CN100512765C - 弯曲切刀钉紧器所用的钉筒 - Google Patents
弯曲切刀钉紧器所用的钉筒 Download PDFInfo
- Publication number
- CN100512765C CN100512765C CNB2004100954660A CN200410095466A CN100512765C CN 100512765 C CN100512765 C CN 100512765C CN B2004100954660 A CNB2004100954660 A CN B2004100954660A CN 200410095466 A CN200410095466 A CN 200410095466A CN 100512765 C CN100512765 C CN 100512765C
- Authority
- CN
- China
- Prior art keywords
- nail
- cutter
- barrel shell
- actuator
- keeper
- 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.)
- Active
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07221—Stapler heads curved
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/038—Automatic limiting or abutting means, e.g. for safety during shipment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0814—Preventing re-use
Abstract
适用于将多个外科紧固件施加到身体组织上的外科装置,该外科装置包括:基座;容装有多个外科紧固件和刀具的钉筒壳,所述钉筒壳和基座可在第一相间隔位置和相邻的第二位置之间相对运动;与钉筒壳相关联的激发机构,用于把外科紧固件和刀具从将要朝着基座驱动的钉筒壳射击;和由钉筒壳形成其一部分的钉筒模块,该钉筒模块包括驱动件和刀具保持件,驱动件布置成将钉子推出钉筒壳,而刀具保持件布置成在钉筒壳中紧挨着驱动件,刀具保持件装接在刀具上,刀具从刀具保持件向远端延伸通过驱动件中的槽并延伸通过钉筒壳中的槽;刀具保持件包括延伸通过钉筒壳中的槽的止动栓,刀具保持件止动栓被布置成,在刀具和刀具保持件的纵向运动期间与钉筒槽的止动凸出部相接触;驱动件包括止动栓,该止动栓被布置成与钉筒壳的槽的近端止动凸出部和远端止动凸出部相接触。
Description
技术领域
本发明涉及固定切除手术中进行病理诊断和治疗所用的一种外科钉紧、切割装置。更具体地说,本发明涉及在外科钉紧和切割装置中所用的钉筒模块,它包括用于驱动件和刀具组件的止动件。
背景技术
在固定切除手术中进行的病理诊断和治疗中通常会使用外科钉紧和切割装置。外科钉紧和切割装置提供了一种机构,以便扩展经由肛管、口腔、胃部和保养入口导入的机械缝合装置的经皮应用(transluminal explottation)。虽然外科钉紧和切割装置最常用于直肠病理,但是外科钉紧和切割装置可以在多种环境中使用。
随着时间的过去,已经开发了外科钉紧和切割装置。这些装置大体上包括支架、装接在支架上的基座和运载多个钉子的钉筒壳。该装置还包括钉筒壳内部的驱动件,它将所有钉子同时推出进入基座中以将钉子一起形成大体上为B形的缝合组织。另外,这些装置包括接近的机构,它们用于将钉筒壳从与基座间隔位置移动到闭合位置,在间隔位置,以接受其间的组织,在关闭位置该组织被夹持在基座和钉筒壳之间。最后,装置包括用于向前移动驱动件以朝着基座形成钉子的激发装置。
这些装置中有很多依赖于包括多个钉子的可更换钉筒模块。这些可更换钉筒允许通过在每个钉紧过程后通过简单地替换钉筒模块而使用多个外科钉紧和切割装置。大多数钉筒模块包括钉子驱动件和刀具组件。当装置射击时,两个组件均在钉筒壳内部滑动。在使用以前,钉子驱动件组件和刀具组件必须夹持在钉筒模块内部的缩进位置处。在该位置夹持钉子驱动件组件和刀具组件的结构必须足够坚固以防止在装运期间运动。钉子从其袋中的移出可能会导致钉子掉出或在不正确的位置上,两者均可导致漏出钉线(staple line)或是更糟。刀具组件移动到刀具暴露的位置会导致伤害到使用装置的任何人或是在用于病人时会导致在组织上不经意的切割。
在钉筒模块射击之后,钉子驱动件组件必须保持在其向前的射击位置。钉紧器驱动件组件保持在该位置以确保已用钉筒闭锁组件启动。钉子驱动件组件还被保持在该位置,这样驱动件尖端就保持可见,从而向使用者提供钉筒模块已用的可视化暗示。
在装置射击并且释放扳机之后,刀具组件必须缩进并夹持在钉筒壳内部。将刀具组件夹持在缩进位置的结构必须能够抵抗在重新加载过程中经受的力,这样刀具切削刃就不会暴露出来。
因为钉筒模块可能会在制造期间射击几次,所以将驱动件组件和刀具组件夹持在钉筒模块内部的结构必须足够经久耐用以抵抗反复的循环操作。还应该把将钉子驱动件组件和刀具组件复位至缩进位置所需的力减小到最低以易于制造并且将装置的回缩力要求(弹簧力)减小到最低。
发明内容
有鉴于此,就要求一种可以提供用于夹持和指示钉子驱动件组件和刀具组件位置的结构的改进的钉筒模块。本发明就提供了这样一种钉筒模块和适用于将多个外科紧固件施加到身体组织上的外科装置,该外科装置包括:基座;容装有多个外科紧固件和刀具的钉筒壳,所述钉筒壳和基座可在第一相间隔位置和相邻的第二位置之间相对运动;与钉筒壳相关联的激发机构,用于把外科紧固件和刀具从将要朝着基座驱动的钉筒壳射击;和由钉筒壳形成其一部分的钉筒模块,该钉筒模块包括驱动件和刀具保持件,驱动件布置成将钉子推出钉筒壳,而刀具保持件布置成在钉筒壳中紧挨着驱动件,刀具保持件装接在刀具上,刀具从刀具保持件向远端延伸通过驱动件中的槽并延伸通过钉筒壳中的槽(199);刀具保持件包括延伸通过钉筒壳中的槽(137)的止动栓,刀具保持件止动栓被布置成,在刀具和刀具保持件的纵向运动期间与钉筒槽的止动凸出部相接触;驱动件包括止动栓,该止动栓被布置成与钉筒壳的槽(137)的近端止动凸出部和远端止动凸出部相接触。
附图说明
图1是依照本发明的线性外科钉紧器的透视图;
图2是除去钉筒模块后的线性外科钉紧器的透视图;
图3是钉筒壳被移至一个中间位置的线性外科钉紧器的透视图;
图4是钉筒壳被移至闭合位置的线性外科钉紧器的透视图;
图5是在激发位置的带有激发扳机的线性外科钉紧器的透视图;
图6是钉筒模块的分解图;
图7是其上固定有保持件的钉筒模块的正视图;
图8是将保持件除去后的钉筒模块的正视图;
图9是钉筒模块的后视透视图,图中详细地显示了钉筒壳的狭槽;
图10、11和12显示了保持件组件;
图13是处于未致动朝向的线性外科钉紧器的部分剖视图;
图14是销致动机构的分解图;
图15是闭合扳机稍微缩进时的线性外科钉紧器的部分剖视图;
图16是闭合扳机接近完全缩进时的线性外科钉紧器的部分剖视图;
图17是闭合扳机完全缩进时的线性外科钉紧器的部分剖视图;
图18是激发扳机和闭合扳机完全缩进时的线性外科钉紧器的部分剖视图;
图19是在外科医生压下释放按钮之后的线性外科钉紧器的部分剖视图;
图20是在释放闭合扳机和激发扳机且其未回复至中间止动位置时的线性外科钉紧器的部分剖视图;
图21—29显示了钉筒模块的插入和保持件的除去;
图30—38显示了在本发明的线性外科钉紧器的致动过程中所涉及的多个步骤;和
图39和40是钉筒壳的正视详示图。
具体实施方式
在此公开了本发明的详细实施例。然而,应当理解,此处所披露的实施例仅是本发明的示例,这些实施例能够以不同的方式来实现。因此,不能将此处公开的细节认为是限定性的,而仅可将其作为权利要求的基础和指导本领域技术人员来如何实现和/或使用本发明的基础。
参考不同的附图,本申请公开了一种外科装置20以将多个外科紧固件施加到身体组织上。外科装置20包括基座122和容装有多个外科紧固件和刀具126的钉筒壳121。钉筒壳121和基座122在第一间隔的位置和第二相互靠近位置之间相对运动。装置20还包括与钉筒壳121相关联的激发机构以从朝着基座122驱动的钉筒壳121中射击外科紧固件和刀具126。由钉筒壳121形成其一部分的钉筒模块120包括驱动件131和刀具保持件130,驱动件131布置成将紧固件推出钉筒壳121,而刀具保持件130布置成在钉筒壳121中紧挨着驱动件131。刀具保持件130装接在刀具126上,该刀具126从刀具保持件130向远端延伸通过驱动件中的槽200并延伸通过钉筒壳121中的槽199。刀具保持件130包括止动栓138,它延伸通过钉筒壳121中的槽137。在刀具126和刀具保持件130的纵向运动过程中,刀具保持件的止动栓138被布置成与钉筒槽137的止动凸出部139相接触。驱动件131包括止动栓140,该止动栓140被布置成与钉筒壳的槽137的近端止动凸出部和远端止动凸出部141、142相接触。
参见图1并结合图2—5,图中显示了一种外科钉紧和切割装置,特别是一种设计用来钉紧并切割生理组织的线性外科钉紧器20。线性外科钉紧器20在第一近端具有手柄21,在相对的远端具有端部受动器80。依照本发明的一个优选实施例,端部受动器80是弯曲的。左右手结构板(经常被称作“手柄板”)34、35分别将手柄21与装置的端部受动器80相连(图1中未显示左手柄板)。手柄21具有连接到左手护板上的右手护板22(图1中未显示左手护板)。手柄21还具有基体部23以握持和操纵线性外科钉紧器20(参见图2—5)。
端部受动器80是一种医用紧固组件,包括钉筒模块120(参见图6—9)和U形支撑结构81。闭合件28的远端30被布置来容纳钉筒模块120。端部受动器80还包括安全锁止机构180(最佳显示于图31中)以阻止先前已射击的钉筒模块120的射击。钉筒模块120包括连接到基座122上的钉筒壳121。钉筒模块120还包括保持销125、刀具126、可拆卸的保持件160和生理组织接触表面127,所述生理组织接触表面127显示了处于刀具126两侧的以一排或多排的形式交错布置(即钉线)的多个钉子容装槽128。来自钉筒壳121的钉子(未显示)被射向基座122的钉形成表面129,该钉形成表面129面向钉筒壳121的生理组织接触表面127。
根据下面公开的内容可以明确认识到,本发明的线性外科钉紧器20被设计成具有可更换钉筒模块120的多次激发装置。但是,应当理解,在不脱离本发明主旨的情况下,本发明的许多基础概念同样适用于单次激发装置。
端部受动器80的支撑结构81通过台肩铆钉82和栓杆83分别装接在左右手柄板34、35上,所述栓杆83从支撑结构81延伸入手柄板34、35的接收孔中。依照本发明的一个优选实施例,支撑结构81是由一个单片构件形成的。更具体地,支撑结构81是通过挤压形成的,例如挤压铝,随后进行机加工来制造依照本发明所公开的支撑结构81。通过这种方式来构造支撑结构81不需要多个部件,从而显著降低了与生产和组装相关的成本。此外,应认识到,支撑结构81的整体式结构提高了本发明线性外科钉紧器20的整体稳定性。另外,支撑结构81的整体式挤压成形结构减轻了重量且更易于杀菌消毒,这是因为钴辐射可有效地穿透被挤压的铝片,由于通过挤压可形成平滑的外表面,因而对生理组织造成的损伤最小。
线性外科钉紧器20的手柄21包括由外科医生用手掌握持的手握持部24(参见图2—5)。手握持部24包括右手护板柄25(参见图1)和左手护板柄(图1中未显示左手护板柄)。闭合扳机26和激发扳机27从手柄21的下侧可枢转地延伸出来。图1所示线性外科钉紧器20的闭合扳机26和激发扳机27处于其未致动位置,在钉紧器20上插有一个钉筒模块120且将保持件160拆下。因此,钉筒壳121与基座122相隔开以将生理组织置于钉筒壳121和基座122之间。
线性外科钉紧器20的手柄21包括生理组织保持销致动机构100。该生理组织保持销致动机构100包括布置在手柄21顶面上的一个马鞍形滑动件101。人工移动滑动件101将使推杆102远端移动。推杆102连接到钉筒模块120的保持销125上。推杆102向远端的运动或向近端的回缩会使保持销125产生相应的运动。保持销致动机构100也在手柄21中可释放性地连接到闭合扳机26上,这样,如果保持销125还没有被人工移动至其最近端位置,则闭合扳机26的致动将使保持销125自动朝着远端运动。
简要参见附图2—5,图中显示了在对钉筒模块120进行加载以及随后朝着手握持部24推压激发扳机26、27以驱动线性外科钉紧器20的端部受动器80时将会发生什么。如图2所示,钉筒模块120加载线性外科钉紧器20且将保持件160除去。此时的线性外科钉紧器20已准备好来接收生理组织,如图1所示。
在部分推压闭合扳机26以将其置于图3所示的第一止动位置时,钉筒壳121从其完全开启位置移动至处于开启位置和闭合位置之间的中间位置,在下文中将对该内容进行详述。与此同时,生理组织保持销致动机构100将保持销125从钉筒壳121向前移动通过基座122中的开口。在该位置中,可将已经置于钉筒壳121和基座122之间的生理组织进行适当定位,这样可确保将生理组织留置在钉筒壳121和基座122之间。因此,当将闭合扳机26致动至其中间位置时,钉筒壳121和基座122被相应地定位在生理组织保持位置中。
如图4所示,在闭合扳机26受到完全推压而使其接近手握持部24的前端时,钉筒壳121的生理组织接触表面127与基座122的钉形成表面129相互靠近,这样则可将生理组织正确定位和完全保持住。此外,激发扳机27逆时针朝着手握持部24旋转以使外科医生握持激发扳机27,从而射击钉子。因此,激发扳机27现在处于由外科医生推压的位置以钉紧和切割生理组织。如图5所示,在激发扳机27被完全推压以射击钉子时,激发扳机27就处于与闭合扳机26相靠近的位置处。
现在参见图6—9,下面将对钉筒模块120进行详细描述。本发明的钉筒模块120提供了一种在线性外科钉紧器20中使用的切割和密封机构,其中,该机构在装置的致动过程中沿相同的方向进行钉紧和切割操作。虽然该钉筒模块120特别适于与线性外科钉紧器结合使用,但在不脱离本发明主旨的情况下,该钉筒模块120的概念也可适用于其他外科装置。特别地,该钉筒模块120提供了与切割过程中所用的相应的垫圈123结合使用的刀具126。该钉筒模块120可以确保线性外科钉紧器20的多次激发并不会消弱切割性能。这是通过将基座122特别是切割垫圈123与钉筒模块120相结合来实现的。通过将垫圈123与钉筒模块120相结合,在每次更换钉筒模块120时可提供一个新垫圈123,从而提高了切割性能。
通过将基座122与钉筒壳121平行布置使它们在相对移动时使基座122和钉筒壳121相面对的表面保持平行定位,可以提供进一步增强的性能。这样就可使压力在生理组织上均匀分布,从而避免以下述方式挤压生理组织,即将生理组织挤成一束并将部分生理组织从基座122和钉筒壳121之间所限定的所需空间中迫压出来。
更具体地说,钉筒模块120包括钉筒壳121,该钉筒壳121容装有多个布置在钉子容装槽128中的钉子(图中未显示)。紧接在钉子之后布置有驱动件131,该驱动件131被布置来将钉子推出钉槽128。在钉筒壳121中紧接着驱动件131布置有刀具保持件130。刀具保持件130上包含槽172和突出架173以与刀具牵引钩45(参见图37)相互作用,在下文中将详细描述其作用方式。刀具保持件130装接在刀具126上,该刀具126从刀具保持件130向远端延伸通过驱动件131中的槽200并延伸通过钉筒壳121中的槽199。
刀具保持件130具有止动栓138,它延伸通过钉筒壳121中的槽137。在刀具126和刀具保持件130的纵向运动过程中,刀具保持件的止动栓138被布置成与钉筒槽137的止动凸出部139相接触。类似地,驱动件131具有止动栓140,该止动栓140被布置成分别与钉筒槽137的近端止动凸出部和远端止动凸出部141、142接触。
依照一个优选实施例,钉筒壳121包括用于驱动件131和刀具保持件130的两个单独的止动栓。特别地,驱动件止动栓140与驱动件131形成一体,而刀具止动栓138与刀具保持件130形成一体。驱动件止动栓140和刀具保持件止动栓138的形状和尺寸设计成与模制到钉筒壳121侧面中的第一和第二柔性指杆167、168连接。
第一和第二指杆167、168的朝向平行于钉筒模块120的纵轴。第一指杆167的形状和尺寸设计成与刀具保持件130的刀具止动栓138接触,而第二指杆168的形状和尺寸设计成与钉子驱动件131的驱动件止动栓140接触。如上文所述的凸出部139、141、142沿着第一和第二指杆167、168的每个边缘布置。各个凸出部139、141、142的位置是由驱动件131或刀具保持件130在操作过程中的期望位置确定的。凸出部139、141、142的形状和柔性指杆167、168的厚度是由所期望的保持力确定的。
该钉筒模块120提供了多种优点。例如,柔性指杆的弹性可以完成多个循环而不损失止动力,并且可以通过改变指杆的凸起表面或横截面来使止动力“被向应”。另外,凸起表面可以允许不同的延伸和回缩止动力。例如,可以使在激发过程中克服刀具止动栓138的力显著地高于经过同一个止动栓缩回刀具126所需的力。
当刀具126缩进并保持在未射击位置时,用于刀具保持件130和驱动件131的独立止动栓138、140允许驱动件131被夹持在延伸的“射击”位置中,这也是本钉筒模块120的一个优点。因为当刀具126在回缩时必须滑动经过钉子驱动件131,所以钉子驱动件止动栓140可以确保与刀具126的摩擦不会导致钉子驱动件131与刀具126一起回缩。如果驱动件131将回缩,则已用的钉筒锁止机构180将不会接合,从而导致出现可能有害的情形。
另外,止动栓138、140在钉筒壳121侧面的定位给出了驱动件131和刀具保持件130在钉筒壳121内部位置的可视化指示。它还提供了接近止动栓138、140的通道,这样它们就可以偏斜从而重新装载钉筒模块120。
刀具126和槽199、200的位置设置成使刀具126的任一侧上至少布置一排钉子。依照本发明的一个优选实施例,在钉筒壳121的槽199的每侧上布置有两排钉槽128(和两排钉子)。
钉筒壳121在刀具槽199任一端包括有两个大体上为圆形的开口143、144。处于钉筒壳121基座处的大体上为圆形的开口143的形状和尺寸设计成可以使导引销124穿过钉筒壳121。处于钉筒壳121顶部处大体上为圆形的孔144的形状和尺寸设计成可以使保持销125穿过钉筒壳121。钉槽128布置成钉子可以横向延伸通过大体上为圆形的孔143、144。
依照本发明的一个优选实施例,基座122包括塑性垫圈123和金属钉形成表面129。基座122被布置成以匹配的配置容装钉形成表面129。保持销125通过保持销125中的周向槽135和接合件133中的沟槽134连接到接合件133上(最佳显示于图14中)。接合件133布置在钉筒壳121的臂145中并且通过端盖146而保持在所述臂145中。
导引销124和保持销125包括各自的槽147a、147b(最佳显示于图8、9、36、39和40中),刀具126的端部126a、126b即布置在所述槽147a、147b中。导引销124的近端148连接到基座122的近端149上。导引销124的远端150从钉筒壳121中延伸出来且延伸通过基座122的槽151。切割垫圈123通过基座122上的沟槽152而滑到基座122上,沟槽152配合在垫圈123上的舌部153之下。切割垫圈123的相对端部154在基座臂155之下滑动且通过销子156而销紧到基座臂155上。在该位置中,垫圈123的切割表面157向上延伸通过基座122的槽151。将切割垫圈123组装到基座122上会将导引销124限定在由基座槽151和切割表面157所形成的开口中,从而可操作地将基座122连接到钉筒壳121上。如图7所示,保持件160装接在钉筒模块120上以将钉筒模块120的部件沿所需的朝向夹持直至插入端部受动器80中。
现在参考图6—12并接合图25—29,对保持件160进行更详细的描述。保持件160具有围绕钉筒壳121的凸起159布置的沟槽161。保持件160容装有弹性内弹簧臂162,弹簧臂162被布置成在保持件160中进行往复运动。保持件160包括容装槽163,该容装槽163部分地围绕导引销124延伸。弹簧臂162包括部分围绕导引销124延伸但配置成在相反的方向面向容装槽163的容装槽164。保持件160布置在钉筒模块120上,这样容装槽163、164就围绕导引销124且将保持件160限定在钉筒模块120上。弹簧臂162包括一个分离片165,该分离片165在基座臂155之下从保持件160处向下延伸。这样,只有将钉筒模块120适当定位在端部受动器80中才能很容易地将保持件160从钉筒模块120上拆卸下来。在将钉筒模块120正确定位在端部受动器80中时,分离片165与端部受动器80接合以释放保持件160。
再次参见图1并结合图2和图13,下面将对线性外科钉紧器20的部件进行更详细的描述。线性外科钉紧器20包括细长的闭合件28,该闭合件28具有大体上U形的横截面并且从手柄21延伸入端部受动器80的外科紧固组件中。依照本发明的一个优选实施例,闭合件28是模制的塑料件,其形状依照本发明设计得用于实现运动和功能。利用塑料制造闭合件28可以降低制造成本并且还可以减轻线性外科钉紧器20的重量。此外,由于塑料比不锈钢更易于穿透,所以可以更容易地利用钴辐射对线性外科钉紧器20进行杀菌消毒。依照本发明的另一个实施例,闭合件也可通过在适当的位置加工好最终特征的铝挤压而成。虽然挤压的铝闭合件不象塑料件那样容易制作,但其仍具有一些优势(例如,减少了部件的数量、容易组装、重量轻、容易消毒)。
闭合件28的远端部穿过支撑结构81的壁84。该远端被布置来接收且保持钉筒模块120的钉筒壳121。闭合件28的中间部分置于左、右手柄板34、35之间。左、右手闭合连接件36、37通过第一整体式闭合连接销38可枢转地装接在闭合件28的左右近端上。在闭合连接件36、37的相对端处,闭合连接件36、37可枢转地装接在第二整体式闭合连接销39上。第二整体式闭合连接销39将闭合连接销36、37连接到带槽的闭合臂式连接件40上。带槽的闭合臂式连接件40在闭合扳机枢转销41处可枢转地安装在线性外科钉紧器20的手柄板34、35上。闭合扳机26从带槽的闭合臂式连接件40处向下延伸以围绕闭合扳机枢转销41朝着或远离手握持部24进行转动。容装在手柄21的手握持部24中的闭合弹簧42固定在带槽的闭合臂式连接件40上,在外科医生朝着手握持部24按压闭合扳机26时,该闭合弹簧42提供所需的阻力并且将闭合扳机26向开启位置偏压。
参见图13、14,下面将描述保持销致动机构100的部件。手柄21容装有安装在手柄21顶部上的马鞍形滑动件101以进行线性运动。滑动件101连接到通过手柄21中的槽105(参见图2)而从推杆驱动件104向外延伸的栓杆103上。推杆驱动件104受到槽105的限制而沿着线性外科钉紧器20的长轴进行纵向运动。推杆驱动件104通过推杆102上的周向沟槽107而连接到推杆102上,所述推杆102卡持在推杆驱动件104的槽108中。推杆102的远端包含周向沟槽109,周向沟槽109与钉筒模块120的接合件133近端中的沟槽132相连(最佳显示于图22中)。接合件133的远端包含用于与保持销125上的周向槽135相连的沟槽134。
闭合件28包含有栓杆29,栓杆29在手柄21内部的闭合件28的两侧上横向延伸。这些栓杆29滑动地连接到轭件111的L形槽110上。轭件111通过其上的枢转销112而可枢转地安装到手柄21上。轭件111包含有凸轮销113,凸轮销113的位置设计成推动推杆驱动件104上的凸轮表面114。
参考图13和图37,下面将描述激发传动组件的部件。激发传动组件具有细长的激发杆43,该激发杆43从手柄21延伸到端部受动器80的外科紧固组件中。激发杆43放置在闭合件28的U形截面中。激发杆43的远端延伸入钉筒壳121中并且设置得与刀具保持件130和驱动件131的近端相邻。激发杆43的远端装接在具有刀具牵引钩45的刀具牵引件44上。
在激发杆43容装在手柄21内部的部分中(参见图13),激发杆43具有矩形的接收槽46。第一整体式闭合连结销38延伸通过接收槽46。激发杆43还具有近端部分47。激发杆43的近端部分47的下侧具有滑动表面48。近端部分47还具有从滑动表面48延伸出的终端侧接合面49。激发扳机27通过与闭合扳机枢转销41间隔开的激发扳机枢销50而可枢转地安装到手柄板34、35上,这样每个枢转销就可围绕各自的轴线进行转动。激发扳机27包括弓形的激发扳机连接件51,该激发扳机连接件51从激发扳机枢转销50处的激发扳机27延伸至顶点52,该顶点52处于激发杆43的近端部分47的滑动表面48上。在手柄21中,激发扳机27分别装接在第一和第二激发扳机弹簧臂53、54上。激发扳机弹簧臂53、54支撑着激发扳机43右半边上的扭转弹簧(未显示)。最后,在激发杆43位于手柄21中的部分处,激发杆回复弹簧55固定在激发杆43下侧以将激发杆43向其未致动位置偏压。
当朝着手握持部24推压闭合扳机26时,带槽闭合臂式连接件40和闭合连接件36在激发杆43的接收槽46中朝着远端运动。这种朝着远端的运动使闭合件28相应地向远端运动。同样,激发杆43与闭合件28同时向远端运动,这是因为其上装接有闭合连接件36、37的第一整体式闭合连结销38延伸通过激发杆43中的接收槽46。
下面将参考图1并结合图13—20对限定中间闭合止动位置所用的机构及闭合扳机26从致动位置释放至其未致动位置的情况进行描述。带槽闭合臂式连接件40的顶侧具有夹紧滑动表面56,该夹紧滑动表面56显露出中间止动件57和闭合止动件58。释放棘爪59在夹紧滑动表面56上滑动并且可与中间止动件和闭合止动件57、58相接合。在释放棘爪59的远端具有横向延伸的棘止片60(最佳显示于图1中)。释放棘爪59位于手柄21内且其整体地装接在处于手柄21外部的释放按钮61上。释放按钮61具有拇指放置部62,释放按钮61通过释放耳轴63可枢转地装接在手柄21上。释放按钮61被从手柄21向外偏压,这样释放棘爪59就由释放弹簧64向下朝着夹紧滑动表面56偏压,释放弹簧64通过弹簧保持销65安装在手柄21上且通过按钮弹簧栓66安装在释放按钮61上。带槽闭合臂式连接件40具有位于中间止动件57和闭合止动件58之间的弓形凹槽67。在该弓形凹槽67中布置有整体地相连到右手套环上的左手套环68以用于旋转运动(图中未显示该右手套环)。每个套环68具有可与棘止片60相接合的套环臂69。棘止片60具有凹形的近端表面70以在套环臂69和棘止片60之间提供间隙。
现在参见图31(钉筒和支撑结构的剖面图),下面将描述已射击装置锁止机构180的部件。锁止机构180包括锁止杆181,该锁止杆181通过销子182可枢转地安装在闭合件28的远端30上。锁止杆181由弹簧(未显示)朝着支撑结构81的基座向下弹性偏压。锁止杆181分别包含近端和远端184、185。近端184具有凸轮表面186和锁止沟槽187。端部受动器80的支撑结构81包括突出架85,突出架85被布置成当锁止结构180接合时与锁止沟槽187相互作用。支撑结构81包含处于壁部84之间的基面86。在锁止杆181未被接合时,基面86被布置来与凸轮表面186相互作用。
下面将描述钉筒模块120、闭合机构、保持销机构、激发传动组件、中间止动件57、闭合止动件58、释放机构及锁止机构180的加载操作。参见图7—12和图21—28来描述将钉筒模块120加载到生理组织端部受动器80中的情况。钉筒模块120的形状和尺寸设计成能够有选择性地插入线性外科钉紧器20的生理组织端部受动器80中或从其中除去。
如图7所示,在将钉筒模块120插入线性外科钉紧器20的端部受动器80中之前,由于沟槽161布置成在保持件160的顶端处围绕凸起159,从而阻止分离,所以就不容易将保持件160从钉筒模块120上拆卸下来。此外,如图25所示,保持件的容装槽163、164在保持件160的底部处围绕导引销124布置从而防止分离。
所装接的保持件160对钉筒模块120的结构及用于握持的延伸表面进行支撑,这两个特征均使加载变得更为容易。保持件160还可阻止钉子在不经意的处理过程中从钉筒壳121中掉落下来并且可阻止刀具126在不经意的处理过程中偶然暴露出来。
在加载之前及在加载过程中可通过一系列的止动件进一步阻止刀具126和钉子的移动。参见图9,通过钉筒壳槽137上的止动凸出部139可以阻止刀具保持件130上的止动栓138向远端和近端运动。通过止动栓140与钉筒壳槽137上的止动凸出部141的相互作用则可阻止由于不经意的处理以及在将钉筒模块120加载到线性外科钉紧器20的过程中而使驱动件131向远端运动。
如图21—24所示,将钉筒模块120加载到生理组织端部受动器80中,从而使钉筒壳121滑入闭合件28的远端30中。在加载过程中,闭合件28上的壁部31a、31b滑入钉筒壳121的槽170a、170b中。与此同时,凸片174(参见图8)滑入U形支撑结构81的沟槽88中。如图21—24所示,当止动件171卡持到闭合件远端30的止动沟槽32上时,钉筒模块120的加载结束。
在图24所示的位置中,钉筒模块120被完全加载,接合件133的近端沟槽132与推杆102的远端周向沟槽109相接合,这样,钉筒模块120中的保持销125就连接到保持销进给机构100上。在加载过程中,刀具保持件131的槽172与刀具牵引钩45相接合,从而使牵引钩45在完成钉筒模块120的加载时与刀具保持件130上的回收突出架173相接合。
在完成钉筒模块120的加载时,置于驱动件131上的栓杆188与锁止杆181的远端185相接触(参见图31)。这种接触使锁止杆181围绕锁止杆销182而转动至一个位置,从而使凸轮表面186与U形的支撑结构81的基面86水平对齐。
现在将保持件160从端部受动器80上除去。特别地,钉筒模块120的加载的完成使分离片165与支撑结构81相接触(参见图23),这样,如图24所示,当将钉筒模块120完全加载后,弹簧臂162就向上移动。这种向上移动使容装槽164向上偏移而不再容装导引销124(参见图25和图26)。现在参见图27—29,向拇指垫166施加拆卸作用力而使保持件160围绕凸起159向外枢转直至所述沟槽161可从凸起159上滑脱下来。将保持件160除去是考虑到待使用的加载线性外科钉紧器20。
在图15中,闭合扳机26已从图1和图13中所示的开启、未被致动位置处部分推压。在部分推压闭合扳机26时,该闭合扳机26就围绕闭合扳机枢转销41而沿逆时针方向朝手握持部24转动。在闭合扳机26转动时,带槽闭合臂式连接件40和闭合板闭合连接件36、37向前移动,因此向远端移动闭合件28和激发杆43。当带糟闭合臂式连接件40向前移动时,释放棘爪59的棘止片60在夹紧滑动表面56上滑动。棘止片60与套环68的套环臂69的远端相接合,从而使套环68沿顺时针方向转动。当带槽闭合臂式连接件40响应闭合扳机26朝手握持部24的枢转运动而继续向前运动时,释放棘爪59的棘止片60最终会容纳在中间止动件57中。一旦置于中间止动件57中,闭合弹簧42就不能将闭合扳机26回复至其初始未致动位置。闭合扳机26现在处于其中间部分闭合位置中以将生理组织适当地定位和保持在钉筒壳121和基座122之间,如图15所示。此外,当闭合件28和激发杆43向远端移动时,弓形激发扳机连接件51的顶点52就在激发杆43的近端部分47的滑动表面48上滑动。
在从开启位置至中间位置的闭合行程中,保持销机构100被致动。闭合件28向前的运动使整体式栓杆29向远端移动。栓杆29与轭件111的L形槽110相接触。因此,栓杆29向远端的运动就使L形槽110进行凸轮转动,从而使所述轭件围绕销子112进行转动。所述转动使轭件111上的支撑栓杆113与推杆驱动件104上的凸轮表面114相接触。轭件111的进一步旋转运动使支撑栓杆113通过与表面114进行凸轮转动接触而向远端移动推杆驱动件104。推杆驱动件104与推杆102接触,从而向远端移动所述推杆102。推杆102反过来又会向远端移动接合件133和保持销125。至中间止动件57位置处所进行的闭合行程的完成使保持销125向远端移动通过钉筒壳121的孔144、基座151的槽及垫圈170中的孔而进入支撑结构81中的孔89(未显示)。布置在钉筒壳121的接触表面127和基座122之间的生理组织现在被卡持在保持销125和导引销124之间。
在闭合之前通过人工将马鞍形滑动件101向远端移动也可获得同样的结果。所述滑动移动使推杆102、接合件133和保持销125向前运动直至保持销125完全布置在支撑结构81内的基座122、垫圈123和孔89中。在将保持销125人工向前移动之后启动闭合行程仍会使轭件111进行如上所述的转动,但是保持销致动机构100不会进行任何附加的运动。
如图31(开启位置)和图32(中间位置)所示,当锁止杆181通过销子182装接在闭合件28上时,从开启位置至中间止动件57位置处的闭合行程使锁止杆181向远端移动。锁止杆181向远端的移动使凸轮表面186与支撑结构81的锁止突出架85相接触,从而使锁止杆181顺时针转动且与支撑结构81的基面86滑动接触。在该位置中,锁止杆181的远端185已转动远离驱动件131上的栓杆188。
现在特别参见图16,当将闭合扳机26从中间止动件57的位置朝着手握持部24推压时,套环68的套环臂69与棘止片60脱离接合。这样,当套环68继续沿顺时针方向中转动时,释放棘爪片60跨在套环臂69上,闭合扳机26继续运动而落入闭合止动件58中。当释放棘爪59跨在套环臂69上时,它就使释放按钮61围绕枢轴63顺时针转动。当释放棘爪片60落入闭合止动件58中时,会产生可听得见的咔哒声以提醒外科医生已到达闭合位置。
此外,在激发杆43继续向前移动时,弓形激发扳机连接件51的顶点52与激发杆43的近端部分47的侧接合表面49接触。这样,激发扳机27就移动至一个位置中,在该位置处,激发扳机27继续向远端移动激发杆43以在完全夹持住生理组织之后射击钉子。当弓形激发扳机连接件51的顶点52与近端部分47的接合表面49相接合时,激发扳机27就响应扳机27右手侧上的扭转弹簧(未显示)的动作而沿逆时针方向朝着手握持部24转动。激发扳机27的转动独立于闭合扳机26的转动,但是其转动受到阻挡直至激发杆43向远端移动而使激发扳机连接件51与激发杆43的端接合表面相接合。
特别参见附图17,当闭合扳机26被完全推压并且与手握持部24相邻时,处于释放棘爪59远端处的棘止片60进入闭合止动件58中。在闭合止动件58的位置中,生理组织被完全夹紧在钉筒壳121和基座122之间,并且闭合弹簧42不能使闭合扳机26回复至其初始位置。因此,闭合扳机26就被保持在图4所示的位置中。
在闭合扳机26逆时针运动的同时,激发扳机27在扭转激发杆回复弹簧55的作用下继续逆时针转动直至激发扳机27相对于线性外科钉紧器20的手柄21处于相对垂直的位置。在完全夹持的位置中,弓形激发扳机连接件51的顶点52与激发杆43的近端部分47的接合表面完全接合,这样,激发扳机27就处于一个位置中以进一步向远端移动激发杆43,从而将钉子射击到生理组织中。
如图33所示,在完全闭合位置中,钉筒壳121的钉带128与基座122的钉紧形成表面129相对准。保持销125使基座122的顶部与钉筒壳121相对准,并且导引销124使钉筒壳121的底部与基座122的底部相对准。
如图18和图34所示,可推压激发扳机27而使其朝着手握持部24转动直至使其置于与闭合扳机26相邻的位置。在激发扳机27的转动过程中,激发杆43向远端移动而与刀具保持件130相接触。所生成的刀具保持件130向远端的移动会导致刀具126和驱动件131相接触。驱动件131向远端的移动会将钉子(未显示)向远端推进到基座122的钉紧形成表面129中从而将钉子形成为总体上为B形的形状。刀具126在与钉子结构相结合的导引销124和保持销125的槽147中向远端推进。这些槽147将刀具126导引到切割垫圈123的切割表面157上而切断被卡持在两部件之间的任何生理组织。
通过人工压力释放激发扳机27会导致激发杆回复弹簧55回缩激发杆43并将激发扳机27回复至图17所示的位置。这种运动使牵引钩45回撤到刀具保持件130和刀具126上的牵引突出架173上。这样所述向近端的运动将刀具126回缩到钉筒壳121中,如图35所示。刀具保持件130上的止动栓138回缩而与钉筒壳121上的止动凸出部139相接合从而将刀具保持件130和刀具126夹持在该缩进位置中。通过驱动件131上的止动栓140与钉筒槽137的止动凸出部142相接合则将驱动件131保持在其最远端位置(被激发位置)中。
由于使用者的失误可能会使刀具126与其他医用装置产生干涉,这样,激发杆回复弹簧55的作用力就不足以使激发杆43回缩而将刀具126缩进钉筒壳121中,使用者可通过顺时针拉动激发扳机27来人工回缩切割系统。这种人工顺时针移动使弓形激发扳机连接件51顺时针转动直至它撞击到激发杆43的近端47上的激发杆回收片71。顺时针移动的激发扳机连接件51和激发杆回收片71之间的接触使激发杆43向近端回缩并且回复至图17所示的位置。这样反过来又会导致牵引钩45回缩到刀具保持件130和刀具126上的牵引突出架173上。因此,这种安全特征能够让使用者将切割机构回缩至一个安全位置并将激发系统回复至可允许将线性外科钉紧器20打开的一个位置,在下文中将对该内容进行描述。
参见图19,当外科医生按下释放按钮61时,释放棘爪59围绕释放耳轴63沿顺时针方向转动而将棘止片60从闭合止动件58的位置处除去。在棘止片60被除去时,它跨在套环臂69上而从夹紧连接件40上的中间止动位置57的旁边经过。这样,闭合扳机和激发扳机26、27就可响应由闭合弹簧42和激发杆回复弹簧55所产生的偏压力而回复至其初始未致动位置。当棘止片60跨在套环68的套环臂上时,套环臂69逆时针转动,而闭合扳机26和激发扳机27顺时针转动而回复至其初始的未致动位置。因此,外科医生就可释放闭合扳机和激发扳机26、27,这样它们就可回复至图20所示的位置而不必回复至中间止动件57的位置。
线性外科钉紧器20释放至如图20所示的开启位置可以导致闭合件28和装接的锁止杆181回缩至图36所示的完全开启位置。在该位置中,驱动件131上的栓杆188不再布置得向下夹持锁止杆的远端185。如上所述,驱动件131已由栓杆140和钉筒止动凸出部142止动在向前的位置中。因此,当其近端184沿着支撑臂表面86进行滑动的锁止杆181完全回缩时,它就自由逆时针转动且使锁止沟槽187下降到U形支撑结构81的突出架85的下面。如图37所示,当钉筒模块120拆卸时,锁止杆181仍将处于该位置中。
将来对已被射击的线性外科钉紧器20所作的任何关闭尝试均会将锁止沟槽187钩持在图38所示的突出架85中,从而向原激发装置的使用者提供反馈。如果在加载前将保持件160除去且在钉筒模块120未处于适当位置的情况下对钉筒模块120进行错误加载,也会产生这些相同的特征。在这种情况下,驱动件栓杆188将不能处于正确位置而将锁止杆181移动至将凸轮运动到上述表面86上的位置中。类似地,已被射击的钉筒模块120也不能释放锁止机构180。应特别注意到:在将锁止沟槽187钩持到突出架85中之前,在锁止机构180中允许进行闭合行程的运动。这种运动向使用者指明:该装置不会产生由于某些故障导致的拥堵,该故障是在锁止机构180没有运行时发生的。因此,使用者知道:当锁止机构接合时该装置不是产生拥堵而是不能正确加载。
在所述装置释放而返回至图1和图2所示的开启位置时,必须通过人工的方式向近端拉动马鞍形件101而使保持销机构100回缩。这种回缩使保持销125回退入钉筒壳121中。在完成所述人工回缩时,已被射击的钉筒模块120可被卸载并且替换为新的钉筒模块120。
尽管已经显示和描述了优选实施例,但是应当理解,这样的公开并非旨在限制本发明,而是覆盖落入本发明的精神实质和范围之内的全部改进和替代构造。
Claims (7)
1.适用于将多个外科紧固件施加到身体组织上的外科装置,该外科装置包括:
基座;
容装有多个外科紧固件和刀具的钉筒壳,所述钉筒壳和基座可在第一相间隔位置和相邻的第二位置之间相对运动;
与钉筒壳相关联的激发机构,用于把外科紧固件和刀具从将要朝着基座驱动的钉筒壳射击;和
由钉筒壳形成其一部分的钉筒模块,该钉筒模块包括驱动件和刀具保持件,驱动件布置成将钉子推出钉筒壳,而刀具保持件布置成在钉筒壳中紧挨着驱动件,刀具保持件装接在刀具上,刀具从刀具保持件向远端延伸通过驱动件中的槽并延伸通过钉筒壳中的槽(199);
刀具保持件包括延伸通过钉筒壳中的钉筒槽(137)的止动栓,刀具保持件止动栓被布置成,在刀具和刀具保持件的纵向运动期间与钉筒槽的止动凸出部相接触;
驱动件包括止动栓,该止动栓被布置成与钉筒壳的钉筒槽(137)的近端止动凸出部和远端止动凸出部相接触。
2.如权利要求1所述的外科装置,其特征在于,钉筒槽包括模制到钉筒壳侧面中的第一个和第二柔性指杆。
3.如权利要求2所述的外科装置,其特征在于,第一和第二指杆的朝向平行于钉筒模块的纵轴。
4.如权利要求2所述的外科装置,其特征在于,第一指杆的形状和尺寸设计成与刀具保持件止动栓相接触。
5.如权利要求2所述的外科装置,其特征在于,第二指杆的形状和尺寸设计成与驱动件止动栓相接触。
6.如权利要求2所述的外科装置,其特征在于,止动凸出部沿着第一和第二指杆中的每个的边缘布置。
7.如权利要求2所述的外科装置,其特征在于,各个止动凸出部的位置是由钉子驱动件组件或刀具组件在操作过程中的期望位置确定的。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US53291103P | 2003-12-30 | 2003-12-30 | |
US60/532911 | 2003-12-30 |
Publications (2)
Publication Number | Publication Date |
---|---|
CN1679450A CN1679450A (zh) | 2005-10-12 |
CN100512765C true CN100512765C (zh) | 2009-07-15 |
Family
ID=34573063
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CNB2004100954660A Active CN100512765C (zh) | 2003-12-30 | 2004-12-30 | 弯曲切刀钉紧器所用的钉筒 |
Country Status (11)
Country | Link |
---|---|
US (1) | US7207472B2 (zh) |
EP (1) | EP1550414B1 (zh) |
JP (1) | JP4694197B2 (zh) |
CN (1) | CN100512765C (zh) |
AT (1) | ATE424771T1 (zh) |
AU (1) | AU2004242496B2 (zh) |
BR (1) | BRPI0405959B1 (zh) |
CA (1) | CA2491787C (zh) |
DE (1) | DE602004019874D1 (zh) |
ES (1) | ES2321191T3 (zh) |
MX (1) | MXPA05000217A (zh) |
Families Citing this family (711)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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 |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
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 |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US20070194082A1 (en) | 2005-08-31 | 2007-08-23 | Morgan Jerome R | Surgical stapling device with anvil having staple forming pockets of varying depths |
US7673783B2 (en) * | 2005-11-04 | 2010-03-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments structured for delivery of medical agents |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US7766210B2 (en) | 2006-01-31 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with user feedback system |
US20070175951A1 (en) * | 2006-01-31 | 2007-08-02 | Shelton Frederick E Iv | Gearing selector for a powered surgical cutting and fastening instrument |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US7568603B2 (en) | 2006-01-31 | 2009-08-04 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with articulatable end effector |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8161977B2 (en) | 2006-01-31 | 2012-04-24 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US7644848B2 (en) | 2006-01-31 | 2010-01-12 | Ethicon Endo-Surgery, Inc. | Electronic lockouts and surgical instrument including same |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US7770775B2 (en) | 2006-01-31 | 2010-08-10 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with adaptive user feedback |
US8763879B2 (en) | 2006-01-31 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of surgical instrument |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
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 |
US9861359B2 (en) | 2006-01-31 | 2018-01-09 | Ethicon Llc | Powered surgical instruments with firing system lockout arrangements |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US20110006101A1 (en) | 2009-02-06 | 2011-01-13 | EthiconEndo-Surgery, Inc. | Motor driven surgical fastener device with cutting member lockout arrangements |
US20070225562A1 (en) | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
EP2015681B1 (en) | 2006-05-03 | 2018-03-28 | Datascope Corp. | Tissue closure device |
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 |
US7506791B2 (en) | 2006-09-29 | 2009-03-24 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression |
US7963431B2 (en) * | 2006-10-06 | 2011-06-21 | Tyco Healthcare Group, Lp | Grasping jaw mechanism |
US7967178B2 (en) * | 2006-10-06 | 2011-06-28 | Tyco Healthcare Group Lp | Grasping jaw mechanism |
US8336751B2 (en) | 2006-10-06 | 2012-12-25 | Covidien Lp | Grasping jaw mechanism |
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 |
US8459520B2 (en) | 2007-01-10 | 2013-06-11 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US7954682B2 (en) * | 2007-01-10 | 2011-06-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument with elements to communicate between control unit and end effector |
US7900805B2 (en) | 2007-01-10 | 2011-03-08 | Ethicon Endo-Surgery, Inc. | Surgical instrument with enhanced battery performance |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US20220061862A1 (en) * | 2007-01-11 | 2022-03-03 | Cilag Gmbh International | Surgical stapling device with a curved end effector |
US8701958B2 (en) | 2007-01-11 | 2014-04-22 | Ethicon Endo-Surgery, Inc. | Curved end effector for a surgical stapling device |
US7669747B2 (en) | 2007-03-15 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Washer for use with a surgical stapling instrument |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US8910846B2 (en) * | 2007-05-17 | 2014-12-16 | Covidien Lp | Gear driven knife drive mechanism |
US8157145B2 (en) | 2007-05-31 | 2012-04-17 | Ethicon Endo-Surgery, Inc. | Pneumatically powered surgical cutting and fastening instrument with electrical feedback |
US7905380B2 (en) * | 2007-06-04 | 2011-03-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US8534528B2 (en) | 2007-06-04 | 2013-09-17 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a multiple rate directional switching mechanism |
US7819299B2 (en) | 2007-06-04 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US7832408B2 (en) | 2007-06-04 | 2010-11-16 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a directional switching mechanism |
US11564682B2 (en) | 2007-06-04 | 2023-01-31 | Cilag Gmbh International | Surgical stapler device |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US8308040B2 (en) * | 2007-06-22 | 2012-11-13 | 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 |
US7766209B2 (en) | 2008-02-13 | 2010-08-03 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
US8453908B2 (en) | 2008-02-13 | 2013-06-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with improved firing trigger arrangement |
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 |
US8540133B2 (en) | 2008-09-19 | 2013-09-24 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
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 |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US8459525B2 (en) | 2008-02-14 | 2013-06-11 | Ethicon Endo-Sugery, Inc. | Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device |
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 |
US8622274B2 (en) | 2008-02-14 | 2014-01-07 | Ethicon Endo-Surgery, Inc. | Motorized cutting and fastening instrument having control circuit for optimizing battery usage |
US8584919B2 (en) | 2008-02-14 | 2013-11-19 | Ethicon Endo-Sugery, Inc. | Surgical stapling apparatus with load-sensitive firing mechanism |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US7819297B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with reprocessible handle assembly |
US8657174B2 (en) | 2008-02-14 | 2014-02-25 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument having handle based power source |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
JP5410110B2 (ja) | 2008-02-14 | 2014-02-05 | エシコン・エンド−サージェリィ・インコーポレイテッド | Rf電極を有する外科用切断・固定器具 |
US7861906B2 (en) | 2008-02-14 | 2011-01-04 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with articulatable components |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US7819296B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with retractable firing systems |
US20090206137A1 (en) * | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Disposable loading units for a surgical cutting and stapling instrument |
US20130153641A1 (en) | 2008-02-15 | 2013-06-20 | Ethicon Endo-Surgery, Inc. | Releasable layer of material and surgical end effector having the same |
US20090206131A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | End effector coupling arrangements for a surgical cutting and stapling instrument |
US20090206142A1 (en) | 2008-02-15 | 2009-08-20 | Ethicon Endo-Surgery, Inc. | Buttress material for a surgical stapling instrument |
US7959051B2 (en) | 2008-02-15 | 2011-06-14 | Ethicon Endo-Surgery, Inc. | Closure systems for a surgical cutting and stapling instrument |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US7997468B2 (en) | 2008-05-05 | 2011-08-16 | Tyco Healthcare Group Lp | Surgical instrument with clamp |
CA2665017A1 (en) * | 2008-05-05 | 2009-11-05 | Tyco Healthcare Group Lp | Surgical instrument with sequential clamping and cutting |
US8424738B2 (en) | 2008-06-04 | 2013-04-23 | Covidien Lp | Attachable clamp for surgical stapler |
US7837080B2 (en) | 2008-09-18 | 2010-11-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with device for indicating when the instrument has cut through tissue |
US8083120B2 (en) | 2008-09-18 | 2011-12-27 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical cutting and stapling instrument |
PL3476312T3 (pl) | 2008-09-19 | 2024-03-11 | Ethicon Llc | Stapler chirurgiczny z urządzeniem do dopasowania wysokości zszywek |
US7988028B2 (en) | 2008-09-23 | 2011-08-02 | Tyco Healthcare Group Lp | Surgical instrument having an asymmetric dynamic clamping member |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
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 |
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 |
US8360298B2 (en) | 2008-09-23 | 2013-01-29 | Covidien Lp | Surgical instrument and loading unit for use therewith |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
US8020743B2 (en) | 2008-10-15 | 2011-09-20 | Ethicon Endo-Surgery, Inc. | Powered articulatable surgical cutting and fastening instrument with flexible drive member |
US8485413B2 (en) | 2009-02-05 | 2013-07-16 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising an articulation joint |
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 |
US8414577B2 (en) | 2009-02-05 | 2013-04-09 | Ethicon Endo-Surgery, Inc. | Surgical instruments and components for use in sterile environments |
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 |
EP2393430A1 (en) | 2009-02-06 | 2011-12-14 | Ethicon Endo-Surgery, Inc. | Driven surgical stapler improvements |
US8393516B2 (en) | 2009-02-26 | 2013-03-12 | Covidien Lp | Surgical stapling apparatus with curved cartridge and anvil assemblies |
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 |
US10349935B2 (en) * | 2009-08-11 | 2019-07-16 | Datascope Corp. | Delivery device and method for compliant tissue fasteners |
US8225979B2 (en) | 2009-10-30 | 2012-07-24 | Tyco Healthcare Group Lp | Locking shipping wedge |
US8353438B2 (en) | 2009-11-19 | 2013-01-15 | Ethicon Endo-Surgery, Inc. | Circular stapler introducer with rigid cap assembly configured for easy removal |
US8136712B2 (en) | 2009-12-10 | 2012-03-20 | Ethicon Endo-Surgery, Inc. | Surgical stapler with discrete staple height adjustment and tactile feedback |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
US8267300B2 (en) | 2009-12-30 | 2012-09-18 | Ethicon Endo-Surgery, Inc. | Dampening device for endoscopic surgical stapler |
US8608046B2 (en) | 2010-01-07 | 2013-12-17 | Ethicon Endo-Surgery, Inc. | Test device for a surgical tool |
US8827137B2 (en) * | 2010-03-25 | 2014-09-09 | Covidien Lp | Pin alignment assembly for surgical stapler |
US8940000B2 (en) | 2010-05-12 | 2015-01-27 | Covidien Lp | Surgical instruments with flexible member attachment structures |
CN101869497B (zh) * | 2010-06-10 | 2011-12-14 | 苏州天臣国际医疗科技有限公司 | 缝切器械 |
US20120029272A1 (en) | 2010-07-30 | 2012-02-02 | Shelton Iv Frederick E | Apparatus and methods for protecting adjacent structures during the insertion of a surgical instrument into a tubular organ |
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 |
US9877720B2 (en) | 2010-09-24 | 2018-01-30 | Ethicon Llc | Control features for articulating surgical device |
US8733613B2 (en) | 2010-09-29 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Staple cartridge |
EP2621356B1 (en) | 2010-09-30 | 2018-03-07 | Ethicon LLC | Fastener system comprising a retention matrix and an alignment matrix |
US9566061B2 (en) | 2010-09-30 | 2017-02-14 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a releasably attached tissue thickness compensator |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9277919B2 (en) | 2010-09-30 | 2016-03-08 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising fibers to produce a resilient load |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9839420B2 (en) | 2010-09-30 | 2017-12-12 | Ethicon Llc | Tissue thickness compensator comprising at least one medicament |
US9386988B2 (en) | 2010-09-30 | 2016-07-12 | Ethicon End-Surgery, LLC | Retainer assembly including a tissue thickness compensator |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9301753B2 (en) | 2010-09-30 | 2016-04-05 | Ethicon Endo-Surgery, Llc | Expandable tissue thickness compensator |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US8840003B2 (en) | 2010-09-30 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument with compact articulation control arrangement |
US9216019B2 (en) | 2011-09-23 | 2015-12-22 | Ethicon Endo-Surgery, Inc. | Surgical stapler with stationary staple drivers |
US9414838B2 (en) | 2012-03-28 | 2016-08-16 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprised of a plurality of materials |
US9220501B2 (en) | 2010-09-30 | 2015-12-29 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensators |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US9307989B2 (en) | 2012-03-28 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorportating a hydrophobic agent |
US9517063B2 (en) | 2012-03-28 | 2016-12-13 | Ethicon Endo-Surgery, Llc | Movable member for use with a tissue thickness compensator |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US8746535B2 (en) | 2010-09-30 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising detachable portions |
US8444038B2 (en) | 2010-10-01 | 2013-05-21 | Covidien Lp | Tissue stop for surgical instrument |
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 |
US8714352B2 (en) * | 2010-12-10 | 2014-05-06 | Covidien Lp | Cartridge shipping aid |
US8348124B2 (en) | 2011-02-08 | 2013-01-08 | Covidien Lp | Knife bar with geared overdrive |
US8858590B2 (en) | 2011-03-14 | 2014-10-14 | Ethicon Endo-Surgery, Inc. | Tissue manipulation devices |
US8397972B2 (en) | 2011-03-18 | 2013-03-19 | Covidien Lp | Shipping wedge with lockout |
AU2012250197B2 (en) | 2011-04-29 | 2017-08-10 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9820741B2 (en) | 2011-05-12 | 2017-11-21 | Covidien Lp | Replaceable staple cartridge |
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 |
US9198661B2 (en) | 2011-09-06 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Stapling instrument comprising a plurality of staple cartridges stored therein |
US9050084B2 (en) | 2011-09-23 | 2015-06-09 | Ethicon Endo-Surgery, Inc. | Staple cartridge including collapsible deck arrangement |
US9125651B2 (en) | 2011-12-07 | 2015-09-08 | Ethicon Endo-Surgery, Inc. | Reusable linear stapler cartridge device for tissue thickness measurement |
US9038882B2 (en) | 2012-02-03 | 2015-05-26 | Covidien Lp | Circular stapling instrument |
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 |
US9113881B2 (en) | 2012-03-16 | 2015-08-25 | Covidien Lp | Travel clip for surgical staple cartridge |
RU2644272C2 (ru) | 2012-03-28 | 2018-02-08 | Этикон Эндо-Серджери, Инк. | Узел ограничения, включающий компенсатор толщины ткани |
MX358135B (es) | 2012-03-28 | 2018-08-06 | Ethicon Endo Surgery Inc | Compensador de grosor de tejido que comprende una pluralidad de capas. |
RU2639857C2 (ru) | 2012-03-28 | 2017-12-22 | Этикон Эндо-Серджери, Инк. | Компенсатор толщины ткани, содержащий капсулу для среды с низким давлением |
US9198662B2 (en) | 2012-03-28 | 2015-12-01 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
US9186141B2 (en) | 2012-04-12 | 2015-11-17 | Covidien Lp | Circular anastomosis stapling apparatus utilizing a two stroke firing sequence |
US11871901B2 (en) | 2012-05-20 | 2024-01-16 | Cilag Gmbh International | Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
US9119657B2 (en) | 2012-06-28 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Rotary actuatable closure arrangement for surgical end effector |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
EP2866686A1 (en) | 2012-06-28 | 2015-05-06 | Ethicon Endo-Surgery, Inc. | Empty clip cartridge lockout |
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 |
US9101385B2 (en) | 2012-06-28 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Electrode connections for rotary driven surgical tools |
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 |
US8747238B2 (en) | 2012-06-28 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Rotary drive shaft assemblies for surgical instruments with articulatable end effectors |
US11202631B2 (en) | 2012-06-28 | 2021-12-21 | Cilag Gmbh International | Stapling assembly comprising a firing lockout |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US9028494B2 (en) | 2012-06-28 | 2015-05-12 | Ethicon Endo-Surgery, Inc. | Interchangeable end effector coupling arrangement |
US20140005718A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Multi-functional powered surgical device with external dissection features |
US9072536B2 (en) | 2012-06-28 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Differential locking arrangements for rotary powered surgical instruments |
US9351724B2 (en) | 2013-01-11 | 2016-05-31 | Covidien Lp | Circular stapling instrument |
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 |
RU2672520C2 (ru) | 2013-03-01 | 2018-11-15 | Этикон Эндо-Серджери, Инк. | Шарнирно поворачиваемые хирургические инструменты с проводящими путями для передачи сигналов |
US9358003B2 (en) | 2013-03-01 | 2016-06-07 | Ethicon Endo-Surgery, Llc | Electromechanical surgical device with signal relay arrangement |
RU2669463C2 (ru) | 2013-03-01 | 2018-10-11 | Этикон Эндо-Серджери, Инк. | Хирургический инструмент с мягким упором |
US10561432B2 (en) | 2013-03-05 | 2020-02-18 | Covidien Lp | Pivoting screw for use with a pair of jaw members of a surgical instrument |
US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9795384B2 (en) | 2013-03-27 | 2017-10-24 | Ethicon Llc | Fastener cartridge comprising a tissue thickness compensator and a gap setting element |
US9572577B2 (en) | 2013-03-27 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Fastener cartridge comprising a tissue thickness compensator including openings therein |
CN103156665B (zh) * | 2013-03-27 | 2015-03-25 | 北京中法派尔特医疗设备有限公司 | 一种具有击发锁死装置的外科缝合器械 |
US9867612B2 (en) | 2013-04-16 | 2018-01-16 | Ethicon Llc | Powered surgical stapler |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9574644B2 (en) | 2013-05-30 | 2017-02-21 | Ethicon Endo-Surgery, Llc | Power module for use with a surgical instrument |
US9775609B2 (en) | 2013-08-23 | 2017-10-03 | Ethicon Llc | Tamper proof circuit for surgical instrument battery pack |
MX369362B (es) | 2013-08-23 | 2019-11-06 | Ethicon Endo Surgery Llc | Dispositivos de retraccion de miembros de disparo para instrumentos quirurgicos electricos. |
US20140171986A1 (en) | 2013-09-13 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Surgical Clip Having Comliant Portion |
AU2013403916A1 (en) * | 2013-11-04 | 2016-04-28 | Covidien Lp | Surgical fastener applying apparatus |
WO2015077356A1 (en) | 2013-11-19 | 2015-05-28 | Wheeler William K | Fastener applicator with interlock |
CA2932285C (en) | 2013-12-17 | 2019-10-08 | Standard Bariatrics, Inc. | Resection line guide for a medical procedure and method of using same |
US9642620B2 (en) | 2013-12-23 | 2017-05-09 | Ethicon Endo-Surgery, Llc | Surgical cutting and stapling instruments with articulatable end effectors |
US20150173756A1 (en) | 2013-12-23 | 2015-06-25 | Ethicon Endo-Surgery, Inc. | Surgical cutting and stapling methods |
US9763662B2 (en) | 2013-12-23 | 2017-09-19 | Ethicon Llc | Fastener cartridge comprising a firing member configured to directly engage and eject fasteners from the fastener cartridge |
US9839428B2 (en) | 2013-12-23 | 2017-12-12 | Ethicon Llc | Surgical cutting and stapling instruments with independent jaw control features |
US9724092B2 (en) | 2013-12-23 | 2017-08-08 | Ethicon Llc | Modular surgical instruments |
US10039546B2 (en) | 2013-12-23 | 2018-08-07 | Covidien Lp | Loading unit including shipping member |
US9681870B2 (en) | 2013-12-23 | 2017-06-20 | Ethicon Llc | Articulatable surgical instruments with separate and distinct closing and firing systems |
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 |
US20140166725A1 (en) | 2014-02-24 | 2014-06-19 | Ethicon Endo-Surgery, Inc. | Staple cartridge including a barbed staple. |
JP6462004B2 (ja) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | 発射部材ロックアウトを備える締結システム |
US9826977B2 (en) | 2014-03-26 | 2017-11-28 | Ethicon Llc | Sterilization verification circuit |
US10028761B2 (en) | 2014-03-26 | 2018-07-24 | Ethicon Llc | Feedback algorithms for manual bailout systems for surgical instruments |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US20150272557A1 (en) | 2014-03-26 | 2015-10-01 | Ethicon Endo-Surgery, Inc. | Modular surgical instrument system |
US9913642B2 (en) | 2014-03-26 | 2018-03-13 | Ethicon Llc | Surgical instrument comprising a sensor system |
US9936953B2 (en) | 2014-03-29 | 2018-04-10 | Standard Bariatrics, Inc. | End effectors, surgical stapling devices, and methods of using same |
US9724096B2 (en) | 2014-03-29 | 2017-08-08 | Standard Bariatrics, Inc. | End effectors, surgical stapling devices, and methods of using same |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
JP6612256B2 (ja) | 2014-04-16 | 2019-11-27 | エシコン エルエルシー | 不均一な締結具を備える締結具カートリッジ |
US10206677B2 (en) | 2014-09-26 | 2019-02-19 | Ethicon Llc | Surgical staple and driver arrangements for staple cartridges |
US9844369B2 (en) | 2014-04-16 | 2017-12-19 | Ethicon Llc | Surgical end effectors with firing element monitoring arrangements |
JP6532889B2 (ja) | 2014-04-16 | 2019-06-19 | エシコン エルエルシーEthicon LLC | 締結具カートリッジ組立体及びステープル保持具カバー配置構成 |
CN106456176B (zh) | 2014-04-16 | 2019-06-28 | 伊西康内外科有限责任公司 | 包括具有不同构型的延伸部的紧固件仓 |
US9668733B2 (en) | 2014-04-21 | 2017-06-06 | Covidien Lp | Stapling device with features to prevent inadvertent firing of staples |
US10045781B2 (en) | 2014-06-13 | 2018-08-14 | Ethicon Llc | Closure lockout systems for surgical instruments |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
US20160066913A1 (en) | 2014-09-05 | 2016-03-10 | Ethicon Endo-Surgery, Inc. | Local display of tissue parameter stabilization |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
WO2016037158A1 (en) | 2014-09-05 | 2016-03-10 | Standard Bariatrics, Inc. | Sleeve gastrectomy calibration tube and method of using same |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
JP6648119B2 (ja) | 2014-09-26 | 2020-02-14 | エシコン エルエルシーEthicon LLC | 外科ステープル留めバットレス及び付属物材料 |
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 |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11504192B2 (en) | 2014-10-30 | 2022-11-22 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US10004501B2 (en) | 2014-12-18 | 2018-06-26 | Ethicon Llc | Surgical instruments with improved closure arrangements |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
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 |
RU2703684C2 (ru) | 2014-12-18 | 2019-10-21 | ЭТИКОН ЭНДО-СЕРДЖЕРИ, ЭлЭлСи | Хирургический инструмент с упором, который выполнен с возможностью избирательного перемещения относительно кассеты со скобами вокруг дискретной неподвижной оси |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US10117649B2 (en) | 2014-12-18 | 2018-11-06 | Ethicon Llc | Surgical instrument assembly comprising a lockable articulation system |
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 |
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 |
US10226250B2 (en) | 2015-02-27 | 2019-03-12 | Ethicon Llc | Modular stapling assembly |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US20160249910A1 (en) | 2015-02-27 | 2016-09-01 | Ethicon Endo-Surgery, Llc | Surgical charging system that charges and/or conditions one or more batteries |
US9855040B2 (en) | 2015-03-04 | 2018-01-02 | Covidien Lp | Surgical stapling loading unit having articulating jaws |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US9895148B2 (en) | 2015-03-06 | 2018-02-20 | Ethicon Endo-Surgery, Llc | Monitoring speed control and precision incrementing of motor for powered surgical instruments |
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 |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
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 |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
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 |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US10092290B2 (en) | 2015-03-17 | 2018-10-09 | Covidien Lp | Surgical instrument, loading unit for use therewith and related methods |
US10433844B2 (en) | 2015-03-31 | 2019-10-08 | Ethicon Llc | Surgical instrument with selectively disengageable threaded drive systems |
US10368861B2 (en) | 2015-06-18 | 2019-08-06 | Ethicon Llc | Dual articulation drive system arrangements for articulatable surgical instruments |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
US10357251B2 (en) | 2015-08-26 | 2019-07-23 | Ethicon Llc | Surgical staples comprising hardness variations for improved fastening of tissue |
BR112018003693B1 (pt) | 2015-08-26 | 2022-11-22 | Ethicon Llc | Cartucho de grampos cirúrgicos para uso com um instrumento de grampeamento cirúrgico |
MX2022009705A (es) | 2015-08-26 | 2022-11-07 | Ethicon Llc | Metodo para formar una grapa contra un yunque de un instrumento de engrapado quirurgico. |
US10251648B2 (en) | 2015-09-02 | 2019-04-09 | Ethicon Llc | Surgical staple cartridge staple drivers with central support features |
MX2022006189A (es) | 2015-09-02 | 2022-06-16 | Ethicon Llc | Configuraciones de grapas quirurgicas con superficies de leva situadas entre porciones que soportan grapas quirurgicas. |
US10285837B1 (en) | 2015-09-16 | 2019-05-14 | Standard Bariatrics, Inc. | Systems and methods for measuring volume of potential sleeve in a sleeve gastrectomy |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10085751B2 (en) | 2015-09-23 | 2018-10-02 | Ethicon Llc | Surgical stapler having temperature-based motor control |
US10076326B2 (en) | 2015-09-23 | 2018-09-18 | Ethicon Llc | Surgical stapler having current mirror-based motor control |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10603039B2 (en) | 2015-09-30 | 2020-03-31 | Ethicon Llc | Progressively releasable implantable adjunct for use with a surgical stapling instrument |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10271849B2 (en) | 2015-09-30 | 2019-04-30 | Ethicon Llc | Woven constructs with interlocked standing fibers |
US10111660B2 (en) | 2015-12-03 | 2018-10-30 | Covidien Lp | Surgical stapler flexible distal tip |
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 |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10285693B2 (en) | 2015-12-31 | 2019-05-14 | Ethicon Llc | Surgical stapler with locking translatable pin |
US10575848B2 (en) | 2015-12-31 | 2020-03-03 | Ethicon Llc | Surgical stapler with fixed jaw support pin |
US10561474B2 (en) | 2015-12-31 | 2020-02-18 | Ethicon Llc | Surgical stapler with end of stroke indicator |
US10258334B2 (en) | 2015-12-31 | 2019-04-16 | Ethicon Llc | Surgical stapler with variable height drivers for uniform staple formation |
US10610219B2 (en) * | 2015-12-31 | 2020-04-07 | Ethicon Llc | Surgical stapler with curved outer surface on anvil |
US10045780B2 (en) | 2015-12-31 | 2018-08-14 | Ethicon Llc | Method of applying staples in lower anterior bowel resection |
BR112018016098B1 (pt) | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
US10433837B2 (en) | 2016-02-09 | 2019-10-08 | Ethicon Llc | Surgical instruments with multiple link articulation arrangements |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
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 |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US10307159B2 (en) | 2016-04-01 | 2019-06-04 | Ethicon Llc | Surgical instrument handle assembly with reconfigurable grip portion |
US10856867B2 (en) | 2016-04-01 | 2020-12-08 | Ethicon Llc | Surgical stapling system comprising a tissue compression lockout |
US10314582B2 (en) | 2016-04-01 | 2019-06-11 | Ethicon Llc | Surgical instrument comprising a shifting mechanism |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
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 |
USD850617S1 (en) | 2016-06-24 | 2019-06-04 | Ethicon Llc | Surgical fastener cartridge |
US11000278B2 (en) | 2016-06-24 | 2021-05-11 | Ethicon Llc | Staple cartridge comprising wire staples and stamped staples |
USD847989S1 (en) | 2016-06-24 | 2019-05-07 | Ethicon Llc | Surgical fastener cartridge |
CN109310431B (zh) | 2016-06-24 | 2022-03-04 | 伊西康有限责任公司 | 包括线材钉和冲压钉的钉仓 |
USD822206S1 (en) | 2016-06-24 | 2018-07-03 | Ethicon Llc | Surgical fastener |
USD826405S1 (en) | 2016-06-24 | 2018-08-21 | Ethicon Llc | Surgical fastener |
USD814632S1 (en) | 2016-10-21 | 2018-04-03 | Covidien Lp | Staple cartridge |
US10542981B2 (en) | 2016-11-14 | 2020-01-28 | Ethicon Llc | Atraumatic stapling head features for circular surgical stapler |
AU2017258826A1 (en) | 2016-12-02 | 2018-06-21 | Covidien Lp | Surgical stapling instrument with curved end effector |
US20180168625A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling instruments with smart staple cartridges |
US10588630B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical tool assemblies with closure stroke reduction features |
US20180168598A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Staple forming pocket arrangements comprising zoned forming surface grooves |
US10856868B2 (en) | 2016-12-21 | 2020-12-08 | Ethicon Llc | Firing member pin configurations |
US10945727B2 (en) | 2016-12-21 | 2021-03-16 | Ethicon Llc | Staple cartridge with deformable driver retention features |
US10610224B2 (en) | 2016-12-21 | 2020-04-07 | Ethicon Llc | Lockout arrangements for surgical end effectors and replaceable tool assemblies |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
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 |
US10675025B2 (en) | 2016-12-21 | 2020-06-09 | Ethicon Llc | Shaft assembly comprising separately actuatable and retractable systems |
US10993715B2 (en) | 2016-12-21 | 2021-05-04 | Ethicon Llc | Staple cartridge comprising staples with different clamping breadths |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US20180168648A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Durability features for end effectors and firing assemblies of surgical stapling instruments |
US10687810B2 (en) | 2016-12-21 | 2020-06-23 | Ethicon Llc | Stepped staple cartridge with tissue retention and gap setting features |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
MX2019007311A (es) | 2016-12-21 | 2019-11-18 | Ethicon Llc | Sistemas de engrapado quirurgico. |
US11191540B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Protective cover arrangements for a joint interface between a movable jaw and actuator shaft of a surgical instrument |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
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 |
US10695055B2 (en) | 2016-12-21 | 2020-06-30 | Ethicon Llc | Firing assembly comprising a lockout |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US10888322B2 (en) | 2016-12-21 | 2021-01-12 | Ethicon Llc | Surgical instrument comprising a cutting member |
US11684367B2 (en) | 2016-12-21 | 2023-06-27 | Cilag Gmbh International | Stepped assembly having and end-of-life indicator |
US10568625B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Staple cartridges and arrangements of staples and staple cavities therein |
US11350915B2 (en) | 2017-02-23 | 2022-06-07 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
US10849621B2 (en) * | 2017-02-23 | 2020-12-01 | Covidien Lp | Surgical stapler with small diameter endoscopic portion |
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 |
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 |
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 |
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 |
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 |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
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 |
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 |
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 |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
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 |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10631859B2 (en) | 2017-06-27 | 2020-04-28 | Ethicon Llc | Articulation systems for surgical instruments |
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 |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
EP4070740A1 (en) | 2017-06-28 | 2022-10-12 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US20190000461A1 (en) | 2017-06-28 | 2019-01-03 | Ethicon Llc | Surgical cutting and fastening devices with pivotable anvil with a tissue locating arrangement in close proximity to an anvil pivot axis |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
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 |
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 |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US11564756B2 (en) | 2017-10-30 | 2023-01-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US11801098B2 (en) | 2017-10-30 | 2023-10-31 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11311342B2 (en) | 2017-10-30 | 2022-04-26 | Cilag Gmbh International | Method for communicating with surgical instrument systems |
US11051836B2 (en) | 2017-10-30 | 2021-07-06 | Cilag Gmbh International | Surgical clip applier comprising an empty clip cartridge lockout |
US11291510B2 (en) | 2017-10-30 | 2022-04-05 | Cilag Gmbh International | Method of hub communication with surgical instrument systems |
US11510741B2 (en) | 2017-10-30 | 2022-11-29 | Cilag Gmbh International | Method for producing a surgical instrument comprising a smart electrical system |
US11911045B2 (en) | 2017-10-30 | 2024-02-27 | Cllag GmbH International | Method for operating a powered articulating multi-clip applier |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11317919B2 (en) | 2017-10-30 | 2022-05-03 | Cilag Gmbh International | Clip applier comprising a clip crimping system |
US11406390B2 (en) | 2017-10-30 | 2022-08-09 | Cilag Gmbh International | Clip applier comprising interchangeable clip reloads |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US10993714B2 (en) | 2017-11-28 | 2021-05-04 | Covidien Lp | Surgical stapling instrument and associated trigger mechanisms |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
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 |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
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 |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
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 |
US11337691B2 (en) | 2017-12-21 | 2022-05-24 | Cilag Gmbh International | Surgical instrument configured to determine firing path |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11419630B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Surgical system distributed processing |
US11672605B2 (en) | 2017-12-28 | 2023-06-13 | Cilag Gmbh International | Sterile field interactive control displays |
US11308075B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical network, instrument, and cloud responses based on validation of received dataset and authentication of its source and integrity |
US11266468B2 (en) | 2017-12-28 | 2022-03-08 | Cilag Gmbh International | Cooperative utilization of data derived from secondary sources by intelligent surgical hubs |
US11432885B2 (en) | 2017-12-28 | 2022-09-06 | Cilag Gmbh International | Sensing arrangements for robot-assisted surgical platforms |
US10892995B2 (en) | 2017-12-28 | 2021-01-12 | Ethicon Llc | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11109866B2 (en) | 2017-12-28 | 2021-09-07 | Cilag Gmbh International | Method for circular stapler control algorithm adjustment based on situational awareness |
US11612444B2 (en) | 2017-12-28 | 2023-03-28 | Cilag Gmbh International | Adjustment of a surgical device function based on situational awareness |
US20190201039A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Situational awareness of electrosurgical systems |
US11571234B2 (en) | 2017-12-28 | 2023-02-07 | Cilag Gmbh International | Temperature control of ultrasonic end effector and control system therefor |
US11818052B2 (en) | 2017-12-28 | 2023-11-14 | Cilag Gmbh International | Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs |
US11666331B2 (en) | 2017-12-28 | 2023-06-06 | Cilag Gmbh International | Systems for detecting proximity of surgical end effector to cancerous tissue |
US11864728B2 (en) | 2017-12-28 | 2024-01-09 | Cilag Gmbh International | Characterization of tissue irregularities through the use of mono-chromatic light refractivity |
US20190201042A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Determining the state of an ultrasonic electromechanical system according to frequency shift |
US11446052B2 (en) | 2017-12-28 | 2022-09-20 | Cilag Gmbh International | Variation of radio frequency and ultrasonic power level in cooperation with varying clamp arm pressure to achieve predefined heat flux or power applied to tissue |
US11389164B2 (en) | 2017-12-28 | 2022-07-19 | Cilag Gmbh International | Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices |
US11576677B2 (en) | 2017-12-28 | 2023-02-14 | Cilag Gmbh International | Method of hub communication, processing, display, and cloud analytics |
US11937769B2 (en) | 2017-12-28 | 2024-03-26 | Cilag Gmbh International | Method of hub communication, processing, storage and display |
US11696760B2 (en) | 2017-12-28 | 2023-07-11 | Cilag Gmbh International | Safety systems for smart powered surgical stapling |
US11424027B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Method for operating surgical instrument systems |
US11464559B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Estimating state of ultrasonic end effector and control system therefor |
US11291495B2 (en) | 2017-12-28 | 2022-04-05 | Cilag Gmbh International | Interruption of energy due to inadvertent capacitive coupling |
US11464535B2 (en) | 2017-12-28 | 2022-10-11 | Cilag Gmbh International | Detection of end effector emersion in liquid |
US11419667B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Ultrasonic energy device which varies pressure applied by clamp arm to provide threshold control pressure at a cut progression location |
US11903601B2 (en) | 2017-12-28 | 2024-02-20 | Cilag Gmbh International | Surgical instrument comprising a plurality of drive systems |
US11786245B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Surgical systems with prioritized data transmission capabilities |
US11166772B2 (en) | 2017-12-28 | 2021-11-09 | Cilag Gmbh International | Surgical hub coordination of control and communication of operating room devices |
US11832899B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical systems with autonomously adjustable control programs |
US11317937B2 (en) | 2018-03-08 | 2022-05-03 | Cilag Gmbh International | Determining the state of an ultrasonic end effector |
US11786251B2 (en) | 2017-12-28 | 2023-10-17 | Cilag Gmbh International | Method for adaptive control schemes for surgical network control and interaction |
US11832840B2 (en) | 2017-12-28 | 2023-12-05 | Cilag Gmbh International | Surgical instrument having a flexible circuit |
US20190201113A1 (en) | 2017-12-28 | 2019-07-04 | Ethicon Llc | Controls for robot-assisted surgical platforms |
US11324557B2 (en) | 2017-12-28 | 2022-05-10 | Cilag Gmbh International | Surgical instrument with a sensing array |
US11589888B2 (en) | 2017-12-28 | 2023-02-28 | Cilag Gmbh International | Method for controlling smart energy devices |
US11857152B2 (en) | 2017-12-28 | 2024-01-02 | Cilag Gmbh International | Surgical hub spatial awareness to determine devices in operating theater |
US11311306B2 (en) | 2017-12-28 | 2022-04-26 | Cilag Gmbh International | Surgical systems for detecting end effector tissue distribution irregularities |
US11410259B2 (en) | 2017-12-28 | 2022-08-09 | Cilag Gmbh International | Adaptive control program updates for surgical devices |
US11659023B2 (en) | 2017-12-28 | 2023-05-23 | Cilag Gmbh International | Method of hub communication |
US11304745B2 (en) | 2017-12-28 | 2022-04-19 | Cilag Gmbh International | Surgical evacuation sensing and display |
US10758310B2 (en) | 2017-12-28 | 2020-09-01 | Ethicon Llc | Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices |
US11744604B2 (en) | 2017-12-28 | 2023-09-05 | Cilag Gmbh International | Surgical instrument with a hardware-only control circuit |
US11253315B2 (en) | 2017-12-28 | 2022-02-22 | Cilag Gmbh International | Increasing radio frequency to create pad-less monopolar loop |
US11896322B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub |
US11633237B2 (en) | 2017-12-28 | 2023-04-25 | Cilag Gmbh International | Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures |
US11540855B2 (en) | 2017-12-28 | 2023-01-03 | Cilag Gmbh International | Controlling activation of an ultrasonic surgical instrument according to the presence of tissue |
US11529187B2 (en) | 2017-12-28 | 2022-12-20 | Cilag Gmbh International | Surgical evacuation sensor arrangements |
US11423007B2 (en) | 2017-12-28 | 2022-08-23 | Cilag Gmbh International | Adjustment of device control programs based on stratified contextual data in addition to the data |
US11202570B2 (en) | 2017-12-28 | 2021-12-21 | Cilag Gmbh International | Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems |
US11132462B2 (en) | 2017-12-28 | 2021-09-28 | Cilag Gmbh International | Data stripping method to interrogate patient records and create anonymized record |
US11678881B2 (en) | 2017-12-28 | 2023-06-20 | Cilag Gmbh International | Spatial awareness of surgical hubs in operating rooms |
US11596291B2 (en) | 2017-12-28 | 2023-03-07 | Cilag Gmbh International | Method of compressing tissue within a stapling device and simultaneously displaying of the location of the tissue within the jaws |
US11602393B2 (en) | 2017-12-28 | 2023-03-14 | Cilag Gmbh International | Surgical evacuation sensing and generator control |
US11896443B2 (en) | 2017-12-28 | 2024-02-13 | Cilag Gmbh International | Control of a surgical system through a surgical barrier |
US11559308B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method for smart energy device infrastructure |
US11364075B2 (en) | 2017-12-28 | 2022-06-21 | Cilag Gmbh International | Radio frequency energy device for delivering combined electrical signals |
US11559307B2 (en) | 2017-12-28 | 2023-01-24 | Cilag Gmbh International | Method of robotic hub communication, detection, and control |
US20190274662A1 (en) | 2018-03-08 | 2019-09-12 | Ethicon Llc | Adjustment of complex impedance to compensate for lost power in an articulating ultrasonic device |
US11259830B2 (en) | 2018-03-08 | 2022-03-01 | Cilag Gmbh International | Methods for controlling temperature in ultrasonic device |
US11844545B2 (en) | 2018-03-08 | 2023-12-19 | Cilag Gmbh International | Calcified vessel identification |
CN112074240A (zh) | 2018-03-28 | 2020-12-11 | 数据显示器公司 | 心耳排除装置 |
US11259806B2 (en) | 2018-03-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein |
US11090047B2 (en) | 2018-03-28 | 2021-08-17 | Cilag Gmbh International | Surgical instrument comprising an adaptive control system |
US11278280B2 (en) | 2018-03-28 | 2022-03-22 | Cilag Gmbh International | Surgical instrument comprising a jaw closure lockout |
US11471156B2 (en) | 2018-03-28 | 2022-10-18 | Cilag Gmbh International | Surgical stapling devices with improved rotary driven closure systems |
US11197668B2 (en) | 2018-03-28 | 2021-12-14 | Cilag Gmbh International | Surgical stapling assembly comprising a lockout and an exterior access orifice to permit artificial unlocking of the lockout |
US10945730B2 (en) * | 2018-06-25 | 2021-03-16 | Covidien Lp | Stapling device with selectively advanceable alignment pin |
WO2020014315A2 (en) * | 2018-07-12 | 2020-01-16 | Davol Inc. | Surgical instrument with fastener preload lock-out |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
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 |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US11419665B2 (en) | 2018-10-26 | 2022-08-23 | Covidien Lp | Electrosurgical forceps |
US11166725B2 (en) | 2018-12-28 | 2021-11-09 | Cilag Gmbh International | Configuration of buttress for surgical stapler |
US11116505B2 (en) | 2018-12-28 | 2021-09-14 | Cilag Gmbh International | Applicator for surgical stapler buttress |
USD932621S1 (en) | 2018-12-28 | 2021-10-05 | Cilag Gmbh International | Buttress assembly for a surgical stapler |
US11272935B2 (en) | 2018-12-28 | 2022-03-15 | Cilag Gmbh International | Curved tip surgical stapler buttress assembly applicator with opening feature for curved tip alignment |
USD901686S1 (en) | 2018-12-28 | 2020-11-10 | Ethicon Llc | Applicator for surgical stapler buttress |
US11432817B2 (en) | 2018-12-28 | 2022-09-06 | Cilag Gmbh International | Packaging for surgical stapler buttress |
US11701109B2 (en) | 2018-12-28 | 2023-07-18 | Cilag Gmbh International | Surgical stapler with sloped staple deck for varying tissue compression |
US11202628B2 (en) | 2018-12-28 | 2021-12-21 | Cilag Gmbh International | Surgical stapler with tissue engagement features around tissue containment pin |
US11033269B2 (en) | 2018-12-28 | 2021-06-15 | Cilag Gmbh International | Method of applying buttresses to surgically cut and stapled sites |
US11166724B2 (en) | 2018-12-28 | 2021-11-09 | Cilag Gmbh International | Adhesive distribution on buttress for surgical stapler |
USD922576S1 (en) | 2018-12-28 | 2021-06-15 | Cilag Gmbh International | Applicator tray for a buttress applicator for a surgical stapler |
USD933220S1 (en) | 2018-12-28 | 2021-10-12 | Cilag Gmbh International | Buttress assembly for a surgical stapler |
USD926318S1 (en) | 2018-12-28 | 2021-07-27 | Cilag Gmbh International | Surgical stapler deck with tissue engagement recess features |
US10905424B2 (en) | 2018-12-28 | 2021-02-02 | Ethicon Llc | Curved tip surgical stapler buttress assembly applicator with proximal alignment features |
USD903115S1 (en) | 2018-12-28 | 2020-11-24 | Ethicon Llc | Applicator for a surgical stapler buttress |
US11103243B2 (en) | 2018-12-28 | 2021-08-31 | Cilag Gmbh International | Curved tip surgical stapler buttress assembly applicator with compression layer pocket feature |
USD926317S1 (en) | 2018-12-28 | 2021-07-27 | Cilag Gmbh International | Surgical stapler deck with tissue engagement cleat features |
US11291450B2 (en) | 2018-12-31 | 2022-04-05 | Cilag Gmbh International | Anvil for circular surgical stapler and associated method of manufacture with MIM |
US11141777B2 (en) | 2018-12-31 | 2021-10-12 | Cilag Gmbh International | Multi-piece jaw assembly for surgical clip applier |
US11259804B2 (en) | 2018-12-31 | 2022-03-01 | Cilag Gmbh International | Frame for surgical stapler and associated method of manufacture with stamping |
US11607217B2 (en) | 2018-12-31 | 2023-03-21 | Cilag Gmbh International | Surgical stapler shaft formed of segments of different materials |
US11051809B2 (en) | 2018-12-31 | 2021-07-06 | Cilag Gmbh International | Cartridge receiving jaw for surgical stapler and associated method of manufacture with MIM |
US11134941B2 (en) | 2018-12-31 | 2021-10-05 | Cilag Gmbh International | Cartridge receiving jaw for surgical stapler and associated method of manufacture with stamping |
US11103245B2 (en) | 2018-12-31 | 2021-08-31 | Cilag Gmbh International | Knife for surgical stapler and associated method of manufacture with MIM and hip |
US11510725B2 (en) | 2019-01-30 | 2022-11-29 | Covidien Lp | Electrosurgical forceps |
US11304743B2 (en) | 2019-01-30 | 2022-04-19 | Covidien Lp | Electrosurgical forceps |
US11497545B2 (en) | 2019-02-14 | 2022-11-15 | Covidien Lp | Electrosurgical forceps |
US11369377B2 (en) | 2019-02-19 | 2022-06-28 | Cilag Gmbh International | Surgical stapling assembly with cartridge based retainer configured to unlock a firing lockout |
US11317915B2 (en) | 2019-02-19 | 2022-05-03 | Cilag Gmbh International | Universal cartridge based key feature that unlocks multiple lockout arrangements in different surgical staplers |
US11517309B2 (en) | 2019-02-19 | 2022-12-06 | Cilag Gmbh International | Staple cartridge retainer with retractable authentication key |
US11464511B2 (en) | 2019-02-19 | 2022-10-11 | Cilag Gmbh International | Surgical staple cartridges with movable authentication key arrangements |
US11357503B2 (en) | 2019-02-19 | 2022-06-14 | Cilag Gmbh International | Staple cartridge retainers with frangible retention features and methods of using same |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation 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 |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
AU2020253285A1 (en) * | 2019-03-29 | 2021-09-30 | Applied Medical Resources Corporation | Reload cover for surgical stapling system |
US11202629B2 (en) | 2019-04-26 | 2021-12-21 | Cilag Gmbh International | Clamping based lockout mechanism for right angle surgical stapler |
USD938029S1 (en) | 2019-04-26 | 2021-12-07 | Cilag Gmbh International | Staple retainer for surgical stapler cartridge |
US11266403B2 (en) * | 2019-04-26 | 2022-03-08 | Cilag Gmbh International | Tissue cutting washer for right angle surgical stapler |
US11166721B2 (en) | 2019-04-26 | 2021-11-09 | Cilag Gmbh International | Staple retainer for surgical stapler cartridge |
US11324504B2 (en) | 2019-04-26 | 2022-05-10 | Cilag Gmbh International | Cartridge based lockout mechanism for right angle surgical stapler |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators 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 |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
USD950728S1 (en) | 2019-06-25 | 2022-05-03 | Cilag Gmbh International | Surgical staple cartridge |
USD964564S1 (en) | 2019-06-25 | 2022-09-20 | Cilag Gmbh International | Surgical staple cartridge retainer with a closure system authentication key |
USD952144S1 (en) | 2019-06-25 | 2022-05-17 | Cilag Gmbh International | Surgical staple cartridge retainer with firing system authentication key |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
WO2021022407A1 (en) | 2019-08-02 | 2021-02-11 | Covidien Lp | Surgical stapling device with curved tool assembly |
JP2023509271A (ja) | 2019-11-01 | 2023-03-08 | コヴィディエン リミテッド パートナーシップ | ナイフブレード係止を有する外科用ステープル留めデバイス |
WO2021101714A1 (en) | 2019-11-04 | 2021-05-27 | Standard Bariatrics, Inc. | Systems and methods of performing surgery using laplace's law tension retraction during surgery |
US11534163B2 (en) | 2019-11-21 | 2022-12-27 | Covidien Lp | Surgical stapling instruments |
EP4076219A4 (en) | 2019-12-18 | 2023-09-06 | Covidien LP | SURGICAL STAPLE DEVICE WITH SHIPPING CAP |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
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 |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
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 |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
CN115209818A (zh) * | 2020-03-04 | 2022-10-18 | 柯惠有限合伙公司 | 带有切割板的砧座组件 |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (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 |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | 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 |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
US11744584B2 (en) | 2020-06-09 | 2023-09-05 | Covidien Lp | Alignment pin assembly for surgical stapler |
US11497494B2 (en) * | 2020-06-30 | 2022-11-15 | Cilag Gmbh International | Surgical stapler cartridge retainer with ejector feature |
US11883024B2 (en) | 2020-07-28 | 2024-01-30 | Cilag Gmbh International | Method of operating a surgical instrument |
US11432815B2 (en) | 2020-07-31 | 2022-09-06 | Cilag Gmbh International | Features to enhance staple height consistency in curved surgical stapler |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
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 |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
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 |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11452574B1 (en) | 2021-03-23 | 2022-09-27 | Standard Bariatrics, Inc. | Systems and methods for preventing tissue migration in surgical staplers |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
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 |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11826047B2 (en) | 2021-05-28 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising jaw mounts |
WO2023281459A1 (en) | 2021-07-09 | 2023-01-12 | Cilag Gmbh International | Cartridge retention features for curved surgical stapler |
US20230102965A1 (en) * | 2021-09-30 | 2023-03-30 | Cilag Gmbh International | Circular surgical stapler with anastomosis release feature |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Family Cites Families (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3740994A (en) * | 1970-10-13 | 1973-06-26 | Surgical Corp | Three stage medical instrument |
US4304236A (en) * | 1977-05-26 | 1981-12-08 | United States Surgical Corporation | Stapling instrument having an anvil-carrying part of particular geometric shape |
AU534210B2 (en) * | 1980-02-05 | 1984-01-12 | United States Surgical Corporation | Surgical staples |
EP0154815B1 (en) * | 1984-03-12 | 1991-03-13 | American Cyanamid Company | Improved skin stapler |
US5100042A (en) * | 1990-03-05 | 1992-03-31 | United States Surgical Corporation | Surgical fastener apparatus |
US5156614A (en) * | 1990-09-17 | 1992-10-20 | United States Surgical Corporation | Apparatus for applying two-part surgical fasteners |
DE10026683C2 (de) * | 2000-05-30 | 2003-07-10 | Ethicon Endo Surgery Europe | Chirurgisches Klammersetzgerät |
US6805273B2 (en) * | 2002-11-04 | 2004-10-19 | Federico Bilotti | Surgical stapling instrument |
US7134587B2 (en) * | 2003-12-30 | 2006-11-14 | Ethicon Endo-Surgery, Inc. | Knife retraction arm for a curved cutter stapler |
-
2004
- 2004-12-20 US US11/014,896 patent/US7207472B2/en active Active
- 2004-12-23 AU AU2004242496A patent/AU2004242496B2/en not_active Ceased
- 2004-12-24 CA CA2491787A patent/CA2491787C/en not_active Expired - Fee Related
- 2004-12-28 JP JP2004380357A patent/JP4694197B2/ja active Active
- 2004-12-29 ES ES04258158T patent/ES2321191T3/es active Active
- 2004-12-29 BR BRPI0405959-0B1A patent/BRPI0405959B1/pt active IP Right Grant
- 2004-12-29 DE DE602004019874T patent/DE602004019874D1/de active Active
- 2004-12-29 AT AT04258158T patent/ATE424771T1/de not_active IP Right Cessation
- 2004-12-29 EP EP04258158A patent/EP1550414B1/en active Active
- 2004-12-30 CN CNB2004100954660A patent/CN100512765C/zh active Active
-
2005
- 2005-01-03 MX MXPA05000217A patent/MXPA05000217A/es active IP Right Grant
Also Published As
Publication number | Publication date |
---|---|
DE602004019874D1 (de) | 2009-04-23 |
AU2004242496B2 (en) | 2011-09-15 |
US7207472B2 (en) | 2007-04-24 |
EP1550414A2 (en) | 2005-07-06 |
CA2491787C (en) | 2012-11-20 |
JP2005193037A (ja) | 2005-07-21 |
CN1679450A (zh) | 2005-10-12 |
CA2491787A1 (en) | 2005-06-30 |
US20050139635A1 (en) | 2005-06-30 |
ATE424771T1 (de) | 2009-03-15 |
MXPA05000217A (es) | 2005-08-26 |
BRPI0405959A (pt) | 2005-09-20 |
EP1550414A3 (en) | 2006-07-12 |
ES2321191T3 (es) | 2009-06-03 |
BRPI0405959B1 (pt) | 2014-01-28 |
EP1550414B1 (en) | 2009-03-11 |
AU2004242496A1 (en) | 2005-07-14 |
JP4694197B2 (ja) | 2011-06-08 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN100512765C (zh) | 弯曲切刀钉紧器所用的钉筒 | |
CN100450450C (zh) | 弯曲切刀钉紧器所用的刀具回缩臂 | |
CN100502796C (zh) | 弯曲切割固定器所用的带槽销导向刀具 | |
CN100450449C (zh) | 弯曲切割钉紧器所用的钉筒保持件 | |
CN100574713C (zh) | 用于男性骨盆的弯曲切刀钉紧器 | |
CN100574708C (zh) | 弯曲切割钉紧器所用的保持销进给机构 | |
CN100558304C (zh) | 具有对齐的组织保持结构的弯曲切刀钉紧器 | |
CN100418483C (zh) | 用于弯曲切刀钉紧器的闭合盘式锁止件 | |
US7641092B2 (en) | Swing gate for device lockout in a curved cutter stapler | |
CN102423267B (zh) | 用于外科钉紧和切割器械的可更换钉筒组件 | |
US5470009A (en) | Surgical fastening apparatus with locking mechanism | |
AU2006202053B2 (en) | Surgical stapler having an aluminium head | |
US7380695B2 (en) | Surgical stapling instrument having a single lockout mechanism for prevention of firing | |
GB1587849A (en) | Staple carrying cartridge | |
JPS59164050A (ja) | ステ−プラ− | |
TWI430774B (zh) | 具有塑膠封閉板的手術釘合器 | |
MXPA06005566A (en) | Surgical stapler having an aluminum head | |
MXPA06005567A (en) | Surgical stapler having a plastic closure plate |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
C06 | Publication | ||
PB01 | Publication | ||
C10 | Entry into substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
C14 | Grant of patent or utility model | ||
GR01 | Patent grant |