FR2713129A1 - Manipulateur et son utilisation comme instrument chirurgical. - Google Patents
Manipulateur et son utilisation comme instrument chirurgical. Download PDFInfo
- Publication number
- FR2713129A1 FR2713129A1 FR9412753A FR9412753A FR2713129A1 FR 2713129 A1 FR2713129 A1 FR 2713129A1 FR 9412753 A FR9412753 A FR 9412753A FR 9412753 A FR9412753 A FR 9412753A FR 2713129 A1 FR2713129 A1 FR 2713129A1
- Authority
- FR
- France
- Prior art keywords
- control ball
- tubular body
- intervention
- manipulator according
- control
- 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
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
- A61B34/71—Manipulators operated by drive cable mechanisms
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
- F16H—GEARING
- F16H21/00—Gearings comprising primarily only links or levers, with or without slides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
- A61B2017/00327—Cables or rods with actuating members moving in opposite directions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2908—Multiple segments connected by articulations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/291—Handles the position of the handle being adjustable with respect to the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- General Engineering & Computer Science (AREA)
- Robotics (AREA)
- Ophthalmology & Optometry (AREA)
- Mechanical Engineering (AREA)
- Manipulator (AREA)
- Surgical Instruments (AREA)
Abstract
La présente invention concerne un manipulateur qui présente un bras de manœuvre (10) relié, d'un côté, à une partie de maniement (20) et, de l'autre, à une partie d'intervention (30). Le bras de manœuvre (10) présente un corps tubulaire extérieur (1), une première rotule de commande (6) reliée à la partie de maniement (20) et montée, en rotation et à pivotement, à l'extrémité, associée à la partie de maniement (20), du corps tubulaire (1), une deuxième rotule de commande (8) reliée à la partie d'intervention et montée, en rotation et à pivotement, à l'extrémité, associée à la partie d'intervention (30), du corps tubulaire (1) et des organes de raccordement (2 à 5, 7) guidés dans le corps tubulaire (1), qui relient, par forces de contact, la première rotule de commande (6) à la deuxième rotule de commande (8). Utilisation notamment pour l'exécution de manipulations médicales ou d'examens médicaux dans des cavités de l'organisme.
Description
La présente invention se rapporte à un manipulateur, notamment pour
l'exécution de manipulations médicales, commandées de l'extérieur, dans des cavités de l'organisme, comportant une partie de maniement, un bras de manoeuvre relié à l'une de ses extrémités à la partie de maniement et une partie d'intervention rattachée à la seconde extrémité du bras de manoeuvre, un raccordement étant prévu entre la partie de maniement et la partie d'intervention, d'une façon telle que des mouvements de la partie d'intervention dans plusieurs directions puissent être commandés depuis la partie de maniement, par
l'intermédiaire du bras de manoeuvre.
Un tel manipulateur est décrit dans la demande de brevet allemand DE-A-41 36 861. Cet instrument chirurgical, adapté pour la chirurgie peu effractive, permet de réaliser, par l'intermédiaire d'un bras de manoeuvre, une commande du mouvement d'un organe d'intervention telle que, sous l'effet d'une manipulation effectuée à l'aide d'une seule main à la partie de maniement, l'organe d'intervention, rapporté à l'extrémité mobile, jouisse d'une grande mobilité. Dans cet instrument chirurgical connu, il est proposé, spécialement pour la rotation de l'organe d'intervention rapporté autour de son axe, soit un élément filiforme rigide en torsion, soit un élément tubulaire, qui sont
guidés dans le bras de manoeuvre.
Pour les autres possibilités de mouvement de l'organe d'intervention, un grand nombre de systèmes de commande, comme des systèmes de commande pneumatiques, hydrauliques, piézo-électriques, magnétostrictifs, jusqu'à des systèmes de commande à moteur électrique, sont proposés, et les combinaisons des types de mouvement de l'organe d'intervention ne seront pas dès
lors expliquées plus en détail.
Le but de l'invention est de constituer un manipulateur doté d'un système de raccordement simple et agissant avec précision, entre la partie de maniement et la partie d'intervention, par l'intermédiaire du bras de travail, d'une façon telle qu'un organe d'intervention adjoint à la partie d'intervention puisse suivre avec précision, dans différentes directions, des mouvements de la main du praticien, en prise à la partie de maniement. Le manipulateur selon l'invention doit en outre être aussi léger que possible et pouvoir être
réalisé de la façon la plus économique qui soit.
Conformément à l'invention, le but exposé ci-dessus est atteint grace au fait que le bras de travail comprend un corps tubulaire extérieur, une première rotule de commande, qui peut être raccordée à la partie de maniement et qui est montée, avec une liberté de rotation et de pivotement, à l'extrémité, associée à la partie de maniement, du corps tubulaire, une deuxième rotule de commande, qui peut être raccordée à la partie d'intervention et qui est logée, avec une liberté de rotation et de pivotement, à l'extrémité, associée à la partie d'intervention, du corps tubulaire, et présente des organes de raccordement guidés dans le corps tubulaire pour le raccordement l'une à l'autre les première et deuxième rotules de commande. En ce qui concerne les rotules de commande, il importe avant tout qu'il s'agisse, dans l'esprit de l'invention, de logements du type rotule, de sorte que l'on peut s'écarter, le cas échéant, dans certaines zones partielles, de la forme sphérique de la rotule, si ces
zones ne servent plus d'appui pour le logement.
Dans la forme de réalisation préférée, les organes de raccordement réalisent un raccordement mécanique, par forces de contact, entre les rotules de commande. Etant donné que, dans le type de réalisation préféré, une mobilité par pivotement contrôlable, aussi bien qu'une mobilité en rotation contrôlable, des rotules de commande sont rendues possibles par les mêmes moyens de transmission, par l'entremise du raccordement par forces de contact, la personne qui pratique la manipulation (opérateur) peut exécuter des mouvements très précis de l'organe d'intervention en se servant de la partie de maniement. Des systèmes de transmission de force à action indirecte ne présentent pas généralement cet avantage. En outre, de tels systèmes de transmission de force indirects sont, pour la plupart, d'un poids
important et impliquent des coûts de réalisation élevés.
De préférence, les rotules de commande, aussi bien que les organes de raccordement, présentent des perçages centraux respectifs s'étendant dans la direction longitudinale du corps tubulaire, qui définissent conjointement, à travers le bras de manoeuvre, un passage de raccordement allant de la partie de maniement à la partie d'intervention. Un endoscope flexible ou un raccordement mécanique destinée à transmettre la commande propre des instruments (de l'élément de maniement à l'organe d'intervention) peut, par exemple, être guidé à travers ce passage de raccordement. Dans la forme de réalisation préférée du manipulateur conforme à l'invention, les organes de raccordement présentent plusieurs fils métalliques de commande, qui sont articulés chacun à la surface périphérique extérieure des rotules de commande. De la sorte, il est possible, par l'intermédiaire du bras de manoeuvre, de réaliser une transmission extrêmement raide, directe et sans jeu effectif, du mouvement de la rotule de commande située à l'extrémité de la partie de maniement à la rotule de commande située à la partie d'intervention. Entre la première et la deuxième rotule de commande, sont agencés, de préférence, des tubes d'écartement, qui sont guidés dans le corps tubulaire et qui coopèrent avec le corps tubulaire pour maintenir les deux rotules de commande dans leur position, de telle façon qu'à chaque mouvement, les fils métalliques de
commande restent rigidement tendus.
Ceci est, de préférence, réalisé grâce au fait que deux tubes d'écartement extérieurs sont agencés à l'intérieur du corps tubulaire et, avec une liberté de coulissement dans la direction longitudinale de ce dernier, sur un tube d'écartement intérieur, et sont précontraints, par un ressort hélicoïdal agencé autour du tube d'écartement intérieur, pour être sollicités, l'un, en direction de la première rotule de commande et,
l'autre, en direction de la deuxième rotule de commande.
Selon une autre configuration, les tubes d'écartement présentent des moyens de guidage pour guider les fils métalliques de commande. Ces moyens de guidage sont, de préférence, constitués par des évidements, ménagés dans les tubes d'écartement, dans des positions périphériques équidistantes et suivant la direction longitudinale des tubes d'écartement, les fils métalliques de commande étant ainsi articulés en des
points équidistants à chacune des rotules de commande.
Pour la fixation d'un organe de maniement, d'une part, et d'un organe d'intervention, d'autre part, chacune des rotules de commande présente un prolongement en forme de tube, ces tubes saillant sous forme d'un prolongement de chaque rotule de commande, respectivement vers la partie
de maniement et vers la partie d'intervention.
Le manipulateur conforme à l'invention est, de préférence, utilisé pour des manipulations médicales effectuées de l'extérieur dans des cavités de l'organisme, cependant il peut également être utilisé
pour d'autres examens ou traitements techniques.
La présente invention va maintenant être décrite de façon plus détaillée, à l'aide d'exemples de réalisation non limitatifs représentés dans les figures: la figure 1 montre, dans une représentation partiellement en coupe, une première forme de réalisation du manipulateur conforme à l'invention, muni d'une pince flexible, la figure 2 montre, dans une représentation à plus grande échelle, également en coupe partielle, l'une des rotules de commande avec les fils métalliques de commande fixés à cette dernière, la figure 3 est une vue de l'une des rotules de commande pour l'illustration de la possibilité de rotation de l'instrument, la figure 4 est une vue du dispositif de commande sans le corps tubulaire qui en constitue l'enveloppe, et la figure 5 est une vue, correspondant à la figure 1, du manipulateur conforme à l'invention, avec
un endoscope flexible guidé à l'intérieur.
L'exemple de réalisation, représenté sur la figure 1, du manipulateur conforme à l'invention montre un bras de manoeuvre 10, qui transmet des mouvements, exécutés à une partie de maniement 20, à une partie d'intervention 30. A titre d'exemple, une pince flexible est représentée, sur la figure 1, en tant qu'organe d'intervention. Cette pince flexible présente un élément de maniement en forme de ciseaux 21, un organe d'intervention en forme de griffe 31 et un arbre flexible 9, qui est guidé à travers un passage de raccordement 11, 12, 13 à l'intérieur du bras de travail 10. Le bras de manoeuvre 10 présente, à chacune des extrémités d'un corps tubulaire extérieur 1, une rotule de commande, une première rotule de commande 6 étant associée à la partie de maniement 20 et une deuxième rotule de commande 8 étant associée à la partie
d'intervention 30.
La rotule de commande 6, située côté proximal, qui est associée à la partie de maniement 20, présente un prolongement de forme tubulaire 6a, auquel la partie de maniement 20 peut être fixée de façon séparable, tandis que la rotule de commande 8, située côté distal, qui est associée à la partie d'intervention 30, présente un tube 8a auquel l'organe d'intervention 31 est fixé de façon séparable. A l'intérieur du corps tubulaire extérieur 1 du bras de manoeuvre 10, sont agencés des tubes d'écartement 2, 3, 4, mobiles en direction axiale, parmi lesquels le tube d'écartement central 4 est agencé, déplaçable axialement, à l'intérieur des tubes d'écartement 2 et 3 situés à l'extérieur, et porte un ressort hélicoïdal 5, qui précontraint les deux tubes d'écartement extérieurs 2 et 3 respectivement en direction de la rotule de commande 8 et de la rotule de
commande 6.
Comme cela est représenté sur la figure 2, la rotule de commande 6, située côté proximal, et la rotule de commande 8, située côté distal, sont reliées mécaniquement l'une à l'autre par l'intermédiaire de plusieurs fils métalliques de commande 7. De cette manière, les tubes d'écartement 2, 3 et 4, mobiles par coulissement à l'intérieur du corps tubulaire extérieur 1, dans la direction longitudinale de ce dernier, exercent sur les deux rotules de commande 6 et 8 et les fils métalliques de commande 7, conjointement avec le ressort 5, des efforts de tension tels, qu'à chaque mouvement de rotation et de pivotement des rotules de commande 6 et 8, celles-ci sont maintenues dans les positions respectives que montre la figure 1. Les fils métalliques 7 agissent alors comme des tirants d'ancrage et transmettent les mouvements de pivotement, alors que les mouvements de rotation autour de l'axe du corps sont, par contre, exclusivement transmis par les forces de contact entre les tubes d'écartement 2, 3, 4 ou par
une forme appropriée des fils métalliques de commande.
La liaison entre les fils métalliques de commande 7 et les rotules de commande 6 et 8 n'est indiquée que schématiquement sur les figures, car les mécanismes de fixation les plus divers sont en principe envisageables. Selon la figure 2, les fils métalliques de commande 7 sont articulés, à intervalles réguliers, à la périphérie de la rotule de commande 6, à des points d'articulation 17. Les fils métalliques de commande 7 sont articulés de la même façon à la rotule de commande 8. On peut voir sans difficulté que, sous la condition que les fils de commande 7 soient rigidement tendus, ce qui est obtenu au moyen des tubes d'écartement 2, 3, 4 et du ressort hélicoïdal 5, chaque mouvement de rotation et de pivotement de la rotule de commande 6, située côté proximal, est transmis par forces de contact et sans jeu à la rotule de commande 8 située côté distal. Sur la figure 1, on a représenté, au moyen de deux flèches doubles, qui portent les indications POS1 et POS2, pour l'une, et POSi' et POS2', pour l'autre, le fait qu'un mouvement de pivotement de la partie de maniement 20 à l'extrémité proximale du bras de manoeuvre 10, conduit à un mouvement de pivotement correspondant de la partie d'intervention 30 à l'extrémité distale du bras de manoeuvre 10. L'angle de pivotement des rotules de commande 6, 8 n'est en principe limité que par la nature
du logement de ces dernières au corps tubulaire 1.
La figure 3 illustre les possibilités de rotation de l'instrument (flèche 25). Il apparaît ainsi clairement qu'un mouvement combiné de pivotement et de rotation de la partie de maniement, située côté proximal, conduit à un mouvement de rotation et de pivotement de même nature, c'est-à-dire dans le même sens de rotation, de la partie d'intervention 30 à l'extrémité distale du manipulateur conforme à l'invention. L'angle de rotation du manipulateur n'est
en principe limité que par le logement.
Sur les figures, les deux rotules de commande 6 et 8 ont sensiblement le même diamètre. Quand, par exemple, la rotule de commande 6, située côté proximal, a un diamètre supérieur à celui de la rotule de commande 8, située côté distal, le mouvement de pivotement est démultiplié conformément au rapport des diamètres des deux rotules de commande. De cette manière, un angle de pivotement plus important à l'organe de maniement 21 peut conduire à un plus petit mouvement de pivotement à l'organe d'intervention 31. Les rotules de commande 6 et 8 présentent des perçages centraux respectifs 11 et 12, qui sont alignés avec les passages intérieurs dans les excroissances tubulaires 6a et 8a. Les tubes d'écartement 2, 3 et 4 présentent également un passage central 13. Il est ainsi globalement défini un passage de liaison, à travers lequel un élément flexible 9 de la pince représentée sur la figure 1, est guidé. Dans la réalisation selon la figure 1, l'actionnement des mâchoires de la pince est transmis par l'élément flexible. Sur la figure 4, le raccordement par forces de contact des deux rotules de commande 6 et 8, réalisé par les fils métalliques de commande 7, et les tubes d'écartement 2, 3 et 4 qui, au moyen du ressort hélicoïdal 5, mettent sous précontrainte les rotules de commande 6, 8 et les fils de commande 7, sont représentés sans le corps tubulaire extérieur. Les points d'articulation 17 pour les fils métalliques de commande 7 sont disposés, à intervalles réguliers, en cercle tout autour, à la périphérie des rotules de commande 6 et 8. Pour le guidage des fils métalliques de commande 7 à l'intérieur du corps tubulaire, il peut être prévu des moyens de guidage non représentés, qui peuvent être réalisés, par exemple, sous la forme d'évidements ménagés à la périphérie des tubes
d'écartement, dans la direction longitudinale.
La figure 5 montre enfin le manipulateur conforme à l'invention en combinaison avec un endoscope flexible 22, ce qui constitue un autre type
d'application du manipulateur.
Prises conjointement, les figures 1, 4 et 5 montrent qu'un mouvement de pivotement produit par un utilisateur à la partie de maniement 20, située côté proximal, est transmis à la partie d'intervention distale 30. Ceci conduit à ce que l'utilisateur peut intervenir comme avec une pince ou un instrument tout à fait classique, non orientable. Sans que cela soit représenté en particulier, il sera judicieux pour la plupart des applications visées, que le corps tubulaire extérieur 1 du bras de manoeuvre 10 soit assujetti, dans le cas d'un instrument chirurgical, par exemple, au moyen d'un trocart, par lequel le bras de manoeuvre est
guidé et est immobilisé à l'intérieur.
La forme de réalisation préférée du manipulateur conforme à l'invention, décrite ci-dessus et représentée dans le dessin, a été décrite, à titre d'exemple, en combinaison avec des instruments chirurgicaux. Il est toutefois absolument évident que le manipulateur conforme à l'invention est également utilisable dans d'autres applications, par exemple pour réaliser des manipulations et des examens dans des
cavités techniques.
En outre, le manipulateur conforme à l'invention a été décrit dans son emploi avec un dispositif à pince et un endoscope. Il va de soi que le manipulateur conforme à l'invention peut également être judicieusement mis en oeuvre avec des ciseaux ou
d'autres instruments.
Dans l'ensemble, le manipulateur conforme à l'invention facilite des interventions et des examens dans des cavités, par exemple des cavités de l'organisme, en ce qu'il permet un guidage direct et rigide du mouvement de l'extrémité distale du manipulateur par le mouvement produit à l'extrémité proximale. Il est d'une construction simple et légère et
peut être réalisé à peu de frais.
Il est également possible que soit incorporé, dans la rotule de commande avant, un capteur à CCD qui, par une transmission de signaux électriques ou optiques, transmet une image à la rotule de commande arrière. Là, le signal est accueilli par un convertisseur de signal
ou/et est transféré sur un écran de contrôle externe.
On peut également substituer à une partie de maniement, un dispositif de déplacement motorisé qui, par exemple, effectue des mouvements automatisés de la
rotule de commande distale.
il
Claims (12)
1. Manipulateur, notamment pour l'exécution de manipulations médicales, dirigées de l'extérieur, dans des cavités de l'organisme, comportant une partie de maniement (20), un bras de manoeuvre (10) relié par l'une de ses extrémités avec la partie de maniement (20) et une partie d'intervention (30) adjointe à la seconde extrémité du bras de manoeuvre (10), une liaison étant prévue entre la partie de maniement (20) et la partie d'intervention (30), d'une façon telle que des mouvements de la partie d'intervention (30) dans plusieurs directions puissent être commandés, depuis la partie de maniement (20), par l'intermédiaire du bras de manoeuvre (10), caractérisé en ce que le bras de manoeuvre (10) présente: - un corps tubulaire extérieur (1), - une première rotule de commande (6), qui peut être reliée à la partie de maniement (20) et qui est logée, avec une liberté de rotation et de pivotement, à l'extrémité, associée à la partie de maniement (20), du corps tubulaire (1), - une deuxième rotule de commande (8), qui peut être reliée à la partie d'intervention (30) et qui est montée, avec une liberté de rotation et de pivotement, à l'extrémité, associée à la partie d'intervention (30), du corps tubulaire (1), et - des organes de raccordement (2 à 5, 7), guidés dans le corps tubulaire (1), pour le raccordement l'une à l'autre les première et deuxième rotules de
commande (6, 8).
2. Manipulateur selon la revendication 1, caractérisé en ce que les organes de raccordement (2 à 5, 7) réalisent un raccordement mécanique par
forces de contact entre les rotules de commande (6, 8).
3. Manipulateur selon la revendication 1 ou 2, caractérisé en ce que les rotules de commande (6, 8) ainsi que l'ensemble des organes de raccordement (2 à 5, 7) présentent des passages centraux respectifs (11, 12, 13) s'étendant dans la direction longitudinale du corps tubulaire (1), ces passages centraux (11, 12, 13) formant, à travers le bras de manoeuvre (10), un passage de raccordement allant de la partie de maniement
(20) à la partie d'intervention (30).
4. Manipulateur selon l'une des revendications
précédentes, caractérisé en ce que les organes de raccordement (2 à 5, 7) comprennent plusieurs fils métalliques de commande (7), qui sont chacun articulés à
la périphérie extérieure des rotules de commande (6, 8).
5. Manipulateur selon l'une des revendications
précédentes, caractérisé en ce que les organes de raccordement (2 à 5, 7) présentent en outre des tubes d'écartement (2, 3, 4), qui sont agencés entre la première et la deuxième rotule de commande (6, 8) et qui sont guidés en déplacement longitudinal dans le corps tubulaire (1), ces tubes d'écartement coopérant avec le corps tubulaire (1) pour maintenir les deux rotules de
commande (6, 8) dans leur position.
6. Manipulateur selon l'une des revendications
précédentes, caractérisé en ce que deux tubes d'écartement extérieurs (2, 3) sont agencés, avec une liberté de coulissement dans la direction longitudinale du corps tubulaire (1), sur un tube d'écartement intérieur (4) et sont sollicités dynamiquement, par un ressort hélicoïdal (5) placé autour du tube d'écartement intérieur (4), en direction de la première rotule de commande (6), pour l'un, et en direction de la deuxième
rotule de commande (8), pour l'autre.
7. Manipulateur selon l'une des revendications
précédentes, caractérisé en ce que les tubes d'écartement (2, 3, 4) présentent des moyens de guidage
destinés à guider les fils métalliques de commande.
8. Manipulateur selon la revendication 7, caractérisé en ce que les moyens de guidage présentent des évidements périphériques équidistants, ménagés dans la direction longitudinale des tubes d'écartement
(2, 3, 4).
9. Manipulateur selon l'une des revendications
précédentes, caractérisé en ce que les fils métalliques de commande (7) sont articulés, en des points équidistants, à la périphérie extérieure de chacune des
rotules de commande (6, 8).
10. Manipulateur selon l'une des revendi-
cations précédentes, caractérisé en ce que chaque rotule de commande (6, 8) présente un prolongement sous forme d'un tube (6a, 8a) aligné avec le passage central ménagé dans la rotule de commande, ces tubes saillant vers la partie de maniement (20), pour l'un, et vers la partie d'intervention (30), pour l'autre, et étant prévus pour la fixation d'un élément de maniement (21) et d'un
organe d'intervention (31), respectivement.
11. Instrument chirurgical commandable, caractérisé par l'emploi du manipulateur selon l'une des
revendications 1 à 8.
12. Instrument chirurgical selon la revendication 11, caractérisé en ce qu'un arbre (9), flexible ou partiellement flexible, de l'instrument
chirurgical est guidé à travers le passage central.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE4340707A DE4340707C2 (de) | 1993-11-30 | 1993-11-30 | Manipulator |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| FR2713129A1 true FR2713129A1 (fr) | 1995-06-09 |
| FR2713129B1 FR2713129B1 (fr) | 1996-09-06 |
Family
ID=6503757
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| FR9412753A Expired - Fee Related FR2713129B1 (fr) | 1993-11-30 | 1994-10-25 | Manipulateur et son utilisation comme instrument chirurgical. |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US5520678A (fr) |
| DE (1) | DE4340707C2 (fr) |
| FR (1) | FR2713129B1 (fr) |
| GB (1) | GB2284242B (fr) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8696651B2 (en) | 2008-01-31 | 2014-04-15 | Dexterite Surgical | Manipulator with decoupled movements, and application to instruments for minimally invasive surgery |
Families Citing this family (664)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2604957B2 (ja) * | 1992-09-02 | 1997-04-30 | アドバンスト スパイン フィクセイション システムス，インコーポレイティド | 脊椎固定装置用の低い外形のねじ締結組立体 |
| US5562651A (en) * | 1994-06-30 | 1996-10-08 | The Procter & Gamble Company | Absorbent article with adjustable undergarment protection system |
| DE19518388C2 (de) * | 1995-05-19 | 1997-07-03 | Wolf Gmbh Richard | Medizinisches Instrument mit einem abwinkelbaren distalen Endstück |
| US5967973A (en) | 1996-04-26 | 1999-10-19 | United States Surgical | Surgical retractor and method of surgery |
| DE19780579B4 (de) * | 1996-06-24 | 2008-04-17 | Karl Storz Gmbh & Co. Kg | Abwinkelbares endoskopisches Instrument |
| US8529582B2 (en) | 1996-12-12 | 2013-09-10 | Intuitive Surgical Operations, Inc. | Instrument interface of a robotic surgical system |
| US7727244B2 (en) | 1997-11-21 | 2010-06-01 | Intuitive Surgical Operation, Inc. | Sterile surgical drape |
| US6331181B1 (en) * | 1998-12-08 | 2001-12-18 | Intuitive Surgical, Inc. | Surgical robotic tools, data architecture, and use |
| US8206406B2 (en) | 1996-12-12 | 2012-06-26 | Intuitive Surgical Operations, Inc. | Disposable sterile surgical adaptor |
| US8182469B2 (en) | 1997-11-21 | 2012-05-22 | Intuitive Surgical Operations, Inc. | Surgical accessory clamp and method |
| US7666191B2 (en) | 1996-12-12 | 2010-02-23 | Intuitive Surgical, Inc. | Robotic surgical system with sterile surgical adaptor |
| US6132368A (en) * | 1996-12-12 | 2000-10-17 | Intuitive Surgical, Inc. | Multi-component telepresence system and method |
| JP3311287B2 (ja) * | 1997-01-16 | 2002-08-05 | 旭光学工業株式会社 | 内視鏡観察下手術用鉗子 |
| US5891017A (en) * | 1997-01-31 | 1999-04-06 | Baxter Research Medical, Inc. | Surgical stabilizer and method for isolating and immobilizing cardiac tissue |
| DE19708703C2 (de) * | 1997-02-24 | 2002-01-24 | Co Don Ag | Chirurgisches Besteck |
| US5924976A (en) * | 1997-08-21 | 1999-07-20 | Stelzer; Paul | Minimally invasive surgery device |
| EP1049409A4 (fr) | 1998-01-23 | 2009-09-09 | United States Surgical Corp | Instrument chirurgical |
| US6200263B1 (en) * | 1998-01-23 | 2001-03-13 | United States Surgical Corporation | Surgical instrument holder |
| US5967997A (en) * | 1998-04-30 | 1999-10-19 | Symbiosis Corporation | Endoscopic surgical instrument with deflectable and rotatable distal end |
| US6394998B1 (en) * | 1999-01-22 | 2002-05-28 | Intuitive Surgical, Inc. | Surgical tools for use in minimally invasive telesurgical applications |
| US7594912B2 (en) * | 2004-09-30 | 2009-09-29 | Intuitive Surgical, Inc. | Offset remote center manipulator for robotic surgery |
| JP3791893B2 (ja) * | 2000-04-27 | 2006-06-28 | オリンパス株式会社 | 外科用処置具 |
| GB0025427D0 (en) * | 2000-10-17 | 2000-11-29 | Young Michael J R | Ultrasonic tool mechanism |
| JP4499947B2 (ja) * | 2001-03-21 | 2010-07-14 | オリンパス株式会社 | 外科用処置具 |
| DE60218240T2 (de) * | 2001-04-18 | 2007-11-22 | Olympus Corporation | Chirurgisches Instrument |
| US6783524B2 (en) | 2001-04-19 | 2004-08-31 | Intuitive Surgical, Inc. | Robotic surgical tool with ultrasound cauterizing and cutting instrument |
| US20060178556A1 (en) | 2001-06-29 | 2006-08-10 | Intuitive Surgical, Inc. | Articulate and swapable endoscope for a surgical robot |
| US6817974B2 (en) | 2001-06-29 | 2004-11-16 | Intuitive Surgical, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
| GB2387782B (en) * | 2002-03-28 | 2004-04-07 | Michael John Radley Young | Improved surgical tool mechanism |
| CN100344990C (zh) * | 2002-05-14 | 2007-10-24 | 浜松光子学株式会社 | 放射线检测器 |
| EP1575439B1 (fr) | 2002-12-06 | 2012-04-04 | Intuitive Surgical, Inc. | Poignee flexible pour outil chirurgical |
| US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US8100824B2 (en) | 2003-05-23 | 2012-01-24 | Intuitive Surgical Operations, Inc. | Tool with articulation lock |
| US7410483B2 (en) | 2003-05-23 | 2008-08-12 | Novare Surgical Systems, Inc. | Hand-actuated device for remote manipulation of a grasping tool |
| US8562640B2 (en) * | 2007-04-16 | 2013-10-22 | Intuitive Surgical Operations, Inc. | Tool with multi-state ratcheted end effector |
| US8182417B2 (en) * | 2004-11-24 | 2012-05-22 | Intuitive Surgical Operations, Inc. | Articulating mechanism components and system for easy assembly and disassembly |
| US7090637B2 (en) * | 2003-05-23 | 2006-08-15 | Novare Surgical Systems, Inc. | Articulating mechanism for remote manipulation of a surgical or diagnostic tool |
| WO2004112845A2 (fr) * | 2003-06-17 | 2004-12-29 | Ethicon Endo-Surgery, Inc. | Instrument chirurgical a gamme de mouvements elargie |
| JP4056989B2 (ja) * | 2003-06-24 | 2008-03-05 | オリンパス株式会社 | 内視鏡処置具 |
| US7147650B2 (en) * | 2003-10-30 | 2006-12-12 | Woojin Lee | Surgical instrument |
| US7686826B2 (en) * | 2003-10-30 | 2010-03-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
| US7338513B2 (en) | 2003-10-30 | 2008-03-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
| US7842028B2 (en) * | 2005-04-14 | 2010-11-30 | Cambridge Endoscopic Devices, Inc. | Surgical instrument guide device |
| US20060135959A1 (en) * | 2004-03-22 | 2006-06-22 | Disc Dynamics, Inc. | Nuclectomy method and apparatus |
| DE102004024128B3 (de) * | 2004-05-14 | 2006-01-12 | Schiemann, Patrick A., Dr. | Vorrichtung zur Änderung der Wirkungsrichtung eines Instrumentes |
| US7678117B2 (en) | 2004-06-07 | 2010-03-16 | Novare Surgical Systems, Inc. | Articulating mechanism with flex-hinged links |
| US7828808B2 (en) * | 2004-06-07 | 2010-11-09 | Novare Surgical Systems, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
| US8690883B2 (en) * | 2004-06-29 | 2014-04-08 | Spine Wave, Inc. | Articulating injection cannula and seal assembly |
| US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
| US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
| US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
| US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
| US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
| WO2006026520A2 (fr) | 2004-08-31 | 2006-03-09 | Surgical Solutions Llc | Dispositif medical a arbre articule |
| US7785252B2 (en) * | 2004-11-23 | 2010-08-31 | Novare Surgical Systems, Inc. | Articulating sheath for flexible instruments |
| US9700334B2 (en) * | 2004-11-23 | 2017-07-11 | Intuitive Surgical Operations, Inc. | Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools |
| US20090264939A9 (en) * | 2004-12-16 | 2009-10-22 | Martz Erik O | Instrument set and method for performing spinal nuclectomy |
| GB2421912A (en) * | 2005-01-11 | 2006-07-12 | Anthony Blacker | Laparoscopic forceps |
| US20060201130A1 (en) * | 2005-01-31 | 2006-09-14 | Danitz David J | Articulating mechanisms with joint assembly and manual handle for remote manipulation of instruments and tools |
| US7780054B2 (en) * | 2005-02-18 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint |
| US20060289602A1 (en) * | 2005-06-23 | 2006-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground |
| US7559452B2 (en) * | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument having fluid actuated opposing jaws |
| US7654431B2 (en) * | 2005-02-18 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument with guided laterally moving articulation member |
| US7559450B2 (en) * | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating a fluid transfer controlled articulation mechanism |
| US7784662B2 (en) | 2005-02-18 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground |
| GB2423931B (en) | 2005-03-03 | 2009-08-26 | Michael John Radley Young | Ultrasonic cutting tool |
| JP4534004B2 (ja) * | 2005-04-07 | 2010-09-01 | 学校法人慶應義塾 | マニピュレータ |
| US8409175B2 (en) * | 2005-07-20 | 2013-04-02 | Woojin Lee | Surgical instrument guide device |
| US20070027468A1 (en) * | 2005-08-01 | 2007-02-01 | Wales Kenneth S | Surgical instrument with an articulating shaft locking mechanism |
| US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
| US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
| US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
| US20070194082A1 (en) | 2005-08-31 | 2007-08-23 | Morgan Jerome R | Surgical stapling device with anvil having staple forming pockets of varying depths |
| US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
| US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
| US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
| US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
| US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
| US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
| US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
| US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
| US8820603B2 (en) | 2006-01-31 | 2014-09-02 | 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 |
| US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
| US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
| US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
| US7753904B2 (en) * | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
| US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
| US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
| US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
| US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
| US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
| US7815564B2 (en) | 2006-02-21 | 2010-10-19 | Boston Scientific Scimed, Inc. | Positioning system for manipulating a channel within a medical device |
| US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
| US8236010B2 (en) * | 2006-03-23 | 2012-08-07 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with mimicking end effector |
| US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
| US20100228096A1 (en) * | 2009-03-06 | 2010-09-09 | Ethicon Endo-Surgery, Inc. | Methods and devices for providing access into a body cavity |
| US8518024B2 (en) * | 2006-04-24 | 2013-08-27 | Transenterix, Inc. | System and method for multi-instrument surgical access using a single access port |
| EP2012650B1 (fr) | 2006-04-24 | 2016-07-27 | TransEnterix Surgical, Inc. | Système chirurgicale utilisant un accès par un orifice naturel |
| US7846087B2 (en) * | 2006-05-01 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Endoscopic rotation |
| US8105350B2 (en) * | 2006-05-23 | 2012-01-31 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
| US8092536B2 (en) * | 2006-05-24 | 2012-01-10 | Disc Dynamics, Inc. | Retention structure for in situ formation of an intervertebral prosthesis |
| US20070276491A1 (en) * | 2006-05-24 | 2007-11-29 | Disc Dynamics, Inc. | Mold assembly for intervertebral prosthesis |
| GB2438679A (en) * | 2006-05-31 | 2007-12-05 | Sra Dev Ltd | Ultrasonic surgical tool having two modes of vibration |
| US7615067B2 (en) * | 2006-06-05 | 2009-11-10 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
| JP4731606B2 (ja) | 2006-06-08 | 2011-07-27 | サージカル・ソルーシヨンズ・エルエルシー | 関節連結シャフトを有する医療デバイス |
| US7862554B2 (en) * | 2007-04-16 | 2011-01-04 | Intuitive Surgical Operations, Inc. | Articulating tool with improved tension member system |
| US9561045B2 (en) * | 2006-06-13 | 2017-02-07 | Intuitive Surgical Operations, Inc. | Tool with rotation lock |
| US8057385B2 (en) * | 2006-06-13 | 2011-11-15 | Intuitive Surgical Operations, Inc. | Side looking minimally invasive surgery instrument assembly |
| US8409244B2 (en) * | 2007-04-16 | 2013-04-02 | Intuitive Surgical Operations, Inc. | Tool with end effector force limiter |
| US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
| US8029531B2 (en) * | 2006-07-11 | 2011-10-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
| US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
| US7708758B2 (en) * | 2006-08-16 | 2010-05-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
| US7648519B2 (en) | 2006-09-13 | 2010-01-19 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
| GB0618366D0 (en) | 2006-09-19 | 2006-10-25 | Sra Dev Ltd | Improved ultrasonic surgical tool |
| US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
| US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
| US20080078802A1 (en) | 2006-09-29 | 2008-04-03 | Hess Christopher J | Surgical staples and stapling instruments |
| US20110087276A1 (en) | 2009-10-09 | 2011-04-14 | Ethicon Endo-Surgery, Inc. | Method for forming a staple |
| US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
| US7658305B2 (en) * | 2006-10-25 | 2010-02-09 | Ethicon Endo-Surgery, Inc. | Adhesive applier with articulating tip |
| US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
| US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
| US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | 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 |
| US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
| US7434717B2 (en) | 2007-01-11 | 2008-10-14 | Ethicon Endo-Surgery, Inc. | Apparatus for closing a curved anvil of a surgical stapling device |
| US7673782B2 (en) | 2007-03-15 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a releasable buttress material |
| US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
| US20080262492A1 (en) * | 2007-04-11 | 2008-10-23 | Cambridge Endoscopic Devices, Inc. | Surgical Instrument |
| ES2461816T3 (es) * | 2007-05-04 | 2014-05-21 | Sofar Spa | Manipulador uterino |
| US8409245B2 (en) * | 2007-05-22 | 2013-04-02 | Woojin Lee | Surgical instrument |
| US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
| US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
| US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
| 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 |
| GB0711151D0 (en) * | 2007-06-11 | 2007-07-18 | Sra Dev Ltd | Switch for use with an ultrasonic surgical tool |
| US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
| US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
| 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 |
| US9005238B2 (en) * | 2007-08-23 | 2015-04-14 | Covidien Lp | Endoscopic surgical devices |
| US8257386B2 (en) * | 2007-09-11 | 2012-09-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
| WO2009035663A2 (fr) * | 2007-09-12 | 2009-03-19 | Synecor, Llc | Dispositifs et systèmes d'accès à plusieurs instruments |
| US20110060183A1 (en) * | 2007-09-12 | 2011-03-10 | Salvatore Castro | Multi-instrument access devices and systems |
| US20090171161A1 (en) * | 2007-12-10 | 2009-07-02 | Usgi Medical, Inc. | Steerable endoscopic instruments |
| US20090171147A1 (en) * | 2007-12-31 | 2009-07-02 | Woojin Lee | Surgical instrument |
| US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
| US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
| US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
| 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 |
| BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
| US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
| US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
| US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
| US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
| US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
| US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
| US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
| US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
| US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
| US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
| 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 |
| US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
| US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
| US20090206141A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material having an activatable adhesive |
| US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
| US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
| US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
| DE102008015418A1 (de) * | 2008-03-20 | 2009-09-24 | Richard Wolf Gmbh | Medizinisches Instrument |
| BRPI0822560A8 (pt) * | 2008-04-18 | 2016-01-19 | Fortimedix B V | Instrumento para aplicações endoscópicas ou semelhantes |
| US8579921B2 (en) * | 2008-06-18 | 2013-11-12 | Covidien Lp | Spring-type suture securing device |
| US8968355B2 (en) * | 2008-08-04 | 2015-03-03 | Covidien Lp | Articulating surgical device |
| US8801752B2 (en) * | 2008-08-04 | 2014-08-12 | Covidien Lp | Articulating surgical device |
| US8465475B2 (en) * | 2008-08-18 | 2013-06-18 | Intuitive Surgical Operations, Inc. | Instrument with multiple articulation locks |
| US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
| PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
| US7857186B2 (en) | 2008-09-19 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler having an intermediate closing position |
| US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
| US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
| US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
| US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
| US8142473B2 (en) | 2008-10-03 | 2012-03-27 | Tyco Healthcare Group Lp | Method of transferring rotational motion in an articulating 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 |
| WO2010068004A2 (fr) * | 2008-12-12 | 2010-06-17 | Rebo | Instrument chirurgical |
| US20110230723A1 (en) * | 2008-12-29 | 2011-09-22 | Salvatore Castro | Active Instrument Port System for Minimally-Invasive Surgical Procedures |
| US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
| US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
| US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
| US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
| JP2012517287A (ja) | 2009-02-06 | 2012-08-02 | エシコン・エンド−サージェリィ・インコーポレイテッド | 被駆動式手術用ステープラの改良 |
| 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 |
| US9737334B2 (en) | 2009-03-06 | 2017-08-22 | Ethicon Llc | Methods and devices for accessing a body cavity |
| US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
| US20100249497A1 (en) * | 2009-03-30 | 2010-09-30 | Peine William J | Surgical instrument |
| WO2010118018A1 (fr) * | 2009-04-06 | 2010-10-14 | Medtronic Inc. | Pince d'ablation bipolaire avec mâchoire positionnable selon différents angles par rapport à un arbre |
| US20110022078A1 (en) | 2009-07-23 | 2011-01-27 | Cameron Dale Hinman | Articulating mechanism |
| CA2772523A1 (fr) * | 2009-07-29 | 2011-02-03 | Transenterix, Inc. | Ports d'instrument bequillables |
| HU229773B1 (hu) * | 2009-09-02 | 2014-06-30 | Eszköz sebészeti beavatkozáshoz | |
| US9474540B2 (en) * | 2009-10-08 | 2016-10-25 | Ethicon-Endo-Surgery, Inc. | Laparoscopic device with compound angulation |
| US20110112517A1 (en) * | 2009-11-06 | 2011-05-12 | Peine Willliam J | Surgical instrument |
| US20110114697A1 (en) | 2009-11-19 | 2011-05-19 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with multi-lumen sheath |
| US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
| US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
| US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
| US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
| US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
| DE102010008922A1 (de) * | 2010-02-23 | 2011-08-25 | Schölly Fiberoptic GmbH, 79211 | Vorrichtung zum Beobachten und/oder Manipulieren von in einem durch eine enge Öffnung zugänglichen Hohlraum angeordneten Objekten |
| US8562592B2 (en) | 2010-05-07 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Compound angle laparoscopic methods and devices |
| US9226760B2 (en) | 2010-05-07 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Laparoscopic devices with flexible actuation mechanisms |
| US8460337B2 (en) | 2010-06-09 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Selectable handle biasing |
| US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
| US8801735B2 (en) | 2010-07-30 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical circular stapler with tissue retention arrangements |
| US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
| US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
| US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
| US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
| US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
| US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
| US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
| US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
| US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
| US9788834B2 (en) | 2010-09-30 | 2017-10-17 | Ethicon Llc | Layer comprising deployable attachment members |
| US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
| US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
| US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
| BR112013007717B1 (pt) | 2010-09-30 | 2020-09-24 | Ethicon Endo-Surgery, Inc. | Sistema de grampeamento cirúrgico |
| US9016542B2 (en) | 2010-09-30 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising compressible distortion resistant components |
| US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
| US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
| US10123798B2 (en) | 2010-09-30 | 2018-11-13 | 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 |
| US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
| US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
| US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
| US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
| US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
| US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
| US9301752B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising a plurality of capsules |
| US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
| US8763877B2 (en) | 2010-09-30 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments with reconfigurable shaft segments |
| US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
| USD650074S1 (en) | 2010-10-01 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
| US20120150155A1 (en) * | 2010-12-10 | 2012-06-14 | Boston Scientific Scimed, Inc. | Instrument Control Device |
| US8986287B2 (en) | 2011-02-14 | 2015-03-24 | Adrian E. Park | Adjustable laparoscopic instrument handle |
| US9211122B2 (en) | 2011-03-14 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Surgical access devices with anvil introduction and specimen retrieval structures |
| US8540131B2 (en) | 2011-03-15 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same |
| US8926598B2 (en) | 2011-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable and rotatable end effector |
| US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener instruments |
| US8857693B2 (en) | 2011-03-15 | 2014-10-14 | Ethicon Endo-Surgery, Inc. | Surgical instruments with lockable articulating end effector |
| US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
| US9168050B1 (en) | 2011-03-24 | 2015-10-27 | Cambridge Endoscopic Devices, Inc. | End effector construction |
| US9259240B2 (en) | 2011-03-29 | 2016-02-16 | Covidien Lp | Articulating surgical access system for laparoscopic surgery |
| AU2012240201A1 (en) | 2011-04-06 | 2013-10-24 | Medrobotics Corporation | Articulating surgical tools and tool sheaths, and methods of deploying the same |
| JP6026509B2 (ja) | 2011-04-29 | 2016-11-16 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ |
| US9161771B2 (en) | 2011-05-13 | 2015-10-20 | Intuitive Surgical Operations Inc. | Medical instrument with snake wrist structure |
| US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
| US8833632B2 (en) | 2011-09-06 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Firing member displacement system for a stapling instrument |
| US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
| US9179927B2 (en) * | 2011-12-02 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Surgical methods using a surgical device having a fixed angular orientation |
| US8617203B2 (en) | 2011-12-02 | 2013-12-31 | Ethicon Endo-Surgery, Inc. | Jaw assembly for surgical devices |
| US9131987B2 (en) | 2011-12-02 | 2015-09-15 | Ethicon Endo-Surgery, Inc. | Elbow assembly for surgical devices |
| US9211159B2 (en) | 2011-12-02 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Surgical devices with intracorporeal elbow joint |
| US9204869B2 (en) | 2012-01-09 | 2015-12-08 | Covidien Lp | Articulation control mechanisms |
| EP2809241A4 (fr) | 2012-02-03 | 2015-11-11 | Univ Nebraska | Dispositifs laparoscopiques et procédés d'utilisation |
| US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
| US9078653B2 (en) | 2012-03-26 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge |
| RU2644272C2 (ru) | 2012-03-28 | 2018-02-08 | Этикон Эндо-Серджери, Инк. | Узел ограничения, включающий компенсатор толщины ткани |
| JP6305979B2 (ja) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． | 複数の層を含む組織厚さコンペンセーター |
| US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
| MX350846B (es) | 2012-03-28 | 2017-09-22 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende cápsulas que definen un ambiente de baja presión. |
| US9211134B2 (en) | 2012-04-09 | 2015-12-15 | Carefusion 2200, Inc. | Wrist assembly for articulating laparoscopic surgical instruments |
| US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
| US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
| US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
| EP2866686A1 (fr) | 2012-06-28 | 2015-05-06 | Ethicon Endo-Surgery, Inc. | Verrouillage de cartouche d'agrafes vide |
| BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
| US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
| 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 |
| US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
| US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
| US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
| US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
| US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
| US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
| US20140005678A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Rotary drive arrangements for surgical instruments |
| US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
| US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
| 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 |
| US9782169B2 (en) | 2013-03-01 | 2017-10-10 | Ethicon Llc | Rotary powered articulation joints for surgical instruments |
| MX364729B (es) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirúrgico con una parada suave. |
| BR112015021098B1 (pt) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | Cobertura para uma junta de articulação e instrumento cirúrgico |
| US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
| US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
| US9351726B2 (en) | 2013-03-14 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Articulation control system for articulatable surgical instruments |
| 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 |
| US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
| BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
| US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
| US9265581B2 (en) | 2013-04-21 | 2016-02-23 | Gyrus Acmi, Inc. | Relay based tool control |
| US9357984B2 (en) | 2013-04-23 | 2016-06-07 | Covidien Lp | Constant value gap stabilizer for articulating links |
| US9517059B2 (en) | 2013-05-20 | 2016-12-13 | Medrobotics Corporation | Articulating surgical instruments and method of deploying the same |
| US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
| CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
| US10624634B2 (en) | 2013-08-23 | 2020-04-21 | Ethicon Llc | Firing trigger lockout arrangements for surgical instruments |
| US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
| US10149957B2 (en) * | 2013-10-03 | 2018-12-11 | University Of Utah Research Foundation | Tracheal intubation system including a laryngoscope |
| US9763662B2 (en) | 2013-12-23 | 2017-09-19 | Ethicon Llc | Fastener cartridge comprising a firing member configured to directly engage and eject fasteners from the fastener cartridge |
| US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
| US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
| US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
| US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
| US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
| US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
| US9839423B2 (en) | 2014-02-24 | 2017-12-12 | Ethicon Llc | Implantable layers and methods for modifying the shape of the implantable layers for use with a surgical fastening instrument |
| JP6462004B2 (ja) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | 発射部材ロックアウトを備える締結システム |
| BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
| US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
| US20150272582A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Power management control systems for surgical instruments |
| US9690362B2 (en) | 2014-03-26 | 2017-06-27 | Ethicon Llc | Surgical instrument control circuit having a safety processor |
| US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
| US11185330B2 (en) | 2014-04-16 | 2021-11-30 | Cilag Gmbh International | Fastener cartridge assemblies and staple retainer cover arrangements |
| US9801627B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Fastener cartridge for creating a flexible staple line |
| JP6636452B2 (ja) | 2014-04-16 | 2020-01-29 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 異なる構成を有する延在部を含む締結具カートリッジ |
| US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
| JP6532889B2 (ja) | 2014-04-16 | 2019-06-19 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 締結具カートリッジ組立体及びステープル保持具カバー配置構成 |
| BR112016023825B1 (pt) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico |
| WO2015171087A1 (fr) * | 2014-05-07 | 2015-11-12 | Yeti̇k Hüseyin | Instrument de réparation de trou maculaire |
| US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
| US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
| US9737301B2 (en) | 2014-09-05 | 2017-08-22 | Ethicon Llc | Monitoring device degradation based on component evaluation |
| BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
| US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
| JP6648119B2 (ja) | 2014-09-26 | 2020-02-14 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 外科ステープル留めバットレス及び付属物材料 |
| US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
| US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
| US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
| US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
| US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
| US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
| US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
| US10245027B2 (en) | 2014-12-18 | 2019-04-02 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge |
| US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable 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 |
| US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
| US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
| RU2703684C2 (ru) | 2014-12-18 | 2019-10-21 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси |
| 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 |
| 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 |
| US10245028B2 (en) | 2015-02-27 | 2019-04-02 | Ethicon Llc | Power adapter for a surgical instrument |
| US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
| US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
| US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
| JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
| 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 |
| US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
| US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
| 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 |
| 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 |
| US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
| US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
| US10182818B2 (en) | 2015-06-18 | 2019-01-22 | Ethicon Llc | Surgical end effectors with positive jaw opening arrangements |
| US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
| JP6828018B2 (ja) | 2015-08-26 | 2021-02-10 | エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ | ステープルの特性変更を可能にし、カートリッジへの充填を容易にする外科用ステープルストリップ |
| US10517599B2 (en) | 2015-08-26 | 2019-12-31 | Ethicon Llc | Staple cartridge assembly comprising staple cavities for providing better staple guidance |
| MX2022009705A (es) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico. |
| US10172619B2 (en) | 2015-09-02 | 2019-01-08 | Ethicon Llc | Surgical staple driver arrays |
| MX2022006192A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
| 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 |
| US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
| US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
| US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
| US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
| US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
| US10285699B2 (en) | 2015-09-30 | 2019-05-14 | Ethicon Llc | Compressible adjunct |
| US10561420B2 (en) | 2015-09-30 | 2020-02-18 | Ethicon Llc | Tubular absorbable constructs |
| US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
| US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
| US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
| US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
| US10245029B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instrument with articulating and axially translatable end effector |
| US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
| BR112018016098B1 (pt) | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
| US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
| US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
| US10485542B2 (en) | 2016-04-01 | 2019-11-26 | Ethicon Llc | Surgical stapling instrument comprising multiple lockouts |
| US10342543B2 (en) | 2016-04-01 | 2019-07-09 | Ethicon Llc | Surgical stapling system comprising a shiftable transmission |
| US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
| 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 |
| US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
| US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
| US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
| US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
| 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 |
| US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
| US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
| US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
| USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
| USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
| US10542979B2 (en) | 2016-06-24 | 2020-01-28 | Ethicon Llc | Stamped staples and staple cartridges using the same |
| USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
| CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
| US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
| US10517596B2 (en) | 2016-12-21 | 2019-12-31 | Ethicon Llc | Articulatable surgical instruments with articulation stroke amplification features |
| US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
| US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
| US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
| US10881401B2 (en) | 2016-12-21 | 2021-01-05 | Ethicon Llc | Staple firing member comprising a missing cartridge and/or spent cartridge lockout |
| US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
| US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
| US10617414B2 (en) | 2016-12-21 | 2020-04-14 | Ethicon Llc | Closure member arrangements for surgical instruments |
| CN110114014B (zh) | 2016-12-21 | 2022-08-09 | 爱惜康有限责任公司 | 包括端部执行器闭锁件和击发组件闭锁件的外科器械系统 |
| US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
| US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
| US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
| US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
| US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
| US10813638B2 (en) | 2016-12-21 | 2020-10-27 | Ethicon Llc | Surgical end effectors with expandable tissue stop arrangements |
| US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
| US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
| CN110087565A (zh) | 2016-12-21 | 2019-08-02 | 爱惜康有限责任公司 | 外科缝合系统 |
| US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
| JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
| 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 |
| 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 |
| US10918385B2 (en) | 2016-12-21 | 2021-02-16 | Ethicon Llc | Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system |
| JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
| WO2018183832A1 (fr) * | 2017-03-30 | 2018-10-04 | University Of Hawaii | Dispositifs chirurgicaux orientables avec fils en alliage à mémoire de forme |
| IT201700041991A1 (it) * | 2017-04-14 | 2018-10-14 | Medical Microinstruments Spa | Assieme robotico per microchirurgia |
| USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
| 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 |
| US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
| US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
| USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
| US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
| 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 |
| 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 |
| 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 |
| 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 |
| USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
| US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
| US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
| US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
| US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
| US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
| 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 |
| 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 |
| 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 |
| 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 |
| US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
| US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
| US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
| US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
| US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
| US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
| USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
| US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
| US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
| USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
| US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
| 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 |
| USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
| US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
| US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
| US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
| USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
| US11696759B2 (en) | 2017-06-28 | 2023-07-11 | Cilag Gmbh International | Surgical stapling instruments comprising shortened staple cartridge noses |
| EP3420947B1 (fr) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Instrument chirurgical comprenant des coupleurs rotatifs actionnables de façon sélective |
| US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
| US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
| US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
| US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member 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 |
| US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
| US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
| US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
| US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
| USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
| 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 |
| US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
| US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
| US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
| US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
| USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
| 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 |
| US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
| US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
| US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing 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 |
| 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 |
| 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 |
| US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
| US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
| US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
| US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
| US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
| US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
| 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 |
| USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
| 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 |
| 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 |
| US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
| US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
| US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
| US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
| US11583274B2 (en) | 2017-12-21 | 2023-02-21 | Cilag Gmbh International | Self-guiding stapling instrument |
| 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 |
| USD874655S1 (en) | 2018-01-05 | 2020-02-04 | Medrobotics Corporation | Positioning arm for articulating robotic surgical system |
| CN108836433A (zh) * | 2018-06-26 | 2018-11-20 | 陈克银 | 针刀镜用刀管 |
| US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
| US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
| US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
| 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 |
| USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
| US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
| US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
| US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
| US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
| US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
| US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
| US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
| 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 |
| US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
| US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
| 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 |
| US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
| US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
| US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
| US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
| US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
| US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
| US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
| US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
| US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
| US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
| US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
| US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
| US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
| US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
| US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
| US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
| US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
| US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
| US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
| 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 |
| US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
| US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
| US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
| US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
| US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
| 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 |
| US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
| US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
| US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
| US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
| 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 |
| US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
| US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
| US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
| US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
| US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
| US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
| US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
| CN110974354B (zh) * | 2019-12-26 | 2021-06-08 | 丽水市人民医院 | 一种动脉瘤夹把持钳 |
| SE2050045A1 (en) * | 2020-01-21 | 2021-07-22 | Orbishaft Ab | Portable shaft system |
| US11596467B2 (en) * | 2020-02-04 | 2023-03-07 | Covidien Lp | Articulating tip for bipolar pencil |
| USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
| USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
| USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
| 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 |
| 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 |
| US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
| USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
| US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
| 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 |
| USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
| US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
| US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
| US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
| US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
| US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
| US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
| US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
| US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
| 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 |
| US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
| US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
| US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
| US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
| US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
| US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
| US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
| US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
| US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
| US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
| US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
| US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
| US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
| US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
| US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
| US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
| US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
| US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
| US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
| US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
| 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 |
| US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
| US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
| US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
| US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
| US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
| US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
| US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
| US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
| US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
| US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
| US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
| US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
| US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
| US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
| US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
| US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
| US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
| US11918217B2 (en) | 2021-05-28 | 2024-03-05 | Cilag Gmbh International | Stapling instrument comprising a staple cartridge insertion stop |
| US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
| US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
| US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
| US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE219814C (fr) * | ||||
| US2595134A (en) * | 1951-01-02 | 1952-04-29 | Atomic Energy Commission | Universal manipulator for grasping tools |
| FR2379848A1 (fr) * | 1977-02-03 | 1978-09-01 | Inst Sup Materiaux Const Mec | Procede de positionnement automatique d'une piece deformable et dispositif correspondant |
| DE3707450A1 (de) * | 1987-03-07 | 1988-09-15 | Bernd Mitschinski | Universal-kugelgelenk |
| DE4213426A1 (de) * | 1991-04-23 | 1992-10-29 | Olympus Optical Co | Medizinische vorrichtung, die einen kontaktzustand eines behandlungsabschnitts in der betaetigungseinheit nachbildet |
| WO1993007816A1 (fr) * | 1991-10-16 | 1993-04-29 | Implemed, Inc. | Instrument endoscopique a usage generalise |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US1382783A (en) * | 1920-12-06 | 1921-06-28 | Albert L Howard | Support |
| DE650368C (de) * | 1935-11-10 | 1937-09-23 | Franz Gustav Hoffmann Dipl Ing | Element zum UEbertragen von Bewegungen |
| US2608192A (en) * | 1948-06-21 | 1952-08-26 | Powis L Heitmeyer | Retractor |
| US5025778A (en) * | 1990-03-26 | 1991-06-25 | Opielab, Inc. | Endoscope with potential channels and method of using the same |
| DE4136861C2 (de) * | 1991-11-11 | 1994-12-15 | Kernforschungsz Karlsruhe | Steuerbares chirurgisches Instrument |
| US5405344A (en) * | 1993-09-30 | 1995-04-11 | Ethicon, Inc. | Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor |
| US5382252A (en) * | 1994-03-24 | 1995-01-17 | Ethicon Endo-Surgery | Transvaginal uterine manipulator |
-
1993
- 1993-11-30 DE DE4340707A patent/DE4340707C2/de not_active Expired - Fee Related
-
1994
- 1994-10-25 FR FR9412753A patent/FR2713129B1/fr not_active Expired - Fee Related
- 1994-11-14 GB GB9423050A patent/GB2284242B/en not_active Expired - Fee Related
- 1994-11-30 US US08/346,776 patent/US5520678A/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE219814C (fr) * | ||||
| US2595134A (en) * | 1951-01-02 | 1952-04-29 | Atomic Energy Commission | Universal manipulator for grasping tools |
| FR2379848A1 (fr) * | 1977-02-03 | 1978-09-01 | Inst Sup Materiaux Const Mec | Procede de positionnement automatique d'une piece deformable et dispositif correspondant |
| DE3707450A1 (de) * | 1987-03-07 | 1988-09-15 | Bernd Mitschinski | Universal-kugelgelenk |
| DE4213426A1 (de) * | 1991-04-23 | 1992-10-29 | Olympus Optical Co | Medizinische vorrichtung, die einen kontaktzustand eines behandlungsabschnitts in der betaetigungseinheit nachbildet |
| WO1993007816A1 (fr) * | 1991-10-16 | 1993-04-29 | Implemed, Inc. | Instrument endoscopique a usage generalise |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8696651B2 (en) | 2008-01-31 | 2014-04-15 | Dexterite Surgical | Manipulator with decoupled movements, and application to instruments for minimally invasive surgery |
Also Published As
| Publication number | Publication date |
|---|---|
| US5520678A (en) | 1996-05-28 |
| DE4340707C2 (de) | 1997-03-27 |
| DE4340707A1 (de) | 1995-06-01 |
| GB2284242A (en) | 1995-05-31 |
| GB9423050D0 (en) | 1995-01-04 |
| FR2713129B1 (fr) | 1996-09-06 |
| GB2284242B (en) | 1997-06-04 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| FR2713129A1 (fr) | Manipulateur et son utilisation comme instrument chirurgical. | |
| EP2237733B1 (fr) | Manipulateur a decouplage des mouvements, et application aux instruments pour chirurgie mini invasive | |
| JP7231254B2 (ja) | ロボット顕微手術アセンブリ | |
| EP2725961B1 (fr) | Instrument endoscopique a pied d'appui | |
| EP2855103B1 (fr) | Bras d'exosquelette a un actionneur | |
| US5667476A (en) | Endoscope articulation system to reduce effort during articulation of an endoscope | |
| FR2795301A1 (fr) | Instrument de chirurgie endoscopique | |
| WO1990000383A1 (fr) | Appareil de mobilisation articulaire passive continue du pied | |
| JPH05508572A (ja) | 曲折可能な機構を備える、体内に挿入可能な管 | |
| FR2681775A1 (fr) | Pince pour chirurgie endoscopique a outil inclinable. | |
| FR2734145A1 (fr) | Instrument medical comportant un element d'extremite distal pouvant etre coude | |
| FR2711506A1 (fr) | Dispositif support pour instrument médical ou chirurgical. | |
| EP2459099B1 (fr) | Manipulateur a tenue manuelle et articulation de confort | |
| WO1997018927A1 (fr) | Appareil de telemanipulation du type 'maitre-esclave' a six degres de liberte | |
| FR2544978A1 (fr) | Procede de flechissement de la pointe d'un endoscope et endoscope correspondant | |
| EP1017444A1 (fr) | Dispositif pour effectuer une echocardiographie transoesophagienne et une cardioversion | |
| EP1395167A1 (fr) | Structure tubulaire active orientable et endoscope forme a partir d'une telle structure | |
| WO1997025092A1 (fr) | Microcommissurotome a leviers | |
| FR2948596A1 (fr) | Manipulateur a tenue manuelle et prehension symetrique | |
| WO2006040466A1 (fr) | Dispositif de guidage et de manipulation d'un instrument chirurgical | |
| WO2021144513A1 (fr) | Poignée avec mécanisme de commande de la flexion de la tête d'un endoscope médical | |
| WO2006030132A1 (fr) | Transmission mecanique axialement orientable et rigide en torsion | |
| FR2660714A1 (fr) | Bras a rotule inclinee et appareil de traitement therapeutique, en comportant application. | |
| FR2610562A1 (fr) | Pince d'intervention articulee a cinq degres de liberte | |
| EP0945105A1 (fr) | Dispositif de prélèvement, par exemple pour biopsie, et système à crémaillère équipant un tel dispositif |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| ST | Notification of lapse |