JP2017159020A - 電気手術装置 - Google Patents
電気手術装置 Download PDFInfo
- Publication number
- JP2017159020A JP2017159020A JP2017002908A JP2017002908A JP2017159020A JP 2017159020 A JP2017159020 A JP 2017159020A JP 2017002908 A JP2017002908 A JP 2017002908A JP 2017002908 A JP2017002908 A JP 2017002908A JP 2017159020 A JP2017159020 A JP 2017159020A
- Authority
- JP
- Japan
- Prior art keywords
- molding
- surgical instrument
- component
- drive shaft
- hole
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 230000007246 mechanism Effects 0.000 claims abstract description 129
- 239000012636 effector Substances 0.000 claims abstract description 69
- 230000033001 locomotion Effects 0.000 claims abstract description 60
- 238000000034 method Methods 0.000 claims description 6
- 238000010137 moulding (plastic) Methods 0.000 claims description 2
- 230000026058 directional locomotion Effects 0.000 claims 1
- 238000005520 cutting process Methods 0.000 abstract description 46
- 238000007789 sealing Methods 0.000 abstract description 12
- 230000001112 coagulating effect Effects 0.000 abstract description 2
- 238000000465 moulding Methods 0.000 description 290
- 210000003813 thumb Anatomy 0.000 description 22
- 230000006870 function Effects 0.000 description 14
- 238000005345 coagulation Methods 0.000 description 13
- 230000015271 coagulation Effects 0.000 description 13
- 239000002184 metal Substances 0.000 description 12
- 230000006835 compression Effects 0.000 description 9
- 238000007906 compression Methods 0.000 description 9
- 239000008280 blood Substances 0.000 description 6
- 210000004369 blood Anatomy 0.000 description 6
- 238000009429 electrical wiring Methods 0.000 description 6
- 230000013011 mating Effects 0.000 description 6
- 230000003313 weakening effect Effects 0.000 description 6
- 230000009471 action Effects 0.000 description 5
- 230000000694 effects Effects 0.000 description 5
- 238000005452 bending Methods 0.000 description 4
- 230000002452 interceptive effect Effects 0.000 description 4
- 230000004224 protection Effects 0.000 description 4
- 238000000926 separation method Methods 0.000 description 4
- 230000004913 activation Effects 0.000 description 3
- 238000013461 design Methods 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 210000003811 finger Anatomy 0.000 description 3
- 239000003550 marker Substances 0.000 description 3
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 3
- 239000004810 polytetrafluoroethylene Substances 0.000 description 3
- 230000004888 barrier function Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 238000005229 chemical vapour deposition Methods 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 239000002131 composite material Substances 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 239000002783 friction material Substances 0.000 description 2
- 238000009413 insulation Methods 0.000 description 2
- 238000003698 laser cutting Methods 0.000 description 2
- 230000000670 limiting effect Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000036961 partial effect Effects 0.000 description 2
- 230000008447 perception Effects 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 238000005240 physical vapour deposition Methods 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 230000004043 responsiveness Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000004804 winding Methods 0.000 description 2
- 238000009825 accumulation Methods 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 238000012217 deletion Methods 0.000 description 1
- 230000037430 deletion Effects 0.000 description 1
- 230000008713 feedback mechanism Effects 0.000 description 1
- 210000004247 hand Anatomy 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 230000035699 permeability Effects 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- -1 polytetrafluoroethylene Polymers 0.000 description 1
- 239000013641 positive control Substances 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00371—Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2902—Details of shaft characterized by features of the actuating rod
- A61B2017/2903—Details of shaft characterized by features of the actuating rod transferring rotary motion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2913—Handles transmission of forces to actuating rod or piston cams or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
- A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
- A61B2017/293—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft with means preventing relative rotation between the shaft and the actuating rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2945—Curved jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2946—Locking means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2948—Sealing means, e.g. for sealing the interior from fluid entry
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
- A61B17/3211—Surgical scalpels, knives; Accessories therefor
- A61B2017/32113—Surgical scalpels, knives; Accessories therefor with extendable or retractable guard or blade
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00107—Coatings on the energy applicator
- A61B2018/00142—Coatings on the energy applicator lubricating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00172—Connectors and adapters therefor
- A61B2018/00178—Electrical connectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00184—Moving parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00184—Moving parts
- A61B2018/00202—Moving parts rotating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00589—Coagulation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00607—Coagulation and cutting with the same instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00702—Power or energy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/0091—Handpieces of the surgical instrument or device
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/0094—Types of switches or controllers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/0094—Types of switches or controllers
- A61B2018/00952—Types of switches or controllers rotatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/032—Automatic limiting or abutting means, e.g. for safety pressure limiting, e.g. hydrostatic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
- A61B2090/035—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself preventing further rotation
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Physics & Mathematics (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
Abstract
Description
ハンドルと、
ハンドルから伸びている細長いシャフトと、
細長いシャフトの遠位端に位置決めされたエンドエフェクタと、
細長いシャフト内の駆動シャフトであって、その遠位端でエンドエフェクタに接続され且つその近位端でハンドル内のコンポーネントに接続されている駆動シャフトと、
ハンドル上に位置付けられ、第1の位置と第2の位置との間で可動であるトリガ機構であって、その第1の位置からその第2の位置へのその動きが、上記コンポーネントの長手方向移動を引き起こし、これが更に、エンドエフェクタを第1の状態から第2の状態に変化させる、トリガ機構と、
を含み、
トリガ機構は、第1の及び第2の連続する孔を有する部分を含み、第1の孔は、コンポーネントが通り抜けできるような寸法を有し、第2の孔は、トリガ機構の動きが上記コンポーネントの対応する長手方向移動を引き起こすように、コンポーネントが第2の孔内に受け入れられるような寸法を有する、ことを特徴とする。
チュエータと、その遠位端に位置付けられた第1のフランジと、その近位端に位置付けられた第2のフランジとを有するコンポーネントであって、少なくとも第1のフランジは、第1の孔よりも小さく、第1の及び第2のフランジは、第2の孔よりも大きい、コンポーネントと、を含み、方法は、カラー部分が第1のフランジと第2のフランジとの間にあるように、第1の孔内にコンポーネントを受け入れることと、第2の孔内にコンポーネントを受け入れ、それによってコンポーネントが第1の及び第2のフランジによって第2の孔内に保持されるように、カラーをコンポーネントに対して相対的に移動させることと、を含む。上述のように、これは、トリガ機構に対する器具の反応性を維持しつつ、更なる構造の必要がない簡単な組み立てを可能にする。
図1は、本発明の一例にしたがった電気手術器具1を示している。器具1は、近位側のハンドル部分10と、該近位側ハンドル部分から遠ざかる遠位方向に伸びる外側シャフト12と、該外側シャフトの遠位端に取り付けられた遠位端エフェクタアセンブリ14とを含む。エンドエフェクタアセンブリ14は、例えば、開閉するように配置された対向する1組の挟持部であってよく、対向する挟持部の内表面上に又は内表面として配置された1つ以上の電極を含み、これらの電極は、使用時に、組織の封止又は凝固のための電気手術高周波(RF)信号を受信するための接続部を有する。挟持部は、更に、ユーザによって作動されたときに機械的な切断刃などが突出しえるスロット又はその他の開口部を、対向する内表面内に提供される。使用時には、ハンドル10は、ユーザによって、挟持部14間に組織をクランプするために第1の方式で作動され、電極にRF電流を供給して組織を凝固させるために第2の方式で作動される。挟持部14は、器具1の能動構成要素が常に見えているようにするために湾曲されてよい。これは、使用時におけるユーザの装置視野を妨げる人体領域の手術に使用される血管封止装置において重要である。ハンドル10は、刃を挟持部14間に突出させそれによって間にクランプされた組織を切断させるために、ユーザによって、第3の方式で作動されてよい。必要とされる切断及び封止が完了したら、ユーザは、挟持部14から組織を解放させることができる。
ンプハンドル22が回転するための固定点を提供する。クランプ機構は、更に、図4〜7によって更に示されるように、カラー成形物310と、バネ312と、内側成形物314とを含み、これらは全て、駆動シャフト316に沿って装着される。
の断面「T」字形状に一致する孔(不図示)を通ってシャフト成形物320のボディに通される。シャフト成形物320は、ソケット322内で自由に回転可能であるように配置される。例えば、シャフト成形物320は、クラムシェル成形物300、302内に提供された同心状の合わせ面908、910内で回転する円筒状のフランジ特徴904、906を含んでいてよい。したがって、シャフト成形物320は、駆動シャフト316とともに回転し、これは更に、この回転運動を外側シャフト12及び挟持部4に伝達する。シャフト成形物320は、こうして駆動シャフト316のための回転・軸方向ガイドとして機能する。
であるストッパー1502、1504と相互に作用する。回転ホイール28が回転されるのに伴って、ストップ部材1500は、ストッパー1502、1504に阻まれ、それによって、更なる回転を阻止する。例えば、ストッパー1502、1504は、回転ホイールを270度の回転に制限してよい。同様に、シャフト成形物320も、図16a〜dによって示されるように、ケーシング20と一体であるストッパー1602、1604と相互に作用するストップ部材1600を含む。シャフト成形物320のストップ部材1600及びそのそれぞれのストッパー1602、1604は、回転が同程度に制限されるように、回転ホイール28のストップ部材1500及びそのそれぞれのストッパー1502、1504と半径方向に揃えられる。要するに、回転ホイール28が回転されるのに伴って、回転ホイール28上のストップ部材1500が阻まれる半径方向地点は、シャフト成形物320上のストップ部材1600が阻まれる半径方向地点と同じである。例えば、図15b及び図16aにおいて、挟持部14は、(図16bに示された)ニュートラルな向きから反時計回りに90度回転されている。この回転の自由は、ユーザが器具1全体を回転させる必要なく様々な角度から組織を把持できることを意味する。
装置の全体的な構成が説明されたところで、次は、使用時における電気手術器具1の全体的な動作が論じられる。その後、装置の特定の態様の構成及び動作に関して更に詳細な説明がなされる。
挟持部14間に組織をクランプするために、ユーザは、クランプハンドル22を、ラッチ324がケーシング20内のラッチ成形物326に係合するまでケーシング20の近位端328に向かって握り込む。この動きは、図8e〜fによって示されるように、駆動ハンドル22をそのヒンジ306を中心に枢動させ、図4及び図5aによって示されるように、カラー304の端をフランジ800に対して押し付けて、カラー成形物310、バネ、及び内側成形物314を駆動シャフト316に沿って近位方向に推し進める。上述のように、内側成形物314は、突出部材602を通じて駆動シャフト316に取り付けられる。したがって、内側成形物314が軸方向に押し戻されるのに伴って、駆動シャフト316も軸方向に移動され、これは、挟持部14のカムスロット402の中のピン400を駆動し、それによって、挟持部14を閉じさせる。しかるがゆえに、駆動ハンドル22からの荷重は、カラー成形物310、バネ312、及び内側成形物314のバネ機構を通じて駆動シャフト316に伝達される。
挟持部14間に組織がクランプされると、挟持部14は、図26a〜fによって示されるように、駆動ハンドル上のラッチ324をケーシング20の内部のラッチ成形物326に係合させることによって閉位置にロックできる。ラッチ324は、開口1102を通ってケーシング20に入るのに伴って、ラッチ成形物326に係合し、該成形物326をケーシング20内で押し下げ、それによってバネ1104を伸長させる。図26b〜cに示されるように、ラッチ324は、カム経路1106の側面上を、その最大位置に到達するまで駆け上る。この地点で、駆動ハンドル22は、これ以上圧縮できず、バネ1104は、図26dに示されるように、ラッチ324がカム経路1106の「V」字型ポケットに嵌り込んで駆動ハンドル22を圧縮位置に及び挟持部14を閉位置に保持するように、ラッチ成形物326をケーシング20の内部へ引き戻す。
挟持部が閉位置にある間、ユーザは、間にクランプされた組織を切断する必要があるかもしれない。組織を切断するために、駆動アセンブリの作動によって、挟持部14間で刃340が駆動される。
使用時に、ユーザは、器具1全体を動かす必要なく様々な角度から組織に到達する必要があるかもしれない。したがって、挟持部14は、回転ホイール28によってハンドル10に相対的に回転可能であることが有利である。これは、挟持部14が図16a〜dに示されるような湾曲した走路上にある場合に特に有益である。上述のように、回転ホイール28は、内側成形物314が回転ホイール28とともに回転するように、かみ合い部材1200、1202を通じて内側成形物314に連結される。駆動シャフト316の端が内側成形物314に接続されているので、駆動シャフト316も回転し、この回転は引き続き、反対側の端にある挟持部14を回転させる。
は、カラー成形物310も駆動シャフト316とともに回転するように、ハンドルカラー304内で回転式に隔離される。同様に、切断機構の動作を妨げることなく駆動シャフト316回転を可能にできるように、刃成形物352は、刃カラー348内で回転式に隔離される。
挟持部14が閉位置にある間、ユーザは、間にクランプされた組織を凝固させること及び封止することを望むかもしれない。これを行うために、ユーザは、ケーシング20頂部のスイッチボタン26を使用して、電極の活性化を開始させる。スイッチボタン26は、ユーザが装置を片手で使用している間に容易にボタン26にアクセスできるように、適宜に配置されている。この際は、組織を凝固させる及び封止するために、適切なRF信号が挟持部14の中の電極に送られる。RF信号は、所望の効果に応じて純粋波形又は混合波形であってよい。
上述のように、電気手術器具1の近位ハンドル部分10は、遠位エンドエフェクタアセンブリ14の一態様をこのエンドエフェクタアセンブリ14が第1の状態と第2の状態との間で動くように作動させるための、第1の機構を含む。例えば、エンドエフェクタアセンブリ14は、開閉するように配置された対向する1組の挟持部14であってよい。これらの挟持部14の動きをトリガするために使用される機構は、駆動ハンドル22と、2つのたる型成形物310、314と、それらの間で圧縮されるバネ312とを含むいわゆるクランプ機構であり、駆動ハンドル22、成形物310、314、及びバネ312は、図4及び図5a〜bに示されるように、全て、挟持部14とハンドル10との間に伸びる細長い棒316に沿って装着される。
容易に通り抜け、これに対し、近位側フランジ800は、カラー成形物310が上部の孔804を完全に通り抜けるのを防ぐのに十分な大きさであってよい。図8dによって示されるように、カラー8304は、次いで、下部の孔806をカラー成形物310に係合させるために押し上げられる。
が第2の組の突出部材600に到達するまで駆動シャフト316に沿って押し進められる。これらの突出部材600は、カラー成形物310が駆動シャフト316に沿ってこれ以上先に進むことを防ぐための妨害を提供するために、カラー成形物310上の開口311よりも広い渡りを有する。しかるがゆえに、突出部材600は、何らかの力が突出部材600に加わることによって又は突出部材600が内向きに押されることによってカラー成形物310が突出部材600から抜け出ることがないように、十分に剛性でなければならない。
とができるカラー成形物のチャンバ608及び内側成形物314のチャンバ610を提供することによって、ハンドル10内の更なる空間を使い果たすことなく更に長いバネ312を使用することが可能になる。しかるがゆえに、カラー成形物のチャンバ608及び内側成形物のチャンバ610が大きいほど、バネ312が長くなる。更に、突出部材600と602との間の距離は、バネ312がその装着時に初期の事前圧縮を受けるように、バネ312の両端がカラー成形物のチャンバ608及び内側成形物のチャンバ610の端壁612、614によってそれぞれ圧縮されることを意味する。これは、クランプ機構を作動させるためにハンドル22が動かされるときに適切な荷重が挟持部14にかかることを保証するために重要である。
0に更なる力を及ぼすことなくラッチ位置まで駆動できる。要するに、駆動ハンドル22の荷重は、これ以上駆動シャフト316に伝達されることはなく、バネ312によって効果的に吸収される。しかるがゆえに、バネ312は、適切な大きさの荷重が挟持部14に伝達されることを保証する。バネ312がないと、駆動ハンドル22の作動は、駆動シャフト316に及びそれに続いて挟持部14及び組織500に伝達される荷重を増加させ続ける。これは、ユーザが駆動ハンドル22をラッチ324に係合させるために握り込むにつれて、組織500の機械的損傷を招く恐れがある。
次に、切断機構の構造及び動作に関する様々な更なる特徴及び態様が説明される。上述のように、電気手術器具1の近位側のハンドル部分10は、遠位側のエンドエフェクタアセンブリ14の更なる態様を作動させるための第2の機構を含む。例えば、エンドエフェクタアセンブリ14は、1組の対向する挟持部14、及び刃340であってよく、刃340の遠位端は、挟持部14間にクランプされた組織を切断するために、上記挟持部14間で滑動するように配置される。駆動シャフト316の中心走路341内に配された刃340の動きをトリガするために使用される機構は、いわゆる切断機構である。切断機構は、駆動アーム2000と、刃駆動成形物346と、刃カラー成形物348と、刃成形物352と、引っ張りバネ350とを含み、これらは全て、結合されて、図20a〜b、図31、及び図32に示されるような3枢着スライダ−クランク機構を形成する。
ない。図24cに示されるように、ボディ362は、更に、タブ2100が中に保持される凹所2100を含む。組み立てを可能にするために、刃340の近位端は、斜切された縁2400を提供するために、タブ2102に対向する第1の地点で切り取られ、陥凹部分2402を提供するために、タブ2102に隣接する第2の地点で切り取られる。しかるがゆえに、刃340の近位端は、「L」字型の輪郭を有する。
走路342内における刃340の摩擦係数と、刃340が走路342の壁に及ぼす曲げに起因する力との積である。
次に、駆動シャフト316の構造に関する様々な更なる特徴及び態様が説明される。上述のように、駆動シャフト316は、図10aによって示されるように、「T」字型の断面を有する細長い棒である。駆動シャフト316は、上述された切断機構に使用される切断刃340などの更に細長い部材を収容するのに適したスロット又は走路342をその長さに沿って含む。使用時に、切断刃340は、挟持部14間にクランプされた組織を切断するために切断刃340の遠位端を挟持部14間で駆動できるように、駆動シャフト316の長さに沿って滑動させられる。
次に、サムホイール(本書では回転ホイールとも呼ばれる)28の動作に関する様々な更なる特徴及び態様が説明される。サムホイール28は、エンドエフェクタアセンブリ14が上に搭載された外側シャフト12をユーザが回転させることを可能にするために提供される。しかしながら、スペースを削減し、それによって、よりコンパクトな器具を作成するためには、サムホイール28の内部容積1300も、前述のクランプ機構の一部を形成する内側成形物314のための移動スペースを提供するために用いられる。このような配置によって、よりコンパクトな機構が得られる。
形部分336の実際の大きさは、波形部分がユーザの親指を快適に受けられるように人間工学的に選択されているゆえに、通常は、同じままであることが望ましい。
は、内側成形物314の中のT字型の孔1208に通され、駆動シャフトの端に提供されたスナップ式の突出したキャッチ部材又はラッチ部材602を通じて留め付けられる。要するに、ラッチ部材又はキャッチ部材602は、内側成形物314内のT字型の孔1208を通り抜けて次いで空洞を形成している内側成形物の第2の通路部分606に受け入れられる弾力性の金属タブの形態をとり、第2の通路部分606は、これらの弾力性タブが跳ね開くことを可能にし、そうして内側成形物内に駆動シャフトを留め付ける。内側成形物314は、次いで、サムホイール1208の内部空洞に押し込まれ、上述のように、スナップ式のタブ1206によって適所に保持される。内側成形物は、図13aに示されるように、ホイール28の遠位側の壁の内表面に突き当たるように、又はその移動の反対側の端において、ホイールの遠位側の縁にあるタブ1206に突き当たるように、内部空洞1300内で軸方向に移動してよい。したがって、内側成形物314は、サムホイール28の空洞内で軸方向にある程度の滑動を許容され、これは、上述のように、挟持部内に含まれた材料に対してユーザによって加えられる力を制御するための機構の一部として必要である。
上述のように、エンドエフェクタ14を上に有するシャフト12は、組織の切断及び凝固のためにエンドエフェクタが所望の回転位置へ動かされることを可能にする。しかしながら、エンドエフェクタへの配線接続が、一方向に極端に回転されているシャフトからの過度なひずみ下に置かれて配線が巻き上がる、捻じれる、又は過度なひずみを受けることがないようにするためには、シャフト12の回転を制御するための機構が必要であり、特に、回転の量を制限しそれによって配線が受ける過度なひずみを阻止するための機構が必要である。また、シャフト12の回転のポシティブ制御の提供は、使用時における器具の人間工学的経験を向上させ、ユーザの知覚の質を高める。
16に突き当たる。ストップ面は、矩形のストップ突出1500がストップ面に突き当たる角度に位置決めされたときにストップ突出に平行であるように角度を付けられる。
の更なる回転を防ぐために、ストップ面3212、3214に突き当たる。したがって、図36a〜cに示されるように、シャフト12を載せているシャフト成形物320は、エンドエフェクタが必要に応じて回転式に位置決めされることを可能にするために、180度回転されてよい。
次に、ハンドル2内における配線に関する様々な更なる特徴及び態様が説明される。上述のように、何らかの適切な回路構成を通じてエンドエフェクタアセンブリ14の中の電極を作動させるためのRF信号を活性化及び非活性化するために、例えば小型プリント回路基板(PCB)338上の2つの侵入保護スイッチなどのスイッチボタン26が提供される。図17に示されるように、PCB338は、ジェネレータ(不図示)からのRF出力を受信するための接続コード1700、並びにRF電流を挟持部14の中の電極に供給するための、例えば1本は活性電極のための及びもう1本は戻り電極のための電気配線1702、1704に接続される。
次に、装置に使用されてよいエンドエフェクタアセンブリの例が説明される。説明される例は、完全を期すために与えられるものであり、駆動シャフト316によって駆動可能でありさえすれば、その他の設計のエンドエフェクタが器具に使用されてもよいことが、理解されるべきである。要するに、本発明の実施形態は、本書で説明される特定のエンドエフェクタに限定されず、その他の設計のエンドエフェクタが使用されてもよい。
例を示している。図38を参照すると、全体を3801で示されているエンドエフェクタは、枢軸3804を中心にして下方挟持部3803に枢動式に接続された上方挟持部3802を含む。上方挟持部3802の近位端に、フランジ3805が存在する一方で、下方挟持部3803の近位端には、フランジ3806が存在する。フランジ3805、3806は、(駆動機構(不図示)による)駆動ピン3808の近位側及び遠位側における動きが挟持部3802、3803を開位置と閉位置との間で枢動させるように、それぞれ、駆動ピン8が通るスロット3807を有する。
のアンビル3818が配置され、各アンビル3818は、上方シム3809の残りの部分から隔離するために、絶縁部材3819に取り囲まれる。挟持部が閉じられるときは、ストップ部材3812と金属製アンビル3818との間に金属どうしの接触が生じ、ここでもやはり、アンビルの隔離によって、シム3809と3810との間の電気的短絡が回避されることが保証される。ここでもやはり、各金属製アンビルがいつ下方シムの電位を帯びて、挟持部が閉じたことを示唆するかを検出するために、各金属製アンビルの電位を監視することができる。
次に、図45を参照すると、使用時における器具1は、制御可能な高周波(RF)源を中に有する電気手術ジェネレータ4500に接続されるとされ、高周波源は、器具1のエンドエフェクタの電極を通じて与えられたときに組織を凝固させる又は封止するRF凝固信号を生成する。電気手術ジェネレータ4500は、ジェネレータがオン及びオフにされることを可能にするための、並びに制御対象とされている器具1にRF凝固信号の電力が供給されることを可能にするための、それぞれの制御入力スイッチ4504、4502を含む。これらに関して、電気手術ジェネレータ4500は、従来通りである。
したがって、以上の全てを考慮すると、本発明の実施形態は、高度な電気手術鉗子器具であって、ユーザによる容易で且つ人間工学的な片手操作を可能し、エンドエフェクタの回転柔軟性を提供し、把持されている組織に対してエンドエフェクタによって加えられる力を制御して、過度な力が加えられることを阻止し、把持されている組織を電気手術によって凝固又は封止させつつ、尚も簡便な機械的切断を同時に可能にする、電気手術鉗子器具を提供する。更に、器具は、それぞれの内部活性化機構内において利用可能なスペースの効率的使用を通じてコンパクトな器具を提供しつつ、尚も構築が単純で且つ低コストであるように設計されている。
Claims (15)
- 手術器具であって、
ハンドルと、
前記ハンドルから伸びている細長いシャフトと、
前記細長いシャフトの遠位端に位置決めされたエンドエフェクタと、
前記細長いシャフト内の駆動シャフトであって、その遠位端で前記エンドエフェクタに接続され且つその近位端で前記ハンドル内のコンポーネントに接続されている駆動シャフトと、
前記ハンドル上に位置付けられ、第1の位置と第2の位置との間で可動であるトリガ機構であって、その第1の位置からその第2の位置へのその動きが、前記コンポーネントの長手方向移動を引き起こし、これが更に、前記エンドエフェクタを第1の状態から第2の状態に変化させる、トリガ機構と、
を備え、
前記トリガ機構は、第1の及び第2の連続する孔を有する部分を含み、第1の孔は、前記コンポーネントが通り抜けできるような寸法を有し、第2の孔は、前記トリガ機構の動きが前記コンポーネントの対応する長手方向移動を引き起こすように前記コンポーネントが前記第2の孔内に受け入れられるような寸法を有する、ことを特徴とする手術器具。 - 請求項1に記載の手術器具であって、
前記器具は、前記器具が組み立てられるときに前記駆動シャフト及び前記コンポーネントが前記第1の孔に挿入されることができる器具である、手術器具。 - 請求項2に記載の手術器具であって、
前記器具は、前記駆動シャフト及び前記コンポーネントを、それらが前記トリガアセンブリとともに動くためにその中に位置付けられるように前記第2の孔内へ移動させるために、前記トリガアセンブリが、前記駆動シャフト及び前記コンポーネントが前記第1の孔に挿入された後にそれらに対して相対的に動かされることができる器具である、手術器具。 - 請求項1ないし3にいずれか一項に記載の手術器具であって、
前記コンポーネントは、それが円形断面を有する外側輪郭を有するように、円筒状である、手術器具。 - 請求項4に記載の手術器具であって、
前記第1の孔は、前記コンポーネントの直径よりも大きい円形断面を有する、手術器具。 - 請求項4又は5に記載の手術器具であって、
前記第2の孔は、前記コンポーネントと同様な直径の円形断面を有する、手術器具。 - 請求項1ないし6のいずれか一項に記載の手術器具であって、
前記コンポーネントは、前記第1の及び第2の孔が前記トリガ機構のボディに内包されるように、閉じられた周を有する、手術器具。 - 請求項1ないし7のいずれか一項に記載の手術器具であって、
前記コンポーネントは、前記トリガ機構の面に寄り掛かるように適応されたフランジを提供される、手術器具。 - 請求項8に記載の手術器具であって、
前記コンポーネントは、前記トリガ機構の前面及び背面に寄り掛かるように適応された第1の及び第2のフランジを提供される、手術器具。 - 請求項1ないし9のいずれか一項に記載の手術器具であって、
前記トリガ機構は、単一ピースのプラスチック成形物である、手術器具。 - 請求項1ないし10のいずれか一項に記載の手術器具であって、
前記トリガ機構は、それを中心として枢動することができる枢動ロッドを備える、手術器具。 - 請求項11に記載の手術器具であって、
前記枢動ロッドは、前記第1の及び第2の孔の上方で、前記トリガ機構の遠位端に位置付けられる、手術器具。 - 手術器具のためのトリガ機構を組み立てる方法であって、
前記トリガ機構は、
カラー部分を有するアクチュエータであって、カラーは、2つの連続する孔で形成され、第1の孔は、第2の孔よりも大きい直径を有する、アクチュエータと、
その遠位端に位置付けられた第1のフランジと、その近位端に位置付けられた第2のフランジとを有するコンポーネントであって、少なくとも前記第1のフランジは、前記第1の孔よりも小さく、前記第1の及び第2のフランジは、前記第2の孔よりも大きい、コンポーネントと、
を含み、
前記方法は、
前記カラー部分が前記第1のフランジと前記第2のフランジとの間にあるように、前記第1の孔内に前記コンポーネントを受け入れることと、
前記第2の孔内に前記コンポーネントを受け入れ、それによって前記コンポーネントが前記第1の及び第2のフランジによって前記第2の孔内に保持されるように、前記カラーを前記コンポーネントに対して相対的に移動させることと、
を備える方法。 - 手術器具のためのトリガ機構であって、
その遠位端でエンドエフェクタに接続された駆動シャフトであって、第1の位置と第2の位置との間のその長手方向移動が前記エンドエフェクタを第1の状態から第2の状態に変化させる、駆動シャフトと、
カラー部分を有するアクチュエータであって、カラーは、2つの連続する孔で形成され、第1の孔は、第2の孔よりも大きい直径を有する、アクチュエータと、
前記駆動シャフトの近位端に接続されたコンポーネントであって、その遠位端に位置付けられた第1のフランジと、その近位端に位置付けられた第2のフランジとを有し、少なくとも前記第1のフランジは、前記コンポーネントが通り抜けできるように前記第1の孔よりも小さく、前記第1の及び第2のフランジは、前記コンポーネントの受け入れが、前記アクチュエータの第1の位置と第2の位置との間の動きが前記コンポーネントの長手方向移動を引き起こしそれによって前記駆動シャフトの対応する長手方向移動を引き起こすことを可能にするように、前記第2の孔よりも大きい、コンポーネントと、
を備えるトリガ機構。 - ハンドルと、エンドエフェクタとを備える手術器具であって、
前記ハンドルは、前記エンドエフェクタを第1の状態と第2の状態との間で動かすための、請求項14にしたがったトリガ機構を含む、手術器具。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB1600589.4A GB2546278B (en) | 2016-01-12 | 2016-01-12 | Electrosurgical device |
GBGB1600546.4A GB201600546D0 (en) | 2016-01-12 | 2016-01-12 | Electrosurgical device |
GB1600589.4 | 2016-01-12 | ||
GB1600546.4 | 2016-01-12 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2017159020A true JP2017159020A (ja) | 2017-09-14 |
JP6915947B2 JP6915947B2 (ja) | 2021-08-11 |
Family
ID=55445903
Family Applications (12)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017002902A Active JP6888802B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002901A Active JP6915945B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002900A Active JP6888957B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002904A Active JP6901205B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002908A Active JP6915947B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002907A Active JP6887809B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002910A Active JP6943368B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002899A Active JP7140318B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002906A Pending JP2017164485A (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002903A Active JP7040868B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002905A Active JP6896433B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002909A Active JP7107626B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
Family Applications Before (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017002902A Active JP6888802B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002901A Active JP6915945B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002900A Active JP6888957B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002904A Active JP6901205B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
Family Applications After (7)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2017002907A Active JP6887809B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002910A Active JP6943368B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002899A Active JP7140318B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002906A Pending JP2017164485A (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002903A Active JP7040868B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002905A Active JP6896433B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
JP2017002909A Active JP7107626B2 (ja) | 2016-01-12 | 2017-01-11 | 電気手術装置 |
Country Status (6)
Country | Link |
---|---|
US (16) | US11241273B2 (ja) |
JP (12) | JP6888802B2 (ja) |
CN (12) | CN106955155B (ja) |
DE (9) | DE102017100296A1 (ja) |
GB (10) | GB201600546D0 (ja) |
IE (13) | IE20170012A1 (ja) |
Families Citing this family (394)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
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 |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
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 |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
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 |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | 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 |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
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 |
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 |
US8632535B2 (en) | 2007-01-10 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Interlock and surgical instrument including same |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
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 |
US20090001130A1 (en) | 2007-03-15 | 2009-01-01 | Hess Christopher J | Surgical procedure using a cutting and stapling instrument having releasable staple-forming pockets |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
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 |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
BRPI0901282A2 (pt) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | instrumento cirúrgico de corte e fixação dotado de eletrodos de rf |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
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 |
US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
JP2012517287A (ja) | 2009-02-06 | 2012-08-02 | エシコン・エンド−サージェリィ・インコーポレイテッド | 被駆動式手術用ステープラの改良 |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US9301755B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Compressible staple cartridge assembly |
US9211120B2 (en) | 2011-04-29 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9282962B2 (en) | 2010-09-30 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Adhesive film laminate |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
RU2606493C2 (ru) | 2011-04-29 | 2017-01-10 | Этикон Эндо-Серджери, Инк. | Кассета со скобками, содержащая скобки, расположенные внутри ее сжимаемой части |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
JP6224070B2 (ja) | 2012-03-28 | 2017-11-01 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 組織厚さコンペンセータを含む保持具アセンブリ |
BR112014024102B1 (pt) | 2012-03-28 | 2022-03-03 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de prendedores para um instrumento cirúrgico, e conjunto de atuador de extremidade para um instrumento cirúrgico |
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 |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
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 |
CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
BR112015021082B1 (pt) | 2013-03-01 | 2022-05-10 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
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 |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US10149680B2 (en) | 2013-04-16 | 2018-12-11 | Ethicon Llc | Surgical instrument comprising a gap setting system |
US10624634B2 (en) | 2013-08-23 | 2020-04-21 | Ethicon Llc | Firing trigger lockout arrangements for surgical instruments |
MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US10004497B2 (en) | 2014-03-26 | 2018-06-26 | Ethicon Llc | Interface systems for use with surgical instruments |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
CN106456158B (zh) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | 包括非一致紧固件的紧固件仓 |
CN106456159B (zh) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | 紧固件仓组件和钉保持器盖布置结构 |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
BR112016023698B1 (pt) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Cartucho de prendedores para uso com um instrumento cirúrgico |
US10426476B2 (en) | 2014-09-26 | 2019-10-01 | Ethicon Llc | Circular fastener cartridges for applying radially expandable fastener lines |
US9833241B2 (en) | 2014-04-16 | 2017-12-05 | Ethicon Llc | Surgical fastener cartridges with driver stabilizing arrangements |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US20160066913A1 (en) | 2014-09-05 | 2016-03-10 | Ethicon Endo-Surgery, Inc. | Local display of tissue parameter stabilization |
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 |
BR112017005981B1 (pt) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | Material de escora para uso com um cartucho de grampos cirúrgicos e cartucho de grampos cirúrgicos para uso com um instrumento cirúrgico |
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. |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
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 |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
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 |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10052044B2 (en) | 2015-03-06 | 2018-08-21 | Ethicon Llc | Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10617418B2 (en) | 2015-08-17 | 2020-04-14 | Ethicon Llc | Implantable layers for a surgical instrument |
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 |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10603039B2 (en) | 2015-09-30 | 2020-03-31 | Ethicon Llc | Progressively releasable implantable adjunct for use with a surgical stapling instrument |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
GB201600546D0 (en) * | 2016-01-12 | 2016-02-24 | Gyrus Medical Ltd | Electrosurgical device |
CN108882932B (zh) | 2016-02-09 | 2021-07-23 | 伊西康有限责任公司 | 具有非对称关节运动构造的外科器械 |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
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 |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses 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 |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10426469B2 (en) | 2016-04-18 | 2019-10-01 | Ethicon Llc | Surgical instrument comprising a primary firing lockout and a secondary firing lockout |
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 |
WO2017187348A1 (en) * | 2016-04-25 | 2017-11-02 | Les Solutions Medicales Soundbite Inc. | Connector device for connecting mechanical waveguides |
US10856933B2 (en) * | 2016-08-02 | 2020-12-08 | Covidien Lp | Surgical instrument housing incorporating a channel and methods of manufacturing the same |
US10918385B2 (en) | 2016-12-21 | 2021-02-16 | Ethicon Llc | Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
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 |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
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 |
MX2019007295A (es) | 2016-12-21 | 2019-10-15 | Ethicon Llc | Sistema de instrumento quirúrgico que comprende un bloqueo del efector de extremo y un bloqueo de la unidad de disparo. |
US10499914B2 (en) | 2016-12-21 | 2019-12-10 | Ethicon Llc | Staple forming pocket arrangements |
US10687809B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Surgical staple cartridge with movable camming member configured to disengage firing member lockout features |
CN110087565A (zh) | 2016-12-21 | 2019-08-02 | 爱惜康有限责任公司 | 外科缝合系统 |
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 |
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 |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US10980536B2 (en) | 2016-12-21 | 2021-04-20 | Ethicon Llc | No-cartridge and spent cartridge lockout arrangements for surgical staplers |
US11160551B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Articulatable surgical stapling instruments |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10898192B2 (en) * | 2017-06-15 | 2021-01-26 | Roberto Tapia Espriu | Adjustable pressure surgical clamp with releasable or integrated remote manipulator for laparoscopies |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
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 |
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 |
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 |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | 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 |
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 |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11090049B2 (en) | 2017-06-27 | 2021-08-17 | Cilag Gmbh International | Staple forming pocket arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11058424B2 (en) | 2017-06-28 | 2021-07-13 | Cilag Gmbh International | Surgical instrument comprising an offset articulation joint |
US10758232B2 (en) | 2017-06-28 | 2020-09-01 | Ethicon Llc | Surgical instrument with positive jaw opening features |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
EP4070740A1 (en) | 2017-06-28 | 2022-10-12 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
CN107174309A (zh) * | 2017-07-21 | 2017-09-19 | 李旭亚 | 一种应用在微创手术中的可弯折手术钳 |
CN107320193B (zh) * | 2017-07-31 | 2023-06-30 | 成都博恩思医学机器人有限公司 | 连接组件、手术机器人的手术器械及手术机器人 |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
GB2565133B (en) * | 2017-08-04 | 2022-09-21 | Gyrus Medical Ltd | Bipolar surgical instruments |
GB2565132B (en) * | 2017-08-04 | 2022-09-21 | Gyrus Medical Ltd | Bipolar surgical instruments |
US11272975B2 (en) * | 2017-09-22 | 2022-03-15 | Covidien Lp | Systems and methods for controlled electrosurgical dissection |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
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 |
CN111200983B (zh) * | 2017-10-06 | 2024-02-13 | 奥林巴斯株式会社 | 医疗设备 |
GB2567435B (en) * | 2017-10-10 | 2021-11-03 | Gyrus Medical Ltd | Bipolar surgical instruments |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
JP7317819B2 (ja) * | 2017-10-30 | 2023-07-31 | エシコン エルエルシー | ロック可能なエンドエフェクタソケットを備える外科用器具 |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US11179190B2 (en) | 2017-12-12 | 2021-11-23 | Gyrus Acmi, Inc. | Laparoscopic forceps assembly with an operable mechanism |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
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 |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US10682134B2 (en) | 2017-12-21 | 2020-06-16 | Ethicon Llc | Continuous use self-propelled stapling instrument |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
CN109984789B (zh) * | 2017-12-29 | 2021-08-06 | 江苏风和医疗器材股份有限公司 | 传动组件及外科切割缝合器 |
US10779813B2 (en) * | 2018-01-10 | 2020-09-22 | C.R. Bard, Inc. | Articulating surgical instruments |
US12023203B2 (en) * | 2018-02-06 | 2024-07-02 | Conmed Corporation | Force limiting assembly for surgical instrument |
US10786299B2 (en) | 2018-03-30 | 2020-09-29 | Gyrus Acmi, Inc. | Closure assembly that is laterally movable for selective locking |
US12029464B2 (en) * | 2018-04-09 | 2024-07-09 | Conmed Corporation | Pencil-grip wire driver operated with distally located actuator |
JP2021522050A (ja) * | 2018-04-25 | 2021-08-30 | イノメッド・ファイブ・リミテッド・ライアビリティ・カンパニーInnoMed Five, L.L.C. | 妊娠時の受精卵の着床を改善するためのデバイスおよび方法 |
EP3578118B1 (de) * | 2018-06-05 | 2022-08-31 | Erbe Elektromedizin GmbH | Chirurgisches instrument |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US20200054321A1 (en) * | 2018-08-20 | 2020-02-20 | Ethicon Llc | Surgical instruments with progressive jaw closure arrangements |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11419665B2 (en) | 2018-10-26 | 2022-08-23 | Covidien Lp | Electrosurgical forceps |
EP4424265A2 (en) * | 2018-11-15 | 2024-09-04 | Applied Medical Resources Corporation | Laparoscopic grasper with force-limiting grasping mechanism |
DE102018128870A1 (de) * | 2018-11-16 | 2020-05-20 | Aesculap Ag | Bipolares Versiegelungsinstrument mit teilautomatisiertem Betätigungsmechanismus |
US11678928B2 (en) * | 2019-01-10 | 2023-06-20 | Atricure, Inc. | Surgical clamp |
US11304743B2 (en) | 2019-01-30 | 2022-04-19 | Covidien Lp | Electrosurgical forceps |
US11510725B2 (en) | 2019-01-30 | 2022-11-29 | Covidien Lp | Electrosurgical forceps |
US11497545B2 (en) | 2019-02-14 | 2022-11-15 | Covidien Lp | Electrosurgical forceps |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11969181B2 (en) | 2019-03-29 | 2024-04-30 | Gyrus Acmi, Inc. | Forceps including actuation limiting |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin 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 |
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 |
CN111938760A (zh) * | 2019-05-17 | 2020-11-17 | 柯惠有限合伙公司 | 手动致动的组织切除器械 |
GB2585056B (en) * | 2019-06-27 | 2023-12-27 | Gyrus Medical Ltd | Sprung latch |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
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 |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
KR20220052341A (ko) * | 2019-08-27 | 2022-04-27 | 콘메드 코포레이션 | 수술 기구를 위한 힘 제한 기구 |
US11457947B2 (en) | 2019-11-06 | 2022-10-04 | C.R. Bard, Inc. | Endovascular translating scoring mechanism utilizing motorized blade |
EP3824836A1 (de) * | 2019-11-22 | 2021-05-26 | Erbe Elektromedizin GmbH | Sonde |
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 |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
DE102019220537A1 (de) * | 2019-12-23 | 2021-06-24 | Albert-Ludwigs-Universität Freiburg | Vorrichtungen zur Enukleation intrakorporaler Gewebebereiche |
GB2593877A (en) * | 2020-03-31 | 2021-10-13 | Gyrus Medical Ltd | Drive shaft for a surgical instrument |
WO2021210059A1 (ja) * | 2020-04-14 | 2021-10-21 | オリンパス株式会社 | クリップ装置およびクリップユニットとアクチュエータとの接続方法 |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
CN111658130A (zh) * | 2020-07-09 | 2020-09-15 | 福建医科大学附属协和医院 | 一种电凝钩 |
DE102020118965A1 (de) * | 2020-07-17 | 2022-02-10 | Olympus Winter & Ibe Gmbh | Chirurgisches Handgerät, Isoliereinsatz für ein chirurgisches Handgerät und Verfahren zur Handhabung eines chirurgischen Handgeräts |
US11638582B2 (en) | 2020-07-28 | 2023-05-02 | Cilag Gmbh International | Surgical instruments with torsion spine drive arrangements |
JP7520678B2 (ja) * | 2020-10-07 | 2024-07-23 | 株式会社メディカロイド | 手術器具 |
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 |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
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 |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
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 |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
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 |
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 |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11806068B2 (en) | 2020-12-15 | 2023-11-07 | Covidien Lp | Energy-based surgical instrument for grasping, treating, and/or dividing tissue |
US12059196B2 (en) | 2020-12-15 | 2024-08-13 | Covidien Lp | Energy-based surgical instrument for grasping, treating, and/or dividing tissue |
US20220183745A1 (en) * | 2020-12-15 | 2022-06-16 | Covidien Lp | Energy-based surgical instrument for grasping, treating, and/or dividing tissue |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11819230B2 (en) * | 2021-02-26 | 2023-11-21 | Olympus Medical Systems Corp. | Surgical tool with reduced actuation force |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
GB2604352A (en) | 2021-03-01 | 2022-09-07 | Gyrus Medical Ltd | Electrosurgical device |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
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 |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
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 |
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 |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
CN113081247B (zh) * | 2021-04-09 | 2022-10-04 | 珠海市司迈科技有限公司 | 一种万向弯曲多功能手术电极 |
CN112971995B (zh) * | 2021-05-19 | 2021-08-31 | 成都博恩思医学机器人有限公司 | 一种可分离机械手装置 |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
CN114788728A (zh) * | 2021-12-02 | 2022-07-26 | 厚凯(北京)医疗科技有限公司 | 手术器械 |
WO2024009264A1 (en) * | 2022-07-07 | 2024-01-11 | Covidien Lp | Motorized vessel sealer override |
DE102022118626A1 (de) | 2022-07-26 | 2024-02-01 | Karl Storz Se & Co. Kg | Verbindungsvorrichtung, chirurgisches Instrument |
CN115137477A (zh) * | 2022-09-05 | 2022-10-04 | 外科先锋(北京)医疗器械有限公司 | 一种可旋转手术刀及其组装方法 |
WO2024069395A1 (en) * | 2022-09-30 | 2024-04-04 | Covidien Lp | Spring assisted sealing instrument |
CN115444551B (zh) * | 2022-11-11 | 2023-03-17 | 海杰亚(北京)医疗器械有限公司 | 射频消融电极针 |
CN117462188B (zh) * | 2023-12-28 | 2024-03-29 | 杭州德晋医疗科技有限公司 | 介入式医疗器械 |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS57501560A (ja) * | 1980-09-29 | 1982-09-02 | ||
US20040254573A1 (en) * | 2003-06-13 | 2004-12-16 | Dycus Sean T. | Vessel sealer and divider for use with small trocars and cannulas |
JP2006095316A (ja) * | 2004-09-29 | 2006-04-13 | Sherwood Services Ag | 細長いナイフストロークと切断機構のための安全装置とを有する、血管シーラーおよび分割器 |
US20090182327A1 (en) * | 2006-01-24 | 2009-07-16 | Tyco Healthcare Group Lp | Endoscopic Vessel Sealer and Divider for Large Tissue Structures |
US20130296922A1 (en) * | 2012-05-01 | 2013-11-07 | Tyco Healthcare Group Lp | Surgical Instrument With Stamped Double-Flag Jaws |
Family Cites Families (147)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4485810A (en) | 1980-10-28 | 1984-12-04 | Oximetrix, Inc. | Surgical cutting blade |
US4427006A (en) * | 1982-01-18 | 1984-01-24 | Medical Research Associates, Ltd. #1 | Electrosurgical instruments |
US4800880A (en) | 1984-09-26 | 1989-01-31 | Catalano J Denis | Surgical needle holder |
US5104397A (en) | 1989-04-14 | 1992-04-14 | Codman & Shurtleff, Inc. | Multi-position latching mechanism for forceps |
US5307976A (en) * | 1991-10-18 | 1994-05-03 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
US5352235A (en) | 1992-03-16 | 1994-10-04 | Tibor Koros | Laparoscopic grasper and cutter |
US5254117A (en) * | 1992-03-17 | 1993-10-19 | Alton Dean Medical | Multi-functional endoscopic probe apparatus |
US5807393A (en) * | 1992-12-22 | 1998-09-15 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
US5827323A (en) | 1993-07-21 | 1998-10-27 | Charles H. Klieman | Surgical instrument for endoscopic and general surgery |
JPH0743804A (ja) * | 1993-07-30 | 1995-02-14 | Canon Inc | 機能選択装置 |
US5868760A (en) * | 1994-12-07 | 1999-02-09 | Mcguckin, Jr.; James F. | Method and apparatus for endolumenally resectioning tissue |
US6464701B1 (en) * | 1995-03-07 | 2002-10-15 | Enable Medical Corporation | Bipolar electrosurgical scissors |
US5776130A (en) | 1995-09-19 | 1998-07-07 | Valleylab, Inc. | Vascular tissue sealing pressure control |
AU703455B2 (en) * | 1995-10-20 | 1999-03-25 | Ethicon Endo-Surgery, Inc. | Self protecting knife for curved jaw surgical instruments |
US5730740A (en) | 1995-11-09 | 1998-03-24 | Ethicon Endo-Surgery, Inc. | Latch mechanism for surgical instruments |
US5925043A (en) | 1997-04-30 | 1999-07-20 | Medquest Products, Inc. | Electrosurgical electrode with a conductive, non-stick coating |
US6585735B1 (en) * | 1998-10-23 | 2003-07-01 | Sherwood Services Ag | Endoscopic bipolar electrosurgical forceps |
US20010031950A1 (en) | 1999-07-16 | 2001-10-18 | Samantha Bell | Surgical blade coatings |
JP2002171877A (ja) * | 2000-12-04 | 2002-06-18 | Shimano Inc | 釣り用リールのスイッチ操作部材 |
EP2263586B1 (en) * | 2001-04-06 | 2018-06-06 | Covidien AG | Vessel sealer and divider |
US7083618B2 (en) | 2001-04-06 | 2006-08-01 | Sherwood Services Ag | Vessel sealer and divider |
US7101373B2 (en) | 2001-04-06 | 2006-09-05 | Sherwood Services Ag | Vessel sealer and divider |
US20030229344A1 (en) * | 2002-01-22 | 2003-12-11 | Dycus Sean T. | Vessel sealer and divider and method of manufacturing same |
US7144403B2 (en) | 2003-07-29 | 2006-12-05 | Alcon, Inc. | Surgical knife |
DE10357105B3 (de) * | 2003-12-06 | 2005-04-07 | Richard Wolf Gmbh | Medizinisches Instrument |
US7632270B2 (en) * | 2004-01-26 | 2009-12-15 | Bovie Medical Corporation | Multi-mode surgical instrument |
US20050222598A1 (en) | 2004-04-05 | 2005-10-06 | Manoa Medical, Inc., A Delaware Corporation | Tissue cutting device |
US8216255B2 (en) * | 2004-06-14 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Endoscopic clip applier actuator |
EP2774552B1 (en) * | 2004-10-08 | 2019-01-02 | Covidien LP | Endoscopic surgical clip applier |
US9763668B2 (en) * | 2004-10-08 | 2017-09-19 | Covidien Lp | Endoscopic surgical clip applier |
US8057467B2 (en) | 2004-10-08 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Clamp mechanism for use with an ultrasonic surgical instrument |
JP4643250B2 (ja) * | 2004-12-24 | 2011-03-02 | オリンパスメディカルシステムズ株式会社 | 手術用処置具 |
US7559452B2 (en) * | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument having fluid actuated opposing jaws |
US7500974B2 (en) * | 2005-06-28 | 2009-03-10 | Covidien Ag | Electrode with rotatably deployable sheath |
US7451904B2 (en) * | 2005-09-26 | 2008-11-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having end effector gripping surfaces |
ES2381560T3 (es) | 2005-09-30 | 2012-05-29 | Covidien Ag | Funda aislante para fórceps electroquirúrgicos |
CN2868227Y (zh) * | 2005-10-24 | 2007-02-14 | 钟李宽 | 五合一切割刀 |
US7766910B2 (en) | 2006-01-24 | 2010-08-03 | Tyco Healthcare Group Lp | Vessel sealer and divider for large tissue structures |
US8734443B2 (en) * | 2006-01-24 | 2014-05-27 | Covidien Lp | Vessel sealer and divider for large tissue structures |
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 |
US8763879B2 (en) * | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US7568603B2 (en) * | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US20080033466A1 (en) | 2006-02-28 | 2008-02-07 | Trans1 Inc. | Surgical cutter with exchangeable cutter blades |
US8409244B2 (en) * | 2007-04-16 | 2013-04-02 | Intuitive Surgical Operations, Inc. | Tool with end effector force limiter |
US7479752B2 (en) * | 2006-06-21 | 2009-01-20 | Ethicon-Endo Surgery, Inc. | Rotation actuator for endoscopic devices |
US8029531B2 (en) * | 2006-07-11 | 2011-10-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7708758B2 (en) * | 2006-08-16 | 2010-05-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
US7985228B2 (en) | 2006-08-25 | 2011-07-26 | Kyphon Sarl | Apparatus and methods for use of expandable members in surgical applications |
EP2578174B1 (en) | 2006-10-06 | 2018-07-18 | Covidien LP | Endoscopic vessel sealer and divider having a flexible articulating shaft |
US7810693B2 (en) * | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
US8808319B2 (en) * | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US7766929B2 (en) * | 2007-09-28 | 2010-08-03 | Olympus Medical Systems Corp. | Surgical operating apparatus |
US8967443B2 (en) * | 2007-10-05 | 2015-03-03 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
CN101951849B (zh) * | 2007-12-18 | 2013-05-22 | 博维医药公司 | 带有可去除工具仓的手术器械 |
DE102007063302B3 (de) * | 2007-12-27 | 2009-04-09 | Olympus Winter & Ibe Gmbh | Chirurgische Zange mit Schraubenfeder |
US10660690B2 (en) * | 2007-12-28 | 2020-05-26 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for measurement of an impedance using a catheter such as an ablation catheter |
US20090171147A1 (en) * | 2007-12-31 | 2009-07-02 | Woojin Lee | Surgical instrument |
US7819298B2 (en) * | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
EP2319447B1 (en) | 2008-03-31 | 2012-08-22 | Applied Medical Resources Corporation | Electrosurgical tool with jaws actuatable by a force regulation mechanism |
US7789283B2 (en) * | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
US8409223B2 (en) * | 2008-08-29 | 2013-04-02 | Covidien Lp | Endoscopic surgical clip applier with clip retention |
US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
US8197479B2 (en) * | 2008-12-10 | 2012-06-12 | Tyco Healthcare Group Lp | Vessel sealer and divider |
US8128649B2 (en) * | 2008-12-16 | 2012-03-06 | Slater Charles R | Spring scissor blade |
US8808345B2 (en) * | 2008-12-31 | 2014-08-19 | Medtronic Ardian Luxembourg S.A.R.L. | Handle assemblies for intravascular treatment devices and associated systems and methods |
US8632539B2 (en) * | 2009-01-14 | 2014-01-21 | Covidien Lp | Vessel sealer and divider |
JP2009148576A (ja) * | 2009-01-19 | 2009-07-09 | Covidien Ag | 血管のシール機および分割機 |
US8485413B2 (en) * | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
GB0906572D0 (en) * | 2009-04-16 | 2009-05-20 | Gyrus Medical Ltd | A surgical instrument |
US8246618B2 (en) * | 2009-07-08 | 2012-08-21 | Tyco Healthcare Group Lp | Electrosurgical jaws with offset knife |
US8679115B2 (en) * | 2009-08-19 | 2014-03-25 | Covidien Lp | Electrical cutting and vessel sealing jaw members |
US8323310B2 (en) * | 2009-09-29 | 2012-12-04 | Covidien Lp | Vessel sealing jaw with offset sealing surface |
US8398633B2 (en) | 2009-10-30 | 2013-03-19 | Covidien Lp | Jaw roll joint |
US8357161B2 (en) * | 2009-10-30 | 2013-01-22 | Covidien Lp | Coaxial drive |
US8556929B2 (en) | 2010-01-29 | 2013-10-15 | Covidien Lp | Surgical forceps capable of adjusting seal plate width based on vessel size |
DE102010016291A1 (de) * | 2010-04-01 | 2011-10-06 | Erbe Elektromedizin Gmbh | Chirurgisches Instrument, insbesondere elektrochirurgisches Instrument |
US8597295B2 (en) * | 2010-04-12 | 2013-12-03 | Covidien Lp | Surgical instrument with non-contact electrical coupling |
DE202010005263U1 (de) * | 2010-04-20 | 2010-06-24 | Aesculap Ag | Chirurgisches Rohrschaftinstrument |
US8469991B2 (en) * | 2010-06-02 | 2013-06-25 | Covidien Lp | Apparatus for performing an electrosurgical procedure |
US9028495B2 (en) * | 2010-06-23 | 2015-05-12 | Covidien Lp | Surgical instrument with a separable coaxial joint |
US9011437B2 (en) * | 2010-07-23 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
CN101947131B (zh) * | 2010-08-20 | 2016-10-05 | 上海祥秀医药科技有限公司 | 用于外科微创手术的带吸引装置的分离钳 |
US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
JP2012065975A (ja) * | 2010-09-27 | 2012-04-05 | Terumo Corp | 医療用マニピュレータ |
JP5902177B2 (ja) * | 2010-09-30 | 2016-04-13 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 支持保持具を含む埋め込み可能な締結具カートリッジ |
US9364233B2 (en) * | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US8888809B2 (en) * | 2010-10-01 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
JP5905472B2 (ja) | 2010-10-01 | 2016-04-20 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 顎部材を有する外科用器具 |
US8444038B2 (en) * | 2010-10-01 | 2013-05-21 | Covidien Lp | Tissue stop for surgical instrument |
US8979890B2 (en) * | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US8906018B2 (en) * | 2010-10-18 | 2014-12-09 | Covidien Lp | Surgical forceps |
US20120109186A1 (en) | 2010-10-29 | 2012-05-03 | Parrott David A | Articulating laparoscopic surgical instruments |
US8568425B2 (en) | 2010-11-01 | 2013-10-29 | Covidien Lp | Wire spool for passing of wire through a rotational coupling |
WO2012088564A1 (en) * | 2010-12-27 | 2012-07-05 | Cathrx Ltd | A modular catheter |
US8734464B2 (en) * | 2011-01-06 | 2014-05-27 | Covidien Lp | Surgical retrieval apparatus for thoracic procedures |
US9113940B2 (en) | 2011-01-14 | 2015-08-25 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
US8945175B2 (en) * | 2011-01-14 | 2015-02-03 | Covidien Lp | Latch mechanism for surgical instruments |
CN202015245U (zh) * | 2011-02-01 | 2011-10-26 | 杭州康基医疗器械有限公司 | 双向可弯形咬切钳 |
US10045811B2 (en) * | 2011-02-16 | 2018-08-14 | Covidien Lp | Surgical instrument with dispensable components |
US9017370B2 (en) | 2011-02-17 | 2015-04-28 | Covidien Lp | Vessel sealer and divider with captured cutting element |
US9168050B1 (en) * | 2011-03-24 | 2015-10-27 | Cambridge Endoscopic Devices, Inc. | End effector construction |
US9381059B2 (en) * | 2011-04-05 | 2016-07-05 | Covidien Lp | Electrically-insulative hinge for electrosurgical jaw assembly, bipolar forceps including same, and methods of jaw-assembly alignment using fastened electrically-insulative hinge |
CN202086580U (zh) * | 2011-05-24 | 2011-12-28 | 胡伟九 | 高频双极闭合切割钳钳头开合锁紧装置 |
EP2532315B1 (en) * | 2011-06-10 | 2015-08-05 | University of Dundee | Medical instrument |
US9028492B2 (en) * | 2011-08-18 | 2015-05-12 | Covidien Lp | Surgical instruments with removable components |
US8945112B2 (en) * | 2011-10-03 | 2015-02-03 | Covidien Lp | External cooling devices and systems for surgical instruments |
GB201119897D0 (en) * | 2011-11-18 | 2011-12-28 | Gyrus Medical Ltd | Electrosurgical instrument |
CN202397592U (zh) * | 2011-12-20 | 2012-08-29 | 杭州光典医疗器械有限公司 | 一次性双极电凝钳 |
US8968360B2 (en) | 2012-01-25 | 2015-03-03 | Covidien Lp | Surgical instrument with resilient driving member and related methods of use |
US8747434B2 (en) * | 2012-02-20 | 2014-06-10 | Covidien Lp | Knife deployment mechanisms for surgical forceps |
JP3175740U (ja) * | 2012-03-08 | 2012-05-24 | 大同通商株式会社 | 照明付き水平器 |
US8968311B2 (en) * | 2012-05-01 | 2015-03-03 | Covidien Lp | Surgical instrument with stamped double-flag jaws and actuation mechanism |
US9668807B2 (en) * | 2012-05-01 | 2017-06-06 | Covidien Lp | Simplified spring load mechanism for delivering shaft force of a surgical instrument |
US9510891B2 (en) * | 2012-06-26 | 2016-12-06 | Covidien Lp | Surgical instruments with structures to provide access for cleaning |
US9039691B2 (en) * | 2012-06-29 | 2015-05-26 | Covidien Lp | Surgical forceps |
WO2014047244A1 (en) * | 2012-09-19 | 2014-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multi-phase trigger bias |
US9265566B2 (en) | 2012-10-16 | 2016-02-23 | Covidien Lp | Surgical instrument |
WO2014074807A1 (en) | 2012-11-09 | 2014-05-15 | GYRUS ACMI, INC. (d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA) | Forceps with a rotation assembly |
US9375205B2 (en) * | 2012-11-15 | 2016-06-28 | Covidien Lp | Deployment mechanisms for surgical instruments |
US9078677B2 (en) * | 2012-12-03 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument with curved blade firing path |
US9173655B2 (en) * | 2012-12-13 | 2015-11-03 | Ethicon Endo-Surgery, Inc. | Needle driver and pawl mechanism for circular needle applier |
US9375256B2 (en) | 2013-02-05 | 2016-06-28 | Covidien Lp | Electrosurgical forceps |
CN104902829B (zh) * | 2013-02-26 | 2017-05-17 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 具有闭锁机构的可更换式清创器刀片模块 |
US9655673B2 (en) * | 2013-03-11 | 2017-05-23 | Covidien Lp | Surgical instrument |
US9877775B2 (en) | 2013-03-12 | 2018-01-30 | Covidien Lp | Electrosurgical instrument with a knife blade stop |
US9814463B2 (en) * | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
CA2906648C (en) * | 2013-03-15 | 2021-05-04 | Applied Medical Resources Corporation | Surgical stapler having actuation mechanism with rotatable shaft |
US10398458B2 (en) * | 2013-03-15 | 2019-09-03 | Nico Corporation | Microsurgical instruments |
EP2982328B1 (en) * | 2013-04-02 | 2019-12-11 | Karl Storz SE & Co. KG | Medical manipulator |
GB2513326A (en) * | 2013-04-23 | 2014-10-29 | Gyrus Medical Ltd | Electrosurgical instrument |
US20140336645A1 (en) * | 2013-05-07 | 2014-11-13 | GYRUS ACMI, INC., d/b/a Olympus Surgical Technologies America | Forceps with continuous latch |
WO2014189876A1 (en) * | 2013-05-20 | 2014-11-27 | Medrobotics Corporation | Articulating surgical instruments and method of deploying the same |
US10231772B2 (en) | 2013-09-25 | 2019-03-19 | Covidien Lp | Wire retention unit for a surgical instrument |
US9579117B2 (en) * | 2013-09-25 | 2017-02-28 | Covidien Lp | Multi-function surgical instruments |
CN203776996U (zh) * | 2014-01-20 | 2014-08-20 | 北京安和加利尔科技有限公司 | 一种具有可换刀头的超声手术刀刀杆 |
US10231776B2 (en) | 2014-01-29 | 2019-03-19 | Covidien Lp | Tissue sealing instrument with tissue-dissecting electrode |
US10463421B2 (en) * | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10092310B2 (en) * | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US9526518B2 (en) * | 2014-03-28 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Surgical cutting devices and methods that include a self-adjusting cutting blade |
US10420577B2 (en) * | 2014-03-31 | 2019-09-24 | Covidien Lp | Apparatus and method for tissue thickness sensing |
WO2015175298A2 (en) | 2014-05-16 | 2015-11-19 | Gyrus Acmi, Inc., D.B.A. Olympus Surgical | Endoscopic cutting forceps with jaw clamp lever latching mechanism |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US10258360B2 (en) * | 2014-09-25 | 2019-04-16 | Covidien Lp | Surgical instruments |
US9814517B2 (en) | 2014-11-17 | 2017-11-14 | Covidien Lp | Deployment mechanisms for multi-function surgical instruments |
CN104739504B (zh) * | 2015-02-28 | 2017-03-22 | 上海凯利泰医疗科技股份有限公司 | 用于脊椎肿瘤治疗术的射频消融装置 |
GB201600546D0 (en) * | 2016-01-12 | 2016-02-24 | Gyrus Medical Ltd | Electrosurgical device |
-
2016
- 2016-01-12 GB GBGB1600546.4A patent/GB201600546D0/en not_active Ceased
-
2017
- 2017-01-09 DE DE102017100296.0A patent/DE102017100296A1/de active Granted
- 2017-01-09 GB GB1700322.9A patent/GB2546414B/en active Active
- 2017-01-09 GB GB1700328.6A patent/GB2546626B/en active Active
- 2017-01-09 DE DE102017100311.8A patent/DE102017100311B4/de active Active
- 2017-01-09 DE DE102017100294.4A patent/DE102017100294A1/de active Pending
- 2017-01-09 GB GB1700325.2A patent/GB2546624B/en active Active
- 2017-01-09 GB GB1816085.3A patent/GB2567318B/en active Active
- 2017-01-09 GB GB1800391.3A patent/GB2557047B/en active Active
- 2017-01-09 GB GB1700324.5A patent/GB2546415B/en active Active
- 2017-01-09 GB GB1700327.8A patent/GB2546625B/en active Active
- 2017-01-09 GB GB1700329.4A patent/GB2553386B/en active Active
- 2017-01-09 DE DE102017100303.7A patent/DE102017100303A1/de not_active Withdrawn
- 2017-01-09 GB GB1700326.0A patent/GB2546416B/en active Active
- 2017-01-10 DE DE102017100391.6A patent/DE102017100391A1/de active Pending
- 2017-01-10 IE IE20170012A patent/IE20170012A1/en unknown
- 2017-01-10 IE IE20170013A patent/IE87044B1/en unknown
- 2017-01-10 IE IE20170010A patent/IE87140B1/en unknown
- 2017-01-10 IE IE20170015A patent/IE20170015A1/en unknown
- 2017-01-10 IE IE20170016A patent/IE87138B1/en unknown
- 2017-01-10 DE DE102017100322.3A patent/DE102017100322A1/de active Pending
- 2017-01-10 IE IE20210190A patent/IE20210190A2/en unknown
- 2017-01-10 IE IE20170011A patent/IE87070B1/en unknown
- 2017-01-10 IE IE20170006A patent/IE87312B1/en unknown
- 2017-01-10 IE IE20170014A patent/IE87141B1/en unknown
- 2017-01-10 IE IE20170005A patent/IE87080B1/en unknown
- 2017-01-10 IE IE20170007A patent/IE87136B1/en unknown
- 2017-01-10 IE IE20170008A patent/IE20170008A1/en not_active IP Right Cessation
- 2017-01-10 DE DE102017100319.3A patent/DE102017100319A1/de active Pending
- 2017-01-10 IE IE20170009A patent/IE20170009A1/en unknown
- 2017-01-11 JP JP2017002902A patent/JP6888802B2/ja active Active
- 2017-01-11 JP JP2017002901A patent/JP6915945B2/ja active Active
- 2017-01-11 JP JP2017002900A patent/JP6888957B2/ja active Active
- 2017-01-11 DE DE102017100409.2A patent/DE102017100409A1/de active Pending
- 2017-01-11 JP JP2017002904A patent/JP6901205B2/ja active Active
- 2017-01-11 JP JP2017002908A patent/JP6915947B2/ja active Active
- 2017-01-11 JP JP2017002907A patent/JP6887809B2/ja active Active
- 2017-01-11 JP JP2017002910A patent/JP6943368B2/ja active Active
- 2017-01-11 JP JP2017002899A patent/JP7140318B2/ja active Active
- 2017-01-11 JP JP2017002906A patent/JP2017164485A/ja active Pending
- 2017-01-11 JP JP2017002903A patent/JP7040868B2/ja active Active
- 2017-01-11 JP JP2017002905A patent/JP6896433B2/ja active Active
- 2017-01-11 JP JP2017002909A patent/JP7107626B2/ja active Active
- 2017-01-11 DE DE102017100406.8A patent/DE102017100406A1/de active Pending
- 2017-01-12 US US15/404,286 patent/US11241273B2/en active Active
- 2017-01-12 US US15/404,497 patent/US20170196632A1/en not_active Abandoned
- 2017-01-12 US US15/404,532 patent/US10751113B2/en active Active
- 2017-01-12 CN CN201710021202.8A patent/CN106955155B/zh active Active
- 2017-01-12 US US15/404,270 patent/US10881450B2/en active Active
- 2017-01-12 CN CN201710020976.9A patent/CN106955154B/zh active Active
- 2017-01-12 CN CN201710020790.3A patent/CN106955153B/zh active Active
- 2017-01-12 US US15/404,598 patent/US10945784B2/en active Active
- 2017-01-12 US US15/404,326 patent/US10653477B2/en active Active
- 2017-01-12 CN CN201710021025.3A patent/CN107019556B/zh active Active
- 2017-01-12 CN CN201710021169.9A patent/CN106955159B/zh active Active
- 2017-01-12 US US15/404,274 patent/US10758296B2/en active Active
- 2017-01-12 CN CN201710020802.2A patent/CN106963480B/zh active Active
- 2017-01-12 US US15/404,278 patent/US10617465B2/en active Active
- 2017-01-12 US US15/404,295 patent/US10537383B2/en active Active
- 2017-01-12 CN CN201710020550.3A patent/CN106955152B/zh active Active
- 2017-01-12 US US15/404,290 patent/US10568683B2/en active Active
- 2017-01-12 CN CN201710021408.0A patent/CN106955156B/zh active Active
- 2017-01-12 US US15/404,342 patent/US10517664B2/en active Active
- 2017-01-12 CN CN201710020549.0A patent/CN107019555B/zh active Active
- 2017-01-12 CN CN201710021238.6A patent/CN107019557B/zh active Active
- 2017-01-12 US US15/404,506 patent/US10758297B2/en active Active
- 2017-01-12 US US15/404,354 patent/US20170196630A1/en not_active Abandoned
- 2017-01-12 CN CN201710028094.7A patent/CN106955157B/zh active Active
- 2017-01-12 US US15/404,359 patent/US10743930B2/en active Active
- 2017-01-12 CN CN201710020586.1A patent/CN106955158A/zh active Pending
-
2021
- 2021-02-22 US US17/181,560 patent/US11844564B2/en active Active
-
2023
- 2023-10-31 US US18/385,631 patent/US20240058053A1/en active Pending
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS57501560A (ja) * | 1980-09-29 | 1982-09-02 | ||
US20040254573A1 (en) * | 2003-06-13 | 2004-12-16 | Dycus Sean T. | Vessel sealer and divider for use with small trocars and cannulas |
JP2006095316A (ja) * | 2004-09-29 | 2006-04-13 | Sherwood Services Ag | 細長いナイフストロークと切断機構のための安全装置とを有する、血管シーラーおよび分割器 |
US20090182327A1 (en) * | 2006-01-24 | 2009-07-16 | Tyco Healthcare Group Lp | Endoscopic Vessel Sealer and Divider for Large Tissue Structures |
JP2009240781A (ja) * | 2008-03-27 | 2009-10-22 | Tyco Healthcare Group Lp | 大きな組織構造のための内視鏡的血管シーラーおよびデバイダー |
US20130296922A1 (en) * | 2012-05-01 | 2013-11-07 | Tyco Healthcare Group Lp | Surgical Instrument With Stamped Double-Flag Jaws |
JP2013230369A (ja) * | 2012-05-01 | 2013-11-14 | Covidien Lp | スタンプされた二重フラッグジョーを有する外科手術器具 |
Also Published As
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP6915947B2 (ja) | 電気手術装置 | |
GB2546274A (en) | Electrosurgical device | |
GB2546266A (en) | Electrosurgical device | |
GB2546267A (en) | Electrosurgical device | |
GB2590876A (en) | Electrosurgical device | |
GB2546270A (en) | Electrosurgical device | |
GB2546278A (en) | Electrosurgical device |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20191120 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20201119 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20201222 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20210319 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20210615 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20210713 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 6915947 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
S111 | Request for change of ownership or part of ownership |
Free format text: JAPANESE INTERMEDIATE CODE: R313113 |
|
R350 | Written notification of registration of transfer |
Free format text: JAPANESE INTERMEDIATE CODE: R350 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |