CN112294382A - 刀锁定楔 - Google Patents
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Abstract
本发明涉及刀锁定楔。一种外科手术缝合装置，所述外科手术缝合装置包含适配器组件和支撑在所述适配器组件的远端部分上的重新装载组件。所述重新装载组件包含外壳壳体、支撑缝合钉的钉仓、缝合钉推进器、缝合钉致动器、刀架和锁定构件。所述缝合钉推进器可从缩回位置移动到前进位置以从所述钉仓中弹出所述缝合钉。所述缝合钉致动器可从缩回位置移动到前进位置以使所述缝合钉推进器从其缩回位置移动到其前进位置。所述刀架可在缩回位置和前进位置之间移动。所述锁定构件支撑在所述刀架上。所述锁定构件被配置成接合处于其前进位置的所述缝合钉致动器，同时接合处于其缩回位置的所述刀架，从而使得所述锁定构件阻止所述刀架再次前进。
Description
相关申请的交叉引用
申请要求2019年7月26日提交的第62/879,072号美国临时专利申请的优先权权益，所述申请的全部公开内容以引用的方式并入本文中。
技术领域
本公开涉及圆形缝合装置，并且更具体地，涉及用于圆形缝合装置的重新装载组件，其具有用以在击发圆形缝合装置之后将重新装载组件的刀架保持在缩回位置中的结构。
背景技术
常规的圆形缝合装置包含细长主体和支撑在细长主体的远侧部分上的外壳或重新装载组件。重新装载组件包含外壳壳体、支撑在外壳壳体上的具有多个缝合钉的钉仓、推进器组件、限定圆柱形空腔的刀和支撑刀的刀架。推进器组件包含环形推进器和缝合钉推进构件，所述缝合钉推进构件与环形推进器接合并且可移动，以移动缝合钉推进构件来从钉仓中弹出缝合钉。刀架可移动以推动刀通过钉仓来去掉或切割组织。
在操作圆形缝合装置将组织钉住并切开后，将刀架和刀缩回，以将刀收回到外壳壳体中。这有两个目的。第一个目的在于将刀移动到允许从由刀限定的空腔内除去组织圈的位置。第二个目的在于将刀定位在凹陷于外壳壳体内的位置中以免临床医生在操控和安置重新装载组件期间受伤。
本领域一直需要一种重新装载组件，所述重新装载组件包含用于将刀/刀架保持在缩回位置中的改进结构。
发明内容
根据本公开的实施例，一种外科手术缝合装置包含：适配器组件，所述适配器组件具有近端部分和远端部分；以及重新装载组件，所述重新装载组件支撑在所述适配器组件的所述远端部分上。所述重新装载组件包含外壳壳体、支撑多个缝合钉的钉仓、缝合钉推进器、缝合钉致动器、刀架和锁定构件。所述外壳壳体包含外壳体部分和内壳体部分。所述内壳体部分和外壳体部分限定环形空腔。所述缝合钉推进器支撑在所述环形空腔内，并且可从缩回位置移动到前进位置以从所述钉仓中弹出所述多个缝合钉。所述缝合钉致动器支撑在所述环形空腔内，并且可从缩回位置移动到前进位置以使所述缝合钉推进器从其缩回位置移动到其前进位置。所述刀架支撑在通孔内并且可在缩回位置和前进位置之间移动。所述刀架支撑刀。所述锁定构件可滑动地支撑在所述刀架上。所述锁定构件被配置成接合处于其前进位置的所述缝合钉致动器，同时接合处于其缩回位置的所述刀架，从而使得所述锁定构件阻止所述刀架再次前进。
在实施例中，所述刀架可具有限定圆周凹槽的近侧部分，所述圆周凹槽被配置成当所述锁定构件接合处于前进位置的所述缝合钉致动器时将所述锁定构件紧贴所述圆周凹槽锚定。
在另一实施例中，所述锁定构件可具有环形轮廓。
在又一实施例中，所述锁定构件可具有用于其径向弯曲的断口。
在又一实施例中，所述锁定构件可包含近侧部分和远侧部分。所述近侧部分可具有朝内径向延伸的接合表面和与所述接合表面成锐角的近侧表面。
在实施例中，所述锁定构件的远侧部分可包含钩状部分。
在另一实施例中，所述刀架可包含多个纵向延伸的主体部分。相邻的纵向延伸的主体部分可限定槽。
在又一实施例中，所述锁定构件可包含轴向引导件，所述轴向引导件被配置成可滑动地容纳在所述刀架的所述槽中。
在实施例中，每个纵向延伸的主体部分可包含限定凹槽的近侧部分和在所述凹槽近侧的锥形部分。
在另一实施例中，所述纵向延伸的主体部分的所述锥形部分可被配置成可滑动地接合所述锁定构件的所述接合表面。
在另一实施例中，所述刀架的所述凹槽可包含远侧壁和近侧壁。所述锁定构件的所述钩状部分可包含被配置成在所述凹槽的所述远侧壁上滑动的接合表面。
在另一实施例中，所述锁定构件的所述近侧表面可被配置成当所述锁定构件接合处于其前进位置的所述缝合钉致动器时接合所述凹槽的所述近侧壁。
根据本公开的另一实施例，一种外科手术缝合装置包含重新装载组件，所述重新装载组件包含限定环形空腔的外壳壳体、支撑多个缝合钉的钉仓、缝合钉推进器、缝合钉致动器、刀架和锁定构件。所述缝合钉推进器支撑在所述环形空腔内，并且可从缩回位置移动到前进位置以从所述钉仓中弹出所述多个缝合钉。所述缝合钉致动器支撑在所述环形空腔内并与所述缝合钉推进器接合。所述缝合钉致动器可从缩回位置移动到前进位置以使所述缝合钉推进器从其缩回位置移动到其前进位置。所述缝合钉致动器和所述缝合钉推进器限定通孔。所述刀架支撑在所述通孔内并且可在缩回位置和前进位置之间移动。所述刀架包含限定槽口的近侧部分。所述刀架支撑刀。所述锁定构件可滑动地支撑在所述刀架上。所述锁定构件包含环形主体，所述环形主体具有被配置成紧贴着所述刀架的所述槽口锚定的近侧端部，以及被配置成接合所述缝合钉致动器的远侧端部，使得当所述缝合钉致动器处于其前进位置并且所述刀架处于其缩回位置时，所述锁定构件阻止所述刀架再次前进。
在实施例中，所述锁定构件的远侧端部可被配置成在所述刀架的所述槽口上方滑动。
附图说明
在下文中参考图式描述了本公开的各种方面和特征，其中相同的附图标记表示若干视图中的每一张中完全相同或对应的元件，并且：
图1是包含所公开的重新装载组件的示例性实施例的圆形缝合装置的侧透视图，其中所述圆形缝合装置处于夹持位置；
图2是图1所示的圆形缝合装置的重新装载组件的侧透视图；
图3是图2所示的重新装载组件的透视分解图；
图4是图1所示的圆形缝合装置的重新装载组件的侧视图；
图5是重新装载组件的近侧端部的透视图；
图6是图3所示细节的指定区域的放大图；
图7是图1所示的重新装载组件的锁定构件的透视图；
图8是沿着图1的剖面线8-8截取的横截面图，其中重新装载组件处于预击发状态；
图9是图8所示细节的指定区域的放大图；
图10是沿着图1的剖面线8-8截取的横截面图，其中重新装载组件处于击发状态并且缝合钉致动器驱动器处于缩回位置；
图11和12是沿着图1的剖面线8-8截取的横截面图，其中重新装载组件处于击发状态并且刀架驱动器向其前进位置移动；
图13是沿着图1的剖面线8-8截取的横截面图，其中重新装载组件处于击发状态并且刀架驱动器向前进位置移动，从而使得刀架驱动器接合刀架；
图14是沿着图1的剖面线8-8截取的横截面图，其中重新装载组件处于击发状态并且刀架处于前进位置；
图15是沿着图1的剖面线8-8截取的横截面图，其中重新装载组件处于击发状态并且刀架通过锁定构件处于锁定位置；
图16是图15所示细节的指定区域的放大图。
具体实施方式
现将参考图式详细地描述公开的用于圆形缝合装置的重新装载组件，其中相同的附图标记表示若干视图中的每一张中完全相同或对应的元件。然而，应了解，所公开的实施例仅仅是本公开的示例性实施例，并且可以用各种形式实施。为了避免不必要的细节混淆本公开，本文没有对众所周知的功能或构造进行详细描述。因此，本文所公开的具体构造和功能的细节不应被理解为限制性的，而只应被理解为权利要求的基础，和用于教示本领域技术人员用实际上任何适当的详细结构以不同方式使用本公开的代表性基础。另外，例如“前”、“后”、“上”、“下”、“顶部”、“底部”、“远侧”、“近侧”的方向术语以及类似术语用于帮助理解描述且并非旨在限制本公开。
在此描述中，术语“近侧”一般用于指代装置的更靠近临床医生的部分，而术语“远侧”一般用于指代装置的离临床医生更远的部分。另外，术语“临床医生”一般用于指代包含医生、护士和辅助人员的医务人员。
图1和图2示出了包含所公开的重新装载组件的示例性实施例的圆形缝合装置10，所述重新装载组件通常示作重新装载组件100。如本领域中已知的，圆形缝合装置10包含手柄组件12、细长主体或适配器组件14、重新装载组件100和砧座组件18，所述砧座组件被支撑以用于相对于重新装载组件100在间隔位置与合拢位置之间移动。在实施例中，重新装载组件100包含可释放地耦合到适配器组件14的远侧部分14a的近侧部分102。手柄组件12包含固定把手22，所述固定把手用于支撑致动按钮24以控制圆形缝合装置10的各种功能的操作，包含：分别合拢重新装载组件100和砧座组件18、从重新装载组件100处击发缝合钉，以及切割或去掉组织，如下文进一步详细描述。
圆形缝合装置10被示为包含电动手柄组件12的电动缝合装置，所述电动手柄组件可支撑一个或多个电池(未示出)。适配器组件14呈将来自手柄组件12的动力分别转换到重新装载组件100和砧座组件18的适配器组件的形式。适配器组件14还包含刀架驱动器115(图8)和缝合钉致动器驱动器195(图8)，所述刀架驱动器与刀架114(图3)相互作用以在外壳壳体110(图3)内移动刀架114，所述缝合钉致动器驱动器195与缝合钉致动器112(图3)相互作用以在外壳壳体110内移动缝合钉致动器112。可以在美国专利第9,055,943号、第9,023,014号和美国公开案第2018/0125495号和第2017/0340351号中找到电动缝合装置的实例。替代地，可以设想本公开还能并入到如第7,303,106号美国专利('106专利)中所公开的手动缝合装置中，或并入到被配置成与如第9,962,159,号美国专利中所公开的机器人系统一起使用的不包含手柄组件的缝合装置中。这些专利和公开案中的每一个的公开内容都以全文引用的方式并入本文中。
图2和图3示出了重新装载组件100，其包含外壳壳体110、缝合钉致动器112、缝合钉推进构件112a、刀架114、支撑在刀架114上的环形刀116、钉仓118和支撑在钉仓118内的多个缝合钉120。缝合钉致动器112包含主体113，所述主体还容纳在外壳壳体110的内壳体部分142周围，且可在外壳壳体110内从缩回位置移动到前进位置。钉仓118是环形的且限定环形多行缝合钉凹座124。每个缝合钉凹座124支撑多个缝合钉120之一。缝合钉致动器112和缝合钉推进构件112a一起限定纵向通孔132(图8)。缝合钉致动器112的远侧部分邻接缝合钉推进构件112a的近侧部分，从而使得缝合钉致动器112在外壳壳体110内的远侧移动引起缝合钉推进构件112a在外壳壳体110内的远侧移动。重新装载组件100的缝合钉推进构件112a具有多个指状件134。多个指状件134中的每一个都容纳在钉仓118的缝合钉凹座124中的相应的一个缝合钉凹座内，且可移动穿过相应的缝合钉凹座124，以在缝合钉推进构件112a在外壳壳体110内从缩回位置移动到前进位置时从缝合钉凹座124中弹出缝合钉120。
具体参考图3，外壳壳体110包含相互间隔开的外壳体部分140和内壳体部分142，以限定在外壳体部分140和内壳体部分142之间的环形空腔144(图3)。缝合钉致动器112和缝合钉推进构件112a可在外壳壳体110的环形空腔144内从缩回位置移动到前进位置，以从钉仓118中弹出缝合钉120，如下文进一步详细描述。
环形刀116支撑在刀架114的外表面周围。环形刀116限定圆柱形空腔117且包含远侧切割边缘117a。在实施例中，环形刀116包含朝内延伸的柄脚117b，其容纳于在刀架114的外表面中界定的凹座114a内以将环形刀116固定到刀架114。刀架114和环形刀116位于缝合钉致动器112的纵向通孔132(图8)内，且可从缩回位置移动到前进位置以切割位于钉仓118径向内侧的组织，如下文进一步详细描述。
继续参考图3，外壳壳体110的内壳体部分142限定容纳砧座组件18的砧座轴(未示出)的通孔150。关于示例性砧座组件18的更详细描述，参见(例如)'106专利。通孔150具有容纳衬套152的近侧部分，所述衬套152限定与内壳体部分142的通孔150同轴且形成所述通孔150的延伸部的通孔150a。在实施例中，衬套152由高强度材料(例如，金属)形成以提高外壳壳体110的内壳体部分142的强度，且包含环形凸缘152a。
外壳壳体110包含支撑耦合机构160的近侧部分158(图3)，所述耦合机构可操作以将重新装载组件100可释放地耦合到圆形缝合装置10(图1)的适配器组件14，以允许移除和更换重新装载组件100，以便于重复使用圆形缝合装置10。耦合机构160包含保持构件162和耦合构件164。耦合构件164容纳在外壳壳体110的近侧部分158(图3)周围，且被配置成接合适配器组件14的远侧部分14a(图1)以将重新装载组件100耦合到适配器组件14。可以设想，可以使用其它耦合机构将重新装载组件100固定到适配器组件14。替代地，可以用不可移除的方式将重新装载组件100固定到适配器组件14。
重新装载组件100可包含e-prom固持器170(图3)，其支撑在外壳壳体110上且被配置成支撑e-prom(未示出)。如本领域中已知的，e-prom可与适配器组件14通信以提供与重新装载组件10的特性相关的信息。在一些实施例中，e-prom固持器170可以容纳在衬套152的远侧部分周围。
图3-5示出了刀架114，其包含限定中心孔172的多个间隔开的纵向延伸的主体部分173。刀架114的中心孔172容纳外壳壳体110的内壳体部分142，从而使得刀架114可围绕外壳壳体110的内壳体部分142在缩回位置(图8)和前进位置(图14)之间移动。刀架114的纵向延伸的主体部分173限定槽176，所述槽容纳外壳壳体110的引导件部分(未示出)以将刀架114限制成纵向移动。刀架114包含被定位成与刀架驱动器115接合的钩状构件178(图6)，以将刀架114从其缩回位置移动到其前进位置，如下文进一步详细描述。每个钩状构件178都包含接合表面177a(图9)且支撑锁定构件180。在实施例中，锁定构件180一开始定位成与钩状构件178相邻或接合。在实施例中，锁定构件180由弹性材料形成，所述弹性材料可以径向变形以可移除地支撑在刀架114上，但也足够刚性以阻止刀架114再次前进，如下文所描述。
图6和图7示出了重新装载组件100的锁定构件180，其包含具有环形轮廓的主体182。锁定构件180容纳在刀架114的近侧部分周围。具体地，锁定构件180包含至少一个轴向引导件184，所述至少一个轴向引导件被配置成可滑动地容纳在刀架114的槽176中(图3)以阻止锁定构件180相对于刀架114的转动，以便将刀架114限制成在外壳壳体110内轴向移动。在实施例中，锁定构件180的主体182可限定断口198以允许主体182的径向弯曲，从而便于以摩擦配合的方式将锁定构件180放置在刀架114周围。
继续参考图6和图7，锁定构件180的主体182包含近侧部分182a和远侧部分182b。近侧部分182a包含朝内径向延伸的接合表面183a，以便于与刀架114的钩状构件178的锥形表面179(图6)可滑动地接合。近侧部分182a还包含与由锁定构件180限定的纵向轴线“L-L”(图6)基本上正交的远侧表面183b。远侧表面183b被配置成接合刀架114的圆周凹槽177的接合表面177a(图9)。接合表面177a还可与纵向轴线“L-L”基本上正交。锁定构件180的远侧部分182b包含钩状部分185，其被配置成容纳在刀架114的圆周凹槽177中。另外，钩状部分185还包含相对于纵向轴线“L-L”限定锐角的远侧表面185a(图9)，以使钩状部分185能够在锁定构件180向远侧位移时在圆周凹槽177的远侧壁177b(图9)上方滑动，如下文将描述。
图8和图9示出了缝合钉致动器112，所述缝合钉致动器包含主体113，所述主体容纳在外壳壳体110的内壳体部分142(图3)周围，且可响应于缝合钉致动器驱动器195从其缩回位置到其前进位置的移动而从缩回位置(图8)移动到前进位置(图10)。主体113限定多个引导槽113a(图3)。缝合钉致动器112的引导槽113a容纳外壳壳体110的引导构件(未示出)，以将缝合钉致动器112限制成在外壳壳体110内纵向移动。
图8和图9示出了处于预击发条件的重新装载组件100，其中重新装载组件100(图3)的刀架114和缝合钉致动器112在缩回位置中，且锁定构件180在位于刀架114的圆周凹槽177的远侧壁177b近侧的未锁定位置中。当刀架114和缝合钉致动器112处于预击发缩回位置时，锁定构件180的钩状部分185位于刀架114的圆周凹槽177中，从而使得圆周凹槽177的接合表面177a在锁定构件180的钩状部分185的近侧。此时，锁定构件180的接合表面183a(图7)与刀架114的钩状构件178的锥形表面179(图6)邻接。
图10示出了当缝合钉致动器112移动到前进位置时的重新装载组件100。当缝合钉致动器112通过缝合钉致动器驱动器119在外壳壳体110内向远侧移动到前进位置时，缝合钉推进构件112a沿箭头“A”指示的方向向远侧移动，以推进缝合钉推进构件112a的多个指状件134通过钉仓118的缝合钉凹座124(图3)，从而将缝合钉120(图3)弹出到砧座组件18(以虚线示出)中。如示出的，此时固定到刀架114的环形刀116保持静止。在缝合钉致动器112移动到前进位置后，缝合钉致动器驱动器119沿着箭头“B”的方向从其前进位置移动到其缩回位置，而缝合钉致动器112保持在前进位置中。此时，锁定构件180的接合表面183a(图7)与刀架114的钩状构件178的锥形表面179(图6)保持邻接，并且锁定构件180的钩状部分185保持在刀架114的圆周凹槽177内。
图11和图12示出了重新装载组件100，刀架驱动器115向远侧移动以推动锁定构件180，从而使得锁定构件180的接合表面183a(图7)沿着箭头“F”的方向紧贴刀架114的钩状构件178的锥形表面179(图6)滑动，并且锁定构件180的钩状部分185在刀架114的远侧壁177b上方滑动。如上文所论述，钩状部分185的远侧表面185a是倾斜的，从而使得当远侧表面185a紧贴刀架114的远侧壁177b被推进时，钩状部分185在远侧壁177b上方滑动。当钩状部分185在刀架114的圆周凹槽177上方推进时，锁定构件180的近侧部分182a放置在圆周凹槽177内。
图13示出了重新装载组件100，刀架驱动器115还沿着箭头“C”的方向向远侧移动，从而使得刀架驱动器115在刀架114的圆周凹槽177上方推进整个锁定构件180，以将锁定构件180放置在刀架114的侧表面114c上。此时，刀架驱动器115的钩状部分115a容纳在刀架114的圆周凹槽177中。在这种配置下，刀架114像刀架驱动器115一样向远侧移动，二者同时轴向位移。
图14示出了重新装载组件100，刀架驱动器115移动到其前进位置。当刀架驱动器115移动到前进位置时，刀架114像刀架驱动器115一样轴向位移，继而将环形刀116推到外壳壳体110外并且推动其与砧座18(以虚线示出)接合以切割组织。此时，设置于刀架114的圆周凹槽177内的刀架驱动器115的钩状部分115a设置在锁定构件180的远侧。
图15和图16示出了重新装载组件100，当重新装载组件被击发后，刀架114从其前进位置移动到其缩回位置。当刀架114沿着箭头“E”指示的方向向近侧移动到其缩回位置时，环形刀116也向近侧移动到位于外壳壳体110内的位置。在此位置中，保护临床医生以免被环形刀116的切割边缘117a无意伤害。当刀架114相对于缝合钉致动器112向近侧移动时，设置在刀架114的圆周凹槽177中的刀架驱动器115的钩状部分115a也向近侧位移，直到钩状部分115a与锁定构件180的钩状部分185对齐为止。此时，锁定构件180的钩状部分185向刀架驱动器115的钩状部分115a施加朝内的压力，以从刀架114的圆周凹槽177中释放钩状部分115a。具体地，当锁定构件180的钩状部分185向刀架驱动器115的钩状部分115a施加朝内的压力时，钩状部分115a的近侧部分径向向外弯曲以使钩状部分115a能在圆周凹槽177的接合表面177a上方滑动，这使得当刀架驱动器115向近侧位移时刀架驱动器115与刀架114分离。以此方式，刀架114处于缩回位置，且刀架驱动器115位移离开刀架114。此时，锁定构件180紧贴着刀架114的圆周凹槽177和缝合钉致动器112锚定，以防止环形刀116通过刀架114的无意致动而露在外壳壳体110外。在这种配置下，锁定构件180在前进位置中接合缝合钉致动器112，从而使得即使当刀架驱动器115被无意致动时，锁定构件180也阻止刀架114移到前进位置。具体地，禁止刀架驱动器115的钩状部分115a容纳在刀架114的圆周凹槽177中，从而通过刀架驱动器115阻止刀架114轴向位移。同样，这阻碍了刀架114的前进从而阻止环形刀116从外壳壳体110内再次前进。
作为被配置成用于在使用期间手动抓握和操控的手柄组件12(图1)的替代方案，圆形缝合装置10可替代地被配置成与机器人外科手术系统一起使用，其中重新装载组件100被配置成以上文参考重新装载组件100与适配器组件14的接合详述的类似方式来接合机器人外科手术系统的机械臂。机器人外科手术系统可采用各种机械元件来辅助外科医生且允许远程操作(或部分远程操作)。更具体地，出于此目的，可采用各种机械臂、齿轮、凸轮、滑轮、电动电动机和机械电动机等并且其可以设计有机器人外科手术系统以在操作或处理的过程期间辅助外科医生。机器人外科手术系统可包含远程可操纵系统、自动柔性外科手术系统、远程柔性外科手术系统、远程铰接外科手术系统、无线外科手术系统、模块化或选择性可配置的远程操作外科手术系统等。
机器人外科手术系统可与手术室旁边的或位于远程位置的一个或多个控制台一起使用。在此情况下，一个外科医生或护士团队可为患者做好手术准备，并且为机器人外科手术系统配置本文公开的外科手术装置，而另一位外科医生(或一组外科医生)通过机器人外科手术系统远程控制外科手术装置。如可了解，高度熟练的外科医生可在多个位置执行多个操作而不离开他/她的远程控制台，这在经济上有利且对患者或一系列患者也是有益的。
机器人外科手术系统的机械臂通常通过控制器耦合到一对主手柄。外科医生可以移动手柄以使任何类型的外科手术器械(例如，末端执行器、抓握器、刀、剪刀、相机、流体输送装置等)的工作端产生相应的移动，这可以补充本文所描述的组织切除装置的使用。主手柄的移动可以缩放，使得工作端的相应的移动不同于、小于或大于外科医生的操作的手所执行的移动。缩放因数或齿轮传动比可以是可调整的，使得操作者可以控制一个或多个外科手术器械的工作端的分辨率。
本领域的技术人员将理解，在本文中具体描述且结合附图说明的装置和方法是非限制性的示例性实施例。可以设想，在不脱离本公开范围的情况下，结合一个示例性实施例说明或描述的元件和特征可与另一个实施例的元件和特征相结合。同样，本领域技术人员也将基于上述实施例理解本公开的其它特征和优点。相应地，除了由所附权利要求指示之外，本公开不受其它已特别示出和描述的内容限制。
Claims (19)
1.一种外科手术缝合装置，其包括：
适配器组件，所述适配器组件具有近端部分和远端部分；以及
重新装载组件，所述重新装载组件支撑在所述适配器组件的所述远端部分上，所述重新装载组件包含：
外壳壳体，所述外壳壳体包含外壳体部分和内壳体部分，所述内壳体部分和所述外壳体部分限定环形空腔；
钉仓，所述钉仓支撑多个缝合钉；
缝合钉推进器，所述缝合钉推进器支撑在所述环形空腔内，并且可从缩回位置移动到前进位置以从所述钉仓中弹出所述多个缝合钉；
缝合钉致动器，所述缝合钉致动器支撑在所述环形空腔内，并且可从缩回位置移动到前进位置以使所述缝合钉推进器从其缩回位置移动到其前进位置；
刀架，所述刀架支撑在通孔内并且可在缩回位置和前进位置之间移动，所述刀架支撑刀；以及
锁定构件，所述锁定构件可滑动地支撑在所述刀架上，所述锁定构件被配置成接合处于其前进位置的所述缝合钉致动器，同时接合处于其缩回位置的所述刀架，从而使得所述锁定构件阻止所述刀架再次前进。
2.根据权利要求1所述的外科手术缝合装置，其中所述刀架具有限定圆周凹槽的近侧部分，所述圆周凹槽被配置成当所述锁定构件接合处于前进位置的所述缝合钉致动器时将所述锁定构件紧贴所述圆周凹槽锚定。
3.根据权利要求1所述的外科手术缝合装置，其中所述锁定构件具有环形轮廓。
4.根据权利要求1所述的外科手术缝合装置，其中所述锁定构件具有用于其径向弯曲的断口。
5.根据权利要求1所述的外科手术缝合装置，其中所述锁定构件包含近侧部分和远侧部分，所述近侧部分具有朝内径向延伸的接合表面和与所述接合表面成锐角的近侧表面。
6.根据权利要求5所述的外科手术缝合装置，其中所述锁定构件的所述远侧部分包含钩状部分。
7.根据权利要求6所述的外科手术缝合装置，其中所述刀架包含多个纵向延伸的主体部分，其中相邻的纵向延伸的主体部分限定槽。
8.根据权利要求7所述的外科手术缝合装置，其中所述锁定构件包含轴向引导件，所述轴向引导件被配置成可滑动地容纳在所述刀架的所述槽中。
9.根据权利要求7所述的外科手术缝合装置，其中每个纵向延伸的主体部分包含限定凹槽的近侧部分和在所述凹槽近侧的锥形部分。
10.根据权利要求9所述的外科手术缝合装置，其中所述纵向延伸的主体部分的所述锥形部分被配置成可滑动地接合所述锁定构件的所述接合表面。
11.根据权利要求9所述的外科手术缝合装置，其中所述刀架的所述凹槽包含远侧壁和近侧壁，所述锁定构件的所述钩状部分包含被配置成在所述凹槽的所述远侧壁上滑动的接合表面。
12.根据权利要求11所述的外科手术缝合装置，其中所述锁定构件的所述近侧表面被配置成当所述锁定构件接合处于其前进位置的所述缝合钉致动器时接合所述凹槽的所述近侧壁。
13.一种外科手术缝合装置，其包括：
重新装载组件，所述重新装载组件包含：
外壳壳体，所述外壳壳体限定环形空腔；
钉仓，所述钉仓提供多个缝合钉；
缝合钉推进器，所述缝合钉推进器支撑在所述环形空腔内，并且可从缩回位置移动到前进位置以从所述钉仓中弹出所述多个缝合钉；
缝合钉致动器，所述缝合钉致动器支撑在所述环形空腔内并与所述缝合钉推进器接合，所述缝合钉致动器可从缩回位置移动到前进位置以使所述缝合钉推进器从其缩回位置移动到其前进位置，所述缝合钉致动器和所述缝合钉推进器限定通孔；
刀架，所述刀架支撑在所述通孔内并且可在缩回位置和前进位置之间移动，所述刀架包含限定槽口的近侧部分，所述刀架支撑刀；以及
锁定构件，所述锁定构件可滑动地支撑在所述刀架上，所述锁定构件包含环形主体，所述环形主体具有被配置成紧贴着所述刀架的所述槽口锚定的近侧端部，以及被配置成接合所述缝合钉致动器的远侧端部，使得当所述缝合钉致动器处于其前进位置并且所述刀架处于其缩回位置时，所述锁定构件阻止所述刀架再次前进。
14.根据权利要求13所述的外科手术缝合装置，其中所述锁定构件限定用于其径向弯曲的断口。
15.根据权利要求13所述的外科手术缝合装置，其中所述锁定构件的远侧端部被配置成在所述刀架的所述槽口上方滑动。
16.根据权利要求15所述的外科手术缝合装置，其中所述锁定构件包含轴向引导件，所述轴向引导件被配置成将所述锁定构件限制成相对于所述刀架轴向移动。
17.根据权利要求15所述的外科手术缝合装置，其中所述锁定构件的所述近侧端部包含朝内径向延伸的接合表面，所述接合表面被配置成可滑动地接合所述刀架的所述近侧部分的锥形部分。
18.根据权利要求13所述的外科手术缝合装置，其中所述锁定构件的所述远侧端部包含钩状部分。
19.根据权利要求18所述的外科手术缝合装置，其中所述钩状部分的远侧端部是锥形的。
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Families Citing this family (109)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
| US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
| US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
| US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
| US11793537B2 (en) | 2017-10-30 | 2023-10-24 | Cilag Gmbh International | Surgical instrument comprising an adaptive electrical system |
| US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
| US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
| US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
| US11406390B2 (en) | 2017-10-30 | 2022-08-09 | Cilag Gmbh International | Clip applier comprising interchangeable clip reloads |
| US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
| US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
| US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
| US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
| US11213359B2 (en) | 2017-12-28 | 2022-01-04 | Cilag Gmbh International | Controllers for robot-assisted surgical platforms |
| US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
| US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
| US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
| US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
| US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
| US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
| US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
| US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
| US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
| US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
| US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
| US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
| US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
| US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
| US20190206569A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of cloud based data analytics for use with the hub |
| US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
| US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
| US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
| US11419667B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
| US11423007B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Adjustment of device control programs based on stratified contextual data in addition to the data |
| US11771487B2 (en) | 2017-12-28 | 2023-10-03 | Cilag Gmbh International | Mechanisms for controlling different electromechanical systems of an electrosurgical instrument |
| US11179175B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Controlling an ultrasonic surgical instrument according to tissue location |
| US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
| US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
| US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
| US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
| US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
| US11013563B2 (en) | 2017-12-28 | 2021-05-25 | Ethicon Llc | Drive arrangements for robot-assisted surgical platforms |
| US12096916B2 (en) | 2017-12-28 | 2024-09-24 | Cilag Gmbh International | Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub |
| US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
| US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
| US11969142B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
| US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
| US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
| US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
| US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
| US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
| US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
| US12062442B2 (en) | 2017-12-28 | 2024-08-13 | Cilag Gmbh International | Method for operating surgical instrument systems |
| US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
| US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
| US11633237B2 (en) | 2017-12-28 | 2023-04-25 | Cilag Gmbh International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
| US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
| US11818052B2 (en) | 2017-12-28 | 2023-11-14 | Cilag Gmbh International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
| US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
| US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
| US11969216B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution |
| US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
| US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
| US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
| US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
| US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
| US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
| US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
| US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
| US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
| US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
| US20190201146A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Safety systems for smart powered surgical stapling |
| US11446052B2 (en) | 2017-12-28 | 2022-09-20 | Cilag Gmbh International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
| US11304763B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
| US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
| US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
| US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
| US10892995B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
| US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
| US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
| US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
| US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
| US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
| US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
| US11998193B2 (en) | 2017-12-28 | 2024-06-04 | Cilag Gmbh International | Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation |
| US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
| US11399858B2 (en) | 2018-03-08 | 2022-08-02 | Cilag Gmbh International | Application of smart blade technology |
| US11678927B2 (en) | 2018-03-08 | 2023-06-20 | Cilag Gmbh International | Detection of large vessels during parenchymal dissection using a smart blade |
| US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
| US11213294B2 (en) | 2018-03-28 | 2022-01-04 | Cilag Gmbh International | Surgical instrument comprising co-operating lockout features |
| US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
| US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
| US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
| US11207067B2 (en) | 2018-03-28 | 2021-12-28 | Cilag Gmbh International | Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing |
| US11259806B2 (en) | 2018-03-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein |
| US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
| US11751872B2 (en) * | 2019-02-19 | 2023-09-12 | Cilag Gmbh International | Insertable deactivator element for surgical stapler lockouts |
| US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
| US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
| US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
| US11331100B2 (en) | 2019-02-19 | 2022-05-17 | Cilag Gmbh International | Staple cartridge retainer system with authentication keys |
| USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
| USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
| USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
| US11357509B2 (en) * | 2019-07-11 | 2022-06-14 | Covidien Lp | Reload assembly for a circular stapling device |
| US11464510B2 (en) * | 2019-07-26 | 2022-10-11 | Covidien Lp | Reload assembly with knife carrier lockout |
| US11399825B2 (en) * | 2019-10-28 | 2022-08-02 | Covidien Lp | Reload assembly with knife carrier lockout |
| US11553918B2 (en) * | 2019-12-16 | 2023-01-17 | Covidien Lp | Reload assembly with knife carrier lockout |
| US11523828B2 (en) * | 2020-01-28 | 2022-12-13 | Covidien Lp | Sealed reload assembly for stapling device |
Family Cites Families (358)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA908529A (en) | 1972-08-29 | V. Astafiev Georgy | Surgical instrument for suturing hollow organs in infants | |
| DE1057729B (de) | 1954-03-29 | 1959-05-21 | Lameris Instr N V | Chirurgische Vorrichtung zum Verbinden zweier Darmteile |
| GB787043A (en) | 1954-09-15 | 1957-11-27 | Sylvania Electric Prod | Method for production of silicon |
| CA736256A (en) | 1962-08-27 | 1966-06-14 | S. Kasoolin Viacheslav | Instrument for suturing esophagus to intestine or stomach |
| FR1461464A (fr) | 1965-08-20 | 1966-02-25 | Niiex Khirurgicheskoi Apparatu | Appareil chirurgical de suture des organes |
| CH470170A (de) | 1968-02-02 | 1969-03-31 | Vnii Khirurgicheskoi Apparatur | Gerät zum Anbringen von Rundanastomosen |
| US3638652A (en) | 1970-06-01 | 1972-02-01 | James L Kelley | Surgical instrument for intraluminal anastomosis |
| US3771526A (en) | 1972-02-07 | 1973-11-13 | P Rudie | Anastomosis clamp |
| US4304236A (en) | 1977-05-26 | 1981-12-08 | United States Surgical Corporation | Stapling instrument having an anvil-carrying part of particular geometric shape |
| US4573468A (en) | 1977-05-26 | 1986-03-04 | United States Surgical Corporation | Hollow body organ stapling instrument and disposable cartridge employing relief vents |
| US4603693A (en) | 1977-05-26 | 1986-08-05 | United States Surgical Corporation | Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor |
| NL7711347A (en) | 1977-10-17 | 1979-04-19 | Carl Robert Erik Daantje | Stapling instrument for joining intestine ends - has head coupling rod in two parts screwing together with hand grip |
| US4207898A (en) | 1978-03-27 | 1980-06-17 | Senco Products, Inc. | Intralumenal anastomosis surgical stapling instrument |
| US4198982A (en) | 1978-03-31 | 1980-04-22 | Memorial Hospital For Cancer And Allied Diseases | Surgical stapling instrument and method |
| DE2947107A1 (de) | 1978-12-07 | 1980-06-26 | United States Surgical Corp | Genau fluchtende patrone und instrument zum klammern von anastomosen |
| SU1088712A1 (ru) | 1979-11-14 | 1984-04-30 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Аппарат дл циркул рного сшивани кровеносных сосудов |
| AU534210B2 (en) | 1980-02-05 | 1984-01-12 | United States Surgical Corporation | Surgical staples |
| US4319576A (en) | 1980-02-26 | 1982-03-16 | Senco Products, Inc. | Intralumenal anastomosis surgical stapling instrument |
| US4289133A (en) | 1980-02-28 | 1981-09-15 | Senco Products, Inc. | Cut-through backup washer for the scalpel of an intraluminal surgical stapling instrument |
| US4606343A (en) | 1980-08-18 | 1986-08-19 | United States Surgical Corporation | Self-powered surgical fastening instrument |
| US4351466A (en) | 1980-10-16 | 1982-09-28 | United States Surgical Corporation | Disposable instrument for surgical fastening |
| US4379457A (en) | 1981-02-17 | 1983-04-12 | United States Surgical Corporation | Indicator for surgical stapler |
| US4476863A (en) | 1981-03-09 | 1984-10-16 | Kanshin Nikolai N | Surgical instrument for establishing circular coloanastomoses |
| US4632290A (en) | 1981-08-17 | 1986-12-30 | United States Surgical Corporation | Surgical stapler apparatus |
| US4576167A (en) | 1981-09-03 | 1986-03-18 | United States Surgical Corporation | Surgical stapler apparatus with curved shaft |
| SU1114405A1 (ru) | 1982-02-23 | 1984-09-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Хирургический сшивающий аппарат дл наложени компрессионных анастомозов на органы пищеварительного тракта |
| US4473077A (en) | 1982-05-28 | 1984-09-25 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
| US4485817A (en) | 1982-05-28 | 1984-12-04 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
| US4488523A (en) | 1982-09-24 | 1984-12-18 | United States Surgical Corporation | Flexible, hydraulically actuated device for applying surgical fasteners |
| DE3301713A1 (de) | 1983-01-20 | 1984-07-26 | Horst Dr. 3004 Isernhagen Ziegler | Chirurgisches klammernahtgeraet zur herstellung zirkulaerer verbindungen |
| US4592354A (en) | 1983-10-11 | 1986-06-03 | Senmed, Inc. | Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods |
| US4505414A (en) | 1983-10-12 | 1985-03-19 | Filipi Charles J | Expandable anvil surgical stapler |
| US4550870A (en) | 1983-10-13 | 1985-11-05 | Alchemia Ltd. Partnership | Stapling device |
| IT1173284B (it) | 1984-02-16 | 1987-06-18 | Riccardo Rosati | Macchina suturatrice meccanica circolare |
| US4667673A (en) | 1984-03-12 | 1987-05-26 | American Cyanamid Company | Anastomotic device applicator and method |
| US4754909A (en) | 1984-08-09 | 1988-07-05 | Barker John M | Flexible stapler |
| US4671445A (en) | 1984-08-09 | 1987-06-09 | Baxter Travenol Laboratories, Inc. | Flexible surgical stapler assembly |
| US4703887A (en) | 1985-01-28 | 1987-11-03 | Ethicon, Inc. | Collapsible purse string aid for use with intraluminal stapling device |
| US4665917A (en) | 1985-01-28 | 1987-05-19 | Ethicon, Inc. | Tissue gripper for use with intraluminal stapling device |
| AU582625B2 (en) | 1985-01-28 | 1989-04-06 | Ethicon Inc. | Tissue gripper for use with intraluminal stapling device |
| JPS635697Y2 (zh) | 1985-04-04 | 1988-02-17 | ||
| JPS62140776A (ja) | 1985-12-16 | 1987-06-24 | 海老原 代師行 | ステ−プラ |
| US4903697A (en) | 1986-03-27 | 1990-02-27 | Semion Resnick | Cartridge assembly for a surgical stapling instrument |
| US4700703A (en) | 1986-03-27 | 1987-10-20 | Semion Resnick | Cartridge assembly for a surgical stapling instrument |
| ATE96633T1 (de) | 1986-04-21 | 1993-11-15 | Globe Control Finanz Aktienges | Vorrichtung zur herstellung einer anastomose. |
| US4917114A (en) | 1986-10-17 | 1990-04-17 | United States Surgical Corporation | Surgical fastener and surgical stapling apparatus |
| US4752024A (en) | 1986-10-17 | 1988-06-21 | Green David T | Surgical fastener and surgical stapling apparatus |
| US4776506A (en) | 1986-11-13 | 1988-10-11 | United States Surgical Corporation | Surgical stapler apparatus |
| US4873977A (en) | 1987-02-11 | 1989-10-17 | Odis L. Avant | Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis |
| US5119983A (en) | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
| US5285944A (en) | 1987-05-26 | 1994-02-15 | United States Surgical Corporation | Surgical stapler apparatus |
| US5158222A (en) | 1987-05-26 | 1992-10-27 | United States Surgical Corp. | Surgical stapler apparatus |
| SU1616624A1 (ru) | 1987-07-14 | 1990-12-30 | Предприятие П/Я А-3697 | Хирургический сшивающий аппарат |
| SU1509052A1 (ru) | 1988-01-18 | 1989-09-23 | С. А. Попов | Хирургический сшивающий аппарат |
| US4907591A (en) | 1988-03-29 | 1990-03-13 | Pfizer Hospital Products Group, Inc. | Surgical instrument for establishing compression anastomosis |
| US5193731A (en) | 1988-07-01 | 1993-03-16 | United States Surgical Corporation | Anastomosis surgical stapling instrument |
| US5005749A (en) | 1988-07-01 | 1991-04-09 | United States Surgical Corp. | Anastomosis surgical stapling instrument |
| ES2011110A6 (es) | 1988-09-02 | 1989-12-16 | Lopez Hervas Pedro | Aparato hidraulico de cuerpo flexible para anastomosis quirurgicas. |
| US5197648A (en) | 1988-11-29 | 1993-03-30 | Gingold Bruce S | Surgical stapling apparatus |
| WO1990006085A1 (en) | 1988-11-29 | 1990-06-14 | Gingold Bruce S | Surgical stapling apparatus |
| US4893662A (en) | 1988-12-06 | 1990-01-16 | Vito Gervasi | Cutting tool |
| CH677728A5 (zh) | 1989-10-17 | 1991-06-28 | Bieffe Medital Sa | |
| US5403333A (en) | 1990-08-28 | 1995-04-04 | Robert L. Kaster | Side-to-end vascular anastomotic staple apparatus |
| US5047039A (en) | 1990-09-14 | 1991-09-10 | Odis Lynn Avant | Method and apparatus for effecting dorsal vein ligation and tubular anastomosis and laparoscopic prostatectomy |
| US5253793A (en) | 1990-09-17 | 1993-10-19 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
| US5104025A (en) | 1990-09-28 | 1992-04-14 | Ethicon, Inc. | Intraluminal anastomotic surgical stapler with detached anvil |
| US5042707A (en) | 1990-10-16 | 1991-08-27 | Taheri Syde A | Intravascular stapler, and method of operating same |
| CA2055943C (en) | 1990-12-06 | 2003-09-23 | Daniel P. Rodak | Surgical fastening apparatus with locking mechanism |
| US5122156A (en) | 1990-12-14 | 1992-06-16 | United States Surgical Corporation | Apparatus for securement and attachment of body organs |
| US5222963A (en) | 1991-01-17 | 1993-06-29 | Ethicon, Inc. | Pull-through circular anastomosic intraluminal stapler with absorbable fastener means |
| JPH05508796A (ja) | 1991-03-29 | 1993-12-09 | ペルーズ エリック | 外科ステープル挿入器 |
| US5221036A (en) | 1991-06-11 | 1993-06-22 | Haruo Takase | Surgical stapler |
| US5333773A (en) | 1991-08-23 | 1994-08-02 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
| GR920100358A (el) | 1991-08-23 | 1993-06-07 | Ethicon Inc | Οργανο συρραφής χειρουργικής αναστομώσεως. |
| US5350104A (en) | 1991-08-23 | 1994-09-27 | Ethicon, Inc. | Sealing means for endoscopic surgical anastomosis stapling instrument |
| US5443198A (en) | 1991-10-18 | 1995-08-22 | United States Surgical Corporation | Surgical fastener applying apparatus |
| US5474223A (en) | 1991-10-18 | 1995-12-12 | United States Surgical Corporation | Surgical fastener applying apparatus |
| US5197649A (en) | 1991-10-29 | 1993-03-30 | The Trustees Of Columbia University In The City Of New York | Gastrointestinal endoscoptic stapler |
| US5433721A (en) | 1992-01-17 | 1995-07-18 | Ethicon, Inc. | Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue |
| US5188638A (en) | 1992-02-06 | 1993-02-23 | Tzakis Andreas G | Apparatus and method for preforming anastomosis fastener securement of hollow organs |
| US5271543A (en) | 1992-02-07 | 1993-12-21 | Ethicon, Inc. | Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism |
| US5348259A (en) | 1992-02-10 | 1994-09-20 | Massachusetts Institute Of Technology | Flexible, articulable column |
| US5425738A (en) | 1992-04-08 | 1995-06-20 | American Cyanamid Company | Endoscopic anastomosis ring insertion device and method of use thereof |
| US5282810A (en) | 1992-04-08 | 1994-02-01 | American Cyanamid Company | Surgical anastomosis device |
| US5355897A (en) | 1992-04-16 | 1994-10-18 | Ethicon, Inc. | Method of performing a pyloroplasty/pylorectomy using a stapler having a shield |
| US5344059A (en) | 1992-05-19 | 1994-09-06 | United States Surgical Corporation | Surgical apparatus and anvil delivery system therefor |
| US5314435A (en) | 1992-05-19 | 1994-05-24 | United States Surgical Corporation | Anvil delivery system |
| US5658300A (en) | 1992-06-04 | 1997-08-19 | Olympus Optical Co., Ltd. | Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues |
| JPH0647050A (ja) | 1992-06-04 | 1994-02-22 | Olympus Optical Co Ltd | 組織縫合結紮器 |
| US5360154A (en) | 1992-07-17 | 1994-11-01 | United States Surgical Corporation | Apparatus for creating partial anastomoses |
| US5330486A (en) | 1992-07-29 | 1994-07-19 | Wilk Peter J | Laparoscopic or endoscopic anastomosis technique and associated instruments |
| US5261920A (en) | 1992-08-21 | 1993-11-16 | Ethicon, Inc. | Anvil bushing for circular stapler |
| US5368215A (en) | 1992-09-08 | 1994-11-29 | United States Surgical Corporation | Surgical apparatus and detachable anvil rod therefor |
| US5309927A (en) | 1992-10-22 | 1994-05-10 | Ethicon, Inc. | Circular stapler tissue retention spring method |
| US5314436A (en) | 1992-10-30 | 1994-05-24 | Wilk Peter J | Method and apparatus for performing end-to-end anastomoses |
| US5404870A (en) | 1993-05-28 | 1995-04-11 | Ethicon, Inc. | Method of using a transanal inserter |
| US5503320A (en) | 1993-08-19 | 1996-04-02 | United States Surgical Corporation | Surgical apparatus with indicator |
| US5447514A (en) | 1993-10-01 | 1995-09-05 | United States Surgical Corporation | Circular anastomosis device |
| US5522534A (en) | 1993-10-01 | 1996-06-04 | United States Surgical Corporation | Anvil for surgical stapler |
| US5454825A (en) | 1993-10-01 | 1995-10-03 | United States Surgical Corporation | Circular anastomosis device with seal |
| US5437684A (en) | 1993-10-01 | 1995-08-01 | United States Surgical Corporation | Circular anastomosis device |
| CA2132917C (en) | 1993-10-07 | 2004-12-14 | John Charles Robertson | Circular anastomosis device |
| US5503635A (en) | 1993-11-12 | 1996-04-02 | United States Surgical Corporation | Apparatus and method for performing compressional anastomoses |
| DE4407668A1 (de) | 1994-03-09 | 1995-09-14 | Ferdinand Dr Koeckerling | Chirurgisches Anastomosenring-Setzgerät |
| US5464415A (en) | 1994-03-15 | 1995-11-07 | Chen; Te-Chuan | Sutureless intestinal anastomosis gun |
| US5860581A (en) | 1994-03-24 | 1999-01-19 | United States Surgical Corporation | Anvil for circular stapler |
| US5715987A (en) | 1994-04-05 | 1998-02-10 | Tracor Incorporated | Constant width, adjustable grip, staple apparatus and method |
| CA2147800C (en) | 1994-05-26 | 2006-07-11 | John Charles Robertson | Circular anastomosis device |
| US5881943A (en) | 1994-06-17 | 1999-03-16 | Heartport, Inc. | Surgical anastomosis apparatus and method thereof |
| US5732872A (en) | 1994-06-17 | 1998-03-31 | Heartport, Inc. | Surgical stapling instrument |
| JP3568207B2 (ja) | 1994-06-17 | 2004-09-22 | ハートポート インコーポレイテッド | 外科用ステープル打ち器具 |
| CA2146508C (en) | 1994-08-25 | 2006-11-14 | Robert H. Schnut | Anvil for circular stapler |
| US5685474A (en) | 1994-10-04 | 1997-11-11 | United States Surgical Corporation | Tactile indicator for surgical instrument |
| US7235089B1 (en) | 1994-12-07 | 2007-06-26 | Boston Scientific Corporation | Surgical apparatus and method |
| US5868760A (en) | 1994-12-07 | 1999-02-09 | Mcguckin, Jr.; James F. | Method and apparatus for endolumenally resectioning tissue |
| US5720755A (en) | 1995-01-18 | 1998-02-24 | Dakov; Pepi | Tubular suturing device and methods of use |
| US5904697A (en) | 1995-02-24 | 1999-05-18 | Heartport, Inc. | Devices and methods for performing a vascular anastomosis |
| DE19509115C2 (de) | 1995-03-16 | 1997-11-27 | Deutsche Forsch Luft Raumfahrt | Chirurgisches Gerät zum Vorbereiten einer Anastomose in minimal invasiver Operationstechnik |
| US5769841A (en) | 1995-06-13 | 1998-06-23 | Electroscope, Inc. | Electrosurgical apparatus for laparoscopic and like procedures |
| US5641111A (en) | 1995-06-28 | 1997-06-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with anvil cutting guide |
| US5749896A (en) | 1995-07-18 | 1998-05-12 | Cook; Melvin S. | Staple overlap |
| US5839639A (en) | 1995-08-17 | 1998-11-24 | Lasersurge, Inc. | Collapsible anvil assembly and applicator instrument |
| US5814055A (en) | 1995-09-19 | 1998-09-29 | Ethicon Endo-Surgery, Inc. | Surgical clamping mechanism |
| KR100269077B1 (ko) | 1995-10-31 | 2000-11-01 | 닐스 자코브슨 | 단부대측면문합수술을행할때사용되는방법과문합도구 |
| US5836503A (en) | 1996-04-22 | 1998-11-17 | United States Surgical Corporation | Insertion device for surgical apparatus |
| US6050472A (en) | 1996-04-26 | 2000-04-18 | Olympus Optical Co., Ltd. | Surgical anastomosis stapler |
| US6119913A (en) | 1996-06-14 | 2000-09-19 | Boston Scientific Corporation | Endoscopic stapler |
| US6440146B2 (en) | 1996-07-23 | 2002-08-27 | United States Surgical Corporation | Anastomosis instrument and method |
| US6024748A (en) | 1996-07-23 | 2000-02-15 | United States Surgical Corporation | Singleshot anastomosis instrument with detachable loading unit and method |
| US20020019642A1 (en) | 1996-07-23 | 2002-02-14 | Keith Milliman | Anastomosis instrument and method for performing same |
| US5833698A (en) | 1996-07-23 | 1998-11-10 | United States Surgical Corporation | Anastomosis instrument and method |
| US5855312A (en) | 1996-07-25 | 1999-01-05 | Toledano; Haviv | Flexible annular stapler for closed surgery of hollow organs |
| US5853395A (en) | 1997-02-18 | 1998-12-29 | Dexterity, Inc. | Extracorporeal pneumoperitoneum enclosure and method of use |
| US6338737B1 (en) | 1997-07-17 | 2002-01-15 | Haviv Toledano | Flexible annular stapler for closed surgery of hollow organs |
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US6117148A (en) | 1997-10-17 | 2000-09-12 | Ravo; Biagio | Intraluminal anastomotic device |
| US5951576A (en) | 1998-03-02 | 1999-09-14 | Wakabayashi; Akio | End-to-side vascular anastomosing stapling device |
| US6279809B1 (en) | 1998-03-10 | 2001-08-28 | Enrico Nicolo | Circular stapler for side to end, side to side and end to side anastomosis |
| US6517566B1 (en) | 1998-05-11 | 2003-02-11 | Surgical Connections, Inc. | Devices and methods for treating e.g. urinary stress incontinence |
| EP1077647A2 (en) | 1998-05-11 | 2001-02-28 | Claire T. Hovland | Devices and methods for treating e.g. urinary stress incontinence |
| US6629630B2 (en) | 1998-06-19 | 2003-10-07 | Scimed Life Systems, Inc. | Non-circular resection device and endoscope |
| US6585144B2 (en) | 1998-06-19 | 2003-07-01 | Acimed Life Systems, Inc. | Integrated surgical staple retainer for a full thickness resectioning 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 |
| DE19837258A1 (de) | 1998-08-17 | 2000-03-02 | Deutsch Zentr Luft & Raumfahrt | Vorrichtung zum Betätigen eines chirurgischen Instrumentariums zur Anastomose von Hohlorganen |
| DE19836950B4 (de) | 1998-08-17 | 2004-09-02 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Chirurgisches Instrument in Form eines Nahtklammergerätes |
| US6203553B1 (en) | 1999-09-08 | 2001-03-20 | United States Surgical | Stapling apparatus and method for heart valve replacement |
| US6083241A (en) | 1998-11-23 | 2000-07-04 | Ethicon Endo-Surgery, Inc. | Method of use of a circular stapler for hemorrhoidal procedure |
| US6142933A (en) | 1998-11-23 | 2000-11-07 | Ethicon Endo-Surgery, Inc. | Anoscope for hemorrhoidal surgery |
| US6102271A (en) | 1998-11-23 | 2000-08-15 | Ethicon Endo-Surgery, Inc. | Circular stapler for hemorrhoidal surgery |
| US6652542B2 (en) | 1999-04-16 | 2003-11-25 | Integrated Vascular Interventional Technologies, L.C. (Ivit, Lc) | External anastomosis operators and related systems for anastomosis |
| US6626921B2 (en) | 1999-04-16 | 2003-09-30 | Integrated Vascular Interventional Technologies, L.C. | Externally positioned anvil apparatus for cutting anastomosis |
| US6551334B2 (en) | 1999-04-16 | 2003-04-22 | Integrated Vascular Interventional Technologies, Lc | Externally directed anastomosis systems and externally positioned anastomosis fenestra cutting apparatus |
| US6743244B2 (en) | 1999-04-16 | 2004-06-01 | Integrated Vascular Interventional Technologies, L.C. | Soft anvil apparatus for cutting anastomosis fenestra |
| US6402008B1 (en) | 1999-04-19 | 2002-06-11 | Deborah A. Lucas | Surgical stapler assembly with interchangeable heads |
| US6068636A (en) | 1999-04-23 | 2000-05-30 | Chen; Te-Chuan | Intra-intestinal bypass gun |
| US6491201B1 (en) | 2000-02-22 | 2002-12-10 | Power Medical Interventions, Inc. | Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments |
| US6981941B2 (en) | 1999-06-02 | 2006-01-03 | Power Medical Interventions | 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 |
| US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
| US6793652B1 (en) | 1999-06-02 | 2004-09-21 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
| US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
| US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
| US6315184B1 (en) | 1999-06-02 | 2001-11-13 | Powermed, Inc. | Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments |
| US7032798B2 (en) | 1999-06-02 | 2006-04-25 | Power Medical Interventions, Inc. | Electro-mechanical surgical device |
| US7540839B2 (en) | 1999-10-14 | 2009-06-02 | Atropos Limited | Wound retractor |
| AU3290201A (en) | 2000-01-18 | 2001-07-31 | Tyco Healthcare | Anastomosis instrument and method for performing same |
| HU225908B1 (en) | 2000-01-24 | 2007-12-28 | Ethicon Endo Surgery Europe | Surgical circular stapling head |
| US6193129B1 (en) | 2000-01-24 | 2001-02-27 | Ethicon Endo-Surgery, Inc. | Cutting blade for a surgical anastomosis stapling instrument |
| US6533157B1 (en) | 2000-02-22 | 2003-03-18 | Power Medical Interventions, Inc. | Tissue stapling attachment for use with an electromechanical driver device |
| US6488197B1 (en) | 2000-02-22 | 2002-12-03 | Power Medical Interventions, Inc. | Fluid delivery device for use with anastomosing resecting and stapling instruments |
| US6273897B1 (en) | 2000-02-29 | 2001-08-14 | Ethicon, Inc. | Surgical bettress and surgical stapling apparatus |
| EP1416861B1 (en) | 2000-03-06 | 2008-12-03 | Tyco Healthcare Group Lp | Apparatus for performing a bypass procedure in a digestive system |
| IL139788A (en) | 2000-11-20 | 2006-10-05 | Minelu Zonnenschein | Stapler for endoscopes |
| US6592596B1 (en) | 2000-05-10 | 2003-07-15 | Scimed Life Systems, Inc. | Devices and related methods for securing a tissue fold |
| US20040267310A1 (en) | 2000-10-20 | 2004-12-30 | Racenet David C | Directionally biased staple and anvil assembly for forming the staple |
| US6821282B2 (en) | 2000-11-27 | 2004-11-23 | Scimed Life Systems, Inc. | Full thickness resection device control handle |
| US8286845B2 (en) | 2000-11-27 | 2012-10-16 | Boston Scientific Scimed, Inc. | Full thickness resection device control handle |
| US6398795B1 (en) | 2000-11-30 | 2002-06-04 | Scimed Life Systems, Inc. | Stapling and cutting in resectioning for full thickness resection devices |
| US6439446B1 (en) | 2000-12-01 | 2002-08-27 | Stephen J. Perry | Safety lockout for actuator shaft |
| US6503259B2 (en) | 2000-12-27 | 2003-01-07 | Ethicon, Inc. | Expandable anastomotic device |
| US6632237B2 (en) | 2001-01-11 | 2003-10-14 | Bio-Seal Tech, Inc. | Device and method for sealing a puncture in a blood vessel |
| EP1357844B1 (en) | 2001-01-24 | 2008-06-25 | Tyco Healthcare Group Lp | Anastomosis instrument and method for performing same |
| JP4202138B2 (ja) | 2001-01-31 | 2008-12-24 | レックス メディカル インコーポレイテッド | 胃食道組織をステープルおよび切除するための装置および方法 |
| US6769590B2 (en) | 2001-04-02 | 2004-08-03 | Susan E. Vresh | Luminal anastomotic device and method |
| JP4388745B2 (ja) | 2001-04-03 | 2009-12-24 | タイコ ヘルスケア グループ リミテッド パートナーシップ | 輪状吻合を実施するための外科用ステープルデバイス |
| US6632227B2 (en) | 2001-08-24 | 2003-10-14 | Scimed Life Systems, Inc. | Endoscopic resection devices |
| JP2005502421A (ja) | 2001-09-17 | 2005-01-27 | ガルシア・ビセンテ ヒレテ | 開頭手術用骨固定具 |
| US6578751B2 (en) | 2001-09-26 | 2003-06-17 | Scimed Life Systems, Inc. | Method of sequentially firing staples using springs and a rotary or linear shutter |
| US20070060952A1 (en) | 2005-09-02 | 2007-03-15 | Roby Mark S | Surgical stapling device with coated knife blade |
| US6605098B2 (en) | 2001-09-28 | 2003-08-12 | Ethicon, Inc. | Surgical device for creating an anastomosis between first and second hollow organs |
| US6957758B2 (en) | 2001-10-05 | 2005-10-25 | Tyco Healthcare Group, Lp | Tilt top anvil for a surgical fastener device |
| US6605078B2 (en) | 2001-11-26 | 2003-08-12 | Scimed Life Systems, Inc. | Full thickness resection device |
| DE10158246C1 (de) | 2001-11-28 | 2003-08-21 | Ethicon Endo Surgery Europe | Chirurgisches Klammersetzinstrument |
| US20030111507A1 (en) | 2001-12-14 | 2003-06-19 | George Nunez | Balloon actuator for use in a resectioning device |
| US6981979B2 (en) | 2001-12-14 | 2006-01-03 | Enrico Nicolo | Surgical anastomotic devices |
| US6905504B1 (en) | 2002-02-26 | 2005-06-14 | Cardica, Inc. | Tool for performing end-to-end anastomosis |
| US7128748B2 (en) | 2002-03-26 | 2006-10-31 | Synovis Life Technologies, Inc. | Circular stapler buttress combination |
| WO2003090631A1 (en) | 2002-04-24 | 2003-11-06 | Surgical Connections, Inc. | Resection and anastomosis devices and methods |
| JP4431404B2 (ja) | 2002-04-25 | 2010-03-17 | タイコ ヘルスケア グループ エルピー | マイクロ電気機械的システム（ｍｅｍｓ）を含む外科用器具 |
| US6685079B2 (en) | 2002-05-24 | 2004-02-03 | Scimed Life Systems, Inc. | Full thickness resectioning device |
| US6769594B2 (en) | 2002-05-31 | 2004-08-03 | Tyco Healthcare Group, Lp | End-to-end anastomosis instrument and method for performing same |
| US7195142B2 (en) | 2003-05-30 | 2007-03-27 | Tyco Healthcare Group Lp | End-to-end anastomosis instrument and method for performing same |
| ES2268384T3 (es) | 2002-06-17 | 2007-03-16 | Tyco Healthcare Group Lp | Estructuras anulares de soporte. |
| IL150855A (en) | 2002-07-22 | 2007-06-03 | Leonid Monassevitch | Intratubular anastomosis apparatus |
| WO2004032766A2 (en) | 2002-10-04 | 2004-04-22 | Tyco Healthcare Group Lp | Surgical stapling device |
| WO2004032760A2 (en) | 2002-10-04 | 2004-04-22 | Tyco Healthcare Group, Lp | Pneumatic powered surgical stapling device |
| US7220237B2 (en) | 2002-10-23 | 2007-05-22 | Satiety, Inc. | Method and device for use in endoscopic organ procedures |
| JP2004147969A (ja) | 2002-10-31 | 2004-05-27 | Univ Waseda | 吻合装置及び吻合具 |
| AU2003297955A1 (en) | 2002-12-16 | 2004-07-22 | Edrich Vascular Devices, Inc. | Multiple stapling device for narrow blood vessels |
| WO2004058080A2 (en) | 2002-12-20 | 2004-07-15 | Tyco Healthcare Group, Lp | Vacuum assisted surgical stapler |
| US6852122B2 (en) | 2003-01-23 | 2005-02-08 | Cordis Corporation | Coated endovascular AAA device |
| KR100547166B1 (ko) | 2003-04-11 | 2006-01-26 | 허윤석 | 개량형 단단문합기 |
| US7168604B2 (en) | 2003-06-20 | 2007-01-30 | Tyco Healthcare Group Lp | Surgical stapling device |
| AU2004259237B2 (en) | 2003-07-16 | 2009-10-22 | Covidien Lp | Surgical stapling device with tissue tensioner |
| US7686201B2 (en) | 2003-09-01 | 2010-03-30 | Tyco Healthcare Group Lp | Circular stapler for hemorrhoid operations |
| US7547312B2 (en) | 2003-09-17 | 2009-06-16 | Gore Enterprise Holdings, Inc. | Circular stapler buttress |
| US7309341B2 (en) | 2003-09-30 | 2007-12-18 | Ethicon Endo-Surgery, Inc. | Single lumen anastomosis applier for self-deploying fastener |
| US9055943B2 (en) | 2007-09-21 | 2015-06-16 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
| ES2387016T3 (es) | 2003-10-17 | 2012-09-11 | Tyco Healthcare Group Lp | Dispositivo de grapado quirúrgico |
| US7585306B2 (en) | 2003-12-24 | 2009-09-08 | Maquet Cardiovascular Llc | Anastomosis device, tools and methods of using |
| US8590764B2 (en) | 2003-12-24 | 2013-11-26 | Boston Scientific Scimed, Inc. | Circumferential full thickness resectioning device |
| US6953138B1 (en) | 2004-02-18 | 2005-10-11 | Frank W. Dworak | Surgical stapler anvil with nested staple forming pockets |
| US7086267B2 (en) | 2004-02-18 | 2006-08-08 | Frank W. Dworak | Metal-forming die and method for manufacturing same |
| US7118528B1 (en) | 2004-03-16 | 2006-10-10 | Gregory Piskun | Hemorrhoids treatment method and associated instrument assembly including anoscope and cofunctioning tissue occlusion device |
| US8181840B2 (en) | 2004-03-19 | 2012-05-22 | Tyco Healthcare Group Lp | Tissue tensioner assembly and approximation mechanism for surgical stapling device |
| CA2560070C (en) | 2004-03-19 | 2012-10-23 | Tyco Healthcare Group Lp | Anvil assembly with improved cut ring |
| EP1746940A2 (en) | 2004-05-17 | 2007-01-31 | Datascope Investment Corp. | Surgical stapling system |
| JP4257270B2 (ja) | 2004-07-14 | 2009-04-22 | オリンパス株式会社 | 生体組織縫合方法及び生体組織縫合器 |
| US7410086B2 (en) | 2004-07-28 | 2008-08-12 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for circular stapler |
| US7182239B1 (en) | 2004-08-27 | 2007-02-27 | Myers Stephan R | Segmented introducer device for a circular surgical stapler |
| KR100646762B1 (ko) | 2004-09-10 | 2006-11-23 | 인하대학교 산학협력단 | 수술용 스테이플 및 이를 구비한 수술용 자동 문합기 |
| US8372094B2 (en) | 2004-10-15 | 2013-02-12 | Covidien Lp | Seal element for anastomosis |
| US7717313B2 (en) | 2004-10-18 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical apparatus and structure for applying sprayable wound treatment material |
| US7938307B2 (en) | 2004-10-18 | 2011-05-10 | Tyco Healthcare Group Lp | Support structures and methods of using the same |
| AU2005295477B2 (en) | 2004-10-18 | 2011-11-24 | Covidien Lp | Structure for applying sprayable wound treatment material |
| US7845536B2 (en) | 2004-10-18 | 2010-12-07 | Tyco Healthcare Group Lp | Annular adhesive structure |
| US8142475B2 (en) | 2004-10-18 | 2012-03-27 | Tyco Healthcare Group Lp | Adhesive suture structure and methods of using the same |
| AU2005296053B2 (en) | 2004-10-18 | 2011-03-10 | Covidien Lp | Compression anastomosis device and method |
| AU2005295807B2 (en) | 2004-10-18 | 2011-09-01 | Covidien Lp | Annular adhesive structure |
| US7455682B2 (en) | 2004-10-18 | 2008-11-25 | Tyco Healthcare Group Lp | Structure containing wound treatment material |
| ITMI20042132A1 (it) | 2004-11-05 | 2005-02-05 | Ethicon Endo Surgery Inc | Dispositivo e metodo per la terapia dell'obesita' |
| US7207168B2 (en) | 2004-11-19 | 2007-04-24 | The Schnipke Family Limited Liability Company | Apparatus and method for inserting staple drivers in a cartridge |
| EP1847225B1 (en) | 2005-01-26 | 2011-12-21 | Suzhou Touchstone International Medical Science Co., Ltd. | Surgical stapler having a stapling head with a rotatable cutter |
| US20060201989A1 (en) | 2005-03-11 | 2006-09-14 | Ojeda Herminio F | Surgical anvil and system for deploying the same |
| US9364229B2 (en) | 2005-03-15 | 2016-06-14 | Covidien Lp | Circular anastomosis structures |
| US7717312B2 (en) | 2005-06-03 | 2010-05-18 | Tyco Healthcare Group Lp | Surgical instruments employing sensors |
| US8038046B2 (en) | 2006-05-19 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Electrical surgical instrument with optimized power supply and drive |
| US8627995B2 (en) | 2006-05-19 | 2014-01-14 | Ethicon Endo-Sugery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
| US7959050B2 (en) | 2005-07-26 | 2011-06-14 | Ethicon Endo-Surgery, Inc | Electrically self-powered surgical instrument with manual release |
| US20070029363A1 (en) | 2005-08-07 | 2007-02-08 | Sergey Popov | Surgical apparatus with remote drive |
| 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 |
| 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 |
| US7771440B2 (en) | 2005-08-18 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Method and apparatus for endoscopically performing gastric reduction surgery in a single pass |
| US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
| CN2868208Y (zh) | 2005-12-14 | 2007-02-14 | 苏州天臣国际医疗科技有限公司 | 设有自动保险机构的圆管型装订仪 |
| US7422138B2 (en) | 2006-02-01 | 2008-09-09 | Ethicon Endo-Surgery, Inc. | Elliptical intraluminal surgical stapler for anastomosis |
| US7793813B2 (en) | 2006-02-28 | 2010-09-14 | Tyco Healthcare Group Lp | Hub for positioning annular structure on a surgical device |
| WO2007112059A2 (en) | 2006-03-23 | 2007-10-04 | Edrich Health Technologies , Inc. | Vascular anastomotic staplers |
| US8206294B2 (en) | 2008-09-30 | 2012-06-26 | Ethicon Endo-Surgery, Inc. | Surgical access device with flexible seal channel |
| US8357085B2 (en) | 2009-03-31 | 2013-01-22 | Ethicon Endo-Surgery, Inc. | Devices and methods for providing access into a body cavity |
| EP1875870B1 (en) | 2006-07-07 | 2009-12-02 | Ethicon Endo-Surgery, Inc. | A surgical stapling instrument. |
| US7527185B2 (en) | 2006-07-12 | 2009-05-05 | Niti Surgical Solutions Ltd. | Compression anastomosis ring assembly and applicator for use therewith |
| US20080078802A1 (en) | 2006-09-29 | 2008-04-03 | Hess Christopher J | Surgical staples and stapling instruments |
| US8272555B2 (en) | 2007-03-07 | 2012-09-25 | Tyco Healthcare Group Lp | Stapler for mucosectomy |
| US8590762B2 (en) | 2007-03-15 | 2013-11-26 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configurations |
| US7978403B2 (en) | 2007-05-10 | 2011-07-12 | Stc.Unm | Imaging interferometric microscopy |
| US8038045B2 (en) | 2007-05-25 | 2011-10-18 | Tyco Healthcare Group Lp | Staple buttress retention system |
| US7600663B2 (en) | 2007-07-05 | 2009-10-13 | Green David T | Apparatus for stapling and incising tissue |
| US7967181B2 (en) | 2007-08-29 | 2011-06-28 | Tyco Healthcare Group Lp | Rotary knife cutting systems |
| US9023014B2 (en) | 2007-09-21 | 2015-05-05 | Covidien Lp | Quick connect assembly for use between surgical handle assembly and surgical accessories |
| US20090082785A1 (en) | 2007-09-24 | 2009-03-26 | Milliman Keith L | Anvil Delivery Device Accessory |
| US8011554B2 (en) | 2008-01-09 | 2011-09-06 | Tyco Healthcare Group, Lp | Raised boss for staple guide |
| US7980443B2 (en) * | 2008-02-15 | 2011-07-19 | Ethicon Endo-Surgery, Inc. | End effectors for a surgical cutting and stapling instrument |
| US8733611B2 (en) | 2008-03-12 | 2014-05-27 | Covidien Lp | Ratcheting mechanism for surgical stapling device |
| US8020741B2 (en) | 2008-03-18 | 2011-09-20 | Barosense, Inc. | Endoscopic stapling devices and methods |
| US8231041B2 (en) | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
| WO2009133875A1 (ja) | 2008-04-30 | 2009-11-05 | 学校法人自治医科大学 | 自然開口部越管腔内視鏡手術（ｎｏｔｅｓ）用外科手術システム及び外科手術方法 |
| US8403889B2 (en) | 2008-06-25 | 2013-03-26 | Covidien Lp | Access assembly |
| US8011551B2 (en) | 2008-07-01 | 2011-09-06 | Tyco Healthcare Group Lp | Retraction mechanism with clutch-less drive for use with a surgical apparatus |
| US8678264B2 (en) | 2008-07-07 | 2014-03-25 | Covidien Lp | Surgical instrument with elongated channel |
| US8109426B2 (en) | 2008-08-12 | 2012-02-07 | Tyco Healthcare Group Lp | Surgical tilt anvil assembly |
| US8672931B2 (en) | 2008-08-18 | 2014-03-18 | 3JT Enterprises, LLC | Cryosurgical device with metered dose |
| US8113405B2 (en) | 2008-09-03 | 2012-02-14 | Tyco Healthcare Group, Lp | Surgical instrument with indicator |
| US20100051668A1 (en) | 2008-09-03 | 2010-03-04 | Milliman Keith L | Surgical instrument with indicator |
| US8181838B2 (en) | 2008-09-10 | 2012-05-22 | Tyco Healthcare Group Lp | Surgical stapling device |
| US7837080B2 (en) | 2008-09-18 | 2010-11-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with device for indicating when the instrument has cut through tissue |
| US20100084453A1 (en) | 2008-10-03 | 2010-04-08 | Changzhou Waston Medical Appliance Co., Ltd | Circular stapler |
| US7918377B2 (en) | 2008-10-16 | 2011-04-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with apparatus for providing anvil position feedback |
| US8231042B2 (en) | 2008-11-06 | 2012-07-31 | Tyco Healthcare Group Lp | Surgical stapler |
| US7886951B2 (en) | 2008-11-24 | 2011-02-15 | Tyco Healthcare Group Lp | Pouch used to deliver medication when ruptured |
| US8770460B2 (en) | 2008-12-23 | 2014-07-08 | George E. Belzer | Shield for surgical stapler and method of use |
| US8408441B2 (en) | 2009-01-06 | 2013-04-02 | Covidien Lp | Surgical stapler |
| US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
| US8418909B2 (en) | 2009-06-02 | 2013-04-16 | Covidien Lp | Surgical instrument and method for performing a resection |
| US8276802B2 (en) | 2009-07-11 | 2012-10-02 | Tyco Healthcare Group Lp | Surgical instrument with double cartridge and anvil assemblies |
| US8146790B2 (en) | 2009-07-11 | 2012-04-03 | Tyco Healthcare Group Lp | Surgical instrument with safety mechanism |
| US20110011916A1 (en) | 2009-07-16 | 2011-01-20 | New York University | Anastomosis device |
| US8328062B2 (en) | 2009-07-21 | 2012-12-11 | Covidien Lp | Surgical instrument with curvilinear tissue-contacting surfaces |
| US8267301B2 (en) | 2009-08-19 | 2012-09-18 | Tyco Healthcare Group Lp | Surgical stapler |
| HU229773B1 (hu) | 2009-09-02 | 2014-06-30 | Eszköz sebészeti beavatkozáshoz | |
| US20130032628A1 (en) | 2009-10-26 | 2013-02-07 | B. J. Zh. F. Panther Medical Equipment Co., Ltd. | Anorectal surgical instrument and anal dilator |
| US8430292B2 (en) | 2009-10-28 | 2013-04-30 | Covidien Lp | Surgical fastening apparatus |
| US8413872B2 (en) | 2009-10-28 | 2013-04-09 | Covidien Lp | Surgical fastening apparatus |
| US8322590B2 (en) | 2009-10-28 | 2012-12-04 | Covidien Lp | Surgical stapling instrument |
| US8899466B2 (en) | 2009-11-19 | 2014-12-02 | Ethicon Endo-Surgery, Inc. | Devices and methods for introducing a surgical circular stapling instrument into a patient |
| US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
| CN102188271B (zh) | 2010-03-08 | 2012-10-10 | 北京中法派尔特医疗设备有限公司 | 可侧倒和复位的抵钉座组件及采用该抵钉座组件的吻合器 |
| US8662370B2 (en) | 2010-04-08 | 2014-03-04 | Hidehisa Thomas Takei | Introducer system and assembly for surgical staplers |
| US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
| US8998061B2 (en) | 2010-10-01 | 2015-04-07 | Covidien Lp | Surgical fastener applying apparatus |
| US20120145755A1 (en) | 2010-12-14 | 2012-06-14 | Pk Products, Llc | Tool securing device and methods related thereto |
| US8496157B2 (en) | 2011-02-18 | 2013-07-30 | Covidien Lp | Tilting anvil for annular surgical stapler |
| US8479968B2 (en) | 2011-03-10 | 2013-07-09 | Covidien Lp | Surgical instrument buttress attachment |
| US9649113B2 (en) | 2011-04-27 | 2017-05-16 | Covidien Lp | Device for monitoring physiological parameters in vivo |
| US8490850B2 (en) | 2011-04-29 | 2013-07-23 | Covidien Lp | Circular stapler with controlled tissue compression |
| US8746532B2 (en) | 2011-05-19 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Anvil and cartridge alignment configuration for a circular stapler |
| JP5282800B2 (ja) * | 2011-06-23 | 2013-09-04 | 富士ゼロックス株式会社 | 画像処理装置及びプログラム |
| US20130060258A1 (en) | 2011-08-26 | 2013-03-07 | Carman Giacomantonio | Endoluminal Surgical Instrument for Stapling, Cutting and Dividing |
| US9016547B2 (en) | 2011-10-26 | 2015-04-28 | Covidien Lp | EEA tilt top anvil with ratchet/locking mechanism |
| US9010608B2 (en) | 2011-12-14 | 2015-04-21 | Covidien Lp | Releasable buttress retention on a surgical stapler |
| US9351731B2 (en) | 2011-12-14 | 2016-05-31 | Covidien Lp | Surgical stapling apparatus including releasable surgical buttress |
| US8967448B2 (en) | 2011-12-14 | 2015-03-03 | Covidien Lp | Surgical stapling apparatus including buttress attachment via tabs |
| US9113885B2 (en) | 2011-12-14 | 2015-08-25 | Covidien Lp | Buttress assembly for use with surgical stapling device |
| US9220505B2 (en) | 2011-12-16 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with locking feature to lock anvil actuator |
| US9603599B2 (en) | 2011-12-16 | 2017-03-28 | Ethicon Endo-Surgery, Llc | Feature to reengage safety switch of tissue stapler |
| US20130172681A1 (en) | 2011-12-29 | 2013-07-04 | Covidien Lp | Wound protector with reinforced ring |
| US9549738B2 (en) | 2012-01-05 | 2017-01-24 | Ethicon Endo-Surgery, Llc | Ratcheting feature on tissue staple trigger to prevent premature jaw opening |
| US9095340B2 (en) | 2012-01-05 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Tissue stapler safety switch feature to prevent premature jaw opening |
| US9186148B2 (en) | 2012-01-05 | 2015-11-17 | Ethicon Endo-Surgery, Inc. | Tissue stapler anvil feature to prevent premature jaw opening |
| US20130175315A1 (en) | 2012-01-11 | 2013-07-11 | Covidien Lp | Method and device for performing a surgical anastomosis |
| US9168042B2 (en) | 2012-01-12 | 2015-10-27 | Covidien Lp | Circular stapling instruments |
| US9010605B2 (en) | 2012-01-12 | 2015-04-21 | Covidien Lp | Sliding sleeve for circular stapling instrument reloads |
| US9326773B2 (en) | 2012-01-26 | 2016-05-03 | Covidien Lp | Surgical device including buttress material |
| US9010609B2 (en) | 2012-01-26 | 2015-04-21 | Covidien Lp | Circular stapler including buttress |
| US9010612B2 (en) | 2012-01-26 | 2015-04-21 | Covidien Lp | Buttress support design for EEA anvil |
| US9038882B2 (en) | 2012-02-03 | 2015-05-26 | Covidien Lp | Circular stapling instrument |
| US9022274B2 (en) | 2012-02-15 | 2015-05-05 | Covidien Lp | Circular stapler with increased lumen diameter |
| US20130225932A1 (en) | 2012-02-23 | 2013-08-29 | Covidien Lp | Multi-portion wound protector |
| US9186141B2 (en) * | 2012-04-12 | 2015-11-17 | Covidien Lp | Circular anastomosis stapling apparatus utilizing a two stroke firing sequence |
| US20130284792A1 (en) | 2012-04-26 | 2013-10-31 | Covidien Lp | Surgical Stapling Device Including A Camera |
| US10213205B2 (en) | 2012-07-06 | 2019-02-26 | Covidien Lp | T-slot tilt anvil for circular stapling instrument |
| US9351724B2 (en) | 2013-01-11 | 2016-05-31 | Covidien Lp | Circular stapling instrument |
| US9750503B2 (en) | 2013-07-11 | 2017-09-05 | Covidien Lp | Methods and devices for performing a surgical anastomosis |
| US10039546B2 (en) * | 2013-12-23 | 2018-08-07 | Covidien Lp | Loading unit including shipping member |
| CN106455936B (zh) | 2014-04-02 | 2019-03-08 | 柯惠有限合伙公司 | 用于内窥镜手术的外科紧固件施加装置、套件和方法 |
| US10898196B2 (en) | 2014-11-21 | 2021-01-26 | Covidien Lp | Cleaning apparatus for surgical instruments |
| US10085744B2 (en) | 2014-12-08 | 2018-10-02 | Covidien Lp | Loading unit attachment band for surgical stapling instrument |
| US9706999B2 (en) | 2015-04-20 | 2017-07-18 | Olympus Corporation | Method for tissue resection |
| US10842495B2 (en) * | 2015-10-21 | 2020-11-24 | Covidien Lp | Annular knife for a surgical stapler |
| US20170340351A1 (en) | 2016-05-31 | 2017-11-30 | Covidien Lp | Flexible trocar assembly for surgical circular stapling devices |
| US10499922B2 (en) | 2016-11-04 | 2019-12-10 | Covidien Lp | Stapling device with self-releasing knife carrier pusher |
| US10426470B2 (en) * | 2016-11-04 | 2019-10-01 | Covidien Lp | Stapling device with releasable knife carrier |
| US11065005B2 (en) | 2018-11-07 | 2021-07-20 | Covidien Lp | Reload assembly for a circular stapling device |
| US11399838B2 (en) | 2019-04-22 | 2022-08-02 | Covidien Lp | Reload assembly for circular stapling devices |
-
2020
- 2020-06-02 US US16/890,150 patent/US11253255B2/en active Active
- 2020-07-10 CN CN202010662277.6A patent/CN112294382A/zh active Pending
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| US20220151610A1 (en) | 2022-05-19 |
| US20210022731A1 (en) | 2021-01-28 |
| EP3769697B1 (en) | 2023-12-13 |
| EP3769697A1 (en) | 2021-01-27 |
| US11253255B2 (en) | 2022-02-22 |
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