WO2019130115A1 - Surgical instrument with a tissue marking assembly - Google Patents

Surgical instrument with a tissue marking assembly Download PDF

Info

Publication number
WO2019130115A1
WO2019130115A1 PCT/IB2018/058266 IB2018058266W WO2019130115A1 WO 2019130115 A1 WO2019130115 A1 WO 2019130115A1 IB 2018058266 W IB2018058266 W IB 2018058266W WO 2019130115 A1 WO2019130115 A1 WO 2019130115A1
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
surgical instrument
surgical
marking
jaw
Prior art date
Application number
PCT/IB2018/058266
Other languages
English (en)
French (fr)
Inventor
Iv Frederick E. Shelton
David C. Yates
Kevin L. Houser
Jason L. Harris
Eitan T. Wiener
Jeffrey L. Aldridge
Jeffrey D. Messerly
Tamara S. Widenhouse
Jerome R. Morgan
Original Assignee
Ethicon Llc
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
Priority claimed from US16/024,141 external-priority patent/US11114195B2/en
Application filed by Ethicon Llc filed Critical Ethicon Llc
Priority to CN201880084149.9A priority Critical patent/CN111511306B/zh
Priority to JP2020534984A priority patent/JP2021509311A/ja
Priority to BR112020011783-8A priority patent/BR112020011783A2/pt
Publication of WO2019130115A1 publication Critical patent/WO2019130115A1/en
Priority to JP2024020135A priority patent/JP2024050906A/ja

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
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    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
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    • A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
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    • 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
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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Robotics (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
PCT/IB2018/058266 2017-12-28 2018-10-23 Surgical instrument with a tissue marking assembly WO2019130115A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CN201880084149.9A CN111511306B (zh) 2017-12-28 2018-10-23 具有组织标记组件的外科器械
JP2020534984A JP2021509311A (ja) 2017-12-28 2018-10-23 組織マーキングアセンブリを有する外科用器具
BR112020011783-8A BR112020011783A2 (pt) 2017-12-28 2018-10-23 instrumento cirúrgico com conjunto de marcação de tecido
JP2024020135A JP2024050906A (ja) 2017-12-28 2024-02-14 組織マーキングアセンブリを有する外科用器具

Applications Claiming Priority (10)

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US201862691230P 2018-06-28 2018-06-28
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US16/024,141 US11114195B2 (en) 2017-12-28 2018-06-29 Surgical instrument with a tissue marking assembly
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Citations (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1853416A (en) * 1931-01-24 1932-04-12 Ada P Hall Tattoo marker
US3633584A (en) * 1969-06-10 1972-01-11 Research Corp Method and means for marking animals for identification
US6863650B1 (en) * 1997-07-24 2005-03-08 Karl Storz Gmbh & Co. Kg Endoscopic instrument for performing endoscopic procedures or examinations
US20090048589A1 (en) * 2007-08-14 2009-02-19 Tomoyuki Takashino Treatment device and treatment method for living tissue
EP2098187A1 (en) * 2008-03-03 2009-09-09 Ethicon Endo-Surgery, Inc. Intraluminal tissue markers
US20110077512A1 (en) * 2009-06-16 2011-03-31 Dept. Of Veterans Affairs Biopsy marker composition and method of use
US7982776B2 (en) 2007-07-13 2011-07-19 Ethicon Endo-Surgery, Inc. SBI motion artifact removal apparatus and method
US7995045B2 (en) 2007-04-13 2011-08-09 Ethicon Endo-Surgery, Inc. Combined SBI and conventional image processor
US20110306840A1 (en) 2009-01-30 2011-12-15 The Trustees Of Columbia University In The City Of New York Controllable magnetic source to fixture intracorporeal apparatus.
US20130046182A1 (en) * 2011-08-16 2013-02-21 Elwha LLC, a limited liability company of the State of Delaware Devices and Methods for Recording Information on a Subject's Body
US20140038151A1 (en) * 2012-08-03 2014-02-06 Applied Medical Resources Corporation Simulated stapling and energy based ligation for surgical training
US20140243597A1 (en) 2013-02-27 2014-08-28 Ethicon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US20140263541A1 (en) 2013-03-14 2014-09-18 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising an articulation lock
EP2825102A1 (en) * 2012-03-16 2015-01-21 Ethicon, Inc Clamping devices for dispensing surgical fasteners into soft media
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
EP3064146A1 (en) * 2015-03-06 2016-09-07 Ethicon Endo-Surgery, LLC Overlaid multi sensor radio frequency (rf) electrode system to measure tissue compression
WO2016144392A1 (en) * 2015-03-12 2016-09-15 Covidien Lp Mapping vessels for resecting body tissue
US20170296213A1 (en) 2016-04-15 2017-10-19 Ethicon Endo-Surgery, Llc Systems and methods for controlling a surgical stapling and cutting instrument

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6482217B1 (en) * 1998-04-10 2002-11-19 Endicor Medical, Inc. Neuro thrombectomy catheter
ES2381407T3 (es) * 2001-04-20 2012-05-28 Tyco Healthcare Group Lp Dispositivo quirúrgico bipolar o ultrasónico
JP2012239669A (ja) * 2011-05-20 2012-12-10 Konica Minolta Advanced Layers Inc プローブ及び診断システム
JP5965151B2 (ja) * 2012-01-16 2016-08-03 リオン株式会社 透析用生物粒子計数器、透析用生物粒子計数方法、及び、透析液監視システム
AU2014218701A1 (en) * 2013-02-21 2015-09-10 Xlumena, Inc. Devices and methods for forming an anastomosis

Patent Citations (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1853416A (en) * 1931-01-24 1932-04-12 Ada P Hall Tattoo marker
US3633584A (en) * 1969-06-10 1972-01-11 Research Corp Method and means for marking animals for identification
US6863650B1 (en) * 1997-07-24 2005-03-08 Karl Storz Gmbh & Co. Kg Endoscopic instrument for performing endoscopic procedures or examinations
US7995045B2 (en) 2007-04-13 2011-08-09 Ethicon Endo-Surgery, Inc. Combined SBI and conventional image processor
US7982776B2 (en) 2007-07-13 2011-07-19 Ethicon Endo-Surgery, Inc. SBI motion artifact removal apparatus and method
US20090048589A1 (en) * 2007-08-14 2009-02-19 Tomoyuki Takashino Treatment device and treatment method for living tissue
EP2098187A1 (en) * 2008-03-03 2009-09-09 Ethicon Endo-Surgery, Inc. Intraluminal tissue markers
US20110306840A1 (en) 2009-01-30 2011-12-15 The Trustees Of Columbia University In The City Of New York Controllable magnetic source to fixture intracorporeal apparatus.
US20110077512A1 (en) * 2009-06-16 2011-03-31 Dept. Of Veterans Affairs Biopsy marker composition and method of use
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US20130046182A1 (en) * 2011-08-16 2013-02-21 Elwha LLC, a limited liability company of the State of Delaware Devices and Methods for Recording Information on a Subject's Body
EP2825102A1 (en) * 2012-03-16 2015-01-21 Ethicon, Inc Clamping devices for dispensing surgical fasteners into soft media
US20140038151A1 (en) * 2012-08-03 2014-02-06 Applied Medical Resources Corporation Simulated stapling and energy based ligation for surgical training
US20140243597A1 (en) 2013-02-27 2014-08-28 Ethicon Endo-Surgery, Inc. System for performing a minimally invasive surgical procedure
US20140263552A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US20140263551A1 (en) 2013-03-13 2014-09-18 Ethicon Endo-Surgery, Inc. Staple cartridge tissue thickness sensor system
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US20140263541A1 (en) 2013-03-14 2014-09-18 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising an articulation lock
EP3064146A1 (en) * 2015-03-06 2016-09-07 Ethicon Endo-Surgery, LLC Overlaid multi sensor radio frequency (rf) electrode system to measure tissue compression
WO2016144392A1 (en) * 2015-03-12 2016-09-15 Covidien Lp Mapping vessels for resecting body tissue
US20170296213A1 (en) 2016-04-15 2017-10-19 Ethicon Endo-Surgery, Llc Systems and methods for controlling a surgical stapling and cutting instrument

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
"ATM-MPLS Network Interworking 2.0", August 2001

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