CN101224118A - 联锁装置及包括联锁装置的外科器械 - Google Patents

联锁装置及包括联锁装置的外科器械 Download PDF

Info

Publication number
CN101224118A
CN101224118A CNA2008100026190A CN200810002619A CN101224118A CN 101224118 A CN101224118 A CN 101224118A CN A2008100026190 A CNA2008100026190 A CN A2008100026190A CN 200810002619 A CN200810002619 A CN 200810002619A CN 101224118 A CN101224118 A CN 101224118A
Authority
CN
China
Prior art keywords
cutting device
motor
nail bin
end effector
passage
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.)
Granted
Application number
CNA2008100026190A
Other languages
English (en)
Other versions
CN101224118B (zh
Inventor
F·E·谢尔顿四世
J·R·乔达诺
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ethicon Endo Surgery Inc
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of CN101224118A publication Critical patent/CN101224118A/zh
Application granted granted Critical
Publication of CN101224118B publication Critical patent/CN101224118B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

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
    • 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
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477—Coupling
    • A61B2017/00482—Coupling with a code
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • 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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0807—Indication means
    • A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0814—Preventing re-use
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras

Abstract

本发明涉及一种联锁装置及包括联锁装置的外科器械。所述器械包括端部执行器，该端部执行器包括用于切割物体的可动切割器械和连接到端部执行器的马达。所述马达响应于通过的电流而致动所述切割器械，使该切割器械在最近侧位置和最远侧位置之间运动。所述器械还包括连接到端部执行器和马达上的联锁装置，用于基于通过马达的电流来防止切割器械的致动。

Description

联锁装置及包括联锁装置的外科器械
本申请涉及如下同时提交的美国专利申请，这些申请通过引用全文结合入本文：
(1)J.Giordano等人的题为“在控制单元和传感器转发器之间能够无线通信的外科器械”(SURGICAL INSTRUMENT WITH WIRELESSCOMMUNICATION BETWEEN CONTROL UNIT AND SENSOR TRANSPONDERS)的美国专利申请(律师档案号060338/END5923USNP)；
(2)J.Giordano等人的题为“在控制单元和远程传感器之间能够无线通信的外科器械”(SURGICAL INSTRUMENT WITH WIRELESSCOMMUNICATION BETWEEN CONTROL UNIT AND REMOTE SENSOR)的美国专利申请(律师档案号060339/END5924USNP)；
(3)J.Giordano等人的题为“在控制单元和端部执行器之间具有通信元件的外科器械”(SURGICAL INSTRUMENT WITH ELEMENTS TOCOMMUNICATE BETWEEN CONTROL UNIT AND END EFFECTOR)的美国专利申请(律师档案号060340/END5925USNP)；
(4)F.Shelton等人的题为“对仓重新用在外科器械中的防止”(PREVENTION OF CARTRIDGE REUSE IN A SURGICAL INSTRUMENT)的美国专利申请(律师档案号060341/END5926USNP)；
(5)J.Swayze等人的题为“外科器械的消毒后程序”(POST-STERILIZATION PROGRAMMING OF SURGICAL INSTRUMENTS)的美国专利申请(律师档案号060342/END5924USNP)；和
(6)F.Shelton等人的题为“具有增强的电池性能的外科器械”(SURGICAL INSTRUMENT WITH ENHANCED BATTERY PERFORMANCE)的美国专利申请(律师档案号060347/END5931USNP)。
技术领域
本发明通过各种实施方式从总体上涉及外科缝合和切割器械，所述外科缝合和切割器械的结构和设置能够用于将成排缝钉从钉仓施放到组织上，同时切割所施放的缝钉排之间的组织。更具体地说，本发明涉及用于马达驱动的外科缝合和切割器械的联锁装置，用来在未安装钉仓或者在钉仓已安装但缝钉被用尽时防止组织的切割。
背景技术
与传统的开放式外科器械相比，内窥镜外科器械通常更受青睐，这是因为较小的切口易于减少术后恢复时间和并发症。因此，各种内窥镜外科器械已经有了显著的发展，这些器械适于通过套管针的套管将远侧端部执行器精确放置在所需的手术部位。这些远侧端部执行器(例如，内切割器、抓钳、切割器、缝合器、夹施放器、进入装置、药物/基因治疗输送装置、以及使用超声波、RF、或激光等的能量装置)以各种方式与组织接合，达到诊断或治疗的效果。
已知的外科缝合器包括端部执行器，该端部执行器在组织中形成纵向切口的同时在切口的相对两侧上施加多排缝钉。所述端部执行器包括一对相配合的钳口构件，如果器械用于内窥镜或者腹腔镜应用，这对钳口构件能够穿过套管通道。钳口构件中的一个容纳具有至少两个横向间隔的缝钉排的钉仓。另一个钳口构件限定了具有缝钉成形凹口的钉砧，所述凹口与钉仓中的缝钉排对准。该器械包括多个往复运动的楔形件，这些楔形件在被向远侧驱动时穿过钉仓中的开口并与支撑缝钉的驱动器接合，向着钉砧击发缝钉。
有利的是，端部执行器可以被设计成能够与外科缝合器重复使用。例如，一个患者可能需要一系列切割和缝合操作。针对每次操作更换整个端部执行器可能不那么经济，特别是该端部执行器被制得为了重复操作而具有一定强度和可靠性时。为此，钉仓通常被构造成一次性的，并且在外科缝合器的每次操作之前被装入端部执行器。
在Knodel等人的名称为“SURGICAL STAPLER INSTRUMENT”的美国专利No.5,465,895中描述了适于内窥镜应用的外科缝合器的一个例子，其中公开了具有不同的闭合和击发动作的内切割器。由此，操作者能够将钳口构件闭合在组织上，以在击发前定位组织。一旦操作者确认钳口构件正确夹持组织，操作者可以以单击发行程或者多击发行程(取决于该装置)击发该外科缝合器。击发该外科缝合器导致切割和缝合组织。同时切割和缝合避免了采用分别只进行切割和缝合的不同外科工具顺序执行这种动作可能导致的并发症。
能够在击发之前闭合在组织上的一个具体的优点是，操作者能够借助内窥镜确认已经获得了切割的所需位置，包括在对置的钳口之间已经捕获了足够的组织。否则，对置的钳口可能被拉得彼此过近，尤其是在他们的远端挤紧，由此无法有效地在被切割的组织上成形闭合缝钉。另一个极端是，过量夹紧的组织可能导致束缚和不完全击发。
由于闭合钳口并且同时执行切割和缝合操作所需的致动力(即，击发力，或者FTF)可能很大，诸如如上所述的手动切割和缝合器械可能无法被不能产生所需FTF的操作者使用，这些操作者在其他情况中可能是合格的操作者。因此，已经开发了动力驱动的切割和缝合器械来减小击发力(FTF)。这种器械通常结合有马达或者其他致动机构，适合用来增强或者替换用于执行切割和缝合操作的操作者生成力。
尽管动力驱动的器械提供了多种优点，但是需要防止在一定条件下器械的无意中击发。例如，击发未安装钉仓的器械或者击发安装了钉仓但缝钉用尽(例如在先击发)的器械，这可能导致切割组织而未能同时缝合而使流血量最小。在这些情况下防止动力驱动的内切割器操作的联锁装置此前使用位于端部执行器中的电子传感器，用于确定未用尽的钉仓是否已经安装在端部执行器中。Swayze等人的发明名称为“ELECTRONIC INTERLOCKS AND SURGICALINSTRUMENT INCLUDING SAME”的美国专利申请No.11/343,439(其公开的内容通过引用结合入本文)公开了电子传感器的使用，该电子传感器设置在端部执行器内，用于确定未用尽的钉仓是否已经安装。所述传感器可包括与马达或其他电动致动机构串联的开关，从而在未安装钉仓或者钉仓被安装但用尽时阻断产生致动力所须的电流。尽管这种电子联锁装置很有效，但是将传感器设置在端部执行器中并且在传感器和马达电子器件(通常容纳在器械手柄中)之间布置电线增加了器械的复杂性和成本。
尽管已知位于端部执行器中用于防止无意中击发的机械联锁装置的使用，并能够避免与端部执行器的电子器件相关的复杂性，但是这种机构此前局限于手动内切割器。特别是，这种机构的机械强度不能抵抗电动致动机构产生的击发力。另外，即使机械联锁装置能够承受击发力，最终的物理应力可能传递到器械的其他组成元件，并且导致难以接受的磨损或损坏。
因此，非常需要用于动力致动的切割和缝合器械的联锁装置，其能够防止无意中击发(例如，切割但不缝合)，同时避免配备传感器的端部执行器的复杂性和否则可能由于使用传统的机械联锁装置而导致的有害的物理应力。
发明内容
本申请公开了根据各种实施方式的外科切割和缝合器械。所述切割和缝合器械包括端部执行器，该端部执行器包括用于切割物体的可动切割器械和用于响应于通过的电流而致动所述切割器械的马达。所述切割器械的致动导致该切割器械在最近侧位置和最远侧位置之间运动。所述切割和缝合器械还包括连接到端部执行器和马达上的联锁装置，用于基于通过马达的电流防止切割器械的致动。
本申请还公开了一种防止外科器械的操作的方法。所述外科器械被构造成可动地容纳可用钉仓，并且包括可动切割器械和用于响应于通过的电流而致动所述切割器械的马达。所述方法包括在器械中没有未耗尽钉仓时以机械方式阻止马达对切割器械的致动，检测由于切割器械的致动被阻止而导致的通过马达的电流，并且根据所检测的电流中断通过马达的电流。
具体而言，本发明公开了如下内容：
(1).一种外科器械，包括：
具有用于切割物体的可动切割器械的端部执行器；
连接到所述端部执行器的马达，用于响应于通过其的电流来致动所述切割器械，其中所述切割器械的致动使该切割器械在最近侧位置和最远侧位置之间运动；以及
连接到所述端部执行器和所述马达上的联锁装置，用于基于通过所述马达的电流防止所述切割器械的致动。
(2).如第(1)项所述的器械，其中，所述端部执行器还包括：
纵向延伸通道，所述通道具有近端和远端；
以可枢转的方式连接到所述通道的钉砧，其中所述物体位于所述钉砧和所述通道之间；
以可拆卸的方式置于所述通道中的钉仓，所述钉仓具有近端和远端；
形成于所述钉仓和所述通道之间的击发驱动槽，当致动所述切割器械时至少部分所述切割器械经过所述击发驱动槽；以及
设置于所述钉仓中的滑块，其中当致动所述切割器械时所述滑块由所述切割器械接合，并被从位于所述钉仓近端的未击发位置纵向驱动穿过该钉仓到达位于所述钉仓远端的击发位置。
(3).如第(2)项所述的器械，其中，所述联锁装置包括：
用于防止所述切割器械的致动的阻止机构，其中在所述滑块未处于未击发位置时启动所述阻止机构；以及
用于感测通过所述马达的电流并根据所感测的电流来中断通过所述马达的电流的闭锁电路。
(4).如第(3)项所述的器械，其中，所述闭锁电路还用于根据所述切割器械的位置来中断通过所述马达的电流。
(5).如第(3)项所述的器械，其中，当所述阻止机构阻止所述切割器械纵向前进通过所述通道时，通过所述马达的电流增大。
(6).如第(3)项所述的器械，其中，所述阻止机构包括至少一个设置在所述通道中的弹簧夹。
(7).如第(3)项所述的器械，其中，所述阻止机构包括至少一个弹性地连接到所述通道的倾斜钩。
(8).如第(3)项所述的器械，其中，所述阻止机构与所述钉仓一体形成，并且包括至少一个向近侧凸出的构件，其中所述至少一个向近侧凸出的构件能够在所述击发驱动槽和所述钉仓中的凹槽之间运动。
(9).如第(3)项所述的器械，其中，所述闭锁电路包括用于生成代表所感测电流的第一信号的电流传感器。
(10).如第(9)项所述的器械，其中，所述闭锁电路还包括用于将所述第一信号与预定阈值信号进行比较的电流检测模块。
(11).如第(10)项所述的器械，其中，所述电流检测模块包括微处理器。
(12).如第(10)项所述的器械，其中，所述闭锁电路还包括用于确定所述切割器械的位置的位置传感器。
(13).如第(12)项所述的器械，其中，所述闭锁电路还包括与所述马达串联连接的开关，所述开关是可控的，其能够根据所述切割器械的位置以及所述第一信号与所述预定阈值信号的比较来中断通过所述马达的电流。
(14).如第(13)项所述的器械，其中，所述开关能够被控制成在所述切割器械的位置处于其最近侧位置的预定距离内时以及在所述第一信号超过所述预定阈值信号时中断通过所述马达的电流。
(15).一种用于防止外科器械操作的方法，所述外科器械被构造成用于以可拆卸的方式接收可用钉仓，并且所述外科器械包括可动切割器械和响应于通过的电流而致动所述切割器械的马达，所述方法包括：
在所述器械中没有未用尽的钉仓时以机械方式阻止所述马达对所述切割器械的致动；
检测由于所述切割器械的致动被阻止而导致的通过所述马达的电流；以及
根据所检测的电流中断通过所述马达的电流
(16).如第(15)项所述的方法，其中，检测通过所述马达的电流包括：
感测马达电流；
生成代表所感测的马达电流的信号；以及
将所生成的信号与阈值信号进行比较。
(17).如第(16)项所述的方法，其中，中断通过所述马达的电流包括在所生成的信号超过所述阈值信号时中断所述电流。
(18).如第(17)项所述的方法，其中，中断通过所述马达的电流还包括根据所述切割器械的位置中断所述电流。
(19).一种处理外科器械的方法，包括：
获取所述外科器械，其中所述外科器械包括：
具有用于切割物体的可动切割器械的端部执行器；
连接到所述端部执行器的马达，用于响应于通过其的电流来致动所述切割器械，其中所述切割器械的致动使该切割器械在最近侧位置和最远侧位置之间运动；以及
连接到所述端部执行器和所述马达上的联锁装置，用于基于通过所述马达的电流来防止所述切割器械的致动；
对所述外科器械进行消毒；以及
将所述外科器械存储在无菌容器中。
附图说明
结合附图以示例方式说明本发明的各种实施方式，其中：
图1和2是根据本发明的各种实施方式的外科切割和紧固器械的透视图；
图3A是根据本发明的各种实施方式的端部执行器的分解图；
图3B是图3A的切割器械的透视图；
图4和5是根据本发明的各种实施方式的器械的端部执行器和轴的分解图；
图6是根据本发明的各种实施方式的端部执行器的侧视图；
图7是根据本发明的各种实施方式的器械的手柄的分解图；
图8和9是根据本发明的各种实施方式的手柄的部分透视图；
图10是根据本发明的各种实施方式的手柄的侧视图；
图11至12分别示出了根据本发明的各种实施方式使用的比例传感器；
图13至27分别示出了根据本发明的各种实施方式的机械阻止机构及其顺序的操作；
图28至29示出了用于根据本发明的各种实施方式的器械的电路的示意图；
图30是根据本发明的各种实施方式通过图29中的微控制器执行的过程的流程图；
图31是通过根据本发明的各种实施方式的联锁装置执行的过程的流程图。
具体实施方式
图1和2示出了根据本发明的各种实施方式的外科切割和紧固器械10。所示出的实施例是内镜器械，总体而言，此处示出的器械10的实施例是内镜外科切割和紧固器械。但是，应当理解的是，根据本发明的其他实施方式，所述器械可以是非内镜外科切割和紧固器械，诸如腹腔镜器械。
图1和2示出的外科器械10包括手柄12、轴14和在关节枢轴18处可枢转地连接到轴14的关节运动端部执行器16。关节运动控制器20可靠近手柄12设置，以便使端部执行器16绕关节枢轴18转动。在所示出的实施方式中，端部执行器16被构造成用作内切割器，用于夹钳、切割和缝合组织，但是在其他实施方式中，可以使用不同类型的端部执行器，诸如用于其他类型的外科器械的端部执行器，例如抓钳、切割器、缝合器、夹施放器、进入装置、药物/基因治疗装置、以及超声、RF或激光装置等。
器械10的手柄12可包括闭合扳机22和用于致动端部执行器16的击发扳机24。应当理解，具有用于不同外科任务的端部执行器的器械可具有不同数量或者类型的扳机或用于操作端部执行器16的其他适合的控制器。所示出的端部执行器16优选通过细长轴14与手柄12隔开。在一种实施方式中，器械10的操作者可通过使用关节运动控制器20使端部执行器16相对于轴14进行关节运动，所述关节运动控制器20如在Hueil等人的名称为“SURGICAL INSTRUMENTHAVING AN ARTICULATING END EFFECTOR”的未决美国专利申请No.11/329,020中更详细地描述，该文献通过参考结合入本文。
在本实施例中，除了其他的，端部执行器16包括缝钉通道26和可枢转移动的钳口构件诸如钉砧28，他们保持隔开，确保夹在端部执行器16中的组织的有效缝合和切割。手柄12包括手枪式握把30，由操作者朝着该手枪式握把30枢转地拉动闭合扳机22使得端部执行器16的钉砧28朝着缝钉通道26夹钳或者闭合，由此夹钳定位在钉砧28和通道26之间的组织。击发扳机24位于闭合扳机22的更远侧。一旦闭合扳机22如下面将更详细描述的那样锁定在闭合位置，击发扳机24可朝着手枪式握把30略微转动，从而可由操作者用一只手触及。然后操作者可朝着手枪式握把30枢转地拉动击发扳机24，以便缝合和切割夹在端部执行器16中的组织。在其他实施方式中，除了钉砧28外可使用其它类型的钳口构件，诸如例如对置的钳口等。
应当理解，此处使用的术语“近侧”和“远侧”是相对于抓持器械10的手柄12的操作者而言。因此，端部执行器16相对于更近侧的手柄12而言位于远侧。还应当理解，为了方便和清楚，此处使用的空间术语诸如“垂直”和“水平”是相对于附图而言的。但是，可在多种方位使用外科器械，并且这些术语并不是限制性的和绝对的。
可首先致动闭合扳机22。一旦操作者对端部执行器16的定位满意，操作者可将闭合扳机22向回拉动到其靠近手枪式握把30的完全闭合的锁定位置。然后可致动击发扳机24。如下面将更完整地描述地，当操作者移开压力时，击发扳机24返回到张开位置(如图1和2所示)。位于手柄12上的释放按钮32在被压下时可松开锁定的闭合扳机22。使用释放按钮32锁定和解锁闭合扳机22的各种构造在Shelton，IV等人的名称为“MOTOR-DRIVEN SURGICAL CUTTINGAND FASTENING INSTRUMENT WITH LOADING FORCE FEEDBACK”的未决美国专利申请No.11/343,573中有说明，该文献通过引用结合入本文。
图3A是根据各种实施方式的端部执行器16的分解图。如所阐述的实施方式所示，除了前面提及的缝钉通道26和钉砧28，端部执行器16可包括切割器械34、滑块36、可拆卸地置于(例如安装)通道26中的钉仓38、以及螺纹轴40。图3B是图3A的切割器械的透视图。
钉砧28可在连接到通道26的近端上的枢轴点42处可枢转地张开和闭合。钉砧28还可包括位于其近端的凸片44，用于插入机械闭合系统(在下面说明)的组成元件中，以便张开和闭合钉砧28。当致动闭合扳机22时，也就是由器械10的操作者向内拉动闭合扳机22时，钉砧28可绕着枢轴点42枢转到夹钳或闭合位置。如果对端部执行器16的夹钳满意，操作者可致动击发扳机24，如在下面更详细说明的，击发扳机24使切割器械34沿着通道26纵向地运动。
如图所示，切割器械34包括上导销46，这些上导销46进入钉砧28中的钉砧槽48，以便在切割和缝钉成形过程中确认和辅助将钉砧28保持在闭合状态。通过通道26中的纵向开口54的引导使切割器械34的中间销50沿着通道26的顶面滑动、同时使其底脚52沿着通道26的底面相对地滑动，以通过切割器械34进一步保持通道26和钉砧28之间的间隔。位于上导销46和中间销50之间的朝向远侧的切割表面56切割夹钳的组织，同时，朝向远侧的表面58通过将滑块36逐渐地从未击发位置驱动到击发位置而致动钉仓38。钉仓38的致动使得缝钉驱动器60进行向上凸起运动，从而将缝钉62从形成于钉仓38中的向上开口的缝钉孔64驱动出来。随后缝钉62抵靠钉砧28的钉成形下表面66成形。钉仓托架68从底部包围钉仓38的其他组成元件，以便将他们保持就位。钉仓托架68包括向后开口槽70，其位于通道26中的纵向开口54上方。钉仓38的下表面和通道26的上表面形成击发驱动槽200(图6)，在切割器械34的远侧运动和近侧运动过程中中间销50经过该击发驱动槽200。滑块36可以是钉仓38的一体组成元件，从而在切割操作之后缩回切割器械34时该滑块36不会缩回。在Shelton，IV等人的名称为“SURGICALSTAPLING INSTRUMENT INCORPORATING AN E-BEAM FIRING MECHANISM”的美国专利No.6,978,921中更详细地公开了这种两行程切割和紧固器械，该文献通过引用结合入本文。
应当理解，尽管此处描述的器械10的实施方式采用钉合被切割的组织的端部执行器16，但是在其他实施方式中可以使用用于紧固或密封被切割组织的不同的技术。例如，也可以使用采用RF能量或者粘合剂的端部执行器。Yates等人的发明名称为“ELECTROSURGICALHEMOSTATIC DEVICE”的美国专利No.5,709,680以及Yates等人的名称为“ELECTROSURGICAL HEMOSTATIC DEVICE WITH RECESSED AND/OROFFSET ELECTRODES”的美国专利No.5,688,270公开了使用RF能量紧固被切割的组织的切割器械，这两篇文献通过引用被结合入本文。Morgan等人的名称为“SURGICAL STAPLING INSTRUMENTSSTRUCTURED FOR DELIVERY OF MEDICAL AGENTS”的美国专利申请No.11/267,811和Shelton IV等人的名称为“SURGICAL STAPLINGINSTRUMENTS STRUCTURED FOR PUMP-ASSISTED DELIVERY OF MEDICALAGENTS”的美国专利申请No.11/267,383公开了使用粘合剂紧固被切割的组织的切割器械，这两篇文献通过引用被结合入本文。因此，尽管此处的说明提及切割/缝合操作等，但是应当认识到，这是示例性实施方式，并不意味着限制。也可使用其他组织紧固技术。
图4和5是根据各种实施方式的端部执行器16和轴14的分解图，图6是侧视图。如所阐述的实施方式所示，轴14可包括通过枢转连接件76可枢转地连接的近侧闭合管72和远侧闭合管74。远侧闭合管74包括开口78，钉砧28上的凸片44插入开口78，以便张开和闭合钉砧28，如下面更详细说明的。近侧脊管79设置在闭合管72和74内。主旋转(或近侧)驱动轴80设置在近侧脊管79内，借助锥齿轮组件84与次(或远侧)驱动轴82连接。次驱动轴82连接到驱动齿轮86，该驱动齿轮86与螺纹轴40的近侧驱动齿轮88接合。竖直的锥齿轮84b位于近侧脊管79的远端的开口90中，并在其中枢转。远侧脊管92可用于包围次驱动轴82和驱动齿轮86、88。总体上，主驱动轴80、次驱动轴82和关节运动组件(例如锥齿轮组件84a-c)在此处有时被称作“主驱动轴组件”。
位于缝钉通道26的远端处的支撑件(轴承)94(图6)接收螺纹轴40，允许螺纹轴40相对于通道26自由旋转。螺纹轴40可与切割器械34的螺纹开口(未示出)接界，螺纹轴40的旋转使切割器械34向远侧或近侧(取决于旋转的方向)移动通过缝钉通道26。由此，当通过击发扳机24的致动而使主驱动轴80旋转时(如下面将更详细说明的)，锥齿轮组件84a-c使次驱动轴82旋转，由于驱动齿轮86、88的接合，次驱动轴82又使得螺纹轴40旋转，这又使得切割器械34沿着通道26纵向运动，从而切割夹钳在端部执行器16内的任何组织。滑块36可由例如塑料制成，并且可具有倾斜的远侧表面。随着滑块36经过通道26，倾斜的远侧表面向上顶起缝钉驱动器60，该缝钉驱动器60又推起或驱动钉仓38中的缝钉62穿过夹紧的组织并抵靠在钉砧28的钉成形下表面66上，由此缝合被切割的组织。当缩回切割器械34时，切割器械34和滑块36脱离接合，由此将滑块36留在通道26的远端。
图7至10示出了马达驱动的内切割器、尤其是其手柄12的一种示例性实施方式，手柄12提供了在端部执行器16中，切割器械34展开和加载力的操作者反馈。另外，在缩回击发扳机24时该实施方式可使用操作者提供的能量，以驱动该装置(所谓的“动力辅助”模式)。如所阐述的实施方式所示，手柄12包括外部下侧件96、98和外部上侧件100、102，它们装配在一起，在总体上形成手柄12的外部形状。电池104可被设置在手柄12的手枪式握把30部分中。电池104可根据任何合适的结构或化学性质构造，包括例如锂离子化学电池诸如LiCoO2或LiNiO2、镍金属氢化物化学电池等。电池104为设置在手柄12的手枪式握把30部分的上部的马达106供能。根据各种实施方式，马达106可以是DC刷式驱动马达，具有大约5000至100,000RPM的最大转速。马达106可驱动90度锥齿轮组件108，该锥齿轮组件108包括第一锥齿轮110和第二锥齿轮112。锥齿轮组件108可驱动行星齿轮组件114。行星齿轮组件114可包括连接到驱动轴118的小齿轮116。小齿轮116可驱动配合环形齿轮120，该环形齿轮120通过驱动轴124驱动斜齿轮鼓122。环126可旋到斜齿轮鼓122上。由此，当马达106旋转时，通过介于其间的锥齿轮组件108、行星齿轮组件114和环形齿轮120使环126沿着斜齿轮鼓122行进。
手柄12还可包括与击发扳机24相关联的马达运行传感器128，以便检测操作者向着手柄12的手枪式握把30部分向内拉动(或“闭合”)击发扳机24的时刻，由此通过端部执行器16致动切割/缝合操作。传感器128可以是比例传感器诸如例如变阻器或者可变电阻器。当向内拉动击发扳机24时，传感器128检测到运动并发出表明待输送到马达106的电压(或能量)的电信号。当传感器128是可变电阻器等时，马达106的旋转可与击发扳机24的运动量大致成比例。也就是，如果操作者仅仅拉动或略微闭合击发扳机24，马达106的转速相对较低。当将击发扳机2 4完全向内拉(或处于完全闭合位置)时，马达106的转速为最大。换句话说，操作者越是用力地拉动击发扳机24，施加到马达106的电压越大，从而导致转速更高。在另一种实施方式中，例如，微处理器(例如图29的微处理器250)可根据来自传感器128的输入而输出PWM控制信号到马达106，以便控制马达106。
手柄12可包括邻近击发扳机24的上部的中间手柄件130。手柄12还可包括连接到位于中间手柄件130上的柱和击发扳机24之间的偏压弹簧132。偏压弹簧132可将击发扳机24偏压到其完全张开位置。这样，当操作者松开击发扳机24时，偏压弹簧132将把击发扳机24拉到其张开位置，由此去除传感器128的致动，由此停止马达106的旋转。而且，借助于该偏压弹簧132，无论何时操作者闭合击发扳机24，操作者将会体验到对闭合操作的阻力，由此为操作者提供马达106施加的旋转量多少的反馈。另外，操作者可以停止缩回击发扳机24，由此去掉传感器128上的力，从而停止马达106。这样，操作者可停止端部执行器16的展开，由此为操作者提供切割/紧固操作的控制手段。
斜齿轮鼓122的远端包括驱动环形齿轮136的远侧驱动轴134，该环形齿轮136与小齿轮138啮合。小齿轮138连接到主驱动轴组件的主驱动轴80。这样，马达106的旋转导致主驱动轴组件旋转，这又导致端部执行器16的致动，如上所述。
旋到斜齿轮鼓122上的环126可包括柱140，该柱140置于带槽臂144的槽142中。带槽臂144在其相对端148处具有开口146，开口146容纳连接在手柄外部下侧件96、98之间的枢销150。枢销150还设置成穿过击发扳机24中的开口152和中间手柄件130中的开口154。
另外，手柄12还可包括反转马达(或行程结束)传感器156和停止马达(或行程开始)传感器158。在各种实施方式中，反转马达传感器156可以是位于斜齿轮鼓122的远端处的常断限制开关，使得旋在斜齿轮鼓122上的环126在其到达斜齿轮鼓122的远端时接触并接通反转马达传感器156。当反转马达传感器156接通时其向马达106发出信号，使马达106反向，由此在切割操作后缩回端部执行器16的切割器械34。
停止马达传感器158可以例如是常通限制开关。在各种实施方式中，其可以位于斜齿轮鼓122的近端，使得环126在到达斜齿轮鼓122的近端时断开开关158。
在操作过程中，当器械10的操作者向回拉动击发扳机24时，传感器128检测击发扳机24的使用，并向马达106发出信号，以使马达106以例如与操作者向回拉击发扳机24的用力程度成比例的速率向前旋转。马达106的向前旋转又导致位于行星齿轮组件114的远端处的环形齿轮120旋转，由此使得斜齿轮鼓122旋转，导致旋在斜齿轮鼓122上的环126沿着斜齿轮鼓122向远侧行进。斜齿轮鼓122的旋转还如上所述地驱动主驱动轴组件，主驱动轴组件又导致端部执行器16中的切割器械34的使用。也就是，使得切割器械34和滑块36纵向地经过通道26，由此切割夹钳在端部执行器16中的组织。而且，端部执行器16的缝合操作发生在使用缝合型端部执行器的实施方式中。
在完成端部执行器16的切割/缝合操作时，位于斜齿轮鼓122上的环126将达到斜齿轮鼓122的远端，由此启动反转马达传感器156，该反转马达传感器156向马达106发出信号，使马达106反转。这又导致切割器械34缩回，并导致位于斜齿轮鼓122上的环126回到斜齿轮鼓122的近端。
中间手柄件130包括后侧肩部160，该后侧肩部160与带槽臂144接合，如在图8和9中最清楚显示的。中间手柄件130还包括前向运动止动件162，其与击发扳机24接合。如上所述，带槽臂144的运动通过马达106的旋转控制。当带槽臂144随着环126从斜齿轮鼓122的近端行进到远端而逆时针方向旋转时，中间手柄件130将沿逆时针方向自由旋转。由此，当操作者向内拉动击发扳机24时，击发扳机24将与中间手柄件130的前向运动止动件162接合，从而使中间手柄件130逆时针方向旋转。但是，由于与带槽臂144接合的后侧肩部160，中间手柄件130将仅能逆时针方向旋转到带槽臂144允许的程度。这样，如果马达106由于某些原因停止旋转，带槽臂144将停止旋转，并且操作者将不能进一步向内拉动击发扳机24，因为中间手柄件130由于带槽臂144而无法自由地逆时针旋转。
图11和12示出了根据本发明的各种实施方式可用作马达运行传感器128的可调传感器的两种状态。传感器128可包括面部164、第一电极(A)166、第二电极(B)168、以及位于电极166和168之间的可压缩电介质材料170(例如EAP)。传感器128可定位成面部164在击发扳机24缩回时与之接触。由此，当击发扳机24缩回时，电介质材料170被压缩，如图12所示，使得电极166和168向一起靠近。因为电极166和168之间的距离“b”与电极166和168之间的阻抗直接相关，该距离越远，阻抗越大，该距离越近，阻抗越小。这样，由于击发扳机24的缩回导致的电介质材料170的压缩(在图12中以力“F”表示)量与电极166和168之间的阻抗成比例，这可用于马达106的比例控制。
在图7至10中还示出了通过缩回闭合扳机22来闭合(或夹紧)端部执行器16的钉砧28的示例性闭合系统的组成元件。在示出的实施方式中，闭合系统包括通过销174连接到闭合扳机22的轭形件172，销174插入穿过闭合扳机22和轭形件172二者中的对准的开口。闭合扳机2 2绕枢销176旋转，该枢销176插入穿过闭合扳机22中的另一个开口，其与销174插入穿过闭合扳机22的位置是偏离开的。因此，闭合扳机22的旋转导致闭合扳机22的上部(轭形件172通过销174连接到闭合扳机22的上部)逆时针旋转。轭形件172的远端通过销178连接到第一闭合支架180。第一闭合支架180连接到第二闭合支架182。闭合支架180、182一起形成一开口，近侧闭合管72的近端(见图4)置于并保持在该开口中，闭合支架180、182的纵向运动导致近侧闭合管72的纵向运动。器械10还包括设置在近侧闭合管72中的闭合杆184。闭合杆184可包括窗口186，位于手柄外部件之一(例如在所示出的实施方式中为外部下侧件96)上的柱188进入该窗口186，从而将闭合杆184固定地连接到手柄12上。这样，近侧闭合管72能够相对于闭合杆184纵向运动。闭合杆184还可包括远侧卡圈190，该卡圈190被装配入近侧脊管79的腔192中，并由帽194保持在其中(见图4)。
在操作过程中，当轭形件172由于闭合扳机22的缩回而旋转时，闭合支架180、182使近侧闭合管72向远侧运动(即，离开器械10的手柄12)，这使得远侧闭合管74向远侧运动，钉砧28绕着枢销42旋转进入夹钳或闭合位置。当闭合扳机22从锁定位置解锁时，使近侧闭合管72向近侧滑动，这导致远侧闭合管74向近侧滑动，借助插入到远侧闭合管74的开口78中的凸片44，使得钉砧28绕着枢销42旋转进入张开或松开位置。这样，通过缩回和锁定闭合扳机22，操作者可夹钳位于钉砧28和通道26之间的组织，并且在切割/缝合操作之后通过使闭合扳机22从锁定位置解锁而松开组织。
根据各种实施方式，器械10可包括联锁装置，用于在钉仓38未安装在通道26、或者钉仓38安装在通道26中但是已用尽时防止器械10的操作。联锁装置的操作是双重的。首先，在通道26中没有未用尽的钉仓38时，联锁装置运行，以便响应于击发扳机24的致动而以机械方式阻止切割器械34穿过通道26向远侧运动。使用设置在手柄12中的合适的电子器件，联锁装置接下来可检测由于切割器械34不动而导致的通过马达106的电流增加，并且随后中断到马达106的电流。有利的是，联锁装置不需要位于端部执行器16中的电子传感器，由此简化了器械的设计。而且，由于在马达电流中产生检测到的增加所需的机械阻止力的大小和持续时间远小于如果仅使用传统机械联锁装置将施加的力的大小和持续时间，所以器械组成元件的物理应力被减小。
根据各种实施方式，联锁装置可包括(1)阻止机构，用于在没有未用尽的钉仓38安装在通道26中时防止马达106对切割器械34的致动，和(2)闭锁电路，用于检测通过马达106的电流并且根据检测到的电流来中断通过马达106的电流。
图31是根据各种实施方式通过联锁装置执行的过程的流程图。在步骤264，在没有未用尽的钉仓38安装在通道26中时通过阻止机构以机械方式阻止马达106对切割器械34的致动。如下面要说明的，阻止机构可包括传统机械联锁装置的组成元件或者零件。
在步骤266，通过闭锁电路检测由于阻止切割器械34的致动而导致的通过马达106的电流。如下面要说明的，电流的检测可包括例如感测马达电流、生成代表所感测电流的信号以及将生成的信号与阈值信号比较的步骤。
在步骤268，根据检测的电流中断通过马达106的电流。中断电流可包括例如在步骤266的比较结果表明生成的信号超过阈值信号时中断电流。中断通过马达106的电流还包括根据切割器械34的位置中断电流。
根据各种实施方式，联锁装置的阻止机构可包括类似于或等同于传统机械联锁装置的零部件，用于在没有未用尽的钉仓38安装在通道26中时以物理方式阻止切割器械34的前进。图13示出了根据一种实施方式的阻止机构196。该阻止机构196公开于Shelton，IV等人的名称为“SURGICAL STAPLING INSTRUMENT HAVING A SINGLELOCKOUT MECHANISM FOR PREVENTION OF FIRING”的美国专利No.7,044,352中，该文献通过引用结合入本文。如图所示，阻止机构196可包括定位于通道26中的一对弹簧夹198。特别是，弹簧夹196可升起，以便在滑块36(图13中未示出)没有处于通道26的近端处的未击发位置时(诸如未安装钉仓38或钉仓38安装但已用尽时)阻止切割器械34的中间销50。尽管示出了两个弹簧夹198，但是应当理解，可使用更多或更少的弹簧夹198。
图14至17示出了在器械10被击发后弹簧夹198随后的操作。在图14中，未用尽的钉仓38已插入通道26中。处于未击发位置的滑块36压下弹簧夹198，使得中间销50将通过的击发驱动槽200畅通无阻。
在图15中，钉仓38的击发已开始，并且滑块36和切割器械34的中间销50已经向远侧经过弹簧夹198，弹簧夹198弹起到击发驱动槽200中。
在图16中，钉仓38在该时刻已用尽，并且滑块36被完全驱动到远侧，没有再描绘出。切割器械34正在被向近侧缩回。由于弹簧夹198从更远侧的点枢转，切割器械34的中间销50能够在缩回过程中升到弹簧夹198之上，从而将弹簧夹198下压出击发驱动槽200。
在图17中，切割器械34完全缩回并且在该时刻靠着没有压下的成对弹簧夹198，以防止向远侧运动。阻止机构196由此保持启动，直到未用尽的钉仓38被安装到通道26中。
图18示出了根据另一种实施方式的阻止机构202。在上面参考的美国专利No.7,044,352中公开了阻止机构202，其包括一对钩204，钩204具有相对于连接装置208置于远侧的倾斜端部206。连接装置208插入穿过通道26中的孔210，由此将钩204弹性地连接到通道26。倾斜端部206位于通道26中形成的钩槽212上方。由此，当未用尽钉仓38的滑块36(在图18中未示出)接触每个倾斜端部206时，倾斜端部206被压进钩槽212中，由此为切割器械34的中间销50向远侧运动穿过击发驱动槽200让路，从而致动钉仓38。分别将连接装置208连接到每个钩204的倾斜端部206的细轴214弹性地响应于滑块36的缺位，如图所示，倾斜端部206回位，阻止击发驱动槽200，以阻挡切割器械34的缩回的中间销50。尽管示出了两个钩204，但是应当理解，可以使用更多或更少的钩204。
图19至22示出了钩204的随后操作。在图19中，钉仓38未用尽，位于远侧的滑块36将倾斜端部206压进钩槽212中，从而允许切割器械34的中间销50在击发过程中向远侧运动经过击发驱动槽200，如图20所示。在滑块36和中间销50相对于阻止机构202向远侧离开后，倾斜端部206弹性地升起到钩槽212外，占据击发驱动槽200。
在图21中，切割器械34正在缩回到接触钩204的倾斜端部206的点。由于倾斜端部206的远端低于倾斜端部206近侧部分，切割器械34的中间销50跨到倾斜端部206之上，从而迫使倾斜端部206向下进入钩槽212，直到中间销50经过倾斜端部206，如图22所示，其中倾斜端部206向上弹性地弹回，从而阻挡中间销50。由此，防止了切割器械34向远侧运动，直到未用尽的钉仓38安装到通道26中。
图23示出了根据另一种实施方式的阻止机构216。该阻止机构216公开于Shelton，IV等人的发明名称为“SURGICAL STAPLINGINSTRUMENT HAVING A SPENT CARTRIDGE LOCKOUT”的美国专利No.6,988,649，该文献通过引用结合入本文。阻止机构216与钉仓38一体形成，并且可包括弹性地定位在滑块36(图23中未示出)上方的向近侧凸出的阻挡构件218。特别地，阻挡构件218各个位于向下且向近侧打开的腔220中。每个阻挡构件218包括保持在腔220中的板簧端222。
腔220竖直对准并间隔开，且与钉仓38中的朝向近侧的竖直槽224平行，切割表面56(在图23中未示出)经过该竖直槽224。钉仓38还包括槽226，其纵向经过钉仓38，从钉仓38的近侧下面的一部分开口，以便接收滑块36。
每个阻挡构件218具有可偏斜端部228，该可偏斜端部228具有倾斜远侧227和阻挡用近侧229。如此成形阻挡构件218，当其被压下时其置于相应的腔220内，当其被松开时其阻止切割器械34的中间销50向远侧运动。
图24至27示出了在器械10被击发后阻止机构216随后的操作。在图24中，未用尽的钉仓38已插入通道26中，并且滑块36向上压可偏斜端部228，使得击发驱动槽200畅通无阻。
在图25中，钉仓38的击发已开始，并且滑块36和切割器械34的中间销50已经向远侧经过可偏斜端部228，然后可偏斜端部228向下弹回到击发驱动槽200中。
在图26中，钉仓38在该时刻已用尽，并且滑块36被完全驱动到远侧，没有再描绘出。切割器械34正在被向近侧缩回。由于可偏斜端部228从一更远侧的点枢转，切割器械34的中间销50能够在缩回过程中位于可偏斜端部228的倾斜远侧227之下，从而使倾斜远侧227被升起离开击发驱动槽200。
在图27中，切割器械34完全缩回并且中间销50在该时刻靠着没有压下(松开)的成对可偏斜端部228的阻挡用近侧229，以防止向远侧运动。阻止机构216由此保持启动，直到未用尽的钉仓38被安装到通道26中。
以上讨论的实施方式中的阻止机构196、202、216仅仅是示例性的。应当理解，可使用其他合适的阻止机构，诸如Ortiz等人的发明名称为“LOCKOUT MECHANISMS AND SURGICAL INSTRUMENTSINCLUDING SAME”的美国专利申请No.11/266,961(其通过引用结合入本文)中公开的那些阻止机构。
图28是根据本发明的各种实施方式的器械10的电路231的示意图。在一些实施方式中，电路231可被容纳在手柄12中。除了传感器128、传感器156、158(分别示出为常断限制开关和常通限制开关)、电池104和马达106，电路231可包括单极双掷继电器230、单极单掷继电器232、双极双掷继电器234、电流传感器236、位置传感器238和电流检测模块240。继电器232、电流传感器236、位置传感器238和电流检测模块240一起形成闭锁电路241。如下所述，闭锁电路241运行，以感测通过马达106的电流并且根据所感测的电流中断电流，由此通过使器械10不能操作而将其“锁定”。
如上所述，在锁定闭合扳机22之后操作者向内拉动击发扳机24时传感器128启动。当开关156断开时(表明端部执行器16的切割/缝合操作还未完成)，继电器230(继电器A)的线圈242去激励，由此通过继电器230的常通触点在电池104和继电器232之间形成导电通路。继电器232(继电器B)的线圈244通过电流检测模块240和位置传感器238控制，如下所述。当线圈242和244去激励时，电池104和继电器234(继电器C)的常通触点之间的导电通路形成。继电器234根据开关156、158的状态控制马达106的旋转方向。当开关156断开并且开关158接通时(表明切割器械34还未向远侧完全展开)，继电器234的线圈246去激励。由此，当线圈242、244、246一起去激励时，来自电池104的电流借助继电器234的常通触点流过马达106，并且导致马达106的前向旋转，这又导致切割器械34向远侧展开，如上所述。
当开关156接通时(表明切割器械34已经向远侧完全展开)，继电器230的线圈242受到激励，并且通过继电器230的常断触点激励继电器234的线圈246。由此，在该时刻电流借助继电器230、234的常断触点流到马达106，由此使马达106反向旋转，这又导致切割器械34从其远侧位置缩回并且开关156断开。继电器230的线圈242保持受激励，直到限制开关158断开，表明切割器械34完全缩回。
在马达106前向旋转期间通过马达106的电流大小表示出在切割器械34展开期间施加在其上的力。如上所述，没有未用尽的钉仓38处于通道26中(例如存在用尽的钉仓38或者没有钉仓38等)导致阻止机构196、202、216启动，从而防止切割器械34向远侧运动。阻止机构196、202、216向切割器械34施加的阻力导致马达转矩增大，由此导致马达电流增加到比在切割和缝合操作过程中存在的电流水平明显要大的水平。由此，通过感测流过马达106的电流，闭锁电路241可以区分在未用尽钉仓38安装在通道26中时切割器械34的展开以及在没有未用尽钉仓38位于通道26中时切割器械34的展开。
电流传感器236可连接到电路231的在马达106前向旋转期间将电流引导到马达106的路径上。电流传感器236可为适合于产生表示所感测到的马达电流的信号(例如电压信号)的任何电流感测装置(例如分流电阻器、霍尔效应换流器等)。所生成的信号可被输入电流检测模块240，在其中进行处理，如下所述。
根据各种实施方式，电流检测模块240可被构造成将电流传感器236生成的信号与阈值信号(例如阈值电压信号)进行比较，从而确定阻止机构196、202、216是否已经启动。对于给定的器械10，阈值信号的合适值可以是根据经验确定的先验值，通过例如如下方式确定：在切割和缝合操作过程中切割器械34初始展开(例如在其远侧运动的前0.06英寸)时，以及在切割器械34展开并遇到启动的阻止机构196、202、216时，测量通过电流传感器236生成的峰值信号。可将阈值信号值选择成小于在阻止机构196、202、216启动时测量的峰值信号、但是大于在切割和缝合操作过程中测量到的峰值信号。
在一些实施方式中并且如图28所示，电流检测模块240可包括比较电路248，用于接收阈值和电流传感器236的信号并且根据所接收的信号的比较生成离散输出。例如，当超过阈值信号时比较电路248可生成5V DC输出，当未超过阈值信号时比较电路248可生成0V DC输出。例如可使用合适的信号参考电路(例如电压参考电路)(未示出)生成阈值信号。比较电路248和信号参考电路的设计和操作在现有技术中是公知的，此处不再赘述。
阈值信号和电流传感器236信号的比较结果是在切割器械34的初始展开过程中(例如在远侧运动的最初0.06英寸过程中)主要关心的问题。因此，电流检测模块240可根据由位置传感器238标示的切割器械34的远侧位置而限制比较。位置传感器238可以是适合于生成表示切割器械34的远侧位置的信号的任何类型的位置感测装置。在一种实施方式中，如图28所示，例如，位置传感器238可为常断霍尔效应位置开关238，根据其安装在环126上的磁体的接近度而受到致动。位置开关238可被安装在手柄12内，并且如下操作，当切割器械34的远侧位置(环126的位置标示的位置)位于其最近侧位置的预定距离处(例如远侧位置＜0.06英寸)时，位置开关238接通。相反地，当切割器械34的远侧位置超过预定距离(例如远侧位置＞0.06英寸)时，位置开关238断开。位置开关238可与比较电路248的输出串联连接，以便根据切割器械34的位置限制比较。这样，如果当切割器械34的远侧位置大于预定距离时超过阈值信号，位置开关238的输出将保持在0V DC(根据上述实例)，而与比较结果无关。应当理解，作为上述霍尔效应位置开关238的替代方式，可替代使用其它类型的位置传感器238(例如机械致动限制开关、旋转电位计等)。另外，应当理解，作为单独的位置传感器238的替代方式，可使用开关158的辅助触点(未示出)。在其中位置传感器238不包括切换输出(例如当位置传感器238是电位计或其它基于模拟技术的位置传感器)的实施方式中，使用例如第二比较电路进行位置传感器236输出的附加处理可能是必须的。
如图28所示，位置开关238的输出可连接到继电器232的线圈244。如果需要，可设置位于位置开关238和线圈244之间的驱动器电路(未示出)。由此，如果电流传感器236生成的信号超过阈值信号(表示由于缺少未用尽钉仓38而启动阻止机构196、202、216)，并且切割器械34处于其最近侧位置的预定距离内，则线圈244受到激励。这使得继电器232的常通开关断开，由此中断流向马达106的电流并去除阻止机构196、202、216施加在切割器械34上的阻力。重要的是，由于阻止机构196、202、216仅需要施加足以导致超过阈值信号的机械阻止力，所以与仅使用传统机械联锁装置所施加的应力的大小和持续时间相比，阻止机构196、202、216施加的物理应力的大小和持续时间都减小了。而且，由于所述联锁装置不需要位于端部执行器16中的电子传感器，所以简化了器械设计。
图29是根据本发明另一实施方式的器械10的电路249的示意图，其中基于处理器的微控制器250用于执行上述闭锁电路241的功能。尽管为了清楚起见未示出，微控制器250可包括微控制器领域公知的组成元件，诸如例如处理器、随机存取存储器(RAM)单元、可擦可编程只读存储器(EPROM)单元、中断控制器单元、定时器单元、模数转换器(ADC)单元和数模转换器(DAC)单元、以及用于接收和发送数字和模拟信号的多个通用输入/输出(I/O)端口。电流传感器236和位置传感器238可分别连接到微控制器250的模拟和数字输入，并且继电器232的线圈244可连接到微控制器250的数字输出。应当理解，在其中位置传感器238的输出是模拟信号的实施方式中，位置传感器238可连接到模拟输入。另外，尽管图29的电路249包括继电器230、232、234，应当理解，在其它实施方式中，继电器开关功能可由实体开关装置、软件及其组合来代替。在一些实施方式中，例如，在微控制器250中存储和执行的指令可用于控制微控制器250的实体状态切换的输出。在这种实施方式中，开关156、158可被连接到微控制器250的数字输出。
图30是根据各种实施方式的微控制器250执行的程序的流程图。在步骤252，微控制器250借助模拟输入接收电流传感器236生成的信号并将所接收的信号转换成相应的电流传感器数字信号。
在步骤254，将电流传感器数字信号的值与存储在微控制器250内的数字阈值相比较。数字阈值可以是例如参照图28在前面说明的阈值信号的数字化表示。如果电流传感器数字信号值小于数字阈值，则程序中止于步骤256。如果电流传感器数字信号值大于数字阈值，则程序前进到步骤258。
在步骤258，处理位置传感器238的输入，以便确定切割器械34是否处于其最近侧位置的预定距离。如果切割器械34未处于预定距离内，程序终止于步骤260。如果切割器械34处于预定距离内，程序前进到步骤262。
在步骤262，激励对应于线圈244的数字输出，由此使继电器232的常通触点断开，这又使流到马达106的电流中断。
尽管在上述实施方式中将电流传感器信号的大小(或者其数字化形式)与阈值信号或值比较，但是应当理解，用于分析电流传感器信号的其他度量标准可附加地或替代地用于区分在未用尽钉仓38安装在通道26中时切割器械34的展开以及在没有未用尽钉仓38位于通道26中时切割器械34的展开。例如，电流检测模块240或微控制器250可被构造成确定电流传感器信号的导数和/或积分特征，用于与相应的阈值信号或值比较。另外，在一些实施方式中，电流传感器信号可在分析前使用例如信号调节器和/或执行一个或多个滤波器频响特性功能(例如无限脉冲响应功能)的滤波器来处理。
上面已经关于切割型外科器械说明了本发明的各种实施方式。但是，应当理解，在其他实施方式中，此处公开的创造性的外科器械不必是切割型外科器械。例如，其可以是非切割内镜器械、抓钳、缝合器、夹施放器、进入装置、药物/基因治疗输送装置、使用超声、RF、激光等能量的能量装置。
此处公开的装置可被设计成可被设计为在一次使用后丢弃，或者它们可被设计为可多次使用。但是，在任何一种情形中，所述装置在至少使用一次后可被复原再使用。复原包括以下步骤的任意组合，即，拆分装置，然后清洗或者替换具体的零件，之后重新组装。尤其是，所述装置可被拆卸，装置的任何数量的其它零件或部分也可被可选地以任何组合替换或移除。在具体零件的清洗和/或替换后，该装置可以在复原厂或者正好在外科手术之前由外科组重新组装，以用于随后的使用。本领域技术人员将会理解，可采用各种拆分、清洗/替换和重新组装技术来使装置复原。这类技术的使用以及最终的复原的装置都在本申请的范围内。
尽管在本文中已经结合一些公开的实施方式对本发明进行了描述，但是可执行对这些实施方式的任何修改和变化。例如，可采用不同类型的端部执行器。而且，对于其中材料被公开用于一些元件的情况，其它材料也可被使用。前述描述和下面的权利要求书将覆盖所有这些修改和变化。
声称通过引用被包含在本申请的任何专利、出版物或者其它公开材料，全部或部分，仅仅包含到所包含的材料不与现有定义、表述或者在该公开文本中阐明的其它公开材料相冲突的程度。这样，并到必要的程度，在本文中明确阐明的公开内容取代任何通过引用包含在本文中的相冲突的材料。声称通过引用包含在本申请中但与现有定义、表述或者其它公开材料相冲突的任何材料或者其部分仅仅被包含到不引起包含的材料与现有公开材料之间的冲突的程度。

Claims (10)

1.一种外科器械，包括：
具有用于切割物体的可动切割器械的端部执行器；
连接到所述端部执行器的马达，用于响应于通过其的电流来致动所述切割器械，其中所述切割器械的致动使该切割器械在最近侧位置和最远侧位置之间运动；以及
连接到所述端部执行器和所述马达上的联锁装置，用于基于通过所述马达的电流防止所述切割器械的致动。
2.如权利要求1所述的器械，其中，所述端部执行器还包括：
纵向延伸通道，所述通道具有近端和远端；
以可枢转的方式连接到所述通道的钉砧，其中所述物体位于所述钉砧和所述通道之间；
以可拆卸的方式置于所述通道中的钉仓，所述钉仓具有近端和远端；
形成于所述钉仓和所述通道之间的击发驱动槽，当所述切割器械被致动时至少部分所述切割器械经过所述击发驱动槽；以及
设置于所述钉仓中的滑块，其中当所述切割器械被致动时所述滑块由所述切割器械接合，并被从位于所述钉仓近端的未击发位置纵向驱动穿过该钉仓到达位于所述钉仓远端的击发位置。
3.如权利要求2所述的器械，其中，所述联锁装置包括：
用于防止所述切割器械的致动的阻止机构，其中在所述滑块未处于未击发位置时启动所述阻止机构；以及
用于感测通过所述马达的电流并根据所感测的电流来中断通过所述马达的电流的闭锁电路。
4.如权利要求3所述的器械，其中，所述闭锁电路还用于根据所述切割器械的位置来中断通过所述马达的电流。
5.如权利要求3所述的器械，其中，当所述阻止机构阻止所述切割器械纵向前进通过所述通道时，通过所述马达的电流增大。
6.如权利要求3所述的器械，其中，所述阻止机构包括至少一个设置在所述通道中的弹簧夹。
7.如权利要求3所述的器械，其中，所述阻止机构包括至少一个弹性地连接到所述通道的倾斜钩。
8.如权利要求3所述的器械，其中，所述阻止机构与所述钉仓一体形成，并且包括至少一个向近侧凸出的构件，其中所述至少一个向近侧凸出的构件能够在所述击发驱动槽和所述钉仓中的凹槽之间运动。
9.如权利要求3所述的器械，其中，所述闭锁电路包括用于生成代表所感测电流的第一信号的电流传感器。
10.如权利要求9所述的器械，其中，所述闭锁电路还包括用于将所述第一信号与预定阈值信号进行比较的电流检测模块。
CN2008100026190A 2007-01-10 2008-01-10 联锁装置及包括联锁装置的外科器械 Active CN101224118B (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/651,788 US7721936B2 (en) 2007-01-10 2007-01-10 Interlock and surgical instrument including same
US11/651,788 2007-01-10

Publications (2)

Publication Number Publication Date
CN101224118A true CN101224118A (zh) 2008-07-23
CN101224118B CN101224118B (zh) 2012-01-04

Family

ID=39232958

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2008100026190A Active CN101224118B (zh) 2007-01-10 2008-01-10 联锁装置及包括联锁装置的外科器械

Country Status (5)

Country Link
US (1) US7721936B2 (zh)
EP (1) EP1943959B1 (zh)
JP (1) JP5253823B2 (zh)
CN (1) CN101224118B (zh)
PL (1) PL1943959T3 (zh)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103767750A (zh) * 2012-10-23 2014-05-07 柯惠Lp公司 带有快速事后检测的手术器械
CN104582593A (zh) * 2012-06-28 2015-04-29 伊西康内外科公司 用于外科器械的击发系统闭锁件布置
CN105796144A (zh) * 2014-12-30 2016-07-27 苏州天臣国际医疗科技有限公司 一种钉头组件以及腔镜外科手术缝切装置
CN110114014A (zh) * 2016-12-21 2019-08-09 爱惜康有限责任公司 包括端部执行器闭锁件和击发组件闭锁件的外科器械系统
CN111870317A (zh) * 2019-05-01 2020-11-03 江苏风和医疗器材股份有限公司 控制装置、外科器械及其控制方法
WO2023125564A1 (zh) * 2021-12-30 2023-07-06 江苏风和医疗器材股份有限公司 外科器械

Families Citing this family (729)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10835307B2 (en) * 2001-06-12 2020-11-17 Ethicon Llc Modular battery powered handheld surgical instrument containing elongated multi-layered shaft
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9113880B2 (en) * 2007-10-05 2015-08-25 Covidien Lp Internal backbone structural chassis for a surgical device
US10041822B2 (en) 2007-10-05 2018-08-07 Covidien Lp Methods to shorten calibration times for powered devices
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US8215531B2 (en) 2004-07-28 2012-07-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a medical substance dispenser
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US7669746B2 (en) 2005-08-31 2010-03-02 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
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US20070194082A1 (en) 2005-08-31 2007-08-23 Morgan Jerome R Surgical stapling device with anvil having staple forming pockets of varying depths
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7799039B2 (en) 2005-11-09 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument having a hydraulically actuated end effector
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
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
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20110024477A1 (en) 2009-02-06 2011-02-03 Hall Steven G Driven Surgical Stapler Improvements
US20110290856A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument with force-feedback capabilities
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US7644848B2 (en) 2006-01-31 2010-01-12 Ethicon Endo-Surgery, Inc. Electronic lockouts and surgical instrument including same
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US20110006101A1 (en) 2009-02-06 2011-01-13 EthiconEndo-Surgery, Inc. Motor driven surgical fastener device with cutting member lockout arrangements
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US20070225562A1 (en) 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
EP2018248B1 (en) 2006-05-19 2015-11-04 Applied Medical Resources Corporation Surgical stapler
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US20110087276A1 (en) 2009-10-09 2011-04-14 Ethicon Endo-Surgery, Inc. Method for forming a staple
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
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US8485412B2 (en) 2006-09-29 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical staples having attached drivers and stapling instruments for deploying the same
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
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7900805B2 (en) * 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US7738971B2 (en) * 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US8701958B2 (en) 2007-01-11 2014-04-22 Ethicon Endo-Surgery, Inc. Curved end effector for a surgical stapling device
US8727197B2 (en) * 2007-03-15 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US20080308602A1 (en) * 2007-06-18 2008-12-18 Timm Richard W Surgical stapling and cutting instruments
US8308040B2 (en) 2007-06-22 2012-11-13 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
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
US20110022032A1 (en) * 2007-10-05 2011-01-27 Tyco Healthcare Group Lp Battery ejection design for a surgical device
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US7905381B2 (en) 2008-09-19 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with cutting member arrangement
US8540133B2 (en) 2008-09-19 2013-09-24 Ethicon Endo-Surgery, Inc. Staple cartridge
US8561870B2 (en) 2008-02-13 2013-10-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US8453908B2 (en) 2008-02-13 2013-06-04 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
BRPI0901282A2 (pt) 2008-02-14 2009-11-17 Ethicon Endo Surgery Inc instrumento cirúrgico de corte e fixação dotado de eletrodos de rf
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US7857185B2 (en) * 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US8459525B2 (en) * 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US20090206142A1 (en) * 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical stapling instrument
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US9615826B2 (en) 2010-09-30 2017-04-11 Ethicon Endo-Surgery, Llc Multiple thickness implantable layers for surgical stapling devices
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US7922061B2 (en) * 2008-05-21 2011-04-12 Ethicon Endo-Surgery, Inc. Surgical instrument with automatically reconfigurable articulating end effector
US8074858B2 (en) * 2008-07-17 2011-12-13 Tyco Healthcare Group Lp Surgical retraction mechanism
US8083120B2 (en) 2008-09-18 2011-12-27 Ethicon Endo-Surgery, Inc. End effector for use with a surgical cutting and stapling instrument
US7837080B2 (en) 2008-09-18 2010-11-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with device for indicating when the instrument has cut through tissue
PL3476312T3 (pl) 2008-09-19 2024-03-11 Ethicon Llc Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek
US9050083B2 (en) 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8020743B2 (en) 2008-10-15 2011-09-20 Ethicon Endo-Surgery, Inc. Powered articulatable surgical cutting and fastening instrument with flexible drive member
US7918377B2 (en) * 2008-10-16 2011-04-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with apparatus for providing anvil position feedback
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8517239B2 (en) 2009-02-05 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising a magnetic element driver
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8485413B2 (en) 2009-02-05 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical stapling instrument comprising an articulation joint
US8444036B2 (en) 2009-02-06 2013-05-21 Ethicon Endo-Surgery, Inc. Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector
JP2012517287A (ja) 2009-02-06 2012-08-02 エシコン・エンド−サージェリィ・インコーポレイテッド 被駆動式手術用ステープラの改良
US8066167B2 (en) * 2009-03-23 2011-11-29 Ethicon Endo-Surgery, Inc. Circular surgical stapling instrument with anvil locking system
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US8899466B2 (en) 2009-11-19 2014-12-02 Ethicon Endo-Surgery, Inc. Devices and methods for introducing a surgical circular stapling instrument into a patient
US8136712B2 (en) 2009-12-10 2012-03-20 Ethicon Endo-Surgery, Inc. Surgical stapler with discrete staple height adjustment and tactile feedback
US8851354B2 (en) 2009-12-24 2014-10-07 Ethicon Endo-Surgery, Inc. Surgical cutting instrument that analyzes tissue thickness
US8220688B2 (en) 2009-12-24 2012-07-17 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument with electric actuator directional control assembly
US8267300B2 (en) 2009-12-30 2012-09-18 Ethicon Endo-Surgery, Inc. Dampening device for endoscopic surgical stapler
US8608046B2 (en) 2010-01-07 2013-12-17 Ethicon Endo-Surgery, Inc. Test device for a surgical tool
DE102010016291A1 (de) * 2010-04-01 2011-10-06 Erbe Elektromedizin Gmbh Chirurgisches Instrument, insbesondere elektrochirurgisches Instrument
US8789740B2 (en) 2010-07-30 2014-07-29 Ethicon Endo-Surgery, Inc. Linear cutting and stapling device with selectively disengageable cutting member
US8801735B2 (en) 2010-07-30 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical circular stapler with tissue retention arrangements
US8783543B2 (en) 2010-07-30 2014-07-22 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US8360296B2 (en) 2010-09-09 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical stapling head assembly with firing lockout for a surgical stapler
US9289212B2 (en) 2010-09-17 2016-03-22 Ethicon Endo-Surgery, Inc. Surgical instruments and batteries for surgical instruments
US8632525B2 (en) 2010-09-17 2014-01-21 Ethicon Endo-Surgery, Inc. Power control arrangements for surgical instruments and batteries
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US8733613B2 (en) 2010-09-29 2014-05-27 Ethicon Endo-Surgery, Inc. Staple cartridge
US9700317B2 (en) 2010-09-30 2017-07-11 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a releasable tissue thickness compensator
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
CA2812553C (en) 2010-09-30 2019-02-12 Ethicon Endo-Surgery, Inc. Fastener system comprising a retention matrix and an alignment matrix
US20120080498A1 (en) 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9044228B2 (en) 2010-09-30 2015-06-02 Ethicon Endo-Surgery, Inc. Fastener system comprising a plurality of fastener cartridges
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US9220500B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising structure to produce a resilient load
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9113865B2 (en) 2010-09-30 2015-08-25 Ethicon Endo-Surgery, Inc. Staple cartridge comprising a layer
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
US10660695B2 (en) 2010-11-05 2020-05-26 Ethicon Llc Sterile medical instrument charging device
US9011471B2 (en) 2010-11-05 2015-04-21 Ethicon Endo-Surgery, Inc. Surgical instrument with pivoting coupling to modular shaft and end effector
US9072523B2 (en) 2010-11-05 2015-07-07 Ethicon Endo-Surgery, Inc. Medical device with feature for sterile acceptance of non-sterile reusable component
US9247986B2 (en) * 2010-11-05 2016-02-02 Ethicon Endo-Surgery, Llc Surgical instrument with ultrasonic transducer having integral switches
US9039720B2 (en) 2010-11-05 2015-05-26 Ethicon Endo-Surgery, Inc. Surgical instrument with ratcheting rotatable shaft
US9000720B2 (en) 2010-11-05 2015-04-07 Ethicon Endo-Surgery, Inc. Medical device packaging with charging interface
US9375255B2 (en) 2010-11-05 2016-06-28 Ethicon Endo-Surgery, Llc Surgical instrument handpiece with resiliently biased coupling to modular shaft and end effector
US9421062B2 (en) 2010-11-05 2016-08-23 Ethicon Endo-Surgery, Llc Surgical instrument shaft with resiliently biased coupling to handpiece
US10085792B2 (en) 2010-11-05 2018-10-02 Ethicon Llc Surgical instrument with motorized attachment feature
US20120116381A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging station and wireless communication
US9510895B2 (en) 2010-11-05 2016-12-06 Ethicon Endo-Surgery, Llc Surgical instrument with modular shaft and end effector
US9782214B2 (en) 2010-11-05 2017-10-10 Ethicon Llc Surgical instrument with sensor and powered control
US9089338B2 (en) 2010-11-05 2015-07-28 Ethicon Endo-Surgery, Inc. Medical device packaging with window for insertion of reusable component
US10881448B2 (en) 2010-11-05 2021-01-05 Ethicon Llc Cam driven coupling between ultrasonic transducer and waveguide in surgical instrument
US9597143B2 (en) 2010-11-05 2017-03-21 Ethicon Endo-Surgery, Llc Sterile medical instrument charging device
US9526921B2 (en) 2010-11-05 2016-12-27 Ethicon Endo-Surgery, Llc User feedback through end effector of surgical instrument
US9782215B2 (en) * 2010-11-05 2017-10-10 Ethicon Endo-Surgery, Llc Surgical instrument with ultrasonic transducer having integral switches
US20120116265A1 (en) 2010-11-05 2012-05-10 Houser Kevin L Surgical instrument with charging devices
US9381058B2 (en) 2010-11-05 2016-07-05 Ethicon Endo-Surgery, Llc Recharge system for medical devices
US10959769B2 (en) 2010-11-05 2021-03-30 Ethicon Llc Surgical instrument with slip ring assembly to power ultrasonic transducer
US9649150B2 (en) 2010-11-05 2017-05-16 Ethicon Endo-Surgery, Llc Selective activation of electronic components in medical device
US9161803B2 (en) 2010-11-05 2015-10-20 Ethicon Endo-Surgery, Inc. Motor driven electrosurgical device with mechanical and electrical feedback
US9017849B2 (en) 2010-11-05 2015-04-28 Ethicon Endo-Surgery, Inc. Power source management for medical device
US9017851B2 (en) 2010-11-05 2015-04-28 Ethicon Endo-Surgery, Inc. Sterile housing for non-sterile medical device component
US8986287B2 (en) 2011-02-14 2015-03-24 Adrian E. Park Adjustable laparoscopic instrument handle
US8632462B2 (en) 2011-03-14 2014-01-21 Ethicon Endo-Surgery, Inc. Trans-rectum universal ports
US8540131B2 (en) 2011-03-15 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical staple cartridges with tissue tethers for manipulating divided tissue and methods of using same
US9044229B2 (en) 2011-03-15 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical fastener instruments
US8857693B2 (en) 2011-03-15 2014-10-14 Ethicon Endo-Surgery, Inc. Surgical instruments with lockable articulating end effector
US8926598B2 (en) 2011-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. Surgical instruments with articulatable and rotatable end effector
US8800841B2 (en) 2011-03-15 2014-08-12 Ethicon Endo-Surgery, Inc. Surgical staple cartridges
DE102011001372A1 (de) * 2011-03-17 2012-09-20 Aesculap Ag Chirurgisches System zum Verbinden von Körpergewebe und Steuerungsverfahren für ein solches chirurgisches System
AU2012250197B2 (en) 2011-04-29 2017-08-10 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples positioned within a compressible portion thereof
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US9107663B2 (en) 2011-09-06 2015-08-18 Ethicon Endo-Surgery, Inc. Stapling instrument comprising resettable staple drivers
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US8734476B2 (en) * 2011-10-13 2014-05-27 Ethicon Endo-Surgery, Inc. Coupling for slip ring assembly and ultrasonic transducer in surgical instrument
US10828030B2 (en) * 2011-10-26 2020-11-10 Intuitive Surgical Operations, Inc. Cartridge status and presence detection
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
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
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
JP6305979B2 (ja) 2012-03-28 2018-04-04 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 複数の層を含む組織厚さコンペンセーター
BR112014024098B1 (pt) 2012-03-28 2021-05-25 Ethicon Endo-Surgery, Inc. cartucho de grampos
RU2644272C2 (ru) 2012-03-28 2018-02-08 Этикон Эндо-Серджери, Инк. Узел ограничения, включающий компенсатор толщины ткани
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
JP6290201B2 (ja) 2012-06-28 2018-03-07 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 空クリップカートリッジ用のロックアウト
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US11202631B2 (en) * 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9386985B2 (en) 2012-10-15 2016-07-12 Ethicon Endo-Surgery, Llc Surgical cutting instrument
US10478182B2 (en) * 2012-10-18 2019-11-19 Covidien Lp Surgical device identification
KR101717387B1 (ko) * 2012-11-08 2017-03-16 코비디엔 엘피 작동 제어 메커니즘을 포함하는 조직 제거 카테터
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
BR112015021098B1 (pt) 2013-03-01 2022-02-15 Ethicon Endo-Surgery, Inc Cobertura para uma junta de articulação e instrumento cirúrgico
US20140249557A1 (en) 2013-03-01 2014-09-04 Ethicon Endo-Surgery, Inc. Thumbwheel switch arrangements for surgical instruments
RU2669463C2 (ru) 2013-03-01 2018-10-11 Этикон Эндо-Серджери, Инк. Хирургический инструмент с мягким упором
US9668728B2 (en) * 2013-03-13 2017-06-06 Covidien Lp Surgical stapling apparatus
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
EP4144303A1 (en) 2013-03-14 2023-03-08 Applied Medical Resources Corporation Surgical stapler with partial pockets
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
ES2803961T3 (es) 2013-03-15 2021-02-01 Applied Med Resources Grapadora quirúrgica con mordaza expandible
US9668732B2 (en) 2013-03-15 2017-06-06 Applied Medical Resources Corporation Surgical stapler handle assembly having actuation mechanism with longitudinally rotatable shaft
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US10136887B2 (en) 2013-04-16 2018-11-27 Ethicon Llc Drive system decoupling arrangement for a surgical instrument
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US9700319B2 (en) 2013-05-15 2017-07-11 Dextera Surgical Inc. Surgical stapling and cutting apparatus, clamp mechanisms, systems and methods
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
MX369362B (es) 2013-08-23 2019-11-06 Ethicon Endo Surgery Llc Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos.
US9924942B2 (en) 2013-08-23 2018-03-27 Ethicon Llc Motor-powered articulatable surgical instruments
US20140171986A1 (en) 2013-09-13 2014-06-19 Ethicon Endo-Surgery, Inc. Surgical Clip Having Comliant Portion
US9962157B2 (en) * 2013-09-18 2018-05-08 Covidien Lp Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument
US20140175150A1 (en) * 2013-10-01 2014-06-26 Ethicon Endo-Surgery, Inc. Providing Near Real Time Feedback To A User of A Surgical Instrument
US9724092B2 (en) 2013-12-23 2017-08-08 Ethicon Llc Modular surgical instruments
US9839428B2 (en) 2013-12-23 2017-12-12 Ethicon Llc Surgical cutting and stapling instruments with independent jaw control features
US9681870B2 (en) 2013-12-23 2017-06-20 Ethicon Llc Articulatable surgical instruments with separate and distinct closing and firing systems
US9642620B2 (en) 2013-12-23 2017-05-09 Ethicon Endo-Surgery, Llc Surgical cutting and stapling instruments with articulatable end effectors
US20150173756A1 (en) 2013-12-23 2015-06-25 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling methods
US9585662B2 (en) 2013-12-23 2017-03-07 Ethicon Endo-Surgery, Llc Fastener cartridge comprising an extendable firing member
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9707005B2 (en) 2014-02-14 2017-07-18 Ethicon Llc Lockout mechanisms for surgical devices
CN106232029B (zh) 2014-02-24 2019-04-12 伊西康内外科有限责任公司 包括击发构件锁定件的紧固系统
US20140166725A1 (en) 2014-02-24 2014-06-19 Ethicon Endo-Surgery, Inc. Staple cartridge including a barbed staple.
US20150272580A1 (en) 2014-03-26 2015-10-01 Ethicon Endo-Surgery, Inc. Verification of number of battery exchanges/procedure count
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
BR112016021943B1 (pt) 2014-03-26 2022-06-14 Ethicon Endo-Surgery, Llc Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
JP6532889B2 (ja) 2014-04-16 2019-06-19 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 締結具カートリッジ組立体及びステープル保持具カバー配置構成
CN106456176B (zh) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 包括具有不同构型的延伸部的紧固件仓
US11185330B2 (en) 2014-04-16 2021-11-30 Cilag Gmbh International Fastener cartridge assemblies and staple retainer cover arrangements
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
BR112016023825B1 (pt) 2014-04-16 2022-08-02 Ethicon Endo-Surgery, Llc Cartucho de grampos para uso com um grampeador cirúrgico e cartucho de grampos para uso com um instrumento cirúrgico
US20150297222A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US10251725B2 (en) 2014-06-09 2019-04-09 Covidien Lp Authentication and information system for reusable surgical instruments
ES2758511T3 (es) 2014-06-11 2020-05-05 Applied Med Resources Grapadora quirúrgica con disparo circunferencial
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US9788835B2 (en) 2014-09-02 2017-10-17 Ethicon Llc Devices and methods for facilitating ejection of surgical fasteners from cartridges
US9943312B2 (en) * 2014-09-02 2018-04-17 Ethicon Llc Methods and devices for locking a surgical device based on loading of a fastener cartridge in the surgical device
US10135242B2 (en) 2014-09-05 2018-11-20 Ethicon Llc Smart cartridge wake up operation and data retention
US11311294B2 (en) * 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
CN104173092B (zh) * 2014-09-12 2016-10-05 李爱军 去除组织的装置
EP3949872B1 (en) 2014-09-15 2023-11-22 Applied Medical Resources Corporation Surgical stapler with self-adjusting staple height
US10105142B2 (en) 2014-09-18 2018-10-23 Ethicon Llc Surgical stapler with plurality of cutting elements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
MX2017003960A (es) 2014-09-26 2017-12-04 Ethicon Llc Refuerzos de grapas quirúrgicas y materiales auxiliares.
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10136938B2 (en) 2014-10-29 2018-11-27 Ethicon Llc Electrosurgical instrument with sensor
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
RU2703684C2 (ru) 2014-12-18 2019-10-21 ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
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
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10180463B2 (en) * 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US10321907B2 (en) 2015-02-27 2019-06-18 Ethicon Llc System for monitoring whether a surgical instrument needs to be serviced
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
WO2016171947A1 (en) 2015-04-22 2016-10-27 Covidien Lp Handheld electromechanical surgical system
US11278286B2 (en) 2015-04-22 2022-03-22 Covidien Lp Handheld electromechanical surgical system
US10405863B2 (en) 2015-06-18 2019-09-10 Ethicon Llc Movable firing beam support arrangements for articulatable surgical instruments
KR20240027156A (ko) 2015-08-06 2024-02-29 어플라이드 메디컬 리소시스 코포레이션 로킹 관절 조인트를 갖는 수술용 스테이플러
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
US10098642B2 (en) 2015-08-26 2018-10-16 Ethicon Llc Surgical staples comprising features for improved fastening of tissue
BR112018003693B1 (pt) 2015-08-26 2022-11-22 Ethicon Llc Cartucho de grampos cirúrgicos para uso com um instrumento de grampeamento cirúrgico
MX2022006189A (es) 2015-09-02 2022-06-16 Ethicon Llc Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas.
US10238390B2 (en) 2015-09-02 2019-03-26 Ethicon Llc Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10561420B2 (en) 2015-09-30 2020-02-18 Ethicon Llc Tubular absorbable constructs
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10285699B2 (en) 2015-09-30 2019-05-14 Ethicon Llc Compressible adjunct
US10687884B2 (en) 2015-09-30 2020-06-23 Ethicon Llc Circuits for supplying isolated direct current (DC) voltage to surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
BR112018016098B1 (pt) 2016-02-09 2023-02-23 Ethicon Llc Instrumento cirúrgico
US10433837B2 (en) 2016-02-09 2019-10-08 Ethicon Llc Surgical instruments with multiple link articulation arrangements
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10485542B2 (en) 2016-04-01 2019-11-26 Ethicon Llc Surgical stapling instrument comprising multiple lockouts
US10413293B2 (en) 2016-04-01 2019-09-17 Ethicon Llc Interchangeable surgical tool assembly with a surgical end effector that is selectively rotatable about a shaft axis
US11284890B2 (en) 2016-04-01 2022-03-29 Cilag Gmbh International Circular stapling system comprising an incisable tissue support
US11045191B2 (en) 2016-04-01 2021-06-29 Cilag Gmbh International Method for operating a surgical stapling system
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
AU2017250184B2 (en) 2016-04-12 2022-03-24 Applied Medical Resources Corporation Surgical stapler having articulation mechanism
JP6965268B2 (ja) 2016-04-12 2021-11-10 アプライド メディカル リソーシーズ コーポレイション 電動ハンドル付き外科用ステープラ
CA3020791A1 (en) 2016-04-12 2017-10-19 Applied Medical Resources Corporation Reload shaft assembly for surgical stapler
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
EP3235445B1 (en) * 2016-04-18 2022-04-20 Ethicon LLC Surgical instrument comprising a lockout
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
BR112018071317B1 (pt) * 2016-04-18 2023-02-23 Ethicon Llc Instrumento cirúrgico que compreende um travamento de disparo primário e um travamento de disparo secundário
US10478181B2 (en) 2016-04-18 2019-11-19 Ethicon Llc Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US10675024B2 (en) 2016-06-24 2020-06-09 Ethicon Llc Staple cartridge comprising overdriven staples
USD826405S1 (en) 2016-06-24 2018-08-21 Ethicon Llc Surgical fastener
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
CN109310431B (zh) 2016-06-24 2022-03-04 伊西康有限责任公司 包括线材钉和冲压钉的钉仓
USD822206S1 (en) 2016-06-24 2018-07-03 Ethicon Llc Surgical fastener
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
EP3525688B1 (en) 2016-10-11 2023-09-06 Intuitive Surgical Operations, Inc. Stapler cartridge with an integral knife
US10758229B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument comprising improved jaw control
US10517595B2 (en) 2016-12-21 2019-12-31 Ethicon Llc Jaw actuated lock arrangements for preventing advancement of a firing member in a surgical end effector unless an unfired cartridge is installed in the end effector
US10588630B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical tool assemblies with closure stroke reduction features
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
CN110099619B (zh) 2016-12-21 2022-07-15 爱惜康有限责任公司 用于外科端部执行器和可替换工具组件的闭锁装置
US10617414B2 (en) 2016-12-21 2020-04-14 Ethicon Llc Closure member arrangements for surgical instruments
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US10675025B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Shaft assembly comprising separately actuatable and retractable systems
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
CN110114015B (zh) * 2016-12-21 2022-08-19 爱惜康有限责任公司 包括闭锁件的击发组件
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
BR112019011947A2 (pt) 2016-12-21 2019-10-29 Ethicon Llc sistemas de grampeamento cirúrgico
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US20180168648A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Durability features for end effectors and firing assemblies of surgical stapling instruments
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US20180168608A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical instrument system comprising an end effector lockout and a firing assembly lockout
US11311295B2 (en) 2017-05-15 2022-04-26 Covidien Lp Adaptive powered stapling algorithm with calibration factor
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US20180368844A1 (en) 2017-06-27 2018-12-27 Ethicon Llc Staple forming pocket arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US11020114B2 (en) 2017-06-28 2021-06-01 Cilag Gmbh International Surgical instruments with articulatable end effector with axially shortened articulation joint configurations
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
EP3420947B1 (en) 2017-06-28 2022-05-25 Cilag GmbH International Surgical instrument comprising selectively actuatable rotatable couplers
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US11678880B2 (en) 2017-06-28 2023-06-20 Cilag Gmbh International Surgical instrument comprising a shaft including a housing arrangement
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
CN107647891B (zh) * 2017-10-20 2023-08-29 北京派尔特医疗科技股份有限公司 一种电动腔镜吻合器
US11291510B2 (en) 2017-10-30 2022-04-05 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11317919B2 (en) 2017-10-30 2022-05-03 Cilag Gmbh International Clip applier comprising a clip crimping system
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11311342B2 (en) 2017-10-30 2022-04-26 Cilag Gmbh International Method for communicating with surgical instrument systems
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11129636B2 (en) 2017-10-30 2021-09-28 Cilag Gmbh International Surgical instruments comprising an articulation drive that provides for high articulation angles
US11406390B2 (en) 2017-10-30 2022-08-09 Cilag Gmbh International Clip applier comprising interchangeable clip reloads
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11229436B2 (en) 2017-10-30 2022-01-25 Cilag Gmbh International Surgical system comprising a surgical tool and a surgical hub
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11179151B2 (en) 2017-12-21 2021-11-23 Cilag Gmbh International Surgical instrument comprising a display
CN108209998B (zh) * 2017-12-22 2023-09-22 苏州英途康医疗科技有限公司 钉仓组件及外科手术器械
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11100631B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Use of laser light and red-green-blue coloration to determine properties of back scattered light
US11253315B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Increasing radio frequency to create pad-less monopolar loop
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11284936B2 (en) 2017-12-28 2022-03-29 Cilag Gmbh International Surgical instrument having a flexible electrode
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US11446052B2 (en) 2017-12-28 2022-09-20 Cilag Gmbh International Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue
US20190201113A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Controls for robot-assisted surgical platforms
US11311306B2 (en) 2017-12-28 2022-04-26 Cilag Gmbh International Surgical systems for detecting end effector tissue distribution irregularities
US11026751B2 (en) 2017-12-28 2021-06-08 Cilag Gmbh International Display of alignment of staple cartridge to prior linear staple line
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US20190201146A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Safety systems for smart powered surgical stapling
US11304720B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Activation of energy devices
US11419667B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11234756B2 (en) 2017-12-28 2022-02-01 Cilag Gmbh International Powered surgical tool with predefined adjustable control algorithm for controlling end effector parameter
US11419630B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Surgical system distributed processing
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US20190200981A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11304699B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US11410259B2 (en) 2017-12-28 2022-08-09 Cilag Gmbh International Adaptive control program updates for surgical devices
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11147607B2 (en) 2017-12-28 2021-10-19 Cilag Gmbh International Bipolar combination device that automatically adjusts pressure based on energy modality
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11308075B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity
US11273001B2 (en) 2017-12-28 2022-03-15 Cilag Gmbh International Surgical hub and modular device response adjustment based on situational awareness
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11096693B2 (en) 2017-12-28 2021-08-24 Cilag Gmbh International Adjustment of staple height of at least one row of staples based on the sensed tissue thickness or force in closing
US11317937B2 (en) 2018-03-08 2022-05-03 Cilag Gmbh International Determining the state of an ultrasonic end effector
US11844579B2 (en) 2017-12-28 2023-12-19 Cilag Gmbh International Adjustments based on airborne particle properties
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11291495B2 (en) 2017-12-28 2022-04-05 Cilag Gmbh International Interruption of energy due to inadvertent capacitive coupling
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11304763B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11376002B2 (en) 2017-12-28 2022-07-05 Cilag Gmbh International Surgical instrument cartridge sensor assemblies
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11213359B2 (en) 2017-12-28 2022-01-04 Cilag Gmbh International Controllers for robot-assisted surgical platforms
US11464535B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Detection of end effector emersion in liquid
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11160605B2 (en) 2017-12-28 2021-11-02 Cilag Gmbh International Surgical evacuation sensing and motor control
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11278281B2 (en) 2017-12-28 2022-03-22 Cilag Gmbh International Interactive surgical system
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US20190201042A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Determining the state of an ultrasonic electromechanical system according to frequency shift
US11266468B2 (en) 2017-12-28 2022-03-08 Cilag Gmbh International Cooperative utilization of data derived from secondary sources by intelligent surgical hubs
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11304745B2 (en) 2017-12-28 2022-04-19 Cilag Gmbh International Surgical evacuation sensing and display
US11179208B2 (en) 2017-12-28 2021-11-23 Cilag Gmbh International Cloud-based medical analytics for security and authentication trends and reactive measures
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11324557B2 (en) 2017-12-28 2022-05-10 Cilag Gmbh International Surgical instrument with a sensing array
US11364075B2 (en) 2017-12-28 2022-06-21 Cilag Gmbh International Radio frequency energy device for delivering combined electrical signals
WO2019169010A1 (en) 2018-02-27 2019-09-06 Applied Medical Resources Corporation Surgical stapler having a powered handle
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11701162B2 (en) 2018-03-08 2023-07-18 Cilag Gmbh International Smart blade application for reusable and disposable devices
US11839396B2 (en) 2018-03-08 2023-12-12 Cilag Gmbh International Fine dissection mode for tissue classification
US11129611B2 (en) 2018-03-28 2021-09-28 Cilag Gmbh International Surgical staplers with arrangements for maintaining a firing member thereof in a locked configuration unless a compatible cartridge has been installed therein
US11471156B2 (en) 2018-03-28 2022-10-18 Cilag Gmbh International Surgical stapling devices with improved rotary driven closure systems
US11207067B2 (en) 2018-03-28 2021-12-28 Cilag Gmbh International Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11219453B2 (en) 2018-03-28 2022-01-11 Cilag Gmbh International Surgical stapling devices with cartridge compatible closure and firing lockout arrangements
US11278280B2 (en) * 2018-03-28 2022-03-22 Cilag Gmbh International Surgical instrument comprising a jaw closure lockout
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
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11357503B2 (en) 2019-02-19 2022-06-14 Cilag Gmbh International Staple cartridge retainers with frangible retention features and methods of using same
US11259807B2 (en) 2019-02-19 2022-03-01 Cilag Gmbh International Staple cartridges with cam surfaces configured to engage primary and secondary portions of a lockout of a surgical stapling device
US11317915B2 (en) 2019-02-19 2022-05-03 Cilag Gmbh International Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
US11369377B2 (en) 2019-02-19 2022-06-28 Cilag Gmbh International Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout
US11311293B2 (en) 2019-02-27 2022-04-26 Applied Medical Resources Corporation Surgical stapling instrument having a two-position lockout mechanism
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
KR20210145248A (ko) 2019-03-29 2021-12-01 어플라이드 메디컬 리소시스 코포레이션 수술용 스테이플링 시스템에 대한 재장전물 커버
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
USD950728S1 (en) 2019-06-25 2022-05-03 Cilag Gmbh International Surgical staple cartridge
USD952144S1 (en) 2019-06-25 2022-05-17 Cilag Gmbh International Surgical staple cartridge retainer with firing system authentication key
USD964564S1 (en) 2019-06-25 2022-09-20 Cilag Gmbh International Surgical staple cartridge retainer with a closure system authentication key
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11684412B2 (en) 2019-12-30 2023-06-27 Cilag Gmbh International Surgical instrument with rotatable and articulatable surgical end effector
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US20210196344A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Surgical system communication pathways
EP4110194A4 (en) * 2020-02-28 2023-11-29 Covidien LP STAPLE CARTRIDGE WITH RETRACTABLE KNIFE ASSEMBLY
US11850013B2 (en) * 2020-04-17 2023-12-26 Cilag Gmbh International Surgical systems and methods for robotic actuation of continuum joints
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
US20220031350A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Surgical instruments with double pivot articulation joint arrangements
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11771428B2 (en) 2020-10-29 2023-10-03 Applied Medical Resources Corporation Actuation shaft retention mechanism for surgical stapler
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
EP4236821A1 (en) 2020-10-29 2023-09-06 Applied Medical Resources Corporation Surgical stapler having a powered handle
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US20220378426A1 (en) 2021-05-28 2022-12-01 Cilag Gmbh International Stapling instrument comprising a mounted shaft orientation sensor
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments

Family Cites Families (460)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE273689C (zh) 1913-08-07 1914-05-08
FR999646A (fr) 1949-11-16 1952-02-04 Dispositif serre-câble
FR1112936A (fr) 1954-10-20 1956-03-20 Moteur électrique et commande à trois vitesses enfermés dans une gaine
DE1775926U (de) 1958-06-11 1958-10-16 Rudolf W Dipl Ing Ihmig Kugelschreibermine.
GB939929A (en) 1959-10-30 1963-10-16 Vasilii Fedotovich Goodov Instrument for stitching blood vessels, intestines, bronchi and other soft tissues
GB1210522A (en) 1966-10-10 1970-10-28 United States Surgical Corp Instrument for placing lateral gastro-intestinal anastomoses
US3490675A (en) 1966-10-10 1970-01-20 United States Surgical Corp Instrument for placing lateral gastrointestinal anastomoses
US3643851A (en) 1969-08-25 1972-02-22 United States Surgical Corp Skin stapler
US3662939A (en) 1970-02-26 1972-05-16 United States Surgical Corp Surgical stapler for skin and fascia
US3717294A (en) 1970-12-14 1973-02-20 Surgical Corp Cartridge and powering instrument for stapling skin and fascia
US3819100A (en) 1972-09-29 1974-06-25 United States Surgical Corp Surgical stapling instrument
US4429695A (en) 1980-02-05 1984-02-07 United States Surgical Corporation Surgical instruments
AU534210B2 (en) 1980-02-05 1984-01-12 United States Surgical Corporation Surgical staples
US4396139A (en) 1980-02-15 1983-08-02 Technalytics, Inc. Surgical stapling system, apparatus and staple
US4331277A (en) 1980-05-23 1982-05-25 United States Surgical Corporation Self-contained gas powered surgical stapler
US4500024A (en) 1980-11-19 1985-02-19 Ethicon, Inc. Multiple clip applier
US4383634A (en) 1981-05-26 1983-05-17 United States Surgical Corporation Surgical stapler apparatus with pivotally mounted actuator assemblies
US4475679A (en) 1981-08-07 1984-10-09 Fleury Jr George J Multi-staple cartridge for surgical staplers
US4402445A (en) 1981-10-09 1983-09-06 United States Surgical Corporation Surgical fastener and means for applying same
US4809695A (en) 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
US4415112A (en) 1981-10-27 1983-11-15 United States Surgical Corporation Surgical stapling assembly having resiliently mounted anvil
DE3204532C2 (de) 1982-02-10 1983-12-08 B. Braun Melsungen Ag, 3508 Melsungen Chirurgische Hautklammer
US4664305A (en) 1982-05-04 1987-05-12 Blake Joseph W Iii Surgical stapler
JPS59168848A (ja) 1983-03-11 1984-09-22 エチコン・インコ−ポレ−テツド 非金属製の生物に適合性の無菌の外科装置
US4522327A (en) 1983-05-18 1985-06-11 United States Surgical Corporation Surgical fastener applying apparatus
SU1175891A1 (ru) 1983-08-16 1985-08-30 Предприятие П/Я А-7840 Устройство дл формовани изделий
US4944443A (en) 1988-04-22 1990-07-31 Innovative Surgical Devices, Inc. Surgical suturing instrument and method
US4530453A (en) 1983-10-04 1985-07-23 United States Surgical Corporation Surgical fastener applying apparatus
US4505414A (en) 1983-10-12 1985-03-19 Filipi Charles J Expandable anvil surgical stapler
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US4655222A (en) 1984-07-30 1987-04-07 Ethicon, Inc. Coated surgical staple
US4754909A (en) 1984-08-09 1988-07-05 Barker John M Flexible stapler
US4671445A (en) 1984-08-09 1987-06-09 Baxter Travenol Laboratories, Inc. Flexible surgical stapler assembly
US4580712A (en) 1984-10-19 1986-04-08 United States Surgical Corporation Surgical fastener applying apparatus with progressive application of fastener
US4767044A (en) 1984-10-19 1988-08-30 United States Surgical Corporation Surgical fastener applying apparatus
US4573622A (en) 1984-10-19 1986-03-04 United States Surgical Corporation Surgical fastener applying apparatus with variable fastener arrays
US4566620A (en) 1984-10-19 1986-01-28 United States Surgical Corporation Articulated surgical fastener applying apparatus
US4728020A (en) 1985-08-30 1988-03-01 United States Surgical Corporation Articulated surgical fastener applying apparatus
SU1377053A1 (ru) 1985-10-02 1988-02-28 В. Г. Сахаутдинов, Р. А. Талипов, Р. М. Халиков и 3. X. Гарифуллин Хирургический сшивающий аппарат
US4715520A (en) 1985-10-10 1987-12-29 United States Surgical Corporation Surgical fastener applying apparatus with tissue edge control
US4817847A (en) 1986-04-21 1989-04-04 Finanzaktiengesellschaft Globe Control Instrument and a procedure for performing an anastomosis
SU1561964A1 (ru) 1986-04-24 1990-05-07 Благовещенский государственный медицинский институт Хирургический сшивающий аппарат
US4752024A (en) 1986-10-17 1988-06-21 Green David T Surgical fastener and surgical stapling apparatus
US4865030A (en) 1987-01-21 1989-09-12 American Medical Systems, Inc. Apparatus for removal of objects from body passages
WO1988006021A1 (en) 1987-02-10 1988-08-25 Vaso Products Australia Pty. Limited Venous cuff applicator, cartridge and cuff
US4941623A (en) 1987-05-12 1990-07-17 United States Surgical Corporation Stapling process and device for use on the mesentery of the abdomen
US4821939A (en) 1987-09-02 1989-04-18 United States Surgical Corporation Staple cartridge and an anvilless surgical stapler
US5158567A (en) 1987-09-02 1992-10-27 United States Surgical Corporation One-piece surgical staple
GB8800909D0 (en) 1988-01-15 1988-02-17 Ethicon Inc Gas powered surgical stapler
US4805823A (en) 1988-03-18 1989-02-21 Ethicon, Inc. Pocket configuration for internal organ staplers
US4869415A (en) 1988-09-26 1989-09-26 Ethicon, Inc. Energy storage means for a surgical stapler
EP0369324B1 (fr) 1988-11-11 1995-11-02 United States Surgical Corporation Instrument de chirurgie
US5104397A (en) 1989-04-14 1992-04-14 Codman & Shurtleff, Inc. Multi-position latching mechanism for forceps
US5040715B1 (en) 1989-05-26 1994-04-05 United States Surgical Corp Apparatus and method for placing staples in laparoscopic or endoscopic procedures
JPH0347249A (ja) * 1989-07-14 1991-02-28 Olympus Optical Co Ltd 外科用手術装置
JPH0793340B2 (ja) * 1989-08-18 1995-10-09 株式会社東芝 半導体装置の配線接続装置
CH677728A5 (zh) 1989-10-17 1991-06-28 Bieffe Medital Sa
SU1722476A1 (ru) 1990-04-02 1992-03-30 Свердловский Филиал Научно-Производственного Объединения "Фтизиопульмонология" Устройство дл временной окклюзии трубчатых органов
US5342395A (en) 1990-07-06 1994-08-30 American Cyanamid Co. Absorbable surgical repair devices
US5156315A (en) 1990-09-17 1992-10-20 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
US5653373A (en) 1990-09-17 1997-08-05 United States Surgical Corporation Arcuate apparatus for applying two-part surgical fasteners
DE9117288U1 (de) 1990-10-05 1999-10-21 United States Surgical Corp Chirurgisches Klammerinstrument
US5129570A (en) 1990-11-30 1992-07-14 Ethicon, Inc. Surgical stapler
CA2061885A1 (en) 1991-03-14 1992-09-15 David T. Green Approximating apparatus for surgical jaw structure
US5065929A (en) 1991-04-01 1991-11-19 Ethicon, Inc. Surgical stapler with locking means
US5137198A (en) 1991-05-16 1992-08-11 Ethicon, Inc. Fast closure device for linear surgical stapling instrument
US5221036A (en) 1991-06-11 1993-06-22 Haruo Takase Surgical stapler
US5282829A (en) 1991-08-15 1994-02-01 United States Surgical Corporation Hollow body implants
US6250532B1 (en) 1991-10-18 2001-06-26 United States Surgical Corporation Surgical stapling apparatus
DE537571T1 (de) 1991-10-18 1993-10-14 United States Surgical Corp Gerät zum Anbringen von chirurgischen Befestigungen.
US5443198A (en) 1991-10-18 1995-08-22 United States Surgical Corporation Surgical fastener applying apparatus
AU657364B2 (en) 1991-10-18 1995-03-09 United States Surgical Corporation Self contained gas powered surgical apparatus
US5478003A (en) 1991-10-18 1995-12-26 United States Surgical Corporation Surgical apparatus
CA2078794C (en) 1991-10-18 1998-10-06 Frank J. Viola Locking device for an apparatus for applying surgical fasteners
US5497933A (en) 1991-10-18 1996-03-12 United States Surgical Corporation Apparatus and method for applying surgical staples to attach an object to body tissue
US5711472A (en) 1991-10-18 1998-01-27 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
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
US5312023A (en) 1991-10-18 1994-05-17 United States Surgical Corporation Self contained gas powered surgical apparatus
US5364001A (en) 1991-10-18 1994-11-15 United States Surgical Corporation Self contained gas powered surgical apparatus
US5350400A (en) 1991-10-30 1994-09-27 American Cyanamid Company Malleable, bioabsorbable, plastic staple; and method and apparatus for deforming such staple
ATE241938T1 (de) 1991-11-08 2003-06-15 Boston Scient Ltd Ablationselektrode mit isoliertem temperaturmesselement
US5383880A (en) 1992-01-17 1995-01-24 Ethicon, Inc. Endoscopic surgical system with sensing means
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
US5271543A (en) 1992-02-07 1993-12-21 Ethicon, Inc. Surgical anastomosis stapling instrument with flexible support shaft and anvil adjusting mechanism
US5282806A (en) 1992-08-21 1994-02-01 Habley Medical Technology Corporation Endoscopic surgical instrument having a removable, rotatable, end effector assembly
US5484451A (en) 1992-05-08 1996-01-16 Ethicon, Inc. Endoscopic surgical instrument and staples for applying purse string sutures
US5658300A (en) 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
US5258009A (en) 1992-06-30 1993-11-02 American Cyanamid Company Malleable, bioabsorbable,plastic staple having a knotted configuration; and method and apparatus for deforming such staple
US5222975A (en) 1992-07-13 1993-06-29 Lawrence Crainich Surgical staples
US5762458A (en) 1996-02-20 1998-06-09 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US5485952A (en) 1992-09-23 1996-01-23 United States Surgical Corporation Apparatus for applying surgical fasteners
US5423471A (en) 1992-10-02 1995-06-13 United States Surgical Corporation Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures
US5601224A (en) 1992-10-09 1997-02-11 Ethicon, Inc. Surgical instrument
US5381943A (en) 1992-10-09 1995-01-17 Ethicon, Inc. Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge
US5431323A (en) 1992-10-09 1995-07-11 Ethicon, Inc. Endoscopic surgical instrument with pivotable and rotatable staple cartridge
US5807393A (en) 1992-12-22 1998-09-15 Ethicon Endo-Surgery, Inc. Surgical tissue treating device with locking mechanism
FR2699806B1 (fr) 1992-12-30 1995-03-24 Duthoit Francois Instrument, destiné notamment à permettre l'extraction de tronçons veineux pathologiques tels que des varices.
US5304204A (en) 1993-02-09 1994-04-19 Ethicon, Inc. Receiverless surgical fasteners
US5342396A (en) 1993-03-02 1994-08-30 Cook Melvin S Staples
US5397324A (en) 1993-03-10 1995-03-14 Carroll; Brendan J. Surgical stapler instrument and method for vascular hemostasis
EP0625335B1 (en) 1993-04-20 1997-11-19 United States Surgical Corporation Surgical stapler
US5540375A (en) 1993-04-20 1996-07-30 United States Surgical Corporation Endoscopic stapler
CA2124109A1 (en) 1993-05-24 1994-11-25 Mark T. Byrne Endoscopic surgical instrument with electromagnetic sensor
US5478354A (en) 1993-07-14 1995-12-26 United States Surgical Corporation Wound closing apparatus and method
DE9310601U1 (de) 1993-07-15 1993-09-02 Siemens Ag Kassette zur Aufnahme ärztlicher, insbesondere zahnärztlicher Instrumente
US5709680A (en) 1993-07-22 1998-01-20 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US5817093A (en) 1993-07-22 1998-10-06 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US5688270A (en) 1993-07-22 1997-11-18 Ethicon Endo-Surgery,Inc. Electrosurgical hemostatic device with recessed and/or offset electrodes
US5503320A (en) 1993-08-19 1996-04-02 United States Surgical Corporation Surgical apparatus with indicator
CA2133159A1 (en) 1993-09-30 1995-03-31 Eric J. Butterfield Surgical instrument having improved manipulating means
US5405344A (en) 1993-09-30 1995-04-11 Ethicon, Inc. Articulable socket joint assembly for an endoscopic instrument for surgical fastner track therefor
US5542594A (en) 1993-10-06 1996-08-06 United States Surgical Corporation Surgical stapling apparatus with biocompatible surgical fabric
CA2132917C (en) 1993-10-07 2004-12-14 John Charles Robertson Circular anastomosis device
US5562682A (en) 1993-10-08 1996-10-08 Richard-Allan Medical Industries, Inc. Surgical Instrument with adjustable arms
US5560532A (en) 1993-10-08 1996-10-01 United States Surgical Corporation Apparatus and method for applying surgical staples to body tissue
US5725554A (en) 1993-10-08 1998-03-10 Richard-Allan Medical Industries, Inc. Surgical staple and stapler
US5487499A (en) 1993-10-08 1996-01-30 United States Surgical Corporation Surgical apparatus for applying surgical fasteners including a counter
US5465894A (en) 1993-12-06 1995-11-14 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5743456A (en) 1993-12-16 1998-04-28 Stryker Corporation Hand actuable surgical handpiece
AU1558995A (en) 1994-01-04 1995-08-01 Alpha Surgical Technologies, Inc. Stapling device
US5465895A (en) 1994-02-03 1995-11-14 Ethicon Endo-Surgery, Inc. Surgical stapler instrument
US5503638A (en) 1994-02-10 1996-04-02 Bio-Vascular, Inc. Soft tissue stapling buttress
JPH0833642A (ja) 1994-02-25 1996-02-06 Ethicon Endo Surgery Inc 外科用ステープラのための改良アンビル承口
WO1995023557A1 (en) 1994-03-01 1995-09-08 United States Surgical Corporation Surgical stapler with anvil sensor and lockout
CA2145723A1 (en) 1994-03-30 1995-10-01 Steven W. Hamblin Surgical stapling instrument with remotely articulated stapling head assembly on rotatable support shaft
US5715987A (en) 1994-04-05 1998-02-10 Tracor Incorporated Constant width, adjustable grip, staple apparatus and method
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
US5489058A (en) 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5470007A (en) 1994-05-02 1995-11-28 Minnesota Mining And Manufacturing Company Laparoscopic stapler with overload sensor and interlock
CA2148667A1 (en) 1994-05-05 1995-11-06 Carlo A. Mililli Self-contained powered surgical apparatus
US5628446A (en) 1994-05-05 1997-05-13 United States Surgical Corporation Self-contained powered surgical apparatus
US5474566A (en) 1994-05-05 1995-12-12 United States Surgical Corporation Self-contained powered surgical apparatus
US5732872A (en) 1994-06-17 1998-03-31 Heartport, Inc. Surgical stapling instrument
US5833695A (en) 1994-07-13 1998-11-10 Yoon; Inbae Surgical stapling system and method of applying staples from multiple staple cartridges
US5551622A (en) 1994-07-13 1996-09-03 Yoon; Inbae Surgical stapler
DE9412228U1 (de) 1994-07-28 1994-09-22 Loctite Europa Eeig Schlauchpumpe zur genauen Dosierung kleiner Flüssigkeitsmengen
US5779130A (en) 1994-08-05 1998-07-14 United States Surgical Corporation Self-contained powered surgical apparatus
EP0699418A1 (en) 1994-08-05 1996-03-06 United States Surgical Corporation Self-contained powered surgical apparatus
US5507426A (en) 1994-08-05 1996-04-16 United States Surgical Corporation Apparatus for applying surgical fasteners
US5480089A (en) 1994-08-19 1996-01-02 United States Surgical Corporation Surgical stapler apparatus with improved staple pockets
CA2146508C (en) 1994-08-25 2006-11-14 Robert H. Schnut Anvil for circular stapler
US5609601A (en) 1994-09-23 1997-03-11 United States Surgical Corporation Endoscopic surgical apparatus with rotation lock
US5617093A (en) * 1994-09-30 1997-04-01 Imp, Inc. Switched capacitor analog circuits with low input capacitance
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5685474A (en) 1994-10-04 1997-11-11 United States Surgical Corporation Tactile indicator for surgical instrument
US5901895A (en) 1994-10-05 1999-05-11 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
US5797538A (en) 1994-10-05 1998-08-25 United States Surgical Corporation Articulating apparatus for applying surgical fasteners to body tissue
EP0705571A1 (en) 1994-10-07 1996-04-10 United States Surgical Corporation Self-contained powered surgical apparatus
US5868760A (en) 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5632432A (en) 1994-12-19 1997-05-27 Ethicon Endo-Surgery, Inc. Surgical instrument
US5713505A (en) 1996-05-13 1998-02-03 Ethicon Endo-Surgery, Inc. Articulation transmission mechanism for surgical instruments
US5704534A (en) 1994-12-19 1998-01-06 Ethicon Endo-Surgery, Inc. Articulation assembly for surgical instruments
AU701320B2 (en) 1994-12-22 1999-01-28 Ethicon Endo-Surgery, Inc. Impedance feedback monitor with query electrode for electrosurgical instrument
US5575799A (en) 1995-03-30 1996-11-19 United States Surgical Corporation Articulating surgical apparatus
US5624452A (en) 1995-04-07 1997-04-29 Ethicon Endo-Surgery, Inc. Hemostatic surgical cutting or stapling instrument
US5553765A (en) 1995-04-28 1996-09-10 Ethicon Endo-Surgery, Inc. Surgical stapler with improved operating lever mounting arrangement
WO1996035464A1 (en) 1995-05-12 1996-11-14 Perkins Rodney C Translumenal circumferential injector
US5630540A (en) 1995-05-24 1997-05-20 United States Surgical Corporation Surgical staple and staple drive member
USRE38708E1 (en) 1995-07-11 2005-03-01 United States Surgical Corporation Disposable loading unit for surgical stapler
US5752644A (en) 1995-07-11 1998-05-19 United States Surgical Corporation Disposable loading unit for surgical stapler
US5839639A (en) 1995-08-17 1998-11-24 Lasersurge, Inc. Collapsible anvil assembly and applicator instrument
US5762256A (en) 1995-08-28 1998-06-09 United States Surgical Corporation Surgical stapler
US6032849A (en) 1995-08-28 2000-03-07 United States Surgical Surgical stapler
US5782396A (en) 1995-08-28 1998-07-21 United States Surgical Corporation Surgical stapler
US5776130A (en) 1995-09-19 1998-07-07 Valleylab, Inc. Vascular tissue sealing pressure control
US5814055A (en) 1995-09-19 1998-09-29 Ethicon Endo-Surgery, Inc. Surgical clamping mechanism
US5697542A (en) 1995-10-19 1997-12-16 Ethicon Endo-Surgery, Inc. Endoscopic surgical stapler with compact profile
CA2188738A1 (en) 1995-10-27 1997-04-28 Lisa W. Heaton Surgical stapler having interchangeable loading units
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
US5716233A (en) * 1995-11-30 1998-02-10 Itt Corporation Contact position assurance device
US6010054A (en) 1996-02-20 2000-01-04 Imagyn Medical Technologies Linear stapling instrument with improved staple cartridge
US6436107B1 (en) 1996-02-20 2002-08-20 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US5820009A (en) 1996-02-20 1998-10-13 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved jaw closure mechanism
US5797537A (en) 1996-02-20 1998-08-25 Richard-Allan Medical Industries, Inc. Articulated surgical instrument with improved firing mechanism
US5725536A (en) 1996-02-20 1998-03-10 Richard-Allen Medical Industries, Inc. Articulated surgical instrument with improved articulation control mechanism
US5697543A (en) 1996-03-12 1997-12-16 Ethicon Endo-Surgery, Inc. Linear stapler with improved firing stroke
IL117607A0 (en) 1996-03-21 1996-07-23 Dev Of Advanced Medical Produc Surgical stapler and method of surgical fastening
US5785232A (en) 1996-04-17 1998-07-28 Vir Engineering Surgical stapler
US5836503A (en) 1996-04-22 1998-11-17 United States Surgical Corporation Insertion device for surgical apparatus
US6149660A (en) 1996-04-22 2000-11-21 Vnus Medical Technologies, Inc. Method and apparatus for delivery of an appliance in a vessel
US6119913A (en) 1996-06-14 2000-09-19 Boston Scientific Corporation Endoscopic stapler
US5735874A (en) 1996-06-21 1998-04-07 Ethicon Endo-Surgery, Inc. Variable position handle locking mechanism
US5702408A (en) 1996-07-17 1997-12-30 Ethicon Endo-Surgery, Inc. Articulating surgical instrument
US5730758A (en) 1996-09-12 1998-03-24 Allgeyer; Dean O. Staple and staple applicator for use in skin fixation of catheters
US6074401A (en) 1997-01-09 2000-06-13 Coalescent Surgical, Inc. Pinned retainer surgical fasteners, instruments and methods for minimally invasive vascular and endoscopic surgery
US5919198A (en) 1997-04-17 1999-07-06 Ethicon Endo-Surgery, Inc. Disposable cartridge with drivers
USH2037H1 (en) 1997-05-14 2002-07-02 David C. Yates Electrosurgical hemostatic device including an anvil
DE19721076A1 (de) 1997-05-20 1998-11-26 Trw Repa Gmbh Verfahren zum Herstellen eines Seilabschnittes mit einem Befestigungselement für ein Fahrzeuginsassen-Rückhaltesystem sowie mit diesem Verfahren hergestellter Seilabschnitt
US5951552A (en) 1997-06-30 1999-09-14 Ethicon Endo-Surgery, Inc. Capacitively coupled cordless electrosurgical instrument
FR2765794B1 (fr) 1997-07-11 1999-09-03 Joel Bardeau Dispositif d'eveinage notamment pour endoeveinage
US6241771B1 (en) * 1997-08-13 2001-06-05 Cambridge Scientific, Inc. Resorbable interbody spinal fusion devices
AU9478498A (en) 1997-09-11 1999-03-29 Genzyme Corporation Articulating endoscopic implant rotator surgical apparatus and method for using same
US5865361A (en) 1997-09-23 1999-02-02 United States Surgical Corporation Surgical stapling apparatus
US5947984A (en) 1997-10-10 1999-09-07 Ethicon Endo-Surger, Inc. Ultrasonic clamp coagulator apparatus having force limiting clamping mechanism
US6086600A (en) 1997-11-03 2000-07-11 Symbiosis Corporation Flexible endoscopic surgical instrument for invagination and fundoplication
US6171330B1 (en) 1997-12-15 2001-01-09 Sofradim Production Pneumatic surgical instrument for the distribution and placement of connecting or fastening means
US6156056A (en) 1998-01-09 2000-12-05 Ethicon, Inc. Suture buttress
GB2336214A (en) 1998-01-16 1999-10-13 David William Taylor Preventionof multiple use of limited use devices
US6099551A (en) 1998-03-12 2000-08-08 Shelhigh, Inc. Pericardial strip and stapler assembly for dividing and sealing visceral tissues and method of use thereof
US6126058A (en) 1998-06-19 2000-10-03 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6601749B2 (en) 1998-06-19 2003-08-05 Scimed Life Systems, Inc. Multi fire full thickness resectioning device
WO2000024322A1 (en) 1998-10-23 2000-05-04 Applied Medical Resources Corporation Surgical grasper with inserts and method of using same
US6102271A (en) 1998-11-23 2000-08-15 Ethicon Endo-Surgery, Inc. Circular stapler for hemorrhoidal surgery
US6387113B1 (en) 1999-02-02 2002-05-14 Biomet, Inc. Method and apparatus for repairing a torn meniscus
US6083242A (en) 1999-02-17 2000-07-04 Holobeam, Inc. Surgical staples with deformation zones of non-uniform cross section
US6666875B1 (en) 1999-03-05 2003-12-23 Olympus Optical Co., Ltd. Surgical apparatus permitting recharge of battery-driven surgical instrument in noncontact state
WO2000057796A1 (en) 1999-03-31 2000-10-05 Rosenblatt Peter L Systems and methods for soft tissue reconstruction
JP2000287987A (ja) 1999-04-01 2000-10-17 Olympus Optical Co Ltd 充電式医療装置
US6325805B1 (en) 1999-04-23 2001-12-04 Sdgi Holdings, Inc. Shape memory alloy staple
US6454781B1 (en) 1999-05-26 2002-09-24 Ethicon Endo-Surgery, Inc. Feedback control in an ultrasonic surgical instrument for improved tissue effects
DE19924311A1 (de) 1999-05-27 2000-11-30 Walter A Rau Klammerschneidegerät und Zusatzvorrichtung für ein solches
US8025199B2 (en) 2004-02-23 2011-09-27 Tyco Healthcare Group Lp Surgical cutting and stapling device
US7951071B2 (en) 1999-06-02 2011-05-31 Tyco Healthcare Group Lp Moisture-detecting shaft for use with an electro-mechanical surgical device
US8241322B2 (en) 2005-07-27 2012-08-14 Tyco Healthcare Group Lp Surgical device
US6315184B1 (en) 1999-06-02 2001-11-13 Powermed, Inc. Stapling device for use with an electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US6793652B1 (en) 1999-06-02 2004-09-21 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6517565B1 (en) 1999-06-02 2003-02-11 Power Medical Interventions, Inc. Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft
US6491201B1 (en) 2000-02-22 2002-12-10 Power Medical Interventions, Inc. Fluid delivery mechanism for use with anastomosing, stapling, and resecting instruments
US7032798B2 (en) 1999-06-02 2006-04-25 Power Medical Interventions, Inc. Electro-mechanical surgical device
US6981941B2 (en) 1999-06-02 2006-01-03 Power Medical Interventions Electro-mechanical surgical device
US6443973B1 (en) 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
US7695485B2 (en) 2001-11-30 2010-04-13 Power Medical Interventions, Llc Surgical device
US6716233B1 (en) 1999-06-02 2004-04-06 Power Medical Interventions, Inc. Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6264087B1 (en) 1999-07-12 2001-07-24 Powermed, Inc. Expanding parallel jaw device for use with an electromechanical driver device
US6325810B1 (en) 1999-06-30 2001-12-04 Ethicon, Inc. Foam buttress for stapling apparatus
JP2001035827A (ja) 1999-07-16 2001-02-09 Memc Kk 高濃度オゾン水、同オゾン水の調製方法、および同オゾン水を使用した洗浄方法
WO2001010482A1 (en) 1999-08-05 2001-02-15 Biocardia, Inc. A system and method for delivering thermally sensitive and reverse-thermal gelation matrials
US6358224B1 (en) 1999-09-24 2002-03-19 Tyco Healthcare Group Lp Irrigation system for endoscopic surgery
CA2322061A1 (en) 1999-10-05 2001-04-05 Anil K. Nalagatla Stapling instrument having two staple forming surfaces
HU225908B1 (en) 2000-01-24 2007-12-28 Ethicon Endo Surgery Europe Surgical circular stapling head
US8016855B2 (en) 2002-01-08 2011-09-13 Tyco Healthcare Group Lp Surgical device
EP3146914A1 (en) 2000-02-22 2017-03-29 Covidien LP An electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities
US6488197B1 (en) 2000-02-22 2002-12-03 Power Medical Interventions, Inc. Fluid delivery device for use with anastomosing resecting and stapling instruments
US6273897B1 (en) 2000-02-29 2001-08-14 Ethicon, Inc. Surgical bettress and surgical stapling apparatus
RU2187249C2 (ru) 2000-04-27 2002-08-20 Общество с ограниченной ответственностью "ЭНДОМЕДИУМ+" Хирургический инструмент
DE10026683C2 (de) 2000-05-30 2003-07-10 Ethicon Endo Surgery Europe Chirurgisches Klammersetzgerät
US6805273B2 (en) 2002-11-04 2004-10-19 Federico Bilotti Surgical stapling instrument
JP2004504095A (ja) 2000-07-20 2004-02-12 ティヴァ　メディカル　インコーポレイテッド 手作動で関節運動する外科器具
WO2002007618A1 (en) 2000-07-21 2002-01-31 Atropos Limited A cannula
US6830174B2 (en) 2000-08-30 2004-12-14 Cerebral Vascular Applications, Inc. Medical instrument
EP1435842B8 (en) 2000-09-08 2011-03-02 Abbott Vascular Inc. Device for locating a puncture hole in a liquid-carrying vessel
AU2000274011A1 (en) 2000-10-04 2002-04-15 Synthes Ag, Chur Device for supplying an electro-pen with electrical energy
US6817508B1 (en) 2000-10-13 2004-11-16 Tyco Healthcare Group, Lp Surgical stapling device
WO2003079909A2 (en) 2002-03-19 2003-10-02 Tyco Healthcare Group, Lp Surgical fastener applying apparatus
US7055730B2 (en) 2000-10-13 2006-06-06 Tyco Healthcare Group Lp Surgical fastener applying apparatus
US6773438B1 (en) 2000-10-19 2004-08-10 Ethicon Endo-Surgery Surgical instrument having a rotary lockout mechanism
US20040267310A1 (en) 2000-10-20 2004-12-30 Racenet David C Directionally biased staple and anvil assembly for forming the staple
US8286845B2 (en) 2000-11-27 2012-10-16 Boston Scientific Scimed, Inc. Full thickness resection device control handle
CA2435209C (en) 2001-01-24 2009-08-25 Tyco Healthcare Group Lp Anastomosis instrument and method for performing same
JP4202138B2 (ja) 2001-01-31 2008-12-24 レックス メディカル インコーポレイテッド 胃食道組織をステープルおよび切除するための装置および方法
US8313496B2 (en) 2001-02-02 2012-11-20 Lsi Solutions, Inc. System for endoscopic suturing
ES2296895T3 (es) 2001-02-27 2008-05-01 Tyco Healthcare Group Lp Montaje mezclador extremo.
US6769590B2 (en) 2001-04-02 2004-08-03 Susan E. Vresh Luminal anastomotic device and method
EP2392267B1 (en) 2001-04-03 2018-07-11 Covidien LP Surgical stapling device for performing circular anastomoses
US6592597B2 (en) 2001-05-07 2003-07-15 Ethicon Endo-Surgery, Inc. Adhesive for attaching buttress material to a surgical fastening device
IES20010547A2 (en) 2001-06-07 2002-12-11 Christy Cummins Surgical Staple
DE20121753U1 (de) 2001-06-15 2003-04-17 Bema Gmbh & Co Kg Endochirurgi Griff für ein chirurgisches Instrument
CN103065025A (zh) 2001-06-20 2013-04-24 柯惠Lp公司 用于集成医疗跟踪的方法和系统
DE20112837U1 (de) 2001-08-02 2001-10-04 Aesculap Ag & Co Kg Zangen- oder pinzettenförmiges chirurgisches Instrument
US20030093103A1 (en) 2001-08-08 2003-05-15 Don Malackowski Surgical tool system with components that perform inductive data transfer
IES20010748A2 (en) 2001-08-09 2003-02-19 Christy Cummins Surgical Stapling Device and Method
US6629988B2 (en) 2001-08-28 2003-10-07 Ethicon, Inc. Composite staple for completing an anastomosis
US6755338B2 (en) 2001-08-29 2004-06-29 Cerebral Vascular Applications, Inc. Medical instrument
US6578751B2 (en) 2001-09-26 2003-06-17 Scimed Life Systems, Inc. Method of sequentially firing staples using springs and a rotary or linear shutter
CA2695579C (en) 2001-10-05 2012-09-25 Tyco Healthcare Group Lp Surgical stapling device
JP4245480B2 (ja) 2001-10-05 2009-03-25 タイコ ヘルスケア グループ エルピー 外科的ステープリング装置および方法
AUPR831101A0 (en) * 2001-10-16 2001-11-08 University Of Wollongong, The Separation and recovery of precious metals using polymer materials
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
FR2831417B1 (fr) 2001-10-30 2004-08-06 Eurosurgical Instrument chirurgical
DE10158246C1 (de) 2001-11-28 2003-08-21 Ethicon Endo Surgery Europe Chirurgisches Klammersetzinstrument
RU2225170C2 (ru) 2001-12-25 2004-03-10 Дубровский Аркадий Вениаминович Инструмент с поворотным устройством
US6602252B2 (en) 2002-01-03 2003-08-05 Starion Instruments Corporation Combined dissecting, cauterizing, and stapling device
CN100443061C (zh) 2002-01-30 2008-12-17 能量医学介入公司 外科手术成像装置
WO2003070110A1 (fr) 2002-02-20 2003-08-28 New X-National Technology K.K. Procede d'administration de medicament
US7128748B2 (en) 2002-03-26 2006-10-31 Synovis Life Technologies, Inc. Circular stapler buttress combination
US7070083B2 (en) 2002-04-11 2006-07-04 Tyco Healthcare Group Lp Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces
EP2404555B1 (en) 2002-04-16 2017-03-15 Covidien LP Surgical stapler and method
WO2003090630A2 (en) 2002-04-25 2003-11-06 Tyco Healthcare Group, Lp Surgical instruments including micro-electromechanical systems (mems)
EP1503671B1 (en) 2002-05-10 2006-10-11 Tyco Healthcare Group Lp Wound closure material applicator and stapler
WO2003094746A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Surgical stapling apparatus having a wound closure material applicator assembly
WO2003094745A1 (en) 2002-05-10 2003-11-20 Tyco Healthcare Group, Lp Electrosurgical stapling apparatus
WO2003094747A1 (en) 2002-05-13 2003-11-20 Tyco Healthcare Group, Lp Surgical stapler and disposable loading unit having different size staples
US7967839B2 (en) 2002-05-20 2011-06-28 Rocky Mountain Biosystems, Inc. Electromagnetic treatment of tissues and cells
US7056330B2 (en) 2002-05-31 2006-06-06 Ethicon Endo-Surgery, Inc. Method for applying tissue fastener
CA2489727C (en) 2002-06-14 2011-04-26 Power Medical Interventions, Inc. Surgical device
ES2366425T3 (es) 2002-06-17 2011-10-20 Tyco Healthcare Group Lp Estructuras anulares de soporte.
WO2004006980A2 (en) 2002-07-11 2004-01-22 Sightline Technologies Ltd. Piston-actuated endoscopic steering system
MXPA05003010A (es) 2002-09-30 2005-06-22 Sightline Techn Ltd Herramienta endoscopica accionada por piston.
EP2238917B1 (en) 2002-10-04 2012-12-05 Tyco Healthcare Group LP Tool assembly for a surgical stapling device
AU2003279147B2 (en) 2002-10-04 2008-10-09 Covidien Lp Surgical stapling device
JP4448449B2 (ja) 2002-10-04 2010-04-07 タイコ ヘルスケア グループ エルピー 外科用ステープリングデバイスのためのツールアセンブリ
ES2730694T3 (es) 2002-10-04 2019-11-12 Covidien Lp Grapadora quirúrgica con articulación universal y sujeción previa de tejidos
WO2004032760A2 (en) 2002-10-04 2004-04-22 Tyco Healthcare Group, Lp Pneumatic powered surgical stapling device
DE10257760A1 (de) 2002-11-26 2004-06-17 Stefan Koscher Chirurgisches Instrument
US20040102783A1 (en) 2002-11-27 2004-05-27 Sutterlin Chester E. Powered Kerrison-like Rongeur system
US20040167572A1 (en) 2003-02-20 2004-08-26 Roth Noah M. Coated medical devices
DE602004030891D1 (de) 2003-03-26 2011-02-17 Tyco Healthcare In feder gespeicherte energie mit kontrollierter freisetzung
DE10314072B4 (de) 2003-03-28 2009-01-15 Aesculap Ag Chirurgisches Instrument
DE10324844A1 (de) 2003-04-01 2004-12-23 Tuebingen Scientific Surgical Products Gmbh Chirurgisches Instrument mit Instrumentengriff und Nullpunkteinstellung
US8714429B2 (en) 2003-04-29 2014-05-06 Covidien Lp Dissecting tip for surgical stapler
US20040243151A1 (en) 2003-04-29 2004-12-02 Demmy Todd L. Surgical stapling device with dissecting tip
ES2279231T3 (es) 2003-05-09 2007-08-16 Tyco Healthcare Group Lp Grapa anastomotica con tubo capilar que dispensa fluidos.
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
US7143923B2 (en) 2003-05-20 2006-12-05 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a firing lockout for an unclosed anvil
US6988649B2 (en) 2003-05-20 2006-01-24 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a spent cartridge lockout
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv 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
US7380696B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US7380695B2 (en) 2003-05-20 2008-06-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a single lockout mechanism for prevention of firing
US20060052825A1 (en) 2003-06-16 2006-03-09 Ransick Mark H Surgical implant alloy
US7905902B2 (en) 2003-06-16 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical implant with preferential corrosion zone
US7494039B2 (en) 2003-06-17 2009-02-24 Tyco Healthcare Group Lp Surgical stapling device
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
JP2007516730A (ja) 2003-06-20 2007-06-28 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
US20070093869A1 (en) 2003-06-20 2007-04-26 Medtronic Vascular, Inc. Device, system, and method for contracting tissue in a mammalian body
US7213736B2 (en) 2003-07-09 2007-05-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating an electroactive polymer actuated firing bar track through an articulation joint
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
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
US7111769B2 (en) 2003-07-09 2006-09-26 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an articulation mechanism having rotation about the longitudinal axis
US6981628B2 (en) 2003-07-09 2006-01-03 Ethicon Endo-Surgery, Inc. Surgical instrument with a lateral-moving articulation control
US7547312B2 (en) 2003-09-17 2009-06-16 Gore Enterprise Holdings, Inc. Circular stapler buttress
US20050059997A1 (en) 2003-09-17 2005-03-17 Bauman Ann M. Circular stapler buttress
US7364061B2 (en) 2003-09-29 2008-04-29 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
US7000819B2 (en) 2003-09-29 2006-02-21 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism
US6905057B2 (en) 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US7083075B2 (en) 2003-09-29 2006-08-01 Ethicon Endo-Surgery, Inc. Multi-stroke mechanism with automatic end of stroke retraction
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
US20050070929A1 (en) 2003-09-30 2005-03-31 Dalessandro David A. Apparatus and method for attaching a surgical buttress to a stapling apparatus
CA2542532C (en) 2003-10-17 2012-08-14 Tyco Healthcare Group, Lp Surgical stapling device with independent tip rotation
US7842028B2 (en) 2005-04-14 2010-11-30 Cambridge Endoscopic Devices, Inc. Surgical instrument guide device
US20050143759A1 (en) 2003-12-30 2005-06-30 Kelly William D. Curved cutter stapler shaped for male pelvis
US6988650B2 (en) 2003-12-30 2006-01-24 Ethicon Endo-Surgery, Inc. Retaining pin lever advancement mechanism for a curved cutter stapler
US6953138B1 (en) 2004-02-18 2005-10-11 Frank W. Dworak Surgical stapler anvil with nested staple forming pockets
US7066944B2 (en) 2004-03-11 2006-06-27 Laufer Michael D Surgical fastening system
CA2560070C (en) 2004-03-19 2012-10-23 Tyco Healthcare Group Lp Anvil assembly with improved cut ring
US8333764B2 (en) 2004-05-12 2012-12-18 Medtronic, Inc. Device and method for determining tissue thickness and creating cardiac ablation lesions
IES20040368A2 (en) 2004-05-25 2005-11-30 James E Coleman Surgical stapler
US7147138B2 (en) 2004-07-28 2006-12-12 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated buttress deployment mechanism
US8905977B2 (en) 2004-07-28 2014-12-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
US20060025812A1 (en) 2004-07-28 2006-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated pivoting articulation mechanism
US7354447B2 (en) 2005-11-10 2008-04-08 Ethicon Endo-Surgery, Inc. Disposable loading unit and surgical instruments including same
US7407077B2 (en) 2004-07-28 2008-08-05 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for linear surgical stapler
US7410086B2 (en) 2004-07-28 2008-08-12 Ethicon Endo-Surgery, Inc. Electroactive polymer-based actuation mechanism for circular stapler
US7506790B2 (en) 2004-07-28 2009-03-24 Ethicon Endo-Surgery, Inc. Surgical instrument incorporating an electrically actuated articulation mechanism
US7210609B2 (en) 2004-07-30 2007-05-01 Tools For Surgery, Llc Stapling apparatus having a curved anvil and driver
WO2006044581A2 (en) 2004-10-13 2006-04-27 Medtronic, Inc. Single-use transurethral needle ablation device
ES2389208T3 (es) 2004-10-18 2012-10-24 Tyco Healthcare Group Lp Estructura adhesiva anular
JP5001848B2 (ja) 2004-10-18 2012-08-15 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 創傷処置材料でコーティングされた外科用ファスナー
US7922743B2 (en) 2004-10-18 2011-04-12 Tyco Healthcare Group Lp Structure for applying sprayable wound treatment material
US7717313B2 (en) 2004-10-18 2010-05-18 Tyco Healthcare Group Lp Surgical apparatus and structure for applying sprayable wound treatment material
US7328829B2 (en) 2004-12-13 2008-02-12 Niti Medical Technologies Ltd. Palm size surgical stapler for single hand operation
US20060173470A1 (en) 2005-01-31 2006-08-03 Oray B N Surgical fastener buttress material
US7654431B2 (en) 2005-02-18 2010-02-02 Ethicon Endo-Surgery, Inc. Surgical instrument with guided laterally moving articulation member
US20060289602A1 (en) 2005-06-23 2006-12-28 Ethicon Endo-Surgery, Inc. Surgical instrument with articulating shaft with double pivot closure and single pivot frame ground
US7784663B2 (en) 2005-03-17 2010-08-31 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having load sensing control circuitry
CA2549224A1 (en) 2005-06-02 2006-12-02 Tyco Healthcare Group Lp Expandable backspan staple
EP1937157B1 (en) * 2005-06-03 2020-08-05 Covidien LP Surgical stapler with timer and feedback display
US7717312B2 (en) 2005-06-03 2010-05-18 Tyco Healthcare Group Lp Surgical instruments employing sensors
US8579176B2 (en) 2005-07-26 2013-11-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting device and method for using the device
US7641092B2 (en) 2005-08-05 2010-01-05 Ethicon Endo - Surgery, Inc. Swing gate for device lockout in a curved cutter stapler
US7398908B2 (en) 2005-08-15 2008-07-15 Tyco Healthcare Group Lp Surgical stapling instruments including a cartridge having multiple staple sizes
US7407075B2 (en) 2005-08-15 2008-08-05 Tyco Healthcare Group Lp Staple cartridge having multiple staple sizes for a surgical stapling instrument
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070194082A1 (en) 2005-08-31 2007-08-23 Morgan Jerome R Surgical stapling device with anvil having staple forming pockets of varying depths
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
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US20070051375A1 (en) 2005-09-06 2007-03-08 Milliman Keith L Instrument introducer
US7472815B2 (en) 2005-09-21 2009-01-06 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with collapsible features for controlling staple height
US7407078B2 (en) 2005-09-21 2008-08-05 Ehthicon Endo-Surgery, Inc. Surgical stapling instrument having force controlled spacing end effector
US20070102472A1 (en) 2005-11-04 2007-05-10 Ethicon Endo-Surgery, Inc. Electrosurgical stapling instrument with disposable severing / stapling unit
US7328828B2 (en) 2005-11-04 2008-02-12 Ethicon Endo-Surgery, Inc, Lockout mechanisms and surgical instruments including same
US7673783B2 (en) 2005-11-04 2010-03-09 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for delivery of medical agents
US7607557B2 (en) 2005-11-04 2009-10-27 Ethicon Endo-Surgery, Inc. Surgical stapling instruments structured for pump-assisted delivery of medical agents
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
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
US7651017B2 (en) 2005-11-23 2010-01-26 Ethicon Endo-Surgery, Inc. Surgical stapler with a bendable end effector
US7246734B2 (en) 2005-12-05 2007-07-24 Ethicon Endo-Surgery, Inc. Rotary hydraulic pump actuated multi-stroke surgical instrument
US7670334B2 (en) 2006-01-10 2010-03-02 Ethicon Endo-Surgery, Inc. Surgical instrument having an articulating end effector
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US7770775B2 (en) 2006-01-31 2010-08-10 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with adaptive user feedback
US7422139B2 (en) 2006-01-31 2008-09-09 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting fastening instrument with tactile position feedback
US20070175951A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Gearing selector for a powered surgical cutting and fastening instrument
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US7766210B2 (en) 2006-01-31 2010-08-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with user feedback system
US20070175950A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Disposable staple cartridge having an anvil with tissue locator for use with a surgical cutting and fastening instrument and modular end effector system therefor
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US20070175955A1 (en) 2006-01-31 2007-08-02 Shelton Frederick E Iv Surgical cutting and fastening instrument with closure trigger locking mechanism
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
US7464846B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a removable battery
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US7568603B2 (en) 2006-01-31 2009-08-04 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with articulatable end effector
US7416101B2 (en) 2006-01-31 2008-08-26 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with loading force feedback
US20070246505A1 (en) 2006-04-24 2007-10-25 Medical Ventures Inc. Surgical buttress assemblies and methods of uses thereof
US7278563B1 (en) 2006-04-25 2007-10-09 Green David T Surgical instrument for progressively stapling and incising tissue
US8105350B2 (en) 2006-05-23 2012-01-31 Cambridge Endoscopic Devices, Inc. Surgical instrument
JP5147837B2 (ja) 2006-06-02 2013-02-20 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 タイマーおよびフィードバックディスプレイを有する外科用ステープラ
US8322455B2 (en) 2006-06-27 2012-12-04 Ethicon Endo-Surgery, Inc. Manually driven surgical cutting and fastening instrument
US7441684B2 (en) 2006-08-02 2008-10-28 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features
US20080029574A1 (en) 2006-08-02 2008-02-07 Shelton Frederick E Pneumatically powered surgical cutting and fastening instrument with actuator at distal end
US7740159B2 (en) 2006-08-02 2010-06-22 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist
US8794496B2 (en) 2006-09-11 2014-08-05 Covidien Lp Rotating knob locking mechanism for surgical stapling device
US8485412B2 (en) 2006-09-29 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical staples having attached drivers and stapling instruments for deploying the same
US7845535B2 (en) 2006-10-06 2010-12-07 Tyco Healthcare Group Lp Surgical instrument having a plastic surface
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US7738971B2 (en) 2007-01-10 2010-06-15 Ethicon Endo-Surgery, Inc. Post-sterilization programming of surgical instruments
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US7721931B2 (en) 2007-01-10 2010-05-25 Ethicon Endo-Surgery, Inc. Prevention of cartridge reuse in a surgical instrument
US7900805B2 (en) 2007-01-10 2011-03-08 Ethicon Endo-Surgery, Inc. Surgical instrument with enhanced battery performance
US7954682B2 (en) 2007-01-10 2011-06-07 Ethicon Endo-Surgery, Inc. Surgical instrument with elements to communicate between control unit and end effector
US20080169328A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Buttress material for use with a surgical stapler
US8701958B2 (en) 2007-01-11 2014-04-22 Ethicon Endo-Surgery, Inc. Curved end effector for a surgical stapling device
US8727197B2 (en) 2007-03-15 2014-05-20 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configuration with cooperative surgical staple
US7431188B1 (en) 2007-03-15 2008-10-07 Tyco Healthcare Group Lp Surgical stapling apparatus with powered articulation
US7422136B1 (en) 2007-03-15 2008-09-09 Tyco Healthcare Group Lp Powered surgical stapling device
US7490749B2 (en) 2007-03-28 2009-02-17 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with manually retractable firing member
US8893946B2 (en) 2007-03-28 2014-11-25 Ethicon Endo-Surgery, Inc. Laparoscopic tissue thickness and clamp load measuring devices
US8056787B2 (en) 2007-03-28 2011-11-15 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with travel-indicating retraction member
US7810693B2 (en) 2007-05-30 2010-10-12 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with articulatable end effector
US7549564B2 (en) 2007-06-22 2009-06-23 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulating end effector
US7798386B2 (en) 2007-05-30 2010-09-21 Ethicon Endo-Surgery, Inc. Surgical instrument articulation joint cover
US20080296346A1 (en) 2007-05-31 2008-12-04 Shelton Iv Frederick E Pneumatically powered surgical cutting and fastening instrument with electrical control and recording mechanisms
US8157145B2 (en) 2007-05-31 2012-04-17 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with electrical feedback
US7832408B2 (en) 2007-06-04 2010-11-16 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US7819299B2 (en) 2007-06-04 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system
US7905380B2 (en) 2007-06-04 2011-03-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US7665646B2 (en) 2007-06-18 2010-02-23 Tyco Healthcare Group Lp Interlocking buttress material retention system
US20080308602A1 (en) 2007-06-18 2008-12-18 Timm Richard W Surgical stapling and cutting instruments
US7604150B2 (en) 2007-06-22 2009-10-20 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an anti-back up mechanism
US7441685B1 (en) 2007-06-22 2008-10-28 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a return mechanism
US7658311B2 (en) 2007-06-22 2010-02-09 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with a geared return mechanism
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US7597229B2 (en) 2007-06-22 2009-10-06 Ethicon Endo-Surgery, Inc. End effector closure system for a surgical stapling instrument
US7766209B2 (en) 2008-02-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with improved firing trigger arrangement
US7819297B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with reprocessible handle assembly
US7810692B2 (en) 2008-02-14 2010-10-12 Ethicon Endo-Surgery, Inc. Disposable loading unit with firing indicator
US7913891B2 (en) 2008-02-14 2011-03-29 Ethicon Endo-Surgery, Inc. Disposable loading unit with user feedback features and surgical instrument for use therewith
US8758391B2 (en) 2008-02-14 2014-06-24 Ethicon Endo-Surgery, Inc. Interchangeable tools for surgical instruments
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US7819296B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with retractable firing systems
US7857185B2 (en) 2008-02-14 2010-12-28 Ethicon Endo-Surgery, Inc. Disposable loading unit for surgical stapling apparatus
US20090206133A1 (en) 2008-02-14 2009-08-20 Ethicon Endo-Surgery, Inc. Articulatable loading units for surgical stapling and cutting instruments
US7793812B2 (en) 2008-02-14 2010-09-14 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US7861906B2 (en) 2008-02-14 2011-01-04 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with articulatable components
US20090206142A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Buttress material for a surgical stapling instrument
US7959051B2 (en) 2008-02-15 2011-06-14 Ethicon Endo-Surgery, Inc. Closure systems for a surgical cutting and stapling instrument
US7980443B2 (en) 2008-02-15 2011-07-19 Ethicon Endo-Surgery, Inc. End effectors for a surgical cutting and stapling instrument
US8608044B2 (en) 2008-02-15 2013-12-17 Ethicon Endo-Surgery, Inc. Feedback and lockout mechanism for surgical instrument
US20090206131A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. End effector coupling arrangements for a surgical cutting and stapling instrument
US20090206137A1 (en) 2008-02-15 2009-08-20 Ethicon Endo-Surgery, Inc. Disposable loading units for a surgical cutting and stapling instrument
US20090255974A1 (en) 2008-04-14 2009-10-15 Tyco Healthcare Group Lp Single loop surgical fastener apparatus for applying variable compression
US7926691B2 (en) 2008-04-14 2011-04-19 Tyco Healthcare Group, L.P. Variable compression surgical fastener cartridge

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104582593A (zh) * 2012-06-28 2015-04-29 伊西康内外科公司 用于外科器械的击发系统闭锁件布置
CN103767750A (zh) * 2012-10-23 2014-05-07 柯惠Lp公司 带有快速事后检测的手术器械
CN103767750B (zh) * 2012-10-23 2017-06-30 柯惠Lp公司 带有快速事后检测的手术器械
US10162312B2 (en) 2012-10-23 2018-12-25 Covidien Lp Surgical instrument with rapid post event detection
US10838372B2 (en) 2012-10-23 2020-11-17 Covidien Lp Surgical instrument with rapid post event detection
CN105796144A (zh) * 2014-12-30 2016-07-27 苏州天臣国际医疗科技有限公司 一种钉头组件以及腔镜外科手术缝切装置
CN105796144B (zh) * 2014-12-30 2018-07-31 苏州天臣国际医疗科技有限公司 一种钉头组件以及腔镜外科手术缝切装置
CN110114014A (zh) * 2016-12-21 2019-08-09 爱惜康有限责任公司 包括端部执行器闭锁件和击发组件闭锁件的外科器械系统
CN110114014B (zh) * 2016-12-21 2022-08-09 爱惜康有限责任公司 包括端部执行器闭锁件和击发组件闭锁件的外科器械系统
CN111870317A (zh) * 2019-05-01 2020-11-03 江苏风和医疗器材股份有限公司 控制装置、外科器械及其控制方法
CN111870317B (zh) * 2019-05-01 2024-04-02 江苏风和医疗器材股份有限公司 控制装置、外科器械及其控制方法
WO2023125564A1 (zh) * 2021-12-30 2023-07-06 江苏风和医疗器材股份有限公司 外科器械

Also Published As

Publication number Publication date
US7721936B2 (en) 2010-05-25
PL1943959T3 (pl) 2018-04-30
EP1943959B1 (en) 2017-12-13
US20080167670A1 (en) 2008-07-10
EP1943959A1 (en) 2008-07-16
CN101224118B (zh) 2012-01-04
JP5253823B2 (ja) 2013-07-31
JP2008212639A (ja) 2008-09-18

Similar Documents

Publication Publication Date Title
CN101224118B (zh) 联锁装置及包括联锁装置的外科器械
JP7328244B2 (ja) 適応性制御システムを備える外科用器具
EP3703590B1 (en) Clip applier comprising a reciprocating clip advancing member
US11918212B2 (en) Surgical instrument with selectively disengageable drive systems
US11317919B2 (en) Clip applier comprising a clip crimping system
US20190125359A1 (en) Surgical system comprising a surgical tool and a surgical hub
RU2569712C2 (ru) Хирургические инструменты и батареи для хирургических инструментов
JP5259196B2 (ja) バッテリ性能を向上させた外科器具
JP6957500B2 (ja) 負荷制御を含む円形状ステープル留めシステム
EP3703589B1 (en) Clip applier comprising a movable clip magazine
CN108135598A (zh) 具有渐进式旋转驱动系统的外科器械
CN109195531A (zh) 具有无创伤特征部的钉仓
JP6921853B2 (ja) 回転発射システムを含む円形ステープル留めシステム
CN109310437A (zh) 用于旋转电动外科切割和缝合器械的仓闭锁布置

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant