WO2015100285A1 - Coupling features for ultrasonic surgical instrument - Google Patents

Coupling features for ultrasonic surgical instrument Download PDF

Info

Publication number
WO2015100285A1
WO2015100285A1 PCT/US2014/072040 US2014072040W WO2015100285A1 WO 2015100285 A1 WO2015100285 A1 WO 2015100285A1 US 2014072040 W US2014072040 W US 2014072040W WO 2015100285 A1 WO2015100285 A1 WO 2015100285A1
Authority
WO
WIPO (PCT)
Prior art keywords
assembly
transducer
waveguide
shaft assembly
motor
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.)
Ceased
Application number
PCT/US2014/072040
Other languages
English (en)
French (fr)
Inventor
Sean P. Conlon
David J. Cagle
David A. Monroe
John A. Hibner
Cole Constantineau
Saeed Sokhanvar
Michel Bruehwiler
Daniel YASEVAC
Mohammadreza RAMEZANIFARD
Judy WALISH
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.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
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 Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Priority to BR112016015023-6A priority Critical patent/BR112016015023B1/pt
Priority to CN201480071062.XA priority patent/CN105939679B/zh
Priority to EP14831133.5A priority patent/EP3086722B1/en
Priority to JP2016542900A priority patent/JP6495297B2/ja
Publication of WO2015100285A1 publication Critical patent/WO2015100285A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/0046—Surgical instruments, devices or methods with a releasable handle; with handle and operating part separable
    • A61B2017/00473—Distal part, e.g. tip or head
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00477—Coupling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320071—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320089—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic node location
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/031—Automatic limiting or abutting means, e.g. for safety torque limiting

Definitions

  • FIG. 23B depicts a side elevational view of the lever arm of the handle assembly of FIG. 16 moved into a second rotational position
  • FIG, 23C depicts a side elevational view of the lever arm of the handle assembly of FIG, 16 moved into a third rotational position
  • FIG. 23D depicts a side elevational view of the lever arm of the handle assembly of FIG. 16 moved into a fourth rotational position
  • FIG. 42 depicts a perspective view of yet another exemplar ⁇ ' coupling mechanism:
  • FIG, 49C depicts an elevational view of the waveguide of FIG. 47 completely disposed within the transducer of FIG. 48 and rotated into a second rotational position;
  • FIG. 53D depicts a perspective view of the shaft assembly and ultrasonic transducer of FIG. 53A with the shaft assembly threaded onto the ultrasonic transducer;
  • FIG. 55 depicts another perspective view of the assembly of FIG. 54;
  • FIG , 56A depicts a side elevational view of a lever, sector gear, and driven gear of the assembly of FIG. 54, in a first configuration;
  • FIG . 56C depicts a side elevational view of the lever, sector gear, and driven gear of the assembly of FIG. 54, in a third configuration.
  • trigger (28) that is pivotabie toward and away from pistol grip (24). It should be understood, however, that various other suitable configurations may be used, including but not limited to a scissor grip configuration. As shown in FIG. 4, trigger (28) is pivotably coupled to handle assembly (20) via a pin (23A) such that trigger (28) rotates about an axis located below shaft assembly (30),
  • An ultrasonic transducer assembly (12) extends proximally from body (22) of handle assembly (20). While transducer assembly (12) is shown in FIG. 1 , transducer assembly (12) is omitted from FIG. 4. Transducer assembly (12) is coupled with a generator (16) via a cable (14). Transducer assembly (12) receives electrical power from generator (16) and converts that power into ultrasonic vibrations through piezoelectric principles.
  • Generator (16) may include a power source and control module that is configured to provide a power profile to transducer assembly (12) that is particularly suited for the generation of ultrasonic vibrations through transducer assembly (12).
  • generator (16) may comprise a. GEN 300 sold by Ethieon Endo- Surgery, Inc.
  • generator (16) may be constructed in accordance with at least some of the teachings of U.S. Pub. No. 201 1/0087212, entitled “Surgical Generator for Ultrasonic and Electros urgical Devices,” published April 14, 201 1 , the disclosure of which is incorporated by reference herein. It should also be understood that at least some of the functionality of generator (16) may be integrated into handle assembly (20), and that handle assembly (20) may even include a battery or other on -board power source such that cable (14) is omitted. Still other suitable forms that generator (16) may take, as well as various features and operabilities that generator (16) may provide, will be apparent to those of ordinary skill in the art in view of the teachings herein.
  • housing (280) drives shaft assembly (230) proximally such that proximal engagement, housing (231 ) of shaft assembly (230) is positioned within keyed bore (223) of handle assembly (220). Also in this proximal position, stud (13) of transducer assembly (12) has been completely threaded into the waveguide.
  • FIG. 14D shows locking member (266) engaged with housing (280) via pi votal movement of trigger (228) toward pistol grip (224).
  • an encoder may be used to track the turns of the transducer assembly; and a control logic may stop motor (350) when the transducer assembly as turned through an angular range associated with an appropriate torque value.
  • a control module may further track a back electromotive force (EMF) associated with motor (350); and deactivate motor (350) in response to the back EMF reaching a. value associated with an appropriate torque value at the coupling of the threaded stud of the transducer and the waveguide.
  • EMF back electromotive force
  • lever arm (860) is pivoted relative to body (822) through the range of motion where teeth (864) engage gear (856), the drivetrain formed by gears (862, 856, 852, 848, 846, 844) will rotate clutch drive gear (840) in body (822), thereby rotating clutch ring (830) and transducer housing (812) within body (822).
  • FIGS. 56A-56B depict exemplary stages of operation.
  • FIG. 56A depicts lever arm (860) in an initial pivotal position.
  • the proximal end of a shaft assembly may be inserted into the distal end of body (822).
  • Locking member (880) is in a proximal position, where the distal end of locking member (880) prevents rotation of the shaft assembly relative to body (822).
  • locking member (880) may be resiliently biased to the proximal position by a coil spring, leaf spring, and/or some other resilient feature. The operator then pivots lever arm (860) from the position shown in FIG. 56A toward the position shown in FIG. 56B.
  • a sensor senses the pivotal movement of lever arm (860) and activates the motor to rotate clutch drive gear (840) in body (822), thereby rotating clutch ring (830) and transducer housing (812) within body (822).
  • This provides an initial threading of the threaded stud of the ultrasonic transducer into the proximal threaded recess of an acoustic waveguide as described elsewhere herein, it should be understood that, during the initial stages of the transition from the configuration shown in FIG. 56A to the configuration shown in FIG. 56B, sector gear (862) does not engage gear (856).
  • Clutch ring (830) and transducer housing (812) are thus driven solely by the motor during the initial stages of the transition from the configuration shown in FIG. 56A to the configuration shown in FIG. 56B.
  • FIGS. 42-44 show a waveguide (1022) and an inner tube (1024).
  • Waveguide (1022) comprises an internal threaded region (1023).
  • Threaded stud (1011) of a horn ; i 01 0 ⁇ is configured to be threaded into threaded region ( 1023) of waveguide (1022).
  • An exterior surface of inner tube ( 1024) defines a plurality of longitudinal recesses (1025) disposed in an angularly spaced array about inner tube (1024).
  • Horn (1010) extends coaxially through a keyed member (1026).
  • Keyed member (1026) comprises a plurality of inwardly extending projections (1027) configured to fit within longitudinal recesses (1025) of inner tube (5024).
  • notch (1046) allows waveguide (1042) to move along a transverse path relative to threaded stud (1044) in order to achieve axial alignment between waveguide (1042) and threaded stud (1044), This would enable a shaft assembly (30) incorporating waveguide (1042) to be side-loaded, top-loaded, or otherwise loaded relative to handle assembly (20) along a path that is transverse to the longitudinal axis of threaded stud (1044).

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Mechanical Engineering (AREA)
  • Biomedical Technology (AREA)
  • Dentistry (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
PCT/US2014/072040 2013-12-27 2014-12-23 Coupling features for ultrasonic surgical instrument Ceased WO2015100285A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
BR112016015023-6A BR112016015023B1 (pt) 2013-12-27 2014-12-23 Aparelho para operar em tecido
CN201480071062.XA CN105939679B (zh) 2013-12-27 2014-12-23 用于超声外科器械的联接结构
EP14831133.5A EP3086722B1 (en) 2013-12-27 2014-12-23 Coupling features for ultrasonic surgical instrument
JP2016542900A JP6495297B2 (ja) 2013-12-27 2014-12-23 超音波外科用器具の連結特徴部

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/142,216 US9539020B2 (en) 2013-12-27 2013-12-27 Coupling features for ultrasonic surgical instrument
US14/142,216 2013-12-27

Publications (1)

Publication Number Publication Date
WO2015100285A1 true WO2015100285A1 (en) 2015-07-02

Family

ID=52432917

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2014/072040 Ceased WO2015100285A1 (en) 2013-12-27 2014-12-23 Coupling features for ultrasonic surgical instrument

Country Status (6)

Country Link
US (1) US9539020B2 (enExample)
EP (1) EP3086722B1 (enExample)
JP (1) JP6495297B2 (enExample)
CN (1) CN105939679B (enExample)
BR (1) BR112016015023B1 (enExample)
WO (1) WO2015100285A1 (enExample)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113349889A (zh) * 2021-03-03 2021-09-07 安速康医疗(苏州)有限公司 超声手术刀与超声手术刀系统

Families Citing this family (211)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8414505B1 (en) 2001-02-15 2013-04-09 Hansen Medical, Inc. Catheter driver system
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US20130317519A1 (en) 2012-05-25 2013-11-28 Hansen Medical, Inc. Low friction instrument driver interface for robotic systems
US9668814B2 (en) 2013-03-07 2017-06-06 Hansen Medical, Inc. Infinitely rotatable tool with finite rotating drive shafts
US11213363B2 (en) 2013-03-14 2022-01-04 Auris Health, Inc. Catheter tension sensing
US9326822B2 (en) 2013-03-14 2016-05-03 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US9173713B2 (en) 2013-03-14 2015-11-03 Hansen Medical, Inc. Torque-based catheter articulation
US20140277334A1 (en) 2013-03-14 2014-09-18 Hansen Medical, Inc. Active drives for robotic catheter manipulators
US9498601B2 (en) 2013-03-14 2016-11-22 Hansen Medical, Inc. Catheter tension sensing
US20140276936A1 (en) 2013-03-15 2014-09-18 Hansen Medical, Inc. Active drive mechanism for simultaneous rotation and translation
US9408669B2 (en) 2013-03-15 2016-08-09 Hansen Medical, Inc. Active drive mechanism with finite range of motion
US9452018B2 (en) 2013-03-15 2016-09-27 Hansen Medical, Inc. Rotational support for an elongate member
US20140276647A1 (en) 2013-03-15 2014-09-18 Hansen Medical, Inc. Vascular remote catheter manipulator
US9763741B2 (en) 2013-10-24 2017-09-19 Auris Surgical Robotics, Inc. System for robotic-assisted endolumenal surgery and related methods
US9713509B2 (en) 2013-10-24 2017-07-25 Auris Surgical Robotics, Inc. Instrument device manipulator with back-mounted tool attachment mechanism
US9763662B2 (en) 2013-12-23 2017-09-19 Ethicon Llc Fastener cartridge comprising a firing member configured to directly engage and eject fasteners from the fastener cartridge
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US10349967B2 (en) 2014-02-28 2019-07-16 Ethicon Llc Ultrasonic surgical instrument with removable handle assembly
US10010340B2 (en) * 2014-02-28 2018-07-03 Ethicon Llc Ultrasonic surgical instrument with removable handle assembly
US10046140B2 (en) 2014-04-21 2018-08-14 Hansen Medical, Inc. Devices, systems, and methods for controlling active drive systems
US10569052B2 (en) 2014-05-15 2020-02-25 Auris Health, Inc. Anti-buckling mechanisms for catheters
US9561083B2 (en) 2014-07-01 2017-02-07 Auris Surgical Robotics, Inc. Articulating flexible endoscopic tool with roll capabilities
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US10980538B2 (en) 2015-08-26 2021-04-20 Ethicon Llc Surgical stapling configurations for curved and circular stapling instruments
MX2022009705A (es) 2015-08-26 2022-11-07 Ethicon Llc Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico.
BR112018003707B8 (pt) 2015-08-26 2023-05-16 Ethicon Llc Conjunto de cartucho de grampos
JP6828018B2 (ja) 2015-08-26 2021-02-10 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ステープルの特性変更を可能にし、カートリッジへの充填を容易にする外科用ステープルストリップ
MX2022006189A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10251648B2 (en) 2015-09-02 2019-04-09 Ethicon Llc Surgical staple cartridge staple drivers with central support features
KR102429651B1 (ko) * 2015-09-09 2022-08-05 아우리스 헬스, 인크. 수술 로봇 시스템을 위한 기구 장치 조작기
US9949749B2 (en) 2015-10-30 2018-04-24 Auris Surgical Robotics, Inc. Object capture with a basket
US10231793B2 (en) 2015-10-30 2019-03-19 Auris Health, Inc. Object removal through a percutaneous suction tube
US9955986B2 (en) 2015-10-30 2018-05-01 Auris Surgical Robotics, Inc. Basket apparatus
US10595864B2 (en) * 2015-11-24 2020-03-24 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
WO2017100412A1 (en) * 2015-12-08 2017-06-15 Reach Surgical, Inc. Ultrasonic surgical instrument
US10454347B2 (en) 2016-04-29 2019-10-22 Auris Health, Inc. Compact height torque sensing articulation axis assembly
US10702270B2 (en) 2016-06-24 2020-07-07 Ethicon Llc Stapling system for use with wire staples and stamped staples
JP6957532B2 (ja) 2016-06-24 2021-11-02 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ ワイヤステープル及び打ち抜き加工ステープルを含むステープルカートリッジ
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
BR112018076831B1 (pt) 2016-06-24 2023-01-31 Ethicon Llc Sistema de grampeamento cirúrgico
US11241559B2 (en) 2016-08-29 2022-02-08 Auris Health, Inc. Active drive for guidewire manipulation
AU2016422171B2 (en) 2016-08-31 2022-01-20 Auris Health, Inc. Length conservative surgical instrument
GB2554363B (en) * 2016-09-21 2021-12-08 Cmr Surgical Ltd User interface device
CN109890306A (zh) * 2016-10-28 2019-06-14 奥林巴斯株式会社 医疗用处置装置和医疗用处置装置的动作方法
US11602364B2 (en) 2016-11-16 2023-03-14 Cilag Gmbh International Surgical instrument with removable end effector components
US10646300B2 (en) 2016-12-14 2020-05-12 Ethicon Llc Ultrasonic surgical instrument with transducer locking feature
US10603129B2 (en) * 2016-12-14 2020-03-31 Ethicon Llc Ultrasonic surgical instrument with integral torque wrench and longitudinal engagement
US10660722B2 (en) * 2016-12-14 2020-05-26 Ethicon Llc Ultrasonic surgical instrument with integral shaft assembly torque wrench
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US20180168648A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Durability features for end effectors and firing assemblies of surgical stapling instruments
US10543048B2 (en) 2016-12-28 2020-01-28 Auris Health, Inc. Flexible instrument insertion using an adaptive insertion force threshold
US10244926B2 (en) 2016-12-28 2019-04-02 Auris Health, Inc. Detecting endolumenal buckling of flexible instruments
US11033316B2 (en) * 2017-05-22 2021-06-15 Cilag Gmbh International Combination ultrasonic and electrosurgical instrument having curved ultrasonic blade
TWI721278B (zh) * 2017-06-15 2021-03-11 大陸商天津瑞奇外科器械股份有限公司 超聲外科手術器械
US11026758B2 (en) 2017-06-28 2021-06-08 Auris Health, Inc. Medical robotics systems implementing axis constraints during actuation of one or more motorized joints
US11759224B2 (en) 2017-10-30 2023-09-19 Cilag Gmbh International Surgical instrument systems comprising handle arrangements
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11413042B2 (en) 2017-10-30 2022-08-16 Cilag Gmbh International Clip applier comprising a reciprocating clip advancing member
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
BR112020011444A2 (pt) 2017-12-11 2021-02-02 Auris Health, Inc. sistemas e métodos para arquiteturas de inserção baseadas em instrumentos
WO2019118767A1 (en) 2017-12-14 2019-06-20 Auris Health, Inc. System and method for estimating instrument location
CN211066895U (zh) * 2017-12-25 2020-07-24 上海逸思医疗科技有限公司 一种套管组件可拆卸的超声手术器械
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11213359B2 (en) 2017-12-28 2022-01-04 Cilag Gmbh International Controllers for robot-assisted surgical platforms
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US20190201112A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Computer implemented interactive surgical systems
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11672605B2 (en) 2017-12-28 2023-06-13 Cilag Gmbh International Sterile field interactive control displays
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US10918310B2 (en) 2018-01-03 2021-02-16 Biosense Webster (Israel) Ltd. Fast anatomical mapping (FAM) using volume filling
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US10898622B2 (en) 2017-12-28 2021-01-26 Ethicon Llc Surgical evacuation system with a communication circuit for communication between a filter and a smoke evacuation device
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
US11069012B2 (en) 2017-12-28 2021-07-20 Cilag Gmbh International Interactive surgical systems with condition handling of devices and data capabilities
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US12127729B2 (en) 2017-12-28 2024-10-29 Cilag Gmbh International Method for smoke evacuation for surgical hub
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11612408B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Determining tissue composition via an ultrasonic system
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US20190201027A1 (en) * 2017-12-28 2019-07-04 Ethicon Llc Surgical instrument with acoustic-based motor control
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US20190201090A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Capacitive coupled return path pad with separable array elements
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US10932872B2 (en) 2017-12-28 2021-03-02 Ethicon Llc Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11969142B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US12458351B2 (en) 2017-12-28 2025-11-04 Cilag Gmbh International Variable output cartridge sensor assembly
US10943454B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
WO2019133144A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Detection and escalation of security responses of surgical instruments to increasing severity threats
US11056244B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US20190206569A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method of cloud based data analytics for use with the hub
US12376855B2 (en) 2017-12-28 2025-08-05 Cilag Gmbh International Safety systems for smart powered surgical stapling
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US10849697B2 (en) 2017-12-28 2020-12-01 Ethicon Llc Cloud interface for coupled surgical devices
US10892899B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Self describing data packets generated at an issuing instrument
US10755813B2 (en) 2017-12-28 2020-08-25 Ethicon Llc Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US12096916B2 (en) 2017-12-28 2024-09-24 Cilag Gmbh International Method of sensing particulate from smoke evacuated from a patient, adjusting the pump speed based on the sensed information, and communicating the functional parameters of the system to the hub
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US12396806B2 (en) 2017-12-28 2025-08-26 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US10944728B2 (en) 2017-12-28 2021-03-09 Ethicon Llc Interactive surgical systems with encrypted communication capabilities
US10966791B2 (en) 2017-12-28 2021-04-06 Ethicon Llc Cloud-based medical analytics for medical facility segmented individualization of instrument function
US11051876B2 (en) 2017-12-28 2021-07-06 Cilag Gmbh International Surgical evacuation flow paths
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US10987178B2 (en) 2017-12-28 2021-04-27 Ethicon Llc Surgical hub control arrangements
US12062442B2 (en) 2017-12-28 2024-08-13 Cilag Gmbh International Method for operating surgical instrument systems
US11076921B2 (en) 2017-12-28 2021-08-03 Cilag Gmbh International Adaptive control program updates for surgical hubs
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US12207817B2 (en) 2017-12-28 2025-01-28 Cilag Gmbh International Safety systems for smart powered surgical stapling
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US20190201139A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Communication arrangements for robot-assisted surgical platforms
EP3740150A4 (en) 2018-01-17 2021-11-03 Auris Health, Inc. SURGICAL ROBOTIC SYSTEMS WITH ENHANCED ROBOTIC ARMS
US11246621B2 (en) * 2018-01-29 2022-02-15 Covidien Lp Ultrasonic transducers and ultrasonic surgical instruments including the same
US10582944B2 (en) 2018-02-23 2020-03-10 Covidien Lp Ultrasonic surgical instrument with torque assist feature
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US12303159B2 (en) 2018-03-08 2025-05-20 Cilag Gmbh International Methods for estimating and controlling state of ultrasonic end effector
US11701162B2 (en) 2018-03-08 2023-07-18 Cilag Gmbh International Smart blade application for reusable and disposable devices
US11399858B2 (en) 2018-03-08 2022-08-02 Cilag Gmbh International Application of smart blade technology
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11278280B2 (en) 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
US10973520B2 (en) 2018-03-28 2021-04-13 Ethicon Llc Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US11096688B2 (en) 2018-03-28 2021-08-24 Cilag Gmbh International Rotary driven firing members with different anvil and channel engagement features
US11197668B2 (en) 2018-03-28 2021-12-14 Cilag Gmbh International Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
KR102846224B1 (ko) 2018-06-27 2025-08-18 아우리스 헬스, 인코포레이티드 의료 기구를 위한 정렬 및 부착 시스템
WO2020069080A1 (en) 2018-09-28 2020-04-02 Auris Health, Inc. Devices, systems, and methods for manually and robotically driving medical instruments
EP3897440A4 (en) * 2018-12-17 2022-12-28 Covidien LP ROBOTIC SURGICAL SYSTEMS WITH ROBOT ARM ASSEMBLIES
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11298130B2 (en) 2019-02-19 2022-04-12 Cilag Gmbh International Staple cartridge retainer with frangible authentication key
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
CN113613580B (zh) 2019-03-22 2025-02-18 奥瑞斯健康公司 用于使医疗器械上的输入部对准的系统和方法
CN110123416B (zh) * 2019-05-01 2024-05-07 杭州康基医疗器械有限公司 超声换能器的浮动支撑结构
CN110403672B (zh) * 2019-05-01 2024-04-19 杭州康基医疗器械有限公司 超声医疗外科器械
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
US11376082B2 (en) * 2019-06-27 2022-07-05 Cilag Gmbh International Robotic surgical system with local sensing of functional parameters based on measurements of multiple physical inputs
US11896330B2 (en) 2019-08-15 2024-02-13 Auris Health, Inc. Robotic medical system having multiple medical instruments
WO2021064536A1 (en) 2019-09-30 2021-04-08 Auris Health, Inc. Medical instrument with capstan
WO2021137104A1 (en) 2019-12-31 2021-07-08 Auris Health, Inc. Dynamic pulley system
JP7640052B2 (ja) 2019-12-31 2025-03-05 オーリス ヘルス インコーポレイテッド 高度バスケット駆動モード
CN112315549A (zh) * 2020-06-04 2021-02-05 赛诺微医疗科技（浙江）有限公司 超声刀与换能器的连接机构及采用其的超声刀组件
CN217447937U (zh) * 2020-11-04 2022-09-20 安速康医疗(苏州)有限公司 超声手术刀
CN113796933A (zh) * 2021-10-12 2021-12-17 北京派尔特医疗科技股份有限公司 一种超声刀

Citations (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5322055A (en) 1993-01-27 1994-06-21 Ultracision, Inc. Clamp coagulator/cutting system for ultrasonic surgical instruments
US5776155A (en) * 1996-12-23 1998-07-07 Ethicon Endo-Surgery, Inc. Methods and devices for attaching and detaching transmission components
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
US20020055754A1 (en) * 1999-10-05 2002-05-09 Kevin Ranucci Utrasonic probe device with rapid attachment and detachment means
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US20060079874A1 (en) 2004-10-08 2006-04-13 Faller Craig N Tissue pad for use with an ultrasonic surgical instrument
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US20070282333A1 (en) 2006-06-01 2007-12-06 Fortson Reginald D Ultrasonic waveguide and blade
US20080200940A1 (en) 2007-01-16 2008-08-21 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US20090105750A1 (en) 2007-10-05 2009-04-23 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
EP2055243A2 (en) * 2007-10-31 2009-05-06 Tyco Healthcare Group LP Powered surgical instrument
US20100069940A1 (en) 2008-09-12 2010-03-18 Miller Matthew C Ultrasonic Device for Fingertip Control
US20110015660A1 (en) 2009-07-15 2011-01-20 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US20110087212A1 (en) 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US20110196402A1 (en) * 2010-02-11 2011-08-11 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US20120029546A1 (en) 2007-11-30 2012-02-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US20120112687A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Recharge system for medical devices
US20120138660A1 (en) * 2005-08-31 2012-06-07 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
EP2581055A2 (en) * 2011-10-10 2013-04-17 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with modular end effector
US20130324998A1 (en) * 2012-05-31 2013-12-05 Cory G. Kimball Loading cartridge for surgical instrument end effector

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5665100A (en) * 1989-12-05 1997-09-09 Yoon; Inbae Multifunctional instrument with interchangeable operating units for performing endoscopic procedures
US5582617A (en) * 1993-07-21 1996-12-10 Charles H. Klieman Surgical instrument for endoscopic and general surgery
CN1163558A (zh) * 1994-10-11 1997-10-29 查尔斯·H·克利曼 具有可拆卸的端部操作装置的内窥镜仪器
JP4109096B2 (ja) * 2002-01-11 2008-06-25 オリンパス株式会社 超音波処置具
US8226675B2 (en) * 2007-03-22 2012-07-24 Ethicon Endo-Surgery, Inc. Surgical instruments
US8808319B2 (en) * 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8939974B2 (en) * 2009-10-09 2015-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism
CN102148548B (zh) * 2010-02-09 2015-05-06 德昌电机(深圳)有限公司 医疗器械用马达组件
TWI571513B (zh) * 2011-09-28 2017-02-21 幹細胞生物科技股份有限公司 體幹細胞及其製備方法
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US10368892B2 (en) * 2013-11-22 2019-08-06 Ethicon Llc Features for coupling surgical instrument shaft assembly with instrument body

Patent Citations (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5322055A (en) 1993-01-27 1994-06-21 Ultracision, Inc. Clamp coagulator/cutting system for ultrasonic surgical instruments
US5322055B1 (en) 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
US5776155A (en) * 1996-12-23 1998-07-07 Ethicon Endo-Surgery, Inc. Methods and devices for attaching and detaching transmission components
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
US20020055754A1 (en) * 1999-10-05 2002-05-09 Kevin Ranucci Utrasonic probe device with rapid attachment and detachment means
US6773444B2 (en) 1999-10-05 2004-08-10 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
US20060079874A1 (en) 2004-10-08 2006-04-13 Faller Craig N Tissue pad for use with an ultrasonic surgical instrument
US20120138660A1 (en) * 2005-08-31 2012-06-07 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US20070282333A1 (en) 2006-06-01 2007-12-06 Fortson Reginald D Ultrasonic waveguide and blade
US20080200940A1 (en) 2007-01-16 2008-08-21 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US20090105750A1 (en) 2007-10-05 2009-04-23 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
EP2055243A2 (en) * 2007-10-31 2009-05-06 Tyco Healthcare Group LP Powered surgical instrument
US20120029546A1 (en) 2007-11-30 2012-02-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US20100069940A1 (en) 2008-09-12 2010-03-18 Miller Matthew C Ultrasonic Device for Fingertip Control
US20110015660A1 (en) 2009-07-15 2011-01-20 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US20110087212A1 (en) 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US20110196402A1 (en) * 2010-02-11 2011-08-11 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US20120112687A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Recharge system for medical devices
EP2581055A2 (en) * 2011-10-10 2013-04-17 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument with modular end effector
JP2013081779A (ja) * 2011-10-10 2013-05-09 Ethicon Endo Surgery Inc モジュラーエンドエフェクタを備えた超音波手術器具
US20130324998A1 (en) * 2012-05-31 2013-12-05 Cory G. Kimball Loading cartridge for surgical instrument end effector

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113349889A (zh) * 2021-03-03 2021-09-07 安速康医疗(苏州)有限公司 超声手术刀与超声手术刀系统

Also Published As

Publication number Publication date
US20150182250A1 (en) 2015-07-02
BR112016015023B1 (pt) 2022-08-30
JP2017500157A (ja) 2017-01-05
CN105939679B (zh) 2019-06-21
EP3086722B1 (en) 2021-06-30
US9539020B2 (en) 2017-01-10
JP6495297B2 (ja) 2019-04-03
EP3086722A1 (en) 2016-11-02
CN105939679A (zh) 2016-09-14
BR112016015023A2 (enExample) 2017-08-08

Similar Documents

Publication Publication Date Title
EP3086722B1 (en) Coupling features for ultrasonic surgical instrument
US12295608B2 (en) Rotation features for ultrasonic surgical instrument
US11723684B2 (en) Surgical instrument with motorized articulation drive in shaft rotation knob
EP3744267B1 (en) Surgical instrument with selectively locked articulation assembly
EP3282973B1 (en) Surgical instrument with rotatable shaft having plurality of locking positions
US9301772B2 (en) Loading cartridge for surgical instrument end effector
US20120116396A1 (en) Surgical instrument with modular end effector
EP3435895B1 (en) Surgical instrument with dual mode articulation drive
WO2015077139A1 (en) Methods and features for coupling ultrasonic surgical instrument components together
CA2816875A1 (en) Surgical instrument with modular end effector
US9700341B2 (en) Loading features for ultrasonic surgical instrument

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 14831133

Country of ref document: EP

Kind code of ref document: A1

ENP Entry into the national phase

Ref document number: 2016542900

Country of ref document: JP

Kind code of ref document: A

NENP Non-entry into the national phase

Ref country code: DE

REG Reference to national code

Ref country code: BR

Ref legal event code: B01A

Ref document number: 112016015023

Country of ref document: BR

REEP Request for entry into the european phase

Ref document number: 2014831133

Country of ref document: EP

WWE Wipo information: entry into national phase

Ref document number: 2014831133

Country of ref document: EP

ENP Entry into the national phase

Ref document number: 112016015023

Country of ref document: BR

Kind code of ref document: A2

Effective date: 20160624