JP6938532B2 - 切開可能な組織支持部を含む円形状ステープル留めシステム - Google Patents
切開可能な組織支持部を含む円形状ステープル留めシステム Download PDFInfo
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- JP6938532B2 JP6938532B2 JP2018551128A JP2018551128A JP6938532B2 JP 6938532 B2 JP6938532 B2 JP 6938532B2 JP 2018551128 A JP2018551128 A JP 2018551128A JP 2018551128 A JP2018551128 A JP 2018551128A JP 6938532 B2 JP6938532 B2 JP 6938532B2
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- staple
- drive
- tissue
- anvil
- shaft
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- 0 C1*2(C3)C1C3CC*2 Chemical compound C1*2(C3)C1C3CC*2 0.000 description 3
- OHQAOBABDRLZJW-UHFFFAOYSA-N C1C2(CC3)C(C4C5)C4C5C3C(CC3)CC=C=CC3C12 Chemical compound C1C2(CC3)C(C4C5)C4C5C3C(CC3)CC=C=CC3C12 OHQAOBABDRLZJW-UHFFFAOYSA-N 0.000 description 1
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2946—Locking means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0808—Indication means for indicating correct assembly of components, e.g. of the surgical apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0814—Preventing re-use
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
−米国特許出願第_______号、発明の名称METHOD FOR OPERATING A SURGICAL STAPLING SYSTEM」、代理人整理番号END7821USNP/150535、
−米国特許出願第_______号、発明の名称「MODULAR SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY」、代理人整理番号END7822USNP/150536、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY INCLUDING A RE−ORIENTABLE DISPLAY FIELD」、代理人整理番号END7822USNP1/150536−1、
−米国特許出願第_______号、発明の名称「SURGICAL INSTRUMENT HANDLE ASSEMBLY WITH RECONFIGURABLE GRIP PORTION」、代理人整理番号END7823USNP/150537、
−米国特許出願第_______号、発明の名称「ROTARY POWERED SURGICAL INSTRUMENT WITH MANUALLY ACTUATABLE BAILOUT SYSTEM」、代理人整理番号END7824USNP/150538、
−米国特許出願第_______号、発明の名称SURGICAL CUTTING AND STAPLING END EFFECTOR WITH ANVIL CONCENTRIC DRIVE MEMBER」、代理人整理番号END7825USNP/150539、
−米国特許出願第_______号、発明の名称「CLOSURE SYSTEM ARRANGEMENTS FOR SURGICAL CUTTING AND STAPLING DEVICES WITH SEPARATE AND DISTINCT FIRING SHAFTS」、代理人整理番号END7826USNP/150540、
−米国特許出願第_______号、発明の名称INTERCHANGEABLE SURGICAL TOOL ASSEMBLY WITH A SURGICAL END EFFECTOR THAT IS SELECTIVELY ROTATABLE ABOUT A SHAFT AXIS」、代理人整理番号END7827USNP/150541、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM COMPRISING A SHIFTABLE TRANSMISSION」、代理人整理番号END7829USNP/150543、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM CONFIGURED TO PROVIDE SELECTIVE CUTTING OF TISSUE」、代理人整理番号END7830USNP/150544、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM COMPRISING A CONTOURABLE SHAFT」、代理人整理番号END7831USNP/150545、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM COMPRISING A TISSUE COMPRESSION LOCKOUT」、代理人整理番号END7832USNP/150546、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT」、代理人整理番号END7833USNP/150547、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM COMPRISING A JAW CLOSURE LOCKOUT」、代理人整理番号END7834USNP/150548、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM COMPRISING A JAW ATTACHMENT LOCKOUT」、代理人整理番号END7835USNP/150549、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM COMPRISING A SPENT CARTRIDGE LOCKOUT」、代理人整理番号END7836USNP/150550、
−米国特許出願第_______号、発明の名称「SURGICAL INSTRUMENT COMPRISING A SHIFTING MECHANISM」、代理人整理番号END7837USNP/150551、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING INSTRUMENT COMPRISING MULTIPLE LOCKOUTS」、代理人整理番号END7838USNP/150552、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING INSTRUMENT」、代理人整理番号END7839USNP/150553、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM CONFIGURED TO APPLY ANNULAR ROWS OF STAPLES HAVING DIFFERENT HEIGHTS」、代理人整理番号END7840USNP/150554、
−米国特許出願第_______号、発明の名称「SURGICAL STAPLING SYSTEM COMPRISING A GROOVED FORMING POCKET」、代理人整理番号END7841USNP/150555、
−米国特許出願第_______号、発明の名称「ANVIL MODIFICATION MEMBERS FOR SURGICAL STAPLERS」、代理人整理番号END7842USNP/150556、
−米国特許出願第_______号、発明の名称「STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES、代理人整理番号END7843USNP/150557、
−米国特許出願第_______号、発明の名称「CIRCULAR STAPLING SYSTEM COMPRISING ROTARY FIRING SYSTEM」、代理人整理番号END7845USNP/150559、及び
−米国特許出願第_______号、発明の名称「CIRCULAR STAPLING SYSTEM COMPRISING LOAD CONTROL」、代理人整理番号END7845USNP1/150559−1。
−米国特許出願第14/984,488号、発明の名称「MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE IN POWERED SURGICAL INSTRUMENTS」、
−米国特許出願第14/984,525号、発明の名称「MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS」、及び
−米国特許出願第14/984,552号、発明の名称「SURGICAL INSTRUMENTS WITH SEPARABLE MOTORS AND MOTOR CONTROL CIRCUITS」。
−米国特許出願第15/019,220号、発明の名称「SURGICAL INSTRUMENT WITH ARTICULATING AND AXIALLY TRANSLATABLE END EFFECTOR」、
−米国特許出願第15/019,228号、発明の名称「SURGICAL INSTRUMENTS WITH MULTIPLE LINK ARTICULATION ARRANGEMENTS」、
−米国特許出願第15/019,196号、発明の名称「SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTED SECONDARY CONSTRAINT」、
−米国特許出願第15/019,206号、発明の名称SURGICAL INSTRUMENTS WITH AN END EFFECTOR THAT IS HIGHLY ARTICULATABLE RELATIVE TO AN ELONGATE SHAFT ASSEMBLY」、
−米国特許出願第15/019,215号、発明の名称「SURGICAL INSTRUMENTS WITH NON−SYMMETRICAL ARTICULATION ARRANGEMENTS」、
−米国特許出願第15/019,227号、発明の名称「ARTICULATABLE SURGICAL INSTRUMENTS WITH SINGLE ARTICULATION LINK ARRANGEMENTS」、
−米国特許出願第15/019,235号、発明の名称「SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLE DRIVEN ARTICULATION SYSTEMS」、
−米国特許出願第15/019,230号、発明の名称「ARTICULATABLE SURGICAL INSTRUMENTS WITH OFF−AXIS FIRING BEAM ARRANGEMENTS」、及び
−米国特許出願第15/019,245号、発明の名称「SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTION ARRANGEMENTS」。
−米国特許出願第15/043,254号、発明の名称「MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS」、
−米国特許出願第15/043,259号、発明の名称「MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS」、
−米国特許出願第15/043,275号、発明の名称「MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS」、及び
−米国特許出願第15/043,289号、発明の名称「MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS」。
米国特許出願第14/742,925号、発明の名称「SURGICAL END EFFECTORS WITH POSITIVE JAW OPENING ARRANGEMENTS」、
米国特許出願第14/742,941号、発明の名称「SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSING FEATURES」、
米国特許出願第14/742,914号、発明の名称「MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS」、
−米国特許出願第14/742,900号、発明の名称「ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAM STRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT」、
−米国特許出願第14/742,885号、発明の名称「DUAL ARTICULATION DRIVE SYSTEM ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS」、及び
米国特許出願第14/742,876号、名称「PUSH/PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLE SURGICAL INSTRUMENTS」。
−米国特許出願第14/640,746号、発明の名称「POWERED SURGICAL INSTRUMENT」、
−米国特許出願第14/640,795号、発明の名称「MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWERED SURGICAL INSTRUMENTS」、
−米国特許出願第14/640,832号、発明の名称「ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURE RATES FOR MULTIPLE TISSUE TYPES」、代理人整理番号END7557USNP/140482、
−米国特許出願第14/640,935号、発明の名称「OVERLAID MULTI SENSOR RADIO FREQUENCY(RF)ELECTRODE SYSTEM TO MEASURE TISSUE COMPRESSION」、
−米国特許出願第14/640,831号、発明の名称「MONITORING SPEED CONTROL AND PRECISION INCREMENTING OF MOTOR FOR POWERED SURGICAL INSTRUMENTS」、
−米国特許出願第14/640,859号、発明の名称「TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINE STABILITY,CREEP,AND VISCOELASTIC ELEMENTS OF MEASURES」、
−米国特許出願第14/640,817号、発明の名称「INTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS」、
−米国特許出願第14/640,844号、発明の名称「CONTROL TECHNIQUES AND SUB−PROCESSOR CONTAINED WITHIN MODULAR SHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE」、
−米国特許出願第14/640,837号、発明の名称「SMART SENSORS WITH LOCAL SIGNAL PROCESSING」、
−米国特許出願第14/640,765号、発明の名称「SYSTEM FOR DETECTING THE MIS−INSERTION OF A STAPLE CARTRIDGE INTO A SURGICAL STAPLER」、
−米国特許出願第14/640,799号、発明の名称「SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON A ROTATABLE SHAFT」、及び
−米国特許出願第14/640,780号、発明の名称「SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING」。
−米国特許出願第14/633,576号、発明の名称「SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION」、
−米国特許出願第14/633,546号、発明の名称「SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCE PARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND」、
−米国特許出願第14/633,576号、発明の名称「SURGICAL CHARGING SYSTEM THAT CHARGES AND/OR CONDITIONS ONE OR MORE BATTERIES」、
−米国特許出願第14/633,566号、発明の名称「CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FOR CHARGING A BATTERY」、
−米国特許出願第14/633,555号、発明の名称「SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TO BE SERVICED」、
−米国特許出願第14/633,542号、発明の名称「REINFORCED BATTERY FOR A SURGICAL INSTRUMENT」、
−米国特許出願第14/633,548号、発明の名称「POWER ADAPTER FOR A SURGICAL INSTRUMENT」、
−米国特許出願第14/633,526号、発明の名称「ADAPTABLE SURGICAL INSTRUMENT HANDLE」、
−米国特許出願第14/633,541号、発明の名称「MODULAR STAPLING ASSEMBLY」、及び
−米国特許出願第14/633,562号、発明の名称「SURGICAL APPARATUS CONFIGURED TO TRACK AN END−OF−LIFE PARAMETER」。
−米国特許出願第14/574,478号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE END EFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING」、
−米国特許出願第14/574,483号、発明の名称「SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS」、
−米国特許出願第14/575,139号、発明の名称「DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS」、
−米国特許出願第14/575,148号、発明の名称「LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITH ARTICULATABLE SURGICAL END EFFECTORS」、
−米国特許出願第14/575,130号、発明の名称「SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLE ABOUT A DISCRETE NON−MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE」、
−米国特許出願第14/575,143号、発明の名称「SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS」、
−米国特許出願第14/575,117号、発明の名称「SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS」、
−米国特許出願第14/575,154号、発明の名称「SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND IMPROVED FIRING BEAM SUPPORT ARRANGEMENTS」、
−米国特許出願第14/574,493号、発明の名称「SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLE ARTICULATION SYSTEM」、及び
−米国特許出願第14/574,500号、発明の名称「SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLE ARTICULATION SYSTEM」。
−米国特許出願第13/782,295号、発明の名称「Articulatable Surgical Instruments With Conductive Pathways For Signal Communication」、現在は米国特許出願公開第2014/0246471号、
−米国特許出願第13/782,323号、発明の名称「Rotary Powered Articulation Joints For Surgical Instruments」、現在は米国特許出願公開第2014/0246472号、
−米国特許出願第13/782,338号、発明の名称「Thumbwheel Switch Arrangements For Surgical Instruments」、現在は米国特許出願公開第2014/0249557号、
−米国特許出願第13/782,499号、発明の名称「Electromechanical Surgical Device with Signal Relay Arrangement」、現在は米国特許出願公開第2014/0246474号、
−米国特許出願第13/782,460号、発明の名称「Multiple Processor Motor Control for Modular Surgical Instruments」、現在は米国特許出願公開第2014/0246478号、
−米国特許出願第13/782,358号、発明の名称「Joystick Switch Assemblies For Surgical Instruments」、現在は米国特許出願公開第2014/0246477号、
−米国特許出願第13/782,481号、発明の名称「Sensor Straightened End Effector During Removal Through Trocar」、現在は米国特許出願公開第2014/0246479号、
−米国特許出願第13/782,518号、発明の名称「Control Methods for Surgical Instruments with Removable Implement Portions」、現在は米国特許出願公開第2014/0246475号、
−米国特許出願第13/782,375号、発明の名称「Rotary Powered Surgical Instruments With Multiple Degrees of Freedom」、現在は米国特許出願公開第2014/0246473号、及び
−米国特許出願第13/782,536号、発明の名称「Surgical Instrument Soft Stop」、現在は米国特許出願公開第2014/0246476号。
−米国特許出願第13/803,097号、発明の名称「ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE」、現在は米国特許出願公開第2014/0263542号、
−米国特許出願第13/803,193号、発明の名称「CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT」、現在は米国特許出願公開第2014/0263537号、
−米国特許出願第13/803,053号、発明の名称「INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT」、現在は米国特許出願公開第2014/0263564号、
−米国特許出願第13/803,086号、発明の名称「ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK」、現在は米国特許出願公開第2014/0263541号、
−米国特許出願第13/803,210号、発明の名称「SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS」、現在は米国特許出願公開第2014/0263538号、
−米国特許出願第13/803,148号、発明の名称「MULTI−FUNCTION MOTOR FOR A SURGICAL INSTRUMENT」、現在は米国特許出願公開第2014/0263554号、
−米国特許出願第13/803,066号、発明の名称「DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS」、現在は米国特許出願公開第2014/0263565号、
−米国特許出願第13/803,117号、発明の名称「ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS」、現在は米国特許出願公開第2014/0263553号、
−米国特許出願第13/803,130号、発明の名称「DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS」、現在は米国特許出願公開第2014/0263543号、及び
−米国特許出願第13/803,159号、発明の名称「METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT」、現在は米国特許出願公開第2014/0277017号。
−米国特許出願第14/200,111号、発明の名称「CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS」、現在は米国特許出願公開第2014/0263539号。
米国特許出願第14/226,106号、発明の名称「POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS」、現在は米国特許出願公開第2015/0272582号、
米国特許出願第14/226,099号、発明の名称「STERILIZATION VERIFICATION CIRCUIT」、現在は米国特許出願公開第2015/0272581号、
米国特許出願第14/226,094号、発明の名称「VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT」、現在は米国特許出願公開第2015/0272580号、
米国特許出願第14/226,117号、発明の名称「POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL」、現在は米国特許出願公開第2015/0272574号、
米国特許出願第14/226,075号、発明の名称「MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES」、現在は米国特許出願公開第2015/0272579号、
米国特許出願第14/226,093号、発明の名称「FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS」、現在は米国特許出願公開第2015/0272569号、
米国特許出願第14/226,116号、発明の名称「SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION」、現在は米国特許出願公開第2015/0272571号、
米国特許出願第14/226,071号、発明の名称「SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR」、現在は米国特許出願公開第2015/0272578号、
米国特許出願第14/226,097号、発明の名称「SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS」、現在は米国特許出願公開第2015/0272570号、
米国特許出願第14/226,126号、発明の名称「INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS」、現在は米国特許出願公開第2015/0272572号、
米国特許出願第14/226,133号、発明の名称「MODULAR SURGICAL INSTRUMENT SYSTEM」、現在は米国特許出願公開第2015/0272557号、
米国特許出願第14/226,081号、発明の名称「SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT」、現在は米国特許出願公開第2015/0277471号、
米国特許出願第14/226,076号、発明の名称「POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION」、現在は米国特許出願公開第2015/0280424号、
米国特許出願第14/226,111号、発明の名称「SURGICAL STAPLING INSTRUMENT SYSTEM」、現在は米国特許出願公開第2015/0272583号、
米国特許出願第14/226,125号、発明の名称「SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT」、現在は、米国特許出願公開第2015/0280384号。
−米国特許出願第14/479,103号、発明の名称CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE」、現在は米国特許出願公開第2016/0066912号、
−米国特許出願第14/479,119号、発明の名称「ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUE COMPRESSION」、現在は米国特許出願公開第2016/0066914号、
−米国特許出願第14/478,908号、発明の名称「MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION」、現在は米国特許出願公開第2016/0066910号、
−米国特許出願第14/478,895号、発明の名称「MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR’S OUTPUT OR INTERPRETATION」、現在は米国特許出願公開第2016/0066909号、
−米国特許出願第14/479,110号、発明の名称「USE OF POLARITY OF HALL MAGNET DETECTION TO DETECT MISLOADED CARTRIDGE」、現在は米国特許出願公開第2016/0066915号、
−米国特許出願第14/479,098号、発明の名称「SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION」、現在は米国特許出願公開第2016/0066911号、
−米国特許出願第14/479,115号、発明の名称MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE」、現在は米国特許出願公開第2016/0066916号、及び
−米国特許出願第14/479,108号、発明の名称「LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION」、現在は米国特許出願公開第2016/0066913号。
−米国特許出願第14/248,590号、発明の名称「MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS」、現在は米国特許出願公開第2014/0305987号、
−米国特許出願第14/248,581号、発明の名称「SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING DRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT」、現在は米国特許出願公開第2014/0305989号、
−米国特許出願第14/248,595号、発明の名称「SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLING THE OPERATION OF THE SURGICAL INSTRUMENT」、現在は米国特許出願公開第2014/0305988号、
−米国特許出願第14/248,588号、発明の名称「POWERED LINEAR SURGICAL STAPLER」、現在は米国特許出願公開第2014/0309666号、
−米国特許出願第14/248,591号、発明の名称「TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT」、現在は米国特許出願公開第2014/0305991号、
−米国特許出願第14/248,584号、発明の名称「MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS」、現在は米国特許出願公開第2014/0305994号、
−米国特許出願第14/248,587号、発明の名称「POWERED SURGICAL STAPLER」、現在は米国特許出願公開第2014/0309665号、
−米国特許出願第14/248,586号、発明の名称「DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICAL INSTRUMENT」、現在は米国特許出願公開第2014/0305990号、及び
−米国特許出願第14/248,607号、発明の名称「MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUS INDICATION ARRANGEMENTS」、現在は米国特許出願公開第2014/0305992号。
−米国仮特許出願第61/812,365号、発明の名称「SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR」、
−米国仮特許出願第61/812,376号、発明の名称「LINEAR CUTTER WITH POWER」、
−米国仮特許出願第61/812,382号、発明の名称「LINEAR CUTTER WITH MOTOR AND PISTOL GRIP」、
−米国仮特許出願第61/812,385号、発明の名称「SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS AND MOTOR CONTROL」、及び
−米国仮特許出願第61/812,372号、発明の名称「SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR」。
−1997年3月12日出願の欧州特許出願第795298号、発明の名称「LINEAR STAPLER WITH IMPROVED FIRING STROKE」、
−1997年2月25日発行の米国特許第5,605,272号、発明の名称「TRIGGER MECHANISM FOR SURGICAL INSTRUMENTS」、
−1997年12月16日発行の米国特許第5,697,543号、発明の名称「LINEAR STAPLER WITH IMPROVED FIRING STROKE」、
−2005年11月10日公開の米国特許出願公開第2005/0246881号、発明の名称「METHOD FOR MAKING A SURGICAL STAPLER」、
−2007年9月6日公開の米国特許出願公開第2007/0208359号、発明の名称「METHOD FOR STAPLING TISSUE」、
−1985年7月9日発行の米国特許第4,527,724号、発明の名称「DISPOSABLE LINEAR SURGICAL STAPLING INSTRUMENT」、
−1992年8月11日発行の米国特許第5,137,198号、発明の名称「FAST CLOSURE DEVICE FOR LINEAR SURGICAL STAPLING INSTRUMENT」、
1995年4月11日発行の米国特許第5,405,073号、発明の名称「FLEXIBLE SUPPORT SHAFT ASSEMBLY」、
−2013年1月29日発行の米国特許第8,360,297号、発明の名称「SURGICAL CUTTING AND STAPLING INSTRUMENT WITH SELF ADJUSTING ANVIL」、
−2015年7月30日出願の米国特許出願第14/813,242号、発明の名称「SURGICAL INSTRUMENT COMPRISING SYSTEMS FOR ASSURING THE PROPER SEQUENTIAL OPERATION OF THE SURGICAL INSTRUMENT」、
−2015年7月30日出願の米国特許出願第14/813,259号、発明の名称「SURGICAL INSTRUMENT COMPRISING SEPARATE TISSUE SECURING AND TISSUE CUTTING SYSTEMS」、
−2015年7月30日出願の米国特許出願第14/813,266号、発明の名称「SURGICAL INSTRUMENT COMPRISING SYSTEMS FOR PERMITTING THE OPTIONAL TRANSECTION OF TISSUE」、
−2015年7月30日出願の米国特許出願第14/813,274号、発明の名称「SURGICAL INSTRUMENT COMPRISING A SYSTEM FOR BYPASSING AN OPERATIONAL STEP OF THE SURGICAL INSTRUMENT」、
−1995年4月4日発行の米国特許第5,403,312号、発明の名称「ELECTROSURGICAL HEMOSTATIC DEVICE」、
−2006年2月21日発行の米国特許第7,000,818号、発明の名称「SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS」、
−2008年9月9日発行の米国特許第7,422,139号、発明の名称「MOTOR−DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK」、
−2008年12月16日発行の米国特許第7,464,849号、発明の名称「ELECTRO−MECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS」、
−2010年3月2日発行の米国特許第7,670,334号、発明の名称「SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR」、
−2010年7月13日発行の米国特許第7,753,245号、発明の名称「SURGICAL STAPLING INSTRUMENTS」、
−2013年3月12日発行の米国特許第8,393,514号、発明の名称「SELECTIVELY ORIENTABLE IMPLANTABLE FASTENER CARTRIDGE」、
−米国特許出願第11/343,803号、発明の名称「SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES」、現在は、米国特許第7,845,537号、
−2008年2月14日出願の米国特許出願第12/031,573号、発明の名称「SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES」、
−2008年2月15日出願の米国特許出願第12/031,873号、発明の名称「END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT」、現在は、米国特許第7,980,443号、
−米国特許出願第12/235,782号、発明の名称「MOTOR−DRIVEN SURGICAL CUTTING INSTRUMENT」、現在は、米国特許第8,210,411号、
−米国特許出願第12/249,117号、発明の名称「POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM」、現在は、米国特許第8,608,045号、
−2009年12月24日出願の米国特許出願第12/647,100号、発明の名称「MOTOR−DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY」、現在は、米国特許第8,220,688号、
−2012年9月29日出願の米国特許出願第12/893,461号、発明の名称「STAPLE CARTRIDGE」、現在は、米国特許第8,733,613号、
−2011年2月28日出願の米国特許出願第13/036,647号、発明の名称「SURGICAL STAPLING INSTRUMENT」、現在は、米国特許第8,561,870号、
−米国特許出願第13/118,241号、発明の名称「SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS」、現在は、米国特許第9,072,535号、
−2012年6月15日出願の米国特許出願第13/524,049号、発明の名称「ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE」、現在は、米国特許第9,101,358号、
−2013年3月13日出願の米国特許出願第13/800,025号、発明の名称「STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM」、現在は、米国特許出願公開第2014/0263551号、
−2013年3月13日出願の米国特許出願第13/800,067号、発明の名称「STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM」、現在は、米国特許出願公開第2014/0263552号、
−2006年1月31日公開の米国特許出願公開第2007/0175955号、発明の名称「SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM」、及び
−2010年4月22日公開の米国特許出願公開第2010/0264194号、発明の名称「SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR」、現在は、米国特許第8,308,040号。
(1) 円形外科用ステープル留め器具と共に使用するためのエンドエフェクタであって、前記エンドエフェクタは、
ステープルカートリッジであって、
ステープルキャビティの環状アレイを含むカートリッジ本体と、
前記ステープルキャビティ内に着脱可能に格納されたステープルと、
前記ステープルを前記ステープルキャビティから射出させるように構成された発射駆動部と、を含む、ステープルカートリッジと、
環状切断部材であって、前記環状切断部材は前記ステープルキャビティの環状アレイによって取り囲まれている、環状切断部材と、
アンビルであって、
組織圧縮面と、
前記ステープルを変形させるように構成された形成面と、
組織支持部と、を含むアンビルと、を含み、前記アンビルは、前記カートリッジ本体と前記組織支持部との間で組織を圧縮するために、前記カートリッジ本体に向かって移動可能であり、前記切断部材は、前記切断部材の切断ストローク中に前記組織及び前記組織支持部を切開するように構成されている、エンドエフェクタ。
(2) 前記組織支持部は、前記組織圧縮面と整列している、実施態様1に記載のエンドエフェクタ。
(3) 前記組織支持部は、
第1の環状壁と、
第2の環状壁と、
前記第1の環状壁と前記第2の環状壁とを接続する横壁と、を含む、実施態様1に記載のエンドエフェクタ。
(4) 前記切断部材は、前記横壁を切開するように構成されている、実施態様3に記載のエンドエフェクタ。
(5) 前記組織支持部は、前記横壁の中間に画定されたキャビティを更に含む、実施態様3に記載のエンドエフェクタ。
(7) 前記キャビティは包囲されている、実施態様5に記載のエンドエフェクタ。
(8) 前記キャビティは、少なくとも1つの包囲された面と、少なくとも1つの開放面と、を含む、実施態様5に記載のエンドエフェクタ。
(9) 前記横壁は、横壁の環状アレイを含み、前記組織支持部は、前記横壁の環状アレイ内に画定されたキャビティの環状アレイを更に含む、実施態様3に記載のエンドエフェクタ。
(10) 前記第1の環状壁は、前記第2の環状壁よりも短い、実施態様3に記載のエンドエフェクタ。
(12) 前記組織支持部は、
第1の環状壁と、
第2の環状壁と、
前記第1の環状壁と前記第2の環状壁とを接続する径方向壁と、を含む、実施態様1に記載のエンドエフェクタ。
(13) 前記組織支持部は、
環状壁と、
前記環状壁から延在する横壁と、を含む、実施態様1に記載のエンドエフェクタ。
(14) 前記組織支持部は、前記組織圧縮面より上方に延在している、実施態様1に記載のエンドエフェクタ。
(15) 前記組織支持部は、前記ステープル形成面より上方に延在している、実施態様1に記載のエンドエフェクタ。
ステープルカートリッジであって、
ステープルキャビティの環状アレイを含むカートリッジ本体と、
前記ステープルキャビティ内に着脱可能に格納されたステープルと、
前記ステープルを前記ステープルキャビティから射出させるように構成された発射駆動部と、
切断部材であって、前記ステープルキャビティの環状アレイに取り囲まれている、切断部材と、を含む、ステープルカートリッジと、
アンビルであって、
組織圧縮面と、
前記ステープルを変形させるように構成された形成面と、
組織ブロックと、を含む、アンビルと、を含み、
前記アンビルは、前記カートリッジ本体と前記組織ブロックとの間で組織を圧縮するために、前記カートリッジ本体に向かって移動可能であり、前記切断部材は、前記切断部材の切断ストローク中に前記組織及び前記組織ブロックを切開するように構成されている、エンドエフェクタ。
(17) 前記組織ブロックは前記組織圧縮面と整列している、実施態様16に記載のエンドエフェクタ。
(18) 前記組織ブロックは前記組織圧縮面より上方に延在している、実施態様16に記載のエンドエフェクタ。
(19) 前記組織ブロックは前記ステープル形成面より上方に延在している、実施態様16に記載のエンドエフェクタ。
(20) 手術手技中にカートリッジ本体と切断部材とを含む円形外科用ステープル留め器具と共に使用するためのアンビルであって、前記アンビルは、
フレームと、
前記フレームから延在するシャフトと、
組織圧縮面と、
前記手術手技における工程中に前記外科用ステープル留め器具から射出されるステープルを変形させるように構成された形成面と、
組織ブロックと、を含み、前記アンビルは、前記カートリッジ本体と前記組織ブロックとの間で組織を圧縮するために、前記外科用ステープル留め器具に向かって移動可能であり、前記組織は、前記手術手技における前回の工程からの形成されたステープルをその中に有し、前記切断部材及び前記組織ブロックは、前記切断部材の切断ストローク中に、前記前回ステープル留めされた組織及び前記組織ブロックを切開するように協働的に構成されており、前記組織ブロックは、前記形成されたステープルが前記切断ストローク中に前記組織ブロック内に局所を超えた降伏を作り出すのを防止するように構成されている、アンビル。
Claims (15)
- 円形外科用ステープル留め器具と共に使用するためのエンドエフェクタであって、前記エンドエフェクタは、
ステープルカートリッジであって、
ステープルキャビティの環状アレイを含むカートリッジ本体と、
前記ステープルキャビティ内に着脱可能に格納されたステープルと、
前記ステープルを前記ステープルキャビティから射出させるように構成された発射駆動部と、を含む、ステープルカートリッジと、
環状切断部材であって、前記環状切断部材は前記ステープルキャビティの前記環状アレイによって取り囲まれている、環状切断部材と、
アンビルであって、
組織圧縮面と、
前記ステープルを変形させるように構成された形成面と、
組織支持部と、を含むアンビルと、を含み、前記アンビルは、前記カートリッジ本体と前記組織支持部との間で組織を圧縮するために、前記カートリッジ本体に向かって移動可能であり、前記環状切断部材は、前記環状切断部材の切断ストローク中に前記組織及び前記組織支持部を切開するように構成されており、
前記組織支持部は、
第1の環状壁と、
第2の環状壁と、
前記第1の環状壁と前記第2の環状壁とを接続する横壁と、を含み、
前記横壁は、前記横壁の環状アレイを含み、前記組織支持部は、前記横壁の前記環状アレイ内に画定されたキャビティの環状アレイを更に含み、
前記環状切断部材が前記組織支持部に負荷を加えたときに、前記組織支持部は音を立てるように構成されている、エンドエフェクタ。 - 前記組織支持部は、プラスチックからなる、請求項1に記載のエンドエフェクタ。
- 前記組織支持部は、前記組織圧縮面と整列している、請求項1又は2に記載のエンドエフェクタ。
- 前記環状切断部材は、前記横壁を切開するように構成されている、請求項1又は2に記載のエンドエフェクタ。
- 前記キャビティは包囲されている、請求項1〜4のいずれか一項に記載のエンドエフェクタ。
- 前記キャビティは、少なくとも1つの包囲された面と、少なくとも1つの開放面と、を含む、請求項1〜5のいずれか一項に記載のエンドエフェクタ。
- 前記第1の環状壁は、前記第2の環状壁よりも短い、請求項1〜6のいずれか一項に記載のエンドエフェクタ。
- 前記組織支持部は、前記環状切断部材と整列した環状凹部を含む、請求項1〜7のいずれか一項に記載のエンドエフェクタ。
- 前記組織支持部は、前記組織圧縮面より遠位に延在している、請求項1〜8のいずれか一項に記載のエンドエフェクタ。
- 前記組織支持部は、前記形成面より遠位に延在している、請求項1〜9のいずれか一項に記載のエンドエフェクタ。
- 円形外科用ステープル留め器具のエンドエフェクタであって、前記エンドエフェクタは、
ステープルカートリッジであって、
ステープルキャビティの環状アレイを含むカートリッジ本体と、
前記ステープルキャビティ内に着脱可能に格納されたステープルと、
前記ステープルを前記ステープルキャビティから射出させるように構成された発射駆動部と、
切断部材であって、前記ステープルキャビティの環状アレイに取り囲まれている、切断部材と、を含む、ステープルカートリッジと、
アンビルであって、
組織圧縮面と、
前記ステープルを変形させるように構成された形成面と、
組織ブロックと、を含む、アンビルと、を含み、
前記アンビルは、前記カートリッジ本体と前記組織ブロックとの間で組織を圧縮するために、前記カートリッジ本体に向かって移動可能であり、前記切断部材は、前記切断部材の切断ストローク中に前記組織及び前記組織ブロックを切開するように構成されており、
前記組織ブロックは、
第1の環状壁と、
第2の環状壁と、
前記第1の環状壁と前記第2の環状壁とを接続する横壁と、を含み、
前記横壁は、前記横壁の環状アレイを含み、前記組織ブロックは、前記横壁の前記環状アレイ内に画定されたキャビティの環状アレイを更に含み、
前記切断部材が前記組織ブロックに負荷を加えたときに、前記組織ブロックは音を立てるように構成されている、エンドエフェクタ。 - 前記組織ブロックは、プラスチックからなる、請求項11に記載のエンドエフェクタ。
- 前記組織ブロックは前記組織圧縮面と整列している、請求項11又は12に記載のエンドエフェクタ。
- 前記組織ブロックは前記組織圧縮面より遠位に延在している、請求項11〜13のいずれか一項に記載のエンドエフェクタ。
- 前記組織ブロックは前記形成面より遠位に延在している、請求項11〜14のいずれか一項に記載のエンドエフェクタ。
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