CA1244739A - Disposable linear surgical stapling instrument - Google Patents
Disposable linear surgical stapling instrumentInfo
- Publication number
- CA1244739A CA1244739A CA000455721A CA455721A CA1244739A CA 1244739 A CA1244739 A CA 1244739A CA 000455721 A CA000455721 A CA 000455721A CA 455721 A CA455721 A CA 455721A CA 1244739 A CA1244739 A CA 1244739A
- Authority
- CA
- Canada
- Prior art keywords
- trigger
- anvil
- assembly
- handle
- cartridge
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
Abstract
ABSTRACT OF THE DISCLOSURE
A disposable linear surgical stapling instrument com-prising a body with handle means and trigger means and, at its forward end, a fixed anvil-supporting jaw. A
movable jaw comprising a staple cartridge is mounted on the body and is operatively connected to the handle means and trigger means. An adjustment bolt is slidably mounted in the body and is shiftable forwardly and rear-wardly therein by an adjustment knob rotatively mounted at the rearward end of the body. The adjustment bolt, when shifted forwardly, shifts the handle means and trigger means forwardly and the movable jaw toward the fixed jaw, the staple cartridge approaching the anvil.
staple driver is connected to and shiftable by the trigger means to drive staples from the cartridge, through the tissue to be sutured and against the anvil over a range of distances between the anvil and the cartridge constituting the working gap of the instrument.
The adjustment bolt also actuates indicator means to each side of the instrument indicating when the working gap has been achieved. An alignment pin is mounted on the body, extending through the cartridge, and is shiftable to an operative position extending into the fixed jaw.
Safety means prevents rotation of the adjustment knob unless the alignment pin is in its operative position.
Another safety means prevents actuation of the trigger means until the distance between the anvil and cartridge approaches the working gap. Additional means locks the trigger means after achieving its actuated position to give visual, tactile and audible indication that the staples have been formed and implanted.
A disposable linear surgical stapling instrument com-prising a body with handle means and trigger means and, at its forward end, a fixed anvil-supporting jaw. A
movable jaw comprising a staple cartridge is mounted on the body and is operatively connected to the handle means and trigger means. An adjustment bolt is slidably mounted in the body and is shiftable forwardly and rear-wardly therein by an adjustment knob rotatively mounted at the rearward end of the body. The adjustment bolt, when shifted forwardly, shifts the handle means and trigger means forwardly and the movable jaw toward the fixed jaw, the staple cartridge approaching the anvil.
staple driver is connected to and shiftable by the trigger means to drive staples from the cartridge, through the tissue to be sutured and against the anvil over a range of distances between the anvil and the cartridge constituting the working gap of the instrument.
The adjustment bolt also actuates indicator means to each side of the instrument indicating when the working gap has been achieved. An alignment pin is mounted on the body, extending through the cartridge, and is shiftable to an operative position extending into the fixed jaw.
Safety means prevents rotation of the adjustment knob unless the alignment pin is in its operative position.
Another safety means prevents actuation of the trigger means until the distance between the anvil and cartridge approaches the working gap. Additional means locks the trigger means after achieving its actuated position to give visual, tactile and audible indication that the staples have been formed and implanted.
Description
~ 4~3g l DISPOSABLE LINEAR
SURGICAL STAPLING INSTRU~IENT
~iECTOR CHOW
HUGH MELLING
TECHNICAL_FIELD
The invention relates to a disposable linear surgical stapling instrument for forming and implanting at least one rectilinear row of surgical staples in the tissue of a patient, and more part`icularly to such an instrument having a working gap or-use with a single size of surgi-cal staple together with novel safety means which greatly reduce the opportunity for inadvertent or incorrect operation of the instrument.
BACKGROUND ART r In recent years there has been an increasing number of surgeons using surgical staples, rather than conven-tional sutures. This is true because the use of surgical staples and surgical stapling instruments has made many difficult procedures much simpler. Of even more impor-20 tance, however, is the fact that the use of surgical v staples significantly reduces the time required for most procedures, and therefore reduces the length of time for which the patient must be maintained under anesthetic.
Many types of surgical stapling instruments have been 25 devised, for many different procedures. The present invention is directed to a linear surgical stapling instrument. This is an instrument which, in a single actuation, implants and forms at least one rectilinear row of surgical staples. Such instruments are used on 30 many difEerent organs and tissues such as the lung, the esophagus, the stomach, the duodenum and throughout the intestinal tract. r In its earliest Eorm, the linear surgical stapling instrument was a permanent, multi-use instrument and the 35 surgical staples were manually loaded into the instrument 473~
1 one-by-one. An exemplary surgical stapling instrument of tl~is type is taught in U.S. Patent 3,080,564. While such instruments performed well, they were in general complex in construction, e~pensive to manuEacture, heavy, bulky and difficult both to load with surgical staples and to clean and sterilize after each use.
The next significant improvement in linear surgical stapling instruments was the provision o~ presterilized, disposable loading units or staple cartridges. U.S.
Patent 3,275,211 and U.S. Pat~nt 3,589,589 are exemplary of those relating to permanent, multi-use linear instru-ments llaving replaceable staple cartridges. I~hile this improvment significantly reduced the time previously required for hand loading oE the staples, the basic instrument still had to be disassembled, cleaned, re-assembled and sterilized for each procedure. Such instru-ments also frequently required maintenance and adjust-ment.
Even more recently, in view of rising hospital costs, there has been an ev~r increasing interest in disposable surgical stapling instruments to eliminate as much ~70rk as possible (i.e. disassembly, cleaning, reassembly, sterilization and the like) and to be more efficient, while at the same time not having to compromise the surgical procedures. U.S. Patent 4,354,628 and U.S.
Patent 4,383,634, Eor example, each teach a disposable linear surgical stapling instrument. While devices of this sort perform well, since the forwardmost, anvil-carrying jaw is pivoted, the anvil and the cartridge do not approach eàch other in parallel relationship and only a single gap setting is achieveable. In addition, it is sometimes difficult to properly position the tissue to be sutured within the jaws of an instrument oE this design.
Such instruments are frequently provided in a "tight"
suturing version with short legged staples and a "loose"
L73~
1- suturing version with staples having longer legs, the surgeon having to select the appropriate instrument for the particular procedure being performed.
The present invention provides a disposable linear surgical stapling instrument which is simple in construc-tion and relatively inexpensive to manufacture. The instrument is characterized by a working gap or range of distances between the anvil and the cartridge over which a single size staple can be properly implanted and formed. The proper and desired setting of the instru-ment, within the working gap, is easily accomplished through simple manipulation of an adjustment Icnob at the rear of the instrument with indicator means on each side of the instrument to clearly show when the distance between the anvil and the cartridge is within the working gap. In addition, the gap to which the instrument is set can fall anywhere within the conEines of the working gap of the instrument. The gap indicator is additionally designed to show at a glance whether the selected gap falls within the prior art so-called "tight" range or "loose" range.
In addition to many novel features of its own, the instrument of the present invention is also provided with features normally associated with permanent, multi-use instruments only. The instrument, for example, has an alignment and retaining pin, shiftable to an operative position wherein perfect alignment between the anvil and the staple cartridge is assured, and wherein tissue to be sutured and located bet~een these elements is maintained therebetween. The instrument is provided with a lockout device which precludes rotation oE the adjustment knob to secure the desired gap unless the alignment and retaining pin has been shifted to its operative position. The instrument is also provided with a novel trigger safety which will disable the trigger until the movable jaw of " ~ 4 ~ ~ ~44739 2804-932 the instrument has been shifted to a position near the working gap. Latch means is also provided for the trigger, to secure the trigger with a snap engagement when the trigger is shifted to its fully actuated position, to give the surgeon a visual, tactile and audible indication that the surgical staples have been properly and fully implanted and formed. For purposes of economy and simplicity, much of the instrument is made of appropriate plastic material, while all of the major load-bearing elements of the instrument are metallic. The instrument is so desi~ned that the staple driver is coupled to the trigger at all times. As a result of this, the driver is not free floating and cannot accidentally dislodge or discharge the surgical staples during shipping and handling prior to use of the instrument in the operating room.
DISCLOSURE OF THE INVENTION
According to the invention there are provided improvements in a stapler for surgically and rectilinearly suturing the tissue of a patient, said instrument comprising an elongated body term-inating at its forward end in a fixed jaw, an anvil mounted on said fixed jaw, characterized by a basic assembly slidably sup-ported by said body and shiftable longidutinally thereof, saidbasic assembly comprising a movable jaw subassembly, a handle subassembly and an adjustment bolt-adjustment knob subassembly all operatively joined together, said movable jaw subassembly comprising a cartridge containing at least one row of surgical staples and having a forward surface facing and parallel to said anvil, a hollow casing affixed to said cartridge, a driver for said staples slidably mounted within said casing, me~ns to shift said driver within said casing between a retracted position and a - 5 ~ 739 2804-932 staple driving position -to drive said staples through the tissue and against said anvil over a range of distances between said cartridge and said anvil constituting the working gap of the instrument, said driver shifting means comprising an elongated driver rod having a forward end connected to said driver within said casing and a rearward end connected to said trigger assembly, said trigger assembly having an upper end pivotally affixed to said basic assembly and a lower free end, said trigger being pivotable between an unactuated positon spaced from said handle assembly and wherein said driver is in said retracted position and an actuated position adjacent said handle assembly and wherein said driver is in said staple driving position, said adjustment bolt being affixed to said basic assembly within said body, said ajustment knob being captively and rotatably mounted at the rear-ward end of said body and being threadedly engaged with said adjustment bolt such that rotation of said adjustment knob in one direction will shift said adjustment bolt and said basic assembly rearwardly with respect to said body with said movable jaw assembly shifting away from said fixed jaw and said cartridge shifting away from said anvil, and rotation of said adjustment kno~ in the other direction will shift said basic assembly forwardly with respect to said body and said movable jaw assembly toward said fixed jaw and said cartridge toward said anvil, an alignment and retaining pin slidably mounted on said body, said alignment pin having a free forward end, said alignment pin being shiEtable longitudinally of said body between a retracted position wherein said forward end of said pin lies within said casing and an extended position wherein said free end passes through coaxial perforations in said `` ~Z4~73~
- 5a - 2804-932 cartridge and said anvil and into a recess in said fixed jaw to assure proper alignment of said cartridge and said anvil, indicator means to indicate when the distance between said car-tridge and said anvil is at and within said working gap of said instrument.
The anvil preferably has a plurality of anvil pockets configured to clinch the staples over a range of distances between the anvil and the cartridge, constituting the working gap of the instrument. The adjustment bolt preferably also actuates the indicator means to each side of the instrument, clearly showing when the working gap has been achieved between the anvil and the cartridge. The indicator is such that it will assist the surgeon in adjusting the distance between the anvil and the cartridge within the working gap.
In a preferred embodiment the alignment pin not only assures that the anvil and the cartridge are properly oriented with respec-t to each other, but also traps the tissue to be sutured between the anvil and the cartridge.
A safety lockout is provided which precludes rotation of the adjustment knob unless and until the alignment and re-taining pin has been shifted to its operative position. A secondsafety lockout disables the trigger unless and until the distance between the anvil and cartridge approaches the working gap of the instrument.
A lock is also provided in association with the handle to engage and lock the trigger when the handle reaches its full actuated position. This gives the surgeon a visual, audible and tactile indication that the ~Z~73~
1 surgical staples have been fully implanted and formed.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 is a side elevational view of the linear surgical stapling instrument of the present invention.
Figure 2 is a plan view of the instrument of Figure 1. ~
Figure 3 is a cross-sectional elevational view, taken along section line 3-3 of Figure 2.
- Figure 4 is an exploded perspective view of the mov-able jaw or cartridge/driver subassembly of the present invention.
Figure S is an elevational view of the driver oE the present invention.
Figure 6 is a plan view of the driver of Figure 5. r Figures 7, ~ and 9 are respectively, an elevational view, a rear view and a front view of the cartridge of the present invention.
Figure 10 is a fragmentary, enlarged front view of the cartridge of Figures 7 through 9.
Figure 11 is elevational view of the casing of the r present invention.
Figure 12 is a cross-sectional elevational view of the casing of Figure 11.
Figure 13 is an exploded perspective view of the adjustment bolt/adjustment knob subassembLy of the present invention.
Figures 14 and 15 are, respectively, a side eleva-tional view and a plan vlew oE the adjustment bolt of the present invention.
Figure 16 is an exploded perspective view of the trigger subassembly of the present invention.
Figure 17 is an elevational view of the trigger.
Figure 18 is an elevational view of the safety lockout oE the trigger subassembly.
Figures 19, 20 and 21 are, respectively, outside 73~
1 elevational, inside elevational and rear views of the left trigger cover.
Figures 22 and 23 are, respectively, outside eleva-tional and inside elevational views of the right trigger cover.
Figure 24 is an elevational view oE the right trigger cover illustrating the safety lockout and lockout spring mounted therein.
Figure 25 is an exploded perspective view of the handle subassembly of the present invention.
Figures 26, 27 and 28 are, respectively, an outside elevational view, an inside elevational view and a front elevational view of the right handle half.
Figure 29 is a plan view of the trigger saEety. r Figure 30 is an exploded perspective partial view'of the body/hook/pilot/anvil/indicator/alignment and retain-ing pin subassembly of the present invention.
Figure 31 is an outside elevational view of the left body haLf.
Figure 32 is an inside elevational view of the left body half.
Figure 33 is an elevational view of the pilot.
Figures 34, 3'5 and 3G constitute, respectively, a side elevational view, a plan view and an end elevational view of the anvil.
Figure 37 is a fragmentary cross sectional view of the anvil taken along section line 37-37 of Figure 35.
Figure 38 is an edge elevational view of the indica-tor sli'de.
Figures 39 and 40 are, respectively, a side elevational view and a front elevationaL view of the slide crank.
Figure 41 is a cross-sectional view of the slide crank ta~en aLong section line 41-41 of Figure 40.
Figùres 42'and 43 are respectively a plan view and a ~r ~24~3~
1 side elevational view of the knob lockout.
Flgure 44 is a cross-sectional view oE the knob lockout taken along section line 44-44 of Figure 42.
Figure 45 is a side elevational view of the alignment 5 and retaining pin knob.
DETAILED DESCRIPTION OF THE INVENTION
For convenience and ease of understanding, like parts have been given like index numerals in all of the Figures. Reference is first made to Figures 1 and 2.
10 These Figures are, respectively, a side elevational view and a plan view of the instrument of the present inven-tion. The instrume~lt is generally indicated at 1 and com-prises a body 2. The body 2 has a trigger subassembly generally indicated at 3 and a handle subassembly gener-15 ally indicated at 4. A trigger safety-is shown at 5.
At its forward end, the instrument terminates in a fixed jaw generally indicated at 6 supporting an anvil 7.
The instrument is also provided with a ~ovable jaw (gener-ally indicated at 8) which comprises, in part, a cart-20 ridge 9 for surgical staples. The upper portion of body
SURGICAL STAPLING INSTRU~IENT
~iECTOR CHOW
HUGH MELLING
TECHNICAL_FIELD
The invention relates to a disposable linear surgical stapling instrument for forming and implanting at least one rectilinear row of surgical staples in the tissue of a patient, and more part`icularly to such an instrument having a working gap or-use with a single size of surgi-cal staple together with novel safety means which greatly reduce the opportunity for inadvertent or incorrect operation of the instrument.
BACKGROUND ART r In recent years there has been an increasing number of surgeons using surgical staples, rather than conven-tional sutures. This is true because the use of surgical staples and surgical stapling instruments has made many difficult procedures much simpler. Of even more impor-20 tance, however, is the fact that the use of surgical v staples significantly reduces the time required for most procedures, and therefore reduces the length of time for which the patient must be maintained under anesthetic.
Many types of surgical stapling instruments have been 25 devised, for many different procedures. The present invention is directed to a linear surgical stapling instrument. This is an instrument which, in a single actuation, implants and forms at least one rectilinear row of surgical staples. Such instruments are used on 30 many difEerent organs and tissues such as the lung, the esophagus, the stomach, the duodenum and throughout the intestinal tract. r In its earliest Eorm, the linear surgical stapling instrument was a permanent, multi-use instrument and the 35 surgical staples were manually loaded into the instrument 473~
1 one-by-one. An exemplary surgical stapling instrument of tl~is type is taught in U.S. Patent 3,080,564. While such instruments performed well, they were in general complex in construction, e~pensive to manuEacture, heavy, bulky and difficult both to load with surgical staples and to clean and sterilize after each use.
The next significant improvement in linear surgical stapling instruments was the provision o~ presterilized, disposable loading units or staple cartridges. U.S.
Patent 3,275,211 and U.S. Pat~nt 3,589,589 are exemplary of those relating to permanent, multi-use linear instru-ments llaving replaceable staple cartridges. I~hile this improvment significantly reduced the time previously required for hand loading oE the staples, the basic instrument still had to be disassembled, cleaned, re-assembled and sterilized for each procedure. Such instru-ments also frequently required maintenance and adjust-ment.
Even more recently, in view of rising hospital costs, there has been an ev~r increasing interest in disposable surgical stapling instruments to eliminate as much ~70rk as possible (i.e. disassembly, cleaning, reassembly, sterilization and the like) and to be more efficient, while at the same time not having to compromise the surgical procedures. U.S. Patent 4,354,628 and U.S.
Patent 4,383,634, Eor example, each teach a disposable linear surgical stapling instrument. While devices of this sort perform well, since the forwardmost, anvil-carrying jaw is pivoted, the anvil and the cartridge do not approach eàch other in parallel relationship and only a single gap setting is achieveable. In addition, it is sometimes difficult to properly position the tissue to be sutured within the jaws of an instrument oE this design.
Such instruments are frequently provided in a "tight"
suturing version with short legged staples and a "loose"
L73~
1- suturing version with staples having longer legs, the surgeon having to select the appropriate instrument for the particular procedure being performed.
The present invention provides a disposable linear surgical stapling instrument which is simple in construc-tion and relatively inexpensive to manufacture. The instrument is characterized by a working gap or range of distances between the anvil and the cartridge over which a single size staple can be properly implanted and formed. The proper and desired setting of the instru-ment, within the working gap, is easily accomplished through simple manipulation of an adjustment Icnob at the rear of the instrument with indicator means on each side of the instrument to clearly show when the distance between the anvil and the cartridge is within the working gap. In addition, the gap to which the instrument is set can fall anywhere within the conEines of the working gap of the instrument. The gap indicator is additionally designed to show at a glance whether the selected gap falls within the prior art so-called "tight" range or "loose" range.
In addition to many novel features of its own, the instrument of the present invention is also provided with features normally associated with permanent, multi-use instruments only. The instrument, for example, has an alignment and retaining pin, shiftable to an operative position wherein perfect alignment between the anvil and the staple cartridge is assured, and wherein tissue to be sutured and located bet~een these elements is maintained therebetween. The instrument is provided with a lockout device which precludes rotation oE the adjustment knob to secure the desired gap unless the alignment and retaining pin has been shifted to its operative position. The instrument is also provided with a novel trigger safety which will disable the trigger until the movable jaw of " ~ 4 ~ ~ ~44739 2804-932 the instrument has been shifted to a position near the working gap. Latch means is also provided for the trigger, to secure the trigger with a snap engagement when the trigger is shifted to its fully actuated position, to give the surgeon a visual, tactile and audible indication that the surgical staples have been properly and fully implanted and formed. For purposes of economy and simplicity, much of the instrument is made of appropriate plastic material, while all of the major load-bearing elements of the instrument are metallic. The instrument is so desi~ned that the staple driver is coupled to the trigger at all times. As a result of this, the driver is not free floating and cannot accidentally dislodge or discharge the surgical staples during shipping and handling prior to use of the instrument in the operating room.
DISCLOSURE OF THE INVENTION
According to the invention there are provided improvements in a stapler for surgically and rectilinearly suturing the tissue of a patient, said instrument comprising an elongated body term-inating at its forward end in a fixed jaw, an anvil mounted on said fixed jaw, characterized by a basic assembly slidably sup-ported by said body and shiftable longidutinally thereof, saidbasic assembly comprising a movable jaw subassembly, a handle subassembly and an adjustment bolt-adjustment knob subassembly all operatively joined together, said movable jaw subassembly comprising a cartridge containing at least one row of surgical staples and having a forward surface facing and parallel to said anvil, a hollow casing affixed to said cartridge, a driver for said staples slidably mounted within said casing, me~ns to shift said driver within said casing between a retracted position and a - 5 ~ 739 2804-932 staple driving position -to drive said staples through the tissue and against said anvil over a range of distances between said cartridge and said anvil constituting the working gap of the instrument, said driver shifting means comprising an elongated driver rod having a forward end connected to said driver within said casing and a rearward end connected to said trigger assembly, said trigger assembly having an upper end pivotally affixed to said basic assembly and a lower free end, said trigger being pivotable between an unactuated positon spaced from said handle assembly and wherein said driver is in said retracted position and an actuated position adjacent said handle assembly and wherein said driver is in said staple driving position, said adjustment bolt being affixed to said basic assembly within said body, said ajustment knob being captively and rotatably mounted at the rear-ward end of said body and being threadedly engaged with said adjustment bolt such that rotation of said adjustment knob in one direction will shift said adjustment bolt and said basic assembly rearwardly with respect to said body with said movable jaw assembly shifting away from said fixed jaw and said cartridge shifting away from said anvil, and rotation of said adjustment kno~ in the other direction will shift said basic assembly forwardly with respect to said body and said movable jaw assembly toward said fixed jaw and said cartridge toward said anvil, an alignment and retaining pin slidably mounted on said body, said alignment pin having a free forward end, said alignment pin being shiEtable longitudinally of said body between a retracted position wherein said forward end of said pin lies within said casing and an extended position wherein said free end passes through coaxial perforations in said `` ~Z4~73~
- 5a - 2804-932 cartridge and said anvil and into a recess in said fixed jaw to assure proper alignment of said cartridge and said anvil, indicator means to indicate when the distance between said car-tridge and said anvil is at and within said working gap of said instrument.
The anvil preferably has a plurality of anvil pockets configured to clinch the staples over a range of distances between the anvil and the cartridge, constituting the working gap of the instrument. The adjustment bolt preferably also actuates the indicator means to each side of the instrument, clearly showing when the working gap has been achieved between the anvil and the cartridge. The indicator is such that it will assist the surgeon in adjusting the distance between the anvil and the cartridge within the working gap.
In a preferred embodiment the alignment pin not only assures that the anvil and the cartridge are properly oriented with respec-t to each other, but also traps the tissue to be sutured between the anvil and the cartridge.
A safety lockout is provided which precludes rotation of the adjustment knob unless and until the alignment and re-taining pin has been shifted to its operative position. A secondsafety lockout disables the trigger unless and until the distance between the anvil and cartridge approaches the working gap of the instrument.
A lock is also provided in association with the handle to engage and lock the trigger when the handle reaches its full actuated position. This gives the surgeon a visual, audible and tactile indication that the ~Z~73~
1 surgical staples have been fully implanted and formed.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 is a side elevational view of the linear surgical stapling instrument of the present invention.
Figure 2 is a plan view of the instrument of Figure 1. ~
Figure 3 is a cross-sectional elevational view, taken along section line 3-3 of Figure 2.
- Figure 4 is an exploded perspective view of the mov-able jaw or cartridge/driver subassembly of the present invention.
Figure S is an elevational view of the driver oE the present invention.
Figure 6 is a plan view of the driver of Figure 5. r Figures 7, ~ and 9 are respectively, an elevational view, a rear view and a front view of the cartridge of the present invention.
Figure 10 is a fragmentary, enlarged front view of the cartridge of Figures 7 through 9.
Figure 11 is elevational view of the casing of the r present invention.
Figure 12 is a cross-sectional elevational view of the casing of Figure 11.
Figure 13 is an exploded perspective view of the adjustment bolt/adjustment knob subassembLy of the present invention.
Figures 14 and 15 are, respectively, a side eleva-tional view and a plan vlew oE the adjustment bolt of the present invention.
Figure 16 is an exploded perspective view of the trigger subassembly of the present invention.
Figure 17 is an elevational view of the trigger.
Figure 18 is an elevational view of the safety lockout oE the trigger subassembly.
Figures 19, 20 and 21 are, respectively, outside 73~
1 elevational, inside elevational and rear views of the left trigger cover.
Figures 22 and 23 are, respectively, outside eleva-tional and inside elevational views of the right trigger cover.
Figure 24 is an elevational view oE the right trigger cover illustrating the safety lockout and lockout spring mounted therein.
Figure 25 is an exploded perspective view of the handle subassembly of the present invention.
Figures 26, 27 and 28 are, respectively, an outside elevational view, an inside elevational view and a front elevational view of the right handle half.
Figure 29 is a plan view of the trigger saEety. r Figure 30 is an exploded perspective partial view'of the body/hook/pilot/anvil/indicator/alignment and retain-ing pin subassembly of the present invention.
Figure 31 is an outside elevational view of the left body haLf.
Figure 32 is an inside elevational view of the left body half.
Figure 33 is an elevational view of the pilot.
Figures 34, 3'5 and 3G constitute, respectively, a side elevational view, a plan view and an end elevational view of the anvil.
Figure 37 is a fragmentary cross sectional view of the anvil taken along section line 37-37 of Figure 35.
Figure 38 is an edge elevational view of the indica-tor sli'de.
Figures 39 and 40 are, respectively, a side elevational view and a front elevationaL view of the slide crank.
Figure 41 is a cross-sectional view of the slide crank ta~en aLong section line 41-41 of Figure 40.
Figùres 42'and 43 are respectively a plan view and a ~r ~24~3~
1 side elevational view of the knob lockout.
Flgure 44 is a cross-sectional view oE the knob lockout taken along section line 44-44 of Figure 42.
Figure 45 is a side elevational view of the alignment 5 and retaining pin knob.
DETAILED DESCRIPTION OF THE INVENTION
For convenience and ease of understanding, like parts have been given like index numerals in all of the Figures. Reference is first made to Figures 1 and 2.
10 These Figures are, respectively, a side elevational view and a plan view of the instrument of the present inven-tion. The instrume~lt is generally indicated at 1 and com-prises a body 2. The body 2 has a trigger subassembly generally indicated at 3 and a handle subassembly gener-15 ally indicated at 4. A trigger safety-is shown at 5.
At its forward end, the instrument terminates in a fixed jaw generally indicated at 6 supporting an anvil 7.
The instrument is also provided with a ~ovable jaw (gener-ally indicated at 8) which comprises, in part, a cart-20 ridge 9 for surgical staples. The upper portion of body
2 supports an alignment and retaining pin 10. The align-ment and retaining pin 10 e~tends through movable jaw 8.
The pin is manually shiftable by means of knob 11 for-wardly to a position wherein it also e~tends into the 25 anvil 7 and fixed jaw 6 to assure that the anvil 7 is properLy aligned with the cartridge 9.
At its rearward end, the instrument is provided with an adjustment knob 12~ the purpose of which will be apparent hereinafter. On eac~l of its sides, the instru-30 ment is provided with a gap setting indicator. One of the indicators is generally shown at 13 in Figure 1. The handle assembly 4 is provided with a handle snap lock 1~, p the purpose OL which will be described~hereinafter.
From this point Eorward, the various parts of the 35 instrument oE the present invention ~ill be described in ~L2~47~3~
1 groups or subassemblies for purposes of clarity and ease of understanding. While reference will be made to speci- -Eic Figures, reEerence should also be made to Figures 1 through 3 which sllow the instrument in fully assembled condition.
Reference is first made to Figure ~ wherein movable jaw or the cartridge/driver subassembly is illustrated in an exploded view. This subassembly comprises the cart-ridge 9, a staple driver 15, a casing 16, a driver rod 17, a left handle plate 18, a right handle plate 19 and a spacer 20.
Driver lS, which is molded of an appropriate plastic material, is best shown in Figures 5 and 6. Like all oE
the other plastic parts to be describçd, driver 15 is r formed of a plastic material of adequate strength, suit-able Eor use in a surgical environment, and capable of sterilization by one or more oE the known and well accepted methods. Such plastic materials are well known in the art.
The driver 15 is an integral, one-piece element com-prising an elongated body 21 having, at its ends, rear-wardly extending hook-like elements 22 and 23. The driver 15 is provided with a plurality oE fort~ardly extending tines 24. The tines 24 are equal in number to the number oE staples housed in cartridge 9. As can most clearly be seen in Figure 6, the forwardly extending tines 24 are arranged in two parallel, spaced rot~s, with the tines of one row staggered with respect to the tines of the other.
The cartridge 9 is best shown in Figures 7 through 10. The cartridge 9 constitutes an integral, one-piece molded plas~ic member comprising an elongated body 25 having an upstanding surrounding flange 26. At one end, the body 25 has a circular perforation 27, and at the other end it is provided with an elongated slot 28. The 7;~
1 purpose of perforation 27 and slot 28 will be apparent hereinafter.
The forward surface of cartridge 9 (i.e., that sur-face which will face the anvil), is provided with a for-wardly extending spacer element 29 adjacent perforation27 and a forwardly extending spac~r 30 adjacent the outermost end of slot 28. These spacers 29 and 30 are most clearly shown in Figures 7 and 9. These spacers cooperate with the anvil (to be described hereinafter) to determine the Eorwardmost position of cartridge 9.
The cartridge 9 is provided with a centrally located, longitudinally extending~ wall 31, flanked to either side by seglnentecl walls 32 and 33. These walls 31, 32 and 33 define two parallel rows of staggered pockets or slots 34 and 35. The pockets or slots 34 and 35 extend through the forward face of cartridge 9, as is most clearly shown in Figures 9 and 10.`
Each slot 34 is pro~ided at its ends with additional grooves 34a and 34b intended to frictionally receive the 20 legs of a surgical staple. Each slot 35 is provided with r similar additional grooves 35a and 35b, serving the same purpose. In this way, a surgical staple can be loaded in each of slots 34 and 35.
Reference is now made to Figure 3. As is shown in Figure 3, the tines 24 of driver 15 are insertable witllin the slots 34 and 35 of cartridge 9. Figure 3 illustrates a surgical staple 36 located within one of the slots 35.
It will be noted that the corresponding driver tine 24 overlies the crown of the staple. It will be apparent from this that when the driver 15 is shifted fort~ardly relative to cartridge 9, the surgical staple 36 will be shoved forwardly out of its slot 35. The driver 15 will r si~ilarly shove all of the surgical staples from their respective cartridge slots.
The cartridge casing 16 is illustrated in Figures 11 7;3 ~
1 and 12. The casing 16, like driver 15 and cartridge 9, is an integral, one-piece, molded plastic me~ber. The casing 16 is hollow, deEining a chamber 37. The forward end of the casing is open, as at 38, and is surrounded by a flange 39. The flange 39 is so si~ed as to just nicely fit within the flange 26 oE cartridge 9 and the casing 16 and cartridge 9 are joined together thereby through the use of ultrasonic welding, gluing or the like. The rearward end of casing 1~ is provided with an elongated, longitudinally extending slot 40, the purpose of which will be apparent hereinafter. The side walls of casing 16, centrally of slot 40, are notched as at 41 and 42.
Again, the purpose of these notches will be apparent hereinafter. Finally, the rearward end of casing 16 is provided with a perforation 43 coa~ial with the perfora-tion 27 of cartridge 9. The lower edge oE casing 16 is step~ed inwardly, as at 44 and the inwardly stepped portion 44 is provided with an elongated slot 45, corres-ponding to elongated slot 28 of cartridge 9. Figure 3 20 illustrates the assembly of casing 16 and cartridge 9. r It will be noted that driver 15 is shiftably mounted within casing 16.
Reference is now ma~e to Figure 4. The driver rod 17 comprises a metallic member having an eLongated shank 46.
25 At its rearward end, the elongated shank is enlarged as at 47 and provided with a transverse opening or perfora-tion 48. At its forward end, the shank 46 terminates in a plate-like structure 49 having upper and lower lugs 49a and 49b near its forwardmost end. As can be readily seen 30 in Figure 3, the plate-like Eorward end 49 of driver rod 1~ is located ~-Ji thin casing 16 with its lugs 49a and 49b just ni.cely received within the hook-like portions 23 and 22, respectively, of driver 15.` The forwardmost el~d of the driver rod plate-like structure 49 abuts the 35 elongated body portion 21 of driver 15. Thus, the :~L2~7;~
1 forward end of the driver rod 17 is locked into engagelnent with the driver 15 and when the driver rod 17 is shifted in a forward direction, it wiLl shift the driver 15 for~ra~dly as well.
Figure 4 illustrates the left handle plate 13 and right handle plate 19. Thes~ elements constitute the "main frame" of the surgical stapling instrument and are made of metal. The left handle plate 18 comprises an _ elongated shank-like portion 50, terminating at one end in a handle portion 51 and at the other`end in a plate-like structure 52. The shank portion 50 and handle portion 51 are coplanar. The forward plate-like portion 52 is parallel to ~ortions 50 and 51 but is slightly inset with respect thereto as at 53. The shank-like r 15 portion 50 has an upstanding lug 54, the purpose of which will be apparent hereinafter. The handle portion 51 has a forwardly extending lug 55 for purposes to be des-cribed. It is also provided with a perforation 56 to serve as a bearing for the pivot pin of the trigger 20 assembly and an elongated slot 57 adapted to cooperate r with the adjustment bolt of the instrument.
The right handle plate 19 is a mirror image of the left handle plate 18 and consequently has a shank portion 58, a handle portion 59 and a slightly offset plate-li~e 25 portion 60. The shank portion 58 is provided with a lug - 61 corresponding to lug 54. The handle portion 59 is pro-vided with a perforation 62 correspon~ing to perforation 56 of left handle plate 1~ and also serving as a bearing for the trigger assembly pivot pin. The handle portion 30 59 has an elongated slot 63 corresponding to elongated slot 57 of handle portion 51 and intended to cooperate with the adjustment bolt, as will be described. Handle portion 59 also has a forwardly `extending lug 64, corres-ponding to lug 55 oE handle portion 51. The only differ-35 ence between the right handle plate 19 and the left 7~
l handle plate 18 lies in the fact that the forwardly extending lug 64 has a transverse extension 65 Eormed thereon, the purpose of which will be described.
To complete this subassembly illustrated in Figure 4, a spacer 20 is provided. The spacer 20 is molded of plastic material and, as can be clearly seen in Figure 4, is of channel-shaped cross section haYing a pair of down-wardly depending leg portions 66 and 67. The spacer 20 -is also provided on one side with a laterally extending flange 68 Wit}l a notch 69 therein. A similar flange 70 is provided on the other side o the spacer 20, having a notch 71 formed therein. Referring to both Figures 3 and 4, the forward plate-like structures 52 and 60 of handle plates 18 and 19 are located within casing 16, to either r side of the plate-like portion 49 of driver rod 17. The o~fset portion 53 of left handle plate 18 is accommodated by the notch 41 of casing 16. Similarly, the correspond-ing offset portion 72 of right handle plate 19 is accommo-dated by notch 42 of casing 16.
The elongated shank portion 46 of driver rod 17 is located between the downwardly depending legs 66 and 67 of spacer 20. The elongated shank 50 of left handle plate 18 lies along the outside of downwardly depending leg 66 o~ spacer 20, while the elongated shank 58 of right handle plate 19 lies along the outside surface of downwardly depending spacer leg 67. In this way, the elongated shanks 50 and 58 of handle plates 1~ and 19 are separated from each other and from the elongated shank 46 of driver rod 17. To maintain spacer 20 in proper posi-tion with respect to these elements, the upstanding lug 54 on the shank 50 of left handle plate 18 is received within the notch 69 oE spac`er 20 while the upstanding lug 61 of the shank 58 oE right handle plate 19 is received within notch 71 oE spacer 20.
Figure 13 is an exploded view illustrating the 1~ .
1 adjustment bolt/adjustment knob subassembly of the present invention. This subassembly comprises the adjustment knob 12, the adjustment knob end cap 72 and -the adjustment bolt 73.
The adjustment Icnob 12 and its end cap 72 are most clearly illustrated in Figures 3 and 13. The adjustment knob 12 comprises a cylindrical molded plastic member having a main body portion 74, the rearward portion of which may be fluted or the like as at 75 to enable it to be readily grasped manually for rotation. The forward portion 76 of the adjustment knob 12 is of lesser dia,neter and is provided with an annular notch 77. The forwardmost part of knob portion 76 is provided with a transverse notch 78.
The main body portion 74 of knob 12 is hollow, having a central bore 79. The lesser diameter portion 76 oE
knob 12 also has a central bore 80, which is internally threaded.
End cap 72 comprises a molded plastic member have a circular body portion 81 with a forwardly extending, annular, cylindric~l skirt 82. The skirt 82 is adapted to be received within the ~ore 79 of the adjustment knob main body portion 74 with a frictional fit, as shown in Figure 3.
The adjustmen-t bolt 73 of this subassembly is illus-trated in Figures 3, 13, 14 and lS. The adjustment bolt 73 constitutes a molded plastic member comprising a main body portion 83 terminating at its forward end in a planar extension 84 having a fort~ardly directed coplanar finger 85. The planar extension 84 and finger 85 serve as spacer elements for tlle trigger assembly, as will be described llereinafter. The main body portion 83 of bolt 73 has a pair of opposed, laterally extending lugs 86 and 87. The lug 87 is adapted to be received in the elongated slot 57 of the handle portion 51 of the leEt -` ~2~ 9 handle plate 18, while the lug 8G is adapted to be received in the elongated slot 63 of the handle portion 59 of the right handle plate 19.
Extending rearwardly of its main body portion 83, the adjustment bolt 73 has a threaded shaft 88 adapted to be threadedly engaged in the threaded bore 80 of adjus tment knob 12, as shown in Figure 3. The threads of adjustment bolt shaft 88 and adJustment ~;nob bore 80 are so arranged that when the adjustment knob 12 is manually rotated in a clockwise direction, the adjustment bolt 73 ~ill shift forwardly -wi th respect thereto.
To complete adjus tment bolt 73, its main body portion 83 has a rearwardly extending lug 89 and a rearwardly and upwardly extending lug 90. The lugs 89 and 90 serve as r abutrnent stops for adjustment knob 12 and adjustment bolt 73. The rearwardly and upwardly extending lug 90 serves as an actuating means for the indicator slide crank, as will be described hereinafter.
The trigger subassembly 3 of the present invention is illustrated in Figure 16. The trigger subassembly 3 com-prises trigger pivot pin 91, trigger 92, trigger spring 93, trigger lockout 94, trigger lockout spring 95, left trigger cover 96 and right trigger cover 97.
Trigger 92 is an elongated, planar, metallic member having a somewhat enlarged upper end, as is shown in Figure 17. The upper end has a forwardly facing surface 98 adapted to contact the enlarged rearward end 47 of driver rod 17. The upper end of trigger 92 has a second edge 99 adapted to engage the forward end ~3a of the main body portion 83 oE the adjustment bolt 73 to determine the unactuated position of the trigger assembly. The engagemen t of the en larged rearward end 47 of driver rod 17 by trigger edge 98 and the engagement of trigger edge 99 by the Eorward surface 83a of adjustment bolt 73 are illustrated in Figure 3.
The pin is manually shiftable by means of knob 11 for-wardly to a position wherein it also e~tends into the 25 anvil 7 and fixed jaw 6 to assure that the anvil 7 is properLy aligned with the cartridge 9.
At its rearward end, the instrument is provided with an adjustment knob 12~ the purpose of which will be apparent hereinafter. On eac~l of its sides, the instru-30 ment is provided with a gap setting indicator. One of the indicators is generally shown at 13 in Figure 1. The handle assembly 4 is provided with a handle snap lock 1~, p the purpose OL which will be described~hereinafter.
From this point Eorward, the various parts of the 35 instrument oE the present invention ~ill be described in ~L2~47~3~
1 groups or subassemblies for purposes of clarity and ease of understanding. While reference will be made to speci- -Eic Figures, reEerence should also be made to Figures 1 through 3 which sllow the instrument in fully assembled condition.
Reference is first made to Figure ~ wherein movable jaw or the cartridge/driver subassembly is illustrated in an exploded view. This subassembly comprises the cart-ridge 9, a staple driver 15, a casing 16, a driver rod 17, a left handle plate 18, a right handle plate 19 and a spacer 20.
Driver lS, which is molded of an appropriate plastic material, is best shown in Figures 5 and 6. Like all oE
the other plastic parts to be describçd, driver 15 is r formed of a plastic material of adequate strength, suit-able Eor use in a surgical environment, and capable of sterilization by one or more oE the known and well accepted methods. Such plastic materials are well known in the art.
The driver 15 is an integral, one-piece element com-prising an elongated body 21 having, at its ends, rear-wardly extending hook-like elements 22 and 23. The driver 15 is provided with a plurality oE fort~ardly extending tines 24. The tines 24 are equal in number to the number oE staples housed in cartridge 9. As can most clearly be seen in Figure 6, the forwardly extending tines 24 are arranged in two parallel, spaced rot~s, with the tines of one row staggered with respect to the tines of the other.
The cartridge 9 is best shown in Figures 7 through 10. The cartridge 9 constitutes an integral, one-piece molded plas~ic member comprising an elongated body 25 having an upstanding surrounding flange 26. At one end, the body 25 has a circular perforation 27, and at the other end it is provided with an elongated slot 28. The 7;~
1 purpose of perforation 27 and slot 28 will be apparent hereinafter.
The forward surface of cartridge 9 (i.e., that sur-face which will face the anvil), is provided with a for-wardly extending spacer element 29 adjacent perforation27 and a forwardly extending spac~r 30 adjacent the outermost end of slot 28. These spacers 29 and 30 are most clearly shown in Figures 7 and 9. These spacers cooperate with the anvil (to be described hereinafter) to determine the Eorwardmost position of cartridge 9.
The cartridge 9 is provided with a centrally located, longitudinally extending~ wall 31, flanked to either side by seglnentecl walls 32 and 33. These walls 31, 32 and 33 define two parallel rows of staggered pockets or slots 34 and 35. The pockets or slots 34 and 35 extend through the forward face of cartridge 9, as is most clearly shown in Figures 9 and 10.`
Each slot 34 is pro~ided at its ends with additional grooves 34a and 34b intended to frictionally receive the 20 legs of a surgical staple. Each slot 35 is provided with r similar additional grooves 35a and 35b, serving the same purpose. In this way, a surgical staple can be loaded in each of slots 34 and 35.
Reference is now made to Figure 3. As is shown in Figure 3, the tines 24 of driver 15 are insertable witllin the slots 34 and 35 of cartridge 9. Figure 3 illustrates a surgical staple 36 located within one of the slots 35.
It will be noted that the corresponding driver tine 24 overlies the crown of the staple. It will be apparent from this that when the driver 15 is shifted fort~ardly relative to cartridge 9, the surgical staple 36 will be shoved forwardly out of its slot 35. The driver 15 will r si~ilarly shove all of the surgical staples from their respective cartridge slots.
The cartridge casing 16 is illustrated in Figures 11 7;3 ~
1 and 12. The casing 16, like driver 15 and cartridge 9, is an integral, one-piece, molded plastic me~ber. The casing 16 is hollow, deEining a chamber 37. The forward end of the casing is open, as at 38, and is surrounded by a flange 39. The flange 39 is so si~ed as to just nicely fit within the flange 26 oE cartridge 9 and the casing 16 and cartridge 9 are joined together thereby through the use of ultrasonic welding, gluing or the like. The rearward end of casing 1~ is provided with an elongated, longitudinally extending slot 40, the purpose of which will be apparent hereinafter. The side walls of casing 16, centrally of slot 40, are notched as at 41 and 42.
Again, the purpose of these notches will be apparent hereinafter. Finally, the rearward end of casing 16 is provided with a perforation 43 coa~ial with the perfora-tion 27 of cartridge 9. The lower edge oE casing 16 is step~ed inwardly, as at 44 and the inwardly stepped portion 44 is provided with an elongated slot 45, corres-ponding to elongated slot 28 of cartridge 9. Figure 3 20 illustrates the assembly of casing 16 and cartridge 9. r It will be noted that driver 15 is shiftably mounted within casing 16.
Reference is now ma~e to Figure 4. The driver rod 17 comprises a metallic member having an eLongated shank 46.
25 At its rearward end, the elongated shank is enlarged as at 47 and provided with a transverse opening or perfora-tion 48. At its forward end, the shank 46 terminates in a plate-like structure 49 having upper and lower lugs 49a and 49b near its forwardmost end. As can be readily seen 30 in Figure 3, the plate-like Eorward end 49 of driver rod 1~ is located ~-Ji thin casing 16 with its lugs 49a and 49b just ni.cely received within the hook-like portions 23 and 22, respectively, of driver 15.` The forwardmost el~d of the driver rod plate-like structure 49 abuts the 35 elongated body portion 21 of driver 15. Thus, the :~L2~7;~
1 forward end of the driver rod 17 is locked into engagelnent with the driver 15 and when the driver rod 17 is shifted in a forward direction, it wiLl shift the driver 15 for~ra~dly as well.
Figure 4 illustrates the left handle plate 13 and right handle plate 19. Thes~ elements constitute the "main frame" of the surgical stapling instrument and are made of metal. The left handle plate 18 comprises an _ elongated shank-like portion 50, terminating at one end in a handle portion 51 and at the other`end in a plate-like structure 52. The shank portion 50 and handle portion 51 are coplanar. The forward plate-like portion 52 is parallel to ~ortions 50 and 51 but is slightly inset with respect thereto as at 53. The shank-like r 15 portion 50 has an upstanding lug 54, the purpose of which will be apparent hereinafter. The handle portion 51 has a forwardly extending lug 55 for purposes to be des-cribed. It is also provided with a perforation 56 to serve as a bearing for the pivot pin of the trigger 20 assembly and an elongated slot 57 adapted to cooperate r with the adjustment bolt of the instrument.
The right handle plate 19 is a mirror image of the left handle plate 18 and consequently has a shank portion 58, a handle portion 59 and a slightly offset plate-li~e 25 portion 60. The shank portion 58 is provided with a lug - 61 corresponding to lug 54. The handle portion 59 is pro-vided with a perforation 62 correspon~ing to perforation 56 of left handle plate 1~ and also serving as a bearing for the trigger assembly pivot pin. The handle portion 30 59 has an elongated slot 63 corresponding to elongated slot 57 of handle portion 51 and intended to cooperate with the adjustment bolt, as will be described. Handle portion 59 also has a forwardly `extending lug 64, corres-ponding to lug 55 oE handle portion 51. The only differ-35 ence between the right handle plate 19 and the left 7~
l handle plate 18 lies in the fact that the forwardly extending lug 64 has a transverse extension 65 Eormed thereon, the purpose of which will be described.
To complete this subassembly illustrated in Figure 4, a spacer 20 is provided. The spacer 20 is molded of plastic material and, as can be clearly seen in Figure 4, is of channel-shaped cross section haYing a pair of down-wardly depending leg portions 66 and 67. The spacer 20 -is also provided on one side with a laterally extending flange 68 Wit}l a notch 69 therein. A similar flange 70 is provided on the other side o the spacer 20, having a notch 71 formed therein. Referring to both Figures 3 and 4, the forward plate-like structures 52 and 60 of handle plates 18 and 19 are located within casing 16, to either r side of the plate-like portion 49 of driver rod 17. The o~fset portion 53 of left handle plate 18 is accommodated by the notch 41 of casing 16. Similarly, the correspond-ing offset portion 72 of right handle plate 19 is accommo-dated by notch 42 of casing 16.
The elongated shank portion 46 of driver rod 17 is located between the downwardly depending legs 66 and 67 of spacer 20. The elongated shank 50 of left handle plate 18 lies along the outside of downwardly depending leg 66 o~ spacer 20, while the elongated shank 58 of right handle plate 19 lies along the outside surface of downwardly depending spacer leg 67. In this way, the elongated shanks 50 and 58 of handle plates 1~ and 19 are separated from each other and from the elongated shank 46 of driver rod 17. To maintain spacer 20 in proper posi-tion with respect to these elements, the upstanding lug 54 on the shank 50 of left handle plate 18 is received within the notch 69 oE spac`er 20 while the upstanding lug 61 of the shank 58 oE right handle plate 19 is received within notch 71 oE spacer 20.
Figure 13 is an exploded view illustrating the 1~ .
1 adjustment bolt/adjustment knob subassembly of the present invention. This subassembly comprises the adjustment knob 12, the adjustment knob end cap 72 and -the adjustment bolt 73.
The adjustment Icnob 12 and its end cap 72 are most clearly illustrated in Figures 3 and 13. The adjustment knob 12 comprises a cylindrical molded plastic member having a main body portion 74, the rearward portion of which may be fluted or the like as at 75 to enable it to be readily grasped manually for rotation. The forward portion 76 of the adjustment knob 12 is of lesser dia,neter and is provided with an annular notch 77. The forwardmost part of knob portion 76 is provided with a transverse notch 78.
The main body portion 74 of knob 12 is hollow, having a central bore 79. The lesser diameter portion 76 oE
knob 12 also has a central bore 80, which is internally threaded.
End cap 72 comprises a molded plastic member have a circular body portion 81 with a forwardly extending, annular, cylindric~l skirt 82. The skirt 82 is adapted to be received within the ~ore 79 of the adjustment knob main body portion 74 with a frictional fit, as shown in Figure 3.
The adjustmen-t bolt 73 of this subassembly is illus-trated in Figures 3, 13, 14 and lS. The adjustment bolt 73 constitutes a molded plastic member comprising a main body portion 83 terminating at its forward end in a planar extension 84 having a fort~ardly directed coplanar finger 85. The planar extension 84 and finger 85 serve as spacer elements for tlle trigger assembly, as will be described llereinafter. The main body portion 83 of bolt 73 has a pair of opposed, laterally extending lugs 86 and 87. The lug 87 is adapted to be received in the elongated slot 57 of the handle portion 51 of the leEt -` ~2~ 9 handle plate 18, while the lug 8G is adapted to be received in the elongated slot 63 of the handle portion 59 of the right handle plate 19.
Extending rearwardly of its main body portion 83, the adjustment bolt 73 has a threaded shaft 88 adapted to be threadedly engaged in the threaded bore 80 of adjus tment knob 12, as shown in Figure 3. The threads of adjustment bolt shaft 88 and adJustment ~;nob bore 80 are so arranged that when the adjustment knob 12 is manually rotated in a clockwise direction, the adjustment bolt 73 ~ill shift forwardly -wi th respect thereto.
To complete adjus tment bolt 73, its main body portion 83 has a rearwardly extending lug 89 and a rearwardly and upwardly extending lug 90. The lugs 89 and 90 serve as r abutrnent stops for adjustment knob 12 and adjustment bolt 73. The rearwardly and upwardly extending lug 90 serves as an actuating means for the indicator slide crank, as will be described hereinafter.
The trigger subassembly 3 of the present invention is illustrated in Figure 16. The trigger subassembly 3 com-prises trigger pivot pin 91, trigger 92, trigger spring 93, trigger lockout 94, trigger lockout spring 95, left trigger cover 96 and right trigger cover 97.
Trigger 92 is an elongated, planar, metallic member having a somewhat enlarged upper end, as is shown in Figure 17. The upper end has a forwardly facing surface 98 adapted to contact the enlarged rearward end 47 of driver rod 17. The upper end of trigger 92 has a second edge 99 adapted to engage the forward end ~3a of the main body portion 83 oE the adjustment bolt 73 to determine the unactuated position of the trigger assembly. The engagemen t of the en larged rearward end 47 of driver rod 17 by trigger edge 98 and the engagement of trigger edge 99 by the Eorward surface 83a of adjustment bolt 73 are illustrated in Figure 3.
3~
1 The upper end oE trigger 92 is provided with a perfor-ation 100 adapted to receive trigger pivot pin 91. It is also provided wit`n a second perforation 101 adapted to receive the hooked upper end of trigge~ spring 93.
Trigger spring 93 is intended to bias the trigger assem-bly 3 to its non-actuated position, as will be described hereinaEter. To complete trigger 92, its rearward edge is provided with an elongated notch 102 giving clearance for trigger safety 5, as will be apparent hereina~ter, and a second notch 103 providing clearance Eor a spring mount in the right trigger cover 97, again as will be apparent hereinafter.
The trigger saety lockout 94 is illustrated in Figures 16 and 18. Trigger safety lockout 94 comprises r 15 an elongated plastic member having, about midway o its length, an abutment surface 104 to be engaged by trigger safety 5. Adjacent abutment surEace 104, the trigger safety loc~out 94 is provided with a ?erforation 105 adapted to receive the upper hook-shaped end of trigger 20 safety lockout spring 95. Near its upper end, the -trigger safety lockout 94 has an elongated perforation or slot 106 through which trigger pivot pin 91 extends.
Finally, at its uppermost end, the trigger safety lockout 94 is provided witll an upward extension 107, the purpose 25 f which will be described hereinaEter.
The left trigger cover 96 is illustrated in Figure 16 and in Figures 19, 20 and 21 as well. Figure 19 is an outside elevational view of the leEt trig~er half 96, while Figure 20 is an inside elevational view thereof and 30 Figure 21 is a rear elevational view thereof. ~le trigger half 96 is an essentially hollow elongated plas-tic member having joinder flanges 108 along its forward, rearward and bottom edges. The leEt ~rigger cover also has a plurality of reinforcing ribs 109 e.Ytending trans-35 versely thereof. Its rearward edge is provided with a . 17 1 depression 110 to provide clearance Eor the trigger safety 5. The rearward edge of the le-Et trigger cover 96 is also provided with a slot 111, the purpose of which will be apparent hereinafter.
At ~ts up~er end, the left trigger cover 96 is pro-vided with an integral extension 112 having a perforation ..
113 extending transversely therethrough. As is apparent from Figure 16, the per-Foration 113 is adapted to receive the trigger pivot ~in 91. Finally, on its insid~ sur-face, the upward extension 112 is provided with a lug 114. Lug 114 is adapted to be received within the opening 4~ in the enlarged end 47 oE driver rod 17. In this way, the driver rod 17 and driver 15 are operatively connected, at all times, to trigger assembly 3. F
The right trigger cover 97 is illustrated in Figures 22 through 24. The right trigger cover 97 is very nearly a mirror irnage of the leEt trigger cover 96. The right trigger cover 97 has indentations 115 along its forwardj rearward and.bottom edges, adapted to receive the joinder flanges 108 of left trigger cover 96. The right trigger cover 97 also is provided with transversely extending reinforcing ribs 116, similar to the reinforcing ribs 109 of left trigger co~er 96. The.upper end of right trigger cover 97 is not provided with an extension equivalent to the extension 112 of left trigger cover 96. Rather, the upper end of right trigger cover 97 is provided with a notch 117 adapted to provide clearance Eor the upper portion of trigger safety lockout 94. In its rearward edge, the right trigger cover 97 has an elongated notch 11~ to provide access to and clearance Eor the trigger safety lockout 94. It is also provided, near its lower end, with a second notch 119. The notch 119 cooperates with the correspon~ing notcll 111 in leEt trigger halE 96 to Eorm a single continuous notch across the trigger assembly when the parts are joined together. To complete ~2~73~ ~
1 the structure, the inside surface of right trigger cover 97 is provided with a pin 120 which serves as an anchor for the lower end of the trigger safety lockout spring 95. Figure 24, whicll is similar to Figure 23, illus-trates the trigger safety lockout 94 mounted in place within the right trigger cover 97. It will be noted that the trigger safety lockout spring 95 tends to urge the trigger safety lockout 94 downwardly with respect to the right trigger cover 97.
Re~erring to Figures 16 and 24, the trigger subassem-bly 3 is asse~nbled by locating the trigger safety lockout 94 in the right trigger cover 97 ~Yi th the upper end oE
trigger safety lockout spring 95 mounted in the trigger safety lockout perforation 105 and the lower end of spring 95 affixed to the anchor pin 120 of the right trigger cover 97. The metallic trigger 92 is located ~ithin this assembly and the left trigger half 96 is then affixed to the right`trigger half 97 by locating the joinder flanges 108 of left trigger half 96 within the indentations 115 in the right trigger half 97 and joining these plastic elements together by ultrasonic welding, glue or the like. The trigger pivot pin 91 is then located within perforation 113 of the left trigger half 96, perforation 100 in the metallic trigger 92 and elongated slot 106 within trigger safety lockout 94.
Turning to Figure 4, the free ends of the trlgger pivot pin 91 pass through .the perforation 56 of left handle plate 18 and the perforation 62 of right handle plate 19, the perfora-tions 56 and 62 serving as bearings for the pivot pin 91. When this assembly is made, the free end of trigger spring 93 is hooked on the extension 65 of the lug 64 on handle portion 59 of right handle plate 19. With these parts assembled, the lug 55 of handle portion 51 of left handle plate 18 abuts the free end of the extension 65 on right handle plate 19, thus 7~9 1 preventing the lower end of trigger spring 93 from slipping off the extension 65. The attachment o the free end of trigger spring 93 to the handle plate exten-sion 65 is illustrated in ~igure 3.
It will also be apparent from Figures 3, 20 and 25 that the depression 110 in the rearward edge of the left trigger cover 96 and the notch 118 in the rearward edge of the right trigger cover 97 expose the operating abut-ment surface 104 of the trigger safety lockout 94 and pro-vide clearance for engagement thereof by trigger safety 5, to be described hereinafter.
The handle subassem~ly 4 of the present invention is illustrated in Figure 25. The handle subassembly 4 com-prises a left handle hal~ 121, a right handle half 122, r lS trigger safety 5 and handle snap lock 1~.
The right handle hal~ 122 is illustrated in ~igures 26, 27 and 28. Handle half 122 is a hollow plastic member, the front, bottom and rear edges of which are provided with elongated depressions l23 adapted to - 20 receive si~ilarly placed flanges on left handle half 121, by which the handle halves 121 and 122 are joined togethe`r. Handle half 122 has an opening 124 adapted-to acco~modate the trigger assembly 3. In its forward edge, it also has an elongated notch 125 adapted to accept trigger safety 5, when in its retracted position. The right handle half 122 has a plurality o~ sockets 126 and a plurality of joinder pins 127. It will be understood that the left handle half 121 will have sockets equiva-lent to sockets 126 at the position of the pins 127 in right handle hal 122 and will have pins equivalent to pins 127 at the positions of the sockets 126 in right handle hal 122, by which the handle halves 121 and 122 are joined together. Sockets 126 in handle halves 121 and 122 pass through corresponding perforations 126a in handle portions 51 and 59 of handle plates 18 and 19, 3~
1 respectively, while pins 127 in handle halves 121 and 122 pass throug~. corresponding perforations 127a in handle portions 51 and 59 of handle plates 18 and 19, respec-tively. This arrangement aids in positioning and align-ment of parts upon assembly. The handle halves may be joined permanently by glue, ultrasonic welding, or the like. Near its bottom, the right handle half 122 has a web or wall 128 forming a socket for the handle snap lock 14. A second small wall 129 is provided as part of the snap lock socket. A notch 130 is located in the lower forward edge of handle half 122 to allow the Eree end of the handle snap lock 14 to extend beyond the confines of the handle halE 122. ~ihallyJ the uppermost end oE
handle half 122 is provided with a longitudinal slot 131, r 15 the purpose of which will be evident h~reinafter.
It will be understood that the leEt handle half 121 constitutes substantially a mirror image of the right handle half in all respects save the locations of the joinder pins 127 and sockets 126 and the fact that it is 20 provided with flanges to be received in the depressions 123 of right handle halE 122.
Trigger safety 5 is illustrated in Figures 25 and 2~.
Trigger safety 5 is a molded plastic member comprising a bot~om wall 132, a pair of upstanding side walls 133 and 134 and a front end wall 135 with an extension 136 extend-ing above the side walls 133 and 134. Flanges 137 and 138 extend laterally oE side walls 133 and 134. The outside surface of botto~ wall 132 and flanges 137 and 138 may be grooved as at 139 ~see Figures 3 and 25) to afford better l~nual engagement thereof. At its rearward end, each of the side walls 133 and 134 is provided with a lateral extending, integral pivot pin. These pivot pins are shown at 140 and 141. The pivot pins 140 and 141 are adapted to be received in sockets within handle halves 121 and 122, one of these sockets being 73~
1 illustrated at 142 in Fig.ures 25, 27 and 28. In this way, the trigger safety 5 is pivotally attached to the handle halves at the lower end of the notch 125 in the handle halves. Normally, the trigger safety 5 occupies its extended position illustrated in Figure 3. In this position, the extension 136 of tne trigger safety 5 engages and abuts the abutment surface 104 of tr.igger safety lockout 94. So long as the trigger safety 5 is in the position shown in Figure 3, the trigger subassembly 3 cannot be pivoted to its actuated position and is main-tained or locked in its unactuated position.
The handle snap lock 14 is illustrated in Figures 25 and 3. Tlle handle snap lock 14 comprises an L-shaped member adapted tQ fit within the socket formed by r interior walls 128 and 129 iTI right handle half 122 and corresponding ~alls in leEt handle-half 121 ~not shown).
The handle snap lock has a forward end portion which extends through the slot 13Q in the right handle half 122 and corresponding slot (not shown~ in left handle half 121. This forward end oE the handle snap lock 14 is hook-shaped, as shown at 143. It will be apparent from Figure 3 that when the trigger assembly 3 is shiEted to its fully actuated position adjacent handle assembly 4, the hooked end 143 of handle snap lock 14 will enter the slot in the bottom rear edge of the trigger assembly 3, formed by slot 111 in the left trigger cover 96 and slot 119 in the right trig~er cover 97. Once it has entered this slot, it will lock the trigger assembly 3 in its Eully actuated position, giving the surgeon a visual, audible and tactile indication that the instrument has been fully actuated and the surgical. staples have been fully formed and imL~lanted in the tissue being sutured.
Referring to Figures 3, 4, 13, 16 and 25, it.will be apparent tllat when the cartridge/driver subassem~ly of Figure 4 and the trigger subassembly 3 of Figure 16 are 1 joined together, along with the adjustment bolt/adjust-ment knob assembly of Figure 13 (with the lugs 86 and 87 of the adjustment bolt 73 located, respectively, in elongated slots 63 and 57 of handle plates 19 and 18), the handle subassembly 4 of Figure 25 can be added to this structure. ~le handle halves 121 and 122 are intended to surround tho trigger subassembly 3 of Figure 16, as well as the handle portions Sl and 59 of handle plates 13 and 19. The assembly oE the elements illus-trated in Figures 4, 13, 16 and 25 constitutes the primary or basic assembly of the instrument 1. The remaining subassem~ly of instrument l is partially illustrated in the exploded vie~ oE ~igure 30.
This final subassembly comprises a left hook 144 and a mirror image right hook 145 (see Figure 3), a left body half 146 and a Ihirror image right body half 147 (see Figure 3), a pilot 148, anvil 7, a left indicator slide 150 and a mirror-image right indicator slide 15~a (Figure 3), a left indicator slide spring 151 and a corresponding right indicator spring 151a (Figure 3), a leEt indicator spring cover 152 and an identical right indicator spring cover (not shown), a left indicator label 153 and a mirror image right indicator label (not shown), a slide crank 154, a knob lockout 155, an alignment and retaining pin 10 and an alignment and retaining pin knob 11.
The left hook 144 comprises a metallic member having an elongated shank 158. At its rearward end, the elongated shank 15S terlninates in a portion 159 parallel to the remainder of the shank, but slightly offset as at 160. At its rearwardmost end, the shank portion 159 contains an elongated perforation 161. At its forward end, the shank 158 terminates in a hook-like structure .
162, the forwardl~los~ portion 163 of which constitutes a part of fixed jaw 6. The portion 163 is parallel to the portion 162 and the shank portion 158, but is slightly 473~
1 f~set therefrom as at.164. It will be understood that the right hook 145 ~see Figure 3) is a mirror image oE
leE t hook 144.
The lef t body half 146 is illustrated in Figures 30, 31 and 32. Left body half 146 is molded of plastic and is essentially hollow, having along its inner edges a plura li ty of elonga ted lugs 164 in tended .to be rece ived in corresponding grooves formed in the edges of right body half 147, the body halves being intended to be 10 joined together by gluing, ultrasonic welding or the like .
Along i ts bot tom edge, the body half 146 has an elongated notch 165. Body half 147 has a similar notch shown at 166 in Figure 3. The notches 165 and 166 form 15 an elongated r2ctangular opening, adapted to receive the upper end of the handle assembly, as will be evident hereinaEter. On its upper surface, body half 146 has a similar, elongated, rectangular notch 167. ~ corre-sponding notch is provided at 168 in body half 147 (see Figures 2 and 3). The notches 167 and 168 define a rectangular opening at the top of the instrument body ~
partially shown in Figure 2 and generally indicated at 169.
At its rearward end, body half 146 is provided with a 25 semi-circular notch 170. A similar semi-circular notch is provided at 171 in body half 147 (see Figure 3). When the adjustment knob 12 is mounted within the body, as shown in Figure 3, the semi-circular notches 170 and 171 surround and engage the annular notch 77 in the adjust-30 ment kno~ 12, thereby both captively and rotatively mounting the ad jus tment kno~ 12 within the ~ody 2.
Referring to Figures 2, 3, 31 and 32, the upper surface of body half 146 is provided with a pair of ups tanding lugs 172 and 173. Body halE 147 is provided with a corresponding pair of upstanding lugs 174 and 175.
73~
1 As will be noted rom Figure 32, the lower portions 172a and 172b oE lugs 172 and 173 are slightly inset. The same is true of the lugs 174 and 175 on body half 147.
Thus, when body halves 146 and 147 are joined together 9 the upper portions of lugs 172 and 174 are joined, as are the upper portions of lugs 173 and 175 (see Figure 2).
The lower inset portions of these lugs form passages through the lug pairs for the alignment and retaining pin 10, as can be seen in Figure 3.
Reference is now made to Figure 33 wherein the pilot 148 is illustrated. The pilot 148 comprises a molded plastic tnember having a body portion 176 similar in shape to the jaw portion 163 of the left hook 144. The pilot portion 176 is provided with three perforations 177, 178 and 179. It will be noted that the portion 163 of the left hook 144 (see Figure 30) is provi~led with three corresponding perforations 180, 181 and 182. The right hook 145 (Figure 3) i`s provided with a si!nilar set of perforations (not sho~n). - .
The top front and bottom edges of the pilot portion r 176 is provided with a flange 183 which extends laterally to either side of the body portion 176. Near its upper end, the body portion 176 is provided with a clearance notch 184 to accommodate the forward end of the alignment and retaining pin 10, as will be evident hereinafter. To complete the pilot 148-, the body portion 176 thereof is provided with a rearwardly e~tending shank 185. The purpose of this shank will also be apparent hereinafter.
Figures 4, 35 and 36 illustrate the anvil 7 of the present invention. As is evident froln Figure 36, the anvil 7 is of inverted U-shaped configuration, having an anvil surface 186 and a pair of downwardly depending legs 187 and 188. ~s ~lill be seen from Figure 34, the legs 187 and 188 have a configuration similar to the body portion-176 of pilot 148. It will be noted that leg 188 73~
in Figure 3~ is illustrated as having three perforations 189, 190 and 191. These perforations correspond to the perforations 177, 178 and 179 in pilot 148 and to the perforations 180, 181 and 182 in the hook 144 (see Figure 5 30). Anvil l~g 187 is provided with a corresponding set of perEorations (not shown).
Turning to Figure 35, the anvil surface 186 has at one end a perforation 192 to accommodate the alignment and retainin~ pin 10, as will be described hereinafter.
10 At its other end, the anvil surface has an elongated opening` 193 adapted to accommodate the shank 18S of pilot 148.
The anvil surface 1~6 of anvil 7 is provided with two longitudinally extending rows 194 and 195 oE pairs of s taple forming pocke ts. The pocke ts of row 194 are r staggered with respect to the pocke ts of row 195. As a result, the instrument of the present invention wilL
provide, in the embodiment described, two rows oE st~Lples in the tissue being sutured, the staples of each row being staggered with respect to the other. Figure 37 r - illustrates an exemplary pair of pockets 196-197.
The pockets 196 and 197 are illustrated as being of the type taught in U.S. Patent ~,319,576. To this end, the- pockets 196 and 197 are mirror images of each other and are otherwise identical. The pocke ts 195 and 197 each have first longitudinally extending large radius portivns 196a and 197a, respectively. The large radius portions cooperate with the points of the legs of a surgical staple and cause them to bend toward each other.
The anvil pockets 196 and 197 also have lon$itudinally exending smaller radius portions 196b and 197b, respec-tively. As the staple legs are driven further toward the anvil, the small radius anvil pocket portions 196b and 197b will cause the staple legs to Eorm a radius of curva ture of their own, forming the staple into a - ~Z~7~9 1 B-shape. The configuration of anvil pockets 196 and 197 allows the instrument of the present invention to be provided with a single staple size which will be ade-quately clinched throughout the working gap of the instruinent.
At this point reference is made to Figure 10 illus-trating the for~ard surface of cartridge 9. It will be noted that each of the staple retaining slots 34 is - provided with depressions 34c and 34d to either side thereof. Similarly, each of the staple retainin~ slots 35 is provided with depressions 35c and 35d to either side thereof. The purpose of these depressions is to L
accommodate the ~ree ends of the surgical staples when the minimum gap of the instrument .is used.
Reference is not~ made to Figures 2, 3, 30 and 32.
Turning first to Figure 32, it will be noted that the left hook 144 is illustrated in broken lines in asso-ciation with body hal'f 146. The shank portions 158 and 159 of left hook 144 lie along the inside surface of body half 14'6. The body half 146 is provided with a lug 198 which is received in the perEoration 161 in the rearward end of the hook shank portion 159. It will be understood that the right hook 145 will be similarly associated with the right body half 147.
Turning to Figures 3 and 30, the anvil 7 is placed upon pilot 148, with the anvil legs 187 and 188 extending to either side of the pilot body portion 176, the edges of anvil legs 187 and 188 lying adjacent the pilot flange 183. The pilot shank 185 e~tends through the elongated opening 193 of the anvil 7.
~ hen tlle body halves 146 and 147 are joine~ together, along with their associated leEt hook 144 and right hook 145, the assem~ly of pilot 148 and anvil 7 is located between the portion 163 of left hook 144 and the corres-ponding portion of right hook 145. This portion 163 of 1 left hook 144, the pilot 148, the anvil 7 and the portion of right hook 145 corresponding to left hook portion 163 constitute the fixed jaw 6 o~ Figure 1. These elements are joined together by rivets 199, 200 and 201, as shown in Figures 3 and 30. The rivets pass through the above described corresponding perforations in these elements.
Turning to Figures 1, 3 and 4, the movable jaw of the instrument, generally indicated at 8 in Figure 1, com- r prises the cartridge 9, the casing 16 and those elements witl~in casing 16 including driver 15, the plate-like portion 49 of driver rod 17, and the plate-like portions 52 and 60 oE the left and right handle plates 18 and 19.
As is most clearly shown in Figure 3, the shank 185 of pilot 148 extends through the elongated opening 28 of cartridge 9 and the elongated opening 45 of casing 16, thereby acting as a guide for these elements as they are shifted toward and away from the anvil 7.
Through the agency of the left and right handle plates`18 and 19, the trigger assembly of Figure 16 and 20 tne handle assembly of Figure 25 constitute a part of r movable jaw 8 and, therefore, must be shiftable within the body halves 146 and 147 with the movable jaw 8. To this end, re~erence is made to Figure 25 and 26. It will be remembered that right handle half 122 is provided at 25 its upper end with a longitudinally e.~tending groove 131.
As will be apparent from Figure 25, the upper end of mirror image left handle half 121 is provided with an identical groove 131a. It will further be remembered (see Figures 3 and 32) tl~at the body halves 146 and 147 have elongated notches 165 and 166 formed in their lower surfaces, definin8 a rectangular opening to receive the upper end of the handle/trigoer assembly. The longltudi- r nal edges of the notches 165 and 166 engage the longitudi-nal slots 131a and 131, respectively, oE handle halves 121 and 122 with a sliding engagement.
73~
Ke~erence is now made to Figure 3. It will be evi-dent from Figure 3 that when adjustment knob 12 is rotated in a clockwise direction, the threaded engagement of bore 80 of knob 12 and bolt shaft 88 will cause the adjustment bolt 73 to shift for~ardly with respect to adjustment knob 12. Adjustment bolt 73 is connected to the left handle plate 18 and right handle plate 19 via lug 87 on adjustment bolt 73 to hole 57 on left handle plate 18 and lug 86 on adjustment bolt 73 to hole 63 on righ~ handle plate 19. This ~ill result in forward movement oE the handle and trigger assembly, as well as the movable jaw 8. In this way, the movable jaw 8 and its cartridge 9 will be brought towa`rd anvil 7 to a distance thereErom within the working gap of the instru- r ment.
The instrument of the present invention is provided with indicator means in association with each body half 146 and 147 enabling the surgeon to visually determine when the distance between anvil 7 and cartridge 9 is witll~in the working gap of the instrument and just what region of the working gap it is within.
Reference is made to Figures 1, 30, 31 and 32 with respect to which the indicator means in association with left body halE 146 will be described. It will be under-stood that the indicator means in association with right body half 147 is a mirror image thereof, and otherwise identical thereto. Provision of indicator means in association with both body halves 146 and 147 assures that one or the other of the indicator means will be readily readable by the surgeon, regardless of t~e position oE tlle instrument during use.
Left body half 146 is provided with an elongated, rectangular depression or opening 202. A portion 202a of the opening extends through the body half 146. The opening 202 is provided with an upper inwardly extending 1 wall 203, a lower inwardly extending wall 204 and an inwardly extending end wall 205. A second portion 202b of opening 202 is provided with a rear wall 206, joining the innermost edges of walls 203, 204 and 205. The for-ward ~ortion 202b of recess 202 is surrounded by a shallow depression, forming a surrounding shoulder 207, the purpose of which will be apparent hereinater. As is most clearly shown in Figure 32, the bottom wall 204 extends nearly to the rearward end of body half 146.
Adjacent the end of bottom wall 204 there is an integral molded stop 20~. The bottom wall 204 is also provided with an upstanding guide 209 near its innermost edge.
T~e recess 202 is intended to have tlle slide indica-tor 150 [nounted therein. The slide indicator 150 is r shown in Figures 30 and 3~. Slide indicator 150 com-prises an elongated molded plastic member having a planar inner surEace 210 and a planar outer surface 211. The indicator slide terminates in a forward end 212 and a rearward end 213. The planar inner surface 210 is pro-20 vided with an inwardly extending lug 214. The planar r outer surface 211 has a raised indicator or indicia line 215.
The indicator slide 150 is located within recess 202 and is slidable therein. At least that portion of the inner surface 150 adjacent the forward end 212 lies against the wall 206. The planar inner surEace 210 is also always in contact with guide 209. The indicator slide 150 is shitable forwardly within recess 202 until its stop lug 214 engages the free end of rear wall 206.
30 The slide 150 is shiEtable rearwardly within the recess until its rearward end 213 abuts stop 208 of body half 146. The slide spring 151, shown in Figure 30, is p located in that portion 202b of recess 202 with its for-ward end abutting wall 205 and its rearward end abutting the forwa-rd end 212 of indicator slide 150. In this way, ~r ~4~73~
1 indicator slide 150 is biased to its rearwardmost posi-tion against stop 208.
A spring cover is provided for recess portion 202b.
The cover is shown at 152 in ~igure 30. The cover is so sized as to be received on the surrounding shoulder 207 about recess portion 202b and is permanently afEixed thereto by gluing, ultrasonic welding or the like. The cover 152 is made of plastic material and is of a thick-ness such that, when mounted in place, its outer surface will be flush with the surrounding outer surface of body half 146. With spring cover 152 in place, the slide spring 151 and the indicator slide 150 are captively mounted in body half 146.
To complete the indicator structure of body half 146, r a label 153 is provided. The label 153 has a window 216.
A comparison of Figures 1 and 31 will show that the window is so located as to overlie a part of that portion 202a of depression or opening 2Q2 in body half 146.
Above window 216, label 153 is provided with indicia 217 which define the working gap of the instrument 1.
Additional numerical indicia 218 may be provided corres-ponding to tissue thickness readings from a tissue thick-ness measuring instrument such as that taught in U.S.
Patent No. 4,312,363.
As indicated above, in instruments of this general type, it was common for the prior art to provide the instrument either with a cartridge of sta?les with short legs to form tight sutures or a cartridge with staples having longer legs for looser sutures when suturing thicker tissue. The label 153 may be provided with an indicia mark 219 which would indicate to the surgeon at a glance that he was within that portion of the instrument gap whicll would in prior ~rt terms require a tight or shorter legged staple and an indicia mark 220 which would indicate to the surgeon at a glance that he was within 73g 1 that part of the instrument gap requiring the equivalent of a prior art loose or longer legged~ staple. Other indicia means may be provided on label 153, as desired.
It will be understood by one skilled in tlne art that body half 147 is provided with a recess or opening equivalent to recess or opening 202, but a mirror image thereof. The second body hal`f 147 will also have an indicator slide 150a identical to indicator slide 150, a slide. spring 151b identical to slide spring lSl and a 10 spring cover (not shown) identical to cover 152.
Finally, a label constituting a mirror image of label 153 will be aEfixed to body half 147.
In Figure 1, the indicator line 215 of indicator slide 150 is shown in that position which it would nor- r mally occupy ~len the slide 150 is in its normal, rear-wardmost position as urged by slide s~pring 151, and when the movable jaw 8 is at or near its maximum spacing from fixed jaw 6 and cartridge 9 is spaced from anvil 7 by a distance considerably greater than the working gap of the instrument. Means are provided to shift the indicator slide 150 and its counterpart 150a in association with body half 147 so that they will cooperate with the indicia on label 153 (and the corresponding label on body half 147) when the working gap of the instrument is achieved. This means is illustrated in Figures 30~ 39, 40 and 41 in the form of an indicator slide crank 154.
Indicator slide crank 154 comprises an inverted U-shaped member having a base portion 221 Erom which a pair of parallel spaced legs 222 and 223 depend. The base portion 221 terrninates at its ends in pivot pins 224 and 225. The downwardly depending leg 223 has at its free end an abutment surface 226 adapted to abut and sllove against the inwardly e~tending lug 214 of indicator slide 150. The leg 222 terminates at its free end in a similar-abutment surface 227 adapted to abut and shove i73~
1 against the inwardly extending lug 150b oE indicator slide 150a. This is illustrated in Figure 3. To com-plete the indicator slide crank 154, a cylindrical brace 228 extends between legs 222 and 223 in parallel-spaced relationship to base portion 221.
It will be noted from Figure 32 that body half 146 --has a socket 229 formed therein near its upper rearward end. Socket 229 is intended to receive pivot pin 225 oE
indicator slide crank 154. It will be understood that 10 body half 147 will be provided with a similar socket (not shown) ~or the receipt oE pivot pin 224 oE indicator slide crank 154. In this way, the indicator slide crank ~154 is pivotally mounted within body halves 146 and 147, as shown in Figure 3. The legs 222 and 223 oE the r indicator slide crank 154 straddle the main body portion 83 of adjustlnent bolt 73.
In Figure 3, the indicator slide crank 154 is illus-trated in its normal `position with its abutment surface 227 engaging the inwardly extending lug 150b of indicator 20 slide 150a. It will be understood that the other abut- r ment surface 226 of indicator slide crank 154 will lie in abutment with the inwardly extending lug 214 of indicator slide 150. As will be apparent Erom Figure 3, as the adjustment knob 12 is turned in a clockwise direction, 25 resulting in forward movelne-nt of adjustment bolt 73 ~and thus forward i*iovement of movable jaw 8 toward fixed jaw 6), the upstanding lug 90 of bolt 73 will approach the c~lindrical brace 228 of the indicator slide crank 154.
The upstanding lug 90 will contact cylindrical brace 228 30 at a point ~lere movable jaw 8 has approached Ei~ed jaw 6 to the extent that the distance between cartridge 9 and anvil 7 is just sliohtly greater than the operating gap r oE the instrument. Further forward lilovement of adjust-ment bolt 73 will cause the upstan~ing bolt lug 90 to 35 rotate indicator slide crank 154. This, in turn, will - ~LZ~73~ `
l result in the Eorward shifting of indicator slides 150 and 150a against the action of slide springs 151 and 151a. I~hen the operating gap is reached, the indicia lines of indicator slides 150 and 150a will register with their respective scales or indicia marks on label 153 and its counterpart in association with body half 147. This registration will continue throughout the operating gap of the instrument. The indicator slide cran~ 154 is so configured that its rotation will cause longitudinal l~ movement of indicator slides 150 and 150a four tlmes greater than the corresponding movement oE cartridge 9 toward anvil 7. This movement magnification of the '~
indicator slides 150 and 150a enables the indici'a on the labels to be larger and rnore legible.
~s indicated abovel the alignment and retainlng pin 10 is slidably mounted in lug pairs 172-174 and 173-175 on the upper surEace of the instrument. The rearward e'nd of alignment and reta'ining pin 10 is affixed to the knob 11 illustrated in Figures l, 2, 3, 30 and 45. The knob 11 is provided with an u~standing lug 230 by which it can be easily manually manipulated.
In Figure 33 the alignment and retaining pin 10 is illustrated in its normal, retracted position. In this position, it will be noted that the Eorwardmost end of 25 the alignment and retaining pin 10 is located within casing 16, passing through perforation 43 in casing 16.
Once the tissue to be sutured is located between the fixed jaw 6 and movable jaw 8, the alignment and retain-ing pin 10 is shoved Eorwardly by means of knob 11. This 30 causes the Eorward end oE the alignment and retaining pin to pass through t~le perforation 27 in cartridge 9, the perforation 192 in anvil 7 and into the clearance notch r 184 in pi'lot 148. In its extended position just des-cribed, the alignment and retaining pin 10 accomplishes 35 two purposes. First of all, it assures proper alignment .~2~73g~
1 of anvil 7 and cartridge 9 so that the staples will be properly aligned with and clinched by the pairs of anvil pockets when the instrument is actuated. Furthermore, the alignment and retaining pin 10 spans the distance between the fixed ja~ 6 and the mova~le jaw 8 (i.e., between cartridge 9 and anvil 7), assuring that tissue located therebetween will remain there~etween during operation of the instrument.
It is very important that, once the tissue to be sutured has bee~l located between cartridge 9 and anvil 7, the alignrnent and retaining pin 10 be shifted to its extended position before the movable jaw 8 is shiEted toward Eixed jaw 6 by adjustment Icno~ 12. To this end, an adjustment knob loc~out means is provided, preventing D~
rotation of adjustment knob 12 unless and until the alignment and reta~ining pin 10 has been shifted to its forwardmost position.
The adjustment kno~ lockout 155, as shown in Figure 42, is a molded plastic member comprising a first portion 231 which is substantially planar and has a forward end 232. The portion 231 has a longitudinally extending groove 233 centrally located thereon, the groove 233 terminating in a forward abutment surface 234. The portion 231 is also provided with thin lateral flanges 235 and 236.
At its rearward end, the portion 236 terminates in an upwardly extending portion 237. This portion, in turn, terminates in a substantially planar portion 238 ofEset from and parallel to the portion 231. The portion 238, in turn, terminates in a slightly narrower lug 239 so configured as to be receivable within tne notch 78 of adjustment knob 12 (see Figure 13). r Returning to Figure 32, the ~ody half 146 adjacent notch 167 is provided with a lon~itudinal groove 239.
Groove 239 is intended to receive flange 235 of ~47~9 1 adjustment Icnob lockout 155. It will be understood that the other body half 147 will be provided with a similar groove (not shown) adjacent notch 168 formed in its upper surface. The groove in 'oody half 147 is intended to receive adjustment knob lockout flange 236.
In this rnanner, adjustment knob lockout 155 is shift-ably mounted within body halves 146 and 147, as shown in Figure 3. As is shown in Figure 2, the portion 231 of adjustment knob lockout 155 is exposed in the opening 169 in the body 2 formed by body half notches 167 and 168.
In Figure 3, the adjustment knob lockout l55 is illus-trated in its fully retracted position, with its rearward lug portion 239 engaged in the notch 7~ oE adjustment knob 12, precluding rotation of the adjustment knob. It will be noted that the portion 238 of the adjustment knob lockout 155 passes between the base ?ortion 221 and the cylindrical brace 228 of indicator slide crank 154. It will be further noted that the portion 238 of the adjust-ment knob lockout 155 is supported by a tab 239a located on the inner surface oE left body half 146 (Figure 32~ r and a corresponding tab on the inner surface of right body half 147 (not shown). The purpose of these tabs is to guide adjustment Icnob lockout 155 as it travels.
Turning to Figure 45, it will be noted that the align- `~
ment and retaining pin knob 11 has a downwardly depending lug 240. As will be apparent from Figure 3, this lug 240 extends into the longitudin~l groove 233 of the forward portion 231 of adjustment knob lockout 155. Thus, when tlle alignment and retaining pin 10 is shoved to its forwardmost position by knob 11, the knob lug 240 will shift forwardly within the adjustment Icnob lockout groove 233 until it contacts abutment surface 234. Further r forward movement of knob 11 will shift the adjustment knob lockout 155 forwardly, removing its rearward lug portion-239 from ~he notch 7~ of adjustment knob 12, :~L244739 1 enabling the adjustment knob 12 to be rotated. This arrangement assures the proper sequence of events, requir-ing the alignment and retaining pin 10 to be shoved to its forwardmost position before the adjustment knob 12 can be rotated.
The adjustment knob lockout 155 serves one additional purpose. In Figure 2, the adjustment knob lockout 155 is shown in lts forwardmost position, even though alignment and retaining pin knob 11 is shown in its retracted position. It will be evident that in its forwardlnost position, the adjustment knob lockout 155 closPs all but the forwardmost portion oE the opening 169 in the top of body 2. Figure 3 illustrates the instrurnent of the present invention in its initial condition, as it would be received by She surgeon. It will be noted that the upstanding lug 136 oE trigger saEety 5 is engaged with the abutment surface 104 oE trigger saEety lockcut 94.
In order for the trigger- safety 5 to release trigger subassembly 3, it is necessary that it be rotated to its Eolded position within the handle subassembly 4. This cannot be done until the trigger safety lockout 94 can be shifted upwardly to release the lug 136 oE trigger safety 5. lt will be remembered from Figures 16 and 18 that the uppermost end of trigger saEety lockout 94 is provided with an extension 107. ~ith the parts in their positions shown in Figure 3, any attempt to shift the trigger safety lockout 94 upwardly against the action of spring 95 would.be precluded by abutment of the trigger safety lockout extension 107 against the underside of the adjustment knob lockout 155. However, when the adjust-ment knob 12 has been rotated sufficiently to cause movable jaw 8 toward fixed jaw 6 with cartridge 9 spaced from anvil 7 by a distance just slightly greater than the maximum working gap of the instru~nent, the extension 107 of trigger safety lockout 94 will clear the forwardmost 1 end 232 of adjustment knob lockout 155. As a result of this, upward pressure applied to the trigger safety 5 will shift the trigger safety lockout 94 upwardly against the action of spring 95 by an amount sufficient to clear the lug 136 of trigger safety 5, enabling the trigger safety 5 to pivot to its inactive position nested within handle subassembly 4. From this point on, the surgeon is free to actuate the trigger subassembly 3 to implant and form a double row of staples in the tissue located between movable ja~ 8 and fixed jaw 6.
The instrument and its parts having been described in detail, the manner o~ use can be set forth as follows.
The instrument 1 is brought to the surgical environment in packaged and pre-sterilized condition. Instrument 1 r is also in its opened condition as illustrated in Figures 1 and 3, with the movable jaw ~ retracted from fixed jaw 6 and the cartridge 9 spaced from anvil 7 by the maximum distance. The adjustment Icnob lockout 155 is in its lock-ing position with its lug portion 239 located within the slot 78 of adjustment knob 12. The alignlnent and retain- r ing pin 10 is in its fully retracted position and trigger safety 5 is in its trigger assembly locking position, again all as is shown in Figures 1 and 3. The tissue to be transected or resected is positioned between the movable jaw 8 and Eixed jaw 6 (i.e., between the cart-ridge 9 and anvil 7).
Next, the surgeon shifts the alignment and retaining pin 10 forwardly by means oE knob 11, to cause the for-ward end of the alignment and retaining pin 10 to pass through the cartridge 9, anvil 7 and into the clearance notch l84 of the pilot 148. This action accomplishes three purposes. First oE all, it assures proper align-ment between the cartridge 9 and anvil 7. Secondly, itassures that the tissue between the jaws 6 and 8 will remain there. Finally, the shifting of the ali~nment and 1 retaining pin 10 to its fully actuated position will shift the adjustment knob lockout 155 to its Eorward position, releasing the adjustment knob 1~.
Therea.Eter, the surgeon rotates the adjustment knob 12 until the cartridge 9 is spaced from anvil 7 by the desired distance within the working gap of instrument 1, as indicated by the above described indicator means to either side of instrument body 2. The setting o~ the .--proper gap for the tissue ~eing sutured is accomplished 10 by the surgeon either based upon his own experience, or through the use of a surgical tissue thickness measuring instrument of the type, for example, set fort~ in the above noted U.S. Patent No. 4,312,363. Furthermore~
indicator indicia 219 corresponds to an approximate r closed staple height of l.S mm, while indicator 220 corresponds to an approximate closed staple heigllt of 2.0 mm. These closed staple heights are typical of those provided by various prior art instruments and the indicator indicia 219 or 220 can be used by the surgeon as a guide in gap setting.
The appropriate gap within the working gap of the instrument having been set, the instrument is ready Eor actuation. The trigger assembly 3 and handle assembly 4 will have shifted forwardly with respect to the body ~ by an amount sufficient to place the trigger saFety lockout 94 in a position to release trigger safety 5. Therefore, the surgeon releases trigger sa~ety 5 and then actuates trigger assembly 3, pulling it back EirMly to the handle assembly 4. When this is done properly, hooked end 143 of handle snap lock 14 will enter slot portions 111 and 119 of trigger assembly 3, engaging trigger subassembly 3 and locking it in its actuated position. This provides r the sur~eon with a visual, tactile and audible indication that the instru~nent 1 has been properly actuated and the surgical staples ha~e been properly implanted and formed
1 The upper end oE trigger 92 is provided with a perfor-ation 100 adapted to receive trigger pivot pin 91. It is also provided wit`n a second perforation 101 adapted to receive the hooked upper end of trigge~ spring 93.
Trigger spring 93 is intended to bias the trigger assem-bly 3 to its non-actuated position, as will be described hereinaEter. To complete trigger 92, its rearward edge is provided with an elongated notch 102 giving clearance for trigger safety 5, as will be apparent hereina~ter, and a second notch 103 providing clearance Eor a spring mount in the right trigger cover 97, again as will be apparent hereinafter.
The trigger saety lockout 94 is illustrated in Figures 16 and 18. Trigger safety lockout 94 comprises r 15 an elongated plastic member having, about midway o its length, an abutment surface 104 to be engaged by trigger safety 5. Adjacent abutment surEace 104, the trigger safety loc~out 94 is provided with a ?erforation 105 adapted to receive the upper hook-shaped end of trigger 20 safety lockout spring 95. Near its upper end, the -trigger safety lockout 94 has an elongated perforation or slot 106 through which trigger pivot pin 91 extends.
Finally, at its uppermost end, the trigger safety lockout 94 is provided witll an upward extension 107, the purpose 25 f which will be described hereinaEter.
The left trigger cover 96 is illustrated in Figure 16 and in Figures 19, 20 and 21 as well. Figure 19 is an outside elevational view of the leEt trig~er half 96, while Figure 20 is an inside elevational view thereof and 30 Figure 21 is a rear elevational view thereof. ~le trigger half 96 is an essentially hollow elongated plas-tic member having joinder flanges 108 along its forward, rearward and bottom edges. The leEt ~rigger cover also has a plurality of reinforcing ribs 109 e.Ytending trans-35 versely thereof. Its rearward edge is provided with a . 17 1 depression 110 to provide clearance Eor the trigger safety 5. The rearward edge of the le-Et trigger cover 96 is also provided with a slot 111, the purpose of which will be apparent hereinafter.
At ~ts up~er end, the left trigger cover 96 is pro-vided with an integral extension 112 having a perforation ..
113 extending transversely therethrough. As is apparent from Figure 16, the per-Foration 113 is adapted to receive the trigger pivot ~in 91. Finally, on its insid~ sur-face, the upward extension 112 is provided with a lug 114. Lug 114 is adapted to be received within the opening 4~ in the enlarged end 47 oE driver rod 17. In this way, the driver rod 17 and driver 15 are operatively connected, at all times, to trigger assembly 3. F
The right trigger cover 97 is illustrated in Figures 22 through 24. The right trigger cover 97 is very nearly a mirror irnage of the leEt trigger cover 96. The right trigger cover 97 has indentations 115 along its forwardj rearward and.bottom edges, adapted to receive the joinder flanges 108 of left trigger cover 96. The right trigger cover 97 also is provided with transversely extending reinforcing ribs 116, similar to the reinforcing ribs 109 of left trigger co~er 96. The.upper end of right trigger cover 97 is not provided with an extension equivalent to the extension 112 of left trigger cover 96. Rather, the upper end of right trigger cover 97 is provided with a notch 117 adapted to provide clearance Eor the upper portion of trigger safety lockout 94. In its rearward edge, the right trigger cover 97 has an elongated notch 11~ to provide access to and clearance Eor the trigger safety lockout 94. It is also provided, near its lower end, with a second notch 119. The notch 119 cooperates with the correspon~ing notcll 111 in leEt trigger halE 96 to Eorm a single continuous notch across the trigger assembly when the parts are joined together. To complete ~2~73~ ~
1 the structure, the inside surface of right trigger cover 97 is provided with a pin 120 which serves as an anchor for the lower end of the trigger safety lockout spring 95. Figure 24, whicll is similar to Figure 23, illus-trates the trigger safety lockout 94 mounted in place within the right trigger cover 97. It will be noted that the trigger safety lockout spring 95 tends to urge the trigger safety lockout 94 downwardly with respect to the right trigger cover 97.
Re~erring to Figures 16 and 24, the trigger subassem-bly 3 is asse~nbled by locating the trigger safety lockout 94 in the right trigger cover 97 ~Yi th the upper end oE
trigger safety lockout spring 95 mounted in the trigger safety lockout perforation 105 and the lower end of spring 95 affixed to the anchor pin 120 of the right trigger cover 97. The metallic trigger 92 is located ~ithin this assembly and the left trigger half 96 is then affixed to the right`trigger half 97 by locating the joinder flanges 108 of left trigger half 96 within the indentations 115 in the right trigger half 97 and joining these plastic elements together by ultrasonic welding, glue or the like. The trigger pivot pin 91 is then located within perforation 113 of the left trigger half 96, perforation 100 in the metallic trigger 92 and elongated slot 106 within trigger safety lockout 94.
Turning to Figure 4, the free ends of the trlgger pivot pin 91 pass through .the perforation 56 of left handle plate 18 and the perforation 62 of right handle plate 19, the perfora-tions 56 and 62 serving as bearings for the pivot pin 91. When this assembly is made, the free end of trigger spring 93 is hooked on the extension 65 of the lug 64 on handle portion 59 of right handle plate 19. With these parts assembled, the lug 55 of handle portion 51 of left handle plate 18 abuts the free end of the extension 65 on right handle plate 19, thus 7~9 1 preventing the lower end of trigger spring 93 from slipping off the extension 65. The attachment o the free end of trigger spring 93 to the handle plate exten-sion 65 is illustrated in ~igure 3.
It will also be apparent from Figures 3, 20 and 25 that the depression 110 in the rearward edge of the left trigger cover 96 and the notch 118 in the rearward edge of the right trigger cover 97 expose the operating abut-ment surface 104 of the trigger safety lockout 94 and pro-vide clearance for engagement thereof by trigger safety 5, to be described hereinafter.
The handle subassem~ly 4 of the present invention is illustrated in Figure 25. The handle subassembly 4 com-prises a left handle hal~ 121, a right handle half 122, r lS trigger safety 5 and handle snap lock 1~.
The right handle hal~ 122 is illustrated in ~igures 26, 27 and 28. Handle half 122 is a hollow plastic member, the front, bottom and rear edges of which are provided with elongated depressions l23 adapted to - 20 receive si~ilarly placed flanges on left handle half 121, by which the handle halves 121 and 122 are joined togethe`r. Handle half 122 has an opening 124 adapted-to acco~modate the trigger assembly 3. In its forward edge, it also has an elongated notch 125 adapted to accept trigger safety 5, when in its retracted position. The right handle half 122 has a plurality o~ sockets 126 and a plurality of joinder pins 127. It will be understood that the left handle half 121 will have sockets equiva-lent to sockets 126 at the position of the pins 127 in right handle hal 122 and will have pins equivalent to pins 127 at the positions of the sockets 126 in right handle hal 122, by which the handle halves 121 and 122 are joined together. Sockets 126 in handle halves 121 and 122 pass through corresponding perforations 126a in handle portions 51 and 59 of handle plates 18 and 19, 3~
1 respectively, while pins 127 in handle halves 121 and 122 pass throug~. corresponding perforations 127a in handle portions 51 and 59 of handle plates 18 and 19, respec-tively. This arrangement aids in positioning and align-ment of parts upon assembly. The handle halves may be joined permanently by glue, ultrasonic welding, or the like. Near its bottom, the right handle half 122 has a web or wall 128 forming a socket for the handle snap lock 14. A second small wall 129 is provided as part of the snap lock socket. A notch 130 is located in the lower forward edge of handle half 122 to allow the Eree end of the handle snap lock 14 to extend beyond the confines of the handle halE 122. ~ihallyJ the uppermost end oE
handle half 122 is provided with a longitudinal slot 131, r 15 the purpose of which will be evident h~reinafter.
It will be understood that the leEt handle half 121 constitutes substantially a mirror image of the right handle half in all respects save the locations of the joinder pins 127 and sockets 126 and the fact that it is 20 provided with flanges to be received in the depressions 123 of right handle halE 122.
Trigger safety 5 is illustrated in Figures 25 and 2~.
Trigger safety 5 is a molded plastic member comprising a bot~om wall 132, a pair of upstanding side walls 133 and 134 and a front end wall 135 with an extension 136 extend-ing above the side walls 133 and 134. Flanges 137 and 138 extend laterally oE side walls 133 and 134. The outside surface of botto~ wall 132 and flanges 137 and 138 may be grooved as at 139 ~see Figures 3 and 25) to afford better l~nual engagement thereof. At its rearward end, each of the side walls 133 and 134 is provided with a lateral extending, integral pivot pin. These pivot pins are shown at 140 and 141. The pivot pins 140 and 141 are adapted to be received in sockets within handle halves 121 and 122, one of these sockets being 73~
1 illustrated at 142 in Fig.ures 25, 27 and 28. In this way, the trigger safety 5 is pivotally attached to the handle halves at the lower end of the notch 125 in the handle halves. Normally, the trigger safety 5 occupies its extended position illustrated in Figure 3. In this position, the extension 136 of tne trigger safety 5 engages and abuts the abutment surface 104 of tr.igger safety lockout 94. So long as the trigger safety 5 is in the position shown in Figure 3, the trigger subassembly 3 cannot be pivoted to its actuated position and is main-tained or locked in its unactuated position.
The handle snap lock 14 is illustrated in Figures 25 and 3. Tlle handle snap lock 14 comprises an L-shaped member adapted tQ fit within the socket formed by r interior walls 128 and 129 iTI right handle half 122 and corresponding ~alls in leEt handle-half 121 ~not shown).
The handle snap lock has a forward end portion which extends through the slot 13Q in the right handle half 122 and corresponding slot (not shown~ in left handle half 121. This forward end oE the handle snap lock 14 is hook-shaped, as shown at 143. It will be apparent from Figure 3 that when the trigger assembly 3 is shiEted to its fully actuated position adjacent handle assembly 4, the hooked end 143 of handle snap lock 14 will enter the slot in the bottom rear edge of the trigger assembly 3, formed by slot 111 in the left trigger cover 96 and slot 119 in the right trig~er cover 97. Once it has entered this slot, it will lock the trigger assembly 3 in its Eully actuated position, giving the surgeon a visual, audible and tactile indication that the instrument has been fully actuated and the surgical. staples have been fully formed and imL~lanted in the tissue being sutured.
Referring to Figures 3, 4, 13, 16 and 25, it.will be apparent tllat when the cartridge/driver subassem~ly of Figure 4 and the trigger subassembly 3 of Figure 16 are 1 joined together, along with the adjustment bolt/adjust-ment knob assembly of Figure 13 (with the lugs 86 and 87 of the adjustment bolt 73 located, respectively, in elongated slots 63 and 57 of handle plates 19 and 18), the handle subassembly 4 of Figure 25 can be added to this structure. ~le handle halves 121 and 122 are intended to surround tho trigger subassembly 3 of Figure 16, as well as the handle portions Sl and 59 of handle plates 13 and 19. The assembly oE the elements illus-trated in Figures 4, 13, 16 and 25 constitutes the primary or basic assembly of the instrument 1. The remaining subassem~ly of instrument l is partially illustrated in the exploded vie~ oE ~igure 30.
This final subassembly comprises a left hook 144 and a mirror image right hook 145 (see Figure 3), a left body half 146 and a Ihirror image right body half 147 (see Figure 3), a pilot 148, anvil 7, a left indicator slide 150 and a mirror-image right indicator slide 15~a (Figure 3), a left indicator slide spring 151 and a corresponding right indicator spring 151a (Figure 3), a leEt indicator spring cover 152 and an identical right indicator spring cover (not shown), a left indicator label 153 and a mirror image right indicator label (not shown), a slide crank 154, a knob lockout 155, an alignment and retaining pin 10 and an alignment and retaining pin knob 11.
The left hook 144 comprises a metallic member having an elongated shank 158. At its rearward end, the elongated shank 15S terlninates in a portion 159 parallel to the remainder of the shank, but slightly offset as at 160. At its rearwardmost end, the shank portion 159 contains an elongated perforation 161. At its forward end, the shank 158 terminates in a hook-like structure .
162, the forwardl~los~ portion 163 of which constitutes a part of fixed jaw 6. The portion 163 is parallel to the portion 162 and the shank portion 158, but is slightly 473~
1 f~set therefrom as at.164. It will be understood that the right hook 145 ~see Figure 3) is a mirror image oE
leE t hook 144.
The lef t body half 146 is illustrated in Figures 30, 31 and 32. Left body half 146 is molded of plastic and is essentially hollow, having along its inner edges a plura li ty of elonga ted lugs 164 in tended .to be rece ived in corresponding grooves formed in the edges of right body half 147, the body halves being intended to be 10 joined together by gluing, ultrasonic welding or the like .
Along i ts bot tom edge, the body half 146 has an elongated notch 165. Body half 147 has a similar notch shown at 166 in Figure 3. The notches 165 and 166 form 15 an elongated r2ctangular opening, adapted to receive the upper end of the handle assembly, as will be evident hereinaEter. On its upper surface, body half 146 has a similar, elongated, rectangular notch 167. ~ corre-sponding notch is provided at 168 in body half 147 (see Figures 2 and 3). The notches 167 and 168 define a rectangular opening at the top of the instrument body ~
partially shown in Figure 2 and generally indicated at 169.
At its rearward end, body half 146 is provided with a 25 semi-circular notch 170. A similar semi-circular notch is provided at 171 in body half 147 (see Figure 3). When the adjustment knob 12 is mounted within the body, as shown in Figure 3, the semi-circular notches 170 and 171 surround and engage the annular notch 77 in the adjust-30 ment kno~ 12, thereby both captively and rotatively mounting the ad jus tment kno~ 12 within the ~ody 2.
Referring to Figures 2, 3, 31 and 32, the upper surface of body half 146 is provided with a pair of ups tanding lugs 172 and 173. Body halE 147 is provided with a corresponding pair of upstanding lugs 174 and 175.
73~
1 As will be noted rom Figure 32, the lower portions 172a and 172b oE lugs 172 and 173 are slightly inset. The same is true of the lugs 174 and 175 on body half 147.
Thus, when body halves 146 and 147 are joined together 9 the upper portions of lugs 172 and 174 are joined, as are the upper portions of lugs 173 and 175 (see Figure 2).
The lower inset portions of these lugs form passages through the lug pairs for the alignment and retaining pin 10, as can be seen in Figure 3.
Reference is now made to Figure 33 wherein the pilot 148 is illustrated. The pilot 148 comprises a molded plastic tnember having a body portion 176 similar in shape to the jaw portion 163 of the left hook 144. The pilot portion 176 is provided with three perforations 177, 178 and 179. It will be noted that the portion 163 of the left hook 144 (see Figure 30) is provi~led with three corresponding perforations 180, 181 and 182. The right hook 145 (Figure 3) i`s provided with a si!nilar set of perforations (not sho~n). - .
The top front and bottom edges of the pilot portion r 176 is provided with a flange 183 which extends laterally to either side of the body portion 176. Near its upper end, the body portion 176 is provided with a clearance notch 184 to accommodate the forward end of the alignment and retaining pin 10, as will be evident hereinafter. To complete the pilot 148-, the body portion 176 thereof is provided with a rearwardly e~tending shank 185. The purpose of this shank will also be apparent hereinafter.
Figures 4, 35 and 36 illustrate the anvil 7 of the present invention. As is evident froln Figure 36, the anvil 7 is of inverted U-shaped configuration, having an anvil surface 186 and a pair of downwardly depending legs 187 and 188. ~s ~lill be seen from Figure 34, the legs 187 and 188 have a configuration similar to the body portion-176 of pilot 148. It will be noted that leg 188 73~
in Figure 3~ is illustrated as having three perforations 189, 190 and 191. These perforations correspond to the perforations 177, 178 and 179 in pilot 148 and to the perforations 180, 181 and 182 in the hook 144 (see Figure 5 30). Anvil l~g 187 is provided with a corresponding set of perEorations (not shown).
Turning to Figure 35, the anvil surface 186 has at one end a perforation 192 to accommodate the alignment and retainin~ pin 10, as will be described hereinafter.
10 At its other end, the anvil surface has an elongated opening` 193 adapted to accommodate the shank 18S of pilot 148.
The anvil surface 1~6 of anvil 7 is provided with two longitudinally extending rows 194 and 195 oE pairs of s taple forming pocke ts. The pocke ts of row 194 are r staggered with respect to the pocke ts of row 195. As a result, the instrument of the present invention wilL
provide, in the embodiment described, two rows oE st~Lples in the tissue being sutured, the staples of each row being staggered with respect to the other. Figure 37 r - illustrates an exemplary pair of pockets 196-197.
The pockets 196 and 197 are illustrated as being of the type taught in U.S. Patent ~,319,576. To this end, the- pockets 196 and 197 are mirror images of each other and are otherwise identical. The pocke ts 195 and 197 each have first longitudinally extending large radius portivns 196a and 197a, respectively. The large radius portions cooperate with the points of the legs of a surgical staple and cause them to bend toward each other.
The anvil pockets 196 and 197 also have lon$itudinally exending smaller radius portions 196b and 197b, respec-tively. As the staple legs are driven further toward the anvil, the small radius anvil pocket portions 196b and 197b will cause the staple legs to Eorm a radius of curva ture of their own, forming the staple into a - ~Z~7~9 1 B-shape. The configuration of anvil pockets 196 and 197 allows the instrument of the present invention to be provided with a single staple size which will be ade-quately clinched throughout the working gap of the instruinent.
At this point reference is made to Figure 10 illus-trating the for~ard surface of cartridge 9. It will be noted that each of the staple retaining slots 34 is - provided with depressions 34c and 34d to either side thereof. Similarly, each of the staple retainin~ slots 35 is provided with depressions 35c and 35d to either side thereof. The purpose of these depressions is to L
accommodate the ~ree ends of the surgical staples when the minimum gap of the instrument .is used.
Reference is not~ made to Figures 2, 3, 30 and 32.
Turning first to Figure 32, it will be noted that the left hook 144 is illustrated in broken lines in asso-ciation with body hal'f 146. The shank portions 158 and 159 of left hook 144 lie along the inside surface of body half 14'6. The body half 146 is provided with a lug 198 which is received in the perEoration 161 in the rearward end of the hook shank portion 159. It will be understood that the right hook 145 will be similarly associated with the right body half 147.
Turning to Figures 3 and 30, the anvil 7 is placed upon pilot 148, with the anvil legs 187 and 188 extending to either side of the pilot body portion 176, the edges of anvil legs 187 and 188 lying adjacent the pilot flange 183. The pilot shank 185 e~tends through the elongated opening 193 of the anvil 7.
~ hen tlle body halves 146 and 147 are joine~ together, along with their associated leEt hook 144 and right hook 145, the assem~ly of pilot 148 and anvil 7 is located between the portion 163 of left hook 144 and the corres-ponding portion of right hook 145. This portion 163 of 1 left hook 144, the pilot 148, the anvil 7 and the portion of right hook 145 corresponding to left hook portion 163 constitute the fixed jaw 6 o~ Figure 1. These elements are joined together by rivets 199, 200 and 201, as shown in Figures 3 and 30. The rivets pass through the above described corresponding perforations in these elements.
Turning to Figures 1, 3 and 4, the movable jaw of the instrument, generally indicated at 8 in Figure 1, com- r prises the cartridge 9, the casing 16 and those elements witl~in casing 16 including driver 15, the plate-like portion 49 of driver rod 17, and the plate-like portions 52 and 60 oE the left and right handle plates 18 and 19.
As is most clearly shown in Figure 3, the shank 185 of pilot 148 extends through the elongated opening 28 of cartridge 9 and the elongated opening 45 of casing 16, thereby acting as a guide for these elements as they are shifted toward and away from the anvil 7.
Through the agency of the left and right handle plates`18 and 19, the trigger assembly of Figure 16 and 20 tne handle assembly of Figure 25 constitute a part of r movable jaw 8 and, therefore, must be shiftable within the body halves 146 and 147 with the movable jaw 8. To this end, re~erence is made to Figure 25 and 26. It will be remembered that right handle half 122 is provided at 25 its upper end with a longitudinally e.~tending groove 131.
As will be apparent from Figure 25, the upper end of mirror image left handle half 121 is provided with an identical groove 131a. It will further be remembered (see Figures 3 and 32) tl~at the body halves 146 and 147 have elongated notches 165 and 166 formed in their lower surfaces, definin8 a rectangular opening to receive the upper end of the handle/trigoer assembly. The longltudi- r nal edges of the notches 165 and 166 engage the longitudi-nal slots 131a and 131, respectively, oE handle halves 121 and 122 with a sliding engagement.
73~
Ke~erence is now made to Figure 3. It will be evi-dent from Figure 3 that when adjustment knob 12 is rotated in a clockwise direction, the threaded engagement of bore 80 of knob 12 and bolt shaft 88 will cause the adjustment bolt 73 to shift for~ardly with respect to adjustment knob 12. Adjustment bolt 73 is connected to the left handle plate 18 and right handle plate 19 via lug 87 on adjustment bolt 73 to hole 57 on left handle plate 18 and lug 86 on adjustment bolt 73 to hole 63 on righ~ handle plate 19. This ~ill result in forward movement oE the handle and trigger assembly, as well as the movable jaw 8. In this way, the movable jaw 8 and its cartridge 9 will be brought towa`rd anvil 7 to a distance thereErom within the working gap of the instru- r ment.
The instrument of the present invention is provided with indicator means in association with each body half 146 and 147 enabling the surgeon to visually determine when the distance between anvil 7 and cartridge 9 is witll~in the working gap of the instrument and just what region of the working gap it is within.
Reference is made to Figures 1, 30, 31 and 32 with respect to which the indicator means in association with left body halE 146 will be described. It will be under-stood that the indicator means in association with right body half 147 is a mirror image thereof, and otherwise identical thereto. Provision of indicator means in association with both body halves 146 and 147 assures that one or the other of the indicator means will be readily readable by the surgeon, regardless of t~e position oE tlle instrument during use.
Left body half 146 is provided with an elongated, rectangular depression or opening 202. A portion 202a of the opening extends through the body half 146. The opening 202 is provided with an upper inwardly extending 1 wall 203, a lower inwardly extending wall 204 and an inwardly extending end wall 205. A second portion 202b of opening 202 is provided with a rear wall 206, joining the innermost edges of walls 203, 204 and 205. The for-ward ~ortion 202b of recess 202 is surrounded by a shallow depression, forming a surrounding shoulder 207, the purpose of which will be apparent hereinater. As is most clearly shown in Figure 32, the bottom wall 204 extends nearly to the rearward end of body half 146.
Adjacent the end of bottom wall 204 there is an integral molded stop 20~. The bottom wall 204 is also provided with an upstanding guide 209 near its innermost edge.
T~e recess 202 is intended to have tlle slide indica-tor 150 [nounted therein. The slide indicator 150 is r shown in Figures 30 and 3~. Slide indicator 150 com-prises an elongated molded plastic member having a planar inner surEace 210 and a planar outer surface 211. The indicator slide terminates in a forward end 212 and a rearward end 213. The planar inner surface 210 is pro-20 vided with an inwardly extending lug 214. The planar r outer surface 211 has a raised indicator or indicia line 215.
The indicator slide 150 is located within recess 202 and is slidable therein. At least that portion of the inner surface 150 adjacent the forward end 212 lies against the wall 206. The planar inner surEace 210 is also always in contact with guide 209. The indicator slide 150 is shitable forwardly within recess 202 until its stop lug 214 engages the free end of rear wall 206.
30 The slide 150 is shiEtable rearwardly within the recess until its rearward end 213 abuts stop 208 of body half 146. The slide spring 151, shown in Figure 30, is p located in that portion 202b of recess 202 with its for-ward end abutting wall 205 and its rearward end abutting the forwa-rd end 212 of indicator slide 150. In this way, ~r ~4~73~
1 indicator slide 150 is biased to its rearwardmost posi-tion against stop 208.
A spring cover is provided for recess portion 202b.
The cover is shown at 152 in ~igure 30. The cover is so sized as to be received on the surrounding shoulder 207 about recess portion 202b and is permanently afEixed thereto by gluing, ultrasonic welding or the like. The cover 152 is made of plastic material and is of a thick-ness such that, when mounted in place, its outer surface will be flush with the surrounding outer surface of body half 146. With spring cover 152 in place, the slide spring 151 and the indicator slide 150 are captively mounted in body half 146.
To complete the indicator structure of body half 146, r a label 153 is provided. The label 153 has a window 216.
A comparison of Figures 1 and 31 will show that the window is so located as to overlie a part of that portion 202a of depression or opening 2Q2 in body half 146.
Above window 216, label 153 is provided with indicia 217 which define the working gap of the instrument 1.
Additional numerical indicia 218 may be provided corres-ponding to tissue thickness readings from a tissue thick-ness measuring instrument such as that taught in U.S.
Patent No. 4,312,363.
As indicated above, in instruments of this general type, it was common for the prior art to provide the instrument either with a cartridge of sta?les with short legs to form tight sutures or a cartridge with staples having longer legs for looser sutures when suturing thicker tissue. The label 153 may be provided with an indicia mark 219 which would indicate to the surgeon at a glance that he was within that portion of the instrument gap whicll would in prior ~rt terms require a tight or shorter legged staple and an indicia mark 220 which would indicate to the surgeon at a glance that he was within 73g 1 that part of the instrument gap requiring the equivalent of a prior art loose or longer legged~ staple. Other indicia means may be provided on label 153, as desired.
It will be understood by one skilled in tlne art that body half 147 is provided with a recess or opening equivalent to recess or opening 202, but a mirror image thereof. The second body hal`f 147 will also have an indicator slide 150a identical to indicator slide 150, a slide. spring 151b identical to slide spring lSl and a 10 spring cover (not shown) identical to cover 152.
Finally, a label constituting a mirror image of label 153 will be aEfixed to body half 147.
In Figure 1, the indicator line 215 of indicator slide 150 is shown in that position which it would nor- r mally occupy ~len the slide 150 is in its normal, rear-wardmost position as urged by slide s~pring 151, and when the movable jaw 8 is at or near its maximum spacing from fixed jaw 6 and cartridge 9 is spaced from anvil 7 by a distance considerably greater than the working gap of the instrument. Means are provided to shift the indicator slide 150 and its counterpart 150a in association with body half 147 so that they will cooperate with the indicia on label 153 (and the corresponding label on body half 147) when the working gap of the instrument is achieved. This means is illustrated in Figures 30~ 39, 40 and 41 in the form of an indicator slide crank 154.
Indicator slide crank 154 comprises an inverted U-shaped member having a base portion 221 Erom which a pair of parallel spaced legs 222 and 223 depend. The base portion 221 terrninates at its ends in pivot pins 224 and 225. The downwardly depending leg 223 has at its free end an abutment surface 226 adapted to abut and sllove against the inwardly e~tending lug 214 of indicator slide 150. The leg 222 terminates at its free end in a similar-abutment surface 227 adapted to abut and shove i73~
1 against the inwardly extending lug 150b oE indicator slide 150a. This is illustrated in Figure 3. To com-plete the indicator slide crank 154, a cylindrical brace 228 extends between legs 222 and 223 in parallel-spaced relationship to base portion 221.
It will be noted from Figure 32 that body half 146 --has a socket 229 formed therein near its upper rearward end. Socket 229 is intended to receive pivot pin 225 oE
indicator slide crank 154. It will be understood that 10 body half 147 will be provided with a similar socket (not shown) ~or the receipt oE pivot pin 224 oE indicator slide crank 154. In this way, the indicator slide crank ~154 is pivotally mounted within body halves 146 and 147, as shown in Figure 3. The legs 222 and 223 oE the r indicator slide crank 154 straddle the main body portion 83 of adjustlnent bolt 73.
In Figure 3, the indicator slide crank 154 is illus-trated in its normal `position with its abutment surface 227 engaging the inwardly extending lug 150b of indicator 20 slide 150a. It will be understood that the other abut- r ment surface 226 of indicator slide crank 154 will lie in abutment with the inwardly extending lug 214 of indicator slide 150. As will be apparent Erom Figure 3, as the adjustment knob 12 is turned in a clockwise direction, 25 resulting in forward movelne-nt of adjustment bolt 73 ~and thus forward i*iovement of movable jaw 8 toward fixed jaw 6), the upstanding lug 90 of bolt 73 will approach the c~lindrical brace 228 of the indicator slide crank 154.
The upstanding lug 90 will contact cylindrical brace 228 30 at a point ~lere movable jaw 8 has approached Ei~ed jaw 6 to the extent that the distance between cartridge 9 and anvil 7 is just sliohtly greater than the operating gap r oE the instrument. Further forward lilovement of adjust-ment bolt 73 will cause the upstan~ing bolt lug 90 to 35 rotate indicator slide crank 154. This, in turn, will - ~LZ~73~ `
l result in the Eorward shifting of indicator slides 150 and 150a against the action of slide springs 151 and 151a. I~hen the operating gap is reached, the indicia lines of indicator slides 150 and 150a will register with their respective scales or indicia marks on label 153 and its counterpart in association with body half 147. This registration will continue throughout the operating gap of the instrument. The indicator slide cran~ 154 is so configured that its rotation will cause longitudinal l~ movement of indicator slides 150 and 150a four tlmes greater than the corresponding movement oE cartridge 9 toward anvil 7. This movement magnification of the '~
indicator slides 150 and 150a enables the indici'a on the labels to be larger and rnore legible.
~s indicated abovel the alignment and retainlng pin 10 is slidably mounted in lug pairs 172-174 and 173-175 on the upper surEace of the instrument. The rearward e'nd of alignment and reta'ining pin 10 is affixed to the knob 11 illustrated in Figures l, 2, 3, 30 and 45. The knob 11 is provided with an u~standing lug 230 by which it can be easily manually manipulated.
In Figure 33 the alignment and retaining pin 10 is illustrated in its normal, retracted position. In this position, it will be noted that the Eorwardmost end of 25 the alignment and retaining pin 10 is located within casing 16, passing through perforation 43 in casing 16.
Once the tissue to be sutured is located between the fixed jaw 6 and movable jaw 8, the alignment and retain-ing pin 10 is shoved Eorwardly by means of knob 11. This 30 causes the Eorward end oE the alignment and retaining pin to pass through t~le perforation 27 in cartridge 9, the perforation 192 in anvil 7 and into the clearance notch r 184 in pi'lot 148. In its extended position just des-cribed, the alignment and retaining pin 10 accomplishes 35 two purposes. First of all, it assures proper alignment .~2~73g~
1 of anvil 7 and cartridge 9 so that the staples will be properly aligned with and clinched by the pairs of anvil pockets when the instrument is actuated. Furthermore, the alignment and retaining pin 10 spans the distance between the fixed ja~ 6 and the mova~le jaw 8 (i.e., between cartridge 9 and anvil 7), assuring that tissue located therebetween will remain there~etween during operation of the instrument.
It is very important that, once the tissue to be sutured has bee~l located between cartridge 9 and anvil 7, the alignrnent and retaining pin 10 be shifted to its extended position before the movable jaw 8 is shiEted toward Eixed jaw 6 by adjustment Icno~ 12. To this end, an adjustment knob loc~out means is provided, preventing D~
rotation of adjustment knob 12 unless and until the alignment and reta~ining pin 10 has been shifted to its forwardmost position.
The adjustment kno~ lockout 155, as shown in Figure 42, is a molded plastic member comprising a first portion 231 which is substantially planar and has a forward end 232. The portion 231 has a longitudinally extending groove 233 centrally located thereon, the groove 233 terminating in a forward abutment surface 234. The portion 231 is also provided with thin lateral flanges 235 and 236.
At its rearward end, the portion 236 terminates in an upwardly extending portion 237. This portion, in turn, terminates in a substantially planar portion 238 ofEset from and parallel to the portion 231. The portion 238, in turn, terminates in a slightly narrower lug 239 so configured as to be receivable within tne notch 78 of adjustment knob 12 (see Figure 13). r Returning to Figure 32, the ~ody half 146 adjacent notch 167 is provided with a lon~itudinal groove 239.
Groove 239 is intended to receive flange 235 of ~47~9 1 adjustment Icnob lockout 155. It will be understood that the other body half 147 will be provided with a similar groove (not shown) adjacent notch 168 formed in its upper surface. The groove in 'oody half 147 is intended to receive adjustment knob lockout flange 236.
In this rnanner, adjustment knob lockout 155 is shift-ably mounted within body halves 146 and 147, as shown in Figure 3. As is shown in Figure 2, the portion 231 of adjustment knob lockout 155 is exposed in the opening 169 in the body 2 formed by body half notches 167 and 168.
In Figure 3, the adjustment knob lockout l55 is illus-trated in its fully retracted position, with its rearward lug portion 239 engaged in the notch 7~ oE adjustment knob 12, precluding rotation of the adjustment knob. It will be noted that the portion 238 of the adjustment knob lockout 155 passes between the base ?ortion 221 and the cylindrical brace 228 of indicator slide crank 154. It will be further noted that the portion 238 of the adjust-ment knob lockout 155 is supported by a tab 239a located on the inner surface oE left body half 146 (Figure 32~ r and a corresponding tab on the inner surface of right body half 147 (not shown). The purpose of these tabs is to guide adjustment Icnob lockout 155 as it travels.
Turning to Figure 45, it will be noted that the align- `~
ment and retaining pin knob 11 has a downwardly depending lug 240. As will be apparent from Figure 3, this lug 240 extends into the longitudin~l groove 233 of the forward portion 231 of adjustment knob lockout 155. Thus, when tlle alignment and retaining pin 10 is shoved to its forwardmost position by knob 11, the knob lug 240 will shift forwardly within the adjustment Icnob lockout groove 233 until it contacts abutment surface 234. Further r forward movement of knob 11 will shift the adjustment knob lockout 155 forwardly, removing its rearward lug portion-239 from ~he notch 7~ of adjustment knob 12, :~L244739 1 enabling the adjustment knob 12 to be rotated. This arrangement assures the proper sequence of events, requir-ing the alignment and retaining pin 10 to be shoved to its forwardmost position before the adjustment knob 12 can be rotated.
The adjustment knob lockout 155 serves one additional purpose. In Figure 2, the adjustment knob lockout 155 is shown in lts forwardmost position, even though alignment and retaining pin knob 11 is shown in its retracted position. It will be evident that in its forwardlnost position, the adjustment knob lockout 155 closPs all but the forwardmost portion oE the opening 169 in the top of body 2. Figure 3 illustrates the instrurnent of the present invention in its initial condition, as it would be received by She surgeon. It will be noted that the upstanding lug 136 oE trigger saEety 5 is engaged with the abutment surface 104 oE trigger saEety lockcut 94.
In order for the trigger- safety 5 to release trigger subassembly 3, it is necessary that it be rotated to its Eolded position within the handle subassembly 4. This cannot be done until the trigger safety lockout 94 can be shifted upwardly to release the lug 136 oE trigger safety 5. lt will be remembered from Figures 16 and 18 that the uppermost end of trigger saEety lockout 94 is provided with an extension 107. ~ith the parts in their positions shown in Figure 3, any attempt to shift the trigger safety lockout 94 upwardly against the action of spring 95 would.be precluded by abutment of the trigger safety lockout extension 107 against the underside of the adjustment knob lockout 155. However, when the adjust-ment knob 12 has been rotated sufficiently to cause movable jaw 8 toward fixed jaw 6 with cartridge 9 spaced from anvil 7 by a distance just slightly greater than the maximum working gap of the instru~nent, the extension 107 of trigger safety lockout 94 will clear the forwardmost 1 end 232 of adjustment knob lockout 155. As a result of this, upward pressure applied to the trigger safety 5 will shift the trigger safety lockout 94 upwardly against the action of spring 95 by an amount sufficient to clear the lug 136 of trigger safety 5, enabling the trigger safety 5 to pivot to its inactive position nested within handle subassembly 4. From this point on, the surgeon is free to actuate the trigger subassembly 3 to implant and form a double row of staples in the tissue located between movable ja~ 8 and fixed jaw 6.
The instrument and its parts having been described in detail, the manner o~ use can be set forth as follows.
The instrument 1 is brought to the surgical environment in packaged and pre-sterilized condition. Instrument 1 r is also in its opened condition as illustrated in Figures 1 and 3, with the movable jaw ~ retracted from fixed jaw 6 and the cartridge 9 spaced from anvil 7 by the maximum distance. The adjustment Icnob lockout 155 is in its lock-ing position with its lug portion 239 located within the slot 78 of adjustment knob 12. The alignlnent and retain- r ing pin 10 is in its fully retracted position and trigger safety 5 is in its trigger assembly locking position, again all as is shown in Figures 1 and 3. The tissue to be transected or resected is positioned between the movable jaw 8 and Eixed jaw 6 (i.e., between the cart-ridge 9 and anvil 7).
Next, the surgeon shifts the alignment and retaining pin 10 forwardly by means oE knob 11, to cause the for-ward end of the alignment and retaining pin 10 to pass through the cartridge 9, anvil 7 and into the clearance notch l84 of the pilot 148. This action accomplishes three purposes. First oE all, it assures proper align-ment between the cartridge 9 and anvil 7. Secondly, itassures that the tissue between the jaws 6 and 8 will remain there. Finally, the shifting of the ali~nment and 1 retaining pin 10 to its fully actuated position will shift the adjustment knob lockout 155 to its Eorward position, releasing the adjustment knob 1~.
Therea.Eter, the surgeon rotates the adjustment knob 12 until the cartridge 9 is spaced from anvil 7 by the desired distance within the working gap of instrument 1, as indicated by the above described indicator means to either side of instrument body 2. The setting o~ the .--proper gap for the tissue ~eing sutured is accomplished 10 by the surgeon either based upon his own experience, or through the use of a surgical tissue thickness measuring instrument of the type, for example, set fort~ in the above noted U.S. Patent No. 4,312,363. Furthermore~
indicator indicia 219 corresponds to an approximate r closed staple height of l.S mm, while indicator 220 corresponds to an approximate closed staple heigllt of 2.0 mm. These closed staple heights are typical of those provided by various prior art instruments and the indicator indicia 219 or 220 can be used by the surgeon as a guide in gap setting.
The appropriate gap within the working gap of the instrument having been set, the instrument is ready Eor actuation. The trigger assembly 3 and handle assembly 4 will have shifted forwardly with respect to the body ~ by an amount sufficient to place the trigger saFety lockout 94 in a position to release trigger safety 5. Therefore, the surgeon releases trigger sa~ety 5 and then actuates trigger assembly 3, pulling it back EirMly to the handle assembly 4. When this is done properly, hooked end 143 of handle snap lock 14 will enter slot portions 111 and 119 of trigger assembly 3, engaging trigger subassembly 3 and locking it in its actuated position. This provides r the sur~eon with a visual, tactile and audible indication that the instru~nent 1 has been properly actuated and the surgical staples ha~e been properly implanted and formed
4~3~
1 in the tissue being sutured.
Prior to reMoval of instrument 1, several edges adja- _ cent the tissue may be used as a cutting guide to transect the tissue, or to excise any rnargin of tissue protruding through the jaws. This will aid in cutting the tissue at a proper distance from the staple line.
Thereafter, the instrument is opened by rotating the adjustment knob 12 in a counter-clockwise direction and shifting knob 11 of alignment and adjustment pin 10 to its retracted position. Thereafter, the instrument may be disposed of in any appropriate mannèr.
Modific~tions may be made in the invention without departing from the spirit oE it. For example, the instru-ment oE the present invention may be made in various sizes to produce rows of staples differing in the number of staples per row.
While the instrument has been described in terms oE
implanting and ~Eorming two rows oE surgical staples, the staples of each row staggered with respect to the other, by simple modification of the anvil 7, cartridge 9 and driver 15, the instrument could be used to form and implant a single row oE surgical staples.
The surgical stapling instrument of the present inven-tion has been described in terms oE the Figures as they appear in the drawings. Use of such terms as "forward", "rearward", "top", "bottom", and the like, both in the specification and claims,-is simply for clarity of description and explanation. One skilled in the art will understand that the instrument may assume any appropriate position during use.
1 in the tissue being sutured.
Prior to reMoval of instrument 1, several edges adja- _ cent the tissue may be used as a cutting guide to transect the tissue, or to excise any rnargin of tissue protruding through the jaws. This will aid in cutting the tissue at a proper distance from the staple line.
Thereafter, the instrument is opened by rotating the adjustment knob 12 in a counter-clockwise direction and shifting knob 11 of alignment and adjustment pin 10 to its retracted position. Thereafter, the instrument may be disposed of in any appropriate mannèr.
Modific~tions may be made in the invention without departing from the spirit oE it. For example, the instru-ment oE the present invention may be made in various sizes to produce rows of staples differing in the number of staples per row.
While the instrument has been described in terms oE
implanting and ~Eorming two rows oE surgical staples, the staples of each row staggered with respect to the other, by simple modification of the anvil 7, cartridge 9 and driver 15, the instrument could be used to form and implant a single row oE surgical staples.
The surgical stapling instrument of the present inven-tion has been described in terms oE the Figures as they appear in the drawings. Use of such terms as "forward", "rearward", "top", "bottom", and the like, both in the specification and claims,-is simply for clarity of description and explanation. One skilled in the art will understand that the instrument may assume any appropriate position during use.
Claims (13)
PROPERTY OR PRIVILEGE IS CLAIMED ARE DEFINED AS FOLLOWS:
1. Improvements in a stapler for surgically and rectilinearly suturing the tissue of a patient, said instrument comprising an elongated body terminating at its forward end in a fixed jaw, an anvil mounted on said fixed jaw, characterized by a basic assembly slidably supported by said body and shiftable longitudinally thereof, said basic assembly comprising a movable jaw subassembly, a trigger subassembly, a handle subassembly and an adjustment bolt-adjustment knob subassembly all operatively joined together, said movable jaw subassembly comprising a cart-ridge containing at least one row of surgical staples and having a forward surface facing and parallel to said anvil, a hollow casing affixed to said cartridge, a driver for said staples slidably mounted within said casing, means to shift said driver within said casing between a retracted position and a staple driving position to drive said staples through the tissue and against said anvil over a range of distances between said cart-ridge and said anvil constituting the working gap of the instru-ment, said driver shifting means comprising an elongated driver rod having a forward end connected to said driver within said casing and a rearward end connected to said trigger assembly, said trigger assembly having an upper end pivotally affixed to said basic assembly and a lower free end, said trigger being pivotable between an unactuated position spaced from said handle assembly and wherein said driver is in said retracted position and an actuated position adjacent said handle assembly and wherein said driver is in said staple driving position, said adjustment bolt being affixed to said basic assembly within said body, said adjustment knob being captively and rotatably mounted at the rearward end of said body and being threadedly engaged with said adjustment bolt such that rotation of said adjustment knob in one direction will shift said adjustment bolt and said basic assembly rearwardly with respect to said body with said movable jaw ass-embly shifting away from said fixed jaw and said cartridge shift-ing away from said anvil, and rotation of said adjustment knob in the other direction will shift said basic assembly forwardly with respect to said body and said movable jaw assembly toward said fixed jaw and said cartridge toward said anvil, an alignment and retaining pin slidably mounted on said body, said alignment pin having a free forward end, said alignment pin being shiftable longitudinally of said body between a retracted position wherein said forward end of said pin lies within said casing and an extended position wherein said free end passes through coaxial perforations in said cartridge and said anvil and into a recess in said fixed jaw to assure proper alignment of said cartridge and said anvil, indicator means to indicate when the distance between said cartridge and said anvil is at and within said work-ing gap of said instrument.
2. The improvements claimed in claim 1, characterized in that said indicator means comprises at least one window in said body, indicia on said body adjacent said window representing said working gap, at least one elongated indicator slide having an indicia mark thereon and being mounted within said body adjacent said at least one window and being shiftable longitudin-ally in said body between an unactuated rearwardmost position and a forwardmost position, means to bias said at least one indicator slide to its rearwardmost position, and means actuable by said adjustment bolt to shift said at least one indicator slide toward said forwardmost position with said indicator slide indicia mark cooperating with said indicia on said body to indicate when the distance between said anvil and said cartridge is at and within said working gap.
3. The improvements claimed in claim 1, characterized by first and second handle plates, said second handle plate comprising substantially a mirror image of said first handle plate, said first and second handle plates each comprising an elongated shank portion, said handle plate shank portions extending long-itudinally within said body in parallel-spaced relationship to said driver rod and to either side thereof, said handle plate shank portions terminating at their forward ends in plate-like end portions located within said casing to either side of said driver rod forward end and said driver, said handle plate shank portions terminating at their rearward ends in enlarged portions in parallel-spaced relationship within said body, said enlarged portions having downwardly depending handle portions in parallel-spaced relationship to each other and located within said handle assembly, said trigger assembly being attached to said first and second handle plates between said enlarged portions thereof by a pivot pin, said adjustment bolt being affixed to said first and second handle plates between said enlarged portions thereof.
4. The improvements claimed in claim 1 or 3, character-ized by an actuating knob affixed to the rearward end of said alignment and retaining pin, said body having an elongated open-ing in the top thereof, an elongated adjustment knob lockout member being slidable longitudinally within said opening between a normal rearward position and a forward actuated position, said lockout member having a longitudinal groove therein terminating in an abutment surface near the forward end of said lockout member, said adjustment knob having an annular portion within said body, said annular portion having a radial notch formed in its peripheral surface, said lockout member having a rearward extension engagable in said notch when said lockout is in its normal rearward position to lock said adjustment knob, said alignment and retaining pin knob overlying said top opening in said body and said lockout member therein, said alignment and retaining pin knob having a downwardly depending lug extending into said lockout member groove, said lug being so configured and located as to shift forwardly in said groove and contact said abutment surface to shift said lockout member forwardly in said top body opening and shift said lockout member rearward extension out of said adjustment knob notch to unlock said adjustment knob when said alignment and retaining pin is shifted to its extended position.
5. The improvements claimed in claim 1 or 3, character-ized in that said trigger assembly comprises an elongated planar trigger having an enlarged upper end and a shank portion, a pair of first and second covers surrounding said trigger shank portion and having mating edges joined together, said first cover having an upper end and an extension thereon operatively engaging said rearward end of said driver rod, said enlarged upper end of said trigger abutting said rearward end of said driver rod, a pivot pin within said body and mounted within said basic assembly, said pivot pin passing through coaxial perforations in said first cover extension and said enlarged upper end of said trigger, an elongated trigger lockout member being mounted within said trigg-er assembly adjacent said trigger, said trigger lockout member being shiftable longitudinally within said trigger assembly between lower and upper positions, resilient means within said trigger assembly biasing said trigger lockout member to said lower position, said trigger lockout member having an upper end with an extension thereon, said trigger lockout extension passing through a notch in said second cover and extending upwardly in said body, said trigger lockout member having an abutment shoulder about midway of its length, said first and second covers having substantially coplanar surfaces facing said handle assembly, means in said surfaces exposing said trigger lockout member abutment shoulder, said handle assembly having a surface facing said trigg-er, said handle assembly surface having an opening therein, an elongated trigger safety having a rearward end pivoted to said handle assembly and a forward end having an upstanding lug, said trigger safety being pivotable between an unactuated position nested in said handle assembly opening and substantially flush with said handle assembly surface and an actuated position ex-tending toward said trigger assembly with said trigger safety lug engaging said trigger lockout member abutment shoulder to prevent actuation of said trigger assembly, abutment means so positioned within said body as to be contactable by said trigger lockout member extension to prevent longitudinal shifting of said trigger lockout member to said upper position to release said trigger safety until said basic assembly has been shifted forwardly of said body by said adjustment knob to the extent that the distance between said anvil and said cartridge approaches said working gap.
6. The improvements claimed in claim 1 or 3, characteriz-ed in that said trigger assembly has a longitudinal surface facing said handle assembly, said trigger assembly having a transverse slot formed in said surface near said trigger assembly free end, said handle assembly having a hook-shaped trigger latch means, said trigger latch means being so configured and positioned as to enter said trigger assembly slot when said trigger is shift-ed to its actuated position to lock said trigger assembly in its actuated position as a visual, audible and tactile indication that said surgical staples have been formed and implanted in said tissue.
7. The improvements claimed in claim 1, characterized by safety means assuring proper sequential operation of said instru-ment.
8. The improvements claimed in claim 2, characterized in that said means to shift said at least one indicator slide comprises a crank, said crank having one end pivotally mounted within said body, said crank having a second end engaged with said at least one slide, lug means on said adjustment bolt so position-ed as to engage said crank when said adjustment bolt has been shifted forwardly of said body by said adjustment knob to the extent that said distance between said anvil and said cartridge is slightly greater than said working gap, said engagement of said crank by said adjustment bolt lug is such that further for-ward motion of said bolt will pivot said crank and shift said at least one indicator slide forwardly toward its forwardmost posit-ion so that said indicator slide indicia mark will cooperate with said indicia on said body to visually indicate when the distance between said cartridge and said anvil is at and within said working gap.
9. The improvements claimed in claim 2, characterized by two windows located one on each side of said body with said work-ing gap indicia on said body adjacent each window, and a pair of said elongated indicator slides each bearing said indicator mark and each mounted within said body adjacent one of said windows, each indicator slide being shiftable longitudinally between said unactuated rearwardmost position and said forwardmost position with means to bias each to said rearwardmost position, mean act-uable by said adjustment bolt to shift both of said indicator slides simultaneously toward said forwardmost position, said shifting means comprising a crank, said crank comprising an in-verted U-shaped member having a base portion and a pair of down-wardly depending legs, said base portion being pivotally mounted in said body with said legs straddling said adjustment bolt, each of said crank legs terminating in an abutment surface engaging one of said indicator slides, lug means on said adjustment bolt so positioned as to engage said crank when said adjustment bolt has been shifted forwardly of said body by said adjustment knob to the extent that said distance between said anvil and said cartridge is slightly greater than said working gap, said engage-ment of said crank by said adjustment bolt lug is such that further forward motion of said bolt will pivot said crank and simultaneously shift said indicator slides forwardly toward their forwardmost positions so that said indicator slide indicia marks will cooperate with their respective indicia on said body to visually indicate when the distance between said cartridge and said anvil is at and within said working gap.
10. The improvements claimed in claim 7, wherein said safety means includes adjustment knob safety means preventing rotation of said adjustment knob when said alignment and retain-ing pin is in its retracted position.
11. The improvements claimed in claim 7, wherein said safety means includes trigger safety means preventing shifting of said trigger assembly from said unactuated to said actuated position unless the distance between said anvil and said cart-ridge is near said working gap.
12. The improvements claimed in claim 7, wherein said safety means includes trigger latch means to lock said trigger assembly in said actuated position to provide a visual, audible and tactile indication that said staples have been formed and implanted.
13. The improvements claimed in claim 9, wherein said crank is so configured as to shift said slides a distance four times greater than the distance said cartridge is simultaneously shifted by said adjustment knob.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US06/503,231 US4527724A (en) | 1983-06-10 | 1983-06-10 | Disposable linear surgical stapling instrument |
US503,231 | 1983-06-10 |
Publications (1)
Publication Number | Publication Date |
---|---|
CA1244739A true CA1244739A (en) | 1988-11-15 |
Family
ID=24001251
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA000455721A Expired CA1244739A (en) | 1983-06-10 | 1984-06-01 | Disposable linear surgical stapling instrument |
Country Status (17)
Country | Link |
---|---|
US (1) | US4527724A (en) |
JP (1) | JPS6053136A (en) |
AT (1) | AT396865B (en) |
AU (1) | AU582116B2 (en) |
BE (1) | BE899864A (en) |
BR (1) | BR8402814A (en) |
CA (1) | CA1244739A (en) |
CH (1) | CH665113A5 (en) |
DE (1) | DE3421566A1 (en) |
ES (1) | ES8604416A1 (en) |
FR (1) | FR2547717B1 (en) |
GB (1) | GB2141066B (en) |
IT (1) | IT1178954B (en) |
MX (1) | MX154968A (en) |
NL (1) | NL191753C (en) |
SE (1) | SE453455B (en) |
ZA (1) | ZA844250B (en) |
Families Citing this family (862)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
AU555611B2 (en) * | 1983-12-29 | 1986-10-02 | Nippon Notion Kogyo Co. Ltd. | Attaching fasteners to web-like materials |
US4591085A (en) * | 1984-07-16 | 1986-05-27 | Ethicon, Inc. | Surgical instrument for applying fasteners, said instrument having an improved trigger interlocking mechanism (Case VI) |
US4589582A (en) * | 1984-08-23 | 1986-05-20 | Senmed, Inc. | Cartridge and driver assembly for a surgical stapling instrument |
US4728020A (en) * | 1985-08-30 | 1988-03-01 | United States Surgical Corporation | Articulated surgical fastener applying apparatus |
US4805824A (en) * | 1985-10-01 | 1989-02-21 | Erickson Gary W | Apparatus for attaching cable to a surface |
US4715520A (en) * | 1985-10-10 | 1987-12-29 | United States Surgical Corporation | Surgical fastener applying apparatus with tissue edge control |
GB8800909D0 (en) * | 1988-01-15 | 1988-02-17 | Ethicon Inc | Gas powered surgical stapler |
US5193731A (en) * | 1988-07-01 | 1993-03-16 | United States Surgical Corporation | Anastomosis surgical stapling instrument |
US5071052A (en) * | 1988-09-22 | 1991-12-10 | United States Surgical Corporation | Surgical fastening apparatus with activation lockout |
US5413268A (en) * | 1989-05-26 | 1995-05-09 | United States Surgical Corporation | Apparatus and method for placing stables in laparoscopic or endoscopic procedures |
US5253793A (en) * | 1990-09-17 | 1993-10-19 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
US5653373A (en) * | 1990-09-17 | 1997-08-05 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
US5156315A (en) * | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Arcuate apparatus for applying two-part surgical fasteners |
CA2052176A1 (en) * | 1990-10-05 | 1992-04-06 | Daniel P. Rodak | Controlled closure mechanism |
US5129570A (en) * | 1990-11-30 | 1992-07-14 | Ethicon, Inc. | Surgical stapler |
CA2055943C (en) * | 1990-12-06 | 2003-09-23 | Daniel P. Rodak | Surgical fastening apparatus with locking mechanism |
US5470009A (en) * | 1990-12-06 | 1995-11-28 | United States Surgical Corporation | Surgical fastening apparatus with locking mechanism |
CA2098721C (en) * | 1990-12-18 | 2002-10-22 | Alan K. Plyley | Safety device for a surgical stapler cartridge |
CA2060040A1 (en) * | 1991-02-08 | 1992-08-10 | Miguel A. Velez | Surgical staple and endoscopic stapler |
DE69229792T2 (en) * | 1991-05-14 | 2000-02-10 | United States Surgical Corp | Surgical stapler with used cartridge detection device and locking device |
AU671685B2 (en) * | 1991-05-14 | 1996-09-05 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
US5413267A (en) * | 1991-05-14 | 1995-05-09 | United States Surgical Corporation | Surgical stapler with spent cartridge sensing and lockout means |
US5137198A (en) * | 1991-05-16 | 1992-08-11 | Ethicon, Inc. | Fast closure device for linear surgical stapling instrument |
US5443198A (en) * | 1991-10-18 | 1995-08-22 | United States Surgical Corporation | Surgical fastener applying apparatus |
US5356064A (en) * | 1991-10-18 | 1994-10-18 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5579978A (en) * | 1991-10-18 | 1996-12-03 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
AU660712B2 (en) * | 1991-10-18 | 1995-07-06 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5497933A (en) * | 1991-10-18 | 1996-03-12 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5307976A (en) * | 1991-10-18 | 1994-05-03 | Ethicon, Inc. | Linear stapling mechanism with cutting means |
US5289963A (en) * | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
EP0537571B1 (en) * | 1991-10-18 | 1997-03-05 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
CA2078794C (en) * | 1991-10-18 | 1998-10-06 | Frank J. Viola | Locking device for an apparatus for applying surgical fasteners |
US5474223A (en) * | 1991-10-18 | 1995-12-12 | United States Surgical Corporation | Surgical fastener applying apparatus |
US5395034A (en) * | 1991-11-07 | 1995-03-07 | American Cyanamid Co. | Linear surgical stapling instrument |
CA2099100C (en) * | 1992-06-30 | 2005-02-22 | David T. Green | Apparatus for applying surgical fasteners |
US5423471A (en) * | 1992-10-02 | 1995-06-13 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures |
US5573169A (en) * | 1992-10-02 | 1996-11-12 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures |
US5601224A (en) * | 1992-10-09 | 1997-02-11 | Ethicon, Inc. | Surgical instrument |
US5626587A (en) * | 1992-10-09 | 1997-05-06 | Ethicon Endo-Surgery, Inc. | Method for operating a surgical instrument |
US5662662A (en) * | 1992-10-09 | 1997-09-02 | Ethicon Endo-Surgery, Inc. | Surgical instrument and method |
US5447265A (en) * | 1993-04-30 | 1995-09-05 | Minnesota Mining And Manufacturing Company | Laparoscopic surgical instrument with a mechanism for preventing its entry into the abdominal cavity once it is depleted and removed from the abdominal cavity |
US6716232B1 (en) | 1993-04-30 | 2004-04-06 | United States Surgical Corporation | Surgical instrument having an articulated jaw structure and a detachable knife |
US5395429A (en) * | 1993-06-23 | 1995-03-07 | W. L. Gore & Associates, Inc. | Diffusion panel for use in ultra-clean environments and method for employing same |
US5503320A (en) * | 1993-08-19 | 1996-04-02 | United States Surgical Corporation | Surgical apparatus with indicator |
US5487499A (en) * | 1993-10-08 | 1996-01-30 | United States Surgical Corporation | Surgical apparatus for applying surgical fasteners including a counter |
US5405073A (en) * | 1993-12-06 | 1995-04-11 | Ethicon, Inc. | Flexible support shaft assembly |
US5465894A (en) * | 1993-12-06 | 1995-11-14 | Ethicon, Inc. | Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft |
US5470008A (en) * | 1993-12-20 | 1995-11-28 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5452837A (en) * | 1994-01-21 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapler with tissue gripping ridge |
US5452836A (en) * | 1994-02-07 | 1995-09-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism |
WO1995023557A1 (en) * | 1994-03-01 | 1995-09-08 | United States Surgical Corporation | Surgical stapler with anvil sensor and lockout |
US5489058A (en) * | 1994-05-02 | 1996-02-06 | Minnesota Mining And Manufacturing Company | Surgical stapler with mechanisms for reducing the firing force |
US5470007A (en) * | 1994-05-02 | 1995-11-28 | Minnesota Mining And Manufacturing Company | Laparoscopic stapler with overload sensor and interlock |
US5685474A (en) * | 1994-10-04 | 1997-11-11 | United States Surgical Corporation | Tactile indicator for surgical instrument |
US5988479A (en) * | 1994-12-13 | 1999-11-23 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5636779A (en) * | 1994-12-13 | 1997-06-10 | United States Surgical Corporation | Apparatus for applying surgical fasteners |
US5735445A (en) * | 1995-03-07 | 1998-04-07 | United States Surgical Corporation | Surgical stapler |
US5706998A (en) * | 1995-07-17 | 1998-01-13 | United States Surgical Corporation | Surgical stapler with alignment pin locking mechanism |
US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
US5651491A (en) * | 1995-10-27 | 1997-07-29 | United States Surgical Corporation | Surgical stapler having interchangeable loading units |
US5762255A (en) * | 1996-02-20 | 1998-06-09 | Richard-Allan Medical Industries, Inc. | Surgical instrument with improvement safety lockout mechanisms |
US5697543A (en) * | 1996-03-12 | 1997-12-16 | Ethicon Endo-Surgery, Inc. | Linear stapler with improved firing stroke |
US5810240A (en) * | 1996-03-15 | 1998-09-22 | United States Surgical Corporation | Surgical fastener applying device |
US6109500A (en) * | 1996-10-04 | 2000-08-29 | United States Surgical Corporation | Lockout mechanism for a surgical stapler |
US5919198A (en) * | 1997-04-17 | 1999-07-06 | Ethicon Endo-Surgery, Inc. | Disposable cartridge with drivers |
US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
DE19837258A1 (en) * | 1998-08-17 | 2000-03-02 | Deutsch Zentr Luft & Raumfahrt | Device for operating a surgical instrument for anastomosis of hollow organs |
US6716233B1 (en) | 1999-06-02 | 2004-04-06 | Power Medical Interventions, Inc. | Electromechanical driver and remote surgical instrument attachment having computer assisted control capabilities |
US7695485B2 (en) | 2001-11-30 | 2010-04-13 | Power Medical Interventions, Llc | Surgical device |
US6264087B1 (en) | 1999-07-12 | 2001-07-24 | Powermed, Inc. | Expanding parallel jaw device for use with an electromechanical driver device |
DE10026683C2 (en) | 2000-05-30 | 2003-07-10 | Ethicon Endo Surgery Europe | Surgical stapling device |
US6805273B2 (en) * | 2002-11-04 | 2004-10-19 | Federico Bilotti | Surgical stapling instrument |
US6817508B1 (en) | 2000-10-13 | 2004-11-16 | Tyco Healthcare Group, Lp | Surgical stapling device |
US7334717B2 (en) | 2001-10-05 | 2008-02-26 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus |
US7407076B2 (en) * | 2000-10-13 | 2008-08-05 | Tyco Healthcare Group Lp | Surgical stapling device |
US6551333B2 (en) | 2000-10-19 | 2003-04-22 | Ethicon Endo-Surgery, Inc. | Method for attaching hernia mesh |
US6572626B1 (en) | 2000-10-19 | 2003-06-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a fastener delivery mechanism |
US7485124B2 (en) * | 2000-10-19 | 2009-02-03 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a fastener delivery mechanism |
US6425900B1 (en) | 2000-10-19 | 2002-07-30 | Ethicon Endo-Surgery | Method for attaching hernia mesh |
US6773438B1 (en) | 2000-10-19 | 2004-08-10 | Ethicon Endo-Surgery | Surgical instrument having a rotary lockout mechanism |
US6447524B1 (en) | 2000-10-19 | 2002-09-10 | Ethicon Endo-Surgery, Inc. | Fastener for hernia mesh fixation |
US7131980B1 (en) | 2001-01-18 | 2006-11-07 | Dvl Acquisitions Sub, Inc. | Surgical suturing instrument and method of use |
DE10121305A1 (en) * | 2001-05-02 | 2002-12-12 | Ethicon Endo Surgery Europe | Surgical instrument |
US7011668B2 (en) | 2001-07-23 | 2006-03-14 | Dvl Acquistion Sub, Inc. | Surgical suturing instrument and method of use |
AU2002326917A1 (en) | 2001-09-14 | 2003-04-01 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
ES2571339T3 (en) | 2001-10-05 | 2016-05-24 | Covidien Lp | Surgical stapling device |
ES2529325T3 (en) * | 2001-10-05 | 2015-02-19 | Covidien Lp | Adjustment method of surgical stapling device |
CN100522096C (en) | 2001-12-04 | 2009-08-05 | 能量医学介入公司 | System and method for calibrating a surgical instrument |
US9113878B2 (en) | 2002-01-08 | 2015-08-25 | Covidien Lp | Pinion clip for right angle linear cutter |
ES2270045T3 (en) | 2002-05-10 | 2007-04-01 | Tyco Healthcare Group Lp | APPLICATOR OF WOUND CLOSURE MATERIAL AND STAPLER. |
AU2003241521A1 (en) | 2002-05-17 | 2003-12-02 | Onux Medical, Inc. | Surgical suturing instrument and method of use |
JP4545589B2 (en) | 2002-10-04 | 2010-09-15 | タイコ ヘルスケア グループ エルピー | Tool assembly for a surgical stapling device |
EP1545332B1 (en) | 2002-10-04 | 2007-08-22 | Tyco Healthcare Group Lp | Tool assembly for surgical stapling device |
CA2754689C (en) | 2002-10-04 | 2014-12-16 | Tyco Healthcare Group Lp | Surgical stapling device |
EP3085315B1 (en) | 2002-10-04 | 2019-03-13 | Covidien LP | Surgical stapler with tissue pre-clamp |
US9597078B2 (en) | 2003-04-29 | 2017-03-21 | Covidien Lp | Surgical stapling device with dissecting tip |
US20040243151A1 (en) | 2003-04-29 | 2004-12-02 | Demmy Todd L. | Surgical stapling device with dissecting tip |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
ES2516091T3 (en) | 2003-06-17 | 2014-10-30 | Covidien Lp | Surgical stapling device |
CA2542011C (en) * | 2003-10-15 | 2009-12-08 | Femcare Limited | Applicator |
US7875040B2 (en) * | 2003-10-15 | 2011-01-25 | Femcare Limited | Visual indication of a trigger intermediate position on an applicator |
ES2387016T3 (en) | 2003-10-17 | 2012-09-11 | Tyco Healthcare Group Lp | Surgical stapling device |
US7296722B2 (en) | 2003-10-17 | 2007-11-20 | Tyco Healthcare Group Lp | Surgical fastener applying apparatus with controlled beam deflection |
US8770459B2 (en) | 2003-10-17 | 2014-07-08 | Covidien Lp | Surgical stapling device with independent tip rotation |
US6988650B2 (en) * | 2003-12-30 | 2006-01-24 | Ethicon Endo-Surgery, Inc. | Retaining pin lever advancement mechanism for a curved cutter stapler |
US20050143759A1 (en) * | 2003-12-30 | 2005-06-30 | Kelly William D. | Curved cutter stapler shaped for male pelvis |
US7147139B2 (en) * | 2003-12-30 | 2006-12-12 | Ethicon Endo-Surgery, Inc | Closure plate lockout for a curved cutter stapler |
US7059508B2 (en) * | 2004-06-30 | 2006-06-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating an uneven multistroke firing mechanism having a rotary transmission |
US7367485B2 (en) * | 2004-06-30 | 2008-05-06 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing mechanism having a rotary transmission |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11890012B2 (en) | 2004-07-28 | 2024-02-06 | Cilag Gmbh International | Staple cartridge comprising cartridge body and attached support |
US7210609B2 (en) * | 2004-07-30 | 2007-05-01 | Tools For Surgery, Llc | Stapling apparatus having a curved anvil and driver |
JP4712409B2 (en) * | 2005-02-28 | 2011-06-29 | マニー株式会社 | Medical stapler |
US9138226B2 (en) | 2005-03-30 | 2015-09-22 | Covidien Lp | Cartridge assembly for a surgical stapling device |
US7780055B2 (en) | 2005-04-06 | 2010-08-24 | Tyco Healthcare Group Lp | Loading unit having drive assembly locking mechanism |
US7886953B2 (en) * | 2005-08-18 | 2011-02-15 | Ethicon Endo-Surgery, Inc. | Fired device lockout for a curved cutter stapler with a free moving trigger |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US8800838B2 (en) | 2005-08-31 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Robotically-controlled cable-based surgical end effectors |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US20070194079A1 (en) | 2005-08-31 | 2007-08-23 | Hueil Joseph C | Surgical stapling device with staple drivers of different height |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
CA2563147C (en) | 2005-10-14 | 2014-09-23 | Tyco Healthcare Group Lp | Surgical stapling device |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US20110290856A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument with force-feedback capabilities |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US7575144B2 (en) | 2006-01-31 | 2009-08-18 | Ethicon Endo-Surgery, Inc. | Surgical fastener and cutter with single cable actuator |
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 |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US20070175955A1 (en) | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Surgical cutting and fastening instrument with closure trigger locking mechanism |
US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
US7464849B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Electro-mechanical surgical instrument with closure system and anvil alignment components |
US7464846B2 (en) | 2006-01-31 | 2008-12-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a removable battery |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8721630B2 (en) | 2006-03-23 | 2014-05-13 | Ethicon Endo-Surgery, Inc. | Methods and devices for controlling articulation |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
EP2018248B1 (en) * | 2006-05-19 | 2015-11-04 | Applied Medical Resources Corporation | Surgical stapler |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US10130359B2 (en) | 2006-09-29 | 2018-11-20 | Ethicon Llc | Method for forming a staple |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US20080078802A1 (en) | 2006-09-29 | 2008-04-03 | Hess Christopher J | Surgical staples and stapling instruments |
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 |
US8584921B2 (en) | 2006-10-06 | 2013-11-19 | Covidien Lp | Surgical instrument with articulating tool assembly |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | 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 |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US20080169332A1 (en) | 2007-01-11 | 2008-07-17 | Shelton Frederick E | Surgical stapling device with a curved cutting member |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US20090001121A1 (en) | 2007-03-15 | 2009-01-01 | Hess Christopher J | Surgical staple having an expandable portion |
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 |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7905380B2 (en) | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US8408439B2 (en) | 2007-06-22 | 2013-04-02 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with an articulatable end effector |
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 |
US7600663B2 (en) * | 2007-07-05 | 2009-10-13 | Green David T | Apparatus for stapling and incising tissue |
US8061576B2 (en) | 2007-08-31 | 2011-11-22 | Tyco Healthcare Group Lp | Surgical instrument |
AU2008302039B2 (en) | 2007-09-21 | 2013-07-18 | Covidien Lp | Surgical device |
JP5357161B2 (en) | 2007-09-21 | 2013-12-04 | コヴィディエン リミテッド パートナーシップ | Surgical equipment |
US7954685B2 (en) | 2007-11-06 | 2011-06-07 | Tyco Healthcare Group Lp | Articulation and firing force mechanisms |
US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8561870B2 (en) | 2008-02-13 | 2013-10-22 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument |
US7905381B2 (en) | 2008-09-19 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with cutting member arrangement |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
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 |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
BRPI0901282A2 (en) | 2008-02-14 | 2009-11-17 | Ethicon Endo Surgery Inc | surgical cutting and fixation instrument with rf electrodes |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
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 |
US10390823B2 (en) | 2008-02-15 | 2019-08-27 | Ethicon Llc | End effector comprising an adjunct |
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 |
US7942303B2 (en) | 2008-06-06 | 2011-05-17 | Tyco Healthcare Group Lp | Knife lockout mechanisms for surgical instrument |
US8701959B2 (en) | 2008-06-06 | 2014-04-22 | Covidien Lp | Mechanically pivoting cartridge channel for surgical instrument |
US7789283B2 (en) | 2008-06-06 | 2010-09-07 | Tyco Healthcare Group Lp | Knife/firing rod connection for surgical instrument |
US8007513B2 (en) * | 2008-06-12 | 2011-08-30 | Ethicon Endo-Surgery, Inc. | Partially reusable surgical stapler |
CN101292887B (en) * | 2008-06-17 | 2010-04-07 | 常州市三联星海医疗器械制造有限公司 | Disposable percussion protecting device of linear suture device |
US8439898B2 (en) * | 2008-06-17 | 2013-05-14 | Usgi Medical, Inc. | Endoscopic tissue anchor deployment |
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 |
PL3476312T3 (en) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Surgical stapler with apparatus for adjusting staple height |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US8215532B2 (en) | 2008-09-23 | 2012-07-10 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US9050083B2 (en) | 2008-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US7896214B2 (en) | 2008-09-23 | 2011-03-01 | Tyco Healthcare Group Lp | Tissue stop for surgical instrument |
US8628544B2 (en) | 2008-09-23 | 2014-01-14 | Covidien Lp | Knife bar for 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 |
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 |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
US8453907B2 (en) | 2009-02-06 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with cutting member reversing mechanism |
BRPI1008667A2 (en) | 2009-02-06 | 2016-03-08 | Ethicom Endo Surgery Inc | improvement of the operated surgical stapler |
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 |
US8292154B2 (en) | 2009-04-16 | 2012-10-23 | Tyco Healthcare Group Lp | Surgical apparatus for applying tissue fasteners |
US8328064B2 (en) * | 2009-05-06 | 2012-12-11 | Covidien Lp | Pin locking mechanism for a surgical instrument |
US8353436B2 (en) | 2009-05-06 | 2013-01-15 | Covidien Lp | Pin locking mechanism for a surgical instrument |
US8127976B2 (en) | 2009-05-08 | 2012-03-06 | Tyco Healthcare Group Lp | Stapler cartridge and channel interlock |
US8132706B2 (en) | 2009-06-05 | 2012-03-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus having articulation mechanism |
US8146790B2 (en) | 2009-07-11 | 2012-04-03 | Tyco Healthcare Group Lp | Surgical instrument with safety mechanism |
US8342378B2 (en) | 2009-08-17 | 2013-01-01 | Covidien Lp | One handed stapler |
US8141762B2 (en) | 2009-10-09 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical stapler comprising a staple pocket |
US8418907B2 (en) | 2009-11-05 | 2013-04-16 | Covidien Lp | Surgical stapler having cartridge with adjustable cam mechanism |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8714430B2 (en) | 2009-12-31 | 2014-05-06 | Covidien Lp | Indicator for surgical stapler |
US8561871B2 (en) | 2009-12-31 | 2013-10-22 | Covidien Lp | Indicators for surgical staplers |
US8827137B2 (en) * | 2010-03-25 | 2014-09-09 | Covidien Lp | Pin alignment assembly for surgical stapler |
US8348127B2 (en) | 2010-04-07 | 2013-01-08 | Covidien Lp | Surgical fastener applying apparatus |
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 |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
US20120078244A1 (en) | 2010-09-24 | 2012-03-29 | Worrell Barry C | Control features for articulating surgical device |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US8864009B2 (en) | 2010-09-30 | 2014-10-21 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator for a surgical stapler comprising an adjustable anvil |
US20120080498A1 (en) | 2010-09-30 | 2012-04-05 | Ethicon Endo-Surgery, Inc. | Curved end effector for a stapling instrument |
US9861361B2 (en) | 2010-09-30 | 2018-01-09 | Ethicon Llc | Releasable tissue thickness compensator and fastener cartridge having the same |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US9839420B2 (en) | 2010-09-30 | 2017-12-12 | Ethicon Llc | Tissue thickness compensator comprising at least one medicament |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
CN103140178B (en) | 2010-09-30 | 2015-09-23 | 伊西康内外科公司 | Comprise the closure system keeping matrix and alignment matrix |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US10123798B2 (en) | 2010-09-30 | 2018-11-13 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9204880B2 (en) | 2012-03-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising capsules defining a low pressure environment |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
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 |
US8308041B2 (en) | 2010-11-10 | 2012-11-13 | Tyco Healthcare Group Lp | Staple formed over the wire wound closure procedure |
US8496157B2 (en) | 2011-02-18 | 2013-07-30 | Covidien Lp | Tilting anvil for annular surgical stapler |
US8632462B2 (en) | 2011-03-14 | 2014-01-21 | Ethicon Endo-Surgery, Inc. | Trans-rectum universal ports |
US8789737B2 (en) | 2011-04-27 | 2014-07-29 | Covidien Lp | Circular stapler and staple line reinforcement material |
JP6026509B2 (en) | 2011-04-29 | 2016-11-16 | 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. | Staple cartridge including staples disposed within a compressible portion of the staple cartridge itself |
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 |
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 |
US9271728B2 (en) | 2011-06-09 | 2016-03-01 | Covidien Lp | Surgical fastener applying apparatus |
CN102835982B (en) | 2011-06-21 | 2016-11-02 | 伊西康内外科公司 | There is the linear staplers of multi-functional holding pin assemblies |
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 |
US9724095B2 (en) | 2011-08-08 | 2017-08-08 | Covidien Lp | Surgical fastener applying apparatus |
US9539007B2 (en) | 2011-08-08 | 2017-01-10 | Covidien Lp | Surgical fastener applying aparatus |
US9155537B2 (en) | 2011-08-08 | 2015-10-13 | Covidien Lp | Surgical fastener applying apparatus |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US9016539B2 (en) | 2011-10-25 | 2015-04-28 | Covidien Lp | Multi-use loading unit |
US8740036B2 (en) | 2011-12-01 | 2014-06-03 | Covidien Lp | Surgical instrument with actuator spring arm |
CN103181797A (en) * | 2011-12-30 | 2013-07-03 | 苏州天臣国际医疗科技有限公司 | Stitching device with indicating function |
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 |
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 |
US8979827B2 (en) | 2012-03-14 | 2015-03-17 | Covidien Lp | Surgical instrument with articulation mechanism |
MX353040B (en) | 2012-03-28 | 2017-12-18 | Ethicon Endo Surgery Inc | Retainer assembly including a tissue thickness compensator. |
BR112014024098B1 (en) | 2012-03-28 | 2021-05-25 | Ethicon Endo-Surgery, Inc. | staple cartridge |
JP6305979B2 (en) | 2012-03-28 | 2018-04-04 | エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. | Tissue thickness compensator with multiple layers |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
US9526497B2 (en) | 2012-05-07 | 2016-12-27 | Covidien Lp | Surgical instrument with articulation mechanism |
CN102657545A (en) * | 2012-06-02 | 2012-09-12 | 北京中法派尔特医疗设备有限公司 | Safety device for anastomat |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
EP2866686A1 (en) | 2012-06-28 | 2015-05-06 | Ethicon Endo-Surgery, Inc. | Empty clip cartridge lockout |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US9649111B2 (en) | 2012-06-28 | 2017-05-16 | Ethicon Endo-Surgery, Llc | Replaceable clip cartridge for a clip applier |
US9561038B2 (en) | 2012-06-28 | 2017-02-07 | Ethicon Endo-Surgery, Llc | Interchangeable clip applier |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
BR112014032776B1 (en) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | SURGICAL INSTRUMENT SYSTEM AND SURGICAL KIT FOR USE WITH A SURGICAL INSTRUMENT SYSTEM |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9125662B2 (en) | 2012-06-28 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Multi-axis articulating and rotating surgical tools |
US9232944B2 (en) | 2012-06-29 | 2016-01-12 | Covidien Lp | Surgical instrument and bushing |
US9364217B2 (en) | 2012-10-16 | 2016-06-14 | Covidien Lp | In-situ loaded stapler |
US9345480B2 (en) | 2013-01-18 | 2016-05-24 | Covidien Lp | Surgical instrument and cartridge members for use therewith |
US9386984B2 (en) | 2013-02-08 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Staple cartridge comprising a releasable cover |
US10092292B2 (en) | 2013-02-28 | 2018-10-09 | Ethicon Llc | Staple forming features for surgical stapling instrument |
BR112015021098B1 (en) | 2013-03-01 | 2022-02-15 | Ethicon Endo-Surgery, Inc | COVERAGE FOR A JOINT JOINT AND SURGICAL INSTRUMENT |
JP6345707B2 (en) | 2013-03-01 | 2018-06-20 | 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. | Surgical instrument with soft stop |
US20140249557A1 (en) | 2013-03-01 | 2014-09-04 | Ethicon Endo-Surgery, Inc. | Thumbwheel switch arrangements for surgical instruments |
US20140263552A1 (en) | 2013-03-13 | 2014-09-18 | Ethicon Endo-Surgery, Inc. | Staple cartridge tissue thickness sensor system |
US9814463B2 (en) | 2013-03-13 | 2017-11-14 | Covidien Lp | Surgical stapling apparatus |
US9717498B2 (en) | 2013-03-13 | 2017-08-01 | Covidien Lp | Surgical stapling apparatus |
US9668728B2 (en) | 2013-03-13 | 2017-06-06 | Covidien Lp | Surgical stapling apparatus |
US9629628B2 (en) | 2013-03-13 | 2017-04-25 | Covidien Lp | Surgical stapling apparatus |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9808244B2 (en) | 2013-03-14 | 2017-11-07 | Ethicon Llc | Sensor arrangements for absolute positioning system for surgical instruments |
EP2967564B1 (en) | 2013-03-14 | 2018-09-12 | Applied Medical Resources Corporation | Surgical stapler with partial pockets |
JP6396417B2 (en) | 2013-03-15 | 2018-09-26 | アプライド メディカル リソーシーズ コーポレイション | Surgical stapler having an actuating mechanism with a rotatable shaft |
WO2014143699A1 (en) | 2013-03-15 | 2014-09-18 | Applied Medical Resources Corporation | Surgical stapler with expandable jaw |
US9510827B2 (en) | 2013-03-25 | 2016-12-06 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9867612B2 (en) | 2013-04-16 | 2018-01-16 | Ethicon Llc | Powered surgical stapler |
BR112015026109B1 (en) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | surgical instrument |
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 |
WO2014201608A1 (en) * | 2013-06-17 | 2014-12-24 | Covidien Lp | Surgical instrument with lockout mechanism |
CN104248467B (en) * | 2013-06-28 | 2017-02-15 | 瑞奇外科器械(中国)有限公司 | Endoscopic surgical operating instrument |
JP6416260B2 (en) | 2013-08-23 | 2018-10-31 | エシコン エルエルシー | Firing member retractor for a powered surgical instrument |
US9775609B2 (en) | 2013-08-23 | 2017-10-03 | Ethicon Llc | Tamper proof circuit for surgical instrument battery pack |
US9662108B2 (en) | 2013-08-30 | 2017-05-30 | Covidien Lp | Surgical stapling apparatus |
AU2013403917A1 (en) | 2013-11-04 | 2016-04-28 | Covidien Lp | Surgical fastener applying apparatus |
CN105682567B (en) | 2013-11-04 | 2021-09-10 | 柯惠Lp公司 | Surgical fastener applying apparatus |
AU2013403915A1 (en) | 2013-11-04 | 2016-04-28 | Covidien Lp | Surgical fastener applying apparatus |
CA2932285C (en) | 2013-12-17 | 2019-10-08 | Standard Bariatrics, Inc. | Resection line guide for a medical procedure and method of using same |
US9867613B2 (en) | 2013-12-19 | 2018-01-16 | Covidien Lp | Surgical staples and end effectors for deploying the same |
US9687232B2 (en) | 2013-12-23 | 2017-06-27 | Ethicon Llc | Surgical staples |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9629627B2 (en) | 2014-01-28 | 2017-04-25 | Coviden Lp | Surgical apparatus |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
US9707005B2 (en) | 2014-02-14 | 2017-07-18 | Ethicon Llc | Lockout mechanisms for surgical devices |
US9848874B2 (en) | 2014-02-14 | 2017-12-26 | Covidien Lp | Small diameter endoscopic stapler |
CN106232029B (en) | 2014-02-24 | 2019-04-12 | 伊西康内外科有限责任公司 | Fastening system including firing member locking piece |
US9839422B2 (en) | 2014-02-24 | 2017-12-12 | Ethicon Llc | Implantable layers and methods for altering implantable layers for use with surgical fastening instruments |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
BR112016021943B1 (en) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | SURGICAL INSTRUMENT FOR USE BY AN OPERATOR IN A SURGICAL PROCEDURE |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9750499B2 (en) | 2014-03-26 | 2017-09-05 | Ethicon Llc | Surgical stapling instrument system |
CA2944383C (en) | 2014-03-29 | 2019-09-17 | Standard Bariatrics, Inc. | End effectors, surgical stapling devices, and methods of using same |
EP3125796B1 (en) | 2014-03-29 | 2024-03-06 | Standard Bariatrics Inc. | Surgical stapling devices |
US9757126B2 (en) | 2014-03-31 | 2017-09-12 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US10299792B2 (en) | 2014-04-16 | 2019-05-28 | Ethicon Llc | Fastener cartridge comprising non-uniform fasteners |
CN106456158B (en) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | Fastener cartridge including non-uniform fastener |
US9801628B2 (en) | 2014-09-26 | 2017-10-31 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
JP6636452B2 (en) | 2014-04-16 | 2020-01-29 | エシコン エルエルシーEthicon LLC | Fastener cartridge including extension having different configurations |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
BR112016023807B1 (en) | 2014-04-16 | 2022-07-12 | Ethicon Endo-Surgery, Llc | CARTRIDGE SET OF FASTENERS FOR USE WITH A SURGICAL INSTRUMENT |
US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
US9861366B2 (en) | 2014-05-06 | 2018-01-09 | Covidien Lp | Ejecting assembly for a surgical stapler |
WO2015174985A1 (en) | 2014-05-15 | 2015-11-19 | Lp Covidien | Surgical fastener applying apparatus |
US9901341B2 (en) | 2014-05-16 | 2018-02-27 | Covidien Lp | Surgical instrument |
WO2015191887A1 (en) | 2014-06-11 | 2015-12-17 | Applied Medical Resources Corporation | Surgical stapler with circumferential firing |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
BR112017004361B1 (en) | 2014-09-05 | 2023-04-11 | Ethicon Llc | ELECTRONIC SYSTEM FOR A SURGICAL INSTRUMENT |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US10016199B2 (en) | 2014-09-05 | 2018-07-10 | Ethicon Llc | Polarity of hall magnet to identify cartridge type |
US10470911B2 (en) | 2014-09-05 | 2019-11-12 | Standard Bariatrics, Inc. | Sleeve gastrectomy calibration tube and method of using same |
KR102649260B1 (en) | 2014-09-15 | 2024-03-20 | 어플라이드 메디컬 리소시스 코포레이션 | Surgical stapler with self-adjusting staple height |
CN104224259B (en) * | 2014-09-15 | 2017-02-08 | 江苏钱璟医疗器械有限公司 | Disposable internal opening cutting and enclosing anastomat |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
BR112017005981B1 (en) | 2014-09-26 | 2022-09-06 | Ethicon, Llc | ANCHOR MATERIAL FOR USE WITH A SURGICAL STAPLE CARTRIDGE AND SURGICAL STAPLE CARTRIDGE FOR USE WITH A SURGICAL INSTRUMENT |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
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 |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
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 |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
BR112017012996B1 (en) | 2014-12-18 | 2022-11-08 | Ethicon Llc | SURGICAL INSTRUMENT WITH AN ANvil WHICH IS SELECTIVELY MOVABLE ABOUT AN IMMOVABLE GEOMETRIC AXIS DIFFERENT FROM A STAPLE CARTRIDGE |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US10702269B2 (en) | 2014-12-25 | 2020-07-07 | Covidien Lp | Surgical stapling devices |
US9775611B2 (en) | 2015-01-06 | 2017-10-03 | Covidien Lp | Clam shell surgical stapling loading unit |
US10039545B2 (en) | 2015-02-23 | 2018-08-07 | Covidien Lp | Double fire stapling |
US10130367B2 (en) | 2015-02-26 | 2018-11-20 | Covidien Lp | Surgical apparatus |
US10085749B2 (en) | 2015-02-26 | 2018-10-02 | Covidien Lp | Surgical apparatus with conductor strain relief |
US9931118B2 (en) | 2015-02-27 | 2018-04-03 | Ethicon Endo-Surgery, Llc | Reinforced battery for a surgical instrument |
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 |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US9855040B2 (en) | 2015-03-04 | 2018-01-02 | Covidien Lp | Surgical stapling loading unit having articulating jaws |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
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 |
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 |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
JP2020121162A (en) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | Time dependent evaluation of sensor data to determine stability element, creep element and viscoelastic element of measurement |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
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 |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US9918717B2 (en) | 2015-03-18 | 2018-03-20 | Covidien Lp | Pivot mechanism for surgical device |
US10213201B2 (en) | 2015-03-31 | 2019-02-26 | Ethicon Llc | Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw |
US10463368B2 (en) | 2015-04-10 | 2019-11-05 | Covidien Lp | Endoscopic stapler |
CN107231792B (en) * | 2015-04-20 | 2020-10-27 | 美迪涂丽普有限公司 | Surgical linear suturing device |
US10143474B2 (en) | 2015-05-08 | 2018-12-04 | Just Right Surgical, Llc | Surgical stapler |
US10349941B2 (en) | 2015-05-27 | 2019-07-16 | Covidien Lp | Multi-fire lead screw stapling device |
US10172615B2 (en) | 2015-05-27 | 2019-01-08 | Covidien Lp | Multi-fire push rod stapling device |
US10368861B2 (en) | 2015-06-18 | 2019-08-06 | Ethicon Llc | Dual articulation drive system arrangements for articulatable surgical instruments |
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 |
US10064622B2 (en) | 2015-07-29 | 2018-09-04 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
US11154300B2 (en) | 2015-07-30 | 2021-10-26 | Cilag Gmbh International | Surgical instrument comprising separate tissue securing and tissue cutting systems |
US10045782B2 (en) | 2015-07-30 | 2018-08-14 | Covidien Lp | Surgical stapling loading unit with stroke counter and lockout |
US10194913B2 (en) | 2015-07-30 | 2019-02-05 | Ethicon Llc | Surgical instrument comprising systems for assuring the proper sequential operation of the surgical instrument |
WO2017024300A2 (en) | 2015-08-06 | 2017-02-09 | Applied Medical Resources Corporation | Surgical stapler having locking articulation joint |
US11058425B2 (en) | 2015-08-17 | 2021-07-13 | Ethicon Llc | Implantable layers for a surgical instrument |
MX2022009705A (en) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue. |
JP6828018B2 (en) | 2015-08-26 | 2021-02-10 | エシコン エルエルシーEthicon LLC | Surgical staple strips that allow you to change the characteristics of staples and facilitate filling into cartridges |
US10166026B2 (en) | 2015-08-26 | 2019-01-01 | Ethicon Llc | Staple cartridge assembly including features for controlling the rotation of staples when being ejected therefrom |
US10357252B2 (en) | 2015-09-02 | 2019-07-23 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples |
MX2022006192A (en) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Surgical staple configurations with camming surfaces located between portions supporting surgical staples. |
US10188320B2 (en) * | 2015-09-08 | 2019-01-29 | Boehringer Technologies, Lp | Laparoscopic tissue thickness measuring device and method of use |
US10285837B1 (en) | 2015-09-16 | 2019-05-14 | Standard Bariatrics, Inc. | Systems and methods for measuring volume of potential sleeve in a sleeve gastrectomy |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
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 |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10736633B2 (en) | 2015-09-30 | 2020-08-11 | Ethicon Llc | Compressible adjunct with looping members |
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 |
US10478188B2 (en) | 2015-09-30 | 2019-11-19 | Ethicon Llc | Implantable layer comprising a constricted configuration |
US10213204B2 (en) | 2015-10-02 | 2019-02-26 | Covidien Lp | Micro surgical instrument and loading unit for use therewith |
US10772632B2 (en) | 2015-10-28 | 2020-09-15 | Covidien Lp | Surgical stapling device with triple leg staples |
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 |
US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10575848B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Surgical stapler with fixed jaw support pin |
US10045780B2 (en) * | 2015-12-31 | 2018-08-14 | Ethicon Llc | Method of applying staples in lower anterior bowel resection |
US10258334B2 (en) | 2015-12-31 | 2019-04-16 | Ethicon Llc | Surgical stapler with variable height drivers for uniform staple formation |
US10966717B2 (en) | 2016-01-07 | 2021-04-06 | Covidien Lp | Surgical fastener apparatus |
US10660623B2 (en) | 2016-01-15 | 2020-05-26 | Covidien Lp | Centering mechanism for articulation joint |
WO2017132932A1 (en) * | 2016-02-04 | 2017-08-10 | Covidien Lp | Circular stapler with visual indicator mechanism |
US10245029B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instrument with articulating and axially translatable end effector |
BR112018016098B1 (en) | 2016-02-09 | 2023-02-23 | Ethicon Llc | SURGICAL INSTRUMENT |
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 |
US10420559B2 (en) | 2016-02-11 | 2019-09-24 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
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 |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10456140B2 (en) | 2016-04-01 | 2019-10-29 | Ethicon Llc | Surgical stapling system comprising an unclamping lockout |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US10485542B2 (en) | 2016-04-01 | 2019-11-26 | Ethicon Llc | Surgical stapling instrument comprising multiple lockouts |
US10413293B2 (en) | 2016-04-01 | 2019-09-17 | Ethicon Llc | Interchangeable surgical tool assembly with a surgical end effector that is selectively rotatable about a shaft axis |
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 |
WO2017180785A1 (en) | 2016-04-12 | 2017-10-19 | Applied Medical Resources Corporation | Reload shaft assembly for surgical stapler |
ES2938241T3 (en) | 2016-04-12 | 2023-04-05 | Applied Med Resources | Surgical stapler with a motorized handle |
WO2017180706A1 (en) | 2016-04-12 | 2017-10-19 | Applied Medical Resources Corporation | Surgical stapler having articulation mechanism |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
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 |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
EP4104775A1 (en) | 2016-04-18 | 2022-12-21 | Ethicon LLC | Surgical instrument comprising a lockout |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
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 |
US10561419B2 (en) | 2016-05-04 | 2020-02-18 | Covidien Lp | Powered end effector assembly with pivotable channel |
US11065022B2 (en) | 2016-05-17 | 2021-07-20 | Covidien Lp | Cutting member for a surgical instrument |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
US10702270B2 (en) | 2016-06-24 | 2020-07-07 | Ethicon Llc | Stapling system for use with wire staples and stamped staples |
CN109310431B (en) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | Staple cartridge comprising wire staples and punch staples |
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 |
CN106108965B (en) * | 2016-07-28 | 2019-05-10 | 上海逸思医疗科技有限公司 | A kind of suturing nail forming nail top adjustment mechanism of stapler and the stapler including the regulating mechanism |
USD814632S1 (en) | 2016-10-21 | 2018-04-03 | Covidien Lp | Staple cartridge |
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 |
US10463371B2 (en) | 2016-11-29 | 2019-11-05 | Covidien Lp | Reload assembly with spent reload indicator |
AU2017258826A1 (en) | 2016-12-02 | 2018-06-21 | Covidien Lp | Surgical stapling instrument with curved end effector |
US10568626B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaw opening features for increasing a jaw opening distance |
CN110099619B (en) | 2016-12-21 | 2022-07-15 | 爱惜康有限责任公司 | Lockout device for surgical end effector and replaceable tool assembly |
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 |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
US10537324B2 (en) | 2016-12-21 | 2020-01-21 | Ethicon Llc | Stepped staple cartridge with asymmetrical staples |
US10898186B2 (en) | 2016-12-21 | 2021-01-26 | Ethicon Llc | Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls |
US10893864B2 (en) | 2016-12-21 | 2021-01-19 | Ethicon | Staple cartridges and arrangements of staples and staple cavities therein |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US20180168619A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US10667809B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Staple cartridge and staple cartridge channel comprising windows defined therein |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US11160551B2 (en) | 2016-12-21 | 2021-11-02 | Cilag Gmbh International | Articulatable surgical stapling instruments |
JP7010956B2 (en) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | How to staple tissue |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
CN110087565A (en) | 2016-12-21 | 2019-08-02 | 爱惜康有限责任公司 | Surgical stapling system |
US10675026B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Methods of stapling tissue |
US10835245B2 (en) | 2016-12-21 | 2020-11-17 | Ethicon Llc | Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
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 |
US10709901B2 (en) | 2017-01-05 | 2020-07-14 | Covidien Lp | Implantable fasteners, applicators, and methods for brachytherapy |
US10952767B2 (en) | 2017-02-06 | 2021-03-23 | Covidien Lp | Connector clip for securing an introducer to a surgical fastener applying apparatus |
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 |
US10299790B2 (en) | 2017-03-03 | 2019-05-28 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US10660641B2 (en) | 2017-03-16 | 2020-05-26 | Covidien Lp | Adapter with centering mechanism for articulation joint |
US10603035B2 (en) | 2017-05-02 | 2020-03-31 | Covidien Lp | Surgical loading unit including an articulating end effector |
US11324502B2 (en) | 2017-05-02 | 2022-05-10 | 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 |
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 |
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 |
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 |
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 |
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 |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
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 |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
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 |
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 |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
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 |
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 |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
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 |
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 |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical 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 |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
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 |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US11058424B2 (en) | 2017-06-28 | 2021-07-13 | Cilag Gmbh International | Surgical instrument comprising an offset articulation joint |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
EP4070740A1 (en) | 2017-06-28 | 2022-10-12 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10588633B2 (en) | 2017-06-28 | 2020-03-17 | Ethicon Llc | Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a 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 |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
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 |
US10912562B2 (en) | 2017-08-14 | 2021-02-09 | Standard Bariatrics, Inc. | End effectors, surgical stapling devices, and methods of using same |
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 |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
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 |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
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 |
US10993714B2 (en) | 2017-11-28 | 2021-05-04 | Covidien Lp | Surgical stapling instrument and associated trigger mechanisms |
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 |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10687813B2 (en) * | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements 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 |
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 |
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 |
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 |
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 |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
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 |
US11583274B2 (en) | 2017-12-21 | 2023-02-21 | Cilag Gmbh International | Self-guiding stapling instrument |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US10945732B2 (en) | 2018-01-17 | 2021-03-16 | Covidien Lp | Surgical stapler with self-returning assembly |
WO2019169010A1 (en) | 2018-02-27 | 2019-09-06 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
WO2019165640A1 (en) | 2018-03-02 | 2019-09-06 | Covidien Lp | Surgical stapling instrument |
US10849622B2 (en) | 2018-06-21 | 2020-12-01 | Covidien Lp | Articulated stapling with fire lock |
US10945730B2 (en) | 2018-06-25 | 2021-03-16 | Covidien Lp | Stapling device with selectively advanceable alignment pin |
US10736631B2 (en) | 2018-08-07 | 2020-08-11 | Covidien Lp | End effector with staple cartridge ejector |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
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 |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
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 |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
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 |
US10912563B2 (en) | 2019-01-02 | 2021-02-09 | Covidien Lp | Stapling device including tool assembly stabilizing member |
JP2022522421A (en) | 2019-02-27 | 2022-04-19 | アプライド メディカル リソーシーズ コーポレイション | Surgical stapling instrument with two-position lockout mechanism |
US11344297B2 (en) | 2019-02-28 | 2022-05-31 | Covidien Lp | Surgical stapling device with independently movable jaws |
US11259808B2 (en) | 2019-03-13 | 2022-03-01 | Covidien Lp | Tool assemblies with a gap locking member |
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 |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | 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 |
US11717293B2 (en) | 2019-03-29 | 2023-08-08 | Applied Medical Resources Corporation | Reload cover for surgical stapling system |
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 |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11344309B2 (en) | 2019-07-05 | 2022-05-31 | Covidien Lp | Circular stapling instruments |
EP4007529A4 (en) | 2019-08-02 | 2023-07-26 | Covidien LP | Surgical stapling device with curved tool assembly |
US11224424B2 (en) | 2019-08-02 | 2022-01-18 | Covidien Lp | Linear stapling device with vertically movable knife |
US11406385B2 (en) | 2019-10-11 | 2022-08-09 | Covidien Lp | Stapling device with a gap locking member |
CN114727818A (en) | 2019-11-01 | 2022-07-08 | 柯惠有限合伙公司 | Surgical stapling device with blade lock |
MX2022005311A (en) | 2019-11-04 | 2022-05-26 | Standard Bariatrics Inc | Systems and methods of performing surgery using laplace's law tension retraction during surgery. |
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 |
US11395653B2 (en) | 2019-11-26 | 2022-07-26 | Covidien Lp | Surgical stapling device with impedance sensor |
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 |
JP2023513999A (en) | 2019-12-18 | 2023-04-05 | コヴィディエン リミテッド パートナーシップ | Surgical stapling device with shipping cap |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
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 |
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 |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
KR20220122732A (en) | 2019-12-31 | 2022-09-02 | 어플라이드 메디컬 리소시스 코포레이션 | Electrosurgical system using tissue and maximum current identification |
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 |
EP4103070A4 (en) | 2020-02-14 | 2023-11-08 | 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 |
US11317911B2 (en) | 2020-03-10 | 2022-05-03 | Covidien Lp | Tool assembly with replaceable cartridge assembly |
US11357505B2 (en) | 2020-03-10 | 2022-06-14 | Covidien Lp | Surgical stapling apparatus with firing lockout mechanism |
US11406383B2 (en) | 2020-03-17 | 2022-08-09 | Covidien Lp | Fire assisted powered EGIA handle |
US11331098B2 (en) | 2020-04-01 | 2022-05-17 | Covidien Lp | Sled detection device |
US11426159B2 (en) | 2020-04-01 | 2022-08-30 | Covidien Lp | Sled detection device |
US11504117B2 (en) | 2020-04-02 | 2022-11-22 | Covidien Lp | Hand-held surgical instruments |
US11937794B2 (en) | 2020-05-11 | 2024-03-26 | Covidien Lp | Powered handle assembly for surgical devices |
US11191537B1 (en) | 2020-05-12 | 2021-12-07 | Covidien Lp | Stapling device with continuously parallel jaws |
US11406387B2 (en) | 2020-05-12 | 2022-08-09 | Covidien Lp | Surgical stapling device with replaceable staple cartridge |
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 |
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 |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
US11191538B1 (en) | 2020-06-08 | 2021-12-07 | Covidien Lp | Surgical stapling device with parallel jaw closure |
US11744584B2 (en) | 2020-06-09 | 2023-09-05 | Covidien Lp | Alignment pin assembly for surgical stapler |
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 |
US11517305B2 (en) | 2020-07-09 | 2022-12-06 | Covidien Lp | Contoured staple pusher |
US11446028B2 (en) | 2020-07-09 | 2022-09-20 | Covidien Lp | Tool assembly with pivotable clamping beam |
US20220031320A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with flexible firing member actuator constraint arrangements |
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 |
US11602342B2 (en) | 2020-08-27 | 2023-03-14 | Covidien Lp | Surgical stapling device with laser probe |
US11678878B2 (en) | 2020-09-16 | 2023-06-20 | Covidien Lp | Articulation mechanism for surgical stapling device |
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 |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
AU2021369828A1 (en) | 2020-10-29 | 2023-06-01 | Applied Medical Resources Corporation | Surgical stapler having a powered handle |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
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 |
US11771428B2 (en) | 2020-10-29 | 2023-10-03 | Applied Medical Resources Corporation | Actuation shaft retention mechanism for surgical stapler |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
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 |
US11890007B2 (en) | 2020-11-18 | 2024-02-06 | Covidien Lp | Stapling device with flex cable and tensioning mechanism |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
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 |
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 |
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 |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11717300B2 (en) | 2021-03-11 | 2023-08-08 | Covidien Lp | Surgical stapling apparatus with integrated visualization |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11452574B1 (en) | 2021-03-23 | 2022-09-27 | Standard Bariatrics, Inc. | Systems and methods for preventing tissue migration in surgical staplers |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
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 |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
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 |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
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 |
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 |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
US11576675B2 (en) | 2021-06-07 | 2023-02-14 | Covidien Lp | Staple cartridge with knife |
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 |
US11602344B2 (en) | 2021-06-30 | 2023-03-14 | Covidien Lp | Surgical stapling apparatus with firing lockout assembly |
US11540831B1 (en) | 2021-08-12 | 2023-01-03 | Covidien Lp | Staple cartridge with actuation sled detection |
US20230050707A1 (en) * | 2021-08-16 | 2023-02-16 | Cilag Gmbh International | Firing system features for surgical stapler |
US11779334B2 (en) | 2021-08-19 | 2023-10-10 | Covidien Lp | Surgical stapling device including a manual retraction assembly |
US11576671B1 (en) | 2021-08-20 | 2023-02-14 | Covidien Lp | Small diameter linear surgical stapling apparatus |
US11707277B2 (en) | 2021-08-20 | 2023-07-25 | Covidien Lp | Articulating surgical stapling apparatus with pivotable knife bar guide assembly |
US11864761B2 (en) | 2021-09-14 | 2024-01-09 | Covidien Lp | Surgical instrument with illumination mechanism |
CN113598859A (en) * | 2021-09-14 | 2021-11-05 | 吴杲 | Semicircular eversion anastomat and using method thereof |
US11653922B2 (en) | 2021-09-29 | 2023-05-23 | Covidien Lp | Surgical stapling device with firing lockout mechanism |
US11660094B2 (en) | 2021-09-29 | 2023-05-30 | Covidien Lp | Surgical fastening instrument with two-part surgical fasteners |
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 |
Family Cites Families (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3080564A (en) * | 1959-09-10 | 1963-03-12 | Strekopitov Alexey Alexeevich | Instrument for stitching hollow organs |
GB913218A (en) * | 1960-02-02 | 1962-12-19 | Alexey Alexeevich Strekopitov | A suturing device |
GB942122A (en) * | 1962-09-11 | 1963-11-20 | Mikhail Gueorguievich Akhalaya | A surgical instrument |
US3252643A (en) * | 1962-12-24 | 1966-05-24 | Strekopytov Alexey Alexcevich | Instrument for suturing living tissue |
US3275211A (en) * | 1965-05-10 | 1966-09-27 | United States Surgical Corp | Surgical stapler with replaceable cartridge |
US3315863A (en) * | 1965-07-06 | 1967-04-25 | United States Surgical Corp | Medical instrument |
US3494533A (en) * | 1966-10-10 | 1970-02-10 | United States Surgical Corp | Surgical stapler for stitching body organs |
DE1791114B1 (en) * | 1967-09-19 | 1971-12-02 | Vnii Chirurgitscheskoj Apparat | Surgical device for stapling tissues |
BE758685A (en) * | 1970-10-14 | 1971-05-10 | Vnii Khirurgicheskoi Apparatur | SURGICAL APPARATUS FOR TISSUE SUTURE WITH STAPLES |
CH550578A (en) * | 1971-05-03 | 1974-06-28 | Vnii Khirurgicheskoi Apparatur | SURGICAL SEWING DEVICE FOR SEWING TISSUE AND ORGANS WITH THE HELP OF METAL CLIPS. |
SU506963A1 (en) * | 1973-07-26 | 1976-08-25 | Всесоюзный Научно-Исследовательский И Испытательный Институт Медицинской Техники Министерства Здравоохранения Ссср | Surgical stapler |
SU449524A1 (en) * | 1973-07-31 | 1976-05-15 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Surgical apparatus for cross-linking of organs |
SU942719A1 (en) * | 1979-11-23 | 1982-07-15 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Surgical suturing apparatus for application of linear sutures |
US4296881A (en) * | 1980-04-03 | 1981-10-27 | Sukoo Lee | Surgical stapler using cartridge |
US4354628A (en) * | 1980-09-29 | 1982-10-19 | United States Surgical Corporation | Surgical stapler apparatus having pivotally related staple holder and anvil |
US4383634A (en) * | 1981-05-26 | 1983-05-17 | United States Surgical Corporation | Surgical stapler apparatus with pivotally mounted actuator assemblies |
-
1983
- 1983-06-10 US US06/503,231 patent/US4527724A/en not_active Expired - Lifetime
-
1984
- 1984-05-31 AU AU28885/84A patent/AU582116B2/en not_active Expired
- 1984-06-01 CA CA000455721A patent/CA1244739A/en not_active Expired
- 1984-06-05 IT IT67579/84A patent/IT1178954B/en active
- 1984-06-06 GB GB08414471A patent/GB2141066B/en not_active Expired
- 1984-06-06 ZA ZA844250A patent/ZA844250B/en unknown
- 1984-06-07 NL NL8401822A patent/NL191753C/en not_active IP Right Cessation
- 1984-06-08 ES ES533271A patent/ES8604416A1/en not_active Expired
- 1984-06-08 BR BR8402814A patent/BR8402814A/en not_active IP Right Cessation
- 1984-06-08 SE SE8403105A patent/SE453455B/en not_active IP Right Cessation
- 1984-06-08 BE BE0/213098A patent/BE899864A/en not_active IP Right Cessation
- 1984-06-09 DE DE3421566A patent/DE3421566A1/en active Granted
- 1984-06-11 JP JP59118393A patent/JPS6053136A/en active Pending
- 1984-06-11 MX MX201610A patent/MX154968A/en unknown
- 1984-06-12 CH CH2864/84A patent/CH665113A5/en not_active IP Right Cessation
- 1984-06-12 AT AT0191484A patent/AT396865B/en not_active IP Right Cessation
- 1984-06-12 FR FR848409149A patent/FR2547717B1/en not_active Expired
Also Published As
Publication number | Publication date |
---|---|
IT1178954B (en) | 1987-09-16 |
IT8467579A1 (en) | 1985-12-05 |
AU2888584A (en) | 1985-12-19 |
ES8604416A1 (en) | 1986-02-01 |
SE8403105L (en) | 1984-12-11 |
GB8414471D0 (en) | 1984-07-11 |
GB2141066B (en) | 1987-09-30 |
NL8401822A (en) | 1985-01-02 |
JPS6053136A (en) | 1985-03-26 |
CH665113A5 (en) | 1988-04-29 |
IT8467579A0 (en) | 1984-06-05 |
US4527724A (en) | 1985-07-09 |
ZA844250B (en) | 1985-01-30 |
NL191753C (en) | 1996-07-02 |
ES533271A0 (en) | 1986-02-01 |
BE899864A (en) | 1984-10-01 |
AT396865B (en) | 1993-12-27 |
FR2547717B1 (en) | 1989-06-16 |
NL191753B (en) | 1996-03-01 |
AU582116B2 (en) | 1989-03-16 |
GB2141066A (en) | 1984-12-12 |
MX154968A (en) | 1988-01-14 |
DE3421566C2 (en) | 1992-10-22 |
FR2547717A1 (en) | 1984-12-28 |
SE8403105D0 (en) | 1984-06-08 |
SE453455B (en) | 1988-02-08 |
BR8402814A (en) | 1985-05-21 |
ATA191484A (en) | 1993-05-15 |
DE3421566A1 (en) | 1984-12-13 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CA1244739A (en) | Disposable linear surgical stapling instrument | |
CA1245934A (en) | Surgical stapling apparatus | |
US4179057A (en) | Disposable surgical stapling instrument | |
CA2068687C (en) | Fast closure device for linear surgical stapling instrument | |
EP1702567B1 (en) | Surgical stapler with mechanisms for reducing the firing force | |
CA1182710A (en) | Pressure sensitive and working gap controlled medical stapling device | |
EP0156774A2 (en) | Multiple-Load cartridge assembly for a linear surgical stapling instrument | |
CA1101749A (en) | Surgical stapling instrument | |
EP2281513B1 (en) | Surgical instrument including a locking assembly | |
US6315183B1 (en) | Disposable surgical stapler cartridge | |
US7546940B2 (en) | Pivoting anvil assembly for surgical stapling device | |
CA1156116A (en) | Intraluminal anastomosis surgical stapling instrument | |
EP0596543B1 (en) | Surgical stapler with spent cartridge sensing and lockout means | |
GB2117693A (en) | Surgical stapling instrument and cartridge therefor | |
CA1254100A (en) | Cartridge and drive assembly for a surgical stapling instrument | |
CA2546928C (en) | Surgical stapler with mechanisms for reducing the firing force | |
CA1176533A (en) | Surgical stapler apparatus having pivotally related staple holder and anvil | |
JPH051016B2 (en) |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
MKEX | Expiry |