株式会社 生体組織縫合方法及び生体組織縫合器
US20060020258A1 (en) 2004-07-20 2006-01-26 Medtronic, Inc. Surgical apparatus with a manually actuatable assembly and a method of operating same
US20090078736A1 (en) 2004-07-26 2009-03-26 Van Lue Stephen J Surgical stapler with magnetically secured components
RU42750U1 (ru) 2004-07-26 2004-12-20 Альбертин Сергей Викторович Устройство для дозированной подачи веществ
US8075476B2 (en) 2004-07-27 2011-12-13 Intuitive Surgical Operations, Inc. Cannula system and method of use
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7354447B2 (en) 2005-11-10 2008-04-08 Ethicon Endo-Surgery, Inc. Disposable loading unit and surgical instruments including same
US20060025812A1 (en) 2004-07-28 2006-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated pivoting articulation mechanism
US7857183B2 (en) 2004-07-28 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
CA2512948C (en) 2004-07-28 2013-10-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
US7879070B2 (en) 2004-07-28 2011-02-01 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for grasper
US7914551B2 (en) 2004-07-28 2011-03-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument
US7506790B2 (en) 2004-07-28 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US7407077B2 (en) 2004-07-28 2008-08-05 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US8317074B2 (en) 2004-07-28 2012-11-27 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for circular stapler
US7513408B2 (en) 2004-07-28 2009-04-07 Ethicon Endo-Surgery, Inc. Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism
US7143926B2 (en) 2005-02-07 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
US7487899B2 (en) 2004-07-28 2009-02-10 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP complete firing system lockout mechanism
US7210609B2 (en) 2004-07-30 2007-05-01 Tools For Surgery, Llc Stapling apparatus having a curved anvil and driver
KR101235479B1 (ko) 2004-08-06 2013-02-20 제넨테크, 인크. 바이오마커를 사용한 분석 및 방법
CN2716900Y (zh) 2004-08-09 2005-08-10 陈永 新感觉鼠标
WO2006023578A2 (en) 2004-08-17 2006-03-02 Tyco Healthcare Group, Lp Stapling support structures
WO2006023486A1 (en) 2004-08-19 2006-03-02 Tyco Healthcare Group, Lp Water-swellable copolymers and articles and coating made therefrom
US7182239B1 (en) 2004-08-27 2007-02-27 Myers Stephan R Segmented introducer device for a circular surgical stapler
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
AU2004323140B2 (en) 2004-09-10 2011-11-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
JP2006081687A (ja) 2004-09-15 2006-03-30 Max Co Ltd 医療用ステープラ
FR2876020B1 (fr) 2004-10-06 2007-03-09 Sofradim Production Sa Appareil de stockage, distribution et pose d'attaches chirurgicales
WO2006044581A2 (en) 2004-10-13 2006-04-27 Medtronic, Inc. Single-use transurethral needle ablation device
US8372094B2 (en) 2004-10-15 2013-02-12 Covidien Lp Seal element for anastomosis
EP2441396B1 (en) 2004-10-18 2015-01-21 Covidien LP Annular adhesive structure
AU2005295487B2 (en) 2004-10-18 2010-12-02 Covidien Lp Surgical fasteners coated with wound treatment materials
US7938307B2 (en) 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
WO2006044799A2 (en) 2004-10-18 2006-04-27 Tyco Healthcare Group, Lp Extraluminal sealant applicator and method
US7845536B2 (en) 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
EP1804682B1 (en) 2004-10-18 2017-11-29 Covidien LP Structure for applying sprayable wound treatment material
CA2583800C (en) 2004-10-18 2013-12-10 Tyco Healthcare Group Lp Apparatus for applying wound treatment material using tissue-penetrating needles
US7455682B2 (en) 2004-10-18 2008-11-25 Tyco Healthcare Group Lp Structure containing wound treatment material
CN2738962Y (zh) 2004-11-15 2005-11-09 胡建坤 电动剃须刀及带有充电器的电动剃须刀
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
US7419321B2 (en) 2005-01-05 2008-09-02 Misha Tereschouk Hand applicator of encapsulated liquids
US20060161185A1 (en) 2005-01-14 2006-07-20 Usgi Medical Inc. Methods and apparatus for transmitting force to an end effector over an elongate member
JP4847475B2 (ja) 2005-01-26 2011-12-28 ▲蘇▼州天臣国▲際▼医▲療▼科技有限公司 外科手術用ステープラーの回転刃付ステープリングヘッド
US20060173470A1 (en) 2005-01-31 2006-08-03 Oray B N Surgical fastener buttress material
WO2006085389A1 (en) 2005-02-09 2006-08-17 Johnson & Johnson Kabushiki Kaisha Stapling instrument
GB2423199B (en) 2005-02-11 2009-05-13 Pa Consulting Services Power supply systems for electrical devices
US7654431B2 (en) 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
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
US7559450B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating a fluid transfer controlled articulation mechanism
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
US7780054B2 (en) 2005-02-18 2010-08-24 Ethicon Endo-Surgery, Inc. Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint
US7559452B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument having fluid actuated opposing jaws
US7674263B2 (en) 2005-03-04 2010-03-09 Gyrus Ent, L.L.C. Surgical instrument and method
US7699846B2 (en) 2005-03-04 2010-04-20 Gyrus Ent L.L.C. Surgical instrument and method
US20060201989A1 (en) 2005-03-11 2006-09-14 Ojeda Herminio F Surgical anvil and system for deploying the same
AU2012200178B2 (en) 2005-03-15 2013-07-11 Covidien Lp Anastomosis composite gasket
US7942890B2 (en) 2005-03-15 2011-05-17 Tyco Healthcare Group Lp Anastomosis composite gasket
US20070203510A1 (en) 2006-02-28 2007-08-30 Bettuchi Michael J Annular disk for reduction of anastomotic tension and methods of using the same
US7784663B2 (en) 2005-03-17 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having load sensing control circuitry
US20060211919A1 (en) 2005-03-18 2006-09-21 Wilk Patent. Llc Intra-abdominal medical device and associated method
US20060252993A1 (en) 2005-03-23 2006-11-09 Freed David I Medical devices and systems
JP4857585B2 (ja) 2005-04-04 2012-01-18 日立工機株式会社 コードレス電動工具
US7780055B2 (en) 2005-04-06 2010-08-24 Tyco Healthcare Group Lp Loading unit having drive assembly locking mechanism
US7297149B2 (en) 2005-04-14 2007-11-20 Ethicon Endo-Surgery, Inc. Surgical clip applier methods
EP1868485B1 (en) 2005-04-15 2016-06-08 Surgisense Corporation Surgical instruments with sensors for detecting tissue properties, and systems using such instruments
US20060241651A1 (en) 2005-04-22 2006-10-26 Wilk Patent, Llc Surgical port device and associated method
US7837694B2 (en) 2005-04-28 2010-11-23 Warsaw Orthopedic, Inc. Method and apparatus for surgical instrument identification
DE102005020377B4 (de) 2005-05-02 2021-08-12 Robert Bosch Gmbh Verfahren zum Betreiben einer Elektrowerkzeugmaschine
US20060258904A1 (en) 2005-05-13 2006-11-16 David Stefanchik Feeding tube and track
AU2006202052A1 (en) 2005-05-17 2006-12-07 Ethicon Endo-Surgery, Inc. Surgical stapler having a plastic closure plate
US7682561B2 (en) 2005-05-19 2010-03-23 Sage Products, Inc. Needleless hub disinfection device and method
US8157815B2 (en) 2005-05-20 2012-04-17 Neotract, Inc. Integrated handle assembly for anchor delivery system
ATE450215T1 (de) 2005-05-25 2009-12-15 Gyrus Medical Inc Operationsinstrument
US20060291981A1 (en) 2005-06-02 2006-12-28 Viola Frank J Expandable backspan staple
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
CA2820525C (en) 2005-06-03 2015-08-04 Tyco Healthcare Group Lp Battery powered surgical instrument
WO2007002180A2 (en) 2005-06-28 2007-01-04 Stryker Corporation Powered surgical tool with control module that contains a sensor for remotely monitoring the tool power generating unit
US8241271B2 (en) 2005-06-30 2012-08-14 Intuitive Surgical Operations, Inc. Robotic surgical instruments with a fluid flow control system for irrigation, aspiration, and blowing
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US8679154B2 (en) 2007-01-12 2014-03-25 Ethicon Endo-Surgery, Inc. Adjustable compression staple and method for stapling with adjustable compression
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US8627993B2 (en) 2007-02-12 2014-01-14 Ethicon Endo-Surgery, Inc. Active braking electrical surgical instrument and method for braking such an instrument
US7959050B2 (en) 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US9662116B2 (en) * 2006-05-19 2017-05-30 Ethicon, Llc Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
JP4336386B2 (ja) 2005-07-26 2009-09-30 エシコン エンド−サージェリー，インク． 外科用ステープリング及び切断デバイスおよびこのデバイスの使用方法
US8028885B2 (en) 2006-05-19 2011-10-04 Ethicon Endo-Surgery, Inc. Electric surgical instrument with optimized power supply and drive
CA2616994C (en) 2005-07-27 2014-10-07 Power Medical Interventions, Inc. Staple pocket arrangement for surgical stapler
CN102988087B (zh) 2005-07-27 2015-09-09 柯惠Lp公司 例如用于机电手术设备的轴
US20070027468A1 (en) 2005-08-01 2007-02-01 Wales Kenneth S Surgical instrument with an articulating shaft locking mechanism
US7641092B2 (en) 2005-08-05 2010-01-05 Ethicon Endo - Surgery, Inc. Swing gate for device lockout in a curved cutter stapler
US7641835B2 (en) 2005-08-11 2010-01-05 Edison Nation, Llc Trashcan having improved bag retention member
US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7398908B2 (en) 2005-08-15 2008-07-15 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
US7886953B2 (en) 2005-08-18 2011-02-15 Ethicon Endo-Surgery, Inc. Fired device lockout for a curved cutter stapler with a free moving trigger
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US7500979B2 (en) 2005-08-31 2009-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US20070051375A1 (en) 2005-09-06 2007-03-08 Milliman Keith L Instrument introducer
US20070080814A1 (en) 2005-09-09 2007-04-12 Vector Products, Inc. Dynamo operated portable device having an alert radio
US20070135803A1 (en) 2005-09-14 2007-06-14 Amir Belson Methods and apparatus for performing transluminal and other procedures
US7407078B2 (en) 2005-09-21 2008-08-05 Ehthicon Endo-Surgery, Inc. Surgical stapling instrument having force controlled spacing end effector
US7467740B2 (en) 2005-09-21 2008-12-23 Ethicon Endo-Surgery, Inc. Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights
EP1767163A1 (en) 2005-09-22 2007-03-28 Sherwood Services AG Bipolar forceps with multiple electrode array end effector assembly
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
AU2006222753B2 (en) 2005-09-30 2012-09-27 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US20080190989A1 (en) 2005-10-03 2008-08-14 Crews Samuel T Endoscopic plication device and method
US9055942B2 (en) 2005-10-03 2015-06-16 Boston Scienctific Scimed, Inc. Endoscopic plication devices and methods
US20070078484A1 (en) 2005-10-03 2007-04-05 Joseph Talarico Gentle touch surgical instrument and method of using same
US7635074B2 (en) 2005-10-04 2009-12-22 Tyco Healthcare Group Lp Staple drive assembly
US7641091B2 (en) 2005-10-04 2010-01-05 Tyco Healthcare Group Lp Staple drive assembly
CA2563147C (en) 2005-10-14 2014-09-23 Tyco Healthcare Group Lp Surgical stapling device
US7749415B2 (en) 2005-10-14 2010-07-06 Applied Medical Resources Corporation Method of making a hand access laparoscopic device
US20070244471A1 (en) 2005-10-21 2007-10-18 Don Malackowski System and method for managing the operation of a battery powered surgical tool and the battery used to power the tool
EP2919295B1 (en) 2005-10-31 2018-08-29 Black & Decker, Inc. Method of arranging the components of a battery pack
US20070102472A1 (en) 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7328828B2 (en) 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
US7607557B2 (en) 2005-11-04 2009-10-27 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for pump-assisted delivery of medical agents
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
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
CN2868212Y (zh) 2005-11-11 2007-02-14 钟李宽 随换式腹腔镜手术钳
JP5276987B2 (ja) 2005-11-15 2013-08-28 ザ・ジョンズ・ホプキンス・ユニバーシティー バイオセンシング及び外科的処置のための能動的カニューレ
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
US7874455B2 (en) 2005-12-13 2011-01-25 Oneglove, Llc Dispenser and gloves
JP5101519B2 (ja) 2005-12-20 2012-12-19 インテュイティブ サージカル インコーポレイテッド ロボット手術システムの機器インターフェース
RU61114U1 (ru) 2005-12-23 2007-02-27 Мирзакарим Санакулович Норбеков Аппарат для развития мозговой деятельности
WO2007074430A1 (en) 2005-12-28 2007-07-05 Given Imaging Ltd. Device, system and method for activation of an in vivo device
US7481824B2 (en) 2005-12-30 2009-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument with bending articulation controlled articulation pivot joint
US7955257B2 (en) 2006-01-05 2011-06-07 Depuy Spine, Inc. Non-rigid surgical retractor
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US20070173813A1 (en) 2006-01-24 2007-07-26 Sherwood Services Ag System and method for tissue sealing
CA2854625C (en) 2006-01-27 2017-01-24 Suturtek Incorporated Apparatus and method for tissue closure
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
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
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
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
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US7891531B1 (en) 2006-01-31 2011-02-22 Ward Gary L Sub-miniature surgical staple cartridge
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
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
US20070175951A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7422138B2 (en) 2006-02-01 2008-09-09 Ethicon Endo-Surgery, Inc. Elliptical intraluminal surgical stapler for anastomosis
US9629626B2 (en) 2006-02-02 2017-04-25 Covidien Lp Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue
EP1815950A1 (en) 2006-02-03 2007-08-08 The European Atomic Energy Community (EURATOM), represented by the European Commission Robotic surgical system for performing minimally invasive medical procedures
EP1837041A1 (en) 2006-03-20 2007-09-26 Tissuemed Limited Tissue-adhesive materials
DE202006002182U1 (de) 2006-02-11 2006-04-20 Shano, Majid, Dr. Implantat zur Osteosynthese
US7893586B2 (en) 2006-02-20 2011-02-22 Black & Decker Inc. DC motor with dual commutator bar set and selectable series and parallel connected coils
US20070208359A1 (en) 2006-03-01 2007-09-06 Hoffman Douglas B Method for stapling tissue
US8313507B2 (en) 2006-03-13 2012-11-20 Mini-Lap Technologies, Inc. Minimally invasive rake retractor and method for using same
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US20110163146A1 (en) 2006-03-23 2011-07-07 Ortiz Mark S Surgical Stapling And Cuttting Device
US9675375B2 (en) 2006-03-29 2017-06-13 Ethicon Llc Ultrasonic surgical system and method
JP4102409B2 (ja) 2006-04-03 2008-06-18 オリンパス株式会社 縫合・結紮具アプライヤー
US8485970B2 (en) 2008-09-30 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical access device
US8926506B2 (en) 2009-03-06 2015-01-06 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US9005116B2 (en) 2006-04-05 2015-04-14 Ethicon Endo-Surgery, Inc. Access device
US20070246505A1 (en) 2006-04-24 2007-10-25 Medical Ventures Inc. Surgical buttress assemblies and methods of uses thereof
US7278563B1 (en) 2006-04-25 2007-10-09 Green David T Surgical instrument for progressively stapling and incising tissue
EP2015681B1 (en) 2006-05-03 2018-03-28 Datascope Corp. Tissue closure device
US8021389B2 (en) 2006-05-17 2011-09-20 Warsaw Orthopedic, Inc. Surgical staple assembly
JP4891397B2 (ja) 2006-05-19 2012-03-07 エシコン エンド−サージェリー，インク． 電気式手術器具
US8105350B2 (en) 2006-05-23 2012-01-31 Cambridge Endoscopic Devices, Inc. Surgical instrument
US20070276409A1 (en) 2006-05-25 2007-11-29 Ethicon Endo-Surgery, Inc. Endoscopic gastric restriction methods and devices
US20090188964A1 (en) 2006-06-01 2009-07-30 Boris Orlov Membrane augmentation, such as of for treatment of cardiac valves, and fastening devices for membrane augmentation
JP5147837B2 (ja) 2006-06-02 2013-02-20 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 タイマーおよびフィードバックディスプレイを有する外科用ステープラ
US7530984B2 (en) 2006-06-05 2009-05-12 Medigus Ltd. Transgastric method for carrying out a partial fundoplication
US7615067B2 (en) 2006-06-05 2009-11-10 Cambridge Endoscopic Devices, Inc. Surgical instrument
US9561045B2 (en) 2006-06-13 2017-02-07 Intuitive Surgical Operations, Inc. Tool with rotation lock
DE202007003114U1 (de) 2006-06-13 2007-06-21 Olympus Winter & Ibe Gmbh Medizinische Zange mit Bajonettverbindung
KR101477133B1 (ko) 2006-06-13 2014-12-29 인튜어티브 서지컬 인코포레이티드 미소절개 수술 시스템
CA2860487C (en) 2006-06-14 2019-03-26 Macdonald, Dettwiler And Associates Inc. Serially jointed manipulator arm
US8672171B2 (en) 2006-06-19 2014-03-18 Edison Nation, Llc Trashcan having improved bag retention member
US20090204108A1 (en) 2006-06-21 2009-08-13 Rudolf Steffen Device for introducing and positioning surgical instruments and corresponding method
DE602006010845D1 (de) 2006-07-07 2010-01-14 Ethicon Endo Surgery Inc Chirurgische Klammersetzvorrichtung
DE102006031971A1 (de) 2006-07-11 2008-01-17 Karl Storz Gmbh & Co. Kg Medizinisches Instrument
US7448525B2 (en) 2006-08-02 2008-11-11 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with manually operated retraction apparatus
US20080029574A1 (en) 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
AU2007286171A1 (en) 2006-08-09 2008-02-21 Coherex Medical, Inc. Methods, systems and devices for reducing the size of an internal tissue opening
US7677525B2 (en) 2006-08-14 2010-03-16 Martin Solario Sanchez Vegetation attachment device
US7708758B2 (en) 2006-08-16 2010-05-04 Cambridge Endoscopic Devices, Inc. Surgical instrument
US20100087713A1 (en) 2006-09-08 2010-04-08 Chaim Eliash Shapeable pad
US8794496B2 (en) 2006-09-11 2014-08-05 Covidien Lp Rotating knob locking mechanism for surgical stapling device
US7648519B2 (en) 2006-09-13 2010-01-19 Cambridge Endoscopic Devices, Inc. Surgical instrument
US7794475B2 (en) 2006-09-29 2010-09-14 Ethicon Endo-Surgery, Inc. Surgical staples having compressible or crushable members for securing tissue therein and stapling instruments for deploying the same
US20100133317A1 (en) 2006-09-29 2010-06-03 Shelton Iv Frederick E Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback
US20080082114A1 (en) 2006-09-29 2008-04-03 Mckenna Robert H Adhesive Mechanical Fastener for Lumen Creation Utilizing Tissue Necrosing Means
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
WO2008045361A2 (en) 2006-10-05 2008-04-17 Tyco Healthcare Group Lp Flexible endoscopic stitching devices
US8708210B2 (en) 2006-10-05 2014-04-29 Covidien Lp Method and force-limiting handle mechanism for a surgical instrument
ATE435613T1 (de) 2006-10-06 2009-07-15 Ethicon Endo Surgery Inc Verbesserungen betreffend einen applikator zum anbringen von anastomosenringen
US7637410B2 (en) 2006-10-06 2009-12-29 Tyco Healthcare Group Lp Surgical instrument including a locking assembly
US20080086078A1 (en) 2006-10-06 2008-04-10 Powell Darrel M Devices for reduction of post operative ileus
US7481348B2 (en) 2006-10-06 2009-01-27 Tyco Healthcare Group Lp Surgical instrument with articulating tool assembly
DE602007007031D1 (de) 2006-10-13 2010-07-22 Toshiba Kk Manipulator
US7862502B2 (en) 2006-10-20 2011-01-04 Ellipse Technologies, Inc. Method and apparatus for adjusting a gastrointestinal restriction device
JP5085996B2 (ja) 2006-10-25 2012-11-28 テルモ株式会社 マニピュレータシステム
JP5198014B2 (ja) 2006-10-25 2013-05-15 テルモ株式会社 医療用マニピュレータ
US7845533B2 (en) 2007-06-22 2010-12-07 Tyco Healthcare Group Lp Detachable buttress material retention systems for use with a surgical stapling device
WO2008057281A2 (en) 2006-10-26 2008-05-15 Tyco Healthcare Group Lp Methods of using shape memory alloys for buttress attachment
JP2008114339A (ja) 2006-11-06 2008-05-22 Terumo Corp マニピュレータ
US7708180B2 (en) 2006-11-09 2010-05-04 Ethicon Endo-Surgery, Inc. Surgical fastening device with initiator impregnation of a matrix or buttress to improve adhesive application
US7780685B2 (en) 2006-11-09 2010-08-24 Ethicon Endo-Surgery, Inc. Adhesive and mechanical fastener
US7721930B2 (en) 2006-11-10 2010-05-25 Thicon Endo-Surgery, Inc. Disposable cartridge with adhesive for use with a stapling device
US8114100B2 (en) 2006-12-06 2012-02-14 Ethicon Endo-Surgery, Inc. Safety fastener for tissue apposition
US20080154299A1 (en) 2006-12-08 2008-06-26 Steve Livneh Forceps for performing endoscopic surgery
US7434716B2 (en) 2006-12-21 2008-10-14 Tyco Healthcare Group Lp Staple driver for articulating surgical stapler
US20110174861A1 (en) 2007-01-10 2011-07-21 Shelton Iv Frederick E Surgical Instrument With Wireless Communication Between Control Unit and Remote Sensor
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US8632535B2 (en) 2007-01-10 2014-01-21 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
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
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US8701958B2 (en) 2007-01-11 2014-04-22 Ethicon Endo-Surgery, Inc. Curved end effector for a surgical stapling device
US20080169328A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
WO2008089404A2 (en) 2007-01-19 2008-07-24 Synovis Life Technologies, Inc. Circular stapler anvil introducer
US20080200933A1 (en) 2007-02-15 2008-08-21 Bakos Gregory J Surgical devices and methods for forming an anastomosis between organs by gaining access thereto through a natural orifice in the body
US20080249536A1 (en) 2007-02-15 2008-10-09 Hansen Medical, Inc. Interface assembly for controlling orientation of robotically controlled medical instrument
US20080200762A1 (en) 2007-02-16 2008-08-21 Stokes Michael J Flexible endoscope shapelock
WO2008106567A2 (en) 2007-02-27 2008-09-04 Pressix Technologies, Llc Container assemblies with bag engaging member
CN101616631B (zh) 2007-02-28 2012-02-15 伊西康内外科公司 用于指示对应于可调节吻合钉高度的外科吻合钉特征的指示器装置
US9888924B2 (en) 2007-03-06 2018-02-13 Covidien Lp Wound closure material
US8011550B2 (en) 2009-03-31 2011-09-06 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
US7735703B2 (en) 2007-03-15 2010-06-15 Ethicon Endo-Surgery, Inc. Re-loadable surgical stapling instrument
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US7431188B1 (en) 2007-03-15 2008-10-07 Tyco Healthcare Group Lp Surgical stapling apparatus with powered articulation
CA2681186C (en) 2007-03-22 2015-07-21 Tyco Healthcare Group Lp Apparatus for forming variable height surgical fasteners
JP2008264538A (ja) 2007-03-23 2008-11-06 Hiroshi Kuwajima 避難機器
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
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
EP2139377B1 (en) 2007-03-30 2017-08-09 Covidien LP Laparoscopic port assembly
US20080242939A1 (en) 2007-04-02 2008-10-02 William Johnston Retractor system for internal in-situ assembly during laparoscopic surgery
US8006885B2 (en) 2007-04-09 2011-08-30 Tyco Healthcare Group Lp Surgical stapling apparatus with powered retraction
EP2144660A4 (en) 2007-04-09 2016-05-04 Creative Surgical Llc FRAME DEVICE
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US7708182B2 (en) 2007-04-17 2010-05-04 Tyco Healthcare Group Lp Flexible endoluminal surgical instrument
US7823760B2 (en) 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
US7931660B2 (en) 2007-05-10 2011-04-26 Tyco Healthcare Group Lp Powered tacker instrument
JP4348714B2 (ja) 2007-05-10 2009-10-21 シャープ株式会社 データ送信システム及びデータ送信方法
WO2008141288A1 (en) 2007-05-12 2008-11-20 Barosense, Inc. Devices and methods for stomach partitioning
US7832611B2 (en) 2007-05-16 2010-11-16 The Invention Science Fund I, Llc Steerable surgical stapler
US7810691B2 (en) 2007-05-16 2010-10-12 The Invention Science Fund I, Llc Gentle touch surgical stapler
US7823761B2 (en) 2007-05-16 2010-11-02 The Invention Science Fund I, Llc Maneuverable surgical stapler
US8038045B2 (en) 2007-05-25 2011-10-18 Tyco Healthcare Group Lp Staple buttress retention system
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US7549564B2 (en) 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US20080296346A1 (en) 2007-05-31 2008-12-04 Shelton Iv Frederick E Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7665646B2 (en) 2007-06-18 2010-02-23 Tyco Healthcare Group Lp Interlocking buttress material retention system
US20080308603A1 (en) 2007-06-18 2008-12-18 Shelton Frederick E Cable driven surgical stapling and cutting instrument with improved cable attachment arrangements
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
US7604150B2 (en) 2007-06-22 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an anti-back up mechanism
US7441685B1 (en) 2007-06-22 2008-10-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a return mechanism
CA2684712C (en) 2007-06-22 2016-04-05 Medical Components, Inc. Tearaway sheath assembly with hemostasis valve
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
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
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
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
US9358113B2 (en) 2007-07-10 2016-06-07 Warsaw Orthopedic, Inc. Delivery system
US8348972B2 (en) 2007-07-11 2013-01-08 Covidien Lp Surgical staple with augmented compression area
US7967791B2 (en) 2007-07-23 2011-06-28 Ethicon Endo-Surgery, Inc. Surgical access device
US20090048589A1 (en) 2007-08-14 2009-02-19 Tomoyuki Takashino Treatment device and treatment method for living tissue
CA2695619C (en) 2007-08-15 2015-11-24 Board Of Regents Of The University Of Nebraska Modular and cooperative medical devices and related systems and methods
US7556185B2 (en) 2007-08-15 2009-07-07 Tyco Healthcare Group Lp Surgical instrument with flexible drive mechanism
US9005238B2 (en) 2007-08-23 2015-04-14 Covidien Lp Endoscopic surgical devices
US8465515B2 (en) 2007-08-29 2013-06-18 Ethicon Endo-Surgery, Inc. Tissue retractors
US7967181B2 (en) 2007-08-29 2011-06-28 Tyco Healthcare Group Lp Rotary knife cutting systems
WO2009027542A1 (en) 2007-08-30 2009-03-05 Proxy Biomedical Limited A device suitable for use during deployment of a medical device
US7624902B2 (en) 2007-08-31 2009-12-01 Tyco Healthcare Group Lp Surgical stapling apparatus
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
JP2009084281A (ja) 2007-09-18 2009-04-23 Ethicon Endo Surgery Inc 術後イレウスの低減のための方法
WO2009039510A1 (en) 2007-09-21 2009-03-26 Power Medical Interventions, Inc. Surgical device
JP5425786B2 (ja) * 2007-09-21 2014-02-26 コヴィディエン リミテッド パートナーシップ 外科用装置
US8678263B2 (en) 2007-09-24 2014-03-25 Covidien Lp Materials delivery system for stapling device
US9597080B2 (en) 2007-09-24 2017-03-21 Covidien Lp Insertion shroud for surgical instrument
US7703653B2 (en) 2007-09-28 2010-04-27 Tyco Healthcare Group Lp Articulation mechanism for surgical instrument
US8224484B2 (en) 2007-09-30 2012-07-17 Intuitive Surgical Operations, Inc. Methods of user interface with alternate tool mode for robotic surgical tools
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
CA2640345C (en) 2007-10-05 2017-11-07 Tyco Healthcare Group Lp Surgical stapler having an articulation mechanism
US8967443B2 (en) 2007-10-05 2015-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US20110022032A1 (en) 2007-10-05 2011-01-27 Tyco Healthcare Group Lp Battery ejection design for a surgical device
US20120289979A1 (en) 2007-10-08 2012-11-15 Sherif Eskaros Apparatus for Supplying Surgical Staple Line Reinforcement
ES2426767T3 (es) 2007-10-08 2013-10-25 Gore Enterprise Holdings, Inc. Aparato para suministrar un refuerzo de líneas de grapas quirúrgicas
JP5364255B2 (ja) 2007-10-31 2013-12-11 テルモ株式会社 医療用マニピュレータ
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
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
JP2011502589A (ja) 2007-11-09 2011-01-27 アルカロ，ディノ 保持手段
WO2009067649A2 (en) 2007-11-21 2009-05-28 Ethicon Endo-Surgery, Inc. Bipolar forceps having a cutting element
US8128559B2 (en) 2007-11-26 2012-03-06 Ethicon Endo-Surgery, Inc. Tissue retractors
US8517931B2 (en) 2007-11-26 2013-08-27 Ethicon Endo-Surgery, Inc. Tissue retractors
JP5377944B2 (ja) 2007-11-30 2013-12-25 住友ベークライト株式会社 胃瘻用シース、シース付きダイレータ、挿入補助具付き胃瘻用シース、胃瘻カテーテルキット
US8061014B2 (en) 2007-12-03 2011-11-22 Covidien Ag Method of assembling a cordless hand-held ultrasonic cautery cutting device
US8337517B2 (en) * 2007-12-18 2012-12-25 Eye Care And Cure Pte. Ltd Surgical apparatus
JP5267907B2 (ja) 2007-12-28 2013-08-21 国立大学法人九州工業大学 磁気力によるアクチュエータ及びそれを用いた駆動装置、並びにセンサ
US8727199B2 (en) 2008-01-03 2014-05-20 Covidien Lp Surgical stapler
WO2009091497A2 (en) 2008-01-16 2009-07-23 John Hyoung Kim Minimally invasive surgical instrument
US8453864B2 (en) 2008-01-31 2013-06-04 Brad D. Krueger Spill inhibitors for containers
US20090198272A1 (en) 2008-02-06 2009-08-06 Lawrence Kerver Method and apparatus for articulating the wrist of a laparoscopic grasping instrument
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8348129B2 (en) 2009-10-09 2013-01-08 Ethicon Endo-Surgery, Inc. Surgical stapler having a closure mechanism
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
BRPI0903064B8 (pt) 2008-02-14 2021-06-22 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação acionado a motor com circuito de controle para otimizar o uso de bateria
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
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
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
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US20090206133A1 (en) 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Articulatable loading units for surgical stapling and cutting instruments
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
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
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
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
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US20090206142A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical stapling instrument
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US20130153641A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Releasable layer of material and surgical end effector having the same
US20090206137A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading units for a surgical cutting and stapling instrument
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US9371226B2 (en) 2011-02-02 2016-06-21 Battelle Energy Alliance, Llc Methods for forming particles
EP2656803B1 (en) 2008-03-14 2016-05-18 Applied Medical Resources Corporation Instrument seal
US8020741B2 (en) 2008-03-18 2011-09-20 Barosense, Inc. Endoscopic stapling devices and methods
US8328802B2 (en) 2008-03-19 2012-12-11 Covidien Ag Cordless medical cauterization and cutting device
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
US8317744B2 (en) 2008-03-27 2012-11-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter manipulator assembly
EP2106765B1 (de) * 2008-04-03 2013-04-03 BrainLAB AG Bildliche Orientierungshilfe für medizinische Instrumente
US8764773B2 (en) 2008-04-09 2014-07-01 Novogi Ltd. Surgical port for notes procedures
US20090255550A1 (en) 2008-04-11 2009-10-15 Shyh-Ming Shyu Hair barrette changeable inside out
US8231040B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US8100310B2 (en) 2008-04-14 2012-01-24 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US20090255974A1 (en) 2008-04-14 2009-10-15 Tyco Healthcare Group Lp Single loop surgical fastener apparatus for applying variable compression
US8231041B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US7926691B2 (en) 2008-04-14 2011-04-19 Tyco Healthcare Group, L.P. Variable compression surgical fastener cartridge
US8028884B2 (en) 2008-04-22 2011-10-04 Tyco Healthcare Group Lp Cartridge for applying varying amounts of tissue compression
JP5376380B2 (ja) * 2008-04-30 2013-12-25 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
US8967446B2 (en) 2008-05-09 2015-03-03 Covidien Lp Variable compression surgical fastener cartridge
US8091756B2 (en) 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
US9016541B2 (en) 2008-05-09 2015-04-28 Covidien Lp Varying tissue compression with an anvil configuration
US8464922B2 (en) 2008-05-09 2013-06-18 Covidien Lp Variable compression surgical fastener cartridge
WO2009137761A2 (en) 2008-05-09 2009-11-12 Elmer Valin Laparoscopic gastric and intestinal trocar
US8409079B2 (en) 2008-05-14 2013-04-02 Olympus Medical Systems Corp. Electric bending operation device and medical treatment system including electric bending operation device
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
GB2471815A (en) 2008-05-21 2011-01-12 Cook Biotech Inc Devices and methods for applying bolster materials to surgical fastening apparatus
US8016176B2 (en) 2008-06-04 2011-09-13 Tyco Healthcare Group, Lp Surgical stapling instrument with independent sequential firing
US7942303B2 (en) 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US8701959B2 (en) 2008-06-06 2014-04-22 Covidien Lp Mechanically pivoting cartridge channel for surgical instrument
WO2009150650A2 (en) 2008-06-12 2009-12-17 Ramot At Tel Aviv University Ltd. Drug-eluting medical devices
US8007513B2 (en) 2008-06-12 2011-08-30 Ethicon Endo-Surgery, Inc. Partially reusable surgical stapler
US7601903B1 (en) 2008-06-13 2009-10-13 Elmer Monk Drum stick holder
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
US8801752B2 (en) 2008-08-04 2014-08-12 Covidien Lp Articulating surgical device
US8109426B2 (en) 2008-08-12 2012-02-07 Tyco Healthcare Group Lp Surgical tilt anvil assembly
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
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
WO2010028332A2 (en) 2008-09-08 2010-03-11 Mayo Foundation For Medical Education And Research Devices, kits and methods for surgical fastening
US8047236B2 (en) 2008-09-12 2011-11-01 Boston Scientific Scimed, Inc. Flexible conduit with locking element
US20100069942A1 (en) 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US7837080B2 (en) 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
BRPI0903919B8 (pt) 2008-09-19 2021-06-22 Ethicon Endo Surgery Inc cartucho de grampos e grampeador cirúrgico
US7857186B2 (en) 2008-09-19 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical stapler having an intermediate closing position
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8360298B2 (en) 2008-09-23 2013-01-29 Covidien Lp Surgical instrument and loading unit for use therewith
US7896214B2 (en) 2008-09-23 2011-03-01 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8357142B2 (en) 2008-10-13 2013-01-22 Covidien Lp Connector hub assembly
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US7918377B2 (en) 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
JP2010098844A (ja) 2008-10-16 2010-04-30 Toyota Motor Corp 車両の電源システム
KR101075363B1 (ko) 2008-10-31 2011-10-19 정창욱 최소 침습 수술 도구를 포함하는 수술용 로봇 시스템
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
US7934631B2 (en) 2008-11-10 2011-05-03 Barosense, Inc. Multi-fire stapling systems and methods for delivering arrays of staples
US9782217B2 (en) * 2008-11-13 2017-10-10 Covidien Ag Radio frequency generator and method for a cordless medical cauterization and cutting device
US7886951B2 (en) 2008-11-24 2011-02-15 Tyco Healthcare Group Lp Pouch used to deliver medication when ruptured
GB0822110D0 (en) 2008-12-03 2009-01-07 Angiomed Ag Catheter sheath for implant delivery
US9615892B2 (en) 2008-12-04 2017-04-11 MRI Interventions, Inc. Surgical drapes with patches to provide ports
US8348837B2 (en) 2008-12-09 2013-01-08 Covidien Lp Anoscope
US20100147921A1 (en) 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
US8770460B2 (en) 2008-12-23 2014-07-08 George E. Belzer Shield for surgical stapler and method of use
US20110278343A1 (en) 2009-01-29 2011-11-17 Cardica, Inc. Clamping of Hybrid Surgical Instrument
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
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
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US20110024478A1 (en) 2009-02-06 2011-02-03 Shelton Iv Frederick E Driven Surgical Stapler Improvements
US8245899B2 (en) 2009-02-06 2012-08-21 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
CN102316823B (zh) 2009-02-11 2016-06-08 新加坡南洋理工大学 多层外科用假体
WO2010098871A2 (en) 2009-02-26 2010-09-02 Amir Belson Improved apparatus and methods for hybrid endoscopic and laparoscopic surgery
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
US8066167B2 (en) 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US7988027B2 (en) 2009-03-31 2011-08-02 Tyco Healthcare Group Lp Crimp and release of suture holding buttress material
US8945163B2 (en) 2009-04-01 2015-02-03 Ethicon Endo-Surgery, Inc. Methods and devices for cutting and fastening tissue
US8257251B2 (en) 2009-04-08 2012-09-04 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US8096457B1 (en) 2009-05-05 2012-01-17 Cardica, Inc. Articulation mechanisms for surgical instrument
US8365975B1 (en) 2009-05-05 2013-02-05 Cardica, Inc. Cam-controlled knife for surgical instrument
US8328064B2 (en) 2009-05-06 2012-12-11 Covidien Lp Pin locking mechanism for a surgical instrument
US8523881B2 (en) 2010-07-26 2013-09-03 Valtech Cardio, Ltd. Multiple anchor delivery tool
US8127976B2 (en) 2009-05-08 2012-03-06 Tyco Healthcare Group Lp Stapler cartridge and channel interlock
US9055945B2 (en) 2009-05-12 2015-06-16 Ethicon, Inc. Surgical fasteners having articulating joints and deflectable tips
US20100292540A1 (en) 2009-05-12 2010-11-18 Hess Christopher J Surgical retractor and method
US8308043B2 (en) 2009-05-19 2012-11-13 Covidien Lp Recognition of interchangeable component of a device
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
US9463260B2 (en) 2009-06-29 2016-10-11 Covidien Lp Self-sealing compositions
KR101180665B1 (ko) 2009-07-03 2012-09-07 주식회사 이턴 하이브리드 수술용 로봇 시스템 및 수술용 로봇 제어방법
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
US8276802B2 (en) 2009-07-11 2012-10-02 Tyco Healthcare Group Lp Surgical instrument with double cartridge and anvil assemblies
EP2453813B1 (en) 2009-07-15 2017-07-05 Ethicon LLC Electrosurgical ultrasonic instrument
US20110011916A1 (en) 2009-07-16 2011-01-20 New York University Anastomosis device
US8328062B2 (en) 2009-07-21 2012-12-11 Covidien Lp Surgical instrument with curvilinear tissue-contacting surfaces
US20110023904A1 (en) 2009-07-30 2011-02-03 Shih-Ling Hsu Resilient hair clip
FR2948594B1 (fr) 2009-07-31 2012-07-20 Dexterite Surgical Manipulateur ergonomique et semi-automatique et applications aux instruments pour chirurgie mini-invasive
US10383629B2 (en) 2009-08-10 2019-08-20 Covidien Lp System and method for preventing reprocessing of a powered surgical instrument
US8276801B2 (en) 2011-02-01 2012-10-02 Tyco Healthcare Group Lp Surgical stapling apparatus
US8955732B2 (en) 2009-08-11 2015-02-17 Covidien Lp Surgical stapling apparatus
US20110036891A1 (en) 2009-08-11 2011-02-17 Tyco Healthcare Group Lp Surgical stapler with visual positional indicator
US8360299B2 (en) 2009-08-11 2013-01-29 Covidien Lp Surgical stapling apparatus
US8733612B2 (en) 2009-08-17 2014-05-27 Covidien Lp Safety method for powered surgical instruments
US20110071356A1 (en) 2009-09-24 2011-03-24 Gyrus Ent, L.L.C. Repeatably flexible surgical instrument
US8470355B2 (en) 2009-10-01 2013-06-25 Covidien Lp Mesh implant
US9295463B2 (en) 2009-10-08 2016-03-29 Covidien Lp Shape memory fasteners and method of use
CN102647949B (zh) 2009-10-09 2015-01-21 伊西康内外科公司 外科器械
US20120199602A1 (en) 2009-10-13 2012-08-09 Earl Jordan Dispenser and gloves
US8152041B2 (en) 2009-10-14 2012-04-10 Tyco Healthcare Group Lp Varying tissue compression aided by elastic members
US8157151B2 (en) 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
US8322590B2 (en) 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
US8413872B2 (en) 2009-10-28 2013-04-09 Covidien Lp Surgical fastening apparatus
US8398633B2 (en) 2009-10-30 2013-03-19 Covidien Lp Jaw roll joint
US8521331B2 (en) * 2009-11-13 2013-08-27 Intuitive Surgical Operations, Inc. Patient-side surgeon interface for a minimally invasive, teleoperated surgical instrument
KR101800723B1 (ko) 2009-11-13 2017-11-23 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 독립적으로 회전하는 부재 내의 병렬 구동 샤프트들을 위한 모터 연접부
KR102109626B1 (ko) 2009-11-13 2020-05-12 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 여분의 닫힘 메커니즘을 구비한 단부 작동기
US8622275B2 (en) 2009-11-19 2014-01-07 Ethicon Endo-Surgery, Inc. Circular stapler introducer with rigid distal end portion
US8235272B2 (en) 2009-11-20 2012-08-07 Tyco Healthcare Group Lp Surgical stapling device with captive anvil
US8740970B2 (en) 2009-12-02 2014-06-03 Castlewood Surgical, Inc. System and method for attaching a vessel in a vascular environment
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8714430B2 (en) 2009-12-31 2014-05-06 Covidien Lp Indicator for surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US9510925B2 (en) 2010-02-02 2016-12-06 Covidien Lp Surgical meshes
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
CN102188271B (zh) 2010-03-08 2012-10-10 北京中法派尔特医疗设备有限公司 可侧倒和复位的抵钉座组件及采用该抵钉座组件的吻合器
US20110172495A1 (en) 2010-03-26 2011-07-14 Armstrong David N Surgical retractor
US8348127B2 (en) 2010-04-07 2013-01-08 Covidien Lp Surgical fastener applying apparatus
GB201006079D0 (en) 2010-04-13 2010-05-26 Central Manchester University Surgical device and methods
US20110276083A1 (en) 2010-05-07 2011-11-10 Ethicon Endo-Surgery, Inc. Bendable shaft for handle positioning
US20110275901A1 (en) 2010-05-07 2011-11-10 Ethicon Endo-Surgery, Inc. Laparoscopic devices with articulating end effectors
US8464925B2 (en) 2010-05-11 2013-06-18 Ethicon Endo-Surgery, Inc. Methods and apparatus for delivering tissue treatment compositions to stapled tissue
CA2799054C (en) 2010-05-13 2020-07-28 Livac Pty Ltd Suction retractor
US20110293690A1 (en) 2010-05-27 2011-12-01 Tyco Healthcare Group Lp Biodegradable Polymer Encapsulated Microsphere Particulate Film and Method of Making Thereof
JP2011259572A (ja) 2010-06-08 2011-12-22 Honda Motor Co Ltd 充電器および充電システム
US10420665B2 (en) 2010-06-13 2019-09-24 W. L. Gore & Associates, Inc. Intragastric device for treating obesity
US9028495B2 (en) 2010-06-23 2015-05-12 Covidien Lp Surgical instrument with a separable coaxial joint
WO2012006306A2 (en) 2010-07-08 2012-01-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an articulatable end effector
US8613383B2 (en) 2010-07-14 2013-12-24 Ethicon Endo-Surgery, Inc. Surgical instruments with electrodes
US8439246B1 (en) 2010-07-20 2013-05-14 Cardica, Inc. Surgical stapler with cartridge-adjustable clamp gap
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8801734B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Circular stapling instruments with secondary cutting arrangements and methods of using same
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US8870911B2 (en) 2010-09-09 2014-10-28 Queen Mary & Westfield College Forceps comprising a trocar tip
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US9173978B2 (en) 2010-09-22 2015-11-03 Ethicon, Inc. Bioabsorbable polymeric compositions, processing methods, and medical devices therefrom
US9220559B2 (en) 2010-09-24 2015-12-29 Ethicon Endo-Surgery, Inc. Articulation joint features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US20120248169A1 (en) 2010-09-30 2012-10-04 Ethicon Endo-Surgery, Inc. Methods for forming tissue thickness compensator arrangements for surgical staplers
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US8925782B2 (en) 2010-09-30 2015-01-06 Ethicon Endo-Surgery, Inc. Implantable fastener cartridge comprising multiple layers
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US9861361B2 (en) 2010-09-30 2018-01-09 Ethicon Llc Releasable tissue thickness compensator and fastener cartridge having the same
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US8978954B2 (en) 2010-09-30 2015-03-17 Ethicon Endo-Surgery, Inc. Staple cartridge comprising an adjustable distal portion
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US9750502B2 (en) 2010-10-01 2017-09-05 Covidien Lp Surgical stapling device for performing circular anastomosis and surgical staples for use therewith
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
CN103429182B (zh) 2010-10-01 2016-01-20 伊西康内外科公司 具有钳口构件的外科器械
US20120109186A1 (en) 2010-10-29 2012-05-03 Parrott David A Articulating laparoscopic surgical instruments
US8568425B2 (en) 2010-11-01 2013-10-29 Covidien Lp Wire spool for passing of wire through a rotational coupling
US8292150B2 (en) 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
US10881448B2 (en) 2010-11-05 2021-01-05 Ethicon Llc Cam driven coupling between ultrasonic transducer and waveguide in surgical instrument
US9072523B2 (en) 2010-11-05 2015-07-07 Ethicon Endo-Surgery, Inc. Medical device with feature for sterile acceptance of non-sterile reusable component
US9381058B2 (en) 2010-11-05 2016-07-05 Ethicon Endo-Surgery, Llc Recharge system for medical devices
CN105748152B (zh) 2010-11-15 2018-06-26 直观外科手术操作公司 在手术仪器中去耦仪器轴滚动和末端执行器促动
US8480703B2 (en) 2010-11-19 2013-07-09 Covidien Lp Surgical device
US20120175398A1 (en) 2010-11-22 2012-07-12 Mayo Foundation For Medical Education And Research Stapling apparatus and methods of assembling or operating the same
US8523043B2 (en) 2010-12-07 2013-09-03 Immersion Corporation Surgical stapler having haptic feedback
US8348130B2 (en) 2010-12-10 2013-01-08 Covidien Lp Surgical apparatus including surgical buttress
US20120157782A1 (en) 2010-12-20 2012-06-21 Francesco Alfieri Hand access device
MX338966B (es) 2011-01-14 2016-05-06 New Hope Ventures Dispositivo engrapador quirúrgico y método.
US8603089B2 (en) 2011-01-19 2013-12-10 Covidien Lp Surgical instrument including inductively coupled accessory
US9084602B2 (en) 2011-01-26 2015-07-21 Covidien Lp Buttress film with hemostatic action for surgical stapling apparatus
EP4364674A1 (en) 2011-02-15 2024-05-08 Intuitive Surgical Operations, Inc. Indicator for knife location in a stapling or vessel sealing instrument
US8479968B2 (en) 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US8632462B2 (en) 2011-03-14 2014-01-21 Ethicon Endo-Surgery, Inc. Trans-rectum universal ports
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
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
US20120234895A1 (en) 2011-03-15 2012-09-20 Ethicon Endo-Surgery, Inc. Surgical staple cartridges and end effectors with vessel measurement arrangements
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US9149276B2 (en) 2011-03-21 2015-10-06 Abbott Cardiovascular Systems, Inc. Clip and deployment apparatus for tissue closure
WO2012127462A1 (en) 2011-03-22 2012-09-27 Human Extensions Ltd. Motorized surgical instruments
US20140039549A1 (en) 2011-04-21 2014-02-06 Novogate Medical Ltd Tissue closure device and method of deliver and uses thereof
US9155536B1 (en) 2011-04-26 2015-10-13 Cardica, Inc. Circular stapler
US8789737B2 (en) 2011-04-27 2014-07-29 Covidien Lp Circular stapler and staple line reinforcement material
BR112013027757B1 (pt) * 2011-04-29 2021-06-15 Ethicon Endo-Surgery, Inc Cartucho de grampos para uso com um grampeador cirúrgico
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
RU2623124C2 (ru) * 2011-04-29 2017-06-22 Этикон Эндо-Серджери, Инк. Упор хирургического сшивающего инструмента, содержащий множество формирующих углублений
AU2012201645B2 (en) 2011-04-29 2015-04-16 Covidien Lp Surgical stapling apparatus
US8567655B2 (en) 2011-05-19 2013-10-29 Ethicon Endo-Surgery, Inc. Circular stapler with automatic locking mechanism
US8573464B2 (en) 2011-05-19 2013-11-05 Ethicon Endo-Surgery, Inc. Circular stapling instrument having a breakaway washer attachment member
EP2714152B1 (en) 2011-05-25 2017-12-20 Sanofi-Aventis Deutschland GmbH Medicament delivery device with cap
US10542978B2 (en) 2011-05-27 2020-01-28 Covidien Lp Method of internally potting or sealing a handheld medical device
US20140188159A1 (en) 2011-07-11 2014-07-03 Agile Endosurgery, Inc. Surgical tool
EP2731506A1 (en) 2011-07-13 2014-05-21 Cook Medical Technologies LLC Foldable surgical retractor
WO2013010107A2 (en) 2011-07-13 2013-01-17 Cook Medical Technologies Llc Surgical retractor device
CN202313540U (zh) 2011-07-27 2012-07-11 吴伟敏 一种消化道吻合器的三圈钉槽抵钉座
US20130026209A1 (en) 2011-07-27 2013-01-31 Patrick Mozdzierz Surgical Fastener Applying Apparatus
JP2013038956A (ja) 2011-08-09 2013-02-21 Canon Inc アクチュエータおよびその製造方法
US9492170B2 (en) 2011-08-10 2016-11-15 Ethicon Endo-Surgery, Inc. Device for applying adjunct in endoscopic procedure
US8789739B2 (en) 2011-09-06 2014-07-29 Ethicon Endo-Surgery, Inc. Continuous stapling instrument
US9999408B2 (en) 2011-09-14 2018-06-19 Ethicon Endo-Surgery, Inc. Surgical instrument with fluid fillable buttress
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US20130085339A1 (en) 2011-10-04 2013-04-04 Cook Medical Technologies Llc Surgical retractor
US9089326B2 (en) 2011-10-07 2015-07-28 Ethicon Endo-Surgery, Inc. Dual staple cartridge for surgical stapler
US9333025B2 (en) 2011-10-24 2016-05-10 Ethicon Endo-Surgery, Llc Battery initialization clip
US8899462B2 (en) 2011-10-25 2014-12-02 Covidien Lp Apparatus for endoscopic procedures
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US20130098970A1 (en) 2011-10-25 2013-04-25 David Racenet Surgical Apparatus and Method for Endoluminal Surgery
KR102019754B1 (ko) 2011-10-26 2019-09-10 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 일체형 나이프 블레이드를 가진 수술 기구
US9486213B2 (en) 2011-11-14 2016-11-08 Thd Lap Ltd. Drive mechanism for articulating tacker
WO2013087092A1 (en) 2011-12-13 2013-06-20 Ethicon Endo-Surgery, Inc. An applier and a method for anchoring a lining to a hollow organ
US8967448B2 (en) 2011-12-14 2015-03-03 Covidien Lp Surgical stapling apparatus including buttress attachment via tabs
US9603599B2 (en) 2011-12-16 2017-03-28 Ethicon Endo-Surgery, Llc Feature to reengage safety switch of tissue stapler
US8789537B2 (en) 2011-12-27 2014-07-29 Mirza Loredo Double hair clip and method of use
US9549738B2 (en) 2012-01-05 2017-01-24 Ethicon Endo-Surgery, Llc Ratcheting feature on tissue staple trigger to prevent premature jaw opening
US9186148B2 (en) 2012-01-05 2015-11-17 Ethicon Endo-Surgery, Inc. Tissue stapler anvil feature to prevent premature jaw opening
US9095340B2 (en) 2012-01-05 2015-08-04 Ethicon Endo-Surgery, Inc. Tissue stapler safety switch feature to prevent premature jaw opening
US8894647B2 (en) 2012-01-13 2014-11-25 Covidien Lp System and method for performing surgical procedures with a reusable instrument module
US9326812B2 (en) 2012-01-25 2016-05-03 Covidien Lp Portable surgical instrument
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
AU2013225739B2 (en) 2012-03-01 2015-09-24 Wright Medical Technology, Inc. Surgical staple for insertion into bones
US20130231661A1 (en) 2012-03-01 2013-09-05 Hasan M. Sh. Sh. Alshemari Electrosurgical midline clamping scissors
US9147825B2 (en) 2012-03-07 2015-09-29 Board of Regents of the Nevada System of Higher Education on behalf of the University of Nevado, Reno Methods of fabricating multi-degree of freedom shaped electroactive polymer actuators/sensors for catheters
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
MX353029B (es) * 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Compensador de grosor de tejido que comprende miembros elásticos.
MX353040B (es) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Unidad retenedora que incluye un compensador de grosor de tejido.
US20130256373A1 (en) 2012-03-28 2013-10-03 Ethicon Endo-Surgery, Inc. Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments
AU2013201737B2 (en) 2012-04-09 2014-07-10 Covidien Lp Surgical fastener applying apparatus
EP3066991B1 (en) 2012-04-11 2018-09-19 Covidien LP Apparatus for endoscopic procedures
DE102012207707A1 (de) 2012-05-09 2013-11-28 Deutsches Zentrum für Luft- und Raumfahrt e.V. Minimalinvasives Instrument für die robotische Chirurgie
US8973805B2 (en) 2012-05-25 2015-03-10 Covidien Lp Surgical fastener applying apparatus including a knife guard
US9572592B2 (en) 2012-05-31 2017-02-21 Ethicon Endo-Surgery, Llc Surgical instrument with orientation sensing
US8931242B1 (en) 2012-06-05 2015-01-13 Louis Sardo Stretchable gift wrap system
US10806444B2 (en) 2012-06-06 2020-10-20 Laprotx Llc Multiple leg surgical fastener
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9351734B2 (en) * 2012-06-19 2016-05-31 Covidien Lp Spring loaded anvil retainer
RU2634636C2 (ru) 2012-06-20 2017-11-02 Конинклейке Филипс Н.В. Графический пользовательский интерфейс для медицинских инструментов
US20140001231A1 (en) * 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US20140005640A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical end effector jaw and electrode configurations
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9554796B2 (en) 2012-07-18 2017-01-31 Covidien Lp Multi-fire surgical stapling apparatus including safety lockout and visual indicator
US20140048580A1 (en) 2012-08-20 2014-02-20 Covidien Lp Buttress attachment features for surgical stapling apparatus
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9364217B2 (en) 2012-10-16 2016-06-14 Covidien Lp In-situ loaded stapler
US9265585B2 (en) * 2012-10-23 2016-02-23 Covidien Lp Surgical instrument with rapid post event detection
CA2795323C (en) 2012-11-09 2019-09-24 Covidien Lp Multi-use loading unit
US9572573B2 (en) 2012-12-04 2017-02-21 Ethicon Endo-Surgery, Llc Trans-oral circular anvil introduction system with dilation feature
US9724100B2 (en) 2012-12-04 2017-08-08 Ethicon Llc Circular anvil introduction system with alignment feature
US9463022B2 (en) 2012-12-17 2016-10-11 Ethicon Endo-Surgery, Llc Motor driven rotary input circular stapler with lockable flexible shaft
US9597081B2 (en) 2012-12-17 2017-03-21 Ethicon Endo-Surgery, Llc Motor driven rotary input circular stapler with modular end effector
US9445816B2 (en) 2012-12-17 2016-09-20 Ethicon Endo-Surgery, Llc Circular stapler with selectable motorized and manual control
EP2943131B1 (en) 2013-01-09 2019-07-17 Cook Medical Technologies LLC Abdominal retractor
US9351724B2 (en) 2013-01-11 2016-05-31 Covidien Lp Circular stapling instrument
US10265090B2 (en) 2013-01-16 2019-04-23 Covidien Lp Hand held electromechanical surgical system including battery compartment diagnostic display
US9486132B2 (en) 2013-01-17 2016-11-08 Abbott Cardiovascular Systems, Inc. Access device for accessing tissue
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
US20140224857A1 (en) 2013-02-08 2014-08-14 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a compressible portion
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US9815213B2 (en) 2013-02-25 2017-11-14 Benchmade Knife Co., Inc. Knife with ambidextrous actuators and locking mechanism
US9839421B2 (en) 2013-02-28 2017-12-12 Ethicon Llc Jaw closure feature for end effector of surgical instrument
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
US9700309B2 (en) 2013-03-01 2017-07-11 Ethicon Llc Articulatable surgical instruments with conductive pathways for signal communication
US9782173B2 (en) 2013-03-07 2017-10-10 Covidien Lp Circular stapling device including buttress release mechanism
US9668728B2 (en) 2013-03-13 2017-06-06 Covidien Lp Surgical stapling apparatus
US9629628B2 (en) 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9814463B2 (en) 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
US9492189B2 (en) * 2013-03-13 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9629623B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgery, Llc Drive system lockout arrangements for modular surgical instruments
CN104042292A (zh) * 2013-03-15 2014-09-17 柯惠Lp公司 包括可重复利用的组件的手术吻合装置
CN109171977A (zh) * 2013-03-15 2019-01-11 Sri国际公司 超灵巧型手术系统
ES2802906T3 (es) 2013-03-15 2021-01-21 Gogoro Inc Sistema modular para la recogida y distribución de dispositivos de almacenamiento eléctrico
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
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9265581B2 (en) 2013-04-21 2016-02-23 Gyrus Acmi, Inc. Relay based tool control
US20150012006A1 (en) 2013-07-02 2015-01-08 Cardica, Inc. Anastomosis stapling/clipping devices, systems and methods
US9750503B2 (en) 2013-07-11 2017-09-05 Covidien Lp Methods and devices for performing a surgical anastomosis
US9833235B2 (en) * 2013-08-16 2017-12-05 Covidien Lp Chip assembly for reusable surgical instruments
JP5775988B1 (ja) 2013-08-21 2015-09-09 オリンパス株式会社 処置具及び処置システム
US9808249B2 (en) * 2013-08-23 2017-11-07 Ethicon Llc Attachment portions for surgical instrument assemblies
US11246666B2 (en) 2013-09-06 2022-02-15 The Brigham And Women's Hospital, Inc. System and method for a tissue resection margin measurement device
US20140014704A1 (en) 2013-09-16 2014-01-16 Ethicon Endo-Surgery, Inc. Medical Device Having An Improved Coating
US10478189B2 (en) 2015-06-26 2019-11-19 Ethicon Llc Method of applying an annular array of staples to tissue
US10463365B2 (en) 2013-10-17 2019-11-05 Covidien Lp Chip assembly for surgical instruments
US9517070B2 (en) 2013-11-13 2016-12-13 Covidien Lp Anvil assembly and delivery system
US9907600B2 (en) 2013-11-15 2018-03-06 Ethicon Llc Ultrasonic anastomosis instrument with piezoelectric sealing head
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
US9549735B2 (en) 2013-12-23 2017-01-24 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a firing member including fastener transfer surfaces
US20140166724A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US20150272571A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Surgical instrument utilizing sensor adaptation
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
US10542988B2 (en) 2014-04-16 2020-01-28 Ethicon Llc End effector comprising an anvil including projections extending therefrom
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
EP2939606A1 (en) 2014-04-28 2015-11-04 Universite De Liege Surgical stapling apparatus
US9924946B2 (en) 2014-06-10 2018-03-27 Ethicon Llc Devices and methods for sealing staples in tissue
US10172611B2 (en) 2014-06-10 2019-01-08 Ethicon Llc Adjunct materials and methods of using same in surgical methods for tissue sealing
US9629631B2 (en) 2014-07-01 2017-04-25 Covidien Lp Composite drive beam for surgical stapling
US9757133B2 (en) 2014-07-09 2017-09-12 Covidien Lp Methods and devices for performing a surgical anastomosis
JP6072365B2 (ja) 2014-08-04 2017-02-01 オリンパス株式会社 手術用器具
US10390838B1 (en) * 2014-08-20 2019-08-27 Pneumrx, Inc. Tuned strength chronic obstructive pulmonary disease treatment
US9877722B2 (en) 2014-09-02 2018-01-30 Ethicon Llc Devices and methods for guiding surgical fasteners
US10016199B2 (en) 2014-09-05 2018-07-10 Ethicon Llc Polarity of hall magnet to identify cartridge type
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US9901406B2 (en) * 2014-10-02 2018-02-27 Inneroptic Technology, Inc. Affected region display associated with a medical device
US9924944B2 (en) * 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) * 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
MA40946A (fr) 2014-11-14 2017-09-19 Access Closure Inc Appareil et procédés permettant de rendre étanche une ponction vasculaire
US10368860B2 (en) 2014-11-21 2019-08-06 Ethicon, Inc. Absorbable surgical fasteners for securing prosthetic devices to tissue
US9968355B2 (en) 2014-12-18 2018-05-15 Ethicon Llc Surgical instruments with articulatable end effectors and improved firing beam support arrangements
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable 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
US9962234B2 (en) * 2014-12-24 2018-05-08 Isethco Llc Disposable surgical intervention guides, methods, and kits
DE102015100694A1 (de) * 2015-01-19 2016-07-21 Technische Universität Darmstadt Teleoperationssystem mit intrinsischem haptischen Feedback durch dynamische Kennlinienanpassung für Greifkraft und Endeffektorkoordinaten
US10245028B2 (en) 2015-02-27 2019-04-02 Ethicon Llc Power adapter for a surgical instrument
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
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for 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
US10172617B2 (en) 2015-03-25 2019-01-08 Ethicon Llc Malleable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
US10136891B2 (en) 2015-03-25 2018-11-27 Ethicon Llc Naturally derived bioabsorbable polymer gel adhesive for releasably attaching a staple buttress to a surgical stapler
EP3900653A1 (en) 2015-04-23 2021-10-27 Applied Medical Resources Corporation Systems for tissue removal
US9987001B2 (en) 2015-06-12 2018-06-05 Covidien Lp Surgical anastomosis apparatus
US10335149B2 (en) 2015-06-18 2019-07-02 Ethicon Llc Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support
US10307157B2 (en) * 2015-06-26 2019-06-04 Ethicon Llc Surgical stapler with anvil seating detection
US10194913B2 (en) 2015-07-30 2019-02-05 Ethicon Llc Surgical instrument comprising systems for assuring the proper sequential operation of the surgical instrument
US11154300B2 (en) 2015-07-30 2021-10-26 Cilag Gmbh International Surgical instrument comprising separate tissue securing and tissue cutting systems
US10980538B2 (en) * 2015-08-26 2021-04-20 Ethicon Llc Surgical stapling configurations for curved and circular stapling instruments
US10569071B2 (en) 2015-08-31 2020-02-25 Ethicon Llc Medicant eluting adjuncts and methods of using medicant eluting adjuncts
US10111684B2 (en) 2015-09-25 2018-10-30 Covidien Lp Adapter assembly including a removable trocar assembly
US10603039B2 (en) * 2015-09-30 2020-03-31 Ethicon Llc Progressively releasable implantable adjunct for use with a surgical stapling instrument
US10772632B2 (en) 2015-10-28 2020-09-15 Covidien Lp Surgical stapling device with triple leg staples
US10357248B2 (en) 2015-10-29 2019-07-23 Ethicon Llc Extensible buttress assembly for surgical stapler
US10433839B2 (en) 2015-10-29 2019-10-08 Ethicon Llc Surgical stapler buttress assembly with gel adhesive retainer
US10441286B2 (en) 2015-10-29 2019-10-15 Ethicon Llc Multi-layer surgical stapler buttress assembly
US10499918B2 (en) 2015-10-29 2019-12-10 Ethicon Llc Surgical stapler buttress assembly with features to interact with movable end effector components
US10314588B2 (en) 2015-10-29 2019-06-11 Ethicon Llc Fluid penetrable buttress assembly for a surgical stapler
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10524797B2 (en) 2016-01-13 2020-01-07 Covidien Lp Adapter assembly including a removable trocar assembly
US10413291B2 (en) 2016-02-09 2019-09-17 Ethicon Llc Surgical instrument articulation mechanism with slotted secondary constraint
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US20170231628A1 (en) 2016-02-12 2017-08-17 Ethicon Endo-Surgery, Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US20170258540A1 (en) 2016-03-08 2017-09-14 Eric D. Blatt Control system for elongate instrument
US10376263B2 (en) 2016-04-01 2019-08-13 Ethicon Llc Anvil modification members for surgical staplers
BR112018070094A2 (pt) 2016-04-01 2019-02-05 Ethicon Llc sistema de grampeamento cirúrgico
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10342543B2 (en) 2016-04-01 2019-07-09 Ethicon Llc Surgical stapling system comprising a shiftable transmission
JP7010838B2 (ja) 2016-04-01 2022-01-26 エシコン エルエルシー 外科用ステープル留め器具
US10531874B2 (en) 2016-04-01 2020-01-14 Ethicon Llc Surgical cutting and stapling end effector with anvil concentric drive member
US20180168609A1 (en) * 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Firing assembly comprising a fuse
US20180343997A1 (en) 2017-05-30 2018-12-06 Jacinth Grant Hair barrette ring
US20200077762A1 (en) 2018-09-07 2020-03-12 Stephanie Chang Hair holder

Patent Citations (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0807408A1 (en) * 1996-05-13 1997-11-19 Ethicon Endo-Surgery, Inc. Articulation Transmission mechanism for surgical instruments
EP1621142A2 (en) * 2004-07-28 2006-02-01 Ethicon Endo-Surgery, Inc. Surgical stapler with firing lockout mechanism
EP1813199A1 (en) * 2006-01-31 2007-08-01 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
CN101095621A (zh) * 2006-06-27 2008-01-02 伊西康内外科公司 手动驱动外科切割和紧固器械
EP1915952A2 (en) * 2006-08-02 2008-04-30 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
CN101283924A (zh) * 2007-04-13 2008-10-15 Tyco医疗健康集团 动力外科器械
EP2030579A2 (en) * 2007-08-31 2009-03-04 Tyco Healthcare Group LP Surgical instrument having a plastic surface
EP2090246A2 (en) * 2008-02-14 2009-08-19 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
CN102112064A (zh) * 2008-07-30 2011-06-29 新域公司 具有能更换的筒式部件的锚固件输送系统
CN102202586A (zh) * 2008-12-25 2011-09-28 泉工医科工业株式会社 夹持部件、夹具及吻合器
CN103118615A (zh) * 2010-09-24 2013-05-22 伊西康内外科公司 用于铰接外科装置的控制结构
CN202526241U (zh) * 2011-12-23 2012-11-14 瑞奇外科器械(中国)有限公司 手术切割缝合器械及其驱动装置
EP2792313A2 (en) * 2013-04-16 2014-10-22 Ethicon Endo-Surgery, Inc. Powered linear surgical stapler
CN105307576A (zh) * 2013-04-16 2016-02-03 伊西康内外科公司 用于外科器械的传输构造
WO2015153636A1 (en) * 2014-04-01 2015-10-08 Intuitive Surgical Operations, Inc. Control input accuracy for teleoperated surgical instrument

Also Published As

Publication number Publication date
US20210282774A1 (en) 2021-09-16
WO2017172585A1 (en) 2017-10-05
US11058421B2 (en) 2021-07-13
US20170281163A1 (en) 2017-10-05
US10856867B2 (en) 2020-12-08
EP3238639A2 (en) 2017-11-01
EP3225198A1 (en) 2017-10-04
CN109310417A (zh) 2019-02-05
EP3225199B1 (en) 2020-01-08
EP4299018A3 (en) 2024-02-28
WO2017172582A1 (en) 2017-10-05
WO2017172904A1 (en) 2017-10-05
EP3225197B1 (en) 2021-12-15
US10682136B2 (en) 2020-06-16
US11045191B2 (en) 2021-06-29
US10342543B2 (en) 2019-07-09
US20170281178A1 (en) 2017-10-05
US20170281187A1 (en) 2017-10-05
WO2017172584A1 (en) 2017-10-05
BR112018069832B1 (pt) 2023-10-10
WO2017172708A1 (en) 2017-10-05
US10456140B2 (en) 2019-10-29
EP3225193B1 (en) 2019-12-18
EP3238638A2 (en) 2017-11-01
EP3238639C0 (en) 2023-12-20
WO2017172751A1 (en) 2017-10-05
US10709446B2 (en) 2020-07-14
EP3238639A3 (en) 2017-12-20
US10675021B2 (en) 2020-06-09
BR112018070021A2 (pt) 2019-02-05
CN109310416B (zh) 2021-08-20
EP3656316A2 (en) 2020-05-27
EP3228261A1 (en) 2017-10-11
US20170281164A1 (en) 2017-10-05
EP3225185A2 (en) 2017-10-04
US20170281183A1 (en) 2017-10-05
WO2017172587A1 (en) 2017-10-05
WO2017172704A2 (en) 2017-10-05
BR112018069861A2 (pt) 2019-01-29
US20170281186A1 (en) 2017-10-05
EP3225180A1 (en) 2017-10-04
WO2017172896A1 (en) 2017-10-05
EP3238638A3 (en) 2017-12-13
US20170281162A1 (en) 2017-10-05
EP3834745A1 (en) 2021-06-16
EP3225199A1 (en) 2017-10-04
EP3225185A3 (en) 2018-07-11
EP3238638B1 (en) 2023-09-27
EP3225184A1 (en) 2017-10-04
EP3225194B1 (en) 2020-01-15
EP3656315A1 (en) 2020-05-27
US10568632B2 (en) 2020-02-25
US10433849B2 (en) 2019-10-08
EP3225195B1 (en) 2024-03-13
EP3225195A1 (en) 2017-10-04
EP3656315B1 (en) 2022-03-16
EP3225194A1 (en) 2017-10-04
US20170281171A1 (en) 2017-10-05
US20170281169A1 (en) 2017-10-05
US10420552B2 (en) 2019-09-24
BR112018069832A2 (pt) 2019-01-29
US11766257B2 (en) 2023-09-26
EP3718487A1 (en) 2020-10-07
BR112018069861B1 (pt) 2023-05-16
JP2019513056A (ja) 2019-05-23
US10542991B2 (en) 2020-01-28
EP3616630A1 (en) 2020-03-04
JP6882327B2 (ja) 2021-06-02
US10271851B2 (en) 2019-04-30
US20170281172A1 (en) 2017-10-05
WO2017172900A1 (en) 2017-10-05
WO2017172589A1 (en) 2017-10-05
EP4275626A3 (en) 2024-05-15
EP3988035A1 (en) 2022-04-27
EP4275626A2 (en) 2023-11-15
EP3225184B1 (en) 2021-01-27
US20170281174A1 (en) 2017-10-05
JP6938532B2 (ja) 2021-09-22
EP3225185B1 (en) 2020-10-14
JP2019513046A (ja) 2019-05-23
US20170281184A1 (en) 2017-10-05
EP3225193A3 (en) 2017-10-11
EP3228261B1 (en) 2020-05-27
EP3461424A1 (en) 2019-04-03
EP3225193A2 (en) 2017-10-04
WO2017172716A1 (en) 2017-10-05
EP3225198B1 (en) 2019-11-20
US10478190B2 (en) 2019-11-19
EP3238639B1 (en) 2023-12-20
EP3225176A1 (en) 2017-10-04
EP3225197A1 (en) 2017-10-04
EP3656316A3 (en) 2020-07-22
WO2017172926A1 (en) 2017-10-05
US20190183508A1 (en) 2019-06-20
EP4299018A2 (en) 2024-01-03
US20170281185A1 (en) 2017-10-05
US20170281179A1 (en) 2017-10-05
WO2017172705A1 (en) 2017-10-05
EP3225182A1 (en) 2017-10-04
CN109310416A (zh) 2019-02-05
WO2017172910A1 (en) 2017-10-05
EP3225176B1 (en) 2018-12-05

Similar Documents

Publication Publication Date Title
CN109310417B (zh) 包括可移位传输装置的外科缝合系统
CN109310436B (zh) 包括可切入组织支撑件的圆形缝合系统
CN109414267B (zh) 包括钳口闭合闭锁件的外科缝合系统
CN109219401B (zh) 包括负载控件的圆形缝合系统
CN109310434B (zh) 包括非夹紧闭锁件的外科缝合系统
CN109195531B (zh) 具有无创伤特征部的钉仓
CN109219406B (zh) 包括用过的仓闭锁件的外科缝合系统
CN109310432B (zh) 包括钳口附接闭锁件的外科缝合系统
CN109310435B (zh) 包括组织压缩闭锁件的外科缝合系统
CN109219400B (zh) 包括包含可重新取向显示字段的显示器的外科缝合系统
CN109310412B (zh) 包括显示器的模块化外科缝合系统
CN109310414B (zh) 包括旋转击发系统的圆形缝合系统

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