CN1960679B - 外科切割及钉缝设备 - Google Patents

外科切割及钉缝设备 Download PDF

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CN1960679B
CN1960679B CN2005800099196A CN200580009919A CN1960679B CN 1960679 B CN1960679 B CN 1960679B CN 2005800099196 A CN2005800099196 A CN 2005800099196A CN 200580009919 A CN200580009919 A CN 200580009919A CN 1960679 B CN1960679 B CN 1960679B
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CN1960679A (zh
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迈克尔·P·惠特曼
大卫·A·尼古拉斯
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Abstract

根据本发明的各种实施方式，本发明涉及用于切割和钉缝一部分组织的至少一个的外科设备。该外科设备包括含有至少两个驱动器的外壳。外科设备还包括能够机械地附连到该外壳并能够相对于该外壳在打开位置和关闭位置之间移动的砧。第一驱动器运行而将砧相对于该外壳移动到位于该打开位置和关闭位置之间的中间位置。第二驱动器运行而将该外壳的至少一部分相对于砧在该中间位置和关闭位置之间移动。

Description

外科切割及钉缝设备
相关申请交叉参考
本申请涉及如下专利申请：1999年6月2日提交的第09/324,452号美国专利申请，该申请授予第6,443,973号美国专利；2000年11月28日提交的第09/723,715号美国专利申请；1999年6月2日提交的第09/324,451号美国专利申请，该申请授予第6,315,184号美国专利；1999年7月12日提交的第09/351,534号美国专利申请，该申请授予第6,264,087号美国专利；2000年2月22日提交的第09/510,923号美国专利申请，该申请授予第6,517,565号美国专利；2000年2月22日提交的第09/510,927号美国专利申请；2000年2月22日提交的第09/510,932号美国专利申请，该申请授予第6,491,201号美国专利；2001年4月17日提交的第09/836,781号美国专利申请；2001年7月22日提交的第09/887,789号美国专利申请；在此明确引入各文献全文以供参考。
技术领域
本发明涉及一种机电外科系统，更具体地涉及一种机电外科系统的外科附属装置，其用于将患者身体中的组织夹紧、切割及钉缝。
背景技术
许多外科手术需要将外科器械引入到孔窍内。这样的外科手术的其中一个例子为：通过患者的口腔引入——例如插入——圆形的夹紧、切割及钉缝器械以从口腔通道切除癌变的或异常的组织。
此类外科手术期间所面临的一个问题是：当向孔窍内引入或者已经引入外科器械孔窍时，该孔窍可能会受到损伤。当外科设备被引入的孔窍包括脆弱的组织——例如口腔内的组织时，当接触时这些组织很容易受到损伤，这是特别成问题的。此类外科手术期间所面临的另一个问题是：当向孔窍内引入或者已经引入外科器械时，外科器械可能会受到损坏。避免外科设备的损坏是特别重要的，因为若外科设备的功能不正常，患者也可能受到伤害。
尽管外科器械的小型化方面取得了显著的进展，但是传统的外科器械一般还是不能在患者的比较小的孔窍或通道内使用，例如口腔。从而，传统的外科设备和外科手术仍然具有损害外科设备和孔窍/通道的其中一个或两个的危险。
从而，需要一种设备，该设备使得在将外科设备引入孔窍时，损害外科设备和患者的孔窍或通道——例如口腔通道——的其中一个或两个的可能性最小。
发明内容
根据本发明的各种实施方式，本发明涉及用于切割和钉缝一部分组织这二者至少其中之一的外科设备。该外科设备包括含有至少两个驱动器的外壳，外科设备还包括可机械地附连到该外壳并可相对于该外壳在打开位置和关闭位置之间移动的砧。操作第一驱动器而将砧相对于该外壳移动到位于该打开位置和关闭位置之间的中间位置。操作第二驱动器而将该外壳的至少一部分相对于砧在该中间位置和关闭位置之间移动。
有利地，该砧和外壳分别形成了第一和第二夹紧面。当砧位于关闭位置时，外科设备构造成夹紧在该砧的第一夹紧面和该外壳的第二夹紧面之间的一部分组织。该外壳可包括切割元件，该切割元件构造成由第二驱动器在缩回位置和延伸位置之间驱动。该外壳可还包括钉缝元件，该钉缝元件构造成由第二驱动器在缩回位置和延伸位置之间驱动。该钉缝元件包括：钉盒，该钉盒构造成由第二驱动器在该外壳内在缩回位置和延伸位置之间轴向地移动；和钉推进器，该钉推进器构造成将存储在钉盒的各个钉槽内的钉从钉槽推出并推到该砧的钉引导件中。
根据本发明的不同实施方式，本发明还涉及到用于钉缝一部分组织的外科设备。该外科设备包括钉推进器和构造成存储钉的外壳。该外壳能够相对于该钉推进器选择性地移动。该外科设备还包括相对于该钉推进器和外壳可移动的砧。该砧的运动导致该外壳相对于该钉推进器移动。该砧可相对于该钉推进器在第一位置和第二位置之间移动，在该第一位置该砧与该外壳的夹紧面隔开，在该第二位置该砧接触到该外壳的夹紧面。此外，该砧可相对于钉推进器在第二位置和第三位置之间移动，其中存储在外壳内的钉由钉推进器从外壳中推出以抵靠着砧而闭合。在一个实施方式中，该外壳通过剪力销连接到该钉推进器，其中该剪力销构造成在如下情形时剪切：当通过该砧在第二和第三位置之间运动而使得该砧在该外壳的夹紧面上施加预定量的压力时。
根据本发明的不同实施方式，本发明还涉及到用于切割一部分组织的外科设备。该外科设备包括切割元件和具有夹紧面的外壳。该外壳可相对于该切割元件选择性地移动。该外科设备还包括相对于该切割元件和外壳可移动的砧。该砧的运动促使该外壳相对于该切割元件移动。该砧可相对于该切割元件在第一位置和第二位置之间移动，在该第一位置该砧与该外壳的夹紧面隔开，在该第二位置该砧接触到该外壳的夹紧面。此外，该砧可相对于该切割元件在第二位置和第三位置之间移动，在该第三位置中，该切割元件被带到与该砧接触。在一个实施方式中，该外壳通过剪力销连接到该切割元件，其中该剪力销构造成在如下情形时剪切：当通过该砧在第二和第三位置之间的运动而使得该砧在该外壳的夹紧面上施加预定量的压力时。
根据本发明的不同实施方式，本发明还涉及到用于切割和钉缝一部分组织这二者至少其中之一的外科设备。该外科设备包括形成第一夹紧面的外壳。该外科设备还包括砧，该砧可机械地附连到外壳并可相对于该外壳沿着轴线在延伸位置和缩回位置之间移动。该砧形成有第二夹紧面。第一和第二夹紧面的至少一部分不垂直于该轴线。优选地，当该砧位于关闭位置时，该外科设备构造成夹紧第一和第二夹紧面之间的一部分组织。此外，第一和第二夹紧面可相对于彼此而平行。第一驱动器可用于使该砧相对于该外壳而移动。第二驱动器也可使用，其中该外壳包括切割元件，该切割元件构造成由第二驱动器在缩回位置和延伸位置之间驱动。此外，该外壳可包括钉缝元件，该钉缝元件构造成由第二驱动器在缩回位置和延伸位置之间驱动。
根据本发明的不同实施方式，本发明还涉及到用于切割和钉缝一部分组织这二者至少其中之一的外科设备。该外科设备还包括外壳，该外壳包括钉缝元件。该钉缝元件包括形成了多个槽的钉盒并且将钉存储在该槽内。该钉缝元件还包括钉推进器，该钉推进器具有与多个槽对准的钉推进器指部。该外科设备还包括构造成在缩回位置和中间位置之间一起移动钉盒和钉推进器的驱动器。在中间位置，驱动器将钉推进器相对于钉盒移动到延伸位置。该外科设备也可包括干涉元件，该干涉元件构造成：当驱动器使钉盒和钉推进器在缩回位置和中间位置之间一起移动时，保持钉盒与钉推进器的相对位置。该中间位置可为钉盒充分地夹紧一部分组织的位置或钉盒相对于外壳轴向地锁紧在合适位置的位置。该干涉元件可为易碎部件。可选地，该干涉元件可连接到钉推进器并可包括径向延伸的凸缘，该凸缘保持与一部分钉盒接触，直到达到预定的压力。该外科设备可还包括切割元件，例如刀片，其中该干涉元件的径向延伸的凸缘接触钉盒和刀片的相对设置的、径向延伸的凸缘。
根据本发明的不同实施方式，本发明还涉及到用于切割和钉缝一部分组织这二者至少其中之一的外科设备。该外科设备可包括外壳。该外科设备可还包括设置在外壳远端、形成多个槽的钉盒和存储在槽中的钉。该外科设备可还包括钉推进器，该钉推进器邻近钉盒设置并具有与多个槽对准的多个钉推进器指部。该外科设备可还包括推进器元件，该推进器元件邻近钉推进器设置、并构造成在外壳内同时旋转和相对于钉盒朝向远端推进。该推进器元件具有向钉推进器延伸的凸轮元件，使得凸轮元件顺序地推压多个钉推进器指部。该推进器元件可用键接合到例如十字头螺纹元件的颈部等可转动构件，该可转动构件朝向钉盒纵向地延伸。该外科设备还可包括邻近推进器元件设置的螺母，该螺母具有内螺纹孔，其中该螺母的内螺纹孔螺接到可转动构件。
根据本发明的不同实施方式，本发明还涉及到用于方便外科设备插入到患者的其中一个孔窍和通道的套筒，该外科设备具有形成横截面的远端。该外壳设备可包括构造成遮蔽外科设备的至少一部分的第一部分。该外壳设备还可包括选择性地在插入位置和缩回位置之间移动的至少一个闭合(closure)元件，其中在该插入位置，该闭合元件的横截面逐渐减小到小于该外科设备远端的横截面；在该缩回位置，该外科设备构造成通过该闭合元件在患者的孔窍和通道的其中一个内执行外科手术。
附图说明
图1是根据本发明的一个实施方式的机电外科系统的立体图。
图2是根据本发明的一个实施方式的远程电源控制台的立体图。
图3是图1所示的机电外科系统的柔性轴的局部剖开的侧视图。
图4是沿着图3所示的线4-4的柔性轴的剖视图。
图5(a)是图3所示的柔性轴的第一耦连器的后端视图。
图5(b)是图3所示的柔性轴的第二耦连器的前端视图。
图6(a)是图1所示的机电外科系统的马达装置的示意图。
图6(b)是图1所示的机电外科系统的示意图。
图6(c)是图3和图4中所示的柔性轴的编码器的示意图。
图6(d)是根据本发明的一个实施方式的存储器设备的示意图。图6(e)是根据本发明的一个实施方式的无线RCU的示意图。图6(f)是根据本发明的一个实施方式的有线RCU的示意图。
图7(a)是根据本发明的一个实施方式的手柄部分的前视立体图。
图7(b)是图7(a)示出的手柄部分的后视立体图。
图7(c)是图7(a)示出的手柄部分的分解前视立体图。
图7(d)是图7(a)示出的手柄部分的俯视图。
图7(e)是图7(d)示出的手柄部分的沿着线A-A的侧视截面图。
图7(f)是图7(d)示出的手柄部分的沿着线B-B的侧视截面图。
图8是根据本发明的一个实施方式的切割和钉缝部件位于展开状态的立体图。
图9是根据本发明的一个实施方式的切割和钉缝部件位于部分闭合状态的立体图。
图10(a)示出了根据本发明的一个实施方式的砧(anvil)组件的部件的立体图。
图10(b)示出了根据本发明的一个实施方式的钉和刀片(blade)部分的一些部件在分解状态下的立体图。
图10(c)示出了根据本发明的一个实施方式的钉和刀片部分的其余部件在分解状态下的立体图。
图11(a)示出了根据本发明的一个实施方式的切割和钉缝部件的俯视截面图。
图11(b)示出了根据本发明的一个实施方式的切割和钉缝部件的侧 视截面图。
图12(a)是根据本发明的一个实施方式的切割和钉缝部件的立体图。
图12(b)和12(c)示出了根据本发明的一个实施方式的线缆延伸元件的附加特征的侧视截面图。
图13(a)到13(c)示出了根据本发明的另一个实施方式的手柄部分。
图14(a)示出了根据本发明的另一个实施方式的切割和钉缝部件位于装配和部分闭合状态的前视立体图。
图14(b)示出了图14(a)所示的切割和钉缝部件位于装配和部分闭合状态的后视立体图。
图14(c)示出了图14(a)所示的切割和钉缝部件位于装配和部分闭合状态的侧视图。
图14(d)示出了图14(a)所示的切割和钉缝部件位于装配和部分闭合状态的后视图。
图15(a)示出了根据本发明的另一个实施方式的砧组件部件的前视分解图。
图15(b)示出了图15(a)所示的钉和刀片部分的一些部件的分解立体图。
图15(c)示出了图15(a)所示的钉和刀片部分的其余部件的分解立体图。
图15(d)示出了图15(a)所示的钉和刀片部分的一些部件的装配侧视截面图。
图16示意性地示出了根据本发明的另一个实施方式的外科附属装置的一些部件的侧视截面图。
图17示意性地示出了根据本发明的另一个实施方式的外科附属装置的一些部件的侧视截面图。
图18(a)示出了根据本发明的另一个实施方式的钉和刀片部分的一些部件的分解立体图。
图18(b)示出了图18(a)所示的钉和刀片部分的部件的装配侧视截面图。
图19(a)示出了根据本发明的一个实施方式的构造成遮蔽外科设备的套筒的分解立体图。
图19(b)示出了图19(a)所示的套筒部分在关闭位置的侧视截面图。
图19(c)示出了在打开位置的图19(a)所示的套筒的闭合元件。
图19(d)是根据本发明的另一个实施方式的构造成在插入位置遮蔽外科设备的套筒的立体图。
图19(e)是图19(d)所示的套筒在缩进位置的立体图。
具体实施方式
本发明涉及机电外科系统。图1是根据本发明的一个实施方式的机电外科系统10的立体图。
如图1所示，机电外科系统10包括远程电源控制台12，该远程电源控制台12带有从其上延伸的柔性轴20。该柔性轴20包括至少第一可转动驱动轴30和第二可转动驱动轴32。远程电源控制台12的另外的细节将结合例如图2描述并示出。柔性轴20的另外的细节将结合例如图3到图6描述并示出。
外科附属装置100在柔性线缆20的远端24附连到或可附连到耦连器26。外科附属装置100构造成执行外科手术。仅为了示例的目的，外科附属装置此后描述为圆形的夹紧、切割和钉缝设备，该设备构造成执行例如吻合手术。然而，应该认识到，外科附属装置可以是任意合适类型的外科设备。此外，仅为了示例的目的，此后描述的外科附属装置在患者的口腔通道中使用。然而，应该认识到，外科附属装置可以在患者的任意类型的孔窍或通道中使用。有利地，此后描述的外科附属装置具有比较小的横截面积，从而便于其进入到患者的例如口腔通道中。
外科附属装置100可包括手柄部分102。手柄部分102的近端102a在柔性线缆20的远端24可附连到耦连器26。外科附属装置100还可包括柔性轴104，至少第一驱动轴104a和第二驱动轴104b穿过该柔性轴延伸。手柄部分102的远端102b可附连到柔性轴104的近端104a。柔性轴104可由组织兼容的、可消毒的弹性体材料制成。优选地，柔性轴104可由耐高压加热的材料制成。此外，柔性轴104可由具有高或比较高的润滑性的材料制成。例如，柔性轴104可由如下材料形成：例如TeflonTM(即含氟聚合物，例如聚四氟乙烯——“PTFE”)、硅酮、TeflonTM/硅酮化合物，例如SIL-KORETM(由W.L.Gore & Associates制造)、“EPTFE”，例如膨胀特氟隆等。可采用的其它合适的材料和密封装置在2002年3月15日提交的本申请人的共同未决的美国专利申请10/099,634中作了进一步的详细描述，该文在此全文引入以供参考。
外科附属装置100可还包括切割和钉缝部件103。柔性轴104的远端104b附连或可附连到切割和钉缝部件103的近端103a。切割和钉缝部件103的一个示例性实施方式在图8到12(c)中示出。如图8所示，切割和钉缝部件103包括钉和刀片部分106。套针轴108——例如可以是柔性的线缆——沿轴向延伸穿过钉和刀片部分106中央设置的开口。套针110设置在套针轴108的远端108a处。套针110构造成接合到砧组件112。外科附属装置100构造成使得砧组件112可相对于钉和刀片部分106选择性地移动，例如延伸并缩回，这将在下面更全面地描述。
参照图2，可看到根据本发明的示例性实施方式的机电外科系统10的遥控电源控制台12和柔性轴20。遥控电源控制台12可包括具有前面板15的外壳14。显示设备16和指示器18a和18b安装在前面板15a上，其将在下面更全面地描述。柔性轴20可从外壳14延伸，并由第一耦连器22可拆卸地固定到该外壳上。柔性轴20的远端24可包括例如耦连器26的第二耦连器，该耦连器适于将外科附属装置100可拆卸地固定到柔性轴20的远端24。
参照图3，可看到柔性轴20局部剖开的侧视图。根据一个实施方式，柔性轴20可包括管状护套28，该护套可包括覆盖层或其它密封装置，以在其内部通道40和外部环境之间提供液密式的密封。护套28可由组织兼容的、可消毒的弹性体材料制成，例如上面介绍柔性轴104时所列举的材料。此外，护套28可还由耐高压加热的材料制成。设置在柔性轴20的内部通道40内并在其全长上延伸的是第一可转动驱动轴30和第二可转动驱动轴32，以及第一操纵线缆34、第二操纵线缆35、第三操纵线缆36、第四操纵线缆37和数据传输线缆38。图4是图3中示出的柔性轴20沿着线4-4剖开的截面图，并进一步示出了数条线缆30、32、34、35、36、37、38。操纵线缆34、35、36、37的各个远端附连到柔性轴20的远端24。数条线缆30、32、34、35、36、37、38中的每一个可容纳在各自的护套中。
第一可转动驱动轴30和第二可转动驱动轴32可构造成例如高柔性驱动轴，例如编织的或螺旋的驱动线缆。需要理解的是，这样的高柔性驱动线缆具有有限的扭矩传送特性和能力。还需要理解的是，图1中示出并在下面描述的外科附属装置100可能需要比第一和第二可转动驱动轴30、32可传送的扭矩更高的扭矩输入。从而，第一和第二可转动驱动轴30、32可构造成传送低扭矩但高速度，该高速度/低扭矩由例如设置在外科附属装置100和/或远程电源控制台12中的驱动柔性轴20的远端24和/或近端20a处的齿轮传动装置转换成低速度/高扭矩。需要理解的是，这样的齿轮传动装置可沿着在外壳14中设置的马达与外科附属装置100之间的传动系设置在任意合适的位置，该外科附属装置100可拆卸地附连到柔性轴20。这样的齿轮传动装置可包括例如正齿轮传动装置、行星齿轮传动装置、谐波齿轮传动装置、摆线驱动装置、周转齿轮传动装置等。
现在参照图5(a)，可看到第一耦连器22的后端。第一耦连器22包括第一接头44、第二接头48、第三接头52和第四接头56，各个接头可转动地固定到第一耦连器22。各个接头44、48、52和56包括各自的凹入部46、50、54、58。如图5(a)所示，各个凹入部46、50、54、58可为六边形形状。然而，需要理解的是，凹入部46、50、54、58可具有任意形状和构造，以将接头44、48、52、56不可转动地耦连到并刚性地附连到容纳在外壳12内的马达装置的各个驱动轴，这一点将在下面更全面地描述。需要理解的是，互补的突出物可设置在马达装置的各个驱动轴上，从而如下所述地驱动柔性轴20的驱动元件。还需要理解的是，凹入部可设置在驱动轴上，并且互补的突出物可设置在接头44、48、52、56上。可提供任意其它的构造成将接头44、48、52、56与马达装置的驱动轴不可转动地并可松开地耦连的耦连装置。
接头44、48、52、56的其中一个不可转动地固定到第一可转动驱动轴30，接头44、48、52、56的其中另外一个不可转动地固定到第二可转动驱动轴32。接头44、48、52、56的剩余两个与传送元件接合，传送元件构造成在操纵线缆34、35、36、37上施加拉力，从而操纵柔性轴20的远端20b。数据传输线缆38与数据接头60电连接并且逻辑连接。数据接头60包括例如电触头，电触头的数量相应于并等于容纳在数据线缆38内的单根电线的数量。第一耦连器22包括键结构42，以使得第一耦连器22正确地定向到设置在远程电源控制台12上的配合及互补耦连装置。此键结构42可设置在第一耦连器22和设置在远程电源控制台12的配合及互补耦连装置的其中一个或者两个上。第一耦连器22可包括快速连接类型的接头，其可使用例如简单的推动将第一耦连器22与外壳12接合。可与数个接头44、48、52、56、60的任一个一起提供有密封，以在第一耦连器22的内部和环境之间提供密闭流体的密封。
现在参照图5(b)，可看到柔性轴20的第二耦连器26的前端。第二耦连器26包括第一接头66和第二接头68，每个都可转动地固定到第二耦连器26并且每个都不可转动地固定到第一和第二可转动驱动轴30、32各自的一个的远端。在第二耦连器26上提供有快速连接类型的配件64，用于将外科附属装置100可拆卸地固定到该第二耦连器26。快速连接类型的配件64可例如为转动快速连接类型的配件、卡口类型的配件等。在第二耦连器26上设置有用于使外科器械或附属装置与第二耦连器26准确地对准的键结构74。在第二耦连器26和外科附属装置100的其中一个或者两个上可设置有用于使外科附属装置100与柔性轴20准确地对准的键结构74或其它装置。此外，在外科附属装置100上可设置有快速连接类型的配件。在第二耦连器26内也设置有具有电触头的数据接头70。如同第一耦连器22的数据接头60，第二耦连器26的数据接头70包括电连接和逻辑地连接到数据传输线缆38的各电线和数据接头60的触头62上的触头72。可与接头66、68、70一起提供有密封，以在第二耦连器26的内部和环境之间提供密闭流体的密封。
在远程电源控制台12的外壳14的内部设置有机电驱动元件，机电驱动元件构造成驱动驱动轴30、32和操纵线缆34、35、36、37，从而操作机电外科系统10和附连到第二耦连器26的外科附属装置100。在图6(a)示意性地示出的示例性实施方式中，5个电动马达76、80、84、90、96可设置在远程电源控制台12内，每个马达都通过电源而运行。然而，需要理解的是，可提供任意适当数量的马达，并且马达可通过电池电源、线路电流、直流电源、电控直流电源等而运行。也需要理解的是，马达可连接到直流电源，直流电源又连接到线路电流并且向马达供应工作电流。
图6(a)示意性地示出了马达的一个可能的装置。当第一耦连器22接合到外壳14从而柔性轴20接合到外壳14时，第一马达76的输出轴78与第一耦连器22的第一接头44接合，由此驱动第一驱动轴30和第二耦连器26的第一接头66。类似地，当第一耦连器22接合到外壳14从而柔性轴20接合到外壳14时，第二马达80的输出轴82与第一耦连器22的第二接头48接合，由此驱动第二驱动轴32和第二耦连器26的第二接头68。当第一耦连器22接合到外壳14从而柔性轴20接合到外壳14时，第三马达84的输出轴86与第一耦连器22的第三接头52接合，由此通过第一皮带轮装置88驱动第一和第二操纵线缆34、35。当第一耦连器22接合到外壳14从而柔性轴20接合到外壳14时，第四马达90的输出轴92与第一耦连器22的第四接头56接合，由此通过第二皮带轮装置94驱动第三和第四操纵线缆36、37。第三和第四马达84、90可被固定到支架100上，支架100通过第五马达96的输出轴98而选择性地在第一位置和第二位置之间移动，以选择性地使第三和第四马达84、90与各自的皮带轮装置88、94接合和脱离，从而允许柔性轴20根据需要变得拉紧和可操纵或柔软。需要理解的是，其它的机械、电或机电的机构可用作选择性地接合和脱离该操纵结构。马达可如第09/510,923号、标题为“在柔性轴中用于控制操纵线机构的支架组件(A Carriage Assembly forControlling a Steering Wire Mechanism Within a Flexible Shaft)”的美国专利申请所描述地那样设置和构造，该申请在此全部引入以作参考。
需要理解的是，马达76、80、84、90、96的其中任意一个或多个可以是高速/低扭矩马达或低速/高扭矩马达。如上所述，第一可转动驱动轴30和第二可转动驱动轴32可构造成传递高速和低扭矩。从而，第一马达76和第二马达80可构造成高速/低扭矩马达。可选地，第一马达76和第二马达80可构造成低速/高扭矩马达，其中在第一马达76和第二马达80以及第一可转动驱动轴30和第二可转动驱动轴32的相应的其中一个之间设置有降低扭矩/提高速度的齿轮传动装置。这样的降低扭矩/提高速度的齿轮传动装置可包括例如正齿轮传动装置、行星齿轮传动装置、谐波齿轮传动装置、摆线驱动装置、周转齿轮传动装置等。需要理解的是，任意这样的齿轮传动装置可设置在远程电源控制台12中或设置在柔性轴20的近端，例如在第一耦连器22中。需要理解的是，齿轮传动装置设置在第一可转动驱动轴30和/或第二可转动驱动轴32的远端和/或近端，以防止其扭曲和破裂。
现在参照图6(b)，可以看到机电外科系统10的示意图。控制器1122设置在远程电源控制台12的外壳14中，并构造成控制机电外科系统10和附连到柔性轴20的外科附属装置100的所有功能和操作。设置有存储器单元1130，其可包括例如ROM部件1132和/或RAM部件1134等存储器设备。ROM部件1132通过线1136与控制器1122形成电连接和逻辑连接，而RAM部件1134通过线1138与控制器1122形成电连接和逻辑连接。RAM部件1134可包括任意类型的随机存取存储器，例如磁存储器设备、光存储器设备、磁一光存储器设备、电子存储器设备等。类似地，ROM部件1132可包括任意类型的只读存储器，例如可移动的存储器设备，例如PC卡或PCMCIA类型的设备。需要理解的是，ROM部件1132和RAM部件1134可实现为单个单元或者可以是分开的单元，并且ROM部件1132和/或RAM部件1134可以设置成PC卡或PCMCIA类型的设备的形式。控制器1122还连接到外壳14的前面板15，并且更具体地通过线1154连接到显示设备16，且通过各条线1156、1158连接到指示器18a、18b。线1116、1118、1124、1126、1128分别将控制器1122电连接和逻辑连接到第一、第二、第三、第四和第五马达76、80、84、90、96。有线远程控制单元(“RCU”)1150通过线1152电连接和逻辑连接到控制器1122。还设置有无线RCU1148，其通过无线链接1160与通过线1144连接到收发器1140的接收/发送单元1146通信。收发器1140通过线1142电连接和逻辑连接到控制器1122。无线链接1160可为例如光链接，例如红外链接、无线链接或任意其它形式的无线通信链接。
开关设备1186可为例如一列DIP开关，其可通过线1188连接到控制器1122。开关设备1186可用作例如选择用于在显示设备16上显示信息和提示的多种语言中的一种语言。信息和提示可涉及例如机电外科系统10和/或附连到其上的外科附属装置的操作和/或状态。
根据本发明的示例性实施方式，在第二耦连器26内设置有第一编码器1106，并且第一编码器1106构造成响应于和根据第一驱动轴30的转动而输出信号。在第二耦连器26内也提供有第二编码器1108，并且第二编码器1108构造成响应于和根据第二驱动轴32的转动而输出信号。每个编码器1106、1108输出的信号可代表相应的驱动轴30、32的转动位置及其转动方向。此种编码器1106、1108可例如为霍耳效应设备、光学设备等。尽管编码器1106、1108被描述为设置在第二耦连器26内，需要理解的是，编码器1106、1108可设置在马达系统和外科器械或附属装置之间的任何位置。需要理解的是，在第二耦连器26内或者在柔性轴20的远端提供编码器1106、1108精确确定了驱动轴转动。若编码器1106、1108设置在柔性轴20的近端，第一和第二可转动驱动轴30、32的扭曲可导致测量误差。
图6(c)是编码器1106、1108的示意图，其包括霍耳效应设备。具有北极242和南极244的磁铁240不可转动地安装在驱动轴30、32上。编码器1106、1108还包括第一传感器246和第二传感器248，其相对于驱动轴30、32的纵轴或转轴设置成隔开大致90度。传感器246、248的输出是持续的并作为传感器的检测范围内的磁场极性的变化的函数而改变其状态。从而，基于编码器1106、1108的输出信号，驱动轴30、32的角位置可在四分之一转内确定，并且可确定驱动轴30、32的转动方向。每个编码器1106、1108的输出通过数据传输线缆38的各条线1110、1112传输到控制器1122。控制器1122通过根据来自编码器1106、1108的输出信号而追踪驱动轴30、32的角位置和转动方向，从而可确定连接到机电外科系统10的外科附属装置100的部件的位置和/或状态。即，控制器1122通过对驱动轴30、32的转数进行计数可确定连接到机电外科系统10的外科附属装置100的部件的位置和/或状态。
根据一种实施方式并如图6(d)所示，外科附属装置100还可包括数据接头1272，该接头的尺寸和构造适于电连接和逻辑连接到第二耦连器26的接头70。在示例性的实施方式中，数据接头1272包括数目等于接头70的引线72的数目的触头(未示出)。容纳在外科附属装置100内的存储器单元1174电连接和逻辑地连接到数据接头1272。存储器单元1174的形式例如可为EEPROM、EPROM等，并可例如容纳在外科附属装置100的钉和刀片部分106中。
图6(d)示意性地示出存储器单元1174。如图6(d)所示，数据接头1272包括触头1276，每个触头通过各条线1278电连接和逻辑连接到存储器单元1174。存储器单元1174构造成例如存储序列号数据1180、附属类型标识器(ID)数据1182和使用数据1184。存储器单元1174还可存储其它数据。序列号数据1180和ID数据1182都可构造成只读数据。在示例性的实施方式中，序列号数据1180是唯一标识特定的外科附属装置的数据，而ID数据1182是标识附属装置的类型的数据(例如当其它类型的附属装置可由设备使用时)。使用数据1184表示了特定的附属装置的使用，例如外科附属装置100的砧组件112缩回或延伸的次数，或外科附属装置100的钉推进器220推进或发射的次数，这将在下面更全面地描述。
需要理解的是，可附连到柔性轴20的远端24的外科附属装置100可设计并构造成一次使用或多次使用。外科附属装置100还可设计并构造成使用预定数目的次数。因此，使用数据1184可用于确定外科附属装置100是否已经使用并且使用次数是否已经超过所允许使用的最大次数。正如下面将更全面地描述的那样，在已经达到允许使用的最大次数后，试图使用外科附属装置100将出现错误(ERROR)情形。
再参照图6(b)，根据本发明的示例性实施方式，控制器1122构造成当外科附属装置100开始连接到柔性轴20时从外科附属装置100的存储器单元1174读取ID数据1182。存储器单元1174通过数据传输线缆38的线1120电连接和逻辑连接到控制器1122。基于读到的ID数据1182，控制器1122构造成从存储器单元1130读取或选择相应于连接到柔性轴20的附属装置或外科器械的类型的操作程序或算法。存储器单元1130构造成存储用于每种可用的外科器械或附属装置的操作程序或算法，控制器1122根据从附连的外科器械或附属装置的存储器单元1174读取的ID数据1182而从存储器单元1130选择和/或读取操作程序或算法。如上所述，存储器单元1130可包括可移动的ROM部件1132和/或RAM部件1134。从而，存储在存储器单元1130中的操作程序或算法可以根据需要更新、增加、删除、改进或者以其它方式修改。存储在存储器单元1130中的操作程序或算法可基于例如用户的特定需要而定制。例如键盘、鼠标、点击设备、触摸屏等数据输入设备可以通过例如数据连接器端口连接到存储器单元1130以便于操作程序或算法的定制。可选地或额外地，操作程序或算法可以从机电外科系统10远程地定制并预编程到存储器单元1130中。需要理解的是，序列号数据1180和/或使用数据1184可还用于确定从存储器单元1130中读取或选择多个操作程序或算法中的哪一个。需要理解的是，操作程序或算法可选地可存储在外科附属装置100的存储器单元1174并通过数据传输线缆38传输到控制器1122。一旦合适的操作程序或算法被控制器1122读取、选择或传送到控制器1122，控制器1122使得操作程序或算法根据用户通过有线RCU 1150和/或无线RCU 1148执行的操作而运行。如上所述，控制器1122通过各条线1116、1118、1124、1126、1128电连接和逻辑连接到第一、第二、第三、第四和第五马达76、80、84、90、96，并按照通过各条线1116、1118、1124、1126、1128读取、选择或传送的操作程序或算法来控制这些马达76、80、84、90、96。
现在参照图6(e)，可以看到无线RCU 1148的示意图。无线RCU 1148包括操纵控制器1300，该控制器具有设置在四向摇杆1310下方的多个开关1302、1304、1306、1308。开关1302、1304通过摇杆1310的操作通过第三马达84控制第一和第二操纵线缆34、35的操作。类似地，开关1306、1308通过摇杆1310的操作通过第四马达92控制第三和第四操纵线缆36、37的操作。需要理解的是，摇杆1310和开关1302、1304、1306、1308如此设置：开关1302、1304的操作在南北方向上操纵柔性轴20，而开关1306、1308的操作在东西方向上操纵柔性轴20。这里所指的东、西、南和北设定在一个相对坐标系统。可选地，可设置数码操纵杆、模拟操纵杆等，用来替代摇杆1310和开关1302、1304、1306、1308。还可使用电位计或任意其它类型的致动器来替代开关1302、1304、1306、1308。
无线RCU 1148还包括操纵接合/分离开关1312，该开关的操作控制第五马达96的运行，以选择性地接合和分离操纵机构。无线RCU 1148还包括双向摇杆1314，该摇杆具有可由其操作的第一和第二开关1316、1318。如果有的话，这些开关1316、1318的操作根据与所附连的外科附属装置相应的操作程序和算法来控制机电外科系统10和附连到柔性轴20的例如外科附属装置100等任意外科附属装置的某些功能。例如若外科器械为外科附属装置100，例如图1中所示并如下所述，双向摇杆1314的操作可控制外科附属装置100的砧组件112的延伸和缩回。无线RCU1148设置有另一开关1320，如果有的话，该开关1320的操作还可根据与所附连的外科附属装置相应的操作程序和算法来控制机电外科系统10和附连到柔性轴20的任意外科附属装置的操作。例如，当外科附属装置100附连到柔性轴20时，开关1320的操作可启动钉推进器220的前进或发射顺序。
无线RCU 1148包括控制器1322，该控制器通过线1324电连接和逻辑连接到开关1302、1304、1306、1308，通过线1326连接到开关1316、1318，通过线1328连接到开关1312并通过线1330连接到开关1320。无线RCU 1148可包括对应于前面板15的指示器18a、18b的指示器18a’、18b’，和对应于前面板15的显示设备16的显示设备16’。若提供的话，指示器18a’、18b’通过各条线1332、1334电连接和逻辑连接到控制器1322，显示设备16’通过线1336电连接和逻辑连接到控制器1322。控制器1322通过线1340电连接和逻辑连接到收发器1338，而收发器1338通过线1344电连接和逻辑连接到接收器/发送器1342。例如电池等未示出的电源可设置在无线RCU 1148中以供电。从而，无线RCU 1148可用于通过无线链接1160控制机电外科系统10和附连到柔性轴20的任意外科附属装置100的操作。
无线RCU 1148可包括通过线1348连接到控制器1322的开关1346。开关1346的操作通过无线链接1160向发送器/接收器1146发送数据信号。数据信号包括唯一地识别无线RCU 1148的标识数据。此标识数据由控制器1122用作防止机电外科系统10的未授权操作，并防止其它无线RCU干扰机电外科系统10的操作。无线RCU 1148和机电外科系统10之间的每个继发通信可包括标识数据。从而，控制器1122可在多个无线RCU之间识别，由此仅允许单个可标识的无线RCU 1148来控制机电外科系统10和附连到柔性轴20的任意外科附属装置的操作。
根据附连到柔性轴20的外科附属装置100的部件的位置——该位置按照来自编码器1106、1108的输出信号而确定，控制器1122可如与所附连的外科附属装置100相应的操作程序和算法所定义的那样选择性地使机电外科系统10的功能发挥作用或失效。例如当外科附属装置为图1中示出的外科附属装置100时，由开关1320的操作所控制的发射功能失效，除非砧组件112与钉和刀片部分106之间的距离或缝隙确定为位于可接受的范围内。砧组件112与钉和刀片部分106之间的距离或缝隙根据来自编码器1106、1108的输出信号确定，正如上文所更全面描述的那样。需要理解的是，开关1320自身仍然可操作，而控制器1122不会实现相应的功能，除非该距离或缝隙被确定为位于可接受的范围内。
现在参照图6(f)，可以看到有线RCU 1150的示意图。在示例性的实施方式中，有线RCU 1150包括与无线RCU 1148大致相同的控制元件，从而将忽略对这些元件的进一步描述。相似的元件在图6(f)中带有伴随的上标。需要理解的是，机电外科系统10和附连到柔性轴20的任意外科附属装置可由有线RCU 1150和/或无线RCU 1148控制。当例如无线RCU 1148中的电池失效时，有线RCU 1150可用于控制机电外科系统10和附连到柔性轴20的任意外科附属装置100的功能。
如上所述，外壳14的前面板15包括显示设备16和指示器18a、18b。显示设备16可包括字符数字显示设备，例如LCD显示设备。显示设备16还可包括音频输出设备，例如扬声器、蜂鸣器等。显示设备16可由控制器1122根据与附连到柔性轴20的外科附属装置100相应的操作程序或算法而操作并控制。若没有外科附属装置如此附连，默认的操作程序或算法可由控制器1122读取、选择或传送到控制器1122，由此控制显示设备16的操作以及机电外科系统10的其它方面和功能。若图1中示出的外科附属装置100附连到柔性轴20，显示设备16可显示例如指示砧组件112与钉和刀片部分106之间缝隙的数据，该缝隙根据编码器1106、1108的输出信号所确定，正如上文更全面地描述的那样。
类似地，指示器18a、18b由控制器1122根据与附连到柔性轴20的外科附属装置100相应的操作程序或算法而操作并控制。指示器18a和/或18b可包括音频输出设备，例如扬声器、蜂鸣器等，和/或可视指示器设备，例如LCD、灯、光等。若图1中示出的外科附属装置100附连到柔性轴20，指示器18a可指示例如机电外科系统10位于电源开状态，而指示器18b可例如指示砧组件112与钉和刀片部分106之间的缝隙是否确定为位于可接受的范围内，正如上文更全面地描述的那样。需要理解的是，尽管仅描述了两个指示器18a、18b，可根据需要设置任意数目的另外的指示器。此外，需要理解的是，尽管描述了单个显示设备16，可根据需要设置任意数目的另外的显示设备。
无线RCU 1150的显示设备16’和指示器18a’、18b’与有线RCU 1148的显示设备16”和指示器18a”、18b”由各自的控制器1322、1322’根据与附连到柔性轴20的外科附属装置100相应的操作程序或算法而类似地操作和控制。
此后，根据本发明的不同实施方式，描述例如图1中示出的外科附属装置100。
图7(a)到7(f)是根据本发明一个实施方式的外科附属装置100的手柄部分102的不同视图。例如，图7(a)是包括外壳301的手柄部分102的前视立体图，而图7(b)是其后视立体图。在外壳301的近端301a设置有齿轮箱302。在外壳301的远端301b设置有耦连块305。快速连接的耦连器304和延伸杆308从齿轮箱302延伸。
快速连接的耦连器304安装到齿轮箱302上并可例如由一组弹簧偏置。齿轮箱302包括第一驱动管座(socket)304a和第二驱动管座304b。图7(c)是手柄部分102的分解前视图。如图7(c)所示，第一驱动管座304a包括第一输入元件306a，其一端3061延伸穿过齿轮箱302的开口3021并且其另一端3062包括正齿轮齿3063。第二驱动管座304b包括第二输入元件306b，其一端3064延伸穿过齿轮箱302的第二开口3022而其另一端3065包括正齿轮齿3066。
延伸杆308延伸穿过齿轮箱302中的延伸杆开口3025。延伸杆308的远端308b具有大于延伸杆开口3025的凸缘3081，使得延伸杆308的凸缘3081保持在齿轮箱302中。延伸杆308的凸缘3081抵靠住正齿轮310的一侧，该正齿轮310座落于齿轮箱302的内部凹陷3023内。正齿轮310沿其外周设置有正齿轮齿3101，该正齿轮齿对应于第一输入元件306a的正齿轮齿3063。外螺纹杆312穿过正齿轮310的内螺纹孔3102延伸，该外螺纹杆相对于延伸杆308同轴地设置。杆312连接到耦连元件314，该耦连元件设置在耦连块305的第一开口3052内。杆耦连器314可提供到柔性轴104的第一驱动轴104a的连接。
正齿轮318也座落在齿轮箱302的内部凹陷3024内。正齿轮318沿其外周设置有正齿轮齿3181，该正齿轮齿对应于第二输入元件306b的正齿轮齿3066。正齿轮318具有一个穿过其延伸的孔3182。轴驱动元件316的第一端3161不可转动地接合在正齿轮318的孔3182内。轴驱动元件316的第二端3162构造成与柔性轴104的第二驱动轴104b不可转动地接合，而第二驱动轴104b延伸穿过耦连块305的远端面3051中的第二开口3053。
图7(d)是图7(a)示出的手柄部分102的俯视图。图7(e)是图7(d)示出的手柄部分102沿着线A-A的侧视截面图。图7(f)是图7(d)示出的手柄部分102沿着线B-B的侧视截面图。
图8是根据本发明一个实施方式的外科附属装置100的切割和钉缝部件103的立体图。如图8所示并如前所述，切割和钉缝部件103包括钉和刀片部分106。套针轴108在轴向上延伸穿过钉和刀片部分106居中设置的开口。该套针轴108可以是柔性的。在一个实施方式中，套针轴108是线缆。套针110设置在套针轴108的远端108a处。套针110具有尖锐的或削尖的端部，该端部构造成被按压穿过组织的一部分。此外，套针110构造成接合到砧组件112，优选地，可通过将套针110插入到砧组件112的槽内，以将套针110可拆卸地固定到砧组件112，从而套针轴108在该处附连到砧组件112，正如下文更全面地描述。外科附属装置100如此构造：套针轴108以及在该处所附连的砧组件112可以相对于钉和刀片部分106选择性地移动，例如延伸和缩回，正如下文更全面地描述。特别地，其端部设置有套针110的套针轴108通过相对于钉和刀片部分106在例如远和近方向的第一和第二方向上分别移动所期望的距离而延伸和缩回。
图9示出了根据本发明一个实施方式的切割和钉缝部件103的立体图。图9示出切割和钉缝部件103位于装配的部分关闭位置。特别地，图9示出相对于钉和刀片部分106位于部分缩回位置的砧组件112。
图10(a)示出了根据本发明一个实施方式的砧组件112的部件的立体图。图10(a)示出了砧组件112位于分解情形下。如图10(a)所示，砧组件112包括砧端盖202。砧端盖202具有在轴向上居中设置的开口2021。砧端盖202还包括在端盖202的远侧2025径向设置的槽2022，和在砧端盖202的近侧2026上的夹紧面2023。夹紧面2023具有一个凹入的部分，其形成了刀片容座2024。该夹紧面2023还形成了钉引导件2026。
砧组件112还包括在截面上对应于砧端盖202的槽2022的销204。砧组件112还包括中空的砧套筒208。砧套筒208的远端2081在截面上对应于砧端盖202的开口2021。此外，砧套筒208的远端2081形成了开口2082，该开口在截面上对应于砧销204。在砧套筒208的近端2084形成了凹陷2086，该凹陷在周向上围绕砧套筒208而延伸，并且其半径小于砧套筒208的其它部分的半径，包括位于砧套筒208的最近端的几个径向延伸的齿2087的半径。砧套筒208的近端2084还形成了多个轴向槽2088，例如4个，这些轴向槽延伸穿过凹陷2086和齿2087，由此使得砧套筒208的近端2084可被径向地压住。砧套筒208在其外表面上还包括一个或多个纵向延伸的键2085。
砧组件112还包括砧延伸杆206。砧延伸杆206的远端2061可以是扁平的并形成开口2062。砧延伸杆206还具有中央区域2063，该区域是圆的并在截面上对应于砧套筒208的凹陷2086的内径。砧延伸杆206的远端2061在截面上大于砧套筒208的凹陷2086的内径。砧延伸杆206还具有近端2063，该近端形成了套针容纳槽2065。
图10(b)示出了根据本发明一个实施方式的钉和刀片部分106的一些部件的立体图。图10(b)以分解情形示出了这些部件。如图10(b)所示，钉和刀片部分106包括中空的砧套筒引导件210。砧套筒引导件210的内表面包括一个或多个键槽2101。砧套筒引导件210的外表面包括唇部2102，使得砧套筒引导件210的近端2103与砧套筒引导件210的远端2104相比具有更大的半径。
钉和刀片部分106还包括外壳套筒212。外壳套筒212在其远端2122具有一个或多个开口2121，并在其远端2124具有径向向内延伸的唇部2123。钉和刀片部分106还包括钉盒214。钉盒214形成了多个轴向设置的钉容纳槽2141，钉2142容纳在该钉容纳槽2141中。在图10(b)示出的实施方式中，钉容纳槽2141在周向上环绕钉盒214设置成径向隔开的两行，其中第一行中的钉容纳槽2141重叠在第二行中的钉容纳槽2141上。钉盒214还包括：径向向内延伸的唇部2145，该唇部位于钉盒214的远端2147附近；和径向向外延伸的唇部2143，该唇部位于钉盒214的近端2144附近。此外，钉盒214的远端2147形成有夹紧面2146。
钉和刀片部分106还包括易碎刀片保护环216，该刀片保护环216在其内部形成有槽2161。此外，钉和刀片部分106包括刀片218。刀片218具有在其远端2184上周向延伸的切割边缘2183。此外，刀片218在其近端2182形成有径向向内延伸的突出物或唇部2181。
钉和刀片部分106还包括钉推进器220。钉推进器220具有多个轴向设置的推进齿2201，每个推进齿对应于并且对准钉盒214的钉容纳槽2141。钉推进器220还包括在其外表面上的键2202。
钉和刀片部分106还包括钉推进器支架元件222，该支架元件具有颈部2221和凸缘部2222，该颈部2221相对于凸缘部2222在远端方向轴向地延伸。颈部2221的内表面包括螺纹2223，而颈部2221的外表面形成有周向设置的凹陷2224。此外，凸缘2222的径向最外边缘包括有键2225。
图10(c)示出了根据本发明一个实施方式的钉和刀片部分106的其余部件在分解情形下的立体图。如图10(c)所示，钉和刀片部分106还包括开口环224。开口环224包括一对半圆形的环部2241和2242，当环部2241和2242设置成环的形状时，在其间形成一对键槽2243和2244。钉和刀片部分106还包括垫圈226。钉和刀片部分106还包括推力元件228，该推力元件具有颈部2281和凸缘部2282，该颈部2281相对于凸缘部2282在远端方向轴向地延伸。孔2283形成于颈部2281的内部，而颈部2281的外表面形成有螺纹2284，该螺纹对应于位于钉推进器支架元件222的颈部2221的内表面上的螺纹2223。推力元件228的凸缘2282在其朝向远端的表面内包括一个或多个孔2285，和具有例如圆形截面的在近端延伸的销2286。
钉和刀片部分106还包括第一正齿轮230。第一正齿轮230形成有内孔2301，该内孔在截面上对应于推力元件228的销2286。第一正齿轮230还包括在周向上设置的正齿轮齿2302。钉和刀片部分106还包括垫圈232和内壳轴套234。内壳轴套234包括位于内壳轴套234远端并具有第一内径的内孔2341。内孔2341朝向径向向内延伸的唇部2345而向近端延伸，在该点，内孔2342的内径减小。内孔2342进一步向近端延伸到第二径向向内延伸的唇部2346，在该点，内孔2342的内径再次减小。齿轮齿2347靠近第二唇部2346，该齿轮齿在内壳轴套234的内表面上周向地延伸。例如靠近于齿轮齿2347的近端2343具有光滑的内表面，并且具有形成于其内的一个或多个径向开口2344。
钉和刀片部分106还包括恒星齿轮元件236，该恒星齿轮元件具有颈部2361和凸缘部2362，该颈部2361相对于凸缘部2362在远端方向轴向地延伸。孔2363形成于颈部2361的内部，而颈部2361的外表面具有周向设置的齿轮齿2364，该齿轮齿对应于第一正齿轮230的齿轮齿2302。该凸缘部2362包括向近端延伸的例如具有圆形截面的销2366。钉和刀片部分106还包括垫圈238。
钉和刀片部分106还包括具有内孔2401的第一行星齿轮240。第一行星齿轮240的外表面具有周向设置的齿轮齿2402。钉和刀片部分106还包括具有内孔2421的恒星齿轮242。恒星齿轮242的外表面具有周向设置的齿轮齿2422，该齿轮齿2422对应于第一行星齿轮240的齿轮齿2402。钉和刀片部分106还包括具有突出物2441的垫圈244。钉和刀片部分106还包括具有内孔2461的第二行星齿轮246。第二行星齿轮246的外表面具有周向设置的齿轮齿2462，该齿轮齿2462对应于恒星齿轮242的周向设置的齿轮齿2422。
钉和刀片部分106还包括输入元件248。输入元件248的远端2481具有内孔2483，其可具有例如方形截面。输入元件248的远端2481的外表面上是周向设置的齿轮齿2482，该齿轮齿2482对应于在第二行星齿轮246的外表面上周向设置的齿轮齿2462。输入元件248的近端2484具有圆形的外周和内孔2485。
钉和刀片部分106还包括外壳后端盖250，该后端盖250具有中心孔2501、相对于中心孔2501径向偏置的第二孔2502和凹陷2503，销2504从该凹陷2503向远端延伸。外壳后端盖250还包括径向向外的唇部2505。至少一个开口2506相对于该径向向外的唇部2505位于远端，这些开口形成于圆形的外周表面2507内。外壳后端盖250在其近端还包括一个或多个与中心孔2501连通的键槽2509。
钉和刀片部分106还包括中心后端盖轴套252，穿过该轴套设置有孔2521。在中心后端盖轴套252的远端2522，孔2521限定了径向向内延伸的边缘2523。在中心后端盖轴套252的近端2524是相对设置的键槽2525。
钉和刀片部分106还包括保持套筒254，穿过该套筒设置有孔2541。相对设置的键2543位于保持套筒254的近端2542，该键2543对应于位于中心后端盖轴套252的近端2524的键槽2525和外壳后端盖250的键槽2509。
图11(a)示出了根据本发明一个实施方式的切割和钉缝部件103的俯视截面图，而图11(b)是其侧视截面图。图11(a)和11(b)示出切割和钉缝部件103位于装配好的并部分缩回的位置，如下文更全面地所述。如图11(a)和11(b)所示，砧套筒208的远端2081插入到砧端盖202中对应的居中设置的开口2021中。砧销204穿过端盖202的径向设置的槽2022并穿过砧套筒208的远端2081中相对地设置的开口2081而插入，使得砧端盖202相对于砧套筒208轴向地且可转动地固定。砧延伸杆206的远端2061在砧套筒208的近端2084轴向地保持在凹陷2086内。砧套筒208轴向地且可滑动地保持在砧套筒引导件210的内部。通过砧套筒208的键2085在砧套筒引导件210的键槽2101内的接合，防止了砧套筒208相对于砧套筒引导件210转动。
中心后端盖轴套252延伸穿过外壳后端盖250的中心开口2501，并进入到砧套筒引导件210的近端2103。在所示出的位置，中心后端盖轴套252的边缘接合在砧套筒208的凹陷2086中，由此，轴向地彼此固定中心后端盖轴套252和砧套筒208。保持套筒254插入到中心后端盖轴套252的孔2521中。保持套筒254的键2543接合到中心后端盖轴套252的键槽2525和外壳后端盖250的键槽2509，从而防止保持套筒254、中心后端盖轴套252和外壳后端盖250之间的相对转动。
输入元件248可转动地保持在外壳后端盖250的第二开口2502中。输入元件248的齿2482啮合到第二行星齿轮246的周向设置的齿2462，第二行星齿轮246可转动地安装在销2504上，该销从外壳后端盖250的凹陷2503向远端延伸。第二行星齿轮246的周向设置的齿2462还啮合到恒星齿轮242的周向设置的齿2422。恒星齿轮242通过其内孔2421可转动地安装在砧套筒引导件210的近端2103。
恒星齿轮242的周向设置的齿2422还啮合到第一行星齿轮240的周向设置的齿2402。第一行星齿轮240可转动地安装在销2361上，该销从恒星齿轮元件236的凸缘部2362向近端延伸。第一行星齿轮240的周向设置的齿2402还啮合到齿轮齿2347，该齿轮齿2347绕内壳轴套234的内表面在周向上延伸。内壳轴套234相对于外壳后端盖250可转动且轴向地固定，并通过穿过分别位于外壳套筒212、内壳轴套234和外壳后端盖250中的对准的开口2121、2344和2506以插入例如销或螺钉等紧固件256而固定到外壳套筒212。
恒星齿轮元件236通过其内孔2363可转动地安装在砧套筒引导件210上。在恒星齿轮元件236的颈部2361的外表面上周向设置的齿轮齿2364啮合到第一正齿轮230的周向设置的齿轮齿2302。第一正齿轮230通过其内孔可转动地安装在推力元件228上，该内孔内插入有推力元件228的向近端延伸的销2286。第一正齿轮230的周向设置的齿轮齿2302还啮合到齿轮齿2347，该齿轮齿在内壳轴套234的内表面上周向地延伸。
推力元件228由配合在推力元件228的内孔2283内的砧套筒引导件210可转动地安装在砧套筒引导件210上。垫圈232位于推力元件282的凸缘2282的近端表面和内壳轴套234的第二唇部2346之间，而垫圈226位于推力元件282的凸缘2282的远端表面和钉推进器支架元件222的凸缘2222之间。
钉推进器支架元件222安装在推力元件228上，使得位于钉推进器支架元件222的颈部2221的内表面上的螺纹2223与位于推力元件228的颈部2281的外表面上的螺纹2284螺接。钉推进器支架元件222的键2225接合到由开口环224形成的键槽2243内，由此使得钉推进器支架元件222相对于开口环224可轴向地滑动。开口环设置在内壳轴套234的远端2342处的孔2341内。
钉推进器220位于开口环224内，并抵靠住推力元件228的凸缘2282。钉推进器220的键2202接合到由开口环224形成的键槽2243内，由此使得钉推进器220相对于开口环224可轴向地滑动。钉推进器220的推进齿2201向远端延伸并对准钉盒214的钉容纳槽2141。
钉盒214相对于钉推进器220设置在远端，并保持在外壳套筒212的内部。钉盒214可在外壳套筒212内从图11(a)和11(b)示出的位置朝向远端的方向轴向地移动，直到钉盒214的径向向外延伸的唇部2143抵靠住外壳套筒212的径向向内延伸的唇部2123，如下文更全面地描述。
刀片218位于钉推进器220和钉推进器支架元件222之间。位于该刀片的远端2182的径向向内延伸的突出物或唇部2185接合在位于钉推进器支架元件222的颈部2221的外表面上的凹陷2224中。刀片218的切割边缘2183套在易碎刀片保护环216的槽2161中。易碎刀片保护环216轴向地抵靠住钉盒214的径向向内延伸的唇部2144。
操作时，外科附属装置100通过手柄部分102的快速连接耦连器304附连到柔性轴20，使得柔性轴20的第一可转动驱动轴30例如不可转动地耦连到手柄部分102的第一输入元件306a，并使得柔性轴20的第二可转动驱动轴32例如不可转动地耦连到手柄部分102的第二输入元件306b。起初，外科附属装置100的套针轴108可位于缩回位置，例如如图9所示，从而便于将外科附属装置100插入到患者体内。例如在该位置钉和刀片部分106可插入到患者的口腔通道中。控制器1122起初可配置成在夹紧模式下操作。在夹紧模式中，第一可转动驱动轴30在例如从近端观察的顺时针方向的第一方向的转动使得输入元件306a在第一方向上转动。通过第一输入元件306a的齿轮齿3063啮合到正齿轮3 10的正齿轮齿3101，使得正齿轮310在例如从近端观察的逆时针方向的第二方向上转动。正齿轮310在第二方向上的转动使得杆312在外壳部分102内轴向地移动，该杆3 12的螺纹接合在正齿轮310的内螺纹孔3102中。杆312端部的耦连元件314例如不可转动地接合到柔性轴104的第一驱动轴104a，该第一驱动轴104a又例如不可转动地接合到穿过切割和钉缝部件103的钉和刀片部分106延伸的套针轴108。由此方式，在其端部设置有套针110的套针轴108可通过在例如朝向远端的第一方向上移动相对于钉和刀片部分106所期望的距离而延伸。套针110受推而穿过需要被缝合的一部分组织，并插入在砧延伸杆206的套砧容纳槽2065中，从而相对于砧延伸杆206轴向地固定。然后通过在相反方向上操作第一可转动驱动轴30而缩回套针轴108，从而将砧延伸杆206及砧组件112的其它部件拖入到砧套筒引导件210中。
当第一可转动驱动轴30继续在例如第二方向上转动，而使得套针轴108进一步缩回时，砧套筒208的键2085接合到砧套筒引导件210中的键槽2101，由此将砧组件112与钉和刀片部分106对准。更进一步地缩回套针轴108使得套针轴108在砧套筒引导件210内向近端移动，直到中心后端盖轴套252的边缘2523座落在砧套筒208的凹陷2086中。当中心后端盖轴套252的边缘2523座落在砧套筒208的凹陷2086中时，砧组件112相对于钉和刀片部分106轴向地锁定在合适位置。根据本发明的一个实施方式，当砧端盖202的夹紧面2023与钉盒214的夹紧面2146相距约为5毫米时，砧组件112相对于钉和刀片部分106轴向地锁定在合适位置。
一旦砧组件112相对于钉和刀片部分106轴向地锁定在合适位置，控制器1122可停止第一可转动驱动轴30在第二方向上的转动。然后控制器1122可改变到操作的发射模式。在操作的发射模式中，第二可转动驱动轴32可在例如顺时针方向的第一方向上转动，接着该第二可转动驱动轴32在第一方向上转动输入元件306b。通过输入元件306b的齿轮齿3066与正齿轮318的正齿轮齿3181的啮合，使得正齿轮318在例如逆时针方向的第二方向上转动。正齿轮318在第二方向上的转动使得轴驱动元件316和柔性轴104的第二驱动轴104b在第二方向上转动，该第二驱动轴104b不可转动地连接到该轴驱动元件316。由此，柔性轴104的第二驱动轴104b的转动使得钉和刀片部分106的输入元件248也在第二方向上转动，该输入元件248不可转动地耦连到该第二驱动轴104b。从而，输入元件248在外壳后端盖250的第二开口2502中转动。通过输入元件248的齿2482与第二行星齿轮246的周向设置的齿2462的啮合，输入元件248在第二方向上的转动使得销2504上的第二行星齿轮246在第一方向上转动。此外，通过将第二行星齿轮246的周向设置的齿2462与恒星齿轮242的周向设置的齿2422的啮合，第二行星齿轮246在第一方向上的转动使得恒星齿轮242绕着砧套筒引导件210的近端2103在第二方向上转动。
通过恒星齿轮242的周向设置的齿2422与第一行星齿轮240的周向设置的齿2462的啮合，恒星齿轮242绕着砧套筒引导件210的近端2103在第二方向上的转动使得销2361上的第一行星齿轮240在第一方向上转动，该销从恒星齿轮元件236的凸缘部2362向近端延伸。通过第一行星齿轮240的周向设置的齿2402与内壳轴套234的齿轮齿2347的啮合，并且由于内壳轴套234可转动地固定在钉和刀片部分106内，第一行星齿轮240在第一方向上的转动使得第一行星齿轮240在内壳轴套234内在第二方向上转动。由于第一行星齿轮240安装在从恒星齿轮元件236的凸缘部2362向近端延伸的销2361上，第一行星齿轮240在第二方向上的转动使得恒星齿轮元件236绕着砧套筒引导件210在第二方向上转动。
通过恒星齿轮元件236的颈部2361的外表面上的齿轮齿2364与第一正齿轮230的齿轮齿2302的啮合，恒星齿轮236在第二方向上的转动使得第一正齿轮230在第一方向上转动。通过第一正齿轮230的周向设置的齿轮齿2302与内壳轴套234的齿轮齿2347的啮合，并由于内壳轴套234可转动地固定在钉和刀片部分106内，第一正齿轮230在第一方向上的转动使得第一正齿轮230在内壳轴套234内在第二方向上转动。此外，由于第一正齿轮230安装在从推力元件228的凸缘部2282向近端延伸的销2286上，第一正齿轮230在第二方向上的转动使得推力元件228绕着砧套筒引导件210在第二方向上转动。
推力元件228绕着砧套筒引导件210在第二方向上的转动使得钉推进器支架元件222相对于推力元件228移动，这是由于位于推力元件228的颈部2281的外表面上的螺纹2284螺接到位于钉推进器支架元件222的颈部2221的内表面上的螺纹2223。因为钉推进器支架元件222的键2225接合在由开口环224形成的键槽2243中，使得钉推进器支架元件222在开口环224内向远端方向轴向地滑动。钉推进器支架元件222向远端的运动使得钉推进器220也向远端方向运动，这是由于推力元件228的凸缘2282抵靠住钉推进器220。
钉推进器220向远端方向的运动使得刀片218与钉推进器220一起向远端方向运动。套在易碎刀片保护环216的槽2161内的刀片218的切割边缘2183使得易碎刀片保护环216向远端运动。由于易碎刀片保护环216轴向地抵靠住钉盒214的向内的唇部2144，易碎刀片保护环216的向远端的运动还使得钉盒214向远端运动。从而，在此操作阶段，钉推进器220、刀片218、易碎刀片保护环216和钉盒214一起向远端运动。钉盒214向远端运动从而进一步夹紧位于砧端盖202的夹紧面2023和钉盒214的夹紧面2146之间的一部分组织(未示出)。根据该部分组织的厚度，钉盒214可向远端运动，直到钉盒214的唇部2143抵靠住外壳套筒212的径向向内延伸的唇部2123。
一旦钉盒214已经向远端运动到足以完全夹住一部分组织，第二可转动驱动轴32继续转动，而使得钉推进器220、易碎刀片保护环216和刀片218继续向远端运动。一旦易碎刀片保护环216和钉盒214因接触到被压缩的一部分组织而被阻止进一步向远端运动，使得钉推进器220和刀片218继续相对于这些部件向远端运动。特别地，刀片218的进一步向远端的运动使得刀片218的切割边缘2183穿透易碎刀片保护环216，由此切割已被夹紧的那部分组织。有利地，这些部件构造成使得采用约70lbs或更大的压力来使得刀片218的切割边缘2183穿透易碎刀片保护环216，由此切割该部分组织。从而确保该部分组织在切割之前被足够地夹紧。同时，钉推进器220的进一步向远端的运动使得钉推进器220的推进齿2201开始向远端穿过钉容纳槽2141而运动，该推进齿2201与钉盒214的钉容纳槽2141对准。保持在钉盒214的钉容纳槽2141内的钉2142由此被推进而穿过该部分被夹紧的组织，并被推入到砧端盖202的夹紧面2023的钉引导件2026，直到钉2142闭合。
当钉2142完全闭合时，该部分组织上的夹紧力可通过第二驱动轴32在相反方向上的转动而减小。一般而言，当第二驱动轴32在相反方向上转动时，通过钉和刀片部分106的多个部件的反向运动，而使得推力元件228也在与上面描述相反的方向上转动，由此使得钉推进器支架元件222缩回，例如向近端运动。刀片218还通过刀片218的唇部2181接合在位于钉推进器支架元件222的颈部2221的外表面上的凹陷2224中而缩回，例如向近端运动。一旦砧端盖202的夹紧面2023和钉盒214的夹紧面2146之间的夹紧力已经足够地减小，已经被切割并钉缝的该部分组织从砧端盖202的夹紧面2023和钉盒214的夹紧面2146之间取下，并且外科附属装置100可从患者体内取出。
图12(a)到12(c)示出了根据本发明另一实施方式的切割和钉缝部件的一些部件。特别地，图12(a)是包括钉和刀片部分4106的切割和钉缝部件4103的立体图。例如线缆的柔性套针轴4108在轴向上延伸穿过钉和刀片部分4106的居中设置的开口。形成有套针容纳槽4065的线缆延伸元件4206设置在柔性套针轴4108的远端4108a。套针容纳槽4065在其近端具有宽的部分4066，并在其远端具有窄的部分4067。
切割和钉缝部件4103还包括砧组件4112。砧组件4112包括砧端盖4202。砧端盖4202具有从那里向近端延伸的砧套筒4208。其上附连有套针4220的柔性线缆4212从砧套筒4208的最近端延伸。套针4220包括例如球形体的第一部分4213，从该部分延伸有圆柱形的指部4214。圆柱形的指部4214逐渐变细到套针尖4215。
图12(b)是示出了线缆延伸元件4206的其它特征的侧视截面图。特别地，线缆延伸元件4206形成有轴向延伸的中心孔4207，套针容纳槽4065的宽的部分4066和窄的部分4067通过该中心孔而连通。柱塞4251设置在中心孔4207内并靠近套针容纳槽4065，该柱塞由例如弹簧的偏置元件4250向远端方向偏置。如图12(b)所示，套针尖4215构造成推压并移动被偏置的柱塞4251，使得套针4220的例如球形体的第一部分4213设置成靠近套针容纳槽4065的窄的部分4067。
如图12(c)所示，一旦套针4220的例如球形体的第一部分4213设置成靠近套针容纳槽4065的窄的部分4067，使得套针4220降低而穿过套针容纳槽4065并进入到中心孔4207中。柱塞4251然后由偏置元件4250向远端方向偏置，从而使套针4220的第一部分4213座落于中心孔4207的宽的部分4258和窄的部分4259的交界面处。中心孔4207的窄的部分4259保持套针4220，使得当套针轴4108相对于钉和刀片部分4106缩回时，砧组件4112也缩回。
切割和钉缝部件4103的该实施方式提供了一种装置，其便于将套针轴4108连接到砧组件4112。特别地，砧组件4112的柔性轴4212和柔性套针轴4108使得砧组件4112可以更容易地连接到柔性套针轴4108。例如该装置可使得砧组件4112连接到柔性套针轴4108，而在这样的连接之前无需将砧组件4112对准柔性套针轴4108，和/或在这样的连接之前无需将其中设置有砧组件4112和柔性套针轴4108的组织边缘对准。此外，该装置还支持高的拉伸载荷，从而使得与传统的外科设备中可能的情况相比，被切割和钉缝的该部分组织以更大的夹紧力夹紧。需要认识到的是，尽管图12(a)到12(c)示出的实施方式具有附连到砧组件4112的套针4220和附连到套针轴4108的线缆延伸元件4206，在另一实施方式中，套针4220可以附连到套针轴4108而线缆延伸元件4206可以附连到砧组件4112。
图13(a)到13(c)示出了根据本发明另一实施方式的手柄部分。特别地，图13(a)是包括外壳5301的手柄部分5102的前视立体图，而图13(b)是其后视立体图。在外壳5301的近端5301a设置有齿轮箱5302。插入管5305在外壳5301的远端5301b延伸。快速连接的耦连器5304和管5308从齿轮箱5302延伸。
快速连接的耦连器5304安装到齿轮箱5302上，并可例如由一组弹簧偏置。齿轮箱5302包括第一驱动管座5304a和第二驱动管座5304b。图13(c)是手柄部分5102的分解前视立体图。如图13(c)所示，齿轮箱5302与齿轮保持板5401相配合，从而将其余的齿轮部件保持在相对的位置。第一驱动管座5304a包括第一输入元件5306a，该第一输入元件的一端5061延伸穿过齿轮箱5302的开口5021。第一正齿轮5310具有内孔5101和周向设置的正齿轮齿5102。第一输入元件5306a的第二端5062例如不可转动地延伸穿过第一正齿轮5310的内孔5101。第一正齿轮5310的齿5102接合到具有内螺纹的轴向延伸的孔5411的齿轮帽5410，柔性轴104的第一驱动轴104a可以螺接方式插入到该孔5411中。齿轮帽5410座落在齿轮轴承5412的凹陷5413中。齿轮轴承5412座落在齿轮箱5302的凹陷5023中。齿轮轴承5412的颈部5415具有内孔5416并向近端延伸穿过齿轮箱5302的开口5417。
第二驱动管座5304b包括第二输入元件5306b，该输入元件的一端5064延伸穿过齿轮箱5302的第二开口5022，另一端5065包括正齿轮齿5066。正齿轮5318也座落在齿轮箱5302的内部凹陷5024中。正齿轮5318沿其外部半径设置对应于第二输入元件5306b的正齿轮齿5066的正齿轮齿5181。正齿轮5318具有穿过其延伸的孔5182。轴驱动元件5316的第一端5161不可转动地接合在正齿轮5318的孔5182中。轴驱动元件5316的第二端5162构造成不可转动地接合到柔性轴104的第二驱动轴104b，该第二驱动轴穿过插入管5305并延伸到轴驱动元件5316的第二端5162。
操作时，手柄部分5102通过快速连接耦连器5304附连到柔性轴20，使得柔性轴20的第一可转动驱动轴30例如不可转动地耦连到手柄部分5102的第一输入元件5306a，并使得柔性轴20的第二可转动驱动轴32例如不可转动地耦连到手柄部分5102的第二输入元件5306b。在夹紧模式中，第一可转动驱动轴30在例如顺时针方向的转动使得输入元件5306a在第一方向上转动。通过第一输入元件5306a的齿轮齿5063与正齿轮5310的正齿轮齿5101的啮合，使得正齿轮5310在例如逆时针方向的第二方向上转动。正齿轮5310在第二方向上的转动使得齿轮帽5410在第一方向上转动。通过将柔性轴104的第一驱动轴104a螺接到正齿轮5310的内孔5101，使得柔性轴104的第一驱动轴104a轴向地运动，从而使得第一驱动轴104a所附连的套针轴108轴向地运动。由此方式，套针轴108可在例如向远端的第一方向延伸与钉和刀片部分106相距所需的距离。一旦套针110插入在砧延伸杆206的套针容纳槽2065中，然后套针轴108可通过第一可转动驱动轴30在相反的方向上的操作而缩回。
在操作的发射模式中，第二可转动驱动轴32可在例如顺时针方向的第一方向上转动，从而使输入元件5306b在第一方向上转动。通过输入元件5306b的齿轮齿5066与正齿轮5318的正齿轮齿5181的啮合，使得正齿轮5318在例如逆时针方向的第二方向上转动。正齿轮5318在第二方向上的转动使得轴驱动元件5316和不可转动地连接到该轴驱动元件5316的柔性轴104的第二驱动轴104b在第二方向上转动。由此，柔性轴104的第二驱动轴104b的转动使得钉和刀片部分106的输入元件248也在第二方向上转动，该输入元件248不可转动地耦连到该第二驱动轴104b上。由此方式，钉和刀片部分106的钉盒214可相对于砧组件112运动，从而夹紧位于其间的一部分组织，并且该组织可如上文更全面地描述地被切割和钉缝。
图14(a)到14(d)和图15(a)到15(d)示出了根据本发明另一实施方式的切割和钉缝部件。特别地，图14(a)是前视立体图，图14(b)是后视立体图，其示出了位于已组装的和部分关闭位置的切割和钉缝部件603。图14(c)是侧视图，图14(d)是后视图，其示出了位于同一位置和情形的切割和钉缝部件603。如图所示，切割和钉缝部件603包括砧组件612及钉和刀片部分606。
图15(a)示出了砧组件612的多个部件的前视分解视图。砧组件612包括砧端盖602。砧端盖602具有沿轴向的居中设置的开口6021。砧端盖602还包括在端盖602的远端侧6025上径向设置的槽6022，和在砧端盖602的近端侧6026上的夹紧面6023。夹紧面6023具有形成刀片容座6024的凹陷部分，其目的将在下面更详细地描述。夹紧面6023还形成有钉引导件6027。
砧组件612还包括在截面上对应于砧端盖602的槽6022的销604。砧组件612还包括中空的砧套筒608。砧套筒608的远端6083在截面上对应于砧端盖602的开口6021。此外，砧套筒608的远端6083形成有在截面上对应于砧销604的开口6082。在砧套筒608的近端6084形成有凹陷6086，其绕着砧套筒608在周向上延伸，并且其半径小于砧套筒608的其它部分的半径，包括位于砧套筒608的最近端的多个径向设置的齿6087的半径。砧套筒608的近端6084还形成了多个轴向槽6088，例如4个，这些轴向槽延伸穿过凹陷6086和齿6087，由此使得砧套筒608的近端6084可被径向地压住。砧套筒608在其外表面上还包括一个或多个轴向设置的键6085。
砧组件612还包括砧延伸杆606。砧延伸杆606的远端6061可以是平的并形成开口6062。砧延伸杆606还具有中央区域6063，该区域是圆的并在截面上对应于砧套筒608的凹陷6086的内径。砧延伸杆606的远端6061在截面上大于砧套筒608的凹陷6086的内径。砧延伸杆606还具有近端6063，该近端形成了套针容纳槽6065。
图15(b)示出了根据本发明一个实施方式的钉和刀片部分606的一些部件的分解立体图。如图15(b)所示，钉和刀片部分606包括中空的砧套筒引导件610。砧套筒引导件610的内表面包括一个或多个键槽6101。砧套筒引导件610的外表面包括唇部6102，使得砧套筒引导件610的近端6103与砧套筒引导件610的远端6104相比具有更大的半径。
钉和刀片部分606还包括外壳套筒612。外壳套筒612在其近端6122具有一个或多个开口6121，并在其远端6124具有径向向内延伸的唇部6123。钉和刀片部分106还包括钉盒614。钉盒614形成了多个轴向设置的钉容纳槽6141，钉6142容纳在该钉容纳槽6141中。在图15(b)示出的实施方式中，钉容纳槽6141在周向上环绕钉盒614设置成径向隔开的两行，其中第一行中的钉容纳槽6141重叠在第二行中的钉容纳槽6141上。钉盒614还包括径向向内延伸的唇部6145和径向向外延伸的唇部6143，该唇部6143位于钉盒614的近端6144附近。此外，钉盒614的远端6147形成有夹紧面6146。
钉和刀片部分606还包括易碎刀片保护环616和推进器元件617。推进器元件617在其远端具有径向向外延伸的凸缘6171。此外，钉和刀片部分106包括刀片618。刀片618具有在其远端6184上周向延伸的切割边缘6183。此外，刀片618在其近端形成有径向向内延伸的突出物或唇部6181。
钉和刀片部分606还包括钉推进器620。钉推进器620具有多个轴向设置的推进齿6201，每个推进齿对应于并且对准钉盒614的钉容纳槽6141。钉推进器620还包括在其外表面上的键6202。
钉和刀片部分606还包括钉推进器支架元件622，该支架元件具有颈部6221和凸缘部6222，该颈部6221相对于凸缘部6222在远端方向轴向地延伸。颈部6221的内表面包括螺纹6223，而颈部6221的外表面形成有周向设置的凹陷6224。此外，凸缘6222的径向最外边缘包括有键6225。
图15(c)示出了根据本发明一个实施方式的钉和刀片部分606的其余部件在分解情形下的立体图。如图15(c)所示，钉和刀片部分606还包括开口环624。开口环624包括一对半圆形的环部6241和6242，当环部6241和6242设置成环的形状时，在其间形成一对键槽6243和6244。钉和刀片部分606还包括垫圈626。钉和刀片部分606还包括推力元件628，该推力元件具有颈部6281和凸缘部6282，该颈部6281相对于凸缘部6282在远端方向轴向地延伸。孔6283形成于颈部6281的内部，而颈部6281的外表面形成有螺纹6284，该螺纹对应于位于钉推进器支架元件622的颈部6221的内表面上的螺纹6223。推力元件628的凸缘6282在其朝向远端的表面内包括一个或多个孔6285，和具有例如圆形截面的在近端延伸的三个销6286。
钉和刀片部分606包括第一正齿轮630a、第二正齿轮630b和第三正齿轮630c。第一正齿轮630a、第二正齿轮630b和第三正齿轮630c中的每一个都形成有内孔6301，该内孔在截面上对应于推力元件628的销6286。第一正齿轮630a、第二正齿轮630b和第三正齿轮630c中的每一个还包括周向设置的正齿轮齿6302。
钉和刀片部分606还包括垫圈632和内壳轴套634。内壳轴套634包括位于内壳轴套634远端并具有第一内径的内孔6341。内孔6341朝向径向向内延伸的唇部6345而向近端延伸，在该点，内孔6341的内径减小。内孔6341进一步向近端延伸到第二径向向内延伸的唇部6346，在该点，内孔6341的内径再次减小。齿轮齿6347靠近第二唇部6346，该齿轮齿在内壳轴套634的内表面上周向地延伸。例如靠近于齿轮齿6347的近端具有光滑的内表面，并且具有形成于其内的一个或多个径向开口6344。
钉和刀片部分606还包括恒星齿轮元件636，该恒星齿轮元件具有颈部6361和凸缘部6362，该颈部6361相对于凸缘部6362在远端方向轴向地延伸。孔6363形成于颈部6361的内部，而颈部6361的外表面具有周向设置的齿轮齿6364，该齿轮齿对应于第一正齿轮630的齿轮齿6302。该凸缘部6362包括三个向近端延伸的例如具有圆形截面的销6366。钉和刀片部分606还包括垫圈638。
钉和刀片部分606还包括第一行星齿轮640a、第二行星齿轮640b和第三行星齿轮640c。第一行星齿轮640a、第二行星齿轮640b和第三行星齿轮640c的每一个都具有内孔6401，该孔在截面上对应于推力元件636的销6366。第一行星齿轮640a、第二行星齿轮640b和第三行星齿轮640c的每一个还包括周向设置的齿轮齿6402。
钉和刀片部分606还包括具有内孔6421的恒星齿轮642。恒星齿轮242的外表面具有周向设置的齿轮齿6422，该齿轮齿6422对应于第一行星齿轮640a、第二行星齿轮640b和第三行星齿轮640c的齿轮齿6402。钉和刀片部分606还包括具有内孔6461的第二行星齿轮646。第二行星齿轮646的外表面具有周向设置的齿轮齿6462，该齿轮齿6462对应于恒星齿轮642的周向设置的齿轮齿6422。
钉和刀片部分606还包括输入元件648。输入元件648的远端6481具有内孔6483，其中例如通过方形截面不可转动地插入有齿轮元件6483。齿轮元件6483的外表面上是周向设置的齿轮齿6482，该齿轮齿6482对应于在第二行星齿轮646的外表面上周向设置的齿轮齿6462。输入元件648的近端具有圆形的外周和内孔6485。
钉和刀片部分606还包括外壳后端盖650，该后端盖650具有中心孔6501、相对于中心孔6501径向偏移的第二孔6502和凹陷6503，销6504从该凹陷6503向远端延伸。外壳后端盖650还包括径向向外的唇部6505。至少一个开口6506相对于该径向向外的唇部6505位于远端，这些开口形成于圆形的外周表面6507内。外壳后端盖650在其近端还包括一个或多个与中心孔6501连通的径向孔6509。
钉和刀片部分606还包括中心后端盖轴套652，穿过该轴套设置有孔6521。此外，中心后端盖轴套652具有穿过其延伸的径向孔6252。钉和刀片部分606还包括销止挡件655，该销止挡件655的尺寸和形状构造成穿过外壳后端盖650的径向开口6509而插入。销止挡件655的尺寸和形状还构造成穿过插入管658的径向开口659而插入。当销止挡件655同时穿过外壳后端盖650的径向开口6509和插入管658的径向开口659而插入时，外壳后端盖650和插入管658相对于彼此而固定在合适位置。使用插入管658而将例如图7(a)到7(f)中示出的手柄部分102或图13(a)到13(c)中示出的手柄部分5102的手柄部分连接到例如图9到11(b)中示出的钉和刀片部分106或图15(a)到15(c)中示出的钉和刀片部分606的钉和刀片部分。有利地，插入管6258由与组织兼容的可消毒的弹性材料制成。优选地，插入管6258可由耐高压加热的材料制成。此外，插入管6258可由具有高或比较高的润滑性的材料制成。例如插入管6258可由例如TeflonTM(即含氟聚合物，例如聚四氟乙烯——“PTFE”)、硅酮、TeflonTM/硅酮化合物，例如SIL-KORETM(由W.L.Gore & Associates制造)、“EPTFE”，例如膨胀特氟隆等制造。可采用的其它合适的材料在2002年3月15日提交的本申请人的共同未决的美国专利申请10/099,634中作了进一步的详细描述，如前所述该文在此全文引入以供参考。
图15(d)是钉和刀片部分606的一些部件在已装配情形下的侧视截面图。图15(d)中未示出的钉和刀片部分606的部件以大致类似于图11(a)和11(b)中示出的钉和刀片部分106的装置的方式设置。参照图15(d)，推力元件628(为了清楚，这里示出部分)可转动地安装在砧套筒引导件610(未示出)上。钉推进器支架元件622安装在推力元件628上，使得位于钉推进器支架元件622的颈部6221的内表面上的螺纹6223螺接到位于推力元件628的颈部6281的外表面上的螺纹6284。钉推进器支架元件622在外壳套筒612内可轴向地滑动。
钉推进器620抵靠住钉推进器支架元件622的凸缘6222。钉推进器620在外壳套筒612内可轴向地滑动。钉推进器620的推进齿6201向远端延伸并对准钉盒614的钉容纳槽6141。
钉盒614设置在相对于钉推进器620的远端，并保持在外壳套筒612的内部内。钉盒614可轴向地在外壳套筒612内朝向远端的方向从图14示出的位置移动，直到钉盒614的径向向外延伸的唇部6143抵靠住外壳套筒612的径向向内延伸的唇部6123。
刀片618位于钉推进器620和钉推进器支架元件622之间。位于该刀片的远端的径向向内延伸的突出物或唇部6185接合在位于钉推进器支架元件622的颈部6221的外表面上的凹陷6224中。刀片618的切割边缘6183套在易碎刀片保护环616中。易碎刀片保护环616的近端抵靠住钉盒614的径向向内延伸的唇部6144。
钉盒推进器617沿刀片618设置，使得钉盒推进器617的近端抵靠住钉推进器620。钉盒推进器617的径向向外延伸的凸缘6171抵靠住钉盒614的径向向内延伸的唇部6145。钉盒推进器617的径向向外延伸的凸缘6171的尺寸和形状构造成使得，起初钉盒推进器617的径向向外延伸的凸缘6171大于钉盒614的径向向内延伸的唇部6145和刀片618的外表面之间的距离。
操作时，图15(d)中未示出的钉和刀片部分606的部件以大致类似于图11(a)和11(b)中示出的钉和刀片部分106的那些部件的操作方式而操作，如上文更全面地描述。参照图15(d)，例如通过柔性轴20的第一可转动驱动轴30的使用者的操作，使得推力元件628绕着砧套筒引导件610在例如第二方向上转动。
推力元件628绕着砧套筒引导件610在第二方向上的转动使得钉推进器支架元件622相对于推力元件628运动，这是由于位于推力元件628的颈部6281的外表面上的螺纹6284螺接到位于钉推进器支架元件622的颈部6221的内表面上的螺纹6223。因为钉推进器支架元件622的键6225接合在由开口环624形成的键槽6243中，使得钉推进器支架元件622在开口环624内向远端方向轴向地滑动。钉推进器支架元件622向远端的运动使得钉推进器620也向远端方向运动，这是由于推力元件628的凸缘6282抵靠住钉推进器620。
钉推进器620向远端方向的运动使得刀片618和覆盖刀片618的切割边缘6183的易碎刀片保护环616也与钉推进器620一起向远端方向运动。此外，由于钉盒推进器617的径向向外延伸的凸缘6171起初大于钉盒614的径向向内延伸的唇部6145和刀片618的外表面之间的距离，钉推进器620在向远端方向的运动还使得钉盒614与钉推进器620一起向远端方向运动。从而此操作阶段，钉推进器620、刀片618、易碎刀片保护环616、钉盒推进器元件617和钉盒614一起向远端方向运动。钉盒614向远端运动，从而夹住位于砧端盖602的夹紧面6023和钉盒614的夹紧面6146之间的一部分组织(未示出)。根据该部分组织的厚度，钉盒614可向远端运动，直到钉盒614的径向向外延伸的唇部6143抵靠住外壳套筒612的径向向内延伸的唇部6123。
一旦钉盒614已经向远端运动到足以完全夹住一部分组织，易碎刀片保护环616和钉盒614通过接触到被压缩的一部分组织而被阻止进一步向远端运动。继续操作第二可转动驱动轴32，例如当约70lbs.或更大的压力施加在被夹紧的该部分组织上时，最终使得钉盒推进器元件617的径向向外延伸的凸缘6171被推到钉盒614的径向向内延伸的唇部6145和刀片618的外表面之间，由此克服这些部件之间的干涉配合。这里，钉盒614不向远端移动，而是使得钉推进器620和刀片618相对于钉盒614向远端继续运动。钉盒614的继续向远端运动使得刀片618的切割边缘6183穿透易碎刀片保护环616，由此切割已被夹紧的该部分组织。同时，钉推进器620的进一步向远端的运动使得钉推进器620的推进齿6201开始向远端穿过钉容纳槽6141而运动，该推进齿6201与钉盒614的钉容纳槽6141对准。保持在钉盒614的钉容纳槽6141内的钉6142由此被推进而穿过该部分被夹紧的组织，并被推入到砧端盖602的夹紧面6023的钉引导件6026，直到钉6142闭合。
当钉6142完全闭合时，该部分组织上的夹紧力可通过第二驱动轴32在相反方向上的转动而减小。一般而言，当第二驱动轴32在相反方向上转动时，通过钉和刀片部分106的多个部件的相反运动，而使得推力元件628也在与上面描述相反的方向上转动，由此使得钉推进器支架元件622缩回，例如向近端运动。刀片618还通过刀片618的唇部6185接合在位于钉推进器支架元件622的颈部6221的外表面上的凹陷6224中而缩回，例如向近端运动。此外，通过保持在钉盒614的径向向内延伸的唇部6145和刀片618的外表面之间的钉盒推进器617的径向向外延伸的凸缘6171的干涉配合，而使得钉盒614缩回。一旦砧端盖602的夹紧面6023和钉盒614的夹紧面6146之间的夹紧力已经足够地减小，已经被切割并钉缝的该部分组织可从砧端盖602的夹紧面6023和钉盒614的夹紧面6146之间取下，并且外科附属装置600可从患者体内取出。
图16是示意性地示出了根据本发明另一实施方式的外科附属装置700的一些部件的侧视截面图。外科附属装置700包括砧端盖702，该砧端盖连接到例如线缆的套针轴708。砧端盖702包括夹紧面7023。夹紧面7023具有形成刀片容座7024的凹陷部分。该夹紧面7023还形成了钉引导件7026。套针轴708穿过钉和刀片部分706延伸，并可通过套针轴708的延伸和缩回而相对于钉和刀片部分706移动，例如通过操作例如第一可转动驱动轴30的可转动驱动轴，如图1并结合其所述。
钉和刀片部分706包括外壳套筒712，该外壳套筒在其近端固定地连接到外壳后端盖750，并在其远端固定地连接到钉盒714。钉盒714形成有多个钉容纳槽7141，其中设置有钉7142。钉容纳槽7141构造成对应于并对准形成于砧端盖702的夹紧面7023中的钉引导件7026。钉盒714的远端形成有夹紧面7146，其具有一个或多个朝向远端的突出物7147。
钉和刀片部分706还包括具有钉推进器指部7201的钉推进器720，该指部对应于并对准钉盒714的钉容纳槽7141。刀片718安装在钉推进器720的远端。剪力销751位于钉推进器720的近端，该剪力销至少起初将钉推进器720连接到外壳后端盖750。
操作时，例如希望被切割并钉缝的一部分口腔组织的一部分组织设置在砧端盖702的夹紧面7023和钉盒714的夹紧面7146之间。当操作例如第一可转动驱动轴30的合适的驱动机构时，套针轴708相对于钉和刀片部分706缩回，直到该部分组织充分地夹紧在砧端盖702的夹紧面7023和钉盒714的夹紧面7146之间。一旦该部分组织充分地夹紧在砧端盖702的夹紧面7023和钉盒714的夹紧面7146之间，继续操作例如第一可转动驱动轴30的合适的驱动机构，使得剪力销751发生剪切。有利地，剪力销751剪切处的压力预定为在该部分组织被切割并钉缝前最优地夹紧时的压力。一旦使得剪力销751发生剪切，钉盒714以及外壳套筒712和外壳后端盖750被允许相对于钉推进器720向近端运动。钉盒714相对于钉推进器720向近端的运动使得钉推进器720的钉推进器指部7201穿过钉盒714的各个钉容纳槽7141而运动。通过例如第一可转动驱动轴30的合适的驱动机构的继续操作，钉7142逐渐地被推出钉盒714的钉容纳槽7141，穿过该部分组织并顶住钉端盖702的钉引导件7026，直到钉7142闭合。此外，并且大致同时地，一旦使得剪力销751发生剪切，则使得钉盒714相对于安装在钉推进器720的远端处的刀片718而向近端运动。钉盒714相对于刀片718向近端的运动使得刀片718穿过夹紧在砧端盖702的夹紧面7023和钉盒714的夹紧面7146之间的该部分组织。通过例如第一可转动驱动轴30的合适的驱动机构的继续操作，刀片718被逐步地推动着穿过该部分组织并进入到砧端盖702的刀片容座7024中，直到该部分组织被完全切割。
因此，根据本发明一个实施方式的外科附属装置700提供一种装置，其中钉推进器720、钉7142和刀片718被保持在相对静止的位置。砧组件712被导致相对于钉推进器720、钉7142和刀片718移动，从而切割和钉缝设置在其间的该部分组织。该装置可提供改进的性能，因为与传统的圆形切割和钉缝设备相比，其可施加增大的夹紧力。这些增大的夹紧力是可能的，因为与采用齿轮装置等推动钉推进器、钉和刀片而顶住静止的砧的传统的圆形切割和钉缝设备不同，外科附属装置700提供一种位于砧组件中的装置，该装置被拉动而朝向并顶住保持在相对静止位置的钉推进器、钉和刀片。
图17是示意性地示出了根据本发明另一实施方式的外科附属装置800的一些组件的侧视截面图。外科附属装置800包括砧端盖802，该砧端盖连接到例如线缆的套针轴808。砧端盖802包括夹紧面8023。夹紧面8023不垂直于——例如倾斜于——由套针轴808限定的轴880。夹紧面8023具有形成有刀片容座8024的凹陷部。夹紧面8023还形成有钉引导件8026。套针轴808延伸穿过钉和刀片部分806，并例如可通过例如在图1中示出并结合其描述的第一可转动驱动轴30的可转动驱动轴的操作以延伸和缩回套针轴808而使该套针轴808相对于钉和刀片部分806运动。
钉和刀片部分806包括钉盒814。钉盒814形成有多个钉容纳槽8141，该钉容纳槽中设置有钉8142。钉容纳槽8141构造成对应于并对准形成于砧端盖802的夹紧面8023中的钉引导件8026。钉盒814的远端形成有夹紧面8146。夹紧面8146不垂直于——例如倾斜于——由套针轴808限定的轴880。优选地，夹紧面8023的形状和取向构造成平行于砧端盖802的夹紧面8023。
钉和刀片部分806还包括具有钉推进器指部8201的钉推进器820，该钉推进器指部8201构造成对应于并对准钉盒814的钉容纳槽8141。刀片818安装在钉推进器820的远端。
操作时，例如希望被切割并钉缝的一部分口腔组织的一部分组织设置在砧端盖802的夹紧面8023和钉盒814的夹紧面8146之间。当例如第一可转动驱动轴30的合适的驱动机构操作时，套针轴808相对于钉和刀片部分806缩回，直到该部分组织被充分地夹紧在砧端盖802的夹紧面8023和钉盒814的夹紧面8146之间。通过一种装置，例如第一可转动驱动轴30的合适的驱动机构的操作使得套针轴808相对于钉和刀片部分806缩回，该装置可以是例如上文所述的齿轮装置，或者可以是任意其它合适的机械装置。一旦该部分组织被充分地夹紧在砧端盖802的夹紧面8023和钉盒814的夹紧面8146之间，继续操作例如第一可转动驱动轴30的合适的驱动机构，使得钉盒814和钉推进器820相对于彼此而运动。可由合适的驱动机构相对于钉盒814而推动钉推进器820而使该相对运动便于实现，该合适的驱动机构的一些例子如上所述，或者可由例如在上文中结合图16描述的相对于钉推进器820拉动砧端盖802而使该相对运动便于实现。任意其它的机械装置也可用于此目的。钉盒814相对于钉推进器820的运动使得钉推进器820的钉推进器指部8201穿过钉盒814的相应的钉容纳槽8141而运动。通过继续操作例如第一可转动驱动轴30的合适的驱动机构，钉8142被逐渐地从钉盒814的钉容纳槽8141推出，穿过该部分组织并顶住砧端盖802的钉引导件8026，直到钉8142闭合。此外，并大致同时地，钉盒814相对于安装在钉推进器820的远端处的刀片818的运动使得刀片818穿透夹紧在砧端盖802的夹紧面8023和钉盒814的夹紧面8146之间的该部分组织。通过继续操作例如第一可转动驱动轴30的合适的驱动机构，刀片818被逐渐地推动而穿过该部分组织并进入到砧端盖802的刀片容座8024中，直到该部分组织被完全切割。
根据本发明一个实施方式的外科附属装置800提供一种装置，其中钉和刀片部分806可更容易地插入到患者体内。在传统的圆形切割和钉缝设备中，钉和刀片部分一般具有垂直设置的夹紧面，例如垂直于由钉和刀片部分或穿过该钉和刀片部分的套针轴所限定的总轴的夹紧面。该垂直设置的夹紧面与钉和刀片部分的外壳在周向边缘相交，其截面大致为直角。当插入到患者体内、特别是患者的具有非常小的截面积的口腔通道时，由垂直设置的夹紧面和钉和刀片部分的外壳形成的周向边缘摩擦口腔通道的内表面，由此使得插入困难。此外，该周向边缘摩擦口腔通道的内表面可能会损伤口腔通道。与此相反，钉盒814的夹紧面8146的不垂直的——例如倾斜的——设置减小了所经受的与口腔通道的内表面摩擦的程度，由此，便于通过口腔通道而插入钉和刀片部分806，并减小损伤口腔通道的内表面的可能性。
图18(a)和18(b)示出了根据本发明另一实施方式的钉和刀片部分。特别地，图18(a)是一个分解的立体图，示出了钉和刀片部分906的一些部件。如图18(a)所示，钉和刀片部分906包括外壳套筒904。外壳套筒904具有齿轮箱9043，其在近端形成有轴孔9042和第二孔9044。外壳套筒904还具有沿其内表面纵向延伸的键槽9041。
钉和刀片部分906还包括输入轴902，该输入轴902构造成不可转动地连接到例如柔性轴104的第二可转动驱动轴104b的驱动轴，该驱动轴接着可通过例如手柄部分102的手柄部分连接到柔性轴20的第二可转动驱动轴32。输入轴902的远端具有延伸部，该延伸部例如通过延伸部的方形截面可以不可转动地插入到输入齿轮906。在输入齿轮906的外表面上周向设置有齿轮齿9061。
钉和刀片部分906还包括具有中心孔9081的恒星齿轮908。恒星齿轮908的外表面具有周向设置的齿轮齿9082，该齿轮齿对应于输入齿轮906的齿轮齿9061。钉和刀片部分906还包括垫圈910。钉和刀片部分906还包括环形齿轮912。环形齿轮912具有沿环形齿轮912的内表面周向延伸的齿轮齿9121。
钉和刀片部分906还包括第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c。第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的每一个都形成有内孔9141。此外，第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的每一个还包括周向设置的齿轮齿9142。
钉和刀片部分906还包括十字头螺纹元件916，该螺纹元件包括颈部9162和凸缘部9161，该颈部9162相对于该凸缘部9162向远端轴向地延伸。中心孔9166延伸穿过十字头螺纹元件916。颈部9162的外表面形成有螺纹9164。此外，颈部9162的外表面形成有纵向延伸的键槽9165。十字头螺纹元件916的凸缘部9161包括三个向近端延伸的销9163，该销的截面例如为圆形，并对应于第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的孔9141。
钉和刀片部分906还包括具有大致平坦的盘形构造的螺母918。螺母918具有穿过其延伸的中心孔9181。中心孔9181形成有对应于十字头螺纹元件916的颈部9162的外表面上的螺纹9164的螺纹9182。螺母918的远端面形成有周向的沟槽9183。此外，螺母918的径向外侧边缘形成有键9184，该键的尺寸和形状对应于外壳套筒904的内表面上的键槽9041。
钉和刀片部分906还包括旋转推进器920，该旋转推进器也具有大致平坦的盘形构造。旋转推进器920具有穿过其延伸的中心孔9201。中心孔9181形成有键9202，该键的尺寸和形状对应于在十字头螺纹元件916的颈部9162上纵向延伸的键槽9165。旋转推进器920的近端面形成有周向的沟槽9204，该周向的沟槽9204与螺母918的远端面上的周向的沟槽9183对准。旋转推进器920的远端面上设置有推进器凸轮9203。
此外，钉和刀片部分906包括刀片922。刀片922具有沿其远端周向延伸的切割边缘9221。钉和刀片部分906还包括钉盒924。钉盒924限定有多个轴向设置的钉容纳槽9241，该钉容纳槽中储存有钉9242。在图18(a)示出的实施方式中，钉容纳槽9241绕钉盒924周向地设置成径向隔开的两行，其中第一行中的钉容纳槽9241重叠在第二行中的钉容纳槽9241上。此外，钉盒924的远端形成有夹紧面9243。
钉和刀片部分906还包括钉推进器928。钉推进器928具有多个轴向设置的推进齿9281，每个推进齿对应于并且对准钉盒924的钉容纳槽9241。钉推进器928还包括在其外表面上的键9202。
图18(b)是示出了已装配情形下的钉和刀片部分906的多个部件的侧视截面图。输入轴902延伸穿过齿轮箱9043的第二孔9044，并构造成在该孔内转动。输入齿轮906安装在并不可转动地连接到输入轴902的远端。恒星齿轮908座落在外壳套筒904的近端，使得外壳套筒904的在远端延伸的圆柱形芯9045插入穿过恒星齿轮908的中心孔9081。在输入齿轮906的外表面上周向设置的齿轮齿9061啮合到恒星齿轮908的周向设置的齿轮齿9082。环形齿轮912固定在外壳套筒904的近端。首先，第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c径向地设置在恒星齿轮908和环形齿轮912之间，使得第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的周向设置的齿轮齿啮合到沿着环形齿轮912的内表面周向延伸的齿轮齿9121，且啮合到恒星齿轮908的齿轮齿9082。垫圈910抵靠住第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的近端侧和输入齿轮906的远端侧，从而防止这些部件轴向运动。
从十字头螺纹元件916的凸缘部916延伸的销9163插入在第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的内孔9141中，由此保持第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的周向间隔。从而，十字头螺纹元件916的凸缘部9161抵靠住第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的远端侧。
十字头螺纹元件916的颈部9162向远端延伸穿过螺母918的中心孔9181，使得颈部9162的外表面上的螺纹9164螺接到螺母918的中心孔9181内的螺纹9182。螺母918的键9184接合在外壳套筒904的内表面中的键槽9041内。
十字头螺纹元件916的颈部9162还向远端延伸穿过旋转推进器920的中心孔9201。旋转推进器920的中心孔9201内的键9202接合在十字头螺纹元件916的颈部9162中的键槽9165内。此外，一组滚珠轴承926分别设置在螺母918和旋转推进器920的周向沟槽9183和9204内，并在螺母918和旋转推进器920之间提供基本上无摩擦的接触。
十字头螺纹元件916的颈部9162还向远端延伸穿过刀片922的钉推进器928的中心。钉推进器928和刀片922的近端抵靠住旋转推进器920的远端面。钉推进器928的推进器指部9281向远端延伸并对准钉盒924的钉容纳槽9241。钉盒924设置在外壳套筒904的远端内，该钉盒的夹紧面9243形成钉和刀片部分906的远端面。
操作时，例如希望被切割并钉缝的一部分口腔组织的一部分组织设置在例如上文更全面地描述的砧组件的砧组件的夹紧面和钉盒924的夹紧面9243之间。当例如第一可转动驱动轴30的合适的驱动机构操作时，延伸穿过钉和刀片部分906的例如线缆的套针轴相对于钉和刀片部分906缩回，直到该部分组织充分地夹紧在各个夹紧面之间。通过一种装置，例如第一可转动驱动轴30的合适的驱动机构的操作使得套针轴相对于钉和刀片部分906缩回，该装置可以是例如上文所述的齿轮装置，或者可以是任意其它合适的机械装置。
参照图18(b)，输入轴902可连接到驱动轴，例如柔性轴104的第二可转动驱动轴104b。该驱动轴可接着由例如手柄部分102的手柄部分连接到柔性轴20的第二可转动驱动轴32。该驱动轴在例如顺时针方向的第一方向上的转动使得输入轴902在齿轮箱9043的第二孔9044内在第一方向上转动。通过输入轴902的远端与输入齿轮906不可转动的连接，输入轴902在第一方向上的转动使得输入齿轮906也在第一方向上转动。
通过输入齿轮906的周向设置的齿轮齿9061与恒星齿轮908的周向设置的齿轮齿9082的啮合，输入齿轮906在第一方向上的转动使得恒星齿轮908绕着向远端延伸的圆柱芯9045在外壳套筒904内在例如逆时针方向的第二方向上转动。此外，通过第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的外表面上周向设置的齿轮齿9142与恒星齿轮908的周向设置的齿轮齿9082的啮合，恒星齿轮908在第二方向上的转动使得第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c在第一方向上转动。因为第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的外表面上周向设置的齿轮齿9142还啮合到沿环形齿轮912的内表面周向延伸的齿轮齿9121，并且因为该环形齿轮912转动地固定在外壳套筒904的近端，所以第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c在第一方向上的转动导致第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c绕着恒星齿轮908在第二方向上转动。
由于从十字头螺纹元件916的凸缘部916延伸的销9163插入在第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c的内孔9141中，第一行星齿轮914a、第二行星齿轮914b和第三行星齿轮914c绕着恒星齿轮908在第二方向上的转动使得十字头螺纹元件916也在第二方向上转动。通过将颈部9162的外表面上的螺纹9164螺接到螺母918的中心孔9181内的螺纹9182，并且因为螺母918的键9184接合在外壳套筒904的内表面中的键槽9041内，所以十字头螺纹元件916在第二方向上的转动使得螺母918沿着十字头螺纹元件916的颈部9162向远端前进。
因为旋转推进器920的中心孔9021中的键9202接合在十字头螺纹元件916的颈部9162中的键槽9165，十字头螺纹元件916在第二方向上的转动使得旋转推进器920在第二方向上转动。旋转推进器920的近端侧接触到螺母918的远端侧，从而螺母918沿着十字头螺纹元件916的颈部9162向远端的前进使得旋转推进器920也沿着十字头螺纹元件916的颈部9162向远端前进。设置在螺母918和旋转推进器920的分别的周向沟槽9183和9204内的该组滚珠轴承926在螺母918和旋转推进器920之间提供大体上无摩擦的接触，其中螺母918是不转动的，而旋转推进器920是转动的。
旋转推进器920沿着十字头螺纹元件916的颈部9162向远端的前进使得刀片922穿过钉盒924的中心孔9244而向远端运动，以切割位于钉盒924的夹紧面9243和砧组件(未示出)的夹紧面之间的一部分组织，如上文中如前所述。此外，旋转推进器920沿着十字头螺纹元件916的颈部9162向远端的前进使得旋转推进器920的推进器凸轮9203在远端方向上推动钉推进器元件928。由于旋转推进器920在向远端前进的同时还转动，导致推进器凸轮9203依次接触并推压钉推进器928的钉推进器指部9281。特别地，当旋转推进器920绕着十字头螺纹元件916的颈部9162逐步转动时，推进器凸轮9203接触并推压第一钉推进器指部9281，然后是第二钉推进器指部9281，等等。当旋转推进器920绕着十字头螺纹元件916的颈部9162转动一圈后，推进器凸轮9203已经接触并推压钉推进器元件928的所有钉推进器指部9281。根据推进器凸轮9203相对于旋转推进器920的远端侧的高度，并根据钉9242的尖头的长度，一旦推进器凸轮9203接触到钉推进器元件928，可能需要旋转推进器920完成数圈转动，以使推进器凸轮9203将钉从钉盒924的槽9241中完全推出，并使钉9242顶住砧组件(未示出)的钉引导件而完全闭合。
如前所述，在插入到患者体内的外科设备——特别是传统的切割和钉缝设备——使用的过程中，所遇到的其中一个问题是，这些设备需要被插入到患者的截面积较小的孔窍或通道内，例如患者的口腔。因而外科设备的插入可能是困难的或者不可能的，和/或可能会损伤口腔通道的内表面。根据本发明的一个实施方式，为了便于将外科设备插入并穿过患者的小孔窍或通道，可能会使用套筒。例如图19(a)到19(e)示出了可能会采用的多种套筒，以便于将外科设备插入并穿过患者的小孔窍或通道。
图19(a)是套筒8000的分解立体图，其构造成在根据本发明的一个实施方式的例如圆形的切割和钉缝设备的外科设备插入到患者体内的过程中，该套筒遮蔽该外科设备。有利地，套筒8000的尺寸和形状和/或轮廓一般类似于由其所遮蔽的外科设备的尺寸和和形状和/或轮廓。仅出于示例性的目的，下面描述的套筒描述为通过与外科附属装置100结合而使用，然而应该认识到该套筒可用于遮蔽任意类型的外科设备。此外，仅出于示例性的目的，下面描述的套筒描述为用于遮蔽外科设备，该外科设备用于插入在患者的空腔通道内，然而应该认识到该套筒可在向患者的任意类型的孔窍或通道插入外科设备时用于遮蔽该外科设备。
套筒8000可由组织兼容的、可消毒的弹性体材料制成。优选地，套筒8000可由耐高压加热的材料制成。此外，套筒8000可由具有高或比较高的润滑性的材料制成。例如，套筒8000可由例如TeflonTM(即含氟聚合物，例如聚四氟乙烯——“PTFE”)、硅酮、TeflonTM/硅酮化合物，例如SIL-KORETM(由W.L.Gore & Associates制造)、“EPTFE”，例如膨胀特氟隆等。可采用的其它合适的材料和密封装置在2002年3月15日提交的本申请人的共同未决的美国专利申请10/099,634中作了进一步的详细描述，该文在此全文引入以供参考。
套筒8000包括一个或多个闭合元件，例如闭合元件8020和8022，该闭合元件构造成在插入位置和缩回位置之间选择性地调整。套筒8000还包括远端部分8024。远端部分8024可构造成遮蔽例如钉和刀片部分106的外科设备的远端部分或外科设备的任意其它远端部分。套筒8000还可包括近端部分8026。近端部分8026可构造成覆盖外科设备的近端部分。例如，套筒8000的近端部分8026可构造成遮蔽例如图1中示出并结合其描述的柔性轴20或柔性轴104等的柔性轴，或者例如图7(a)示出并结合其描述的手柄部分102或者图13(a)中示出并结合其描述的手柄部分5102等的手柄部分。环形导引器元件8010可连接到套筒8000的近端部分8026，并用作便于将外科设备插入在套筒8000中。
图19(b)是根据本发明一个实施方式的套筒8000的一部分的侧视截面图。在该实施方式中，闭合元件8020和8022示出为逐渐变细，从而形成类似于“鸭嘴”的形状。应该认识到，套筒8000的闭合元件可具有便于将外科附属装置100插入到口腔通道中的任意合适的形状。图19(b)示出了位于关闭位置的闭合元件8020和8022，其中套筒8000适于插入到口腔通道中。当闭合元件8020和8022位于关闭位置时，如图所示，闭合元件8020和8022的逐渐变细的设置使得套筒8000及由该套筒所遮蔽的外科附属装置100可以更方便地插入到口腔通道中，由此减小损伤口腔通道的内表面的可能性。在一种实施方式中，闭合元件8020和8022可通过附连到外科附属装置100的一部分而保持在关闭位置，例如通过附连到例如图1中示出并结合其描述的套针110的套针。
图19(c)示出了位于打开位置的闭合元件8020和8022。特别地，当套筒8000已插入到口腔通道中后，闭合元件8020和8022可被打开，从而使得套筒8000内的外科附属装置100可以执行所期望的外科手术。例如，闭合元件8020和8022可被打开从而使得砧组件112可连接到钉和刀片部分106，然后朝向钉和刀片部分106缩回并顶住钉和刀片部分106。
为了打开闭合元件8020和8022，远端部分8024和/或闭合元件8020和8022可具有缩回机构。例如，图19(a)示出薄片8028，该薄片是套筒8000的远端部分8024的一部分，或从该远端部分延伸。这些薄片8028可连接到闭合元件8020和8022，例如通过层压到其上或通过穿过闭合元件8020和8022的周向设置的槽8030而插入。从而，当套筒8000插入到口腔通道中后，套筒8000可相对于外科附属装置100在近端方向上运动。套筒8000相对于外科附属装置100在近端方向上的运动使得闭合元件8020和8022枢转或打开。
根据套筒8000和外科附属装置100的尺寸和形状，一旦闭合元件8020和8022打开，套筒8000可留在原位。在此情形下，随后可使用套筒8000——例如外科操作完成后——以便于从口腔通道取出外科附属装置100。可选地，一旦闭合元件8020和8022打开，可通过套筒8000相对于外科附属装置100在向近端方向的持续运动而将套筒8000从口腔通道中取出，而外科附属装置100仍然在口腔通道中。在此情形下，导致包括闭合元件8020和8022的套筒8000在外科附属装置100上滑动。尽管薄片8028在图19(a)中示出为在纵向上是直的，在其它实施方式中，薄片可具有不同的形状，例如钩状、环形等。
图19(d)和19(e)示出了根据本发明另一实施方式的套筒8100。特别地，图19(d)示出了位于插入位置的套筒8100。在该插入位置，套筒8100构造成遮蔽外科附属装置100，还使得外科附属装置100便于插入到口腔通道中。
套筒8100可包括远端部分8105。远端部分8105可构造成遮蔽外科附属装置100的远端部分，例如钉和刀片部分106。套筒8100可还包括近端部分8107。近端部分8107可构造成遮蔽外科附属装置100的近端部分或连接到外科附属装置100的任意其它部件。例如，套筒8000的近端部分8107可构造成遮蔽例如图1中示出并结合其描述的柔性轴20或柔性轴104等的柔性轴，或者例如图7(a)示出并结合其描述的手柄部分102或者图13(a)中示出并结合其描述的手柄部5102等的手柄部分。
套筒8100还可包括闭合元件。该闭合元件可构造成环8102，然而可采用其它的形状。当套筒8100在插入位置中时，环8102设置为：由环8102所限定的轴线8104基本上垂直于由钉和刀片部分106所限定的纵轴8106。通过将环8102附连到外科附属装置100的一部分，例如附连到延伸穿过钉和刀片部分106的套针110，环8102可保持在此位置。在此位置，环8102的一侧8110与钉和刀片部分106的远端侧接触，并且环8102的相对侧8112对着钉和刀片部分106设置。环8102的外圆周提供了通常的曲面，该曲面一旦插入口腔通道内，就在外科附属装置100通过口腔通道之前逐渐打开口腔通道。以此方式，使得外科附属装置100便于插入到口腔通道中。
图19(e)示出了环8102处在缩回位置。特别地，当其中具有外科附属装置100的套筒8100插入到口腔通道内之后，环8102可相对于外科附属装置100运动，从而允许外科附属装置100执行所期望的外科手术。例如，环8102可相对于轴线8109转动，从而允许砧组件112连接到并然后朝向钉和刀片部分106缩回。为了缩回环8102，套筒8100可在近端方向相对于外科附属装置100运动。套筒8100在近端方向相对于外科附属装置100的运动使得环8102从外科附属装置100的例如套针100上分离并且朝向并顶住钉和刀片部分106而拉动。套筒8100相对于外科附属装置100在向近端方向的持续运动将使得环8102转动并且最终设置成由环8102所限定的轴线8104与由钉和刀片部分106所限定的轴线8106同轴。在此位置，如果环8102的外径小于钉和刀片部分106的外径，环8102可如图19(e)所示由其整个圆周接触钉和刀片部分106。因此，套筒8100可在外科手术期间继续遮蔽钉和刀片部分106并且随后可被用于——例如外科操作完成之后——使外科附属装置100便于从口腔通道中取出。可选地，如果环8102的外径大于钉和刀片部分106的外径，套筒8100相对于外科附属装置的持续运动将使得环8102滑过外科附属装置100，用于从口腔通道中取出套筒8100。
因此，以最有效的方式达到了本发明的几个上述的目标和优点。本领域技术人员能够理解的是，以上描述的示例性实施方式的多种修改可在不偏离本发明的精神和范围下获得。尽管这里本发明描述和详细披露了单独的示例性实施方式，需要理解的是，本发明的范围并不限制于此，并且其范围由其所附的权利要求来确定。

Claims (12)

1.一种用于切割和钉缝一部分组织这二者至少其中之一的外科设备，包括：
用于钉的外壳，该外壳形成有孔并具有远端，所述外壳还具有内表面，一环形边缘从所述内表面到所述孔径向向内延伸；
套针轴，该套针轴穿过该外壳的孔设置，从而能够相对于该外壳移动，所述套针轴包括套针；和
砧，该砧能够附连到该套针轴并构造成能够通过该套针轴的运动而相对于该外壳移动，所述砧包括从所述砧向近侧延伸的砧套筒和构造成容纳所述套针的套针容纳槽，所述砧套筒具有形成在其外表面上并围绕其径向延伸的周向凹陷通道，从而当所述砧套筒设置在所述孔中时，所述周向凹陷通道构造成容纳所述边缘以使所述砧套筒可松开地且轴向地固定在所述孔中并且使所述砧相对所述外壳轴向地锁定在预定位置；
其中所述套针轴的至少一部分是柔性的，所述至少一部分是如下的部分：其相对于在外壳的远端处的夹紧面能够向远侧延伸并且能够在所述夹紧面和所述砧之间延伸。
2.如权利要求1所述的外科设备，其中所述套针容纳槽形成于线缆延伸元件内，该线缆延伸元件具有连通到该套针容纳槽的轴向延伸孔。
3.如权利要求2所述的外科设备，其中所述轴向延伸孔具有能够插入所述套针的宽的部分和将该套针保持在该轴向延伸孔中的窄的部分。
4.如权利要求3所述的外科设备，其中通过操作第一驱动器，所述套针轴能够相对于该外壳在延伸位置和所述砧套筒的周向凹陷通道容纳所述边缘的位置之间移动。
5.如权利要求4述的外科设备，其中所述第一驱动器能够通过第一可转动驱动轴的转动而操作。
6.如权利要求5所述的外科设备，其中所述第一可转动驱动轴由至少一个马达选择性地转动。
7.如权利要求6所述的外科设备，其中所述第一可转动驱动轴在控制器的控制下选择性地转动。
8.如权利要求7所述的外科设备，其中所述外科设备被构造成：当所述边缘容纳在所述砧套筒的周向凹陷通道中时，通过操作第二驱动器进行切割和钉缝组织这二者至少其中之一。
9.如权利要求8述的外科设备，其中所述第二驱动器能够通过第二可转动驱动轴的转动而操作。
10.如权利要求9所述的外科设备，其中所述第二可转动驱动轴由至少一个马达选择性地转动。
11.如权利要求10所述的外科设备，其中所述第二可转动驱动轴在控制器的控制下选择性地转动。
12.一种用于切割和钉缝一部分组织这二者至少其中之一的外科设备，包括：
用于钉的外壳，该外壳形成有孔并具有远端，所述外壳还具有内表面，一环形边缘从所述内表面到所述孔径向向内延伸；
套针轴，该套针轴穿过该外壳的孔设置，从而能够相对于该外壳移动，所述套针轴包括套针；和
砧，该砧能够附连到该套针轴并构造成能够通过该套针轴的运动而相对于该外壳移动，所述砧包括从所述砧向近侧延伸的砧套筒和构造成容纳所述套针的套针容纳槽，所述砧套筒具有形成在其外表面上并围绕其径向延伸的周向凹陷通道，从而当所述砧套筒拖入到所述孔中时，所述周向凹陷通道构造成容纳所述边缘以使所述砧套筒轴向地固定在所述孔中并且使所述砧相对所述外壳锁定在预定纵向位置，
其中所述套针轴的至少一部分是柔性的，所述至少一部分是如下的部分：其相对于在外壳的远端处的夹紧面能够向远侧延伸并且能够在所述夹紧面和所述砧之间延伸。
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9277919B2 (en) 2010-09-30 2016-03-08 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising fibers to produce a resilient load
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9743929B2 (en) 2014-03-26 2017-08-29 Ethicon Llc Modular powered surgical instrument with detachable shaft assemblies

Families Citing this family (1210)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US8888688B2 (en) * 2000-04-03 2014-11-18 Intuitive Surgical Operations, Inc. Connector device for a controllable instrument
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
ES2385522T3 (es) * 2002-10-04 2012-07-26 Tyco Healthcare Group Lp Dispositivo de grapado quirúrgico
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
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
US10041822B2 (en) 2007-10-05 2018-08-07 Covidien Lp Methods to shorten calibration times for powered devices
US10022123B2 (en) 2012-07-09 2018-07-17 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical 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
US11311291B2 (en) 2003-10-17 2022-04-26 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
WO2006015319A2 (en) * 2004-07-30 2006-02-09 Power Medical Interventions, Inc. Flexible shaft extender and method of using same
US7938307B2 (en) 2004-10-18 2011-05-10 Tyco Healthcare Group Lp Support structures and methods of using the same
US7845536B2 (en) 2004-10-18 2010-12-07 Tyco Healthcare Group Lp Annular adhesive structure
US9364229B2 (en) 2005-03-15 2016-06-14 Covidien Lp Circular anastomosis structures
EP3738521B1 (en) 2005-06-03 2023-10-18 Covidien LP Surgical stapler with timer and feedback display
US11291443B2 (en) 2005-06-03 2022-04-05 Covidien Lp Surgical stapler with timer and feedback display
US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US7673780B2 (en) 2005-11-09 2010-03-09 Ethicon Endo-Surgery, Inc. Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
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
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
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
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US7422138B2 (en) * 2006-02-01 2008-09-09 Ethicon Endo-Surgery, Inc. Elliptical intraluminal surgical stapler for anastomosis
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
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
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US20110087276A1 (en) 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Method for forming a staple
US7665647B2 (en) 2006-09-29 2010-02-23 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
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
US8807414B2 (en) * 2006-10-06 2014-08-19 Covidien Lp System and method for non-contact electronic articulation sensing
US8336751B2 (en) 2006-10-06 2012-12-25 Covidien Lp Grasping jaw mechanism
US7963431B2 (en) * 2006-10-06 2011-06-21 Tyco Healthcare Group, Lp Grasping jaw mechanism
US7967178B2 (en) 2006-10-06 2011-06-28 Tyco Healthcare Group Lp Grasping jaw mechanism
US9028520B2 (en) 2006-12-22 2015-05-12 The Spectranetics Corporation Tissue separating systems and methods
US8961551B2 (en) 2006-12-22 2015-02-24 The Spectranetics Corporation Retractable separating systems and methods
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. 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
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7721936B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Interlock and surgical instrument including same
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US20080169333A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapler end effector with tapered distal end
AU2008223389B2 (en) 2007-03-06 2013-07-11 Covidien Lp Surgical stapling apparatus
US7669747B2 (en) 2007-03-15 2010-03-02 Ethicon Endo-Surgery, Inc. Washer for use with a surgical stapling instrument
US7431188B1 (en) 2007-03-15 2008-10-07 Tyco Healthcare Group Lp Surgical stapling apparatus with powered articulation
CA2681186C (en) 2007-03-22 2015-07-21 Tyco Healthcare Group Lp Apparatus for forming variable height surgical fasteners
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US11259801B2 (en) 2007-04-13 2022-03-01 Covidien Lp Powered surgical instrument
US7950560B2 (en) 2007-04-13 2011-05-31 Tyco Healthcare Group Lp Powered surgical instrument
US8800837B2 (en) 2007-04-13 2014-08-12 Covidien Lp Powered surgical instrument
US20080255413A1 (en) 2007-04-13 2008-10-16 Michael Zemlok Powered surgical instrument
US7823760B2 (en) 2007-05-01 2010-11-02 Tyco Healthcare Group Lp Powered surgical stapling device platform
US8028882B2 (en) * 2007-05-01 2011-10-04 Tyco Healthcare Group Anvil position detector for a surgical stapler
CA2685717C (en) 2007-05-07 2015-08-11 Tyco Healthcare Group Lp Variable size-uniform compression staple assembly
US7931660B2 (en) 2007-05-10 2011-04-26 Tyco Healthcare Group Lp Powered tacker instrument
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US7810693B2 (en) * 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7588176B2 (en) 2007-06-18 2009-09-15 Ethicon Endo-Surgery, Inc. Surgical cutting instrument with improved closure system
US7665646B2 (en) 2007-06-18 2010-02-23 Tyco Healthcare Group Lp Interlocking buttress material retention system
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
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US8062330B2 (en) 2007-06-27 2011-11-22 Tyco Healthcare Group Lp Buttress and surgical stapling apparatus
JP5360912B2 (ja) * 2007-06-28 2013-12-04 スジョウ タッチストーン インターナショナル メディカル サイエンス カンパニーリミテッド 回転カッターを具備する外科用ステイプラーヘッド機構部
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
US8348972B2 (en) * 2007-07-11 2013-01-08 Covidien Lp Surgical staple with augmented compression area
CN101801283B (zh) 2007-09-21 2012-07-18 Tyco医疗健康集团 手术器械
US9023014B2 (en) 2007-09-21 2015-05-05 Covidien Lp Quick connect assembly for use between surgical handle assembly and surgical accessories
US7866524B2 (en) * 2007-09-24 2011-01-11 Tyco Healthcare Group Lp Stapler powered auxiliary device for injecting material between stapler jaws
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
US10779818B2 (en) 2007-10-05 2020-09-22 Covidien Lp Powered surgical stapling device
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US8960520B2 (en) 2007-10-05 2015-02-24 Covidien Lp Method and apparatus for determining parameters of linear motion in a surgical instrument
EP2044892A3 (en) * 2007-10-05 2012-11-21 Tyco Healthcare Group LP Surgical stapling apparatus
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US8011554B2 (en) * 2008-01-09 2011-09-06 Tyco Healthcare Group, Lp Raised boss for staple guide
US8490851B2 (en) 2008-01-15 2013-07-23 Covidien Lp Surgical stapling apparatus
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
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
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
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
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US8100310B2 (en) 2008-04-14 2012-01-24 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US20090255974A1 (en) * 2008-04-14 2009-10-15 Tyco Healthcare Group Lp Single loop surgical fastener apparatus for applying variable compression
US8231040B2 (en) 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US7926691B2 (en) 2008-04-14 2011-04-19 Tyco Healthcare Group, L.P. Variable compression surgical fastener cartridge
US8231041B2 (en) * 2008-04-14 2012-07-31 Tyco Healthcare Group Lp Variable compression surgical fastener cartridge
US8028884B2 (en) 2008-04-22 2011-10-04 Tyco Healthcare Group Lp Cartridge for applying varying amounts of tissue compression
US8967446B2 (en) * 2008-05-09 2015-03-03 Covidien Lp Variable compression surgical fastener cartridge
US8091756B2 (en) * 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
US8464922B2 (en) 2008-05-09 2013-06-18 Covidien Lp Variable compression surgical fastener cartridge
US9016541B2 (en) * 2008-05-09 2015-04-28 Covidien Lp Varying tissue compression with an anvil configuration
US8186556B2 (en) 2008-05-09 2012-05-29 Tyco Healthcare Group Lp Variable compression surgical fastener apparatus
US8011551B2 (en) 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
US8074858B2 (en) 2008-07-17 2011-12-13 Tyco Healthcare Group Lp Surgical retraction mechanism
US20100023052A1 (en) 2008-07-23 2010-01-28 Tyco Healthcare Group Lp Staple for use in surgical procedures
US7832612B2 (en) 2008-09-19 2010-11-16 Ethicon Endo-Surgery, Inc. Lockout arrangement for a surgical stapler
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
DE102008051044A1 (de) 2008-10-09 2010-04-15 Osram Opto Semiconductors Gmbh Optoelektronisches Bauteil
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US8231042B2 (en) 2008-11-06 2012-07-31 Tyco Healthcare Group Lp Surgical stapler
US20100147921A1 (en) 2008-12-16 2010-06-17 Lee Olson Surgical Apparatus Including Surgical Buttress
US8770460B2 (en) * 2008-12-23 2014-07-08 George E. Belzer Shield for surgical stapler and method of use
US20100191332A1 (en) 2009-01-08 2010-07-29 Euteneuer Charles L Implantable Tendon Protection Systems and Related Kits and Methods
US8281974B2 (en) 2009-01-14 2012-10-09 Tyco Healthcare, Group LP Surgical stapler with suture locator
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
BRPI1008667A2 (pt) 2009-02-06 2016-03-08 Ethicom Endo Surgery Inc aperfeiçoamento do grampeador cirúrgico acionado
US8453913B2 (en) 2009-02-06 2013-06-04 Covidien Lp Anvil for surgical stapler
US8708211B2 (en) 2009-02-12 2014-04-29 Covidien Lp Powered surgical instrument with secondary circuit board
US9179910B2 (en) 2009-03-20 2015-11-10 Rotation Medical, Inc. Medical device delivery system and method
US8066167B2 (en) * 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US9486215B2 (en) 2009-03-31 2016-11-08 Covidien Lp Surgical stapling apparatus
US7967179B2 (en) 2009-03-31 2011-06-28 Tyco Healthcare Group Lp Center cinch and release of buttress material
US8444549B2 (en) * 2009-04-16 2013-05-21 Covidien Lp Self-steering endoscopic device
WO2010141872A1 (en) 2009-06-04 2010-12-09 Rotation Medical, Inc. Apparatus for fixing sheet-like materials to a target tissue
US9179961B2 (en) * 2009-06-04 2015-11-10 Rotation Medical, Inc. Methods and apparatus for deploying sheet-like materials
US8821514B2 (en) 2009-06-08 2014-09-02 Covidien Lp Powered tack applier
US8146790B2 (en) 2009-07-11 2012-04-03 Tyco Healthcare Group Lp Surgical instrument with safety mechanism
US8328062B2 (en) * 2009-07-21 2012-12-11 Covidien Lp Surgical instrument with curvilinear tissue-contacting surfaces
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8152041B2 (en) 2009-10-14 2012-04-10 Tyco Healthcare Group Lp Varying tissue compression aided by elastic members
US9693772B2 (en) 2009-10-15 2017-07-04 Covidien Lp Staple line reinforcement for anvil and cartridge
US20150231409A1 (en) 2009-10-15 2015-08-20 Covidien Lp Buttress brachytherapy and integrated staple line markers for margin identification
US20110114697A1 (en) * 2009-11-19 2011-05-19 Ethicon Endo-Surgery, Inc. Circular stapler introducer with multi-lumen sheath
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US9198750B2 (en) 2010-03-11 2015-12-01 Rotation Medical, Inc. Tendon repair implant and method of arthroscopic implantation
US8662370B2 (en) * 2010-04-08 2014-03-04 Hidehisa Thomas Takei Introducer system and assembly for surgical staplers
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8801735B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical circular stapler with tissue retention arrangements
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9592050B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc End effector comprising a distal tissue abutment member
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US8752699B2 (en) 2010-09-30 2014-06-17 Ethicon Endo-Surgery, Inc. Implantable fastener cartridge comprising bioabsorbable layers
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
BR112013007717B1 (pt) 2010-09-30 2020-09-24 Ethicon Endo-Surgery, Inc. Sistema de grampeamento cirúrgico
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US20220338870A1 (en) * 2010-09-30 2022-10-27 Cilag Gmbh International Tissue thickness compensator comprising a reservoir
US9301755B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Compressible staple cartridge assembly
US9750502B2 (en) 2010-10-01 2017-09-05 Covidien Lp Surgical stapling device for performing circular anastomosis and surgical staples for use therewith
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8292150B2 (en) 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
WO2012145059A1 (en) 2011-02-15 2012-10-26 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
CA2825918C (en) 2011-02-15 2018-08-07 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet-like materials
US9113883B2 (en) 2011-03-14 2015-08-25 Ethicon Endo-Surgery, Inc. Collapsible anvil plate assemblies for circular surgical stapling devices
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US8789737B2 (en) 2011-04-27 2014-07-29 Covidien Lp Circular stapler and staple line reinforcement material
BR112013027794B1 (pt) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos
US8833629B2 (en) * 2011-05-19 2014-09-16 Ethicon Endo-Surgery, Inc. Reusable circular stapler handle with open assembly architecture
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9198661B2 (en) 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US8708212B2 (en) 2011-10-18 2014-04-29 Covidien Lp Tilt top anvil with torsion spring
US11207089B2 (en) 2011-10-25 2021-12-28 Covidien Lp Apparatus for endoscopic procedures
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
US9675351B2 (en) 2011-10-26 2017-06-13 Covidien Lp Buttress release from surgical stapler by knife pushing
US9016547B2 (en) 2011-10-26 2015-04-28 Covidien Lp EEA tilt top anvil with ratchet/locking mechanism
US9364231B2 (en) 2011-10-27 2016-06-14 Covidien Lp System and method of using simulation reload to optimize staple formation
US9351731B2 (en) 2011-12-14 2016-05-31 Covidien Lp Surgical stapling apparatus including releasable surgical buttress
US9113885B2 (en) 2011-12-14 2015-08-25 Covidien Lp Buttress assembly for use with surgical stapling device
US9237892B2 (en) 2011-12-14 2016-01-19 Covidien Lp Buttress attachment to the cartridge surface
EP3363371B1 (en) 2011-12-19 2023-11-15 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
WO2013096219A1 (en) 2011-12-19 2013-06-27 Rotation Medical, Inc. Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
WO2013096224A1 (en) 2011-12-19 2013-06-27 Rotation Medical, Inc. Fasteners for affixing sheet -like materials to bone or tissue
US9107661B2 (en) 2011-12-19 2015-08-18 Rotation Medical, Inc. Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
WO2013101641A2 (en) 2011-12-29 2013-07-04 Rotation Medical, Inc. Anatomical location markers and methods of use in positioning sheet-like materials during surgery
CA2859649A1 (en) 2011-12-29 2013-07-04 Rotation Medical, Inc. Methods and apparatus for delivering and positioning sheet -like materials in surgery
WO2013101640A1 (en) 2011-12-29 2013-07-04 Rotation Medical, Inc. Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
US9010605B2 (en) 2012-01-12 2015-04-21 Covidien Lp Sliding sleeve for circular stapling instrument reloads
US9168042B2 (en) 2012-01-12 2015-10-27 Covidien Lp Circular stapling instruments
US9326773B2 (en) 2012-01-26 2016-05-03 Covidien Lp Surgical device including buttress material
US9038882B2 (en) 2012-02-03 2015-05-26 Covidien Lp Circular stapling instrument
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9022274B2 (en) 2012-02-15 2015-05-05 Covidien Lp Circular stapler with increased lumen diameter
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
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
RU2014143258A (ru) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий множество слоев
CN104334098B (zh) 2012-03-28 2017-03-22 伊西康内外科公司 包括限定低压强环境的胶囊剂的组织厚度补偿件
BR112014024194B1 (pt) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos para um grampeador cirúrgico
US9186141B2 (en) * 2012-04-12 2015-11-17 Covidien Lp Circular anastomosis stapling apparatus utilizing a two stroke firing sequence
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
US9868198B2 (en) * 2012-06-01 2018-01-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10080563B2 (en) 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
US9351734B2 (en) 2012-06-19 2016-05-31 Covidien Lp Spring loaded anvil retainer
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
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
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
RU2636861C2 (ru) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Блокировка пустой кассеты с клипсами
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US10213205B2 (en) * 2012-07-06 2019-02-26 Covidien Lp T-slot tilt anvil for circular stapling instrument
US10492814B2 (en) 2012-07-09 2019-12-03 Covidien Lp Apparatus for endoscopic procedures
US9839480B2 (en) 2012-07-09 2017-12-12 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US9572576B2 (en) 2012-07-18 2017-02-21 Covidien Lp Surgical apparatus including surgical buttress
US9402604B2 (en) 2012-07-20 2016-08-02 Covidien Lp Apparatus for endoscopic procedures
US20140048580A1 (en) 2012-08-20 2014-02-20 Covidien Lp Buttress attachment features for surgical stapling apparatus
US9763692B2 (en) 2012-09-14 2017-09-19 The Spectranetics Corporation Tissue slitting methods and systems
US9675359B2 (en) 2012-10-10 2017-06-13 Covidien Lp Surgical instrument with preload assembly
US9161753B2 (en) 2012-10-10 2015-10-20 Covidien Lp Buttress fixation for a circular stapler
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
US9364236B2 (en) * 2012-11-09 2016-06-14 Covidien Lp Slanted introducer for end-to-end anastomosis anvil
US9572572B2 (en) 2012-11-09 2017-02-21 Covidien Lp Circular stapler mechanical lockout
US9295466B2 (en) 2012-11-30 2016-03-29 Covidien Lp Surgical apparatus including surgical buttress
US9402627B2 (en) 2012-12-13 2016-08-02 Covidien Lp Folded buttress for use with a surgical apparatus
US9597081B2 (en) * 2012-12-17 2017-03-21 Ethicon Endo-Surgery, Llc Motor driven rotary input circular stapler with modular end effector
US9445816B2 (en) * 2012-12-17 2016-09-20 Ethicon Endo-Surgery, Llc Circular stapler with selectable motorized and manual control
CN103156660B (zh) * 2012-12-26 2015-05-06 苏州天臣国际医疗科技有限公司 圆管型吻合器
US9351724B2 (en) * 2013-01-11 2016-05-31 Covidien Lp Circular stapling instrument
US9782187B2 (en) 2013-01-18 2017-10-10 Covidien Lp Adapter load button lockout
US10918364B2 (en) 2013-01-24 2021-02-16 Covidien Lp Intelligent adapter assembly for use with an electromechanical surgical system
US9192383B2 (en) 2013-02-04 2015-11-24 Covidien Lp Circular stapling device including buttress material
US9414839B2 (en) * 2013-02-04 2016-08-16 Covidien Lp Buttress attachment for circular stapling device
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US9216013B2 (en) 2013-02-18 2015-12-22 Covidien Lp Apparatus for endoscopic procedures
US9421003B2 (en) 2013-02-18 2016-08-23 Covidien Lp Apparatus for endoscopic procedures
US9504470B2 (en) 2013-02-25 2016-11-29 Covidien Lp Circular stapling device with buttress
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
US20140239047A1 (en) 2013-02-28 2014-08-28 Covidien Lp Adherence concepts for non-woven absorbable felt buttresses
RU2672520C2 (ru) 2013-03-01 2018-11-15 Этикон Эндо-Серджери, Инк. Шарнирно поворачиваемые хирургические инструменты с проводящими путями для передачи сигналов
US9398911B2 (en) 2013-03-01 2016-07-26 Ethicon Endo-Surgery, Llc Rotary powered surgical instruments with multiple degrees of freedom
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
US9782173B2 (en) * 2013-03-07 2017-10-10 Covidien Lp Circular stapling device including buttress release mechanism
US9283040B2 (en) 2013-03-13 2016-03-15 The Spectranetics Corporation Device and method of ablative cutting with helical tip
US10383691B2 (en) 2013-03-13 2019-08-20 The Spectranetics Corporation Last catheter with helical internal lumen
US9883885B2 (en) 2013-03-13 2018-02-06 The Spectranetics Corporation System and method of ablative cutting and pulsed vacuum aspiration
US9291663B2 (en) 2013-03-13 2016-03-22 The Spectranetics Corporation Alarm for lead insulation abnormality
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9456872B2 (en) 2013-03-13 2016-10-04 The Spectranetics Corporation Laser ablation catheter
US9492189B2 (en) 2013-03-13 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US10835279B2 (en) 2013-03-14 2020-11-17 Spectranetics Llc Distal end supported tissue slitting apparatus
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9592056B2 (en) 2013-03-14 2017-03-14 Covidien Lp Powered stapling apparatus
CN104042292A (zh) 2013-03-15 2014-09-17 柯惠Lp公司 包括可重复利用的组件的手术吻合装置
US9668765B2 (en) 2013-03-15 2017-06-06 The Spectranetics Corporation Retractable blade for lead removal device
US9925366B2 (en) 2013-03-15 2018-03-27 The Spectranetics Corporation Surgical instrument for removing an implanted object
WO2017048486A1 (en) 2013-03-15 2017-03-23 The Spectranetics Corporation Medical device for removing an implanted object using laser cut hypotubes
US9918737B2 (en) 2013-03-15 2018-03-20 The Spectranetics Corporation Medical device for removing an implanted object
US10448999B2 (en) 2013-03-15 2019-10-22 The Spectranetics Corporation Surgical instrument for removing an implanted object
US10842532B2 (en) 2013-03-15 2020-11-24 Spectranetics Llc Medical device for removing an implanted object
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US9700318B2 (en) 2013-04-09 2017-07-11 Covidien Lp Apparatus for endoscopic procedures
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
AT513482B1 (de) * 2013-04-22 2014-05-15 Dominik Kovács Vorrichtung zur Herstellung von Anastomosen
US9801646B2 (en) 2013-05-30 2017-10-31 Covidien Lp Adapter load button decoupled from loading unit sensor
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9532780B2 (en) 2013-06-12 2017-01-03 Covidien Lp EEA anvil snap ring activator
US9668740B2 (en) 2013-06-14 2017-06-06 Covidien Lp Anvil assembly with sliding sleeve
CA2911179C (en) 2013-06-17 2022-03-29 Covidien Lp Surgical instrument with lockout mechanism
US10117654B2 (en) 2013-06-18 2018-11-06 Covidien Lp Method of emergency retraction for electro-mechanical surgical devices and systems
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
US9629633B2 (en) * 2013-07-09 2017-04-25 Covidien Lp Surgical device, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US9750503B2 (en) 2013-07-11 2017-09-05 Covidien Lp Methods and devices for performing a surgical anastomosis
CN103340662B (zh) * 2013-08-02 2016-02-17 苏州天臣国际医疗科技有限公司 切割吻合器
US9636112B2 (en) * 2013-08-16 2017-05-02 Covidien Lp Chip assembly for reusable surgical instruments
US20150053746A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Torque optimization for surgical instruments
JP6416260B2 (ja) 2013-08-23 2018-10-31 エシコン エルエルシー 動力付き外科用器具のための発射部材後退装置
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
US9693773B2 (en) 2013-09-11 2017-07-04 Covidien Lp Anvil assembly with sliding sleeve
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
US20150076211A1 (en) * 2013-09-17 2015-03-19 Covidien Lp Surgical instrument controls with illuminated feedback
US9955966B2 (en) 2013-09-17 2018-05-01 Covidien Lp Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention
US10271840B2 (en) 2013-09-18 2019-04-30 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US9713469B2 (en) * 2013-09-23 2017-07-25 Ethicon Llc Surgical stapler with rotary cam drive
US20150083772A1 (en) * 2013-09-23 2015-03-26 Ethicon Endo-Surgery, Inc. Surgical stapler with rotary cam drive and return
US20180132849A1 (en) * 2016-11-14 2018-05-17 Ethicon Endo-Surgery, Llc Staple forming pocket configurations for circular surgical stapler anvil
US10709452B2 (en) 2013-09-23 2020-07-14 Ethicon Llc Methods and systems for performing circular stapling
US10478189B2 (en) * 2015-06-26 2019-11-19 Ethicon Llc Method of applying an annular array of staples to tissue
US9974540B2 (en) 2013-10-18 2018-05-22 Covidien Lp Adapter direct drive twist-lock retention mechanism
US9655620B2 (en) 2013-10-28 2017-05-23 Covidien Lp Circular surgical stapling device including buttress material
US9295522B2 (en) 2013-11-08 2016-03-29 Covidien Lp Medical device adapter with wrist mechanism
US9517070B2 (en) 2013-11-13 2016-12-13 Covidien Lp Anvil assembly and delivery system
US9554802B2 (en) 2013-11-13 2017-01-31 Covidien Lp Anvil assembly with frangible retaining member
US10236616B2 (en) 2013-12-04 2019-03-19 Covidien Lp Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof
US9918713B2 (en) 2013-12-09 2018-03-20 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
ES2755485T3 (es) 2013-12-09 2020-04-22 Covidien Lp Conjunto de adaptador para la interconexión de dispositivos quirúrgicos electromecánicos y unidades de carga quirúrgica, y sistemas quirúrgicos de los mismos
EP3079608B8 (en) 2013-12-11 2020-04-01 Covidien LP Wrist and jaw assemblies for robotic surgical systems
WO2015088655A1 (en) 2013-12-12 2015-06-18 Covidien Lp Gear train assemblies for robotic surgical systems
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
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9687232B2 (en) 2013-12-23 2017-06-27 Ethicon Llc Surgical staples
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9839424B2 (en) 2014-01-17 2017-12-12 Covidien Lp Electromechanical surgical assembly
US10219869B2 (en) 2014-02-12 2019-03-05 Covidien Lp Surgical end effectors and pulley assemblies thereof
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9301691B2 (en) 2014-02-21 2016-04-05 Covidien Lp Instrument for optically detecting tissue attributes
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
US12053203B2 (en) 2014-03-03 2024-08-06 Spectranetics, Llc Multiple configuration surgical cutting device
WO2015134383A1 (en) 2014-03-03 2015-09-11 The Spectranetics Corporation Multiple configuration surgical cutting device
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US20220218344A1 (en) * 2014-03-26 2022-07-14 Cilag Gmbh International Surgical instrument comprising a sensor system
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US10660713B2 (en) 2014-03-31 2020-05-26 Covidien Lp Wrist and jaw assemblies for robotic surgical systems
CN106456176B (zh) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 包括具有不同构型的延伸部的紧固件仓
US9844369B2 (en) 2014-04-16 2017-12-19 Ethicon Llc Surgical end effectors with firing element monitoring arrangements
JP6532889B2 (ja) 2014-04-16 2019-06-19 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 締結具カートリッジ組立体及びステープル保持具カバー配置構成
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
JP6612256B2 (ja) 2014-04-16 2019-11-27 エシコン エルエルシー 不均一な締結具を備える締結具カートリッジ
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US10164466B2 (en) 2014-04-17 2018-12-25 Covidien Lp Non-contact surgical adapter electrical interface
US10080552B2 (en) 2014-04-21 2018-09-25 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9668733B2 (en) 2014-04-21 2017-06-06 Covidien Lp Stapling device with features to prevent inadvertent firing of staples
WO2015167808A1 (en) * 2014-04-29 2015-11-05 Covidien Lp Surgical instruments, instrument drive units, and surgical assemblies thereof
US9913643B2 (en) 2014-05-09 2018-03-13 Covidien Lp Interlock assemblies for replaceable loading unit
WO2015172052A1 (en) 2014-05-09 2015-11-12 Rotation Medical, Inc. Medical implant delivery system for sheet-like implant
US10405924B2 (en) 2014-05-30 2019-09-10 The Spectranetics Corporation System and method of ablative cutting and vacuum aspiration through primary orifice and auxiliary side port
CN106456166B (zh) 2014-06-12 2019-11-01 柯惠有限合伙公司 外科缝合器
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US9867619B2 (en) 2014-06-24 2018-01-16 Covidien Lp System for delivering an anvil assembly to a surgical site
US9861367B2 (en) 2014-06-24 2018-01-09 Covidien Lp Anvil assembly delivery systems
US9987095B2 (en) 2014-06-26 2018-06-05 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US10561418B2 (en) 2014-06-26 2020-02-18 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9763661B2 (en) 2014-06-26 2017-09-19 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10163589B2 (en) 2014-06-26 2018-12-25 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US9839425B2 (en) 2014-06-26 2017-12-12 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
JP6405041B2 (ja) 2014-07-04 2018-10-17 コヴィディエン リミテッド パートナーシップ 外科手術ステープリングデバイスのための送り出し部材を備えた装填ユニット
US9757133B2 (en) 2014-07-09 2017-09-12 Covidien Lp Methods and devices for performing a surgical anastomosis
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US10016199B2 (en) 2014-09-05 2018-07-10 Ethicon Llc Polarity of hall magnet to identify cartridge type
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
MX2017003960A (es) 2014-09-26 2017-12-04 Ethicon Llc Refuerzos de grapas quirúrgicas y materiales auxiliares.
WO2016057225A1 (en) 2014-10-07 2016-04-14 Covidien Lp Handheld electromechanical surgical system
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
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
US10729443B2 (en) 2014-10-21 2020-08-04 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US9949737B2 (en) 2014-10-22 2018-04-24 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10085750B2 (en) 2014-10-22 2018-10-02 Covidien Lp Adapter with fire rod J-hook lockout
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
US10675019B2 (en) 2014-11-04 2020-06-09 Rotation Medical, Inc. Medical implant delivery system and related methods
WO2016073502A1 (en) 2014-11-04 2016-05-12 Rotation Medical, Inc. Medical implant delivery system and related methods
EP4275620A3 (en) 2014-11-04 2024-01-17 Rotation Medical, Inc. Medical implant delivery system
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10085744B2 (en) 2014-12-08 2018-10-02 Covidien Lp Loading unit attachment band for surgical stapling instrument
US9855045B2 (en) 2014-12-09 2018-01-02 Covidien Lp Anvil assembly delivery system
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
JP6480585B2 (ja) 2014-12-11 2019-03-13 コヴィディエン リミテッド パートナーシップ 自動拘止機構を有するステープラ
WO2016090594A1 (en) 2014-12-11 2016-06-16 Covidien Lp Surgical stapling loading unit
US10542985B2 (en) 2014-12-17 2020-01-28 Covidien Lp Surgical stapling device with firing indicator
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
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
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US10039549B2 (en) 2015-01-07 2018-08-07 Covidien Lp Loading unit retention clip for surgical stapling instrument
US10022126B2 (en) 2015-01-07 2018-07-17 Covidien Lp Loading unit locking collar
US10117656B2 (en) 2015-01-07 2018-11-06 Covidien Lp Loading unit locking collar
EP3256057B1 (en) 2015-02-15 2021-07-28 Covidien LP Surgical stapling device with firing indicator of unitary construction
US10111665B2 (en) 2015-02-19 2018-10-30 Covidien Lp Electromechanical surgical systems
USD770616S1 (en) 2015-02-20 2016-11-01 The Spectranetics Corporation Medical device handle
USD765243S1 (en) 2015-02-20 2016-08-30 The Spectranetics Corporation Medical device handle
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
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
US10045779B2 (en) 2015-02-27 2018-08-14 Ethicon Llc Surgical instrument system comprising an inspection station
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
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
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
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
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
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
US10190888B2 (en) 2015-03-11 2019-01-29 Covidien Lp Surgical stapling instruments with linear position assembly
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10226239B2 (en) 2015-04-10 2019-03-12 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10327779B2 (en) 2015-04-10 2019-06-25 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US11432902B2 (en) 2015-04-10 2022-09-06 Covidien Lp Surgical devices with moisture control
ES2950459T3 (es) 2015-04-22 2023-10-10 Covidien Lp Sistema quirúrgico electromecánico portátil
US10881408B2 (en) 2015-04-22 2021-01-05 Covidien Lp Interlock assembly for replaceable loading units
US11278286B2 (en) 2015-04-22 2022-03-22 Covidien Lp Handheld electromechanical surgical system
US10426480B2 (en) 2015-04-29 2019-10-01 Covidien Lp Cutting ring assembly with rigid cutting member
CA2983341A1 (en) 2015-05-06 2016-11-10 Rotation Medical, Inc. Medical implant delivery system and related methods
US9987001B2 (en) 2015-06-12 2018-06-05 Covidien Lp Surgical anastomosis apparatus
WO2016205186A1 (en) 2015-06-15 2016-12-22 Rotation Medical, Inc. Tendon repair implant and method of implantation
US10335149B2 (en) 2015-06-18 2019-07-02 Ethicon Llc Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support
US10307157B2 (en) * 2015-06-26 2019-06-04 Ethicon Llc Surgical stapler with anvil seating detection
US10517602B2 (en) * 2015-06-26 2019-12-31 Ethicon Llc Surgical stapler with reversible polarity
US10226253B2 (en) * 2015-06-26 2019-03-12 Ethicon Llc Firing assembly for circular stapler
US9974536B2 (en) 2015-07-02 2018-05-22 Covidien Lp Anvil assemblies and delivery systems
US10111668B2 (en) 2015-07-02 2018-10-30 Covidien Lp Anvil assembly with snap backup ring
US10117655B2 (en) 2015-07-22 2018-11-06 Covidien Lp Loading unit locking band for surgical stapling instrument
US10085756B2 (en) 2015-07-24 2018-10-02 Covidien Lp Anvil assembly and anvil assembly delivery system
US10751058B2 (en) 2015-07-28 2020-08-25 Covidien Lp Adapter assemblies for surgical devices
US10117675B2 (en) 2015-07-28 2018-11-06 Covidien Lp Trocar tip protector
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
CN108348233B (zh) 2015-08-26 2021-05-07 伊西康有限责任公司 用于允许改变钉特性并实现轻松仓加载的外科钉条
US11103248B2 (en) 2015-08-26 2021-08-31 Cilag Gmbh International Surgical staples for minimizing staple roll
US10357252B2 (en) 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
MX2022006189A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US9980730B2 (en) 2015-09-21 2018-05-29 Covidien Lp Loading unit locking collar with rotational actuated release
US10327769B2 (en) * 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
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
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10111684B2 (en) 2015-09-25 2018-10-30 Covidien Lp Adapter assembly including a removable trocar assembly
CN108024835B (zh) 2015-09-25 2021-08-31 柯惠Lp公司 机器人外科手术组件及其器械驱动连接器
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10736685B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Generator for digitally generating combined electrical signal waveforms for ultrasonic surgical instruments
US10478188B2 (en) 2015-09-30 2019-11-19 Ethicon Llc Implantable layer comprising a constricted configuration
US10371238B2 (en) 2015-10-09 2019-08-06 Covidien Lp Adapter assembly for surgical device
US10413298B2 (en) 2015-10-14 2019-09-17 Covidien Lp Adapter assembly for surgical devices
US10542992B2 (en) 2015-10-19 2020-01-28 Covidien Lp Loading unit with stretchable bushing
CN108348256B (zh) 2015-10-20 2020-08-28 柯惠有限合伙公司 具有组织间隙指示器组件的圆形缝合器
CN108135616B (zh) 2015-10-21 2022-04-15 柯惠有限合伙公司 用于手术钉合器的环形刀
US10758228B2 (en) 2015-11-03 2020-09-01 Rotation Medical, Inc. Fastener delivery system and related methods
US10512466B2 (en) 2015-11-05 2019-12-24 Covidien Lp Adapter assembly for surgical device
US10939952B2 (en) 2015-11-06 2021-03-09 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10729435B2 (en) 2015-11-06 2020-08-04 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10292705B2 (en) 2015-11-06 2019-05-21 Covidien Lp Surgical apparatus
CN108289683B (zh) 2015-11-13 2021-06-25 柯惠有限合伙公司 具有可听指示器机构的圆形钉合器
US10617411B2 (en) 2015-12-01 2020-04-14 Covidien Lp Adapter assembly for surgical device
US10111660B2 (en) 2015-12-03 2018-10-30 Covidien Lp Surgical stapler flexible distal tip
US11020119B2 (en) 2015-12-07 2021-06-01 Covidien Lp Anvil assembly and delivery system
US10433841B2 (en) 2015-12-10 2019-10-08 Covidien Lp Adapter assembly for surgical device
US10390835B2 (en) 2015-12-10 2019-08-27 Covidien Lp Surgical fastener apparatus with linear position sensor
US10420554B2 (en) 2015-12-22 2019-09-24 Covidien Lp Personalization of powered surgical devices
US10253847B2 (en) 2015-12-22 2019-04-09 Covidien Lp Electromechanical surgical devices with single motor drives and adapter assemblies therfor
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
WO2017117415A1 (en) 2015-12-31 2017-07-06 Rotation Medical, Inc. Medical implant delivery system and related methods
US10314579B2 (en) 2016-01-07 2019-06-11 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
US10524797B2 (en) 2016-01-13 2020-01-07 Covidien Lp Adapter assembly including a removable trocar assembly
US11229450B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with motor drive
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US10660623B2 (en) 2016-01-15 2020-05-26 Covidien Lp Centering mechanism for articulation joint
US10508720B2 (en) 2016-01-21 2019-12-17 Covidien Lp Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
EP3410957B1 (en) 2016-02-04 2020-06-03 Covidien LP Circular stapler with visual indicator mechanism
US10433837B2 (en) 2016-02-09 2019-10-08 Ethicon Llc Surgical instruments with multiple link articulation arrangements
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10398439B2 (en) 2016-02-10 2019-09-03 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10603042B2 (en) * 2016-02-10 2020-03-31 Covidien Lp Flexible circular stapler
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
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US10307159B2 (en) 2016-04-01 2019-06-04 Ethicon Llc Surgical instrument handle assembly with reconfigurable grip portion
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
US10285705B2 (en) 2016-04-01 2019-05-14 Ethicon Llc Surgical stapling system comprising a grooved forming pocket
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control 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
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10799239B2 (en) 2016-05-09 2020-10-13 Covidien Lp Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors
US10588610B2 (en) 2016-05-10 2020-03-17 Covidien Lp Adapter assemblies for surgical devices
US10736637B2 (en) 2016-05-10 2020-08-11 Covidien Lp Brake for adapter assemblies for surgical devices
US10595871B2 (en) * 2016-05-10 2020-03-24 Covidien Lp Insertion instrument, adapter assemblies and protector assemblies for a flexible circular stapler
US10463374B2 (en) * 2016-05-17 2019-11-05 Covidien Lp Adapter assembly for a flexible circular stapler
US10702302B2 (en) 2016-05-17 2020-07-07 Covidien Lp Adapter assembly including a removable trocar assembly
AU2017269271B2 (en) 2016-05-26 2021-07-08 Covidien Lp Robotic surgical assemblies
US10959731B2 (en) 2016-06-14 2021-03-30 Covidien Lp Buttress attachment for surgical stapling instrument
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
CN109310431B (zh) 2016-06-24 2022-03-04 伊西康有限责任公司 包括线材钉和冲压钉的钉仓
US11000278B2 (en) 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped staples
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
US11141162B2 (en) 2016-07-08 2021-10-12 Covidien Lp Loading unit locking collar with linearly actuated release
US10653398B2 (en) 2016-08-05 2020-05-19 Covidien Lp Adapter assemblies for surgical devices
US11452522B2 (en) 2016-08-15 2022-09-27 Covidien Lp Circular stapling device with articulating anvil retainer assembly
US10499922B2 (en) 2016-11-04 2019-12-10 Covidien Lp Stapling device with self-releasing knife carrier pusher
US10426470B2 (en) 2016-11-04 2019-10-01 Covidien Lp Stapling device with releasable knife carrier
US11026686B2 (en) 2016-11-08 2021-06-08 Covidien Lp Structure for attaching buttress to anvil and/or cartridge of surgical stapling instrument
US11116594B2 (en) 2016-11-08 2021-09-14 Covidien Lp Surgical systems including adapter assemblies for interconnecting electromechanical surgical devices and end effectors
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
CN110114014B (zh) 2016-12-21 2022-08-09 爱惜康有限责任公司 包括端部执行器闭锁件和击发组件闭锁件的外科器械系统
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
US10624635B2 (en) 2016-12-21 2020-04-21 Ethicon Llc Firing members with non-parallel jaw engagement features for surgical end effectors
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10499914B2 (en) 2016-12-21 2019-12-10 Ethicon Llc Staple forming pocket arrangements
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
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
US10835247B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Lockout arrangements for surgical end effectors
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US20180168619A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US10667810B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems
US20180168650A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Connection portions for disposable loading units for surgical stapling instruments
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
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
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
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10874768B2 (en) 2017-01-20 2020-12-29 Covidien Lp Drug eluting medical device
US11241232B2 (en) 2017-01-24 2022-02-08 Covidien Lp Surgical stapling device with resettable anvil assembly
CN110198674A (zh) 2017-01-25 2019-09-03 柯惠Lp公司 圆形缝合装置和使用方法
BR102017003716A2 (pt) 2017-02-22 2018-10-30 Zammi Instrumental Ltda sistema para monitoramento de parâmetros fisiológicos em circulação extracorpórea
US10542993B2 (en) 2017-02-24 2020-01-28 Covidien Lp Anvil assembly of circular stapling device including alignment splines
US10925607B2 (en) * 2017-02-28 2021-02-23 Covidien Lp Surgical stapling apparatus with staple sheath
US10631945B2 (en) 2017-02-28 2020-04-28 Covidien Lp Autoclavable load sensing device
US10299790B2 (en) 2017-03-03 2019-05-28 Covidien Lp Adapter with centering mechanism for articulation joint
US11272929B2 (en) 2017-03-03 2022-03-15 Covidien Lp Dynamically matching input and output shaft speeds of articulating adapter assemblies for surgical instruments
CN110381852B (zh) 2017-03-09 2022-12-27 柯惠有限合伙公司 用于圆形钉合器设备的末端执行器组合件
CN110381853B (zh) 2017-03-09 2022-06-07 柯惠有限合伙公司 具有可听指示器机构的手术钉合装置
US10660641B2 (en) 2017-03-16 2020-05-26 Covidien Lp Adapter with centering mechanism for articulation joint
ES2924630T3 (es) 2017-03-23 2022-10-10 Covidien Lp Dispositivo de grapado circular con estrías de alineación
US10342534B2 (en) 2017-03-23 2019-07-09 Covidien Lp Surgical stapling device with releasable knife carrier
US11096610B2 (en) 2017-03-28 2021-08-24 Covidien Lp Surgical implants including sensing fibers
US10881409B2 (en) 2017-05-02 2021-01-05 Covidien Lp Rotation assembly for a surgical device
US10390858B2 (en) 2017-05-02 2019-08-27 Covidien Lp Powered surgical device with speed and current derivative motor shut off
US10603035B2 (en) 2017-05-02 2020-03-31 Covidien Lp Surgical loading unit including an articulating end effector
US11324502B2 (en) 2017-05-02 2022-05-10 Covidien Lp Surgical loading unit including an articulating end effector
US11311295B2 (en) 2017-05-15 2022-04-26 Covidien Lp Adaptive powered stapling algorithm with calibration factor
WO2019098954A2 (en) * 2017-05-24 2019-05-23 Senuysal Hilal A continuous stapling instrument
US10932784B2 (en) 2017-06-09 2021-03-02 Covidien Lp Handheld electromechanical surgical system
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
US10849628B2 (en) * 2017-06-12 2020-12-01 Covidien Lp Flexible surgical stapler
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
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
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
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
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
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
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10828029B2 (en) * 2017-06-27 2020-11-10 Ethicon Llc Surgical stapler with independently actuated drivers to provide varying staple heights
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10639037B2 (en) 2017-06-28 2020-05-05 Ethicon Llc Surgical instrument with axially movable closure member
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
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
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10987107B2 (en) 2017-07-05 2021-04-27 Covidien Lp Surgical stapling device
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US10849625B2 (en) 2017-08-07 2020-12-01 Covidien Lp Surgical buttress retention systems for surgical stapling apparatus
US11090054B2 (en) 2017-08-07 2021-08-17 Covidien Lp Stapling device with resettable tilt anvil assembly
US10828026B2 (en) 2017-08-08 2020-11-10 Covidien Lp Tiltable anvil assembly
US10695069B2 (en) 2017-08-23 2020-06-30 Covidien Lp Circular stapling device with offset spline tip
US10772700B2 (en) 2017-08-23 2020-09-15 Covidien Lp Contactless loading unit detection
US10945733B2 (en) 2017-08-23 2021-03-16 Covidien Lp Surgical buttress reload and tip attachment assemblies for surgical stapling apparatus
US10966720B2 (en) * 2017-09-01 2021-04-06 RevMedica, Inc. Surgical stapler with removable power pack
US10695060B2 (en) 2017-09-01 2020-06-30 RevMedica, Inc. Loadable power pack for surgical instruments
US11331099B2 (en) 2017-09-01 2022-05-17 Rev Medica, Inc. Surgical stapler with removable power pack and interchangeable battery pack
CN111107796B (zh) 2017-09-01 2023-06-30 柯惠有限合伙公司 具有定位肋的圆形缝合装置
JP2020533061A (ja) 2017-09-06 2020-11-19 コヴィディエン リミテッド パートナーシップ 手術ロボットの境界スケーリング
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
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
US10987104B2 (en) 2017-10-30 2021-04-27 Covidien Lp Apparatus for endoscopic procedures
US11026687B2 (en) 2017-10-30 2021-06-08 Cilag Gmbh International Clip applier comprising clip advancing systems
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11207066B2 (en) 2017-10-30 2021-12-28 Covidien Lp Apparatus for endoscopic procedures
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
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
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US10959744B2 (en) 2017-10-30 2021-03-30 Ethicon Llc Surgical dissectors and manufacturing techniques
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
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US11324507B2 (en) 2017-11-03 2022-05-10 Covidien Lp Device and method for attachment of a stomal sleeve
US10863988B2 (en) 2017-11-29 2020-12-15 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
JP7317826B2 (ja) 2017-12-07 2023-07-31 ローテーション メディカル インコーポレイテッド 医療用インプラント搬送システムおよび関連方法
US11141151B2 (en) 2017-12-08 2021-10-12 Covidien Lp Surgical buttress for circular stapling
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
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
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
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
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US10743868B2 (en) 2017-12-21 2020-08-18 Ethicon Llc Surgical instrument comprising a pivotable distal head
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
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
US12062442B2 (en) 2017-12-28 2024-08-13 Cilag Gmbh International Method for operating surgical instrument systems
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11612408B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Determining tissue composition via an ultrasonic system
US11844579B2 (en) 2017-12-28 2023-12-19 Cilag Gmbh International Adjustments based on airborne particle properties
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
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
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
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
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11672605B2 (en) 2017-12-28 2023-06-13 Cilag Gmbh International Sterile field interactive control displays
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
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
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
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
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
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
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US20190201139A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication arrangements for robot-assisted surgical platforms
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
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
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
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11058498B2 (en) 2017-12-28 2021-07-13 Cilag Gmbh International Cooperative surgical actions for robot-assisted surgical platforms
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
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
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
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
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
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
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
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
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
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
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
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
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
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
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US10898622B2 (en) 2017-12-28 2021-01-26 Ethicon Llc Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US20190206569A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method of cloud based data analytics for use with the hub
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
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
EP3735196A4 (en) 2018-01-04 2022-01-12 Covidien LP ROBOT SURGICAL INSTRUMENT WITH HIGHLY ARTICULABLE WRIST UNIT WITH TORQUE TRANSMISSION AND MECHANICAL MANIPULATION
WO2019157500A2 (en) 2018-02-12 2019-08-15 Intuitive Surgical, Inc. Surgical instrument with lockout mechanism
US11065000B2 (en) 2018-02-22 2021-07-20 Covidien Lp Surgical buttresses for surgical stapling apparatus
WO2019165403A1 (en) 2018-02-26 2019-08-29 Intuitive Surgical, Inc. Surgical instrument with lockout mechanism
US20190261982A1 (en) 2018-02-27 2019-08-29 Covidien Lp Powered stapler having varying staple heights and sizes
US11399858B2 (en) 2018-03-08 2022-08-02 Cilag Gmbh International Application of smart blade technology
US11337746B2 (en) 2018-03-08 2022-05-24 Cilag Gmbh International Smart blade and power pulsing
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11497501B2 (en) 2018-03-26 2022-11-15 Covidien Lp Circular stapling device with A-frame splines
US11197668B2 (en) 2018-03-28 2021-12-14 Cilag Gmbh International Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US10959733B2 (en) 2018-03-28 2021-03-30 Covidien Lp Surgical anvil assemblies for surgical stapling instruments
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
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
JP7069334B2 (ja) 2018-03-29 2022-05-17 コヴィディエン リミテッド パートナーシップ ロボット手術システムおよび器具駆動アセンブリ
US10595873B2 (en) * 2018-04-19 2020-03-24 Franklin Institute of Innovation, LLC Surgical staplers and related methods
US10952734B2 (en) 2018-04-23 2021-03-23 Covidien Lp Stapling device with cut ring biasing member
US11160556B2 (en) 2018-04-23 2021-11-02 Covidien Lp Threaded trocar for adapter assemblies
US10758237B2 (en) 2018-04-30 2020-09-01 Covidien Lp Circular stapling apparatus with pinned buttress
US11896230B2 (en) 2018-05-07 2024-02-13 Covidien Lp Handheld electromechanical surgical device including load sensor having spherical ball pivots
US11534172B2 (en) 2018-05-07 2022-12-27 Covidien Lp Electromechanical surgical stapler including trocar assembly release mechanism
US11399839B2 (en) 2018-05-07 2022-08-02 Covidien Lp Surgical devices including trocar lock and trocar connection indicator
US11426163B2 (en) 2018-05-09 2022-08-30 Covidien Lp Universal linear surgical stapling buttress
US11432818B2 (en) 2018-05-09 2022-09-06 Covidien Lp Surgical buttress assemblies
US11284896B2 (en) 2018-05-09 2022-03-29 Covidien Lp Surgical buttress loading and attaching/detaching assemblies
US12029473B2 (en) 2018-05-31 2024-07-09 Intuitive Surgical Operations, Inc. Surgical instruments having a jaw locking mechanism
US20190388091A1 (en) 2018-06-21 2019-12-26 Covidien Lp Powered surgical devices including strain gauges incorporated into flex circuits
US11197676B2 (en) 2018-06-28 2021-12-14 Covidien Lp Tie-down method for anvil assembly delivery system
US11219460B2 (en) 2018-07-02 2022-01-11 Covidien Lp Surgical stapling apparatus with anvil buttress
US11497490B2 (en) 2018-07-09 2022-11-15 Covidien Lp Powered surgical devices including predictive motor control
US11241233B2 (en) 2018-07-10 2022-02-08 Covidien Lp Apparatus for ensuring strain gauge accuracy in medical reusable device
EP3826566A4 (en) 2018-07-26 2022-08-10 Covidien LP SURGICAL ROBOTIC SYSTEMS
US11596496B2 (en) 2018-08-13 2023-03-07 Covidien Lp Surgical devices with moisture control
US11241234B2 (en) 2018-08-14 2022-02-08 Covidien Lp Anvil assembly with self-retaining backup member
US11076858B2 (en) 2018-08-14 2021-08-03 Covidien Lp Single use electronics for surgical devices
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
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
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
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
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
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
CN112584780B (zh) 2018-08-24 2024-09-17 柯惠有限合伙公司 电动圆形钉合装置
US10806459B2 (en) 2018-09-14 2020-10-20 Covidien Lp Drug patterned reinforcement material for circular anastomosis
US11510669B2 (en) 2020-09-29 2022-11-29 Covidien Lp Hand-held surgical instruments
US11389159B2 (en) 2018-09-21 2022-07-19 Covidien Lp Powered surgical tack applier
US10973544B2 (en) 2018-10-02 2021-04-13 Covidien Lp Retaining mechanism for trocar assembly
US10952729B2 (en) 2018-10-03 2021-03-23 Covidien Lp Universal linear buttress retention/release assemblies and methods
US11141163B2 (en) 2018-10-04 2021-10-12 Covidien Lp Circular stapling device with anvil rotation locking structure
CN112867447B (zh) 2018-10-19 2024-08-30 直观外科手术操作公司 内窥镜钱包线缝合外科设备
US11197734B2 (en) 2018-10-30 2021-12-14 Covidien Lp Load sensing devices for use in surgical instruments
US11717276B2 (en) 2018-10-30 2023-08-08 Covidien Lp Surgical devices including adapters and seals
US11065005B2 (en) 2018-11-07 2021-07-20 Covidien Lp Reload assembly for a circular stapling device
US11147561B2 (en) 2018-11-28 2021-10-19 Covidien Lp Reload assembly for a circular stapling device
US11369372B2 (en) 2018-11-28 2022-06-28 Covidien Lp Surgical stapler adapter with flexible cable assembly, flexible fingers, and contact clips
US11389263B2 (en) 2018-12-13 2022-07-19 Covidien Lp Lockout mechanisms for surgical instruments
US12089844B2 (en) 2018-12-21 2024-09-17 Intuitive Surgical Operations, Inc. Actuation mechanisms for surgical instruments
WO2020131290A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Articulation assemblies for surgical instruments
WO2020131685A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Surgical instruments with switches for deactivating and/or identifying stapler cartridges
WO2020131298A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Surgical instruments having a reinforced staple cartridge
US11291450B2 (en) * 2018-12-31 2022-04-05 Cilag Gmbh International Anvil for circular surgical stapler and associated method of manufacture with MIM
US11202635B2 (en) 2019-02-04 2021-12-21 Covidien Lp Programmable distal tilt position of end effector for powered surgical devices
US11376006B2 (en) 2019-02-06 2022-07-05 Covidien Lp End effector force measurement with digital drive circuit
US11166728B2 (en) 2019-02-08 2021-11-09 Covidien Lp Reload assembly for a circular stapling device
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11298129B2 (en) 2019-02-19 2022-04-12 Cilag Gmbh International Method for providing an authentication lockout in a surgical stapler with a replaceable cartridge
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
US11547411B2 (en) * 2019-02-22 2023-01-10 Covidien Lp Anastomosis wound protector
US11529144B2 (en) 2019-02-22 2022-12-20 Covidien Lp Encapsulated plug assembly for electromechanical surgical devices
US11331782B2 (en) 2019-03-01 2022-05-17 Covidien Lp Reload assembly for a circular stapling device
US11337701B2 (en) 2019-03-01 2022-05-24 Covidien Lp Devices and methods for assembling adapter assemblies
US11219461B2 (en) 2019-03-08 2022-01-11 Covidien Lp Strain gauge stabilization in a surgical device
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
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
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11457921B2 (en) 2019-03-26 2022-10-04 Covidien Lp Anvil assembly for surgical stapling instrument
US11241228B2 (en) 2019-04-05 2022-02-08 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11534164B2 (en) 2019-04-05 2022-12-27 Covidien Lp Strain gauge stabilization in a surgical device
US11596410B2 (en) 2019-04-05 2023-03-07 Covidien Lp Surgical stapling device
EP3955831A4 (en) 2019-04-15 2022-12-28 Intuitive Surgical Operations, Inc. STAPLE MAGAZINE FOR A SURGICAL INSTRUMENT
US11660116B2 (en) 2019-04-16 2023-05-30 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11419631B2 (en) 2019-04-16 2022-08-23 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11344330B2 (en) 2019-04-16 2022-05-31 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11317945B2 (en) 2019-04-16 2022-05-03 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
WO2020214397A1 (en) 2019-04-17 2020-10-22 Intuitive Surgical Operations, Inc. Surgical stapling instrument
US11369378B2 (en) 2019-04-18 2022-06-28 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11839378B2 (en) 2019-04-19 2023-12-12 Covidien Lp Circular stapling instruments
US11399838B2 (en) 2019-04-22 2022-08-02 Covidien Lp Reload assembly for circular stapling devices
US11730472B2 (en) 2019-04-25 2023-08-22 Covidien Lp Surgical system and surgical loading units thereof
US11246599B2 (en) 2019-04-25 2022-02-15 Covidien Lp End effector for circular stapling 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
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator 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
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11596403B2 (en) 2019-05-08 2023-03-07 Covidien Lp Surgical stapling device
US11478245B2 (en) 2019-05-08 2022-10-25 Covidien Lp Surgical stapling device
US11896233B2 (en) 2019-05-31 2024-02-13 Covidien Lp Circular stapling device
EP3975875A4 (en) 2019-05-31 2023-02-01 Intuitive Surgical Operations, Inc. STAPLE MAGAZINE FOR A SURGICAL INSTRUMENT
US11690624B2 (en) 2019-06-21 2023-07-04 Covidien Lp Reload assembly injection molded strain gauge
US11123101B2 (en) 2019-07-05 2021-09-21 Covidien Lp Retaining mechanisms for trocar assemblies
US11464541B2 (en) 2019-06-24 2022-10-11 Covidien Lp Retaining mechanisms for trocar assembly
US11426168B2 (en) 2019-07-05 2022-08-30 Covidien Lp Trocar coupling assemblies for a surgical stapler
US11058429B2 (en) 2019-06-24 2021-07-13 Covidien Lp Load sensing assemblies and methods of manufacturing load sensing assemblies
US11446035B2 (en) 2019-06-24 2022-09-20 Covidien Lp Retaining mechanisms for trocar assemblies
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
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
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
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
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11786325B2 (en) 2019-07-02 2023-10-17 Intuitive Surgical Operations, Inc. Remotely controlling a system using video
US11357509B2 (en) 2019-07-11 2022-06-14 Covidien Lp Reload assembly for a circular stapling device
US11192227B2 (en) 2019-07-16 2021-12-07 Covidien Lp Reload assembly for circular stapling devices
EP3998960A4 (en) 2019-07-19 2022-12-14 Revmedica, Inc. SURGICAL STAPLER WITH REMOVABLE POWER SUPPLY
US11464510B2 (en) 2019-07-26 2022-10-11 Covidien Lp Reload assembly with knife carrier lockout
US11253255B2 (en) 2019-07-26 2022-02-22 Covidien Lp Knife lockout wedge
US11969169B2 (en) 2019-09-10 2024-04-30 Covidien Lp Anvil buttress loading unit for a surgical stapling apparatus
US11571208B2 (en) 2019-10-11 2023-02-07 Covidien Lp Surgical buttress loading units
US11399825B2 (en) 2019-10-28 2022-08-02 Covidien Lp Reload assembly with knife carrier lockout
US11076850B2 (en) 2019-11-26 2021-08-03 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
US11523824B2 (en) 2019-12-12 2022-12-13 Covidien Lp Anvil buttress loading for a surgical stapling apparatus
US11553918B2 (en) 2019-12-16 2023-01-17 Covidien Lp Reload assembly with knife carrier lockout
US11737747B2 (en) 2019-12-17 2023-08-29 Covidien Lp Hand-held surgical instruments
US11291446B2 (en) 2019-12-18 2022-04-05 Covidien Lp Surgical instrument including an adapter assembly and an articulating surgical loading unit
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
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
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
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
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11583275B2 (en) 2019-12-27 2023-02-21 Covidien Lp Surgical instruments including sensor assembly
US11779329B2 (en) * 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11974801B2 (en) 2019-12-30 2024-05-07 Cilag Gmbh International Electrosurgical instrument with flexible wiring assemblies
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
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US12076006B2 (en) 2019-12-30 2024-09-03 Cilag Gmbh International Surgical instrument comprising an orientation detection system
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US12082808B2 (en) 2019-12-30 2024-09-10 Cilag Gmbh International Surgical instrument comprising a control system responsive to software configurations
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11707318B2 (en) 2019-12-30 2023-07-25 Cilag Gmbh International Surgical instrument with jaw alignment features
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11730481B2 (en) 2020-01-06 2023-08-22 Covidien Lp Assemblies for retaining a trocar assembly
US11517317B2 (en) 2020-01-06 2022-12-06 Covidien Lp Trocar release assemblies for a surgical stapler
US11911038B2 (en) 2020-01-13 2024-02-27 Covidien Lp Cut optimization for excessive tissue conditions
US11642129B2 (en) 2020-01-15 2023-05-09 Intuitive Surgical Operations, Inc. Staple cartridge and drive member for surgical instrument
US12102305B2 (en) 2020-01-15 2024-10-01 Covidien Lp Adapter assemblies and surgical loading units
US11523828B2 (en) * 2020-01-28 2022-12-13 Covidien Lp Sealed reload assembly for stapling device
US11458244B2 (en) 2020-02-07 2022-10-04 Covidien Lp Irrigating surgical apparatus with positive pressure fluid
US11622767B2 (en) 2020-02-19 2023-04-11 Covidien Lp Sealed trocar assembly for stapling device
US11547438B2 (en) 2020-02-24 2023-01-10 Covidien Lp Tip protector for ensuring trocar insertion
US11382630B2 (en) 2020-02-25 2022-07-12 Covidien Lp Surgical stapling device with two part knife assembly
US20210259693A1 (en) * 2020-02-26 2021-08-26 Covidien Lp Surgical stapling device with flexible shaft
US11779343B2 (en) 2020-02-26 2023-10-10 Covidien Lp Staple reload assembly with releasable knife
US11298152B2 (en) 2020-02-28 2022-04-12 Covidien Lp Trocar retaining mechanism including band support
US11234704B2 (en) * 2020-03-03 2022-02-01 Covidien Lp Cable-actuated adapter for surgical stapling instrument
US11272998B2 (en) 2020-03-04 2022-03-15 Covidien Lp Strain gage fixation in tension
US11547407B2 (en) 2020-03-19 2023-01-10 Covidien Lp Staple line reinforcement for surgical stapling apparatus
US11426169B2 (en) 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11350939B2 (en) 2020-03-24 2022-06-07 Covidien Lp Retaining mechanisms for trocar assemblies
US11426170B2 (en) 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11504117B2 (en) 2020-04-02 2022-11-22 Covidien Lp Hand-held surgical instruments
USD952487S1 (en) * 2020-04-14 2022-05-24 Ching-Lung Lin Thickness measurement tool
US11337699B2 (en) 2020-04-28 2022-05-24 Covidien Lp Magnesium infused surgical buttress for surgical stapler
US12029470B2 (en) 2020-05-21 2024-07-09 Covidien Lp Simultaneous RF monopolar calibration using a shared return electrode
US11653925B2 (en) 2020-05-21 2023-05-23 Covidien Lp Tissue relaxation monitoring for optimized tissue stapling
US11547405B2 (en) 2020-05-22 2023-01-10 Covidien Lp Surgical stapling device
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
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
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
US12016557B2 (en) 2020-06-10 2024-06-25 Covidien Lp Sealed electrical connection between surgical loading unit and adapter
US11622768B2 (en) 2020-07-13 2023-04-11 Covidien Lp Methods and structure for confirming proper assembly of powered surgical stapling systems
US11553921B2 (en) 2020-07-15 2023-01-17 Covidien Lp Surgical stapling device with flexible shaft
US11547412B2 (en) 2020-07-22 2023-01-10 Covidien Lp Surgical instruments and methods of assembly
US20220031350A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with double pivot articulation joint arrangements
US11877744B2 (en) 2020-08-14 2024-01-23 Covidien Lp Low-cost powered stapler with end stop selection
US11627966B2 (en) 2020-08-26 2023-04-18 Covidien Lp Surgical stapling device
US11707276B2 (en) 2020-09-08 2023-07-25 Covidien Lp Surgical buttress assemblies and techniques for surgical stapling
US11660091B2 (en) 2020-09-08 2023-05-30 Covidien Lp Surgical device with seal assembly
US11801054B2 (en) 2020-09-22 2023-10-31 Covidien Lp Surgical stapler with oval tool assembly
US11571192B2 (en) 2020-09-25 2023-02-07 Covidien Lp Adapter assembly for surgical devices
US11660092B2 (en) * 2020-09-29 2023-05-30 Covidien Lp Adapter for securing loading units to handle assemblies of surgical stapling instruments
US12016566B2 (en) 2020-10-02 2024-06-25 Cilag Gmbh International Surgical instrument with adaptive function controls
US11963683B2 (en) 2020-10-02 2024-04-23 Cilag Gmbh International Method for operating tiered operation modes in a surgical system
US20220104820A1 (en) * 2020-10-02 2022-04-07 Ethicon Llc Surgical instrument with adaptive motor control
US11712509B2 (en) 2020-10-02 2023-08-01 Covidien Lp Seal assembly for circular stapling instrument
US11399833B2 (en) 2020-10-19 2022-08-02 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
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
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
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
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11627967B2 (en) 2020-11-23 2023-04-18 Covidien Lp Trans-anastomotic insertion device
US11653919B2 (en) 2020-11-24 2023-05-23 Covidien Lp Stapler line reinforcement continuity
US11744580B2 (en) 2020-11-24 2023-09-05 Covidien Lp Long stapler reloads with continuous cartridge
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
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
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
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
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
EP4262580A1 (en) * 2020-12-15 2023-10-25 Covidien LP Surgical stapling device rotatable camming element
CN112690851A (zh) * 2020-12-28 2021-04-23 苏州法兰克曼医疗器械有限公司 一种用于腔内切割具有转动结构的吻合器
US11534170B2 (en) 2021-01-04 2022-12-27 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11877750B2 (en) 2021-01-21 2024-01-23 Covidien Lp Surgical stapler with powered and manual functions
US11986187B2 (en) 2021-01-29 2024-05-21 Covidien Lp Circular stapling device with integrated visualization device
US11786241B2 (en) 2021-02-16 2023-10-17 Covidien Lp Surgical stapling device including a hydraulic staple formation mechanism
CN112869808B (zh) * 2021-02-22 2022-01-28 苏州法兰克曼医疗器械有限公司 一种具有差动结构的皮肤吻合器
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
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
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
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
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
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
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
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
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
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
US12016556B2 (en) 2021-05-03 2024-06-25 Covidien Lp Handheld electromechanical surgical system
US11553920B2 (en) 2021-05-03 2023-01-17 Covidien Lp Trocar retainer assembly for surgical stapler
US11490894B1 (en) 2021-05-12 2022-11-08 Covidien Lp Surgical device with grease filter
US11642131B2 (en) 2021-05-17 2023-05-09 Covidien Lp Devices and methods for shortening a rectal stump during a lower anterior resection procedure
US11612400B2 (en) 2021-05-24 2023-03-28 Covidien Lp Trocar assembly with bearing assembly for load sharing
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
US11684362B2 (en) 2021-06-07 2023-06-27 Covidien Lp Handheld electromechanical surgical system
US11510670B1 (en) 2021-06-23 2022-11-29 Covidien Lp Buttress attachment for surgical stapling apparatus
US11596399B2 (en) 2021-06-23 2023-03-07 Covidien Lp Anvil buttress attachment for surgical stapling apparatus
US11672538B2 (en) 2021-06-24 2023-06-13 Covidien Lp Surgical stapling device including a buttress retention assembly
US11771432B2 (en) 2021-06-29 2023-10-03 Covidien Lp Stapling and cutting to default values in the event of strain gauge data integrity loss
US11678879B2 (en) 2021-07-01 2023-06-20 Covidien Lp Buttress attachment for surgical stapling apparatus
US11786248B2 (en) 2021-07-09 2023-10-17 Covidien Lp Surgical stapling device including a buttress retention assembly
US11684368B2 (en) 2021-07-14 2023-06-27 Covidien Lp Surgical stapling device including a buttress retention assembly
US11819209B2 (en) 2021-08-03 2023-11-21 Covidien Lp Hand-held surgical instruments
US12076013B2 (en) 2021-08-03 2024-09-03 Covidien Lp Surgical buttress attachment assemblies for surgical stapling apparatus
US11744592B2 (en) 2021-08-05 2023-09-05 Covidien Lp Handheld electromechanical stapler with tissue thickness detection
US11819208B2 (en) 2021-08-05 2023-11-21 Covidien Lp Handheld electromechanical surgical device with strain gauge drift detection
US11737759B2 (en) 2021-08-05 2023-08-29 Covidien Lp Surgical stapling device accommodating prolapsed tissue
US11862884B2 (en) 2021-08-16 2024-01-02 Covidien Lp Surgical instrument with electrical connection
US11801052B2 (en) 2021-08-30 2023-10-31 Covidien Lp Assemblies for surgical stapling instruments
US11883028B2 (en) 2021-09-08 2024-01-30 Covidien Lp Systems and methods for post-operative anastomotic leak detection
US11717299B2 (en) 2021-10-12 2023-08-08 Covidien Lp Surgical stapling device with probiotics
US11751875B2 (en) 2021-10-13 2023-09-12 Coviden Lp Surgical buttress attachment assemblies for surgical stapling apparatus
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US11806017B2 (en) 2021-11-23 2023-11-07 Covidien Lp Anvil buttress loading system for surgical stapling apparatus
JP7271736B1 (ja) 2022-01-14 2023-05-11 シスメックス株式会社 検体移し替え装置および検体検査システム
US11832823B2 (en) 2022-02-08 2023-12-05 Covidien Lp Determination of anvil release during anastomosis
US12070213B2 (en) 2022-02-24 2024-08-27 Covidien Lp Surgical medical devices
CN114699126A (zh) * 2022-02-24 2022-07-05 黄华 吻合器

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6119913A (en) * 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
CN2451047Y (zh) * 2000-11-30 2001-10-03 陈德全 肠管扎线管口缝合枪
US6491201B1 (en) * 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
CN1720827A (zh) * 2004-07-12 2006-01-18 苏少宁 非燃烧吸烟烟品及提取方法

Family Cites Families (566)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US357535A (en) * 1887-02-08 And david p
US34519A (en) * 1862-02-25 Improvement in potato-diggers
US444555A (en) * 1891-01-13 Mechanism for operating stuff-gates
US1798902A (en) 1928-11-05 1931-03-31 Edwin M Raney Surgical instrument
US1881250A (en) 1929-06-20 1932-10-04 Tomlinson George Milton Electrosurgical instrument
US2031682A (en) 1932-11-18 1936-02-25 Wappler Frederick Charles Method and means for electrosurgical severance of adhesions
US2174219A (en) 1935-04-15 1939-09-26 Balma Aldo Stapling pliers
US2246647A (en) 1938-12-10 1941-06-24 Firm Reissnagel Und Metallkurz Stapling device
US2419045A (en) 1947-01-04 1947-04-15 Charles C Whittaker Spring-driven rotatable surgical cutter with hand pressure speed control
US2725628A (en) 1952-01-10 1955-12-06 O'neilly William Jack Cutting, clipping and skinning tools
US3079606A (en) * 1960-01-04 1963-03-05 Bobrov Boris Sergeevich Instrument for placing lateral gastrointestinal anastomoses
US3120845A (en) 1961-02-20 1964-02-11 David B Horner Self-powered surgical drill
CA736256A (en) 1962-08-27 1966-06-14 S. Kasoolin Viacheslav Instrument for suturing esophagus to intestine or stomach
US3252643A (en) 1962-12-24 1966-05-24 Strekopytov Alexey Alexcevich Instrument for suturing living tissue
US3253643A (en) 1963-03-18 1966-05-31 Arne R Gudheim Horizontally axised evaporator of the rotary wiped thin film type
US3256875A (en) 1963-05-17 1966-06-21 Tsepelev Juri Alexeevich Flexible gastroscope
US3317105A (en) 1964-03-25 1967-05-02 Niiex Khirurgicheskoi Apparatu Instrument for placing lateral intestinal anastomoses
US3275211A (en) 1965-05-10 1966-09-27 United States Surgical Corp Surgical stapler with replaceable cartridge
US3315863A (en) 1965-07-06 1967-04-25 United States Surgical Corp Medical instrument
FR1461464A (fr) 1965-08-20 1966-02-25 Niiex Khirurgicheskoi Apparatu Appareil chirurgical de suture des organes
US3490675A (en) * 1966-10-10 1970-01-20 United States Surgical Corp Instrument for placing lateral gastrointestinal anastomoses
US3494533A (en) * 1966-10-10 1970-02-10 United States Surgical Corp Surgical stapler for stitching body organs
US3490576A (en) 1967-06-12 1970-01-20 Standard Packaging Corp Air evacuated package
US3499591A (en) 1967-06-23 1970-03-10 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
DE1791114B1 (de) 1967-09-19 1971-12-02 Vnii Chirurgitscheskoj Apparat Chirurgisches Geraet zum Klammernaehen von Geweben
CH470170A (de) * 1968-02-02 1969-03-31 Vnii Khirurgicheskoi Apparatur Gerät zum Anbringen von Rundanastomosen
US3593903A (en) 1968-07-12 1971-07-20 Vnii Khirurgicheskoi Apparatur Surgical instrument for suturing hollow organs in infants
US3568659A (en) * 1968-09-24 1971-03-09 James N Karnegis Disposable percutaneous intracardiac pump and method of pumping blood
US3643851A (en) 1969-08-25 1972-02-22 United States Surgical Corp Skin stapler
US3662939A (en) 1970-02-26 1972-05-16 United States Surgical Corp Surgical stapler for skin and fascia
US3618842A (en) 1970-03-20 1971-11-09 United States Surgical Corp Surgical stapling cartridge with cylindrical driving cams
US3735762A (en) 1970-04-27 1973-05-29 Us Corp Baltimo E Instrument for ligating suturing and dividing organic tubular structures
US3675688A (en) 1970-04-27 1972-07-11 United States Surgical Corp Instrument for ligating, suturing and dividing organic tubular structures
US3638652A (en) 1970-06-01 1972-02-01 James L Kelley Surgical instrument for intraluminal anastomosis
BE758685A (fr) 1970-10-14 1971-05-10 Vnii Khirurgicheskoi Apparatur Appareil chirurgical pour la suture de tissus par des agrafes
US3717294A (en) 1970-12-14 1973-02-20 Surgical Corp Cartridge and powering instrument for stapling skin and fascia
US3837555A (en) 1970-12-14 1974-09-24 Surgical Corp Powering instrument for stapling skin and fascia
DE2221643C3 (de) 1971-05-03 1974-10-17 Vnii Chirurgitscheskoj Apparat Chirurgisches Naehgeraet zum Einnaehen von Geweben und Organen mit Metallklammern
US3788303A (en) 1972-01-24 1974-01-29 American Cystoscope Makers Inc Orthogonally deflectable endoscope
US3771526A (en) * 1972-02-07 1973-11-13 P Rudie Anastomosis clamp
US3777538A (en) 1972-03-15 1973-12-11 Weck & Co Edward Surgical clip applicator
US3945375A (en) 1972-04-04 1976-03-23 Surgical Design Corporation Rotatable surgical instrument
USRE28932E (en) 1972-09-29 1976-08-17 United States Surgical Corporation Surgical stapling instrument
US3819100A (en) 1972-09-29 1974-06-25 United States Surgical Corp Surgical stapling instrument
US3892228A (en) 1972-10-06 1975-07-01 Olympus Optical Co Apparatus for adjusting the flexing of the bending section of an endoscope
US3844289A (en) 1973-04-13 1974-10-29 Surgical Corp Hemostat and attachment for suturing organic tubular structures
US3990453A (en) 1973-04-25 1976-11-09 Douvas Nicholas G Apparatus for cataract surgery
DE7318970U (de) 1973-05-19 1973-08-30 Wolf R Gmbh Zange zum setzen von tantal-clips
DE2330182A1 (de) 1973-06-14 1975-01-02 Wolf Gmbh Richard Zange zum setzen von tantal-clips
US3859986A (en) * 1973-06-20 1975-01-14 Jiro Okada Surgical device
SU449524A1 (ru) 1973-07-31 1976-05-15 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический аппарат дл сшивани органов
US3882854A (en) 1973-08-23 1975-05-13 Research Corp Surgical clip and applicator
SU659146A1 (ru) 1974-02-12 1979-04-30 Организация П/Я М-5237 Хирургический аппарат дл наложени анастомозов между полыми органами
US3858577A (en) * 1974-04-05 1975-01-07 Univ Southern California Fiber optic laser light delivery system
US4027510A (en) 1974-05-15 1977-06-07 Siegfried Hiltebrandt Forceps
US3952748A (en) 1974-07-18 1976-04-27 Minnesota Mining And Manufacturing Company Electrosurgical system providing a fulguration current
US3949924A (en) 1974-10-18 1976-04-13 United States Surgical Corporation Surgical stapling instrument
SU566574A1 (ru) 1975-05-04 1977-07-30 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Аппарат дл наложени линейного скобочного шва на органы и ткани
GB1486351A (en) 1975-06-06 1977-09-21 Rocket Of London Ltd Surgical clip applicator
US4014492A (en) 1975-06-11 1977-03-29 Senco Products, Inc. Surgical staple
US4000743A (en) 1975-07-09 1977-01-04 Kenneth Weaver Uterine anteverter
US4060089A (en) 1975-09-03 1977-11-29 United States Surgical Corporation Surgical fastening method and device therefor
US4071029A (en) * 1976-05-21 1978-01-31 Stryker Corporation Angle handpiece
US4092986A (en) 1976-06-14 1978-06-06 Ipco Hospital Supply Corporation (Whaledent International Division) Constant output electrosurgical unit
US4086926A (en) 1976-10-08 1978-05-02 United States Surgical Corporation Ligating and dividing organic structures
JPS5394515A (en) 1977-01-31 1978-08-18 Kubota Ltd Method of producing glass fiber reinforced cement plate
US4207873A (en) 1977-05-16 1980-06-17 American Cystoscope Makers, Inc. Endoscope deflection control
US4603693A (en) 1977-05-26 1986-08-05 United States Surgical Corporation Instrument for circular surgical stapling of hollow body organs and disposable cartridge therefor
US4304236A (en) 1977-05-26 1981-12-08 United States Surgical Corporation Stapling instrument having an anvil-carrying part of particular geometric shape
US4573468A (en) * 1977-05-26 1986-03-04 United States Surgical Corporation Hollow body organ stapling instrument and disposable cartridge employing relief vents
US4169476A (en) 1977-08-12 1979-10-02 Wolf Medical Instruments Corporation Applicator for surgical clip
US4207898A (en) 1978-03-27 1980-06-17 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
SU1036324A1 (ru) 1978-03-31 1983-08-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат
US4198982A (en) 1978-03-31 1980-04-22 Memorial Hospital For Cancer And Allied Diseases Surgical stapling instrument and method
GB2022421B (en) 1978-06-08 1982-09-15 Wolf Gmbh Richard Devices for obtaining tissure samples
US4273129A (en) 1978-06-29 1981-06-16 Richard Wolf Gmbh Forceps for applying clips to fallopian tubes
IL58179A (en) 1978-09-13 1984-04-30 Oneil Alexander George B Medical instrument for insertion into a body passage
JPS5578950A (en) * 1978-12-09 1980-06-14 Takasago Ika Kogyo Kk Suture device of duct portion in body
JPS5586436A (en) 1978-12-22 1980-06-30 Olympus Optical Co Endoscope
JPS5586435A (en) 1978-12-22 1980-06-30 Olympus Optical Co Endoscope
US4202479A (en) 1979-02-12 1980-05-13 Razgulov Mikhail M Surgical instrument for suturing tubular organs with U-shaped staples
US4202480A (en) 1979-02-26 1980-05-13 Minnesota Mining And Manufacturing Company Stapler including means for preventing double feeding of staples
JPS55130640A (en) 1979-03-30 1980-10-09 Olympus Optical Co Endoscope
US4391401A (en) 1979-04-03 1983-07-05 Lawrence M. Smith Surgical staplers and staple
DE2917783C2 (de) 1979-05-03 1982-07-01 Richard Wolf Gmbh, 7134 Knittlingen Zange zum Anlegen eines Clips an einen Eileiter
US4261244A (en) 1979-05-14 1981-04-14 Senco Products, Inc. Surgical staple
US4289131A (en) 1979-05-17 1981-09-15 Ergo Instruments, Inc. Surgical power tool
JPS5921767Y2 (ja) * 1979-10-22 1984-06-28 オリンパス光学工業株式会社 内視鏡
AU534210B2 (en) 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
US4429695A (en) * 1980-02-05 1984-02-07 United States Surgical Corporation Surgical instruments
CH643130A5 (de) 1980-02-13 1984-05-30 Arnegger Richard E Handgeraet von langgestreckter form, insbesondere fuer chirurgische eingriffe, und verfahren zu dessen herstellung.
US4319576A (en) * 1980-02-26 1982-03-16 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4289133A (en) 1980-02-28 1981-09-15 Senco Products, Inc. Cut-through backup washer for the scalpel of an intraluminal surgical stapling instrument
US4296881A (en) 1980-04-03 1981-10-27 Sukoo Lee Surgical stapler using cartridge
US4334539A (en) 1980-04-28 1982-06-15 Cimarron Instruments, Inc. Electrosurgical generator control apparatus
US4331277A (en) 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
US4606343A (en) 1980-08-18 1986-08-19 United States Surgical Corporation Self-powered surgical fastening instrument
US4354628A (en) 1980-09-29 1982-10-19 United States Surgical Corporation Surgical stapler apparatus having pivotally related staple holder and anvil
US4349028A (en) 1980-10-03 1982-09-14 United States Surgical Corporation Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence
US4351466A (en) 1980-10-16 1982-09-28 United States Surgical Corporation Disposable instrument for surgical fastening
AU542936B2 (en) 1980-10-17 1985-03-28 United States Surgical Corporation Self centering staple
US5993378A (en) 1980-10-28 1999-11-30 Lemelson; Jerome H. Electro-optical instruments and methods for treating disease
US4379457A (en) 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
US4476863A (en) 1981-03-09 1984-10-16 Kanshin Nikolai N Surgical instrument for establishing circular coloanastomoses
DE3114135C2 (de) 1981-04-08 1985-01-31 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Verfahren und Schaltung zur Temperaturermittlung bei medizinischen Elektromotoren
JPS57192547A (en) * 1981-05-21 1982-11-26 Olympus Optical Co Ultrasonic diagnostic apparatus for body cavity
US4383634A (en) 1981-05-26 1983-05-17 United States Surgical Corporation Surgical stapler apparatus with pivotally mounted actuator assemblies
US4576167A (en) * 1981-09-03 1986-03-18 United States Surgical Corporation Surgical stapler apparatus with curved shaft
US4461305A (en) 1981-09-04 1984-07-24 Cibley Leonard J Automated biopsy device
US4402445A (en) 1981-10-09 1983-09-06 United States Surgical Corporation Surgical fastener and means for applying same
US4513746A (en) 1981-10-09 1985-04-30 United States Surgical Corp. Instrument for applying plastic-like surgical fastening devices
DE3277287D1 (en) * 1981-10-15 1987-10-22 Olympus Optical Co Endoscope system with an electric bending mechanism
DE3278275D1 (en) 1981-10-22 1988-05-05 Olympus Optical Co Endoscope apparatus with motor-driven bending mechanism
DE3142682C2 (de) 1981-10-28 1986-06-19 Black & Decker, Inc. (Eine Gesellschaft N.D.Ges.D. Staates Delaware), Newark, Del. Elektrowerkzeug, insbesondere Handwerkzeug
DE3146494C2 (de) 1981-11-24 1986-10-30 Black & Decker, Inc. (Eine Gesellschaft N.D.Ges.D. Staates Delaware), Newark, Del. Elektrowerkzeug, insbesondere Handwerkzeug, mit Drehmomentüberwachung
JPS5887494U (ja) * 1981-12-05 1983-06-14 株式会社モリタ製作所 医療用小型モ−タの速度制御装置
US4442964A (en) 1981-12-07 1984-04-17 Senco Products, Inc. Pressure sensitive and working-gap controlled surgical stapling instrument
US4445509A (en) 1982-02-04 1984-05-01 Auth David C Method and apparatus for removal of enclosed abnormal deposits
US4448188A (en) 1982-02-18 1984-05-15 Laserscope, Inc. Method for providing an oxygen bearing liquid to a blood vessel for the performance of a medical procedure
SU1114405A1 (ru) * 1982-02-23 1984-09-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Хирургический сшивающий аппарат дл наложени компрессионных анастомозов на органы пищеварительного тракта
US4423730A (en) 1982-03-01 1984-01-03 Shelhigh Inc. Atriotomy button and implantation device
US4535773A (en) 1982-03-26 1985-08-20 Inbae Yoon Safety puncturing instrument and method
EP0093101A3 (en) 1982-04-22 1984-12-05 Bengt Gustavsson A device for introducing a catheter into a blood vessel
US4664305A (en) 1982-05-04 1987-05-12 Blake Joseph W Iii Surgical stapler
US4445892A (en) 1982-05-06 1984-05-01 Laserscope, Inc. Dual balloon catheter device
US4473077A (en) 1982-05-28 1984-09-25 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4485817A (en) 1982-05-28 1984-12-04 United States Surgical Corporation Surgical stapler apparatus with flexible shaft
US4488523A (en) 1982-09-24 1984-12-18 United States Surgical Corporation Flexible, hydraulically actuated device for applying surgical fasteners
US4887599A (en) 1982-09-24 1989-12-19 Muller George H Powered rotary scalpel structure
US4562839A (en) 1983-01-06 1986-01-07 Blake Joseph W Iii Surgical instrument
US4519532A (en) 1983-02-28 1985-05-28 Minnesota Mining And Manufacturing Company Stapler including ratchet means for preventing double feeding of staples
US4569346A (en) 1983-03-30 1986-02-11 United States Surgical Corporation Safety apparatus for surgical occluding and cutting device
US4506671A (en) 1983-03-30 1985-03-26 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US4506670A (en) 1983-03-30 1985-03-26 United States Surgical Corporation Two-part surgical fastener applying apparatus with frangible member
US4655673A (en) 1983-05-10 1987-04-07 Graham S. Hawkes Apparatus providing tactile feedback to operators of remotely controlled manipulators
USD286567S (en) 1983-05-16 1986-11-04 Acufex Microsurgical Inc. Surgical trocar
US4944443A (en) 1988-04-22 1990-07-31 Innovative Surgical Devices, Inc. Surgical suturing instrument and method
US4919152A (en) 1987-03-02 1990-04-24 Ralph Ger Method of closing the opening of a hernial sac
US4582237A (en) 1983-08-26 1986-04-15 Anthony Storace Surgical stapling system, apparatus and staple
US4534352A (en) 1983-10-04 1985-08-13 United States Surgical Corporation Surgical fastener member having increased rate of absorption
US4589416A (en) 1983-10-04 1986-05-20 United States Surgical Corporation Surgical fastener retainer member assembly
US4592354A (en) 1983-10-11 1986-06-03 Senmed, Inc. Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods
US4505414A (en) * 1983-10-12 1985-03-19 Filipi Charles J Expandable anvil surgical stapler
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US4669471A (en) 1983-11-10 1987-06-02 Olympus Optical Co., Ltd. Forceps device for use in an endoscope
GB2158723B (en) 1983-12-01 1987-06-17 Kh Nii Obschei Neotlozh Electrosurgical instrument
JPS60139240A (ja) * 1983-12-28 1985-07-24 高砂医科工業株式会社 体内管路の縫合器
US4631052A (en) 1984-01-03 1986-12-23 Intravascular Surgical Instruments, Inc. Method and apparatus for surgically removing remote deposits
US4589412A (en) 1984-01-03 1986-05-20 Intravascular Surgical Instruments, Inc. Method and apparatus for surgically removing remote deposits
GB2153957B (en) 1984-02-09 1986-11-26 Warner Lambert Tech Endoscope
US4667673A (en) 1984-03-12 1987-05-26 American Cyanamid Company Anastomotic device applicator and method
US4612933A (en) 1984-03-30 1986-09-23 Senmed, Inc. Multiple-load cartridge assembly for a linear surgical stapling instrument
US4607638A (en) 1984-04-20 1986-08-26 Design Standards Corporation Surgical staples
US4796793A (en) * 1984-05-10 1989-01-10 Ethicon, Inc. Surgical stapler and methods
US4682596A (en) 1984-05-22 1987-07-28 Cordis Corporation Electrosurgical catheter and method for vascular applications
US4781186A (en) 1984-05-30 1988-11-01 Devices For Vascular Intervention, Inc. Atherectomy device having a flexible housing
DE8418993U1 (de) 1984-06-23 1984-09-20 Richard Wolf Gmbh, 7134 Knittlingen Medizinische Zange
GB8422863D0 (en) 1984-09-11 1984-10-17 Univ London Sewing machine
US4591085A (en) 1984-07-16 1986-05-27 Ethicon, Inc. Surgical instrument for applying fasteners, said instrument having an improved trigger interlocking mechanism (Case VI)
US4754909A (en) 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4671445A (en) 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4589582A (en) 1984-08-23 1986-05-20 Senmed, Inc. Cartridge and driver assembly for a surgical stapling instrument
US4994060A (en) * 1984-09-17 1991-02-19 Xintec Corporation Laser heated cautery cap with transparent substrate
US4574806A (en) * 1984-10-01 1986-03-11 Cordis Corporation Tunnelling device for peripheral vascular reconstruction
US4633874A (en) * 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw latching mechanism and disposable staple cartridge
US4605001A (en) 1984-10-19 1986-08-12 Senmed, Inc. Surgical stapling instrument with dual staple height mechanism
US4566620A (en) 1984-10-19 1986-01-28 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4633861A (en) * 1984-10-19 1987-01-06 Senmed, Inc. Surgical stapling instrument with jaw clamping mechanism
US4573622A (en) 1984-10-19 1986-03-04 United States Surgical Corporation Surgical fastener applying apparatus with variable fastener arrays
US4767044A (en) 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
US4674515A (en) 1984-10-26 1987-06-23 Olympus Optical Co., Ltd. Ultrasonic endoscope
US4705038A (en) 1985-01-23 1987-11-10 Dyonics, Inc. Surgical system for powered instruments
US4703887A (en) 1985-01-28 1987-11-03 Ethicon, Inc. Collapsible purse string aid for use with intraluminal stapling device
US4756309A (en) 1985-02-14 1988-07-12 Sachse Hans Ernst Endoscope for removal of tissue
US4644952A (en) * 1985-02-19 1987-02-24 Palm Beach Medical Engineering, Inc. Surgical operating instrument
JPS635697Y2 (zh) 1985-04-04 1988-02-17
US4807628A (en) 1985-04-26 1989-02-28 Edward Weck & Company, Inc. Method and apparatus for storing, dispensing, and applying surgical staples
JPS61293439A (ja) * 1985-06-21 1986-12-24 オリンパス光学工業株式会社 超音波内視鏡
US4728020A (en) 1985-08-30 1988-03-01 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4742815A (en) 1986-01-02 1988-05-10 Ninan Champil A Computer monitoring of endoscope
US4763669A (en) 1986-01-09 1988-08-16 Jaeger John C Surgical instrument with adjustable angle of operation
US4715502A (en) 1986-02-20 1987-12-29 Newton Instrument Company Telephone equipment rack
US4654030A (en) 1986-02-24 1987-03-31 Endotherapeutics Trocar
US4771774A (en) 1986-02-28 1988-09-20 Devices For Vascular Intervention, Inc. Motor drive unit
US4696667A (en) 1986-03-20 1987-09-29 Helmut Masch Intravascular catheter and method
US4903697A (en) * 1986-03-27 1990-02-27 Semion Resnick Cartridge assembly for a surgical stapling instrument
US4700703A (en) 1986-03-27 1987-10-20 Semion Resnick Cartridge assembly for a surgical stapling instrument
JPH01500966A (ja) 1986-04-21 1989-04-06 グローベ　コントロール　フイナンツ　アクチエンゲゼルシヤフト 吻合部を作成する装置と方法
US4688555A (en) 1986-04-25 1987-08-25 Circon Corporation Endoscope with cable compensating mechanism
US4819632A (en) 1986-05-19 1989-04-11 Davies David H Retrolasing catheter and method
US4672961A (en) 1986-05-19 1987-06-16 Davies David H Retrolasing catheter and method
US4729763A (en) 1986-06-06 1988-03-08 Henrie Rodney A Catheter for removing occlusive material
ATE59432T1 (de) * 1986-07-08 1991-01-15 Comprex Ag Brennkraftmaschine mit druckwellenlader und lamda-sonde.
GB8620560D0 (en) 1986-08-23 1986-10-01 Femcare Ltd Applicator
US4733118A (en) * 1986-09-22 1988-03-22 Hhk Inc. Low damping torque brushless D.C. motor
US4752024A (en) 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
US5030206A (en) 1986-10-17 1991-07-09 United States Surgical Corporation Trocar
US4893622A (en) * 1986-10-17 1990-01-16 United States Surgical Corporation Method of stapling tubular body organs
US4902280A (en) 1986-10-17 1990-02-20 United States Surgical Corporation Trocar
US4917114A (en) 1986-10-17 1990-04-17 United States Surgical Corporation Surgical fastener and surgical stapling apparatus
US4789090A (en) 1986-11-03 1988-12-06 Blake Joseph W Iii Surgical stapler
US4776506A (en) 1986-11-13 1988-10-11 United States Surgical Corporation Surgical stapler apparatus
US4714187A (en) 1986-11-26 1987-12-22 United States Surgical Corporation Reloading unit for surgical fastening instruments
US4760840A (en) 1986-12-16 1988-08-02 The Regents Of The University Of California Endoscopic laser instrument
US4976710A (en) 1987-01-28 1990-12-11 Mackin Robert A Working well balloon method
US4873977A (en) 1987-02-11 1989-10-17 Odis L. Avant Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis
US4936845A (en) 1987-03-17 1990-06-26 Cordis Corporation Catheter system having distal tip for opening obstructions
US5119983A (en) 1987-05-26 1992-06-09 United States Surgical Corporation Surgical stapler apparatus
US4941623A (en) 1987-05-12 1990-07-17 United States Surgical Corporation Stapling process and device for use on the mesentery of the abdomen
US4928699A (en) 1987-05-18 1990-05-29 Olympus Optical Co., Ltd. Ultrasonic diagnosis device
US5158222A (en) 1987-05-26 1992-10-27 United States Surgical Corp. Surgical stapler apparatus
US4848637A (en) 1987-06-11 1989-07-18 Pruitt J Crayton Staple device for use on the mesenteries of the abdomen
SU1616624A1 (ru) 1987-07-14 1990-12-30 Предприятие П/Я А-3697 Хирургический сшивающий аппарат
US4867158A (en) 1987-07-20 1989-09-19 Sugg Winfred L Hand held battery powered bone awl
US4815469A (en) * 1987-10-08 1989-03-28 Siemens-Pacesetter, Inc. Implantable blood oxygen sensor and method of use
DE3736150A1 (de) 1987-10-26 1989-05-03 Wolf Gmbh Richard Zange, insbesondere hakenstanze
FR2622429A1 (fr) 1987-11-16 1989-05-05 Blagoveschensky G Appareil de suture chirurgicale
US4890602A (en) * 1987-11-25 1990-01-02 Hake Lawrence W Endoscope construction with means for controlling rigidity and curvature of flexible endoscope tube
US4893613A (en) * 1987-11-25 1990-01-16 Hake Lawrence W Endoscope construction with means for controlling rigidity and curvature of flexible endoscope tube
US4951860A (en) 1987-12-28 1990-08-28 Edward Weck & Co. Method and apparatus for storing, dispensing and applying surgical staples
US4819853A (en) 1987-12-31 1989-04-11 United States Surgical Corporation Surgical fastener cartridge
DE3800331A1 (de) 1988-01-08 1989-07-27 Fehling Medizintechnik Gmbh Mikrochirurgische zange, insb. fuer die biopsie
US4940468A (en) 1988-01-13 1990-07-10 Petillo Phillip J Apparatus for microsurgery
EP0324637B1 (en) 1988-01-15 1994-03-23 Ethicon, Inc. Surgical stapler pressure regulator
GB8800909D0 (en) 1988-01-15 1988-02-17 Ethicon Inc Gas powered surgical stapler
DE3805179A1 (de) * 1988-02-19 1989-08-31 Wolf Gmbh Richard Geraet mit einem rotierend angetriebenen chirurgischen instrument
US5100041A (en) * 1988-03-07 1992-03-31 Technalytics, Inc. Surgical stapler
US4930494A (en) 1988-03-09 1990-06-05 Olympus Optical Co., Ltd. Apparatus for bending an insertion section of an endoscope using a shape memory alloy
US4863088A (en) 1988-03-09 1989-09-05 Minnesota Mining And Manufacturing Company Surgical stapling instrument
US4805823A (en) * 1988-03-18 1989-02-21 Ethicon, Inc. Pocket configuration for internal organ staplers
US4907591A (en) * 1988-03-29 1990-03-13 Pfizer Hospital Products Group, Inc. Surgical instrument for establishing compression anastomosis
US4955882A (en) 1988-03-30 1990-09-11 Hakky Said I Laser resectoscope with mechanical and laser cutting means
US4887612A (en) 1988-04-27 1989-12-19 Esco Precision, Inc. Endoscopic biopsy forceps
DE3815835A1 (de) 1988-05-09 1989-11-23 Flachenecker Gerhard Hochfrequenzgenerator zum gewebeschneiden und koagulieren in der hochfrequenzchirurgie
US5114065A (en) 1988-05-23 1992-05-19 Technalytics, Inc. Surgical stapler
US5005749A (en) 1988-07-01 1991-04-09 United States Surgical Corp. Anastomosis surgical stapling instrument
ES2011110A6 (es) 1988-09-02 1989-12-16 Lopez Hervas Pedro Aparato hidraulico de cuerpo flexible para anastomosis quirurgicas.
US4869415A (en) 1988-09-26 1989-09-26 Ethicon, Inc. Energy storage means for a surgical stapler
US4892244A (en) 1988-11-07 1990-01-09 Ethicon, Inc. Surgical stapler cartridge lockout device
EP0369324B1 (fr) 1988-11-11 1995-11-02 United States Surgical Corporation Instrument de chirurgie
US4991764A (en) 1989-01-23 1991-02-12 Edward Weck Incorporated Surgical stapling instrument
US4976688A (en) 1989-02-03 1990-12-11 Rosenblum Jeffrey L Position-adjustable thoracic catheter
US5077506A (en) 1989-02-03 1991-12-31 Dyonics, Inc. Microprocessor controlled arthroscopic surgical system
US4943277A (en) 1989-03-24 1990-07-24 Bolling Steven F Retrograde coronary sinus cardioplegia cannula and method for using same in heart surgery
JPH0790017B2 (ja) * 1989-04-20 1995-10-04 株式会社東芝 内視鏡装置
US5059203A (en) 1989-05-17 1991-10-22 Husted Royce Hill Powered microsurgical tool
US4955959A (en) 1989-05-26 1990-09-11 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
US5318221A (en) 1989-05-26 1994-06-07 United States Surgical Corporation Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US4978049A (en) 1989-05-26 1990-12-18 United States Surgical Corporation Three staple drive member
US5031814A (en) 1989-05-26 1991-07-16 United States Surgical Corporation Locking mechanism for surgical fastening apparatus
US5413268A (en) 1989-05-26 1995-05-09 United States Surgical Corporation Apparatus and method for placing stables in laparoscopic or endoscopic procedures
US5040715B1 (en) 1989-05-26 1994-04-05 United States Surgical Corp Apparatus and method for placing staples in laparoscopic or endoscopic procedures
USD322143S (en) 1989-06-05 1991-12-03 Ethicon, Inc. Combined linear surgical stapler and cutter
US5201325A (en) 1989-09-01 1993-04-13 Andronic Devices Ltd. Advanced surgical retractor
US4932960A (en) 1989-09-01 1990-06-12 United States Surgical Corporation Absorbable surgical fastener
DE3929575A1 (de) 1989-09-06 1991-03-07 Vascomed Kathetertech Dilatationskatheter zum erweitern von blutgefaessen mit motorantrieb
US5047026A (en) 1989-09-29 1991-09-10 Everest Medical Corporation Electrosurgical implement for tunneling through tissue
US4941454A (en) 1989-10-05 1990-07-17 Welch Allyn, Inc. Servo actuated steering mechanism for borescope or endoscope
CH677728A5 (zh) 1989-10-17 1991-06-28 Bieffe Medital Sa
US5665100A (en) 1989-12-05 1997-09-09 Yoon; Inbae Multifunctional instrument with interchangeable operating units for performing endoscopic procedures
US5217030A (en) 1989-12-05 1993-06-08 Inbae Yoon Multi-functional instruments and stretchable ligating and occluding devices
EP0448857A1 (en) 1990-03-27 1991-10-02 Jong-Khing Huang An apparatus of a spinning type of resectoscope for prostatectomy
FR2660851A1 (fr) 1990-04-11 1991-10-18 Cardial Sa Dispositif de desobstruction de conduits vasculaires tels des arteres.
US5482054A (en) 1990-05-10 1996-01-09 Symbiosis Corporation Edoscopic biopsy forceps devices with selective bipolar cautery
US5431645A (en) 1990-05-10 1995-07-11 Symbiosis Corporation Remotely activated endoscopic tools such as endoscopic biopsy forceps
JPH06114070A (ja) 1990-06-22 1994-04-26 Vance Prod Inc 外科用組織切除装置
US5275609A (en) 1990-06-22 1994-01-04 Vance Products Incorporated Surgical cutting instrument
US5037379A (en) 1990-06-22 1991-08-06 Vance Products Incorporated Surgical tissue bag and method for percutaneously debulking tissue
US5156315A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5156614A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5253793A (en) 1990-09-17 1993-10-19 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5084045A (en) 1990-09-17 1992-01-28 Helenowski Tomasz K Suction surgical instrument
US5104025A (en) * 1990-09-28 1992-04-14 Ethicon, Inc. Intraluminal anastomotic surgical stapler with detached anvil
DE484677T1 (de) 1990-10-05 1993-11-25 United States Surgical Corp Verfahren und Vorrichtung zum Anbringen von Klammern bei laparoskopischen oder endoskopischen Eingriffen.
US5221279A (en) 1990-10-12 1993-06-22 Surgical Laser Technologies, Inc. Adjustable touch control handpiece
US5192292A (en) * 1990-11-02 1993-03-09 Stryker Corporation Surgical apparatus useable for arthroscopic surgery
IL96352A (en) 1990-11-14 1994-11-11 Du Kedem Tech Ltd Hard tissue biopsy device
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5645556A (en) 1990-12-18 1997-07-08 Yoon; Inbae Safety penetrating instrument with triggered penetrating member retraction and single or multiple safety member protrusion
US5226426A (en) 1990-12-18 1993-07-13 Inbae Yoon Safety penetrating instrument
EP0566694A1 (en) 1991-01-09 1993-10-27 EndoMedix Corporation Method and device for intracorporeal liquidization of tissue and/or intracorporeal fragmentation of calculi during endoscopic surgical procedures
US5354303A (en) 1991-01-09 1994-10-11 Endomedix Corporation Devices for enclosing, manipulating, debulking and removing tissue through minimal incisions
US5312416A (en) 1991-10-18 1994-05-17 Endomedix Corporation Method and system for enclosing, manipulating, debulking and removing tissue through minimal access incisions
US5957882A (en) 1991-01-11 1999-09-28 Advanced Cardiovascular Systems, Inc. Ultrasound devices for ablating and removing obstructive matter from anatomical passageways and blood vessels
AU648135B2 (en) 1991-01-15 1994-04-14 Ethicon Inc. Knife for surgical trocar
DE9117190U1 (de) 1991-01-16 1996-11-14 Erbe Elektromedizin GmbH, 72072 Tübingen Hochfrequenz-Chirurgiegerät
US5249583A (en) 1991-02-01 1993-10-05 Vance Products Incorporated Electronic biopsy instrument with wiperless position sensors
WO1992014514A1 (en) 1991-02-13 1992-09-03 Applied Medical Resources, Inc. Surgical trocar
US5984919A (en) 1991-02-13 1999-11-16 Applied Medical Resources Corporation Surgical trocar
US5599347A (en) * 1991-02-13 1997-02-04 Applied Medical Resources Corporation Surgical trocar with cutoff circuit
US5224951A (en) 1991-02-19 1993-07-06 Dexide, Inc. Surgical trocar and spike assembly
US5133360A (en) 1991-03-07 1992-07-28 Spears Colin P Spears retriever
CA2061885A1 (en) 1991-03-14 1992-09-15 David T. Green Approximating apparatus for surgical jaw structure
US5217453A (en) 1991-03-18 1993-06-08 Wilk Peter J Automated surgical system and apparatus
US5170925A (en) 1991-03-18 1992-12-15 Ethicon, Inc. Laparoscopic stapler with knife means
US5217003A (en) 1991-03-18 1993-06-08 Wilk Peter J Automated surgical system and apparatus
US5217460A (en) 1991-03-22 1993-06-08 Knoepfler Dennis J Multiple purpose forceps
US5300087A (en) 1991-03-22 1994-04-05 Knoepfler Dennis J Multiple purpose forceps
JP3063784B2 (ja) 1991-03-26 2000-07-12 オリンパス光学工業株式会社 内視鏡装置
US5065929A (en) 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US5143082A (en) 1991-04-03 1992-09-01 Ethicon, Inc. Surgical device for enclosing an internal organ
US5246156A (en) 1991-09-12 1993-09-21 Ethicon, Inc. Multiple fire endoscopic stapling mechanism
US5258004A (en) 1991-04-04 1993-11-02 Symbiosis Corporation Double acting, dual pivot thoracoscopic surgical lung clamps
US5171247A (en) 1991-04-04 1992-12-15 Ethicon, Inc. Endoscopic multiple ligating clip applier with rotating shaft
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
US5237884A (en) 1991-04-22 1993-08-24 Osada Research Institute, Ltd. Power transmission device
US5324288A (en) 1991-04-30 1994-06-28 Utah Medical Products, Inc. Electrosurgical loop with a depth gauge
US5176687A (en) 1991-05-10 1993-01-05 Hasson Harrith M Disposable pouch container for isolation and retrieval of tissues removed at laparoscopy
US5413267A (en) 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
DE69229792T2 (de) 1991-05-14 2000-02-10 United States Surgical Corp., Norwalk Chirurgisches Klammergerät mit Detektiervorrichtung für verbrauchte Patronen und Sperrvorrichtung
US5591186A (en) * 1991-05-22 1997-01-07 Wurster; Helmut Self-cutting trocar
US5324289A (en) 1991-06-07 1994-06-28 Hemostatic Surgery Corporation Hemostatic bi-polar electrosurgical cutting apparatus and methods of use
US5417210A (en) * 1992-05-27 1995-05-23 International Business Machines Corporation System and method for augmentation of endoscopic surgery
US5207697A (en) 1991-06-27 1993-05-04 Stryker Corporation Battery powered surgical handpiece
US5268622A (en) 1991-06-27 1993-12-07 Stryker Corporation DC powered surgical handpiece having a motor control circuit
US5688269A (en) 1991-07-10 1997-11-18 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US5558644A (en) 1991-07-16 1996-09-24 Heartport, Inc. Retrograde delivery catheter and method for inducing cardioplegic arrest
US6866650B2 (en) 1991-07-16 2005-03-15 Heartport, Inc. System for cardiac procedures
US5795325A (en) 1991-07-16 1998-08-18 Heartport, Inc. Methods and apparatus for anchoring an occluding member
US5433700A (en) 1992-12-03 1995-07-18 Stanford Surgical Technologies, Inc. Method for intraluminally inducing cardioplegic arrest and catheter for use therein
US5766151A (en) 1991-07-16 1998-06-16 Heartport, Inc. Endovascular system for arresting the heart
US5261877A (en) 1991-07-22 1993-11-16 Dow Corning Wright Method of performing a thrombectomy procedure
US5173133A (en) 1991-07-23 1992-12-22 United States Surgical Corporation Method for annealing stapler anvils
US5197968A (en) 1991-08-14 1993-03-30 Mectra Labs, Inc. Disposable tissue retrieval assembly
US5350104A (en) * 1991-08-23 1994-09-27 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
GR920100358A (el) * 1991-08-23 1993-06-07 Ethicon Inc Οργανο συρραφής χειρουργικής αναστομώσεως.
US5333773A (en) * 1991-08-23 1994-08-02 Ethicon, Inc. Sealing means for endoscopic surgical anastomosis stapling instrument
US5711472A (en) * 1991-10-18 1998-01-27 United States Surgical Corporation Self contained gas powered surgical apparatus
IL103445A (en) 1991-10-18 1997-04-15 Ethicon Inc Endoscopic tissue manipulator
CA2075227C (en) 1991-10-18 2004-02-10 Robert J. Geiste Surgical fastening apparatus with shipping interlock
AU657364B2 (en) 1991-10-18 1995-03-09 United States Surgical Corporation Self contained gas powered surgical apparatus
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5307976A (en) * 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
US5662680A (en) 1991-10-18 1997-09-02 Desai; Ashvin H. Endoscopic surgical instrument
US5474223A (en) 1991-10-18 1995-12-12 United States Surgical Corporation Surgical fastener applying apparatus
US5326013A (en) 1991-10-18 1994-07-05 United States Surgical Corporation Self contained gas powered surgical apparatus
US5364001A (en) 1991-10-18 1994-11-15 United States Surgical Corporation Self contained gas powered surgical apparatus
US5289963A (en) * 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5443198A (en) 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
US5431322A (en) 1991-10-18 1995-07-11 United States Surgical Corporation Self contained gas powered surgical apparatus
US5397046A (en) 1991-10-18 1995-03-14 United States Surgical Corporation Lockout mechanism for surgical apparatus
US5324300A (en) 1991-10-25 1994-06-28 Elias Elias G Device for the controlled excision of tissue from a living body
US5197649A (en) 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5240163A (en) 1991-10-30 1993-08-31 American Cyanamid Company Linear surgical stapling instrument
US5207691A (en) 1991-11-01 1993-05-04 Medical Scientific, Inc. Electrosurgical clip applicator
US5190542A (en) 1991-11-05 1993-03-02 Nakao Naomi L Surgical retrieval assembly and related method
US5383874A (en) 1991-11-08 1995-01-24 Ep Technologies, Inc. Systems for identifying catheters and monitoring their use
US5215521A (en) 1991-11-26 1993-06-01 Cochran James C Laparoscopy organ retrieval apparatus and procedure
US5713870A (en) 1991-11-27 1998-02-03 Yoon; Inbae Retractable safety penetrating instrument with laterally extendable spring strip
US5290299A (en) * 1991-12-11 1994-03-01 Ventritex, Inc. Double jaw apparatus for attaching implanted materials to body tissue
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5256149A (en) 1992-02-14 1993-10-26 Ethicon, Inc. Trocar having transparent cannula and method of using
US5171251A (en) 1992-03-02 1992-12-15 Ethicon, Inc. Surgical clip having hole therein and method of anchoring suture
US5352235A (en) 1992-03-16 1994-10-04 Tibor Koros Laparoscopic grasper and cutter
US5254117A (en) 1992-03-17 1993-10-19 Alton Dean Medical Multi-functional endoscopic probe apparatus
USD357535S (en) 1992-03-23 1995-04-18 Ethicon, Inc. Circular anastomotic stapler with curved shaft
US5425738A (en) 1992-04-08 1995-06-20 American Cyanamid Company Endoscopic anastomosis ring insertion device and method of use thereof
US5207684A (en) 1992-04-13 1993-05-04 Neuro Navigational Corporation Sheath for shunt placement for hydrocephalus
DE4312147C2 (de) 1992-04-14 1996-01-25 Olympus Optical Co Trokar
US5364409A (en) 1992-05-08 1994-11-15 Ethicon, Inc. Endoscopic needle holder
US5258007A (en) 1992-05-14 1993-11-02 Robert F. Spetzler Powered surgical instrument
US5186714A (en) 1992-05-18 1993-02-16 Yab Revo-Tech Inc. Multifunctional surgical instrument
US5387196A (en) 1992-05-19 1995-02-07 United States Surgical Corporation Cannula assembly having conductive cannula
US5389098A (en) * 1992-05-19 1995-02-14 Olympus Optical Co., Ltd. Surgical device for stapling and/or fastening body tissues
JPH0647050A (ja) * 1992-06-04 1994-02-22 Olympus Optical Co Ltd 組織縫合結紮器
US5221281A (en) 1992-06-30 1993-06-22 Valleylab Inc. Electrosurgical tubular trocar
GR930100244A (el) 1992-06-30 1994-02-28 Ethicon Inc Εύκαμπτο ενδοσκοπικό χειρουργικό στόμιο εισόδου.
US5368606A (en) 1992-07-02 1994-11-29 Marlow Surgical Technologies, Inc. Endoscopic instrument system
US5857996A (en) * 1992-07-06 1999-01-12 Catheter Imaging Systems Method of epidermal surgery
US5354266A (en) 1992-07-06 1994-10-11 Catheter Imaging Systems Method of epidural surgery
US5342299A (en) 1992-07-06 1994-08-30 Catheter Imaging Systems Steerable catheter
AU4773393A (en) 1992-07-15 1994-02-14 University Of Miami Surgical cutting heads
US5258008A (en) 1992-07-29 1993-11-02 Wilk Peter J Surgical stapling device and associated method
US5330486A (en) 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
DE4225792C2 (de) 1992-07-31 1994-06-01 Ethicon Gmbh Anzeigevorrichtung für die Anzahl durchgeführter Erwärmungen
US5234439A (en) 1992-08-06 1993-08-10 Wilk Peter J Method and instrument assembly for removing organ
US5524180A (en) 1992-08-10 1996-06-04 Computer Motion, Inc. Automated endoscope system for optimal positioning
US5762458A (en) 1996-02-20 1998-06-09 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5657429A (en) * 1992-08-10 1997-08-12 Computer Motion, Inc. Automated endoscope system optimal positioning
US5609560A (en) * 1992-08-19 1997-03-11 Olympus Optical Co., Ltd. Medical operation device control system for controlling a operation devices accessed respectively by ID codes
US5295990A (en) 1992-09-11 1994-03-22 Levin John M Tissue sampling and removal device
US5460182A (en) 1992-09-14 1995-10-24 Sextant Medical Corporation Tissue penetrating apparatus and methods
US5485952A (en) 1992-09-23 1996-01-23 United States Surgical Corporation Apparatus for applying surgical fasteners
CA2106126A1 (en) 1992-09-23 1994-03-24 Ian M. Scott Bipolar surgical instruments
US5381943A (en) 1992-10-09 1995-01-17 Ethicon, Inc. Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge
US5578052A (en) 1992-10-27 1996-11-26 Koros; Tibor Insulated laparoscopic grasper with removable shaft
US5380321A (en) * 1992-11-04 1995-01-10 Yoon; Inbae Shielded energy transmitting surgical instrument and methods therefor
US5667478A (en) 1992-11-06 1997-09-16 Clarus Medical Systems, Inc. Surgical instrument with stick-on fiber-optic viewing system and method of using
US5562696A (en) 1992-11-12 1996-10-08 Cordis Innovasive Systems, Inc. Visualization trocar
US5275166A (en) 1992-11-16 1994-01-04 Ethicon, Inc. Method and apparatus for performing ultrasonic assisted surgical procedures
US6325067B1 (en) 1992-12-03 2001-12-04 Wesley D. Sterman Methods and systems for performing thoracoscopic coronary bypass and other procedures
US5400267A (en) * 1992-12-08 1995-03-21 Hemostatix Corporation Local in-device memory feature for electrically powered medical equipment
US5330483A (en) 1992-12-18 1994-07-19 Advanced Surgical Inc. Specimen reduction device
US5312434A (en) 1992-12-21 1994-05-17 Lawrence Crainich Medical instrument
US5807393A (en) * 1992-12-22 1998-09-15 Ethicon Endo-Surgery, Inc. Surgical tissue treating device with locking mechanism
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
US5403326A (en) 1993-02-01 1995-04-04 The Regents Of The University Of California Method for performing a gastric wrap of the esophagus for use in the treatment of esophageal reflux
US5279565A (en) * 1993-02-03 1994-01-18 Localmed, Inc. Intravascular treatment apparatus and method
US5514134A (en) 1993-02-05 1996-05-07 Everest Medical Corporation Bipolar electrosurgical scissors
US5336229A (en) 1993-02-09 1994-08-09 Laparomed Corporation Dual ligating and dividing apparatus
US5342381A (en) 1993-02-11 1994-08-30 Everest Medical Corporation Combination bipolar scissors and forceps instrument
US5569274A (en) 1993-02-22 1996-10-29 Heartport, Inc. Endoscopic vascular clamping system and method
US20020029783A1 (en) 1993-02-22 2002-03-14 Stevens John H. Minimally-invasive devices and methods for treatment of congestive heart failure
US5735861A (en) 1995-09-06 1998-04-07 Wilson-Cook Medical, Inc. Channel mounted activating mechanism for an endoscopic ligator
US5797960A (en) 1993-02-22 1998-08-25 Stevens; John H. Method and apparatus for thoracoscopic intracardiac procedures
US5425705A (en) 1993-02-22 1995-06-20 Stanford Surgical Technologies, Inc. Thoracoscopic devices and methods for arresting the heart
US6346074B1 (en) 1993-02-22 2002-02-12 Heartport, Inc. Devices for less invasive intracardiac interventions
US5366476A (en) 1993-04-02 1994-11-22 Laparomed Corporation Handle for laparoscopic instrument
CA2121861A1 (en) 1993-04-23 1994-10-24 William D. Fox Mechanical morcellator
US5467911A (en) 1993-04-27 1995-11-21 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
DE69414244T2 (de) 1993-04-30 1999-04-22 United States Surgical Corp., Norwalk, Conn. Chirurgisches instrument mit einer schwenkbaren backenstruktur
GB9309142D0 (en) 1993-05-04 1993-06-16 Gyrus Medical Ltd Laparoscopic instrument
US5415334A (en) 1993-05-05 1995-05-16 Ethicon Endo-Surgery Surgical stapler and staple cartridge
JPH06327683A (ja) * 1993-05-19 1994-11-29 Olympus Optical Co Ltd 外科用縫合具
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
US5395369A (en) 1993-06-10 1995-03-07 Symbiosis Corporation Endoscopic bipolar electrocautery instruments
US5584848A (en) 1993-06-24 1996-12-17 Yoon; Inbae Safety penetrating instrument with penetrating member, safety member and cannula moving during penetration and triggered safety member protrusion
US5549565A (en) 1993-07-13 1996-08-27 Symbiosis Corporation Reusable surgical trocar with disposable valve assembly
US5569243A (en) 1993-07-13 1996-10-29 Symbiosis Corporation Double acting endoscopic scissors with bipolar cautery capability
US5352223A (en) 1993-07-13 1994-10-04 Symbiosis Corporation Endoscopic instruments having distally extending lever mechanisms
US5356408A (en) 1993-07-16 1994-10-18 Everest Medical Corporation Bipolar electrosurgical scissors having nonlinear blades
GR940100335A (el) 1993-07-22 1996-05-22 Ethicon Inc. Ηλεκτροχειρουργικη συσκευη τοποθετησης συρραπτικων αγκυλων.
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
US5336237A (en) 1993-08-25 1994-08-09 Devices For Vascular Intervention, Inc. Removal of tissue from within a body cavity
US5464404A (en) 1993-09-20 1995-11-07 Abela Laser Systems, Inc. Cardiac ablation catheters and method
US5454825A (en) 1993-10-01 1995-10-03 United States Surgical Corporation Circular anastomosis device with seal
US5437684A (en) 1993-10-01 1995-08-01 United States Surgical Corporation Circular anastomosis device
US5487499A (en) * 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5759170A (en) 1993-11-30 1998-06-02 Heartport, Inc. Method for intraluminally inducing cardioplegic arrest and catheter for use therein
US5465894A (en) 1993-12-06 1995-11-14 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
WO1995018572A1 (en) 1994-01-04 1995-07-13 Alpha Surgical Technologies, Inc. Stapling device
US5409487A (en) 1994-01-28 1995-04-25 Yab Revo-Tech Inc. Auxiliary tubing probe
US5597107A (en) * 1994-02-03 1997-01-28 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5487500A (en) * 1994-02-03 1996-01-30 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5591196A (en) * 1994-02-10 1997-01-07 Endovascular Systems, Inc. Method for deployment of radially expandable stents
US5507773A (en) 1994-02-18 1996-04-16 Ethicon Endo-Surgery Cable-actuated jaw assembly for surgical instruments
US5352222A (en) 1994-03-15 1994-10-04 Everest Medical Corporation Surgical scissors with bipolar coagulation feature
US5667472A (en) 1994-03-18 1997-09-16 Clarus Medical Systems, Inc. Surgical instrument and method for use with a viewing system
US5860581A (en) * 1994-03-24 1999-01-19 United States Surgical Corporation Anvil for circular stapler
CA2145723A1 (en) 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
US5881943A (en) * 1994-06-17 1999-03-16 Heartport, Inc. Surgical anastomosis apparatus and method thereof
US5732872A (en) 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
EP0765137B1 (en) 1994-06-17 2003-07-30 Heartport, Inc. Surgical stapling instrument
US6162236A (en) * 1994-07-11 2000-12-19 Terumo Kabushiki Kaisha Trocar needle and expandable trocar tube
US5551622A (en) * 1994-07-13 1996-09-03 Yoon; Inbae Surgical stapler
US5695457A (en) 1994-07-28 1997-12-09 Heartport, Inc. Cardioplegia catheter system
AU694225B2 (en) 1994-08-02 1998-07-16 Ethicon Endo-Surgery, Inc. Ultrasonic hemostatic and cutting instrument
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
CA2146508C (en) 1994-08-25 2006-11-14 Robert H. Schnut Anvil for circular stapler
US5456684A (en) 1994-09-08 1995-10-10 Hutchinson Technology Incorporated Multifunctional minimally invasive surgical instrument
DE19535114B4 (de) 1994-09-21 2013-09-05 Hoya Corp. Endoskopsystem mit Fluoreszenzdiagnose
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5893875A (en) 1994-10-07 1999-04-13 Tnco, Inc. Surgical instrument with replaceable jaw assembly
EP0705571A1 (en) 1994-10-07 1996-04-10 United States Surgical Corporation Self-contained powered surgical apparatus
US5868760A (en) * 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
ATE244584T1 (de) 1995-01-16 2003-07-15 Baxter Int Selbsttragende flächengebilde aus vernetztem fibrin zur hemmung von postoperativen adhäsionen
US5814044A (en) 1995-02-10 1998-09-29 Enable Medical Corporation Apparatus and method for morselating and removing tissue from a patient
US5976159A (en) 1995-02-24 1999-11-02 Heartport, Inc. Surgical clips and methods for tissue approximation
US5695504A (en) 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US6179837B1 (en) * 1995-03-07 2001-01-30 Enable Medical Corporation Bipolar electrosurgical scissors
DE19509115C2 (de) * 1995-03-16 1997-11-27 Deutsche Forsch Luft Raumfahrt Chirurgisches Gerät zum Vorbereiten einer Anastomose in minimal invasiver Operationstechnik
US5626607A (en) 1995-04-03 1997-05-06 Heartport, Inc. Clamp assembly and method of use
US5618307A (en) 1995-04-03 1997-04-08 Heartport, Inc. Clamp assembly and method of use
US5553765A (en) 1995-04-28 1996-09-10 Ethicon Endo-Surgery, Inc. Surgical stapler with improved operating lever mounting arrangement
US20010010247A1 (en) 1995-06-07 2001-08-02 Snow David W. Cannula and method of manufacture and use
US5863366A (en) 1995-06-07 1999-01-26 Heartport, Inc. Method of manufacture of a cannula for a medical device
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US5667526A (en) 1995-09-07 1997-09-16 Levin; John M. Tissue retaining clamp
US5653692A (en) 1995-09-07 1997-08-05 Innerdyne Medical, Inc. Method and system for direct heating of fluid solution in a hollow body organ
US5749885A (en) 1995-10-02 1998-05-12 Smith & Nephew, Inc. Surgical instrument with embedded coding element
KR19990064209A (ko) 1995-10-13 1999-07-26 트랜스바스큘라, 인코포레이티드 간질성 경혈관 개입을 위한 장치, 시스템 및 방법
US6007531A (en) 1995-11-21 1999-12-28 Catheter Imaging Systems, Inc. Steerable catheter having disposable module and sterilizable handle and method of connecting same
US5860953A (en) * 1995-11-21 1999-01-19 Catheter Imaging Systems, Inc. Steerable catheter having disposable module and sterilizable handle and method of connecting same
US5855583A (en) * 1996-02-20 1999-01-05 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US6010054A (en) * 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US6063095A (en) 1996-02-20 2000-05-16 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US5836503A (en) 1996-04-22 1998-11-17 United States Surgical Corporation Insertion device for surgical apparatus
US6050472A (en) * 1996-04-26 2000-04-18 Olympus Optical Co., Ltd. Surgical anastomosis stapler
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US5797900A (en) 1996-05-20 1998-08-25 Intuitive Surgical, Inc. Wrist mechanism for surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US5807377A (en) 1996-05-20 1998-09-15 Intuitive Surgical, Inc. Force-reflecting surgical instrument and positioning mechanism for performing minimally invasive surgery with enhanced dexterity and sensitivity
US5855312A (en) * 1996-07-25 1999-01-05 Toledano; Haviv Flexible annular stapler for closed surgery of hollow organs
US5735289A (en) 1996-08-08 1998-04-07 Pfeffer; Herbert G. Method and apparatus for organic specimen retrieval
US6017354A (en) * 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
WO1998007375A1 (en) * 1996-08-22 1998-02-26 The Trustees Of Columbia University Endovascular flexible stapling device
US5910139A (en) 1996-08-29 1999-06-08 Storz Instrument Co. Numeric keypad simulated on touchscreen
US6364888B1 (en) 1996-09-09 2002-04-02 Intuitive Surgical, Inc. Alignment of master and slave in a minimally invasive surgical apparatus
US5797835A (en) 1996-09-16 1998-08-25 Green; Philip S. System and method for endosurgery employing conjoint operation of an endoscope and endosurgical instrument
GB2318295A (en) * 1996-10-17 1998-04-22 Malachy Gleeson Wire-guided surgical stapler for closure of a puncture site in a blood vessel
US6237605B1 (en) 1996-10-22 2001-05-29 Epicor, Inc. Methods of epicardial ablation
US6719755B2 (en) 1996-10-22 2004-04-13 Epicor Medical, Inc. Methods and devices for ablation
US5735849A (en) 1996-11-07 1998-04-07 Everest Medical Corporation Endoscopic forceps with thumb-slide lock release mechanism
US5931848A (en) 1996-12-02 1999-08-03 Angiotrax, Inc. Methods for transluminally performing surgery
US6132368A (en) * 1996-12-12 2000-10-17 Intuitive Surgical, Inc. Multi-component telepresence system and method
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US5951549A (en) 1996-12-20 1999-09-14 Enable Medical Corporation Bipolar electrosurgical scissors
US6083163A (en) 1997-01-21 2000-07-04 Computer Aided Surgery, Inc. Surgical navigation system and method using audio feedback
US5879332A (en) 1997-03-26 1999-03-09 Ethicon Endo-Surgery, Inc. Trocar having protector with flexible end
USH2037H1 (en) 1997-05-14 2002-07-02 David C. Yates Electrosurgical hemostatic device including an anvil
US5925055A (en) 1997-06-23 1999-07-20 Medelex, Inc Multimodal rotary abrasion and acoustic ablation catheter
US6338737B1 (en) * 1997-07-17 2002-01-15 Haviv Toledano Flexible annular stapler for closed surgery of hollow organs
US5868779A (en) 1997-08-15 1999-02-09 Ruiz; Carlos E. Apparatus and methods for dilating vessels and hollow-body organs
US6217591B1 (en) 1997-08-28 2001-04-17 Axya Medical, Inc. Suture fastening device
US6086600A (en) 1997-11-03 2000-07-11 Symbiosis Corporation Flexible endoscopic surgical instrument for invagination and fundoplication
US6068627A (en) 1997-12-10 2000-05-30 Valleylab, Inc. Smart recognition apparatus and method
US6159196A (en) 1998-03-09 2000-12-12 Ruiz; Carlos Methods and apparatus for transvascular muscular revascularization and drug delivery
US6110188A (en) 1998-03-09 2000-08-29 Corvascular, Inc. Anastomosis method
AU2125499A (en) 1998-03-30 1999-10-14 Ethicon Endo-Surgery, Inc. Methods and apparatus to recognize surgical apparatus
US6126591A (en) 1998-04-01 2000-10-03 Mcgarry; Eugene Video endoscope for use with a flexible video monitor assembly, a video monitor mount for mounting a video monitor to a video endoscope or a mounting post, and a kit including a flexible video monitor assembly, a video endoscope and a mounting post
US5897523A (en) 1998-04-13 1999-04-27 Ethicon Endo-Surgery, Inc. Articulating ultrasonic surgical instrument
US6030384A (en) 1998-05-01 2000-02-29 Nezhat; Camran Bipolar surgical instruments having focused electrical fields
US6261273B1 (en) 1998-05-07 2001-07-17 Carlos E. Ruiz Access system for branched vessels amd methods of use
US6165191A (en) 1998-05-28 2000-12-26 Olympus Optical Co., Ltd. Ultrasonic treating tool
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6478210B2 (en) * 2000-10-25 2002-11-12 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US5928261A (en) 1998-06-29 1999-07-27 Ruiz; Carlos E. Removable vascular filter, catheter system and methods of use
US6174324B1 (en) * 1998-07-13 2001-01-16 Axya Medical, Inc. Suture guide and fastener
AU5391999A (en) 1998-08-04 2000-02-28 Intuitive Surgical, Inc. Manipulator positioning linkage for robotic surgery
US5993454A (en) 1998-09-29 1999-11-30 Stryker Corporation Drill attachment for a surgical drill
US6398726B1 (en) 1998-11-20 2002-06-04 Intuitive Surgical, Inc. Stabilizer for robotic beating-heart surgery
USD444555S1 (en) 1998-12-08 2001-07-03 Intuitive Surgical, Inc. Interface for a medical instrument
US6309397B1 (en) 1999-12-02 2001-10-30 Sri International Accessories for minimally invasive robotic surgery and methods
USD441076S1 (en) 1998-12-08 2001-04-24 Intuitive Surgical, Inc. Adaptor for a medical instrument
USD441862S1 (en) 1998-12-08 2001-05-08 Intuitive Surgical, Inc. Portion of an interface for a medical instrument
USD438617S1 (en) 1998-12-08 2001-03-06 Intuitive Surgical, Inc. Portion of an adaptor for a medical instrument
JP4233656B2 (ja) * 1998-12-11 2009-03-04 ジョンソン・エンド・ジョンソン株式会社 自動吻合器及び該吻合器に装着可能な案内バルーン
US6394998B1 (en) 1999-01-22 2002-05-28 Intuitive Surgical, Inc. Surgical tools for use in minimally invasive telesurgical applications
US6280415B1 (en) 1999-03-10 2001-08-28 W. Dudley Johnson Tissue traction device
US6264087B1 (en) * 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6517565B1 (en) * 1999-06-02 2003-02-11 Power Medical Interventions, Inc. Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6315184B1 (en) 1999-06-02 2001-11-13 Powermed, Inc. Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6171282B1 (en) 1999-07-23 2001-01-09 Edgar K. Ragsdale Soft cannula and methods for use
US6312435B1 (en) 1999-10-08 2001-11-06 Intuitive Surgical, Inc. Surgical instrument with extended reach for use in minimally invasive surgery
US6206903B1 (en) * 1999-10-08 2001-03-27 Intuitive Surgical, Inc. Surgical tool with mechanical advantage
US6193129B1 (en) * 2000-01-24 2001-02-27 Ethicon Endo-Surgery, Inc. Cutting blade for a surgical anastomosis stapling instrument
US6348061B1 (en) * 2000-02-22 2002-02-19 Powermed, Inc. Vessel and lumen expander attachment for use with an electromechanical driver device
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
ZA200006432B (en) * 2000-09-08 2000-12-08 Christy Cummins Surgical micro-stapling instrument.
DE10105541B4 (de) 2001-02-07 2005-03-31 Dr.Ing.H.C. F. Porsche Ag Betätigungsvorrichtung für eine Haube eines Kraftfahrzeugs
JP4617059B2 (ja) 2001-04-20 2011-01-19 パワー メディカル インターベンションズ， エルエルシー イメージング装置
US6632227B2 (en) * 2001-08-24 2003-10-14 Scimed Life Systems, Inc. Endoscopic resection devices
DE10158246C1 (de) * 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Chirurgisches Klammersetzinstrument
AU2003226050A1 (en) * 2002-04-11 2003-10-27 Tyco Healthcare Group, Lp Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces
JP2004065476A (ja) * 2002-08-06 2004-03-04 Univ Waseda 吻合器具の先端部材及び吻合器具
JP2004089442A (ja) * 2002-08-30 2004-03-25 Top:Kk 外科用吻合器
US7401721B2 (en) * 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7407075B2 (en) * 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US7398908B2 (en) * 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
CA2685717C (en) * 2007-05-07 2015-08-11 Tyco Healthcare Group Lp Variable size-uniform compression staple assembly
US8028884B2 (en) * 2008-04-22 2011-10-04 Tyco Healthcare Group Lp Cartridge for applying varying amounts of tissue compression
WO2009133875A1 (ja) * 2008-04-30 2009-11-05 学校法人自治医科大学 自然開口部越管腔内視鏡手術（ｎｏｔｅｓ）用外科手術システム及び外科手術方法

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6119913A (en) * 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
US6491201B1 (en) * 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
CN2451047Y (zh) * 2000-11-30 2001-10-03 陈德全 肠管扎线管口缝合枪
CN1720827A (zh) * 2004-07-12 2006-01-18 苏少宁 非燃烧吸烟烟品及提取方法

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9277919B2 (en) 2010-09-30 2016-03-08 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising fibers to produce a resilient load
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9743929B2 (en) 2014-03-26 2017-08-29 Ethicon Llc Modular powered surgical instrument with detachable shaft assemblies

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US8025199B2 (en) 2011-09-27
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