JP4031616B2 - 脈管融合用双極式器具 - Google Patents
脈管融合用双極式器具 Download PDFInfo
- Publication number
- JP4031616B2 JP4031616B2 JP2000510390A JP2000510390A JP4031616B2 JP 4031616 B2 JP4031616 B2 JP 4031616B2 JP 2000510390 A JP2000510390 A JP 2000510390A JP 2000510390 A JP2000510390 A JP 2000510390A JP 4031616 B2 JP4031616 B2 JP 4031616B2
- Authority
- JP
- Japan
- Prior art keywords
- bipolar
- tissue contact
- distal end
- contact electrode
- electrosurgical energy
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
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
- 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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- 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
- 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
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
- A61B2018/1432—Needle curved
-
- 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
- A61B2018/1495—Electrodes being detachable from a support structure
Description
〔発明の分野〕
本発明は、人又は動物の脈管を永続的に閉じる外科用器具に関し、特に圧力と電気外科用電流の組合せを用いて脈管組織を融合する改良型止血鉗子に関する。
【0002】
〔開示の概要〕
外科手術では脈管や動脈を封鎖即ちシールするために止血鉗子が一般的に用いられている。止血鉗子は、脈管を切断しないで脈管を挟むためにジョー(あご)相互間の機械的動作を用いる単純なペンチ状の器具である。止血鉗子は、これをクランプして定位置に係止できるよう取っ手相互間に相互係止ラチェットを有するのが通例である。
【0003】
多くの止血鉗子は、一般的な開放型外科手術で用いられている。組織をいったん挟むと、外科医は組織の周りに縫合糸を結んでこれを封鎖し、その後に止血鉗子を取り外すのが通例である。数本の止血鉗子を手術現場にそのままにしておく場合があり、外科医がこれらを全て解除する機会を得るまでその状態のままである。外科医は脈管を迅速に融合し、手術部位への接近を止血鉗子が妨害しないようにすることが望ましい。
【0004】
双極式(バイポーラ又は両極性)電気外科的摂子及び鉗子が当該技術分野で知られている。これらの設計は全て、双極性電気外科用エネルギを用いる止血鉗子について操作上の簡単さと慣れを併せ持つものではないという欠点をもっている。たとえば、米国特許第5,462,546号は、互いに対して別々に回動できる2つの対向した回動刃部材から成る電気外科的摂子を開示している。これら部材の回動運動は、細長い管状部材を貫通して延びる2つの導電性剛性ロッドによって行われる。
【0005】
1995年9月19日に出願された米国特許出願第08/530,495号(発明の名称:Energty Deliver System for Vessel Sealing )は、脈管を封鎖する装置及び方法を開示しており、かかる米国特許出願の内容を本明細書の一部を形成するものとしてここに援用する。
【0006】
1995年9月19日に出願された米国特許出願第08/530,450号(発明の名称:Vascular Tissue Sealing Pressure Control and Method )は、脈管を封鎖する外科用器具を開示しており、かかる米国特許出願の内容を本明細書の一部を形成するものとしてここに援用する。
【0007】
ロテック氏に付与された米国特許第5,116,332号は、電気メス形止血鉗子を開示している。この止血鉗子は、スイッチが組み込まれたハマグリ形合成プラスチック製取っ手を有している。
【0008】
ロテック氏に付与された米国特許第5,026,370号は、取外し不能な密閉式電気的切換え機構を備えた電気メスを開示している。米国特許第4,370,980号は、クランプ器具として使用できる電気雌及び手術中に出血中の血管を焼灼する装置を開示している。
【0009】
エッガーズ氏に付与された米国特許第5,484,436号は、双極式電気外科的器具を開示している。双極式器具は、電気的絶縁破壊の減少及び平滑性の増大が得られるよう特別に調製されて被着された電気絶縁層により絶縁される互いに反対の極性の電極を有している。
【0010】
スターン氏等に付与された米国特許第5,443,464号は、ジョーに複数の電極及びセンサが設けられた凝固摂子を開示している。センサは、摂子中の熱の量を制御するために電気外科用エネルギ発生器へのフィードバック信号を出力する。
【0011】
ヒルテブランド氏に付与された米国特許第4,005,714号は、双極式凝固摂子を開示しており、かかる摂子はファロピオ管とその隣の卵管間膜の両方を凝固させるよう設計されている。
【0012】
〔発明の概要〕
本発明の一般的な目的は、縫合糸を必要とせずに組織を融合できる器具を提供することにある。この器具では、電気外科用電流が作業ジョー相互間を流れる。電気外科用電流は、挟まれた状態の組織を通って永続的な封鎖部又はシールを形成する。
【0013】
本発明の一利点は、標準型器具よりも血管を一層迅速に融合できることにある。
【0014】
もう一つの利点は、血管を封鎖するのに縫合糸が不要であることにある。
【0015】
更にもう一つの利点は、器具を当てている間に血管を封鎖でき、次いでこの器具を手術現場から取り外せることにある。これにより、手術現場は、手術部位への外科医の接近を妨害する不要な器具が無い状態に保たれる。
【0016】
双極式器具が組織を部分的に封鎖できるのは、2つの要素を用いているからであり、かかる2つの要素とは、血管を組織接触面相互間に挟んでいるときの血管に及ぼされる圧力と、血管を通って伝わる双極性電気外科的エネルギの特性である。血管に及ぼされる圧力は、組織接触面相互間に及ぼされる力で決まると共に挟んでいる組織の横断面積でも決まる。経験に基づいて判明したこととして、組織接触面相互間の望ましい力は、動脈を結紮する場合よりも静脈を結紮する場合のほうが小さい。組織を分離即ち切り離してしまう閉鎖力を回避することが望ましい。
【0017】
双極性電気外科用エネルギの特性は、電気外科用エネルギ発生器の設計により定まる。本明細書において説明する双極式器具は、双極性出力をもつ電気外科用エネルギ発生器に電気的に接続されるよう設計されている。
【0018】
〔発明の詳細な説明〕
双極式器具の好ましい実施形態では、細長い部材11,12はそれぞれ、導電性材料で作られている。ピボット(軸ピン)13が、改造型止血鉗子15の場合と同様に鋏のように動作することができるように2つの細長い部材11,12を互いに連結している。ピボット13は、図1及び図2に示すように単一のピンであるのがよく、或いはこれはロックボックス組立体14の一体部分であってもよい。図1は、双極式器具10を上から見た斜視図であり、図2は改造型止血鉗子15を下から見た斜視図である。周知のように、ピボット13は、細長い部材11又は12のうち一方から他方の細長い部材への電気外科用電流の流れを阻止するために電気的に絶縁されているのがよい。好ましい実施形態では、ピボット13は絶縁されていない。というのは、これは双極性電気外科用エネルギの2つの極相互間の導電の可能性がある経路ではないからである。双極式器具10の改造型止血鉗子15は、標準型止血鉗子に大変良く似ており、双極性電気外科手術に用いることができ、ちょうど標準型止血鉗子のように滅菌できる。標準型止血鉗子を双極性電気外科用エネルギと共に用いるよう改造したものが本発明である。図1は、双極性電気外科用エネルギを送り出すことができるよう図2に示す改造型止血鉗子15を利用した双極式器具10の斜視図である。
【0019】
双極式器具10は、図2に示す改造型止血鉗子15のように、2つの細長い部材11,12を有するのがよい。各細長い部材11,12は好ましくは、外科医によって保持されるべき手元側端部16′,16及び組織又は脈管構造を扱うための遠方側端部17′又は17を有する。図中、そしてこの説明全体にわたり、一方の細長い部材11の手元側端部を符号16′で示し、一方の細長い部材11の遠方側端部を符号17′で示すことにする。同様に、他方の細長い部材12の手元側端部を符号16で示し、他方の細長い部材12の遠方側端部を符号17で示すことにする。手元側端部16又は16′は、外科医が掴みやすくする構造的特徴、例えば外科医の指のためのループを有するのがよい。
【0020】
第1の組織接触極18は、図2に最もよく示されているように一方の細長い部材11と一体であって一方の遠方側端部17′に設けられている。第1の組織接触極18は好ましくは、一方の細長い部材11と一体であり、この一方の細長い部材は好ましくは導電性材料、例えばステンレス鋼又はアルミニウムで作られていて、双極性電気外科用エネルギを伝えることができるようになっている。
【0021】
双極式器具10は、他方の細長い部材12の遠方側端部17に配置される絶縁オーバーシュー19を有している。絶縁オーバーシュー19は、他方の遠方側端部17の周りに滑り嵌め関係をなして他方の細長い部材12に取り付けられ、それにより絶縁オーバーシュー19と他方の細長い部材12の他方の遠方側端部17との間の長手方向又は横方向の運動を防止している。図2は、絶縁オーバーシュー19が定位置に設けられていない図1の改造型止血鉗子の斜視図であり、遠方側端部17のところの横断面が減少した他方の細長い部材12を示している。遠方側端部17は、絶縁オーバーシュー19を滑り嵌め関係をなして受け入れるために減少した横断面を有している。図3は、絶縁オーバーシュー19を上から見た場合の斜視図である。その結果、遠方側端部17の減少横断面部上に滑り嵌め関係をなして嵌まることができるようにするために開口部20がトンネルのように絶縁オーバーシュー19内へ延びている。かくして、絶縁オーバーシュー19と他方の細長い部材12の他方の遠方側端部17との間の長手方向又は横方向の運動が防止される。絶縁オーバーシュー19は、他方の細長い部材12の周りに係合するクリップ21を有している。絶縁オーバーシュー19は、双極性電気外科用エネルギを他方の細長い部材12に沿ってそのそれぞれの第2の組織接触極22に伝えるための回路構成を支持するよう設計されている。具体的に説明すると、第2の組織接触極22は、第1の組織接触極18と対向した位置で絶縁オーバーシュー19上に設けられていて、絶縁オーバーシュー19を他方の遠方側端部17上に配置することにより、第1の組織接触極18と第2の組織接触極22が互いに横幅全体にわたって正確に整列するようになる。第1の組織接触極18及び第2の組織接触極22は、図4及び図5で最もよく理解されるようにそれぞれ第1の導体23及び第2の導体24に接続されている。
【0022】
図4及び図5に最もよく示されているスイッチ25(図5は概略的に示している)は、第2の組織接触極22と双極性電気外科用エネルギ源26の導通を遮断する。好ましい双極性電気外科用エネルギ源26は、本出願人であるコロラド州ブールダー所在のバレーラブ・インコーポレイテッドによって製造されており、具体的には、双極性出力を有するフォース(Force )FX型電気外科用エネルギ発生器である。図5の略図に示すように、双極性電気外科用エネルギ源26と接触板28,29との間には回路27が設けられている。接触板28,29も又、図5に示されており、ここでは接触板28は、密な加圧接触で電気外科用エネルギを改造型止血鉗子15に伝えるだけのものである。同様に、接触板29は、好ましい実施形態の第2の組織接触極22と等価であり、当業者は接触板29及び第2の組織接触極22を、おそらくは絶縁オーバーシュー19を他方の遠方側端部17に取り付けることにより電気的に結合される別個の部品であるのがよいことがわかる。端子30,31は、図3、図4、図5、図6及び図7では双極性電気外科用エネルギ源26を双極式器具10に着脱自在に且つ容易に電気的に結合するように示されており、具体的に述べると、図5から最もよく理解されるように第1の導体23及び第2の導体24はそれぞれ端子30,31に取り付けられている。従って接触板28は、第1の導体23によって直接端子31に接続され、第2の導体24は端子30とスイッチ25との間に接続されている。スイッチ25の他方の側は、好ましい実施形態では第1の導体24の導通によって第2の組織接触極22に直接電気的に接続されている。端子30,31は、双極性電気外科用エネルギ源26の双極性出力に、即ち、双極性出力の両側に取り付けられている。図5のスイッチ25は、外科医の必要に応じて双極性出力を供給するよう双極性電気外科用エネルギ源26を作動させるハンドスイッチコントローラ32を有している。従って、スイッチ25を閉じると、第1の組織接触極18から第2の組織接触極22への双極性電気外科用エネルギの制御された選択的な伝送を可能にするよう双極性電気外科用エネルギ出力が端子30,31で受け取られる。スイッチ25は、外科医が電気外科用エネルギの流れを制御するのに都合のよい位置でピボット13の上に配置されるのが好ましい。図4は、絶縁オーバーシューのスイッチ25の配線の分解図であり、図5は図4に示すスイッチ25の回路図である。図6は、絶縁オーバーシュー19を下から見た斜視図である。改良型止血鉗子15及びその細長い部材11,12は、導電性材料、例えばステンレス鋼又はアルミニウムで構成されている。その結果、双極性電気外科用エネルギは、組織を第1の組織接触極18と第2の組織接触極22で挟んでスイッチ25を閉じると第1の組織接触極18と第2の組織接触極22との間で組織を通ることになる。
【0023】
双極式器具10は、標準型止血鉗子の見た目及び持った感じと或る程度の類似性を有しており、したがってこれは外科医にとって使い心地がよく且つ馴染みやすいものであろう。しかしながら、双極式器具10は、血管を結紮し、脈管組織を封鎖即ちシールするという付加機能を有している。双極性電気外科用エネルギ源26は、双極性高周波電気外科用エネルギを提供するよう双極式器具10の端子30,31に電気的に接続されている。
【0024】
第1の導体23及び第2の導体24は図4の好ましい実施形態では、他方の細長い部材12に沿って絶縁オーバーシュー19で支持されていて、電気外科用電流を端子30,31から運ぶための絶縁ワイヤとして示されている。絶縁ワイヤは、圧入(又はプレス嵌め)され、或いは絶縁オーバーシュー19の一部として射出成形されている。かくして、ピボット13は、電気的絶縁処理の必要はない。図7は、図3の絶縁オーバーシュー19の側面図であり、この絶縁オーバーシュー19がいかにコンパクトであり、かくして軽量であるかを示している。図8は、図7の絶縁オーバーシューの8−8線に沿った断面図である。図9は、図7の絶縁オーバーシューの9−9線に沿った断面図である。図10は、図7の絶縁オーバーシューの10−10線に沿った断面図である。クリップ21は、図6、図7、図8、図9及び図10に最もよく示され、改良型止血鉗子15に組み付けられた絶縁オーバーシュー19は、図1に示されている。
【0025】
図示していないが、止血鉗子の設計及び用途における当業者にはよく知られている変形例は、遠方側端部17,17′を平面に対して横方向に且つ全体としてピボット13に平行であるが、これから間隔をおいた状態で延びるように既に示した状態よりもいっそう湾曲させることにある。湾曲状態の止血鉗子は、或る外科手術の際、外科医の操作を容易にする接近手段となる。絶縁オーバーシュー19は、減少横断面の遠方側端部17′に容易に嵌着させるのに十分な可撓性を有することが必要である。高誘電性且つ耐熱性であって安価なポリマーが好ましい。同様に、スイッチ25は、その安価な製造を容易にするためにプリント回路基板を有している。
【0026】
係止要素(ラッチ要素)33,34が、好ましくはピボット13の近くで各細長い部材11,12に設けられている。かくして、好ましい実施形態では、これら係止要素33,34は、双極式器具10の手元側端部16,16′の近く、即ち指ループに近接して配置されている。係止要素33,34は好ましくは、周知の滑り係合又は噛み合い関係をなすことができるよう対向した傾斜部35と当接可能な停止部36を有している。少なくとも連続して大きな閉鎖力を第1の組織接触極18と第2の組織接触極22との間に生じさせるために少なくとも3つの当接可能な停止部36を設けるのがよい。各細長い部材11,12に設けられた少なくとも1つの当接可能な停止部36は、小径の脈管については小さな閉鎖力を第1の組織接触極18と第2の組織接触極22との間に生じさせる。各細長い部材11,12に設けられた少なくとも1つの別の当接可能な停止部36は、大径の脈管については大きな閉鎖力を第1の組織接触極18と第2の組織接触極22との間に生じさせることになろう。好ましい実施形態では、係止要素33,34は、細長い部材11,12の歪みエネルギに抗して閉鎖力を保持することになり、これら細長い部材は、次々に連続して位置する停止部36と並置関係になる前に傾斜部の逆方向のカム作用により僅かに撓むことになろう。今説明した動作は、標準型止血鉗子に共通であるが、双極式止血鉗子では幾分異なる面を有している。
【0027】
一方の細長い部材11は、遠方側端部に絶縁オーバーシュー19を備えた他方の細長い部材12とは異なり、双極式電気外科用エネルギ回路27中の異なる電気的極性の部分に取り付けられる。絶縁オーバーシュー19が設けられているので、ピボット13は、細長い部材11,12相互間の電気的短絡を防止するよう電気的に絶縁する必要はない。というのは、これらはピボット13の付近では同一の極性の状態にあるからである。かくして、標準型止血鉗子の設計及び製造技術を用いて図2の改造型止血鉗子15等を構成することは可能である。同様に、係止要素33,34は、これらの傾斜部35及び当接停止部の付近における電気的短絡を防止するよう電気的に絶縁する必要はない。これは、傾斜部35と当接停止部36の摩擦係合により代表的な誘電体被膜及び(又は)絶縁路又はアプローチに応力が加わるので特に良好である。
【0028】
2つの電気端子30,31は好ましくは、外科医に向いた部分又は手元側端部16,16′、好ましくは手元側端部に設けられる。上述したように、端子30,31には、双極性電気外科用エネルギ源26によって互いに反対の極性を持つエネルギが供給される。ハンドスイッチコントローラ32に接続されたピン37は、図5に最もよく示されているように切換えを行うためのものである。好ましい実施形態では、端子は、他方の細長い部材12の手前側端部16の近くで支持される。再使用可能な双極式器具の場合、端子30,31及びピン37は、改造型止血鉗子15を取り外すために双極性電気外科用エネルギ源26から迅速に切り離されるように設計されている。
【0029】
絶縁オーバーシュー19及び改良型止血鉗子15の組立方法は、絶縁オーバーシュー19を他方の遠方側端部17上に滑らせ、次に絶縁オーバーシュー19を他方の細長い部材12に取り付けて絶縁オーバーシューと他方の細長い部材12の他方の遠方側端部17との間の長手方向又は横方向運動を防止する。
【0030】
通常、市販の双極式掴み具、鉗子又はクランプ等は、手術の度ごとに使い捨てできるよう設計されており、或いは再使用可能な場合、各々を滅菌し、電気的に安全であるかどうか、即ち漏電があるかどうかを検査しなければならない。開示した双極式器具10は、電気構成部品から分離できるので安全性が向上し且つ安上がりであり、しかも滅菌処理が容易になることは確かである。
【0031】
説明し請求の範囲に記載した双極式器具10は本発明の原理の一用途の例示に過ぎないことは理解されるべきである。当業者であれば、本発明の精神及び範囲から逸脱することなく、多くの設計変更例及び改良例を想到できる。請求の範囲は、かかる設計変更例及び改造例を包含するものである。
【図面の簡単な説明】
【図1】 電気外科用エネルギを送りだす改良型双極式止血鉗子の斜視図である。
【図2】 絶縁オーバーシューが定位置に設けられている図1の改良型止血鉗子の斜視図であり、遠方側端部の横断面が減少している細長い部材のうち一方を示す図である。
【図3】 絶縁オーバーシューを上から見た斜視図である。
【図4】 絶縁オーバーシューの絶縁材及び支持部分を省いた状態の絶縁オーバーシューのスイッチ部分の配線状態の分解図である。
【図5】 図4に示すスイッチの回路図である。
【図6】 絶縁オーバーシューを下から見た斜視図である。
【図7】 図3の絶縁オーバーシューの側面図である。
【図8】 図7の絶縁オーバーシューの8−8線に沿った断面図である。
【図9】 図7の絶縁オーバーシューの9−9線に沿った断面図である。
【図10】 図7の絶縁オーバーシューの10−10線に沿った断面図である。
Claims (10)
- 双極性電気外科用エネルギで組織をシールするために外科医が使用する双極式器具であって、
外科医により保持される近位端と、遠位端とを各々が有する2つの細長い部材であって、略平面を構成し、高周波電気外科用エネルギを伝送することができるように少なくとも幾分かの導電性を有する材料で作られている細長い部材と、
前記2つの細長い部材相互間で鋏のような動作を行わせるように前記2つの細長い部材を互いに連結するピボットであって、前記平面に直交し、遠位端から離れて配置され前記平面内での前記遠位端の運動を可能にするピボットと、
一方の細長い部材と一体であってその遠位端に設けられた第1の組織接触極であって、高周波電気外科用エネルギを伝送するために導電性である第1の組織接触極と、
他方の細長い部材の遠位端に配置された絶縁オーバーシューであって、該絶縁オーバーシューと細長い部材と他方の遠位端との間の前記平面内での長手方向の運動を防止するように遠位端の周りに滑り嵌め関係をなして前記他方の細長い部材に取り付けられている絶縁オーバーシューと、
前記絶縁オーバーシューに取り付けられた第2の組織接触極であって、前記第1の組織接触極と鏡像関係で配置された第2の組織接触極と、
前記ピボットの近位端側に配置され且つ双極性電気外科用エネルギを受け入れるように構成された2つの電気端子と、
一方の電気端子と前記第1の組織接触極との間の第1の導体と、
双極性電気外科用エネルギを前記第1の組織接触極から前記第2の組織接触極に伝える回路を構成するために他方の電気端子と第2の組織接触極を電気的に互いに接続する第2の導体と、を備えている、
ことを特徴とする双極式器具。 - 協働的に相互係合するよう各細長い部材から延びるラッチ要素が近位端の近くに設けられ、
前記ラッチ要素は、第1の組織接触極と第2の組織接触極をこれらの間に働く第1の力又は第2の力で保持するよう滑り係合する少なくとも対向した第1及び第2の傾斜部及び停止部を有する、
請求項1に記載の双極式器具。 - 双極式器具は、遠位端相互間で鋏のような動作を行わせるためのピボットを備えた改良型止血鉗子であり、
前記改良型止血鉗子は、前記ピボットとほぼ平行に延びるように湾曲する遠位端を備えている、
請求項1に記載の双極式器具。 - 前記第1の組織接触極と第2の組織接触極との間の双極性電気外科用エネルギの制御された選択的な伝送を可能にするために他方の端子と第2の組織接触極との間における第2の導体の導通を遮断するスイッチが設けられ、
該スイッチは、外科医が電気外科用エネルギの流れを制御できる位置でピボットに配置され、端子の近くに設けられたピンが前記スイッチに接続されている、
請求項3に記載の双極式器具。 - 他方の細長い部材の遠位端は、絶縁オーバーシューを受け入れるために横断面が小さくなっている、
請求項1に記載の双極式器具。 - 前記絶縁オーバーシューが、トンネルのように絶縁オーバーシュー内へ延びている開口部を備え、前記絶縁オーバーシューと細長い部材の前記他方の遠位端との間の前記平面内の長手方向の運動を防止するよう、前記他方の遠位端の減少横断面と滑り嵌め関係をなしている、
請求項5に記載の双極式器具。 - 前記絶縁オーバーシューは、前記他方の細長い部材の周りに係合するクリップを有している、
請求項1に記載の双極式器具。 - 前記双極式器具は、前記遠位端相互間で鋏のような動作を行わせる、近位端と遠位端との間に設けられたピボットを備えている改良型止血鉗子である、
請求項1に記載の双極式器具。 - 前記双極性電気外科用エネルギ源が、双極性電気外科用エネルギを電気端子にそれぞれ供給するために別個に電気端子に接続されている、
請求項1に記載の双極式器具。 - 双極性電気外科用エネルギで組織をシールするために外科医が使用する双極式器具を組み立てる方法であって、
前記双極式器具は、各々が外科医により保持される近位端及び遠位端を有する2つの細長い部材を有し、前記細長い部材は略平面を構成し、前記細長い部材は高周波電気外科用エネルギを伝送できるよう導電性であり、2つの細長い部材相互間で鋏のような動作を行わせるように2つの細長い部材を互いに連結するピボットが設けられ、前記ピボットは前記平面を横切り、前記ピボットは、前記平面内での前記遠位端の運動を可能にするように遠位端から離れて配置されており、一方の細長い部材と一体であってその遠位端に設けられた第1の組織接触極が設けられ、前記第1の組織接触極は、高周波電気外科用エネルギを伝送するために導電性であり、他方の細長い部材の遠位端に配置された絶縁オーバーシューが設けられ、絶縁オーバーシューに取り付けられた第2の組織接触極が設けられ、該第2の組織接触極は、第1の組織接触極に対して鏡像関係をなして配置され、前記ピボットに近接して位置すると共に双極性電気外科用エネルギを受け入れるように構成された2つの電気端子が設けられ、一方の電気端子と第1の組織接触極との間に第1の導体が設けられ、双極性電気外科用エネルギを第1の組織接触極と第2の組織接触極の間で伝えることができるようにする他方の電気端子と第2の組織接触極の間の第2の導体が設けられており、前記方法が、
絶縁オーバーシューを遠位端で前記他方の細長い部材上に滑らせる段階と、
絶縁オーバーシューを前記他方の細長い部材に取り付けて、絶縁オーバーシューと細長い部材の他方の遠位端との間の前記平面内での長手方向の運動を防止する段階と、を有する、
ことを特徴とする方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US92686997A | 1997-09-10 | 1997-09-10 | |
US08/926,869 | 1997-09-10 | ||
PCT/US1998/018640 WO1999012488A1 (en) | 1997-09-10 | 1998-09-08 | Bipolar instrument for vessel fusion |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2001515751A JP2001515751A (ja) | 2001-09-25 |
JP2001515751A5 JP2001515751A5 (ja) | 2006-01-05 |
JP4031616B2 true JP4031616B2 (ja) | 2008-01-09 |
Family
ID=25453818
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2000510390A Expired - Fee Related JP4031616B2 (ja) | 1997-09-10 | 1998-09-08 | 脈管融合用双極式器具 |
Country Status (8)
Country | Link |
---|---|
US (1) | US6334861B1 (ja) |
EP (3) | EP1011493B1 (ja) |
JP (1) | JP4031616B2 (ja) |
AU (1) | AU739648B2 (ja) |
CA (1) | CA2303194C (ja) |
DE (2) | DE69829480T2 (ja) |
ES (3) | ES2238768T3 (ja) |
WO (1) | WO1999012488A1 (ja) |
Families Citing this family (764)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6352536B1 (en) * | 2000-02-11 | 2002-03-05 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US6187003B1 (en) * | 1997-11-12 | 2001-02-13 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US6050996A (en) | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
US6726686B2 (en) * | 1997-11-12 | 2004-04-27 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
US7435249B2 (en) * | 1997-11-12 | 2008-10-14 | Covidien Ag | Electrosurgical instruments which reduces collateral damage to adjacent tissue |
US6228083B1 (en) * | 1997-11-14 | 2001-05-08 | Sherwood Services Ag | Laparoscopic bipolar electrosurgical instrument |
US20030014052A1 (en) * | 1997-11-14 | 2003-01-16 | Buysse Steven P. | Laparoscopic bipolar electrosurgical instrument |
US7118570B2 (en) | 2001-04-06 | 2006-10-10 | Sherwood Services Ag | Vessel sealing forceps with disposable electrodes |
WO2002080797A1 (en) * | 1998-10-23 | 2002-10-17 | Sherwood Services Ag | Vessel sealing instrument |
US7364577B2 (en) | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
US7267677B2 (en) | 1998-10-23 | 2007-09-11 | Sherwood Services Ag | Vessel sealing instrument |
ES2324479T3 (es) | 1998-10-23 | 2009-08-07 | Covidien Ag | Forceps electroquirurgico endoscopico bipolar. |
US20040249374A1 (en) * | 1998-10-23 | 2004-12-09 | Tetzlaff Philip M. | Vessel sealing instrument |
US7582087B2 (en) * | 1998-10-23 | 2009-09-01 | Covidien Ag | Vessel sealing instrument |
DE19855812C2 (de) * | 1998-12-03 | 2001-05-03 | Aesculap Ag & Co Kg | Chirurgische Bipolarschere |
GB2345857B (en) * | 1999-01-23 | 2000-12-06 | Ahmad Fahmi Juanroyee | Scissors-clip diathermy (SCD) |
EP1372505B1 (en) * | 1999-09-01 | 2006-06-21 | Sherwood Services AG | Electrosurgical instrument reducing thermal spread |
US7887535B2 (en) * | 1999-10-18 | 2011-02-15 | Covidien Ag | Vessel sealing wave jaw |
US20030109875A1 (en) | 1999-10-22 | 2003-06-12 | Tetzlaff Philip M. | Open vessel sealing forceps with disposable electrodes |
US6692491B1 (en) | 2000-03-24 | 2004-02-17 | Scimed Life Systems, Inc. | Surgical methods and apparatus for positioning a diagnostic or therapeutic element around one or more pulmonary veins or other body structures |
US6926712B2 (en) | 2000-03-24 | 2005-08-09 | Boston Scientific Scimed, Inc. | Clamp having at least one malleable clamp member and surgical method employing the same |
US6740085B2 (en) * | 2000-11-16 | 2004-05-25 | Olympus Corporation | Heating treatment system |
US20020111624A1 (en) | 2001-01-26 | 2002-08-15 | Witt David A. | Coagulating electrosurgical instrument with tissue dam |
US10849681B2 (en) | 2001-04-06 | 2020-12-01 | Covidien Ag | Vessel sealer and divider |
DE60136395D1 (de) * | 2001-04-06 | 2008-12-11 | Covidien Ag | Gefässversiegelnde Vorrichtung |
CA2442706A1 (en) * | 2001-04-06 | 2002-10-17 | Sherwood Services Ag | Electrosurgical instrument reducing flashover |
US7101371B2 (en) * | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
DE60121228T2 (de) * | 2001-04-06 | 2007-05-24 | Sherwood Services Ag | Beschädigungen des benachbarten gewebes reduzierendes, elektrochirurgisches instrument |
EP1372512B1 (en) * | 2001-04-06 | 2005-06-22 | Sherwood Services AG | Molded insulating hinge for bipolar instruments |
US7101373B2 (en) * | 2001-04-06 | 2006-09-05 | Sherwood Services Ag | Vessel sealer and divider |
US7090673B2 (en) * | 2001-04-06 | 2006-08-15 | Sherwood Services Ag | Vessel sealer and divider |
EP1656901B1 (en) | 2001-04-06 | 2009-09-02 | Covidien AG | Vessel sealer and divider with non-conductive stop members |
US7083618B2 (en) * | 2001-04-06 | 2006-08-01 | Sherwood Services Ag | Vessel sealer and divider |
US7101372B2 (en) * | 2001-04-06 | 2006-09-05 | Sherwood Sevices Ag | Vessel sealer and divider |
US6699240B2 (en) | 2001-04-26 | 2004-03-02 | Medtronic, Inc. | Method and apparatus for tissue ablation |
US6807968B2 (en) | 2001-04-26 | 2004-10-26 | Medtronic, Inc. | Method and system for treatment of atrial tachyarrhythmias |
US6913579B2 (en) * | 2001-05-01 | 2005-07-05 | Surgrx, Inc. | Electrosurgical working end and method for obtaining tissue samples for biopsy |
DE50207859D1 (de) * | 2001-06-05 | 2006-09-28 | Erbe Elektromedizin | Bipolare klemme |
US20030018332A1 (en) * | 2001-06-20 | 2003-01-23 | Schmaltz Dale Francis | Bipolar electrosurgical instrument with replaceable electrodes |
US6585749B2 (en) * | 2001-08-01 | 2003-07-01 | Sulzer Spine-Tech Inc. | Surgical implant instrument and method |
US6802843B2 (en) * | 2001-09-13 | 2004-10-12 | Csaba Truckai | Electrosurgical working end with resistive gradient electrodes |
US6773409B2 (en) * | 2001-09-19 | 2004-08-10 | Surgrx Llc | Surgical system for applying ultrasonic energy to tissue |
US6929644B2 (en) * | 2001-10-22 | 2005-08-16 | Surgrx Inc. | Electrosurgical jaw structure for controlled energy delivery |
US7070597B2 (en) * | 2001-10-18 | 2006-07-04 | Surgrx, Inc. | Electrosurgical working end for controlled energy delivery |
US20050267464A1 (en) * | 2001-10-18 | 2005-12-01 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7189233B2 (en) * | 2001-10-22 | 2007-03-13 | Surgrx, Inc. | Electrosurgical instrument |
US7311709B2 (en) * | 2001-10-22 | 2007-12-25 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US8075558B2 (en) | 2002-04-30 | 2011-12-13 | Surgrx, Inc. | Electrosurgical instrument and method |
US7041102B2 (en) * | 2001-10-22 | 2006-05-09 | Surgrx, Inc. | Electrosurgical working end with replaceable cartridges |
US6905497B2 (en) * | 2001-10-22 | 2005-06-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument |
US6926716B2 (en) * | 2001-11-09 | 2005-08-09 | Surgrx Inc. | Electrosurgical instrument |
US7354440B2 (en) * | 2001-10-22 | 2008-04-08 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US20030216732A1 (en) * | 2002-05-20 | 2003-11-20 | Csaba Truckai | Medical instrument with thermochromic or piezochromic surface indicators |
US7753908B2 (en) | 2002-02-19 | 2010-07-13 | Endoscopic Technologies, Inc. (Estech) | Apparatus for securing an electrophysiology probe to a clamp |
US7785324B2 (en) | 2005-02-25 | 2010-08-31 | Endoscopic Technologies, Inc. (Estech) | Clamp based lesion formation apparatus and methods configured to protect non-target tissue |
CA2733282C (en) * | 2002-01-22 | 2017-02-14 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US6676660B2 (en) | 2002-01-23 | 2004-01-13 | Ethicon Endo-Surgery, Inc. | Feedback light apparatus and method for use with an electrosurgical instrument |
US6932816B2 (en) | 2002-02-19 | 2005-08-23 | Boston Scientific Scimed, Inc. | Apparatus for converting a clamp into an electrophysiology device |
US20040115296A1 (en) * | 2002-04-05 | 2004-06-17 | Duffin Terry M. | Retractable overmolded insert retention apparatus |
US6976992B2 (en) * | 2002-07-16 | 2005-12-20 | Suturecut, Llc | Dual-function medical instrument |
US7087054B2 (en) * | 2002-10-01 | 2006-08-08 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7291161B2 (en) * | 2002-10-02 | 2007-11-06 | Atricure, Inc. | Articulated clamping member |
US7276068B2 (en) * | 2002-10-04 | 2007-10-02 | Sherwood Services Ag | Vessel sealing instrument with electrical cutting mechanism |
US7270664B2 (en) | 2002-10-04 | 2007-09-18 | Sherwood Services Ag | Vessel sealing instrument with electrical cutting mechanism |
US7931649B2 (en) * | 2002-10-04 | 2011-04-26 | Tyco Healthcare Group Lp | Vessel sealing instrument with electrical cutting mechanism |
US7799026B2 (en) | 2002-11-14 | 2010-09-21 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
US7033354B2 (en) * | 2002-12-10 | 2006-04-25 | Sherwood Services Ag | Electrosurgical electrode having a non-conductive porous ceramic coating |
US7169146B2 (en) * | 2003-02-14 | 2007-01-30 | Surgrx, Inc. | Electrosurgical probe and method of use |
US7776036B2 (en) * | 2003-03-13 | 2010-08-17 | Covidien Ag | Bipolar concentric electrode assembly for soft tissue fusion |
US20060064086A1 (en) * | 2003-03-13 | 2006-03-23 | Darren Odom | Bipolar forceps with multiple electrode array end effector assembly |
US20060052779A1 (en) * | 2003-03-13 | 2006-03-09 | Hammill Curt D | Electrode assembly for tissue fusion |
US8128624B2 (en) * | 2003-05-01 | 2012-03-06 | Covidien Ag | Electrosurgical instrument that directs energy delivery and protects adjacent tissue |
US7753909B2 (en) * | 2003-05-01 | 2010-07-13 | Covidien Ag | Electrosurgical instrument which reduces thermal damage to adjacent tissue |
US7160299B2 (en) * | 2003-05-01 | 2007-01-09 | Sherwood Services Ag | Method of fusing biomaterials with radiofrequency energy |
JP5137230B2 (ja) | 2003-05-15 | 2013-02-06 | コヴィディエン・アクチェンゲゼルシャフト | 非伝導性可変停止部材を備えた組織シーラーおよび組織をシールする方法 |
USD496997S1 (en) | 2003-05-15 | 2004-10-05 | Sherwood Services Ag | Vessel sealer and divider |
USD499181S1 (en) | 2003-05-15 | 2004-11-30 | Sherwood Services Ag | Handle for a vessel sealer and divider |
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 |
US7150097B2 (en) * | 2003-06-13 | 2006-12-19 | Sherwood Services Ag | Method of manufacturing jaw assembly for vessel sealer and divider |
US7150749B2 (en) * | 2003-06-13 | 2006-12-19 | Sherwood Services Ag | Vessel sealer and divider having elongated knife stroke and safety cutting mechanism |
USD956973S1 (en) | 2003-06-13 | 2022-07-05 | Covidien Ag | Movable handle for endoscopic vessel sealer and divider |
US7156846B2 (en) | 2003-06-13 | 2007-01-02 | Sherwood Services Ag | Vessel sealer and divider for use with small trocars and cannulas |
US7857812B2 (en) * | 2003-06-13 | 2010-12-28 | Covidien Ag | Vessel sealer and divider having elongated knife stroke and safety for cutting mechanism |
US9848938B2 (en) | 2003-11-13 | 2017-12-26 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
US7232440B2 (en) * | 2003-11-17 | 2007-06-19 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
US7367976B2 (en) | 2003-11-17 | 2008-05-06 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
US7811283B2 (en) | 2003-11-19 | 2010-10-12 | Covidien Ag | Open vessel sealing instrument with hourglass cutting mechanism and over-ratchet safety |
US7131970B2 (en) * | 2003-11-19 | 2006-11-07 | Sherwood Services Ag | Open vessel sealing instrument with cutting mechanism |
US7309849B2 (en) * | 2003-11-19 | 2007-12-18 | Surgrx, Inc. | Polymer compositions exhibiting a PTC property and methods of fabrication |
US7500975B2 (en) * | 2003-11-19 | 2009-03-10 | Covidien Ag | Spring loaded reciprocating tissue cutting mechanism in a forceps-style electrosurgical instrument |
US7252667B2 (en) * | 2003-11-19 | 2007-08-07 | Sherwood Services Ag | Open vessel sealing instrument with cutting mechanism and distal lockout |
US7442193B2 (en) | 2003-11-20 | 2008-10-28 | Covidien Ag | Electrically conductive/insulative over-shoe for tissue fusion |
US8002770B2 (en) | 2003-12-02 | 2011-08-23 | Endoscopic Technologies, Inc. (Estech) | Clamp based methods and apparatus for forming lesions in tissue and confirming whether a therapeutic lesion has been formed |
US7632269B2 (en) * | 2004-01-16 | 2009-12-15 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with replaceable cartridge |
US7074494B2 (en) * | 2004-02-19 | 2006-07-11 | E. I. Du Pont De Nemours And Company | Flame retardant surface coverings |
US7780662B2 (en) | 2004-03-02 | 2010-08-24 | Covidien Ag | Vessel sealing system using capacitive RF dielectric heating |
US7955331B2 (en) * | 2004-03-12 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument and method of use |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US7195631B2 (en) * | 2004-09-09 | 2007-03-27 | Sherwood Services Ag | Forceps with spring loaded end effector assembly |
US7540872B2 (en) * | 2004-09-21 | 2009-06-02 | Covidien Ag | Articulating bipolar electrosurgical instrument |
US7955332B2 (en) | 2004-10-08 | 2011-06-07 | Covidien Ag | Mechanism for dividing tissue in a hemostat-style instrument |
US7628792B2 (en) * | 2004-10-08 | 2009-12-08 | Covidien Ag | Bilateral foot jaws |
US20060084973A1 (en) * | 2004-10-14 | 2006-04-20 | Dylan Hushka | Momentary rocker switch for use with vessel sealing instruments |
US7686827B2 (en) * | 2004-10-21 | 2010-03-30 | Covidien Ag | Magnetic closure mechanism for hemostat |
US7727231B2 (en) | 2005-01-08 | 2010-06-01 | Boston Scientific Scimed, Inc. | Apparatus and methods for forming lesions in tissue and applying stimulation energy to tissue in which lesions are formed |
US7909823B2 (en) * | 2005-01-14 | 2011-03-22 | Covidien Ag | Open vessel sealing instrument |
US7686804B2 (en) | 2005-01-14 | 2010-03-30 | Covidien Ag | Vessel sealer and divider with rotating sealer and cutter |
FR2882645B1 (fr) * | 2005-03-03 | 2007-04-27 | Jean Chaignaud | Pince bipolaire a serrage automatique predefini pour chirurgie ouverte |
US7491202B2 (en) * | 2005-03-31 | 2009-02-17 | Covidien Ag | Electrosurgical forceps with slow closure sealing plates and method of sealing tissue |
US8728072B2 (en) | 2005-05-12 | 2014-05-20 | Aesculap Ag | Electrocautery method and apparatus |
US7942874B2 (en) * | 2005-05-12 | 2011-05-17 | Aragon Surgical, Inc. | Apparatus for tissue cauterization |
US8696662B2 (en) * | 2005-05-12 | 2014-04-15 | Aesculap Ag | Electrocautery method and apparatus |
US9339323B2 (en) * | 2005-05-12 | 2016-05-17 | Aesculap Ag | Electrocautery method and apparatus |
US20070005061A1 (en) * | 2005-06-30 | 2007-01-04 | Forcept, Inc. | Transvaginal uterine artery occlusion |
US8945151B2 (en) | 2005-07-13 | 2015-02-03 | Atricure, Inc. | Surgical clip applicator and apparatus including the same |
US7837685B2 (en) * | 2005-07-13 | 2010-11-23 | Covidien Ag | Switch mechanisms for safe activation of energy on an electrosurgical instrument |
US7641651B2 (en) * | 2005-07-28 | 2010-01-05 | Aragon Surgical, Inc. | Devices and methods for mobilization of the uterus |
US7628791B2 (en) * | 2005-08-19 | 2009-12-08 | Covidien Ag | Single action tissue sealer |
US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
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 |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US9015587B2 (en) * | 2005-09-26 | 2015-04-21 | Samsung Electronics Co., Ltd. | Home network device and method of receiving and transmitting sound information using the same |
AU2012254931B2 (en) * | 2005-09-30 | 2014-03-06 | Covidien Ag | Insulating boot for electrosurgical forceps |
US7879035B2 (en) * | 2005-09-30 | 2011-02-01 | Covidien Ag | Insulating boot for electrosurgical forceps |
US7722607B2 (en) | 2005-09-30 | 2010-05-25 | Covidien Ag | In-line vessel sealer and divider |
US7789878B2 (en) * | 2005-09-30 | 2010-09-07 | Covidien Ag | In-line vessel sealer and divider |
CA2561034C (en) | 2005-09-30 | 2014-12-09 | Sherwood Services Ag | Flexible endoscopic catheter with an end effector for coagulating and transfecting tissue |
CA2561638C (en) * | 2005-09-30 | 2015-06-30 | Sherwood Services Ag | Insulating boot for electrosurgical forceps |
US7922953B2 (en) | 2005-09-30 | 2011-04-12 | Covidien Ag | Method for manufacturing an end effector assembly |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US8734443B2 (en) | 2006-01-24 | 2014-05-27 | Covidien Lp | Vessel sealer and divider for large tissue structures |
US8241282B2 (en) | 2006-01-24 | 2012-08-14 | Tyco Healthcare Group Lp | Vessel sealing cutting assemblies |
US8882766B2 (en) | 2006-01-24 | 2014-11-11 | Covidien Ag | Method and system for controlling delivery of energy to divide tissue |
US7766910B2 (en) * | 2006-01-24 | 2010-08-03 | Tyco Healthcare Group Lp | Vessel sealer and divider for large tissue structures |
US8298232B2 (en) | 2006-01-24 | 2012-10-30 | Tyco Healthcare Group Lp | Endoscopic vessel sealer and divider for large tissue structures |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording 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 |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8574229B2 (en) * | 2006-05-02 | 2013-11-05 | Aesculap Ag | Surgical tool |
US7641653B2 (en) * | 2006-05-04 | 2010-01-05 | Covidien Ag | Open vessel sealing forceps disposable handswitch |
US7846158B2 (en) * | 2006-05-05 | 2010-12-07 | Covidien Ag | Apparatus and method for electrode thermosurgery |
US20070260238A1 (en) * | 2006-05-05 | 2007-11-08 | Sherwood Services Ag | Combined energy level button |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US7776037B2 (en) * | 2006-07-07 | 2010-08-17 | Covidien Ag | System and method for controlling electrode gap during tissue sealing |
US20080015575A1 (en) * | 2006-07-14 | 2008-01-17 | Sherwood Services Ag | Vessel sealing instrument with pre-heated electrodes |
US7744615B2 (en) * | 2006-07-18 | 2010-06-29 | Covidien Ag | Apparatus and method for transecting tissue on a bipolar vessel sealing instrument |
US7740159B2 (en) | 2006-08-02 | 2010-06-22 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist |
US8597297B2 (en) * | 2006-08-29 | 2013-12-03 | Covidien Ag | Vessel sealing instrument with multiple electrode configurations |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US7665647B2 (en) | 2006-09-29 | 2010-02-23 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling device with closure apparatus for limiting maximum tissue compression force |
US8070746B2 (en) | 2006-10-03 | 2011-12-06 | Tyco Healthcare Group Lp | Radiofrequency fusion of cardiac tissue |
US7951149B2 (en) * | 2006-10-17 | 2011-05-31 | Tyco Healthcare Group Lp | Ablative material for use with tissue treatment device |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
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 |
USD649249S1 (en) | 2007-02-15 | 2011-11-22 | Tyco Healthcare Group Lp | End effectors of an elongated dissecting and dividing instrument |
US8727197B2 (en) | 2007-03-15 | 2014-05-20 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configuration with cooperative surgical staple |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US8267935B2 (en) | 2007-04-04 | 2012-09-18 | Tyco Healthcare Group Lp | Electrosurgical instrument reducing current densities at an insulator conductor junction |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
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 |
US8152800B2 (en) | 2007-07-30 | 2012-04-10 | Vivant Medical, Inc. | Electrosurgical systems and printed circuit boards for use therewith |
US7877852B2 (en) | 2007-09-20 | 2011-02-01 | Tyco Healthcare Group Lp | Method of manufacturing an end effector assembly for sealing tissue |
US7877853B2 (en) | 2007-09-20 | 2011-02-01 | Tyco Healthcare Group Lp | Method of manufacturing end effector assembly for sealing tissue |
US8267936B2 (en) | 2007-09-28 | 2012-09-18 | Tyco Healthcare Group Lp | Insulating mechanically-interfaced adhesive for electrosurgical forceps |
US20090088750A1 (en) * | 2007-09-28 | 2009-04-02 | Tyco Healthcare Group Lp | Insulating Boot with Silicone Overmold for Electrosurgical Forceps |
US20090088748A1 (en) * | 2007-09-28 | 2009-04-02 | Tyco Healthcare Group Lp | Insulating Mesh-like Boot for Electrosurgical Forceps |
US8251996B2 (en) * | 2007-09-28 | 2012-08-28 | Tyco Healthcare Group Lp | Insulating sheath for electrosurgical forceps |
US8236025B2 (en) * | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Silicone insulated electrosurgical forceps |
US8221416B2 (en) * | 2007-09-28 | 2012-07-17 | Tyco Healthcare Group Lp | Insulating boot for electrosurgical forceps with thermoplastic clevis |
US20090088745A1 (en) * | 2007-09-28 | 2009-04-02 | Tyco Healthcare Group Lp | Tapered Insulating Boot for Electrosurgical Forceps |
US8241283B2 (en) | 2007-09-28 | 2012-08-14 | Tyco Healthcare Group Lp | Dual durometer insulating boot for electrosurgical forceps |
US9023043B2 (en) | 2007-09-28 | 2015-05-05 | Covidien Lp | Insulating mechanically-interfaced boot and jaws for electrosurgical forceps |
US8235993B2 (en) * | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Insulating boot for electrosurgical forceps with exohinged structure |
US8235992B2 (en) * | 2007-09-28 | 2012-08-07 | Tyco Healthcare Group Lp | Insulating boot with mechanical reinforcement for electrosurgical forceps |
EP2211744A1 (en) * | 2007-11-13 | 2010-08-04 | Boston Scientific Scimed, Inc. | Apparatus system and method for coagulating and cutting tissue |
US8221417B2 (en) * | 2007-11-13 | 2012-07-17 | Boston Scientific Scimed, Inc. | Disposable electro-surgical cover elements and electro-surgical instrument |
US20090198272A1 (en) * | 2008-02-06 | 2009-08-06 | Lawrence Kerver | Method and apparatus for articulating the wrist of a laparoscopic grasping instrument |
US8764748B2 (en) * | 2008-02-06 | 2014-07-01 | Covidien Lp | End effector assembly for electrosurgical device and method for making the same |
US8870867B2 (en) * | 2008-02-06 | 2014-10-28 | Aesculap Ag | Articulable electrosurgical instrument with a stabilizable articulation actuator |
US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US8348129B2 (en) | 2009-10-09 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapler having a closure mechanism |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
JP5410110B2 (ja) | 2008-02-14 | 2014-02-05 | エシコン・エンド−サージェリィ・インコーポレイテッド | Rf電極を有する外科用切断・固定器具 |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US7793812B2 (en) | 2008-02-14 | 2010-09-14 | Ethicon Endo-Surgery, Inc. | Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US20090206142A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material for a surgical stapling instrument |
US8608044B2 (en) | 2008-02-15 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Feedback and lockout mechanism for surgical instrument |
US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US8623276B2 (en) * | 2008-02-15 | 2014-01-07 | Covidien Lp | Method and system for sterilizing an electrosurgical instrument |
CA3161692A1 (en) | 2008-03-31 | 2009-10-08 | Applied Medical Resources Corporation | Electrosurgical system |
US8348947B2 (en) | 2008-04-25 | 2013-01-08 | Olympus Medical Systems Corp. | Treatment system, and treatment method for living tissue using energy |
US8469956B2 (en) | 2008-07-21 | 2013-06-25 | Covidien Lp | Variable resistor jaw |
US8257387B2 (en) * | 2008-08-15 | 2012-09-04 | Tyco Healthcare Group Lp | Method of transferring pressure in an articulating surgical instrument |
US8162973B2 (en) * | 2008-08-15 | 2012-04-24 | Tyco Healthcare Group Lp | Method of transferring pressure in an articulating surgical instrument |
US9603652B2 (en) | 2008-08-21 | 2017-03-28 | Covidien Lp | Electrosurgical instrument including a sensor |
US8317787B2 (en) * | 2008-08-28 | 2012-11-27 | Covidien Lp | Tissue fusion jaw angle improvement |
US20100057081A1 (en) * | 2008-08-28 | 2010-03-04 | Tyco Healthcare Group Lp | Tissue Fusion Jaw Angle Improvement |
US8795274B2 (en) * | 2008-08-28 | 2014-08-05 | Covidien Lp | Tissue fusion jaw angle improvement |
US8784417B2 (en) * | 2008-08-28 | 2014-07-22 | Covidien Lp | Tissue fusion jaw angle improvement |
US20100063500A1 (en) * | 2008-09-05 | 2010-03-11 | Tyco Healthcare Group Lp | Apparatus, System and Method for Performing an Electrosurgical Procedure |
US8303582B2 (en) | 2008-09-15 | 2012-11-06 | Tyco Healthcare Group Lp | Electrosurgical instrument having a coated electrode utilizing an atomic layer deposition technique |
US20100069953A1 (en) * | 2008-09-16 | 2010-03-18 | Tyco Healthcare Group Lp | Method of Transferring Force Using Flexible Fluid-Filled Tubing in an Articulating Surgical Instrument |
US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
US7954686B2 (en) | 2008-09-19 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical stapler with apparatus for adjusting staple height |
PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US20100076430A1 (en) * | 2008-09-24 | 2010-03-25 | Tyco Healthcare Group Lp | Electrosurgical Instrument Having a Thumb Lever and Related System and Method of Use |
US9375254B2 (en) | 2008-09-25 | 2016-06-28 | Covidien Lp | Seal and separate algorithm |
US8535312B2 (en) * | 2008-09-25 | 2013-09-17 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
US8968314B2 (en) | 2008-09-25 | 2015-03-03 | Covidien Lp | Apparatus, system and method for performing an electrosurgical procedure |
US8142473B2 (en) * | 2008-10-03 | 2012-03-27 | Tyco Healthcare Group Lp | Method of transferring rotational motion in an articulating surgical instrument |
US8469957B2 (en) * | 2008-10-07 | 2013-06-25 | Covidien Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8016827B2 (en) * | 2008-10-09 | 2011-09-13 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8636761B2 (en) | 2008-10-09 | 2014-01-28 | Covidien Lp | Apparatus, system, and method for performing an endoscopic electrosurgical procedure |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8486107B2 (en) * | 2008-10-20 | 2013-07-16 | Covidien Lp | Method of sealing tissue using radiofrequency energy |
US8197479B2 (en) * | 2008-12-10 | 2012-06-12 | Tyco Healthcare Group Lp | Vessel sealer and divider |
US8114122B2 (en) | 2009-01-13 | 2012-02-14 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
CA2751664A1 (en) | 2009-02-06 | 2010-08-12 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
US8187273B2 (en) | 2009-05-07 | 2012-05-29 | Tyco Healthcare Group Lp | Apparatus, system, and method for performing an electrosurgical procedure |
US8246618B2 (en) | 2009-07-08 | 2012-08-21 | Tyco Healthcare Group Lp | Electrosurgical jaws with offset knife |
US8133254B2 (en) | 2009-09-18 | 2012-03-13 | Tyco Healthcare Group Lp | In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor |
US8112871B2 (en) | 2009-09-28 | 2012-02-14 | Tyco Healthcare Group Lp | Method for manufacturing electrosurgical seal plates |
CA2778997C (en) * | 2009-11-05 | 2022-03-08 | Nimbus Concepts, Llc | Methods and systems for radio frequency neurotomy |
US8353439B2 (en) | 2009-11-19 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with radially-openable distal end portion |
US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
KR101733942B1 (ko) * | 2010-02-04 | 2017-05-08 | 아에스쿨랍 아게 | 복강경 고주파 수술장치 |
US8419727B2 (en) | 2010-03-26 | 2013-04-16 | Aesculap Ag | Impedance mediated power delivery for electrosurgery |
US8827992B2 (en) * | 2010-03-26 | 2014-09-09 | Aesculap Ag | Impedance mediated control of power delivery for electrosurgery |
WO2011146243A1 (en) | 2010-05-21 | 2011-11-24 | Nimbus Concepts, Llc | Systems and methods for tissue ablation |
JP5138738B2 (ja) * | 2010-07-01 | 2013-02-06 | コヴィディエン・アクチェンゲゼルシャフト | 血管の封止装置 |
US8801734B2 (en) | 2010-07-30 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Circular stapling instruments with secondary cutting arrangements and methods of using same |
US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US9173698B2 (en) | 2010-09-17 | 2015-11-03 | Aesculap Ag | Electrosurgical tissue sealing augmented with a seal-enhancing composition |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
AU2015204333B2 (en) * | 2010-09-30 | 2016-01-21 | Covidien Lp | Vessel sealing instrument |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9005200B2 (en) | 2010-09-30 | 2015-04-14 | Covidien Lp | Vessel sealing instrument |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US10123798B2 (en) | 2010-09-30 | 2018-11-13 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9592050B2 (en) | 2010-09-30 | 2017-03-14 | Ethicon Endo-Surgery, Llc | End effector comprising a distal tissue abutment member |
US20120080498A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Curved end effector for a stapling instrument |
US8864009B2 (en) | 2010-09-30 | 2014-10-21 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator for a surgical stapler comprising an adjustable anvil |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9351730B2 (en) | 2011-04-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising channels |
BR112013007717B1 (pt) | 2010-09-30 | 2020-09-24 | Ethicon Endo-Surgery, Inc. | Sistema de grampeamento cirúrgico |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US20120080344A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Implantable fastener cartridge comprising a support retainer |
ES2664081T3 (es) | 2010-10-01 | 2018-04-18 | Applied Medical Resources Corporation | Sistema electro-quirúrgico con un amplificador de radio frecuencia y con medios para la adaptación a la separación entre electrodos |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
USD650074S1 (en) | 2010-10-01 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US9113940B2 (en) | 2011-01-14 | 2015-08-25 | Covidien Lp | Trigger lockout and kickback mechanism for surgical instruments |
US9211122B2 (en) | 2011-03-14 | 2015-12-15 | Ethicon Endo-Surgery, Inc. | Surgical access devices with anvil introduction and specimen retrieval structures |
US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener instruments |
US8800841B2 (en) | 2011-03-15 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges |
US8857693B2 (en) | 2011-03-15 | 2014-10-14 | Ethicon Endo-Surgery, Inc. | Surgical instruments with lockable articulating end effector |
US8926598B2 (en) | 2011-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable and rotatable end effector |
US8540131B2 (en) | 2011-03-15 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same |
AU2012250197B2 (en) | 2011-04-29 | 2017-08-10 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9339327B2 (en) | 2011-06-28 | 2016-05-17 | Aesculap Ag | Electrosurgical tissue dissecting device |
US9844384B2 (en) | 2011-07-11 | 2017-12-19 | Covidien Lp | Stand alone energy-based tissue clips |
US8888771B2 (en) * | 2011-07-15 | 2014-11-18 | Covidien Lp | Clip-over disposable assembly for use with hemostat-style surgical instrument and methods of manufacturing same |
US8968306B2 (en) * | 2011-08-09 | 2015-03-03 | Covidien Lp | Surgical forceps |
US9107663B2 (en) | 2011-09-06 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Stapling instrument comprising resettable staple drivers |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
DE102011056003A1 (de) | 2011-12-02 | 2013-06-06 | Aesculap Ag | Chirurgischer Handgriff sowie chirurgisches Rohrschaftinstrument mit einem chirurgischen Handgriff |
USD680220S1 (en) | 2012-01-12 | 2013-04-16 | Coviden IP | Slider handle for laparoscopic device |
DE102012100425A1 (de) * | 2012-01-19 | 2013-07-25 | Aesculap Ag | TFT-Koagulationssicherung |
US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US9078653B2 (en) | 2012-03-26 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge |
CN104379068B (zh) | 2012-03-28 | 2017-09-22 | 伊西康内外科公司 | 包括组织厚度补偿件的保持器组件 |
CN104321024B (zh) | 2012-03-28 | 2017-05-24 | 伊西康内外科公司 | 包括多个层的组织厚度补偿件 |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
CN104334098B (zh) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | 包括限定低压强环境的胶囊剂的组织厚度补偿件 |
US20130296843A1 (en) * | 2012-05-02 | 2013-11-07 | Ethicon Endo-Surgery, Inc. | Electrosurgical device for cutting and coagulating |
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 |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
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 |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
RU2636861C2 (ru) | 2012-06-28 | 2017-11-28 | Этикон Эндо-Серджери, Инк. | Блокировка пустой кассеты с клипсами |
CN107252347B (zh) | 2012-09-26 | 2019-10-29 | 蛇牌股份公司 | 用于组织切割和封合的设备 |
US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
US20140249557A1 (en) | 2013-03-01 | 2014-09-04 | Ethicon Endo-Surgery, Inc. | Thumbwheel switch arrangements for surgical instruments |
JP6345707B2 (ja) | 2013-03-01 | 2018-06-20 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | ソフトストップを備えた外科用器具 |
RU2672520C2 (ru) | 2013-03-01 | 2018-11-15 | Этикон Эндо-Серджери, Инк. | Шарнирно поворачиваемые хирургические инструменты с проводящими путями для передачи сигналов |
US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
US9993287B2 (en) | 2013-03-13 | 2018-06-12 | Covidien Lp | System configured to provide controlled depth of hemostasis |
US9888919B2 (en) | 2013-03-14 | 2018-02-13 | Ethicon Llc | Method and system for operating a surgical instrument |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9814460B2 (en) | 2013-04-16 | 2017-11-14 | Ethicon Llc | Modular motor driven surgical instruments with status indication arrangements |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
WO2015017992A1 (en) | 2013-08-07 | 2015-02-12 | Covidien Lp | Surgical forceps |
BR112016001520A8 (pt) | 2013-08-07 | 2020-01-21 | Covidien Lp | instrumento cirúrgico bipolar |
MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
US9283054B2 (en) | 2013-08-23 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Interactive displays |
US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
DE102013111912A1 (de) * | 2013-10-29 | 2015-04-30 | Aesculap Ag | Elektrochirurgischer Rohrschaft, chirurgischer Instrumentengriff und elektrochirurgisches Rohrschaftinstrument |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
US9968354B2 (en) | 2013-12-23 | 2018-05-15 | Ethicon Llc | Surgical staples and methods for making the same |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US9839423B2 (en) | 2014-02-24 | 2017-12-12 | Ethicon Llc | Implantable layers and methods for modifying the shape of the implantable layers for use with a surgical fastening instrument |
BR112016019387B1 (pt) | 2014-02-24 | 2022-11-29 | Ethicon Endo-Surgery, Llc | Sistema de instrumento cirúrgico e cartucho de prendedores para uso com um instrumento cirúrgico de fixação |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US10028761B2 (en) | 2014-03-26 | 2018-07-24 | Ethicon Llc | Feedback algorithms for manual bailout systems for surgical instruments |
US10004497B2 (en) | 2014-03-26 | 2018-06-26 | Ethicon Llc | Interface systems for use with surgical instruments |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
BR112016023807B1 (pt) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | Conjunto de cartucho de prendedores para uso com um instrumento cirúrgico |
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 |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US11517315B2 (en) | 2014-04-16 | 2022-12-06 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US9801628B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
BR112016023698B1 (pt) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Cartucho de prendedores para uso com um instrumento cirúrgico |
US20150324317A1 (en) | 2014-05-07 | 2015-11-12 | Covidien Lp | Authentication and information system for reusable surgical instruments |
KR102537276B1 (ko) | 2014-05-16 | 2023-05-26 | 어플라이드 메디컬 리소시스 코포레이션 | 전기수술용 시스템 |
AU2015266619B2 (en) | 2014-05-30 | 2020-02-06 | Applied Medical Resources Corporation | Electrosurgical instrument for fusing and cutting tissue and an electrosurgical generator |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US10231777B2 (en) | 2014-08-26 | 2019-03-19 | Covidien Lp | Methods of manufacturing jaw members of an end-effector assembly for a surgical instrument |
US9724094B2 (en) | 2014-09-05 | 2017-08-08 | Ethicon Llc | Adjunct with integrated sensors to quantify tissue compression |
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 |
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 |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
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 |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
CA3195821A1 (en) | 2014-12-23 | 2016-06-30 | Applied Medical Resources Corporation | Bipolar electrosurgical sealer and divider |
USD748259S1 (en) | 2014-12-29 | 2016-01-26 | Applied Medical Resources Corporation | Electrosurgical instrument |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US10321907B2 (en) | 2015-02-27 | 2019-06-18 | Ethicon Llc | System for monitoring whether a surgical instrument needs to be serviced |
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 |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10045776B2 (en) | 2015-03-06 | 2018-08-14 | Ethicon Llc | Control techniques and sub-processor contained within modular shaft with select control processing from handle |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
US10182818B2 (en) | 2015-06-18 | 2019-01-22 | Ethicon Llc | Surgical end effectors with positive jaw opening arrangements |
US9987078B2 (en) | 2015-07-22 | 2018-06-05 | Covidien Lp | Surgical forceps |
US10631918B2 (en) | 2015-08-14 | 2020-04-28 | Covidien Lp | Energizable surgical attachment for a mechanical clamp |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
US10517599B2 (en) | 2015-08-26 | 2019-12-31 | Ethicon Llc | Staple cartridge assembly comprising staple cavities for providing better staple guidance |
US10987159B2 (en) | 2015-08-26 | 2021-04-27 | Covidien Lp | Electrosurgical end effector assemblies and electrosurgical forceps configured to reduce thermal spread |
MX2022009705A (es) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico. |
RU2725081C2 (ru) | 2015-08-26 | 2020-06-29 | ЭТИКОН ЭлЭлСи | Полоски с хирургическими скобами, допускающие наличие скоб с переменными свойствами и обеспечивающие простую загрузку кассеты |
US10357252B2 (en) | 2015-09-02 | 2019-07-23 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples |
MX2022006192A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
US10213250B2 (en) | 2015-11-05 | 2019-02-26 | Covidien Lp | Deployment and safety mechanisms for 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 |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10426543B2 (en) | 2016-01-23 | 2019-10-01 | Covidien Lp | Knife trigger for vessel sealer |
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 |
US10413291B2 (en) | 2016-02-09 | 2019-09-17 | Ethicon Llc | Surgical instrument articulation mechanism with slotted secondary constraint |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10542991B2 (en) | 2016-04-01 | 2020-01-28 | Ethicon Llc | Surgical stapling system comprising a jaw attachment lockout |
US10357246B2 (en) | 2016-04-01 | 2019-07-23 | Ethicon Llc | Rotary powered surgical instrument with manually actuatable bailout system |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US10413297B2 (en) | 2016-04-01 | 2019-09-17 | Ethicon Llc | Surgical stapling system configured to apply annular rows of staples having different heights |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
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 |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US10675024B2 (en) | 2016-06-24 | 2020-06-09 | Ethicon Llc | Staple cartridge comprising overdriven staples |
CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
US10856933B2 (en) | 2016-08-02 | 2020-12-08 | Covidien Lp | Surgical instrument housing incorporating a channel and methods of manufacturing the same |
US10631887B2 (en) | 2016-08-15 | 2020-04-28 | Covidien Lp | Electrosurgical forceps for video assisted thoracoscopic surgery and other surgical procedures |
US10918407B2 (en) | 2016-11-08 | 2021-02-16 | Covidien Lp | Surgical instrument for grasping, treating, and/or dividing tissue |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
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 |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10667810B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems |
BR112019011947A2 (pt) | 2016-12-21 | 2019-10-29 | Ethicon Llc | sistemas de grampeamento cirúrgico |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10542982B2 (en) | 2016-12-21 | 2020-01-28 | Ethicon Llc | Shaft assembly comprising first and second articulation lockouts |
US20180168618A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
CN110099619B (zh) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | 用于外科端部执行器和可替换工具组件的闭锁装置 |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US20180168647A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments having end effectors with positive opening features |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
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 |
US10639035B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical stapling instruments and replaceable tool assemblies thereof |
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 |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US20180168598A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Staple forming pocket arrangements comprising zoned forming surface grooves |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US10973567B2 (en) | 2017-05-12 | 2021-04-13 | Covidien Lp | Electrosurgical forceps for grasping, treating, and/or dividing tissue |
US11172980B2 (en) | 2017-05-12 | 2021-11-16 | Covidien Lp | Electrosurgical forceps for grasping, treating, and/or dividing tissue |
US11166759B2 (en) | 2017-05-16 | 2021-11-09 | Covidien Lp | Surgical forceps |
USD843574S1 (en) | 2017-06-08 | 2019-03-19 | Covidien Lp | Knife for open vessel sealer |
US10653475B2 (en) | 2017-06-08 | 2020-05-19 | Covidien Lp | Knife lockout for electrosurgical forceps |
USD854684S1 (en) | 2017-06-08 | 2019-07-23 | Covidien Lp | Open vessel sealer with mechanical cutter |
USD854149S1 (en) | 2017-06-08 | 2019-07-16 | Covidien Lp | End effector for open vessel sealer |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
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 |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
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 |
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 |
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 |
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 |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11141154B2 (en) | 2017-06-27 | 2021-10-12 | Cilag Gmbh International | Surgical end effectors and anvils |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
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 |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10786253B2 (en) | 2017-06-28 | 2020-09-29 | Ethicon Llc | Surgical end effectors with improved jaw aperture arrangements |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11000279B2 (en) | 2017-06-28 | 2021-05-11 | Ethicon Llc | Surgical instrument comprising an articulation system ratio |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
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 |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
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 |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
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 |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
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 |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
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 |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
JP2021536299A (ja) | 2018-09-05 | 2021-12-27 | アプライド メディカル リソーシーズ コーポレイション | 電気手術発生器制御システム |
US11376062B2 (en) | 2018-10-12 | 2022-07-05 | Covidien Lp | Electrosurgical forceps |
US11471211B2 (en) | 2018-10-12 | 2022-10-18 | Covidien Lp | Electrosurgical forceps |
CA3120182A1 (en) | 2018-11-16 | 2020-05-22 | Applied Medical Resources Corporation | Electrosurgical system |
US11350982B2 (en) | 2018-12-05 | 2022-06-07 | Covidien Lp | Electrosurgical forceps |
KR101978674B1 (ko) * | 2018-12-17 | 2019-05-15 | 의료법인 명지의료재단 | 다기능 수술용 다이섹터 |
US11523861B2 (en) | 2019-03-22 | 2022-12-13 | Covidien Lp | Methods for manufacturing a jaw assembly for an electrosurgical forceps |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
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 |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
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 |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11350938B2 (en) | 2019-06-28 | 2022-06-07 | Cilag Gmbh International | Surgical instrument comprising an aligned rfid sensor |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11090050B2 (en) | 2019-09-03 | 2021-08-17 | Covidien Lp | Trigger mechanisms for surgical instruments and surgical instruments including the same |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
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 |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
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 |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11622804B2 (en) | 2020-03-16 | 2023-04-11 | Covidien Lp | Forceps with linear trigger mechanism |
US11844562B2 (en) | 2020-03-23 | 2023-12-19 | Covidien Lp | Electrosurgical forceps for grasping, treating, and/or dividing tissue |
CN111544110B (zh) * | 2020-05-06 | 2021-07-20 | 安进医疗科技(北京)有限公司 | 内镜手术电极组件 |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
US20220031320A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with flexible firing member actuator constraint arrangements |
US11660109B2 (en) | 2020-09-08 | 2023-05-30 | Covidien Lp | Cutting elements for surgical instruments such as for use in robotic surgical systems |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
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 |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
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 |
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 |
Family Cites Families (69)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US371664A (en) | 1887-10-18 | stone | ||
US702472A (en) | 1898-08-08 | 1902-06-17 | Louis M Pignolet | Surgical forceps. |
US728883A (en) | 1902-07-29 | 1903-05-26 | Andrew J Downes | Electrothermic instrument. |
US1586645A (en) | 1925-07-06 | 1926-06-01 | Bierman William | Method of and means for treating animal tissue to coagulate the same |
US2002594A (en) | 1933-03-24 | 1935-05-28 | Wappler Frederick Charles | Instrument for electro-surgical treatment of tissue |
US2176479A (en) | 1937-03-20 | 1939-10-17 | David A Willis | Apparatus for finding and removing metal particles from human and animal bodies |
US3643663A (en) | 1968-10-16 | 1972-02-22 | F L Fischer | Coagulating instrument |
US3651811A (en) | 1969-10-10 | 1972-03-28 | Aesculap Werke Ag | Surgical cutting instrument |
SU401367A1 (ru) | 1971-10-05 | 1973-10-12 | Тернопольский государственный медицинский институт | Биактивный электрохирургическнп инструмент |
DE2324658B2 (de) | 1973-05-16 | 1977-06-30 | Richard Wolf Gmbh, 7134 Knittlingen | Sonde zum koagulieren von koerpergewebe |
CA1018419A (en) | 1973-07-04 | 1977-10-04 | Gerald Turp | Instrument for laparoscopic tubal cauterization |
US3952749A (en) | 1974-05-15 | 1976-04-27 | Pilling Co. | Box lock surgical instrument |
US4005714A (en) | 1975-05-03 | 1977-02-01 | Richard Wolf Gmbh | Bipolar coagulation forceps |
US4315510A (en) | 1979-05-16 | 1982-02-16 | Cooper Medical Devices Corporation | Method of performing male sterilization |
US4370980A (en) | 1981-03-11 | 1983-02-01 | Lottick Edward A | Electrocautery hemostat |
CA1192465A (en) | 1981-03-11 | 1985-08-27 | Edward A. Lottick | Removable switch electrocautery instruments |
US5116332A (en) | 1981-03-11 | 1992-05-26 | Lottick Edward A | Electrocautery hemostat |
US5026370A (en) | 1981-03-11 | 1991-06-25 | Lottick Edward A | Electrocautery instrument |
GB2161082B (en) | 1984-01-30 | 1986-12-03 | Kh Nii Obschei Neot Khirurg | Bipolar electric surgical instrument |
DE3511107A1 (de) | 1985-03-27 | 1986-10-02 | Fischer MET GmbH, 7800 Freiburg | Vorrichtung zur bipolaren hochfrequenzkoagulation von biologischem gewebe |
US4887612A (en) | 1988-04-27 | 1989-12-19 | Esco Precision, Inc. | Endoscopic biopsy forceps |
US4938761A (en) | 1989-03-06 | 1990-07-03 | Mdt Corporation | Bipolar electrosurgical forceps |
US5151102A (en) | 1989-05-31 | 1992-09-29 | Kyocera Corporation | Blood vessel coagulation/stanching device |
US5509922A (en) | 1990-10-05 | 1996-04-23 | United States Surgical Corporation | Endoscopic surgical instrument |
US5324289A (en) | 1991-06-07 | 1994-06-28 | Hemostatic Surgery Corporation | Hemostatic bi-polar electrosurgical cutting apparatus and methods of use |
US5484436A (en) | 1991-06-07 | 1996-01-16 | Hemostatic Surgery Corporation | Bi-polar electrosurgical instruments and methods of making |
US5391166A (en) | 1991-06-07 | 1995-02-21 | Hemostatic Surgery Corporation | Bi-polar electrosurgical endoscopic instruments having a detachable working end |
US5472443A (en) * | 1991-06-07 | 1995-12-05 | Hemostatic Surgery Corporation | Electrosurgical apparatus employing constant voltage and methods of use |
US5176695A (en) | 1991-07-08 | 1993-01-05 | Davinci Medical, Inc. | Surgical cutting means |
US5250047A (en) | 1991-10-21 | 1993-10-05 | Everest Medical Corporation | Bipolar laparoscopic instrument with replaceable electrode tip assembly |
US5531744A (en) | 1991-11-01 | 1996-07-02 | Medical Scientific, Inc. | Alternative current pathways for bipolar surgical cutting tool |
US5217458A (en) | 1992-04-09 | 1993-06-08 | Everest Medical Corporation | Bipolar biopsy device utilizing a rotatable, single-hinged moving element |
US5261918A (en) * | 1992-04-27 | 1993-11-16 | Edward Weck Incorporated | Sheathed surgical instrument and applicator kit |
US5277201A (en) | 1992-05-01 | 1994-01-11 | Vesta Medical, Inc. | Endometrial ablation apparatus and method |
US5443463A (en) | 1992-05-01 | 1995-08-22 | Vesta Medical, Inc. | Coagulating forceps |
US5478351A (en) | 1992-06-24 | 1995-12-26 | Microsurge, Inc. | Endoscopic surgical tool with handle and detachable tool assembly |
US5258006A (en) | 1992-08-21 | 1993-11-02 | Everest Medical Corporation | Bipolar electrosurgical forceps |
CA2104423A1 (en) | 1992-08-24 | 1994-02-25 | Boris Zvenyatsky | Handle for endoscopic instruments and jaw structure |
CA2106126A1 (en) | 1992-09-23 | 1994-03-24 | Ian M. Scott | Bipolar surgical instruments |
US5389104A (en) | 1992-11-18 | 1995-02-14 | Symbiosis Corporation | Arthroscopic surgical instruments |
US5807393A (en) * | 1992-12-22 | 1998-09-15 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
US5403312A (en) | 1993-07-22 | 1995-04-04 | Ethicon, Inc. | Electrosurgical hemostatic device |
US5342359A (en) | 1993-02-05 | 1994-08-30 | Everest Medical Corporation | Bipolar coagulation device |
US5462546A (en) | 1993-02-05 | 1995-10-31 | Everest Medical Corporation | Bipolar electrosurgical forceps |
US5443464A (en) | 1993-02-16 | 1995-08-22 | Memphis Orthopaedic Design, Inc. | External fixator apparatus |
ES2083787T3 (es) | 1993-03-16 | 1996-04-16 | Krupp Koppers Gmbh | Aparato de gasificacion para gasificar a presion combustibles finamente divididos. |
US5356408A (en) * | 1993-07-16 | 1994-10-18 | Everest Medical Corporation | Bipolar electrosurgical scissors having nonlinear blades |
US5693051A (en) * | 1993-07-22 | 1997-12-02 | Ethicon Endo-Surgery, Inc. | Electrosurgical hemostatic device with adaptive electrodes |
US5431674A (en) | 1993-09-07 | 1995-07-11 | Pa Consulting Group | Compound motion cutting device |
US5352222A (en) | 1994-03-15 | 1994-10-04 | Everest Medical Corporation | Surgical scissors with bipolar coagulation feature |
US5505730A (en) | 1994-06-24 | 1996-04-09 | Stuart D. Edwards | Thin layer ablation apparatus |
US5540684A (en) | 1994-07-28 | 1996-07-30 | Hassler, Jr.; William L. | Method and apparatus for electrosurgically treating tissue |
US5456684A (en) * | 1994-09-08 | 1995-10-10 | Hutchinson Technology Incorporated | Multifunctional minimally invasive surgical instrument |
US5573535A (en) | 1994-09-23 | 1996-11-12 | United States Surgical Corporation | Bipolar surgical instrument for coagulation and cutting |
US5637110A (en) | 1995-01-31 | 1997-06-10 | Stryker Corporation | Electrocautery surgical tool with relatively pivoted tissue engaging jaws |
US5766166A (en) * | 1995-03-07 | 1998-06-16 | Enable Medical Corporation | Bipolar Electrosurgical scissors |
US5626578A (en) * | 1995-05-08 | 1997-05-06 | Tihon; Claude | RF valvulotome |
US5667526A (en) | 1995-09-07 | 1997-09-16 | Levin; John M. | Tissue retaining clamp |
US5827271A (en) | 1995-09-19 | 1998-10-27 | Valleylab | Energy delivery system for vessel sealing |
US5776130A (en) * | 1995-09-19 | 1998-07-07 | Valleylab, Inc. | Vascular tissue sealing pressure control |
US5674220A (en) | 1995-09-29 | 1997-10-07 | Ethicon Endo-Surgery, Inc. | Bipolar electrosurgical clamping device |
US5792137A (en) * | 1995-10-27 | 1998-08-11 | Lacar Microsystems, Inc. | Coagulating microsystem |
US5658281A (en) * | 1995-12-04 | 1997-08-19 | Valleylab Inc | Bipolar electrosurgical scissors and method of manufacture |
US5827281A (en) * | 1996-01-05 | 1998-10-27 | Levin; John M. | Insulated surgical scissors |
US5702390A (en) | 1996-03-12 | 1997-12-30 | Ethicon Endo-Surgery, Inc. | Bioplar cutting and coagulation instrument |
US5700261A (en) * | 1996-03-29 | 1997-12-23 | Ethicon Endo-Surgery, Inc. | Bipolar Scissors |
US5951549A (en) * | 1996-12-20 | 1999-09-14 | Enable Medical Corporation | Bipolar electrosurgical scissors |
US6024744A (en) * | 1997-08-27 | 2000-02-15 | Ethicon, Inc. | Combined bipolar scissor and grasper |
US6050996A (en) | 1997-11-12 | 2000-04-18 | Sherwood Services Ag | Bipolar electrosurgical instrument with replaceable electrodes |
-
1998
- 1998-09-08 CA CA002303194A patent/CA2303194C/en not_active Expired - Fee Related
- 1998-09-08 ES ES98946876T patent/ES2238768T3/es not_active Expired - Lifetime
- 1998-09-08 AU AU93795/98A patent/AU739648B2/en not_active Ceased
- 1998-09-08 EP EP98946876A patent/EP1011493B1/en not_active Expired - Lifetime
- 1998-09-08 ES ES04027478T patent/ES2335760T3/es not_active Expired - Lifetime
- 1998-09-08 EP EP09171462A patent/EP2130506B1/en not_active Expired - Lifetime
- 1998-09-08 ES ES09171462T patent/ES2368478T3/es not_active Expired - Lifetime
- 1998-09-08 EP EP04027478A patent/EP1510179B1/en not_active Expired - Lifetime
- 1998-09-08 DE DE69829480T patent/DE69829480T2/de not_active Expired - Lifetime
- 1998-09-08 DE DE69841285T patent/DE69841285D1/de not_active Expired - Lifetime
- 1998-09-08 WO PCT/US1998/018640 patent/WO1999012488A1/en active IP Right Grant
- 1998-09-08 JP JP2000510390A patent/JP4031616B2/ja not_active Expired - Fee Related
-
1999
- 1999-08-17 US US09/376,779 patent/US6334861B1/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
DE69829480D1 (de) | 2005-04-28 |
EP1011493A4 (en) | 2001-01-10 |
EP1510179B1 (en) | 2009-11-11 |
WO1999012488A1 (en) | 1999-03-18 |
EP2130506B1 (en) | 2011-06-29 |
AU9379598A (en) | 1999-03-29 |
ES2335760T3 (es) | 2010-04-05 |
CA2303194A1 (en) | 1999-03-18 |
AU739648B2 (en) | 2001-10-18 |
EP2130506A1 (en) | 2009-12-09 |
ES2368478T3 (es) | 2011-11-17 |
EP1510179A1 (en) | 2005-03-02 |
EP1011493B1 (en) | 2005-03-23 |
DE69841285D1 (de) | 2009-12-24 |
EP1011493A1 (en) | 2000-06-28 |
ES2238768T3 (es) | 2005-09-01 |
CA2303194C (en) | 2006-04-11 |
DE69829480T2 (de) | 2006-02-09 |
US6334861B1 (en) | 2002-01-01 |
JP2001515751A (ja) | 2001-09-25 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP4031616B2 (ja) | 脈管融合用双極式器具 | |
US7033356B2 (en) | Bipolar electrosurgical instrument for cutting desiccating and sealing tissue | |
CA2155078C (en) | Ultrasonic hemostatic and cutting instrument | |
JP3895393B2 (ja) | 拡張可能な切断部を備えた外科用手術具 | |
JP3857354B2 (ja) | 適応性電極を有する電気外科手術用止血装置 | |
JP2001522622A (ja) | 交換可能な極板を備えた双極電気外科手術器具 | |
AU2003266139B2 (en) | Electrosurgical instrument for sealing vessels | |
US6010516A (en) | Bipolar coaptation clamps | |
US20040006340A1 (en) | Bipolar electrosurgical instrument for cutting, desiccating and sealing tissue | |
JP3399651B2 (ja) | 外科用電気ステープル装置 | |
US20030018332A1 (en) | Bipolar electrosurgical instrument with replaceable electrodes | |
EP0862387A1 (en) | Vascular tissue sealing pressure control and method | |
CN219289677U (zh) | 双极手术工具及手术机器人系统 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Written amendment |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20050908 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20050908 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20070416 |
|
A521 | Written amendment |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20070717 |
|
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: 20070925 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20071019 |
|
R150 | Certificate of patent or registration of utility model |
Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20101026 Year of fee payment: 3 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20111026 Year of fee payment: 4 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20121026 Year of fee payment: 5 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20121026 Year of fee payment: 5 |
|
FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20131026 Year of fee payment: 6 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
LAPS | Cancellation because of no payment of annual fees |