CN114025678A - 具有被构造成能够解锁闭合闭锁件的基于仓的保持器的外科缝合组件 - Google Patents

具有被构造成能够解锁闭合闭锁件的基于仓的保持器的外科缝合组件 Download PDF

Info

Publication number
CN114025678A
CN114025678A CN202080046788.3A CN202080046788A CN114025678A CN 114025678 A CN114025678 A CN 114025678A CN 202080046788 A CN202080046788 A CN 202080046788A CN 114025678 A CN114025678 A CN 114025678A
Authority
CN
China
Prior art keywords
jaw
cartridge
surgical stapling
lockout
staple
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
CN202080046788.3A
Other languages
English (en)
Inventor
C·P·布德罗
G·J·巴克斯
R·W·蒂姆
J·L·哈里斯
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.)
Cilag GmbH International
Original Assignee
Cilag GmbH International
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
Priority claimed from US16/453,289 external-priority patent/US11291444B2/en
Application filed by Cilag GmbH International filed Critical Cilag GmbH International
Publication of CN114025678A publication Critical patent/CN114025678A/zh
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0684Surgical 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 above the tissue during stapling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30Surgical robots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/20Holders specially adapted for surgical or diagnostic appliances or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90Identification means for patients or instruments, e.g. tags
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00004(bio)absorbable, (bio)resorbable or resorptive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00039Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00389Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473Distal part, e.g. tip or head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • A61B2017/00482Coupling with a code
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526Methods of manufacturing
    • A61B2017/0053Loading magazines or sutures into applying tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00734Aspects not otherwise provided for battery operated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00876Material properties magnetic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00982General structural features
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07257Stapler heads characterised by its anvil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07257Stapler heads characterised by its anvil
    • A61B2017/07264Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07278Stapler heads characterised by its sled or its staple holder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2933Transmission of forces to jaw members camming or guiding means
    • A61B2017/2936Pins in guiding slots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2946Locking means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B2050/005Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
    • A61B2050/0067Types of closures or fasteners
    • A61B2050/007Locking clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03Automatic limiting or abutting means, e.g. for safety
    • A61B2090/038Automatic limiting or abutting means, e.g. for safety during shipment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/067Measuring instruments not otherwise provided for for measuring angles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0803Counting the number of times an instrument is used
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0808Indication means for indicating correct assembly of components, e.g. of the surgical apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means
    • A61B2090/0811Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0814Preventing re-use
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90Identification means for patients or instruments, e.g. tags
    • A61B90/92Identification means for patients or instruments, e.g. tags coded with colour
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90Identification means for patients or instruments, e.g. tags
    • A61B90/94Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text

Landscapes

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

Abstract

本发明公开了一种外科缝合组件,其包括保持器,该保持器被构造成能够可移除地安装到钉仓,该钉仓被构造成能够可操作地安置在缝合装置中。该保持器包括验证键,该验证键被构造成能够使该缝合装置的第一钳口闭锁件失效,该第一钳口闭锁件被构造成能够防止该缝合装置的钳口闭合。该缝合装置还包括第二闭锁件,该第二闭锁件被构造成能够在用尽的钉仓安置在这些钳口中的一个中时防止该缝合装置的击发构件推进通过钉击发行程。

Description

具有被构造成能够解锁闭合闭锁件的基于仓的保持器的外科 缝合组件
相关申请的交叉引用
本申请要求于2019年6月25日提交的名称为“STAPLE CARTRIDGES WITH FEATURESFOR DEFEATING LOCKOUTS IN SURGICAL STAPLING DEVICES”的美国临时专利申请序列号62/866,208、于2019年2月19日提交的名称为“METHODS FOR CONTROLLING A POWEREDSURGICAL STAPLER THAT HAS SEPARATE ROTARY CLOSURE AND FIRING SYSTEMS”的美国临时专利申请序列号62/807,310、于2019年2月19日提交的名称为“SURGICAL STAPLINGDEVICES WITH IMPROVED LOCKOUT SYSTEMS”的美国临时专利申请序列号62/807,319以及于2019年2月19日提交的名称为“SURGICAL STAPLING DEVICES WITH IMPROVED ROTARYDRIVEN CLOSURE SYSTEMS”的美国临时专利申请序列号62/807,309的权益,这些申请的公开内容全文以引用方式并入本文。
背景技术
本发明涉及外科器械,并且在各种布置结构中,涉及被设计成缝合和切割组织的外科缝合和切割器械以及与它们一起使用的钉仓。
附图说明
本文所述的实施方案的各种特征连同其优点可结合如下附图根据以下描述来加以理解:
图1为电动外科缝合系统的透视图;
图2为图1的电动外科缝合系统的可互换外科轴组件的透视图;
图3为图1的电动外科缝合系统的柄部组件的多个部分的分解组装视图;
图4为图2的可互换外科轴组件的分解组装视图;
图5为图4的可互换外科轴组件的一部分的另一个局部分解组装视图;
图6为外科缝合组件的外科缝合装置和钉仓的分解透视组装视图;
图7为图6的外科缝合装置的第一闭锁弹簧的透视图;
图8为图6的外科缝合装置的一部分的局部侧正视图,示出了第一闭锁弹簧与其击发构件保持接合,并且在将外科钉仓插入外科缝合装置的第一钳口中之前;
图9为图8的外科缝合装置的部分的顶视图;
图10为图8的外科缝合装置的多个部分的分解图,示出了包括附接到钉仓的保持器的仓组件的初始插入,其中保持器上的验证键接合外科缝合装置的第一闭锁弹簧;
图11为图10的保持器的验证键的透视图;
图12为图11的保持器的验证键的顶视图;
图13为图11的保持器的验证键的侧视图;
图14为图8的外科缝合装置的一部分的另一顶视图,示出了将图8的仓组件初始插入外科缝合装置的第一钳口中;
图15为图14的外科缝合装置的部分在将保持器从可操作地安置在外科缝合装置的第一钳口中的钉仓移除之后的另一顶视图;
图16为图6的外科缝合装置的一部分的侧正视图,其中用尽的钉仓安置在第一钳口中并且击发构件处于起始位置;
图17为图16的外科缝合装置和用尽的钉仓的另一侧正视图,示出了处于锁定位置的第二击发构件闭锁件,其中防止击发构件在钉击发行程期间朝远侧运动;
图18为图6的外科缝合装置的一部分的侧正视图,其中未击发的钉仓安置在第一钳口中并且击发构件处于起始位置;
图19为图18的外科缝合装置和未击发的钉仓的另一侧正视图,示出了处于解锁位置的第二击发构件闭锁件,其中钉仓中的滑动件与击发构件解锁接合;
图20为另一外科缝合组件的外科缝合装置和钉仓的分解透视组装视图;
图21为图20的外科缝合装置的一部分在将包括附接到钉仓的保持器的仓组件初始插入外科缝合装置中期间的局部侧正视图;
图22为图21的外科缝合装置在仓组件已经安置在外科缝合装置的第一钳口中之后并且在从钉仓移除保持器之前的另一局部侧视图;
图23为图22的外科缝合组件在保持器已从钉仓移除之后的另一局部侧视图;
图24为另一钉仓的近侧端部的透视图;
图25为示出图24的钉仓初始插入外科缝合装置中的局部侧正视图,其中其第一击发构件闭锁件处于接合位置或锁定位置;
图26为图25的外科缝合装置的另一局部侧视图,其中图24的钉仓可操作地安置在其中并且第一击发构件闭锁件处于脱离接合位置或解锁位置;
图27为另一外科缝合组件的外科缝合装置和钉仓的分解透视组装视图;
图28为图27的外科缝合装置的一部分的局部侧正视图,示出了处于钳口锁定位置的第一闭锁件的第一闭锁臂;
图29为图28的外科缝合装置的多个部分的顶视图,其中第一闭锁臂处于钳口锁定位置;
图30为图29的外科缝合装置的多个部分的另一顶视图,其中第一闭锁臂处于钳口闭合位置;
图31为图29的外科缝合装置的局部底部透视图,其中第一闭锁臂处于钳口锁定位置;
图32为包括附接到钉仓的另一保持器的仓组件的近侧端部的局部透视图;
图33为图32的保持器的近侧端部部分的底部透视图;
图34为图33的保持器的近侧端部的顶视图;
图35为图34的保持器的近侧端部的侧视图;
图36为图29的外科缝合装置的多个部分在图32的仓组件初始插入其中期间的另一顶视图;
图37为图36的外科缝合装置的多个部分在仓组件已安置在其中之后的另一顶视图;
图38为图37的外科缝合装置的多个部分在保持器已从安置在其中的钉仓移除之后的另一顶视图;
图38A为图37的外科缝合装置的多个部分的顶视图,其中另一仓组件安置在该部分中;
图39为另一钉仓的局部透视图,其中验证键折叠到钉仓的仓盘中;
图40为另一外科缝合装置的顶视图,示出了图39的钉仓初始插入该外科缝合装置中;
图41为图40的外科缝合装置和钉仓的侧正视图;
图42为图40的外科缝合装置的另一顶视图,其中图39的外科钉仓可操作地安置在该外科缝合装置中;
图43为另一钉仓的局部透视图,其中验证键折叠到钉仓的仓盘中;
图44为示出可操作地安置在另一外科缝合装置中的图43的钉仓的局部透视图;
图45为图44的外科缝合装置和钉仓的侧正视图,其中缝合装置的第一闭锁臂保持在钳口闭合位置;
图46为图44的外科缝合装置和钉仓在将钉仓初始插入外科缝合装置中期间的另一透视图;
图47为另一钉仓的局部透视图,其中验证键折叠到钉仓的仓盘中;
图48为另一外科缝合组件的外科缝合装置和钉仓的分解透视组装视图;
图49为图48的外科缝合装置的侧正视图,其中外科缝合装置的第一闭锁臂保持在钳口锁定位置;
图50为图49的外科缝合装置的顶视图,其中第一闭锁臂处于钳口锁定位置;
图51为图49的外科缝合装置的侧正视图,其中第一闭锁臂处于钳口闭合位置并且其砧座处于闭合位置;
图52为图49的外科缝合装置的另一顶视图,示出了包括附接到钉仓的保持器的仓组件初始插入外科缝合装置中;
图53为图52的仓组件的保持器的近侧端部的局部透视图;
图54为图53的保持器的近侧端部的顶视图;
图55为图54的保持器的近侧端部的侧视图;
图56为另一外科缝合装置的顶视图,其中第一闭锁臂支撑在外科缝合装置的相对侧中并且在图52的仓组件初始插入该外科缝合装置中期间;
图57为另一外科缝合组件的外科缝合装置和钉仓的分解透视组装视图;
图58为图57的外科缝合装置的第一闭锁弹簧的透视图;
图59为图57的外科缝合装置的局部侧正视图,其中其第一闭锁弹簧与外科缝合装置的击发构件锁定接合;
图60为图59的外科缝合装置的顶视图,其中第一闭锁弹簧处于接合位置或锁定位置;
图61为图60的外科缝合装置的多个部分的分解图,示出了包括附接到钉仓的保持器的仓组件的初始插入,其中保持器上的验证键接合外科缝合装置的第一闭锁弹簧;
图62为图60的外科缝合装置的顶视图,示出了图61的仓组件初始插入该外科缝合装置中;
图63为图62的外科缝合装置在保持器已从安置在外科缝合装置中的钉仓移除之后的另一顶视图;
图64为外科系统的分解图;
图64A-图64ZZ示出了可用于与不同外科缝合装置结合使用的各种钉仓的验证键布置结构的各种空间量的示例;
图65为另一外科缝合组件的外科缝合装置和钉仓的分解透视组装视图;
图66为图65的外科缝合装置的多个部分的局部透视图;
图67为图65的外科缝合装置的第一钳口的近侧端部部分的透视图;
图68为图65的外科缝合装置的顶视图,其中其第一闭锁臂处于钳口锁定位置;
图69为图68的外科缝合装置的侧正视图,其中第一闭锁臂处于钳口锁定位置;
图70为图69的外科缝合装置的另一侧正视图,其中第一闭锁臂处于钳口闭合位置并且其砧座处于闭合位置;
图71为外科缝合装置的一部分的端正视图,其中其第一闭锁臂处于钳口锁定位置;
图72为可与图65的外科缝合装置结合使用的钉仓的透视图;
图73为图65的外科缝合装置的第一闭锁臂的一部分的顶视图,示出了图72的钉仓初始插入该部分中;
图74为与钉仓的验证键的上斜坡特征部接合的第一闭锁臂的另一顶视图;
图75为图65的外科缝合装置的第一闭锁臂在图72的钉仓进一步插入其中期间的另一顶视图;
图76为图65的外科缝合装置的第一闭锁臂在钉仓已可操作地安置在外科缝合装置中之后处于钳口闭合位置的另一顶视图;
图77为图76的第一闭锁臂的一部分在图65的外科缝合装置的砧座的闭合期间的局部透视图;
图78为图77的外科缝合装置的局部顶视图,其中砧座的一部分以横截面示出;
图78A为附接到另一钉仓实施方案的另一保持器实施方案的透视图;
图78B为另一钉仓实施方案的透视图;并且
图78C为图78B的钉仓实施方案的顶视图。
在所述若干视图中,对应的参考符号指示对应的部件。本文所述的范例以一种形式示出了本发明的各种实施方案,且这种范例不应被解释为以任何方式限制本发明的范围。
具体实施方式
本申请的申请人拥有与本申请于同一日期提交且各自全文以引用方式并入本文的以下美国专利申请:
-名称为“METHOD FOR PROVIDING AN AUTHENTICATION LOCKOUT IN A SURGICALSTAPLER WITH A REPLACEABLE CARTRIDGE”的美国专利申请,代理人案卷号END9170USNP1/190162-1M;
-名称为“SURGICAL STAPLING ASSEMBLY WITH CARTRIDGE BASED RETAINERCONFIGURED TO UNLOCK A FIRING LOCKOUT”的美国专利申请;代理人案卷号END9170USNP2/190162-2;
-名称为“UNIVERSAL CARTRIDGE BASED KEY FEATURE THAT UNLOCKS MULTIPLELOCKOUT ARRANGEMENTS IN DIFFERENT SURGICAL STAPLERS”的美国专利申请,代理人案卷号END9170USNP4/190162-4;
-名称为“STAPLE CARTRIDGE RETAINERS WITH FRANGIBLE RETENTION FEATURESAND METHODS OF USING SAME”的美国专利申请,代理人案卷号END9170USNP5/190162-5;
-名称为“STAPLE CARTRIDGE RETAINER WITH FRANGIBLE AUTHENTICATION KEY”的美国专利申请,代理人案卷号END9170USNP6/190162-6;
-名称为“STAPLE CARTRIDGE RETAINER WITH RETRACTABLE AUTHENTICATIONKEY”的美国专利申请,代理人案卷号END9170USNP7/190162-7;
-名称为“STAPLE CARTRIDGE RETAINER SYSTEM WITH AUTHENTICATION KEYS”的美国专利申请,代理人案卷号END9170USNP8/190162-8;
-名称为“INSERTABLE DEACTIVATOR ELEMENT FOR SURGICAL STAPLER LOCKOUTS”的美国专利申请,代理人案卷号END9170USNP9/190162-9;
-名称为“DUAL CAM CARTRIDGE BASED FEATURE FOR UNLOCKING A SURGICALSTAPLER LOCKOUT”的美国专利申请,代理人案卷号END9170USNP10/190162-10;
-名称为“STAPLE CARTRIDGES WITH CAM SURFACES CONFIGURED TO ENGAGEPRIMARY AND SECONDARY PORTIONS OF A LOCKOUT OF A SURGICAL STAPLING DEVICE”的美国专利申请,代理人案卷号END9170USNP11/190162-11;
-名称为“SURGICAL STAPLE CARTRIDGES WITH MOVABLE AUTHENTICATION KEYARRANGEMENTS”的美国专利申请,代理人案卷号END9170USNP12/190162-12;
-名称为“DEACTIVATOR ELEMENT FOR DEFEATING SURGICAL STAPLING DEVICELOCKOUTS”的美国专利申请,代理人案卷号END9170USNP13/190162-13;以及
-名称为“SURGICAL STAPLE CARTRIDGES WITH INTEGRAL AUTHENTICATION KEYS”的美国专利申请,代理人案卷号END9170USNP14/190162-14。
本申请的申请人拥有于2019年6月25日提交的各自全文以引用方式并入本文的以下美国设计专利申请:
-名称为“SURGICAL STAPLE CARTRIDGE RETAINER WITH FIRING SYSTEMAUTHENTICATION KEY”的美国设计专利申请序列号29/696,066;
-名称为“SURGICAL STAPLE CARTRIDGE RETAINER WITH CLOSURE SYSTEMAUTHENTICATION KEY”的美国设计专利申请序列号29/696,067;以及
-名称为“SURGICAL STAPLE CARTRIDGE”的美国设计专利申请序列号29/696,072。
本申请的申请人拥有于2019年2月21日提交的各自全文以引用方式并入本文的以下美国专利申请:
-名称为“METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HASSEPARATE ROTARY CLOSURE AND FIRING SYSTEMS”的美国专利申请序列号16/281658;
-名称为“STAPLE CARTRIDGE COMPRISING A LOCKOUT KEY CONFIGURED TO LIFTA FIRING MEMBER”的美国专利申请序列号16/281,670;
-名称为“SURGICAL STAPLERS WITH ARRANGEMENTS FOR MAINTAINING A FIRINGMEMBER THEREOF IN A LOCKED CONFIGURATION UNLESS A COMPATIBLE CARTRIDGE HASBEEN INSTALLED THEREIN”的美国专利申请序列号16/281675;
-名称为“SURGICAL INSTRUMENT COMPRISING CO-OPERATING LOCKOUT FEATURES”的美国专利申请序列号16/281685;
-名称为“SURGICAL STAPLING ASSEMBLY COMPRISING A LOCKOUT AND ANEXTERIOR ACCESS ORIFICE TO PERMIT ARTIFICIAL UNLOCKING OF THE LOCKOUT”的美国专利申请序列号16/281693;
-名称为“SURGICAL STAPLING DEVICES WITH FEATURES FOR BLOCKINGADVANCEMENT OF A CAMMING ASSEMBLY OF AN INCOMPATIBLE CARTRIDGE INSTALLEDTHEREIN”的美国专利申请序列号16/281704;
-名称为“SURGICAL INSTRUMENT COMPRISING A DEACTIVATABLE LOCKOUT”的美国专利申请序列号16/281,707;
-名称为“SURGICAL INSTRUMENT COMPRISING A JAW CLOSURE LOCKOUT”的美国专利申请序列号16/281741;
-名称为“SURGICAL STAPLING DEVICES WITH CARTRIDGE COMPATIBLE CLOSUREAND FIRING LOCKOUT ARRANGEMENTS”的美国专利申请序列号16/281762;
-名称为“SURGICAL STAPLE CARTRIDGE WITH FIRING MEMBER DRIVEN CAMMINGASSEMBLY THAT HAS AN ONBOARD TISSUE CUTTING FEATURE”的美国专利申请序列号16/281660;
-名称为“SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURESYSTEMS”的美国专利申请序列号16/281666;
-名称为“SURGICAL STAPLING DEVICES WITH ASYMMETRIC CLOSURE FEATURES”的美国专利申请序列号16/281,660;
-名称为“ROTARY DRIVEN FIRING MEMBERS WITH DIFFERENT ANVIL AND FRAMEENGAGEMENT FEATURES”的美国专利申请序列号16/281,678;以及
-名称为“SURGICAL STAPLING DEVICE WITH SEPARATE ROTARY DRIVEN CLOSUREAND FIRING SYSTEMS AND FIRING MEMBER THAT ENGAGES BOTH JAWS WHILE FIRING”的美国专利申请序列号16/281,682。
本文列出了许多具体细节,以提供对说明书中所述和附图中所示的实施方案的整体结构、功能、制造和用途的透彻理解。没有详细描述熟知的操作、部件和元件,以免使说明书中描述的实施方案模糊不清。读者将会理解,本文所述和所示的实施方案为非限制性示例,从而可认识到,本文所公开的特定结构和功能细节可为代表性和例示性的。在不脱离权利要求的范围的情况下,可对这些实施方案进行变型和改变。
术语“包括(comprise)”(以及“包括(comprise)”的任何形式,诸如“包括(comprises)”和“包括(comprising)”)、“具有(have)”(以及“具有(have)”的任何形式,诸如“具有(has)”和“具有(having)”)、“包含(include)”(以及“包含(include)”的任何形式,诸如“包含(includes)”和“包含(including)”)、以及“含有(contain)”(以及“含有(contain)”的任何形式,诸如“含有(contains)”和“含有(containing)”)为开放式系动词。因此,“包括”、“具有”、“包含”或“含有”一个或多个元件的外科系统、装置、或设备具有这些一个或多个元件,但不限于仅具有这些一个或多个元件。同样,“包括”、“具有”、“包含”或“含有”一个或多个特征部的系统、装置、或设备的元件具有那些一个或多个特征部,但不限于仅具有那些一个或多个特征部。
术语“近侧”和“远侧”在本文中是相对于操纵外科器械的柄部部分的临床医生来使用的。术语“近侧”是指最靠近临床医生的部分,术语“远侧”是指远离临床医生定位的部分。还应当理解,为简洁和清楚起见,本文可结合附图使用诸如“竖直”、“水平”、“上”和“下”等空间术语。然而,外科器械在许多取向和方位中使用,并且这些术语并非是限制性的和/或绝对的。
提供各种示例性装置和方法以用于执行腹腔镜式和微创外科手术。然而,读者将容易理解,本文所公开的各种方法和装置可用于多种外科手术和应用中,包括例如与开放式外科手术结合。继续参阅本具体实施方式,读者将进一步理解,本文所公开的各种器械能够以任何方式插入体内,诸如通过自然腔道、通过形成于组织中的切口或穿刺孔等。器械的工作部分或端部执行器部分可直接插入患者体内或者可通过具有工作框架的进入装置插入,外科器械的端部执行器和细长轴可通过该工作框架推进。
外科缝合系统可包括轴和从轴延伸的端部执行器。所述端部执行器包括第一钳口和第二钳口。第一钳口包括钉仓。钉仓能够插入第一钳口中并且能够从第一钳口移除;然而,设想到其中钉仓不能够从第一钳口移除或至少能够易于从第一钳口替换的其他实施方案。第二钳口包括被构造成能够使从钉仓射出的钉变形的砧座。第二钳口能够围绕闭合轴线相对于第一钳口枢转;然而,可设想到其中第一钳口能够相对于第二钳口枢转的其他实施方案。外科缝合系统还包括被构造成能够允许端部执行器相对于轴旋转或进行关节运动的关节运动接头。端部执行器能够围绕延伸穿过关节运动接头的关节运动轴线旋转。设想了不包括关节运动接头的其他实施方案。
钉仓包括仓体。仓体包括近侧端部、远侧端部和在近侧端部与远侧端部之间延伸的平台。在使用中,钉仓被定位在待缝合的组织的第一侧上,并且砧座被定位在组织的第二侧上。砧座朝向钉仓运动以将组织压缩并抵靠平台夹持。然后,可移除地储存在仓体中的钉可被部署到组织中。仓体包括限定于仓体中的钉腔,其中钉可移除地储存在钉腔中。钉腔被布置成六个纵向排。三排钉腔被定位在纵向狭槽的第一侧上且三排钉腔被定位在纵向狭槽的第二侧上。钉腔和钉的其他布置结构也是可能的。
钉由仓体中的钉驱动器支撑。驱动器能够在第一或未击发位置和第二或击发位置之间运动,以从钉仓射出钉。驱动器通过保持器保留在仓体中,所述保持器围绕仓体的底部延伸并且包括被构造成能够抓持仓体以及将保持器保持至仓体的弹性构件。驱动器能够通过滑动件在其未击发位置与其击发位置之间运动。滑动件能够在与近侧端部相邻的近侧位置和与远侧端部相邻的远侧位置之间运动。滑动件包括多个斜坡表面,该斜坡表面被构造成能够朝向砧座在驱动器下方滑动以及提升驱动器,并且钉在驱动器上受到支撑。
除上述以外,滑动件还可通过击发构件朝远侧运动。击发构件被构造成能够接触滑动件并朝向远侧端部推动滑动件。限定于仓体中的纵向狭槽被构造成能够接纳击发构件。砧座还包括被构造成能够接纳击发构件的狭槽。击发构件还包括接合第一钳口的第一凸轮和接合第二钳口的第二凸轮。随着击发构件朝远侧推进,第一凸轮和第二凸轮可控制钉仓的平台和砧座之间的距离或组织间隙。击发构件还包括被构造成能够切入在钉仓和砧座中间捕获的组织的刀。希望刀定位成至少部分接近斜坡表面,使得钉先于刀被射出。
图1示出了包括可操作地联接到外壳1012的可互换轴组件1200的外科器械1010。图2示出了脱离外壳1012或柄部1014的可互换轴组件1200。如图3中可见,柄部1014可包括一对可互连柄部外壳段1016和1018,该对柄部外壳段可通过螺钉、按扣特征部、粘合剂等互连。在示出的结构中,柄部外壳段1016、1018配合形成手枪式握把部1019。图1和图3示出了可再利用或不可再利用的马达驱动外科切割和紧固器械1010。在例示的实施方案中,器械1010包括先前的外壳1012,该外壳包括被构造成能够被临床医生抓持、操纵和致动的柄部1014。外壳1012被构造能够可操作地附接到可互换轴组件1200,该可互换轴组件具有与其可操作地联接的外科端部执行器1300,该外科端部执行器被构造成能够执行一种或多种外科任务或外科手术。继续参阅本具体实施方式,将会理解,本文所公开的各种形式的可互换轴组件也可有效地与机器人控制的外科系统结合使用。因此,术语“外壳”也可涵盖机器人系统的容纳或以其他方式可操作地支撑至少一个驱动系统的外壳或类似部分,所述至少一个驱动系统被构造成能够生成并施加可用于致动本文所公开的可互换轴组件及其相应的等同物的至少一种控制动作。此外,各种部件可“容纳”或包含在外壳中,或者各种部件可与外壳“相关联”。在此类情况下,部件可不容纳在外壳内或由外壳直接支撑。术语“框架”可指手持式外科器械的一部分。术语“框架”还可表示机器人控制的外科器械的一部分和/或机器人系统的可用于可操作地控制外科器械的一部分。例如,本文所公开的可互换轴组件可与名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS”的美国专利9,072,535中公开的各种机器人系统、器械、部件和方法一起使用,该专利全文以引用方式并入本文。
图1所示的先前外壳1012结合可互换轴组件1200示出(图2、图4和图5),该可互换轴组件包括端部执行器1300,该端部执行器包括被构造成能够在其中可操作地支撑外科钉仓1350的外科切割和紧固装置。外壳1012可被构造能够与可互换轴组件结合使用,该可互换轴组件包括端部执行器,该端部执行器适于支撑不同尺寸和类型的钉仓,并且可互换轴组件具有不同的轴长度、尺寸和类型等。此外,外壳1012还可有效地用于多种其他可互换轴组件,其包括被构造成能够将其他动作和形式的能量(诸如例如射频(RF)能量、超声能量和/或动作)施加到适合与各种外科应用和手术结合使用的端部执行器布置结构的那些组件。此外,端部执行器、轴组件、柄部、外科器械和/或外科器械系统可利用任意合适的可被临床医生抓握和操纵的紧固件。如将在下文进一步详细地讨论,柄部1014可操作地支撑其中的多个驱动系统,这些驱动系统被构造成能够生成各种控制动作并将这些控制动作施加到可操作地附接到其上的可互换轴组件的对应部分。
现在参见图3,柄部1014还可包括可操作地支撑多个驱动系统的框架1020。例如,框架1020可操作地支撑通常被标记为1030的“第一”或闭合驱动系统,该“第一”或闭合驱动系统可用于将闭合动作和打开动作施加到可操作地附接或联接到其的可互换轴组件1200。在至少一种形式中,闭合驱动系统1030可包括被框架1020枢转地支撑的闭合触发器1032形式的致动器。更具体地,如图3所示,闭合触发器1032经由销1033枢转地联接到柄部1014。此类布置结构使闭合触发器1032能够被临床医生操纵,使得当临床医生抓握柄部1014的手枪式握把部1019时,闭合触发器1032可被其轻易地从起始或“未致动”位置枢转到“致动”位置,并且更具体地,枢转到完全压缩或完全致动位置。闭合触发器1032可由弹簧或其他偏压布置结构(未示出)偏压到未致动位置。在各种形式中,闭合驱动系统1030还包括枢转地联接到闭合触发器1032的闭合连杆组件1034。如图3中可见,闭合连杆组件1034可包括通过销1035枢转地联接到闭合触发器1032的第一闭合连接件1036和第二闭合连接件1038。第二闭合连接件1038在本文中也可被称为“附接构件”,并且包括横向附接销1037。
仍参见图3,可观察到,第一闭合连接件1036可在其上具有锁定壁或锁定端部1039,该锁定壁或锁定端部被构造成能够与枢转地联接到框架1020的闭合释放组件1060配合。在至少一种形式中,闭合释放组件1060可包括释放按钮组件1062,该释放按钮组件具有形成于其上的朝远侧突出的锁定棘爪1064。释放按钮组件1062可被释放弹簧(未示出)沿逆时针方向枢转。临床医生将闭合触发器1032从其未致动位置朝向柄部1014的手枪式握把部1019压下时,第一闭合连接件1036向上枢转至某个点,其中锁定棘爪1064落入该点中以与第一闭合连接件1036上的锁定壁1039保持接合,从而阻止闭合触发器1032返回未致动位置。因此,闭合释放组件1060用来将闭合触发器1032锁定在完全致动位置。当临床医生期望将闭合触发器1032解锁以允许其被偏压到未致动位置时,临床医生只需枢转释放按钮组件1062,使得锁定棘爪1064运动成与第一闭合连接件1036上的锁定壁1039脱离接合。当锁定棘爪1064已运动成与第一闭合连接件1036脱离接合时,闭合触发器1032可枢转回到未致动位置。也可采用其他闭合触发器锁定布置结构和释放布置结构。
臂1061可从释放按钮组件1062延伸。磁性元件1063(诸如永磁体)例如可安装到臂1061。当释放按钮组件1062被从其第一位置旋转到其第二位置时,磁性元件1063可朝电路板1100运动。电路板1100可包括至少一个传感器,该至少一个传感器被构造成能够检测磁性元件1063的运动。在至少一个实施方案中,例如,“霍尔效应”传感器(未示出)可安装到电路板1100的底部表面。霍尔效应传感器可被配置成能够检测由磁性元件1063的运动所引起的环绕霍尔效应传感器的磁场变化。霍耳效应传感器可与例如微控制器进行信号通信,该微控制器可确定释放按钮组件1062是处于其第一位置、还是处于其第二位置还是/或者处于该第一位置与该第二位置之间的任何位置,该第一位置与闭合触发器1032的未致动位置和端部执行器的打开构型相关联,该第二位置与闭合触发器1032的致动位置和端部执行器的闭合构型相关联。
在至少一种形式中,柄部1014和框架1020可操作地支撑在本文中被称为击发驱动系统1080的另一个驱动系统,该驱动系统被构造成能够向附接到其的可互换轴组件的对应部分施加击发动作。击发驱动系统1080在本文中也可被称为“第二驱动系统”。击发驱动系统1080可以采用定位在柄部1014的手枪式握把部1019中的电动马达1082。在各种形式中,马达1082例如可为具有约25,000RPM的最大转速的DC有刷驱动马达。在其他布置结构中,马达可包括无刷马达、无绳马达、同步马达、步进马达、或任何其他合适的电动马达。马达1082可由电源1090供电,在一种形式中,该电源可包括可移除电源组1092。如图3中可见,例如,电源组1092可包括近侧外壳部分1094,该近侧外壳部分被构造能够附接到远侧外壳部分1096。近侧外壳部分1094和远侧外壳部分1096被构造成能够在其中可操作地支撑多个电池1098。电池1098可各自包括例如锂离子(“LI”)或其他合适的电池。远侧外壳部分1096被构造能够以可移除方式可操作地附接到同样可操作地联接到马达1082的柄部电路板1100。多个电池1098可以串联连接,可以用作外科器械1010的电源。此外,电源1090可为可更换的和/或可充电的。
如上文相对于其他各种形式所概述,电动马达1082可包括与齿轮减速器组件1084可操作地交接的可旋转轴(未示出),该齿轮减速器组件与一组或一齿条的驱动齿1122啮合接合地安装在可纵向运动的驱动构件1120上。在使用中,电源1090所提供的电压极性可沿顺时针方向操作电动马达1082,其中由电池施加给电动马达的电压极性可被反转,以便沿逆时针方向操作电动马达1082。当电动马达1082在一个方向上旋转时,驱动构件1120将在远侧方向“DD”上被轴向地驱动。当马达82在相反的旋转方向上被驱动时,驱动构件1120将在近侧方向“PD”上被轴向地驱动。柄部1014可包括开关,该开关可被构造成能够使由电源1090施加到电动马达1082的极性反转。与本文所述的其他形式一样,柄部1014还可包括传感器,该传感器被配置成能够检测驱动构件1120的位置和/或驱动构件1120正在运动的方向。
马达1082的致动可通过被枢转地支撑在柄部1014上的击发触发器1130来控制。击发触发器1130可在未致动位置和致动位置之间枢转。击发触发器1130可由弹簧1132或其他偏压布置结构偏压到未致动位置,使得当临床医生释放击发触发器1130时,击发触发器可由弹簧1132或偏压布置结构枢转或以其他方式返回到未致动位置。在至少一种形式中,击发触发器1130可定位在闭合触发器1032的“外侧”,如上文所讨论。在至少一种形式中,击发触发器安全按钮1134可由销1035枢转地安装到闭合触发器1032。安全按钮1134可定位在击发触发器1130和闭合触发器1032之间,并具有从其突出的枢转臂1136。参见图3。当闭合触发器1032处于未致动位置时,安全按钮1134被容纳在柄部1014中,此时临床医生可能无法轻易触及该按钮,也无法使该按钮在防止对击发触发器1130致动的安全位置与击发触发器1130可被击发的击发位置之间运动。临床医生压下闭合触发器1032时,安全按钮1134和击发触发器1130向下枢转,随后可被临床医生操纵。
如上所述,在至少一种形式中,可纵向运动的驱动构件1120具有形成于在其上的一齿条的齿1122,以用于与齿轮减速器组件1084的对应驱动齿轮1086啮合接合。至少一种形式还包括可手动致动的“应急”组件1140,该“应急”组件被构造成能够使得临床医生能够在马达1082变得失效情况下手动地回缩可纵向运动的驱动构件1120。应急组件1140可包括杠杆或应急柄部组件1142,该杠杆或应急柄部组件被构造成能够被手动地枢转成与同样设置在驱动构件1120中的齿1122棘轮接合。因此,临床医生可通过使用应急柄部组件1142来手动地回缩驱动构件1120,以使驱动构件1120在近侧方向“PD”上做棘轮运动。名称为“POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLEFIRING SYSTEM”的美国专利8608045公开了也可与本文所公开的各种器械一起使用的应急布置结构和其他部件、布置结构和系统。美国专利8,608,045据此全文以引用方式并入本文。
现在转到图2和图5,可互换轴组件1200包括外科端部执行器1300,该外科端部执行器包括被构造成能够在其中可操作地支撑钉仓1350的细长框架1310。端部执行器1300还可包括相对于细长框架1310被枢转地支撑的砧座2000。可互换轴组件1200还可包括关节运动接头3020和关节运动锁2140,该关节运动锁可被构造成能够将端部执行器1300相对于轴轴线SA可释放地保持在期望的位置。有关端部执行器1300、关节运动接头3020和关节运动锁的至少一种形式的各种特征部的示例可见于2013年3月14日提交的名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK”的美国专利申请序列号13/803086(现为美国专利申请公布2014/0263541)。2013年3月14日提交的名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK”的美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)的完整公开内容据此以引用方式并入本文。如图4中可见,可互换轴组件1200还可包括由喷嘴部分1202和1203组成的近侧外壳或喷嘴1201。
可互换轴组件1200还可包括闭合系统或闭合构件组件3000,该闭合构件组件可用于闭合和/或打开端部执行器1300的砧座2000。轴组件1200可包括脊1210,该脊被构造成能够:第一,在其中可滑动地支撑击发构件;第二,可滑动地支撑围绕脊1210延伸的闭合构件组件3000。如图5中可见,脊1210的远侧端部1212终止于上凸耳安装特征部1270和下凸耳安装特征部1280。上凸耳安装特征部1270在其中形成有凸耳狭槽1272,该凸耳狭槽适于在其中安装支撑上安装连接件1274。类似地,下凸耳安装特征部1280在其中形成有凸耳狭槽1282,该凸耳狭槽适于在其中安装支撑下安装连接件1284。上安装连接件1274中包括枢轴承窝1276,该枢轴承窝适于在其中可旋转地接纳枢轴销1292,该枢轴销形成在附接到细长框架1310的近侧端部部分1312的框架盖或砧座保持器1290上。下安装连接件1284包括下枢轴销1286,该下枢轴销适于被接纳在形成在细长框架1310的近侧端部部分1312中的枢轴孔1314内。参见图5。下枢轴销1286与枢轴承窝1276在竖直方向上对准以限定关节运动轴线AA,外科端部执行器1300可围绕该关节运动轴线AA相对于轴轴线SA进行关节运动。参见图2。
在例示的示例中,外科端部执行器1300能够由关节运动系统2100围绕关节运动轴线AA选择性地进行关节运动。在一种形式中,关节运动系统2100包括近侧关节运动驱动器2102,该近侧关节运动驱动器枢转地联接到关节运动连接件2120。如图5中可以最具体地看出,在近侧关节运动驱动器2102的远侧端部2110上形成偏置附接凸耳2114。枢轴孔2116形成在偏置附接凸耳2114中,并且被构造成能够在其中枢转地接纳形成在关节运动连接件2120的近侧端部2122上的近侧连接件销2124。关节运动连接件2120的远侧端部2126包括枢轴孔2128,该枢轴孔被构造成能够在其中枢转地接纳形成在细长框架1310的近侧端部部分1312上的框架销1317。因此,近侧关节运动驱动器2102的轴向运动将由此向细长框架1310施加关节运动,从而使外科端部执行器1300围绕关节运动轴线AA相对于脊1210进行关节运动。有关于关节运动系统2100的构造和操作的更多细节可见于以引用方式并入本文的各种参考文献中,包括2017年6月28日提交的名称为“SURGICAL INSTRUMENT WITH AXIALLYMOVABLE CLOSURE MEMBER”的美国专利申请序列号15/635,631中,现为美国专利申请公布2019/0000464,其全部公开内容据此以引用方式并入本文。在各种情况下,当近侧关节运动驱动器2102没有在近侧或远侧方向上运动时,近侧关节运动驱动器2102可被关节运动锁2140保持就位。关于关节运动锁2140的示例的附加细节可见于美国专利申请序列号15/635631(现为美国专利申请公布2019/0000464)以及以引用方式并入本文的其他参考文献中。
在各种情况下,脊1210可包括近侧端部1211,该近侧端部可旋转地支撑在底座1240中。在一种布置结构中,例如,脊1210的近侧端部1211具有形成于其上的螺纹1214,以便通过螺纹附接到脊轴承1216,该脊轴承被构造成能够被支撑在底座1240内。参见图4。这种布置结构有利于脊1210至底座1240的可旋转附接,使得脊1210可相对于底座1240围绕轴轴线SA选择性地旋转。
主要参见图4,可互换轴组件1200包括闭合梭动件1250,该闭合梭动件被可滑动地支撑在底座1240内,使得闭合梭动件可相对于底座轴向运动。闭合梭动件1250包括被构造能够附接到附接销1037的一对朝近侧突起的钩1252(图3),该附接销附接到第二闭合连接件1038,如将在下文进一步详细地讨论。在至少一个示例中,闭合构件组件3000包括具有近侧端部3012的近侧闭合构件段3010,该近侧端部联接到闭合梭动件1250以相对于闭合梭动件旋转。例如,将U形连接器1263插入近侧闭合构件段3010的近侧端部3012中的环形狭槽3014中,并使其保留在闭合梭动件1250中的竖直狭槽1253内。此类结构用于将近侧闭合构件段3010附接到闭合梭动件1250,以与闭合梭动件一起轴向地行进,同时使得近侧闭合构件段3010能够相对于闭合梭动件1250围绕轴轴线SA旋转。闭合弹簧1268轴颈连接在近侧闭合构件段3010上并且用于沿近侧方向“PD”偏压近侧闭合构件段3010,当轴组件可操作地联接到柄部1014时,该闭合弹簧可用来将闭合触发器1032枢转到未致动位置。
在至少一种形式中,可互换轴组件1200还可包括关节运动接头3020。然而,其他可互换轴组件可能无法进行关节运动。如图5中可见,例如,远侧闭合构件或远侧闭合管段3030联接到近侧闭合构件段3010的远侧端部。关节运动接头3020包括双枢轴闭合套管组件3022。根据各种形式,双枢轴闭合套管组件3022包括具有朝近侧突出的上柄脚3052和下柄脚3054的端部执行器闭合管3050。上部双枢轴连接件3056包括向上突出的远侧枢轴销和近侧枢轴销,这些枢轴销分别接合远侧闭合管段3030上的朝近侧突出的上柄脚3052中的上部远侧销孔以及朝远侧突出的上柄脚3031中的上部近侧销孔3032。下部双枢轴连接件3058包括向上突出的远侧枢轴销和近侧枢轴销,这些枢轴销分别接合朝近侧突出的下柄脚3054中的下部远侧销孔以及朝远侧突出的下柄脚3034中的下部近侧销孔。参见图4和图5。如将在下文进一步详细讨论的,闭合构件组件3000朝远侧(方向“DD”)平移,以例如响应于闭合触发器1032的致动来闭合砧座2000。通过朝近侧平移闭合构件组件3000来打开砧座2000,这使得端部执行器闭合管3050与砧座2000相互作用并将砧座枢转至打开位置。
同样如上所述,可互换轴组件1200还包括击发构件1900,该击发构件被支撑以便在脊1210内轴向行进。击发构件1900包括被构造能够附接到远侧切割部分或刀杆1910的中间击发轴部分1222。中间击发轴部分1222可在其远侧端部中包括纵向狭槽1223,该纵向狭槽可被构造成能够接纳远侧刀杆1910的近侧端部上的插片1912。纵向狭槽1223和近侧端部插片1912可被设定尺寸并被构造成能够允许该纵向狭槽和该近侧端部插片之间的相对运动并且可包括滑动接头1914。滑动接头1914可以允许击发构件1900的中间击发轴部分1222运动,以在不运动或至少基本上不运动刀杆1910的情况下,使端部执行器1300进行关节运动。一旦端部执行器1300已被合适地取向,便可朝远侧推进中间击发轴部分1222,直到纵向狭槽1223的近侧侧壁与插片1912发生接触,以便推进刀杆1910并击发定位在框架1310内的钉仓1350。刀杆1910包括刀部分1920并且包括上部砧座接合插片1924和下部框架接合插片1926,该刀部分包括刀片或组织切割刃1922。各种击发构件构型和操作公开于以引用方式并入本文的各种其他参考文献中。
如图4中可见,轴组件1200还包括可旋转地接纳在近侧闭合构件段3010上的切换筒1500。切换筒1500包括中空轴段1502,该中空轴段具有形成于其上的轴凸台,以用于在其中接纳向外突出的致动销。在各种情况下,该致动销延伸穿过狭槽进入设置在锁定套管中的纵向狭槽,以在锁定套管与关节运动驱动器接合时有利于该锁定套管轴向运动。旋转扭簧1420被构造成能够接合切换筒1500上的凸台和喷嘴1201的一部分,以将偏压力施加到切换筒1500。切换筒1500还可包括限定于其中的至少部分周边开口1506,这些开口被构造成能够接纳从喷嘴部分1202、1203延伸的周边安装座,并且允许切换筒1500和喷嘴1201之间的相对旋转而不是相对平移。安装座还延伸穿过待安置在脊1210中的凹陷部1219中的近侧闭合构件段3010中的开口3011。切换筒1500围绕轴轴线SA的旋转最终将引起致动销和锁定套管在其接合位置和脱离接合位置之间的旋转。在一种布置结构中,切换筒1500的旋转可与闭合管或闭合构件的轴向推进关联。因此,实质上,闭合系统的致动可以各种方式使关节运动驱动系统与击发驱动系统可操作地接合和脱离接合,所述方式在名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK”的美国专利申请序列号13/803086(现为美国专利申请公布2014/0263541)以及名称为“SURGICALINSTRUMENT COMPRISING A SENSOR SYSTEM”的美国专利9913642中更详细地描述,这些专利各自的全部公开内容据此以引用方式并入本文。例如,当闭合构件段3010处于其对应于“钳口打开”位置的最近侧位置时,闭合构件段3010将已定位切换筒1500,以便将关节运动系统与击发驱动系统连接。当闭合管已运动到其对应于“钳口闭合”位置的远侧位置时,闭合管已将切换筒1500旋转到其中关节运动系统与击发驱动系统脱离连接的位置。
同样如图4所示,轴组件1200可包括滑环组件1600,该滑环组件例如可被构造成能够将电力传导至端部执行器1300和/或从该端部执行器传导电力,并且/或者将信号传送至端部执行器1300和/或从该端部执行器接收信号。滑环组件1600可包括近侧连接器凸缘1604和远侧连接器凸缘,该近侧连接器凸缘安装到从底座1240延伸的底座凸缘1242,该远侧连接器凸缘定位在限定在轴外壳中的狭槽内。近侧连接器凸缘1604可包括第一面,并且远侧连接器凸缘可包括第二面,该第二面与第一面相邻定位并能够相对于第一面运动。远侧连接器凸缘可围绕轴轴线SA相对于近侧连接器凸缘1604旋转。近侧连接器凸缘1604可包括限定在其第一面中的多个同心或至少基本上同心的导体。连接器可安装在连接器凸缘的近侧侧面上,并且可具有多个触点,其中每个触点对应于导体中的一个并且与其电接触。这种布置结构在保持近侧连接器凸缘1604与远侧连接器凸缘之间电接触的同时,允许这两个凸缘之间进行相对旋转。例如,近侧连接器凸缘1604可包括电连接器1606,该电连接器可使导体与安装到轴底座1240的轴电路板1610进行信号通信。在至少一种实例中,包括多个导体的线束可在电连接器1606与轴电路板1610之间延伸。电连接器1606可朝近侧延伸穿过底座凸缘1242中限定的连接器开口1243。参见图4。关于滑环组件1600的更多细节可见于例如名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK”的美国专利申请序列号13/803086(现为美国专利申请公布2014/0263541)、2013年3月13日提交的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM”的美国专利申请序列号13/800067(现为美国专利申请公布2014/0263552)以及名称为“STAPLE CARTRIDGE TISSUETHICKNESS SENSOR SYSTEM”的美国专利9345481。美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)、美国专利申请序列号13/800,067(现为美国专利申请公布2014/0263552)和美国专利9,345,481据此各自全文以引用方式并入本文。
如上文所讨论,轴组件1200可包括近侧部分和远侧部分,该近侧部分可固定地安装到柄部1014,该远侧部分能够围绕纵向轴线旋转。可旋转远侧轴部分可如上文所讨论围绕滑环组件1600相对于近侧部分旋转。滑环组件1600的远侧连接器凸缘可定位在可旋转远侧轴部分内。而且,除上述以外,切换筒1500也可定位在可旋转远侧轴部分内。当可旋转远侧轴部分旋转时,远侧连接器凸缘和切换筒1500可彼此同步地旋转。另外,切换筒1500可相对于远侧连接器凸缘在第一位置与第二位置之间旋转。当切换筒1500处于其第一位置时,关节运动驱动系统可与击发驱动系统可操作地脱离接合,因此,击发驱动系统的操作可不使轴组件1200的端部执行器1300进行关节运动。当切换筒1500处于其第二位置时,关节运动驱动系统可以与击发驱动系统可操作地接合,因此,击发驱动系统的操作可以使轴组件1200的端部执行器1300进行关节运动。当切换筒1500在其第一位置和其第二位置之间运动时,切换筒1500相对于远侧连接器凸缘运动。在各种实例中,轴组件1200可包括被配置成能够检测切换筒1500的位置的至少一个传感器。
再次参见图4,底座1240包括形成于其上的至少一个、并且优选地两个锥形附接部分1244,这些锥形附接部分适于被接纳在对应的燕尾形狭槽1702内,该燕尾形狭槽形成在框架1020的远侧附接凸缘部分1700内。参见图3。每个燕尾形狭槽1702可以是锥形,或换句话讲,可以略成V形,从而以坐置方式将附接部分1244接纳在其中。如可在图4中进一步所见,轴附接凸耳1226形成在中间击发轴部分1222的近侧端部上。如将在下文进一步详细地讨论,当可互换轴组件1200联接到柄部1014时,轴附接凸耳1226被接纳在纵向驱动构件1120的远侧端部1125中形成的击发轴附接支架1126中。参见图3。
各种轴组件实施方案采用闩锁系统1710用于将轴组件1200可移除地联接到外壳1012并且更具体地联接到框架1020。如图4中可见,例如,在至少一种形式中,闩锁系统1710包括可运动地联接到底座1240的锁定构件或锁定轭1712。在例示的实施方案中,例如,锁定轭1712为U形,具有两个隔开并向下延伸的支腿1714。支腿1714各自具有形成于其上的枢轴凸耳1715,这些枢轴凸耳适于被接纳在形成于底座1240中的对应孔1245中。这种布置结构有利于将锁定轭1712枢转附接到底座1240。锁定轭1712可包括两个朝近侧突起的锁定凸耳1716,这两个锁定凸耳被构造成能够与框架1020的远侧附接法兰部分1700中对应的锁定棘爪或凹槽1704可释放地接合。参见图3。在各种形式中,锁定轭1712被弹簧或偏压构件(未示出)沿近侧方向偏压。锁定轭1712的致动可通过闩锁按钮1722实现,该闩锁按钮可滑动地安装在安装到底座1240的闩锁致动器组件1720上。闩锁按钮1722可相对于锁定轭1712沿近侧方向偏压。如将在下文进一步详细地讨论,锁定轭1712可通过沿远侧方向偏压闩锁按钮而运动到解锁位置,这也使锁定轭1712枢转成不再与框架1020的远侧附接凸缘部分1700保持接合。当锁定轭1712与框架1020的远侧附接凸缘部分1700“保持接合”时,锁定凸耳1716保持坐置在远侧附接凸缘部分1700中对应的锁定棘爪或凹槽1704内。
当采用包括适于切割和紧固组织的本文所述类型的端部执行器以及其他类型的端部执行器的可互换轴组件时,可能有利的是防止可互换轴组件在端部执行器致动期间不经意地从外壳脱离。例如,在使用中,临床医生可致动闭合触发器1032以抓持目标组织并将其操纵到期望的位置中。一旦目标组织以期望的取向定位在端部执行器1300内,临床医生就可完全致动闭合触发器1032,以闭合砧座2000并将目标组织夹紧在合适位置以用于切割和缝合。在这种实例中,第一驱动系统1030已被完全致动。在目标组织已被夹紧在端部执行器1300中之后,可能有利的是防止轴组件1200不经意地从外壳1012脱离。闩锁系统1710的一种形式被构造成能够防止这种不经意的脱离。
如图4中可最清楚地看到的那样,锁定轭1712包括至少一个、并且优选两个锁钩1718,这些锁钩适于接触闭合梭动件1250上形成的对应锁定凸耳部分1256。当闭合梭动件1250处于未致动位置(即,第一驱动系统1030未致动并且砧座2000打开)时,锁定轭1712可沿远侧方向枢转,以将可互换轴组件1200从外壳1012解锁。处于该位置时,锁钩1718不接触闭合梭动件1250上的锁定凸耳部分1256。但是,当闭合梭动件1250运动到致动位置(即第一驱动系统1030被致动并且砧座2000处于闭合位置)时,锁定轭1712受到阻碍,不能枢转到解锁位置。换句话讲,如果临床医生试图将锁定轭1712枢转到解锁位置,或者例如,锁定轭1712不经意地以原本可能致使其朝远侧枢转的方式受到碰撞或发生接触,则锁定轭1712上的锁定钩1718将接触闭合梭动件1250上的锁定凸耳部分1256,并且防止锁定轭1712运动到解锁位置。
现在将描述可互换轴组件1200与柄部1014的附接。要开始联接过程,临床医生可将可互换轴组件1200的底座1240定位在框架1020的远侧附接凸缘部分1700上方或附近,使得底座1240上形成的锥形附接部分1244与框架1020中的燕尾形狭槽1702对准。然后临床医生可使轴组件1200沿垂直于轴轴线SA的安装轴线运动,以使附接部分1244安置成与对应的燕尾形接纳狭槽1702“可操作地接合”。这样做时,中间击发轴部分1222上的轴附接凸耳1226也将坐置在可纵向运动的驱动构件1120中的支架1126中,并且第二闭合连接件1038上的销1037的部分将坐置在闭合梭动件1250中的对应钩1252中。如本文所用,术语“可操作地接合”在两个部件的背景下是指这两个部件彼此充分地接合,使得一旦向其施加致动动作,这些部件便可执行其预期行动、功能和/或程序。
可互换轴组件1200的至少五个系统可以与柄部1014的至少五个对应系统可操作地联接。第一系统可包括框架系统,该框架系统将轴组件1200的框架或脊与柄部1014的框架1020联接并/或对准。另一系统可包括闭合驱动系统1030,该闭合驱动系统可将柄部1014的闭合触发器1032与轴组件1200的闭合管3050和砧座2000可操作地连接。如上文所概述,轴组件1200的闭合梭动件1250可与第二闭合连接件1038上的销1037接合。另外的系统可包括击发驱动系统1080,该击发驱动系统可将柄部1014的击发触发器1130与轴组件1200的中间击发轴部分1222可操作地连接。如上文所概述,轴附接凸耳1226可与纵向驱动构件1120的支架1126可操作地连接。另一个系统可包括电气系统,该电气系统能够:发送轴组件(诸如轴组件1200)已与柄部1014可操作地接合的信号到柄部1014中的控制器(诸如微控制器),并且/或者在轴组件1200与柄部1014之间传导功率和/或通信信号。例如,轴组件1200可包括可操作地安装到轴电路板1610的电连接器1810。电连接器1810被构造能够与控制电路板1100上的对应电连接器1800配合接合。关于电路系统和控制系统的更多细节可见于美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)和美国专利申请序列号14/226,142(现为美国专利9,913,642),这两者各自的完整公开内容此前以引用方式并入本文。第五系统可由用于将轴组件1200可释放地锁定到柄部1014的闩锁系统组成。
在例示的示例中,砧座2000包括终止于砧座安装部分2010中的砧座主体2002。砧座安装部分2010被可运动地或枢转地支撑在细长框架1310上,以便于围绕横向于轴轴线SA的固定砧座枢转轴线PA相对于该细长通道选择性地枢转行进。在例示的布置结构中,枢轴构件或砧座耳轴2012横向延伸出砧座安装部分2010的每个横向侧,以接纳在形成在细长框架1310的近侧端部部分1312的直立壁1315中的对应耳轴支架1316中。砧座耳轴2012由框架盖或砧座保持器1290枢转地保持在其对应的耳轴支架1316中。框架盖或砧座保持器1290包括一对附接凸耳,该对附接凸耳被构造成能够保持地接纳在形成在细长框架1310的近侧端部部分1312的直立壁1315中的对应凸耳凹槽或凹口内。参见图5。
仍然参见图5,在至少一种结构中,远侧闭合构件或端部执行器闭合管3050采用两个轴向偏置的近侧正钳口开口特征部3060和远侧正钳口开口特征部3062。正钳口打开特征部3060、3062被构造成能够与在砧座安装部分2010上形成的对应的释放区域和阶梯部分交接,如在名称为“SURGICAL INSTRUMENT WITH AXIALLY MOVABLE CLOSURE MEMBER”的美国专利申请序列号15/635,631,现为美国专利申请公布2019/0000464中进一步详细描述的,其全部公开内容以引用方式并入本文。可采用其他钳口开口布置结构。
以下专利申请的公开内容全文以引用方式并入本文:提交于2003年5月20日的名称为“SURGICAL STAPLING INSTRUMENT HAVING A SPENT CARTRIDGE LOCKOUT”的美国专利申请公布2004/0232200;名称为“SURGICAL STAPLING INSTRUMENT HAVING A FIRINGLOCKOUT FOR AN UNCLOSED ANVIL”的美国专利申请公布2004/0232199;提交于2003年5月20日的名称为“SURGICAL STAPLING INSTRUMENT INCORPORATING AN E-BEAM FIRINGMECHANISM”的美国专利申请公布2004/0232197;提交于2003年5月20日的名称为“SURGICALSTAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS”的美国专利申请公布2004/0232196;提交于2003年5月20日的名称为“SURGICAL STAPLINGINSTRUMENT HAVING A SINGLE LOCKOUT MECHANISM FOR PREVENTION OF FIRING”的美国专利申请公布2004/0232195;以及提交于2017年8月17日的名称为“ARTICULATINGSURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRINGMECHANISM”的美国专利申请公布2018/0085123。
参见图6,示出了外科缝合组件4000的示例。外科缝合组件4000可与上文描述的外科器械1010结合或与各种其他外科器械结合使用,这些其他外科器械在以引用方式并入本文的各种公开内容中描述。例如,外科缝合组件4000可以以上述并入的公开内容中公开的各种形式与电控制、电池供电、手动供电和/或机器人控制的外科器械结合使用。如图6中可见,外科缝合组件4000包括通常被标记为4002的外科缝合装置,该外科缝合装置包括被构造成能够在其中可操作地支撑钉仓4200的第一钳口或框架4010。第一钳口4010可以以本文以及以引用方式并入本文的各种公开内容中描述的各种方式附接到外科器械或机器人的轴组件的脊。在例示的示例中,第一钳口4010通过由销4032销连接或以其他方式附接到第一钳口4010的近侧端部4014的轴安装凸缘4030附接到轴组件的脊部分(图6中未示出)。具体地,销4032被构造成能够穿过第一钳口4010的直立侧壁4020中的对准孔4021以及穿过轴安装凸缘4030中的孔4031。轴安装凸缘4030被构造成能够与关节运动接头布置结构(未示出)交接,该关节运动接头布置结构被构造成能够以各种已知构型促进第一钳口4010相对于轴组件的关节运动。也可以采用将外科装置4002与外科器械的轴附接和可操作地交接的其他方法。例如,缝合装置4002可附接到轴组件,使得缝合装置(有时也称为“端部执行器”)不能相对于轴组件进行关节运动。
仍然参见图6,外科缝合装置4002还包括击发构件组件4040,该击发构件组件包括附接到刀构件或“击发构件”4050的刀杆4042。刀杆4042还与外科器械中的对应部件和击发系统交接,以接收击发运动,该击发运动可将刀杆4042和击发构件4050通过钉击发行程从起始位置朝远侧推进到结束位置,并且还将刀杆4042和击发构件4050朝近侧回缩到起始位置。在例示的布置结构中,击发构件4050包括支撑切割刃或刀刃4053的击发构件主体4052。击发构件4050还包括支脚4054,该支脚形成在击发构件主体4052的底部上并且从击发构件主体4052的每一侧横向延伸。击发构件4050还包括从击发构件主体4052横向延伸的一对顶部销或插片4056,该对顶部销或插片适于接合砧座上的凸部,如本文将进一步讨论的。另外,击发构件4050包括从击发构件主体4052的每一侧横向突出的一对中心销或插片4058。在以引用方式并入本文的公开内容中的一些公开内容中,击发构件4050也可称为“电子束”击发构件或切割构件。
除上述以外,外科缝合装置4002包括可相对于第一钳口或框架4010运动的第二钳口或砧座4100。砧座4100包括砧座主体部分4102和砧座安装部分4110。砧座主体4102包括钉成形下表面或组织接触表面4104,其具有形成于其中的一系列钉成形凹坑(未示出),这些钉成形凹坑被布置成当它们被驱动成与对应钉成形接触时形成对应钉。砧座安装部分4110包括一对横向延伸的砧座销或耳轴销4112,其被构造成能够接纳在第一钳口4010的直立侧壁4020中的对应耳轴狭槽4022中。在例示的布置结构中,耳轴狭槽4022稍微呈“肾形”并且促进对应耳轴销4112在其中的枢转以及轴向行进。砧座4100的这样的枢转和轴向运动可称为砧座闭合序列期间砧座的“平移”。
如上文以及在以引用方式并入本文的公开内容中的若干公开内容中所讨论的,砧座4100可从打开位置运动到闭合位置,在该打开位置中用过的或用尽的外科钉仓可从第一钳口或框架4010移除,或者未击发的外科钉仓可以可操作地安置在其中。砧座4100可通过可轴向运动的闭合构件在打开位置与闭合位置之间运动,该可轴向运动的闭合构件可包括端部执行器闭合管(未示出),该端部执行器闭合管是外科器械的轴组件的一部分,外科装置4002可操作地附接到该部分。例如,当闭合构件通过致动外科器械中的闭合控制系统从近侧位置朝远侧运动时,闭合构件可以可操作地接合砧座安装部分4110上的凸轮表面。闭合构件与砧座安装部分4110之间的这样的相互作用使砧座安装部分4110和砧座耳轴销4112枢转并沿耳轴狭槽4022向上平移,直到闭合构件使砧座4100运动到完全闭合位置。当处于完全闭合位置时,砧座4100中的钉成形凹坑与已经可操作地安置在第一钳口或框架4010中的对应兼容外科钉仓中的钉正确地对准。当可轴向运动的闭合构件之后在近侧方向上运动时,闭合构件与砧座安装部分4110上的直立插片4114交接,以将砧座4100返回到打开位置。
可与外科缝合装置4002兼容的一种形式的外科钉仓4200包括限定仓平台表面或组织接触表面4204的仓体4202。仓体4202还包括纵向狭槽4206,该纵向狭槽平分仓平台表面4204并且被构造成能够在钉击发行程期间使击发构件4050的轴向通道在仓体4202内在其起始位置与结束位置之间容纳在该纵向狭槽中。纵向狭槽4206沿着仓4200的中心轴线CA定位。外科钉仓4200还包括形成于仓体4202中的一系列钉凹坑4208。钉凹坑4208可以形成在位于纵向狭槽4206的每一侧上的偏置“线”中。每个钉凹坑4208可具有与其相关联的钉驱动器(未示出),该钉驱动器在其上支撑外科钉或紧固件(未示出)。在至少一个示例中,仓体4202由其中模制或机加工有钉凹坑4208的聚合物材料模制而成。在一种布置结构中,钉凹坑4208还通过仓体4202的底部打开,以便于将驱动器和紧固件安装到其相应的钉凹坑4208中。一旦驱动器和紧固件被插入其相应的钉凹坑4208中,则仓盘4220附接到仓体4202。在一种形式中,仓盘4220由金属材料制成并且包括跨越仓体4202的底部的底部4222。仓盘4220还包括对应于仓体4202的每一侧的两个直立侧壁4224。仓盘4220可通过钩4226能够移除地附连到仓体4202,该钩形成在侧壁4224上并且被构造成能够以钩的形式接合仓体4202的对应部分。另外,仓体4202还可以具有从其突出的凸耳或附接形成物,该凸耳或附接形成物被构造成能够保持接合仓盘4220的对应部分。当安装时,仓盘4220可(除了别的以外)防止驱动器和紧固件在钉仓处理和安装到第一钳口或框架4010中期间从仓体4202的底部掉出。
根据特定仓设计,钉驱动器中的一些钉驱动器在其上可操作地支撑单个外科钉,而其他钉驱动器在其上支撑多于一个外科钉。每个外科钉包括钉冠部和两个直立的钉腿。钉冠部通常支撑在形成于对应钉驱动器中的支架布置结构上,使得当仓可操作地安置在框架4010中时,支腿朝向砧座在竖直方向上取向。在一些布置结构中,外科钉具有稍微V形形状,其中腿的端部略微向外张开。如果仓在使用期间无意中倒置或上下颠倒,由于支腿和钉凹坑的侧面之间的摩擦接合,此类布置结构可用于将钉保持在其对应钉凹坑中。其他外科钉是大致U形的(支腿的端部不向外张开),并且如果在使用前将仓倒置,则可能更易于从钉凹坑中掉出。
外科钉仓4200还包括滑动件或凸轮作用构件4230,其被构造成能够在钉击发行程期间轴向推进通过仓体4202。在“新的”、“新近的”或“未击发的”外科钉仓中,滑动件4230处于其最近侧的“未击发”位置。滑动件4230包括多个楔形件或凸轮构件4232,其被构造成能够驱动地接合仓体中的钉驱动器的对应线。在钉击发行程期间,击发构件4050邻接并朝远侧推动滑动件4230以与钉驱动器凸轮接触,由此随着滑动件4230在仓体4202内从其未击发位置驱动到其最远侧的完全击发位置而向上朝向砧座4100顺序地驱动钉驱动器。当钉驱动器被向上驱动时,钉被驱动穿过夹在钉仓4200的平台表面4204与砧座4100之间的组织,并且与砧座4100的钉成形下表面4104成形接触。在击发构件4050被朝远侧驱动时,击发构件4050上的组织切割刀4053切割穿过缝合组织。在钉击发行程已完成之后,并且/或者在足够长度的钉击发行程已完成之后,击发构件4050朝近侧回缩。然而,滑动件4230不与击发构件4050一起朝近侧回缩。相反,滑动件4230留在其被击发构件4050推动到的最远侧位置处。
在钉仓已被击发或至少部分地击发之后,如果需要,将钉仓从框架移除,然后用另一个能够替换的钉仓替换。此时,缝合装置可重新用于继续缝合和切入患者组织。然而,在一些情况下,先前击发的钉仓可被意外地装载到框架中。如果击发构件将在此类先前击发的钉仓内朝远侧推进,则缝合器械将切割患者组织而不缝合患者组织。如果击发构件朝远侧推进通过钉击发行程而根本没有钉仓定位在仓钳口中,则缝合器械将类似地切割患者组织而不缝合患者组织。另外,各种外科钉仓可在其中具有钉/紧固件的不同阵列和/或取向。根据具体的外科手术或应用,钉或紧固件的尺寸以及紧固件的数量可因仓类型而异。为了确保钉被正确地压接或成形,外科钉仓必须与其中具有适当阵列的钉成形凹坑的对应兼容砧座以及适当的切割和击发部件结合使用。如果“不兼容”的仓被装载到具有与钉仓不匹配的砧座的外科缝合装置中,则钉可能在击发过程期间不能正确地成形,这可能导致灾难性结果。为此,外科缝合组件4000包括防止发生这种情况的一个或多个闭锁件,如下文更详细地讨论。
除上述以外,外科缝合装置4002包括第一闭锁件4300,该第一闭锁件被构造成能够防止击发构件4050从其最近侧起始位置朝远侧运动,除非经授权或兼容的钉仓可操作地安置在第一钳口或框架4010中。第一闭锁件4300在本文中也可称为“验证”闭锁件。在例示的布置结构中,第一闭锁件4300包括单个双横向第一闭锁弹簧4310,其支撑在框架4010的近侧端部4014中并且附接到轴安装凸缘4030。例如,在一种布置结构中,第一闭锁弹簧4310包括位于仓轴线CA的一侧上的第一闭锁臂4312以及位于仓轴线CA的相对侧上的第二闭锁臂4314。第一闭锁臂4312和第二闭锁臂4314附接到中心主体部分4316。参见图7。弹簧4310支撑在第一钳口或框架4010中,并且通过销4034附连到轴安装凸缘4030,该销延伸穿过轴安装凸缘4030中的孔4036并且穿过第一闭锁臂4312和第二闭锁臂4314中的孔4318。第一闭锁臂4312和第二闭锁臂4314各自还包括闭锁窗口或开口4320。闭锁窗口4320各自适于在击发构件4050处于其最近侧或起始位置时在其中接纳从击发构件4050的相邻第一横向侧或第二横向侧突出的对应中心销4058。参见图8和图9。
图8-图10示出了处于锁定位置的第一闭锁件4300,其中中心销4058被接纳在第一闭锁臂4312和第二闭锁臂4314中的闭锁窗口4320内。在一些布置结构中,与外科缝合装置4002兼容的那些钉仓,或换句话讲,具有适当数量、尺寸和布置结构的钉那些钉仓可具有直接形成在仓体上和/或仓盘上的一个或多个解锁或“验证”键,该一个或多个解锁或“验证”键被构造成能够在兼容钉仓可操作地安置在第一钳口或框架中时使第一闭锁件失效。下文以及以引用的方式并入本文中的各种公开内容中公开了具有从其突出的解锁键的各种钉仓。然而,在某些情况下,临床医生可能希望使用与外科缝合装置兼容但原本没有解锁键的钉仓。在此类情况下,临床医生将无法在外科缝合装置中以其他方式使用那些兼容的钉仓。外科缝合装置4002包括被设计成便于使用原本没有解锁键特征部的此类兼容钉仓的特征部。
现在转到图6和图10,缝合组合件4000还包括保持器4400,该保持器被构造成能够可移除地联接到钉仓4200,该钉仓以其他方式与外科缝合装置4002兼容。在例示的布置结构中,保持器4400包括顶部部分4402,该顶部部分与仓体4202的平台表面4204共同延伸并且被构造成能够接纳在该平台表面上。因此,在至少一个构型中,当保持器4400附接到仓体4202时,保持器4400覆盖仓体4202中的所有钉凹坑4208。因此,当保持器4400附接到钉仓4200时,如果钉仓4200在使用之前倒置或上下颠倒,则保持器4400可防止储存在钉凹坑4208内的外科钉掉出。保持器4400还保护平台表面以免在装运和储存期间被污染。
在一种布置结构中,保持器4400可由聚合物材料模制,并且包括多个保持器凸耳4410,该多个保持器凸耳被构造成能够闩锁地接合形成在仓体4202上的向外延伸的平台凸部部分4205。保持器4400还可包括成角度的鼻部部分4420和远侧闩锁插片4422,该远侧闩锁插片被构造成能够闩锁接合仓体4202的远侧鼻部4203。保持器4400可通过以下方式可移除地联接到外科钉仓4200:将远侧闩锁插片4422与远侧鼻部4203的端部接合并且对准保持器4400,使得顶部部分4402的下侧面对仓平台表面4204,并且保持器凸耳4410位于仓体4202的每一侧上的平台凸部部分4205上方。此后,保持器4400可被压向钉仓4200,从而使保持器凸耳4410横向向外挠曲并且卡扣成与对应平台凸部部分4205闩锁接合。本文公开的其他保持器闩锁布置结构也可用于将保持器4400可移除地附连到钉仓4200。保持器4400可通过以下方式从钉仓4200移除:对远侧闩锁插片4422施加撬动运动直到保持器凸耳4410与平台凸部部分4205脱离接合。在例示的示例中,术语“LIFT”被模制、压印、盖印或以其他方式设置在鼻部部分4420上以向用户提供移除指令。
现在参见图10-图13,保持器4400还包括验证键4430,该验证键被构造成能够在保持器4400附接到钉仓4200以形成仓组件4500并且仓组件4500已经可操作地安置在第一钳口或框架4010中时使第一闭锁件4300失效、停用或解除闩锁。如图11中可见,验证键4430从保持器4400的顶部部分4402的近侧端部4401朝近侧突出,并且包括被空间4460分开的右斜坡特征部4440和左斜坡特征部4450,该空间的尺寸被设定成在其间接纳击发构件主体4052。在例示的示例中,右斜坡特征部4440从保持器4400的顶部部分4402向下成角度,并且包括近侧右末端4442。近侧右末端4442限定第一右凸轮表面4444,该第一右凸轮表面在末端处向内成角度并且朝远侧延伸到第二右凸轮表面4446。第二右凸轮表面4446从第一右凸轮表面4444延伸到顶部部分4402。参见图12。类似地,左斜坡特征部4450从保持器4400的顶部部分4402向下成角度,并且包括近侧左末端4452。近侧左末端4452在末端处向内成角度并且朝远侧延伸到第二左凸轮表面4456。第二左凸轮表面4456从第一左凸轮表面4454延伸到顶部部分4402。保持器4400另外包括保持器龙骨4470,该保持器龙骨从顶部部分4402的底表面突出并且被取向成接纳在外科钉仓4200中的纵向狭槽4206内。保持器龙骨4470可用于将保持器4400正确地取向在钉仓4200上,使得右斜坡特征部4440和左斜坡特征部4450在击发构件4050的每一侧上延伸。另外,保持器龙骨4470可被构造成能够接合钉仓4200中的滑动件4230,并且在保持器4400附接到钉仓4200时将滑动件4230保持在未击发位置。保持器龙骨4470可相对于纵向狭槽4206设定尺寸,以与其建立摩擦配合,以将保持器4400保持在钉仓4200上。
现在参见图10、图14和图15,在保持器4400已经附接到钉仓4200以形成仓组件4500之后,仓组件4500可被纵向插入第一钳口或框架4010中,以便使验证键4430的右斜坡特征部4440的右末端4442与第一闭锁臂4312上的直立解锁插片4322接触,并且使左斜坡4450的左末端4452与第一闭锁弹簧4310的第二闭锁臂4314上的直立解锁插片4324接触。在组装好的仓布置结构4500在近侧方向上初始纵向插入框架4010中期间,第一右凸轮表面4444将第一闭锁弹簧4310的第一闭锁臂4312横向向外偏压(图14中的箭头RL),并且第一左凸轮表面4454将第二闭锁臂4314横向向外偏压(箭头LL)。仓组件4500进一步近侧推进到第一钳口或框架4010中导致第一闭锁臂4312达到第一中间位置,其中第一闭锁臂4312与击发构件4050上的对应中心销4058脱离接合,并且还导致第二闭锁臂4314达到第二中间位置,其中第二闭锁臂4314与击发构件4050上的对应中心销4058脱离接合。组装好的仓布置结构4500在近侧方向上继续纵向插入第一钳口或框架4010中导致第二右凸轮表面4446将第一闭锁臂4312进一步横向向外偏压,并且第二左凸轮表面4456将第二闭锁臂4314进一步横向向外偏压,直到仓组件4500完全可操作地安置在第一钳口或框架4010中。参见图15。当仓组件4500已经可操作地安置在第一钳口或框架4010中时,第一闭锁臂4312上的远侧第一保持插片4326接合钉仓4200的对应侧以将第一闭锁臂4312保持在该解锁位置。同样,形成在第二闭锁臂4314上的远侧第二保持插片4328接合钉仓4200的另一对应侧以将第二闭锁臂4314保持在该解锁位置。当处于该位置时,第一闭锁件4300处于解锁位置,或者换句话讲,是“失效的”。在解锁过程期间,右斜坡4440和左斜坡4450可在由第一弹簧4310产生的锁定力较高的应用中由击发构件4050增强。然后,用户可通过以下方式从钉仓4200移除保持器4400:沿远侧闩锁插片4422向上撬动,并向上提升保持器4400,直到保持器凸耳4410与仓体4202上的平台凸部部分4205脱离接合。在第一闭锁件4300失效或解锁的情况下,击发构件4050可以从起始位置朝远侧推进并且处于“就绪状态”。在钉仓4200已被击发之后,击发构件4050回缩回到起始位置,并且第二钳口或砧座4100枢转回到打开位置。然后可以从第一钳口或框架4010移除用尽的钉仓。一旦已经将用尽的钉仓4200从第一钳口或框架4010移除,第一闭锁臂4312和第二闭锁臂4314便弹回与击发构件4050上的对应中心销4058接合,以再次将击发构件4050保持在起始位置。
设想到了其他第一闭锁弹簧布置结构。例如,第一闭锁弹簧可仅包括一个横向闭锁臂并且接合击发构件的仅一侧。在此类布置结构中,可能需要包括仅一个斜坡的验证键来解锁闭锁臂。
如上所讨论的,当仓组件4500可操作地安置在框架4010中时,第一闭锁件4300失效或解锁,以允许击发构件4050在钉击发行程期间从就绪状态朝远侧推进。当附接到钉仓4200时,保持器4400覆盖仓平台表面4204并且防止钉从钉凹坑4208掉出,以及防止任何碎屑或污染物进入纵向狭槽4206或钉凹坑4208,这可能损坏钉仓或防止其正确操作。设想到了保持器4400的其他变型,其中仓平台表面4204的仅一部分被保持器覆盖。其他构型可以不覆盖钉凹坑中的任一者和/或平台表面中的任一者。
同样上文所讨论的,在钉仓已被击发或至少部分地击发之后,如果需要,将钉仓从第一钳口或框架移除,然后用另一个兼容钉仓替换。此时,缝合装置可重新用于继续缝合和切入患者组织。然而,在一些情况下,先前击发的钉仓可被意外地装载到框架中。如果击发构件将在此类先前击发的钉仓(有时在本文中称为“用尽的”仓)内朝远侧推进,则缝合器械将切割患者组织而不缝合患者组织。即使保持器4400被无意中意外地附接到用尽的仓,并且所得仓组件随后安置到框架中以便使第一闭锁件失效,也可以想到这可能发生。如果击发构件朝远侧推进通过钉击发行程而根本没有钉仓定位在仓钳口中,则外科缝合装置将类似地切割患者组织而不缝合患者组织。为了防止这些情况发生,外科缝合装置4002还包括第二闭锁件4600,该第二闭锁件被构造成能够在用尽的钉仓安置在第一钳口或框架4010中时防止击发构件4050朝远侧推进通过钉击发行程。
现在参见图6和图16-图19,可包括实心或层压结构的刀杆4042包括弹簧插片4044,该弹簧插片被构造成能够与弹簧板4070可操作地交接,该弹簧板安装或着陆在第一钳口或框架4010的底部中。弹簧板4070设置有孔4072,该孔被构造成能够在击发构件4050处于其最近侧的“起始”位置时在其中接纳弹簧插片4044。当处于该位置时,弹簧插片4044延伸到孔4072中,并且可用于防止击发构件4050的任何无意的向远侧运动,直到操作者需要为止。在例示的示例中,第二闭锁件4600还包括形成在框架4010的底部中的阻挡特征部或凸部4602。如果用户尝试在仓已经可操作地安置到框架4010中之前朝远侧推进击发构件4050,则弹簧插片4044与弹簧板4070协作将导致击发构件4050向下冲,从而使击发构件4050上的中心销4058与框架中的阻挡特征部4602接触,并且由此防止击发构件4050朝远侧推进。
图16和图17示出了当用尽的钉仓4200S已安置到框架4010中时第二闭锁件4600的操作。如该上下文中所用,术语“用尽的”钉仓可以指先前已经完全击发或部分击发的钉仓。在任一种情况下,滑动件4230将从其最近侧的未击发位置朝远侧推进。图16描绘了处于最近侧的起始位置的击发构件4050,其中用尽的钉仓4200S安置在框架4010中。图17示出了防止击发构件4050朝远侧推进到用尽的仓4200S中的第二闭锁件4600。如图17中可见,弹簧插片4044与弹簧板4070协作导致击发构件4050向下冲,从而使击发构件4050上的中心销4058与框架中的阻挡特征部4602接触,由此防止击发构件4050朝远侧推进。
图18和图19示出了当未击发的钉仓4200已安置到第一钳口或框架4010中时第二闭锁件4600的操作。如图18和图19中可见,滑动件4230处于其最近侧的未击发位置。滑动件4230包括解锁凸部4234,该解锁凸部被构造成能够由形成在击发构件主体4052上的解锁特征部4055接合。图18示出处于最近侧的起始位置的击发构件4050,其中未击发的钉仓4200安置在第一钳口或框架4010中。当击发构件4050朝远侧推进时,击发构件4050上的解锁特征部4055接合滑动件4230上的解锁凸部4234,这导致击发构件4050被向上提升,使得击发构件4050上的中心销4058清除第一钳口或框架4010中的阻挡特征部4060。击发构件4050现在自由地继续其远侧推进到钉仓4200中以完成钉击发行程。当击发构件4050朝远侧推进时,支脚4054可接合第一钳口或框架4010的底部上的对应表面,并且顶部销4056可接合外科缝合装置4002的砧座4100上的凸轮表面,该凸轮表面协作以使砧座4100和钉仓4200相对于彼此定位。即便如此,设想了不具有支脚4054和顶部销4056中的一者或两者的实施方案。
从前述内容可以理解,第一闭锁件5300位于第二闭锁件4600的近侧。第一闭锁件5300定位在外科缝合装置4002内,使得第一闭锁件5300位于未击发的钉仓4200的滑动件4230的近侧,该钉仓已安置在第一钳口或框架4010中。第一闭锁件5300被构造成能够在接合位置和脱离接合位置之间横向运动,在该接合位置中第一闭锁件防止击发构件4050从起始位置朝远侧推进,在该脱离接合位置中击发构件4050可从其朝远侧推进(有时在本文中称为“就绪状态”)。例如,第一闭锁臂4312和第二闭锁臂4314被构造成能够在接合位置与脱离接合位置之间在第一水平平面FP中运动。参见图8。关于第二闭锁件4600,击发构件4050沿着第二平面SP在解锁位置与锁定位置之间在竖直方向上运动。参见图9。在例示的示例中,第二平面SP与第一平面FP正交。当击发构件4050处于就绪状态时,如果向其施加击发运动,则击发构件4050可朝远侧运动。然而,除非其中具有位于未击发位置的滑动件的兼容钉仓安置在框架中以解锁第二闭锁件,否则将防止击发构件朝远侧推进通过钉击发行程。
图20-图23示出了另一个外科缝合组件5000,其在许多方面类似于上文讨论的外科缝合组件4000。外科缝合组件5000包括外科缝合装置5002,该外科缝合装置可与上文描述的外科器械1010结合或与各种其他外科器械结合使用,这些其他外科器械在以引用方式并入本文的各种公开内容中描述。如图20中可见,外科缝合装置5002包括被构造成能够在其中可操作地支撑兼容钉仓4200的第一钳口或框架5010。第一钳口或框架5010可以以本文中描述和/或以引用方式并入本文的各种公开内容中描述的各种方式附接到外科器械或机器人的轴组件的脊。在例示的示例中,第一钳口或框架5010通过由销5032销连接或以其他方式附接到第一钳口5010的近侧端部5014的轴安装凸缘5030附接到轴组件的脊(图20中未示出)。具体地,销5032被构造成能够穿过第一钳口或框架5010的直立侧壁5020中的对准孔5021以及穿过轴安装凸缘5030中的孔5031。轴安装凸缘5030被构造成能够与关节运动接头布置结构(未示出)交接,该关节运动接头布置结构被构造成能够以各种已知构型促进第一钳口5010相对于轴组件的关节运动。外科缝合装置5002也可与不促进外科缝合装置5002的关节运动的轴组件结合使用。
仍然参见图20,外科缝合装置5002还包括击发构件组件5040,该击发构件组件包括附接到刀构件或击发构件5050的刀杆5042。刀杆5042还与外科器械或机器人中的对应部件和击发系统交接,以接收击发运动,该击发运动可将刀杆5042和击发构件5050通过钉击发行程从起始位置朝远侧推进到结束位置,并且还将刀杆5042和击发构件5050朝近侧回缩到起始位置。在例示的布置结构中,击发构件5050包括支撑切割刃或刀刃5053的击发构件主体5052。击发构件5050还包括支脚5054,该支脚形成在击发构件主体5052的底部上并且从该击发构件主体的每一侧横向延伸。击发构件5050还包括从击发构件主体5052横向延伸的一对顶部销或插片5056,该对顶部销或插片适于接合第二钳口或砧座上的凸部,如本文将进一步讨论的。另外,击发构件5050包括从击发构件主体5052的每一侧横向突出的一对中心销或插片5058。在以引用方式并入本文的公开内容中的一些公开内容中,击发构件5050也可称为“电子束”击发构件或切割构件。
除上述以外,外科缝合装置5002还包括可相对于第一钳口或框架5010运动的第二钳口或砧座5100。砧座5100包括砧座主体部分5102和砧座安装部分5110。砧座主体5102包括钉成形下表面或组织接触表面5104,其具有形成于其中的一系列钉成形凹坑(未示出),这些钉成形凹坑被布置成当它们被驱动成与对应钉成形接触时形成对应钉。砧座安装部分5110包括一对横向延伸的砧座销或耳轴销5112,其被构造成能够接纳在设置于第一钳口或框架5010的直立侧壁5020中的对应耳轴孔5022中。与上述砧座4100不同,砧座5100枢转地销连接到框架5010,以围绕固定枢转轴线相对于该框架枢转行进。换句话讲,与砧座4100不同,砧座5100在砧座闭合过程期间实质上不会轴向运动或平移。在各种布置结构中,耳轴孔5022可相对于耳轴销5112设定尺寸以便于耳轴销安装在其中并且自由枢转行进,使得耳轴销可在其中具有一些略微的轴向运动,但是此类轴向运动中的任何轴向运动都远小于砧座4100的轴向平移。
如上文以及在以引用方式并入本文的公开内容中的若干公开内容中所讨论的,砧座5100可通过可轴向运动的闭合构件或端部执行器闭合管(未示出)从打开位置运动到闭合位置,在该打开位置中用过的或用尽的钉仓可从第一钳口或框架5010移除,或者未击发的钉仓可以可操作地安置在其中。例如,当闭合构件从近侧位置朝远侧运动时,闭合管可以可操作地接合砧座安装部分5110上的凸轮表面。闭合构件与砧座安装部分5110之间的这样的相互作用使砧座安装部分5110和砧座耳轴销5112枢转,直到闭合构件使砧座5100运动到完全闭合位置。当处于完全闭合位置时,砧座5100中的钉成形凹坑与已经可操作地安置在第一钳口或框架5010中的对应兼容外科钉仓中的钉正确地对准。当可轴向运动的闭合构件之后在近侧方向上运动时,闭合构件使砧座5100枢转回到打开位置。
除上述以外,外科缝合装置5002包括第一闭锁件5300,该第一闭锁件被构造成能够在经授权或兼容的钉仓并未可操作地安置在框架5010中时防止击发构件5050从其最近侧起始位置朝远侧运动。第一闭锁件5300在本文中也可称为“验证”闭锁件。在例示的布置结构中,第一闭锁件5300包括单个枢转第一弹簧组合件5310,其支撑在第一钳口或框架5010的近侧端部5014中并且附接到轴安装凸缘5030。在一种布置结构中,例如,第一弹簧组件5310包括附接到中心主体部分5316的第一闭锁臂5312和第二闭锁臂5314。第一弹簧组件5310通过销5034附接到轴安装凸缘5030,该销延伸穿过轴安装凸缘5030中的孔5036并且穿过第一闭锁臂5312和第二闭锁臂5314中的孔5318。第一闭锁臂5312和第二闭锁臂5314各自还包括闭锁闩锁特征部5320。每个闭锁闩锁特征部5320适于在击发构件5050处于其最近侧或起始位置时在其中可释放地捕获击发构件5050上的对应中心销5058。参见图21。另外,第一闭锁弹簧组件5310还包括一个或多个枢转弹簧5330,其用于使第一弹簧组件5310围绕销5034向下偏压或枢转,以使闩锁特征部5320与对应中心销5058闩锁或锁定接合。
外科缝合组件5000还可包括与上述保持器4400类似的保持器5400。保持器5400包括顶部部分5402,该顶部部分与钉仓4200的平台表面4204共同延伸并且被构造成能够接纳在该平台表面上,使得当保持器5400附接到仓体4202时,保持器5400覆盖仓体4202中的所有钉凹坑4208。因此,当保持器5400附接到钉仓4200时,如果外科钉仓4200在使用之前倒置或上下颠倒,则保持器5400可防止储存在钉凹坑4208内的外科钉掉出。设想到其他保持器构型,其中保持器顶部不覆盖所有钉凹坑或钉凹坑中的任一者。在例示的布置结构中,保持器5400可由聚合物材料模制,并且包括多个保持器凸耳5410,该多个保持器凸耳被构造成能够闩锁地接合钉仓体4202上的向外延伸的平台凸部部分4205。保持器5400还可包括成角度的鼻部部分5420和远侧闩锁插片5422,该远侧闩锁插片被构造成能够闩锁地接合仓体4202的远侧鼻部4203。保持器5400可通过以下方式可移除地联接到钉仓4200:将远侧闩锁插片5422与钉仓远侧鼻部4203的端部接合并且对准保持器5400,使得顶部部分5402的下侧面对仓平台表面4204,并且保持器凸耳5410位于钉仓体4202的每一侧上的平台凸部部分4205上方。此后,保持器5400可被压向钉仓4200,从而使保持器凸耳5410横向向外挠曲并且卡扣成与对应平台凸部部分4205闩锁接合。本文公开的其他保持器闩锁布置结构也可用于将保持器5400可移除地附连到钉仓4200。
保持器5400还包括验证键5430,该验证键适于接合形成在第一闭锁臂5312和第二闭锁臂5314中的键凹坑5322。如图20中可见,验证键5430从保持器5400的顶部部分5402的近侧端部5401朝近侧突出,并且包括被空间分开的右斜坡特征部5440和左斜坡特征部5450,该空间的尺寸被设定成在其间接纳击发构件主体5052。在例示的示例中,斜坡5440和5450从保持器5400的顶部部分5402向下成角度,并且被构造成能够进入第一闭锁臂5312和第二闭锁臂5314中的键凹坑5322。
在使用中,保持器5400可移除地附接到钉仓4200以形成仓组件5500。此后,仓组件最初插入第一钳口或框架5010中,以便将验证键5430的斜坡5440和5450插入第一闭锁臂5312和第二闭锁臂5314中的键凹坑5322中。参见图21。仓组件5500在近侧方向上进一步纵向推进到第一钳口或框架5010中导致斜坡5440和5450将第一弹簧5310向上枢转到脱离接合或解锁位置中,其中闩锁特征部5320已与对应中心销5058脱离接合。参见图22。当仓组件5500已经可操作地安置在第一钳口或框架5010中时,形成在第一闭锁臂5312和第二闭锁臂5314中的每一者上的面朝远侧的棘爪5326保持接合钉仓4200的近侧端部,如图22所示。此类布置结构用于将第一弹簧5310保持在脱离接合位置。当处于该位置时,第一闭锁件5300处于解锁位置,或者换句话讲,是“失效的”、解锁或解除闩锁的。然后,用户可通过以下方式从钉仓4200移除保持器5400:沿远侧闩锁插片5422向上撬动,并向上提升保持器5400,直到保持器凸耳5410与平台凸部部分4205脱离接合。在例示的示例中,术语“LIFT”被模制、压印、盖印或以其他方式设置在鼻部部分5420上以向用户提供移除指令。保持在框架5010中的外科钉仓5200准备击发。参见图23。
外科缝合装置5002还包括与上述第二闭锁件4600非常类似的第二闭锁件5600。现在参见图20和图21,可包括实心或层压结构的刀杆5042包括弹簧插片5044,该弹簧插片被构造成能够与弹簧板5070可操作地交接,该弹簧板安装在第一钳口5010的底部中。弹簧板5070用于使击发构件5050向下枢转,使得其上的中心销5038接触框架5010的底部中的框架阻挡或邻接特征部(未示出),除未击发构件5050上的解锁特征部5055接合滑动件4230上的解锁凸部4234,从而导致击发构件5050被向上提升,使得击发构件5050上的中心销5058清除框架5010中的阻挡特征部,如上文所讨论的。
图24-图26示出了替代兼容外科钉仓4200’,其被构造成能够以上述方式致动第一闭锁件5300。然而,在这种布置结构中,验证键5030’形成在仓盘4220’上。如图24中可见,验证键5030’包括弯曲到仓盘4220’中以从其朝近侧突出右斜坡特征部5440’和向左斜坡特征部5450’。加强肋5441’可被压印到其中形成斜坡5440’和5450’的每个接头中,以向斜坡5440’、5450’中的每一者提供附加支撑和刚性。在例示的示例中,斜坡5440’具有成角度的近侧末端5442’,并且斜坡5450’包含成角度的近侧末端5452。末端5442’、5452’各自被构造成能够进入第一闭锁臂5312和第二闭锁臂5314中的键凹坑5322,以使第一闭锁件5300以上述方式枢转。第一闭锁件5300另外以上述方式操作。
参见图27,示出了外科缝合组件6000的示例。外科缝合组件6000包括外科缝合装置6002,该外科缝合装置可与上文描述的外科器械1010结合或与各种其他外科器械或机器人结合使用,这些其他外科器械或机器人在以引用方式并入本文的各种公开内容中描述。如图27中可见,外科缝合装置6002包括被构造成能够在其中可操作地支撑钉仓4200的第一钳口或框架6010。第一钳口或框架6010通过轴安装凸缘4030(图6)以本文所述的各种方式附接到轴组件的脊(未示出)。外科缝合装置6002还包括击发构件组件,该击发构件组件包括附接到刀构件或“击发构件”4050的刀杆,如上所述。
除上述以外,外科缝合装置6002包括可相对于第一钳口或框架6010运动的第二钳口或砧座6100。砧座6100类似于上述砧座4100,并且包括砧座主体6102和砧座安装部分6110。砧座主体6102包括钉成形下表面或组织接触表面6104,其具有形成于其中的一系列钉成形凹坑(未示出),这些钉成形凹坑被布置成当它们被驱动成与对应钉成形接触时形成对应钉。砧座安装部分6110包括一对横向延伸的砧座销或耳轴组件6112。每个耳轴组件6112包括向外和向下突出的锁定凸耳部分6120,该锁定凸耳部分具有从其延伸的耳轴销6122。每个耳轴销6122被构造成能够接纳在第一钳口6010的直立侧壁6020中的对应耳轴狭槽6022中。在例示的布置结构中,耳轴狭槽6022稍微呈“肾形”并且促进对应耳轴销6122在其中的枢转以及轴向行进。
如上文以及在以引用方式并入本文的公开内容中的若干公开内容中所讨论的,砧座6100可通过可轴向运动的闭合构件或端部执行器闭合管(未示出)从打开位置运动到闭合位置,在该打开位置中用过的或用尽的外科钉仓可从框架6010移除,或者新近的、新的钉仓可以可操作地安置在其中。例如,当闭合构件从近侧位置朝远侧运动时,闭合构件可以可操作地接合砧座安装部分6110上的凸轮表面。闭合构件与砧座安装部分6110之间的这样的相互作用使砧座安装部分6110和砧座耳轴销6122枢转并沿耳轴狭槽6022向上平移,直到闭合构件使砧座6100运动到闭合位置。当处于完全闭合位置时,砧座6100中的钉成形凹坑与已经可操作地安置在框架6010中的对应兼容钉仓中的钉正确地对准。当可轴向运动的闭合构件之后在近侧方向上运动时,闭合构件与砧座安装部分6110上的直立插片6114交接,以将砧座6100返回到打开位置。
除上述以外,外科缝合装置6002包括第一闭锁件6300,该第一闭锁件被构造成能够防止第二钳口或砧座6100通过闭合构件从打开位置运动到闭合位置。第一闭锁件6300在本文中也可称为“验证”闭锁件。在例示的布置结构中,第一闭锁件6300包括第一闭锁臂6310,该第一闭锁臂通过附接到其的闭锁销6312枢转地支撑在框架6010中。在一个示例中,第一闭锁臂6310由不锈钢等制造,并且闭锁销6312被焊接或以其他方式附接到其上。闭锁销6312枢转地安置在框架6010中的枢轴孔6013中,以促进第一闭锁臂6310在锁定位置与解锁位置之间的枢转行进。参见图28。在例示的示例中,闭锁特征部6316形成在第一闭锁臂6310的近侧端部6314上,并且被构造成能够在第一闭锁臂6310处于接合位置时阻挡地接合对应耳轴组件6112上的锁定凸耳部分6120。当闭锁特征部6316阻挡地接合耳轴组件6112上的锁定凸耳部分6120时,闭锁特征部6316防止耳轴组件6112在第一钳口或框架6010中的对应耳轴狭槽6022内行进,这有效地防止第二钳口或砧座6100在闭合运动被施加到其的情况下从打开位置运动到闭合位置。第一闭锁臂6310的该位置在本文中可以称为“钳口锁定位置”。应当理解,闭锁特征部6316以及锁定凸耳部分6120可以足够坚固,以便抵抗施加到砧座6100的大量闭合运动,以防止砧座6100的闭合。
仍然参见图28,第一闭锁弹簧6330支撑在第一钳口或框架6010的对应侧壁6020中,以将第一闭锁臂6310在锁定方向LD上偏压到接合、锁定或“钳口锁定”位置,其中第一闭锁臂6310防止砧座6100从打开位置运动到闭合位置。行进限制板或安装板6070支撑在框架6010内并且附接到轴安装组件。当处于钳口锁定位置时,行进限制板6070还向第一闭锁臂6310提供横向支撑。参见图29。如图28和图29中可见,第一闭锁臂6310还包括形成在第一闭锁臂6310的远侧端部6320上的直立致动器凸轮臂6322。致动器凸轮臂6322包括致动器凸轮表面6324。第一闭锁臂6310还包括保持插片6326,该保持插片被构造成能够接纳在设置在框架侧壁6020中的对应开口或插片窗口6024内。
现在转到图27,缝合组件6000还包括保持器6400,该保持器被构造成能够可移除地联接到外科钉仓4200。在各种实施方案中,除了验证键6430之外,保持器6400基本上类似于上述保持器4400。在例示的布置结构中,保持器6400包括顶部部分6402,该顶部部分与平台表面4204共同延伸并且被构造成能够接纳在该平台表面上,使得当保持器6400附接到仓体4202时,保持器6400覆盖仓体4202中的所有钉凹坑4208。在替代型式中,保持器顶部可以仅覆盖钉凹坑中的一些钉凹坑或根本不覆盖钉凹坑。保持器6400可由聚合物材料模制,并且包括多个保持器凸耳6410,该多个保持器凸耳被构造成能够闩锁地接合形成在钉仓体4202上的向外延伸的平台凸部部分4205。保持器6400还可包括成角度的鼻部部分6420和远侧闩锁插片6422,该远侧闩锁插片被构造成能够闩锁接合钉仓体4202的远侧鼻部4203。保持器6400可通过以下方式可移除地联接到外科钉仓4200:将闩锁插片6422与远侧鼻部4203的端部接合并且对准保持器6400,使得保持器6400的顶部部分6402的下侧面对仓平台表面4204,并且保持器凸耳6410位于仓体4202的每一侧上的平台凸部部分4205上方。此后,保持器6400可被压向钉仓4200,从而使保持器凸耳6410横向向外挠曲并且卡扣成与对应平台凸部部分4205闩锁接合。本文公开的其他保持器闩锁布置结构也可用于将保持器6400可移除地附连到钉仓4200。保持器6400可通过以下方式从钉仓4200移除:对远侧闩锁插片6422施加撬动运动并且向上提升直到保持器凸耳6410与平台凸部部分4205脱离接合。在例示的示例中,术语“LIFT”被模制、压印到鼻部部分6420中以向用户提供移除指令。
现在参见图32-图35,保持器6400还包括验证键6430,该验证键被构造成能够在保持器6400附接到外科钉仓4200并且外科钉仓4200已经可操作地安置在第一钳口或框架6010中时使第一闭锁件6300失效、解锁或解除闩锁。如图32中可见,验证键6430从保持器6400的顶部部分6402的近侧端部6401朝近侧突出,并且包括当保持器6400附接到钉仓4200时定位在仓轴线CA的一侧上的成角度的斜坡特征部6440。在例示的示例中,斜坡6440从保持器6400的顶部部分6402向下成角度,并且包括近侧末端6442,该近侧末端限定在末端处向内成角度的第一或近侧凸轮表面6444。第二或远侧凸轮表面6446位于第一凸轮表面6444下方。这些双顺序凸轮表面6444、6446被构造成能够与致动器凸轮臂6322上的致动器凸轮表面6324交接,以将第一闭锁臂6310从锁定或钳口锁定位置运动到解锁或钳口闭合位置。当支撑保持器6400的钉仓可操作地安置在第一钳口或框架6010中时,此类布置结构为验证键6430解锁地致动致动器凸轮臂6322提供很少的空间。双凸轮表面布置结构便于将第一闭锁臂6310枢转致动将第一闭锁臂6310放置在脱离接合或钳口闭合位置中所需的足够枢转距离。例如,这种枢转行进量可以是斜坡6440的宽度的两倍以上。
图29示出了处于锁定或钳口锁定位置的第一闭锁件6300,其中第一闭锁臂6310被枢转到其中闭锁特征部6316与砧座6100上的耳轴组件6112上的锁定凸耳部分6120阻挡接合的位置。现在参见图36,在保持器6400已经附接到外科钉仓4200以形成仓组件6500之后,可将仓组件6500插入第一钳口或框架6010中,使得第一凸轮表面6444接合致动器凸轮臂6322上的致动器凸轮表面6324,并且开始将第一闭锁臂6310枢转离开锁定或钳口锁定位置到中间位置。组装好的仓布置结构6500在近侧方向上继续纵向插入框架6010中导致第一凸轮表面6444与致动器凸轮表面6324脱离接合,并且下部第二凸轮表面6446接合致动器凸轮表面6324以将第一闭锁臂6310从中间位置运动到钳口闭合位置。参见图37。当第一闭锁臂6310处于锁定或钳口锁定位置时,致动器凸轮臂6322位于击发构件6050的远侧。下部第二凸轮表面6446完成第一闭锁臂6310的枢转行进,使得致动器凸轮臂6322不干扰击发构件6050的操作,同时允许砧座6100运动到闭合位置。当第一闭锁臂6310处于解锁或钳口闭合位置时,保持插片6326被接纳在框架侧壁6020中的插片窗口6024内并且由钉仓4200保持在其中。当处于该位置时,第一闭锁件6300处于钳口闭合位置,或者换句话讲,是“失效的”、解锁或解除闩锁的。然后,用户可通过以下方式从外科钉仓4200移除保持器6400:沿远侧闩锁插片6422向上撬动,并向上提升保持器6400,直到保持器凸耳6410与平台凸部部分4205脱离接合。
如从前述内容可以理解的,与第一闭锁件6300交接所需的空间在砧座6100打开时是可用的,但在砧座6100闭合时是不可用的。只有当砧座6100在仓插入过程期间打开时,保持器6400才存在于仓4200上。此后,将保持器6400从钉仓4200移除。当保持器6400处于适当位置时,砧座6100不能闭合。当闭合时,砧座6100占据由保持器6400占据的空间。这种布置结构非常不同于在装置的闭合和击发期间保持驻留在缝合装置中的基于仓的验证键布置结构。在这种布置结构中采用双连续斜坡/凸轮作用表面,以使第一闭锁臂6310横向运动通过一定距离,该距离是验证键6430的宽度的大约至少两倍。这可能是该设计的重要方面。
近侧高斜坡或凸轮作用表面开始解锁运动并且接合在击发构件4050远侧的直立致动器凸轮臂6322。应当理解,无法运动或移除的固定锁定特征部将不能到达该区域而不影响使击发构件4050运动通过钉击发行程的能力。第二下斜坡/凸轮作用表面完成第一解锁臂6310的解锁运动,使得砧座6100完全畅通以闭合。第二斜坡/凸轮作用表面在第一斜坡/凸轮作用表面后面顺序地间隔开,使得在第一斜坡/凸轮作用表面已经将第一闭锁臂6310枢转到该中间位置之后,第二斜坡/凸轮作用表面只能接合该第一闭锁臂的远侧端部。
图38示出了可操作地安置在框架6010中的钉仓4200,其中第一闭锁件6300失效并且保持器6400从钉仓4200移除。砧座6100现在可在打开位置与闭合位置之间运动,并且外科钉仓4200以其他方式能够被击发。在至少一种形式中,外科缝合装置6002还可包括第二闭锁件4600,该第二闭锁件被构造成能够在用尽的钉仓以上文所讨论的各种方式安置在第一钳口或框架6010中时防止击发构件4050朝远侧推进通过钉击发行程。在钉仓4200已被击发之后,击发构件4050回缩回到起始位置,并且第二钳口或砧座6100枢转回到打开位置。然后可以从第一钳口或框架6010移除用尽的钉仓。一旦已经从第一钳口或框架6010移除了用尽的钉仓4200,第一闭锁弹簧就将第一闭锁臂6310偏压回到钳口锁定位置,其中防止第二钳口或砧座6100从打开位置运动到闭合位置。
图38A是仓组件6500’安置在其中的外科缝合装置6002的另一顶视图,该仓组件包括附接到钉仓4200的保持器6400’。保持器6400’类似于上述保持器6400,不同之处在于验证键6430’和斜坡6440’被结合到保持器6400’的侧壁6403’中。保持器6400’可另外以与上文讨论的保持器6400相同的方式操作。
图39是与上述钉仓4200相同的钉仓4200”的近侧端部的透视图,不同之处在于验证键4228”被折叠到仓盘4220”中,该仓盘附接到仓体4202”,如图所示。如图40-图42所示,钉仓4200”被构造成能够与外科缝合组件6000’结合使用,该外科缝合组件包括外科缝合装置6002’,该外科缝合装置包括第一闭锁件6300’。除了通过附接到其的闭锁销6312’枢转地支撑在框架6010’中的第一闭锁臂6310’的远侧端部6311’之外,外科缝合装置6002’与外科缝合装置6002基本上相同。第一闭锁臂6310’的近侧端部6314’与第一闭锁臂6310的近侧端部6314相同,并且被构造成能够以上文详细描述的方式阻挡地接合砧座6100’的对应耳轴组件6112’上的锁定凸耳部分。闭锁弹簧6330’用于以上述方式将第一闭锁臂6310’枢转到锁定位置。图40示出了将钉仓4200”插入框架6010’中。如图40中可见,第一闭锁臂6310’处于锁定或钳口锁定位置,其中近侧端部6314’(图41)与耳轴组件6112’上的锁定凸耳阻挡接合以防止砧座6100’的闭合。图41和图42示出了完全安置在框架6010’中的钉仓4200”。如图41和图42中可见,验证键4228”已经将第一闭锁臂6310’枢转到钳口闭合位置中,并且将第一闭锁臂6310’保持在该位置。当处于钳口闭合位置时,砧座6100自由枢转闭合,如图41所示。在这种布置结构中,验证键4228”包括钉仓的一部分并且不安装到可移除保持器。验证键4228”将第一闭锁臂6310’保持在钳口闭合位置,而钉仓在整个缝合程序中保持安置在框架6010’中。
在钉仓4200’已被击发之后,用户将外科缝合装置6002’的击发构件返回到起始位置,并且砧座6100’枢转到打开位置,从而允许用尽的钉仓从框架6010’移除。当从框架6010’移除用尽的钉仓4200’时,闭锁弹簧6330’使第一闭锁臂6310’枢转回到钳口锁定位置。在一些情况下,用尽的钉仓可被“再处理”以用于在另一缝合程序和/或另一缝合装置中重复使用。对于那些再处理实体重要的是将适当的外科钉以及适当数量的外科钉安装到所需的再处理钉仓中,以使该仓与特定缝合装置兼容以确保在使用期间的期望结果。不幸的是,一些再处理实体有时不能正确地再处理用尽的仓,但仍然将经再处理的用尽的仓作为由原始制造商制造的新仓提供。最终用户可能无意地获得有缺陷的仓并将其用于外科缝合装置中。为了防止此类情况发生,一旦已经从外科缝合装置6002’移除了用尽的仓,就可将验证键4228”不可恢复地压扁。例如,如图39中可见,验证键4228”形成有一对凸耳4229”,该对凸耳可滑动地接纳在设置在仓盘4220”中的狭槽4223”中。通过向验证键4228”的末端施加压扁力FF,键可以抵靠仓盘4220”的近侧端部4225”被压扁,从而使验证键4228”无法操作以供将来使用。
图43是与上述钉仓4200相同的钉仓4200”’的近侧端部的透视图,不同之处在于验证键4228”’被折叠到仓盘4220”’中,该仓盘附接到仓体4202”’,如图所示。在该实施方案中,验证键4228”’从仓盘4220”’的顶部翼片4225”’突出,该顶部翼片折叠在仓平台4204”’的一部分上方,该部分可用于增强验证键4228”’的强度。验证键4228”’还可包括折叠的加强壁部分4227”’并且具有成角度的致动或凸轮表面4229A”和闩锁表面4229B”’。如图44-图46所示,钉仓4200”’被构造成能够与外科缝合组件6000”结合使用,该外科缝合组件包括外科缝合装置6002”,该外科缝合装置包括第一闭锁件6300”。
在许多方面,外科缝合装置6002”与外科缝合装置6002基本上相同并且包括第一闭锁臂6310”,该第一闭锁臂通过附接到其的闭锁销6312”枢转地支撑在框架6010”中。第一闭锁臂6310”的近侧端部6314”可与第一闭锁臂6310的近侧端部6314相同,并且被构造成能够以上文详细描述的方式阻挡地接合砧座6100”的对应耳轴组件6112”上的锁定凸耳部分。闭锁弹簧6330”用于以上述方式将第一闭锁臂6310”枢转到锁定或钳口锁定位置。第一闭锁臂6310”的远侧端部包括直立致动器凸轮臂6322”,其被构造成能够由钉仓4200”’上的验证键4228”’接合。
图46示出了将钉仓4200”插入框架6010’中。第一闭锁臂6310”处于钳口锁定位置,在该钳口锁定位置,近侧端部6314”与耳轴组件6112’上的锁定凸耳阻挡接合以防止砧座6100”的闭合。在将钉仓4200”’初始插入框架6010”中期间,成角度的致动或凸轮表面4229A”’已接触直立致动器凸轮臂6322”以开始将第一闭锁臂6310”枢转离开钳口锁定位置。钉仓4200”’继续插入框架6010”中导致验证键4228”’将第一闭锁臂6310”枢转到解锁或钳口闭合位置,其中致动器凸轮臂6322”已与成角度的凸轮表面4229A”’脱离接合并且通过验证键4228”’上的闩锁表面4229B”’保持在该解锁或钳口闭合位置。参见图44和图45。当处于解锁或钳口闭合位置时,砧座6100”自由枢转闭合。在这种布置结构中,验证键4228”’包括钉仓的一部分并且不安装到可移除保持器。验证键4228”’将第一闭锁臂6310”保持在钳口闭合位置,而钉仓4200”’在整个缝合程序中保持安置在框架6010”中。
图47是在极大程度上与上述钉仓4200相同的钉仓4700的近侧端部的透视图,不同之处在于验证键4728被折叠到仓盘4720中,该仓盘附接到仓体4702,如图所示。在该实施方案中,验证键4728从仓盘4720的顶部翼片4725突出,该顶部翼片折叠在仓平台4704的一部分上方,该部分可用于增强验证键4728的强度。验证键4728包括成角度的致动或凸轮表面4729A和闩锁表面4729B。验证键4728被折叠以在由仓平台4704限定的平面下方延伸,并且可例如以上述方式与外科缝合装置6002”或具有略微较短的致动器凸轮臂的其他外科缝合装置一起使用。
图48-图51示出了另一个外科缝合组件7000,其在许多方面类似于上文讨论的外科缝合组件6000。外科缝合组件7000包括外科缝合装置7002,该外科缝合装置可与上文描述的外科器械1010结合或与各种其他外科器械或机器人结合使用,这些其他外科器械或机器人在以引用方式并入本文的各种公开内容中描述。如图48中可见,外科缝合装置7002包括被构造成能够在其中可操作地支撑钉仓4200的第一钳口或框架7010。第一钳口或框架7010以本文所述的各种方式附接到轴组件的棘。在例示的示例中,第一钳口或框架7010通过由销7032销连接或以其他方式附接到第一钳口7010的近侧端部7014的轴安装凸缘7030附接到轴组件的脊(图48中未示出)。具体地,销7032被构造成能够穿过第一钳口或框架7010的直立侧壁7020中的对准孔7021以及穿过轴安装凸缘7030中的孔7031。轴安装凸缘7030被构造成能够与关节运动接头布置结构(未示出)交接,该关节运动接头布置结构被构造成能够以各种已知构型促进第一钳口7010相对于轴组件的关节运动。外科缝合装置7002也可与不促进外科缝合装置7002的关节运动的轴组件结合使用。
仍然参见图48,外科缝合装置7002还包括击发构件组件4040,该击发构件组件包括附接到刀构件或击发构件4050的刀杆4042。上文详细讨论了击发构件4050和刀杆4042的操作。除上述以外,外科缝合装置7002还包括可相对于第一钳口或框架7010运动的第二钳口或砧座7100。砧座7100包括砧座主体部分7102和砧座安装部分7110。砧座主体7102包括钉成形下表面或组织接触表面7104,其具有形成于其中的一系列钉成形凹坑(未示出),这些钉成形凹坑被布置成当它们被驱动成与对应钉成形接触时形成对应钉。砧座安装部分7110包括一对横向延伸的砧座销或耳轴销7112,其被构造成能够接纳在第一钳口或框架7010的直立侧壁7020中的对应耳轴孔7022中。与上述砧座6100不同,砧座7100枢转地销连接到框架7010,以围绕固定枢转轴线相对于该框架枢转行进。换句话讲,与砧座6100不同,砧座7100在砧座闭合过程期间实质上不会轴向运动或平移。
如上文以及在以引用方式并入本文的公开内容中的若干公开内容中所讨论的,砧座7100可通过可轴向运动的闭合构件或端部执行器闭合管7600从打开位置运动到闭合位置,在该打开位置中用过的或用尽的钉仓可从第一钳口或框架7010移除,或者未击发的钉仓可以可操作地安置在其中。例如,当闭合管7600从近侧位置朝远侧运动时,闭合管7600可以可操作地接合砧座安装部分7110上的凸轮表面7113。闭合管7600与砧座安装部分7110之间的这样的相互作用使砧座安装部分7110和耳轴销7112枢转,直到闭合构件使砧座7100运动到完全闭合位置。当处于完全闭合位置时,砧座7100中的钉成形凹坑与已经可操作地安置在第一钳口或框架7010中的对应兼容钉仓4200中的钉正确地对准。当可轴向运动的闭合管7600之后在近侧方向上运动时,闭合管7600上的插片7602与砧座安装部分7110上的插片7114交接,以使砧座7100枢转回到打开位置。
除上述以外,外科缝合装置7002包括第一闭锁件7300,该第一闭锁件被构造成能够防止第二钳口或砧座7100通过闭合构件7600从打开位置运动到闭合位置。第一闭锁件7300在本文中也可称为“验证”闭锁件。在例示的布置结构中,第一闭锁件7300包括第一闭锁臂7310,该第一闭锁臂通过附接到其的闭锁销7312枢转地支撑在第一钳口或框架7010中。在一个示例中,第一闭锁臂7310由不锈钢等制造,并且闭锁销7312可以被机加工到其近侧端部中。闭锁销7312枢转地安置在框架7010中的枢轴孔7013中,以促进第一闭锁臂7310在锁定方向LD上在钳口锁定位置与钳口闭合位置之间的枢转行进。参见图50。在例示的示例中,第一闭锁臂7310被构造成能够在第一闭锁臂7310处于钳口锁定位置时阻挡地接合从砧座安装部分7110向下突出的锁定凸耳部分7120。当第一闭锁臂7310处于该锁定或接合位置时,当锁定凸耳部分7120接触第一闭锁臂7310时,防止砧座7100的枢转行进。应当理解,第一闭锁臂7310以及锁定凸耳部分7120各自足够坚固,以便抵抗施加到砧座7100的大量闭合运动,以防止砧座7100的闭合。
现在参见图50,第一闭锁弹簧7330支撑在第一钳口或框架7010的对应侧壁7020中,以将第一闭锁臂7310在锁定方向LD上偏压到锁定或钳口锁定位置,其中第一闭锁臂7310防止砧座7100从打开位置运动到闭合位置。如图50中可见,第一闭锁臂7310还包括形成在第一闭锁臂7310的远侧端部7320上的直立致动器凸轮臂7322。致动器凸轮臂7322在其上包括致动器凸轮表面7324。第一闭锁臂7310还包括保持插片7326,该保持插片被构造成能够接纳在设置在框架侧壁7020中的对应开口或插片窗口7024内。
再次转到图48,缝合组件7000还包括保持器7400,该保持器被构造成能够可移除地联接到外科钉仓4200。在许多方面,保持器7400基本上类似于上述保持器4400。在例示的布置结构中,保持器7400包括顶部部分7402,该顶部部分与钉仓体4202的平台表面4204共同延伸并且被构造成能够接纳在该平台表面上。当保持器7400附接到仓体4202时,保持器7400覆盖仓体4202中的所有钉凹坑4208。在其他型式中,仅覆盖钉凹坑中的一些钉凹坑或者不覆盖钉凹坑。保持器7400可由聚合物材料模制,并且包括多个保持器凸耳7410,该多个保持器凸耳被构造成能够闩锁地接合向外延伸的平台凸部部分4205。保持器7400还可包括成角度的鼻部部分7420和远侧闩锁插片7422,该远侧闩锁插片被构造成能够闩锁接合仓体4202的远侧鼻部4203。
保持器7400可通过以下方式可移除地联接到外科钉仓4200:将远侧闩锁插片7422与远侧鼻部4203的端部接合并且对准保持器7400,使得顶部部分7402的下侧面对仓平台表面4204,并且保持器凸耳7410位于仓体4202的每一侧上的平台凸部部分4205上方。此后,保持器7400可被压向钉仓4200,从而使保持器凸耳7410横向向外挠曲并且卡扣成与对应平台凸部部分4205闩锁接合。本文公开的其他保持器闩锁布置结构也可用于将保持器7400可移除地附连到钉仓4200。保持器7400可通过以下方式从钉仓4200移除:对远侧闩锁插片7422施加撬动运动并且向上提升直到保持器凸耳7410与平台凸部部分4205脱离接合。在例示的示例中,术语“LIFT”被模制、压印到鼻部部分7420中以向用户提供移除指令。
现在参见图53-图56,保持器7400还包括验证键7430,该验证键被构造成能够在保持器7400附接到外科钉仓4200并且外科钉仓4200已经可操作地安置在第一钳口或框架7010中时使第一闭锁件7300失效。如图53中可见,验证键7430从保持器7400的顶部部分7402的近侧端部7401朝近侧突出,并且包括被空间7460分开的右斜坡特征部7440和左斜坡特征部7450,该空间的尺寸被设定成在其间接纳击发构件主体4052。在例示的示例中,右斜坡7440从保持器7400的顶部部分7402向下成角度,并且包括近侧右末端7442,该近侧末端包括在末端处向内成角度的第一右或近侧右凸轮表面7444。第二右或远侧右凸轮表面7446位于第一右凸轮表面7444下方。这些双顺序凸轮表面7444、7446被构造成能够与致动器凸轮臂7322上的致动器凸轮表面7324交接,以便以上述各种方式将第一闭锁臂7310从钳口锁定位置运动到“钳口闭合位置”。类似地,左斜坡7450从保持器7400的顶部部分7402向下成角度,并且包括近侧左末端7452,该近侧左末端包括在末端处向内成角度的第一左或近侧左凸轮表面7454。第二左或远侧左凸轮表面7456位于第一右凸轮表面7444下方。这些双顺序凸轮表面7454、7456被构造成能够与安装在框架轴线FA的左侧或相对侧上的第一闭锁臂7310的致动器凸轮臂7322上的致动器凸轮表面7324交接。保持器7400另外包括保持器龙骨7470,该保持器龙骨从顶部部分7402的底表面突出并且被取向成接纳在外科钉仓4200中的纵向狭槽4206内。保持器龙骨7470可用于将保持器7400正确地取向在外科钉仓4200上,使得右斜坡7440和左斜坡7450在击发构件4050的每一侧上延伸。保持器龙骨7470也可相对于纵向狭槽4206设定尺寸,以在保持器7400附接到钉仓4200时与其产生摩擦保持接合,并且还将滑动件4230与钉仓4200保持在未击发位置中。
在使用中,保持器7400以本文公开的各种方式附接到钉仓4200以形成仓组件7500。然后可将仓组件7500插入第一钳口或框架7010中,以便使验证键7430的右斜坡7440与致动器凸轮臂7322上的致动器凸轮表面7324接合。在仓组件7500的初始近侧插入期间,第一右凸轮表面7444将致动器凸轮臂7322横向向外偏压到中间位置。仓组件7500在近侧方向上进一步纵向推进到第一钳口或框架7010中导致第一凸轮表面7444与致动器凸轮表面7324脱离接合,并且第二右凸轮表面7446接合致动器凸轮表面7324以将第一闭锁臂7310从中间位置运动到完全脱离接合或钳口闭合位置。当第一闭锁臂7310处于解锁或钳口闭合位置时,保持插片7326被接纳在框架侧壁7020中的插片窗口7024内并且由钉仓4200保持在其中。当处于该位置时,第一闭锁件7300处于解锁或钳口闭合位置,或者换句话讲,是“失效的”、解锁或解除闩锁的。然后,用户可通过以下方式从外科钉仓4200移除保持器7400:沿远侧闩锁插片7422向上撬动,并向上提升保持器7400,直到保持器凸耳7410与平台凸部部分4205脱离接合。砧座7100现在可在打开位置与闭合位置之间运动,并且外科钉仓4200以其他方式能够被击发。在至少一种型式中,外科缝合装置7002可包括第二闭锁件4600,该第二闭锁件被构造成能够在用尽的钉仓以上文所讨论的各种方式安置在第一钳口或框架7010中时防止击发构件4050朝远侧推进通过钉击发行程。在钉仓4200已被击发之后,击发构件4050回缩回到起始位置,并且第二钳口或砧座7100枢转回到打开位置。然后可以从第一钳口或框架7010移除用尽的钉仓。一旦已经从第一钳口或框架7010移除了用尽的钉仓4200,第一闭锁弹簧就将第一闭锁臂7310偏压回到接合或钳口锁定位置,其中防止第二钳口或砧座从打开位置运动到闭合位置。
如图52中可见,外科缝合装置7002采用第一闭锁件7300,当钉仓可操作地安置在框架7010中时,该第一闭锁件定位在框架轴线FA的第一侧7005上的第一钳口或框架7010内,该框架轴线位于与仓轴线CA的共同平面上。图56示出了与外科缝合装置7002相同的第二外科缝合装置7002’,不同之处在于第一闭锁件7300’定位在中心框架轴线FA的第二或相对侧7007上的第一钳口或框架7010’内。在此类情况下,当仓组件7500’安置到外科缝合装置7002’的第一钳口或框架7010’中时,验证键7430的左斜坡7450用于将第一闭锁臂7310’从接合或锁定位置运动到脱离接合或解锁位置。45mm外科缝合装置可在仓轴线的右侧上具有第一闭锁件,而60mm外科缝合器可在仓轴线的左侧上具有第一闭锁件,并且反之亦然。或者,诸如血管缝合器或胸椎钉之类的特定专用缝合装置可在与多用途缝合器不同的一侧上具有闭锁件。
参见图57,示出了外科缝合组件8000的示例。外科缝合组件8000可与上文描述的外科器械1010结合或与各种其他外科器械或机器人结合使用,这些其他外科器械或机器人在以引用方式并入本文的各种公开内容中描述。外科缝合组件8000可以以上述并入的公开内容中公开的各种形式与电控制、电池供电、手动供电和/或机器人控制的外科器械结合使用。如图57中可见,外科缝合组件8000包括通常被标记为8002的外科缝合装置,该外科缝合装置包括被构造成能够在其中可操作地支撑钉仓4200的第一钳口或框架8010。第一钳口8010以本文所述的各种方式附接到外科器械或机器人的轴组件的脊。在例示的示例中,第一钳口8010通过由销进行销连接或以其他方式附接到第一钳口8010的近侧端部8014的轴安装凸缘8030附接到轴组件的脊部分(图57中未示出)。也可以采用将外科装置8002与外科器械的轴附接和可操作地交接的其他方法。例如,缝合装置8002可附接到轴组件,使得缝合装置(有时也称为“端部执行器”)不能相对于轴组件进行关节运动。
仍然参见图57,外科缝合组件8000还包括击发构件组件5040,该击发构件组件包括附接到刀构件5050或“击发构件”的刀杆5042。刀杆5042还与外科器械或机器人中的对应部件和击发系统交接,以接收击发运动,该击发运动可将刀杆5042和击发构件5050通过钉击发行程从起始位置朝远侧推进到结束位置,并且还将刀杆5042和击发构件5050朝近侧回缩以使击发构件5050返回到起始位置。在例示的布置结构中,击发构件5050包括支撑切割刃或刀刃5053的击发构件主体5052。击发构件5050还包括支脚5054,该支脚形成在击发构件主体5052的底部上并且从该击发构件主体的每一侧横向延伸。击发构件5050还包括从击发构件主体5052横向延伸的一对顶部销或插片5056,该对顶部销或插片适于接合砧座上的凸部,如本文将进一步讨论的。另外,击发构件5050包括从击发构件主体5052的每一侧横向突出的一对中心销或插片5058。在以引用方式并入本文的公开内容中的一些公开内容中,击发构件5050也可称为“电子束”击发构件或切割构件。
除上述以外,外科缝合装置8002还包括可相对于第一钳口或框架8010运动的第二钳口或砧座8100。砧座8100包括砧座主体部分8102和砧座安装部分8110。砧座主体8102包括钉成形下表面或组织接触表面8104,其具有形成于其中的一系列钉成形凹坑(未示出),这些钉成形凹坑被布置成当它们被驱动成与对应钉成形接触时形成对应钉。砧座安装部分8110包括一对横向延伸的砧座销或耳轴销8112,其被构造成能够接纳在第一钳口或框架8010的直立侧壁8020中的对应耳轴孔8022中。与上述砧座4100不同,砧座8100枢转地销连接到框架8010,以围绕固定枢转轴线相对于该框架枢转行进。换句话讲,与砧座4100不同,砧座8100在砧座闭合过程期间实质上不会轴向运动或平移。
如上文以及在以引用方式并入本文的公开内容中的若干公开内容中所讨论的,砧座8100可通过可轴向运动的闭合构件或端部执行器闭合管(未示出)从打开位置运动到闭合位置,在该打开位置中用过的或用尽的钉仓可从第一钳口或框架8010移除,或者未击发的钉仓可以可操作地安置在其中。例如,当闭合构件从近侧位置朝远侧运动时,闭合管可以可操作地接合砧座安装部分8110上的凸轮表面。闭合构件与砧座安装部分8110之间的这样的相互作用使砧座安装部分8110和耳轴销8112枢转,直到闭合构件使砧座8100运动到完全闭合位置。当处于完全闭合位置时,砧座8100中的钉成形凹坑与已经可操作地安置在第一钳口或框架8010中的对应兼容外科钉仓中的钉正确地对准。当可轴向运动的闭合构件之后在近侧方向上运动时,闭合构件使砧座8100枢转回到打开位置。
除上述以外,外科缝合组件8000还包括第一闭锁件8300,该第一闭锁件被构造成能够在经授权或兼容的钉仓并未可操作地安置在第一钳口或框架8010中时防止击发构件5050从其最近侧起始位置朝远侧运动。第一闭锁件8300在本文中也可称为“验证”闭锁件。在例示的布置结构中,第一闭锁件8300包括单个双横向第一弹簧8310,其支撑在框架8010的近侧端部8014中并且附接到轴安装凸缘8030。例如,在一种布置结构中,第一弹簧8310包括位于仓轴线CA的一侧上的第一闭锁臂8312以及位于仓轴线CA的与第一闭锁臂8312相对的一侧上的第二闭锁臂8314。第一闭锁臂8312和第二闭锁臂8314附接到中心主体部分8316。参见图58。弹簧8310安装在第一钳口或框架8010中,并且通过销8034附连到轴安装凸缘8030,该销延伸穿过轴安装凸缘8030中的孔8036并且穿过第一闭锁臂8312和第二闭锁臂8314中的孔8318。第一闭锁臂8312和第二闭锁臂8314各自还在其中包括闭锁窗口或开口8320,该闭锁窗口或开口各自适于在击发构件5050处于其最近侧或起始位置时在其中接纳从击发构件5050的第一侧和第二侧突出的对应中心销5058。参见图59和图61。
图59-图61示出了处于锁定位置的第一闭锁件8300,其中中心销5058被接纳在第一闭锁臂8312和第二闭锁臂8314中的闭锁窗口8320内。在一些布置结构中,与外科缝合装置8002兼容的那些钉仓,或换句话讲,具有适当数量、尺寸和布置结构的钉那些钉仓可具有直接形成在仓体和/或仓盘上的一个或多个解锁键,该一个或多个解锁键被构造成能够在兼容仓可操作地安置在第一钳口或框架中时使第一闭锁件失效。在以引用的方式并入本文中的各种公开内容中公开了具有从其突出的解锁键的各种仓。然而,在其他情况下,临床医生可能希望使用原本与外科缝合组件兼容但原本没有解锁键的钉仓。在此类情况下,临床医生将无法在外科缝合装置中以其他方式使用那些兼容的钉仓。外科缝合组件8000包括被设计成便于使用原本没有解锁键特征部的此类兼容钉仓的特征部。
现在转到图51和图55,缝合组合件8000还包括保持器4400,该保持器被构造成能够可移除地联接到钉仓4200。上文讨论了关于保持器4400的特定细节,并且此处将不重复。如上所述,保持器4400还包括验证键4430,该验证键被构造成能够在保持器4400附接到钉仓4200并且钉仓4200已经可操作地安置在第一钳口或框架8010中时使第一闭锁件4300失效。如图11中可见,验证键4430从保持器4400的顶部部分4402的近侧端部4401朝近侧突出,并且包括被空间4460分开的右斜坡特征部4440和左斜坡特征部4450,该空间的尺寸被设定成在其间接纳击发构件主体4052。在例示的示例中,右斜坡4440从保持器4400的顶部部分4402向下成角度,并且包括近侧右末端4442。近侧右末端4442限定第一右凸轮表面4444,该第一右凸轮表面在末端处向内成角度并且朝远侧延伸到第二右凸轮表面4446。第二右凸轮表面4446从第一右凸轮表面4444延伸到顶部部分4402。参见图12。类似地,左斜坡4450从保持器4400的顶部部分4402向下成角度,并且包括近侧左末端4452。近侧左末端4452在末端处向内成角度并且朝远侧延伸到第二左凸轮表面4456。第二左凸轮表面从第一左凸轮表面4454延伸到顶部部分4402。
现在参见图61和图62,在使用中,保持器4400可移除地附接到钉仓4200以形成仓组件4500。然后将仓组件4500插入第一钳口或框架8010中,以便使验证键的右末端4442与第一闭锁臂8312上的直立解锁插片8322接触,并且左末端4452与第二闭锁臂8314上的直立解锁插片8324接触。在仓组件4500的初始近侧插入期间,第一右凸轮表面4444将第一闭锁臂8312横向向外偏压(图62中的箭头RL),并且第一左凸轮表面4454将第二闭锁臂8314横向向外偏压(箭头LL)。仓组件4500在近侧方向上进一步纵向推进到第一钳口或框架8010中导致第一闭锁臂8312达到第一中间位置,其中第一闭锁臂8312与击发构件5050上的对应中心销5058脱离接合,并且还导致第二闭锁臂8314达到第二中间位置,其中第二闭锁臂8314与击发构件5050上的对应中心销5058脱离接合。仓组件4500在近侧方向上继续纵向插入第一钳口或框架8010中导致第二右凸轮表面4446将第一闭锁臂8312进一步横向向外偏压,并且第二左凸轮表面4456将第二闭锁臂8314进一步横向向外偏压,直到仓组件4500完全可操作地安置在第一钳口或框架8010中。参见图63。
当仓组件4500已经可操作地安置在第一钳口或框架5010中时,第一闭锁臂8312上的远侧第一保持插片8326接合钉仓4200的对应侧以将第一闭锁臂8312保持在该解锁位置。如图62中可见,间隙凹坑8021R设置在侧壁8020中以将第一保持插片8326容纳在该位置。同样,形成在第二闭锁臂8314上的远侧第二保持插片8328接合钉仓4200的另一对应侧以将第二闭锁臂8314保持在该解锁位置。间隙凹坑8021L设置在侧壁8020中以将第二保持插片8328容纳在该位置。当处于该位置时,第一闭锁件8300处于解锁位置,或者换句话讲,是“失效的”。然后,用户可以以上述方式从钉仓4200移除保持器4400。在第一闭锁件8300失效或解锁的情况下,击发构件5050可以从起始位置朝远侧推进并且处于“就绪状态”。
在钉仓4200已被击发之后,击发构件5050回缩回到起始位置,并且第二钳口或砧座8100枢转回到打开位置。然后可以从第一钳口或框架8010移除用尽的钉仓。一旦已经将用尽的钉仓4200从第一钳口或框架8010移除,第一闭锁臂8312和第二闭锁臂8314便弹回与击发构件5050上的对应中心销5058接合,以再次将击发构件5050保持在起始位置。另外,在至少一种型式中,外科缝合装置8002还包括第二闭锁件5600,该第二闭锁件被构造成能够在用尽的钉仓安置在第一钳口或框架8010中时防止击发构件5050朝远侧推进通过钉击发行程。上文提供了关于第二闭锁件的操作的细节,并且此处将不重复。
除上述以外,至少一种形式的保持器4400可附接到各种钉仓,这些钉仓适于与不同形式的外科缝合装置一起使用(兼容)。换句话讲,保持器4400可在可安置在不同缝合装置中的钉仓上使用,以使那些缝合装置的各种锁定机构失效。钉仓8200可类似地与具有不同形式的闭锁件的不同缝合装置一起使用。例如,图64示出了通常被标记为8600的外科缝合系统,该外科缝合系统包括第一缝合装置4002和至少第二缝合装置8002。保持器4400可联接到外科钉仓4200以形成仓组件4500,该仓组件与外科缝合装置4002、8002中的一者或两者兼容。当保持器4400附接到兼容钉仓4200以形成组装好的仓布置结构4500时,组装好的仓布置结构可用于装置4002、8002中的任一者。同样,钉仓4200也可用于缝合装置4002、8002中的任一者。外科缝合装置4002采用平移砧座4100;缝合装置8002采用枢转砧座8100。由于每个装置的砧座在打开位置和闭合位置之间运动所需的空间量不同,这些装置为验证键布置结构提供非常不同量的空间来操作。因此,在各种应用中,验证斜坡特征部可能需要是相当窄的,并且采用分级和在竖直方向上移位的凸轮作用表面,以便致动两种类型的缝合装置的闭锁构型。
结合另一个一般方面,本文公开的各种验证键和验证斜坡可以与本文公开的保持器主体构型组合并匹配,使得一个保持器/验证键/斜坡构型可以与可在本文公开的多个缝合装置中使用的钉仓一起使用。此类保持器验证键/斜坡构型可用于使那些各种缝合装置中的多个闭锁系统失效。换句话讲,可以采用一个保持器/验证键/验证斜坡构型来解锁本文所公开的缝合装置中的若干缝合装置上的钳口阻挡闭锁件和/或击发构件闭锁件。
如本文所讨论的,验证键布置结构可被设置在可拆卸的保持器上、仓盘上、仓体上、滑动件上或另一辅助附接部件上。这些验证键可以被制成使得它们可以使本文公开的那些外科缝合装置的采用平移钳口布置结构的各种第一闭锁系统以及那些外科缝合装置的采用可围绕固定枢转轴线枢转的钳口布置结构的第一闭锁系统失效。当可运动的钳口或砧座处于闭合位置(对于被设计成在整个缝合击发操作中驻留在装置中的那些键)以及处于打开位置时,此类“通用”验证键的设计可由此类装置中的可用空间量限制和决定。
当设计可用于使采用平移钳口的外科缝合装置中的闭锁件以及采用围绕固定轴线枢转的可运动钳口的外科缝合装置中的闭锁件失效的验证键构型时,每个外科缝合装置中可用的可用空间量将必须决定“通用”验证键的特定形状。因为钳口形状和行进路径在这些类型的外科缝合装置中是不同的,所以当钳口打开和闭合时,验证键的可用空间量不同。
图64A-图64C示出了可用于容纳钉仓4200A的验证键4228A的空间量的示例,其中验证键特征部4228A形成在仓盘4220A的底部部分上,并且当钉仓4200A安置在例如具有处于闭合位置的平移砧座4100的外科缝合装置4002中时。如在这些图中可见,“闭合”空间包络4800具有竖直支腿4800V和水平支腿4800H,其中当与一个外科缝合装置结合使用时:例如,a为大约0.16英寸,b为大约0.14英寸,c为大约0.047英寸,d为大约0.025英寸,e为大约0.04英寸,f为大约0.035英寸,并且g为大约0.05英寸。图64D-图64G示出了当外科缝合装置的钳口打开时用于钉仓4200A的“打开”空间包络4802,其中:例如,h为大约0.14英寸,i为大约0.26英寸,j为大约0.17英寸,k为大约0.04英寸,L为大约0.007英寸,并且M为大约0.03英寸。
图64H-图64J示出了可用于容纳另一钉仓4200B的验证键4228B的空间量的示例,其中验证键特征部4228B形成在仓盘4220B的底部部分上,并且当钉仓4200B安置在例如具有处于闭合位置的平移砧座4100的外科缝合装置4002中时。如在这些图中可见,“闭合”空间包络4804具有竖直支腿4804V和水平支腿4804H,其中当与一个外科缝合装置结合使用时:例如,n为大约0.16英寸,o为大约0.16英寸,p为大约0.14英寸,q为大约0.025英寸,r为大约0.04英寸,s为大约0.095英寸,t为大约0.05英寸。
图64K-图64M示出了可用于容纳钉仓4200C的验证键4228C的空间量的示例,其中验证键特征部4228C形成在仓盘4220C的底部部分上,并且当钉仓4200C安置在例如具有处于闭合位置的平移砧座4100的外科缝合装置4002中时。如在这些图中可见,“闭合”空间包络4806具有竖直支腿4806V和水平支腿4806H,其中当与一个外科缝合装置结合使用时:例如,u为大约0.16英寸,v为大约0.15英寸,w为大约0.037英寸,x为大约0.025英寸,y为大约0.04英寸,z为大约0.095英寸,并且aa为大约0.06英寸。图64N-图64Q示出了当外科缝合装置的钳口打开时用于钉仓4200C的“打开”空间包络4808,其中:例如,bb为大约0.26英寸,cc为大约0.23英寸,dd为大约0.12英寸,ee为大约0.12英寸,ff为大约0.08英寸,并且gg为大约0.04英寸。
图64R-图64T示出了可用于容纳钉仓4200D的验证键4228D的空间量的示例,其中验证键特征部4228D形成在仓盘4220D的底部部分上,并且当钉仓4200D安置在例如具有可围绕固定枢转轴线在打开位置和闭合位置之间运动的砧座8100的外科缝合装置8002中时。如在这些图中可见,“闭合”空间包络4810具有竖直支腿4810V和水平支腿4810H,其中当与一个外科缝合装置结合使用时:例如,hh为大约0.16英寸,ii为大约0.20英寸,jj为大约0.047英寸,kk为大约0.025英寸,ll为大约0.05英寸,mm为大约0.025英寸,并且nn为大约0.09英寸。图64U-图64X示出了当外科缝合装置的钳口打开时用于钉仓4200D的“打开”空间包络4812,其中:例如,oo为大约0.09英寸,pp为大约0.08英寸,qq为大约0.05英寸,rr为大约0.06英寸,ss为大约0.10英寸,并且tt为大约0.03英寸,并且uu为大约0.09英寸。
图64Y-图64ZZ示出了可用于容纳钉仓4200E的验证键4228E的空间量的示例,其中验证键特征部4228E形成在仓盘4220E的底部部分上,并且当钉仓4200E安置在例如具有可围绕固定枢转轴线在打开位置和闭合位置之间运动的砧座8100的外科缝合装置8002中时。如在这些图中可见,“闭合”空间包络4814具有竖直支腿4814V和水平支腿4814H,其中当与一个外科缝合装置结合使用时:例如,vv为大约0.16英寸,ww为大约0.20英寸,xx为大约0.047英寸,yy为大约0.025英寸,zz为大约0.05英寸,aaa为大约0.085英寸,并且bbb为大约0.09英寸。
图65-图71示出了另一个外科缝合组件9000,其在许多方面类似于上文讨论的外科缝合组件7000。外科缝合组件9000包括外科缝合装置9002,该外科缝合装置可与上文描述的外科器械1010结合或与各种其他外科器械和机器人结合使用,这些其他外科器械和机器人在以引用方式并入本文的各种公开内容中描述。如图65中可见,外科缝合装置9002包括被构造成能够在其中可操作地支撑钉仓9200的第一钳口或框架9010。第一钳口或框架9010以本文所述的各种方式附接到轴组件的棘。在例示的示例中,第一钳口或框架9010通过轴安装凸缘9030附接到轴组件的棘(在图65中未示出)。外科缝合装置9002也可与不促进外科缝合装置9002的关节运动的轴组件结合使用。
仍然参见图65,外科缝合装置9002还包括击发构件组件4040,该击发构件组件包括附接到刀构件4050或“击发构件”的刀杆(未示出)。上文详细讨论了击发构件4050和刀杆的操作,并且此处将不重复。外科缝合装置9002还包括可相对于第一钳口或框架9010运动的第二钳口或砧座9100。砧座9100包括砧座主体部分9102和砧座安装部分9110。砧座主体9102包括钉成形下表面或组织接触表面9104,其具有形成于其中的一系列钉成形凹坑(未示出),这些钉成形凹坑被布置成当它们被驱动成与对应钉成形接触时形成对应钉。砧座安装部分9110包括一对横向延伸的砧座销或耳轴销9112,其被构造成能够接纳在第一钳口或框架9010的直立侧壁9020中的对应耳轴孔9022中。与上述砧座6100不同,砧座9100枢转地销连接到框架9010,以围绕固定枢转轴线相对于该框架枢转行进。换句话讲,与砧座6100不同,砧座9100在砧座闭合过程期间实质上不会轴向运动或平移。
如上文以及在以引用方式并入本文的公开内容中的若干公开内容中所讨论的,砧座9100可通过可轴向运动的闭合构件或端部执行器闭合管9600(图69)从打开位置运动到闭合位置,在该打开位置中用过的或用尽的钉仓可从第一钳口或框架9010移除,或者未击发的钉仓可以可操作地安置在其中。例如,当闭合管9600从近侧位置朝远侧运动时,闭合管9600可以可操作地接合砧座安装部分9110上的凸轮表面9113。闭合管9600与砧座安装部分9110之间的这样的相互作用使砧座安装部分9110和砧座耳轴销9112枢转,直到闭合构件使砧座9100运动到完全闭合位置。当处于完全闭合位置时,砧座9100中的钉成形凹坑与已经可操作地安置在第一钳口或框架9010中的对应兼容钉仓9200中的钉正确地对准。当可轴向运动的闭合管9600之后在近侧方向上运动时,闭合管9600上的特征部与砧座安装部分9110交接,以使砧座9100枢转回到打开位置。
除上述以外,外科缝合装置9002包括第一闭锁件9300,该第一闭锁件被构造成能够防止第二钳口或砧座9100通过闭合管9600从打开位置运动到闭合位置。第一闭锁件9300在本文中也可称为“验证”闭锁件。在例示的布置结构中,第一闭锁件9300包括第一闭锁臂9310,该第一闭锁臂通过附接到其的闭锁销9312枢转地支撑在第一钳口或框架9010中。参见图66。在一个示例中,第一闭锁臂9310由不锈钢等制造,并且闭锁销9312可以被机加工到其近侧端部中。闭锁销9312枢转地安置在框架9010中的枢轴孔9013中,以促进第一闭锁臂9310在钳口锁定位置与钳口闭合位置之间的枢转行进。参见图68。在例示的示例中,第一闭锁臂9310被构造成能够在第一闭锁臂9310处于锁定或钳口锁定位置时阻挡地接合从砧座安装部分9110向下突出的锁定凸耳部分9120。参见图69。当第一闭锁臂9310处于该锁定或接合位置时,当锁定凸耳部分9120接触第一闭锁臂9310时,防止砧座9100的枢转行进。应当理解,第一闭锁臂9310以及锁定凸耳部分9120各自足够坚固,以便抵抗施加到砧座9100的大量闭合运动,以防止砧座9100的闭合。
现在参见图66,第一闭锁弹簧9330支撑在第一钳口或框架9010的对应侧壁9020中以向第一闭锁臂9310施加横向偏压力,以将第一闭锁臂9310在锁定方向LD(图68)上偏压到锁定或钳口锁定位置,其中第一闭锁臂9310防止砧座9100从打开位置运动到闭合位置。如图66中可见,第一闭锁臂9310还包括形成在第一闭锁臂9310的远侧端部9320上的直立凸轮致动器插片9322。如图71中可见,凸轮致动器插片9322包括上致动器凸轮表面9324。另外,下致动器凸轮构件9326形成在第一闭锁臂9310的远侧端部9320上。
在至少一个示例中,缝合组件9000包括与上述钉仓4200相同的钉仓9200,不同之处在于验证键9430形成到仓盘9220中。参见图72。验证键9430被构造成能够在钉仓9200可操作地安置在框架9010中时使第一闭锁件9300失效、解锁或解除闩锁。如图72中可见,验证键9430从仓盘9220的近侧端部9221朝近侧突出,并且包括上斜坡特征部9440以及从上斜坡特征部9440在竖直方向上移位的下斜坡特征部9450。验证键9430以大致直角从仓盘9220的部分9223弯曲,该部分延伸跨过仓体9202的远侧端部的一部分。上斜坡特征部9440包括弯曲到验证键9430中的上斜坡插片9441,并且下斜坡特征部9450包括弯曲到验证键9430中的下斜坡插片9451。如图72中可见,上斜坡特征部9440和下斜坡特征部9450两者均位于由仓体9202限定的仓轴线CA的同一侧上。上斜坡特征部9440被形成为使得其也位于下斜坡特征部9450的近侧。如上所述,上斜坡特征部9440和下斜坡特征部9450从仓盘9220弯曲出来。换句话讲,上斜坡特征部9440和下斜坡特征部9450一体地形成在仓盘9220中。在例示的示例中,上斜坡特征部9440包括第一上凸轮表面9442和第二上凸轮表面9444。第一上凸轮表面9442位于第二上凸轮表面的近侧,并且也相对于第二上凸轮表面9444成角度。下斜坡特征部9450包括第一下凸轮表面9452和第二下凸轮表面9454。第一下凸轮表面9452位于第二下凸轮表面9454的近侧,并且也相对于第一下凸轮表面9452成角度。
图73-图77示出了验证键9430的上斜坡特征部9440和下斜坡特征部9450与凸轮致动器插片9322和下致动器凸轮构件9326上的上致动器凸轮表面9324之间的相互作用。图73示出了当钉仓9200最初纵向插入(方向PD)框架9010中时,验证键9430相对于凸轮致动器插片9322的位置。如图73中可见,上斜坡特征部9440的第一上凸轮表面9442正在与凸轮致动器插片9322上的上致动器凸轮表面9324凸轮接合,并且开始横向偏压凸轮致动器插片9322以及第一闭锁臂9310。如图73中进一步可见,闭锁凹坑9021设置在框架9010的相邻直立侧壁9020中,以在第一闭锁臂9310从锁定或钳口锁定位置运动到解锁或钳口闭合位置时容纳凸轮致动器插片9322。
图74示出了钉仓9200在近侧方向上继续纵向插入框架9010中。如图74中可见,钉仓9200已被插入其中第一上凸轮表面9442已前进经过上致动器凸轮表面9324的点,从而允许凸轮致动器插片9322的末端9325接合验证键9430的上斜坡特征部9440上的第二上凸轮表面9444。这样的顺序相互作用继续将凸轮致动器插片9322和第一闭锁臂9310横向运动到锁定或钳口锁定位置与解锁或钳口闭合位置之间的中间位置。
图75示出了钉仓9200在其继续在近侧方向PD上纵向插入框架9010中时的位置。如图75中可见,凸轮致动器插片9322的末端9325保持与上斜坡特征部9440上的第二上凸轮表面9444接合,并且下致动器凸轮构件9326现在已经接合下斜坡特征部9450上的第一下凸轮表面9452。这种顺序相互作用使凸轮致动器插片9322以及第一闭锁臂9310继续横向运动。
图76示出了在钉仓9200已经可操作地(完全)安置在框架9010中之后致动器插片9322的位置。如图76中可见,下致动器凸轮构件9326保持与下斜坡特征部9450上的第二下凸轮表面9454接合,并且已经使凸轮致动器插片9322横向运动以安置在框架9010的直立侧壁9020中的闭锁凹坑9021中。当第一闭锁臂9310处于图76所示的解锁或钳口闭合位置时,砧座9100可从打开位置枢转到闭合位置而不被第一闭锁臂9310阻挡。当第一闭锁臂9310处于锁定或钳口锁定位置时,下致动器凸轮构件9326位于击发构件主体4052的前面,使得钳口解锁程序不能通过朝远侧推进击发构件而开始。下致动器凸轮构件9326定位在击发构件4050的中心销4058上方,以在解锁程序期间在其间提供足够的间隙。图77和图78示出在砧座9100已枢转到闭合位置之后第一闭锁臂6310相对于砧座9100的一部分的位置。
外科缝合装置9002还可包括类似于第二闭锁件4600的第二闭锁件,用于在用尽的钉仓安置在第一钳口或框架9010中时防止击发构件4050推进通过击发行程。上文详细描述了第二闭锁件4600,并且此处将不重复。
图78A示出了可以以上述方式与外科缝合装置9002结合使用的替代仓组件9500。在例示的示例中,仓组件9500包括钉仓9200’,该钉仓具有附接到其上的保持器6400”。除了验证键6430”和斜坡6440”的形状和构型之外,保持器6400”类似于上述保持器6400。保持器6400”在许多方面可与上文讨论的保持器6400相同。
仍然参见图78A,仓组件9500包括与上述钉仓4200类似的钉仓9200’,不同之处在于第二验证斜坡9450’形成到附接到仓体9202’的仓盘9220’中。当保持器6400”如图所示附接到钉仓9200’时,斜坡6440”包括“第一”斜坡,该“第一”斜坡包括“第一”上凸轮表面6442”和第二上凸轮表面6444”。第一上凸轮表面6442”位于第二上凸轮表面6444”的近侧,并且也相对于第二上凸轮表面6444”成角度。位于仓盘9220’上的第二验证斜坡9450’包括第一下凸轮表面9452’和第二下凸轮表面9454’。第二斜坡9450’定位在保持器6400”上的第一斜坡6440”下方,并且定位在第一上凸轮表面6442”的远侧。当仓组件9500可操作地安置到外科缝合装置9002的框架9010中时,保持器6400”上的第一斜坡6440”和仓盘9220’上的第二斜坡9450”的组合以与仓9200上的上斜坡特征部9440和第二斜坡特征部9450相同的方式操作,以使第一闭锁件9300以上文详细描述的方式顺序地失效、解锁或解除闩锁。一旦第一闭锁臂9310已经运动到解锁或“钳口闭合位置”,第二斜坡9450’就将第一闭锁臂9310保持在该位置。然后,用户可以从钉仓9200’移除保持器6400”,并且砧座9100可从打开位置枢转到闭合位置。
图78B-图78C示出了类似于上文描述的钉仓9200的替代钉仓9200”,不同之处在于第一验证键9430”形成或模制到仓体9202”中。第一验证键9430”包括第一斜坡9440”,该第一斜坡具有形成于其上的第一上凸轮表面9442”和第二上凸轮表面9444”。第一上凸轮表面9442”位于第二上凸轮表面9444”的近侧,并且也相对于第二上凸轮表面9444”成角度。包括仓盘9220”的一部分的第二验证斜坡9450”包括第一下凸轮表面9452”和第二下凸轮表面9454”。第二验证斜坡9450”位于第一斜坡9440”下方,并且定位在第一上凸轮表面9442”的远侧。当仓组件9200”可操作地安置到外科缝合装置9002的框架9010中时,第一斜坡9440”和第二斜坡9450”的组合以与仓9200上的上斜坡特征部9440和下斜坡特征部9450相同的方式操作,以使第一闭锁件9300以上文详细描述的方式失效。
本文所述主题的各个方面在以下实施例中阐述:
实施例1-一种外科缝合组件,所述外科缝合组件被构造成能够接纳钉仓。所述钉仓包括具有纵向狭槽的仓体、平台表面、穿过所述平台表面开口的多个钉凹坑、可移除地储存在每个钉凹坑中的钉、以及被构造成能够在钉击发行程期间从所述仓体击发所述钉的滑动件。所述外科缝合组件包括缝合装置,所述缝合装置包括第一钳口、能够相对于所述第一钳口在打开位置与闭合位置之间运动的第二钳口、击发构件、第一闭锁件和第二闭锁件。所述击发构件在所述钉击发行程期间能够在所述纵向狭槽内的起始位置与结束位置之间运动。所述击发构件被构造成能够在所述钉击发行程期间致动所述滑动件以击发所述钉。所述第一闭锁件被构造成能够防止所述第二钳口从所述打开位置运动到所述闭合位置。所述第一闭锁件包括闭锁臂,所述闭锁臂被构造成能够将所述第二钳口可释放地保持在所述打开位置。所述第二闭锁件被构造成能够在用尽的钉仓安置在所述缝合装置中时防止所述击发构件推进通过所述钉击发行程。所述外科缝合组件还包括可移除地安装到所述仓体的保持器。所述保持器支撑在所述平台表面上以形成仓组件。所述保持器包括验证键,所述验证键被构造成能够在所述仓组件安置在所述缝合装置中时通过使所述闭锁臂从钳口锁定位置运动到钳口闭合位置而使所述第一闭锁件失效,其中在所述钳口锁定位置处所述闭锁臂防止所述第二钳口从所述打开位置运动到所述闭合位置,其中在所述钳口闭合位置处所述第二钳口能够从所述打开位置运动到所述闭合位置。
实施例2-根据实施例1所述的外科缝合组件,其中,当所述保持器附接到所述仓体时,所述保持器覆盖位于所述平台表面中的所述钉凹坑,并且其中当所述保持器从所述仓体移除时,所述钉凹坑被暴露。
实施例3-根据实施例1或2所述的外科缝合组件,其中,所述第一钳口限定钳口轴线,并且其中所述验证键定位在所述钳口轴线的仅一个横向侧上。
实施例4-根据实施例1、2或3所述的外科缝合组件,其中,所述第一闭锁件位于所述第二闭锁件的近侧。
实施例5-根据实施例1、2、3或4所述的外科缝合组件,其中,所述验证键从所述保持器的近侧端部朝近侧延伸。
实施例6-根据实施例1、2、3、4或5所述的外科缝合组件,其中,所述闭锁臂能够在所述钳口锁定位置与所述钳口闭合位置之间枢转地运动。
实施例7-根据实施例1、2、3、4、5或6所述的外科缝合组件,其中,所述验证键包括近侧凸轮表面和远侧凸轮表面。所述近侧凸轮表面被构造成能够在所述仓组件最初插入所述第一钳口中时接合所述闭锁臂。所述近侧凸轮表面使所述闭锁臂从所述钳口锁定位置运动到中间位置。所述远侧凸轮表面被构造成能够在所述闭锁臂处于所述中间位置时接合所述闭锁臂。所述远侧凸轮表面在所述仓组件安置在所述第一钳口中时使所述闭锁臂运动到所述钳口闭合位置。
实施例8-根据实施例7所述的外科缝合组件,其中,所述近侧凸轮表面位于所述远侧凸轮表面的近侧并且从所述远侧凸轮表面在竖直方向上偏离。
实施例9-根据实施例1、2、3、4、5、6、7或8所述的外科缝合组件,其中,所述第二闭锁件包括位于所述第一钳口和所述第二钳口中的一者上的邻接部分,所述邻接部分被构造成能够在用尽的所述钉仓安置在所述缝合装置中时被所述击发构件接触。
实施例10-根据实施例9所述的外科缝合组件,其中,所述击发构件能够在解锁位置和锁定位置之间运动,在所述解锁位置,所述击发构件在所述钉击发行程期间能够从所述起始位置朝远侧运动到所述结束位置,在所述锁定位置,所述邻接部分防止所述击发构件朝远侧运动。
实施例11-根据实施例10所述的外科缝合组件,其中,所述钉仓中的所述滑动件被构造成能够在所述滑动件处于所述钉仓内的未击发位置并且所述钉仓安置在所述外科缝合装置中时使所述击发构件从所述锁定位置运动到所述解锁位置。
实施例12-根据实施例10或11所述的外科缝合组件,其中,所述闭锁臂被构造成能够在所述钳口锁定位置与所述钳口闭合位置之间在第一平面中运动,并且其中所述击发构件能够在所述锁定位置与所述解锁位置之间在第二平面中运动,并且其中所述第一平面相对于所述第二平面正交。
实施例13-根据实施例11所述的外科缝合组件,其中,当所述滑动件处于所述未击发位置时,当所述钉仓安置在所述外科缝合组件中时,所述第一闭锁件位于所述钉仓的所述滑动件的近侧。
实施例14-根据实施例1、2、3、4、5、6、7、8、9、10、11、12或13所述的外科缝合组件,其中,所述第一钳口限定第一钳口轴线,并且其中所述闭锁臂被枢转地支撑在所述第一钳口轴线的一侧上。
实施例15-一种外科缝合系统,包括第一缝合装置、第二缝合装置、钉仓和保持器。所述第一缝合装置包括第一框架、能够相对于所述第一框架在第一打开位置与第一闭合位置之间运动的第一钳口、在第一钉击发行程期间能够在第一起始位置与第一结束位置之间运动的第一击发构件,以及被构造成能够防止所述第一钳口从所述第一打开位置运动到所述第一闭合位置的第一钳口闭锁件。所述第一钳口闭锁件包括第一钳口闭锁臂,所述第一钳口闭锁臂被构造成能够将所述第一钳口可释放地保持在所述第一打开位置。所述第二缝合装置包括第二框架、能够相对于所述第二框架在第二打开位置与第二闭合位置之间运动的第二钳口、在第二钉击发行程期间能够在第二起始位置与第二结束位置之间运动的第二击发构件,以及被构造成能够防止所述第二钳口从所述第二打开位置运动到所述第二闭合位置的第二钳口闭锁件。所述第二钳口闭锁件包括第二钳口闭锁臂,所述第二钳口闭锁臂被构造成能够将所述第二钳口可释放地保持在所述第二打开位置。所述钉仓被构造能够在所述第一缝合装置和所述第二缝合装置中的任一个中使用。所述钉仓包括具有纵向狭槽和平台表面的仓体、穿过所述平台表面开口的多个钉凹坑、可移除地储存在每个钉凹坑中的钉、以及能够在所述第一钉击发行程和所述第二钉击发行程期间运动穿过所述仓体以击发所述钉的滑动件。所述保持器可移除地安装到所述仓体。所述保持器在附接到所述仓体以形成仓组件时支撑在所述平台表面上。所述保持器包括验证键,所述验证键被构造成能够在所述仓组件安置在所述第一缝合装置中时通过使所述第一钳口闭锁臂离开第一钳口锁定位置运动到第一钳口闭合位置而使所述第一钳口闭锁件失效,其中在所述第一钳口闭合位置处所述第一钳口能够从所述第一打开位置运动到所述第一闭合位置。所述验证键被进一步构造成能够在所述仓组件安置在所述第二缝合装置中时通过使所述第二钳口闭锁臂离开第二钳口锁定位置运动到第二钳口闭合位置而使所述第二钳口闭锁件失效,其中在所述第二钳口闭合位置处所述第二钳口能够从所述第二打开位置运动到所述第二闭合位置。
实施例16-根据实施例15所述的外科缝合系统,其中,所述第一框架限定第一框架轴线,其中所述第一钳口闭锁臂被枢转地支撑在所述第一框架轴线的第一侧上,其中所述第二框架限定第二框架轴线,并且其中所述第二钳口闭锁臂被枢转地支撑在所述第二框架轴线的与所述第一框架轴线的所述第一侧相对的相对侧上。
实施例17-根据实施例15或16所述的外科缝合系统,其中,所述验证键包括第一闭锁斜坡和第二闭锁斜坡。所述第一闭锁斜坡从所述保持器的近侧端部突出,并且被构造成能够在所述仓组件安置在所述第一缝合装置中时使所述第一钳口闭锁臂从所述第一钳口锁定位置运动到所述第一钳口闭合位置。所述第二闭锁斜坡从所述保持器的所述近侧端部突出,并且被构造成能够在所述仓组件安置在所述第二缝合装置中时使所述第二钳口闭锁臂从所述第二钳口锁定位置运动到所述第二钳口闭合位置。
实施例18-根据实施例17所述的外科缝合系统,其中,所述第一闭锁斜坡包括第一近侧凸轮表面和第一远侧凸轮表面。所述第一近侧凸轮表面被构造成能够在所述钉仓组件最初插入所述第一缝合装置中时使所述第一钳口闭锁臂从所述第一钳口锁定位置运动到第一中间位置。所述第一远侧凸轮表面被构造成能够在所述第一钳口闭锁臂处于所述第一中间位置时接合所述第一钳口闭锁臂。当所述仓组件完全安置在所述第一缝合装置中时,所述第一远侧凸轮表面使所述第一钳口闭锁臂从所述第一中间位置运动到所述第一钳口闭合位置。所述第二闭锁斜坡包括第二近侧凸轮表面和第二远侧凸轮表面。所述第二近侧凸轮表面被构造成能够在所述钉仓组件最初插入所述第二缝合装置中时使所述第二钳口闭锁臂从所述第二钳口锁定位置运动到第二中间位置。所述第二远侧凸轮表面被构造成能够在所述第二钳口闭锁臂处于所述第二中间位置时接合所述第二钳口闭锁臂。当所述仓组件完全安置在所述第二缝合装置中时,所述第二远侧凸轮表面使所述第二钳口闭锁臂从所述第二中间位置运动到所述第二钳口闭合位置。
实施例19-根据实施例18所述的外科缝合系统,其中,所述第一近侧凸轮表面位于所述第一远侧凸轮表面的近侧并且从所述第一远侧凸轮表面在竖直方向上偏离,并且其中所述第二近侧凸轮表面位于所述第二远侧凸轮表面的近侧并且从所述第二远侧凸轮表面在竖直方向上偏离。
实施例20-一种用于与外科钉仓一起使用的保持器,所述外科钉仓被构造能够与第一外科缝合装置一起使用,所述第一外科缝合装置包括第一钳口和第一框架。所述第一钳口能够相对于所述第一框架在第一打开位置与第一闭合位置之间运动。所述钉仓包括具有纵向狭槽的仓体、平台表面、穿过所述平台表面开口的多个钉凹坑、可移除地储存在每个钉凹坑中的钉、以及被构造成能够在由所述第一外科缝合装置的第一击发构件驱动时从所述仓体击发所述钉的滑动件。所述第一外科缝合装置还包括第一闭锁臂,所述第一闭锁臂能够从第一钳口锁定位置运动到第一钳口闭合位置,其中在所述第一钳口锁定位置处所述第一闭锁臂防止所述第一钳口从所述第一打开位置运动到所述第一闭合位置,其中在所述第一钳口闭合位置处所述第一钳口能够从所述第一打开位置运动到所述第一闭合位置。所述保持器包括保持器主体和第一验证斜坡。所述保持器主体被构造能够可移除地附接到所述仓体。所述保持器主体的尺寸被设定成覆盖所述平台表面和所述钉凹坑以形成仓组件。所述第一验证斜坡被构造成能够在所述仓组件安置在所述第一外科缝合装置中并且所述保持器从所述仓体移除时使所述第一闭锁臂从所述第一钳口锁定位置运动到所述第一钳口闭合位置。
实施例21-根据实施例20所述的保持器,其中,所述第一验证斜坡包括第一近侧凸轮表面和第一远侧凸轮表面。所述第一近侧凸轮表面被构造成能够在所述仓组件最初插入所述第一外科缝合装置中时接合所述第一闭锁臂。所述第一近侧凸轮表面使所述第一闭锁臂从所述第一钳口锁定位置运动到第一中间位置。所述第一远侧凸轮表面被构造成能够在所述第一闭锁臂处于所述第一中间位置时接合所述第一闭锁臂。当所述仓组件安置在所述第一框架中时,所述第一远侧凸轮表面使所述第一闭锁臂从所述第一中间位置运动到所述第一钳口闭合位置。
实施例22-根据实施例20或21所述的保持器,其中,所述钉仓被构造能够与包括第二钳口、第二框架和第二闭锁臂的第二外科缝合装置一起使用,其中所述第二钳口能够相对于所述第二框架在第二开口位置与第二闭合位置之间运动,其中所述第二闭锁臂能够从第二钳口锁定位置运动到第二钳口闭合位置,其中在所述第二钳口闭合位置处所述第二钳口能够从所述第二打开位置运动到所述第二闭合位置,其中所述保持器还包括从所述保持器主体的近侧端部突出的第二验证斜坡,并且其中所述第二验证斜坡被构造成能够在所述仓组件安置在所述第二外科缝合装置中并且所述保持器从所述仓体移除时使所述第二闭锁臂从所述第二钳口锁定位置运动到所述第二钳口闭合位置。
实施例23-根据实施例22所述的保持器,其中,所述第一框架限定第一框架轴线,其中所述第一闭锁臂被枢转地支撑在所述第一框架轴线的第一侧上,其中所述第二框架限定第二框架轴线,其中所述第二闭锁臂被枢转地支撑在所述第二框架轴线的相对第二侧上,其中当所述仓组件支撑在所述第一框架中时,所述保持器限定与所述第一框架轴线在竖直方向上对准的保持器轴线,其中当所述仓组件支撑在所述第二框架中时,所述保持器轴线与所述第二框架轴线在竖直方向上对准,其中所述第一验证斜坡位于所述保持器轴线的第一侧上,并且其中所述第二验证斜坡位于所述保持器轴线的第二侧上。
实施例24-根据实施例22或23所述的保持器,其中,所述第一验证斜坡包括第一近侧凸轮表面和第一远侧凸轮表面。所述第一近侧凸轮表面被构造成能够在所述钉仓最初插入所述第一外科缝合装置中时接合所述第一闭锁臂。所述第一近侧凸轮表面使所述第一闭锁臂从所述第一钳口锁定位置运动到第一中间位置。所述第一远侧凸轮表面被构造成能够在所述第一闭锁臂处于所述第一中间位置时接合所述第一闭锁臂。当所述仓组件安置在所述第一框架中时,所述第一远侧凸轮表面使所述第一闭锁臂从所述第一中间位置运动到所述第一钳口闭合位置。所述第二验证斜坡包括第二近侧凸轮表面和第二远侧凸轮表面。所述第二近侧凸轮表面被构造成能够在所述钉仓最初插入所述第二外科缝合装置中时接合所述第二闭锁臂。所述第二近侧凸轮表面使所述第二闭锁臂从所述第二钳口锁定位置运动到第二中间位置。所述第二远侧凸轮表面被构造成能够在所述第钳口闭锁臂处于所述第二中间位置时接合所述第二闭锁臂。当所述仓组件安置在所述第二框架中时,所述第二远侧凸轮表面使所述第二闭锁臂从所述第二中间位置运动到所述第二钳口闭合位置。
实施例25-根据实施例24所述的保持器,其中,所述第一近侧凸轮表面位于所述第一远侧凸轮表面的近侧并且从所述第一远侧凸轮表面在竖直方向上偏离,并且其中所述第二近侧凸轮表面位于所述第二远侧凸轮表面的近侧并且从所述第二远侧凸轮表面在竖直方向上偏离。
本文所述的许多外科器械系统由电动马达促动;但是本文所述的外科器械系统可以任何合适的方式促动。在各种实例中,例如,本文所述的外科器械系统可由手动操作的触发器促动。在某些实例中,本文公开的马达可包括机器人控制系统的一部分或多个部分。此外,本文公开的任何端部执行器和/或工具组件可与机器人外科器械系统一起使用。例如,名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS”的美国专利申请序列号13/118,241(现为美国专利9,072,535)更详细地公开了机器人外科器械系统的若干示例。
已结合钉的部署和变形描述了本文所述的外科器械系统;然而,本文所述的实施方案不限于此。例如,设想了部署除钉之外的紧固件诸如夹具或大头钉的各种实施方案。此外,还设想了利用用于密封组织的任何合适装置的各种实施方案。例如,根据各种实施方案的端部执行器可包括被配置成能够加热和密封组织的电极。另外,例如,根据某些实施方案的端部执行器可施加振动能量来密封组织。
下述专利的全部公开内容据此以引用方式并入本文:
-公布于1995年4月4日的名称为“ELECTROSURGICAL HEMOSTATIC DEVICE”的美国专利5,403,312;
-公布于2006年2月21日的名称为“SURGICAL STAPLING INSTRUMENT HAVINGSEPARATE DISTINCT CLOSING AND FIRING SYSTEMS”的美国专利7,000,818;
-公布于2008年9月9日的名称为“MOTOR-DRIVEN SURGICAL CUTTING ANDFASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK”的美国专利7,422,139;
-公布于2008年12月16日的名称为“ELECTRO-MECHANICAL SURGICAL INSTRUMENTWITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS”的美国专利7,464,849;
-公布于2010年3月2日的名称为“SURGICAL INSTRUMENT HAVING ANARTICULATING END EFFECTOR”的美国专利7,670,334;
-公布于2010年7月13日的名称为“SURGICAL STAPLING INSTRUMENTS”的美国专利7,753,245;
-公布于2013年3月12日的名称为“SELECTIVELY ORIENTABLE IMPLANTABLEFASTENER CARTRIDGE”的美国专利8,393,514;
-名称为“SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES”的美国专利申请序列号11/343,803,现为美国专利7,845,537;
-提交于2008年2月14日的名称为“SURGICAL CUTTING AND FASTENINGINSTRUMENT HAVING RF ELECTRODES”的美国专利申请序列号12/031,573;
-提交于2008年2月15日的名称为“END EFFECTORS FOR A SURGICAL CUTTING ANDSTAPLING INSTRUMENT”的美国专利申请序列号12/031,873(现为美国专利7,980,443);
-名称为“MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT”的美国专利申请序列号12/235,782,现为美国专利8,210,411;
-名称为“MOTORIZED SURGICAL INSTRUMENT”的美国专利申请序列号12/235972,现为美国专利9050083。
-名称为“POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLYRETRACTABLE FIRING SYSTEM”的美国专利申请序列号12/249,117,现为美国专利8,608,045;
-提交于2009年12月24日的名称为“MOTOR-DRIVEN SURGICAL CUTTINGINSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY”的美国专利申请序列号12/647,100,现为美国专利8,220,688;
-提交于2012年9月29日的名称为“STAPLE CARTRIDGE”的美国专利申请序列号12/893,461,现为美国专利8,733,613;
-提交于2011年2月28日的名称为“SURGICAL STAPLING INSTRUMENT”的美国专利申请序列号13/036,647,现为美国专利8,561,870;
-名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLEDEPLOYMENT ARRANGEMENTS”的美国专利申请序列号13/118,241,现为美国专利9,072,535;
-提交于2012年6月15日的名称为“ARTICULATABLE SURGICAL INSTRUMENTCOMPRISING A FIRING DRIVE”的美国专利申请序列号13/524,049,现为美国专利9,101,358;
-提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,025,现为美国专利9,345,481;
-提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,067,现为美国专利申请公布2014/0263552;
-提交于2006年1月31日的名称为“SURGICAL CUTTING AND FASTENINGINSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM”的美国专利申请公布2007/0175955;以及
-提交于2010年4月22日的名称为“SURGICAL STAPLING INSTRUMENT WITH ANARTICULATABLE END EFFECTOR”的美国专利申请公布2010/0264194,现为美国专利8,308,040。
虽然本文已结合某些实施方案描述了各种装置,但也可实施对这些实施方案的许多修改和变型。在一个或多个实施方案中,具体特征、结构或特性可以任何合适的方式进行组合。因此,在无限制的情况下,结合一个实施方案示出或描述的具体特征、结构或特性可全部或部分地与一个或多个其他实施方案的特征、结构或特性组合。另外,在公开了用于某些部件的材料的情况下,也可使用其他材料。此外,根据多种实施方案,单个部件可被替换为多个部件,并且多个部件也可被替换为单个部件,以执行给定的一种或多种功能。上述具体实施方式和下述权利要求旨在涵盖所有此类修改和变型。
本文所公开的装置可被设计成在单次使用之后废弃,或者其可被设计成多次使用。然而无论是哪种情况,该装置都可在至少使用一次后经过修整再行使用。修整可包括以下步骤的任意组合,这些步骤包括但不限于拆卸装置、之后进行装置具体部件的清洁或更换、以及随后重新组装装置。具体地,修整设施和/或外科团队可拆卸装置,并且在清洁和/或更换装置的特定部件之后,可重新组装装置以供后续使用。本领域的技术人员将会理解,修整装置可利用各种技术来进行拆卸、清洁/替换和重新组装。此类技术的使用以及所得的修复装置均在本申请的范围内。
本文所公开的装置可在手术之前进行处理。首先,可获得新的或用过的器械,并且根据需要进行清洁。然后,可对器械进行消毒。在一种消毒技术中,将所述器械放置在密闭且密封的容器(诸如,塑料或TYVEK袋)中。然后可将容器和器械置于可穿透容器的辐射场,诸如γ辐射、X射线和/或高能电子。辐射可杀死器械上和容器中的细菌。经消毒的器械随后可被储存在无菌容器中。密封容器可将器械保持为无菌的,直至在医疗设施中将该容器打开。还可使用本领域已知的任何其他技术对装置进行消毒,所述技术包括但不限于β辐射、γ辐射、环氧乙烷、等离子过氧化物和/或蒸汽。
尽管本发明已被描述为具有示例性设计,但可在本公开的实质和范围内进一步修改本发明。因此,本申请旨在涵盖使用本发明的一般原理的本发明的任何变型、用途或改型。

Claims (25)

1.一种外科缝合组件,所述外科缝合组件被构造成能够接纳钉仓,其中所述钉仓包括具有纵向狭槽的仓体、平台表面、穿过所述平台表面开口的多个钉凹坑、可移除地储存在每个钉凹坑中的钉、以及被构造成能够在钉击发行程期间从所述仓体击发所述钉的滑动件,并且其中所述外科缝合组件包括:
缝合装置,所述缝合装置包括:
第一钳口;
第二钳口,所述第二钳口能够相对于所述第一钳口在打开位置和闭合位置之间运动;
击发构件,所述击发构件在所述钉击发行程期间在所述纵向狭槽内能够在起始位置和结束位置之间运动,其中所述击发构件被构造成能够在所述钉击发行程期间致动所述滑动件以击发所述钉;
第一闭锁件,所述第一闭锁件被构造成能够防止所述第二钳口从所述打开位置运动到所述闭合位置,其中所述第一闭锁件包括闭锁臂,所述闭锁臂被构造成能够将所述第二钳口可释放地保持在所述打开位置;以及
第二闭锁件,所述第二闭锁件被构造成能够在用尽的钉仓安置在所述缝合装置中时防止所述击发构件推进通过所述钉击发行程;以及
保持器,所述保持器可移除地安装到所述仓体,其中所述保持器支撑在所述平台表面上以形成仓组件,并且其中所述保持器包括验证键,所述验证键被构造成能够在所述仓组件安置在所述缝合装置中时通过使所述闭锁臂从钳口锁定位置运动到钳口闭合位置而使所述第一闭锁件失效,其中在所述钳口锁定位置处所述闭锁臂防止所述第二钳口从所述打开位置运动到所述闭合位置,其中在所述钳口闭合位置处所述第二钳口能够从所述打开位置运动到所述闭合位置。
2.根据权利要求1所述的外科缝合组件,其中,当所述保持器附接到所述仓体时,所述保持器覆盖位于所述平台表面中的所述钉凹坑,并且其中当所述保持器从所述仓体移除时,所述钉凹坑被暴露。
3.根据权利要求1所述的外科缝合组件,其中,所述第一钳口限定钳口轴线,并且其中所述验证键定位在所述钳口轴线的仅一个横向侧上。
4.根据权利要求1所述的外科缝合组件,其中,所述第一闭锁件位于所述第二闭锁件的近侧。
5.根据权利要求1所述的外科缝合组件,其中,所述验证键从所述保持器的近侧端部朝近侧延伸。
6.根据权利要求1所述的外科缝合组件,其中,所述闭锁臂能够在所述钳口锁定位置与所述钳口闭合位置之间枢转地运动。
7.根据权利要求6所述的外科缝合组件,其中,所述验证键包括:
近侧凸轮表面,所述近侧凸轮表面被构造成能够在所述仓组件最初插入所述第一钳口中时接合所述闭锁臂,其中所述近侧凸轮表面使所述闭锁臂从所述钳口锁定位置运动到中间位置;以及
远侧凸轮表面,所述远侧凸轮表面被构造成能够在所述闭锁臂处于所述中间位置时接合所述闭锁臂,其中当所述仓组件安置在所述第一钳口中时,所述远侧凸轮表面使所述闭锁臂运动到所述钳口闭合位置。
8.根据权利要求7所述的外科缝合组件,其中,所述近侧凸轮表面位于所述远侧凸轮表面的近侧并且从所述远侧凸轮表面在竖直方向上偏离。
9.根据权利要求1所述的外科缝合组件,其中,所述第二闭锁件包括位于所述第一钳口和所述第二钳口中的一者上的邻接部分,所述邻接部分被构造成能够在用尽的所述钉仓安置在所述缝合装置中时被所述击发构件接触。
10.根据权利要求9所述的外科缝合组件,其中,所述击发构件能够在解锁位置和锁定位置之间运动,在所述解锁位置,所述击发构件在所述钉击发行程期间能够从所述起始位置朝远侧运动到所述结束位置,在所述锁定位置,所述邻接部分防止所述击发构件朝远侧运动。
11.根据权利要求10所述的外科缝合组件,其中,所述钉仓中的所述滑动件被构造成能够在所述滑动件处于所述钉仓内的未击发位置并且所述钉仓安置在所述外科缝合装置中时使所述击发构件从所述锁定位置运动到所述解锁位置。
12.根据权利要求11所述的外科缝合组件,其中,所述闭锁臂被构造成能够在所述钳口锁定位置与所述钳口闭合位置之间在第一平面中运动,并且其中所述击发构件能够在所述锁定位置与所述解锁位置之间在第二平面中运动,并且其中所述第一平面相对于所述第二平面正交。
13.根据权利要求11所述的外科缝合组件,其中,当所述滑动件处于所述未击发位置时,当所述钉仓安置在所述外科缝合组件中时,所述第一闭锁件位于所述钉仓的所述滑动件的近侧。
14.根据权利要求1所述的外科缝合组件,其中,所述第一钳口限定第一钳口轴线,并且其中所述闭锁臂被枢转地支撑在所述第一钳口轴线的一侧上。
15.一种外科缝合系统,所述外科缝合系统包括:
第一缝合装置,所述第一缝合装置包括:
第一框架;
第一钳口,所述第一钳口能够相对于所述第一框架在第一打开位置与第一闭合位置之间运动;
第一击发构件,所述第一击发构件在第一钉击发行程期间能够在第一起始位置与第一结束位置之间运动;以及
第一钳口闭锁件,所述第一钳口闭锁件被构造成能够防止所述第一钳口从所述第一打开位置运动到所述第一闭合位置,其中所述第一钳口闭锁件包括第一钳口闭锁臂,所述第一钳口闭锁臂被构造成能够将所述第一钳口可释放地保持在所述第一打开位置;以及
第二缝合装置,所述第二缝合装置包括:
第二框架;第二钳口,所述第二钳口能够相对于所述第二框架在第二打开位置与第二闭合位置之间运动;
第二击发构件,所述第二击发构件在第二钉击发行程期间能够在第二起始位置与第二结束位置之间运动;以及
第二钳口闭锁件,所述第二钳口闭锁件被构造成能够防止所述第二钳口从所述第二打开位置运动到所述第二闭合位置,其中所述第二钳口闭锁件包括第二钳口闭锁臂,所述第二钳口闭锁臂被构造成能够将所述第二钳口可释放地保持在所述第二打开位置;以及
钉仓,所述钉仓被构造能够在所述第一缝合装置和所述第二缝合装置中的任一个中使用,其中所述钉仓包括:
仓体,所述仓体包括纵向狭槽和平台表面;
多个钉凹坑,所述多个钉凹坑穿过所述平台表面开口;
钉,所述钉可移除地储存在每个所述钉凹坑中;以及
滑动件,所述滑动件能够在所述第一钉击发行程和所述第二钉击发行程期间运动穿过所述仓体以击发所述钉;以及
保持器,所述保持器可移除地安装到所述仓体,其中所述保持器在附接到所述仓体时支撑在所述平台表面上以形成仓组件,其中所述保持器包括验证键,所述验证键被构造成能够在所述仓组件安置在所述第一缝合装置中时通过使所述第一钳口闭锁臂离开第一钳口锁定位置运动到第一钳口闭合位置而使所述第一钳口闭锁件失效,其中在所述第一钳口闭合位置处所述第一钳口能够从所述第一打开位置运动到所述第一闭合位置,并且其中所述验证键被进一步构造成能够在所述仓组件安置在所述第二缝合装置中时通过使所述第二钳口闭锁臂离开第二钳口锁定位置运动到第二钳口闭合位置而使所述第二钳口闭锁件失效,其中在所述第二钳口闭合位置处所述第二钳口能够从所述第二打开位置运动到所述第二闭合位置。
16.根据权利要求15所述的外科缝合系统,其中,所述第一框架限定第一框架轴线,其中所述第一钳口闭锁臂被枢转地支撑在所述第一框架轴线的第一侧上,其中所述第二框架限定第二框架轴线,并且其中所述第二钳口闭锁臂被枢转地支撑在所述第二框架轴线的与所述第一框架轴线的所述第一侧相对的相对侧上。
17.根据权利要求16所述的外科缝合系统,其中,所述验证键包括:
第一闭锁斜坡,所述第一闭锁斜坡从所述保持器的近侧端部突出,其中所述第一闭锁斜坡被构造成能够在所述仓组件安置在所述第一缝合装置中时使所述第一钳口闭锁臂从所述第一钳口锁定位置运动到所述第一钳口闭合位置;以及
第二闭锁斜坡,所述第二闭锁斜坡从所述保持器的所述近侧端部突出,其中所述第二闭锁斜坡被构造成能够在所述仓组件安置在所述第二缝合装置中时使所述第二钳口闭锁臂从所述第二钳口锁定位置运动到所述第二钳口闭合位置。
18.根据权利要求17所述的外科缝合系统,其中,所述第一闭锁斜坡包括:
第一近侧凸轮表面,所述第一近侧凸轮表面被构造成能够在所述钉仓组件最初插入所述第一缝合装置中时使所述第一钳口闭锁臂从所述第一钳口锁定位置运动到第一中间位置;以及
第一远侧凸轮表面,所述第一远侧凸轮表面被构造成能够在所述第一钳口闭锁臂处于所述第一中间位置时接合所述第一钳口闭锁臂,其中当所述仓组件完全安置在所述第一缝合装置中时,所述第一远侧凸轮表面使所述第一钳口闭锁臂从所述第一中间位置运动到所述第一钳口闭合位置,并且其中所述第二闭锁斜坡包括:
第二近侧凸轮表面,所述第二近侧凸轮表面被构造成能够在所述钉仓组件最初插入所述第二缝合装置中时使所述第二钳口闭锁臂从所述第二钳口锁定位置运动到第二中间位置;以及
第二远侧凸轮表面,所述第二远侧凸轮表面被构造成能够在所述第二钳口闭锁臂处于所述第二中间位置时接合所述第二钳口闭锁臂,其中当所述仓组件完全安置在所述第二缝合装置中时,所述第二远侧凸轮表面使所述第二钳口闭锁臂从所述第二中间位置运动到所述第二钳口闭合位置。
19.根据权利要求18所述的外科缝合系统,其中,所述第一近侧凸轮表面位于所述第一远侧凸轮表面的近侧并且从所述第一远侧凸轮表面在竖直方向上偏离,并且其中所述第二近侧凸轮表面位于所述第二远侧凸轮表面的近侧并且从所述第二远侧凸轮表面在竖直方向上偏离。
20.一种用于与外科钉仓一起使用的保持器,所述外科钉仓被构造能够与第一外科缝合装置一起使用,所述第一外科缝合装置包括第一钳口和第一框架,其中所述第一钳口能够相对于所述第一框架在第一打开位置与第一闭合位置之间运动,其中所述钉仓包括具有纵向狭槽的仓体、平台表面、穿过所述平台表面开口的多个钉凹坑、可移除地储存在每个钉凹坑中的钉、以及被构造成能够在由所述第一外科缝合装置的第一击发构件驱动时从所述仓体击发所述钉的滑动件,其中所述第一外科缝合装置还包括第一闭锁臂,所述第一闭锁臂能够从第一钳口锁定位置运动到第一钳口闭合位置,其中在所述第一钳口锁定位置处所述第一闭锁臂防止所述第一钳口从所述第一打开位置运动到所述第一闭合位置,其中在所述第一钳口闭合位置处所述第一钳口能够从所述第一打开位置运动到所述第一闭合位置,并且其中所述保持器包括:
保持器主体,所述保持器主体被构造能够可移除地附接到所述仓体,其中所述保持器主体的尺寸被设定成覆盖所述平台表面和所述钉凹坑以形成仓组件;以及
第一验证斜坡,所述第一验证斜坡被构造成能够在所述仓组件安置在所述第一外科缝合装置中并且所述保持器从所述仓体移除时使所述第一闭锁臂从所述第一钳口锁定位置运动到所述第一钳口闭合位置。
21.根据权利要求20所述的保持器,其中,所述第一验证斜坡包括:
第一近侧凸轮表面,所述第一近侧凸轮表面被构造成能够在所述仓组件最初插入所述第一外科缝合装置中时接合所述第一闭锁臂,其中所述第一近侧凸轮表面使所述第一闭锁臂从所述第一钳口锁定位置运动到第一中间位置;以及
第一远侧凸轮表面,所述第一远侧凸轮表面被构造成能够在所述第一闭锁臂处于所述第一中间位置时接合所述第一闭锁臂,其中当所述仓组件安置在所述第一框架中时,所述第一远侧凸轮表面使所述第一闭锁臂从所述第一中间位置运动到所述第一钳口闭合位置。
22.根据权利要求20所述的保持器,其中,所述钉仓被构造能够与包括第二钳口、第二框架和第二闭锁臂的第二外科缝合装置一起使用,其中所述第二钳口能够相对于所述第二框架在第二开口位置与第二闭合位置之间运动,其中所述第二闭锁臂能够从第二钳口锁定位置运动到第二钳口闭合位置,其中在所述第二钳口闭合位置处所述第二钳口能够从所述第二打开位置运动到所述第二闭合位置,其中所述保持器还包括从所述保持器主体的近侧端部突出的第二验证斜坡,并且其中所述第二验证斜坡被构造成能够在所述仓组件安置在所述第二外科缝合装置中并且所述保持器从所述仓体移除时使所述第二闭锁臂从所述第二钳口锁定位置运动到所述第二钳口闭合位置。
23.根据权利要求22所述的保持器,其中,所述第一框架限定第一框架轴线,其中所述第一闭锁臂被枢转地支撑在所述第一框架轴线的第一侧上,其中所述第二框架限定第二框架轴线,其中所述第二闭锁臂被枢转地支撑在所述第二框架轴线的相对第二侧上,其中当所述仓组件支撑在所述第一框架中时,所述保持器限定与所述第一框架轴线在竖直方向上对准的保持器轴线,其中当所述仓组件支撑在所述第二框架中时,所述保持器轴线与所述第二框架轴线在竖直方向上对准,其中所述第一验证斜坡位于所述保持器轴线的第一侧上,并且其中所述第二验证斜坡位于所述保持器轴线的第二侧上。
24.根据权利要求22所述的保持器,其中,所述第一验证斜坡包括:
第一近侧凸轮表面,所述第一近侧凸轮表面被构造成能够在所述钉仓最初插入所述第一外科缝合装置中时接合所述第一闭锁臂,其中所述第一近侧凸轮表面使所述第一闭锁臂从所述第一钳口锁定位置运动到第一中间位置;以及
第一远侧凸轮表面,所述第一远侧凸轮表面被构造成能够在所述第一闭锁臂处于所述第一中间位置时接合所述第一闭锁臂,其中当所述仓组件安置在所述第一框架中时,所述第一远侧凸轮表面使所述第一闭锁臂从所述第一中间位置运动到所述第一钳口闭合位置,并且其中所述第二验证斜坡包括:
第二近侧凸轮表面,所述第二近侧凸轮表面被构造成能够在所述钉仓最初插入所述第二外科缝合装置中时接合所述第二闭锁臂,其中所述第二近侧凸轮表面使所述第二闭锁臂从所述第二钳口锁定位置运动到第二中间位置;以及
第二远侧凸轮表面,所述第二远侧凸轮表面被构造成能够在所述第二闭锁臂处于所述第二中间位置时接合所述第二闭锁臂,其中当所述仓组件安置在所述第二框架中时,所述第二远侧凸轮表面使所述第二闭锁臂从所述第二中间位置运动到所述第二钳口闭合位置。
25.根据权利要求24所述的保持器,其中,所述第一近侧凸轮表面位于所述第一远侧凸轮表面的近侧并且从所述第一远侧凸轮表面在竖直方向上偏离,并且其中所述第二近侧凸轮表面位于所述第二远侧凸轮表面的近侧并且从所述第二远侧凸轮表面在竖直方向上偏离。
CN202080046788.3A 2019-06-25 2020-06-01 具有被构造成能够解锁闭合闭锁件的基于仓的保持器的外科缝合组件 Pending CN114025678A (zh)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201962866208P 2019-06-25 2019-06-25
US62/866,208 2019-06-25
US16/453,289 2019-06-26
US16/453,289 US11291444B2 (en) 2019-02-19 2019-06-26 Surgical stapling assembly with cartridge based retainer configured to unlock a closure lockout
PCT/IB2020/055170 WO2020260985A1 (en) 2019-06-25 2020-06-01 Surgical stapling assembly with cartridge based retainer configured to unlock a closure lockout

Publications (1)

Publication Number Publication Date
CN114025678A true CN114025678A (zh) 2022-02-08

Family

ID=71078557

Family Applications (11)

Application Number Title Priority Date Filing Date
CN202080047403.5A Pending CN114025686A (zh) 2019-06-25 2020-06-01 具有可回缩的验证键的钉仓保持器
CN202080047297.0A Pending CN114072075A (zh) 2019-06-25 2020-06-01 具有验证键的钉仓保持器
CN202080047405.4A Pending CN114025687A (zh) 2019-06-25 2020-06-01 具有验证键的钉仓保持器系统
CN202080046788.3A Pending CN114025678A (zh) 2019-06-25 2020-06-01 具有被构造成能够解锁闭合闭锁件的基于仓的保持器的外科缝合组件
CN202080046758.2A Pending CN114007522A (zh) 2019-06-25 2020-06-02 具有被构造成能够解锁击发闭锁件的基于仓的保持器的外科缝合组件
CN202080047429.XA Pending CN114025688A (zh) 2019-06-25 2020-06-03 具有被构造成能够接合外科缝合装置的闭锁件的主要部分和辅助部分的凸轮表面的钉仓
CN202080047326.3A Pending CN114025682A (zh) 2019-06-25 2020-06-03 包括用于使缝合器的闭锁件失效的插入式去激活器元件的外科缝合器组件
CN202080047226.0A Pending CN114051393A (zh) 2019-06-25 2020-06-03 用于解锁外科缝合器闭锁件的基于双凸轮的特征部
CN202080046874.4A Pending CN114144124A (zh) 2019-06-25 2020-06-08 具有能够运动的验证键布置结构的外科钉仓
CN202080047424.7A Pending CN114072077A (zh) 2019-06-25 2020-06-08 具有一体式验证键的外科钉仓
CN202080046846.2A Pending CN114096203A (zh) 2019-06-25 2020-06-08 用于使外科缝合装置闭锁件失效的去激活器元件

Family Applications Before (3)

Application Number Title Priority Date Filing Date
CN202080047403.5A Pending CN114025686A (zh) 2019-06-25 2020-06-01 具有可回缩的验证键的钉仓保持器
CN202080047297.0A Pending CN114072075A (zh) 2019-06-25 2020-06-01 具有验证键的钉仓保持器
CN202080047405.4A Pending CN114025687A (zh) 2019-06-25 2020-06-01 具有验证键的钉仓保持器系统

Family Applications After (7)

Application Number Title Priority Date Filing Date
CN202080046758.2A Pending CN114007522A (zh) 2019-06-25 2020-06-02 具有被构造成能够解锁击发闭锁件的基于仓的保持器的外科缝合组件
CN202080047429.XA Pending CN114025688A (zh) 2019-06-25 2020-06-03 具有被构造成能够接合外科缝合装置的闭锁件的主要部分和辅助部分的凸轮表面的钉仓
CN202080047326.3A Pending CN114025682A (zh) 2019-06-25 2020-06-03 包括用于使缝合器的闭锁件失效的插入式去激活器元件的外科缝合器组件
CN202080047226.0A Pending CN114051393A (zh) 2019-06-25 2020-06-03 用于解锁外科缝合器闭锁件的基于双凸轮的特征部
CN202080046874.4A Pending CN114144124A (zh) 2019-06-25 2020-06-08 具有能够运动的验证键布置结构的外科钉仓
CN202080047424.7A Pending CN114072077A (zh) 2019-06-25 2020-06-08 具有一体式验证键的外科钉仓
CN202080046846.2A Pending CN114096203A (zh) 2019-06-25 2020-06-08 用于使外科缝合装置闭锁件失效的去激活器元件

Country Status (6)

Country Link
US (2) US11751872B2 (zh)
EP (14) EP3756564A3 (zh)
JP (11) JP2022538144A (zh)
CN (11) CN114025686A (zh)
BR (11) BR112021026396A2 (zh)
WO (11) WO2020260988A1 (zh)

Families Citing this family (448)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
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
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
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
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8827133B2 (en) 2007-01-11 2014-09-09 Ethicon Endo-Surgery, Inc. Surgical stapling device having supports for a flexible drive mechanism
US8590762B2 (en) 2007-03-15 2013-11-26 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configurations
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US11986183B2 (en) 2008-02-14 2024-05-21 Cilag Gmbh International Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US8740038B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a releasable portion
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
CN104334098B (zh) 2012-03-28 2017-03-22 伊西康内外科公司 包括限定低压强环境的胶囊剂的组织厚度补偿件
RU2014143258A (ru) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий множество слоев
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
CN104487005B (zh) 2012-06-28 2017-09-08 伊西康内外科公司 空夹仓闭锁件
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
MX368026B (es) 2013-03-01 2019-09-12 Ethicon Endo Surgery Inc Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal.
BR112015021082B1 (pt) 2013-03-01 2022-05-10 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US10405857B2 (en) 2013-04-16 2019-09-10 Ethicon Llc Powered linear surgical stapler
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
CN106028966B (zh) 2013-08-23 2018-06-22 伊西康内外科有限责任公司 用于动力外科器械的击发构件回缩装置
US20150053737A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. End effector detection systems for surgical instruments
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
CN106456159B (zh) 2014-04-16 2019-03-08 伊西康内外科有限责任公司 紧固件仓组件和钉保持器盖布置结构
CN106456158B (zh) 2014-04-16 2019-02-05 伊西康内外科有限责任公司 包括非一致紧固件的紧固件仓
US10327764B2 (en) 2014-09-26 2019-06-25 Ethicon Llc Method for creating a flexible staple line
BR112016023698B1 (pt) 2014-04-16 2022-07-26 Ethicon Endo-Surgery, Llc Cartucho de prendedores para uso com um instrumento cirúrgico
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US9757128B2 (en) 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
CN107427300B (zh) 2014-09-26 2020-12-04 伊西康有限责任公司 外科缝合支撑物和辅助材料
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
BR112017012996B1 (pt) 2014-12-18 2022-11-08 Ethicon Llc Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーEthicon LLC 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10751108B2 (en) 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10537351B2 (en) 2016-01-15 2020-01-21 Ethicon Llc Modular battery powered handheld surgical instrument with variable motor control limits
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10478181B2 (en) 2016-04-18 2019-11-19 Ethicon Llc Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
JP6983893B2 (ja) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
BR112019011947A2 (pt) 2016-12-21 2019-10-29 Ethicon Llc sistemas de grampeamento cirúrgico
US20180168618A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US10568624B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems
US10736629B2 (en) 2016-12-21 2020-08-11 Ethicon Llc Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
MX2019007295A (es) 2016-12-21 2019-10-15 Ethicon Llc Sistema de instrumento quirúrgico que comprende un bloqueo del efector de extremo y un bloqueo de la unidad de disparo.
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11020114B2 (en) 2017-06-28 2021-06-01 Cilag Gmbh International Surgical instruments with articulatable end effector with axially shortened articulation joint configurations
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US11678880B2 (en) 2017-06-28 2023-06-20 Cilag Gmbh International Surgical instrument comprising a shaft including a housing arrangement
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11406390B2 (en) 2017-10-30 2022-08-09 Cilag Gmbh International Clip applier comprising interchangeable clip reloads
US11793537B2 (en) 2017-10-30 2023-10-24 Cilag Gmbh International Surgical instrument comprising an adaptive electrical system
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US20190192147A1 (en) 2017-12-21 2019-06-27 Ethicon Llc Surgical instrument comprising an articulatable distal head
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US12096916B2 (en) 2017-12-28 2024-09-24 Cilag Gmbh International Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11013563B2 (en) 2017-12-28 2021-05-25 Ethicon Llc Drive arrangements for robot-assisted surgical platforms
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US11771487B2 (en) 2017-12-28 2023-10-03 Cilag Gmbh International Mechanisms for controlling different electromechanical systems of an electrosurgical instrument
US11969142B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11045591B2 (en) 2017-12-28 2021-06-29 Cilag Gmbh International Dual in-series large and small droplet filters
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11179175B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Controlling an ultrasonic surgical instrument according to tissue location
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US12062442B2 (en) 2017-12-28 2024-08-13 Cilag Gmbh International Method for operating surgical instrument systems
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11213359B2 (en) 2017-12-28 2022-01-04 Cilag Gmbh International Controllers for robot-assisted surgical platforms
US20190206569A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method of cloud based data analytics for use with the hub
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US10932872B2 (en) 2017-12-28 2021-03-02 Ethicon Llc Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US11026751B2 (en) 2017-12-28 2021-06-08 Cilag Gmbh International Display of alignment of staple cartridge to prior linear staple line
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11399858B2 (en) 2018-03-08 2022-08-02 Cilag Gmbh International Application of smart blade technology
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11678927B2 (en) 2018-03-08 2023-06-20 Cilag Gmbh International Detection of large vessels during parenchymal dissection using a smart blade
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11213294B2 (en) 2018-03-28 2022-01-04 Cilag Gmbh International Surgical instrument comprising co-operating lockout features
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11331100B2 (en) 2019-02-19 2022-05-17 Cilag Gmbh International Staple cartridge retainer system with authentication keys
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
USD964564S1 (en) * 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11361176B2 (en) 2019-06-28 2022-06-14 Cilag Gmbh International Surgical RFID assemblies for compatibility detection
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US12053224B2 (en) 2019-12-30 2024-08-06 Cilag Gmbh International Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US12114912B2 (en) 2019-12-30 2024-10-15 Cilag Gmbh International Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11974801B2 (en) 2019-12-30 2024-05-07 Cilag Gmbh International Electrosurgical instrument with flexible wiring assemblies
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11937866B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Method for an electrosurgical procedure
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US20210196361A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with monopolar and bipolar energy capabilities
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US12064109B2 (en) 2019-12-30 2024-08-20 Cilag Gmbh International Surgical instrument comprising a feedback control circuit
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
US11497494B2 (en) * 2020-06-30 2022-11-15 Cilag Gmbh International Surgical stapler cartridge retainer with ejector feature
US20220031350A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with double pivot articulation joint arrangements
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
WO2022118168A2 (en) * 2020-12-02 2022-06-09 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11998201B2 (en) 2021-05-28 2024-06-04 Cilag CmbH International Stapling instrument comprising a firing lockout
US11986182B2 (en) * 2021-08-16 2024-05-21 Cilag Gmbh International Multi-position restraining member for sled movement
US11576671B1 (en) * 2021-08-20 2023-02-14 Covidien Lp Small diameter linear surgical stapling apparatus
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems
US20240221924A1 (en) * 2022-12-30 2024-07-04 Cilag Gmbh International Detection of knock-off or counterfeit surgical devices

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2764833A2 (en) * 2013-02-08 2014-08-13 Ethicon Endo-Surgery, Inc. Adhesive film laminate
EP2992834A1 (en) * 2014-09-02 2016-03-09 Ethicon Endo-Surgery, Inc. Methods and devices for locking a surgical device based on loading of a fastener cartridge in the surgical device
CN106456158A (zh) * 2014-04-16 2017-02-22 伊西康内外科有限责任公司 包括非一致紧固件的紧固件仓
US20170265864A1 (en) * 2013-03-08 2017-09-21 Covidien Lp Staple cartridge with shipping wedge
CN108652695A (zh) * 2017-03-31 2018-10-16 江苏风和医疗器材股份有限公司 外科器械

Family Cites Families (2150)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1853416A (en) 1931-01-24 1932-04-12 Ada P Hall Tattoo marker
US2222125A (en) 1940-03-19 1940-11-19 Rudolph J Stehlik Nail driver
US3082426A (en) 1960-06-17 1963-03-26 George Oliver Halsted Surgical stapling device
US3187308A (en) 1961-07-03 1965-06-01 Gen Electric Information storage system for microwave computer
US3157308A (en) 1961-09-05 1964-11-17 Clark Mfg Co J L Canister type container and method of making the same
US3503396A (en) 1967-09-21 1970-03-31 American Hospital Supply Corp Atraumatic surgical clamp
US3584628A (en) 1968-10-11 1971-06-15 United States Surgical Corp Wire suture wrapping instrument
US3633584A (en) 1969-06-10 1972-01-11 Research Corp Method and means for marking animals for identification
US4041362A (en) 1970-01-23 1977-08-09 Canon Kabushiki Kaisha Motor control system
US3626457A (en) 1970-03-05 1971-12-07 Koppers Co Inc Sentinel control for cutoff apparatus
US3759017A (en) 1971-10-22 1973-09-18 American Air Filter Co Latch for a filter apparatus
US3863118A (en) 1973-01-26 1975-01-28 Warner Electric Brake & Clutch Closed-loop speed control for step motors
US3898545A (en) 1973-05-25 1975-08-05 Mohawk Data Sciences Corp Motor control circuit
US3932812A (en) 1974-03-20 1976-01-13 Peripheral Equipment Corporation Motor speed indicator
US3912121A (en) 1974-08-14 1975-10-14 Dickey John Corp Controlled population monitor
US3915271A (en) 1974-09-25 1975-10-28 Koppers Co Inc Method and apparatus for electronically controlling the engagement of coacting propulsion systems
US4052649A (en) 1975-06-18 1977-10-04 Lear Motors Corporation Hand held variable speed drill motor and control system therefor
AT340039B (de) 1975-09-18 1977-11-25 Viennatone Gmbh Myoelektrische steuerschaltung
US4096006A (en) 1976-09-22 1978-06-20 Spectra-Strip Corporation Method and apparatus for making twisted pair multi-conductor ribbon cable with intermittent straight sections
US4412539A (en) 1976-10-08 1983-11-01 United States Surgical Corporation Repeating hemostatic clip applying instruments and multi-clip cartridges therefor
US4171700A (en) 1976-10-13 1979-10-23 Erbe Elektromedizin Gmbh & Co. Kg High-frequency surgical apparatus
JPS6056394B2 (ja) 1976-12-10 1985-12-10 ソニー株式会社 モ−タの制御装置
US4157859A (en) 1977-05-26 1979-06-12 Clifford Terry Surgical microscope system
CA1124605A (en) 1977-08-05 1982-06-01 Charles H. Klieman Surgical stapler
DE2944730A1 (de) 1978-11-16 1980-05-29 Corning Glass Works Chirurgisches instrument
DE3016131A1 (de) 1980-04-23 1981-10-29 Siemens AG, 1000 Berlin und 8000 München Nachrichtenkabel mit einer vorrichtung zur bestimmung des feuchtezustandes
DE3204522A1 (de) 1982-02-10 1983-08-25 B. Braun Melsungen Ag, 3508 Melsungen Chirurgisches hautklammergeraet
US4448193A (en) 1982-02-26 1984-05-15 Ethicon, Inc. Surgical clip applier with circular clip magazine
US5385544A (en) 1992-08-12 1995-01-31 Vidamed, Inc. BPH ablation method and apparatus
US4614366A (en) 1983-11-18 1986-09-30 Exactident, Inc. Nail identification wafer
US4633874A (en) 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
US4608160A (en) 1984-11-05 1986-08-26 Nelson Industries, Inc. System for separating liquids
DE3523871C3 (de) 1985-07-04 1994-07-28 Erbe Elektromedizin Hochfrequenz-Chirurgiegerät
US4701193A (en) 1985-09-11 1987-10-20 Xanar, Inc. Smoke evacuator system for use in laser surgery
GB2180972A (en) 1985-09-27 1987-04-08 Philips Electronic Associated Generating addresses for circuit units
US5047043A (en) 1986-03-11 1991-09-10 Olympus Optical Co., Ltd. Resecting device for living organism tissue utilizing ultrasonic vibrations
US4735603A (en) 1986-09-10 1988-04-05 James H. Goodson Laser smoke evacuation system and method
USD303787S (en) 1986-10-31 1989-10-03 Messenger Ronald L Connector strain relieving back shell
GB8704265D0 (en) 1987-02-24 1987-04-01 Yang T H Manual electric tools(1)
US5084057A (en) 1989-07-18 1992-01-28 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US5158585A (en) 1988-04-13 1992-10-27 Hitachi, Ltd. Compressor unit and separator therefor
DE3824913A1 (de) 1988-07-22 1990-02-01 Thomas Hill Einrichtung zur ueberwachung von hochfrequenten elektrischen leckstroemen
JPH071130Y2 (ja) 1988-10-25 1995-01-18 オリンパス光学工業株式会社 超音波処置装置
US4892244A (en) 1988-11-07 1990-01-09 Ethicon, Inc. Surgical stapler cartridge lockout device
US4955959A (en) 1989-05-26 1990-09-11 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
DE4017626A1 (de) 1989-05-31 1990-12-06 Kyocera Corp Blutgefaesskoagulations-/-blutstillungs-einrichtung
JPH0341943A (ja) 1989-07-10 1991-02-22 Topcon Corp レーザー手術装置
US5010341A (en) 1989-10-04 1991-04-23 The United States Of America As Represented By The Secretary Of The Navy High pulse repetition frequency radar early warning receiver
DE4002843C1 (en) 1990-02-01 1991-04-18 Gesellschaft Fuer Geraetebau Mbh, 4600 Dortmund, De Protective breathing mask with filter - having gas sensors in-front and behind with difference in their signals providing signal for change of filter
US5035692A (en) 1990-02-13 1991-07-30 Nicholas Herbert Hemostasis clip applicator
US5026387A (en) 1990-03-12 1991-06-25 Ultracision Inc. Method and apparatus for ultrasonic surgical cutting and hemostatis
US5318516A (en) 1990-05-23 1994-06-07 Ioan Cosmescu Radio frequency sensor for automatic smoke evacuator system for a surgical laser and/or electrical apparatus and method therefor
DE4026452C2 (de) 1990-08-21 1993-12-02 Schott Glaswerke Vorrichtung zur Erkennung und Unterscheidung von unter eine Steckverbindung an einen Laser anschließbaren medizinischen Einwegapplikatoren
US5204669A (en) 1990-08-30 1993-04-20 Datacard Corporation Automatic station identification where function modules automatically initialize
US5156315A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate 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
US5100402A (en) 1990-10-05 1992-03-31 Megadyne Medical Products, Inc. Electrosurgical laparoscopic cauterization electrode
US5129570A (en) * 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
AU662719B2 (en) 1990-12-18 1995-09-14 United States Surgical Corporation Safety device for a surgical stapler cartridge
USD399561S (en) 1991-01-24 1998-10-13 Megadyne Medical Products, Inc. Electrical surgical forceps handle
US5217003A (en) 1991-03-18 1993-06-08 Wilk Peter J Automated surgical system and apparatus
US5423192A (en) 1993-08-18 1995-06-13 General Electric Company Electronically commutated motor for driving a compressor
US5396900A (en) 1991-04-04 1995-03-14 Symbiosis Corporation Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery
US5171247A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier with rotating shaft
US5189277A (en) 1991-04-08 1993-02-23 Thermal Dynamics Corporation Modular, stackable plasma cutting apparatus
US5413267A (en) 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
US5197962A (en) 1991-06-05 1993-03-30 Megadyne Medical Products, Inc. Composite electrosurgical medical instrument
US5417210A (en) 1992-05-27 1995-05-23 International Business Machines Corporation System and method for augmentation of endoscopic surgery
USD327061S (en) 1991-07-29 1992-06-16 Motorola, Inc. Radio telephone controller or similar article
US5307976A (en) 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
US6250532B1 (en) 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
US5397046A (en) 1991-10-18 1995-03-14 United States Surgical Corporation Lockout mechanism for surgical apparatus
WO1993008897A1 (en) 1991-11-01 1993-05-13 Sorenson Laboratories, Inc. Dual mode laser smoke evacuation system with sequential filter monitor and vacuum compensation
US7497828B1 (en) 1992-01-10 2009-03-03 Wilk Ultrasound Of Canada, Inc. Ultrasonic medical device and associated method
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5318563A (en) 1992-06-04 1994-06-07 Valley Forge Scientific Corporation Bipolar RF generator
US5906625A (en) 1992-06-04 1999-05-25 Olympus Optical Co., Ltd. Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue
US5762458A (en) 1996-02-20 1998-06-09 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5772597A (en) 1992-09-14 1998-06-30 Sextant Medical Corporation Surgical tool end effector
FR2696089B1 (fr) 1992-09-25 1994-11-25 Gen Electric Cgr Dispositif de manipulation d'un appareil de radiologie.
US5626587A (en) 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
DE4304353A1 (de) 1992-10-24 1994-04-28 Helmut Dipl Ing Wurster Endoskopisches Nähgerät
US5610811A (en) 1992-11-09 1997-03-11 Niti-On Medical Supply Co., Ltd. Surgical instrument file system
US5417699A (en) 1992-12-10 1995-05-23 Perclose Incorporated Device and method for the percutaneous suturing of a vascular puncture site
US5697926A (en) 1992-12-17 1997-12-16 Megadyne Medical Products, Inc. Cautery medical instrument
US5403312A (en) 1993-07-22 1995-04-04 Ethicon, Inc. Electrosurgical hemostatic device
US5403327A (en) 1992-12-31 1995-04-04 Pilling Weck Incorporated Surgical clip applier
US5322055B1 (en) 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
US5987346A (en) 1993-02-26 1999-11-16 Benaron; David A. Device and method for classification of tissue
US5467911A (en) 1993-04-27 1995-11-21 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
JP3559561B2 (ja) 1993-04-30 2004-09-02 ユナイテッド・ステイツ・サージカル・コーポレイション 関節ジョー構造および着脱可能ナイフを備えた外科手術用器具
GB9309142D0 (en) 1993-05-04 1993-06-16 Gyrus Medical Ltd Laparoscopic instrument
US5364003A (en) 1993-05-05 1994-11-15 Ethicon Endo-Surgery Staple cartridge for a surgical stapler
US5439468A (en) 1993-05-07 1995-08-08 Ethicon Endo-Surgery Surgical clip applier
DE69432148T2 (de) 1993-07-01 2003-10-16 Boston Scientific Ltd., St. Michael Katheter zur bilddarstellung, zur anzeige elektrischer signale und zur ablation
US5817093A (en) 1993-07-22 1998-10-06 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
GR940100335A (el) 1993-07-22 1996-05-22 Ethicon Inc. Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων.
JPH07132122A (ja) 1993-11-09 1995-05-23 Olympus Optical Co Ltd 医療用制御システム
US5342349A (en) 1993-08-18 1994-08-30 Sorenson Laboratories, Inc. Apparatus and system for coordinating a surgical plume evacuator and power generator
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
ZA948393B (en) 1993-11-01 1995-06-26 Polartechnics Ltd Method and apparatus for tissue type recognition
US5462545A (en) 1994-01-31 1995-10-31 New England Medical Center Hospitals, Inc. Catheter electrodes
US5560372A (en) 1994-02-02 1996-10-01 Cory; Philip C. Non-invasive, peripheral nerve mapping device and method of use
US5465895A (en) 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5415335A (en) 1994-04-07 1995-05-16 Ethicon Endo-Surgery Surgical stapler cartridge containing lockout mechanism
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
US5474566A (en) 1994-05-05 1995-12-12 United States Surgical Corporation Self-contained powered surgical apparatus
DE69534011T8 (de) 1994-07-29 2006-07-06 Olympus Optical Co., Ltd. Medizinisches Instrument zur Benutzung in Kombination mit Endoskopen
US5496315A (en) 1994-08-26 1996-03-05 Megadyne Medical Products, Inc. Medical electrode insulating system
US6646541B1 (en) 1996-06-24 2003-11-11 Computer Motion, Inc. General purpose distributed operating room control system
US7053752B2 (en) 1996-08-06 2006-05-30 Intuitive Surgical General purpose distributed operating room control system
DE4434864C2 (de) 1994-09-29 1997-06-19 United States Surgical Corp Chirurgischer Klammerapplikator mit auswechselbarem Klammermagazin
US6678552B2 (en) 1994-10-24 2004-01-13 Transscan Medical Ltd. Tissue characterization based on impedance images and on impedance measurements
US5531743A (en) 1994-11-18 1996-07-02 Megadyne Medical Products, Inc. Resposable electrode
US5846237A (en) 1994-11-18 1998-12-08 Megadyne Medical Products, Inc. Insulated implement
JP3506809B2 (ja) 1995-06-08 2004-03-15 オリンパス株式会社 体腔内観察装置
JPH08164148A (ja) 1994-12-13 1996-06-25 Olympus Optical Co Ltd 内視鏡下手術装置
US5836869A (en) 1994-12-13 1998-11-17 Olympus Optical Co., Ltd. Image tracking endoscope system
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5613966A (en) 1994-12-21 1997-03-25 Valleylab Inc System and method for accessory rate control
DE19503702B4 (de) 1995-02-04 2005-10-27 Nicolay Verwaltungs-Gmbh Flüssigkeits- und gasdicht gekapselter Schalter, insbesondere für elektrochirurgische Instrumente
US5654750A (en) 1995-02-23 1997-08-05 Videorec Technologies, Inc. Automatic recording system
US5735445A (en) 1995-03-07 1998-04-07 United States Surgical Corporation Surgical stapler
US5695505A (en) 1995-03-09 1997-12-09 Yoon; Inbae Multifunctional spring clips and cartridges and applicators therefor
US5942333A (en) 1995-03-27 1999-08-24 Texas Research Institute Non-conductive coatings for underwater connector backshells
US5624452A (en) 1995-04-07 1997-04-29 Ethicon Endo-Surgery, Inc. Hemostatic surgical cutting or stapling instrument
US5775331A (en) 1995-06-07 1998-07-07 Uromed Corporation Apparatus and method for locating a nerve
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
US5706998A (en) 1995-07-17 1998-01-13 United States Surgical Corporation Surgical stapler with alignment pin locking mechanism
US5718359A (en) 1995-08-14 1998-02-17 United States Of America Surgical Corporation Surgical stapler with lockout mechanism
US5693052A (en) 1995-09-01 1997-12-02 Megadyne Medical Products, Inc. Coated bipolar electrocautery
USD379346S (en) 1995-09-05 1997-05-20 International Business Machines Corporation Battery charger
US6283960B1 (en) 1995-10-24 2001-09-04 Oratec Interventions, Inc. Apparatus for delivery of energy to a surgical site
GB9521772D0 (en) 1995-10-24 1996-01-03 Gyrus Medical Ltd An electrosurgical instrument
DE19546707A1 (de) 1995-12-14 1997-06-19 Bayerische Motoren Werke Ag Antriebseinrichtung für ein Kraftfahrzeug
US5746209A (en) 1996-01-26 1998-05-05 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Method of and apparatus for histological human tissue characterizationusing ultrasound
US5762255A (en) 1996-02-20 1998-06-09 Richard-Allan Medical Industries, Inc. Surgical instrument with improvement safety lockout mechanisms
US5797537A (en) 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
US5725536A (en) 1996-02-20 1998-03-10 Richard-Allen Medical Industries, Inc. Articulated surgical instrument with improved articulation control mechanism
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US6099537A (en) 1996-02-26 2000-08-08 Olympus Optical Co., Ltd. Medical treatment instrument
US5673842A (en) 1996-03-05 1997-10-07 Ethicon Endo-Surgery Surgical stapler with locking mechanism
IL117607A0 (en) 1996-03-21 1996-07-23 Dev Of Advanced Medical Produc Surgical stapler and method of surgical fastening
DE69733648T2 (de) 1996-04-18 2006-05-04 Applied Medical Resources Corp., Rancho Santa Margarita Verfahren zum anbringen von verformbaren klemmen
US6911916B1 (en) 1996-06-24 2005-06-28 The Cleveland Clinic Foundation Method and apparatus for accessing medical data over a network
US6017354A (en) 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
EP0955984B1 (en) 1996-08-29 2004-04-21 Bausch & Lomb Surgical, Inc. Dual loop frequency and power control
US5997528A (en) 1996-08-29 1999-12-07 Bausch & Lomb Surgical, Inc. Surgical system providing automatic reconfiguration
US5724468A (en) 1996-09-09 1998-03-03 Lucent Technologies Inc. Electronic backplane device for a fiber distribution shelf in an optical fiber administration system
US7030146B2 (en) 1996-09-10 2006-04-18 University Of South Carolina Methods for treating diabetic neuropathy
US5836909A (en) 1996-09-13 1998-11-17 Cosmescu; Ioan Automatic fluid control system for use in open and laparoscopic laser surgery and electrosurgery and method therefor
US6109500A (en) 1996-10-04 2000-08-29 United States Surgical Corporation Lockout mechanism for a surgical stapler
US5843080A (en) 1996-10-16 1998-12-01 Megadyne Medical Products, Inc. Bipolar instrument with multi-coated electrodes
US6053910A (en) 1996-10-30 2000-04-25 Megadyne Medical Products, Inc. Capacitive reusable electrosurgical return electrode
US6582424B2 (en) 1996-10-30 2003-06-24 Megadyne Medical Products, Inc. Capacitive reusable electrosurgical return electrode
US7054674B2 (en) 1996-11-19 2006-05-30 Astron Clinica Limited Method of and apparatus for investigating tissue histology
US5766186A (en) 1996-12-03 1998-06-16 Simon Fraser University Suturing device
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US8183998B2 (en) 1996-12-16 2012-05-22 Ip Holdings, Inc. System for seamless and secure networking of implantable medical devices, electronic patch devices and wearable devices
EP0864348A1 (en) 1997-03-11 1998-09-16 Philips Electronics N.V. Gas purifier
US6699187B2 (en) 1997-03-27 2004-03-02 Medtronic, Inc. System and method for providing remote expert communications and video capabilities for use during a medical procedure
US7041941B2 (en) 1997-04-07 2006-05-09 Patented Medical Solutions, Llc Medical item thermal treatment systems and method of monitoring medical items for compliance with prescribed requirements
US5947996A (en) 1997-06-23 1999-09-07 Medicor Corporation Yoke for surgical instrument
DE19731894C1 (de) 1997-07-24 1999-05-12 Storz Karl Gmbh & Co Endoskopisches Instrument zur Durchführung von endoskopischen Eingriffen oder Untersuchungen und endoskopisches Instrumentarium, enthaltend ein solches endoskopisches Instrument
US5878938A (en) 1997-08-11 1999-03-09 Ethicon Endo-Surgery, Inc. Surgical stapler with improved locking mechanism
US6102907A (en) 1997-08-15 2000-08-15 Somnus Medical Technologies, Inc. Apparatus and device for use therein and method for ablation of tissue
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US6039735A (en) 1997-10-03 2000-03-21 Megadyne Medical Products, Inc. Electric field concentrated electrosurgical electrode
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
US6068627A (en) 1997-12-10 2000-05-30 Valleylab, Inc. Smart recognition apparatus and method
US6273887B1 (en) 1998-01-23 2001-08-14 Olympus Optical Co., Ltd. High-frequency treatment tool
US6113598A (en) 1998-02-17 2000-09-05 Baker; James A. Radiofrequency medical instrument and methods for vessel welding
US6457625B1 (en) 1998-02-17 2002-10-01 Bionx Implants, Oy Device for installing a tissue fastener
US6126658A (en) 1998-02-19 2000-10-03 Baker; James A. Radiofrequency medical instrument and methods for vessel welding
JPH11267133A (ja) 1998-03-25 1999-10-05 Olympus Optical Co Ltd 治療装置
US5968032A (en) 1998-03-30 1999-10-19 Sleister; Dennis R. Smoke evacuator for a surgical laser or cautery plume
US8688188B2 (en) 1998-04-30 2014-04-01 Abbott Diabetes Care Inc. Analyte monitoring device and methods of use
US6059799A (en) 1998-06-25 2000-05-09 United States Surgical Corporation Apparatus for applying surgical clips
US6341164B1 (en) 1998-07-22 2002-01-22 Entrust Technologies Limited Method and apparatus for correcting improper encryption and/or for reducing memory storage
US6126592A (en) 1998-09-12 2000-10-03 Smith & Nephew, Inc. Endoscope cleaning and irrigation sheath
US6090107A (en) 1998-10-20 2000-07-18 Megadyne Medical Products, Inc. Resposable electrosurgical instrument
EP1123051A4 (en) 1998-10-23 2003-01-02 Applied Med Resources SURGICAL PLIERS WITH INSERTS AND METHOD FOR USE
US7901400B2 (en) 1998-10-23 2011-03-08 Covidien Ag Method and system for controlling output of RF medical generator
US20100042093A9 (en) 1998-10-23 2010-02-18 Wham Robert H System and method for terminating treatment in impedance feedback algorithm
US7137980B2 (en) 1998-10-23 2006-11-21 Sherwood Services Ag Method and system for controlling output of RF medical generator
JP4101951B2 (ja) 1998-11-10 2008-06-18 オリンパス株式会社 手術用顕微鏡
US6451015B1 (en) 1998-11-18 2002-09-17 Sherwood Services Ag Method and system for menu-driven two-dimensional display lesion generator
US6659939B2 (en) 1998-11-20 2003-12-09 Intuitive Surgical, Inc. Cooperative minimally invasive telesurgical system
US6325808B1 (en) 1998-12-08 2001-12-04 Advanced Realtime Control Systems, Inc. Robotic system, docking station, and surgical tool for collaborative control in minimally invasive surgery
US6522906B1 (en) 1998-12-08 2003-02-18 Intuitive Surgical, Inc. Devices and methods for presenting and regulating auxiliary information on an image display of a telesurgical system to assist an operator in performing a surgical procedure
DE19860689C2 (de) 1998-12-29 2001-07-05 Erbe Elektromedizin Verfahren zum Steuern einer Vorrichtung zum Entfernen von Rauch sowie Vorrichtung zur Durchführung des Verfahrens
US6530933B1 (en) 1998-12-31 2003-03-11 Teresa T. Yeung Methods and devices for fastening bulging or herniated intervertebral discs
US6423057B1 (en) 1999-01-25 2002-07-23 The Arizona Board Of Regents On Behalf Of The University Of Arizona Method and apparatus for monitoring and controlling tissue temperature and lesion formation in radio-frequency ablation procedures
GB2351884B (en) 1999-04-10 2002-07-31 Peter Strong Data transmission method
US6308089B1 (en) 1999-04-14 2001-10-23 O.B. Scientific, Inc. Limited use medical probe
US6301495B1 (en) 1999-04-27 2001-10-09 International Business Machines Corporation System and method for intra-operative, image-based, interactive verification of a pre-operative surgical plan
US6461352B2 (en) 1999-05-11 2002-10-08 Stryker Corporation Surgical handpiece with self-sealing switch assembly
US6454781B1 (en) 1999-05-26 2002-09-24 Ethicon Endo-Surgery, Inc. Feedback control in an ultrasonic surgical instrument for improved tissue effects
US8229549B2 (en) 2004-07-09 2012-07-24 Tyco Healthcare Group Lp Surgical imaging device
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US8292888B2 (en) 2001-04-20 2012-10-23 Tyco Healthcare Group Lp Bipolar or ultrasonic surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6619406B1 (en) 1999-07-14 2003-09-16 Cyra Technologies, Inc. Advanced applications for 3-D autoscanning LIDAR system
JP2001029353A (ja) 1999-07-21 2001-02-06 Olympus Optical Co Ltd 超音波処置装置
WO2001008578A1 (en) 1999-07-30 2001-02-08 Vivant Medical, Inc. Device and method for safe location and marking of a cavity and sentinel lymph nodes
DE19935904C1 (de) 1999-07-30 2001-07-12 Karlsruhe Forschzent Applikatorspitze eines chirurgischen Applikators zum Setzen von Clips/Klammern für die Verbindung von Gewebe
WO2001012089A1 (en) 1999-08-12 2001-02-22 Somnus Medical Technologies, Inc. Nerve stimulation and tissue ablation apparatus and method
US6269411B1 (en) 1999-08-12 2001-07-31 Hewlett-Packard Company System for enabling stacking of autochanger modules
US6611793B1 (en) 1999-09-07 2003-08-26 Scimed Life Systems, Inc. Systems and methods to identify and disable re-use single use devices based on detecting environmental changes
AU7036100A (en) 1999-09-13 2001-04-17 Fernway Limited A method for transmitting data between respective first and second modems in a telecommunications system, and telecommunications system
US8004229B2 (en) 2005-05-19 2011-08-23 Intuitive Surgical Operations, Inc. Software center and highly configurable robotic systems for surgery and other uses
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
US20040078236A1 (en) 1999-10-30 2004-04-22 Medtamic Holdings Storage and access of aggregate patient data for analysis
US6466817B1 (en) 1999-11-24 2002-10-15 Nuvasive, Inc. Nerve proximity and status detection system and method
AU776786B2 (en) 2000-01-07 2004-09-23 Biowave Corporation Electro therapy method and apparatus
US6569109B2 (en) 2000-02-04 2003-05-27 Olympus Optical Co., Ltd. Ultrasonic operation apparatus for performing follow-up control of resonance frequency drive of ultrasonic oscillator by digital PLL system using DDS (direct digital synthesizer)
US6911033B2 (en) 2001-08-21 2005-06-28 Microline Pentax Inc. Medical clip applying device
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
AUPQ600100A0 (en) 2000-03-03 2000-03-23 Macropace Products Pty. Ltd. Animation technology
US6689131B2 (en) 2001-03-08 2004-02-10 Tissuelink Medical, Inc. Electrosurgical device having a tissue reduction sensor
US6391102B1 (en) 2000-03-21 2002-05-21 Stackhouse, Inc. Air filtration system with filter efficiency management
JP3875841B2 (ja) 2000-03-28 2007-01-31 アロカ株式会社 医療システム
US6778846B1 (en) 2000-03-30 2004-08-17 Medtronic, Inc. Method of guiding a medical device and system regarding same
EP1272117A2 (en) 2000-03-31 2003-01-08 Rita Medical Systems, Inc. Tissue biopsy and treatment apparatus and method
US6905498B2 (en) 2000-04-27 2005-06-14 Atricure Inc. Transmural ablation device with EKG sensor and pacing electrode
US7252664B2 (en) 2000-05-12 2007-08-07 Cardima, Inc. System and method for multi-channel RF energy delivery with coagulum reduction
WO2001087154A1 (en) 2000-05-18 2001-11-22 Nuvasive, Inc. Tissue discrimination and applications in medical procedures
DE10025285A1 (de) 2000-05-22 2001-12-06 Siemens Ag Vollautomatische, robotergestützte Kameraführung unter Verwendung von Positionssensoren für laparoskopische Eingriffe
US6742895B2 (en) 2000-07-06 2004-06-01 Alan L. Robin Internet-based glaucoma diagnostic system
AU2001279026B2 (en) 2000-07-25 2005-12-22 Angiodynamics, Inc. Apparatus for detecting and treating tumors using localized impedance measurement
ATE369800T1 (de) 2000-09-24 2007-09-15 Medtronic Inc Motorsteuerungssystem für ein chirurgisches handstück
US7334717B2 (en) 2001-10-05 2008-02-26 Tyco Healthcare Group Lp Surgical fastener applying apparatus
DE60135920D1 (de) 2000-10-13 2008-11-06 Tyco Healthcare Chirurgisches instrument zum anlegen von klammern
WO2003079909A2 (en) 2002-03-19 2003-10-02 Tyco Healthcare Group, Lp Surgical fastener applying apparatus
US6633234B2 (en) 2000-10-20 2003-10-14 Ethicon Endo-Surgery, Inc. Method for detecting blade breakage using rate and/or impedance information
US6679899B2 (en) 2000-10-20 2004-01-20 Ethicon Endo-Surgery, Inc. Method for detecting transverse vibrations in an ultrasonic hand piece
US20020049551A1 (en) 2000-10-20 2002-04-25 Ethicon Endo-Surgery, Inc. Method for differentiating between burdened and cracked ultrasonically tuned blades
CA2702198C (en) 2000-10-20 2013-12-17 Ethicon Endo-Surgery, Inc. Detection circuitry for surgical handpiece system
US7077853B2 (en) 2000-10-20 2006-07-18 Ethicon Endo-Surgery, Inc. Method for calculating transducer capacitance to determine transducer temperature
US6945981B2 (en) 2000-10-20 2005-09-20 Ethicon-Endo Surgery, Inc. Finger operated switch for controlling a surgical handpiece
US6480796B2 (en) 2000-10-20 2002-11-12 Ethicon Endo-Surgery, Inc. Method for improving the start up of an ultrasonic system under zero load conditions
US7423972B2 (en) 2000-11-28 2008-09-09 Flash Networks Ltd. System and method for a transmission rate controller
US7232445B2 (en) 2000-12-06 2007-06-19 Id, Llc Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD)
US6558380B2 (en) 2000-12-08 2003-05-06 Gfd Gesellschaft Fur Diamantprodukte Mbh Instrument for surgical purposes and method of cleaning same
EP1216651A1 (de) 2000-12-21 2002-06-26 BrainLAB AG Kabelloses medizinisches Erfassungs- und Behandlungssystem
US20050004559A1 (en) 2003-06-03 2005-01-06 Senorx, Inc. Universal medical device control console
US6618626B2 (en) 2001-01-16 2003-09-09 Hs West Investments, Llc Apparatus and methods for protecting the axillary nerve during thermal capsullorhaphy
US6551243B2 (en) 2001-01-24 2003-04-22 Siemens Medical Solutions Health Services Corporation System and user interface for use in providing medical information and health care delivery support
US6775575B2 (en) 2001-02-26 2004-08-10 D. Bommi Bommannan System and method for reducing post-surgical complications
EP1235471A1 (en) 2001-02-27 2002-08-28 STMicroelectronics Limited A stackable module
ATE431110T1 (de) 2001-02-27 2009-05-15 Smith & Nephew Inc Chirurgisches navigationssystem zur teilweisen kniegelenkrekonstruktion
JP4443116B2 (ja) 2001-03-14 2010-03-31 ブラウン ゲーエムベーハー 歯の洗浄方法及び装置
JP3660887B2 (ja) 2001-03-19 2005-06-15 株式会社日立製作所 手術支援装置
JP2002288105A (ja) 2001-03-26 2002-10-04 Hitachi Ltd ストレージエリアネットワークシステム、その運用方法、ストレージ、データ転送量監視装置
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
EP1381302B1 (en) 2001-04-20 2008-06-18 Power Medical Interventions, Inc. Imaging device
US20020169584A1 (en) 2001-05-14 2002-11-14 Zhongsu Fu Mobile monitoring system
US11229472B2 (en) 2001-06-12 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with multiple magnetic position sensors
CA2449567A1 (en) 2001-06-13 2002-12-19 Ckm Diagnostics, Inc. Non-invasive method and apparatus for tissue detection
US7044911B2 (en) 2001-06-29 2006-05-16 Philometron, Inc. Gateway platform for biological monitoring and delivery of therapeutic compounds
US20040243147A1 (en) 2001-07-03 2004-12-02 Lipow Kenneth I. Surgical robot and robotic controller
US7208005B2 (en) 2001-08-06 2007-04-24 The Penn State Research Foundation Multifunctional tool and method for minimally invasive surgery
EP2314233B1 (en) 2001-08-08 2013-06-12 Stryker Corporation A surgical tool system with an intermediate attachment located between the handpiece and an accessory or an implant, the attachment able to transmit energy from the handpiece to the accessory or the implant and the transmission of data signals from the accessory or implant to the handpiece
US7344532B2 (en) 2001-08-27 2008-03-18 Gyrus Medical Limited Electrosurgical generator and system
US20030046109A1 (en) 2001-08-30 2003-03-06 Olympus Optical Co., Ltd. Medical information system for improving efficiency of clinical record creating operations
US7104949B2 (en) 2001-08-31 2006-09-12 Ams Research Corporation Surgical articles for placing an implant about a tubular tissue structure and methods
US20030093503A1 (en) 2001-09-05 2003-05-15 Olympus Optical Co., Ltd. System for controling medical instruments
JP4450622B2 (ja) 2001-09-28 2010-04-14 アンジオ ダイナミクス インコーポレイテッド インピーダンス制御組織剥離装置および方法
CN1561244A (zh) 2001-09-28 2005-01-05 密根医药公司 用于保证和/或识别通向透皮探针的链路的方法和设备
US6524307B1 (en) 2001-10-05 2003-02-25 Medtek Devices, Inc. Smoke evacuation apparatus
US6635056B2 (en) 2001-10-09 2003-10-21 Cardiac Pacemakers, Inc. RF ablation apparatus and method using amplitude control
DE10151269B4 (de) 2001-10-17 2005-08-25 Sartorius Ag Verfahren zum Überwachen der Integrität von Filtrationsanlagen
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
US6770072B1 (en) 2001-10-22 2004-08-03 Surgrx, Inc. Electrosurgical jaw structure for controlled energy delivery
US8075558B2 (en) 2002-04-30 2011-12-13 Surgrx, Inc. Electrosurgical instrument and method
US8567393B2 (en) 2001-11-01 2013-10-29 Scott Laboratories, Inc User interface for sedation and analgesia delivery systems and methods
US7383088B2 (en) 2001-11-07 2008-06-03 Cardiac Pacemakers, Inc. Centralized management system for programmable medical devices
US7409354B2 (en) 2001-11-29 2008-08-05 Medison Online Inc. Method and apparatus for operative event documentation and related data management
CA2466812C (en) 2001-12-04 2012-04-03 Michael P. Whitman System and method for calibrating a surgical instrument
US6783525B2 (en) 2001-12-12 2004-08-31 Megadyne Medical Products, Inc. Application and utilization of a water-soluble polymer on a surface
US20030114851A1 (en) 2001-12-13 2003-06-19 Csaba Truckai Electrosurgical jaws for controlled application of clamping pressure
US6869435B2 (en) 2002-01-17 2005-03-22 Blake, Iii John W Repeating multi-clip applier
US8775196B2 (en) 2002-01-29 2014-07-08 Baxter International Inc. System and method for notification and escalation of medical data
US6585791B1 (en) 2002-01-29 2003-07-01 Jon C. Garito Smoke plume evacuation filtration system
EP1334699A1 (en) 2002-02-11 2003-08-13 Led S.p.A. Apparatus for electrosurgery
US6685704B2 (en) 2002-02-26 2004-02-03 Megadyne Medical Products, Inc. Utilization of an active catalyst in a surface coating of an electrosurgical instrument
US20030210812A1 (en) 2002-02-26 2003-11-13 Ali Khamene Apparatus and method for surgical navigation
US8010180B2 (en) 2002-03-06 2011-08-30 Mako Surgical Corp. Haptic guidance system and method
WO2008042486A2 (en) 2006-07-03 2008-04-10 Beth Israel Deaconess Medical Center Multi-channel medical imaging systems
US7527590B2 (en) 2002-03-19 2009-05-05 Olympus Corporation Anastomosis system
US7343565B2 (en) 2002-03-20 2008-03-11 Mercurymd, Inc. Handheld device graphical user interfaces for displaying patient medical records
US6641039B2 (en) 2002-03-21 2003-11-04 Alcon, Inc. Surgical procedure identification system
FR2838234A1 (fr) 2002-04-03 2003-10-10 Sylea Cable electrique plat
US7258688B1 (en) 2002-04-16 2007-08-21 Baylis Medical Company Inc. Computerized electrical signal generator
JP4431404B2 (ja) 2002-04-25 2010-03-17 タイコ ヘルスケア グループ エルピー マイクロ電気機械的システム(mems)を含む外科用器具
ES2540098T3 (es) 2002-05-10 2015-07-08 Covidien Lp Aparato grapador quirúrgico que tiene un conjunto aplicador de material para cierre de heridas
US7457804B2 (en) 2002-05-10 2008-11-25 Medrad, Inc. System and method for automated benchmarking for the recognition of best medical practices and products and for establishing standards for medical procedures
US20030223877A1 (en) 2002-06-04 2003-12-04 Ametek, Inc. Blower assembly with closed-loop feedback
EP1511429B1 (en) 2002-06-12 2009-07-22 Boston Scientific Limited Suturing instruments
ES2278167T3 (es) 2002-06-14 2007-08-01 Power Medical Interventions, Inc. Dispositivo para pinzar, cortar y grapar tejido.
US6849074B2 (en) 2002-06-17 2005-02-01 Medconx, Inc. Disposable surgical devices
US6951559B1 (en) 2002-06-21 2005-10-04 Megadyne Medical Products, Inc. Utilization of a hybrid material in a surface coating of an electrosurgical instrument
AU2003245758A1 (en) 2002-06-21 2004-01-06 Cedara Software Corp. Computer assisted system and method for minimal invasive hip, uni knee and total knee replacement
US7121460B1 (en) 2002-07-16 2006-10-17 Diebold Self-Service Systems Division Of Diebold, Incorporated Automated banking machine component authentication system and method
US6852219B2 (en) 2002-07-22 2005-02-08 John M. Hammond Fluid separation and delivery apparatus and method
US20060116908A1 (en) 2002-07-30 2006-06-01 Dew Douglas K Web-based data entry system and method for generating medical records
US6824539B2 (en) 2002-08-02 2004-11-30 Storz Endoskop Produktions Gmbh Touchscreen controlling medical equipment from multiple manufacturers
US9271753B2 (en) 2002-08-08 2016-03-01 Atropos Limited Surgical device
US7155316B2 (en) 2002-08-13 2006-12-26 Microbotics Corporation Microsurgical robot system
DE60325198D1 (de) 2002-10-02 2009-01-22 Olympus Corp Operationssystem mit mehreren medizinischen Geräten und mehreren Fernbedienungen
EP1759641B1 (en) 2002-10-04 2011-04-13 Tyco Healthcare Group LP Surgical stapler with universal articulation and tissue pre-clamp
CN1717893B (zh) 2002-10-28 2010-05-05 诺基亚有限公司 设备密钥
US6913471B2 (en) 2002-11-12 2005-07-05 Gateway Inc. Offset stackable pass-through signal connector
US7073765B2 (en) 2002-11-13 2006-07-11 Hill-Rom Services, Inc. Apparatus for carrying medical equipment
KR100486596B1 (ko) 2002-12-06 2005-05-03 엘지전자 주식회사 왕복동식 압축기의 운전장치 및 제어방법
US7009511B2 (en) 2002-12-17 2006-03-07 Cardiac Pacemakers, Inc. Repeater device for communications with an implantable medical device
JP3769752B2 (ja) 2002-12-24 2006-04-26 ソニー株式会社 情報処理装置および情報処理方法、データ通信システム、並びに、プログラム
ATE549397T1 (de) 2003-01-03 2012-03-15 Texas A & M Univ Sys Stammgesteuerte promotoren von pflanzeneigenen abwehrkräften und deren verwendung bei der gewebespezifischen expression in monokotyledonen pflanzen
US7081096B2 (en) 2003-01-24 2006-07-25 Medtronic Vascular, Inc. Temperature mapping balloon
US7230529B2 (en) 2003-02-07 2007-06-12 Theradoc, Inc. System, method, and computer program for interfacing an expert system to a clinical information system
CA2516444C (en) 2003-02-20 2011-11-01 Sherwood Services Ag System and method for connecting an electrosurgical instrument to a generator
US7182775B2 (en) 2003-02-27 2007-02-27 Microline Pentax, Inc. Super atraumatic grasper apparatus
US20080114212A1 (en) 2006-10-10 2008-05-15 General Electric Company Detecting surgical phases and/or interventions
JP2004267461A (ja) 2003-03-07 2004-09-30 Olympus Corp 内視鏡手術システム
US8882657B2 (en) 2003-03-07 2014-11-11 Intuitive Surgical Operations, Inc. Instrument having radio frequency identification systems and methods for use
US20040206365A1 (en) 2003-03-31 2004-10-21 Knowlton Edward Wells Method for treatment of tissue
US9149322B2 (en) 2003-03-31 2015-10-06 Edward Wells Knowlton Method for treatment of tissue
US20040199180A1 (en) 2003-04-02 2004-10-07 Knodel Bryan D. Method of using surgical device for anastomosis
US20040243148A1 (en) 2003-04-08 2004-12-02 Wasielewski Ray C. Use of micro- and miniature position sensing devices for use in TKA and THA
US20070192139A1 (en) 2003-04-22 2007-08-16 Ammon Cookson Systems and methods for patient re-identification
US7753909B2 (en) 2003-05-01 2010-07-13 Covidien Ag Electrosurgical instrument which reduces thermal damage to adjacent tissue
AU2004241092B2 (en) 2003-05-15 2009-06-04 Covidien Ag Tissue sealer with non-conductive variable stop members and method of sealing tissue
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US7380695B2 (en) * 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US6988649B2 (en) * 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
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
US7044352B2 (en) * 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US20070010838A1 (en) 2003-05-20 2007-01-11 Shelton Frederick E Iv Surgical stapling instrument having a firing lockout for an unclosed anvil
US7000818B2 (en) 2003-05-20 2006-02-21 Ethicon, Endo-Surger, Inc. Surgical stapling instrument having separate distinct closing and firing systems
US20040243435A1 (en) 2003-05-29 2004-12-02 Med-Sched, Inc. Medical information management system
SE526735C2 (sv) 2003-06-13 2005-11-01 Atos Medical Ab Anordning för mätning av fysiska egenskaper hos trumhinnan
US9035741B2 (en) 2003-06-27 2015-05-19 Stryker Corporation Foot-operated control console for wirelessly controlling medical devices
US9002518B2 (en) 2003-06-30 2015-04-07 Intuitive Surgical Operations, Inc. Maximum torque driving of robotic surgical tools in robotic surgical systems
US20050020909A1 (en) 2003-07-10 2005-01-27 Moctezuma De La Barrera Jose Luis Display device for surgery and method for using the same
US8200775B2 (en) 2005-02-01 2012-06-12 Newsilike Media Group, Inc Enhanced syndication
JP2005058616A (ja) 2003-08-19 2005-03-10 Olympus Corp 医療システム用制御装置及び医療システム用制御方法
KR100724837B1 (ko) 2003-08-25 2007-06-04 엘지전자 주식회사 오디오 레벨 정보 기록 관리방법과 디지털 오디오기기에서의 오디오 출력 레벨 조절방법
US20050182655A1 (en) 2003-09-02 2005-08-18 Qcmetrix, Inc. System and methods to collect, store, analyze, report, and present data
US20050065438A1 (en) 2003-09-08 2005-03-24 Miller Landon C.G. System and method of capturing and managing information during a medical diagnostic imaging procedure
AU2004273890A1 (en) 2003-09-15 2005-03-31 Robert O. Dean Operating room smoke evacuator with integrated vacuum motor and filter
US8147486B2 (en) 2003-09-22 2012-04-03 St. Jude Medical, Atrial Fibrillation Division, Inc. Medical device with flexible printed circuit
US20050063575A1 (en) 2003-09-22 2005-03-24 Ge Medical Systems Global Technology, Llc System and method for enabling a software developer to introduce informational attributes for selective inclusion within image headers for medical imaging apparatus applications
EP1517117A1 (de) 2003-09-22 2005-03-23 Leica Geosystems AG Verfahren und System zur Bestimmung einer Aktualposition eines Positionierungsgerätes
JP4129217B2 (ja) 2003-09-29 2008-08-06 オリンパス株式会社 超音波手術システム、その異常検知方法および異常検知プログラム
JP2005111085A (ja) 2003-10-09 2005-04-28 Olympus Corp 手術支援システム
US20090090763A1 (en) 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US8968276B2 (en) 2007-09-21 2015-03-03 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10041822B2 (en) 2007-10-05 2018-08-07 Covidien Lp Methods to shorten calibration times for powered devices
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10588629B2 (en) 2009-11-20 2020-03-17 Covidien Lp Surgical console and hand-held surgical device
US9113880B2 (en) 2007-10-05 2015-08-25 Covidien Lp Internal backbone structural chassis for a surgical device
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical device
EP1677694B1 (en) 2003-10-28 2014-08-27 Stryker Corporation Electrosurgical control system
US7169145B2 (en) 2003-11-21 2007-01-30 Megadyne Medical Products, Inc. Tuned return electrode with matching inductor
US7118564B2 (en) 2003-11-26 2006-10-10 Ethicon Endo-Surgery, Inc. Medical treatment system with energy delivery device for limiting reuse
US7317955B2 (en) 2003-12-12 2008-01-08 Conmed Corporation Virtual operating room integration
JP2005205184A (ja) 2003-12-22 2005-08-04 Pentax Corp 診断支援装置
US7207472B2 (en) 2003-12-30 2007-04-24 Ethicon Endo-Surgery, Inc. Cartridge with locking knife for a curved cutter stapler
US7766207B2 (en) 2003-12-30 2010-08-03 Ethicon Endo-Surgery, Inc. Articulating curved cutter stapler
US6988650B2 (en) 2003-12-30 2006-01-24 Ethicon Endo-Surgery, Inc. Retaining pin lever advancement mechanism for a curved cutter stapler
US20050143759A1 (en) 2003-12-30 2005-06-30 Kelly William D. Curved cutter stapler shaped for male pelvis
US7147139B2 (en) 2003-12-30 2006-12-12 Ethicon Endo-Surgery, Inc Closure plate lockout for a curved cutter stapler
US20050149356A1 (en) 2004-01-02 2005-07-07 Cyr Keneth K. System and method for management of clinical supply operations
BRPI0507008A (pt) 2004-01-23 2007-10-30 Ams Res Corp instrumento cirúrgico, métodos de realizar uma histerotomia e de seccionar tecido, e, kit
US7766905B2 (en) 2004-02-12 2010-08-03 Covidien Ag Method and system for continuity testing of medical electrodes
ES2377496T3 (es) 2004-02-17 2012-03-28 Tyco Healthcare Group Lp Aparato quirúrgico de grapado con un mecanismo de bloqueo
US7774044B2 (en) 2004-02-17 2010-08-10 Siemens Medical Solutions Usa, Inc. System and method for augmented reality navigation in a medical intervention procedure
US20050192610A1 (en) 2004-02-27 2005-09-01 Houser Kevin L. Ultrasonic surgical shears and tissue pad for same
US7625388B2 (en) 2004-03-22 2009-12-01 Alcon, Inc. Method of controlling a surgical system based on a load on the cutting tip of a handpiece
JP2007531124A (ja) 2004-03-26 2007-11-01 コンヴァージェンス シーティー 患者医療データ記録のアクセス及び利用を制御するためのシステム及び方法
US20050222631A1 (en) 2004-04-06 2005-10-06 Nirav Dalal Hierarchical data storage and analysis system for implantable medical devices
US7248909B2 (en) 2004-04-13 2007-07-24 The Regents Of The University Of California Method and apparatus for dynamically monitoring multiple in vivo tissue chromophores
US7379790B2 (en) 2004-05-04 2008-05-27 Intuitive Surgical, Inc. Tool memory-based software upgrades for robotic surgery
US20070179482A1 (en) 2004-05-07 2007-08-02 Anderson Robert S Apparatuses and methods to treat biological external tissue
US20050251233A1 (en) 2004-05-07 2005-11-10 John Kanzius System and method for RF-induced hyperthermia
US7945065B2 (en) 2004-05-07 2011-05-17 Phonak Ag Method for deploying hearing instrument fitting software, and hearing instrument adapted therefor
WO2005110263A2 (en) 2004-05-11 2005-11-24 Wisconsin Alumni Research Foundation Radiofrequency ablation with independently controllable ground pad conductors
US20050277913A1 (en) 2004-06-09 2005-12-15 Mccary Brian D Heads-up display for displaying surgical parameters in a surgical microscope
US20050283148A1 (en) 2004-06-17 2005-12-22 Janssen William M Ablation apparatus and system to limit nerve conduction
AU2005267378A1 (en) 2004-06-24 2006-02-02 Suture Robotics, Inc. Semi-robotic suturing device
US7818041B2 (en) 2004-07-07 2010-10-19 Young Kim System and method for efficient diagnostic analysis of ophthalmic examinations
US7979157B2 (en) 2004-07-23 2011-07-12 Mcmaster University Multi-purpose robotic operating system and method
US7914551B2 (en) 2004-07-28 2011-03-29 Ethicon Endo-Surgery, Inc. Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument
US7879070B2 (en) 2004-07-28 2011-02-01 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for grasper
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
JP4873384B2 (ja) 2004-09-16 2012-02-08 オリンパス株式会社 医療行為管理方法ならびにそれを利用した管理サーバおよび医療行為管理システム
US7993354B1 (en) 2010-10-01 2011-08-09 Endoevolution, Llc Devices and methods for minimally invasive suturing
US8123764B2 (en) 2004-09-20 2012-02-28 Endoevolution, Llc Apparatus and method for minimally invasive suturing
WO2008147555A2 (en) 2007-05-24 2008-12-04 Suturtek Incorporated Apparatus and method for minimally invasive suturing
US7782789B2 (en) 2004-09-23 2010-08-24 Harris Corporation Adaptive bandwidth utilization for telemetered data
US20080015664A1 (en) 2004-10-06 2008-01-17 Podhajsky Ronald J Systems and methods for thermally profiling radiofrequency electrodes
US20060079872A1 (en) 2004-10-08 2006-04-13 Eggleston Jeffrey L Devices for detecting heating under a patient return electrode
US7846155B2 (en) 2004-10-08 2010-12-07 Ethicon Endo-Surgery, Inc. Handle assembly having hand activation for use with an ultrasonic surgical instrument
WO2006044868A1 (en) 2004-10-20 2006-04-27 Nervonix, Inc. An active electrode, bio-impedance based, tissue discrimination system and methods and use
US8641738B1 (en) 2004-10-28 2014-02-04 James W. Ogilvie Method of treating scoliosis using a biological implant
JP2006158525A (ja) 2004-12-03 2006-06-22 Olympus Medical Systems Corp 超音波手術装置及び超音波処置具の駆動方法
US7371227B2 (en) 2004-12-17 2008-05-13 Ethicon Endo-Surgery, Inc. Trocar seal assembly
US20060136622A1 (en) 2004-12-21 2006-06-22 Spx Corporation Modular controller apparatus and method
US7294116B1 (en) 2005-01-03 2007-11-13 Ellman Alan G Surgical smoke plume evacuation system
USD521936S1 (en) 2005-01-07 2006-05-30 Apple Computer, Inc. Connector system
US8027710B1 (en) 2005-01-28 2011-09-27 Patrick Dannan Imaging system for endoscopic surgery
US20080040151A1 (en) 2005-02-01 2008-02-14 Moore James F Uses of managed health care data
US20070168461A1 (en) 2005-02-01 2007-07-19 Moore James F Syndicating surgical data in a healthcare environment
US7993140B2 (en) 2005-02-03 2011-08-09 Christopher Sakezles Models and methods of using same for testing medical devices
US20060241399A1 (en) 2005-02-10 2006-10-26 Fabian Carl E Multiplex system for the detection of surgical implements within the wound cavity
US7884735B2 (en) 2005-02-11 2011-02-08 Hill-Rom Services, Inc. Transferable patient care equipment support
JP4681908B2 (ja) 2005-02-14 2011-05-11 オリンパス株式会社 手術機器コントローラ及びそれを用いた手術システム
JP2006223375A (ja) 2005-02-15 2006-08-31 Olympus Corp 手術データ記録装置、手術データ表示装置及び手術データ記録表示方法
WO2006093807A2 (en) 2005-02-28 2006-09-08 Michael Rothman A system and method for improving hospital patient care by providing a continual measurement of health
US8206345B2 (en) 2005-03-07 2012-06-26 Medtronic Cryocath Lp Fluid control system for a medical device
US7784663B2 (en) 2005-03-17 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having load sensing control circuitry
US8945095B2 (en) 2005-03-30 2015-02-03 Intuitive Surgical Operations, Inc. Force and torque sensing for surgical instruments
US8038686B2 (en) 2005-04-14 2011-10-18 Ethicon Endo-Surgery, Inc. Clip applier configured to prevent clip fallout
US7297149B2 (en) 2005-04-14 2007-11-20 Ethicon Endo-Surgery, Inc. Surgical clip applier methods
US7699860B2 (en) 2005-04-14 2010-04-20 Ethicon Endo-Surgery, Inc. Surgical clip
WO2006113394A2 (en) 2005-04-15 2006-10-26 Surgisense Corporation Surgical instruments with sensors for detecting tissue properties, and systems using such instruments
US7362228B2 (en) 2005-04-28 2008-04-22 Warsaw Orthepedic, Inc. Smart instrument tray RFID reader
US7515961B2 (en) 2005-04-29 2009-04-07 Medtronic, Inc. Method and apparatus for dynamically monitoring, detecting and diagnosing lead conditions
US9526587B2 (en) 2008-12-31 2016-12-27 Intuitive Surgical Operations, Inc. Fiducial marker design and detection for locating surgical instrument in images
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
US8398541B2 (en) 2006-06-06 2013-03-19 Intuitive Surgical Operations, Inc. Interactive user interfaces for robotic minimally invasive surgical systems
US7976553B2 (en) 2005-06-13 2011-07-12 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus with detachable handle
US8468030B2 (en) 2005-06-27 2013-06-18 Children's Mercy Hospital System and method for collecting, organizing, and presenting date-oriented medical information
US20160374747A9 (en) 2005-07-15 2016-12-29 Atricure, Inc. Ablation Device with Sensor
US8603083B2 (en) 2005-07-15 2013-12-10 Atricure, Inc. Matrix router for surgical ablation
US7554343B2 (en) 2005-07-25 2009-06-30 Piezoinnovations Ultrasonic transducer control method and system
US9662116B2 (en) 2006-05-19 2017-05-30 Ethicon, Llc Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US8038046B2 (en) 2006-05-19 2011-10-18 Ethicon Endo-Surgery, Inc. Electrical surgical instrument with optimized power supply and drive
US8627995B2 (en) 2006-05-19 2014-01-14 Ethicon Endo-Sugery, Inc. Electrically self-powered surgical instrument with cryptographic identification of interchangeable part
US8627993B2 (en) 2007-02-12 2014-01-14 Ethicon Endo-Surgery, Inc. Active braking electrical surgical instrument and method for braking such an instrument
CA2617122C (en) 2005-07-27 2013-12-10 Power Medical Interventions, Inc. Shaft, e.g., for an electro-mechanical surgical device
WO2007016101A1 (en) 2005-07-29 2007-02-08 Alcon, Inc. Method and system for configuring and data populating a surgical device
US7621192B2 (en) 2005-07-29 2009-11-24 Dynatek Laboratories, Inc. Medical device durability test apparatus having an integrated particle counter and method of use
US7641092B2 (en) 2005-08-05 2010-01-05 Ethicon Endo - Surgery, Inc. Swing gate for device lockout in a curved cutter stapler
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US20070049947A1 (en) 2005-08-25 2007-03-01 Microline Pentax Inc. Cinch control device
US7720306B2 (en) 2005-08-29 2010-05-18 Photomed Technologies, Inc. Systems and methods for displaying changes in biological responses to therapy
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
US20070066970A1 (en) 2005-09-16 2007-03-22 Leonard Ineson Integrated electrosurgical cart and surgical smoke evacuator unit
US20070078678A1 (en) 2005-09-30 2007-04-05 Disilvestro Mark R System and method for performing a computer assisted orthopaedic surgical procedure
US8096459B2 (en) 2005-10-11 2012-01-17 Ethicon Endo-Surgery, Inc. Surgical stapler with an end effector support
EP1948112A4 (en) 2005-10-11 2011-04-13 Podaima Blake SMART MEDICAL COMPLIANCE PROCESS AND SYSTEM
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US8000772B2 (en) 2005-10-19 2011-08-16 Biosense Webster, Inc. Metal immunity in a reverse magnetic system
US7966269B2 (en) 2005-10-20 2011-06-21 Bauer James D Intelligent human-machine interface
DE102005051367A1 (de) 2005-10-25 2007-04-26 Olympus Winter & Ibe Gmbh Chirurgisches Maulinstrument
JP4676864B2 (ja) 2005-10-26 2011-04-27 株式会社フジクラ フレキシブル配線基板を用いた回路構造
US7328828B2 (en) * 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
CN1964187B (zh) 2005-11-11 2011-09-28 鸿富锦精密工业(深圳)有限公司 音量管理系统、方法及装置
US8411034B2 (en) 2009-03-12 2013-04-02 Marc Boillot Sterile networked interface for medical systems
US7761164B2 (en) 2005-11-30 2010-07-20 Medtronic, Inc. Communication system for medical devices
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
JP2009519104A (ja) 2005-12-12 2009-05-14 クック クリティカル ケア インコーポレーテッド 高輝度エコー刺激ブロック針
CA2930748C (en) 2005-12-14 2017-12-05 Stryker Corporation Medical/surgical waste collection portable rover capable of zero setting the float used to measure the volume of liquid in the rover waste container
WO2007075844A1 (en) 2005-12-20 2007-07-05 Intuitive Surgical, Inc. Telescoping insertion axis of a robotic surgical system
US7757028B2 (en) 2005-12-22 2010-07-13 Intuitive Surgical Operations, Inc. Multi-priority messaging
US8054752B2 (en) 2005-12-22 2011-11-08 Intuitive Surgical Operations, Inc. Synchronous data communication
JP2007175231A (ja) 2005-12-27 2007-07-12 Olympus Medical Systems Corp 医療用システム
US20090036794A1 (en) 2005-12-29 2009-02-05 Rikshospitalet-Radiumhospitalet Hf Method and apparatus for determining local tissue impedance for positioning of a needle
US20070167702A1 (en) 2005-12-30 2007-07-19 Intuitive Surgical Inc. Medical robotic system providing three-dimensional telestration
US8628518B2 (en) 2005-12-30 2014-01-14 Intuitive Surgical Operations, Inc. Wireless force sensor on a distal portion of a surgical instrument and method
US7930065B2 (en) 2005-12-30 2011-04-19 Intuitive Surgical Operations, Inc. Robotic surgery system including position sensors using fiber bragg gratings
US7907166B2 (en) 2005-12-30 2011-03-15 Intuitive Surgical Operations, Inc. Stereo telestration for robotic surgery
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
CA2574935A1 (en) 2006-01-24 2007-07-24 Sherwood Services Ag A method and system for controlling an output of a radio-frequency medical generator having an impedance based control algorithm
EP1981406B1 (en) 2006-01-27 2016-04-13 Suturtek Incorporated Apparatus for tissue closure
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable 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
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US7575144B2 (en) 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US10357184B2 (en) 2012-06-21 2019-07-23 Globus Medical, Inc. Surgical tool systems and method
US20070203744A1 (en) 2006-02-28 2007-08-30 Stefan Scholl Clinical workflow simulation tool and method
CA2644983C (en) 2006-03-16 2015-09-29 Boston Scientific Limited System and method for treating tissue wall prolapse
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225556A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Disposable endoscope devices
US9636188B2 (en) 2006-03-24 2017-05-02 Stryker Corporation System and method for 3-D tracking of surgical instrument in relation to patient body
US9675375B2 (en) 2006-03-29 2017-06-13 Ethicon Llc Ultrasonic surgical system and method
US20070270660A1 (en) 2006-03-29 2007-11-22 Caylor Edward J Iii System and method for determining a location of an orthopaedic medical device
US20080015912A1 (en) 2006-03-30 2008-01-17 Meryl Rosenthal Systems and methods for workforce management
US7667839B2 (en) 2006-03-30 2010-02-23 Particle Measuring Systems, Inc. Aerosol particle sensor with axial fan
FR2899932A1 (fr) 2006-04-14 2007-10-19 Renault Sas Procede et dispositif de controle de la regeneration d'un systeme de depollution
US20070244478A1 (en) 2006-04-18 2007-10-18 Sherwood Services Ag System and method for reducing patient return electrode current concentrations
US20070249990A1 (en) 2006-04-20 2007-10-25 Ioan Cosmescu Automatic smoke evacuator and insufflation system for surgical procedures
CN101060315B (zh) 2006-04-21 2010-09-29 鸿富锦精密工业(深圳)有限公司 音量管理系统及方法
US7278563B1 (en) 2006-04-25 2007-10-09 Green David T Surgical instrument for progressively stapling and incising tissue
US8007494B1 (en) 2006-04-27 2011-08-30 Encision, Inc. Device and method to prevent surgical burns
US8574229B2 (en) 2006-05-02 2013-11-05 Aesculap Ag Surgical tool
US7841980B2 (en) 2006-05-11 2010-11-30 Olympus Medical Systems Corp. Treatment system, trocar, treatment method and calibration method
US7920162B2 (en) 2006-05-16 2011-04-05 Stryker Leibinger Gmbh & Co. Kg Display method and system for surgical procedures
WO2007137304A2 (en) 2006-05-19 2007-11-29 Ethicon Endo-Surgery, Inc. Electrical surgical instrument
US10028789B2 (en) 2006-05-19 2018-07-24 Mako Surgical Corp. Method and apparatus for controlling a haptic device
US20070293218A1 (en) 2006-05-22 2007-12-20 Qualcomm Incorporated Collision avoidance for traffic in a wireless network
US20070282333A1 (en) 2006-06-01 2007-12-06 Fortson Reginald D Ultrasonic waveguide and blade
JP4504332B2 (ja) 2006-06-12 2010-07-14 オリンパスメディカルシステムズ株式会社 手術システム及びそのシステム稼働情報告知方法
US9561045B2 (en) 2006-06-13 2017-02-07 Intuitive Surgical Operations, Inc. Tool with rotation lock
US8560047B2 (en) 2006-06-16 2013-10-15 Board Of Regents Of The University Of Nebraska Method and apparatus for computer aided surgery
CA3068216C (en) 2006-06-22 2023-03-07 Board Of Regents Of The University Of Nebraska Magnetically coupleable robotic devices and related methods
PL2037840T3 (pl) 2006-06-28 2012-09-28 Medtronic Ardian Luxembourg Systemy do termicznie indukowanej neuromodulacji nerek
US10258425B2 (en) 2008-06-27 2019-04-16 Intuitive Surgical Operations, Inc. Medical robotic system providing an auxiliary view of articulatable instruments extending out of a distal end of an entry guide
US20080059658A1 (en) 2006-06-29 2008-03-06 Nokia Corporation Controlling the feeding of data from a feed buffer
CN101507375B (zh) 2006-06-30 2013-07-03 莫列斯公司 顺应插针控制模块及其制造方法
US7391173B2 (en) 2006-06-30 2008-06-24 Intuitive Surgical, Inc Mechanically decoupled capstan drive
US7776037B2 (en) 2006-07-07 2010-08-17 Covidien Ag System and method for controlling electrode gap during tissue sealing
US20080013460A1 (en) 2006-07-17 2008-01-17 Geoffrey Benjamin Allen Coordinated upload of content from multimedia capture devices based on a transmission rule
JP4643510B2 (ja) 2006-07-18 2011-03-02 オリンパスメディカルシステムズ株式会社 手術システム制御装置及び手術機器のタイムアウト値設定方法
JP2008026051A (ja) 2006-07-19 2008-02-07 Furuno Electric Co Ltd 生化学自動分析装置
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
US20080033404A1 (en) 2006-08-03 2008-02-07 Romoda Laszlo O Surgical machine with removable display
US9757142B2 (en) 2006-08-09 2017-09-12 Olympus Corporation Relay device and ultrasonic-surgical and electrosurgical system
US20080058593A1 (en) 2006-08-21 2008-03-06 Sti Medical Systems, Llc Computer aided diagnosis using video from endoscopes
US7771429B2 (en) 2006-08-25 2010-08-10 Warsaw Orthopedic, Inc. Surgical tool for holding and inserting fasteners
ATE440549T1 (de) 2006-09-08 2009-09-15 Ethicon Endo Surgery Inc Chirurgisches instrument und betätigungsvorrichtung zur bewegungsübertragung dafür
US8652086B2 (en) 2006-09-08 2014-02-18 Abbott Medical Optics Inc. Systems and methods for power and flow rate control
US7637907B2 (en) 2006-09-19 2009-12-29 Covidien Ag System and method for return electrode monitoring
USD584688S1 (en) 2006-09-26 2009-01-13 Hosiden Corporation Photoelectric-transfer connector for optical fiber
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US20080078802A1 (en) 2006-09-29 2008-04-03 Hess Christopher J Surgical staples and stapling instruments
US7845535B2 (en) 2006-10-06 2010-12-07 Tyco Healthcare Group Lp Surgical instrument having a plastic surface
US8733614B2 (en) 2006-10-06 2014-05-27 Covidien Lp End effector identification by mechanical features
EP1911391B1 (en) 2006-10-11 2012-08-08 Alka Kumar System for evacuating detached tissue in continuous flow irrigation endoscopic procedures
EP1913881B1 (en) 2006-10-17 2014-06-11 Covidien LP Apparatus for applying surgical clips
JP5312337B2 (ja) 2006-10-18 2013-10-09 べシックス・バスキュラー・インコーポレイテッド 標的組織の選択的な処置のための調節されたrfエネルギーおよび電気的な組織の特徴付け
US8229767B2 (en) 2006-10-18 2012-07-24 Hartford Fire Insurance Company System and method for salvage calculation, fraud prevention and insurance adjustment
US8126728B2 (en) 2006-10-24 2012-02-28 Medapps, Inc. Systems and methods for processing and transmittal of medical data through an intermediary device
JP5085996B2 (ja) 2006-10-25 2012-11-28 テルモ株式会社 マニピュレータシステム
US8214007B2 (en) 2006-11-01 2012-07-03 Welch Allyn, Inc. Body worn physiological sensor device having a disposable electrode module
IL179051A0 (en) 2006-11-05 2007-03-08 Gyrus Group Plc Modular surgical workstation
WO2008056618A2 (en) 2006-11-06 2008-05-15 Johnson & Johnson Kabushiki Kaisha Stapling instrument
WO2008069816A1 (en) 2006-12-06 2008-06-12 Ryan Timothy J Apparatus and methods for delivering sutures
US8062306B2 (en) 2006-12-14 2011-11-22 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8571598B2 (en) 2006-12-18 2013-10-29 Intel Corporation Method and apparatus for location-based wireless connection and pairing
WO2008097407A2 (en) 2006-12-18 2008-08-14 Trillium Precision Surgical, Inc. Intraoperative tissue mapping and dissection systems, devices, methods, and kits
US7617137B2 (en) 2006-12-19 2009-11-10 At&T Intellectual Property I, L.P. Surgical suite radio frequency identification methods and systems
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
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
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
WO2008089174A2 (en) 2007-01-16 2008-07-24 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating
US20080177362A1 (en) 2007-01-18 2008-07-24 Medtronic, Inc. Screening device and lead delivery system
US20080177258A1 (en) 2007-01-18 2008-07-24 Assaf Govari Catheter with microphone
US20090017910A1 (en) 2007-06-22 2009-01-15 Broadcom Corporation Position and motion tracking of an object
US7836085B2 (en) 2007-02-05 2010-11-16 Google Inc. Searching structured geographical data
US20110125149A1 (en) 2007-02-06 2011-05-26 Rizk El-Galley Universal surgical function control system
US20080306759A1 (en) 2007-02-09 2008-12-11 Hakan Mehmel Ilkin Patient workflow process messaging notification apparatus, system, and method
US8930203B2 (en) 2007-02-18 2015-01-06 Abbott Diabetes Care Inc. Multi-function analyte test device and methods therefor
CA2679832C (en) 2007-03-01 2015-05-26 Medtek Devices, Inc. Dba Buffalo Filter Wick and relief valve for disposable laparscopic smoke evacuation system
CA2680148C (en) 2007-03-06 2015-09-01 Tyco Healthcare Group Lp Surgical stapling apparatus
US8690864B2 (en) 2007-03-09 2014-04-08 Covidien Lp System and method for controlling tissue treatment
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US8590762B2 (en) 2007-03-15 2013-11-26 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configurations
US20080235052A1 (en) 2007-03-19 2008-09-25 General Electric Company System and method for sharing medical information between image-guided surgery systems
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US7862560B2 (en) 2007-03-23 2011-01-04 Arthrocare Corporation Ablation apparatus having reduced nerve stimulation and related methods
CN101642006B (zh) 2007-04-03 2012-05-02 艾利森电话股份有限公司 用于配合具有不同宽度的板的底板
AU2008236665B2 (en) 2007-04-03 2013-08-22 Nuvasive, Inc. Neurophysiologic monitoring system
WO2008127968A2 (en) 2007-04-11 2008-10-23 Tyco Healthcare Group Lp Surgical clip applier
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US7995045B2 (en) 2007-04-13 2011-08-09 Ethicon Endo-Surgery, Inc. Combined SBI and conventional image processor
US8170396B2 (en) 2007-04-16 2012-05-01 Adobe Systems Incorporated Changing video playback rate
US8503759B2 (en) 2007-04-16 2013-08-06 Alexander Greer Methods, devices, and systems useful in registration
WO2008131362A2 (en) 2007-04-20 2008-10-30 Doheny Eye Institute Personal surgical center
US7823760B2 (en) 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
DE102007021185B4 (de) 2007-05-05 2012-09-20 Ziehm Imaging Gmbh Röntgendiagnostikeinrichtung mit einer Vielzahl kodierter Marken und ein Verfahren zur Bestimmung der Lage von Einrichtungsteilen der Röntgendiagnostikeinrichtung
US8083685B2 (en) 2007-05-08 2011-12-27 Propep, Llc System and method for laparoscopic nerve detection
US20080281678A1 (en) 2007-05-09 2008-11-13 Mclagan Partners, Inc. Practice management analysis tool for financial advisors
US9042978B2 (en) 2007-05-11 2015-05-26 Neurometrix, Inc. Method and apparatus for quantitative nerve localization
US8768251B2 (en) 2007-05-17 2014-07-01 Abbott Medical Optics Inc. Exclusive pairing technique for Bluetooth compliant medical devices
US7518502B2 (en) 2007-05-24 2009-04-14 Smith & Nephew, Inc. System and method for tracking surgical assets
WO2008147567A1 (en) 2007-05-25 2008-12-04 The Charles Stark Draper Laboratory, Inc. Integration and control of medical devices in a clinical environment
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
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
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US9138129B2 (en) 2007-06-13 2015-09-22 Intuitive Surgical Operations, Inc. Method and system for moving a plurality of articulated instruments in tandem back towards an entry guide
US8620473B2 (en) 2007-06-13 2013-12-31 Intuitive Surgical Operations, Inc. Medical robotic system with coupled control modes
US20080312953A1 (en) 2007-06-14 2008-12-18 Advanced Medical Optics, Inc. Database design for collection of medical instrument parameters
US8160690B2 (en) 2007-06-14 2012-04-17 Hansen Medical, Inc. System and method for determining electrode-tissue contact based on amplitude modulation of sensed signal
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US8062330B2 (en) 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
GB0715211D0 (en) 2007-08-06 2007-09-12 Smith & Nephew Apparatus
US9861354B2 (en) 2011-05-06 2018-01-09 Ceterix Orthopaedics, Inc. Meniscus repair
US20160184054A1 (en) 2007-07-05 2016-06-30 Orthoaccel Technologies, Inc. Pulsatile orthodontic device and methods
US7982776B2 (en) 2007-07-13 2011-07-19 Ethicon Endo-Surgery, Inc. SBI motion artifact removal apparatus and method
JP5435532B2 (ja) 2007-07-17 2014-03-05 富士フイルム株式会社 画像処理システム
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8035685B2 (en) 2007-07-30 2011-10-11 General Electric Company Systems and methods for communicating video data between a mobile imaging system and a fixed monitor system
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8604709B2 (en) 2007-07-31 2013-12-10 Lsi Industries, Inc. Methods and systems for controlling electrical power to DC loads
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US8801703B2 (en) 2007-08-01 2014-08-12 Covidien Lp System and method for return electrode monitoring
US9020240B2 (en) 2007-08-10 2015-04-28 Leica Geosystems Ag Method and surveying system for noncontact coordinate measurement on an object surface
US9483615B2 (en) 2007-08-10 2016-11-01 Smiths Medical Asd, Inc. Communication of original and updated pump parameters for a medical infusion pump
US20090046146A1 (en) 2007-08-13 2009-02-19 Jonathan Hoyt Surgical communication and control system
US20090048589A1 (en) 2007-08-14 2009-02-19 Tomoyuki Takashino Treatment device and treatment method for living tissue
FR2920086A1 (fr) 2007-08-24 2009-02-27 Univ Grenoble 1 Systeme et procede d'analyse pour une operation chirurgicale par endoscopie
US9848058B2 (en) 2007-08-31 2017-12-19 Cardiac Pacemakers, Inc. Medical data transport over wireless life critical network employing dynamic communication link mapping
GB0718291D0 (en) 2007-09-19 2007-10-31 King S College London Imaging apparatus and method
EP2233081B2 (en) 2007-09-21 2018-03-28 Covidien LP Surgical device
AU2008302043B2 (en) 2007-09-21 2013-06-27 Covidien Lp Surgical device
US9050120B2 (en) 2007-09-30 2015-06-09 Intuitive Surgical Operations, Inc. Apparatus and method of user interface with alternate tool mode for robotic surgical tools
US20090112618A1 (en) 2007-10-01 2009-04-30 Johnson Christopher D Systems and methods for viewing biometrical information and dynamically adapting schedule and process interdependencies with clinical process decisioning
US8012170B2 (en) 2009-04-27 2011-09-06 Tyco Healthcare Group Lp Device and method for controlling compression of tissue
JP2010540186A (ja) 2007-10-05 2010-12-24 エシコン・エンド−サージェリィ・インコーポレイテッド 人間工学的外科用器具
US10498269B2 (en) * 2007-10-05 2019-12-03 Covidien Lp Powered surgical stapling device
US8967443B2 (en) 2007-10-05 2015-03-03 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
US20130214025A1 (en) 2007-10-05 2013-08-22 Covidien Lp Powered surgical stapling device
US10271844B2 (en) 2009-04-27 2019-04-30 Covidien Lp Surgical stapling apparatus employing a predictive stapling algorithm
US10779818B2 (en) 2007-10-05 2020-09-22 Covidien Lp Powered surgical stapling device
US20110022032A1 (en) 2007-10-05 2011-01-27 Tyco Healthcare Group Lp Battery ejection design for a surgical device
US8343065B2 (en) 2007-10-18 2013-01-01 Innovative Surgical Solutions, Llc Neural event detection
US8321581B2 (en) 2007-10-19 2012-11-27 Voxer Ip Llc Telecommunication and multimedia management method and apparatus
DE102007050232B4 (de) 2007-10-20 2024-05-02 Deutsches Zentrum für Luft- und Raumfahrt e.V. Handhabungsroboter und Verfahren zur Steuerung eines Handhabungsroboters
EP2053353A1 (de) 2007-10-26 2009-04-29 Leica Geosystems AG Distanzmessendes Verfahren und ebensolches Gerät
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
US7954685B2 (en) 2007-11-06 2011-06-07 Tyco Healthcare Group Lp Articulation and firing force mechanisms
EP2060986B1 (en) 2007-11-13 2019-01-02 Karl Storz SE & Co. KG System and method for management of processes in a hospital and/or in an operating room
US8125168B2 (en) 2007-11-19 2012-02-28 Honeywell International Inc. Motor having controllable torque
DE102007057033A1 (de) 2007-11-27 2009-05-28 Robert Bosch Gmbh Elektrisch antreibbare Handwerkzeugmaschine
US9314261B2 (en) 2007-12-03 2016-04-19 Covidien Ag Battery-powered hand-held ultrasonic surgical cautery cutting device
JP5278854B2 (ja) 2007-12-10 2013-09-04 富士フイルム株式会社 画像処理システムおよびプログラム
DE102008061418A1 (de) 2007-12-12 2009-06-18 Erbe Elektromedizin Gmbh Vorrichtung zur kontaktlosen Kommunikation und Verwendung einer Speichereinrichtung
FR2924917B1 (fr) 2007-12-13 2011-02-11 Microval Appareil de pose de spires de suture resultant d'un fil metallique a memoire de forme.
EP2075096A1 (de) 2007-12-27 2009-07-01 Leica Geosystems AG Verfahren und System zum hochpräzisen Positionieren mindestens eines Objekts in eine Endlage im Raum
US20110264000A1 (en) 2007-12-28 2011-10-27 Saurav Paul System and method for determining tissue type and mapping tissue morphology
US20090182577A1 (en) 2008-01-15 2009-07-16 Carestream Health, Inc. Automated information management process
US8740840B2 (en) 2008-01-16 2014-06-03 Catheter Robotics Inc. Remotely controlled catheter insertion system
JP5154961B2 (ja) 2008-01-29 2013-02-27 テルモ株式会社 手術システム
US9336385B1 (en) 2008-02-11 2016-05-10 Adaptive Cyber Security Instruments, Inc. System for real-time threat detection and management
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
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
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US20090217932A1 (en) 2008-03-03 2009-09-03 Ethicon Endo-Surgery, Inc. Intraluminal tissue markers
US8118206B2 (en) 2008-03-15 2012-02-21 Surgisense Corporation Sensing adjunct for surgical staplers
US9987072B2 (en) 2008-03-17 2018-06-05 Covidien Lp System and method for detecting a fault in a capacitive return electrode for use in electrosurgery
US20090234352A1 (en) 2008-03-17 2009-09-17 Tyco Healthcare Group Lp Variable Capacitive Electrode Pad
CN102065781B (zh) 2008-03-27 2014-05-07 梅奥医学教育和研究基金会 导航和组织俘获系统
US8343096B2 (en) 2008-03-27 2013-01-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Robotic catheter system
US8155479B2 (en) 2008-03-28 2012-04-10 Intuitive Surgical Operations Inc. Automated panning and digital zooming for robotic surgical systems
ES2651687T3 (es) 2008-03-31 2018-01-29 Applied Medical Resources Corporation Sistema electroquirúrgico con un módulo de memoria
USD583328S1 (en) 2008-04-01 2008-12-23 Cheng Uei Precision Industry Co., Ltd. Receptacle connector
WO2009126553A2 (en) 2008-04-08 2009-10-15 The Quantum Group, Inc. Dynamic integration of disparate health-related processes and data
US20090259149A1 (en) 2008-04-15 2009-10-15 Naoko Tahara Power supply apparatus for operation
US20090259221A1 (en) 2008-04-15 2009-10-15 Naoko Tahara Power supply apparatus for operation
US9526407B2 (en) 2008-04-25 2016-12-27 Karl Storz Imaging, Inc. Wirelessly powered medical devices and instruments
WO2009140092A1 (en) 2008-05-13 2009-11-19 The Medicines Company Maintenance of platelet inhibition during antiplatelet therapy
WO2009151535A1 (en) 2008-05-27 2009-12-17 Stryker Corporation Wireless medical room control arrangement for control of a plurality of medical devices
EP2241244A1 (en) 2008-06-04 2010-10-20 Fujifilm Corporation Illumination device for use in endoscope
US20090307681A1 (en) 2008-06-05 2009-12-10 Ryan Armado Wireless Network and Methods of Wireless Communication For Ophthalmic Surgical Consoles
US7942303B2 (en) 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US7789283B2 (en) 2008-06-06 2010-09-07 Tyco Healthcare Group Lp Knife/firing rod connection for surgical instrument
US8622951B2 (en) 2008-06-09 2014-01-07 Abbott Medical Optics Inc. Controlling a phacoemulsification system based on real-time analysis of image data
US8007513B2 (en) 2008-06-12 2011-08-30 Ethicon Endo-Surgery, Inc. Partially reusable surgical stapler
US7932826B2 (en) 2008-06-12 2011-04-26 Abbott Laboratories Inc. System for tracking the location of components, assemblies, and subassemblies in an automated diagnostic analyzer
JP5216429B2 (ja) 2008-06-13 2013-06-19 富士フイルム株式会社 光源装置および内視鏡装置
US8628545B2 (en) 2008-06-13 2014-01-14 Covidien Lp Endoscopic stitching devices
WO2009155432A2 (en) 2008-06-18 2009-12-23 Sterling Lc Miniaturized imaging device multiple grin lenses optically coupled to multiple ssids
US9168104B2 (en) 2008-06-23 2015-10-27 John Richard Dein Intra-operative system for identifying and tracking surgical sharp objects, instruments, and sponges
US20090326336A1 (en) 2008-06-25 2009-12-31 Heinz Ulrich Lemke Process for comprehensive surgical assist system by means of a therapy imaging and model management system (TIMMS)
CN101617950A (zh) 2008-07-01 2010-01-06 王爱娣 一种连发钛夹钳
US8771270B2 (en) 2008-07-16 2014-07-08 Intuitive Surgical Operations, Inc. Bipolar cautery instrument
US8054184B2 (en) 2008-07-31 2011-11-08 Intuitive Surgical Operations, Inc. Identification of surgical instrument attached to surgical robot
US8058771B2 (en) 2008-08-06 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating with stepped output
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
WO2010019515A2 (en) 2008-08-10 2010-02-18 Board Of Regents, The University Of Texas System Digital light processing hyperspectral imaging apparatus
US8172836B2 (en) 2008-08-11 2012-05-08 Tyco Healthcare Group Lp Electrosurgical system having a sensor for monitoring smoke or aerosols
WO2010018907A1 (ko) 2008-08-14 2010-02-18 (주)미래컴퍼니 서버 클라이언트 방식의 수술용 로봇 시스템
US8257387B2 (en) 2008-08-15 2012-09-04 Tyco Healthcare Group Lp Method of transferring pressure in an articulating surgical instrument
WO2010022088A1 (en) 2008-08-18 2010-02-25 Encision, Inc. Enhanced control systems including flexible shielding and support systems for electrosurgical applications
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
JP5231902B2 (ja) 2008-09-02 2013-07-10 株式会社ニデック 硝子体手術装置
US8208707B2 (en) 2008-09-02 2012-06-26 General Electric Company Tissue classification in medical images
US20100070417A1 (en) 2008-09-12 2010-03-18 At&T Mobility Ii Llc Network registration for content transactions
EP2361042B1 (en) 2008-09-12 2016-11-30 Ethicon Endo-Surgery, Inc. Ultrasonic device for fingertip control
US9107688B2 (en) 2008-09-12 2015-08-18 Ethicon Endo-Surgery, Inc. Activation feature for surgical instrument with pencil grip
CN101672648A (zh) 2008-09-12 2010-03-17 富士通天株式会社 信息处理装置、图像处理装置
US20100069939A1 (en) 2008-09-15 2010-03-18 Olympus Medical Systems Corp. Operation system
EP2163209A1 (en) 2008-09-15 2010-03-17 Zhiqiang Weng Lockout mechanism for a surgical stapler
US20100069942A1 (en) 2008-09-18 2010-03-18 Ethicon Endo-Surgery, Inc. Surgical instrument with apparatus for measuring elapsed time between actions
US8005947B2 (en) 2008-09-22 2011-08-23 Abbott Medical Optics Inc. Systems and methods for providing remote diagnostics and support for surgical systems
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting 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
US7988028B2 (en) 2008-09-23 2011-08-02 Tyco Healthcare Group Lp Surgical instrument having an asymmetric dynamic clamping member
KR101562084B1 (ko) 2008-10-01 2015-10-20 셰브런 유.에스.에이.인크. 기초원료 제조공정 및 기유 제조 플랜트
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8808308B2 (en) 2008-10-13 2014-08-19 Alcon Research, Ltd. Automated intraocular lens injector device
US7918377B2 (en) 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
US8239066B2 (en) 2008-10-27 2012-08-07 Lennox Industries Inc. System and method of use for a user interface dashboard of a heating, ventilation and air conditioning network
US8021890B2 (en) 2008-11-03 2011-09-20 Petty Jon A Colorimetric test for brake system corrosion
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
CA2743140A1 (en) 2008-11-11 2010-05-20 Shifamed, Llc Low profile electrode assembly
US20100137845A1 (en) 2008-12-03 2010-06-03 Immersion Corporation Tool Having Multiple Feedback Devices
JP5282343B2 (ja) 2008-12-05 2013-09-04 富士フイルム株式会社 撮像装置、及びプログラム
US8515520B2 (en) 2008-12-08 2013-08-20 Medtronic Xomed, Inc. Nerve electrode
US10080578B2 (en) 2008-12-16 2018-09-25 Nico Corporation Tissue removal device with adjustable delivery sleeve for neurosurgical and spinal surgery applications
US8627483B2 (en) 2008-12-18 2014-01-07 Accenture Global Services Limited Data anonymization based on guessing anonymity
US8335590B2 (en) 2008-12-23 2012-12-18 Intuitive Surgical Operations, Inc. System and method for adjusting an image capturing device attribute using an unused degree-of-freedom of a master control device
US8160098B1 (en) 2009-01-14 2012-04-17 Cisco Technology, Inc. Dynamically allocating channel bandwidth between interfaces
US11075754B2 (en) 2009-01-15 2021-07-27 International Business Machines Corporation Universal personal medical database access control
US20100191100A1 (en) 2009-01-23 2010-07-29 Warsaw Orthopedic, Inc. Methods and systems for diagnosing, treating, or tracking spinal disorders
US20110278343A1 (en) * 2009-01-29 2011-11-17 Cardica, Inc. Clamping of Hybrid Surgical Instrument
US9107694B2 (en) 2009-01-30 2015-08-18 Koninklijke Philips N.V. Examination apparatus
WO2010088481A1 (en) 2009-01-30 2010-08-05 The Trustees Of Columbia University In The City Of New York Controllable magnetic source to fixture intracorporeal apparatus
US20100198200A1 (en) 2009-01-30 2010-08-05 Christopher Horvath Smart Illumination for Surgical Devices
US20100198248A1 (en) 2009-02-02 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical dissector
US8799009B2 (en) 2009-02-02 2014-08-05 Mckesson Financial Holdings Systems, methods and apparatuses for predicting capacity of resources in an institution
ES2398006T3 (es) 2009-02-04 2013-03-13 Stryker Leibinger Gmbh & Co. Kg Herramienta quirúrgica eléctrica y conjunto de accionamiento para la misma
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US20100204717A1 (en) 2009-02-12 2010-08-12 Cardica, Inc. Surgical Device for Multiple Clip Application
US8641621B2 (en) 2009-02-17 2014-02-04 Inneroptic Technology, Inc. Systems, methods, apparatuses, and computer-readable media for image management in image-guided medical procedures
US8858547B2 (en) 2009-03-05 2014-10-14 Intuitive Surgical Operations, Inc. Cut and seal instrument
JP2012520027A (ja) 2009-03-06 2012-08-30 インターデイジタル パテント ホールディングス インコーポレイテッド 無線装置のプラットフォームの検証と管理
US9848904B2 (en) 2009-03-06 2017-12-26 Procept Biorobotics Corporation Tissue resection and treatment with shedding pulses
US20100228132A1 (en) 2009-03-08 2010-09-09 Jeffrey Brennan Systems for controlling optical probe functions during medical and veterinary procedures
US8418073B2 (en) 2009-03-09 2013-04-09 Intuitive Surgical Operations, Inc. User interfaces for electrosurgical tools in robotic surgical systems
US8918207B2 (en) 2009-03-09 2014-12-23 Intuitive Surgical Operations, Inc. Operator input device for a robotic surgical system
US8423182B2 (en) 2009-03-09 2013-04-16 Intuitive Surgical Operations, Inc. Adaptable integrated energy control system for electrosurgical tools in robotic surgical systems
US8120301B2 (en) 2009-03-09 2012-02-21 Intuitive Surgical Operations, Inc. Ergonomic surgeon control console in robotic surgical systems
US9226689B2 (en) 2009-03-10 2016-01-05 Medtronic Xomed, Inc. Flexible circuit sheet
US20100235689A1 (en) 2009-03-16 2010-09-16 Qualcomm Incorporated Apparatus and method for employing codes for telecommunications
US20100249535A1 (en) 2009-03-26 2010-09-30 Jay Pierce System and method for an orthopedic dynamic data repository and registry for recall
MX2011009983A (es) 2009-03-26 2012-02-28 Xped Holdings Pty Ltd Una estructura para manejar comunicacion inalambrica entre dispositivos.
US9277969B2 (en) 2009-04-01 2016-03-08 Covidien Lp Microwave ablation system with user-controlled ablation size and method of use
US8945163B2 (en) 2009-04-01 2015-02-03 Ethicon Endo-Surgery, Inc. Methods and devices for cutting and fastening tissue
US8277446B2 (en) 2009-04-24 2012-10-02 Tyco Healthcare Group Lp Electrosurgical tissue sealer and cutter
US8365975B1 (en) 2009-05-05 2013-02-05 Cardica, Inc. Cam-controlled knife for surgical instrument
CA2761420C (en) 2009-05-08 2017-03-28 Abbott Medical Optics Inc. Self-learning engine for the refinement and optimization of surgical settings
GB2470189B (en) 2009-05-11 2013-10-16 Gyrus Medical Ltd Electrosurgical generator
WO2010132617A2 (en) 2009-05-12 2010-11-18 Chronicmobile, Inc. Methods and systems for managing, controlling and monitoring medical devices via one or more software applications functioning in a secure environment
US20100292684A1 (en) 2009-05-15 2010-11-18 Cybulski James S Tissue modification devices and methods of the same
GB0908368D0 (en) 2009-05-15 2009-06-24 Univ Leuven Kath Adjustable remote center of motion positioner
US20100292535A1 (en) 2009-05-18 2010-11-18 Larry Paskar Endoscope with multiple fields of view
WO2010141922A1 (en) 2009-06-04 2010-12-09 Abbott Diabetes Care Inc. Method and system for updating a medical device
US9226791B2 (en) 2012-03-12 2016-01-05 Advanced Cardiac Therapeutics, Inc. Systems for temperature-controlled ablation using radiometric feedback
US9277961B2 (en) 2009-06-12 2016-03-08 Advanced Cardiac Therapeutics, Inc. Systems and methods of radiometrically determining a hot-spot temperature of tissue being treated
US20110077512A1 (en) 2009-06-16 2011-03-31 Dept. Of Veterans Affairs Biopsy marker composition and method of use
US9532827B2 (en) 2009-06-17 2017-01-03 Nuortho Surgical Inc. Connection of a bipolar electrosurgical hand piece to a monopolar output of an electrosurgical generator
US9554692B2 (en) 2009-06-18 2017-01-31 EndoChoice Innovation Ctr. Ltd. Multi-camera endoscope
US9872609B2 (en) 2009-06-18 2018-01-23 Endochoice Innovation Center Ltd. Multi-camera endoscope
US8827134B2 (en) 2009-06-19 2014-09-09 Covidien Lp Flexible surgical stapler with motor in the head
US8473066B2 (en) 2009-07-06 2013-06-25 Boston Scientific Neuromodulation Company External charger for a medical implantable device using field sensing coils to improve coupling
US9017326B2 (en) 2009-07-15 2015-04-28 Ethicon Endo-Surgery, Inc. Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
EP2454696A1 (en) 2009-07-15 2012-05-23 Koninklijke Philips Electronics N.V. Method for automatic setting time varying parameter alert and alarm limits
US8461744B2 (en) 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US9439736B2 (en) 2009-07-22 2016-09-13 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for controlling a remote medical device guidance system in three-dimensions using gestures
FR2948594B1 (fr) 2009-07-31 2012-07-20 Dexterite Surgical Manipulateur ergonomique et semi-automatique et applications aux instruments pour chirurgie mini-invasive
US8934684B2 (en) 2009-07-31 2015-01-13 Siemens Aktiengesellschaft Method and system for facilitating an image guided medical procedure
US20110046618A1 (en) 2009-08-04 2011-02-24 Minar Christopher D Methods and systems for treating occluded blood vessels and other body cannula
US8968358B2 (en) 2009-08-05 2015-03-03 Covidien Lp Blunt tissue dissection surgical instrument jaw designs
GB0913930D0 (en) 2009-08-07 2009-09-16 Ucl Business Plc Apparatus and method for registering two medical images
US8955732B2 (en) 2009-08-11 2015-02-17 Covidien Lp Surgical stapling apparatus
US8360299B2 (en) 2009-08-11 2013-01-29 Covidien Lp Surgical stapling apparatus
US7956620B2 (en) 2009-08-12 2011-06-07 Tyco Healthcare Group Lp System and method for augmented impedance sensing
US8733612B2 (en) 2009-08-17 2014-05-27 Covidien Lp Safety method for powered surgical instruments
US20140148729A1 (en) 2012-11-29 2014-05-29 Gregory P. Schmitz Micro-mechanical devices and methods for brain tumor removal
US8886790B2 (en) 2009-08-19 2014-11-11 Opanga Networks, Inc. Systems and methods for optimizing channel resources by coordinating data transfers based on data type and traffic
US9636239B2 (en) 2009-08-20 2017-05-02 Case Western Reserve University System and method for mapping activity in peripheral nerves
US20110166883A1 (en) 2009-09-01 2011-07-07 Palmer Robert D Systems and Methods for Modeling Healthcare Costs, Predicting Same, and Targeting Improved Healthcare Quality and Profitability
SE0901166A1 (sv) 2009-09-10 2011-03-11 Cathprint Ab Flexibel ledningsbärare för kateter försedd med sådan ledningsbärare
US9265429B2 (en) 2009-09-18 2016-02-23 Welch Allyn, Inc. Physiological parameter measuring platform device supporting multiple workflows
US9750563B2 (en) 2009-09-22 2017-09-05 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
US9474565B2 (en) 2009-09-22 2016-10-25 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
US10386990B2 (en) 2009-09-22 2019-08-20 Mederi Rf, Llc Systems and methods for treating tissue with radiofrequency energy
US20120265555A1 (en) 2009-09-28 2012-10-18 Sandro Cappuzzo Method and system for monitoring the flow and usage of medical devices
WO2011035817A1 (en) 2009-09-28 2011-03-31 Johnson & Johnson Medical S.P.A. Method and system for monitoring the flow and usage of medical devices
EP2329786A2 (en) 2009-10-01 2011-06-08 Navotek Medical Ltd. Guided surgery
US20110119075A1 (en) 2009-10-02 2011-05-19 Rabin Chandra Kemp Dhoble Apparatuses, methods and systems for a mobile healthcare manager-based provider incentive manager
US9060776B2 (en) 2009-10-09 2015-06-23 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US9168054B2 (en) 2009-10-09 2015-10-27 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US20140074076A1 (en) 2009-10-12 2014-03-13 Kona Medical, Inc. Non-invasive autonomic nervous system modulation
US8635088B2 (en) 2009-10-14 2014-01-21 Cincinnati Children's Hospital Medical Center Medical facility bed availability
US8157151B2 (en) * 2009-10-15 2012-04-17 Tyco Healthcare Group Lp Staple line reinforcement for anvil and cartridge
WO2011047295A2 (en) 2009-10-16 2011-04-21 Nanomedapps Llc Item and user tracking
US8038693B2 (en) 2009-10-21 2011-10-18 Tyco Healthcare Group Ip Methods for ultrasonic tissue sensing and feedback
EP2468203B1 (en) 2009-10-28 2013-12-25 Olympus Medical Systems Corp. Medical device
US8322590B2 (en) 2009-10-28 2012-12-04 Covidien Lp Surgical stapling instrument
US8398633B2 (en) 2009-10-30 2013-03-19 Covidien Lp Jaw roll joint
KR101759534B1 (ko) 2009-10-30 2017-07-19 더 존스 홉킨스 유니버시티 외과 수술 시 임상적으로 중요한 해부상의 랜드마크에 대한 시각 추적 및 주석 달기
US8225979B2 (en) 2009-10-30 2012-07-24 Tyco Healthcare Group Lp Locking shipping wedge
EP2320621B1 (en) 2009-11-06 2016-10-05 F.Hoffmann-La Roche Ag Method for establishing cryptographic communications between a remote device and a medical device and system for carrying out the method
US8521331B2 (en) 2009-11-13 2013-08-27 Intuitive Surgical Operations, Inc. Patient-side surgeon interface for a minimally invasive, teleoperated surgical instrument
US8682489B2 (en) 2009-11-13 2014-03-25 Intuitive Sugical Operations, Inc. Method and system for hand control of a teleoperated minimally invasive slave surgical instrument
BR112012011424B1 (pt) 2009-11-13 2020-10-20 Intuitive Surgical Operations, Inc instrumento cirúrgico
US9259275B2 (en) 2009-11-13 2016-02-16 Intuitive Surgical Operations, Inc. Wrist articulation by linked tension members
EP4059460A1 (en) 2009-11-13 2022-09-21 Intuitive Surgical Operations, Inc. Surgical tool with a compact wrist
US8899466B2 (en) 2009-11-19 2014-12-02 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US9241730B2 (en) 2009-11-25 2016-01-26 Eliaz Babaev Ultrasound surgical saw
US8540709B2 (en) 2009-12-07 2013-09-24 Covidien Lp Removable ink for surgical instrument
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US20110152712A1 (en) 2009-12-21 2011-06-23 Hong Cao Impedance Measurement Tissue Identification in Blood Vessels
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
USD657368S1 (en) 2009-12-31 2012-04-10 Welch Allyn, Inc. Patient monitoring device with graphical user interface
US20110162048A1 (en) 2009-12-31 2011-06-30 Apple Inc. Local device awareness
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
EP2525731A1 (en) 2010-01-20 2012-11-28 Creative Team Instruments Ltd. Orientation dector for use with a hand-held surgical or dental tool
US8476227B2 (en) 2010-01-22 2013-07-02 Ethicon Endo-Surgery, Inc. Methods of activating a melanocortin-4 receptor pathway in obese subjects
EP2526885A1 (en) 2010-01-22 2012-11-28 Olympus Medical Systems Corp. Treatment tool, treatment device, and treatment method
US8439910B2 (en) 2010-01-22 2013-05-14 Megadyne Medical Products Inc. Electrosurgical electrode with electric field concentrating flash edge
US11881307B2 (en) 2012-05-24 2024-01-23 Deka Products Limited Partnership System, method, and apparatus for electronic patient care
US8556929B2 (en) 2010-01-29 2013-10-15 Covidien Lp Surgical forceps capable of adjusting seal plate width based on vessel size
GB2477515B (en) 2010-02-03 2012-09-26 Orbital Multi Media Holdings Corp Data flow control method and apparatus
JP2013518681A (ja) 2010-02-04 2013-05-23 アエスクラップ アーゲー 腹腔鏡高周波手術装置
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
US8512325B2 (en) 2010-02-26 2013-08-20 Covidien Lp Frequency shifting multi mode ultrasonic dissector
US9610412B2 (en) 2010-03-02 2017-04-04 Covidien Lp Internally pressurized medical devices
US9107684B2 (en) 2010-03-05 2015-08-18 Covidien Lp System and method for transferring power to intrabody instruments
USD673117S1 (en) 2010-03-09 2012-12-25 Wago Verwaltungsgesellschaft Mbh Electrical connectors
US8864761B2 (en) 2010-03-10 2014-10-21 Covidien Lp System and method for determining proximity relative to a critical structure
TWI556802B (zh) 2010-03-12 2016-11-11 美國伊利諾大學理事會 在生物可再吸收基板上之可植入生物醫學裝置
EP3381366A1 (en) 2010-03-12 2018-10-03 Inspire Medical Systems, Inc. System for identifying a location for nerve stimulation
WO2011119840A1 (en) 2010-03-25 2011-09-29 The Research Foundation Of State University Of New York Method and system for guided, efficient treatment
US9023032B2 (en) 2010-03-25 2015-05-05 Covidien Lp Shaped circuit boards suitable for use in electrosurgical devices and rotatable assemblies including same
JP5405373B2 (ja) 2010-03-26 2014-02-05 富士フイルム株式会社 電子内視鏡システム
JP5606120B2 (ja) 2010-03-29 2014-10-15 富士フイルム株式会社 内視鏡装置
USD678304S1 (en) 2010-03-31 2013-03-19 Spintso International Ab Display screen or portion thereof with graphical user interface
US8834518B2 (en) 2010-04-12 2014-09-16 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
WO2011128766A2 (en) 2010-04-13 2011-10-20 Picard Frederic Methods and systems for object tracking
EP2559280B1 (en) 2010-04-13 2016-10-12 Koninklijke Philips N.V. Medical body area network (mban) with key-based control of spectrum usage
US9498298B2 (en) 2010-04-23 2016-11-22 Kenneth I. Lipow Ring form surgical effector
US10631912B2 (en) 2010-04-30 2020-04-28 Medtronic Xomed, Inc. Interface module for use with nerve monitoring and electrosurgery
USD631252S1 (en) 2010-05-26 2011-01-25 Leslie Henry E Glove holder for engaging a garment
US9052809B2 (en) 2010-05-26 2015-06-09 General Electric Company Systems and methods for situational application development and deployment with patient event monitoring
US9091588B2 (en) 2010-05-28 2015-07-28 Prognost Systems Gmbh System and method of mechanical fault detection based on signature detection
AU2015201140B2 (en) 2010-06-11 2017-02-09 Ethicon, Llc Suture delivery tools for endoscopic and robot-assisted surgery and methods
US20120130217A1 (en) 2010-11-23 2012-05-24 Kauphusman James V Medical devices having electrodes mounted thereon and methods of manufacturing therefor
US8596515B2 (en) 2010-06-18 2013-12-03 Covidien Lp Staple position sensor system
CN102958565B (zh) 2010-06-24 2016-01-20 皇家飞利浦电子股份有限公司 在多个维度上的hifu治疗的实时监测和控制
US8429153B2 (en) 2010-06-25 2013-04-23 The United States Of America As Represented By The Secretary Of The Army Method and apparatus for classifying known specimens and media using spectral properties and identifying unknown specimens and media
US8453906B2 (en) 2010-07-14 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical instruments with electrodes
FR2963148A1 (fr) 2010-07-20 2012-01-27 Maquet S A Systeme de gestion d'equipement d'un bloc operatoire et utilisation correspondante
US20120022519A1 (en) 2010-07-22 2012-01-26 Ethicon Endo-Surgery, Inc. Surgical cutting and sealing instrument with controlled energy delivery
US8403946B2 (en) 2010-07-28 2013-03-26 Covidien Lp Articulating clip applier cartridge
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
US8827136B2 (en) 2010-08-11 2014-09-09 Covidien Lp Endoscopic purse string surgical device
CA2808379C (en) 2010-08-17 2019-04-09 University Of Florida Research Foundation, Inc. Central site photoplethysmography, medication administration, and safety
US8814864B2 (en) 2010-08-23 2014-08-26 Covidien Lp Method of manufacturing tissue sealing electrodes
US11544652B2 (en) 2010-09-01 2023-01-03 Apixio, Inc. Systems and methods for enhancing workflow efficiency in a healthcare management system
US20120059684A1 (en) 2010-09-02 2012-03-08 International Business Machines Corporation Spatial-Temporal Optimization of Physical Asset Maintenance
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
EP2618909A4 (en) 2010-09-20 2014-06-18 Surgiquest Inc FILTRATION SYSTEM WITH MULTIPLE FLOWS
JP2012065698A (ja) 2010-09-21 2012-04-05 Fujifilm Corp 手術支援システムおよびそれを用いた手術支援方法
US9402682B2 (en) 2010-09-24 2016-08-02 Ethicon Endo-Surgery, Llc Articulation joint features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US8740038B2 (en) 2010-09-30 2014-06-03 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a releasable portion
US20120100517A1 (en) 2010-09-30 2012-04-26 Andrew Bowditch Real-time, interactive, three-dimensional virtual surgery system and method thereof
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
BR112013007717B1 (pt) 2010-09-30 2020-09-24 Ethicon Endo-Surgery, Inc. Sistema de grampeamento cirúrgico
US9788834B2 (en) * 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
CN103384500B (zh) 2010-09-30 2016-05-18 伊西康内外科公司 具有可互换钉仓结构的外科缝合器械
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US8393514B2 (en) 2010-09-30 2013-03-12 Ethicon Endo-Surgery, Inc. Selectively orientable implantable fastener cartridge
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9241714B2 (en) * 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US8979890B2 (en) 2010-10-01 2015-03-17 Ethicon Endo-Surgery, Inc. Surgical instrument with jaw member
JP6143362B2 (ja) 2010-10-01 2017-06-07 アプライド メディカル リソーシーズ コーポレイション ジョー及び/又は電極、及び電気手術用増幅器を持つ電気手術器具
US9655672B2 (en) 2010-10-04 2017-05-23 Covidien Lp Vessel sealing instrument
AU2011316696B2 (en) 2010-10-11 2015-07-02 Cook Medical Technologies Llc Medical devices with detachable pivotable jaws
CN103313671B (zh) 2010-10-25 2017-06-06 美敦力Af卢森堡有限责任公司 用于神经调节治疗的估算及反馈的装置、系统及方法
US8628529B2 (en) 2010-10-26 2014-01-14 Ethicon Endo-Surgery, Inc. Surgical instrument with magnetic clamping force
US9155503B2 (en) 2010-10-27 2015-10-13 Cadwell Labs Apparatus, system, and method for mapping the location of a nerve
EP2636034A4 (en) 2010-11-04 2015-07-22 Univ Johns Hopkins SYSTEM AND METHOD FOR ASSESSING OR ENHANCING CAPACITIES IN NON-INVASIVE SURGERY
US9161803B2 (en) 2010-11-05 2015-10-20 Ethicon Endo-Surgery, Inc. Motor driven electrosurgical device with mechanical and electrical feedback
US10959769B2 (en) 2010-11-05 2021-03-30 Ethicon Llc Surgical instrument with slip ring assembly to power ultrasonic transducer
US9072523B2 (en) 2010-11-05 2015-07-07 Ethicon Endo-Surgery, Inc. Medical device with feature for sterile acceptance of non-sterile reusable component
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US9011471B2 (en) 2010-11-05 2015-04-21 Ethicon Endo-Surgery, Inc. Surgical instrument with pivoting coupling to modular shaft and end effector
US9381058B2 (en) 2010-11-05 2016-07-05 Ethicon Endo-Surgery, Llc Recharge system for medical devices
US20120116381A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging station and wireless communication
US9782214B2 (en) 2010-11-05 2017-10-10 Ethicon Llc Surgical instrument with sensor and powered control
CA140107S (en) 2010-11-11 2011-11-30 Hosiden Corp Electrical connector
JP6063387B2 (ja) 2010-11-15 2017-01-18 インテュイティブ サージカル オペレーションズ, インコーポレイテッド 手術器具における器具シャフトのロールとエンドエフェクタの作動の切り離し
EP2458328B1 (de) 2010-11-24 2016-01-27 Leica Geosystems AG Konstruktionsvermessungsgerät mit einer automatischen Lotpunktfindungs-Funktionalität
US8814996B2 (en) 2010-12-01 2014-08-26 University Of South Carolina Methods and sensors for the detection of active carbon filters degradation with EMIS-ECIS PWAS
US8523043B2 (en) 2010-12-07 2013-09-03 Immersion Corporation Surgical stapler having haptic feedback
US8714352B2 (en) 2010-12-10 2014-05-06 Covidien Lp Cartridge shipping aid
US9044244B2 (en) 2010-12-10 2015-06-02 Biosense Webster (Israel), Ltd. System and method for detection of metal disturbance based on mutual inductance measurement
WO2012088471A1 (en) 2010-12-22 2012-06-28 Veebot, Llc Systems and methods for autonomous intravenous needle insertion
MX2013007121A (es) 2010-12-22 2013-08-01 Cooper Technologies Co Pre-filtracion y deteccion de mantenimiento para contenedores a prueba de explosiones.
US9119655B2 (en) 2012-08-03 2015-09-01 Stryker Corporation Surgical manipulator capable of controlling a surgical instrument in multiple modes
US8936614B2 (en) 2010-12-30 2015-01-20 Covidien Lp Combined unilateral/bilateral jaws on a surgical instrument
USD678196S1 (en) 2011-01-07 2013-03-19 Seiko Epson Corporation Input signal selector for projector
US9936955B2 (en) 2011-01-11 2018-04-10 Amsel Medical Corporation Apparatus and methods for fastening tissue layers together with multiple tissue fasteners
US8818556B2 (en) 2011-01-13 2014-08-26 Microsoft Corporation Multi-state model for robot and user interaction
US8798527B2 (en) 2011-01-14 2014-08-05 Covidien Lp Wireless relay module for remote monitoring systems
US20120191162A1 (en) 2011-01-20 2012-07-26 Cristiano Villa System of Remote Controlling a Medical Laser Generator Unit with a Portable Computing Device
US20120191091A1 (en) 2011-01-24 2012-07-26 Tyco Healthcare Group Lp Reusable Medical Device with Advanced Counting Capability
US9875339B2 (en) 2011-01-27 2018-01-23 Simbionix Ltd. System and method for generating a patient-specific digital image-based model of an anatomical structure
WO2012106310A1 (en) 2011-02-04 2012-08-09 The Penn State Research Foundation Method and device for determining the location of an endoscope
US9990856B2 (en) 2011-02-08 2018-06-05 The Trustees Of The University Of Pennsylvania Systems and methods for providing vibration feedback in robotic systems
CA2827044A1 (en) 2011-02-10 2012-08-16 Actuated Medical, Inc. Medical tool with electromechanical control and feedback
WO2012112249A1 (en) 2011-02-15 2012-08-23 Intuitive Surgical Operations, Inc. Systems for detecting clamping or firing failure
US9393017B2 (en) 2011-02-15 2016-07-19 Intuitive Surgical Operations, Inc. Methods and systems for detecting staple cartridge misfire or failure
EP2675387B1 (en) 2011-02-15 2018-04-25 Intuitive Surgical Operations, Inc. Seals and sealing methods for a surgical instrument having an articulated end effector actuated by a drive shaft
KR102182874B1 (ko) 2011-02-15 2020-11-25 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 조임 예측을 나타내는 시스템
US20120211542A1 (en) 2011-02-23 2012-08-23 Tyco Healthcare Group I.P Controlled tissue compression systems and methods
USD687146S1 (en) 2011-03-02 2013-07-30 Baylis Medical Company Inc. Electrosurgical generator
WO2012122129A1 (en) 2011-03-07 2012-09-13 Passer Stitch, Llc Suture passing devices and methods
US8397972B2 (en) * 2011-03-18 2013-03-19 Covidien Lp Shipping wedge with lockout
US20120245958A1 (en) 2011-03-25 2012-09-27 Surgichart, Llc Case-Centric Medical Records System with Social Networking
US10729458B2 (en) 2011-03-30 2020-08-04 Covidien Lp Ultrasonic surgical instruments
US20120253847A1 (en) 2011-03-31 2012-10-04 General Electric Company Health information telecommunications system and method
EP2509276B1 (de) 2011-04-05 2013-11-20 F. Hoffmann-La Roche AG Verfahren zum sicheren Übertragen von elektronischen Daten über eine Datenkommunikationsverbindung zwischen einem Gerät und einem weiteren Gerät
AU2012242646A1 (en) 2011-04-15 2013-10-31 Infobionic, Inc. Remote data monitoring and collection system with multi-tiered analysis
US20150051452A1 (en) 2011-04-26 2015-02-19 The Trustees Of Columbia University In The City Of New York Apparatus, method and computer-accessible medium for transform analysis of biomedical data
US9649113B2 (en) 2011-04-27 2017-05-16 Covidien Lp Device for monitoring physiological parameters in vivo
CA2834649C (en) 2011-04-29 2021-02-16 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US9061099B2 (en) 2011-04-29 2015-06-23 Medtronic, Inc. Cardiovascular monitoring for fluid removal processes
JP5816457B2 (ja) 2011-05-12 2015-11-18 オリンパス株式会社 術具装置
US9820741B2 (en) 2011-05-12 2017-11-21 Covidien Lp Replaceable staple cartridge
US9202078B2 (en) 2011-05-27 2015-12-01 International Business Machines Corporation Data perturbation and anonymization using one way hash
JP5865606B2 (ja) 2011-05-27 2016-02-17 オリンパス株式会社 内視鏡装置及び内視鏡装置の作動方法
US10542978B2 (en) 2011-05-27 2020-01-28 Covidien Lp Method of internally potting or sealing a handheld medical device
KR102109615B1 (ko) 2011-05-31 2020-05-12 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 로봇 수술 기구 엔드 이펙터의 능동 제어
US9615877B2 (en) 2011-06-17 2017-04-11 Covidien Lp Tissue sealing forceps
US8930214B2 (en) 2011-06-17 2015-01-06 Parallax Enterprises, Llc Consolidated healthcare and resource management system
US9498231B2 (en) 2011-06-27 2016-11-22 Board Of Regents Of The University Of Nebraska On-board tool tracking system and methods of computer assisted surgery
EP2725967B1 (en) 2011-06-28 2020-08-05 Koninklijke Philips N.V. An apparatus for optical analysis of an associated tissue sample
US20130001121A1 (en) 2011-07-01 2013-01-03 Biomet Manufacturing Corp. Backup kit for a patient-specific arthroplasty kit assembly
JP5623348B2 (ja) 2011-07-06 2014-11-12 富士フイルム株式会社 内視鏡システム、内視鏡システムのプロセッサ装置、及び内視鏡システムの作動方法
US20130008677A1 (en) 2011-07-08 2013-01-10 Chen Huifu Multi-head power tool
US8792693B2 (en) 2011-07-09 2014-07-29 Gauss Surgical System and method for estimating extracorporeal blood volume in a physical sample
JP5502812B2 (ja) 2011-07-14 2014-05-28 富士フイルム株式会社 生体情報取得システムおよび生体情報取得システムの作動方法
JP5936914B2 (ja) 2011-08-04 2016-06-22 オリンパス株式会社 操作入力装置およびこれを備えるマニピュレータシステム
JP6021353B2 (ja) 2011-08-04 2016-11-09 オリンパス株式会社 手術支援装置
US9539007B2 (en) 2011-08-08 2017-01-10 Covidien Lp Surgical fastener applying aparatus
CN103858284B (zh) 2011-08-08 2016-08-17 莫列斯公司 具有调谐通道的连接器
US20130112618A1 (en) 2011-08-08 2013-05-09 Mamadou S. Diallo Filtration membranes, related nano and/or micro fibers, composites methods and systems
US9724095B2 (en) 2011-08-08 2017-08-08 Covidien Lp Surgical fastener applying apparatus
US9123155B2 (en) 2011-08-09 2015-09-01 Covidien Lp Apparatus and method for using augmented reality vision system in surgical procedures
US9125644B2 (en) 2011-08-14 2015-09-08 SafePath Medical, Inc. Apparatus and method for suturing tissue
US20130046279A1 (en) 2011-08-16 2013-02-21 Paul J. Niklewski User interface feature for drug delivery system
US20130046182A1 (en) 2011-08-16 2013-02-21 Elwha LLC, a limited liability company of the State of Delaware Devices and Methods for Recording Information on a Subject's Body
US8685056B2 (en) 2011-08-18 2014-04-01 Covidien Lp Surgical forceps
US9028492B2 (en) 2011-08-18 2015-05-12 Covidien Lp Surgical instruments with removable components
WO2013027200A2 (en) 2011-08-21 2013-02-28 M.S.T. Medical Surgery Technologies Ltd. Device and method for asissting laparoscopic surgery - rule based approach
US20130066647A1 (en) 2011-09-09 2013-03-14 Depuy Spine, Inc. Systems and methods for surgical support and management
US9099863B2 (en) 2011-09-09 2015-08-04 Covidien Lp Surgical generator and related method for mitigating overcurrent conditions
US9101359B2 (en) 2011-09-13 2015-08-11 Ethicon Endo-Surgery, Inc. Surgical staple cartridge with self-dispensing staple buttress
US9414940B2 (en) 2011-09-23 2016-08-16 Orthosensor Inc. Sensored head for a measurement tool for the muscular-skeletal system
WO2013049386A1 (en) 2011-09-27 2013-04-04 Allied Minds Devices Llc Instruct-or
US11154559B2 (en) 2011-09-29 2021-10-26 Ethicon Endo-Surgery, Inc. Methods and compositions of bile acids
US9579503B2 (en) 2011-10-05 2017-02-28 Medtronic Xomed, Inc. Interface module allowing delivery of tissue stimulation and electrosurgery through a common surgical instrument
US9463646B2 (en) 2011-10-07 2016-10-11 Transact Technologies Incorporated Tilting touch screen for printer and printer with tilting touch screen
US8856936B2 (en) 2011-10-14 2014-10-07 Albeado Inc. Pervasive, domain and situational-aware, adaptive, automated, and coordinated analysis and control of enterprise-wide computers, networks, and applications for mitigation of business and operational risks and enhancement of cyber security
US8931679B2 (en) 2011-10-17 2015-01-13 Covidien Lp Surgical stapling apparatus
US8585631B2 (en) 2011-10-18 2013-11-19 Alcon Research, Ltd. Active bimodal valve system for real-time IOP control
US9370400B2 (en) 2011-10-19 2016-06-21 Ethicon Endo-Surgery, Inc. Clip applier adapted for use with a surgical robot
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US9016539B2 (en) 2011-10-25 2015-04-28 Covidien Lp Multi-use loading unit
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US8657177B2 (en) 2011-10-25 2014-02-25 Covidien Lp Surgical apparatus and method for endoscopic surgery
CN104039251B (zh) 2011-10-26 2017-09-08 直观外科手术操作公司 具有整体的手术刀刀片的外科手术器械
WO2013063522A2 (en) 2011-10-26 2013-05-02 Reid Robert Cyrus Surgical instrument motor pack latch
EP3165176B1 (en) 2011-10-26 2018-12-26 Intuitive Surgical Operations, Inc. Cartridge status and presence detection
US9364231B2 (en) 2011-10-27 2016-06-14 Covidien Lp System and method of using simulation reload to optimize staple formation
US10404801B2 (en) 2011-11-08 2019-09-03 DISH Technologies L.L.C. Reconfiguring remote controls for different devices in a network
US9277956B2 (en) 2011-11-09 2016-03-08 Siemens Medical Solutions Usa, Inc. System for automatic medical ablation control
US8968309B2 (en) 2011-11-10 2015-03-03 Covidien Lp Surgical forceps
EP2779921B1 (en) 2011-11-15 2019-03-27 Intuitive Surgical Operations, Inc. Surgical instrument with stowing knife blade
US8968312B2 (en) 2011-11-16 2015-03-03 Covidien Lp Surgical device with powered articulation wrist rotation
JP5420802B2 (ja) 2011-11-16 2014-02-19 オリンパスメディカルシステムズ株式会社 医療機器
CN103945786B (zh) 2011-11-24 2017-03-08 赛诺龙医疗公司 用于个人使用的安全皮肤护理设备及其使用方法
WO2013086036A1 (en) 2011-12-05 2013-06-13 Qualcomm Incorporated Telehealth wireless communication hub device and service platform system
US9259268B2 (en) 2011-12-06 2016-02-16 Covidien Lp Vessel sealing using microwave energy
US8968336B2 (en) 2011-12-07 2015-03-03 Edwards Lifesciences Corporation Self-cinching surgical clips and delivery system
US9237892B2 (en) * 2011-12-14 2016-01-19 Covidien Lp Buttress attachment to the cartridge surface
US9010608B2 (en) 2011-12-14 2015-04-21 Covidien Lp Releasable buttress retention on a surgical stapler
US20130165776A1 (en) 2011-12-22 2013-06-27 Andreas Blomqvist Contraction status assessment
US9220502B2 (en) 2011-12-28 2015-12-29 Covidien Lp Staple formation recognition for a surgical device
JP5859849B2 (ja) 2011-12-28 2016-02-16 タイコエレクトロニクスジャパン合同会社 電気コネクタ
US20130178853A1 (en) 2012-01-05 2013-07-11 International Business Machines Corporation Surgical tool management
US9867914B2 (en) 2012-01-10 2018-01-16 Buffalo Filter Llc Fluid filtration device and system
US8962062B2 (en) 2012-01-10 2015-02-24 Covidien Lp Methods of manufacturing end effectors for energy-based surgical instruments
WO2013108461A1 (ja) 2012-01-19 2013-07-25 オリンパスメディカルシステムズ株式会社 医療システム
US20140108983A1 (en) 2012-01-22 2014-04-17 Karen Ferguson Graphical system for collecting, presenting and using medical data
US20130191647A1 (en) 2012-01-23 2013-07-25 Michael N. Ferrara, JR. Secure Wireless Access to Medical Data
JP6048838B2 (ja) 2012-01-25 2016-12-21 パナソニックIpマネジメント株式会社 家電情報管理装置、家電情報共有方法および家電情報共有システム
JP5815426B2 (ja) 2012-01-25 2015-11-17 富士フイルム株式会社 内視鏡システム、内視鏡システムのプロセッサ装置、及び画像処理方法
US9649064B2 (en) 2012-01-26 2017-05-16 Autonomix Medical, Inc. Controlled sympathectomy and micro-ablation systems and methods
US9183723B2 (en) 2012-01-31 2015-11-10 Cleanalert, Llc Filter clog detection and notification system
US9710644B2 (en) 2012-02-01 2017-07-18 Servicenow, Inc. Techniques for sharing network security event information
US9038882B2 (en) 2012-02-03 2015-05-26 Covidien Lp Circular stapling instrument
US20140066700A1 (en) 2012-02-06 2014-03-06 Vantage Surgical Systems Inc. Stereoscopic System for Minimally Invasive Surgery Visualization
RU2623130C2 (ru) 2012-02-14 2017-06-22 Этикон Эндо-Серджери, Инк. Линейный сшивающий аппарат
US8682049B2 (en) 2012-02-14 2014-03-25 Terarecon, Inc. Cloud-based medical image processing system with access control
US9572566B2 (en) 2012-02-29 2017-02-21 Marker Medical, Llc Surgical suturing apparatus and method
US9486271B2 (en) 2012-03-05 2016-11-08 Covidien Lp Method and apparatus for identification using capacitive elements
WO2013134411A1 (en) 2012-03-06 2013-09-12 Briteseed, Llc Surgical tool with integrated sensor
US11399898B2 (en) 2012-03-06 2022-08-02 Briteseed, Llc User interface for a system used to determine tissue or artifact characteristics
US9864839B2 (en) 2012-03-14 2018-01-09 El Wha Llc. Systems, devices, and method for determining treatment compliance including tracking, registering, etc. of medical staff, patients, instrumentation, events, etc. according to a treatment staging plan
US9119617B2 (en) 2012-03-16 2015-09-01 Ethicon, Inc. Clamping devices for dispensing surgical fasteners into soft media
US9364249B2 (en) 2012-03-22 2016-06-14 Ethicon Endo-Surgery, Llc Method and apparatus for programming modular surgical instrument
US9198711B2 (en) 2012-03-22 2015-12-01 Covidien Lp Electrosurgical system for communicating information embedded in an audio tone
US20130253480A1 (en) 2012-03-22 2013-09-26 Cory G. Kimball Surgical instrument usage data management
US9381003B2 (en) 2012-03-23 2016-07-05 Integrated Medical Systems International, Inc. Digital controller for surgical handpiece
US9375282B2 (en) 2012-03-26 2016-06-28 Covidien Lp Light energy sealing, cutting and sensing surgical device
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
WO2013143573A1 (en) 2012-03-26 2013-10-03 Brainlab Ag Pairing medical devices within a working environment
US20130256373A1 (en) 2012-03-28 2013-10-03 Ethicon Endo-Surgery, Inc. Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments
RU2014143258A (ru) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий множество слоев
JP2013202313A (ja) 2012-03-29 2013-10-07 Panasonic Corp 手術支援装置および手術支援プログラム
EP2702927A4 (en) 2012-03-30 2015-08-26 Olympus Medical Systems Corp ENDOSCOPIC DEVICE
US9050063B2 (en) 2012-03-30 2015-06-09 Sandance Technology Llc Systems and methods for determining suitability of a mechanical implant for a medical procedure
KR101365357B1 (ko) 2012-04-02 2014-02-20 주식회사 모바수 관절 고정 구조를 갖는 최소 침습 수술 기구
USD772252S1 (en) 2012-04-05 2016-11-22 Welch Allyn, Inc. Patient monitoring device with a graphical user interface
US20130268283A1 (en) 2012-04-05 2013-10-10 Welch Allyn, Inc. Process to Streamline Workflow for Continuous Monitoring of a Patient
US9055870B2 (en) 2012-04-05 2015-06-16 Welch Allyn, Inc. Physiological parameter measuring platform device supporting multiple workflows
US9241731B2 (en) 2012-04-09 2016-01-26 Ethicon Endo-Surgery, Inc. Rotatable electrical connection for ultrasonic surgical instruments
US9237921B2 (en) 2012-04-09 2016-01-19 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9226766B2 (en) 2012-04-09 2016-01-05 Ethicon Endo-Surgery, Inc. Serial communication protocol for medical device
US20130267874A1 (en) 2012-04-09 2013-10-10 Amy L. Marcotte Surgical instrument with nerve detection feature
US9724118B2 (en) 2012-04-09 2017-08-08 Ethicon Endo-Surgery, Llc Techniques for cutting and coagulating tissue for ultrasonic surgical instruments
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9814457B2 (en) 2012-04-10 2017-11-14 Ethicon Llc Control interface for laparoscopic suturing instrument
JP5940864B2 (ja) 2012-04-12 2016-06-29 カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト 医療用マニピュレータ
US9186141B2 (en) 2012-04-12 2015-11-17 Covidien Lp Circular anastomosis stapling apparatus utilizing a two stroke firing sequence
US10357304B2 (en) 2012-04-18 2019-07-23 CardioSonic Ltd. Tissue treatment
US9788851B2 (en) 2012-04-18 2017-10-17 Ethicon Llc Surgical instrument with tissue density sensing
EP2838439A4 (en) 2012-04-18 2015-11-25 Cardica Inc SAFETY LOCK FOR A SURGICAL CLIP DEVICE
US20150133945A1 (en) 2012-05-02 2015-05-14 Stryker Global Technology Center Handheld tracking system and devices for aligning implant systems during surgery
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US9498182B2 (en) 2012-05-22 2016-11-22 Covidien Lp Systems and methods for planning and navigation
US9439622B2 (en) 2012-05-22 2016-09-13 Covidien Lp Surgical navigation system
US9493807B2 (en) 2012-05-25 2016-11-15 Medtronic Minimed, Inc. Foldover sensors and methods for making and using them
US9572592B2 (en) 2012-05-31 2017-02-21 Ethicon Endo-Surgery, Llc Surgical instrument with orientation sensing
US9084606B2 (en) 2012-06-01 2015-07-21 Megadyne Medical Products, Inc. Electrosurgical scissors
KR20130136184A (ko) 2012-06-04 2013-12-12 삼성전자주식회사 컨텐츠 백업을 위한 방법 및 그 전자 장치
US10453573B2 (en) 2012-06-05 2019-10-22 Dexcom, Inc. Dynamic report building
US11076880B2 (en) 2012-06-11 2021-08-03 Covidien Lp Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring
US10677764B2 (en) 2012-06-11 2020-06-09 Covidien Lp Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring
US20130331875A1 (en) 2012-06-11 2013-12-12 Covidien Lp Temperature estimation and tissue detection of an ultrasonic dissector from frequency response monitoring
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US10799298B2 (en) 2012-06-21 2020-10-13 Globus Medical Inc. Robotic fluoroscopic navigation
US20190000569A1 (en) 2012-06-21 2019-01-03 Globus Medical, Inc. Controlling a surgical robot to avoid robotic arm collision
US10136954B2 (en) 2012-06-21 2018-11-27 Globus Medical, Inc. Surgical tool systems and method
US9483618B2 (en) 2012-06-22 2016-11-01 Exco Intouch Limited Systems, methods and computer program products for providing disease and/or condition specific adaptive mobile health content, applications and/or solutions
US20140107697A1 (en) 2012-06-25 2014-04-17 Castle Surgical, Inc. Clamping Forceps and Associated Methods
US8968296B2 (en) 2012-06-26 2015-03-03 Covidien Lp Energy-harvesting system, apparatus and methods
US8882662B2 (en) 2012-06-27 2014-11-11 Camplex, Inc. Interface for viewing video from cameras on a surgical visualization system
US9642606B2 (en) 2012-06-27 2017-05-09 Camplex, Inc. Surgical visualization system
CN104487005B (zh) 2012-06-28 2017-09-08 伊西康内外科公司 空夹仓闭锁件
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US10930400B2 (en) 2012-06-28 2021-02-23 LiveData, Inc. Operating room checklist system
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US20140006132A1 (en) 2012-06-28 2014-01-02 Jason W. Barker Systems and methods for managing promotional offers
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US20140005640A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical end effector jaw and electrode configurations
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
DE102012220116A1 (de) 2012-06-29 2014-01-02 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. Mobil handhabbare Vorrichtung, insbesondere zur Bearbeitung oder Beobachtung eines Körpers, und Verfahren zur Handhabung, insbesondere Kalibrierung, einer Vorrichtung
US9820768B2 (en) * 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9283045B2 (en) 2012-06-29 2016-03-15 Ethicon Endo-Surgery, Llc Surgical instruments with fluid management system
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
TWM444669U (zh) 2012-07-03 2013-01-01 Sercomm Corp 多模組化組合之通訊裝置
EP2869751A4 (en) 2012-07-04 2016-04-13 Cibiem Inc DEVICES AND SYSTEMS FOR HEADACHE BODY ABATEMENT
US20140013565A1 (en) 2012-07-10 2014-01-16 Eileen B. MacDonald Customized process for facilitating successful total knee arthroplasty with outcomes analysis
KR101806195B1 (ko) 2012-07-10 2018-01-11 큐렉소 주식회사 수술로봇 시스템 및 수술로봇 제어방법
US10194907B2 (en) 2012-07-18 2019-02-05 Covidien Lp Multi-fire stapler with electronic counter, lockout, and visual indicator
CN104619237B (zh) 2012-07-26 2018-03-30 德普伊辛迪斯制品公司 光不足环境中的ycbcr脉冲调制的照明方案
US20140029411A1 (en) 2012-07-27 2014-01-30 Samsung Electronics Co., Ltd. Method and system to provide seamless data transmission
US8917513B1 (en) 2012-07-30 2014-12-23 Methode Electronics, Inc. Data center equipment cabinet information center and updateable asset tracking system
EP2880647A1 (en) 2012-08-03 2015-06-10 Applied Medical Resources Corporation Simulated stapling and energy based ligation for surgical training
US20140033926A1 (en) 2012-08-03 2014-02-06 Robert Scott Fassel Filtration System
US8761717B1 (en) 2012-08-07 2014-06-24 Brian K. Buchheit Safety feature to disable an electronic device when a wireless implantable medical device (IMD) is proximate
JP6257930B2 (ja) 2012-08-07 2018-01-10 東芝メディカルシステムズ株式会社 超音波診断装置および超音波プローブ
CN104023664B (zh) 2012-08-07 2016-05-25 奥林巴斯株式会社 医疗用控制系统
US9101374B1 (en) 2012-08-07 2015-08-11 David Harris Hoch Method for guiding an ablation catheter based on real time intracardiac electrical signals and apparatus for performing the method
EP2882368A4 (en) 2012-08-08 2016-03-16 Ortoma Ab METHOD AND SYSTEM FOR COMPUTER-ASSISTED SURGERY
US8795001B1 (en) 2012-08-10 2014-08-05 Cisco Technology, Inc. Connector for providing pass-through power
EP2698602A1 (de) 2012-08-16 2014-02-19 Leica Geosystems AG Handhaltbares Entfernungsmessgerät mit Winkelbestimmungseinheit
WO2014031800A1 (en) 2012-08-22 2014-02-27 Energize Medical Llc Therapeutic energy systems
USD729267S1 (en) 2012-08-28 2015-05-12 Samsung Electronics Co., Ltd. Oven display screen with a graphical user interface
AU2012388657B2 (en) 2012-08-28 2017-09-07 Covidien Lp Adjustable electrosurgical pencil
US20140073893A1 (en) 2012-09-12 2014-03-13 Boston Scientific Scimed Inc. Open irrigated-mapping linear ablation catheter
US10496788B2 (en) 2012-09-13 2019-12-03 Parkland Center For Clinical Innovation Holistic hospital patient care and management system and method for automated patient monitoring
CN202875416U (zh) 2012-09-14 2013-04-17 苏州天臣国际医疗科技有限公司 直线型缝切器的钉仓
US20140081659A1 (en) 2012-09-17 2014-03-20 Depuy Orthopaedics, Inc. Systems and methods for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking
WO2014047388A1 (en) 2012-09-21 2014-03-27 Ethicon Endo-Surgery, Inc. Systems and methods for predicting metabolic and bariatric surgery outcomes
US20140087999A1 (en) 2012-09-21 2014-03-27 The General Hospital Corporation D/B/A Massachusetts General Hospital Clinical predictors of weight loss
US20140084949A1 (en) 2012-09-24 2014-03-27 Access Business Group International Llc Surface impedance systems and methods
JP5719819B2 (ja) 2012-09-28 2015-05-20 日本光電工業株式会社 手術支援システム
US9106270B2 (en) 2012-10-02 2015-08-11 Covidien Lp Transmitting data across a patient isolation barrier using an electric-field capacitive coupler module
DE102012109459A1 (de) 2012-10-04 2014-04-10 Aesculap Ag Weiteneinstellbares Schneidinstrument zur transapikalen Aortenklappenresektion
US20140108035A1 (en) 2012-10-11 2014-04-17 Kunter Seref Akbay System and method to automatically assign resources in a network of healthcare enterprises
US9107573B2 (en) 2012-10-17 2015-08-18 Karl Storz Endovision, Inc. Detachable shaft flexible endoscope
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US10201365B2 (en) 2012-10-22 2019-02-12 Ethicon Llc Surgeon feedback sensing and display methods
US9265585B2 (en) 2012-10-23 2016-02-23 Covidien Lp Surgical instrument with rapid post event detection
EP4257159A3 (en) 2012-10-24 2023-10-25 Stryker Corporation Mobile cart of a waste collection system
US9918788B2 (en) 2012-10-31 2018-03-20 St. Jude Medical, Atrial Fibrillation Division, Inc. Electrogram-based ablation control
US9572529B2 (en) 2012-10-31 2017-02-21 Covidien Lp Surgical devices and methods utilizing optical coherence tomography (OCT) to monitor and control tissue sealing
WO2014116314A2 (en) 2012-11-02 2014-07-31 University Of Washington Through Its Center For Commercialization Using supplemental encrypted signals to mitigate man-in-the-middle attacks on teleoperated systems
US10631939B2 (en) 2012-11-02 2020-04-28 Intuitive Surgical Operations, Inc. Systems and methods for mapping flux supply paths
CN115486942A (zh) 2012-11-02 2022-12-20 直观外科手术操作公司 流传输连接器和系统、流消歧以及用于映射流供应路径的系统和方法
US10004557B2 (en) 2012-11-05 2018-06-26 Pythagoras Medical Ltd. Controlled tissue ablation
CA3050650C (en) 2012-11-09 2021-10-19 Covidien Lp Multi-use loading unit
EP2732772B1 (en) 2012-11-14 2019-06-12 Covidien LP Multi-use loading unit
US9546662B2 (en) 2012-11-20 2017-01-17 Smith & Nephew, Inc. Medical pump
JP2015535445A (ja) 2012-11-20 2015-12-14 サージクェスト,インコーポレーテッド 腹腔鏡下手術中に排煙するためのシステムおよび方法
US20140148803A1 (en) 2012-11-28 2014-05-29 Covidien Lp External actuator for an electrosurgical instrument
US9724100B2 (en) * 2012-12-04 2017-08-08 Ethicon Llc Circular anvil introduction system with alignment feature
US9743016B2 (en) 2012-12-10 2017-08-22 Intel Corporation Techniques for improved focusing of camera arrays
US9173655B2 (en) 2012-12-13 2015-11-03 Ethicon Endo-Surgery, Inc. Needle driver and pawl mechanism for circular needle applier
FR2999757A1 (fr) 2012-12-13 2014-06-20 Patrick Coudert Procede d'acces securise a des donnees medicales confidentielles, et support de stockage pour ledit procede
US9320534B2 (en) 2012-12-13 2016-04-26 Alcon Research, Ltd. Fine membrane forceps with integral scraping feature
US10722222B2 (en) 2012-12-14 2020-07-28 Covidien Lp Surgical system including a plurality of handle assemblies
CN202953237U (zh) 2012-12-14 2013-05-29 纬创资通股份有限公司 纸箱结构
JP2014134530A (ja) 2012-12-14 2014-07-24 Panasonic Corp 力計測装置、力計測方法、力計測プログラム、力計測用集積電子回路、並びに、マスタースレーブ装置
US9463022B2 (en) 2012-12-17 2016-10-11 Ethicon Endo-Surgery, Llc Motor driven rotary input circular stapler with lockable flexible shaft
US9597081B2 (en) 2012-12-17 2017-03-21 Ethicon Endo-Surgery, Llc Motor driven rotary input circular stapler with modular end effector
DE102012025102A1 (de) 2012-12-20 2014-06-26 avateramedical GmBH Endoskop mit einem Mehrkamerasystem für die minimal-invasive Chirurgie
MX353110B (es) 2012-12-21 2017-12-19 Deka Products Lp Sistema, método y aparato para la comunicación de datos.
US9498215B2 (en) 2012-12-31 2016-11-22 Intuitive Surgical Operations, Inc. Surgical staple cartridge with enhanced knife clearance
US10028788B2 (en) 2012-12-31 2018-07-24 Mako Surgical Corp. System for image-based robotic surgery
US20140187856A1 (en) 2012-12-31 2014-07-03 Lee D. Holoien Control System For Modular Imaging Device
US20140188440A1 (en) 2012-12-31 2014-07-03 Intuitive Surgical Operations, Inc. Systems And Methods For Interventional Procedure Planning
US9717141B1 (en) 2013-01-03 2017-07-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Flexible printed circuit with removable testing portion
US20140336943A1 (en) 2013-01-05 2014-11-13 Foundation Medicine, Inc. System and method for managing genomic testing results
GB2509523A (en) 2013-01-07 2014-07-09 Anish Kumar Mampetta Surgical instrument with flexible members and a motor
JP6112300B2 (ja) 2013-01-10 2017-04-12 パナソニックIpマネジメント株式会社 マスタースレーブロボットの制御装置及び制御方法、マスタースレーブロボット、並びに、制御プログラム
US9522003B2 (en) 2013-01-14 2016-12-20 Intuitive Surgical Operations, Inc. Clamping instrument
US9675354B2 (en) 2013-01-14 2017-06-13 Intuitive Surgical Operations, Inc. Torque compensation
US10265090B2 (en) 2013-01-16 2019-04-23 Covidien Lp Hand held electromechanical surgical system including battery compartment diagnostic display
US9750500B2 (en) 2013-01-18 2017-09-05 Covidien Lp Surgical clip applier
USD716333S1 (en) 2013-01-24 2014-10-28 Broadbandtv, Corp. Display screen or portion thereof with a graphical user interface
US9610114B2 (en) 2013-01-29 2017-04-04 Ethicon Endo-Surgery, Llc Bipolar electrosurgical hand shears
US9370248B2 (en) 2013-01-31 2016-06-21 Enrique Ramirez Magaña Theater seating system with reclining seats and comfort divider
BR112015018506B1 (pt) * 2013-02-08 2021-12-07 Ethicon Endo-Surgery, Inc Conjunto de cartucho de prendedores
WO2014124231A1 (en) 2013-02-08 2014-08-14 Acutus Medical, Inc. Expandable catheter assembly with flexible printed circuit board
US20140226572A1 (en) 2013-02-13 2014-08-14 Qualcomm Incorporated Smart WiFi Access Point That Selects The Best Channel For WiFi Clients Having Multi-Radio Co-Existence Problems
JP6299067B2 (ja) 2013-02-14 2018-03-28 セイコーエプソン株式会社 頭部装着型表示装置および頭部装着型表示装置の制御方法
KR101451970B1 (ko) 2013-02-19 2014-10-23 주식회사 루트로닉 안과용 수술장치 및 이의 제어 방법
WO2014130954A1 (en) 2013-02-22 2014-08-28 Cibiem, Inc. Endovascular catheters for trans-superficial temporal artery transmural carotid body modulation
WO2014134196A1 (en) 2013-02-26 2014-09-04 Eastern Virginia Medical School Augmented shared situational awareness system
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US9375262B2 (en) 2013-02-27 2016-06-28 Covidien Lp Limited use medical devices
US20140243799A1 (en) 2013-02-27 2014-08-28 Ethicon Endo-Surgery, Inc. Percutaneous Instrument with Tapered Shaft
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
MX368026B (es) 2013-03-01 2019-09-12 Ethicon Endo Surgery Inc Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal.
US9700309B2 (en) 2013-03-01 2017-07-11 Ethicon Llc Articulatable surgical instruments with conductive pathways for signal communication
BR112015021082B1 (pt) 2013-03-01 2022-05-10 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US20140252064A1 (en) 2013-03-05 2014-09-11 Covidien Lp Surgical stapling device including adjustable fastener crimping
KR102117270B1 (ko) 2013-03-06 2020-06-01 삼성전자주식회사 수술 로봇 시스템 및 그 제어방법
US9414776B2 (en) 2013-03-06 2016-08-16 Navigated Technologies, LLC Patient permission-based mobile health-linked information collection and exchange systems and methods
WO2014164819A1 (en) 2013-03-12 2014-10-09 Dmitri Boutoussov Dental laser unit with communication link to assistance center
US9204995B2 (en) 2013-03-12 2015-12-08 Katalyst Surgical, Llc Membrane removing forceps
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
KR20140112207A (ko) 2013-03-13 2014-09-23 삼성전자주식회사 증강현실 영상 표시 시스템 및 이를 포함하는 수술 로봇 시스템
US9566064B2 (en) 2013-03-13 2017-02-14 Covidien Lp Surgical stapling apparatus
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
US9814463B2 (en) 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
EP3135225B1 (en) 2013-03-13 2019-08-14 Covidien LP Surgical stapling apparatus
US9314308B2 (en) 2013-03-13 2016-04-19 Ethicon Endo-Surgery, Llc Robotic ultrasonic surgical device with articulating end effector
US20150313538A1 (en) 2013-03-14 2015-11-05 Kate Leeann Bechtel Identification of surgical smoke
US9255907B2 (en) 2013-03-14 2016-02-09 Empire Technology Development Llc Identification of surgical smoke
US9114494B1 (en) 2013-03-14 2015-08-25 Kenneth Jack Mah Electronic drill guide
US9332987B2 (en) 2013-03-14 2016-05-10 Ethicon Endo-Surgery, Llc Control arrangements for a drive member of a surgical instrument
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
EP2967564B1 (en) 2013-03-14 2018-09-12 Applied Medical Resources Corporation Surgical stapler with partial pockets
WO2014144519A2 (en) 2013-03-15 2014-09-18 Arthrex, Inc. Surgical imaging system and method for processing surgical images
US9116597B1 (en) 2013-03-15 2015-08-25 Ca, Inc. Information management software
EP2994799B1 (en) 2013-03-15 2018-11-21 John Alberti Force responsive power tool
US9241728B2 (en) 2013-03-15 2016-01-26 Ethicon Endo-Surgery, Inc. Surgical instrument with multiple clamping mechanisms
US10929939B2 (en) 2013-03-15 2021-02-23 Breg, Inc. Business intelligence portal
CA2896381C (en) 2013-03-15 2017-01-10 Synaptive Medical (Barbados) Inc. Intelligent positioning system and methods therefore
US9788906B2 (en) 2013-03-15 2017-10-17 Synaptive Medical (Barbados) Inc. Context aware surgical systems for intraoperatively configuring imaging devices
WO2014144947A1 (en) 2013-03-15 2014-09-18 Olive Medical Corporation Super resolution and color motion artifact correction in a pulsed color imaging system
SG11201507610RA (en) 2013-03-15 2015-10-29 Synaptive Medical Barbados Inc Planning, navigation and simulation systems and methods for minimally invasive therapy
US11278353B2 (en) 2016-03-16 2022-03-22 Synaptive Medical Inc. Trajectory alignment system and methods
AU2014231343B2 (en) 2013-03-15 2019-01-24 Synaptive Medical Inc. Intramodal synchronization of surgical data
KR102257034B1 (ko) 2013-03-15 2021-05-28 에스알아이 인터내셔널 하이퍼덱스트러스 수술 시스템
ES2728023T3 (es) 2013-03-15 2019-10-21 Applied Med Resources Grapadora quirúrgica con mecanismo de accionamiento con eje de rotación
US10105149B2 (en) 2013-03-15 2018-10-23 Board Of Regents Of The University Of Nebraska On-board tool tracking system and methods of computer assisted surgery
WO2015135057A1 (en) 2014-03-14 2015-09-17 Synaptive Medical (Barbados) Inc. Intelligent positioning system and methods therefore
US10219491B2 (en) 2013-03-15 2019-03-05 Pentair Water Pool And Spa, Inc. Dissolved oxygen control system for aquaculture
JP6527086B2 (ja) 2013-03-15 2019-06-05 シナプティヴ メディカル (バルバドス) インコーポレイテッドSynaptive Medical (Barbados) Inc. ハイパースペクトル手術用撮像システム
EP2967393A4 (en) 2013-03-15 2016-12-07 Peerbridge Health Inc SYSTEM AND METHOD FOR MONITORING AND DIAGNOSING DISEASE IN A PATIENT AFTER TRANSMITTING DATA ISSUED BY A WIRELESS SENSOR
CA2904766C (en) 2013-03-15 2022-02-08 Synaptive Medical (Barbados) Inc. Method, system and apparatus for controlling a surgical navigation system
US9668765B2 (en) 2013-03-15 2017-06-06 The Spectranetics Corporation Retractable blade for lead removal device
US9283028B2 (en) 2013-03-15 2016-03-15 Covidien Lp Crest-factor control of phase-shifted inverter
EP2967300A4 (en) 2013-03-15 2016-11-23 Olive Medical Corp CONTROL OF THE INTEGRATED LIGHT ENERGY OF A LASER PULSE
EP2976033A4 (en) 2013-03-19 2016-12-14 Surgisense Corp APPARATUSES, SYSTEMS AND METHODS FOR DETERMINING THE OXYGENATION OF A FABRIC
US20140364691A1 (en) 2013-03-28 2014-12-11 Endochoice, Inc. Circuit Board Assembly of A Multiple Viewing Elements Endoscope
US20140296694A1 (en) 2013-04-02 2014-10-02 General Electric Company Method and system for ultrasound needle guidance
US20140303660A1 (en) 2013-04-04 2014-10-09 Elwha Llc Active tremor control in surgical instruments
US20140303990A1 (en) 2013-04-05 2014-10-09 Biomet Manufacturing Corp. Integrated orthopedic planning and management process
US10349824B2 (en) 2013-04-08 2019-07-16 Apama Medical, Inc. Tissue mapping and visualization systems
US10405857B2 (en) 2013-04-16 2019-09-10 Ethicon Llc Powered linear surgical stapler
US9561982B2 (en) 2013-04-30 2017-02-07 Corning Incorporated Method of cleaning glass substrates
US9592095B2 (en) 2013-05-16 2017-03-14 Intuitive Surgical Operations, Inc. Systems and methods for robotic medical system integration with external imaging
US9111548B2 (en) 2013-05-23 2015-08-18 Knowles Electronics, Llc Synchronization of buffered data in multiple microphones
US10722292B2 (en) 2013-05-31 2020-07-28 Covidien Lp Surgical device with an end-effector assembly and system for monitoring of tissue during a surgical procedure
CN105358044A (zh) 2013-06-05 2016-02-24 亚利桑那州立大学董事会 用于照明和成像的双视探头及其使用
CA3109471C (en) 2013-06-17 2023-01-24 Nyxoah SA Dynamic modification of modulation throughout a therapy period
JP6199486B2 (ja) 2013-06-18 2017-09-20 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. 医療デバイスのステータス情報の処理
ES2647815T3 (es) 2013-06-20 2017-12-26 Siemens Schweiz Ag Control funcional de un sensor de gas electrolítico con tres electrodos, así como alarma de peligro y medidor de gas
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
WO2014205254A2 (en) 2013-06-21 2014-12-24 Virtual Radiologic Corporation Radiology data processing and standardization techniques
US11195598B2 (en) 2013-06-28 2021-12-07 Carefusion 303, Inc. System for providing aggregated patient data
US9910963B2 (en) 2013-07-02 2018-03-06 Quintiles Ims Incorporated Market measures and outcomes for app prescribing
US9750503B2 (en) 2013-07-11 2017-09-05 Covidien Lp Methods and devices for performing a surgical anastomosis
EP2827099A1 (de) 2013-07-16 2015-01-21 Leica Geosystems AG Lasertracker mit Zielsuchfunktionalität
US10097578B2 (en) 2013-07-23 2018-10-09 Oasis Technology, Inc. Anti-cyber hacking defense system
WO2015019695A1 (ja) 2013-08-06 2015-02-12 オリンパスメディカルシステムズ株式会社 気腹装置
US10517626B2 (en) 2013-08-07 2019-12-31 Cornell University Semiconductor tweezers and instrumentation for tissue detection and characterization
CA2920566A1 (en) 2013-08-08 2015-02-12 Richard S. Gaster Wireless pregnancy monitor
US9439717B2 (en) 2013-08-13 2016-09-13 Covidien Lp Surgical forceps including thermal spread control
US9750522B2 (en) 2013-08-15 2017-09-05 Ethicon Llc Surgical instrument with clips having transecting blades
WO2015023831A1 (en) 2013-08-16 2015-02-19 Intuitive Surgical Operations, Inc. System and method for coordinated motion among heterogeneous devices
US9636112B2 (en) * 2013-08-16 2017-05-02 Covidien Lp Chip assembly for reusable surgical instruments
GB201314774D0 (en) 2013-08-19 2013-10-02 Fish Engineering Ltd Distributor apparatus
US9675419B2 (en) 2013-08-21 2017-06-13 Brachium, Inc. System and method for automating medical procedures
US20150053737A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. End effector detection systems for surgical instruments
US9539006B2 (en) 2013-08-27 2017-01-10 Covidien Lp Hand held electromechanical surgical handle assembly for use with surgical end effectors, and methods of use
US9295514B2 (en) 2013-08-30 2016-03-29 Ethicon Endo-Surgery, Llc Surgical devices with close quarter articulation features
US9326816B2 (en) 2013-08-30 2016-05-03 Medtronic Ardian Luxembourg S.A.R.L. Neuromodulation systems having nerve monitoring assemblies and associated devices, systems, and methods
WO2015035178A2 (en) 2013-09-06 2015-03-12 Brigham And Women's Hospital, Inc. System and method for a tissue resection margin measurement device
US9916942B2 (en) 2013-09-10 2018-03-13 Apple Inc. Sealed button for an electronic device
US9861428B2 (en) 2013-09-16 2018-01-09 Ethicon Llc Integrated systems for electrosurgical steam or smoke control
US10271840B2 (en) 2013-09-18 2019-04-30 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US9830424B2 (en) 2013-09-18 2017-11-28 Hill-Rom Services, Inc. Bed/room/patient association systems and methods
EP3046518A4 (en) 2013-09-18 2017-07-05 Richard Awdeh Surgical navigation system and method
US9622684B2 (en) 2013-09-20 2017-04-18 Innovative Surgical Solutions, Llc Neural locating system
US10478189B2 (en) 2015-06-26 2019-11-19 Ethicon Llc Method of applying an annular array of staples to tissue
US9907552B2 (en) 2013-09-23 2018-03-06 Ethicon Llc Control features for motorized surgical stapling instrument
US9717548B2 (en) 2013-09-24 2017-08-01 Covidien Lp Electrode for use in a bipolar electrosurgical instrument
US9513861B2 (en) 2013-09-24 2016-12-06 Intel Corporation Systems and methods for discovering wireless display devices using inaudible audio signals
US9936942B2 (en) 2013-09-26 2018-04-10 Surgimatix, Inc. Laparoscopic suture device with release mechanism
US9867651B2 (en) 2013-09-26 2018-01-16 Covidien Lp Systems and methods for estimating tissue parameters using surgical devices
DE102013016063A1 (de) 2013-09-27 2015-04-02 W. O. M. World of Medicine GmbH Druckerhaltende Rauchgasabsaugung in einem Insufflator
US20140035762A1 (en) 2013-10-01 2014-02-06 Ethicon Endo-Surgery, Inc. Providing Near Real Time Feedback To A User Of A Surgical Instrument
EP3054842A4 (en) 2013-10-11 2017-06-21 The Trustees of Columbia University in the City of New York System, method and computer-accessible medium for characterization of tissue
US10037715B2 (en) 2013-10-16 2018-07-31 Simulab Corporation Detecting insertion of needle into simulated vessel using a conductive fluid
US20150108198A1 (en) 2013-10-17 2015-04-23 Covidien Lp Surgical instrument, loading unit and fasteners for use therewith
US10463365B2 (en) 2013-10-17 2019-11-05 Covidien Lp Chip assembly for surgical instruments
US10022090B2 (en) 2013-10-18 2018-07-17 Atlantic Health System, Inc. Nerve protecting dissection device
JP6656148B2 (ja) 2013-10-24 2020-03-04 オーリス ヘルス インコーポレイテッド ロボット支援管腔内手術のためのシステムおよび関連する方法
CA2929282A1 (en) 2013-10-31 2015-05-07 Health Research, Inc. System and method for a situation and awareness-based intelligent surgical system
CN105683977B (zh) 2013-11-01 2019-04-05 皇家飞利浦有限公司 治疗设备的使用的患者反馈系统、方法和计算机存储介质
CN105939758A (zh) 2013-11-04 2016-09-14 引导干预有限公司 用于以离焦超声执行热支气管成形术的方法和设备
US10517593B2 (en) * 2013-11-04 2019-12-31 Covidien Lp Surgical fastener applying apparatus
US9922304B2 (en) 2013-11-05 2018-03-20 Deroyal Industries, Inc. System for sensing and recording consumption of medical items during medical procedure
US9544744B2 (en) 2013-11-15 2017-01-10 Richard Postrel Method and system for pre and post processing of beacon ID signals
USD783675S1 (en) 2013-11-18 2017-04-11 Mitsubishi Electric Corporation Information display for an automotive vehicle with a computer generated icon
EP2876885A1 (en) 2013-11-21 2015-05-27 Axis AB Method and apparatus in a motion video capturing system
US9949785B2 (en) 2013-11-21 2018-04-24 Ethicon Llc Ultrasonic surgical instrument with electrosurgical feature
US10552574B2 (en) 2013-11-22 2020-02-04 Spinal Generations, Llc System and method for identifying a medical device
US10368892B2 (en) 2013-11-22 2019-08-06 Ethicon Llc Features for coupling surgical instrument shaft assembly with instrument body
US9105174B2 (en) 2013-11-25 2015-08-11 Mark Matthew Harris System and methods for nonverbally communicating patient comfort data
US10004527B2 (en) 2013-11-26 2018-06-26 Ethicon Llc Ultrasonic surgical instrument with staged clamping
US9943325B2 (en) 2013-11-26 2018-04-17 Ethicon Llc Handpiece and blade configurations for ultrasonic surgical instrument
US10872684B2 (en) 2013-11-27 2020-12-22 The Johns Hopkins University System and method for medical data analysis and sharing
US9713503B2 (en) 2013-12-04 2017-07-25 Novartis Ag Surgical utility connector
FR3014636A1 (fr) 2013-12-05 2015-06-12 Sagemcom Broadband Sas Module electrique
US10159044B2 (en) 2013-12-09 2018-12-18 GM Global Technology Operations LLC Method and apparatus for controlling operating states of bluetooth interfaces of a bluetooth module
KR101527176B1 (ko) 2013-12-09 2015-06-09 (주)미래컴퍼니 수술 로봇 장치 및 수술 로봇 장치의 제어 방법
CN105813582B (zh) 2013-12-11 2019-05-28 柯惠Lp公司 用于机器人手术系统的腕组件及钳夹组件
CN105813580B (zh) 2013-12-12 2019-10-15 柯惠Lp公司 用于机器人手术系统的齿轮系组件
US9808245B2 (en) 2013-12-13 2017-11-07 Covidien Lp Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US9743946B2 (en) 2013-12-17 2017-08-29 Ethicon Llc Rotation features for ultrasonic surgical instrument
EP4184483B1 (en) 2013-12-20 2024-09-11 Intuitive Surgical Operations, Inc. Simulator system for medical procedure training
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US10039546B2 (en) * 2013-12-23 2018-08-07 Covidien Lp Loading unit including shipping member
JP2017507680A (ja) 2013-12-23 2017-03-23 キャンプレックス インコーポレイテッド 手術可視化システム
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9539020B2 (en) 2013-12-27 2017-01-10 Ethicon Endo-Surgery, Llc Coupling features for ultrasonic surgical instrument
TWI548388B (zh) 2013-12-30 2016-09-11 國立臺灣大學 骨科手術之手持式機器人以及其控制方法
US9579099B2 (en) * 2014-01-07 2017-02-28 Covidien Lp Shipping member for loading unit
US9795436B2 (en) 2014-01-07 2017-10-24 Ethicon Llc Harvesting energy from a surgical generator
KR20150085251A (ko) 2014-01-15 2015-07-23 엘지전자 주식회사 디스플레이 디바이스 및 그 제어 방법
US9839424B2 (en) 2014-01-17 2017-12-12 Covidien Lp Electromechanical surgical assembly
US9655616B2 (en) 2014-01-22 2017-05-23 Covidien Lp Apparatus for endoscopic procedures
US20150208934A1 (en) 2014-01-24 2015-07-30 Genevieve Sztrubel Method And Apparatus For The Detection Of Neural Tissue
US9907550B2 (en) 2014-01-27 2018-03-06 Covidien Lp Stitching device with long needle delivery
US9801679B2 (en) 2014-01-28 2017-10-31 Ethicon Llc Methods and devices for controlling motorized surgical devices
WO2015116687A1 (en) 2014-01-28 2015-08-06 St. Jude Medical, Cardiology Division, Inc. Elongate medical devices incorporating a flexible substrate, a sensor, and electrically-conductive traces
US9468454B2 (en) 2014-01-28 2016-10-18 Ethicon Endo-Surgery, Inc. Motor control and feedback in powered surgical devices
US9700312B2 (en) 2014-01-28 2017-07-11 Covidien Lp Surgical apparatus
US9802033B2 (en) 2014-01-28 2017-10-31 Ethicon Llc Surgical devices having controlled tissue cutting and sealing
US9358685B2 (en) 2014-02-03 2016-06-07 Brain Corporation Apparatus and methods for control of robot actions based on corrective user inputs
US9706674B2 (en) 2014-02-04 2017-07-11 Covidien Lp Authentication system for reusable surgical instruments
US10213266B2 (en) 2014-02-07 2019-02-26 Covidien Lp Robotic surgical assemblies and adapter assemblies thereof
US11090109B2 (en) 2014-02-11 2021-08-17 Covidien Lp Temperature-sensing electrically-conductive tissue-contacting plate configured for use in an electrosurgical jaw member, electrosurgical system including same, and methods of controlling vessel sealing using same
CN106028990B (zh) 2014-02-17 2018-10-16 奥林巴斯株式会社 超声波处置装置
US9301691B2 (en) 2014-02-21 2016-04-05 Covidien Lp Instrument for optically detecting tissue attributes
US10973682B2 (en) 2014-02-24 2021-04-13 Alcon Inc. Surgical instrument with adhesion optimized edge condition
JP6462004B2 (ja) 2014-02-24 2019-01-30 エシコン エルエルシー 発射部材ロックアウトを備える締結システム
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
CA2940814C (en) 2014-02-27 2019-09-03 University Surgical Associates, Inc. Interactive display for surgery
JP2015163172A (ja) 2014-02-28 2015-09-10 オリンパス株式会社 圧排装置およびロボットシステム
WO2015134749A2 (en) 2014-03-06 2015-09-11 Stryker Corporation Medical/surgical waste collection unit with a light assembly separate from the primary display, the light assembly presenting informatin about the operation of the system by selectively outputting light
US9603277B2 (en) 2014-03-06 2017-03-21 Adtran, Inc. Field-reconfigurable backplane system
GB2523831B (en) 2014-03-07 2020-09-30 Cmr Surgical Ltd Surgical arm
US20160374710A1 (en) 2014-03-12 2016-12-29 Yegor D. Sinelnikov Carotid body ablation with a transvenous ultrasound imaging and ablation catheter
WO2015138708A1 (en) 2014-03-12 2015-09-17 Proximed, Llc Surgical guidance systems, devices, and methods
US10398521B2 (en) 2014-03-17 2019-09-03 Intuitive Surgical Operations, Inc. System and method for recentering imaging devices and input controls
US10166061B2 (en) 2014-03-17 2019-01-01 Intuitive Surgical Operations, Inc. Teleoperated surgical system equipment with user interface
CN118078465A (zh) 2014-03-17 2024-05-28 直观外科手术操作公司 外科手术套管以及用于识别外科手术套管的相关系统和方法
US11173005B2 (en) 2014-03-17 2021-11-16 Intuitive Surgical Operations, Inc. Methods and devices for tele-surgical table registration
KR102443404B1 (ko) 2014-03-17 2022-09-16 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 수술 기구와 원격조작식 액추에이터 사이의 살균 방벽
KR102456408B1 (ko) 2014-03-17 2022-10-20 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 수술용 캐뉼라 마운트 및 관련된 시스템과 방법
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
AU2015232988A1 (en) 2014-03-20 2016-11-10 Stepwise Ltd Convertible surgical tissue staplers and applications using thereof
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
US10028761B2 (en) 2014-03-26 2018-07-24 Ethicon Llc Feedback algorithms for manual bailout systems for surgical instruments
EP3123826B1 (en) 2014-03-27 2018-02-21 Fagerhults Belysning AB Lighting system for providing light in a room
US10197803B2 (en) 2014-03-28 2019-02-05 Alma Mater Studiorum—Universita' di Bologna Augmented reality glasses for medical applications and corresponding augmented reality system
US10610313B2 (en) 2014-03-31 2020-04-07 Intuitive Surgical Operations, Inc. Surgical instrument with shiftable transmission
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
EP3125812B1 (en) 2014-04-01 2019-01-23 Intuitive Surgical Operations, Inc. Control input accuracy for teleoperated surgical instrument
US9987068B2 (en) 2014-04-04 2018-06-05 Covidien Lp Systems and methods for optimizing emissions from simultaneous activation of electrosurgery generators
US9974595B2 (en) 2014-04-04 2018-05-22 Covidien Lp Systems and methods for optimizing emissions from simultaneous activation of electrosurgery generators
US9433427B2 (en) 2014-04-08 2016-09-06 Incuvate, Llc Systems and methods for management of thrombosis
US9918730B2 (en) 2014-04-08 2018-03-20 Ethicon Llc Methods and devices for controlling motorized surgical devices
US20170027603A1 (en) 2014-04-08 2017-02-02 Ams Research Corporation Flexible devices for blunt dissection and related methods
US9980769B2 (en) 2014-04-08 2018-05-29 Ethicon Llc Methods and devices for controlling motorized surgical devices
EP3129768A4 (en) 2014-04-09 2017-12-06 University of Rochester Method and apparatus to diagnose the metastatic or progressive potential of cancer, fibrosis and other diseases
EP3128941B1 (en) 2014-04-09 2020-11-18 Gyrus ACMI, Inc. (D.B.A. Olympus Surgical Technologies America) Enforcement device for limited usage product
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US9844369B2 (en) 2014-04-16 2017-12-19 Ethicon Llc Surgical end effectors with firing element monitoring arrangements
US10327764B2 (en) 2014-09-26 2019-06-25 Ethicon Llc Method for creating a flexible staple line
US20150302157A1 (en) 2014-04-17 2015-10-22 Ryan Mitchell Collar Apparatus, Method, and System for Counting Packaged, Consumable, Medical Items Such as Surgical Suture Cartridges
US20150297200A1 (en) 2014-04-17 2015-10-22 Covidien Lp End of life transmission system for surgical instruments
US10164466B2 (en) 2014-04-17 2018-12-25 Covidien Lp Non-contact surgical adapter electrical interface
US10258363B2 (en) 2014-04-22 2019-04-16 Ethicon Llc Method of operating an articulating ultrasonic surgical instrument
EP3134009B1 (en) 2014-04-25 2020-07-15 Sharp Fluidics LLC Systems for increased operating room efficiency
EP3134038A4 (en) 2014-04-25 2017-11-29 The Trustees of Columbia University in the City of New York Spinal treatment devices, methods, and systems
US10133248B2 (en) 2014-04-28 2018-11-20 Covidien Lp Systems and methods for determining an end of life state for surgical devices
US20150317899A1 (en) 2014-05-01 2015-11-05 Covidien Lp System and method for using rfid tags to determine sterilization of devices
US10175127B2 (en) 2014-05-05 2019-01-08 Covidien Lp End-effector force measurement drive circuit
US9861366B2 (en) 2014-05-06 2018-01-09 Covidien Lp Ejecting assembly for a surgical stapler
US20150324114A1 (en) 2014-05-06 2015-11-12 Conceptualiz Inc. System and method for interactive 3d surgical planning and modelling of surgical implants
US9717552B2 (en) 2014-05-06 2017-08-01 Cosman Intruments, Llc Electrosurgical generator
CN112807074A (zh) 2014-05-12 2021-05-18 弗吉尼亚暨州立大学知识产权公司 电穿孔系统
US10376338B2 (en) 2014-05-13 2019-08-13 Covidien Lp Surgical robotic arm support systems and methods of use
CN106687052B (zh) 2014-05-15 2019-12-10 柯惠Lp公司 手术紧固件施加装置
US11977998B2 (en) 2014-05-15 2024-05-07 Storz Endoskop Produktions Gmbh Surgical workflow support system
US9753568B2 (en) 2014-05-15 2017-09-05 Bebop Sensors, Inc. Flexible sensors and applications
US9770541B2 (en) 2014-05-15 2017-09-26 Thermedx, Llc Fluid management system with pass-through fluid volume measurement
US9943918B2 (en) 2014-05-16 2018-04-17 Powdermet, Inc. Heterogeneous composite bodies with isolated cermet regions formed by high temperature, rapid consolidation
US20150332003A1 (en) 2014-05-19 2015-11-19 Unitedhealth Group Incorporated Computer readable storage media for utilizing derived medical records and methods and systems for same
KR20170013240A (ko) 2014-05-30 2017-02-06 가부시키가이샤 한도오따이 에네루기 켄큐쇼 반도체 장치 및 이를 제조하기 위한 방법
WO2015184146A1 (en) 2014-05-30 2015-12-03 Sameh Mesallum Systems for automated biomechanical computerized surgery
WO2015184446A2 (en) 2014-05-30 2015-12-03 Applied Medical Resources Corporation Electrosurgical seal and dissection systems
US9549781B2 (en) 2014-05-30 2017-01-24 The Johns Hopkins University Multi-force sensing surgical instrument and method of use for robotic surgical systems
US9325732B1 (en) 2014-06-02 2016-04-26 Amazon Technologies, Inc. Computer security threat sharing
US10251725B2 (en) 2014-06-09 2019-04-09 Covidien Lp Authentication and information system for reusable surgical instruments
US9331422B2 (en) 2014-06-09 2016-05-03 Apple Inc. Electronic device with hidden connector
WO2015191562A1 (en) 2014-06-09 2015-12-17 Revon Systems, Llc Systems and methods for health tracking and management
WO2015191718A1 (en) 2014-06-11 2015-12-17 University Of Houston Systems and methods for medical procedure monitoring
ES2861258T3 (es) 2014-06-11 2021-10-06 Applied Med Resources Grapadora quirúrgica con disparo circunferencial
US11437125B2 (en) 2014-06-13 2022-09-06 University Hospitals Cleveland Medical Center Artificial-intelligence-based facilitation of healthcare delivery
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
KR101587721B1 (ko) 2014-06-17 2016-01-22 에스엔유 프리시젼 주식회사 수술용 버커터의 제어방법 및 제어장치
US10335147B2 (en) 2014-06-25 2019-07-02 Ethicon Llc Method of using lockout features for surgical stapler cartridge
US10292701B2 (en) 2014-06-25 2019-05-21 Ethicon Llc Articulation drive features for surgical stapler
US9636825B2 (en) 2014-06-26 2017-05-02 Robotex Inc. Robotic logistics system
WO2016014384A2 (en) 2014-07-25 2016-01-28 Covidien Lp Augmented surgical reality environment
US20160034648A1 (en) 2014-07-30 2016-02-04 Verras Healthcare International, LLC System and method for reducing clinical variation
AU2015296014A1 (en) 2014-08-01 2017-02-23 Smith & Nephew, Inc. Providing implants for surgical procedures
US10422727B2 (en) 2014-08-10 2019-09-24 Harry Leon Pliskin Contaminant monitoring and air filtration system
US10478243B2 (en) 2014-08-11 2019-11-19 Covidien Lp Surgical instruments and methods for performing tonsillectomy and adenoidectomy procedures
AU2015302214B2 (en) 2014-08-13 2019-06-06 Covidien Lp Robotically controlling mechanical advantage gripping
US10194972B2 (en) 2014-08-26 2019-02-05 Ethicon Llc Managing tissue treatment
CN105449719B (zh) 2014-08-26 2019-01-04 珠海格力电器股份有限公司 分布式能源电源控制方法、装置及系统
JP6590460B2 (ja) 2014-08-26 2019-10-16 アヴェント インコーポレイテッド 慢性疼痛の発痛源の同定及び治療のためのシステム
US9848877B2 (en) 2014-09-02 2017-12-26 Ethicon Llc Methods and devices for adjusting a tissue gap of an end effector of a surgical device
US9795380B2 (en) 2014-09-02 2017-10-24 Ethicon Llc Devices and methods for facilitating closing and clamping of an end effector of a surgical device
US9788835B2 (en) 2014-09-02 2017-10-17 Ethicon Llc Devices and methods for facilitating ejection of surgical fasteners from cartridges
US9700320B2 (en) * 2014-09-02 2017-07-11 Ethicon Llc Devices and methods for removably coupling a cartridge to an end effector of a surgical device
US10004500B2 (en) 2014-09-02 2018-06-26 Ethicon Llc Devices and methods for manually retracting a drive shaft, drive beam, and associated components of a surgical fastening device
US9280884B1 (en) 2014-09-03 2016-03-08 Oberon, Inc. Environmental sensor device with alarms
CN108289667B (zh) 2014-09-05 2020-12-15 伊西康有限责任公司 具有用于量化组织压缩的一体化传感器的辅助物
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US9757128B2 (en) 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
WO2016042356A1 (en) 2014-09-15 2016-03-24 Synaptive Medical (Barbados) Inc. System and method for collection, storage and management of medical data
CN111544117A (zh) 2014-09-15 2020-08-18 柯惠Lp公司 机器人控制手术组件
KR20240042093A (ko) * 2014-09-15 2024-04-01 어플라이드 메디컬 리소시스 코포레이션 자동-조정 스테이플 높이를 가진 수술용 스테이플러
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
CN106999257A (zh) 2014-09-23 2017-08-01 外科安全技术公司 手术室黑盒设备、系统、方法和计算机可读介质
US12114986B2 (en) 2014-09-23 2024-10-15 SST Canada Inc. System and method for biometric data capture for event prediction
WO2016049542A2 (en) 2014-09-25 2016-03-31 Nxstage Medical, Inc. Medicament preparation and treatment devices, methods, and systems
US9936961B2 (en) 2014-09-26 2018-04-10 DePuy Synthes Products, Inc. Surgical tool with feedback
WO2016053657A1 (en) 2014-09-29 2016-04-07 Covidien Lp Dynamic input scaling for controls of robotic surgical system
US10039564B2 (en) 2014-09-30 2018-08-07 Ethicon Llc Surgical devices having power-assisted jaw closure and methods for compressing and sensing tissue
US9630318B2 (en) 2014-10-02 2017-04-25 Brain Corporation Feature detection apparatus and methods for training of robotic navigation
US9901406B2 (en) 2014-10-02 2018-02-27 Inneroptic Technology, Inc. Affected region display associated with a medical device
US9833254B1 (en) 2014-10-03 2017-12-05 Verily Life Sciences Llc Controlled dissection of biological tissue
US10603128B2 (en) 2014-10-07 2020-03-31 Covidien Lp Handheld electromechanical surgical system
GB201417963D0 (en) 2014-10-10 2014-11-26 Univ Oslo Hf Measurement of impedance of body tissue
US10292758B2 (en) 2014-10-10 2019-05-21 Ethicon Llc Methods and devices for articulating laparoscopic energy device
US10076325B2 (en) * 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US10102926B1 (en) 2014-10-14 2018-10-16 Sentry Data Systems, Inc. Detecting, analyzing and impacting improvement opportunities related to total cost of care, clinical quality and revenue integrity
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10226254B2 (en) 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
WO2016064632A1 (en) 2014-10-24 2016-04-28 Covidien Lp Sensorizing robotic surgical system access ports
KR102617042B1 (ko) 2014-10-27 2023-12-27 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 수술 테이블에 등록하기 위한 시스템 및 방법
US9717417B2 (en) 2014-10-29 2017-08-01 Spectral Md, Inc. Reflective mode multi-spectral time-resolved optical imaging methods and apparatuses for tissue classification
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
WO2016067475A1 (ja) 2014-10-31 2016-05-06 オリンパス株式会社 医療用処置装置
CN104436911A (zh) 2014-11-03 2015-03-25 佛山市顺德区阿波罗环保器材有限公司 一种基于滤芯识别防伪的空气净化器
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
JP2016087248A (ja) 2014-11-07 2016-05-23 ソニー株式会社 観察装置及び観察システム
US10792422B2 (en) 2014-11-10 2020-10-06 White Bear Medical LLC Dynamically controlled treatment protocols for autonomous treatment systems
EP3222238A4 (en) 2014-11-19 2018-07-11 Kyushu University, National University Corporation High-frequency forceps
US10092355B1 (en) 2014-11-21 2018-10-09 Verily Life Sciences Llc Biophotonic surgical probe
US9782212B2 (en) 2014-12-02 2017-10-10 Covidien Lp High level algorithms
EP3226795B1 (en) 2014-12-03 2020-08-26 Metavention, Inc. Systems for modulating nerves or other tissue
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US9247996B1 (en) 2014-12-10 2016-02-02 F21, Llc System, method, and apparatus for refurbishment of robotic surgical arms
US10188467B2 (en) 2014-12-12 2019-01-29 Inneroptic Technology, Inc. Surgical guidance intersection display
US10095942B2 (en) 2014-12-15 2018-10-09 Reflex Robotics, Inc Vision based real-time object tracking system for robotic gimbal control
CN112057169B (zh) 2014-12-16 2024-09-06 直观外科手术操作公司 利用波段选择性成像的输尿管检测
CN104490448B (zh) 2014-12-17 2017-03-15 徐保利 外科结扎用施夹钳
US9160853B1 (en) 2014-12-17 2015-10-13 Noble Systems Corporation Dynamic display of real time speech analytics agent alert indications in a contact center
US10010366B2 (en) 2014-12-17 2018-07-03 Ethicon Llc Surgical devices and methods for tissue cutting and sealing
WO2016100719A1 (en) 2014-12-17 2016-06-23 Maquet Cardiovascular Llc Surgical device
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US20160180045A1 (en) 2014-12-19 2016-06-23 Ebay Inc. Wireless beacon devices used to track medical information at a hospital
EP3238111A1 (en) 2014-12-24 2017-11-01 Oncompass GmbH System and method for adaptive medical decision support
ES2971142T3 (es) 2014-12-30 2024-06-03 Touchstone Int Medical Science Co Ltd Conjunto de cabezal de grapado y aparato de sutura y corte para cirugía endoscópica
US10595952B2 (en) 2014-12-31 2020-03-24 Sight Medical, Llc Process and apparatus for managing medical device selection and implantation
US9775611B2 (en) * 2015-01-06 2017-10-03 Covidien Lp Clam shell surgical stapling loading unit
US9931124B2 (en) 2015-01-07 2018-04-03 Covidien Lp Reposable clip applier
US10362179B2 (en) 2015-01-09 2019-07-23 Tracfone Wireless, Inc. Peel and stick activation code for activating service for a wireless device
GB2545135B (en) 2015-01-14 2018-01-24 Gyrus Medical Ltd Electrosurgical system
US9931040B2 (en) 2015-01-14 2018-04-03 Verily Life Sciences Llc Applications of hyperspectral laser speckle imaging
US10404521B2 (en) 2015-01-14 2019-09-03 Datto, Inc. Remotely configurable routers with failover features, and methods and apparatus for reliable web-based administration of same
US10293129B2 (en) 2016-03-07 2019-05-21 Hansa Medical Products, Inc. Apparatus and method for forming an opening in patient's tissue
US10368876B2 (en) 2015-01-15 2019-08-06 Covidien Lp Endoscopic reposable surgical clip applier
US10656720B1 (en) 2015-01-16 2020-05-19 Ultrahaptics IP Two Limited Mode switching for integrated gestural interaction and multi-user collaboration in immersive virtual reality environments
AU2016200084B2 (en) 2015-01-16 2020-01-16 Covidien Lp Powered surgical stapling device
US20160206362A1 (en) 2015-01-21 2016-07-21 Serene Medical, Inc. Systems and devices to identify and limit nerve conduction
KR20180006365A (ko) 2015-01-21 2018-01-17 서린 메디컬 인코포레이티드 신경전도 확인 및 제한을 위한 시스템 및 디바이스
GB2534558B (en) 2015-01-21 2020-12-30 Cmr Surgical Ltd Robot tool retraction
US9387295B1 (en) 2015-01-30 2016-07-12 SurgiQues, Inc. Filter cartridge with internal gaseous seal for multimodal surgical gas delivery system having a smoke evacuation mode
US10159809B2 (en) 2015-01-30 2018-12-25 Surgiquest, Inc. Multipath filter assembly with integrated gaseous seal for multimodal surgical gas delivery system
CN107209805A (zh) 2015-02-02 2017-09-26 思想外科有限公司 用于管理医疗数据的方法和系统
EP3254640A4 (en) 2015-02-05 2018-08-08 Olympus Corporation Manipulator
US9713424B2 (en) 2015-02-06 2017-07-25 Richard F. Spaide Volume analysis and display of information in optical coherence tomography angiography
US20160228061A1 (en) 2015-02-10 2016-08-11 Cathprint Ab Low profile medical device with integrated flexible circuit and methods of making the same
JP6389774B2 (ja) 2015-02-10 2018-09-12 東芝テック株式会社 商品販売データ処理装置
US10111658B2 (en) 2015-02-12 2018-10-30 Covidien Lp Display screens for medical devices
DK3056923T3 (da) 2015-02-13 2021-07-12 Zoller & Froehlich Gmbh Scanningsanordning og fremgangsmåde til scanning af et objekt
US9805472B2 (en) 2015-02-18 2017-10-31 Sony Corporation System and method for smoke detection during anatomical surgery
US9905000B2 (en) 2015-02-19 2018-02-27 Sony Corporation Method and system for surgical tool localization during anatomical surgery
US10111665B2 (en) 2015-02-19 2018-10-30 Covidien Lp Electromechanical surgical systems
US20160242836A1 (en) 2015-02-23 2016-08-25 Hemostatix Medical Technologies, LLC Apparatus, System and Method for Excision of Soft Tissue
US10130367B2 (en) 2015-02-26 2018-11-20 Covidien Lp Surgical apparatus
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US10159483B2 (en) 2015-02-27 2018-12-25 Ethicon Llc Surgical apparatus configured to track an end-of-life parameter
US10733267B2 (en) 2015-02-27 2020-08-04 Surgical Black Box Llc Surgical data control system
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
WO2016135977A1 (ja) 2015-02-27 2016-09-01 オリンパス株式会社 医療用処置装置、医療用処置装置の作動方法、及び治療方法
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
US20160302210A1 (en) 2015-04-10 2016-10-13 Enovate Medical, Llc Communication hub and repeaters
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
KR101956496B1 (ko) 2015-03-06 2019-03-08 마이크로매스 유케이 리미티드 전기수술 응용분야에 대한 액체 트랩 또는 세퍼레이터
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
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
AU2016229897B2 (en) 2015-03-10 2020-07-16 Covidien Lp Measuring health of a connector member of a robotic surgical system
CN111513851B (zh) 2015-03-10 2023-12-12 柯惠Lp公司 机器人手术系统、器械驱动单元以及驱动组件
JP6360803B2 (ja) 2015-03-10 2018-07-18 富士フイルム株式会社 診療データ管理装置、その作動方法及び作動プログラム
US10190888B2 (en) 2015-03-11 2019-01-29 Covidien Lp Surgical stapling instruments with linear position assembly
US10653476B2 (en) 2015-03-12 2020-05-19 Covidien Lp Mapping vessels for resecting body tissue
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
WO2016149563A1 (en) 2015-03-17 2016-09-22 Ahluwalia Prabhat Uterine manipulator
JP6285383B2 (ja) 2015-03-20 2018-02-28 富士フイルム株式会社 画像処理装置、内視鏡システム、画像処理装置の作動方法、及び内視鏡システムの作動方法
US10390718B2 (en) 2015-03-20 2019-08-27 East Carolina University Multi-spectral physiologic visualization (MSPV) using laser imaging methods and systems for blood flow and perfusion imaging and quantification in an endoscopic design
US10349939B2 (en) 2015-03-25 2019-07-16 Ethicon Llc Method of applying a 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
US10172618B2 (en) * 2015-03-25 2019-01-08 Ethicon Llc Low glass transition temperature bioabsorbable polymer adhesive for releasably attaching a staple buttress to a surgical stapler
US9636164B2 (en) 2015-03-25 2017-05-02 Advanced Cardiac Therapeutics, Inc. Contact sensing systems and methods
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
US10136891B2 (en) 2015-03-25 2018-11-27 Ethicon Llc Naturally derived bioabsorbable polymer gel adhesive for releasably attaching a staple buttress to a surgical stapler
US11322248B2 (en) 2015-03-26 2022-05-03 Surgical Safety Technologies Inc. Operating room black-box device, system, method and computer readable medium for event and error prediction
JP6485694B2 (ja) 2015-03-26 2019-03-20 ソニー株式会社 情報処理装置および方法
US10813684B2 (en) 2015-03-30 2020-10-27 Ethicon Llc Control of cutting and sealing based on tissue mapped by segmented electrode
US20160321400A1 (en) 2015-03-30 2016-11-03 Zoll Medical Corporation Clinical Data Handoff in Device Management and Data Sharing
WO2016161211A1 (en) 2015-03-31 2016-10-06 St. Jude Medical, Cardiology Division, Inc. Methods and devices for delivering pulsed rf energy during catheter ablation
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10383518B2 (en) 2015-03-31 2019-08-20 Midmark Corporation Electronic ecosystem for medical examination room
WO2016161137A1 (en) 2015-04-01 2016-10-06 Abbvie Inc. Systems and methods for generating longitudinal data profiles from multiple data sources
US9629560B2 (en) 2015-04-06 2017-04-25 Thomas Jefferson University Implantable vital sign sensor
US10327779B2 (en) 2015-04-10 2019-06-25 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
KR102491909B1 (ko) 2015-04-10 2023-01-26 마코 서지컬 코포레이션 수술 도구의 자율 이동 중에 수술 도구를 제어하는 시스템 및 방법
US10117702B2 (en) 2015-04-10 2018-11-06 Ethicon Llc Surgical generator systems and related methods
US20160296246A1 (en) 2015-04-13 2016-10-13 Novartis Ag Forceps with metal and polymeric arms
US20180228557A1 (en) 2015-04-20 2018-08-16 Medrobotics Corporation Articulating robotic probes, systems and methods incorporating the same, and methods for performing surgical procedures
EP3202315A4 (en) 2015-04-21 2018-06-20 Olympus Corporation Medical device and operating method for medical device
US10806506B2 (en) 2015-04-21 2020-10-20 Smith & Nephew, Inc. Vessel sealing algorithm and modes
WO2016171947A1 (en) 2015-04-22 2016-10-27 Covidien Lp Handheld electromechanical surgical system
BR112017022721A2 (pt) 2015-04-23 2018-07-17 Stanford Res Inst Int dispositivos de interface de usuário de sistema cirúrgico com hiperdestreza
US10617463B2 (en) 2015-04-23 2020-04-14 Covidien Lp Systems and methods for controlling power in an electrosurgical generator
US20160342753A1 (en) 2015-04-24 2016-11-24 Starslide Method and apparatus for healthcare predictive decision technology platform
US20160314712A1 (en) 2015-04-27 2016-10-27 KindHeart, Inc. Telerobotic surgery system for remote surgeon training using robotic surgery station and remote surgeon station and associated methods
US20160314717A1 (en) 2015-04-27 2016-10-27 KindHeart, Inc. Telerobotic surgery system for remote surgeon training using robotic surgery station coupled to remote surgeon trainee and instructor stations and associated methods
US20160323283A1 (en) 2015-04-30 2016-11-03 Samsung Electronics Co., Ltd. Semiconductor device for controlling access right to resource based on pairing technique and method thereof
EP3291725B1 (en) 2015-05-07 2024-07-24 Stryker Corporation Methods and systems for laser speckle imaging of tissue using a color image sensor
US10235737B2 (en) 2015-05-11 2019-03-19 Elwha Llc Interactive surgical drape, system, and related methods
WO2016183054A1 (en) 2015-05-11 2016-11-17 Covidien Lp Coupling instrument drive unit and robotic surgical instrument
CN107529960B (zh) 2015-05-12 2020-10-02 亚伯拉罕·莱维 动态视野内窥镜
GB2538497B (en) 2015-05-14 2020-10-28 Cmr Surgical Ltd Torque sensing in a surgical robotic wrist
US9566708B2 (en) 2015-05-14 2017-02-14 Daniel Kurnianto Control mechanism for end-effector maneuver
WO2016187070A1 (en) 2015-05-15 2016-11-24 Gauss Surgical, Inc. Method for projecting blood loss of a patient during a surgery
EP3294180B1 (en) 2015-05-15 2024-09-11 MAKO Surgical Corp. Systems for providing guidance for a robotic medical procedure
US20160342916A1 (en) 2015-05-20 2016-11-24 Schlumberger Technology Corporation Downhole tool management system
CA2930309C (en) 2015-05-22 2019-02-26 Covidien Lp Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures
US9519753B1 (en) 2015-05-26 2016-12-13 Virtual Radiologic Corporation Radiology workflow coordination techniques
US10022120B2 (en) 2015-05-26 2018-07-17 Ethicon Llc Surgical needle with recessed features
US10349941B2 (en) 2015-05-27 2019-07-16 Covidien Lp Multi-fire lead screw stapling device
US9918326B2 (en) 2015-05-27 2018-03-13 Comcast Cable Communications, Llc Optimizing resources in data transmission
US20160354162A1 (en) 2015-06-02 2016-12-08 National Taiwan University Drilling control system and drilling control method
US10426555B2 (en) 2015-06-03 2019-10-01 Covidien Lp Medical instrument with sensor for use in a system and method for electromagnetic navigation
WO2016196985A1 (en) 2015-06-03 2016-12-08 St. Jude, Cardiology Division, Inc. Active magnetic position sensor
EP3302335A4 (en) 2015-06-03 2019-02-20 Covidien LP OFFSET INSTRUMENT DRIVE UNIT
US10118119B2 (en) 2015-06-08 2018-11-06 Cts Corporation Radio frequency process sensing, control, and diagnostics network and system
US10799304B2 (en) 2015-06-08 2020-10-13 Covidien Lp Mounting device for surgical systems and method of use
KR102673560B1 (ko) 2015-06-09 2024-06-12 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 수술 절차 아틀라스를 갖는 수술시스템의 구성
EP3307181A1 (en) 2015-06-10 2018-04-18 Orthodrill Medical Ltd. Sensor technologies with alignment to body movements
US10806530B2 (en) 2015-06-10 2020-10-20 Intuitive Surgical Operations, Inc. System and method for patient-side instrument control
US10004491B2 (en) 2015-06-15 2018-06-26 Ethicon Llc Suturing instrument with needle motion indicator
WO2016203315A2 (en) 2015-06-15 2016-12-22 Milwaukee Electric Tool Corporation Power tool communication system
US10507068B2 (en) 2015-06-16 2019-12-17 Covidien Lp Robotic surgical system torque transduction sensing
US9782164B2 (en) 2015-06-16 2017-10-10 Ethicon Endo-Surgery, Llc Suturing instrument with multi-mode cartridges
US9839419B2 (en) 2015-06-16 2017-12-12 Ethicon Endo-Surgery, Llc Suturing instrument with jaw having integral cartridge component
US9888914B2 (en) 2015-06-16 2018-02-13 Ethicon Endo-Surgery, Llc Suturing instrument with motorized needle drive
US9861422B2 (en) 2015-06-17 2018-01-09 Medtronic, Inc. Catheter breach loop feedback fault detection with active and inactive driver system
US10368861B2 (en) 2015-06-18 2019-08-06 Ethicon Llc Dual articulation drive system arrangements for articulatable surgical instruments
CN107920820B (zh) * 2015-06-18 2021-04-23 伊西康有限责任公司 具有双凸轮致动的钳口闭合特征结构的外科端部执行器
US10675104B2 (en) 2015-06-19 2020-06-09 Covidien Lp Robotic surgical assemblies
JP6771494B2 (ja) 2015-06-19 2020-10-21 コヴィディエン リミテッド パートナーシップ 双方向連結部を備えたロボット外科用機器の制御法
US10512499B2 (en) 2015-06-19 2019-12-24 Covidien Lp Systems and methods for detecting opening of the jaws of a vessel sealer mid-seal
CN107820412B (zh) 2015-06-23 2021-01-15 柯惠Lp公司 机器人手术组合件
WO2016210111A1 (en) 2015-06-23 2016-12-29 Matrix It Medical Tracking Systems, Inc. Sterile implant tracking device and system
US10528840B2 (en) 2015-06-24 2020-01-07 Stryker Corporation Method and system for surgical instrumentation setup and user preferences
WO2016206015A1 (en) 2015-06-24 2016-12-29 Covidien Lp Surgical clip applier with multiple clip feeding mechanism
US10905415B2 (en) 2015-06-26 2021-02-02 Ethicon Llc Surgical stapler with electromechanical lockout
US10265066B2 (en) * 2015-06-26 2019-04-23 Ethicon Llc Surgical stapler with incomplete firing indicator
US9839470B2 (en) 2015-06-30 2017-12-12 Covidien Lp Electrosurgical generator for minimizing neuromuscular stimulation
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
KR101726054B1 (ko) 2015-07-08 2017-04-12 성균관대학교산학협력단 생체조직 판별 장치 및 방법, 이를 이용한 수술 장치
CA2992566A1 (en) 2015-07-13 2017-01-19 Surgimatix, Inc. Laparoscopic suture device with release mechanism
EP3322337B1 (en) 2015-07-13 2023-12-20 Mako Surgical Corp. Computer-implemented lower extremities leg length calculation method
WO2017011646A1 (en) 2015-07-14 2017-01-19 Smith & Nephew, Inc. Instrumentation identification and re-ordering system
GB2540756B (en) 2015-07-22 2021-03-31 Cmr Surgical Ltd Gear packaging for robot arms
GB2541369B (en) 2015-07-22 2021-03-31 Cmr Surgical Ltd Drive mechanisms for robot arms
US10045782B2 (en) 2015-07-30 2018-08-14 Covidien Lp Surgical stapling loading unit with stroke counter and lockout
US10194913B2 (en) 2015-07-30 2019-02-05 Ethicon Llc Surgical instrument comprising systems for assuring the proper sequential operation of the surgical instrument
CN107920853A (zh) 2015-08-05 2018-04-17 奥林巴斯株式会社 处置器具
US10679758B2 (en) 2015-08-07 2020-06-09 Abbott Cardiovascular Systems Inc. System and method for supporting decisions during a catheterization procedure
US9532845B1 (en) 2015-08-11 2017-01-03 ITKR Software LLC Methods for facilitating individualized kinematically aligned total knee replacements and devices thereof
EP3334510B1 (en) 2015-08-14 2020-02-12 3M Innovative Properties Company Identification of filter media within a filtration system
WO2017031132A1 (en) 2015-08-17 2017-02-23 Intuitive Surgical Operations, Inc. Unground master control devices and methods of use
US10136949B2 (en) 2015-08-17 2018-11-27 Ethicon Llc Gathering and analyzing data for robotic surgical systems
US10205708B1 (en) 2015-08-21 2019-02-12 Teletracking Technologies, Inc. Systems and methods for digital content protection and security in multi-computer networks
US10639039B2 (en) 2015-08-24 2020-05-05 Ethicon Llc Surgical stapler buttress applicator with multi-zone platform for pressure focused release
CN107921639B (zh) 2015-08-25 2021-09-21 川崎重工业株式会社 多个机器人系统间的信息共享系统及信息共享方法
US10166026B2 (en) 2015-08-26 2019-01-01 Ethicon Llc Staple cartridge assembly including features for controlling the rotation of staples when being ejected therefrom
CN108348238B (zh) * 2015-08-26 2021-02-02 伊西康有限责任公司 无底部覆盖件的钉仓组件
WO2017037705A1 (en) 2015-08-30 2017-03-09 M.S.T. Medical Surgery Technologies Ltd An intelligent surgical tool control system for laparoscopic surgeries
US10687905B2 (en) 2015-08-31 2020-06-23 KB Medical SA Robotic surgical systems and methods
US10357252B2 (en) * 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
JP5989877B1 (ja) 2015-09-03 2016-09-07 株式会社メディカルプラットフォーム 情報処理装置、情報処理方法および情報処理プログラム
US20170068792A1 (en) 2015-09-03 2017-03-09 Bruce Reiner System and method for medical device security, data tracking and outcomes analysis
JP7041052B6 (ja) 2015-09-09 2022-05-30 コーニンクレッカ フィリップス エヌ ヴェ 反復介入手順を計画及び実行するシステム並びに方法
US10849700B2 (en) 2015-09-11 2020-12-01 Covidien Lp Robotic surgical system control scheme for manipulating robotic end effectors
EP3141181B1 (en) 2015-09-11 2018-06-20 Bernard Boon Chye Lim Ablation catheter apparatus with a basket comprising electrodes, an optical emitting element and an optical receiving element
DE102015115559A1 (de) 2015-09-15 2017-03-16 Karl Storz Gmbh & Co. Kg Manipulationssystem sowie Handhabungsvorrichtung für chirurgische Instrumente
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
WO2017053358A1 (en) 2015-09-25 2017-03-30 Covidien Lp Surgical robotic assemblies and instrument adapters thereof
US11045273B2 (en) 2015-09-25 2021-06-29 Covidien Lp Elastic surgical interface for robotic surgical systems
US11076909B2 (en) 2015-09-25 2021-08-03 Gyrus Acmi, Inc. Multifunctional medical device
AU2016327595B2 (en) 2015-09-25 2020-07-23 Covidien Lp Robotic surgical assemblies and electromechanical instruments thereof
US10130432B2 (en) 2015-09-25 2018-11-20 Ethicon Llc Hybrid robotic surgery with locking mode
WO2017053363A1 (en) 2015-09-25 2017-03-30 Covidien Lp Robotic surgical assemblies and instrument drive connectors thereof
WO2017059105A1 (en) 2015-09-30 2017-04-06 Ou George Multicomputer data transferring system with a rotating base station
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
JP6873982B2 (ja) 2015-09-30 2021-05-19 エシコン エルエルシーEthicon LLC ユーザ意図に基づいて外科用器具の動作を選択するための方法及び装置
CN108289704B (zh) 2015-09-30 2021-04-16 伊西康有限责任公司 用于以数字方式生成超声外科器械的组合电信号波形的发生器
US10751108B2 (en) 2015-09-30 2020-08-25 Ethicon Llc Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms
US11083399B2 (en) 2015-10-05 2021-08-10 Infobionic, Inc. Electrode patch for health monitoring
EP3361979A4 (en) 2015-10-14 2019-06-26 Surgical Theater LLC SURGICAL NAVIGATION WITH EXTENDED REALITY
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US11020200B2 (en) 2015-10-19 2021-06-01 Ethicon Llc Surgical instrument with dual mode end effector and compound lever with detents
US10058393B2 (en) 2015-10-21 2018-08-28 P Tech, Llc Systems and methods for navigation and visualization
WO2017070266A1 (en) 2015-10-22 2017-04-27 Covidien Lp Variable sweeping for input devices
US20170116873A1 (en) 2015-10-26 2017-04-27 C-SATS, Inc. Crowd-sourced assessment of performance of an activity
US10639027B2 (en) 2015-10-27 2020-05-05 Ethicon Llc Suturing instrument cartridge with torque limiting features
JP2019500921A (ja) 2015-10-29 2019-01-17 シャープ フルーディクス エルエルシー 手術室内のデータ捕捉のためのシステムおよび方法
EP3367948B1 (en) 2015-10-30 2024-04-24 Covidien LP Haptic fedback controls for a robotic surgical system interface
WO2017075176A1 (en) 2015-10-30 2017-05-04 Cedars-Sinai Medical Center Methods and systems for performing tissue classification using multi-channel tr-lifs and multivariate analysis
CN108352196A (zh) 2015-10-30 2018-07-31 皇家飞利浦有限公司 没有明显的准标识符的去标识的健康护理数据库的医院匹配
CN108348303B (zh) 2015-10-30 2021-03-05 柯惠Lp公司 用于具有视觉反馈的机器人外科手术系统的输入手柄
WO2017079044A1 (en) 2015-11-06 2017-05-11 Intuitive Surgical Operations, Inc. Knife with mechanical fuse
US20170132785A1 (en) 2015-11-09 2017-05-11 Xerox Corporation Method and system for evaluating the quality of a surgical procedure from in-vivo video
US10084833B2 (en) 2015-11-09 2018-09-25 Cisco Technology, Inc. Initiating a collaboration session between devices using an audible message
US10390831B2 (en) 2015-11-10 2019-08-27 Covidien Lp Endoscopic reposable surgical clip applier
EP3373811A4 (en) 2015-11-10 2019-09-04 Novanta Inc. WIRELESS AND WIRELESS SURGICAL DISPLAY SYSTEM
US20170132374A1 (en) 2015-11-11 2017-05-11 Zyno Medical, Llc System for Collecting Medical Data Using Proxy Inputs
AU2016354489A1 (en) 2015-11-11 2018-06-07 Johnson & Johnson Surgical Vision, Inc. Systems and methods for providing virtual access to a surgical console
CN113456241A (zh) 2015-11-12 2021-10-01 直观外科手术操作公司 具有训练或辅助功能的外科手术系统
US10772630B2 (en) 2015-11-13 2020-09-15 Intuitive Surgical Operations, Inc. Staple pusher with lost motion between ramps
WO2017083125A1 (en) 2015-11-13 2017-05-18 Intuitive Surgical Operations, Inc. Stapler with composite cardan and screw drive
US10898189B2 (en) 2015-11-13 2021-01-26 Intuitive Surgical Operations, Inc. Push-pull stapler with two degree of freedom wrist
US20170143284A1 (en) 2015-11-25 2017-05-25 Carestream Health, Inc. Method to detect a retained surgical object
WO2017091704A1 (en) 2015-11-25 2017-06-01 Camplex, Inc. Surgical visualization systems and displays
KR102374677B1 (ko) 2015-11-27 2022-03-15 삼성전자 주식회사 무선 통신을 이용한 전자장치의 관리 방법과 장치
US10143526B2 (en) 2015-11-30 2018-12-04 Auris Health, Inc. Robot-assisted driving systems and methods
US9888975B2 (en) 2015-12-04 2018-02-13 Ethicon Endo-Surgery, Llc Methods, systems, and devices for control of surgical tools in a robotic surgical system
US10311036B1 (en) 2015-12-09 2019-06-04 Universal Research Solutions, Llc Database management for a logical registry
KR102535081B1 (ko) 2015-12-09 2023-05-22 삼성전자주식회사 시계-타입 웨어러블 장치
US20170164997A1 (en) 2015-12-10 2017-06-15 Ethicon Endo-Surgery, Llc Method of treating tissue using end effector with ultrasonic and electrosurgical features
GB201521805D0 (en) 2015-12-10 2016-01-27 Cambridge Medical Robotics Ltd Guiding engagement of a robot arm and surgical instrument
GB201521804D0 (en) 2015-12-10 2016-01-27 Cambridge Medical Robotics Ltd Pulley arrangement for articulating a surgical instrument
US10265130B2 (en) 2015-12-11 2019-04-23 Ethicon Llc Systems, devices, and methods for coupling end effectors to surgical devices and loading devices
EP3545893B1 (en) 2015-12-11 2020-06-17 Reach Surgical, Inc. Modular signal interface system and powered trocar
WO2017100534A1 (en) 2015-12-11 2017-06-15 Servicenow, Inc. Computer network threat assessment
EP3389525B1 (en) 2015-12-14 2022-02-02 Buffalo Filter LLC Method and apparatus for attachment and evacuation
BR112018012090A2 (pt) 2015-12-14 2018-11-27 Nuvasive Inc visualização 3d durante a cirurgia com exposição à radiação reduzida
US10238413B2 (en) 2015-12-16 2019-03-26 Ethicon Llc Surgical instrument with multi-function button
US20170172614A1 (en) 2015-12-17 2017-06-22 Ethicon Endo-Surgery, Llc Surgical instrument with multi-functioning trigger
US10624616B2 (en) 2015-12-18 2020-04-21 Covidien Lp Surgical instruments including sensors
US20170177807A1 (en) 2015-12-21 2017-06-22 Gavin Fabian Enhanced user interface for a system and method for optimizing surgical team composition and surgical team procedure resource management
US10368894B2 (en) 2015-12-21 2019-08-06 Ethicon Llc Surgical instrument with variable clamping force
EP3380029A1 (en) 2015-12-21 2018-10-03 Gyrus ACMI, Inc. (D.B.A. Olympus Surgical Technologies America) High surface energy portion on a medical instrument
JP6657933B2 (ja) 2015-12-25 2020-03-04 ソニー株式会社 医療用撮像装置及び手術ナビゲーションシステム
CN108463185B (zh) 2015-12-29 2021-12-14 柯惠Lp公司 机器人手术系统和器械驱动组件
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10470791B2 (en) 2015-12-30 2019-11-12 Ethicon Llc Surgical instrument with staged application of electrosurgical and ultrasonic energy
US20210275129A1 (en) 2016-01-11 2021-09-09 Kambiz Behzadi In situ system and method for sensing or monitoring
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US20170202595A1 (en) 2016-01-15 2017-07-20 Ethicon Endo-Surgery, Llc Modular battery powered handheld surgical instrument with a plurality of control programs
US10537351B2 (en) 2016-01-15 2020-01-21 Ethicon Llc Modular battery powered handheld surgical instrument with variable motor control limits
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11022421B2 (en) 2016-01-20 2021-06-01 Lucent Medical Systems, Inc. Low-frequency electromagnetic tracking
WO2017132365A1 (en) 2016-01-29 2017-08-03 Boston Scientific Scimed, Inc. Medical user interface
KR20180100702A (ko) 2016-01-29 2018-09-11 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 가변 속도 수술 기기용 시스템 및 방법
US20170215944A1 (en) 2016-01-29 2017-08-03 Covidien Lp Jaw aperture position sensor for electrosurgical forceps
US11273006B2 (en) 2016-01-29 2022-03-15 Millennium Healthcare Technologies, Inc. Laser-assisted periodontics
JP6864011B2 (ja) 2016-02-02 2021-04-21 インテュイティブ サージカル オペレーションズ, インコーポレイテッド ファラデーケージに歪みゲージを使用する器具力センサ
USD784270S1 (en) 2016-02-08 2017-04-18 Vivint, Inc. Control panel
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10245030B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instruments with tensioning arrangements for cable driven articulation systems
US9980140B1 (en) 2016-02-11 2018-05-22 Bigfoot Biomedical, Inc. Secure communication architecture for medical devices
US10420559B2 (en) 2016-02-11 2019-09-24 Covidien Lp Surgical stapler with small diameter endoscopic portion
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US20170231628A1 (en) 2016-02-12 2017-08-17 Ethicon Endo-Surgery, Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
CA2958160A1 (en) 2016-02-24 2017-08-24 Covidien Lp Endoscopic reposable surgical clip applier
WO2017146890A1 (en) 2016-02-26 2017-08-31 Intuitive Surgical Operations, Inc. System and method for collision avoidance using virtual boundaries
US10864050B2 (en) 2016-02-26 2020-12-15 Think Surgical, Inc. Method and system for guiding user positioning of a robot
EP3445266A4 (en) 2016-02-26 2020-02-19 Covidien LP ROBOTIC SURGICAL SYSTEMS AND CORRESPONDING ROBOTIC ARMS
US10786298B2 (en) 2016-03-01 2020-09-29 Covidien Lp Surgical instruments and systems incorporating machine learning based tissue identification and methods thereof
US10561753B2 (en) 2016-03-02 2020-02-18 Asp Global Manufacturing Gmbh Method of sterilizing medical devices, analyzing biological indicators, and linking medical device sterilization equipment
WO2017151996A1 (en) 2016-03-04 2017-09-08 Covidien Lp Inverse kinematic control systems for robotic surgical system
CA3013225A1 (en) 2016-03-04 2017-09-08 Covidien Lp Electromechanical surgical systems and robotic surgical instruments thereof
US10893884B2 (en) 2016-03-04 2021-01-19 Covidien Lp Ultrasonic instruments for robotic surgical systems
JP6488249B2 (ja) 2016-03-08 2019-03-20 富士フイルム株式会社 血管情報取得装置、内視鏡システム及び血管情報取得方法
CA2960531C (en) 2016-03-11 2019-06-25 The Toronto-Dominion Bank Application platform security enforcement in cross device and ownership structures
JP6923549B2 (ja) 2016-03-15 2021-08-18 エピックス セラピューティクス,インコーポレイテッド 灌注式焼灼のための改良されたシステム
US10631858B2 (en) 2016-03-17 2020-04-28 Intuitive Surgical Operations, Inc. Stapler with cable-driven advanceable clamping element and distal pulley
US10350016B2 (en) 2016-03-17 2019-07-16 Intuitive Surgical Operations, Inc. Stapler with cable-driven advanceable clamping element and dual distal pulleys
WO2017169823A1 (ja) 2016-03-30 2017-10-05 ソニー株式会社 画像処理装置および方法、手術システム並びに手術用部材
JP2017176611A (ja) 2016-03-31 2017-10-05 ソニー株式会社 治具保持装置及び医療用観察装置
JP7010839B2 (ja) * 2016-04-01 2022-01-26 エシコン エルエルシー 非侵襲性の特徴部を備えたステープルカートリッジ
US10456140B2 (en) 2016-04-01 2019-10-29 Ethicon Llc Surgical stapling system comprising an unclamping lockout
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10175096B2 (en) 2016-04-01 2019-01-08 Ethicon Llc System and method to enable re-use of surgical instrument
US10314582B2 (en) 2016-04-01 2019-06-11 Ethicon Llc Surgical instrument comprising a shifting mechanism
JP6965264B2 (ja) * 2016-04-01 2021-11-10 エシコン エルエルシーEthicon LLC ジョー閉鎖ロックアウトを備える外科用ステープル留めシステム
US10357246B2 (en) 2016-04-01 2019-07-23 Ethicon Llc Rotary powered surgical instrument with manually actuatable bailout system
CN109310415B (zh) * 2016-04-01 2021-08-27 伊西康有限责任公司 包括多个闭锁件的外科缝合器械
US10722233B2 (en) 2016-04-07 2020-07-28 Intuitive Surgical Operations, Inc. Stapling cartridge
ES2882141T3 (es) 2016-04-12 2021-12-01 Applied Med Resources Conjunto de vástago de recarga para la grapadora quirúrgica
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10478181B2 (en) 2016-04-18 2019-11-19 Ethicon Llc Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US20170296173A1 (en) * 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
WO2017183353A1 (ja) 2016-04-19 2017-10-26 オリンパス株式会社 内視鏡システム
EP3904681A3 (en) 2016-04-19 2021-12-22 ClearMotion, Inc. Active hydraulic ripple cancelation methods and systems
US20170304020A1 (en) 2016-04-20 2017-10-26 Samson Ng Navigation arm system and methods
US10285700B2 (en) 2016-04-20 2019-05-14 Ethicon Llc Surgical staple cartridge with hydraulic staple deployment
US10363032B2 (en) 2016-04-20 2019-07-30 Ethicon Llc Surgical stapler with hydraulic deck control
WO2017189317A1 (en) 2016-04-26 2017-11-02 KindHeart, Inc. Telerobotic surgery system for remote surgeon training using robotic surgery station and remote surgeon station and an animating device
US20170312456A1 (en) 2016-04-27 2017-11-02 David Bruce PHILLIPS Skin Desensitizing Device
US10772673B2 (en) 2016-05-02 2020-09-15 Covidien Lp Surgical energy system with universal connection features
DE102016207666B4 (de) 2016-05-03 2023-03-02 Olympus Winter & Ibe Gmbh Medizinische Rauchgasabsaugvorrichtung und Verfahren zum Betreiben derselben
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10505756B2 (en) 2017-02-10 2019-12-10 Johnson Controls Technology Company Building management system with space graphs
CN105785611A (zh) 2016-05-04 2016-07-20 深圳市华星光电技术有限公司 背板及用于制造背板支架的模具
US20200348662A1 (en) 2016-05-09 2020-11-05 Strong Force Iot Portfolio 2016, Llc Platform for facilitating development of intelligence in an industrial internet of things system
US20170325878A1 (en) 2016-05-11 2017-11-16 Ethicon Llc Suction and irrigation sealing grasper
WO2017201310A1 (en) 2016-05-18 2017-11-23 Virtual Incision Corporation Robotic surgicla devices, systems and related methods
US10624667B2 (en) 2016-05-20 2020-04-21 Ethicon Llc System and method to track usage of surgical instrument
US10555748B2 (en) 2016-05-25 2020-02-11 Ethicon Llc Features and methods to control delivery of cooling fluid to end effector of ultrasonic surgical instrument
AU2017269374B2 (en) 2016-05-26 2021-07-08 Covidien Lp Instrument drive units
WO2017205467A1 (en) 2016-05-26 2017-11-30 Covidien Lp Cannula assemblies for use with robotic surgical systems
US11191600B2 (en) 2016-05-26 2021-12-07 Covidien Lp Robotic surgical assemblies
EP3463147A4 (en) 2016-05-26 2020-01-22 Covidien LP ROBOTIC SURGICAL ARRANGEMENTS AND INSTRUMENT DRIVE UNITS THEREFOR
GB201609467D0 (en) 2016-05-30 2016-07-13 Givaudan Sa Improvements in or relating to organic compounds
DE102016209576B4 (de) 2016-06-01 2024-06-13 Siemens Healthineers Ag Bewegungssteuerung für ein mobiles Medizingerät
US11090125B2 (en) 2016-06-03 2021-08-17 Covidien Lp Passive axis system for robotic surgical systems
CN113180835A (zh) 2016-06-03 2021-07-30 柯惠Lp公司 用于机器人手术系统的控制臂
CA3023266A1 (en) 2016-06-03 2017-12-07 Covidien Lp Systems, methods, and computer-readable storage media for controlling aspects of a robotic surgical device and viewer adaptive stereoscopic display
US11058504B2 (en) 2016-06-03 2021-07-13 Covidien Lp Control arm assemblies for robotic surgical systems
US11272992B2 (en) 2016-06-03 2022-03-15 Covidien Lp Robotic surgical assemblies and instrument drive units thereof
US11056219B2 (en) 2016-06-08 2021-07-06 Health Value Analytics, Inc. System and method for determining and indicating value of healthcare
US10561360B2 (en) 2016-06-15 2020-02-18 Biomet Manufacturing, Llc Implants, systems and methods for surgical planning and assessment
US11617611B2 (en) 2016-06-17 2023-04-04 Megadayne Medical Products, Inc. Hand-held instrument with dual zone fluid removal
US11515030B2 (en) 2016-06-23 2022-11-29 Siemens Healthcare Gmbh System and method for artificial agent based cognitive operating rooms
US11125553B2 (en) 2016-06-24 2021-09-21 Syracuse University Motion sensor assisted room shape reconstruction and self-localization using first-order acoustic echoes
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
US10702270B2 (en) 2016-06-24 2020-07-07 Ethicon Llc Stapling system for use with wire staples and stamped staples
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
CN113425344A (zh) 2016-06-30 2021-09-24 直观外科手术操作公司 用于医疗机器人系统的故障反应机制的系统和方法
US10313137B2 (en) 2016-07-05 2019-06-04 General Electric Company Method for authenticating devices in a medical network
CN206097107U (zh) 2016-07-08 2017-04-12 山东威瑞外科医用制品有限公司 一种超声刀频率跟踪装置
US10258362B2 (en) 2016-07-12 2019-04-16 Ethicon Llc Ultrasonic surgical instrument with AD HOC formed blade
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
WO2018020553A1 (ja) 2016-07-25 2018-02-01 オリンパス株式会社 エネルギー制御装置及び処置システム
WO2018020577A1 (ja) 2016-07-26 2018-02-01 オリンパス株式会社 エネルギー制御装置及び処置システム
US10378893B2 (en) 2016-07-29 2019-08-13 Ca, Inc. Location detection sensors for physical devices
US9844321B1 (en) 2016-08-04 2017-12-19 Novartis Ag Enhanced ophthalmic surgical experience using a virtual reality head-mounted display
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US11006997B2 (en) 2016-08-09 2021-05-18 Covidien Lp Ultrasonic and radiofrequency energy production and control from a single power converter
US10037641B2 (en) 2016-08-10 2018-07-31 Elwha Llc Systems and methods for individual identification and authorization utilizing conformable electronics
CN109564471B (zh) 2016-08-12 2022-08-23 波士顿科学国际有限公司 具有主/次交互特征的分布式交互医学可视化系统
US10231775B2 (en) 2016-08-16 2019-03-19 Ethicon Llc Robotic surgical system with tool lift control
US10398517B2 (en) 2016-08-16 2019-09-03 Ethicon Llc Surgical tool positioning based on sensed parameters
US10500000B2 (en) 2016-08-16 2019-12-10 Ethicon Llc Surgical tool with manual control of end effector jaws
US9943377B2 (en) 2016-08-16 2018-04-17 Ethicon Endo-Surgery, Llc Methods, systems, and devices for causing end effector motion with a robotic surgical system
US10813703B2 (en) 2016-08-16 2020-10-27 Ethicon Llc Robotic surgical system with energy application controls
US10531929B2 (en) 2016-08-16 2020-01-14 Ethicon Llc Control of robotic arm motion based on sensed load on cutting tool
US10390895B2 (en) 2016-08-16 2019-08-27 Ethicon Llc Control of advancement rate and application force based on measured forces
US11285314B2 (en) 2016-08-19 2022-03-29 Cochlear Limited Advanced electrode array insertion
US10861605B2 (en) 2016-08-22 2020-12-08 Aic Innovations Group, Inc. Method and apparatus for determining health status
US10695134B2 (en) 2016-08-25 2020-06-30 Verily Life Sciences Llc Motion execution of a robotic system
US10555750B2 (en) 2016-08-25 2020-02-11 Ethicon Llc Ultrasonic surgical instrument with replaceable blade having identification feature
US10779847B2 (en) 2016-08-25 2020-09-22 Ethicon Llc Ultrasonic transducer to waveguide joining
CN109890281B (zh) 2016-08-30 2020-10-16 马科外科公司 用于术中骨盆配准的系统和方法
US11370113B2 (en) 2016-09-06 2022-06-28 Verily Life Sciences Llc Systems and methods for prevention of surgical mistakes
US11291384B2 (en) 2016-09-09 2022-04-05 Sunnybrook Research Institute System and method for magnetic occult lesion localization and imaging
US10568703B2 (en) 2016-09-21 2020-02-25 Verb Surgical Inc. User arm support for use in a robotic surgical system
US10069633B2 (en) 2016-09-30 2018-09-04 Data I/O Corporation Unified programming environment for programmable devices
EP3518730B1 (en) 2016-10-03 2024-04-17 Verb Surgical Inc. Immersive three-dimensional display for robotic surgery
US20180098816A1 (en) 2016-10-06 2018-04-12 Biosense Webster (Israel) Ltd. Pre-Operative Registration of Anatomical Images with a Position-Tracking System Using Ultrasound
US10278778B2 (en) 2016-10-27 2019-05-07 Inneroptic Technology, Inc. Medical device navigation using a virtual 3D space
EP3534817A4 (en) 2016-11-04 2020-07-29 Intuitive Surgical Operations Inc. RECONFIGURABLE DISPLAY IN COMPUTER-BASED REMOTE-CONTROLLED SURGERY
US10492784B2 (en) 2016-11-08 2019-12-03 Covidien Lp Surgical tool assembly with compact firing assembly
KR20230003653A (ko) 2016-11-11 2023-01-06 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 환자 건강 기록들 기반 기구 제어를 갖는 원격조작 수술 시스템
JP6788740B2 (ja) 2016-11-14 2020-11-25 コンメッド コーポレーション 体腔への連続的なガス流の継続的圧力監視を有するマルチモード外科用ガス送達システム
US11147935B2 (en) 2016-11-14 2021-10-19 Conmed Corporation Smoke evacuation system for continuously removing gas from a body cavity
US11003988B2 (en) 2016-11-23 2021-05-11 General Electric Company Hardware system design improvement using deep learning algorithms
US10463371B2 (en) 2016-11-29 2019-11-05 Covidien Lp Reload assembly with spent reload indicator
WO2018102705A1 (en) 2016-12-01 2018-06-07 Kinze Manufacturing, Inc. Systems, methods, and/or apparatus for providing a user display and interface for use with an agricultural implement
CN117515738A (zh) 2016-12-06 2024-02-06 斐乐公司 具有智能传感器和气流的空气净化器
US10881446B2 (en) 2016-12-19 2021-01-05 Ethicon Llc Visual displays of electrical pathways
US10782114B2 (en) 2016-12-20 2020-09-22 Boston Scientific Scimed Inc. Hybrid navigation sensor
US10318763B2 (en) 2016-12-20 2019-06-11 Privacy Analytics Inc. Smart de-identification using date jittering
CA3043933C (en) 2016-12-20 2021-08-03 Verb Surgical Inc. Sterile adapter control system and communication interface for use in a robotic surgical system
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US10687810B2 (en) * 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10667811B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Surgical stapling instruments and staple-forming anvils
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10568624B2 (en) * 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems
US10537324B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Stepped staple cartridge with asymmetrical staples
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US10736629B2 (en) 2016-12-21 2020-08-11 Ethicon Llc Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems
US20180168618A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US20180168609A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Firing assembly comprising a fuse
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
US10758229B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument comprising improved jaw control
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US11523857B2 (en) 2016-12-22 2022-12-13 Medtronic, Inc. Multiplexing algorithm with power allocation
US10244926B2 (en) 2016-12-28 2019-04-02 Auris Health, Inc. Detecting endolumenal buckling of flexible instruments
US10610654B2 (en) 2017-01-10 2020-04-07 General Electric Company Lung protective ventilation control
US10842897B2 (en) 2017-01-20 2020-11-24 Éclair Medical Systems, Inc. Disinfecting articles with ozone
US20180211013A1 (en) 2017-01-25 2018-07-26 International Business Machines Corporation Patient Communication Priority By Compliance Dates, Risk Scores, and Organizational Goals
WO2018152141A1 (en) 2017-02-15 2018-08-23 Covidien Lp System and apparatus for crush prevention for medical robot applications
US11158415B2 (en) 2017-02-16 2021-10-26 Mako Surgical Corporation Surgical procedure planning system with multiple feedback loops
CA3052869A1 (en) 2017-02-17 2018-08-23 Nz Technologies Inc. Methods and systems for touchless control of surgical environment
US20180242967A1 (en) 2017-02-26 2018-08-30 Endoevolution, Llc Apparatus and method for minimally invasive suturing
WO2018156928A1 (en) 2017-02-27 2018-08-30 Applied Logic, Inc. System and method for managing the use of surgical instruments
US9788907B1 (en) 2017-02-28 2017-10-17 Kinosis Ltd. Automated provision of real-time custom procedural surgical guidance
US20170173262A1 (en) 2017-03-01 2017-06-22 François Paul VELTZ Medical systems, devices and methods
US10813710B2 (en) 2017-03-02 2020-10-27 KindHeart, Inc. Telerobotic surgery system using minimally invasive surgical tool with variable force scaling and feedback and relayed communications between remote surgeon and surgery station
US10675100B2 (en) 2017-03-06 2020-06-09 Covidien Lp Systems and methods for improving medical instruments and devices
US10497472B1 (en) 2017-03-08 2019-12-03 Deborah T. Bullington Directional signal fencing for medical appointment progress tracking
US11147626B2 (en) 2017-03-14 2021-10-19 Stephen B. Murphy Systems and methods for determining leg length change during hip surgery
WO2018167878A1 (ja) 2017-03-15 2018-09-20 オリンパス株式会社 エネルギー源装置
WO2018165980A1 (en) 2017-03-17 2018-09-20 Covidien Lp Anvil plate for a surgical stapling instrument
US11017906B2 (en) 2017-03-20 2021-05-25 Amino, Inc. Machine learning models in location based episode prediction
US10028402B1 (en) 2017-03-22 2018-07-17 Seagate Technology Llc Planar expansion card assembly
WO2018176414A1 (en) 2017-03-31 2018-10-04 Fengh Medical Co., Ltd. Staple cartridge assembly and surgical instrument with the same
US20180294060A1 (en) 2017-04-10 2018-10-11 Ghassan S. Kassab Technological devices and systems and methods to use the same to obtain biological information
WO2018189725A1 (en) 2017-04-14 2018-10-18 Stryker Corporation Surgical systems and methods for facilitating ad-hoc intraoperative planning of surgical procedures
JP2018176387A (ja) 2017-04-19 2018-11-15 富士ゼロックス株式会社 ロボット装置及びプログラム
EP4108201B1 (en) 2017-04-21 2024-03-27 Medicrea International A system for developing one or more patient-specific spinal implants
US20180315492A1 (en) 2017-04-26 2018-11-01 Darroch Medical Solutions, Inc. Communication devices and systems and methods of analyzing, authenticating, and transmitting medical information
CN110809804B (zh) 2017-05-08 2023-10-27 梅西莫股份有限公司 使用适配器将医疗系统与网络控制器配对的系统
US11065062B2 (en) 2017-05-17 2021-07-20 Covidien Lp Systems and methods of tracking and analyzing use of medical instruments
USD834541S1 (en) 2017-05-19 2018-11-27 Universal Remote Control, Inc. Remote control
US11259856B2 (en) 2017-05-22 2022-03-01 Cilag Gmbh International Combination ultrasonic and electrosurgical instrument and method for sealing tissue in successive phases
JP7032444B2 (ja) 2017-05-22 2022-03-08 ベクトン・ディキンソン・アンド・カンパニー 埋め込みアウトオブバンド(oob)キー生成を使用した2つのデバイス間の安全な無線ペアリングのためのシステム、装置、および方法
US10806532B2 (en) 2017-05-24 2020-10-20 KindHeart, Inc. Surgical simulation system using force sensing and optical tracking and robotic surgery system
US10478185B2 (en) 2017-06-02 2019-11-19 Covidien Lp Tool assembly with minimal dead space
US10992698B2 (en) 2017-06-05 2021-04-27 Meditechsafe, Inc. Device vulnerability management
US20180357383A1 (en) 2017-06-07 2018-12-13 International Business Machines Corporation Sorting Medical Concepts According to Priority
US11045199B2 (en) 2017-06-09 2021-06-29 Covidien Lp Handheld electromechanical surgical system
US11596400B2 (en) 2017-06-09 2023-03-07 Covidien Lp Handheld electromechanical surgical system
EA039089B1 (ru) 2017-06-09 2021-12-02 Страйкер Корпорейшн Хирургические системы с подсоединением аккумуляторной батареи по типу поворотного замка
US10932784B2 (en) 2017-06-09 2021-03-02 Covidien Lp Handheld electromechanical surgical system
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
US20180360456A1 (en) 2017-06-20 2018-12-20 Ethicon Llc Surgical instrument having controllable articulation velocity
US11229496B2 (en) 2017-06-22 2022-01-25 Navlab Holdings Ii, Llc Systems and methods of providing assistance to a surgeon for minimizing errors during a surgical procedure
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
USD893717S1 (en) 2017-06-28 2020-08-18 Ethicon Llc Staple cartridge for surgical instrument
US10299870B2 (en) 2017-06-28 2019-05-28 Auris Health, Inc. Instrument insertion compensation
US11020114B2 (en) 2017-06-28 2021-06-01 Cilag Gmbh International Surgical instruments with articulatable end effector with axially shortened articulation joint configurations
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11298128B2 (en) 2017-06-28 2022-04-12 Cilag Gmbh International Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US11153076B2 (en) 2017-07-17 2021-10-19 Thirdwayv, Inc. Secure communication for medical devices
JP6901342B2 (ja) 2017-07-21 2021-07-14 東芝テック株式会社 情報処理装置
US10959732B2 (en) 2017-08-10 2021-03-30 Ethicon Llc Jaw for clip applier
US10751052B2 (en) 2017-08-10 2020-08-25 Ethicon Llc Surgical device with overload mechanism
US10912567B2 (en) 2017-08-29 2021-02-09 Ethicon Llc Circular stapler
US20190059986A1 (en) 2017-08-29 2019-02-28 Ethicon Llc Methods, systems, and devices for controlling electrosurgical tools
WO2019044328A1 (ja) 2017-08-31 2019-03-07 ソニー株式会社 医療用画像処理装置、医療用画像処理システム、及び医療用画像処理装置の駆動方法
US11027432B2 (en) 2017-09-06 2021-06-08 Stryker Corporation Techniques for controlling position of an end effector of a robotic device relative to a virtual constraint
USD831209S1 (en) 2017-09-14 2018-10-16 Ethicon Llc Surgical stapler cartridge
US10624707B2 (en) 2017-09-18 2020-04-21 Verb Surgical Inc. Robotic surgical system and method for communicating synchronous and asynchronous information to and from nodes of a robotic arm
US20190087544A1 (en) 2017-09-21 2019-03-21 General Electric Company Surgery Digital Twin
US10874460B2 (en) 2017-09-29 2020-12-29 K2M, Inc. Systems and methods for modeling spines and treating spines based on spine models
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
JP6861604B2 (ja) 2017-10-02 2021-04-21 株式会社オカムラ 管理システム及び制御方法
WO2019074722A2 (en) 2017-10-10 2019-04-18 Miki Roberto Augusto UNIVERSAL ORTHOPEDIC CLAMPING DEVICE
WO2019079179A1 (en) 2017-10-16 2019-04-25 Cryterion Medical, Inc. FLUID DETECTION ASSEMBLY FOR A MEDICAL DEVICE
AU2018352182B2 (en) 2017-10-17 2024-06-06 Alcon Inc. Customized ophthalmic surgical profiles
WO2019079126A1 (en) 2017-10-17 2019-04-25 Verily Life Sciences Llc DISPLAYING PREOPERATIVE AND INTRA-OPERATIVE IMAGES
US10398348B2 (en) 2017-10-19 2019-09-03 Biosense Webster (Israel) Ltd. Baseline impedance maps for tissue proximity indications
US10932804B2 (en) 2017-10-30 2021-03-02 Ethicon Llc Surgical instrument with sensor and/or control systems
US11406390B2 (en) 2017-10-30 2022-08-09 Cilag Gmbh International Clip applier comprising interchangeable clip reloads
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11793537B2 (en) 2017-10-30 2023-10-24 Cilag Gmbh International Surgical instrument comprising an adaptive electrical system
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11116485B2 (en) 2017-10-30 2021-09-14 Cilag Gmbh International Surgical instrument with modular power sources
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11129634B2 (en) 2017-10-30 2021-09-28 Cilag Gmbh International Surgical instrument with rotary drive selectively actuating multiple end effector functions
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10783634B2 (en) 2017-11-22 2020-09-22 General Electric Company Systems and methods to deliver point of care alerts for radiological findings
US10937551B2 (en) 2017-11-27 2021-03-02 International Business Machines Corporation Medical concept sorting based on machine learning of attribute value differentiation
US10631916B2 (en) 2017-11-29 2020-04-28 Megadyne Medical Products, Inc. Filter connection for a smoke evacuation device
US10786317B2 (en) 2017-12-11 2020-09-29 Verb Surgical Inc. Active backdriving for a robotic arm
US11071595B2 (en) 2017-12-14 2021-07-27 Verb Surgical Inc. Multi-panel graphical user interface for a robotic surgical system
US10966718B2 (en) * 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US20190192147A1 (en) 2017-12-21 2019-06-27 Ethicon Llc Surgical instrument comprising an articulatable distal head
US10695081B2 (en) 2017-12-28 2020-06-30 Ethicon Llc Controlling a surgical instrument according to sensed closure parameters
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US12096916B2 (en) 2017-12-28 2024-09-24 Cilag Gmbh International Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US20190206561A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Data handling and prioritization in a cloud analytics network
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US20190201087A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Smoke evacuation system including a segmented control circuit for interactive surgical platform
US11045591B2 (en) 2017-12-28 2021-06-29 Cilag Gmbh International Dual in-series large and small droplet filters
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US10932872B2 (en) 2017-12-28 2021-03-02 Ethicon Llc Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US20190205567A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Data pairing to interconnect a device measured parameter with an outcome
US20190201045A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method for smoke evacuation for surgical hub
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US20190201112A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Computer implemented interactive surgical systems
US20190200980A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Surgical system for presenting information interpreted from external data
US20190201115A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Aggregation and reporting of surgical hub data
WO2019133143A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Surgical hub and modular device response adjustment based on situational awareness
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US20190200987A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Variable output cartridge sensor assembly
US11179175B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Controlling an ultrasonic surgical instrument according to tissue location
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US20190201140A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Surgical hub situational awareness
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US20190201027A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Surgical instrument with acoustic-based motor control
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US20190201090A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Capacitive coupled return path pad with separable array elements
US20190206564A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method for facility data collection and interpretation
US11213359B2 (en) 2017-12-28 2022-01-04 Cilag Gmbh International Controllers for robot-assisted surgical platforms
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11771487B2 (en) 2017-12-28 2023-10-03 Cilag Gmbh International Mechanisms for controlling different electromechanical systems of an electrosurgical instrument
US11969142B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US20190200997A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Stapling device with both compulsory and discretionary lockouts based on sensed parameters
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US20190200906A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Dual cmos array imaging
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11026751B2 (en) 2017-12-28 2021-06-08 Cilag Gmbh International Display of alignment of staple cartridge to prior linear staple line
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11013563B2 (en) 2017-12-28 2021-05-25 Ethicon Llc Drive arrangements for robot-assisted surgical platforms
US20190201034A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Powered stapling device configured to adjust force, advancement speed, and overall stroke of cutting member based on sensed parameter of firing or clamping
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US20190201130A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication of data where a surgical network is using context of the data and requirements of a receiving system / user to influence inclusion or linkage of data and metadata to establish continuity
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US20190206569A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method of cloud based data analytics for use with the hub
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US20190206555A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Cloud-based medical analytics for customization and recommendations to a user
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
WO2019143856A2 (en) 2018-01-17 2019-07-25 Zoll Medical Corporation Systems and methods for assisting patient airway management
US10856768B2 (en) 2018-01-25 2020-12-08 Biosense Webster (Israel) Ltd. Intra-cardiac scar tissue identification using impedance sensing and contact measurement
WO2019152898A1 (en) 2018-02-03 2019-08-08 Caze Technologies Surgical systems with sensing and machine learning capabilities and methods thereof
US10682139B2 (en) 2018-02-11 2020-06-16 Chul Hi Park Device and method for assisting selection of surgical staple height
AU2019228507A1 (en) 2018-02-27 2020-08-13 Applied Medical Resources Corporation Surgical stapler having a powered handle
US11967422B2 (en) 2018-03-05 2024-04-23 Medtech S.A. Robotically-assisted surgical procedure feedback techniques
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11399858B2 (en) 2018-03-08 2022-08-02 Cilag Gmbh International Application of smart blade technology
US11678927B2 (en) 2018-03-08 2023-06-20 Cilag Gmbh International Detection of large vessels during parenchymal dissection using a smart blade
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11213294B2 (en) 2018-03-28 2022-01-04 Cilag Gmbh International Surgical instrument comprising co-operating lockout features
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US20190298353A1 (en) 2018-03-28 2019-10-03 Ethicon Llc Surgical stapling devices with asymmetric closure features
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
USD876466S1 (en) 2018-03-29 2020-02-25 Mitsubishi Electric Corporation Display screen with graphical user interface
US11141232B2 (en) 2018-03-29 2021-10-12 Intuitive Surgical Operations, Inc. Teleoperated surgical instruments
JP7108449B2 (ja) 2018-04-10 2022-07-28 Dgshape株式会社 手術用器具管理システム
US11278274B2 (en) 2018-05-04 2022-03-22 Arch Day Design, Llc Suture passing device
US11642183B2 (en) 2018-06-06 2023-05-09 Verily Life Sciences Llc Systems and methods for fleet management of robotic surgical systems
US12119110B2 (en) 2018-06-06 2024-10-15 Verily Life Sciences Llc Robotic surgery using multi-user authentication without credentials
JP2021526907A (ja) 2018-06-08 2021-10-11 イースト カロライナ ユニバーシティ マルチスペクトルレーザ撮像(MSLI)方法及びシステムを使用した末梢血酸素飽和度(SpO2)及びヘモグロビン濃度の決定
US10292769B1 (en) 2018-08-07 2019-05-21 Sony Corporation Surgical assistive device and method for providing assistance in surgery of anatomical portions of internal organ affected by intraoperative shift
US11278285B2 (en) 2018-08-13 2022-03-22 Cilag GbmH International Clamping assembly for linear surgical stapler
USD904612S1 (en) 2018-08-13 2020-12-08 Ethicon Llc Cartridge for linear surgical stapler
US20200054321A1 (en) 2018-08-20 2020-02-20 Ethicon Llc Surgical instruments with progressive jaw closure arrangements
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11804679B2 (en) 2018-09-07 2023-10-31 Cilag Gmbh International Flexible hand-switch circuit
US20200078120A1 (en) 2018-09-07 2020-03-12 Ethicon Llc Modular surgical energy system with module positional awareness with digital logic
US11350978B2 (en) 2018-09-07 2022-06-07 Cilag Gmbh International Flexible neutral electrode
US20200078113A1 (en) 2018-09-07 2020-03-12 Ethicon Llc Port presence detection system for modular energy system
US11923084B2 (en) 2018-09-07 2024-03-05 Cilag Gmbh International First and second communication protocol arrangement for driving primary and secondary devices through a single port
US11514576B2 (en) 2018-12-14 2022-11-29 Acclarent, Inc. Surgical system with combination of sensor-based navigation and endoscopy
US11605455B2 (en) 2018-12-22 2023-03-14 GE Precision Healthcare LLC Systems and methods for predicting outcomes using raw data
US11605161B2 (en) 2019-01-10 2023-03-14 Verily Life Sciences Llc Surgical workflow and activity detection based on surgical videos
US11331100B2 (en) 2019-02-19 2022-05-17 Cilag Gmbh International Staple cartridge retainer system with authentication keys
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US20200305924A1 (en) 2019-03-29 2020-10-01 Ethicon Llc Automatic ultrasonic energy activation circuit design for modular surgical systems
US11218822B2 (en) 2019-03-29 2022-01-04 Cilag Gmbh International Audio tone construction for an energy module of a modular energy system
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
US11547468B2 (en) 2019-06-27 2023-01-10 Cilag Gmbh International Robotic surgical system with safety and cooperative sensing control
US11253255B2 (en) * 2019-07-26 2022-02-22 Covidien Lp Knife lockout wedge
US20210128149A1 (en) 2019-11-01 2021-05-06 Covidien Lp Surgical staple cartridge
US10902944B1 (en) 2020-01-06 2021-01-26 Carlsmed, Inc. Patient-specific medical procedures and devices, and associated systems and methods

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2764833A2 (en) * 2013-02-08 2014-08-13 Ethicon Endo-Surgery, Inc. Adhesive film laminate
CN105324085A (zh) * 2013-02-08 2016-02-10 伊西康内外科公司 包括可释放盖的钉仓
US20170265864A1 (en) * 2013-03-08 2017-09-21 Covidien Lp Staple cartridge with shipping wedge
CN106456158A (zh) * 2014-04-16 2017-02-22 伊西康内外科有限责任公司 包括非一致紧固件的紧固件仓
EP2992834A1 (en) * 2014-09-02 2016-03-09 Ethicon Endo-Surgery, Inc. Methods and devices for locking a surgical device based on loading of a fastener cartridge in the surgical device
CN108652695A (zh) * 2017-03-31 2018-10-16 江苏风和医疗器材股份有限公司 外科器械

Also Published As

Publication number Publication date
WO2020260988A1 (en) 2020-12-30
EP3756562A1 (en) 2020-12-30
CN114025682A (zh) 2022-02-08
US11751872B2 (en) 2023-09-12
EP3756564A2 (en) 2020-12-30
EP3756566A2 (en) 2020-12-30
WO2020260997A1 (en) 2020-12-30
EP3756568A3 (en) 2021-05-19
EP3756569A1 (en) 2020-12-30
CN114144124A (zh) 2022-03-04
BR112021026287A2 (pt) 2022-05-31
EP3756559A1 (en) 2020-12-30
JP2022538144A (ja) 2022-08-31
JP2022538145A (ja) 2022-08-31
WO2020260996A1 (en) 2020-12-30
CN114072077A (zh) 2022-02-18
CN114025687A (zh) 2022-02-08
BR112021026210A2 (pt) 2022-02-15
BR112021026321A2 (pt) 2022-04-12
EP3988034A2 (en) 2022-04-27
CN114072075A (zh) 2022-02-18
EP3973890A2 (en) 2022-03-30
JP2022539531A (ja) 2022-09-12
EP3756558A2 (en) 2020-12-30
WO2020260994A1 (en) 2020-12-30
WO2020261004A1 (en) 2020-12-30
EP3756569B1 (en) 2022-09-07
EP3988033A3 (en) 2022-06-29
BR112021026305A2 (pt) 2022-06-07
JP2022538149A (ja) 2022-08-31
EP3756568A2 (en) 2020-12-30
EP3756566A3 (en) 2021-05-05
JP2022538151A (ja) 2022-08-31
CN114007522A (zh) 2022-02-01
BR112021026301A2 (pt) 2022-05-31
JP2022539534A (ja) 2022-09-12
WO2020261005A1 (en) 2020-12-30
CN114096203A (zh) 2022-02-25
EP3756563A1 (en) 2020-12-30
EP3756557A1 (en) 2020-12-30
JP2022539084A (ja) 2022-09-07
BR112021026396A2 (pt) 2022-02-08
BR112021026158A2 (pt) 2022-04-19
CN114025686A (zh) 2022-02-08
US20200261087A1 (en) 2020-08-20
EP3756558A3 (en) 2021-01-06
EP3756565A1 (en) 2020-12-30
WO2020260995A1 (en) 2020-12-30
CN114025688A (zh) 2022-02-08
JP2022538150A (ja) 2022-08-31
EP3973890A3 (en) 2022-06-22
WO2020260989A1 (en) 2020-12-30
WO2020261006A1 (en) 2020-12-30
WO2020260985A1 (en) 2020-12-30
EP3756562B1 (en) 2022-11-02
EP3756564A3 (en) 2021-02-17
US11464511B2 (en) 2022-10-11
BR112021026200A2 (pt) 2022-02-15
EP3988033A2 (en) 2022-04-27
EP3988034A3 (en) 2022-06-29
EP3756561A1 (en) 2020-12-30
BR112021026354A2 (pt) 2022-04-26
BR112021026328A2 (pt) 2022-04-19
JP2022539533A (ja) 2022-09-12
CN114051393A (zh) 2022-02-15
JP2022539348A (ja) 2022-09-08
US20200261086A1 (en) 2020-08-20
WO2020260990A1 (en) 2020-12-30
BR112021026347A2 (pt) 2022-04-26
JP2022539532A (ja) 2022-09-12

Similar Documents

Publication Publication Date Title
CN114051397B (zh) 解锁不同外科缝合器中的多个闭锁布置结构的基于通用仓的键特征部
US11291444B2 (en) Surgical stapling assembly with cartridge based retainer configured to unlock a closure lockout
US11317915B2 (en) Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
EP3756564A2 (en) Surgical stapling assembly with cartridge based retainer configured to unlock a closure lockout
US11357503B2 (en) Staple cartridge retainers with frangible retention features and methods of using same

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