CN111110296A - 用于在手术器械中使用的负载感测装置 - Google Patents
用于在手术器械中使用的负载感测装置 Download PDFInfo
- Publication number
- CN111110296A CN111110296A CN201911000681.0A CN201911000681A CN111110296A CN 111110296 A CN111110296 A CN 111110296A CN 201911000681 A CN201911000681 A CN 201911000681A CN 111110296 A CN111110296 A CN 111110296A
- Authority
- CN
- China
- Prior art keywords
- strain gauge
- assembly
- strain
- end effector
- surgical
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 239000012636 effector Substances 0.000 claims abstract description 34
- 230000035945 sensitivity Effects 0.000 claims description 20
- 239000000758 substrate Substances 0.000 claims description 20
- 238000005259 measurement Methods 0.000 claims description 6
- 230000008859 change Effects 0.000 description 16
- 239000000463 material Substances 0.000 description 14
- 230000033001 locomotion Effects 0.000 description 7
- 239000004020 conductor Substances 0.000 description 6
- 238000005452 bending Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 229910052751 metal Inorganic materials 0.000 description 4
- 239000002184 metal Substances 0.000 description 4
- 229910001006 Constantan Inorganic materials 0.000 description 3
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 3
- 229910045601 alloy Inorganic materials 0.000 description 3
- 239000000956 alloy Substances 0.000 description 3
- 238000000429 assembly Methods 0.000 description 3
- 230000000712 assembly Effects 0.000 description 3
- 229910052802 copper Inorganic materials 0.000 description 3
- 239000010949 copper Substances 0.000 description 3
- 238000005520 cutting process Methods 0.000 description 3
- 229910001092 metal group alloy Inorganic materials 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 238000012935 Averaging Methods 0.000 description 2
- PXHVJJICTQNCMI-UHFFFAOYSA-N Nickel Chemical compound [Ni] PXHVJJICTQNCMI-UHFFFAOYSA-N 0.000 description 2
- 239000004952 Polyamide Substances 0.000 description 2
- 230000008602 contraction Effects 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 238000010304 firing Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 229920002647 polyamide Polymers 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000004044 response Effects 0.000 description 2
- 238000013519 translation Methods 0.000 description 2
- 229910000896 Manganin Inorganic materials 0.000 description 1
- 239000004696 Poly ether ether ketone Substances 0.000 description 1
- 239000004697 Polyetherimide Substances 0.000 description 1
- 239000004642 Polyimide Substances 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 230000000996 additive effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 229920001940 conductive polymer Polymers 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000000151 deposition Methods 0.000 description 1
- 239000003989 dielectric material Substances 0.000 description 1
- 238000005530 etching Methods 0.000 description 1
- 229920002313 fluoropolymer Polymers 0.000 description 1
- 239000004811 fluoropolymer Substances 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- WPBNNNQJVZRUHP-UHFFFAOYSA-L manganese(2+);methyl n-[[2-(methoxycarbonylcarbamothioylamino)phenyl]carbamothioyl]carbamate;n-[2-(sulfidocarbothioylamino)ethyl]carbamodithioate Chemical compound [Mn+2].[S-]C(=S)NCCNC([S-])=S.COC(=O)NC(=S)NC1=CC=CC=C1NC(=S)NC(=O)OC WPBNNNQJVZRUHP-UHFFFAOYSA-L 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 229910052759 nickel Inorganic materials 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 229920003207 poly(ethylene-2,6-naphthalate) Polymers 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229920002530 polyetherether ketone Polymers 0.000 description 1
- 229920001601 polyetherimide Polymers 0.000 description 1
- -1 polyethylene naphthalate Polymers 0.000 description 1
- 239000011112 polyethylene naphthalate Substances 0.000 description 1
- 229920001721 polyimide Polymers 0.000 description 1
- 238000007650 screen-printing Methods 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 229910052709 silver Inorganic materials 0.000 description 1
- 239000004332 silver Substances 0.000 description 1
- 229910000679 solder Inorganic materials 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
Images
Classifications
-
- 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
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B2017/00026—Conductivity or impedance, e.g. of tissue
- A61B2017/0003—Conductivity or impedance, e.g. of tissue of parts of the instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—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
- A61B2017/0053—Loading magazines or sutures into applying tools
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—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
- 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
- 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
- A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
- A61B2562/16—Details of sensor housings or probes; Details of structural supports for sensors
- A61B2562/164—Details of sensor housings or probes; Details of structural supports for sensors the sensor is mounted in or on a conformable substrate or carrier
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Abstract
一种手术末端执行器包含：砧座组合件；仓组合件，其包含多个紧固件；驱动组合件，其可纵向移动以相对于所述仓组合件接近所述砧座组合件；以及应变计电路，其安置于所述仓组合件内，所述应变计电路被配置成测量由所述驱动组合件施加在所述仓组合件上的应变。
Description
本申请要求2018年10月30日提交的第62/752,516号美国临时专利申请的权益和优先权，所述临时专利申请的整个公开内容以引用的方式并入本文中。
技术领域
本公开涉及供与手术装置一起使用的负载感测装置。更具体来说，本公开涉及与用于执行外科手术程序的机电手术系统一起使用的负载感测装置，其具有可重复使用组件和单次使用组件，例如末端执行器和适配器。
背景技术
用于将紧固件或钉施加到组织的手术紧固件设备是众所周知的。这些紧固件设备包含单次使用器械，其预载有一个或多个钉且在单次使用之后可抛弃。多次使用器械也是可用的并且预载有多个钉。多次使用器械可包含机电(例如，供电式)的或手动致动的手柄组合件，和手术加载单元。加载单元可以是单次使用加载单元(SULU)或多次使用加载单元(MULU)。加载单元包含主体和末端执行器，并且直接或经由可联接到手柄组合件的适配器组合件附接到手柄组合件。末端执行器可包含容纳多个钉的仓。在使用之后，加载单元可从适配器组合件移除且用新的加载单元替换以执行额外钉合和/或切割操作。驱动组合件支撑于加载单元内且可与适配器组合件的相关联驱动机构接合以致动加载单元。归因于驱动组合件的机械组件的致密封装，用于包含传感器的空间较少。相应地，需要可放置在加载单元内以监测驱动组合件和加载单元的其它组件的操作的负载感测装置。
发明内容
供电式手术器械可包含用于在其操作期间提供反馈的各种传感器。本公开提供安置于柔性电路衬底上的负载感测装置，从而允许将负载感测装置放置在收缩空间中，例如加载单元和手术器械的其它组件。
根据本公开的负载感测装置包含应变计，其具有安置于例如聚酰胺等电介质衬底上的由例如康铜等电阻性金属合金形成的导电迹线。应变计结合或以其它方式固定到组件的表面，包含但不限于在加载单元的一个或两个夹钳部件内。随着上面安装应变计的组件膨胀或收缩(即，施加应变)，应变计上的导电迹线也膨胀或收缩，借此改变应变计的总电阻。电阻的改变影响供应给应变计的测量信号。在实施例中，应变计可布置在惠斯通桥电路配置中。接着测量电路的振幅的改变以确定应变量。
应变计的典型应用为使得其放置在特定关注点上来测量应变。此可用于经验测试，从而寻找归因于特定加载条件或力转换器的设计的实际应变，其中多个应变计放置和布置于某一零件上以输出校准后的信号来测量力。应变计的工作原理是基于由化学式(I)：R＝ρ(l/A)的Pouillett定律限定的电阻率，其中R为电阻，ρ为材料电阻率，l为材料的长度，且A为材料的横截面面积。应变计包含高电阻金属的单个迹线，其布置成使得迹线的长时间操作在变形相关方向上。因此，应变计是可变电阻器，其在应变计结合到的表面归因于应变改变其长度时改变电阻。当应变计结合到的材料使l长度变形时，Pouillett定律的变量改变，从而致使电阻改变，其可使用惠斯通桥电路测量。
可基于应变计结合到的表面的变形来校准应变计以改变电阻的比例量。此属性被称为仪表灵敏度因数(gauge factor)且由以下公式(II)：GF＝(ΔR/R)/∈限定，其中GF为仪表灵敏度因数，R为标称电阻，ΔR为电阻的改变，且∈为应变。仪表灵敏度因数在由应变计制造商限定的范围内是恒定的。对于典型应用，恒定的仪表灵敏度因数通常用于测量应变。然而，存在在整个应变计中具有不同仪表灵敏度因数可能是有用的情形。在本公开中，应变计沿着手术缝合器的夹钳部件的沟道放置以测量归因于组织收缩的沟道弯曲。随着还弹出钉的驱动组合件移动跨越沟道以执行射击，I形梁附近的应变计区域不再弯曲且实际上为非活动。因此，如果I形梁处于射击过程的中途，则归因于弯曲仅产生信号的一半。为了维持信号的振幅在整个射击过程中恒定，需要具有不同仪表灵敏度因数的应变计。通过将应变计的远侧部分制造为较敏感，或具有较高仪表灵敏度因数，信号振幅可保持较高。
传统应变计可具有恒定的仪表灵敏度因数，或针对给定应变恒定的电阻改变。因此，通过改变应变计上的导电迹线的整体形状，可产生不同信号响应。本公开提供横跨夹钳部件的长度的应变计，使得当加载单元的I形梁纵向行进穿过夹钳部件以夹持、缝合和切割组织时，存在安置在致动滑块的远侧的应变计的有源区。如上所述，问题是，随着致动滑块纵向移动，应变计的有源部分减小，从而致使整个应变计的平均效应，这降低电阻改变和因此总体电信号。当前，传统应变计始终具有恒定仪表灵敏度因数。本公开提供各种形状和尺寸(且确切地说，其导电网格)的应变计，使得应变计的不同区域具有不同仪表灵敏度因数，借此限制平均效应。
根据本公开的应变计还可安置于柔性电路上。传统应变计需要焊料连接或线接合以便完成电路。这可能导致潜在故障点，并且还增加应变计的厚度，从而防止其放置在加载单元内。根据本公开的应变计还可包含信号、功率和接地引线，其也作为迹线安置在柔性电路上。这允许将应变计放置在加载单元内。
应变计包含具有例如聚酰胺等电介质衬底上的由例如康铜等金属合金形成的迹线的电阻材料。在实施例中，用于承受应变的具有负热电阻系数、高电阻率和强机械特性的任何合金可用于形成电阻材料。电阻材料的迹线制造为使得其电阻响应于应变计附接到的组件变形而最佳地改变。应变计还包含安置于电阻材料上方的导电材料。导电材料可由例如铜等低电阻率金属形成。
通过在第一(例如，近侧)部分中以预定图案且在第二(例如，远侧)部分中以不间断层沉积电阻材料来形成应变计。电阻材料的预定图案被掩蔽，且导电材料迹线直接安置在电阻材料的不间断层上方。此配置避免需要额外绝缘层，借此使应变计的厚度最小化。因为电阻材料具有比导电材料高的电阻，所以电流仅流动穿过安置于电阻材料的不间断层上方的导电材料。
根据本公开的一个实施例，提供一种手术末端执行器。所述手术末端执行器包含：砧座组合件；仓组合件，其包含多个紧固件；驱动组合件，其可纵向移动以相对于仓组合件接近砧座组合件；以及应变计电路，其安置于仓组合件内，所述应变计电路被配置成测量由驱动组合件施加在仓组合件上的应变。
根据本公开的另一实施例，提供一种手术器械。手术器械包含：手柄组合件，其包含控制器和电源；适配器组合件，其包含联接到手柄组合件的近端部分和远端部分；以及加载单元，其联接到适配器组合件的远端部分。加载单元包含手术末端执行器，所述手术末端执行器具有：砧座组合件；仓组合件，其包含多个紧固件；以及驱动组合件，其可纵向移动以相对于仓组合件接近砧座组合件。手术末端执行器还包含应变计电路，其安置于仓组合件内且电联接到控制器和电源，所述应变计电路被配置成测量由驱动组合件施加在仓组合件上的应变且将测量信号发射到控制器。
根据以上实施例中的任一个的一个方面，应变计电路包含柔性电路。所述柔性电路可包含第一柔性电介质衬底；电阻性传感器层，其安置于第一柔性电介质衬底上方；导电层，其安置于电阻性传感器层上方；以及第二柔性电介质衬底，其安置于电阻性传感器层和导电层上方。
根据另一方面，电阻性传感器层包含应变计和连续层。导电层包含第一导电迹线和第二导电迹线，其中的每一个联接到应变计。
根据另一方面，应变计包含具有第一端和第二端的连续迹线，所述第一端联接到所述第一导电迹线且所述第二端联接到所述第二导电迹线。
根据又一方面，应变计包含可变仪表灵敏度因数。应变计可包含可变横截面。应变计可进一步包含一对平行网格线，其中的每一个具有锥形形状，借此提供可变横截面。应变计可进一步包含不同长度的多个网格线，从而提供可变横截面。
根据一个方面，应变计电路包含应变计部分和引线部分，所述引线部分包含具有至少一匝的松弛部分。
附图说明
在本文中参考附图描述本公开的实施例，附图中：
图1是根据本公开的实施例的手持式手术器械、适配器组合件、具有再加载件的末端执行器和砧座组合件的透视图；
图2是示出根据本公开的实施例的图1的适配器组合件和手柄组合件的连接的透视图；
图3是根据本公开的实施例的手柄组合件的内部组件的透视图；
图4是根据本公开的实施例沿截平面“4-4”截取的图1的适配器组合件的横截面视图；
图5是根据本公开的实施例沿截平面“5-5”截取的图1的适配器组合件的横截面视图；
图6是图1的手术加载单元的零件分离的透视图；
图7是根据本公开的实施例具有应变计电路的图1的手术加载单元的末端执行器的透视图；
图8是根据本公开的实施例安置于图7的末端执行器的载体内的应变计电路的透视图；
图9是根据本公开的实施例的图8的载体的近侧部分的放大透视图；
图10是根据本公开的实施例安置于图7的应变计电路的第一柔性电介质衬底上的电阻性传感器层的俯视图；
图11是根据本公开的实施例安置于图7的应变计电路的第二柔性电介质衬底上的导电层的俯视图；
图12是根据本公开的实施例的图7的应变计电路的层分离的透视图；
图13是根据本公开的实施例的图7的应变计电路的电阻性传感器层和导电层的俯视图；
图14是根据本公开的实施例的图7的应变计电路的应变计的俯视图；以及
图15是根据本公开的另一实施例的图7的应变计电路的应变计的俯视图。
具体实施方式
现在参看图式详细地描述本公开的实施例，在图式中，相似的参考标号在若干视图中的每个视图中指代相同或对应的元件。如本文中所使用，术语“临床医生”是指医生、护士或任何其他医护人员且可以包含辅助人员。贯穿本说明书，术语“近侧”将指代器械或其组件的较接近临床医生的部分，并且术语“远侧”将指代器械或其组件的较远离临床医生的部分。另外，在图式以及随后的描述中，使用“前”、“后”、“上”、“下”、“顶部”、“底部”以及类似的方向术语等术语仅仅是为了方便描述并且不希望限制本公开。在以下描述中，未详细描述众所周知的功能或构造，以免以不必要的细节使本公开模糊不清。
本公开涉及可与手术器械一起使用的柔性应变计电路。确切地说，根据本公开的柔性应变计电路的大小允许将这些电路放置在加载单元和其末端执行器的紧密界限内。柔性应变计电路还包含具有可变仪表灵敏度因数的应变计以补偿在使用期间施加在末端执行器上的可变应变。由于致动末端执行器的驱动组合件的纵向平移而导致可变应变。通过提供应变计的可变横截面面积来实现应变计的可变仪表灵敏度因数。
参看图1，供电式手术器械10包含手柄组合件20，其被配置成与适配器组合件30选择性地连接，所述适配器组合件继而被配置成与例如加载单元40等末端执行器选择性地连接。尽管通常被称为供电式手术器械，但预期，手术器械10可以是手动致动的且可包含各种配置。
手柄组合件20包含手柄壳体22，其具有下部壳体部分24、从下部壳体部分24延伸和/或支撑在下部壳体部分24的一部分上的中间壳体部分26，和从中间壳体部分26延伸和/或支撑在中间壳体部分26的一部分上的上部壳体部分28。如图2所示，上部壳体部分28的远侧部分限定鼻部或连接部分28a，其配置成接纳适配器组合件30的近端部分30b。
参考图2，连接部分28a包含具有多个电接触件31的电插座29，所述电接触件与手柄组合件20(图3)的电子(例如，主控制器38)和电组件(例如，电源37)电连通。适配器组合件30包含配置成接合电插座29的对应电连接器32。电连接器32还包含多个电接触件34，其接合且电连接到其对应电接触件31。
参看图3，手柄组合件20包含联接到电源37的一个或多个电机36。手柄组合件20还包含主控制器38，其用于操作手柄组合件20、适配器组合件30和加载单元40的电机36和其它电子组件。电机36联接到对应驱动轴39(图2)，所述对应驱动轴配置成将插口33接合在近端部分30b上，使得在插口33上施加驱动轴39的旋转。
参看图4和5，适配器组合件30包含管状壳体30a，所述管状壳体30a在配置成用于可操作地连接到手柄组合件20的连接部分28a的近端部分30b和配置成用于可操作地连接到加载单元40的相对远端部分30c之间延伸。适配器组合件30包含致动组合件35，其中的每一个联接到插口33中的一个。致动组合件35被配置成将插口33的旋转运动转换成线性运动和/或旋转运动，使得适配器组合件30配置成将由手柄组合件20提供的旋转运动转变成轴向平移，用于使适配器组合件30围绕纵向轴线X-X旋转，铰接加载单元40，夹持组织，弹射紧固件，以及切割紧固的组织。
参考图1和6，示出加载单元40的实施例。加载单元40包含近侧主体部分42和手术末端执行器44。近侧主体部分42可拆卸地附接到适配器组合件30的远端部分30c，并且末端执行器44可枢转地附接到近侧主体部分42的远端。末端执行器44包含砧座组合件46和仓组合件48。仓组合件48相对于砧座组合件46枢转并且在打开或未夹持位置和闭合或夹持位置之间可移动。近侧主体部分42包含驱动组合件50和铰接连杆52。
驱动组合件50包含具有远端部分54a和近侧接合区段54b的柔性驱动梁54。远端部分54a包含具有刀55a的I形梁55。I形梁55配置成行进通过砧座组合件46仓组合件48，借此朝向仓组合件48推动砧座组合件46以夹持组织。近侧接合区段54b包含直径相对的向内延伸指状件54c，其接合驱动部件56(图5)以将驱动部件56固定地紧固到柔性驱动梁54的近端。驱动部件56由适配器组合件30的致动组合件35之一致动。
末端执行器44的仓组合件48包含可移除地支撑在载体60中的钉仓58。钉仓58限定中心纵向狭槽58a，并且呈直线的多排钉保持狭槽58b定位在中心纵向狭槽58a的每一侧上。钉保持狭槽58b中的每一个接收单个钉62和钉推动器64的一部分。在手术器械10的操作期间，驱动组合件50对接致动滑块66并且推动致动滑块66通过钉仓58。随着致动滑块66移动通过钉仓58，致动滑块66的凸轮楔循序接合钉推动器64以在钉保持狭槽58b内垂直移动钉推动器64，并且循序地从其弹射单个钉62，用于抵靠砧座组合件46的砧板46a形成。
手术加载单元40的近侧主体部分42包含具有从手术加载单元40的近端延伸的钩状近端部分52a的铰接连杆52，其接合联接到适配器组合件30的致动组合件35中的另一个的相对铰接连杆(未图示)。铰接连杆52具有可枢转地紧固到末端执行器44的远端部分52b。
参考图7-9，末端执行器44包含安置于仓组合件48内的应变计电路68。在实施例中，第二应变计电路可安置于砧座组合件46内。载体60包含限定在载体60的内底表面60a和内侧表面上的凹陷70。凹陷70被配置成容纳应变计电路68，同时允许钉仓58配合在应变计电路68上方。应变计电路68可通过结合紧固在凹陷70内。
参考图10和11，应变计电路68包含应变计部分72和引线部分74。应变计部分72包含应变计76，且引线部分74包含将应变计76联接到主控制器38和电源37的第一和第二导电迹线78a和78b。引线部分74可包含任何数目的片段以允许将应变计电路68布设在加载单元40内，如图9所示。引线部分74还包含具有一匝或多匝82的松弛部分80，所述一匝或多匝允许松弛部分80在加载单元40内的额外移动自由度。迹线78a和78b中的每一个分别联接到安置于引线部分74的近端部分处的接触垫79a和79b。接触垫79a和79b被配置成联接到适配器组合件30的电接触件(未图示)，所述电接触件继而将应变计电路68联接到手柄组合件20的电源37和主控制器38。
参考图10-13，应变计电路68形成为具有第一柔性电介质衬底88和第二柔性电介质衬底90的柔性电路86，所述柔性电介质衬底围封电阻性传感器层92和导电层94。电介质衬底88和90可由任何合适的柔性电介质材料形成，包含(但不限于)聚酯、聚酰亚胺、聚萘二甲酸伸乙酯、聚醚酰亚胺、氟聚合物、聚醚醚酮及其组合。电阻性传感器层92可由具有负热电阻系数(以使温度变化对电阻的影响最小化和/或防止所述影响)、高电阻率(高于45.0x10-8Ω·m的电阻率)，和承受机械应变的强机械特性的任何金属合金形成。用作电阻性传感器层92的合适的合金包含由铜、镍、锰及其组合形成的任何合金，例如康铜和锰铜。导电层94由例如金属(例如铜、银等)、金属合金、导电聚合物及其组合等任何合适的导电材料形成。
电阻性传感器层92包含应变计76和安置于第一电介质衬底88上的连续片段96。应变计76包含具有第一端100和第二端102的连续迹线98，所述连续迹线98布置成任何合适的网格图案，例如具有在相对端处互连的多条平行网格线104的图案，如图13所示。连续迹线98的第一和第二端100和102联接到导电层94的第一导电迹线78a和第二导电迹线78b。第一和第二导电迹线78a和78b叠加在电阻性传感器层92的连续片段96上。第一和第二导电迹线78a和78b中的每一个联接到连续迹线98的第一和第二端100和102，从而实现经由应变计76发射测量信号。
在形成导电迹线78a和78b之前，可掩蔽应变计76。电阻性传感器层92和导电层94可使用任何消减(例如，蚀刻)或加成(例如，丝网印刷)技术施加到第一电介质衬底88，用于在柔性电介质衬底上形成金属层。因为电阻性传感器层92具有比导电层94的导电迹线78a和78b高的电阻，所以测量信号的电流仅行进穿过应变计76以及导电迹线78a和78b。此配置避免需要电阻性传感器层92和导电层94之间的绝缘层，借此使应变计电路68较薄且允许将其放置在载体60的凹陷70内。
应变计电路68被配置成在驱动组合件50的致动期间测量施加在末端执行器44(且确切地说，仓组合件48)上的应变。如上所述，随着驱动组合件50向远侧移动，驱动组合件50闭合砧座组合件46且推动致动滑块66穿过钉仓58。致动滑块66接合钉推动器64，钉推动器弹射钉62，从而密封组织。同时，刀55a还切割的密封组织。相应地，在驱动组合件50的移动期间，载体60归因于组织收缩和其它力而弯曲。
随着驱动组合件50(且确切地说，I形梁55)移动跨越沟道以执行夹持、缝合和切割，应变计76的近侧区域，即在I形梁55的近侧的区域不再弯曲且实际上非活动。因此，如果I形梁55处于致动移动过程的中途，则应变计76仅产生信号的一半。本公开提供防止信号在整个射击过程中减小的新颖的应变计设计。在实施例中，根据本公开的应变计具有不同仪表灵敏度因数。确切地说，应变计的远侧部分较敏感，例如具有比应变计的近侧部分高的仪表灵敏度因数，使得测量信号的振幅随着射击的进行而变高。
应变计76的总电阻改变取决于应变计76上施加的应变。因此，如果应变为恒定的，正如轴向负载中，则可使用仪表灵敏度因数来计算已知应变。然而，载体60充当悬臂梁，其由I形梁55驱动组合件50弯曲。载体60和其内安置应变计76的凹陷70开始向I形梁55的远侧弯曲，因此，在其中应变计76太长(例如，3厘米以上)的实施例中，I形梁55的近侧不存在弯曲。
与I形梁55的改变的位置相关的应变可使用公式(III)：∈a＝βe-αx计算，其中∈a为轴向应变，β和α为常数，且x为砧座组合件46和仓组合件48内I形梁55的位置。
以下公式(IV)可用于确定针对给定应变的电阻改变：
其中D为应变计76的横截面面积的要素。
总电阻改变可使用公式(V)确定为从I形梁55的位置k到再加载件的端部L的公式(IV)的积分：
为了在I形梁55的所有位置上存在恒定电阻改变，相对于位置k的公式(V)的导数应为恒定的，如公式(VI)中所展示：
通过代入公式(IV)评估公式(VI)，导出以下公式(VII)：
关注公式(VII)的第二项，其展示如果电线横截面的改变除以电线横截面等于I形梁55的所有位置的轴向应变，则将存在恒定电阻改变。公式(VII)假设恒定弯曲特性，且归因于泊松效应(Poisson’s effect)的横截面改变为最低限度的。因此，公式(VII)示出改变应变计上的电线或迹线的形状可产生恒定的电阻改变。
根据本公开的应变计还可并入有具有恒定电阻改变以提供可变仪表灵敏度因数的其它网格图案。参看图14，展示应变计176，其可用于应变计电路68中。应变计176包含具有第一端200和第二端202的连续迹线198。连续迹线198包含在相对端处互连的具有不同长度的多个平行网格线204。网格线204的长度从外网格线204向内网格线204减小。确切地说，网格线204布置成多对，两个第一对208为最长(两条最外网格线204除外)，两个第二对210具有中间长度，且中间对212为最短。此外，网格线204围绕由应变计176限定的纵向轴线布置成对称图案。据设想，应变计176可包含任何数目的网格线204，其布置成具有减小的长度(从外向内)的任何数目的对，以便通过改变纵向方向中应变计176的横截面面积来补偿I形梁55的可变应变。改变横截面面积，即通过增加纵向方向中近侧方向与远侧方向之间的面积，实现跨越应变计176的整个长度恒定的ΔR。
参看图15，展示应变计276，其也可用于应变计电路68中。应变计276包含在远端300和302处互连的一对平行网格线304。网格线304围绕由应变计76限定的纵向轴线布置成对称图案。网格线304中的每一个具有锥形形状，其在纵向方向中在近侧方向与远侧方向之间具有减小的宽度。此配置还通过改变纵向方向中应变计276的横截面面积来补偿I形梁55的可变应变。改变横截面面积实现了跨越应变计276的整个长度恒定的ΔR。
应理解，可对目前公开的适配器组合件的实施例进行各种修改。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 (20)
1.一种手术末端执行器，其包括：
砧座组合件；
仓组合件，其包含多个紧固件；
驱动组合件，其能够纵向移动以相对于所述仓组合件接近所述砧座组合件；以及
应变计电路，其安置于所述仓组合件内，所述应变计电路被配置成测量由所述驱动组合件施加在所述仓组合件上的应变。
2.根据权利要求1所述的手术末端执行器，其中所述应变计电路包含柔性电路。
3.根据权利要求2所述的手术末端执行器，其中所述柔性电路包含：
第一柔性电介质衬底；
电阻性传感器层，其安置于所述第一柔性电介质衬底上方；
导电层，其安置于所述电阻性传感器层上方；以及
第二柔性电介质衬底，其安置于所述电阻性传感器层和所述导电层上方。
4.根据权利要求3所述的手术末端执行器，其中所述电阻性传感器层包含应变计和连续层。
5.根据权利要求4所述的手术末端执行器，所述导电层包含第一导电迹线和第二导电迹线，所述导电迹线中的每一个联接到所述应变计。
6.根据权利要求5所述的手术末端执行器，其中所述应变计包含具有第一端和第二端的连续迹线，所述第一端联接到所述第一导电迹线且所述第二端联接到所述第二导电迹线。
7.根据权利要求6所述的手术末端执行器，其中所述应变计具有可变仪表灵敏度因数。
8.根据权利要求7所述的手术末端执行器，其中所述应变计包含一对平行网格线，所述平行网格线中的每一个具有锥形形状，借此提供所述可变仪表灵敏度因数。
9.根据权利要求7所述的手术末端执行器，其中所述应变计包含提供所述可变仪表灵敏度因数的具有不同长度的多个网格线。
10.根据权利要求1所述的手术末端执行器，其中所述应变计电路包含应变计部分和引线部分。
11.根据权利要求10所述的手术末端执行器，其中所述引线部分包含具有至少一匝的松弛部分。
12.一种手术器械，其包括：
手柄组合件，其包含控制器和电源；
适配器组合件，其包含联接到所述手柄组合件的近端部分，和远端部分；以及
加载单元，其联接到所述适配器组合件的所述远端部分，所述加载单元包含手术末端执行器，所述手术末端执行器具有：
砧座组合件；
仓组合件，其包含多个紧固件；
驱动组合件，其能够纵向移动以相对于所述仓组合件接近所述砧座组合件；以及
应变计电路，其安置于所述仓组合件内且电联接到所述控制器和所述电源，所述应变计电路被配置成测量由所述驱动组合件施加在所述仓组合件上的应变，且将测量信号发射到所述控制器。
13.根据权利要求12所述的手术器械，其中所述应变计电路包含柔性电路。
14.根据权利要求13所述的手术器械，其中所述柔性电路包含：
第一柔性电介质衬底；
电阻性传感器层，其安置于所述第一柔性电介质衬底上方；
导电层，其安置于所述电阻性传感器层上方；以及
第二柔性电介质衬底，其安置于所述电阻性传感器层和所述导电层上方。
15.根据权利要求14所述的手术器械，其中所述电阻性传感器层包含应变计和连续层。
16.根据权利要求15所述的手术器械，所述导电层包含第一导电迹线和第二导电迹线，所述导电迹线中的每一个联接到所述应变计。
17.根据权利要求16所述的手术器械，其中所述应变计包含具有第一端和第二端的连续迹线，所述第一端联接到所述第一导电迹线且所述第二端联接到所述第二导电迹线。
18.根据权利要求17所述的手术器械，其中所述应变计包含可变横截面。
19.根据权利要求18所述的手术器械，其中所述应变计包含一对平行网格线，所述平行网格线中的每一个具有锥形形状，借此提供所述可变横截面。
20.根据权利要求18所述的手术器械，其中所述应变计包含提供所述可变横截面的具有不同长度的多个网格线。
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201862752516P | 2018-10-30 | 2018-10-30 | |
| US62/752,516 | 2018-10-30 | ||
| US16/566,944 | 2019-09-11 | ||
| US16/566,944 US11197734B2 (en) | 2018-10-30 | 2019-09-11 | Load sensing devices for use in surgical instruments |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN111110296A true CN111110296A (zh) | 2020-05-08 |
| CN111110296B CN111110296B (zh) | 2024-01-26 |
Family
ID=68392732
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201911000681.0A Active CN111110296B (zh) | 2018-10-30 | 2019-10-21 | 用于在手术器械中使用的负载感测装置 |
Country Status (4)
| Country | Link |
|---|---|
| US (2) | US11197734B2 (zh) |
| EP (1) | EP3646800B1 (zh) |
| CN (1) | CN111110296B (zh) |
| ES (1) | ES2898398T3 (zh) |
Families Citing this family (48)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8496647B2 (en) | 2007-12-18 | 2013-07-30 | Intuitive Surgical Operations, Inc. | Ribbed force sensor |
| US8561473B2 (en) | 2007-12-18 | 2013-10-22 | Intuitive Surgical Operations, Inc. | Force sensor temperature compensation |
| US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
| 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 |
| US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
| US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
| US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | 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 |
| US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
| 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 |
| US10765470B2 (en) | 2015-06-30 | 2020-09-08 | Ethicon Llc | Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters |
| US10736685B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments |
| US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
| US11229450B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with motor drive |
| 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 |
| 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 |
| US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
| US11460360B2 (en) | 2017-11-14 | 2022-10-04 | Intuitive Surgical Operations, Inc. | Split bridge circuit force sensor |
| US12050143B2 (en) | 2019-09-17 | 2024-07-30 | Intuitive Surgical Operations, Inc. | Symmetric trimming of strain gauges |
| US12082808B2 (en) | 2019-12-30 | 2024-09-10 | Cilag Gmbh International | Surgical instrument comprising a control system responsive to software configurations |
| US11974801B2 (en) | 2019-12-30 | 2024-05-07 | Cilag Gmbh International | Electrosurgical instrument with flexible wiring assemblies |
| US12064109B2 (en) | 2019-12-30 | 2024-08-20 | Cilag Gmbh International | Surgical instrument comprising a feedback control circuit |
| US11986201B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Method for operating a surgical instrument |
| US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
| US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
| US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
| US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
| US12076006B2 (en) | 2019-12-30 | 2024-09-03 | Cilag Gmbh International | Surgical instrument comprising an orientation detection system |
| US20210196363A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with electrodes operable in bipolar and monopolar modes |
| US12023086B2 (en) | 2019-12-30 | 2024-07-02 | Cilag Gmbh International | Electrosurgical instrument for delivering blended energy modalities to tissue |
| US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
| US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
| US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
| US11707318B2 (en) | 2019-12-30 | 2023-07-25 | Cilag Gmbh International | Surgical instrument with jaw alignment features |
| US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing 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 |
| US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
| US11589916B2 (en) | 2019-12-30 | 2023-02-28 | Cilag Gmbh International | Electrosurgical instruments with electrodes having variable energy densities |
| US12053224B2 (en) | 2019-12-30 | 2024-08-06 | Cilag Gmbh International | Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction |
| US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
| US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
| US12114912B2 (en) | 2019-12-30 | 2024-10-15 | Cilag Gmbh International | Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode |
| WO2021154721A1 (en) * | 2020-01-27 | 2021-08-05 | Orthosensor, Inc. | A medical sensor and method |
| US12050142B2 (en) | 2022-04-05 | 2024-07-30 | Sensordata Technologies, Inc. | Effective gauge factor utilizing integrated millivolt amplifier for strain gauge applications |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1728475A2 (en) * | 2005-06-03 | 2006-12-06 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
| CN101317779A (zh) * | 2007-03-29 | 2008-12-10 | Tyco医疗健康集团 | 用于手术缝合装置的安装于砧座的剖切尖端 |
| US20120228358A1 (en) * | 2009-08-11 | 2012-09-13 | Zemlok Michael A | Surgical Stapling Apparatus |
| CN103654897A (zh) * | 2012-07-27 | 2014-03-26 | 柯惠Lp公司 | 包括流体致动发射机构的手术紧固件施加装置 |
| EP3369385A2 (en) * | 2017-03-03 | 2018-09-05 | Covidien LP | Powered surgical devices having tissue sensing function |
Family Cites Families (396)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US37165A (en) | 1862-12-16 | 1862-12-16 | Improvement in gearing for machinery | |
| US3273562A (en) | 1960-02-24 | 1966-09-20 | Rene G Le Vaux | Skin and surgical clips |
| US3209754A (en) | 1961-08-10 | 1965-10-05 | Ernest C Wood | Surgical clip |
| US3499591A (en) | 1967-06-23 | 1970-03-10 | United States Surgical Corp | Instrument for placing lateral gastro-intestinal anastomoses |
| GB1218076A (en) | 1968-02-20 | 1971-01-06 | Carr Fastener Co Ltd | Backing strip for attachment to an article made of foamed plastics |
| US3744495A (en) | 1970-01-02 | 1973-07-10 | M Johnson | Method of securing prolapsed vagina in cattle |
| US3862631A (en) | 1973-05-16 | 1975-01-28 | Down Bros | Surgical implants |
| US3949924A (en) | 1974-10-18 | 1976-04-13 | United States Surgical Corporation | Surgical stapling instrument |
| US4060089A (en) | 1975-09-03 | 1977-11-29 | United States Surgical Corporation | Surgical fastening method and device therefor |
| US4217902A (en) | 1977-05-02 | 1980-08-19 | March Alfred L | Hemostatic clip |
| US4204623A (en) | 1978-07-17 | 1980-05-27 | United States Surgical Corporation | Manually powered surgical stapling instrument |
| US4263903A (en) | 1979-01-08 | 1981-04-28 | Richards Manufacturing Co., Inc. | Medical staple means |
| US4275813A (en) | 1979-06-04 | 1981-06-30 | United States Surgical Corporation | Coherent surgical staple array |
| US4429695A (en) | 1980-02-05 | 1984-02-07 | United States Surgical Corporation | Surgical instruments |
| US4428376A (en) | 1980-05-02 | 1984-01-31 | Ethicon Inc. | Plastic surgical staple |
| US4331277A (en) | 1980-05-23 | 1982-05-25 | United States Surgical Corporation | Self-contained gas powered surgical stapler |
| US4606343A (en) | 1980-08-18 | 1986-08-19 | United States Surgical Corporation | Self-powered surgical fastening instrument |
| CA1149106A (en) | 1980-11-10 | 1983-07-05 | Henk W. Wevers | Bone clip |
| US4485816A (en) | 1981-06-25 | 1984-12-04 | Alchemia | Shape-memory surgical staple apparatus and method for use in surgical suturing |
| US4454875A (en) | 1982-04-15 | 1984-06-19 | Techmedica, Inc. | Osteal medical staple |
| DE3373699D1 (en) | 1982-04-20 | 1987-10-22 | Ferag Ag | Mobile machine shaft drive system |
| US4485817A (en) | 1982-05-28 | 1984-12-04 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
| US5928222A (en) | 1982-08-06 | 1999-07-27 | Kleinerman; Marcos Y. | Fiber optic sensing techniques in laser medicine |
| US4488523A (en) | 1982-09-24 | 1984-12-18 | United States Surgical Corporation | Flexible, hydraulically actuated device for applying surgical fasteners |
| US4522206A (en) | 1983-01-26 | 1985-06-11 | Dyonics, Inc. | Surgical instrument |
| US4662371A (en) | 1983-01-26 | 1987-05-05 | Whipple Terry L | Surgical instrument |
| US4535772A (en) | 1983-03-10 | 1985-08-20 | Kells Medical, Incorporated | Skin closure device |
| US4570623A (en) | 1983-06-02 | 1986-02-18 | Pfizer Hospital Products Group Inc. | Arched bridge staple |
| US4534350A (en) | 1983-06-20 | 1985-08-13 | Ethicon, Inc. | Two-piece tissue fastener with compressible leg staple and retaining receiver |
| US4627437A (en) | 1983-06-20 | 1986-12-09 | Ethicon, Inc. | Method of applying a fastener to tissue with a pair of hollow needles |
| US4508253A (en) | 1983-10-04 | 1985-04-02 | United States Surgical Corporation | Surgical fastener applying apparatus |
| US4610383A (en) | 1983-10-14 | 1986-09-09 | Senmed, Inc. | Disposable linear surgical stapler |
| US4612923A (en) | 1983-12-01 | 1986-09-23 | Ethicon, Inc. | Glass-filled, absorbable surgical devices |
| US4635637A (en) | 1984-03-29 | 1987-01-13 | Schreiber Saul N | Surgical suture |
| US4612933A (en) | 1984-03-30 | 1986-09-23 | Senmed, Inc. | Multiple-load cartridge assembly for a linear surgical stapling instrument |
| US4606344A (en) | 1984-07-16 | 1986-08-19 | Ethicon, Inc. | Surgical instrument for applying fasteners having improved gap indicating means (Case V) |
| US4566620A (en) | 1984-10-19 | 1986-01-28 | United States Surgical Corporation | Articulated surgical fastener applying apparatus |
| US4705038A (en) | 1985-01-23 | 1987-11-10 | Dyonics, Inc. | Surgical system for powered instruments |
| US4712550A (en) | 1985-04-08 | 1987-12-15 | Sinnett Kevin B | Retinal tack |
| US4807628A (en) | 1985-04-26 | 1989-02-28 | Edward Weck & Company, Inc. | Method and apparatus for storing, dispensing, and applying surgical staples |
| US4671280A (en) | 1985-05-13 | 1987-06-09 | Ethicon, Inc. | Surgical fastening device and method for manufacture |
| USD286442S (en) | 1985-12-31 | 1986-10-28 | United States Surgical Corporation | Surgical fastener |
| US4731058A (en) | 1986-05-22 | 1988-03-15 | Pharmacia Deltec, Inc. | Drug delivery system |
| US4724839A (en) | 1986-09-18 | 1988-02-16 | Ethicon, Inc. | Surgical fastening systems made from polymeric materials |
| US4719917A (en) | 1987-02-17 | 1988-01-19 | Minnesota Mining And Manufacturing Company | Surgical staple |
| US4852558A (en) | 1987-07-29 | 1989-08-01 | Outerbridge Howard K G | Compressible bone staple |
| US4805617A (en) | 1987-11-05 | 1989-02-21 | Ethicon, Inc. | Surgical fastening systems made from polymeric materials |
| DE3805179A1 (de) | 1988-02-19 | 1989-08-31 | Wolf Gmbh Richard | Geraet mit einem rotierend angetriebenen chirurgischen instrument |
| IT215084Z2 (it) | 1988-08-03 | 1990-07-30 | Torino A | Cambra ad escursione variabile |
| US4960420A (en) | 1988-08-23 | 1990-10-02 | Marlowe Goble E | Channel ligament clamp and system |
| ES2011110A6 (es) | 1988-09-02 | 1989-12-16 | Lopez Hervas Pedro | Aparato hidraulico de cuerpo flexible para anastomosis quirurgicas. |
| FR2637370B1 (fr) | 1988-10-04 | 1991-04-12 | Gir | Dispositif pour le controle de temperatures contenant au moins un element en alliage a memoire de forme |
| US4990153A (en) | 1988-10-07 | 1991-02-05 | Ophthalmic Ventures Limited Partnership | Surgical suturing system and probe assembly |
| US4892244A (en) | 1988-11-07 | 1990-01-09 | Ethicon, Inc. | Surgical stapler cartridge lockout device |
| US4994073A (en) | 1989-02-22 | 1991-02-19 | United States Surgical Corp. | Skin fastener |
| US5089009A (en) | 1989-06-27 | 1992-02-18 | United States Surgical Corporation | Inwardly biased skin fastener |
| US5318221A (en) | 1989-05-26 | 1994-06-07 | United States Surgical Corporation | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
| US5040715B1 (en) | 1989-05-26 | 1994-04-05 | United States Surgical Corp | Apparatus and method for placing staples in laparoscopic or endoscopic procedures |
| GB8924806D0 (en) | 1989-11-03 | 1989-12-20 | Neoligaments Ltd | Prosthectic ligament system |
| US5725529A (en) | 1990-09-25 | 1998-03-10 | Innovasive Devices, Inc. | Bone fastener |
| US5114399A (en) | 1990-10-01 | 1992-05-19 | Intramed Laboratories | Surgical device |
| US5108422A (en) | 1990-10-22 | 1992-04-28 | United States Surgical Corporation | Skin fastener |
| FR2668361A1 (fr) | 1990-10-30 | 1992-04-30 | Mai Christian | Agrafe et plaque d'osteosynthese a compression dynamique auto-retentive. |
| US5129570A (en) | 1990-11-30 | 1992-07-14 | Ethicon, Inc. | Surgical stapler |
| US5690675A (en) | 1991-02-13 | 1997-11-25 | Fusion Medical Technologies, Inc. | Methods for sealing of staples and other fasteners in tissue |
| US5571285A (en) | 1991-02-19 | 1996-11-05 | Ethicon, Inc. | Surgical staple for insertion into tissue |
| US6580086B1 (en) | 1999-08-26 | 2003-06-17 | Masimo Corporation | Shielded optical probe and method |
| US5720753A (en) | 1991-03-22 | 1998-02-24 | United States Surgical Corporation | Orthopedic fastener |
| US5065929A (en) | 1991-04-01 | 1991-11-19 | Ethicon, Inc. | Surgical stapler with locking means |
| US5359993A (en) | 1992-12-31 | 1994-11-01 | Symbiosis Corporation | Apparatus for counting the number of times a medical instrument has been used |
| US5203864A (en) | 1991-04-05 | 1993-04-20 | Phillips Edward H | Surgical fastener system |
| US5413267A (en) | 1991-05-14 | 1995-05-09 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
| US5391166A (en) | 1991-06-07 | 1995-02-21 | Hemostatic Surgery Corporation | Bi-polar electrosurgical endoscopic instruments having a detachable working end |
| US5207697A (en) | 1991-06-27 | 1993-05-04 | Stryker Corporation | Battery powered surgical handpiece |
| US5282829A (en) | 1991-08-15 | 1994-02-01 | United States Surgical Corporation | Hollow body implants |
| US5350104A (en) | 1991-08-23 | 1994-09-27 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
| US5326013A (en) | 1991-10-18 | 1994-07-05 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
| US5332142A (en) | 1991-10-18 | 1994-07-26 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
| US6250532B1 (en) | 1991-10-18 | 2001-06-26 | United States Surgical Corporation | Surgical stapling apparatus |
| US5497933A (en) | 1991-10-18 | 1996-03-12 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
| US5312023A (en) | 1991-10-18 | 1994-05-17 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
| US5307976A (en) | 1991-10-18 | 1994-05-03 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
| US5364001A (en) | 1991-10-18 | 1994-11-15 | United States Surgical Corporation | Self contained gas powered surgical apparatus |
| US5356064A (en) | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
| AU660712B2 (en) | 1991-10-18 | 1995-07-06 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
| US5197649A (en) | 1991-10-29 | 1993-03-30 | The Trustees Of Columbia University In The City Of New York | Gastrointestinal endoscoptic stapler |
| US5531744A (en) | 1991-11-01 | 1996-07-02 | Medical Scientific, Inc. | Alternative current pathways for bipolar surgical cutting tool |
| US5713896A (en) | 1991-11-01 | 1998-02-03 | Medical Scientific, Inc. | Impedance feedback electrosurgical system |
| US5665085A (en) | 1991-11-01 | 1997-09-09 | Medical Scientific, Inc. | Electrosurgical cutting tool |
| 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 |
| US5271543A (en) | 1992-02-07 | 1993-12-21 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
| 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 |
| JPH0647050A (ja) | 1992-06-04 | 1994-02-22 | Olympus Optical Co Ltd | 組織縫合結紮器 |
| US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
| US5330486A (en) | 1992-07-29 | 1994-07-19 | Wilk Peter J | Laparoscopic or endoscopic anastomosis technique and associated instruments |
| US5258008A (en) | 1992-07-29 | 1993-11-02 | Wilk Peter J | Surgical stapling device and associated method |
| 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 |
| CA2437777C (en) | 1992-09-21 | 2006-11-28 | United States Surgical Corporation | Device for applying a meniscal staple |
| US5601224A (en) | 1992-10-09 | 1997-02-11 | Ethicon, Inc. | Surgical instrument |
| US5431323A (en) | 1992-10-09 | 1995-07-11 | Ethicon, Inc. | Endoscopic surgical instrument with pivotable and rotatable staple cartridge |
| US5381943A (en) | 1992-10-09 | 1995-01-17 | Ethicon, Inc. | Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge |
| US5662662A (en) | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
| US5300081A (en) | 1992-10-09 | 1994-04-05 | United States Surgical Corporation | Surgical clip applier having clip advancement control |
| US5400267A (en) | 1992-12-08 | 1995-03-21 | Hemostatix Corporation | Local in-device memory feature for electrically powered medical equipment |
| US5558671A (en) | 1993-07-22 | 1996-09-24 | Yates; David C. | Impedance feedback monitor for electrosurgical instrument |
| US5403312A (en) | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
| US5313935A (en) | 1992-12-31 | 1994-05-24 | Symbiosis Corporation | Apparatus for counting the number of times a surgical instrument has been used |
| US5380334A (en) | 1993-02-17 | 1995-01-10 | Smith & Nephew Dyonics, Inc. | Soft tissue anchors and systems for implantation |
| US5342396A (en) | 1993-03-02 | 1994-08-30 | Cook Melvin S | Staples |
| FR2704135B1 (fr) | 1993-04-19 | 1995-07-07 | Savornin Claude | Agrafe d'osteosynthese. |
| US5467911A (en) | 1993-04-27 | 1995-11-21 | Olympus Optical Co., Ltd. | Surgical device for stapling and fastening body tissues |
| US5447265A (en) | 1993-04-30 | 1995-09-05 | Minnesota Mining And Manufacturing Company | Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity |
| US5342376A (en) | 1993-05-03 | 1994-08-30 | Dermagraphics, Inc. | Inserting device for a barbed tissue connector |
| CA2124109A1 (en) | 1993-05-24 | 1994-11-25 | Mark T. Byrne | Endoscopic surgical instrument with electromagnetic sensor |
| ES2185651T3 (es) | 1993-06-04 | 2003-05-01 | Smith & Nephew Inc | Tornillo quirurgico y arandela. |
| US5500000A (en) | 1993-07-01 | 1996-03-19 | United States Surgical Corporation | Soft tissue repair system and method |
| GR940100335A (el) | 1993-07-22 | 1996-05-22 | Ethicon Inc. | Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων. |
| US5693051A (en) | 1993-07-22 | 1997-12-02 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device with adaptive electrodes |
| US5810811A (en) | 1993-07-22 | 1998-09-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device |
| US5503320A (en) | 1993-08-19 | 1996-04-02 | United States Surgical Corporation | Surgical apparatus with indicator |
| US5405344A (en) | 1993-09-30 | 1995-04-11 | Ethicon, Inc. | Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor |
| US5478344A (en) | 1993-10-08 | 1995-12-26 | United States Surgical Corporation | Surgical suturing apparatus with loading mechanism |
| CA2133377C (en) | 1993-10-08 | 2004-09-14 | H. Jonathan Tovey | Surgical suturing apparatus with loading mechanism |
| US5607436A (en) | 1993-10-08 | 1997-03-04 | United States Surgical Corporation | Apparatus for applying surgical clips |
| US5487499A (en) | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
| US5560532A (en) | 1993-10-08 | 1996-10-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to body tissue |
| US5991650A (en) | 1993-10-15 | 1999-11-23 | Ep Technologies, Inc. | Surface coatings for catheters, direct contacting diagnostic and therapeutic devices |
| US5584835A (en) | 1993-10-18 | 1996-12-17 | Greenfield; Jon B. | Soft tissue to bone fixation device and method |
| US5830121A (en) | 1993-10-27 | 1998-11-03 | Asahi Kogaku Kogyo Kabushiki Kaisha | Endoscopic apparatus having an endoscope and a peripheral device wherein total usage of the endoscope is quantified and recorded |
| US5507743A (en) | 1993-11-08 | 1996-04-16 | Zomed International | Coiled RF electrode treatment apparatus |
| DE4340570C2 (de) | 1993-11-29 | 2003-04-10 | Hilti Ag | Eintreibvorrichtung zum Setzen von Befestigungselementen in Aufnahmematerialien |
| WO1995018572A1 (en) | 1994-01-04 | 1995-07-13 | Alpha Surgical Technologies, Inc. | Stapling device |
| AU1011595A (en) | 1994-01-13 | 1995-07-20 | Ethicon Inc. | Spiral surgical tack |
| 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 |
| CA2145723A1 (en) | 1994-03-30 | 1995-10-01 | Steven W. Hamblin | Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft |
| US5715987A (en) | 1994-04-05 | 1998-02-10 | Tracor Incorporated | Constant width, adjustable grip, staple apparatus and method |
| US5695524A (en) | 1994-04-05 | 1997-12-09 | Tracor Aerospace, Inc. | Constant width, adjustable grip, staple apparatus and method |
| US5482100A (en) | 1994-04-06 | 1996-01-09 | Newell Operating Company | Cordless, balanced venetian blind or shade with consistent variable force spring motor |
| US5529235A (en) | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
| CA2148667A1 (en) | 1994-05-05 | 1995-11-06 | Carlo A. Mililli | Self-contained powered surgical apparatus |
| AU694225B2 (en) | 1994-08-02 | 1998-07-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic hemostatic and cutting instrument |
| EP0699418A1 (en) | 1994-08-05 | 1996-03-06 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| US5779130A (en) | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
| US5571116A (en) | 1994-10-02 | 1996-11-05 | United States Surgical Corporation | Non-invasive treatment of gastroesophageal reflux disease |
| DE69517153T2 (de) | 1994-11-02 | 2001-02-01 | Olympus Optical Co., Ltd. | Mit endoskop funktionierendes instrument |
| US5868760A (en) | 1994-12-07 | 1999-02-09 | Mcguckin, Jr.; James F. | Method and apparatus for endolumenally resectioning tissue |
| US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
| US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US5713505A (en) | 1996-05-13 | 1998-02-03 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
| KR100189281B1 (ko) | 1994-12-27 | 1999-06-01 | 미따라이 하지메 | 감속기 |
| US5575799A (en) | 1995-03-30 | 1996-11-19 | United States Surgical Corporation | Articulating surgical apparatus |
| US5624452A (en) | 1995-04-07 | 1997-04-29 | Ethicon Endo-Surgery, Inc. | Hemostatic surgical cutting or stapling instrument |
| US5634926A (en) | 1995-04-25 | 1997-06-03 | Jobe; Richard P. | Surgical bone fixation apparatus |
| US5630540A (en) | 1995-05-24 | 1997-05-20 | United States Surgical Corporation | Surgical staple and staple drive member |
| US5649956A (en) | 1995-06-07 | 1997-07-22 | Sri International | System and method for releasably holding a surgical instrument |
| US5667513A (en) | 1995-06-07 | 1997-09-16 | Smith & Nephew Dyonics Inc. | Soft tissue anchor delivery apparatus |
| US6293943B1 (en) | 1995-06-07 | 2001-09-25 | Ep Technologies, Inc. | Tissue heating and ablation systems and methods which predict maximum tissue temperature |
| US5868737A (en) | 1995-06-09 | 1999-02-09 | Engineering Research & Associates, Inc. | Apparatus and method for determining ablation |
| US6113592A (en) | 1995-06-09 | 2000-09-05 | Engineering & Research Associates, Inc. | Apparatus and method for controlling ablation depth |
| GB9512128D0 (en) | 1995-06-15 | 1995-08-16 | Ethicon Inc | Surgical pins |
| US6080150A (en) | 1995-08-15 | 2000-06-27 | Rita Medical Systems, Inc. | Cell necrosis apparatus |
| US6132425A (en) | 1995-08-15 | 2000-10-17 | Gough; Edward J. | Cell necrosis apparatus |
| 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 |
| JP2918066B2 (ja) | 1995-09-29 | 1999-07-12 | インターナシヨナル・ビジネス・マシーンズ・コーポレーシヨン | マイクロメカニカル発振器及びインテリジェント音響検出器に基づく機械的信号プロセッサ並びにそれに基づくシステム |
| US5997552A (en) | 1995-10-20 | 1999-12-07 | United States Surgical Corporation | Meniscal fastener applying device |
| US5813404A (en) | 1995-10-20 | 1998-09-29 | Aspect Medical Systems, Inc. | Electrode connector system |
| US5941442A (en) | 1995-10-27 | 1999-08-24 | United States Surgical | Surgical stapler |
| US5980518A (en) | 1995-10-27 | 1999-11-09 | Carr; William N. | Microcautery surgical tool |
| FR2741796B1 (fr) | 1995-11-30 | 1998-03-27 | Tornier Sa | Dispositif pour la fixation d'une prothese et notamment d'une prothese glenoidienne de l'omoplate |
| EP0786204B1 (de) | 1996-01-23 | 1998-10-28 | Diehl Ident GmbH | Einrichtung zur Ausstattung von Geflügel mit einem Transponder |
| US6015417A (en) | 1996-01-25 | 2000-01-18 | Reynolds, Jr.; Walker | Surgical fastener |
| US5695506A (en) | 1996-02-06 | 1997-12-09 | Devices For Vascular Intervention | Catheter device with a flexible housing |
| US6436107B1 (en) | 1996-02-20 | 2002-08-20 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive surgical procedures |
| CA2198036C (en) | 1996-02-20 | 2000-12-05 | Charles S. Taylor | Access platform for internal mammary dissection |
| US6699177B1 (en) | 1996-02-20 | 2004-03-02 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive surgical procedures |
| US6063095A (en) | 1996-02-20 | 2000-05-16 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive surgical procedures |
| US5855583A (en) | 1996-02-20 | 1999-01-05 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
| US5976171A (en) | 1996-02-20 | 1999-11-02 | Cardiothoracic Systems, Inc. | Access platform for internal mammary dissection |
| US5730757A (en) | 1996-02-20 | 1998-03-24 | Cardiothoracic Systems, Inc. | Access platform for internal mammary dissection |
| US5911727A (en) | 1996-02-20 | 1999-06-15 | Cardiothoracic Systems, Inc. | Stitcher |
| US5727569A (en) | 1996-02-20 | 1998-03-17 | Cardiothoracic Systems, Inc. | Surgical devices for imposing a negative pressure to fix the position of cardiac tissue during surgery |
| US6010054A (en) | 1996-02-20 | 2000-01-04 | Imagyn Medical Technologies | Linear stapling instrument with improved staple cartridge |
| US5810240A (en) | 1996-03-15 | 1998-09-22 | United States Surgical Corporation | Surgical fastener applying device |
| AUPN957296A0 (en) | 1996-04-30 | 1996-05-23 | Cardiac Crc Nominees Pty Limited | A system for simultaneous unipolar multi-electrode ablation |
| US5823066A (en) | 1996-05-13 | 1998-10-20 | Ethicon Endo-Surgery, Inc. | Articulation transmission mechanism for surgical instruments |
| US6258111B1 (en) | 1997-10-03 | 2001-07-10 | Scieran Technologies, Inc. | Apparatus and method for performing ophthalmic procedures |
| US6017354A (en) | 1996-08-15 | 2000-01-25 | Stryker Corporation | Integrated system for powered surgical tools |
| WO1998006446A2 (en) | 1996-08-15 | 1998-02-19 | Deka Products Limited Partnership | Medical irrigation pump and system |
| US5759171A (en) | 1996-09-27 | 1998-06-02 | Thermogenesis Corp. | Sprayer for fibrin glue |
| US6109500A (en) | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
| US6063098A (en) | 1996-12-23 | 2000-05-16 | Houser; Kevin | Articulable ultrasonic surgical apparatus |
| US5849023A (en) | 1996-12-27 | 1998-12-15 | Mericle; Robert William | Disposable remote flexible drive cutting apparatus |
| US5861005A (en) | 1997-02-11 | 1999-01-19 | X-Site, L.L.C. | Arterial stapling device |
| EP0967926B1 (de) | 1997-02-28 | 2003-09-10 | SYNTHES AG Chur | Implantat für die osteosynthese |
| US6063078A (en) | 1997-03-12 | 2000-05-16 | Medtronic, Inc. | Method and apparatus for tissue ablation |
| US5944717A (en) | 1997-05-12 | 1999-08-31 | The Regents Of The University Of California | Micromachined electrical cauterizer |
| USH1904H (en) | 1997-05-14 | 2000-10-03 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic method and device |
| USH2037H1 (en) | 1997-05-14 | 2002-07-02 | David C. Yates | Electrosurgical hemostatic device including an anvil |
| US5849028A (en) | 1997-05-16 | 1998-12-15 | Irvine Biomedical, Inc. | Catheter and method for radiofrequency ablation of cardiac tissue |
| US6231565B1 (en) | 1997-06-18 | 2001-05-15 | United States Surgical Corporation | Robotic arm DLUs for performing surgical tasks |
| SE9702679D0 (sv) | 1997-07-11 | 1997-07-11 | Siemens Elema Ab | Anordning för att räkna antalet användningar av en givare |
| US6013077A (en) | 1997-07-31 | 2000-01-11 | Harwin; Steven F. | Orthopaedic posting device |
| AU8903898A (en) | 1997-08-11 | 1999-03-01 | Paul W. Mayer | Motorized motion-canceling suture tool holder |
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US5980548A (en) | 1997-10-29 | 1999-11-09 | Kensey Nash Corporation | Transmyocardial revascularization system |
| US6015416A (en) | 1998-02-26 | 2000-01-18 | Ethicon Endo-Surgery, Inc. | Surgical anastomosis instrument |
| US6051007A (en) | 1998-03-02 | 2000-04-18 | Corvascular, Inc. | Sternal closure device and instruments therefor |
| US6030410A (en) | 1998-05-18 | 2000-02-29 | Zurbruegg; Heinz Robert | Sternal closure technique and kit for performing same |
| AUPP360798A0 (en) | 1998-05-20 | 1998-06-11 | Ultimate Medical Pty. Ltd. | Heat cycle indicating device |
| US6478210B2 (en) | 2000-10-25 | 2002-11-12 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
| US6126058A (en) | 1998-06-19 | 2000-10-03 | Scimed Life Systems, Inc. | Method and device for full thickness resectioning of an organ |
| US6601749B2 (en) | 1998-06-19 | 2003-08-05 | Scimed Life Systems, Inc. | Multi fire full thickness resectioning device |
| SE9802674D0 (sv) | 1998-08-05 | 1998-08-05 | Siemens Elema Ab | Anordning för upprepad registrering av termiska cykler, som en, för medicinskt bruk avsedd del genomgår |
| US6355066B1 (en) | 1998-08-19 | 2002-03-12 | Andrew C. Kim | Anterior cruciate ligament reconstruction hamstring tendon fixation system |
| US6166538A (en) | 1998-08-26 | 2000-12-26 | Linvatec Corporation | Autoclave cycle monitor for autoclaved instruments |
| US6123702A (en) | 1998-09-10 | 2000-09-26 | Scimed Life Systems, Inc. | Systems and methods for controlling power in an electrosurgical probe |
| US6245065B1 (en) | 1998-09-10 | 2001-06-12 | Scimed Life Systems, Inc. | Systems and methods for controlling power in an electrosurgical probe |
| US6210406B1 (en) | 1998-12-03 | 2001-04-03 | Cordis Webster, Inc. | Split tip electrode catheter and signal processing RF ablation system |
| US6228534B1 (en) | 1998-12-21 | 2001-05-08 | Wilson Greatbatch Ltd. | Annealing of mixed metal oxide electrodes to reduce polarization resistance |
| US6730110B1 (en) | 1999-01-08 | 2004-05-04 | Ams Research Corporation | Tack device |
| US6127811A (en) | 1999-01-12 | 2000-10-03 | Vlsi Technology, Inc. | Micro-electromechanical system and voltage shifter, method of synchronizing an electronic system and a micromechanical system of a micro-electromechanical system |
| US5992724A (en) | 1999-02-04 | 1999-11-30 | Snyder; Thomas W. | Stapler with staple quantity indicator |
| US6288534B1 (en) | 1999-02-10 | 2001-09-11 | Cts Corporation | Non-contacting throttle valve position sensor |
| US6083242A (en) | 1999-02-17 | 2000-07-04 | Holobeam, Inc. | Surgical staples with deformation zones of non-uniform cross section |
| US6308089B1 (en) | 1999-04-14 | 2001-10-23 | O.B. Scientific, Inc. | Limited use medical probe |
| US6248117B1 (en) | 1999-04-16 | 2001-06-19 | Vital Access Corp | Anastomosis apparatus for use in intraluminally directed vascular anastomosis |
| 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 |
| 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 |
| 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 |
| 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 |
| US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
| US6443973B1 (en) | 1999-06-02 | 2002-09-03 | Power Medical Interventions, Inc. | Electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
| US6616821B2 (en) | 1999-06-08 | 2003-09-09 | Broadley Technologies Corporation | Reference electrode having a microfluidic flowing liquid junction |
| US6193501B1 (en) | 1999-07-06 | 2001-02-27 | The Board Of Trustees Of The University Of Illinois | Microcombustor having submillimeter critical dimensions |
| US6436110B2 (en) | 1999-07-23 | 2002-08-20 | Ethicon, Inc. | Method of securing a graft using a graft fixation device |
| US6447517B1 (en) | 1999-07-23 | 2002-09-10 | Ethicon, Inc. | Instrument for inserting graft fixation device |
| US6179840B1 (en) | 1999-07-23 | 2001-01-30 | Ethicon, Inc. | Graft fixation device and method |
| US6497707B1 (en) | 1999-07-23 | 2002-12-24 | Ethicon, Inc. | Graft fixation device combination |
| US6402766B2 (en) | 1999-07-23 | 2002-06-11 | Ethicon, Inc. | Graft fixation device combination |
| US6364884B1 (en) | 1999-07-23 | 2002-04-02 | Ethicon, Inc. | Method of securing a graft using a graft fixation device |
| US6451007B1 (en) | 1999-07-29 | 2002-09-17 | Dale E. Koop | Thermal quenching of tissue |
| US6554852B1 (en) | 1999-08-25 | 2003-04-29 | Michael A. Oberlander | Multi-anchor suture |
| US6515273B2 (en) | 1999-08-26 | 2003-02-04 | Masimo Corporation | System for indicating the expiration of the useful operating life of a pulse oximetry sensor |
| US6387092B1 (en) | 1999-09-07 | 2002-05-14 | Scimed Life Systems, Inc. | Systems and methods to identify and disable re-used single use devices based on time elapsed from first therapeutic use |
| 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 |
| US6651669B1 (en) | 1999-09-07 | 2003-11-25 | Scimed Life Systems, Inc. | Systems and methods to identify and disable re-used single use devices based on cataloging catheter usage |
| US6237604B1 (en) | 1999-09-07 | 2001-05-29 | Scimed Life Systems, Inc. | Systems and methods for preventing automatic identification of re-used single use devices |
| US6264653B1 (en) | 1999-09-24 | 2001-07-24 | C. R. Band, Inc. | System and method for gauging the amount of electrode-tissue contact using pulsed radio frequency energy |
| US6281471B1 (en) | 1999-12-28 | 2001-08-28 | Gsi Lumonics, Inc. | Energy-efficient, laser-based method and system for processing target material |
| US6290701B1 (en) | 2000-01-11 | 2001-09-18 | Albert Enayati | Bioabsorbable rivet bone fastener |
| GB0425765D0 (en) | 2004-11-23 | 2004-12-22 | Gyrus Medical Ltd | Tissue resurfacing |
| US6533157B1 (en) | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
| IL139788A (en) | 2000-11-20 | 2006-10-05 | Minelu Zonnenschein | Stapler for endoscopes |
| US20030120306A1 (en) | 2000-04-21 | 2003-06-26 | Vascular Control System | Method and apparatus for the detection and occlusion of blood vessels |
| US6425903B1 (en) | 2000-05-09 | 2002-07-30 | James W. Voegele | Implantable surgical marker |
| US6669705B2 (en) | 2000-05-17 | 2003-12-30 | Axya Medical, Inc. | Apparatus and method for welding sutures |
| US6696008B2 (en) | 2000-05-25 | 2004-02-24 | Westar Photonics Inc. | Maskless laser beam patterning ablation of multilayered structures with continuous monitoring of ablation |
| AU6760501A (en) | 2000-06-14 | 2001-12-24 | Teppo Jarvinen | Fixation anchor |
| 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 |
| US7335169B2 (en) | 2000-08-24 | 2008-02-26 | Timi 3 Systems, Inc. | Systems and methods for delivering ultrasound energy at an output power level that remains essentially constant despite variations in transducer impedance |
| US7220232B2 (en) | 2000-08-24 | 2007-05-22 | Timi 3 Systems, Inc. | Method for delivering ultrasonic energy |
| US7241270B2 (en) | 2000-08-24 | 2007-07-10 | Timi 3 Systems Inc. | Systems and methods for monitoring and enabling use of a medical instrument |
| 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 |
| US6908472B2 (en) | 2000-10-20 | 2005-06-21 | Ethicon Endo-Surgery, Inc. | Apparatus and method for altering generator functions in an ultrasonic surgical system |
| US6656177B2 (en) | 2000-10-23 | 2003-12-02 | Csaba Truckai | Electrosurgical systems and techniques for sealing tissue |
| CA2692564C (en) | 2000-10-23 | 2013-08-27 | Tyco Healthcare Group Lp | Absorbable fastener and applying apparatus |
| US20050010235A1 (en) | 2003-07-09 | 2005-01-13 | Vandusseldorp Gregg A. | Surgical device |
| US7232445B2 (en) | 2000-12-06 | 2007-06-19 | Id, Llc | Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD) |
| US6412279B1 (en) | 2000-12-20 | 2002-07-02 | Caterpillar Inc. | Twin turbine exhaust gas re-circulation system having a second stage variable nozzle turbine |
| US20020111641A1 (en) | 2001-01-08 | 2002-08-15 | Incisive Surgical, Inc. | Bioabsorbable surgical clip with engageable expansion structure |
| WO2002056805A2 (en) | 2001-01-18 | 2002-07-25 | The Regents Of The University Of California | Minimally invasive glaucoma surgical instrument and method |
| KR200228502Y1 (ko) | 2001-01-26 | 2001-06-15 | 구본희 | 접골 수술용 스테플 |
| US7905897B2 (en) | 2001-03-14 | 2011-03-15 | Tyco Healthcare Group Lp | Trocar device |
| ATE551955T1 (de) | 2001-04-20 | 2012-04-15 | Tyco Healthcare | Chirurgische vorrichtung mit bipolaren oder ultraschalleigenschaften |
| DE10147145C2 (de) | 2001-09-25 | 2003-12-18 | Kunz Reiner | Multifunktionsinstrument für die mikroinvasive Chirurgie |
| ES2514666T3 (es) | 2001-10-05 | 2014-10-28 | Covidien Lp | Dispositivo de grapado quirúrgico |
| 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 |
| US20030090201A1 (en) | 2001-11-13 | 2003-05-15 | Kuan-Chang Peng | Organic electro-luminescence device |
| US20030114851A1 (en) | 2001-12-13 | 2003-06-19 | Csaba Truckai | Electrosurgical jaws for controlled application of clamping pressure |
| US6601748B1 (en) | 2001-12-15 | 2003-08-05 | Modern Medical Equip. Mfg., Ltd. | Surgical stapler |
| US6602252B2 (en) | 2002-01-03 | 2003-08-05 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
| EP2319387A1 (en) | 2002-03-18 | 2011-05-11 | Optim, Inc. | Sterilization apparatus |
| EP1496805B1 (en) | 2002-04-25 | 2012-01-11 | Tyco Healthcare Group LP | Surgical instruments including micro-electromechanical systems (mems) |
| JP2004034243A (ja) | 2002-07-04 | 2004-02-05 | Max Co Ltd | 電動ホッチキスにおける残量ステープル検出装置 |
| JP2004070199A (ja) | 2002-08-09 | 2004-03-04 | Konica Minolta Holdings Inc | ハロゲン化銀写真感光材料用発色現像濃縮組成物及びこれを用いた処理方法 |
| US6926636B2 (en) | 2002-09-25 | 2005-08-09 | Jerry Luper | Gear driven power converter |
| US7338504B2 (en) | 2002-10-03 | 2008-03-04 | Gibbens Group, L.L.C. | Cycling suturing and knot-tying device |
| AU2003279151A1 (en) | 2002-10-04 | 2004-05-04 | Tyco Healthcare Group, Lp | Pneumatic powered surgical stapling device |
| FR2849589A1 (fr) | 2003-01-07 | 2004-07-09 | 2R Invest | Procede de commande pour un dispositif de chauffage d'agrafe thermoretractable permettant de bloquer le fonctionnement et dispositif de mise en oeuvre |
| 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 |
| US6988649B2 (en) | 2003-05-20 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a spent cartridge lockout |
| US7044352B2 (en) | 2003-05-20 | 2006-05-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
| US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| US7380695B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| 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 |
| US6981628B2 (en) | 2003-07-09 | 2006-01-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument with a lateral-moving articulation control |
| US6964363B2 (en) | 2003-07-09 | 2005-11-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having articulation joint support plates for supporting a firing bar |
| US7303108B2 (en) | 2003-09-29 | 2007-12-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack |
| US6905057B2 (en) | 2003-09-29 | 2005-06-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission |
| US7083075B2 (en) | 2003-09-29 | 2006-08-01 | Ethicon Endo-Surgery, Inc. | Multi-stroke mechanism with automatic end of stroke retraction |
| US7434715B2 (en) | 2003-09-29 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing with opening lockout |
| 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 |
| US7000819B2 (en) | 2003-09-29 | 2006-02-21 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism |
| US20090090763A1 (en) | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
| US7217269B2 (en) | 2003-10-28 | 2007-05-15 | Uab Research Foundation | Electrosurgical control system |
| US7118564B2 (en) | 2003-11-26 | 2006-10-10 | Ethicon Endo-Surgery, Inc. | Medical treatment system with energy delivery device for limiting reuse |
| US8156387B2 (en) | 2003-12-19 | 2012-04-10 | Pitney Bowes Inc. | Method and system for error manipulation |
| US7766207B2 (en) | 2003-12-30 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Articulating curved cutter stapler |
| US20050143759A1 (en) | 2003-12-30 | 2005-06-30 | Kelly William D. | Curved cutter stapler shaped for male pelvis |
| US7549563B2 (en) | 2003-12-30 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Rotating curved cutter stapler |
| US20050139636A1 (en) | 2003-12-30 | 2005-06-30 | Schwemberger Richard F. | Replaceable cartridge module for a surgical stapling and cutting instrument |
| US20050177176A1 (en) | 2004-02-05 | 2005-08-11 | Craig Gerbi | Single-fold system for tissue approximation and fixation |
| DE602005000891T2 (de) | 2004-02-17 | 2008-01-17 | Tyco Healthcare Group Lp, Norwalk | Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus |
| DE602005000938T2 (de) | 2004-02-17 | 2008-01-17 | Tyco Healthcare Group Lp, Norwalk | Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus |
| 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 |
| 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 |
| US7143926B2 (en) | 2005-02-07 | 2006-12-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system |
| US7487899B2 (en) | 2004-07-28 | 2009-02-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP complete firing system lockout mechanism |
| US7128254B2 (en) | 2004-09-07 | 2006-10-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission |
| JP2006081687A (ja) | 2004-09-15 | 2006-03-30 | Max Co Ltd | 医療用ステープラ |
| US7784663B2 (en) | 2005-03-17 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having load sensing control circuitry |
| EP3738521B1 (en) | 2005-06-03 | 2023-10-18 | Covidien LP | Surgical stapler with timer and feedback display |
| US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
| US8627995B2 (en) | 2006-05-19 | 2014-01-14 | Ethicon Endo-Sugery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
| EP2799014B1 (en) | 2005-07-27 | 2018-09-05 | Covidien LP | Surgical stapler with a drive shaft with optical rotation encoding |
| US7955352B2 (en) | 2005-08-05 | 2011-06-07 | Western Clinical Engineering, Ltd | Surgical tourniquet cuff for limiting usage to improve safety |
| US20070029363A1 (en) | 2005-08-07 | 2007-02-08 | Sergey Popov | Surgical apparatus with remote drive |
| US7886953B2 (en) | 2005-08-18 | 2011-02-15 | Ethicon Endo-Surgery, Inc. | Fired device lockout for a curved cutter stapler with a free moving trigger |
| 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 |
| US7246734B2 (en) | 2005-12-05 | 2007-07-24 | Ethicon Endo-Surgery, Inc. | Rotary hydraulic pump actuated multi-stroke surgical instrument |
| US7694809B2 (en) | 2005-12-06 | 2010-04-13 | Siemens Medical Solutions Usa, Inc. | Remote enabling/disabling of a limited-use medical device |
| US7835823B2 (en) | 2006-01-05 | 2010-11-16 | Intuitive Surgical Operations, Inc. | Method for tracking and reporting usage events to determine when preventive maintenance is due for a medical robotic system |
| US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
| US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
| US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US20070175955A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Surgical cutting and fastening instrument with closure trigger locking mechanism |
| US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
| US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
| 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 |
| US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
| US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
| US7416101B2 (en) | 2006-01-31 | 2008-08-26 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with loading force feedback |
| US7422139B2 (en) | 2006-01-31 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting fastening instrument with tactile position 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 |
| US20070219563A1 (en) | 2006-03-17 | 2007-09-20 | Voegele Aaron C | Reprocessing indicator ink for medical instruments |
| AU2007234790A1 (en) | 2006-04-06 | 2007-10-18 | Synthes Gmbh | Remotely adjustable tissue displacement device |
| US7552854B2 (en) | 2006-05-19 | 2009-06-30 | Applied Medical Resources Corporation | Surgical stapler with firing lock mechanism |
| US20080029574A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with actuator at distal end |
| US20080029573A1 (en) | 2006-08-02 | 2008-02-07 | Shelton Frederick E | Pneumatically powered surgical cutting and fastening instrument with replaceable power sources |
| 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 |
| US7481348B2 (en) | 2006-10-06 | 2009-01-27 | Tyco Healthcare Group Lp | Surgical instrument with articulating tool assembly |
| US8807414B2 (en) | 2006-10-06 | 2014-08-19 | Covidien Lp | System and method for non-contact electronic articulation sensing |
| US7721931B2 (en) | 2007-01-10 | 2010-05-25 | Ethicon Endo-Surgery, Inc. | Prevention of cartridge reuse in a surgical instrument |
| US20080169333A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Surgical stapler end effector with tapered distal end |
| US7431188B1 (en) | 2007-03-15 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered articulation |
| US7422136B1 (en) | 2007-03-15 | 2008-09-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
| US8893946B2 (en) * | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
| US8006885B2 (en) | 2007-04-09 | 2011-08-30 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered retraction |
| US7950560B2 (en) | 2007-04-13 | 2011-05-31 | Tyco Healthcare Group Lp | Powered surgical instrument |
| 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 |
| US7823760B2 (en) | 2007-05-01 | 2010-11-02 | Tyco Healthcare Group Lp | Powered surgical stapling device platform |
| US7931660B2 (en) | 2007-05-10 | 2011-04-26 | Tyco Healthcare Group Lp | Powered tacker instrument |
| US20090018624A1 (en) | 2007-07-13 | 2009-01-15 | Juniper Medical, Inc. | Limiting use of disposable system patient protection devices |
| US7556185B2 (en) | 2007-08-15 | 2009-07-07 | Tyco Healthcare Group Lp | Surgical instrument with flexible drive mechanism |
| US20090090201A1 (en) | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Nutating Gear Drive Mechanism for Surgical Devices |
| US7922063B2 (en) | 2007-10-31 | 2011-04-12 | Tyco Healthcare Group, Lp | Powered surgical instrument |
| US7922061B2 (en) | 2008-05-21 | 2011-04-12 | Ethicon Endo-Surgery, Inc. | Surgical instrument with automatically reconfigurable articulating end effector |
| US8011551B2 (en) | 2008-07-01 | 2011-09-06 | Tyco Healthcare Group Lp | Retraction mechanism with clutch-less drive for use with a surgical apparatus |
| US8074858B2 (en) | 2008-07-17 | 2011-12-13 | Tyco Healthcare Group Lp | Surgical retraction mechanism |
| US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
| US8708211B2 (en) | 2009-02-12 | 2014-04-29 | Covidien Lp | Powered surgical instrument with secondary circuit board |
| US8821514B2 (en) | 2009-06-08 | 2014-09-02 | Covidien Lp | Powered tack applier |
| US10383629B2 (en) | 2009-08-10 | 2019-08-20 | Covidien Lp | System and method for preventing reprocessing of a powered surgical instrument |
| US20120211542A1 (en) | 2011-02-23 | 2012-08-23 | Tyco Healthcare Group I.P | Controlled tissue compression systems and methods |
| US9220502B2 (en) * | 2011-12-28 | 2015-12-29 | Covidien Lp | Staple formation recognition for a surgical device |
| US9808246B2 (en) * | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
| ES2950459T3 (es) | 2015-04-22 | 2023-10-10 | Covidien Lp | Sistema quirúrgico electromecánico portátil |
| US10456137B2 (en) * | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
| US20190388091A1 (en) | 2018-06-21 | 2019-12-26 | Covidien Lp | Powered surgical devices including strain gauges incorporated into flex circuits |
-
2019
- 2019-09-11 US US16/566,944 patent/US11197734B2/en active Active
- 2019-10-21 CN CN201911000681.0A patent/CN111110296B/zh active Active
- 2019-10-29 EP EP19205878.2A patent/EP3646800B1/en active Active
- 2019-10-29 ES ES19205878T patent/ES2898398T3/es active Active
-
2021
- 2021-12-13 US US17/549,079 patent/US11896439B2/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1728475A2 (en) * | 2005-06-03 | 2006-12-06 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
| CN101317779A (zh) * | 2007-03-29 | 2008-12-10 | Tyco医疗健康集团 | 用于手术缝合装置的安装于砧座的剖切尖端 |
| US20120228358A1 (en) * | 2009-08-11 | 2012-09-13 | Zemlok Michael A | Surgical Stapling Apparatus |
| CN103654897A (zh) * | 2012-07-27 | 2014-03-26 | 柯惠Lp公司 | 包括流体致动发射机构的手术紧固件施加装置 |
| EP3369385A2 (en) * | 2017-03-03 | 2018-09-05 | Covidien LP | Powered surgical devices having tissue sensing function |
Also Published As
| Publication number | Publication date |
|---|---|
| ES2898398T3 (es) | 2022-03-07 |
| US20200129261A1 (en) | 2020-04-30 |
| EP3646800A1 (en) | 2020-05-06 |
| US11197734B2 (en) | 2021-12-14 |
| US11896439B2 (en) | 2024-02-13 |
| CN111110296B (zh) | 2024-01-26 |
| EP3646800B1 (en) | 2021-10-20 |
| US20220096194A1 (en) | 2022-03-31 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN111110296B (zh) | 用于在手术器械中使用的负载感测装置 | |
| EP3718490B1 (en) | Load sensing assembly for a surgical device | |
| CN110623698B (zh) | 包括并入柔性电路的应变计的动力手术装置 | |
| US10595951B2 (en) | Force sensor for surgical devices | |
| JP6671859B2 (ja) | エンドエフェクタ力測定駆動回路 | |
| US11950783B2 (en) | End effector force measurement with digital drive circuit | |
| US20220125435A1 (en) | Apparatus for ensuring strain gauge accuracy in medical reusable device | |
| EP3705057B1 (en) | Load sensor stabilization in a surgical device | |
| CN114533007B (zh) | 导丝和制造导丝的方法 | |
| JPH08247706A (ja) | 歪みセンサー | |
| CN115530902A (zh) | 吻合器 |
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 |