JP5937079B2 - 外科用装置を関節運動させるための関節接合特徴 - Google Patents
外科用装置を関節運動させるための関節接合特徴 Download PDFInfo
- Publication number
- JP5937079B2 JP5937079B2 JP2013530307A JP2013530307A JP5937079B2 JP 5937079 B2 JP5937079 B2 JP 5937079B2 JP 2013530307 A JP2013530307 A JP 2013530307A JP 2013530307 A JP2013530307 A JP 2013530307A JP 5937079 B2 JP5937079 B2 JP 5937079B2
- Authority
- JP
- Japan
- Prior art keywords
- section
- end effector
- shaft
- articulation
- joint
- 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.)
- Active
Links
- 239000012636 effector Substances 0.000 claims description 198
- 238000010304 firing Methods 0.000 claims description 131
- 239000011324 bead Substances 0.000 claims description 81
- 238000005520 cutting process Methods 0.000 claims description 22
- 230000000295 complement effect Effects 0.000 claims description 8
- 238000000034 method Methods 0.000 description 26
- 230000008878 coupling Effects 0.000 description 19
- 238000010168 coupling process Methods 0.000 description 19
- 238000005859 coupling reaction Methods 0.000 description 19
- 238000005452 bending Methods 0.000 description 11
- 230000033001 locomotion Effects 0.000 description 11
- 238000013519 translation Methods 0.000 description 10
- 210000004204 blood vessel Anatomy 0.000 description 9
- 238000001356 surgical procedure Methods 0.000 description 9
- 239000000463 material Substances 0.000 description 8
- 230000036961 partial effect Effects 0.000 description 8
- 238000012546 transfer Methods 0.000 description 8
- 238000004891 communication Methods 0.000 description 6
- 238000005516 engineering process Methods 0.000 description 6
- 238000010348 incorporation Methods 0.000 description 6
- 238000012986 modification Methods 0.000 description 6
- 230000004048 modification Effects 0.000 description 6
- 230000004044 response Effects 0.000 description 6
- 238000007789 sealing Methods 0.000 description 6
- 230000007704 transition Effects 0.000 description 6
- 230000004913 activation Effects 0.000 description 5
- -1 for example Substances 0.000 description 5
- WCUXLLCKKVVCTQ-UHFFFAOYSA-M Potassium chloride Chemical compound [Cl-].[K+] WCUXLLCKKVVCTQ-UHFFFAOYSA-M 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 238000003780 insertion Methods 0.000 description 4
- 230000037431 insertion Effects 0.000 description 4
- 239000004033 plastic Substances 0.000 description 4
- 229920003023 plastic Polymers 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 230000005855 radiation Effects 0.000 description 4
- 210000002105 tongue Anatomy 0.000 description 4
- 210000003484 anatomy Anatomy 0.000 description 3
- 238000004140 cleaning Methods 0.000 description 3
- 239000004020 conductor Substances 0.000 description 3
- 230000014509 gene expression Effects 0.000 description 3
- 238000009413 insulation Methods 0.000 description 3
- 238000002955 isolation Methods 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 102000008186 Collagen Human genes 0.000 description 2
- 108010035532 Collagen Proteins 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 229920001436 collagen Polymers 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 238000001816 cooling Methods 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 239000011810 insulating material Substances 0.000 description 2
- 230000000670 limiting effect Effects 0.000 description 2
- 229920000642 polymer Polymers 0.000 description 2
- 230000002829 reductive effect Effects 0.000 description 2
- 238000011282 treatment Methods 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- IAYPIBMASNFSPL-UHFFFAOYSA-N Ethylene oxide Chemical compound C1CO1 IAYPIBMASNFSPL-UHFFFAOYSA-N 0.000 description 1
- 239000004677 Nylon Substances 0.000 description 1
- 239000004698 Polyethylene Substances 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- 239000004775 Tyvek Substances 0.000 description 1
- 229920000690 Tyvek Polymers 0.000 description 1
- 238000002679 ablation Methods 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000000919 ceramic Substances 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 230000026058 directional locomotion Effects 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 229920002457 flexible plastic Polymers 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- 238000003698 laser cutting Methods 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000003801 milling Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 239000012811 non-conductive material Substances 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 238000013021 overheating Methods 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 210000004994 reproductive system Anatomy 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000000779 smoke Substances 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
-
- 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
- A61B18/1447—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 wherein sliding surfaces cause opening/closing of the end effectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- 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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00305—Constructional details of the flexible means
- A61B2017/00314—Separate linked members
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- 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
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Physics & Mathematics (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
Description
本願は、開示が参照により本明細書に組み込まれる、2010年9月24日に出願された「Articulating Surgical Device」と題された米国仮出願第61/386,117号の優先権を主張する。
図1〜図4は、米国特許第6,500,176号、同第7,112,201号、同第7,125,409号、同第7,169,146号、同第7,186,253号、同第7,189,233号、同第7,220,951号、同第7,309,849号、同第7,311,709号、同第7,354,440号、同第7,381,209号、米国公開第2011/0087218号、及び/又は米国特許出願第13/151,181号の教示のうちの少なくとも幾つかに従って構築され、動作可能である、例示的な電気外科用器具(10)を示す。その中に記載され、以下により詳細に記載されるように、電気外科用器具(10)は、実質的に同時に、組織を切断し、組織(例えば、血管など)を封止又は溶接するように動作可能である。換言すれば、電気外科用器具(10)は、電気外科用器具(10)が、組織を接合するホッチキスの線を提供する代わりに、双極無線周波数エネルギーの適用を通して組織溶接を提供することを除き、エンドカッター型のホッチキスと同様に動作する。また、電気外科用器具(10)は、Cincinnati,OhioのEthicon Endo−Surgery,Inc.によるENSEAL(登録商標)組織封止装置との様々な構造的及び機能的類似性を有してもよいことも理解されたい。更に、電気外科用器具(10)は、参照により本明細書に組み込まれる、他の引用文献のいずれかにおいて教示される装置との様々な構造的及び機能的類似性を有してもよい。本明細書の引用文献の教示、Cincinnati,OhioのEthicon Endo−Surgery,Inc.によるENSEAL(登録商標)組織封止装置と、電気外科用器具(10)に関する以下の教示との間にある程度の重複が存在する範囲内で、本明細書の説明のいずれかを自認した従来技術であると見なす意図はない。事実、以下の幾つかの教示は、本明細書の引用文献の教示、及びCincinnati,OhioのEthicon Endo−Surgery,Inc.によるENSEAL(登録商標)組織封止装置の範囲を越える。
本実施例の電気外科用器具(10)は、ハンドピース(20)と、ハンドピース(20)から遠位に延在するシャフト(30)と、シャフト(30)の遠位端に配置されるエンドエフェクタ(40)と、を含む。本実施例のハンドピース(20)は、ピストルグリップ(22)と、枢動トリガ(24)と、起動ボタン(26)と、関節制御(28)と、を含む。トリガ(24)は、以下により詳細に記載されるように、エンドエフェクタ(40)を選択的に作動させるように、ピストルグリップ(22)に向かって、及びそれから離れるように枢動可能である。起動ボタン(26)は、以下に同様により詳細に記載されるように、エンドエフェクタ(40)と通信している無線周波数回路を選択的に起動させるように動作可能である。幾つかのバージョンでは、また、起動ボタン(26)は、ボタン(26)が同時に押されない限り、トリガ(24)を完全に作動させることができないというような、トリガ(24)に対する機械的ロックアウトとしての機能も果たす。どのようにそのようなロックアウトの実施例が提供され得るかは、本明細書の引用文献の1つ以上に開示されている。ピストルグリップ(22)、トリガ(24)、及びボタン(26)は、任意の好適な方法で修正、置換、補完などされてもよく、本明細書のそのような構成要素の説明は、例証に過ぎないことを理解されたい。本実施例の関節制御(28)は、シャフト(30)の関節セクション(36)を選択的に制御するように動作可能であり、これは、以下により詳細に記載される。また、関節制御(28)がとり得る形態の様々な実施例も以下により詳細に記載され、同時に、本明細書の教示を考慮することで、更なる実施例が当業者に明らかになるであろう。
本実施例のエンドエフェクタ(40)は、第1のつかみ具(42)と、第2のつかみ具(44)と、を備える。本実施例では、第2のつかみ具(44)は、シャフト(30)に対して実質的に固定され、一方、第1のつかみ具(42)は、第2のつかみ具(42)に向かって、及びそれから離れるようにシャフト(30)に対して枢動する。幾つかのバージョンでは、ロッド又はケーブルなどの作動装置は、作動装置ロッド/ケーブルなどのシャフト(30)を通る長手方向移動が、シャフト(30)及び第2のつかみ具(44)に対する第1のつかみ具(42)の枢動を提供するように、シース(32)を通って延在し、枢動連結具(43)で第1のつかみ具(42)と接合されてもよい。もちろん、つかみ具(42、44)は、代わりに、任意の他の好適な種類の移動を有してもよく、任意の他の好適な方法で作動されてもよい。一例として、及び以下により詳細に記載されるように、幾つかのバージョンでは、作動装置ロッド/ケーブルなどが単に排除され得るように、つかみ具(42、44)は、発射ビーム(60)の長手方向並進によって作動され、したがって閉鎖されてもよい。
また、図2〜図4にも見られるように、本実施例の電気外科用器具(10)は、エンドエフェクタ(40)の長さの部分に沿って長手方向に移動可能である、発射ビーム(60)を含む。発射ビーム(60)は、シャフト(30)内に同軸上に位置付けられ、シャフト(30)の長さに沿って延在し、シャフト(30)内(本実施例では、関節セクション(36)を含む)で長手方向に並進するが、とはいえ、発射ビーム(60)及びシャフト(30)は、任意の他の好適な関係を有してもよいことを理解されたい。発射ビーム(60)は、鋭い遠位ブレード(64)と、上フランジ(62)と、下フランジ(66)と、を含む。図4に最も良く見られるように、遠位ブレード(64)は、つかみ具(42、44)のスロット(46、48)を通って延在し、上フランジ(62)は、つかみ具(44)の上の陥凹(59)内に位置し、下フランジ(66)は、つかみ具(42)の下の陥凹(58)内に位置する。遠位ブレード(64)及びフランジ(62、66)の構成は、発射ビーム(60)の遠位端で「I形ビーム」型の断面を提供する。本実施例では、フランジ(62、66)は、発射ビーム(60)の長さのごく一部のみに沿って長手方向に延在するが、フランジ(62、66)は、発射ビーム(60)の任意の好適な長さに沿って長手方向に延在してもよいことを理解されたい。加えて、フランジ(62、66)は、つかみ具(42、44)の外側に沿って位置付けられているが、フランジ(62、66)は、代替えとして、つかみ具(42、44)内に形成される対応するスロット内に配置されてもよい。例えば、それぞれのつかみ具(42、44)が、「T字」形状のスロットを画定し、遠位ブレード(64)の部分が、それぞれの「T字」形状のスロットの1つの垂直部分内に配置され、フランジ(62、66)が、「T字」形状のスロットの水平部分内に配置されてもよい。本明細書の教示を考慮することで、様々な他の好適な構成及び関係が、当業者に明らかになるであろう。
例示的な使用では、エンドエフェクタ(40)は、トロカールを介して患者に挿入される。エンドエフェクタ(40)及びシャフト(30)の部分がトロカールを通して挿入される際、関節セクション(36)は、実質的にまっすぐである。次いで、エンドエフェクタ(40)を患者内の解剖学的構造に対する所望の位置及び配向に位置付けるために、シャフト(30)の関節セクション(36)を枢動させる、又は曲げるように、関節制御(28)が操作されてもよい。次いで、トリガ(24)をピストルグリップ(22)に向かって握持することによって、解剖学的構造の組織の2つの層が、つかみ具(42、44)の間に捕捉される。組織のそのような層は、患者内の解剖学的構造(例えば、血管、胃腸管の部分、生殖器系の部分など)を画定する同一の自然管腔の部分であってもよい。例えば、一方の組織層は、血管の上部を備えてもよく、一方、他方の組織層は、血管の同一の長さ領域に沿った、血管の下部を備えてもよい(例えば、電気外科用器具(10)を使用する前の血管を通る流体経路が、エンドエフェクタ(40)によって画定される長手軸線に対して垂直であるようになど)。換言すれば、つかみ具(42、44)の長さは、血管の長さに対して垂直に(又は少なくとも概して横断方向に)配向されてもよい。上述されるように、トリガ(24)をピストルグリップ(22)に向かって握持することによって、発射ビーム(60)が遠位に作動される際、フランジ(62、66)は、つかみ具(44)を枢動させるように、つかみ具(44)に向かってカム作用する。
上述されるように、幾つかのバージョンのシャフト(30)は、シース(32)によって画定される長手軸線に対して様々な角度で、エンドエフェクタ(40)を選択的に位置付けるように動作可能である、関節セクション(36)を含む。シャフト(30)の関節セクション(36)及び他の構成要素がとり得る形態の幾つかの実施例は、以下により詳細に記載され、同時に、本明細書の教示を考慮することで、更なる実施例が当業者に明らかになるであろう。一例として、関節セクション(36)の幾つかの単なる例証的な代替えの実施例が、本願と同日に出願された「Articulation Joint Features for Articulating Surgical Device」と題された米国特許出願第〔代理人整理番号END6889USNP〕号において開示され、その開示は参照により本明細書に組み込まれる。
図5は、剛性シャフトセクション(102)とエンドエフェクタ(104)との間に配置される、例示的な関節セクション(100)を示す。これらの特徴は、シャフト(30)に対応するシャフトセクション(102)、及びエンドエフェクタ(40)に対応するエンドエフェクタ(104)と共に、上述される電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節セクション(100)は、複数の同軸上に整合されたビーズ(110)を備える。図6及び図7に最も良く見られるように、それぞれのビーズ(110)は、第1の面(112)と、第2の面(114)と、を含む。それぞれの面(112、114)は、凸形状を有する。ビーズ(110)が相互に隣接して位置付けられることで、面(112、114)の凸形状が、関節セクション(100)の関節運動を容易にし得る。例えば、関節運動中、1つのビーズ(110)の面(112)は、隣接するビーズ(110)の面(114)に対して単に転がってもよい。
図9〜図11は、剛性シャフトセクション(202)とエンドエフェクタ(204)との間に配置される、別の例示的な関節セクション(200)を示す。これらの特徴は、シャフト(30)に対応するシャフトセクション(202)、及びエンドエフェクタ(40)に対応するエンドエフェクタ(204)と共に、上述される電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節セクション(200)は、複数の同軸上に整合されたビーズ(210)を備える。図11及び図12に最も良く見られるように、それぞれのビーズ(210)は、第1の面(212)と、第2の面(214)と、を含む。第1の面(212)は、第1の面(212)が第2の面(214)に対して非平行であるように、所定の角度で形成される。よって、ビーズ(210)が一列に位置付けられる際、1つのビーズ(210)の第1の面(212)は、隣接するビーズ(210)の第2の面(214)と隙間を形成する。これらの隙間は、ビーズ(210)の鎖が屈曲するためのゆとりを提供し、それによって、関節セクション(200)の関節運動をもたらす。上記のような隙間はまた、関節セクション(200)による摩擦を最小にするのを助長し、それによってエンドエフェクタ(204)の関節運動を容易にしてもよい。
図13は、剛性シャフトセクション(上記に言及されるいずれかの剛性シャフトセクション等)とエンドエフェクタ(上記に言及されるいずれかのエンドエフェクタ等)との間に位置付けられ得る別の例示的な関節セクション(300)を示す。これらの特徴は、上述の電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節セクション(300)は、一連の相互係止セグメント(310)を備え、これは、外装ケーブルの外装に類似する様式で集合的に構成される。それぞれのセグメントは、それぞれ遠位係止特徴(312)と、近位係止特徴(314)と、を含む。それぞれのセグメント(310)の遠位係止特徴(312)は、セグメント(310)が一緒に嵌められ、関節セクション(300)を形成することができるように、隣接するセグメント(310)の近位係止特徴(314)と係合するように構成される。
図14は、剛性シャフトセクション(上記に言及されるいずれかの剛性シャフトセクション等)とエンドエフェクタ(404)との間に位置付けられ得る別の例示的な関節セクション(400)を示す。これらの特徴は、エンドエフェクタ(40)に対応するエンドエフェクタ(404)と共に、上述される電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節セクション(400)は、一連のセグメント(410)と、ポスト(430)と、を備える。セグメント(410)はそれぞれ、第1の面(412)と、第2の面(414)と、を含む。面(412、414)は、一連のビーズ(410)が屈曲するためのゆとりがあるように角度をなし、それによって、関節セクション(400)の関節運動をもたらす。セグメント(410)は、関節ケーブル(440、442)が延在するチャネル(420、422)も含む。そのような関節ケーブル(440、442)は、関節バンド(140、142)について上述されるのと類似する様式で動作可能であってもよい。幾つかの他のバージョンでは、チャネル(420、422)は、ケーブル(440、442)の代わりにバンドを受容する。本明細書の教示を考慮することで、関節セクション(400)の関節運動をもたらすために使用され得る他の好適な特徴が、当業者に明らかになるであろう。
図16〜図18は、剛性シャフトセクション(502)とエンドエフェクタ(504)との間に配置される、別の例示的な関節セクション(500)を示す。これらの特徴は、シャフト(30)に対応するシャフトセクション(502)、及びエンドエフェクタ(40)に対応するエンドエフェクタ(504)と共に、上述される電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節セクション(500)は、複数個の同軸上に整合されたビーズ(510)を備える。図17に最も良く見られるように、それぞれのビーズ(510)は、第1の面(512)と、第2の面(514)と、を含む。それぞれの第1の面(512)の片側は、凹状に湾曲し、一方、第1の面(512)の反対側は、実質的に平坦である。同様に、それぞれの第2の面(514)の片側は、凹状に湾曲し、一方、第2の面(514)の反対側は、実質的に平坦である。よって、面(512、514)の湾曲した領域は、ビーズ(510)が一列に位置付けられる際に隙間を画定し、一方、面(512、514)の平坦な領域は、ビーズ(510)が一列に位置付けられる際に接触する。そのような構成は、関節セクション(500)が一方向(即ち、隙間がある側)に屈曲するのを可能にし、一方、関節セクション(500)がもう一方の方向(即ち、隙間を欠く側)に屈曲するのを防止する。湾曲した領域は、代わりに、湾曲する代わりに角度をなしてもよいことを理解されたい。隣接するビーズ(510)の接触する湾曲した領域は、(例えば、関節セクション(500)が関節運動の最大次数である、又はそれに近いとき)実質的な横方向の屈曲剛性を提供してもよいことも理解されたい。
図24及び図25は、剛性シャフトセクション(702)とエンドエフェクタを接合するために使用され得る、例示的な関節セクション(700)を示す。これらの特徴は、シャフト(30)に対応するシャフトセクション(702)、及びエンドエフェクタ(40)に対応するエンドエフェクタと共に、上述される電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節セクション(700)は、シャフトセクション(702)とヒンジ式に連結される遠位ヒンジカフ(720)を備える。特に、カフ(720)は、シャフトセクション(702)の遠位端に形成される横断開口部(712)に受容される近位に突出する突起(722)を含む。よって、突起(722)は、シャフトセクション(702)と共に、枢動するヒンジ連結カフ(720)を形成する。カフ(720)は、エンドエフェクタがシャフトセクション(702)に対してカフ(720)と共に枢動するように、エンドエフェクタの近位部分(図示せず)に固定される。
図26は、剛性シャフトセクション(上記に言及されるいずれかの剛性シャフトセクション等)とエンドエフェクタ(上記に言及されるいずれかのエンドエフェクタ等)との間に位置付けられ得る別の例示的な関節セクション(800)を示す。これらの特徴は、上述の電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節セクション(800)は、そこに形成される螺旋状切抜部(804)を有するチューブ部材(802)を備える。螺旋状切抜部(804)は、チューブ部材(802)の屈曲を容易にしてもよく、それによって、チューブ部材(802)に遠位に位置付けられるエンドエフェクタの関節運動を容易にする。発射バー、関節バンド/ケーブル等、ワイヤなどの様々な構成要素が、チューブ部材(802)を通過してもよい。可撓性収縮ラップ又は他の構成要素が、(例えば、組織が関節運動中に摘持されるのを防止するために)螺旋状切抜部(804)を中心に位置付けられてもよいことも理解されたい。チューブ部材(802)は、任意の好適な可撓性材料から形成され得、実質的にまっすぐな構成をとるように弾性的に付勢され得る。螺旋状切抜部(804)は、これらに限定されないが、成形又は機械(例えば、レーザーカット、ワイヤEDM、フライス加工等)を含む、任意の好適な技法を使用して形成され得る。チューブ部材(802)は、単にハンドピース又は器具の他の種類の本体部分の端まで延在する剛性シャフト部材の一体遠位部分であってもよいことも理解されたい。
図28は、剛性シャフトセクション(1002)をエンドエフェクタ(1004)と枢動可能に連結するために使用される関節接合部(1000)を示す。これらの特徴は、シャフト(30)に対応するシャフトセクション(1002)、及びエンドエフェクタ(40)に対応するエンドエフェクタ(1004)と共に、上述される電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節接合部(1000)は、一対のピン(1016)によって接合される一対のクレビス特徴(1012、1014)によって形成される。特に、剛性シャフトセクション(1002)の遠位端は、クレビス特徴(1012)を含み、一方、エンドエフェクタ(1014)の近位端もクレビス特徴(1014)を含む。クレビス特徴(1014)は、クレビス特徴(1012)がクレビス特徴(1014)と重複し、かつそれを包含するようにクレビス特徴(1012)内に収まる。もちろん、任意の他の好適な関係が使用され得る。クレビス特徴(1012、1014)はそれぞれ、それぞれ上部舌状部と下部舌状部と、を含む。上部ピン(1016)は、クレビス特徴(1012、1014)の上部舌状部を一緒に枢動可能に連結し、一方、下部ピン(図示せず)は、クレビス特徴(1012、1014)の下部舌状部を一緒に枢動可能に連結する。よって、クレビス特徴(1012、1014)及びピン(1016)は、シャフトセクション(1002)に対してエンドエフェクタ(1004)の枢動を可能にする。ピン(1016)を分離させることにより(例えば、剛性シャフトセクション(1002)及びエンドエフェクタ(1004)等の全直径を通過する単一ピンを有する代わりに)、以下に記載する構成要素の通路が関節接合部(1000)を通るのを容易にする。
図31A及び31Bは、剛性シャフトセクション(1102)をエンドエフェクタ(1104)と枢動可能に連結するために使用される関節接合部(1100)を示す。これらの特徴は、シャフト(30)に対応するシャフトセクション(1102)、及びエンドエフェクタ(40)に対応するエンドエフェクタ(1104)と共に、上述される電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節接合部(1100)は、それぞれ、剛性シャフトセクションの遠位端(1102)及びエンドエフェクタの近位端(1104)に形成される補完的な角のある縁(1120、1140)によって形成される。図31Aから図31Bへの遷移から見られるように、これらの縁(1120、1140)のカム係合関係は、剛性シャフトセクション(1102)に対するエンドエフェクタ(1104)の回転時にエンドエフェクタ(1104)の関節運動をもたらす。本明細書の教示を考慮することで、エンドエフェクタ(1104)が剛性シャフトセクション(1102)に対して回転し得る様々な好適な方法が、当業者に明らかであろう。同様に、本明細書の教示を考慮することで、エンドエフェクタ(1104)が剛性シャフトセクション(1102)に対して回転し、関節運動する際に、構成要素が関節接合部(1100)を通過し、なお適切に機能する様々な好適な方法が、当業者に明らかであろう。本実施形態では、縁(1120、1140)は、約45°の角度であるが、任意の他の好適な角度が使用され得ることを理解されたい。
図32及び図33は、剛性シャフトセクション(上記に言及されるいずれかの剛性シャフトセクション等)とエンドエフェクタ(上記に言及されるいずれかのエンドエフェクタ等)との間に位置付けられ得る別の例示的な関節セクション(1200)を示す。これらの特徴は、上述の電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節セクション(1200)は、シース(1210)と、挿入部(1230)と、往復ロッド(1240)と、を備える。シース(1210)は、図32に示される屈曲構成と図33に示される実質的にまっすぐな構成との間を容易に遷移する可撓性材料から形成される。挿入部(1230)は、図32に示される湾曲構成をとるように付勢される弾性かつ半剛性の材料から形成される。例えば、挿入部(1230)は、図32に示される湾曲構成を形成するように成形される、ないしは別の方法で予備成形され得る。挿入部(1230)は、陥凹(1234)によって離間される複数のリブ部材(1232)を含む。リブ部材(1232)の側壁の角度は、関節セクション(1200)の最大関節角度を制限するように選択される。特に、関節角度は、側壁又はそれぞれのリブ部材(1232)が隣接するリブ部材(1232)の側壁と完全に接触する際に最大であってもよい。
図35及び図36は、剛性シャフトセクション(1402)をエンドエフェクタ(1404)と枢動可能に連結するために使用される関節接合部(1400)を示す。これらの特徴は、シャフト(30)に対応するシャフトセクション(1402)、及びエンドエフェクタ(40)に対応するエンドエフェクタ(1404)と共に、上述される電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例の関節接合部(1400)は、剛性シャフトセクション(1402)の長手軸線から横方向にオフセットである、剛性シャフトセクション(1402)の遠位端に提供される枢軸(1410)を備える。エンドエフェクタ(1404)は、ピン(1412)によって枢軸(1410)で剛性シャフトセクション(1402)と枢動可能に連結される。
図37は、エンドエフェクタ(1540)がシャフトセクション(1520)に対して様々な位置で選択的に関節運動することを可能にする、また別の構成(1500)を示す。これらの特徴は、上述の電気外科用器具(10)に容易に組み込まれ得ることを理解されたい。本実施例では、エンドエフェクタ(1540)は、様々な位置及び配向で、複数の連結チャネル(1544)を提示する一体式カップリング(1542)を含む。ワイヤ(1546)は、カップリング(1542)から延在し、電源からエンドエフェクタ(1540)に電力を伝達するように動作可能である。チャネル(1544)は、シャフトセクション(1520)の遠位端を選択的に受容するように構成される。本実施例のシャフトセクション(1520)は、カップリング(1542)がシャフトセクション(1520)に固定される際、エンドエフェクタ(1540)に構造的支持を提供する。
関節制御(28)は、種々の形態をとってもよい。一例として、関節制御(28)は、開示が参照により本明細書に組み込まれる、本願と同日に出願された「Control Features for Articulating Surgical Device」と題された米国特許出願第第〔代理人整理番号END6888USNP〕号に開示されている。別の単なる例証的な実施例として、関節制御(28)は、開示が参照により本明細書に組み込まれる、本願と同日に出願された「Control Features for Articulating Surgical Device」と題された米国特許出願第〔代理人整理番号END6888USNP1〕号の1つ以上の教示に従って構成されてもよい。更に、関節セクションは、本明細書の引用文献のうちの他の少なくとも1つの教示に従って構成されてもよい。本明細書の教示を考慮することで、関節制御(28)がとり得る様々な他の好適な形態が、当業者に明らかになるであろう。
明細書に記載される電気外科用器具(10)のいずれのバージョンも、上述されるものに加えて、又はそれらの代わりに、様々な他の特徴を含んでもよいことを理解されたい。そのような他の特徴の幾つかの例が、以下に記載され、その一方で、本明細書の教示を考慮することで、他の特徴が当業者に明らかになるであろう。
上述の実施例では、発射バー(60)を遠位に前進させることにより、ブレード(64)がエンドエフェクタ(40)を通して遠位に前進する。図38A及び図38Bに示される実施例では、発射バンド(1660)を近位に後退させることにより、ブレード(1664)が遠位に前進する。本実施例では、ブレード(1664)は、上部フランジ部材(1662)を含み、発射バンド(1660)の遠位端に固定されるブレード部材(1668)によって遠位に提示される。ブレード部材(1668)は、エンドエフェクタアセンブリの下部つかみ具(1644)に形成されるスロット(1646)に沿って長手方向に移動する。ブレード部材(1668)は、下部つかみ具(1644)の下に配置される下部フランジ部材(図示せず)を更に含む。一例として、電気外科用器具(10)の下部つかみ具(44)は、本実施例に記載される下部つかみ具(1644)の特徴を含むように容易に修正され得る。
図39A及び図39Bは、本明細書に記載される電気外科用装置(10)のいずれかのバージョンに組み込まれ得る二重枢動つかみ具アセンブリ(1700)を示す。図1〜4に示される実施例では、下部つかみ具(44)は、つかみ具(42、44)が開閉する際に上部つかみ具(42)のみが動くように、枢動カップリング(43)に対して実質的に静止状態である。逆に、図39A及び図39Bのつかみ具アセンブリ(1700)では、上部つかみ具(1742)及び下部つかみ具(1744)の両方が、枢動カップリング(1743)に対して枢動する。枢動カップリング(1743)は、シャフトアセンブリ(1730)の遠位端に配置される。発射ビーム(60)と同様に、本実施例の発射ビーム(1760)は、鋭利な遠位ブレード(1764)と、上部フランジ(1762)と、下部フランジ(1766)と、を含む。また発射ビーム(60)と同様に、発射ビーム(1760)は、シャフトアセンブリ(30)に対して長手方向に並進するように動作可能である。
本明細書に記載される実施例の1つ以上では、ワイヤがその有効長を延在させる必要がある方法で、又はそうでなければワイヤが通過する関節セクションが関節運動する際にワイヤを引張る方法で、ワイヤは関節セクションを通過してもよい。よって、場合によっては、関節セクションが屈曲/関節構成である間に、ワイヤがシャフト及び関節セクションを通して引張られることが望ましくてもよい。しかしながら、関節セクションが実質的にまっすぐな構成である際(ワイヤが有効に長い必要がないとき)に、そのようなワイヤが束になる、摘持される、又は他の構成要素と干渉するのを防止することも望ましくてもよい。図40及び41は、関節セクション(1836)が屈曲構成に関節運動する際に、ワイヤ(1810)の張力を維持し、同時にワイヤ(1810)にその有効長を増加させるように使用される単に1つの例示的なワイヤ張力アセンブリ(1800)を示す。本実施例では、張力アセンブリ(1800)は、シャフトアセンブリ(1830)の近位端の回転ノブ(1834)に近位に位置する。シャフトアセンブリ(1830)の遠位端は、関節セクション(1836)と、エンドエフェクタ(1840)と、を含む。ノブ(1834)は、シャフトアセンブリ(1830)によって画定される長手軸線を中心に、ハンドピース又は他の種類の本体に対してシャフトアセンブリ(1830)を回転させるように動作可能である。関節セクション(1836)は、本明細書に記載のいずれかの関節セクションに従い構築され、動作可能であってもよい。別の方法としては、関節セクション(1836)は、任意の他の好適な構成を有してもよい。同様に、エンドエフェクタ(1840)は、本明細書に記載されるいずれかのエンドエフェクタに従い構築され、動作可能であるか、又は任意の他の好適な構成を有してもよい。
図42A〜43は、本明細書に記載されるいずれかの発射ビームの代わりに使用され得る例示的なクリンプ発射ビーム(1900)を示す。本実施例では、発射ビーム(1900)は、近位のまっすぐなセクション(1910)と、遠位のまっすぐなセクション(1912)と、まっすぐなセクション(1910、1912)の間に位置付けられるクリンプセクション(1914)と、を含む。クリンプセクション(1914)は、発射ビーム(1900)が図42Aに示される圧縮された構成と図42Bに示される延びた構成との間で遷移することができるように構成される。クリンプセクション(1914)は、本実施例では、圧縮された構成をとるように弾性的に付勢される。図43に示されるように、クリンプセクション(1914)は、剛性シャフトセクション(1902)とエンドエフェクタ(1904)との間に位置付けられる関節セクション(1936)を通って延在するように位置付けられる。関節セクション(1936)、剛性シャフトセクション(1902)、及びエンドエフェクタ(1904)は、本明細書のそのような構成要素の教示のいずれかに従い、構築され、動作可能であってもよいことを理解されたい。
本明細書の実施例は、主に、電気外科用器具の文脈において記載されるが、本明細書の教示は、様々な他の種類の医療器具に容易に適用され得ることを理解されたい。一例として、本明細書の教示は、組織捕捉器具、組織取り込み袋配置器具、外科用ホッチキス、超音波外科用器具などに容易に適用され得る。また、本明細書の教示は、本明細書の引用文献のいずれかの教示と多数の方法で容易に組み合わせられ得るため、本明細書の教示は、本明細書の引用文献のいずれかに記載される器具のいずれにも容易に適用され得ることも理解されたい。本明細書の教示が組み込まれ得る他の種類の器具が、当業者に明らかになるであろう。
(1) 電気外科用装置であって、
(a)本体と、
(b)エンドエフェクタであって、
(i)第1のつかみ具と、
(ii)第2のつかみ具と、
を備え、前記第1のつかみ具が、前記第1のつかみ具と前記第2のつかみ具との間に組織を挟持するように、前記第2のつかみ具に向かって移動可能であり、
前記つかみ具のうちの少なくとも1つが、少なくとも1つの電極を備え、
前記少なくとも1つの電極が、前記第1のつかみ具と前記第2のつかみ具との間に挟持される組織に無線周波数エネルギーを供給するように動作可能である、エンドエフェクタと、
(c)前記第1のつかみ具と前記第2のつかみ具との間に挟持される組織を切断するように動作可能な切断部材と、
(d)前記本体と前記エンドエフェクタとの間に延在するシャフトであって、前記シャフトが、長手軸線を画定し、前記シャフトが、関節セクションを含み、前記関節セクションが、前記エンドエフェクタを前記シャフトの前記長手軸線に対して非平行な位置に選択的に位置付けるように動作可能である、シャフトと、を備える、電気外科用装置。
(2) 関節セクションが複数のビーズを備え、前記ビーズが相互に隣接して位置付けられる、実施態様1に記載の電気外科用装置。
(3) 関節セクションが複数のビーズを備え、前記ビーズが補完的ポスト及び通路を含み、各ビーズの前記ポストが、前記ビーズが前記ポストによって一緒に枢動可能に連結されるように、別のビーズの通路内に配置される、実施態様1に記載の電気外科用装置。
(4) 前記関節セクションが、複数の相互係止セグメントによって形成され、前記相互係止セグメントが、前記関節セクションを関節構成に選択的に係止するように動作可能である、実施態様1に記載の電気外科用装置。
(5) 前記関節セクションが、複数のセグメントによって形成され、前記セグメントが、前記関節セクションを通して電気的導通を提供するように構成される電気接点を含み、前記関節セクションが、前記接点を相互に離れるように促すように付勢される1つ又は2つ以上の弾性部材を更に備える、実施態様1に記載の電気外科用装置。
(7) 前記関節セクションが、屈曲構成をとるように予備成形される弾性部材を備える、実施態様1に記載の電気外科用装置。
(8) 前記関節セクションが、移動可能なビームを備え、前記移動可能なビームが、前記弾性部材を実質的にまっすぐにするように後退可能である、実施態様7に記載の電気外科用装置。
(9) 前記関節セクションが、第1のチューブセクションと、第2のチューブセクションと、を備え、前記第1のチューブセクションが、一体式ヒンジ突出部を含み、前記第2のチューブが、ヒンジ開口部を含み、前記ヒンジ突出部が、前記ヒンジ開口部に配置され、ヒンジを形成し、前記第1のチューブセクションが前記ヒンジで前記第2のチューブセクションに対して枢動可能であるようになっている、実施態様1に記載の電気外科用装置。
(10) 前記関節セクションが、前記シャフト内に形成される螺旋状切抜部を備える、実施態様1に記載の電気外科用装置。
(12) 前記シャフトがクレビス特徴を含み、前記エンドエフェクタが、クレビス特徴を備え、前記シャフトの前記クレビス特徴が、前記関節セクションを形成するように前記エンドエフェクタの前記クレビス特徴と枢動可能に接合される、実施態様1に記載の電気外科用装置。
(13) 前記切断部材、一対の作動ケーブル、及びワイヤの全てが、前記関節セクションを通過する、実施態様12に記載の電気外科用装置。
(14) 前記関節セクションが、
(i)屈曲構成をとるように予備成形される弾性部材と、
(ii)ロッドであって、前記弾性部材内の前記ロッドの長手位置に基づき前記弾性部材を実質的にまっすぐにするように、前記弾性部材内で移動可能である、ロッドと、を備える、実施態様1に記載の電気外科用装置。
(15) 前記関節セクションが、まっすぐでない構成をとるように予備成形され、前記切断部材が、前記関節セクションを通して延在するビーズ状連結部を備え、前記ビーズ状連結部が、前記関節セクションを通して長手方向運動を伝達するように構成される、実施態様1に記載の電気外科用装置。
(17) 前記エンドエフェクタが、前記シャフトから取り外し可能であり、前記エンドエフェクタが、前記シャフトに対して2つ又は3つ以上の選択された角度で前記シャフトと選択的に連結されるように構成される、実施態様1に記載の電気外科用装置。
(18) 前記切断部材が圧着セクションを含む、実施態様1に記載の電気外科用装置。
(19) 外科用器具であって、前記器具が、
(a)本体と、
(b)エンドエフェクタであって、
(i)第1のつかみ具と、
(ii)第2のつかみ具と、
を備え、前記第1のつかみ具が、前記第1のつかみ具と前記第2のつかみ具との間に組織を挟持するように、前記第2のつかみ具に向かって移動可能である、エンドエフェクタと、
(c)前記第1のつかみ具と前記第2のつかみ具との間に挟持される組織を切断するように動作可能な切断部材と、
(d)前記本体と前記エンドエフェクタとの間に延在するシャフトと、を備え、
前記外科用器具が、次の
(i)前記切断部材と連通している発射バンドであって、前記発射バンドが前記発射バンドに対する近位の引張りに応じて前記切断部材を遠位に前進させるように動作可能であるように、前記第2のつかみ具が、前記発射バンドを方向転換するように構成される特徴を含む、発射バンド、又は
(ii)前記エンドエフェクタの枢軸特徴であって、前記第1のつかみ具及び前記第2のつかみ具が前記枢軸特徴を中心に相互に向かって、かつ相互から離れて枢動可能であるように、前記第1のつかみ具及び前記第2のつかみ具が、前記枢軸特徴に対して両方とも枢動可能である、枢軸特徴のうちの1つ又は両方を更に備える、外科用器具。
(20) 電気外科用装置であって、
(a)本体と、
(b)エンドエフェクタであって、
(i)第1のつかみ具と、
(ii)第2のつかみ具と、
を備え、前記第1のつかみ具が、前記第1のつかみ具と前記第2のつかみ具との間に組織を挟持するように、前記第2のつかみ具に向かって移動可能であり、
前記つかみ具のうちの少なくとも1つが、少なくとも1つの電極を備え、
前記少なくとも1つの電極が、前記第1のつかみ具と前記第2のつかみ具との間に挟持される組織に無線周波数エネルギーを供給するように動作可能である、エンドエフェクタと、
(c)前記本体と前記エンドエフェクタとの間に延在するシャフトであって、前記シャフトが、長手軸線を画定し、前記シャフトが、関節セクションを含み、前記関節セクションが、前記エンドエフェクタを前記シャフトの前記長手軸線に対して非平行な位置に選択的に位置付けるように動作可能である、シャフトと、
(d)前記関節セクションを通して延在するワイヤであって、前記少なくとも1つの電極(the at least on electrode)に電力を伝達するように動作可能である、ワイヤと、
(e)前記ワイヤの張力を弾性的に維持するように動作可能である張力アセンブリと、を備える、電気外科用装置。
Claims (5)
- 電気外科用装置であって、
(a)本体と、
(b)エンドエフェクタであって、
(i)第1のつかみ具と、
(ii)第2のつかみ具と、
を備え、前記第1のつかみ具が、前記第1のつかみ具と前記第2のつかみ具との間に組織を挟持するように、前記第2のつかみ具に向かって移動可能であり、
前記つかみ具のうちの少なくとも1つが、少なくとも1つの電極を備え、
前記少なくとも1つの電極が、前記第1のつかみ具と前記第2のつかみ具との間に挟持される組織に無線周波数エネルギーを供給するように動作可能である、エンドエフェクタと、
(c)前記第1のつかみ具と前記第2のつかみ具との間に挟持される組織を切断するように動作可能な切断部材と、
(d)前記本体と前記エンドエフェクタとの間に延在するシャフトであって、前記シャフトが、長手軸線を画定し、前記シャフトが、関節セクションを含み、前記関節セクションが、前記エンドエフェクタを前記シャフトの前記長手軸線に対して非平行な位置に選択的に位置付けるように動作可能である、シャフトと、
を備え、
前記関節セクションが複数のビーズを備え、前記ビーズが補完的ポスト及び通路を含み、各ビーズの前記ポストが、前記ビーズが前記ポストによって一緒に枢動可能に連結されるように、別のビーズの前記通路内に配置され、これにより、前記ビーズの相互係止された鎖は、協働する前記ポストと前記通路が交互に横方向にオフセットしたヒンジとして作用する状態で形成される、電気外科用装置。 - 前記ビーズは、前記鎖のそれぞれのビーズの垂直方向の向きが、隣接するビーズに対して、前記鎖の長さに沿って反転するように構成される、請求項1に記載の電気外科用装置。
- 前記ビーズの一部分が、前記鎖の隣接するビーズの対応する部分と垂直方向に重なる、請求項2に記載の電気外科用装置。
- 前記ビーズは陥凹を有し、隣り合う前記ビーズの陥凹が、発射ビームが配置されるチャネルを形成するように整合し、協働する、請求項2に記載の電気外科用装置
- 前記関節セクションが、前記関節セクションがまっすぐな位置にあるとき、前記関節セクションによって画定される長手軸線を中心に非対称である構成を有し、前記関節セクションが複数の非対称ビーズによって形成される、請求項1に記載の電気外科用装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US38611710P | 2010-09-24 | 2010-09-24 | |
US61/386,117 | 2010-09-24 | ||
PCT/US2011/052734 WO2012040445A1 (en) | 2010-09-24 | 2011-09-22 | Articulation joint features for articulating surgical device |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2013543393A JP2013543393A (ja) | 2013-12-05 |
JP5937079B2 true JP5937079B2 (ja) | 2016-06-22 |
Family
ID=44736092
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013530307A Active JP5937079B2 (ja) | 2010-09-24 | 2011-09-22 | 外科用装置を関節運動させるための関節接合特徴 |
JP2013530306A Active JP5878175B2 (ja) | 2010-09-24 | 2011-09-22 | 外科用装置を関節運動させるための関節接合特徴 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013530306A Active JP5878175B2 (ja) | 2010-09-24 | 2011-09-22 | 外科用装置を関節運動させるための関節接合特徴 |
Country Status (10)
Country | Link |
---|---|
US (6) | US9402682B2 (ja) |
EP (2) | EP2618762B1 (ja) |
JP (2) | JP5937079B2 (ja) |
KR (2) | KR101915983B1 (ja) |
CN (2) | CN103298425B (ja) |
AU (2) | AU2011305410B8 (ja) |
BR (2) | BR112013006969B1 (ja) |
CA (2) | CA2811339C (ja) |
RU (2) | RU2577811C2 (ja) |
WO (2) | WO2012040445A1 (ja) |
Families Citing this family (962)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US7846155B2 (en) | 2004-10-08 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Handle assembly having hand activation for use with an ultrasonic surgical instrument |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
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 |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
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 |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
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 |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
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 |
US8236010B2 (en) | 2006-03-23 | 2012-08-07 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with mimicking end effector |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US20080078802A1 (en) | 2006-09-29 | 2008-04-03 | Hess Christopher J | Surgical staples and stapling instruments |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8840603B2 (en) | 2007-01-10 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US20220061862A1 (en) * | 2007-01-11 | 2022-03-03 | Cilag Gmbh International | Surgical stapling device with a curved end effector |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8590762B2 (en) | 2007-03-15 | 2013-11-26 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configurations |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US8226675B2 (en) | 2007-03-22 | 2012-07-24 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US20080234709A1 (en) | 2007-03-22 | 2008-09-25 | Houser Kevin L | Ultrasonic surgical instrument and cartilage and bone shaping blades therefor |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US8308040B2 (en) | 2007-06-22 | 2012-11-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8882791B2 (en) | 2007-07-27 | 2014-11-11 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8348967B2 (en) * | 2007-07-27 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8252012B2 (en) | 2007-07-31 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with modulator |
DE202007011066U1 (de) * | 2007-08-08 | 2007-10-18 | Key Safety Systems, Inc., Sterling Heights | Sicherheitsgurtschloss |
JP2010540186A (ja) | 2007-10-05 | 2010-12-24 | エシコン・エンド−サージェリィ・インコーポレイテッド | 人間工学的外科用器具 |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US9585657B2 (en) | 2008-02-15 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Actuator for releasing a layer of material from a surgical end effector |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US8058771B2 (en) | 2008-08-06 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for cutting and coagulating with stepped output |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US9089700B2 (en) | 2008-08-11 | 2015-07-28 | Cibiem, Inc. | Systems and methods for treating dyspnea, including via electrical afferent signal blocking |
US9107688B2 (en) | 2008-09-12 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Activation feature for surgical instrument with pencil grip |
EP2361042B1 (en) * | 2008-09-12 | 2016-11-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic device for fingertip control |
PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
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 |
JP2012517287A (ja) | 2009-02-06 | 2012-08-02 | エシコン・エンド−サージェリィ・インコーポレイテッド | 被駆動式手術用ステープラの改良 |
US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US8344596B2 (en) | 2009-06-24 | 2013-01-01 | Ethicon Endo-Surgery, Inc. | Transducer arrangements for ultrasonic surgical instruments |
US9017326B2 (en) * | 2009-07-15 | 2015-04-28 | Ethicon Endo-Surgery, Inc. | Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8461744B2 (en) | 2009-07-15 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Rotating transducer mount for ultrasonic surgical instruments |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US9060776B2 (en) | 2009-10-09 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
USRE47996E1 (en) | 2009-10-09 | 2020-05-19 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US9168054B2 (en) | 2009-10-09 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
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 |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US8531064B2 (en) | 2010-02-11 | 2013-09-10 | Ethicon Endo-Surgery, Inc. | Ultrasonically powered surgical instruments with rotating cutting implement |
US8419759B2 (en) | 2010-02-11 | 2013-04-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument with comb-like tissue trimming device |
US8961547B2 (en) | 2010-02-11 | 2015-02-24 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with moving cutting implement |
US8579928B2 (en) | 2010-02-11 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Outer sheath and blade arrangements for ultrasonic surgical instruments |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8382782B2 (en) | 2010-02-11 | 2013-02-26 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with partially rotating blade and fixed pad arrangement |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US9259234B2 (en) | 2010-02-11 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with rotatable blade and hollow sheath arrangements |
US8323302B2 (en) | 2010-02-11 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Methods of using ultrasonically powered surgical instruments with rotatable cutting implements |
US8696665B2 (en) | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
US8709035B2 (en) | 2010-04-12 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
US8834518B2 (en) | 2010-04-12 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
GB2480498A (en) | 2010-05-21 | 2011-11-23 | Ethicon Endo Surgery Inc | Medical device comprising RF circuitry |
US9005199B2 (en) | 2010-06-10 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Heat management configurations for controlling heat dissipation from electrosurgical instruments |
US8795327B2 (en) | 2010-07-22 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US9192431B2 (en) | 2010-07-23 | 2015-11-24 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
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 |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US9545253B2 (en) | 2010-09-24 | 2017-01-17 | Ethicon Endo-Surgery, Llc | Surgical instrument with contained dual helix actuator assembly |
US9402682B2 (en) | 2010-09-24 | 2016-08-02 | Ethicon Endo-Surgery, Llc | Articulation joint features for articulating surgical device |
US9089327B2 (en) | 2010-09-24 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multi-phase trigger bias |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9055941B2 (en) | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9788834B2 (en) | 2010-09-30 | 2017-10-17 | Ethicon Llc | Layer comprising deployable attachment members |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US9480476B2 (en) | 2010-09-30 | 2016-11-01 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising resilient members |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
BR112013007717B1 (pt) | 2010-09-30 | 2020-09-24 | Ethicon Endo-Surgery, Inc. | Sistema de grampeamento cirúrgico |
US8740038B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a releasable portion |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8568425B2 (en) * | 2010-11-01 | 2013-10-29 | Covidien Lp | Wire spool for passing of wire through a rotational coupling |
US9113884B2 (en) | 2011-03-14 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Modular surgical tool systems |
MX2013011564A (es) | 2011-04-06 | 2014-04-30 | Medrobotics Corp | Herramientas quirurgicas de articulacion y vainas de herramientas, metodos para desplegar las mismas. |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US9044243B2 (en) | 2011-08-30 | 2015-06-02 | Ethcon Endo-Surgery, Inc. | Surgical cutting and fastening device with descendible second trigger arrangement |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
JP6234932B2 (ja) | 2011-10-24 | 2017-11-22 | 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. | 医療用器具 |
EP2811932B1 (en) | 2012-02-10 | 2019-06-26 | Ethicon LLC | Robotically controlled surgical instrument |
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 |
US20130253480A1 (en) | 2012-03-22 | 2013-09-26 | Cory G. Kimball | Surgical instrument usage data management |
US9364249B2 (en) | 2012-03-22 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Method and apparatus for programming modular surgical instrument |
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 |
CN104334098B (zh) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | 包括限定低压强环境的胶囊剂的组织厚度补偿件 |
RU2014143258A (ru) | 2012-03-28 | 2016-05-20 | Этикон Эндо-Серджери, Инк. | Компенсатор толщины ткани, содержащий множество слоев |
US9724118B2 (en) | 2012-04-09 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Techniques for cutting and coagulating tissue for ultrasonic surgical instruments |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US9237921B2 (en) | 2012-04-09 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US9241731B2 (en) | 2012-04-09 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Rotatable electrical connection for ultrasonic surgical instruments |
US9226766B2 (en) | 2012-04-09 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Serial communication protocol for medical device |
CN104519817B (zh) | 2012-04-24 | 2017-11-10 | 西比姆公司 | 用于颈动脉体摘除的血管内导管和方法 |
US10238416B2 (en) | 2012-04-30 | 2019-03-26 | Ethicon Llc | Ultrasonic device for cutting and coagulating |
JP6224082B2 (ja) | 2012-05-02 | 2017-11-01 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | 切断及び凝固用電気外科装置 |
US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
WO2013181660A1 (en) | 2012-06-01 | 2013-12-05 | Cibiem, Inc. | Methods and devices for cryogenic carotid body ablation |
WO2013181667A1 (en) | 2012-06-01 | 2013-12-05 | Cibiem, Inc. | Percutaneous methods and devices for carotid body ablation |
KR20190054191A (ko) * | 2012-06-07 | 2019-05-21 | 메드로보틱스 코포레이션 | 관절 수술 기구 및 그 배치 방법 |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
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 |
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 |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
US9101385B2 (en) * | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US9125662B2 (en) * | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9283045B2 (en) | 2012-06-29 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Surgical instruments with fluid management system |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US9955946B2 (en) | 2014-03-12 | 2018-05-01 | Cibiem, Inc. | Carotid body ablation with a transvenous ultrasound imaging and ablation catheter |
EP2866669A4 (en) | 2012-06-30 | 2016-04-20 | Cibiem Inc | ABLATION OF CAROTID BODY VIA DIRECTED ENERGY |
CN102715935B (zh) * | 2012-07-10 | 2014-04-09 | 浙江舒友仪器设备有限公司 | 一种超声波手术刀 |
BR112015006150B1 (pt) | 2012-09-19 | 2021-11-16 | Ethicon Endo-Surgery, Inc | Aparelho |
BR112015005993B1 (pt) | 2012-09-19 | 2021-04-27 | Ethicon Endo-Surgery, Inc | Aparelho |
IN2015DN02432A (ja) | 2012-09-28 | 2015-09-04 | Ethicon Endo Surgery Inc | |
US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
US10201365B2 (en) | 2012-10-22 | 2019-02-12 | Ethicon Llc | Surgeon feedback sensing and display methods |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
US9566062B2 (en) | 2012-12-03 | 2017-02-14 | Ethicon Endo-Surgery, Llc | Surgical instrument with secondary jaw closure feature |
US9078677B2 (en) | 2012-12-03 | 2015-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument with curved blade firing path |
US9050100B2 (en) | 2012-12-10 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument with feedback at end effector |
US9572622B2 (en) | 2012-12-10 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Bipolar electrosurgical features for targeted hemostasis |
US9445808B2 (en) | 2012-12-11 | 2016-09-20 | Ethicon Endo-Surgery, Llc | Electrosurgical end effector with tissue tacking features |
US20140194874A1 (en) | 2013-01-10 | 2014-07-10 | Ethicon Endo-Surgery, Inc. | Electrosurgical end effector with independent closure feature and blade |
US20140207124A1 (en) | 2013-01-23 | 2014-07-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument with selectable integral or external power source |
US9241758B2 (en) | 2013-01-25 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with blade compliant along vertical cutting edge plane |
US9149325B2 (en) | 2013-01-25 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | End effector with compliant clamping jaw |
US9610114B2 (en) | 2013-01-29 | 2017-04-04 | Ethicon Endo-Surgery, Llc | Bipolar electrosurgical hand shears |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US9795379B2 (en) * | 2013-02-28 | 2017-10-24 | Ethicon Llc | Surgical instrument with multi-diameter shaft |
US9700309B2 (en) | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
BR112015021082B1 (pt) | 2013-03-01 | 2022-05-10 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9314308B2 (en) | 2013-03-13 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Robotic ultrasonic surgical device with articulating end effector |
US10058310B2 (en) | 2013-03-13 | 2018-08-28 | Ethicon Llc | Electrosurgical device with drum-driven articulation |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9220569B2 (en) | 2013-03-13 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical device with disposable shaft having translating gear and snap fit |
US9254170B2 (en) | 2013-03-13 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrosurgical device with disposable shaft having modular subassembly |
US9737300B2 (en) | 2013-03-13 | 2017-08-22 | Ethicon Llc | Electrosurgical device with disposable shaft having rack and pinion drive |
US9107685B2 (en) | 2013-03-13 | 2015-08-18 | Ethicon Endo-Surgery, Inc. | Electrosurgical device with disposable shaft having clamshell coupling |
US9402687B2 (en) | 2013-03-13 | 2016-08-02 | Ethicon Endo-Surgery, Llc | Robotic electrosurgical device with disposable shaft |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US9168090B2 (en) | 2013-03-14 | 2015-10-27 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with restricted trigger |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US20140276730A1 (en) | 2013-03-14 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with reinforced articulation section |
US9877782B2 (en) | 2013-03-14 | 2018-01-30 | Ethicon Llc | Electrosurgical instrument end effector with compliant electrode |
US9254171B2 (en) | 2013-03-14 | 2016-02-09 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with multi-stage actuator |
US9241728B2 (en) | 2013-03-15 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multiple clamping mechanisms |
US9237923B2 (en) | 2013-03-15 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with partial trigger lockout |
US9895161B2 (en) | 2013-03-15 | 2018-02-20 | Ethicon Llc | Ultrasonic surgical shears with clamping feature |
US9510906B2 (en) | 2013-03-15 | 2016-12-06 | Ethicon Endo-Surgery, Llc | Tissue clamping features of surgical instrument end effector |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
US9579118B2 (en) | 2013-05-01 | 2017-02-28 | Ethicon Endo-Surgery, Llc | Electrosurgical instrument with dual blade end effector |
US9566110B2 (en) | 2013-05-09 | 2017-02-14 | Ethicon Endo-Surgery, Llc | Surgical instrument with jaw opening assist feature |
US9237900B2 (en) | 2013-05-10 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Surgical instrument with split jaw |
US9629648B2 (en) | 2013-05-10 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Surgical instrument with translating compliant jaw closure feature |
AU2014268819A1 (en) | 2013-05-20 | 2016-01-07 | Medrobotics Corporation | Articulating surgical instruments and method of deploying the same |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9579147B2 (en) | 2013-06-04 | 2017-02-28 | Ethicon Endo-Surgery, Llc | Electrosurgical forceps with translating blade driver |
US9504520B2 (en) | 2013-06-06 | 2016-11-29 | Ethicon Endo-Surgery, Llc | Surgical instrument with modular motor |
US9351788B2 (en) | 2013-06-06 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Surgical instrument having knife band with curved distal edge |
US9775667B2 (en) | 2013-06-18 | 2017-10-03 | Ethicon Llc | Surgical instrument with articulation indicator |
JP6091370B2 (ja) * | 2013-07-26 | 2017-03-08 | オリンパス株式会社 | 医療システム及び医療用器具制御方法 |
JP6120715B2 (ja) * | 2013-07-26 | 2017-04-26 | オリンパス株式会社 | 医療システム |
US9597074B2 (en) | 2013-08-15 | 2017-03-21 | Ethicon Endo-Surgery, Llc | Endoluminal stapler with rotating wheel cam for multi-staple firing |
CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
US20150053737A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | End effector detection systems for surgical instruments |
US9295514B2 (en) * | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US9861428B2 (en) | 2013-09-16 | 2018-01-09 | Ethicon Llc | Integrated systems for electrosurgical steam or smoke control |
US10172636B2 (en) * | 2013-09-17 | 2019-01-08 | Ethicon Llc | Articulation features for ultrasonic surgical instrument |
US20150080925A1 (en) * | 2013-09-19 | 2015-03-19 | Ethicon Endo-Surgery, Inc. | Alignment features for ultrasonic surgical instrument |
US9713469B2 (en) | 2013-09-23 | 2017-07-25 | Ethicon Llc | Surgical stapler with rotary cam drive |
US9526565B2 (en) | 2013-11-08 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9265926B2 (en) | 2013-11-08 | 2016-02-23 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9861381B2 (en) | 2013-11-12 | 2018-01-09 | Ethicon Llc | Removable battery casing for surgical instrument |
GB2521228A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
GB2521229A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US9724120B2 (en) | 2013-12-17 | 2017-08-08 | Ethicon Endo-Surgery, Llc | Clamp arm features for ultrasonic surgical instrument |
US9687232B2 (en) | 2013-12-23 | 2017-06-27 | Ethicon Llc | Surgical staples |
US20150173789A1 (en) * | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulatable shaft arrangements |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
US9801679B2 (en) | 2014-01-28 | 2017-10-31 | Ethicon Llc | Methods and devices for controlling motorized surgical devices |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
JP6462004B2 (ja) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | 発射部材ロックアウトを備える締結システム |
US9693777B2 (en) | 2014-02-24 | 2017-07-04 | Ethicon Llc | Implantable layers comprising a pressed region |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US10028761B2 (en) | 2014-03-26 | 2018-07-24 | Ethicon Llc | Feedback algorithms for manual bailout systems for surgical instruments |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10524852B1 (en) | 2014-03-28 | 2020-01-07 | Ethicon Llc | Distal sealing end effector with spacers |
USD731648S1 (en) * | 2014-03-31 | 2015-06-09 | Bovie Medical Corporation | Electrosurgical instrument |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
US9844369B2 (en) | 2014-04-16 | 2017-12-19 | Ethicon Llc | Surgical end effectors with firing element monitoring arrangements |
CN106456159B (zh) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | 紧固件仓组件和钉保持器盖布置结构 |
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 |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
BR112016023698B1 (pt) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Cartucho de prendedores para uso com um instrumento cirúrgico |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
US10667835B2 (en) * | 2014-04-22 | 2020-06-02 | Ethicon Llc | Ultrasonic surgical instrument with end effector having restricted articulation |
US10258363B2 (en) | 2014-04-22 | 2019-04-16 | Ethicon Llc | Method of operating an articulating ultrasonic surgical instrument |
CN104013465B (zh) * | 2014-05-28 | 2017-01-11 | 雷东 | 一种带角度调节功能的医用双极消融器 |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US10194972B2 (en) | 2014-08-26 | 2019-02-05 | Ethicon Llc | Managing tissue treatment |
US9757128B2 (en) | 2014-09-05 | 2017-09-12 | Ethicon Llc | Multiple sensors with one sensor affecting a second sensor's output or interpretation |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
EP3193695B1 (en) * | 2014-09-18 | 2022-07-27 | Omniguide Inc. | Laparoscopic handpiece for waveguides |
US10076315B2 (en) | 2014-09-18 | 2018-09-18 | Transmed7, Llc | Soft tissue biopsy or excisional devices and methods |
CN107427300B (zh) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | 外科缝合支撑物和辅助材料 |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10292758B2 (en) * | 2014-10-10 | 2019-05-21 | Ethicon Llc | Methods and devices for articulating laparoscopic energy device |
US10010309B2 (en) | 2014-10-10 | 2018-07-03 | Ethicon Llc | Surgical device with overload mechanism |
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 |
US10136938B2 (en) | 2014-10-29 | 2018-11-27 | Ethicon Llc | Electrosurgical instrument with sensor |
US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10076379B2 (en) | 2014-12-15 | 2018-09-18 | Ethicon Llc | Electrosurgical instrument with removable components for cleaning access |
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 |
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 |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
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 |
US10117706B2 (en) | 2014-12-19 | 2018-11-06 | Ethicon Llc | Electrosurgical instrument with integral tissue removal feature |
US10357311B2 (en) | 2014-12-19 | 2019-07-23 | Ethicon Llc | Electrosurgical instrument with removable jaw components |
US9993284B2 (en) | 2014-12-19 | 2018-06-12 | Ethicon Llc | Electrosurgical instrument with jaw cleaning mode |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10537667B2 (en) | 2015-01-28 | 2020-01-21 | Ethicon Llc | High temperature material for use in medical devices |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
US10722295B2 (en) | 2015-02-16 | 2020-07-28 | Covidien Lp | Robotic surgical assemblies and electrosurgical instruments thereof |
US10085749B2 (en) * | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
US10130367B2 (en) | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
US9993258B2 (en) | 2015-02-27 | 2018-06-12 | Ethicon Llc | Adaptable surgical instrument handle |
US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
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 |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
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 |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10159506B2 (en) | 2015-03-16 | 2018-12-25 | Ethicon Llc | Methods and devices for actuating surgical instruments |
US11134968B2 (en) | 2015-03-16 | 2021-10-05 | Cilag Gmbh International | Surgical jaw coupling methods and devices |
US10172670B2 (en) * | 2015-03-16 | 2019-01-08 | Ethicon Llc | Flexible neck for surgical instruments |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US11213423B2 (en) * | 2015-03-31 | 2022-01-04 | Zoll Circulation, Inc. | Proximal mounting of temperature sensor in intravascular temperature management catheter |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US20160302819A1 (en) * | 2015-04-16 | 2016-10-20 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instrument with articulating end effector having a curved blade |
US20160302818A1 (en) | 2015-04-16 | 2016-10-20 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instrument with movable rigidizing member |
US10342567B2 (en) | 2015-04-16 | 2019-07-09 | Ethicon Llc | Ultrasonic surgical instrument with opposing thread drive for end effector articulation |
US10034683B2 (en) | 2015-04-16 | 2018-07-31 | Ethicon Llc | Ultrasonic surgical instrument with rigidizing articulation drive members |
US10111698B2 (en) | 2015-04-16 | 2018-10-30 | Ethicon Llc | Surgical instrument with rotatable shaft having plurality of locking positions |
US10226274B2 (en) | 2015-04-16 | 2019-03-12 | Ethicon Llc | Ultrasonic surgical instrument with articulation joint having plurality of locking positions |
US10029125B2 (en) * | 2015-04-16 | 2018-07-24 | Ethicon Llc | Ultrasonic surgical instrument with articulation joint having integral stiffening members |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
PL3092966T3 (pl) * | 2015-05-11 | 2021-05-17 | Erbe Elektromedizin Gmbh | Instrument elektrochirurgiczny |
US10743897B2 (en) * | 2015-05-15 | 2020-08-18 | Intuitive Surgical Operations, Inc. | System and method for reducing blade exposures |
US10201381B2 (en) * | 2015-06-11 | 2019-02-12 | Conmed Corporation | Hand instruments with shaped shafts for use in laparoscopic surgery |
US10034684B2 (en) | 2015-06-15 | 2018-07-31 | Ethicon Llc | Apparatus and method for dissecting and coagulating tissue |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
US10368861B2 (en) | 2015-06-18 | 2019-08-06 | Ethicon Llc | Dual articulation drive system arrangements for articulatable surgical instruments |
BR112017027281B1 (pt) * | 2015-06-18 | 2022-12-13 | Ethicon Llc | Instrumento cirúrgico |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
MX2022009705A (es) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico. |
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 |
US10166026B2 (en) | 2015-08-26 | 2019-01-01 | Ethicon Llc | Staple cartridge assembly including features for controlling the rotation of staples when being ejected therefrom |
US10357252B2 (en) | 2015-09-02 | 2019-07-23 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples |
MX2022006189A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-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 |
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 |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10433846B2 (en) | 2015-09-30 | 2019-10-08 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10478188B2 (en) | 2015-09-30 | 2019-11-19 | Ethicon Llc | Implantable layer comprising a constricted configuration |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10751108B2 (en) | 2015-09-30 | 2020-08-25 | Ethicon Llc | Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10335129B2 (en) | 2015-11-17 | 2019-07-02 | Ethicon Llc | Methods and devices for auto return of articulated end effectors |
US10357269B2 (en) * | 2015-12-04 | 2019-07-23 | Ethicon Llc | Devices and methods for increasing rotational torque during end effector articulation |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US10537351B2 (en) | 2016-01-15 | 2020-01-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with variable motor control limits |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US11229471B2 (en) | 2016-01-15 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization |
CN113303917A (zh) * | 2016-02-05 | 2021-08-27 | 得克萨斯系统大学董事会 | 手术设备 |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
BR112018016098B1 (pt) * | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
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 |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
EP3426176B1 (en) | 2016-03-07 | 2020-10-07 | Ethicon LLC | Robotic bi-polar instruments |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
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 |
US10314582B2 (en) | 2016-04-01 | 2019-06-11 | Ethicon Llc | Surgical instrument comprising a shifting mechanism |
US10492819B2 (en) | 2016-04-01 | 2019-12-03 | Ethicon Llc | Surgical instrument with dual mode articulation drive |
US10456140B2 (en) | 2016-04-01 | 2019-10-29 | Ethicon Llc | Surgical stapling system comprising an unclamping lockout |
US10507034B2 (en) | 2016-04-04 | 2019-12-17 | Ethicon Llc | Surgical instrument with motorized articulation drive in shaft rotation knob |
US10743850B2 (en) | 2016-04-04 | 2020-08-18 | Ethicon Llc | Surgical instrument with locking articulation drive wheel |
US10575836B2 (en) | 2016-04-04 | 2020-03-03 | Ethicon Llc | Surgical instrument with selectively locked articulation assembly |
US10405876B2 (en) | 2016-04-05 | 2019-09-10 | Ethicon Llc | Articulation joint for surgical instrument |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US10478181B2 (en) | 2016-04-18 | 2019-11-19 | Ethicon Llc | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10702329B2 (en) * | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US10820923B2 (en) * | 2016-05-16 | 2020-11-03 | Biosense Webster (Israel) Ltd. | Insertion tube with deflectable tip |
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 |
CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
WO2018009354A1 (en) * | 2016-07-07 | 2018-01-11 | Intuitive Surgical Operations, Inc. | Electrode configurations for electrical flux delivery instruments, and related systems |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US11660106B2 (en) * | 2016-07-19 | 2023-05-30 | Cilag Gmbh International | Articulation joint having an inner guide |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US10779847B2 (en) | 2016-08-25 | 2020-09-22 | Ethicon Llc | Ultrasonic transducer to waveguide joining |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
WO2018067451A1 (en) * | 2016-10-03 | 2018-04-12 | Intuitive Surgical Operations, Inc. | Surgical instrument with retaining feature for cutting element |
WO2018098015A1 (en) | 2016-11-22 | 2018-05-31 | Boston Scientific Scimed, Inc. | Medical device shaft resistant to compression and/or tension |
US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
US10646270B2 (en) | 2016-12-02 | 2020-05-12 | Ethicon Llc | Surgical instrument with articulating portion |
US10603129B2 (en) | 2016-12-14 | 2020-03-31 | Ethicon Llc | Ultrasonic surgical instrument with integral torque wrench and longitudinal engagement |
US10646300B2 (en) | 2016-12-14 | 2020-05-12 | Ethicon Llc | Ultrasonic surgical instrument with transducer locking feature |
US10660722B2 (en) | 2016-12-14 | 2020-05-26 | Ethicon Llc | Ultrasonic surgical instrument with integral shaft assembly torque wrench |
US10575917B2 (en) | 2016-12-14 | 2020-03-03 | Ethicon Llc | Ultrasonic surgical instrument with integral torque wrench and transverse engagement |
US9833256B1 (en) | 2016-12-14 | 2017-12-05 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instrument with transducer slip joint |
BR112019011947A2 (pt) | 2016-12-21 | 2019-10-29 | Ethicon Llc | sistemas de grampeamento cirúrgico |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
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 |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
MX2019007295A (es) | 2016-12-21 | 2019-10-15 | Ethicon Llc | Sistema de instrumento quirúrgico que comprende un bloqueo del efector de extremo y un bloqueo de la unidad de disparo. |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
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 |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US11191539B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system |
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 |
US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
US20180168618A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10667811B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Surgical stapling instruments and staple-forming anvils |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10758298B2 (en) * | 2017-01-20 | 2020-09-01 | Ethicon Llc | Articulating electrosurgical tools |
US11020171B2 (en) | 2017-02-01 | 2021-06-01 | Ethicon Llc | Electrosurgical instrument with passive articulation and thermal insulation |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
WO2018170092A1 (en) | 2017-03-14 | 2018-09-20 | Boston Scientific Scimed, Inc. | Medical device with inner assembly |
WO2018170088A1 (en) | 2017-03-14 | 2018-09-20 | Boston Scientific Scimed, Inc. | Medical device shaft including a liner |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
US10980594B2 (en) | 2017-04-27 | 2021-04-20 | Ethicon Llc | Articulation drive feature in surgical instrument |
US10932845B2 (en) | 2017-04-27 | 2021-03-02 | Ethicon Llc | Detent feature for articulation control in surgical instrument |
US10881451B2 (en) | 2017-04-27 | 2021-01-05 | Ethicon Llc | Lead screw assembly for articulation control in surgical instrument |
US11013889B2 (en) | 2017-05-03 | 2021-05-25 | Boston Scientific Scimed, Inc. | Medical device with sealing assembly |
US11058472B2 (en) | 2017-05-22 | 2021-07-13 | Cilag Gmbh International | Combination ultrasonic and electrosurgical instrument having clamp arm electrode |
US11259856B2 (en) | 2017-05-22 | 2022-03-01 | Cilag Gmbh International | Combination ultrasonic and electrosurgical instrument and method for sealing tissue in successive phases |
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 |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
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 |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
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 |
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 |
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 |
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 |
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 |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
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 |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11678880B2 (en) * | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
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 |
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 |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
US11027105B2 (en) * | 2017-07-13 | 2021-06-08 | Biosense Webster (Israel) Ltd. | Adjustable instrument for dilation of anatomical passageway |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US10932846B2 (en) * | 2017-08-25 | 2021-03-02 | Ethicon Llc | Articulation section for shaft assembly of surgical instrument |
US11013528B2 (en) | 2017-08-29 | 2021-05-25 | Ethicon Llc | Electrically-powered surgical systems providing fine clamping control during energy delivery |
US10898219B2 (en) | 2017-08-29 | 2021-01-26 | Ethicon Llc | Electrically-powered surgical systems for cutting and welding solid organs |
US10470758B2 (en) | 2017-08-29 | 2019-11-12 | Ethicon Llc | Suturing device |
US10675082B2 (en) | 2017-08-29 | 2020-06-09 | Ethicon Llc | Control of surgical field irrigation by electrosurgical tool |
US10932808B2 (en) | 2017-08-29 | 2021-03-02 | Ethicon Llc | Methods, systems, and devices for controlling electrosurgical tools |
US10905421B2 (en) | 2017-08-29 | 2021-02-02 | Ethicon Llc | Electrically-powered surgical box staplers |
US10485527B2 (en) | 2017-08-29 | 2019-11-26 | Ethicon Llc | Control system for clip applier |
US10905493B2 (en) | 2017-08-29 | 2021-02-02 | Ethicon Llc | Methods, systems, and devices for controlling electrosurgical tools |
US10835310B2 (en) | 2017-08-29 | 2020-11-17 | Ethicon Llc | Electrically-powered surgical systems |
US10881403B2 (en) | 2017-08-29 | 2021-01-05 | Ethicon Llc | Endocutter control system |
US10905417B2 (en) | 2017-08-29 | 2021-02-02 | Ethicon Llc | Circular stapler |
WO2019043521A1 (en) | 2017-08-29 | 2019-03-07 | Ethicon Llc | SURGICAL ELECTRICAL POWER SYSTEMS FOR CUTTING AND SOLDING SOLID ORGANS |
US11504126B2 (en) | 2017-08-29 | 2022-11-22 | Cilag Gmbh International | Control system for clip applier |
US10912581B2 (en) | 2017-08-29 | 2021-02-09 | Ethicon Llc | Electrically-powered surgical systems with articulation-compensated ultrasonic energy delivery |
US10856928B2 (en) | 2017-08-29 | 2020-12-08 | Ethicon Llc | Electrically-powered surgical systems |
US11172928B2 (en) | 2017-08-29 | 2021-11-16 | Cilag Gmbh International | Endocutter control system |
US11160602B2 (en) | 2017-08-29 | 2021-11-02 | Cilag Gmbh International | Control of surgical field irrigation |
US10888370B2 (en) | 2017-08-29 | 2021-01-12 | Ethicon Llc | Methods, systems, and devices for controlling electrosurgical tools |
US10548601B2 (en) | 2017-08-29 | 2020-02-04 | Ethicon Llc | Control system for clip applier |
US10912567B2 (en) | 2017-08-29 | 2021-02-09 | Ethicon Llc | Circular stapler |
US11134975B2 (en) | 2017-08-31 | 2021-10-05 | Cilag Gmbh International | Apparatus and method to control operation of surgical instrument based on audible feedback |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US11406390B2 (en) | 2017-10-30 | 2022-08-09 | Cilag Gmbh International | Clip applier comprising interchangeable clip reloads |
US11793537B2 (en) | 2017-10-30 | 2023-10-24 | Cilag Gmbh International | Surgical instrument comprising an adaptive electrical system |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
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 |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US20190125436A1 (en) | 2017-10-30 | 2019-05-02 | Acclarent, Inc. | Suction instrument with bipolar rf cuff |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
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 |
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 |
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 |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
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 |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
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 |
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 |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US20190192147A1 (en) | 2017-12-21 | 2019-06-27 | Ethicon Llc | Surgical instrument comprising an articulatable distal head |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
US20190201146A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Safety systems for smart powered surgical stapling |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
US10892995B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
US11633237B2 (en) | 2017-12-28 | 2023-04-25 | Cilag Gmbh International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
US11026751B2 (en) | 2017-12-28 | 2021-06-08 | Cilag Gmbh International | Display of alignment of staple cartridge to prior linear staple line |
US11179175B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Controlling an ultrasonic surgical instrument according to tissue location |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US11771487B2 (en) | 2017-12-28 | 2023-10-03 | Cilag Gmbh International | Mechanisms for controlling different electromechanical systems of an electrosurgical instrument |
US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
US11423007B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Adjustment of device control programs based on stratified contextual data in addition to the data |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US11304763B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US11446052B2 (en) | 2017-12-28 | 2022-09-20 | Cilag Gmbh International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US11013563B2 (en) | 2017-12-28 | 2021-05-25 | Ethicon Llc | Drive arrangements for robot-assisted surgical platforms |
US11419667B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US12062442B2 (en) | 2017-12-28 | 2024-08-13 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11969216B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution |
US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
US11969142B2 (en) | 2017-12-28 | 2024-04-30 | Cilag Gmbh International | Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws |
US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
US11234756B2 (en) | 2017-12-28 | 2022-02-01 | Cilag Gmbh International | Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter |
US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
US12096916B2 (en) | 2017-12-28 | 2024-09-24 | Cilag Gmbh International | Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US20190206569A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Method of cloud based data analytics for use with the hub |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US11818052B2 (en) | 2017-12-28 | 2023-11-14 | Cilag Gmbh International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US11213359B2 (en) | 2017-12-28 | 2022-01-04 | Cilag Gmbh International | Controllers for robot-assisted surgical platforms |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US11998193B2 (en) | 2017-12-28 | 2024-06-04 | Cilag Gmbh International | Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11678927B2 (en) | 2018-03-08 | 2023-06-20 | Cilag Gmbh International | Detection of large vessels during parenchymal dissection using a smart blade |
US11399858B2 (en) | 2018-03-08 | 2022-08-02 | Cilag Gmbh International | Application of smart blade technology |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US11213294B2 (en) | 2018-03-28 | 2022-01-04 | Cilag Gmbh International | Surgical instrument comprising co-operating lockout features |
US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11259806B2 (en) | 2018-03-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein |
US11207067B2 (en) | 2018-03-28 | 2021-12-28 | Cilag Gmbh International | Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
WO2019210165A1 (en) | 2018-04-26 | 2019-10-31 | Boston Scientific Scimed, Inc. | Medical device with coupling member |
US11266518B2 (en) | 2018-04-26 | 2022-03-08 | Boston Scientific Scimed, Inc. | Medical device with telescoping sealing assembly |
US11633569B2 (en) | 2018-04-26 | 2023-04-25 | Boston Scientific Scimed, Inc. | Motorized telescoping medical device delivery system |
US11020169B2 (en) | 2018-05-25 | 2021-06-01 | Cilag Gmbh International | Method and apparatus for open electrosurgical shears |
US11020170B2 (en) | 2018-05-25 | 2021-06-01 | Cilag Gmbh International | Knife drive assembly for electrosurgical shears |
US11154346B2 (en) | 2018-05-25 | 2021-10-26 | Cilag Gmbh International | Firing and lockout assembly for knife for electrosurgical shears |
US10898259B2 (en) | 2018-05-25 | 2021-01-26 | Ethicon Llc | Knife auto-return assembly for electrosurgical shears |
US11123129B2 (en) | 2018-05-25 | 2021-09-21 | Cilag Gmbh International | Dual stage energy activation for electrosurgical shears |
US10856931B2 (en) | 2018-05-25 | 2020-12-08 | Ethicon Llc | Compound screw knife drive for electrosurgical shears |
US10966781B2 (en) | 2018-05-25 | 2021-04-06 | Ethicon Llc | Electrosurgical shears with knife lock and clamp-actuated switch |
US11039877B2 (en) | 2018-05-25 | 2021-06-22 | Cliag GmbH International | Latching clamp arm for electrosurgical shears |
US11813016B2 (en) | 2018-07-12 | 2023-11-14 | Cilag Gmbh International | Electrosurgical shears with thumb ring knife actuator |
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 |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
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 |
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 |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11510669B2 (en) * | 2020-09-29 | 2022-11-29 | Covidien Lp | Hand-held surgical instruments |
EP3628255A1 (de) | 2018-09-26 | 2020-04-01 | Erbe Elektromedizin GmbH | Hf-chirurgisches präparationsinstrument mit fluidkanal |
US11197673B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Surgical stapling instruments and end effector assemblies thereof |
USD888951S1 (en) * | 2018-11-15 | 2020-06-30 | Ethicon Llc | Pair of bipolar electrosurgical jaws |
US11331100B2 (en) | 2019-02-19 | 2022-05-17 | Cilag Gmbh International | Staple cartridge retainer system with authentication keys |
US11751872B2 (en) | 2019-02-19 | 2023-09-12 | Cilag Gmbh International | Insertable deactivator element for surgical stapler lockouts |
US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11241228B2 (en) * | 2019-04-05 | 2022-02-08 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11213309B2 (en) | 2019-05-23 | 2022-01-04 | Biosense Webster (Israel) Ltd. | Medical probe having improved maneuverability |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
US11376082B2 (en) | 2019-06-27 | 2022-07-05 | Cilag Gmbh International | Robotic surgical system with local sensing of functional parameters based on measurements of multiple physical inputs |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
WO2021030567A1 (en) | 2019-08-15 | 2021-02-18 | Boston Scientific Scimed, Inc. | Medical device including attachable tip member |
US11612409B2 (en) | 2019-08-30 | 2023-03-28 | Cilag Gmbh International | Ultrasonic transducer alignment of an articulating ultrasonic surgical instrument |
US11712261B2 (en) | 2019-08-30 | 2023-08-01 | Cilag Gmbh International | Rotatable linear actuation mechanism |
US11471181B2 (en) | 2019-08-30 | 2022-10-18 | Cilag Gmbh International | Ultrasonic surgical instrument with axisymmetric clamping |
US11690642B2 (en) | 2019-08-30 | 2023-07-04 | Cilag Gmbh International | Ultrasonic surgical instrument with a multi-planar articulating shaft assembly |
EP4021318A1 (en) | 2019-08-30 | 2022-07-06 | Cilag GmbH International | Ultrasonic surgical instrument with a multi-planar articulating shaft assembly |
US11457945B2 (en) | 2019-08-30 | 2022-10-04 | Cilag Gmbh International | Ultrasonic blade and clamp arm alignment features |
KR102336979B1 (ko) * | 2019-09-24 | 2021-12-09 | 한국과학기술연구원 | 탄성 부재를 구비한 관절 구조체 및 이를 구비하는 튜브 삽입형 장치 |
US11857283B2 (en) | 2019-11-05 | 2024-01-02 | Cilag Gmbh International | Articulation joint with helical lumen |
US11109862B2 (en) | 2019-12-12 | 2021-09-07 | Covidien Lp | Surgical stapling device with flexible shaft |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
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 |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing 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 |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US12114912B2 (en) | 2019-12-30 | 2024-10-15 | Cilag Gmbh International | Non-biased deflectable electrode to minimize contact between ultrasonic blade and electrode |
US12082808B2 (en) | 2019-12-30 | 2024-09-10 | Cilag Gmbh International | Surgical instrument comprising a control system responsive to software configurations |
US12064109B2 (en) | 2019-12-30 | 2024-08-20 | Cilag Gmbh International | Surgical instrument comprising a feedback control circuit |
US11944366B2 (en) | 2019-12-30 | 2024-04-02 | Cilag Gmbh International | Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode |
US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
US11937866B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Method for an electrosurgical procedure |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US12023086B2 (en) | 2019-12-30 | 2024-07-02 | Cilag Gmbh International | Electrosurgical instrument for delivering blended energy modalities to tissue |
US11986201B2 (en) | 2019-12-30 | 2024-05-21 | Cilag Gmbh International | Method for operating a surgical instrument |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
US11786291B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Deflectable support of RF energy electrode with respect to opposing ultrasonic blade |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11974801B2 (en) | 2019-12-30 | 2024-05-07 | Cilag Gmbh International | Electrosurgical instrument with flexible wiring assemblies |
US20210196361A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with monopolar and bipolar energy capabilities |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US12076006B2 (en) | 2019-12-30 | 2024-09-03 | Cilag Gmbh International | Surgical instrument comprising an orientation detection system |
US12053224B2 (en) | 2019-12-30 | 2024-08-06 | Cilag Gmbh International | Variation in electrode parameters and deflectable electrode to modify energy density and tissue interaction |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
USD1039141S1 (en) | 2020-04-27 | 2024-08-13 | Acclarent, Inc. | Flex section in shaft for ENT instrument |
US11766275B2 (en) * | 2020-05-18 | 2023-09-26 | Covidien Lp | Articulating ultrasonic surgical instruments and systems |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
US11857247B2 (en) | 2020-07-17 | 2024-01-02 | Cilag Gmbh International | Jaw for surgical instrument end effector |
US20220031350A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with double pivot articulation joint arrangements |
KR102450610B1 (ko) * | 2020-09-14 | 2022-10-04 | 사회복지법인 삼성생명공익재단 | 강자성 전극 구조의 수술 기기 |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
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 |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
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 |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
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 |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11911064B2 (en) | 2020-12-21 | 2024-02-27 | Cilag Gmbh International | Ultrasonic surgical instrument with a clamp arm clocking assembly |
US12016777B2 (en) | 2021-01-26 | 2024-06-25 | Boston Scientific Scimed, Inc. | Medical device including attachable components |
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 |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US12108951B2 (en) | 2021-02-26 | 2024-10-08 | Cilag Gmbh International | Staple cartridge comprising a sensing array and a temperature control system |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
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 |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
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 |
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 |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US12102323B2 (en) | 2021-03-24 | 2024-10-01 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising a floatable component |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
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 |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
RU2763939C1 (ru) * | 2021-05-24 | 2022-01-11 | Дмитрий Владимирович Егоров | Устройство для радиочастотной абляции легочных сосудов |
US11998201B2 (en) | 2021-05-28 | 2024-06-04 | Cilag CmbH International | Stapling instrument comprising a firing lockout |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
US11974829B2 (en) | 2021-06-30 | 2024-05-07 | Cilag Gmbh International | Link-driven articulation device for a surgical device |
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 |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
US11957342B2 (en) | 2021-11-01 | 2024-04-16 | Cilag Gmbh International | Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation |
US20230355266A1 (en) | 2022-05-05 | 2023-11-09 | Cilag Gmbh International | Clamp force control feature for surgical end effector |
Family Cites Families (170)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2715341A (en) | 1954-12-30 | 1955-08-16 | Cleveland Pneumatic Tool Co | Bumper stop |
US2857776A (en) | 1955-01-13 | 1958-10-28 | American Metal Prod | Lead screw selectively operable and releasable under load |
US2818744A (en) | 1956-03-09 | 1958-01-07 | Lear Inc | Linear actuator with jointly adjustable stops |
US2881645A (en) | 1956-03-20 | 1959-04-14 | Edward Q Kruchten | Work holding device |
US3194530A (en) | 1963-05-09 | 1965-07-13 | American Metal Prod | Seat adjuster |
US4203430A (en) | 1976-12-16 | 1980-05-20 | Nagashige Takahashi | Device for controlling curvature of an end section in an endoscope |
US4483562A (en) | 1981-10-16 | 1984-11-20 | Arnold Schoolman | Locking flexible shaft device with live distal end attachment |
SU1377053A1 (ru) * | 1985-10-02 | 1988-02-28 | В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин | Хирургический сшивающий аппарат |
US4723936A (en) | 1986-07-22 | 1988-02-09 | Versaflex Delivery Systems Inc. | Steerable catheter |
US5125895A (en) | 1986-07-22 | 1992-06-30 | Medtronic Versaflex, Inc. | Steerable catheter |
US4945920A (en) | 1988-03-28 | 1990-08-07 | Cordis Corporation | Torqueable and formable biopsy forceps |
US4880015A (en) | 1988-06-03 | 1989-11-14 | Nierman David M | Biopsy forceps |
US5003989A (en) | 1989-05-11 | 1991-04-02 | Advanced Cardiovascular Systems, Inc. | Steerable dilation catheter |
DE3923851C1 (ja) | 1989-07-19 | 1990-08-16 | Richard Wolf Gmbh, 7134 Knittlingen, De | |
US5383888A (en) | 1992-02-12 | 1995-01-24 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5391180A (en) | 1991-08-05 | 1995-02-21 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5514157A (en) | 1992-02-12 | 1996-05-07 | United States Surgical Corporation | Articulating endoscopic surgical apparatus |
US5411519A (en) | 1992-09-23 | 1995-05-02 | United States Surgical Corporation | Surgical apparatus having hinged jaw structure |
US5330502A (en) | 1992-10-09 | 1994-07-19 | Ethicon, Inc. | Rotational endoscopic mechanism with jointed drive mechanism |
DE4300307C2 (de) | 1993-01-08 | 1996-09-19 | Aesculap Ag | Chirurgisches Instrument |
US5462546A (en) | 1993-02-05 | 1995-10-31 | Everest Medical Corporation | Bipolar electrosurgical forceps |
US5643294A (en) | 1993-03-01 | 1997-07-01 | United States Surgical Corporation | Surgical apparatus having an increased range of operability |
EP0699053B1 (en) | 1993-05-14 | 1999-03-17 | Sri International | Surgical apparatus |
DE4323585A1 (de) | 1993-07-14 | 1995-01-19 | Delma Elektro Med App | Bipolares Hochfrequenz-Chirurgieinstrument |
US5562682A (en) | 1993-10-08 | 1996-10-08 | Richard-Allan Medical Industries, Inc. | Surgical Instrument with adjustable arms |
US5743456A (en) | 1993-12-16 | 1998-04-28 | Stryker Corporation | Hand actuable surgical handpiece |
US5395329A (en) | 1994-01-19 | 1995-03-07 | Daig Corporation | Control handle for steerable catheter |
US5454827A (en) | 1994-05-24 | 1995-10-03 | Aust; Gilbert M. | Surgical instrument |
USRE38335E1 (en) | 1994-05-24 | 2003-11-25 | Endius Incorporated | Surgical instrument |
US5766196A (en) | 1994-06-06 | 1998-06-16 | Tnco, Inc. | Surgical instrument with steerable distal end |
US5609601A (en) | 1994-09-23 | 1997-03-11 | United States Surgical Corporation | Endoscopic surgical apparatus with rotation lock |
US5514130A (en) | 1994-10-11 | 1996-05-07 | Dorsal Med International | RF apparatus for controlled depth ablation of soft tissue |
US5549637A (en) | 1994-11-10 | 1996-08-27 | Crainich; Lawrence | Articulated medical instrument |
US5632432A (en) | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5540685A (en) | 1995-01-06 | 1996-07-30 | Everest Medical Corporation | Bipolar electrical scissors with metal cutting edges and shearing surfaces |
US5700275A (en) | 1996-04-25 | 1997-12-23 | United States Surgical Corporation | Articulating endoscopic surgical instrument |
US5792135A (en) | 1996-05-20 | 1998-08-11 | Intuitive Surgical, Inc. | Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity |
AU9478498A (en) | 1997-09-11 | 1999-03-29 | Genzyme Corporation | Articulating endoscopic implant rotator surgical apparatus and method for using same |
US5921956A (en) | 1997-09-24 | 1999-07-13 | Smith & Nephew, Inc. | Surgical instrument |
US6554794B1 (en) | 1997-09-24 | 2003-04-29 | Richard L. Mueller | Non-deforming deflectable multi-lumen catheter |
US6179809B1 (en) | 1997-09-24 | 2001-01-30 | Eclipse Surgical Technologies, Inc. | Drug delivery catheter with tip alignment |
US7594913B2 (en) | 1998-12-14 | 2009-09-29 | Medwaves, Inc. | Radio-frequency based catheter system and method for ablating biological tissues |
US7070595B2 (en) | 1998-12-14 | 2006-07-04 | Medwaves, Inc. | Radio-frequency based catheter system and method for ablating biological tissues |
AU4836200A (en) | 1999-05-11 | 2000-11-21 | Zynergy Cardiovascular, Inc. | Steerable catheter |
US20070282324A1 (en) | 1999-07-19 | 2007-12-06 | Matthias Vaska | Apparatus and method for diagnosis and therapy of electrophysiological disease |
US6423059B1 (en) | 1999-11-16 | 2002-07-23 | Sulzer Medica Usa Inc. | Radio frequency ablation apparatus with remotely articulating and self-locking electrode wand |
US6558385B1 (en) | 2000-09-22 | 2003-05-06 | Tissuelink Medical, Inc. | Fluid-assisted medical device |
US7407076B2 (en) | 2000-10-13 | 2008-08-05 | Tyco Healthcare Group Lp | Surgical stapling device |
US6656177B2 (en) | 2000-10-23 | 2003-12-02 | Csaba Truckai | Electrosurgical systems and techniques for sealing tissue |
US6500176B1 (en) | 2000-10-23 | 2002-12-31 | Csaba Truckai | Electrosurgical systems and techniques for sealing tissue |
US7081114B2 (en) | 2000-11-29 | 2006-07-25 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Electrophysiology/ablation catheter having lariat configuration of variable radius |
US20030135204A1 (en) | 2001-02-15 | 2003-07-17 | Endo Via Medical, Inc. | Robotically controlled medical instrument with a flexible section |
US7101371B2 (en) * | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
US6783524B2 (en) | 2001-04-19 | 2004-08-31 | Intuitive Surgical, Inc. | Robotic surgical tool with ultrasound cauterizing and cutting instrument |
US6817974B2 (en) | 2001-06-29 | 2004-11-16 | Intuitive Surgical, Inc. | Surgical tool having positively positionable tendon-actuated multi-disk wrist joint |
US20060199999A1 (en) * | 2001-06-29 | 2006-09-07 | Intuitive Surgical Inc. | Cardiac tissue ablation instrument with flexible wrist |
US7208005B2 (en) | 2001-08-06 | 2007-04-24 | The Penn State Research Foundation | Multifunctional tool and method for minimally invasive surgery |
US6929644B2 (en) | 2001-10-22 | 2005-08-16 | Surgrx Inc. | Electrosurgical jaw structure for controlled energy delivery |
US7311709B2 (en) | 2001-10-22 | 2007-12-25 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US7354440B2 (en) | 2001-10-22 | 2008-04-08 | Surgrx, Inc. | Electrosurgical instrument and method of use |
US6905497B2 (en) * | 2001-10-22 | 2005-06-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument |
US7125409B2 (en) | 2001-10-22 | 2006-10-24 | Surgrx, Inc. | Electrosurgical working end for controlled energy delivery |
US7189233B2 (en) | 2001-10-22 | 2007-03-13 | Surgrx, Inc. | Electrosurgical instrument |
EP1460954B1 (en) | 2001-11-29 | 2007-10-10 | Medwaves, Inc. | Radio-frequency based catheter system with improved deflection and steering mechanisms |
US6682493B2 (en) | 2001-12-03 | 2004-01-27 | Scimed Life Systems, Inc. | High torque guidewire |
US20030114851A1 (en) | 2001-12-13 | 2003-06-19 | Csaba Truckai | Electrosurgical jaws for controlled application of clamping pressure |
CA2733138C (en) | 2002-01-22 | 2012-10-09 | Csaba Truckai | Electrosurgical instrument and method of use |
KR20030065091A (ko) | 2002-01-29 | 2003-08-06 | 박정근 | 센서와 전자브레이크를 구비한 자체 신축방식의전기액추에이터 |
US20040176751A1 (en) * | 2002-08-14 | 2004-09-09 | Endovia Medical, Inc. | Robotic medical instrument system |
US8361067B2 (en) | 2002-09-30 | 2013-01-29 | Relievant Medsystems, Inc. | Methods of therapeutically heating a vertebral body to treat back pain |
US7083620B2 (en) | 2002-10-30 | 2006-08-01 | Medtronic, Inc. | Electrosurgical hemostat |
US7169146B2 (en) | 2003-02-14 | 2007-01-30 | Surgrx, Inc. | Electrosurgical probe and method of use |
US7380696B2 (en) | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US7410483B2 (en) | 2003-05-23 | 2008-08-12 | Novare Surgical Systems, Inc. | Hand-actuated device for remote manipulation of a grasping tool |
US7156846B2 (en) | 2003-06-13 | 2007-01-02 | Sherwood Services Ag | Vessel sealer and divider for use with small trocars and cannulas |
US7150749B2 (en) | 2003-06-13 | 2006-12-19 | Sherwood Services Ag | Vessel sealer and divider having elongated knife stroke and safety cutting mechanism |
US7159750B2 (en) | 2003-06-17 | 2007-01-09 | Tyco Healtcare Group Lp | Surgical stapling device |
US7494039B2 (en) | 2003-06-17 | 2009-02-24 | Tyco Healthcare Group Lp | Surgical stapling device |
CA2542532C (en) | 2003-10-17 | 2012-08-14 | Tyco Healthcare Group, Lp | Surgical stapling device with independent tip rotation |
US7338513B2 (en) * | 2003-10-30 | 2008-03-04 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
WO2005052959A2 (en) | 2003-11-19 | 2005-06-09 | Surgrx, Inc. | Polymer compositions exhibiting a ptc property and method of fabrication |
US20070219581A1 (en) * | 2003-12-11 | 2007-09-20 | Thk Co., Ltd. | Bending Action Member, Multi-Slider Linkage Mechanism, Actuator And Manipulator |
US7220951B2 (en) | 2004-04-19 | 2007-05-22 | Surgrx, Inc. | Surgical sealing surfaces and methods of use |
US7632265B2 (en) | 2004-05-28 | 2009-12-15 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Radio frequency ablation servo catheter and method |
US7678117B2 (en) | 2004-06-07 | 2010-03-16 | Novare Surgical Systems, Inc. | Articulating mechanism with flex-hinged links |
US7828808B2 (en) | 2004-06-07 | 2010-11-09 | Novare Surgical Systems, Inc. | Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools |
US7506790B2 (en) | 2004-07-28 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
DE102004040959B4 (de) * | 2004-08-24 | 2008-12-24 | Erbe Elektromedizin Gmbh | Chirurgisches Instrument |
JP4976296B2 (ja) * | 2004-08-31 | 2012-07-18 | サージカル ソリューションズ リミテッド ライアビリティ カンパニー | 屈曲シャフトを有する医療器具 |
US7540872B2 (en) | 2004-09-21 | 2009-06-02 | Covidien Ag | Articulating bipolar electrosurgical instrument |
JP4287354B2 (ja) | 2004-10-25 | 2009-07-01 | 株式会社日立製作所 | 手術器具 |
US7691095B2 (en) | 2004-12-28 | 2010-04-06 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Bi-directional steerable catheter control handle |
US8858495B2 (en) | 2004-12-28 | 2014-10-14 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Five degree of freedom ultrasound catheter and catheter control handle |
US7784662B2 (en) | 2005-02-18 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground |
US7654431B2 (en) | 2005-02-18 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument with guided laterally moving articulation member |
US7780054B2 (en) | 2005-02-18 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint |
US7559450B2 (en) | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating a fluid transfer controlled articulation mechanism |
US7784663B2 (en) * | 2005-03-17 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having load sensing control circuitry |
US8579176B2 (en) | 2005-07-26 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting device and method for using the device |
WO2007089676A1 (en) | 2006-01-27 | 2007-08-09 | Medtronic, Inc. | Device and system for surgical dissection and or guidance of other medical devices into body |
US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
ES2291112B1 (es) | 2006-03-03 | 2008-12-16 | Corporacion Sanitaria Parc Tauli | Instrumento quirurgico para cirugia endoscopica. |
US8236010B2 (en) | 2006-03-23 | 2012-08-07 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with mimicking end effector |
JP4928969B2 (ja) | 2006-04-26 | 2012-05-09 | Hoya株式会社 | 内視鏡の湾曲保持機構 |
US7615044B2 (en) | 2006-05-03 | 2009-11-10 | Greatbatch Ltd. | Deflectable sheath handle assembly and method therefor |
EP2018205A1 (en) * | 2006-05-19 | 2009-01-28 | Conmed Endoscopic Technologies, Inc. | Steerable medical instrument |
US8246637B2 (en) * | 2006-10-05 | 2012-08-21 | Tyco Healthcare Group Lp | Flexible endoscopic stitching devices |
US8475453B2 (en) | 2006-10-06 | 2013-07-02 | Covidien Lp | Endoscopic vessel sealer and divider having a flexible articulating shaft |
US8721640B2 (en) | 2006-10-06 | 2014-05-13 | Covidien Lp | Endoscopic vessel sealer and divider having a flexible articulating shaft |
US7481348B2 (en) | 2006-10-06 | 2009-01-27 | Tyco Healthcare Group Lp | Surgical instrument with articulating tool assembly |
US8062306B2 (en) | 2006-12-14 | 2011-11-22 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
US7434716B2 (en) | 2006-12-21 | 2008-10-14 | Tyco Healthcare Group Lp | Staple driver for articulating surgical stapler |
US8444637B2 (en) | 2006-12-29 | 2013-05-21 | St. Jude Medical, Atrial Filbrillation Division, Inc. | Steerable ablation device |
US7708182B2 (en) | 2007-04-17 | 2010-05-04 | Tyco Healthcare Group Lp | Flexible endoluminal surgical instrument |
FR2915873B1 (fr) | 2007-05-09 | 2009-08-14 | Artmedis Sarl | Dispositif de bras articule porte-outil destine a porter un instrument chirurgical. |
US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
US7549564B2 (en) | 2007-06-22 | 2009-06-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulating end effector |
US7588175B2 (en) | 2007-06-18 | 2009-09-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with improved firing system |
US7703653B2 (en) | 2007-09-28 | 2010-04-27 | Tyco Healthcare Group Lp | Articulation mechanism for surgical instrument |
JP5403783B2 (ja) | 2007-10-05 | 2014-01-29 | コヴィディエン リミテッド パートナーシップ | 関節運動メカニズムを有する外科ステープラ |
US8372064B2 (en) | 2007-11-08 | 2013-02-12 | Angiodynamics, Inc. | Articulatable device for delivering therapeutic energy to tissue |
US8377059B2 (en) * | 2007-11-28 | 2013-02-19 | Covidien Ag | Cordless medical cauterization and cutting device |
GB2456561A (en) | 2008-01-18 | 2009-07-22 | Gyrus Medical Ltd | An articulated surgical instrument having cam and track actuacting means |
US8006365B2 (en) | 2008-01-30 | 2011-08-30 | Easylap Ltd. | Device and method for applying rotary tacks |
US8353902B2 (en) | 2008-01-31 | 2013-01-15 | Vivant Medical, Inc. | Articulating ablation device and method |
US8870867B2 (en) | 2008-02-06 | 2014-10-28 | Aesculap Ag | Articulable electrosurgical instrument with a stabilizable articulation actuator |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
CN201168050Y (zh) * | 2008-03-31 | 2008-12-24 | 郑森华 | 双极弯分离钳 |
JP2008220972A (ja) | 2008-04-11 | 2008-09-25 | Olympus Corp | 処置具 |
US8628545B2 (en) | 2008-06-13 | 2014-01-14 | Covidien Lp | Endoscopic stitching devices |
US8968355B2 (en) | 2008-08-04 | 2015-03-03 | Covidien Lp | Articulating surgical device |
US8801752B2 (en) | 2008-08-04 | 2014-08-12 | Covidien Lp | Articulating surgical device |
US8142473B2 (en) | 2008-10-03 | 2012-03-27 | Tyco Healthcare Group Lp | Method of transferring rotational motion in an articulating surgical instrument |
US8197479B2 (en) | 2008-12-10 | 2012-06-12 | Tyco Healthcare Group Lp | Vessel sealer and divider |
US8161838B2 (en) | 2008-12-22 | 2012-04-24 | Intuitive Surgical Operations, Inc. | Method and apparatus for reducing at least one friction force opposing an axial force exerted through an actuator element |
US8245594B2 (en) | 2008-12-23 | 2012-08-21 | Intuitive Surgical Operations, Inc. | Roll joint and method for a surgical apparatus |
US8556850B2 (en) | 2008-12-31 | 2013-10-15 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Shaft and handle for a catheter with independently-deflectable segments |
US8676290B2 (en) | 2010-05-11 | 2014-03-18 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Multi-directional catheter control handle |
US8632539B2 (en) | 2009-01-14 | 2014-01-21 | Covidien Lp | Vessel sealer and divider |
EP2403421B1 (en) | 2009-03-05 | 2019-07-31 | Covidien LP | Endoscopic vessel sealer and divider having a flexible articulating shaft |
WO2010118018A1 (en) | 2009-04-06 | 2010-10-14 | Medtronic Inc. | Bipolar ablation clamp with jaws positionable at different angles relative to a shaft |
WO2010135602A1 (en) | 2009-05-20 | 2010-11-25 | Osseon Therapeutics, Inc. | Steerable curvable ablation catheter for vertebroplasty |
WO2011005335A1 (en) | 2009-07-10 | 2011-01-13 | Tyco Healthcare Group Lp | Shaft constructions for medical devices with an articulating tip |
US8939974B2 (en) | 2009-10-09 | 2015-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US8357161B2 (en) | 2009-10-30 | 2013-01-22 | Covidien Lp | Coaxial drive |
RU91846U1 (ru) * | 2009-11-16 | 2010-03-10 | Общество С Ограниченной Ответственностью "Новые Энергетические Технологии" | Электрохирургические биполярные ножницы для коагуляции и резания |
US8403832B2 (en) | 2010-02-26 | 2013-03-26 | Covidien Lp | Drive mechanism for articulation of a surgical instrument |
US8439912B2 (en) | 2010-02-26 | 2013-05-14 | Covidien Lp | De-tensioning mechanism for articulation drive cables |
US8292889B2 (en) | 2010-02-26 | 2012-10-23 | Tyco Healthcare Group Lp | Drive mechanism for articulation of a surgical instrument |
US20110213360A1 (en) | 2010-02-26 | 2011-09-01 | Tyco Healthcare Group Lp | Tensioning Mechanism for Articulation Drive Cables |
AU2011223525B2 (en) | 2010-03-03 | 2015-02-26 | Basel S. Hassoun | Surgical instrument |
US9149324B2 (en) * | 2010-07-08 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US9545253B2 (en) | 2010-09-24 | 2017-01-17 | Ethicon Endo-Surgery, Llc | Surgical instrument with contained dual helix actuator assembly |
US20120078244A1 (en) | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
US20130131651A1 (en) | 2010-09-24 | 2013-05-23 | Ethicon Endo-Surgery, Inc. | Features providing linear actuation through articulation joint in surgical instrument |
US9402682B2 (en) | 2010-09-24 | 2016-08-02 | Ethicon Endo-Surgery, Llc | Articulation joint features for articulating surgical device |
US9089327B2 (en) | 2010-09-24 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multi-phase trigger bias |
US20120109186A1 (en) | 2010-10-29 | 2012-05-03 | Parrott David A | Articulating laparoscopic surgical instruments |
US9161803B2 (en) | 2010-11-05 | 2015-10-20 | Ethicon Endo-Surgery, Inc. | Motor driven electrosurgical device with mechanical and electrical feedback |
KR101064825B1 (ko) | 2010-11-18 | 2011-09-14 | 정창욱 | 최소 침습 수술 기구 |
US8617087B2 (en) | 2010-12-03 | 2013-12-31 | Biosense Webster, Inc. | Control handle with rotational cam mechanism for contraction/deflection of medical device |
WO2012078951A1 (en) | 2010-12-09 | 2012-06-14 | Freehand Endoscopic Devices, Inc. | Surgical instrument |
US8906019B2 (en) | 2011-01-07 | 2014-12-09 | Covidien Lp | Ferrofluidic lock |
US8767970B2 (en) | 2011-02-16 | 2014-07-01 | Apple Inc. | Audio panning with multi-channel surround sound decoding |
EP3300678A1 (en) | 2011-02-18 | 2018-04-04 | Intuitive Surgical Operations Inc. | Fusing and cutting surgical instrument and related methods |
JP2014087378A (ja) | 2011-02-23 | 2014-05-15 | Olympus Medical Systems Corp | 内視鏡用処置具 |
US20120253326A1 (en) | 2011-03-29 | 2012-10-04 | Tyco Healthcare Group Lp | Articulation of Laparoscopic Instrument |
US9351751B2 (en) | 2011-07-08 | 2016-05-31 | Covidien Lp | Swinging bars with axial wheels to drive articulating cables |
US8929589B2 (en) | 2011-11-07 | 2015-01-06 | Eyefluence, Inc. | Systems and methods for high-resolution gaze tracking |
US10172670B2 (en) * | 2015-03-16 | 2019-01-08 | Ethicon Llc | Flexible neck for surgical instruments |
-
2011
- 2011-09-19 US US13/235,660 patent/US9402682B2/en active Active
- 2011-09-19 US US13/235,683 patent/US9220559B2/en active Active
- 2011-09-22 AU AU2011305410A patent/AU2011305410B8/en not_active Ceased
- 2011-09-22 BR BR112013006969-4A patent/BR112013006969B1/pt active IP Right Grant
- 2011-09-22 RU RU2013118683/14A patent/RU2577811C2/ru not_active IP Right Cessation
- 2011-09-22 RU RU2013118585/14A patent/RU2581713C2/ru not_active IP Right Cessation
- 2011-09-22 KR KR1020137010230A patent/KR101915983B1/ko active IP Right Grant
- 2011-09-22 AU AU2011305403A patent/AU2011305403A1/en not_active Abandoned
- 2011-09-22 WO PCT/US2011/052734 patent/WO2012040445A1/en active Application Filing
- 2011-09-22 JP JP2013530307A patent/JP5937079B2/ja active Active
- 2011-09-22 CA CA2811339A patent/CA2811339C/en not_active Expired - Fee Related
- 2011-09-22 CN CN201180046162.3A patent/CN103298425B/zh active Active
- 2011-09-22 EP EP11764436.9A patent/EP2618762B1/en active Active
- 2011-09-22 CN CN201180046071.XA patent/CN103118618B/zh active Active
- 2011-09-22 CA CA2811298A patent/CA2811298C/en active Active
- 2011-09-22 KR KR1020137010205A patent/KR101926344B1/ko active IP Right Grant
- 2011-09-22 BR BR112013006517-6A patent/BR112013006517B1/pt active IP Right Grant
- 2011-09-22 JP JP2013530306A patent/JP5878175B2/ja active Active
- 2011-09-22 WO PCT/US2011/052723 patent/WO2012040438A1/en active Application Filing
- 2011-09-22 EP EP11767519.9A patent/EP2618763B1/en active Active
-
2016
- 2016-07-07 US US15/204,083 patent/US9730753B2/en active Active
-
2017
- 2017-07-17 US US15/651,112 patent/US10660696B2/en active Active
-
2020
- 2020-05-15 US US16/875,602 patent/US11406443B2/en active Active
-
2022
- 2022-07-06 US US17/858,119 patent/US20220409267A1/en active Pending
Also Published As
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP5937079B2 (ja) | 外科用装置を関節運動させるための関節接合特徴 | |
US9295514B2 (en) | Surgical devices with close quarter articulation features | |
US9510906B2 (en) | Tissue clamping features of surgical instrument end effector | |
JP5893630B2 (ja) | 外科用装置を関節運動させるための制御特徴 | |
US20140276730A1 (en) | Surgical instrument with reinforced articulation section | |
US20130131651A1 (en) | Features providing linear actuation through articulation joint in surgical instrument | |
JP6324966B2 (ja) | 多相トリガ付勢を有する手術器具 | |
US9566110B2 (en) | Surgical instrument with jaw opening assist feature | |
US20140336629A1 (en) | Surgical instrument with translating compliant jaw closure feature |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20140911 |
|
A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20150619 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20150721 |
|
A601 | Written request for extension of time |
Free format text: JAPANESE INTERMEDIATE CODE: A601 Effective date: 20151021 |
|
A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20151117 |
|
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: 20160419 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20160511 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 5937079 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |