US3844289A - Hemostat and attachment for suturing organic tubular structures - Google Patents

Hemostat and attachment for suturing organic tubular structures Download PDF

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Publication number
US3844289A
US3844289A US00350956A US35095673A US3844289A US 3844289 A US3844289 A US 3844289A US 00350956 A US00350956 A US 00350956A US 35095673 A US35095673 A US 35095673A US 3844289 A US3844289 A US 3844289A
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US
United States
Prior art keywords
cartridge
hemostat
staple
jaws
bleeder
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.)
Expired - Lifetime
Application number
US00350956A
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English (en)
Inventor
D Noiles
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
United States Surgical Corp
SURGICAL CORP
Original Assignee
SURGICAL CORP
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by SURGICAL CORP filed Critical SURGICAL CORP
Priority to US00350956A priority Critical patent/US3844289A/en
Priority to CA196,765A priority patent/CA1033248A/en
Priority to DE19742417621 priority patent/DE2417621C3/de
Priority to GB1595974A priority patent/GB1456900A/en
Priority to JP49040074A priority patent/JPS5832982B2/ja
Priority to SU7402020816A priority patent/SU580805A3/ru
Application granted granted Critical
Publication of US3844289A publication Critical patent/US3844289A/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • 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
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/53—Means to assemble or disassemble
    • Y10T29/53709—Overedge assembling means
    • Y10T29/53783—Clip applier

Definitions

  • the cartridge is subsequently moved so that the closed forward end of the cartridge is displaced away from a position surrounding the hemostat jaws and into a position surrounding the bleeder.
  • the cartridge is activated by the surgeon, and a U-shaped staple is urged forward, made to surround the bleeder and then seals the same. After the seal, the hemostat is removed.
  • Means are provided for preventing misfiring of the cartridge when a staple is in an improper position, or when the cartridge is exhausted of its supply of staples.
  • a significant drawback of known mechanical ligation apparatus relates to the effectiveness of the staple formation.
  • the known devices there exists the threat that the staple will pierce the vessel and/or the surrounding tissue and result in the incomplete sealing thereof.
  • a further drawback relates to the complexity of such known devices. Manufacturing tolerances are very strict, and hence it becomes rather difficult to ensure the proper functioning of the assembled device. And also related to the close tolerances, the known devices tend to be quite susceptible to shock.
  • the known ligation devices are somewhat difficult to manipulate and operate.
  • an important drawback of the prior art instruments is the lack of total control over the vessel to be ligated.
  • a further disadvantage of those devices known to the prior art is that the surgeon is able to activate the stapling assembly even if a staple is out of alignment or if the stapling assembly is void of staples.
  • the present invention relates to a hemostat and an associated apparatus for clamping an organic tubular structure and ligating same with a surgical stapler in an efficient and effective manner.
  • the inventive apparatus comprises the combination of a specially designed hemostat nd a disposable staple-carrying cartridge movably mounted thereon.
  • the hemostat and cartridge associate in such a manner that when the cartridge is in its retracted position, the. hemostat may be freely operated to clamp a bleeder between the jaws thereof. Then, once the structure to be ligated is properly positioned in the jaws of the hemostat, the cartridge is moved past the nose of the hemostat and around the bleeder.
  • the cartridge is actuated, a U-shaped staple is urged toward the bleeder, and by means of an anvil assembly, the staple is safely and positively clinched about the bleeder.
  • the cartridge is then retracted, and the hemostat is removed.
  • the cartridge associates with the hemostat so that the hemostat jaws are free to operate, notwithstanding the presence of the cartridge. And the cartridge jaws are adapted to close before associating with the bleeder," thereby ensuring complete encirclement of the bleeder when the cartridge is in its stapling position. At the same time the mechanics of the stapling operation effectively prevents the occurrence of damage to the structure being ligated.
  • Another object of the invention is to provide a combination of elements for clamping and ligating an organic tubular structure in a manner which ensures complete control over the structure to be ligated.
  • Still a further specific object of the present invention is to provide a combination of elements for clamping and ligating an organic tubular structure, including means for preventing damage to the structure in the event that a staple is misaligned or jammed, or in the event that the cartridge is empty.
  • Still another object of the present invention is to provide a sterile disposable pre-packaged staple-carrying cartridge which is adapted to be movably mounted on the hemostat, the combination adapted to clamp and ligate an organic tubular structure.
  • Another specific object of the present invention is to provide the combination of a hemostat and a staplecarrying cartridge for clamping and ligating an organic tubular structure ensuring free operation of the hemostat when the cartridge is in its stored position and positive encirclement of the structure to be ligated when the cartridge is in its stapling position.
  • FIG. 1 is a plan view of a hemostat equipped with a disposable staple-carrying cartridge designed in accordance with the teachings of the present invention
  • FIG. 2 is a view of the hemostat-cartridge combination taken along line 22 of FIG. 1',
  • FIG. 3 is a view similar to FIG. 2 illustrating one stage in the operation of the inventive hemostat-cartridge combination
  • FIG. 4 is a view similar to FIG. 3 illustrating a later stage in the operation of the inventive hemostatcartridge combination
  • FIG. 5 is a view similar to FIG. 4 but showing the inventive hemostat-cartridge combination in still a later stage of its operation;
  • FIG. 6 is a front view of the inventive hemostatcartridge combination
  • FIG. 7 illustrates the placement of a staple about a bleeder
  • FIG. 8 is a view illustrating a hemostat-cartridge combination designed in accordance with a second embodiment of the present invention.
  • FIG. 9 is a view similar to FIG. 8, but showing the hemostat-cartridge combination in a later stage of its operation;
  • FIG. 10 is a cross-section of the inventive cartridge taken along line III-10 of FIG. 8;
  • FIG. 11 is an enlarged cross-section of the failsafe structure in the inventive cartridge.
  • the inventive combination is shown generally at 10 and comprises, basically, a hemostat l2 and an attached disposable staple-carrying cartridge assembly I4.
  • the hemostat 12 comprises a pair of handle portions 16 and I8 integral, respectively, with jaws 20 and 22.
  • a pivot pin 24 maintains the hemostat elements as a unit, and a conventional multi-position lock 26 on the handle portions 16 and 18 allows the hemostat to be clamped in any desired position.
  • the cartridge assembly 14 is of two-piece design.
  • the first is a mounting element 28 which is removably fastened on the hemostat 12.
  • the second is a staplecarrying cartridge 30 slidably mounted on element 28.
  • Four pins 32 are fixed with respect to the cartridge 30 and are adapted to associate with slots 34 in the mounting elements 28 to guide the cartridge 30 during its movement relative to the mounting element 28 and the hemostat 12. It should be noted that the slots 34 substantially parallel the gripping jaws 20 and 22 of the hemostat I2.
  • the rear portion of the mounting element 28 takes the form of an elongated extension 36 terminating in a pair of clips 38 adapted to grip the handle 16 of the hemostat 12.
  • a leaf spring 40 is positioned between the inner surface ofextension 36 and the elongated handle portion 16 of the hemostat 12.
  • the side of the mounting element 28 opposite the extension 36 is represented by the numeral 42 which, as best seen in FIGS. 1 and 6, is bent at 44 so as to contact the jaw 20 of hemostat 12. In this manner, the integral handle portion 16 and jaw portion 20 of the hemostat 12 is held between the leaf spring 40 and the surface 44 of the mounting element 28.
  • the extension 36 of mounting element 28 is supported by an intermediate section 46 which, as can best be seen in FIGS. 1 and 2, is cutback at 48. In this manner, the nose portion 22 of the hemostat I2 is free to open and close without interference from the mounting element. Forward of the intermediate region 46, and
  • a parallel guide plate 52 extends from the mounting element side 42 and serves to define thelower slot 34. The manner in which the plates 50 and 52 guide the cartridge 30 can be seen in FIG. 6.
  • the inventive cartridge 30 generally comprises a main body 54, preferably of plastic, a three-piece rail assembly 56, the forward nose of which defines an anvil 58, and a staple pusher and ejector 60.
  • the cartridge 30 is further provided with a first leaf spring assembly 62 fixedly attached to the plastic main body 54, and a second leaf spring assembly 64 fixedly attached to the rail assembly 56.
  • a number of surgical staples 66 are housed in the cartridge 30 and are adapted to travel, initially, in a feed track 68, and then in an ejection track 70. And as is the case with the cartridge disclosed in U.S. Pat. No. 3,665,924, the staples are indexed and moved from the feed track 68 to the ejection track 70 for each cycle of operation and by means of the cooperating leaf spring assemblies 62 and 64.
  • the inventive cartridge 30 is fit with a closure sleeve 72 integral with the rear portion of the rail assembly 56.
  • a lock 73 is defined in the forward portion of the closure sleeve 72.
  • the cartridge 30 is also provided with a plunger 76 which associates with the rear portion of the pusher 60.
  • the closure sleeve 72 and the plunger 76 control, respectively, the rail assembly 56 and the pusher 60, and hence control the operation of the cartridge 30.
  • FIGS. 1 through 5 and 11 With specific reference now to FIGS. 1 through 5 and 11, the operation of the inventive hemostat-cartridge combination will be described.
  • the closure sleeve 72 With the closure sleeve 72 in its forwardmost position (FIG. I), the rail assembly 56 is spaced from the main body 54 and hence defines a gap 78 in the forward end of the cartridge elements.
  • the hemostat I2 With the cartridge in this position, the hemostat I2 is opened, with the upperjaw 22 passing through the cartridge gap 78 and into the position illustrated in phantom in FIG. 1. Then, the bleeder" 80 is located and is clamped between the jaws of the hemostat as illustrated in FIG. 2.
  • the next step in the operation occurs when the surgeon applies a force to the plunger 76, in the direction of arrow 86.
  • the pusher 60 moves toward the front of the cartridge 30 and slides the forwardmost staple 66 along the ejection track 70 and the rail assembly 56 ultimately forming the staple 66 around the bleeder 80 and against the anvil 58.
  • the combination takes the form illustrated in FIG. 5.
  • the staple as is more fully described in U.S. Pat. No. 3,683,927, takes a C-shape and hence ensures complete sealing of the bleeder 80 while minimizing the risk of injury thereto.
  • a stapled bleeder is illustrated in FIG. 7.
  • the surgeon retracts the plunger 76, unlocks and advances the closure sleeve 72, and then opens the hemostat jaws and 22 thereby releasing the fully stapled and sealed bleeder 80.
  • the cartridge is indexed, as is fully described in U.S. Pat. No. 3,665,924, when the rail assembly 56 is moved away from the main body 54. This movement causes the forwardmost staple in the feedtrack 68 to move into the ejection track 70 in readiness for the next stapling operation, while each remaining staple in the feed track advances to the next forward position.
  • FIGS. 8 and 9 a second and simplified embodiment of the inventive hemostatcartridge assembly will be described.
  • the hemostat 12' is equipped with a mounting element 28' identical in most respects to that illustrated in FIGS. 1 through 6.
  • a cartridge 30' also similar in most respects to the cartridge 30 illustrated in FIGS. 1 through 6, is positioned on the mounting element 28.
  • the mounting element 28' is equipped with a tab 88 which, by means of pin 90, pivotally secures the cartridge 30 to the hemostat 12.
  • the jaws 92 of the hemostat 12' are shaped so that the cartridge 30' may pivot from the position illustrated in FIG. 8 to the position illustrated in FIG. 9 without interference from the jaws.
  • FIGS. 8 and 9 operates similar to the combination illustrated in FIGS. 1 through 6.
  • the hemostat jaws 92 are opened.
  • the bleeder is then positioned between the jaws, and the jaws are closed.
  • the trigger 74 is retracted, and the gap closed and locked in position.
  • the cartridge 30 is pivoted, in the direction of arrow 94, so as to take the position illustrated in FIG. 9.
  • the plunger 76 is advanced and the pusher 60 ejects and forms the forwardmost staple 66 about the 37 bleeder 80.
  • the plunger Upon completion of the stapling operation, the plunger is retracted, the lock on the closure sleeve 72 is released, and the sleeve 72 is advanced. Then, with the rail assembly 56 again spaced from the body 54 of the cartridge 30, the hemostat jaws are opened and the stapled bleeder is released.
  • the embodiment of the invention illustrated in FIGS. 8 and 9 ensures full control over the bleeder in all stages of the positioning and stapling operations. And because of the cartridge design and stapling method, the embodiment of the invention illustrated in FIGS. 8 and 9 also ensures that the bleedcr is effectively stapled without the fear of damage thereto.
  • a drawback of the prior art hemostat staplers is that a full stapling operation may be carried out by the surgeon even though a staple is misaligned in the cartridge or the cartridge is void of staples.
  • the inventive cartridge as will be more fully explained below, is provided with a fail-safe feature to block the full operation of the cartridge unless a properly aligned staple is present in the ejection track 70. This feature of the inventive cartridge will become clear when reference is made to FIGS. 10 and 11.
  • the fail-safe feature of the inventive cartridge depends upon the interaction of a spring stop 96, the pusher 60 and a staple 66.
  • the spring stop 96 takes the form of an elongated leaf spring adapted to fit, at its rear region, about a projection 98 in the cartridge body 54.
  • the projection 98 is integral with and molded simultaneously with the main body 54.
  • a cup-shaped extension 100 At the forward end of the spring stop 96 is a cup-shaped extension 100 having a shape substantially conforming to that of the forward face of the pusher 60. At rest, the spring stop 96 is biased into the ejection track and takes the position illustrated in phantom in FIG. 11.
  • the operation of the fail-safe mechanism embodied in the inventive cartridge is as follows. With the jaws of the cartridge closed and the plunger 76 activated, the pusher 60 advances in the direction illustrated by arrow 102 of FIG. 11. The pusher freely advances until contact is made with the rear face of the forwardmost staple 66 which, as shown in FIG. 11, lies in the ejection track 70. Then, the pusher 60 advances the forwardmost staple 66 until the bridge I04 thereof contacts the cup-shaped extension 100 of the spring stop 96. While the staple 66 advances, its bridge 104 cams the extension 100 out of the ejection track 70 and into the position illustrated in solid lines in FIG. 11. The pusher 60 continues its forward journey until the staple 66 is ejected from the cartridge and formed about the bleeder.
  • the operation of the inventive hemostat-cartridge combination is varied. Under such circumstances, the pusher 60 is prevented from making its full forward thrust, and is hence prevented from contacting and injuring the bleeder" clamped between the jaws of the hemostat. Without the action of a staple camming the cup-shaped projection 100 of the spring stop 96 out of the ejection track 70, the forward face of the pusher 60 is captured by the projection 100. In the absence of a staple in the ejection track, the spring stop 96 remains in the position illustrated in phantom in FIG. 11. Accordingly, the inventive fail-safe mechanism ensures that the pusher 60 is blocked from the bleeder in all circumstances except when the cartridge houses a properly aligned staple in the ejection track.
  • said blocking means comprises a spring member biased toward the plane of the ejecting and clinching means and adapted to be biased out of said plane by a surgical staple.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Portable Nailing Machines And Staplers (AREA)
US00350956A 1973-04-13 1973-04-13 Hemostat and attachment for suturing organic tubular structures Expired - Lifetime US3844289A (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
US00350956A US3844289A (en) 1973-04-13 1973-04-13 Hemostat and attachment for suturing organic tubular structures
CA196,765A CA1033248A (en) 1973-04-13 1974-04-03 Hemostat and attachment for suturing organic tubular structures
DE19742417621 DE2417621C3 (de) 1973-04-13 1974-04-10 Klammer-Abbindeinstrument für rohrförmige organische Gebilde
GB1595974A GB1456900A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) 1973-04-13 1974-04-10
JP49040074A JPS5832982B2 (ja) 1973-04-13 1974-04-10 結「さつ」装置
SU7402020816A SU580805A3 (ru) 1973-04-13 1974-04-12 Аппарат дл механического наложени скобок на сосуды и ткани

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US00350956A US3844289A (en) 1973-04-13 1973-04-13 Hemostat and attachment for suturing organic tubular structures

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US3844289A true US3844289A (en) 1974-10-29

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US00350956A Expired - Lifetime US3844289A (en) 1973-04-13 1973-04-13 Hemostat and attachment for suturing organic tubular structures

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US (1) US3844289A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
JP (1) JPS5832982B2 (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
CA (1) CA1033248A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
GB (1) GB1456900A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
SU (1) SU580805A3 (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)

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US4372316A (en) * 1979-08-02 1983-02-08 Blake Joseph W Iii Surgical device
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US4412539A (en) * 1976-10-08 1983-11-01 United States Surgical Corporation Repeating hemostatic clip applying instruments and multi-clip cartridges therefor
USD273131S (en) 1981-10-02 1984-03-20 United States Surgical Corporation Surgical stapler
US4471780A (en) * 1982-02-05 1984-09-18 Ethicon, Inc. Multiple ligating clip applier instrument
US4480640A (en) * 1980-04-22 1984-11-06 Senco Products, Inc. Ligating device
US4532925A (en) * 1979-08-02 1985-08-06 Joseph W. Blake, III Ligator device
US4549544A (en) * 1983-10-31 1985-10-29 Senmed, Inc. Clip stop for a surgical ligating instrument
USD281624S (en) 1983-03-30 1985-12-03 United States Surgical Corporation Surgical staple remover
US4576165A (en) * 1984-01-23 1986-03-18 United States Surgical Corporation Surgical ligation and cutting device with safety means
US4624254A (en) * 1982-02-17 1986-11-25 United States Surgical Corporation Apparatus for applying surgical clips
US4662374A (en) * 1979-08-02 1987-05-05 American Hospital Supply Corp. Ligator device
GB2233903A (en) * 1989-07-13 1991-01-23 Vijay Kumar Choudhury Dissecting-cum-haemostapling scissors
US5031814A (en) * 1989-05-26 1991-07-16 United States Surgical Corporation Locking mechanism for surgical fastening apparatus
US5071052A (en) * 1988-09-22 1991-12-10 United States Surgical Corporation Surgical fastening apparatus with activation lockout
US5106008A (en) * 1989-05-26 1992-04-21 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
US5129570A (en) * 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5156315A (en) * 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5156614A (en) * 1990-09-17 1992-10-20 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5253793A (en) * 1990-09-17 1993-10-19 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
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US5706998A (en) * 1995-07-17 1998-01-13 United States Surgical Corporation Surgical stapler with alignment pin locking mechanism
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US7077856B2 (en) 1999-06-02 2006-07-18 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
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US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US7743960B2 (en) 2002-06-14 2010-06-29 Power Medical Interventions, Llc Surgical device
US7803151B2 (en) 2001-12-04 2010-09-28 Power Medical Interventions, Llc System and method for calibrating a surgical instrument
US7914543B2 (en) * 2003-10-14 2011-03-29 Satiety, Inc. Single fold device for tissue fixation
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US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US7963433B2 (en) 2007-09-21 2011-06-21 Tyco Healthcare Group Lp Surgical device having multiple drivers
US8007505B2 (en) 2003-10-14 2011-08-30 Ethicon Eado-Surgery, Inc. System for tissue approximation and fixation
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US9113878B2 (en) 2002-01-08 2015-08-25 Covidien Lp Pinion clip for right angle linear cutter
US9968363B2 (en) 2014-10-20 2018-05-15 Joseph W. Blake, III Multi-clip applier
US10098641B1 (en) 2014-08-21 2018-10-16 Joseph W Blake, III Jaws and cams for clip applying instruments
US10779838B1 (en) 2013-11-13 2020-09-22 Joseph W Blake, III Instrument for serially applying clips to a surgical site

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USD273131S (en) 1981-10-02 1984-03-20 United States Surgical Corporation Surgical stapler
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US4624254A (en) * 1982-02-17 1986-11-25 United States Surgical Corporation Apparatus for applying surgical clips
USD281624S (en) 1983-03-30 1985-12-03 United States Surgical Corporation Surgical staple remover
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US4576165A (en) * 1984-01-23 1986-03-18 United States Surgical Corporation Surgical ligation and cutting device with safety means
US5071052A (en) * 1988-09-22 1991-12-10 United States Surgical Corporation Surgical fastening apparatus with activation lockout
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US5031814A (en) * 1989-05-26 1991-07-16 United States Surgical Corporation Locking mechanism for surgical fastening apparatus
US5106008A (en) * 1989-05-26 1992-04-21 United States Surgical Corporation Locking mechanism for a surgical fastening apparatus
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GB2233903B (en) * 1989-07-13 1993-06-09 Vijay Kumar Choudhury Dissecting-cum haemostapling/cauterization scissors
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US5352238A (en) * 1990-09-17 1994-10-04 United States Surgical Corporation Apparatus for applying two-part surgical fasteners
US5379933A (en) * 1990-09-17 1995-01-10 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5156315A (en) * 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
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US5470009A (en) * 1990-12-06 1995-11-28 United States Surgical Corporation Surgical fastening apparatus with locking mechanism
US5470006A (en) * 1990-12-06 1995-11-28 United States Surgical Corporation Surgical fastening apparatus with locking mechanism
US5445304A (en) * 1990-12-18 1995-08-29 United States Surgical Corporation Safety device for a surgical stapler cartridge
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US5358506A (en) * 1991-03-14 1994-10-25 United States Surgical Corporation Approximating apparatus for surgical jaw structure
US5336232A (en) * 1991-03-14 1994-08-09 United States Surgical Corporation Approximating apparatus for surgical jaw structure and method of using the same
US5458279A (en) * 1991-05-14 1995-10-17 Minnesota Mining And Manufacturing Company Surgical stapler with safety feature
US5413267A (en) * 1991-05-14 1995-05-09 United States Surgical Corporation Surgical stapler with spent cartridge sensing and lockout means
US5462215A (en) * 1991-10-18 1995-10-31 United States Surgical Corporation Locking device for an apparatus for applying surgical fasteners
US5366133A (en) * 1991-10-18 1994-11-22 United States Surgical Corporation Surgical fastening apparatus with shipping interlock
US5465896A (en) * 1991-11-07 1995-11-14 United States Surgical Corporation Linear surgical stapling instrument
US5485947A (en) * 1992-07-20 1996-01-23 Ethicon, Inc. Linear stapling mechanism with cutting means
US6716232B1 (en) 1993-04-30 2004-04-06 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
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US5893506A (en) * 1994-03-01 1999-04-13 United States Surgical Corporation Surgical stapler with anvil sensor and lockout
US5894979A (en) * 1994-03-01 1999-04-20 United States Surgical Corporation Surgical stapler with anvil sensor and lockout
US5630539A (en) * 1994-05-02 1997-05-20 United States Surgical Corporation Laparoscopic stapler with overload sensor and interlock
US5586711A (en) * 1994-05-02 1996-12-24 United States Surgical Corporation Surgical stapler with mechanisms for reducing the firing force
US5535935A (en) * 1994-05-02 1996-07-16 United States Surgical Corporation Surgical stapler with mechanisms for reducing the firing force
US5470007A (en) * 1994-05-02 1995-11-28 Minnesota Mining And Manufacturing Company Laparoscopic stapler with overload sensor and interlock
US5489058A (en) * 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5816471A (en) * 1994-05-02 1998-10-06 United States Surgical Corporation Surgical stapler with mechanisms for reducing the firing force
US5988479A (en) * 1994-12-13 1999-11-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5636779A (en) * 1994-12-13 1997-06-10 United States Surgical Corporation Apparatus for applying surgical fasteners
US5735445A (en) * 1995-03-07 1998-04-07 United States Surgical Corporation Surgical stapler
US5706998A (en) * 1995-07-17 1998-01-13 United States Surgical Corporation Surgical stapler with alignment pin locking mechanism
US5718359A (en) * 1995-08-14 1998-02-17 United States Of America Surgical Corporation Surgical stapler with lockout mechanism
US5715988A (en) * 1995-08-14 1998-02-10 United States Surgical Corporation Surgical stapler with lockout mechanism
US6109500A (en) * 1996-10-04 2000-08-29 United States Surgical Corporation Lockout mechanism for a surgical stapler
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US9033868B2 (en) 1999-06-02 2015-05-19 Covidien Lp Couplings for interconnecting components of an electro-mechanical surgical device
US8690913B2 (en) 1999-06-02 2014-04-08 Covidien Lp Electromechanical drive and remote surgical instrument attachment having computer assisted control capabilities
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
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US6849079B1 (en) * 2002-12-10 2005-02-01 Joseph W. Blake, III Clip detent spring for repeating multi-clip applier
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US9968363B2 (en) 2014-10-20 2018-05-15 Joseph W. Blake, III Multi-clip applier

Also Published As

Publication number Publication date
DE2417621A1 (de) 1974-11-07
GB1456900A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) 1976-12-01
DE2417621B2 (de) 1976-06-16
SU580805A3 (ru) 1977-11-15
JPS5832982B2 (ja) 1983-07-16
JPS508390A (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) 1975-01-28
CA1033248A (en) 1978-06-20

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