CN100496418C - 外科装置 - Google Patents
外科装置 Download PDFInfo
- Publication number
- CN100496418C CN100496418C CNB02823832XA CN02823832A CN100496418C CN 100496418 C CN100496418 C CN 100496418C CN B02823832X A CNB02823832X A CN B02823832XA CN 02823832 A CN02823832 A CN 02823832A CN 100496418 C CN100496418 C CN 100496418C
- Authority
- CN
- China
- Prior art keywords
- pawl
- cutting
- lock ring
- driver
- electro
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 238000005520 cutting process Methods 0.000 claims abstract description 145
- 238000001356 surgical procedure Methods 0.000 claims description 13
- 230000004044 response Effects 0.000 claims description 3
- 230000004913 activation Effects 0.000 claims 4
- 210000000078 claw Anatomy 0.000 description 67
- 230000005611 electricity Effects 0.000 description 15
- 230000000968 intestinal effect Effects 0.000 description 15
- 230000006870 function Effects 0.000 description 10
- 238000000034 method Methods 0.000 description 6
- 238000007789 sealing Methods 0.000 description 6
- 238000012546 transfer Methods 0.000 description 6
- 238000001727 in vivo Methods 0.000 description 5
- 230000009467 reduction Effects 0.000 description 5
- 230000003187 abdominal effect Effects 0.000 description 3
- 239000007858 starting material Substances 0.000 description 3
- 230000005355 Hall effect Effects 0.000 description 2
- 230000002159 abnormal effect Effects 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 210000001072 colon Anatomy 0.000 description 2
- 238000004891 communication Methods 0.000 description 2
- 230000000295 complement effect Effects 0.000 description 2
- 230000008602 contraction Effects 0.000 description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 230000003287 optical effect Effects 0.000 description 2
- 230000008520 organization Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 238000004804 winding Methods 0.000 description 2
- 208000032953 Device battery issue Diseases 0.000 description 1
- 241000405217 Viola <butterfly> Species 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000009954 braiding Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000013500 data storage Methods 0.000 description 1
- 238000012217 deletion Methods 0.000 description 1
- 230000037430 deletion Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 239000013536 elastomeric material Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 210000000352 storage cell Anatomy 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- 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
- A61B17/32—Surgical cutting instruments
- A61B17/3201—Scissors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- 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
-
- 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
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
Abstract
Description
Claims (45)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/999,546 US7695485B2 (en) | 2001-11-30 | 2001-11-30 | Surgical device |
US09/999,546 | 2001-11-30 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2009100052151A Division CN101474086B (zh) | 2001-11-30 | 2002-11-07 | 外科装置 |
Publications (2)
Publication Number | Publication Date |
---|---|
CN1849097A CN1849097A (zh) | 2006-10-18 |
CN100496418C true CN100496418C (zh) | 2009-06-10 |
Family
ID=25546464
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2009100052151A Expired - Fee Related CN101474086B (zh) | 2001-11-30 | 2002-11-07 | 外科装置 |
CNB02823832XA Expired - Fee Related CN100496418C (zh) | 2001-11-30 | 2002-11-07 | 外科装置 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2009100052151A Expired - Fee Related CN101474086B (zh) | 2001-11-30 | 2002-11-07 | 外科装置 |
Country Status (9)
Country | Link |
---|---|
US (5) | US7695485B2 (zh) |
EP (3) | EP2727541A1 (zh) |
JP (1) | JP4503291B2 (zh) |
CN (2) | CN101474086B (zh) |
AT (1) | ATE553704T1 (zh) |
AU (1) | AU2002340426A1 (zh) |
CA (1) | CA2466651C (zh) |
ES (1) | ES2382543T3 (zh) |
WO (1) | WO2003047436A2 (zh) |
Families Citing this family (933)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US8241322B2 (en) * | 2005-07-27 | 2012-08-14 | Tyco Healthcare Group Lp | Surgical device |
US8025199B2 (en) | 2004-02-23 | 2011-09-27 | Tyco Healthcare Group Lp | Surgical cutting and stapling device |
US8016855B2 (en) | 2002-01-08 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical device |
US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
CN1554061A (zh) * | 2001-06-20 | 2004-12-08 | ͨ��ҽ�ƹ�˾ | 用于集成医疗跟踪的方法和系统 |
US9113878B2 (en) | 2002-01-08 | 2015-08-25 | Covidien Lp | Pinion clip for right angle linear cutter |
US9510740B2 (en) * | 2002-03-12 | 2016-12-06 | Karl Storz Endovision, Inc. | Auto recognition of a shaver blade for medical use |
US8723936B2 (en) | 2002-03-12 | 2014-05-13 | Karl Storz Imaging, Inc. | Wireless camera coupling with rotatable coupling |
AU2003245246B2 (en) * | 2002-04-25 | 2009-01-08 | Covidien Lp | Surgical instruments including micro-electromechanical systems (MEMS) |
WO2003105702A2 (en) | 2002-06-14 | 2003-12-24 | Power Medical Interventions, Inc. | Surgical device |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
JP4664909B2 (ja) * | 2003-06-17 | 2011-04-06 | 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 | 外科用ステープリング装置 |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US8905977B2 (en) | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
BRPI0518171B8 (pt) | 2004-10-08 | 2021-06-22 | Ethicon Endo Surgery Inc | aparelho coagulador de pinça ultra-sônico |
US10314583B2 (en) | 2005-07-26 | 2019-06-11 | Ethicon Llc | Electrically self-powered surgical instrument with manual release |
US11751873B2 (en) | 2005-07-26 | 2023-09-12 | Cilag Gmbh International | Electrically powered surgical instrument with manual release |
US9662116B2 (en) | 2006-05-19 | 2017-05-30 | Ethicon, Llc | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
US8627995B2 (en) | 2006-05-19 | 2014-01-14 | Ethicon Endo-Sugery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
US8028885B2 (en) | 2006-05-19 | 2011-10-04 | Ethicon Endo-Surgery, Inc. | Electric surgical instrument with optimized power supply and drive |
US9554803B2 (en) | 2005-07-26 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Electrically self-powered surgical instrument with manual release |
CN102988087B (zh) * | 2005-07-27 | 2015-09-09 | 柯惠Lp公司 | 例如用于机电手术设备的轴 |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7799039B2 (en) | 2005-11-09 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a hydraulically actuated end effector |
US7673780B2 (en) | 2005-11-09 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument |
US7670334B2 (en) | 2006-01-10 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument having an articulating end effector |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US7575144B2 (en) * | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
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US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
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US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
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US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
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US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US7506791B2 (en) | 2006-09-29 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression |
US20220218350A1 (en) * | 2006-10-03 | 2022-07-14 | Cilag Gmbh International | Robotically-driven surgical instrument with e-beam driver |
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US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
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-
2001
- 2001-11-30 US US09/999,546 patent/US7695485B2/en not_active Expired - Lifetime
-
2002
- 2002-11-07 EP EP14151564.3A patent/EP2727541A1/en not_active Withdrawn
- 2002-11-07 JP JP2003548702A patent/JP4503291B2/ja not_active Expired - Lifetime
- 2002-11-07 AT AT02778789T patent/ATE553704T1/de active
- 2002-11-07 CN CN2009100052151A patent/CN101474086B/zh not_active Expired - Fee Related
- 2002-11-07 EP EP02778789A patent/EP1453423B1/en not_active Expired - Lifetime
- 2002-11-07 CN CNB02823832XA patent/CN100496418C/zh not_active Expired - Fee Related
- 2002-11-07 ES ES02778789T patent/ES2382543T3/es not_active Expired - Lifetime
- 2002-11-07 EP EP11004856A patent/EP2366340A1/en not_active Ceased
- 2002-11-07 WO PCT/US2002/035850 patent/WO2003047436A2/en active Application Filing
- 2002-11-07 AU AU2002340426A patent/AU2002340426A1/en not_active Abandoned
- 2002-11-07 CA CA2466651A patent/CA2466651C/en not_active Expired - Fee Related
-
2010
- 2010-03-30 US US12/749,573 patent/US8021373B2/en not_active Expired - Fee Related
-
2011
- 2011-08-11 US US13/207,697 patent/US8512359B2/en not_active Expired - Lifetime
-
2013
- 2013-08-12 US US13/964,228 patent/US8740932B2/en not_active Expired - Fee Related
-
2014
- 2014-05-21 US US14/283,757 patent/US9078654B2/en not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
EP1453423B1 (en) | 2012-04-18 |
US8740932B2 (en) | 2014-06-03 |
JP2005511131A (ja) | 2005-04-28 |
WO2003047436A9 (en) | 2004-05-13 |
US8021373B2 (en) | 2011-09-20 |
US20140021238A1 (en) | 2014-01-23 |
JP4503291B2 (ja) | 2010-07-14 |
CN101474086A (zh) | 2009-07-08 |
AU2002340426A1 (en) | 2003-06-17 |
EP1453423A2 (en) | 2004-09-08 |
US7695485B2 (en) | 2010-04-13 |
US20110297729A1 (en) | 2011-12-08 |
US20100249816A1 (en) | 2010-09-30 |
US20140257353A1 (en) | 2014-09-11 |
ATE553704T1 (de) | 2012-05-15 |
WO2003047436A2 (en) | 2003-06-12 |
AU2002340426A8 (en) | 2003-06-17 |
EP2727541A1 (en) | 2014-05-07 |
WO2003047436A3 (en) | 2003-11-20 |
EP2366340A1 (en) | 2011-09-21 |
CN1849097A (zh) | 2006-10-18 |
CN101474086B (zh) | 2011-06-22 |
ES2382543T3 (es) | 2012-06-11 |
CA2466651C (en) | 2011-06-21 |
US20030105478A1 (en) | 2003-06-05 |
US9078654B2 (en) | 2015-07-14 |
CA2466651A1 (en) | 2003-06-12 |
US8512359B2 (en) | 2013-08-20 |
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