CN110623698B - 包括并入柔性电路的应变计的动力手术装置 - Google Patents

包括并入柔性电路的应变计的动力手术装置 Download PDF

Info

Publication number
CN110623698B
CN110623698B CN201910521303.0A CN201910521303A CN110623698B CN 110623698 B CN110623698 B CN 110623698B CN 201910521303 A CN201910521303 A CN 201910521303A CN 110623698 B CN110623698 B CN 110623698B
Authority
CN
China
Prior art keywords
end effector
cartridge
assembly
strain gauge
flexible circuit
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
CN201910521303.0A
Other languages
English (en)
Other versions
CN110623698A (zh
Inventor
马修·埃施巴赫
戴维·尼古拉斯
拉塞尔·普里巴尼奇
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Covidien LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Covidien LP filed Critical Covidien LP
Publication of CN110623698A publication Critical patent/CN110623698A/zh
Application granted granted Critical
Publication of CN110623698B publication Critical patent/CN110623698B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • 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
    • A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—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
    • A61B2017/00526—Methods of manufacturing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07257—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
    • A61B2017/07271—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
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2925—Pistol grips
    • 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
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • 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
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0261—Strain gauges
    • 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
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • H—ELECTRICITY
    • H05—ELECTRIC TECHNIQUES NOT OTHERWISE PROVIDED FOR
    • H05K—PRINTED CIRCUITS; CASINGS OR CONSTRUCTIONAL DETAILS OF ELECTRIC APPARATUS; MANUFACTURE OF ASSEMBLAGES OF ELECTRICAL COMPONENTS
    • H05K1/00—Printed circuits
    • H05K1/02—Details
    • H05K1/14—Structural association of two or more printed circuits
    • H05K1/148—Arrangements of two or more hingeably connected rigid printed circuit boards, i.e. connected by flexible means
    • H—ELECTRICITY
    • H05—ELECTRIC TECHNIQUES NOT OTHERWISE PROVIDED FOR
    • H05K—PRINTED CIRCUITS; CASINGS OR CONSTRUCTIONAL DETAILS OF ELECTRIC APPARATUS; MANUFACTURE OF ASSEMBLAGES OF ELECTRICAL COMPONENTS
    • H05K1/00—Printed circuits
    • H05K1/18—Printed circuits structurally associated with non-printed electric components

Abstract

一种手术装置包括末端执行器和可操作地联接到所述末端执行器的手柄组件。所述末端执行器包括可枢转地彼此联接的砧座组件和仓组件。所述仓组件包括钉仓、仓托架和应变计。所述仓托架包括被配置成接收所述钉仓的细长支撑通道，所述细长支撑通道由第一内表面和一对第二内表面限定。所述第一内表面包括其中限定的凹槽，并且所述应变计安置在所述凹槽内。所述手柄组件包括被配置成从所述末端执行器的所述应变计接收传感器数据和响应于所述传感器数据控制所述末端执行器的功能的动力单元。

Description

包括并入柔性电路的应变计的动力手术装置
相关申请的交叉引用
本申请要求2018年6月21日提交的美国临时专利申请第62/687,846号的权益和优先权，所述专利的全部公开内容以引用的方式并入本文中。
技术领域
本发明大体上涉及手术装置。更具体地，本公开涉及包括应变计的动力手持型机电仪器。
背景技术
许多手术装置制造商已开发具有用于操作和/或操控手术装置的专用的动力驱动系统的产品线。在许多情况下，手术装置包括动力手柄组件(其可再用)和在使用前选择性地连接到动力手柄组件并且然后在使用后与其断开以便弃置或在一些情况下杀菌以供再用的可处置末端执行器等。
传感器可用于增强在动力手术装置(如手术钉合装置)中的控制功能。举例来说，一些动力手术钉合装置使用用以检测从装置的马达汲取的电流的电流传感器，或沿装置的驱动组件的负载读取传感器，以作为压缩组织、形成钉和/或横切组织所需要的力的指示器。荷载读取传感器可用于检测预设负载并且致使动力手术钉合装置对其反应。举例来说，在夹持厚组织期间，负载将上升到预定极限，其中装置可缓慢夹持以在组织松弛时维持夹持力。这允许在不损害这类组织(例如，浆膜撕裂)的情况下夹持厚组织。从这些传感器收集的数据还可用于控制起动的速度，这已经示出通过减慢钉合器速度和降低起动力改进钉形成。数据还可在钉合方法的其它方面使用，如检测末端挡板和紧急停止以防止损坏末端执行器。
需要通过例如简化所述组装方法和/或最小化组件需要的部件和/或连接的总数降低或最小化将传感器(如应变计)组装成动力手术装置，并且具体来说，组装成可处置动力手术装置或这类装置的可处置部件(例如末端执行器)的成本。
发明内容
根据本公开的方面，手术装置包括末端执行器和可操作地联接到末端执行器的手柄组件。末端执行器包括可枢转地彼此联接的砧座组件和仓组件。仓组件包括钉仓、仓托架和应变计。仓托架包括被配置成接收钉仓的细长支撑通道，细长支撑通道由第一内表面和一对第二内表面限定。第一内表面包括其中限定的凹槽，并且应变计安置在仓托架的凹槽内。手柄组件包括被配置成从末端执行器的应变计接收传感器数据和响应于传感器数据控制末端执行器的功能的动力单元。
仓托架的凹槽可包括沿仓托架的大部分长度纵向延伸的第一部分。应变计可固定到凹槽的第一部分。仓托架的凹槽可包括以相对于其的角取向从第一部分延伸并且向仓托架的一对第二内表面中的一个打开的第二部分。柔性电路可安置在仓托架的第二部分内并且沿仓托架的一对第二内表面中的相应一个向远侧延伸。
应变计可嵌入柔性电路内。柔性电路可包括包括形成应变计的电阻器迹线的第一区域和包括联接到应变计的导电迹线的第二区域。柔性电路可包括第一介电层、安置在第一介电层上的电阻层、安置在电阻层上的导电层。电阻层可在第一电介质层的整个长度上延伸。电阻层可包括在柔性电路的第一区域中图案化的电阻器迹线和在柔性电路的第二区域中的电阻材料的连续平面。导电层可安置在电阻层上，其中电阻器迹线被导电层掩蔽。
末端执行器可进一步包括联接到存储器的微控制器。微控制器可电联接到应变计并且被配置成从应变计接收传感器数据，并且存储器可被配置成存储传感器数据。
根据本公开的方面，末端执行器包括可枢转地彼此联接的砧座组件和仓组件。仓组件包括钉仓、仓托架和应变计。仓托架包括被配置成接收钉仓的细长支撑通道，细长支撑通道由第一内表面和一对第二内表面限定。第一内表面包括其中限定的凹槽，并且应变计安置在仓托架的凹槽内。
仓托架的凹槽可包括沿仓托架的大部分长度纵向延伸的第一部分。应变计可固定到凹槽的第一部分。仓托架的凹槽可包括以相对于其的角取向从第一部分延伸并且向仓托架的一对第二内表面中的一个打开的第二部分。柔性电路可安置在仓托架的第二部分内并且沿仓托架的一对第二内表面中的相应一个向远侧延伸。
应变计可嵌入柔性电路内。柔性电路可包括包括形成应变计的电阻器迹线的第一区域和包括联接到应变计的导电迹线的第二区域。柔性电路可包括第一介电层、安置在第一介电层上的电阻层、安置在电阻层上的导电层。电阻层可在第一电介质层的整个长度上延伸。电阻层可包括在柔性电路的第一区域中图案化的电阻器迹线和在柔性电路的第二区域中的电阻材料的连续平面。导电层可安置在电阻层上，其中电阻器迹线被导电层掩蔽。
末端执行器可进一步包括联接到存储器的微控制器。微控制器可电联接到应变计并且被配置成从应变计接收传感器数据，并且存储器可被配置成存储传感器数据。
附图说明
在本文中参考附图描述本公开的实施例，其中：
图1为根据本公开的实施例的包括手柄壳体、接头组件和末端执行器的手术系统的透视图；
图2A为其中零件分离的图1的手术装置的手柄壳体的透视图；
图2B为其中零件分离的图2A的手柄壳体的马达组件和控制组件的透视图；
图3A为图1的手术装置的接头组件的透视图；
图3B为图3A的接头组件的电组件的透视图；
图3C为图3A的接头组件的远侧部分的剖开视图；
图3D为图3C的接头组件的环形构件和开关的透视图；
图4A为图1的手术装置的末端执行器的透视图；
图4B为图4A的末端执行器的砧座组件和驱动组件的透视图；
图4C为其中零件分离的图4A的手术装置的末端执行器的透视图；
图4D为图4C的末端执行器的仓托架的透视图；
图4E为根据本公开的实施例的包括固定到其上的柔性电路和应变计的图4D的仓托架的俯视图；
图4F为图4A的末端执行器的内壳体的透视图；
图5A为图4E的应变计和柔性电路的透视图；
图5B为图5A的柔性电路的俯视图；
图6A为根据本公开的另一个实施例的柔性电路和应变计的俯视图；和
图6B为根据本公开的实施例的示出柔性电路的层的其中零件分离的图6A的柔性电路的透视图。
具体实施方式
现在参考附图详细描述本公开的实施例，其中在若干视图中的每一个中，类似的参考标号指定相同或对应元件。在整个本说明书中，术语“近侧”是指更靠近用户的装置的一部分或其部件，并且术语“远侧”是指更远离用户的装置的一部分或其部件。
现在转向图1，根据本公开的实施例的手术装置10呈动力手持型机电仪器的形式。手术装置10包括手柄组件100、接头组件200和工具组件或末端执行器300。手柄组件100被配置成用于与接头组件200选择性地连接，并且继而，接头组件200被配置成用于与末端执行器300选择性地连接。
将仅在完全公开本公开的方面所必要的程度来进一步描述手柄组件100、接头组件200和末端执行器300。为了详细描述示例性手柄和接头组件以及末端执行器的结构和功能，可参考共同拥有美国专利申请公开案第2016/0310134号(“'134公开案”)，所述专利的全部内容以引用的方式并入本文中。
现在参考图2A，手柄组件100包括外壳体壳112(包括近侧半区段112a和远侧半区段112b)，和安置在外壳体壳112内的内手柄外壳114。外壳体壳112包括用于激活手术装置10(图1)的各种功能的多个致动器116(例如手指致动的控制按钮、旋钮、触发器、滑块、接口等)，并且内手柄壳体114容纳被配置成为手术装置10的各种操作供电并且控制其的动力单元120。
如图2A和2B所示，动力单元120包括被配置成为手术装置10的任何电部件供电的可再充电电池122、电池电路板124和控制器电路板126。控制器电路板126包括马达控制器电路板126a、主控制器电路板126b和将马达控制器电路板126a和主控制器电路板126b互连的第一带状电缆126c。马达控制器电路板126a与电池电路板124通信地联接使得其间和在电池电路板124和主控制器电路板126b之间能够通信。
主控制器电路板126a包括单线式通信系统，所述单线式通信系统包括三个单线式总线，所述总线使得在动力单元120和电池122、动力单元120和接头组件200(图1)，以及动力单元120和外壳壳体112之间能够通信。具体来说，关于在动力单元120和接头组件200之间的通信，单线式总线在主控制器电路板126b的单线式主机芯片和接头组件200的电路板224(图3B)的单线式存储器芯片之间建立通信线。此通信线允许在手柄组件100和接头组件200之间校准和通信数据和控制信号，并且使得信息能够存储在接头组件200的电路板224的单线式存储器芯片中以被动力单元120访问、更新和/或增加。
动力单元120进一步包括各自电连接到控制器电路板126和电池122的马达128(例如第一马达128a、第二马达128b和第三马达128c)。马达128a、128b、128c安置在马达控制器电路板126a和主控制器电路板126b之间。马达128a、128b、128c中的每个包括从其延伸用于传输旋转力或扭矩的相应马达轴129a、129b、129c。
马达128a、128b、128c中的每个通过安置在马达控制器电路板126a上的相应马达控制器(未示出)控制，并且每个马达控制器经由将马达控制器电路板126a与主控制器电路板126b连接的第一带状电缆126c电联接到安置在主控制器电路板126b上的主控制器或主机芯片。主机芯片也联接到存储器，所述存储器也安置在主控制器电路板126b上。
马达128a、128b、128c中的每个支撑在马达支架130上，使得马达轴129a、129b、129c可旋转地安置在马达支架130的相应孔隙内。马达支架130可旋转地支撑键连到马达128a、128b、128c的相应马达轴129a、129b、129c三个可旋转驱动连接器套管132a、132b、132c。当动力单元120安置在外壳壳体112内时，驱动连接器套管132a、132b、132c非可旋转地接收手柄组件100的板组件140的相应联接轴142a、142b、142c的近侧末端。
马达支架130也支撑电接头接口插座134。电接头接口插座134通过第二带状电缆126d与主控制器电路板126b电连接。电接头接口插座134限定用于接收从手柄组件100的板组件140的穿通连接器144延伸的相应电触点或片的多个电狭槽。
通过相应马达128a、128b、128c旋转马达轴129a、129b、129c用以驱动接头组件200的轴和/或齿轮部件，以便执行手术装置10的多种操作。具体来说，动力单元120的马达128a、128b、128c被配置成驱动接头组件200的轴和/或齿轮部件，以便选择性地相对于末端执行器300的近侧主体部分310(图4A)移动末端执行器300的工具组件320(图4A)，以绕纵向轴线“X”(图4A)旋转末端执行器300，以相对于末端执行器300的砧座组件330(图4A)移动仓组件340(图4A)，和/或从末端执行器300的仓组件340内起动钉。
现在参考图3A，接头组件200包括外旋钮壳体或连接器壳体202和从外旋钮壳体202向远侧延伸并且在远侧盖206处终止的外管或套管204。外旋钮壳体202被配置成用于可操作连接到手柄组件100(图1)，并且外管204被配置成用于可操作连接到末端执行器300(图1)。
可旋转连接器套管210a、210b、210c安置在外旋钮壳体202内并且被配置和适配成通过键连和/或基本上不可旋转接口与手柄壳体100的板组件140的相应联接轴142a、142b、142c(图2A)啮合，使得联接轴142a、142b、142c中的每个的旋转引起接头组件200的对应的连接器套筒210a、210b、210c的对应的旋转。手柄组件100的联接轴142a、142b、142c与接头组件200的连接器套管210a、210b、210c的啮合允许旋转力经由三个相应连接器接口中的每个独立地传输。手柄组件100的联接轴142a、142b、142c被配置成通过相应马达128a、128b、128c(图2B)独立地旋转，使得(一个或多个)旋转力选择性地从手柄组件100的(一个或多个)马达128a、128b、128c传递到接头组件200。
接头组件200包括多个力/旋转传输/转换组件(未示出)，每个安置在外旋钮壳体202和外管204的内壳体组件(未示出)内。每个力/旋转传输/转换组件被配置和适配成在将这类旋转速度/力传输到末端执行器300之前传输/转换手柄组件100的联接轴142a、142b、142c(图2A)的旋转的速度/力(例如增大或减小)。
具体来说，每个力/旋转传输/转换组件被配置并且适配成将手柄组件100的第一、第二和第三联接轴142a、142b、142c的旋转传输或转换成：接头组件200的铰接条(未示出)的轴向平移以实现末端执行器300(图1)的铰接；接头组件200的环形齿轮(未示出)的旋转以实现接头组件200并且因此末端执行器300的旋转；或接头组件200的远侧驱动构件(未示出)的轴向平移以实现末端执行器300的闭合、打开和起动。
如图3B所示，结合图3A，电组件220支撑在外旋钮壳体202上和外旋钮壳体202中。电组件220包括支撑在电路板224上的多个电接触片222，用于电连接到手柄组件100的板组件140的穿通连接器144(图2A)。电组件220还包括电连接到电路板224用于通过接头组件200显示起动/夹持负载的闭合回路反馈并且通过动力单元120(图2A)调节的应变计226，其在适当马达128a、128b、128c(图2B)上设置速度电流极限。
电路板224包括被配置成存储与接头组件200有关的数据(如唯一ID信息(电子序列号)；类型信息；状态信息；末端执行器是否已检测、识别和验证；使用计数数据；和假设高压釜计数数据)的存储器。电组件220用以允许校准信息(例如识别信息、寿命周期信息、系统信息、力信息)并且经由手柄组件100的动力单元120的电接头接口插座134(图2B)将其通信到动力单元120的主控制器电路板126b(图2A)。
现在参考图3C，结合图3A，接头组件200进一步包括开关230、传感器链路或开关致动器240和环形构件250，其中的每个安置在外管204的远侧部分204a内。开关230被配置成响应于末端执行器300(图1)联接到外管204切换。开关230安装在与手柄壳体100的动力单元120的控制器电路板126(图2A)电连接的印刷电路板232上。开关230被配置成联接到末端执行器300的存储器352(图4F)。末端执行器300的存储器352被配置成存储关于末端执行器300的数据并且被配置成响应于末端执行器300联接到外管204将数据提供到手柄组件100的控制器电路板126(图2A)。动力单元120监测在动力单元120和接头组件200之间的通信，并且能够通过识别开关230已切换检测末端执行器300接合到外管204的远侧部分204a或与其脱离。
开关致动器240滑动地安置在外管204的远侧部分204a内。开关致动器240在近侧和远侧部分之间纵向可移动，并且在近侧和远侧位置之间移动期间切换开关230。
如图3C和3D所示，环形构件250可旋转地安置在内壳体208内，继而安置在外管204(图3A)内。环形构件250从近侧端部250a延伸到远侧末端250b，并且限定穿过其被配置成用于安置末端执行器300的外壳体312(图4A)的圆柱形通道251。环形构件250包括将在环形构件250的近侧末端250a处的第一环254和在环形构件250的远侧末端250b处的第二个环256互连的纵向条252。第一个环254包括经由电线234电联接到开关230的一对电触点258，电线234延伸到电组件220(图3B)以将开关230与接头组件200的电路板224电联接。电触点258被配置成接合末端执行器300的对应的电触点356(图4F)，使得开关240和环形构件250能够在其间传递关于末端执行器300的数据，最终用于与动力单元120通信，如下文进一步详细描述。
现在参考图4A，末端执行器300呈单用途负载单元的形式。然而，应理解，还可使用其它类型的末端执行器，其中本公开的手术装置10包括例如端对端吻合负载单元、多用途负载单元、横向负载单元和弧形负载单元。如下文所论述，利用手术装置10的特定末端执行器300通过手柄组件100的动力单元120(图2A)识别以使得其能够适当操作。
末端执行器300包括近侧主体部分310和工具组件320。近侧主体部分310可释放地可附接到接头组件200的远侧盖206(图3A)，并且工具组件320可枢转地附接到近侧主体部分310。工具组件320包括砧座组件330和仓组件340。砧座和仓组件330、340相对于彼此枢转，使得工具组件320在打开或未夹持位置和闭合或夹持位置之间可移动。
如图4A-4C所示，砧座组件330包括砧座板332和具有在砧座板332上固定的内表面334a的盖板334，使得盖板334限定砧座组件330的外表面334b。砧座板332包括组织接触表面336，其包括多个钉形成凹座336a和其中限定的纵向狭槽336b。
仓组件340包括钉仓342和仓托架344。仓托架344限定细长支撑通道344a，其被配置和大小被设置成其中选择性地接收钉仓342，使得仓托架344限定仓组件340的外表面344b。钉仓342包括组织接触表面346，其限定用于接收多个紧固件或钉(未示出)的形成于其中的钉凹座或保留狭槽346a和在钉仓342的基本长度中形成并且沿其延伸的纵向狭槽346b。
末端执行器300的近侧主体部分310包括用于驱动钉(未示出)从工具组件320的仓组件340弹出的与砧座和仓组件330、340可操作地相关联并且可滑动地安置于其间的驱动组合件315，和用于实现工具组件320的铰接的铰接链路(未示出)。驱动组件315包括细长驱动梁316和具有包括刀317b的中心壁部分317a的I形梁317。刀317b可在钉形成凹座336a和保留狭槽346a之间行进通过在砧座和仓组件330、340的组织接触表面336、346中限定的纵向狭槽336b、346b，以纵向切割在砧座和仓组件330、340的组织接触表面336、346之间抓握的钉合的组织，所述钉形成凹座和保留狭槽也限定在相应组织接触表面336、346中。
如图4C和4D所示，仓托架344的细长支撑通道344a由第一内表面或内底表面348a和第二内表面或内侧表面348b限定。内底表面348a包括其中限定的凹槽349，其具有沿仓托架344的大部分长度纵向延伸的第一部分349a和以相对于第一部分349a一定角度关系(例如基本上与其正交)延伸并且向仓托架344的内侧表面348b中的一个打开的安置在仓托架344的近侧部分344c内的第二部分349b。如图4D和4E所示，凹槽349被配置成其中接收柔性电路或电缆400和应变计450。据设想，凹槽349可具有与其中定位的柔性电缆和/或应变计的大小和形状互补的其它配置。
如图4E所示，应变计450定位在凹槽349的第一部分349a内并且例如用粘合剂固定到其上。柔性电路400电联接到应变计450，并且沿仓托架344的内侧表面348b，并且沿末端执行器300的近侧部分310(图4A)的内壁(未示出)向近侧，向近侧延伸通过凹槽349的第一部分349a的一部分，通过凹槽349第二部分349b。柔性电路400例如用粘合剂固定在凹槽349、仓托架344的内侧表面348b，和/或末端执行器300的近侧部分310的内壁内。柔性电路400为柔性的，使得它可弯折、弯曲，或以其它方式配合在末端执行器300内的轮廓，以帮助信号路由通过在末端执行器300内可用的紧密/有限的空间。
现在参考图4F，结合图4A，末端执行器300进一步包括外壳体312和安置在外壳体312内的内壳体314。外壳体312的近侧末端大小和尺寸设定成插入通过接头组件200的远侧盖206(图3A)以接合接头组件200。
末端执行器300包括微控制器350和存储器352，其中的每个安置在内壳体314内或安置在内壳体314上。微控制器350经由柔性电路400电联接到应变计450。微控制器350被配置成接收和/或测量来自应变计450的传感器数据(例如电信号)并且将它们记录在存储器352中。存储器352包括存储器芯片354和电连接到存储器芯片354的一对电触点356。存储器352被配置成存储从微控制器250接收的传感器数据。传感器数据可包括(例如)沿仓组件340的应力测量值，其继而可经由算法转换成安置在末端执行器300的砧座和仓组件330、340之间的组织的对应的组织应力测量值。
存储器芯片354还被配置成存储与末端执行器300相关的一个或多个参数。参数包括例如负载单元的序列号、负载单元的类型、负载单元的大小、钉大小、识别负载单元是否已起动的信息、负载单元的长度、负载单元的使用的最大数量和其组合。存储器芯片354被配置成一旦如下所述末端执行器300与接头组件200接合，经由电触点356与手柄组件100通信末端执行器300的传感器数据和/或参数(如上所述)。传感器数据和/或参数可在手柄组件100的控制器电路板126中或在一些其它远程处理器等中处理。
电触点356安置在内壳体314的外表面上并且被配置成一旦末端执行器300插入到接头组件200中，接合接头组件200的环形构件250的电触点258(图3D)。在末端执行器300的电触点356和接头组件200的电触点258之间的此连接允许在末端执行器300的存储器芯片354和手柄组件100的动力单元120的控制器电路板126(图2A)之间通信。
现在参考图5A和5B，柔性电路400包括适合于将电子部件支撑和/或电连接到其上的主体或基板410。电子部件可为(例如)表面安装技术和/或穿孔技术，包括例如集成电路(例如微芯片、微控制器、微处理器)、电阻、放大器、电感器、电容器、传感元件(例如光学传感器、压力传感器、电容传感器)、按钮、开关、电路板、电连接器、电缆和/或电线，以及在所属领域的技术人员的了解范围内的其它元件或电路。如上文所论述，柔性电缆400将微控制器350(图4F)和应变计450电互连。
基板410由一层或多层或一片或多片介电材料420(在本文中也被称为(一个或多个)介电层)和在基板410中形成导电迹线432的一层或多层导电材料430(在本文中也被称为(一个或多个)导电层)形成。介电层420可由聚合物(例如聚酰亚胺、丙烯酸树脂或聚酯)以及在所属领域的技术人员了解范围内的其它柔性和耐热或电绝缘材料形成。导电层430可由金属(例如铜、金、镍或铝)，以及在所属领域的技术人员了解范围内的其它材料形成，其具有低电阻率并且可在柔性电路400的电子部件之间，如在应变计450和微控制器350(图4F)之间路由信号。通孔(未示出)可用于将导电迹线432互连通过柔性电路400的不同层。
基板410的电介质和导电层420、430可通过例如层合、焊接和/或使用粘合剂，以及在所属领域的技术人员了解范围内的其它方法和材料彼此相连。虽然柔性电路400示出为单侧柔性电路，但是应该理解，基板410可被配置成允许制造单侧或双侧柔性电路、多层柔性电路或刚性柔性电路。
电接触区域434安置在导电迹线432的末端处，导电迹线432在柔性电路400的第一侧400a上通过基板410限定。电接触区域434中的每个包括一个或多个导电接触点(例如焊盘、导电粘合剂等)，电部件附接或以其它方式联接到基板410。基板410包括安置在基板410的第一或远侧末端410a处第一电接触区域434a(其与应变计450对齐并且焊接到应变计450)，和基板410的第二或近侧末端410b处的第二电接触区域434b(电联接到微控制器350(图4F))。应理解，虽然柔性电路400示出包括两个电接触区域434a、434b，但是柔性电路可根据柔性电路的期望配置和功能性具有任何数目的电接触区域，如在所属领域的技术人员了解范围内。
应变计450包括聚合托架460(例如一层或多层介电材料)和一层或多层电阻材料470(在本文中也被称为(一个或多个)电阻层)，其在聚合托架460内图案化以形成电阻器迹线472。电阻层470可由金属合金(例如康铜)以及具有高电阻率、负热阻系数和/或用于测量应变的良好机械特性的在所属领域的技术人员认识范围内的其它材料形成，康铜为铜镍合金，其当暴露于应变时呈现电阻的改变和随温度而变的抗性的相对最小改变。
电阻器迹线472形成或联接到电阻桥，如惠斯通电桥(例如四分之一桥、半桥、全桥)，其可读取应变计450附接到的结构的应变响应。再次参考图4E，应变计450定位在仓托架344的凹槽349的第一部分349a内并且被配置成测量由于在负载条件下(例如在夹持在工具组件320内的组织期间和/或在末端执行器300起动期间)施加在仓组件340(图4A)上的力仓托架344的变形。仓托架344经历的应变直接传递到以电阻的变化响应的应变计450、为应变计450提供激励电压和用于传感器数据(例如电压读数)的返回路径的柔性电路400。
现在参考图6A，柔性电路500包括嵌入其中的应变计550。将应变计550集成到柔性电路500中去除对在应变计550和柔性电路500之间的焊接连接或电线键合的需要，由此最小化在仓托架344(图4E)中得到应变计550的信号和功率需要的间隔，降低在柔性电路500和应变计550之间附接的潜在故障，和/或简化组装方法。
柔性电路500包括基板510，其包括一个或多个介电层520、一个或多个导电层530，和一个或多个电阻层540。电阻器迹线542在与仓托架344的凹槽349的第一部分349a(图4D)对应的柔性电路500的第一区域502中形成。柔性电路500的第一区域502形成应变计550，使得仓托架344的压缩和/或延伸改变在柔性电路500上的(一个或多个)电阻层540的长度或变形。如上文所论述，使用电阻桥，如惠斯通电桥，测量电阻的改变。导电迹线532在柔性电路500的第二区域504中形成，以提供到和来自柔性电路500的第一区域502的信号路径，例如到和来自在电接触区域534处联接到柔性电路500的第二区域504的微控制器350(图4F)。
现在参考图6B，柔性电路500通过将电阻层540放置到第一介电层520a上形成。电阻层540可延伸通过柔性电路500的第一和第二区域502、504(例如电阻层可在柔性电路的整个长度上延伸)。在柔性电路500的第一区域502中的电阻层540图案化以形成电阻器迹线542，并且在柔性电路500的第二区域504中的电阻层540为材料的连续平面。然后第一区域502被掩蔽，并且导电层530放置在电阻层540上。导电层530图案化以在柔性电路500中形成导电迹线532。然后将第二电介质层520b放置在导电层530上。因为导电和电阻层530、540彼此邻近并且接触安置，并且电阻层540具有比导电层530更高的电阻，所以电流将仅流动通过导电层530，并且电阻层540在柔性电路500变形时改变电阻。
在手术装置10的操作中，一旦末端执行器300初始插入到接头组件200中，开关致动器240保持与开关230脱离。在开关230处于未被激活状态的情况下，在末端执行器300的存储器352和手柄组件100的控制器电路板126之间没有建立电连接。一旦旋转末端执行器300，末端执行器300接合接头组件200并且向远侧移动开关致动器240，这切换开关230以致动开关230。在开关230处于激活状态的情况下，在末端执行器300的存储器芯片354和手柄组件100的控制器电路板126之间建立电连接，关于末端执行器300的信息通过所述电连接通信到手柄组件100的控制器电路板126。一旦开关230致动并且在末端执行器300的内壳体314的电触点356和接头组件200的环形构件250的电触点258之间建立扫划接触，手柄组件100能够检测末端执行器300与接头组件200接合并且以识别末端执行器300的一个或多个参数和/或处理来自末端执行器300的应变计450、550的传感器数据。因此，动力单元120能够经由接头组件200读取存储在末端执行器300的存储器352中的信息。
在末端执行器300接合到接头组件200的情况下，末端执行器300的应变计450、550在手术程序期间实时检测和/或测量工具组件320的机械行为和/或特性。传感器数据经由柔性电路400、500被传输到微控制器350，用于处理，存储在存储器352中，并且最终经由接头组件200沿单线式总线或其它通信协议传递到手柄组件100的动力单元120。动力单元120实时收集和处理传感器数据，并且将电控制信号传输到手柄组件100的马达128a、128b、128c，以控制手术装置10的功能(例如改变操作参数，如预压缩时间、起动速度等)。然后通过应变计450、550检测/测量的工具组件320的机械行为和/或特性实时或近实时转换成在工具组件320中夹持的目标组织的行为和/或特性和/或与其相关。
举例来说，在使用本公开的手术装置10的方法中，末端执行器300放置在期望手术部位处，并且砧座组件330和仓组件340接近并且夹持以握紧在砧座和仓组件330、340的相应组织接触表面336、346之间的目标组织。应变计450、550测量仓组件340的应力，并且继而测量目标组织的应力。具体来说，应变计450、550的电阻传送到末端执行器300的微控制器350，其继而处理电阻以计算在应变计450、550上的力或压力，其最终经由接头组件200传输到手柄组件100的动力单元120。动力单元120处理传感器数据并且控制在夹持目标组织和从仓组件340起动钉之间的等待时间直到在目标组织上的应力处于在值的可接受范围内的值。因此，微控制器350可持续或间歇地监测应变计450、550用于收集传感器数据。手柄组件100可为用户提供手术装置10准备好起动的视觉或可听指示。等待时间有利于最小化或避免与目标组织的过量应力相关的负面急性事件，如擦伤、撕裂和出血。应变计450、550控制手术装置10的起动以将目标组织应力保持在有利于密封目标组织、允许灌注用于愈合、提供止血和氧肿和/或防止泄漏的理想应力区域内。
应理解，可对本发明公开的手术装置的实施例进行各种修改。举例来说，可修改本公开的末端执行器以另外地或可替代地在砧座组件中包括应变计/柔性电路。作为另一个实例，应理解，可根据本公开的手术装置期望用途修改手柄组件、接头组件，和/或末端执行器。举例来说，本公开手柄组件、末端执行器和/或接头组件可被配置成执行例如内窥镜胃-肠道吻合(EGIA)程序或端对端吻合(EEA)程序。为了详细描述例示性手柄组件、接头组件和末端执行器的结构和功能，可参考共同拥有的美国专利公开案第2016/0296234号(“'234公开案”)，所述专利的全部内容以引用的方式并入本文中，和'134公开案，所述专利的全部内容先前以引用的方式并入本文中。因此，上文的描述不应解释为限制性的，而仅仅是作为实施例的例证。所属领域的技术人员将设想在本公开的范围和精神内的其它修改。

Claims (12)

1.一种手术装置，其包含：
包括可枢转地彼此联接的砧座组件和仓组件的末端执行器，所述仓组件包括：
钉仓；
包括被配置成接收所述钉仓的细长支撑通道的仓托架，所述细长支撑通道由第一内表面和一对第二内表面限定，所述第一内表面包括其中限定的凹槽，其中所述仓托架的所述凹槽包括沿所述仓托架的大部分长度纵向延伸的第一部分，应变计固定到所述凹槽的所述第一部分，所述仓托架的所述凹槽包括以相对于其的角取向从所述第一部分延伸并且向所述仓托架的所述一对第二内表面中的一个打开的第二部分，所述末端执行器包括安置在所述仓托架的所述第二部分内并且沿所述仓托架的所述一对第二内表面中的相应一个向远侧延伸的柔性电路，并且所述应变计嵌入所述柔性电路内；和
可操作地联接到所述末端执行器的手柄组件，所述手柄组件包括被配置成从所述末端执行器的所述应变计接收传感器数据并且响应于所述传感器数据控制所述末端执行器的功能的动力单元。
2.根据权利要求1所述的手术装置，其中所述柔性电路包括包括形成所述应变计的电阻器迹线的第一区域，和包括联接到所述应变计的导电迹线的第二区域。
3.根据权利要求1所述的手术装置，其中所述柔性电路包括第一介电层、安置在所述第一介电层上的电阻层、安置在所述电阻层上的导电层。
4.根据权利要求3所述的手术装置，其中所述电阻层在所述第一介电层的整个长度上延伸，所述电阻层包括在所述柔性电路的第一区域中经图案化的电阻器迹线和在所述柔性电路的第二区域中的电阻材料的连续平面。
5.根据权利要求4所述的手术装置，其中所述导电层安置在所述电阻层上，所述电阻器迹线被所述导电层掩蔽。
6.根据权利要求1所述的手术装置，其中所述末端执行器进一步包括联接到存储器的微控制器，所述微控制器电联接到所述应变计并且被配置成从所述应变计接收传感器数据，所述存储器被配置成存储所述传感器数据。
7.一种用于手术装置的末端执行器，所述末端执行器包含：
砧座组件；和
可枢转地联接到所述砧座组件的仓组件，所述仓组件包括：
钉仓；
包括被配置成接收所述钉仓的细长支撑通道的仓托架，所述细长支撑通道由第一内表面和一对第二内表面限定，所述第一内表面包括其中限定的凹槽，其中所述仓托架的所述凹槽包括沿所述仓托架的大部分长度纵向延伸的第一部分，应变计固定到所述凹槽的所述第一部分，所述仓托架的所述凹槽包括以相对于其的角取向从所述第一部分延伸并且向所述仓托架的所述一对第二内表面中的一个打开的第二部分，所述末端执行器包括安置在所述仓托架的所述第二部分内并且沿所述仓托架的所述一对第二内表面中的相应一个向远侧延伸的柔性电路，并且所述应变计嵌入所述柔性电路内。
8.根据权利要求7所述的末端执行器，其中所述柔性电路包括包括形成所述应变计的电阻器迹线的第一区域，和包括联接到所述应变计的导电迹线的第二区域。
9.根据权利要求7所述的末端执行器，其中所述柔性电路包括第一介电层、安置在所述第一介电层上的电阻层、安置在所述电阻层上的导电层。
10.根据权利要求9所述的末端执行器，其中所述电阻层在所述第一介电层的整个长度上延伸，所述电阻层包括在所述柔性电路的第一区域中经图案化的电阻器迹线和在所述柔性电路的第二区域中的电阻材料的平面。
11.根据权利要求10所述的末端执行器，其中所述导电层安置在所述电阻层上，所述电阻器迹线被所述导电层掩蔽。
12.根据权利要求7所述的末端执行器，其进一步包含联接到存储器的微控制器，所述微控制器电联接到所述应变计并且被配置成从所述应变计接收传感器数据，所述存储器被配置成存储所述传感器数据。
CN201910521303.0A 2018-06-21 2019-06-17 包括并入柔性电路的应变计的动力手术装置 Active CN110623698B (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201862687846P 2018-06-21 2018-06-21
US62/687,846 2018-06-21
US16/413,919 2019-05-16
US16/413,919 US20190388091A1 (en) 2018-06-21 2019-05-16 Powered surgical devices including strain gauges incorporated into flex circuits

Publications (2)

Publication Number Publication Date
CN110623698A CN110623698A (zh) 2019-12-31
CN110623698B true CN110623698B (zh) 2024-01-23

Family

ID=66999753

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910521303.0A Active CN110623698B (zh) 2018-06-21 2019-06-17 包括并入柔性电路的应变计的动力手术装置

Country Status (5)

Country Link
US (3) US20190388091A1 (zh)
EP (1) EP3586767B1 (zh)
JP (1) JP7396814B2 (zh)
CN (1) CN110623698B (zh)
AU (1) AU2019203602A1 (zh)

Families Citing this family (183)

* 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
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
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
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
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical 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
BRPI0901282A2 (pt) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação dotado de eletrodos de rf
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
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
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
US10213198B2 (en) 2010-09-30 2019-02-26 Ethicon Llc Actuator for releasing a tissue thickness compensator from a fastener cartridge
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9301755B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Compressible staple cartridge assembly
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
CN104321024B (zh) 2012-03-28 2017-05-24 伊西康内外科公司 包括多个层的组织厚度补偿件
JP6105041B2 (ja) 2012-03-28 2017-03-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 低圧環境を画定するカプセルを含む組織厚コンペンセーター
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
JP6382235B2 (ja) 2013-03-01 2018-08-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 信号通信用の導電路を備えた関節運動可能な外科用器具
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9775609B2 (en) 2013-08-23 2017-10-03 Ethicon Llc Tamper proof circuit for surgical instrument battery pack
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
US20150297222A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
JP6636452B2 (ja) 2014-04-16 2020-01-29 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 異なる構成を有する延在部を含む締結具カートリッジ
CN106456159B (zh) 2014-04-16 2019-03-08 伊西康内外科有限责任公司 紧固件仓组件和钉保持器盖布置结构
BR112016023825B1 (pt) 2014-04-16 2022-08-02 Ethicon Endo-Surgery, Llc Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico
US20160066913A1 (en) 2014-09-05 2016-03-10 Ethicon Endo-Surgery, Inc. Local display of tissue parameter stabilization
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
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
BR112017012996B1 (pt) 2014-12-18 2022-11-08 Ethicon Llc Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10751108B2 (en) 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10779849B2 (en) 2016-01-15 2020-09-22 Ethicon Llc Modular battery powered handheld surgical instrument with voltage sag resistant battery pack
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
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
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
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
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
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
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11696759B2 (en) 2017-06-28 2023-07-11 Cilag Gmbh International Surgical stapling instruments comprising shortened staple cartridge noses
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
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
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10743868B2 (en) 2017-12-21 2020-08-18 Ethicon Llc Surgical instrument comprising a pivotable distal head
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
USD914878S1 (en) * 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11197734B2 (en) * 2018-10-30 2021-12-14 Covidien Lp Load sensing devices for use in surgical instruments
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11707318B2 (en) 2019-12-30 2023-07-25 Cilag Gmbh International Surgical instrument with jaw alignment features
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US20210196359A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instruments with electrodes having energy focusing features
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
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
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11723716B2 (en) 2019-12-30 2023-08-15 Cilag Gmbh International Electrosurgical instrument with variable control mechanisms
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
EP3922193A1 (en) * 2020-06-10 2021-12-15 Covidien LP Sealed electrical connection between surgical loading unit and adapter
US20220031320A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with flexible firing member actuator constraint arrangements
US20220047260A1 (en) * 2020-08-12 2022-02-17 Covidien Lp Chipped trocar assembly for circular stapling instruments
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11890007B2 (en) * 2020-11-18 2024-02-06 Covidien Lp Stapling device with flex cable and tensioning mechanism
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
WO2022118160A2 (en) * 2020-12-02 2022-06-09 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
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
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
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
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
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
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
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US20220378426A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a mounted shaft orientation sensor
US11862884B2 (en) * 2021-08-16 2024-01-02 Covidien Lp Surgical instrument with electrical connection
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1728475A2 (en) * 2005-06-03 2006-12-06 Tyco Healthcare Group Lp Surgical instruments employing sensors
CN101991448A (zh) * 2009-08-11 2011-03-30 Tyco医疗健康集团 手术吻合装置
CN103251434A (zh) * 2011-12-23 2013-08-21 柯惠Lp公司 用于内窥镜操作的装置
CN107278140A (zh) * 2015-02-26 2017-10-20 柯惠Lp公司 具有导体应变消除的外科设备

Family Cites Families (369)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2957353A (en) 1958-08-26 1960-10-25 Teleflex Inc Connector
US3111328A (en) 1961-07-03 1963-11-19 Rito Vincent L J Di Multiuse adapter for manipulators
US3734515A (en) 1971-01-29 1973-05-22 Thor Power Tool Co Power wrench with interchangeable adapters
US3695058A (en) 1971-05-26 1972-10-03 Marvin W Keith Jr Flexible link rotatable drive coupling
US3759336A (en) 1972-01-21 1973-09-18 D Marcovitz Interchangeable power operated tools
US4162399A (en) 1977-09-16 1979-07-24 Bei Electronics, Inc. Optical encoder with fiber optics
US4606343A (en) 1980-08-18 1986-08-19 United States Surgical Corporation Self-powered surgical fastening instrument
US4705038A (en) 1985-01-23 1987-11-10 Dyonics, Inc. Surgical system for powered instruments
US4722685A (en) 1985-05-30 1988-02-02 Estrada Juan M De Tool for adapting a portable lathe to treat the back molar teeth of horses
US4823807A (en) 1988-02-11 1989-04-25 Board Of Regents, Univ. Of Texas System Device for non-invasive diagnosis and monitoring of articular and periarticular pathology
US4874181A (en) 1988-05-31 1989-10-17 Hsu Shing Wang Coupling member for securing a drilling head to the rotatable rod of a pneumatic tool body
JPH0245406U (zh) * 1988-09-20 1990-03-28
US5301061A (en) 1989-07-27 1994-04-05 Olympus Optical Co., Ltd. Endoscope system
US5152744A (en) 1990-02-07 1992-10-06 Smith & Nephew Dyonics Surgical instrument
JP3034019B2 (ja) 1990-11-26 2000-04-17 旭光学工業株式会社 内視鏡の先端部
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5413267A (en) 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
US5129118A (en) 1991-07-29 1992-07-14 Walmesley Mark W Accessory tool apparatus for use on power drills
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5478003A (en) 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
US5326013A (en) 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5197649A (en) 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5383874A (en) 1991-11-08 1995-01-24 Ep Technologies, Inc. Systems for identifying catheters and monitoring their use
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5350355A (en) 1992-02-14 1994-09-27 Automated Medical Instruments, Inc. Automated surgical instrument
US5389098A (en) 1992-05-19 1995-02-14 Olympus Optical Co., Ltd. Surgical device for stapling and/or fastening body tissues
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
US5609560A (en) 1992-08-19 1997-03-11 Olympus Optical Co., Ltd. Medical operation device control system for controlling a operation devices accessed respectively by ID codes
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5662662A (en) 1992-10-09 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical instrument and method
US5431323A (en) 1992-10-09 1995-07-11 Ethicon, Inc. Endoscopic surgical instrument with pivotable and rotatable staple cartridge
US5626587A (en) 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
US5400267A (en) 1992-12-08 1995-03-21 Hemostatix Corporation Local in-device memory feature for electrically powered medical equipment
US5540706A (en) 1993-01-25 1996-07-30 Aust; Gilbert M. Surgical instrument
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
US5467911A (en) 1993-04-27 1995-11-21 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5476379A (en) 1993-11-04 1995-12-19 Disel; Jimmy D. Illumination system and connector assembly for a dental handpiece
US5782397A (en) 1994-01-04 1998-07-21 Alpha Surgical Technologies, Inc. Stapling device
US6165169A (en) 1994-03-04 2000-12-26 Ep Technologies, Inc. Systems and methods for identifying the physical, mechanical, and functional attributes of multiple electrode arrays
US5526822A (en) 1994-03-24 1996-06-18 Biopsys Medical, Inc. Method and apparatus for automated biopsy and collection of soft tissue
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
US5553675A (en) 1994-06-10 1996-09-10 Minnesota Mining And Manufacturing Company Orthopedic surgical device
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
EP0705571A1 (en) 1994-10-07 1996-04-10 United States Surgical Corporation Self-contained powered surgical apparatus
US5549637A (en) 1994-11-10 1996-08-27 Crainich; Lawrence Articulated medical instrument
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5713505A (en) 1996-05-13 1998-02-03 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
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
US6321855B1 (en) 1994-12-29 2001-11-27 George Edward Barnes Anti-vibration adaptor
US5649956A (en) 1995-06-07 1997-07-22 Sri International System and method for releasably holding a surgical instrument
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US5762256A (en) 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
CA2206156A1 (en) 1995-09-15 1997-04-03 Robert Lee Thompson Surgical/diagnostic imaging device
US7141049B2 (en) 1999-03-09 2006-11-28 Thermage, Inc. Handpiece for treatment of tissue
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US6699177B1 (en) 1996-02-20 2004-03-02 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
US6017354A (en) 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
US6129547A (en) 1997-05-06 2000-10-10 Ballard Medical Products Oral care system
AU8903898A (en) 1997-08-11 1999-03-01 Paul W. Mayer Motorized motion-canceling suture tool holder
US6434507B1 (en) 1997-09-05 2002-08-13 Surgical Navigation Technologies, Inc. Medical instrument and method for use with computer-assisted image guided surgery
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US5863159A (en) 1997-12-12 1999-01-26 Lasko; Leonard J. Drill angle attachment coupling
US6371909B1 (en) 1998-02-19 2002-04-16 California Institute Of Technology Apparatus and method for providing spherical viewing during endoscopic procedures
US6239732B1 (en) 1998-04-13 2001-05-29 Dallas Semiconductor Corporation One-wire device with A-to-D converter
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6256859B1 (en) 1998-09-25 2001-07-10 Sherwood Services Ag Method of manufacturing an aspiring tool
US5993454A (en) 1998-09-29 1999-11-30 Stryker Corporation Drill attachment for a surgical drill
US7238021B1 (en) 1998-12-03 2007-07-03 Johnson Gary E Powered cutting surface with protective guard for equine teeth
US6860892B1 (en) 1999-05-28 2005-03-01 General Surgical Innovations, Inc. Specially shaped balloon device for use in surgery and method of use
US7695485B2 (en) * 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
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
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US8960519B2 (en) 1999-06-02 2015-02-24 Covidien Lp Shaft, e.g., for an electro-mechanical surgical device
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions 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
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
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6451007B1 (en) 1999-07-29 2002-09-17 Dale E. Koop Thermal quenching of tissue
US6611793B1 (en) 1999-09-07 2003-08-26 Scimed Life Systems, Inc. Systems and methods to identify and disable re-use single use devices based on detecting environmental changes
US6368324B1 (en) 1999-09-24 2002-04-09 Medtronic Xomed, Inc. Powered surgical handpiece assemblies and handpiece adapter assemblies
US6348061B1 (en) 2000-02-22 2002-02-19 Powermed, Inc. Vessel and lumen expander attachment for use with an electromechanical driver device
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
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
JP3897962B2 (ja) 2000-07-19 2007-03-28 株式会社モリタ製作所 識別型のインスツルメント体、識別型のアダプタ、識別型のチューブ、これらを用いた診療装置
EP1313401A4 (en) 2000-08-30 2006-09-20 Cerebral Vascular Applic Inc MEDICAL INSTRUMENT
US6817508B1 (en) 2000-10-13 2004-11-16 Tyco Healthcare Group, Lp Surgical stapling device
US6716226B2 (en) 2001-06-25 2004-04-06 Inscope Development, Llc Surgical clip
US20050004559A1 (en) 2003-06-03 2005-01-06 Senorx, Inc. Universal medical device control console
US8313496B2 (en) 2001-02-02 2012-11-20 Lsi Solutions, Inc. System for endoscopic suturing
US7699835B2 (en) 2001-02-15 2010-04-20 Hansen Medical, Inc. Robotically controlled surgical instruments
US7905897B2 (en) 2001-03-14 2011-03-15 Tyco Healthcare Group Lp Trocar device
ES2381407T3 (es) 2001-04-20 2012-05-28 Tyco Healthcare Group Lp Dispositivo quirúrgico bipolar o ultrasónico
US20030009154A1 (en) 2001-06-20 2003-01-09 Whitman Michael P. Method and system for integrated medical tracking
CA2814279C (en) 2001-06-22 2015-12-29 Tyco Healthcare Group Lp Electro-mechanical surgical device with data memory unit
US7044911B2 (en) 2001-06-29 2006-05-16 Philometron, Inc. Gateway platform for biological monitoring and delivery of therapeutic compounds
CA2456424C (en) 2001-08-08 2011-09-27 Stryker Corporation Surgical cutting accessory with internal memory
DE10147145C2 (de) 2001-09-25 2003-12-18 Kunz Reiner Multifunktionsinstrument für die mikroinvasive Chirurgie
AU2002362750B2 (en) 2001-10-05 2008-07-10 Covidien Lp Surgical stapling device
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US6783533B2 (en) 2001-11-21 2004-08-31 Sythes Ag Chur Attachable/detachable reaming head for surgical reamer
CA2466812C (en) 2001-12-04 2012-04-03 Michael P. Whitman System and method for calibrating a surgical instrument
IL148702A (en) 2002-03-14 2008-04-13 Innoventions Inc Insertion and retrieval system for inflatable devices
ES2377483T3 (es) 2002-04-25 2012-03-28 Tyco Healthcare Group Lp Instrumentos quirúrgicos que incluyen sistemas microelectromecánicos (MEMS)
DE60310224T2 (de) 2002-06-14 2007-09-20 Power Medical Interventions Inc. Gerät zum klemmen, schneiden und zusammenheften von gewebe
US20030038938A1 (en) 2002-06-20 2003-02-27 Jung Wayne D. Apparatus and method for measuring optical characteristics of an object or material
US8182494B1 (en) 2002-07-31 2012-05-22 Cardica, Inc. Minimally-invasive surgical system
US6645218B1 (en) 2002-08-05 2003-11-11 Endius Incorporated Surgical instrument
US20040176751A1 (en) 2002-08-14 2004-09-09 Endovia Medical, Inc. Robotic medical instrument system
EP2277434B1 (en) 2002-09-30 2013-06-19 Covidien LP Self-contained sterilizable surgical system
ES2632965T3 (es) 2002-10-04 2017-09-18 Covidien Lp Dispositivo de grapado quirúrgico motorizado neumáticamente
US7559927B2 (en) 2002-12-20 2009-07-14 Medtronic Xomed, Inc. Surgical instrument with telescoping attachment
JP2004208922A (ja) 2002-12-27 2004-07-29 Olympus Corp 医療装置及び医療用マニピュレータ並びに医療装置の制御方法
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
US7140528B2 (en) 2003-05-20 2006-11-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US6988649B2 (en) 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US8365633B2 (en) 2003-05-21 2013-02-05 The Johns Hopkins University Devices, systems and methods for minimally invasive surgery of the throat and other portions of mammalian body
EP1635712B1 (en) 2003-06-20 2015-09-30 Covidien LP Surgical stapling device
US6964363B2 (en) 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US7111769B2 (en) 2003-07-09 2006-09-26 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
US7055731B2 (en) 2003-07-09 2006-06-06 Ethicon Endo-Surgery Inc. Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint
JP4398813B2 (ja) 2003-07-18 2010-01-13 ヤーマン株式会社 美肌装置
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US20090090763A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US8806973B2 (en) 2009-12-02 2014-08-19 Covidien Lp Adapters for use between surgical handle assembly and surgical end effector
US10588629B2 (en) 2009-11-20 2020-03-17 Covidien Lp Surgical console and hand-held surgical device
US8968276B2 (en) 2007-09-21 2015-03-03 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10022123B2 (en) 2012-07-09 2018-07-17 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical device
JP4642770B2 (ja) 2003-10-17 2011-03-02 タイコ ヘルスケア グループ リミテッド パートナーシップ 独立先端部回転を備えた外科用ステープル留めデバイス
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US7172415B2 (en) 2003-11-22 2007-02-06 Flexi-Float, Llc Equine dental grinding apparatus
DE10357105B3 (de) 2003-12-06 2005-04-07 Richard Wolf Gmbh Medizinisches Instrument
EP1563793B1 (en) 2004-02-17 2007-06-13 Tyco Healthcare Group Lp Surgical stapling apparatus
EP1723913A1 (en) 2004-03-10 2006-11-22 Olympus Corporation Treatment tool for surgery
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
CN101090677A (zh) 2004-07-27 2007-12-19 生物激光科技公司 用于医疗激光手持件的识别连接器
US7487899B2 (en) 2004-07-28 2009-02-10 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP complete firing system lockout mechanism
US7143926B2 (en) 2005-02-07 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7947034B2 (en) 2004-07-30 2011-05-24 Tyco Healthcare Group Lp Flexible shaft extender and method of using same
US7922719B2 (en) 2004-10-06 2011-04-12 Biodynamics, Llc Adjustable angle pawl handle for surgical instruments
EP1802245B8 (en) 2004-10-08 2016-09-28 Ethicon Endo-Surgery, LLC Ultrasonic surgical instrument
US20060142656A1 (en) 2004-12-09 2006-06-29 Don Malackowski Wireless system for providing instrument and implant data to a surgical navigation unit
US20060142740A1 (en) 2004-12-29 2006-06-29 Sherman Jason T Method and apparatus for performing a voice-assisted orthopaedic surgical procedure
US7822458B2 (en) 2005-05-19 2010-10-26 The Johns Hopkins University Distal bevel-tip needle control device and algorithm
EP1736112B1 (en) 2005-06-20 2011-08-17 Heribert Schmid Medical device
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US8573462B2 (en) 2006-05-19 2013-11-05 Ethicon Endo-Surgery, Inc. Electrical 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
US20070029363A1 (en) 2005-08-07 2007-02-08 Sergey Popov Surgical apparatus with remote drive
US8348855B2 (en) 2005-08-29 2013-01-08 Galil Medical Ltd. Multiple sensor device for measuring tissue temperature during thermal treatment
US7407078B2 (en) 2005-09-21 2008-08-05 Ehthicon Endo-Surgery, Inc. Surgical stapling instrument having force controlled spacing end effector
CA2561473C (en) 2005-09-30 2014-07-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US7641091B2 (en) 2005-10-04 2010-01-05 Tyco Healthcare Group Lp Staple drive assembly
US20070102472A1 (en) 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US7328828B2 (en) 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
US8672922B2 (en) 2005-12-20 2014-03-18 Intuitive Surgical Operations, Inc. Wireless communication in a robotic surgical system
US7481824B2 (en) 2005-12-30 2009-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument with bending articulation controlled articulation pivot joint
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US20070175951A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US20070175950A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8551076B2 (en) 2006-06-13 2013-10-08 Intuitive Surgical Operations, Inc. Retrograde instrument
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US20080029574A1 (en) 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
US7431189B2 (en) 2006-08-02 2008-10-07 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion
US9554843B2 (en) 2006-09-01 2017-01-31 Conmed Corporation Adapter and method for converting gas-enhanced electrosurgical coagulation instrument for cutting
US8608043B2 (en) 2006-10-06 2013-12-17 Covidien Lp Surgical instrument having a multi-layered drive beam
US7967178B2 (en) 2006-10-06 2011-06-28 Tyco Healthcare Group Lp Grasping jaw mechanism
US8733614B2 (en) 2006-10-06 2014-05-27 Covidien Lp End effector identification by mechanical features
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
US20080109012A1 (en) 2006-11-03 2008-05-08 General Electric Company System, method and apparatus for tableside remote connections of medical instruments and systems using wireless communications
US7721930B2 (en) 2006-11-10 2010-05-25 Thicon Endo-Surgery, Inc. Disposable cartridge with adhesive for use with a stapling device
WO2008061313A1 (en) 2006-11-24 2008-05-29 Mems-Id Pty Ltd Tagging methods and apparatus
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
ES2377906T3 (es) 2007-02-05 2012-04-03 Novian Health Inc. Kits de terapia con laser intersticial y sistema de control de terapia con láser intersticial.
US8011550B2 (en) 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
ES2606949T3 (es) 2007-03-06 2017-03-28 Covidien Lp Aparato de grapado quirúrgico
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US8391957B2 (en) 2007-03-26 2013-03-05 Hansen Medical, Inc. Robotic catheter systems and methods
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US8800837B2 (en) 2007-04-13 2014-08-12 Covidien Lp Powered surgical instrument
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US20080251561A1 (en) 2007-04-13 2008-10-16 Chad Eades Quick connect base plate for powder actuated tool
US20080281301A1 (en) 2007-04-20 2008-11-13 Deboer Charles Personal Surgical Center
US8177776B2 (en) 2007-04-20 2012-05-15 Doheny Eye Institute Independent surgical center
US20090012533A1 (en) 2007-04-23 2009-01-08 Hansen Medical, Inc. Robotic instrument control system
US7549564B2 (en) 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate 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
US7588176B2 (en) 2007-06-18 2009-09-15 Ethicon Endo-Surgery, Inc. Surgical cutting instrument with improved closure system
AU2008302039B2 (en) 2007-09-21 2013-07-18 Covidien Lp Surgical device
CN101801283B (zh) 2007-09-21 2012-07-18 Tyco医疗健康集团 手术器械
US9023014B2 (en) 2007-09-21 2015-05-05 Covidien Lp Quick connect assembly for use between surgical handle assembly and surgical accessories
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8967443B2 (en) 2007-10-05 2015-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
EP2428166A1 (en) 2007-10-05 2012-03-14 Tyco Healthcare Group LP Surgical stapler having a nutating gear drive
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US20130214025A1 (en) 2007-10-05 2013-08-22 Covidien Lp Powered surgical stapling device
US10779818B2 (en) 2007-10-05 2020-09-22 Covidien Lp Powered surgical stapling device
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US8758342B2 (en) 2007-11-28 2014-06-24 Covidien Ag Cordless power-assisted medical cauterization and cutting device
WO2009073577A2 (en) 2007-11-29 2009-06-11 Surgiquest, Inc. Surgical instruments with improved dexterity for use in minimally invasive surgical procedures
US20090171147A1 (en) 2007-12-31 2009-07-02 Woojin Lee Surgical instrument
WO2009089539A1 (en) * 2008-01-10 2009-07-16 Power Medical Interventions, Inc. Imaging system for a surgical device
US8647258B2 (en) 2008-01-10 2014-02-11 Covidien Lp Apparatus for endoscopic procedures
TW200934621A (en) 2008-02-01 2009-08-16 Mobiletron Electronics Co Ltd Extended transmission rod for power tool
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
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
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems 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
US8733611B2 (en) 2008-03-12 2014-05-27 Covidien Lp Ratcheting mechanism for surgical stapling device
US20090254094A1 (en) 2008-04-08 2009-10-08 Knapp Troy D Ratcheting mechanical driver for cannulated surgical systems
EP2278927A2 (en) 2008-04-25 2011-02-02 Downey, Earl C. Laparoscopic surgical instrument
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US20100023022A1 (en) 2008-07-25 2010-01-28 Zeiner Mark S Reloadable laparoscopic fastener deploying device with disposable cartridge use in a gastric volume reduction procedure
JP5575379B2 (ja) 2008-07-25 2014-08-20 東京電力株式会社 圧縮機及び冷凍機
KR101056232B1 (ko) 2008-09-12 2011-08-11 정창욱 최소 침습 수술 도구 및 그 사용 방법
US20100069942A1 (en) 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8372057B2 (en) 2008-10-10 2013-02-12 Coeur, Inc. Luer lock adapter
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
DE102008053842B4 (de) 2008-10-30 2010-08-26 Kirchner, Hilmar O. Chirurgische Zerspanvorrichtung
US8414577B2 (en) * 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
WO2010102062A1 (en) 2009-03-03 2010-09-10 Westport Medical, Inc. Bit holders
US7967179B2 (en) 2009-03-31 2011-06-28 Tyco Healthcare Group Lp Center cinch and release of buttress material
US8348126B2 (en) 2009-03-31 2013-01-08 Covidien Lp Crimp and release of suture holding buttress material
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US8365972B2 (en) 2009-03-31 2013-02-05 Covidien Lp Surgical stapling apparatus
US8827134B2 (en) 2009-06-19 2014-09-09 Covidien Lp Flexible surgical stapler with motor in the head
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
US8314354B2 (en) 2009-07-27 2012-11-20 Apple Inc. Accessory controller for electronic devices
US8955732B2 (en) * 2009-08-11 2015-02-17 Covidien Lp Surgical stapling apparatus
US20110077673A1 (en) 2009-09-29 2011-03-31 Cardiovascular Systems, Inc. Rotational atherectomy device with frictional clutch having magnetic normal force
ES2333509B2 (es) 2009-10-07 2011-01-03 Universidad De Cantabria Instrumento para cirugia endoscopica.
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
US8561871B2 (en) 2009-12-31 2013-10-22 Covidien Lp Indicators for surgical staplers
US8376937B2 (en) 2010-01-28 2013-02-19 Warsaw Orhtopedic, Inc. Tissue monitoring surgical retractor system
WO2011108840A2 (ko) 2010-03-05 2011-09-09 주식회사 이턴 수술용 인스트루먼트, 수술용 인스트루먼트의 커플링 구조 및 원점 조정 방법
KR101765727B1 (ko) 2010-09-01 2017-08-08 (주)미래컴퍼니 수술용 인스트루먼트의 커플링 구조 및 원점 조정 방법
US8562592B2 (en) 2010-05-07 2013-10-22 Ethicon Endo-Surgery, Inc. Compound angle laparoscopic methods and devices
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
CN101966093B (zh) 2010-09-28 2012-01-11 常州市康迪医用吻合器有限公司 带有可更换钉仓的腔镜外科切割吻合器
US8292150B2 (en) 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
US20120116368A1 (en) 2010-11-10 2012-05-10 Viola Frank J Surgical instrument with add-on power adapter for accessory
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
US8936614B2 (en) 2010-12-30 2015-01-20 Covidien Lp Combined unilateral/bilateral jaws on a surgical instrument
US20120211542A1 (en) 2011-02-23 2012-08-23 Tyco Healthcare Group I.P Controlled tissue compression systems and methods
US9549758B2 (en) 2011-03-23 2017-01-24 Covidien Lp Surgical access assembly with adapter
CN102247182A (zh) 2011-04-29 2011-11-23 常州市康迪医用吻合器有限公司 外科用电动吻合器
US9017314B2 (en) 2011-06-01 2015-04-28 Covidien Lp Surgical articulation assembly
US9381010B2 (en) 2011-06-27 2016-07-05 Covidien Lp Surgical instrument with adapter for facilitating multi-direction end effector articulation
DE102011084499A1 (de) 2011-10-14 2013-04-18 Robert Bosch Gmbh Werkzeugvorsatz
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US8899462B2 (en) 2011-10-25 2014-12-02 Covidien Lp Apparatus for endoscopic procedures
US8657177B2 (en) 2011-10-25 2014-02-25 Covidien Lp Surgical apparatus and method for endoscopic surgery
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US9113899B2 (en) 2011-11-29 2015-08-25 Covidien Lp Coupling mechanisms for surgical instruments
US9168042B2 (en) 2012-01-12 2015-10-27 Covidien Lp Circular stapling instruments
US9241757B2 (en) 2012-01-13 2016-01-26 Covidien Lp System and method for performing surgical procedures with a reusable instrument module
AU2013203675B2 (en) 2012-05-31 2014-11-27 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9868198B2 (en) 2012-06-01 2018-01-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10080563B2 (en) 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
US9839480B2 (en) 2012-07-09 2017-12-12 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10492814B2 (en) 2012-07-09 2019-12-03 Covidien Lp Apparatus for endoscopic procedures
US9402604B2 (en) 2012-07-20 2016-08-02 Covidien Lp Apparatus for endoscopic procedures
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US9522003B2 (en) * 2013-01-14 2016-12-20 Intuitive Surgical Operations, Inc. Clamping instrument
US9782187B2 (en) 2013-01-18 2017-10-10 Covidien Lp Adapter load button lockout
US10828019B2 (en) 2013-01-18 2020-11-10 W.L. Gore & Associates, Inc. Sealing device and delivery system
US10918364B2 (en) 2013-01-24 2021-02-16 Covidien Lp Intelligent adapter assembly for use with an electromechanical surgical system
US9421003B2 (en) 2013-02-18 2016-08-23 Covidien Lp Apparatus for endoscopic procedures
US9216013B2 (en) 2013-02-18 2015-12-22 Covidien Lp Apparatus for endoscopic procedures
US9326767B2 (en) 2013-03-01 2016-05-03 Ethicon Endo-Surgery, Llc Joystick switch assemblies for surgical instruments
US9492189B2 (en) 2013-03-13 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9700318B2 (en) 2013-04-09 2017-07-11 Covidien Lp Apparatus for endoscopic procedures
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US9801646B2 (en) 2013-05-30 2017-10-31 Covidien Lp Adapter load button decoupled from loading unit sensor
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
US9629633B2 (en) 2013-07-09 2017-04-25 Covidien Lp Surgical device, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US9955966B2 (en) 2013-09-17 2018-05-01 Covidien Lp Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention
US10271840B2 (en) 2013-09-18 2019-04-30 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US9974540B2 (en) 2013-10-18 2018-05-22 Covidien Lp Adapter direct drive twist-lock retention mechanism
US9295522B2 (en) 2013-11-08 2016-03-29 Covidien Lp Medical device adapter with wrist mechanism
US10236616B2 (en) 2013-12-04 2019-03-19 Covidien Lp Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof
US20150150574A1 (en) 2013-12-04 2015-06-04 Covidien Lp Adapter direct drive push button retention mechanism
US9918713B2 (en) 2013-12-09 2018-03-20 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9808245B2 (en) 2013-12-13 2017-11-07 Covidien Lp Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof
US9839424B2 (en) 2014-01-17 2017-12-12 Covidien Lp Electromechanical surgical assembly
US10164466B2 (en) 2014-04-17 2018-12-25 Covidien Lp Non-contact surgical adapter electrical interface
US10080552B2 (en) 2014-04-21 2018-09-25 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9913643B2 (en) 2014-05-09 2018-03-13 Covidien Lp Interlock assemblies for replaceable loading unit
US9713466B2 (en) 2014-05-16 2017-07-25 Covidien Lp Adaptor for surgical instrument for converting rotary input to linear output
US10561418B2 (en) 2014-06-26 2020-02-18 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10163589B2 (en) 2014-06-26 2018-12-25 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9763661B2 (en) 2014-06-26 2017-09-19 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9839425B2 (en) 2014-06-26 2017-12-12 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9987095B2 (en) 2014-06-26 2018-06-05 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US20150374372A1 (en) 2014-06-26 2015-12-31 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US20160066913A1 (en) * 2014-09-05 2016-03-10 Ethicon Endo-Surgery, Inc. Local display of tissue parameter stabilization
JP6640227B2 (ja) * 2014-09-05 2020-02-05 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 誤装填されたカートリッジを検出するホール磁石の極性
WO2016057225A1 (en) 2014-10-07 2016-04-14 Covidien Lp Handheld electromechanical surgical system
US10226254B2 (en) 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10085750B2 (en) 2014-10-22 2018-10-02 Covidien Lp Adapter with fire rod J-hook lockout
US9949737B2 (en) 2014-10-22 2018-04-24 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9808246B2 (en) * 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10327779B2 (en) 2015-04-10 2019-06-25 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
JP6755884B2 (ja) * 2015-04-22 2020-09-16 コヴィディエン リミテッド パートナーシップ 手持ち式電気機械的外科用システム
US9593991B2 (en) * 2015-07-29 2017-03-14 Apple Inc. Printed circuits with embedded strain gauges
US10357247B2 (en) * 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10709511B2 (en) * 2016-08-16 2020-07-14 Ethicon Llc Control of jaw or clamp arm closure in concert with advancement of device
US11103301B2 (en) * 2017-06-28 2021-08-31 Cilag Gmbh International Surgical system coupleable with staple cartridge and radio frequency cartridge, and having a plurality of radio-frequency energy return paths

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1728475A2 (en) * 2005-06-03 2006-12-06 Tyco Healthcare Group Lp Surgical instruments employing sensors
CN101991448A (zh) * 2009-08-11 2011-03-30 Tyco医疗健康集团 手术吻合装置
CN103251434A (zh) * 2011-12-23 2013-08-21 柯惠Lp公司 用于内窥镜操作的装置
CN107278140A (zh) * 2015-02-26 2017-10-20 柯惠Lp公司 具有导体应变消除的外科设备

Also Published As

Publication number Publication date
US20230404580A1 (en) 2023-12-21
EP3586767B1 (en) 2024-01-10
US11751874B2 (en) 2023-09-12
JP7396814B2 (ja) 2023-12-12
US20190388091A1 (en) 2019-12-26
EP3586767A2 (en) 2020-01-01
CN110623698A (zh) 2019-12-31
JP2019217270A (ja) 2019-12-26
AU2019203602A1 (en) 2020-01-16
US20220257247A1 (en) 2022-08-18
EP3586767A3 (en) 2020-05-06

Similar Documents

Publication Publication Date Title
CN110623698B (zh) 包括并入柔性电路的应变计的动力手术装置
US20210212681A1 (en) Powered surgical devices having tissue sensing function
US11896439B2 (en) Load sensing devices for use in surgical instruments
RU2631209C2 (ru) Хирургический режуще-сшивающий инструмент с устройством определения положения пускового элемента и состояния картриджа
CN111789648A (zh) 手术装置中的应变计稳定化
AU2010200406B2 (en) Powered surgical instrument with secondary circuit board
CN113180760A (zh) 手持式机电手术器械
CA2483094A1 (en) Surgical instruments including mems devices
AU2015201756A1 (en) End-effector force measurement drive circuit
US11950783B2 (en) End effector force measurement with digital drive circuit
CN108498127B (zh) 可高压灭菌的负荷感测装置
US20200281597A1 (en) Strain gauge stabilization in a surgical device
CN114515174A (zh) 具有柔性电缆和张紧机构的钉合装置

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