JP7044760B2 - 可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動 - Google Patents

可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動 Download PDF

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Publication number
JP7044760B2
JP7044760B2 JP2019510811A JP2019510811A JP7044760B2 JP 7044760 B2 JP7044760 B2 JP 7044760B2 JP 2019510811 A JP2019510811 A JP 2019510811A JP 2019510811 A JP2019510811 A JP 2019510811A JP 7044760 B2 JP7044760 B2 JP 7044760B2
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instrument shaft
actuating
rod assembly
actuating rod
surgical tool
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JP2019526333A5 (https=
JP2019526333A (ja
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ラゴスタ，ニコラス
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インテュイティブ サージカル オペレーションズ， インコーポレイテッド
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/71—Manipulators operated by drive cable mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B34/37—Leader-follower robots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2902—Details of shaft characterized by features of the actuating rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B2034/302—Surgical robots specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Robotics (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Manipulator (AREA)
JP2019510811A 2016-09-09 2017-09-08 可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動 Active JP7044760B2 (ja)

Priority Applications (2)

Application Number Priority Date Filing Date Title
JP2022042360A JP7335382B2 (ja) 2016-09-09 2022-03-17 可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動
JP2023133177A JP2023144088A (ja) 2016-09-09 2023-08-17 可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662385642P 2016-09-09 2016-09-09
US62/385,642 2016-09-09
PCT/US2017/050760 WO2018049217A1 (en) 2016-09-09 2017-09-08 Push-pull surgical instrument end effector actuation using flexible tension member

Related Child Applications (1)

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JP2022042360A Division JP7335382B2 (ja) 2016-09-09 2022-03-17 可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動

Publications (3)

Publication Number Publication Date
JP2019526333A JP2019526333A (ja) 2019-09-19
JP2019526333A5 JP2019526333A5 (https=) 2020-10-15
JP7044760B2 true JP7044760B2 (ja) 2022-03-30

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JP2019510811A Active JP7044760B2 (ja) 2016-09-09 2017-09-08 可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動
JP2022042360A Active JP7335382B2 (ja) 2016-09-09 2022-03-17 可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動
JP2023133177A Pending JP2023144088A (ja) 2016-09-09 2023-08-17 可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動

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JP2022042360A Active JP7335382B2 (ja) 2016-09-09 2022-03-17 可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動
JP2023133177A Pending JP2023144088A (ja) 2016-09-09 2023-08-17 可撓性引張部材を用いたプッシュ／プル方式の手術用器具エンドエフェクタの作動

Country Status (6)

Country Link
US (2) US11020138B2 (https=)
EP (3) EP3509523B1 (https=)
JP (3) JP7044760B2 (https=)
KR (3) KR102456414B1 (https=)
CN (2) CN109688959B (https=)
WO (1) WO2018049217A1 (https=)

Families Citing this family (102)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10076348B2 (en) 2013-08-15 2018-09-18 Intuitive Surgical Operations, Inc. Rotary input for lever actuation
WO2015088647A1 (en) 2013-12-11 2015-06-18 Covidien Lp Wrist and jaw assemblies for robotic surgical systems
AU2016220501B2 (en) 2015-02-19 2020-02-13 Covidien Lp Repositioning method of input device for robotic surgical system
US10716639B2 (en) 2015-03-10 2020-07-21 Covidien Lp Measuring health of a connector member of a robotic surgical system
WO2016209769A1 (en) 2015-06-23 2016-12-29 Covidien Lp Robotic surgical assemblies
WO2017053363A1 (en) 2015-09-25 2017-03-30 Covidien Lp Robotic surgical assemblies and instrument drive connectors thereof
WO2017083125A1 (en) 2015-11-13 2017-05-18 Intuitive Surgical Operations, Inc. Stapler with composite cardan and screw drive
EP3376988B1 (en) 2015-11-19 2023-08-23 Covidien LP Optical force sensor for robotic surgical system
JP2019509103A (ja) 2016-03-04 2019-04-04 コヴィディエン リミテッド パートナーシップ ロボット外科システムのための逆運動学制御システム
US11576562B2 (en) 2016-04-07 2023-02-14 Titan Medical Inc. Camera positioning method and apparatus for capturing images during a medical procedure
WO2017210497A1 (en) 2016-06-03 2017-12-07 Covidien Lp Systems, methods, and computer-readable program products for controlling a robotically delivered manipulator
EP3463150B1 (en) 2016-06-03 2023-09-27 Covidien LP Control arm for robotic surgical systems
US11207145B2 (en) 2016-07-14 2021-12-28 Intuitive Surgical Operations, Inc. Multi-cable medical instrument
US11007024B2 (en) 2016-07-14 2021-05-18 Intuitive Surgical Operations, Inc. Geared grip actuation for medical instruments
WO2018013316A1 (en) 2016-07-14 2018-01-18 Intuitive Surgical Operations, Inc. Geared roll drive for medical instrument
WO2018094191A1 (en) 2016-11-21 2018-05-24 Intuitive Surgical Operations, Inc. Cable length conserving medical instrument
US11690691B2 (en) 2017-02-15 2023-07-04 Covidien Lp System and apparatus for crush prevention for medical robot applications
US10357321B2 (en) 2017-02-24 2019-07-23 Intuitive Surgical Operations, Inc. Splayed cable guide for a medical instrument
US11717361B2 (en) 2017-05-24 2023-08-08 Covidien Lp Electrosurgical robotic system having tool presence detection
US11839441B2 (en) 2017-05-25 2023-12-12 Covidien Lp Robotic surgical system with automated guidance
US11406441B2 (en) 2017-08-16 2022-08-09 Covidien Lp End effector including wrist assembly and monopolar tool for robotic surgical systems
US11628022B2 (en) 2017-09-05 2023-04-18 Covidien Lp Collision handling algorithms for robotic surgical systems
EP3735199A4 (en) 2018-01-04 2021-10-13 Covidien LP SYSTEMS AND ASSEMBLIES FOR MOUNTING SURGICAL ACCESSORY ON ROBOTIC SURGICAL SYSTEMS, AND PROVIDING ACCESS THROUGH THEM
WO2019139949A1 (en) 2018-01-10 2019-07-18 Covidien Lp Determining positions and conditions of tools of a robotic surgical system utilizing computer vision
US12102403B2 (en) 2018-02-02 2024-10-01 Coviden Lp Robotic surgical systems with user engagement monitoring
US11497567B2 (en) 2018-02-08 2022-11-15 Intuitive Surgical Operations, Inc. Jointed control platform
US11118661B2 (en) 2018-02-12 2021-09-14 Intuitive Surgical Operations, Inc. Instrument transmission converting roll to linear actuation
US11986261B2 (en) 2018-04-20 2024-05-21 Covidien Lp Systems and methods for surgical robotic cart placement
US11576739B2 (en) 2018-07-03 2023-02-14 Covidien Lp Systems, methods, and computer-readable media for detecting image degradation during surgical procedures
JP2022500163A (ja) 2018-09-14 2022-01-04 コヴィディエン リミテッド パートナーシップ 外科用ロボットシステムおよびその外科用器具の使用量を追跡する方法
WO2020060789A1 (en) 2018-09-17 2020-03-26 Covidien Lp Surgical robotic systems
EP3852667A4 (en) 2018-09-17 2022-06-15 Covidien LP SURGICAL ROBOTIC SYSTEMS
WO2020102776A1 (en) 2018-11-15 2020-05-22 Intuitive Surgical Operations, Inc. Surgical instrument with sensor aligned cable guide
US12419713B2 (en) 2018-11-15 2025-09-23 Intuitive Surgical Operations, Inc. Surgical instrument with sensor aligned cable guide
WO2020102778A1 (en) 2018-11-15 2020-05-22 Intuitive Surgical Operations, Inc. Strain sensor with contoured deflection surface
EP4699546A3 (en) 2018-12-21 2026-04-29 Intuitive Surgical Operations, Inc. Actuation mechanisms for surgical instruments
EP4710887A3 (en) 2018-12-21 2026-04-15 Intuitive Surgical Operations, Inc. Surgical instruments having a reinforced staple cartridge
WO2020131685A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Surgical instruments with switches for deactivating and/or identifying stapler cartridges
WO2020131290A1 (en) 2018-12-21 2020-06-25 Intuitive Surgical Operations, Inc. Articulation assemblies for surgical instruments
US11576733B2 (en) 2019-02-06 2023-02-14 Covidien Lp Robotic surgical assemblies including electrosurgical instruments having articulatable wrist assemblies
CN113710170B (zh) 2019-04-15 2024-05-31 直观外科手术操作公司 用于手术器械的钉仓
EP3972518A4 (en) 2019-05-22 2023-10-11 Covidien LP SURGICAL ROBOTIC ARMS STORAGE ASSEMBLIES AND METHODS OF REPLACING SURGICAL ROBOTIC ARMS USING THE STORAGE ASSEMBLIES
US11896224B2 (en) 2019-05-31 2024-02-13 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
CN113811257B (zh) * 2019-06-13 2025-09-30 直观外科手术操作公司 用于致动张力带的带有长度守恒机构的医疗工具
US11666404B2 (en) * 2019-08-28 2023-06-06 Cilag Gmbh International Articulating including antagonistic controls for articulation and calibration
EP4028985A4 (en) 2019-09-11 2023-06-07 Covidien LP Systems and methods for neural-network based color restoration
EP4028986A4 (en) 2019-09-11 2023-06-07 Covidien LP SYSTEMS AND METHODS FOR REDUCING SMOKE IN PICTURES
CN114502083A (zh) 2019-10-18 2022-05-13 直观外科手术操作公司 具有可调节钳爪的手术器械
US12350828B2 (en) 2019-12-16 2025-07-08 Covidien Lp Surgical robotic systems including surgical instruments with articulation
EP4081152A1 (en) 2019-12-23 2022-11-02 Covidien LP System for guiding surgical procedures
CN113017835B (zh) * 2019-12-25 2022-11-11 杭州术创机器人有限公司 用于手术工具组件的线缆张紧装置
CN115066209A (zh) 2020-02-06 2022-09-16 柯惠Lp公司 用于缝合引导的系统和方法
US12262964B2 (en) 2020-02-26 2025-04-01 Covidien Lp Robotic surgical instrument including linear encoders for measuring cable displacement
CN115697236A (zh) 2020-05-04 2023-02-03 直观外科手术操作公司 用于驱动多根缆线的具有单输入装置的医疗器械
US11771422B2 (en) 2020-05-12 2023-10-03 Covidien Lp Active roller assembly for use in articulating stapler
WO2021231508A1 (en) 2020-05-12 2021-11-18 Covidien Lp Systems and methods for image mapping and fusion during surgical procedures
USD963851S1 (en) 2020-07-10 2022-09-13 Covidien Lp Port apparatus
CN112754545B (zh) * 2020-12-19 2025-07-25 深圳市精锋医疗科技股份有限公司 张紧机构、手术器械、从操作设备及手术机器人
EP4274491A1 (en) 2021-01-08 2023-11-15 Intuitive Surgical Operations, Inc. Surgical stapling instruments
WO2022150212A1 (en) 2021-01-08 2022-07-14 Intuitive Surgical Operations, Inc. Surgical instrument with linear and purse string suture staples
CN115192093B (zh) * 2021-04-09 2025-08-12 敏捷医疗科技(苏州)有限公司 一种手术器械及其拆装方法
US12409003B2 (en) 2021-05-14 2025-09-09 Covidien Lp Instrument cassette assemblies for robotic surgical instruments
US11948226B2 (en) 2021-05-28 2024-04-02 Covidien Lp Systems and methods for clinical workspace simulation
US12369998B2 (en) 2021-05-28 2025-07-29 Covidien Lp Real time monitoring of a robotic drive module
CN113208736B (zh) * 2021-05-31 2023-02-10 上海微创医疗机器人（集团）股份有限公司 器械驱动装置、器械末端组件、手术器械及手术机器人
US12257014B2 (en) * 2021-06-22 2025-03-25 Intuitive Surgical Operations, Inc. Devices and methods for crimp interface for cable tension sensor
US12089842B2 (en) 2021-08-16 2024-09-17 Cilag Gmbh International Firing bailout system for powered surgical stapler
US12102321B2 (en) 2021-08-16 2024-10-01 Cilag Gmbh International Methods of operating a robotic surgical stapler
US11992209B2 (en) 2021-08-16 2024-05-28 Cilag Gmbh International Multi-threshold motor control algorithm for powered surgical stapler
US11986182B2 (en) 2021-08-16 2024-05-21 Cilag Gmbh International Multi-position restraining member for sled movement
US12011164B2 (en) 2021-08-16 2024-06-18 Cilag Gmbh International Cartridge-based firing lockout mechanism for surgical stapler
US12458348B2 (en) 2021-08-16 2025-11-04 Cilag Gmbh International Deflectable firing member for surgical stapler
US11957336B2 (en) 2021-08-16 2024-04-16 Cilag Gmbh International Proximally located firing lockout mechanism for surgical stapler
US12213668B2 (en) 2021-08-16 2025-02-04 Cilag Gmbh International Firing system features for surgical stapler
US11992210B2 (en) 2021-08-16 2024-05-28 Cilag Gmbh International Multiple-sensor firing lockout mechanism for powered surgical stapler
US11779332B2 (en) 2021-08-16 2023-10-10 Cilag Gmbh International Powered surgical stapler having independently operable closure and firing systems
US12171428B2 (en) 2021-08-16 2024-12-24 Cilag Gmbh International Firing member tracking feature for surgical stapler
US11944297B2 (en) 2021-08-16 2024-04-02 Cilag Gmbh International Variable response motor control algorithm for powered surgical stapler
US12029508B2 (en) 2021-08-16 2024-07-09 Cilag Gmbh International Adjustable power transmission mechanism for powered surgical stapler
US12599449B2 (en) 2021-08-20 2026-04-14 Covidien Lp Surgical robotic system with orientation setup device and method
US12564457B2 (en) 2021-09-14 2026-03-03 Covidien Lp Robotic surgical instruments
US12496119B2 (en) 2021-12-06 2025-12-16 Covidien Lp Jaw member, end effector assembly, and method of manufacturing a jaw member of an electrosurgical instrument
CN116269573B (zh) * 2021-12-06 2025-09-16 深圳市精锋医疗科技股份有限公司 外科手术器械和手术机器人
US12390294B2 (en) 2021-12-14 2025-08-19 Covidien Lp Robotic surgical assemblies including surgical instruments having articulatable wrist assemblies
US12433699B2 (en) 2022-02-10 2025-10-07 Covidien Lp Surgical robotic systems and robotic arm carts thereof
US12548667B2 (en) 2022-02-15 2026-02-10 Covidien Lp System and method for checking compatibility of hardware and software components in a surgical robot
US12479098B2 (en) 2022-08-03 2025-11-25 Covidien Lp Surgical robotic system with access port storage
US12465447B2 (en) 2022-08-25 2025-11-11 Covidien Lp Surgical robotic system with instrument detection
US12496728B2 (en) 2022-10-25 2025-12-16 Covidien Lp Surgical robotic system and method for restoring operational state
USD1066379S1 (en) 2023-01-13 2025-03-11 Covidien Lp Display screen with graphical user interface
USD1066382S1 (en) 2023-01-13 2025-03-11 Covidien Lp Display screen with graphical user interface
USD1066378S1 (en) 2023-01-13 2025-03-11 Covidien Lp Display screen with graphical user interface
USD1066383S1 (en) 2023-01-13 2025-03-11 Covidien Lp Display screen with graphical user interface
USD1066381S1 (en) 2023-01-13 2025-03-11 Covidien Lp Display screen with graphical user interface
USD1066405S1 (en) 2023-01-13 2025-03-11 Covidien Lp Display screen with graphical user interface
USD1066404S1 (en) 2023-01-13 2025-03-11 Covidien Lp Display screen with graphical user interface
USD1066380S1 (en) 2023-01-13 2025-03-11 Covidien Lp Display screen with graphical user interface
US12599445B2 (en) 2023-01-26 2026-04-14 Covidien Lp Surgical robotic system and method for cart power switchover
WO2024215716A1 (en) 2023-04-11 2024-10-17 Intuitive Surgical Operations, Inc. Surgical stapling instruments and control systems for such instruments
WO2024228981A1 (en) 2023-05-01 2024-11-07 Intuitive Surgical Operations, Inc. Components of surgical stapling instruments and methods for manufacturing the same
USD1087995S1 (en) 2023-08-02 2025-08-12 Covidien Lp Surgeon display screen with a transitional graphical user interface having staple firing icon
USD1087135S1 (en) 2023-08-02 2025-08-05 Covidien Lp Surgeon display screen with a graphical user interface having spent staple icon

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002543865A (ja) 1999-05-10 2002-12-24 ブロック ロジャース サージカル インコーポレイティド 外科器具
JP2010505519A (ja) 2006-10-05 2010-02-25 タイコ ヘルスケア グループ リミテッド パートナーシップ 可撓性の内視鏡的縫合装置
WO2012073849A1 (ja) 2010-12-02 2012-06-07 オリンパス株式会社 術具及びその術具を有する手術支援システム

Family Cites Families (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5762256A (en) * 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
US5865361A (en) * 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
JP3745234B2 (ja) * 2000-06-13 2006-02-15 オリンパス株式会社 内視鏡用処置具
US20030135204A1 (en) 2001-02-15 2003-07-17 Endo Via Medical, Inc. Robotically controlled medical instrument with a flexible section
US20030229344A1 (en) * 2002-01-22 2003-12-11 Dycus Sean T. Vessel sealer and divider and method of manufacturing same
US6994708B2 (en) 2001-04-19 2006-02-07 Intuitive Surgical Robotic tool with monopolar electro-surgical scissors
US7121781B2 (en) 2003-06-11 2006-10-17 Intuitive Surgical Surgical instrument with a universal wrist
US7126303B2 (en) 2003-07-08 2006-10-24 Board Of Regents Of The University Of Nebraska Robot for surgical applications
US7951165B2 (en) * 2003-08-18 2011-05-31 Boston Scientific Scimed, Inc. Endoscopic medical instrument and related methods of use
US8870867B2 (en) 2008-02-06 2014-10-28 Aesculap Ag Articulable electrosurgical instrument with a stabilizable articulation actuator
US8011551B2 (en) * 2008-07-01 2011-09-06 Tyco Healthcare Group Lp Retraction mechanism with clutch-less drive for use with a surgical apparatus
JP5400444B2 (ja) * 2009-03-27 2014-01-29 テルモ株式会社 医療用器具の製造方法及び医療用器具
US8629988B2 (en) 2009-04-20 2014-01-14 Javad Gnss, Inc. Laser beam image contrast enhancement
EP2485674B1 (en) * 2009-11-13 2018-01-03 Intuitive Surgical Operations, Inc. Surgical tool with a compact wrist
KR20120115486A (ko) * 2009-11-13 2012-10-18 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 곡선형 캐뉼라 수술 시스템
KR101923049B1 (ko) * 2009-11-13 2018-11-28 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 여분의 닫힘 메커니즘을 구비한 단부 작동기
US20120078244A1 (en) * 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
EP2627278B1 (en) * 2010-10-11 2015-03-25 Ecole Polytechnique Fédérale de Lausanne (EPFL) Mechanical manipulator for surgical instruments
JP6518403B2 (ja) * 2011-02-18 2019-05-22 インテュイティブ サージカル オペレーションズ， インコーポレイテッド 融合及び切断用外科用器具とこれに関連する方法
WO2012166806A1 (en) * 2011-05-31 2012-12-06 Intuitive Surgical Operations, Inc. Grip force control in a robotic surgical instrument
JP5856817B2 (ja) 2011-11-16 2016-02-10 オリンパス株式会社 医療用処置具およびこれを備えるマニピュレータ
US9125681B2 (en) 2012-09-26 2015-09-08 Ethicon Endo-Surgery, Inc. Detachable end effector and loader
JP6033456B2 (ja) * 2013-02-27 2016-11-30 オリンパス株式会社 マニピュレータ
US9839481B2 (en) * 2013-03-07 2017-12-12 Intuitive Surgical Operations, Inc. Hybrid manual and robotic interventional instruments and methods of use
EP3900641A1 (en) 2013-03-14 2021-10-27 SRI International Inc. Wrist and grasper system for a robotic tool
JP6153484B2 (ja) 2014-02-24 2017-06-28 オリンパス株式会社 ワイヤ駆動装置およびマニピュレータ
WO2016067436A1 (ja) 2014-10-30 2016-05-06 オリンパス株式会社 医療用処置具
EP4289385A3 (en) * 2014-12-19 2024-03-27 DistalMotion SA Surgical instrument with articulated end-effector
JP7311473B2 (ja) * 2020-09-02 2023-07-19 株式会社神戸製鋼所 アーク溶接方法

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002543865A (ja) 1999-05-10 2002-12-24 ブロック ロジャース サージカル インコーポレイティド 外科器具
JP2010505519A (ja) 2006-10-05 2010-02-25 タイコ ヘルスケア グループ リミテッド パートナーシップ 可撓性の内視鏡的縫合装置
WO2012073849A1 (ja) 2010-12-02 2012-06-07 オリンパス株式会社 術具及びその術具を有する手術支援システム

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