DE2166983B2 - Surgical instrument for laying around staples to tie off tubular organic structures - Google Patents

Surgical instrument for laying around staples to tie off tubular organic structures

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Publication number
DE2166983B2
DE2166983B2 DE2166983A DE2166983A DE2166983B2 DE 2166983 B2 DE2166983 B2 DE 2166983B2 DE 2166983 A DE2166983 A DE 2166983A DE 2166983 A DE2166983 A DE 2166983A DE 2166983 B2 DE2166983 B2 DE 2166983B2
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DE
Germany
Prior art keywords
instrument
spring
cartridge
tube
staples
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.)
Granted
Application number
DE2166983A
Other languages
German (de)
Other versions
DE2166983A1 (en
DE2166983C3 (en
Inventor
Graham Winston Ridgefield Bryan
Alfred Frederick Stamford Decarlo Jun.
Douglas George New Canaan Noiles
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
Application filed by United States Surgical Corp filed Critical United States Surgical Corp
Publication of DE2166983A1 publication Critical patent/DE2166983A1/en
Publication of DE2166983B2 publication Critical patent/DE2166983B2/en
Application granted granted Critical
Publication of DE2166983C3 publication Critical patent/DE2166983C3/en
Expired legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/53—Means to assemble or disassemble
    • Y10T29/53709—Overedge assembling means
    • Y10T29/53783—Clip applier

Description

Die Erfindung betrifft ein chirurgisches Instrument zum Herumlegen von Klammern zum Abbinden rohrförmiger organischer Gebilde sowie zu deren Vernähen und Durchtrennen mit einem Handgriff versehenen Schaft und einer die Klammern enthaltenden Patrone sowie mit einem die Klammern ausstoßenden Stößel und mit einem am Handgriff schwenkbar gelagerten Abzugshebel, der über Antriebsmittel mit dem Stößel in Antriebr.verbindung steht und eine zwischen dem Abzugshebel und den weiteren Antriebsmitteln angeordnete, schwenkbar gelagerte Nockenscheibe beaufschlagt, die eine Steuerkurve mit unterschiedlichen Steigungen aufweist, nach Patent 21 20 447.The invention relates to a surgical instrument for wrapping around braces for tying tubular organic structures and for their sewing and cutting with a handle provided shaft and a cartridge containing the staples and with a cartridge ejecting the staples Plunger and with a trigger lever mounted pivotably on the handle, which via drive means with the ram is in Antriebr.verbindungen and a pivotably mounted cam disk arranged between the trigger lever and the further drive means applied, which has a cam with different slopes, according to patent 21 20 447.

Das Instrument nach dem Hauptpatent läßt sich während der unterschiedlichen Arbeitsvorgänge des Ausstoßsns, Abklemmens und Trennens mit im wesentlichen gleicher Betätigungskraft handhaben.The instrument according to the main patent can be used during the different operations of the Handle ejecting, clamping and separating with essentially the same operating force.

Aufgabe der vorliegenden Erfindung ist es, das Instrument nach dem Hauptpatent dadurch weiter zu verbessern, daß sich mit diesem unabhängig von der aufgewendeten Handkraft die zum Ausstoßen der Klammern aus der Klammerpatrone und zu deren Verformen benötigten Kräfte nacheinander mit der richtigen Größe aufbringen lassen.The object of the present invention is to further develop the instrument according to the main patent improve that with this regardless of the manual force used to eject the Staples from the staple cartridge and forces needed to deform them one after the other with the apply the correct size.

Diese Aufgabe wird bei dem chirurgischen Instrument nach dem Hauptpatent gelöst durch drei selbständige Anschlußglieder, die relativ zu dem Gehäuse und relativ zueinander beweglich gelagert sind, der Steuerung je eines Arbeitsschritts des Instruments dienen und von denen das erste über Hebel und Gestänge mit dem Abzugshebel in Antriebsverbindung steht, das zweite über Federn seine Antriebsbewegung von dem ersten ableitet und das dritte Anschlußglied nach Freigabe durch das zweite von einer Feder angetrieben ist, wobei die Härte der Federn so aufeinander abgestimmt ist, daß die Anschlußglieder nacheinander mit den zum Ausstoßen der Klammern aus der Klammernpatrone und zu deren Verformen benötigten Kräften bewegt werden. Wahrend die von dem Abzugshebel verschwenkte Nockenscheibe aufgrund der unterschiedlichen Steigungen ihrer Steuerkurve bewirkt, daß der Chirurg bei der Handhabung des Instruments nicht deutlich spürt, daß er zum Ausstoßen der Klammern aus der Klammernpatrone und zu deren Verformen unterschiedliche Kräfte aufbringen muß, stellt die erfindungsgemäße Kuppelung der Anschlußglieder durch Federn sicher, daß das Ausstoßen der Klammern aus der Klammernpatrone und deren Verformen nacheinander mit den richtigen Kräften erfolgt.In the case of the surgical instrument according to the main patent, this object is achieved by three independent connecting members which are mounted so as to be movable relative to the housing and relative to one another are used to control one working step of the instrument, the first of which is via levers and the linkage is in drive connection with the trigger, the second its drive movement via springs derived from the first and the third connection member after release by the second by a spring is driven, the hardness of the springs being coordinated so that the connecting members one after the other with those for ejecting the staples from the staple cartridge and for deforming them required forces are moved. During the swiveled by the trigger lever cam due to the different slopes of their control curve causes the surgeon in handling the Instruments does not clearly sense that it is about to eject the staples from the staple cartridge and to their Deforming must apply different forces, the coupling of the connecting members according to the invention by springs ensure that the ejection of the staples from the staple cartridge and their Deforming takes place one after the other with the correct forces.

Zweckmäßigerweise ist das erste Anschlußglied mit einer zentralen, sich im wesentlichen über die Länge des Instruments erstreckenden Stange verbunden, die mit dem Antriebshebel in Antriebsverbindung steht Das zweite Anschlußglied kann mit einem auf der zentralen Stange verschieblichen Rohr verbunden sein, während das dritte Anschlußglied vorzugsweise aus einem auf diesem Rohr verschieblichen Ring besteht.Appropriately, the first connecting member with a central, extending substantially over the length of the Instruments extending rod which is drivingly connected to the drive lever The second connecting member can be connected to a tube that is slidable on the central rod, while the third connecting member preferably consists of a ring displaceable on this tube.

Das Rohr kann mit einem hinteren Bund versehen sein, gegen den sich einerseits eine zwischen diesem undThe tube can be provided with a rear collar against which on the one hand one between this and

einer am hinteren Ende der zentralen Stange befestigten Scheibe eingespannte und diese umgebende Feder und andererseits eine das Rohr umgebende und zwischen seiner Führung im Instrument und dem Bund eingespannte Feder abstützen.a disc clamped at the rear end of the central rod and surrounding it and on the other hand a tube surrounding the tube and between its guide in the instrument and the collar Support the clamped spring.

Weitere vorteilhafte Ausgestaltungen der Erfindung sind in den Unteransprüchen näher beschrieben worden.Further advantageous embodiments of the invention have been described in more detail in the subclaims.

Ein Ausführungsbeispiel der Erfindung wird nachstehend anhand der Zeichnung näher erläutert In dieser zeigtAn exemplary embodiment of the invention is explained in more detail below with reference to the drawing shows

F i g. 1 eint teilweise geschnittene Seitenansicht des chirurgischen Instruments mit strichpunktiert angedeuteter, angekuppelter Klammernpatrone,F i g. 1 is a partially sectioned side view of the surgical instrument with dash-dotted lines, coupled staple cartridge,

Fig.2 eine Seitoiansicht des Vorderteils des Instruments nach F i g. 1 in der Stellung, weiche dessen Teile einnehmen, wenn sich der Abzugshebel in der in F i g. 1 mit 2 bezeichneten Stellung befindet,FIG. 2 shows a side view of the front part of the instrument according to FIG. 1 in the position, give way to that Occupy parts when the trigger is in the position shown in FIG. 1 is in the position marked 2,

F i g. 3 eine der F i g. 2 entsprechende Darstellung des Instruments, in der Stellung, welche dessen Teile einnehmen, wenn sich der Drücker in der in F i g. 1 mit 3 bezeichneten Stellung befindet,F i g. 3 one of the F i g. 2 corresponding representation of the instrument, in the position which its parts take when the pusher is in the position shown in FIG. 1 is in the position marked 3,

F i g. 4 eine der F i g. 2 entsprechende Darstellung des Instruments in der Stellung, welche dessen Teile einnehmen, wenn sich der Drücker in der in F i g. 1 mit 4 bezeichneten Stellung befindet.F i g. 4 one of the F i g. 2 corresponding representation of the Instrument in the position which its parts assume when the pusher is in the position shown in FIG. 1 with 4 designated position is located.

Das chirurgische Instrument, an das sich eine Klammernpatrone ankuppeln läßt, dient dazu, schlauchförmige organische Gebilde nacheinander anzubinden, zu nähen und zu zerteilen. Die an das Instrument ankuppelbare Patrone besitzt ein Gehäuse, das auf zwei ortsfesten Führungen verschiebbar ist, zwei Stößel u:id eine Messerklinge. Wenn sich das schlauchförmige organische Gebilde zwischen dem Patronengehäuse und den ortsfesten Ambossen befindet, wird in der aus drei Schritten bestehenden Arbeitsfolge der Patrone deren Gehäuse vorwärtsbewegt, bis das Gehäuse an den ortsfesten Ambossen angreift und die Backen der Patrone das schlauchförmige Gebilde vollkommen umschließen. Danach werden durch Betätigung der Stößel zwei Klammern aus dem Gehäuse ausgeworfen und um das schlauchförmige organische Gebilde herum verformt. Nach dem Verformen der Klammern bewegt sich die Messerklinge vorwärts, wodurch das schlauchförmige Gebilde an einer zwischen den Klammern liegenden Stelle zerteilt wird. Zur Durchführung dieser drei Schritte mittels der Patrone sind drei voneinander unterscheidbare Kräfte erforderlich. Zunächst muß das Patronengehäuse gegenüber den ortsfesten Führungen und Ambossen vorwärts bewegt werden. Wenn das Gehäuse an den Ambossen angreift, müssen die Stößel vorgeschoben werden, so daß sie ein Klammernpaar werfen und verformen. Nach dem Verformen der Klammern muß die Messerklinge vorgeschoben werden, wobei sich die Stößel an ihrem vorderen Totpunkt befinden. Die Maßnahmen, die zur Erfüllung der an das Instrument gestellten Forderungen dienen, gehen aus der folgenden Beschreibung näher hervor.The surgical instrument to which a staple cartridge can be coupled is used to make tubular Tying, sewing and dividing organic structures one after the other. The ones on the instrument attachable cartridge has a housing which can be moved on two fixed guides, two plungers u: id a knife blade. When the tubular organic structure is between the cartridge housing and the stationary anvils is located in the three-step sequence of the cartridge whose housing is moved forward until the housing engages the stationary anvils and the jaws of the Cartridge completely enclose the tubular structure. Then by pressing the Plunger two staples ejected from the housing and around the tubular organic structure deformed. After deforming the staples, the knife blade moves forward, creating the tubular Structure is divided at a point lying between the brackets. To carry out this three steps by means of the cartridge three distinct forces are required. First of all, it must Cartridge housing are moved forward relative to the stationary guides and anvils. If that Housing engages the anvils, the ram must be advanced so that they have a pair of clamps throw and deform. After deforming the clamps, the knife blade must be advanced with the tappets at their front dead center. The measures required to meet the requirements of the The requirements of the instrument are provided in the following description.

Mit dem Instrument 10 ist eine Patrone M gekuppelt, wie dies in F i g. 1 strichpunktiert angedeutet ist Das Instrument 10 besitzt ein Gehäuse 12, das mit einem ortsfesten Handgriff 16 versehen ist, ferner einen um einen Zapfen 20 schwenkbar gelagerten Abzugshebel 18, ein laufartiges Teil 22 und ein Kopfstück 24. Vor dem Kopfstück 24 des Instruments 10 befinden sich drei Anschlußglieder 26, 28 und 30, die bei aufgesetzter Patrone 12 deren Messer, Stößeln und Gehäuse zugeordnet sind. Das vorderste Anschlußglied 26 ist einstückig mit einer Stange 32, das sich von dem Anschlußglied 26 zu dem hinteren Teil des laufartigen Gehäuses 22 erstreckt Auf dem Ende der Stange 32 ist eine Scheibe 34 angeordnet, deren Funktion nachstehend noch beschrieben wird. Das Anschlußglied 28 ist einstückig mit einem Rohr 36, das sich von dem Anschlußglied 28 nach hinten erstreckt und an seinem Ende einen Bund 38 aufweist Das Anschlußglied 30 hat die Form eines mit einer Umfangsnut versehenen Ringes, der das Rohr 36 umgibt und auf diesem A cartridge M is coupled to the instrument 10, as shown in FIG. The instrument 10 has a housing 12 which is provided with a stationary handle 16, a trigger lever 18 pivoted about a pin 20, a barrel-like part 22 and a head piece 24. In front of the head piece 24 of the instrument 10 are located three connecting members 26, 28 and 30 which, when the cartridge 12 is in place, are associated with their knives, plungers and housings. The foremost connection member 26 is integral with a rod 32 which extends from the connection member 26 to the rear part of the barrel-like housing 22. On the end of the rod 32 there is arranged a disk 34, the function of which will be described below. The connecting member 28 is integral with a tube 36 which extends rearwardly from the connecting member 28 and has a collar 38 at its end. The connecting member 30 is in the form of a circumferentially grooved ring surrounding and on the tube 36

ίο längsverschieblich angeordnet istίο is arranged to be longitudinally displaceable

Damit das Instrument 10 die Klammernpatrone 12 in drei Schritten betätigen kann, sind die Bewegungen der drei Anschlußglieder 26,28 und 30 von den Funktionen der Patrone 12 und von dem Zusammenwirken von drei Federn abhängig. Eine erste Feder 40 umgibt das Rohr 36 und ist zwische dem mit diesem verbundenen Bund 38 und der Innenfläche 42 der in dem Kopfstück 24 befindlichen Führung eingespannt Infolgedessen trachtet die Feder 40 das Anschlußglied 28 zu dem Kopfstück 24 des Instruments 10 hin zu bewegen. Eine Feder 44 umgibt das Rohr 36 und ist zwischen dem Anschiußgiied 30 und der vorderen Stirnfläche 46 der Führung in dem Kopfstück 24 eingespannt Infolgedessen trachtet die Feder 44 das Anschlußglied 30 von dem Kopfstück 24 wegzudrücken. Die dritte Feder 48 ist im hinteren Teil des Gehäuses angeordnet und zwischen der auf der Stange 32 befestigten Scheibe 34 und dem mit dem Rohr 36 verbundenen Bund 38 eingespannt, so daß die Feder 48 trachtet, die Anschlußglieder 26 und 28 in AnlageSo that the instrument 10 can operate the staple cartridge 12 in three steps, the movements are the three connecting members 26, 28 and 30 of the functions of the cartridge 12 and of the interaction of three Feathers dependent. A first spring 40 surrounds the tube 36 and is between the collar 38 connected to it and the inner surface 42 of the guide located in the head piece 24 tends to be clamped as a result the spring 40 to move the connecting member 28 towards the head piece 24 of the instrument 10. A spring 44 surrounds the tube 36 and is between the Anschiußgiied 30 and the front end face 46 of the guide clamped in the head piece 24 As a result, the endeavors Spring 44 to push the connecting member 30 away from the head piece 24. The third spring 48 is in the rear of the housing and between the disc 34 mounted on the rod 32 and the one with the tube 36 connected collar 38 clamped so that the spring 48 tends to put the connecting members 26 and 28 in abutment

so aneinander zu 'nahen. Vorzugsweise sind die Federn 40 und 44 Schraubenfedern und die Feder 48 ist eine Tellerfeder. Im Hinblick auf die von den Federn auszuführenden Funktionen müssen die nachstehend angegebenen Beziehungen zwischen den Federkräftento get closer to each other. Preferably the springs are 40 and 44 coil springs and the spring 48 is a plate spring. In terms of the feathers The functions to be performed must have the following relationships between the spring forces

i> vorhanden sein. Die Feder 44 übt die schwächste Federkraft aus, die in dem vorliegenden Beispiel 1,81 kp beträgt. Die von der Feder 40 ausgeübte Federkraft hat einen mittleren Wert, der in dem vorliegenden Beispiel 3,63 kp beträgt. Die Feder 48 kann eine Kraft von etwai> be present. The spring 44 exerts the weakest spring force, which in the present example is 1.81 kp amounts to. The spring force exerted by the spring 40 has an average value, that in the present example 3.63 kp. The spring 48 can have a force of about

M) 27 kp ausüben. M) exercise 27 kp.

Es wurde schon darauf hingewiesen, daß die Betätigung der Klammernpatrone und daher auch des Instruments 10 in drei Schritten erfolgt Infolge der verschiedenen Funktionen der Elemente der Patrone 5 sind zur Durchführung der einzelnen Funktionen unterschiedliche Kräfte erforderlich. So genügt zum Bewegen des Patronengehäuses zu den ortsfesten Ambossen eine relativ schwache Kraft. Dagegen sind zur Verformung der Klammern relativ starke KräfteIt has already been pointed out that the operation of the staple cartridge and therefore also of the Instrument 10 is done in three steps as a result of the various functions of the elements of the cartridge 5 different forces are required to carry out the individual functions. So is enough for Moving the cartridge case to the stationary anvils is a relatively weak force. Against are relatively strong forces to deform the brackets

ίο erforderlich. Für den Vorschub des Messers genügt wieder eine schwache Kraft Es muß ferner gewährleistet sein, daß die drei Arbeitsschritte der Klammernpatrone in der richtigen Reihenfolge durchgeführt werden. Aus diesem Grunde sind die von den Federn 40,44 und 48 ausgeübten Kräfte nicht konstant.ίο required. Suffice it to feed the knife again a weak force It must also be ensured that the three working steps of the staple cartridge be done in the correct order. For this reason, those of the springs 40, 44 and 48 forces exerted not constant.

Für die bei aufgesetzter Patrone durchzuführenden drei Arbeitsschritte des Instruments sind verschiedene Betätigungskräfte erforderlich. Ohne besondere Maßnahmen müßte daher die Betätigungsnerson bei derThe three working steps of the instrument to be carried out with the cartridge in place are different Actuation forces required. Without special measures, the operator would therefore have to

" Betätigung des Instruments verschieden große Widerstände überwinden. Um dies zu vermeiden, ist das chirurgische Instrument mit eine»· verstellbaren Nokkenscheibe versehen, die dem Abzugshebel 18 zugeordnet und so ausgebildet ist, daß der Chirurg die drei"Operation of the instrument has different resistances overcome. To avoid this, the surgical instrument is equipped with an adjustable cam disc provided, which is associated with the trigger 18 and designed so that the surgeon the three

• ι Arbeitsschritte der Patrone durch Ausübung einer relativ gleichmäßigen Betätigungskraft durchführen kann.
Aus F i g. 1 ist ersichtlich, daß der Abzugshebel 18• ι can carry out work steps of the cartridge by exerting a relatively uniform actuation force.
From Fig. 1 it can be seen that the trigger 18

einen hebelartigen Fortsatz 50 besitzt, der sich zum Gehäuse 14 hin erstreckt. An dem Ende des Hebels 50 ist ein Anschlag in Form einer auf diesem drehbar gelagerten Rolle 52 vorgesehen. Diese Rolle 52 kann sich längs der Steuerkurve 54 abwälzen, die auf einem Zapfen 58 schwenkbar gelagert ist. Der nicht dargestellte obere Teil der Steuerkurve 56 nimmt einen Fortsatz mit, der der auf der Stange 32 befestigten Scheibe 34 zugeordnet ist. Diese Teile sind in dem Hauptpatent näher beschrieben worden. Infolge der Wechselwirkung der Federn 40 und 48 wird auf die Nockenscheibe 56 eine Kraft ausgeübt, die sie im Uhrzeigersinn um den Zapfen 58 zu bewegen trachtet.has a lever-like extension 50, which is to Housing 14 extends out. At the end of the lever 50 is a stop in the form of a rotatable on this mounted roller 52 is provided. This roller 52 can roll along the cam 54, which on a Pin 58 is pivotably mounted. The upper part of the cam 56, not shown, has an extension with which is assigned to the disk 34 fastened on the rod 32. These parts are in the main patent has been described in more detail. As a result of the interaction of the springs 40 and 48, the cam disk 56 acts exerted a force tending to move it around the pin 58 in a clockwise direction.

Wenn der Abzugshebel 18 in Richtung des Pfeils 60 bewegt wird, schwenkt der mit dem Abzugshebel 18 einstückige Hebelarm 50 um den Zapfen 20, so daß sich die Rolle 52 längs der Steuerkurve 54 der Nockenscheibe 56 abwälzt, während diese um den Zapfen 58 verschwenkt wird. Diese Bewegung erfolgt gegen den von den Federn 40 und 48 ständig ausgeübten Widerstand. Man erkennt aus F i g. 1, daß die Rolle 52 an dem unteren Teil der Nockenscheibe 56 angreift, wenn sich der Abzugshebel 18 in der Stellung 1 befindet. Dann bewegt sich die Rolle 52 längs der Steuerkurve 54 vorwärts, bis sich der Abzugshebel 18 in seiner Endstellung 4 befindet, in welcher die Rolle 52 an dem oberen Teil der Nockenscheibe 56 angreift.When the trigger 18 is moved in the direction of arrow 60, it pivots with the trigger 18 one-piece lever arm 50 around the pin 20, so that the roller 52 along the cam 54 of the cam disk 56 rolls while it is pivoted about the pin 58. This movement takes place against the constant resistance exerted by springs 40 and 48. It can be seen from FIG. 1 that the roller 52 is on engages the lower part of the cam 56 when the trigger 18 is in position 1. then the roller 52 moves along the cam 54 forwards until the trigger 18 is in its End position 4 is in which the roller 52 engages the upper part of the cam disk 56.

Aus F i g. 1 ist ersichtlich, daß die Steuerkurve 54 der Nockenscheibe 56 drei Bereiche besitzt. Diese ermöglichen eine Betätigung des Instruments 10 in der Weise, daß auf den Abzugshebel 18 eine relativ gleichmäßige Betätigungskraft ausgeübt und diese in die verschieden starken Kräfte übersetzt wird, die zur Durchführung der drei Arbeitsschritte der Patrone 12 erforderlich sind, ohne daß diese drei Arbeitsschritte dem Chirurgen bewußt werden. Die Abstände zwischen den Bereichen sind daher so gewählt, daß sie den gewünschten Hüben der Anschlußglieder 26, 28, 30 entsprechen. Die Form und die Steilheit der Bereiche der Steuerkurve sind ferner so gewählt, daß sie infolge der Hebelwirkung der aus dem Handgriff und der Nockenscheibe sowie den Antriebsstangen bestehenden Anordnung bei der Ausübung einer gleichmäßigen Kraft auf den Abzugshebel 18 die an die Patrone 12 abgegebenen Kräfte verändert werden.From Fig. 1 it can be seen that the cam 54 of the cam disk 56 has three areas. These enable an actuation of the instrument 10 in such a way that on the trigger 18 a relatively uniform Actuating force exerted and this is translated into the different strengths of the forces required to carry out the three operations of the cartridge 12 are required without these three operations to the surgeon be aware. The distances between the areas are therefore chosen so that they achieve the desired strokes the connecting members 26, 28, 30 correspond. The shape and steepness of the areas of the control curve are also chosen so that they as a result of the leverage of the handle and the cam disk and the Drive rods existing arrangement when exerting an even force on the trigger 18 the forces delivered to the cartridge 12 can be changed.

Die Wirkungsweise des Instruments 10 ist folgende: Wenn sich der Abzugshebel 18 in der Stellung 1 befindet, ist das Anschlußglied 38 in seiner hintersten Stellung in dem Gehäuse und das Instrument 10 entspannt. Wenn der Abzugshebel 18 durch eine auf ihn ausgeübte Kraft in die Stellung 2 verschwenkt wird, bewegt sich die auf der Stange 32 befestigte und mit dem oberen Bereich der Nockenscheibe 56 verbundene Scheibe 34 zu dem Kopfstück 24 des Instruments 10 hin. Da die Feder 48 zwischen der Scheibe 34 und dem Bund 38 eine relativ starke Kraft von 27 kp ausübt, bewegt sich der Bund 38 mit der Scheibe 34 in die Stellung 2, so daß die Feder zusammengedrückt wird. Gleichzeitig bewegt sich das Anschlußglied 30 zusammen mit den Anschlußgliedern 26 und 28 von dem Kopfstück 24 weg, weil die Feder 44 das Anschlußglied 30 von dem Kopfstück 24 des Instruments 10 wegzubewegen trachtet Infolgedessen bewegen sich das Patronengehäuse, die Stößel und das Messer gemeinsam von dem Kopfstück 24 weg.The operation of the instrument 10 is as follows: When the trigger 18 is in position 1 is located, the connecting member 38 is in its rearmost position in the housing and the instrument 10 relaxed. When the trigger 18 is pivoted into position 2 by a force exerted on it, the one attached to the rod 32 and connected to the upper area of the cam plate 56 moves Disc 34 towards the head piece 24 of the instrument 10. Since the spring 48 between the washer 34 and the collar 38 exerts a relatively strong force of 27 kp, the collar 38 moves with the disk 34 into position 2, see above that the spring is compressed. At the same time, the connecting member 30 moves together with the Connection members 26 and 28 away from the head piece 24, because the spring 44, the connection member 30 of the Tends to move the head piece 24 of the instrument 10 away. As a result, the cartridge housing moves, the ram and the knife away from the head piece 24 together.

Wie in dem Hauptpatent 21 20 447 beschrieben ist, werden die Führungen und Ambosse der Patrone an dem Kopfstück 24 des Instruments 10 durch einen K) As described in the main patent 21 20 447, the guides and anvils of the cartridge are attached to the head piece 24 of the instrument 10 by a K)

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Zapfen 62 befestigt, der mit den Führungen und den Ambossen einstückig ist und passend in eine Nut 64 in dem Kopfstück eingreift und durch eine mit dem Daumen betätigbare Sperreinrichtung 66 darin festgelegt ist. Wenn die Führungen und Ambosse gegenüber dem Instrument 10 festgelegt sind und sich das Patronengehäuse 12, die Stößel und das Messer von dem Kopfstück 24 weg bewegen, umschließt das Patronengehäuse 12 die ortsfesten Ambosse. In Fig. 1 ist mit 2 die Stellung bezeichnet, in welcher das Patronengehäuse die Ambosse gerade berührt. Wenn das Gehäuse der Patrone 12 mit den ortsfesten Ambossen in Berührung gelangt, kann sich das Anschlußglied 30 nicht weiterbewegen. Die fortgesetzte Verschwenkung des Abzugshebels 18 in Richtung des Pfeils 60 bewirkt dann eine gemeinsame Bewegung der Anschlußglieder 26 und 28 von dem jetzt festgelegten Anschlußglied 30 weg. In diesem Arbeitsschritt wird der Abzugshebel 18 in die in F i g. 1 mit 3 bezeichnete Stellung bewegt, wobei die Anschlußglieder die aus dieser Figur ersichtlichen Stellungen einnehmen.Peg 62 which is integral with the guides and anvils and fits into a groove 64 in engages the head piece and fixed therein by a locking device 66 which can be actuated with the thumb is. When the guides and anvils are set in relation to the instrument 10 and the Moving the cartridge housing 12, the plunger and knife away from the head piece 24 encloses this Cartridge housing 12 the stationary anvils. In Fig. 1, 2 denotes the position in which the Cartridge housing just touches the anvils. If the housing of the cartridge 12 with the stationary If anvils comes into contact, the connecting member 30 cannot move any further. The continued Pivoting the trigger 18 in the direction of arrow 60 then causes a joint movement of the Connecting members 26 and 28 away from the connecting member 30 now established. In this step, the Trigger lever 18 in the in F i g. 1 position indicated by 3 moves, the connecting members from the positions shown in this figure.

In die mit 3 bezeichnete Stellung bewegen sich die Elemente folgendermaßen: Es wurde schon erwähnt, daß sich nach der Berührung mit den ortsfesten Ambossen das Gehäuse 12 der Patrone relativ zu den Ambossen nicht mehr bewegen kann. Infolgedessen kann auch keine Relativbewegung zwischen dem Kopfstück 24 des Instruments 10 und dem Anschlußglied 30 mehr erfolgen. Beim Weiterverschwenken des Abzugshebels 18 wird auf die Scheibe 34 eine Kraft in Richtung des Kopfstücks 24 des Instruments 10 ausgeübt, so daß sich die Anschlußglieder 26 und 28 unter Überwindung der Kraft der Feder 40 weiterbewegen. Zwischen diesen Anschlußgiiedern findet dabei keine Bewegung statt, weil zum Zusammendrücken der starken Druckfeder 48 eine Kraft von 27 kp erforderlich ist. Infolgedessen wird die Feder 48 nicht weiter zusammengedrückt, während die Feder (3,63 kp) zusammengedrückt wird. Wenn sich das Instrument in der Stellung 3 befindet, haben sich das dem Anschlußglied 26 zugeordnete Messer und die dem Anschlußglied 28 zugeordneten Stößel zu den ortsfesten Ambossen der Patrone 12 hin bewegt und die Stößel haben das Biegen der ausgestoßenen Klammern vollständig durchgeführt. Die Stößel befinden sich jetzt an ihrem vorderen Totpunkt. Sie haben die Klammern ganz zusammengedrückt und greifen effektiv an den ortsfesten Ambossen an. Infolgedessen sind die beiden Anschlußglieder 28 und 30 ganz ausgefahren. Beim Weiterverschwenken des Schwenkgriffs 18 in Richtung des Pfeils 60 wird daher gegen den Widerstand der Feder 48 von 27 kp der Sattel 26 von dem Sattel 28 wegbewegt. In der Endstellung 4 ist das Messer ganz ausgefahren und es hat das bereits abgebundene, sehlauchförmige organische Gebilde zerteilt F i g. 4 zeigt diese Endstellung der Anschlußglieder. Unter der Wirkung der auf den Abzugshebel 18 ausgeübten Kräfte werden daher unter Steuerung durch die für die Betätigung der Elemente der Klammernpatrone erforderlichen Kräfte die Bewegungen der Anschlußglieder in der richtigen Reihenfolge durchgeführt Infolge der vorstehend angegebenen Ausbildung der Steuerkurve 54 der Nockenscheibe 56 werden die unterschiedlichen Kräfte der drei Federn und die drei Arbeitsschritte der Patrone dem Chirurgen nicht bewußt, so daß mit Hilfe des Instruments 10 ein Chirurg drei verschiedene chirurgische Maßnahmen automatisch, leicht und bequem in kürzester Zeit durchführen kann.In the position marked 3, the elements move as follows: It has already been mentioned that after contact with the stationary anvils, the housing 12 of the cartridge relative to the Anvils can no longer move. As a result, no relative movement between the Head piece 24 of the instrument 10 and the connecting member 30 take place more. When swiveling the The trigger lever 18 exerts a force on the disk 34 in the direction of the head piece 24 of the instrument 10 exercised, so that the connecting members 26 and 28 move on overcoming the force of the spring 40. There is no movement between these connection members because the strong compression spring 48 a force of 27 kp is required. As a result, the spring 48 stops moving compressed while the spring (3.63 kp) is compressed. If the instrument is in the Position 3 is the knife assigned to the connecting member 26 and that of the connecting member 28 associated plunger is moved towards the stationary anvils of the cartridge 12 and the plungers have the bending of the ejected staples is carried out completely. The tappets are now at their front Dead center. You have squeezed the clamps all the way together and are effectively gripping the stationary anvils at. As a result, the two connecting members 28 and 30 are fully extended. When swiveling further of the pivot handle 18 in the direction of arrow 60 is therefore against the resistance of the spring 48 of 27 kp Saddle 26 moved away from saddle 28. In the end position 4, the knife is fully extended and it has divided the already set, tubular organic structure F i g. 4 shows this end position of Connecting links. Under the action of the forces exerted on the trigger 18 are therefore under The movements are controlled by the forces required to operate the elements of the staple cartridge of the connecting members carried out in the correct order as a result of the above Formation of the control cam 54 of the cam plate 56 are the different forces of the three springs and the surgeon is not aware of the three working steps of the cartridge, so that with the aid of the instrument 10 a Surgeon perform three different surgical procedures automatically, easily and conveniently in no time can perform.

Hierzu 1 Blatt Zeichnungen1 sheet of drawings

Claims (9)

Patentansprüche:Patent claims: 1. Chirurgisches Instrument zum Herumlegen von Klammern zum Abbinden rohrförmiger organischer Gebilde sowie zu deren Vernähen und Durchtrennen mit einem Handgriff versehenen Schaft und einer die Klammern enthaltenden Patrone sowie mit einem die Klammern ausstoßenden Stößel und mit einem am Handgriff schwenkbar gelagerten Abzugshebel, der über Antriebsmittel mit dem Stößel in Antriebsverbindung steht und eine zwischen dem Abzugshebel und den weiteren Antriebsmitteln angeordnete, schwenkbar gelagerte Nockenscheibe beaufschlagt, die eine Steuerkurve mit unterschiedlichen Steigungen aufweist, nach Patent 21 20 447, gekennzeichnet durch drei selbständige Anschlußglieder (26, 28, 30), die relativ zu dem Gehäuse (14) und relativ zueinander beweglich gelagert sind, der Steuerung je eines Arbeitsschritts des Instruments dienen und von denen das erste (26) über Hebel (56) und Gestänge (32) mit dem Abzugshebel (18) in Antriebsverbindung steht, das zweite (28) über Federn (40,48) seine Antriebsbewegung von dem ersten (26) ableitet und das dritte Anschlußglied (30) nach Freigabe durch das zweite (28) von einer Feder (44) angetrieben ist, wobei die Härte der Federn (40, 44, 48) so aufeinander abgestimmt ist, daß die Anschlußglieder (26, 28, 30) nacheinander mit den zum Ausstoßen der Klammern aus der Klammernpatrone (12) und zu deren Verformen benötigten Kräften bewegt werden.1. Surgical instrument for wrapping around staples used to tie off tubular organic Structures and for their sewing and severing with a handle provided shaft and a cartridge containing the staples and with a plunger ejecting the staples and with a trigger lever mounted pivotably on the handle, which via drive means with the plunger in There is a drive connection and one between the trigger and the further drive means arranged, pivotably mounted cam disc is applied, which has a control cam with different Has gradients, according to patent 21 20 447, characterized by three independent Connection members (26, 28, 30) which are movable relative to the housing (14) and relative to one another are stored, the control of each work step serve the instrument and of which the first (26) via lever (56) and linkage (32) with the The trigger lever (18) is in drive connection, the second (28) its drive movement via springs (40, 48) derives from the first (26) and the third connection member (30) after being released by the second (28) is driven by a spring (44), the hardness of the springs (40, 44, 48) so one on top of the other is coordinated that the connecting members (26, 28, 30) one after the other with those for ejecting the staples from the staple cartridge (12) and the forces required to deform it are moved. 2. Instrument nach Anspruch 1, dadurch gekennzeichnet, daß die Anschlußglieder (26. 28, 30) zum Anschluß der Patrone (12) aus dem Instrument (10) hervorragen. s>2. Instrument according to claim 1, characterized in that the connecting members (26, 28, 30) for The connection of the cartridge (12) protrudes from the instrument (10). s> 3. Instrument nach Anspruch 1 oder 2, dadurch gekennzeichnet, daß das erste Anschlußglied (26) mit einer zentraler, sich im wesentlichen über die Länge des Instruments (10) erstreckenden Stange (32) verbunden ist, die mit dem Abzugshebel (18) in -to Antriebsverbindung steht.3. Instrument according to claim 1 or 2, characterized in that the first connecting member (26) with a central rod (32) extending essentially over the length of the instrument (10) is connected, which is in -to drive connection with the trigger lever (18). 4. Instrument nach einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, daß das zweite Anschlußglied (28) mit einem auf der zentralen Stange (32) verschieblichen Rohr (36) verbunden ist. -t4. Instrument according to one of claims 1 to 3, characterized in that the second connecting member (28) is connected to a tube (36) which can be displaced on the central rod (32). -t 5. Instrument nach einem der Ansprüche 1 bis 4, dadurch gekennzeichnet, daß das dritte Anschlußglied (30) aus einem auf dem Rohr (36) verschieblichen Ring besteht5. Instrument according to one of claims 1 to 4, characterized in that the third connecting member (30) consists of a ring displaceable on the tube (36) 6. Instrument nach einem der Ansprüche 1 bis 5, ■>(> dadurch gekennzeichnet, daß die Anschlußglieder (26, 28, 30) durch ringförmig umlaufende Nuten gebildete Kupplungsstücke aufweisen.6. Instrument according to one of claims 1 to 5, ■> (> characterized in that the connecting members (26, 28, 30) are provided with annular circumferential grooves Have formed coupling pieces. 7. Instrument nach einem der Ansprüche 1 bis 6, dadurch gekennzeichnet, daß das Rohr (36) mit >r> einem hinteren Bund (38) versehen ist, gegen den sich einerseits eine zwischen diesem und einer am hinteren Ende der zentralen Stange (32 befestigten Scheibe (34) eingespannte und diese umgebende Feder (48) und andererseits eine das Rohr (36) w> umgebende und zwischen seiner Führung im Instrument (10) und dem Bund (38) eingespannte Feder (40) abstützen.7. Instrument according to one of claims 1 to 6, characterized in that the tube (36) is provided with> r > a rear collar (38) against which on the one hand one between this and one at the rear end of the central rod (32 fastened disc (34) clamped and this surrounding spring (48) and on the other hand a spring (40) surrounding the tube (36) and clamped between its guide in the instrument (10) and the collar (38). 8. Instrument nach Anspruch 7, dadurch gekennzeichnet, daß auf dem Rohr (36) eine weitere, «"> zwischen der anderen Seite seiner Führung im Instrument (10) und dem ringförmigen Anschlußglied (30) eingespannte Feder (44) angeordnet ist.8. Instrument according to claim 7, characterized in that on the tube (36) another, «"> between the other side of its guide in the instrument (10) and the annular connecting member (30) clamped spring (44) is arranged. 9. Vorrichtung nach einem der Ansprüche 1 bis 8, dadurch gekennzeichnet, daß die zum Zusammendrücken der Feder (40) erforderliche Kraft größer ist als die zum Zusammendrücken der Feder (44) und kleiner als die zum Zusammendrücken der Feder (48).9. Device according to one of claims 1 to 8, characterized in that the for compression the force required for the spring (40) is greater than that for compressing the spring (44) and smaller than that to compress the spring (48).
DE2166983A 1970-10-13 1971-10-11 Surgical instrument for laying around staples to tie off tubular organic structures Expired DE2166983C3 (en)

Applications Claiming Priority (1)

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US8045070A 1970-10-13 1970-10-13

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DE2166983A1 DE2166983A1 (en) 1977-04-21
DE2166983B2 true DE2166983B2 (en) 1979-01-18
DE2166983C3 DE2166983C3 (en) 1979-09-06

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JP (1) JPS554409B1 (en)
CA (1) CA976445A (en)
DE (1) DE2166983C3 (en)

Families Citing this family (537)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3955581A (en) * 1974-10-18 1976-05-11 United States Surgical Corporation Three-stage surgical instrument
US4086926A (en) * 1976-10-08 1978-05-02 United States Surgical Corporation Ligating and dividing organic structures
US4591086A (en) * 1980-09-26 1986-05-27 American Cyanamid Company Surgical stapling instrument
US4349028A (en) * 1980-10-03 1982-09-14 United States Surgical Corporation Surgical stapling apparatus having self-contained pneumatic system for completing manually initiated motion sequence
JPS57204522A (en) * 1981-06-12 1982-12-15 Sanpack:Kk Lighting starting device
JPS5850521A (en) * 1981-09-21 1983-03-25 Nisshin Sangyo Kk Adaptor for executing electronic flash light emission by repeated signal
US4509518A (en) * 1982-02-17 1985-04-09 United States Surgical Corporation Apparatus for applying surgical clips
AU569730B2 (en) * 1983-03-30 1988-02-18 United States Surgical Corporation Surgical occluding and cutting
US4569346A (en) * 1983-03-30 1986-02-11 United States Surgical Corporation Safety apparatus for surgical occluding and cutting device
US4556058A (en) * 1983-08-17 1985-12-03 United States Surgical Corporation Apparatus for ligation and division with fixed jaws
US4576165A (en) * 1984-01-23 1986-03-18 United States Surgical Corporation Surgical ligation and cutting device with safety means
US4796793A (en) * 1984-05-10 1989-01-10 Ethicon, Inc. Surgical stapler and methods
US5018275A (en) * 1989-09-30 1991-05-28 Huang Chi Chieh Cutting device
US5156315A (en) * 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5253793A (en) * 1990-09-17 1993-10-19 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5653373A (en) * 1990-09-17 1997-08-05 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5129570A (en) * 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5307976A (en) * 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
CA2088883A1 (en) * 1992-02-13 1993-08-14 David T. Green Endoscopic ligating instrument
GR1002376B (en) 1993-04-29 1996-06-25 Ethicon Inc. Combined open procedure endoscopic mechanism and method of use.
US5443197A (en) * 1993-06-16 1995-08-22 United States Surgical Corporation Locking mechanism for a skin stapler cartridge
EP0893970B1 (en) * 1996-04-19 2006-06-21 Applied Medical Resources Corporation Grasping clip applier
US5890642A (en) * 1997-12-30 1999-04-06 Sato; Hisao Clip driver
US6241740B1 (en) 1998-04-09 2001-06-05 Origin Medsystems, Inc. System and method of use for ligating and cutting tissue
US6217590B1 (en) 1999-01-22 2001-04-17 Scion International, Inc. Surgical instrument for applying multiple staples and cutting blood vessels and organic structures and method therefor
US6165204A (en) 1999-06-11 2000-12-26 Scion International, Inc. Shaped suture clip, appliance and method therefor
US6551333B2 (en) 2000-10-19 2003-04-22 Ethicon Endo-Surgery, Inc. Method for attaching hernia mesh
US6447524B1 (en) 2000-10-19 2002-09-10 Ethicon Endo-Surgery, Inc. Fastener for hernia mesh fixation
US7485124B2 (en) * 2000-10-19 2009-02-03 Ethicon Endo-Surgery, Inc. Surgical instrument having a fastener delivery mechanism
US6572626B1 (en) 2000-10-19 2003-06-03 Ethicon Endo-Surgery, Inc. Surgical instrument having a fastener delivery mechanism
US6773438B1 (en) 2000-10-19 2004-08-10 Ethicon Endo-Surgery Surgical instrument having a rotary lockout mechanism
US6425900B1 (en) 2000-10-19 2002-07-30 Ethicon Endo-Surgery Method for attaching hernia mesh
WO2002058568A1 (en) * 2001-01-24 2002-08-01 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
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
US7207472B2 (en) * 2003-12-30 2007-04-24 Ethicon Endo-Surgery, Inc. Cartridge with locking knife for a curved cutter stapler
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US7673781B2 (en) * 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed 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
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US8348131B2 (en) 2006-09-29 2013-01-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical indicator to show levels of tissue compression
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
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit 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
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8727197B2 (en) 2007-03-15 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
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
US7819299B2 (en) * 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US7832408B2 (en) * 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
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
WO2009099665A1 (en) * 2008-02-07 2009-08-13 Nikhil Gupta Bead crimping tool
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
RU2493788C2 (en) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Surgical cutting and fixing instrument, which has radio-frequency electrodes
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
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
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US20130153641A1 (en) 2008-02-15 2013-06-20 Ethicon Endo-Surgery, Inc. Releasable layer of material and surgical end effector having the same
US8021375B2 (en) * 2008-04-21 2011-09-20 Conmed Corporation Surgical clip applicator
PL3476312T3 (en) 2008-09-19 2024-03-11 Ethicon Llc Surgical stapler with apparatus for adjusting staple height
US7954686B2 (en) 2008-09-19 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical stapler with apparatus for adjusting staple height
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US9713471B2 (en) 2009-01-26 2017-07-25 Ethicon Endo-Surgery, Inc. Surgical device with tandem fasteners
US8439244B2 (en) 2010-01-20 2013-05-14 Ethicon Endo-Surgery, Inc. Surgical stapler fastening device with movable anvil
US8801732B2 (en) * 2009-01-26 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical stapler to secure a tissue fold
US20100191255A1 (en) * 2009-01-26 2010-07-29 Lawrence Crainich Method for Applying A Surgical Staple
US20100187283A1 (en) * 2009-01-26 2010-07-29 Lawrence Crainich Method For Feeding Staples In a Low Profile Surgical Stapler
US8602286B2 (en) * 2009-01-26 2013-12-10 Ethicon Endo-Surgery, Inc. Apparatus for feeding staples in a low profile surgical stapler
US8469252B2 (en) 2009-01-26 2013-06-25 Ethicon Endo-Surgery, Inc. Surgical stapler fastening device with adjustable anvil
US20100191262A1 (en) * 2009-01-26 2010-07-29 Harris Jason L Surgical stapler for applying a large staple through small delivery port and a method of using the stapler to secure a tissue fold
US9713468B2 (en) * 2009-01-26 2017-07-25 Ethicon Endo-Surgery, Inc. Surgical stapler for applying a large staple through a small delivery port and a method of using the stapler to secure a tissue fold
US8453905B2 (en) 2009-01-26 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical fastener for applying a large staple through a small delivery port
US20100187285A1 (en) * 2009-01-26 2010-07-29 Harris Jason L Surgical stapler for applying a large staple though a small delivery port and a method of using the stapler to secure a tissue fold
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
CA2751664A1 (en) 2009-02-06 2010-08-12 Ethicon Endo-Surgery, Inc. Driven surgical stapler improvements
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8728098B2 (en) * 2009-05-12 2014-05-20 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
US8579920B2 (en) 2009-05-12 2013-11-12 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
USD744646S1 (en) 2009-05-12 2015-12-01 Ethicon, Inc. Surgical fastener
US8728099B2 (en) 2009-05-12 2014-05-20 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
USD698021S1 (en) 2009-05-12 2014-01-21 Ethicon, Inc. Surgical fastener
US8920439B2 (en) 2009-05-12 2014-12-30 Ethicon, Inc. Applicator instruments having curved and articulating shafts for deploying surgical fasteners and methods therefor
US8894669B2 (en) 2009-05-12 2014-11-25 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
US9055945B2 (en) 2009-05-12 2015-06-16 Ethicon, Inc. Surgical fasteners having articulating joints and deflectable tips
US7960600B2 (en) 2009-05-28 2011-06-14 Uop Llc Process for improved meta-xylene yield from C8 aromatics
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
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9295464B2 (en) 2010-09-30 2016-03-29 Ethicon Endo-Surgery, Inc. Surgical stapler anvil comprising a plurality of forming pockets
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
CN103140178B (en) 2010-09-30 2015-09-23 伊西康内外科公司 Comprise the closure system keeping matrix and alignment matrix
US9839420B2 (en) 2010-09-30 2017-12-12 Ethicon Llc Tissue thickness compensator comprising at least one medicament
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US9861361B2 (en) 2010-09-30 2018-01-09 Ethicon Llc Releasable tissue thickness compensator and fastener cartridge having the same
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9277919B2 (en) 2010-09-30 2016-03-08 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising fibers to produce a resilient load
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
WO2012145059A1 (en) 2011-02-15 2012-10-26 Rotation Medical, Inc. Methods and apparatus for fixing sheet-like materials to a target tissue
RU2606493C2 (en) 2011-04-29 2017-01-10 Этикон Эндо-Серджери, Инк. Staple cartridge, containing staples, located inside its compressible part
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
AU2012202677A1 (en) * 2011-06-21 2013-01-17 Ethicon Endo-Surgery, Inc. A surgical fastener for applying a large staple through a small delivery port
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
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
US8740919B2 (en) 2012-03-16 2014-06-03 Ethicon, Inc. Devices for dispensing surgical fasteners into tissue while simultaneously generating external marks that mirror the number and location of the dispensed surgical fasteners
US9119617B2 (en) 2012-03-16 2015-09-01 Ethicon, Inc. Clamping devices for dispensing surgical fasteners into soft media
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
CN104334098B (en) 2012-03-28 2017-03-22 伊西康内外科公司 Tissue thickness compensator comprising capsules defining a low pressure environment
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
CN104321024B (en) 2012-03-28 2017-05-24 伊西康内外科公司 Tissue thickness compensator comprising a plurality of layers
MX353040B (en) 2012-03-28 2017-12-18 Ethicon Endo Surgery Inc Retainer assembly including a tissue thickness compensator.
US8518055B1 (en) 2012-05-11 2013-08-27 Ethicon, Inc. Applicator instruments for dispensing surgical fasteners during open repair procedures
US10575716B2 (en) 2012-05-11 2020-03-03 Ethicon Llc Applicator instruments with imaging systems for dispensing surgical fasteners during open repair procedures
US9364228B2 (en) 2012-05-11 2016-06-14 Ethicon, Llc Applicator instruments having distal end caps for facilitating the accurate placement of surgical fasteners during open repair procedures
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US20140005718A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Multi-functional powered surgical device with external dissection features
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for 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
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
BR112014032776B1 (en) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
RU2636861C2 (en) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Blocking of empty cassette with clips
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
MX364729B (en) 2013-03-01 2019-05-06 Ethicon Endo Surgery Inc Surgical instrument with a soft stop.
RU2672520C2 (en) 2013-03-01 2018-11-15 Этикон Эндо-Серджери, Инк. Hingedly turnable surgical instruments with conducting ways for signal transfer
US9554794B2 (en) 2013-03-01 2017-01-31 Ethicon Endo-Surgery, Llc Multiple processor motor control for modular surgical instruments
CA2903753A1 (en) 2013-03-09 2014-10-09 Ethicon, Inc. Surgical fasteners having articulating joints and deflectable tips
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US20140276968A1 (en) 2013-03-14 2014-09-18 Ethicon, Inc. Applicator systems for surgical fasteners
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
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 (en) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc surgical instrument
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US9510828B2 (en) 2013-08-23 2016-12-06 Ethicon Endo-Surgery, Llc Conductor arrangements for electrically powered surgical instruments with rotatable end effectors
RU2678363C2 (en) 2013-08-23 2019-01-28 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Firing member retraction devices for powered surgical instruments
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9884456B2 (en) 2014-02-24 2018-02-06 Ethicon Llc Implantable layers and methods for altering one or more properties of implantable layers for use with fastening instruments
JP6462004B2 (en) 2014-02-24 2019-01-30 エシコン エルエルシー Fastening system with launcher lockout
US20150272582A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Power management control systems for surgical instruments
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
BR112016021943B1 (en) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US10561422B2 (en) 2014-04-16 2020-02-18 Ethicon Llc Fastener cartridge comprising deployable tissue engaging members
CN106456176B (en) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 Fastener cartridge including the extension with various configuration
US10426476B2 (en) 2014-09-26 2019-10-01 Ethicon Llc Circular fastener cartridges for applying radially expandable fastener lines
BR112016023825B1 (en) 2014-04-16 2022-08-02 Ethicon Endo-Surgery, Llc STAPLE CARTRIDGE FOR USE WITH A SURGICAL STAPLER AND STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
BR112016023807B1 (en) 2014-04-16 2022-07-12 Ethicon Endo-Surgery, Llc CARTRIDGE SET OF FASTENERS FOR USE WITH A SURGICAL INSTRUMENT
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
BR112017004361B1 (en) 2014-09-05 2023-04-11 Ethicon Llc ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US9788836B2 (en) 2014-09-05 2017-10-17 Ethicon Llc Multiple motor control for powered medical device
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
BR112017005981B1 (en) 2014-09-26 2022-09-06 Ethicon, Llc ANCHOR MATERIAL FOR USE WITH A SURGICAL STAPLE CARTRIDGE AND SURGICAL STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT
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
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
WO2016073502A1 (en) 2014-11-04 2016-05-12 Rotation Medical, Inc. Medical implant delivery system and related methods
AU2015343273B2 (en) 2014-11-04 2017-12-14 Rotation Medical, Inc. Medical implant delivery system and related methods
US10675019B2 (en) 2014-11-04 2020-06-09 Rotation Medical, Inc. Medical implant delivery system and related methods
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 (en) 2014-12-18 2022-11-08 Ethicon Llc SURGICAL INSTRUMENT WITH AN ANvil WHICH IS SELECTIVELY MOVABLE ABOUT AN IMMOVABLE GEOMETRIC AXIS DIFFERENT FROM A STAPLE CARTRIDGE
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
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
US11808049B2 (en) * 2015-01-14 2023-11-07 Luther Sivadjian Rebar joint tie tool
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
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10182816B2 (en) 2015-02-27 2019-01-22 Ethicon Llc Charging system that enables emergency resolutions for charging a battery
JP2020121162A (en) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
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
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
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
US10004499B2 (en) 2015-05-19 2018-06-26 Ethicon, Llc Applicator instruments having end caps with gripping features
US10182818B2 (en) 2015-06-18 2019-01-22 Ethicon Llc Surgical end effectors with positive jaw opening arrangements
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
US10213203B2 (en) 2015-08-26 2019-02-26 Ethicon Llc Staple cartridge assembly without a bottom cover
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-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
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10603039B2 (en) 2015-09-30 2020-03-31 Ethicon Llc Progressively releasable implantable adjunct for use with a surgical stapling instrument
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
US10292702B2 (en) 2015-11-17 2019-05-21 Ethicon, Inc. Applicator instruments for dispensing surgical fasteners having articulating shafts and articulation control elements
US10299905B2 (en) 2015-12-28 2019-05-28 Ethicon, Inc. Applicator instruments having off-axis surgical fastener delivery
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
EP3397175B1 (en) 2015-12-31 2021-11-24 Rotation Medical, Inc. Fastener delivery system
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
CN108882932B (en) 2016-02-09 2021-07-23 伊西康有限责任公司 Surgical instrument with asymmetric articulation configuration
US10245029B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instrument with articulating and axially translatable end effector
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US10376263B2 (en) 2016-04-01 2019-08-13 Ethicon Llc Anvil modification members for surgical staplers
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses 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
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10368867B2 (en) 2016-04-18 2019-08-06 Ethicon Llc Surgical instrument comprising a lockout
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10610345B2 (en) 2016-09-21 2020-04-07 Ethicon, Inc. Applicator instruments for dispensing surgical fasteners having articulating shafts
US10568627B2 (en) 2016-12-07 2020-02-25 Ethicon, Inc. Surgical fasteners for mesh and tissue fixation
US11490888B2 (en) 2016-12-07 2022-11-08 Ethicon, Inc. Methods of using applicator instruments having insertable, changeable cartridges for dispensing surgical fasteners
US10898186B2 (en) 2016-12-21 2021-01-26 Ethicon Llc Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls
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
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
US20180168633A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments and staple-forming anvils
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US11179155B2 (en) 2016-12-21 2021-11-23 Cilag Gmbh International Anvil arrangements for surgical staplers
US20180168577A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Axially movable closure system arrangements for applying closure motions to jaws of surgical instruments
CN110099619B (en) 2016-12-21 2022-07-15 爱惜康有限责任公司 Lockout device for surgical end effector and replaceable tool assembly
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
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
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US10835247B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Lockout arrangements for surgical end effectors
BR112019011947A2 (en) 2016-12-21 2019-10-29 Ethicon Llc surgical stapling systems
US10537325B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Staple forming pocket arrangement to accommodate different types of staples
US10736629B2 (en) 2016-12-21 2020-08-11 Ethicon Llc Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
JP7010956B2 (en) 2016-12-21 2022-01-26 エシコン エルエルシー How to staple tissue
USD804666S1 (en) 2016-12-29 2017-12-05 Ethicon, Inc. Surgical fastener
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
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
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
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
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
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
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
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
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
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
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
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical 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
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
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US11389161B2 (en) 2017-06-28 2022-07-19 Cilag Gmbh International Surgical instrument comprising selectively actuatable rotatable couplers
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10758232B2 (en) 2017-06-28 2020-09-01 Ethicon Llc Surgical instrument with positive jaw opening features
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
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
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
EP4070740A1 (en) 2017-06-28 2022-10-12 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
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
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
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
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
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
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
USD907648S1 (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
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with 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
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
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
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
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
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
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
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
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
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
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
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
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US20190192147A1 (en) 2017-12-21 2019-06-27 Ethicon Llc Surgical instrument comprising an articulatable distal head
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
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
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
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
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11696761B2 (en) 2019-03-25 2023-07-11 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
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
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
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
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID 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
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
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
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
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
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 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
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
US11737748B2 (en) 2020-07-28 2023-08-29 Cilag Gmbh International Surgical instruments with double spherical articulation joints with pivotable links
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
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
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
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
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
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
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
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
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Also Published As

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CA976445A (en) 1975-10-21
DE2166983A1 (en) 1977-04-21
US3740994A (en) 1973-06-26
JPS554409B1 (en) 1980-01-30
DE2166983C3 (en) 1979-09-06

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