JP7423516B2 - 機械及び電動エネルギーを印加するように構成された外科用切開器具 - Google Patents
機械及び電動エネルギーを印加するように構成された外科用切開器具 Download PDFInfo
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- JP7423516B2 JP7423516B2 JP2020524117A JP2020524117A JP7423516B2 JP 7423516 B2 JP7423516 B2 JP 7423516B2 JP 2020524117 A JP2020524117 A JP 2020524117A JP 2020524117 A JP2020524117 A JP 2020524117A JP 7423516 B2 JP7423516 B2 JP 7423516B2
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- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y80/00—Products made by additive manufacturing
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01L—MEASURING FORCE, STRESS, TORQUE, WORK, MECHANICAL POWER, MECHANICAL EFFICIENCY, OR FLUID PRESSURE
- G01L1/00—Measuring force or stress, in general
- G01L1/20—Measuring force or stress, in general by measuring variations in ohmic resistance of solid materials or of electrically-conductive fluids; by making use of electrokinetic cells, i.e. liquid-containing cells wherein an electrical potential is produced or varied upon the application of stress
- G01L1/22—Measuring force or stress, in general by measuring variations in ohmic resistance of solid materials or of electrically-conductive fluids; by making use of electrokinetic cells, i.e. liquid-containing cells wherein an electrical potential is produced or varied upon the application of stress using resistance strain gauges
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02E—REDUCTION OF GREENHOUSE GAS [GHG] EMISSIONS, RELATED TO ENERGY GENERATION, TRANSMISSION OR DISTRIBUTION
- Y02E60/00—Enabling technologies; Technologies with a potential or indirect contribution to GHG emissions mitigation
- Y02E60/10—Energy storage using batteries
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Description
本願は、2018年8月24日に出願された、米国特許出願第16/112,098号、発明の名称「SURGICAL DISSECTORS CONFIGURED TO APPLY MECHANICAL AND ELECTRICAL ENERGY」の利益を主張するものであり、その開示は、参照によりその全体が本明細書に組み込まれる。本出願は、2018年4月19日に出願された、米国特許仮出願第62/659,900号、発明の名称「METHOD OF HUB COMMUNICATION」の利益を主張するものであり、その開示は、参照によりその全体が本明細書に組み込まれる。本出願は、2018年5月1日に出願された、米国特許仮出願第62/665,128号、発明の名称「MODULAR SURGICAL INSTRUMENTS」、2018年5月1日に出願された、米国特許仮出願第62/665,129号、発明の名称「SURGICAL SUTURING SYSTEMS」、2018年5月1日に出願された、米国特許仮出願第62/665,134号、発明の名称「SURGICAL CLIP APPLIER」、2018年5月1日に出願された、米国特許仮出願第62/665,139号、発明の名称「SURGICAL INSTRUMENTS COMPRISING CONTROL SYSTEMS」、2018年5月1日に出願された、米国特許仮出願第62/665,177号、発明の名称「SURGICAL INSTRUMENTS COMPRISING HANDLE ARRANGEMENTS」、及び2018年5月1日に出願された、米国特許仮出願第62/665,192号、発明の名称「SURGICAL DISSECTORS」の利益を主張するものであり、これらの開示は、参照によりそれらの全体が本明細書に組み込まれる。本出願は、2018年3月28日に出願された、米国特許仮出願第62/649,291号、発明の名称「USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」、2018年3月28日に出願された、米国特許仮出願第62/649,294号、発明の名称「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」、2018年3月28日に出願された、米国特許仮出願第62/649,296号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」、2018年3月28日に出願された、米国特許仮出願第62/649,300号、発明の名称「SURGICAL HUB SITUATIONAL AWARENESS」、2018年3月28日に出願された、米国特許仮出願第62/649,302号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」、2018年3月28日に出願された、米国特許仮出願第62/649,307号、発明の名称「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、2018年3月28日に出願された、米国特許仮出願第62/649,309号、発明の名称「AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」、2018年3月28日に出願された、米国特許仮出願第62/649,310号、発明の名称「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」、2018年3月28日に出願された、米国特許仮出願第62/649,313号、発明の名称「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」、2018年3月28日に出願された、米国特許仮出願第62/649,315号、発明の名称「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」、2018年3月28日に出願された、米国特許仮出願第62/649,320号、発明の名称「DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、2018年3月28日に出願された、米国特許仮出願第62/649,323号、発明の名称「SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、2018年3月28日に出願された、米国特許仮出願第62/649,327号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」、及び2018年3月28日に出願された、米国特許仮出願第62/649,333号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」の利益を主張するものであり、これらの開示は、参照によりそれらの全体が本明細書に組み込まれる。本出願は、2018年2月28日に出願された、米国特許出願第15/908,012号、発明の名称「SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT」、2018年2月28日に出願された、米国特許出願第15/908,021号、発明の名称「SURGICAL INSTRUMENT WITH REMOTE RELEASE」、2018年2月28日に出願された、米国特許出願第15/908,040号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、2018年2月28日に出願された、米国特許出願第15/908,057号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、2018年2月28日に出願された、米国特許出願第15/908,058号、発明の名称「SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES」、2018年2月28日に出願された、米国特許出願第15/908,143号、発明の名称「SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS」の利益を主張するものであり、これらの開示は、参照によりそれらの全体が本明細書に組み込まれる。本出願は、2017年12月28日に出願された、米国特許仮出願第62/611,339号、発明の名称「ROBOT ASSISTED SURGICAL PLATFORM」、2017年12月28日に出願された、米国特許仮出願第62/611,340号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS」、及び2017年12月28日に出願された、米国特許仮出願第62/611,341号、発明の名称「INTERACTIVE SURGICAL PLATFORM」の利益を主張するものであり、これらの開示は、参照によりそれらの全体が本明細書に組み込まれる。本出願は、2017年10月30日に出願された、米国特許仮出願第62/578,793号、発明の名称「SURGICAL INSTRUMENT WITH REMOTE RELEASE」、2017年10月30日に出願された、米国特許仮出願第62/578,804号、発明の名称「SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT」、2017年10月30日に出願された、米国特許仮出願第62/578,817号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、2017年10月30日に出願された、米国特許仮出願第62/578,835号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、2017年10月30日に出願された、米国特許仮出願第62/578,844号、発明の名称「SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES」、及び2017年10月30日に出願された、米国特許仮出願第62/578,855号、発明の名称「SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS」の利益を主張するものであり、これらの開示は、それらの全体が参照により本明細書に組み込まれる。
-米国特許出願第16/112,129号、発明の名称「SURGICAL SUTURING INSTRUMENT CONFIGURED TO MANIPULATE TISSUE USING MECHANICAL AND ELECTRICAL POWER」、
-米国特許出願第16/112,155号、発明の名称「SURGICAL SUTURING INSTRUMENT COMPRISING A CAPTURE WIDTH WHICH IS LARGER THAN TROCAR DIAMETER」、
-米国特許出願第16/112,168号、発明の名称「SURGICAL SUTURING INSTRUMENT COMPRISING A NON-CIRCULAR NEEDLE」、
-米国特許出願第16/112,180号、発明の名称「ELECTRICAL POWER OUTPUT CONTROL BASED ON MECHANICAL FORCES」、
-米国特許出願第16/112,193号、発明の名称「REACTIVE ALGORITHM FOR SURGICAL SYSTEM」、
-米国特許出願第16/112,099号、発明の名称「SURGICAL INSTRUMENT COMPRISING AN ADAPTIVE ELECTRICAL SYSTEM」、
-米国特許出願第16/112,112号、発明の名称「CONTROL SYSTEM ARRANGEMENTS FOR A MODULAR SURGICAL INSTRUMENT」、
-米国特許出願第16/112,119号、発明の名称「ADAPTIVE CONTROL PROGRAMS FOR A SURGICAL SYSTEM COMPRISING MORE THAN ONE TYPE OF CARTRIDGE」、
-米国特許出願第16/112,097号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING BATTERY ARRANGEMENTS」、
-米国特許出願第16/112,109号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING HANDLE ARRANGEMENTS」、
-米国特許出願第16/112,114号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING FEEDBACK MECHANISMS」、
-米国特許出願第16/112,117号、発明の名称「SURGICAL INSTRUMENT SYSTEMS COMPRISING LOCKOUT MECHANISMS」、
-米国特許出願第16/112,095号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A LOCKABLE END EFFECTOR SOCKET」、
-米国特許出願第16/112,121号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A SHIFTING MECHANISM」、
-米国特許出願第16/112,151号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A SYSTEM FOR ARTICULATION AND ROTATION COMPENSATION」、
-米国特許出願第16/112,154号、発明の名称「SURGICAL INSTRUMENTS COMPRISING A BIASED SHIFTING MECHANISM」、
-米国特許出願第16/112,226号、発明の名称「SURGICAL INSTRUMENTS COMPRISING AN ARTICULATION DRIVE THAT PROVIDES FOR HIGH ARTICULATION ANGLES」、
-米国特許出願第16/112,062号、発明の名称「SURGICAL DISSECTORS AND MANUFACTURING TECHNIQUES」、
-米国特許出願第16/112,237号、発明の名称「SURGICAL CLIP APPLIER CONFIGURED TO STORE CLIPS IN A STORED STATE」、
-米国特許出願第16/112,245号、発明の名称「SURGICAL CLIP APPLIER COMPRISING AN EMPTY CLIP CARTRIDGE LOCKOUT」、
-米国特許出願第16/112,249号、発明の名称「SURGICAL CLIP APPLIER COMPRISING AN AUTOMATIC CLIP FEEDING SYSTEM」、
-米国特許出願第16/112,253号、発明の名称「SURGICAL CLIP APPLIER COMPRISING ADAPTIVE FIRING CONTROL」、及び
-米国特許出願第16/112,257号、発明の名称「SURGICAL CLIP APPLIER COMPRISING ADAPTIVE CONTROL IN RESPONSE TO A STRAIN GAUGE CIRCUIT」。
-米国特許仮出願第62/665,129号、発明の名称「SURGICAL SUTURING SYSTEMS」、
-米国特許仮出願第62/665,139号、発明の名称「SURGICAL INSTRUMENTS COMPRISING CONTROL SYSTEMS」、
-米国特許仮出願第62/665,177号、発明の名称「SURGICAL INSTRUMENTS COMPRISING HANDLE ARRANGEMENTS」、
-米国特許仮出願第62/665,128号、発明の名称「MODULAR SURGICAL INSTRUMENTS」、
-米国特許仮出願第62/665,192号、発明の名称「SURGICAL DISSECTORS」、及び
-米国特許仮出願第62/665,134号、発明の名称「SURGICAL CLIP APPLIER」。
-米国特許出願第15/908,021号、発明の名称「SURGICAL INSTRUMENT WITH REMOTE RELEASE」、
-米国特許出願第15/908,012号、発明の名称「SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT」、
-米国特許出願第15/908,040号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
-米国特許出願第15/908,057号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
-米国特許出願第15/908,058号、発明の名称「SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES」、及び
-米国特許出願第15/908,143号、発明の名称「SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS」。
-米国特許仮出願第62/578,793号、発明の名称「SURGICAL INSTRUMENT WITH REMOTE RELEASE」、
-米国特許仮出願第62/578,804号、発明の名称「SURGICAL INSTRUMENT HAVING DUAL ROTATABLE MEMBERS TO EFFECT DIFFERENT TYPES OF END EFFECTOR MOVEMENT」、
-米国特許仮出願第62/578,817号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
-米国特許仮出願第62/578,835号、発明の名称「SURGICAL INSTRUMENT WITH ROTARY DRIVE SELECTIVELY ACTUATING MULTIPLE END EFFECTOR FUNCTIONS」、
-米国特許仮出願第62/578,844号、発明の名称「SURGICAL INSTRUMENT WITH MODULAR POWER SOURCES」、及び
-米国特許仮出願第62/578,855号、発明の名称「SURGICAL INSTRUMENT WITH SENSOR AND/OR CONTROL SYSTEMS」。
-米国特許仮出願第62/611,341号、発明の名称「INTERACTIVE SURGICAL PLATFORM」、
-米国特許仮出願第62/611,340号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS」、及び
-米国特許仮出願第62/611,339号、発明の名称「ROBOT ASSISTED SURGICAL PLATFORM」。
-米国特許仮出願第62/649,302号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」、
-米国特許仮出願第62/649,294号、発明の名称「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」、
-米国特許仮出願第62/649,300号、発明の名称「SURGICAL HUB SITUATIONAL AWARENESS」、
-米国特許仮出願第62/649,309号、発明の名称「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」、
-米国特許仮出願第62/649,310号、発明の名称「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」、
-米国特許仮出願第62/649,291号、発明の名称「USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」、
-米国特許仮出願第62/649,296号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」、
-米国特許仮出願第62/649,333号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」、
-米国特許仮出願第62/649,327号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」、
-米国特許仮出願第62/649,315号、発明の名称「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」、
-米国特許仮出願第62/649,313号、発明の名称「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」、
-米国特許仮出願第62/649,320号、発明の名称「DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許仮出願第62/649,307号、発明の名称「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、及び
-米国特許仮出願第62/649,323号、発明の名称「SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」。
-米国特許出願第15/940,641号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES」、
-米国特許出願第15/940,648号、発明の名称「INTERACTIVE SURGICAL SYSTEMS WITH CONDITION HANDLING OF DEVICES AND DATA CAPABILITIES」、
-米国特許出願第15/940,656号、発明の名称「SURGICAL HUB COORDINATION OF CONTROL AND COMMUNICATION OF OPERATING ROOM DEVICES」、
-米国特許出願第15/940,666号、発明の名称「SPATIAL AWARENESS OF SURGICAL HUBS IN OPERATING ROOMS」、
-米国特許出願第15/940,670号、発明の名称「COOPERATIVE UTILIZATION OF DATA DERIVED FROM SECONDARY SOURCES BY INTELLIGENT SURGICAL HUBS」、
-米国特許出願第15/940,677号、発明の名称「SURGICAL HUB CONTROL ARRANGEMENTS」、
-米国特許出願第15/940,632号、発明の名称「DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZED RECORD」、
-米国特許出願第15/940,640号、発明の名称「COMMUNICATION HUB AND STORAGE DEVICE FOR STORING PARAMETERS AND STATUS OF A SURGICAL DEVICE TO BE SHARED WITH CLOUD BASED ANALYTICS SYSTEMS」、
-米国特許出願第15/940,645号、発明の名称「SELF DESCRIBING DATA PACKETS GENERATED AT AN ISSUING INSTRUMENT」、
-米国特許出願第15/940,649号、発明の名称「DATA PAIRING TO INTERCONNECT A DEVICE MEASURED PARAMETER WITH AN OUTCOME」、
-米国特許出願第15/940,654号、発明の名称「SURGICAL HUB SITUATIONAL AWARENESS」、
-米国特許出願第15/940,663号、発明の名称「SURGICAL SYSTEM DISTRIBUTED PROCESSING」、
-米国特許出願第15/940,668号、発明の名称「AGGREGATION AND REPORTING OF SURGICAL HUB DATA」、
-米国特許出願第15/940,671号、発明の名称「SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATING THEATER」、
-米国特許出願第15/940,686号、発明の名称「DISPLAY OF ALIGNMENT OF STAPLE CARTRIDGE TO PRIOR LINEAR STAPLE LINE」、
-米国特許出願第15/940,700号、発明の名称「STERILE FIELD INTERACTIVE CONTROL DISPLAYS」、
-米国特許出願第15/940,629号、発明の名称「COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS」、
-米国特許出願第15/940,704号、発明の名称「USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINE PROPERTIES OF BACK SCATTERED LIGHT」
-米国特許出願第15/940,722号、発明の名称「CHARACTERIZATION OF TISSUE IRREGULARITIES THROUGH THE USE OF MONO-CHROMATIC LIGHT REFRACTIVITY」、及び
-米国特許出願第15/940,742号、発明の名称「DUAL CMOS ARRAY IMAGING」。
-米国特許出願第15/940,636号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES」、
-米国特許出願第15/940,653号、発明の名称「ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL HUBS」、
-米国特許出願第15/940,660号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER」、
-米国特許出願第15/940,679号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR LINKING OF LOCAL USAGE TRENDS WITH THE RESOURCE ACQUISITION BEHAVIORS OF LARGER DATA SET」、
-米国特許出願第15/940,694号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR MEDICAL FACILITY SEGMENTED INDIVIDUALIZATION OF INSTRUMENT FUNCTION」、
-米国特許出願第15/940,634号、発明の名称「CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES」、
-米国特許出願第15/940,706号、発明の名称「DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICS NETWORK」、及び
-米国特許出願第15/940,675号、発明の名称「CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES」。
-米国特許出願第15/940,627号、発明の名称「DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,637号、発明の名称「COMMUNICATION ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,642号、発明の名称「CONTROLS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,676号、発明の名称「AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,680号、発明の名称「CONTROLLERS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,683号、発明の名称「COOPERATIVE SURGICAL ACTIONS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、
-米国特許出願第15/940,690号、発明の名称「DISPLAY ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」、及び
-米国特許出願第15/940,711号、発明の名称「SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS」。
-米国特許仮出願第62/650,887号、発明の名称「SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES」、
-米国特許仮出願第62/650,877号、発明の名称「SURGICAL SMOKE EVACUATION SENSING AND CONTROLS」、
-米国特許仮出願第62/650,882号、発明の名称「SMOKE EVACUATION MODULE FOR INTERACTIVE SURGICAL PLATFORM」、及び
-米国特許仮出願第62/650,898号、発明の名称「CAPACITIVE COUPLED RETURN PATH PAD WITH SEPARABLE ARRAY ELEMENTS」。
-米国特許仮出願第62/659,900号、発明の名称「METHOD OF HUB COMMUNICATION」。
-米国特許出願第11/013,924号、発明の名称「TROCAR SEAL ASSEMBLY」、現在は米国特許第7,371,227号、
-米国特許出願第11/162,991号、発明の名称「ELECTROACTIVE POLYMER-BASED ARTICULATION MECHANISM FOR GRASPER」、現在は米国特許第7,862,579号、
-米国特許出願第12/364,256号、発明の名称「SURGICAL DISSECTOR」、現在は米国特許出願公開第2010/0198248号、
-米国特許出願第13/536,386号、発明の名称「EMPTY CLIP CARTRIDGE LOCKOUT」、現在は米国特許第9,282,974号、
-米国特許出願第13/832,786号、発明の名称「CIRCULAR NEEDLE APPLIER WITH OFFSET NEEDLE AND CARRIER TRACKS」、現在は米国特許第9,398,905号、
-米国特許出願第12/592,174号、発明の名称「APPARATUS AND METHOD FOR MINIMALLY INVASIVE SUTURING」、現在は米国特許第8,123,764号、
-米国特許出願第12/482,049号、発明の名称「ENDOSCOPIC STITCHING DEVICES」、現在は米国特許第8,628,545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、
-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、
-米国特許出願第14/200,111号、発明の名称「CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS」、現在は米国特許第9,629,629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」、現在は米国特許第9,826,976号、
-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」、現在は米国特許出願公開第2017/0027571号、
-米国特許出願第14/248,587号、発明の名称「POWERED SURGICAL STAPLER」、現在は米国特許第9,867,612号、
-米国特許出願第12/945,748号、発明の名称「SURGICAL TOOL WITH A TWO DEGREE OF FREEDOM WRIST」、現在は米国特許第8,852,174号、
-米国特許出願第13/297,158号、発明の名称「METHOD FOR PASSIVELY DECOUPLING TORQUE APPLIED BY A REMOTE ACTUATOR INTO AN INDEPENDENTLY ROTATING MEMBER」、現在は米国特許第9,095,362号、
-国際出願第PCT/US2015/023636号、発明の名称「SURGICAL INSTRUMENT WITH SHIFTABLE TRANSMISSION」、現在は国際公開第2015/153642(A1)号、
-国際出願第PCT/US2015/051837号、発明の名称「HANDHELD ELECTROMECHANICAL SURGICAL SYSTEM」、現在は国際公開第2016/057225(A1)号、
-米国特許出願第14/657,876号、発明の名称「SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES」、米国特許出願公開第2015/0182277号、
-米国特許出願第15/382,515号、発明の名称「MODULAR BATTERY POWERED HANDHELD SURGICAL INSTRUMENT AND METHODS THEREFOR」、米国特許出願公開第2017/0202605号、
-米国特許出願第14/683,358号、発明の名称「SURGICAL GENERATOR SYSTEMS AND RELATED METHODS」、米国特許出願公開第2016/0296271号、
-米国特許出願第14/149,294号、発明の名称「HARVESTING ENERGY FROM A SURGICAL GENERATOR」、米国特許第9,795,436号、
-米国特許出願第15/265,293号、発明の名称「TECHNIQUES FOR CIRCUIT TOPOLOGIES FOR COMBINED GENERATOR」、米国特許出願公開第2017/0086910号、及び
-米国特許出願第15/265,279号、発明の名称「TECHNIQUES FOR OPERATING GENERATOR FOR DIGITALLY GENERATING ELECTRICAL SIGNAL WAVEFORMS AND SURGICAL INSTRUMENTS」、米国特許出願公開第2017/0086914号。
(1) 外科用器具であって、
複合切開器具ジョーであって、
第1のジョーであって、
近位部分と、
遠位部分と、
組織接触表面と、
金属コアと、
前記金属コア上の成形プラスチックの少なくとも1つの層であって、前記成形プラスチックの少なくとも1つの層が、パターンを画定し、前記パターンが、前記組織接触表面の少なくとも一部分を画定し、前記組織接触表面が、前記金属コアの少なくとも一部分を更に備える、成形プラスチックの少なくとも1つの層と、を備える、第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーのうちの少なくとも一方が、前記第1のジョー及び前記第2のジョーの前記他方に対して回転可能である、第2のジョーと、を備える、複合切開器具ジョーを備える、外科用器具。
(2) 前記パターンが、前記近位部分上の第1のパターンと、前記遠位部分上の第2のパターンと、を備える、実施態様1に記載の外科用器具。
(3) 前記第1のパターンが、前記第2のパターンとは異なる、実施態様2に記載の外科用器具。
(4) 前記第1のパターンが、前記成形プラスチックの少なくとも1つの層の第1の厚さを備え、前記第2のパターンが、前記成形プラスチックの少なくとも1つの層の第2の厚さを備え、前記第1の厚さが、前記第2の厚さとは異なる、実施態様2に記載の外科用器具。
(5) 前記第1の厚さが、前記第2の厚さよりも厚い、実施態様4に記載の外科用器具。
(7) 前記成形プラスチックの少なくとも1つの層が、第1の層と、第2の層と、を備える、実施態様2に記載の外科用器具。
(8) 前記第1の層が、前記第2の層とは異なる、実施態様7に記載の外科用器具。
(9) 前記第1の層が、第1の材料を含み、前記第2の層が、第2の材料を含み、前記第1の材料が、前記第2の材料とは異なる、実施態様7に記載の外科用器具。
(10) 前記第1の層が、前記金属コアと接触し、前記第2の層が、前記第1の層と接触する、実施態様7に記載の外科用器具。
(12) 前記第1の層が、第1の剛性を含み、前記第2の層が、第2の剛性を含み、前記第1の剛性が、前記第2の剛性とは異なる、実施態様7に記載の外科用器具。
(13) 前記第1の剛性が、前記第2の剛性よりも高い、実施態様12に記載の外科用器具。
(14) 前記第1の剛性が、前記第2の剛性よりも低い、実施態様12に記載の外科用器具。
(15) 前記第1のパターンが、複数の陥凹を備える、実施態様2に記載の外科用器具。
(17) 前記第1のパターンが、対称である、実施態様2に記載の外科用器具。
(18) 前記第1のパターンが、非対称である、実施態様2に記載の外科用器具。
(19) 前記金属コア上の前記成形プラスチックの少なくとも1つの層が、開口部を備え、前記金属コアが、前記開口部を介して組織に露出される、実施態様1に記載の外科用器具。
(20) 前記第1のジョー及び前記第2のジョーが、機械的に駆動されて開放して、小孔を作成する、実施態様19に記載の外科用器具。
第1のジョー部材であって、
近位端と、
遠位端と、
第1の組織接触表面と、
第2の組織接触表面と、
金属コアであって、前記第1のジョー部材の前記金属コアが、電気外科エネルギーを伝達するように構成されている、金属コアと、
前記第1のジョー部材の前記金属コアの少なくとも一部分の上に配置された非金属層と、を備える、第1のジョー部材と、
第2のジョー部材であって、
近位端と、
遠位端と、
第1の組織接触表面と、
第2の組織接触表面と、
金属コアであって、前記第2のジョー部材の前記金属コアが、電気外科エネルギーを伝達するように構成されている、金属コアと、
前記第2のジョー部材の前記金属コアの少なくとも一部分の上に配置された非金属層と、を備える、第2のジョー部材と、
ジョイントであって、前記第1のジョー部材及び前記第2のジョー部材が、前記ジョイントを中心に閉鎖位置と開放位置との間で回転可能である、ジョイントと、を備える、外科用切開器具。
(22) 前記第1及び前記第2のジョー部材が前記閉鎖位置にあるときに、前記第1のジョー部材の前記第1の組織接触表面が、前記第2のジョー部材の前記第1の組織接触表面に隣接して位置決めされている、実施態様21に記載の外科用切開器具。
(23) 前記第1のジョー部材の前記第1の組織接触表面が、第1のパターンを備え、前記第2のジョー部材の前記第1の組織接触表面が、第2のパターンを備え、前記第1のパターンが、前記第2のパターンとは異なる、実施態様22に記載の外科用切開器具。
(24) 前記第1のジョー部材の前記第1の組織接触表面が、第1のパターンを備え、前記第2のジョー部材の前記第1の組織接触表面が、第2のパターンを備え、前記第1のパターンが、前記第2のパターンと相補的である、実施態様22に記載の外科用切開器具。
(25) 前記第1のジョー部材の前記第1の組織接触表面が、第1のパターンを備え、前記第2のジョー部材の前記第1の組織接触表面が、第2のパターンを備え、前記第1のパターンが、複数の第1の歯を備え、前記第2のパターンが、複数の第2の歯を備える、実施態様22に記載の外科用切開器具。
(27) 前記第1のジョー部材の前記非金属層が、第1の非金属層と、第2の非金属層と、を備える、実施態様22に記載の外科用切開器具。
(28) 前記第1の非金属層が、前記第2の非金属層とは異なる、実施態様27に記載の外科用切開器具。
(29) 前記第1の非金属層が、第1の剛性を含み、前記第2の非金属層が、第2の剛性を含み、前記第1の剛性が、前記第2の剛性とは異なる、実施態様27に記載の外科用切開器具。
(30) 前記第1のジョー部材の前記第1の組織接触表面が、第1のパターンを備え、前記第1のジョー部材の前記第2の組織接触表面が、第2のパターンを備え、前記第1のパターンが、前記第2のパターンとは異なる、実施態様21に記載の外科用切開器具。
(32) 前記第1のパターンが、複数の歯を備え、前記第2のパターンが、複数の空洞を備える、実施態様30に記載の外科用切開器具。
(33) 前記第1のパターンが、複数の第1の空洞を備え、前記第2のパターンが、複数の第2の空洞を備える、実施態様30に記載の外科用切開器具。
(34) 前記複数の第1の空洞が、第1の深さを備え、前記複数の第2の空洞が、第2の深さを備え、前記第1の深さが、前記第2の深さとは異なる、実施態様33に記載の外科用切開器具。
(35) 外科用器具であって、
ジョーであって、
金属コアと、
外側スキンであって、前記外側スキンが、
前記金属コアを前記ジョーの外面に露出させる複数の第1の貫通孔であって、前記複数の第1の貫通孔が、第1の貫通孔サイズを備える、複数の第1の貫通孔と、
前記金属コアを前記ジョーの前記外面に露出させる複数の第2の貫通孔であって、前記複数の第2の貫通孔が、第2の貫通孔サイズを備える、複数の第2の貫通孔と、を備え、前記第1の貫通孔サイズが、前記第2の貫通孔サイズとは異なる、外側スキンと、を備える、ジョーを備える、外科用器具。
第1の領域であって、前記複数の第1の貫通孔が、前記第1の領域内に位置決めされている、第1の領域と、
第2の領域であって、前記複数の第2の貫通孔が、前記第2の領域内に位置決めされている、第2の領域と、を更に備え、前記第1の領域が、前記第2の領域とは異なる、実施態様35に記載の外科用器具。
(37) 前記ジョーが、先端領域を備え、前記第1の貫通孔サイズが、前記第2の貫通孔サイズよりも小さく、前記複数の第1の貫通孔が、前記先端領域内に位置決めされている、実施態様35に記載の外科用器具。
(38) 前記ジョーが、先端領域を備え、前記第1の貫通孔サイズが、前記第2の貫通孔サイズよりも大きく、前記複数の第1の貫通孔が、前記先端領域内に位置決めされている、実施態様35に記載の外科用器具。
(39) 前記複数の第1の貫通孔及び前記複数の第2の貫通孔が、前記外側スキンに沿って混在する、実施態様35に記載の外科用器具。
(40) 前記複数の第1の貫通孔が、円形であり、前記複数の第2の貫通孔が、円形である、実施態様35に記載の外科用器具。
(42) 前記複数の第1の貫通孔が、非円形であり、前記複数の第2の貫通孔が、非円形である、実施態様35に記載の外科用器具。
(43) 前記外側スキンが、絶縁プラスチックを含む、実施態様35に記載の外科用器具。
(44) 前記外側スキンが、半導電性プラスチックを含む、実施態様35に記載の外科用器具。
(45) 前記外側スキンが、半導電性である、実施態様35に記載の外科用器具。
(47) 外科用切開器具であって、
第1のジョー部材であって、
第1の組織接触表面であって、
第1の導電性部分と、
第1の電気絶縁性部分と、を備える、第1の組織接触表面を備える、第1のジョー部材と、
第2のジョー部材であって、
第2の組織接触表面であって、
第2の導電性部分と、
第2の電気絶縁性部分と、を備える、第2の組織接触表面を備える、第2のジョー部材と、
ピボットであって、前記第1のジョー部材及び前記第2のジョー部材が、前記ピボットを中心に回転可能である、ピボットと、
組織を分離するための手段であって、
前記第1のジョー部材及び前記第2のジョー部材のうちの少なくとも1つの回転を通して、機械力を患者の組織に印加するための手段と、
前記第1の導電性部分及び前記第2の導電性部分のうちの少なくとも1つを通して、電気外科力を前記組織に印加するための手段と、を備える、組織を分離するための手段と、を備える、外科用切開器具。
(48) 前記組織を分離するための手段が、前記組織を分離するために必要とされる分離圧力よりも少ない量の前記機械力を印加することと、前記機械力を補う電気外科力を印加して前記組織を分離することと、を含む、実施態様47に記載の外科用切開器具。
Claims (19)
- 外科用器具であって、
複合切開器具ジョーであって、
第1のジョーであって、
近位部分と、
遠位部分と、
組織把持面の反対側表面である組織接触表面と、
金属コアと、
前記金属コア上の成形プラスチックの少なくとも1つの層であって、前記成形プラスチックの少なくとも1つの層が、パターンを画定し、前記パターンが、前記組織接触表面の少なくとも一部分を画定し、前記組織接触表面が、前記金属コアの少なくとも一部分を更に備える、成形プラスチックの少なくとも1つの層と、を備える、第1のジョーと、
第2のジョーであって、前記第1のジョー及び前記第2のジョーのうちの少なくとも一方が、前記第1のジョー及び前記第2のジョーの他方に対して回転可能である、第2のジョーと、を備える、複合切開器具ジョーを備え、
前記金属コア上の前記成形プラスチックの少なくとも1つの層が、前記組織接触表面に開口部を備え、前記金属コアが、前記開口部を介して組織に露出され、
前記開口部から露出した前記金属コアが、電気外科エネルギーを伝達するように構成されている外科用器具。 - 前記パターンが、前記近位部分上の第1のパターンと、前記遠位部分上の第2のパターンと、を備える、請求項1に記載の外科用器具。
- 前記第1のパターンが、前記第2のパターンとは異なる、請求項2に記載の外科用器具。
- 前記第1のパターンが、前記成形プラスチックの少なくとも1つの層の第1の厚さを備え、前記第2のパターンが、前記成形プラスチックの少なくとも1つの層の第2の厚さを備え、前記第1の厚さが、前記第2の厚さとは異なる、請求項2に記載の外科用器具。
- 前記第1の厚さが、前記第2の厚さよりも厚い、請求項4に記載の外科用器具。
- 前記第1の厚さが、前記第2の厚さよりも薄い、請求項4に記載の外科用器具。
- 前記成形プラスチックの少なくとも1つの層が、第1の層と、第2の層と、を備える、請求項2に記載の外科用器具。
- 前記第1の層が、前記第2の層とは異なる、請求項7に記載の外科用器具。
- 前記第1の層が、第1の材料を含み、前記第2の層が、第2の材料を含み、前記第1の材料が、前記第2の材料とは異なる、請求項7に記載の外科用器具。
- 前記第1の層が、前記金属コアと接触し、前記第2の層が、前記第1の層と接触する、請求項7に記載の外科用器具。
- 前記第1の層が、前記近位部分上に位置決めされ、前記第2の層が、前記遠位部分上に位置決めされている、請求項7に記載の外科用器具。
- 前記第1の層が、第1の剛性を含み、前記第2の層が、第2の剛性を含み、前記第1の剛性が、前記第2の剛性とは異なる、請求項7に記載の外科用器具。
- 前記第1の剛性が、前記第2の剛性よりも高い、請求項12に記載の外科用器具。
- 前記第1の剛性が、前記第2の剛性よりも低い、請求項12に記載の外科用器具。
- 前記第1のパターンが、複数の陥凹を備える、請求項2に記載の外科用器具。
- 前記第1のパターンが、対称である、請求項2に記載の外科用器具。
- 前記第1のパターンが、非対称である、請求項2に記載の外科用器具。
- 前記第1のジョー及び前記第2のジョーが、機械的に駆動されて開放して、小孔を作成する、請求項1に記載の外科用器具。
- 前記成形プラスチックの少なくとも1つの層が、
前記金属コアを前記第1のジョーの外面に露出させる複数の第1の貫通孔であって、前記複数の第1の貫通孔が、第1の貫通孔サイズを備える、複数の第1の貫通孔と、
前記金属コアを前記第1のジョーの前記外面に露出させる複数の第2の貫通孔であって、前記複数の第2の貫通孔が、第2の貫通孔サイズを備える、複数の第2の貫通孔と、を備え、前記第1の貫通孔サイズが、前記第2の貫通孔サイズとは異なる、請求項1に記載の外科用器具。
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US16/112,098 US11696778B2 (en) | 2017-10-30 | 2018-08-24 | Surgical dissectors configured to apply mechanical and electrical energy |
US16/112,098 | 2018-08-24 | ||
PCT/US2018/057270 WO2019089315A1 (en) | 2017-10-30 | 2018-10-24 | Surgical dissectors configured to apply mechanical and electrical energy |
Publications (2)
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Application Number | Title | Priority Date | Filing Date |
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JP2020524033A Active JP7317819B2 (ja) | 2017-10-30 | 2018-10-24 | ロック可能なエンドエフェクタソケットを備える外科用器具 |
JP2020524094A Active JP7326265B2 (ja) | 2017-10-30 | 2018-10-24 | 外科用切開器具及び製造技術 |
JP2020524181A Active JP7322014B2 (ja) | 2017-10-30 | 2018-10-24 | 適応発射制御部を備える外科用クリップアプライヤ |
JP2020524024A Active JP7289834B2 (ja) | 2017-10-30 | 2018-10-24 | モジュール式外科用器具の制御システム構成 |
JP2020524054A Active JP7282764B2 (ja) | 2017-10-30 | 2018-10-24 | 自動クリップ供給システムを備える外科用クリップアプライヤ |
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JP2020524090A Pending JP2021500996A (ja) | 2017-10-30 | 2018-10-24 | シフト機構を備える外科用器具 |
JP2020524109A Active JP7330959B2 (ja) | 2017-10-30 | 2018-10-24 | ハンドル構成を備える外科用器具システム |
JP2020524133A Active JP7326266B2 (ja) | 2017-10-30 | 2018-10-24 | 電池構成を備える外科用器具システム |
JP2020524118A Active JP7225228B2 (ja) | 2017-10-30 | 2018-10-24 | 機械的力に基づいた電力出力制御 |
JP2020523992A Pending JP2021500970A (ja) | 2017-10-30 | 2018-10-24 | ロックアウト機構を備える外科用器具システム |
JP2020524092A Active JP7286638B2 (ja) | 2017-10-30 | 2018-10-24 | 外科用システムの反応アルゴリズム |
JP2020524173A Active JP7242665B2 (ja) | 2017-10-30 | 2018-10-24 | 適応電気システムを備える外科用器具 |
JP2020524037A Active JP7301827B2 (ja) | 2017-10-30 | 2018-10-24 | 空のクリップカートリッジロックアウトを備える外科用クリップアプライヤ |
JP2020524123A Active JP7279035B2 (ja) | 2017-10-30 | 2018-10-24 | 高い関節接合角度を提供する関節運動駆動装置を備える外科用器具 |
JP2020524218A Active JP7334151B2 (ja) | 2017-10-30 | 2018-10-24 | 歪みゲージ回路に応答する適応制御部を備える外科用クリップアプライヤ |
JP2020524053A Active JP7322012B2 (ja) | 2017-10-30 | 2018-10-24 | 格納状態でクリップを格納するように構成されている外科用クリップアプライヤ |
JP2020524027A Active JP7279034B2 (ja) | 2017-10-30 | 2018-10-24 | 関節運動及び回転を補償するためのシステムを備える外科用器具 |
JP2020524237A Pending JP2021501023A (ja) | 2017-10-30 | 2018-10-24 | 機械力及び電力を使用して組織を操作するように構成された外科用縫合器具 |
JP2020524117A Active JP7423516B2 (ja) | 2017-10-30 | 2018-10-24 | 機械及び電動エネルギーを印加するように構成された外科用切開器具 |
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JP2023062695A Active JP7508637B2 (ja) | 2017-10-30 | 2023-04-07 | 電池構成を備える外科用器具システム |
JP2023062679A Active JP7508636B2 (ja) | 2017-10-30 | 2023-04-07 | 電池構成を備える外科用器具システム |
JP2023065545A Active JP7500815B2 (ja) | 2017-10-30 | 2023-04-13 | ロックアウト機構を備える外科用器具システム |
JP2023072187A Active JP7490855B2 (ja) | 2017-10-30 | 2023-04-26 | シフト機構を備える外科用器具 |
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JP2020524094A Active JP7326265B2 (ja) | 2017-10-30 | 2018-10-24 | 外科用切開器具及び製造技術 |
JP2020524181A Active JP7322014B2 (ja) | 2017-10-30 | 2018-10-24 | 適応発射制御部を備える外科用クリップアプライヤ |
JP2020524024A Active JP7289834B2 (ja) | 2017-10-30 | 2018-10-24 | モジュール式外科用器具の制御システム構成 |
JP2020524054A Active JP7282764B2 (ja) | 2017-10-30 | 2018-10-24 | 自動クリップ供給システムを備える外科用クリップアプライヤ |
JP2020524121A Active JP7354102B2 (ja) | 2017-10-30 | 2018-10-24 | 付勢されたシフト機構を備える外科用器具 |
JP2020524090A Pending JP2021500996A (ja) | 2017-10-30 | 2018-10-24 | シフト機構を備える外科用器具 |
JP2020524109A Active JP7330959B2 (ja) | 2017-10-30 | 2018-10-24 | ハンドル構成を備える外科用器具システム |
JP2020524133A Active JP7326266B2 (ja) | 2017-10-30 | 2018-10-24 | 電池構成を備える外科用器具システム |
JP2020524118A Active JP7225228B2 (ja) | 2017-10-30 | 2018-10-24 | 機械的力に基づいた電力出力制御 |
JP2020523992A Pending JP2021500970A (ja) | 2017-10-30 | 2018-10-24 | ロックアウト機構を備える外科用器具システム |
JP2020524092A Active JP7286638B2 (ja) | 2017-10-30 | 2018-10-24 | 外科用システムの反応アルゴリズム |
JP2020524173A Active JP7242665B2 (ja) | 2017-10-30 | 2018-10-24 | 適応電気システムを備える外科用器具 |
JP2020524037A Active JP7301827B2 (ja) | 2017-10-30 | 2018-10-24 | 空のクリップカートリッジロックアウトを備える外科用クリップアプライヤ |
JP2020524123A Active JP7279035B2 (ja) | 2017-10-30 | 2018-10-24 | 高い関節接合角度を提供する関節運動駆動装置を備える外科用器具 |
JP2020524218A Active JP7334151B2 (ja) | 2017-10-30 | 2018-10-24 | 歪みゲージ回路に応答する適応制御部を備える外科用クリップアプライヤ |
JP2020524053A Active JP7322012B2 (ja) | 2017-10-30 | 2018-10-24 | 格納状態でクリップを格納するように構成されている外科用クリップアプライヤ |
JP2020524027A Active JP7279034B2 (ja) | 2017-10-30 | 2018-10-24 | 関節運動及び回転を補償するためのシステムを備える外科用器具 |
JP2020524237A Pending JP2021501023A (ja) | 2017-10-30 | 2018-10-24 | 機械力及び電力を使用して組織を操作するように構成された外科用縫合器具 |
Family Applications After (5)
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JP2023062695A Active JP7508637B2 (ja) | 2017-10-30 | 2023-04-07 | 電池構成を備える外科用器具システム |
JP2023062679A Active JP7508636B2 (ja) | 2017-10-30 | 2023-04-07 | 電池構成を備える外科用器具システム |
JP2023065545A Active JP7500815B2 (ja) | 2017-10-30 | 2023-04-13 | ロックアウト機構を備える外科用器具システム |
JP2023072187A Active JP7490855B2 (ja) | 2017-10-30 | 2023-04-26 | シフト機構を備える外科用器具 |
Country Status (4)
Country | Link |
---|---|
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Families Citing this family (22)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP7130748B2 (ja) | 2017-11-28 | 2022-09-05 | セント・ジュード・メディカル,カーディオロジー・ディヴィジョン,インコーポレイテッド | ルーメン管理カテーテル |
WO2020039392A2 (en) | 2018-08-23 | 2020-02-27 | St. Jude Medical, Cardiology Division, Inc. | Curved high density electrode mapping catheter |
US12082936B2 (en) | 2018-09-27 | 2024-09-10 | St. Jude Medical, Cardiology Division, Inc. | Uniform mapping balloon |
US11918762B2 (en) | 2018-10-03 | 2024-03-05 | St. Jude Medical, Cardiology Division, Inc. | Reduced actuation force electrophysiology catheter handle |
CN112690861B (zh) * | 2019-10-23 | 2023-01-20 | 苏州英途康医疗科技有限公司 | 医疗器械、工作头及送夹位置识别方法 |
CN111616777B (zh) * | 2020-05-28 | 2021-04-13 | 胡均 | 一种微创手术刀系统 |
US20220047339A1 (en) * | 2020-08-13 | 2022-02-17 | Covidien Lp | Endoluminal robotic (elr) systems and methods |
US12064121B2 (en) * | 2020-11-20 | 2024-08-20 | Covidien Lp | Surgical clip packs coupleable to surgical access devices |
US20220192733A1 (en) * | 2020-12-10 | 2022-06-23 | Atricure, Inc. | Minimally invasive surgery ablation clamp with cam mechanism |
CN112472153B (zh) * | 2020-12-14 | 2024-05-07 | 浙江工业大学 | 一种多角度调节的一次性活体取样钳 |
US20230046473A1 (en) * | 2021-08-16 | 2023-02-16 | Covidien Lp | End effector drive mechanisms for surgical instruments such as for use in robotic surgical systems |
CN114129233A (zh) * | 2021-11-16 | 2022-03-04 | 浙江申达斯奥医疗器械有限公司 | 一种随机无死角找准腹腔镜手术器具 |
TWI812033B (zh) * | 2022-01-06 | 2023-08-11 | 臺北醫學大學 | 內視鏡縫合裝置及其工作方法 |
US20230346378A1 (en) * | 2022-05-02 | 2023-11-02 | Covidien Lp | Surgical robotic systems and reloading modules thereof |
WO2023223254A1 (en) * | 2022-05-18 | 2023-11-23 | Covidien Lp | Surgical system including a cordless surgical instrument, communication hub, and one or more connected devices |
WO2024073792A1 (en) * | 2022-10-05 | 2024-04-11 | VALD Pty Ltd | Multi-use dynamometer |
CN115337066B (zh) * | 2022-10-18 | 2023-01-10 | 苏州英途康医疗科技有限公司 | 施夹机构及其施夹装置 |
CN115644975B (zh) * | 2022-11-21 | 2023-03-10 | 苏州英途康医疗科技有限公司 | 一种可自锁的施夹器 |
WO2024194721A1 (en) * | 2023-03-17 | 2024-09-26 | Covidien Lp | Surgical robotic system and method for detecting detachment of instruments |
CN116821745B (zh) * | 2023-04-10 | 2024-04-09 | 浙江万能弹簧机械有限公司 | 智能线切割慢走丝设备的控制方法及其系统 |
CN116613560B (zh) * | 2023-07-14 | 2023-09-15 | 湖南省华芯医疗器械有限公司 | 一种电性连接组件和内窥镜 |
TWI847917B (zh) * | 2023-11-17 | 2024-07-01 | 財團法人金屬工業研究發展中心 | 手術縫合感測裝置、系統及方法 |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2016123179A1 (en) | 2015-01-28 | 2016-08-04 | Ethicon Endo-Surgery, Llc | High temperature material for use in medical devices |
WO2017035475A1 (en) | 2015-08-26 | 2017-03-02 | Ethicon Endo-Surgery, Llc | Dissecting surgical jaws |
WO2017100589A1 (en) | 2015-12-11 | 2017-06-15 | Ethicon Endo-Surgery, Llc | Systems, devices, and methods for coupling end effectors to surgical devices and loading devices |
Family Cites Families (242)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1392408A (en) | 1919-09-22 | 1921-10-04 | Remington Typewriter Co | Typewriting-machine |
US1392404A (en) | 1921-02-15 | 1921-10-04 | Lagar R Culver | Keyhole-guard |
US3082426A (en) * | 1960-06-17 | 1963-03-26 | George Oliver Halsted | Surgical stapling device |
US4412539A (en) * | 1976-10-08 | 1983-11-01 | United States Surgical Corporation | Repeating hemostatic clip applying instruments and multi-clip cartridges therefor |
CA1124605A (en) * | 1977-08-05 | 1982-06-01 | Charles H. Klieman | Surgical stapler |
JPS59107888A (ja) * | 1982-12-11 | 1984-06-22 | メドマン株式会社 | センサ付把持装置 |
JP2604833B2 (ja) * | 1987-10-26 | 1997-04-30 | ピリング・ウェック・インコーポレイテッド | プラスチック結紮クリップ |
DE4017626A1 (de) * | 1989-05-31 | 1990-12-06 | Kyocera Corp | Blutgefaesskoagulations-/-blutstillungs-einrichtung |
US5658307A (en) * | 1990-11-07 | 1997-08-19 | Exconde; Primo D. | Method of using a surgical dissector instrument |
US5396900A (en) * | 1991-04-04 | 1995-03-14 | Symbiosis Corporation | Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery |
RU2020860C1 (ru) * | 1991-04-11 | 1994-10-15 | Линник Леонид Феодосьевич | Векорасширитель |
US5383880A (en) * | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5906625A (en) * | 1992-06-04 | 1999-05-25 | Olympus Optical Co., Ltd. | Tissue-fixing surgical instrument, tissue-fixing device, and method of fixing tissue |
US5417699A (en) * | 1992-12-10 | 1995-05-23 | Perclose Incorporated | Device and method for the percutaneous suturing of a vascular puncture site |
US6030162A (en) * | 1998-12-18 | 2000-02-29 | Acumed, Inc. | Axial tension screw |
JPH06343639A (ja) * | 1993-06-08 | 1994-12-20 | Olympus Optical Co Ltd | 外科的処置具 |
US5439468A (en) * | 1993-05-07 | 1995-08-08 | Ethicon Endo-Surgery | Surgical clip applier |
US5619881A (en) * | 1993-07-16 | 1997-04-15 | Ohyodo Diesel Co., Ltd. | Double-scissors cutter |
US5607436A (en) * | 1993-10-08 | 1997-03-04 | United States Surgical Corporation | Apparatus for applying surgical clips |
US5456685A (en) * | 1994-02-14 | 1995-10-10 | Smith & Nephew Dyonics, Inc. | Interference screw having a tapered back root |
DE4434864C2 (de) * | 1994-09-29 | 1997-06-19 | United States Surgical Corp | Chirurgischer Klammerapplikator mit auswechselbarem Klammermagazin |
US6179837B1 (en) * | 1995-03-07 | 2001-01-30 | Enable Medical Corporation | Bipolar electrosurgical scissors |
US5695505A (en) * | 1995-03-09 | 1997-12-09 | Yoon; Inbae | Multifunctional spring clips and cartridges and applicators therefor |
DE69733648T2 (de) * | 1996-04-18 | 2006-05-04 | Applied Medical Resources Corp., Rancho Santa Margarita | Verfahren zum anbringen von verformbaren klemmen |
US5947996A (en) * | 1997-06-23 | 1999-09-07 | Medicor Corporation | Yoke for surgical instrument |
US6273887B1 (en) * | 1998-01-23 | 2001-08-14 | Olympus Optical Co., Ltd. | High-frequency treatment tool |
JPH11245191A (ja) * | 1998-02-27 | 1999-09-14 | Nachi Fujikoshi Corp | 産業用ロボットの駆動軸制御方法及びその装置 |
US6059799A (en) * | 1998-06-25 | 2000-05-09 | United States Surgical Corporation | Apparatus for applying surgical clips |
JP2000058355A (ja) * | 1998-08-17 | 2000-02-25 | Ooita Ken | 回転体への電力供給用変圧器 |
EP1123051A4 (en) * | 1998-10-23 | 2003-01-02 | Applied Med Resources | SURGICAL PLIERS WITH INSERTS AND METHOD FOR USE |
DE19935904C1 (de) * | 1999-07-30 | 2001-07-12 | Karlsruhe Forschzent | Applikatorspitze eines chirurgischen Applikators zum Setzen von Clips/Klammern für die Verbindung von Gewebe |
US6406485B1 (en) * | 1999-10-08 | 2002-06-18 | Pilling Weck Incorporated | Surgical grasping device and components thereof |
JP3459973B2 (ja) * | 1999-10-22 | 2003-10-27 | 川崎重工業株式会社 | 駆動制御方法および駆動制御装置 |
DE10007919C2 (de) * | 2000-02-21 | 2003-07-17 | Wolf Gmbh Richard | Zange zum Freipräparieren von Gewebe in einer Körperhöhle |
US6953461B2 (en) * | 2002-05-16 | 2005-10-11 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
US20090292282A9 (en) * | 2001-04-06 | 2009-11-26 | Dycus Sean T | Movable handle for vessel sealer |
US7101371B2 (en) * | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
US7090673B2 (en) * | 2001-04-06 | 2006-08-15 | Sherwood Services Ag | Vessel sealer and divider |
EP2314233B1 (en) | 2001-08-08 | 2013-06-12 | Stryker Corporation | A surgical tool system with an intermediate attachment located between the handpiece and an accessory or an implant, the attachment able to transmit energy from the handpiece to the accessory or the implant and the transmission of data signals from the accessory or implant to the handpiece |
US7104949B2 (en) * | 2001-08-31 | 2006-09-12 | Ams Research Corporation | Surgical articles for placing an implant about a tubular tissue structure and methods |
US6869435B2 (en) * | 2002-01-17 | 2005-03-22 | Blake, Iii John W | Repeating multi-clip applier |
ES2278167T3 (es) * | 2002-06-14 | 2007-08-01 | Power Medical Interventions, Inc. | Dispositivo para pinzar, cortar y grapar tejido. |
US7081096B2 (en) * | 2003-01-24 | 2006-07-25 | Medtronic Vascular, Inc. | Temperature mapping balloon |
US7182775B2 (en) * | 2003-02-27 | 2007-02-27 | Microline Pentax, Inc. | Super atraumatic grasper apparatus |
US10041822B2 (en) * | 2007-10-05 | 2018-08-07 | Covidien Lp | Methods to shorten calibration times for powered devices |
US7367976B2 (en) * | 2003-11-17 | 2008-05-06 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
JP2005160236A (ja) * | 2003-11-27 | 2005-06-16 | Alpine Electronics Inc | ステッピングモータ制御装置 |
BRPI0507008A (pt) * | 2004-01-23 | 2007-10-30 | Ams Res Corp | instrumento cirúrgico, métodos de realizar uma histerotomia e de seccionar tecido, e, kit |
JP2005230333A (ja) * | 2004-02-20 | 2005-09-02 | Olympus Corp | 内視鏡用処置具 |
US7379790B2 (en) * | 2004-05-04 | 2008-05-27 | Intuitive Surgical, Inc. | Tool memory-based software upgrades for robotic surgery |
AU2005267378A1 (en) * | 2004-06-24 | 2006-02-02 | Suture Robotics, Inc. | Semi-robotic suturing device |
US7879070B2 (en) | 2004-07-28 | 2011-02-01 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for grasper |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US7914551B2 (en) * | 2004-07-28 | 2011-03-29 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for multi-fire surgical fastening instrument |
US8123764B2 (en) | 2004-09-20 | 2012-02-28 | Endoevolution, Llc | Apparatus and method for minimally invasive suturing |
US7371227B2 (en) | 2004-12-17 | 2008-05-13 | Ethicon Endo-Surgery, Inc. | Trocar seal assembly |
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 |
US8038686B2 (en) | 2005-04-14 | 2011-10-18 | Ethicon Endo-Surgery, Inc. | Clip applier configured to prevent clip fallout |
US7297149B2 (en) | 2005-04-14 | 2007-11-20 | Ethicon Endo-Surgery, Inc. | Surgical clip applier methods |
US7699860B2 (en) | 2005-04-14 | 2010-04-20 | Ethicon Endo-Surgery, Inc. | Surgical clip |
US7976553B2 (en) * | 2005-06-13 | 2011-07-12 | Ethicon Endo-Surgery, Inc. | Surgical suturing apparatus with detachable handle |
US20070191868A1 (en) | 2005-08-25 | 2007-08-16 | Microline Pentax Inc. | Indicating system for clip applying device |
KR20070024128A (ko) * | 2005-08-26 | 2007-03-02 | 삼성전자주식회사 | 전자제품 및 그 대체모듈 이용방법 |
US7451904B2 (en) * | 2005-09-26 | 2008-11-18 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having end effector gripping surfaces |
DE102005051367A1 (de) * | 2005-10-25 | 2007-04-26 | Olympus Winter & Ibe Gmbh | Chirurgisches Maulinstrument |
EP1981406B1 (en) * | 2006-01-27 | 2016-04-13 | Suturtek Incorporated | Apparatus for tissue closure |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US8820603B2 (en) * | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7575144B2 (en) * | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US10028789B2 (en) * | 2006-05-19 | 2018-07-24 | Mako Surgical Corp. | Method and apparatus for controlling a haptic device |
JP2009537228A (ja) | 2006-05-19 | 2009-10-29 | マコ サージカル コーポレーション | 触覚デバイスを制御するための方法および装置 |
CA3068216C (en) * | 2006-06-22 | 2023-03-07 | Board Of Regents Of The University Of Nebraska | Magnetically coupleable robotic devices and related methods |
JP5085996B2 (ja) | 2006-10-25 | 2012-11-28 | テルモ株式会社 | マニピュレータシステム |
WO2008069816A1 (en) * | 2006-12-06 | 2008-06-12 | Ryan Timothy J | Apparatus and methods for delivering sutures |
US8062306B2 (en) * | 2006-12-14 | 2011-11-22 | Ethicon Endo-Surgery, Inc. | Manually articulating devices |
US20080255413A1 (en) * | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US7753245B2 (en) * | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US9861354B2 (en) * | 2011-05-06 | 2018-01-09 | Ceterix Orthopaedics, Inc. | Meniscus repair |
US8262655B2 (en) * | 2007-11-21 | 2012-09-11 | Ethicon Endo-Surgery, Inc. | Bipolar forceps |
US10498269B2 (en) * | 2007-10-05 | 2019-12-03 | Covidien Lp | Powered surgical stapling device |
US10779818B2 (en) * | 2007-10-05 | 2020-09-22 | Covidien Lp | Powered surgical stapling device |
US8252021B2 (en) * | 2007-11-16 | 2012-08-28 | Microline Surgical, Inc. | Fenestrated super atraumatic grasper apparatus |
US8740840B2 (en) * | 2008-01-16 | 2014-06-03 | Catheter Robotics Inc. | Remotely controlled catheter insertion system |
US8752749B2 (en) * | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8070759B2 (en) * | 2008-05-30 | 2011-12-06 | Ethicon Endo-Surgery, Inc. | Surgical fastening device |
US8628545B2 (en) | 2008-06-13 | 2014-01-14 | Covidien Lp | Endoscopic stitching devices |
KR101240530B1 (ko) * | 2008-07-31 | 2013-03-08 | 삼성전자주식회사 | Crum 유닛, 이를 탑재한 교체가능유닛 및화상형성장치와, 그 유닛 구동 방법 |
GB0815515D0 (en) * | 2008-08-26 | 2008-10-01 | Gyrus Medical Ltd | Electrosurgical instrument and system |
US9545216B2 (en) * | 2011-08-05 | 2017-01-17 | Mc10, Inc. | Catheter balloon methods and apparatus employing sensing elements |
US20100198248A1 (en) | 2009-02-02 | 2010-08-05 | Ethicon Endo-Surgery, Inc. | Surgical dissector |
FR2948594B1 (fr) * | 2009-07-31 | 2012-07-20 | Dexterite Surgical | Manipulateur ergonomique et semi-automatique et applications aux instruments pour chirurgie mini-invasive |
US8968358B2 (en) * | 2009-08-05 | 2015-03-03 | Covidien Lp | Blunt tissue dissection surgical instrument jaw designs |
JP5441588B2 (ja) | 2009-09-28 | 2014-03-12 | 株式会社プレックス | 布片折畳み装置 |
US9060776B2 (en) | 2009-10-09 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US8398633B2 (en) * | 2009-10-30 | 2013-03-19 | Covidien Lp | Jaw roll joint |
EP4059460A1 (en) | 2009-11-13 | 2022-09-21 | Intuitive Surgical Operations, Inc. | Surgical tool with a compact wrist |
JP2013518681A (ja) * | 2010-02-04 | 2013-05-23 | アエスクラップ アーゲー | 腹腔鏡高周波手術装置 |
US20110224700A1 (en) * | 2010-03-09 | 2011-09-15 | Teleflex Medical Incorporated | Narrow Profile Surgical Ligation Clip |
US8597295B2 (en) | 2010-04-12 | 2013-12-03 | Covidien Lp | Surgical instrument with non-contact electrical coupling |
AU2015201140B2 (en) * | 2010-06-11 | 2017-02-09 | Ethicon, Llc | Suture delivery tools for endoscopic and robot-assisted surgery and methods |
US20120130217A1 (en) * | 2010-11-23 | 2012-05-24 | Kauphusman James V | Medical devices having electrodes mounted thereon and methods of manufacturing therefor |
US8512336B2 (en) | 2010-07-08 | 2013-08-20 | Covidien Lp | Optimal geometries for creating current densities in a bipolar electrode configuration |
US8968337B2 (en) * | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US8632525B2 (en) | 2010-09-17 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Power control arrangements for surgical instruments and batteries |
US9289212B2 (en) | 2010-09-17 | 2016-03-22 | Ethicon Endo-Surgery, Inc. | Surgical instruments and batteries for surgical instruments |
US9055941B2 (en) * | 2011-09-23 | 2015-06-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck |
RU2599210C2 (ru) * | 2010-09-30 | 2016-10-10 | Этикон Эндо-Серджери, Инк. | Хирургические рассекающие и сшивающие инструменты с отдельными и раздельными системами наложения крепежных элементов и рассечения ткани |
JP6143362B2 (ja) * | 2010-10-01 | 2017-06-07 | アプライド メディカル リソーシーズ コーポレイション | ジョー及び/又は電極、及び電気手術用増幅器を持つ電気手術器具 |
AU2011316696B2 (en) * | 2010-10-11 | 2015-07-02 | Cook Medical Technologies Llc | Medical devices with detachable pivotable jaws |
US9161803B2 (en) * | 2010-11-05 | 2015-10-20 | Ethicon Endo-Surgery, Inc. | Motor driven electrosurgical device with mechanical and electrical feedback |
JP6063387B2 (ja) | 2010-11-15 | 2017-01-18 | 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 | 手術器具における器具シャフトのロールとエンドエフェクタの作動の切り離し |
WO2012112249A1 (en) * | 2011-02-15 | 2012-08-23 | Intuitive Surgical Operations, Inc. | Systems for detecting clamping or firing failure |
US20120211542A1 (en) * | 2011-02-23 | 2012-08-23 | Tyco Healthcare Group I.P | Controlled tissue compression systems and methods |
US9775623B2 (en) * | 2011-04-29 | 2017-10-03 | Covidien Lp | Surgical clip applier including clip relief feature |
JP2012248031A (ja) * | 2011-05-27 | 2012-12-13 | Fujifilm Corp | 電子機器、内視鏡装置及び電子機器のプログラムモジュール更新方法 |
US9358065B2 (en) * | 2011-06-23 | 2016-06-07 | Covidien Lp | Shaped electrode bipolar resection apparatus, system and methods of use |
EP3714821A1 (en) * | 2011-06-10 | 2020-09-30 | Board of Regents of the University of Nebraska | Surgical end effector |
DE102011079494A1 (de) * | 2011-07-20 | 2013-01-24 | Celon Ag Medical Instruments | Elektrochirurgisches Greifinstrument |
US8685056B2 (en) * | 2011-08-18 | 2014-04-01 | Covidien Lp | Surgical forceps |
CN103930054A (zh) * | 2011-09-15 | 2014-07-16 | 泰利福医疗公司 | 手动外科结扎夹钳施用器 |
US9050084B2 (en) * | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US9364231B2 (en) * | 2011-10-27 | 2016-06-14 | Covidien Lp | System and method of using simulation reload to optimize staple formation |
US8968309B2 (en) * | 2011-11-10 | 2015-03-03 | Covidien Lp | Surgical forceps |
US8962062B2 (en) * | 2012-01-10 | 2015-02-24 | Covidien Lp | Methods of manufacturing end effectors for energy-based surgical instruments |
JP5883117B2 (ja) * | 2012-02-28 | 2016-03-09 | 大平 猛 | 最低侵襲外科手術システム |
US9144456B2 (en) * | 2012-04-09 | 2015-09-29 | Intuitive Surgical Operations, Inc. | Surgical instrument control |
JP5940864B2 (ja) * | 2012-04-12 | 2016-06-29 | カール シュトルツ ゲゼルシャフト ミット ベシュレンクテル ハフツング ウント コンパニー コマンディートゲゼルシャフト | 医療用マニピュレータ |
TW201347723A (zh) * | 2012-05-30 | 2013-12-01 | Univ Nat Central | 可替換式微型手術器械 |
AU2013203675B2 (en) * | 2012-05-31 | 2014-11-27 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US20140107697A1 (en) * | 2012-06-25 | 2014-04-17 | Castle Surgical, Inc. | Clamping Forceps and Associated Methods |
US9282974B2 (en) * | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
CN104487005B (zh) * | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
US9119657B2 (en) * | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9561038B2 (en) * | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9028494B2 (en) * | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US9226767B2 (en) * | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US9101374B1 (en) * | 2012-08-07 | 2015-08-11 | David Harris Hoch | Method for guiding an ablation catheter based on real time intracardiac electrical signals and apparatus for performing the method |
US9198835B2 (en) * | 2012-09-07 | 2015-12-01 | Covidien Lp | Catheter with imaging assembly with placement aid and related methods therefor |
US9131957B2 (en) | 2012-09-12 | 2015-09-15 | Gyrus Acmi, Inc. | Automatic tool marking |
US20140088637A1 (en) * | 2012-09-26 | 2014-03-27 | Ethicon Endo-Surgery, Inc. | Magnetic Collet for Attaching End Effector |
BR122020022677B1 (pt) * | 2012-09-26 | 2023-01-10 | Aesculap Ag | Dispositivo eletro cirúrgico para corte e selagem de tecidos |
US9107573B2 (en) * | 2012-10-17 | 2015-08-18 | Karl Storz Endovision, Inc. | Detachable shaft flexible endoscope |
US9421014B2 (en) * | 2012-10-18 | 2016-08-23 | Covidien Lp | Loading unit velocity and position feedback |
US9918788B2 (en) * | 2012-10-31 | 2018-03-20 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Electrogram-based ablation control |
US9173655B2 (en) | 2012-12-13 | 2015-11-03 | Ethicon Endo-Surgery, Inc. | Needle driver and pawl mechanism for circular needle applier |
US10722222B2 (en) | 2012-12-14 | 2020-07-28 | Covidien Lp | Surgical system including a plurality of handle assemblies |
GB2509523A (en) * | 2013-01-07 | 2014-07-09 | Anish Kumar Mampetta | Surgical instrument with flexible members and a motor |
US10265090B2 (en) * | 2013-01-16 | 2019-04-23 | Covidien Lp | Hand held electromechanical surgical system including battery compartment diagnostic display |
US9216013B2 (en) * | 2013-02-18 | 2015-12-22 | Covidien Lp | Apparatus for endoscopic procedures |
BR112015021153A2 (pt) | 2013-03-01 | 2017-07-18 | Ethicon Endo Surgery Inc | controle de múltiplos motores de processador para instrumentos cirúrgicos modulares |
RU2663713C2 (ru) | 2013-03-01 | 2018-08-08 | Этикон Эндо-Серджери, Инк. | Поворотные хирургические инструменты с электропитанием с множественными степенями свободы |
BR112015021082B1 (pt) * | 2013-03-01 | 2022-05-10 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9700309B2 (en) * | 2013-03-01 | 2017-07-11 | Ethicon Llc | Articulatable surgical instruments with conductive pathways for signal communication |
AU2014200501B2 (en) * | 2013-03-07 | 2017-08-24 | Covidien Lp | Powered surgical stapling device |
US9655673B2 (en) * | 2013-03-11 | 2017-05-23 | Covidien Lp | Surgical instrument |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9332987B2 (en) * | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
BR112015026087B1 (pt) * | 2013-04-16 | 2022-02-15 | Ethicon Endo-Surgery, Inc | Atuador de extremidade cirúrgico para uso em conexão com um instrumento cirúrgico |
US10405857B2 (en) * | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
BR112015026189B1 (pt) | 2013-04-16 | 2022-02-15 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9750522B2 (en) | 2013-08-15 | 2017-09-05 | Ethicon Llc | Surgical instrument with clips having transecting blades |
CN105658154B (zh) * | 2013-08-23 | 2019-04-26 | 伊西康内外科有限责任公司 | 用于动力外科器械的辅助电池构造 |
US9539006B2 (en) * | 2013-08-27 | 2017-01-10 | Covidien Lp | Hand held electromechanical surgical handle assembly for use with surgical end effectors, and methods of use |
US9717548B2 (en) * | 2013-09-24 | 2017-08-01 | Covidien Lp | Electrode for use in a bipolar electrosurgical instrument |
JP2015085454A (ja) * | 2013-10-31 | 2015-05-07 | セイコーエプソン株式会社 | ロボット |
CN110063762B (zh) * | 2013-11-04 | 2022-04-15 | 柯惠Lp公司 | 手术紧固件施加装置 |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9655616B2 (en) | 2014-01-22 | 2017-05-23 | Covidien Lp | Apparatus for endoscopic procedures |
US9907550B2 (en) * | 2014-01-27 | 2018-03-06 | Covidien Lp | Stitching device with long needle delivery |
US9801679B2 (en) * | 2014-01-28 | 2017-10-31 | Ethicon Llc | Methods and devices for controlling motorized surgical devices |
CN106068175B (zh) * | 2014-03-14 | 2020-04-28 | 索尼公司 | 机器人手臂设备、机器人手臂控制方法及程序 |
JP6532886B2 (ja) * | 2014-03-26 | 2019-06-19 | エシコン エルエルシーEthicon LLC | 外科用器具と共に使用するためのインターフェイスシステム |
BR112016021800B1 (pt) * | 2014-03-26 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Conjunto de instrumento cirúrgico |
US10028761B2 (en) * | 2014-03-26 | 2018-07-24 | Ethicon Llc | Feedback algorithms for manual bailout systems for surgical instruments |
US9820738B2 (en) * | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US10610313B2 (en) | 2014-03-31 | 2020-04-07 | Intuitive Surgical Operations, Inc. | Surgical instrument with shiftable transmission |
US20150302157A1 (en) * | 2014-04-17 | 2015-10-22 | Ryan Mitchell Collar | Apparatus, Method, and System for Counting Packaged, Consumable, Medical Items Such as Surgical Suture Cartridges |
ES2788387T3 (es) * | 2014-06-19 | 2020-10-21 | Ascensia Diabetes Care Holding Ag | Clip de sensores para sistema de dispensación de sensores apilados, y sistema que lo utiliza |
DE102015211119A1 (de) * | 2014-06-20 | 2015-12-24 | Robert Bosch Gmbh | Verfahren zum Steuern eines Elektromotors eines Elektrowerkzeuges |
CN105682592B (zh) * | 2014-08-20 | 2018-03-27 | 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) | 多模式复合电外科装置 |
US10603128B2 (en) | 2014-10-07 | 2020-03-31 | Covidien Lp | Handheld electromechanical surgical system |
US10292758B2 (en) * | 2014-10-10 | 2019-05-21 | Ethicon Llc | Methods and devices for articulating laparoscopic energy device |
US10779880B2 (en) | 2014-10-22 | 2020-09-22 | Covidien Lp | Surgical forceps for grasping, treating, and/or cutting tissue |
CN104490448B (zh) * | 2014-12-17 | 2017-03-15 | 徐保利 | 外科结扎用施夹钳 |
US10085748B2 (en) * | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10117649B2 (en) * | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
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 |
US9987000B2 (en) * | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
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 |
US10368876B2 (en) * | 2015-01-15 | 2019-08-06 | Covidien Lp | Endoscopic reposable surgical clip applier |
AU2016200084B2 (en) * | 2015-01-16 | 2020-01-16 | Covidien Lp | Powered surgical stapling device |
EP3254640A4 (en) * | 2015-02-05 | 2018-08-08 | Olympus Corporation | Manipulator |
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 |
US10548504B2 (en) * | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
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 |
US9808246B2 (en) * | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10390825B2 (en) * | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US10327779B2 (en) * | 2015-04-10 | 2019-06-25 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US20160296246A1 (en) * | 2015-04-13 | 2016-10-13 | Novartis Ag | Forceps with metal and polymeric arms |
CA2930309C (en) * | 2015-05-22 | 2019-02-26 | Covidien Lp | Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures |
US10022120B2 (en) | 2015-05-26 | 2018-07-17 | Ethicon Llc | Surgical needle with recessed features |
US10004491B2 (en) * | 2015-06-15 | 2018-06-26 | Ethicon Llc | Suturing instrument with needle motion indicator |
US9888914B2 (en) | 2015-06-16 | 2018-02-13 | Ethicon Endo-Surgery, Llc | Suturing instrument with motorized needle drive |
US9782164B2 (en) * | 2015-06-16 | 2017-10-10 | Ethicon Endo-Surgery, Llc | Suturing instrument with multi-mode cartridges |
US10368861B2 (en) * | 2015-06-18 | 2019-08-06 | Ethicon Llc | Dual articulation drive system arrangements for articulatable surgical instruments |
WO2016206015A1 (en) * | 2015-06-24 | 2016-12-29 | Covidien Lp | Surgical clip applier with multiple clip feeding mechanism |
CA2992566A1 (en) * | 2015-07-13 | 2017-01-19 | Surgimatix, Inc. | Laparoscopic suture device with release mechanism |
GB2541369B (en) | 2015-07-22 | 2021-03-31 | Cmr Surgical Ltd | Drive mechanisms for robot arms |
US10194913B2 (en) | 2015-07-30 | 2019-02-05 | Ethicon Llc | Surgical instrument comprising systems for assuring the proper sequential operation of the surgical instrument |
US10687905B2 (en) * | 2015-08-31 | 2020-06-23 | KB Medical SA | Robotic surgical systems and methods |
CN204951933U (zh) * | 2015-09-21 | 2016-01-13 | 哈尔滨理工大学 | 一种电动放射性治疗粒子植入装置 |
US10076326B2 (en) * | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10751108B2 (en) | 2015-09-30 | 2020-08-25 | Ethicon Llc | Protection techniques for generator for digitally generating electrosurgical and ultrasonic electrical signal waveforms |
US10639027B2 (en) * | 2015-10-27 | 2020-05-05 | Ethicon Llc | Suturing instrument cartridge with torque limiting features |
US10390831B2 (en) * | 2015-11-10 | 2019-08-27 | Covidien Lp | Endoscopic reposable surgical clip applier |
US20170164997A1 (en) * | 2015-12-10 | 2017-06-15 | Ethicon Endo-Surgery, Llc | Method of treating tissue using end effector with ultrasonic and electrosurgical features |
EP3380029A1 (en) * | 2015-12-21 | 2018-10-03 | Gyrus ACMI, Inc. (D.B.A. Olympus Surgical Technologies America) | High surface energy portion on a medical instrument |
GB201600546D0 (en) * | 2016-01-12 | 2016-02-24 | Gyrus Medical Ltd | Electrosurgical device |
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 |
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 |
US20170202595A1 (en) | 2016-01-15 | 2017-07-20 | Ethicon Endo-Surgery, Llc | Modular battery powered handheld surgical instrument with a plurality of control programs |
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 |
US10314582B2 (en) * | 2016-04-01 | 2019-06-11 | Ethicon Llc | Surgical instrument comprising a shifting mechanism |
US10456140B2 (en) * | 2016-04-01 | 2019-10-29 | Ethicon Llc | Surgical stapling system comprising an unclamping lockout |
US10357246B2 (en) * | 2016-04-01 | 2019-07-23 | Ethicon Llc | Rotary powered surgical instrument with manually actuatable bailout system |
US11607239B2 (en) * | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) * | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10828028B2 (en) * | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10478181B2 (en) * | 2016-04-18 | 2019-11-19 | Ethicon Llc | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
US10258362B2 (en) | 2016-07-12 | 2019-04-16 | Ethicon Llc | Ultrasonic surgical instrument with AD HOC formed blade |
CN106236175B (zh) * | 2016-08-25 | 2018-09-11 | 苏州英途康医疗科技有限公司 | 智能吻合器 |
DE112016007214T5 (de) | 2016-09-13 | 2019-06-06 | Olympus Corporation | Energiebehandlungssystem und Ausgabesteuerverfahren dafür |
-
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Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2016123179A1 (en) | 2015-01-28 | 2016-08-04 | Ethicon Endo-Surgery, Llc | High temperature material for use in medical devices |
WO2017035475A1 (en) | 2015-08-26 | 2017-03-02 | Ethicon Endo-Surgery, Llc | Dissecting surgical jaws |
WO2017100589A1 (en) | 2015-12-11 | 2017-06-15 | Ethicon Endo-Surgery, Llc | Systems, devices, and methods for coupling end effectors to surgical devices and loading devices |
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