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Publication numberUS3746002 A
Publication typeGrant
Publication dateJul 17, 1973
Filing dateApr 29, 1971
Priority dateApr 29, 1971
Publication numberUS 3746002 A, US 3746002A, US-A-3746002, US3746002 A, US3746002A
InventorsHaller J
Original AssigneeHaller J
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Atraumatic surgical clamp
US 3746002 A
Abstract
A vascular clamp includes a plurality of elongated jaws operatively connected together for movement from an open position to a clamping position. At least one of the jaws is provided with a resilient gripping member. A plurality of pin members are imbedded into the resilient gripping member and extend generally in the direction of the clamping motion of the jaw on which the resilient gripping member is provided. The inner end of the pin members is fixedly positioned with respect to the jaw on which the resilient member is provided. The length of the pin members is such that their outer ends lie beneath the outer surface of the resilient clamping member when the jaws are in their open position and extend beyond the outer surface of the resilient member when the jaws are in their clamping position. When the jaws are in their clamping position, the object being clamped compresses the resilient member and the pins extend beyond the outer surface of the compressed resilient member and thus grippingly engage the object clamped between the jaws.
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United States Patent [191 Haller 1451 July 17, 1973 ATRAUMATIC SURGICAL CLAMP [76] Inventor: Jorden D. Haller, 2603 Avenue K,

Brooklyn, NY. 11210 [22] Filed: Apr. 29, 1971 [21] Appl. No.: 138,653

[52] US. Cl 128/322, 024/262 R, 128/346 [51] Int. Cl.. A6lb 17/28, A61b 17/08, A44b 21/00 [58] Field of Search 24/262; 128/322, 128/325, 346; 339/255 P [56] References Cited UNITED STATES PATENTS 1,987,987 1/1935 Bohmbach 24/262 R 2,659,371 11/1953 Schnee 128/346 2,743,726 5/1956 Grieshaber 128/322 UX 3,045,303 7/1962 Wade 024/262 X 3,503,396 3/1970 Pierie et al 128/322 3,503,397 3/1970 Fogarty et al..... 128/322 3,515,139 6/1970 Mallina 128/322 OTHER PUBLICATIONS Redo, S. Frank, A New Clamp For Gastrointestinal Surgery, In Surgery, 462, 421 422. Aug. 1959.

Primary Examiner-Channing L. Pace Attorney-Larson, Taylor & Hinds [5 7] ABSTRACT A vascular clamp includes a plurality of elongated jaws operatively connected together for movement from an open position to a clamping position. At least one of the jaws is provided with a resilient gripping member. A plurality of pin members are imbedded into the resilient gripping member and extend generally in the direction of the clamping motion of the jaw on which the resilient gripping member is provided. The inner end of the pin members is fixedly positioned with respect to the jaw on which the resilient member is provided. The length of the pin members is such that their outer ends lie beneath the outer surface of the resilient clamping member when the jaws are in their open position and extend beyond the outer surface of the resilient member when the jaws are in their clamping position. When the jaws are in their clamping position, the object being clamped compresses the resilient member and the pins extend beyond the outer surface of the compressed rcsilient member and thus grippingly engage the object clamped between the jaws.

6 Claims, 3 Drawing Figures .I! mmnmmma'fi mm l2 l5 l4 msmznmw 3.746.002

mvnmon JORDAN D. HALLER 5254M, ja /mf ws ATTORNEYS ATRAUMATIC SURGICAL CLAMP BACKGROUND OF THE INVENTION The present invention relates to vascular clamps. More specifically, the invention relates to atraumatic surgical clamps.

The first clamp really designed for vascular surgery was the Potts clamp which was made with many fine, sharp teeth specifically for use in infants for a patent ductus or a coarctation of the aorta. The aorta of an infant is very spongy and it can be occluded by the Potts clamp very effectively. This was, for many years, the only vascular clamp, but unfortunately, it came to be used in peripheral vessels where there is arteriosclerosis. These rigid vessels walls are filled with calcium. The use of this clamp is well known to be associated with trauma to the vessel, actually disrupting the vessel wall at the site where it is applied. The surgical literature is now filled with case reports of subsequent disruption or aneurysm formation at the site of the clamp rather than at the site of the previous vascular surgery. Recognizing the need for a better clamp, other instruments were developed such as the DeBakey clamp, which is probably the most widely used. However, it too is well known for itstrauma to peripheral vessels. Studies designed specifically to compare many vascular clamps now made have shown that all except for the Fogarty hydragrip clamp are traumatic to vessels and cause disruption. The Fogarty clamp is not traumatic since it utilizes a cushioned plastic resilient gripping member rather than a serrated metal closure. The jaws of this clamp have on one side a water-filled soft plastic which is pliable and on the other side a slightly serrated plastic. While this clamp most closely approximates the atraumatic occlusion that can be achieved at present only by the experienced surgeons fingers, the clamp, too, has a very serious defect since it slips very easily. For this reason, this clamp has not gained wide acceptance. It is easy to visualize that because a clamp is smooth, the pulsations of a normal artery tend to force it off the vessel causing the surgeons field to be obscured by much bleeding.

It is an object of the invention to provide an improved vascular clamp. It is a further object to provide an improved atraumatic vascular clamp which avoids the disadvantages previously associated with atraumatic clamps known heretofore.

BRIEF SUMMARY OF THE INVENTION The foregoing and other objects which will be apparent to those having ordinary skill in the art are achieved according to the present invention by providing a surgical clamp comprising a pair of elongated jaws operatively connected together for movement from an open position to a clamping position, at least one of said jaws comprising a resilient gripping member, said resilient gripping member having imbedded therein a plurality of elongate pin members extending generally in the direction of the clamping motion of the jaw on which the resilient member is provided, the inner end of said pin members being fixedly positioned with respect to said jaw, said pin members having a length such that their outer ends lie under the outer surface of said resilient gripping member when the jaws are in their open position and extend beyond the outer surface of said resilient gripping member when the jaws are in their clamp ing position with said resilient member being compressed by an object being clamped, whereby the outer ends of said pin members grippingly engage an object clamped between said jaws.

DETAILED DESCRIIPTION There follows a detailed description of a preferred embodiment of the invention, together with accompanying drawings. However, it is to be understood that the detailed description and accompanying drawings are provided solely for the purpose of illustrating a preferred embodiment and that the invention is capable of numerous modifications and variations apparent to those skilled in the art without departing from the spirit and scope of the invention.

FIG. 1 is a perspective view of a surgical clamp embodying the features of the present invention;

FIG 2 is a sectional view of the jaws of the clamp of FIG. 1 and shown in an open position; and

FIG. 3 is a sectional view of the jaws of the clamp of FIG. 1 and shown in a clamping position.

With reference to FIG. 1, a surgical clamp has a pair of straight elongated jaw members 1 and 2 which are pivotally interconnected at 3 for movement from an open position as shown in FIGS. 1 and 2 into a clamping position as shown in FIG. 3. The clamp is generally conventional in configuration including handle portions 4 and 5 in the general arrangement of a pair of pliers. Preferably, the jaws are bent at 6 at a considerable angle to the hinge and handle portions. The extremity of each handle portion carries a finger loop 7 and the handle portions are equipped with conventional locking lugs 8 having interengageable ratchet teeth.

According to the present invention, at least one of the jaws l and 2 is provided with a resilient gripping member 9 having imbedded therein a plurality of elon gate pin members 10 extending generally in the direction of the clamping motion of the jaws indicated as arrow 11 in FIG. 2. This direction will usually be substantially normal to i jaw surface. The inner end 12 of each pin member is fixed in position with respect to the jaw in which the pin member is located. For example, the pin members may be welded or screwed or otherwise secured directly to the jaw. The length of the pin members is such that their outer ends 13 lie under the outer surface 14 of resilient clamping member 9 when the jaws are in their open position as shown in FIG. 2.

When a vessel such as vessel 15 shown in FIG. 3 is clamped by the jaws, resilient members 9 compress as shown. The length of the pin members It) is such that when the jaws are in their clamping position with the resilient member compressed as shown in FIG. 3, the outer ends 13 of the pin members grippingly engage the vessel clamped between the jaws. Thus,just as the resilient material becomes compressed, a fine row of metal teeth are bared. These teeth protrude only a very short distance to puncture only the outermost layer of the blood vessel and not the full thickness thereof. In this way, there would be no damage to the inner wall of the blood vessel. The teeth are preferably tine, no larger than a diameter of 10 mils, and preferably 5-0 or less in size. Thus, the clamp would simulate the atraumatic closure of the fingers on both sides of the vessel but the vessel would be held in place by the fine row of teeth.

These teeth are limited in their exposure by their length so that in fully closed position of the clamp, the teeth penetrate only a suitable distance above the outer surface of the compressed resilient member 9. This distance is preferably not more than three mm. and still more preferably, not more than 1.5 mm.

The resilient members 9 can be any flexible plastic such as that disclosed in Fogarty US. Pat. No. 3,503,398. In that patent, the resilient plastic member includes a liquid filled cavity. When such a member is utilized according to the present invention, the pin members are provided in areas of the flexible plastic not occupied by the fluid-filled cavity. Alternatively, of course, any suitable flexible plastic material such as foam plastic, elastomeric material, and the like, can be utilized as the resilient member 9.

The pin members 10 according to the present invention are preferably pointed and needle-like. These are conveniently welded or otherwise secured to the metal jaws l and 2 and the resilient member is subsequently secured to the jaws such as by adhesives or the like. The number and arrangement of pins can vary widely. However, in general, it is preferred that the pin spacing is such that the space between adjacent pin members is from 0.03 to 0.25 inches. 11: is preferred that both jaws of the clamp are provided with resilient gripping members according to the invention. However, one of the jaws may be plain or provided with a conventional gripping member, preferably atraumatic.

What is claimed is:

l. A vascular clamp comprising a pair of elongated jaws operatively connected together for clamping movement from an open position in which the jaws are separated from one another to a clamping position in which the jaws are in adjacency, at least one of said jaws comprising a resilient gripping member positioned on said jaw at a surface thereof facing the other jaw, said resilient gripping member having imbedded therein a plurality of elongate pin members extending generally in the direction of the clamping motion of the jaw on which the resilient member is provided, one end of said pin members being fixedly connected to said jaw, said pin members having a length such that their other ends lie under the outer surface of said resilient gripping member facing the other jaw when the jaws are in their open position and extend beyond the said outer surface of said resilient gripping member when the jaws are in their clamping position with said resilient member being compressed by an object being clamped between said jaws, whereby the outer ends of said pin members grippingly engage an object clamped between said jaws.

2. A vascular clamp according to claim 1 wherein said pin members comprise pointed needles having a diameter of not more than 10 mils, the points being provided at the outer ends of said needles.

3. A vascular clamp according to claim 2 wherein the spacing between adjacent pin members is from 0.03 to 0.25 inches.

4. A vascular clamp according to claim 1 wherein the length of said pin members is such that they extend a distance of not more than 3 mm beyond the outer surface of said resilient gripping member when the jaws are in their clamping position with said resilient gripping member compressed by the object being clamped.

-5. A vascular clamp according to claim 1 wherein each of said jaw members is provided with a resilient gripping member.

6. A vascular clamp according to claim 5 wherein each of said resilient gripping members includes a plurality of said pin members.

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US1987987 *Aug 25, 1932Jan 15, 1935Fred A KellerAnimal marker
US2659371 *Nov 27, 1951Nov 17, 1953Schnee Charles FSurgical clamp
US2743726 *May 28, 1953May 1, 1956Grieshaber Herman RSurgical instrument
US3045303 *Dec 22, 1959Jul 24, 1962American Viscose CorpPlastic lined seals for strapping
US3503396 *Sep 21, 1967Mar 31, 1970American Hospital Supply CorpAtraumatic surgical clamp
US3503397 *Sep 21, 1967Mar 31, 1970American Hospital Supply CorpAtraumatic surgical clamp
US3515139 *Aug 29, 1966Jun 2, 1970Codman & ShurtleffAtraumatic clamp
Non-Patent Citations
Reference
1 *Redo, S. Frank, A New Clamp For Gastrointestinal Surgery, In Surgery, 462, 421 422. Aug. 1959.
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US4558699 *Jan 3, 1983Dec 17, 1985Bashour Samuel BMethod of and apparatus for restricting the passage of food through the stomach
US4586501 *Oct 19, 1983May 6, 1986Michel ClaracqDevice for partly occluding a vessel in particular the inferior vena cava and inherent component of this device
US4635636 *Jun 18, 1985Jan 13, 1987Cornell Research Foundation, Inc.Microspike surgical approximator
US4821719 *Aug 20, 1986Apr 18, 1989Fogarty Thomas JCohesive-adhesive atraumatic clamp
US5171253 *Mar 22, 1991Dec 15, 1992Klieman Charles HVelcro-like closure system with absorbable suture materials for absorbable hemostatic clips and surgical strips
US5476479 *Jan 11, 1995Dec 19, 1995United States Surgical CorporationHandle for endoscopic surgical instruments and jaw structure
US5483952 *Feb 15, 1994Jan 16, 1996United States Surgical CorporationHandle for surgical instruments
US5489292 *Nov 29, 1994Feb 6, 1996United States Surgical CorporationEndoscopic surgical instrument with grip enhancing means
US5509922 *Nov 1, 1994Apr 23, 1996United States Surgical CorporationEndoscopic surgical instrument
US5591182 *Oct 17, 1994Jan 7, 1997Applied Medical Resources CorporationAtraumatic surgical clamping instrument
US5626609 *Dec 16, 1994May 6, 1997United States Surgical CorporationEndoscopic surgical instrument
US5728121 *Apr 17, 1996Mar 17, 1998Teleflex Medical, Inc.Surgical grasper devices
US5944729 *Dec 12, 1997Aug 31, 1999Scanlan International, Inc.Vascular occlusion clamp with radiopaque retrieval, identification and marking string
US6007552 *Dec 18, 1997Dec 28, 1999MinumysVascular clamps and surgical retractors with directional filaments for tissue engagement
US6099539 *Jul 27, 1998Aug 8, 2000Thomas J. FogartySurgical clamp pad with interdigitating teeth
US6126671 *May 7, 1997Oct 3, 2000Tfx Medical, IncorporatedGrasping devices and articles
US6165186 *Jun 21, 1999Dec 26, 2000Novare Surgical Systems, Inc.Vascular clamps and surgical retractors with directional filaments for tissue engagement
US6206896Jul 27, 1999Mar 27, 2001Thomas J. FogartySurgical clamp pad with interdigitating teeth
US6228104Jun 18, 1999May 8, 2001Novare Surgical Systems, Inc.Surgical clamp having replaceable pad
US6273902Jan 25, 2000Aug 14, 2001Novare Surgical Systems, Inc.Surgical clamp having replaceable pad
US6293954Jun 21, 1999Sep 25, 2001Novare Surgical Systems, Inc.Surgical clamp with replaceable clamp members
US6299621Jun 18, 1999Oct 9, 2001Novare Surgical Systems, Inc.Surgical clamp pads with elastomer impregnated mesh
US6312445Mar 9, 2000Nov 6, 2001Novare Surgical Systems, Inc.Vascular clamps and surgical retractors with directional filaments for tissue engagement
US6315780 *Apr 12, 1999Nov 13, 2001Accurate Surgical & Scientific Instruments CorporationBone clamp for dynamic and non-dynamic compression of transverse fractures and method of use thereof
US6387106May 25, 2000May 14, 2002Thomas J. Fogarty, M.D.Surgical clamp pad with interdigitating teeth
US6387112Jun 15, 2000May 14, 2002Novare Surgical Systems, Inc.Surgical clamp having replaceable pad
US6461368Mar 16, 2001Oct 8, 2002Novare Surgical Systems, Inc.Vascular clamps and surgical retractors with directional filaments for tissue engagement
US6530942Jul 23, 2001Mar 11, 2003Novare Surgical Systems, Inc.Surgical clamp having replaceable pad
US6558408Sep 29, 2000May 6, 2003Novare Surgical Systems, Inc.Surgical clamp having replaceable pad
US6579304Sep 4, 1997Jun 17, 2003Applied Medical Resources CorporationSurgical clamp with improved traction
US6626922 *Feb 3, 1998Sep 30, 2003Applied Medical Resources CorporationSurgical instruments with improved traction
US6692514Mar 27, 2002Feb 17, 2004Novare Surgical Systems, Inc.Surgical clamp having replaceable pad
US6719766Aug 24, 2000Apr 13, 2004Novare Surgical Systems, Inc.Surgical clamp pads having surface overlay
US6821284Jan 22, 2003Nov 23, 2004Novare Surgical Systems, Inc.Surgical clamp inserts with micro-tractive surfaces
US6942676Mar 21, 2002Sep 13, 2005Novare Surgical Systems, Inc.Surgical clamp pads with deflecting elements
US6989017Apr 25, 2002Jan 24, 2006Thomas J. FogartySurgical clamp pad with interdigitating teeth
US7744623Jul 18, 2005Jun 29, 2010Applied Medical Resources CorporationVessel occlusion clamp
US7992757May 3, 2007Aug 9, 2011Raptor Ridge LlcSystems and methods of tissue closure
US8007530Aug 30, 2011Medtronic, Inc.Tool and method for implanting an annuloplasty prosthesis
US8048152Apr 26, 2006Nov 1, 2011Medtronic, Inc.Method of implanting an annuloplasty prosthesis
US8092473 *Jan 10, 2012Applied Medical Resources CorporationSurgical clamp with improved traction
US8360297Jan 29, 2013Ethicon Endo-Surgery, Inc.Surgical cutting and stapling instrument with self adjusting anvil
US8365976Sep 29, 2006Feb 5, 2013Ethicon Endo-Surgery, Inc.Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same
US8393514Sep 30, 2010Mar 12, 2013Ethicon Endo-Surgery, Inc.Selectively orientable implantable fastener cartridge
US8397971Feb 5, 2009Mar 19, 2013Ethicon Endo-Surgery, Inc.Sterilizable surgical instrument
US8414577Apr 9, 2013Ethicon Endo-Surgery, Inc.Surgical instruments and components for use in sterile environments
US8424740Nov 4, 2010Apr 23, 2013Ethicon Endo-Surgery, Inc.Surgical instrument having a directional switching mechanism
US8459520Jun 11, 2013Ethicon Endo-Surgery, Inc.Surgical instrument with wireless communication between control unit and remote sensor
US8459525Jun 11, 2013Ethicon Endo-Sugery, Inc.Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8474677Sep 30, 2010Jul 2, 2013Ethicon Endo-Surgery, Inc.Fastener system comprising a retention matrix and a cover
US8479969Feb 9, 2012Jul 9, 2013Ethicon Endo-Surgery, Inc.Drive interface for operably coupling a manipulatable surgical tool to a robot
US8485412Sep 29, 2006Jul 16, 2013Ethicon Endo-Surgery, Inc.Surgical staples having attached drivers and stapling instruments for deploying the same
US8499993Jun 12, 2012Aug 6, 2013Ethicon Endo-Surgery, Inc.Surgical staple cartridge
US8517243Feb 14, 2011Aug 27, 2013Ethicon Endo-Surgery, Inc.Surgical instrument with wireless communication between control unit and remote sensor
US8529600Sep 30, 2010Sep 10, 2013Ethicon Endo-Surgery, Inc.Fastener system comprising a retention matrix
US8534528Mar 1, 2011Sep 17, 2013Ethicon Endo-Surgery, Inc.Surgical instrument having a multiple rate directional switching mechanism
US8540128Jan 11, 2007Sep 24, 2013Ethicon Endo-Surgery, Inc.Surgical stapling device with a curved end effector
US8540130Feb 8, 2011Sep 24, 2013Ethicon Endo-Surgery, Inc.Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8561872Jul 11, 2011Oct 22, 2013Raptor Ridge, LlcSystems and methods of tissue closure
US8573461Feb 9, 2012Nov 5, 2013Ethicon Endo-Surgery, Inc.Surgical stapling instruments with cam-driven staple deployment arrangements
US8573465Feb 9, 2012Nov 5, 2013Ethicon Endo-Surgery, Inc.Robotically-controlled surgical end effector system with rotary actuated closure systems
US8584919Feb 14, 2008Nov 19, 2013Ethicon Endo-Sugery, Inc.Surgical stapling apparatus with load-sensitive firing mechanism
US8590762Jun 29, 2007Nov 26, 2013Ethicon Endo-Surgery, Inc.Staple cartridge cavity configurations
US8602287Jun 1, 2012Dec 10, 2013Ethicon Endo-Surgery, Inc.Motor driven surgical cutting instrument
US8602288Feb 9, 2012Dec 10, 2013Ethicon Endo-Surgery. Inc.Robotically-controlled motorized surgical end effector system with rotary actuated closure systems having variable actuation speeds
US8608045Oct 10, 2008Dec 17, 2013Ethicon Endo-Sugery, Inc.Powered surgical cutting and stapling apparatus with manually retractable firing system
US8616431Feb 9, 2012Dec 31, 2013Ethicon Endo-Surgery, Inc.Shiftable drive interface for robotically-controlled surgical tool
US8622274Feb 14, 2008Jan 7, 2014Ethicon Endo-Surgery, Inc.Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8636187Feb 3, 2011Jan 28, 2014Ethicon Endo-Surgery, Inc.Surgical stapling systems that produce formed staples having different lengths
US8636736Feb 14, 2008Jan 28, 2014Ethicon Endo-Surgery, Inc.Motorized surgical cutting and fastening instrument
US8647350Aug 3, 2010Feb 11, 2014Raptor Ridge, LlcDelivery device and method for compliant tissue fasteners
US8652120Jan 10, 2007Feb 18, 2014Ethicon Endo-Surgery, Inc.Surgical instrument with wireless communication between control unit and sensor transponders
US8657174Feb 14, 2008Feb 25, 2014Ethicon Endo-Surgery, Inc.Motorized surgical cutting and fastening instrument having handle based power source
US8657176Apr 29, 2011Feb 25, 2014Ethicon Endo-Surgery, Inc.Tissue thickness compensator for a surgical stapler
US8657178Jan 9, 2013Feb 25, 2014Ethicon Endo-Surgery, Inc.Surgical stapling apparatus
US8668130May 24, 2012Mar 11, 2014Ethicon Endo-Surgery, Inc.Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features
US8672208Mar 5, 2010Mar 18, 2014Ethicon Endo-Surgery, Inc.Surgical stapling instrument having a releasable buttress material
US8684253May 27, 2011Apr 1, 2014Ethicon Endo-Surgery, Inc.Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8720766Sep 29, 2006May 13, 2014Ethicon Endo-Surgery, Inc.Surgical stapling instruments and staples
US8733613Sep 29, 2010May 27, 2014Ethicon Endo-Surgery, Inc.Staple cartridge
US8734478Jul 13, 2011May 27, 2014Ethicon Endo-Surgery, Inc.Rectal manipulation devices
US8740034Sep 30, 2010Jun 3, 2014Ethicon Endo-Surgery, Inc.Surgical stapling instrument with interchangeable staple cartridge arrangements
US8740037Sep 30, 2010Jun 3, 2014Ethicon Endo-Surgery, Inc.Compressible fastener cartridge
US8740038Apr 29, 2011Jun 3, 2014Ethicon Endo-Surgery, Inc.Staple cartridge comprising a releasable portion
US8740933Jun 15, 2010Jun 3, 2014Applied Medical Resources CorporationVessel occlusion clamp
US8746529Dec 2, 2011Jun 10, 2014Ethicon Endo-Surgery, Inc.Accessing data stored in a memory of a surgical instrument
US8746530Sep 28, 2012Jun 10, 2014Ethicon Endo-Surgery, Inc.Surgical instrument with wireless communication between control unit and remote sensor
US8746535Apr 29, 2011Jun 10, 2014Ethicon Endo-Surgery, Inc.Tissue thickness compensator comprising detachable portions
US8747238Jun 28, 2012Jun 10, 2014Ethicon Endo-Surgery, Inc.Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US8752699Sep 30, 2010Jun 17, 2014Ethicon Endo-Surgery, Inc.Implantable fastener cartridge comprising bioabsorbable layers
US8752747Mar 20, 2012Jun 17, 2014Ethicon Endo-Surgery, Inc.Surgical instrument having recording capabilities
US8752749May 27, 2011Jun 17, 2014Ethicon Endo-Surgery, Inc.Robotically-controlled disposable motor-driven loading unit
US8757465Sep 30, 2010Jun 24, 2014Ethicon Endo-Surgery, Inc.Fastener system comprising a retention matrix and an alignment matrix
US8763875Mar 6, 2013Jul 1, 2014Ethicon Endo-Surgery, Inc.End effector for use with a surgical fastening instrument
US8763877Sep 30, 2010Jul 1, 2014Ethicon Endo-Surgery, Inc.Surgical instruments with reconfigurable shaft segments
US8763879Mar 1, 2011Jul 1, 2014Ethicon Endo-Surgery, Inc.Accessing data stored in a memory of surgical instrument
US8777004Apr 29, 2011Jul 15, 2014Ethicon Endo-Surgery, Inc.Compressible staple cartridge comprising alignment members
US8783541Feb 9, 2012Jul 22, 2014Frederick E. Shelton, IVRobotically-controlled surgical end effector system
US8783542Sep 30, 2010Jul 22, 2014Ethicon Endo-Surgery, Inc.Fasteners supported by a fastener cartridge support
US8789741Sep 23, 2011Jul 29, 2014Ethicon Endo-Surgery, Inc.Surgical instrument with trigger assembly for generating multiple actuation motions
US8800838Feb 9, 2012Aug 12, 2014Ethicon Endo-Surgery, Inc.Robotically-controlled cable-based surgical end effectors
US8808325Nov 19, 2012Aug 19, 2014Ethicon Endo-Surgery, Inc.Surgical stapling instrument with staples having crown features for increasing formed staple footprint
US8814024Sep 30, 2010Aug 26, 2014Ethicon Endo-Surgery, Inc.Fastener system comprising a plurality of connected retention matrix elements
US8820603Mar 1, 2011Sep 2, 2014Ethicon Endo-Surgery, Inc.Accessing data stored in a memory of a surgical instrument
US8820605Feb 9, 2012Sep 2, 2014Ethicon Endo-Surgery, Inc.Robotically-controlled surgical instruments
US8840003Sep 30, 2010Sep 23, 2014Ethicon Endo-Surgery, Inc.Surgical stapling instrument with compact articulation control arrangement
US8840603Jun 3, 2010Sep 23, 2014Ethicon Endo-Surgery, Inc.Surgical instrument with wireless communication between control unit and sensor transponders
US8844789Feb 9, 2012Sep 30, 2014Ethicon Endo-Surgery, Inc.Automated end effector component reloading system for use with a robotic system
US8857694Apr 29, 2011Oct 14, 2014Ethicon Endo-Surgery, Inc.Staple cartridge loading assembly
US8858590Jul 13, 2011Oct 14, 2014Ethicon Endo-Surgery, Inc.Tissue manipulation devices
US8864007 *Sep 30, 2010Oct 21, 2014Ethicon Endo-Surgery, Inc.Implantable fastener cartridge having a non-uniform arrangement
US8864009Apr 29, 2011Oct 21, 2014Ethicon Endo-Surgery, Inc.Tissue thickness compensator for a surgical stapler comprising an adjustable anvil
US8893949Sep 23, 2011Nov 25, 2014Ethicon Endo-Surgery, Inc.Surgical stapler with floating anvil
US8899463Sep 30, 2010Dec 2, 2014Ethicon Endo-Surgery, Inc.Surgical staple cartridges supporting non-linearly arranged staples and surgical stapling instruments with common staple-forming pockets
US8899465Mar 5, 2013Dec 2, 2014Ethicon Endo-Surgery, Inc.Staple cartridge comprising drivers for deploying a plurality of staples
US8911471Sep 14, 2012Dec 16, 2014Ethicon Endo-Surgery, Inc.Articulatable surgical device
US8925782Sep 30, 2010Jan 6, 2015Ethicon Endo-Surgery, Inc.Implantable fastener cartridge comprising multiple layers
US8925788Mar 3, 2014Jan 6, 2015Ethicon Endo-Surgery, Inc.End effectors for surgical stapling instruments
US8931682May 27, 2011Jan 13, 2015Ethicon Endo-Surgery, Inc.Robotically-controlled shaft based rotary drive systems for surgical instruments
US8973804Mar 18, 2014Mar 10, 2015Ethicon Endo-Surgery, Inc.Cartridge assembly having a buttressing member
US8978954Apr 29, 2011Mar 17, 2015Ethicon Endo-Surgery, Inc.Staple cartridge comprising an adjustable distal portion
US8978955Jul 13, 2011Mar 17, 2015Ethicon Endo-Surgery, Inc.Anvil assemblies with collapsible frames for circular staplers
US8978956Sep 30, 2010Mar 17, 2015Ethicon Endo-Surgery, Inc.Jaw closure arrangements for surgical instruments
US8991677May 21, 2014Mar 31, 2015Ethicon Endo-Surgery, Inc.Detachable motor powered surgical instrument
US8992422May 27, 2011Mar 31, 2015Ethicon Endo-Surgery, Inc.Robotically-controlled endoscopic accessory channel
US8998058May 20, 2014Apr 7, 2015Ethicon Endo-Surgery, Inc.Detachable motor powered surgical instrument
US9005230Jan 18, 2013Apr 14, 2015Ethicon Endo-Surgery, Inc.Motorized surgical instrument
US9011528Apr 26, 2006Apr 21, 2015Medtronic, Inc.Flexible annuloplasty prosthesis
US9016542Apr 29, 2011Apr 28, 2015Ethicon Endo-Surgery, Inc.Staple cartridge comprising compressible distortion resistant components
US9028494Jun 28, 2012May 12, 2015Ethicon Endo-Surgery, Inc.Interchangeable end effector coupling arrangement
US9028519Feb 7, 2011May 12, 2015Ethicon Endo-Surgery, Inc.Motorized surgical instrument
US9033203Sep 30, 2010May 19, 2015Ethicon Endo-Surgery, Inc.Fastening instrument for deploying a fastener system comprising a retention matrix
US9033204Jul 13, 2011May 19, 2015Ethicon Endo-Surgery, Inc.Circular stapling devices with tissue-puncturing anvil features
US9044227Sep 30, 2010Jun 2, 2015Ethicon Endo-Surgery, Inc.Collapsible fastener cartridge
US9044228Sep 30, 2010Jun 2, 2015Ethicon Endo-Surgery, Inc.Fastener system comprising a plurality of fastener cartridges
US9044230Feb 13, 2012Jun 2, 2015Ethicon Endo-Surgery, Inc.Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9050083Sep 23, 2008Jun 9, 2015Ethicon Endo-Surgery, Inc.Motorized surgical instrument
US9050084Sep 23, 2011Jun 9, 2015Ethicon Endo-Surgery, Inc.Staple cartridge including collapsible deck arrangement
US9055941Sep 23, 2011Jun 16, 2015Ethicon Endo-Surgery, Inc.Staple cartridge including collapsible deck
US9060770May 27, 2011Jun 23, 2015Ethicon Endo-Surgery, Inc.Robotically-driven surgical instrument with E-beam driver
US9072515Jun 25, 2014Jul 7, 2015Ethicon Endo-Surgery, Inc.Surgical stapling apparatus
US9072535May 27, 2011Jul 7, 2015Ethicon Endo-Surgery, Inc.Surgical stapling instruments with rotatable staple deployment arrangements
US9072536Jun 28, 2012Jul 7, 2015Ethicon Endo-Surgery, Inc.Differential locking arrangements for rotary powered surgical instruments
US9084601Mar 15, 2013Jul 21, 2015Ethicon Endo-Surgery, Inc.Detachable motor powered surgical instrument
US9095339May 19, 2014Aug 4, 2015Ethicon Endo-Surgery, Inc.Detachable motor powered surgical instrument
US9101358Jun 15, 2012Aug 11, 2015Ethicon Endo-Surgery, Inc.Articulatable surgical instrument comprising a firing drive
US9101385Jun 28, 2012Aug 11, 2015Ethicon Endo-Surgery, Inc.Electrode connections for rotary driven surgical tools
US9113862Sep 30, 2010Aug 25, 2015Ethicon Endo-Surgery, Inc.Surgical stapling instrument with a variable staple forming system
US9113864Sep 30, 2010Aug 25, 2015Ethicon Endo-Surgery, Inc.Surgical cutting and fastening instruments with separate and distinct fastener deployment and tissue cutting systems
US9113865Apr 29, 2011Aug 25, 2015Ethicon Endo-Surgery, Inc.Staple cartridge comprising a layer
US9113874Jun 24, 2014Aug 25, 2015Ethicon Endo-Surgery, Inc.Surgical instrument system
US9113883Jul 13, 2011Aug 25, 2015Ethicon Endo-Surgery, Inc.Collapsible anvil plate assemblies for circular surgical stapling devices
US9113884Jul 13, 2011Aug 25, 2015Ethicon Endo-Surgery, Inc.Modular surgical tool systems
US9119657Jun 28, 2012Sep 1, 2015Ethicon Endo-Surgery, Inc.Rotary actuatable closure arrangement for surgical end effector
US9125654Jul 13, 2011Sep 8, 2015Ethicon Endo-Surgery, Inc.Multiple part anvil assemblies for circular surgical stapling devices
US9125662Jun 28, 2012Sep 8, 2015Ethicon Endo-Surgery, Inc.Multi-axis articulating and rotating surgical tools
US9131940Feb 21, 2013Sep 15, 2015Ethicon Endo-Surgery, Inc.Staple cartridge
US9138225Feb 26, 2013Sep 22, 2015Ethicon Endo-Surgery, Inc.Surgical stapling instrument with an articulatable end effector
US9149274Feb 17, 2011Oct 6, 2015Ethicon Endo-Surgery, Inc.Articulating endoscopic accessory channel
US9168038Apr 29, 2011Oct 27, 2015Ethicon Endo-Surgery, Inc.Staple cartridge comprising a tissue thickness compensator
US9179911May 23, 2014Nov 10, 2015Ethicon Endo-Surgery, Inc.End effector for use with a surgical fastening instrument
US9179912May 27, 2011Nov 10, 2015Ethicon Endo-Surgery, Inc.Robotically-controlled motorized surgical cutting and fastening instrument
US9186143Jun 25, 2014Nov 17, 2015Ethicon Endo-Surgery, Inc.Robotically-controlled shaft based rotary drive systems for surgical instruments
US9198662Jun 26, 2012Dec 1, 2015Ethicon Endo-Surgery, Inc.Tissue thickness compensator having improved visibility
US9204878Aug 14, 2014Dec 8, 2015Ethicon Endo-Surgery, Inc.Surgical stapling apparatus with interlockable firing system
US9204879Jun 28, 2012Dec 8, 2015Ethicon Endo-Surgery, Inc.Flexible drive member
US9204880Mar 28, 2012Dec 8, 2015Ethicon Endo-Surgery, Inc.Tissue thickness compensator comprising capsules defining a low pressure environment
US9211120Mar 28, 2012Dec 15, 2015Ethicon Endo-Surgery, Inc.Tissue thickness compensator comprising a plurality of medicaments
US9211121Jan 13, 2015Dec 15, 2015Ethicon Endo-Surgery, Inc.Surgical stapling apparatus
US9211122Jul 13, 2011Dec 15, 2015Ethicon Endo-Surgery, Inc.Surgical access devices with anvil introduction and specimen retrieval structures
US9216019Sep 23, 2011Dec 22, 2015Ethicon Endo-Surgery, Inc.Surgical stapler with stationary staple drivers
US9220500Mar 28, 2012Dec 29, 2015Ethicon Endo-Surgery, Inc.Tissue thickness compensator comprising structure to produce a resilient load
US9220501Mar 28, 2012Dec 29, 2015Ethicon Endo-Surgery, Inc.Tissue thickness compensators
US9226751Jun 28, 2012Jan 5, 2016Ethicon Endo-Surgery, Inc.Surgical instrument system including replaceable end effectors
US9232941Mar 28, 2012Jan 12, 2016Ethicon Endo-Surgery, Inc.Tissue thickness compensator comprising a reservoir
US9237891May 27, 2011Jan 19, 2016Ethicon Endo-Surgery, Inc.Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US9237899Dec 2, 2010Jan 19, 2016Stephen Paul RayTissue grasping forceps and localizing needle holder
US9241714Mar 28, 2012Jan 26, 2016Ethicon Endo-Surgery, Inc.Tissue thickness compensator and method for making the same
US9271783Jun 25, 2013Mar 1, 2016Covidien LpEnd-effector assembly including a pressure-sensitive layer disposed on an electrode
US9271799Jun 25, 2014Mar 1, 2016Ethicon Endo-Surgery, LlcRobotic surgical system with removable motor housing
US9272406Feb 8, 2013Mar 1, 2016Ethicon Endo-Surgery, LlcFastener cartridge comprising a cutting member for releasing a tissue thickness compensator
US9277919Mar 28, 2012Mar 8, 2016Ethicon Endo-Surgery, LlcTissue thickness compensator comprising fibers to produce a resilient load
US9282962Feb 8, 2013Mar 15, 2016Ethicon Endo-Surgery, LlcAdhesive film laminate
US9282966Feb 7, 2014Mar 15, 2016Ethicon Endo-Surgery, Inc.Surgical stapling instrument
US9282974Jun 28, 2012Mar 15, 2016Ethicon Endo-Surgery, LlcEmpty clip cartridge lockout
US9283054Aug 23, 2013Mar 15, 2016Ethicon Endo-Surgery, LlcInteractive displays
US9289206Dec 15, 2014Mar 22, 2016Ethicon Endo-Surgery, LlcLateral securement members for surgical staple cartridges
US9289256Jun 28, 2012Mar 22, 2016Ethicon Endo-Surgery, LlcSurgical end effectors having angled tissue-contacting surfaces
US9295464Apr 29, 2011Mar 29, 2016Ethicon Endo-Surgery, Inc.Surgical stapler anvil comprising a plurality of forming pockets
US9301752Mar 28, 2012Apr 5, 2016Ethicon Endo-Surgery, LlcTissue thickness compensator comprising a plurality of capsules
US9301753Mar 28, 2012Apr 5, 2016Ethicon Endo-Surgery, LlcExpandable tissue thickness compensator
US9301755Apr 29, 2011Apr 5, 2016Ethicon Endo-Surgery, LlcCompressible staple cartridge assembly
US9301759Feb 9, 2012Apr 5, 2016Ethicon Endo-Surgery, LlcRobotically-controlled surgical instrument with selectively articulatable end effector
US9307965Jun 25, 2012Apr 12, 2016Ethicon Endo-Surgery, LlcTissue stapler having a thickness compensator incorporating an anti-microbial agent
US9307986Mar 1, 2013Apr 12, 2016Ethicon Endo-Surgery, LlcSurgical instrument soft stop
US9307988Oct 28, 2013Apr 12, 2016Ethicon Endo-Surgery, LlcStaple cartridges for forming staples having differing formed staple heights
US9307989Jun 26, 2012Apr 12, 2016Ethicon Endo-Surgery, LlcTissue stapler having a thickness compensator incorportating a hydrophobic agent
US9314246Jun 25, 2012Apr 19, 2016Ethicon Endo-Surgery, LlcTissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9314247Jun 26, 2012Apr 19, 2016Ethicon Endo-Surgery, LlcTissue stapler having a thickness compensator incorporating a hydrophilic agent
US9320518Jun 25, 2012Apr 26, 2016Ethicon Endo-Surgery, LlcTissue stapler having a thickness compensator incorporating an oxygen generating agent
US9320520Aug 19, 2015Apr 26, 2016Ethicon Endo-Surgery, Inc.Surgical instrument system
US9320521Oct 29, 2012Apr 26, 2016Ethicon Endo-Surgery, LlcSurgical instrument
US9320523Mar 28, 2012Apr 26, 2016Ethicon Endo-Surgery, LlcTissue thickness compensator comprising tissue ingrowth features
US9326767Mar 1, 2013May 3, 2016Ethicon Endo-Surgery, LlcJoystick switch assemblies for surgical instruments
US9326768Mar 12, 2013May 3, 2016Ethicon Endo-Surgery, LlcStaple cartridges for forming staples having differing formed staple heights
US9326769Mar 6, 2013May 3, 2016Ethicon Endo-Surgery, LlcSurgical instrument
US9326770Mar 6, 2013May 3, 2016Ethicon Endo-Surgery, LlcSurgical instrument
US9332974Mar 28, 2012May 10, 2016Ethicon Endo-Surgery, LlcLayered tissue thickness compensator
US9332984Mar 27, 2013May 10, 2016Ethicon Endo-Surgery, LlcFastener cartridge assemblies
US9332987Mar 14, 2013May 10, 2016Ethicon Endo-Surgery, LlcControl arrangements for a drive member of a surgical instrument
US9345477Jun 25, 2012May 24, 2016Ethicon Endo-Surgery, LlcTissue stapler having a thickness compensator comprising incorporating a hemostatic agent
US9345481Mar 13, 2013May 24, 2016Ethicon Endo-Surgery, LlcStaple cartridge tissue thickness sensor system
US9351726Mar 14, 2013May 31, 2016Ethicon Endo-Surgery, LlcArticulation control system for articulatable surgical instruments
US9351727Mar 14, 2013May 31, 2016Ethicon Endo-Surgery, LlcDrive train control arrangements for modular surgical instruments
US9351730Mar 28, 2012May 31, 2016Ethicon Endo-Surgery, LlcTissue thickness compensator comprising channels
US9358003Mar 1, 2013Jun 7, 2016Ethicon Endo-Surgery, LlcElectromechanical surgical device with signal relay arrangement
US9358005Jun 22, 2015Jun 7, 2016Ethicon Endo-Surgery, LlcEnd effector layer including holding features
US9364230Jun 28, 2012Jun 14, 2016Ethicon Endo-Surgery, LlcSurgical stapling instruments with rotary joint assemblies
US9364233Mar 28, 2012Jun 14, 2016Ethicon Endo-Surgery, LlcTissue thickness compensators for circular surgical staplers
US20020183785 *Apr 25, 2002Dec 5, 2002Howell Thomas A.Surgical clamp pad with interdigitatin teeth
US20030181932 *Mar 21, 2002Sep 25, 2003Terrence BuelnaSurgical clamp pads with deflecting elements
US20030208231 *Nov 8, 2001Nov 6, 2003Williamson Warren P.Surgical clamp devices and methods especially useful in cardiac surgery
US20030236537 *May 15, 2003Dec 25, 2003Applied Medical Resources CorporationSurgical instruments with improved traction
US20040019357 *Jul 26, 2002Jan 29, 2004Campbell Louis A.Annuloplasty ring holder
US20040143276 *Jan 22, 2003Jul 22, 2004Sturtz Karrie L.Surgical clamp inserts with micro-tractive surfaces
US20040167552 *Feb 19, 2004Aug 26, 2004Novare Surgical Systems, Inc.Surgical clamp pads having surface overlay
US20050192605 *Feb 6, 2004Sep 1, 2005Hart Charles C.Surgical instruments with improved traction
US20050240219 *Apr 22, 2004Oct 27, 2005Henry KahlePeripheral vascular occlusion devices
US20050251184 *Jul 18, 2005Nov 10, 2005Applied Medical Resources CorporationVessel occlusion clamp
US20070078468 *Apr 26, 2006Apr 5, 2007Ryan Timothy RTool and method for implanting an annuloplasty prosthesis
US20070078514 *Apr 26, 2006Apr 5, 2007Ryan Timothy RMethod of implanting an annuloplasty prosthesis
US20070149989 *Dec 14, 2006Jun 28, 2007Santilli Albert NVascular and Intestinal Occlusion
US20070179526 *Apr 11, 2003Aug 2, 2007Hart Charles CSurgical clamp with improved traction
US20070191939 *Apr 26, 2006Aug 16, 2007Tim RyanFlexible annuloplasty prosthesis
US20070260278 *May 3, 2007Nov 8, 2007Raptor Ridge, LlcSystems and methods of tissue closure
US20090062869 *Aug 28, 2008Mar 5, 2009Perception Raisonnement Action En MedecineMinimally invasive bone fixation clamp for navigated surgeries
US20100063527 *Sep 4, 2009Mar 11, 2010Beaupre Jean MichaelTissue pad
US20110190809 *Aug 3, 2010Aug 4, 2011Raptor Ridge, LlcDelivery device and method for compliant tissue fasteners
US20110224718 *Mar 10, 2010Sep 15, 2011Torgerson Clinton DSurgical needle driver and method of making the same
US20120080481 *Sep 30, 2010Apr 5, 2012Ethicon Endo-Surgery, Inc.Implantable fastener cartridge having a non-uniform arrangement
CN103356253A *Sep 23, 2011Oct 23, 2013伊西康内外科公司Implantable fastener cartridge having a non-uniform arrangement
EP0543107A2 *Sep 18, 1992May 26, 1993United States Surgical CorporationHandle for endoscopic surgical instruments and jaw structure
EP1011462A1 *Feb 3, 1998Jun 28, 2000Applied Medical Resources CorporationSurgical instruments with improved traction
EP1233708A2 *Nov 29, 2000Aug 28, 2002Applied Medical Resources, Inc.Vessel occlusion clamp
EP1442717A1 *Jun 16, 2000Aug 4, 2004Novare Surgical Systems, Inc.Surgical clamp having replaceable pad
EP1547528A1 *Feb 3, 1998Jun 29, 2005Applied Medical Resources CorporationSurgical instruments with improved traction
WO1997038632A1Apr 16, 1997Oct 23, 1997Teleflex, IncorporatedSurgical grasper devices
WO1999011179A1Sep 3, 1998Mar 11, 1999Applied Medical Resources CorporationSurgical clamp with improved traction
WO1999030623A1Dec 17, 1998Jun 24, 1999Novare Surgical Systems, Inc.Surgical retractors and clamps with directional gripping filaments
WO2000078234A1Jun 8, 2000Dec 28, 2000Novare Surgical Systems, Inc.Surgical clamp pads with elastomer impregnated mesh
WO2000078235A3 *Jun 16, 2000Jul 5, 2001Terrence BuelnaSurgical clamp having replaceable pad
WO2002015805A2Aug 6, 2001Feb 28, 2002Novare Surgical Systems, Inc.Surgical clamp pad
WO2003079910A1 *Mar 20, 2003Oct 2, 2003Novare Surgical Systems, Inc.Surgical clamp pads with deflecting elements
Classifications
U.S. Classification606/207, 24/521, 24/518
International ClassificationA61B17/28
Cooperative ClassificationA61B2017/2825, A61B17/282
European ClassificationA61B17/28D4