CN113491552A - 滑动件检测装置 - Google Patents

滑动件检测装置 Download PDF

Info

Publication number
CN113491552A
CN113491552A CN202110339015.0A CN202110339015A CN113491552A CN 113491552 A CN113491552 A CN 113491552A CN 202110339015 A CN202110339015 A CN 202110339015A CN 113491552 A CN113491552 A CN 113491552A
Authority
CN
China
Prior art keywords
stapling device
tool assembly
assembly
detection member
staple cartridge
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.)
Pending
Application number
CN202110339015.0A
Other languages
English (en)
Inventor
肯尼斯·卡波拉
斯坦尼斯瓦夫·Z·马尔奇克
拉塞尔·普里巴尼奇
贾斯汀·威廉斯
约翰·W·比尔兹利
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Covidien LP
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Covidien LP filed Critical Covidien LP
Publication of CN113491552A publication Critical patent/CN113491552A/zh
Pending legal-status Critical Current

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0686—Surgical 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
    • A61B90/96—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B2017/0688—Packages or dispensers for surgical staplers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07257—Stapler heads characterised by its anvil
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07271—Stapler heads characterised by its cartridge
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07278—Stapler heads characterised by its sled or its staple holder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07285—Stapler heads characterised by its cutter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/038—Automatic limiting or abutting means, e.g. for safety during shipment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0808—Indication means for indicating correct assembly of components, e.g. of the surgical apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0814—Preventing re-use

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Portable Nailing Machines And Staplers (AREA)

Abstract

本发明涉及滑动件检测装置，并提供一种外科钉合装置和包装组合件，其中外科钉合装置包括钉装填器和运输楔形件。在实施例中，所述运输楔形件被配置为在所述钉装填器不具有致动滑动件的情况下禁止使用钉装填器。在其它实施例中，所述致动滑动件包括可读标识符，所述可读标识符便于从所述钉装填器外部的位置确认致动滑动件存在于钉装填器内。

Description

滑动件检测装置
技术领域
本公开涉及外科钉合装置，并且更具体地涉及用于检测外科钉合装置的工具组合件中的致动滑动件的存在的装置。
背景技术
用于同时钉合和切割组织的外科钉合装置在本领域中是已知的，并且可有包括线性、圆形和弯曲的各种开放和内窥镜配置。通常，被配置用于内窥镜用途的线性外科钉合装置包括钉仓和滑动件，钉仓包括用于切割组织的刀杆，滑动件可移动通过钉仓以从钉仓弹出钉。在一些装置中，滑动件定位成由刀杆接合并前进通过钉仓。
当工具组合件中不存在致动滑动件时，刀杆通过钉合装置的钉仓的前进切割身体组织，但不影响身体组织的钉合。这可能会对患者造成严重后果。尽管在制造过程期间提供了多次检查以确认在钉合装置的工具组合件内存在致动滑动件，但是在本领域中仍然需要一种能够更精确地检测在工具组合件内不存在致动滑动件和/或防止使用不包括滑动件组合件的工具组合件的机构。
发明内容
本公开的一个方面涉及一种外科钉合装置和包装组合件，其包括钉合装置、运输楔形件和包装件。该钉合装置包括工具组合件，其包括砧座、钉仓组合件和刀杆。钉仓组合件联接到砧座，使得工具组合件可在打开位置与夹紧位置之间移动。钉仓组合件包括致动滑动件，并且刀杆和致动滑动件可移动通过工具组合件以从钉仓弹出钉。运输楔形件可释放地联接到钉合装置，并且包括主体和支撑在主体上用于在第一位置与第二位置之间移动的检测构件。检测构件定位成当运输楔形件联接到钉合装置时延伸到工具组合件中并接合致动滑动件，其中检测构件与致动滑动件的接合将检测构件从第二位置移动到第一位置。包装件限定了用于在运输楔形件联接到钉合装置时容纳该钉合装置和运输楔形件的空腔，该空腔被配置为当检测构件处于第一位置时将钉合装置和运输楔形件容纳在空腔内，并且当检测构件处于第二位置时防止将钉合装置和运输楔形件容纳在空腔内。
在实施例中，运输楔形件包括偏置组合件，该偏置组合件定位成将检测构件朝向第二位置偏置。
在一些实施例中，运输楔形件包括限定通道的壳体部分和延伸穿过壳体部分进入通道的横向孔，并且检测构件限定检测构件孔，其在检测构件处于第一位置时与横向孔对准并在检测构件处于第二位置时与横向孔未对准。
在某些实施例中，包装件包括柱，该柱定位在空腔内并被配置为在检测构件处于第一位置时穿过运输楔形件的壳体部分的横向孔和检测构件孔，并在检测构件处于第二位置时防止钉合装置和运输楔形件放置于空腔中。
在实施例中，运输楔形件包括多个弹性夹子构件，所述多个弹性夹子构件被配置为可释放地接合钉合装置以将运输楔形件固定到钉合装置。
在一些实施例中，砧座包括通孔，并且当运输楔形件固定到钉合装置时，检测构件延伸穿过通孔并进入钉仓组合件。
在某些实施例中，运输楔形件包括限定具有第一端和第二端的通道的壳体部分，并且当检测构件处于第一位置时，检测构件从通道的第一端延伸，并且当检测构件处于第二位置时，检测构件从通道的第二端延伸。
在实施例中，包装件的空腔被配置为当检测构件处于第一位置时容纳钉合装置和运输楔形件，并且当检测构件处于第二位置时防止钉合装置和运输楔形件放置于空腔中。
本公开的另一方面涉及一种外科钉合装置，其包括工具组合件、主体部分和运输楔形件。该工具组合件包括砧座和钉仓组合件，钉仓组合件联接到砧座，使得工具组合件可在打开位置与夹紧位置之间移动。主体部分支撑包括刀杆的驱动组合件。钉仓组合件包括通道和定位在通道内的钉仓。该通道包括限定便于纵向槽的壁，该纵向槽便于刀杆穿过钉仓组合件。钉仓包括致动滑动件，并且刀杆和致动滑动件可穿过工具组合件从缩回位置移动到前进位置，以从钉仓弹出钉。运输楔形件可释放地联接到钉合装置，并且包括主体部分、保持构件和检测构件。保持构件延伸穿过钉仓组合件的通道中的纵向槽以将运输楔形件固定到钉合装置。保持构件可在通道的纵向槽内从锁定位置移动到解锁位置，在锁定位置，保持构件锁定在纵向槽内，在解锁位置，保持构件可从纵向槽移除。检测构件支撑在主体上以在第一位置与第二位置之间移动，并且在运输楔形件联接到钉合装置时延伸到工具组合件中以与致动滑动件接合。检测构件与致动滑动件的接合将检测构件从第二位置移动到第一位置，其中在第二位置中，检测构件定位成防止保持构件从锁定位置移动到解锁位置。
在实施例中，保持构件包括竖直支柱和横向肩部，其中，竖直支柱延伸穿过通道的纵向槽，并且当保持构件处于锁定位置时，横向肩部接合通道的壁，以阻止运输楔形件从钉合装置移除。
在一些实施例中，竖直支柱可在通道的纵向槽内移动，以使保持构件在锁定位置与解锁位置之间移动。
在某些实施例中，检测构件支撑在弹性臂上，当检测构件处于第二位置时，该弹性臂邻近保持构件的竖直支柱定位在通道的纵向槽内，以防止保持构件从锁定位置移动到解锁位置。
在实施例中，运输楔形件包括多个弹性夹子构件，所述多个弹性夹子构件被配置为可释放地接合钉合装置以将运输楔形件固定到外科钉合装置。
在一些实施例中，钉合装置包括固定到工具组合件的安装组合件，其中安装组合件将工具组合件可枢转地联接到钉合装置的主体部分，使得工具组合件可相对于主体部分枢转。
在某些实施例中，多个夹子构件中的每一个包括指状件，当运输楔形件联接到工具组合件时，该指状件容纳在安装组合件与钉合装置的主体部分之间，以阻止工具组合件相对于外科钉合装置的主体部分的可枢转移动。
在实施例中，运输楔形件包括止动构件，其定位成延伸穿过通道的纵向槽，以在运输楔形件联接到钉合装置时阻止刀从缩回位置朝向前进位置的移动。
在一些实施例中，运输楔形件包括止动构件，其从主体部分向外延伸并且定位成当运输楔形件联接到工具组合件时接合砧座，以将工具组合件保持在打开位置。
本公开的另一方面涉及一种外科钉合装置，其包括工具组合件、主体部分和运输楔形件。工具组合件从主体部分延伸并包括砧座和钉仓组合件，钉仓组合件联接到砧座，使得工具组合件可在打开位置与夹紧位置之间移动。砧座限定通孔。主体部分支撑包括刀杆的驱动组合件。钉仓组合件包括具有致动滑动件的钉仓，并且刀杆和致动滑动件可移动通过工具组合件以从钉仓弹出钉。运输楔形件可释放地联接到钉合装置并包括主体部分和支撑在主体部分上的检测构件。检测构件支撑在弹性臂上，该弹性臂从主体部分延伸并且包括锁定构件。检测构件定位成在运输楔形件联接到钉合装置时延伸穿过砧座的通孔并进入工具组合件以与致动滑动件接合。检测构件可在第一位置与第二位置之间移动，在第一位置中，当运输楔形件联接到钉合装置时，锁定构件定位在砧座的通孔的外部，在第二位置中，当运输楔形件联接到钉合装置时，锁定构件定位成穿过砧座的通孔，以将运输楔形件锁定到钉合装置，其中，在将运输楔形件联接到钉合装置期间，检测构件与致动滑动件之间的接合将检测构件从第二位置移动到第一位置。
在一些实施例中，锁定构件包括形成在检测构件上的阶梯状肩部。
在某些实施例中，检测构件包括凸轮表面，并且阶梯状肩部沿凸轮表面定位。
在实施例中，凸轮表面定位成接合限定通孔的砧座的一部分，以使检测构件弹性变形，使得当锁定构件穿过通孔时，阶梯状肩部卡扣成与限定通孔的砧座的该部分接合，以将运输楔形件锁定到钉合装置。
在一些实施例中，检测构件与致动滑动件之间的接合使弹性臂变形，以防止锁定构件进入工具组合件。
本公开的另一方面涉及一种包括工具组合件和主体部分的外科钉合装置。工具组合件从主体部分延伸并包括砧座和钉仓组合件，钉仓组合件联接到砧座，使得工具组合件可在打开位置与夹紧位置之间移动。主体部分支撑包括刀杆的驱动组合件。钉仓组合件包括通道和定位在通道内的具有致动滑动件的钉仓。通道包括限定纵向槽的壁，该纵向槽便于刀杆穿过钉仓组合件，刀杆和致动滑动件可穿过工具组合件从缩回位置移动到前进位置以从钉仓弹出钉。锁定构件支撑在通道上，该通道具有定位在刀杆远侧的指状件。指状件可从阻止刀杆向远侧移动的第一位置移动到从刀杆的路径移除的第二位置。致动滑动件定位在锁定构件的指状件与刀杆之间并且包括接合构件，该接合构件定位成在刀杆从缩回位置朝向前进位置移动以将指状件从第一位置移动到第二位置时接合弹性锁定构件的指状件。
在实施例中，锁定构件由弹性材料形成，并且指状件朝向第一位置偏置。
在一些实施例中，致动滑动件的接合构件包括斜坡构件，其可移动成与指状件接合，以将指状件偏置到第二位置。
本公开的另一方面涉及一种工具组合件，其包括主体部分、砧座和钉仓组合件。钉仓组合件联接到砧座，使得工具组合件可在打开位置与夹紧位置之间移动。主体部分支撑包括刀杆的驱动组合件。钉仓组合件包括通道和致动滑动件。通道具有限定纵向槽的壁，该纵向槽便于刀杆穿过钉仓组合件，使得刀杆和致动滑动件可移动通过工具组合件以从钉仓弹出钉。致动滑动件支撑可读标识符，该标识符可以被读取以便于从工具组合件外部的位置确认致动滑动件存在于工具组合件内。
在实施例中，可读标识符是条形码。
在一些实施例中，可读标识符是RFID。
在某些实施例中，可读标识符通过钉仓组合件的通道的纵向槽可见。
本公开的另一方面涉及一种外科钉合装置，其包括工具组合件、主体部分和运输楔形件。工具组合件从主体部分延伸，并且包括限定通孔的砧座和钉仓组合件，钉仓组合件联接到砧座，使得工具组合件可在打开位置与夹紧位置之间移动。主体部分支撑包括刀杆的驱动组合件。钉仓组合件包括具有致动滑动件的钉仓。刀杆和致动滑动件可移动通过工具组合件以从钉仓弹出钉。运输楔形件可释放地联接到钉合装置并包括主体部分和支撑在主体部分上的检测构件。检测构件包括具有锁定表面的锁定构件。检测构件定位成在运输楔形件联接到钉合装置时延伸穿过砧座的通孔并进入工具组合件以与致动滑动件接合。检测构件可在第一位置与第二位置之间移动，在第一位置，当运输楔形件联接到钉合装置时，锁定构件的锁定表面不穿过砧座的通孔，在第二位置，当运输楔形件联接到钉合装置以将运输楔形件锁定到钉合装置时，锁定构件穿过砧座的通孔。检测构件定位成在运输楔形件联接到钉合装置期间接合致动滑动件以将检测构件从第二位置移动到第一位置。
本公开的另一方面涉及一种运输楔形件，其包括主体部分和支撑在主体部分上的检测构件。检测构件包括具有锁定表面的锁定构件。当运输楔形件联接到工具组合件时，检测构件定位成延伸穿过工具组合件的孔以与工具组合件的内部组件接合。检测构件可在第一位置与第二位置之间移动，在第一位置，当运输楔形件联接到工具组合件时，锁定构件的锁定表面不穿过工具组合件的通孔，在第二位置，当运输楔形件联接到工具组合件以将运输楔形件锁定到工具组合件时，锁定构件定位成穿过工具组合件的通孔。在将运输楔形件联接到工具组合件以将检测构件从第二位置移动到第一位置期间，检测构件定位成接合工具组合件的内部组件。
在实施例中，检测构件支撑在从运输楔形件的主体部分延伸的弹性臂上。
在一些实施例中，锁定构件的锁定表面包括形成在检测构件上的阶梯状肩部。
在某些实施例中，检测构件包括凸轮表面，并且阶梯状肩部沿凸轮表面定位。
在实施例中，凸轮表面定位成接合限定通孔的砧座的一部分，以使检测构件弹性变形，使得当锁定构件穿过通孔时，阶梯状肩部卡扣成与限定通孔的砧座的部分接合，以将运输楔形件锁定到砧座。
在一些实施例中，检测构件与致动滑动件之间的接合使弹性臂变形，以防止锁定构件进入工具组合件。
在某些实施例中，检测构件通过枢转构件联接到运输楔形件的主体部分。
在实施例中，检测构件包括上主体部分和支撑锁定构件的下主体部分。
在一些实施例中，锁定构件包括弹性指状件，其朝向上主体部分延伸并且从锁定构件的下主体部分横向向外延伸。
在某些实施例中，检测构件的下主体部分包括接合表面，该接合表面定位成在运输楔形件附接到工具组合件时接合致动滑动件，其中接合表面在近侧方向上朝向上主体部分成角度。
附图说明
下文参考附图描述所公开的用于检测外科钉合装置的工具组合件内的致动滑动件的存在的装置的各种实施例，其中：
图1是用于在工具组合件处于打开位置的情况下检测钉装填器的工具组合件内的致动滑动件的存在的钉装填器和运输楔形件的示范性实施例的侧面透视图；
图2是零件分离的图1中所示的钉装填器和运输楔形件的侧面透视图；
图2A是图2所示的钉装填器的致动滑动件的侧面透视图；
图3是图2所示的钉装填器的剖视图，其中致动滑动件定位在钉装填器的工具组合件内；
图4是图2所示的钉装填器的剖视图，其中致动滑动件未定位在钉装填器的工具组合件内；
图5是与用于在将钉装填器放置在包装件内之前存储钉装填器和运输楔形件的包装件相关联的图1的钉装填器和运输楔形件的侧面透视图；
图6是图1所示的钉装填器的侧面透视图，其包括与运输楔形件的另一示范性实施例相关联的致动滑动件，该运输楔形件用于在工具组合件处于打开位置时检测致动滑动件在钉装填器的工具组合件内的存在；
图7是沿图6的剖面线7-7截取的剖视图；
图8是图6所示的钉装填器和运输楔形件的侧面透视图，其中钉装填器的工具组合件处于打开位置并且工具组合件中缺少致动滑动件；
图9是沿图8的剖面线9-9截取的剖视图；
图10是从所公开的运输楔形件的另一示范性实施例的一侧观察的侧面透视图；
图11是从图10所示的运输楔形件的另一侧观察的透视图；
图12是图10中示出的细节指示区域的放大视图；
图13是沿图12的剖面线13-13截取的剖视图；
图14是沿图10的剖面线14-14截取的剖视图；
图15是与运输楔形件的另一示范性实施例相关联的图1所示的钉装填器的侧面透视图，该运输楔形件用于在工具组合件处于打开位置时检测致动滑动件在钉装填器的工具组合件内的存在；
图16是图10所示的钉装填器和运输楔形件的侧视图；
图17是从图10所示的运输楔形件的工具组合件的近端观察的透视图，其中钉装填器的近侧主体部分的管状壳体被移除并且工具组合件处于打开位置；
图18是图17中示出的细节指示区域的放大视图；
图19是沿图18的剖面线19-19截取的剖视图；
图20是沿图17的剖面线20-20截取的剖视图；
图21是沿图17的截面线21-21截取的剖视图，其示出了致动滑动件与运输楔形件的楔形构件之间的相互作用；
图22是沿图21的剖面线22-22截取的剖视图；
图23是沿剖面线21-21截取的侧剖视图，其中致动滑动件从钉仓移除；
图24是沿图23的剖面线24-24截取的剖视图；
图25是钉装填器和运输楔形件的另一示范性实施例的侧面透视图，该运输楔形件用于在工具组合件处于打开位置时检测致动滑动件在钉装填器的工具组合件内的存在；
图26是零件分离的图25所示的钉装填器和运输楔形件的侧面透视图；
图27是沿图25的剖面线27-27截取的剖视图，其中致动滑动件存在于钉装填器的工具组合件的钉仓中；
图28是沿图25的剖面线27-27截取的剖视图，其中钉装填器的工具组合件的钉仓中缺少致动滑动件；
图29是不具有致动滑动件的钉装填器的工具组合件的示范性实施例的侧面透视图，其包括用于钉装填器的刀杆的锁定机构，其中锁定机构处于锁定位置；
图30是从图29所示的工具组合件的致动滑动件的底部观察的透视图；
图31是图29所示的钉装填器的工具组合件的侧面透视图，该工具组合件包括致动滑动件，其中刀杆和致动滑动件处于缩回位置；
图32是在锁定机构移动到其解锁位置时，刀杆和致动滑动件从它们的缩回位置朝向它们的前进位置移动时，图31所示的钉装填器的工具组合件的侧面透视图；
图33是当刀杆和致动滑动件从它们的缩回位置进一步朝它们的前进位置移动并且锁定机构返回到其锁定位置时，图32所示的钉装填器的工具组合件的侧面透视图；
图34是根据本公开的钉装填器的工具组合件的致动滑动件的另一示范性实施例的仰视图；
图35是包括图34所示的致动滑动件的工具组合件的底部透视图；
图36是根据本公开的钉装填器的工具组合件的致动滑动件的另一示范性实施例；
图37是钉装填器和运输楔形件的另一示范性实施例的侧面透视图，该运输楔形件用于在工具组合件处于打开位置时检测致动滑动件在钉装填器的工具组合件内的存在；
图37A是图37中所示的钉装填器和运输楔形件的侧面透视图，其中钉装填器的工具组合件处于打开位置并且运输楔形件与工具组合件分离。
图38是沿图37的剖面线38-38截取的剖视图；
图39是图38所示的细节指示区域的放大视图，绘示了不具有致动滑动件的装填器；
图40是沿图39的剖面线40-40截取的剖视图；
图41是图38所示的细节指示区域的放大视图，绘示了具有致动滑动件的装填器；以及
图42是沿图41的剖面线42-42截取的剖视图。
具体实施方式
现在将参考附图详细描述所公开的用于检测外科钉合装置的工具组合件内的致动滑动件的存在的装置及其相关联使用方法，在附图中，相同的附图标记在若干视图中的每一个中表示相同或相应的元件。然而，应当理解，所公开的实施例仅仅是本公开的示范性，并且可以以各种形式实现。为了避免在不必要的细节上模糊本公开，未对众所周知的功能或构造进行详细描述。因此，本文中所公开的具体结构和功能细节不应被解释为限制性的，而是仅作为权利要求书的基础，并且作为用于教示所属领域的技术人员以在实际上任何适当的详细结构中来不同地采用本公开的代表性基础。此外，例如前部、后部、上部、下部、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，且并不旨在限制本公开。
在此描述中，术语“近侧”通常用于指装置的较靠近临床医生的那个部分，而术语“远侧”通常用于指装置的较远离临床医生的那个部分。另外，术语“内窥镜”通常用来指代通过小直径切口或插管进行的内窥镜的、腹腔镜的、关节镜的和/或任何其它的手术。此外，术语“临床医生”通常用于指医务人员，包括医生、护士和保障人员。
图1至5绘示了包括用于检测与外科钉合装置相关联的致动滑动件54(图2A)的存在的装置52的运输楔形件50的示范性实施例。如本文所绘示，外科钉合装置10通常示出为钉装填器10，其包括可释放地联接到外科钉合装置的手柄组合件(未示出)的近侧主体部分12。可替代地，外科钉合装置或装填器10可被配置为联接到机器人系统或可固定地联接到用于选择性致动的手柄组合件。关于包括手柄组合件和钉装填器的示范性实施例的外科钉合装置的更详细的描述，参见例如美国专利号7,565,993(“'993专利”)和8,931,683(“'683专利”)，其以全文引用的方式并入本文
图1和2绘示了钉装填器10和运输楔形件50。钉装填器10包括限定纵向轴线“X”的近侧主体部分12、工具组合件14和安装组合件16。安装组合件16具有固定到工具组合件14的第一端和可枢转地固定到近侧主体部分14的第二端，使得工具组合件14可在与近侧主体部分12的纵向轴线“X”对准的位置和限定与纵向轴线“X”成一锐角的位置之间枢转。关于包括具有可枢转工具组合件的钉装填器的钉合装置的示范性实施例的更详细描述，参见例如'993和'683专利。
还参考图3和4，工具组合件14包括砧座20和钉仓组合件22。砧座20通过枢转构件(未示出)联接到钉仓组合件22，使得钉仓组合件22可相对于砧座20在打开位置与夹紧位置之间枢转。砧座20包括限定通孔26(图2)的近端部分24，该通孔延伸到工具组合件14中并与钉仓组合件22连通。
钉仓组合件22包括具有主体30的钉仓28，该主体限定多排钉容纳槽32和刀槽36。钉容纳槽32定位在刀槽36的相对侧上并且容纳多个钉(未示出)。钉仓组合件22还包括通道38，该通道的位置和尺寸适于容纳钉仓28。通道38包括限定刀槽40a(图3)的底壁40，刀槽与钉仓28中的刀槽36纵向对准。在实施例中，通道38被配置为可释放地容纳钉仓28，以便于在每次使用之后更换钉仓28。
钉装填器10包括驱动组合件42(图3)，其可从缩回位置移动到前进位置，以在打开位置与夹紧位置之间移动砧座20和钉仓组合件22。驱动组合件42包括刀杆44，该刀杆定位在致动滑动件54的近侧，并被配置为移动通过钉仓28和通道38中的纵向槽36，40a，以切割夹在砧座与钉仓组合件之间的组织。关于示范性驱动组合件的详细描述，参见例如'993和'683专利。
运输楔形件50包括主体56，该主体由弹性材料形成并且包括抓握部分58、壳体部分60、延伸部62和从抓握部分58和/或壳体部分60延伸的多个夹子构件66。延伸部62从壳体部分60向远侧延伸，并且可被抓握以帮助从钉装填器10移除运输楔形件50。夹子构件66被配置为卡扣配合在钉装填器10上，以将运输楔形件50固定到钉装填器10。在实施例中，夹子构件66的形状为半圆形，并且能够向外弯曲以容纳钉装填器10。
运输楔形件50的壳体部分60限定通道68，当运输楔形件50联接到钉装填器10并容纳检测装置52时，该通道与砧座20中的通孔26对准。运输楔形件50的壳体部分60还限定孔70，其相交并限定横向于通道68的纵向轴线的轴线。
检测装置52包括检测构件或滑动件72和偏置构件74。滑动件72容纳在壳体部分60的通道68内并包括邻接部，例如柔性棘爪76，其容纳在形成于壳体部分60中的凹槽78内，以限制滑动件72在通道68内在第一位置(图3)与第二位置(图4)之间的移动。滑动件72还限定孔80，当滑动件72处于第一位置时，该孔与运输楔形件54的壳体部分60中的孔70对准。偏置构件74容纳在壳体部分60的凹槽78内，并邻接滑动件72上的突起72a，以将滑动件72推向第二位置。
致动滑动件54容纳在工具组合件14内，并且可响应于驱动组合件42在缩回位置与前进位置之间的移动而移动通过钉仓28，以从钉仓28弹出钉(未示出)。参见例如'993和'683专利。当致动滑动件54处于其缩回位置时，致动滑动件54与砧座20中的通孔26对准。因此，当运输楔形件50附接到钉装填器10时，滑动件72穿过通孔26进入工具组合件14，并且当致动滑动件54存在于工具组合件14内时与致动滑动件54接合。当滑动件72在运输楔形件50夹在钉装填器10上时接合致动滑动件54时，滑动件72从其第二位置移动到其第一位置(图3)，并且偏置构件74被压缩。如上所述，在滑动构件72的第一位置(图3)，运输楔形件50的壳体部分60中的孔70(图2)与滑动件72中的孔80对准。然而，当致动滑动件54不存在于工具组合件14中时，在运输楔形件50联接到钉装填器10时，滑动件72保持在第二位置(图4)。当滑动件72处于第二位置时，运输楔形件50的壳体部分60中的孔70与滑动件72中的孔80未对准。
参考图5，在制造装填器10并且将运输楔形件50固定到钉装填器10之后，将钉装填器10和运输楔形件50组合件放置在无菌包装件90中以进行运输和存储。在该实施例中，包装件90限定了空腔91，其包括定位在包装件90内的柱92。当滑动件72处于第一位置(图3)并且致动滑动件54位于工具组合件14内时，柱92定位成通过滑动件72的孔70和滑动件72的孔80进行容纳。如果在工具组合件14内没有致动滑动件54，则滑动件72保持在第二位置，其中滑动件72的孔70和滑动件72的孔80彼此不对准。因此，钉装填器10和运输楔形件50组合件不能将柱92容纳在包装件90的空腔91内，并且其不能容纳在空腔91内。这向制造商提供了工具组合件14不具有致动滑动件54并应当被丢弃的明确指示。
图6至9绘示了根据总体上以50'示出的本公开的运输楔形件的替代示范性实施例。运输楔形件50'与上述运输楔形件50基本相同，但不包括运输楔形件50'的壳体部分60'中的孔70或滑动件72'中的孔80。相反，当存在钉装填器10的致动滑动件54并且滑动件72'处于第一位置时，滑动件72'从运输楔形件50'的壳体部分60'延伸并且在致动滑动件54不存在于工具组合件14中时延伸穿过钉仓组合件22的通道38的底壁40中的槽40a。
当在制造之后将钉装填器10和运输楔形件50'组合件放置在泡罩包装件90'内时，由包装件90'限定的空腔96'被配置为仅在滑动件72'处于第一位置(图7)时容纳钉装填器10和运输楔形件50'。如图9所示，当滑动件72'处于第二位置(图9)时，滑动件72'将无法装配于包装件90'的空腔96'中。这向制造商提供了工具组合件14不具有致动滑动件54并应当被丢弃的明确指示。虽然未示出，但是可以设置如偏置构件74的偏置构件以将滑动件72'推向第二位置(图9)。
图10至24绘示了所公开的运输楔形件的替代实施例，该运输楔形件总体上示出为运输楔形件150。图10至13绘示了运输楔形件150，其包括具有近侧部分和远侧部分的中心主体部分152，以及从中心主体部分152的远侧部分延伸的间隔件154。运输楔形件150还包括从中心主体部分152的近侧部分延伸的一对夹子构件156、保持构件158、检测构件160和止动构件162。夹子构件156各自支撑在从中心主体部分152延伸的柔性臂166上，并被配置为接合钉装填器10(图15)的相对侧，以将运输楔形件150的近侧部分固定到钉装填器10(图15)。夹子构件156中的每一个包括向内延伸的指状件168(图19)，其被定位和配置为容纳在安装组合件16与钉装填器10的近侧主体部分12之间，以将运输楔形件150的远侧部分固定到钉装填器10并防止工具组合件14相对于近侧主体部分12铰接。
间隔件154支承在中心主体部分152的远侧部分上，并包括悬臂支腿170和横向部分174。悬臂支腿170从中心主体部分152向外延伸，并与中心主体部分152限定通道172，该通道的尺寸适于容纳钉仓组合件22的远侧部分(图15)。横向部分174定位成在运输楔形件150固定到钉装填器10时接合工具组合件14的砧座20，以将砧座20和钉仓组合件22维持在打开位置(图15)。
图15至24绘示了支撑在钉装填器10上的运输楔形件150。运输楔形件150的止动构件162定位在运输楔形件150的中心主体部分152上并且被配置为容纳在限定在钉仓组合件22的通道38的底壁40中的槽40a(图9)内到达驱动组合件42的刀杆44远侧的位置(图23)。止动构件162防止驱动组合件42在运输和存储期间意外前进。
运输楔形件150的保持构件158的尺寸还适于通过钉仓组合件22的通道38的底壁40中的槽40a(图24)进行容纳。保持构件158包括竖直支柱176a(图12)和横向肩部176b。竖直支柱176a延伸穿过钉仓组合件22的通道38的底壁40中的槽40a。当保持构件158容纳在钉仓组合件22的通道38的槽40a内时，保持构件158的横向肩部176b接合通道38的底壁40的内表面(图24)以将运输楔形件150固定到钉装填器10。槽40a的宽度大于竖直支柱176a的宽度，以允许竖直支柱176a在槽40a内从肩部176b与通道38的底壁40接合的锁定位置移动到解锁位置，在该解锁位置，保持构件158的肩部176a与槽40a对准，以便于从底壁40的内表面移除横向肩部176b。当保持构件158的竖直支柱176a移动到解锁位置时，横向肩部176b从通道38的底壁40的内表面脱离，并且可从槽40a移除，以将运输楔形件150与钉装填器10分离。
检测构件160(图13)支撑在弹性臂180的一端上。弹性臂180的另一端连接到运输楔形件150的中心主体部分152。当运输楔形件150固定到钉装填器150时，检测构件160定位成接合钉装填器10的工具组合件14的致动滑动件54(图21)。在与致动滑动件54接合时，检测构件160从锁定位置(图24)推(例如，枢转)到解锁位置(图22)。在锁定位置(图23和24)，在钉装填器10不包括致动滑动件54的情况下，弹性臂180邻近保持构件158的竖直支柱176a定位在通道38的槽40a内，以防止竖直支柱176a在通道38的槽40a内移动并防止运输楔形件150从钉装填器10移除。在解锁位置(图21和22)，在钉装填器包括致动滑动件54的情况下，检测构件160接合致动滑动件54以向上推动弹性臂180并将弹性臂180从通道38的槽40a移除，以允许竖直支柱176a在槽40a内的横向移动。当弹性臂180从槽40a移除时，运输楔形件150的保持构件158的竖直支柱176a可在通道38的槽40a内移动，以便于通过槽40a从通道38移除横向肩部176b，从而允许运输楔形件150从钉装填器10的移除。
当工具组合件14不包括致动滑动件54时，运输楔形件150的配置防止运输楔形件150从钉仓10的移除，以防止在钉装填器10内不存在致动滑动件54时使用钉装填器10。这为临床医生提供了丢弃钉装填器10的明确指示。
图25至28绘示了所公开的运输楔形件的另一替代实施例，其总体上示出为运输楔形件250。运输楔形件250包括主体252，主体由弹性材料形成并且包括纵向抓握部分254、延伸部256、检测构件258、引导构件259和从抓握部分254延伸的夹子构件260。延伸部256从抓握部分254向远侧延伸。夹子构件260被配置为卡扣配合在钉装填器10上，以将运输楔形件250固定到钉装填器10。在实施例中，夹子构件260的形状为半圆形，并且能够向外弯曲以容纳钉装填器10。引导构件259容纳在形成于砧座20中的引导孔20a(图26)内，以将运输楔形件250正确地定位在钉装填器10上。
检测构件258从主体252沿夹子构件260的方向延伸，并且定位成延伸穿过砧座20的通孔26进入工具组合件14。检测构件258支撑在弹性臂262上，该弹性臂从运输楔形件250的主体252延伸并且包括具有接合表面264a的弯曲主体264。弯曲主体264包括凸轮表面266，其包括锁定构件或表面。在实施例中，锁定构件或表面包括阶梯状肩部268。当检测构件258插入穿过砧座20中的通孔26时，凸轮表面266定位成接合限定通孔26的远端的砧座20的内壁。
当运输楔形件250固定到钉装填器10，并且检测构件258插入穿过砧座20的通孔26时，检测构件258的接合表面264a定位成接合工具组合件14内的致动滑动件54，以防止检测构件258进一步插入工具组合件258(图27)。当接合表面264a接合致动滑动件54时，检测构件258沿图27中的箭头“B”指示的方向向上偏置，以防止检测构件258的锁定构件(例如，阶梯状肩部268)穿过砧座20的通孔26进入工具组合件14中。
参考图28，当致动滑动件54不存在于钉装填器10的工具组合件14中时，在运输楔形件250固定到钉装填器10时，检测构件258延伸穿过砧座20的通孔26并进入工具组合件14而不受致动滑动件54的阻碍。当检测构件258穿过砧座20的通孔26时，检测构件258在检测构件258的凸轮表面266接合砧座20时向内弯曲。当检测构件258的阶梯状肩部268穿过砧座20的通孔26时，检测构件258沿箭头“C”所示的方向向外弯曲，以将检测构件258的阶梯状肩部268移动成与限定砧座20的通孔26的内壁接合，以防止运输楔形件250从钉装填器10移除。
当工具组合件14不包括防止使用钉装填器10的致动滑动件54时，运输楔形件250的配置防止运输楔形件250从钉装填器10移除。这为临床医生提供了丢弃钉装填器10的明确指示。
图29至33包括钉装填器的另一示范性实施例，该钉装填器总体上示出为钉装填器300，其包括当钉装填器300缺少致动滑动件354(图31)时防止使用钉装填器300的机构302。除了增加机构302之外，钉装填器300与钉装填器10基本相同。机构302包括弹性锁定构件304，其包括固定到钉仓组合件322的通道338的基部305。锁定构件304还包括弹性指状件306，其从基部305向近侧延伸并且当刀杆344处于缩回位置时定位在工具组合件314的驱动组合件342的刀杆344的远侧。在第一未偏置锁定位置(图29)，弹性指状件306定位成阻止驱动组合件342的刀杆344通过钉仓组合件322向远侧移动。
参考图30至32，致动滑动件354(图30)包括斜坡表面310，其定位在弹性指状件306与刀杆344之间并且面向弹性指状件306。当致动滑动件354定位在工具组合件314内时，斜坡表面310延伸穿过钉仓组合件322的通道338中的刀槽312。当刀杆344沿图32中箭头“D”所示的方向前进穿过工具组合件314的钉仓组合件322时，致动滑动件354的斜坡表面310接合机构302的弹性指状件306，以沿图32中箭头“E”所示的方向将弹性指状件306提升到脱离刀杆344的路径的解锁位置。如果致动滑动件354从工具组合件314中缺失，则弹性指状件306保持在锁定位置以阻止刀杆344向远侧前进超出弹性指状件306，从而防止钉装填器300的击发。
当刀杆344缩回时，刀杆344将接合弹性锁定构件304的弹性指状件306，并且当其穿过工具组合件朝向其缩回位置移动时在锁定构件304下方穿过。在其缩回位置，刀杆344定位在锁定构件304的弹性指状件306的近侧，并且准备好后续使用。在其中钉仓可重复使用的装置(如，使用多用途装载单元的装置)中，锁定构件304将用于锁定工具组合件，其中新装载的钉仓不包括致动滑动件。
图34至36绘示了钉装填器的另一示范性实施例，其允许制造商识别在钉装填器的工具组合件414内不存在致动滑动件454。工具组合件414的致动滑动件454包括条形码456，该条形码可以通过形成在钉仓组合件422的通道440中的槽440a读取。在实施例中，槽440a可以是刀槽，或可替代地，该槽可以是专门形成以提供对条形码的访问的槽。虽然槽440a被绘示为形成在钉仓组合件422的通道438中，但是槽440a可以形成在工具组合件的任何部分中以提供对支撑在致动滑动件454上的条形码的访问。
在替代实施例中，条形码可由固定到致动滑动件454B(图36)的射频识别标签(“RFID”)代替。在两个实施例中，扫描工具组合件414以确定工具组合件414内是否存在致动滑动件454。可以设想，致动滑动件454可以设有能够从工具组合件外部的位置读取的任何标识符，以便于确认致动滑动件454在工具组合件内的存在，该标识符包括RFID、条形码、芯片、收发器、应答器等，无论是否通过无线电波、光学器件或其它已知技术实现识别。
图37至42绘示了总体上示为钉装填器700的钉装填器的另一示范性实施例，其包括总体上示为运输楔形件600的所公开的运输楔形件的另一示范性实施例。当钉装填器700缺少致动滑动件702(图41)时，运输楔形件600防止钉装填器700的使用。运输楔形件600包括主体602，其由弹性材料形成并包括纵向抓握部分604、延伸部606、检测构件608和从抓握部分604延伸的夹子构件610。延伸部606从抓握部分604向远侧延伸并且包括突片606a，该突片可由临床医生抓握以便于从钉装填器700移除运输楔形件600。夹子构件610具有半圆形配置并且可以卡扣配合在钉装填器700上以将运输楔形件600固定到钉装填器700。在实施例中，夹子构件610的形状为半圆形，并且能够向外弯曲以容纳钉装填器700。
检测构件608从运输楔形件600的主体602沿夹子构件610的方向延伸，并且定位成延伸穿过限定在工具组合件714的砧座720中的通孔726(图37A)。在实施例中，检测构件608定位在由夹子构件610中的一个限定的圆柱形凹部610a(图37A)内。检测构件608包括具有上部614a和下部614b的主体614(图41)，上部通过枢转构件616枢转地联接到运输楔形件600的主体602，下部包括锁定构件622。枢转构件616分别在上主体部分614a与下主体部分614b之间居中地定位在检测构件608的主体614上。运输楔形件600的主体602限定与检测构件608的上部614a对准的盲孔630。盲孔630容纳偏置构件632，其接合检测构件608的上部614a以促使检测构件608绕枢转构件616沿图39中箭头“Z”所示的方向旋转。下主体部分614b具有接合表面634(图39)，其在近侧方向上朝向上主体部分614a成角度。
锁定构件622包括弹性指状件636，其朝向上主体部分614a延伸并从锁定构件622的下主体部分614b横向向外延伸。弹性指状件636定位成在弹性指状件636穿过槽726时防止检测构件608从工具组合件714的砧座720移除，以防止运输楔形件600从钉装填器700移除，从而有效地禁用钉装填器700。
图38至40绘示了附接到缺少致动滑动件702(图41)的钉装填器700的运输楔形件600。当运输楔形件600固定到钉装填器700时，检测构件608插入穿过砧座720的通孔726。检测构件608的主体614的下部614b上的接合表面634定位成接合工具组合件714内的致动滑动件702，以防止检测构件608的锁定构件622的弹性指状件636进入工具组合件714(图27)。当致动滑动件702未定位在工具组合件714内时，包括弹性指状件636的检测构件608的锁定构件622穿过砧座720中的通孔726。当弹性指状件636穿过通孔726时，弹性指状件636接合限定通孔726的壁并且在弹性指状件穿过通孔726时而变形或变直。当弹性指状件636穿过通孔726时，弹性指状件将返回到其从检测构件608的下主体部分614b(图40)横向向外延伸到弹性指状件636穿过通孔726的非变形配置，以防止锁定构件622且因此防止运输楔形件600从工具组合件714移除。当工具组合件714中不存在致动滑动件702(图41)时，这有效地禁用钉装填器700。
图40和41绘示了附接到钉装填器700的运输楔形件600，该钉装填器包括具有致动滑动件702的工具组合件714。当运输楔形件600附接到钉装填器600时，检测构件608的主体614的下部614b上的接合表面634接合致动滑动件54。这种接合使得检测构件608克服偏置构件632的偏置沿箭头“X”的方向枢转，以防止锁定构件622的弹性指状件636穿过工具组合件714的通孔726。因此，锁定构件622可通过通孔726从工具组合件714移除，以允许运输楔形件600从封底装填器700移除。
本领域技术人员将会理解，本文具体描述并且在附图中绘示的装置和方法是非限制性的示范性实施例。据设想，在不脱离本公开的范围的情况下，结合一个示范性实施例说明或描述的元件和特征可以与另一个示范性实施例的元件和特征组合。同样，所属领域技术人员将基于上述实施例了解本公开的其它特征和优点。因此，除了由所附权利要求书所指示的以外，本公开不受已特别示出和描述的内容限制。

Claims (29)

1.一种外科钉合装置和包装组合件，其包含：
钉合装置，其包括具有刀杆的工具组合件，所述工具组合件包括砧座和钉仓组合件，所述钉仓组合件联接到所述砧座，使得所述工具组合件能够在打开位置与夹紧位置之间移动，所述钉仓组合件包括致动滑动件，所述刀杆和所述致动滑动件能够移动通过所述工具组合件以从钉仓弹出钉；
运输楔形件，其可释放地联接到所述钉合装置，所述运输楔形件包括主体和支撑在所述主体上以在第一位置与第二位置之间移动的检测构件，所述检测构件定位成在所述运输楔形件联接到所述钉合装置时延伸到所述工具组合件中并接合所述致动滑动件，其中，所述检测构件与所述致动滑动件的接合将所述检测构件从所述第二位置移动到所述第一位置；以及
包装件，所述包装件限定空腔，所述空腔用于在所述运输楔形件联接到所述钉合装置时容纳所述钉合装置和所述运输楔形件，所述空腔被配置为在所述检测构件处于所述第一位置时将所述钉合装置和所述运输楔形件容纳在所述空腔内，并且在所述检测构件处于所述第二位置时防止所述钉合装置和所述运输楔形件容纳在所述空腔内。
2.根据权利要求1所述的外科钉合装置和包装组合件，其中，所述运输楔形件包括偏置组合件，所述偏置组合件定位成将所述检测构件朝向所述第二位置偏置。
3.根据权利要求2所述的外科钉合装置和包装组合件，其中，所述运输楔形件包括限定通道的壳体部分和延伸穿过所述壳体部分进入所述通道的横向孔，并且所述检测构件限定检测构件孔，所述检测构件孔在所述检测构件处于所述第一位置时与所述横向孔对准并在所述检测构件处于所述第二位置时与所述横向孔未对准。
4.根据权利要求3所述的外科钉合装置和包装组合件，其中，所述包装件包括柱，所述柱定位在所述空腔内并被配置为在所述检测构件处于所述第一位置时穿过所述运输楔形件的所述壳体部分的所述横向孔和所述检测构件孔，并在所述检测构件处于所述第二位置时防止所述钉合装置和所述运输楔形件放置于所述空腔中。
5.根据权利要求1所述的外科钉合装置和包装组合件，其中，所述运输楔形件包括多个弹性夹子构件，所述多个弹性夹子构件被配置为可释放地接合所述钉合装置以将所述运输楔形件固定到所述钉合装置。
6.根据权利要求2所述的外科钉合装置和包装组合件，其中，所述砧座包括通孔，并且当所述运输楔形件固定到所述钉合装置时，所述检测构件延伸穿过所述通孔并进入所述钉仓组合件中。
7.根据权利要求1所述的外科钉合装置和包装组合件，其中，所述运输楔形件包括限定具有第一端和第二端的通道的壳体部分，当所述检测构件处于所述第一位置时，所述检测构件从所述通道的所述第一端延伸，并且当所述检测构件处于所述第二位置时，所述检测构件从所述通道的所述第二端延伸。
8.根据权利要求7所述的外科钉合装置和包装组合件，其中，所述包装件的所述空腔被配置为在所述检测构件处于所述第一位置时容纳所述钉合装置和所述运输楔形件，并在所述检测构件处于所述第二位置时防止所述钉合装置和所述运输楔形件放置于所述空腔中。
9.一种外科钉合装置，其包含：
工具组合件和主体部分，所述工具组合件支撑在所述主体部分上并包括砧座和钉仓组合件，所述钉仓组合件联接到所述砧座，使得所述工具组合件能够在打开位置与夹紧位置之间移动，所述主体部分支撑包括刀杆的驱动组合件，所述钉仓组合件包括通道和定位在所述通道内的钉仓，所述通道包括限定便于所述刀杆穿过的纵向槽的壁，所述钉仓包括致动滑动件，所述刀杆和所述致动滑动件能够穿过所述工具组合件从缩回位置移动到前进位置，以从所述钉仓弹出钉；
运输楔形件，其可释放地联接到所述钉合装置，所述运输楔形件包括主体部分、保持构件和检测构件，所述保持构件延伸穿过所述钉仓组合件的所述通道中的所述纵向槽以将所述运输楔形件固定到所述钉合装置，所述保持构件能够在所述通道的所述纵向槽内从锁定位置移动到解锁位置，在所述锁定位置，所述保持构件锁定在所述纵向槽内，在所述解锁位置，所述保持构件能从所述纵向槽移除，所述检测构件支撑在所述主体上以在第一位置与第二位置之间移动，并且在所述运输楔形件联接到所述钉合装置时延伸到所述工具组合件中以与所述致动滑动件接合，并且其中，所述检测构件与所述致动滑动件的接合将所述检测构件从所述第二位置移动到所述第一位置，并且其中，在所述第二位置中，所述检测构件定位成防止所述保持构件从所述锁定位置移动到所述解锁位置。
10.根据权利要求9所述的外科钉合装置，其中，所述保持构件包括竖直支柱和横向肩部，所述竖直支柱延伸穿过所述通道的所述纵向槽，并且当所述保持构件处于所述锁定位置时，所述横向肩部接合所述通道的所述壁，以阻止所述运输楔形件从所述钉合装置移除。
11.根据权利要求10所述的外科钉合装置，其中，所述竖直支柱能够在所述通道的所述纵向槽内移动，以使所述保持构件在所述锁定位置与所述解锁位置之间移动。
12.根据权利要求11所述的外科钉合装置，其中，所述检测构件支撑在弹性臂上，当所述检测构件处于所述第二位置时，所述弹性臂邻近所述保持构件的所述竖直支柱定位在所述通道的所述纵向槽内，以防止所述保持构件从所述锁定位置移动到所述解锁位置。
13.根据权利要求9所述的外科钉合装置，其中，所述运输楔形件包括多个弹性夹子构件，所述多个弹性夹子构件被配置为可释放地接合所述钉合装置以将所述运输楔形件固定到所述钉合装置。
14.根据权利要求13所述的外科钉合装置，其中，所述钉合装置包括固定到所述工具组合件的安装组合件，所述安装组合件将所述工具组合件可枢转地联接到所述钉合装置的所述主体部分，使得所述工具组合件能够相对于所述主体部分枢转。
15.根据权利要求14所述的外科钉合装置，其中，所述多个夹子构件中的每一个包括指状件，当所述运输楔形件联接到所述工具组合件时，所述指状件容纳在所述安装组合件与所述钉合装置的所述主体部分之间，以阻止所述工具组合件相对于所述钉合装置的所述主体部分的可枢转移动。
16.根据权利要求9所述的外科钉合装置，其中，所述运输楔形件包括止动构件，所述止动构件定位成延伸穿过所述通道的所述纵向槽，以在所述运输楔形件联接到所述钉合装置时阻止所述刀从所述缩回位置朝向所述前进位置的移动。
17.根据权利要求9所述的外科钉合装置，其中，所述运输楔形件包括止动构件，所述止动构件从所述主体部分向外延伸并且定位成当所述运输楔形件联接到所述工具组合件时接合所述砧座，以将所述工具组合件保持在所述打开位置。
18.一种外科钉合装置，其包含：
工具组合件和主体部分，所述工具组合件从所述主体部分延伸并包括砧座和钉仓组合件，所述钉仓组合件联接到所述砧座，使得所述工具组合件能够在打开位置与夹紧位置之间移动，所述砧座限定通孔，所述主体部分支撑包括刀杆的驱动组合件，所述钉仓组合件包括具有致动滑动件的钉仓，所述刀杆和所述致动滑动件能够移动通过所述工具组合件以从所述钉仓弹出钉；以及
运输楔形件，其可释放地联接到所述钉合装置，所述运输楔形件包括主体部分和支撑在所述主体部分上的检测构件，所述检测构件支撑在弹性臂上，所述弹性臂从所述主体部分延伸并且包括锁定构件，所述检测构件定位成在所述运输楔形件联接到所述钉合装置时延伸穿过所述砧座的所述通孔并进入所述工具组合件以与所述致动滑动件接合，所述检测构件能够在第一位置与第二位置之间移动，在所述第一位置中，当所述运输楔形件联接到所述钉合装置时，所述锁定构件定位在所述砧座的所述通孔的外部，在所述第二位置中，当所述运输楔形件联接到所述钉合装置时，所述锁定构件定位成延伸穿过所述砧座的所述通孔，以将所述运输楔形件锁定到所述钉合装置，其中，在将所述运输楔形件联接到所述钉合装置期间，所述检测构件与所述致动滑动件之间的接合使所述检测构件从所述第二位置移动到所述第一位置。
19.根据权利要求18所述的外科钉合装置，其中，所述锁定构件包括形成在所述检测构件上的阶梯状肩部。
20.根据权利要求19所述的外科钉合装置，其中，所述检测构件包括凸轮表面，并且所述阶梯状肩部沿所述凸轮表面定位。
21.根据权利要求20所述的外科钉合装置，其中，所述凸轮表面定位成接合限定所述通孔的所述砧座的一部分，以使所述检测构件弹性变形，使得当所述锁定构件穿过所述通孔时，所述阶梯状肩部卡扣成与限定所述通孔的所述砧座的所述部分接合，以将所述运输楔形件锁定到所述钉合装置。
22.根据权利要求18所述的外科钉合装置，其中，所述检测构件与所述致动滑动件之间的接合使所述弹性臂变形，以防止所述锁定构件进入所述工具组合件。
23.一种外科钉合装置，其包含：
工具组合件和主体部分，所述工具组合件从所述主体部分延伸并包括砧座和钉仓组合件，所述钉仓组合件联接到所述砧座，使得所述工具组合件能够在打开位置与夹紧位置之间移动，所述主体部分支撑包括刀杆的驱动组合件，所述钉仓组合件包括通道和定位在所述通道内的具有致动滑动件的钉仓，所述通道包括限定纵向槽的壁和支撑在所述通道上的锁定构件，所述纵向槽便于所述刀杆穿过所述钉仓组合件，所述刀杆和所述致动滑动件能够穿过所述工具组合件在缩回位置与前进位置之间移动以从所述钉仓弹出钉，所述锁定构件具有定位在所述刀杆远侧的指状件，所述指状件能从阻止所述刀杆向远侧移动的第一位置移动到从所述刀杆的路径移除的第二位置，其中，所述致动滑动件定位在所述锁定构件的所述指状件与所述刀杆之间并且包括接合构件，所述接合构件定位成在所述刀杆从缩回位置朝向前进位置移动以将所述指状件从所述第一位置移动到所述第二位置时接合所述弹性锁定构件的所述指状件。
24.根据权利要求23所述的外科钉合装置，其中，所述锁定构件由弹性材料形成，并且所述指状件被偏置到所述第一位置。
25.根据权利要求24所述的外科钉合装置，其中，所述致动滑动件的所述接合构件包括斜坡构件，所述斜坡构件能够移动成与所述指状件接合，以将所述指状件偏置到所述第二位置。
26.一种工具组合件，其包含：
主体部分、砧座和钉仓组合件，所述钉仓组合件联接到所述砧座，使得所述工具组合件能够在打开位置与夹紧位置之间移动，所述主体部分支撑包括刀杆的驱动组合件，所述钉仓组合件包括通道和致动滑动件，所述通道包括限定纵向槽的壁，所述纵向槽便于所述刀杆穿过所述钉仓组合件，所述刀杆和所述致动滑动件能够移动通过所述工具组合件以从所述钉仓弹出钉，其中，所述致动滑动件支撑可读标识符，所述可读标识符能够被读取以便于从所述工具组合件外部的位置确认致动滑动件存在于所述工具组合件内。
27.根据权利要求26所述的工具组合件，其中，所述可读标识符是条形码。
28.根据权利要求26所述的工具组合件，其中，所述可读标识符是RFID。
29.根据权利要求27所述的工具组合件，其中，所述可读标识符通过所述钉仓组合件的所述通道的所述纵向槽可见。
CN202110339015.0A 2020-04-01 2021-03-30 滑动件检测装置 Pending CN113491552A (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US16/837,534 US11426159B2 (en) 2020-04-01 2020-04-01 Sled detection device
US16/837,534 2020-04-01

Publications (1)

Publication Number Publication Date
CN113491552A true CN113491552A (zh) 2021-10-12

Family

ID=75645939

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202110339015.0A Pending CN113491552A (zh) 2020-04-01 2021-03-30 滑动件检测装置

Country Status (4)

Country Link
US (1) US11426159B2 (zh)
EP (2) EP3888567B1 (zh)
JP (1) JP2021159761A (zh)
CN (1) CN113491552A (zh)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11497494B2 (en) * 2020-06-30 2022-11-15 Cilag Gmbh International Surgical stapler cartridge retainer with ejector feature
US11986182B2 (en) * 2021-08-16 2024-05-21 Cilag Gmbh International Multi-position restraining member for sled movement

Family Cites Families (950)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR391239A (fr) 1908-06-15 1908-10-26 Victor Fischer Machine à suturer
US3499591A (en) 1967-06-23 1970-03-10 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
US3675688A (en) 1970-04-27 1972-07-11 United States Surgical Corp Instrument for ligating, suturing and dividing organic tubular structures
US3777538A (en) 1972-03-15 1973-12-11 Weck & Co Edward Surgical clip applicator
DE7318970U (de) 1973-05-19 1973-08-30 Wolf R Gmbh Zange zum setzen von tantal-clips
US3882854A (en) 1973-08-23 1975-05-13 Research Corp Surgical clip and applicator
SU659146A1 (ru) 1974-02-12 1979-04-30 Организация П/Я М-5237 Хирургический аппарат дл наложени анастомозов между полыми органами
US4027510A (en) 1974-05-15 1977-06-07 Siegfried Hiltebrandt Forceps
JPS51149985A (en) 1975-06-17 1976-12-23 Kanebo Ltd Continuous printing method of cloths
GB1555455A (en) 1976-06-11 1979-11-07 Cox Mastic Appliances Ltd P C Dispensing gun
US4086926A (en) 1976-10-08 1978-05-02 United States Surgical Corporation Ligating and dividing organic structures
SU728848A1 (ru) 1977-05-24 1980-04-25 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат
US4241861A (en) 1977-12-20 1980-12-30 Fleischer Harry N Scissor-type surgical stapler
SU1036324A1 (ru) 1978-03-31 1983-08-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат
DE2903159A1 (de) 1979-01-27 1980-07-31 Georg Kirchner Nadelapparat fuer medizinische zwecke
DE2917783C2 (de) 1979-05-03 1982-07-01 Richard Wolf Gmbh, 7134 Knittlingen Zange zum Anlegen eines Clips an einen Eileiter
AU534210B2 (en) 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
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
SU980703A1 (ru) 1980-05-16 1982-12-15 Иркутский Государственный Медицинский Институт Устройство дл рассечени тканей
US4331277A (en) 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
DE3114135C2 (de) 1981-04-08 1985-01-31 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Verfahren und Schaltung zur Temperaturermittlung bei medizinischen Elektromotoren
SU990220A1 (ru) 1981-06-15 1983-01-23 Московский научно-исследовательский институт микрохирургии глаза Ирисретрактор
WO1983002247A1 (en) 1981-12-22 1983-07-07 Freund, Hans, Ludwig Surgical stapling instrument
FR2542188B1 (fr) 1983-03-11 1985-08-16 Foures Bernard Pince chirurgicale pour sutures mecaniques lineaires de visceres des cavites thoraciques et abdominales
US4527724A (en) 1983-06-10 1985-07-09 Senmed, Inc. Disposable linear surgical stapling instrument
US4589413A (en) 1983-07-21 1986-05-20 Malyshev Boris N Surgical instrument for resection of hollow organs
SU1183082A1 (ru) 1983-08-19 1985-10-07 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат
US5220928A (en) 1983-08-22 1993-06-22 Stryker Sales Corporation Surgical procedure for joining tissue in an internal body cavity
US4944443A (en) 1988-04-22 1990-07-31 Innovative Surgical Devices, Inc. Surgical suturing instrument and method
US4602634A (en) 1983-09-23 1986-07-29 Ethicon, Inc. Method and instrument for applying a fastener to a tissue using means to grasp, guide and pull the fastener through the tissue
US4530453A (en) 1983-10-04 1985-07-23 United States Surgical Corporation Surgical fastener applying apparatus
US4505414A (en) 1983-10-12 1985-03-19 Filipi Charles J Expandable anvil surgical stapler
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US4612933A (en) 1984-03-30 1986-09-23 Senmed, Inc. Multiple-load cartridge assembly for a linear surgical stapling instrument
GB8422863D0 (en) 1984-09-11 1984-10-17 Univ London Sewing machine
US4671445A (en) 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4633861A (en) 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw clamping mechanism
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
US4633874A (en) 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
US4703887A (en) 1985-01-28 1987-11-03 Ethicon, Inc. Collapsible purse string aid for use with intraluminal stapling device
AU5476586A (en) 1985-03-14 1986-09-18 Hospital Products Ltd. Surgical stapler cartridge
US4665916A (en) 1985-08-09 1987-05-19 United States Surgical Corporation Surgical stapler apparatus
US4728020A (en) 1985-08-30 1988-03-01 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4715520A (en) 1985-10-10 1987-12-29 United States Surgical Corporation Surgical fastener applying apparatus with tissue edge control
US4700703A (en) 1986-03-27 1987-10-20 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4752024A (en) 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
US5119983A (en) 1987-05-26 1992-06-09 United States Surgical Corporation Surgical stapler apparatus
FR2622429A1 (fr) 1987-11-16 1989-05-05 Blagoveschensky G Appareil de suture chirurgicale
US4951860A (en) 1987-12-28 1990-08-28 Edward Weck & Co. Method and apparatus for storing, dispensing and applying surgical staples
US5084057A (en) 1989-07-18 1992-01-28 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
EP0324637B1 (en) 1988-01-15 1994-03-23 Ethicon, Inc. Surgical stapler pressure regulator
EP0324638A1 (en) 1988-01-15 1989-07-19 Ethicon, Inc. Surgical stapler safety and sequencing mechanisms
GB8800909D0 (en) 1988-01-15 1988-02-17 Ethicon Inc Gas powered surgical stapler
US4863088A (en) 1988-03-09 1989-09-05 Minnesota Mining And Manufacturing Company Surgical stapling instrument
US4869415A (en) 1988-09-26 1989-09-26 Ethicon, Inc. Energy storage means for a surgical stapler
US4892244A (en) 1988-11-07 1990-01-09 Ethicon, Inc. Surgical stapler cartridge lockout device
EP0369324B1 (fr) 1988-11-11 1995-11-02 United States Surgical Corporation Instrument de chirurgie
US5188274A (en) 1989-01-23 1993-02-23 Moeinzadeh Manssour H Semi-disposable surgical stapler
US4991764A (en) 1989-01-23 1991-02-12 Edward Weck Incorporated Surgical stapling instrument
US5111987A (en) 1989-01-23 1992-05-12 Moeinzadeh Manssour H Semi-disposable surgical stapler
US5486185A (en) 1989-01-30 1996-01-23 Dexide, Inc. Surgical apparatus
US5031814A (en) 1989-05-26 1991-07-16 United States Surgical Corporation Locking mechanism for surgical fastening apparatus
US4978049A (en) 1989-05-26 1990-12-18 United States Surgical Corporation Three staple drive member
US5040715B1 (en) 1989-05-26 1994-04-05 United States Surgical Corp Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US5413268A (en) 1989-05-26 1995-05-09 United States Surgical Corporation Apparatus and method for placing stables in laparoscopic or endoscopic procedures
US5505363A (en) 1989-05-26 1996-04-09 United States Surgical Corporation Surgical staples with plated anvils
US4955959A (en) 1989-05-26 1990-09-11 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
US5318221A (en) 1989-05-26 1994-06-07 United States Surgical Corporation Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US5106008A (en) 1989-05-26 1992-04-21 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
US5922001A (en) 1989-12-05 1999-07-13 Yoon; Inbae Surgical instrument with jaws and a movable internal blade member and method for use thereof
US5014899A (en) 1990-03-30 1991-05-14 United States Surgical Corporation Surgical stapling apparatus
FR2660851A1 (fr) 1990-04-11 1991-10-18 Cardial Sa Dispositif de desobstruction de conduits vasculaires tels des arteres.
US5074454A (en) 1990-06-04 1991-12-24 Peters Ronald L Surgical stapler
US5653373A (en) 1990-09-17 1997-08-05 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5156315A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5156614A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5253793A (en) 1990-09-17 1993-10-19 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
DE484677T1 (de) 1990-10-05 1993-11-25 United States Surgical Corp Verfahren und Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen.
US5282807A (en) 1990-11-05 1994-02-01 Knoepfler Dennis J Automatic stapler for laparoscopic procedure with selective cutter, nontraumatic jaws and suction irrigator
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
CA2055943C (en) 1990-12-06 2003-09-23 Daniel P. Rodak Surgical fastening apparatus with locking mechanism
US5083695A (en) 1990-12-18 1992-01-28 Minnesota Mining And Manufacturing Company Stapler and firing device
EP0563101B1 (en) 1990-12-18 1996-05-15 United States Surgical Corporation Safety device for a surgical stapler
US5141144A (en) 1990-12-18 1992-08-25 Minnesota Mining And Manufacturing Company Stapler and firing device
US5690675A (en) 1991-02-13 1997-11-25 Fusion Medical Technologies, Inc. Methods for sealing of staples and other fasteners in tissue
US5336232A (en) 1991-03-14 1994-08-09 United States Surgical Corporation Approximating apparatus for surgical jaw structure and method of using the same
CA2061885A1 (en) 1991-03-14 1992-09-15 David T. Green Approximating apparatus for surgical jaw structure
US5170925A (en) 1991-03-18 1992-12-15 Ethicon, Inc. Laparoscopic stapler with knife means
US5065929A (en) 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US5171247A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier with rotating shaft
US5470010A (en) 1991-04-04 1995-11-28 Ethicon, Inc. Multiple fire endoscopic stapling mechanism
US5246156A (en) 1991-09-12 1993-09-21 Ethicon, Inc. Multiple fire endoscopic stapling mechanism
US5339799A (en) 1991-04-23 1994-08-23 Olympus Optical Co., Ltd. Medical system for reproducing a state of contact of the treatment section in the operation unit
DE69229792T2 (de) 1991-05-14 2000-02-10 United States Surgical Corp., Norwalk Chirurgisches Klammergerät mit Detektiervorrichtung für verbrauchte Patronen und Sperrvorrichtung
US5221036A (en) 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5173133A (en) 1991-07-23 1992-12-22 United States Surgical Corporation Method for annealing stapler anvils
FR2681775B1 (fr) 1991-10-01 1998-09-11 Boutmy Ets Pince pour chirurgie endoscopique a outil inclinable.
CA2075141C (en) 1991-10-17 1998-06-30 Donald A. Morin Anvil for surgical staplers
US5326013A (en) 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
AU657364B2 (en) 1991-10-18 1995-03-09 United States Surgical Corporation Self contained gas powered surgical apparatus
DE69217808T2 (de) 1991-10-18 1997-07-24 United States Surgical Corp Gerät zum Anbringen von chirurgischen Befestigungen
US5364001A (en) 1991-10-18 1994-11-15 United States Surgical Corporation Self contained gas powered surgical apparatus
US5497933A (en) 1991-10-18 1996-03-12 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US6250532B1 (en) 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
US5711472A (en) 1991-10-18 1998-01-27 United States Surgical Corporation Self contained gas powered surgical apparatus
US5356064A (en) 1991-10-18 1994-10-18 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5332142A (en) 1991-10-18 1994-07-26 Ethicon, Inc. Linear stapling mechanism with cutting means
US5431322A (en) 1991-10-18 1995-07-11 United States Surgical Corporation Self contained gas powered surgical 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
US5308576A (en) 1991-10-18 1994-05-03 United States Surgical Corporation Injection molded anvils
US5366134A (en) 1991-10-18 1994-11-22 United States Surgical Corporation Surgical fastening apparatus
CA2075227C (en) 1991-10-18 2004-02-10 Robert J. Geiste Surgical fastening apparatus with shipping interlock
US5307976A (en) 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
CA2078794C (en) 1991-10-18 1998-10-06 Frank J. Viola Locking device for an apparatus for applying surgical fasteners
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5397046A (en) 1991-10-18 1995-03-14 United States Surgical Corporation Lockout mechanism for surgical apparatus
US5478003A (en) 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
US5240163A (en) 1991-10-30 1993-08-31 American Cyanamid Company Linear surgical stapling instrument
US5665085A (en) 1991-11-01 1997-09-09 Medical Scientific, Inc. Electrosurgical cutting tool
JPH07502428A (ja) 1991-11-01 1995-03-16 メディカル　サイエンティフィク　インコーポレイテッド 電気外科切断具
US5531744A (en) 1991-11-01 1996-07-02 Medical Scientific, Inc. Alternative current pathways for bipolar surgical cutting tool
US5395034A (en) 1991-11-07 1995-03-07 American Cyanamid Co. Linear surgical stapling instrument
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
FI90622C (fi) 1992-01-24 1994-03-10 Biocon Oy Kirurginen asennusinstrumentti
US5180092A (en) 1992-02-05 1993-01-19 Lawrence Crainich Linear surgical stapling instrument
US5163943A (en) 1992-03-12 1992-11-17 Mohiuddin Mohammed M Circumcision instrument with staple means
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
US5242457A (en) 1992-05-08 1993-09-07 Ethicon, Inc. Surgical instrument and staples for applying purse string sutures
US5389098A (en) 1992-05-19 1995-02-14 Olympus Optical Co., Ltd. Surgical device for stapling and/or fastening body tissues
US5431667A (en) 1992-05-26 1995-07-11 Origin Medsystems, Inc. Gas-sealed instruments for use in laparoscopic surgery
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
US5263629A (en) 1992-06-29 1993-11-23 Ethicon, Inc. Method and apparatus for achieving hemostasis along a staple line
CA2099100C (en) 1992-06-30 2005-02-22 David T. Green Apparatus for applying surgical fasteners
US5330486A (en) 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
CA2437777C (en) 1992-09-21 2006-11-28 United States Surgical Corporation Device for applying a meniscal staple
US5485952A (en) 1992-09-23 1996-01-23 United States Surgical Corporation Apparatus for applying surgical fasteners
CA2103507C (en) 1992-09-23 1998-09-15 David A. Nicholas Locking mechanism for endoscopic or laparoscopic surgical instruments
US5423471A (en) 1992-10-02 1995-06-13 United States Surgical Corporation Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures
US5573169A (en) 1992-10-02 1996-11-12 United States Surgical Corporation Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5374277A (en) 1992-10-09 1994-12-20 Ethicon, Inc. Surgical instrument
US5662662A (en) 1992-10-09 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical instrument and method
US5330502A (en) 1992-10-09 1994-07-19 Ethicon, Inc. Rotational endoscopic mechanism with jointed drive mechanism
US5626587A (en) 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
US5431323A (en) 1992-10-09 1995-07-11 Ethicon, Inc. Endoscopic surgical instrument with pivotable and rotatable staple cartridge
US5381943A (en) 1992-10-09 1995-01-17 Ethicon, Inc. Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge
US5275166A (en) 1992-11-16 1994-01-04 Ethicon, Inc. Method and apparatus for performing ultrasonic assisted surgical procedures
US5328077A (en) 1992-11-19 1994-07-12 Lou Ek Seng Method and apparatus for treating female urinary incontinence
US5403312A (en) 1993-07-22 1995-04-04 Ethicon, Inc. Electrosurgical hemostatic device
US5382255A (en) 1993-01-08 1995-01-17 United States Surgical Corporation Apparatus and method for assembly of surgical instruments
DE4300307C2 (de) 1993-01-08 1996-09-19 Aesculap Ag Chirurgisches Instrument
DE69409565T2 (de) 1993-01-29 1998-10-01 Smith & Nephew Inc Schwenkbares gekrümmtes Instrument
US5397324A (en) 1993-03-10 1995-03-14 Carroll; Brendan J. Surgical stapler instrument and method for vascular hemostasis
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
US5467911A (en) 1993-04-27 1995-11-21 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
US5407293A (en) 1993-04-29 1995-04-18 Crainich; Lawrence Coupling apparatus for medical instrument
US5464300A (en) 1993-04-29 1995-11-07 Crainich; Lawrence Medical instrument and coupling apparatus for same
US6716232B1 (en) 1993-04-30 2004-04-06 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
DE69414244T2 (de) 1993-04-30 1999-04-22 United States Surgical Corp., Norwalk, Conn. Chirurgisches instrument mit einer schwenkbaren backenstruktur
US5447265A (en) 1993-04-30 1995-09-05 Minnesota Mining And Manufacturing Company Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity
US5364003A (en) 1993-05-05 1994-11-15 Ethicon Endo-Surgery Staple cartridge for a surgical stapler
US5415334A (en) 1993-05-05 1995-05-16 Ethicon Endo-Surgery Surgical stapler and staple cartridge
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
US5810811A (en) 1993-07-22 1998-09-22 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
GR940100335A (el) 1993-07-22 1996-05-22 Ethicon Inc. Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων.
US5344061A (en) 1993-08-03 1994-09-06 Lawrence Crainich Ratchet assembly for medical instrument
US5441193A (en) 1993-09-23 1995-08-15 United States Surgical Corporation Surgical fastener applying apparatus with resilient film
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
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
US5562682A (en) 1993-10-08 1996-10-08 Richard-Allan Medical Industries, Inc. Surgical Instrument with adjustable arms
US5725554A (en) 1993-10-08 1998-03-10 Richard-Allan Medical Industries, Inc. Surgical staple and stapler
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5560532A (en) 1993-10-08 1996-10-01 United States Surgical Corporation Apparatus and method for applying surgical staples to body tissue
CA2117744A1 (en) 1993-10-14 1995-04-15 David T. Green Gas powered apparatus for applying surgical fasteners to body tissue
US5376095A (en) 1993-11-04 1994-12-27 Ethicon Endo-Surgery Endoscopic multi-fire flat stapler with low profile
US5490856A (en) 1993-12-14 1996-02-13 Untied States Surgical Corporation Purse string stapler
US5743456A (en) 1993-12-16 1998-04-28 Stryker Corporation Hand actuable surgical handpiece
WO1995018572A1 (en) 1994-01-04 1995-07-13 Alpha Surgical Technologies, Inc. Stapling device
US5452837A (en) 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
US5465895A (en) 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5487500A (en) 1994-02-03 1996-01-30 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5501689A (en) 1994-02-03 1996-03-26 United States Surgical Corporation Plaque stapler
US5597107A (en) 1994-02-03 1997-01-28 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
US5503638A (en) 1994-02-10 1996-04-02 Bio-Vascular, Inc. Soft tissue stapling buttress
US5507773A (en) 1994-02-18 1996-04-16 Ethicon Endo-Surgery Cable-actuated jaw assembly for surgical instruments
WO1995023557A1 (en) 1994-03-01 1995-09-08 United States Surgical Corporation Surgical stapler with anvil sensor and lockout
US5415335A (en) 1994-04-07 1995-05-16 Ethicon Endo-Surgery Surgical stapler cartridge containing lockout 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
US5489058A (en) 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5470007A (en) 1994-05-02 1995-11-28 Minnesota Mining And Manufacturing Company Laparoscopic stapler with overload sensor and interlock
CA2148667A1 (en) 1994-05-05 1995-11-06 Carlo A. Mililli Self-contained powered surgical apparatus
US5474566A (en) 1994-05-05 1995-12-12 United States Surgical Corporation Self-contained powered surgical apparatus
US5628446A (en) 1994-05-05 1997-05-13 United States Surgical Corporation Self-contained powered surgical apparatus
US5814057A (en) 1994-06-03 1998-09-29 Gunze Limited Supporting element for staple region
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
US5551622A (en) 1994-07-13 1996-09-03 Yoon; Inbae Surgical stapler
AU694225B2 (en) 1994-08-02 1998-07-16 Ethicon Endo-Surgery, Inc. Ultrasonic hemostatic and cutting instrument
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
US5507426A (en) 1994-08-05 1996-04-16 United States Surgical Corporation Apparatus for applying surgical fasteners
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
US5797538A (en) 1994-10-05 1998-08-25 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
US5901895A (en) 1994-10-05 1999-05-11 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
EP0705571A1 (en) 1994-10-07 1996-04-10 United States Surgical Corporation Self-contained powered surgical apparatus
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5988479A (en) 1994-12-13 1999-11-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5713505A (en) 1996-05-13 1998-02-03 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5704534A (en) 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
US5575799A (en) 1995-03-30 1996-11-19 United States Surgical Corporation Articulating surgical apparatus
US5624452A (en) 1995-04-07 1997-04-29 Ethicon Endo-Surgery, Inc. Hemostatic surgical cutting or stapling instrument
US5553765A (en) 1995-04-28 1996-09-10 Ethicon Endo-Surgery, Inc. Surgical stapler with improved operating lever mounting arrangement
US5630540A (en) 1995-05-24 1997-05-20 United States Surgical Corporation Surgical staple and staple drive member
US5653928A (en) 1995-06-15 1997-08-05 Schnipke Family Partnership Method for assembling a surgical stapling cartridge
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
USRE38708E1 (en) 1995-07-11 2005-03-01 United States Surgical Corporation Disposable loading unit for surgical stapler
US5702409A (en) 1995-07-21 1997-12-30 W. L. Gore & Associates, Inc. Device and method for reinforcing surgical staples
US5810855A (en) 1995-07-21 1998-09-22 Gore Enterprise Holdings, Inc. Endoscopic device and method for reinforcing surgical staples
US5718359A (en) 1995-08-14 1998-02-17 United States Of America Surgical Corporation Surgical stapler with lockout mechanism
US5715988A (en) 1995-08-14 1998-02-10 United States Surgical Corporation Surgical stapler with lockout mechanism
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US5762256A (en) 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US5814055A (en) 1995-09-19 1998-09-29 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
US5653721A (en) 1995-10-19 1997-08-05 Ethicon Endo-Surgery, Inc. Override mechanism for an actuator on a surgical instrument
US5697542A (en) 1995-10-19 1997-12-16 Ethicon Endo-Surgery, Inc. Endoscopic surgical stapler with compact profile
US5651491A (en) 1995-10-27 1997-07-29 United States Surgical Corporation Surgical stapler having interchangeable loading units
US5941442A (en) 1995-10-27 1999-08-24 United States Surgical Surgical stapler
JPH09135837A (ja) 1995-11-13 1997-05-27 Yasumasa Onuki 結紮縫合装置
US5762255A (en) 1996-02-20 1998-06-09 Richard-Allan Medical Industries, Inc. Surgical instrument with improvement safety lockout mechanisms
US5725536A (en) 1996-02-20 1998-03-10 Richard-Allen Medical Industries, Inc. Articulated surgical instrument with improved articulation control mechanism
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US5797537A (en) 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US5673842A (en) 1996-03-05 1997-10-07 Ethicon Endo-Surgery Surgical stapler with locking mechanism
US5772673A (en) 1996-03-07 1998-06-30 United States Surgical Corporation Apparatus for applying surgical clips
US5732806A (en) 1996-03-29 1998-03-31 Pilling Weck, Incorporated Compensator to prevent backlash in a surgical instrument
US5772099A (en) 1996-04-01 1998-06-30 United States Surgical Corporation Surgical fastening apparatus with alignment pin
US5785232A (en) 1996-04-17 1998-07-28 Vir Engineering Surgical stapler
US5823066A (en) 1996-05-13 1998-10-20 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US6109500A (en) 1996-10-04 2000-08-29 United States Surgical Corporation Lockout mechanism for a surgical stapler
US5769892A (en) 1996-10-22 1998-06-23 Mitroflow International Inc. Surgical stapler sleeve for reinforcing staple lines
US5911352A (en) 1996-12-17 1999-06-15 United States Surgical Corporation Surgical stapling apparatus
US5931847A (en) 1997-01-09 1999-08-03 Ethicon Endo-Surgery, Inc. Surgical cutting instrument with improved cutting edge
US5919198A (en) 1997-04-17 1999-07-06 Ethicon Endo-Surgery, Inc. Disposable cartridge with drivers
US5878938A (en) 1997-08-11 1999-03-09 Ethicon Endo-Surgery, Inc. Surgical stapler with improved locking mechanism
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
US6197017B1 (en) 1998-02-24 2001-03-06 Brock Rogers Surgical, Inc. Articulated apparatus for telemanipulator system
US6554844B2 (en) 1998-02-24 2003-04-29 Endovia Medical, Inc. Surgical instrument
US6279809B1 (en) 1998-03-10 2001-08-28 Enrico Nicolo Circular stapler for side to end, side to side and end to side anastomosis
US6099551A (en) 1998-03-12 2000-08-08 Shelhigh, Inc. Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof
FR2778081B1 (fr) 1998-04-29 2000-08-25 Fabrice Thevenet Implants de renfort pour sutures tissulaires
US6131790A (en) 1998-09-02 2000-10-17 Piraka; Hadi A. Surgical stapler and cartridge
US6594552B1 (en) 1999-04-07 2003-07-15 Intuitive Surgical, Inc. Grip strength with tactile feedback for robotic surgery
US6565554B1 (en) 1999-04-07 2003-05-20 Intuitive Surgical, Inc. Friction compensation in a minimally invasive surgical apparatus
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
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
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US6488196B1 (en) 1999-06-30 2002-12-03 Axya Medical, Inc. Surgical stapler and method of applying plastic staples to body tissue
US6325810B1 (en) 1999-06-30 2001-12-04 Ethicon, Inc. Foam buttress for stapling apparatus
US7063712B2 (en) 2001-04-27 2006-06-20 Cardica, Inc. Anastomosis method
US7682368B1 (en) 1999-07-28 2010-03-23 Cardica, Inc. Anastomosis tool actuated with stored energy
US7300444B1 (en) 1999-07-28 2007-11-27 Cardica, Inc. Surgical system and method for connecting hollow tissue structures
US7285131B1 (en) 1999-07-28 2007-10-23 Cardica, Inc. System for performing anastomosis
US20050154406A1 (en) 1999-07-28 2005-07-14 Cardica, Inc. Method for anastomosing vessels
US6391038B2 (en) 1999-07-28 2002-05-21 Cardica, Inc. Anastomosis system and method for controlling a tissue site
US7766924B1 (en) 1999-07-28 2010-08-03 Cardica, Inc. System for performing anastomosis
US7850703B2 (en) 1999-07-28 2010-12-14 Cardica, Inc. System for performing anastomosis
JP2001087272A (ja) 1999-09-24 2001-04-03 Motoko Iwabuchi 生体組織切除用自動縫合器
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
US9173658B2 (en) 2000-03-06 2015-11-03 Covidien Lp Apparatus and method for performing a bypass procedure in a digestive system
AU2001288462A1 (en) 2000-08-30 2002-03-13 Cerebral Vascular Applications Inc. Medical instrument
JP4014792B2 (ja) 2000-09-29 2007-11-28 株式会社東芝 マニピュレータ
US7334717B2 (en) 2001-10-05 2008-02-26 Tyco Healthcare Group Lp Surgical fastener applying apparatus
CA2664942C (en) 2000-10-13 2011-12-13 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6439446B1 (en) 2000-12-01 2002-08-27 Stephen J. Perry Safety lockout for actuator shaft
EP1359851B1 (en) 2001-01-31 2010-09-22 Rex Medical, Inc. Apparatus for stapling and resectioning gastro-edophageal tissue
EP2397080B1 (en) 2001-04-03 2018-08-01 Covidien LP Surgical stapling device
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US6544274B2 (en) 2001-05-02 2003-04-08 Novare Surgical Systems, Inc. Clamp having bendable shaft
US6503257B2 (en) 2001-05-07 2003-01-07 Ethicon Endo-Surgery, Inc. Method for releasing buttress material attached to a surgical fastening device
US6656193B2 (en) 2001-05-07 2003-12-02 Ethicon Endo-Surgery, Inc. Device for attachment of buttress material to a surgical fastening device
US6755338B2 (en) 2001-08-29 2004-06-29 Cerebral Vascular Applications, Inc. Medical instrument
US6587750B2 (en) 2001-09-25 2003-07-01 Intuitive Surgical, Inc. Removable infinite roll master grip handle and touch sensor for robotic surgery
EP2452636B1 (en) 2001-10-05 2016-03-23 Covidien LP Surgical stapling apparatus
ES2514666T3 (es) 2001-10-05 2014-10-28 Covidien Lp Dispositivo de grapado quirúrgico
USD480808S1 (en) 2001-10-12 2003-10-14 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US7504827B1 (en) 2001-11-14 2009-03-17 Fonar Corporation MRI test fixture
US6602252B2 (en) 2002-01-03 2003-08-05 Starion Instruments Corporation Combined dissecting, cauterizing, and stapling device
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
AU2003226050A1 (en) 2002-04-11 2003-10-27 Tyco Healthcare Group, Lp Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces
AU2003230933B2 (en) 2002-04-15 2008-01-10 Cook Biotech Incorporated Apparatus and method for producing a reinforced surgical staple line
CA2703164C (en) 2002-04-16 2013-10-08 Tyco Healthcare Group Lp Surgical stapler and method
EP1496805B1 (en) 2002-04-25 2012-01-11 Tyco Healthcare Group LP Surgical instruments including micro-electromechanical systems (mems)
AU2003230359B2 (en) 2002-05-10 2008-11-13 Covidien Lp Electrosurgical stapling apparatus
EP1503671B1 (en) 2002-05-10 2006-10-11 Tyco Healthcare Group Lp Wound closure material applicator and stapler
AU2003228979A1 (en) 2002-05-10 2003-11-11 Tyco Healthcare Group, Lp Surgical stapling apparatus having a wound closure material applicator assembly
CN101803938B (zh) 2002-06-14 2012-06-20 Tyco医疗健康集团 用于夹紧、切割及缝合组织的器械
US8454628B2 (en) 2002-09-20 2013-06-04 Syntheon, Llc Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease
ES2377813T5 (es) 2002-10-04 2020-12-18 Covidien Lp Conjunto de herramienta para un dispositivo de grapado quirúrgico
CA2712039C (en) 2002-10-04 2013-03-12 Tyco Healthcare Group Lp Tool assembly for surgical stapling device
ES2274284T3 (es) 2002-10-04 2007-05-16 Tyco Healthcare Group Lp Grapadora quirugica con articulacion universal y dispositivo de sujeccion previa del tejido.
AU2003279151A1 (en) 2002-10-04 2004-05-04 Tyco Healthcare Group, Lp Pneumatic powered surgical stapling device
US7267682B1 (en) 2002-12-04 2007-09-11 Cardica, Inc. Anastomosis staple
US7399310B2 (en) 2002-12-16 2008-07-15 Edrich Vascular Devices, Inc. Endovascular stapler
US7287682B1 (en) 2003-01-20 2007-10-30 Hazem Ezzat Surgical device and method
ES2354613T3 (es) 2003-03-26 2011-03-16 Tyco Healthcare Group Lp Energía almacenada en un resorte con liberación controlada.
US20040199180A1 (en) 2003-04-02 2004-10-07 Knodel Bryan D. Method of using surgical device for anastomosis
US20040199181A1 (en) 2003-04-02 2004-10-07 Knodel Bryan D. Surgical device for anastomosis
US9597078B2 (en) 2003-04-29 2017-03-21 Covidien Lp Surgical stapling device with dissecting tip
US8714429B2 (en) 2003-04-29 2014-05-06 Covidien Lp Dissecting tip for surgical stapler
US20040243151A1 (en) 2003-04-29 2004-12-02 Demmy Todd L. Surgical stapling device with dissecting tip
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US7140528B2 (en) 2003-05-20 2006-11-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US6988649B2 (en) 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US7000818B2 (en) 2003-05-20 2006-02-21 Ethicon, Endo-Surger, Inc. Surgical stapling instrument having separate distinct closing and firing systems
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
JP4664909B2 (ja) 2003-06-17 2011-04-06 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 外科用ステープリング装置
US7494039B2 (en) 2003-06-17 2009-02-24 Tyco Healthcare Group Lp Surgical stapling device
ES2550808T3 (es) 2003-06-20 2015-11-12 Covidien Lp Instrumento de grapado quirúrgico
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
US7213736B2 (en) 2003-07-09 2007-05-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an 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
US6786382B1 (en) 2003-07-09 2004-09-07 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an articulation joint for a firing bar track
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US6964363B2 (en) 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
US7083075B2 (en) 2003-09-29 2006-08-01 Ethicon Endo-Surgery, Inc. Multi-stroke mechanism with automatic end of stroke retraction
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
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
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
US7434715B2 (en) 2003-09-29 2008-10-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing with opening lockout
US7914543B2 (en) 2003-10-14 2011-03-29 Satiety, Inc. Single fold device for tissue fixation
US7097650B2 (en) 2003-10-14 2006-08-29 Satiety, Inc. System for tissue approximation and fixation
US20090090763A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US7296722B2 (en) 2003-10-17 2007-11-20 Tyco Healthcare Group Lp Surgical fastener applying apparatus with controlled beam deflection
WO2005037084A2 (en) 2003-10-17 2005-04-28 Tyco Healthcare Group, Lp Surgical stapling device
US9113880B2 (en) 2007-10-05 2015-08-25 Covidien Lp Internal backbone structural chassis for a surgical device
US10588629B2 (en) 2009-11-20 2020-03-17 Covidien Lp Surgical console and hand-held surgical device
JP4642770B2 (ja) 2003-10-17 2011-03-02 タイコ ヘルスケア グループ リミテッド パートナーシップ 独立先端部回転を備えた外科用ステープル留めデバイス
US7401720B1 (en) 2004-05-07 2008-07-22 Ayaz Mahmud Durrani Dual surgical stapler
US20050177176A1 (en) 2004-02-05 2005-08-11 Craig Gerbi Single-fold system for tissue approximation and fixation
DE602005000891T2 (de) 2004-02-17 2008-01-17 Tyco Healthcare Group Lp, Norwalk Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus
DE602005000938T2 (de) 2004-02-17 2008-01-17 Tyco Healthcare Group Lp, Norwalk Chirurgisches Klammernahtgerät mit Verriegelungsmechanismus
US7172104B2 (en) 2004-02-17 2007-02-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US7886952B2 (en) 2004-02-17 2011-02-15 Tyco Healthcare Group Lp Surgical stapling apparatus with locking mechanism
ES2285586T3 (es) 2004-02-17 2007-11-16 Tyco Healthcare Group Lp Aparato quirurgico de grapado con mecanismo de bloqueo.
US6953138B1 (en) 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
US8252009B2 (en) 2004-03-09 2012-08-28 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
TWM259538U (en) 2004-04-12 2005-03-21 Shi-Du Wang Suspended hanger for trowels
CA2566794A1 (en) 2004-05-17 2005-12-08 Datascope Investment Corp. Surgical stapling system
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
US7367485B2 (en) 2004-06-30 2008-05-06 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission
US7407077B2 (en) 2004-07-28 2008-08-05 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US7857183B2 (en) 2004-07-28 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US7513408B2 (en) 2004-07-28 2009-04-07 Ethicon Endo-Surgery, Inc. Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism
US7143926B2 (en) 2005-02-07 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US7506790B2 (en) 2004-07-28 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US7354447B2 (en) 2005-11-10 2008-04-08 Ethicon Endo-Surgery, Inc. Disposable loading unit and surgical instruments including same
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
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
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7407074B2 (en) 2004-07-28 2008-08-05 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for multi-fire surgical fastening instrument
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
BRPI0419039B8 (pt) 2004-09-10 2021-06-22 Ethicon Endo Surgery Inc instrumento de grampeamento cirúrgico
KR100646762B1 (ko) 2004-09-10 2006-11-23 인하대학교 산학협력단 수술용 스테이플 및 이를 구비한 수술용 자동 문합기
US7328829B2 (en) 2004-12-13 2008-02-12 Niti Medical Technologies Ltd. Palm size surgical stapler for single hand operation
US7121446B2 (en) 2004-12-13 2006-10-17 Niti Medical Technologies Ltd. Palm-size surgical stapler for single hand operation
US7462185B1 (en) 2004-12-23 2008-12-09 Cardican Inc. Intravascular stapling tool
US7678121B1 (en) 2004-12-23 2010-03-16 Cardica, Inc. Surgical stapling tool
US7229895B2 (en) 2005-01-14 2007-06-12 Micron Technology, Inc Memory array buried digit line
US7438208B2 (en) 2005-01-25 2008-10-21 Entrigue Surgical, Inc. Septal stapler apparatus
US7559452B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument having fluid actuated opposing jaws
US7559450B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating a fluid transfer controlled articulation mechanism
US20060289602A1 (en) 2005-06-23 2006-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground
US7654431B2 (en) 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
US7784662B2 (en) 2005-02-18 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
JP4712409B2 (ja) 2005-02-28 2011-06-29 マニー株式会社 医療用ステープラー
US7780055B2 (en) 2005-04-06 2010-08-24 Tyco Healthcare Group Lp Loading unit having drive assembly locking mechanism
US20100012703A1 (en) 2005-05-05 2010-01-21 Allison Calabrese Surgical Gasket
EP3738521B1 (en) 2005-06-03 2023-10-18 Covidien LP Surgical stapler with timer and feedback display
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US7815092B2 (en) 2005-07-27 2010-10-19 Power Medical Interventions, Llc Staple pocket arrangement for surgical stapler
US7559937B2 (en) 2005-08-09 2009-07-14 Towertech Research Group Surgical fastener apparatus and reinforcing material
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
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
US7419495B2 (en) 2005-08-25 2008-09-02 Microline Pentax Inc. Trigger lockout device for clip applying instrument
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US7669746B2 (en) 2005-08-31 2010-03-02 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
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7407078B2 (en) 2005-09-21 2008-08-05 Ehthicon Endo-Surgery, Inc. Surgical stapling instrument having force controlled spacing end effector
US7472815B2 (en) 2005-09-21 2009-01-06 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with collapsible features for controlling staple height
US7451904B2 (en) 2005-09-26 2008-11-18 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having end effector gripping surfaces
US7357287B2 (en) 2005-09-29 2008-04-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having preloaded firing assistance mechanism
US7641091B2 (en) 2005-10-04 2010-01-05 Tyco Healthcare Group Lp Staple drive assembly
US7635074B2 (en) 2005-10-04 2009-12-22 Tyco Healthcare Group Lp Staple drive assembly
US8096459B2 (en) 2005-10-11 2012-01-17 Ethicon Endo-Surgery, Inc. Surgical stapler with an end effector support
CA2563147C (en) 2005-10-14 2014-09-23 Tyco Healthcare Group Lp Surgical stapling device
AU2006228045B2 (en) 2005-10-14 2011-11-24 Covidien Lp Apparatus for laparoscopic or endoscopic procedures
US20070102472A1 (en) 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7607557B2 (en) 2005-11-04 2009-10-27 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for pump-assisted delivery of medical agents
US7328828B2 (en) 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US7651017B2 (en) 2005-11-23 2010-01-26 Ethicon Endo-Surgery, Inc. Surgical stapler with a bendable end effector
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
US7481824B2 (en) 2005-12-30 2009-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument with bending articulation controlled articulation pivot joint
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20070175951A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US20070175950A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US9629626B2 (en) 2006-02-02 2017-04-25 Covidien Lp Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US20110163146A1 (en) 2006-03-23 2011-07-07 Ortiz Mark S Surgical Stapling And Cuttting Device
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8267849B2 (en) 2006-04-18 2012-09-18 Wazer David E Radioactive therapeutic fastening instrument
US8833631B2 (en) 2011-05-16 2014-09-16 John J. Munro, III Delivery applicator for radioactive staples for brachytherapy medical treatment
US7278563B1 (en) 2006-04-25 2007-10-09 Green David T Surgical instrument for progressively stapling and incising tissue
US7552854B2 (en) 2006-05-19 2009-06-30 Applied Medical Resources Corporation Surgical stapler with firing lock mechanism
US7635373B2 (en) 2006-05-25 2009-12-22 Ethicon Endo-Surgery, Inc. Absorbable gastric restriction devices and methods
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
ATE486527T1 (de) 2006-07-07 2010-11-15 Ethicon Endo Surgery Inc Chirurgischer klammerapplikator und klammermagazin und klammer für ein solches gerät
IL176889A0 (en) 2006-07-16 2006-10-31 Medigus Ltd Devices and methods for treating morbid obesity
US20080029573A1 (en) 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with replaceable power sources
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US20080029574A1 (en) 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
US8403196B2 (en) 2006-09-08 2013-03-26 Covidien Lp Dissection tip and introducer for surgical instrument
US8136711B2 (en) 2006-09-08 2012-03-20 Tyco Healthcare Group Lp Dissection tip and introducer for surgical instrument
US8794496B2 (en) 2006-09-11 2014-08-05 Covidien Lp Rotating knob locking mechanism for surgical stapling device
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US20100133317A1 (en) 2006-09-29 2010-06-03 Shelton Iv Frederick E Motor-Driven Surgical Cutting And Fastening Instrument with Tactile Position Feedback
US7665647B2 (en) 2006-09-29 2010-02-23 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
US20110087276A1 (en) 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Method for forming a staple
US7963431B2 (en) 2006-10-06 2011-06-21 Tyco Healthcare Group, Lp Grasping jaw mechanism
US7481348B2 (en) 2006-10-06 2009-01-27 Tyco Healthcare Group Lp Surgical instrument with articulating tool assembly
US7637410B2 (en) 2006-10-06 2009-12-29 Tyco Healthcare Group Lp Surgical instrument including a locking assembly
US8336751B2 (en) 2006-10-06 2012-12-25 Covidien Lp Grasping jaw mechanism
US7967178B2 (en) 2006-10-06 2011-06-28 Tyco Healthcare Group Lp Grasping jaw mechanism
US7866525B2 (en) 2006-10-06 2011-01-11 Tyco Healthcare Group Lp Surgical instrument having a plastic surface
WO2008057281A2 (en) 2006-10-26 2008-05-15 Tyco Healthcare Group Lp Methods of using shape memory alloys for buttress attachment
US7845533B2 (en) 2007-06-22 2010-12-07 Tyco Healthcare Group Lp Detachable buttress material retention systems for use with a surgical stapling device
US20080110961A1 (en) 2006-11-10 2008-05-15 Ethicon Endo-Surgery, Inc. Initiator Coating of Staples
US7434716B2 (en) 2006-12-21 2008-10-14 Tyco Healthcare Group Lp Staple driver for articulating surgical stapler
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7721936B2 (en) * 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
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
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US7900805B2 (en) * 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US20080169333A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapler end effector with tapered distal end
US20080169328A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
US7950562B2 (en) 2007-01-31 2011-05-31 Tyco Healthcare Group Lp Surgical instrument with replaceable loading unit
US7753246B2 (en) 2007-01-31 2010-07-13 Tyco Healthcare Group Lp Surgical instrument with replaceable loading unit
US7682367B2 (en) 2007-02-28 2010-03-23 Tyco Healthcare Group Lp Surgical stapling apparatus
US8011555B2 (en) 2007-03-06 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
US8011550B2 (en) 2009-03-31 2011-09-06 Tyco Healthcare Group Lp Surgical stapling apparatus
AU2008223389B2 (en) 2007-03-06 2013-07-11 Covidien Lp Surgical stapling apparatus
US7473258B2 (en) 2007-03-08 2009-01-06 Cardica, Inc. Surgical stapler
US7431188B1 (en) 2007-03-15 2008-10-07 Tyco Healthcare Group Lp Surgical stapling apparatus with powered articulation
US7669747B2 (en) 2007-03-15 2010-03-02 Ethicon Endo-Surgery, Inc. Washer for use with a surgical stapling instrument
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
CA2681186C (en) 2007-03-22 2015-07-21 Tyco Healthcare Group Lp Apparatus for forming variable height surgical fasteners
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US7490749B2 (en) 2007-03-28 2009-02-17 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with manually retractable firing member
US8496153B2 (en) 2007-03-29 2013-07-30 Covidien Lp Anvil-mounted dissecting tip for surgical stapling device
US8006885B2 (en) 2007-04-09 2011-08-30 Tyco Healthcare Group Lp Surgical stapling apparatus with powered retraction
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US7708182B2 (en) 2007-04-17 2010-05-04 Tyco Healthcare Group Lp Flexible endoluminal surgical instrument
US8028882B2 (en) 2007-05-01 2011-10-04 Tyco Healthcare Group Anvil position detector for a surgical stapler
US7823760B2 (en) 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
US7798385B2 (en) 2007-05-16 2010-09-21 The Invention Science Fund I, Llc Surgical stapling instrument with chemical sealant
US7823761B2 (en) 2007-05-16 2010-11-02 The Invention Science Fund I, Llc Maneuverable surgical stapler
US20080287987A1 (en) 2007-05-16 2008-11-20 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Dispensing system for tissue sealants
US7832611B2 (en) 2007-05-16 2010-11-16 The Invention Science Fund I, Llc Steerable surgical stapler
US7922064B2 (en) 2007-05-16 2011-04-12 The Invention Science Fund, I, LLC Surgical fastening device with cutter
US8038045B2 (en) 2007-05-25 2011-10-18 Tyco Healthcare Group Lp Staple buttress retention system
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US8631991B2 (en) 2007-05-30 2014-01-21 Ethicon Endo-Surgery, Inc. Surgical instrument
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US20080296346A1 (en) 2007-05-31 2008-12-04 Shelton Iv Frederick E Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
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
US7665646B2 (en) 2007-06-18 2010-02-23 Tyco Healthcare Group Lp Interlocking buttress material retention system
US7588176B2 (en) 2007-06-18 2009-09-15 Ethicon Endo-Surgery, Inc. Surgical cutting instrument with improved closure system
US7604150B2 (en) 2007-06-22 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an anti-back up mechanism
US7441685B1 (en) 2007-06-22 2008-10-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a return mechanism
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US7597229B2 (en) 2007-06-22 2009-10-06 Ethicon Endo-Surgery, Inc. End effector closure system for a surgical stapling instrument
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US8062330B2 (en) 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
US7600663B2 (en) 2007-07-05 2009-10-13 Green David T Apparatus for stapling and incising tissue
US7556185B2 (en) 2007-08-15 2009-07-07 Tyco Healthcare Group Lp Surgical instrument with flexible drive mechanism
US8061576B2 (en) 2007-08-31 2011-11-22 Tyco Healthcare Group Lp Surgical instrument
US7624902B2 (en) 2007-08-31 2009-12-01 Tyco Healthcare Group Lp Surgical stapling apparatus
US7988026B2 (en) 2007-09-06 2011-08-02 Cardica, Inc. Endocutter with staple feed
US8070036B1 (en) 2007-09-06 2011-12-06 Cardica, Inc True multi-fire surgical stapler configured to fire staples of different sizes
US8403956B1 (en) 2007-09-06 2013-03-26 Cardica, Inc. Multiple-use surgical stapler
US8556151B2 (en) 2007-09-11 2013-10-15 Covidien Lp Articulating joint for surgical instruments
CN101801283B (zh) 2007-09-21 2012-07-18 Tyco医疗健康集团 手术器械
EP2233081B2 (en) 2007-09-21 2018-03-28 Covidien LP Surgical device
US8678263B2 (en) 2007-09-24 2014-03-25 Covidien Lp Materials delivery system for stapling device
US7866524B2 (en) 2007-09-24 2011-01-11 Tyco Healthcare Group Lp Stapler powered auxiliary device for injecting material between stapler jaws
US7703653B2 (en) 2007-09-28 2010-04-27 Tyco Healthcare Group Lp Articulation mechanism for surgical instrument
EP2044892A3 (en) 2007-10-05 2012-11-21 Tyco Healthcare Group LP Surgical stapling apparatus
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8012170B2 (en) 2009-04-27 2011-09-06 Tyco Healthcare Group Lp Device and method for controlling compression of tissue
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US8967443B2 (en) 2007-10-05 2015-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
EP2044888B1 (en) 2007-10-05 2016-12-07 Covidien LP Articulation mechanism for a surgical instrument
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US7954685B2 (en) 2007-11-06 2011-06-07 Tyco Healthcare Group Lp Articulation and firing force mechanisms
US7954687B2 (en) 2007-11-06 2011-06-07 Tyco Healthcare Group Lp Coated surgical staples and an illuminated staple cartridge for a surgical stapling instrument
GB0721940D0 (en) 2007-11-08 2007-12-19 Icera Inc Memory cells
US20090177201A1 (en) 2007-11-14 2009-07-09 Michael Soltz Staple with Multiple Cross Sectional Shapes
DE102007059064A1 (de) 2007-12-07 2009-06-10 Stapleline Medizintechnik Gmbh Chirurgisches Klammerinstrument
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US20090206133A1 (en) 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Articulatable loading units for surgical stapling and cutting instruments
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8371491B2 (en) 2008-02-15 2013-02-12 Ethicon Endo-Surgery, Inc. Surgical end effector having buttress retention features
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206137A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading units for a surgical cutting and stapling instrument
US8136713B2 (en) 2008-03-25 2012-03-20 Tyco Healthcare Group Lp Surgical stapling instrument having transducer effecting vibrations
US20090242610A1 (en) 2008-03-26 2009-10-01 Shelton Iv Frederick E Disposable loading unit and surgical instruments including same
WO2009126298A1 (en) 2008-04-11 2009-10-15 Regents Of The University Of Minnesota Fastener deployment system and method
JP5788312B2 (ja) 2008-04-11 2015-09-30 アルニラム ファーマスーティカルズ インコーポレイテッドＡｌｎｙｌａｍ Ｐｈａｒｍａｃｅｕｔｉｃａｌｓ， Ｉｎｃ． 標的リガンドをエンドソーム分解性成分と組み合わせることによる核酸の部位特異的送達
US8231040B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US7926691B2 (en) 2008-04-14 2011-04-19 Tyco Healthcare Group, L.P. Variable compression surgical fastener cartridge
US8231041B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US20090255974A1 (en) 2008-04-14 2009-10-15 Tyco Healthcare Group Lp Single loop surgical fastener apparatus for applying variable compression
US8100310B2 (en) 2008-04-14 2012-01-24 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US8028884B2 (en) 2008-04-22 2011-10-04 Tyco Healthcare Group Lp Cartridge for applying varying amounts of tissue compression
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
US7997468B2 (en) 2008-05-05 2011-08-16 Tyco Healthcare Group Lp Surgical instrument with clamp
US8967446B2 (en) 2008-05-09 2015-03-03 Covidien Lp Variable compression surgical fastener cartridge
US8186556B2 (en) 2008-05-09 2012-05-29 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US8464922B2 (en) 2008-05-09 2013-06-18 Covidien Lp Variable compression surgical fastener cartridge
US9016541B2 (en) 2008-05-09 2015-04-28 Covidien Lp Varying tissue compression with an anvil configuration
US8091756B2 (en) 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
US7922061B2 (en) 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US8701959B2 (en) 2008-06-06 2014-04-22 Covidien Lp Mechanically pivoting cartridge channel for surgical instrument
US7789283B2 (en) 2008-06-06 2010-09-07 Tyco Healthcare Group Lp Knife/firing rod connection for surgical instrument
US7942303B2 (en) 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US8007513B2 (en) 2008-06-12 2011-08-30 Ethicon Endo-Surgery, Inc. Partially reusable surgical stapler
US7543730B1 (en) 2008-06-24 2009-06-09 Tyco Healthcare Group Lp Segmented drive member for surgical instruments
US8011551B2 (en) 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
US8074858B2 (en) 2008-07-17 2011-12-13 Tyco Healthcare Group Lp Surgical retraction mechanism
US20110082471A1 (en) 2009-10-06 2011-04-07 Holcomb Matthew D Reloadable Laparoscopic Fastener Deploying Device
KR101548946B1 (ko) 2008-08-12 2015-09-02 가부시키가이샤 씽크. 라보라토리 정보표시시스템 및 그에 이용되는 닷 패턴 인쇄 시트
US20100051668A1 (en) 2008-09-03 2010-03-04 Milliman Keith L Surgical instrument with indicator
US8113405B2 (en) 2008-09-03 2012-02-14 Tyco Healthcare Group, Lp Surgical instrument with indicator
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
US20100069942A1 (en) 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US7832612B2 (en) 2008-09-19 2010-11-16 Ethicon Endo-Surgery, Inc. Lockout arrangement for a surgical stapler
US8628544B2 (en) 2008-09-23 2014-01-14 Covidien Lp Knife bar for surgical instrument
US8360298B2 (en) 2008-09-23 2013-01-29 Covidien Lp Surgical instrument and loading unit for use therewith
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
US8215532B2 (en) 2008-09-23 2012-07-10 Tyco Healthcare Group Lp Tissue stop for surgical instrument
US7896214B2 (en) 2008-09-23 2011-03-01 Tyco Healthcare Group Lp Tissue stop for surgical instrument
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
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US7934631B2 (en) 2008-11-10 2011-05-03 Barosense, Inc. Multi-fire stapling systems and methods for delivering arrays of staples
US20100147921A1 (en) 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
JP5554722B2 (ja) 2008-12-25 2014-07-23 泉工医科工業株式会社 クランプ部材、クランプ及び吻合器
US8381961B2 (en) 2009-01-14 2013-02-26 Covidien Lp Surgical stapling apparatus including staple with plate
US8439244B2 (en) 2010-01-20 2013-05-14 Ethicon Endo-Surgery, Inc. Surgical stapler fastening device with movable anvil
US20120193399A1 (en) 2011-01-28 2012-08-02 Holcomb Matthew D Surgical Fastener Having A Safety Feature
US8469252B2 (en) 2009-01-26 2013-06-25 Ethicon Endo-Surgery, Inc. Surgical stapler fastening device with adjustable anvil
US8453905B2 (en) 2009-01-26 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical fastener for applying a large staple through a small delivery port
US20120193394A1 (en) 2011-01-28 2012-08-02 Holcomb Matthew D Surgical Stapler Having an Adjustment Feature
US20110278343A1 (en) 2009-01-29 2011-11-17 Cardica, Inc. Clamping of Hybrid Surgical Instrument
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US20100193566A1 (en) 2009-02-05 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8245899B2 (en) 2009-02-06 2012-08-21 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8453913B2 (en) 2009-02-06 2013-06-04 Covidien Lp Anvil for surgical stapler
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US20110024478A1 (en) 2009-02-06 2011-02-03 Shelton Iv Frederick E Driven Surgical Stapler Improvements
US8393516B2 (en) 2009-02-26 2013-03-12 Covidien Lp Surgical stapling apparatus with curved cartridge and anvil assemblies
US8356740B1 (en) 2009-03-09 2013-01-22 Cardica, Inc. Controlling compression applied to tissue by surgical tool
US8317071B1 (en) 2009-03-09 2012-11-27 Cardica, Inc. Endocutter with auto-feed buttress
US7918376B1 (en) 2009-03-09 2011-04-05 Cardica, Inc. Articulated surgical instrument
US20100249802A1 (en) 2009-03-27 2010-09-30 May Thomas C Soft Tissue Graft Preparation Devices and Methods
US8113409B2 (en) 2009-03-31 2012-02-14 Tyco Healthcare Group Lp Surgical stapling apparatus with clamping assembly
US7967179B2 (en) 2009-03-31 2011-06-28 Tyco Healthcare Group Lp Center cinch and release of buttress material
US8348126B2 (en) 2009-03-31 2013-01-08 Covidien Lp Crimp and release of suture holding buttress material
US8365972B2 (en) 2009-03-31 2013-02-05 Covidien Lp Surgical stapling apparatus
US7988027B2 (en) 2009-03-31 2011-08-02 Tyco Healthcare Group Lp Crimp and release of suture holding buttress material
US8016178B2 (en) 2009-03-31 2011-09-13 Tyco Healthcare Group Lp Surgical stapling apparatus
US8292154B2 (en) 2009-04-16 2012-10-23 Tyco Healthcare Group Lp Surgical apparatus for applying tissue fasteners
US8127976B2 (en) 2009-05-08 2012-03-06 Tyco Healthcare Group Lp Stapler cartridge and channel interlock
US8308043B2 (en) 2009-05-19 2012-11-13 Covidien Lp Recognition of interchangeable component of a device
US8070034B1 (en) 2009-05-29 2011-12-06 Cardica, Inc. Surgical stapler with angled staple bays
US8056789B1 (en) 2009-06-03 2011-11-15 Cardica, Inc. Staple and feeder belt configurations for surgical stapler
US8132706B2 (en) 2009-06-05 2012-03-13 Tyco Healthcare Group Lp Surgical stapling apparatus having articulation mechanism
US8827134B2 (en) 2009-06-19 2014-09-09 Covidien Lp Flexible surgical stapler with motor in the head
US8087562B1 (en) 2009-06-22 2012-01-03 Cardica, Inc. Anvil for surgical instrument
US8205779B2 (en) 2009-07-23 2012-06-26 Tyco Healthcare Group Lp Surgical stapler with tactile feedback system
US20110036891A1 (en) 2009-08-11 2011-02-17 Tyco Healthcare Group Lp Surgical stapler with visual positional indicator
US8360299B2 (en) 2009-08-11 2013-01-29 Covidien Lp Surgical stapling apparatus
US8955732B2 (en) 2009-08-11 2015-02-17 Covidien Lp Surgical stapling apparatus
US8276801B2 (en) 2011-02-01 2012-10-02 Tyco Healthcare Group Lp Surgical stapling apparatus
US8459524B2 (en) 2009-08-14 2013-06-11 Covidien Lp Tissue fastening system for a medical device
US8342378B2 (en) 2009-08-17 2013-01-01 Covidien Lp One handed stapler
US8733612B2 (en) 2009-08-17 2014-05-27 Covidien Lp Safety method for powered surgical instruments
US8387848B2 (en) 2009-08-20 2013-03-05 Covidien Lp Surgical staple
US8365971B1 (en) 2009-09-23 2013-02-05 Cardica, Inc. True multi-fire linear cutter
US8496154B2 (en) 2009-10-08 2013-07-30 Covidien Lp Pair of double staple pusher in triple row stapler
US8152041B2 (en) 2009-10-14 2012-04-10 Tyco Healthcare Group Lp Varying tissue compression aided by elastic members
US9610080B2 (en) 2009-10-15 2017-04-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US8157151B2 (en) 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US8523042B2 (en) 2009-10-21 2013-09-03 The General Hospital Corporation Apparatus and method for preserving a tissue margin
US8225979B2 (en) * 2009-10-30 2012-07-24 Tyco Healthcare Group Lp Locking shipping wedge
US8418907B2 (en) 2009-11-05 2013-04-16 Covidien Lp Surgical stapler having cartridge with adjustable cam mechanism
US8186558B2 (en) 2009-11-10 2012-05-29 Tyco Healthcare Group Lp Locking mechanism for use with loading units
US8235272B2 (en) 2009-11-20 2012-08-07 Tyco Healthcare Group Lp Surgical stapling device with captive anvil
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8960517B2 (en) 2010-01-13 2015-02-24 Chung-Yi Lee Powder-actuated fastener-driving device having sound-absorbing function
US8469254B2 (en) 2010-01-22 2013-06-25 Covidien Lp Surgical instrument having a drive assembly
US8245897B2 (en) 2010-01-26 2012-08-21 Zakease Surgical Inc. Stapling apparatus for performing anastomosis on hollow organs
US8328061B2 (en) 2010-02-02 2012-12-11 Covidien Lp Surgical instrument for joining tissue
US8672209B2 (en) 2010-02-25 2014-03-18 Design Standards Corporation Laproscopic stapler
US8074859B2 (en) 2010-03-31 2011-12-13 Tyco Healthcare Group Lp Surgical instrument
US8348127B2 (en) 2010-04-07 2013-01-08 Covidien Lp Surgical fastener applying apparatus
US8596515B2 (en) 2010-06-18 2013-12-03 Covidien Lp Staple position sensor system
US8453906B2 (en) 2010-07-14 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical instruments with electrodes
US20120016413A1 (en) 2010-07-14 2012-01-19 Ethicon Endo-Surgery, Inc. Surgical fastening devices comprising rivets
US8439246B1 (en) 2010-07-20 2013-05-14 Cardica, Inc. Surgical stapler with cartridge-adjustable clamp gap
US20120053406A1 (en) 2010-09-01 2012-03-01 Conlon Sean P Minimally invasive surgery
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US8752699B2 (en) 2010-09-30 2014-06-17 Ethicon Endo-Surgery, Inc. Implantable fastener cartridge comprising bioabsorbable layers
US20120248169A1 (en) 2010-09-30 2012-10-04 Ethicon Endo-Surgery, Inc. Methods for forming tissue thickness compensator arrangements for surgical staplers
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9301755B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Compressible staple cartridge assembly
CN102440813B (zh) 2010-09-30 2013-05-08 上海创亿医疗器械技术有限公司 带有链条关节的腔镜外科切割吻合器
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9592050B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc End effector comprising a distal tissue abutment member
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8899461B2 (en) 2010-10-01 2014-12-02 Covidien Lp Tissue stop for surgical instrument
US8444038B2 (en) 2010-10-01 2013-05-21 Covidien Lp Tissue stop for surgical instrument
US8900616B2 (en) 2010-10-22 2014-12-02 Covidien Lp System and method for satellite drug delivery
US8292150B2 (en) 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
US8308041B2 (en) 2010-11-10 2012-11-13 Tyco Healthcare Group Lp Staple formed over the wire wound closure procedure
US8523043B2 (en) 2010-12-07 2013-09-03 Immersion Corporation Surgical stapler having haptic feedback
US8715277B2 (en) 2010-12-08 2014-05-06 Ethicon Endo-Surgery, Inc. Control of jaw compression in surgical instrument having end effector with opposing jaw members
US8348130B2 (en) 2010-12-10 2013-01-08 Covidien Lp Surgical apparatus including surgical buttress
US8958429B2 (en) 2010-12-22 2015-02-17 Juniper Networks, Inc. Methods and apparatus for redundancy associated with a fibre channel over ethernet network
MX338966B (es) 2011-01-14 2016-05-06 New Hope Ventures Dispositivo engrapador quirúrgico y método.
US9084602B2 (en) 2011-01-26 2015-07-21 Covidien Lp Buttress film with hemostatic action for surgical stapling apparatus
US8336754B2 (en) 2011-02-04 2012-12-25 Covidien Lp Locking articulation mechanism for surgical stapler
US8348124B2 (en) 2011-02-08 2013-01-08 Covidien Lp Knife bar with geared overdrive
US9827002B2 (en) 2011-02-15 2017-11-28 Dextera Surgical Tissue removal and closure device
US20120211542A1 (en) 2011-02-23 2012-08-23 Tyco Healthcare Group I.P Controlled tissue compression systems and methods
US8479968B2 (en) 2011-03-10 2013-07-09 Covidien Lp Surgical instrument buttress attachment
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US20120234895A1 (en) 2011-03-15 2012-09-20 Ethicon Endo-Surgery, Inc. Surgical staple cartridges and end effectors with vessel measurement arrangements
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US8397972B2 (en) * 2011-03-18 2013-03-19 Covidien Lp Shipping wedge with lockout
US8573463B2 (en) 2011-03-31 2013-11-05 Covidien Lp Locking articulation mechanism
US9370362B2 (en) 2011-04-07 2016-06-21 Wake Forest University Health Sciences Surgical staplers with tissue protection and related methods
US8789737B2 (en) 2011-04-27 2014-07-29 Covidien Lp Circular stapler and staple line reinforcement material
US8511575B2 (en) 2011-04-27 2013-08-20 Intellectual Ventures Fund 83 Llc Digital image file including optical code
BR112013027794B1 (pt) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos
US9820741B2 (en) 2011-05-12 2017-11-21 Covidien Lp Replaceable staple cartridge
US9289209B2 (en) 2011-06-09 2016-03-22 Covidien Lp Surgical fastener applying apparatus
US9451959B2 (en) 2011-06-09 2016-09-27 Covidien Lp Surgical fastener applying apparatus
US9271728B2 (en) 2011-06-09 2016-03-01 Covidien Lp Surgical fastener applying apparatus
US20130012983A1 (en) 2011-07-08 2013-01-10 Tyco Healthcare Group Lp Surgical Instrument with Flexible Shaft
US8960521B2 (en) 2011-07-15 2015-02-24 Covidien Lp Loose staples removal system
US8998059B2 (en) 2011-08-01 2015-04-07 Ethicon Endo-Surgery, Inc. Adjunct therapy device having driver with cavity for hemostatic agent
US9155537B2 (en) 2011-08-08 2015-10-13 Covidien Lp Surgical fastener applying apparatus
US9539007B2 (en) 2011-08-08 2017-01-10 Covidien Lp Surgical fastener applying aparatus
US9724095B2 (en) 2011-08-08 2017-08-08 Covidien Lp Surgical fastener applying apparatus
US20130041406A1 (en) 2011-08-10 2013-02-14 Brian W. Bear Surgical staple with localized adjunct coating
US9198661B2 (en) 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein
US8998060B2 (en) 2011-09-13 2015-04-07 Ethicon Endo-Surgery, Inc. Resistive heated surgical staple cartridge with phase change sealant
US9101359B2 (en) 2011-09-13 2015-08-11 Ethicon Endo-Surgery, Inc. Surgical staple cartridge with self-dispensing staple buttress
US9125649B2 (en) 2011-09-15 2015-09-08 Ethicon Endo-Surgery, Inc. Surgical instrument with filled staple
US8814025B2 (en) 2011-09-15 2014-08-26 Ethicon Endo-Surgery, Inc. Fibrin pad matrix with suspended heat activated beads of adhesive
US20130068816A1 (en) 2011-09-15 2013-03-21 Venkataramanan Mandakolathur Vasudevan Surgical instrument and buttress material
US9254180B2 (en) 2011-09-15 2016-02-09 Ethicon Endo-Surgery, Inc. Surgical instrument with staple reinforcement clip
US9198644B2 (en) 2011-09-22 2015-12-01 Ethicon Endo-Surgery, Inc. Anvil cartridge for surgical fastening device
US9393018B2 (en) 2011-09-22 2016-07-19 Ethicon Endo-Surgery, Inc. Surgical staple assembly with hemostatic feature
US20130075447A1 (en) 2011-09-22 2013-03-28 II William B. Weisenburgh Adjunct therapy device for applying hemostatic agent
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US8899464B2 (en) 2011-10-03 2014-12-02 Ethicon Endo-Surgery, Inc. Attachment of surgical staple buttress to cartridge
US9089326B2 (en) 2011-10-07 2015-07-28 Ethicon Endo-Surgery, Inc. Dual staple cartridge for surgical stapler
US8931679B2 (en) 2011-10-17 2015-01-13 Covidien Lp Surgical stapling apparatus
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US20130098970A1 (en) 2011-10-25 2013-04-25 David Racenet Surgical Apparatus and Method for Endoluminal Surgery
US8657177B2 (en) 2011-10-25 2014-02-25 Covidien Lp Surgical apparatus and method for endoscopic surgery
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US8899462B2 (en) 2011-10-25 2014-12-02 Covidien Lp Apparatus for endoscopic procedures
US8418908B1 (en) 2011-10-26 2013-04-16 Covidien Lp Staple feeding and forming apparatus
US9675351B2 (en) 2011-10-26 2017-06-13 Covidien Lp Buttress release from surgical stapler by knife pushing
EP3513746B1 (en) 2011-10-26 2023-01-11 Intuitive Surgical Operations, Inc. Surgical instrument with integral knife blade
EP3488793B1 (en) 2011-10-26 2023-08-23 Intuitive Surgical Operations, Inc. Cartridge status and presence detection
US8584920B2 (en) 2011-11-04 2013-11-19 Covidien Lp Surgical stapling apparatus including releasable buttress
US9237892B2 (en) 2011-12-14 2016-01-19 Covidien Lp Buttress attachment to the cartridge surface
US9351732B2 (en) 2011-12-14 2016-05-31 Covidien Lp Buttress attachment to degradable polymer zones
US9220502B2 (en) 2011-12-28 2015-12-29 Covidien Lp Staple formation recognition for a surgical device
EP2838439A4 (en) 2012-04-18 2015-11-25 Cardica Inc SAFETY LOCK FOR A SURGICAL CLIP DEVICE
US20130334280A1 (en) 2012-06-14 2013-12-19 Covidien Lp Sliding Anvil/Retracting Cartridge Reload
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
US9232944B2 (en) 2012-06-29 2016-01-12 Covidien Lp Surgical instrument and bushing
US9468439B2 (en) 2012-06-29 2016-10-18 Covidien Lp Surgical instrument and bushing
US9572576B2 (en) 2012-07-18 2017-02-21 Covidien Lp Surgical apparatus including surgical buttress
US9402604B2 (en) 2012-07-20 2016-08-02 Covidien Lp Apparatus for endoscopic procedures
US9301757B2 (en) 2012-07-27 2016-04-05 Covidien Lp Surgical fastener applying apparatus including fluid-activated firing mechanism
US10219804B2 (en) 2012-07-30 2019-03-05 Conextions, Inc. Devices, systems, and methods for repairing soft tissue and attaching soft tissue to bone
US20140048580A1 (en) 2012-08-20 2014-02-20 Covidien Lp Buttress attachment features for surgical stapling apparatus
US9713474B2 (en) 2012-09-17 2017-07-25 The Cleveland Clinic Foundation Endoscopic stapler
US9364217B2 (en) 2012-10-16 2016-06-14 Covidien Lp In-situ loaded stapler
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US9265585B2 (en) 2012-10-23 2016-02-23 Covidien Lp Surgical instrument with rapid post event detection
CA3050650C (en) * 2012-11-09 2021-10-19 Covidien Lp Multi-use loading unit
US9192384B2 (en) 2012-11-09 2015-11-24 Covidien Lp Recessed groove for better suture retention
US9295466B2 (en) 2012-11-30 2016-03-29 Covidien Lp Surgical apparatus including surgical buttress
US9522002B2 (en) 2012-12-13 2016-12-20 Covidien Lp Surgical instrument with pressure distribution device
US9402627B2 (en) 2012-12-13 2016-08-02 Covidien Lp Folded buttress for use with a surgical apparatus
US9566065B2 (en) 2012-12-21 2017-02-14 Cardica, Inc. Apparatus and methods for surgical stapler clamping and deployment
US8517240B1 (en) 2013-01-03 2013-08-27 Just Right Surgical, Llc Medical device and method of use
US9615825B2 (en) 2013-01-18 2017-04-11 Covidien Lp Release tool for an end effector of a surgical stapling apparatus
US9433420B2 (en) 2013-01-23 2016-09-06 Covidien Lp Surgical apparatus including surgical buttress
WO2014116281A1 (en) 2013-01-25 2014-07-31 Patenaude Bart Atraumatic wound care and closure system
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US9517065B2 (en) 2013-02-28 2016-12-13 Ethicon Endo-Surgery, Llc Integrated tissue positioning and jaw alignment features for surgical stapler
US9839421B2 (en) 2013-02-28 2017-12-12 Ethicon Llc Jaw closure feature for end effector of surgical instrument
US9622746B2 (en) 2013-02-28 2017-04-18 Ethicon Endo-Surgery, Llc Distal tip features for end effector of surgical instrument
US9867615B2 (en) 2013-02-28 2018-01-16 Ethicon Llc Surgical instrument with articulation lock having a detenting binary spring
US20140239047A1 (en) 2013-02-28 2014-08-28 Covidien Lp Adherence concepts for non-woven absorbable felt buttresses
US9717497B2 (en) 2013-02-28 2017-08-01 Ethicon Llc Lockout feature for movable cutting member of surgical instrument
US9808248B2 (en) 2013-02-28 2017-11-07 Ethicon Llc Installation features for surgical instrument end effector cartridge
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
US9795379B2 (en) 2013-02-28 2017-10-24 Ethicon Llc Surgical instrument with multi-diameter shaft
US9398911B2 (en) 2013-03-01 2016-07-26 Ethicon Endo-Surgery, Llc Rotary powered surgical instruments with multiple degrees of freedom
US20140252064A1 (en) 2013-03-05 2014-09-11 Covidien Lp Surgical stapling device including adjustable fastener crimping
US9782173B2 (en) 2013-03-07 2017-10-10 Covidien Lp Circular stapling device including buttress release mechanism
US9706993B2 (en) * 2013-03-08 2017-07-18 Covidien Lp Staple cartridge with shipping wedge
US9936951B2 (en) 2013-03-12 2018-04-10 Covidien Lp Interchangeable tip reload
US9814463B2 (en) * 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
US9668729B2 (en) 2013-03-13 2017-06-06 Covidien Lp Surgical stapling apparatus
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9629628B2 (en) 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US9717498B2 (en) 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
US9655613B2 (en) 2013-03-14 2017-05-23 Dextera Surgical Inc. Beltless staple chain for cartridge and cartridgeless surgical staplers
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
AU2014236486B2 (en) 2013-03-14 2019-02-07 Applied Medical Resources Corporation Surgical stapler with partial pockets
US9649109B2 (en) 2013-03-14 2017-05-16 C.R. Bard, Inc. Surgical instrument with an actuation lockout
AU2014227602B9 (en) 2013-03-15 2019-10-24 Applied Medical Resources Corporation Surgical stapler having actuation mechanism with rotatable shaft
US20140263558A1 (en) 2013-03-15 2014-09-18 Cardica, Inc. Extended curved tip for surgical apparatus
US9820742B2 (en) 2013-03-15 2017-11-21 Applied Medical Resources Corporation Surgical stapler with expandable jaw
US9510827B2 (en) 2013-03-25 2016-12-06 Covidien Lp Micro surgical instrument and loading unit for use therewith
US20140291379A1 (en) 2013-03-27 2014-10-02 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a cutting member path
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
US9687233B2 (en) 2013-05-09 2017-06-27 Dextera Surgical Inc. Surgical stapling and cutting apparatus—deployment mechanisms, systems and methods
EP2996579B1 (en) 2013-05-15 2020-04-22 Aesculap AG Surgical stapling and cutting apparatus
US9445810B2 (en) 2013-06-12 2016-09-20 Covidien Lp Stapling device with grasping jaw mechanism
US20140367445A1 (en) 2013-06-18 2014-12-18 Covidien Lp Emergency retraction for electro-mechanical surgical devices and systems
US10117654B2 (en) 2013-06-18 2018-11-06 Covidien Lp Method of emergency retraction for electro-mechanical surgical devices and systems
US20150006362A1 (en) 2013-06-28 2015-01-01 Google Inc. Extracting card data using card art
US9561029B2 (en) 2013-08-15 2017-02-07 Ethicon Endo-Surgery, Llc Surgical stapler with rolling anvil
US20150053746A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Torque optimization for surgical instruments
US9662108B2 (en) 2013-08-30 2017-05-30 Covidien Lp Surgical stapling apparatus
US20140014704A1 (en) 2013-09-16 2014-01-16 Ethicon Endo-Surgery, Inc. Medical Device Having An Improved Coating
US20140014707A1 (en) 2013-09-16 2014-01-16 Ethicon Endo-Surgery, Inc. Surgical Stapling Instrument Having An Improved Coating
US20150076211A1 (en) 2013-09-17 2015-03-19 Covidien Lp Surgical instrument controls with illuminated feedback
US9955966B2 (en) 2013-09-17 2018-05-01 Covidien Lp Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention
US10271840B2 (en) 2013-09-18 2019-04-30 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US20140175150A1 (en) 2013-10-01 2014-06-26 Ethicon Endo-Surgery, Inc. Providing Near Real Time Feedback To A User of A Surgical Instrument
US10456129B2 (en) 2013-11-08 2019-10-29 Ethicon Llc Positively charged implantable materials and method of forming the same
US20150134076A1 (en) 2013-11-08 2015-05-14 Ethicon Endo-Surgery, Inc. Hybrid adjunct materials for use in surgical stapling
US9918713B2 (en) 2013-12-09 2018-03-20 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9867613B2 (en) 2013-12-19 2018-01-16 Covidien Lp Surgical staples and end effectors for deploying the same
US9687232B2 (en) 2013-12-23 2017-06-27 Ethicon Llc Surgical staples
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
JP5851660B2 (ja) 2013-12-27 2016-02-03 オリンパス株式会社 処置具用ハンドル及び処置具
US9848874B2 (en) 2014-02-14 2017-12-26 Covidien Lp Small diameter endoscopic stapler
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
US20150250474A1 (en) 2014-03-04 2015-09-10 Maquet Cardiovascular Llc Surgical implant and method and instrument for installing the same
WO2015146548A1 (ja) 2014-03-28 2015-10-01 オリンパス株式会社 手術用器具
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US20150297205A1 (en) * 2014-04-17 2015-10-22 Covidien Lp Manual retraction tool for use with an electromechanical surgical device
US10175127B2 (en) * 2014-05-05 2019-01-08 Covidien Lp End-effector force measurement drive circuit
US10456130B2 (en) 2014-05-07 2019-10-29 Biomedical Enterprises, Inc. Method and apparatus for loading and implanting a shape memory implant
CA2884962C (en) 2014-05-16 2022-05-17 David A. Nicholas Apparatus for endoscopic procedures
US10251725B2 (en) * 2014-06-09 2019-04-09 Covidien Lp Authentication and information system for reusable surgical instruments
EP3785644B1 (en) 2014-06-11 2023-11-01 Applied Medical Resources Corporation Surgical stapler with circumferential firing
US9918714B2 (en) 2014-06-13 2018-03-20 Cook Medical Technologies Llc Stapling device and method
US9987099B2 (en) 2014-06-18 2018-06-05 Covidien Lp Disposable housings for encasing handle assemblies
US10561418B2 (en) 2014-06-26 2020-02-18 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US20150374372A1 (en) 2014-06-26 2015-12-31 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10542976B2 (en) 2014-07-31 2020-01-28 Covidien Lp Powered surgical instrument with pressure sensitive motor speed control
US10470911B2 (en) 2014-09-05 2019-11-12 Standard Bariatrics, Inc. Sleeve gastrectomy calibration tube and method of using same
ES2902606T3 (es) 2014-09-15 2022-03-29 Applied Med Resources Grapadora quirúrgica con altura de grapas autoajustable
WO2016057225A1 (en) 2014-10-07 2016-04-14 Covidien Lp Handheld electromechanical surgical system
US10226254B2 (en) 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10085750B2 (en) 2014-10-22 2018-10-02 Covidien Lp Adapter with fire rod J-hook lockout
US9949737B2 (en) 2014-10-22 2018-04-24 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10675019B2 (en) 2014-11-04 2020-06-09 Rotation Medical, Inc. Medical implant delivery system and related methods
US20160166249A1 (en) 2014-12-12 2016-06-16 Cardica, Inc. Stapling device with distally located hydraulic drive- reciprocally operated system and method
US20160166253A1 (en) 2014-12-12 2016-06-16 Cardica, Inc. Stapling device with distally located hydraulic drive- rotary operated system and method
US10172612B2 (en) 2015-01-21 2019-01-08 Covidien Lp Surgical instruments with force applier and methods of use
US10034668B2 (en) 2015-02-19 2018-07-31 Covidien Lp Circular knife blade for linear staplers
US10111665B2 (en) 2015-02-19 2018-10-30 Covidien Lp Electromechanical surgical systems
US10039545B2 (en) 2015-02-23 2018-08-07 Covidien Lp Double fire stapling
US10130367B2 (en) * 2015-02-26 2018-11-20 Covidien Lp Surgical apparatus
US10045779B2 (en) 2015-02-27 2018-08-14 Ethicon Llc Surgical instrument system comprising an inspection station
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US9855040B2 (en) 2015-03-04 2018-01-02 Covidien Lp Surgical stapling loading unit having articulating jaws
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10092290B2 (en) 2015-03-17 2018-10-09 Covidien Lp Surgical instrument, loading unit for use therewith and related methods
US9918717B2 (en) 2015-03-18 2018-03-20 Covidien Lp Pivot mechanism for surgical device
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
US10863984B2 (en) 2015-03-25 2020-12-15 Ethicon Llc Low inherent viscosity bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
US10349939B2 (en) 2015-03-25 2019-07-16 Ethicon Llc Method of applying a buttress to a surgical stapler
US10478187B2 (en) 2015-03-25 2019-11-19 Ethicon Llc Biologically derived extracellular matrix with infused viscous absorbable copolymer for releasably attaching a staple buttress to a surgical stapler
US10172617B2 (en) 2015-03-25 2019-01-08 Ethicon Llc Malleable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
US10548593B2 (en) 2015-03-25 2020-02-04 Ethicon Llc Flowable bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
US10568621B2 (en) 2015-03-25 2020-02-25 Ethicon Llc Surgical staple buttress with integral adhesive for releasably attaching to a surgical stapler
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10463368B2 (en) 2015-04-10 2019-11-05 Covidien Lp Endoscopic stapler
US10226239B2 (en) 2015-04-10 2019-03-12 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US20160302791A1 (en) 2015-04-17 2016-10-20 Covidien Lp Powered surgical instrument with a deployable ablation catheter
ES2950459T3 (es) 2015-04-22 2023-10-10 Covidien Lp Sistema quirúrgico electromecánico portátil
US10117650B2 (en) 2015-05-05 2018-11-06 Covidien Lp Adapter assembly and loading units for surgical stapling devices
US10039532B2 (en) 2015-05-06 2018-08-07 Covidien Lp Surgical instrument with articulation assembly
JP6420501B6 (ja) 2015-05-08 2018-12-19 ジャストライト サージカル，リミティド ライアビリティ カンパニー 手術用ステープラ
US10172615B2 (en) 2015-05-27 2019-01-08 Covidien Lp Multi-fire push rod stapling device
US20160354176A1 (en) 2015-06-08 2016-12-08 Covidien Lp Surgical instrument with integrated illumination
US9987012B2 (en) 2015-07-21 2018-06-05 Covidien Lp Small diameter cartridge design for a surgical stapling instrument
US11350915B2 (en) * 2017-02-23 2022-06-07 Covidien Lp Surgical stapler with small diameter endoscopic portion
US10420551B2 (en) * 2017-05-30 2019-09-24 Covidien Lp Authentication and information system for reusable surgical instruments
US10617429B2 (en) * 2017-08-10 2020-04-14 Ethicon Llc Surgical clip applier
US10945733B2 (en) * 2017-08-23 2021-03-16 Covidien Lp Surgical buttress reload and tip attachment assemblies for surgical stapling apparatus
US11298126B2 (en) * 2018-05-02 2022-04-12 Covidien Lp Shipping wedge for end effector installation onto surgical devices
US11197673B2 (en) * 2018-10-30 2021-12-14 Covidien Lp Surgical stapling instruments and end effector assemblies thereof

Also Published As

Publication number Publication date
US11426159B2 (en) 2022-08-30
EP4371520A2 (en) 2024-05-22
EP4371520A3 (en) 2024-08-07
US20210307742A1 (en) 2021-10-07
JP2021159761A (ja) 2021-10-11
EP3888567A3 (en) 2021-12-29
EP3888567B1 (en) 2024-04-24
EP3888567A2 (en) 2021-10-06

Similar Documents

Publication Publication Date Title
US11331098B2 (en) Sled detection device
EP3673824B1 (en) Surgical stapler with tissue engagement features around tissue containment pin
EP2604193B1 (en) Surgical instrument including firing indicator
EP2299914B1 (en) A partially reusable surgical stapler
CN113491552A (zh) 滑动件检测装置
CN215899776U (zh) 钉合装置和仓组件
CN111643136A (zh) 手术紧固件施加设备
WO2021168726A1 (en) Surgical stapling device with reloadable cartridge
WO2022205025A1 (en) Stapling device with end effector having bottom guide member
CN117098504A (zh) 具有闭锁机构的手术缝合装置
CN114845646A (zh) 具有装运盖的手术钉合装置
CN116209400A (zh) 用于钉仓的装运盖
WO2023225809A1 (en) Surgical stapling device with cartridge module having shipping cap
WO2023150958A1 (en) Curved stapling device with enhanced lockout
WO2024194752A1 (en) Stapling device with firing lockout assembly
WO2024218633A1 (en) Surgical stapling device with floating knife
CN114305556A (zh) 具有安全部件的外科缝合装置
CN117794463A (zh) 带有致动滑块检测的钉仓

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