CN1732857A - 采用电致动关节锁定机构的外科器械 - Google Patents
采用电致动关节锁定机构的外科器械 Download PDFInfo
- Publication number
- CN1732857A CN1732857A CNA2005100873390A CN200510087339A CN1732857A CN 1732857 A CN1732857 A CN 1732857A CN A2005100873390 A CNA2005100873390 A CN A2005100873390A CN 200510087339 A CN200510087339 A CN 200510087339A CN 1732857 A CN1732857 A CN 1732857A
- Authority
- CN
- China
- Prior art keywords
- joint
- eap
- articulation
- actuator
- distally
- 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
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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
- A61B2017/00871—Material properties shape memory effect polymeric
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
Abstract
一种特别适合内窥镜使用的外科器械,通过将关节机构包括在细长轴中使端部执行器进行关节运动,该细长轴采用电活化聚合物(EAP)关节锁定机构致动器。由此,关节的另外的选择变得可行,尤其是那些被有源地驱动的关节,如果需要保持位置则消耗热量和动力。可替换地,可以在降低强度和尺寸的条件下设计机械方式致动的关节机构,这是因为EAP关节锁定机构辅助在关节运动后防止反驱动。EAP关节锁定机构的各种形式锁定枢转关节接头,其它形式的EAP关节锁定机构锁定柔性颈关节接头。
Description
相关申请的交叉参考
本申请要求系列号为60/591,694的美国临时申请的优先权,该申请由Shelton IV于2004年7月28日提交,名称为“结合电致动关节机构的外科器械”。
技术领域
本发明大体上涉及适合于将端部执行器(例如,内切割器、抓钳、切割器、缝合器、夹具施放器、接触装置、药物/基因治疗输送装置和使用超声波、RF、激光等的能量装置)以可内窥的方式插入到手术部位的外科器械,更具体地说,涉及具有关节连接轴的这种外科器械。
背景技术
内窥镜外科器械通常比传统的开方式外科装置更受到偏爱,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,在内窥镜外科器械的领域中已经有了显著发展,该内窥镜外科器械适合于将远端执行器通过套管针的套管精确地放置在所需的手术部位。这些远端执行器以多种方式接合组织以实现诊断或治疗作用(例如,内切割器、抓钳、切割器、缝合器、夹具施放器、接触装置、药物/基因治疗输送装置和使用超声波、RF、激光等的能量装置)。
通过套管针限制端部执行器的定位。通常,这些内窥镜外科器械包括在端部执行器和由医生操作的手柄部分之间的长轴。这个长轴能够插入到所需深度并围绕轴的纵向轴线转动,从而将端部执行器定位到一定程度。在正确定位套管针和例如通过另一套管针使用抓钳器的条件下,通常这个定位量是足够的。诸如在美国专利NO.5,465,895中描述的外科缝合和切割器械是通过插入和转动成功定位端部执行器的内窥镜外科器械的一个例子。
更近地,美国专利系列号10/443,617描述了一种改进的用于切割组织和致动缝合的“E形梁”发射杆,该申请由Shelton等人于2003年5月20日提交,名称为“采用E形梁发射机构的外科缝合器械”,该申请在此全部引入作为参考。一些另外的优点包括即使为了最优化缝钉的形成而夹住略微过多或过少的组织,也可肯定地分隔端部执行器的钳口,或更具体地说,缝钉施加组件的钳口。此外,E形梁发射杆以能够采用几个有利的闭锁的方式接合端部执行器和缝钉匣。
取决于操作的性质,可能希望进一步调整内窥镜外科器械的端部执行器的定位。特别是,通常希望在横切该器械的轴的纵向轴线的轴线上定向端部执行器。通常将端部执行器相对器械轴的横向运动称为“关节运动”(articulation)。这典型地通过被放置在靠近缝钉施加组件的伸长的轴中的枢轴(或关节)接合来实现。这允许外科医生远程致动缝钉施加组件到任一侧,以便更好的手术放置缝合线和更简单的组织操作和定向。这种关节连接定位允许医生在一些情况下(例如在器官后)更简单地接合组织。另外,关节连接定位有利地允许将内窥镜定位在端部执行器后方,而不会被器械轴挡住。
由于将关节连接控制结合到在内窥镜器械的小直径的限制下闭合端部执行器以夹住组织和发射端部执行器(即,缝合和切割)的控制一起,关节连接外科缝合和切割器械的方法很复杂。通常,将三个控制动作都通过轴转换为纵向平移。例如美国专利NO.5,673,840披露了手风琴状的关节机构(“柔性颈”)该关节机构由有选择地通过执行轴拉回两个连接杆中的一个而进行关节运动,每个轴分别在杆中心线的相对侧处偏移。连接杆通过一系列不连续位置渐进运动。
关节机构的纵向控制的另一例子是美国专利NO.5,865,361,该关节机构包括与凸出枢轴偏置的关节连接件,从而推动或拉动关节连接件的纵向平移实现向相应侧的关节运动。同样,美国专利NO.5,797,537公开了类似的穿过轴以实现关节运动的杆。
在未审结和共同拥有的美国专利申请系列号10/615,973中使用旋转运动作为替换以将关节运动转换成纵向运动,该申请由KennethWales等人申请,名称为“具有围绕纵向轴线旋转的关节机构的外科器械”,该申请公开的内容在此全部引入作为参考。
虽然机械方式连接的关节运动已经成功地使内窥镜外科吻合和切割器械进行关节运动,但发展趋势为进入市场提出多种挑战和阻碍。矛盾的设计目标包括设计一种具有尽可能小的直径以减小手术开口的尺寸,然而具有足够强度以进行几种运动(例如,闭合,发射,关节运动,转动等)的轴。然而,这些公知的关节机构必须保持足够的强度以经得起端部执行器负载的反向驱动。
因此,对于关节运动外科器械存在这样的需要,即:采用减小穿过该器械的轴的致动元件的所需直径,但之后牢固地保持在选择的关节角度的关节机构。
发明内容
通过提供具有在手柄和端部执行器之间连接的关节连接轴的外科器械,本发明克服了现有技术的上述和其它的缺点。在关节运动期间电活化聚合物(EAP)致动器脱离关节锁定,然后重新接合。从而,甚至可以将相对较弱的关节致动机构与之后被锁定的关节接头一起使用,消除了对关节致动机构在致动后要具有足够强度以防止被反向驱动的需要。从而可以得到有利的较小直径的轴,而且还具有可遥控致动的功能。
在本发明的一个方面中,外科器械包括在端部执行器和细长轴的远端的枢转关节接头。甚至在进行关节运动时,也弹性地抢夺连接到枢转关节接头的一侧的锁定构件向着与该接头的另一侧锁定接合运动。电动解锁致动器抵抗锁定构件以导致脱离接合,从而可以实现关节角度的改变。这样允许使锁定构件重新接合,防止反驱动。
在本发明的另一方面,外科器械包括具有垂直允许向各侧横向弯曲的左和右侧肋的垂直列的柔性关节接头。将锁定条定位在肋中的凹槽内,从而当使柔性关节接头关节运动到一侧时,可以改变锁定条的纵向长度以迫使其上的堵塞件被插入各肋之间,从而以隔开的状态保持它们。
在本发明的又一方面,所述关节机构进一步包括柔性关节接头,该柔性关节接头包括连接远侧和近侧框架部分的上部条带和下部条带,还包括多个左侧垂直肋和多个右侧垂直肋,每个肋在上部和下部条带之间连接在对应的横向侧上,多个左和右侧垂直肋中的每一个包括一锁定凹槽,电动关节锁定机构包括左侧锁定条带和右侧锁定条带,每个锁定条带位于相应的左和右侧锁定凹槽中并具有可操作的构造以改变纵向长度,从而定位多个锁定凸起,当相邻的肋和锁定条带均处于沿纵向膨胀的状态时,沿纵向对准所述的锁定凸起,以便插入相邻的肋之间,由此以膨胀的间距保持所述肋。
在本发明的又一方面,所述关节控制包括具有可操作的构造以产生关节电信号的电路,关节致动器包括连接在相邻的肋之间、响应关节电信号以改变其间的间距的电活化聚合物致动器。
在本发明的再一方面,左和右电活化聚合物致动器分别包括具有可操作的构造以在加电时沿至少一个横向弯曲的板状致动器。
在本发明的另一方面,左和右电活化聚合物致动器分别包括至少一个具有可操作的构造以在加电时沿纵向收缩的电活化聚合物纤维致动器,将左和右电活化聚合物纤维致动器的各远端和近端连接到关节接头的相应的远端和近端上。
在本发明的又一方面,进一步包括多个左侧电活化聚合物堆叠致动器,每个所述堆叠致动器被定位在多个左侧垂直肋的相邻肋之间,还包括多个右侧电活化聚合物堆叠致动器,该每个所述堆叠致动器被定位在多个右侧垂直肋的相邻肋之间。
在本发明的再一方面,一种外科器械包括:包含框架组件的细长轴;端部执行器;在框架组件内形成的枢转关节接头,该框架组件包括连接到端部执行器上的远侧框架部分和以可枢转的方式连接到远侧框架部分上的近侧框架部分;被连接到细长轴的近端上的手柄部分,其具有可操作的构造以有选择地将致动电信号和解锁电信号传递到细长轴;位于枢转关节接头中的电活化聚合物关节致动器,它响应致动电信号而使远侧框架部分相对近侧框架部分进行关节运动;以及连接到枢转关节接头上的电活化聚合物解锁致动器,它响应解锁电信号以在关节运动过程中解锁关节接头。
在本发明的再一方面,所述端部执行器包括缝钉施加组件,该缝钉施加组件包括细长槽,接合在细长槽中的缝钉匣以及以可枢转的方式连接到一细长槽上、给缝钉匣提供缝钉形成表面的砧板,所述细长轴还包括发射杆,该发射杆与缝钉施加组件一起平移以切割在砧板和缝钉匣之间的夹紧组织,并致动缝钉匣以实现缝合。
在本发明的又一方面,进一步包括关节锁定机构,其包括:纵向平移锁定构件,其被连接到近侧和远侧框架部分中所选择的一个上并被偏压以朝向近侧和远侧框架部分中的另一个延伸并与之接合;以及电活化聚合物解锁致动器,其具有可操作的结构且被定位以克服被激活时在纵向平移的锁定构件上的偏压,从而解锁关节接头。
在本发明的另一方面,所述关节锁定机构进一步包括在近侧和远侧框架部分中的另一个上的扇形齿轮,所述纵向平移的锁定构件包括一锁定栓,该锁定栓具有在位于近侧和远侧框架部分中所选择的一个的凹槽内受约束的近侧横挡构件,一弹簧被定位成在凹槽内抵靠着该横挡构件以推压锁定杆与该扇形齿轮接合,电活化聚合物解锁致动器位于该凹槽内并包括收缩EAP致动器和膨胀EAP致动器中所选择的一个,在由解锁电信号激活时,所述收缩EAP致动器被定位成抵抗弹簧偏压力地拉动横挡,所述膨胀EAP致动器被定位成抵抗弹簧偏压力地推动该横挡。
在本发明的再一方面,一种外科器械包括:包含框架组件的细长轴;端部执行器;在框架组件中形成柔性关节接头,该框架组件包括连接到端部执行器上的远侧框架部分,以可枢转的方式连接到该远侧框架部分上的近侧框架部分,该柔性关节接头包括连接远侧和近侧框架部分的上部条带和下部条带,以及多个左侧垂直肋和多个右侧垂直肋,每个肋连接到在上部和下部条带之间的对应的横向侧上,多个左、右垂直肋的每一个包括一个锁定凹槽;手柄部分,其被连接到细长轴的近端并具有可操作的结构以有选择地将解锁电信号传递到细长轴;电活化聚合物关节锁定机构包括左侧锁定条带和右侧锁定条带,每个条带分别位于对应的左和右锁定凹槽中并且具有可操作的构造以改变纵向长度,从而定位多个锁定凸起,当相邻的肋和锁定带都处于纵向膨胀状态时,为插入相邻的肋之间沿纵向对准多个锁定凸起,由此以扩展的间隔保持所述肋。
在本发明的另一方面,进一步以可操作的方式构造手柄部分以产生关节电信号到细长轴,柔性关节接头进一步包括位于柔性关节接头内的电活化聚合物关节致动器,它响应致动电信号,以使远侧框架部分相对近侧框架部分进行关节运动。
在本发明的又一方面,所述电活化聚合物关节致动器进一步包括从电活化聚合物板状致动器和电活化聚合物纤维致动器中选择的一个,该电活化聚合物板状致动器具有可操作的构造以在通电时沿至少一个横向弯曲,该电活化聚合物纤维致动器具有可操作的构造以在受激活时沿纵向收缩,将左和右电活化聚合物纤维致动器的各自的远端和近端连接到关节接头的对应的远侧和近侧框架部分上,多个左侧电活化聚合物堆叠致动器分别被定位在多个左侧垂直肋的相邻肋之间,多个右侧电活化聚合物堆叠致动器分别被定位在多个右侧垂直肋的相邻肋之间。
通过下面的附图和对附图的说明,将清楚地了解本发明的这些和其它目的及优点。
附图说明
包括在该说明书中并构成该说明书的一部分的附图图示出本发明的实施例,并且与上述本发明的概述以及下述实施例的详细说明一起用来解释本发明的原理。
图1是处于打开、未进行关节运动状态的用于外科缝合和切割的内窥镜外科缝合器械的后侧透视图。
图2是层压的电活化聚合物(EAP)复合材料的透视图。
图3是由堆叠形成的EAP板状致动器的透视图,该堆叠由粘合固定的多个图2中的层压EAP复合材料形成。
图4是沿收缩的EAP纤维致动器的纵向轴线的剖面的透视图。
图5是沿图4中收缩的EAP纤维致动器的线5-5截取的横截面的主剖视图。
图6是图1中用于外科器械的EAP致动关节接头的前右侧透视图,带有柔性闭合套管组件、枢转框架组件和关闭的缝钉施加组件。
图7是图6中EAP致动关节接头和闭合的缝钉施加组件的前右侧透视图,去除了柔性闭合套管组件并部分分解了单枢轴框架组件。
图8是图6中EAP致动关节接头和缝钉施加组件的前右侧分解透视图。
图9是包括图7中的EAP纤维致动器的分解的单枢轴框架组件的详视图。
图10是沿图6的线10-10截取的横截面的右侧剖视图,其通过EAP致动关节接头的枢轴轴线并向右看时可见一对EAP纤维致动器。
图11是沿图6的线11-11截取的横截面的俯视图,其通过EAP致动关节接头的纵轴,向下看时可见下部力矩臂和下部EAP纤维致动器。
图12是沿着图10的线12-12沿横向EAP纤维致动器的横截面截取的主剖视图。
图13是图11的EAP致动关节接头的俯视图,其中右上部和下部EAP纤维致动器收缩以使缝钉施加组件向左进行关节运动。
图14是另一可替换的EAP致动关节接头的前右侧透视图,该关节接头包括在端部执行器的砧板的近侧位置开口处的双枢轴闭合套管组件。
图15是图14中另一可替换的EAP致动关节接头的前右侧分解图,该关节接头包括双枢轴闭合套管组件和单枢轴框架组件。
图16是沿图14的线16-16的横截面截取的可替换EAP致动关节接头的右侧剖视图,其中包括了发射元件。
图17是可替换EAP致动关节接头在未进行关节运动条件下沿图14的线17-17截取的横截面的俯视图。
图18是可替换EAP致动关节接头在向左进行关节运动条件下沿图14的线17-17截取的横截面的俯视图。
图19是处于轻微关节运动状态的又一可替换EAP致动关节接头,其中使收缩的EAP纤维致动器定位以伸直接头。
图20是部分分解的单枢轴关节接头的右前侧透视图,该关节接头有利地包括被偏置以正常锁定的EAP关节锁定机构。
图21是在单枢轴关节接头的近侧框架底(frame ground)的EAP关节锁定机构的近侧部分的详细示出的右前透视图。
图22是图20中的单枢轴关节接头的俯视图。
图23是图22的单枢轴关节接头沿线23-23的纵向中心线截取的横截面的右侧剖视图。
图24是图23的单枢轴关节接头沿线24-24的横截面截取的俯视图,以便示出在未处于关节运动状态的由EAP关节锁定机构锁定的位于上部枢轴柄脚上的扇形齿轮。
图25是向下看近侧框架底的下部枢轴凸起沿线25-25的中心线的横截面截取的图23的单枢轴关节接头的俯视图,其中该近侧框架底使端部执行器部分地向左进行关节运动,同时EAP关节锁定机构被致动到未锁定状态。
图26是沿线26-26的横截面截取的图24中单枢轴关节接头的远侧框架底的剖视图,示出了使接头进行关节运动的EAP纤维致动器的连接。
图27是沿线27-27的横截面截取以暴露出EAP堆叠致动器和EAP致动锁定机构的锁定销的图24中单枢轴关节接头的近侧框架底的主剖视图。
图28是沿单枢轴关节接头的远侧框架底的上部枢轴柄脚和近侧框架底的上部枢轴凸起之间的界面的横截面截取的俯视图,其中变长的EAP纤维致动器与EAP关节锁定机构相结合作用在反向(rounded)力矩臂上。
图29是大体沿通过近侧框架底和EAP关节锁定机构的横截面截取的主剖视图,但是示出了更远侧看到的力矩臂和连接到其上的变长的EAP纤维致动器。
图30是沿近侧框架底的上部枢轴凸起的顶表面的横截面的单枢轴关节接头的俯视图,显示了靠着力矩臂作用的膨胀的EAP堆叠致动器,该力矩臂在远侧连接到上部枢轴凸起上,以同为了准备进行关节运动而激励的沿垂直方向锁定的EAP关节锁定机构一起使用来实现关节运动。
图31是沿通过力矩臂的上部和下部末端销并通过EAP堆叠致动器的横截面截取的图30中单枢轴关节接头的主剖视图。
图32是在使远侧框架底向左进行关节运动后、但是在EAP关节锁定机构断电以实现关节锁定之前、沿近侧框架底的上部枢轴凸起的顶表面的横截面截取的图30中单枢轴关节接头的俯视图。
图33是沿通过力矩臂的上部和下部末端销并通过左侧膨胀和右侧压缩的EAP堆叠致动器的横截面截取的图31的单枢轴关节接头的主剖视图。
图34是将闭合套管组件切除以露出使柔性关节连接框架底进行关节运动的EAP致动关节机构的外科器械的右侧剖视图。
图35是向左进行关节运动的图34的外科器械的俯视图。
图36是采用EAP板状致动器和锁定条的图34的关节连接框架底的前右侧透视图。
图37是处于向左进行关节运动状态的图34的关节连接框架底的俯视图,其中以双点划线示出了处于未锁定致动状态和锁定释放状态的左侧EAP锁定条。
图38是沿通过EAP板状致动器和EAP锁定条的横截面截取的处于向左关节运动状态的图34中关节连接框架底的俯视图。
图39是沿通过横向导向销的线39-39的横截面截取的图37中关节连接框架底的主剖视图。
图40是沿通过多个EAP肋撑板致动器(ribspreader actuator)的横截面截取的可替换关节连接框架底的俯视图。
图41是具有多个EAP纤维致动器的又一可替换的关节连接框架底的部分分解的右侧透视图。
图42是沿线42-42的横截面截取的图41中另外的可替换的关节连接框架底的主剖视图。
图43是一个用于图1中的外科器械的具有横向EAP关节锁定机构的可替换的单枢轴关节接头。
图44是沿着线44-44的纵向中心线的横截面截取的图43中可替换的枢轴关节接头的侧剖视图。
图45是沿着横向线45-45的横截面截取的图44中可替换的枢轴关节接头的主剖视图。
具体实施方式
关节轴概述
图1中示出了作为外科切割和缝合器械10的一种外科器械,该器械10在其远端具有缝钉施加组件12的端部执行器,通过细长轴16使该缝钉施加组件远离手柄14。缝钉施加组件12包括用于接收可更换的缝钉匣20的缝钉槽18。砧板22以可枢转的方式连接到缝钉槽18上,该砧板22抵靠缝钉匣20夹紧组织,以便缝合和切割。当闭合缝钉施加组件12时,它的横截面区域和细长轴16适合于通过小手术开口(例如通过套管针的插管(未示出))插入。
通过控制手柄14便于正确的定位和定向缝钉施加组件12。特别是,旋钮30导致轴16围绕其纵向轴线旋转,并由此旋转缝钉施加组件12。在轴16中的关节接头32处能够实现附加的定位,能够使缝钉施加组件12在从轴16的纵向轴线开始的一段圆弧上枢转,从而允许放置在器官后方或允许将诸如内窥镜(未示出)的其它器械在缝钉施加组件12的后方定向。通过位于手柄14上的关节控制开关34有利地控制该关节,该手柄将电信号传送到关节接头32,并传送到由EAP控制器和手柄14内的电源38供能的电活化聚合物(EAP)致动器36。特别是,通过在关节运动期间激活EAP锁定致动器将关节锁定机构脱离接合。
当将组织定位在缝钉施加组件12中,医生通过将闭合扳柄40向近侧拉向手枪式握柄42闭合砧板22。从而一旦夹住组织,医生可以握住位于更远侧的发射扳柄44,将该扳柄向后拉,以发射缝钉施加组件12,在一些应用中这由一个发射冲程实现,而在另一些应用中通过多个发射冲程实现。在切割其间组织的同时,发射同时实现至少两排缝钉的缝合。
可以在全部行程上自动开始发射元件的收回。可替换地,可以向后拉动回位杆46以实现收回。在收回发射元件的条件下,通过医生将闭合扳柄40朝手枪式握柄42向后轻轻地拉动并且压下闭合释放按钮48,然后释放闭合扳柄40,可以使缝钉施加组件12松开和张开,从而将被切割组织的两个被缝钉缝合端部从缝钉施加组件12中释放。
应当理解,此处的有关空间的术语,例如垂直,水平等参考附图给出,附图中假设外科器械10的纵向轴线水平,并且缝钉施加组件12的砧板22在手柄顶部垂直排列,而扳柄40、44在手柄14的底部垂直排列。然而,在实际使用中,可以将外科器械10以各种角度定向,同样地,这些有关空间的术语是相对外科器械10本身使用的。另外,近侧是指在手柄14后方将端部执行器12向远侧远离自己的医生的透视角。
手柄
在图1中,缝钉施加组件12通过在轴架(图1中未示出,但在下面参考图7描述)上沿轴16纵向向下传递的两个不同的动作实现夹住组织、驱动缝合和切割组织的功能。这种轴架组件向近侧连接到手柄14,并为了旋转与旋钮30连接。在如下的未审结和共同拥有的美国专利申请中更详细地描述了图1中用于外科缝合和切割器械10的示例性多冲程手柄14,该申请是Swayze和Shelton申请的系列号为10/674,026、名称为“采用多冲程发射位置指示器和收回机构的外科缝合器械”的申请和由Kevin R.Doll、Jeffrey S.Swayze、FrederickE.Shelton IV、Douglas B.Hoffman和Michael E.Setser于2005年2月7日申请的系列号为11052,632、名称为“采用具有自动结束发射行程的多冲程发射机构的外科缝合器械”(SURGICAL STAPLINGINSTRUMENT INCORPORATING A MULTI-STROKE FIRINGMECHANISM WITH AUTOMATIC END OF FIRING TRAVELRETRACTION)的申请,上述申请公开的内容在此全部引入作为参考,附加特征和变化在此进行描述。
虽然多冲程手柄14有利地支持在长距离上高发射力的应用,但是与本发明一致的应用可以采用单一发射冲程,例如在由FrederickE.Shelton IV、Michael E.Setser和Brian J.Hemmelgarn申请的系列号为10/441,632的名称为“具有分开的不同闭合和发射系统的外科缝合器械”未审结和共同拥有的美国专利申请中所描述的,该申请的公开内容在此全部引入作为参考。
电活化聚合物
电活化聚合物(EAPs)是一组当施加电压时改变形状的导电的掺杂质的聚合物。本质上,导电聚合物与一些形式的离子流体或凝胶和电极配对。通过施加电势导致离子从流体/凝胶流入或流出导电聚合物,并且这种流动导致聚合物形状的变化。根据使用的聚合物和离子流体,电势的范围为1V-4kV。当施加电压时,一些EAP收缩,而另一些则膨胀。可以将EAP与诸如弹簧或柔性板的机械装置配对,以改变在施加电压时产生的效果。
存在两种基本类型的电活化聚合物并且每种类型有多个结构。两种基本类型是纤维束和层压形式。纤维束由大约为30-50微米的纤维组成。这些纤维可以类似纺织品那样被编织成束,并由此通常被称为EAP纱。当施加电压时,这种EAP收缩。电极通常是中央线芯和同样用来包含围绕纤维束的离子流体的导电外壳。可从商业渠道获得的纤维EAP材料的一个例子是由Santa Fe Science andTechnology制造,其作为PANIONTM纤维出售,这在美国专利NO,6,667,825中有描述,该专利在此全部引入作为参考。
另一种类型是层压结构,该层压结构由一层EAP聚合物、一层离子凝胶和两个附着到层板各侧面的柔性板组成。当施加电压时,正方形层压板沿一个方向膨胀,并且在其垂直方向收缩。作为SRILaboratories的一个部门的Artificial Muscle Inc.制造了可以商业渠道获得的层压(板状)EAP材料的一个例子。板状EAP材料也可以从日本的EZMEX获得,并被称为薄膜EAP。
应当注意,当提供能量时EAP不会改变体积;它们仅在一个方向膨胀或收缩,而在其横向进行相反的变化。通过将一侧靠着刚性结构并类似活塞一样使用另一侧可以以其基本形式使用层压形式。也可以将它粘贴在柔性板的各侧。当向柔性板状EAP的一侧施加能量时,该EAP膨胀,从而将该板以相反方向弯曲。这允许根据施加能量的侧面使板向任一方向弯曲。
一个EAP致动器通常由许多层或捆扎在一起的纤维组成,以便协同工作。EAP的机械构造决定了EAP致动器和它的运动性能。可以将EAP形成长导线束并围绕一个中央电极缠绕。柔性外部外套管形成用于致动器的其它电极以及包含设备功能所必需的离子流体。在这种构造中,当对电极施加电场时,EAP的导线束变短。将这种构造的EAP致动器称为纤维EAP致动器。同样,可以将层压构造放置在柔性板的各侧上的许多层中,或者仅在它本身的层上以增加它的性能。典型的纤维结构具有2-4%的有效伸长率(effetive strain),而使用更高的电压,典型的层压形式可达到20-30%的有效伸长率。
在附图2中示出了层压EAP复合材料100,该层压EAP复合材料由连接到EAP层104的正的板状电极层102形成,该EAP层104又被连接到离子室(ionic cell)层106,该离子室层又被连接到负的板状电极层108。在图3中,许多五层层压EAP复合材料100通过其间的粘合剂层110被固定成堆,以形成EAP板致动器120。应当理解,可以形成相反的EAP致动器120,该EAP致动器120能够有选择地沿各方向弯曲。
在图4-5中,收缩的EAP纤维致动器140包括纵向铂阴极导线142,该导线穿过绝缘聚合物近端帽144,通过在塑料圆柱形壁148内形成的细长的圆柱形腔替146,该塑料圆柱壁导电地掺杂以用作阳极。将铂阴极导线142的远端埋放入绝缘聚合物远端帽150中。许多收缩聚合物纤维152被平行且围绕阴极导线142布置,它们的端部被埋放入各端部帽144、150中。塑料圆柱形壁148沿外周围绕各端部帽144、150连结以封闭圆柱形腔体146,从而密封入填充在收缩聚合物纤维152和阴极导线142之间的空间的离子流体或凝胶154。当跨过塑料圆柱壁(正极)148和阴极导线142施加电压时,离子流体进入收缩聚合物纤维152,导致它们的外径膨胀,并且长度相应地收缩,从而将端部帽144、150朝向彼此拉动。
EAP致动关节接头
在图6-13中,外科切割和缝合器械200包括一EAP致动关节接头202,该EAP致动关节接头在该器械的细长轴204靠近侧部执行器处形成,通过外科缝合和切割组件12图示出该端部执行器,该外科缝合和切割组件有利地响应由细长轴204纵向传递的分开的闭合和发射运动。EAP致动关节接头202有利地增加了关节接头的缝钉施加组件12的理想的临床灵活性。
在图6-13的示例性形式中,EAP致动关节接头202更具体化为柔性闭合和枢转框架关节接头210,在图6中示出的绕枢轴转动框架关节接头包括具有近侧闭合管214和由柔性闭合管218连接的远侧闭合环216的柔性闭合套管组件212。在柔性闭合管218中形成的垂直狭缝220、222的左和右纵向列允许向右或向左弯曲以进行关节运动,但是连续的顶部纵向条带224与该弯曲量无关地传递纵向闭合运动。应当理解,相同的连续底部纵向条条带沿着柔性闭合管218的底部延伸(未示出),该底部纵向条条带与顶部纵向条条带224相对并与它共同作用传递这种运动。特别是,远侧闭合环216的顶部部分包括接合砧板22的砧板闭合件228的马蹄形孔226。在图7中,砧板22包括在其近端处的横向突出的枢轴销230,该枢轴销以可枢转的方式接合靠近细长槽18的近端形成的枢轴孔232(图7-8)。当柔性闭合套管组件212向远侧运动时,略微更远侧砧板闭合件228就这样传递闭合运动,当该柔性闭合套管组件向近侧运动时,该砧板闭合件传递打开运动。柔性闭合管218可以沿着垂直缝220、222的左和右纵向列的长度弯曲,从而在进行关节运动时容纳柔性闭合和枢转框架关节接头210的被包裹的单枢轴框架组件234。
特别参考图7-9,单枢轴框架组件234包括具有向远侧突出的顶部和底部枢轴凸起238、240的近侧框架底236,每个枢轴凸起分别具有顶部和底部枢轴销孔242、244。从远侧框架底250向近侧突出的相应的顶部和底部枢轴柄脚246、248以可枢转的方式接合近侧框架底236,各柄脚246、248分别具有顶部和底部枢轴销孔252、254。特别是,垂直对准的顶部枢轴销孔242、252和底部枢轴销孔244、254分别通过顶部和底部框架枢轴销256、258接合(图10)。
在图8中,由细长轴16和缝钉施加组件12形成的外科器械200的执行部分260还包括发射杆270,该发射杆沿纵向平移穿过近侧框架底218、通过柔性闭合和枢转框架关节接头210并通过在远侧框架底250中的发射狭槽272进入缝钉施加组件12。在远侧框架底250的顶部形成的远侧和近侧方形孔274、276限定了在其间的夹条278,该夹条接收夹弹簧282的顶部臂280,该夹弹簧的较低的、向远侧延伸的臂284在沿着发射杆270的上部、对于发射行程的空/缺少缝钉匣闭锁部分的升起部分286上维持向下的压力。
特别参考图8,将发射杆270的向远侧突起端连接到E形架288,该E形架辅助将砧板22与缝钉匣20分隔开、切割组织和致动缝钉匣20。缝钉匣20包括模制的缝钉匣本体290,该缝钉匣本体保持有许多位于各向上开口的缝钉孔294内的缝钉驱动器292上的缝钉。通过E形架288向远侧驱动楔形滑轨296,在缝钉匣托架298上滑动,该缝钉匣托架将可更换缝钉匣20的各个元件保持在一起。楔形橇296向上凸起(cam)缝钉驱动器292以迫使缝钉与砧板22变形接触同时E形架288的切割表面300切割被夹紧的组织。应当理解,在发射过程中E形架288的上部销302接合砧板22,而中间销304和底部支脚306使在细长槽18中形成的纵向狭缝槽308的各顶部和底部表面与对应的缝钉匣托架298中的纵向开口310和位于缝钉匣本体290中向后开口的垂直狭缝312接合。其后,向近侧收回发射杆270,以及收回E形架288,允许砧板22打开以释放两个被缝钉缝合和切割的组织部分(未示出)。
在未审结和共同拥有的系列号为10/955,042的美国专利申请中更详细描述了缝钉施加组件12,该申请由Frederick E.Shelton IV等人于2004年9月30日申请,名称为“采用两片E形架发射机构的关节连接外科缝合器械”,该申请公开的内容在此全部引入作为参考。
特别参考图9-13,EAP致动系统400响应从手柄14接收的电动关节运动信号(未示出)而有利地致动单枢轴框架组件234。在图7-13的示例性形式中,顶部左侧和顶部右侧的EAP纤维致动器402、404沿水平方向连接到顶部的向远侧突出的力矩臂406的各横向侧,该力矩臂406连接到顶部枢轴凸起238。将顶部左侧和顶部右侧的EAP纤维致动器402、404的外端连接到远侧框架底250的内径410的对应的上部左侧和右侧横向连接点406、408。同样地,底部左侧和底部右侧的EAP纤维致动器412、414沿水平方连接到底部的向远侧突出的力矩臂416的各横向侧边,该力矩臂416连接到底部枢轴凸起240。将底部左侧和底部右侧的EAP纤维致动器412、414的外端连接到远侧框架底250的内径410的对应的下部左侧和右侧横向连接点418、420。图12示出了连接点406、408、418、420穿过远侧框架底250,在图9中的远侧框架底250的外部能够看到左侧的连接点406、418。致动一对EAP致动器,例如在图13中所示,特别参照上部和下部右侧EAP纤维致动器404、414,使它们收缩,将上部和下部力矩臂406、416朝远侧框架底250的右侧拉动,从而伸展上部和下部EAP纤维致动器402、412,塌缩垂直狭槽220的左侧纵向列排,并扩张垂直狭槽222的右边纵向列。
在图14-18中,外科切割和缝合器械500包括可替换的EAP致动关节接头502,该接头包括双枢轴闭合套管组件504(图14-15)和单枢轴框架组件506(图15-18)。图14中示出了去掉可更换的缝钉匣20并且砧板22打开的缝钉施加组件12。从而,双枢轴闭合套管组件504在其近侧位置,使它的远侧枢转轴线对准框架组件506的枢转轴线。应当理解,随着闭合套管组件504向远侧运动以闭合砧板22,闭合套管组件504的近侧枢转轴线也进行枢转,以便在进行关节运动的框架组件506上平移。
特别参考图15,双枢轴闭合套管组件504包括近侧闭合管510,将近侧闭合管的远端采用键连接(keyed)固定到具有上部和下部远侧突出柄脚514、516的近侧闭合环512。将包括马蹄铁形孔520以将砧板闭合件228接合到砧板22上的远侧闭合管518在近侧采用销连接到具有上部和下部近侧突出柄脚524、526的远侧闭合环522。上部双枢轴连接件528包括向上突出的远侧和近侧枢轴销530、532,该枢轴销530、532分别接合到上部近侧突出柄脚524中的上部远侧销孔534和上部远侧突出柄脚514中的上部近侧销孔536。下部双枢轴连接件538包括向下突出的远侧和近侧枢轴销540、542,该枢轴销540、542分别接合下部近侧突出柄脚526中的下部远侧销孔544和下部远侧突出柄脚516中的下部近侧销孔546。
特别参考图15-18,单枢轴框架组件506包括近侧框架底550,该框架底550的远端包括居中心的并靠近在左和右力矩臂556、558之间限定的远侧开口的枢轴凹口554的枢轴销孔552。八字形(dogbone)连接件560包括:向上接合在近侧框架底550中的枢轴销孔552的近侧销562,和在左和右力矩臂556、558之间枢转的中央杆564。八字形连接件560的远侧销566刚性连接在远侧框架底570中的下部近侧孔568中,该远侧框架底具有接合细长槽18中的近侧导向件574的远侧侧面导向件572。
EAP致动系统580包括左侧和右侧EAP堆叠致动器582、584,该堆叠致动器有选择地膨胀以在八字形连接件560的中央杆564上维持关节力,该八字形连接件被动地压缩其它的EAP堆叠致动器。在图18中,右侧EAP堆叠致动器582已经膨胀,而使八字形连接件560枢转,并因此将缝钉施加组件12绕枢轴转动到左边侧,并且被动地压缩左侧EAP堆叠致动器584。
在图19中,另一可替换的用于外科器械602的EAP致动关节接头600包括单枢轴框架组件604,其中将近侧框架底606在枢轴销612处接合远侧框架底610的向近侧突出柄脚608。将向近侧突出柄脚608在右部横向侧凹进以限定在枢轴销612的右侧上的半个泪珠形滑轮614。连接到半个泪珠形滑轮614的远点的是收缩的EAP纤维致动器616的远端,该致动器符合其外形并穿入近侧框架底606。收缩的EAP纤维致动器616可以充分长,从而即便对于小比率的长度收缩,也可以实现明显的转动。应当理解,可以在示出的柄脚608的左侧上使用反向转动机构,该柄脚608位于EAP关节接头600的另一侧形成的相同但反向的机构上。
用于枢转关节机构的纵向关节锁定机构
在图20-27中,将纵向EAP致动关节锁定器700结合到用于外科器械704的枢转关节接头702。为了清楚起见,将单枢轴框架组件706与具有向远侧延伸的上部和下部枢轴凸起710、712的近侧框架底708一起示出,枢轴凸起710、712可枢转地接合到远侧框架底718的向近侧指向的上部和下部柄脚714、716,该远侧框架底718被连接到端部执行器720上。将上部枢轴凸起710的上部内孔722在上部柄脚714的上部外孔724的下方对准,通过上部枢轴销726将上部内孔和上部外孔可枢转地通过销连接在一起。将下部枢轴凸起712的下部内孔728在下部柄脚716中的下部外孔730的下方对准。通过下部枢轴销732将孔728、712可枢转地通过销连接在一起。上部和下部力矩臂734、736分别从上部和下部枢轴凸起710、712向远侧延伸。可以通过基本上水平地上部左侧EAP纤维致动器740将上部力矩臂734朝形成在远侧框架底718中的上部左侧连接点738向左推动。通过基本上水平的上部右侧EAP纤维致动器744可以将上部力矩臂734朝形成在远侧框架底718中的上部右侧连接点742向右推动。通过基本上水平的下部左侧EAP纤维致动器748可以将下部力矩臂736朝形成在远侧框架底718中的下部左侧连接点746向左推动。通过基本上水平的下部右侧EAP纤维致动器752可以将下部力矩臂736朝形成在远侧框架底718中的下部右侧连接点750向右推动。
通过未示出的闭合机构(例如作用在砧板枢轴上的EAP致动器)的动作可以产生砧板22的闭合。或者,在实现缝合和切割的进一步的运动之前发射运动可以首先关闭砧板。作为另一替换,闭合套管组件或其它纵向联接机构(未示出)可以将闭合运动传递到砧板22。
上部EAP致动关节锁定机构800有利地解锁枢转关节接头702以允许进行关节运动。然后EAP致动关节锁定机构800放松到锁定状态,从而提供不允许能量在关节运动量变化之间消耗及由此的元件加热的稳定锁定位置。在矩形上部锁定凹口804中示出了上部锁定栓组件802,矩形上部锁定凹口形成在近侧框架底708中,该近侧框架底接近上部枢轴凸起710,并且垂直地比上部枢轴凸起更远离纵向中心线。锁定栓806将锁定尖端808延伸到在上部锁定凹口804中形成的远侧狭槽810之外、与形成围绕近侧表面形成的扇形齿轮814的最接近的齿根接合,该近侧表面围绕远侧框架底718的上部枢轴柄脚714。锁定栓806在近侧终止到横向板816,该横向板在近侧定位压缩弹簧818以及上部左和右侧EAP堆叠致动器820、822的推力之间在矩形上部锁定凹口804中沿纵向滑动,可以致动EAP堆叠致动器820、822,以便沿纵向膨胀,从而在向近侧运动锁定栓806时压缩该压缩弹簧818,由此使锁定尖端808与扇形齿轮814脱离接合,允许枢转关节接头702被重新定位。上部锁定盖824封闭上部锁定凹口804。
为了附加的锁定支撑,在图23中与上部锁定机构800相同的下部EAP致动关节锁定机构830作用在靠着下部枢轴柄脚716的相对位置上。还应当理解,可以将相同的锁定机构结合到细长轴的远侧部分中而不是结合到近端。另外,双枢轴连接件可以包括在各枢轴处的锁定装置。
在使用中,将未进行关节运动的端部执行器720和枢转关节接头702(图20-24)插入到手术部位。随着EAP锁定机构800、830通常地断电,连接到近侧框架底708的锁定尖端808接合远侧框架底718的扇形齿轮814,锁定单枢轴框架组件706。当需要时,给EAP堆叠致动器820、822提供能量以沿纵向加长,从而解锁EAP关节锁定机构800、830。当解锁时,可以使关节接头702进行关节运动,例如通过收缩上部和下部右侧EAP纤维致动器744、752,以将端部执行器720枢转到左侧(图25),将不同的齿根812提供给锁定尖端808,从而当断电时,EAP致动锁定机构800将锁定到外科器械704的关节运动状态。
在图28-29中,示出了用于单枢轴关节接头901的可替换EAP关节系统900,用于与前述的EAP关节锁定机构800一起使用。通过将上部和下部反向(rounded)力矩臂910、912在远侧分别结合在近侧框架底918的上部和下部枢轴凸起914、916上,使上、下成对的左、右侧EAP纤维致动器902、904、906、908变长。远侧框架底922中的上部左侧连接点920稍微高于上部右侧连接点924。下部左侧连接点926也稍微高于下部右侧连接点928,这对应于上部和下部左侧EAP纤维致动器902、906分别在对应的上部和下部反向力矩臂910、912的比上部和下部右侧EAP纤维致动器904、908高的部分缠绕(图29)。从而,可以根据所需的性能特征选择与力矩臂910、912的长度和外形轮廓结合的变长的EAP纤维致动器902-908。
在图30-33中,示出了用于单枢轴关节接头1001的另外的可替换的EAP关节系统1000,用于与前述的EAP致动锁定机构800一起使用。代替致动关节运动作用的EAP纤维致动器,上部和下部成对的左、右侧EAP堆叠致动器1002、1004、1006、1008分别相对,并沿横向运动上部和下部纵向轨道1010、1012。向远侧突出的上部力矩臂1014连接到近侧框架底1018的上部枢轴凸起1016。在上部力矩臂1014的远端处的上部向内指向末端销1020沿纵向滑动地接合上部纵向轨道1010,从而响应由远侧框架底1022沿横向限制的上部左和右侧EAP堆叠致动器1002、1004的不同的收缩和膨胀。向远侧突出的下部力矩臂1024连接到近侧框架底1018的上部枢轴凸起1026。在上部力矩臂1024的远端处的下部向内指向末端销1030沿纵向滑动地接合下部纵向轨道1012,从而响应由远侧框架底1022沿横向限制的下部左和右侧EAP堆叠致动器1006、1008的不同的收缩和膨胀。
在图30-31中,为了准备进行关节运动,将EAP关节锁定机构800致动以使锁定尖端808与扇形齿轮814脱离接合。在图32-33中,上部和下部左侧EAP堆叠致动器1002、1006已经被供能膨胀,沿横向向右运动上部和下部纵向轨道1010、1012,从而压缩上部和下部EAP堆叠致动器1004、1008,并且相应地运动远侧框架底1022抵抗来自上部和下部向内指向末端销1020、1030的反作用力,该末端销在示例性关节中向左。
带有EAP致动柔性颈(flexneck)关节接头的外科器械
在图34中,外科器械1200有利地采用EAP致动关节接头1202,该关节接头与细长轴1206的关节连接框架组件1204成为一体,该细长轴1206将单独地闭合和发射运动从手柄1208传递到端部执行器1210,该端部执行器被示出为具有可闭合砧板1214的缝钉施加组件1212,将可闭合砧板以可枢转的方式连接到保持有可更换缝钉匣1218的细长槽1216。手柄1208包括向近侧朝手枪式握柄1222握紧以关闭砧板1214的闭合扳柄1220。应当理解,闭合套管组件1223或未示出的其它闭合装置(例如,EAP致动砧板、内部纵向平移构件等)作用在砧板闭合件1224上以实现砧板1214的打开和闭合。一旦被闭合或夹紧,向手枪式握柄1222握紧更远侧的发射扳柄1226,以实现发射构件1228沿纵向向下发射细长轴1206以导致组织的切割和被切割端部的缝合。一旦将发射扳柄1226释放,随着轻轻压下闭合扳柄1220一起压下闭合释放钮1230,以在释放闭合扳柄1220后释放夹紧元件,从而打开砧板1214并允许被缝合和切割组织的释放。旋钮1232允许围绕细长轴1206的纵向轴线的有选择地转动。
关节连接框架组件1204包括在近侧可转动地连接到手柄1208,并且在远侧连接到关节连接框架底1242的近侧框架底1240,该关节连接框架底1242又被连接到支撑端部执行器1210的远侧框架底1244。手柄1208上的关节控制器1246有利地允许通过致动到该处适当的的电信号来选择关节连接框架底1242的关节运动,例如图35中示出了已通过关节控制器1246选择的向左的关节运动。应当理解,关节控制器1246可以有利地包括手动和/或自动地使用于关节连接框架1242的关节锁定器脱离接合。
在图36-39中,关节连接框架底1242结合使用左和右侧EAP板状致动器1302、1304的EAP致动系统1300,该EAP板状致动器1302、1304穿过在基本上为圆柱形的弹性框架体1310的各横向侧的对应的左边和右侧矩形致动器凹槽1306、1308(图38-39)。矩形刀槽1312形成在弹性框架体1310中,该弹性框架体在用于引导发射杆1314的左、右矩形致动器凹槽1306、1308之间对准,该发射杆是发射构件1228的远侧部分。
当关节连接框架底1242是直的或在进行关节运动的时候,弹性框架体1310的连续的顶部和底部纵向条带1320(图36-37)保持发射杆1314的纵向行程量。弹性框架体1310有利地由均质材料形成,该均质材料不会沿其纵向轴线显著地压缩。左、右多个纵向排列的垂直凹槽1322、1324分别贯穿(intersect)左、右EAP致动器凹槽1306、1308。各垂直凹槽1322、1324均包括矩形通孔1326,该通孔与矩形刀槽1312和左或右矩形致动器凹槽1306、1308中适当的一个平行地但沿横向偏离地从顶部到底部穿过弹性框架体1310。各矩形通孔1326沿横向与横向窄缝1328连通。在相邻垂直凹槽1322、1324之间限定了具有狭窄内壁1332的肋1330,该狭窄内壁允许连续顶部和底部纵向条带1320的沿横向弯曲,该肋还具有较厚的弯曲外板1334,该弯曲外板支撑对应的一个EAP板状致动器1302、1304,并且当致动一个或两个EAP板状致动器1302、1304以在所选择的方向弯曲时,在横向窄缝1328完全塌缩之前,限制可以在那个方向实现的关节活动量。例如在图37中,激励左侧EAP板状致动器1302以向左致动,同时右侧EAP板状致动器1304相应地扩展。应当理解,当电激励以分别在左和右侧矩形致动器凹槽1306、1308内产生拉力或推力时,左、右侧EAP板状致动器1302、1304可以交替地收缩或膨胀。
在图38-39中,关节连接框架底1242有利地包括EAP关节锁定机构1350,该锁定机构有选择地将弹性框架体1310保持在向左进行关节运动或向右进行关节运动的状态。为了该目的,限定左侧锁定通道1352临近多个矩形通孔最左侧的外部部分穿过左侧多个矩形通孔1326,从而允许左侧凸脊状EAP锁定条1354从该处穿过。同样,限定右侧锁定通道1356临近多个矩形通孔1326穿过它们的右侧的外部部分,从而允许右侧凸脊状EAP锁定条1358的放置。沿着左、右凸脊状EAP锁定条1354、1358的各自的最外侧表面1360,多个沿纵向间隔开的垂直堵塞凸脊1362被沿纵向间隔开和设定尺寸,以同肋1330的几何形状一起限定而锁定在期望的关节运动量。特别是,当柔性框架底1242朝一个对应的凸脊状EAP锁定条1354、1358的相对侧进行关节运动时,在该侧上的肋1330变成弓形彼此远离,如图38所示的正在向左进行关节运动。一旦肋1330达到足够用于锁定的间隔时(即,比竖直堵塞凸脊1362的纵向宽度更宽),右侧凸脊状EAP锁定条1358被向外偏压以将其凸脊1362卡接在相邻肋1330的相邻的被变厚的较厚弯曲外部片1334之间。致动右侧凸脊状EAP锁定条1358导致解锁右侧凸脊状EAP锁定条1358的收缩。在图39中,在矩形刀槽1312上方和下方穿过的横向的上部和下部导向销1370、1372保持横向对准。
在图40中,关节连接框架底1242结合使用多个左和右侧EAP肋撑板致动器(rib spreader plate actuator)1402的EAP致动系统1400,该撑板致动器每一个均位于弹性框架体1408相对的一对远侧和近侧开口矩形凹槽之间。各相对的一对远侧和近侧开口矩形致动器凹槽1404、1406分别形成于相邻一对(近侧的/远侧的)横向限定的肋1410中。各肋1410包括沿横向向外开口的垂直狭槽1412,沿该垂直狭槽的高度较宽矩形通孔1414更向内定位,缩入外部垂直狭槽1416之内。由此每个肋1410包括连接到上部和下部纵向连续条带1420的薄内壁1418。沿着纵向中心线在横向形成矩形刀槽1422。如上所述,左、右凸脊状EAP锁定条1354、1358有利地放松成在关节连接框架底1242的膨胀侧上的膨胀的、弯曲的形状以进行锁定,纵向对准由横向导向销1370保持。
在图41-42中,关节连接框架底1242将另一可替换的EAP致动系统1500结合到弹性框架体1502中,该弹性框架体包括布置在左、右垂直堆叠1506、1508中的纵向排列的EAP纤维致动器1504,该堆叠穿过相应的左、右多个横向肋1510,每个肋具有薄的垂直内壁1512,该内壁连接到连续的纵向顶部和底部条带1514,以便于在其横向弯曲。每个肋1510沿横向加宽成厚的外板1516,将该外板的尺寸设定成用于限定向该侧的关节运动。每个厚的外板1516包括允许EAP纤维致动器1504穿过的垂直排列的纵向通孔1518。远侧和近侧侧盖1520、1522沿纵向位于肋1510的侧面,以覆盖EAP纤维致动器1504的相应的终端。在弹性框架体1502中形成用于发射杆1314的沿横向位于中央的刀槽1524。收缩EAP纤维致动器1504的选择的垂直堆叠1506、1508导致向该侧的关节运动,并且没有致动的垂直堆叠1506、1508响应于该情况而被动地伸长。
用于枢转关节机构的横向关节锁定机构
在图43-45中,将横向EAP致动关节锁定件1700结合到用于外科器械1704的枢转关节接头1702。为了清楚起见,将单枢转框架组件1706与具有向远侧延伸的上部和下部枢轴凸起1710、1712的近侧框架底1708一起示出,枢轴凸起1710、1712可枢转地接合到远侧框架底1718的向近侧指向的上部和下部柄脚1714、1716,该远侧框架底1718被连接到端部执行器(在图43-45中未示出)上。将上部枢轴凸起1710的上部内孔1722在上部柄脚1714的上部外孔1724的下方对准,通过上部枢轴销1726将上部内孔和上部外孔可枢转地通过销连接在一起。将下部枢轴凸起1712的下部内孔1728在下部柄脚1716中的下部外孔1730的下方对准。通过下部枢轴销1732将孔1728、1712可枢转地通过销连接在一起。如关于图20-27的上述说明那样,通过EAP纤维致动器(未示出)沿横向推压使上部和下部力矩臂1734、1736分别从上部和下部枢轴凸起1710、1712向远侧延伸。
上部EAP致动关节锁定机构1800有利地解锁枢转关节接头1702以允许进行关节运动。然后EAP致动关节锁定机构1800放松到锁定状态,从而提供不允许能量在关节运动量变化之间消耗及由此的元件加热的稳定锁定位置。在矩形上部锁定凹口1804中示出了上部锁定钩组件1802,矩形上部锁定凹口形成在近侧框架底1708中,该近侧框架底接近上部枢轴凸起1710,并且垂直地比上部枢轴凸起更远离纵向中心线。一EAP锁定钩闩1806在形成于近侧框架底1708中的上部水平狭槽1807内开始其近侧端部,该上部水平狭槽与矩形上部锁定凹口1804的近端相通。上部垂直销穿过近侧框架底1708,上部水平狭槽1807约束在其中的上部EAP锁定钩闩1806的近端。上部EAP锁定钩闩1806由一EAP板状致动器形成,该板状致动器被构成为可向上和向外弯曲其远端(如图44中以双点划线示出),从而将向内指向的锁定尖端1808从在周边相隔最近的位于圆形锁定板1814中的通孔1812中拉出。圆形锁定板1814围绕远侧框架底1718的上部枢轴柄脚1714的近侧表面形成。上部锁定盖1824闭合上部锁定凹口1804。
在图43-44中,为了附加的锁定支撑,与上部锁定机构1800相同的下部EAP致动关节锁定机构1830作用在靠着下部枢轴柄脚1716的相对位置上。还应当理解的是,可以将相同的锁定机构结合到细长轴的远侧部分中而不是结合到近端。另外,双枢轴连接可以包括在各枢轴处的锁定装置。
在使用中,将远侧框架部分1718和枢转关节接头1702(图43-44)通过插管插入到手术部位。随着EAP锁定机构1800、1830通常地断电,连接到近侧框架底1708的锁定尖端1808接合远侧框架底1718的中央通孔1814,锁定单枢轴框架组件1706。当需要时,给EAP锁定钩闩1806提供能量以在锁定凹口1804内向外弯曲,从而解锁EAP关节锁定机构1800、1830。当解锁时,可以使关节接头1702进行关节运动,例如通过致动机械连杆或EAP致动器。当关节运动到期望角度时,使EAP关节锁定机构1800、1830断电并由此被锁定。
虽然已经通过几个实施例的说明示例性描述了本发明,并且虽然示例性的实施例已经被相当详细地描述,但是不意味着申请人限制或以任何方式限定后附权利要求的范围到该细节。另外的优点和变更对本领域普通技术人员来说是显而易见的。
Claims (10)
1.一种外科器械,其包括:
端部执行器;
包括关节控制和关节锁定控制电路的手柄部分,该关节锁定控制电路具有可操作的构造以产生关节锁定信号;
细长轴;以及
关节机构,包括:
连接到细长轴上并通过该细长轴与关节锁定信号电通信的近侧框架部分,
连接到端部执行器上并可转动地与近侧框架部分相连的远侧框架部分,
响应手柄部分的关节控制的关节致动器,其被联接在近侧和远侧支撑部分之间且具有可操作的构造以在其间实现关节运动,以及
电动关节锁定机构,其可接合在近侧和远侧框架部分之间以保持端部执行器的关节运动状态。
2.根据权利要求1所述的外科器械,其特征在于,所述关节控制包括具有可操作的构造以产生关节电信号的电路,该关节致动器包括响应关节电信号的电动致动器。
3.根据权利要求1所述的外科器械,其特征在于,所述电动关节锁定机构包括电活化聚合物致动器。
4.根据权利要求1所述的外科器械,其特征在于,以可枢转的方式连接所述关节机构的近侧和远侧框架部分,以形成可枢转的关节接头。
5.根据权利要求4所述的外科器械,其特征在于,所述电动关节锁定机构包括:
锁定构件,其被连接到第一和第二框架构件中所选择的一个上,并且当断电时被偏压以朝第一和第二框架构件中的另一个延伸并与之接合;以及
电活化聚合物致动器,其具有可操作的构造和定位,以克服在被激活时在锁定构件上的偏压,从而解锁关节接头。
6.根据权利要求5所述的外科器械,其特征在于,所述电动关节锁定机构进一步包括可纵向平移的锁定栓,它由一弹性构件和相反的纵向力沿纵向偏压,该纵向力由电活化聚合物致动器在受到激励时产生。
7.根据权利要求5所述的外科器械,其特征在于,所述电动关节机构进一步包括横向平移的电活化聚合物闩,其具有可操作的构造和定位,以便当加电时弯曲到解锁状态。
8.根据权利要求4所述的外科器械,其特征在于,所述细长轴包括框架组件和闭合套管组件,关节接头以可枢转的方式将端部执行器的下部钳口连接到框架组件的远端上,手柄部分具有可操作的构造以便沿纵向使闭合运动结合闭合套管组件,闭合套管组件的多枢轴接头包围关节接头并在远侧接合上部钳口,以实现上部钳口的枢转。
9.根据权利要求4所述的外科器械,其特征在于,所述关节控制器包括具有可操作的构造以产生关节电信号的电路,关节致动器包括响应关节电信号的电动致动器。
10.根据权利要求9所述的外科器械,其特征在于,近侧和远侧框架部分中所选择的一个具有通过销连接到近侧和远侧框架部分中的另一个上的力矩臂,该电动致动器包括一对在力矩臂以及近侧和远侧框架部分的另一个之间相对地连接以实现关节运动的电活化聚合物致动器。
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US59169404P | 2004-07-28 | 2004-07-28 | |
US60/591,694 | 2004-07-28 | ||
US11/092,053 US8057508B2 (en) | 2004-07-28 | 2005-03-29 | Surgical instrument incorporating an electrically actuated articulation locking mechanism |
US11/092,053 | 2005-03-29 |
Publications (2)
Publication Number | Publication Date |
---|---|
CN1732857A true CN1732857A (zh) | 2006-02-15 |
CN100566667C CN100566667C (zh) | 2009-12-09 |
Family
ID=35696195
Family Applications (11)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN200510087341A Active CN100579470C (zh) | 2004-07-28 | 2005-07-28 | 包含通过关节接头的电活化聚合物致动发射杆轨道的外科缝合器械 |
CNB2005100873329A Active CN100479769C (zh) | 2004-07-28 | 2005-07-28 | 包含eap阻挡锁定机构的外科器械 |
CNB2005100873390A Active CN100566667C (zh) | 2004-07-28 | 2005-07-28 | 采用电致动关节锁定机构的外科器械 |
CN2005100895296A Active CN1745720B (zh) | 2004-07-28 | 2005-07-28 | 具有电活化聚合物防倒退机构的多击发手术器械 |
CNB2005100895192A Active CN100500104C (zh) | 2004-07-28 | 2005-07-28 | 具有电活化聚合物致动的医疗物质投放器的外科缝合器械 |
CNB2005100895309A Active CN100569189C (zh) | 2004-07-28 | 2005-07-28 | 带有电活化聚合物致动的拱托脱离机构的外科缝合器械 |
CNB2005100873333A Active CN100569188C (zh) | 2004-07-28 | 2005-07-28 | 包含eap完整击发系统锁定机构的外科器械 |
CN200510087335A Active CN100579468C (zh) | 2004-07-28 | 2005-07-28 | 采用电致动关节机构的外科器械 |
CN200510087334A Active CN100579467C (zh) | 2004-07-28 | 2005-07-28 | 采用电致动的枢转关节机构的外科器械 |
CN200510089521XA Active CN1732859B (zh) | 2004-07-28 | 2005-07-28 | 具有两件式e形梁发射机构的铰接手术缝合器 |
CNB2005100895205A Active CN100515349C (zh) | 2004-07-28 | 2005-07-28 | 采用电致动的关节机构的外科器械 |
Family Applications Before (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN200510087341A Active CN100579470C (zh) | 2004-07-28 | 2005-07-28 | 包含通过关节接头的电活化聚合物致动发射杆轨道的外科缝合器械 |
CNB2005100873329A Active CN100479769C (zh) | 2004-07-28 | 2005-07-28 | 包含eap阻挡锁定机构的外科器械 |
Family Applications After (8)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2005100895296A Active CN1745720B (zh) | 2004-07-28 | 2005-07-28 | 具有电活化聚合物防倒退机构的多击发手术器械 |
CNB2005100895192A Active CN100500104C (zh) | 2004-07-28 | 2005-07-28 | 具有电活化聚合物致动的医疗物质投放器的外科缝合器械 |
CNB2005100895309A Active CN100569189C (zh) | 2004-07-28 | 2005-07-28 | 带有电活化聚合物致动的拱托脱离机构的外科缝合器械 |
CNB2005100873333A Active CN100569188C (zh) | 2004-07-28 | 2005-07-28 | 包含eap完整击发系统锁定机构的外科器械 |
CN200510087335A Active CN100579468C (zh) | 2004-07-28 | 2005-07-28 | 采用电致动关节机构的外科器械 |
CN200510087334A Active CN100579467C (zh) | 2004-07-28 | 2005-07-28 | 采用电致动的枢转关节机构的外科器械 |
CN200510089521XA Active CN1732859B (zh) | 2004-07-28 | 2005-07-28 | 具有两件式e形梁发射机构的铰接手术缝合器 |
CNB2005100895205A Active CN100515349C (zh) | 2004-07-28 | 2005-07-28 | 采用电致动的关节机构的外科器械 |
Country Status (7)
Country | Link |
---|---|
US (1) | US7143925B2 (zh) |
JP (1) | JP4902973B2 (zh) |
CN (11) | CN100579470C (zh) |
BR (2) | BRPI0503041A (zh) |
CA (1) | CA2512977C (zh) |
MX (1) | MXPA05008046A (zh) |
RU (2) | RU2005123979A (zh) |
Cited By (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105324086A (zh) * | 2013-04-16 | 2016-02-10 | 伊西康内外科公司 | 动力外科缝合器 |
CN103687551B (zh) * | 2011-05-27 | 2017-02-15 | 伊西康内外科公司 | 用于外科器械的机器人控制的轴类旋转驱动系统 |
CN107019532A (zh) * | 2015-11-06 | 2017-08-08 | 柯惠Lp公司 | 手术设备 |
CN107257663A (zh) * | 2014-12-18 | 2017-10-17 | 伊西康有限责任公司 | 用于能够关节运动的外科器械的驱动布置结构 |
CN107530122A (zh) * | 2015-04-16 | 2018-01-02 | 伊西康有限责任公司 | 带有具有多个锁定位置的可旋转轴的外科器械 |
CN107530103A (zh) * | 2015-04-16 | 2018-01-02 | 伊西康有限责任公司 | 配备具有多个锁定位置的关节运动接头的超声外科器械 |
CN109077762A (zh) * | 2017-06-14 | 2018-12-25 | 美多斯国际有限公司 | 用于塌缩式缝合线套环的指套 |
CN109939336A (zh) * | 2019-03-12 | 2019-06-28 | 杭州巴泰医疗器械有限公司 | 一种用于血管扩张手术的带支架球囊导管结构 |
CN110740702A (zh) * | 2017-06-15 | 2020-01-31 | 天津瑞奇外科器械股份有限公司 | 电外科系统和方法 |
CN112494087A (zh) * | 2020-11-30 | 2021-03-16 | 徐州医科大学 | 一种小关节缝合穿线器 |
CN114305558A (zh) * | 2021-05-27 | 2022-04-12 | 天津瑞奇外科器械股份有限公司 | 一种外科器械及其操作方法 |
TWI797043B (zh) * | 2022-08-04 | 2023-03-21 | 台灣先進手術醫療器材股份有限公司 | 具鎖定結構的血管施夾裝置 |
WO2023125115A1 (zh) * | 2021-12-29 | 2023-07-06 | 江苏风和医疗器材股份有限公司 | 用于外科器械的钳口组件驱动装置及外科器械 |
Families Citing this family (1389)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US11229472B2 (en) | 2001-06-12 | 2022-01-25 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with multiple magnetic position sensors |
US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
US7464847B2 (en) * | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
US7380695B2 (en) * | 2003-05-20 | 2008-06-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece 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 |
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 |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
WO2004112618A2 (en) * | 2003-06-17 | 2004-12-29 | Tyco Healthcare Group, Lp | Surgical stapling device |
US7494039B2 (en) * | 2003-06-17 | 2009-02-24 | Tyco Healthcare Group Lp | Surgical stapling device |
US11311291B2 (en) | 2003-10-17 | 2022-04-26 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US10588629B2 (en) * | 2009-11-20 | 2020-03-17 | Covidien Lp | Surgical console and hand-held surgical device |
US20090090763A1 (en) * | 2007-10-05 | 2009-04-09 | Tyco Healthcare Group Lp | Powered surgical stapling device |
US10022123B2 (en) | 2012-07-09 | 2018-07-17 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US10041822B2 (en) | 2007-10-05 | 2018-08-07 | Covidien Lp | Methods to shorten calibration times for powered devices |
US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
US7487899B2 (en) * | 2004-07-28 | 2009-02-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating EAP complete firing system lockout mechanism |
US20060025812A1 (en) * | 2004-07-28 | 2006-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism |
US7513408B2 (en) * | 2004-07-28 | 2009-04-07 | Ethicon Endo-Surgery, Inc. | Multiple firing stroke surgical instrument incorporating electroactive polymer anti-backup mechanism |
US7862579B2 (en) | 2004-07-28 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for grasper |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US8317074B2 (en) | 2004-07-28 | 2012-11-27 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based articulation mechanism for circular stapler |
US8905977B2 (en) * | 2004-07-28 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser |
US7407077B2 (en) * | 2004-07-28 | 2008-08-05 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for linear surgical stapler |
US7407074B2 (en) | 2004-07-28 | 2008-08-05 | Ethicon Endo-Surgery, Inc. | Electroactive polymer-based actuation mechanism for multi-fire surgical fastening instrument |
US7506790B2 (en) * | 2004-07-28 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
US7857183B2 (en) * | 2004-07-28 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation mechanism |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8057508B2 (en) * | 2004-07-28 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating an electrically actuated articulation locking mechanism |
WO2006015319A2 (en) | 2004-07-30 | 2006-02-09 | Power Medical Interventions, Inc. | Flexible shaft extender and method of using same |
EP3162309B1 (en) | 2004-10-08 | 2022-10-26 | Ethicon LLC | Ultrasonic surgical instrument |
EP1719468A1 (de) * | 2004-12-17 | 2006-11-08 | Zimmer GmbH | Intervertebrales Stabilisierungssystem |
US7780054B2 (en) * | 2005-02-18 | 2010-08-24 | Ethicon Endo-Surgery, Inc. | Surgical instrument with laterally moved shaft actuator coupled to pivoting articulation joint |
US7559452B2 (en) * | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument having fluid actuated opposing jaws |
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 |
US7784662B2 (en) * | 2005-02-18 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground |
US7654431B2 (en) * | 2005-02-18 | 2010-02-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument with guided laterally moving articulation member |
US7559450B2 (en) * | 2005-02-18 | 2009-07-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument incorporating a fluid transfer controlled articulation mechanism |
US7784663B2 (en) | 2005-03-17 | 2010-08-31 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having load sensing control circuitry |
US7780055B2 (en) * | 2005-04-06 | 2010-08-24 | Tyco Healthcare Group Lp | Loading unit having drive assembly locking mechanism |
US11291443B2 (en) | 2005-06-03 | 2022-04-05 | Covidien Lp | Surgical stapler with timer and feedback display |
WO2006132992A2 (en) | 2005-06-03 | 2006-12-14 | Tyco Healthcare Group Lp | Battery powered surgical instrument |
US7959050B2 (en) * | 2005-07-26 | 2011-06-14 | Ethicon Endo-Surgery, Inc | Electrically self-powered surgical instrument with manual release |
US8627995B2 (en) * | 2006-05-19 | 2014-01-14 | Ethicon Endo-Sugery, Inc. | Electrically self-powered surgical instrument with cryptographic identification of interchangeable part |
US20070027468A1 (en) * | 2005-08-01 | 2007-02-01 | Wales Kenneth S | Surgical instrument with an articulating shaft locking mechanism |
US7407075B2 (en) * | 2005-08-15 | 2008-08-05 | Tyco Healthcare Group Lp | Staple cartridge having multiple staple sizes for a surgical stapling instrument |
US7401721B2 (en) * | 2005-08-15 | 2008-07-22 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US7398908B2 (en) | 2005-08-15 | 2008-07-15 | Tyco Healthcare Group Lp | Surgical stapling instruments including a cartridge having multiple staple sizes |
US8579178B2 (en) | 2005-08-15 | 2013-11-12 | Covidien Lp | Surgical stapling instruments including a cartridge having multiple staples sizes |
US7771440B2 (en) * | 2005-08-18 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Method and apparatus for endoscopically performing gastric reduction surgery in a single pass |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | 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 |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US7673781B2 (en) | 2005-08-31 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with staple driver that supports multiple wire diameter staples |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US20070191713A1 (en) | 2005-10-14 | 2007-08-16 | Eichmann Stephen E | Ultrasonic device for cutting and coagulating |
CA2563147C (en) | 2005-10-14 | 2014-09-23 | Tyco Healthcare Group Lp | Surgical stapling device |
US7673783B2 (en) | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7621930B2 (en) | 2006-01-20 | 2009-11-24 | Ethicon Endo-Surgery, Inc. | Ultrasound medical instrument having a medical ultrasonic blade |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US20110006101A1 (en) * | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
US9861359B2 (en) * | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
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 |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
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 |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of 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 |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8236010B2 (en) | 2006-03-23 | 2012-08-07 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with mimicking end effector |
US8721630B2 (en) * | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
US20070250118A1 (en) * | 2006-04-20 | 2007-10-25 | Masini Michael A | Compression tissue repair apparatus and methods |
JP4891397B2 (ja) * | 2006-05-19 | 2012-03-07 | エシコン エンド−サージェリー,インク. | 電気式手術器具 |
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 |
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 |
US8348131B2 (en) | 2006-09-29 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical indicator to show levels of tissue compression |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
CN101522119B (zh) * | 2006-10-05 | 2015-05-13 | 柯惠Lp公司 | 挠性内窥镜缝合装置 |
EP2083727B1 (en) * | 2006-10-05 | 2013-12-11 | Covidien LP | Flexible endoscopic stitching devices |
US8708210B2 (en) | 2006-10-05 | 2014-04-29 | Covidien Lp | Method and force-limiting handle mechanism for a surgical instrument |
US7866525B2 (en) * | 2006-10-06 | 2011-01-11 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
US7967178B2 (en) | 2006-10-06 | 2011-06-28 | Tyco Healthcare Group Lp | Grasping jaw mechanism |
US8733614B2 (en) * | 2006-10-06 | 2014-05-27 | Covidien Lp | End effector identification by mechanical features |
US7963431B2 (en) * | 2006-10-06 | 2011-06-21 | Tyco Healthcare Group, Lp | Grasping jaw mechanism |
US7845535B2 (en) | 2006-10-06 | 2010-12-07 | Tyco Healthcare Group Lp | Surgical instrument having a plastic surface |
US8336751B2 (en) | 2006-10-06 | 2012-12-25 | Covidien Lp | Grasping jaw mechanism |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
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 |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8540128B2 (en) | 2007-01-11 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling device with a curved end effector |
US7753246B2 (en) | 2007-01-31 | 2010-07-13 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
US7950562B2 (en) | 2007-01-31 | 2011-05-31 | Tyco Healthcare Group Lp | Surgical instrument with replaceable loading unit |
EP3087929B1 (en) * | 2007-03-06 | 2020-04-29 | Covidien LP | Surgical stapling apparatus |
US7438209B1 (en) | 2007-03-15 | 2008-10-21 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments having a releasable staple-forming pocket |
US7431188B1 (en) | 2007-03-15 | 2008-10-07 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered articulation |
US8057498B2 (en) | 2007-11-30 | 2011-11-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instrument blades |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
WO2008118728A1 (en) | 2007-03-22 | 2008-10-02 | Tyco Healthcare Group Lp | Apparatus for forming variable height surgical fasteners |
US8911460B2 (en) | 2007-03-22 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
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 |
US8006885B2 (en) * | 2007-04-09 | 2011-08-30 | Tyco Healthcare Group Lp | Surgical stapling apparatus with powered retraction |
US7950560B2 (en) | 2007-04-13 | 2011-05-31 | Tyco Healthcare Group Lp | Powered surgical instrument |
US20080255413A1 (en) | 2007-04-13 | 2008-10-16 | Michael Zemlok | Powered surgical instrument |
US8800837B2 (en) | 2007-04-13 | 2014-08-12 | Covidien Lp | Powered surgical instrument |
US11259802B2 (en) | 2007-04-13 | 2022-03-01 | Covidien Lp | Powered surgical instrument |
US7823760B2 (en) | 2007-05-01 | 2010-11-02 | Tyco Healthcare Group Lp | Powered surgical stapling device platform |
CA2685717C (en) * | 2007-05-07 | 2015-08-11 | Tyco Healthcare Group Lp | Variable size-uniform compression staple assembly |
US7931660B2 (en) | 2007-05-10 | 2011-04-26 | Tyco Healthcare Group Lp | Powered tacker instrument |
US7810693B2 (en) | 2007-05-30 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Surgical stapling and cutting instrument with articulatable end effector |
US7798386B2 (en) | 2007-05-30 | 2010-09-21 | Ethicon Endo-Surgery, Inc. | Surgical instrument articulation joint cover |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US11857181B2 (en) | 2007-06-04 | 2024-01-02 | Cilag Gmbh International | Robotically-controlled shaft based rotary drive systems for surgical instruments |
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 |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | 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 |
JP5209903B2 (ja) * | 2007-06-18 | 2013-06-12 | オリンパスメディカルシステムズ株式会社 | 電動湾曲内視鏡用動力伝達装置 |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | 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 |
US8348972B2 (en) | 2007-07-11 | 2013-01-08 | Covidien Lp | Surgical staple with augmented compression area |
US8523889B2 (en) | 2007-07-27 | 2013-09-03 | Ethicon Endo-Surgery, Inc. | Ultrasonic end effectors with increased active length |
US8808319B2 (en) | 2007-07-27 | 2014-08-19 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US9044261B2 (en) | 2007-07-31 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Temperature controlled ultrasonic surgical instruments |
US8430898B2 (en) | 2007-07-31 | 2013-04-30 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US8512365B2 (en) | 2007-07-31 | 2013-08-20 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
US7624902B2 (en) * | 2007-08-31 | 2009-12-01 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8061576B2 (en) | 2007-08-31 | 2011-11-22 | Tyco Healthcare Group Lp | Surgical instrument |
US7918230B2 (en) | 2007-09-21 | 2011-04-05 | Tyco Healthcare Group Lp | Surgical device having a rotatable jaw portion |
US8517241B2 (en) | 2010-04-16 | 2013-08-27 | Covidien Lp | Hand-held surgical devices |
US8967443B2 (en) | 2007-10-05 | 2015-03-03 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US10779818B2 (en) | 2007-10-05 | 2020-09-22 | Covidien Lp | Powered surgical stapling device |
US10498269B2 (en) | 2007-10-05 | 2019-12-03 | Covidien Lp | Powered surgical stapling device |
EP2796102B1 (en) | 2007-10-05 | 2018-03-14 | Ethicon LLC | Ergonomic surgical instruments |
US8960520B2 (en) | 2007-10-05 | 2015-02-24 | Covidien Lp | Method and apparatus for determining parameters of linear motion in a surgical instrument |
US7922063B2 (en) | 2007-10-31 | 2011-04-12 | Tyco Healthcare Group, Lp | Powered surgical instrument |
US7954685B2 (en) * | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Articulation and firing force mechanisms |
US10010339B2 (en) | 2007-11-30 | 2018-07-03 | Ethicon Llc | Ultrasonic surgical blades |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8348129B2 (en) | 2009-10-09 | 2013-01-08 | Ethicon Endo-Surgery, Inc. | Surgical stapler having a closure mechanism |
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 |
US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
US7857185B2 (en) | 2008-02-14 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Disposable loading unit for surgical stapling apparatus |
US7819298B2 (en) * | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
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 |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
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 |
US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure 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 |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US7810692B2 (en) | 2008-02-14 | 2010-10-12 | Ethicon Endo-Surgery, Inc. | Disposable loading unit with firing indicator |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements 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 |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US8733611B2 (en) * | 2008-03-12 | 2014-05-27 | Covidien Lp | Ratcheting mechanism for surgical stapling device |
US20090255974A1 (en) * | 2008-04-14 | 2009-10-15 | Tyco Healthcare Group Lp | Single loop surgical fastener apparatus for applying variable compression |
US8100310B2 (en) * | 2008-04-14 | 2012-01-24 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
US7926691B2 (en) * | 2008-04-14 | 2011-04-19 | Tyco Healthcare Group, L.P. | Variable compression surgical fastener cartridge |
US8231041B2 (en) * | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
US8231040B2 (en) * | 2008-04-14 | 2012-07-31 | Tyco Healthcare Group Lp | Variable compression surgical fastener cartridge |
US8028884B2 (en) | 2008-04-22 | 2011-10-04 | Tyco Healthcare Group Lp | Cartridge for applying varying amounts of tissue compression |
US8464922B2 (en) | 2008-05-09 | 2013-06-18 | Covidien Lp | Variable compression surgical fastener cartridge |
US8967446B2 (en) * | 2008-05-09 | 2015-03-03 | Covidien Lp | Variable compression surgical fastener cartridge |
US8091756B2 (en) * | 2008-05-09 | 2012-01-10 | Tyco Healthcare Group Lp | Varying tissue compression using take-up component |
US8186556B2 (en) | 2008-05-09 | 2012-05-29 | Tyco Healthcare Group Lp | Variable compression surgical fastener apparatus |
US9016541B2 (en) | 2008-05-09 | 2015-04-28 | Covidien Lp | Varying tissue compression with an anvil configuration |
US8701959B2 (en) | 2008-06-06 | 2014-04-22 | Covidien Lp | Mechanically pivoting cartridge channel for surgical instrument |
US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
US7789283B2 (en) | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
US20100023052A1 (en) * | 2008-07-23 | 2010-01-28 | Tyco Healthcare Group Lp | Staple for use in surgical procedures |
US9089360B2 (en) | 2008-08-06 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Devices and techniques for cutting and coagulating tissue |
US8113405B2 (en) * | 2008-09-03 | 2012-02-14 | Tyco Healthcare Group, Lp | Surgical instrument with indicator |
US20100051668A1 (en) | 2008-09-03 | 2010-03-04 | Milliman Keith L | Surgical instrument with indicator |
US7857186B2 (en) | 2008-09-19 | 2010-12-28 | Ethicon Endo-Surgery, Inc. | Surgical stapler having an intermediate closing position |
PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
US8215532B2 (en) | 2008-09-23 | 2012-07-10 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US7896214B2 (en) | 2008-09-23 | 2011-03-01 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
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 |
US9294902B2 (en) * | 2008-10-31 | 2016-03-22 | Telefonaktiebolaget L M Ericsson (Publ) | Policy and charging control method, servers and computer programs therefor |
US20100193566A1 (en) * | 2009-02-05 | 2010-08-05 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
US8397971B2 (en) | 2009-02-05 | 2013-03-19 | Ethicon Endo-Surgery, Inc. | Sterilizable surgical instrument |
BRPI1008667A2 (pt) | 2009-02-06 | 2016-03-08 | Ethicom Endo Surgery Inc | aperfeiçoamento do grampeador cirúrgico acionado |
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 |
US8066167B2 (en) | 2009-03-23 | 2011-11-29 | Ethicon Endo-Surgery, Inc. | Circular surgical stapling instrument with anvil locking system |
US8016178B2 (en) * | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8292154B2 (en) | 2009-04-16 | 2012-10-23 | Tyco Healthcare Group Lp | Surgical apparatus for applying tissue fasteners |
US8127976B2 (en) * | 2009-05-08 | 2012-03-06 | Tyco Healthcare Group Lp | Stapler cartridge and channel interlock |
US9700339B2 (en) | 2009-05-20 | 2017-07-11 | Ethicon Endo-Surgery, Inc. | Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments |
US8132706B2 (en) * | 2009-06-05 | 2012-03-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus having articulation mechanism |
US8821514B2 (en) * | 2009-06-08 | 2014-09-02 | Covidien Lp | Powered tack applier |
US8663220B2 (en) | 2009-07-15 | 2014-03-04 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments |
US20110036891A1 (en) * | 2009-08-11 | 2011-02-17 | Tyco Healthcare Group Lp | Surgical stapler with visual positional indicator |
US8733612B2 (en) | 2009-08-17 | 2014-05-27 | Covidien Lp | Safety method for powered surgical instruments |
US8342378B2 (en) | 2009-08-17 | 2013-01-01 | Covidien Lp | One handed stapler |
US8906016B2 (en) | 2009-10-09 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising steam control paths |
US11090104B2 (en) | 2009-10-09 | 2021-08-17 | Cilag Gmbh International | Surgical generator for ultrasonic and electrosurgical devices |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US8747404B2 (en) | 2009-10-09 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions |
US8939974B2 (en) * | 2009-10-09 | 2015-01-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism |
US10172669B2 (en) | 2009-10-09 | 2019-01-08 | Ethicon Llc | Surgical instrument comprising an energy trigger lockout |
US9050093B2 (en) | 2009-10-09 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Surgical generator for ultrasonic and electrosurgical devices |
US8574231B2 (en) | 2009-10-09 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument for transmitting energy to tissue comprising a movable electrode or insulator |
AU2010303390B2 (en) * | 2009-10-09 | 2015-05-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US8152041B2 (en) * | 2009-10-14 | 2012-04-10 | Tyco Healthcare Group Lp | Varying tissue compression aided by elastic members |
US8418907B2 (en) * | 2009-11-05 | 2013-04-16 | Covidien Lp | Surgical stapler having cartridge with adjustable cam mechanism |
US8220688B2 (en) * | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
US8561871B2 (en) | 2009-12-31 | 2013-10-22 | Covidien Lp | Indicators for surgical staplers |
US8714430B2 (en) | 2009-12-31 | 2014-05-06 | Covidien Lp | Indicator for surgical stapler |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US8486096B2 (en) | 2010-02-11 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Dual purpose surgical instrument for cutting and coagulating tissue |
US8951272B2 (en) | 2010-02-11 | 2015-02-10 | Ethicon Endo-Surgery, Inc. | Seal arrangements for ultrasonically powered surgical instruments |
US8469981B2 (en) | 2010-02-11 | 2013-06-25 | Ethicon Endo-Surgery, Inc. | Rotatable cutting implement arrangements for ultrasonic surgical instruments |
US8920309B2 (en) * | 2010-03-12 | 2014-12-30 | Microline Surgical, Inc. | Picture in picture clip applier video system |
US8696665B2 (en) | 2010-03-26 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical cutting and sealing instrument with reduced firing force |
US8348127B2 (en) | 2010-04-07 | 2013-01-08 | Covidien Lp | Surgical fastener applying apparatus |
US8623044B2 (en) | 2010-04-12 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Cable actuated end-effector for a surgical instrument |
US8834518B2 (en) | 2010-04-12 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8496682B2 (en) | 2010-04-12 | 2013-07-30 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with cam-actuated jaws |
US8709035B2 (en) | 2010-04-12 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion |
US8535311B2 (en) | 2010-04-22 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising closing and firing systems |
US8685020B2 (en) | 2010-05-17 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instruments and end effectors therefor |
GB2480498A (en) | 2010-05-21 | 2011-11-23 | Ethicon Endo Surgery Inc | Medical device comprising RF circuitry |
US8888776B2 (en) | 2010-06-09 | 2014-11-18 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing an electrode |
US8790342B2 (en) | 2010-06-09 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing pressure-variation electrodes |
US8926607B2 (en) | 2010-06-09 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing multiple positive temperature coefficient electrodes |
US8795276B2 (en) | 2010-06-09 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a plurality of electrodes |
US9005199B2 (en) | 2010-06-10 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Heat management configurations for controlling heat dissipation from electrosurgical instruments |
US8764747B2 (en) | 2010-06-10 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument comprising sequentially activated electrodes |
US8753338B2 (en) | 2010-06-10 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument employing a thermal management system |
PL3231401T3 (pl) * | 2010-06-24 | 2020-09-21 | CARDINAL HEALTH SWITZERLAND 515 GmbH | Urządzenie do wyciągania elastycznego elementu z urządzenia medycznego |
US9149324B2 (en) | 2010-07-08 | 2015-10-06 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US8834466B2 (en) | 2010-07-08 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument comprising an articulatable end effector |
US8453906B2 (en) | 2010-07-14 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8613383B2 (en) | 2010-07-14 | 2013-12-24 | Ethicon Endo-Surgery, Inc. | Surgical instruments with electrodes |
US8795327B2 (en) | 2010-07-22 | 2014-08-05 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with separate closure and cutting members |
US8979843B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US9011437B2 (en) | 2010-07-23 | 2015-04-21 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8979844B2 (en) | 2010-07-23 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US9192431B2 (en) | 2010-07-23 | 2015-11-24 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8702704B2 (en) | 2010-07-23 | 2014-04-22 | Ethicon Endo-Surgery, Inc. | Electrosurgical cutting and sealing instrument |
US8403946B2 (en) | 2010-07-28 | 2013-03-26 | Covidien Lp | Articulating clip applier cartridge |
US8968337B2 (en) | 2010-07-28 | 2015-03-03 | Covidien Lp | Articulating clip applier |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8789740B2 (en) | 2010-07-30 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Linear cutting and stapling device with selectively disengageable cutting member |
US8672207B2 (en) | 2010-07-30 | 2014-03-18 | Ethicon Endo-Surgery, Inc. | Transwall visualization arrangements and methods for surgical circular staplers |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
CN102228386B (zh) * | 2010-09-16 | 2012-11-07 | 北京中法派尔特医疗设备有限公司 | 具有导向结构的钳口组件及采用该钳口组件的缝合器 |
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 |
US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
US9089327B2 (en) | 2010-09-24 | 2015-07-28 | Ethicon Endo-Surgery, Inc. | Surgical instrument with multi-phase trigger bias |
US9545253B2 (en) | 2010-09-24 | 2017-01-17 | Ethicon Endo-Surgery, Llc | Surgical instrument with contained dual helix actuator assembly |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
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 |
US9113862B2 (en) * | 2010-09-30 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with a variable staple forming system |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US9566061B2 (en) | 2010-09-30 | 2017-02-14 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a releasably attached tissue thickness compensator |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US11925354B2 (en) | 2010-09-30 | 2024-03-12 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US8740038B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a releasable portion |
US10123798B2 (en) | 2010-09-30 | 2018-11-13 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
AU2011308701B2 (en) | 2010-09-30 | 2013-11-14 | Ethicon Endo-Surgery, Inc. | Fastener system comprising a retention matrix and an alignment matrix |
US8899461B2 (en) | 2010-10-01 | 2014-12-02 | Covidien Lp | Tissue stop for surgical instrument |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US8979890B2 (en) | 2010-10-01 | 2015-03-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument with jaw member |
US8628529B2 (en) | 2010-10-26 | 2014-01-14 | Ethicon Endo-Surgery, Inc. | Surgical instrument with magnetic clamping force |
US8308041B2 (en) | 2010-11-10 | 2012-11-13 | Tyco Healthcare Group Lp | Staple formed over the wire wound closure procedure |
CN102465957A (zh) * | 2010-11-10 | 2012-05-23 | 上海理工大学 | 多自由度传动机构用镂空形传动件 |
US8715277B2 (en) | 2010-12-08 | 2014-05-06 | Ethicon Endo-Surgery, Inc. | Control of jaw compression in surgical instrument having end effector with opposing jaw members |
KR102028644B1 (ko) * | 2011-02-18 | 2019-10-04 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 접합 및 절단 수술 기구와 관련 방법 |
US8496157B2 (en) | 2011-02-18 | 2013-07-30 | Covidien Lp | Tilting anvil for annular surgical stapler |
US9033204B2 (en) | 2011-03-14 | 2015-05-19 | Ethicon Endo-Surgery, Inc. | Circular stapling devices with tissue-puncturing anvil features |
US9044229B2 (en) | 2011-03-15 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical fastener instruments |
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 |
US9271728B2 (en) | 2011-06-09 | 2016-03-01 | Covidien Lp | Surgical fastener applying apparatus |
US9289209B2 (en) | 2011-06-09 | 2016-03-22 | Covidien Lp | Surgical fastener applying apparatus |
US9451959B2 (en) | 2011-06-09 | 2016-09-27 | Covidien Lp | Surgical fastener applying apparatus |
US8763876B2 (en) | 2011-06-30 | 2014-07-01 | Covidien Lp | Surgical instrument and cartridge for use therewith |
US20130012958A1 (en) | 2011-07-08 | 2013-01-10 | Stanislaw Marczyk | Surgical Device with Articulation and Wrist Rotation |
US9259265B2 (en) | 2011-07-22 | 2016-02-16 | Ethicon Endo-Surgery, Llc | Surgical instruments for tensioning tissue |
US9155537B2 (en) * | 2011-08-08 | 2015-10-13 | Covidien Lp | Surgical fastener applying apparatus |
US9539007B2 (en) | 2011-08-08 | 2017-01-10 | Covidien Lp | Surgical fastener applying aparatus |
US9724095B2 (en) | 2011-08-08 | 2017-08-08 | Covidien Lp | Surgical fastener applying apparatus |
US9044243B2 (en) | 2011-08-30 | 2015-06-02 | Ethcon Endo-Surgery, Inc. | Surgical cutting and fastening device with descendible second trigger arrangement |
US8833632B2 (en) | 2011-09-06 | 2014-09-16 | Ethicon Endo-Surgery, Inc. | Firing member displacement system for a stapling instrument |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US9314292B2 (en) | 2011-10-24 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Trigger lockout mechanism |
US8899462B2 (en) | 2011-10-25 | 2014-12-02 | Covidien Lp | Apparatus for endoscopic procedures |
US8672206B2 (en) | 2011-10-25 | 2014-03-18 | Covidien Lp | Apparatus for endoscopic procedures |
US8657177B2 (en) | 2011-10-25 | 2014-02-25 | Covidien Lp | Surgical apparatus and method for endoscopic surgery |
US11207089B2 (en) | 2011-10-25 | 2021-12-28 | Covidien Lp | Apparatus for endoscopic procedures |
US9492146B2 (en) | 2011-10-25 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
US9016539B2 (en) | 2011-10-25 | 2015-04-28 | Covidien Lp | Multi-use loading unit |
US9480492B2 (en) | 2011-10-25 | 2016-11-01 | Covidien Lp | Apparatus for endoscopic procedures |
US9364231B2 (en) | 2011-10-27 | 2016-06-14 | Covidien Lp | System and method of using simulation reload to optimize staple formation |
US8968309B2 (en) * | 2011-11-10 | 2015-03-03 | Covidien Lp | Surgical forceps |
US8740036B2 (en) | 2011-12-01 | 2014-06-03 | Covidien Lp | Surgical instrument with actuator spring arm |
US10299815B2 (en) | 2012-01-19 | 2019-05-28 | Covidien Lp | Surgical instrument with clam releases mechanism |
US8864010B2 (en) | 2012-01-20 | 2014-10-21 | Covidien Lp | Curved guide member for articulating instruments |
JP6165780B2 (ja) | 2012-02-10 | 2017-07-19 | 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. | ロボット制御式の手術器具 |
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 |
CA2865579C (en) * | 2012-03-08 | 2021-03-02 | Covidien Lp | Vessel sealing instrument |
US8979827B2 (en) | 2012-03-14 | 2015-03-17 | Covidien Lp | Surgical instrument with articulation mechanism |
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 |
MX353040B (es) | 2012-03-28 | 2017-12-18 | Ethicon Endo Surgery Inc | Unidad retenedora que incluye un compensador de grosor de tejido. |
BR112014024102B1 (pt) | 2012-03-28 | 2022-03-03 | Ethicon Endo-Surgery, Inc | Conjunto de cartucho de prendedores para um instrumento cirúrgico, e conjunto de atuador de extremidade para um instrumento cirúrgico |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
CN104321023B (zh) * | 2012-03-28 | 2017-03-01 | 伊西康内外科公司 | 包括至少一种药物的组织厚度补偿件 |
JP6105041B2 (ja) | 2012-03-28 | 2017-03-29 | 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. | 低圧環境を画定するカプセルを含む組織厚コンペンセーター |
US9439668B2 (en) | 2012-04-09 | 2016-09-13 | Ethicon Endo-Surgery, Llc | Switch arrangements for ultrasonic surgical instruments |
US9526497B2 (en) | 2012-05-07 | 2016-12-27 | Covidien Lp | Surgical instrument with articulation mechanism |
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 |
US9597104B2 (en) | 2012-06-01 | 2017-03-21 | Covidien Lp | Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US10080563B2 (en) | 2012-06-01 | 2018-09-25 | Covidien Lp | Loading unit detection assembly and surgical device for use therewith |
US9868198B2 (en) | 2012-06-01 | 2018-01-16 | Covidien Lp | Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9364220B2 (en) | 2012-06-19 | 2016-06-14 | Covidien Lp | Apparatus for endoscopic procedures |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US20140005640A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical end effector jaw and electrode configurations |
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 |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
EP2866686A1 (en) | 2012-06-28 | 2015-05-06 | Ethicon Endo-Surgery, Inc. | Empty clip cartridge lockout |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US20140005705A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Surgical instruments with articulating shafts |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US20140005702A1 (en) | 2012-06-29 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical instruments with distally positioned transducers |
US9408622B2 (en) | 2012-06-29 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9198714B2 (en) | 2012-06-29 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Haptic feedback devices for surgical robot |
US9226767B2 (en) | 2012-06-29 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Closed feedback control for electrosurgical device |
US9232944B2 (en) | 2012-06-29 | 2016-01-12 | Covidien Lp | Surgical instrument and bushing |
US9393037B2 (en) | 2012-06-29 | 2016-07-19 | Ethicon Endo-Surgery, Llc | Surgical instruments with articulating shafts |
US9351754B2 (en) | 2012-06-29 | 2016-05-31 | Ethicon Endo-Surgery, Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US9820768B2 (en) | 2012-06-29 | 2017-11-21 | Ethicon Llc | Ultrasonic surgical instruments with control mechanisms |
US9326788B2 (en) | 2012-06-29 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Lockout mechanism for use with robotic electrosurgical device |
US9955965B2 (en) | 2012-07-09 | 2018-05-01 | Covidien Lp | Switch block control assembly of a medical device |
US9839480B2 (en) | 2012-07-09 | 2017-12-12 | Covidien Lp | Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors |
US10492814B2 (en) | 2012-07-09 | 2019-12-03 | Covidien Lp | Apparatus for endoscopic procedures |
US9572576B2 (en) * | 2012-07-18 | 2017-02-21 | Covidien Lp | Surgical apparatus including surgical buttress |
US9402604B2 (en) | 2012-07-20 | 2016-08-02 | Covidien Lp | Apparatus for endoscopic procedures |
US9492224B2 (en) | 2012-09-28 | 2016-11-15 | EthiconEndo-Surgery, LLC | Multi-function bi-polar forceps |
US9386985B2 (en) | 2012-10-15 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument |
US9364217B2 (en) | 2012-10-16 | 2016-06-14 | Covidien Lp | In-situ loaded stapler |
US9421014B2 (en) | 2012-10-18 | 2016-08-23 | Covidien Lp | Loading unit velocity and position feedback |
US9095367B2 (en) | 2012-10-22 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Flexible harmonic waveguides/blades for surgical instruments |
US20140135804A1 (en) | 2012-11-15 | 2014-05-15 | Ethicon Endo-Surgery, Inc. | Ultrasonic and electrosurgical devices |
US9782187B2 (en) | 2013-01-18 | 2017-10-10 | Covidien Lp | Adapter load button lockout |
US9345480B2 (en) | 2013-01-18 | 2016-05-24 | Covidien Lp | Surgical instrument and cartridge members for use therewith |
US10918364B2 (en) | 2013-01-24 | 2021-02-16 | Covidien Lp | Intelligent adapter assembly for use with an electromechanical surgical system |
US9386984B2 (en) * | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US9216013B2 (en) | 2013-02-18 | 2015-12-22 | Covidien Lp | Apparatus for endoscopic procedures |
US9421003B2 (en) | 2013-02-18 | 2016-08-23 | Covidien Lp | Apparatus for endoscopic procedures |
US9095463B2 (en) * | 2013-02-21 | 2015-08-04 | Medtronic Vascular, Inc. | Stent-graft delivery having a tip capture mechanism with elongated cables for gradual deployment and repositioning |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
MX364729B (es) | 2013-03-01 | 2019-05-06 | Ethicon Endo Surgery Inc | Instrumento quirúrgico con una parada suave. |
US9307986B2 (en) | 2013-03-01 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Surgical instrument soft stop |
BR112015021098B1 (pt) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | Cobertura para uma junta de articulação e instrumento cirúrgico |
US10561432B2 (en) | 2013-03-05 | 2020-02-18 | Covidien Lp | Pivoting screw for use with a pair of jaw members of a surgical instrument |
US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
US9492189B2 (en) | 2013-03-13 | 2016-11-15 | Covidien Lp | Apparatus for endoscopic procedures |
US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
US9668729B2 (en) | 2013-03-13 | 2017-06-06 | Covidien Lp | Surgical stapling apparatus |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9888919B2 (en) | 2013-03-14 | 2018-02-13 | Ethicon Llc | Method and system for operating a surgical instrument |
US10226273B2 (en) | 2013-03-14 | 2019-03-12 | Ethicon Llc | Mechanical fasteners for use with surgical energy devices |
US9510827B2 (en) | 2013-03-25 | 2016-12-06 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
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 |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9775610B2 (en) | 2013-04-09 | 2017-10-03 | Covidien Lp | Apparatus for endoscopic procedures |
US9700318B2 (en) | 2013-04-09 | 2017-07-11 | Covidien Lp | Apparatus for endoscopic procedures |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9801646B2 (en) | 2013-05-30 | 2017-10-31 | Covidien Lp | Adapter load button decoupled from loading unit sensor |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9445810B2 (en) | 2013-06-12 | 2016-09-20 | Covidien Lp | Stapling device with grasping jaw mechanism |
US9797486B2 (en) | 2013-06-20 | 2017-10-24 | Covidien Lp | Adapter direct drive with manual retraction, lockout and connection mechanisms |
US9757129B2 (en) | 2013-07-08 | 2017-09-12 | Covidien Lp | Coupling member configured for use with surgical devices |
US9775609B2 (en) | 2013-08-23 | 2017-10-03 | Ethicon Llc | Tamper proof circuit for surgical instrument battery pack |
MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
US9662108B2 (en) | 2013-08-30 | 2017-05-30 | Covidien Lp | Surgical stapling apparatus |
US9295514B2 (en) | 2013-08-30 | 2016-03-29 | Ethicon Endo-Surgery, Llc | Surgical devices with close quarter articulation features |
US9814514B2 (en) | 2013-09-13 | 2017-11-14 | Ethicon Llc | Electrosurgical (RF) medical instruments for cutting and coagulating tissue |
US9861428B2 (en) | 2013-09-16 | 2018-01-09 | Ethicon Llc | Integrated systems for electrosurgical steam or smoke control |
US9955966B2 (en) | 2013-09-17 | 2018-05-01 | Covidien Lp | Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention |
US9962157B2 (en) | 2013-09-18 | 2018-05-08 | Covidien Lp | Apparatus and method for differentiating between tissue and mechanical obstruction in a surgical instrument |
CN104434246B (zh) * | 2013-09-24 | 2017-11-24 | 无锡德瑞克机械科技有限公司 | 一种带有单手驱动装置的腔镜直线切割吻合器 |
US9974540B2 (en) | 2013-10-18 | 2018-05-22 | Covidien Lp | Adapter direct drive twist-lock retention mechanism |
US10517593B2 (en) | 2013-11-04 | 2019-12-31 | Covidien Lp | Surgical fastener applying apparatus |
CA2926748A1 (en) | 2013-11-04 | 2015-05-07 | Covidien Lp | Surgical fastener applying apparatus |
CN105682570B (zh) | 2013-11-04 | 2019-02-01 | 柯惠Lp公司 | 手术紧固件施加装置 |
US9265926B2 (en) | 2013-11-08 | 2016-02-23 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US9526565B2 (en) | 2013-11-08 | 2016-12-27 | Ethicon Endo-Surgery, Llc | Electrosurgical devices |
US10456129B2 (en) | 2013-11-08 | 2019-10-29 | Ethicon Llc | Positively charged implantable materials and method of forming the same |
US9295522B2 (en) | 2013-11-08 | 2016-03-29 | Covidien Lp | Medical device adapter with wrist mechanism |
US9700311B2 (en) | 2013-11-08 | 2017-07-11 | Ethicon Llc | Tissue ingrowth materials and method of using the same |
US9936950B2 (en) | 2013-11-08 | 2018-04-10 | Ethicon Llc | Hybrid adjunct materials for use in surgical stapling |
US20150134077A1 (en) * | 2013-11-08 | 2015-05-14 | Ethicon Endo-Surgery, Inc. | Sealing materials for use in surgical stapling |
US10236616B2 (en) | 2013-12-04 | 2019-03-19 | Covidien Lp | Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof |
ES2755485T3 (es) | 2013-12-09 | 2020-04-22 | Covidien Lp | Conjunto de adaptador para la interconexión de dispositivos quirúrgicos electromecánicos y unidades de carga quirúrgica, y sistemas quirúrgicos de los mismos |
US9918713B2 (en) | 2013-12-09 | 2018-03-20 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
CN105813582B (zh) | 2013-12-11 | 2019-05-28 | 柯惠Lp公司 | 用于机器人手术系统的腕组件及钳夹组件 |
CN105813580B (zh) | 2013-12-12 | 2019-10-15 | 柯惠Lp公司 | 用于机器人手术系统的齿轮系组件 |
US9808245B2 (en) | 2013-12-13 | 2017-11-07 | Covidien Lp | Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof |
GB2521228A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
GB2521229A (en) | 2013-12-16 | 2015-06-17 | Ethicon Endo Surgery Inc | Medical device |
US9867613B2 (en) | 2013-12-19 | 2018-01-16 | Covidien Lp | Surgical staples and end effectors for deploying the same |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
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 |
US20150173749A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical staples and staple cartridges |
US9795436B2 (en) | 2014-01-07 | 2017-10-24 | Ethicon Llc | Harvesting energy from a surgical generator |
US9408660B2 (en) | 2014-01-17 | 2016-08-09 | Ethicon Endo-Surgery, Llc | Device trigger dampening mechanism |
US9839424B2 (en) | 2014-01-17 | 2017-12-12 | Covidien Lp | Electromechanical surgical assembly |
US9655616B2 (en) | 2014-01-22 | 2017-05-23 | Covidien Lp | Apparatus for endoscopic procedures |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US10226305B2 (en) | 2014-02-12 | 2019-03-12 | Covidien Lp | Surgical end effectors and pulley assemblies thereof |
US9707005B2 (en) | 2014-02-14 | 2017-07-18 | Ethicon Llc | Lockout mechanisms for surgical devices |
US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
US9301691B2 (en) | 2014-02-21 | 2016-04-05 | Covidien Lp | Instrument for optically detecting tissue attributes |
BR112016019387B1 (pt) | 2014-02-24 | 2022-11-29 | Ethicon Endo-Surgery, Llc | Sistema de instrumento cirúrgico e cartucho de prendedores para uso com um instrumento cirúrgico de fixação |
US9757124B2 (en) | 2014-02-24 | 2017-09-12 | Ethicon Llc | Implantable layer assemblies |
US9554854B2 (en) | 2014-03-18 | 2017-01-31 | Ethicon Endo-Surgery, Llc | Detecting short circuits in electrosurgical medical devices |
US10028761B2 (en) | 2014-03-26 | 2018-07-24 | Ethicon Llc | Feedback algorithms for manual bailout systems for surgical instruments |
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 |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
US10092310B2 (en) | 2014-03-27 | 2018-10-09 | Ethicon Llc | Electrosurgical devices |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10524852B1 (en) | 2014-03-28 | 2020-01-07 | Ethicon Llc | Distal sealing end effector with spacers |
US9737355B2 (en) | 2014-03-31 | 2017-08-22 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
CN106132322B (zh) | 2014-03-31 | 2019-11-08 | 柯惠Lp公司 | 机器人手术系统的腕组件和钳夹组件 |
US9913680B2 (en) | 2014-04-15 | 2018-03-13 | Ethicon Llc | Software algorithms for electrosurgical instruments |
JP6636452B2 (ja) | 2014-04-16 | 2020-01-29 | エシコン エルエルシーEthicon LLC | 異なる構成を有する延在部を含む締結具カートリッジ |
JP6612256B2 (ja) | 2014-04-16 | 2019-11-27 | エシコン エルエルシー | 不均一な締結具を備える締結具カートリッジ |
US20150297225A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
US11517315B2 (en) | 2014-04-16 | 2022-12-06 | Cilag Gmbh International | Fastener cartridges including extensions having different configurations |
US9801628B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
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 |
US9757186B2 (en) | 2014-04-17 | 2017-09-12 | Ethicon Llc | Device status feedback for bipolar tissue spacer |
US10164466B2 (en) | 2014-04-17 | 2018-12-25 | Covidien Lp | Non-contact surgical adapter electrical interface |
US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
US10080552B2 (en) | 2014-04-21 | 2018-09-25 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US9861366B2 (en) | 2014-05-06 | 2018-01-09 | Covidien Lp | Ejecting assembly for a surgical stapler |
CN106687052B (zh) | 2014-05-15 | 2019-12-10 | 柯惠Lp公司 | 手术紧固件施加装置 |
US9713466B2 (en) | 2014-05-16 | 2017-07-25 | Covidien Lp | Adaptor for surgical instrument for converting rotary input to linear output |
US9801630B2 (en) | 2014-06-10 | 2017-10-31 | Ethicon Llc | Methods and devices for reinforcing a staple line |
US9848871B2 (en) | 2014-06-10 | 2017-12-26 | Ethicon Llc | Woven and fibrous materials for reinforcing a staple line |
US9826965B2 (en) | 2014-06-10 | 2017-11-28 | Ethicon Llc | Devices for sealing a body lumen |
US20150351753A1 (en) | 2014-06-10 | 2015-12-10 | Ethicon Endo-Surgery, Inc. | Methods and Devices for Reinforcing a Staple Line |
US9936954B2 (en) | 2014-06-10 | 2018-04-10 | Ethicon Llc | Devices and methods for sealing staples in tissue |
US10172611B2 (en) | 2014-06-10 | 2019-01-08 | Ethicon Llc | Adjunct materials and methods of using same in surgical methods for tissue sealing |
US10206686B2 (en) | 2014-06-10 | 2019-02-19 | Ethicon Llc | Bronchus sealants and methods of sealing bronchial tubes |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US10456132B2 (en) * | 2014-06-25 | 2019-10-29 | Ethicon Llc | Jaw opening feature for surgical stapler |
US9763661B2 (en) | 2014-06-26 | 2017-09-19 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US9987095B2 (en) | 2014-06-26 | 2018-06-05 | Covidien Lp | Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units |
US9839425B2 (en) | 2014-06-26 | 2017-12-12 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US10163589B2 (en) | 2014-06-26 | 2018-12-25 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10561418B2 (en) | 2014-06-26 | 2020-02-18 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US9700333B2 (en) | 2014-06-30 | 2017-07-11 | Ethicon Llc | Surgical instrument with variable tissue compression |
CN105232101B (zh) * | 2014-07-09 | 2018-02-06 | 天津瑞奇外科器械股份有限公司 | 外科手术器械的关闭装置及外科手术器械 |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
EP3182909B1 (en) * | 2014-08-21 | 2019-10-09 | Koninklijke Philips N.V. | A tongue advancer implant or removal tool for a tongue manipulation system |
US10194976B2 (en) | 2014-08-25 | 2019-02-05 | Ethicon Llc | Lockout disabling mechanism |
US9877776B2 (en) | 2014-08-25 | 2018-01-30 | Ethicon Llc | Simultaneous I-beam and spring driven cam jaw closure mechanism |
US10194972B2 (en) | 2014-08-26 | 2019-02-05 | Ethicon Llc | Managing tissue treatment |
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 |
US20160066913A1 (en) | 2014-09-05 | 2016-03-10 | Ethicon Endo-Surgery, Inc. | Local display of tissue parameter stabilization |
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 |
CN107427300B (zh) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | 外科缝合支撑物和辅助材料 |
WO2016057225A1 (en) | 2014-10-07 | 2016-04-14 | Covidien Lp | Handheld electromechanical surgical system |
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 |
US10226254B2 (en) | 2014-10-21 | 2019-03-12 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US10729443B2 (en) | 2014-10-21 | 2020-08-04 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US9949737B2 (en) | 2014-10-22 | 2018-04-24 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10085750B2 (en) | 2014-10-22 | 2018-10-02 | Covidien Lp | Adapter with fire rod J-hook lockout |
CN104826220B (zh) * | 2014-10-23 | 2017-09-22 | 重庆金山科技(集团)有限公司 | 一种具有互锁装置的pH胶囊操作手柄 |
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 |
US10639092B2 (en) | 2014-12-08 | 2020-05-05 | Ethicon Llc | Electrode configurations for surgical instruments |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US10245027B2 (en) | 2014-12-18 | 2019-04-02 | Ethicon Llc | Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
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 |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US10092348B2 (en) | 2014-12-22 | 2018-10-09 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US9848937B2 (en) | 2014-12-22 | 2017-12-26 | Ethicon Llc | End effector with detectable configurations |
US10159524B2 (en) | 2014-12-22 | 2018-12-25 | Ethicon Llc | High power battery powered RF amplifier topology |
US10111699B2 (en) | 2014-12-22 | 2018-10-30 | Ethicon Llc | RF tissue sealer, shear grip, trigger lock mechanism and energy activation |
US10245095B2 (en) | 2015-02-06 | 2019-04-02 | Ethicon Llc | Electrosurgical instrument with rotation and articulation mechanisms |
US10111665B2 (en) | 2015-02-19 | 2018-10-30 | Covidien Lp | Electromechanical surgical systems |
US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
US10285698B2 (en) | 2015-02-26 | 2019-05-14 | Covidien Lp | Surgical apparatus |
US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | 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 |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10182816B2 (en) | 2015-02-27 | 2019-01-22 | Ethicon Llc | Charging system that enables emergency resolutions for charging a battery |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
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 |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
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 |
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 |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10190888B2 (en) | 2015-03-11 | 2019-01-29 | Covidien Lp | Surgical stapling instruments with linear position assembly |
US10172670B2 (en) | 2015-03-16 | 2019-01-08 | Ethicon Llc | Flexible neck for surgical instruments |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
US10595929B2 (en) | 2015-03-24 | 2020-03-24 | Ethicon Llc | Surgical instruments with firing system overload protection mechanisms |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
US10314638B2 (en) | 2015-04-07 | 2019-06-11 | Ethicon Llc | Articulating radio frequency (RF) tissue seal with articulating state sensing |
US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
US10117702B2 (en) | 2015-04-10 | 2018-11-06 | Ethicon Llc | Surgical generator systems and related methods |
US10327779B2 (en) | 2015-04-10 | 2019-06-25 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US10226239B2 (en) | 2015-04-10 | 2019-03-12 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US11432902B2 (en) | 2015-04-10 | 2022-09-06 | Covidien Lp | Surgical devices with moisture control |
US10130410B2 (en) | 2015-04-17 | 2018-11-20 | Ethicon Llc | Electrosurgical instrument including a cutting member decouplable from a cutting member trigger |
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 |
US9872725B2 (en) | 2015-04-29 | 2018-01-23 | Ethicon Llc | RF tissue sealer with mode selection |
US10117650B2 (en) | 2015-05-05 | 2018-11-06 | Covidien Lp | Adapter assembly and loading units for surgical stapling devices |
US10299789B2 (en) | 2015-05-05 | 2019-05-28 | Covidie LP | Adapter assembly for surgical stapling devices |
US10039532B2 (en) | 2015-05-06 | 2018-08-07 | Covidien Lp | Surgical instrument with articulation assembly |
WO2016182933A1 (en) | 2015-05-08 | 2016-11-17 | Just Right Surgical, Llc | Surgical stapler |
US10172615B2 (en) | 2015-05-27 | 2019-01-08 | Covidien Lp | Multi-fire push rod stapling device |
US10349941B2 (en) | 2015-05-27 | 2019-07-16 | Covidien Lp | Multi-fire lead screw stapling device |
US11020140B2 (en) | 2015-06-17 | 2021-06-01 | Cilag Gmbh International | Ultrasonic surgical blade for use with ultrasonic surgical instruments |
CN107750142B (zh) * | 2015-06-18 | 2021-04-16 | 伊西康有限责任公司 | 复合击发梁结构具有用于关节运动支撑的中心击发支撑构件的能够关节运动的外科器械 |
US10178992B2 (en) | 2015-06-18 | 2019-01-15 | Ethicon Llc | Push/pull articulation drive systems for articulatable surgical instruments |
US10898256B2 (en) | 2015-06-30 | 2021-01-26 | Ethicon Llc | Surgical system with user adaptable techniques based on tissue impedance |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US11141213B2 (en) | 2015-06-30 | 2021-10-12 | Cilag Gmbh International | Surgical instrument with user adaptable techniques |
US10034704B2 (en) | 2015-06-30 | 2018-07-31 | Ethicon Llc | Surgical instrument with user adaptable algorithms |
US11051873B2 (en) | 2015-06-30 | 2021-07-06 | Cilag Gmbh International | Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters |
US11129669B2 (en) | 2015-06-30 | 2021-09-28 | Cilag Gmbh International | Surgical system with user adaptable techniques based on tissue type |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
US10548599B2 (en) | 2015-07-20 | 2020-02-04 | Covidien Lp | Endoscopic stapler and staple |
US9987012B2 (en) | 2015-07-21 | 2018-06-05 | Covidien Lp | Small diameter cartridge design for a surgical stapling instrument |
US10751058B2 (en) | 2015-07-28 | 2020-08-25 | Covidien Lp | Adapter assemblies for surgical devices |
US10194912B2 (en) * | 2015-07-28 | 2019-02-05 | Ethicon Llc | Surgical staple cartridge with outer edge compression features |
US10064622B2 (en) | 2015-07-29 | 2018-09-04 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
US10045782B2 (en) | 2015-07-30 | 2018-08-14 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
CN108348233B (zh) | 2015-08-26 | 2021-05-07 | 伊西康有限责任公司 | 用于允许改变钉特性并实现轻松仓加载的外科钉条 |
MX2022009705A (es) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico. |
US11103248B2 (en) | 2015-08-26 | 2021-08-31 | Cilag Gmbh International | Surgical staples for minimizing staple roll |
US10314565B2 (en) * | 2015-08-26 | 2019-06-11 | Ethicon Llc | Surgical device having actuator biasing and locking features |
US10086116B2 (en) | 2015-08-31 | 2018-10-02 | Ethicon Llc | Adjunct material to provide controlled drug release |
US10285692B2 (en) | 2015-08-31 | 2019-05-14 | Ethicon Llc | Adjuncts for surgical devices including agonists and antagonists |
US10130738B2 (en) | 2015-08-31 | 2018-11-20 | Ethicon Llc | Adjunct material to promote tissue growth |
US10569071B2 (en) | 2015-08-31 | 2020-02-25 | Ethicon Llc | Medicant eluting adjuncts and methods of using medicant eluting adjuncts |
US10194936B2 (en) | 2015-08-31 | 2019-02-05 | Ethicon Endo-Surgery, Llc | Adjunct material for delivery to stomach tissue |
US11020116B2 (en) | 2015-08-31 | 2021-06-01 | Ethicon Llc | Surgical adjuncts with medicants affected by activators |
US10213520B2 (en) | 2015-08-31 | 2019-02-26 | Ethicon Llc | Surgical adjuncts having medicants controllably releasable therefrom |
US10188390B2 (en) | 2015-08-31 | 2019-01-29 | Ethicon Llc | Adjunct material to provide heterogeneous drug elution |
US9937283B2 (en) | 2015-08-31 | 2018-04-10 | Ethicon Endo-Surgery, Llc | Adjunct material to provide drug elution from vessels |
US10499913B2 (en) | 2015-08-31 | 2019-12-10 | Ethicon Llc | Tubular surgical constructs including adjunct material |
US10245034B2 (en) | 2015-08-31 | 2019-04-02 | Ethicon Llc | Inducing tissue adhesions using surgical adjuncts and medicants |
US10188389B2 (en) | 2015-08-31 | 2019-01-29 | Ethicon Llc | Adjunct material for delivery to colon tissue |
US10349938B2 (en) | 2015-08-31 | 2019-07-16 | Ethicon Llc | Surgical adjuncts with medicants affected by activator materials |
US10076324B2 (en) | 2015-08-31 | 2018-09-18 | Ethicon Llc | Adjunct material to provide controlled drug elution |
US10279086B2 (en) | 2015-08-31 | 2019-05-07 | Ethicon Llc | Composite adjunct materials for delivering medicants |
US10111661B2 (en) | 2015-08-31 | 2018-10-30 | Ethicon Llc | Matrix metalloproteinase inhibiting adjuncts for surgical devices |
US10172973B2 (en) | 2015-08-31 | 2019-01-08 | Ethicon Llc | Surgical adjuncts and medicants for promoting lung function |
US10463366B2 (en) | 2015-08-31 | 2019-11-05 | Ethicon Llc | Adjunct materials for delivery to liver tissue |
US10076329B2 (en) | 2015-08-31 | 2018-09-18 | Ethicon Llc | Adjunct material to promote tissue growth in a colon |
US10314587B2 (en) | 2015-09-02 | 2019-06-11 | Ethicon Llc | Surgical staple cartridge with improved staple driver configurations |
MX2022006191A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-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 |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10806454B2 (en) | 2015-09-25 | 2020-10-20 | Covidien Lp | Robotic surgical assemblies and instrument drive connectors thereof |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US11058475B2 (en) | 2015-09-30 | 2021-07-13 | Cilag Gmbh International | Method and apparatus for selecting operations of a surgical instrument based on user intention |
US10172620B2 (en) | 2015-09-30 | 2019-01-08 | Ethicon Llc | Compressible adjuncts with bonding nodes |
US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
US10213204B2 (en) | 2015-10-02 | 2019-02-26 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
US10371238B2 (en) | 2015-10-09 | 2019-08-06 | Covidien Lp | Adapter assembly for surgical device |
US10413298B2 (en) | 2015-10-14 | 2019-09-17 | Covidien Lp | Adapter assembly for surgical devices |
US10959771B2 (en) | 2015-10-16 | 2021-03-30 | Ethicon Llc | Suction and irrigation sealing grasper |
US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
US10772632B2 (en) | 2015-10-28 | 2020-09-15 | Covidien Lp | Surgical stapling device with triple leg staples |
US10729435B2 (en) | 2015-11-06 | 2020-08-04 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10939952B2 (en) | 2015-11-06 | 2021-03-09 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US10595864B2 (en) | 2015-11-24 | 2020-03-24 | Covidien Lp | Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US10617411B2 (en) | 2015-12-01 | 2020-04-14 | Covidien Lp | Adapter assembly for surgical device |
US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
US10433841B2 (en) | 2015-12-10 | 2019-10-08 | Covidien Lp | Adapter assembly for surgical device |
US10420554B2 (en) | 2015-12-22 | 2019-09-24 | Covidien Lp | Personalization of powered surgical devices |
US10253847B2 (en) | 2015-12-22 | 2019-04-09 | Covidien Lp | Electromechanical surgical devices with single motor drives and adapter assemblies therfor |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
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 |
US10959806B2 (en) | 2015-12-30 | 2021-03-30 | Ethicon Llc | Energized medical device with reusable handle |
US10575892B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Adapter for electrical surgical instruments |
US10314579B2 (en) | 2016-01-07 | 2019-06-11 | Covidien Lp | Adapter assemblies for interconnecting surgical loading units and handle assemblies |
US10966717B2 (en) | 2016-01-07 | 2021-04-06 | Covidien Lp | Surgical fastener apparatus |
US10524797B2 (en) | 2016-01-13 | 2020-01-07 | Covidien Lp | Adapter assembly including a removable trocar assembly |
US10660623B2 (en) | 2016-01-15 | 2020-05-26 | Covidien Lp | Centering mechanism for articulation joint |
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 |
US10716615B2 (en) | 2016-01-15 | 2020-07-21 | Ethicon Llc | Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade |
US11129670B2 (en) | 2016-01-15 | 2021-09-28 | Cilag Gmbh International | Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization |
US10842523B2 (en) | 2016-01-15 | 2020-11-24 | Ethicon Llc | Modular battery powered handheld surgical instrument and methods therefor |
US10508720B2 (en) | 2016-01-21 | 2019-12-17 | Covidien Lp | Adapter assembly with planetary gear drive for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
CN108882932B (zh) | 2016-02-09 | 2021-07-23 | 伊西康有限责任公司 | 具有非对称关节运动构造的外科器械 |
US10588625B2 (en) | 2016-02-09 | 2020-03-17 | Ethicon Llc | Articulatable surgical instruments with off-axis firing beam arrangements |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10349937B2 (en) | 2016-02-10 | 2019-07-16 | Covidien Lp | Surgical stapler with articulation locking mechanism |
US10398439B2 (en) | 2016-02-10 | 2019-09-03 | Covidien Lp | Adapter, extension, and connector assemblies for surgical devices |
US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
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 |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
USD800904S1 (en) * | 2016-03-09 | 2017-10-24 | Ethicon Endo-Surgery, Llc | Surgical stapling instrument |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
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 |
US11045191B2 (en) | 2016-04-01 | 2021-06-29 | Cilag Gmbh International | Method for operating a surgical stapling system |
US10485542B2 (en) | 2016-04-01 | 2019-11-26 | Ethicon Llc | Surgical stapling instrument comprising multiple lockouts |
US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
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 |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | 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 |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10426469B2 (en) | 2016-04-18 | 2019-10-01 | Ethicon Llc | Surgical instrument comprising a primary firing lockout and a secondary firing lockout |
US10646269B2 (en) | 2016-04-29 | 2020-05-12 | Ethicon Llc | Non-linear jaw gap for electrosurgical instruments |
US10856934B2 (en) | 2016-04-29 | 2020-12-08 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting and tissue engaging members |
US10987156B2 (en) | 2016-04-29 | 2021-04-27 | Ethicon Llc | Electrosurgical instrument with electrically conductive gap setting member and electrically insulative tissue engaging members |
US10702329B2 (en) | 2016-04-29 | 2020-07-07 | Ethicon Llc | Jaw structure with distal post for electrosurgical instruments |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US10561419B2 (en) | 2016-05-04 | 2020-02-18 | Covidien Lp | Powered end effector assembly with pivotable channel |
US10799239B2 (en) | 2016-05-09 | 2020-10-13 | Covidien Lp | Adapter assembly with pulley system and worm gear drive for interconnecting electromechanical surgical devices and surgical end effectors |
US10588610B2 (en) | 2016-05-10 | 2020-03-17 | Covidien Lp | Adapter assemblies for surgical devices |
US10736637B2 (en) | 2016-05-10 | 2020-08-11 | Covidien Lp | Brake for adapter assemblies for surgical devices |
US11065022B2 (en) | 2016-05-17 | 2021-07-20 | Covidien Lp | Cutting member for a surgical instrument |
US10463374B2 (en) | 2016-05-17 | 2019-11-05 | Covidien Lp | Adapter assembly for a flexible circular stapler |
US10702302B2 (en) | 2016-05-17 | 2020-07-07 | Covidien Lp | Adapter assembly including a removable trocar assembly |
AU2017269262B2 (en) | 2016-05-26 | 2021-09-09 | Covidien Lp | Robotic surgical assemblies |
CN105830944B (zh) * | 2016-05-27 | 2022-10-04 | 上海睿通机器人自动化股份有限公司 | 一种圆形耳标自动组装机 |
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 |
US10542979B2 (en) | 2016-06-24 | 2020-01-28 | Ethicon Llc | Stamped staples and staple cartridges using the same |
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 |
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 |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10893883B2 (en) | 2016-07-13 | 2021-01-19 | Ethicon Llc | Ultrasonic assembly for use with ultrasonic surgical instruments |
US10842522B2 (en) | 2016-07-15 | 2020-11-24 | Ethicon Llc | Ultrasonic surgical instruments having offset blades |
US10653398B2 (en) | 2016-08-05 | 2020-05-19 | Covidien Lp | Adapter assemblies for surgical devices |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
CN110191667B (zh) | 2016-08-18 | 2022-06-03 | 海王星医疗公司 | 用于增强小肠视觉效果的装置和方法 |
US10952759B2 (en) | 2016-08-25 | 2021-03-23 | Ethicon Llc | Tissue loading of a surgical instrument |
US10828056B2 (en) | 2016-08-25 | 2020-11-10 | Ethicon Llc | Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations |
US10751117B2 (en) | 2016-09-23 | 2020-08-25 | Ethicon Llc | Electrosurgical instrument with fluid diverter |
CN109475362A (zh) * | 2016-09-29 | 2019-03-15 | 奥林匹斯冬季和Ibe有限公司 | 包括投射杠杆系统的手术钳口器械 |
JP7184762B2 (ja) | 2016-10-11 | 2022-12-06 | インテュイティブ サージカル オペレーションズ, インコーポレイテッド | 一体型ナイフを含むステープラカートリッジ |
US10631857B2 (en) | 2016-11-04 | 2020-04-28 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
US11642126B2 (en) | 2016-11-04 | 2023-05-09 | Covidien Lp | Surgical stapling apparatus with tissue pockets |
US10492784B2 (en) | 2016-11-08 | 2019-12-03 | Covidien Lp | Surgical tool assembly with compact firing assembly |
US11116594B2 (en) | 2016-11-08 | 2021-09-14 | Covidien Lp | Surgical systems including adapter assemblies for interconnecting electromechanical surgical devices and end effectors |
US10603064B2 (en) | 2016-11-28 | 2020-03-31 | Ethicon Llc | Ultrasonic transducer |
US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
US11266430B2 (en) | 2016-11-29 | 2022-03-08 | Cilag Gmbh International | End effector control and calibration |
CN106618665A (zh) * | 2016-12-08 | 2017-05-10 | 河南省驼人医疗科技有限公司 | 一种肛肠套扎器 |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US10542982B2 (en) | 2016-12-21 | 2020-01-28 | Ethicon Llc | Shaft assembly comprising first and second articulation lockouts |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
US10898186B2 (en) | 2016-12-21 | 2021-01-26 | Ethicon Llc | Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls |
US10610224B2 (en) | 2016-12-21 | 2020-04-07 | Ethicon Llc | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10835246B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US10639034B2 (en) | 2016-12-21 | 2020-05-05 | Ethicon Llc | Surgical instruments with lockout arrangements for preventing firing system actuation unless an unspent staple cartridge is present |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
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 |
US10537325B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Staple forming pocket arrangement to accommodate different types of staples |
BR112019011947A2 (pt) | 2016-12-21 | 2019-10-29 | Ethicon Llc | sistemas de grampeamento cirúrgico |
MX2019007428A (es) * | 2016-12-21 | 2019-11-18 | Ethicon Llc | Pares de bolsillos formadores de grapas bilateralmente asimetricos. |
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 |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10980536B2 (en) | 2016-12-21 | 2021-04-20 | Ethicon Llc | No-cartridge and spent cartridge lockout arrangements for surgical staplers |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
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 |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US20180168648A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Durability features for end effectors and firing assemblies of surgical stapling instruments |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
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 |
US20180168618A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US10709901B2 (en) | 2017-01-05 | 2020-07-14 | Covidien Lp | Implantable fasteners, applicators, and methods for brachytherapy |
US10709455B2 (en) * | 2017-02-02 | 2020-07-14 | Covidien Lp | Endoscopic surgical clip applier |
US10952767B2 (en) | 2017-02-06 | 2021-03-23 | Covidien Lp | Connector clip for securing an introducer to a surgical fastener applying apparatus |
US11033325B2 (en) | 2017-02-16 | 2021-06-15 | Cilag Gmbh International | Electrosurgical instrument with telescoping suction port and debris cleaner |
US10555734B2 (en) | 2017-02-17 | 2020-02-11 | Ethicon Llc | Methods and systems for mating constrictable adjunct materials with end effectors |
US20180235625A1 (en) | 2017-02-17 | 2018-08-23 | Ethicon Llc | End effector with adjunct materials |
US11141150B2 (en) | 2017-02-17 | 2021-10-12 | Cilag Gmbh International | Buttress loader for surgical staplers |
US10478280B2 (en) | 2017-02-17 | 2019-11-19 | Ethicon Llc | Methods and devices for delivering and securing adjunct materials to a treatment site |
US11202632B2 (en) | 2017-02-17 | 2021-12-21 | Cilag Gmbh International | Adjunct material with mating features |
US10729438B2 (en) | 2017-02-17 | 2020-08-04 | Ethicon Llc | Hybrid mechanism for attachment of an adjunct to a surgical instrument |
US10478183B2 (en) | 2017-02-17 | 2019-11-19 | Ethicon Llc | Adjunct release for surgical staplers |
US11006954B2 (en) | 2017-02-17 | 2021-05-18 | Ethicon Llc | Suction attachment of an adjunct to a surgical instrument |
US10646221B2 (en) | 2017-02-17 | 2020-05-12 | Ethicon Llc | Surgical adjunct retaining mechanisms |
US10716564B2 (en) | 2017-02-17 | 2020-07-21 | Ethicon Llc | Stapling adjunct attachment |
US10485544B2 (en) | 2017-02-17 | 2019-11-26 | Ethicon Llc | End effector having extension features for mating with adjuncts |
US10925601B2 (en) | 2017-02-17 | 2021-02-23 | Ethicon Llc | Surgical end effector adjunct attachment |
US10881402B2 (en) | 2017-02-17 | 2021-01-05 | Ethicon Llc | Surgical end effector adjunct attachment |
US10765426B2 (en) | 2017-02-17 | 2020-09-08 | Ethicon Llc | Systems for coupling adjuncts to an end effector |
US10869663B2 (en) | 2017-02-17 | 2020-12-22 | Ethicon Llc | End effector configured to mate with adjunct materials |
US10575850B2 (en) | 2017-02-17 | 2020-03-03 | Ethicon Llc | Systems for release of adjunct in a surgical stapling device |
US20180235618A1 (en) | 2017-02-22 | 2018-08-23 | Covidien Lp | Loading unit for surgical instruments with low profile pushers |
US10849621B2 (en) | 2017-02-23 | 2020-12-01 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US11350915B2 (en) | 2017-02-23 | 2022-06-07 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US10631945B2 (en) | 2017-02-28 | 2020-04-28 | Covidien Lp | Autoclavable load sensing device |
US11272929B2 (en) | 2017-03-03 | 2022-03-15 | Covidien Lp | Dynamically matching input and output shaft speeds of articulating adapter assemblies for surgical instruments |
US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US10799284B2 (en) | 2017-03-15 | 2020-10-13 | Ethicon Llc | Electrosurgical instrument with textured jaws |
US10660641B2 (en) | 2017-03-16 | 2020-05-26 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US11497546B2 (en) | 2017-03-31 | 2022-11-15 | Cilag Gmbh International | Area ratios of patterned coatings on RF electrodes to reduce sticking |
US10390858B2 (en) | 2017-05-02 | 2019-08-27 | Covidien Lp | Powered surgical device with speed and current derivative motor shut off |
US11324502B2 (en) | 2017-05-02 | 2022-05-10 | Covidien Lp | Surgical loading unit including an articulating end effector |
US10603035B2 (en) | 2017-05-02 | 2020-03-31 | Covidien Lp | Surgical loading unit including an articulating end effector |
US10524784B2 (en) | 2017-05-05 | 2020-01-07 | Covidien Lp | Surgical staples with expandable backspan |
US10390826B2 (en) | 2017-05-08 | 2019-08-27 | Covidien Lp | Surgical stapling device with elongated tool assembly and methods of use |
US11311295B2 (en) | 2017-05-15 | 2022-04-26 | Covidien Lp | Adaptive powered stapling algorithm with calibration factor |
US10420551B2 (en) | 2017-05-30 | 2019-09-24 | Covidien Lp | Authentication and information system for reusable surgical instruments |
US10478185B2 (en) | 2017-06-02 | 2019-11-19 | Covidien Lp | Tool assembly with minimal dead space |
US20180353175A1 (en) | 2017-06-13 | 2018-12-13 | Ethicon Llc | Surgical Fastener with Broad Spectrum MMP Inhibitors |
US10939911B2 (en) | 2017-06-13 | 2021-03-09 | Ethicon Llc | Surgical stapler with end effector coating |
US11058804B2 (en) | 2017-06-13 | 2021-07-13 | Ethicon Llc | Surgical fastener device for the prevention of ECM degradation |
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 |
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 |
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 |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
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 |
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 |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member 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 |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | 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 |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
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 |
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 |
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 |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
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 |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling 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 |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11141154B2 (en) | 2017-06-27 | 2021-10-12 | Cilag Gmbh International | Surgical end effectors and anvils |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US11389161B2 (en) | 2017-06-28 | 2022-07-19 | Cilag Gmbh International | Surgical instrument comprising selectively actuatable rotatable couplers |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US11246592B2 (en) * | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
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 |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US10786253B2 (en) | 2017-06-28 | 2020-09-29 | Ethicon Llc | Surgical end effectors with improved jaw aperture arrangements |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
US10603117B2 (en) | 2017-06-28 | 2020-03-31 | Ethicon Llc | Articulation state detection mechanisms |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member 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 |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
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 |
US10820920B2 (en) | 2017-07-05 | 2020-11-03 | Ethicon Llc | Reusable ultrasonic medical devices and methods of their use |
WO2019018682A1 (en) * | 2017-07-20 | 2019-01-24 | Neptune Medical Inc. | DYNAMICALLY RIGIDING SURFACE |
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 |
US10772700B2 (en) | 2017-08-23 | 2020-09-15 | Covidien Lp | Contactless loading unit detection |
US10624636B2 (en) | 2017-08-23 | 2020-04-21 | Covidien Lp | Surgical stapling device with floating staple cartridge |
US10806452B2 (en) | 2017-08-24 | 2020-10-20 | Covidien Lp | Loading unit for a surgical stapling instrument |
US11583358B2 (en) | 2017-09-06 | 2023-02-21 | Covidien Lp | Boundary scaling of surgical robots |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US11033323B2 (en) | 2017-09-29 | 2021-06-15 | Cilag Gmbh International | Systems and methods for managing fluid and suction in electrosurgical systems |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11484358B2 (en) | 2017-09-29 | 2022-11-01 | Cilag Gmbh International | Flexible electrosurgical instrument |
US11490951B2 (en) | 2017-09-29 | 2022-11-08 | Cilag Gmbh International | Saline contact with electrodes |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
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 |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
JP6829321B2 (ja) * | 2017-10-11 | 2021-02-10 | 富士フイルム株式会社 | オーバーチューブ |
CN107802302B (zh) * | 2017-10-16 | 2019-12-20 | 成都颐合恒瑞医疗科技有限公司 | 一种手术用吻合器装置 |
US11207066B2 (en) | 2017-10-30 | 2021-12-28 | Covidien Lp | Apparatus for endoscopic procedures |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US10987104B2 (en) | 2017-10-30 | 2021-04-27 | Covidien Lp | Apparatus for endoscopic procedures |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11406390B2 (en) | 2017-10-30 | 2022-08-09 | Cilag Gmbh International | Clip applier comprising interchangeable clip reloads |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
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 |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11229436B2 (en) | 2017-10-30 | 2022-01-25 | Cilag Gmbh International | Surgical system comprising a surgical tool and a surgical hub |
US11759224B2 (en) | 2017-10-30 | 2023-09-19 | Cilag Gmbh International | Surgical instrument systems comprising handle arrangements |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
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 |
US10925603B2 (en) | 2017-11-14 | 2021-02-23 | Covidien Lp | Reload with articulation stabilization system |
US10863987B2 (en) | 2017-11-16 | 2020-12-15 | Covidien Lp | Surgical instrument with imaging device |
US10863988B2 (en) | 2017-11-29 | 2020-12-15 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
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 |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
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 |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use 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 |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
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 |
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 |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
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 |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
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 |
US11576668B2 (en) | 2017-12-21 | 2023-02-14 | Cilag Gmbh International | Staple instrument comprising a firing path display |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11672605B2 (en) | 2017-12-28 | 2023-06-13 | Cilag Gmbh International | Sterile field interactive control displays |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
US11284936B2 (en) | 2017-12-28 | 2022-03-29 | Cilag Gmbh International | Surgical instrument having a flexible electrode |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US10755813B2 (en) | 2017-12-28 | 2020-08-25 | Ethicon Llc | Communication of smoke evacuation system parameters to hub or cloud in smoke evacuation module for interactive surgical platform |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
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 |
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 |
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 |
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 |
US11056244B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Automated data scaling, alignment, and organizing based on predefined parameters within surgical networks |
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 |
US11147607B2 (en) | 2017-12-28 | 2021-10-19 | Cilag Gmbh International | Bipolar combination device that automatically adjusts pressure based on energy modality |
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 |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11596291B2 (en) | 2017-12-28 | 2023-03-07 | Cilag Gmbh International | Method of compressing tissue within a stapling device and simultaneously displaying of the location of the tissue within the jaws |
US11257589B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes |
US11304720B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Activation of energy devices |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US10943454B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Detection and escalation of security responses of surgical instruments to increasing severity threats |
US11278281B2 (en) | 2017-12-28 | 2022-03-22 | Cilag Gmbh International | Interactive surgical system |
US10966791B2 (en) | 2017-12-28 | 2021-04-06 | Ethicon Llc | Cloud-based medical analytics for medical facility segmented individualization of instrument function |
US20190201039A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Situational awareness of electrosurgical systems |
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 |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US11058498B2 (en) | 2017-12-28 | 2021-07-13 | Cilag Gmbh International | Cooperative surgical actions for robot-assisted surgical platforms |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
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 |
US10987178B2 (en) | 2017-12-28 | 2021-04-27 | Ethicon Llc | Surgical hub control arrangements |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US11076921B2 (en) | 2017-12-28 | 2021-08-03 | Cilag Gmbh International | Adaptive control program updates for surgical hubs |
US11179175B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Controlling an ultrasonic surgical instrument according to tissue location |
US11160605B2 (en) | 2017-12-28 | 2021-11-02 | Cilag Gmbh International | Surgical evacuation sensing and motor control |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US11051876B2 (en) | 2017-12-28 | 2021-07-06 | Cilag Gmbh International | Surgical evacuation flow paths |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
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 |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
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 |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US10849697B2 (en) | 2017-12-28 | 2020-12-01 | Ethicon Llc | Cloud interface for coupled surgical devices |
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 |
US11069012B2 (en) | 2017-12-28 | 2021-07-20 | Cilag Gmbh International | Interactive surgical systems with condition handling of devices and data capabilities |
US11376002B2 (en) | 2017-12-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument cartridge sensor assemblies |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
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 |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
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 |
US11045591B2 (en) | 2017-12-28 | 2021-06-29 | Cilag Gmbh International | Dual in-series large and small droplet filters |
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 |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US10932872B2 (en) | 2017-12-28 | 2021-03-02 | Ethicon Llc | Cloud-based medical analytics for linking of local usage trends with the resource acquisition behaviors of larger data set |
US10892899B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Self describing data packets generated at an issuing instrument |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11273001B2 (en) | 2017-12-28 | 2022-03-15 | Cilag Gmbh International | Surgical hub and modular device response adjustment based on situational awareness |
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 |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US11179208B2 (en) | 2017-12-28 | 2021-11-23 | Cilag Gmbh International | Cloud-based medical analytics for security and authentication trends and reactive measures |
US10695081B2 (en) | 2017-12-28 | 2020-06-30 | Ethicon Llc | Controlling a surgical instrument according to sensed closure parameters |
US20190201146A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Safety systems for smart powered surgical stapling |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11304763B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Image capturing of the areas outside the abdomen to improve placement and control of a surgical device in use |
US10944728B2 (en) | 2017-12-28 | 2021-03-09 | Ethicon Llc | Interactive surgical systems with encrypted communication capabilities |
US11304699B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US20190201139A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Communication arrangements for robot-assisted surgical platforms |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
WO2019136041A1 (en) | 2018-01-04 | 2019-07-11 | Covidien Lp | Robotic surgical instrument including high articulation wrist assembly with torque transmission and mechanical manipulation |
US10945732B2 (en) | 2018-01-17 | 2021-03-16 | Covidien Lp | Surgical stapler with self-returning assembly |
EP3752074A4 (en) | 2018-02-12 | 2022-03-23 | Intuitive Surgical Operations, Inc. | SURGICAL INSTRUMENT WITH LOCKING MECHANISM |
US10695140B2 (en) | 2018-02-15 | 2020-06-30 | Ethicon Llc | Near field communication between a surgical instrument and a robotic surgical system |
US10702349B2 (en) | 2018-02-20 | 2020-07-07 | Ethicon Llc | Robotic surgical instrument communication |
CN112040884A (zh) | 2018-02-21 | 2020-12-04 | 爱惜康有限责任公司 | 针织组织支架 |
USD885574S1 (en) | 2018-02-21 | 2020-05-26 | Ethicon Llc | Knitted tissue scaffold |
US11155946B2 (en) | 2018-02-21 | 2021-10-26 | Cilag Gmbh International | Knitted tissue scaffolds |
EP3758619B1 (en) | 2018-02-26 | 2024-04-03 | Intuitive Surgical Operations, Inc. | Surgical instrument with lockout mechanism |
US20190261982A1 (en) | 2018-02-27 | 2019-08-29 | Covidien Lp | Powered stapler having varying staple heights and sizes |
CA3090020A1 (en) | 2018-03-02 | 2019-09-06 | Covidien Lp | Surgical stapling instrument |
US11464532B2 (en) | 2018-03-08 | 2022-10-11 | Cilag Gmbh International | Methods for estimating and controlling state of ultrasonic end effector |
US11589915B2 (en) | 2018-03-08 | 2023-02-28 | Cilag Gmbh International | In-the-jaw classifier based on a model |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11259806B2 (en) | 2018-03-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
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 |
US11207067B2 (en) | 2018-03-28 | 2021-12-28 | Cilag Gmbh International | Surgical stapling device with separate rotary driven closure and firing systems and firing member that engages both jaws while firing |
US11096688B2 (en) | 2018-03-28 | 2021-08-24 | Cilag Gmbh International | Rotary driven firing members with different anvil and channel engagement features |
US10973520B2 (en) | 2018-03-28 | 2021-04-13 | Ethicon Llc | Surgical staple cartridge with firing member driven camming assembly that has an onboard tissue cutting feature |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
CN112203597A (zh) * | 2018-03-28 | 2021-01-08 | 爱惜康有限责任公司 | 包括钳口闭合闭锁件的外科器械 |
US11219453B2 (en) | 2018-03-28 | 2022-01-11 | Cilag Gmbh International | Surgical stapling devices with cartridge compatible closure and firing lockout arrangements |
US11160556B2 (en) | 2018-04-23 | 2021-11-02 | Covidien Lp | Threaded trocar for adapter assemblies |
EP3787565B1 (en) * | 2018-05-02 | 2024-03-20 | Elastimed Ltd. | A strap having a portion of electro-active polymer, and methodsfor making and using the same |
US11896230B2 (en) | 2018-05-07 | 2024-02-13 | Covidien Lp | Handheld electromechanical surgical device including load sensor having spherical ball pivots |
US11399839B2 (en) | 2018-05-07 | 2022-08-02 | Covidien Lp | Surgical devices including trocar lock and trocar connection indicator |
US11534172B2 (en) | 2018-05-07 | 2022-12-27 | Covidien Lp | Electromechanical surgical stapler including trocar assembly release mechanism |
US20190388091A1 (en) | 2018-06-21 | 2019-12-26 | Covidien Lp | Powered surgical devices including strain gauges incorporated into flex circuits |
US10849622B2 (en) | 2018-06-21 | 2020-12-01 | Covidien Lp | Articulated stapling with fire lock |
US11497490B2 (en) | 2018-07-09 | 2022-11-15 | Covidien Lp | Powered surgical devices including predictive motor control |
US11241233B2 (en) | 2018-07-10 | 2022-02-08 | Covidien Lp | Apparatus for ensuring strain gauge accuracy in medical reusable device |
AU2019307743A1 (en) | 2018-07-19 | 2021-01-28 | Neptune Medical Inc. | Dynamically rigidizing composite medical structures |
US10736631B2 (en) | 2018-08-07 | 2020-08-11 | Covidien Lp | End effector with staple cartridge ejector |
US11596496B2 (en) | 2018-08-13 | 2023-03-07 | Covidien Lp | Surgical devices with moisture control |
US11076858B2 (en) | 2018-08-14 | 2021-08-03 | Covidien Lp | Single use electronics for surgical devices |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
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 |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
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 |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
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 |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US10849620B2 (en) | 2018-09-14 | 2020-12-01 | Covidien Lp | Connector mechanisms for surgical stapling instruments |
US11510669B2 (en) | 2020-09-29 | 2022-11-29 | Covidien Lp | Hand-held surgical instruments |
US11090051B2 (en) | 2018-10-23 | 2021-08-17 | Covidien Lp | Surgical stapling device with floating staple cartridge |
US11197673B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Surgical stapling instruments and end effector assemblies thereof |
US11717276B2 (en) | 2018-10-30 | 2023-08-08 | Covidien Lp | Surgical devices including adapters and seals |
US11197734B2 (en) | 2018-10-30 | 2021-12-14 | Covidien Lp | Load sensing devices for use in surgical instruments |
CN109316218B (zh) * | 2018-11-07 | 2021-05-04 | 成都颐合恒瑞医疗科技有限公司 | 外科吻合器及其钉仓组件 |
US11369372B2 (en) | 2018-11-28 | 2022-06-28 | Covidien Lp | Surgical stapler adapter with flexible cable assembly, flexible fingers, and contact clips |
WO2020131290A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Articulation assemblies for surgical instruments |
WO2020131298A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Surgical instruments having a reinforced staple cartridge |
WO2020131692A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Surgical instruments having mechanisms for identifying and/or deactivating stapler cartridges |
US10912563B2 (en) | 2019-01-02 | 2021-02-09 | Covidien Lp | Stapling device including tool assembly stabilizing member |
US11179206B2 (en) | 2019-01-29 | 2021-11-23 | Covidien Lp | Geared actuation mechanisms for surgical instruments such as for use in robotic surgical systems |
US10945797B2 (en) | 2019-01-29 | 2021-03-16 | Covidien Lp | Geared actuation mechanisms for surgical instruments such as for use in robotic surgical systems |
US11717355B2 (en) | 2019-01-29 | 2023-08-08 | Covidien Lp | Drive mechanisms for surgical instruments such as for use in robotic surgical systems |
US11202635B2 (en) | 2019-02-04 | 2021-12-21 | Covidien Lp | Programmable distal tilt position of end effector for powered surgical devices |
US11376006B2 (en) | 2019-02-06 | 2022-07-05 | Covidien Lp | End effector force measurement with digital drive circuit |
US10888387B2 (en) | 2019-02-15 | 2021-01-12 | Covidien Lp | Articulation mechanisms for surgical instruments such as for use in robotic surgical systems |
US10898285B2 (en) | 2019-02-15 | 2021-01-26 | Covidien Lp | Articulation mechanisms for surgical instruments such as for use in robotic surgical systems |
US11484372B2 (en) | 2019-02-15 | 2022-11-01 | Covidien Lp | Articulation mechanisms for surgical instruments such as for use in robotic surgical systems |
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 |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11331100B2 (en) | 2019-02-19 | 2022-05-17 | Cilag Gmbh International | Staple cartridge retainer system with authentication keys |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11344297B2 (en) | 2019-02-28 | 2022-05-31 | Covidien Lp | Surgical stapling device with independently movable jaws |
US11219461B2 (en) | 2019-03-08 | 2022-01-11 | Covidien Lp | Strain gauge stabilization in a surgical device |
US11259808B2 (en) | 2019-03-13 | 2022-03-01 | Covidien Lp | Tool assemblies with a gap locking member |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | 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 |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11284892B2 (en) | 2019-04-01 | 2022-03-29 | Covidien Lp | Loading unit and adapter with modified coupling assembly |
US11284893B2 (en) | 2019-04-02 | 2022-03-29 | Covidien Lp | Stapling device with articulating tool assembly |
US11241228B2 (en) | 2019-04-05 | 2022-02-08 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US11944302B2 (en) | 2019-04-15 | 2024-04-02 | Intuitive Surgical Operations, Inc. | Staple cartridge for a surgical instrument |
US11793392B2 (en) | 2019-04-17 | 2023-10-24 | Neptune Medical Inc. | External working channels |
US11369378B2 (en) * | 2019-04-18 | 2022-06-28 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US10952800B2 (en) | 2019-04-26 | 2021-03-23 | Covidien Lp | Articulation assembly for a surgical instrument such as for use in a robotic surgical system and methods of assembling the same |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11896224B2 (en) | 2019-05-31 | 2024-02-13 | Intuitive Surgical Operations, Inc. | Staple cartridge for a surgical instrument |
US11426168B2 (en) | 2019-07-05 | 2022-08-30 | Covidien Lp | Trocar coupling assemblies for a surgical stapler |
US11464541B2 (en) | 2019-06-24 | 2022-10-11 | Covidien Lp | Retaining mechanisms for trocar assembly |
US11058429B2 (en) | 2019-06-24 | 2021-07-13 | Covidien Lp | Load sensing assemblies and methods of manufacturing load sensing assemblies |
US11123101B2 (en) | 2019-07-05 | 2021-09-21 | Covidien Lp | Retaining mechanisms for trocar assemblies |
US11446035B2 (en) | 2019-06-24 | 2022-09-20 | Covidien Lp | Retaining mechanisms for trocar assemblies |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
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 |
US11723729B2 (en) | 2019-06-27 | 2023-08-15 | Cilag Gmbh International | Robotic surgical assembly coupling safety mechanisms |
US11612445B2 (en) | 2019-06-27 | 2023-03-28 | Cilag Gmbh International | Cooperative operation of robotic arms |
US11413102B2 (en) | 2019-06-27 | 2022-08-16 | Cilag Gmbh International | Multi-access port for surgical robotic systems |
US11607278B2 (en) | 2019-06-27 | 2023-03-21 | Cilag Gmbh International | Cooperative robotic surgical systems |
US11547468B2 (en) | 2019-06-27 | 2023-01-10 | Cilag Gmbh International | Robotic surgical system with safety and cooperative sensing control |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11259803B2 (en) * | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11786325B2 (en) | 2019-07-02 | 2023-10-17 | Intuitive Surgical Operations, Inc. | Remotely controlling a system using video |
CN110279448B (zh) * | 2019-07-27 | 2022-05-17 | 广西医科大学 | 一种自吻合型外科手术用操作手柄 |
US11224424B2 (en) | 2019-08-02 | 2022-01-18 | Covidien Lp | Linear stapling device with vertically movable knife |
CN110403659B (zh) * | 2019-08-21 | 2023-11-24 | 康奇舒宁(苏州)医疗科技有限公司 | 用于吻合器的推刀杆助力机构和吻合器 |
CN112401959B (zh) * | 2019-08-23 | 2022-11-18 | 江苏风和医疗器材股份有限公司 | 用于外科器械的端部执行器驱动装置及外科器械 |
US11406385B2 (en) | 2019-10-11 | 2022-08-09 | Covidien Lp | Stapling device with a gap locking member |
US11123068B2 (en) | 2019-11-08 | 2021-09-21 | Covidien Lp | Surgical staple cartridge |
US11534163B2 (en) | 2019-11-21 | 2022-12-27 | Covidien Lp | Surgical stapling instruments |
US11076850B2 (en) | 2019-11-26 | 2021-08-03 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US11707274B2 (en) | 2019-12-06 | 2023-07-25 | Covidien Lp | Articulating mechanism for surgical instrument |
US11109862B2 (en) | 2019-12-12 | 2021-09-07 | Covidien Lp | Surgical stapling device with flexible shaft |
US11737747B2 (en) | 2019-12-17 | 2023-08-29 | Covidien Lp | Hand-held surgical instruments |
US11291446B2 (en) | 2019-12-18 | 2022-04-05 | Covidien Lp | Surgical instrument including an adapter assembly and an articulating surgical loading unit |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
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 |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
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 |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | 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 |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11583275B2 (en) | 2019-12-27 | 2023-02-21 | Covidien Lp | Surgical instruments including sensor assembly |
US11950797B2 (en) | 2019-12-30 | 2024-04-09 | Cilag Gmbh International | Deflectable electrode with higher distal bias relative to proximal bias |
US11452525B2 (en) | 2019-12-30 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising an adjustment system |
US11696776B2 (en) | 2019-12-30 | 2023-07-11 | Cilag Gmbh International | Articulatable surgical instrument |
US11786294B2 (en) | 2019-12-30 | 2023-10-17 | Cilag Gmbh International | Control program for modular combination energy device |
US11684412B2 (en) | 2019-12-30 | 2023-06-27 | Cilag Gmbh International | Surgical instrument with rotatable and articulatable surgical end effector |
US20210196358A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instrument with electrodes biasing support |
US11779329B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a flex circuit including a sensor system |
US11779387B2 (en) | 2019-12-30 | 2023-10-10 | Cilag Gmbh International | Clamp arm jaw to minimize tissue sticking and improve tissue control |
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 |
US11812957B2 (en) | 2019-12-30 | 2023-11-14 | Cilag Gmbh International | Surgical instrument comprising a signal interference resolution system |
US20210196359A1 (en) | 2019-12-30 | 2021-07-01 | Ethicon Llc | Electrosurgical instruments with electrodes having energy focusing features |
US11937866B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Method for an electrosurgical procedure |
US11911063B2 (en) | 2019-12-30 | 2024-02-27 | Cilag Gmbh International | Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade |
US11660089B2 (en) | 2019-12-30 | 2023-05-30 | Cilag Gmbh International | Surgical instrument comprising a sensing system |
US11937863B2 (en) | 2019-12-30 | 2024-03-26 | Cilag Gmbh International | Deflectable electrode with variable compression bias along the length of the deflectable electrode |
US11642129B2 (en) | 2020-01-15 | 2023-05-09 | Intuitive Surgical Operations, Inc. | Staple cartridge and drive member for surgical instrument |
US11602365B2 (en) | 2020-01-21 | 2023-03-14 | Covidien Lp | Cam driver for surgical instruments |
US11331113B2 (en) | 2020-01-22 | 2022-05-17 | Covidien Lp | Drive and articulation mechanisms for surgical instruments for use in robotic surgical systems |
US11278282B2 (en) | 2020-01-31 | 2022-03-22 | Covidien Lp | Stapling device with selective cutting |
US11452524B2 (en) | 2020-01-31 | 2022-09-27 | Covidien Lp | Surgical stapling device with lockout |
US11458244B2 (en) | 2020-02-07 | 2022-10-04 | Covidien Lp | Irrigating surgical apparatus with positive pressure fluid |
US11648023B2 (en) | 2020-02-10 | 2023-05-16 | Covidien Lp | Drive mechanisms for surgical instruments |
US11553913B2 (en) | 2020-02-11 | 2023-01-17 | Covidien Lp | Electrically-determining tissue cut with surgical stapling apparatus |
US11890014B2 (en) | 2020-02-14 | 2024-02-06 | Covidien Lp | Cartridge holder for surgical staples and having ridges in peripheral walls for gripping tissue |
US11344301B2 (en) | 2020-03-02 | 2022-05-31 | Covidien Lp | Surgical stapling device with replaceable reload assembly |
US11344302B2 (en) | 2020-03-05 | 2022-05-31 | Covidien Lp | Articulation mechanism for surgical stapling device |
US11707278B2 (en) | 2020-03-06 | 2023-07-25 | Covidien Lp | Surgical stapler tool assembly to minimize bleeding |
US11246593B2 (en) | 2020-03-06 | 2022-02-15 | Covidien Lp | Staple cartridge |
US11357505B2 (en) | 2020-03-10 | 2022-06-14 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US11317911B2 (en) | 2020-03-10 | 2022-05-03 | Covidien Lp | Tool assembly with replaceable cartridge assembly |
US11406383B2 (en) | 2020-03-17 | 2022-08-09 | Covidien Lp | Fire assisted powered EGIA handle |
CN115666676A (zh) | 2020-03-30 | 2023-01-31 | 海王星医疗公司 | 用于刚性化装置的层状壁 |
US11426159B2 (en) | 2020-04-01 | 2022-08-30 | Covidien Lp | Sled detection device |
US11331098B2 (en) | 2020-04-01 | 2022-05-17 | Covidien Lp | Sled detection device |
US11504117B2 (en) | 2020-04-02 | 2022-11-22 | Covidien Lp | Hand-held surgical instruments |
US11607216B2 (en) | 2020-05-06 | 2023-03-21 | Janssen Pharmaceuticals, Inc. | Adaptive responses from smart packaging of drug delivery absorbable adjuncts |
US11937794B2 (en) | 2020-05-11 | 2024-03-26 | Covidien Lp | Powered handle assembly for surgical devices |
US11406387B2 (en) | 2020-05-12 | 2022-08-09 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
US11191537B1 (en) | 2020-05-12 | 2021-12-07 | Covidien Lp | Stapling device with continuously parallel jaws |
US11534167B2 (en) | 2020-05-28 | 2022-12-27 | Covidien Lp | Electrotaxis-conducive stapling |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
US11191538B1 (en) | 2020-06-08 | 2021-12-07 | Covidien Lp | Surgical stapling device with parallel jaw closure |
US11844517B2 (en) | 2020-06-25 | 2023-12-19 | Covidien Lp | Linear stapling device with continuously parallel jaws |
US11324500B2 (en) | 2020-06-30 | 2022-05-10 | Covidien Lp | Surgical stapling device |
US11446028B2 (en) | 2020-07-09 | 2022-09-20 | Covidien Lp | Tool assembly with pivotable clamping beam |
US11517305B2 (en) | 2020-07-09 | 2022-12-06 | Covidien Lp | Contoured staple pusher |
US11622768B2 (en) | 2020-07-13 | 2023-04-11 | Covidien Lp | Methods and structure for confirming proper assembly of powered surgical stapling systems |
US20220031351A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with differential articulation joint arrangements for accommodating flexible actuators |
US11266402B2 (en) | 2020-07-30 | 2022-03-08 | Covidien Lp | Sensing curved tip for surgical stapling instruments |
US11439392B2 (en) | 2020-08-03 | 2022-09-13 | Covidien Lp | Surgical stapling device and fastener for pathological exam |
US11395654B2 (en) | 2020-08-07 | 2022-07-26 | Covidien Lp | Surgical stapling device with articulation braking assembly |
US11925428B2 (en) | 2020-08-07 | 2024-03-12 | Covidien Lp | Manual end effector activation for robotic surgical systems |
US11737844B2 (en) | 2020-08-19 | 2023-08-29 | Covidien Lp | End effector assembly for use in a robotic surgical instrument |
US11896333B2 (en) | 2020-08-19 | 2024-02-13 | Covidien Lp | Robotic surgical instrument |
US11602342B2 (en) | 2020-08-27 | 2023-03-14 | Covidien Lp | Surgical stapling device with laser probe |
US11660091B2 (en) | 2020-09-08 | 2023-05-30 | Covidien Lp | Surgical device with seal assembly |
US11925406B2 (en) | 2020-09-14 | 2024-03-12 | Covidien Lp | End effector assemblies for surgical instruments |
US11678878B2 (en) | 2020-09-16 | 2023-06-20 | Covidien Lp | Articulation mechanism for surgical stapling device |
US11571192B2 (en) | 2020-09-25 | 2023-02-07 | Covidien Lp | Adapter assembly for surgical devices |
US11660092B2 (en) | 2020-09-29 | 2023-05-30 | Covidien Lp | Adapter for securing loading units to handle assemblies of surgical stapling instruments |
US11406384B2 (en) | 2020-10-05 | 2022-08-09 | Covidien Lp | Stapling device with drive assembly stop member |
US11576674B2 (en) | 2020-10-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with articulation lock assembly |
US11957422B2 (en) | 2020-10-15 | 2024-04-16 | Covidien Lp | Surgical instruments for use in robotic surgical systems and methods relating to the same |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
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 |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
JP2023547908A (ja) * | 2020-10-29 | 2023-11-14 | アプライド メディカル リソーシーズ コーポレイション | 手術用ステープラー用の作動シャフト保持機構 |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11890007B2 (en) | 2020-11-18 | 2024-02-06 | Covidien Lp | Stapling device with flex cable and tensioning mechanism |
US11653919B2 (en) | 2020-11-24 | 2023-05-23 | Covidien Lp | Stapler line reinforcement continuity |
US11744580B2 (en) | 2020-11-24 | 2023-09-05 | Covidien Lp | Long stapler reloads with continuous cartridge |
US11678883B2 (en) | 2020-11-25 | 2023-06-20 | Cilag Gmbh International | Compressible knitted adjuncts with varying interconnections |
US11707279B2 (en) | 2020-11-25 | 2023-07-25 | Cilag Gmbh International | Compressible knitted adjuncts with finished edges |
US11690617B2 (en) | 2020-11-25 | 2023-07-04 | Cilag Gmbh International | Compressible knitted adjuncts with finished edges |
US11446027B2 (en) | 2020-11-25 | 2022-09-20 | Cilag Gmbh International | Compressible knitted adjuncts with surface features |
US11648007B2 (en) | 2020-11-25 | 2023-05-16 | Cilag Gmbh International | Compressible knitted adjuncts with varying fiber features |
CN112472220B (zh) * | 2020-11-27 | 2022-02-18 | 常州安康医疗器械有限公司 | 一种压力均衡型超声刀 |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
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 |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11737774B2 (en) | 2020-12-04 | 2023-08-29 | Covidien Lp | Surgical instrument with articulation assembly |
US11819200B2 (en) | 2020-12-15 | 2023-11-21 | Covidien Lp | Surgical instrument with articulation assembly |
CN112603407B (zh) * | 2020-12-18 | 2022-07-19 | 常州安康医疗器械有限公司 | 一种带锁定机构的弧形切割吻合器 |
US11553914B2 (en) | 2020-12-22 | 2023-01-17 | Covidien Lp | Surgical stapling device with parallel jaw closure |
US11744582B2 (en) | 2021-01-05 | 2023-09-05 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
US11759206B2 (en) | 2021-01-05 | 2023-09-19 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
CN112754576B (zh) * | 2021-01-23 | 2022-04-15 | 常州安康医疗器械有限公司 | 一种便于定位的微创腔镜吻合器 |
US11517313B2 (en) | 2021-01-27 | 2022-12-06 | Covidien Lp | Surgical stapling device with laminated drive member |
US11759207B2 (en) | 2021-01-27 | 2023-09-19 | Covidien Lp | Surgical stapling apparatus with adjustable height clamping member |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
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 |
US11717300B2 (en) | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
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 |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
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 |
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 |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
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 |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
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 |
US11849950B2 (en) | 2021-03-30 | 2023-12-26 | Cilag Gmbh International | Compressible adjuncts with drug dosage control features |
US11786240B2 (en) | 2021-03-30 | 2023-10-17 | Cilag Gmbh International | Using smart packaging in adjusting use of tissue adjuncts |
US11839374B2 (en) | 2021-03-30 | 2023-12-12 | Cilag Gmbh International | Compressible adjuncts with drug release features |
US11850332B2 (en) | 2021-03-30 | 2023-12-26 | Cilag Gmbh International | Method for treating tissue |
US20220313255A1 (en) | 2021-03-30 | 2022-10-06 | Cilag Gmbh International | Smart packaging for tissue adjuncts |
US20220313259A1 (en) | 2021-03-30 | 2022-10-06 | Cilag Gmbh International | Implantable adjuncts having adjustable degradation profile |
US11864765B2 (en) | 2021-03-30 | 2024-01-09 | Cilag Gmbh International | Compressible adjuncts with fluid control features |
US20220313145A1 (en) | 2021-03-30 | 2022-10-06 | Cilag Gmbh International | Monitoring healing after tissue adjunct implantation |
US11627961B2 (en) | 2021-03-30 | 2023-04-18 | Cilag Gmbh International | Compressible adjuncts with different behavioral zones |
US20220313262A1 (en) | 2021-03-30 | 2022-10-06 | Cilag Gmbh International | Composite adjuncts that degrade through multiple different mechanisms |
US11504125B2 (en) | 2021-03-30 | 2022-11-22 | Cilag Gmbh International | Tissue thickness compensating adjuncts having regions of differential expansion |
US20220313256A1 (en) | 2021-03-30 | 2022-10-06 | Cilag Gmbh International | Passively powered packaging for tissue adjuncts |
US11602341B2 (en) | 2021-03-30 | 2023-03-14 | Cilag Gmbh International | Compressible adjuncts with drug release features |
US11896226B2 (en) | 2021-03-30 | 2024-02-13 | Cilag Gmbh International | Compressible adjuncts with healing-dependent degradation profile |
US11497495B2 (en) | 2021-03-31 | 2022-11-15 | Covidien Lp | Continuous stapler strip for use with a surgical stapling device |
US11666330B2 (en) | 2021-04-05 | 2023-06-06 | Covidien Lp | Surgical stapling device with lockout mechanism |
US11576670B2 (en) | 2021-05-06 | 2023-02-14 | Covidien Lp | Surgical stapling device with optimized drive assembly |
US11812956B2 (en) | 2021-05-18 | 2023-11-14 | Covidien Lp | Dual firing radial stapling device |
US11696755B2 (en) | 2021-05-19 | 2023-07-11 | Covidien Lp | Surgical stapling device with reload assembly removal lockout |
CN113288276B (zh) * | 2021-05-25 | 2022-07-19 | 常州安康医疗器械有限公司 | 一种可调节钉砧结构的腔镜吻合器 |
US11510673B1 (en) | 2021-05-25 | 2022-11-29 | Covidien Lp | Powered stapling device with manual retraction |
US11771423B2 (en) | 2021-05-25 | 2023-10-03 | Covidien Lp | Powered stapling device with manual retraction |
US11701119B2 (en) | 2021-05-26 | 2023-07-18 | Covidien Lp | Powered stapling device with rack release |
US20220378425A1 (en) | 2021-05-28 | 2022-12-01 | Cilag Gmbh International | Stapling instrument comprising a control system that controls a firing stroke length |
US11684362B2 (en) | 2021-06-07 | 2023-06-27 | Covidien Lp | Handheld electromechanical surgical system |
US11576675B2 (en) | 2021-06-07 | 2023-02-14 | Covidien Lp | Staple cartridge with knife |
US11771432B2 (en) | 2021-06-29 | 2023-10-03 | Covidien Lp | Stapling and cutting to default values in the event of strain gauge data integrity loss |
US11707275B2 (en) | 2021-06-29 | 2023-07-25 | Covidien Lp | Asymmetrical surgical stapling device |
US11617579B2 (en) | 2021-06-29 | 2023-04-04 | Covidien Lp | Ultra low profile surgical stapling instrument for tissue resections |
US11931026B2 (en) | 2021-06-30 | 2024-03-19 | Cilag Gmbh International | Staple cartridge replacement |
US11602344B2 (en) | 2021-06-30 | 2023-03-14 | Covidien Lp | Surgical stapling apparatus with firing lockout assembly |
US11786248B2 (en) | 2021-07-09 | 2023-10-17 | Covidien Lp | Surgical stapling device including a buttress retention assembly |
US11819209B2 (en) | 2021-08-03 | 2023-11-21 | Covidien Lp | Hand-held surgical instruments |
US11540831B1 (en) | 2021-08-12 | 2023-01-03 | Covidien Lp | Staple cartridge with actuation sled detection |
US11862884B2 (en) | 2021-08-16 | 2024-01-02 | Covidien Lp | Surgical instrument with electrical connection |
US11779334B2 (en) * | 2021-08-19 | 2023-10-10 | Covidien Lp | Surgical stapling device including a manual retraction assembly |
US11707277B2 (en) | 2021-08-20 | 2023-07-25 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
US11576671B1 (en) | 2021-08-20 | 2023-02-14 | Covidien Lp | Small diameter linear surgical stapling apparatus |
CN113693712B (zh) * | 2021-08-30 | 2022-09-13 | 浙江微度医疗器械有限公司 | 一种双操作手柄电凝切割器械 |
US11864761B2 (en) | 2021-09-14 | 2024-01-09 | Covidien Lp | Surgical instrument with illumination mechanism |
WO2023052935A1 (en) | 2021-09-29 | 2023-04-06 | Cilag Gmbh International | Surgical devices, systems, and methods for control of one visualization with another |
WO2023052943A1 (en) | 2021-09-29 | 2023-04-06 | Cilag Gmbh International | Surgical devices, systems, and methods for control of one visualization with another |
US20230096268A1 (en) | 2021-09-29 | 2023-03-30 | Cilag Gmbh International | Methods for Controlling Cooperative Surgical Instruments |
US11653922B2 (en) | 2021-09-29 | 2023-05-23 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
WO2023052945A1 (en) | 2021-09-29 | 2023-04-06 | Cilag Gmbh International | Surgical devices, systems, and methods for control of one visualization with another |
US11660094B2 (en) | 2021-09-29 | 2023-05-30 | Covidien Lp | Surgical fastening instrument with two-part surgical fasteners |
WO2023052937A1 (en) | 2021-09-29 | 2023-04-06 | Cilag Gmbh International | Surgical system for altering the body's sensing of food |
US20230100698A1 (en) | 2021-09-29 | 2023-03-30 | Cilag Gmbh International | Methods for Controlling Cooperative Surgical Instruments |
WO2023052941A1 (en) | 2021-09-29 | 2023-04-06 | Cilag Gmbh International | Surgical system for delivering energy to tissue in an anatomic space and monitoring a tissue parameter in a different anatomic space |
WO2023052947A1 (en) | 2021-09-29 | 2023-04-06 | Cilag Gmbh International | Surgical devices, systems, and methods for control of one visualization with another |
US20230103005A1 (en) | 2021-09-29 | 2023-03-30 | Cilag Gmbh International | Methods for Controlling Cooperative Surgical Instruments |
WO2023052936A1 (en) | 2021-09-29 | 2023-04-06 | Cilag Gmbh International | Systems for controlling cooperative surgical instruments with variable surgical site access trajectories |
US11849949B2 (en) | 2021-09-30 | 2023-12-26 | Covidien Lp | Surgical stapling device with firing lockout member |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
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 |
US11957342B2 (en) | 2021-11-01 | 2024-04-16 | Cilag Gmbh International | Devices, systems, and methods for detecting tissue and foreign objects during a surgical operation |
CN114284978B (zh) * | 2021-12-31 | 2024-04-19 | 福建泉源电气设备有限公司 | 110kV整体预制式户外终端、测试工装及其测试方法 |
US11832823B2 (en) | 2022-02-08 | 2023-12-05 | Covidien Lp | Determination of anvil release during anastomosis |
US20230346204A1 (en) | 2022-04-27 | 2023-11-02 | Neptune Medical Inc. | Endoscope sheath apparatuses |
CN115005900B (zh) * | 2022-08-09 | 2022-11-04 | 生一科技(北京)有限公司 | 微创手术器械组件及微创手术器械 |
CN115624372B (zh) * | 2022-12-15 | 2023-04-07 | 北京新云医疗科技有限公司 | 一种手术器械 |
CN116879045B (zh) * | 2023-09-07 | 2023-12-08 | 常州市建筑材料研究所有限公司 | 一种便于使用的门窗抗压性能检测装置 |
Family Cites Families (47)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5413268A (en) * | 1989-05-26 | 1995-05-09 | United States Surgical Corporation | Apparatus and method for placing stables in laparoscopic or endoscopic procedures |
US5383880A (en) * | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5389098A (en) * | 1992-05-19 | 1995-02-14 | Olympus Optical Co., Ltd. | Surgical device for stapling and/or fastening body tissues |
US5807393A (en) * | 1992-12-22 | 1998-09-15 | Ethicon Endo-Surgery, Inc. | Surgical tissue treating device with locking mechanism |
US5406261A (en) * | 1993-01-11 | 1995-04-11 | Glenn; James T. | Computer security apparatus and method |
US5688270A (en) * | 1993-07-22 | 1997-11-18 | Ethicon Endo-Surgery,Inc. | Electrosurgical hemostatic device with recessed and/or offset electrodes |
US5441193A (en) * | 1993-09-23 | 1995-08-15 | United States Surgical Corporation | Surgical fastener applying apparatus with resilient film |
US5542594A (en) * | 1993-10-06 | 1996-08-06 | United States Surgical Corporation | Surgical stapling apparatus with biocompatible surgical fabric |
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 |
US5529235A (en) * | 1994-04-28 | 1996-06-25 | Ethicon Endo-Surgery, Inc. | Identification device for surgical instrument |
US5814057A (en) * | 1994-06-03 | 1998-09-29 | Gunze Limited | Supporting element for staple region |
US5779130A (en) * | 1994-08-05 | 1998-07-14 | United States Surgical Corporation | Self-contained powered surgical apparatus |
US5601582A (en) * | 1994-11-16 | 1997-02-11 | Wilson-Cook Medical Inc. | Cutting catheter |
US5704534A (en) | 1994-12-19 | 1998-01-06 | Ethicon Endo-Surgery, Inc. | Articulation assembly for surgical instruments |
US5632432A (en) * | 1994-12-19 | 1997-05-27 | Ethicon Endo-Surgery, Inc. | Surgical instrument |
US5665285A (en) * | 1995-01-24 | 1997-09-09 | Mitsubishi Yuka Badische Co., Ltd. | Method for producing a molded foam article with an integral skin |
EP0861048A4 (en) * | 1995-07-03 | 2000-05-17 | Dirk A Frater | SYSTEM FOR FASTENING SUPPORT MATERIAL ON TISSUE CLASP DEVICES |
US5702409A (en) * | 1995-07-21 | 1997-12-30 | W. L. Gore & Associates, Inc. | Device and method for reinforcing surgical staples |
US5810855A (en) | 1995-07-21 | 1998-09-22 | Gore Enterprise Holdings, Inc. | Endoscopic device and method for reinforcing surgical staples |
US5782396A (en) * | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
US5797537A (en) * | 1996-02-20 | 1998-08-25 | Richard-Allan Medical Industries, Inc. | Articulated surgical instrument with improved firing mechanism |
US5872515A (en) * | 1996-03-20 | 1999-02-16 | Samsung Electronics Co., Ltd. | Laptop computer with an anti-theft alarm function and a method of controlling the same |
US6109500A (en) * | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
US5769892A (en) * | 1996-10-22 | 1998-06-23 | Mitroflow International Inc. | Surgical stapler sleeve for reinforcing staple lines |
US5865361A (en) * | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
US6166688A (en) * | 1999-03-31 | 2000-12-26 | International Business Machines Corporation | Data processing system and method for disabling a portable computer outside an authorized area |
US6572626B1 (en) * | 2000-10-19 | 2003-06-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a fastener delivery mechanism |
WO2002053808A1 (en) * | 2001-01-03 | 2002-07-11 | Wen Lu | Stable conjugated polymer electrochromic devices incorporating ionic liquids |
US6652521B2 (en) * | 2001-01-24 | 2003-11-25 | Ethicon, Inc. | Surgical instrument with a bi-directional cutting element |
US6554829B2 (en) * | 2001-01-24 | 2003-04-29 | Ethicon, Inc. | Electrosurgical instrument with minimally invasive jaws |
JP4453801B2 (ja) * | 2001-04-20 | 2010-04-21 | パワー メディカル インターベンションズ, エルエルシー | 双極性の又は超音波の外科用装置 |
US6503257B2 (en) * | 2001-05-07 | 2003-01-07 | Ethicon Endo-Surgery, Inc. | Method for releasing buttress material attached to a surgical fastening device |
US6656193B2 (en) * | 2001-05-07 | 2003-12-02 | Ethicon Endo-Surgery, Inc. | Device for attachment of buttress material to a surgical fastening device |
US7208005B2 (en) * | 2001-08-06 | 2007-04-24 | The Penn State Research Foundation | Multifunctional tool and method for minimally invasive surgery |
US6835173B2 (en) * | 2001-10-05 | 2004-12-28 | Scimed Life Systems, Inc. | Robotic endoscope |
US6905497B2 (en) * | 2001-10-22 | 2005-06-14 | Surgrx, Inc. | Jaw structure for electrosurgical instrument |
CA2485107C (en) | 2002-05-10 | 2011-07-12 | Tyco Healthcare Group Lp | Surgical stapling apparatus having a wound closure material applicator assembly |
US6788216B2 (en) * | 2002-09-18 | 2004-09-07 | Chung-Yang M. Chen | Accessory alarm device of computer lock |
AU2003293191B2 (en) | 2002-11-29 | 2008-08-07 | William E. Cohn | Apparatus and method for manipulating tissue |
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 |
US7044352B2 (en) * | 2003-05-20 | 2006-05-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a single lockout mechanism for prevention of firing |
US6978921B2 (en) * | 2003-05-20 | 2005-12-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an E-beam firing mechanism |
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 |
US6959852B2 (en) * | 2003-09-29 | 2005-11-01 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with multistroke firing incorporating an anti-backup 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 |
-
2005
- 2005-06-21 US US11/157,767 patent/US7143925B2/en active Active
- 2005-07-22 CA CA2512977A patent/CA2512977C/en not_active Expired - Fee Related
- 2005-07-27 JP JP2005217080A patent/JP4902973B2/ja not_active Expired - Fee Related
- 2005-07-27 RU RU2005123979/14A patent/RU2005123979A/ru not_active Application Discontinuation
- 2005-07-27 RU RU2005123961/14A patent/RU2005123961A/ru not_active Application Discontinuation
- 2005-07-28 MX MXPA05008046A patent/MXPA05008046A/es unknown
- 2005-07-28 CN CN200510087341A patent/CN100579470C/zh active Active
- 2005-07-28 CN CNB2005100873329A patent/CN100479769C/zh active Active
- 2005-07-28 BR BRPI0503041-2A patent/BRPI0503041A/pt not_active IP Right Cessation
- 2005-07-28 CN CNB2005100873390A patent/CN100566667C/zh active Active
- 2005-07-28 CN CN2005100895296A patent/CN1745720B/zh active Active
- 2005-07-28 CN CNB2005100895192A patent/CN100500104C/zh active Active
- 2005-07-28 CN CNB2005100895309A patent/CN100569189C/zh active Active
- 2005-07-28 CN CNB2005100873333A patent/CN100569188C/zh active Active
- 2005-07-28 CN CN200510087335A patent/CN100579468C/zh active Active
- 2005-07-28 CN CN200510087334A patent/CN100579467C/zh active Active
- 2005-07-28 CN CN200510089521XA patent/CN1732859B/zh active Active
- 2005-07-28 BR BRPI0503039-0A patent/BRPI0503039A/pt not_active IP Right Cessation
- 2005-07-28 CN CNB2005100895205A patent/CN100515349C/zh active Active
Cited By (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103687551B (zh) * | 2011-05-27 | 2017-02-15 | 伊西康内外科公司 | 用于外科器械的机器人控制的轴类旋转驱动系统 |
CN105324086B (zh) * | 2013-04-16 | 2018-02-02 | 伊西康内外科公司 | 动力外科缝合器 |
CN105324086A (zh) * | 2013-04-16 | 2016-02-10 | 伊西康内外科公司 | 动力外科缝合器 |
CN107257663A (zh) * | 2014-12-18 | 2017-10-17 | 伊西康有限责任公司 | 用于能够关节运动的外科器械的驱动布置结构 |
CN107257663B (zh) * | 2014-12-18 | 2020-07-28 | 伊西康有限责任公司 | 用于能够关节运动的外科器械的驱动布置结构 |
CN107530122A (zh) * | 2015-04-16 | 2018-01-02 | 伊西康有限责任公司 | 带有具有多个锁定位置的可旋转轴的外科器械 |
CN107530103A (zh) * | 2015-04-16 | 2018-01-02 | 伊西康有限责任公司 | 配备具有多个锁定位置的关节运动接头的超声外科器械 |
US11272951B2 (en) | 2015-04-16 | 2022-03-15 | Cilag Gmbh International | Ultrasonic surgical instrument with articulation joint having plurality of locking positions |
CN107019532A (zh) * | 2015-11-06 | 2017-08-08 | 柯惠Lp公司 | 手术设备 |
CN107019532B (zh) * | 2015-11-06 | 2020-10-20 | 柯惠Lp公司 | 手术设备 |
CN109077762A (zh) * | 2017-06-14 | 2018-12-25 | 美多斯国际有限公司 | 用于塌缩式缝合线套环的指套 |
CN109077762B (zh) * | 2017-06-14 | 2023-05-16 | 美多斯国际有限公司 | 用于塌缩式缝合线套环的指套 |
CN110740702A (zh) * | 2017-06-15 | 2020-01-31 | 天津瑞奇外科器械股份有限公司 | 电外科系统和方法 |
CN109939336A (zh) * | 2019-03-12 | 2019-06-28 | 杭州巴泰医疗器械有限公司 | 一种用于血管扩张手术的带支架球囊导管结构 |
CN112494087A (zh) * | 2020-11-30 | 2021-03-16 | 徐州医科大学 | 一种小关节缝合穿线器 |
CN114305558A (zh) * | 2021-05-27 | 2022-04-12 | 天津瑞奇外科器械股份有限公司 | 一种外科器械及其操作方法 |
CN114305558B (zh) * | 2021-05-27 | 2024-02-23 | 天津瑞奇外科器械股份有限公司 | 一种外科器械及其操作方法 |
WO2023125115A1 (zh) * | 2021-12-29 | 2023-07-06 | 江苏风和医疗器材股份有限公司 | 用于外科器械的钳口组件驱动装置及外科器械 |
TWI797043B (zh) * | 2022-08-04 | 2023-03-21 | 台灣先進手術醫療器材股份有限公司 | 具鎖定結構的血管施夾裝置 |
Also Published As
Publication number | Publication date |
---|---|
BRPI0503041A (pt) | 2006-03-14 |
CN100479769C (zh) | 2009-04-22 |
CA2512977A1 (en) | 2006-01-28 |
CN1726877A (zh) | 2006-02-01 |
CA2512977C (en) | 2014-12-09 |
CN100500104C (zh) | 2009-06-17 |
RU2005123979A (ru) | 2007-02-10 |
CN100515349C (zh) | 2009-07-22 |
CN1726876A (zh) | 2006-02-01 |
CN100579467C (zh) | 2010-01-13 |
CN100566667C (zh) | 2009-12-09 |
CN100569188C (zh) | 2009-12-16 |
CN1726878A (zh) | 2006-02-01 |
CN1732856A (zh) | 2006-02-15 |
CN1745719A (zh) | 2006-03-15 |
CN100579470C (zh) | 2010-01-13 |
CN100579468C (zh) | 2010-01-13 |
BRPI0503039A (pt) | 2006-03-14 |
CN1732859A (zh) | 2006-02-15 |
CN1726874A (zh) | 2006-02-01 |
US20060022015A1 (en) | 2006-02-02 |
US7143925B2 (en) | 2006-12-05 |
JP4902973B2 (ja) | 2012-03-21 |
CN1745720A (zh) | 2006-03-15 |
CN1726875A (zh) | 2006-02-01 |
MXPA05008046A (es) | 2006-02-10 |
CN1732855A (zh) | 2006-02-15 |
CN100569189C (zh) | 2009-12-16 |
CN1745720B (zh) | 2010-12-15 |
CN1732859B (zh) | 2010-07-07 |
RU2005123961A (ru) | 2007-02-10 |
JP2006034980A (ja) | 2006-02-09 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN1732857A (zh) | 采用电致动关节锁定机构的外科器械 | |
EP1621146B1 (en) | Surgical instrument incorporating an articulation locking mechanism | |
JP5000233B2 (ja) | 単一通路における胃縮小術を内視鏡により行なうための方法および装置 | |
EP1621143B1 (en) | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism | |
CN105682576B (zh) | 用于电动外科缝合器械的控制特征 | |
CN1939226A (zh) | 用于多击发外科固定器械的基于电活化聚合物的关节机构 | |
CA2514214C (en) | Surgical instrument incorporating an electrically actuated pivoting articulation mechanism | |
CN1736340A (zh) | 具有电活化聚合物致动式防发射单向锁定机构的外科缝合器械 | |
CN1939232A (zh) | 用于直线型外科缝合器的基于电活化聚合物的关节运动机构 | |
US20060025809A1 (en) | Surgical instrument incorporating an electrically actuated articulation mechanism | |
CN1957854A (zh) | 锁定机构和具有该锁定机构的外科器械 | |
CN101066217A (zh) | 带有一次性的切割/缝合单元的电外科缝合器械 | |
CN1636528A (zh) | 金属圈吻合装置 | |
CN101028205A (zh) | 具有力控制间距的端部执行器的外科缝合器械 | |
CN1596833A (zh) | 具有横向移动铰接控制装置的外科器械 | |
CN101077312A (zh) | 内窥镜胃间隔术的方法和装置 | |
CN110300554A (zh) | 用于将辅料附接到外科器械的混合机构 | |
CN217408875U (zh) | 一种缓冲驱动装置及电动缝合器 | |
CN1194576A (zh) | 用于外科手术中的外科缝合器和缝合方法 |
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 |