JP2002306398A - 内視鏡装置及び留置チューブの留置方法 - Google Patents

内視鏡装置及び留置チューブの留置方法

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Publication number
JP2002306398A
JP2002306398A JP2002023347A JP2002023347A JP2002306398A JP 2002306398 A JP2002306398 A JP 2002306398A JP 2002023347 A JP2002023347 A JP 2002023347A JP 2002023347 A JP2002023347 A JP 2002023347A JP 2002306398 A JP2002306398 A JP 2002306398A
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Japan
Prior art keywords
distal end
endoscope
guide catheter
guide
endoscope insertion
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JP3939158B2 (ja
Inventor
Nobuyuki Matsuura
伸之 松浦
Masaaki Nakazawa
雅明 中沢
Toshio Nakamura
俊夫 中村
Hisao Yabe
久雄 矢部
Yorio Matsui
頼夫 松井
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Olympus Corp
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Olympus Optical Co Ltd
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Priority to JP2002023347A priority Critical patent/JP3939158B2/ja
Priority to US10/067,585 priority patent/US6786864B2/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131—Accessories for endoscopes
    • A61B1/0014—Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)

Abstract

(57)【要約】 【課題】 体腔内に留置チューブ又はこの留置チューブ
をガイドするためのガイド部材を留置する際、操作性良
く、簡便に留置操作を行なうことが可能な内視鏡装置及
び留置チューブの留置方法を実現する。 【解決手段】 内視鏡装置１は、内視鏡挿入部１１の外
周軸方向に沿わせて配設する留置チューブ又はガイド部
材（ガイドカテーテル３０）の先端部を前記内視鏡挿入
部１１の先端部２１側に着脱自在に固定保持するため
に、前記内視鏡挿入部１１の先端部２１に対して着脱自
在に設ける固定具（ガイドカテーテル固定具３１ａ）を
有して構成される。

Description

【発明の詳細な説明】
【０００１】
【発明の属する技術分野】本発明は、内視鏡装置及び留
置チューブの留置方法に関する。
【０００２】
【従来の技術】一般に、医療用等に用いられる内視鏡
は、生体体腔内の小手術や生体組織の検査等を行なうこ
とができる。
【０００３】従来、内視鏡は、挿入部の内部に設けられ
た処置具挿通用チャンネルを介して留置チューブやガイ
ドワイヤ等のガイド部材を体腔内へ導き、体腔内へ留置
したりしている。また、特開平１１−１９２２０３号公
報に記載されている内視鏡では、挿入部先端部側に内視
鏡とは別体のものとして、必要により外付けチャンネル
を装着固定して設け、この外付けチャンネルを介して処
置具等を体腔内に挿入可能にしている。
【０００４】
【発明が解決しようとする課題】しかしながら、従来の
内視鏡では、体腔内に留置チューブを留置する際、体腔
内に挿入した内視鏡挿入部の処置具挿通用チャンネルを
介してガイドワイヤを挿通し、このガイドワイヤを介し
て体腔内の目的部位まで留置チューブを導き、留置チュ
ーブを目的部位に留置している。そして、留置チューブ
を留置した後、内視鏡を抜去する場合、ガイドワイヤや
留置チューブの長さが内視鏡挿入部の長さの２倍以上必
要になり、留置操作する上で繁雑であった。この煩雑さ
は、特開平１１−１９２２０３号公報に記載されている
内視鏡でも同様であった。
【０００５】また、従来の内視鏡や特開平１１−１９２
２０３号公報に記載されている内視鏡では、上記処置具
挿通用チャンネルの内径と同等かあるいはこれより径の
大きい留置チューブを上記処置具挿通用チャンネルに挿
通させることができない。このため、上記内視鏡は、上
記処置具挿通用チャンネルの内径より太い径を有する留
置チューブを留置する場合、ガイドワイヤを留置したま
ま内視鏡挿入部を体外に抜去し、留置したガイドワイヤ
に沿って留置チューブを体腔内の目的部位まで導いてい
た。しかしながらこのような操作では、留置チューブの
留置が完了するまで繁雑な作業が必要であった。また、
この場合、内視鏡挿入部を抜去したままの状態で留置チ
ューブを体腔内の目的部位まで導くことになり、内視鏡
観察下で上記留置操作を行なうことができず、留置操作
する上で繁雑であった。
【０００６】本発明は、これらの事情に鑑みてなされた
ものであり、体腔内に留置チューブ又はこの留置チュー
ブをガイドするためのガイド部材を留置する際に、操作
性良く、簡便に留置操作を行なうことが可能な内視鏡装
置及び留置チューブの留置方法を提供することを目的と
する。
【０００７】
【課題を解決するための手段】本発明の請求項１の内視
鏡は、内視鏡挿入部の外周軸方向に沿わせて配設する留
置チューブ又はこの留置チューブをガイドするためのガ
イド部材の先端部を前記内視鏡挿入部の先端部側に着脱
自在に固定保持するために、前記内視鏡挿入部の先端部
に対して着脱自在に設ける固定具を有することを特徴と
している。本発明の請求項２の内視鏡装置は、体腔内に
挿入される細長な挿入部を有する内視鏡と、この内視鏡
挿入部の外周軸方向に沿わせて配設する留置チューブ又
はこの留置チューブをガイドするためのガイド部材の先
端部を前記内視鏡挿入部の先端部側に着脱自在に固定保
持するために前記内視鏡挿入部の先端部に設けた固定具
と、を具備したことを特徴としている。本発明の請求項
３の留置チューブの留置方法は、体腔内に挿入される細
長な内視鏡挿入部の先端部に、ガイドカテーテルの先端
部を着脱自在に固定保持するガイドカテーテル固定具を
装着し、前記内視鏡挿入部の外周軸方向に沿わせて前記
ガイドカテーテルの先端部を前記ガイドカテーテル固定
具に固定保持し、前記ガイドカテーテルの先端部を固定
保持した状態で前記内視鏡挿入部を体腔内に挿入して目
的部位まで到達させ、前記ガイドカテーテルの先端部を
前記ガイドカテーテル固定具から外し、前記ガイドカテ
ーテル内にガイドワイヤを挿入し、このガイドワイヤ先
端を前記ガイドカテーテル先端から突出させ、前記ガイ
ドカテーテルを体腔内から抜去する一方、前記ガイドワ
イヤ先端を目的部位に到達させ、留置チューブを前記ガ
イドワイヤに沿わせて体腔外から目的部位まで挿入し、
この留置チューブを体腔内の目的部位に留置し、その
後、前記内視鏡挿入部を体腔内から抜去することを特徴
としている。この構成により、体腔内に留置チューブ又
はこの留置チューブをガイドするためのガイド部材を留
置する際、操作性良く、簡便に留置操作を行なうことが
可能な内視鏡装置及び留置チューブの留置方法を実現す
る。
【０００８】
【発明の実施の形態】以下、図面を参照して本発明の実
施の形態を説明する。 （第１の実施の形態）図１ないし図８は本発明の第１の
実施の形態に係る図である。図１は本発明の第１の実施
の形態の内視鏡装置の全体構成を示す全体構成図であ
る。図２は図１の内視鏡挿入部の先端部側を示す斜視図
である。図３は図２の内視鏡挿入部の先端部に装着する
ガイドカテーテル固定具を示す説明図であり、図３
（ａ）はガイドカテーテル固定具の斜視図、図３（ｂ）
は図３（ａ）の断面図である。図４は図３（ｂ）のガイ
ドカテーテル固定保持部の先端側に形成した縮径部が貫
通するように構成したガイドカテーテル固定具の断面図
である。図５は本発明の第１の実施の形態の留置チュー
ブの留置方法を説明する説明図であり、図５（ａ）は内
視鏡挿入部の先端部に装着したガイドカテーテル固定具
にガイドカテーテルの先端部を固定保持している際の説
明図、図５（ｂ）は図５（ａ）の状態からガイドカテー
テルの先端部をガイドカテーテル固定具のガイドカテー
テル固定保持部から外した際の説明図、図５（ｃ）は図
５（ｂ）の状態からガイドカテーテル内にガイドワイヤ
を挿入しガイドカテーテルの先端からガイドワイヤを突
出させた際の説明図、図５（ｄ）は図５（ｃ）の状態か
らガイドカテーテルのみを体腔内から抜去した際の説明
図、図５（ｅ）は図５（ｄ）の状態からガイドワイヤの
先端を目的部位に到達させた後、このガイドワイヤに沿
わせて留置チューブを目的部位まで挿入している際の説
明図である。図６は図３の他の変形例を示すガイドカテ
ーテル固定具の説明図であり、図６（ａ）は図３（ａ）
のガイドカテーテル固定具に縮径形状部を形成した達磨
形状のガイドカテーテル固定具の斜視図、図６（ｂ）は
図６（ａ）の断面図である。図７は図６の変形例を示す
ガイドカテーテル固定具の説明図であり、図７（ａ）は
図６（ａ）のガイドカテーテル固定具にテーパ部を形成
して、先端方向に向かってテーパ状に縮径したガイドカ
テーテル固定具の斜視図、図７（ｂ）は図７（ａ）の断
面図である。図８は図７の変形例を示すガイドカテーテ
ル固定具の説明図であり、図８（ａ）は図７（ａ）のガ
イドカテーテル固定具の後端部に延出する舌状部を設け
たガイドカテーテル固定具の斜視図、図８（ｂ）は図８
（ａ）の断面図である。
【０００９】図１に示すように本発明の第１の実施の形
態を備えた内視鏡装置１は、撮像装置として図示しない
撮像手段を有する電子内視鏡（単に内視鏡）２と、この
内視鏡２に照明光を供給する光源装置３と、前記内視鏡
２で得た画像信号に対して信号処理を行なうビデオプロ
セッサ４と、このビデオプロセッサ４から出力される映
像信号を受けて内視鏡画像を表示するモニタ５とで主に
構成されている。尚、前記ビデオプロセッサ４は、映像
信号を記録再生するＶＴＲ６と、映像信号により被写体
像を印字するビデオプリンタ７と、映像信号を記録する
大容量の記憶装置であるビデオディスク８等が接続され
るようになっている。
【００１０】前記内視鏡２は、先端部に図示しない撮像
手段を内臓し、観察対象の管腔内に挿入可能な細長で可
撓性を有する挿入部１１と、この挿入部１１の基端側に
折れ止め部１２を介して連結した保持部を兼ねる操作部
１３と、この操作部１３の側部から延出し、端部にコネ
クタ部１４を有する可撓性のユニバーサルコード１５と
から構成される。前記挿入部１１は、先端から硬質の先
端部２１と、この先端部２１の基端側に連設され湾曲自
在に形成された湾曲部２２と、この湾曲部２２の基端側
に連設された可撓性を有する可撓管部２３とで構成され
る。
【００１１】前記操作部１３には、前記挿入部１１の湾
曲部２２を遠隔操作で上下方向に湾曲させる上下湾曲操
作ノブ２４ａと、同じく前記湾曲部２２を左右方向に湾
曲させる左右湾曲操作ノブ２４ｂとが設けられている。
これら上下操作ノブ２４ａと左右操作ノブ２４ｂとを同
時に操作することで、前記湾曲部２２を上下左右の中間
方向（ツイスト方向）へ湾曲させることも可能である。
また、前記操作部１３は、この前端付近に処置具挿入口
２５が設けられている。この処置具挿入口２５は、操作
部１３と挿入部１１、そして湾曲部２２内部に挿通配設
された図示しない処置具挿通用チャンネルに連結してい
る。この処置具挿入口２５から処置具挿通用チャンネル
を経て処置具の先端側を前記挿入部１１の先端部２１の
開口２６から突出可能となっている。また、前記操作部
１３は、送気・送水操作を遠隔操作する送気送水ボタン
２７ａ、吸引操作を遠隔操作する吸引ボタン２７ｂ及び
画像静止ボタン、レリーズボタン、調光方法切り換えボ
タン等のビデオプロセッサ４の機能を遠隔操作する操作
スイッチ２７ｃを設けている。
【００１２】前記内視鏡２は、前記光源装置３から照明
光が供給されるようになっている。前記光源装置３から
供給された照明光は、内視鏡２内の図示しないライトガ
イドを経由して照明光学系２８から被写体を照明するよ
うになっている。照明された被写体像は、前記内視鏡挿
入部１１の先端部２１に内蔵された対物光学系２９から
取り込まれ、前記撮像手段で撮像されるようになってい
る。ビデオプロセッサ４は、前記内視鏡２の撮像手段か
らの撮像信号を図示しない信号処理回路で信号処理し、
モニタ５に伝送して内視鏡画像を表示させるようになっ
ている。
【００１３】図２に示すように前記内視鏡２は、この内
視鏡挿入部１１の外周軸方向に留置チューブやガイドワ
イヤ等のガイド部材を沿わせるようになっている。尚、
図中では、ガイド部材としてガイドカテーテル３０を沿
わせている。
【００１４】本実施の形態では、前記内視鏡挿入部１１
の外周軸方向に沿わせて配設する前記ガイド部材として
前記ガイドカテーテル３０の先端部を前記内視鏡挿入部
１１の先端部２１側に着脱自在に固定保持するために、
前記内視鏡挿入部１１の先端部２１に対して着脱自在に
設ける固定具を有するように構成する。
【００１５】前記ガイドカテーテル３０の先端部を前記
内視鏡挿入部１１の先端部２１側に対して着脱自在に固
定保持するためのガイドカテーテル固定具３１ａは、略
円筒状の弾性材料で形成されている。このガイドカテー
テル固定具３１ａは、貫通孔である内視鏡先端取付孔３
２に前記内視鏡挿入部１１の先端部２１を着脱自在に嵌
着することで、この内視鏡挿入部１１の先端部２１に固
定装着されるようになっている。
【００１６】図３（ａ），（ｂ）に示すように前記内視
鏡先端取付孔３２の内径は、前記内視鏡挿入部１１の先
端部２１の外径より若干小さく形成されており、前記弾
性材料の弾性変形により前記内視鏡挿入部１１の先端部
２１に締め付け固定するようになっている。
【００１７】前記ガイドカテーテル固定具３１ａは、固
定保持手段としてガイドカテーテル固定保持部３３ａを
設けている。このガイドカテーテル固定保持部３３ａ
は、前記ガイドカテーテル３０の先端部の外径より若干
小さく形成されている穴部であり、前記内視鏡先端取付
孔３２と同様に前記弾性材料の弾性変形により前記ガイ
ドカテーテル３０の先端部を固定保持するようになって
いる。
【００１８】また、ガイドカテーテル固定具は、図４に
示すようなガイドカテーテル固定保持部３３ｂを形成し
て構成しても良い。図４に示すようにガイドカテーテル
固定具３１ｂは、ガイドカテーテル固定保持部３３ｂの
先端側に縮径部３４を形成し、この縮径部３４が貫通す
るように構成している。この場合、このガイドカテーテ
ル固定具３１ｂは、前記ガイドカテーテル固定保持部３
３ｂから前記ガイドカテーテル３０を外す前に、後述す
るガイドワイヤを前記縮径部３４に挿入固定することが
できるようになっている。
【００１９】また、ガイドカテーテル固定具は、図６に
示すような構成のものでも良い。図６（ａ），（ｂ）に
示すように、ガイドカテーテル固定具３１ｃはガイドカ
テーテル固定保持部３３ｃ部分に向かって縮径形状部３
５を形成している。これにより、ガイドカテーテル固定
具３１ｃは、前記内視鏡挿入部１１の先端部２１に着脱
自在に装着したとき、挿入部先端の外径を小さく抑える
ことができ、体腔内への挿入もより容易になる。
【００２０】また、ガイドカテーテル固定具は、図７に
示すような構成のものでも良い。図７（ａ），（ｂ）に
示すように、ガイドカテーテル固定具３１ｄは前記ガイ
ドカテーテル固定具３１ｃと同様に縮径形状部３５を形
成している。更にガイドカテーテル固定具３１ｄはガイ
ドカテーテル固定保持部３３ｄ部分にテーパ部３６を形
成して、先端方向に向かってテーパ状に縮径して構成さ
れている。これにより、ガイドカテーテル固定具３１ｄ
は、前記内視鏡挿入部１１の先端部２１に着脱自在に装
着したとき、前記ガイドカテーテル固定具３１ｃよりも
挿入性が容易となる。
【００２１】更に、ガイドカテーテル固定具は、図８に
示すような構成のものでも良い。図８（ａ），（ｂ）に
示すようにガイドカテーテル固定具３１ｅは、前記ガイ
ドカテーテル固定具３１ｄと同様な形状で、更に、後端
部に延出する舌状部３７を設けて構成されている。これ
により、ガイドカテーテル固定具３１ｅは、前記内視鏡
挿入部１１の先端部２１に着脱自在に装着し、更に前記
舌状部３７を図示しない医療用テープ等で固定すること
で前記内視鏡挿入部１１の先端部２１に対してより強固
に固定することができる。
【００２２】尚、上述したガイドカテーテル固定具３１
ａ〜３１ｅは、これらガイドカテーテル固定保持部３３
ａ〜３３ｅ部分の弾性変形による締め付け固定に限られ
るものではなく、固定保持手段として粘着性を有する粘
着部材で形成し、この粘着部材の粘着力により前記ガイ
ドカテーテル３０を固定保持するように構成しても良
い。
【００２３】また、後述するようにガイドカテーテル固
定具３１ａ〜３１ｅは、前記ガイドカテーテル３０を固
定保持した状態で内視鏡挿入部１１と共に体腔内に挿入
された後、前記ガイドカテーテル３０の手元側を引っ張
ることにより、このガイドカテーテル３０の先端部の固
定保持が容易に解除されて、脱着できるものであれば良
い。
【００２４】このように構成されたガイドカテーテル固
定具３１ａ〜３１ｅを前記内視鏡挿入部１１の先端部２
１に着脱自在に装着して構成した内視鏡装置１を用い
て、留置チューブを留置する留置チューブの留置方法に
ついて図５を用いて説明する。尚、ここでは、図２，図
３を用いて説明したガイドカテーテル固定具３１ａを用
いて説明する。先ず、ガイドカテーテル固定具３１ａ
は、内視鏡先端取付孔３２に前記内視鏡挿入部１１の先
端部２１を着脱自在に嵌着することで、この内視鏡挿入
部１１の先端部２１に固定装着される。
【００２５】そして、ガイドカテーテル３０を内視鏡挿
入部１１の外周軸方向に沿わせて、図５（ａ）に示すよ
うに、ガイドカテーテル固定具３１ａのガイドカテーテ
ル固定保持部３３ａにガイドカテーテル３０の先端部を
挿入して固定保持する。そして、ガイドカテーテル３０
の先端部を固定保持した状態で内視鏡挿入部１１を体腔
内に挿入する。内視鏡挿入部１１が体腔内の目的部位ま
で到達したら、ガイドカテーテル３０を手元側に引っ張
り、図５（ｂ）に示すようにガイドカテーテル３０の先
端部をガイドカテーテル固定具３１ａのガイドカテーテ
ル固定保持部３３ａから外す。
【００２６】ガイドカテーテル固定具３１ａのガイドカ
テーテル固定保持部３３ａからガイドカテーテル３０の
先端部を外した状態で、図５（ｃ）に示すようにガイド
カテーテル３０内にガイドワイヤ４１を挿入しガイドカ
テーテル３０の先端からガイドワイヤ４１を突出させ
る。そして、図５（ｄ）に示すようにガイドカテーテル
３０を体腔内から抜去する一方、ガイドワイヤ４１の先
端を目的部位に到達させる。
【００２７】次に、図５（ｅ）に示すようにこのガイド
ワイヤ４１に沿わせて留置チューブ４２を体腔外から目
的部位まで挿入して目的部位に到達させる。この留置チ
ューブ４２を体腔内の目的部位に留置し、その後、内視
鏡挿入部１１を体腔内から抜去することで、留置チュー
ブ４２の留置が完了する。尚、留置チューブ４２の挿入
位置は、内視鏡２の図示しない撮像手段で撮像されて得
た内視鏡画像によって確認することができる。
【００２８】この結果、本実施の形態は、留置チューブ
４２の留置を行なう過程で、内視鏡を抜去しなくても、
内視鏡２の処置具挿通用チャンネル内径より太い留置チ
ューブ４２を留置できるので操作性が良い。また、本実
施の形態は、留置チューブ４２の留置を行なう途中で、
内視鏡２を抜去していないので、留置チューブの位置を
内視鏡画像により確認することができ、正確な位置に留
置チューブ４２を留置することができる。
【００２９】尚、上述した留置チューブ４２の留置方法
は、ガイドワイヤ４１、ガイドカテーテル３０等を使用
せず、直接留置チューブ４２先端を固定保持する固定具
を用いて構成するようにしても良い。
【００３０】また、本実施の形態では、図示しない撮像
手段を内視鏡挿入部１１の先端部２１に内蔵した電子内
視鏡に本発明を適用しているが、本発明はこれに限定さ
れず、照明された被写体像を先端部に内蔵した対物光学
系で取り込み、この取り込んだ被写体像をイメージガイ
ドバンドル等の伝達手段により接眼部に伝達する光学式
内視鏡に本発明を適用しても当然良いし、内視鏡先端部
に絶縁カバーを装着したものでも良い。
【００３１】（第２の実施の形態）図９ないし図１１は
本発明の第２の実施の形態に係り、図９は本発明の第２
の実施の形態を備えた内視鏡挿入部の先端部側を示す斜
視図、図１０は図９の内視鏡挿入部の先端部に装着する
カテーテル固定具を示す説明図であり、図１０（ａ）は
カテーテル固定具の斜視図、図１０（ｂ）は図１０
（ａ）の断面図、図１１は留置チューブの留置方法を説
明する内視鏡挿入部の先端部側を示す説明図である。
【００３２】上記第１の実施の形態は、前記内視鏡挿入
部１１の外周軸方向に沿わせて配設するガイドカテーテ
ル３０の先端部を前記内視鏡挿入部１１の先端部２１側
に着脱自在に固定保持するために、前記内視鏡挿入部１
１の先端部２１に対して着脱自在に設けるガイドカテー
テル固定具３１ａを有するように構成しているが、本第
２の実施の形態では前記内視鏡挿入部１１の外周軸方向
に沿わせて配設するカテーテルの先端部を前記内視鏡挿
入部１１の先端部２１側に着脱自在に固定保持するため
に、前記内視鏡挿入部１１の先端部２１に対して着脱自
在に設ける固定具を有するように構成する。それ以外の
構成は上記第１の実施の形態と同様なので説明を省略
し、同じ構成には同じ符号を付して説明する。
【００３３】即ち、図９に示すように前記内視鏡２は、
この内視鏡挿入部１１の外周軸方向にカテーテル５０を
沿わせるようになっている。 前記カテーテル５０の先
端部を固定保持するためのカテーテル固定具５１は、前
記ガイドカテーテル固定具３１ａとほぼ同様な略円筒状
の弾性材料で形成されている。このカテーテル固定具５
１は、貫通孔である内視鏡先端取付孔５２に前記内視鏡
挿入部１１の先端部２１を着脱自在に嵌着することで、
この内視鏡挿入部１１の先端部２１に固定装着されるよ
うになっている。
【００３４】図１０（ａ），（ｂ）に示すように前記内
視鏡先端取付孔５２の内径は、前記内視鏡挿入部１１の
先端部２１の外径より若干小さく形成されており、前記
弾性材料の弾性変形により前記内視鏡挿入部１１の先端
部２１に締め付け固定するようになっている。
【００３５】前記カテーテル固定具５１は、固定保持手
段としてカテーテル固定保持部５３を設けている。この
カテーテル固定保持部５３は、前記カテーテル５０の外
径より細径に形成され、更にくびれ部５４を有している
穴部である。前記カテーテル固定保持部５３は、前記弾
性材料の弾性変形により前記カテーテル５０の先端部を
弾性的に潰して挿入可能であり、前記くびれ部５４部分
で更に前記カテーテル５０の先端部を弾性的に変形さ
せ、前記カテーテル５０の先端部を固定保持するように
なっている。尚、前記カテーテル固定具５１は、図６〜
図８で説明した前記ガイドカテーテル固定具３１ｂ〜３
１ｅと同様な構成であっても良い。
【００３６】このように構成されたカテーテル固定具５
１を前記内視鏡挿入部１１の先端部２１に着脱自在に装
着して構成した内視鏡装置を用いて、カテーテル５０を
留置するカテーテル５０の留置方法について説明する。
先ず、カテーテル固定具５１は、内視鏡先端取付孔５２
に前記内視鏡挿入部１１の先端部２１を着脱自在に嵌着
することで、この内視鏡挿入部１１の先端部２１に固定
装着される。
【００３７】そして、カテーテル５０を内視鏡挿入部１
１の外周軸方向に沿わせて、カテーテル固定具５１のカ
テーテル固定保持部５３にカテーテル５０の先端部を挿
入して固定保持する。そして、カテーテル５０の先端部
を固定保持した状態で内視鏡挿入部１１を体腔内に挿入
する。内視鏡挿入部１１が体腔内の目的部位まで到達し
たら、カテーテル５０を手元側に引っ張り、このカテー
テル５０の先端部をカテーテル固定具５１のカテーテル
固定保持部５３から外し、目的部位に到達させる。
【００３８】このカテーテル５０を体腔内の目的部位に
留置し、その後、内視鏡挿入部１１を体腔内から抜去す
ることで、カテーテル５０の留置が完了する。尚、カテ
ーテル５０の挿入位置は、内視鏡２の図示しない撮像手
段で撮像されて得た内視鏡画像によって確認することが
できる。
【００３９】この結果、本第２の実施の形態は、上記第
１の実施の形態と比べてガイドワイヤ４１を使用するこ
となく直接カテーテル５０を留置できるので操作性が良
い。
【００４０】（第３の実施の形態）図１２は本発明の第
３の実施の形態に係るガイドワイヤの留置方法を説明す
る内視鏡の挿入部先端側を示す説明図であり、図１２
（ａ）は内視鏡挿入部の先端部に粘着テープを巻き、こ
の端部を一部出している際の説明図、図１２（ｂ）は図
１２（ａ）の状態から一部出した粘着テープの粘着部に
ガイドワイヤの先端部を粘着させた際の説明図、図１２
（ｃ）は図１２（ｂ）の状態から粘着テープの粘着部端
部を折り返してガイドワイヤの先端部を固定保持してい
る際の説明図、図１２（ｄ）は図１２（ｃ）の状態から
ガイドワイヤの先端部を粘着テープの粘着部から引き抜
いて外した際の説明図である。
【００４１】本第３の実施の形態では、固定具として粘
着テープを用い、ガイド部材としての前記ガイドワイヤ
４１の先端部を前記内視鏡挿入部１１の先端部２１側に
着脱自在に固定保持するように構成する。それ以外の構
成は上記第１の実施の形態と同様なので説明を省略し、
同じ構成には同じ符号を付して説明する。
【００４２】即ち、図１２に示すように前記内視鏡２
は、この内視鏡挿入部１１の外周軸方向にガイドワイヤ
４１を沿わせ、このガイドワイヤ４１の先端部を固定保
持するための固定具として医療用テープ等の粘着テープ
５５を用いる。
【００４３】次に、この粘着テープ５５を用いて、ガイ
ドワイヤ４１を留置するガイドワイヤ４１の留置方法に
ついて説明する。図１２（ａ）に示すように内視鏡挿入
部１１の先端部２１に、先端側から見て反時計方向に粘
着テープ５５を巻き、末端部を先端部２１に対して浮い
た状態にしておく。この粘着テープ５５の末端部におけ
る粘着部５５ａに図１２（ｂ）に示すようにガイドワイ
ヤ４１の先端部を粘着させる。そして、図１２（ｃ）に
示すように粘着テープ５５の粘着部５５ａ端部を折り返
してガイドワイヤ４１の先端部を固定する。このことに
より、ガイドワイヤ４１の先端部は、内視鏡挿入部１１
の先端部２１側に固定保持される。
【００４４】そして、ガイドワイヤ４１の先端部を固定
保持した状態で内視鏡挿入部１１を体腔内に挿入する。
内視鏡挿入部１１が体腔内の目的部位まで到達したら、
ガイドワイヤ４１を手元側に引っ張り、図１２（ｄ）に
示すようにガイドワイヤ４１の先端部を粘着テープ５５
の粘着部５５ａから引き抜いて外し、目的部位に到達さ
せる。このガイドワイヤ４１を体腔内の目的部位に留置
し、その後、内視鏡挿入部１１を体腔内から抜去するこ
とで、ガイドワイヤ４１の留置が完了する。
【００４５】この結果、本第３の実施の形態は、上記第
１の実施の形態と比べて長いガイドワイヤ４１を使用す
る必要がないので操作性が良い。すなわち、あらかじめ
ガイドカテーテルを体腔内に挿入しておき、その後にガ
イドワイヤを挿入する場合は、ガイドカテーテルを抜き
去る際に、手元側（体腔外）でガイドワイヤも一緒に抜
けないように押さえておく必要がある。手元側でガイド
ワイヤを押さえるためには、処置具挿入口２５より手元
側に露出するガイドワイヤの寸法を、ガイドカテーテル
の全長よりも長くすることが必要である。ガイドワイヤ
にそれだけの長さを付与すると、ガイドワイヤの取り回
しが煩雑になってしまう。また、上記第１、第２の実施
の形態と比べて内視鏡挿入部１１の先端部２１に特別な
固定具を準備する必要が無い。また、体腔内への挿入性
が良く、更に、内視鏡挿入部１１の先端部２１の外径が
異なるものにも対応可能である。
【００４６】尚、本発明は、以上述べた実施形態のみに
限定されるものではなく、発明の要旨を逸脱しない範囲
で種々変形実施可能である。
【００４７】［付記］ （付記項１） 内視鏡挿入部の外周軸方向に沿わせて配
設する留置チューブ又はこの留置チューブをガイドする
ためのガイド部材の先端部を前記内視鏡挿入部の先端部
側に着脱自在に固定保持するために、前記内視鏡挿入部
の先端部に対して着脱自在に設ける固定具を有すること
を特徴とする内視鏡装置。
【００４８】（付記項２） 体腔内に挿入される細長な
挿入部を有する内視鏡と、この内視鏡挿入部の外周軸方
向に沿わせて配設する留置チューブ又はこの留置チュー
ブをガイドするためのガイド部材の先端部を前記内視鏡
挿入部の先端部側に着脱自在に固定保持するために前記
内視鏡挿入部の先端部に設けた固定具と、を具備したこ
とを特徴とする内視鏡装置。
【００４９】（付記項３） 体腔内に挿入される細長な
内視鏡挿入部の先端部に、ガイドカテーテルの先端部を
着脱自在に固定保持するガイドカテーテル固定具を装着
し、前記内視鏡挿入部の外周軸方向に沿わせて前記ガイ
ドカテーテルの先端部を前記ガイドカテーテル固定具に
固定保持し、前記ガイドカテーテルの先端部を固定保持
した状態で前記内視鏡挿入部を体腔内に挿入して目的部
位まで到達させ、前記ガイドカテーテルの先端部を前記
ガイドカテーテル固定具から外し、前記ガイドカテーテ
ル内にガイドワイヤを挿入し、このガイドワイヤ先端を
前記ガイドカテーテル先端から突出させ、前記ガイドカ
テーテルを体腔内から抜去する一方、前記ガイドワイヤ
先端を目的部位に到達させ、留置チューブを前記ガイド
ワイヤに沿わせて体腔外から目的部位まで挿入し、この
留置チューブを体腔内の目的部位に留置し、その後、前
記内視鏡挿入部を体腔内から抜去することを特徴とする
留置チューブの留置方法。
【００５０】（付記項４） 前記固定具は、弾性材料に
より形成していることを特徴とする付記項１に記載の内
視鏡。
【００５１】（付記項５） 前記固定具は、粘着性を有
する粘着性部材で形成していることを特徴とする付記項
１に記載の内視鏡。
【００５２】（付記項６） 前記弾性材料は、シリコ
ン、弾性エラストマ等であることを特徴とする付記項４
に記載の内視鏡。
【００５３】（付記項７） 前記固定具は、弾性材料に
より形成していることを特徴とする付記項２に記載の内
視鏡装置。
【００５４】（付記項８） 前記固定具は、粘着性を有
する粘着性部材で形成していることを特徴とする付記項
２に記載の内視鏡装置。
【００５５】（付記項９） 前記弾性材料は、シリコ
ン、弾性エラストマ等であることを特徴とする付記項７
に記載の内視鏡装置。
【００５６】
【発明の効果】以上説明したように本発明によれば、体
腔内に留置チューブ又はこの留置チューブをガイドする
ためのガイド部材を留置する際、操作性良く、簡便に留
置操作を行なうことが可能である。
【図面の簡単な説明】
【図１】 本発明の第１の実施の形態の内視鏡装置の全
体構成を示す全体構成図である。
【図２】 図１の内視鏡挿入部の先端部側を示す斜視図
である。
【図３】 図２の内視鏡挿入部の先端部に装着するガイ
ドカテーテル固定具を示す説明図である。
【図４】 図３（ｂ）のガイドカテーテル固定保持部の
先端側に形成した縮径部が貫通するように構成したガイ
ドカテーテル固定具の断面図である。
【図５】 本発明の第１の実施の形態の留置チューブの
留置方法を説明する説明図である。
【図６】 図３の他の変形例を示すガイドカテーテル固
定具の説明図である。
【図７】 図６の他の変形例を示すガイドカテーテル固
定具の説明図である。
【図８】 図７の他の変形例を示すガイドカテーテル固
定具の説明図である。
【図９】 本発明の第２の実施の形態を備えた内視鏡挿
入部の先端部側を示す斜視図である。
【図１０】 図９の内視鏡挿入部の先端部に装着するカ
テーテル固定具を示す説明図である。
【図１１】 留置チューブの留置方法を説明する内視鏡
挿入部の先端部側を示す説明図である。
【図１２】 本発明の第３の実施の形態に係るガイドワ
イヤの留置方法を説明する内視鏡の挿入部先端側を示す
説明図である。
【符号の説明】
１ …内視鏡装置 ２ …内視鏡 １１ …挿入部 １３ …操作部 ２１ …先端部 ３０ …ガイドカテーテル（ガイド部材） ３１ａ〜３１ｅ…ガイドカテーテル固定具 ３２ …内視鏡先端取付孔 ３３ａ〜３３ｅ…ガイドカテーテル固定保持部 ４１ …ガイドワイヤ ４２ …留置チューブ
───────────────────────────────────────────────────── フロントページの続き (72)発明者 矢部 久雄 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 松井 頼夫 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 Ｆターム(参考） 4C061 CC06 DD03 GG13 GG15 GG24 HH56

Claims (3)

    【特許請求の範囲】
  1. 【請求項１】 内視鏡挿入部の外周軸方向に沿わせて配
    設する留置チューブまたはこの留置チューブをガイドす
    るためのガイド部材の先端部を前記内視鏡挿入部の先端
    部側に着脱自在に固定保持するために、前記内視鏡挿入
    部の先端部に対して着脱自在に設ける固定具を有するこ
    とを特徴とする内視鏡装置。
  2. 【請求項２】 体腔内に挿入される細長な挿入部を有す
    る内視鏡と、 この内視鏡挿入部の外周軸方向に沿わせて配設する留置
    チューブ又はこの留置チューブをガイドするためのガイ
    ド部材の先端部を前記内視鏡挿入部の先端部側に着脱自
    在に固定保持するために前記内視鏡挿入部の先端部に設
    けた固定具と、 を具備したことを特徴とする内視鏡装置。
  3. 【請求項３】 体腔内に挿入される細長な内視鏡挿入部
    の先端部に、ガイドカテーテルの先端部を着脱自在に固
    定保持するガイドカテーテル固定具を装着し、 前記内視鏡挿入部の外周軸方向に沿わせて前記ガイドカ
    テーテルの先端部を前記ガイドカテーテル固定具に固定
    保持し、 前記ガイドカテーテルの先端部を固定保持した状態で前
    記内視鏡挿入部を体腔内に挿入して目的部位まで到達さ
    せ、 前記ガイドカテーテルの先端部を前記ガイドカテーテル
    固定具から外し、 前記ガイドカテーテル内にガイドワイヤを挿入し、この
    ガイドワイヤ先端を前記ガイドカテーテル先端から突出
    させ、 前記ガイドカテーテルを体腔内から抜去する一方、前記
    ガイドワイヤ先端を目的部位に到達させ、 留置チューブを前記ガイドワイヤに沿わせて体腔外から
    目的部位まで挿入し、この留置チューブを体腔内の目的
    部位に留置し、その後、前記内視鏡挿入部を体腔内から
    抜去することを特徴とする留置チューブの留置方法。
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US10/067,585 US6786864B2 (en) 2001-02-06 2002-02-05 Endoscopic system and method for positioning an indwelling tube

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007268270A (ja) * 2006-03-30 2007-10-18 Ethicon Endo Surgery Inc 内視鏡用付属装置取付器具
JP2020010744A (ja) * 2018-07-13 2020-01-23 パナソニック株式会社 内視鏡
US11659981B2 (en) 2018-07-13 2023-05-30 i-PRO Co., Ltd. Endoscope with a holder including a lens and an image sensor

Families Citing this family (710)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030070683A1 (en) * 2000-03-04 2003-04-17 Deem Mark E. Methods and devices for use in performing pulmonary procedures
US6679264B1 (en) 2000-03-04 2004-01-20 Emphasys Medical, Inc. Methods and devices for use in performing pulmonary procedures
DE10105592A1 (de) 2001-02-06 2002-08-08 Achim Goepferich Platzhalter zur Arzneistofffreigabe in der Stirnhöhle
KR100452754B1 (ko) * 2001-06-28 2004-10-12 주식회사세운메디칼상사 카테터용 가이드 와이어 삽입장치
US20060201351A1 (en) * 2001-07-02 2006-09-14 Gi View Ltd. Self-propelled imaging system
US8317816B2 (en) 2002-09-30 2012-11-27 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US20070203393A1 (en) * 2003-05-16 2007-08-30 David Stefanchik Apparatus for positioning a medical device
US7431694B2 (en) * 2003-05-16 2008-10-07 Ethicon Endo-Surgery, Inc. Method of guiding medical devices
US7815565B2 (en) * 2003-05-16 2010-10-19 Ethicon Endo-Surgery, Inc. Endcap for use with an endoscope
US7615003B2 (en) 2005-05-13 2009-11-10 Ethicon Endo-Surgery, Inc. Track for medical devices
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
JP3854946B2 (ja) * 2003-05-30 2006-12-06 オリンパス株式会社 内視鏡
US20050038318A1 (en) * 2003-08-13 2005-02-17 Benad Goldwasser Gastrointestinal tool over guidewire
US20050036059A1 (en) * 2003-08-13 2005-02-17 Benad Goldwasser Ingestible imaging system
US7833176B2 (en) * 2003-08-13 2010-11-16 G. I. View Ltd. Pressure-propelled system for body lumen
JP4594612B2 (ja) * 2003-11-27 2010-12-08 オリンパス株式会社 挿入補助具
US7087011B2 (en) * 2003-12-30 2006-08-08 Gi View Ltd. Gastrointestinal system with traction member
US8419678B2 (en) 2004-01-09 2013-04-16 G.I. View Ltd. Pressure-propelled system for body lumen
US7635345B2 (en) * 2004-01-09 2009-12-22 G. I. View Ltd. Pressure-propelled system for body lumen
US7947013B2 (en) * 2004-01-09 2011-05-24 G.I. View Ltd. Pressure-propelled system for body lumen
US7635346B2 (en) * 2004-01-09 2009-12-22 G. I. View Ltd. Pressure-propelled system for body lumen
US20070167682A1 (en) * 2004-04-21 2007-07-19 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US7361168B2 (en) 2004-04-21 2008-04-22 Acclarent, Inc. Implantable device and methods for delivering drugs and other substances to treat sinusitis and other disorders
US8894614B2 (en) 2004-04-21 2014-11-25 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US20060004323A1 (en) 2004-04-21 2006-01-05 Exploramed Nc1, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US9399121B2 (en) 2004-04-21 2016-07-26 Acclarent, Inc. Systems and methods for transnasal dilation of passageways in the ear, nose or throat
US8932276B1 (en) 2004-04-21 2015-01-13 Acclarent, Inc. Shapeable guide catheters and related methods
US20190314620A1 (en) 2004-04-21 2019-10-17 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US8747389B2 (en) 2004-04-21 2014-06-10 Acclarent, Inc. Systems for treating disorders of the ear, nose and throat
US8764729B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Frontal sinus spacer
US7559925B2 (en) 2006-09-15 2009-07-14 Acclarent Inc. Methods and devices for facilitating visualization in a surgical environment
US7410480B2 (en) 2004-04-21 2008-08-12 Acclarent, Inc. Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders
US8146400B2 (en) 2004-04-21 2012-04-03 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US7654997B2 (en) 2004-04-21 2010-02-02 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitus and other disorders of the ears, nose and/or throat
US9101384B2 (en) 2004-04-21 2015-08-11 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, Nose and/or throat
US8414473B2 (en) 2004-04-21 2013-04-09 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US20070208252A1 (en) 2004-04-21 2007-09-06 Acclarent, Inc. Systems and methods for performing image guided procedures within the ear, nose, throat and paranasal sinuses
US9089258B2 (en) 2004-04-21 2015-07-28 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US8702626B1 (en) 2004-04-21 2014-04-22 Acclarent, Inc. Guidewires for performing image guided procedures
US10188413B1 (en) 2004-04-21 2019-01-29 Acclarent, Inc. Deflectable guide catheters and related methods
US9351750B2 (en) 2004-04-21 2016-05-31 Acclarent, Inc. Devices and methods for treating maxillary sinus disease
US20060063973A1 (en) 2004-04-21 2006-03-23 Acclarent, Inc. Methods and apparatus for treating disorders of the ear, nose and throat
US7419497B2 (en) 2004-04-21 2008-09-02 Acclarent, Inc. Methods for treating ethmoid disease
US7462175B2 (en) 2004-04-21 2008-12-09 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US9554691B2 (en) 2004-04-21 2017-01-31 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US7803150B2 (en) 2004-04-21 2010-09-28 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US7785269B2 (en) 2004-05-14 2010-08-31 Ethicon Endo-Surgery, Inc. Medical instrument having a guidewire and an add-to catheter
WO2005113051A2 (en) 2004-05-14 2005-12-01 Ethicon Endo-Surgery, Inc. Medical instrument having a medical guidewire
EP1765142A4 (en) 2004-05-14 2007-10-10 G I View Ltd OMNIDIRECTIONAL AND FORWARD VISION IMAGING DEVICE
US11998198B2 (en) 2004-07-28 2024-06-04 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
JP4302602B2 (ja) * 2004-09-24 2009-07-29 オリンパス株式会社 内視鏡用処置具及び内視鏡処置システム並びに支持アダプタ
CN101703387B (zh) 2005-01-06 2013-10-23 G.I.视频有限公司 导向元件上的胃肠工具
US7857750B2 (en) * 2005-01-18 2010-12-28 The Regents Of The University Of California Endoscopic tube delivery system
CN101541227B (zh) 2005-02-10 2013-06-05 G.I.视频有限公司 用于带导向元件的胃肠工具的前进技术
US7857754B2 (en) 2005-05-13 2010-12-28 Ethicon Endo-Surgery, Inc. Apparatus useful for positioning a device on an endoscope
US7648457B2 (en) 2005-05-13 2010-01-19 Ethicon Endo-Surgery, Inc. Method of positioning a device on an endoscope
US7905830B2 (en) 2005-05-13 2011-03-15 Ethicon Endo-Surgery, Inc. Sheath for use with an endoscope
US8951225B2 (en) 2005-06-10 2015-02-10 Acclarent, Inc. Catheters with non-removable guide members useable for treatment of sinusitis
US8430809B2 (en) * 2005-08-01 2013-04-30 G. I View Ltd. Capsule for use in small intestine
WO2007015240A2 (en) * 2005-08-01 2007-02-08 G.I. View Ltd. Tools for use in small intestine
WO2007015241A2 (en) * 2005-08-01 2007-02-08 G.I. View Ltd. Tools for use in esophagus
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7673781B2 (en) 2005-08-31 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling device with staple driver that supports multiple wire diameter staples
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
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US8114113B2 (en) 2005-09-23 2012-02-14 Acclarent, Inc. Multi-conduit balloon catheter
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US20070149850A1 (en) * 2005-12-22 2007-06-28 Spivey James T Endoscope endcap attachment tool
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
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8820603B2 (en) 2006-01-31 2014-09-02 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
US7575144B2 (en) * 2006-01-31 2009-08-18 Ethicon Endo-Surgery, Inc. Surgical fastener and cutter with single cable actuator
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7771396B2 (en) * 2006-03-22 2010-08-10 Ethicon Endo-Surgery, Inc. Intubation device for enteral feeding
US7803137B2 (en) * 2006-03-22 2010-09-28 Ethicon Endo-Surgery, Inc. Intubation system for use with an endoscope
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225562A1 (en) * 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US8721630B2 (en) 2006-03-23 2014-05-13 Ethicon Endo-Surgery, Inc. Methods and devices for controlling articulation
US20070239171A1 (en) * 2006-03-30 2007-10-11 Ethicon Endo-Surgery, Inc. Medical snaring device
US8190389B2 (en) 2006-05-17 2012-05-29 Acclarent, Inc. Adapter for attaching electromagnetic image guidance components to a medical device
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US8109957B2 (en) * 2006-06-30 2012-02-07 Depuy Spine, Inc. Disc nucleus removal devices and methods
US8002714B2 (en) * 2006-08-17 2011-08-23 Ethicon Endo-Surgery, Inc. Guidewire structure including a medical guidewire and method for using a medical instrument
US20080045863A1 (en) * 2006-08-17 2008-02-21 Ethicon Endo-Surgery, Inc. Guidewire structure including a medical guidewire
US20080097331A1 (en) * 2006-09-05 2008-04-24 Ethicon Endo-Surgery, Inc. Guidewire structure including a medical guidewire and method for using
US20080064920A1 (en) * 2006-09-08 2008-03-13 Ethicon Endo-Surgery, Inc. Medical drive system for providing motion to at least a portion of a medical apparatus
US9820688B2 (en) 2006-09-15 2017-11-21 Acclarent, Inc. Sinus illumination lightwire device
US7665647B2 (en) 2006-09-29 2010-02-23 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force
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
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US7976458B2 (en) 2006-12-05 2011-07-12 Ethicon Endo-Surgery, Inc. Independent articulating accessory channel
US8439687B1 (en) 2006-12-29 2013-05-14 Acclarent, Inc. Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices
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
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US20080169333A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapler end effector with tapered distal end
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8007432B2 (en) 2007-01-26 2011-08-30 Ethicon Endo-Surgery, Inc. Endoscopic accessory control mechanism
US7655004B2 (en) 2007-02-15 2010-02-02 Ethicon Endo-Surgery, Inc. Electroporation ablation apparatus, system, and method
US7815662B2 (en) 2007-03-08 2010-10-19 Ethicon Endo-Surgery, Inc. Surgical suture anchors and deployment device
US7669747B2 (en) 2007-03-15 2010-03-02 Ethicon Endo-Surgery, Inc. Washer for use with a surgical stapling instrument
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
WO2008124787A2 (en) 2007-04-09 2008-10-16 Acclarent, Inc. Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis
US8075572B2 (en) 2007-04-26 2011-12-13 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US8100922B2 (en) 2007-04-27 2012-01-24 Ethicon Endo-Surgery, Inc. Curved needle suturing tool
US8118757B2 (en) 2007-04-30 2012-02-21 Acclarent, Inc. Methods and devices for ostium measurement
US8485199B2 (en) 2007-05-08 2013-07-16 Acclarent, Inc. Methods and devices for protecting nasal turbinate during surgery
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
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
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US8579897B2 (en) 2007-11-21 2013-11-12 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8262655B2 (en) 2007-11-21 2012-09-11 Ethicon Endo-Surgery, Inc. Bipolar forceps
US8568410B2 (en) 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US8480657B2 (en) 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
US20090112059A1 (en) 2007-10-31 2009-04-30 Nobis Rudolph H Apparatus and methods for closing a gastrotomy
US10206821B2 (en) 2007-12-20 2019-02-19 Acclarent, Inc. Eustachian tube dilation balloon with ventilation path
US8287469B2 (en) * 2008-01-09 2012-10-16 Ethicon Endo-Surgery, Inc. Articulating surgical device and method of use
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
RU2493788C2 (ru) 2008-02-14 2013-09-27 Этикон Эндо-Серджери, Инк. Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды
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
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
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US8246575B2 (en) 2008-02-26 2012-08-21 Tyco Healthcare Group Lp Flexible hollow spine with locking feature and manipulation structure
CA2717053A1 (en) * 2008-02-27 2009-09-03 Peter C. Belafsky Feeding tube system
US8182432B2 (en) 2008-03-10 2012-05-22 Acclarent, Inc. Corewire design and construction for medical devices
US8262680B2 (en) 2008-03-10 2012-09-11 Ethicon Endo-Surgery, Inc. Anastomotic device
JP5336760B2 (ja) * 2008-05-01 2013-11-06 オリンパスメディカルシステムズ株式会社 内視鏡システム
US8652150B2 (en) 2008-05-30 2014-02-18 Ethicon Endo-Surgery, Inc. Multifunction surgical device
US8317806B2 (en) 2008-05-30 2012-11-27 Ethicon Endo-Surgery, Inc. Endoscopic suturing tension controlling and indication devices
US8114072B2 (en) 2008-05-30 2012-02-14 Ethicon Endo-Surgery, Inc. Electrical ablation device
US8679003B2 (en) 2008-05-30 2014-03-25 Ethicon Endo-Surgery, Inc. Surgical device and endoscope including same
US8070759B2 (en) 2008-05-30 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical fastening device
US8771260B2 (en) 2008-05-30 2014-07-08 Ethicon Endo-Surgery, Inc. Actuating and articulating surgical device
US8906035B2 (en) 2008-06-04 2014-12-09 Ethicon Endo-Surgery, Inc. Endoscopic drop off bag
US8403926B2 (en) 2008-06-05 2013-03-26 Ethicon Endo-Surgery, Inc. Manually articulating devices
US8361112B2 (en) 2008-06-27 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical suture arrangement
US8888792B2 (en) 2008-07-14 2014-11-18 Ethicon Endo-Surgery, Inc. Tissue apposition clip application devices and methods
US8262563B2 (en) 2008-07-14 2012-09-11 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
WO2010014799A1 (en) 2008-07-30 2010-02-04 Acclarent, Inc. Paranasal ostium finder devices and methods
CA2732150A1 (en) * 2008-07-30 2010-02-04 G.I. View Ltd System and method for enhanced maneuverability
US8211125B2 (en) 2008-08-15 2012-07-03 Ethicon Endo-Surgery, Inc. Sterile appliance delivery device for endoscopic procedures
US8529563B2 (en) 2008-08-25 2013-09-10 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8241204B2 (en) 2008-08-29 2012-08-14 Ethicon Endo-Surgery, Inc. Articulating end cap
US8480689B2 (en) 2008-09-02 2013-07-09 Ethicon Endo-Surgery, Inc. Suturing device
US8409200B2 (en) 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8114119B2 (en) 2008-09-09 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical grasping device
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US7832612B2 (en) 2008-09-19 2010-11-16 Ethicon Endo-Surgery, Inc. Lockout arrangement for a surgical stapler
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
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
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8337394B2 (en) 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
CA2741206C (en) 2008-11-03 2016-01-12 G.I. View Ltd Remote pressure sensing system and method thereof
US8157834B2 (en) 2008-11-25 2012-04-17 Ethicon Endo-Surgery, Inc. Rotational coupling device for surgical instrument with flexible actuators
US8172772B2 (en) 2008-12-11 2012-05-08 Ethicon Endo-Surgery, Inc. Specimen retrieval device
US8361066B2 (en) 2009-01-12 2013-01-29 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8828031B2 (en) 2009-01-12 2014-09-09 Ethicon Endo-Surgery, Inc. Apparatus for forming an anastomosis
US9226772B2 (en) 2009-01-30 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical device
US8252057B2 (en) 2009-01-30 2012-08-28 Ethicon Endo-Surgery, Inc. Surgical access device
US8037591B2 (en) 2009-02-02 2011-10-18 Ethicon Endo-Surgery, Inc. Surgical scissors
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
BRPI1008667A2 (pt) 2009-02-06 2016-03-08 Ethicom Endo Surgery Inc aperfeiçoamento do grampeador cirúrgico acionado
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
US8453907B2 (en) 2009-02-06 2013-06-04 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with cutting member reversing mechanism
US20100241155A1 (en) 2009-03-20 2010-09-23 Acclarent, Inc. Guide system with suction
US8435290B2 (en) 2009-03-31 2013-05-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US7978742B1 (en) 2010-03-24 2011-07-12 Corning Incorporated Methods for operating diode lasers
US11864734B2 (en) 2009-06-18 2024-01-09 Endochoice, Inc. Multi-camera endoscope
US11278190B2 (en) 2009-06-18 2022-03-22 Endochoice, Inc. Multi-viewing element endoscope
US9642513B2 (en) 2009-06-18 2017-05-09 Endochoice Inc. Compact multi-viewing element endoscope system
US9402533B2 (en) 2011-03-07 2016-08-02 Endochoice Innovation Center Ltd. Endoscope circuit board assembly
US9713417B2 (en) 2009-06-18 2017-07-25 Endochoice, Inc. Image capture assembly for use in a multi-viewing elements endoscope
US11547275B2 (en) 2009-06-18 2023-01-10 Endochoice, Inc. Compact multi-viewing element endoscope system
US9474440B2 (en) 2009-06-18 2016-10-25 Endochoice, Inc. Endoscope tip position visual indicator and heat management system
US9901244B2 (en) 2009-06-18 2018-02-27 Endochoice, Inc. Circuit board assembly of a multiple viewing elements endoscope
US9706903B2 (en) 2009-06-18 2017-07-18 Endochoice, Inc. Multiple viewing elements endoscope system with modular imaging units
US9101287B2 (en) 2011-03-07 2015-08-11 Endochoice Innovation Center Ltd. Multi camera endoscope assembly having multiple working channels
US20120232345A1 (en) * 2011-03-07 2012-09-13 Peer Medical Ltd. Camera assembly for medical probes
US10130246B2 (en) 2009-06-18 2018-11-20 Endochoice, Inc. Systems and methods for regulating temperature and illumination intensity at the distal tip of an endoscope
US9492063B2 (en) 2009-06-18 2016-11-15 Endochoice Innovation Center Ltd. Multi-viewing element endoscope
US10524645B2 (en) 2009-06-18 2020-01-07 Endochoice, Inc. Method and system for eliminating image motion blur in a multiple viewing elements endoscope
US8926502B2 (en) 2011-03-07 2015-01-06 Endochoice, Inc. Multi camera endoscope having a side service channel
US10165929B2 (en) 2009-06-18 2019-01-01 Endochoice, Inc. Compact multi-viewing element endoscope system
US9554692B2 (en) 2009-06-18 2017-01-31 EndoChoice Innovation Ctr. Ltd. Multi-camera endoscope
US9872609B2 (en) 2009-06-18 2018-01-23 Endochoice Innovation Center Ltd. Multi-camera endoscope
US9101268B2 (en) 2009-06-18 2015-08-11 Endochoice Innovation Center Ltd. Multi-camera endoscope
US20110098704A1 (en) 2009-10-28 2011-04-28 Ethicon Endo-Surgery, Inc. Electrical ablation devices
US8608652B2 (en) 2009-11-05 2013-12-17 Ethicon Endo-Surgery, Inc. Vaginal entry surgical devices, kit, system, and method
US8496574B2 (en) 2009-12-17 2013-07-30 Ethicon Endo-Surgery, Inc. Selectively positionable camera for surgical guide tube assembly
US8353487B2 (en) 2009-12-17 2013-01-15 Ethicon Endo-Surgery, Inc. User interface support devices for endoscopic surgical instruments
US8506564B2 (en) 2009-12-18 2013-08-13 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US9028483B2 (en) 2009-12-18 2015-05-12 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US9005198B2 (en) 2010-01-29 2015-04-14 Ethicon Endo-Surgery, Inc. Surgical instrument comprising an electrode
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
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
US10080486B2 (en) 2010-09-20 2018-09-25 Endochoice Innovation Center Ltd. Multi-camera endoscope having fluid channels
US9560953B2 (en) 2010-09-20 2017-02-07 Endochoice, Inc. Operational interface in a multi-viewing element endoscope
US9155492B2 (en) 2010-09-24 2015-10-13 Acclarent, Inc. Sinus illumination lightwire device
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US9592050B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc End effector comprising a distal tissue abutment member
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9301755B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Compressible staple cartridge assembly
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
BR112013007717B1 (pt) 2010-09-30 2020-09-24 Ethicon Endo-Surgery, Inc. Sistema de grampeamento cirúrgico
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
JP5944912B2 (ja) 2010-10-28 2016-07-05 エンドチョイス イノベーション センター リミテッド マルチセンサ内視鏡のための光学系
US10663714B2 (en) 2010-10-28 2020-05-26 Endochoice, Inc. Optical system for an endoscope
US9706908B2 (en) 2010-10-28 2017-07-18 Endochoice, Inc. Image capture and video processing systems and methods for multiple viewing element endoscopes
US11889986B2 (en) 2010-12-09 2024-02-06 Endochoice, Inc. Flexible electronic circuit board for a multi-camera endoscope
US9814374B2 (en) 2010-12-09 2017-11-14 Endochoice Innovation Center Ltd. Flexible electronic circuit board for a multi-camera endoscope
US9320419B2 (en) 2010-12-09 2016-04-26 Endochoice Innovation Center Ltd. Fluid channeling component of a multi-camera endoscope
US10092291B2 (en) 2011-01-25 2018-10-09 Ethicon Endo-Surgery, Inc. Surgical instrument with selectively rigidizable features
CN103491854B (zh) 2011-02-07 2016-08-24 恩多卓斯创新中心有限公司 用于多摄影机内窥镜的多元件罩
US10517464B2 (en) 2011-02-07 2019-12-31 Endochoice, Inc. Multi-element cover for a multi-camera endoscope
US9254169B2 (en) 2011-02-28 2016-02-09 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9233241B2 (en) 2011-02-28 2016-01-12 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9314620B2 (en) 2011-02-28 2016-04-19 Ethicon Endo-Surgery, Inc. Electrical ablation devices and methods
US9049987B2 (en) 2011-03-17 2015-06-09 Ethicon Endo-Surgery, Inc. Hand held surgical device for manipulating an internal magnet assembly within a patient
BR112013027794B1 (pt) 2011-04-29 2020-12-15 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
CA2798729A1 (en) 2011-12-13 2013-06-13 Peermedical Ltd. Rotatable connector for an endoscope
EP3659491A1 (en) 2011-12-13 2020-06-03 EndoChoice Innovation Center Ltd. Removable tip endoscope
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
US8986199B2 (en) 2012-02-17 2015-03-24 Ethicon Endo-Surgery, Inc. Apparatus and methods for cleaning the lens of an endoscope
BR112014024194B1 (pt) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc Conjunto de cartucho de grampos para um grampeador cirúrgico
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
CN104334098B (zh) 2012-03-28 2017-03-22 伊西康内外科公司 包括限定低压强环境的胶囊剂的组织厚度补偿件
RU2014143258A (ru) 2012-03-28 2016-05-20 Этикон Эндо-Серджери, Инк. Компенсатор толщины ткани, содержащий множество слоев
US9427255B2 (en) 2012-05-14 2016-08-30 Ethicon Endo-Surgery, Inc. Apparatus for introducing a steerable camera assembly into a patient
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
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
RU2636861C2 (ru) 2012-06-28 2017-11-28 Этикон Эндо-Серджери, Инк. Блокировка пустой кассеты с клипсами
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
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
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9078662B2 (en) 2012-07-03 2015-07-14 Ethicon Endo-Surgery, Inc. Endoscopic cap electrode and method for using the same
US9560954B2 (en) 2012-07-24 2017-02-07 Endochoice, Inc. Connector for use with endoscope
US9545290B2 (en) 2012-07-30 2017-01-17 Ethicon Endo-Surgery, Inc. Needle probe guide
US9572623B2 (en) 2012-08-02 2017-02-21 Ethicon Endo-Surgery, Inc. Reusable electrode and disposable sheath
US10314649B2 (en) 2012-08-02 2019-06-11 Ethicon Endo-Surgery, Inc. Flexible expandable electrode and method of intraluminal delivery of pulsed power
US9277957B2 (en) 2012-08-15 2016-03-08 Ethicon Endo-Surgery, Inc. Electrosurgical devices and methods
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US10098527B2 (en) 2013-02-27 2018-10-16 Ethidcon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
US9398911B2 (en) 2013-03-01 2016-07-26 Ethicon Endo-Surgery, Llc Rotary powered surgical instruments with multiple degrees of freedom
RU2672520C2 (ru) 2013-03-01 2018-11-15 Этикон Эндо-Серджери, Инк. Шарнирно поворачиваемые хирургические инструменты с проводящими путями для передачи сигналов
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9433437B2 (en) 2013-03-15 2016-09-06 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
US9629684B2 (en) 2013-03-15 2017-04-25 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9636003B2 (en) 2013-06-28 2017-05-02 Endochoice, Inc. Multi-jet distributor for an endoscope
US9993142B2 (en) 2013-03-28 2018-06-12 Endochoice, Inc. Fluid distribution device for a multiple viewing elements endoscope
US10595714B2 (en) 2013-03-28 2020-03-24 Endochoice, Inc. Multi-jet controller for an endoscope
US9986899B2 (en) 2013-03-28 2018-06-05 Endochoice, Inc. Manifold for a multiple viewing elements endoscope
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
US9667935B2 (en) 2013-05-07 2017-05-30 Endochoice, Inc. White balance enclosure for use with a multi-viewing elements endoscope
US10499794B2 (en) 2013-05-09 2019-12-10 Endochoice, Inc. Operational interface in a multi-viewing element endoscope
US9949623B2 (en) 2013-05-17 2018-04-24 Endochoice, Inc. Endoscope control unit with braking system
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US10064541B2 (en) 2013-08-12 2018-09-04 Endochoice, Inc. Endoscope connector cover detection and warning system
JP6416260B2 (ja) 2013-08-23 2018-10-31 エシコン エルエルシー 動力付き外科用器具のための発射部材後退装置
US20150053746A1 (en) 2013-08-23 2015-02-26 Ethicon Endo-Surgery, Inc. Torque optimization for surgical instruments
WO2015029039A1 (en) 2013-08-29 2015-03-05 Motus Gi Medical Technologies Ltd. Colon cleaning system with automatic self-purging features
US9943218B2 (en) 2013-10-01 2018-04-17 Endochoice, Inc. Endoscope having a supply cable attached thereto
US9949618B2 (en) 2013-11-21 2018-04-24 Motus Gi Medical Technologies Ltd. Apparatus and method for coupling between a colonoscope and add-on tubes
WO2015075721A1 (en) * 2013-11-21 2015-05-28 Motus Gi Medical Technologies Ltd. Distal front end for coordinated positioning of an endoscope with a suction device
US9968242B2 (en) 2013-12-18 2018-05-15 Endochoice, Inc. Suction control unit for an endoscope having two working channels
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9687232B2 (en) 2013-12-23 2017-06-27 Ethicon Llc Surgical staples
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
WO2015112747A2 (en) 2014-01-22 2015-07-30 Endochoice, Inc. Image capture and video processing systems and methods for multiple viewing element endoscopes
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
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
US20150272580A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Verification of number of battery exchanges/procedure count
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
ES2841350T3 (es) 2014-04-09 2021-07-08 Motus Gi Medical Tech Ltd Canal de evacuación de materia fecal
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
CN106456176B (zh) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 包括具有不同构型的延伸部的紧固件仓
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
US20150297225A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US9844369B2 (en) 2014-04-16 2017-12-19 Ethicon Llc Surgical end effectors with firing element monitoring arrangements
JP6612256B2 (ja) 2014-04-16 2019-11-27 エシコン エルエルシー 不均一な締結具を備える締結具カートリッジ
US11234581B2 (en) 2014-05-02 2022-02-01 Endochoice, Inc. Elevator for directing medical tool
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
CN111436896A (zh) 2014-07-21 2020-07-24 恩多巧爱思股份有限公司 多焦、多相机内窥镜系统
CN106687024B (zh) 2014-08-29 2020-10-09 恩多巧爱思股份有限公司 改变内窥镜插入管的刚度的系统和方法
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US10016199B2 (en) 2014-09-05 2018-07-10 Ethicon Llc Polarity of hall magnet to identify cartridge type
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
MX2017003960A (es) 2014-09-26 2017-12-04 Ethicon Llc Refuerzos de grapas quirúrgicas y materiales auxiliares.
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
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
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
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
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
EP3235241B1 (en) 2014-12-18 2023-09-06 EndoChoice, Inc. System for processing video images generated by a multiple viewing elements endoscope
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
WO2016112034A2 (en) 2015-01-05 2016-07-14 Endochoice, Inc. Tubed manifold of a multiple viewing elements endoscope
WO2016130692A1 (en) * 2015-02-12 2016-08-18 The General Hospital Corporation Apparatus and method for fixation to endoscope accessories
US10376181B2 (en) 2015-02-17 2019-08-13 Endochoice, Inc. System for detecting the location of an endoscopic device during a medical procedure
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US10045779B2 (en) 2015-02-27 2018-08-14 Ethicon Llc Surgical instrument system comprising an inspection station
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
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
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
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for 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
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10078207B2 (en) 2015-03-18 2018-09-18 Endochoice, Inc. Systems and methods for image magnification using relative movement between an image sensor and a lens assembly
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10401611B2 (en) 2015-04-27 2019-09-03 Endochoice, Inc. Endoscope with integrated measurement of distance to objects of interest
US10516865B2 (en) 2015-05-17 2019-12-24 Endochoice, Inc. Endoscopic image enhancement using contrast limited adaptive histogram equalization (CLAHE) implemented in a processor
US10335149B2 (en) 2015-06-18 2019-07-02 Ethicon Llc Articulatable surgical instruments with composite firing beam structures with center firing support member for articulation support
WO2017004823A1 (zh) * 2015-07-09 2017-01-12 吴文杰 外部载送载体之内视镜结构及其操作方法
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
CN108348233B (zh) 2015-08-26 2021-05-07 伊西康有限责任公司 用于允许改变钉特性并实现轻松仓加载的外科钉条
US11103248B2 (en) 2015-08-26 2021-08-31 Cilag Gmbh International Surgical staples for minimizing staple roll
MX2022006189A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10357252B2 (en) 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-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
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10478188B2 (en) 2015-09-30 2019-11-19 Ethicon Llc Implantable layer comprising a constricted configuration
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US20170086829A1 (en) 2015-09-30 2017-03-30 Ethicon Endo-Surgery, Llc Compressible adjunct with intermediate supporting structures
US10342540B2 (en) * 2015-10-15 2019-07-09 Boston Scientific Scimed, Inc. Tissue retraction devices and related methods of use
EP3367950A4 (en) 2015-10-28 2019-10-02 Endochoice, Inc. DEVICE AND METHOD FOR FOLLOWING THE POSITION OF AN ENDOSCOPE IN THE BODY OF A PATIENT
CN108697302B (zh) 2015-11-24 2021-07-27 安多卓思公司 用于内窥镜的一次性空气/水阀和抽吸阀
JP6701229B2 (ja) * 2015-11-27 2020-05-27 オリンパス株式会社 内視鏡システム
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
US10433837B2 (en) 2016-02-09 2019-10-08 Ethicon Llc Surgical instruments with multiple link articulation arrangements
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10488648B2 (en) 2016-02-24 2019-11-26 Endochoice, Inc. Circuit board assembly for a multiple viewing element endoscope using CMOS sensors
WO2017160792A1 (en) 2016-03-14 2017-09-21 Endochoice, Inc. System and method for guiding and tracking a region of interest using an endoscope
US10285705B2 (en) 2016-04-01 2019-05-14 Ethicon Llc Surgical stapling system comprising a grooved forming pocket
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
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
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
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
EP3918972B1 (en) 2016-06-21 2023-10-25 EndoChoice, Inc. Endoscope system with multiple connection interfaces to interface with different video data signal sources
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
US11000278B2 (en) 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped staples
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
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
US20180168650A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Connection portions for disposable loading units for surgical stapling instruments
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
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10624635B2 (en) 2016-12-21 2020-04-21 Ethicon Llc Firing members with non-parallel jaw engagement features for surgical end effectors
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
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10835247B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Lockout arrangements for surgical end effectors
US20180168619A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling systems
US10667810B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10499914B2 (en) 2016-12-21 2019-12-10 Ethicon Llc Staple forming pocket arrangements
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
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
MX2019007311A (es) 2016-12-21 2019-11-18 Ethicon Llc Sistemas de engrapado quirurgico.
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
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
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
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
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
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
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with 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
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity 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
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
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
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
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
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US10639037B2 (en) 2017-06-28 2020-05-05 Ethicon Llc Surgical instrument with axially movable closure member
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
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
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
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
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
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
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
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
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
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
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
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
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
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
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
US10743868B2 (en) 2017-12-21 2020-08-18 Ethicon Llc Surgical instrument comprising a pivotable distal head
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
JP2021533895A (ja) 2018-08-16 2021-12-09 モータス ジーアイ メディカル テクノロジーズ リミテッド 統合型内視鏡クレンジングシステム
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
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
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
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
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
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
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US12035913B2 (en) 2019-12-19 2024-07-16 Cilag Gmbh International Staple cartridge comprising a deployable knife
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
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
US20220031350A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with double pivot articulation joint arrangements
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
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
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US12053175B2 (en) 2020-10-29 2024-08-06 Cilag Gmbh International Surgical instrument comprising a stowed closure actuator stop
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US12108951B2 (en) 2021-02-26 2024-10-08 Cilag Gmbh International Staple cartridge comprising a sensing array and a temperature control system
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
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
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
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
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
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
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
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
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
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US12102323B2 (en) 2021-03-24 2024-10-01 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising a floatable component
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
WO2022241477A1 (en) * 2021-05-14 2022-11-17 Baillargeon Jean Martin Setting position of sheath in a scope
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
US12089841B2 (en) 2021-10-28 2024-09-17 Cilag CmbH International Staple cartridge identification systems

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4825259A (en) * 1988-02-03 1989-04-25 Berry Jr Robert F Adapter tip for remote measuring device
US4947827A (en) 1988-12-30 1990-08-14 Opielab, Inc. Flexible endoscope
US5257617A (en) * 1989-12-25 1993-11-02 Asahi Kogaku Kogyo Kabushiki Kaisha Sheathed endoscope and sheath therefor
US5503616A (en) * 1991-06-10 1996-04-02 Endomedical Technologies, Inc. Collapsible access channel system
US5630782A (en) * 1992-09-01 1997-05-20 Adair; Edwin L. Sterilizable endoscope with separable auxiliary assembly
US5643175A (en) * 1992-09-01 1997-07-01 Adair; Edwin L. Sterilizable endoscope with separable disposable tube assembly
US5817013A (en) * 1996-03-19 1998-10-06 Enable Medical Corporation Method and apparatus for the minimally invasive harvesting of a saphenous vein and the like
US5685822A (en) * 1996-08-08 1997-11-11 Vision-Sciences, Inc. Endoscope with sheath retaining device
JP4121615B2 (ja) * 1997-10-31 2008-07-23 オリンパス株式会社 内視鏡
JPH11299725A (ja) * 1998-04-21 1999-11-02 Olympus Optical Co Ltd 内視鏡用フード

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007268270A (ja) * 2006-03-30 2007-10-18 Ethicon Endo Surgery Inc 内視鏡用付属装置取付器具
JP2020010744A (ja) * 2018-07-13 2020-01-23 パナソニック株式会社 内視鏡
JP7099894B2 (ja) 2018-07-13 2022-07-12 ｉ－ＰＲＯ株式会社 内視鏡
US11659981B2 (en) 2018-07-13 2023-05-30 i-PRO Co., Ltd. Endoscope with a holder including a lens and an image sensor

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