CN110251177B - 外科器械 - Google Patents

外科器械 Download PDF

Info

Publication number
CN110251177B
CN110251177B CN201910310594.9A CN201910310594A CN110251177B CN 110251177 B CN110251177 B CN 110251177B CN 201910310594 A CN201910310594 A CN 201910310594A CN 110251177 B CN110251177 B CN 110251177B
Authority
CN
China
Prior art keywords
cam
assembly
motor
instrument
follower
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
CN201910310594.9A
Other languages
English (en)
Chinese (zh)
Other versions
CN110251177A (zh
Inventor
R·L·莱姆巴赫
R·F·施韦姆伯格
J·P·米萨默
J·H·亚历山大三世
C·C·米勒
B·F·迪纳多
J·M·雷克托
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 Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CN110251177A publication Critical patent/CN110251177A/zh
Application granted granted Critical
Publication of CN110251177B publication Critical patent/CN110251177B/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
    • 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
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis, e.g. 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
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • 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

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)
CN201910310594.9A 2013-09-23 2014-09-19 外科器械 Active CN110251177B (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US14/033,763 2013-09-23
US14/033,763 US9713469B2 (en) 2013-09-23 2013-09-23 Surgical stapler with rotary cam drive
CN201480052188.2A CN106413587B (zh) 2013-09-23 2014-09-19 具有旋转凸轮驱动器的外科缝合器
PCT/US2014/056510 WO2015042367A2 (en) 2013-09-23 2014-09-19 Surgical stapler with rotary cam drive

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CN201480052188.2A Division CN106413587B (zh) 2013-09-23 2014-09-19 具有旋转凸轮驱动器的外科缝合器

Publications (2)

Publication Number Publication Date
CN110251177A CN110251177A (zh) 2019-09-20
CN110251177B true CN110251177B (zh) 2022-08-02

Family

ID=51570440

Family Applications (2)

Application Number Title Priority Date Filing Date
CN201910310594.9A Active CN110251177B (zh) 2013-09-23 2014-09-19 外科器械
CN201480052188.2A Active CN106413587B (zh) 2013-09-23 2014-09-19 具有旋转凸轮驱动器的外科缝合器

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN201480052188.2A Active CN106413587B (zh) 2013-09-23 2014-09-19 具有旋转凸轮驱动器的外科缝合器

Country Status (9)

Country Link
US (3) US9713469B2 (enExample)
EP (1) EP2851014B1 (enExample)
JP (1) JP6392357B2 (enExample)
CN (2) CN110251177B (enExample)
BR (1) BR112016006299B1 (enExample)
MX (1) MX370582B (enExample)
PL (1) PL2851014T3 (enExample)
RU (1) RU2670698C9 (enExample)
WO (1) WO2015042367A2 (enExample)

Families Citing this family (98)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10695068B2 (en) 2017-04-28 2020-06-30 Ethicon Llc Hysteresis removal feature in surgical stapling instrument
US20180132849A1 (en) 2016-11-14 2018-05-17 Ethicon Endo-Surgery, Llc Staple forming pocket configurations for circular surgical stapler anvil
US9907552B2 (en) 2013-09-23 2018-03-06 Ethicon Llc Control features for motorized surgical stapling instrument
US20150083772A1 (en) * 2013-09-23 2015-03-26 Ethicon Endo-Surgery, Inc. Surgical stapler with rotary cam drive and return
US10478189B2 (en) 2015-06-26 2019-11-19 Ethicon Llc Method of applying an annular array of staples to tissue
US10729444B2 (en) 2017-04-28 2020-08-04 Ethicon Llc Liquid-immune trigger circuit for surgical instrument
US10709452B2 (en) 2013-09-23 2020-07-14 Ethicon Llc Methods and systems for performing circular stapling
US10980542B2 (en) 2016-11-14 2021-04-20 Ethicon Llc Circular surgical stapler with recessed deck
US9713469B2 (en) * 2013-09-23 2017-07-25 Ethicon Llc Surgical stapler with rotary cam drive
US9987001B2 (en) 2015-06-12 2018-06-05 Covidien Lp Surgical anastomosis apparatus
US10905415B2 (en) 2015-06-26 2021-02-02 Ethicon Llc Surgical stapler with electromechanical lockout
US10226253B2 (en) 2015-06-26 2019-03-12 Ethicon Llc Firing assembly for circular stapler
US10405855B2 (en) 2015-06-26 2019-09-10 Ethicon Llc Firing circuit for surgical stapler
US10271841B2 (en) 2015-06-26 2019-04-30 Ethicon Llc Bailout assembly for surgical stapler
US10194911B2 (en) 2015-06-26 2019-02-05 Ethicon Llc Surgical stapler with ready state indicator
US10307157B2 (en) 2015-06-26 2019-06-04 Ethicon Llc Surgical stapler with anvil seating detection
US10271842B2 (en) 2015-06-26 2019-04-30 Ethicon Llc Anvil stabilization features for surgical stapler
US10456134B2 (en) 2015-06-26 2019-10-29 Ethicon Llc Surgical stapler with reversible motor
US10265066B2 (en) 2015-06-26 2019-04-23 Ethicon Llc Surgical stapler with incomplete firing indicator
US10517602B2 (en) 2015-06-26 2019-12-31 Ethicon Llc Surgical stapler with reversible polarity
US10188386B2 (en) 2015-06-26 2019-01-29 Ethicon Llc Surgical stapler with anvil state indicator
PL236575B1 (pl) 2015-07-31 2021-01-25 Grena Ltd Jednorazowa jednostka zespalająca
US10485548B2 (en) 2015-09-24 2019-11-26 Ethicon Llc Apparatus and method for forming a staple line with trocar passageway
US9987013B2 (en) 2015-09-24 2018-06-05 Ethicon Llc Surgical staple buttress with magnetic elements
US10499909B2 (en) 2015-09-24 2019-12-10 Ethicon Llc Apparatus and method for pleating a bodily lumen
US10492790B2 (en) 2015-09-24 2019-12-03 Ethicon Llc Apparatus and method for cinching a straight staple line
US10307165B2 (en) 2015-09-24 2019-06-04 Ethicon Llc Apparatus and method for radially bunching a bodily lumen
US10603041B2 (en) 2016-11-14 2020-03-31 Ethicon Llc Circular surgical stapler with angularly asymmetric deck features
US10542981B2 (en) 2016-11-14 2020-01-28 Ethicon Llc Atraumatic stapling head features for circular surgical stapler
US11058428B2 (en) * 2017-09-27 2021-07-13 Cilag Gmbh International Circular stapling instrument with asymmetric molded shroud components
JP7313844B2 (ja) * 2018-03-07 2023-07-25 エシコン エルエルシー 反転可能な極性を有する外科用ステープラ
US11701109B2 (en) 2018-12-28 2023-07-18 Cilag Gmbh International Surgical stapler with sloped staple deck for varying tissue compression
US11103245B2 (en) 2018-12-31 2021-08-31 Cilag Gmbh International Knife for surgical stapler and associated method of manufacture with MIM and hip
US11259804B2 (en) 2018-12-31 2022-03-01 Cilag Gmbh International Frame for surgical stapler and associated method of manufacture with stamping
US11051809B2 (en) 2018-12-31 2021-07-06 Cilag Gmbh International Cartridge receiving jaw for surgical stapler and associated method of manufacture with MIM
US11141777B2 (en) 2018-12-31 2021-10-12 Cilag Gmbh International Multi-piece jaw assembly for surgical clip applier
US11134941B2 (en) 2018-12-31 2021-10-05 Cilag Gmbh International Cartridge receiving jaw for surgical stapler and associated method of manufacture with stamping
US11607217B2 (en) 2018-12-31 2023-03-21 Cilag Gmbh International Surgical stapler shaft formed of segments of different materials
US11291450B2 (en) 2018-12-31 2022-04-05 Cilag Gmbh International Anvil for circular surgical stapler and associated method of manufacture with MIM
US11147559B2 (en) 2019-03-08 2021-10-19 Cilag Gmbh International Staple height indicator for powered surgical stapler
US11224432B2 (en) 2019-03-08 2022-01-18 Cilag Gmbh International Timer circuit to control firing of powered surgical stapler
US11116508B2 (en) 2019-03-08 2021-09-14 Cilag Gmbh International Electrical potential shifting circuit for powered surgical stapler
US12082817B2 (en) 2019-03-08 2024-09-10 Cilag Gmbh International Power control circuit for powered surgical stapler
US11123075B2 (en) 2019-03-08 2021-09-21 Cilag Gmbh International Circular surgical stapler
US11896233B2 (en) 2019-05-31 2024-02-13 Covidien Lp Circular stapling device
US11123074B2 (en) 2019-09-18 2021-09-21 Cilag Gmbh International Method for controlling cutting member actuation for powered surgical stapler
US11185324B2 (en) 2019-09-18 2021-11-30 Cilag Gmbh International Anvil retention and release features for powered circular surgical stapler
US11464516B2 (en) 2019-09-18 2022-10-11 Cilag Gmbh International Method for calibrating movements of actuated members of powered surgical stapler
US11185331B2 (en) 2019-09-18 2021-11-30 Cilag Gmbh International Method for controlling end effector closure for powered surgical stapler
US11622767B2 (en) 2020-02-19 2023-04-11 Covidien Lp Sealed trocar assembly for stapling device
US11779343B2 (en) 2020-02-26 2023-10-10 Covidien Lp Staple reload assembly with releasable knife
US11653925B2 (en) 2020-05-21 2023-05-23 Covidien Lp Tissue relaxation monitoring for optimized tissue stapling
US11547405B2 (en) 2020-05-22 2023-01-10 Covidien Lp Surgical stapling device
US11426171B2 (en) * 2020-05-29 2022-08-30 Cilag Gmbh International Knife for circular surgical stapler
US11504128B2 (en) 2020-05-29 2022-11-22 Cilag Gmbh International Shaft attachment feature for circular surgical stapler
US11737758B2 (en) 2020-07-10 2023-08-29 Cilag Gmbh International Compression and firing force sensor for circular surgical stapler
US11490891B2 (en) 2020-07-10 2022-11-08 Cilag Gmbh International Load sensor for circular surgical stapler
US11553921B2 (en) 2020-07-15 2023-01-17 Covidien Lp Surgical stapling device with flexible shaft
US11627966B2 (en) 2020-08-26 2023-04-18 Covidien Lp Surgical stapling device
US11801054B2 (en) 2020-09-22 2023-10-31 Covidien Lp Surgical stapler with oval tool assembly
US11712509B2 (en) 2020-10-02 2023-08-01 Covidien Lp Seal assembly for circular stapling instrument
US11627967B2 (en) 2020-11-23 2023-04-18 Covidien Lp Trans-anastomotic insertion device
EP4262580B1 (en) 2020-12-15 2025-10-08 Covidien LP Surgical stapling device rotatable camming element
US11877750B2 (en) 2021-01-21 2024-01-23 Covidien Lp Surgical stapler with powered and manual functions
US11986187B2 (en) 2021-01-29 2024-05-21 Covidien Lp Circular stapling device with integrated visualization device
US11786241B2 (en) 2021-02-16 2023-10-17 Covidien Lp Surgical stapling device including a hydraulic staple formation mechanism
US11553920B2 (en) 2021-05-03 2023-01-17 Covidien Lp Trocar retainer assembly for surgical stapler
US11490894B1 (en) 2021-05-12 2022-11-08 Covidien Lp Surgical device with grease filter
US11642131B2 (en) 2021-05-17 2023-05-09 Covidien Lp Devices and methods for shortening a rectal stump during a lower anterior resection procedure
CN117715596A (zh) 2021-05-24 2024-03-15 柯惠有限合伙公司 具有自动保持缝合线释放的砧座和递送系统组件
US11612400B2 (en) 2021-05-24 2023-03-28 Covidien Lp Trocar assembly with bearing assembly for load sharing
WO2022257040A1 (en) 2021-06-09 2022-12-15 Covidien Lp Retractable trocar for circular stapling instruments
US11737759B2 (en) 2021-08-05 2023-08-29 Covidien Lp Surgical stapling device accommodating prolapsed tissue
US11998209B2 (en) 2021-08-13 2024-06-04 Cilag Gmbh International Staple forming features for circular surgical stapler
US12201301B2 (en) 2021-08-13 2025-01-21 Cilag Gmbh International Circular surgical stapler end effector having staple line alignment feature
US12256934B2 (en) 2021-08-13 2025-03-25 Cilag Gmbh International Methods of forming an anastomosis between organs with an expandable pattern
US11653926B2 (en) 2021-08-13 2023-05-23 Cilag Gmbh International Circular surgical stapler for forming pattern of non-tangential staples
US11944310B2 (en) 2021-08-13 2024-04-02 Cilag Gmbh International Non-circular end effector features for surgical stapler
US11911039B2 (en) 2021-08-13 2024-02-27 Cilag Gmbh International Circular surgical stapler having staples with expandable crowns
US11666339B2 (en) 2021-08-13 2023-06-06 Cilag Gmbh International Circular surgical stapler for forming cross-pattern of staples
US11883028B2 (en) 2021-09-08 2024-01-30 Covidien Lp Systems and methods for post-operative anastomotic leak detection
US11896231B2 (en) 2021-09-10 2024-02-13 Cilag Gmbh International Coupling feature for circular surgical stapler end effector
US12453553B2 (en) 2021-09-27 2025-10-28 Cilag Gmbh International Overlapping staple pattern for surgical stapler
US12004744B2 (en) 2021-09-27 2024-06-11 Cilag Gmbh International Staple and staple-forming pocket arrangements for surgical staplers
US12059155B2 (en) 2021-09-30 2024-08-13 Cilag Gmbh International Staple driver and guide assembly for circular surgical stapler
US11937812B2 (en) 2021-09-30 2024-03-26 Cilag Gmbh International Lockout feature for linear surgical stapler cartridge
US12064116B2 (en) 2021-09-30 2024-08-20 Cilag Gmbh International Circular surgical stapler with anastomosis release feature
US11786250B2 (en) 2021-10-07 2023-10-17 Cilag Gmbh International Collar for securing circular surgical stapler end effector to shaft
US11717299B2 (en) 2021-10-12 2023-08-08 Covidien Lp Surgical stapling device with probiotics
US11992218B2 (en) 2021-10-18 2024-05-28 Cilag Gmbh International Metal injection molded anvil for circular surgical stapler
US11896232B2 (en) 2021-11-24 2024-02-13 Cilag Gmbh International Tissue stabilizing features for circular surgical stapler
US12213674B2 (en) 2021-12-08 2025-02-04 Covidien Lp Determination of premature staple ejection
US12232734B2 (en) 2023-07-24 2025-02-25 Cilag Gmbh International Independently powered anvil for circular surgical stapler
US12364481B2 (en) 2023-11-02 2025-07-22 Cilag Gmbh International Intelligent anvil for circular surgical stapler
US12383274B1 (en) 2024-04-12 2025-08-12 Cilag Gmbh International Shaft deflection detection system for a surgical instrument
US12419638B1 (en) 2024-06-25 2025-09-23 Cilag Gmbh International Adaptive knife-based closure methods for surgical stapler
US12446882B1 (en) 2024-08-02 2025-10-21 Cilag Gmbh International Sensors and/or indicators for a stapling device
CN119014934B (zh) * 2024-10-23 2025-02-25 江苏科曼医疗科技有限公司 一种用于外科器械的传动链及外科器械

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5628446A (en) * 1994-05-05 1997-05-13 United States Surgical Corporation Self-contained powered surgical apparatus
EP2025293A1 (en) * 2007-08-15 2009-02-18 Tyco Healthcare Group LP Surgical instrument with flexible drive mechanism
CN101448463A (zh) * 2006-05-19 2009-06-03 爱惜康内镜外科公司 电动手术器械
CN102176869A (zh) * 2008-10-10 2011-09-07 伊西康内外科公司 具有可手动回缩的击发系统的电动外科切割缝合装置
CN201977856U (zh) * 2010-12-20 2011-09-21 王永军 一种外科装订器械

Family Cites Families (111)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2211741A (en) * 1940-08-13 elwell
US2030571A (en) * 1931-10-20 1936-02-11 Cawley George Valve operating mechanism
US2892570A (en) * 1957-07-11 1959-06-30 Thoresen Einar Fluid dispensing device
US3556061A (en) * 1969-01-27 1971-01-19 Maschf Augsburg Nuernberg Ag Rocker arm for overhead valves
US3643851A (en) * 1969-08-25 1972-02-22 United States Surgical Corp Skin stapler
US3610218A (en) * 1970-04-13 1971-10-05 Roger Owen Durham Desmodromic valve actuator
DE2339190C3 (de) * 1973-08-02 1979-03-15 Gildemeister Ag, 4800 Bielefeld Vorschubantrieb für Werkzeugquerschlitten an Werkzeugmaschinen, insbesondere an Mehrspindel-Drehautomaten
US4152953A (en) * 1977-12-15 1979-05-08 General Motors Corporation Roller cam follower with anti-rotation device
US4289041A (en) * 1979-05-04 1981-09-15 Valdespino Joseph M Reciprocator for use with rotary drills
US4644952A (en) * 1985-02-19 1987-02-24 Palm Beach Medical Engineering, Inc. Surgical operating instrument
US4805823A (en) 1988-03-18 1989-02-21 Ethicon, Inc. Pocket configuration for internal organ staplers
US5224390A (en) * 1989-07-17 1993-07-06 Sundstrand Corporation Direction reversing actuator apparatus
US5253546A (en) * 1990-05-29 1993-10-19 Clemson University Variable valve actuating apparatus
US5249583A (en) * 1991-02-01 1993-10-05 Vance Products Incorporated Electronic biopsy instrument with wiperless position sensors
GR920100358A (el) 1991-08-23 1993-06-07 Ethicon Inc Οργανο συρραφής χειρουργικής αναστομώσεως.
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
US6250532B1 (en) * 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
FR2702647B1 (fr) * 1993-03-18 1995-05-05 Baudet Jacques Procédé de micro-anastomose de vaisseaux sanguins et pince automatique pour sa mise en Óoeuvre.
US5415334A (en) 1993-05-05 1995-05-16 Ethicon Endo-Surgery Surgical stapler and staple cartridge
US5337623A (en) * 1993-09-15 1994-08-16 Industrial Technology Research Institute Automatic tool switching mechanism
RU2098025C1 (ru) * 1993-10-11 1997-12-10 Аркадий Вениаминович Дубровский Поворотное устройство
US5597107A (en) 1994-02-03 1997-01-28 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5465895A (en) 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5489058A (en) 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5704534A (en) 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
US5814055A (en) 1995-09-19 1998-09-29 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
EP0868265B1 (en) * 1995-12-22 1999-08-11 G. Lyle Habermehl Hand-held power tool with on/off switch in rear part of ergonomic handle
US5716370A (en) * 1996-02-23 1998-02-10 Williamson, Iv; Warren Means for replacing a heart valve in a minimally invasive manner
US6050472A (en) * 1996-04-26 2000-04-18 Olympus Optical Co., Ltd. Surgical anastomosis stapler
JP3742914B2 (ja) * 1997-03-05 2006-02-08 四国化工機株式会社 カム装置
US6021573A (en) * 1997-05-15 2000-02-08 Ryobi North America, Inc. In-line oscillating cam assembly
JP4448569B2 (ja) * 1999-01-28 2010-04-14 デルタ工業株式会社 円運動を往復運動に変換するためのカム構造およびこのカム構造を用いたカム装置並びにこのカム装置を用いた刈込み機
US6443973B1 (en) * 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US8025199B2 (en) * 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6500176B1 (en) 2000-10-23 2002-12-31 Csaba Truckai Electrosurgical systems and techniques for sealing tissue
US6471713B1 (en) * 2000-11-13 2002-10-29 Cardica, Inc. System for deploying an anastomosis device and method of performing anastomosis
EP2392267B1 (en) 2001-04-03 2018-07-11 Covidien LP Surgical stapling device for performing circular anastomoses
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US7112201B2 (en) 2001-10-22 2006-09-26 Surgrx Inc. Electrosurgical instrument and method of use
US6929644B2 (en) 2001-10-22 2005-08-16 Surgrx Inc. Electrosurgical jaw structure for controlled energy delivery
US7311709B2 (en) 2001-10-22 2007-12-25 Surgrx, Inc. Electrosurgical instrument and method of use
US7354440B2 (en) 2001-10-22 2008-04-08 Surgrx, Inc. Electrosurgical instrument and method of use
US7189233B2 (en) 2001-10-22 2007-03-13 Surgrx, Inc. Electrosurgical instrument
US7125409B2 (en) 2001-10-22 2006-10-24 Surgrx, Inc. Electrosurgical working end for controlled energy delivery
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
US7169146B2 (en) 2003-02-14 2007-01-30 Surgrx, Inc. Electrosurgical probe and method of use
US7000818B2 (en) 2003-05-20 2006-02-21 Ethicon, Endo-Surger, Inc. Surgical stapling instrument having separate distinct closing and firing systems
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US20050085798A1 (en) * 2003-09-15 2005-04-21 Hofmann Ronald L. Adjustable surgical cutting instrument and cam system for use in same
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
US7434715B2 (en) 2003-09-29 2008-10-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing with opening lockout
EP2286731B1 (en) * 2003-10-17 2012-05-09 Tyco Healthcare Group LP Surgical stapling device
WO2005052959A2 (en) 2003-11-19 2005-06-09 Surgrx, Inc. Polymer compositions exhibiting a ptc property and method of fabrication
US7220951B2 (en) 2004-04-19 2007-05-22 Surgrx, Inc. Surgical sealing surfaces and methods of use
US7134508B2 (en) * 2004-05-12 2006-11-14 Robert Bosch Gmbh Rotary to reciprocating motion conversion attachment for a power rotary hand tool
US7367485B2 (en) 2004-06-30 2008-05-06 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission
CN101056745B (zh) * 2004-09-14 2011-10-05 阿韦洛公司 动力多用途刀的刀片
EP3162309B1 (en) 2004-10-08 2022-10-26 Ethicon LLC Ultrasonic surgical instrument
US7959050B2 (en) 2005-07-26 2011-06-14 Ethicon Endo-Surgery, Inc Electrically self-powered surgical instrument with manual release
US8028885B2 (en) 2006-05-19 2011-10-04 Ethicon Endo-Surgery, Inc. Electric surgical instrument with optimized power supply and drive
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US20070175955A1 (en) * 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US7770775B2 (en) * 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
JP2009530757A (ja) 2006-03-13 2009-08-27 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ 光記録装置のリアルタイムパワーコントロール
US8366727B2 (en) 2006-06-01 2013-02-05 Ethicon Endo-Surgery, Inc. Tissue pad ultrasonic surgical instrument
US8720766B2 (en) 2006-09-29 2014-05-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments and staples
US7721930B2 (en) 2006-11-10 2010-05-25 Thicon Endo-Surgery, Inc. Disposable cartridge with adhesive for use with a stapling device
EP2111166B1 (en) 2007-01-16 2021-03-03 Ethicon LLC Ultrasonic device for cutting and coagulating
US7422136B1 (en) * 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US20090270898A1 (en) * 2007-04-06 2009-10-29 Interlace Medical, Inc. Tissue removal device with high reciprocation rate
US8910846B2 (en) 2007-05-17 2014-12-16 Covidien Lp Gear driven knife drive mechanism
US8408439B2 (en) 2007-06-22 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US8461744B2 (en) 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US8459524B2 (en) * 2009-08-14 2013-06-11 Covidien Lp Tissue fastening system for a medical device
US9060775B2 (en) 2009-10-09 2015-06-23 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US8939974B2 (en) 2009-10-09 2015-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8360296B2 (en) * 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9877720B2 (en) 2010-09-24 2018-01-30 Ethicon Llc Control features for articulating surgical device
US9089327B2 (en) 2010-09-24 2015-07-28 Ethicon Endo-Surgery, Inc. Surgical instrument with multi-phase trigger bias
US9545253B2 (en) 2010-09-24 2017-01-17 Ethicon Endo-Surgery, Llc Surgical instrument with contained dual helix actuator assembly
US9220559B2 (en) 2010-09-24 2015-12-29 Ethicon Endo-Surgery, Inc. Articulation joint features for articulating surgical device
US8888809B2 (en) 2010-10-01 2014-11-18 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
US9161803B2 (en) 2010-11-05 2015-10-20 Ethicon Endo-Surgery, Inc. Motor driven electrosurgical device with mechanical and electrical feedback
US8720289B2 (en) * 2011-01-05 2014-05-13 General Dynamics Ordnance And Tactical Systems, Inc. Loading machine for feeding a receiver
US8733615B2 (en) 2011-05-19 2014-05-27 Ethicon Endo-Surgery, Inc. Circular stapler with frictional reducing member
CA2801744C (en) * 2012-01-17 2015-10-13 Covidien Lp Material removal device and method of use
EP2811932B1 (en) * 2012-02-10 2019-06-26 Ethicon LLC Robotically controlled surgical instrument
US8857333B2 (en) * 2012-02-28 2014-10-14 Hewlett-Packard Indigo B.V. Cam positioned to retract a mechanical component
GB2523867A (en) * 2012-03-15 2015-09-09 Matthew Cobb Synchronously timed counterrotating CAM and follower apparatus
US10194922B2 (en) * 2012-05-11 2019-02-05 Peter L. Bono Rotary oscillating bone, cartilage, and disk removal tool assembly
US20140005705A1 (en) * 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9289207B2 (en) 2012-11-29 2016-03-22 Ethicon Endo-Surgery, Llc Surgical staple with integral pledget for tip deflection
US9498222B2 (en) 2012-11-29 2016-11-22 Ethicon Endo-Surgery, Llc Pivoting anvil for surgical circular stapler
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
US20140158747A1 (en) 2012-12-06 2014-06-12 Ethicon Endo-Surgery, Inc. Surgical stapler with varying staple widths along different circumferences
US9597081B2 (en) 2012-12-17 2017-03-21 Ethicon Endo-Surgery, Llc Motor driven rotary input circular stapler with modular end effector
US9532783B2 (en) 2012-12-17 2017-01-03 Ethicon Endo-Surgery, Llc Circular stapler with selectable motorized and manual control, including a control ring
US9867612B2 (en) * 2013-04-16 2018-01-16 Ethicon Llc Powered surgical stapler
US9713469B2 (en) 2013-09-23 2017-07-25 Ethicon Llc Surgical stapler with rotary cam drive
US9907552B2 (en) * 2013-09-23 2018-03-06 Ethicon Llc Control features for motorized surgical stapling instrument
US20150083772A1 (en) * 2013-09-23 2015-03-26 Ethicon Endo-Surgery, Inc. Surgical stapler with rotary cam drive and return
US9651133B2 (en) * 2015-02-04 2017-05-16 Google Inc. Phased joint cam

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5628446A (en) * 1994-05-05 1997-05-13 United States Surgical Corporation Self-contained powered surgical apparatus
CN101448463A (zh) * 2006-05-19 2009-06-03 爱惜康内镜外科公司 电动手术器械
EP2025293A1 (en) * 2007-08-15 2009-02-18 Tyco Healthcare Group LP Surgical instrument with flexible drive mechanism
CN102176869A (zh) * 2008-10-10 2011-09-07 伊西康内外科公司 具有可手动回缩的击发系统的电动外科切割缝合装置
CN201977856U (zh) * 2010-12-20 2011-09-21 王永军 一种外科装订器械

Also Published As

Publication number Publication date
RU2670698C2 (ru) 2018-10-24
PL2851014T3 (pl) 2018-09-28
CN106413587A (zh) 2017-02-15
US9713469B2 (en) 2017-07-25
BR112016006299B1 (pt) 2022-01-25
EP2851014A3 (en) 2015-07-15
CN106413587B (zh) 2019-05-03
RU2016115719A (ru) 2017-10-26
RU2670698C9 (ru) 2018-11-28
BR112016006299A2 (pt) 2017-08-01
US20200345345A1 (en) 2020-11-05
US20150083775A1 (en) 2015-03-26
US10786249B2 (en) 2020-09-29
RU2016115719A3 (enExample) 2018-05-21
JP2016530059A (ja) 2016-09-29
MX370582B (es) 2019-12-17
WO2015042367A3 (en) 2015-05-14
US11497491B2 (en) 2022-11-15
MX2016003713A (es) 2016-08-18
CN110251177A (zh) 2019-09-20
WO2015042367A2 (en) 2015-03-26
EP2851014A2 (en) 2015-03-25
US20170354409A1 (en) 2017-12-14
EP2851014B1 (en) 2018-04-11
JP6392357B2 (ja) 2018-09-19

Similar Documents

Publication Publication Date Title
CN110251177B (zh) 外科器械
US10959724B2 (en) Surgical stapler with rotary cam drive and return
US9936949B2 (en) Surgical stapling instrument with drive assembly having toggle features
CN107809965B (zh) 具有可逆马达的外科缝合器
CN110799132B (zh) 外科缝合器械中的滞后移除特征部
EP2941201B1 (en) Circular stapler with selectable motorized and manual control
CN105682576B (zh) 用于电动外科缝合器械的控制特征
JP2016530059A5 (enExample)

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