CN111110287B - 包含适配器和密封件的手术装置 - Google Patents
包含适配器和密封件的手术装置 Download PDFInfo
- Publication number
- CN111110287B CN111110287B CN201910933235.9A CN201910933235A CN111110287B CN 111110287 B CN111110287 B CN 111110287B CN 201910933235 A CN201910933235 A CN 201910933235A CN 111110287 B CN111110287 B CN 111110287B
- Authority
- CN
- China
- Prior art keywords
- assembly
- seal
- adapter assembly
- adapter
- proximal
- 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
Links
- 239000012530 fluid Substances 0.000 claims abstract description 13
- 238000013519 translation Methods 0.000 claims description 10
- 229920001296 polysiloxane Polymers 0.000 claims description 4
- 230000008878 coupling Effects 0.000 description 33
- 238000010168 coupling process Methods 0.000 description 33
- 238000005859 coupling reaction Methods 0.000 description 33
- 238000006243 chemical reaction Methods 0.000 description 12
- 238000012546 transfer Methods 0.000 description 10
- 230000005540 biological transmission Effects 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 230000000712 assembly Effects 0.000 description 3
- 238000000429 assembly Methods 0.000 description 3
- 238000004891 communication Methods 0.000 description 3
- 230000004888 barrier function Effects 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000003213 activating effect Effects 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000010879 hemorrhoidectomy Methods 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
-
- 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
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00411—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like actuated by application of energy from an energy source outside the body
-
- 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2948—Sealing means, e.g. for sealing the interior from fluid entry
-
- H—ELECTRICITY
- H01—ELECTRIC ELEMENTS
- H01R—ELECTRICALLY-CONDUCTIVE CONNECTIONS; STRUCTURAL ASSOCIATIONS OF A PLURALITY OF MUTUALLY-INSULATED ELECTRICAL CONNECTING ELEMENTS; COUPLING DEVICES; CURRENT COLLECTORS
- H01R13/00—Details of coupling devices of the kinds covered by groups H01R12/70 or H01R24/00 - H01R33/00
- H01R13/46—Bases; Cases
- H01R13/52—Dustproof, splashproof, drip-proof, waterproof, or flameproof cases
- H01R13/5219—Sealing means between coupling parts, e.g. interfacial seal
Abstract
本发明公开了一种包含适配器和密封件的手术装置。一种用于将手术装置连接到机电手柄组件的适配器组件包含腔和密封件。所述腔被配置成收纳所述机电手柄组件的电组件的销连接器组件。所述密封件至少部分地设置在所述腔内并且被配置成减少能够接触所述机电手柄组件的所述电组件的流体量。
Description
相关申请的交叉引用
本申请要求2018年10月30日提交的美国临时专利申请序列号62/752,550的权益和优先权，所述美国临时专利申请的全部内容以引用的方式并入本文中。
技术领域
本公开涉及动力手术装置。更具体地，本公开涉及包含适配器和密封件的可重复使用的手持型机电手术装置。
背景技术
用于执行如吻合术、痔切除术和粘膜切除术的手术程序的圆形缝合器械为众所周知的。这些装置包含砧座组件，所述砧座组件具有中心杆和支撑在中心杆上的砧座头。砧座组件的中心杆可附接到圆形缝合器械的套管针，其能够实现砧座组件的线性平移。通常，在手术程序期间，将圆形缝合器械的工具组件插入组织的一个或多个管状区段中以连接组织区段或从组织区段内移除患病或受损组织。
另外，各种电部件通常用于实现机电手术装置的各种部件之间的通信。举例来说，保持这些电部件不与流体(例如，体液、吹入流体等)接触通常有助于维持电部件之间的准确和有效的通信。
因此，鉴于此，期望提供密封件以帮助防止流体接触适配器和手术装置的电部件。
发明内容
根据本公开的方面，提供用于将手术装置连接到机电手柄组件的适配器组件。适配器组件包含腔和密封件。腔被配置成收纳机电手柄组件的电组件的销连接器组件。密封件至少部分地设置在腔内并且被配置成减少能够接触机电手柄组件的电组件的流体量。
密封件可以可选择性地至少部分地定位在腔内。
在公开的实施例中，密封件完全延伸穿过腔。
在实施例中，密封件包含近侧矩形环和远侧矩形环。近侧矩形环可限定比远侧矩形环更大的周长。密封件可包含将近侧矩形环和远侧矩形环互连的阶形件。近侧矩形环可包含比远侧矩形环更小的纵向长度。
在公开的实施例中，密封件的至少一部分或整个密封件由有机硅制成。
密封件的一部分可向近侧延伸超过腔的近侧边缘。密封件的一部分可向远侧延伸超过腔的远侧边缘。
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含手柄组件、适配器组件和再装载件的手持型手术装置的透视图；
图2为图1的手柄组件在零件分离的情况下的透视图；
图3为图2的手柄组件的动力手柄的马达组件和控制组件在零件分离的情况下的透视图；
图4为适配器组件在没有再装载件固定到其远侧端部的情况下的透视图；
图5为如穿过图4的剖面线5-5截取的图4的适配器组件的剖视图；
图6为如穿过图4的剖面线6-6截取的图4的适配器组件的剖视图；
图7为图1的手持型手术装置的部分的组装图，其说明包含密封件并且与机电手柄组件分离的适配器组件；
图8为图7所指示细节区域的放大视图，其说明适配器组件的密封件；
图9为适配器组件的一部分的透视图，其说明图7和8的密封件；
图10为图7-9的适配器组件和密封件在零件分离的情况下的透视图；
图11为如穿过图1的11-11截取的剖视图；
图12为部分地以影线示出的图4的适配器组件的透视图，其说明所述适配器组件的第二力/旋转传递/转换组件；和
图13为部分地以影线示出的图4的适配器组件的透视图，其说明所述适配器组件的第三力/旋转传递/转换组件。
具体实施方式
现在参考图式详细描述本公开的实施例，在图式中相同附图标号在若干视图中的每一个中表示相同或对应元件。如本文所使用，术语“近侧”是指手术装置的一部分或其部件更靠近用户，并且术语“远侧”是指手术装置的一部分或其部件更远离用户。
现在转向图1，根据本公开的实施例的手术装置10呈动力手持型机电器械的形式。手术装置包含手柄组件100、适配器组件200、再装载件400和砧座组件510。手柄组件100被配置成用于与适配器组件200选择性地连接，并且继而，适配器组件200被配置成用于与再装载件400选择性地连接。
另外将仅以公开本公开的方面所必要的程度来描述手柄组件100、适配器组件200和再装载件400。为了详细描述示例性手柄组件、适配器组件和再装载件的结构和功能，可参考共同拥有美国专利申请公开号2016/0310134和美国专利申请序列号15/972,606，所述专利申请中的每一个的全部内容以引用的方式并入本文中。
现在参考图2，手柄组件100包含动力手柄101，以及被配置成选择性地收纳和包住动力手柄101的外部或壳体外壳110。壳体外壳110包含可联接在一起的近侧半区段110a和远侧半区段110b。壳体外壳110包含多个致动器112(例如，手指致动的控制按钮、旋钮、肘节、滑动件、接口等)，以用于在向其中施加相应力时激活手术装置10(图1)的各种功能。
壳体外壳110的远侧半区段110b限定连接部分114(例如，凹槽)，其被配置成接纳或收纳适配器组件200的对应驱动联接组件210(图5)。无菌屏障板组件120选择性地支撑在连接部分114后面的壳体外壳110的远侧半区段110b中。板组件120包含板122，所述板122可旋转地支撑三个联接轴124a、124b、124c，并且具有支撑在其上的电连接器126。电连接器126包含芯片并且限定多个接触路径，每个接触路径包含用于延伸跨过板122的电连接的电管道。当板组件120设置在壳体外壳110内时，联接轴124a、124b、124c和电连接器126的远侧端部设置或定位在壳体外壳110的连接部分114内，以电和/或机械接合适配器组件200的相应的对应特征，如下文将更详细地描述。
动力手柄101具有内部手柄外壳111，其包含近侧半区段111a和远侧半区段111b，它们联接在一起以在其中容纳动力单元芯组件130。动力单元芯组件130被配置成控制手柄组件100的各种操作并且因此控制手术装置10的各种操作。
内部手柄外壳111的远侧半区段111b被配置和适配成支撑动力单元芯组件130的控制板132，使得当动力手柄101设置在壳体外壳110内时控制板132抵靠壳体外壳110的板组件120。内部手柄外壳111的远侧半区段111b还支撑多个致动器接口116，其与壳体外壳110的相应致动器112操作性地对准。
如图2和3所示，动力单元芯组件130包含被配置成为手柄组件100的电部件中的任一个供电的电池电路140、控制器电路板142和可再充电电池144。控制器电路板142包含马达控制器电路板142a、主控制器电路板142b和将马达控制器电路板142a与主控制器电路板142b互连的第一带状电缆142c。显示屏134支撑在主控制器电路板142b上，并且穿过设置在内部手柄外壳111的近侧半区段111a中的澄清或透明窗口113可见。USB连接器136(或其它数据连接器)也支撑在主控制器电路板142b上，并且可穿过动力单元芯组件130的控制板132来访问。
动力单元芯组件130另外包含设置在马达控制器电路板142a和主控制器电路板142b之间的第一马达152、第二马达154和第三马达156。第一马达152、第二马达154和第三马达156中的每一个电连接到控制器电路板142和电池144，并且由设置在马达控制器电路板142a上的相应马达控制器控制，继而联接到设置在主控制器电路板142b上的相应主控制器。
第一马达152、第二马达154和第三马达156中的每一个支撑在马达支架148上，使得从第一马达152、第二马达154和第三马达156延伸的相应马达轴152a、154a、156a可旋转地设置在马达支架148的相应孔内。马达支架148可旋转地支撑键连到第一马达152、第二马达154和第三马达156的相应马达轴152a、154a、156a的三个可旋转驱动连接器套筒152b、154b、156b。当动力手柄101设置在壳体外壳10内时，驱动连接器套筒152b、154b、156b不可旋转地收纳壳体外壳110的板组件120的相应联接轴124a、124b、124c的近侧端部，并且各自被弹簧偏置远离相应马达152、154、156。
马达支架148也支撑电插座149。电插座149通过第二带状电缆142d与主控制器电路板142b电连接。电插座149限定用于收纳从壳体外壳110的板组件120的穿通连接器126延伸的相应电接触或片的多个电狭槽。
由相应的第一马达152、第二马达154和第三马达156旋转马达轴152a、154a、156a用于驱动适配器组件200的轴和/或齿轮部件，以便执行手柄组件100的各种操作，如下文将更详细地描述。
在使用中，当使适配器组件200配合手柄组件100时，手柄组件100的联接轴124a、124b、124c中的每一个与适配器组件200的对应可旋转连接器套筒218、220、222(图6)联接。在这方面，在对应联接轴124a、124b、124c和连接器套筒218、222、220之间的接口被键连，使得手柄组件100的联接轴124a、124b、124c中的每一个的旋转引起适配器组件200的对应连接器套筒218、222、220的对应旋转。
手柄组件100的联接轴124a、124b、124c被配置成通过相应马达152、154、156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的马达152、154、156传递到适配器组件200。手柄组件100的一个或多个联接轴124a、124b、124c的选择性旋转允许手柄组件100选择性地致动再装载件400的不同功能。
现在转向图4，适配器组件200被配置成将手柄组件100的一个或多个联接轴124a、124b、124c(图2)的旋转转换成可用于实现手术装置10(图1)的各种功能的轴向平移。适配器组件200包含适配器或旋钮外壳202和从旋钮外壳202的远侧端部延伸的外部导管206。旋钮外壳202和外部导管206被配置和定尺寸以容纳和支撑适配器组件200的部件。旋钮外壳202包含驱动联接组件210，其被配置和适配成连接到手柄组件100的壳体外壳110的连接部分114(图2)。外部导管206包含固定地支撑在其远侧端部处的连接器套筒290。连接器套筒290被配置成选择性地将再装载件400(图1)固定到适配器组件200。
如图4和5所示，适配器组件200包含旋转组件230，其被配置成使得适配器组件200能够相对于手柄组件100旋转。具体地，适配器组件200的旋钮外壳202和外部导管206相对于适配器组件200的驱动联接组件210可旋转。旋转组件230包含锁定按钮232，其可操作地支撑在旋钮外壳202上并且被配置成用于致动旋转组件230。当旋转组件230处于解锁配置时，旋钮外壳202和外部导管206相对于驱动联接组件210沿适配器组件200的纵向轴线“X”可旋转。当旋转组件230处于锁定配置时，旋钮外壳202和外部导管206相对于驱动联接组件210旋转地固定。
适配器组件200另外包含支撑在适配器组件200的驱动联接组件210上的附接/拆卸按钮234。在使用中，当适配器组件200连接到手柄组件100的壳体外壳110时，附接/拆卸按钮234将适配器组件200和手柄组件100彼此固定和保持。当按下或致动附接/拆卸按钮234时，适配器组件200和手柄组件100可彼此断开。
适配器组件200另外包含限定在驱动联接组件210内的腔211，所述腔211被配置成收纳电组件300的连接器组件320(图11)，所述电组件300被配置成用于与手柄组件100、适配器组件200和再装载件400建立电连接，并且在手柄组件100、适配器组件200和再装载件400之间建立电连接，如下文另外详细描述。腔211可包含引导肋211a，其被配置成收纳连接器组件320的印刷电路板。
如图6所说明，适配器组件200的驱动联接组件210在其中可旋转地支撑第一连接器套筒218、第二连接器套筒220和第三连接器套筒222，并且设置在旋钮外壳202内的内部外壳构件204在其中可旋转地支撑第一可旋转近侧驱动轴212、第二可旋转近侧驱动轴214和第三可旋转近侧驱动轴216。第一连接器套筒218、第二连接器套筒220和第三连接器套筒222中的每一个被配置成与手柄组件100的相应联接轴124a、124c、124b(图2)配合。第一连接器套筒218、第二连接器套筒220和第三连接器套筒222中的每一个另外被配置成与适配器组件200的相应的第一近侧驱动轴212、第二近侧驱动轴214和第三近侧驱动轴216的近侧端部配合，使得第一近侧驱动轴212、第二近侧驱动轴214和第三近侧驱动轴216中的每一个充当旋转收纳构件，以收纳来自手柄组件100的相应联接轴124a、124c、124b的旋转力。
适配器组件200包含设置在内部外壳构件204和外部导管206内的第一力/旋转传递/转换组件240、第二力/旋转传递/转换组件250和第三力/旋转传递/转换组件260。力/旋转传递/转换组件240、250、260中的每一个被配置和适配成将手柄组件100的相应联接轴124a、124c、124b的旋转传递或转换成轴向平移，以实现再装载件400(图1)的操作，如下文将更详细地描述。
现在参考图7-11，示出与适配器组件200和手柄组件100一起使用和/或在适配器组件200和手柄组件100之间使用的密封件500。密封件500至少部分地定位在适配器组件200的驱动联接组件210的腔211内，并且被配置成防止或限制流体进入手柄组件100的电插座149。更具体地，密封件500被配置成帮助防止流体在适配器组件200和手柄组件100之间行进，从而帮助防止流体干扰其电部件和它们之间的连接。密封件500可作为适配器组件200的整体零件提供，或者可作为附件或部件单独添加到适配器组件200来提供。
特别参考图8-11，密封件500包含近侧部分510、远侧部分520，以及设置在近侧部分510和远侧部分520之间并且将它们互连的阶形件530。近侧部分510包含通常限定开放的矩形棱柱或矩形环的四个壁，并且远侧部分520包含通常限定开放的矩形棱柱或矩形环的四个壁。在实施例中，密封件500包含设置在远侧部分520的远侧边缘上或附近的远侧唇缘，并且包含比远侧部分520更大的周长。
如图10所示，由密封件500的近侧部分510限定的空间的周长大于由密封件500的远侧部分520限定的空间的周长。图10还示出密封件500的近侧部分510的长度小于密封件500的远侧部分520的长度。虽然近侧部分510和远侧部分520的周长和长度的相对大小被示出为适应所示的适配器组件200的驱动联接组件210的腔211的尺寸，但是本公开还考虑密封件500的近侧部分510和远侧部分520的其它大小和形状。
密封件500由有机硅或适合于提供防水或基本上防水屏障的另一种材料(或多种材料)制成。另外，密封件500的材料可使得密封件500能够偏转，这可有助于将密封件500至少部分地定位在适配器组件200的驱动联接组件210的腔211内。此外，密封件500的可压缩性允许密封件500的近侧部分510的近侧边缘512从腔211延伸，使得近侧边缘512能够在适配器组件200和手柄组件100之间接合时压缩，从而在适配器组件200和手柄组件100之间产生稳固流体封闭性密封。另外，密封件500的可压缩性帮助确保适配器组件200与旋钮外壳202的部分(图5和7)之间的稳固流体封闭性密封。
参考图10和11，密封件500基本上定位在适配器组件200的驱动联接组件210的腔211内。更具体地，密封件500的大部分近侧部分510定位在腔211的近侧部分211p内，并且密封件500的远侧部分520定位在腔211的远侧部分211d内(图10)。如上所述，密封件500的近侧部分510的近侧边缘512可向近侧延伸超过腔211的近侧边缘，以帮助确保适配器组件200和手柄组件100之间的稳固密封。此外，当适配器组件200与手柄组件100接合时，密封件500的近侧部分510被配置成围绕或环绕手柄组件100的电插座149的一部分(例如，远侧部分)，并且被配置成围绕或环绕在适配器组件200内或至少部分地延伸穿过其的连接器组件320的销322的近侧部分(图11)。密封件500的远侧部分520被配置成环绕连接器组件320的销322的一部分(例如，远侧部分)。密封件500的远侧边缘或唇缘可在腔211的远侧边缘和连接器组件320的近侧壁321之间被压缩。
另外，未被密封件500保护的连接器组件320的部分可涂覆有防水材料，以帮助保护这些部件免受流体和湿气的影响。
因此，密封件500帮助防止或限制流体进入适配器组件200的驱动联接组件210的腔211、帮助防止或限制流体与腔211内的连接器组件320的电部件接触或延伸穿过腔211，并且帮助防止或限制流体进入手柄组件100的电插座149。因此，密封件500帮助确保手柄组件100和适配器组件200之间的适当电通信。
参考图1-6，在操作中，第一力/旋转传递/转换组件240用于推进/缩回适配器组件200的套管针组件270的套管针构件274，并且当砧座组件510连接到套管针构件274时打开/闭合再装载件400(图1)。具体地，当第一可旋转近侧驱动轴212由于第一连接器套筒218的旋转而旋转时，由于手柄组件100的第一联接轴124a(图2)的旋转，引起第二可旋转近侧驱动轴281旋转。第二可旋转近侧驱动轴281的旋转导致可旋转远侧驱动轴282的同时旋转。可旋转远侧驱动轴282的旋转引起联接构件286的同时旋转，这继而引起套管针组件270的驱动螺杆276的同时旋转。当驱动螺杆276在套管针构件274内并且相对于其旋转时，套管针构件274和驱动螺杆276之间的接合(例如，螺纹接合)引起套管针构件274在套管针组件270的管状外壳272内的轴向平移。具体地，驱动螺杆276在第一方向上的旋转引起套管针构件274在第一方向上的轴向平移(例如，延伸或推进套管针组件270)，并且驱动螺杆276在第二方向上的旋转引起套管针构件274在第二方向上的轴向平移(例如，缩回套管针组件270)。当砧座组件510连接到套管针构件274时，套管针构件274在第一方向上的轴向平移导致再装载件400的打开，并且套管针构件274在第二方向上的轴向平移导致再装载件400的闭合。
如图6所示，适配器组件200的第二力/旋转传递/转换组件250包含如上所述的第二近侧驱动轴214、第一联接轴251、行星齿轮组252、钉导螺杆253和钉驱动器254。适配器组件200的第二力/旋转传递/转换组件250还包含固定到钉驱动器254的外部柔性带组件255。外部柔性带组件255包含第一柔性带255a和第二柔性带255b，所述第一柔性带255a和第二柔性带255b侧向地隔开并且在其近侧端部处连接到支撑环255c并且在其远侧端部处连接到支撑基部255d的近侧端部。外部柔性带组件255另外包含从支撑环255c向近侧延伸的第一连接延伸部255e和第二连接延伸部255f，所述第一连接延伸部255e和第二连接延伸部255f被配置成将外部柔性带组件255可操作地连接到钉驱动器254。第二力/旋转传递/转换组件250用于击发再装载件400的钉“S”(图13)用于抵靠砧座组件510形成。
在操作中，当第二可旋转近侧驱动轴214由于第二连接器套筒220的旋转而旋转时，由于手柄组件100的第二联接轴124c(图2)的旋转，引起第一联接轴251旋转，这继而引起行星齿轮组252旋转。行星齿轮组252的旋转引起钉导螺杆253的同时旋转。当钉导螺杆253旋转时，引起钉驱动器254轴向平移，这继而引起外部柔性带组件255轴向平移。当外部柔性带组件255轴向平移时，支撑基部255d按压抵靠再装载件400的钉驱动器组件(未示出)的驱动器适配器，以向远侧推进驱动器并且从再装载件400的钉仓(未示出)并且抵靠砧座组件510击发钉用于钉在下层组织中的形成。
参考图6，适配器组件200的第三力/旋转传递/转换组件260包含如上所述的第三近侧驱动轴216、第二联接轴261、空心轴269、行星齿轮组262、刀导螺杆263和刀驱动器264。适配器组件200的第三力/旋转传递/转换组件260还包含固定到刀驱动器264的内部柔性带组件265。内部柔性带组件265包含第一柔性带265a和第二柔性带265b，所述第一柔性带265a和第二柔性带265b侧向地隔开并且在其近侧端部处连接到支撑环265c并且在其远侧端部处连接到支撑基部265d的近侧端部。第三力/旋转传递/转换组件260用于击发再装载件400的环形刀。
在操作中，当第三可旋转近侧驱动轴216由于第三连接器套筒222的旋转而旋转时，由于手柄组件100的第三联接轴124b(图2)的旋转，引起第二联接轴261旋转，这继而引起空心轴269旋转。空心轴269的旋转导致行星齿轮组262的同时旋转，这继而引起刀导螺杆263旋转。当刀导螺杆263旋转时，引起刀驱动器264轴向平移，这继而引起内部柔性带组件265轴向平移。当内部柔性带组件265轴向平移时，支撑基部265d按压抵靠再装载件400的刀架(未示出)，以向远侧推进刀架并且抵靠砧座组件510击发再装载件400的环形刀(未示出)以用于夹持在再装载件400中的组织的切割。
本领域的技术人员将理解，本文中所具体地描述并且附图中所示出的结构为非限制性示例性实施例，并且应将描述、公开和附图仅仅认作示例性特定实施例。因此，应当理解的是，本公开不限于所描述的精确实施例并且本领域的技术人员可在不脱离本公开的范围或精神的情况下实现各种其它改变和修改。举例来说，本公开的电组件可被配置成用于经由多个相应的适配器组件与多个不同的再装载件一起使用，每个适配器组件被配置成用于由动力手柄组件和/或机器人手术系统致动和操纵。另外，可在不脱离本公开的范围的情况下将结合某些实施例所示出或描述的元件和特征与某些其它实施例的元件和特征组合，并且此类修改和变化也包含在本公开的范围内。因此，本公开的主题并不受到已特定示出和描述的内容限制。
Claims (10)
1.一种适配器组件，其用于将手术装置连接到机电手柄组件并且被配置成将所述机电手柄组件的轴的旋转转换成轴向平移以用于实现所述手术装置的各种功能，所述适配器组件包括：
腔，其被配置成收纳所述机电手柄组件的电组件的销连接器组件；和
密封件，其至少部分地设置在所述腔内并且被配置成减少能够接触所述机电手柄组件的所述电组件的流体量，
其中所述密封件包含近侧矩形环和远侧矩形环，当所述适配器组件与所述机电手柄组件接合时，所述密封件的所述近侧矩形环被配置成环绕所述机电手柄组件的电插座的远侧部分，并且被配置成环绕至少部分地延伸穿过所述适配器组件的所述机电手柄组件的所述电组件的销的近侧部分，并且所述密封件的所述远侧矩形环被配置成环绕所述机电手柄组件的所述电组件的所述销的远侧部分。
2.根据权利要求1所述的适配器组件，其中所述密封件能够选择性地至少部分地定位在所述腔内。
3.根据权利要求1所述的适配器组件，其中所述密封件完全延伸穿过所述腔。
4.根据权利要求1所述的适配器组件，其中所述近侧矩形环限定比所述远侧矩形环更大的周长。
5.根据权利要求1所述的适配器组件，其中所述密封件包含将所述近侧矩形环和所述远侧矩形环互连的阶形件。
6.根据权利要求1所述的适配器组件，其中所述近侧矩形环包含比所述远侧矩形环更小的纵向长度。
7.根据权利要求1所述的适配器组件，其中所述密封件的至少一部分由有机硅制成。
8.根据权利要求1所述的适配器组件，其中整个所述密封件由有机硅制成。
9.根据权利要求1所述的适配器组件，其中所述密封件的一部分向近侧延伸超过所述腔的近侧边缘。
10.根据权利要求1所述的适配器组件，其中所述密封件的一部分向远侧延伸超过所述腔的远侧边缘。
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201862752550P | 2018-10-30 | 2018-10-30 | |
| US62/752,550 | 2018-10-30 | ||
| US16/566,955 US11717276B2 (en) | 2018-10-30 | 2019-09-11 | Surgical devices including adapters and seals |
| US16/566,955 | 2019-09-11 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN111110287A CN111110287A (zh) | 2020-05-08 |
| CN111110287B true CN111110287B (zh) | 2024-01-23 |
Family
ID=68392779
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910933235.9A Active CN111110287B (zh) | 2018-10-30 | 2019-09-29 | 包含适配器和密封件的手术装置 |
Country Status (3)
| Country | Link |
|---|---|
| US (1) | US11717276B2 (zh) |
| EP (1) | EP3646802A1 (zh) |
| CN (1) | CN111110287B (zh) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20210401513A1 (en) * | 2020-06-29 | 2021-12-30 | Covidien Lp | Seal configurations for surgical instruments such as for use in robotic surgical systems |
| US11660092B2 (en) * | 2020-09-29 | 2023-05-30 | Covidien Lp | Adapter for securing loading units to handle assemblies of surgical stapling instruments |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103445815A (zh) * | 2012-05-31 | 2013-12-18 | 柯惠Lp公司 | 手持式手术手柄组件、在手术手柄组件和手术末端执行器间使用的手术接合器及其使用方法 |
| CN105686878A (zh) * | 2014-12-10 | 2016-06-22 | 柯惠有限合伙公司 | 用于手术装置的通电附件 |
| US10090616B1 (en) * | 2017-06-27 | 2018-10-02 | Ethicon Llc | Surgical instrument handle assembly with feature to clean electrical contacts at modular shaft interface |
Family Cites Families (373)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2777340A (en) | 1955-09-28 | 1957-01-15 | Leonard J Hettwer | Offset drilling attachment |
| 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 |
| 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 |
| US5383880A (en) | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
| US5433721A (en) | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
| 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 |
| US5626587A (en) | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
| US5431323A (en) | 1992-10-09 | 1995-07-11 | Ethicon, Inc. | Endoscopic surgical instrument with pivotable and rotatable staple cartridge |
| US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
| 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 |
| US5372420A (en) | 1993-03-11 | 1994-12-13 | Black & Decker Inc. | Device having rotatable head |
| 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 |
| WO1995018572A1 (en) | 1994-01-04 | 1995-07-13 | 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 |
| US5779130A (en) | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| EP0699418A1 (en) | 1994-08-05 | 1996-03-06 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| 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 |
| US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
| US5713505A (en) | 1996-05-13 | 1998-02-03 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
| 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 |
| US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
| US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
| US6032849A (en) | 1995-08-28 | 2000-03-07 | United States Surgical | Surgical stapler |
| EP0792119A4 (en) | 1995-09-15 | 1999-01-13 | Pinotage Llc Thompson Robert L | IMAGING DEVICE FOR SURGICAL / DIAGNOSTIC USE |
| 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 |
| US6010054A (en) | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
| US6699177B1 (en) | 1996-02-20 | 2004-03-02 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive surgical procedures |
| 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 |
| AU2775199A (en) | 1998-02-19 | 1999-09-06 | 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 |
| 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 |
| 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 |
| 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 |
| US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
| US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
| US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
| US8292888B2 (en) | 2001-04-20 | 2012-10-23 | Tyco Healthcare Group Lp | Bipolar or ultrasonic 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 |
| US6981941B2 (en) | 1999-06-02 | 2006-01-03 | Power Medical Interventions | Electro-mechanical surgical device |
| 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 |
| 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 |
| 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 |
| 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 |
| AU2001288462A1 (en) | 2000-08-30 | 2002-03-13 | Cerebral Vascular Applications 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 |
| WO2003001329A2 (en) | 2001-06-20 | 2003-01-03 | Power Medical Interventions, Inc. | A method and system for integrated medical tracking |
| EP2316345B1 (en) | 2001-06-22 | 2016-12-21 | Covidien LP | Electro-mechanical surgical device |
| US7044911B2 (en) | 2001-06-29 | 2006-05-16 | Philometron, Inc. | Gateway platform for biological monitoring and delivery of therapeutic compounds |
| EP1424944B1 (en) | 2001-08-08 | 2011-04-20 | Stryker Corporation | Surgical tool system with components that perform inductive data transfer |
| DE10147145C2 (de) | 2001-09-25 | 2003-12-18 | Kunz Reiner | Multifunktionsinstrument für die mikroinvasive Chirurgie |
| US8281973B2 (en) | 2001-10-05 | 2012-10-09 | Tyco Healthcare Group Lp | Surgical stapling device |
| US7464847B2 (en) | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
| US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
| US6783533B2 (en) | 2001-11-21 | 2004-08-31 | Sythes Ag Chur | Attachable/detachable reaming head for surgical reamer |
| ES2388729T3 (es) | 2001-12-04 | 2012-10-18 | Tyco Healthcare Group Lp | Sistema y método para calibrar un instrumento quirúrgico |
| 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) |
| ATE347316T1 (de) | 2002-06-14 | 2006-12-15 | Power Med 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 |
| EP2430985B1 (en) | 2002-10-04 | 2017-06-14 | Covidien LP | Pneumatic powered surgical stapling device |
| 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 |
| US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
| US7044352B2 (en) | 2003-05-20 | 2006-05-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US7143923B2 (en) | 2003-05-20 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a firing lockout for an unclosed anvil |
| 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 |
| US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| US6988649B2 (en) | 2003-05-20 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a spent cartridge lockout |
| JP4791967B2 (ja) | 2003-05-21 | 2011-10-12 | ザ・ジョンズ・ホプキンス・ユニバーシティー | 哺乳動物の咽喉および身体の他の部分の低侵襲手術のためのデバイス、システムおよび方法 |
| CA2529446C (en) | 2003-06-20 | 2012-12-18 | Tyco Healthcare Group, Lp | Surgical stapling device |
| US6981628B2 (en) | 2003-07-09 | 2006-01-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument with a lateral-moving articulation control |
| US7055731B2 (en) | 2003-07-09 | 2006-06-06 | Ethicon Endo-Surgery Inc. | Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint |
| US7111769B2 (en) | 2003-07-09 | 2006-09-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis |
| 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 |
| JP4398813B2 (ja) | 2003-07-18 | 2010-01-13 | ヤーマン株式会社 | 美肌装置 |
| 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 |
| US6905057B2 (en) | 2003-09-29 | 2005-06-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission |
| US10105140B2 (en) | 2009-11-20 | 2018-10-23 | 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 |
| US9113880B2 (en) | 2007-10-05 | 2015-08-25 | Covidien Lp | Internal backbone structural chassis for a surgical device |
| US8806973B2 (en) | 2009-12-02 | 2014-08-19 | Covidien Lp | Adapters for use between surgical handle assembly and surgical end effector |
| US20090090763A1 (en) | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
| US10588629B2 (en) | 2009-11-20 | 2020-03-17 | 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 |
| US10022123B2 (en) | 2012-07-09 | 2018-07-17 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
| US7641655B2 (en) | 2003-10-31 | 2010-01-05 | Medtronic, Inc. | Coupling system for surgical instrument |
| 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 |
| US20060142744A1 (en) | 2004-07-27 | 2006-06-29 | Dmitri Boutoussov | Identification connector for a medical laser handpiece |
| US7143925B2 (en) | 2004-07-28 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP blocking lockout mechanism |
| US7147138B2 (en) | 2004-07-28 | 2006-12-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism |
| 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 |
| WO2006015319A2 (en) | 2004-07-30 | 2006-02-09 | Power Medical Interventions, Inc. | 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 |
| US20060079877A1 (en) | 2004-10-08 | 2006-04-13 | Houser Kevin L | Feedback mechanism for use with an ultrasonic surgical instrument |
| WO2006063156A1 (en) | 2004-12-09 | 2006-06-15 | Stryker Corporation | 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 |
| US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
| US8573462B2 (en) | 2006-05-19 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Electrical surgical instrument with optimized power supply and drive |
| JP5043842B2 (ja) | 2005-07-27 | 2012-10-10 | 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 | 電気機械的手術装置用のシャフト |
| US20070029363A1 (en) | 2005-08-07 | 2007-02-08 | Sergey Popov | Surgical apparatus with remote drive |
| WO2007026354A1 (en) | 2005-08-29 | 2007-03-08 | Galil Medical Ltd. | Multiple sensor device for measuring tissue temperature during thermal treatment |
| JP4125311B2 (ja) | 2005-08-30 | 2008-07-30 | 株式会社東芝 | ロボットおよびマニピュレータ |
| 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 |
| US7799039B2 (en) | 2005-11-09 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a hydraulically actuated end effector |
| US7673780B2 (en) | 2005-11-09 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument |
| US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
| 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 |
| US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
| US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
| 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 |
| US7416101B2 (en) | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
| US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
| US20070175951A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Gearing selector for a powered surgical cutting and fastening instrument |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
| US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
| US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
| US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
| 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 |
| 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 |
| US20080029574A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with actuator at distal end |
| 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 |
| US7448525B2 (en) | 2006-08-02 | 2008-11-11 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with manually operated retraction apparatus |
| US9554843B2 (en) | 2006-09-01 | 2017-01-31 | Conmed Corporation | Adapter and method for converting gas-enhanced electrosurgical coagulation instrument for cutting |
| 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 |
| US20080083807A1 (en) | 2006-10-06 | 2008-04-10 | Beardsley John W | Surgical instrument including a locking assembly |
| 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 |
| JP2008114339A (ja) | 2006-11-06 | 2008-05-22 | Terumo Corp | マニピュレータ |
| 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 |
| US7738971B2 (en) | 2007-01-10 | 2010-06-15 | Ethicon Endo-Surgery, Inc. | Post-sterilization programming of surgical instruments |
| 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 |
| US7950562B2 (en) | 2007-01-31 | 2011-05-31 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
| US10179247B2 (en) | 2007-02-05 | 2019-01-15 | Novian Health, Inc. | Interstitial laser therapy control system |
| US8413871B2 (en) | 2007-03-06 | 2013-04-09 | Covidien Lp | Surgical stapling apparatus |
| US8011550B2 (en) | 2009-03-31 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
| 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 |
| US20080251561A1 (en) | 2007-04-13 | 2008-10-16 | Chad Eades | Quick connect base plate for powder actuated tool |
| US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
| US8800837B2 (en) | 2007-04-13 | 2014-08-12 | Covidien Lp | Powered surgical instrument |
| WO2008131362A2 (en) | 2007-04-20 | 2008-10-30 | Doheny Eye Institute | Personal surgical center |
| WO2008131357A1 (en) | 2007-04-20 | 2008-10-30 | 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 |
| US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
| US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| US7588176B2 (en) | 2007-06-18 | 2009-09-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument with improved closure system |
| CA2698329C (en) | 2007-09-21 | 2016-04-26 | Power Medical Interventions, Llc | Surgical device |
| US9023014B2 (en) | 2007-09-21 | 2015-05-05 | Covidien Lp | Quick connect assembly for use between surgical handle assembly and surgical accessories |
| CA2698571C (en) | 2007-09-21 | 2016-12-20 | Power Medical Interventions, Llc | Surgical device |
| US20130214025A1 (en) | 2007-10-05 | 2013-08-22 | Covidien Lp | Powered surgical stapling device |
| US8012170B2 (en) | 2009-04-27 | 2011-09-06 | Tyco Healthcare Group Lp | Device and method for controlling compression of tissue |
| AU2008229795B2 (en) | 2007-10-05 | 2014-02-13 | Covidien Lp | Surgical stapler having an articulation mechanism |
| 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 |
| US10779818B2 (en) | 2007-10-05 | 2020-09-22 | Covidien Lp | Powered surgical stapling device |
| US8517241B2 (en) | 2010-04-16 | 2013-08-27 | Covidien Lp | Hand-held surgical devices |
| 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 |
| US8419758B2 (en) | 2007-12-03 | 2013-04-16 | Covidien Ag | Cordless hand-held ultrasonic cautery cutting device |
| US20090171147A1 (en) | 2007-12-31 | 2009-07-02 | Woojin Lee | Surgical instrument |
| US8647258B2 (en) | 2008-01-10 | 2014-02-11 | Covidien Lp | Apparatus for endoscopic procedures |
| CA2711130C (en) | 2008-01-10 | 2016-08-30 | Power Medical Interventions, Llc | Imaging system for a surgical device |
| TW200934621A (en) | 2008-02-01 | 2009-08-16 | Mobiletron Electronics Co Ltd | Extended transmission rod for power tool |
| 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 |
| US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
| US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
| US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
| 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 |
| 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 |
| US20090299141A1 (en) | 2008-04-25 | 2009-12-03 | 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 |
| JP5575379B2 (ja) | 2008-07-25 | 2014-08-20 | 東京電力株式会社 | 圧縮機及び冷凍機 |
| 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 |
| US8303581B2 (en) | 2008-09-02 | 2012-11-06 | Covidien Lp | Catheter with remotely extendible instruments |
| 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 |
| US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
| US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
| 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 |
| US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
| EP2403671A1 (en) | 2009-03-03 | 2012-01-11 | Westport Medical, Inc. | Bit holders |
| US8365972B2 (en) | 2009-03-31 | 2013-02-05 | Covidien Lp | Surgical stapling apparatus |
| US8016178B2 (en) | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
| US8348126B2 (en) | 2009-03-31 | 2013-01-08 | Covidien Lp | Crimp and release of suture holding buttress material |
| US7967179B2 (en) | 2009-03-31 | 2011-06-28 | Tyco Healthcare Group Lp | Center cinch and release of buttress material |
| 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 |
| 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 |
| CN101856251B (zh) | 2010-06-07 | 2011-10-05 | 常州威克医疗器械有限公司 | 一次性直线形吻合器 |
| 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 |
| US9480492B2 (en) | 2011-10-25 | 2016-11-01 | Covidien Lp | Apparatus for endoscopic procedures |
| US8657177B2 (en) | 2011-10-25 | 2014-02-25 | Covidien Lp | Surgical apparatus and method for endoscopic surgery |
| US8899462B2 (en) | 2011-10-25 | 2014-12-02 | Covidien Lp | Apparatus for endoscopic procedures |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| US10828019B2 (en) | 2013-01-18 | 2020-11-10 | W.L. Gore & Associates, Inc. | Sealing device and delivery system |
| US9782187B2 (en) | 2013-01-18 | 2017-10-10 | Covidien Lp | Adapter load button lockout |
| 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 |
| US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
| US9492189B2 (en) | 2013-03-13 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
| US9775610B2 (en) | 2013-04-09 | 2017-10-03 | Covidien Lp | Apparatus for endoscopic procedures |
| US9700318B2 (en) | 2013-04-09 | 2017-07-11 | 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 |
| RU2669856C2 (ru) | 2013-08-23 | 2018-10-16 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Хирургический инструмент, корпус для применения с хирургическим инструментом и узел хирургического инструмента |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| US10603128B2 (en) | 2014-10-07 | 2020-03-31 | Covidien Lp | Handheld electromechanical surgical system |
| US10226254B2 (en) | 2014-10-21 | 2019-03-12 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
| US9949737B2 (en) | 2014-10-22 | 2018-04-24 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
| US10085750B2 (en) | 2014-10-22 | 2018-10-02 | Covidien Lp | Adapter with fire rod J-hook lockout |
| US10426468B2 (en) * | 2015-04-22 | 2019-10-01 | Covidien Lp | Handheld electromechanical surgical system |
| US10595951B2 (en) * | 2016-08-15 | 2020-03-24 | Covidien Lp | Force sensor for surgical devices |
| US10667408B2 (en) * | 2017-05-18 | 2020-05-26 | Covidien Lp | Fully encapsulated electronics and printed circuit boards |
| US10932784B2 (en) | 2017-06-09 | 2021-03-02 | Covidien Lp | Handheld electromechanical surgical system |
| US11896230B2 (en) * | 2018-05-07 | 2024-02-13 | Covidien Lp | Handheld electromechanical surgical device including load sensor having spherical ball pivots |
-
2019
- 2019-09-11 US US16/566,955 patent/US11717276B2/en active Active
- 2019-09-29 CN CN201910933235.9A patent/CN111110287B/zh active Active
- 2019-10-29 EP EP19205952.5A patent/EP3646802A1/en not_active Withdrawn
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103445815A (zh) * | 2012-05-31 | 2013-12-18 | 柯惠Lp公司 | 手持式手术手柄组件、在手术手柄组件和手术末端执行器间使用的手术接合器及其使用方法 |
| CN105686878A (zh) * | 2014-12-10 | 2016-06-22 | 柯惠有限合伙公司 | 用于手术装置的通电附件 |
| US10090616B1 (en) * | 2017-06-27 | 2018-10-02 | Ethicon Llc | Surgical instrument handle assembly with feature to clean electrical contacts at modular shaft interface |
Also Published As
| Publication number | Publication date |
|---|---|
| EP3646802A1 (en) | 2020-05-06 |
| CN111110287A (zh) | 2020-05-08 |
| US11717276B2 (en) | 2023-08-08 |
| US20200129163A1 (en) | 2020-04-30 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US11464592B2 (en) | Handheld electromechanical surgical system | |
| JP7305643B2 (ja) | 電気機械的外科用器具と共に使用するための封止アダプタ | |
| US10729435B2 (en) | Adapter assemblies for interconnecting surgical loading units and handle assemblies | |
| US10874390B2 (en) | Loading unit detection assembly and surgical device for use therewith | |
| US10661422B2 (en) | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use | |
| CN106943169B (zh) | 用于将手术装载单元与手柄组件互联的接合器组件 | |
| US11033265B2 (en) | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use | |
| AU2014218388B2 (en) | Adapter direct drive twist-lock retention mechanism | |
| US10022123B2 (en) | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors | |
| US20150374372A1 (en) | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use | |
| US11399839B2 (en) | Surgical devices including trocar lock and trocar connection indicator | |
| US10617486B2 (en) | Manual retraction tool for use with an electromechanical surgical device | |
| US11786244B2 (en) | Manual retraction tool for use with an electromechanical surgical device | |
| CN111110287B (zh) | 包含适配器和密封件的手术装置 | |
| US11534172B2 (en) | Electromechanical surgical stapler including trocar assembly release mechanism | |
| CN111820981A (zh) | 包括套管针锁和套管针连接指示器的手术装置 | |
| US11311291B2 (en) | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors | |
| CN111820982A (zh) | 包括套管针组件释放机构的机电外科缝合器 | |
| CN112826558A (zh) | 连接机构及医疗器械 |
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 |