DE1566174C3 - Chirurgisches Klammerinstrument - Google Patents

Chirurgisches Klammerinstrument

Info

Publication number
DE1566174C3
DE1566174C3 DE1566174A DE1566174A DE1566174C3 DE 1566174 C3 DE1566174 C3 DE 1566174C3 DE 1566174 A DE1566174 A DE 1566174A DE 1566174 A DE1566174 A DE 1566174A DE 1566174 C3 DE1566174 C3 DE 1566174C3
Authority
DE
Germany
Prior art keywords
tissue
instrument
anvil
frame
staple
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
DE1566174A
Other languages
English (en)
Other versions
DE1566174B2 (de
DE1566174A1 (de
Inventor
David Thomas Norwalk Green
Phillip Wade Cheshire King
Louis Stamford Soltanoff
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
United States Surgical Corp
Original Assignee
United States Surgical Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=24342256&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=DE1566174(C3) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by United States Surgical Corp filed Critical United States Surgical Corp
Publication of DE1566174A1 publication Critical patent/DE1566174A1/de
Publication of DE1566174B2 publication Critical patent/DE1566174B2/de
Application granted granted Critical
Publication of DE1566174C3 publication Critical patent/DE1566174C3/de
Expired legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214—Stapler heads
    • A61B2017/07257—Stapler heads characterised by its anvil
    • A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material

Description

Erfindungsgemäß wird diese Aufgabe bei einem chirurgischen Klammerinstrument der eingangs beschriebenen Art dadurch gelöst, daß der Stößelvorschub durch einen an dem äußeren Rahmen angeordneten Anschlag zur Bestimmung der geringsten Entfernung zwischen Stößel und Amboß begrenzt ist. Durch das erfindungsgemäße Gerät ist gewährleistet, daß auch bei richtiger Einstellung der Gewebelücke sowohl ein Zerquetschen des zu nähenden Gewebes durch eine Überanpressung der eingebrachten Klammern als auch ein zu lockeres Anlegen der Klammern verhindert wird. Die eingebrachten Klammern werden immer gerade so weit gegen den Amboß geschoben, daß eine befriedigende Naht zustande kommt. ■ ..;;..■;..■ :.■..■·:-'
Eine gute Naht läßt sich insbesondere dann anbringen, wenn der Chirurg^ bei der Betätigung des Gerätes keine äußersten Kräfte anwenden muß, sondern wenn der große Kraftanstieg zu Beginn des Ümbiegens der Klammern durch eine geeignete Übersetzung in dem Gerät ausgeglichen wird. Eine bevorzugte Ausführungsform der Erfindung sieht daher vor, daß die Stößelstange durch von einem beweglichen Handgriff betätigten Hebel angetrieben ist, wobei der Hub des Handgriffs der zum Andrücken der Klammern gegen den Amboß benötigten Kraft in der Weise angepaßt ist, daß den größeren Kräften zum Beginn des Biegens der Klammern größere Wege des Handgriffs entsprechen.
In weiterer Ausgestaltung der Erfindung ist der um eine Achse schwenkbare Handgriff mit einer Nockenscheibe verbunden, die zum Antrieb der Stößelstange auf mit dieser in Antriebsverbindung stehenden Zapfen abgleiten. Dabei weist die Nockenscheibe eine Form auf, die der zum Anbringen der Klammern benötigten Kraft entsprechenden Übersetzung angepaßt ist. Die Nockenscheibe ist so ausgebildet, daß sie in dem Bereich die geringste Steigung aufweist, die dem Beginn des Biegens der Klammern entspricht.
Zur Herabsetzung der Reibung zwischen den Zapfen und der diese antreibenden Nockenscheibe bestehen die Zapfen zweckmäßigerweise aus Rollen.
Ausführungsbeispiele der Erfindung werden nachstehend an Hand der Zeichnung näher erläutert. In der Zeichnung zeigt
F i g. 1 eine Seitenansicht einer ersten Ausführungsform des chirurgischen Klammerinstruments,
F i g. 2 eine Seitenansicht des äußeren Rahmens, teilweise im Schnitt,
F i g. 3 eine Seitenansicht des inneren Rahmens des Klammerinstruments, teilweise im Schnitt,
Fig.4 eine Seitenansicht der Antriebselemente der Stößelgruppe und
F i g. 5 eine Seitenansicht einer anderen Ausführungsform des Klammerinstruments.
Das in Fig. 1 in Seitenansicht dargestellte Instrument besteht aus einem äußeren Rahmen OF (Fig.2), einem in diesem geführten inneren Rahmen IF (F i g. 3) und aus einem in dem inneren Rahmen IF untergebrachten Antriebsmechanismus für die Stößelgruppe P (F i g. 4). Der innere Rahmen IF wird nach Aufnahme der Stößelgruppe P mit dem Antriebsmechanismus in den äußeren Rahmen eingepaßt, wobei der vordere Teil des inneren Rahmens in einer U-förmigen Führung 1 des äußeren Rahmens ruht. Der äußere Rahmen weist an seinem geschlossenen hinteren Ende einen Einschnitt 3 auf, der in die Ringnut 4 der Flügelmutter 2 eingreift. Der innere Rahmen IF weist an seinem hinteren Ende einen feststehenden Handgriff 32 und einen den Rahmen fortsetzenden Gewindebolzen 5 auf, auf den die Flügelmutter aufgeschraubt ist, so daß durch Drehung der Flügelmutter der innere Rahmen in den äußeren Rahmen in Längsrichtung verschieblich ist.
-Eine wegwerfbare KlammernpatroneC ist am vorderen Ende des inneren Rahmens in der Weise montiert, daß der Stößel 42 mit der Vorderfront 92 seiner Zähne 93 nach Betätigung des Handgriffs MH die Klammern 104 aus dieser austreibt. Als Widerlager für die von dem Stößel 42 ausgetriebenen Klammern 104 dient der am äußeren Rahmen angeordnete Amboßö.
Die Stößelgruppe P ist in den inneren Rahmen eingepaßt, wobei die Stößelstange 41 in der Bohrung 38 des inneren Rahmens gleitend geführt ist. Die Stößelplatte 42 ist in den hohlen vorderen Kopf des inne-
ao ren Rahmens eingepaßt. Das hintere Ende der Stößelstange 41 ist in die Nockenplatte CP eingehängt, die durch die Schwenkbewegung des Handgriffs MH angetrieben wird und ihre Antriebskraft auf die Stößelstange 41 überträgt. Die Nockenplatte CP besteht aus zwei parallel zueinander angeordneten flachen Platten, in deren Zwischenraum die Rollen 52 auf einer die Platten verbindenden Achse drehbar angeordnet sind. Die vordere Rolle 52 gleitet auf dem Rahmenteil 19 des äußeren Rahmens, in dem die Nockenplatte CP geführt ist. Der bewegliche Handgriff MH ist durch Niete oder auf andere Weise fest mit einer Kurvenscheibe 56 verbunden, die mit ihrer Nockenfläche 62 bei Betätigung des Handgriffs MH auf der vorderen in der der Nockenplatte CP angeordneten Rolle 52 abgleitet und die Nockenplatte und somit die Stößelgruppe antreibt. Der Handgriff mit der Kurvenscheibe 56 ist um die Achse 60 schwenkbar, die in der Aussparung 20 b des inneren Rahmens ruht und bei Verstellung des inneren Rahmens relativ zu dem äußeren durch die Flügelmutter 2 in der Nut 20 geführt ist.
Die Kraftübertragung von dem Handgriff MH auf die Stößelgruppe P und somit die Klammern 104 hängt von der Steigung der Nockenfläche 62 der Kurvenscheibe 56 ab. Die Steigung der Nockenfläche wird so gewählt, daß sie der zum Anbringen der Klammern 104 benötigten Kraft auf Grund der sich daraus ergebenden Kraftübersetzung angepaßt ist. Die Nockenscheibe 62 weist in dem Bereich die geringste Steigung auf, der dem Beginn des Biegens der Klammern 104 entspricht. Der Stößelvorschub ist dadurch begrenzt, daß eine weitere Vorwärtsbewegung nicht mehr möglich ist, nachdem die Nockenplatte CP mit ihrer Vorderfront gegen den im äußeren Rahmen angeordneten Anschlag 19' aufgelaufen ist. Die zwischen Amboß 6 und Klammernpatrone C gewünschte Gewebelücke wird durch Verstellung der Flügelmutter 2 eingestellt. Der Stößelvorschub ist unabhängig von der Einstellung der Gewebelücke, da der Vorschub durch den im äußeren Rahmen angeordneten Anschlag 19' begrenzt ist, gegen den die Nockenplatte mit ihrer Vorderfront 19" in ihrer vordersten Stellung aufläuft. '
In Fig. 5 ist eine andere Ausführungsform des Klammerninstruments dargestellt. Eine Stößelstangengruppe mit einer Stößelplatte 234 und einer Stößelstange 235 ist in den inneren Rahmen 217 geführt. Der innere Rahmen ist über die Flügelmut-
ter2, die mit: einer Ringnut in eine gabelförmige Aussparung am hinteren Ende des äußeren Rahmens eingreift, über den mit dem inneren Rahmen verbundenen Gewindebolzen 226 verstellbar. Der innere Rahmen 217 ist fest mit dem festen Handgriff 218 verbunden. In die Aussparung 233 des inneren Rahmens 217 ist die Achse des: schwenkbaren Handgriffs 239 einsetzbar. Der Handgriff weist oberhalb der Achse 239 einen freien Arm 240 auf, der an seiner Vorderseite eine gekrümmte Nockenfläche aufweist. Der Arm 240 des beweglichen Handgriffs greift gabelförmig in einen am hinteren Ende der Stößelstange 235 angeordneten Absatz ein und treibt die Stößelstange. 235 durch Abgleiten seiner Nockenfläche auf den an der Stößelstange angeordneten Bund 236 an. Die Form der an der Vorderseite des Arms 240 angeordneten Nockenfläche entspricht der beim Stößelvorschub gewünschten Kraftübertragung. Im äußeren Rahmen ist ein Anschlag 252 angeordnet, der den Stößelvorschub unabhängig von der eingestellten Gewebelücke begrenzt. Die Begrenzung erfolgt dadurch, daß die Stößelstange 235 in ihrer vordersten Stellung mit ihrem Bund 254 gegen den Anschlag 252 stößt. ■ · . : . ' .
Hierzu 2 Blatt Zeichnungen

Claims (6)

1 2 . stellung:. der Größe ;der Gewebelücke '■. ein innerer Patentansprüche: Rahmen in einem -äußeren Rahmen durch eine .: .. · Schraubspindel verstellen. Der Hub des in dem inne-
1. Chirurgisches Klammerinstrument mit ren Rahmen geführten Stößels ist durch Anschläge in einem äußeren, langgestreckten Rahmen, der an 5 dem inneren Rahmen festgelegt, so daß die aus der seinem vorderen Ende einen Amboß trägt und Klammernpatrone ausgestoßenen Klammern entsprezur Einstellung der Größe der Gewebelücke ge- chend der eingestellten Gewebelücke weiter oder wegen einen an dem vorderen Ende eines in dem niger weit gegen den die Klammernschenkel umbieäußeren Rahmen geführten inneren Rahmens an- genden Amboß gedrückt werden. Diese bekannte geordneten Patronenteil verschieblich und in ge- ίο Ausführungsform macht es notwendig, unterschiedwünschten Stellungen feststellbar ist, .und; mit liehe Klammerinstrumente zu verwenden, die der jeeiner Stößelvorrichtung zum Ausstoßen von weiligen Stärke des zu nähenden Gewebes angepaßt Klammern aus. der Klammernpatrone gegen den sind. Diese begrenzte Verwendbarkeit der bekannten Amboß, deren Antrieb in dem inneren Rahmen Geräte wird deutlich, wenn in Betracht gezogen wird, angeordnet ist, dadurch gekennzeich- 15 daß das Zusammenklammern von lebendigem Gen e t, daß der Stößelvorschub durch einen an webe nicht vergleichbar ist mit dem Zusammenheften dem äußeren Rahmen (OF) angeordneten An- von toten Materalien, wie etwa Papier, Pappe usw., schlag (19', 252) zur Bestimmung der. geringsten bei denen es auf die verwendeten Quetschdrücke Entfernung zwischen Stößel (42, 234) und Am- nicht ankommt. Bei derartigen toten Materialien boß begrenzt ist. 20 können beim Klammern hohe Quetschdrücke ausge-
2. Instrument nach Anspruch!, dadurch ge- übt werden, ohne daß die Materiallagen dadurch bekennzeichnet, daß die Stößelstange (41, 235) schädigt werden. Beim Zusammenklammern von Iedurch von einem beweglichen Handgriff (MH) bendem Gewebe darf das Klammerinstrument die betätigten Hebel angetrieben ist, wobei der Hub dazwischenliegenden Gewebelagen nur innerhalb des Handgriffs der zum Andrücken der Klam- 25 eines beschränkten Bereiches zusammendrücken, da mern gegen den Amboß benötigten Kraft in der lebendes Gewebe leicht beschädigt werden kann. Weise angepaßt ist, daß den größeren Kräften Weiterhin muß die endgültige oder zusammengebozum Beginn des Biegens der Klammern größere gene Form der Klammer bei lebenden Gewebe sehr Wege des Handgriffs entsprechen. genau vorbestimmt sein, um ein festes Zusammen-
3. Instrument nach Anspruch 2, dadurch ge- 30 halten der einander gegenüberliegenden Gewebekennzeichnet, daß der um eine Achse (60) schichten zu bewirken. Die Klammer selbst darf jeschwenkbare Handgriff (MH) mit einer Nocken- doch nicht die Gewebeschichten zerreißen oder in scheibe (62) verbunden ist, die zum Antrieb der anderer Weise verletzten. Die Klammer darf die Ge-Stößelstange (41) auf mit dieser in Antriebsver- webeschichten nicht so eng zusammenquetschen, daß bindung stehenden Zapfen (52) abgleiten. 35 ein Hindurchfließen von Körperflüssigkeit verhindert
4. Instrument nach einem der Ansprüche 2 oder auch nur behindert wird, da diese Flüssigkeit und 3, dadurch gekennzeichnet, daß die Nocken- für das richtige Heilen und Aneinanderwachsen der scheibe (62) eine Form aufweist, die der zum An- Gewebeschichten notwendig ist. Bei dem bekannten bringen der Klammern (104) benötigten Kraft Instrument wird bei einer eingestellten geringen Geentsprechenden Kraftübersetzung angepaßt ist. 40 webelücke die Klammer so kräftig gegen den Amboß
5. Instrument nach Anspruch 3 oder 4, da- gedrückt, daß dadurch das Gewebe beschädigt und durch gekennzeichnet, daß die Nockenscheibe ein Hindurchfließen der Körperflüssigkeit behindert (62) in dem Bereich die geringste Steigung auf- werden kann. Bei eingestellter großer Gewebelücke weist, die dem Beginn des Biegens der Klammern wird die Klammer nicht genügend weit gegen den (104) entspricht. 45 Amboß vorgeschoben, so daß ein guter Klammern-
6. Instrument nach einem der Ansprüche 3 sitz und somit eine gute Naht nicht gewährleistet ist. bis 5, dadurch gekennzeichnet, daß die die Stö- Mit dem chirurgischen Klammerinstrument der ßelstange (41) antreibenden Zapfen aus Rollen eingangs beschriebenen Art werden üblicherweise
■ (52) bestehen.' -:- ... ■ - ■■■- ' ■"■■ eine Vielzahl von Nähten entlang einer einzelnen
: '■ . ■■;■■·■ ..·- ·■-.-. 50 oder entlang einer Vielzahl von parallelen Linien
durchgeführt, und die Anzahl der Klammern, die in
das Gewebe bei einer Betätigung des Instruments
eingebracht werden, kann beträchtlich sein. Häufig
::::..v ·'· -·.- müssen über 30 Klammern mit einer einzigen Betäti-Die Erfindung betrifft ein chirurgisches Klammer- 55 gung des Instruments eingetrieben werden. Bei den instrument mit einem äußeren, langgestreckten Rah- bekannten Geräten treten Schwierigkeiten bei der men, der an seinem vorderen Ende einen Amboß Handhabung auf, weil die Klammereintreibkraft, die trägt und zur Einstellung der Größe der Gewebe- der Chirurg aufbringen muß, so hoch ist, daß er häulücke gegen einen an dem vorderen Ende eines in fig beide Hände benutzen muß, um insbesondere zu dem äußeren Rahmen geführten inneren Rahmens 60 Beginn des Biegens der Klammern die Klammern geangeordneten Patronenteil verschieblich und in ge- gen den Amboß zu pressen. Diese Schwierigkeit der wünschten Stellungen feststellbar ist, und mit einer Handhabung ist geeignet, den Sitz der eingebrachten Stößelvorrichtung zum Ausstoßen von Klammern Klammern zu verschlechtern.
aus der Klammernpatrone gegen den Amboß, deren Aufgabe der Erfindung ist es, ein einfach und Antrieb in dem inneren Rahmen angeordnet ist. 65 schnell zu betätigendes chirurgisches Klammerinstru-Ein chirurgisches Klammerinstrument dieser Art ment zu schaffen, bei dem bei veränderlicher Geweist aus der USA.-Patentschrift 3 080 564 bekannt. belücke die Klammern immer mit richtigem Sitz ein-Bei diesem bekannten Instrument läßt sich zur Ein- gebracht werden.
DE1566174A 1966-10-10 1967-10-09 Chirurgisches Klammerinstrument Expired DE1566174C3 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US58562866A 1966-10-10 1966-10-10

Publications (3)

Publication Number Publication Date
DE1566174A1 DE1566174A1 (de) 1972-03-02
DE1566174B2 DE1566174B2 (de) 1973-03-01
DE1566174C3 true DE1566174C3 (de) 1973-09-13

Family

ID=24342256

Family Applications (1)

Application Number Title Priority Date Filing Date
DE1566174A Expired DE1566174C3 (de) 1966-10-10 1967-10-09 Chirurgisches Klammerinstrument

Country Status (7)

Country Link
US (1) US3494533A (de)
JP (1) JPS4617040B1 (de)
CH (1) CH480058A (de)
DE (1) DE1566174C3 (de)
FR (1) FR1540226A (de)
GB (6) GB1198664A (de)
SE (1) SE342390B (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3248298C2 (de) * 1981-05-26 1985-09-05 United States Surgical Corp., Norwalk, Conn. Chirurgisches Klammerinstrument

Families Citing this family (676)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3675688A (en) * 1970-04-27 1972-07-11 United States Surgical Corp Instrument for ligating, suturing and dividing organic tubular structures
SU506963A1 (ru) * 1973-07-26 1976-08-25 Всесоюзный Научно-Исследовательский И Испытательный Институт Медицинской Техники Министерства Здравоохранения Ссср Хирургический сшивающий аппарат
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
US4194666A (en) * 1978-06-26 1980-03-25 Xerox Corporation Staple clinching mechanism
US4216891A (en) * 1979-02-12 1980-08-12 Behlke Harold O Surgical stapler
US4273281A (en) * 1979-07-23 1981-06-16 Franklin G. Smith Internal surgical stapler
US4272002A (en) * 1979-07-23 1981-06-09 Lawrence M. Smith Internal surgical stapler
AU534210B2 (en) * 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
US4319576A (en) * 1980-02-26 1982-03-16 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
US4378901A (en) * 1980-05-22 1983-04-05 Akopov Ernest M Apparatus for applying a staple suture
EP0060279A1 (de) * 1980-09-18 1982-09-22 Hospital Products Limited Antriebsmechanismus für einen chirurgischen klammerapparat
US4354628A (en) * 1980-09-29 1982-10-19 United States Surgical Corporation Surgical stapler apparatus having pivotally related staple holder and anvil
DE3153222C2 (de) * 1980-09-29 1986-10-09 United States Surgical Corp., Norwalk, Conn. Antriebsvorrichtung zum Tragen und Bet{tigen einerchirurgischen Klammereinrichtung
US4351466A (en) * 1980-10-16 1982-09-28 United States Surgical Corporation Disposable instrument for surgical fastening
US4379457A (en) * 1981-02-17 1983-04-12 United States Surgical Corporation Indicator for surgical stapler
EP0061867B1 (de) * 1981-03-27 1987-09-16 Minnesota Mining And Manufacturing Company Klammer und Magazin für ein Gerät zum Klammern von Gewebe und Verfahren zum Schliessen des Gewebes
US4402444A (en) * 1981-04-20 1983-09-06 United States Surgical Corporation Surgical stapling instrument with automatic frame reinforcement
US4632290A (en) * 1981-08-17 1986-12-30 United States Surgical Corporation Surgical stapler apparatus
US4576167A (en) * 1981-09-03 1986-03-18 United States Surgical Corporation Surgical stapler apparatus with curved shaft
US4415112A (en) * 1981-10-27 1983-11-15 United States Surgical Corporation Surgical stapling assembly having resiliently mounted anvil
US4422567A (en) * 1981-11-17 1983-12-27 Haynes Taylor H Medical suturing device
US4442964A (en) * 1981-12-07 1984-04-17 Senco Products, Inc. Pressure sensitive and working-gap controlled surgical stapling instrument
US4470533A (en) * 1982-08-13 1984-09-11 Ethicon, Inc. Surgical instrument for suturing tissues and organs
US4488523A (en) * 1982-09-24 1984-12-18 United States Surgical Corporation Flexible, hydraulically actuated device for applying surgical fasteners
DE3301713A1 (de) * 1983-01-20 1984-07-26 Horst Dr. 3004 Isernhagen Ziegler Chirurgisches klammernahtgeraet zur herstellung zirkulaerer verbindungen
US4506670A (en) * 1983-03-30 1985-03-26 United States Surgical Corporation Two-part surgical fastener applying apparatus with frangible member
US4506671A (en) * 1983-03-30 1985-03-26 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US4527724A (en) * 1983-06-10 1985-07-09 Senmed, Inc. Disposable linear surgical stapling instrument
US4568009A (en) * 1984-01-20 1986-02-04 United States Surgical Corporation Surgical fastener applying apparatus
US4508253A (en) * 1983-10-04 1985-04-02 United States Surgical Corporation Surgical fastener applying apparatus
IN165375B (de) * 1984-07-16 1989-10-07 Ethicon Inc
US4585153A (en) * 1984-07-16 1986-04-29 Ethicon, Inc. Surgical instrument for applying two-piece fasteners comprising frictionally held U-shaped staples and receivers (Case III)
US4767044A (en) * 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
US4665916A (en) * 1985-08-09 1987-05-19 United States Surgical Corporation Surgical stapler apparatus
SE457228B (sv) * 1985-09-10 1988-12-12 Vnii Ispytatel Med Tech Kirurgiskt instrument foer anbringande av linjaera bygelsuturer
US4715520A (en) * 1985-10-10 1987-12-29 United States Surgical Corporation Surgical fastener applying apparatus with tissue edge control
EP0251444A1 (de) * 1986-04-30 1988-01-07 Minnesota Mining And Manufacturing Company Amboss-Baugruppe
US4802614A (en) * 1986-05-23 1989-02-07 United States Surgical Corporation Surgical stapling instrument and cartridge
US4752024A (en) * 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
US5027834A (en) * 1987-06-11 1991-07-02 United States Surgical Corporation Stapling process for use on the mesenteries of the abdomen
US4930503A (en) * 1987-06-11 1990-06-05 Pruitt J Crayton Stapling process and device for use on the mesenteries of the abdomen
US4848637A (en) * 1987-06-11 1989-07-18 Pruitt J Crayton Staple device for use on the mesenteries of the abdomen
US5071052A (en) * 1988-09-22 1991-12-10 United States Surgical Corporation Surgical fastening apparatus with activation lockout
US5074454A (en) * 1990-06-04 1991-12-24 Peters Ronald L Surgical stapler
CA2052176A1 (en) * 1990-10-05 1992-04-06 Daniel P. Rodak Controlled closure mechanism
US5470009A (en) * 1990-12-06 1995-11-28 United States Surgical Corporation Surgical fastening apparatus with locking mechanism
CA2055943C (en) * 1990-12-06 2003-09-23 Daniel P. Rodak Surgical fastening apparatus with locking mechanism
CA2098721C (en) * 1990-12-18 2002-10-22 Alan K. Plyley Safety device for a surgical stapler cartridge
CA2060040A1 (en) * 1991-02-08 1992-08-10 Miguel A. Velez Surgical staple and endoscopic stapler
US5217472A (en) * 1991-05-07 1993-06-08 United States Surgical Corporation Surgical fastening device
US5257713A (en) * 1991-05-07 1993-11-02 United States Surgical Corporation Surgical fastening device
US5413267A (en) * 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
AU671685B2 (en) * 1991-05-14 1996-09-05 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
US5173133A (en) * 1991-07-23 1992-12-22 United States Surgical Corporation Method for annealing stapler anvils
CA2075141C (en) * 1991-10-17 1998-06-30 Donald A. Morin Anvil for surgical staplers
CA2078794C (en) * 1991-10-18 1998-10-06 Frank J. Viola Locking device for an apparatus for applying surgical fasteners
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
US5497933A (en) * 1991-10-18 1996-03-12 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5356064A (en) * 1991-10-18 1994-10-18 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5395034A (en) * 1991-11-07 1995-03-07 American Cyanamid Co. Linear surgical stapling instrument
US5433721A (en) * 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5601224A (en) * 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5626587A (en) * 1992-10-09 1997-05-06 Ethicon Endo-Surgery, Inc. Method for operating a surgical instrument
US5662662A (en) * 1992-10-09 1997-09-02 Ethicon Endo-Surgery, Inc. Surgical instrument and method
US5441193A (en) * 1993-09-23 1995-08-15 United States Surgical Corporation Surgical fastener applying apparatus with resilient film
US5439155A (en) * 1993-10-07 1995-08-08 United States Surgical Corporation Cartridge for surgical fastener applying apparatus
US5560532A (en) * 1993-10-08 1996-10-01 United States Surgical Corporation Apparatus and method for applying surgical staples to body tissue
US5470008A (en) * 1993-12-20 1995-11-28 United States Surgical Corporation Apparatus for applying surgical fasteners
US5489058A (en) * 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5732872A (en) 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
US5881943A (en) 1994-06-17 1999-03-16 Heartport, Inc. Surgical anastomosis apparatus and method thereof
AU696332B2 (en) * 1994-06-17 1998-09-10 Heartport, Inc. Surgical stapling instrument and method thereof
US5480089A (en) * 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
US5636779A (en) * 1994-12-13 1997-06-10 United States Surgical Corporation Apparatus for applying surgical fasteners
US5988479A (en) * 1994-12-13 1999-11-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5904697A (en) * 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
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
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US6109500A (en) * 1996-10-04 2000-08-29 United States Surgical Corporation Lockout mechanism for a surgical stapler
US5911352A (en) * 1996-12-17 1999-06-15 United States Surgical Corporation Surgical stapling apparatus
NL1007349C2 (nl) * 1997-10-24 1999-04-27 Suyker Wilhelmus Joseph Leonardus Systeem voor het mechanisch vervaardigen van anastomoses tussen holle structuren; alsmede inrichting en applicator voor gebruik daarbij.
US6193734B1 (en) * 1998-01-23 2001-02-27 Heartport, Inc. System for performing vascular anastomoses
US6280460B1 (en) 1998-02-13 2001-08-28 Heartport, Inc. Devices and methods for performing vascular anastomosis
US7018387B2 (en) * 1998-10-22 2006-03-28 Innovative Interventional Technologies B.V. Mechanical anastomosis system for hollow structures
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US7951071B2 (en) * 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
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
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US8025199B2 (en) * 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6981941B2 (en) * 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US6793652B1 (en) 1999-06-02 2004-09-21 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
US6716233B1 (en) * 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6461364B1 (en) * 2000-01-05 2002-10-08 Integrated Vascular Systems, Inc. Vascular sheath with bioabsorbable puncture site closure apparatus and methods of use
US6942674B2 (en) 2000-01-05 2005-09-13 Integrated Vascular Systems, Inc. Apparatus and methods for delivering a closure device
US7842068B2 (en) * 2000-12-07 2010-11-30 Integrated Vascular Systems, Inc. Apparatus and methods for providing tactile feedback while delivering a closure device
US6391048B1 (en) * 2000-01-05 2002-05-21 Integrated Vascular Systems, Inc. Integrated vascular device with puncture site closure component and sealant and methods of use
US9579091B2 (en) * 2000-01-05 2017-02-28 Integrated Vascular Systems, Inc. Closure system and methods of use
US8758400B2 (en) * 2000-01-05 2014-06-24 Integrated Vascular Systems, Inc. Closure system and methods of use
US6533157B1 (en) 2000-02-22 2003-03-18 Power Medical Interventions, Inc. Tissue stapling attachment for use with an electromechanical driver device
US7770773B2 (en) 2005-07-27 2010-08-10 Power Medical Interventions, Llc Surgical device
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
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
AU8800801A (en) * 2000-09-08 2002-03-22 James E Coleman Surgical staple
US6626918B1 (en) 2000-10-06 2003-09-30 Medical Technology Group Apparatus and methods for positioning a vascular sheath
US6817508B1 (en) 2000-10-13 2004-11-16 Tyco Healthcare Group, Lp Surgical stapling device
US7407076B2 (en) * 2000-10-13 2008-08-05 Tyco Healthcare Group Lp Surgical stapling device
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6966917B1 (en) * 2000-11-09 2005-11-22 Innovation Interventional Technologies B.V. Deformable connector for mechanically connecting hollow structures
US7905900B2 (en) * 2003-01-30 2011-03-15 Integrated Vascular Systems, Inc. Clip applier and methods of use
US7211101B2 (en) * 2000-12-07 2007-05-01 Abbott Vascular Devices Methods for manufacturing a clip and clip
US6623510B2 (en) * 2000-12-07 2003-09-23 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US8690910B2 (en) 2000-12-07 2014-04-08 Integrated Vascular Systems, Inc. Closure device and methods for making and using them
US7806904B2 (en) 2000-12-07 2010-10-05 Integrated Vascular Systems, Inc. Closure device
IES20010547A2 (en) * 2001-06-07 2002-12-11 Christy Cummins Surgical Staple
CN100522096C (zh) 2001-12-04 2009-08-05 能量医学介入公司 用于校准外科器械的系统和方法
US9113878B2 (en) 2002-01-08 2015-08-25 Covidien Lp Pinion clip for right angle linear cutter
US6749621B2 (en) * 2002-02-21 2004-06-15 Integrated Vascular Systems, Inc. Sheath apparatus and methods for delivering a closure device
US7059509B2 (en) * 2002-05-28 2006-06-13 Phillip Clay Brown Surgical stapling device
DE60325355D1 (de) * 2002-06-04 2009-01-29 Abbott Vascular Inc Chirurgische klemme und anbringungsvorrichtung zur gefässwundverschliessung
ATE347316T1 (de) * 2002-06-14 2006-12-15 Power Med Interventions Inc Gerät zum klemmen, schneiden und zusammenheften von gewebe
US7108710B2 (en) 2002-11-26 2006-09-19 Abbott Laboratories Multi-element biased suture clip
US8905937B2 (en) * 2009-02-26 2014-12-09 Integrated Vascular Systems, Inc. Methods and apparatus for locating a surface of a body lumen
US8202293B2 (en) 2003-01-30 2012-06-19 Integrated Vascular Systems, Inc. Clip applier and methods of use
US8821534B2 (en) 2010-12-06 2014-09-02 Integrated Vascular Systems, Inc. Clip applier having improved hemostasis and methods of use
US8398656B2 (en) * 2003-01-30 2013-03-19 Integrated Vascular Systems, Inc. Clip applier and methods of use
US8758398B2 (en) * 2006-09-08 2014-06-24 Integrated Vascular Systems, Inc. Apparatus and method for delivering a closure element
US7857828B2 (en) * 2003-01-30 2010-12-28 Integrated Vascular Systems, Inc. Clip applier and methods of use
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
US20050139636A1 (en) † 2003-12-30 2005-06-30 Schwemberger Richard F. Replaceable cartridge module for a surgical stapling and cutting instrument
US6953138B1 (en) 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
IES20040368A2 (en) * 2004-05-25 2005-11-30 James E Coleman Surgical stapler
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US7210609B2 (en) * 2004-07-30 2007-05-01 Tools For Surgery, Llc Stapling apparatus having a curved anvil and driver
US7515970B2 (en) * 2004-08-18 2009-04-07 Cardiac Pacemakers, Inc. Transeptal lead
US8287535B2 (en) * 2005-05-11 2012-10-16 Mayo Foundation For Medical Education And Research Apparatus and methods for internal surgical procedures
US8926633B2 (en) * 2005-06-24 2015-01-06 Abbott Laboratories Apparatus and method for delivering a closure element
US8313497B2 (en) * 2005-07-01 2012-11-20 Abbott Laboratories Clip applier and methods of use
US20080312686A1 (en) * 2005-07-01 2008-12-18 Abbott Laboratories Antimicrobial closure element and closure element applier
EP1917125B1 (de) * 2005-07-27 2011-09-07 Tyco Healthcare Group LP Klammertaschenanordnung für chirurgischen klammerapparat
US20070060895A1 (en) * 2005-08-24 2007-03-15 Sibbitt Wilmer L Jr Vascular closure methods and apparatuses
US8920442B2 (en) * 2005-08-24 2014-12-30 Abbott Vascular Inc. Vascular opening edge eversion methods and apparatuses
US9456811B2 (en) * 2005-08-24 2016-10-04 Abbott Vascular Inc. Vascular closure methods and apparatuses
US20070194079A1 (en) 2005-08-31 2007-08-23 Hueil Joseph C Surgical stapling device with staple drivers of different height
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
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
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
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
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
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8808310B2 (en) * 2006-04-20 2014-08-19 Integrated Vascular Systems, Inc. Resettable clip applier and reset tools
EP2018248B1 (de) * 2006-05-19 2015-11-04 Applied Medical Resources Corporation Chirurgisches klammergerät
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US8556930B2 (en) 2006-06-28 2013-10-15 Abbott Laboratories Vessel closure device
USD611144S1 (en) 2006-06-28 2010-03-02 Abbott Laboratories Apparatus for delivering a closure element
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
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
US20080078802A1 (en) 2006-09-29 2008-04-03 Hess Christopher J Surgical staples and stapling instruments
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US20090001121A1 (en) 2007-03-15 2009-01-01 Hess Christopher J Surgical staple having an expandable portion
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US8408439B2 (en) 2007-06-22 2013-04-02 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
US8226681B2 (en) * 2007-06-25 2012-07-24 Abbott Laboratories Methods, devices, and apparatus for managing access through tissue
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
AU2008302039B2 (en) * 2007-09-21 2013-07-18 Covidien Lp Surgical device
JP5357161B2 (ja) * 2007-09-21 2013-12-04 コヴィディエン リミテッド パートナーシップ 外科用装置
US8893947B2 (en) * 2007-12-17 2014-11-25 Abbott Laboratories Clip applier and methods of use
US20090157101A1 (en) 2007-12-17 2009-06-18 Abbott Laboratories Tissue closure system and methods of use
US7841502B2 (en) * 2007-12-18 2010-11-30 Abbott Laboratories Modular clip applier
US20090187215A1 (en) * 2007-12-19 2009-07-23 Abbott Laboratories Methods and apparatus to reduce a dimension of an implantable device in a smaller state
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
BRPI0901282A2 (pt) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação dotado de eletrodos de rf
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US9282965B2 (en) * 2008-05-16 2016-03-15 Abbott Laboratories Apparatus and methods for engaging tissue
US8007513B2 (en) * 2008-06-12 2011-08-30 Ethicon Endo-Surgery, Inc. Partially reusable 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
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
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8070038B2 (en) 2008-10-10 2011-12-06 Tyco Healthcare Group, Lp Surgical instrument with pivotable jaw member
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8398676B2 (en) * 2008-10-30 2013-03-19 Abbott Vascular Inc. Closure device
US8858594B2 (en) * 2008-12-22 2014-10-14 Abbott Laboratories Curved closure device
US8323312B2 (en) * 2008-12-22 2012-12-04 Abbott Laboratories Closure device
US9173644B2 (en) 2009-01-09 2015-11-03 Abbott Vascular Inc. Closure devices, systems, and methods
US9089311B2 (en) * 2009-01-09 2015-07-28 Abbott Vascular Inc. Vessel closure devices and methods
US9486191B2 (en) 2009-01-09 2016-11-08 Abbott Vascular, Inc. Closure devices
US9414820B2 (en) * 2009-01-09 2016-08-16 Abbott Vascular Inc. Closure devices, systems, and methods
US20100179589A1 (en) * 2009-01-09 2010-07-15 Abbott Vascular Inc. Rapidly eroding anchor
US20100185234A1 (en) 2009-01-16 2010-07-22 Abbott Vascular Inc. Closure devices, systems, and methods
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8453913B2 (en) * 2009-02-06 2013-06-04 Covidien Lp Anvil for surgical stapler
BRPI1008667A2 (pt) 2009-02-06 2016-03-08 Ethicom Endo Surgery Inc aperfeiçoamento do grampeador cirúrgico acionado
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US8328064B2 (en) * 2009-05-06 2012-12-11 Covidien Lp Pin locking mechanism for a surgical instrument
US8353436B2 (en) 2009-05-06 2013-01-15 Covidien Lp Pin locking mechanism for a surgical instrument
US20110054492A1 (en) * 2009-08-26 2011-03-03 Abbott Laboratories Medical device for repairing a fistula
US8413872B2 (en) 2009-10-28 2013-04-09 Covidien Lp Surgical fastening apparatus
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
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
US8303624B2 (en) * 2010-03-15 2012-11-06 Abbott Cardiovascular Systems, Inc. Bioabsorbable plug
US8827137B2 (en) * 2010-03-25 2014-09-09 Covidien Lp Pin alignment assembly for surgical stapler
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8758399B2 (en) 2010-08-02 2014-06-24 Abbott Cardiovascular Systems, Inc. Expandable bioabsorbable plug apparatus and method
US8603116B2 (en) 2010-08-04 2013-12-10 Abbott Cardiovascular Systems, Inc. Closure device with long tines
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9861361B2 (en) 2010-09-30 2018-01-09 Ethicon Llc Releasable tissue thickness compensator and fastener cartridge having the same
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9839420B2 (en) 2010-09-30 2017-12-12 Ethicon Llc Tissue thickness compensator comprising at least one medicament
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
CN103140178B (zh) 2010-09-30 2015-09-23 伊西康内外科公司 包括保持矩阵和对齐矩阵的紧固件系统
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US10123798B2 (en) 2010-09-30 2018-11-13 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US8864009B2 (en) 2010-09-30 2014-10-21 Ethicon Endo-Surgery, Inc. Tissue thickness compensator for a surgical stapler comprising an adjustable anvil
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
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US8632462B2 (en) 2011-03-14 2014-01-21 Ethicon Endo-Surgery, Inc. Trans-rectum universal ports
US9149276B2 (en) 2011-03-21 2015-10-06 Abbott Cardiovascular Systems, Inc. Clip and deployment apparatus for tissue closure
JP6026509B2 (ja) 2011-04-29 2016-11-16 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
CN102835983B (zh) * 2011-06-21 2016-08-17 伊西康内外科公司 线性缝合器
CN102949220B (zh) * 2011-08-24 2014-10-29 苏州天臣国际医疗科技有限公司 外科缝合器的操作机构
US9107663B2 (en) 2011-09-06 2015-08-18 Ethicon Endo-Surgery, Inc. Stapling instrument comprising resettable staple drivers
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
CN103083053A (zh) * 2011-11-07 2013-05-08 苏州天臣国际医疗科技有限公司 缝合器、缝切器的钉头组件
US9332976B2 (en) 2011-11-30 2016-05-10 Abbott Cardiovascular Systems, Inc. Tissue closure device
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
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
JP6305979B2 (ja) 2012-03-28 2018-04-04 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 複数の層を含む組織厚さコンペンセーター
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
MX353040B (es) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Unidad retenedora que incluye un compensador de grosor de tejido.
BR112014024098B1 (pt) 2012-03-28 2021-05-25 Ethicon Endo-Surgery, Inc. cartucho de grampos
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
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
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
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
EP2866686A1 (de) 2012-06-28 2015-05-06 Ethicon Endo-Surgery, Inc. Sperrvorrichtung für leeres klammermagazin
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
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US20140001234A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Coupling arrangements for attaching surgical end effectors to drive systems therefor
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
CN102885641B (zh) * 2012-09-18 2015-04-01 上海逸思医疗科技有限公司 一种改进的外科器械的执行器
US9364209B2 (en) 2012-12-21 2016-06-14 Abbott Cardiovascular Systems, Inc. Articulating suturing device
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
BR112015021098B1 (pt) 2013-03-01 2022-02-15 Ethicon Endo-Surgery, Inc Cobertura para uma junta de articulação e instrumento cirúrgico
US20140249557A1 (en) 2013-03-01 2014-09-04 Ethicon Endo-Surgery, Inc. Thumbwheel switch arrangements for surgical instruments
JP6345707B2 (ja) 2013-03-01 2018-06-20 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． ソフトストップを備えた外科用器具
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
EP2967564B1 (de) 2013-03-14 2018-09-12 Applied Medical Resources Corporation Chirurgische klammervorrichtung mit partiellen taschen
US9808244B2 (en) 2013-03-14 2017-11-07 Ethicon Llc Sensor arrangements for absolute positioning system for surgical instruments
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
WO2014143699A1 (en) 2013-03-15 2014-09-18 Applied Medical Resources Corporation Surgical stapler with expandable jaw
JP6396417B2 (ja) 2013-03-15 2018-09-26 アプライド メディカル リソーシーズ コーポレイション 回転可能なシャフトを備えた作動機構体を有する外科用ステープラ
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
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9867612B2 (en) 2013-04-16 2018-01-16 Ethicon Llc Powered surgical stapler
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
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
US9775609B2 (en) 2013-08-23 2017-10-03 Ethicon Llc Tamper proof circuit for surgical instrument battery pack
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
CN106232029B (zh) 2014-02-24 2019-04-12 伊西康内外科有限责任公司 包括击发构件锁定件的紧固系统
US9839422B2 (en) 2014-02-24 2017-12-12 Ethicon Llc Implantable layers and methods for altering implantable layers for use with surgical fastening instruments
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
BR112016023807B1 (pt) 2014-04-16 2022-07-12 Ethicon Endo-Surgery, Llc Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
JP6636452B2 (ja) 2014-04-16 2020-01-29 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 異なる構成を有する延在部を含む締結具カートリッジ
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
CN106456158B (zh) 2014-04-16 2019-02-05 伊西康内外科有限责任公司 包括非一致紧固件的紧固件仓
US10299792B2 (en) 2014-04-16 2019-05-28 Ethicon Llc Fastener cartridge comprising non-uniform fasteners
WO2015191887A1 (en) 2014-06-11 2015-12-17 Applied Medical Resources Corporation Surgical stapler with circumferential firing
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
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
KR102649260B1 (ko) 2014-09-15 2024-03-20 어플라이드 메디컬 리소시스 코포레이션 자동-조정 스테이플 높이를 가진 수술용 스테이플러
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
BR112017005981B1 (pt) 2014-09-26 2022-09-06 Ethicon, Llc Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
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
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
BR112017012996B1 (pt) 2014-12-18 2022-11-08 Ethicon Llc Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos
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
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
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
US10702269B2 (en) 2014-12-25 2020-07-07 Covidien Lp Surgical stapling devices
US9775611B2 (en) 2015-01-06 2017-10-03 Covidien Lp Clam shell surgical stapling loading unit
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
US9931118B2 (en) 2015-02-27 2018-04-03 Ethicon Endo-Surgery, Llc Reinforced battery for a surgical instrument
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9855040B2 (en) 2015-03-04 2018-01-02 Covidien Lp Surgical stapling loading unit having articulating jaws
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
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
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
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
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
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
US10368861B2 (en) 2015-06-18 2019-08-06 Ethicon Llc Dual articulation drive system arrangements for articulatable surgical instruments
WO2017024300A2 (en) 2015-08-06 2017-02-09 Applied Medical Resources Corporation Surgical stapler having locking articulation joint
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
US10166026B2 (en) 2015-08-26 2019-01-01 Ethicon Llc Staple cartridge assembly including features for controlling the rotation of staples when being ejected therefrom
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
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
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10736633B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Compressible adjunct with looping members
US10478188B2 (en) 2015-09-30 2019-11-19 Ethicon Llc Implantable layer comprising a constricted configuration
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10561474B2 (en) 2015-12-31 2020-02-18 Ethicon Llc Surgical stapler with end of stroke indicator
US10258334B2 (en) 2015-12-31 2019-04-16 Ethicon Llc Surgical stapler with variable height drivers for uniform staple formation
US10610219B2 (en) 2015-12-31 2020-04-07 Ethicon Llc Surgical stapler with curved outer surface on anvil
US10045780B2 (en) 2015-12-31 2018-08-14 Ethicon Llc Method of applying staples in lower anterior bowel resection
US10575848B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Surgical stapler with fixed jaw support pin
US10285693B2 (en) * 2015-12-31 2019-05-14 Ethicon Llc Surgical stapler with locking translatable pin
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
US10245029B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instrument with articulating and axially translatable end effector
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International 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
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US10485542B2 (en) 2016-04-01 2019-11-26 Ethicon Llc Surgical stapling instrument comprising multiple lockouts
US10456140B2 (en) 2016-04-01 2019-10-29 Ethicon Llc Surgical stapling system comprising an unclamping lockout
US10413293B2 (en) 2016-04-01 2019-09-17 Ethicon Llc Interchangeable surgical tool assembly with a surgical end effector that is selectively rotatable about a shaft axis
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
ES2938241T3 (es) 2016-04-12 2023-04-05 Applied Med Resources Grapadora quirúrgica con un mango motorizado
WO2017180706A1 (en) 2016-04-12 2017-10-19 Applied Medical Resources Corporation Surgical stapler having articulation mechanism
WO2017180785A1 (en) 2016-04-12 2017-10-19 Applied Medical Resources Corporation Reload shaft assembly for surgical stapler
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
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
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10426469B2 (en) 2016-04-18 2019-10-01 Ethicon Llc Surgical instrument comprising a primary firing lockout and a secondary firing lockout
USD814632S1 (en) 2016-10-21 2018-04-03 Covidien Lp Staple cartridge
US11642126B2 (en) * 2016-11-04 2023-05-09 Covidien Lp Surgical stapling apparatus with tissue pockets
AU2017258826A1 (en) 2016-12-02 2018-06-21 Covidien Lp Surgical stapling instrument with curved end effector
US10835245B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
CN110087565A (zh) 2016-12-21 2019-08-02 爱惜康有限责任公司 外科缝合系统
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US20180168619A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
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
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10758229B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument comprising improved jaw control
US10568626B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaw opening features for increasing a jaw opening distance
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
CN110099619B (zh) 2016-12-21 2022-07-15 爱惜康有限责任公司 用于外科端部执行器和可替换工具组件的闭锁装置
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
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US11160551B2 (en) 2016-12-21 2021-11-02 Cilag Gmbh International Articulatable surgical stapling instruments
US10898186B2 (en) 2016-12-21 2021-01-26 Ethicon Llc Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls
US10568624B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US10667809B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Staple cartridge and staple cartridge channel comprising windows defined therein
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
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
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
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
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
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
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
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
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
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
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
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
US11141154B2 (en) * 2017-06-27 2021-10-12 Cilag Gmbh International Surgical end effectors and anvils
BR112019027287A2 (pt) * 2017-06-27 2020-07-21 Ethicon Llc disposições de bolso de formação de grampos
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
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
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
EP4070740A1 (de) 2017-06-28 2022-10-12 Cilag GmbH International Chirurgisches instrument mit selektiv betätigbaren drehbaren kopplern
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10588633B2 (en) 2017-06-28 2020-03-17 Ethicon Llc Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control 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
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
USD907648S1 (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
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10993714B2 (en) 2017-11-28 2021-05-04 Covidien Lp Surgical stapling instrument and associated trigger mechanisms
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
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
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
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
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
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
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
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
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
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11583274B2 (en) 2017-12-21 2023-02-21 Cilag Gmbh International Self-guiding stapling instrument
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
WO2019169010A1 (en) 2018-02-27 2019-09-06 Applied Medical Resources Corporation Surgical stapler having a powered handle
US10945730B2 (en) 2018-06-25 2021-03-16 Covidien Lp Stapling device with selectively advanceable alignment pin
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating 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
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
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
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
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
JP2022522421A (ja) 2019-02-27 2022-04-19 アプライド メディカル リソーシーズ コーポレイション 二位置ロックアウト機構を有する外科用ステープリング器具
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 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
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11717293B2 (en) 2019-03-29 2023-08-08 Applied Medical Resources Corporation Reload cover for surgical stapling system
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
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
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
EP4007529A4 (de) 2019-08-02 2023-07-26 Covidien LP Chirurgische klammervorrichtung mit gekrümmter werkzeuganordnung
CN114727818A (zh) 2019-11-01 2022-07-08 柯惠有限合伙公司 带有刀片锁的外科钉合装置
JP2023513999A (ja) 2019-12-18 2023-04-05 コヴィディエン リミテッド パートナーシップ 出荷用キャップ付き外科用ステープル留めデバイス
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
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
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
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
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
KR20220122732A (ko) 2019-12-31 2022-09-02 어플라이드 메디컬 리소시스 코포레이션 조직 및 최대 전류 식별을 이용하는 전기수술용 시스템
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
US11744584B2 (en) * 2020-06-09 2023-09-05 Covidien Lp Alignment pin assembly for surgical stapler
US20220031320A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with flexible firing member actuator constraint arrangements
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11771428B2 (en) 2020-10-29 2023-10-03 Applied Medical Resources Corporation Actuation shaft retention mechanism for surgical stapler
AU2021369828A1 (en) 2020-10-29 2023-06-01 Applied Medical Resources Corporation Surgical stapler having a powered handle
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
USD1013170S1 (en) 2020-10-29 2024-01-30 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
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
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
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
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
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
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
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
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
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
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
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
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
WO2023230966A1 (en) * 2022-06-01 2023-12-07 Covidien Lp Anvil assembly for surgical stapling device

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1287583A (en) * 1916-10-24 1918-12-10 Greenfield Mfg Company Inc Art relating to the stapling of sheets.
US2167331A (en) * 1937-09-16 1939-07-25 Boston Wire Stitcher Co Method and means for adjusting the parts of fastener-applying implements
US3080564A (en) * 1959-09-10 1963-03-12 Strekopitov Alexey Alexeevich Instrument for stitching hollow organs
US3269630A (en) * 1964-04-30 1966-08-30 Fleischer Harry Stapling instrument

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3248298C2 (de) * 1981-05-26 1985-09-05 United States Surgical Corp., Norwalk, Conn. Chirurgisches Klammerinstrument

Also Published As

Publication number Publication date
DE1566174B2 (de) 1973-03-01
JPS4617040B1 (de) 1971-05-11
FR1540226A (fr) 1968-09-20
GB1198668A (en) 1970-07-15
US3494533A (en) 1970-02-10
GB1198665A (en) 1970-07-15
DE1566174A1 (de) 1972-03-02
GB1198666A (en) 1970-07-15
CH480058A (fr) 1969-10-31
GB1198664A (en) 1970-07-15
SE342390B (de) 1972-02-07
GB1198663A (en) 1970-07-15
GB1198667A (en) 1970-07-15

Similar Documents

Publication Publication Date Title
DE1566174C3 (de) Chirurgisches Klammerinstrument
DE3152411C2 (de) Chirurgisches Instrument zum Abbinden und Durchtrennen eines Körpergewebes
DE2619681C3 (de) Chirurgisches Nähgerät zum Anlegen von Nähten durch Metallklammern an Organen und Geweben unter deren gleichzeitigem Durchschneiden
DE3249116C2 (de) Chirurgisches Instrument
DE3429845C2 (de) Chirurgisches Klammergerät
DE2166983C3 (de) Chirurgisches Instrument zum Herumlegen von Klammern zum Abbinden rohrförmiger organischer Gebilde
DE3148619C2 (de) Gasbetriebenes, chirurgisches Klammerinstrument
DE2546696C3 (de) Medizinisches Klammerinstrument zum Verschließen von schlauchförmigen organischen Gebilden, wie Blutgefäßen
DE2852365C3 (de) Chirurgisches Klammerinstrument
DE69435028T2 (de) Klammermagazin und mit einer Druckgaspatrone betriebenes chirurgisches Gerät
DE3115792C2 (de) Chirurgisches Gerät zum Abbinden von Gefäßen o.dgl.
DE2914794C2 (de) Chirurgischer Hefter
DE2533613C2 (de) Vorrichtung zum Raffen und Klammern von Material
DE4434513C1 (de) Vorrichtung zum Biegen drahtartiger Materialien
DE1541175B1 (de) Chirurgisches Instrument zum Naehen von hohlen Organen
CH679215A5 (de)
DE1791114B1 (de) Chirurgisches Geraet zum Klammernaehen von Geweben
DE3716797A1 (de) Tragbares buerogeraet
EP0399322A3 (de) Heftapparat
DE2745517B2 (de) Faltmaschine für Konfektionserzeugnisse
DE2248161B2 (de) Heftwerkzeug
CH595091A5 (de)
DE2154894C3 (de) Verschließvorrichtung fur Beutel
DE636531C (de) Heftgeraet mit selbsttaetiger Klammerbildung
DE2300758B2 (de) Schliessvorrichtung

Legal Events

Date Code Title Description
C3 Grant after two publication steps (3rd publication)
E77 Valid patent as to the heymanns-index 1977