US20060276726A1 - Tissue tension detection system - Google Patents
Tissue tension detection system Download PDFInfo
- Publication number
- US20060276726A1 US20060276726A1 US11/446,646 US44664606A US2006276726A1 US 20060276726 A1 US20060276726 A1 US 20060276726A1 US 44664606 A US44664606 A US 44664606A US 2006276726 A1 US2006276726 A1 US 2006276726A1
- Authority
- US
- United States
- Prior art keywords
- tension
- organ
- sections
- organ sections
- amount
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1107—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
-
- 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
Definitions
- the present disclosure relates to a method and/or apparatus for measuring the tension in body tissue. More particularly, the present disclosure relates to a method and/or apparatus for measuring the tension in body tissue at a site of a surgical anastomosis.
- Anastomosis is the surgical joining of separate hollow organ sections.
- an anastomosis procedure follows a surgical procedure in which a diseased or defective section of hollow tissue is removed and the remaining end sections are drawn together and joined.
- the end sections may be joined by either circular, end-to-end, or side-to-side organ reconstruction methods.
- these devices include an elongated shaft having a handle portion at a proximal end thereof to effect actuation of the device and a staple holding component disposed at a distal end thereof.
- An anvil assembly including an anvil shaft with attached anvil head is mounted to the distal end of the device such that the anvil head is movable towards the staple holding component.
- the two ends of the organ sections are drawn together and clamped between the anvil head and the staple holding component of the device by securing one end of the organ section to the anvil assembly, securing the other end of the organ section about the staple holding component, and moving the anvil head towards the staple holding component.
- the clamped tissue is stapled by driving one or more staples from the staple holding component so that the ends of the staples pass through the organ sections and are deformed by the anvil head.
- An annular knife is concurrently advanced to core tissue within the hollow organ to free a tubular passage within the organ. Typically, this procedure is conducted endoscopically or laparoscopically using endoscopic instruments.
- a surgical apparatus and/or method for measuring the tissue tension at an anastomotic site and providing a surgeon with immediate data indicating the magnitude of the tension It would also be desirable to provide an apparatus which is suitable for use with a circular anastomosis device and could measure the initial and residual tension at an anastomotic site during a surgical procedure.
- an apparatus positioned on a circular anastomosis fastener applier in accordance with the principles of the present disclosure.
- the apparatus includes a first contact located on an anvil assembly and a second contact positioned on a staple cartridge.
- the first and second contacts may be movable between an extended position for contacting the organ sections and a retracted position.
- the anvil assembly is repositionable towards and away from the staple cartridge.
- the first and second contacts are operably connected to a tension gauge, which provides a signal to a tension indicator.
- the tension indictor provides visual and/or audible indication of the amount of tension applied to first and section organ sections that are to be anastomosed.
- the tension indicator may be located on a housing of the fastener applier or may be remotely located therefrom.
- the tension indicator may include audible and/or visual alarms that alert the operator that a predetermined tension has been achieved.
- first and second contacts are fixed in position on the anvil assembly and the staple cartridge.
- a device for attachment to first and second organ sections in accordance with the principles of the present disclosure.
- the attached device may be viewed with an endoscope.
- the device is a generally elongate member, wherein one end of the member is attached to a first organ section and an opposing end is attached to a second organ section.
- tension applied to the organ sections is also applied to the member.
- the member may change color or one of its physical dimensions (i.e. length, width, or thickness). Alternatively, one or both ends of the member may separate from its attachment point to an organ section.
- the member may be positioned such that there is a predetermined amount of slack in the member prior to the anastomotic procedure. As the organ sections are drawn towards one another, the slack in the member is taken up. When the predetermined amount of tension is achieved, the member will be taut, thereby providing visual indication to the operator.
- FIG. 1 is a front perspective view of an embodiment of the presently disclosed apparatus
- FIG. 2 is a front perspective view of an alternate embodiment of the presently disclosed apparatus
- FIG. 3 is a side view of another embodiment of the presently disclosed apparatus located at an anastomotic site between two organ sections;
- FIG. 4 is a side view of a further embodiment of the presently disclosed apparatus located at an anastomotic site between two organ sections with no tension applied to the organ sections;
- FIG. 4A is a side view of the apparatus of FIG. 4 with tension applied to the organ sections.
- proximal will refer to a location on the device closer to the operator of the device, e.g., surgeon, while the term distal will refer to a location on the device further away from the operator of the device.
- FIG. 1 illustrates one embodiment of the presently disclosed apparatus for measuring tissue tension at an anastomotic site shown generally as 10 .
- Apparatus 10 is supported on a circular anastomosis fastener applier shown generally as 20 .
- Apparatus 10 includes a pair of contacts or leads 12 and 14 which are positioned at a distal end of circular anastomosis fastener applier 10 .
- Contact 12 includes a first end positioned to extend through an opening 16 formed in an anvil assembly 22 of fastener applier 20 .
- a second end of contact 12 communicates with a tension gauge (not shown), e.g., strain gauge, supported within housing 24 of fastener applier 10 .
- a tension gauge not shown
- anvil assembly 22 is repositioned towards staple cartridge 26 and moves a first organ section towards a second organ section, thereby applying an amount of tension to the organ sections.
- Anvil assembly 22 is repositionable, in relation to staple cartridge 26 , throughout a plurality of positions including a first position that is spaced apart from staple cartridge 26 and a second position that is in close cooperative alignment with the staple cartridge 26 .
- contacts 12 and 14 are retractable into and out of openings 16 and 19 , wherein contacts 12 , 14 are repositionable between an extended position and a retracted position. In one embodiment, contacts 12 and 14 are extended from openings 16 and 19 in response to approximation of the anvil assembly 22 and staple holding component 24 . Alternatively, a manual switch may be provided to extend the contacts.
- FIG. 2 illustrates an alternate embodiment of the presently disclosed apparatus for measuring tissue tension at an anastomotic site shown generally as 100 .
- Apparatus 100 is similar to apparatus 10 in that apparatus 100 includes a first contact 112 mounted on an anvil assembly 122 of fastener applier 120 and a second contact 114 mounted on a staple holding component or staple cartridge 124 of fastener applier 120 .
- contacts 112 and 114 are flat contacts which are mounted on an outer rim of both anvil assembly 122 and staple holding component 124 at a position to contact organ sections at a location adjacent the anastomotic site.
- Each contact 112 and 114 communicates with a tension gauge (not shown) supported within fastener applier 120 which communicates with a tension indicator 130 as discussed above with respect to apparatus 10 .
- a tension gauge (not shown) supported within fastener applier 120 which communicates with a tension indicator 130 as discussed above with respect to apparatus 10 .
- the tension gauge and indicator may be located externally of the fastener applier.
- tension indicators 30 , 130 may include an audible and/or visual alarm indicator (i.e. red light, buzzer, horn, bell, etc.) that informs the operator that a predetermined amount of tension is being applied to the organ sections.
- the setting for the alarm indicator is operator adjustable and the procedure to be performed is one of several criteria that is considered when establishing the predetermined amount of tension for the alarm setting.
- FIG. 3 illustrates another embodiment of the presently disclosed apparatus for measuring tissue tension shown generally as 200 which is separate from a fastener applier.
- Apparatus 200 can be applied across an anastomotic site 230 to produce a reference indication of the magnitude of the tension where the organ sections are joined.
- Apparatus 200 includes an elongated member 210 formed of a material which bridges anastomotic site 230 and is, in one embodiment, initially slack. When excess tension exists in the anastomosed tissue, the material goes taut or releases from the tissue.
- member 210 is secured to organ sections 232 and 234 using an adhesive or the like. Member 210 can be monitored endoscopically using an endoscope or other viewing equipment.
- apparatus 200 is illustrated as a strip of material, it is also contemplated that apparatus 200 may be a suture or any other material for maintaining the two sections of the anastomotic site in close approximation. It is further contemplated that apparatus 200 may be formed of a biocompatible and/or bioabsorbable material.
- device 300 is formed of a body of material 310 which can be visualized via x-ray, MRI, CT scan, ultrasound or any other known device.
- Body of material 310 is positioned to bridge an anastomotic site 330 .
- body 310 may be stretched (see FIG. 4A ), such that the change in the width and/or length of body 310 is indicative of the change in tension applied to organ sections 332 and 334 .
- changes to the thickness of body 310 indicate the change in tension applied to organ sections 332 and 334 . It is envisioned that other changes may occur upon application of tension to body 310 , e.g., a color change may occur from a bioabsorbable marker, or a release from the organ sections may indicate a change in tension, etc.
- FIGS. 3-4A are configured for measuring the tension applied to organ sections 232 and 234 or 332 , 334 prior to approximation of the organ sections with a surgical stapling apparatus as well as during approximation and subsequent to the approximation. Further still, the disclosed embodiments are capable of measuring and indicating the amount of tension applied to the organ sections before, during, and after the firing of surgical staples from the surgical stapling apparatus. It is contemplated that devices 200 , 300 may be formed from an elastic material as well as non-elastic materials.
- device 200 ( FIG. 3 ) is attached to organ sections 232 , 234 prior to approximation of organ sections 232 , 234 . This occurs after a section of the subject organ is removed between organ sections 232 , 234 .
- Device 200 is attached using known endoscopic techniques through an access port (e.g. cannula) (not shown). Once attached, device 200 may be monitored through the access port using an endoscope (not shown). As organ sections 232 , 234 are approximated using a circular anastomosis fastener (i.e. apparatus 10 as shown in FIG. 1 ) tension is applied to organ sections 232 , 234 .
- device 200 may detach at one or both attachment points or have a certain amount of slack between the attachment points. Specifically, once device 200 is attached to the spaced apart organ sections 232 , 234 , movement of the organ sections towards one another (i.e. approximation) reduces the tension applied to device 200 and causes it to sag or go slack, whereupon, device 200 may detach from one or both of its attachment points.
- device 200 is attached as described hereinabove to organ sections 232 , 234 after approximation, but prior to joining organ sections 232 , 234 .
- the practitioner observes device 200 as before. If the tension applied to organ sections 232 , 234 exceeds a predetermined amount during the joining of the sections, device 200 may detach from one or both of the organ sections or go slack, as discussed hereinabove.
- device 200 is attached as discussed hereinabove to organ sections 232 , 234 after organ sections 232 , 234 are anastomosed.
- device 200 is observed as before, wherein tension in the anastomosed organ sections 232 , 234 will create tension in the attached device 200 . If the tension exceeds a predetermined amount, device 200 may stretch and/or deform, thereby indicating an excess tension condition.
- device 200 may include a sac of ink or dye that is released upon exceeding a predetermined amount of tension.
- a marker which reacts to strain or tension is applied to one or both of the organ sections to be joined.
- the marker can be an ink, polymer, or the like. When excess tension or any strain exists in the tissue sections, the marker reacts to the strain to provide an indication or reference of magnitude.
- the marker's reaction to the amount of tension applied to the organ sections may include changes in the marker's physical dimensions, a change in the marker's color, a reduction in an amount of slack in the marker, or separation of one end of the marker from an organ section.
- markers or devices 200 , 300 may include a container (e.g. a pouch or a sac) that is embedded in marker 200 , 300 such that an indicator (e.g. an ink or a dye) stored in the container is released when the tension applied to the organ sections exceeds a predetermined value.
- an electromechanical device may be operatively connected across the anastomotic site.
- the electromechanical device is configured to provide an output which provides an indication or measurement of tension at the site.
Abstract
An apparatus and a method for determining an amount of tension applied to first and second organ sections during a surgical procedure is disclosed. The apparatus includes first and second contacts on a surgical fastener applier that are operably coupled to a tension gauge and a tension indicator. The contacts may be repositionable between a retracted position and an extended position. The tension indicator may include audible and/or visual indications and/or alarms for the amount of tension applied to the first and second organ sections. Alternatively, the apparatus includes an elongate member attached to the organ sections, wherein a change in the characteristics of the member indicates an amount of tension applied to the organ sections.
Description
- This application claims priority to, and the benefit of, U.S. Provisional Patent Application Ser. No. 60/687,214, filed on Jun. 3, 2005, the entire disclosure of which is incorporated by reference herein.
- 1. Technical Field
- The present disclosure relates to a method and/or apparatus for measuring the tension in body tissue. More particularly, the present disclosure relates to a method and/or apparatus for measuring the tension in body tissue at a site of a surgical anastomosis.
- 2. Background of Related Art
- Anastomosis is the surgical joining of separate hollow organ sections. Typically, an anastomosis procedure follows a surgical procedure in which a diseased or defective section of hollow tissue is removed and the remaining end sections are drawn together and joined. Depending on the desired anastomosis procedure, the end sections may be joined by either circular, end-to-end, or side-to-side organ reconstruction methods.
- In a known circular anastomosis procedure, two ends of organ sections are drawn together and joined by means of a stapling device which drives a circular array of staples through the end of each organ section and simultaneously cores any tissue interior of the driven circular array of staples to free a tubular passage. Examples of devices for performing circular anastomosis of hollow organs are described in U.S. Pat. Nos. 6,053,390; 5,588,579; 5,119,983; 5,005,749; 4,646,745; 4,576,167; and 4,473,077, each of which is incorporated herein in its entirety by reference. Typically, these devices include an elongated shaft having a handle portion at a proximal end thereof to effect actuation of the device and a staple holding component disposed at a distal end thereof. An anvil assembly including an anvil shaft with attached anvil head is mounted to the distal end of the device such that the anvil head is movable towards the staple holding component. The two ends of the organ sections are drawn together and clamped between the anvil head and the staple holding component of the device by securing one end of the organ section to the anvil assembly, securing the other end of the organ section about the staple holding component, and moving the anvil head towards the staple holding component. The clamped tissue is stapled by driving one or more staples from the staple holding component so that the ends of the staples pass through the organ sections and are deformed by the anvil head. An annular knife is concurrently advanced to core tissue within the hollow organ to free a tubular passage within the organ. Typically, this procedure is conducted endoscopically or laparoscopically using endoscopic instruments.
- Although the circular anastomosis procedure described above has provided substantial improvements to surgical procedures requiring anastomosis, additional improvements are desired. For example, when the two ends of the organ sections to be anastomosed are drawn together, tension is generated in the organ sections. Because of the type of surgery, it can be difficult for a surgeon to determine how much tension is being or has been applied to the organ sections at the anastomotic site. Excessive tension on the organ sections at the anastomotic site may result in complications, e.g., strictures, postoperative leaks, necrosis, etc.
- Accordingly, it would be desirable to provide a surgical apparatus and/or method for measuring the tissue tension at an anastomotic site and providing a surgeon with immediate data indicating the magnitude of the tension. It would also be desirable to provide an apparatus which is suitable for use with a circular anastomosis device and could measure the initial and residual tension at an anastomotic site during a surgical procedure.
- In one embodiment, an apparatus positioned on a circular anastomosis fastener applier is provided in accordance with the principles of the present disclosure. The apparatus includes a first contact located on an anvil assembly and a second contact positioned on a staple cartridge. The first and second contacts may be movable between an extended position for contacting the organ sections and a retracted position. The anvil assembly is repositionable towards and away from the staple cartridge. The first and second contacts are operably connected to a tension gauge, which provides a signal to a tension indicator. The tension indictor provides visual and/or audible indication of the amount of tension applied to first and section organ sections that are to be anastomosed. As the first organ section is moved towards the second organ section, the first contact is moved towards the second contact, thereby providing an input for the tension gauge and ultimately an indication on the tension indicator as to the amount of tension applied to the organ sections. The tension indicator may be located on a housing of the fastener applier or may be remotely located therefrom. In addition, the tension indicator may include audible and/or visual alarms that alert the operator that a predetermined tension has been achieved.
- In another embodiment, the first and second contacts are fixed in position on the anvil assembly and the staple cartridge.
- In a further embodiment, a device is provided for attachment to first and second organ sections in accordance with the principles of the present disclosure. The attached device may be viewed with an endoscope. The device is a generally elongate member, wherein one end of the member is attached to a first organ section and an opposing end is attached to a second organ section. As the organ sections are drawn together, tension applied to the organ sections is also applied to the member. When a predetermined amount of tension is applied, the member may change color or one of its physical dimensions (i.e. length, width, or thickness). Alternatively, one or both ends of the member may separate from its attachment point to an organ section. Further still, the member may be positioned such that there is a predetermined amount of slack in the member prior to the anastomotic procedure. As the organ sections are drawn towards one another, the slack in the member is taken up. When the predetermined amount of tension is achieved, the member will be taut, thereby providing visual indication to the operator.
- Embodiments of the presently disclosed apparatus are described herein with reference to the drawings, wherein:
-
FIG. 1 is a front perspective view of an embodiment of the presently disclosed apparatus; -
FIG. 2 is a front perspective view of an alternate embodiment of the presently disclosed apparatus; -
FIG. 3 is a side view of another embodiment of the presently disclosed apparatus located at an anastomotic site between two organ sections; -
FIG. 4 is a side view of a further embodiment of the presently disclosed apparatus located at an anastomotic site between two organ sections with no tension applied to the organ sections; and -
FIG. 4A is a side view of the apparatus ofFIG. 4 with tension applied to the organ sections. - Embodiments of the presently disclosed method and apparatus for measuring tissue tension at an anastomotic site will now be described in detail with reference to the drawings wherein like numerals designate identical or corresponding elements in each of the several views. As is common in the surgical apparatus art, the term proximal will refer to a location on the device closer to the operator of the device, e.g., surgeon, while the term distal will refer to a location on the device further away from the operator of the device.
-
FIG. 1 illustrates one embodiment of the presently disclosed apparatus for measuring tissue tension at an anastomotic site shown generally as 10.Apparatus 10 is supported on a circular anastomosis fastener applier shown generally as 20.Apparatus 10 includes a pair of contacts or leads 12 and 14 which are positioned at a distal end of circular anastomosis fastener applier 10.Contact 12 includes a first end positioned to extend through anopening 16 formed in ananvil assembly 22 of fastener applier 20. A second end ofcontact 12 communicates with a tension gauge (not shown), e.g., strain gauge, supported withinhousing 24 of fastener applier 10.Contact 14 includes a first end positioned to extend through an opening 19 defined in a staple holding component orstaple cartridge 26 of fastener applier 20. A second end ofcontact 14 communicates with the tension gauge in housing 24 (not shown).Contacts contacts Contacts tension indicator 30 is supported onhousing 24.Tension indicator 30 communicates with the tension gauge to display in real time the tension in the organ sections. It is envisioned thatfastener applier 20 may include a part which is connectable to a strain gauge and indicator which are located externally ofhousing 24. - During an anastomotic procedure,
anvil assembly 22 is repositioned towardsstaple cartridge 26 and moves a first organ section towards a second organ section, thereby applying an amount of tension to the organ sections.Anvil assembly 22 is repositionable, in relation tostaple cartridge 26, throughout a plurality of positions including a first position that is spaced apart fromstaple cartridge 26 and a second position that is in close cooperative alignment with thestaple cartridge 26. - In one embodiment,
contacts openings contacts contacts openings anvil assembly 22 andstaple holding component 24. Alternatively, a manual switch may be provided to extend the contacts. -
FIG. 2 illustrates an alternate embodiment of the presently disclosed apparatus for measuring tissue tension at an anastomotic site shown generally as 100.Apparatus 100 is similar toapparatus 10 in thatapparatus 100 includes afirst contact 112 mounted on ananvil assembly 122 offastener applier 120 and asecond contact 114 mounted on a staple holding component orstaple cartridge 124 offastener applier 120. However,contacts anvil assembly 122 andstaple holding component 124 at a position to contact organ sections at a location adjacent the anastomotic site. Eachcontact fastener applier 120 which communicates with atension indicator 130 as discussed above with respect toapparatus 10. As discussed above, it is envisioned that the tension gauge and indicator may be located externally of the fastener applier. - In a further embodiment,
tension indicators -
FIG. 3 illustrates another embodiment of the presently disclosed apparatus for measuring tissue tension shown generally as 200 which is separate from a fastener applier.Apparatus 200 can be applied across ananastomotic site 230 to produce a reference indication of the magnitude of the tension where the organ sections are joined.Apparatus 200 includes anelongated member 210 formed of a material which bridgesanastomotic site 230 and is, in one embodiment, initially slack. When excess tension exists in the anastomosed tissue, the material goes taut or releases from the tissue. In another embodiment,member 210 is secured toorgan sections Member 210 can be monitored endoscopically using an endoscope or other viewing equipment. Althoughapparatus 200 is illustrated as a strip of material, it is also contemplated thatapparatus 200 may be a suture or any other material for maintaining the two sections of the anastomotic site in close approximation. It is further contemplated thatapparatus 200 may be formed of a biocompatible and/or bioabsorbable material. - In another embodiment shown in
FIG. 4 ,device 300 is formed of a body ofmaterial 310 which can be visualized via x-ray, MRI, CT scan, ultrasound or any other known device. Body ofmaterial 310 is positioned to bridge ananastomotic site 330. In one embodiment, when excess tension is present in the tissue ororgan sections body 310 undergoes a physical change to indicate excess tension atanastomotic site 330, e.g.,body 310 may be stretched (seeFIG. 4A ), such that the change in the width and/or length ofbody 310 is indicative of the change in tension applied toorgan sections body 310 indicate the change in tension applied toorgan sections body 310, e.g., a color change may occur from a bioabsorbable marker, or a release from the organ sections may indicate a change in tension, etc. - The embodiments illustrated in
FIGS. 3-4A are configured for measuring the tension applied toorgan sections devices - In one embodiment, device 200 (
FIG. 3 ) is attached toorgan sections organ sections organ sections Device 200 is attached using known endoscopic techniques through an access port (e.g. cannula) (not shown). Once attached,device 200 may be monitored through the access port using an endoscope (not shown). Asorgan sections apparatus 10 as shown inFIG. 1 ) tension is applied toorgan sections device 200 may detach at one or both attachment points or have a certain amount of slack between the attachment points. Specifically, oncedevice 200 is attached to the spaced apartorgan sections device 200 and causes it to sag or go slack, whereupon,device 200 may detach from one or both of its attachment points. - In an alternate embodiment,
device 200 is attached as described hereinabove toorgan sections organ sections device 200 as before. If the tension applied toorgan sections device 200 may detach from one or both of the organ sections or go slack, as discussed hereinabove. - In a further embodiment,
device 200 is attached as discussed hereinabove toorgan sections organ sections device 200 is observed as before, wherein tension in the anastomosedorgan sections device 200. If the tension exceeds a predetermined amount,device 200 may stretch and/or deform, thereby indicating an excess tension condition. Alternatively,device 200 may include a sac of ink or dye that is released upon exceeding a predetermined amount of tension. - In another embodiment, a marker which reacts to strain or tension is applied to one or both of the organ sections to be joined. The marker can be an ink, polymer, or the like. When excess tension or any strain exists in the tissue sections, the marker reacts to the strain to provide an indication or reference of magnitude. The marker's reaction to the amount of tension applied to the organ sections may include changes in the marker's physical dimensions, a change in the marker's color, a reduction in an amount of slack in the marker, or separation of one end of the marker from an organ section. In addition, markers or
devices marker - In yet another embodiment, an electromechanical device may be operatively connected across the anastomotic site. The electromechanical device is configured to provide an output which provides an indication or measurement of tension at the site.
- It will be understood that various modifications may be made to the embodiments disclosed herein. Thus, the above description should not be construed as limiting, but merely as illustrative of the disclosed apparatus and method. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
Claims (9)
1. A method for detecting an amount tension applied to organ sections, comprising the steps of:
providing a member that bridges a gap at an anastomotic site and is operably associated with a first organ section and a second organ section;
moving the first organ section towards the second organ section, thereby applying tension to the organ sections;
observing the member while the tension is applied to the organ sections; and
determining the amount of tension applied to the organ sections by observing changes in characteristics of the member.
2. The method of claim 1 , wherein the characteristics of the member are selected from the group consisting of: color, length, width, and depth.
3. The method of claim 1 , further comprising the step of:
stopping movement of the organ sections if the tension is greater than a predetermined value.
4. The method of claim 1 , wherein the step of determining the amount of tension includes the step of moving the first organ section towards the second organ section.
5. A device for indicating the amount of tension applied to organ sections comprising:
an elongate member having opposing ends, wherein one end is attached to a first organ section and the opposing end is attached to a second organ section such that relative movement of the organ sections towards each other causes a change in the physical characteristics of the elongate member corresponding to an mount of tension applied to the first and second organ sections.
6. The device of claim 5 , wherein the device has a width and the amount of tension is proportional to a change in the width of the device.
7. The device of claim 5 , wherein the device has a length and the amount of tension is proportional to a change in the length of the device.
8. The device of claim 5 , wherein the device changes from a first color to a second color, the change in color corresponding to the tension applied to the device.
9. The device of claim 1 , wherein at least one end of the device separates from at least one organ section when the amount of tension exceeds a predetermined amount.
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/446,646 US20060276726A1 (en) | 2005-06-03 | 2006-06-05 | Tissue tension detection system |
US12/857,803 US8529599B2 (en) | 2005-06-03 | 2010-08-17 | Tissue tension detection system |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US68721405P | 2005-06-03 | 2005-06-03 | |
US11/446,646 US20060276726A1 (en) | 2005-06-03 | 2006-06-05 | Tissue tension detection system |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/857,803 Continuation US8529599B2 (en) | 2005-06-03 | 2010-08-17 | Tissue tension detection system |
Publications (1)
Publication Number | Publication Date |
---|---|
US20060276726A1 true US20060276726A1 (en) | 2006-12-07 |
Family
ID=37495064
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/446,646 Abandoned US20060276726A1 (en) | 2005-06-03 | 2006-06-05 | Tissue tension detection system |
US12/857,803 Expired - Fee Related US8529599B2 (en) | 2005-06-03 | 2010-08-17 | Tissue tension detection system |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/857,803 Expired - Fee Related US8529599B2 (en) | 2005-06-03 | 2010-08-17 | Tissue tension detection system |
Country Status (1)
Country | Link |
---|---|
US (2) | US20060276726A1 (en) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070282181A1 (en) * | 2006-06-01 | 2007-12-06 | Carol Findlay | Visual medical sensor indicator |
ES2630977A1 (en) * | 2016-02-23 | 2017-08-25 | Universitat De Lleida | Instrument for measuring parameters associated with an incision in a tissue and procedure for measuring parameters in an incision in a fabric by means of such instrument (Machine-translation by Google Translate, not legally binding) |
DE102016118673A1 (en) * | 2016-09-30 | 2018-04-05 | Isar-M Gmbh | System for the early detection of post-operative bleeding |
Families Citing this family (320)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
US7669747B2 (en) | 2007-03-15 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
BRPI0901282A2 (en) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | surgical cutting and fixation instrument with rf electrodes |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US9770245B2 (en) | 2008-02-15 | 2017-09-26 | Ethicon Llc | Layer arrangements for surgical staple cartridges |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
CA2751664A1 (en) | 2009-02-06 | 2010-08-12 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9592050B2 (en) | 2010-09-30 | 2017-03-14 | Ethicon Endo-Surgery, Llc | End effector comprising a distal tissue abutment member |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US8978954B2 (en) | 2010-09-30 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising an adjustable distal portion |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US9351730B2 (en) | 2011-04-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising channels |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US9393017B2 (en) | 2011-02-15 | 2016-07-19 | Intuitive Surgical Operations, Inc. | Methods and systems for detecting staple cartridge misfire or failure |
KR102222672B1 (en) | 2011-02-15 | 2021-03-05 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | Systems for detecting clamping or firing failure |
US9649113B2 (en) * | 2011-04-27 | 2017-05-16 | Covidien Lp | Device for monitoring physiological parameters in vivo |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US8876735B2 (en) * | 2011-05-26 | 2014-11-04 | Southern Taiwan University | Apparatus and methods for identifying a tissue inside a living body |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
JP6305979B2 (en) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | Tissue thickness compensator with multiple layers |
CN104334098B (en) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | Tissue thickness compensator comprising capsules defining a low pressure environment |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
CN104487005B (en) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | Empty squeeze latching member |
US11278284B2 (en) | 2012-06-28 | 2022-03-22 | Cilag Gmbh International | Rotary drive arrangements for surgical instruments |
BR112014032776B1 (en) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
MX364729B (en) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Surgical instrument with a soft stop. |
MX368026B (en) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Articulatable surgical instruments with conductive pathways for signal communication. |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
BR112015026109B1 (en) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | surgical instrument |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
CN106028966B (en) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | For the firing member restoring device of powered surgical instrument |
US9808249B2 (en) | 2013-08-23 | 2017-11-07 | Ethicon Llc | Attachment portions for surgical instrument assemblies |
US9733663B2 (en) | 2014-03-26 | 2017-08-15 | Ethicon Llc | Power management through segmented circuit and variable voltage protection |
BR112016021943B1 (en) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE |
BR112016023807B1 (en) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | CARTRIDGE SET OF FASTENERS FOR USE WITH A SURGICAL INSTRUMENT |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
BR112016023825B1 (en) | 2014-04-16 | 2022-08-02 | Ethicon Endo-Surgery, Llc | STAPLE CARTRIDGE FOR USE WITH A SURGICAL STAPLER AND STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
CN106456176B (en) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | Fastener cartridge including the extension with various configuration |
US10135242B2 (en) | 2014-09-05 | 2018-11-20 | Ethicon Llc | Smart cartridge wake up operation and data retention |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
BR112017004361B1 (en) | 2014-09-05 | 2023-04-11 | Ethicon Llc | ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT |
CN107427300B (en) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | Surgical suture buttress and buttress material |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US9968355B2 (en) | 2014-12-18 | 2018-05-15 | Ethicon Llc | Surgical instruments with articulatable end effectors and improved firing beam support arrangements |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
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 |
BR112017012996B1 (en) | 2014-12-18 | 2022-11-08 | Ethicon Llc | SURGICAL INSTRUMENT WITH AN ANvil WHICH IS SELECTIVELY MOVABLE ABOUT AN IMMOVABLE GEOMETRIC AXIS DIFFERENT FROM A STAPLE CARTRIDGE |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10130367B2 (en) * | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
JP2020121162A (en) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10285692B2 (en) | 2015-08-31 | 2019-05-14 | Ethicon Llc | Adjuncts for surgical devices including agonists and antagonists |
US10245034B2 (en) | 2015-08-31 | 2019-04-02 | Ethicon Llc | Inducing tissue adhesions using surgical adjuncts and medicants |
US11020116B2 (en) | 2015-08-31 | 2021-06-01 | Ethicon Llc | Surgical adjuncts with medicants affected by activators |
US10213520B2 (en) | 2015-08-31 | 2019-02-26 | Ethicon Llc | Surgical adjuncts having medicants controllably releasable therefrom |
US10111661B2 (en) | 2015-08-31 | 2018-10-30 | Ethicon Llc | Matrix metalloproteinase inhibiting adjuncts for surgical devices |
US9937283B2 (en) | 2015-08-31 | 2018-04-10 | Ethicon Endo-Surgery, Llc | Adjunct material to provide drug elution from vessels |
US10188390B2 (en) | 2015-08-31 | 2019-01-29 | Ethicon Llc | Adjunct material to provide heterogeneous drug elution |
US10499913B2 (en) | 2015-08-31 | 2019-12-10 | Ethicon Llc | Tubular surgical constructs including adjunct material |
US10349938B2 (en) | 2015-08-31 | 2019-07-16 | Ethicon Llc | Surgical adjuncts with medicants affected by activator materials |
US10194936B2 (en) | 2015-08-31 | 2019-02-05 | Ethicon Endo-Surgery, Llc | Adjunct material for delivery to stomach tissue |
US10279086B2 (en) | 2015-08-31 | 2019-05-07 | Ethicon Llc | Composite adjunct materials for delivering medicants |
US10130738B2 (en) | 2015-08-31 | 2018-11-20 | Ethicon Llc | Adjunct material to promote tissue growth |
US10569071B2 (en) | 2015-08-31 | 2020-02-25 | Ethicon Llc | Medicant eluting adjuncts and methods of using medicant eluting adjuncts |
US10188389B2 (en) | 2015-08-31 | 2019-01-29 | Ethicon Llc | Adjunct material for delivery to colon tissue |
US10172973B2 (en) | 2015-08-31 | 2019-01-08 | Ethicon Llc | Surgical adjuncts and medicants for promoting lung function |
US10463366B2 (en) | 2015-08-31 | 2019-11-05 | Ethicon Llc | Adjunct materials for delivery to liver tissue |
US10076329B2 (en) | 2015-08-31 | 2018-09-18 | Ethicon Llc | Adjunct material to promote tissue growth in a colon |
US10086116B2 (en) | 2015-08-31 | 2018-10-02 | Ethicon Llc | Adjunct material to provide controlled drug release |
US10076324B2 (en) | 2015-08-31 | 2018-09-18 | Ethicon Llc | Adjunct material to provide controlled drug elution |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US10524788B2 (en) | 2015-09-30 | 2020-01-07 | Ethicon Llc | Compressible adjunct with attachment regions |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
CN108882932B (en) | 2016-02-09 | 2021-07-23 | 伊西康有限责任公司 | Surgical instrument with asymmetric articulation configuration |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10363037B2 (en) | 2016-04-18 | 2019-07-30 | Ethicon Llc | Surgical instrument system comprising a magnetic lockout |
JP7010956B2 (en) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | How to staple tissue |
MX2019007311A (en) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Surgical stapling systems. |
US10980536B2 (en) | 2016-12-21 | 2021-04-20 | Ethicon Llc | No-cartridge and spent cartridge lockout arrangements for surgical staplers |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US20180168575A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
JP6983893B2 (en) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | Lockout configuration for surgical end effectors and replaceable tool assemblies |
US10973516B2 (en) | 2016-12-21 | 2021-04-13 | Ethicon Llc | Surgical end effectors and adaptable firing members therefor |
US10492785B2 (en) | 2016-12-21 | 2019-12-03 | Ethicon Llc | Shaft assembly comprising a lockout |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11751867B2 (en) | 2017-12-21 | 2023-09-12 | Cilag Gmbh International | Surgical instrument comprising sequenced systems |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11596410B2 (en) * | 2019-04-05 | 2023-03-07 | Covidien Lp | Surgical stapling device |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11690624B2 (en) * | 2019-06-21 | 2023-07-04 | Covidien Lp | Reload assembly injection molded strain gauge |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US20200405307A1 (en) * | 2019-06-28 | 2020-12-31 | Ethicon Llc | Control circuit comprising a coating |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11853835B2 (en) | 2019-06-28 | 2023-12-26 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
US20220031351A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11883028B2 (en) | 2021-09-08 | 2024-01-30 | Covidien Lp | Systems and methods for post-operative anastomotic leak detection |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Citations (26)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4204544A (en) * | 1977-09-30 | 1980-05-27 | California Institute Of Technology | Simultaneous muscle force and displacement transducer |
US4206980A (en) * | 1978-04-24 | 1980-06-10 | Minnesota Mining And Manufacturing Company | Reversibly transparent-translucent film and method of making same |
US4294015A (en) * | 1979-12-27 | 1981-10-13 | Ecole Polytechnique | Extensometer |
US4319238A (en) * | 1979-02-06 | 1982-03-09 | Nippon Kogaku K.K. | Camera display device |
US4576167A (en) * | 1981-09-03 | 1986-03-18 | United States Surgical Corporation | Surgical stapler apparatus with curved shaft |
US4813435A (en) * | 1988-04-25 | 1989-03-21 | Micro Strain Company | Implantable displacement sensor means |
US4993426A (en) * | 1988-07-21 | 1991-02-19 | Spencer Teresa A | Blood collector cylinder with needle ejector |
US5005749A (en) * | 1988-07-01 | 1991-04-09 | United States Surgical Corp. | Anastomosis surgical stapling instrument |
US5016479A (en) * | 1989-04-12 | 1991-05-21 | The Bionetics Corporation | Tension gauge for thin materials |
US5071420A (en) * | 1991-04-25 | 1991-12-10 | Depuy Du Pont Orthopaedics | Isometry testing device |
US5083573A (en) * | 1990-02-12 | 1992-01-28 | Arms Steven W | Method of and means for implanting a pressure and force sensing apparatus |
US5119983A (en) * | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
US5306979A (en) * | 1992-10-07 | 1994-04-26 | Schwarz Jr John F | Multiplexing incremental linear actuator system |
US5588579A (en) * | 1994-08-25 | 1996-12-31 | United States Surgical Corporation | Anvil for circular stapler |
US5605035A (en) * | 1991-08-01 | 1997-02-25 | University Of Strathclyde | Rope with strain damage indicator |
US5772419A (en) * | 1993-04-05 | 1998-06-30 | Danfoss A/S | Hydraulic machine comprising a gearwheel and annual gear having trochoid tooth sections |
US5895413A (en) * | 1996-03-01 | 1999-04-20 | Nordstroem; Rolf E. A. | Surgical suture |
US6053390A (en) * | 1992-05-19 | 2000-04-25 | United States Surgical | Anvil for surgical stapler |
US20010018095A1 (en) * | 1987-07-17 | 2001-08-30 | Shlenker Robin Renee Thill | Method of forming a membrant, especially a latex or polymer membrane, including multiple discrete layers |
US20020099315A1 (en) * | 1999-11-29 | 2002-07-25 | Michael Lebner | Bandage for wound or incision closure |
US20030021903A1 (en) * | 1987-07-17 | 2003-01-30 | Shlenker Robin Reneethill | Method of forming a membrane, especially a latex or polymer membrane, including multiple discrete layers |
US20040010276A1 (en) * | 2000-05-19 | 2004-01-15 | Daniel Jacobs | Multi-point tissue tension distribution device and method, a chin lift variation |
US20040148020A1 (en) * | 2002-11-12 | 2004-07-29 | Vidlund Robert M. | Devices and methods for heart valve treatment |
US20050080454A1 (en) * | 2003-10-08 | 2005-04-14 | Drews Michael J. | Attachment device and methods of using the same |
US20060068168A1 (en) * | 2004-09-30 | 2006-03-30 | Kimberly-Clark Worldwide, Inc. | Absorbent garment with color changing fit indicator |
US20060094318A1 (en) * | 2002-12-16 | 2006-05-04 | Gunze Limited | Medical film |
Family Cites Families (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4319236A (en) * | 1980-08-07 | 1982-03-09 | Barber-Colman Company | Hall effect position detector |
US4473077A (en) * | 1982-05-28 | 1984-09-25 | United States Surgical Corporation | Surgical stapler apparatus with flexible shaft |
US4993428A (en) * | 1990-02-12 | 1991-02-19 | Microstrain Company | Method of and means for implanting a pressure and force sensing apparatus |
US5443198A (en) * | 1991-10-18 | 1995-08-22 | United States Surgical Corporation | Surgical fastener applying apparatus |
US5526820A (en) * | 1994-09-19 | 1996-06-18 | Myelotec, Inc. | Catheter with integral pressure sensor |
US5722419A (en) | 1994-11-30 | 1998-03-03 | Semmlow; John L. | System for determining the viability of tissue |
US6569108B2 (en) * | 2001-03-28 | 2003-05-27 | Profile, Llc | Real time mechanical imaging of the prostate |
WO2003090630A2 (en) * | 2002-04-25 | 2003-11-06 | Tyco Healthcare Group, Lp | Surgical instruments including micro-electromechanical systems (mems) |
AU2004249287B2 (en) * | 2003-06-20 | 2009-12-24 | Covidien Lp | Surgical stapling device |
-
2006
- 2006-06-05 US US11/446,646 patent/US20060276726A1/en not_active Abandoned
-
2010
- 2010-08-17 US US12/857,803 patent/US8529599B2/en not_active Expired - Fee Related
Patent Citations (27)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4204544A (en) * | 1977-09-30 | 1980-05-27 | California Institute Of Technology | Simultaneous muscle force and displacement transducer |
US4206980A (en) * | 1978-04-24 | 1980-06-10 | Minnesota Mining And Manufacturing Company | Reversibly transparent-translucent film and method of making same |
US4319238A (en) * | 1979-02-06 | 1982-03-09 | Nippon Kogaku K.K. | Camera display device |
US4294015A (en) * | 1979-12-27 | 1981-10-13 | Ecole Polytechnique | Extensometer |
US4576167A (en) * | 1981-09-03 | 1986-03-18 | United States Surgical Corporation | Surgical stapler apparatus with curved shaft |
US4646745A (en) * | 1981-09-03 | 1987-03-03 | United States Surgical Corporation | Surgical stapler apparatus with curved shaft |
US5119983A (en) * | 1987-05-26 | 1992-06-09 | United States Surgical Corporation | Surgical stapler apparatus |
US20030021903A1 (en) * | 1987-07-17 | 2003-01-30 | Shlenker Robin Reneethill | Method of forming a membrane, especially a latex or polymer membrane, including multiple discrete layers |
US20010018095A1 (en) * | 1987-07-17 | 2001-08-30 | Shlenker Robin Renee Thill | Method of forming a membrant, especially a latex or polymer membrane, including multiple discrete layers |
US4813435A (en) * | 1988-04-25 | 1989-03-21 | Micro Strain Company | Implantable displacement sensor means |
US5005749A (en) * | 1988-07-01 | 1991-04-09 | United States Surgical Corp. | Anastomosis surgical stapling instrument |
US4993426A (en) * | 1988-07-21 | 1991-02-19 | Spencer Teresa A | Blood collector cylinder with needle ejector |
US5016479A (en) * | 1989-04-12 | 1991-05-21 | The Bionetics Corporation | Tension gauge for thin materials |
US5083573A (en) * | 1990-02-12 | 1992-01-28 | Arms Steven W | Method of and means for implanting a pressure and force sensing apparatus |
US5071420A (en) * | 1991-04-25 | 1991-12-10 | Depuy Du Pont Orthopaedics | Isometry testing device |
US5605035A (en) * | 1991-08-01 | 1997-02-25 | University Of Strathclyde | Rope with strain damage indicator |
US6053390A (en) * | 1992-05-19 | 2000-04-25 | United States Surgical | Anvil for surgical stapler |
US5306979A (en) * | 1992-10-07 | 1994-04-26 | Schwarz Jr John F | Multiplexing incremental linear actuator system |
US5772419A (en) * | 1993-04-05 | 1998-06-30 | Danfoss A/S | Hydraulic machine comprising a gearwheel and annual gear having trochoid tooth sections |
US5588579A (en) * | 1994-08-25 | 1996-12-31 | United States Surgical Corporation | Anvil for circular stapler |
US5895413A (en) * | 1996-03-01 | 1999-04-20 | Nordstroem; Rolf E. A. | Surgical suture |
US20020099315A1 (en) * | 1999-11-29 | 2002-07-25 | Michael Lebner | Bandage for wound or incision closure |
US20040010276A1 (en) * | 2000-05-19 | 2004-01-15 | Daniel Jacobs | Multi-point tissue tension distribution device and method, a chin lift variation |
US20040148020A1 (en) * | 2002-11-12 | 2004-07-29 | Vidlund Robert M. | Devices and methods for heart valve treatment |
US20060094318A1 (en) * | 2002-12-16 | 2006-05-04 | Gunze Limited | Medical film |
US20050080454A1 (en) * | 2003-10-08 | 2005-04-14 | Drews Michael J. | Attachment device and methods of using the same |
US20060068168A1 (en) * | 2004-09-30 | 2006-03-30 | Kimberly-Clark Worldwide, Inc. | Absorbent garment with color changing fit indicator |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070282181A1 (en) * | 2006-06-01 | 2007-12-06 | Carol Findlay | Visual medical sensor indicator |
ES2630977A1 (en) * | 2016-02-23 | 2017-08-25 | Universitat De Lleida | Instrument for measuring parameters associated with an incision in a tissue and procedure for measuring parameters in an incision in a fabric by means of such instrument (Machine-translation by Google Translate, not legally binding) |
DE102016118673A1 (en) * | 2016-09-30 | 2018-04-05 | Isar-M Gmbh | System for the early detection of post-operative bleeding |
US11793409B2 (en) | 2016-09-30 | 2023-10-24 | Isar-M Gmbh | System for the early detection of postoperative bleeding |
Also Published As
Publication number | Publication date |
---|---|
US8529599B2 (en) | 2013-09-10 |
US20100312146A1 (en) | 2010-12-09 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US8529599B2 (en) | Tissue tension detection system | |
US10383626B2 (en) | Method and system to determine an optimal tissue compression time to implant a surgical element | |
EP1834594B1 (en) | System to determine an optimal tissue compression time to implant a surgical element | |
AU2012238268B2 (en) | System and method of using simulation reload to optimize staple formation | |
US20160220150A1 (en) | Surgical instrument with magnetic sensor | |
AU2010203027B2 (en) | Surgical stapling apparatus | |
BRPI0903653A2 (en) | stapling surgical instrument with device to indicate when the instrument has made a tissue cut | |
EP3381380A2 (en) | Surgical implants including sensing fibers | |
AU2013200752B2 (en) | Mechanically tuned buttress material to assist with proper formation of surgical element in diseased tissue | |
AU2012201028B2 (en) | Method and system to determine an optimal tissue compression time to implant a surgical element | |
AU2015201050A1 (en) | System and method of using simulation reload to optimize staple formation |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: TYCO HEALTHCARE GROUP LP, CONNECTICUT Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:HOLSTEN, HENRY E.;REEL/FRAME:018174/0168 Effective date: 20060807 |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |