WO2019157500A2 - Surgical instrument with lockout mechanism - Google Patents

Surgical instrument with lockout mechanism Download PDF

Info

Publication number
WO2019157500A2
WO2019157500A2 PCT/US2019/017646 US2019017646W WO2019157500A2 WO 2019157500 A2 WO2019157500 A2 WO 2019157500A2 US 2019017646 W US2019017646 W US 2019017646W WO 2019157500 A2 WO2019157500 A2 WO 2019157500A2
Authority
WO
WIPO (PCT)
Prior art keywords
switch
locking member
staple
distal
surgical stapling
Prior art date
Application number
PCT/US2019/017646
Other languages
French (fr)
Other versions
WO2019157500A3 (en
Inventor
Matthew Aaron WIXEY
Original Assignee
Intuitive Surgical, 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 Intuitive Surgical, Inc. filed Critical Intuitive Surgical, Inc.
Priority to US16/966,099 priority Critical patent/US11517312B2/en
Priority to EP19750317.0A priority patent/EP3752074A4/en
Priority to CN201980012714.5A priority patent/CN111989051A/en
Publication of WO2019157500A2 publication Critical patent/WO2019157500A2/en
Publication of WO2019157500A3 publication Critical patent/WO2019157500A3/en
Priority to US17/974,627 priority patent/US11864762B2/en
Priority to US18/531,313 priority patent/US20240108343A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/2841—Handles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—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
    • A61B2017/07214—Stapler heads
    • A61B2017/07271—Stapler heads characterised by its cartridge
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—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
    • A61B2017/07214—Stapler heads
    • A61B2017/07278—Stapler heads characterised by its sled or its staple holder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072—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
    • A61B2017/07214—Stapler heads
    • A61B2017/07285—Stapler heads characterised by its cutter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/2841—Handles
    • A61B2017/2845—Handles with a spring pushing the handle back

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)

Abstract

Locking assemblies for surgical clamping and cutting instruments include a locking member and a switch. A drive member may be configured to releasably engage a knife and/or a shuttle of the surgical instrument for translating the knife and/or shuttle in a distal direction through a firing stroke. The locking member is movable from a first position permitting distal translation of the drive member through the firing stroke, and a second position inhibiting distal translation of the drive member through the firing stroke. A switch, when proximally positioned, releasably engages the locking member to maintain the locking member in the first position. The switch disengages from the locking member when the switch is moved to a distal position.

Description

SURGICAL INSTRUMENT WITH LOCKOUT MECHANISM
CROSS REFERENCE TO RELATED APPLICATIONS
This application claims benefit of U.S. Provisional Application No.
62/629,572 filed February 12, 2018, the entirety of which is herein incorporated by reference.
TECHNICAL FIELD
The present disclosure relates to surgical stapling instruments having a locking mechanism to prevent actuation of a knife when there is a spent or previously fired cartridge in place. More particularly, the present disclosure is directed towards locking assemblies for surgical clamping and cutting instruments include a locking member and a switch.
BACKGROUND
Surgical clamping and cutting instruments, such as, for example, surgical stapling instruments, may include an end effector having opposing jaws that clamp tissue and a knife that cuts the clamped tissue. It is often advantageous for an end effector of a surgical stapling instrument to be reusable. To that end, staple cartridges can be fitted into one jaw of the end effector prior to each use of the surgical stapling instrument.
It is desirable to prevent firing of a surgical stapling instrument while a spent cartridge remains in place on the jaw. Thus, a need exists for effective mechanisms to prevent firing of a surgical stapling instrument while a spent staple cartridge is in place in the end effector of the surgical stapling instrument. SUMMARY
The following presents a simplified summary of the claimed subject matter in order to provide a basic understanding of some aspects of the claimed subject matter. This summary is not an extensive overview of the claimed subject matter. It is intended to neither identify key or critical elements of the claimed subject matter nor delineate the scope of the claimed subject matter. Its sole purpose is to present some concepts of the claimed subject matter in a simplified form as a prelude to the more detailed description that is presented later.
The present disclosure relates to surgical stapling instruments having a locking mechanism to prevent actuation of a knife when there is a spent or previously fired cartridge in place.
In one aspect, a lockout assembly for use with a surgical stapling instrument includes a locking member and a switch. A drive member is configured to releasably engage and translate at least one of a knife or a shuttle in a distal direction through a staple firing stroke. The locking member of the locking assembly is movable from a first position permitting distal translation of the drive member through the staple firing stroke, to a second position inhibiting distal translation of the drive member through the staple firing stroke. A spring may bias the locking member toward the second position. The switch of the locking assembly is movable from a proximal position to a distal position. When the switch is in the proximal position, the switch releasably maintains the locking member in the first position. When the switch is in the distal position, the switch disengages from the locking member thereby allowing the locking member to move to the second position. In another aspect, a surgical stapling instrument includes an anvil jaw assembly, and a staple jaw assembly, including a knife and a shutle. A drive member is configured to releasably engage and translate the knife and shuttle in a distal direction through a staple firing stroke. The knife and shutle disengage from the drive member upon distal movement of the drive member after the staple firing stroke. The surgical stapling instrument further includes a locking member pivotable from a first position permiting distal translation of the drive member, to a second position preventing distal translation of the drive member. The surgical stapling instrument further includes a switch, that when in a proximal position, releasably maintains the locking member in the first position. When the switch is in a distal position, the switch disengages from the locking member thereby allowing the locking member to move to the second position.
In another aspect, a surgical stapling instrument includes an anvil jaw assembly, and a staple jaw assembly including a shuttle. The surgical stapling instrument further includes a drive member having a knife integrally formed on an edge thereof. The drive member is configured to releasably engage and translate the shutle in a distal direction through a staple firing stroke. The shutle disengages from the drive member upon subsequent distal movement of the drive member after the staple firing stroke. The surgical stapling instrument further includes a locking member pivotable from a first position permiting distal translation of the drive member, to a second position preventing distal translation of the drive member. The surgical stapling instrument further includes a switch, that when in a proximal position, releasably maintains the locking member in the first position. When the switch is in a distal position, the switch disengages from the locking member thereby allowing the locking member to move to the second position.
BRIEF DESCRIPTION OF THE DRAWINGS
The above and other aspects, features, and advantages of the present surgical stapling instruments having a locking mechanism will become more apparent in light of the following detailed description when taken in conjunction with the
accompanying drawings in which:
Fig. 1A is a perspective view of an illustrative surgical stapling instrument;
Fig. 1B is an exploded view of an illustrative end effector of a surgical stapling instrument;
Fig. 2 depicts a partial cross-sectional side view of the end effector of a surgical stapling instrument including a lockout assembly in accordance with an embodiment of the present disclosure having an unfired reload installed;
Fig. 3 is a partial perspective view illustrating the end effector including a lockout assembly in accordance with the embodiment of Fig. 2 showing a proximally positioned switch of a surgical stapling instrument having an unfired reload is installed;
Fig. 3a is a partial perspective view illustrating the end effector including a lockout assembly in accordance with the embodiment of Fig. 2 illustrating a pair of retaining snaps of the switch engaging undercuts of the unfired reload;
Fig. 4 is a partial cross-sectional side view of the end effector including a lockout assembly in accordance with the embodiment of Fig. 2 with the drive member advanced to contact the knife; Fig. 5 is a partial side, cross-sectional view of the end effector including a lockout assembly in accordance with the embodiment of Fig. 2 illustrating the switch advanced to a distal position;
Fig. 6 is a partial side, cross-sectional view of the end effector including a lockout assembly in accordance with the embodiment of Fig. 2 showing the knife cutting the switch;
Fig. 6a is a partial perspective view of the end effector including a lockout assembly in accordance with the embodiment of Fig. 2 showing a distal wall blocking the switch from translating distally;
Fig. 7 is a partial perspective view of the end effector including a lockout assembly in accordance with the embodiment of Fig. 2 showing an uncut switch that has been pushed to a distal position by the knife;
Fig. 8 is a partial perspective view of the end effector including a lockout assembly in accordance with the embodiment of Fig. 2 having a cut switch that is prevented from retracting by a pair of stops;
Fig. 9 is a partial cross-sectional side view of the end effector including a lockout assembly in accordance with the embodiment of Fig. 2 with the shuttle shown; and
Fig. 10 is a partial cross-sectional side view of the end effector including a lockout assembly in accordance with the embodiment of Fig. 2 illustrating a drive member having an integrally formed knife on an edge thereof. DFTATT FD DESCRIPTION
Particular embodiments of the present surgical stapling instruments are described hereinbelow with reference to the accompanying drawings; however, it is to be understood that the disclosed embodiments are merely exemplary of the disclosure and may be embodied in various forms. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present disclosure in virtually any appropriately detailed structure. Well- known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail.
The present disclosure relates to locking assemblies including a locking member and a switch. A drive member is configured to engage at least one of a knife or a shuttle of a surgical stapling instrument and to translate the knife and/or shuttle in a distal direction through a staple-firing stroke. Contact between the drive member and the knife and/or shuttle is releasable in that once the knife and/or shuttle are translated by the drive member in the distal direction through a staple firing stroke, the knife and/or shuttle disengage from the drive member, remain at a distal portion of the stapling instrument, and are not translated in a proximal direction by the drive member. The locking member is movable from a first position permitting distal translation of the drive member through the staple-firing stroke, and a second position inhibiting distal translation of the drive member through the staple-firing stroke. A spring is configured to bias the locking member toward the second position. The switch of the locking assembly is movable from a proximal position to a distal position. When the switch is in the proximal position, the switch releasably maintains the locking member in the first position. When the switch is in the distal position, the switch disengages from the locking member thereby allowing the locking member to move to the second position.
While the following disclosure is presented with respect to a linear surgical stapler where staples are sequentially fired, it should be understood that the present locking assemblies may be readily adapted for use in any type of surgical clamping and cutting instruments, whether or not the surgical clamping and cutting instrument applies a fastener. The surgical clamping and cutting instrument may be a minimally invasive (e.g., laparoscopic) instrument or an instrument used for open surgery.
Additionally, the present locking assemblies may be readily adapted for use in surgical instruments that are activated using any technique within the purview of those skilled in the art, such as, for example, manually activated surgical instruments, powered surgical instruments (e.g., electro-mechanically powered instruments), robotic surgical instruments, and the like.
Fig. 1A is a perspective view of an illustrative surgical stapling instrument 10 capable of utilizing a locking assembly in accordance with the present disclosure. Surgical stapling instrument 10 includes a handle assembly 12, and an end effector 100 including an anvil jaw assembly 102 and a staple jaw assembly 104 mounted on an elongated shaft 160 of the surgical stapling instrument 10.
Fig. 1B shows anvil jaw assembly 102, including an anvil 106 having staple forming pockets 103 (not shown) supported thereon, and staple jaw assembly 104. Staple jaw assembly 104 and anvil jaw assembly 102 are configured to move from an open position to a closed position. In the open position, a fresh stapling cartridge can be loaded into jaw assembly 104, a spent staple cartridge removed from jaw assembly 104, and tissue may be positioned between the jaw assemblies 102, 104. In the closed position, jaw assemblies 102, 104 cooperate to close upon and clamp tissue such that cartridge 122 and anvil 106 are in close cooperative alignment. In the embodiment shown in Figs. 1A and 1B, staple jaw assembly 104 is stationary and anvil jaw assembly 102 pivots to the open position. In other embodiments it is contemplated that the jaw assembly containing the anvil is stationary and the jaw assembly containing the staple cartridge pivots to the open position. As those skilled in the art reading this disclosure will appreciate, in yet other embodiments both the anvil jaw assembly and the staple jaw assembly may pivot.
With continued reference to Fig. 1B, staple jaw assembly 104 includes a staple cartridge 122 supported in a channel 134 on a lower jaw 123. Cartridge 122 includes a plurality of staples 124 that are supported on corresponding staple drivers 126 provided within respective staple apertures 128 formed in cartridge 122. Cartridge 122 also includes a shuttle 130 having an inclined distal portion 131 that, upon distal movement, sequentially acts on staple drivers 126, camming them upwardly thereby moving staples 124 into deforming contact with anvil 106. Cartridge 122 also includes a knife 150 configured to translate distally through a channel 127 in cartridge 122 and sever clamped, stapled tissue.
Fig. 1B further shows a drive member 110 that is movably supported on the surgical stapling instrument such that it may pass distally through cartridge 122 and staple jaw assembly 104 when the surgical stapling instrument is fired (e.g., actuated). Also shown in Fig. 1B is the locking assembly including locking member 116 on staple jaw assembly 104 and switch 170 on cartridge 122. For a more detailed description of illustrative end effectors, reference may be made to U.S. Patent Nos. 6,669,073 and 8,800,841, the entire contents of which are incorporated herein by this reference. It should of course, be understood that end effector shown in Figs. 1A and 1B is merely illustrative, and that other end effectors may be employed, including but not limited to the end effectors shown in
WO2014/106275, the entire contents of which are incorporated herein by this reference.
Fig. 2 shows an illustrative surgical stapling instrument with an unfired reload installed, including drive member 110, spring 114, locking member 116, knife 150, switch 170, and slot 180.
In a fresh reload, drive member 110 is in a proximal position where it has not yet engaged knife 150. Drive member 110 may be any structure capable of pushing at least one of a shuttle or a knife of a surgical stapling instrument with the necessary force to effectively sever or staple human tissue. Drive member 110 may be an I- beam, an E-beam, or any other type of drive member capable of performing similar functions. Drive member 110 includes a lower distal portion 111 and upper distal portion 113.
When an unfired reload is installed, as in Fig. 2, switch 170 is in a first proximal position. In a fresh, unfired reload distal portion 119 of locking member 116 rests on shelf 171 of switch 170, keeping engagement portion 118 of locking member 116 above and out of engagement with slot 180. When locking member 116 is in this disabled position, distal translation of drive member 110 is permitted, as locking member 116 will not obstruct movement of drive member 110. As seen in Fig. 3, an unfired reload containing a new cartridge, knife 150 is located on the proximal side of central portion 174 of switch 170, which is uncut.
Upon installation of an unfired reload, as depicted in Fig. 3a, retaining snaps 172 of switch 170 are configured to engage undercuts 177 formed on the unfired reload. This interaction, which may be a snap-fit interaction, retains the switch in the proximal position prior to firing of the surgical stapling instrument.
Upon initiation of the staple-firing stroke, as seen in Fig. 4 drive member 110 moves distally to contact knife 150. At this point in the actuation stoke, locking member 116 remains out of engagement with slot 180 because distal portion 119 of the locking member continues to rest on shelf 171 of switch 170. In this position, upper distal portion 113 of drive member 110 contacts knife 150 for distal translation as the actuation stroke continues. Lower distal portion 111 of drive member 110 similarly moves distally in order to engage and translate shuttle 130 (see Fig. 9).
As illustrated in Fig. 5, as drive member 110 continues to move distally, knife 150 begins to advance. Knife 150 is in contact with, and therefore pushes and translates, switch 170 from a proximal position, to a distal position. As illustrated in Fig. 5, once in the distal position, switch 170 separates from and no longer supports distal portion 119 of locking member 116 which essentially falls off of shelf 171. As a result, engagement portion 118 of locking member 116 falls into and engages slot 180, enabling the lockout. Spring 114 is configured to bias engagement portion 118 of locking member 116 in the direction of Arrow“B”, urging engagement portion 118 to drop into slot 180 to enable the locking mechanism.
In Fig. 6, switch 170 is in the distal position. Once switch 170 is translated distally, further distal translation is prevented as switch 170 becomes obstructed by distal wall 179 as best seen in Fig. 6a. As a result of this obstruction, continued distal translation of knife 150 cuts through central portion 174 of switch 170 (see Fig. 7), as a result of the force provided by drive member 110 translating knife 150 distally. A perspective view of switch 170 in the second distal position is shown in Fig. 7 just before cutting of central portion 174. Fig. 7 also illustrates stops 176, each including a proximal ramped face 175. As drive member 110 translates knife 150 distally, and knife 150 pushes switch 170 distally, switch 170 rides over ramped faces 175 of stops 176. Distal faces 181 of stops 176 prohibit movement of switch 170 back to its initial proximal position.
In Fig. 8, knife 150 has cut through central portion 174 of switch 170 so that knife 150 may continue to translate distally towards a final, parked position. As illustrated, stops 176 are positioned on the proximal side of switch 170. In this position, retraction of switch 170 is impossible, as the proximal portions 178 of switch 170 abut distal faces 181 of stops 176. By preventing switch 170 from retracting, it is ensured that locking member 116 may not be disengaged, while also keeping both cut parts of switch 170 contained in the reload.
Once drive member 110 translates distally through a complete firing stroke during which stapling and severing of tissue have occurred, drive member 110 can be retracted, leaving knife 150 parked at a position in a distal portion of cartridge 122. In embodiments, such as the embodiment illustrated in Fig. 9 a shuttle 130 may be unable to move proximally towards the home position due to friction with cartridge 122. In embodiments, as illustrated in Fig. 10, knife 150 may be integrally formed with drive member 110. In embodiments, knife 150 may be parked in a predetermined position in a distally located garage 165. The garage 165 including lateral surfaces that face the cutting tip of knife 150. As drive member 110 is retracted, engagement portion 118 of locking member 116 is unable to move upwards out of slot 180, as spring 114 retains it in the locked position.
Further retraction of drive member 110 positions locking member 116 distal of the drive member. Because the staple cartridge is spent and there is no proximally positioned switch to hold the locking member out of engagement with slot 180, any attempt to re-fire the surgical stapling instrument will be prevented by drive member 110 engaging locking member 116.
In order to disable the lockout of the surgical stapling instrument, an unfired reload (i.e. a new cartridge) must be installed. Each new cartridge contains a new switch 170, shuttle 130, and knife 150. When a new cartridge is installed, switch 170 moves proximally causing a distal portion 119 of locking member 116 to engage with and ride upwards along proximal ramped surface 173 of switch 170, until locking member 116 is again resting on shelf 171, as may be seen in Fig. 2. The lockout is then disabled, allowing for a user to again fire the surgical stapling instrument.
While several embodiments of the disclosure have been shown in the drawings, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of presently disclosed embodiments. Thus the scope of the embodiments should be determined by the appended claims and their legal equivalents, rather than by the examples given.
Persons skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are non- limiting exemplary embodiments. The features illustrated or described in connection with one exemplary embodiment may be combined with the features of other embodiments. Various alternatives and modifications can be devised by those skilled in the art without departing from the disclosure. Accordingly, the present disclosure is intended to embrace all such alternatives, modifications and variances. As well, one skilled in the art will appreciate further features and advantages of the present disclosure based on the above-described embodiments. Accordingly, the present disclosure is not to be limited by what has been particularly shown and described, except as indicated by the appended claims.

Claims

WHAT IS CLAIMED IS:
1. A lockout assembly comprising:
a locking member movable from a first position permitting distal translation of a drive member through a staple firing stroke, to a second position inhibiting distal translation of the dri ve member through the staple firing stroke; and
a switch movable from a proximal position to a distal position, wherein when the switch is in the proximal position the switch re!easahly maintains the locking member in the first position, and wherein when the switch is in the distal position the switch disengages from the locking member.
2. The lockout assembly of claim 1, further comprising a spring configured to bias the locking member towards the second position.
3. The lockout assembly of claim 1, wherein the switch is contained in a staple cartridge and the locking member is mounted to a jaw of a surgical stapling instrument the jaw including a channel configured to receive the staple cartridge.
4. The lockout assembly of claim 1, wherein the locking member rests on a shelf of the switch.
5. The lockout assembly of claim 3, wherein the jaw further includes a pair of stops configured to prevent movement of the switch to the proximal position position after the switch has been moved to the distal position.
6. The lockout assembly of claim 1, wherein jaw further includes a slot and the locking member engages a slot in the second position.
7. A surgical stapling instrument comprising:
an anvil jaw assembly;
a staple jaw assembly including a knife and a shutle; a drive member configured to releasably engage and translate the knife and the shuttle in a distal direction through a staple finng stroke; and
a locking assembly including:
a locking member pivotable between a first position permitting distal translation of the drive member, and a second position preventing distal translation of the drive member; and
a switch movable from a proximal position to a distal position, wherein when the switch is in the proximal position the switch releasably maintains the locking member in the first position, and wherein when the switch is in the distal position the switch disengages from the locking member thereby allowing the locking member to move to the second position.
8. The surgical stapling instrument of claim 7, wherein the staple jaw assembly includes a removable staple cartridge containing the knife.
9. The surgical stapling instrument of claim 7, wherein the staple jaw assembly includes a removable staple cartridge containing the switch.
10. The surgical stapling instrument of claim 7, wherein the staple jaw assembly includes a removable staple cartridge containing the shuttle.
11. The surgical stapling instrument of claim 7, wherein the locking member engages a slot in the staple jaw assembly when in the second position.
12. The surgical stapling instrument of claim 7, wherein the knife is configured to cut through a center portion of the switch.
13. A surgical stapling instrument comprising:
an anvil jaw assembly;
a staple jaw assembly including a shuttle; a drive member having a knife integrally formed on an edge thereof, the drive member configured to re!easah!y engage and translate the shuttle in a distal direction through a staple firing stroke;
a locking assembly including:
a locking member pivotable between a first position permitting distal translation of the drive member, and a second position preventing distal translation of the drive member; and
a switch movable from a proximal position to a distal position, wherein when the switch is in the proximal position the switch re!easab!y maintains the locking member in the first position, and wherein when the switch is in the distal position the switch disengages from the locking member thereby allowing the locking member to move to the second position
14. The surgical stapling instrument of claim 13, wherein the staple jaw assembly includes a removable staple cartridge containing the swatch.
15. The surgical stapling instrument of claim 13, wherein the staple jaw assembly includes a removable staple cartridge containing the shuttle.
16. The surgical stapling instrument of claim 13, wherein the locking member engages a slot in the staple jaw assembly when in the second position.
17. The surgical stapling instrument of claim 13, wherein the knife is configured to cut through a center portion of the swatch.
PCT/US2019/017646 2018-02-12 2019-02-12 Surgical instrument with lockout mechanism WO2019157500A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
US16/966,099 US11517312B2 (en) 2018-02-12 2019-02-12 Surgical instrument with lockout mechanism
EP19750317.0A EP3752074A4 (en) 2018-02-12 2019-02-12 Surgical instrument with lockout mechanism
CN201980012714.5A CN111989051A (en) 2018-02-12 2019-02-12 Surgical instrument with lockout mechanism
US17/974,627 US11864762B2 (en) 2018-02-12 2022-10-27 Surgical instrument with lockout mechanism
US18/531,313 US20240108343A1 (en) 2018-02-12 2023-12-06 Surgical instrument with lockout mechanism

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201862629572P 2018-02-12 2018-02-12
US62/629,572 2018-02-12

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US16/966,099 A-371-Of-International US11517312B2 (en) 2018-02-12 2019-02-12 Surgical instrument with lockout mechanism
US17/974,627 Continuation US11864762B2 (en) 2018-02-12 2022-10-27 Surgical instrument with lockout mechanism

Publications (2)

Publication Number Publication Date
WO2019157500A2 true WO2019157500A2 (en) 2019-08-15
WO2019157500A3 WO2019157500A3 (en) 2020-04-30

Family

ID=67548617

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2019/017646 WO2019157500A2 (en) 2018-02-12 2019-02-12 Surgical instrument with lockout mechanism

Country Status (4)

Country Link
US (3) US11517312B2 (en)
EP (1) EP3752074A4 (en)
CN (1) CN111989051A (en)
WO (1) WO2019157500A2 (en)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10863988B2 (en) 2017-11-29 2020-12-15 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
US11517312B2 (en) 2018-02-12 2022-12-06 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
EP3897404A4 (en) 2018-12-21 2023-01-04 Intuitive Surgical Operations, Inc. Surgical instruments having a reinforced staple cartridge
US11806015B2 (en) 2018-12-21 2023-11-07 Intuitive Surgical Operations, Inc. Surgical instruments having mechanisms for identifying and/or deactivating stapler cartridges
US11857188B2 (en) 2018-12-21 2024-01-02 Intuitive Surgical Operations, Inc. Articulation assemblies for surgical instruments
WO2020214258A1 (en) 2019-04-15 2020-10-22 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
EP3975875A4 (en) 2019-05-31 2023-02-01 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
US11786325B2 (en) 2019-07-02 2023-10-17 Intuitive Surgical Operations, Inc. Remotely controlling a system using video
US11642129B2 (en) 2020-01-15 2023-05-09 Intuitive Surgical Operations, Inc. Staple cartridge and drive member for surgical instrument
US11957336B2 (en) * 2021-08-16 2024-04-16 Cilag Gmbh International Proximally located firing lockout mechanism for surgical stapler

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6669073B2 (en) 1997-09-23 2003-12-30 United States Surgical Corporation Surgical stapling apparatus
US20130098965A1 (en) 2011-10-25 2013-04-25 Stanislaw Kostrzewski Multi-Use Loading Unit
WO2014106275A1 (en) 2012-12-31 2014-07-03 Intuitive Surgical Operations, Inc. Surgical staple cartridge with enhanced knife clearance
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US20160157863A1 (en) 2013-03-13 2016-06-09 Covidien Lp Surgical stapling apparatus

Family Cites Families (331)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU405234A1 (en) 1970-09-02 1975-09-05 Всесоюзный Научно-Исследовательский Институт Хирургической Аппаратуры И Инструментов Matrix for suturing surgical apparatus
SU886900A1 (en) 1979-03-26 1981-12-07 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Surgical apparatus for applying line sutures
US4429695A (en) 1980-02-05 1984-02-07 United States Surgical Corporation Surgical instruments
US4319576A (en) 1980-02-26 1982-03-16 Senco Products, Inc. Intralumenal anastomosis surgical stapling instrument
CA1170536A (en) 1980-08-25 1984-07-10 United States Surgical Corporation Surgical staples
US4809695A (en) 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
US4509518A (en) 1982-02-17 1985-04-09 United States Surgical Corporation Apparatus for applying surgical clips
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US4608981A (en) 1984-10-19 1986-09-02 Senmed, Inc. Surgical stapling instrument with staple height adjusting mechanism
US4767044A (en) 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
US4605001A (en) 1984-10-19 1986-08-12 Senmed, Inc. Surgical stapling instrument with dual staple height mechanism
US4750488A (en) 1986-05-19 1988-06-14 Sonomed Technology, Inc. Vibration apparatus preferably for endoscopic ultrasonic aspirator
SU1333319A2 (en) 1985-12-10 1987-08-30 Петрозаводский государственный университет им.О.В.Куусинена Suture appliance for hollow organs
JPS63503390A (en) 1986-05-21 1988-12-08 ノボ　インダストリ　アクテイ−ゼルスカブ coated detergent enzyme products
SU1459659A1 (en) 1986-09-29 1989-02-23 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Surgical suturing apparatus for applying line sutures
SU1442191A1 (en) 1987-01-19 1988-12-07 Петрозаводский государственный университет им.О.В.Куусинена Surgical suturing apparatus
ZA88681B (en) 1987-02-02 1988-08-01 Cassella Aktiengesellschaft Mixtures of monoazo dyestuffs
US5027834A (en) 1987-06-11 1991-07-02 United States Surgical Corporation Stapling process for use on the mesenteries of the abdomen
US4930503A (en) 1987-06-11 1990-06-05 Pruitt J Crayton Stapling process and device for use on the mesenteries of the abdomen
US4848637A (en) 1987-06-11 1989-07-18 Pruitt J Crayton Staple device for use on the mesenteries of the abdomen
US4892244A (en) 1988-11-07 1990-01-09 Ethicon, Inc. Surgical stapler cartridge lockout device
AU4633589A (en) 1988-11-18 1990-06-12 Immuno Sweden Ab Instrument for anastomosis
US5040715B1 (en) 1989-05-26 1994-04-05 United States Surgical Corp Apparatus and method for placing staples in laparoscopic or endoscopic procedures
US4978049A (en) 1989-05-26 1990-12-18 United States Surgical Corporation Three staple drive member
US5133735A (en) 1990-05-10 1992-07-28 Symbiosis Corporation Thumb-activated actuating member for imparting reciprocal motion to push rod of a disposable laparoscopic surgical instrument
US5133736A (en) 1990-05-10 1992-07-28 Symbiosis Corporation Investment cast end effectors for disposable laparoscopic surgical instrument
US5342395A (en) 1990-07-06 1994-08-30 American Cyanamid Co. Absorbable surgical repair devices
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
US5571285A (en) 1991-02-19 1996-11-05 Ethicon, Inc. Surgical staple for insertion into tissue
US5147357A (en) 1991-03-18 1992-09-15 Rose Anthony T Medical instrument
US5688269A (en) 1991-07-10 1997-11-18 Electroscope, Inc. Electrosurgical apparatus for laparoscopic and like procedures
US5289963A (en) 1991-10-18 1994-03-01 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5443198A (en) 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
US6250532B1 (en) 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
CA2075227C (en) 1991-10-18 2004-02-10 Robert J. Geiste Surgical fastening apparatus with shipping interlock
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5307976A (en) 1991-10-18 1994-05-03 Ethicon, Inc. Linear stapling mechanism with cutting means
US5180092A (en) 1992-02-05 1993-01-19 Lawrence Crainich Linear surgical stapling instrument
US5484095A (en) 1992-03-31 1996-01-16 United States Surgical Corporation Apparatus for endoscopically applying staples individually to body tissue
US5484451A (en) 1992-05-08 1996-01-16 Ethicon, Inc. Endoscopic surgical instrument and staples for applying purse string sutures
JPH0675830B2 (en) 1992-08-24 1994-09-28 丸善株式会社 Stepper
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5342396A (en) 1993-03-02 1994-08-30 Cook Melvin S Staples
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
US6716232B1 (en) 1993-04-30 2004-04-06 United States Surgical Corporation Surgical instrument having an articulated jaw structure and a detachable knife
US5415334A (en) 1993-05-05 1995-05-16 Ethicon Endo-Surgery Surgical stapler and staple cartridge
CA2121194A1 (en) 1993-05-06 1994-11-07 Corbett Stone Bipolar electrosurgical instruments
US5709680A (en) 1993-07-22 1998-01-20 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
CA2132503C (en) 1993-10-07 2005-05-10 Donald F. Wilson Curved knife for linear staplers
US5439155A (en) 1993-10-07 1995-08-08 United States Surgical Corporation Cartridge for surgical fastener applying apparatus
US5452837A (en) 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
US5487500A (en) 1994-02-03 1996-01-30 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5452836A (en) 1994-02-07 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism
CA2144818C (en) 1994-04-07 2006-07-11 Henry Bolanos Graduated anvil for surgical stapling instruments
US5529235A (en) 1994-04-28 1996-06-25 Ethicon Endo-Surgery, Inc. Identification device for surgical instrument
US5628446A (en) 1994-05-05 1997-05-13 United States Surgical Corporation Self-contained powered surgical apparatus
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
US5533521A (en) 1994-07-15 1996-07-09 United States Surgical Corporation Interchangeable tissue measuring device
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
US5480089A (en) 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5752973A (en) 1994-10-18 1998-05-19 Archimedes Surgical, Inc. Endoscopic surgical gripping instrument with universal joint jaw coupler
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5652849A (en) 1995-03-16 1997-07-29 Regents Of The University Of Michigan Apparatus and method for remote control using a visual information stream
US5624452A (en) 1995-04-07 1997-04-29 Ethicon Endo-Surgery, Inc. Hemostatic surgical cutting or stapling instrument
DE19521257C2 (en) 1995-06-10 1999-01-28 Winter & Ibe Olympus Surgical forceps
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US5762256A (en) 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US5697542A (en) 1995-10-19 1997-12-16 Ethicon Endo-Surgery, Inc. Endoscopic surgical stapler with compact profile
US5700270A (en) 1995-10-20 1997-12-23 United States Surgical Corporation Surgical clip applier
US5941442A (en) 1995-10-27 1999-08-24 United States Surgical Surgical stapler
US5651491A (en) 1995-10-27 1997-07-29 United States Surgical Corporation Surgical stapler having interchangeable loading units
US5667626A (en) 1996-01-29 1997-09-16 Minnesota Mining And Manufacturing Company Masking device hub providing two position tape support
US5762255A (en) 1996-02-20 1998-06-09 Richard-Allan Medical Industries, Inc. Surgical instrument with improvement safety lockout mechanisms
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US5673842A (en) 1996-03-05 1997-10-07 Ethicon Endo-Surgery Surgical stapler with locking mechanism
IL117607A0 (en) 1996-03-21 1996-07-23 Dev Of Advanced Medical Produc Surgical stapler and method of surgical fastening
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US5959892A (en) 1997-08-26 1999-09-28 Macronix International Co., Ltd. Apparatus and method for programming virtual ground EPROM array cell without disturbing adjacent cells
US6050996A (en) 1997-11-12 2000-04-18 Sherwood Services Ag Bipolar electrosurgical instrument with replaceable electrodes
US7118570B2 (en) 2001-04-06 2006-10-10 Sherwood Services Ag Vessel sealing forceps with disposable electrodes
US6585735B1 (en) 1998-10-23 2003-07-01 Sherwood Services Ag Endoscopic bipolar electrosurgical forceps
US6330956B1 (en) 1998-12-09 2001-12-18 J.W. Pet Company Molded plastic pet bowl
US6174309B1 (en) 1999-02-11 2001-01-16 Medical Scientific, Inc. Seal & cut electrosurgical instrument
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US6488196B1 (en) 1999-06-30 2002-12-03 Axya Medical, Inc. Surgical stapler and method of applying plastic staples to body tissue
CA2322061A1 (en) 1999-10-05 2001-04-05 Anil K. Nalagatla Stapling instrument having two staple forming surfaces
US7055730B2 (en) 2000-10-13 2006-06-06 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US6503259B2 (en) 2000-12-27 2003-01-07 Ethicon, Inc. Expandable anastomotic device
US20030135204A1 (en) 2001-02-15 2003-07-17 Endo Via Medical, Inc. Robotically controlled medical instrument with a flexible section
US7699835B2 (en) 2001-02-15 2010-04-20 Hansen Medical, Inc. Robotically controlled surgical instruments
US6592597B2 (en) 2001-05-07 2003-07-15 Ethicon Endo-Surgery, Inc. Adhesive for attaching buttress material to a surgical fastening device
US6817974B2 (en) 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
US6895219B2 (en) 2001-08-27 2005-05-17 Symbol Technologies Inc. Dual use of FFT circuity in imagers and transceivers
US10285694B2 (en) 2001-10-20 2019-05-14 Covidien Lp Surgical stapler with timer and feedback display
DE10158246C1 (en) 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Surgical stapling instrument
US8233501B2 (en) 2002-02-13 2012-07-31 Interdigital Technology Corporation Transport block set segmentation
WO2003086206A1 (en) 2002-04-11 2003-10-23 Tyco Healthcare Group, Lp Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces
EP2289429B1 (en) 2002-05-10 2015-06-17 Covidien LP Surgical stapling apparatus having a wound closure material applicator assembly
WO2003094743A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Wound closure material applicator and stapler
AU2003234551A1 (en) 2002-05-13 2003-11-11 Tyco Healthcare Group, Lp Surgical stapler and disposable loading unit having different size staples
US7276068B2 (en) 2002-10-04 2007-10-02 Sherwood Services Ag Vessel sealing instrument with electrical cutting mechanism
US7931649B2 (en) 2002-10-04 2011-04-26 Tyco Healthcare Group Lp Vessel sealing instrument with electrical cutting mechanism
EP2241266B1 (en) 2002-10-04 2013-05-29 Covidien LP Tool assembly for a surgical stapling device
JP4006385B2 (en) 2002-11-20 2007-11-14 株式会社日立ハイテクノロジーズ Sugar chain synthesizer
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US6978921B2 (en) 2003-05-20 2005-12-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an E-beam firing mechanism
US7044352B2 (en) 2003-05-20 2006-05-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US7140528B2 (en) 2003-05-20 2006-11-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated single lockout mechanism for prevention of firing
US6988649B2 (en) 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US20070010838A1 (en) 2003-05-20 2007-01-11 Shelton Frederick E Iv Surgical stapling instrument having a firing lockout for an unclosed anvil
US8100824B2 (en) 2003-05-23 2012-01-24 Intuitive Surgical Operations, Inc. Tool with articulation lock
US7494039B2 (en) 2003-06-17 2009-02-24 Tyco Healthcare Group Lp Surgical stapling device
CA2724140C (en) 2003-06-17 2012-09-25 Tyco Healthcare Group Lp Surgical stapling device
US6964363B2 (en) 2003-07-09 2005-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having articulation joint support plates for supporting a firing bar
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US7111769B2 (en) 2003-07-09 2006-09-26 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
US7055731B2 (en) 2003-07-09 2006-06-06 Ethicon Endo-Surgery Inc. Surgical stapling instrument incorporating a tapered firing bar for increased flexibility around the articulation joint
US6786382B1 (en) 2003-07-09 2004-09-07 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an articulation joint for a firing bar track
US6959852B2 (en) 2003-09-29 2005-11-01 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with multistroke firing incorporating an anti-backup mechanism
US7303108B2 (en) 2003-09-29 2007-12-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with a flexible rack
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US7000819B2 (en) 2003-09-29 2006-02-21 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism
US7083075B2 (en) 2003-09-29 2006-08-01 Ethicon Endo-Surgery, Inc. Multi-stroke mechanism with automatic end of stroke retraction
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US7434715B2 (en) 2003-09-29 2008-10-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing with opening lockout
JP4642770B2 (en) 2003-10-17 2011-03-02 タイコ ヘルスケア グループ リミテッド パートナーシップ Surgical stapling device with independent tip rotation
CA2544749A1 (en) 2003-11-12 2005-05-26 Applied Medical Resources Corporation Overmolded grasper jaw
US7678117B2 (en) 2004-06-07 2010-03-16 Novare Surgical Systems, Inc. Articulating mechanism with flex-hinged links
US7828808B2 (en) 2004-06-07 2010-11-09 Novare Surgical Systems, Inc. Link systems and articulation mechanisms for remote manipulation of surgical or diagnostic tools
US7367485B2 (en) 2004-06-30 2008-05-06 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission
US7059508B2 (en) 2004-06-30 2006-06-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission
US7857183B2 (en) 2004-07-28 2010-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
US7506790B2 (en) 2004-07-28 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US7143925B2 (en) 2004-07-28 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP blocking lockout mechanism
US20060025812A1 (en) 2004-07-28 2006-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated pivoting articulation mechanism
US7487899B2 (en) 2004-07-28 2009-02-10 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating EAP complete firing system lockout mechanism
US8057508B2 (en) 2004-07-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation locking mechanism
US7128254B2 (en) 2004-09-07 2006-10-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary slip-clutch transmission
US7857813B2 (en) 2006-08-29 2010-12-28 Baxano, Inc. Tissue access guidewire system and method
US9700334B2 (en) 2004-11-23 2017-07-11 Intuitive Surgical Operations, Inc. Articulating mechanisms and link systems with torque transmission in remote manipulation of instruments and tools
US20060161190A1 (en) 2005-01-19 2006-07-20 Gadberry Donald L Disposable laparoscopic instrument
US7559450B2 (en) 2005-02-18 2009-07-14 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating a fluid transfer controlled articulation mechanism
US7654431B2 (en) 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
US8197472B2 (en) 2005-03-25 2012-06-12 Maquet Cardiovascular, Llc Tissue welding and cutting apparatus and method
CA2549224A1 (en) 2005-06-02 2006-12-02 Tyco Healthcare Group Lp Expandable backspan staple
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US7401721B2 (en) 2005-08-15 2008-07-22 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US8579178B2 (en) 2005-08-15 2013-11-12 Covidien Lp Surgical stapling instruments including a cartridge having multiple staples sizes
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7500979B2 (en) 2005-08-31 2009-03-10 Ethicon Endo-Surgery, Inc. Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
US8991676B2 (en) 2007-03-15 2015-03-31 Ethicon Endo-Surgery, Inc. Surgical staple having a slidable crown
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US7641091B2 (en) 2005-10-04 2010-01-05 Tyco Healthcare Group Lp Staple drive assembly
US7635074B2 (en) 2005-10-04 2009-12-22 Tyco Healthcare Group Lp Staple drive assembly
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7328828B2 (en) * 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
EP1875870B1 (en) 2006-07-07 2009-12-02 Ethicon Endo-Surgery, Inc. A surgical stapling instrument.
US8220690B2 (en) 2006-09-29 2012-07-17 Ethicon Endo-Surgery, Inc. Connected surgical staples and stapling instruments for deploying the same
US7721930B2 (en) 2006-11-10 2010-05-25 Thicon Endo-Surgery, Inc. Disposable cartridge with adhesive for use with a stapling device
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
ES2606949T3 (en) 2007-03-06 2017-03-28 Covidien Lp Surgical stapling device
EP2139411B1 (en) 2007-03-22 2017-05-03 Covidien LP Apparatus for forming variable height surgical fasteners
US7832611B2 (en) 2007-05-16 2010-11-16 The Invention Science Fund I, Llc Steerable surgical stapler
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7950561B2 (en) 2007-06-18 2011-05-31 Tyco Healthcare Group Lp Structure for attachment of buttress material to anvils and cartridges of surgical staplers
US9050098B2 (en) 2007-11-28 2015-06-09 Covidien Ag Cordless medical cauterization and cutting device
US8573465B2 (en) * 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8752749B2 (en) * 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US9869339B2 (en) 2008-04-11 2018-01-16 Flexdex, Inc. End-effector jaw closure transmission systems for remote access tools
US8091756B2 (en) 2008-05-09 2012-01-10 Tyco Healthcare Group Lp Varying tissue compression using take-up component
US7942303B2 (en) 2008-06-06 2011-05-17 Tyco Healthcare Group Lp Knife lockout mechanisms for surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US8197479B2 (en) 2008-12-10 2012-06-12 Tyco Healthcare Group Lp Vessel sealer and divider
US8632539B2 (en) 2009-01-14 2014-01-21 Covidien Lp Vessel sealer and divider
US20100198248A1 (en) 2009-02-02 2010-08-05 Ethicon Endo-Surgery, Inc. Surgical dissector
US8858547B2 (en) 2009-03-05 2014-10-14 Intuitive Surgical Operations, Inc. Cut and seal instrument
US8365972B2 (en) 2009-03-31 2013-02-05 Covidien Lp Surgical stapling apparatus
US8784404B2 (en) 2009-06-29 2014-07-22 Carefusion 2200, Inc. Flexible wrist-type element and methods of manufacture and use thereof
US20110022078A1 (en) 2009-07-23 2011-01-27 Cameron Dale Hinman Articulating mechanism
US8955732B2 (en) 2009-08-11 2015-02-17 Covidien Lp Surgical stapling apparatus
WO2014145381A1 (en) 2013-03-15 2014-09-18 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US8996173B2 (en) 2010-09-21 2015-03-31 Intuitive Surgical Operations, Inc. Method and apparatus for hand gesture control in a minimally invasive surgical system
US9259275B2 (en) 2009-11-13 2016-02-16 Intuitive Surgical Operations, Inc. Wrist articulation by linked tension members
US8887595B2 (en) 2009-12-22 2014-11-18 Intuitive Surgical Operations, Inc. Instrument wrist with cycloidal surfaces
US8348127B2 (en) 2010-04-07 2013-01-08 Covidien Lp Surgical fastener applying apparatus
US8834518B2 (en) 2010-04-12 2014-09-16 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
US8496682B2 (en) 2010-04-12 2013-07-30 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instruments with cam-actuated jaws
US8672939B2 (en) 2010-06-01 2014-03-18 Covidien Lp Surgical device for performing an electrosurgical procedure
US8491624B2 (en) 2010-06-02 2013-07-23 Covidien Lp Apparatus for performing an electrosurgical procedure
US8663270B2 (en) 2010-07-23 2014-03-04 Conmed Corporation Jaw movement mechanism and method for a surgical tool
CN102440813B (en) 2010-09-30 2013-05-08 上海创亿医疗器械技术有限公司 Endoscopic surgical cutting anastomat with chain joints
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US20120080498A1 (en) * 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
CN101991452B (en) 2010-12-10 2012-07-04 苏州天臣国际医疗科技有限公司 Linear type surgical stapling apparatus
US9393017B2 (en) 2011-02-15 2016-07-19 Intuitive Surgical Operations, Inc. Methods and systems for detecting staple cartridge misfire or failure
EP2675383B1 (en) 2011-02-18 2017-07-19 Intuitive Surgical Operations, Inc. Fusing and cutting surgical instrument
US9370362B2 (en) 2011-04-07 2016-06-21 Wake Forest University Health Sciences Surgical staplers with tissue protection and related methods
CN102743201B (en) 2011-04-20 2014-03-12 苏州天臣国际医疗科技有限公司 Linear cutting suturing device
US9161807B2 (en) 2011-05-23 2015-10-20 Covidien Lp Apparatus for performing an electrosurgical procedure
US8960521B2 (en) 2011-07-15 2015-02-24 Covidien Lp Loose staples removal system
US8968307B2 (en) 2011-08-18 2015-03-03 Covidien Lp Surgical forceps
KR101322030B1 (en) 2011-09-05 2013-10-28 주식회사 모바수 Instrument for Minimally Invasive Surgery Having Articulation Unit Including Spherical Parts
US9198661B2 (en) 2011-09-06 2015-12-01 Ethicon Endo-Surgery, Inc. Stapling instrument comprising a plurality of staple cartridges stored therein
US9254180B2 (en) 2011-09-15 2016-02-09 Ethicon Endo-Surgery, Inc. Surgical instrument with staple reinforcement clip
US9089326B2 (en) 2011-10-07 2015-07-28 Ethicon Endo-Surgery, Inc. Dual staple cartridge for surgical stapler
US8864010B2 (en) 2012-01-20 2014-10-21 Covidien Lp Curved guide member for articulating instruments
US9078653B2 (en) 2012-03-26 2015-07-14 Ethicon Endo-Surgery, Inc. Surgical stapling device with lockout system for preventing actuation in the absence of an installed staple cartridge
US20130277410A1 (en) 2012-04-18 2013-10-24 Cardica, Inc. Safety lockout for surgical stapler
US9820765B2 (en) 2012-05-01 2017-11-21 Covidien Lp Surgical instrument with stamped double-flange jaws
US9668807B2 (en) 2012-05-01 2017-06-06 Covidien Lp Simplified spring load mechanism for delivering shaft force of a surgical instrument
US9101358B2 (en) * 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US20140005678A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Rotary drive arrangements for surgical instruments
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9554796B2 (en) 2012-07-18 2017-01-31 Covidien Lp Multi-fire surgical stapling apparatus including safety lockout and visual indicator
US9549749B2 (en) 2012-10-08 2017-01-24 Covidien Lp Surgical forceps
US9439665B2 (en) 2012-12-20 2016-09-13 Covidien Lp Pediatric combination surgical device
US9675354B2 (en) 2013-01-14 2017-06-13 Intuitive Surgical Operations, Inc. Torque compensation
BR112015018832B8 (en) 2013-02-08 2022-11-22 Ethicon Endo Surgery Inc END ACTUATOR FOR USE WITH A SURGICAL STAPLER
US9717497B2 (en) 2013-02-28 2017-08-01 Ethicon Llc Lockout feature for movable cutting member of surgical instrument
RU2669463C2 (en) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Surgical instrument with soft stop
KR102046373B1 (en) 2013-03-11 2019-11-20 삼성전자주식회사 Laparoscopic surgery device having wire reducer
EP3135225B1 (en) 2013-03-13 2019-08-14 Covidien LP Surgical stapling apparatus
US9717498B2 (en) * 2013-03-13 2017-08-01 Covidien Lp Surgical stapling apparatus
US9814463B2 (en) 2013-03-13 2017-11-14 Covidien Lp Surgical stapling apparatus
US9629628B2 (en) 2013-03-13 2017-04-25 Covidien Lp Surgical stapling apparatus
US9510827B2 (en) 2013-03-25 2016-12-06 Covidien Lp Micro surgical instrument and loading unit for use therewith
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9775610B2 (en) * 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
BR112015026109B1 (en) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc surgical instrument
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
US9387045B2 (en) 2013-05-14 2016-07-12 Intuitive Surgical Operations, Inc. Grip force normalization for surgical instrument
US9351788B2 (en) 2013-06-06 2016-05-31 Ethicon Endo-Surgery, Llc Surgical instrument having knife band with curved distal edge
US9936949B2 (en) 2013-09-23 2018-04-10 Ethicon Llc Surgical stapling instrument with drive assembly having toggle features
DE102013110847B3 (en) 2013-10-01 2015-01-22 gomtec GmbH Control device and method for controlling a robot system by means of gesture control
US9549735B2 (en) 2013-12-23 2017-01-24 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a firing member including fastener transfer surfaces
US20150173789A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable shaft arrangements
US9700312B2 (en) 2014-01-28 2017-07-11 Covidien Lp Surgical apparatus
US9629627B2 (en) 2014-01-28 2017-04-25 Coviden Lp Surgical apparatus
US9197697B2 (en) 2014-03-10 2015-11-24 Gazoo, Inc. Cloud computing system and method
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
JP6588032B2 (en) 2014-03-26 2019-10-09 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ Modular surgical instrument system
US9757126B2 (en) 2014-03-31 2017-09-12 Covidien Lp Surgical stapling apparatus with firing lockout mechanism
US10010324B2 (en) 2014-04-16 2018-07-03 Ethicon Llc Fastener cartridge compromising fastener cavities including fastener control features
AU2015266619B2 (en) 2014-05-30 2020-02-06 Applied Medical Resources Corporation Electrosurgical instrument for fusing and cutting tissue and an electrosurgical generator
US10335147B2 (en) * 2014-06-25 2019-07-02 Ethicon Llc Method of using lockout features for surgical stapler cartridge
JP6701172B2 (en) 2014-08-13 2020-05-27 コヴィディエン リミテッド パートナーシップ Robot control for grasping mechanical profit
US9848877B2 (en) 2014-09-02 2017-12-26 Ethicon Llc Methods and devices for adjusting a tissue gap of an end effector of a surgical device
US20160066913A1 (en) 2014-09-05 2016-03-10 Ethicon Endo-Surgery, Inc. Local display of tissue parameter stabilization
CA3211317A1 (en) 2014-09-15 2016-03-24 Applied Medical Resources Corporation Surgical stapler with self-adjusting staple height
BR112017005981B1 (en) 2014-09-26 2022-09-06 Ethicon, Llc ANCHOR MATERIAL FOR USE WITH A SURGICAL STAPLE CARTRIDGE AND SURGICAL STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US10420603B2 (en) 2014-12-23 2019-09-24 Applied Medical Resources Corporation Bipolar electrosurgical sealer and divider
US10085749B2 (en) 2015-02-26 2018-10-02 Covidien Lp Surgical apparatus with conductor strain relief
US10285698B2 (en) 2015-02-26 2019-05-14 Covidien Lp Surgical apparatus
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
KR102454704B1 (en) 2015-05-15 2022-10-14 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 System and method for reducing blade exposures
US9918781B2 (en) 2015-05-22 2018-03-20 Covidien Lp Surgical instruments and methods for performing tonsillectomy, adenoidectomy, and other surgical procedures
US10803662B2 (en) 2015-05-22 2020-10-13 The University Of North Carolina At Chapel Hill Methods, systems, and computer readable media for transoral lung access
JP2017021186A (en) 2015-07-10 2017-01-26 キヤノン株式会社 Frame fastening method, frame, sheet conveyance device, and image forming apparatus
WO2017026141A1 (en) 2015-08-07 2017-02-16 オリンパス株式会社 Treatment device
US10470769B2 (en) 2015-08-26 2019-11-12 Ethicon Llc Staple cartridge assembly comprising staple alignment features on a firing member
US10898189B2 (en) 2015-11-13 2021-01-26 Intuitive Surgical Operations, Inc. Push-pull stapler with two degree of freedom wrist
AT518032B1 (en) 2015-11-20 2017-11-15 Johann Klaffenböck Mag MEDICAL INSTRUMENT
US10285693B2 (en) 2015-12-31 2019-05-14 Ethicon Llc Surgical stapler with locking translatable pin
US11304770B2 (en) 2016-03-09 2022-04-19 Intuitive Surgical Operations, Inc. Force transmission mechanism for surgical instrument, and related devices, systems, and methods
KR102535333B1 (en) 2016-04-12 2023-05-30 어플라이드 메디컬 리소시스 코포레이션 Reload shaft assembly for surgical stapler
US10368867B2 (en) 2016-04-18 2019-08-06 Ethicon Llc Surgical instrument comprising a lockout
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
WO2017199411A1 (en) 2016-05-20 2017-11-23 オリンパス株式会社 Medical stapler
EP3463162A4 (en) 2016-06-03 2020-06-24 Covidien LP Systems, methods, and computer-readable program products for controlling a robotically delivered manipulator
KR102584758B1 (en) 2016-06-09 2023-10-06 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 Computer-assist remote control surgical system and method
CN114052854A (en) 2016-07-01 2022-02-18 直观外科手术操作公司 Computer-assisted medical system and method
JP6989594B2 (en) 2016-09-09 2022-01-05 インテュイティブ サージカル オペレーションズ， インコーポレイテッド Wrist structure
CN114176690A (en) 2016-10-11 2022-03-15 直观外科手术操作公司 Stapler cartridge with integral knife
US11272947B2 (en) 2016-11-17 2022-03-15 Covidien Lp Surgical instruments for performing tonsillectomy, adenoidectomy, and other surgical procedures
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
JP7010957B2 (en) 2016-12-21 2022-01-26 エシコン エルエルシー Shaft assembly with lockout
US10675025B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Shaft assembly comprising separately actuatable and retractable systems
US11160551B2 (en) 2016-12-21 2021-11-02 Cilag Gmbh International Articulatable surgical stapling instruments
US10588630B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical tool assemblies with closure stroke reduction features
US20180168577A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Axially movable closure system arrangements for applying closure motions to jaws of surgical instruments
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US20180168650A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Connection portions for disposable loading units for surgical stapling instruments
CN110099619B (en) 2016-12-21 2022-07-15 爱惜康有限责任公司 Lockout device for surgical end effector and replaceable tool assembly
US11229480B2 (en) 2017-02-02 2022-01-25 Covidien Lp Latching mechanism for in-line activated electrosurgical device
US10765442B2 (en) 2017-04-14 2020-09-08 Ethicon Llc Surgical devices and methods for biasing an end effector to a closed configuration
US20190015124A1 (en) 2017-07-11 2019-01-17 Conmed Corporation Jaw assembly for a vessel sealer
US10980560B2 (en) 2017-10-30 2021-04-20 Ethicon Llc Surgical instrument systems comprising feedback mechanisms
US11576732B2 (en) 2017-11-13 2023-02-14 Vicarious Surgical Inc. Virtual reality wrist assembly
US20220079585A1 (en) 2017-11-14 2022-03-17 Egan Design LLC Electrically weldable suture material, and apparatus and method for forming welded suture loops and other welded structures
US10863988B2 (en) 2017-11-29 2020-12-15 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
US11696760B2 (en) 2017-12-28 2023-07-11 Cilag Gmbh International Safety systems for smart powered surgical stapling
US10743871B2 (en) 2018-02-01 2020-08-18 Ethicon, Llc Surgical clip applier with distal clip feeder
US10631866B2 (en) 2018-02-06 2020-04-28 Ethicon Llc Release mechanism for linear surgical stapler
US11517312B2 (en) * 2018-02-12 2022-12-06 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
EP4338687A2 (en) 2018-02-26 2024-03-20 Intuitive Surgical Operations, Inc. Surgical instrument with lockout mechanism
US11589865B2 (en) 2018-03-28 2023-02-28 Cilag Gmbh International Methods for controlling a powered surgical stapler that has separate rotary closure and firing systems
US20190314107A1 (en) 2018-04-17 2019-10-17 Ethicon Llc Protection Measures for Robotic Electrosurgical Instruments
US20190365458A1 (en) 2018-05-31 2019-12-05 Intuitive Surgical Operations, Inc. Surgical instruments having a jaw locking mechanism
WO2020081960A1 (en) 2018-10-19 2020-04-23 Intuitive Surgical Operations, Inc. Endoscopic purse string suture surgical device
EP3897405A4 (en) 2018-12-21 2022-09-14 Intuitive Surgical Operations, Inc. Actuation mechanisms for surgical instruments
EP3897404A4 (en) 2018-12-21 2023-01-04 Intuitive Surgical Operations, Inc. Surgical instruments having a reinforced staple cartridge
US11857188B2 (en) 2018-12-21 2024-01-02 Intuitive Surgical Operations, Inc. Articulation assemblies for surgical instruments
US11806015B2 (en) 2018-12-21 2023-11-07 Intuitive Surgical Operations, Inc. Surgical instruments having mechanisms for identifying and/or deactivating stapler cartridges
WO2020214258A1 (en) 2019-04-15 2020-10-22 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
WO2020214397A1 (en) 2019-04-17 2020-10-22 Intuitive Surgical Operations, Inc. Surgical stapling instrument
EP3975875A4 (en) 2019-05-31 2023-02-01 Intuitive Surgical Operations, Inc. Staple cartridge for a surgical instrument
US11786325B2 (en) 2019-07-02 2023-10-17 Intuitive Surgical Operations, Inc. Remotely controlling a system using video
WO2021076371A1 (en) 2019-10-18 2021-04-22 Intuitive Surgical Operations, Inc. Surgical instrument with adjustable jaws
US20220378537A1 (en) 2019-10-25 2022-12-01 Intuitive Surgical Operations, Inc. Joint structures and related devices and methods
US20210177500A1 (en) 2019-12-12 2021-06-17 Intuitive Surgical Operations, Inc. Surgical instruments having non-linear cam slots
US20230020577A1 (en) 2020-01-07 2023-01-19 Intuitive Surgical Operations, Inc. Surgical instruments for applying multiple clips
US11642129B2 (en) 2020-01-15 2023-05-09 Intuitive Surgical Operations, Inc. Staple cartridge and drive member for surgical instrument
US11857247B2 (en) 2020-07-17 2024-01-02 Cilag Gmbh International Jaw for surgical instrument end effector

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6669073B2 (en) 1997-09-23 2003-12-30 United States Surgical Corporation Surgical stapling apparatus
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
US20130098965A1 (en) 2011-10-25 2013-04-25 Stanislaw Kostrzewski Multi-Use Loading Unit
WO2014106275A1 (en) 2012-12-31 2014-07-03 Intuitive Surgical Operations, Inc. Surgical staple cartridge with enhanced knife clearance
US20160157863A1 (en) 2013-03-13 2016-06-09 Covidien Lp Surgical stapling apparatus

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP3752074A4

Also Published As

Publication number Publication date
US20210022736A1 (en) 2021-01-28
US20230052074A1 (en) 2023-02-16
CN111989051A (en) 2020-11-24
EP3752074A4 (en) 2022-03-23
WO2019157500A3 (en) 2020-04-30
EP3752074A2 (en) 2020-12-23
US11864762B2 (en) 2024-01-09
US20240108343A1 (en) 2024-04-04
US11517312B2 (en) 2022-12-06

Similar Documents

Publication Publication Date Title
US11864762B2 (en) Surgical instrument with lockout mechanism
US11504124B2 (en) Surgical instrument with lockout mechanism
US20220395270A1 (en) Surgical instrument with lockout mechanism
US20220079594A1 (en) Surgical instrument comprising separate tissue securing and tissue cutting systems
US11134944B2 (en) Surgical stapler knife motion controls
EP3338715B1 (en) Lockout arrangements for surgical end effectors and replaceable tool assemblies
US10194913B2 (en) Surgical instrument comprising systems for assuring the proper sequential operation of the surgical instrument
US9232944B2 (en) Surgical instrument and bushing
CN107106180B (en) Stapling device with automatic locking mechanism
AU716012B2 (en) Surgical clamping mechanism
CN111295142A (en) Positive axis rotation lock activated by jaw closure
JP7463404B2 (en) Clamp-based lockout mechanism for right-angle surgical stapler
EP2679171A1 (en) Surgical instrument and bushing
JP2018501896A (en) Endoscopic reposable surgical clip applier
CN111757707B (en) Surgical instrument with lockout mechanism
US11812956B2 (en) Dual firing radial stapling device

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: 19750317

Country of ref document: EP

Kind code of ref document: A2

NENP Non-entry into the national phase

Ref country code: DE

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

Ref document number: 19750317

Country of ref document: EP

Kind code of ref document: A2

ENP Entry into the national phase

Ref document number: 2019750317

Country of ref document: EP

Effective date: 20200914