CN111757707B - 具有闭锁机构的外科手术器械 - Google Patents

具有闭锁机构的外科手术器械 Download PDF

Info

Publication number
CN111757707B
CN111757707B CN201980014969.5A CN201980014969A CN111757707B CN 111757707 B CN111757707 B CN 111757707B CN 201980014969 A CN201980014969 A CN 201980014969A CN 111757707 B CN111757707 B CN 111757707B
Authority
CN
China
Prior art keywords
locking member
surgical stapling
drive member
stapling instrument
shuttle
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN201980014969.5A
Other languages
English (en)
Other versions
CN111757707A (zh
Inventor
A·C·帕特尔
M·A·维克西
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Intuitive Surgical Operations Inc
Original Assignee
Intuitive Surgical Operations Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Intuitive Surgical Operations Inc filed Critical Intuitive Surgical Operations Inc
Priority to CN202410546726.9A priority Critical patent/CN118319403A/zh
Publication of CN111757707A publication Critical patent/CN111757707A/zh
Application granted granted Critical
Publication of CN111757707B publication Critical patent/CN111757707B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0686Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying below the tissue during stapling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B17/07207Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07257Stapler heads characterised by its anvil
    • A61B2017/07264Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07278Stapler heads characterised by its sled or its staple holder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical 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
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0814Preventing re-use

Landscapes

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

Abstract

用于外科手术夹持和切割器械的锁定组件包括锁定构件和开关。驱动构件被配置成可释放地接合外科手术器械的刀具和/或梭件,以使刀具和/或梭件在远侧方向上平移通过击发行程。锁定构件可以从允许驱动构件向远侧平移通过击发行程的第一位置移动到防止驱动构件向远侧平移通过击发行程的第二位置。当开关被定位在近侧时,开关可释放地接合锁定构件以将锁定构件维持在第一位置。当开关移动到远侧位置时,开关与锁定构件脱离。

Description

具有闭锁机构的外科手术器械
相关申请的交叉引用
本申请要求2018年2月26日提交的美国临时申请62/635,348的权益,其全部内容通过引用并入本文。
技术领域
本公开涉及外科手术吻合器械,该外科手术吻合器械具有锁定机构,以在已用完或先前击发的钉仓(cartridge)处于适当位置时防止刀具的致动。
背景技术
外科手术夹持和切割器械例如(诸如外科手术吻合器械)可以包括末端执行器,该末端执行器具有夹持组织的相对夹具和切割夹持组织的刀具。外科手术吻合器械的末端执行器的可重复使用通常是有利的。为此,在每次使用外科手术吻合器械之前,订合钉钉仓(staple cartridge)被装配到末端执行器的一个夹具内。
期望的是,当已用完的钉仓保持在夹具上的适当位置时防止外科手术吻合器械的击发。因此,需要一种有效的机构用于当已用完的订合钉钉仓在外科手术吻合器械的末端执行器中处于适当位置时防止外科手术吻合器械的击发。
发明内容
以下呈现所要求保护的主题的简化概述,以便提供对所要求保护的主题的一些方面的基本理解。该概述不是所要求保护的主题的详尽概述。其既不旨在标识所要求保护的主题的关键或重要元素,也不旨在描绘所要求保护的主题的范围。其唯一目的是以简化的形式呈现所要求保护的主题的一些概念,作为稍后呈现的更详细描述的序言。
本公开涉及具有锁定机构的外科手术吻合器械。本文所述的外科手术吻合器械采用锁定机构,以在已用完或先前击发的钉仓处于适当位置时防止刀具的致动。
在一个方面中,根据本公开的外科手术吻合器械包括砧夹具组件和订合钉夹具组件。订合钉夹具组件包括配置成接收订合钉钉仓的通道,该订合钉钉仓包括梭件。通道包括两个侧壁、底壁和与底壁相邻的凸轮表面。外科手术吻合器械进一步包括驱动构件,该驱动构件被配置成可释放地接合梭件并且使梭件在远侧方向上平移通过订合钉击发行程。锁定构件在允许驱动构件向远侧平移的第一位置与防止驱动构件向远侧平移的第二位置之间可枢转。驱动构件进一步包括支脚,该支脚被配置成接合凸轮表面并且朝向砧夹具组件同时枢转通道、梭件和锁定构件。
在另一方面中,根据本公开的外科手术吻合器械包括砧夹具组件、驱动构件、锁定构件,该驱动构件被配置成在远侧方向上平移通过订合钉击发行程,该锁定构件在允许驱动构件向远侧平移的第一位置与防止驱动构件向远侧平移的第二位置之间可枢转。订合钉夹具组件进一步包括配置成接收订合钉钉仓的通道,该订合钉钉仓包括梭件。通道包括两个侧壁,每个侧壁具有引导结构,该引导结构被配置成引导梭件的近侧倾斜表面与锁定构件的远侧倾斜表面接触,以将锁定构件的一部分推到梭件的架子上,以将锁定构件维持在第一位置。
在另一方面中,根据本公开的外科手术吻合器械包括砧夹具组件和订合钉夹具组件。订合钉夹具组件包括配置成接收订合钉钉仓的通道,该订合钉钉仓包括梭件。通道包括两个侧壁和具有一对开口的底壁。外科手术吻合器械进一步包括驱动构件,该驱动构件被配置成可释放地接合梭件并且使梭件在远侧方向上平移通过订合钉击发行程。锁定构件在允许驱动构件向远侧平移的第一位置与防止驱动构件向远侧平移的第二位置之间可枢转。锁定构件包括配置成穿过通道的底壁中的相应开口的一对支脚。一对支脚可以从防止将支脚从开口中移出的第一位置移动到允许将支脚从开口中移出的第二位置。
在另一方面中,提供一种外科手术器械,其包括砧夹具组件和订合钉夹具组件,该订合钉夹具组件包括限定纵向轴线并配置成接收订合钉钉仓的通道。该订合钉钉仓包括梭件。驱动构件被配置成可释放地接合梭件并且使梭件在远侧方向上平移通过订合钉击发行程。外科手术吻合器械进一步包括在允许驱动构件向远侧平移的第一位置与防止驱动构件向远侧平移的第二位置之间可枢转的锁定构件。锁定构件包括一对向远侧延伸的臂,每个臂具有面向近侧的斜切表面,该面向近侧的斜切表面被配置成当驱动构件在锁定构件的臂之间向远侧平移时沿通道的纵向轴线接合并对准驱动构件。
附图说明
根据结合随附的附图进行的下面详细描述,具有锁定机构的本外科手术吻合器械的上述的和其他的方面、特征和优点将变得更加明显,在附图中:
图1A是说明性外科手术吻合器械的透视图,该外科手术吻合器械包括订合钉夹具组件和砧夹具组件;
图1B是外科手术吻合器械的说明性末端执行器的分解图;
图2A是图1B的末端执行器的通道和锁定组件的俯视透视图;
图2B描绘图2A的通道和锁定构件的近端的局部透视图;
图3是图1B的处于打开位置的末端执行器的局部截面视图;
图4是图1B的处于部分闭合位置的末端执行器的末端执行器局部截面侧视图;
图5是图1B的处于基本闭合位置的末端执行器的末端执行器局部侧截面视图;
图6A是图1B的处于闭合位置的末端执行器的侧截面视图;
图6B是处于闭合位置的末端执行器的局部后透视图,其中订合钉钉仓处于适当位置;
图7是图1B的末端执行器的局部侧截面视图,其示出处于锁定位置的锁定构件;
图8是图1B的末端执行器的局部侧截面视图,其示出向远侧推进的驱动构件和梭件;
图9是图1B的末端执行器的局部侧截面视图,其示出驱动构件和梭件被推进到最远侧位置;
图10A是示出在驱动构件缩回时驱动构件与锁定构件相互作用的局部截面视图;
图10B是图10A的局部透视图;
图11是图1B的末端执行器的局部截面视图,其图示在缩回期间驱动构件的倾斜部分骑跨在锁定构件下方;
图12是图1B的末端执行器的局部截面视图,其图示驱动构件充分缩回以允许锁定构件移动到锁定位置;
图13是图1B的末端执行器的局部截面视图,其图示与锁定构件的远侧部分接合的重装载专用梭件;
图14是图1B的末端执行器的局部截面视图,其图示与锁定构件的远侧部分接合的重装载专用梭件的另一实施例;
图15是图1B的末端执行器的局部截面视图,其图示与锁定构件的远侧部分接合的重装载专用梭件的第三实施例;
图16是图1B的末端执行器的局部截面视图,其图示与锁定构件的远侧部分接合的重装载专用梭件的第四实施例;
图17是订合钉夹具组件的实施例的通道的透视图,该订合钉夹具组件具有存在于通道的侧壁上的引导结构;
图18是图17的引导结构的特写;
图19是安装在根据图18的实施例的外科手术吻合器械的通道中的重装件的局部透视图,其中通道的侧壁中的一个被移除;
图20是根据图2的实施例的通道和锁定构件的远端的局部透视图,其图示锁定构件底部的防护壁;
图21是图20的通道的仰视视图,其示出通过通道的底壁中的开口定位的锁定构件的支脚;
图22是根据图21的实施例的锁定构件的仰视透视图;
图23是根据图21的实施例的锁定构件的俯视透视图;
图24A、图24B和图24C分别是根据图22至图23的实施例的外科手术吻合器械的驱动构件的前视图、侧视图和透视图,其中驱动构件被配置成与锁定构件接合;
图25是根据图24的实施例的驱动构件的局部侧视图,该驱动构件在锁定构件处于解锁位置时接合锁定构件的斜切表面/倒角表面(chamfered surface);
图26是图25的局部俯视图。
具体实施方式
下面参考附图描述本外科手术吻合器械的特定实施例;然而,应当理解,所公开的实施例仅仅是本公开的示例,并且可以以各种形式实施。因此,本文公开的具体结构和功能细节不应被解释为限制性的,而仅仅是作为权利要求的基础以及作为教导本领域技术人员以实际上任何适当的详细结构来不同地采用本公开内容的代表性基础。没有详细描述公知的功能或构造,以避免在不必要的细节上模糊本公开。
本公开涉及一种外科手术吻合器械,其包括锁定构件和驱动构件,该驱动构件配置成与外科手术吻合器械的刀具或梭件中的至少一个接合并且使刀具或梭件中的至少一个在远侧方向上平移通过订合钉击发行程。驱动构件与刀具和/或梭件之间的接触是可释放的,这是因为一旦驱动构件使刀具和/或梭件在远侧方向上平移通过订合钉击发行程,刀具和/或梭件就从驱动构件脱离,保持在吻合器械的远侧部分处,并且不被驱动构件在近侧方向上平移。锁定构件可以从允许驱动构件向远侧平移通过订合钉击发行程的第一位置移动到防止驱动构件向远侧平移通过订合钉击发行程的第二位置。弹簧被配置成将锁定构件朝向第二位置偏压。当梭件处于近侧位置时,梭件可释放地将锁定构件维持在第一位置。当梭件向远侧推进时,梭件从锁定构件脱离,从而允许锁定构件移动到第二位置。
尽管以下公开是针对订合钉被顺序地击发的线性外科手术吻合器而提供的,但是应当理解,无论外科手术夹持和切割器械是否使用紧固件,本锁定组件可以容易地适于使用在任何类型的外科手术夹持和切割器械中。外科手术夹持和切割器械可以是微创(例如,腹腔镜)器械或用于开放外科手术的器械。
此外,本锁定组件可以容易地适于使用在通过使用本领域技术人员力所能及的任何技术激活的外科手术器械中,例如外科手术器械诸如是手动激活的外科手术器械、电动外科手术器械(例如机电驱动器械)、机器人外科手术器械和诸如此类。
图1A是根据本公开的能够利用锁定组件的说明性外科手术吻合器械10的透视图。外科手术吻合器械10包括手柄组件12和末端执行器100,该末端执行器100包括安装在外科手术吻合器械10的细长轴160上的砧夹具组件102和订合钉夹具组件104。
图1B示出砧夹具组件102和订合钉夹具组件104,砧夹具组件102包括具有支撑在其上的订合钉成形袋(未示出)的砧。订合钉夹具组件104和砧夹具组件102被配置成从打开位置移动到闭合位置。在打开位置中,新的订合钉钉仓(有时称为重装件)可以被加载到订合钉夹具组件104内,已用完的订合钉钉仓被从订合钉夹具组件104中移除,并且组织可以被定位在夹具组件102、104之间。在闭合位置中,夹具组件102、104协作以闭合并夹持组织,使得钉仓122和砧(未示出)紧密协作地对准。在图1A和图1B所示的实施例中,订合钉夹具组件104是固定的,并且砧夹具组件102枢转到打开位置。在其他实施例中,可以想到,包含砧的夹具组件是固定的,并且包含订合钉钉仓的夹具组件枢转到打开位置。如本领域技术人员阅读本公开将理解的,在其他实施例中,砧夹具组件和订合钉夹具组件两者均可枢转。
继续参考图1B,订合钉夹具组件104包括订合钉钉仓122,订合钉钉仓122被支撑在夹具123上的通道134中。钉仓122包括多个订合钉124,该多个订合钉124被支撑在对应的订合钉驱动器126上,订合钉驱动器126被提供在钉仓122中形成的相应订合钉孔128内。钉仓122还包括具有倾斜的远侧部分131的梭件130,该远侧部分131在远侧运动时顺序地作用在订合钉驱动器126上,使订合钉驱动器126向上凸轮化/向上倾斜(cam),从而使订合钉124移动成与砧(未示出)变形接触。钉仓122还包括刀具150,该刀具150被配置成向远侧平移通过钉仓122中的通道127并切断夹持的吻合组织。
图1B进一步示出驱动构件110,其被可移动地支撑在外科手术吻合器械上,使得当外科手术吻合器械被击发(例如,致动)时,驱动构件110可以向远侧穿过钉仓122和订合钉夹具组件104。还如图1B所示,锁定组件包括锁定构件116和弹簧114。
安装新的重装件后,驱动构件110处于尚未接合刀具150或梭件130的近侧位置。驱动构件110可以是能够以必要的力推动外科手术吻合器械的梭件或刀具中的至少一个来有效地切断或吻合人体组织的任何结构。驱动构件110可以是I形梁、E形梁或能够执行类似功能的任何其他类型的驱动构件。
对于说明性末端执行器的更详细描述,可以参考美国专利6,669,073和8,800,841,其全部内容通过引用并入本文。当然,应当理解,图1A和图1B中所示的末端执行器仅是示例性的,并且可以采用其他末端执行器,包括但不限于WO2014/106275(其全部内容通过引用并入本文)中所示的末端执行器。
图2A和图2B示出根据本公开实施例的外科手术吻合器械的末端执行器的通道134、弹簧114和锁定构件116。通道134包括两个侧壁134a、134b和底壁134c。
在根据本公开的外科手术吻合器械的说明性实施例中,锁定构件116被定位在通道134的近端中。弹簧114用于将锁定构件116偏压到第二位置,以防止驱动构件110向远侧移动(参见图7)。
图3至图5图示驱动构件110与通道134的凸轮表面136的相互作用,以同时枢转通道134及其内容物。
如在图3中所见,说明性外科手术吻合器械可以包括具有支脚112的驱动构件110、弹簧114、具有凸轮表面136的通道134、以及锁定构件116。图3中还示出梭件130,梭件130被容纳在订合钉钉仓122中,该订合钉钉仓的结构在该视图中未示出。
当使用者操纵手柄组件12以闭合外科手术吻合器械的夹具时,驱动构件110向远侧移动,从而导致驱动构件的支脚112变成与通道134的凸轮表面136接触。如图4至图6所示,当驱动构件110沿着凸轮表面136骑行时,实现了通道134、梭件130和锁定构件116朝向砧夹具组件的同时枢转。
如图5所示,该枢转的正时允许驱动构件的倾斜部分111在锁定构件116的接合部分118下方移开(clear)。在枢转期间,锁定构件116的远侧部分119搁置在梭件130的架子132上(参见图6A),并且因此处于允许驱动构件110向远侧平移的第一位置。在该第一位置中,锁定构件116的接合部分118被定位在通道134中的狭槽180上方。
图6至图9顺序地示出根据本公开的示例性外科手术吻合器械的致动。
在图6A和图6B中,致动行程已经开始并且驱动构件110已经向远侧推进以接触梭件130,但是梭件130尚未移动。当锁定构件继续搁置在梭件130的架子132上并且处于第一解锁位置时,下部倾斜部分111仍能够在锁定构件116下方穿过。
在图7中,驱动构件110继续沿通道134向远侧行进,从而使梭件130沿远侧方向平移。一旦梭件130开始向远侧平移,锁定构件116就从梭件130的架子132上掉落,导致锁定构件116的接合部分118通过落入并接合狭槽180而移动到第二锁定位置,从而启用锁定机构。弹簧114被配置成将锁定构件116的接合部分118朝向狭槽180偏压以保持锁定机构被启用。
如图8所示,当驱动构件110继续向远侧移动时,支脚112在通道134的底壁134c上所形成的狭槽151内骑行,并且驱动构件110的顶部构件115在砧组件102的狭槽152内骑行,以维持夹具组件102、104彼此间隔恒定的距离。
最终,如图9所示,驱动构件110向远侧平移通过整个击发行程,在此过程中发生了组织的吻合和切断。然后驱动构件110可以被缩回,以使梭件130停放在钉仓122的远侧部分中的某个位置。在实施例中,诸如在图9中所示的实施例中,梭件130由于与钉仓122的摩擦而可能无法朝向原始位置向近侧移动。在实施例中,刀具可以与驱动构件110一体地形成。在实施例中,单独的刀具150(参见图1B)可以由驱动构件110向远侧平移,并且可以被停放在位于远侧的库165中的预定位置,该库165包括面向刀具150的切割边缘的侧向表面。
图10A、图10B和图11图示了击发行程已完成之后驱动构件110的缩回。当驱动构件110缩回到末端执行器的近端时,驱动构件110的下部倾斜部分111接触锁定构件116的接合部分118并在锁定构件116的接合部分118下方骑行,导致锁定构件116克服弹簧114的偏压被向上推动。如图12中所见,一旦锁定构件116穿越过驱动构件110的整个下部倾斜部分111,弹簧114的偏压就再次迫使锁定构件116的接合部分118落入并接合狭槽180,从而接合锁定机构。
图12示出已被锁定的外科手术吻合器械的说明性实施例。如果使用者试图在该位置中致动外科手术吻合器械,则位于驱动构件110的下部倾斜部分111的远端上的远侧面113将紧靠锁定构件116的接合部分118的近侧,从而防止驱动构件110向远侧平移,从而防止外科手术吻合器械的致动。
因为订合钉钉仓已用完,并且没有近侧定位的梭件支撑锁定构件116不与狭槽180接合,所以驱动构件110接合锁定构件116可以防止重新击发外科手术吻合器械的任何尝试。再次致动外科手术吻合器械的唯一方法是安装新的、未击发的重装件。
根据本公开的实施例的外科手术吻合器械可以被配置成接受和利用多种不同类型的重装件,其中不同类型的重装件具有订合钉的各种尺寸和布置。在实施例中,不同的重装件可以包含具有各种长度(L1-L4)的架子132的重装载专用梭件130a-130d,以适应订合钉配置的变化。如图13至图16所示,尽管在梭件上具有不同长度的架子,这些不同的重装件全部以相同的位置和角度接触锁定构件,以将锁定构件推到架子上。在实施例中,这些重装件可以进行颜色编码以指示订合钉配置,并且可以与机器人系统结合使用,其中机器人系统能够基于包含在给定重装件中的梭件的架子的长度来检测重装件的类型。
当安装每种类型的重装件或钉仓122时,梭件130的近侧倾斜边缘138接合锁定构件116的远侧部分119上的倾斜表面117。在安装期间钉仓122的向近侧移动导致梭件130的近侧倾斜边缘138沿着锁定构件116的远侧部分119的倾斜表面117滑动,以便远侧部分119向上移动并移到梭件130的架子132上,从而将锁定构件116放置在第一解锁位置,从而允许重新加载的外科手术吻合器械被致动,并且允许驱动构件110如上所述向远侧平移通过订合钉击发行程。
图17示出用于在安装未击发钉仓(也称为新的重装件)时确保正确对准的特征。在实施例中,引导结构135在通道134上的基本近侧位置处形成在通道134的侧壁134a、134b上。如图18中最佳所见,引导结构135可以包含在近侧方向和远侧方向两者上延伸的倾斜部分137。
图19图示未击发的、新的重装件,其被安装到根据本公开的外科手术吻合器械的说明性实施例中。在安装重装件时,钉仓122上的斜面129在引导结构135下方滑动,从而利于重装时的正确对准。本领域技术人员可以理解,引导结构135的倾斜部分137有助于防止钉仓122的任何边缘或拐角意外地卡在引导结构上。引导结构135正确对准重装件(并因此对准包含在其中的梭件)的作用有助于引导梭件130的倾斜边缘138与锁定构件116的远侧部分119的倾斜表面117接触,以便锁定构件116如上所述地沿梭件130的近侧倾斜部分138向上骑行,并骑行到架子132上。
图20示出锁定构件116的前壁120。因为前壁120提供了保护锁定构件116的其余部分的屏障,前壁120朝向锁定构件116的远端定位。可设想的是,在根据本公开的外科手术吻合器械的清洁或维修期间,锁定构件116的前壁120可以防止使用者意外地损坏或弹出锁定构件116。
图21示出锁定构件116的另一特征。具体地,图21示出一对支脚121,其配置成穿过形成在通道134的底壁134c上的开口139。支脚121防止使用者意外地移除或重新定位锁定构件116。为了移除锁定构件116,使用者将一对支脚121朝向通道134的中心捏住,然后通过通道134的开口139向上和向外引导支脚121。支脚121允许使用者在必要时移除锁定构件116以进行清洁,同时还防止在装载、使用或移动外科手术吻合器械时锁定构件的意外移动。
图22示出根据本公开的锁定构件116的说明性实施例,其具有形成在锁定构件116的向远侧延伸的臂171上的面向近侧的斜切表面170。锁定构件116可以大体上是“U形”的,具有向远侧延伸的臂171,该臂171起源于锁定构件116的近侧中心部分175。当驱动构件110在锁定构件116的臂171之间向远侧平移时,面向近侧的斜切表面170被配置成沿着通道134的纵向轴线“A”接合并对准驱动构件110(参见图17)。如图23中最佳所见,在实施例中,锁定构件116还可以具有面向远侧的斜切表面173,该面向远侧的斜切表面173被配置成当驱动构件110缩回并在锁定构件116的臂171之间移动时沿着通道134的纵向轴线接合并对准驱动构件110。斜切表面170和173一起有助于防止驱动构件110意外地接触锁定构件116的任何边缘或拐角,同时还利于驱动构件110的平移期间的正确对准。如图24中最佳所见,驱动构件110可以具有斜切边缘174,以辅助表面170和173对准。
尽管已经在附图中示出本公开的几个实施例,但并不旨在将本公开限制于此,因为意图是使本公开的范围与本领域所允许的一样宽,并且同样地阅读说明书。因此,以上描述不应被解释为限制性的,而仅应作为当前公开的实施例的示例。因此,实施例的范围应该由所附权利要求及其合法等同物确定,而不是由所给出的示例确定。
本领域技术人员将理解,本文中具体描述并在附图中图示的设备和方法是非限制性的示例性实施例。结合一个示例性实施例说明或描述的特征可以与其他实施例的特征组合。本领域技术人员可以设计出各种替代和修改而不脱离本公开。因此,本公开旨在涵盖所有这样的替代、修改和变化。同样,基于上述实施例,本领域技术人员将理解本公开的其他特征和优点。因此,除了由所附权利要求书所指示的以外,本公开不受限于已经具体示出和描述的内容。

Claims (11)

1.一种外科手术吻合器械,其包括:
砧夹具组件;
订合钉夹具组件,其包括配置成接收订合钉钉仓的通道,所述通道包括两个侧壁和底壁,所述底壁包括一对开口;
驱动构件,其被配置成平移通过所述订合钉钉仓;和
锁定构件,其在允许所述驱动构件向远侧平移的第一位置与防止所述驱动构件向远侧平移的第二位置之间可枢转,所述锁定构件包括一对支脚,所述一对支脚被配置成穿过所述通道的所述底壁中的所述一对开口,所述一对支脚能够从防止将所述一对支脚从所述开口中移出的第一位置移动到允许将所述一对支脚从所述开口中移出的第二位置。
2.根据权利要求1所述的外科手术吻合器械,其中所述锁定构件是大致U形的。
3.根据权利要求1所述的外科手术吻合器械,其中所述锁定构件包括一对向远侧延伸的臂,所述一对支脚被形成在其远侧部分上。
4.根据权利要求3所述的外科手术吻合器械,其中所述向远侧延伸的臂能够弯曲以将所述一对支脚从所述第一位置移动到所述第二位置。
5.根据权利要求1所述的外科手术吻合器械,其中所述锁定构件进一步包括一对面向远侧的斜切表面。
6.根据权利要求1所述的外科手术吻合器械,其中所述通道进一步包括与所述通道的所述底壁相邻的凸轮表面,其中所述驱动构件包括被配置成接合所述凸轮表面并且朝向所述砧夹具组件枢转所述通道和所述锁定构件的支脚。
7.根据权利要求1所述的外科手术吻合器械,其中所述订合钉钉仓包括梭件,所述驱动构件被配置成可释放地接合所述梭件并且使所述梭件在远侧方向上平移通过订合钉击发行程。
8.根据权利要求1所述的外科手术吻合器械,其中所述驱动构件由机器人手术系统致动。
9.根据权利要求1所述的外科手术吻合器械,其中所述订合钉钉仓包括梭件,并且其中每个侧壁包括引导结构,并且其中所述订合钉钉仓的倾斜边缘位于所述梭件上。
10.根据权利要求9所述的外科手术吻合器械,其中所述引导结构被配置为当所述驱动构件在远侧方向上平移时,引导所述梭件的所述倾斜边缘与所述锁定构件的倾斜表面接触。
11.根据权利要求3所述的外科手术吻合器械,其中所述臂从所述锁定构件向远侧延伸,并且其中所述臂各自具有面向近侧的斜切表面,所述斜切表面被配置成当所述驱动构件在所述锁定构件的所述臂之间向远侧平移时,沿着所述通道的纵向轴线接合并对准所述驱动构件。
CN201980014969.5A 2018-02-26 2019-02-26 具有闭锁机构的外科手术器械 Active CN111757707B (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202410546726.9A CN118319403A (zh) 2018-02-26 2019-02-26 具有闭锁机构的外科手术器械

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201862635348P 2018-02-26 2018-02-26
US62/635,348 2018-02-26
PCT/US2019/019501 WO2019165403A1 (en) 2018-02-26 2019-02-26 Surgical instrument with lockout mechanism

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CN202410546726.9A Division CN118319403A (zh) 2018-02-26 2019-02-26 具有闭锁机构的外科手术器械

Publications (2)

Publication Number Publication Date
CN111757707A CN111757707A (zh) 2020-10-09
CN111757707B true CN111757707B (zh) 2024-05-17

Family

ID=67687351

Family Applications (2)

Application Number Title Priority Date Filing Date
CN202410546726.9A Pending CN118319403A (zh) 2018-02-26 2019-02-26 具有闭锁机构的外科手术器械
CN201980014969.5A Active CN111757707B (zh) 2018-02-26 2019-02-26 具有闭锁机构的外科手术器械

Family Applications Before (1)

Application Number Title Priority Date Filing Date
CN202410546726.9A Pending CN118319403A (zh) 2018-02-26 2019-02-26 具有闭锁机构的外科手术器械

Country Status (4)

Country Link
US (3) US11439390B2 (zh)
EP (2) EP4338687A3 (zh)
CN (2) CN118319403A (zh)
WO (1) WO2019165403A1 (zh)

Families Citing this family (202)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8827133B2 (en) 2007-01-11 2014-09-09 Ethicon Endo-Surgery, Inc. Surgical stapling device having supports for a flexible drive mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US11986183B2 (en) 2008-02-14 2024-05-21 Cilag Gmbh International Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US8740038B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a releasable portion
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
RU2014143258A (ru) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий множество слоев
CN104334098B (zh) 2012-03-28 2017-03-22 伊西康内外科公司 包括限定低压强环境的胶囊剂的组织厚度补偿件
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
MX368026B (es) 2013-03-01 2019-09-12 Ethicon Endo Surgery Inc Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal.
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US20150053737A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. End effector detection systems for surgical instruments
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
BR112016023698B1 (pt) 2014-04-16 2022-07-26 Ethicon Endo-Surgery, Llc Cartucho de prendedores para uso com um instrumento cirúrgico
US10327764B2 (en) 2014-09-26 2019-06-25 Ethicon Llc Method for creating a flexible staple line
CN106456158B (zh) 2014-04-16 2019-02-05 伊西康内外科有限责任公司 包括非一致紧固件的紧固件仓
CN106456159B (zh) 2014-04-16 2019-03-08 伊西康内外科有限责任公司 紧固件仓组件和钉保持器盖布置结构
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US9757128B2 (en) 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
BR112017012996B1 (pt) 2014-12-18 2022-11-08 Ethicon Llc Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーEthicon LLC 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10736629B2 (en) 2016-12-21 2020-08-11 Ethicon Llc Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11678880B2 (en) 2017-06-28 2023-06-20 Cilag Gmbh International Surgical instrument comprising a shaft including a housing arrangement
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10863988B2 (en) 2017-11-29 2020-12-15 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US20190192147A1 (en) 2017-12-21 2019-06-27 Ethicon Llc Surgical instrument comprising an articulatable distal head
CN111989051B (zh) 2018-02-12 2024-09-24 直观外科手术操作公司 带闭锁机构的外科手术器械
US12029473B2 (en) 2018-05-31 2024-07-09 Intuitive Surgical Operations, Inc. Surgical instruments having a jaw locking mechanism
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
CN112867447B (zh) 2018-10-19 2024-08-30 直观外科手术操作公司 内窥镜钱包线缝合外科设备
EP3897405A4 (en) 2018-12-21 2022-09-14 Intuitive Surgical Operations, Inc. ACTUATION MECHANISMS FOR SURGICAL INSTRUMENTS
US11857188B2 (en) 2018-12-21 2024-01-02 Intuitive Surgical Operations, Inc. Articulation assemblies for surgical instruments
EP3897404A4 (en) 2018-12-21 2023-01-04 Intuitive Surgical Operations, Inc. SURGICAL INSTRUMENTS WITH A REINFORCED STAPLER CARTRIDGE
US11806015B2 (en) 2018-12-21 2023-11-07 Intuitive Surgical Operations, Inc. Surgical instruments having mechanisms for identifying and/or deactivating stapler cartridges
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
EP3955831A4 (en) 2019-04-15 2022-12-28 Intuitive Surgical Operations, Inc. STAPLE MAGAZINE FOR A SURGICAL INSTRUMENT
WO2020214397A1 (en) 2019-04-17 2020-10-22 Intuitive Surgical Operations, Inc. Surgical stapling instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11896224B2 (en) 2019-05-31 2024-02-13 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11786325B2 (en) 2019-07-02 2023-10-17 Intuitive Surgical Operations, Inc. Remotely controlling a system using video
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11642129B2 (en) 2020-01-15 2023-05-09 Intuitive Surgical Operations, Inc. Staple cartridge and drive member for surgical instrument
US20220031350A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with double pivot articulation joint arrangements
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
WO2022150215A1 (en) * 2021-01-08 2022-07-14 Intuitive Surgical Operations, Inc. Surgical stapling instruments
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11998201B2 (en) 2021-05-28 2024-06-04 Cilag CmbH International Stapling instrument comprising a firing lockout
US11957336B2 (en) 2021-08-16 2024-04-16 Cilag Gmbh International Proximally located firing lockout mechanism for surgical stapler
US11992209B2 (en) 2021-08-16 2024-05-28 Cilag Gmbh International Multi-threshold motor control algorithm for powered surgical stapler
US12029508B2 (en) 2021-08-16 2024-07-09 Cilag Gmbh International Adjustable power transmission mechanism for powered surgical stapler
US11944297B2 (en) 2021-08-16 2024-04-02 Cilag Gmbh International Variable response motor control algorithm for powered surgical stapler
US11986182B2 (en) 2021-08-16 2024-05-21 Cilag Gmbh International Multi-position restraining member for sled movement
US20230052307A1 (en) 2021-08-16 2023-02-16 Cilag Gmbh International Deflectable firing member for surgical stapler
US11779332B2 (en) 2021-08-16 2023-10-10 Cilag Gmbh International Powered surgical stapler having independently operable closure and firing systems
US20230050707A1 (en) 2021-08-16 2023-02-16 Cilag Gmbh International Firing system features for surgical stapler
US12011164B2 (en) 2021-08-16 2024-06-18 Cilag Gmbh International Cartridge-based firing lockout mechanism for surgical stapler
US11992210B2 (en) 2021-08-16 2024-05-28 Cilag Gmbh International Multiple-sensor firing lockout mechanism for powered surgical stapler
US20230049736A1 (en) 2021-08-16 2023-02-16 Cilag Gmbh International Firing member tracking feature for surgical stapler
US12102321B2 (en) 2021-08-16 2024-10-01 Cilag Gmbh International Methods of operating a robotic surgical stapler
US12089842B2 (en) 2021-08-16 2024-09-17 Cilag Gmbh International Firing bailout system for powered surgical stapler
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1957854A (zh) * 2005-11-04 2007-05-09 伊西康内外科公司 锁定机构和具有该锁定机构的外科器械
CN101268954A (zh) * 2003-05-20 2008-09-24 伊西康内外科公司 具有电活化聚合物致动的单锁定机构的外科缝合器械
CN104042272A (zh) * 2013-03-13 2014-09-17 柯惠Lp公司 手术吻合装置
CN107708578A (zh) * 2015-06-18 2018-02-16 伊西康有限责任公司 具有用于在仓被用完或丢失时防止击发系统致动的闭锁构造的外科缝合器械

Family Cites Families (215)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU405234A1 (ru) 1970-09-02 1975-09-05 Всесоюзный Научно-Исследовательский Институт Хирургической Аппаратуры И Инструментов Матрица к сшивающим хирургическим аппаратам
SU886900A1 (ru) 1979-03-26 1981-12-07 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени линейных швов
US4429695A (en) 1980-02-05 1984-02-07 United States Surgical Corporation Surgical instruments
US4319576A (en) 1980-02-26 1982-03-16 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4809695A (en) 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US4608981A (en) 1984-10-19 1986-09-02 Senmed, Inc. Surgical stapling instrument with staple height adjusting mechanism
US4605001A (en) 1984-10-19 1986-08-12 Senmed, Inc. Surgical stapling instrument with dual staple height mechanism
US4767044A (en) 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
US4750488A (en) 1986-05-19 1988-06-14 Sonomed Technology, Inc. Vibration apparatus preferably for endoscopic ultrasonic aspirator
SU1333319A2 (ru) 1985-12-10 1987-08-30 Петрозаводский государственный университет им.О.В.Куусинена Ушиватель полых органов
SU1459659A1 (ru) 1986-09-29 1989-02-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени линейных швов
SU1442191A1 (ru) 1987-01-19 1988-12-07 Петрозаводский государственный университет им.О.В.Куусинена Хирургический сшивающий аппарат
US4930503A (en) 1987-06-11 1990-06-05 Pruitt J Crayton Stapling process and device for use on the mesenteries of the abdomen
US5027834A (en) 1987-06-11 1991-07-02 United States Surgical Corporation Stapling process for use on the mesenteries of the abdomen
US4848637A (en) 1987-06-11 1989-07-18 Pruitt J Crayton Staple device for use on the mesenteries of the abdomen
US4892244A (en) 1988-11-07 1990-01-09 Ethicon, Inc. Surgical stapler cartridge lockout device
WO1990005489A1 (en) 1988-11-18 1990-05-31 Immuno Sweden Ab Instrument for anastomosis
US5040715B1 (en) 1989-05-26 1994-04-05 United States Surgical Corp Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US4978049A (en) 1989-05-26 1990-12-18 United States Surgical Corporation Three staple drive member
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5571285A (en) 1991-02-19 1996-11-05 Ethicon, Inc. Surgical staple for insertion into tissue
US5688269A (en) 1991-07-10 1997-11-18 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US5307976A (en) 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US6250532B1 (en) 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
US5289963A (en) 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5443198A (en) 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
CA2075227C (en) 1991-10-18 2004-02-10 Robert J. Geiste Surgical fastening apparatus with shipping interlock
US5180092A (en) 1992-02-05 1993-01-19 Lawrence Crainich Linear surgical stapling instrument
US5484095A (en) 1992-03-31 1996-01-16 United States Surgical Corporation Apparatus for endoscopically applying staples individually to body tissue
US5484451A (en) 1992-05-08 1996-01-16 Ethicon, Inc. Endoscopic surgical instrument and staples for applying purse string sutures
JPH0675830B2 (ja) 1992-08-24 1994-09-28 丸善株式会社 ステプラー
US5342396A (en) 1993-03-02 1994-08-30 Cook Melvin S Staples
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
US5415334A (en) 1993-05-05 1995-05-16 Ethicon Endo-Surgery Surgical stapler and staple cartridge
US5709680A (en) 1993-07-22 1998-01-20 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
CA2132503C (en) 1993-10-07 2005-05-10 Donald F. Wilson Curved knife for linear staplers
US5439155A (en) 1993-10-07 1995-08-08 United States Surgical Corporation Cartridge for surgical fastener applying apparatus
US5452837A (en) 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
US5487500A (en) 1994-02-03 1996-01-30 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5452836A (en) 1994-02-07 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism
CA2144818C (en) 1994-04-07 2006-07-11 Henry Bolanos Graduated anvil for surgical stapling instruments
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
US5628446A (en) 1994-05-05 1997-05-13 United States Surgical Corporation Self-contained powered surgical apparatus
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
US5533521A (en) 1994-07-15 1996-07-09 United States Surgical Corporation Interchangeable tissue measuring device
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
US5480089A (en) 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5624452A (en) 1995-04-07 1997-04-29 Ethicon Endo-Surgery, Inc. Hemostatic surgical cutting or stapling instrument
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
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
US5697542A (en) 1995-10-19 1997-12-16 Ethicon Endo-Surgery, Inc. Endoscopic surgical stapler with compact profile
US5941442A (en) 1995-10-27 1999-08-24 United States Surgical Surgical stapler
US5667626A (en) 1996-01-29 1997-09-16 Minnesota Mining And Manufacturing Company Masking device hub providing two position tape support
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US5762255A (en) 1996-02-20 1998-06-09 Richard-Allan Medical Industries, Inc. Surgical instrument with improvement safety lockout mechanisms
IL117607A0 (en) 1996-03-21 1996-07-23 Dev Of Advanced Medical Produc Surgical stapler and method of surgical fastening
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US5959892A (en) 1997-08-26 1999-09-28 Macronix International Co., Ltd. Apparatus and method for programming virtual ground EPROM array cell without disturbing adjacent cells
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US6330956B1 (en) 1998-12-09 2001-12-18 J.W. Pet Company Molded plastic pet bowl
US6174309B1 (en) 1999-02-11 2001-01-16 Medical Scientific, Inc. Seal & cut electrosurgical instrument
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
CA2322061A1 (en) 1999-10-05 2001-04-05 Anil K. Nalagatla Stapling instrument having two staple forming surfaces
DE60135920D1 (de) 2000-10-13 2008-11-06 Tyco Healthcare Chirurgisches instrument zum anlegen von klammern
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6503259B2 (en) 2000-12-27 2003-01-07 Ethicon, Inc. Expandable anastomotic device
US7699835B2 (en) 2001-02-15 2010-04-20 Hansen Medical, Inc. Robotically controlled surgical instruments
US6592597B2 (en) 2001-05-07 2003-07-15 Ethicon Endo-Surgery, Inc. Adhesive for attaching buttress material to a surgical fastening device
US6817974B2 (en) 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
US6895219B2 (en) 2001-08-27 2005-05-17 Symbol Technologies Inc. Dual use of FFT circuity in imagers and transceivers
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
DE10158246C1 (de) 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Chirurgisches Klammersetzinstrument
US8233501B2 (en) 2002-02-13 2012-07-31 Interdigital Technology Corporation Transport block set segmentation
WO2003086206A1 (en) 2002-04-11 2003-10-23 Tyco Healthcare Group, Lp Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces
ES2540098T3 (es) 2002-05-10 2015-07-08 Covidien Lp Aparato grapador quirúrgico que tiene un conjunto aplicador de material para cierre de heridas
EP1503671B1 (en) 2002-05-10 2006-10-11 Tyco Healthcare Group Lp Wound closure material applicator and stapler
WO2003094747A1 (en) 2002-05-13 2003-11-20 Tyco Healthcare Group, Lp Surgical stapler and disposable loading unit having different size staples
US7931649B2 (en) 2002-10-04 2011-04-26 Tyco Healthcare Group Lp Vessel sealing instrument with electrical cutting mechanism
AU2003279854B2 (en) * 2002-10-04 2008-12-18 Covidien Lp Tool assembly for a surgical stapling device
JP4006385B2 (ja) 2002-11-20 2007-11-14 株式会社日立ハイテクノロジーズ 糖鎖合成装置
US7000818B2 (en) 2003-05-20 2006-02-21 Ethicon, Endo-Surger, Inc. Surgical stapling instrument having separate distinct closing and firing systems
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US20070010838A1 (en) 2003-05-20 2007-01-11 Shelton Frederick E Iv Surgical stapling instrument having a firing lockout for an unclosed anvil
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
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
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US7159750B2 (en) 2003-06-17 2007-01-09 Tyco Healtcare Group Lp Surgical stapling device
US7494039B2 (en) 2003-06-17 2009-02-24 Tyco Healthcare Group Lp Surgical stapling device
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
US6786382B1 (en) 2003-07-09 2004-09-07 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an articulation joint for a firing bar track
US7303108B2 (en) 2003-09-29 2007-12-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack
US7000819B2 (en) 2003-09-29 2006-02-21 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
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
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
CA2542532C (en) 2003-10-17 2012-08-14 Tyco Healthcare Group, Lp Surgical stapling device with independent tip rotation
US7367485B2 (en) 2004-06-30 2008-05-06 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission
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
US20060025812A1 (en) 2004-07-28 2006-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated pivoting articulation mechanism
US7506790B2 (en) 2004-07-28 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7857183B2 (en) 2004-07-28 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
US7487899B2 (en) 2004-07-28 2009-02-10 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP complete firing system lockout mechanism
US8057508B2 (en) 2004-07-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation locking 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
US7654431B2 (en) 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
US7559450B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating a fluid transfer controlled articulation mechanism
US20060291981A1 (en) 2005-06-02 2006-12-28 Viola Frank J Expandable backspan staple
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7500979B2 (en) * 2005-08-31 2009-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
US7635074B2 (en) 2005-10-04 2009-12-22 Tyco Healthcare Group Lp Staple drive assembly
US7641091B2 (en) 2005-10-04 2010-01-05 Tyco Healthcare Group Lp Staple drive assembly
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
EP1875870B1 (en) 2006-07-07 2009-12-02 Ethicon Endo-Surgery, Inc. A surgical stapling instrument.
US20080078802A1 (en) 2006-09-29 2008-04-03 Hess Christopher J Surgical staples and stapling instruments
US7721930B2 (en) 2006-11-10 2010-05-25 Thicon Endo-Surgery, Inc. Disposable cartridge with adhesive for use with a stapling device
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8827133B2 (en) 2007-01-11 2014-09-09 Ethicon Endo-Surgery, Inc. Surgical stapling device having supports for a flexible drive mechanism
CA2680148C (en) 2007-03-06 2015-09-01 Tyco Healthcare Group Lp Surgical stapling apparatus
US8590762B2 (en) 2007-03-15 2013-11-26 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configurations
US7832611B2 (en) 2007-05-16 2010-11-16 The Invention Science Fund I, Llc Steerable surgical stapler
US7950561B2 (en) 2007-06-18 2011-05-31 Tyco Healthcare Group Lp Structure for attachment of buttress material to anvils and cartridges of surgical staplers
US9050098B2 (en) 2007-11-28 2015-06-09 Covidien Ag Cordless medical cauterization and cutting device
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US9869339B2 (en) 2008-04-11 2018-01-16 Flexdex, Inc. End-effector jaw closure transmission systems for remote access tools
US8091756B2 (en) 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
US7942303B2 (en) 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US8210411B2 (en) * 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8858547B2 (en) 2009-03-05 2014-10-14 Intuitive Surgical Operations, Inc. Cut and seal instrument
US8365972B2 (en) 2009-03-31 2013-02-05 Covidien Lp Surgical stapling apparatus
US20110022078A1 (en) 2009-07-23 2011-01-27 Cameron Dale Hinman Articulating mechanism
US8672939B2 (en) 2010-06-01 2014-03-18 Covidien Lp Surgical device for performing an electrosurgical procedure
US8663270B2 (en) 2010-07-23 2014-03-04 Conmed Corporation Jaw movement mechanism and method for a surgical tool
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
EP3300678A1 (en) 2011-02-18 2018-04-04 Intuitive Surgical Operations Inc. Fusing and cutting surgical instrument and related methods
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US9370362B2 (en) * 2011-04-07 2016-06-21 Wake Forest University Health Sciences Surgical staplers with tissue protection and related methods
CN102743201B (zh) 2011-04-20 2014-03-12 苏州天臣国际医疗科技有限公司 直线型切割缝合器
US9161807B2 (en) 2011-05-23 2015-10-20 Covidien Lp Apparatus for performing an electrosurgical procedure
US8960521B2 (en) 2011-07-15 2015-02-24 Covidien Lp Loose staples removal system
US9198661B2 (en) 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein
US9254180B2 (en) 2011-09-15 2016-02-09 Ethicon Endo-Surgery, Inc. Surgical instrument with staple reinforcement clip
US9089326B2 (en) 2011-10-07 2015-07-28 Ethicon Endo-Surgery, Inc. Dual staple cartridge for surgical stapler
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9498215B2 (en) 2012-12-31 2016-11-22 Intuitive Surgical Operations, Inc. Surgical staple cartridge with enhanced knife clearance
US9675354B2 (en) * 2013-01-14 2017-06-13 Intuitive Surgical Operations, Inc. Torque compensation
RU2663489C2 (ru) 2013-02-08 2018-08-06 Этикон Эндо-Серджери, Инк. Кассета со скобами, содержащая крышку с возможностью высвобождения
US9717497B2 (en) 2013-02-28 2017-08-01 Ethicon Llc Lockout feature for movable cutting member of surgical instrument
BR112015021082B1 (pt) 2013-03-01 2022-05-10 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9717498B2 (en) 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
US9629628B2 (en) * 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
EP3135225B1 (en) * 2013-03-13 2019-08-14 Covidien LP Surgical stapling apparatus
US9566064B2 (en) 2013-03-13 2017-02-14 Covidien Lp Surgical stapling apparatus
JP2016513570A (ja) 2013-03-15 2016-05-16 セテリックス オーソピーディクス インコーポレイテッド 縫合糸パッサ型器具及び方法
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US10405857B2 (en) 2013-04-16 2019-09-10 Ethicon Llc Powered linear surgical stapler
US9687232B2 (en) 2013-12-23 2017-06-27 Ethicon Llc Surgical staples
US9700312B2 (en) 2014-01-28 2017-07-11 Covidien Lp Surgical apparatus
US9629627B2 (en) 2014-01-28 2017-04-25 Coviden Lp Surgical apparatus
US9757126B2 (en) * 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US9844369B2 (en) 2014-04-16 2017-12-19 Ethicon Llc Surgical end effectors with firing element monitoring arrangements
WO2015184446A2 (en) 2014-05-30 2015-12-03 Applied Medical Resources Corporation Electrosurgical seal and dissection systems
US9943312B2 (en) 2014-09-02 2018-04-17 Ethicon Llc Methods and devices for locking a surgical device based on loading of a fastener cartridge in the surgical device
US9757128B2 (en) * 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
KR20240042093A (ko) 2014-09-15 2024-04-01 어플라이드 메디컬 리소시스 코포레이션 자동-조정 스테이플 높이를 가진 수술용 스테이플러
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
CA3195821A1 (en) 2014-12-23 2016-06-30 Applied Medical Resources Corporation Bipolar electrosurgical sealer and divider
US10085749B2 (en) * 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10743897B2 (en) 2015-05-15 2020-08-18 Intuitive Surgical Operations, Inc. System and method for reducing blade exposures
JP2017021186A (ja) 2015-07-10 2017-01-26 キヤノン株式会社 フレームの締結方法、フレーム、シート搬送装置、及び画像形成装置
US10166026B2 (en) 2015-08-26 2019-01-01 Ethicon Llc Staple cartridge assembly including features for controlling the rotation of staples when being ejected therefrom
US10285693B2 (en) 2015-12-31 2019-05-14 Ethicon Llc Surgical stapler with locking translatable pin
US10420559B2 (en) * 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
US11304770B2 (en) 2016-03-09 2022-04-19 Intuitive Surgical Operations, Inc. Force transmission mechanism for surgical instrument, and related devices, systems, and methods
US20170296173A1 (en) * 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10478181B2 (en) 2016-04-18 2019-11-19 Ethicon Llc Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
CN114767266A (zh) 2016-06-09 2022-07-22 直观外科手术操作公司 计算机辅助远程操作手术系统和方法
WO2018005750A1 (en) 2016-07-01 2018-01-04 Intuitive Surgical Operations, Inc. Computer-assisted medical systems and methods
CN109843189B (zh) 2016-10-11 2022-01-14 直观外科手术操作公司 具有一体刀的缝合器钉盒
US10736629B2 (en) 2016-12-21 2020-08-11 Ethicon Llc Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US20180168618A1 (en) * 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
CN117860345A (zh) 2017-11-13 2024-04-12 维卡瑞斯外科手术股份有限公司 虚拟现实腕部组件
US10863988B2 (en) 2017-11-29 2020-12-15 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
US20190201146A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
US20210177500A1 (en) 2019-12-12 2021-06-17 Intuitive Surgical Operations, Inc. Surgical instruments having non-linear cam slots

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101268954A (zh) * 2003-05-20 2008-09-24 伊西康内外科公司 具有电活化聚合物致动的单锁定机构的外科缝合器械
CN1957854A (zh) * 2005-11-04 2007-05-09 伊西康内外科公司 锁定机构和具有该锁定机构的外科器械
CN104042272A (zh) * 2013-03-13 2014-09-17 柯惠Lp公司 手术吻合装置
CN107708578A (zh) * 2015-06-18 2018-02-16 伊西康有限责任公司 具有用于在仓被用完或丢失时防止击发系统致动的闭锁构造的外科缝合器械

Also Published As

Publication number Publication date
EP4338687A2 (en) 2024-03-20
EP3758619A1 (en) 2021-01-06
EP4338687A3 (en) 2024-08-07
WO2019165403A1 (en) 2019-08-29
US20240335194A1 (en) 2024-10-10
US11439390B2 (en) 2022-09-13
CN111757707A (zh) 2020-10-09
US20220395270A1 (en) 2022-12-15
EP3758619A4 (en) 2022-06-22
EP3758619B1 (en) 2024-04-03
CN118319403A (zh) 2024-07-12
US20200397430A1 (en) 2020-12-24

Similar Documents

Publication Publication Date Title
CN111757707B (zh) 具有闭锁机构的外科手术器械
CN111989051B (zh) 带闭锁机构的外科手术器械
US10863988B2 (en) Surgical instrument with lockout mechanism
US11717287B2 (en) Surgical stapling apparatus
US11350931B2 (en) Staple cartridge with shipping wedge
US10702271B2 (en) Surgical stapling apparatus
KR20210145248A (ko) 수술용 스테이플링 시스템에 대한 재장전물 커버
CN106687052B (zh) 手术紧固件施加装置
US5988479A (en) Apparatus for applying surgical fasteners
JP2023527632A (ja) 交換可能なステープルカートリッジを備える外科用ステープル留め装置
CN111265262A (zh) 用于外科器械的钉仓组件及外科器械
CN215306288U (zh) 腔镜切割吻合器的钉仓镶嵌支片
CN118490288A (zh) 带有二次击发保险的钉仓组件及吻合器
CN118105118A (zh) 一种外科手术器械及其引导组件和拆卸工具

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